WorldWideScience

Sample records for support system needed

  1. Need for Cost Optimization of Space Life Support Systems

    Science.gov (United States)

    Jones, Harry W.; Anderson, Grant

    2017-01-01

    As the nation plans manned missions that go far beyond Earth orbit to Mars, there is an urgent need for a robust, disciplined systems engineering methodology that can identify an optimized Environmental Control and Life Support (ECLSS) architecture for long duration deep space missions. But unlike the previously used Equivalent System Mass (ESM), the method must be inclusive of all driving parameters and emphasize the economic analysis of life support system design. The key parameter for this analysis is Life Cycle Cost (LCC). LCC takes into account the cost for development and qualification of the system, launch costs, operational costs, maintenance costs and all other relevant and associated costs. Additionally, an effective methodology must consider system technical performance, safety, reliability, maintainability, crew time, and other factors that could affect the overall merit of the life support system.

  2. Supportive care needs of Iranian cancer patients

    Directory of Open Access Journals (Sweden)

    Azad Rahmani

    2014-01-01

    Full Text Available Background: A supportive needs assessment is an essential component of any care program. There is no research evidence regarding the supportive care needs of cancer patients in Iran or other Middle Eastern countries. Aims: The aim of this study was to determine the supportive care needs of Iranian cancer patients. Materials and Methods: This descriptive study was conducted in a referral medical center in the northwest of Iran. A total of 274 cancer patients completed the Supportive Care Needs Survey (SCNS-59. Descriptive statistics were used for data analysis. Results: In 18 items of the SCNS, more than 50% of the participants reported that their needs were unmet. Most frequently, unmet needs were related to the health system, information, physical, and daily living domains, and most met needs were related to sexuality, patient care, and support domains. Conclusions: Iranian cancer patients experience many unmet needs and there is an urgent need for establishing additional supportive care services in Iran.

  3. Transforming User Needs into Functional Requirements for an Antibiotic Clinical Decision Support System

    Science.gov (United States)

    Bright, T.J.

    2013-01-01

    Summary Background Many informatics studies use content analysis to generate functional requirements for system development. Explication of this translational process from qualitative data to functional requirements can strengthen the understanding and scientific rigor when applying content analysis in informatics studies. Objective To describe a user-centered approach transforming emergent themes derived from focus group data into functional requirements for informatics solutions and to illustrate these methods to the development of an antibiotic clinical decision support system (CDS). Methods The approach consisted of five steps: 1) identify unmet therapeutic planning information needs via Focus Group Study-I, 2) develop a coding framework of therapeutic planning themes to refine the domain scope to antibiotic therapeutic planning, 3) identify functional requirements of an antibiotic CDS system via Focus Group Study-II, 4) discover informatics solutions and functional requirements from coded data, and 5) determine the types of information needed to support the antibiotic CDS system and link with the identified informatics solutions and functional requirements. Results The coding framework for Focus Group Study-I revealed unmet therapeutic planning needs. Twelve subthemes emerged and were clustered into four themes; analysis indicated a need for an antibiotic CDS intervention. Focus Group Study-II included five types of information needs. Comments from the Barrier/Challenge to information access and Function/Feature themes produced three informatics solutions and 13 functional requirements of an antibiotic CDS system. Comments from the Patient, Institution, and Domain themes generated required data elements for each informatics solution. Conclusion This study presents one example explicating content analysis of focus group data and the analysis process to functional requirements from narrative data. Illustration of this 5-step method was used to develop an

  4. BIM Anatomy II: Standardisation Needs & Support Systems

    OpenAIRE

    Hooper, Martin

    2015-01-01

    This thesis presents the results of an investigation into BIM standardisation needs and procedural supporting mechanisms that may enable design, construction and operating (DCO) organisations to advance their deployment of Building Information Modelling (BIM) technology, and improve construction project outcomes. To achieve sustainable development requires effective information management. Building Information Modelling is of strategic importance for the development of effi...

  5. Parent Perspectives: Understanding Support Systems for Kindergarteners with Special Needs and Their Family Members

    Science.gov (United States)

    Okraski, Ronni

    2017-01-01

    Having a child with special needs can be overwhelming, emotionally draining and extremely stressful for parents and their family members. Research identifies the support systems families need in order to have quality-of-life. The current study uses mixed methods to evaluate the degree to which parents and other primary caregivers in Arizona view…

  6. Transforming user needs into functional requirements for an antibiotic clinical decision support system: explicating content analysis for system design.

    Science.gov (United States)

    Bright, T J

    2013-01-01

    Many informatics studies use content analysis to generate functional requirements for system development. Explication of this translational process from qualitative data to functional requirements can strengthen the understanding and scientific rigor when applying content analysis in informatics studies. To describe a user-centered approach transforming emergent themes derived from focus group data into functional requirements for informatics solutions and to illustrate these methods to the development of an antibiotic clinical decision support system (CDS). THE APPROACH CONSISTED OF FIVE STEPS: 1) identify unmet therapeutic planning information needs via Focus Group Study-I, 2) develop a coding framework of therapeutic planning themes to refine the domain scope to antibiotic therapeutic planning, 3) identify functional requirements of an antibiotic CDS system via Focus Group Study-II, 4) discover informatics solutions and functional requirements from coded data, and 5) determine the types of information needed to support the antibiotic CDS system and link with the identified informatics solutions and functional requirements. The coding framework for Focus Group Study-I revealed unmet therapeutic planning needs. Twelve subthemes emerged and were clustered into four themes; analysis indicated a need for an antibiotic CDS intervention. Focus Group Study-II included five types of information needs. Comments from the Barrier/Challenge to information access and Function/Feature themes produced three informatics solutions and 13 functional requirements of an antibiotic CDS system. Comments from the Patient, Institution, and Domain themes generated required data elements for each informatics solution. This study presents one example explicating content analysis of focus group data and the analysis process to functional requirements from narrative data. Illustration of this 5-step method was used to develop an antibiotic CDS system, resolving unmet antibiotic prescribing

  7. Assessing the users’ need for a spatial decision support system of smallholder farming in Kenya

    Directory of Open Access Journals (Sweden)

    Mike Teucher

    2014-12-01

    Full Text Available Accurate data of the natural conditions and agricultural systems with a good spatial resolution are a key factor to tackle food insecurity in developing countries. A broad variety of approaches exists to achieve precise data and information about agriculture. One system, especially developed for smallholder agriculture in East Africa, is the Farm Management Handbook of Kenya. It was first published in 1982/83 and fully revised in 2012, now containing 7 volumes. The handbooks contain detailed information on climate, soils, suitable crops and soil care based on scientific research results of the last 30 years. The density of facts leads to time consuming extraction of all necessary information. In this study we analyse the user needs and necessary components of a system for decision support for smallholder farming in Kenya based on a geographical information system (GIS. Required data sources were identified, as well as essential functions of the system. We analysed the results of our survey conducted in 2012 and early 2013 among agricultural officers. The monitoring of user needs and the problem of non-adaptability of an agricultural information system on the level of extension officers in Kenya are the central objectives. The outcomes of the survey suggest the establishment of a decision support tool based on already available open source GIS components. The system should include functionalities to show general information for a specific location and should provide precise recommendations about suitable crops and management options to support agricultural guidance on farm level.

  8. 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.

  9. Graduating to Postdoc: Information-Sharing in Support of Organizational Structures and Needs

    Science.gov (United States)

    Keller, Richard M.; Lucas, Paul J.; Compton, Michael M.; Stewart, Helen J.; Baya, Vinod; DelAlto, Martha

    1999-01-01

    The deployment of information-sharing systems in large organizations can significantly impact existing policies and procedures with regard to authority and control over information. Unless information-sharing systems explicitly support organizational structures and needs, these systems will be rejected summarily. The Postdoc system is a deployed Web-based information-sharing system created specifically to address organizational needs. Postdoc contains various organizational support features including a shared, globally navigable document space, as well as specialized access control, distributed administration, and mailing list features built around the key notion of hierarchical group structures. We review successes and difficulties in supporting organizational needs with Postdoc

  10. 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

  11. The supportive care needs for prostate cancer patients in Sarawak.

    Science.gov (United States)

    Cheah, Whye Lian; Ling, Ngok Chuo; Chang, Kam Hock

    2016-02-01

    This cross-sectional study aimed to determine the prevalence of unmet supportive care needs among prostate cancer patients. The cross-sectional study was conducted among all prostate cancer patients at the Sarawak General Hospital. Interview was done using the Supportive Care Needs Survey-Short Form (SCNS-SF) and the Health Service Utilization Questionnaires (HSUQ). Data were analysed using Statistical Package for the Social Sciences (SPSS) 20. A total of ninety-five patients participated, with majority were aged 65 and above and of primary educational level. The two most frequently reported unmet supportive care needs were "informed about cancer which is under control or diminishing" and "informed about things you can do to help yourself to get well" under the domain Health System and Information. Respondents who were older (65 years and above) had significant lower unmet needs in psychology (P<0.01), and sexuality compared to the younger group below 65 years (P<0.01). Except for physical and daily living, respondents with primary school level had significant lower unmet needs in all domains compared to secondary school level. Respondents with known stages of cancer had higher unmet needs in all domains compared to those who did not know. Healthcare providers should provide more responsive, emotionally sensitive and client-centered care to patients with prostate cancer, particularly in the area of Health System and Information, and psychological support.

  12. Decision support systems

    DEFF Research Database (Denmark)

    Jørgensen, L.N.; Noe, E.; Langvad, A.M.

    2007-01-01

    system Crop Protection Online is widely used by advisors and as a learning tool for students. Although the system has been validated in many field trials over the years and has shown reliable results, the number of end-users among farmers has been relatively low during the last 10 years (approximately...... 1000 farmers). A sociological investigation of farmers' decision-making styles in the area of crop protection has shown that arable farmers can be divided into three major groups: (a) system-orientated farmers, (b) experience-based farmers and (c) advisory-orientated farmers. The information required...... by these three groups to make their decisions varies and therefore different ways of using decision support systems need to be provided. Decision support systems need to be developed in close dialogue and collaboration with user groups....

  13. Understanding How to Support Family Caregivers of Seniors with Complex Needs

    Science.gov (United States)

    Charles, Lesley; Brémault-Phillips, Suzette; Parmar, Jasneet; Johnson, Melissa; Sacrey, Lori-Ann

    2017-01-01

    Purpose of the Study The purpose of this study was to describe the experiences and challenges of supporting family caregivers of seniors with complex needs and to outline support strategies and research priorities aimed at supporting them. Design and Methods A CIHR-funded, two-day conference entitled “Supporting Family Caregivers of Seniors: Improving Care and Caregiver Outcomes” was held. An integrated knowledge translation approach guided this planning conference. Day 1 included presentations of research evidence, followed by participant engagement Qualitative data was collected regarding facilitators, barriers/gaps, and recommendations for the provision of caregiver supports. Day 2 focused on determination of research priorities. Results Identified facilitators to the provision of caregiver support included accessibility of health-care and community-based resources, availability of well-intended health-care providers, and recognition of caregivers by the system. Barriers/gaps related to challenges with communication, access to information, knowledge of what is needed, system navigation, access to financial resources, and current policies. Recommendations regarding caregiver services and research revolved around assisting caregivers to self-identify and seek support, formalizing caregiver supports, centralizing resources, making system navigation available, and preparing the next generation for caregiving. Implication A better understanding of the needs of family caregivers and ways to support them is critical to seniors’ health services redesign. PMID:28690707

  14. How information systems should support the information needs of general dentists in clinical settings: suggestions from a qualitative study

    Directory of Open Access Journals (Sweden)

    Wali Teena

    2010-02-01

    Full Text Available Abstract Background A major challenge in designing useful clinical information systems in dentistry is to incorporate clinical evidence based on dentists' information needs and then integrate the system seamlessly into the complex clinical workflow. However, little is known about the actual information needs of dentists during treatment sessions. The purpose of this study is to identify general dentists' information needs and the information sources they use to meet those needs in clinical settings so as to inform the design of dental information systems. Methods A semi-structured interview was conducted with a convenience sample of 18 general dentists in the Pittsburgh area during clinical hours. One hundred and five patient cases were reported by these dentists. Interview transcripts were coded and analyzed using thematic analysis with a constant comparative method to identify categories and themes regarding information needs and information source use patterns. Results Two top-level categories of information needs were identified: foreground and background information needs. To meet these needs, dentists used four types of information sources: clinical information/tasks, administrative tasks, patient education and professional development. Major themes of dentists' unmet information needs include: (1 timely access to information on various subjects; (2 better visual representations of dental problems; (3 access to patient-specific evidence-based information; and (4 accurate, complete and consistent documentation of patient records. Resource use patterns include: (1 dentists' information needs matched information source use; (2 little use of electronic sources took place during treatment; (3 source use depended on the nature and complexity of the dental problems; and (4 dentists routinely practiced cross-referencing to verify patient information. Conclusions Dentists have various information needs at the point of care. Among them, the needs

  15. Persona Development and Educational Needs to Support Informal Caregivers.

    Science.gov (United States)

    Al Awar, Zeina; Kuziemsky, Craig

    2017-01-01

    Informal caregivers are playing an increasing role in community based care delivery. Research is needed that looks at the educational needs of informal caregivers as a precursor to HIT design to support community care delivery. A challenge is informal caregivers have very diverse educational needs. Personas are an approach to describe user characteristics as part of systems design and this approach could be used to understand and categorize the various educational needs of informal caregivers. This paper addresses this research need and provides a method for persona development and the identification of educational needs for informal caregivers.

  16. 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…

  17. Licensing support system preliminary needs analysis: Volume 1

    International Nuclear Information System (INIS)

    1989-01-01

    This Preliminary Needs Analysis, together with the Preliminary Data Scope Analysis (next in this series of reports), is a first effort under the LSS Design and Implementation Contract toward developing a sound requirements foundation for subsequent design work. Further refinements must be made before requirements can be specified in sufficient detail to provide a basis for suitably specific system specifications. This preliminary analysis of the LSS requirements has been divided into a ''needs'' and a ''data scope'' portion only for project management and scheduling reasons. The Preliminary Data Scope Analysis will address all issues concerning the content and size of the LSS data base; providing the requirements basis for data acquisition, cataloging and storage sizing specifications. This report addresses all other requirements for the LSS. The LSS consists of both computer subsystems and non-computer archives. This study addresses only the computer subsystems, focusing on the Access Subsystems. After providing background on previous LSS-related work, this report summarizes the findings from previous examinations of needs and describes a number of other requirements that have an impact on the LSS. The results of interviews conducted for this report are then described and analyzed. The final section of the report brings all of the key findings together and describes how these needs analyses will continue to be refined and utilized in on-going design activities. 14 refs., 2 figs., 1 tab

  18. Mapping Health Needs to Support Health System Management in Poland

    Science.gov (United States)

    Holecki, Tomasz; Romaniuk, Piotr; Woźniak-Holecka, Joanna; Szromek, Adam R.; Syrkiewicz-Świtała, Magdalena

    2018-01-01

    In Poland, following the example of other EU countries, the first maps of health needs prepared by the Ministry of Health were presented in 2016. The maps constitute a foundation for rational decision-making in the management of health care resources, being potentially useful for all actors in health system. This refers in particular to the institutions responsible for distribution of funds and contracting health service, but also for decision-makers, who determine the scope of funds to be utilized in the health system, or the structure of benefits provided to patients. Service providers are also addressees of the maps, to give them a basis for planning future activities. The article presents a structured assessment of the current state of affairs, based on recent experience and sets out likely directions for the development of health needs in mapping in Poland in the future. We discuss the criticism addressed toward maps by representatives of various groups acting in health care. It includes the lack of recognition of some of the key health needs, or wrong emphases, where much more attention is paid to the recognition of current resources in the health system, instead of making prognoses regarding the future developments of health needs. Nonetheless, we find that this instrument is potentially of high usability, in case of elimination of the existing weaknesses. PMID:29662876

  19. Design Rules for Life Support Systems

    Science.gov (United States)

    Jones, Harry

    2002-01-01

    This paper considers some of the common assumptions and engineering rules of thumb used in life support system design. One general design rule is that the longer the mission, the more the life support system should use recycling and regenerable technologies. A more specific rule is that, if the system grows more than half the food, the food plants will supply all the oxygen needed for the crew life support. There are many such design rules that help in planning the analysis of life support systems and in checking results. These rules are typically if-then statements describing the results of steady-state, "back of the envelope," mass flow calculations. They are useful in identifying plausible candidate life support system designs and in rough allocations between resupply and resource recovery. Life support system designers should always review the design rules and make quick steady state calculations before doing detailed design and dynamic simulation. This paper develops the basis for the different assumptions and design rules and discusses how they should be used. We start top-down, with the highest level requirement to sustain human beings in a closed environment off Earth. We consider the crew needs for air, water, and food. We then discuss atmosphere leakage and recycling losses. The needs to support the crew and to make up losses define the fundamental life support system requirements. We consider the trade-offs between resupplying and recycling oxygen, water, and food. The specific choices between resupply and recycling are determined by mission duration, presence of in-situ resources, etc., and are defining parameters of life support system design.

  20. Differences between Employees' and Supervisors' Evaluations of Work Performance and Support Needs

    Science.gov (United States)

    Bennett, Kyle; Frain, Michael; Brady, Michael P.; Rosenberg, Howard; Surinak, Tricia

    2009-01-01

    Assessment systems are needed that are sensitive to employees' work performance as well as their need for support, while incorporating the input from both employees and their supervisors. This study examined the correspondence of one such evaluation system, the Job Observation and Behavior Scale (JOBS) and the JOBS: Opportunity for…

  1. Unmet Supportive Care Needs among Breast Cancer Survivors of Community-Based Support Group in Kuching, Sarawak

    Directory of Open Access Journals (Sweden)

    Emmanuel Joseph Fong

    2016-01-01

    Full Text Available Background. Recognizing the needs of cancer survivors is one of the important aspects in healthcare delivery. This study aimed to determine the prevalence of unmet supportive care needs and its associated factors among the breast cancer survivors of community-based support group in Kuching, Sarawak. Materials and Methods. This was a cross-sectional study using Supportive Care Needs Survey (SCNS-SF34. All the members of community-based breast cancer support groups in Kuching were invited. A total of 101 respondents were face-to-face interviewed after the consent was obtained. Data was entered and analyzed using SPSS version 20. Results. The respondents endorsed health system and information domain with the highest mean score (2.48; 95% CI: 2.32–2.64. Top 10 items with “moderate to high” level unmet needs had a prevalence of 14.9% to 34.7% of respondents indicating need. Significantly higher level of unmet needs was associated with survivors who were younger (less than 60 years old, had higher education attainment, were unemployed, had survival duration of up to 5 years, and were undergoing active treatment. Conclusion. Systematic delivery of health information which is targeted, culturally sensitive, and linguistically appropriate for addressing younger age, education level, employment status, length of survivorship, and treatment stage should be considered not only at hospital-based setting but also at the community-based support groups.

  2. Incorporating GISs (geographic information systems) into decision support systems: Where have we come from and where do we need to go

    Energy Technology Data Exchange (ETDEWEB)

    Honea, R.B.; Hake, K.A.; Durfee, R.C.

    1990-01-01

    This paper reviews some of the pitfalls in the design and use of GISs that were encountered with both large and small projects for a variety of sponsors. The stand-alone, self-sufficient GIS world prevalent today does not adequately meet the needs of decision support systems. Developers of these systems are left with the difficult task of software system integration which generally produces less than adequate results. Modularization of GIS concepts is critical to the solution which involves the establishment of a GIS toolkit. More functionality and flexibility are introduced through this approach so that GIS may be truly applied'' in system development projects.

  3. Spill operation system decision support system

    International Nuclear Information System (INIS)

    Clark, R.

    1992-01-01

    The MSRC Spill Operation System (SOS) is a tool for the support of decision-making at the time of a catastrophic oil spill. SOS provides MSRC decision-makers with access to information about the source of the spill, the spill environment, and the availability of spill response resources. This system is designed to meet the information needs of a Response Supervisor, an Environmental Advisor, Logistics/Maintenance Supervisor, Operations Supervisor, and the MSRC Regional General Manager. The SOS project Objectives are: (1) integrate currently available data, systems, and technologies; (2) develop an application that effectively supports mobilized operations and can be adapted to support normal operations; (3) ensure that the development of computer applications is driven by user needs and not by technology; and (4) coordinate with government and other industry organizations to avoid duplication of effort. Design Objectives for SOS are: (1) centralize management information storage while decentralizing decision making capabilities; (2) boost User confidence by providing a system that is easy to learn, easy to use, and is open-quotes Sailor Proofclose quotes; and (3) use visualization technology in providing spill related information. This approach includes the use of Geographic Information System (GIS) technology for maps and geographically associated resource; and support MSRC's concept of operation which includes - a swift notification of response personnel; fast mobilization of response resources; and accurate tracking of resources during a spill. MSRC is organized into five responsibility regions

  4. Need Support, Need Satisfaction, Intrinsic Motivation, and Physical Activity Participation among Middle School Students

    Science.gov (United States)

    Zhang, Tao; Solmon, Melinda A.; Kosma, Maria; Carson, Russell L.; Gu, Xiangli

    2011-01-01

    Using self-determination theory as a framework, the purpose of this study was to test a structural model of hypothesized relationships among perceived need support from physical education teachers (autonomy support, competence support, and relatedness support), psychological need satisfaction (autonomy, competence, and relatedness), intrinsic…

  5. Is there a need for hydrological modelling in decision support systems for nuclear emergencies

    International Nuclear Information System (INIS)

    Raskob, W.; Heling, R.; Zheleznyak, M.

    2004-01-01

    This paper discusses the role of hydrological modelling in decision support systems for nuclear emergencies. In particular, most recent developments such as, the radionuclide transport models integrated in to the decision support system RODOS will be explored. Recent progress in the implementation of physically-based distributed hydrological models for operational forecasting in national and supranational centres, may support a closer cooperation between national hydrological services and therefore, strengthen the use of hydrological and radiological models implemented in decision support systems. (authors)

  6. American Indian Women Cancer Survivor's Needs and Preferences: Community Support for Cancer Experiences.

    Science.gov (United States)

    Burnette, Catherine E; Roh, Soonhee; Liddell, Jessica; Lee, Yeon-Shim

    2018-03-15

    Cancer (the focus of this inquiry) is the leading cause of death among American Indian and Alaska Native women. The purpose of this study was to identify American Indian women cancer survivors' needs and preferences related to community supports for their cancer experience. This qualitative study examined female American Indian cancer survivors' needs and preferences about community support. The sample included 43 American Indian women cancer survivors (the types of cancer survivors included cervical cancer: n = 14; breast cancer: n = 14; and colon and other types: n = 15) residing in the Northern Plains region, in the state of South Dakota. Data were analyzed using qualitative content analysis and were collected between June of 2014 and February of 2015. When asked about their needs and preferences, 82% of participants (n = 35) of female American Indian cancer survivors reported at least one of the following most commonly reported themes: cancer support groups (n = 31, 72%), infrastructure for community support (n = 17, 40%), and cancer education (n = 11, 26%). In addition to the aforementioned themes, 33% of participants (n = 14) indicated the need for an improved healthcare system, with 11% (n = 5) of participants expressly desiring the integration of spirituality and holistic healing options. The majority of American Indian women cancer survivor participants of this study identified a need for more community-based support systems and infrastructures to aid with the cancer survivor experience. Results warrant a community approach to raise awareness, education, and support for American Indian cancer survivors.

  7. Supportive care needs in Hong Kong Chinese women confronting advanced breast cancer.

    Science.gov (United States)

    Au, Angel; Lam, Wendy; Tsang, Janice; Yau, Tsz-kok; Soong, Inda; Yeo, Winnie; Suen, Joyce; Ho, Wing M; Wong, Ka-yan; Kwong, Ava; Suen, Dacita; Sze, Wing-Kin; Ng, Alice; Girgis, Afaf; Fielding, Richard

    2013-05-01

    Women with advanced breast cancer (ABC) are living longer, so understanding their needs becomes important. This cross-sectional study investigated the type and extent of unmet supportive care needs in Hong Kong Chinese women with advanced breast cancer. Face-to-face interviews were conducted among women with stage III or stage IV disease mostly awaiting chemotherapy (76%) to identify unmet needs using the Supportive Care Needs Survey Short Form, psychological morbidity using the Hospital Anxiety and Depression Scale, symptom distress using the Memorial Symptom Assessment Scale, and satisfaction with care using the Patient satisfaction questionnaire (PSQ-9). About 27-72% of 198/220 (90%) women (mean age = 53.4 ± 9.74 (standard deviation) years) identified needs from the health system, information, and patient support (HSIPS) domain as the top 15 most prevalent unmet needs. 'having one member of hospital staff with whom you can talk to about all aspect of your condition, treatment, and follow-up' was most cited by 72% of the patients, with remaining unmet needs addressing mostly desire for information. Unmet need strength did not differ between women with stage III and stage IV disease, whereas women with first time diagnosis reported greater health system and information unmet needs compared with women with recurrent disease. Stepwise multiple regression analyses revealed that symptom distress was consistently positively associated with all but sexuality need domains, whereas low satisfaction with care was associated with HSIPS (β = 3.270, p living (β = 2.810, p < 0.01) domains. Chinese women with ABC expressed need for continuity of care and improved information provision. High symptom distress was associated with lower levels of satisfaction with care. These unmet needs appear to reflect current care services shortcomings. Copyright © 2012 John Wiley & Sons, Ltd.

  8. IEP (Individualized Educational Program) Co-operation between Optimal Support of Students with Special Needs

    Science.gov (United States)

    Ogoshi, Yasuhiro; Nakai, Akio; Ogoshi, Sakiko; Mitsuhashi, Yoshinori; Araki, Chikahiro

    A key aspect of the optimal support of students with special needs is co-ordination and co-operation between school, home and specialized agencies. Communication between these entities is of prime importance and can be facilitated through the use of a support system implementing ICF guidelines as outlined. This communication system can be considered to be a preventative rather than allopathic support.

  9. Needs Assessment in STEM Disciplines: Reliability, Validity and Factor Structure of the Student Support Needs Scale (SSNS)

    Science.gov (United States)

    Hardy, Precious; Aruguete, Mara

    2014-01-01

    Retention is a major problem in most colleges and universities. High dropout rates, especially in the STEM disciplines (science, technology, engineering and mathematics), have proved intractable despite the offering of supplemental instruction. A broad model of support systems that includes psychological factors is needed to address retention in…

  10. Adaptive Collaboration Support Systems : Designing Collaboration Support for Dynamic Environments

    NARCIS (Netherlands)

    Janeiro, J.; Knoll, S.W.; Lukosch, S.G.; Kolfschoten, G.L.

    2012-01-01

    Today, engineering systems offer a variety of local and webbased applications to support collaboration by assisting groups in structuring activities, generating and sharing data, and improving group communication. To ensure the quality of collaboration, engineering system design needs to analyze and

  11. Can basic life support personnel safely determine that advanced life support is not needed?

    Science.gov (United States)

    Cone, D C; Wydro, G C

    2001-01-01

    To determine whether firefighter/emergency medical technicians-basic (FF/EMT-Bs) staffing basic life support (BLS) ambulances in a two-tiered emergency medical services (EMS) system can safely determine when advanced life support (ALS) is not needed. This was a prospective, observational study conducted in two academic emergency departments (EDs) receiving patients from a large urban fire-based EMS system. Runs were studied to which ALS and BLS ambulances were simultaneously dispatched, with the patient transported by the BLS unit. Prospectively established criteria for potential need for ALS were used to determine whether the FF/EMT-B's decision to cancel the ALS unit was safe, and simple outcomes (admission rate, length of stay, mortality) were examined. In the system studied, BLS crews may cancel responding ALS units at their discretion; there are no protocols or medical criteria for cancellation. A convenience sample of 69 cases was collected. In 52 cases (75%), the BLS providers indicated that they cancelled the responding ALS unit because they did not feel ALS was needed. Of these, 40 (77%) met study criteria for ALS: 39 had potentially serious chief complaints, nine had abnormal vital signs, and ten had physical exam findings that warranted ALS. Forty-five (87%) received an intervention immediately upon ED arrival that could have been provided in the field by an ALS unit, and 16 (31%) were admitted, with a median length of stay of 3.3 days (range 1.1-73.4 days). One patient died. Firefighter/EMT-Bs, working without protocols or medical criteria, cannot always safely determine which patients may require ALS intervention.

  12. Resource needs to support orphans and vulnerable children in sub-Saharan Africa.

    Science.gov (United States)

    Stover, John; Bollinger, Lori; Walker, Neff; Monasch, Roland

    2007-01-01

    In sub-Saharan Africa, 43 million children under the age of 18 have lost one or both parents to AIDS, conflict or other causes. This large number strains systems by which families and communities have traditionally provided care for orphans. Support for some orphans is being provided by a variety of government, community and non-governmental organizations but this assistance reaches only a small percentage of those who need it. This paper estimates the funding required for necessary support to those most in need. We estimate that US$1-4 billion will be required annually by 2010, depending on whether support is provided to all orphans living below the poverty line or just those in most need. This is at least four times current funding and should be a priority topic for donor and national government resource allocation decisions this year.

  13. Families of children with special educational needs resources and needs support

    Directory of Open Access Journals (Sweden)

    Danielli Silva Gualda

    2013-06-01

    Full Text Available The goal of this research was to investigate what are the resources and needs of parents of preschool children with special educational needs. The participants were eleven parents of children with special educational needs included in pre-elementary school. Most parents had purchasing power medium to medium low. To meet the objectives, parents filled in the “Inventory of Home Environment Resources - RAF” and “Questionnaire on the needs of families - QNF. The results enabled the RAF to note that this study the majority of children with special educational needs and has a stimulating home environment, whereas the mothers accompanied their children in school affairs and the maintenance of a routine to perform activities, and receive care through resource rooms (41.6% and in the care of APAE (25.0%. the data obtained by QNF parents need help to: (a to obtain more information about services and supports that your child may benefit in the future, (b meet regularly with appropriate persons, as professionals, to talk on the child’s disability, (c explain the child’s other children, friends and neighbors, (d find social support services and educational for the child, (e pay expenses and (f to discuss problems and find solutions.

  14. African American Patients' Psychosocial Support Needs and Barriers to Treatment: Patient Needs Assessment.

    Science.gov (United States)

    Davey, Maureen P; Bilkins, Brianna; Diamond, Guy; Willis, Alliric I; Mitchell, Edith P; Davey, Adam; Young, Faith M

    2016-09-01

    This study assessed adult patient's psychosocial support needs and treatment barriers in an urban diverse cancer center. A needs assessment was conducted with a convenience sample of adult oncology patients (n = 113; 71.7 % African American). Most patients were parenting school-age children and worried about them (96 %); 86.7 % would attend a family support program. Among patients who were married or partnered (68 %), 63.7 % were concerned about communication, coping, and emotional support; 53.9 % would attend a couple support program. Patients identified similar treatment barriers: transportation, babysitting for younger children, convenience of time/place, and refreshments. Findings suggest that behavioral health care providers should be available to screen cancer patients and improve access to appropriate psychosocial oncology support programs.

  15. Unmet patient needs in systemic sclerosis.

    Science.gov (United States)

    Rubenzik, Tamara T; Derk, Chris T

    2009-04-01

    Assessment of systemic sclerosis patients has not directly addressed functioning from the patient's perspective. With this study, we aim to gain our patient's point of view by using a questionnaire to describe their unmet needs and understanding what demographic parameters influence these. A computer randomization program selected 50 patients, from 242 systemic sclerosis patients actively followed at our rheumatology clinic, to receive a survey about unmet needs. Twenty-five patients responded to the survey. Of 81 questions, 9 provided demographic data, whereas 72 questions addressed physical, daily living, psychologic, spiritual, existential, health services, health information, social support, and employment issues. A 4-point scale from no need to high need was used to rate all questions. Significant need was considered any issue for which more than 50% of patients reported a high need. The Fisher exact test was used to compare different demographic variables to unmet patient needs. The psychologic/spiritual/existential category had 9 questions reaching significance, the health services category had 5 significant questions, the physical category had 4 significant questions. Patients who had not attended college were more likely to have higher needs than patients who completed a college degree. Unmarried patients reported higher needs in 8 measures as compared with married patients, and patients in rural areas had higher needs in social support needs. The greatest prevalence of unmet needs in scleroderma patients were in the psychologic/spiritual/existential domain, such as being unable to do things they used to do, fear that the disease will worsen, anxiety and stress, feeling down or depressed, fears of physical disability, uncertainty about the future, change in appearance, keeping a positive outlook, and feeling in control. Significant differences were observed in unmet needs based on education, marital status, location, knowledge of disease, and age

  16. Web-Based Learning Support System

    Science.gov (United States)

    Fan, Lisa

    Web-based learning support system offers many benefits over traditional learning environments and has become very popular. The Web is a powerful environment for distributing information and delivering knowledge to an increasingly wide and diverse audience. Typical Web-based learning environments, such as Web-CT, Blackboard, include course content delivery tools, quiz modules, grade reporting systems, assignment submission components, etc. They are powerful integrated learning management systems (LMS) that support a number of activities performed by teachers and students during the learning process [1]. However, students who study a course on the Internet tend to be more heterogeneously distributed than those found in a traditional classroom situation. In order to achieve optimal efficiency in a learning process, an individual learner needs his or her own personalized assistance. For a web-based open and dynamic learning environment, personalized support for learners becomes more important. This chapter demonstrates how to realize personalized learning support in dynamic and heterogeneous learning environments by utilizing Adaptive Web technologies. It focuses on course personalization in terms of contents and teaching materials that is according to each student's needs and capabilities. An example of using Rough Set to analyze student personal information to assist students with effective learning and predict student performance is presented.

  17. Identification of the support needs of individuals with severe mental illness using the Supports Intensity Scale

    Directory of Open Access Journals (Sweden)

    Maribel Cruz

    2013-09-01

    Full Text Available OBJECTIVE: to characterize the intensity of the support needs of individuals with severe mental illness. METHODS: quantitative and descriptive study that applied the Supports Intensity Scale to a sample comprising 182 individuals. RESULTS: the supports intensity profile identifies groups, individuals, and areas with different needs of support relative to the domains of home living, health, community living, learning, employment, and social living. As a whole, the intensity level of support needs found was low, and the domains with greater needs were employment and social. CONCLUSIONS: identification of the intensity of support needs is helpful in planning integral care and detecting professional training needs. The support provision-centered approach, associated with the person-related outcomes perspective, has been sparsely applied to individuals with mental illness, and this represents the main contribution of the present study. In addition, this study introduces novel approaches to assessment that are both concordant and an innovation in nursing because they might provide a tool for understanding other disabilities.

  18. Need for ethics support in healthcare institutions: views of Dutch board members and ethics support staff.

    Science.gov (United States)

    Dauwerse, Linda; Abma, Tineke; Molewijk, Bert; Widdershoven, Guy

    2011-08-01

    The purpose of this article is to investigate the need for ethics support in Dutch healthcare institutions in order to understand why ethics support is often not used in practice and which factors are relevant in this context. This study had a mixed methods design integrating quantitative and qualitative research methods. Two survey questionnaires, two focus groups and 17 interviews were conducted among board members and ethics support staff in Dutch healthcare institutions. Most respondents see a need for ethics support. This need is related to the complexity of contemporary healthcare, the contribution of ethics support to the core business of the organisation and to the surplus value of paying structural attention to ethical issues. The need for ethics support is, however, not unconditional. Reasons for a lacking need include: aversion of innovations, negative associations with the notion of ethics support service, and organisational factors like resources and setting. There is a conditioned need for ethics support in Dutch healthcare institutions. The promotion of ethics support in healthcare can be fostered by focusing on formats which fit the needs of (practitioners in) healthcare institutions. The emphasis should be on creating a (culture of) dialogue about the complex situations which emerge daily in contemporary healthcare practice.

  19. Development of the Supported Decision Making Inventory System.

    Science.gov (United States)

    Shogren, Karrie A; Wehmeyer, Michael L; Uyanik, Hatice; Heidrich, Megan

    2017-12-01

    Supported decision making has received increased attention as an alternative to guardianship and a means to enable people with intellectual and developmental disabilities to exercise their right to legal capacity. Assessments are needed that can used by people with disabilities and their systems of supports to identify and plan for needed supports to enable decision making. This article describes the steps taken to develop such an assessment tool, the Supported Decision Making Inventory System (SDMIS), and initial feedback received from self-advocates with intellectual disability. The three sections of the SDMIS (Supported Decision Making Personal Factors Inventory, Supported Decision Making Environmental Demands Inventory, and Decision Making Autonomy Inventory) are described and implications for future research, policy, and practice are discussed.

  20. System Design for Transitional Aircraft Support

    Directory of Open Access Journals (Sweden)

    John P.T. Mo

    2014-01-01

    Full Text Available The Australian Defence Force and industry are undergoing significant changes in the way they work together in capability enhancement programs. There are capability gaps in maintaining and supporting current obligations during major asset acquisition, which has migrated into the front line of Royal Air Force Fighter Groups as a new capability. This paper examines a steady state support solution and argues that in order to interchange from one support solution to a new architecture there must be a period for transition, which may need its own interim business model and operational service. A preliminary study of several existing support solutions reveals the generic elements that need to be parameterized and traced through the support system architecture trajectory.

  1. The need for psycho-oncological support for melanoma patients

    Science.gov (United States)

    Mayer, Simone; Teufel, Martin; Schaeffeler, Norbert; Keim, Ulrike; Garbe, Claus; Eigentler, Thomas Kurt; Zipfel, Stephan; Forschner, Andrea

    2017-01-01

    Abstract Despite an increasing number of promising treatment options, only a limited number of studies concerning melanoma patients’ psycho-oncological distress have been carried out. However, multiple screening tools are in use to assess the need for psycho-oncological support. This study aimed first to identify parameters in melanoma patients that are associated with a higher risk for being psycho-oncologically distressed and second to compare patients’ self-evaluation concerning the need for psycho-oncological support with the results of established screening tools. We performed a cross-sectional study including 254 melanoma patients from the Center for Dermatooncology at the University of Tuebingen. The study was performed between June 2010 and February 2013. Several screening instruments were included: the Distress Thermometer (DT), Hospital Anxiety and Depression Scale and the patients’ subjective evaluation concerning psycho-oncological support. Binary logistic regression was performed to identify factors that indicate the need for psycho-oncological support. Patients’ subjective evaluation concerning the need for psycho-oncological support, female gender, and psychotherapeutic or psychiatric treatment at present or in the past had the highest impact on values above threshold in the DT. The odds ratio of patients’ self-evaluation (9.89) was even higher than somatic factors like female gender (1.85), duration of illness (0.99), or increasing age (0.97). Patients’ self-evaluation concerning the need for psycho-oncological support indicated a moderate correlation with the results of the screening tools included. In addition to the results obtained by screening tools like the DT, we could demonstrate that patients’ self-evaluation is an important instrument to identify patients who need psycho-oncological support. PMID:28906378

  2. Social support needs identified by mothers affected by intimate partner violence.

    Science.gov (United States)

    Letourneau, Nicole; Morris, Catherine Young; Stewart, Miriam; Hughes, Jean; Critchley, Kim A; Secco, Loretta

    2013-09-01

    In order to offer optimal supports and services for mothers affected by intimate partner violence (IPV), an understanding of these mothers' perceptions of support needs, resources, barriers to support, and preferences for support intervention is warranted. Moreover, the growing recognition of the effects of IPV on maternal-infant relationships and of the importance of these early relationships to long-term child health outcomes suggests interventions are needed to support optimal maternal-infant relationships in these families. Thus, 64 mothers exposed to IPV when their infants were below 12 months of age participated in a retrospective qualitative study to identify mothers' support needs, resources, barriers to support, and preferences for specific support interventions to promote optimal mother-infant relationships. Participants identified both personal needs (including needs for leaving or staying with the violent partner), along with intertwined needs to care for, and help, their infants cope with the experience of violence. Mothers reported that integrated services that include information and practical support from professionals with emotional and affirmation support from peers would promote positive, nurturing mother-infant relationships and healthy child development.

  3. Preparing for a decision support system.

    Science.gov (United States)

    Callan, K

    2000-08-01

    The increasing pressure to reduce costs and improve outcomes is driving the health care industry to view information as a competitive advantage. Timely information is required to help reduce inefficiencies and improve patient care. Numerous disparate operational or transactional information systems with inconsistent and often conflicting data are no longer adequate to meet the information needs of integrated care delivery systems and networks in competitive managed care environments. This article reviews decision support system characteristics and describes a process to assess the preparedness of an organization to implement and use decision support systems to achieve a more effective, information-based decision process. Decision support tools included in this article range from reports to data mining.

  4. MINDS - Medical Information Network Decision Support System

    National Research Council Canada - National Science Library

    Armenian, H. K

    2008-01-01

    .... The increase in and complexity of medical data at various levels of resolution has increased the need for system level advancements in clinical decision support systems that provide computer-aided...

  5. Participatory Research to Design a Novel Telehealth System to Support the Night-Time Needs of People with Dementia: NOCTURNAL

    Directory of Open Access Journals (Sweden)

    Suzanne Martin

    2013-12-01

    Full Text Available Strategies to support people living with dementia are broad in scope, proposing both pharmacological and non-pharmacological interventions as part of the care pathway. Assistive technologies form part of this offering as both stand-alone devices to support particular tasks and the more complex offering of the “smart home” to underpin ambient assisted living. This paper presents a technology-based system, which expands on the smart home architecture, orientated to support people with daily living. The system, NOCTURNAL, was developed by working directly with people who had dementia, and their carers using qualitative research methods. The research focused primarily on the nighttime needs of people living with dementia in real home settings. Eight people with dementia had the final prototype system installed for a three month evaluation at home. Disturbed sleep patterns, night-time wandering were a focus of this research not only in terms of detection by commercially available technology but also exploring if automated music, light and visual personalized photographs would be soothing to participants during the hours of darkness. The NOCTURNAL platform and associated services was informed by strong user engagement of people with dementia and the service providers who care for them. NOCTURNAL emerged as a holistic service offering a personalised therapeutic aspect with interactive capabilities.

  6. Participatory research to design a novel telehealth system to support the night-time needs of people with dementia: NOCTURNAL.

    Science.gov (United States)

    Martin, Suzanne; Augusto, Juan Carlos; McCullagh, Paul; Carswell, William; Zheng, Huiru; Wang, Haiying; Wallace, Jonathan; Mulvenna, Maurice

    2013-12-04

    Strategies to support people living with dementia are broad in scope, proposing both pharmacological and non-pharmacological interventions as part of the care pathway. Assistive technologies form part of this offering as both stand-alone devices to support particular tasks and the more complex offering of the "smart home" to underpin ambient assisted living. This paper presents a technology-based system, which expands on the smart home architecture, orientated to support people with daily living. The system, NOCTURNAL, was developed by working directly with people who had dementia, and their carers using qualitative research methods. The research focused primarily on the nighttime needs of people living with dementia in real home settings. Eight people with dementia had the final prototype system installed for a three month evaluation at home. Disturbed sleep patterns, night-time wandering were a focus of this research not only in terms of detection by commercially available technology but also exploring if automated music, light and visual personalized photographs would be soothing to participants during the hours of darkness. The NOCTURNAL platform and associated services was informed by strong user engagement of people with dementia and the service providers who care for them. NOCTURNAL emerged as a holistic service offering a personalised therapeutic aspect with interactive capabilities.

  7. Developing Information Systems for Competitive Intelligence Support.

    Science.gov (United States)

    Hohhof, Bonnie

    1994-01-01

    Discusses issues connected with developing information systems for competitive intelligence support; defines the elements of an effective competitive information system; and summarizes issues affecting system design and implementation. Highlights include intelligence information; information needs; information sources; decision making; and…

  8. The need to support students with autism at university.

    Science.gov (United States)

    Mulder, Ann M; Cashin, Andrew

    2014-09-01

    Publicity surrounds the increased prevalence of autism. However, in contrast to support in primary and secondary schools, there exists little focus on supporting students with autism at university. Mental health nurses are well placed to facilitate support programmes for students with autism who have the capacity for higher education. This article examines the international literature around the support needs for these students and discusses opportunities that exist to support these students, their families, and higher education staff. Research is urgently needed to evaluate the success of such interventions, particularly in light of the low participation rates in study and work for people with autism.

  9. 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 ...

  10. Need support in students with visual impairments : Comparing teacher and student perspectives.

    NARCIS (Netherlands)

    Haakma, Ineke; Janssen, Marleen; Minnaert, Alexander

    2018-01-01

    According to Self-Determination Theory, need-supportive teaching positively influences students’ engagement to learn. Need-supportive teaching involves teachers providing students with structure, autonomy support, and involvement. It enables teachers to support students’ psychological needs to feel

  11. Social supports and prevention strategies as adjuncts and alternatives to sedation and anesthesia for people with special needs.

    Science.gov (United States)

    Glassman, Paul; Miller, Christine

    2009-01-01

    People with special needs are assuming a more prominent place in our society. The number of people living in communities with medical, physical, and psychological conditions is increasing dramatically. In spite of the advances that people with special needs have made in recognition of their right to live in society and access services open to other people, their oral health is still significantly poorer than that of other groups. There are a number of modalities that can complement or replace pharmacological interventions and allow individuals to have dental treatment in a dental office or clinic. These include behavioral or psychological interventions and social support and prevention strategies. Social supports include care management and integration of oral health services with general health and social service systems. Preventive programs using modern "medical model" oral health prevention strategies also have the potential to reduce the burden of disease among people with special needs and therefore reduce the need for dental procedures. A social support system using community-based Dental Hygienists acting as Dental Coordinators, is described along with outcomes demonstrating improved oral health for people with special needs living in community residential care facilities. Combined social support systems and community prevention strategies have the potential to reduce the need for pharmacological interventions in order to maintain oral health in populations of people with special needs. Social supports and modern preventive strategies must be included in the range of options available in communities in order to improve and maintain oral health for people with special needs.

  12. Expected information needs of parents for pervasive awareness systems

    NARCIS (Netherlands)

    Khan, V.J.; Markopoulos, P.; Ruyter, de B.E.R.; IJsselsteijn, W.A.; Schiele, B.; Dey, A.K.; Gellersen, H.; Ruyter, de B.E.R.; Aarts, E.

    2007-01-01

    This paper examines the communication needs of busy parents that can be served by awareness systems: systems supporting a continuous and semi-automated flow of information about the activities of communicating individuals. We report an online survey involving 69 participants. This survey focused on

  13. Toward Predicting Social Support Needs in Online Health Social Networks.

    Science.gov (United States)

    Choi, Min-Je; Kim, Sung-Hee; Lee, Sukwon; Kwon, Bum Chul; Yi, Ji Soo; Choo, Jaegul; Huh, Jina

    2017-08-02

    While online health social networks (OHSNs) serve as an effective platform for patients to fulfill their various social support needs, predicting the needs of users and providing tailored information remains a challenge. The objective of this study was to discriminate important features for identifying users' social support needs based on knowledge gathered from survey data. This study also provides guidelines for a technical framework, which can be used to predict users' social support needs based on raw data collected from OHSNs. We initially conducted a Web-based survey with 184 OHSN users. From this survey data, we extracted 34 features based on 5 categories: (1) demographics, (2) reading behavior, (3) posting behavior, (4) perceived roles in OHSNs, and (5) values sought in OHSNs. Features from the first 4 categories were used as variables for binary classification. For the prediction outcomes, we used features from the last category: the needs for emotional support, experience-based information, unconventional information, and medical facts. We compared 5 binary classifier algorithms: gradient boosting tree, random forest, decision tree, support vector machines, and logistic regression. We then calculated the scores of the area under the receiver operating characteristic (ROC) curve (AUC) to understand the comparative effectiveness of the used features. The best performance was AUC scores of 0.89 for predicting users seeking emotional support, 0.86 for experience-based information, 0.80 for unconventional information, and 0.83 for medical facts. With the gradient boosting tree as our best performing model, we analyzed the strength of individual features in predicting one's social support need. Among other discoveries, we found that users seeking emotional support tend to post more in OHSNs compared with others. We developed an initial framework for automatically predicting social support needs in OHSNs using survey data. Future work should involve nonsurvey

  14. Autonomy-Supportive Parenting and Autonomy-Supportive Sibling Interactions: The Role of Mothers' and Siblings' Psychological Need Satisfaction.

    Science.gov (United States)

    van der Kaap-Deeder, Jolene; Vansteenkiste, Maarten; Soenens, Bart; Loeys, Tom; Mabbe, Elien; Gargurevich, Rafael

    2015-11-01

    Autonomy-supportive parenting yields manifold benefits. To gain more insight into the family-level dynamics involved in autonomy-supportive parenting, the present study addressed three issues. First, on the basis of self-determination theory, we examined whether mothers' satisfaction of the psychological needs for autonomy, competence, and relatedness related to autonomy-supportive parenting. Second, we investigated maternal autonomy support as an intervening variable in the mother-child similarity in psychological need satisfaction. Third, we examined associations between autonomy-supportive parenting and autonomy-supportive sibling interactions. Participants were 154 mothers (M age = 39.45, SD = 3.96) and their two elementary school-age children (M age = 8.54, SD = 0.89 and M age = 10.38, SD = 0.87). Although mothers' psychological need satisfaction related only to maternal autonomy support in the younger siblings, autonomy-supportive parenting related to psychological need satisfaction in both siblings and to an autonomy-supportive interaction style between siblings. We discuss the importance of maternal autonomy support for family-level dynamics. © 2015 by the Society for Personality and Social Psychology, Inc.

  15. Caregivers' support needs and factors promoting resiliency after brain injury.

    Science.gov (United States)

    Kitter, Bryony; Sharman, Rachael

    2015-01-01

    This article explores the challenges, support needs and coping strategies of caregivers of people with an acquired brain injury (ABI). Semi-structured interviews were conducted with caregivers (n = 20) to explore their support services received, access barriers, utility of services, needed supports, coping strategies and factors promoting life satisfaction. The team recorded, transcribed verbatim and inductively analysed all interviews. Through thematic data analysis, three central themes were revealed: (a) barriers impeding quality-of-life, (b) support needed to improve quality-of-life and (c) factors enabling quality-of-life. All perspectives from the participants involved are synthesized to provide a rich depiction of caregivers' support needs and coping strategies. Two specific findings of interest include a negative association between severity of brain injury and caregiver's desire to direct treatment, as well as a distinct service gap in assistance for caregivers who are caring for someone with violent/offending behaviours. This study recommends short- and long-term changes, given Australia's upcoming National Disability Insurance Scheme, to increase caregiver quality-of-life, which will ultimately affect the rehabilitation outcomes of persons with ABI.

  16. Support needs of Chinese immigrant cancer patients.

    Science.gov (United States)

    Leng, Jennifer; Lee, Trevor; Li, Yanjun; Stern, Charles; Chen, Mei Hsuan; Winkel, Gary; Gany, Francesca

    2014-01-01

    To enable better psychosocial, informational, and practical support of Chinese patients with cancer, this study was conducted to identify the specific support needs of Chinese immigrant cancer patients. The Cancer Portal Project at Memorial Sloan-Kettering Cancer Center's Center for Immigrant Health and Cancer Disparities is a patient navigation program that assists underserved and minority cancer patients in obtaining social and economic assistance at ten New York City cancer clinics. This need assessment was conducted as part of the Portal Project. Sixty-four questions were added to the existing Portal Intake Form about the needs and preferences for Chinese-language support and survivorship services. Descriptive analysis was performed, as well as an exploratory principal component's factor analysis to determine if there were any patterns in the services and programs in which patients were interested. Ninety-six patients were approached for participation; 59 agreed to participate. Eighty-eight percent of participants were born in China. Ninety-seven percent preferred to speak Mandarin, Cantonese, or Fujianese in the healthcare setting. When asked about general interest in support programs, 53 % of the participants were "very interested," 27 % were "maybe interested," and 17 % were "not interested." Programs in which more participants were "very interested" included those that would provide information about obtaining financial assistance (79 %) and social assistance (74 %), information on treatment options (67 %), help in coping with the burden of illness on the family (65 %), and information about general healthcare (63 %). The factor analysis resulted in the identification of five factors: social/financial/treatment and care issues, nutrition and exercise/networking/general health care, coping with fear and stress, herbs and dietary supplements, and acupuncture and acupressure. In this study, 80 % of the participants expressed interest in programs tailored for

  17. Classification of Support Needs for Elderly Outpatients with Diabetes Who Live Alone.

    Science.gov (United States)

    Miyawaki, Yoshiko; Shimizu, Yasuko; Seto, Natsuko

    2016-02-01

    To investigate the support needs of elderly patients with diabetes and to classify elderly patients with diabetes living alone on the basis of support needs. Support needs were derived from a literature review of relevant journals and interviews of outpatients as well as expert nurses in the field of diabetes to prepare a 45-item questionnaire. Each item was analyzed on a 4-point Likert scale. The study included 634 elderly patients with diabetes who were recruited from 3 hospitals in Japan. Exploratory factor analysis was performed to determine the underlying structure of support needs, followed by hierarchical cluster analysis to clarify the characteristics of patients living alone (n=104) who had common support needs. Exploratory factor analysis suggested a 5-factor solution with 23 items: (1) hope for class and gatherings, (2) hope for personal advice including emergency response, (3) supportlessness and hopelessness, (4) barriers to food preparation, (5) hope of safe medical therapy. The hierarchical cluster analysis of subjects yielded 7 clusters, including a no special-support needs group, a collective support group, a self-care support group, a personal-support focus group, a life-support group, a food-preparation support group and a healthcare-environment support group. The support needs of elderly patients with diabetes who live alone can be divided into 2 categories: life and self-care support. Implementation of these categories in outpatient-management programs in which contact time with patients is limited is important in the overall management of elderly patients with diabetes who are living alone. Copyright © 2015 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

  18. Support needs of patients with COPD: a systematic literature search and narrative review.

    Science.gov (United States)

    Gardener, A Carole; Ewing, Gail; Kuhn, Isla; Farquhar, Morag

    2018-01-01

    Understanding the breadth of patients' support needs is important for the delivery of person-centered care, particularly in progressive long-term conditions such as chronic obstructive pulmonary disease (COPD). Existing reviews identify important aspects of managing life with COPD with which patients may need support (support needs); however, none of these comprehensively outlines the full range of support needs that patients can experience. We therefore sought to systematically determine the full range of support needs for patients with COPD to inform development of an evidence-based tool to enable person-centered care. We conducted a systematic search and narrative review of the literature. Medline (Ovid), EMBASE, PsycINFO, Cochrane Library, and CINAHL were systematically searched for papers which included data addressing key aspects of support need, as identified by patients with COPD. Relevant data were extracted, and a narrative analysis was conducted. Thirty-one papers were included in the review, and the following 13 domains (broad areas) of support need were identified: 1) understanding COPD, 2) managing symptoms and medication, 3) healthy lifestyle, 4) managing feelings and worries, 5) living positively with COPD, 6) thinking about the future, 7) anxiety and depression, 8) practical support, 9) finance work and housing, 10) families and close relationships, 11) social and recreational life, 12) independence, and 13) navigating services. These 13 domains of support need were mapped to three of the four overarching categories of need commonly used in relevant national strategy documents (ie, physical, psychological, and social); however, support needs related to the fourth category (spiritual) were notably absent. This review systematically identifies the comprehensive set of domains of support need for patients with COPD. The findings provide the evidence base for a tool to help patients identify and express their support needs, which underpins a proposed

  19. Associations between neighbourhood support and financial burden with unmet needs of head and neck cancer survivors.

    Science.gov (United States)

    O'Brien, Katie M; Timmons, Aileen; Butow, Phyllis; Gooberman-Hill, Rachael; O'Sullivan, Eleanor; Balfe, Myles; Sharp, Linda

    2017-02-01

    To assess the unmet needs of head and neck cancer survivors and investigate associated factors. In particular, to explore whether social support (family/friends and neighbours) and financial burden are associated with unmet needs of head and neck cancer (HNC) survivors. This was a cross-sectional study of HNC survivors, with 583 respondents included in the analysis. Information was collected on unmet supportive care needs as measured by the Supportive Care Needs Survey (SCNS-SF34). Poisson regression with robust standard errors was used to examine factors associated with having one or more needs in each of the five domains (physical; psychological; sexuality; patient care and support; and health system and information). The mean age of respondents was 62.9years (standard deviation 11.3years) and one third of respondents were female. The top ten unmet needs was composed exclusively of items from the physical and psychological domains. Financial strain due to cancer and finding it difficult to obtain practical help from a neighbour were both associated with unmet needs in each of the five domains, in the adjusted analyses. Whilst in each domain, a minority of respondents have unmet needs, approximately half of respondents reported at least one unmet need, with the commonest unmet needs in the psychological domain. Providing services to people with these needs should be a priority for healthcare providers. We suggest that studies, which identify risk factors for unmet needs, could be used to develop screening tools or aid in the targeting of support. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. Integrated logistic support analysis system

    International Nuclear Information System (INIS)

    Carnicero Iniguez, E.J.; Garcia de la Sen, R.

    1993-01-01

    Integrating logic support into a system results in a large volume of information having to be managed which can only be achieved with the help of computer applications. Both past experience and growing needs in such tasks have led Emperesarios Agrupados to undertake an ambitious development project which is described in this paper. (author)

  1. Distribution and Determinants of Unmet Need for Supportive Care Among Women with Breast Cancer in China.

    Science.gov (United States)

    Wang, Shouhua; Li, Yanqing; Li, Chaozhuo; Qiao, Yijun; He, Shuling

    2018-03-21

    BACKGROUND The aim of this study was to determine the need for supportive care among women suffering from breast cancer in China and to identify its potential determinants to inform the development of effective and efficient healthcare services across different settings. MATERIAL AND METHODS In a tertiary-care hospital in Weifang, China, between July 2015 and January 2016, all women attending the Breast Cancer Clinic for regular physical examinations after treatment for breast cancer were consecutively recruited. The 34-item Supportive Care Needs Survey tool (Chinese version) (SCNS-SF34-C) was used to assess the unmet needs among participants. RESULTS Among 264 recruited patients, based on at least single-item endorsement, 60.2% had moderate to high level of need for supportive care, while only 13.3% expressed no need. Lack of information regarding health systems was the most common domain with moderate to high unmet needs, more so among rural patients (8 vs. 5 out of 10). In each information-related domain, huge unmet need was observed among all patients irrespective of urban or rural residence. Both overall and individual information-related domain-specific unmet needs were significantly higher among rural patients as opposed to their urban counterparts. Multiple regression analyses revealed a significant rural-urban variation of unmet needs. Moreover, education and post-diagnosis time duration were negatively associated with unmet needs while stage of cancer was positively associated with these unmet needs. CONCLUSIONS There is a huge burden of unmet needs for information on the healthcare system among breast cancer survivors in China. Rural residence, less education, advanced stage of cancer, and shorter duration since diagnosis were the identified determinants requiring targeted intervention.

  2. Health conditions and support needs of persons living in residential ...

    African Journals Online (AJOL)

    Background. Intellectual disability (ID) is a relatively high-incidence disability, with an increased risk of poor physical and mental health. Persons with ID also have lifelong support needs that must be met if they are to achieve an acceptable quality of life. Little is known about these health conditions and support needs in the ...

  3. Teacher Support Resources, Need Satisfaction and Well-Being.

    Science.gov (United States)

    Doménech-Betoret, Fernando; Lloret-Segura, Susana; Gómez-Artiga, Amparo

    2015-03-03

    Based on Job Demands-Resources Model (JD-R), this study examines the relationships among teacher support resources, psychological need satisfaction, engagement and burnout in a sample of 282 Spanish secondary school teachers. Nine teacher psychological needs were identified based on the study of Bess and on the Self-Determination Theory (SDT). Self-report questionnaires were used to measure the constructs selected for this study and their interrelationships were examined by structural equation modeling. The results reveal a good model fit to the data (NNFI = .88; CFI = .90; GFI = .90; RMSEA = .061). The analyses indicate a positive and significant effect of latent variable Psychological Need Satisfaction on engagement (β = .74, p Satisfaction in the relationship between teacher support resources and both engagement and burnout (additional paths did not improve the model fit: Δχ2(2) = 2.428, p = .29). Finally, practical implications of these findings are discussed.

  4. Unmet supportive care needs: a cross-cultural comparison between Hong Kong Chinese and German Caucasian women with breast cancer.

    Science.gov (United States)

    Lam, Wendy W T; Au, Angel H Y; Wong, Jennifer H F; Lehmann, Claudia; Koch, Uwe; Fielding, Richard; Mehnert, Anja

    2011-11-01

    The comparison of psychosocial needs across different cultural settings can identify cultural and service impacts on psychosocial outcomes. We compare psychosocial needs in Hong Kong Chinese and German Caucasian women with breast cancer. Completed questionnaires were collected from 348 Chinese and 292 German women with breast cancer for assessing unmet psychosocial needs (Supportive Care Needs Survey Short Form), psychological distress (the Hospital Anxiety and Depression scale), and listed physical and psychological symptoms. Only 11% of the participants reported not needing help for any of the 34 items. More German (14%) than Chinese women (8%) reported no unmet needs (χ(2) = 6.16, P = .013). With both samples combined, the Health System and Information domain unmet needs were the most prevalent, apart from one Psychological need domain item, "Fear about the cancer spreading." Chinese and German samples differed significantly in prevalence and patterns of unmet psychosocial needs. Multivariate adjustment for demographic, clinical, and sample characteristics, psychological distress, and symptoms showed that significantly greater unmet Health system and Information, and Patient care and support domain needs, associated with the presence of symptoms (β = .232, P German group membership, among others. German women reported more anxiety (t = 10.45, P German, but not Chinese women reporting greater anxiety and depression had greater unmet Psychological and Sexuality domain needs (P culture-specific differences in supportive care needs exist. Hong Kong Chinese women prioritize needs for information about their disease and treatment, whereas German Caucasian women prioritize physical and psychological support. Planning for cancer supportive care services or interventions to reduce unmet needs must consider cultural and/or health service contexts.

  5. Child Support; Need to Improve Efforts to Identify Fathers and Obtain Support Orders.

    Science.gov (United States)

    1987-04-01

    34 Reduces the stigma of illegitimacy and helps give the child a sense of identity. • Increases the child’s opportunity to develop a close parental...A179 979 CHILD SUPPORT; NEED TO IMPROVE EFFORTS TO IDENTIFY 1/1 FATHERS AND OBTAIN SUPPORT ORDERS(U) GENERAL ACCOUNTING OFFICE WASHINGTON DC HUNAN...April 30, 1987 The Honorable Otis R. Bowen, M.D. The Secretary of Health and Human Services Dear Mr. Secretary: This report discusses child support

  6. Morality in the mundane. Specific Needs for Ethics Support in Elderly Care

    NARCIS (Netherlands)

    Dauwerse, L.M.; van der Dam, S.; Abma, T.A.

    2012-01-01

    Ethics support is called for to improve the quality of care in elderly institutions. Various forms of ethics support are presented, but the needs for ethics support remain unknown. Using a mixed-methods design, this article systematically investigates the specific needs for ethics support in elderly

  7. Support needs of patients with COPD: a systematic literature search and narrative review

    Directory of Open Access Journals (Sweden)

    Gardener AC

    2018-03-01

    Full Text Available A Carole Gardener,1 Gail Ewing,2 Isla Kuhn,3 Morag Farquhar4 1Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK; 2Centre for Family Research, University of Cambridge, Cambridge, UK; 3University of Cambridge Medical School Library, University of Cambridge, Cambridge, UK; 4School of Health Sciences, University of East Anglia, Norwich, UK Introduction: Understanding the breadth of patients’ support needs is important for the delivery of person-centered care, particularly in progressive long-term conditions such as chronic obstructive pulmonary disease (COPD. Existing reviews identify important aspects of managing life with COPD with which patients may need support (support needs; however, none of these comprehensively outlines the full range of support needs that patients can experience. We therefore sought to systematically determine the full range of support needs for patients with COPD to inform development of an evidence-based tool to enable person-centered care.Methods: We conducted a systematic search and narrative review of the literature. Medline (Ovid, EMBASE, PsycINFO, Cochrane Library, and CINAHL were systematically searched for papers which included data addressing key aspects of support need, as identified by patients with COPD. Relevant data were extracted, and a narrative analysis was conducted.Results: Thirty-one papers were included in the review, and the following 13 domains (broad areas of support need were identified: 1 understanding COPD, 2 managing symptoms and medication, 3 healthy lifestyle, 4 managing feelings and worries, 5 living positively with COPD, 6 thinking about the future, 7 anxiety and depression, 8 practical support, 9 finance work and housing, 10 families and close relationships, 11 social and recreational life, 12 independence, and 13 navigating services. These 13 domains of support need were mapped to three of the four overarching categories of need

  8. Supportive care needs of patients with amyotrophic lateral sclerosis/motor neuron disease and their caregivers: A scoping review.

    Science.gov (United States)

    Oh, Juyeon; Kim, Jung A

    2017-12-01

    To identify the supportive care needs of amyotrophic lateral sclerosis/motor neuron disease patients and their caregivers, categorise and summarise them into a Supportive Care Needs Framework and identify gaps in literature. Little is known about the supportive care needs of amyotrophic lateral sclerosis/motor neuron disease patients and their caregivers, and this subject has not previously been systemically reviewed. Scoping review. We conducted a scoping review from the MEDLINE, EMBASE, CINAHL and Cochrane databases for the period January 2000-July 2016, using the following inclusion criteria: (i) written in English only, (ii) published in peer-reviewed journals, (iii) at least part of the research considered the supportive care needs perspective of amyotrophic lateral sclerosis/motor neuron disease patients or their caregivers and (iv) the population sample included patients of amyotrophic lateral sclerosis/motor neuron disease or their caregivers. Thirty-seven articles were included. Our review shows that amyotrophic lateral sclerosis/motor neuron disease patients and their caregivers' supportive care needs were mentioned across all seven domains of the Supportive Care Needs Framework. Most common were practical needs (n = 24), followed by Informational needs (n = 19), Social needs (n = 18), Psychological needs (n = 16), Physical needs (n = 15), Emotional needs (n = 13) and Spiritual needs (n = 8). From the perspectives of amyotrophic lateral sclerosis/motor neuron disease patients and their caregivers, there is a significant need for more practical, social, informational, psychological, physical, emotional and spiritual support. The Supportive Care Needs Framework has potential utility in the development of patient-centred support services or healthcare policies and serves as an important base for further studies; especially, specific examples of each supportive care needs domain can guide in clinical settings when healthcare professionals

  9. Perceived information needs and social support of Chinese-Australian breast cancer survivors.

    Science.gov (United States)

    Kwok, C; White, K

    2014-10-01

    Both informational and social support are vital components in achieving a high quality of life as a cancer survivor. The study aims to explore the perceptions of information needs and social support among Chinese-Australian breast cancer survivors and how these resources impacted their cancer experience. Three focus groups were conducted with 23 Chinese-Australian women diagnosed with breast cancer in their native language (Mandarin and Cantonese). Each interview was translated and transcribed. Content analysis was used to uncover the major themes. Themes for information needs were identified as (1) using linguistically appropriate information, (2) the need for culturally sensitive information for the management of expected side effect and promotion of recovery and (3) the need for information on signs and symptoms of recurrence. Families were described as a primary source of multifaceted social support, although it was challenging to obtain. Support groups were also an important support source, but health care professionals were not identified as a source of support. Our study has provided practical insight into the information needs and social support of Chinese women with breast cancer. These findings can be used to inform the development of linguistically and culturally tailored support and survivorship interventions for this vulnerable population.

  10. Aligning everyday life priorities with people's self-management support networks: an exploration of the work and implementation of a needs-led telephone support system.

    Science.gov (United States)

    Blickem, Christian; Kennedy, Anne; Jariwala, Praksha; Morris, Rebecca; Bowen, Robert; Vassilev, Ivaylo; Brooks, Helen; Blakeman, Tom; Rogers, Anne

    2014-06-17

    Recent initiatives to target the personal, social and clinical needs of people with long-term health conditions have had limited impact within primary care. Evidence of the importance of social networks to support people with long-term conditions points to the need for self-management approaches which align personal circumstances with valued activities. The Patient-Led Assessment for Network Support (PLANS) intervention is a needs-led assessment for patients to prioritise their health and social needs and provide access to local community services and activities. Exploring the work and practices of patients and telephone workers are important for understanding and evaluating the workability and implementation of new interventions. Qualitative methods (interviews, focus group, observations) were used to explore the experience of PLANS from the perspectives of participants and the telephone support workers who delivered it (as part of an RCT) and the reasons why the intervention worked or not. Normalisation Process Theory (NPT) was used as a sensitising tool to evaluate: the relevance of PLANS to patients (coherence); the processes of engagement (cognitive participation); the work done for PLANS to happen (collective action); the perceived benefits and costs of PLANS (reflexive monitoring). 20 patients in the intervention arm of a clinical trial were interviewed and their telephone support calls were recorded and a focus group with 3 telephone support workers was conducted. Analysis of the interviews, support calls and focus group identified three themes in relation to the delivery and experience of PLANS. These are: formulation of 'health' in the context of everyday life; trajectories and tipping points: disrupting everyday routines; precarious trust in networks. The relevance of these themes are considered using NPT constructs in terms of the work that is entailed in engaging with PLANS, taking action, and who is implicated this process. PLANS gives scope to align

  11. Toward the Modularization of Decision Support Systems

    Science.gov (United States)

    Raskin, R. G.

    2009-12-01

    Decision support systems are typically developed entirely from scratch without the use of modular components. This “stovepiped” approach is inefficient and costly because it prevents a developer from leveraging the data, models, tools, and services of other developers. Even when a decision support component is made available, it is difficult to know what problem it solves, how it relates to other components, or even that the component exists, The Spatial Decision Support (SDS) Consortium was formed in 2008 to organize the body of knowledge in SDS within a common portal. The portal identifies the canonical steps in the decision process and enables decision support components to be registered, categorized, and searched. This presentation describes how a decision support system can be assembled from modular models, data, tools and services, based on the needs of the Earth science application.

  12. Autonomy support, basic psychological needs and well-being in Mexican athletes.

    Science.gov (United States)

    López-Walle, Jeanette; Balaguer, Isabel; Castillo, Isabel; Tristán, José

    2012-11-01

    Based on Basic Needs Theory, one of the mini-theories of Self-determination Theory (Ryan & Deci, 2002), the present study had two objectives: (a) to test a model in the Mexican sport context based on the following sequence: perceived coach autonomy support, basic psychological needs satisfaction, and psychological well-being, and b) to analyze the mediational effect of the satisfaction of perceived coach autonomy support on indicators of psychological well-being (satisfaction with life and subjective vitality). Six hundred and sixty-nine young Mexican athletes (Boys = 339; Girls = 330; M(age) = 13.95) filled out a questionnaire assessing the study variables. Structural equations analyses revealed that perceived coach autonomy support predicted satisfaction of the basic psychological needs for autonomy, competence, and relatedness. Furthermore, basic need satisfaction predicted subjective vitality and satisfaction with life. Autonomy, competence and relatedness partially mediated the path from perceived coach autonomy support to psychological well-being in young Mexican athletes.

  13. Capturing information needs of care providers to support knowledge sharing and distributed decision making.

    Science.gov (United States)

    Rogers, M; Zach, L; An, Y; Dalrymple, P

    2012-01-01

    This paper reports on work carried out to elicit information needs at a trans-disciplinary, nurse-managed health care clinic that serves a medically disadvantaged urban population. The trans-disciplinary model provides a "one-stop shop" for patients who can receive a wide range of services beyond traditional primary care. However, this model of health care presents knowledge sharing challenges because little is known about how data collected from the non-traditional services can be integrated into the traditional electronic medical record (EMR) and shared with other care providers. There is also little known about how health information technology (HIT) can be used to support the workflow in such a practice. The objective of this case study was to identify the information needs of care providers in order to inform the design of HIT to support knowledge sharing and distributed decision making. A participatory design approach is presented as a successful technique to specify requirements for HIT applications that can support a trans-disciplinary model of care. Using this design approach, the researchers identified the information needs of care providers working at the clinic and suggested HIT improvements to integrate non-traditional information into the EMR. These modifications allow knowledge sharing among care providers and support better health decisions. We have identified information needs of care providers as they are relevant to the design of health information systems. As new technology is designed and integrated into various workflows it is clear that understanding information needs is crucial to acceptance of that technology.

  14. Decision support system to select cover systems

    International Nuclear Information System (INIS)

    Bostick, K.V.

    1995-01-01

    The objective of this technology is to provide risk managers with a defensible, objective way to select capping alternatives for remediating radioactive and mixed waste landfills. The process of selecting containment cover technologies for mixed waste landfills requires consideration of many complex and interrelated technical, regulatory, and economic issues. A Decision Support System (DSS) is needed to integrate the knowledge of experts from scientific, engineering, and management disciplines to help in selecting the best capping practice for the site

  15. Cancer Support Needs for African American Breast Cancer Survivors and Caregivers.

    Science.gov (United States)

    Haynes-Maslow, Lindsey; Allicock, Marlyn; Johnson, La-Shell

    2016-03-01

    Improved cancer screening and treatment advances have led to higher cancer survival rates in the United States. However, racial disparities in breast cancer survival persist for African American women who experience lower survival rates than white women. These disparities suggest that unmet needs related to survivorship still exist. This study focuses on the challenges that both African American cancer survivors and caregivers face across the cancer continuum. Five African American focus groups examined cancer survivor and caregiver support needs. Focus groups were recorded, transcribed, and uploaded into Atlas.ti. Thematic content analysis was applied to the text during the coding process. Themes were identified and emphasized based on the research team's integrated and unified final codes. Forty-one African Americans participated in five focus groups: 22 cancer survivors and 19 caregivers. Participants discussed five themes: (1) a culture that discourages the discussion of cancer; (2) lack of support services for African American cancer survivors; (3) lack of support services for cancer caregivers; (4) need for culturally appropriate cancer resources, including resources targeted at African American women; and (5) aspects that were helpful to cancer survivors and caregivers, including connecting with other survivors and caregivers, and having strong social support networks. We gained new insight into the unmet support needs for survivors and caregivers, especially when coping with the cancer experience continuum. While some cancer and caregiver support services exist, our study reveals a great need for services that incorporate the cultural differences that exist across races.

  16. Argentina's operator support systems in nuclear power plants

    International Nuclear Information System (INIS)

    Goldstein, M.; Palamidessi, H.

    1996-01-01

    The development of operator support systems for nuclear power plants started in Argentina a few years ago. Four systems are at present deployed or under development. The participation of utility personnel in the co-ordinated research program has helped in revising the current experience and in selecting and specifying the systems to be developed and the resources needed for their implementation. Main efforts will be aimed to the selection of those systems that can be more easily implemented, to improve the data retrieval and handling, to develop diverse supplies of software products and to promote the understanding of support systems among the potential end users. (author). 12 refs

  17. Support Needs of Siblings of People with Developmental Disabilities

    Science.gov (United States)

    Arnold, Catherine K.; Heller, Tamar; Kramer, John

    2012-01-01

    This qualitative study examines the support needs of adult siblings of people with developmental disabilities. A survey completed by 139 siblings of people with developmental disabilities captured the needs of adult siblings through 2 open-ended questions. A grounded theory approach was used, and the sibling responses anchored the analysis,…

  18. Computerised decision support systems for healthcare professionals: an interpretative review

    Directory of Open Access Journals (Sweden)

    Kathrin Cresswell

    2013-03-01

    Full Text Available Purpose Computerised decision support systems are designed to support clinicians in making decisions and thereby enhance the quality and safety of care. We aimed to undertake an interpretative review of the empirical evidence on computerised decision support systems, their contexts of use, and summarise evidence on the effectiveness of these tools and insights into how these can be successfully implemented and adopted.Methods We systematically searched the empirical literature to identify systematic literature reviews on computerised decision support applications and their impact on the quality and safety of healthcare delivery over a 13-year period (1997–2010. The databases searched included: MEDLINE, EMBASE, The Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, The Cochrane Central Register of Controlled Trials, The Cochrane Methodology Register, The Health Technology Assessment Database, and The National Health Service (NHS Economic Evaluation Database. To be eligible for inclusion, systematic reviews needed to address computerised decision support systems, and at least one of the following: impact on safety; quality; or organisational, implementation or adoption considerations.Results Our searches yielded 121 systematic reviews relating to eHealth, of which we identified 41 as investigating computerised decision support systems. These indicated that, whilst there was a lack of investigating potential risks, such tools can result in improvements in practitioner performance in the promotion of preventive care and guideline adherence, particularly if specific information is available in real time and systems are effectively integrated into clinical workflows. However, the evidence regarding impact on patient outcomes was less clear-cut with reviews finding either no, inconsistent or modest benefits.Conclusions Whilst the potential of clinical decision support systems in improving, in particular

  19. Computerised decision support systems for healthcare professionals: an interpretative review.

    Science.gov (United States)

    Cresswell, Kathrin; Majeed, Azeem; Bates, David W; Sheikh, Aziz

    2012-01-01

    Computerised decision support systems are designed to support clinicians in making decisions and thereby enhance the quality and safety of care. We aimed to undertake an interpretative review of the empirical evidence on computerised decision support systems, their contexts of use, and summarise evidence on the effectiveness of these tools and insights into how these can be successfully implemented and adopted. We systematically searched the empirical literature to identify systematic literature reviews on computerised decision support applications and their impact on the quality and safety of healthcare delivery over a 13-year period (1997-2010). The databases searched included: MEDLINE, EMBASE, The Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, The Cochrane Central Register of Controlled Trials, The Cochrane Methodology Register, The Health Technology Assessment Database, and The National Health Service (NHS) Economic Evaluation Database. To be eligible for inclusion, systematic reviews needed to address computerised decision support systems, and at least one of the following: impact on safety; quality; or organisational, implementation or adoption considerations. Our searches yielded 121 systematic reviews relating to eHealth, of which we identified 41 as investigating computerised decision support systems. These indicated that, whilst there was a lack of investigating potential risks, such tools can result in improvements in practitioner performance in the promotion of preventive care and guideline adherence, particularly if specific information is available in real time and systems are effectively integrated into clinical workflows. However, the evidence regarding impact on patient outcomes was less clear-cut with reviews finding either no, inconsistent or modest benefits. Whilst the potential of clinical decision support systems in improving, in particular, practitioner performance is considerable, such technology may

  20. Industrial energy efficiency: the need for investment decision support from a manager perspective

    International Nuclear Information System (INIS)

    Sandberg, Peter; Soederstroem, Mats

    2003-01-01

    Global competition, commitment to the Kyoto Protocol and a deregulated, integrated European electricity market will in all probability increase the demand for energy efficiency on the part of companies in Sweden. Investment decisions are an important part of meeting the new demands, because they decide the future efficiency of industrial energy systems. The objective of this study is to investigate, from a managerial perspective, the need to improve decision support in some industries, which can help to facilitate and improve investment decisions concerning energy efficiency. This work has been conducted through in-depth interviews with representatives for a number of energy-intensive companies and non-energy-intensive companies from different sectors. One need that was identified was the improvement of working methods in order to support the decision-making process. Here, external players seem to be playing an increasingly important role. Access to correct information, better follow-up activities, and transparent, understandable calculations are also considered to be important. The study will form the foundation for subsequent work on decision support and energy efficiency in industry

  1. Spaceport Command and Control System - Support Software Development

    Science.gov (United States)

    Tremblay, Shayne

    2016-01-01

    The Information Architecture Support (IAS) Team, the component of the Spaceport Command and Control System (SCCS) that is in charge of all the pre-runtime data, was in need of some report features to be added to their internal web application, Information Architecture (IA). Development of these reports is crucial for the speed and productivity of the development team, as they are needed to quickly and efficiently make specific and complicated data requests against the massive IA database. These reports were being put on the back burner, as other development of IA was prioritized over them, but the need for them resulted in internships being created to fill this need. The creation of these reports required learning Ruby on Rails development, along with related web technologies, and they will continue to serve IAS and other support software teams and their IA data needs.

  2. Safe, Advanced, Adaptable Isolation System Eliminates the Need for Critical Lifts

    Science.gov (United States)

    Ginn, Starr

    2011-01-01

    The Starr Soft Support isolation system incorporates an automatically reconfigurable aircraft jack into NASA's existing 1-Hertz isolators. This enables an aircraft to float in mid-air without the need for a critical lift during ground vibration testing (GVT), significantly reducing testing risk, time, and costs. Currently incorporating the most advanced technology available, the 60,000-poundcapacity (27-metric-ton) isolation system is used for weight and measurement tests, control-surface free-play tests, and structural mode interaction tests without the need for any major reconfiguration, often saving days of time and significantly reducing labor costs. The Starr Soft Support isolation system consists of an aircraft-jacking device with three jacking points, each of which has an individual motor and accommodates up to 20,000 pounds (9 metric tons) for a total 60,000-pound (27-metric-ton) capacity. The system can be transported to the aircraft by forklift and placed at its jacking points using a pallet jack. The motors power the electric actuators, raising the aircraft above the ground until the landing gear can retract. Inflatable isolators then deploy, enabling the aircraft to float in mid-air, simulating a 1-Hertz free-free boundary condition. Inflatable isolators have been in use at NASA for years, enabling aircraft to literally float unsupported for highly accurate GVT. These isolators must be placed underneath the aircraft for this to occur. Traditionally, this is achieved by a critical lift a high-risk procedure in which a crane and flexible cord system are used to lift the aircraft. In contrast, the Starr Soft Support isolation system eliminates the need for critical lift by integrating the inflatable isolators into an aircraft jacking system. The system maintains vertical and horizontal isolating capabilities. The aircraft can be rolled onto the system, jacked up, and then the isolators can be inflated and positioned without any personnel needing to work

  3. The Development and Properties of the Support Needs Questionnaire

    Directory of Open Access Journals (Sweden)

    Fabian A. Davis

    2015-07-01

    Full Text Available The Support Needs Questionnaire (SNQ measures the support people with severe mental illness need to attain valued social roles as a route to social inclusion. Its design derives from Wolfensberger’s Social Role Valorisation theory. It is a clinical tool comprising a comprehensive lifestyle inventory of “universal basic” and “disability” needs; and “revalorisation needs” arising from social devaluation and deep exclusion. The SNQ comprises eight discreet sub-scales based on O’Brien’s Five Service Accomplishments, the domains of which include Community Presence, Community Participation, Choice and Control, Social Roles and Respect, Skills and Competencies, and Finance. There are also two descriptive sub-scales: Physical and Mental Health. The item set was developed collaboratively with service users. This paper introduces the SNQ, its design rationale and development, and investigates aspects of its reliability, validity and utility. Care co-ordinators in a Community Mental Health Team rated eighty-two service users’ support needs at a two week interval using the SNQ, the Global Assessment Scale and the MARC-2. The SNQ is shown to have high test-retest reliability, good construct and concurrent validity, and good discriminatory power. It exhibited no floor or ceiling effects with the reference population. It could be used with a more diverse population. The descriptive sub-scales were weakest. The population profile showed moderate support was required for physical integration but high levels for social integration which is consistent with previous research. The SNQ has some good psychometric properties. Future research should address internal consistency and potential item redundancy, determine inter-rater reliability and change sensitivity.

  4. Development and Initial Validation of the Need Satisfaction and Need Support at Work Scales: A Validity-Focused Approach

    Directory of Open Access Journals (Sweden)

    Susanne Tafvelin

    2018-01-01

    Full Text Available Although the relevance of employee need satisfaction and manager need support have been examined, the integration of self-determination theory (SDT into work and organizational psychology has been hampered by the lack of validated measures. The purpose of the current study was to develop and validate measures of employees’ perception of need satisfaction (NSa-WS and need support (NSu-WS at work that were grounded in SDT. We used three Swedish samples (total 'N' = 1,430 to develop and validate our scales. We used a confirmatory approach including expert panels to assess item content relevance, confirmatory factor analysis for factorial validity, and associations with theoretically warranted outcomes to assess criterion-related validity. Scale reliability was also assessed. We found evidence of content, factorial, and criterion-related validity of our two scales of need satisfaction and need support at work. Further, the scales demonstrated high internal consistency. Our newly developed scales may be used in research and practice to further our understanding regarding how satisfaction and support of employee basic needs influence employee motivation, performance, and well-being. Our study makes a contribution to the current literature by providing (1 scales that are specifically designed for the work context, (2 an example of how expert panels can be used to assess content validity, and (3 testing of theoretically derived hypotheses that, although SDT is built on them, have not been examined before.

  5. Experiences of adults with high-care needs and their family members with housing and support pathways in Australia.

    Science.gov (United States)

    McIntyre, Deborah; Fleming, Jennifer; Foster, Michele; Tweedy, Sean

    2017-09-01

    Many adults aged less than 65 years with high-care needs resulting from acquired disabilities are unable to access age-appropriate housing and support, and reside in residential aged care or live with family members who may struggle to navigate the disability support system. This qualitative study aimed to investigate the experiences of adults with high-care needs and their family members regarding pathways related to housing and support. Two in-depth semi-structured interviews were conducted six months apart with 21 people aged 18 to 65 with high-care needs of varying etiology and living in different housing settings. Nineteen family members involved in decision-making about housing and supports were also interviewed. Thematic data analysis yielded five themes: (1) Traveling in different directions; (2) "the fight, the battle and the war"; (3) willing but wanting; (4) uncertainty and vulnerability; and (5) redefining social roles and relationships. Current disability policy is not satisfying the housing and support requirements of adults with high-care needs and their families. The findings provide rigorous, empirical evidence which indicate the urgent need to improve access to affordable, individualized housing and support packages, including financial, practical and informational support for family members involved in caring roles. Implications for Rehabilitation Individual preferences are an important consideration in housing and support arrangements for younger people with high-care needs alongside needs-based solutions. Individualized funding approaches may provide flexibility of care and choice in housing and support for people with disability. Family members willingly provide substantial informal care, support and advocacy for younger people with high needs but perceive their role as a constant "battle". Payment of family members in recognition of caring work was perceived as a solution to relieve family hardship and ensure optimal care.

  6. 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 ...

  7. Information-analytical system assessing the needs of the regional economy in specialists

    Directory of Open Access Journals (Sweden)

    A. A. Tishhenko

    2017-01-01

    Full Text Available Object. To form theoretical and practical approaches to the assessment of the needs of the region in order to address the issues of information support for managerial decision-making in education and the labour market. Material and methods. Designed information-analytical system for management decisions on various activities of the education sector related to the reduction of volumes and profiles of training qualified personnel in accordance with the needs of the labour market. The author used such research methods as a synthesis of the scientific literature on monitoring needs of the regional economy in personnel and methods of managerial decision-making. Results and discussion. Describes the application of the method of building an information system based on the formation of balance of labour resources. Proposed a method of constructing and using information-analytical system for management decisions related to the reduction of volumes and profiles of training qualified personnel in accordance with the needs of the labour market. Conclusion. The creation and implementation of information-analytical system of monitoring staffing needs will not only reduce the share of state budget aimed at determining the needs of the staff, due to information support of decision-making on the choice of a profession by secondary school graduates, but also to reduce the degree of tension and imbalance in the professional qualification section.

  8. Hospital to home paediatric enteral nutrition--parents need support.

    LENUS (Irish Health Repository)

    Shortall, C

    2015-02-01

    This study assessed the provision of education and support to parents of children on home enteral nutrition (HEN), current dietetic support available and perceived challenges facing parents and carers. From the 39 responses (13%), 29 (83%, n = 35) parents suggested services for HEN need improvement. 29 (74%, n = 39) parents wanted more structured follow up and 22 (56%) would like one person to co-ordinate HEN, education and discharge. 7 parents (18%) reported a need for further education of health care professionals (HCP). Hospital dietitians were the most common HCPs reported to provide support to patients following discharge. Specialist paediatric HEN dietetic services working in a dedicated HEN team, who would provide accurate training and education and liaise with both parents and community care services post discharge should be in place. This would facilitate transfer to community care, reduce hospital re-admissions, outpatient department attendances and costs.

  9. Do existing research summaries on health systems match immunisation managers' needs in middle- and low-income countries? Analysis of GAVI health systems strengthening support

    Directory of Open Access Journals (Sweden)

    Kelly Marion

    2011-06-01

    Full Text Available Abstract Background The GAVI Alliance was created in 2000 to increase access to vaccines. More recently, GAVI has supported evidence-based health systems strengthening to overcome barriers to vaccination. Our objectives were: to explore countries' priorities for health systems strengthening; to describe published research summaries for each priority area in relation to their number, quality and relevance; and to describe the use of national data from surveys in identifying barriers to immunisation. Methods From 44 health systems strengthening proposals submitted to GAVI in 2007 and 2008, we analysed the topics identified, the coverage of these topics by existing systematic reviews and the use of nation-wide surveys with vaccination data to justify the needs identified in the proposals. Results Thirty topics were identified and grouped into three thematic areas: health workforce (10 topics; organisation and management (14; and supply, distribution and maintenance (6. We found 51 potentially relevant systematic reviews, although for the topic that appeared most frequently in the proposals ('Health information systems' no review was identified. Thematic and geographic relevance were generally categorised as "high" in 33 (65% and 25 (49% reviews, respectively, but few reviews were categorised as "highly relevant for policy" (7 reviews, 14%. With regard to methodological quality, 14 reviews (27% were categorised as "high". The number of topics that were addressed by at least one high quality systematic review was: seven of the 10 topics in the 'health workforce' thematic area; six of the 14 topics in the area of 'organisation and management'; and none of the topics in the thematic area of 'supply, distribution and maintenance'. Only twelve of the 39 countries with available national surveys referred to them in their proposals. Conclusion Relevant, high quality research summaries were found for few of the topics identified by managers. Few proposals

  10. Lunar Surface Systems Supportability Technology Development Roadmap

    Science.gov (United States)

    Oeftering, Richard C.; Struk, Peter M.; Green, Jennifer L.; Chau, Savio N.; Curell, Philip C.; Dempsey, Cathy A.; Patterson, Linda P.; Robbins, William; Steele, Michael A.; DAnnunzio, Anthony; hide

    2011-01-01

    The Lunar Surface Systems Supportability Technology Development Roadmap is a guide for developing the technologies needed to enable the supportable, sustainable, and affordable exploration of the Moon and other destinations beyond Earth. Supportability is defined in terms of space maintenance, repair, and related logistics. This report considers the supportability lessons learned from NASA and the Department of Defense. Lunar Outpost supportability needs are summarized, and a supportability technology strategy is established to make the transition from high logistics dependence to logistics independence. This strategy will enable flight crews to act effectively to respond to problems and exploit opportunities in an environment of extreme resource scarcity and isolation. The supportability roadmap defines the general technology selection criteria. Technologies are organized into three categories: diagnostics, test, and verification; maintenance and repair; and scavenge and recycle. Furthermore, "embedded technologies" and "process technologies" are used to designate distinct technology types with different development cycles. The roadmap examines the current technology readiness level and lays out a four-phase incremental development schedule with selection decision gates. The supportability technology roadmap is intended to develop technologies with the widest possible capability and utility while minimizing the impact on crew time and training and remaining within the time and cost constraints of the program.

  11. [The Need for Psychosocial Support of Parents of Children in Neonatal Care].

    Science.gov (United States)

    Schäfer, Nicole; Karutz, Harald; Schenk, Olaf

    2017-10-01

    Background Advances in neonatal care have reduced mortality but increased morbidity in babies born pre-maturely or after high-risk pregnancies. However, this often increases the burden on the family and the parents in particular. A systematic review of the literature was conducted that demonstrated the importance of psychosocial support for parents of children in neonatal care. Methods A systematic search of Pubmed, Psyndex, CINAHI and medpilot was conducted. Reference lists of the included articles were also searched for relevant publications. A free-text search found further publications. Together, 78 publications (from 1975-2015) were included in our review. Results A shift from a biomedical model and child-centred treatment to family-centred care has already taken place in neonatal care. However, there is still a considerable gap between theory and practice. Although there is awareness of the need for psychosocial support of parents, the focus of day-to-day care is still on medical interventions and life-supporting treatment for the child. In particular, while the importance of an assessment of needs as a basis for family-centred psychosocial support appears to be well-known, validated screening instruments are rarely used. In addition, the demand for psychosocial support of parents is not just solely determined by the child's medical risk. Conclusions The results highlight the challenges of delivering individualised psychosocial support to families within a healthcare system of limited resources, with practitioners having to take into account the developing parent-child relationship as well as health economics. In future, psychosocial support should be based on evidence rather than intuition. Attachment theory and research, and health psychology can contribute to this development. © Georg Thieme Verlag KG Stuttgart · New York.

  12. Empirical evaluation of decision support systems: Needs, definitions, potential methods, and an example pertaining to waterfowl management

    Science.gov (United States)

    Sojda, R.S.

    2007-01-01

    Decision support systems are often not empirically evaluated, especially the underlying modelling components. This can be attributed to such systems necessarily being designed to handle complex and poorly structured problems and decision making. Nonetheless, evaluation is critical and should be focused on empirical testing whenever possible. Verification and validation, in combination, comprise such evaluation. Verification is ensuring that the system is internally complete, coherent, and logical from a modelling and programming perspective. Validation is examining whether the system is realistic and useful to the user or decision maker, and should answer the question: “Was the system successful at addressing its intended purpose?” A rich literature exists on verification and validation of expert systems and other artificial intelligence methods; however, no single evaluation methodology has emerged as preeminent. At least five approaches to validation are feasible. First, under some conditions, decision support system performance can be tested against a preselected gold standard. Second, real-time and historic data sets can be used for comparison with simulated output. Third, panels of experts can be judiciously used, but often are not an option in some ecological domains. Fourth, sensitivity analysis of system outputs in relation to inputs can be informative. Fifth, when validation of a complete system is impossible, examining major components can be substituted, recognizing the potential pitfalls. I provide an example of evaluation of a decision support system for trumpeter swan (Cygnus buccinator) management that I developed using interacting intelligent agents, expert systems, and a queuing system. Predicted swan distributions over a 13-year period were assessed against observed numbers. Population survey numbers and banding (ringing) studies may provide long term data useful in empirical evaluation of decision support.

  13. Systems Analysis and Design for Decision Support Systems on Economic Feasibility of Projects

    Science.gov (United States)

    Balaji, S. Arun

    2010-11-01

    This paper discuss about need for development of the Decision Support System (DSS) software for economic feasibility of projects in Rwanda, Africa. The various economic theories needed and the corresponding formulae to compute payback period, internal rate of return and benefit cost ratio of projects are clearly given in this paper. This paper is also deals with the systems flow chart to fabricate the system in any higher level computing language. The various input requirements from the projects and the output needed for the decision makers are also included in this paper. The data dictionary used for input and output data structure is also explained.

  14. From Management Information Systems to Business Intelligence: The Development of Management Information Needs

    Directory of Open Access Journals (Sweden)

    Gėlytė Kazakevičienė

    2013-09-01

    Full Text Available Despite the advances in IT, information systems intended for management informing did not uniformly fulfil the increased expectations of users; this can be said mostly about complex information needs. Although some of the technologies for supporting complicated insights, like management decision support systems and technologies, experienced reduction in interest both from researchers and practitioners, this did not reduce the importance of well-supported business informing and decision making. Being attributed to the group of intelligent systems and technologies, decision support (DS technologies have been largely supplemented by business intelligence (BI technologies. Both types of technologies are supported by respective information technologies, which often appear to be quite closely related. The objective of this paper is to define relations between simple and complex informing intended to satisfy different sets of needs and provided by different sets of support tools. The paper attempts to put together decision support and business intelligence technologies, based on common goals of sense-making and use of advanced analytical tools. A model of two interconnected cycles has been developed to relate the activities of decision support and business intelligence. Empirical data from earlier research is used to direct possible further insights into this area.

  15. First-time fathers' postnatal experiences and support needs: A descriptive qualitative study.

    Science.gov (United States)

    Shorey, Shefaly; Dennis, Cindy-Lee; Bridge, Shiho; Chong, Yap Seng; Holroyd, Eleanor; He, Hong-Gu

    2017-12-01

    To explore first-time fathers' postnatal experiences and support needs in the early postpartum period. The postnatal period is a stressful transition period for new fathers. It is imperative to understand their needs and experiences to provide appropriate support for them. The majority of previous studies were based in Western countries and explored fathers' needs during pregnancy and childbirth, with few studies conducted in the postnatal period. In Singapore, a multiracial society with differing paternal cultural values from its Western counterparts, there is considerable need to examine the experiences and needs of first-time fathers. A descriptive qualitative design was used. Data were collected from November 2015-January 2016. Fifteen first-time fathers were recruited from two postnatal wards of a public hospital, using a purposive sampling method. A semi-structured interview guide was used to conduct face-to-face interviews. A thematic analysis was conducted and ethics approval was sought for this study. Four overarching themes and seventeen subthemes were generated. The four overarching themes were: (1) No sense of reality to sense of responsibility; (2) Unprepared and challenged; (3) Support: needs, sources, experience and attitude; and (4) Future help for fathers. Fathers undergo a transition phase where they have unmet support needs during the early postnatal period. Understanding and addressing these needs may facilitate smooth transition to fatherhood. This study's findings can be used to involve fathers and design future supportive educational programs to promote positive parenting experiences and family dynamics. © 2017 John Wiley & Sons Ltd.

  16. Missile Defense: Actions Needed to Improve Planning and Cost Estimates for Long-Term Support of Ballistic Missile Defense

    National Research Council Canada - National Science Library

    2008-01-01

    .... Since the cost to operate and support a weapon system usually accounts for most of a system's lifetime costs, the resources needed to fund BMDS could be significant as DOD fields an increasing number of BMDS elements...

  17. Information Systems to Support Surveillance for Malaria Elimination

    Science.gov (United States)

    Ohrt, Colin; Roberts, Kathryn W.; Sturrock, Hugh J. W.; Wegbreit, Jennifer; Lee, Bruce Y.; Gosling, Roly D.

    2015-01-01

    Robust and responsive surveillance systems are critical for malaria elimination. The ideal information system that supports malaria elimination includes: rapid and complete case reporting, incorporation of related data, such as census or health survey information, central data storage and management, automated and expert data analysis, and customized outputs and feedback that lead to timely and targeted responses. Spatial information enhances such a system, ensuring cases are tracked and mapped over time. Data sharing and coordination across borders are vital and new technologies can improve data speed, accuracy, and quality. Parts of this ideal information system exist and are in use, but have yet to be linked together coherently. Malaria elimination programs should support the implementation and refinement of information systems to support surveillance and response and ensure political and financial commitment to maintain the systems and the human resources needed to run them. National malaria programs should strive to improve the access and utility of these information systems and establish cross-border data sharing mechanisms through the use of standard indicators for malaria surveillance. Ultimately, investment in the information technologies that support a timely and targeted surveillance and response system is essential for malaria elimination. PMID:26013378

  18. Preceptors' Need For Support In Tutoring Pharmacy Students in Finnish Community Pharmacies

    Directory of Open Access Journals (Sweden)

    Ulla Löfhjelm

    2016-11-01

    Full Text Available A pharmacy degree in Finland includes a six-month obligatory internship. The internship is integrated with theoretical studies and adds up to 30 European Credit Transfer and Accumulation System (ECTS credits of the BSc (Pharm degree. Learning is supported by reflective assignments from the university. The preceptors have an important role in organizing the internship and tutoring students successfully in community pharmacy settings. Objective: to assess whether the preceptors of University of Helsinki’s teaching pharmacies need pedagogic support in tutoring and if so, in which core pharmaceutical tasks or tutoring skills. Methods: The survey was sent to all preceptors of University of Helsinki´s teaching pharmacies (n=326 in 2011 (response rate 58%, n=190. The data was analyzed statistically using Excel (version 12.3.6. The open-ended questions were analyzed by qualitative content analysis. Results: The majority of preceptors found their skills in tutoring the students mainly good. However, assessment of learning (27% of the respondents, giving feedback (23% and organizing the learning situations supportive for learning (23% were the areas in which the preceptors mostly indicated a need for support. Teaching current care guidelines and pharmaceutical care (36% and multi-professional collaboration (28% were the areas in which the preceptors expressed that they needed to update their skills. Conclusions: The faculty should focus the support on the pedagogic skills of preceptors, particularly in improving their skills in assessment of learning and in reflective dialogue. In addition, their skills in teaching clinical and patient care aspects of pharmacy practice should be enhanced. Conflict of Interest We declare no conflicts of interest or financial interests that the authors or members of their immediate families have in any product or service discussed in the manuscript, including grants (pending or received, employment, gifts, stock holdings

  19. Does Individual Placement and Support satisfy the users` needs?

    Directory of Open Access Journals (Sweden)

    Sandra eViering

    2015-06-01

    Full Text Available This study aims to investigate clients’ satisfaction with Individual Placement and Support (IPS at the University Hospital for Psychiatry Zurich (PUK. Furthermore this study aims to investigate if clients feel the approach of IPS as a useful approach to fulfill their needs. 125 people were recruited from one of the three IPS services of PUK and were asked to complete a structured questionnaire. The following IPS services were available: i randomized controlled trial ZHEPP (www.zhepp.ch, ii randomized controlled trial ZInEP (www.zinep.ch and iii us clinical SE service of PUK (IPS-PUK. The clients mostly indicated that the IPS was generally useful and fitted their needs. Overall satisfaction of the participants with the IPS services of PUK was very high. Furthermore, this study confirms that client satisfaction and symptom severity are associated. In conclusion, participants of the IPS services received the support they were looking for. This means that the approach of IPS fits the needs of different patient groups and can be used without any modifications. The most important limitation is the unequal group sizes. Therefore, the obtained results need to be strengthen by future research.

  20. An exploration of needs and preferences for dietary support in colorectal cancer survivors

    NARCIS (Netherlands)

    Hoedjes, Meeke; Kruif, De Anja; Mols, Floortje; Bours, Martijn; Beijer, Sandra; Winkels, Renate; Westerman, Marjan J.; Seidell, Jaap C.; Kampman, Ellen

    2017-01-01

    Purpose To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC

  1. Licensing Support System: Preliminary data scope analysis

    International Nuclear Information System (INIS)

    1989-01-01

    The purpose of this analysis is to determine the content and scope of the Licensing Support System (LSS) data base. Both user needs and currently available data bases that, at least in part, address those needs have been analyzed. This analysis, together with the Preliminary Needs Analysis (DOE, 1988d) is a first effort under the LSS Design and Implementation Contract toward developing a sound requirements foundation for subsequent design work. These reports are preliminary. Further refinements must be made before requirements can be specified in sufficient detail to provide a basis for suitably specific system specifications. This document provides a baseline for what is known at this time. Additional analyses, currently being conducted, will provide more precise information on the content and scope of the LSS data base. 23 refs., 4 figs., 8 tabs

  2. NASA Advanced Explorations Systems: Advancements in Life Support Systems

    Science.gov (United States)

    Shull, Sarah A.; Schneider, Walter F.

    2016-01-01

    rely largely on sending environmental samples back to Earth. The LSS project is developing onboard analysis capabilities that will replace the need to return air and water samples from space for ground analysis. Air Revitalization- The air revitalization task is comprised of work in carbon dioxide removal, oxygen generation and recovery and trace contamination and particulate control. The CO2 Removal and associated air drying development efforts under the LSS project are focused both on improving the current SOA technology on the ISS and assessing and examining the viability of other sorbents and technologies available in academia and industry. The Oxygen Generation and Recovery technology development area encompasses several sub-tasks in an effort to supply O2 to the crew at the required conditions, to recover O2 from metabolic CO2, and to recycle recovered O2 back to the cabin environment. Current state-of-the-art oxygen generation systems aboard space station are capable of generating or recovering approximately 40% of required oxygen; for exploration missions this percentage needs to be greatly increased. A spacecraft cabin trace contaminant and particulate control system serves to keep the environment below the spacecraft maximum allowable concentration (SMAC) for chemicals and particulates. Both passive (filters) and active (scrubbers) methods contribute to the overall TC & PC design. Work in the area of trace contamination and particulate control under the LSS project is focused on making improvements to the SOA TC & PC systems on ISS to improve performance and reduce consumables. Wastewater Processing and Water Management- A major goal of the LSS project is the development of water recovery systems to support long duration human exploration beyond LEO. Current space station wastewater processing and water management systems distill urine and wastewater to recover water from urine and humidity condensate in the spacecraft at a approximately 74% recovery rate

  3. Supporting parents following childhood traumatic brain injury: a qualitative study to examine information and emotional support needs across key care transitions.

    Science.gov (United States)

    Kirk, S; Fallon, D; Fraser, C; Robinson, G; Vassallo, G

    2015-03-01

    Traumatic brain injury (TBI) is the leading cause of death and acquired disability in childhood. Research has demonstrated that TBI can lead to long-term physical, cognitive, emotional and behavioural difficulties for children and parental stress. Less is known about how parents experience a childhood brain injury and their information and support needs. This study aimed to examine parents' experiences and support needs following a childhood TBI from the time of the accident to their child's discharge home. Qualitative semi-structured interviews were conducted with 29 parents/carers of children who had experienced a severe TBI. Participants were recruited from one children's tertiary centre in the UK. Data were analysed using the Framework approach. Parents had unmet information and emotional support needs across the care trajectory from the time of the accident to their child's return home. Information needs related to the impact of the TBI on their child; current and future treatment/rehabilitation plans; helping their child and managing their behaviour; accessing services/support. They lacked information and support for care transitions. In different settings parents faced particular barriers to having their information needs met. Parents' felt they needed emotional support in coming to terms with witnessing the accident and the loss of their former child. Lack of community support related not only to service availability but to a general lack of understanding of the impact of TBI on children, particularly when this was invisible. Overall parents felt unsupported in coping with children's behavioural and psychological difficulties. Taking a holistic approach to examining parents' experiences and support needs has enabled their changing needs to be highlighted across key care transitions within hospital and community settings and the service implications identified. Improvements in care co-ordination across care transitions are needed to ensure continuity of care

  4. The Influence of Need-Supportive Teacher Behavior on the Motivation of Students with Congenital Deafblindness

    Science.gov (United States)

    Haakma, Ineke; Janssen, Marleen; Minnaert, Alexander

    2017-01-01

    Introduction: Research has indicated that need-supportive learning environments positively influence students' motivation. According to self-determination theory, a need-supportive learning environment is one in which teachers provide structure, autonomy support, and involvement, and thereby support their students' psychological needs for…

  5. Instrumentation and control activities at the Electric Power Research Institute to support operator support systems

    International Nuclear Information System (INIS)

    Naser, J.

    1995-01-01

    Most nuclear power plants in the United States continue to operate with analog instrumentation and control (I and C) technology designed 20 to 40 years ago. This equipment is approaching or exceeding its life expectancy, resulting in increasing maintenance efforts to sustain system performance. Decreasing availability of replacement parts and the accelerating deterioration of the infrastructure of manufacturers that support analog technology exacerbate obsolescence problems and resultant operation and maintenance (O and M) cost increases. Modern digital technology holds a significant potential to improve the safety, cost-effectiveness, productivity, and, therefore, competitiveness of nuclear power plants. Operator support systems provide the tools to help achieve this potential. Reliable, integrated information is a critical element for protecting the utility's capital investment and increasing availability, reliability, and productivity. Integrated operator support systems with integrated information can perform more effectively to increase productivity, to enhance safety, and to reduce O and M costs. The plant communications and computing architecture is the infrastructure needed to allow the implementation of I and C systems and associated operator support systems in an integrated manner. Current technology for distributed digital systems, plant process computers, and plant communications and computing networks support the integration of systems and information. (author). 16 refs

  6. Review of Operation and Maintenance Support Systems for Research Reactors

    International Nuclear Information System (INIS)

    Jin, Kyungho; Heo, Gyunyoung; Park, Jaekwan

    2014-01-01

    Operation support systems do not directly control the plant but it can aid decision making itself by obtaining and analyzing large amounts of data. Recently, the demand of research reactor is growing and the need for operation support systems is increasing, but it has not been applied for research reactors. This study analyzes operation and maintenance support systems of NPPs and suggests appropriate systems for research reactors based on analysis. In this paper, operation support systems for research reactors are suggested by comparing with those of power reactors. Currently, research reactors do not cover special systems in order to improve safety and operability in comparison with power reactors. Therefore we expect to improve worth to use by introducing appropriate systems for research reactors. In further research, we will develop an appropriate system such as applications or tools that can be applied to the research reactor

  7. Rights and quality of life of individuals with intellectual disability and extensive support needs

    Directory of Open Access Journals (Sweden)

    Patricia NAVAS MACHO

    2018-04-01

    Full Text Available People with intellectual (ID and developmental disabilities who have generalized or extensive support needs constitute a particularly vulnerable group that has traditionally experienced situations of exclusion. Despite this, their situation has not been a priority subject of study nor have there been specific developments in social policy to respond to their needs, which can be translated into an absence of interest in knowing the reality of these group, difficulties to guarantee the fulfillment of their rights, and lack of initiative aimed to achieve their full inclusion in society. Is therefore necessary to undertake different actions, translated into objectives of the present work: to explore and synthesize existing data on this group in our country; to detect their needs and their fulfillment; and to propose evidence-based guidelines to ensure their well-being and rights. For this purpose, the methodology used consisted of: (a a review of the most relevant scientific literature of the last ten years on ID and extensive support needs; and (b the analysis of the results yield by two national surveys carried out in Spain: the Disability, Independence, and Dependency Situations survey, EDAD (INE, 2008, and the System for Autonomy and Care for Dependency, SAAD (IMSERSO, 2016, among others. Considering the disparities observed within this group, urgent lines of action are highlighted, which are aimed to improve the knowledge about the living conditions of people with more significant ID and drive better practices in the provision of supports to this group.

  8. The Effect of Perceived Psychological Need Support on Amotivation in Physical Education

    Science.gov (United States)

    Jackson-Kersey, Rachel; Spray, Christopher

    2016-01-01

    Physical educators have a responsibility to create a learning environment that is viewed as supportive of students' psychological needs and which helps reduce amotivation. The aim of the current study was to examine the effects of students' perceived need support on four dimensions of amotivation in physical education (PE) ("deficiency in…

  9. Information systems to support surveillance for malaria elimination.

    Science.gov (United States)

    Ohrt, Colin; Roberts, Kathryn W; Sturrock, Hugh J W; Wegbreit, Jennifer; Lee, Bruce Y; Gosling, Roly D

    2015-07-01

    Robust and responsive surveillance systems are critical for malaria elimination. The ideal information system that supports malaria elimination includes: rapid and complete case reporting, incorporation of related data, such as census or health survey information, central data storage and management, automated and expert data analysis, and customized outputs and feedback that lead to timely and targeted responses. Spatial information enhances such a system, ensuring cases are tracked and mapped over time. Data sharing and coordination across borders are vital and new technologies can improve data speed, accuracy, and quality. Parts of this ideal information system exist and are in use, but have yet to be linked together coherently. Malaria elimination programs should support the implementation and refinement of information systems to support surveillance and response and ensure political and financial commitment to maintain the systems and the human resources needed to run them. National malaria programs should strive to improve the access and utility of these information systems and establish cross-border data sharing mechanisms through the use of standard indicators for malaria surveillance. Ultimately, investment in the information technologies that support a timely and targeted surveillance and response system is essential for malaria elimination. © The American Society of Tropical Medicine and Hygiene.

  10. The Systems Engineering Process for Human Support Technology Development

    Science.gov (United States)

    Jones, Harry

    2005-01-01

    Systems engineering is designing and optimizing systems. This paper reviews the systems engineering process and indicates how it can be applied in the development of advanced human support systems. Systems engineering develops the performance requirements, subsystem specifications, and detailed designs needed to construct a desired system. Systems design is difficult, requiring both art and science and balancing human and technical considerations. The essential systems engineering activity is trading off and compromising between competing objectives such as performance and cost, schedule and risk. Systems engineering is not a complete independent process. It usually supports a system development project. This review emphasizes the NASA project management process as described in NASA Procedural Requirement (NPR) 7120.5B. The process is a top down phased approach that includes the most fundamental activities of systems engineering - requirements definition, systems analysis, and design. NPR 7120.5B also requires projects to perform the engineering analyses needed to ensure that the system will operate correctly with regard to reliability, safety, risk, cost, and human factors. We review the system development project process, the standard systems engineering design methodology, and some of the specialized systems analysis techniques. We will discuss how they could apply to advanced human support systems development. The purpose of advanced systems development is not directly to supply human space flight hardware, but rather to provide superior candidate systems that will be selected for implementation by future missions. The most direct application of systems engineering is in guiding the development of prototype and flight experiment hardware. However, anticipatory systems engineering of possible future flight systems would be useful in identifying the most promising development projects.

  11. Evaluating the self-assessed support needs of women with breast cancer.

    Science.gov (United States)

    Lindop, E; Cannon, S

    2001-06-01

    The first aim of the study was to identify the self-assessed support needs of women with breast cancer at various points of illness and, secondly, to establish if these needs formed clusters which could provide the basis for developing a standardized scale of needs for use by breast care teams in the evaluation of care. It has been found that support given to women with breast cancer has a positive effect upon their reactions to the illness and may even prolong their survival. Given that breast cancer affects a large number of women it is obviously important that those affected receive, in addition to the best available medical treatment, the type of support that best meets their needs. This study aimed to provide information on the impact of breast cancer and the need for various types of support by examining women's own assessment of their needs at different stages of their illness. A purposive sample of 12 women with a diagnosis of breast cancer was selected in one health authority in England, United Kingdom (UK). Women selected represented a wide age range (between 26 and 58), were married or in long-term cohabiting relationships and were at different points on the illness trajectory. Women were invited to take part in a semi-structured interview about their experiences of breast cancer. The data from these interviews were analysed using the software package Qualitative Solutions and Research, Nonnumerical Data Indexing, Searching and Theorizing (QSR*NUDIST). Following this content analysis, a questionnaire was formulated which divided statements into seven categories: diagnosis, treatment, support, femininity and body image, family and friends, information and after care, to be rated on a Likert scale ranging from "of no importance" to "extremely important". Questionnaire data were analysed by means of a one-way analysis of variance (for three independent variables) or t-test for two independent variables. Results. The questionnaire was sent to 971 women and

  12. A support system for assessing local vulnerability to weather and climate

    Science.gov (United States)

    Coletti, Alex; Howe, Peter D.; Yarnal, Brent; Wood, Nathan J.

    2013-01-01

    The changing number and nature of weather- and climate-related natural hazards is causing more communities to need to assess their vulnerabilities. Vulnerability assessments, however, often require considerable expertise and resources that are not available or too expensive for many communities. To meet the need for an easy-to-use, cost-effective vulnerability assessment tool for communities, a prototype online vulnerability assessment support system was built and tested. This prototype tool guides users through a stakeholder-based vulnerability assessment that breaks the process into four easy-to-implement steps. Data sources are integrated in the online environment so that perceived risks—defined and prioritized qualitatively by users—can be compared and discussed against the impacts that past events have had on the community. The support system is limited in scope, and the locations of the case studies do not provide a sufficiently broad range of sample cases. The addition of more publically available hazard databases combined with future improvements in the support system architecture and software will expand opportunities for testing and fully implementing the support system.

  13. System support software for TSTA [Tritium Systems Test Assembly

    International Nuclear Information System (INIS)

    Claborn, G.W.; Mann, L.W.; Nielson, C.W.

    1987-10-01

    The fact that Tritium Systems Test Assembly (TSTA) is an experimental facility makes it impossible and undesirable to try to forecast the exact software requirements. Thus the software had to be written in a manner that would allow modifications without compromising the safety requirements imposed by the handling of tritium. This suggested a multi-level approach to the software. In this approach (much like the ISO network model) each level is isolated from the level below and above by cleanly defined interfaces. For example, the subsystem support level interfaces with the subsystem hardware through the software support level. Routines in the software support level provide operations like ''OPEN VALVE'' and CLOSE VALVE'' to the subsystem level. This isolates the subsystem level from the actual hardware. This is advantageous because changes can occur in any level without the need for propagating the change to any other level. The TSTA control system consists of the hardware level, the data conversion level, the operator interface level, and the subsystem process level. These levels are described

  14. Chinese Families of Children with Severe Disabilities: Family Needs and Available Support

    Science.gov (United States)

    Wang, Peishi; Michaels, Craig A.

    2009-01-01

    This descriptive study gathered quantitative and qualitative data about 368 families in the People's Republic of China who had children with severe disabilities to better understand (a) the perceived needs that families have, (b) the supports available to them, (c) any differences in perceived needs and support between mothers and fathers, and (d)…

  15. Supporting the need for an integrated system of care for youth with co-occurring traumatic stress and substance abuse problems.

    Science.gov (United States)

    Suarez, Liza M; Belcher, Harolyn M E; Briggs, Ernestine C; Titus, Janet C

    2012-06-01

    Adolescents are at high risk for violence exposure and initiation of drug use. Co-occurring substance use and trauma exposure are associated with increased risk of mental health disorders, school underachievement, and involvement with multiple systems of care. Coordination and integration of systems of care are of utmost importance for these vulnerable youth. This study delineates the negative sequelae and increased service utilization patterns of adolescents with a history of trauma, substance abuse, and co-occurring trauma and substance abuse to support the need for integrated mental health and substance abuse services for youth. Data from two national sources, the National Child Traumatic Stress Network and Center for Substance Abuse Treatment demonstrate the increased clinical severity (measured by reports of emotional and behavioral problems), dysfunction, and service utilization patterns for youth with co-occurring trauma exposure and substance abuse. We conclude with recommendations for an integrated system of care that includes trauma-informed mental health treatment and substance abuse services aimed at reducing the morbidity and relapse probability of this high-risk group.

  16. An information system supporting design for reliability and maintenance

    International Nuclear Information System (INIS)

    Rit, J.F.; Beraud, M.T.

    1997-01-01

    EDF is currently developing a methodology to integrate availability, operating experience and maintenance in the design of power plants. This involves studies that depend closely on the results and assumptions of each other about the reliability and operations of the plant. Therefore a support information system must be carefully designed. Concurrently with development of the methodology, a research oriented information system was designed and built. It is based on the database model of a logistic support repository that we tailored to our needs. (K.A.)

  17. An information system supporting design for reliability and maintenance

    Energy Technology Data Exchange (ETDEWEB)

    Rit, J.F.; Beraud, M.T

    1997-12-31

    EDF is currently developing a methodology to integrate availability, operating experience and maintenance in the design of power plants. This involves studies that depend closely on the results and assumptions of each other about the reliability and operations of the plant. Therefore a support information system must be carefully designed. Concurrently with development of the methodology, a research oriented information system was designed and built. It is based on the database model of a logistic support repository that we tailored to our needs. (K.A.) 10 refs.

  18. The design of intelligent support systems for nuclear reactor operators

    International Nuclear Information System (INIS)

    Bernard, J.A.

    1992-01-01

    This paper identifies factors relevant to the design of intelligent support systems and their use for the provision of real-time diagnostic information. As such, it constitutes a followup to the state-of-the-art review that was previously published by Bernard and Washio on the utilization of expert systems within the nuclear industry. Some major differences between intelligent-support tools and conventional expert systems are enumerated. In summary, conventional expert systems that encode experimental knowledge in production rules are not suitable vehicle for the creation of operator support systems. The principal difficulty is the need for real-time operation. This in turn means that intelligent support systems will have knowledge bases derived from temporally accurate plant models, inference engines that permit revisions in the search process to accommodate revised data, and man-machine interfaces that do not require any human input. Such systems will be heavily instrumented, and the associated knowledge bases will require a hierarchical organization to emulate human approaches to analysis

  19. Is there a need for hydrological modelling in decision support systems for nuclear emergencies

    International Nuclear Information System (INIS)

    Raskob, W.; Heling, R.; Zheleznyak, M.

    2003-01-01

    Full text: Potential releases from nuclear installations may contaminate both the terrestrial and the aquatic environment. Significant dose contributions via the aquatic pathways were shown for releases from Oak Ridge Laboratory (on the Clinch River-Tennessee River basin), for releases from the 'Mayak' plant (on the Techa River - Ob River system) and finally for releases from Chernobyl (on the Dnieper River basin and on the Scandinavian lake system via atmospheric fallout). Of highest concern was the contamination of drinking water, as the public is very sensitive to the quality of this essential nutrient. Consumption of aquatic food products and contamination of terrestrial crops via irrigation are potential exposure pathways which have to be considered in addition in case of a contamination of the aquatic environment. National hydrological services were, among others, responsible for the surveillance of the national water ways. This includes also monitoring of radioactive substances on a routine basis. Besides taking measurements at various locations, models might be available to predict the water discharge and to some extend also the concentration of pollutants in some of the most important river systems. Therefore, one can argue that these services, as they are part of the emergency management team in case of a nuclear emergency, should be able to support decision making to the extend necessary. However, the advice from the hydrological services might be limited to the analysis of the present situation including only limited prediction capabilities mainly focusing on the behaviour of radionuclides in the main river systems in relation to the preduction of drinking water. Contrary to this, a complete hydrological model chain has been established in the RODOS system, covering all relevant processes from the runoff from contaminated areas, transport in river systems and reservoirs, behaviour of radionuclides in lakes and finally the modelling of coastal areas. To

  20. A systematic review of decision support needs of parents making child health decisions

    Science.gov (United States)

    Jackson, Cath; Cheater, Francine M.; Reid, Innes

    2008-01-01

    Abstract Objective  To identify the decision support needs of parents attempting to make an informed health decision on behalf of a child. Context  The first step towards implementing patient decision support is to assess patients’ information and decision‐making needs. Search strategy  A systematic search of key bibliographic databases for decision support studies was performed in 2005. Reference lists of relevant review articles and key authors were searched. Three relevant journals were hand searched. Inclusion criteria  Non‐intervention studies containing data on decision support needs of parents making child health decisions. Data extraction and synthesis  Data were extracted on study characteristics, decision focus and decision support needs. Studies were quality assessed using a pre‐defined set of criteria. Data synthesis used the UK Evidence for Policy and Practice Information and Co‐ordinating Centre approach. Main results  One‐hundred and forty nine studies were included across various child health decisions, settings and study designs. Thematic analysis of decision support needs indicated three key issues: (i) information (including suggestions about the content, delivery, source, timing); (ii) talking to others (including concerns about pressure from others); and (iii) feeling a sense of control over the process that could be influenced by emotionally charged decisions, the consultation process, and structural or service barriers. These were consistent across decision type, study design and whether or not the study focused on informed decision making. PMID:18816320

  1. Patient support systems

    International Nuclear Information System (INIS)

    Braden, A.B.; McBride, T.R.; Styblo, D.J.; Taylor, S.K.; Richey, J.B.

    1979-01-01

    A patient support system for use in computerized tomography (CT) is described. The system is particularly useful for CT scanning of the brain and also of the abdominal area. The support system consists of two moveable tables which may be translated into position for X-ray scanning of the patient's body and which may be translated incrementally and automatically to obtain scans at adjacent locations. For use with brain scans, the second table is replaced by a detachable restraint assembly which is described in detail. The support system is so designed that only a small volume of low density material will intercept the X-ray beam. (UK)

  2. Development and Validation of the Adolescent Psychological Need Support in Exercise Questionnaire.

    Science.gov (United States)

    Emm-Collison, Lydia G; Standage, Martyn; Gillison, Fiona B

    2016-10-01

    Grounded within self-determination theory (SDT; Deci & Ryan, 2000; Ryan & Deci, in press), three studies were conducted to develop and psychometrically test a measure of adolescents' perceptions of psychological need support for exercise (viz., for autonomy, competence, and relatedness): the Adolescent Psychological Need Support in Exercise Questionnaire (APNSEQ). In Study 1, 34 items were developed in collaboration with an expert panel. Through categorical confirmatory factor analysis and item response theory, responses from 433 adolescents were used to identify the best fitting and performing items in Study 2. Here, a three-factor nine-item measure showed good fit to the data. In Study 3, responses from an independent sample of 373 adolescents provided further evidence for the nine-item solution as well as for internal consistency, criterion validity, and invariance across gender and social agent (friends, family, and physical education teacher). The APNSEQ was supported as a measure of adolescents' perceptions of psychological need support within the context of exercise.

  3. A Framework for a Context-Aware Elderly Entertainment Support System

    Directory of Open Access Journals (Sweden)

    M. Anwar Hossain

    2014-06-01

    Full Text Available Elderly people constitute a major portion of world’s population. Many of them are physically and mentally vulnerable and need continuous support for their health and well-being. There is a growing trend that these elderly people are placed in an ambient assisted living environment (AAL with an aim to receive better care and support. In such settings, a lot of attention has been given to continuous health monitoring for maintaining physical health status. However, much less attention has been given toward understanding the entertainment needs of the elderly people, which is an important factor relevant to their mental health and joyful living. This paper thus addresses the entertainment needs of the elderly and proposes a framework of an elderly entertainment support system. The proposed framework enables different categories of residents (e.g., elderly people and caregivers to access various media services in both implicit and explicit manner in order to enhance the quality of their living experience in different contexts. Our experimental results demonstrate the viability of the proposed framework. We believe that the proposed approach will establish the need to develop entertainment systems and services for the elderly people and allow us to sensibly address the problems associated with their independent, happy and active living.

  4. A Framework for a Context-Aware Elderly Entertainment Support System

    Science.gov (United States)

    Hossain, M. Anwar; Alamri, Atif; Almogren, Ahmad S.; Hossain, SK Alamgir; Parra, Jorge

    2014-01-01

    Elderly people constitute a major portion of world's population. Many of them are physically and mentally vulnerable and need continuous support for their health and well-being. There is a growing trend that these elderly people are placed in an ambient assisted living environment (AAL) with an aim to receive better care and support. In such settings, a lot of attention has been given to continuous health monitoring for maintaining physical health status. However, much less attention has been given toward understanding the entertainment needs of the elderly people, which is an important factor relevant to their mental health and joyful living. This paper thus addresses the entertainment needs of the elderly and proposes a framework of an elderly entertainment support system. The proposed framework enables different categories of residents (e.g., elderly people and caregivers) to access various media services in both implicit and explicit manner in order to enhance the quality of their living experience in different contexts. Our experimental results demonstrate the viability of the proposed framework. We believe that the proposed approach will establish the need to develop entertainment systems and services for the elderly people and allow us to sensibly address the problems associated with their independent, happy and active living. PMID:24936946

  5. Information needs of physicians, care coordinators, and families to support care coordination of children and youth with special health care needs (CYSHCN).

    Science.gov (United States)

    Ranade-Kharkar, Pallavi; Weir, Charlene; Norlin, Chuck; Collins, Sarah A; Scarton, Lou Ann; Baker, Gina B; Borbolla, Damian; Taliercio, Vanina; Del Fiol, Guilherme

    2017-09-01

    Identify and describe information needs and associated goals of physicians, care coordinators, and families related to coordinating care for medically complex children and youth with special health care needs (CYSHCN). We conducted 19 in-depth interviews with physicians, care coordinators, and parents of CYSHCN following the Critical Decision Method technique. We analyzed the interviews for information needs posed as questions using a systematic content analysis approach and categorized the questions into information need goal types and subtypes. The Critical Decision Method interviews resulted in an average of 80 information needs per interview. We categorized them into 6 information need goal types: (1) situation understanding, (2) care networking, (3) planning, (4) tracking/monitoring, (5) navigating the health care system, and (6) learning, and 32 subtypes. Caring for CYSHCN generates a large amount of information needs that require significant effort from physicians, care coordinators, parents, and various other individuals. CYSHCN are often chronically ill and face developmental challenges that translate into intense demands on time, effort, and resources. Care coordination for CYCHSN involves multiple information systems, specialized resources, and complex decision-making. Solutions currently offered by health information technology fall short in providing support to meet the information needs to perform the complex care coordination tasks. Our findings present significant opportunities to improve coordination of care through multifaceted and fully integrated informatics solutions. © The Author 2017. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com

  6. Supporting Space Systems Design via Systems Dependency Analysis Methodology

    Science.gov (United States)

    Guariniello, Cesare

    assess the behavior of each system based on its internal status and on the topology of its dependencies on systems connected to it. Designers and decision makers can therefore quickly analyze and explore the behavior of complex systems and evaluate different architectures under various working conditions. The methods support educated decision making both in the design and in the update process of systems architecture, reducing the need to execute extensive simulations. In particular, in the phase of concept generation and selection, the information given by the methods can be used to identify promising architectures to be further tested and improved, while discarding architectures that do not show the required level of global features. The methods, when used in conjunction with appropriate metrics, also allow for improved reliability and risk analysis, as well as for automatic scheduling and re-scheduling based on the features of the dependencies and on the accepted level of risk. This dissertation illustrates the use of the two methods in sample aerospace applications, both in the operational and in the developmental domain. The applications show how to use the developed methodology to evaluate the impact of failures, assess the criticality of systems, quantify metrics of interest, quantify the impact of delays, support informed decision making when scheduling the development of systems and evaluate the achievement of partial capabilities. A larger, well-framed case study illustrates how the Systems Operational Dependency Analysis method and the Systems Developmental Dependency Analysis method can support analysis and decision making, at the mid and high level, in the design process of architectures for the exploration of Mars. The case study also shows how the methods do not replace the classical systems engineering methodologies, but support and improve them.

  7. System Engineering Concept Demonstration, System Engineering Needs. Volume 2

    Science.gov (United States)

    1992-12-01

    changeability, and invisibility. "Software entities are perhaps more complex for their size than any other human construct..." In addition, software is... human actions and interactions that often fail or insufficient in large organizations. Specific needs in this area include the following: " Each...needed to accomplish incremental review and critique of information. * Automi ..-’ metrics support is needed for the measuring ikey quality aspects of

  8. Traumatic brain injury: unmet support needs of caregivers and families in Florida.

    Directory of Open Access Journals (Sweden)

    Christina Dillahunt-Aspillaga

    Full Text Available Sustaining a Traumatic Brain Injury results in familial strain due to the significant impact the injury has upon the role and function of individuals and their families at home and in the community. Using the Stress Process Model of Caregiving, a caregiver needs assessment survey was developed and conducted to better understand the needs of individuals with a Traumatic Brain Injury and their caregivers. Survey results indicate that caregivers experience many challenges including unmet needs in areas of relational supports such as maintaining relationships, long-term emotional and financial support for themselves and the survivor, and the need for a patient or caregiver advocate. Implications for future practice are presented.

  9. Infrastructure needs to support unattended and remote detector systems

    International Nuclear Information System (INIS)

    Trombka, Jacob; McClanahan, Timothy; Floyd, Samuel

    2002-01-01

    The use of unattended and remote detection systems for use in telemedicine, teleforensics and applications to operations in homeland security and nuclear non proliferation programs will require the development of portable detector systems and public information network systems. With the availability of such networks, the deployment of relatively inexpensive sensor systems can be achieved

  10. Mild intellectual disability : an entity? Mapping clinical profiles and support needs

    NARCIS (Netherlands)

    Soenen, S.M.T.A.

    2016-01-01

    The group of individuals with mild to borderline intellectual disability (MID) is heterogeneous with regard to their characteristics, the problems they encounter and the support they need. The diversity of the problems and the diffuse spectrum of support programs aggravate the process to identify

  11. Safety research needs for Russian-designed reactors / report by an OECD Support Group

    International Nuclear Information System (INIS)

    1996-01-01

    Seven Task Teams were formed within the OECD Support Group, addressing the following topics: Thermal-Hydraulics/Plant Transients for VVERs, Integrity of Equipment and Structures for VVERs, Severe Accidents for VVERs, Operational Safety Issues, Thermal-Hydraulics/Plant Transients for RBMKs, Integrity of Equipment and Structures for RBMKs, Severe Accidents for RBMKs. Each Task Team prepared and presented its report to the Support Group as a whole for review and approval. Consequently, the report represents a consensus of the Support Group that outlines the arguments for the safely research needs with the focus on the main technical issues that justify the need and urgency. The written text addresses three basic questions: What is the safety concern? What are the open issues? What are the safety research needs? The safety research needs as identified by the seven Task Teams, and approved by the Support Group, are reflected in the structure of the report. The chapter on the Uses of Safety Research provides examples on how Western research has been applied to improve the safety of nuclear power plants. In addition, the chapter emphasises the need for a national safety research policy

  12. Less thought, more punishment: need for cognition predicts support for punitive responses to crime.

    Science.gov (United States)

    Sargent, Michael J

    2004-11-01

    Three studies examined the relationship between need for cognition and support for punitive responses to crime. The results of Study 1 (N = 110) indicated that individuals high in need for cognition were less supportive of punitive measures than their low need for cognition counterparts. This finding was replicated in Study 2 (N = 1,807), which employed a nationally representative probability sample and included a more extensive battery of control variables. The purpose of Study 3 (N = 255) was to identify a third variable that might explain this relationship. This final study's results suggest that attributional complexity mediates the relationship between need for cognition and punitiveness. High need for cognition individuals are less supportive of punitive measures because they endorse more complex attributions for human behavior than their low need for cognition peers.

  13. Needs, requirements and challenges for technical support to nuclear safety authority

    International Nuclear Information System (INIS)

    Madonna, A.; Orsini, G.

    2010-01-01

    To face the very broad range of technical matters on which the regulatory and licensing activity are based, and related research and development activity, the Nuclear Safety Authorities (NSA) may need to rely upon external technical and scientific support. In providing technical support to NSA, the experience shows, from one side, the importance to have technical support organizations (TSO) with recognized competence, independence and appropriate regulatory view, and from the other side, the importance to have within the NSAs well developed management and technical capability to address, coordinate and use the results of the external technical support. Retaining the NSA the full responsibility for the final decision. Under which conditions and modus operandi the external support shall be provided in order to comply with requirements of being independent, competent and timely provided, fulfilling the administrative procedures, is the subject of attention and consideration of TSO function today. The Italian regulatory body is currently going to be institutionally re-established according to new law approved in 2009 /1/ and it needs to be resourced and fully organized with necessary capacities in the nearest future. The perspective of a new nuclear program, recently launched by the government, with significant incoming tasks for regulation and licensing, against the existing limited resources, let foresee a substantial potential need for technical support and advice. ITER-Consult (Ltd), created in 2003 in Italy, has well developed capabilities to provide independent technical evaluation and support to NSAs, to maintain safety culture and updated knowledge, to transfer know how and to establish international cooperation and networking. This mission is guided assuming as values the independence, the professional competence, the transparency, the credibility and the establishment of respectful relationship with the partners. Challenges exist for funding and operational

  14. Decisions at hand: a decision support system on handhelds.

    Science.gov (United States)

    Zupan, B; Porenta, A; Vidmar, G; Aoki, N; Bratko, I; Beck, J R

    2001-01-01

    One of the applications of clinical information systems is decision support. Although the advantages of utilizing such aids have never been theoretically disputed, they have been rarely used in practice. The factor that probably often limits the utility of clinical decision support systems is the need for computing power at the very site of decision making--at the place where the patient is interviewed, in discussion rooms, etc. The paper reports on a possible solution to this problem. A decision-support shell LogReg is presented, which runs on a handheld computer. A general schema for handheld-based decision support is also proposed, where decision models are developed on personal computers/workstations, encoded in XML and then transferred to handhelds, where the models are used within a decision support shell. A use case where LogReg has been applied to clinical outcome prediction in crush injury is presented.

  15. Study of Support Services for Children with Special Needs in the State of Sikkim

    Science.gov (United States)

    Dash, Neena

    2009-01-01

    The purpose of this paper is to present the status of integrated education for children with special needs in the State of Sikkim, to study the various support services required for children with special needs for their successful completion of primary education, to ascertain the academic support provided to children with special needs in the…

  16. Identifying Opportunities for Decision Support Systems in Support of Regional Resource Use Planning: An Approach Through Soft Systems Methodology.

    Science.gov (United States)

    Zhu; Dale

    2000-10-01

    / Regional resource use planning relies on key regional stakeholder groups using and having equitable access to appropriate social, economic, and environmental information and assessment tools. Decision support systems (DSS) can improve stakeholder access to such information and analysis tools. Regional resource use planning, however, is a complex process involving multiple issues, multiple assessment criteria, multiple stakeholders, and multiple values. There is a need for an approach to DSS development that can assist in understanding and modeling complex problem situations in regional resource use so that areas where DSSs could provide effective support can be identified, and the user requirements can be well established. This paper presents an approach based on the soft systems methodology for identifying DSS opportunities for regional resource use planning, taking the Central Highlands Region of Queensland, Australia, as a case study.

  17. [Information system for supporting the Nursing Care Systematization].

    Science.gov (United States)

    Malucelli, Andreia; Otemaier, Kelly Rafaela; Bonnet, Marcel; Cubas, Marcia Regina; Garcia, Telma Ribeiro

    2010-01-01

    It is an unquestionable fact, the importance, relevance and necessity of implementing the Nursing Care Systematization in the different environments of professional practice. Considering it as a principle, emerged the motivation for the development of an information system to support the Nursing Care Systematization, based on Nursing Process steps and Human Needs, using the diagnoses language, nursing interventions and outcomes for professional practice documentation. This paper describes the methodological steps and results of the information system development - requirements elicitation, modeling, object-relational mapping, implementation and system validation.

  18. 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.

  19. Psychological and emotional needs, assessment, and support post-stroke: a multi-perspective qualitative study.

    Science.gov (United States)

    Harrison, Madeleine; Ryan, Tony; Gardiner, Clare; Jones, Amanda

    2017-03-01

    International stroke care guidelines recommend the routine assessment and management of psychological and emotional problems post-stroke. Understanding the experiences of those delivering and receiving these services is vital to improving the provision of psychological support post-stroke. To explore patients', carers', and health professionals' experiences of psychological need, assessment, and support post-stroke while in hospital and immediately post-discharge. Participants were recruited from seven specialist stroke services in the north of England. Qualitative semi-structured interviews and focus groups were conducted with 31 stroke patients, 28 carers, and 66 health professionals. The interviews were recorded and transcribed verbatim and analyzed using thematic analysis. Two central themes emerged minding the gap: psychological expertise, and protective factors perceived to reduce the need for formal psychological support. The lack of psychological expertise among healthcare professionals working on stroke units was a source of frustration and resulted in other disciplines assuming the role of a psychologist without the required skills and training. Multiple stakeholders discussed the importance of protective factors, including downward social comparison, social support, peer support, communication, and information provision, that were perceived to reduce the need for formal psychological support. Stroke patients need better access to psychological support, including information, advice, and peer or social support. More research is required to establish the effectiveness of alternative options to formal psychological support.

  20. The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries.

    Science.gov (United States)

    Cockle-Hearne, J; Charnay-Sonnek, F; Denis, L; Fairbanks, H E; Kelly, D; Kav, S; Leonard, K; van Muilekom, E; Fernandez-Ortega, P; Jensen, B T; Faithfull, S

    2013-10-15

    Prostate cancer is for many men a chronic disease with a long life expectancy after treatment. The impact of prostate cancer therapy on men has been well defined, however, explanation of the consequences of cancer treatment has not been modelled against the wider variables of long-term health-care provision. The aim of this study was to explore the parameters of unmet supportive care needs in men with prostate cancer in relation to the experience of nursing care. A survey was conducted among a volunteer sample of 1001 men with prostate cancer living in seven European countries. At the time of the survey, 81% of the men had some unmet supportive care needs including psychological, sexual and health system and information needs. Logistic regression indicated that lack of post-treatment nursing care significantly predicted unmet need. Critically, men's contact with nurses and/or receipt of advice and support from nurses, for several different aspects of nursing care significantly had an impact on men's outcomes. Unmet need is related not only to disease and treatment factors but is also associated with the supportive care men received. Imperative to improving men's treatment outcomes is to also consider the access to nursing and the components of supportive care provided, especially after therapy.

  1. How Can a Global Social Support System Hope to Achieve Fairer Competiveness?

    Science.gov (United States)

    Goldblatt, Peter

    2016-01-01

    Ooms et al sets out some good general principles for a global social support system to improve fairer global competitiveness as a result of redistribution. This commentary sets out to summarize some of the conditions that would need to be satisfied for it to level up gradients in inequality through such a social support system, using the National Basketball Association (NBA) example as a point of reference. From this, the minimal conditions are described that would be required for the support system, proposed in the article by Ooms et al, to succeed. PMID:26927594

  2. Support system, excavation arrangement, and process of supporting an object

    Science.gov (United States)

    Arnold, Bill W.

    2017-08-01

    A support system, an excavation arrangement, and a process of supporting an object are disclosed. The support system includes a weight-bearing device and a camming mechanism positioned below the weight-bearing device. A downward force on the weight-bearing device at least partially secures the camming mechanism to opposing surfaces. The excavation arrangement includes a borehole, a support system positioned within and secured to the borehole, and an object positioned on and supported by the support system. The process includes positioning and securing the support system and positioning the object on the weight-bearing device.

  3. Lean and Virginia's wood industry - Part II: Results and need for support

    Directory of Open Access Journals (Sweden)

    Christian F. Fricke

    2012-11-01

    Full Text Available This two-part publication about Lean practices by Viriginia’s wood products and furniture manufacturing industries reports results from researching the awareness, the implementation status, the business results, and the need for external implementation support of Virginian companies. This second manuscript focuses on business results and the need for external implementation support. Except for “sales per employee,” where less than half of respondents reported an improvement due to the implementation of Lean in their operation, a majority of respondents indicated improved business results for “lead time,” “on-time delivery,” “inventory turnover,” and “cost per unit.” With respect to the need for external Lean implementation support, only 23 percent of respondents answered in the affirmative. “Training management,” “training shop floor employees,” and “implementing [Lean] with extensive employee involvement” were, with 67, 58, and 48 percent frequencies, the most often named forms of Lean implementation support requested. Results from this study seem to indicate an opportunity to support the well-being of Virginia’s wood products and furniture manufacturing industries through improved communication of the benefits of Lean and offering specific types of training to companies.

  4. A method for making a glass supported system, such glass supported system, and the use of a glass support therefor

    NARCIS (Netherlands)

    Unnikrishnan, S.; Jansen, Henricus V.; Berenschot, Johan W.; Fazal, I.; Louwerse, M.C.; Mogulkoc, B.; Sanders, Remco G.P.; de Boer, Meint J.; Elwenspoek, Michael Curt

    2008-01-01

    The invention relates to a method for making a glass supported micro or nano system, comprising the steps of: i) providing a glass support; ii) mounting at least one system on at least one glass support; and iii) bonding the system to the glass support, such that the system is circumferentially

  5. Information system and website design to support theautomotive manufacture ERP system

    Science.gov (United States)

    Amran, T. G.; Azmi, N.; Surjawati, A. A.

    2017-12-01

    This research is to create an on-time production system design with Heijunka model so that the product diversity for all models could meet time and capacity requirements, own production flexibility, high quality, meet the customers’ demands, realistic in production as well as creating a web-based local components’ order information system that supports the Enterprise Resource Planning (ERP) system. The Heijunka model for equalization with heuristic and stochastic model has been implemented for productions up to 3000 units by implementing Suzuki International Manufacturing. The inefficiency in the local order information system demanded the need for a new information system design that is integrated in ERP. Kaizen needs to be done is the Supplier Network that all vendors can download and utilize those data to deliver the components to the company and for vendors’ internal uses as well. The model design is presumed effective where the model is able to be utilized as a solution so that the production can run according to the schedule and presumed efficient were the model is able to show the reduction of loss time and stock.

  6. The training and support needs of faculty and students using a health information technology system were significant: a case study in a dental school.

    Science.gov (United States)

    Hill, Heather K; Stewart, Denice C L; Ash, Joan S

    2010-11-13

    Health Information Technology Systems (HITS) are becoming more widely integrated into patient care in the dental school setting. The purpose of this study was to evaluate the impact of a chairside HITS on users in the dental school setting. Qualitative techniques, including interviews, focus groups and observations, were used. Using grounded theory, we saw 9 themes emerge. One theme of particular interest was that "training and support needs of end-users were significant." This paper explores this theme in detail and discusses the implications.

  7. Factor Structure and Measurement Invariance of the Need-Supportive Teaching Style Scale for Physical Education.

    Science.gov (United States)

    Liu, Jing-Dong; Chung, Pak-Kwong

    2017-08-01

    The purpose of the current study was to examine the factor structure and measurement invariance of a scale measuring students' perceptions of need-supportive teaching (Need-Supportive Teaching Style Scale in Physical Education; NSTSSPE). We sampled 615 secondary school students in Hong Kong, 200 of whom also completed a follow-up assessment two months later. Factor structure of the scale was examined through exploratory structural equation modeling (ESEM). Further, nomological validity of the NSTSSPE was evaluated by examining the relationships between need-supportive teaching style and student satisfaction of psychological needs. Finally, four measurement models-configural, metric invariance, scalar invariance, and item uniqueness invariance-were assessed using multiple group ESEM to test the measurement invariance of the scale across gender, grade, and time. ESEM results suggested a three-factor structure of the NSTSSPE. Nomological validity was supported, and weak, strong, and strict measurement invariance of the NSTSSPE was evidenced across gender, grade, and time. The current study provides initial psychometric support for the NSTSSPE to assess student perceptions of teachers' need-supportive teaching style in physical education classes.

  8. Revisiting the dose calculation methodologies in European decision support systems

    DEFF Research Database (Denmark)

    Andersson, Kasper Grann; Roos, Per; Hou, Xiaolin

    2012-01-01

    The paper presents examples of current needs for improvement and extended applicability of the European decision support systems. The systems were originally created for prediction of the radiological consequences of accidents at nuclear installations. They could however also be of great value in...... for, to introduce new knowledge and thereby improve prognoses....

  9. Cloud Computing Application on Transport Dispatching Informational Support Systems

    Directory of Open Access Journals (Sweden)

    Dmitry Olegovich Gusenitsa

    2015-05-01

    Full Text Available Transport dispatching informational support systems has received widespread attention due to high quality information density, strong coherence and applicable visualization features. Nevertheless, because of large volume of data, complex integration requirements and the need for information exchange between different users, time costs of the development and implementation of the informational support systems, problems associated with various data formats compatibility, security protocols and high maintenance cost, the opportunities for the application of such systems are significantly reduced. This article reviews the possibility of creating a cloud storage data system for transport dispatching informational support system (TDIS using modern computer technology to meet the challenges of mass data processing, information security and reduce operational costs. The system is expected to make full use of the advantages offered by the technology of cloud storage. Integrated cloud will increase the amount of data available to the system, reduce the speed processing requirements and reduce the overall cost of system implementation. Creation and integration of cloud storage is one of the most important areas of TDIS development, which is stimulating and promoting the further development of TDIS to ensure the requirements of its users.

  10. The Role of Online Social Support in Supporting and Educating Parents of Young Children With Special Health Care Needs in the United States: A Scoping Review

    Science.gov (United States)

    Staten, Lisa K; Rodgers, Rylin Christine; Denne, Scott C

    2016-01-01

    Background When parents of young children with special health care needs (CSHCN) receive their child’s diagnosis, they encounter information they may not understand, emotions they may not know how to cope with, and questions about their child’s immediate and long-term future that frequently lack answers. The challenge of health care providers is how to prepare parents for caring for their CSHCN, for coping with any resulting challenges, and for accessing the systems and services that can assist them. Objective The purpose of this work was to review evidence of the information and support needs of parents of young CSHCN and to determine whether online social support can serve as an avenue for learning and empowerment for these parents. Methods A scoping review identified the challenges, coping mechanisms, and support needs among parents of CSHCN, and the reach and effectiveness of digital technologies with these families and health care providers. We also conducted interviews with professionals serving parents of CSHCN. Results The literature review and interviews suggested that parents best learn the information they need, and cope with the emotional challenges of raising a CSHCN, with support from other parents of CSHCN, and that young parents in recent years have most often been finding this parent-to-parent support through digital media, particularly social media, consistent with the theory of online social support. Evidence also shows that social media, particularly Facebook, is used by nearly all women aged 18-29 years across racial and socioeconomic lines in the United States. Conclusions Parents of young CSHCN experience significant stress but gain understanding, receive support, and develop the ability to care for and be advocates for their child through parent-to-parent emotional and informational social support. Online social support is most effective with young adults of childbearing age, with social media and apps being the most useful within the

  11. Information security requirements in patient-centred healthcare support systems.

    Science.gov (United States)

    Alsalamah, Shada; Gray, W Alex; Hilton, Jeremy; Alsalamah, Hessah

    2013-01-01

    Enabling Patient-Centred (PC) care in modern healthcare requires the flow of medical information with the patient between different healthcare providers as they follow the patient's treatment plan. However, PC care threatens the stability of the balance of information security in the support systems since legacy systems fall short of attaining a security balance when sharing their information due to compromises made between its availability, integrity, and confidentiality. Results show that the main reason for this is that information security implementation in discrete legacy systems focused mainly on information confidentiality and integrity leaving availability a challenge in collaboration. Through an empirical study using domain analysis, observations, and interviews, this paper identifies a need for six information security requirements in legacy systems to cope with this situation in order to attain the security balance in systems supporting PC care implementation in modern healthcare.

  12. An exploration of needs and preferences for dietary support in colorectal cancer survivors: A mixed-methods study.

    Directory of Open Access Journals (Sweden)

    Meeke Hoedjes

    Full Text Available To describe the proportion of colorectal cancer (CRC survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not needing support; and to explore CRC survivors' specific needs and preferences with regard to lifestyle (i.e., dietary, exercise, and/or weight management support.This mixed-methods study comprised a cross-sectional survey among 1774 Dutch CRC survivors and three focus groups (n = 16. To examine associations, logistic regression analyses were conducted. Focus groups were audio-taped, transcribed verbatim, and analyzed using a thematic approach.Of 1458 respondents (82%, 1198 (67.5% were included for analyses. 17.5% reported a need for dietary support. Characteristics associated with this need were: being younger, living without a partner, having a stoma, having diabetes, and being overweight or obese. The main reason for needing support was being unable to initiate and maintain lifestyle changes without support. CRC survivors preferred receiving information soon after diagnosis to make an autonomous, informed decision on improving their lifestyle. They preferred to receive individually-tailored lifestyle support in an autonomy-supportive environment, preferably with involvement of their family and fellow-sufferers.This study has provided knowledge on appropriate support for CRC survivors in need for dietary support to improve health outcomes by promoting adherence to lifestyle and body weight recommendations. Findings can be used to better identify CRC survivors in need for dietary support, and to tailor lifestyle support to their needs and preferences in order to promote uptake, adherence, and effectiveness.

  13. Post Disaster Assessment with Decision Support System

    Directory of Open Access Journals (Sweden)

    May Florence J. Franco

    2016-05-01

    Full Text Available The study aimed to develop an online system that would expedite the response of agencies after disaster strikes; generate a list of the kinds and volume of relief aids needed per family affected for a fair, precise and timely distribution; implement community-based ICT by remotely gathering all the necessary data needed for disaster assessment; and adhere to ISO 9126 standards. The system was designed to calculate the effects of disaster in human lives and economy. Integrated into the system were Goggle Maps, Mines and GeoSciences Bureau Hazard Maps, SMS sending features, best passable routes calculations, and decision support on the needs that has to be addressed. The system was made live at pdrrmcguimaras.herokuapp.com to allow remote data entry. The functionality and usability of the system were evaluated by 19 potential users by computing for the arithmetic Mean and Standard Deviation of the survey. The result showed that most of them strongly agreed that the system is acceptable based on these criteria. A group of IT experts also evaluated the system’s conformance to ISO 9126 standards using the same method. The result showed that majority of them strongly agreed that the system conforms to this international standard. The system is seen as a valuable tool for the Provincial Disaster Risk Reduction Management Council (PDRRMC and the National Disaster Risk Reduction Management Council (NDRRMC for it could help expedite the assessment of the effects of disasters and the formulation of response plans and strategies.

  14. Strategies for fostering basic psychological needs support in high quality youth leadership programs.

    Science.gov (United States)

    Bean, Corliss; Harlow, Meghan; Kendellen, Kelsey

    2017-04-01

    Youth leadership programming has become an increasingly common context to foster basic psychological needs and promote youth development. The purpose of this qualitative study was to explore strategies involved in fostering youth needs support within six leadership programs. Two leaders and 30 youth participated in semi-structured interviews to better understand the strategies used to foster needs support. Findings revealed that leaders were able to foster a sense of relatedness among youth through building trusting adult-youth relationships and nurturing an inclusive environment. Maximizing choice and negotiating youth voice helped to foster youth's autonomy. Finally, creating a task-oriented climate and providing intentional opportunities for skill-building helped to foster youth's competence. Findings suggest that training for leaders is critical in understanding what, and how strategies should be employed to help foster youth needs support in leadership programming. Limitations and future directions are outlined. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Children in families with a severely mentally ill member. Prevalence and needs for support.

    Science.gov (United States)

    Ostman, Margareta; Hansson, Lars

    2002-05-01

    The prevalence of minor children in families with a severely mentally ill member, these children's needs for support and the situation of the spouses were investigated as part of a multi-centre study of the quality of the mental health services in Sweden performed in 1986, 1991 and 1997. The sample was drawn from relatives of compulsorily and voluntarily admitted inpatients to acute psychiatric wards. The instrument used was a semi-structured questionnaire, interviewing relatives about the burden of relatives, their needs for support and participation in care and items concerning the situation of the under-aged children in these families. The results over the years investigated showed the same proportion of patients admitted to hospital who were also parents to minor children and a decreasing proportion of patients who had the custody of their children. Female patients were more often a parent and also more often had the custody of the children. The majority of the children had needs for support caused by their parent's illness and these needs were met in half of the cases. The healthy spouses in families with minor children more often had to give up their own occupation and to a higher extent experienced own needs for care and support from psychiatric services compared to spouses without minor children. The study supports that there is an urgent need for the psychiatric services to initiate parental issues in programmes for treatment and rehabilitation to ensure that the specific needs of minor children are met.

  16. Foundational Tests of the Need-Support Model: A Framework for Bridging Regulatory Focus Theory and Self-Determination Theory.

    Science.gov (United States)

    Vaughn, Leigh Ann

    2017-03-01

    This article introduces the need-support model, which proposes that regulatory focus can affect subjective support for the needs proposed by self-determination theory (autonomy, competence, and relatedness), and support of these needs can affect subjective labeling of experiences as promotion-focused and prevention-focused. Three studies tested these hypotheses ( N = 2,114). Study 1 found that people recall more need support in promotion-focused experiences than in prevention-focused experiences, and need support in their day yesterday (with no particular regulatory focus) fell in between. Study 2 found that experiences of higher need support were more likely to be labeled as promotion-focused rather than prevention-focused, and that each need accounted for distinct variance in the labeling of experiences. Study 3 varied regulatory focus within a performance task and found that participants in the promotion condition engaged in need-support inflation, whereas participants in the prevention condition engaged in need-support deflation. Directions for future research are discussed.

  17. Housing First: exploring participants’ early support needs

    Science.gov (United States)

    2014-01-01

    participants, as well as problems related to substance use and a need for life skills training and support. Conclusions Additional strategies can help support Housing First participants in the early stages of program participation and address potential causes of early difficulties, including lack of life skills and social isolation. This study highlights the importance of early and ongoing evaluation, monitoring and program adaptations to address consumer support needs. Trial registration Current Controlled Trials ISRCTN42520374 PMID:24725374

  18. The voice of postsurgical lung cancer patients regarding supportive care needs

    Directory of Open Access Journals (Sweden)

    Hoffman AJ

    2014-04-01

    Full Text Available Amy J Hoffman,1 Ruth Ann Brintnall,2 Alexander von Eye,3 Julie Cooper,2 Jean K Brown41College of Nursing, Michigan State University, East Lansing, MI, USA; 2Kirkhof College of Nursing, Grand Valley State University, Grand Rapids, MI, USA; 3Psychology Department, Michigan State University, East Lansing, MI, USA; 4School of Nursing, State University of New York at Buffalo, Buffalo, NY, USAObjective: Individuals with lung cancer present with multiple comorbid conditions and complex treatment plans. They are frequently vulnerable during critical transitions in the cancer survivorship trajectory. Limited research exists on the postsurgical non-small-cell lung cancer (NSCLC population, relative to unmet supportive care needs. However, what is known is that the lung cancer population reports significantly more unmet supportive care needs than other cancer populations. The purpose of this study was to identify the postsurgical NSCLC patients’ unmet supportive care needs during transition from hospital to home and through recovery after participating in a 16-week exercise intervention.Materials and methods: Participants were 53–73 years of age with NSCLC (stage Ib-IIIa and participated in a 16-week light-intensity exercise program after hospital discharge. For this study, participants were interviewed 12-18 months post-thoracotomy. A qualitative design was used, incorporating a semistructured guide with open-ended questions to support discussion regarding recovery experiences through 16 weeks after transitioning from hospital to home. The interview was transcribed verbatim, and data were analyzed using content analysis. Content themes were independently coded by investigators and later combined into a single report verified through participant verification of the report.Results: Participants reviewed and agreed with the focus group report. Dominant themes included: 1 unpreparedness for post-thoracotomy recovery; 2 significant unmet needs upon

  19. Implementing an excellence in teaching recognition system: needs analysis and recommendations.

    Science.gov (United States)

    Schindler, Nancy; Corcoran, Julia C; Miller, Megan; Wang, Chih-Hsiung; Roggin, Kevin; Posner, Mitchell; Fryer, Jonathan; DaRosa, Debra A

    2013-01-01

    Teaching awards have been suggested to serve a variety of purposes. The specific characteristics of teaching awards and the associated effectiveness at achieving planned purposes are poorly understood. A needs analysis was performed to inform recommendations for an Excellence in Teaching Recognition System to meet the needs of surgical education leadership. We performed a 2-part needs analysis beginning with a review of the literature. We then, developed, piloted, and administered a survey instrument to General Surgery program leaders. The survey examined the features and perceived effectiveness of existing teaching awards systems. A multi-institution committee of program directors, clerkship directors, and Vice-Chairs of education then met to identify goals and develop recommendations for implementation of an "Excellence in Teaching Recognition System." There is limited evidence demonstrating effectiveness of existing teaching awards in medical education. Evidence supports the ability of such awards to demonstrate value placed on teaching, to inspire faculty to teach, and to contribute to promotion. Survey findings indicate that existing awards strive to achieve these purposes and that educational leaders believe awards have the potential to do this and more. Leaders are moderately satisfied with existing awards for providing recognition and demonstrating value placed on teaching, but they are less satisfied with awards for motivating faculty to participate in teaching or for contributing to promotion. Most departments and institutions honor only a few recipients annually. There is a paucity of literature addressing teaching recognition systems in medical education and little evidence to support the success of such systems in achieving their intended purposes. The ability of awards to affect outcomes such as participation in teaching and promotion may be limited by the small number of recipients for most existing awards. We propose goals for a Teaching Recognition

  20. Support needs for medication use and the suitability of eHealth technologies to address these needs: a focus group study of older patients with rheumatoid arthritis

    Directory of Open Access Journals (Sweden)

    Mathijssen EGE

    2018-03-01

    Full Text Available Elke GE Mathijssen,1 Johanna E Vriezekolk,1 Agnes MM Eijsbouts,1 Frank HJ van den Hoogen,1,2 Bart JF van den Bemt3 1Department of Rheumatology, Sint Maartenskliniek, Nijmegen, the Netherlands; 2Department of Rheumatology, Radboud University Medical Centre, Nijmegen, the Netherlands; 3Department of Pharmacy, Sint Maartenskliniek, Nijmegen, the Netherlands Objective: The objectives of this study were to explore the needs of patients with rheumatoid arthritis (RA regarding support for medication use and to gain insight into their perspective on the suitability of eHealth technologies to address these needs.Methods: Three focus groups were conducted with 28 patients with RA. Audio recordings made during the focus groups were transcribed verbatim. Two researchers independently performed an inductive, thematic analysis on the data (ie, the transcripts and field notes.Results: The following three themes that described support needs of patients with RA for medication use were identified in the data: 1 informational support; 2 practical support; and 3 emotional support. Informational support reflected the provision of information and facts, including advice, suggestions, and feedback from health care providers. Practical support included the reinforcement of practical skills as well as the provision of medication aids and pharmacy services. Emotional support reflected a trusted patient–health care provider relationship, characterized by good communication. Although potential advantages of eHealth technologies to address the patients’ support needs were recognized, concerns over matters such as personal interaction with health care providers, privacy and data security, and the quality and reliability of online information were prevalent.Conclusion: Patients with RA have informational, practical, and emotional support needs for medication use. Informational support seems to be most important. From the patients’ perspective, eHealth technologies may

  1. Technology Staff-Development and Support Programs: Applying Abraham Maslow's Hierarchy of Needs.

    Science.gov (United States)

    Bailey, Gerald D.; Pownell, David

    1998-01-01

    Presents Abraham Maslow's hierarchy of needs (physiological, safety, belonging, esteem, self-actualization) as a model for developing technology training and support for teachers, identifies basic technology-related needs that must be met before higher levels of technology integration can be achieved, and offers seven implications to help…

  2. The Role of Online Social Support in Supporting and Educating Parents of Young Children With Special Health Care Needs in the United States: A Scoping Review.

    Science.gov (United States)

    DeHoff, Beth A; Staten, Lisa K; Rodgers, Rylin Christine; Denne, Scott C

    2016-12-22

    When parents of young children with special health care needs (CSHCN) receive their child's diagnosis, they encounter information they may not understand, emotions they may not know how to cope with, and questions about their child's immediate and long-term future that frequently lack answers. The challenge of health care providers is how to prepare parents for caring for their CSHCN, for coping with any resulting challenges, and for accessing the systems and services that can assist them. The purpose of this work was to review evidence of the information and support needs of parents of young CSHCN and to determine whether online social support can serve as an avenue for learning and empowerment for these parents. A scoping review identified the challenges, coping mechanisms, and support needs among parents of CSHCN, and the reach and effectiveness of digital technologies with these families and health care providers. We also conducted interviews with professionals serving parents of CSHCN. The literature review and interviews suggested that parents best learn the information they need, and cope with the emotional challenges of raising a CSHCN, with support from other parents of CSHCN, and that young parents in recent years have most often been finding this parent-to-parent support through digital media, particularly social media, consistent with the theory of online social support. Evidence also shows that social media, particularly Facebook, is used by nearly all women aged 18-29 years across racial and socioeconomic lines in the United States. Parents of young CSHCN experience significant stress but gain understanding, receive support, and develop the ability to care for and be advocates for their child through parent-to-parent emotional and informational social support. Online social support is most effective with young adults of childbearing age, with social media and apps being the most useful within the theoretical framework of social support. This opens new

  3. Online Parent Training to Support Children with Complex Communication Needs

    Science.gov (United States)

    Douglas, Sarah N.; Nordquist, Erica; Kammes, Rebecca; Gerde, Hope

    2017-01-01

    Parent training can help support the development of communication skills for young children with complex communication needs (CCN). Online delivery of such training may alleviate some of the burden on families, thereby increasing participation and outcomes. To determine the effectiveness of online parent training in communication partner…

  4. 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.)

  5. 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

  6. A prototype of a documentation system that supports the development and maintenance of product configuration systems

    DEFF Research Database (Denmark)

    Haug, Anders; Degn, Anders; Poulsen, Bjarne

    2007-01-01

    , such as shorter lead times, reductions of resources needed and fewer errors. A procedure for the development and maintenance of PCSs, which has been applied in configuration projects for more than ten years, includes three main modelling techniques to support the development and maintenance of PCSs. Unfortunately...... system that supports the development and maintenance of PCSs. This article describes how some of this research has been converted into a prototype of a documentation system and what has been learned from the evaluation of the prototype...

  7. The Needs-Based Assessment of Parental (Guardian) Support: a test of its validity and reliability.

    Science.gov (United States)

    Bolen, Rebecca M; Leah Lamb, J; Gradante, Jennifer

    2002-10-01

    The purpose of this paper is to present a newly developed measure of guardian support, the Needs-Based Assessment of Parental (Guardian) Support (NAPS), an empirical evaluation of that measure, and its comparison with another measure of guardian support. The theoretical model that underlies this measure applies humanistic theory and Maslow's hierarchy of needs to the understanding of guardian support. The study employed a cross-sectional nonexperimental survey design using 183 nonoffending guardians who accompanied children presenting for a medical/forensic examination for sexual abuse. The NAPS and an existing measure of guardian support were administered during the hospital outpatient visit, and basic information concerning the child and abuse situations were gathered. The NAPS had robust psychometric properties and was culturally sensitive. Tests of specific hypotheses supported the construct validity of the measure and a conceptualization of guardian support as hierarchical, with four stages of support. The brevity and ease of administration of the NAPS for both the clinician and guardian suggest that it is a viable assessment tool. The strong support for the NAPS' underlying theoretical model suggests that the nonoffending guardians' available resources need to be considered when assessing guardian support.

  8. The supportive care needs of parents caring for a child with a rare disease: A scoping review.

    Science.gov (United States)

    Pelentsov, Lemuel J; Laws, Thomas A; Esterman, Adrian J

    2015-10-01

    Parents caring for a child with a rare disease report unmet needs, the origins of which are varied and complex. Few studies have systematically attempted to identify the supportive care needs of parents with a child with a rare disease comprehensively. We have used the widely accepted Supportive Care Needs Framework (SCNF) as the structure for this review. The purpose of the current review was to identify the supportive care needs of parents with a child with a rare disease, irrespective of condition. We conducted a scoping study review comprising 29 studies (1990-2014) to identify and examine the research literature related to the supportive care needs of parents, and to compare these needs with the seven domains outlined in the SCNF. Most common needs cited were social needs (72% of papers), followed by informational needs (65% of papers) and emotional needs (62% of papers), with the most common parental needs overall being information about their child's disease, emotional stress, guilt and uncertainty about their child's future health care needs, parents own caring responsibilities and the need for more general support. A paucity of studies exists that explore the supportive care needs of parents of a child with a rare disease. The SCNF only partially reflects the breadth and type of needs of these parents, and a preliminary revised framework has been suggested. Further research is required in this area, particularly empirical research to amend or confirm the suggested new framework. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. National Space Transportation System (NSTS) technology needs

    Science.gov (United States)

    Winterhalter, David L.; Ulrich, Kimberly K.

    1990-01-01

    The National Space Transportation System (NSTS) is one of the Nation's most valuable resources, providing manned transportation to and from space in support of payloads and scientific research. The NSTS program is currently faced with the problem of hardware obsolescence, which could result in unacceptable schedule and cost impacts to the flight program. Obsolescence problems occur because certain components are no longer being manufactured or repair turnaround time is excessive. In order to achieve a long-term, reliable transportation system that can support manned access to space through 2010 and beyond, NASA must develop a strategic plan for a phased implementation of enhancements which will satisfy this long-term goal. The NSTS program has initiated the Assured Shuttle Availability (ASA) project with the following objectives: eliminate hardware obsolescence in critical areas, increase reliability and safety of the vehicle, decrease operational costs and turnaround time, and improve operational capability. The strategy for ASA will be to first meet the mandatory needs - keep the Shuttle flying. Non-mandatory changes that will improve operational capability and enhance performance will then be considered if funding is adequate. Upgrade packages should be developed to install within designated inspection periods, grouped in a systematic approach to reduce cost and schedule impacts, and allow the capability to provide a Block 2 Shuttle (Phase 3).

  10. The need for psycho-oncological support for melanoma patients: Central role of patients' self-evaluation.

    Science.gov (United States)

    Mayer, Simone; Teufel, Martin; Schaeffeler, Norbert; Keim, Ulrike; Garbe, Claus; Eigentler, Thomas Kurt; Zipfel, Stephan; Forschner, Andrea

    2017-09-01

    Despite an increasing number of promising treatment options, only a limited number of studies concerning melanoma patients' psycho-oncological distress have been carried out. However, multiple screening tools are in use to assess the need for psycho-oncological support. This study aimed first to identify parameters in melanoma patients that are associated with a higher risk for being psycho-oncologically distressed and second to compare patients' self-evaluation concerning the need for psycho-oncological support with the results of established screening tools.We performed a cross-sectional study including 254 melanoma patients from the Center for Dermatooncology at the University of Tuebingen. The study was performed between June 2010 and February 2013. Several screening instruments were included: the Distress Thermometer (DT), Hospital Anxiety and Depression Scale and the patients' subjective evaluation concerning psycho-oncological support. Binary logistic regression was performed to identify factors that indicate the need for psycho-oncological support.Patients' subjective evaluation concerning the need for psycho-oncological support, female gender, and psychotherapeutic or psychiatric treatment at present or in the past had the highest impact on values above threshold in the DT. The odds ratio of patients' self-evaluation (9.89) was even higher than somatic factors like female gender (1.85), duration of illness (0.99), or increasing age (0.97). Patients' self-evaluation concerning the need for psycho-oncological support indicated a moderate correlation with the results of the screening tools included.In addition to the results obtained by screening tools like the DT, we could demonstrate that patients' self-evaluation is an important instrument to identify patients who need psycho-oncological support.

  11. Effects of need supportive teaching on early adolescents' motivation and engagement : A review of the literature

    NARCIS (Netherlands)

    Stroet, Kim; Opdenakker, Marie; Minnaert, Alexander

    In the present paper we systematically review the corpus of evidence on the effects of need supportive teaching on early adolescents' motivation and engagement for school. Based on Self-Determination Theory, we define need supportive teaching in terms of teachers' provision of autonomy support,

  12. Caring for the person with cancer: Information and support needs and the role of technology.

    Science.gov (United States)

    Heynsbergh, Natalie; Botti, Mari; Heckel, Leila; Livingston, Patricia M

    2018-06-01

    Informal carers experience a variety of information and support needs when providing care to someone with cancer. It is unclear when carers seek information and what resources they access to support themselves throughout the cancer trajectory. A sample of 45 carers and 15 oncology nurses were recruited to participate in either focus groups or phone interviews. Carers in the study were more likely to be women (60%), caring for a spouse or partner (64.4%), living with the patient (86.7%), and hold a university degree (46.7%). The majority of oncology nurses were females (66.6%). Findings showed that carers had limited access to adequate information as needs arose. Supports used to address information needs included information booklets, the Internet, and communication with healthcare professionals or with other carers. Barriers in communication between nurses and carers impacted on the adequacy of information received. Participants reported that technology, such as smartphone applications, might be appropriate for improving information and support needs. Caring for someone with cancer is multifaceted. Carers need access to timely information to help them effectively manage patients' needs. Future studies should assess the role of contemporary approaches, such as digital technology, as a solution to the delivery of information and support for carers of people with cancer. © 2018 The Authors. Psycho-Oncology Published by John Wiley & Sons Ltd.

  13. Effects of perceived autonomy support and basic need satisfaction on quality of life in hemodialysis patients.

    Science.gov (United States)

    Chen, Mei-Fang; Chang, Ray-E; Tsai, Hung-Bin; Hou, Ying-Hui

    2018-03-01

    Despite a growing understanding of health-related quality of life (HRQOL) and its determinants in hemodialysis (HD) patients, little is known about the effects and interrelationships concerning the perception of autonomy support and basic need satisfaction of HD patients on their HRQOL. Based on self-determination theory (SDT), this study examines whether HD patients' perceived autonomy support from health care practitioners (physicians and nurses) relates to the satisfaction of HD patients' basic needs and in turn influences their HRQOL. A questionnaire was administered to 250 Taiwanese HD patients recruited from multiclinical centers and regional hospitals in northern Taiwan. Structural equation modeling (SEM) analysis was conducted to examine the causal relationships between patient perceptions of autonomy support and HRQOL through basic need satisfaction. The empirical results of SEM indicated that the HD patients' perceived autonomy support increased the satisfaction of their basic needs (autonomy, competency, and relatedness), as expected. The higher degree of basic need satisfaction led to higher HRQOL, as measured by physical and mental component scores. Autonomy support from physicians and nurses contributes to improving HD patients' HRQOL through basic need satisfaction. This indicates that staff caring for patients with severe chronic diseases should offer considerable support for patient autonomy.

  14. Aksum University (AKU) faculties' needs for support in training and ...

    African Journals Online (AJOL)

    Ethiopian Journal of Business and Economics (The) ... Two Principle Component Analysis factors related to these hypotheses were described as a training factor TFAC1(I need training in data analysis and research report writing ) and a support factor TFAC2 (Internet access is essential and research class would not ...

  15. Supporting the Sexual Intimacy Needs of Patients in a Longer Stay Inpatient Forensic Setting.

    Science.gov (United States)

    Quinn, Chris; Happell, Brenda

    2016-10-01

    To explore perceptions of nurses and patients regarding sexual intimacy in a long-term mental health unit. Qualitative exploratory design including in-depth semi-structured individual interviews with 12 registered nurses and 10 long-term patients of a forensic mental health hospital. The theme of supporting sexual intimacy was identified and described in this paper and included the following subthemes for nurses: It depends on the setting, need for guidelines and consent, and for patients-it depends on the setting; and need for support. The findings suggest that current guidelines regarding sexual intimacy in acute inpatient settings may not be appropriate in long-term facilities, with a need for guidelines to specifically address this setting. Furthermore, support for sexual intimacy needs of patients was identified as a strong need for patients and they believed not currently met. Nurses have an important role to play as part of their holistic approach to care and barriers to providing this aspect of care must be overcome to ensure patients' rights are respected. © 2015 Wiley Periodicals, Inc.

  16. Realities and Challenges of Support for Children with Special Needs in Nursery Schools.

    Science.gov (United States)

    Ishiguro, Kaori; Yoshioka, Shin-Ichi

    2016-03-01

    Nursery schools and kindergartens have been struggling to cope with increasing numbers of children with special needs. Hence, we conducted a study on what nursery school teachers (NSTs) will require regarding learning and societal resources for supporting such children in the future. A questionnaire survey was conducted for 2,476 NSTs employed in 154 nursery schools in Shimane and Kochi Prefectures. The questionnaires were sent by post to officials at each nursery school. The completed questionnaires were collected by the school officials and returned by post. In addition to statistical processing of the survey results, the content of the free description responses was analyzed using the KJ method. Responses were obtained from 1,509 NSTs at 118 nursery schools. Of the respondents, 90.7% had experienced difficulties coping with children with special needs, and 83.9% were in charge of caring for such children. Such children were enrolled in every childcare facility participating in the survey. The NSTs primarily needed to learn about specific coping methods, the illness, and skills for supporting parents; concerning the societal resources, they needed the addition of assistant NSTs, the implementation of age-five check-up, and the recruitment of mentors. The free description responses were categorized into the following five categories: demand for child care administration, cooperation with professional staff, support for parents, developmental health checkups, and on-site needs for nursery childcare. One of the specific demands was to develop human resources capable of providing parents with appropriate advice. The results have shown that all NSTs are required to deal with children with special needs. Future challenges for providing support for such children are: ⅰ) to raise awareness of such children; ⅱ) to eliminate regional disparities; ⅲ) to provide professional training for NSTs specializing in developmental disorders; ⅳ) to train and re

  17. Needs assessment for remote systems technology at the Chornobyl Unit 4 shelter

    International Nuclear Information System (INIS)

    Carteret, B.A.; Holliday, M.A.; Jones, E.D.

    1997-12-01

    The accident at Chornobyl Unit 4 on April 26, 1986, resulted in a series of unprecedented scientific and technical challenges. The reactor building was damaged extensively. Following the accident, immediate action was needed to seal off the gaping crater created by the accident, which was a continuing source of airborne contamination. Under extreme conditions, a structure called the open-quotes Shelterclose quotes was built over the remains of the reactor building. The Shelter, which was quickly completed in November 1986, was meant to provide immediate but temporary containment. Now, 11 years later, there are significant concerns about its structural integrity and projected life expectancy. The United States and other participating G-7 countries are supporting nuclear safety upgrade efforts in Eastern Europe with a primary focus on placing the Chornobyl Nuclear Power Plant (ChNPP) Unit 4 Shelter in a stable and environmentally acceptable condition. Application of remote systems technologies will play an important part in achieving the goals of this program. The G-7 nations have agreed to support these efforts, including the identification and development of remote system technologies for fuel removal. However at this time they have taken a firm stance against funding actual fuel removal activities. The U.S. Department of Energy Office of Nuclear Energy, Science and Technology requested that a needs assessment be performed to evaluate the requirements for applying remote systems, including robotics, at the Shelter. This document is intended to be used to identify remote systems needs and requirements at the Shelter and to provide general information on the conditions in the Shelter that could impact the use of remote systems. This document is intended as a source of information to assist those who will be implementing the Shelter Implementation Plan tasks. The document provides background information and general guidance on the application of remote systems

  18. Virtual working systems to support R&D groups

    Science.gov (United States)

    Dew, Peter M.; Leigh, Christine; Drew, Richard S.; Morris, David; Curson, Jayne

    1995-03-01

    The paper reports on the progress at Leeds University to build a Virtual Science Park (VSP) to enhance the University's ability to interact with industry, grow its applied research and workplace learning activities. The VSP exploits the advances in real time collaborative computing and networking to provide an environment that meets the objectives of physically based science parks without the need for the organizations to relocate. It provides an integrated set of services (e.g. virtual consultancy, workbased learning) built around a structured person- centered information model. This model supports the integration of tools for: (a) navigating around the information space; (b) browsing information stored within the VSP database; (c) communicating through a variety of Person-to-Person collaborative tools; and (d) the ability to the information stored in the VSP including the relationships to other information that support the underlying model. The paper gives an overview of a generic virtual working system based on X.500 directory services and the World-Wide Web that can be used to support the Virtual Science Park. Finally the paper discusses some of the research issues that need to be addressed to fully realize a Virtual Science Park.

  19. Development of a computerized operator support system for BWR power plant

    International Nuclear Information System (INIS)

    Monta, K.; Sekimizu, K.; Sato, N.; Araki, T.; Mori, N.

    1985-01-01

    A computerized operator support system for BWR power plant has been developed since 1980 supported by the Japanese government. The main functions of the systems are post trip operational guidance, disturbance analysis, standby system management, operational margin monitoring and control rod operational guidance. The former two functions aim at protection against incidents during operation of nuclear power plants and the latter three functions aim at their prevention. As the final stage of the development, these functions are combined with the plant supervision function and are organized as an advanced man-machine interface for BWR power plant. During the above process, operator task analyses are performed to enable synthesis of these support functions for right fit to operator tasks and to realize a hierarchical structure for CRT displays for right fit to operators cognitive needs. (author)

  20. Effects of Need Supportive Teaching on Early Adolescents' Motivation and Engagement: A Review of the Literature

    Science.gov (United States)

    Stroet, Kim; Opdenakker, Marie-Christine; Minnaert, Alexander

    2013-01-01

    In the present paper we systematically review the corpus of evidence on the effects of need supportive teaching on early adolescents' motivation and engagement for school. Based on Self-Determination Theory, we define need supportive teaching in terms of teachers' provision of autonomy support, structure, and involvement. The results of an…

  1. Using Best Practices to Extract, Organize, and Reuse Embedded Decision Support Content Knowledge Rules from Mature Clinical Systems.

    Science.gov (United States)

    DesAutels, Spencer J; Fox, Zachary E; Giuse, Dario A; Williams, Annette M; Kou, Qing-Hua; Weitkamp, Asli; Neal R, Patel; Bettinsoli Giuse, Nunzia

    2016-01-01

    Clinical decision support (CDS) knowledge, embedded over time in mature medical systems, presents an interesting and complex opportunity for information organization, maintenance, and reuse. To have a holistic view of all decision support requires an in-depth understanding of each clinical system as well as expert knowledge of the latest evidence. This approach to clinical decision support presents an opportunity to unify and externalize the knowledge within rules-based decision support. Driven by an institutional need to prioritize decision support content for migration to new clinical systems, the Center for Knowledge Management and Health Information Technology teams applied their unique expertise to extract content from individual systems, organize it through a single extensible schema, and present it for discovery and reuse through a newly created Clinical Support Knowledge Acquisition and Archival Tool (CS-KAAT). CS-KAAT can build and maintain the underlying knowledge infrastructure needed by clinical systems.

  2. Using Best Practices to Extract, Organize, and Reuse Embedded Decision Support Content Knowledge Rules from Mature Clinical Systems

    Science.gov (United States)

    DesAutels, Spencer J.; Fox, Zachary E.; Giuse, Dario A.; Williams, Annette M.; Kou, Qing-hua; Weitkamp, Asli; Neal R, Patel; Bettinsoli Giuse, Nunzia

    2016-01-01

    Clinical decision support (CDS) knowledge, embedded over time in mature medical systems, presents an interesting and complex opportunity for information organization, maintenance, and reuse. To have a holistic view of all decision support requires an in-depth understanding of each clinical system as well as expert knowledge of the latest evidence. This approach to clinical decision support presents an opportunity to unify and externalize the knowledge within rules-based decision support. Driven by an institutional need to prioritize decision support content for migration to new clinical systems, the Center for Knowledge Management and Health Information Technology teams applied their unique expertise to extract content from individual systems, organize it through a single extensible schema, and present it for discovery and reuse through a newly created Clinical Support Knowledge Acquisition and Archival Tool (CS-KAAT). CS-KAAT can build and maintain the underlying knowledge infrastructure needed by clinical systems. PMID:28269846

  3. Cancer survivors and their partners: the assessment of unmet supportive care needs

    International Nuclear Information System (INIS)

    Smith, K.; Pendlebury, S.; Butow, P.; Hobbs, K.; Wain, G.

    2003-01-01

    Our understanding of unmet supportive care needs of cancer survivors and their partners is limited. Most studies have focused on needs of patients undergoing treatment and on Quality of life or patient satisfaction. For the purpose of this research, cancer survivors are defined as persons who received a cancer diagnosis at least one year previously and are disease free. The aim of this study is to develop measures to assess unmet needs in survivors and their partners. After developing the questionnaire items it was piloted for validity in a wide sample of cancer patients from the radiation oncology department. 105 patients, all women, 101 with breast cancer and 40 partners participated. Psychological morbidity of depression and anxiety was recorded and was low. Quality of life for both survivors and partners was close to the US population mean. For patients top 4 unmet needs was 1. Anxiety about cancer returning (35%), current information (21%), understandable information (28%), ongoing case manager (25%). Unmet needs for partners were 1. Need to know all the doctors were communication (3.2%), need for local health services (2.8%), current information (2.1%) and help with managing concerns about the cancer returning (2.1%). 73% of partners reported at least one positive outcome from their partner's experience, significantly more than the survivors. In conclusion, interim analysis of the questionnaire reveals validity. Survivors report ongoing high levels of unmet needs 3-9 years after cancer diagnosis ( 30%). Less than 4% of partners report such unmet needs. There is significant correlation between needs of partners and survivors, many of which relate to issues of ongoing support and information delivery

  4. 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

  5. Teachers’ perceptions of students’ additional support needs : in the eye of the beholder?

    NARCIS (Netherlands)

    Bruggink, Marjon; Goei, Sui L.; Koot, Hans M.

    2016-01-01

    Nowadays, teachers are regarded as key players in the process of identifying and catering to students’ additional support needs within mainstream primary classrooms. However, teachers’ professional judgements regarding students with special needs have been found to be contextually influenced (e.g.

  6. [Habitability and life support systems].

    Science.gov (United States)

    Nefedov, Iu G; Adamovich, B A

    1988-01-01

    This paper discusses various aspects of space vehicle habitability and life support systems. It describes variations in the chemical and microbial composition of an enclosed atmosphere during prolonged real and simulated flights. The paper gives a detailed description of life support systems and environmental investigations onboard the Mir station. It also outlines the development of space vehicle habitability and life support systems as related to future flights.

  7. Extension Activity Support System (EASY: A Web-Based Prototype for Facilitating Farm Management

    Directory of Open Access Journals (Sweden)

    Christopher Pettit

    2012-01-01

    Full Text Available In response to disparate advances in delivering spatial information to support agricultural extension activities, the Extension Activity Support System (EASY project was established to develop a vision statement and conceptual design for such a system based on a national needs assessment. Personnel from across Australia were consulted and a review of existing farm information/management software undertaken to ensure that any system that is eventually produced from the EASY vision will build on the strengths of existing efforts. This paper reports on the collaborative consultative process undertaken to create the EASY vision as well as the conceptual technical design and business models that could support a fully functional spatially enabled online system.

  8. Autonomy Support, Need Satisfaction, and Motivation for Support among Adults with Intellectual Disability: Testing a Self-Determination Theory Model

    Science.gov (United States)

    Frielink, Noud; Schuengel, Carlo; Embregts, Petri J. C. M.

    2018-01-01

    The tenets of self-determination theory as applied to support were tested with structural equation modelling for 186 people with ID with a mild to borderline level of functioning. The results showed that (a) perceived autonomy support was positively associated with autonomous motivation and with satisfaction of need for autonomy, relatedness, and…

  9. How Can a Global Social Support System Hope to Achieve Fairer Competiveness?; Comment on “A Global Social Support System: What the International Community Could Learn From the United States’ National Basketball Association”

    Directory of Open Access Journals (Sweden)

    Peter Goldblatt

    2016-03-01

    Full Text Available Ooms et al sets out some good general principles for a global social support system to improve fairer global competitiveness as a result of redistribution. This commentary sets out to summarize some of the conditions that would need to be satisfied for it to level up gradients in inequality through such a social support system, using the National Basketball Association (NBA example as a point of reference. From this, the minimal conditions are described that would be required for the support system, proposed in the article by Ooms et al, to succeed.

  10. A Systematic Review of Unmet Information and Psychosocial Support Needs of Adults Diagnosed with Thyroid Cancer.

    Science.gov (United States)

    Hyun, Yong Gyu; Alhashemi, Ahmad; Fazelzad, Rouhi; Goldberg, Alyse S; Goldstein, David P; Sawka, Anna M

    2016-09-01

    Patient education and psychosocial support to patients are important elements of comprehensive cancer care, but the needs of thyroid cancer survivors are not well understood. The published English-language quantitative literature on (i) unmet medical information and (ii) psychosocial support needs of thyroid cancer survivors was systematically reviewed. A librarian information specialist searched seven electronic databases and a hand search was conducted. Two reviewers independently screened citations from the electronic search and reviewed relevant full-text papers. There was consensus between reviewers on the included papers, and duplicate independent abstraction was performed. The results were summarized descriptively. A total of 1984 unique electronic citations were screened, and 51 full-text studies were reviewed (three from the hand search). Seven cross-sectional, single-arm, survey studies were included, containing data from 6215 thyroid cancer survivor respondents. The respective study sizes ranged from 57 to 2398 subjects. All of the studies had some methodological limitations. Unmet information needs were variable relating to the disease, diagnostic tests, treatments, and co-ordination of medical care. There were relatively high unmet information needs related to aftercare (especially long-term effects of the disease or its treatment and its management) and psychosocial concerns (including practical and financial matters). Psychosocial support needs were incompletely met. Patient information on complementary and alternative medicine was very limited. In conclusion, thyroid cancer survivors perceive many unmet information needs, and these needs extend to aftercare. Psychosocial information and supportive care needs may be insufficiently met in this population. More work is needed to improve knowledge translation and psychosocial support for thyroid cancer survivors.

  11. Support System Model for Value based Group Decision on Roof System Selection

    Directory of Open Access Journals (Sweden)

    Christiono Utomo

    2011-02-01

    Full Text Available A group decision support system is required on a value-based decision because there are different concern caused by differing preferences, experiences, and background. It is to enable each decision-maker to evaluate and rank the solution alternatives before engaging into negotiation with other decision-makers. Stakeholder of multi-criteria decision making problems usually evaluates the alternative solution from different perspective, making it possible to have a dominant solution among the alternatives. Each stakeholder needs to identify the goals that can be optimized and those that can be compromised in order to reach an agreement with other stakeholders. This paper presents group decision model involving three decision-makers on the selection of suitable system for a building’s roof. The objective of the research is to find an agreement options model and coalition algorithms for multi person decision with two main preferences of value which are function and cost. The methodology combines value analysis method using Function Analysis System Technique (FAST; Life Cycle Cost analysis, group decision analysis method based on Analytical Hierarchy Process (AHP in a satisfying options, and Game theory-based agent system to develop agreement option and coalition formation for the support system. The support system bridges theoretical gap between automated design in construction domain and automated negotiation in information technology domain by providing a structured methodology which can lead to systematic support system and automated negotiation. It will contribute to value management body of knowledge as an advanced method for creativity and analysis phase, since the practice of this knowledge is teamwork based. In the case of roof system selection, it reveals the start of the first negotiation round. Some of the solutions are not an option because no individual stakeholder or coalition of stakeholders desires to select it. The result indicates

  12. Nurses' perspectives on how an e-message system supports cross-sectoral communication in relation to medication administration

    DEFF Research Database (Denmark)

    Foged, Signe; Nørholm, Vibeke; Andersen, Ove

    2018-01-01

    AIMS AND OBJECTIVES: The aim was to describe nurses' perspectives on how an e-message system supports communication between hospital and home care nurses in relation to medication administration. BACKGROUND: Medication administration is a complex process involving a high risk of error. Unclear......: The e-message system did not provide the information needed by the home care nurses to ensure safe medication administration after discharge due to (a) limitations of the system, (b) hospital nurses' lack of knowledge about home care nurses' information needs, and (c) hospital nurses' lack of access...... safe medication administration; however, the e-message system did not support exchange of the information needed. This article is protected by copyright. All rights reserved....

  13. Decision support systems in water and wastewater treatment process selection and design: a review.

    Science.gov (United States)

    Hamouda, M A; Anderson, W B; Huck, P M

    2009-01-01

    The continuously changing drivers of the water treatment industry, embodied by rigorous environmental and health regulations and the challenge of emerging contaminants, necessitates the development of decision support systems for the selection of appropriate treatment trains. This paper explores a systematic approach to developing decision support systems, which includes the analysis of the treatment problem(s), knowledge acquisition and representation, and the identification and evaluation of criteria controlling the selection of optimal treatment systems. The objective of this article is to review approaches and methods used in decision support systems developed to aid in the selection, sequencing of unit processes and design of drinking water, domestic wastewater, and industrial wastewater treatment systems. Not surprisingly, technical considerations were found to dominate the logic of the developed systems. Most of the existing decision-support tools employ heuristic knowledge. It has been determined that there is a need to develop integrated decision support systems that are generic, usable and consider a system analysis approach.

  14. 14 CFR 417.307 - Support systems.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Support systems. 417.307 Section 417.307... TRANSPORTATION LICENSING LAUNCH SAFETY Flight Safety System § 417.307 Support systems. (a) General. (1) A flight safety system must include the systems required by this section to support the functions of the flight...

  15. Information System Engineering Supporting Observation, Orientation, Decision, and Compliant Action

    Science.gov (United States)

    Georgakopoulos, Dimitrios

    The majority of today's software systems and organizational/business structures have been built on the foundation of solving problems via long-term data collection, analysis, and solution design. This traditional approach of solving problems and building corresponding software systems and business processes, falls short in providing the necessary solutions needed to deal with many problems that require agility as the main ingredient of their solution. For example, such agility is needed in responding to an emergency, in military command control, physical security, price-based competition in business, investing in the stock market, video gaming, network monitoring and self-healing, diagnosis in emergency health care, and many other areas that are too numerous to list here. The concept of Observe, Orient, Decide, and Act (OODA) loops is a guiding principal that captures the fundamental issues and approach for engineering information systems that deal with many of these problem areas. However, there are currently few software systems that are capable of supporting OODA. In this talk, we provide a tour of the research issues and state of the art solutions for supporting OODA. In addition, we provide specific examples of OODA solutions we have developed for the video surveillance and emergency response domains.

  16. How Can a Global Social Support System Hope to Achieve Fairer Competiveness? Comment on "A Global Social Support System: What the International Community Could Learn From the United States' National Basketball Association".

    Science.gov (United States)

    Goldblatt, Peter

    2015-12-25

    Ooms et al sets out some good general principles for a global social support system to improve fairer global competitiveness as a result of redistribution. This commentary sets out to summarize some of the conditions that would need to be satisfied for it to level up gradients in inequality through such a social support system, using the National Basketball Association (NBA) example as a point of reference. From this, the minimal conditions are described that would be required for the support system, proposed in the article by Ooms et al, to succeed. © 2016 by Kerman University of Medical Sciences.

  17. Advocating for More Student-Centered Physical Education: The Case for Need-Supportive Instruction

    Science.gov (United States)

    Washburn, Nicholas; Richards, K. Andrew R.; Sinelnikov, Oleg

    2016-01-01

    The purpose of this article is to introduce the concept of need-supportive instruction as a practical means through which PE teachers can satisfy their students' psychological needs, leading to more self-determined student motivation in class and, ultimately, tangible benefits outside of school.

  18. Preliminary study of the space adaptation of the MELiSSA life support system

    Science.gov (United States)

    Mas-Albaigès, Joan L.; Duatis, Jordi; Podhajsky, Sandra; Guirado, Víctor; Poughon, Laurent

    MELiSSA (Micro-Ecological Life Support System Alternative) is an European Space Agency (ESA) project focused on the development of a closed regenerative life support system to aid the development of technologies for future life support systems for long term manned planetary missions, e.g. a lunar base or missions to Mars. In order to understand the potential evolution of the MELiSSA concept towards its future use in the referred manned planetary mission context the MELiSSA Space Adaptation (MSA) activity has been undertaken. MSA's main objective is to model the different MELiSSA compartments using EcosimPro R , a specialized simulation tool for life support applications, in order to define a preliminary MELiSSA implementation for service in a man-tended lunar base scenario, with a four-member crew rotating in six-month increments, and performing the basic LSS functions of air revitalization, food production, and waste and water recycling. The MELiSSA EcosimPro R Model features a dedicated library for the different MELiSSA elements (bioreactors, greenhouse, crew, interconnecting elements, etc.). It is used to dimension the MELiSSA system in terms of major parameters like mass, volume and energy needs, evaluate the accuracy of the results and define the strategy for a progressive loop closure from the initial required performance (approx.100 The MELiSSA configuration(s) obtained through the EcosimPro R simulation are further analysed using the Advanced Life Support System Evaluation (ALISSE) metric, relying on mass, energy, efficiency, human risk, system reliability and crew time, for trade-off and optimization of results. The outcome of the MSA activity is, thus, a potential Life Support System architecture description, based on combined MELiSSA and other physico-chemical technologies, defining its expected performance, associated operational conditions and logistic needs.

  19. Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.

    Science.gov (United States)

    Fielding, Richard; Lam, Wendy Wing Tak; Shun, Shiow Ching; Okuyama, Toru; Lai, Yeur Hur; Wada, Makoto; Akechi, Tatsuo; Li, Wylie Wai Yee

    2013-01-01

    Studies using the Supportive Care Needs Survey (SCNS) report high levels of unmet supportive care needs (SCNs) in psychological and less-so physical & daily living domains, interpreted as reflecting disease/treatment-coping deficits. However, service and culture differences may account for unmet SCNs variability. We explored if service and culture differences better account for observed SCNs patterns. Hong Kong (n = 180), Taiwanese (n = 263) and Japanese (n = 109) CRC patients' top 10 ranked SCNS-34 items were contrasted. Mean SCNS-34 domain scores were compared by sample and treatment status, then adjusted for sample composition, disease stage and treatment status using multivariate hierarchical regression. All samples were assessed at comparable time-points. SCNs were most prevalent among Japanese and least among Taiwanese patients. Japanese patients emphasized Psychological (domain mean = 40.73) and Health systems and information (HSI) (38.61) SCN domains, whereas Taiwanese and Hong Kong patients emphasized HSI (27.41; 32.92) and Patient care & support (PCS) (19.70; 18.38) SCN domains. Mean Psychological domain scores differed: Hong Kong = 9.72, Taiwan = 17.84 and Japan = 40.73 (pcultural influences, age and occupation differences, and less so clinical factors, differentially account for significant variation in published studies of SCNs.

  20. Transportation system modeling and simulation in support of logistics and operations

    International Nuclear Information System (INIS)

    Yoshimura, R.H.; Kjeldgaard, E.A.; Turnquist, M.A.; List, G.F.

    1997-12-01

    Effective management of DOE's transportation operations requires better data than are currently available, a more integrated management structure for making transportation decisions, and decision support tools to provide needed analysis capabilities. This paper describes a vision of an advanced logistics management system for DOE, and the rationale for developing improved modeling and simulation capability as an integral part of that system. The authors illustrate useful types of models through four examples, addressing issues of transportation package allocation, fleet sizing, routing/scheduling, and emergency responder location. The overall vision for the advanced logistics management system, and the specific examples of potential capabilities, provide the basis for a conclusion that such a system would meet a critical DOE need in the area of radioactive material and waste transportation

  1. Transportation system modeling and simulation in support of logistics and operations

    International Nuclear Information System (INIS)

    Yoshimura, R.H.; Kjeldgaard, E.A.; Turnquist, M.A.; List, G.F.

    1998-01-01

    Effective management of DOE's transportation operations requires better data than are currently available, a more integrated management structure for making transportation decisions, and decision support tools to provide needed analysis capabilities. This paper describes a vision of an advanced logistics management system for DOE, and the rationale for developing improved modeling and simulation capability as an integral part of that system. We illustrate useful types of models through four examples, addressing issues of transportation package allocation, fleet sizing, routing/Scheduling, and emergency responder location. The overall vision for the advanced logistics management system, and the specific examples of potential capabilities, provide the basis for a conclusion that such a system would meet a critical DOE need in the area of radioactive material and waste transportation. (authors)

  2. Exploring Peer Support Needs of Caregivers for Youth with Mental Illness or Addictions Concerns in Family Navigation Services.

    Science.gov (United States)

    Markoulakis, R; Turner, M; Wicik, K; Weingust, S; Dobbin, K; Levitt, A

    2017-11-16

    Roles for peer support workers are increasingly recognized as a valuable component of mental health and addictions (MHA) services. In youth MHA care, caregivers are often closely involved in finding and accessing services and may also require support for themselves, yet caregiver peer support is not readily available in existing service delivery models. In order to understand the potential role and value of a caregiver peer support worker in a Family Navigation service, a descriptive qualitative study was conducted to explore the needs and potential value of a peer worker from caregiver client perspectives. Study findings indicate that a caregiver peer support worker can provide support for engaging in the caregiving role, utilize lived experience as a skill, and complement navigation support through lived experience. The discussion highlights implications for the implementation of a caregiver peer role at a family-focused service as well as implications for peer work within the MHA system.

  3. Use of technology to support information needs for continuity of operations planning in public health: a systematic review.

    Science.gov (United States)

    Reeder, Blaine; Turner, Anne; Demiris, George

    2010-01-01

    Continuity of operations planning focuses on an organization's ability to deliver essential services before, during and after an emergency. Public health leaders must make decisions based on information from many sources and their information needs are often facilitated or hindered by technology. The aim of this study is to provide a systematic review of studies of technology projects that address public health continuity of operations planning information needs and to discuss patterns, themes, and challenges to inform the design of public health continuity of operations information systems. To return a comprehensive results set in an under-explored area, we searched broadly in the Medline and EBSCOHost bibliographic databases using terms from prior work in public health emergency management and continuity of operations planning in other domains. In addition, we manually searched the citation lists of publications included for review. A total of 320 publications were reviewed. Twenty studies were identified for inclusion (twelve risk assessment decision support tools, six network and communications-enabled decision support tools, one training tool and one dedicated video-conferencing tool). Levels of implementation for information systems in the included studies range from proposed frameworks to operational systems. There is a general lack of documented efforts in the scientific literature for technology projects about public health continuity of operations planning. Available information about operational information systems suggest inclusion of public health practitioners in the design process as a factor in system success.

  4. Perceived need for psychosocial support depending on emotional distress and mental comorbidity in men and women with cancer.

    Science.gov (United States)

    Faller, Hermann; Weis, Joachim; Koch, Uwe; Brähler, Elmar; Härter, Martin; Keller, Monika; Schulz, Holger; Wegscheider, Karl; Boehncke, Anna; Hund, Bianca; Reuter, Katrin; Richard, Matthias; Sehner, Susanne; Szalai, Carina; Wittchen, Hans-Ulrich; Mehnert, Anja

    2016-02-01

    Although elevated levels of distress are supposed to constitute a need for psychosocial support, the relation between elevated distress and need for support does not appear to be straightforward. We aimed to determine cancer patients' perceived need for psychosocial support, and examine the relation of need to both self-reported emotional distress and the interview-based diagnosis of a mental disorder. In a multicenter, cross-sectional study in Germany, 4020 cancer patients (mean age 58 years, 51% women) were evaluated. We obtained self-reports of need for psychosocial support. We measured distress with the National Comprehensive Cancer Network (NCCN) Distress Thermometer (DT) and depressive symptoms with the Patient Health Questionnaire (PHQ-9). In a subsample, we evaluated the presence of a mental disorder using the Composite International Diagnostic Interview (CIDI). 32.1% (95%-CI 30.6 to 33.6) of patients perceived a need for psychosocial support. Younger age, female sex, and higher education were associated with more needs, being married and living with a partner with fewer needs, respectively. While up to 51.2% of patients with elevated distress levels reported a need for psychosocial support, up to 26.1% of those without elevated distress levels perceived such a need. Results were similar across distress assessment methods. Our findings emphasize that the occurrence of mental distress is one important but not an exclusive factor among different motives to report the need for psychosocial support. We should thus consider multifaceted perspectives, facilitators and barriers when planning and implementing patient-centered psychosocial care services. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. NASA Advanced Exploration Systems: Advancements in Life Support Systems

    Science.gov (United States)

    Shull, Sarah A.; Schneider, Walter F.

    2016-01-01

    The NASA Advanced Exploration Systems (AES) Life Support Systems (LSS) project strives to develop reliable, energy-efficient, and low-mass spacecraft systems to provide environmental control and life support systems (ECLSS) critical to enabling long duration human missions beyond low Earth orbit (LEO). Highly reliable, closed-loop life support systems are among the capabilities required for the longer duration human space exploration missions assessed by NASA’s Habitability Architecture Team.

  6. Issues regarding the design and acceptance of intelligent support systems for reactor operators

    International Nuclear Information System (INIS)

    Bernard, J.A.

    1992-01-01

    In this paper, factors relevant to the design and acceptance of intelligent support systems for the operation of nuclear power plants are enumerated and discussed. The central premise is that conventional expert systems which encode experiential knowledge in production rules are not a suitable vehicle for the creation of practical operator support systems. The principal difficulty is the need for real-time operation. This in turn means that intelligent support systems will have knowledge bases derived from temporally accurate plant models, inference engines that permit revisions in the search process so as to accommodate revised or new data, and man-machine interfaces that do not require any human input. Such systems will have to be heavily instrumented and the associated knowledge bases will require a hierarchical organization so as to emulate human approaches to analysis. Issues related to operator acceptance of intelligent support tools are then reviewed. Possible applications are described and the relative merits of the machine- and human-centered approaches to the implementation of intelligent support systems are enumerated. The paper concludes with a plea for additional experimental evaluations

  7. Parent Perceptions of Time Spent Meaningfully by Young Adults with Pervasive Support Needs

    Science.gov (United States)

    Rossetti, Zachary; Lehr, Donna; Lederer, Leslie; Pelerin, Dana; Huang, Shuoxi

    2015-01-01

    This article describes a qualitative study that examined how 23 young adults with pervasive support needs and limited functional communication spent their time and how their parents (n = 23) and direct support professionals (DSPs; n = 2) defined meaningfulness in relation to the young adults' experiences. Data were collected through…

  8. An exploration of needs and preferences for dietary support in colorectal cancer survivors : A mixed-methods study

    NARCIS (Netherlands)

    Hoedjes, M.; De Kruif, Anja; Mols, F.; Bours, Martijn; Beijer, Sandra; Winkels, Renate; Westerman, Marjan J.; Seidell, Jaap C.; Kampman, Ellen; De Souza, Russell J.

    2017-01-01

    Purpose: To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC

  9. An exploration of needs and preferences for dietary support in colorectal cancer survivors : A mixed-methods study

    NARCIS (Netherlands)

    Hoedjes, Meeke; De Kruif, Anja; Mols, Floortje; Bours, Martijn; Beijer, Sandra; Winkels, Renate; Westerman, Marjan J.; Seidell, Jaap C.; Kampman, Ellen

    2017-01-01

    PURPOSE: To describe the proportion of colorectal cancer (CRC) survivors who perceive a need for dietary support; to examine which socio-demographic, cancer-related, and health-related characteristics are associated with this need; to explore reasons for (not) needing support; and to explore CRC

  10. Supporting the national energy needs for the early 21st century with the advanced liquid metal reactor system (ALMRS)

    International Nuclear Information System (INIS)

    Hutchins, B.A.; Quinn, J.E.; Thompson, M.L.

    1991-01-01

    This paper presents a cost effective approach to providing a major contribution to the electricity needs of the United States in the early 21st century through an integrated Advanced Liquid Metal Reactor System (ALMRS). This system has several synergistic components which are under development by the United States Department of Energy (DOE): the modular, passively safe ALMR reactor design; metal fuel recycle (aka IFR); and the processing of LWR spent fuel to use as startup fuel for the ALMR. Each of these components contributes to an overall system behavior that will be able to provide an important portion of the United States' electrical energy needs beginning about the year 2010, while at the same time translating some fuel wastes of the LWR spent fuel to an asset. This paper describes each of these components and their synergism. Economic projections and busbar costs for this system are also presented

  11. Enhancing patient engagement in chronic disease self-management support initiatives in Australia: the need for an integrated approach.

    Science.gov (United States)

    Jordan, Joanne E; Briggs, Andrew M; Brand, Caroline A; Osborne, Richard H

    2008-11-17

    Although emphasis on the prevention of chronic disease is important, governments in Australia need to balance this with continued assistance to the 77% of Australians reported to have at least one long-term medical condition. Self-management support is provided by health care and community services to enhance patients' ability to care for their chronic conditions in a cooperative framework. In Australia, there is a range of self-management support initiatives that have targeted patients (most notably, chronic disease self-management education programs) and health professionals (financial incentives, education and training). To date, there has been little coordination or integration of these self-management initiatives to enhance the patient-health professional clinical encounter. If self-management support is to work, there is a need to better understand the infrastructure, systems and training that are required to engage the key stakeholders - patients, carers, health professionals, and health care organisations. A coordinated approach is required in implementing these elements within existing and new health service models to enhance uptake and sustainability.

  12. RODOS: a comprehensive European - integrated decision support system for Romania

    International Nuclear Information System (INIS)

    Mateescu, Gh.; Gheorghiu, Adriana; Gheorghiu, Dorina; Slavnicu, Dan; Craciunescu, Teddy

    1998-01-01

    This work is basically dedicated to RODOS (Real-time On-line DecisiOn support System), a comprehensive (computerized) decision support system ((C)DSS), integrated at European scale, which is in progress to be customized and implemented also for Romania to cope with the off-site response to nuclear emergencies. The first part deals with a short introduction regarding the need for a decision support system especially in case of a nuclear accident; there are also briefly reviewed the criteria one could demand that a CDSS should fulfill and the need for CDSS to give unequivocal answers to all encountered matters. Subsequently, there are mentioned some of the most known DSS in the world for off-site response to nuclear emergencies together with certain recent accomplishment of the IAEA in this field. The next chapter is dedicated to the four basic related projects (ECURIE, EURDEP, OSEP and RODOS) of the European Commission whose purpose consists in the optimisation of the nuclear emergency preparedness and response everywhere in Europe. Further on there are presented the basic features (the overall structure and functions), along with component software subsystems of the RODOS and, then, the background of RODOS implementation in Romania is reviewed (Romanian reasons to adhere to the RODOS project, needs, national legal framework and competent authorities in the nuclear domain, national radiological and meteorological networks. Finally, it is shortly reported the present status of RODOS customization and implementation in Romania (RODOS dedicated technical environment, collection of data and their transfer into RoGIS database, real-time on-line connection to networks, collection of data for countermeasure modules, source term assessment for CANDU-reactor, other related achievements) together with some concluding remarks. (authors)

  13. Breast cancer patients treated with chemotherapy reports more unmet supportive care needs in the early treatment phase, than patients treated only with radiotherapy

    DEFF Research Database (Denmark)

    Jensen-Johansen, Mikael Birkelund; Meldgaard, Anette; Henriksen, Jette

    2016-01-01

    of a large battery of selfadministered questionnaires, the women filled out at home, the Supportive Care Needs Survey (SCNS-SF34) together with demographic items (socioeconomic status, working hours, marital status etc.). The SCNS-SF34 includes 5 different domains of needs: Psychological-, Health system...... Aims: The purpose was to identify unmet supportive care needs in the early treatment phase of women treated for breast cancer and to investigate differences in needs between groups treated with chemo-therapy and radiationtherapy. If it is possible to identify early unmet needs, it may be possible...... to predict levels of unmet needs in the post-treatment phase and target an early rehabilitation to specific groups and with specific interventions. Population: Over a six-month period, 123 Danish women treated with mastectomy or lumpectomy, were assessed for eligibility in the midst of their primary...

  14. Universities' expectations of pastoral care: trends, stressors, resource gaps and support needs for teaching staff.

    Science.gov (United States)

    Laws, Thomas A; Fiedler, Brenton A

    2012-10-01

    Since the mid-90s, the university environment has challenged the motivation of academic staff to engage in pastoral care. A literature review revealed five themes that aligned with analysis of interview data from a previous study (Laws and Fiedler, 2010). The key themes were i) staff were often disturbed by unplanned intrusions of students who exhibited behavioural problems or sought emotional support, ii) the management of emotions in face-to-face encounters was stressful, iii) staff felt under-equipped for dealing with Mental Health (MH) issues, iv) standards and control needed updating and v) counselling and disability services did not meet academics' need to know about 'at risk' students. Having identified the incidence of mental health issues among Australian University students, this study aims to locate literature that describes how well current university policies/protocols are supported by Evidence Based Practice in the management of MH problems in the student population. Findings from a content analysis of the literature were triangulated with verbatim comments recorded during a previous study that utilised semi structured interviews with 34 academics at the School of Nursing and Midwifery and the School of Commerce at the University of South Australia (Laws and Fiedler, 2010). Lack of clarity on role boundaries around promotion of students' well-being was not clearly defined. The Higher Education (HE) institutions' slowness in responding to mental health needs of students combined with the increasing expectations of academics' performance monitoring has lead staff to avoid deep investment in their students' well-being. The literature indicates that students are in need of psychological support, but pastoral care remains ill-defined despite enduring expectations held by university administrators. Teacher motivation is diminished by time spent with students in need of emotional support which is not acknowledged in workloads. Staff stress is increased by

  15. 49 CFR 193.2609 - Support systems.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Support systems. 193.2609 Section 193.2609 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY...: FEDERAL SAFETY STANDARDS Maintenance § 193.2609 Support systems. Each support system or foundation of each...

  16. Lunar Surface Scenarios: Habitation and Life Support Systems for a Pressurized Rover

    Science.gov (United States)

    Anderson, Molly; Hanford, Anthony; Howard, Robert; Toups, Larry

    2006-01-01

    Pressurized rovers will be a critical component of successful lunar exploration to enable safe investigation of sites distant from the outpost location. A pressurized rover is a complex system with the same functions as any other crewed vehicle. Designs for a pressurized rover need to take into account significant constraints, a multitude of tasks to be performed inside and out, and the complexity of life support systems to support the crew. In future studies, pressurized rovers should be given the same level of consideration as any other vehicle occupied by the crew.

  17. Development of decommissioning engineering support system for fugen. Development of support system during actual dismantlement works

    International Nuclear Information System (INIS)

    Masanori Izumi; Yukihiro Iguchi; Yoshiki Kannehira

    2005-01-01

    The Advanced Thermal Reactor, Fugen Nuclear Power Station was permanently shut down in March 2003, and is now preparing for decommissioning. We have been developing Decommissioning Engineering Support System (DEXUS) aimed at planning optimal dismantlement process and carrying out dismantlement work safely and precisely. DEXUS consists of 'decommissioning planning support system' and 'dismantling support system'. The dismantling support system is developed aiming at using during actual dismantling work. It consists of three subsystems such as 'Worksite Visualization System', 'Dismantling Data Collection System' and 'Generated Waste Management System'. 'Worksite Visualization System' is a support system designed to provide the necessary information to workers during actual dismantlement works. And this system adopts AR (Augmented Reality) technology, overlapping calculation information into real world. 'Dismantling Data Collection System' is to collect necessary data for improving accuracy of decommissioning planning by evaluating work content and worker equipage, work time for dismantlement works. 'Generated Waste Management system' is a system recording necessary information by attaching the barcode to dismantled wastes or the containers. We can get the information of generated waste by recording generation place, generated time, treatment method and the contents. These subsystems enable to carry out reasonable and safe decommissioning of Fugen. In addition, we expect that those systems will be used for decommissioning of other nuclear facilities in the future. (authors)

  18. Support system of a structure on a support base

    International Nuclear Information System (INIS)

    Arene, G.; Renaux, C.; Minguet, J.L.; Chantot, H.

    1984-01-01

    Two series of strips are fixed to the structure to be supported and to the base to define each one a closed convex envelope; the strips are flexible in the radial direction with regard to the envelope. The two series of strips are connected by a treillis of rigid bars set to form juxtaposed V or X. A good transversal rigidity and a certain radial flexibility are obtained. The invention can be applied to a fast neutron nuclear reactor, the reactor comprising a vertical axis vessel filled with liquid metal; the vessel rests on a support foundation by means of the support system proposed by the invention. The support system allows the supported structure to resist the effects of an eventual earthquake and brutal temperature variations [fr

  19. Decision support for mastitis on farms with an automatic milking system

    NARCIS (Netherlands)

    Steeneveld, W.

    2010-01-01

    For an optimal mastitis management on farms with an automatic milking system (AMS), two individual cow decisions are important. First, there is a need for decision support on which mastitis alerts have the highest priority for visual checking for clinical mastitis (CM). In essence, all cows with

  20. Specific Needs of Learning Support pupils with sensory and motor disabilities

    Directory of Open Access Journals (Sweden)

    Diego Luque Parra

    2013-12-01

    Full Text Available This paper aims to make an approach to the study of specific educational needs in children with disabilities. After an introduction to some conceptual and defining aspects, a needs analysis focus on children with sensorial and motor disabilities has taken place. Based on this one, general elements for educational response have been suggested. Finally, a conclusion and reflection that has been provided through the integration of the mentioned analysis, on both psychological intervention and guidance action, based on a perspective that addressed diversity from specific educational support needy children.

  1. Requirements for Designing Life Support System Architectures for Crewed Exploration Missions Beyond Low-Earth Orbit

    Science.gov (United States)

    Howard, David; Perry,Jay; Sargusingh, Miriam; Toomarian, Nikzad

    2016-01-01

    NASA's technology development roadmaps provide guidance to focus technological development on areas that enable crewed exploration missions beyond low-Earth orbit. Specifically, the technology area roadmap on human health, life support and habitation systems describes the need for life support system (LSS) technologies that can improve reliability and in-situ maintainability within a minimally-sized package while enabling a high degree of mission autonomy. To address the needs outlined by the guiding technology area roadmap, NASA's Advanced Exploration Systems (AES) Program has commissioned the Life Support Systems (LSS) Project to lead technology development in the areas of water recovery and management, atmosphere revitalization, and environmental monitoring. A notional exploration LSS architecture derived from the International Space has been developed and serves as the developmental basis for these efforts. Functional requirements and key performance parameters that guide the exploration LSS technology development efforts are presented and discussed. Areas where LSS flight operations aboard the ISS afford lessons learned that are relevant to exploration missions are highlighted.

  2. Advanced Modular Power Approach to Affordable, Supportable Space Systems

    Science.gov (United States)

    Oeftering, Richard C.; Kimnach, Greg L.; Fincannon, James; Mckissock,, Barbara I.; Loyselle, Patricia L.; Wong, Edmond

    2013-01-01

    Recent studies of missions to the Moon, Mars and Near Earth Asteroids (NEA) indicate that these missions often involve several distinct separately launched vehicles that must ultimately be integrated together in-flight and operate as one unit. Therefore, it is important to see these vehicles as elements of a larger segmented spacecraft rather than separate spacecraft flying in formation. The evolution of large multi-vehicle exploration architecture creates the need (and opportunity) to establish a global power architecture that is common across all vehicles. The Advanced Exploration Systems (AES) Modular Power System (AMPS) project managed by NASA Glenn Research Center (GRC) is aimed at establishing the modular power system architecture that will enable power systems to be built from a common set of modular building blocks. The project is developing, demonstrating and evaluating key modular power technologies that are expected to minimize non-recurring development costs, reduce recurring integration costs, as well as, mission operational and support costs. Further, modular power is expected to enhance mission flexibility, vehicle reliability, scalability and overall mission supportability. The AMPS project not only supports multi-vehicle architectures but should enable multi-mission capability as well. The AMPS technology development involves near term demonstrations involving developmental prototype vehicles and field demonstrations. These operational demonstrations not only serve as a means of evaluating modular technology but also provide feedback to developers that assure that they progress toward truly flexible and operationally supportable modular power architecture.

  3. Needs for everyday life support for brain tumour patients' relatives: systematic literature review

    DEFF Research Database (Denmark)

    Madsen, Karina; Poulsen, H S

    2011-01-01

    The purpose of this paper is to undertake a review of the everyday lives and the need for support felt by relatives of adults with malignant cerebral glioma. Through electronic literature searches we identified studies with qualitative, quantitative or mixed method designs. Fourteen studies were....... The relatives lacked information about how to provide day-to-day care and how to manage psychoses and neuropsychiatric problems at home. Likewise, they needed help from the professionals to talk with each other about potentially reduced life expectancy. Most relatives appeared to value specialist nurse support...... highly, and they found support groups helpful. Relatively few studies were identified, and extant research was found to be diverse in purpose, study design and study population. The majority of the studies focused only on the parts of the relatives' everyday lives in which they were taking care...

  4. Understanding Students' Experiments--What Kind of Support Do They Need in Inquiry Tasks?

    Science.gov (United States)

    Arnold, Julia Caroline; Kremer, Kerstin; Mayer, Jürgen

    2014-01-01

    Inquiry learning is a widely recognized method for fostering inquiry competence in science education. Nevertheless, there is discussion about how to best support students while working on inquiry tasks (in this case: experiments on causal relationships). To identify the kind of support students need in order to design experiments in upper grades,…

  5. Supporting Multiple Cognitive Processing Styles Using Tailored Support Systems

    International Nuclear Information System (INIS)

    Tuan Q. Tran; Karen M. Feigh; Amy R. Pritchett

    2007-01-01

    According to theories of cognitive processing style or cognitive control mode, human performance is more effective when an individual's cognitive state (e.g., intuition/scramble vs. deliberate/strategic) matches his/her ecological constraints or context (e.g., utilize intuition to strive for a 'good-enough' response instead of deliberating for the 'best' response under high time pressure). Ill-mapping between cognitive state and ecological constraints are believed to lead to degraded task performance. Consequently, incorporating support systems which are designed to specifically address multiple cognitive and functional states e.g., high workload, stress, boredom, and initiate appropriate mitigation strategies (e.g., reduce information load) is essential to reduce plant risk. Utilizing the concept of Cognitive Control Models, this paper will discuss the importance of tailoring support systems to match an operator's cognitive state, and will further discuss the importance of these ecological constraints in selecting and implementing mitigation strategies for safe and effective system performance. An example from the nuclear power plant industry illustrating how a support system might be tailored to support different cognitive states is included

  6. Guidelines for maternal and neonatal "point of care": needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso.

    Science.gov (United States)

    Zakane, S Alphonse; Gustafsson, Lars L; Tomson, Göran; Loukanova, Svetla; Sié, Ali; Nasiell, Josefine; Bastholm-Rahmner, Pia

    2014-06-01

    In 2010, 245,000 women died due to pregnancy-related causes in sub-Saharan Africa and southern Asia. Our study is nested into the QUALMAT project and seeks to improve the quality of maternal care services through the introduction of a computerized clinical decision support system (CDSS) to help healthcare workers in rural areas. Healthcare information technology applications in low-income countries may improve healthcare provision but recent studies demonstrate unintended consequences with underuse or resistance to CDSS and that the fit between the system and the clinical needs does present challenges. To explore and describe perceived needs and attitudes among healthcare workers to access WHO guidelines using CDSS in maternal and neonatal care in rural Burkina Faso. Data were collected with semi-structured interviews in two rural districts in Burkina Faso with 45 informants. Descriptive statistics were used for the analysis of the quantitative part of the interview corresponding to informants' background. Qualitative data were analyzed using manifest content analysis. Four main findings emerged: (a) an appreciable willingness among healthcare workers for and a great interest to adapt and use modern technologies like computers to learn more in the workplace, (b) a positive attitude to easy access of guidelines and implementation of decision-support using computers in the workplace, (c) a fear that the CDSS would require more working time and lead to double-work, and (d) that the CDSS is complicated and requires substantial computer training and extensive instructions to fully implement. The findings can be divided into aspects of motivators and barriers in relation to how the CDSS is perceived and to be used. These aspects are closely connected to each other as the motivating aspects can easily be turned into barriers if not taken care of properly in the final design, during implementation and maintenance of the CDSS at point of care. Copyright © 2014 Elsevier

  7. Education and information for practicing school nurses: which technology-supported resources meet their needs?

    Science.gov (United States)

    Anderson, Lori S; Enge, Karmin J

    2012-10-01

    School nurses care for children with a variety of health-related conditions and they need information about managing these conditions, which is accessible, current, and useful. The goal of this literature review was to gather and synthesize information on technology-supported resources and to determine which met the educational needs of school nurses. Successful online educational programs were interactive and self-directed. The most common barriers were lack of time to find educational information, lack of knowledge about computers, technology, the Internet and specific programs, and lack of administrative support from school officials to use technology to access information and evidence for practice. Recommendations for successful use of technology to meet practicing school nurse's educational needs are offered.

  8. The first year: the support needs of parents caring for a child with an intellectual disability.

    Science.gov (United States)

    Douglas, Tracy; Redley, Bernice; Ottmann, Goetz

    2016-11-01

    To describe the support needs of parents caring for a child with an intellectual disability in the first year of life. Parents of children with intellectual disabilities face significant challenges during the first year of their child's life which is an important developmental period not previously addressed in the literature. The provision of support by health professionals, particularly nurses and midwives, during this crucial period can impact on parental well-being and on the health and developmental outcomes of their children. However, parents often feel unsupported. The study used a qualitative descriptive methodology. Semi-structured interviews were conducted with parents of eleven children with an intellectual disability in Victoria, Australia, during 2014. Interviews were digitally recorded, transcribed verbatim and analysed using thematic data analysis. Three key areas of support need were identified to assist parents to provide effective care for their child with an intellectual disability in the first year of life: (1) emotional support as parents adjusted to their role of caring for a child with an intellectual disability; (2) information support as they embarked on a quest for knowledge; and (3) support to facilitate their connection to peer networks. The findings highlighted inconsistent provision of support for parents. This study informs health professionals about how to provide holistic, timely support to parents of children with intellectual disabilities in the first year of life. There is an urgent need to review how nurses and midwives can provide relevant support that is responsive to parents' needs. © 2016 John Wiley & Sons Ltd.

  9. Decision Support System to Choose Digital Single Lens Camera with Simple Additive Weighting Method

    Directory of Open Access Journals (Sweden)

    Tri Pina Putri

    2016-11-01

    Full Text Available One of the technologies that evolve today is Digital Single Lens Reflex (DSLR camera. The number of products makes users have difficulties to choose the appropriate camera based on their criteria. Users may utilize several ways to help them choosing the intended camera such as using magazine, internet, and other media. This paper discusses about a web based decision support system to choose cameras by using SAW (Simple Additive Weighting method in order to make the decision process more effective and efficient. This system is expected to give recommendations about the camera which is appropriate with the user’s need and criteria based on the cost, the resolution, the feature, the ISO, and the censor. The system was implemented by using PHP and MySQL. Based on the result of questionnaire distributed to 20 respondents, 60% respondents agree that this decision support system can help users to choose the appropriate camera DSLR in accordance with the user’s need, 60% of respondents agree that this decision support system is more effective to choose DSLR camera and 75% of respondents agree that this system is more efficient. In addition, 60.55% of respondents agree that this system has met 5 Es Usability Framework.

  10. Supportive care needs and psychological distress and/or quality of life in ambulatory advanced colorectal cancer patients receiving chemotherapy: a cross-sectional study.

    Science.gov (United States)

    Sakamoto, Nobuhiro; Takiguchi, Shuji; Komatsu, Hirokazu; Okuyama, Toru; Nakaguchi, Tomohiro; Kubota, Yosuke; Ito, Yoshinori; Sugano, Koji; Wada, Makoto; Akechi, Tatsuo

    2017-12-01

    Although currently many advanced colorectal cancer patients continuously receive chemotherapy, there are very few findings with regard to the supportive care needs of such patients. The purposes of this study were to investigate the patients' perceived needs and the association with psychological distress and/or quality of life, and to clarify the characteristics of patients with a high degree of unmet needs. Ambulatory colorectal cancer patients who were receiving chemotherapy were asked to complete the Short-Form Supportive Care Needs Survey questionnaire, which covers five domains of need (health system and information, psychological, physical, care and support, and sexuality needs), the Hospital Anxiety and Depression Scale and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. Complete data were available for 100 patients. Almost all of the top 10 most common unmet needs belonged to the psychological domain. The patients' total needs were significantly associated with both psychological distress (r = 0.65, P quality of life (r = -0.38, P patients' needs and psychological distress and/or quality of life suggest that interventions that respond to patients' needs may be one possible strategy for ameliorating psychological distress and enhancing quality of life. Female patients' needs should be evaluated more carefully. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. Supporting cognition in systems biology analysis: findings on users' processes and design implications.

    Science.gov (United States)

    Mirel, Barbara

    2009-02-13

    Current usability studies of bioinformatics tools suggest that tools for exploratory analysis support some tasks related to finding relationships of interest but not the deep causal insights necessary for formulating plausible and credible hypotheses. To better understand design requirements for gaining these causal insights in systems biology analyses a longitudinal field study of 15 biomedical researchers was conducted. Researchers interacted with the same protein-protein interaction tools to discover possible disease mechanisms for further experimentation. Findings reveal patterns in scientists' exploratory and explanatory analysis and reveal that tools positively supported a number of well-structured query and analysis tasks. But for several of scientists' more complex, higher order ways of knowing and reasoning the tools did not offer adequate support. Results show that for a better fit with scientists' cognition for exploratory analysis systems biology tools need to better match scientists' processes for validating, for making a transition from classification to model-based reasoning, and for engaging in causal mental modelling. As the next great frontier in bioinformatics usability, tool designs for exploratory systems biology analysis need to move beyond the successes already achieved in supporting formulaic query and analysis tasks and now reduce current mismatches with several of scientists' higher order analytical practices. The implications of results for tool designs are discussed.

  12. Operator support systems activities at EPRI

    International Nuclear Information System (INIS)

    Naser, J.A.

    1993-01-01

    The integration of operator support systems supports the nuclear power plant goals of improved availability and reliability, enhanced safety, reduced operations and maintenance costs, and improved productivity. Two major aspects which supports this integration are discussed in this paper. The first is the plant communications and computing architecture which provides the infrastructure that allows the integration to exist in a easy to implement manner. Open systems concepts are utilized to guarantee interoperability of systems and interchangeability of equipment. The second is the EPRI Plant-Window System which supplies the interface between the human and the plant systems. It implements common human-machine interfaces amongst systems and supports the implementation of diagnostic and decision aids. Work in both of these areas is being done as part of the EPRI Instrumentation and Control Upgrade Program. A number of operator support systems have been developed and are in various stages of implementation, testing and utilization. Two of these, the RWCU and the EOPTS, are described here. 5 refs, 14 figs

  13. Environmental control and life support system requirements and technology needs for advanced manned space missions

    Science.gov (United States)

    Powell, Ferolyn T.; Sedej, Melaine; Lin, Chin

    1987-01-01

    NASA has completed an environmental control and life support system (ECLSS) technology R&D plan for advanced missions which gave attention to the drivers (crew size, mission duration, etc.) of a range of manned missions under consideration. Key planning guidelines encompassed a time horizon greater than 50 years, funding resource requirements, an evolutionary approach to goal definition, and the funding of more than one approach to satisfy a given perceived requirement. Attention was given to the ECLSS requirements of transportation and service vehicles, platforms, bases and settlements, ECLSS functions and average load requirements, unique drivers for various missions, and potentially exploitable commonalities among vehicles and habitats.

  14. Introduction to Life Support Systems

    Science.gov (United States)

    Perry, Jay

    2017-01-01

    This course provides an introduction to the design and development of life support systems to sustain humankind in the harsh environment of space. The life support technologies necessary to provide a respirable atmosphere and clean drinking water are emphasized in the course. A historical perspective, beginning with open loop systems employed aboard the earliest crewed spacecraft through the state-of-the-art life support technology utilized aboard the International Space Station today, will provide a framework for students to consider applications to possible future exploration missions and destinations which may vary greatly in duration and scope. Development of future technologies as well as guiding requirements for designing life support systems for crewed exploration missions beyond low-Earth orbit are also considered in the course.

  15. Mathematical Modeling Of Life-Support Systems

    Science.gov (United States)

    Seshan, Panchalam K.; Ganapathi, Balasubramanian; Jan, Darrell L.; Ferrall, Joseph F.; Rohatgi, Naresh K.

    1994-01-01

    Generic hierarchical model of life-support system developed to facilitate comparisons of options in design of system. Model represents combinations of interdependent subsystems supporting microbes, plants, fish, and land animals (including humans). Generic model enables rapid configuration of variety of specific life support component models for tradeoff studies culminating in single system design. Enables rapid evaluation of effects of substituting alternate technologies and even entire groups of technologies and subsystems. Used to synthesize and analyze life-support systems ranging from relatively simple, nonregenerative units like aquariums to complex closed-loop systems aboard submarines or spacecraft. Model, called Generic Modular Flow Schematic (GMFS), coded in such chemical-process-simulation languages as Aspen Plus and expressed as three-dimensional spreadsheet.

  16. The need for nutrition support teams in pediatric units: a commentary by the ESPGHAN committee on nutrition.

    Science.gov (United States)

    Agostoni, Carlo; Axelson, Irene; Colomb, Virginie; Goulet, Olivier; Koletzko, Berthold; Michaelsen, Kim F; Puntis, John W L; Rigo, Jacques; Shamir, Raanan; Szajewska, Hania; Turck, Dominique

    2005-07-01

    The reported prevalence of malnutrition in pediatric hospitals ranges from 15% to 30% of patients, with an impact on growth, morbidity and mortality. Major deficits in nutrition care have been highlighted in European hospitals, and the implementation of nutrition support teams (NSTs) has been suggested as a means to improve malnutrition diagnosis and nutrition care for hospitalized patients. This comment by the ESPGHAN Committee on Nutrition reviews disease related-mechanisms causing malnutrition and consequences of malnutrition and suggests a framework for implementation of NSTs in pediatric units. The recommendations by the Committee on Nutrition include: 1) Implementation of NSTs in hospitals is recommended to improve nutritional management of sick children; 2) The main tasks of the NST should include screening for nutritional risk, identification of patients who require nutritional support, provision of adequate nutritional management, education and training of hospital staff and audit of practice; 3) The NST should be multidisciplinary, with expertise in all aspects of clinical nutrition care; 4) The funds needed to support NSTs should be raised from the health care system; and 5) Further research is needed to evaluate the effects of NSTs in prevention and management of pediatric nutritional disorders, including cost effectiveness in different settings.

  17. Impact of caregivers' unmet needs for supportive care on quality of terminal cancer care delivered and caregiver's workforce performance.

    Science.gov (United States)

    Park, Sang Min; Kim, Young Jin; Kim, Samyong; Choi, Jong Soo; Lim, Ho-Yeong; Choi, Youn Seon; Hong, Young Seon; Kim, Si-Young; Heo, Dae Seog; Kang, Ki Moon; Jeong, Hyun Sik; Lee, Chang Geol; Moon, Do Ho; Choi, Jin-Young; Kong, In Sik; Yun, Young Ho

    2010-06-01

    Family caregivers play an important role in caring for cancer patients, but the impact of caregivers' unmet needs on the quality of end-of-life (EOL) care they deliver and on their workplace performance are less understood. We identified 1,662 family caregivers of cancer patients who had died at any of 17 hospitals in Korea during 2004. The caregivers answered a telephone questionnaire about needs that were not met when they delivered terminal cancer care and how those unmet their needs affected their workplace performance; they also answered the Quality Care Questionnaire-End of Life (QCQ-EOL). Compared with caregivers who did not have unmet needs, caregivers who had unmet needs for symptom management, financial support, or community support showed poorer QCQ-EOL scores (P < 0.01). Caregivers who had unmet needs for financial support (adjusted odds ratio (aOR) = 7.55; 95% confidential interval (CI) 3.80-15.00), psychosocial support (aOR = 6.24; 95% CI 2.95-13.05), symptom management (aOR = 3.21; 95% CI 2.26-4.54), community support (aOR = 3.82; 95% CI 2.38-6.11), or religious support (aOR = 4.55; 95% CI 1.84-11.26) were more likely to experience work limitations. Caregivers of patients receiving conventional hospital care were more likely to have unmet needs for symptom management (aOR = 1.21; 95% CI 1.00-1.47), psychosocial support (aOR = 1.99; 95% CI 1.37-2.88), and religious support (aOR = 1.73; 95% CI 1.08-2.78) than those of patients receiving palliative hospice care. Caregivers' unmet needs negatively affected both the quality of EOL care they delivered and their workplace performance. More investment in caregiver support and public policies that meet caregiver needs are needed, and hospice use should be encouraged.

  18. Digital literacy of youth and young adults with intellectual disability predicted by support needs and social maturity.

    Science.gov (United States)

    Seok, Soonhwa; DaCosta, Boaventura

    2017-01-01

    This study investigated relationships between digital propensity and support needs as well as predictors of digital propensity in the context of support intensity, age, gender, and social maturity. A total of 118 special education teachers rated the support intensity, digital propensity, and social maturity of 352 students with intellectual disability. Leveraging the Digital Propensity Index, Supports Intensity Scale, and the Social Maturity Scale, descriptive statistics, correlations, multiple regressions, and regression analyses were employed. The findings revealed significant relationships between digital propensity and support needs. In addition, significant predictors of digital propensity were found with regard to support intensity, age, gender, and social maturity.

  19. Perception of need for nutritional support in advanced cancer patients with cachexia: a survey in palliative care settings.

    Science.gov (United States)

    Amano, Koji; Morita, Tatsuya; Miyamoto, Jiro; Uno, Teruaki; Katayama, Hirofumi; Tatara, Ryohei

    2018-03-05

    Few studies have investigated the need for nutritional support in advanced cancer patients in palliative care settings. Therefore, we conducted a questionnaire to examine the relationship between the perception of need for nutritional support and cancer cachexia and the prevalence of specific needs, perceptions, and beliefs in nutritional support. We conducted a questionnaire in palliative care settings. Patients were classified into two groups: (1) non-cachexia/pre-cachexia and (2) cachexia/refractory cachexia. A total of 117 out of 121 patients responded (96.7%). A significant difference was observed in the need for nutritional support between the groups: non-cachexia/pre-cachexia (32.7%) and cachexia/refractory cachexia (53.6%) (p = 0.031). The specific needs of patients requiring nutritional support were nutritional counseling (93.8%), ideas to improve food intake (87.5%), oral nutritional supplements (83.0%), parenteral nutrition and hydration (77.1%), and tube feeding (22.9%). The top perceptions regarding the best time to receive nutritional support and the best medical staff to provide nutritional support were "when anorexia, weight loss, and muscle weakness become apparent" (48.6%) and "nutritional support team" (67.3%), respectively. The top three beliefs of nutritional treatments were "I do not wish to receive tube feeding" (78.6%), "parenteral nutrition and hydration are essential" (60.7%), and "parenteral hydration is essential" (59.6%). Patients with cancer cachexia expressed a greater need for nutritional support. They wished to receive nutritional support from medical staff when they become unable to take sufficient nourishment orally and the negative impact of cachexia becomes apparent. Most patients wished to receive parenteral nutrition and hydration.

  20. Fundamental research of decision support systems: Final report

    International Nuclear Information System (INIS)

    Kurstedt, H.A. Jr.

    1986-01-01

    Through an iterative application of Decision Support Systems (DSS) apparatus and evolution of DSS concepts, we redefined DSS from a systems perspective. By focusing on successful DSS and the definition of success for the newly-defined DSS, we generated a paradigm for understanding, applying, and improving DSS. The significance of the research is that we now: (1) understand the various roles management tools play within the new DSS concept; (2) recognize the need for characterizing the domain of responsibility of a manager to obtain a successful DSS; and (3) have learned special characteristics of government agencies like Nuclear Materials (NM) to identify what features of the new DSS concept can be expected to improve performance

  1. Design document for landfill capping Prototype Decision Support System

    International Nuclear Information System (INIS)

    Stone, J.J.; Paige, G.; Hakonson, T.E.; Lane, L.J.

    1994-01-01

    The overall objective of the Prototype Decision Support System for shallow land burial project is to ''Develop a Decision Support System tool which incorporates simulation modeling and multi-objective decision theory for the purpose of designing and evaluating alternative trench cap designs for mixed waste landfill covers. The goal is to improve the quality of technical information used by the risk manager to select landfill cover designs while taking into account technological, economical, and regulatory factors.'' The complexity of the technical and non-technical information, and how the information varies in importance across sites, points to the need for decision analysis tools that provide a common basis for integrating, synthesizing, and valuing the decision input. Because the cost of remediating thousands of contaminated DOE sites is projected to be in the 10's--100's of billions of dollars, methods will be needed to establish cleanup priorities and to help in the selection and evaluation of cost effective remediation alternatives. Even at this early stage in DOE's cleanup program, it is certain that capping technologies will be heavily relied upon to remediate the 3000+ landfills on DOE property. Capping is favored in remediating most DOE landfills because, based on preliminary baseline risk assessments, human and ecological risks are considered to be low at most of these sites and the regulatory requirements for final closure of old landfills can be met using a well designed cap to isolate the buried waste. This report describes a program plan to design, develop, and test a decision support system (DSS) for assisting the DOE risk manager in evaluating capping alternatives for radioactive and hazardous waste landfills. The DOE DSS will incorporate methods for calculating, integrating and valuing technical, regulatory, and economic criteria

  2. Professional Growth & Support System Self-Assessment

    Science.gov (United States)

    Education Resource Strategies, 2013

    2013-01-01

    The "Professional Growth & Support System Self-Assessment" is designed to help school systems evaluate their current Professional Growth & Support strategy. The self-assessment is organized around the "Eight Principles of Strategic Professional Growth & Support." Each section allows school leaders to identify the…

  3. Multimodal and ubiquitous computing systems: supporting independent-living older users.

    Science.gov (United States)

    Perry, Mark; Dowdall, Alan; Lines, Lorna; Hone, Kate

    2004-09-01

    We document the rationale and design of a multimodal interface to a pervasive/ubiquitous computing system that supports independent living by older people in their own homes. The Millennium Home system involves fitting a resident's home with sensors--these sensors can be used to trigger sequences of interaction with the resident to warn them about dangerous events, or to check if they need external help. We draw lessons from the design process and conclude the paper with implications for the design of multimodal interfaces to ubiquitous systems developed for the elderly and in healthcare, as well as for more general ubiquitous computing applications.

  4. 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

  5. Projecting social support needs of informal caregivers in Malaysia.

    Science.gov (United States)

    Abu Bakar, Siti Hajar; Weatherley, Richard; Omar, Noralina; Abdullah, Fatimah; Mohamad Aun, Nur Saadah

    2014-03-01

    This article presents the findings of a self-report study of the consequences of being an informal caregiver in Malaysia. The aim of this exploratory study was to examine Malaysian efforts in assisting informal caregivers, based on an analysis of the issues and concerns raised by the caregivers themselves. Data were obtained from a cross-sectional survey of informal caregivers in 2009. This sample comprised parents, spouses and/or adult siblings, and adult children, caring for their children, spouses or siblings and parents who were chronically ill and/or had a disability. Of 300 prospective participants, only 175 could be located (58%), but all those contacted agreed to participate. Respondents were randomly selected and interviewed using a structured questionnaire to identify the emotional, financial, social and physical issues consequent upon being a caregiver. Most respondents reported that their care-giving responsibilities had impacted their emotional, financial, social and/or physical well-being. Inadequate and/or uncertain income was by far the greatest concern followed in descending order by social, physical and emotional consequences. The one-way analysis of variance showed significant differences among the three categories of caregivers with respect to physical and emotional consequences. The findings show that care-giving has detrimental effects on the lives of informal caregivers, and that they are in significant need of social support to help them deal with care-giving tasks and responsibilities. Based on the findings, an integrated social support programme is proposed, tailored to the needs of informal caregivers. © 2013 John Wiley & Sons Ltd.

  6. ERP systems in multi-national companies: support, maintenance and further development

    OpenAIRE

    Vymetal, Dominik; Matysek, Stanislav

    2007-01-01

    Multi-national companies introduce centralized or centrally administered ERP systems to cope with challenges of globalization. Introduction of such systems need careful planning. The planning should take not only the project and its deployment into consideration. Very important are the support and maintenance rules. The paper deals with rules used in case of a large multi-national company and resulting reaction of users in several subsidiaries in Central and Eastern Europe. The statistics obt...

  7. Technical needs and research opportunities provided by projected aeronautical and space systems

    Science.gov (United States)

    Noor, Ahmed K.

    1992-01-01

    The overall goal of the present task is to identify the enabling and supporting technologies for projected aeronautical and space systems. A detailed examination was made of the technical needs in the structures, dynamics and materials areas required for the realization of these systems. Also, the level of integration required with other disciplines was identified. The aeronautical systems considered cover the broad spectrum of rotorcraft; subsonic, supersonic and hypersonic aircraft; extremely high-altitude aircraft; and transatmospheric vehicles. The space systems considered include space transportation systems; spacecrafts for near-earth observation; spacecrafts for planetary and solar exploration; and large space systems. A monograph is being compiled which summarizes the results of this study. The different chapters of the monograph are being written by leading experts from governmental laboratories, industry and universities.

  8. EPICS: operating system independent device/driver support

    International Nuclear Information System (INIS)

    Kraimer, M.R.

    2003-01-01

    Originally EPICS input/output controllers (IOCs) were only supported on VME-based systems running the vxWorks operating system. Now IOCs are supported on many systems: vxWorks, RTEMS, Solaris, HPUX, Linux, WIN32, and Darwin. A challenge is to provide operating-system-independent device and driver support. This paper presents some techniques for providing such support. EPICS (Experimental Physics and Industrial Control System) is a set of software tools, libraries, and applications developed collaboratively and used worldwide to create distributed, real-time control systems for scientific instruments such as particle accelerators, telescopes, and other large scientific experiments. An important component of all EPICS-based control systems is a collection of input/output controllers (IOCs). An IOC has three primary components: (1) a real-time database; (2) channel access, which provides network access to the database; and (3) device/driver support for interfacing to equipment. This paper describes some projects related to providing device/driver support on non-vxWorks systems. In order to support IOCs on platforms other than vxWorks, operating-system-independent (OSI) application program interfaces (APIs) were defined for threads, semaphores, timers, etc. Providing support for a new platform consists of providing an operating-system-dependent implementation of the OSI APIs.

  9. 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.

  10. B2B Negotiation Support: the need for a communication perspective

    NARCIS (Netherlands)

    Weigand, H.; Schoop, M.; Moor, A. de; Dignum, F.P.M.

    2003-01-01

    Negotiation support is an important challenge for business-to-business e-commerce that is still poorly supported in current information systems. One reason is that negotiation processes are much harder to formalize than the business processes in the fulfilment phase. The goal of this paper is to

  11. System support software for TSTA

    International Nuclear Information System (INIS)

    Claborn, G.W.; Mann, L.W.; Nielson, C.W.

    1987-01-01

    The software at the Tritium Systems Test Assembly (TSTA) is logically broken into two parts, the system support software and the subsystem software. The purpose of the system support software is to isolate the subsystem software from the physical hardware. In this sense the system support software forms the kernel of the software at TSTA. The kernel software performs several functions. It gathers data from CAMAC modules and makes that data available for subsystem processes. It services requests to send commands to CAMAC modules. It provides a system of logging functions and provides for a system-wide global program state that allows highly structured interaction between subsystem processes. The kernel's most visible function is to provide the Man-Machine Interface (MMI). The MMI allows the operators a window into the physical hardware and subsystem process state. Finally the kernel provides a data archiving and compression function that allows archival data to be accessed and plotted. Such kernel software as developed and implemented at TSTA is described

  12. Adoption of web-based group decision support systems: experiences from the field and future developments

    Directory of Open Access Journals (Sweden)

    Jos van Hillegersberg

    2016-01-01

    Full Text Available While organizations have massively adopted enterprise information systems to support business processes, business meetings in which key decisions are made about products, services and processes, are usually held without much support of information systems. This is remarkable as group decision support systems (GDSS seems to fit for this purpose. They have existed for decades and modern versions benefit of web-based technologies, enabling low cost any-place, any time and device independent meeting support. In this exploratory case research, we study nine organizations in four different adoption categories to learn more about the reasons for the relatively slow adoption of web-based GDSS. Using the Fit-Viability adoption framework we conduct interviews with organizations that have experience with using GDSS. We conclude that adopting GDSS requires considerable and carefully planned change of processes that are deeply grounded in the organization. Existing meeting routines need to be adapted. Introduction needs to be carefully planned and room for face-to-face meetings and creativity sessions away from the keyboard need to be built in depending on the type of meeting. Not all companies find the cost level affordable. Clear and convincing business cases are lacking. Still the added value is ranked highly and there are frequent and enthusiastic user organizations that may lead the way for others. Their success stories show others how to mitigate problems.

  13. Designing an Information System for Decision Support Lending

    Directory of Open Access Journals (Sweden)

    Adrian LUPASC

    2017-04-01

    Full Text Available The successful development of financial and banking activities requires a strong information support to ensure the competitive edge over the other competitors on the market. The exponential growth in the volume of lending financial operations made the use of modern information technology in banking has become fundamental to improving lending activity. Thus, the design and use of a computer system adapted to specific requirements of bank lending will provide opportunities to diversify and modernize the procedures for granting, repayment and credit guarantee to correlate products offer credit demands and customer needs. In this regard, the related objectives of this work are oriented to emphasize the positive impact of the adoption of modern information technologies in decision making in the banking field. The proposed objectives are justified by presenting solutions support system of credit decision which aims to automate ongoing operations specific to a banking allowing bank clerks to process a large number of loan applications in a time very short and to the right decisions and substantiated.

  14. PRANA - Geoinformation decision support system for rehabilitation of radioactively contaminated territories

    International Nuclear Information System (INIS)

    Yatsalo, B.I.; Mirzeabassov, O.A.; Okhrimenko, I.V.; Pichugina, I.A.

    2002-01-01

    The Applied Geographic Information System (GIS) PRANA (1998), is a Decision Support System (DSS) for countermeasure analysis in agriculture in the long-term period of mitigation the consequences of a nuclear accident. This system has been introduced at the Chernobyl Department (Ministry of Agriculture) and at the Bryansk Centre of Agrochemical Radiology for practical needs as GIS-system for monitoring network support and analysis of countermeasure scenarios. Developed electronic maps, databases of attributive information, the main tasks of PRANA implementation for assessing contamination of agricultural production, doses to the local population, results and effectiveness of countermeasure implementation along with examples of model assessments are pointed out. The tasks on local and regional analysis of various aspects under consideration within the PRANA and methods of their realisation are considerable different from other works/systems in this field of R and D.This work has been carried out by a group of Russian scientists and EU/Norway collaborators within the ISTC project No. 1224. (author)

  15. It is a marathon rather than a sprint: an initial exploration of unmet needs and support preferences of caregivers of children with SCI.

    Science.gov (United States)

    Ryerson Espino, Susan L; Kelly, Erin H; Rivelli, Anne; Zebracki, Kathy; Vogel, Lawrence C

    2018-03-01

    Focus group study. Explore unmet needs and support preferences of caregivers of youth with spinal cord injury (SCI). One pediatric specialty rehabilitation hospital system in the United States. Four focus groups were conducted with a convenience sample of 26 caregivers who were primarily mothers (96%) and married (65%), and had at least some college education (85%). Children living with SCI were on average 12.8 years old (SD = 3.3, 8-18). The average age of injury was 4.7 years (SD = 4.4, 0-16.2); mean injury duration was 8.2 years (SD = 3.9, 2-16); 77% had paraplegia; and 58% were male. Focus groups were digitally recorded, transcribed verbatim, and coded using thematic analysis and NVivo. Qualitative data highlighted caregiver perspectives on unmet needs relating to two phases of care: acute and rehabilitation vs. current life with SCI, and two kinds of stressors: those associated with SCI and care vs. those related to other areas of the caregivers' lives, especially their families. Caregivers described stressful interactions with care systems and community services, articulated several concerns regarding well-being of family members, and noted that both they and their children with SCI experienced isolation. Caregivers articulated preferences for additional support from professionals and peers. Data suggest the need for ongoing caregiver interventions and strengthened family-centered care systems, including professional assistance navigating health systems and peer support. Intervention development would benefit from further qualitative data collection with additional caregivers of youth with SCI, including multiple family members, and families from more diverse care settings.

  16. Improvements of MMI and operator support systems at the Leningrad NPP

    International Nuclear Information System (INIS)

    Rakitin, I.D.; Malkin, S.D.; Shalia, V.V.; Fedorov, E.M.; Koudiakov, M.M.; Stebenev, A.S.

    1998-01-01

    A practical need of MMI up-grade and inclusion of new Operator Support Systems is of utmost importance for the existing NPPs under the new safety related Russian and International demands, requirements and regulations. The given paper describes RandD work for RBMK-type reactors with using full scope simulator features. But its main results could be well implemented for other reactor types as well. Significant efforts to up-grade safety of RBMK and implement a set of additional Safety Support Systems are provided by the Russian Project Design Institutes and by the International Organizations and Communities. But these projects have been mostly developed without a proper verification and validation against the real plant operation modes and real Control Room circumstances, and with no justification of an operating crew demands and expectations. That unfavorable situation should be successfully changed by now with using the Training Support Center (TSC) created at the Leningrad NPP. It incorporates the full-scope and analytical simulators working in parallel with the prototypes of the expert and interactive systems to provide a new scope of RandD work. The development and adjustment of two state-of-the-art Operators' Support Systems with using the Simulators are described in the Paper. These systems have been developed by the joint RRC KI and LNPP team. (author)

  17. Supporting system for the core restraint of nuclear reactors

    International Nuclear Information System (INIS)

    Kaser, A.

    1973-01-01

    The core restraint of water cooled nuclear reactors which is needed to direct the flow of the coolant through the core can be manufactured only in a moderate wall thickness. Thus, the majority of the loads have to be transmitted to the core barrel which is more rigid. The patent refers to a system of circumferential and vertical support members most of which are free to move relatively to each other, thus reducing thermal stresses during operation. (P.K.)

  18. The support needs of parents having a child with a chronic kidney disease: a focus group study.

    Science.gov (United States)

    Geense, W W; van Gaal, B G I; Knoll, J L; Cornelissen, E A M; van Achterberg, T

    2017-11-01

    Parents of children with a chronic kidney disease (CKD) have a crucial role in the management of their child's disease. The burden on parents is high: they are often exhausted, depressed and experience high levels of stress and a low quality of life, which could have a negative impact on their child's health outcomes. Support aiming at preventing and reducing parental stress is essential. Therefore, it is necessary to have insight in the problems and support needs among these parents. Our aim is to describe parents' support needs regarding the problems they experience in having a child with CKD. Five focus group interviews were conducted with parents of children: (i) with hereditary kidney disease, (ii) with nephrotic syndrome, (iii) with chronic kidney failure, (iv) using dialysis and (v) after renal transplantation. The children were treated at a paediatric nephrology unit in one university hospital in the Netherlands. The data were thematically analysed. Twenty-one parents participated in the focus groups. Parents need more information about their child's CKD and treatment options, and managing their own hobbies and work. Furthermore, parents need emotional support from their partner, family, friends, peers and healthcare professionals to help them cope with the disease of their child. Additionally, parents need practical support to hand over their care and support in transport, financial management and regarding their child at school. Needs regarding balancing their personal life are seldom prioritized by parents as the child's needs are considered more important. Therefore, it is important that healthcare professionals should not only attend to the abilities of parents concerning their child's disease management, but also focus on the parents' abilities in balancing their responsibilities as a caregiver with their own personal life. © 2017 John Wiley & Sons Ltd.

  19. A STUDY OF PREDICTING THE NEED FOR VENTILATOR SUPPORT AND OUTCOME IN ORGANOPHOSPHORUS POISONING

    Directory of Open Access Journals (Sweden)

    Kalinga Bommankatte Eranaik

    2017-04-01

    Full Text Available BACKGROUND Organophosphorus compound poisoning is the most common poisonings in India because of easy availability, often requiring ICU care and ventilator support. Clinical research has indicated that respiratory failure is the most important cause of death due to Organophosphorus poisoning. It results in respiratory muscle weakness, pulmonary oedema, respiratory depression, increased secretions and bronchospasm. These complications and death can be prevented with timely Institution of ventilator support. The aim of present study was to identify the factors and predicting the need for ventilator support and outcome. Aim of the Study- To predict the need for ventilator support and outcome in organophosphate poisoning. MATERIALS AND METHODS Seventy consecutive patients admitted with a history of organophosphorus poisoning at KIMS, Hubli were taken for study after considering the inclusion and exclusion criteria. Detailed history, confirmation of poisoning, examination and other than routine investigations serum pseudocholinesterase and arterial blood gas analysis was done. The severity of organophosphorus poisoning was graded as mild, moderate and severe based on the factors which influence the need for ventilator support. RESULTS This study was conducted in 70 patients, out of which 48 (68.6% were male patients and 22 (31.4% were female patients. Among them 37 (53% patients required ventilation and 33 (47% expired. Chlorpyrifos, Dichlorvos and Monocrotophos were most commonly consumed poisons. 74% patients who consumed these compounds required ventilator support and 73% patients expired. 100% of patients presented with pin point pupil, fasciculation score > 4, respiratory rate > 20, GCS score < 7 and severe grade of poisoning required ventilator support and pseudocholinesterase < 900 U/L, 70% of metabolic acidosis and atropine requirement more than 180 mg within 48 hours required ventilator support and associated with high mortality. CONCLUSION

  20. Supporting the education goals of post-9/11 veterans with self-reported PTSD symptoms: a needs assessment.

    Science.gov (United States)

    Ellison, Marsha Langer; Mueller, Lisa; Smelson, David; Corrigan, Patrick W; Torres Stone, Rosalie A; Bokhour, Barbara G; Najavits, Lisa M; Vessella, Jennifer M; Drebing, Charles

    2012-01-01

    The influx of young adult veterans with mental health challenges from recent wars combined with newly expanded veteran education benefits has highlighted the need for a supported education service within the Veterans Administration. However, it is unknown how such a service should be designed to best respond to these needs. This study undertook a qualitative needs assessment for education supports among veterans with post-9/11 service with self-reported PTSD symptoms. Focus groups were held with 31 veterans, 54% of whom were under age 30. Transcripts were analyzed and interpreted using a thematic approach and a Participatory Action Research team. Findings indicate a need for age relevant services that assist with: education planning and access, counseling for the G.I. Bill, accommodations for PTSD symptoms, community and family re-integration, and outreach and support. The veterans recommended that supported education be integrated with the delivery of mental health services, that services have varied intensity, and there be linkages between colleges and the Veterans Health Administration.

  1. Envisioning a Future Decision Support System for Requirements Engineering : A Holistic and Human-centred Perspective

    OpenAIRE

    Alenljung, Beatrice

    2008-01-01

    Complex decision-making is a prominent aspect of requirements engineering (RE) and the need for improved decision support for RE decision-makers has been identified by a number of authors in the research literature. The fundamental viewpoint that permeates this thesis is that RE decision-making can be substantially improved by RE decision support systems (REDSS) based on the actual needs of RE decision-makers as well as the actual generic human decision-making activities that take place in th...

  2. Unpacking the Complexity of Planning with Persons with Cognitive Disability and Complex Support Needs

    Science.gov (United States)

    Collings, Susan; Dew, Angela; Dowse, Leanne

    2018-01-01

    Background: Planners will engage with people with cognitive disability and complex support needs in the Australian National Disability Insurance Scheme, but the specific skills needed to build sustainable plans with this group are not yet known. Method: A qualitative study was conducted to explore the barriers and facilitators to planning with…

  3. An Environment for Guideline-based Decision Support Systems for Outpatients Monitoring.

    Science.gov (United States)

    Zini, Elisa M; Lanzola, Giordano; Bossi, Paolo; Quaglini, Silvana

    2017-08-11

    We propose an architecture for monitoring outpatients that relies on mobile technologies for acquiring data. The goal is to better control the onset of possible side effects between the scheduled visits at the clinic. We analyze the architectural components required to ensure a high level of abstraction from data. Clinical practice guidelines were formalized with Alium, an authoring tool based on the PROforma language, using SNOMED-CT as a terminology standard. The Alium engine is accessible through a set of APIs that may be leveraged for implementing an application based on standard web technologies to be used by doctors at the clinic. Data sent by patients using mobile devices need to be complemented with those already available in the Electronic Health Record to generate personalized recommendations. Thus a middleware pursuing data abstraction is required. To comply with current standards, we adopted the HL7 Virtual Medical Record for Clinical Decision Support Logical Model, Release 2. The developed architecture for monitoring outpatients includes: (1) a guideline-based Decision Support System accessible through a web application that helps the doctors with prevention, diagnosis and treatment of therapy side effects; (2) an application for mobile devices, which allows patients to regularly send data to the clinic. In order to tailor the monitoring procedures to the specific patient, the Decision Support System also helps physicians with the configuration of the mobile application, suggesting the data to be collected and the associated collection frequency that may change over time, according to the individual patient's conditions. A proof of concept has been developed with a system for monitoring the side effects of chemo-radiotherapy in head and neck cancer patients. Our environment introduces two main innovation elements with respect to similar works available in the literature. First, in order to meet the specific patients' needs, in our work the Decision

  4. Education and training support system

    International Nuclear Information System (INIS)

    Kubota, Rhuji; Iyadomi, Motomi.

    1996-01-01

    In order to train the specialist such as operator or maintenance stuff of large scale plant such as nuclear power plant or thermal power plant, a high grade teaching and training support system is required as well as in training pilot of aeroplane. The specialist in such large scale plant is also a researcher in the field of machinery, electricity and physics at first, and is grown up a expert operator or maintenance stuff through learning of CAI system or OTJ used training material for teaching tool in addition of training used operating or maintenance training device imitating actual plant after acquiring determined knowledges by receiving fundamental education on nuclear and thermal power plants. In this paper, the teaching and training support systems of the nuclear and thermal power plants for a system supporting such teaching and training, respectively, were introduced. (G.K.)

  5. Profiling the Psychological Training and Support Needs of Oncology Staff, and Evaluating the Effectiveness of a Level 2 Psychological Support Training Program Workshop.

    Science.gov (United States)

    Laffan, Amanda J; Daniels, Jo; Osborn, Michael

    2015-01-01

    The importance of training non-psychology healthcare professionals to offer psychological support to people with cancer is becoming increasingly recognized. This small-scale pilot project sought to identify the training and support needs of oncology staff and to evaluate the effectiveness of a Level 2 Psychological Support Training Program workshop. Semi-structured interviews with five members of multidisciplinary oncology staff identified that training needs were primarily around communication skills, recognizing and dealing with emotions, offering support and empathy, and self-care. Pre and post-training questionnaires developed with these themes in mind revealed that the Level 2 Training Program workshops run in this network of hospitals are effective in increasing participants' levels of perceived knowledge and confidence across each of these domains. Recommendations are made for further enhancing this effectiveness.

  6. Procedural justice, supervisor autonomy support, work satisfaction, organizational identification and job performance: the mediating role of need satisfaction and perceived organizational support.

    Science.gov (United States)

    Gillet, Nicolas; Colombat, Philippe; Michinov, Estelle; Pronost, Anne-Marie; Fouquereau, Evelyne

    2013-11-01

    To test a model linking procedural justice, supervisor autonomy support, need satisfaction, organizational support, work satisfaction, organizational identification and job performance. Research in industrial and organizational psychology has shown that procedural justice and supervisor autonomy support lead to positive outcomes. However, very little research related to this subject has been conducted in healthcare settings. Moreover, few studies have examined mechanisms that could account for these positive relationships. A cross-sectional correlational design was used. Convenience sampling was used and a sample of 500 nurses working in haematology, oncology and haematology/oncology units in France was surveyed in 2011. The final sample consisted of 323 nurses (64.6% response rate). The hypothesized model was tested using structural equation modelling. Procedural justice and supervisor autonomy support significantly and positively influenced need satisfaction and perceived organizational support, which in turn positively predicted work satisfaction, organizational identification and job performance. Organizations could deliver training programmes for their managers aimed at enhancing the use of fair procedures in allocating outcomes and developing their autonomy-supportive behaviours to improve nurses' work satisfaction, organizational identification and job performance. © 2013 Blackwell Publishing Ltd.

  7. An intelligent interlock design support system

    International Nuclear Information System (INIS)

    Hayashi, Toshifumi; Kamiyama, Masahiko

    1990-01-01

    This paper presents an intelligent interlock design support system, called Handy. BWR plant interlocks have been designed on a conventional CAD system operating on a mini-computer based time sharing system. However, its ability to support interlock designers is limited, mainly due to the system not being capable of manipulating the interlock logic. Handy improves the design efficiency with consistent manipulation of the logic and drawings, interlock simulation, versatile database management, object oriented user interface, high resolution high speed graphics, and automatic interlock outlining with a design support expert system. Handy is now being tested by designers, and is expected to greatly contribute to their efficiency. (author)

  8. Dynamism in Electronic Performance Support Systems.

    Science.gov (United States)

    Laffey, James

    1995-01-01

    Describes a model for dynamic electronic performance support systems based on NNAble, a system developed by the training group at Apple Computer. Principles for designing dynamic performance support are discussed, including a systems approach, performer-centered design, awareness of situated cognition, organizational memory, and technology use.…

  9. Burden and happiness in head and neck cancer carers: the role of supportive care needs.

    Science.gov (United States)

    Hanly, Paul; Maguire, Rebecca; Balfe, Myles; Hyland, Philip; Timmons, Aileen; O'Sullivan, Eleanor; Butow, Phyllis; Sharp, Linda

    2016-10-01

    Our study aimed to investigate the relationship between unmet supportive care needs and carer burden and happiness, in head and neck cancer (HNC). Two hundred eighty-five HNC informal carers were sent a postal questionnaire between January and June 2014, which included the supportive care needs survey for partners and caregivers of cancer survivors (SCNS-P&C) and the CarerQol, which assesses burden and happiness. Multiple regression analysis was conducted to examine the association of (i) carer characteristics, (ii) carer situation, and (iii) unmet supportive care needs, with carer burden and happiness One hundred ninety-seven carers completed the questionnaire (response rate = 69 %), 180 of whom were included in the analysis. The majority were female (76 %), not in paid employment (68 %) and caring for their spouse (67 %). On average, carers reported relatively low levels of burden and relatively high levels of happiness. Carer factors explained 42 % of variance in levels of burden and 24 % of variance in levels of happiness. Healthcare service needs were associated with carer burden (β = .28, p = .04), while psychological needs (β = -.38, p = .028), health care service needs (β = -.30, p = .049), information needs (β = .29, p = .028), carer comorbidity (β = -.18, p = .030), and gender (β = -.16, p = .045) were associated with happiness. Our results indicate that different aspects of carer characteristics and unmet needs are associated with carer burden and happiness. Efforts directed at reducing unmet healthcare service needs in particular are merited given their associations with both aspects of carer quality of life.

  10. Systemic risk in the energy sector—Is there need for financial regulation?

    International Nuclear Information System (INIS)

    Kerste, Marco; Gerritsen, Matthijs; Weda, Jarst; Tieben, Bert

    2015-01-01

    The credit crisis points at serious systemic risks in Over The Counter derivative trading. This has resulted in new financial regulation, covering both the financial sector and non-financial sectors. The actual extent to which non-financial companies trading on OTC markets contribute to systemic risk has hardly been the subject of research. This paper investigates the need for financial regulation in the energy sector, which shows a high use of OTC derivatives, by modeling systemic risk measured by the expected fraction of additional failing firms (EAF). Contagion risk within the energy sector and from the energy sector towards the banking sector is compared with that in other non-financial sectors. This paper adds to existing systemic risk literature by specifically looking at financial interdependence between a non-financial sector showing a high usage of OTC commodity derivatives and the banking sector, while contributing to the discussion on energy sector regulation with technical systemic risk analysis. Results indicate that contagion risk from the energy towards the banking sector is not relatively high compared to other non-financial sectors. Our results provide a first indication to question the need for generalized regulation of OTC derivative transactions, as recently introduced by the European Market Infrastructure Regulation (EMIR). - Highlights: • We assess the need for regulating OTC energy commodity derivatives under EMIR. • We present a methodology to model systemic risk in non-financial sectors. • We analyse direct and indirect channels for contagion giving rise to systemic risk. • Contagion risk from the energy towards the banking sector is not relatively high. • New EU regulation for energy OTC trading not supported by analysis of systemic risk

  11. Parents' asthma information needs and preferences for school-based asthma support.

    Science.gov (United States)

    Al Aloola, Noha Abdullah; Nissen, Lisa; Alewairdhi, Huda Abdullaziz; Al Faryan, Nawaf; Saini, Bandana

    2017-11-01

    This study sought to investigate parents' needs and preferences for school-based asthma support in Saudi Arabian primary schools. Semi-structured qualitative interviews were conducted in the period between November 2015 and February 2016, with a convenience sample that comprised Saudi parents and carers of children with asthma. Recruitment of participants was primarily driven through Saudi primary schools; passive snowballing and social networks were used to boost participation rates further. Interviews were audio-recorded, transcribed verbatim, translated and data were thematically organised using a latent content analysis approach. Twenty interviews were conducted. Six themes emerged from the interviews and were grouped into three major categories: (1) general asthma management issues; (2) school-based asthma management issues; and (3) communication dissatisfaction. Participants expressed concern at schools' social and physical environments and a lack of confidence in the ability of schools to manage their child's asthma, especially when their child was ill. Most of the participants advocated for staff training and school community engagement to improve the management of asthma in Saudi primary schools. This research clearly describes a need for school-based asthma support, including asthma-related policies, procedures and education on asthma and first aid in Saudi primary schools.

  12. Computer-Supported Information Systems.

    Science.gov (United States)

    Mayhew, William H.

    1983-01-01

    The planning and implementation of a computerized management information system at a fictional small college is described. Nine key points are made regarding department involvement, centralization, gradual program implementation, lowering costs, system documentation, and upper-level administrative support. (MSE)

  13. Emotional tears facilitate the recognition of sadness and the perceived need for social support.

    Science.gov (United States)

    Balsters, Martijn J H; Krahmer, Emiel J; Swerts, Marc G J; Vingerhoets, Ad J J M

    2013-02-12

    The tearing effect refers to the relevance of tears as an important visual cue adding meaning to human facial expression. However, little is known about how people process these visual cues and their mediating role in terms of emotion perception and person judgment. We therefore conducted two experiments in which we measured the influence of tears on the identification of sadness and the perceived need for social support at an early perceptional level. In two experiments (1 and 2), participants were exposed to sad and neutral faces. In both experiments, the face stimuli were presented for 50 milliseconds. In experiment 1, tears were digitally added to sad faces in one condition. Participants demonstrated a significant faster recognition of sad faces with tears compared to those without tears. In experiment 2, tears were added to neutral faces as well. Participants had to indicate to what extent the displayed individuals were in need of social support. Study participants reported a greater perceived need for social support to both sad and neutral faces with tears than to those without tears. This study thus demonstrated that emotional tears serve as important visual cues at an early (pre-attentive) level.

  14. Design strategies for human & earth systems modeling to meet emerging multi-scale decision support needs

    Science.gov (United States)

    Spak, S.; Pooley, M.

    2012-12-01

    The next generation of coupled human and earth systems models promises immense potential and grand challenges as they transition toward new roles as core tools for defining and living within planetary boundaries. New frontiers in community model development include not only computational, organizational, and geophysical process questions, but also the twin objectives of more meaningfully integrating the human dimension and extending applicability to informing policy decisions on a range of new and interconnected issues. We approach these challenges by posing key policy questions that require more comprehensive coupled human and geophysical models, identify necessary model and organizational processes and outputs, and work backwards to determine design criteria in response to these needs. We find that modular community earth system model design must: * seamlessly scale in space (global to urban) and time (nowcasting to paleo-studies) and fully coupled on all component systems * automatically differentiate to provide complete coupled forward and adjoint models for sensitivity studies, optimization applications, and 4DVAR assimilation across Earth and human observing systems * incorporate diagnostic tools to quantify uncertainty in couplings, and in how human activity affects them * integrate accessible community development and application with JIT-compilation, cloud computing, game-oriented interfaces, and crowd-sourced problem-solving We outline accessible near-term objectives toward these goals, and describe attempts to incorporate these design objectives in recent pilot activities using atmosphere-land-ocean-biosphere-human models (WRF-Chem, IBIS, UrbanSim) at urban and regional scales for policy applications in climate, energy, and air quality.

  15. System for technical innovation support

    International Nuclear Information System (INIS)

    2011-08-01

    This book lists field of support system, which includes tax, development work, basic research project, industrial technology, information and communications field, energy field, part and materials field, local industry, the small and medium business such as technical development field, and industry-university collaboration like summary of investment and financing support and guarantee, support of manpower such as brain pool and contact Korea, support of technique like development technology and strategy for patent, support on certification such as company and technical goods, purchase support.

  16. Support of an Active Science Project by a Large Information System: Lessons for the EOS Era

    Science.gov (United States)

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

    1993-01-01

    The ability of large information systems to support the changing data requirements of active science projects is being tested in a NASA collaborative study. This paper briefly profiles both the active science project and the large information system involved in this effort and offers some observations about the effectiveness of the project support. This is followed by lessons that are important for those participating in large information systems that need to support active science projects or that make available the valuable data produced by these projects. We learned in this work that it is difficult for a large information system focused on long term data management to satisfy the requirements of an on-going science project. For example, in order to provide the best service, it is important for all information system staff to keep focused on the needs and constraints of the scientists in the development of appropriate services. If the lessons learned in this and other science support experiences are not applied by those involved with large information systems of the EOS (Earth Observing System) era, then the final data products produced by future science projects may not be robust or of high quality, thereby making the conduct of the project science less efficacious and reducing the value of these unique suites of data for future research.

  17. Sustaining leaders of cancer support groups: the role, needs, and difficulties of leaders.

    Science.gov (United States)

    Butow, Phyllis; Ussher, Jane; Kirsten, Laura; Hobbs, Kim; Smith, Katharine; Wain, Gerald; Sandoval, Mirjana; Stenlake, Annie

    2005-01-01

    Cancer support groups are an important source of support for cancer patients, yet little is known about the characteristics of, and barriers to, effective leadership, and the training needs of both professionally trained and untrained leaders. This study explored the views of 179 leaders of 184 cancer support groups in NSW, Australia, regarding these issues. Four hundred and sixteen members of 50 groups selected from the larger cohort completed questionnaires eliciting the importance of group processes, including leader qualities, and satisfaction with group leadership. Finally, members of nine groups participated in focus groups regarding effective group processes. The importance of the leader(s) was emphasized in all stages of the research. Fifty-nine percent of group leaders were currently experiencing a difficulty, primarily related to infrastructure or group process. Three characteristics of effective leaders were identified: educational qualities, facilitation skills, and personal qualities. There is clearly a need to develop and evaluate effective interventions to maintain leaders in these roles, if the proven benefits for cancer patients are to be protected.

  18. Observability and Decision Support for Supervision of Distributed Power System Control

    DEFF Research Database (Denmark)

    Pertl, Michael

    in NorthernCalifornia. Two possible applications of the model are presented: peak reduction compared to uncontrolled charging, and an energy arbitrage scenario. Overall, it is shown that a combination of classical and innovative approaches can contribute to improved situation awareness of control room...... operational information, relevant to the current grid condition, need to be developed. This dissertation covers three areas where specific challenges for improved observability and decision support in future control rooms are addressed: Classical large power system stability issues, innovative data......-network-based approach for real-time voltage estimation in active distribution grids, and a modeling approach to harness the flexibility of an aggregation of electric vehicles. For improved monitoring and maintaining power system stability, a decision support tool for transient stability preventive control, based...

  19. Quantitative Risk reduction estimation Tool For Control Systems, Suggested Approach and Research Needs

    Energy Technology Data Exchange (ETDEWEB)

    Miles McQueen; Wayne Boyer; Mark Flynn; Sam Alessi

    2006-03-01

    For the past year we have applied a variety of risk assessment technologies to evaluate the risk to critical infrastructure from cyber attacks on control systems. More recently, we identified the need for a stand alone control system risk reduction estimation tool to provide owners and operators of control systems with a more useable, reliable, and credible method for managing the risks from cyber attack. Risk is defined as the probability of a successful attack times the value of the resulting loss, typically measured in lives and dollars. Qualitative and ad hoc techniques for measuring risk do not provide sufficient support for cost benefit analyses associated with cyber security mitigation actions. To address the need for better quantitative risk reduction models we surveyed previous quantitative risk assessment research; evaluated currently available tools; developed new quantitative techniques [17] [18]; implemented a prototype analysis tool to demonstrate how such a tool might be used; used the prototype to test a variety of underlying risk calculational engines (e.g. attack tree, attack graph); and identified technical and research needs. We concluded that significant gaps still exist and difficult research problems remain for quantitatively assessing the risk to control system components and networks, but that a useable quantitative risk reduction estimation tool is not beyond reach.

  20. Comparison study of time history and response spectrum responses for multiply supported piping systems

    International Nuclear Information System (INIS)

    Wang, Y.K.; Subudhi, M.; Bezler, P.

    1983-01-01

    In the past decade, several investigators have studied the problem of independent support excitation of a multiply supported piping system to identify the real need for such an analysis. This approach offers an increase in accuracy at a small increase in computational costs. To assess the method, studies based on the response spectrum approach using independent support motions for each group of commonly connected supports were performed. The results obtained from this approach were compared with the conventional envelope spectrum and time history solutions. The present study includes a mathematical formulation of the independent support motion analysis method suitable for implementation into an existing all purpose piping code PSAFE2 and a comparison of the solutions for some typical piping system using both Time History and Response Spectrum Methods. The results obtained from the Response Spectrum Methods represent the upper bound solution at most points in the piping system. Similarly, the Seismic Anchor Movement analysis based on the SRP method over predicts the responses near the support points and under predicts at points away from the supports

  1. Life Support Systems: Environmental Monitoring

    Data.gov (United States)

    National Aeronautics and Space Administration — The Advanced Exploration Systems (AES) Life Support Systems project Environmental Monitoring (EM) systems task objectives are to develop and demonstrate onboard...

  2. Support Needs of Fathers of Children with ASD: Individual, Family, Community and Ideological Influences

    Science.gov (United States)

    Shave, Kassi; Lashewicz, Bonnie

    2016-01-01

    Introduction: Fathers are increasingly involved in caring for children, and involvement by fathers of children with ASD is distinctly impacted by added demands of their child's diagnosis. Yet supports for families of children with ASD are not tailored to needs of fathers. We use an ecological framework to examine how fathers' needs are influenced…

  3. Support intervention needs and preferences of fathers affected by postpartum depression.

    Science.gov (United States)

    Letourneau, Nicole; Tryphonopoulos, Panagiota D; Duffett-Leger, Linda; Stewart, Miriam; Benzies, Karen; Dennis, Cindy-Lee; Joschko, Justin

    2012-01-01

    The effect of postpartum depression (PPD) on mothers has been extensively studied. But even though up to 50% of men whose partners suffer from PPD also have depressive symptoms, little is known about the impact of maternal PPD on fathers. Depressive symptoms are likely to decrease fathers' ability to provide maternal support. Children with 2 depressed parents are at significantly greater risk for poor developmental outcomes than those with 1 affected parent. The objective of this Canada-wide exploratory/descriptive study was to describe the support needs and preferences for support of fathers whose partners have had PPD. Qualitative methods and community-based research approaches were used, and one-to-one telephone interviews were conducted between 2009 and 2011 with a total of 40 fathers. Fathers desired support from both formal (professional) and informal (friends and family) sources and noted that ideal support interventions should cover a number of key topics including information on PPD and practical tips on how to cope with their partner's PPD. Fathers reported that the ideal PPD intervention program does not favor any one setup and, to reach the full spectrum of parents, the program must be multitiered, accessible, and as flexible as funding allows.

  4. Nutritional Support

    Science.gov (United States)

    Nutritional support is therapy for people who cannot get enough nourishment by eating or drinking. You may need ... absorb nutrients through your digestive system You receive nutritional support through a needle or catheter placed in your ...

  5. Mothers who formula feed: their practices, support needs and factors influencing their Infant feeding decision

    LENUS (Irish Health Repository)

    Tarrant, R C

    2013-01-01

    The majority of mothers in Ireland provide formula milk to their infants during the initial weeks postpartum; however, data are lacking on their formula feeding practices and support needs. This prospective Dublin-based observational study, which included 450 eligible mother-term infant pairs recruited and followed up to 6 months postpartum, aimed to advance our understanding of maternal formula feeding practices, their reasons for deciding to formula feed, sources of feeding information and perceived support needs; insights into infant formula milk consumption patterns in relation to current feeding guidelines are also provided. In summary, the vast majority of infants at 6 weeks were provided with formula milk (n = 368; 81.8%). Positive maternal perceptions of formula feeding were among the most frequently reported reasons underlying mothers’ decision to formula feed (e.g. convenience, 17.3%). Potential public health concerns over the large formula milk volumes consumed by infants (mean 205ml\\/kilogram\\/day) relative to infant feeding guidelines (150ml\\/kilogram\\/day) were raised from this study. Some mothers continue to add solid foods to infant bottle feeds at 6 weeks (3.8%) and 6 months (6%), a non-recommended feeding practice posing a choking risk for infants. Crucially, this study highlights the need to provide greater support and information to mothers who decide to formula feed postpartum including practical information on sterilisation and formula reconstitution. While breastfeeding promotion and research continues to be a public health priority in Ireland, addressing the support and information needs of mothers who formula feed, an underrepresented and understudied population in the literature, also needs to be considered to ensure optimal health and safety for their infants.

  6. Indicators of a balanced long-term service and support system: examining the impact on individuals aging with a lifelong disability.

    Science.gov (United States)

    Ruiz, Sarah; Urdapilleta, Oswaldo; Clark-Shirley, Leanne J; Howard, Jennifer; Poey, Judith

    2012-01-01

    This article explores how rebalancing efforts can support the needs of individuals aging with a lifelong disability. The National Balancing Indicator project examined the overall long-term supports and services system (LTSS) progress in five indicators within the Sustainability, Coordination and Transparency, and Prevention principles toward a balanced LTSS system for those aging with a lifelong disability. In assessing state efforts to create a balanced participant-directed LTSS system with the National Balancing Indicators, the findings suggest states are better equipping the system to handle a burgeoning population of individuals aging with a lifelong disability, but more progress is still needed. Overall, states need to continue to create a seamless system that allows individuals with lifelong disabilities to transition smoothly through the life course.

  7. Novel electro-hydraulic position control system for primary mirror supporting system

    Directory of Open Access Journals (Sweden)

    Xiongbin Peng

    2016-05-01

    Full Text Available In the field of modern large-scale telescope, primary mirror supporting system technology faces the difficulties of theoretically uniform output force request and bias compensation. Therefore, a novel position control system combining hydraulic system with servo motor system is introduced. The novel system ensures uniform output force on supporting points without complicating the mechanical structure. The structures of both primary mirror supporting system and novel position system are described. Then, the mathematical model of novel position control system is derived for controller selection. A proportional–derivative controller is adopted for simulations and experiments of step response and triangle path tracking. The results show that proportional–derivative controller guarantees the system with micrometer-level positioning ability. A modified proportional–derivative controller is utilized to promote system behavior with faster response overshoot. The novel position control system is then applied on primary mirror supporting system. Coupling effect is observed among actuator partitions, and relocation of virtual pivot supporting point is chosen as the decoupling measurement. The position keeping ability of the primary mirror supporting system is verified by rotating the mirror cell at a considerably high rate. The experiment results show that the decoupled system performs better with smaller bias and shorter recovery time.

  8. Usability evaluation of a web-based support system for people with a schizophrenia diagnosis.

    Science.gov (United States)

    van der Krieke, Lian; Emerencia, Ando C; Aiello, Marco; Sytema, Sjoerd

    2012-02-06

    Routine Outcome Monitoring (ROM) is a systematic way of assessing service users' health conditions for the purpose of better aiding their care. ROM consists of various measures used to assess a service user's physical, psychological, and social condition. While ROM is becoming increasingly important in the mental health care sector, one of its weaknesses is that ROM is not always sufficiently service user-oriented. First, clinicians tend to concentrate on those ROM results that provide information about clinical symptoms and functioning, whereas it has been suggested that a service user-oriented approach needs to focus on personal recovery. Second, service users have limited access to ROM results and they are often not equipped to interpret them. These problems need to be addressed, as access to resources and the opportunity to share decision making has been indicated as a prerequisite for service users to become a more equal partner in communication with their clinicians. Furthermore, shared decision making has been shown to improve the therapeutic alliance and to lead to better care. Our aim is to build a web-based support system which makes ROM results more accessible to service users and to provide them with more concrete and personalized information about their functioning (ie, symptoms, housing, social contacts) that they can use to discuss treatment options with their clinician. In this study, we will report on the usability of the web-based support system for service users with schizophrenia. First, we developed a prototype of a web-based support system in a multidisciplinary project team, including end-users. We then conducted a usability study of the support system consisting of (1) a heuristic evaluation, (2) a qualitative evaluation and (3) a quantitative evaluation. Fifteen service users with a schizophrenia diagnosis and four information and communication technology (ICT) experts participated in the study. The results show that people with a

  9. A Lunar Surface System Supportability Technology Development Roadmap

    Science.gov (United States)

    Oeftering, Richard C.; Struk, Peter M.; Taleghani, barmac K.

    2011-01-01

    This paper discusses the establishment of a Supportability Technology Development Roadmap as a guide for developing capabilities intended to allow NASA s Constellation program to enable a supportable, sustainable and affordable exploration of the Moon and Mars. Presented is a discussion of supportability, in terms of space facility maintenance, repair and related logistics and a comparison of how lunar outpost supportability differs from the International Space Station. Supportability lessons learned from NASA and Department of Defense experience and their impact on a future lunar outpost is discussed. A supportability concept for future missions to the Moon and Mars that involves a transition from a highly logistics dependent to a logistically independent operation is discussed. Lunar outpost supportability capability needs are summarized and a supportability technology development strategy is established. The resulting Lunar Surface Systems Supportability Strategy defines general criteria that will be used to select technologies that will enable future flight crews to act effectively to respond to problems and exploit opportunities in an environment of extreme resource scarcity and isolation. This strategy also introduces the concept of exploiting flight hardware as a supportability resource. The technology roadmap involves development of three mutually supporting technology categories, Diagnostics Test and Verification, Maintenance and Repair, and Scavenging and Recycling. The technology roadmap establishes two distinct technology types, "Embedded" and "Process" technologies, with different implementation and thus different criteria and development approaches. The supportability technology roadmap addresses the technology readiness level, and estimated development schedule for technology groups that includes down-selection decision gates that correlate with the lunar program milestones. The resulting supportability technology roadmap is intended to develop a set

  10. Development of the parental needs scale for rare diseases: a tool for measuring the supportive care needs of parents caring for a child with a rare disease.

    Science.gov (United States)

    Pelentsov, Lemuel J; Fielder, Andrea L; Laws, Thomas A; Esterman, Adrian J

    2016-01-01

    Children and families affected by rare diseases have received scant consideration from the medical, scientific, and political communities, with parents' needs especially having received little attention. Affected parents often have limited access to information and support and appropriate health care services. While scales to measure the needs of parents of children with chronic illnesses have been developed, there have been no previous attempts to develop a scale to assess the needs of parents of children with rare diseases. To develop a scale for measuring the supportive care needs of parents of children with rare diseases. A total of 301 responses to our Parental Needs Survey were randomly divided into two halves, one for exploratory factor analysis and the other for confirmatory factor analysis (CFA). After removing unsuitable items, exploratory factor analysis was undertaken to determine the factor structure of the data. CFA using structural equation modeling was then undertaken to confirm the factor structure. Seventy-two items were entered into the CFA, with a scree plot showing a likely four-factor solution. The results provided four independent subscales of parental needs: Understanding the disease (four items); Working with health professionals (four items); Emotional issues (three items); and Financial needs (three items). The structural equation modeling confirmed the suitability of the four-factor solution and demonstrated that the four subscales could be added to provide an overall scale of parental need. This is the first scale developed to measure the supportive care needs of parents of children with rare diseases. The scale is suitable for use in surveys to develop policy, in individual clinical assessments, and, potentially, for evaluating new programs. Measuring the supportive care needs of parents caring for a child with a rare disease will hopefully lead to better physical and psychological health outcomes for parents and their affected

  11. Improving access to supportive cancer care through an eHealth application: a qualitative needs assessment among cancer survivors.

    Science.gov (United States)

    Lubberding, Sanne; van Uden-Kraan, Cornelia F; Te Velde, Elisabeth A; Cuijpers, Pim; Leemans, C René; Verdonck-de Leeuw, Irma M

    2015-05-01

    To gain insight into cancer survivors' needs towards an eHealth application monitoring quality of life and targeting personalised access to supportive care. Supportive care in cancer addresses survivors' concerns and needs. However, many survivors are not taking advantage of supportive care provided. To enable cancer survivors to benefit, survivors' needs must be identified timely and effectively. An eHealth application could be a solution to meet patients' individual supportive care needs. A qualitative approach. Thirty cancer survivors (15 head and neck and 15 breast cancer survivors) participated. The majority were female (n = 20·67%). The mean age was 60 (SD 8·8) years. Mean time interval since treatment was 13·5 months (SD 10·5). All interviews were audio-recorded and transcribed verbatim. During the interviews, participants were asked about their unmet needs during follow-up care and a potential eHealth application. Data were analyzed independently by two coders and coded into key issues and themes. Cancer survivors commented that they felt unprepared for the post-treatment period and that their symptoms often remained unknown to care providers. Survivors also mentioned a suboptimal referral pattern to supportive care services. Mentioned advantages of an eHealth application were as follows: insight into the course of symptoms by monitoring, availability of information among follow-up appointments, receiving personalised advice and tailored supportive care. Cancer survivors identified several unmet needs during follow-up care. Most survivors were positive towards the proposed eHealth application and expressed that it could be a valuable addition to follow-up cancer care. Study results provide care providers with insight into barriers that impede survivors from obtaining optimal supportive care. This study also provides insight into the characteristics needed to design, build and implement an eHealth application targeting personalised access to supportive

  12. Guiding Requirements for Designing Life Support System Architectures for Crewed Exploration Missions Beyond Low-Earth Orbit

    Science.gov (United States)

    Perry, Jay L.; Sargusingh, Miriam J.; Toomarian, Nikzad

    2016-01-01

    The National Aeronautics and Space Administration's (NASA) technology development roadmaps provide guidance to focus technological development in areas that enable crewed exploration missions beyond low-Earth orbit. Specifically, the technology area roadmap on human health, life support and habitation systems describes the need for life support system (LSS) technologies that can improve reliability and in-flight maintainability within a minimally-sized package while enabling a high degree of mission autonomy. To address the needs outlined by the guiding technology area roadmap, NASA's Advanced Exploration Systems (AES) Program has commissioned the Life Support Systems (LSS) Project to lead technology development in the areas of water recovery and management, atmosphere revitalization, and environmental monitoring. A notional exploration LSS architecture derived from the International Space has been developed and serves as the developmental basis for these efforts. Functional requirements and key performance parameters that guide the exploration LSS technology development efforts are presented and discussed. Areas where LSS flight operations aboard the ISS afford lessons learned that are relevant to exploration missions are highlighted.

  13. ELECTRICAL SUPPORT SYSTEM DESCRIPTION DOCUMENT

    International Nuclear Information System (INIS)

    Roy, S.

    2004-01-01

    The purpose of this revision of the System Design Description (SDD) is to establish requirements that drive the design of the electrical support system and their bases to allow the design effort to proceed to License Application. This SDD is a living document that will be revised at strategic points as the design matures over time. This SDD identifies the requirements and describes the system design as they exist at this time, with emphasis on those attributes of the design provided to meet the requirements. This SDD has been developed to be an engineering tool for design control. Accordingly, the primary audience/users are design engineers. This type of SDD both ''leads'' and ''trails'' the design process. It leads the design process with regard to the flow down of upper tier requirements onto the system. Knowledge of these requirements is essential in performing the design process. The SDD trails the design with regard to the description of the system. The description provided in the SDD is a reflection of the results of the design process to date. Functional and operational requirements applicable to electrical support systems are obtained from the ''Project Functional and Operational Requirements'' (F andOR) (Siddoway 2003). Other requirements to support the design process have been taken from higher-level requirements documents such as the ''Project Design Criteria Document'' (PDC) (Doraswamy 2004), and fire hazards analyses. The above-mentioned low-level documents address ''Project Requirements Document'' (PRD) (Canon and Leitner 2003) requirements. This SDD contains several appendices that include supporting information. Appendix B lists key system charts, diagrams, drawings, and lists, and Appendix C includes a list of system procedures

  14. Radiological emergency assessment of local decision support system

    International Nuclear Information System (INIS)

    Breznik, B.; Kusar, A.; Boznar, M.Z.; Mlakar, P.

    2003-01-01

    Local decision support system has been developed based on the needs of Krsko Nuclear Power Plant for quick dose projection and it is one of important features required for proposal of intervention before actual release may occur. Radiological emergency assessment in the case of nuclear accident is based on plant status analysis, radiation monitoring data and on prediction of release of radioactive sources to the environment. There are possibilities to use automatic features to predict release source term and manual options for selection of release parameters. Advanced environmental modelling is used for assessment of atmospheric dispersion of radioactive contamination in the environment. (author)

  15. Supportive Care Needs for Women With Gynecological Cancer and Their Relatives During the Prediagnostic Period

    DEFF Research Database (Denmark)

    Holt, Kamila Adellund; Hansen, Helle Ploug; Mogensen, Ole

    2014-01-01

    The prediagnostic process for gynecological cancer has become quite rapid. It gives the woman limited time to handle new information about her illness and make decisions. The existing support initiatives in Denmark focus on aftercare rather than on needs for support in the prediagnostic period....

  16. Stress, coping and support needs of patients with ulcerative colitis or Crohn's disease: a qualitative descriptive study.

    Science.gov (United States)

    Larsson, Kjerstin; Lööf, Lars; Nordin, Karin

    2017-03-01

    To examine disease-related stress, coping strategies and the need for information and support in patients with inflammatory bowel disease (ulcerative colitis or Crohn's disease). Psychological stress is an important factor in ulcerative colitis and Crohn's disease, and therefore, coping strategies and support needs should be considered in routine clinical practice. This is a qualitative study using a descriptive interview-based approach. Fifteen patients with ulcerative colitis (n = 7) or Crohn's disease (n = 8) were interviewed. The interviews were analysed with content analysis. The informants largely focused on disease-related stress (e.g. access to a toilet, symptoms and worries) and relations to other people (various reactions from others and social situations). Behavioural strategies (i.e. taking actions and the need for making plans, prepare and adapt), social strategies (seeking help and information and sharing feelings about the disease with others) and emotional strategies (distraction, positive attitude and acceptance) were adopted to cope with the stress associated with the disease. The need for information and support concerned instrumental support (disease-related information) and emotional support (to talk about disease management). Faecal urgency and the fear of losing bowel control are important stressors for patients with inflammatory bowel disease. The patients handle this problem using various coping strategies depending on the type of stressful events. Both instrumental and emotional support were requested which primarily occurred at the time of diagnosis and disease flare-ups. Patients with ulcerative colitis or Crohn's disease ask for information and psychosocial support that are tailored to their individual needs and at different stages in the disease trajectory to improve everyday life and strengthen self-management strategies. © 2016 John Wiley & Sons Ltd.

  17. Gulf of Mexico Helicopter Offshore System Technologies Engineering Needs Assessment

    Science.gov (United States)

    Koenke, Edmund J.; Carpenter, Elisabeth J.; Williams, Larry; Caiafa, Caesar

    1999-01-01

    The National Aeronautics and Space Administration (NASA), in partnership with the Federal Aviation Administration (FAA), is conducting a research and development program to modernize the National Airspace System (NAS). The mission of NASA's Advanced Air Transportation Technologies (AATT) project is to develop advanced Air Traffic Management (ATM) concepts and decision support tools for eventual deployment and implementation by the FAA and the private sector. One major objective of the NASA AATT project is to understand and promote the needs of all user classes. The Gulf of Mexico (GoMex) airspace has unique needs. A large number of helicopters operate in this area with only limited surveillance and sometimes-severe environmental conditions. Thunderstorms are the most frequent weather hazard during the spring, summer, and fall. In winter, reduced hours of daylight, low ceilings, strong winds, and icing conditions may restrict operations. Hurricanes impose the most severe weather hazard. The hurricane season, from June through October, normally requires at least one mass evacuation of all offshore platforms.

  18. Integrated Control System Engineering Support.

    Science.gov (United States)

    1984-12-01

    Advanced Medium Range Air to Air Missile ASTEC Advanced Speech Technology Experimental Configuration BA Body Axis BCIU Bus Control Interface Unit BMU Bus...support nreeded to tie an ASTEC speech recognition system into the DIGISYN fJcility and support an FIGR experiment designed to investigate the voice...information passed to the PDP computer consisted of integers which represented words or phrases recognized by the ASTEC recognition system. An interface

  19. The society-supporting self: system justification and cultural worldview defense as different forms of self-regulation

    NARCIS (Netherlands)

    Rutjens, B.T.; Loseman, A.

    2010-01-01

    Justifying social systems and defending cultural worldviews may seem to resemble the same human need to protect what is known and predictable. The current paper would like to argue that these society-supporting tendencies concern two different forms of self-regulation: the need for control and the

  20. Improving access to supportive cancer care through an eHealth application: a qualitative needs assessment among cancer survivors.

    NARCIS (Netherlands)

    Lubberding, S.; van Uden-Kraan, C.F.; te Velde, E.A.; Cuijpers, P.; Leemans, C.R.; Verdonck-de Leeuw, I.M.

    2015-01-01

    Aims and objectives: To gain insight into cancer survivors' needs towards an eHealth application monitoring quality of life and targeting personalised access to supportive care. Background: Supportive care in cancer addresses survivors' concerns and needs. However, many survivors are not taking

  1. Show them the money? The role of pay, managerial need support, and justice in a self-determination theory model of intrinsic work motivation.

    Science.gov (United States)

    Olafsen, Anja H; Halvari, Hallgeir; Forest, Jacques; Deci, Edward L

    2015-08-01

    The link between money and motivation has been a debated topic for decades, especially in work organizations. However, field studies investigating the amount of pay in relation to employee motivation is lacking and there have been calls for empirical studies addressing compensation systems and motivation in the work domain. The purpose of this study was to examine outcomes associated with the amount of pay, and perceived distributive and procedural justice regarding pay in relation to those for perceived managerial need support. Participants were 166 bank employees who also reported on their basic psychological need satisfaction and intrinsic work motivation. SEM-analyses tested a self-determination theory (SDT) model, with satisfaction of the competence and autonomy needs as an intervening variable. The primary findings were that amount of pay and employees' perceived distributive justice regarding their pay were unrelated to employees' need satisfaction and intrinsic work motivation, but procedural justice regarding pay did affect these variables. However, managerial need support was the most important factor for promoting need satisfaction and intrinsic work motivation both directly, indirectly, and as a moderator in the model. Hence, the results of the present organizational field study support earlier laboratory experiments within the SDT framework showing that monetary rewards did not enhance intrinsic motivation. This seems to have profound implications for organizations concerned about motivating their employees. © 2015 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  2. Stress on Cold Mass Due to the Supporting System of the CMS Coil in the Vacuum Tank

    CERN Document Server

    Farinon, S

    2000-01-01

    This report contains a verification analysis of the stress on cold mass coming from the supporting system of the CMS coil in the vacuum tank. The need to carry out this analysis is related to the high mechanical requirements for $9 Al-alloy mandrels (218 MPa yield at cryogenic temperature), demanding accurate analysis of the impact of supporting system on cylinder stress.

  3. Distributed System for Spaceflight Biomedical Support

    Data.gov (United States)

    National Aeronautics and Space Administration — Our project investigated whether a software platform could integrate as wide a variety of devices and data types as needed for spaceflight biomedical support. The...

  4. Impact of emotional competence on supportive care needs, anxiety and depression symptoms of cancer patients: a multiple mediation model.

    Science.gov (United States)

    Baudry, A-S; Lelorain, S; Mahieuxe, M; Christophe, V

    2018-01-01

    The aim of this study was to test the effect of intrapersonal and interpersonal emotional competence on cancer patients' supportive care needs, as mediated by anxiety and depression symptoms. Cross-sectional design: 137 cancer patients (42% breast or ovarian cancer, 58% gastrointestinal cancer) in 4 French hospitals completed the Profile of Emotional Competence (PEC), the Hospital Anxiety and Depression Scale (HADS), and the Supportive Care Needs Survey Short Form (SCNS-SF). Bootstrap methods with PROCESS Macro were used to test multiple mediation models. Emotional competence presented a direct or indirect beneficial effect on the satisfaction of supportive care needs, anxiety and depression symptoms. As expected, anxiety and depression symptoms had also strong positive correlations with unmet needs. All multiple mediation models were significant, except for physical needs: intrapersonal and interpersonal emotional competence impacted anxiety and depression symptoms, which in turn impacted psychological, sexual, care/support, and information needs. These innovative results show the important effect of patients' emotional competence on their supportive care need satisfaction, as mediated by anxiety and depression. Consequently, patients with high emotional competence may require less psychosocial input from medical clinicians. Thus, emotional competence may be integrated into health models and psychosocial interventions to improve patient adjustment. Further investigation is, however, needed to know which are the most beneficial specific emotional competences and at what point of the cancer pathway.

  5. Social care and support needs of community-dwelling people with dementia and concurrent visual impairment.

    Science.gov (United States)

    Nyman, Samuel Robert; Innes, Anthea; Heward, Michelle

    2017-09-01

    This study explored the social care and support needs of people with dementia and visual impairment, and the barriers and facilitators for meeting these needs. Twenty-six semi-structured interviews were conducted: 21 joint and 5 individual interviews with the person with dementia and visual impairment (n=4) or their family/paid carer (n=1). Interviews were analysed thematically. Three themes are presented. (1) Social care needs: having dementia can reduce an individual's ability to cope with their visual impairment, and lead to increased dependency and reduced daily stimulation. (2) Barriers to using technology to meet social care needs: difficulties were reported with learning to use unfamiliar technology and the cost of visual impairment aids, and for some, the presence of dementia made visual impairment aids unusable and vice versa. (3) Familiarity as a facilitator for meeting social care needs: living at home or taking furnishings and ornaments into a new home facilitated independence, and continuity of paid carers/volunteers facilitated the caring relationship between the individual and staff/volunteer. Care workers will better serve older people if they are aware of the social care and support needs that arise from having both dementia and visual impairment.

  6. Higher education experiences of students with autism spectrum disorder: challenges, benefits and support needs.

    Science.gov (United States)

    Van Hees, Valérie; Moyson, Tinneke; Roeyers, Herbert

    2015-06-01

    The transition into higher education constitutes a precarious life stage for students with autism spectrum disorder (ASD). Research on how students with ASD navigate college life is needed for the development of adequate support. This study investigated the challenges and support needs of 23 students with ASD in higher education through semi-structured interviews. Data were analyzed following the principles of Grounded Theory. Students faced difficulties with new situations and unexpected changes, social relationships, problems with information processing and time management and had doubts about disclosure. Facing these challenges simultaneously in the domains of education, student life and daily (independent) living, had a major impact on students' well being. Besides these challenges, students also reported benefits that contributed to success in the three domains. They pointed out to a set of recommendations for support. These findings are linked with previous research and implications for higher education institutions are extrapolated on the basis of these findings.

  7. Postnatal experiences and support needs of first-time mothers in Singapore: a descriptive qualitative study.

    Science.gov (United States)

    Ong, Shu Fen; Chan, Wai-Chi Sally; Shorey, Shefaly; Chong, Yap Seng; Klainin-Yobas, Piyanee; He, Hong-Gu

    2014-06-01

    to explore first-time mothers' postnatal experiences and support needs after hospital discharge in Singapore. a descriptive qualitative study was adopted in this study. Participants were recruited from a public tertiary hospital in Singapore. Semi-structured interviews were used for data collection and the interview transcripts were analysed using thematic analysis. a purposive sample of 13 English-speaking first-time mothers of age 21 years and above were interviewed within 7-11 days after their hospital discharge. five themes emerged from the thematic analysis: (1) mixed emotions: participants experienced anxiety, labile emotions and stress over infant care; (2) breast feeding concerns: low breast milk supply and physical discomfort; (3) social support: many participants had sufficient social support from family members except their husbands; (4) cultural postnatal practice: majority of participants followed traditional postnatal practices of their culture; and (5) professional support needs: participants needed more information, access to health care services and continuity of care. this study highlighted the importance of providing professional postnatal care to first-time mothers after their discharge from the hospital. Future studies are needed to explore new practices that will enhance the quality of maternity health care and promote positive maternal experiences and well-being in Singapore. there is a need for more innovative advertisement to promote antenatal classes and improve attendance rate. Health care providers should assist women in establishing proper breast feeding techniques. Alternative models of care in the postnatal period, such as midwifery-led care, could facilitate a more woman-centred approach. Postnatal home visits may be considered within the first week of the mothers' hospital discharge, which may be legislated by public health care policies. © 2013 Elsevier Ltd. All rights reserved.

  8. The role of observed autonomy support, reciprocity, and need satisfaction in adolescent disclosure about friends.

    Science.gov (United States)

    Wuyts, Dorien; Soenens, Bart; Vansteenkiste, Maarten; Van Petegem, Stijn

    2018-06-01

    Although research increasingly addresses the role of parenting in fostering adolescent disclosure, most research relied on self-report measures of parenting and did not address the role of autonomy support. In the present observational study (conducted in Belgium), with 62 mother-adolescent dyads (mean age mothers = 44 years; mean age adolescents = 14 years; 77% of adolescents female), we rated mothers' provision of autonomy support during a 10-minute conversation about friendships. We found that observed maternal autonomy support was related positively to adolescents' degree of and volitional reasons for disclosure about friends. These associations were mediated by observed non-verbal reciprocity during the conversation and by adolescent satisfaction of their needs for autonomy and relatedness. Mothers' autonomy-support and mother-adolescent reciprocity also predicted mothers' own psychological need satisfaction and conversation pleasure. The relevance of the findings for adolescent autonomy and disclosure are discussed. Copyright © 2018. Published by Elsevier Ltd.

  9. Consultation system for image diagnosis: Report formation support system

    International Nuclear Information System (INIS)

    Ikeda, M.; Sakuma, S.; Ishigaki, T.; Suzuki, K.; Oikawa, K.

    1987-01-01

    The authors developed a consultation system for image diagnosis, involving artificial intelligence ideas. In this system, the authors proposed a new report formation support system and implemented it in lymphangiography. This support system starts with the input of image interpretation. The input process is made mainly by selecting items. This system encodes the input findings into the semantic network, which is represented as a directed graph, and it reserves them into the knowledge database in the above structure. Finally, the output (report) is made in the near natural language, which corresponds to the input findings

  10. Using action research to develop midwives' skills to support women with perinatal mental health needs.

    Science.gov (United States)

    Madden, Deirdre; Sliney, Annmarie; O'Friel, Aoife; McMackin, Barbara; O'Callaghan, Bernie; Casey, Kate; Courtney, Lisa; Fleming, Valerie; Brady, Vivienne

    2018-02-01

    The aim of the research was to identify and develop midwives' skills to support women with mental health needs during pregnancy, using an action research approach. A review of perinatal mental health services in a large Dublin maternity unit revealed a high number of referred women who 'did not attend' the perinatal mental health service with few guidelines in place to support midwives in identifying and referring women for specialist help. Action research using cooperative inquiry involved a mental health nurse specialist and a team of midwives, who were drawn to each other in mutual concern about an area of practice. Data were gathered from three Cooperative Inquiry meetings, which incorporated one main Action Research Cycle of constructing, planning, taking and evaluating action. Data were analysed using a thematic content analysis framework. Participants experienced varying levels of uncertainty about how to support women with perinatal mental health needs. Cooperative inquiry supported participants in making sense of how they understood perinatal mental health and how they managed challenges experienced when caring for women with perinatal mental health issues. Participants developed a referral pathway, highlighted the significance of education to support women with perinatal mental health issues and identified the value of using open questions to promote conversation with pregnant women about mental health. Midwives value education and support to identify and refer women at risk of perinatal mental health issues. Cooperative inquiry, with a focus on action and shared reflection, facilitated the drawing together of two professional groups with diverse knowledge bases to work together to develop practice in an area of mutual concern. Perinatal mental health is a significant public health issue and midwives need support to make psychosocial assessments and to negotiate access to specialist services where available and when required. © 2017 John Wiley & Sons

  11. Primary caregivers of in-home oxygen-dependent children: predictors of stress based on characteristics, needs and social support.

    Science.gov (United States)

    Wang, Kai-Wei K; Lin, Hung-Ching; Lee, Chin-Ting; Lee, Kuo-Sheng

    2016-07-01

    To identify the predictors of primary caregivers' stress in caring for in-home oxygen-dependent children by examining the association between their levels of stress, caregiver needs and social support. Increasing numbers of primary caregivers of oxygen-dependent children experience caregiving stress that warrants investigation. The study used a cross-sectional design with three psychometric scales - Modified-Parenting Stress Index, Caregiver Needs Scale and Social Support Index. The data collected during 2010-2011 were from participants who were responsible for their child's care that included oxygen therapy for ≧6 hours/day; the children's ages ranged from 3 months-16 years. Descriptive statistics and multivariable linear regression were used. A total of 104 participants (M = 34, F = 70) were recruited, with an average age of 39·7 years. The average age of the oxygen-dependent children was 6·68 years and their daily use of oxygen averaged 11·39 hours. The caregivers' overall levels of stress were scored as high and information needs were scored as the highest. The most available support from family and friends was emotional support. Informational support was mostly received from health professionals, but both instrumental and emotional support were important. Levels of stress and caregiver needs were significantly correlated. Multivariable linear regression analyses identified three risk factors predicting stress, namely, the caregiver's poor health status, the child's male gender and the caregiver's greater financial need. To support these caregivers, health professionals can maintain their health status and provide instrumental, emotional, informational and financial support. © 2016 John Wiley & Sons Ltd.

  12. Mathematics teachers' support and retention: using Maslow's hierarchy to understand teachers' needs

    Science.gov (United States)

    Fisher, Molly H.; Royster, David

    2016-10-01

    As part of a larger study, four mathematics teachers from diverse backgrounds and teaching situations report their ideas on teacher stress, mathematics teacher retention, and their feelings about the needs of mathematics teachers, as well as other information crucial to retaining quality teachers. The responses from the participants were used to develop a hierarchy of teachers' needs that resembles Maslow's hierarchy, which can be used to better support teachers in various stages of their careers. The interviews revealed both non content-specific and content-specific needs within the hierarchy. The responses show that teachers found different schools foster different stress levels and that as teachers they used a number of resources for reducing stress. Other mathematics-specific ideas are also discussed such as the amount of content and pedagogy courses required for certification.

  13. A customized head and neck support system

    International Nuclear Information System (INIS)

    Bentel, Gunilla C.; Marks, Lawrence B.; Sherouse, George W.; Spencer, David P.

    1995-01-01

    Purpose: To describe a customized head and neck immobilization system for patients receiving radiotherapy including a head support that conforms to the posterior contour of the head and neck. Methods: The system includes a customized headrest to support the posterior head and neck. This is fixed to a thermoplastic face mask that molds to the anterior head/face contours. The shape of these customized head and neck supports were compared to 'standard' supports. Results: This system is comfortable for the patients and appears to be effective in reproducing the setup of the treatment. Conclusions: The variability in the size and shape of the customized posterior supports exceeded that of 'standard' headrests. It is our clinical impression that the customized supports improve reproducibility and are now a standard part of our immobilization system. The quantitative analysis of the customized headrests and some commonly used 'standard' headrests suggests that the customized supports are better able to address variabilities in patient shape

  14. Sedation as a technique to aid in the supportive examination for children with special needs

    Directory of Open Access Journals (Sweden)

    Risti Saptarini Primarti

    2007-03-01

    Full Text Available Undergoing medical procedures often extremely distress people, especially patients with special needs. Supportive examinations, such as radiographic and laboratory examinations, as a part of medical procedure sometimes are impossible to be done in those patients, while we demand those tests for diagnostic and treatment reasons. A variety of techniques are available to the dental and medical professional to aid in the management of these patients regarding medical procedures, one of them is sedation. By eliminating patient’s fear and anxiety throughout sedation, all medical procedure including taking a supportive examination may be successfully completed. This paper will report the role of sedation as a technique to aid in the supportive examination for special needs child (Down’s syndrome in Hasan Sadikin General Hospital, Bandung, West Java Indonesia.

  15. Life Support Filtration System Trade Study for Deep Space Missions

    Science.gov (United States)

    Agui, Juan H.; Perry, Jay L.

    2017-01-01

    The National Aeronautics and Space Administrations (NASA) technical developments for highly reliable life support systems aim to maximize the viability of long duration deep space missions. Among the life support system functions, airborne particulate matter filtration is a significant driver of launch mass because of the large geometry required to provide adequate filtration performance and because of the number of replacement filters needed to a sustain a mission. A trade analysis incorporating various launch, operational and maintenance parameters was conducted to investigate the trade-offs between the various particulate matter filtration configurations. In addition to typical launch parameters such as mass, volume and power, the amount of crew time dedicated to system maintenance becomes an increasingly crucial factor for long duration missions. The trade analysis evaluated these parameters for conventional particulate matter filtration technologies and a new multi-stage particulate matter filtration system under development by NASAs Glenn Research Center. The multi-stage filtration system features modular components that allow for physical configuration flexibility. Specifically, the filtration system components can be configured in distributed, centralized, and hybrid physical layouts that can result in considerable mass savings compared to conventional particulate matter filtration technologies. The trade analysis results are presented and implications for future transit and surface missions are discussed.

  16. ELECTRICAL SUPPORT SYSTEM DESCRIPTION DOCUMENT

    Energy Technology Data Exchange (ETDEWEB)

    S. Roy

    2004-06-24

    The purpose of this revision of the System Design Description (SDD) is to establish requirements that drive the design of the electrical support system and their bases to allow the design effort to proceed to License Application. This SDD is a living document that will be revised at strategic points as the design matures over time. This SDD identifies the requirements and describes the system design as they exist at this time, with emphasis on those attributes of the design provided to meet the requirements. This SDD has been developed to be an engineering tool for design control. Accordingly, the primary audience/users are design engineers. This type of SDD both ''leads'' and ''trails'' the design process. It leads the design process with regard to the flow down of upper tier requirements onto the system. Knowledge of these requirements is essential in performing the design process. The SDD trails the design with regard to the description of the system. The description provided in the SDD is a reflection of the results of the design process to date. Functional and operational requirements applicable to electrical support systems are obtained from the ''Project Functional and Operational Requirements'' (F&OR) (Siddoway 2003). Other requirements to support the design process have been taken from higher-level requirements documents such as the ''Project Design Criteria Document'' (PDC) (Doraswamy 2004), and fire hazards analyses. The above-mentioned low-level documents address ''Project Requirements Document'' (PRD) (Canon and Leitner 2003) requirements. This SDD contains several appendices that include supporting information. Appendix B lists key system charts, diagrams, drawings, and lists, and Appendix C includes a list of system procedures.

  17. 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.

  18. Oncology healthcare professionals' perspectives on the psychosocial support needs of cancer patients during oncology treatment.

    Science.gov (United States)

    Aldaz, Bruno E; Treharne, Gareth J; Knight, Robert G; Conner, Tamlin S; Perez, David

    2017-09-01

    This study explored oncology healthcare professionals' perspectives on the psychosocial support needs of diverse cancer patients during oncology treatment. Six themes were identified using thematic analysis. Healthcare professionals highlighted the importance of their sensitivity, respect and emotional tact during appointments in order to effectively identify and meet the needs of oncology patients. Participants also emphasised the importance of building rapport that recognises patients as people. Patients' acceptance of treatment-related distress and uncertainty was described as required for uptake of available psychosocial supportive services. We offer some practical implications that may help improve cancer patients' experiences during oncology treatment.

  19. EnviroTRADE: A technical perspective on the development of an information system providing data on environmental technologies and needs worldwide

    International Nuclear Information System (INIS)

    Harrington, M.W.; Harlan, C.P.

    1992-01-01

    In support of the US Department of Energy's commitment to the remediation of waste sites throughout its complex, the DOE has recognized that it can accelerate its technology development efforts and leverage the expenditure of available funds through an international cooperation among government entities, private industry, and educational institutions. To support the technology transfer of environmental information, the DOE has sponsored the development of EnviroTRADE - an international information system that will facilitate the exchange of environmental restoration and waste management technologies worldwide. The system will contain profiles on both environmental restoration / waste management needs and foreign / domestic technologies. Users will be able to identify matches between worldwide needs and available or emerging technologies. Where matches between needs and existing technologies are not found, the system will identify the potential for development of new and innovative technologies to address environmental problems. EnviroTRADE will also provide general information on international environmental restoration and waste management organizations, sites, activities, and contacts

  20. A maintenance support system with document handling capability

    International Nuclear Information System (INIS)

    Fukumoto, A.; Tsumura, K.; Fujii, M.; Tai, I.; Makimo, M.; Watanabe, T.

    1990-01-01

    An operation and maintenance support system, called 'Advanced Man-Machine System for Nuclear Power Plants' (MMS-NPP) is under development with the support of the Japanese Government. Taking full advantage of Artificial Intelligence technology, the system aims to enhance the capability of already developed 'Computerized Operator Support System (COSS)' and gives wider and more advanced support for operation and maintenance. With a brief overview of MMS-NPP, this paper describes a support system for plant patrol and equipment inspection. The system gives guidance for plant patrol and for equipment inspection and provides easy access to plant drawings and documents. A unique knowledge acquisition method, utilizing image processing technology, was proposed in building the system

  1. Development of the parental needs scale for rare diseases: a tool for measuring the supportive care needs of parents caring for a child with a rare disease

    Directory of Open Access Journals (Sweden)

    Pelentsov LJ

    2016-09-01

    Full Text Available Lemuel J Pelentsov,1 Andrea L Fielder,2,3 Thomas A Laws,4 Adrian J Esterman1,2,5 1School of Nursing and Midwifery, 2Sansom Institute for Health Research, 3School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, SA, Australia; 4School of Nursing and Midwifery, Faculty of Health, Keele University, Staffordshire, UK; 5Australian Institute for Health and Tropical Medicine, James Cook University, Cairns, QLD, Australia Background: Children and families affected by rare diseases have received scant consideration from the medical, scientific, and political communities, with parents’ needs especially having received little attention. Affected parents often have limited access to information and support and appropriate health care services. While scales to measure the needs of parents of children with chronic illnesses have been developed, there have been no previous attempts to develop a scale to assess the needs of parents of children with rare diseases. Objective: To develop a scale for measuring the supportive care needs of parents of children with rare diseases. Method: A total of 301 responses to our Parental Needs Survey were randomly divided into two halves, one for exploratory factor analysis and the other for confirmatory factor analysis (CFA. After removing unsuitable items, exploratory factor analysis was undertaken to determine the factor structure of the data. CFA using structural equation modeling was then undertaken to confirm the factor structure. Results: Seventy-two items were entered into the CFA, with a scree plot showing a likely four-factor solution. The results provided four independent subscales of parental needs: Understanding the disease (four items; Working with health professionals (four items; Emotional issues (three items; and Financial needs (three items. The structural equation modeling confirmed the suitability of the four-factor solution and demonstrated that the four subscales could be added

  2. Family roots of empathy-related characteristics: the role of perceived maternal and paternal need support in adolescence.

    Science.gov (United States)

    Miklikowska, Marta; Duriez, Bart; Soenens, Bart

    2011-09-01

    Theories on empathy development have stressed the role of socialization in general and the role of parental support in particular. This 3-wave longitudinal study of middle adolescents (N = 678) aimed to contribute to the extant research on the socialization of empathy (a) by examining the relative contribution of perceived maternal and paternal need supportive parenting on over-time changes in adolescents' emotional and cognitive aspects of empathy (i.e., empathic concern and perspective taking, respectively) and (b) by considering the possibility of reciprocal relations between perceived parenting and adolescent empathy. Whereas paternal need support consistently predicted over-time changes in perspective taking in both sons and daughters, perceived maternal need support predicted changes in empathic concern among daughters only. In addition, although less consistently so, empathy dimensions also predicted over-time changes in perceived parenting. Results are discussed in terms of the nature of empathy and in the light of domain-specific effects of each parent.

  3. Boomerang project: structural calculations and verifications of mechanical support of space cryogenic system

    International Nuclear Information System (INIS)

    Zucchini, A.; Orsi, R.

    1995-12-01

    The Boomerang (Ballon Observations of Millimetric Extragalactic radiation ANd Geophysics) experiment is an international effort to measure the Cosmic Microwave Background anisotropy on angular scales of 20' to 4x, with unprecedent sensitivity, sky and spectral coverage. The telescope will be flown from Antarctica by NASA-NSBF with a long duration stratospheric balloon (1-3 weeks), and is scheduled for flight in 1996. Space cryogenic systems need adeguate mechanical support to survive the large accelerations and vibrations induced during launch and landing. Static and modal analyses were carried out in order to assist the design of the mechanical support of the space cryogenic system. This report describes the models and the results of the FEM analyses carried out for different design solutions (kevlar cords or fiber-glass cylinders) of the cryostat support structure

  4. Airport Information Retrieval System (AIRS) System Support Manual

    Science.gov (United States)

    1973-01-01

    This handbook is a support manual for prototype air traffic flow control automation system developed for the FAA's Systems Command Center. The system is implemented on a time-sharing computer and is designed to provide airport traffic load prediction...

  5. Support Required for Primary and Secondary Students with Communication Disorders and/or Other Learning Needs

    Science.gov (United States)

    McLeod, Sharynne; McKinnon, David H.

    2010-01-01

    Prioritization of school students with additional learning needs is a reality due to a finite resource base. Limited evidence exists regarding teachers' prioritization of primary and secondary school students with additional learning needs. The aim of the present article was to differentiate teachers' perceptions of the level of support required…

  6. Decision support at home (DS@HOME – system architectures and requirements

    Directory of Open Access Journals (Sweden)

    Marschollek Michael

    2012-05-01

    Full Text Available Abstract Background Demographic change with its consequences of an aging society and an increase in the demand for care in the home environment has triggered intensive research activities in sensor devices and smart home technologies. While many advanced technologies are already available, there is still a lack of decision support systems (DSS for the interpretation of data generated in home environments. The aim of the research for this paper is to present the state-of-the-art in DSS for these data, to define characteristic properties of such systems, and to define the requirements for successful home care DSS implementations. Methods A literature review was performed along with the analysis of cross-references. Characteristic properties are proposed and requirements are derived from the available body of literature. Results 79 papers were identified and analyzed, of which 20 describe implementations of decision components. Most authors mention server-based decision support components, but only few papers provide details about the system architecture or the knowledge base. A list of requirements derived from the analysis is presented. Among the primary drawbacks of current systems are the missing integration of DSS in current health information system architectures including interfaces, the missing agreement among developers with regard to the formalization and customization of medical knowledge and a lack of intelligent algorithms to interpret data from multiple sources including clinical application systems. Conclusions Future research needs to address these issues in order to provide useful information – and not only large amounts of data – for both the patient and the caregiver. Furthermore, there is a need for outcome studies allowing for identifying successful implementation concepts.

  7. Test-based approach to cable tray support system analysis and design: Behavior and test methods

    Energy Technology Data Exchange (ETDEWEB)

    Reigles, Damon G., E-mail: dreigles@engnovex.com [engNoveX, Inc., 19C Trolley Square, Wilmington, DE 19806 (United States); Brachmann, Ingo; Johnson, William H. [Bechtel Nuclear, Security & Environmental, 12011 Sunset Hills Rd, Suite 110, Reston, VA 20190 (United States); Gürbüz, Orhan [Tobolski Watkins Engineering, Inc., 4125 Sorrento Valley Blvd, Suite B, San Diego, CA 92121 (United States)

    2016-06-15

    Highlights: • Describes dynamic response behavior of unistrut type cable tray supports. • Summarizes observations from past full-scale shake table test programs. • Outlines testing methodologies necessary to identify key system parameters. - Abstract: Nuclear power plant safety-related cable tray support systems subjected to seismic loadings were originally understood and designed to behave as linear elastic systems. This behavioral paradigm persisted until the early 1980s when, due to evolution of regulatory criteria, some as-installed systems needed to be qualified to higher seismic motions than originally designed for. This requirement prompted a more in-depth consideration of the true seismic response behavior of support systems. Several utilities initiated extensive test programs, which demonstrated that trapeze strut-type cable tray support systems exhibited inelastic and nonlinear response behaviors with plastic hinging at the connections together with high damping due to bouncing of cables in the trays. These observations were used to demonstrate and justify the seismic adequacy of the aforementioned as-installed systems. However, no formalized design methodology or criteria were ever established to facilitate use of these test data for future evaluations. This paper assimilates and reviews the various test data and conclusions for the purpose of developing a design methodology for the seismic qualification of safety-related cable tray support systems.

  8. Academic Information System Support in the Era of Education 3.0

    Science.gov (United States)

    Utomo, HP; Bon, AT; Hendayun, M.

    2017-08-01

    The emergence of Education 3.0 as a new paradigm in education has been spread widely in many educational institutions, especially in higher education institutions (HEIs). Many of them have been implementing the new paradigm and get benefit from it. But somehow, the implementation caused some problems. The new policy and procedures are causing administrative problems, especially in the academic affair. The implementation also needs to provide external involvement. To overcome the problems, the academic information system (AIS) can be used to support the characteristics of Education 3.0. The purpose of the research is to find the possibility support from the AIS to the characteristics of Education 3.0. The research used Education 3.0 concept and information system (IS) concept to find the possibility. The research used a case study as the method and conducted a qualitative research with an unstructured interview. After comparing the Education 3.0 concept and IS concept with the interview analysis, the research found that all the characteristics of Education 3.0 can possibly support by the AIS. The result can be used as a guideline to develop the new AIS with the capability to support the characteristics of Education 3.0.

  9. The need to use elements of controlling system by entities of small and microenterprises

    Directory of Open Access Journals (Sweden)

    K.O. Buzhymska

    2017-08-01

    Full Text Available The entities of small and microenterprise are the basis of an effectively functioning market economy. The development of small business in Ukraine is hindered by a number of negative factors, one of them is the imperfection of the management system. An effective method of improving the management system is the use of controlling as one of the newest technologies for coordinating managerial and economic processes towards achieving the general goals of the business entity. The article is devoted to the substantiation of the need to use elements of the controlling system at microenterpreneurship enterprises, to identify elements that are subject to urgent implementation and to determine effective approaches to the practical implementation of selected elements. The controlling system is primarily used to coordinate the management process in complex organizational structures that are characteristic of large and medium-sized enterprises, but some of its elements can be effectively used by small and microenterprises. The authors substantiate the necessity of introducing the following elements of the controlling system by small business entities: management accounting, monitoring, cost-benefit analysis, the information support for management decisions. The introduction of these elements is appropriate with the use of outsourcing or co-sourcing. The consultative and professional support of these processes should be provided by local government authorities as one of the directions of the state program for supporting small business.

  10. Cellular Biotechnology Operations Support System Fluid Dynamics Investigation

    Science.gov (United States)

    2003-01-01

    Aboard the International Space Station (ISS), the Tissue Culture Medium (TCM) is the bioreactor vessel in which cell cultures are grown. With its two syringe ports, it is much like a bag used to administer intravenous fluid, except it allows gas exchange needed for life. The TCM contains cell culture medium, and when frozen cells are flown to the ISS, they are thawed and introduced to the TCM through the syringe ports. In the Cellular Biotechnology Operations Support System-Fluid Dynamics Investigation (CBOSS-FDI) experiment, several mixing procedures are being assessed to determine which method achieves the most uniform mixing of growing cells and culture medium.

  11. DECISION SUPPORT SYSTEMS IN MILITARY ACTIONS: NECESSITY, POSSIBILITIES AND CONSTRAINTS

    Directory of Open Access Journals (Sweden)

    Elena ŞUŞNEA

    2012-01-01

    Full Text Available Nowadays, modern organizations cannot resort to the decision-making process without relying on information and communication technology if they want to be successful. Thus, besides information as an important input of this process, the tools and techniques used by decision-makers are equally important in the support and validation of their decisions. All this is also valid for the military organizations and their specific tasks and activities. A fortiori military commanders face some of the most diff cult and high-stake decision issues meaningful not only at the level of the military, but also for the humankind. Under these circumstances and as a result of an increase in the diversity and complexity of conflict situations, in the information and technology means employed by opponents in warfare and in the amount of information needed to be processed in real time, decision support systems become a necessity. Starting from the aforementioned inevitable requirement, the aim of this article is to emphasize the possibilities and constraints in developing an intelligent decision support system that assists commanders in making scientific decisions on time, under the right circumstances, for the right costs.

  12. I just have diabetes : children’s need for diabetes self-management support and how a social robot can accommodate their needs

    NARCIS (Netherlands)

    Blanson Henkemans, O.A.; Hoondert, V.; Schrama-Groot, F.; Looije, R.; Alpay, L.L.; Neerincx, M.A.

    2012-01-01

    Children with type 1 diabetes need to self-manage their illness to minimize its impact on their long-term health. However, because children are still developing cognitively and emotionally, self-management is challenging. The European FP7 project, ALIZ-E, looks at how social robots can support

  13. Characterizing Biological Closed-Loop Life Support Systems for Thermal Control and Revitalization of Spacecraft Cabin Environments

    Data.gov (United States)

    National Aeronautics and Space Administration — Environmental Control and Support Systems (ECLSS) are required for all manned spaceflight missions to provide the most fundamental physiological needs. One of these...

  14. Developing Sustainable Life Support System Concepts

    Science.gov (United States)

    Thomas, Evan A.

    2010-01-01

    Sustainable spacecraft life support concepts may allow the development of more reliable technologies for long duration space missions. Currently, life support technologies at different levels of development are not well evaluated against each other, and evaluation methods do not account for long term reliability and sustainability of the hardware. This paper presents point-of-departure sustainability evaluation criteria for life support systems, that may allow more robust technology development, testing and comparison. An example sustainable water recovery system concept is presented.

  15. Evaluation of engineering foods for closed Ecological Life Support System (CELSS)

    Science.gov (United States)

    Karel, M.

    1982-01-01

    A nutritionally adequate and acceptable diet was evaluated and developed. A design for a multipurpose food plant is discussed. The types and amounts of foods needed to be regenerated in a partially closed ecological life support system (PCELSS) were proposed. All steps of food processes to be utilized in the multipurpose food plant of PCELSS were also considered. Equipment specifications, simplification of the proposed processes, and food waste treatment were analyzed.

  16. Evaluation of decision support systems for nuclear accidents

    International Nuclear Information System (INIS)

    Sdouz, G.; Mueck, K.

    1998-05-01

    In order to adopt countermeasures to protect the public after an accident in a nuclear power plant in an appropriate and optimum way, decision support systems offer a valuable assistance in supporting the decision maker in choosing and optimizing protective actions. Such decision support systems may range from simple systems to accumulate relevant parameters for the evaluation of the situation over prediction models for the rapid evaluation of the dose to be expected to systems which permit the evaluation and comparison of possible countermeasures. Since the establishment of a decision support systems obviously is also required in Austria, an evaluation of systems available or in the state of development in other countries or unions was performed. The aim was to determine the availability of decision support systems in various countries and to evaluate them with regard to depth and extent of the system. The evaluation showed that in most industrialized countries the requirement for a decision support system was realized, but in only few countries actual systems are readily available and operable. Most systems are limited to early phase consequences, i.e. dispersion calculations of calculated source terms and the estimation of exposure in the vicinity of the plant. Only few systems offer the possibility to predict long-term exposures by ingestion. Few systems permit also an evaluation of potential countermeasures, in most cases, however, limited to a few short-term countermeasures. Only one system which is presently not operable allows the evaluation of a large number of agricultural countermeasures. In this report the different systems are compared. The requirements with regard to an Austrian decision support system are defined and consequences for a possible utilization of a DSS or parts thereof for the Austrian decision support system are derived. (author)

  17. A Browser-Server-Based Tele-audiology System That Supports Multiple Hearing Test Modalities.

    Science.gov (United States)

    Yao, Jianchu Jason; Yao, Daoyuan; Givens, Gregg

    2015-09-01

    Millions of global citizens suffering from hearing disorders have limited or no access to much needed hearing healthcare. Although tele-audiology presents a solution to alleviate this problem, existing remote hearing diagnosis systems support only pure-tone tests, leaving speech and other test procedures unsolved, due to the lack of software and hardware to enable communication required between audiologists and their remote patients. This article presents a comprehensive remote hearing test system that integrates the two most needed hearing test procedures: a pure-tone audiogram and a speech test. This enhanced system is composed of a Web application server, an embedded smart Internet-Bluetooth(®) (Bluetooth SIG, Kirkland, WA) gateway (or console device), and a Bluetooth-enabled audiometer. Several graphical user interfaces and a relational database are hosted on the application server. The console device has been designed to support the tests and auxiliary communication between the local site and the remote site. The study was conducted at an audiology laboratory. Pure-tone audiogram and speech test results from volunteers tested with this tele-audiology system are comparable with results from the traditional face-to-face approach. This browser-server-based comprehensive tele-audiology offers a flexible platform to expand hearing services to traditionally underserved groups.

  18. Distributed Data Networks That Support Public Health Information Needs.

    Science.gov (United States)

    Tabano, David C; Cole, Elizabeth; Holve, Erin; Davidson, Arthur J

    Data networks, consisting of pooled electronic health data assets from health care providers serving different patient populations, promote data sharing, population and disease monitoring, and methods to assess interventions. Better understanding of data networks, and their capacity to support public health objectives, will help foster partnerships, expand resources, and grow learning health systems. We conducted semistructured interviews with 16 key informants across the United States, identified as network stakeholders based on their respective experience in advancing health information technology and network functionality. Key informants were asked about their experience with and infrastructure used to develop data networks, including each network's utility to identify and characterize populations, usage, and sustainability. Among 11 identified data networks representing hundreds of thousands of patients, key informants described aggregated health care clinical data contributing to population health measures. Key informant interview responses were thematically grouped to illustrate how networks support public health, including (1) infrastructure and information sharing; (2) population health measures; and (3) network sustainability. Collaboration between clinical data networks and public health entities presents an opportunity to leverage infrastructure investments to support public health. Data networks can provide resources to enhance population health information and infrastructure.

  19. Drivers' reactions to sudden lead car braking under varying workload conditions; towards a driver support system.

    NARCIS (Netherlands)

    Schaap, Nina; van der Horst, A.R.A.; van Arem, Bart; Brookhuis, K.A.

    2008-01-01

    At urban intersections drivers handle multiple tasks simultaneously, making urban driving a complex task. An advanced driver assistance system may support drivers in this specific driving task, but the design details of such a system need to be determined before they can be fully deployed. A driving

  20. Does Aquaculture Support the Needs of Nutritionally Vulnerable Nations?

    Directory of Open Access Journals (Sweden)

    Christopher D. Golden

    2017-05-01

    Full Text Available Aquaculture now supplies half of the fish consumed directly by humans. We evaluate whether aquaculture, given current patterns of production and distribution, supports the needs of poor and food-insecure populations throughout the world. We begin by identifying 41 seafood-reliant nutritionally vulnerable nations (NVNs, and ask whether aquaculture meets human nutritional demand directly via domestic production or trade, or indirectly via purchase of nutritionally rich dietary substitutes. We find that a limited number of NVNs have domestically farmed seafood, and of those, only specific aquaculture approaches (e.g., freshwater in some locations have the potential to benefit nutritionally vulnerable populations. While assessment of aquaculture's direct contribution via trade is constrained by data limitations, we find that it is unlikely to contribute substantially to human nutrition in vulnerable groups, as most exported aquaculture consists of high-value species for international markets. We also determine that subpopulations who benefit from aquaculture profits are likely not the same subpopulations who are nutritionally vulnerable, and more research is needed to understand the impacts of aquaculture income gains. Finally, we discuss the relationship of aquaculture to existing trends in capture fisheries in NVNs, and suggest strategies to create lasting solutions to nutritional security, without exacerbating existing challenges in access to food and land resources.

  1. The Earth Observing System (EOS) Ground System: Leveraging an Existing Operational Ground System Infrastructure to Support New Missions

    Science.gov (United States)

    Hardison, David; Medina, Johnny; Dell, Greg

    2016-01-01

    The Earth Observer System (EOS) was officially established in 1990 and went operational in December 1999 with the launch of its flagship spacecraft Terra. Aqua followed in 2002 and Aura in 2004. All three spacecraft are still operational and producing valuable scientific data. While all are beyond their original design lifetime, they are expected to remain viable well into the 2020s. The EOS Ground System is a multi-mission system based at NASA Goddard Space Flight Center that supports science and spacecraft operations for these three missions. Over its operational lifetime to date, the EOS Ground System has evolved as needed to accommodate mission requirements. With an eye towards the future, several updates are currently being deployed. Subsystem interconnects are being upgraded to reduce data latency and improve system performance. End-of-life hardware and operating systems are being replaced to mitigate security concerns and eliminate vendor support gaps. Subsystem hardware is being consolidated through the migration to Virtual Machine based platforms. While mission operations autonomy was not a design goal of the original system concept, there is an active effort to apply state-of-the-art products from the Goddard Mission Services Evolution Center (GMSEC) to facilitate automation where possible within the existing heritage architecture. This presentation will provide background information on the EOS ground system architecture and evolution, discuss latest improvements, and conclude with the results of a recent effort that investigated how the current system could accommodate a proposed new earth science mission.

  2. A simulation based optimization approach to model and design life support systems for manned space missions

    Science.gov (United States)

    Aydogan, Selen

    This dissertation considers the problem of process synthesis and design of life-support systems for manned space missions. A life-support system is a set of technologies to support human life for short and long-term spaceflights, via providing the basic life-support elements, such as oxygen, potable water, and food. The design of the system needs to meet the crewmember demand for the basic life-support elements (products of the system) and it must process the loads generated by the crewmembers. The system is subject to a myriad of uncertainties because most of the technologies involved are still under development. The result is high levels of uncertainties in the estimates of the model parameters, such as recovery rates or process efficiencies. Moreover, due to the high recycle rates within the system, the uncertainties are amplified and propagated within the system, resulting in a complex problem. In this dissertation, two algorithms have been successfully developed to help making design decisions for life-support systems. The algorithms utilize a simulation-based optimization approach that combines a stochastic discrete-event simulation and a deterministic mathematical programming approach to generate multiple, unique realizations of the controlled evolution of the system. The timelines are analyzed using time series data mining techniques and statistical tools to determine the necessary technologies, their deployment schedules and capacities, and the necessary basic life-support element amounts to support crew life and activities for the mission duration.

  3. Science and Systems in Support of Multi-hazard Early Warnings and Decisions

    Science.gov (United States)

    Pulwarty, R. S.

    2015-12-01

    The demand for improved climate knowledge and information is well documented. As noted in the IPCC (SREX, AR5), the UNISDR Global Assessment Reports and other assessments, this demand has increased pressure for information to support planning under changing rates and emergence of multiple hazards including climate extremes (drought, heat waves, floods). "Decision support" is now a popular term in the climate applications research community. While existing decision support activities can be identified in many disparate settings (e.g. federal, academic, private), the challenge of changing environments (coupled physical and social) is actually one of crafting implementation strategies for improving decision quality (not just meeting "user needs"). This includes overcoming weaknesses in co-production models, moving beyond DSSs as simply "software", coordinating innovation mapping and diffusion, and providing fora and gaming tools to identify common interests and differences in the way risks are perceived and managed among the affected groups. We outline the development and evolution of multi-hazard early warning systems in the United States and elsewhere, focusing on climate-related hazards. In particular, the presentation will focus on the climate science and information needed for (1) improved monitoring and modeling, (2) generating risk profiles, (3) developing information systems and scenarios for critical thresholds, (4) the net benefits of using new information (5) characterizing and bridging the "last mile" in the context of longer-term risk management.

  4. Assessing managerial information needs: Modification and evaluation of the Hospital Shift Leaders' Information Needs Questionnaire.

    Science.gov (United States)

    Peltonen, Laura-Maria; Lundgrén-Laine, Heljä; Siirala, Eriikka; Löyttyniemi, Eliisa; Aantaa, Riku; Salanterä, Sanna

    2018-03-01

    The aims were (1) to evaluate the modified version of the Intensive Care Unit Information Need Questionnaire for the broader hospital setting, and (2) to describe the differences in respondents' managerial activities and information needs according to the position held by the respondent and the type of hospital unit. Information systems do not support managerial decision-making sufficiently and information needed in the day-to-day operations management in hospital units is unknown. An existing questionnaire was modified and evaluated. Shift leaders, that is, the nurses and physicians responsible for the day-to-day operations management in hospital units were reached using purposive sampling (n = 258). The questionnaire ascertained the importance of information. Cronbach's α ranged from .85-.96 for the subscales. Item - total correlations showed good explanatory power. Managerial activities and information needs differed between respondents in different positions, although all shared about one-third of important information needs. The response rate was 26% (n = 67). The validity and reliability of the questionnaire were good. Attention should be paid to the positions of shift leaders when developing information systems. The questionnaire can be used to determine important information when developing information systems to support day-to-day operations management in hospitals. © 2018 John Wiley & Sons Ltd.

  5. Needs and Supports of People with Intellectual Disability and Their Families in Catalonia

    Science.gov (United States)

    Vilaseca, Rosa; Gràcia, Marta; Beltran, Francesc S.; Dalmau, Mariona; Alomar, Elisabeth; Adam-Alcocer, Ana Luisa; Simó-Pinatella, David

    2017-01-01

    Background: The study assesses the support needs of individuals with intellectual disability and their families in Catalonia. The present authors examine family quality of life (FQoL), identify the individual services required and assess families' perceptions of the extent to which their family member with intellectual disability and they…

  6. The Struggle to Satisfy Need: Exploring the Institutional Cues for Teaching Support Staff

    Science.gov (United States)

    Winslett, Greg

    2016-01-01

    The decision-making around resource allocation in universities is complex. It plays out through the structures of governance and bureaucracy, through interactions with colleagues, workplace cultures and through day-to-day individual work practices. To survive and succeed within this complex environment, teaching support staff need to be sensitive…

  7. The Need to Support and Maintain Legacy Software: Ensuring Ongoing Support for the Isotopics Codes

    International Nuclear Information System (INIS)

    Weber, A.-L.; Funk, P.; McGinnis, B.; Vo, D.; Wang, T.-F.; Peerani, P.; Zsigrai, J.; )

    2015-01-01

    Since about four decades, gamma evaluation codes for plutonium and uranium isotope abundance measurements are a key component of international, regional and domestic safeguards inspections. However, the development of these codes still relies upon a very limited number of experts. This led the safeguards authorities to express concerns, and to request continuity of knowledge and maintenance capability for the codes. The presentation describes initiatives undertaken in the past ten years to ensure ongoing support for the isotopic codes. As a follow-up to the 2005 international workshop, the IAEA issued a roadmap for future developments of gamma codes, followed by a request for support in this field to several MSSP's (namely JNT A 01684). The international working group on gamma spectrometry techniques for U and Pu isotopics (IWG-GST) was launched by the European, French and US MSSPs in 2007, to respond to the needs expressed by the IAEA and other national or international inspectorates. Its activities started with the organization in 2008 of a workshop on gamma spectrometry analysis codes for U and Pu isotopics. The working group is currently developing an international database of reference spectra that will be made available to the community of users and developers. In parallel, IRSN contributes to the JNT A 01684 by advising the IAEA on establishing a procedure for validating a new version of isotopics codes compared to the previous version. The most recent initiative, proposed by the IAEA, consists in organizing an inter-comparison exercise to assess the performances of U and Pu isotopics and mass assay techniques based on medium resolution gamma spectrometry (MRGS). All these initiatives contributed to the continuity of knowledge and maintenance of the gamma isotopic codes, but further efforts are needed to ensure the long-term sustainability of the codes. (author)

  8. 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.

  9. Cinderella Gets an Invitation: recognising and organising systems maintenance and support

    Directory of Open Access Journals (Sweden)

    C. James Bacon

    1993-11-01

    Full Text Available Systems maintenance of existing systems is a 'Cinderella' subject in the field of information systems & technology (1ST. Although it accounts for the majority of systems work, the subject is generally neglected and taken for granted. Based on studies carried out in a large Australasian organisation, evidence is presented for recognising the strategic role of systems maintenance, as a complement to new development. Alternative means of organising systems development work is examined, with the conclusion that a separate systems support group for carrying out maintenance may have net advantage. A re-definition of maintenance, according to a taxonomy of eight different types, is proposed. Effective methodology and metrics for maintenance are also addressed, together with the general phenomenon of "entropological deterioration', and 12 factors that need to be used in assessing existing systems.

  10. Requirements Development Issues for Advanced Life Support Systems: Solid Waste Management

    Science.gov (United States)

    Levri, Julie A.; Fisher, John W.; Alazraki, Michael P.; Hogan, John A.

    2002-01-01

    Long duration missions pose substantial new challenges for solid waste management in Advanced Life Support (ALS) systems. These possibly include storing large volumes of waste material in a safe manner, rendering wastes stable or sterilized for extended periods of time, and/or processing wastes for recovery of vital resources. This is further complicated because future missions remain ill-defined with respect to waste stream quantity, composition and generation schedule. Without definitive knowledge of this information, development of requirements is hampered. Additionally, even if waste streams were well characterized, other operational and processing needs require clarification (e.g. resource recovery requirements, planetary protection constraints). Therefore, the development of solid waste management (SWM) subsystem requirements for long duration space missions is an inherently uncertain, complex and iterative process. The intent of this paper is to address some of the difficulties in writing requirements for missions that are not completely defined. This paper discusses an approach and motivation for ALS SWM requirements development, the characteristics of effective requirements, and the presence of those characteristics in requirements that are developed for uncertain missions. Associated drivers for life support system technological capability are also presented. A general means of requirements forecasting is discussed, including successive modification of requirements and the need to consider requirements integration among subsystems.

  11. High Confidence Software and Systems Research Needs

    Data.gov (United States)

    Networking and Information Technology Research and Development, Executive Office of the President — This White Paper presents a survey of high confidence software and systems research needs. It has been prepared by the High Confidence Software and Systems...

  12. Supporting of mine workings and design of support systems. Madenlerde tahkimat isleri ve tasarmi

    Energy Technology Data Exchange (ETDEWEB)

    Biron, C; Arioglu, E; (Istanbul Teknik Universitesi, Maden Fakultesi)

    1980-01-01

    This article deals with elements of elasticity in rocks and examines the engineering properties of rocks. It includes stress distributions around mine openings and deformations of mine openings. Strata control concept in coal mining is explained. Support systems in stone drifts, gateways, shafts and longwalls are discussed; timber supports, steel arches, articulated arches, roof bolting, concrete supports, supports on mechanized faces are detailed. Emphasis is placed upon engineering properties of materials of support systems. The design concepts of mine support systems are described. The objects of the design are expressed with several numerical examples. It concludes with stowing: pneumatic stowing, and hydraulic stowing in metal and coal mining.

  13. Hail Disrometer Array for Launch Systems Support

    Science.gov (United States)

    Lane, John E.; Sharp, David W.; Kasparis, Takis C.; Doesken, Nolan J.

    2008-01-01

    Prior to launch, the space shuttle might be described as a very large thermos bottle containing substantial quantities of cryogenic fuels. Because thermal insulation is a critical design requirement, the external wall of the launch vehicle fuel tank is covered with an insulating foam layer. This foam is fragile and can be damaged by very minor impacts, such as that from small- to medium-size hail, which may go unnoticed. In May 1999, hail damage to the top of the External Tank (ET) of STS-96 required a rollback from the launch pad to the Vehicle Assembly Building (VAB) for repair of the insulating foam. Because of the potential for hail damage to the ET while exposed to the weather, a vigilant hail sentry system using impact transducers was developed as a hail damage warning system and to record and quantify hail events. The Kennedy Space Center (KSC) Hail Monitor System, a joint effort of the NASA and University Affiliated Spaceport Technology Development Contract (USTDC) Physics Labs, was first deployed for operational testing in the fall of 2006. Volunteers from the Community Collaborative Rain. Hail, and Snow Network (CoCoRaHS) in conjunction with Colorado State University were and continue to be active in testing duplicate hail monitor systems at sites in the hail prone high plains of Colorado. The KSC Hail Monitor System (HMS), consisting of three stations positioned approximately 500 ft from the launch pad and forming an approximate equilateral triangle (see Figure 1), was deployed to Pad 39B for support of STS-115. Two months later, the HMS was deployed to Pad 39A for support of STS-116. During support of STS-117 in late February 2007, an unusual hail event occurred in the immediate vicinity of the exposed space shuttle and launch pad. Hail data of this event was collected by the HMS and analyzed. Support of STS-118 revealed another important application of the hail monitor system. Ground Instrumentation personnel check the hail monitors daily when a

  14. Corruption Early Prevention: Decision Support System for President of the Republic of Indonesia

    Science.gov (United States)

    Sasmoko; Widhoyoko, S. A.; Ariyanto, S.; Indrianti, Y.; Noerlina; Muqsith, A. M.; Alamsyah, M.

    2017-01-01

    Corruption is an extraordinary crime, and then the prevention must also be extraordinary, simultaneously (national) in the form of early warning that involves all elements; government, industry, and society. To realize it the system needs to be built which in this study is called the Corruption Early Prevention (CEP) as a Decision Support System for President of the Republic of Indonesia. This study aims to examine 1) how is the construct of the Corruption Early Prevention as a Decision Support System for President of the Republic of Indonesia?, and 2) how is the design form of the system of Corruption Early Prevention as a Decision Support System for President of Republic of Indonesia? The research method is using Neuro-Research which is the collaboration of qualitative and quantitative research methods and the model development of Information Technology (IT). The research found that: 1) the construct of CEP is theoretically feasible, valid and reliable by content to be developed in the context of the prevention of corruption in Indonesia as an early prevention system that diagnoses Indonesia simultaneously and in real time, and 2) the concept of system design and business process of CEP is predicted to be realized in the IT-based program.

  15. A Pilot Study to Teach Siblings to Support Children with Complex Communication Needs

    Science.gov (United States)

    Douglas, Sarah N.; Kammes, Rebecca; Nordquist, Erica; D'Agostino, Sophia

    2018-01-01

    Siblings play an important role in the lives of children with disabilities, especially those with complex communication needs (CCN). However, children with CCN require support to learn social and communication skills. Like other communication partners, typically developing (TD) siblings may struggle to understand how to best interact with a child…

  16. Shaping the Future Landscape: Catchment Systems Engineering and the Decision Support Matrix Approach

    Science.gov (United States)

    Hewett, Caspar; Quinn, Paul; Wilkinson, Mark; Wainwright, John

    2017-04-01

    Land degradation is widely recognised as one of the great environmental challenges facing humanity today, much of which is directly associated with human activity. The negative impacts of climate change and of the way in which we have engineered the landscape through, for example, agriculture intensification and deforestation, need to be addressed. However, the answer is not a simple matter of doing the opposite of current practice. Nor is non-intervention a viable option. There is a need to bring together approaches from the natural and social sciences both to understand the issues and to act to solve real problems. We propose combining a Catchment Systems Engineering (CSE) approach that builds on existing approaches such as Natural Water Retention Measures, Green infrastructure and Nature-Based Solutions with a multi-scale framework for decision support that has been successfully applied to diffuse pollution and flood risk management. The CSE philosophy follows that of Earth Systems Engineering and Management, which aims to engineer and manage complex coupled human-natural systems in a highly integrated, rational manner. CSE is multi-disciplinary, and necessarily involves a wide range of subject areas including anthropology, engineering, environmental science, ethics and philosophy. It offers a rational approach which accepts the fact that we need to engineer and act to improve the functioning of the existing catchment entity on which we rely. The decision support framework proposed draws on physical and mathematical modelling; Participatory Action Research; and demonstration sites at which practical interventions are implemented. It is predicated on the need to work with stakeholders to co-produce knowledge that leads to proactive interventions to reverse the land degradation we observe today while sustaining the agriculture humanity needs. The philosophy behind CSE and examples of where it has been applied successfully are presented. The Decision Support Matrix

  17. Hospital managers need management information systems.

    Science.gov (United States)

    Davis, S; Freeman, J R

    1976-01-01

    A new hospital director seeking to bring his institution to the brink of solvency found himself with ten pounds of data but no "information"--at least, not the kind of information he could use as a basis for management decisions. What he needed was a system that would not only present data, but the meaning of the data. Such a system is the integrated MIS.

  18. Safety implications of electronic driving support systems : an orientation.

    OpenAIRE

    Gundy, C.M. Steyvers, F.J.J.M. & Kaptein, N.A.

    1995-01-01

    This report focuses on traffic safety aspects of driving support systems. The report consists of two parts. First of all, the report discusses a number of topics, relevant for the implementation and evaluation of driving support systems. These topics include: (1) safety research into driving support systems: (2) the importance of research into driver models and the driving task; (3) horizontal integration of driving support systems; (4) vertical integration of driving support systems; (5) tas...

  19. Sexuality and romantic relationships in young adult cancer survivors: satisfaction and supportive care needs.

    Science.gov (United States)

    Geue, Kristina; Schmidt, Ricarda; Sender, Annekathrin; Sauter, Siegfried; Friedrich, Michael

    2015-11-01

    In recent years, psycho-oncology has focused more and more on adolescents and young adults with cancer (AYA). Many studies have concentrated on fertility issues in AYAs, but romantic relationships and sexuality have only been researched to a limited extent. This cross-sectional study examined AYAs' quality of relationships and sexuality satisfaction thereby identifying sex differences. Ninety-nine cancer patients (N = 33 males) diagnosed between 15 and 39 years who were in a romantic relationship at the time of the survey completed questionnaires on their relationship (Partnership Questionnaire), sexuality (Life Satisfaction Questionnaire), and sexuality needs (Supportive Care Needs Survey). Test for mean differences and regression analyses to determine associated variables were performed. Seventy-six percent of AYAs (N = 75) rated their relationship quality as high. About 64% of patients reported having less sexual intercourse since diagnosis, more women than men (72% vs. 45%; p = .011). The need for support was strongest for changes in sexual feelings (N = 38; 38.3%). Duration of relationship (β = -0.224), being on sick leave (β = 0.325), and satisfaction with sexuality (β = 0.409) were associated with satisfaction with relationship (R(2)  = 0.256). Satisfaction with sexuality (R(2)  = 0.344) was regressed on physical function (β = 0.419), satisfaction with relationship (β = 0.428), and male gender (β = -0.175). Sexuality need (R(2)  = 0.436) was associated with fatigue (β = 0.232) and satisfaction with sexuality (β = -0.522). Although they reported high satisfaction with their relationships, AYA patients experienced sexual problems and need support with sexual issues. As a substantial proportion of patients felt stressed because of sexual changes, communication and interventions addressing post-cancer sexuality, particularly in women, are indicated. Copyright © 2015 John Wiley & Sons, Ltd.

  20. Home Enteral Nutrition therapy: Difficulties, satisfactions and support needs of caregivers assisting older patients.

    Science.gov (United States)

    Jukic P, Nikolina; Gagliardi, Cristina; Fagnani, Donata; Venturini, Claudia; Orlandoni, Paolo

    2017-08-01

    The purpose of this study was to comprehend and describe the views, experiences and adaptations of caregivers who assist older patients treated with Home Enteral Nutrition. The objective was to gather empirical evidence to improve the delivery of Home Enteral Nutrition for old patients taking into account the caregivers' support needs. A qualitative methodology with focus groups as data collection method was used to collect the testimonies of 30 informal and formal caregivers of older patients treated with Home Enteral Nutrition by the Clinical Nutrition Service of INRCA (Ancona) during 2014. Quantitative methodology was used to collect socio-demographic data. Partially modified Silver's "Home Enteral Nutrition Caregiver Task Checklist" was used to identify training needs. The constant comparison method was used to code and categorize data and to develop themes of focus groups. Simple descriptive statistics were used to summarize questionnaires. Five main themes were identified from focus groups: acceptance of the therapy, skill acquisition process, need for psychological and practical support at home from healthcare professionals, lifestyle adaptation, affirmation of life and family. All caregivers testified the initial fear and refusal to manage the nutrition pump and the therapy. They expressed the need to be trained gradually, starting during a patient's hospitalization, and continuing in the community. With reference to their overall QoL, it emerged that informal caregivers suffered mostly from the reduction of their free time while formal caregivers suffered social isolation and psychological burden. For both groups the monthly home visit was the most important element of the HEN service. Informal caregivers highlighted the importance of having their loved ones at home. Unsatisfied training needs were identified by the modified Silver's "Home Enteral Nutrition Caregiver Task Checklist". This qualitative study underlined the challenges and adaptations of

  1. Support Needs and Coping Strategies as Predictors of Stress Level among Mothers of Children with Autism Spectrum Disorder

    Directory of Open Access Journals (Sweden)

    Sheri R. Kiami

    2017-01-01

    Full Text Available This study examined maternal stress, coping strategies, and support needs among mothers of children with Autism Spectrum Disorder (ASD. A convenience sample of 70 mothers completed the Parent Stress Index Short Form (PSI-SF, Coping Health Inventory for Parents (CHIP, and Modified Family Needs Questionnaire (FNQ. PSI-SF scores reflected clinically significant levels of stress for 77% of mothers, and mothers identified 62.4% of important needs as unmet. The five most frequently reported important unmet needs were (1 financial support; (2 break from responsibilities; (3 understanding of other after-school program children; (4 rest/sleep; (5 help remaining hopeful about the future. Most coping strategies (81% were identified as helpful. Additionally, both coping strategies and support needs served as predictors for maternal stress. Maternal stress scores decreased by .402 points for each percent increase in helpful coping strategy, and stress scores increased by .529 points with each percent increase in unmet needs. Given large variation in questionnaire responses across participants and studies, utilization of user-friendly questionnaires, such as the PSI-SF, CHIP, and FNQ, is advocated to determine the evolving important needs unique to each family over the child’s lifetime as well as guide prioritization of care, compilation of resources, and referrals for additional services.

  2. Development of support system for maintenance and administration of reprocessing plant equipment

    International Nuclear Information System (INIS)

    Iwasaki, Syogo; Taniguchi, Takayuki; Shiraishi, Yoshihiko; Isaka, Kazuo

    1998-01-01

    Each year, maintenance work is carried out for about 10,000 pieces of equipment, including mechanical devices, electric equipment and instruments, at the Tokai Reprocessing Plant. Ninety percent of such maintenance work is preventive maintenance. In order to manage the information about the maintenance work, a computer support system was developed between 1985 and 1992. Twenty-seven thousand pieces of equipment and 180,000 maintenance histories have already been registered in the system. The system has been used for planning inspections and replacement of equipment as well as checking their maintenance histories. Actual usage of the system has shown that some auxiliary functions need to be added. The system will therefore be improved and extended. (author)

  3. Why decision support systems are important for medical education.

    Science.gov (United States)

    Konstantinidis, Stathis Th; Bamidis, Panagiotis D

    2016-03-01

    During the last decades, the inclusion of digital tools in health education has rapidly lead to a continuously enlarging digital era. All the online interactions between learners and tutors, the description, creation, reuse and sharing of educational digital resources and the interlinkage between them in conjunction with cheap storage technology has led to an enormous amount of educational data. Medical education is a unique type of education due to accuracy of information needed, continuous changing competences required and alternative methods of education used. Nowadays medical education standards provide the ground for organising the educational data and the paradata. Analysis of such education data through education data mining techniques is in its infancy, but decision support systems (DSSs) for medical education need further research. To the best of our knowledge, there is a gap and a clear need for identifying the challenges for DSSs in medical education in the era of medical education standards. Thus, in this Letter the role and the attributes of such a DSS for medical education are delineated and the challenges and vision for future actions are identified.

  4. Technical Issues Map for the NHI System Interface and Support Systems Area: 3rd Quarter FY 07

    International Nuclear Information System (INIS)

    Steven R. Sherman

    2007-01-01

    This document provides a mapping of technical issues associated with development of the Next Generation Nuclear Plant (NGNP) intermediate heat transport loop and nuclear hydrogen plant support systems to the work that has been accomplished or is currently underway. The technical issues are ranked according to priority and by assumed resolution dates. Due to funding limitations, not all high-priority technical issues are under study at the present time, and more resources will need to be dedicated to tackling such issues in the future. This technical issues map is useful for understanding the relative importance of various technical challenges and will be used as a planning tool by the NHI technical leadership for future work package planning. The technical map in its present form will be discontinued in FY08 and will be folded into a larger NHI System Interface and Support Systems project management plan and scope baseline statement in FY08

  5. Informal caregivers of persons with dementia, their use of and needs for specific professional support: a survey of the National Dementia Programme

    Directory of Open Access Journals (Sweden)

    Spreeuwenberg Peter MM

    2010-06-01

    Full Text Available Abstract Background This paper describes both the use of and needs for informal caregivers of people with dementia, based on a questionnaire survey organized within the National Dementia Programme in the Netherlands. The National Dementia Programme is a quality collaborative of the Dutch Alzheimer's Association, the Institute of Quality of Healthcare (CBO and the Knowledge Centre on Ageing (Vilans, instigated by the Ministry of Health, Welfare and Sport, to improve integrated care for people with dementia and their informal caregivers. The support needs of informal caregivers are important to improve caregiver well-being and delaying institutionalization of the person with dementia. Methods In the period April 2006 - January 2007, the National Dementia Programme questionnaire was completed by 984 informal caregivers. Descriptive statistics were used to analyze the use of and needs for additional professional support by informal caregivers. Chi-square tests were used to assess the relationships between characteristics of the caregivers (spouses, sons/daughters, sons/daughters in-law and support needs on one hand and to assess the relationship between the living situation of the person with dementia (living at home or living in a nursing home or home for the elderly and support needs on the other hand. Results Almost all informal caregivers (92.6% received some professional support. However, two thirds (67.4% indicated they had one or more needs for additional professional support. Informal caregivers often need additional professional advice about what to do when their relative is frightened, angry of confused. Spouses reported different needs than sons or daughters (in-law: spouses relatively often need emotional support and sons or daughters (in-law more often need information and coordination of dementia care. Conclusions Most of the informal caregivers report that they need additional information and advice, e.g. about how to cope with

  6. The Online Parent Information and Support project, meeting parents' information and support needs for home-based management of childhood chronic kidney disease: research protocol.

    Science.gov (United States)

    Swallow, Veronica; Knafl, Kathleen; Sanatacroce, Sheila; Hall, Andrew; Smith, Trish; Campbell, Malcolm; Webb, Nicholas J A

    2012-09-01

    This article is a report of a protocol for studying the development and evaluation of an online parent information and support package for home-based care of children with chronic kidney disease stages 3-5. The study is funded by a National Institute of Health Research, Research for Patient Benefit Grant awarded (December 2010). Approval to undetake the study was obtained from the Department of Health National Research Ethics Service (June 2011). Children with chronic kidney disease require skilled, home-based care by parents, supported by professionals. Parents have identified a need for continuously available online resources to supplement professional support, and structured resources tailored to parents' needs are highlighted by policy makers as key to optimizing care; yet, online resource provision is patchy with little evidence base. Using mixed methods, we will (i) conduct parent/child/young person/professional/patient and parent volunteer focus groups to explore views on existing resources, (ii) collaboratively define gaps in provision, identify desirable components, develop/test resources and conduct a feasibility randomized controlled trial, and (iii) of usual professional support versus usual support supplemented by the package. Eighty parents of children with chronic kidney disease will be randomized. Primary outcomes will assess parents' self-efficacy and views of resources, using standardized measures at entry and 24 weeks, and semi-structured interviews at 24 weeks. We will finalize trial components for a later definitive trial. By working collaboratively, we will derive a detailed insight into parents' information and support needs and experiences of using the package, and should see improved parental self-efficacy. © 2012 Blackwell Publishing Ltd.

  7. Life Support Goals Including High Closure and Low Mass Should Be Reconsidered Using Systems Analysis

    Science.gov (United States)

    Jones, Harry W.

    2017-01-01

    Recycling space life support systems have been built and tested since the 1960s and have operated on the International Space Station (ISS) since the mid 2000s. The development of space life support has been guided by a general consensus focused on two important related goals, increasing system closure and reducing launch mass. High closure is achieved by recycling crew waste products such as carbon dioxide and condensed humidity. Recycling directly reduces the mass of oxygen and water for the crew that must be launched from Earth. The launch mass of life support can be further reduced by developing recycling systems with lower hardware mass and reduced power. The life support consensus has also favored using biological systems. The goal of increasing closure using biological systems suggests that food should be grown in space and that biological processors be used for air, water, and waste recycling. The goal of reducing launch mass led to use of Equivalent System Mass (ESM) in life support advocacy and technology selection. The recent consensus assumes that the recycling systems architecture developed in the 1960s and implemented on ISS will be used on all future long missions. NASA and other project organizations use the standard systems engineering process to guide hardware development. The systems process was used to develop ISS life support, but it has been less emphasized in planning future systems for the moon and Mars. Since such missions are far in the future, there has been less immediate need for systems engineering analysis to consider trade-offs, reliability, and Life Cycle Cost (LCC). Preliminary systems analysis suggests that the life support consensus concepts should be revised to reflect systems engineering requirements.

  8. 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...

  9. Recommendations on future development of decision support systems

    DEFF Research Database (Denmark)

    MCarthur, Stephen; Chen, Minjiang; Marinelli, Mattia

    Deliverable 8.3 reports on the consolidation of experiences from visualisation, decision support prototypes experiments and recommendations on future developments of decision support systems......Deliverable 8.3 reports on the consolidation of experiences from visualisation, decision support prototypes experiments and recommendations on future developments of decision support systems...

  10. Parent Involvement in Meaningful Post-School Experiences for Young Adults with IDD and Pervasive Support Needs

    Science.gov (United States)

    Rossetti, Zachary; Lehr, Donna; Pelerin, Dana; Huang, Shuoxi; Lederer, Leslie

    2016-01-01

    Despite initiatives supporting young adults with intellectual and developmental disabilities (IDD) to engage in post-secondary education and integrated employment, those with more intensive support needs are not as easily involved in these post-school experiences. In an effort to learn from positive examples, we examined parent involvement in…

  11. Resilient Systemics to Telehealth Support for Clinical Psychiatry and Psychology.

    Science.gov (United States)

    Fiorini, Rodolfo A; De Giacomo, Piero; L'Abate, Luciano

    2015-01-01

    Reliably expanding our clinical practice and lowering our overhead with telepsychiatry, telepsychology, distance counseling and online therapy, requires resilient and antifragile system and tools. When utilized appropriately these technologies may provide greater access to needed services to include more reliable treatment, consultation, supervision, and training. The wise and proper use of technology is fundamental to create and boost outstanding social results. We present, as an example, the main steps to achieve application resilience and antifragility at system level, for diagnostic and therapeutic telepractice and telehealth support, devoted to psychiatry and psychology application. This article presents a number of innovations that can take psychotherapy treatment, supervision, training, and research forward, towards increased effectiveness application.

  12. Supportive care needs of rural individuals living with cancer: A literature review.

    Science.gov (United States)

    Loughery, Joanne; Woodgate, Roberta L

    2015-01-01

    Regardless of geographic location, the cancer journey is an extremely difficult experience for both patients and their families. The aim of this literature review is to explore the impact of rural or remote residence on the supportive care needs of individuals living with cancer. This review included ten qualitative, seven quantitative, and six mixed design studies. Data collection, analysis, and evaluation were guided using a multi-domain supportive care framework based on seven domains: physical, emotional, informational, psychological, spiritual, social, and practical (Fitch, 2009). This review will suggest that there are distinct experiences that present both challenges and benefits to individuals living with cancer in rural areas. These findings will be detailed with recommendations, and grounding for future research outlined.

  13. Learning to Control Advanced Life Support Systems

    Science.gov (United States)

    Subramanian, Devika

    2004-01-01

    Advanced life support systems have many interacting processes and limited resources. Controlling and optimizing advanced life support systems presents unique challenges. In particular, advanced life support systems are nonlinear coupled dynamical systems and it is difficult for humans to take all interactions into account to design an effective control strategy. In this project. we developed several reinforcement learning controllers that actively explore the space of possible control strategies, guided by rewards from a user specified long term objective function. We evaluated these controllers using a discrete event simulation of an advanced life support system. This simulation, called BioSim, designed by Nasa scientists David Kortenkamp and Scott Bell has multiple, interacting life support modules including crew, food production, air revitalization, water recovery, solid waste incineration and power. They are implemented in a consumer/producer relationship in which certain modules produce resources that are consumed by other modules. Stores hold resources between modules. Control of this simulation is via adjusting flows of resources between modules and into/out of stores. We developed adaptive algorithms that control the flow of resources in BioSim. Our learning algorithms discovered several ingenious strategies for maximizing mission length by controlling the air and water recycling systems as well as crop planting schedules. By exploiting non-linearities in the overall system dynamics, the learned controllers easily out- performed controllers written by human experts. In sum, we accomplished three goals. We (1) developed foundations for learning models of coupled dynamical systems by active exploration of the state space, (2) developed and tested algorithms that learn to efficiently control air and water recycling processes as well as crop scheduling in Biosim, and (3) developed an understanding of the role machine learning in designing control systems for

  14. Attributing variance in supportive care needs during cancer: culture-service, and individual differences, before clinical factors.

    Directory of Open Access Journals (Sweden)

    Richard Fielding

    Full Text Available BACKGROUND: Studies using the Supportive Care Needs Survey (SCNS report high levels of unmet supportive care needs (SCNs in psychological and less-so physical & daily living domains, interpreted as reflecting disease/treatment-coping deficits. However, service and culture differences may account for unmet SCNs variability. We explored if service and culture differences better account for observed SCNs patterns. METHODS: Hong Kong (n = 180, Taiwanese (n = 263 and Japanese (n = 109 CRC patients' top 10 ranked SCNS-34 items were contrasted. Mean SCNS-34 domain scores were compared by sample and treatment status, then adjusted for sample composition, disease stage and treatment status using multivariate hierarchical regression. RESULTS: All samples were assessed at comparable time-points. SCNs were most prevalent among Japanese and least among Taiwanese patients. Japanese patients emphasized Psychological (domain mean = 40.73 and Health systems and information (HSI (38.61 SCN domains, whereas Taiwanese and Hong Kong patients emphasized HSI (27.41; 32.92 and Patient care & support (PCS (19.70; 18.38 SCN domains. Mean Psychological domain scores differed: Hong Kong = 9.72, Taiwan = 17.84 and Japan = 40.73 (p<0.03-0.001, Bonferroni. Other SCN domains differed only between Chinese and Japanese samples (all p<0.001. Treatment status differentiated Taiwanese more starkly than Hong Kong patients. After adjustment, sample origin accounted for most variance in SCN domain scores (p<0.001, followed by age (p = 0.01-0.001 and employment status (p = 0.01-0.001. Treatment status and Disease stage, though retained, accounted for least variance. Overall accounted variance remained low. CONCLUSIONS: Health service and/or cultural influences, age and occupation differences, and less so clinical factors, differentially account for significant variation in published studies of SCNs.

  15. Axiomatic Design of Space Life Support Systems

    Science.gov (United States)

    Jones, Harry W.

    2017-01-01

    Systems engineering is an organized way to design and develop systems, but the initial system design concepts are usually seen as the products of unexplained but highly creative intuition. Axiomatic design is a mathematical approach to produce and compare system architectures. The two axioms are:- Maintain the independence of the functional requirements.- Minimize the information content (or complexity) of the design. The first axiom generates good system design structures and the second axiom ranks them. The closed system human life support architecture now implemented in the International Space Station has been essentially unchanged for fifty years. In contrast, brief missions such as Apollo and Shuttle have used open loop life support. As mission length increases, greater system closure and increased recycling become more cost-effective.Closure can be gradually increased, first recycling humidity condensate, then hygiene wastewater, urine, carbon dioxide, and water recovery brine. A long term space station or planetary base could implement nearly full closure, including food production. Dynamic systems theory supports the axioms by showing that fewer requirements, fewer subsystems, and fewer interconnections all increase system stability. If systems are too complex and interconnected, reliability is reduced and operations and maintenance become more difficult. Using axiomatic design shows how the mission duration and other requirements determine the best life support system design including the degree of closure.

  16. Overview of Actuated Arm Support Systems and Their Applications

    Directory of Open Access Journals (Sweden)

    E.A. Lomonova

    2013-10-01

    Full Text Available Arm support systems provide support throughout daily tasks, training or in an industrial environment. During the last decades a large diversity of actuated arm support systems have been developed. To analyze the actuation principles in these systems, an overview of actuated arm support systems is provided. This overview visualizes the current trends on research and development of these support systems and distinguishes three categories. These categories depend mainly on the functional status of the user environment, which defines the specifications. Therefore, the actuated arm support systems are classified according to their user environment, namely: ambulatory, rehabilitation and industrial. Furthermore, three main actuation principles and three mechanical construction principles have been identified.

  17. THE NEED FOR MANAGERIAL ACCOUNTING SYSTEMS

    Directory of Open Access Journals (Sweden)

    Flavius-Andrei GUINEA

    2016-12-01

    Full Text Available The implementation of a managerial accounting system represents a genuine initiative for implementing change, this involving the need for change, a vision of change and strategy, and last, but not least, innovation stimulation. In the last decades, the implementation of such a system translated into a broader reform, including the management system used. A management control system, once implemented, tends to attract the manifestation of creative accounting phenomena, especially in times of crisis. Taking these into consideration, the article aims to highlight the importance of the implementation of a modern managerial accounting system in the Romanian firms, as well as to analyse the potential consequences of this process, from the author’s point of view.

  18. 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...

  19. 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.

  20. Communication Partners Supporting Children with Complex Communication Needs Who Use AAC: A Systematic Review

    Science.gov (United States)

    Shire, Stephanie Y.; Jones, Nancy

    2015-01-01

    Communication partners who efficiently use augmentative and alternative communication (AAC) are essential interaction partners for children learning to communicate using AAC. This systematic review examines studies targeting interventions designed to help communication partners support children with complex communication needs who use AAC.…

  1. Associations between dyadic coping and supportive care needs: findings from a study with hematologic cancer patients and their partners.

    Science.gov (United States)

    Weißflog, Gregor; Hönig, Klaus; Gündel, Harald; Lang, Dirk; Niederwieser, Dietger; Döhner, Hartmut; Vogelhuber, Martin; Mehnert, Anja; Ernst, Jochen

    2017-05-01

    The way couples mutually cope with hematologic cancer is likely to influence their levels of supportive care needs (SCN). Therefore, this study evaluated the levels of dyadic coping (DC) and SCN and the concurrent associations between both variables. Three hundred thirty patients with a hematologic malignancy (63% male) and their partners completed the dyadic coping inventory (DCI) and the supportive care needs survey (SCNS-SF-34-G). The levels of dyadic coping (DC) and supportive care needs (SCN) were compared with representative validation samples. Correlational analyses and actor-partner interdependence models (APIM) were calculated to estimate the association between DC and SCN. Partners' stress communication of cancer patients (as part of DC) was decreased in contrast to that of a non-cancer sample. The perception of partners' delegated DC was higher (both with a moderate effect size of g ≥ |0.50|). SCN of patients and partners were lower in the dimensions health system/information and physical problems/daily living in contrast to those of a cancer patients' validation sample (both with a small effect of g ≥ |0.20|). Higher perceptions of partners' negative DC were associated with higher SCN for both patients and partners. The same was true for patients' own stress communication and SCN, but only for the patients. Sociodemographic and illness-related factors were only partially related with the SCN of patients and partners. In order to diminish SCN of patients and partners, a possible way is to strengthen the quality of the dyadic relation. Due to its associations with elevated SCN, stress communication and negative dyadic coping behaviours may be useful targets for psychosocial interventions.

  2. Information needs for water resources decision-making

    International Nuclear Information System (INIS)

    Sellers, J.

    1993-01-01

    Water and related resources planning and decision-making have developed to the state of multiple objective and/or multiple criteria analysis using complicated systems analysis. The objective of this paper is to indicate the major components of information needed to facilitate the planning process for resource utilization, and to provide desirable outputs from management schemes. The process could best be described as the proper development of Management Information Systems (MIS) or Decision Support Systems (DDS). Data and information systems are never completed and must be continually updated and modified. The exact composition of any system depends also upon the general type of decision techniques being used. A brief outline of the decision process is given with the remainder of the paper dealing with the types of information needed to support the decision system. (author). 34 refs

  3. Decision support system in an international-voice-services business company

    Science.gov (United States)

    Hadianti, R.; Uttunggadewa, S.; Syamsuddin, M.; Soewono, E.

    2017-01-01

    We consider a problem facing by an international telecommunication services company in maximizing its profit. From voice services by controlling cost and business partnership. The competitiveness in this industry is very high, so that any efficiency from controlling cost and business partnership can help the company to survive in the very high competitiveness situation. The company trades voice traffic with a large number of business partners. There are four trading schemes that can be chosen by this company, namely, flat rate, class tiering, volume commitment, and revenue capped. Each scheme has a specific characteristic on the rate and volume deal, where the last three schemes are regarded as strategic schemes to be offered to business partner to ensure incoming traffic volume for both parties. This company and each business partner need to choose an optimal agreement in a certain period of time that can maximize the company’s profit. In this agreement, both parties agree to use a certain trading scheme, rate and rate/volume/revenue deal. A decision support system is then needed in order to give a comprehensive information to the sales officers to deal with the business partners. This paper discusses the mathematical model of the optimal decision for incoming traffic volume control, which is a part of the analysis needed to build the decision support system. The mathematical model is built by first performing data analysis to see how elastic the incoming traffic volume is. As the level of elasticity is obtained, we then derive a mathematical modelling that can simulate the impact of any decision on trading to the revenue of the company. The optimal decision can be obtained from these simulations results. To evaluate the performance of the proposed method we implement our decision model to the historical data. A software tool incorporating our methodology is currently in construction.

  4. Operation and safety decision-making support expert system in NPP

    International Nuclear Information System (INIS)

    Wei Yanhui; Su Desong; Chen Weihua; Zhang Jianbo

    2014-01-01

    The article first reviewed three operation support systems currently used in NPP: real-time information surveillance system, important equipment surveillance system and plant process control and monitoring system, then presents the structure and function of three expert support sub-systems (intelligent alarm monitoring system, computer-based operating procedure support system, safety information expert decision support system). Finally the article discussed the meaning of a kind of operation decision making support system. (authors)

  5. Families Need Support: The Challenges of Emotional and Behavioral Disorders. PHP-c86

    Science.gov (United States)

    PACER Center, 2004

    2004-01-01

    Being a parent is exhausting work, even when children do not have emotional problems. All parents need information, encouragement, training, and support to raise healthy children. No one is born with all the skills necessary to handle every problem, yet too often, when parents do ask for help for their children, they are turned down until the…

  6. Drivers' reactions to sudden braking by lead car under varying workload conditions; towards a driver support system

    NARCIS (Netherlands)

    Schaap, T. W.; van der Horst, A. R. A.; van Arem, B.; Brookhuis, K. A.

    2008-01-01

    At urban intersections drivers handle multiple tasks simultaneously, making urban driving a complex task. An advanced driver assistance system may support drivers in this specific driving task, but the design details of such a system need to be determined before they can be fully deployed. A driving

  7. Decision support system for the diagnosis of schizophrenia disorders

    Directory of Open Access Journals (Sweden)

    D. Razzouk

    2006-01-01

    Full Text Available Clinical decision support systems are useful tools for assisting physicians to diagnose complex illnesses. Schizophrenia is a complex, heterogeneous and incapacitating mental disorder that should be detected as early as possible to avoid a most serious outcome. These artificial intelligence systems might be useful in the early detection of schizophrenia disorder. The objective of the present study was to describe the development of such a clinical decision support system for the diagnosis of schizophrenia spectrum disorders (SADDESQ. The development of this system is described in four stages: knowledge acquisition, knowledge organization, the development of a computer-assisted model, and the evaluation of the system's performance. The knowledge was extracted from an expert through open interviews. These interviews aimed to explore the expert's diagnostic decision-making process for the diagnosis of schizophrenia. A graph methodology was employed to identify the elements involved in the reasoning process. Knowledge was first organized and modeled by means of algorithms and then transferred to a computational model created by the covering approach. The performance assessment involved the comparison of the diagnoses of 38 clinical vignettes between an expert and the SADDESQ. The results showed a relatively low rate of misclassification (18-34% and a good performance by SADDESQ in the diagnosis of schizophrenia, with an accuracy of 66-82%. The accuracy was higher when schizophreniform disorder was considered as the presence of schizophrenia disorder. Although these results are preliminary, the SADDESQ has exhibited a satisfactory performance, which needs to be further evaluated within a clinical setting.

  8. Teachers’ Perceptions of Needs and Supports for Handwriting Instruction in Kindergarten

    Directory of Open Access Journals (Sweden)

    Jill A. Nye

    2018-04-01

    Full Text Available Background: This study was designed to explore the perceived needs of kindergarten teachers as well as the supports they require in preparing children for success in the area of handwriting. Methods: A phenomenological research design was used and nine kindergarten teachers employed at four elementary schools in a school district in Illinois participated in the study. Semi-structured interviews were completed to discuss the perceptions of teachers related to challenges they face and the supports they require in promoting the occupational task of handwriting among the children in their classrooms. Results: The results from this pilot study revealed that overall the teachers felt that the lack of a curriculum and formalized training impacted their teaching practices related to handwriting instruction. Conclusion: The teachers stated that gaps in their knowledge base relating to developmental progression, the ability to assist struggling students, an awareness of strategies to use, and the IEP process contributed to their challenges in teaching handwriting to kindergarten students.

  9. Operator Support System for Pressurized Water Reactor

    International Nuclear Information System (INIS)

    Wei Renjie; Shen Shifei

    1996-01-01

    Operator Support System for Pressurized Water Reactor (OSSPWR) has been developed under the sponsorship of IAEA from August 1994. The project is being carried out by the Department of Engineering Physics, Tsinghua University, Beijing, China. The Design concepts of the operator support functions have been established. The prototype systems of OSSPWR has been developed as well. The primary goal of the project is to create an advanced operator support system by applying new technologies such as artificial intelligence (AI) techniques, advanced communication technologies, etc. Recently, the advanced man-machine interface for nuclear power plant operators has been developed. It is connected to the modern computer systems and utilizes new high performance graphic displays. (author). 6 refs, 4 figs

  10. Pilot's Automated Weather Support System (PAWSS) concepts demonstration project. Phase 1: Pilot's weather information requirements and implications for weather data systems design

    Science.gov (United States)

    Crabill, Norman L.; Dash, Ernie R.

    1991-01-01

    The weather information requirements for pilots and the deficiencies of the current aviation weather support system in meeting these requirements are defined. As the amount of data available to pilots increases significantly in the near future, expert system technology will be needed to assist pilots in assimilating that information. Some other desirable characteristics of an automation-assisted system for weather data acquisition, dissemination, and assimilation are also described.

  11. Needs assessment for home-based care and the strengthening of social support networks: the role of community care workers in rural South Africa

    Directory of Open Access Journals (Sweden)

    Mosa Moshabela

    2015-12-01

    Full Text Available Background: Community care workers (CCWs in rural South Africa provide medical, personal, household, educational, and social care services to their clients. However, little understanding exists on how provision of services is approached within a household, taking into account available social support networks. Objective: The aim of this study was to generate an understanding of the processes that underpin the provision of care by CCWs in rural households and their engagement with clients, primary caregivers (PCGs, and other members of the social support network. Design: We analysed in-depth interviews conducted in a triad of participants involved in a home-based care (HBC encounter – 32 clients, 32 PCGs, and 17 CCWs. For each triad, a purposefully selected CCW was linked with a purposefully selected client and the corresponding PCG using maximum variation sampling. Three coders used an inductive content analysis method to describe participants’ references to the nuances of processes followed by CCWs in servicing HBC clients. Written informed consent was obtained from all participants. Findings: The results suggest that, by intuition and prior knowledge, CCWs treated each household uniquely, depending on the clients’ care needs, cooperation, availability of a social network, and the reliability and resilience of the social support system for the client. Four distinct processes took place in rural households: needs assessment for care, rationing of care, appraisal of care, and reinforcement of a social support system. However, there was no particular order or sequence established for these processes, and caregivers followed no prescribed or shared standards. Conclusions: CCWs bring a basket of services to a household, but engage in a constant, dynamic, and cyclical process of weighing needs against services provided. The service package is uniquely crafted and tailored for each household, depending on the absorptive capacity of the social

  12. 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...

  13. Extravehicular Activity Systems Education and Public Outreach in Support of NASA's STEM Initiatives

    Science.gov (United States)

    Paul, Heather L.

    2011-01-01

    The exploration activities associated with NASA?s goals to return to the Moon, travel to Mars, or explore Near Earth Objects (NEOs) will involve the need for human-supported space and surface extravehicular activities (EVAs). The technology development and human element associated with these exploration missions provide fantastic content to promote science, technology, engineering, and math (STEM). As NASA Administrator Charles F. Bolden remarked on December 9, 2009, "We....need to provide the educational and experiential stepping-stones to inspire the next generation of scientists, engineers, and leaders in STEM fields." The EVA Systems Project actively supports this initiative by providing subject matter experts and hands-on, interactive presentations to educate students, educators, and the general public about the design challenges encountered as NASA develops EVA hardware for these missions. This paper summarizes these education and public efforts.

  14. Subjective need for psychological support (PsySupp) in parents of children and adolescents with disorders of sex development (dsd).

    Science.gov (United States)

    Bennecke, Elena; Werner-Rosen, Knut; Thyen, Ute; Kleinemeier, Eva; Lux, Anke; Jürgensen, Martina; Grüters, Annette; Köhler, Birgit

    2015-10-01

    Disorders/diversity of sex development (dsd) is an umbrella term for congenital conditions often diagnosed within childhood. As most parents are unprepared for this situation, psychological support (PsySupp) is recommended. The aim of this study was to analyse the extent to which parents express a need for PsySupp. Three hundred twenty-nine parents of children with dsd were included; 40.4 % of the parents indicated to have a need for PsySupp, only 50 % of this group received it adequately. The diagnoses partial gonadal dysgenesis, partial androgen insensitivity syndrome (pAIS) and disorders of androgen synthesis are associated with a high need for PsySupp in parents (54, 65, and 50 %). Sex assignment surgery neither reduced nor increased the need for PsySupp. Taking a picture, radiography, laparoscopy, gonadal biopsy, gonadectomy and hormonal puberty induction are associated with a high need for PsySupp. There was no association between the need for PsySupp and the parents' perception of the appearance of the genitalia. Having a child with dsd is associated with a high need for PsySupp in parents. In particular, parents of children with XY-dsd with androgen effects other than hypospadias expressed a high need of PsySupp. PsySupp for parents should be an obligatory part of interdisciplinary care to reduce fears and concerns. What is known • In parents, having a child with dsd provokes insecurities and fears. Hence, psychological support is recommended as part of the interdisciplinary care. What is new • This is the first study investigating the subjective need for psychological support in a large sample of parents of children with dsd in Germany. We present data on the subjective need for psychological support of the parents, related diagnoses and factors, which should be considered in psychological counselling.

  15. Cancer surveillance using data warehousing, data mining, and decision support systems.

    Science.gov (United States)

    Forgionne, G A; Gangopadhyay, A; Adya, M

    2000-08-01

    This article discusses how data warehousing, data mining, and decision support systems can reduce the national cancer burden or the oral complications of cancer therapies, especially as related to oral and pharyngeal cancers. An information system is presented that will deliver the necessary information technology to clinical, administrative, and policy researchers and analysts in an effective and efficient manner. The system will deliver the technology and knowledge that users need to readily: (1) organize relevant claims data, (2) detect cancer patterns in general and special populations, (3) formulate models that explain the patterns, and (4) evaluate the efficacy of specified treatments and interventions with the formulations. Such a system can be developed through a proven adaptive design strategy, and the implemented system can be tested on State of Maryland Medicaid data (which includes women, minorities, and children).

  16. Implementation Of Conservation Policy Through The Protection Of Life Support System In The Karimunjawa National Park

    Science.gov (United States)

    Ariyani, Nur Anisa Eka; Kismartini

    2018-02-01

    The Karimunjawa National Park as the only one marine protected area in Central Java, managed by zonation system has decreased natural resources in the form of decreasing mangrove forest area, coral cover, sea biota population such as clams and sea cucumbers. Conservation has been done by Karimunjawa National Park Authority through protection of life support system activities in order to protect the area from degradation. The objective of the research is to know the implementation of protection and security activities of Karimunjawa National Park Authority for the period of 2012 - 2016. The research was conducted by qualitative method, processing secondary data from Karimunjawa National Park Authority and interview with key informants. The results showed that protection and security activities in The Karimunjawa National Park were held with three activities: pre-emptive activities, preventive activities and repressive activities. Implementation of conservation policy through protection of life support system is influenced by factors of policy characteristic, resource factor and environmental policy factor. Implementation of conservation policy need support from various parties, not only Karimunjawa National Park Authority as the manager of the area, but also need participation of Jepara Regency, Central Java Provinces, communities, NGOs, researchers, developers and tourism actors to maintain and preserve existing biodiversity. Improving the quality of implementors through education and training activities, the availability of the state budget annually and the support of stakeholders is essential for conservation.

  17. Government Support for Synthetic Pipeline Gas Uncertain and Needs Attention.

    Science.gov (United States)

    1982-05-14

    coal gas. Tear Sheetii RECOMMENDATIONS GAO recommends that the Secretary of Energy - --establish a plan to guide future support of high-Btu coal...recognizes that there are basic dif- ferences expected from large and small scale research projects, GAO believes that the report recognizes these...transportation, including the pipeline system. In its price-setting, or ratemaking function, it represents the interests of gas customers, sometimes

  18. Operator support system for nuclear power plants

    International Nuclear Information System (INIS)

    Mori, Nobuyuki; Tai, Ichiro; Sudo, Osamu; Naito, Norio.

    1987-01-01

    The nuclear power generation in Japan maintains the high capacity factor, and its proportion taken in the total generated electric power exceeded 1/4, thus it has become the indispensable energy source. Recently moreover, the nuclear power plants which are harmonious with operators and easy to operate are demanded. For realizing this, the technical development such as the heightening of operation watching performance, the adoption of automation, and the improvement of various man-machine systems for reducing the burden of operators has been advanced by utilizing electronic techniques. In this paper, the trend of the man-machine systems in nuclear power plants, the positioning of operation support system, the support in the aspects of information, action and knowledge, the example of a new central control board, the operation support system using a computer, an operation support expert system and the problems hereafter are described. As the development of the man-machine system in nuclear power plants, the upgrading from a present new central control board system PODIA through A-PODIA, in which the operational function to deal with various phenomena arising in plants and safety control function are added, to 1-PODIA, in which knowledge engineering technology is adopted, is expected. (Kako, I.)

  19. Substance abuse treatment management information systems: balancing federal, state, and service provider needs.

    Science.gov (United States)

    Camp, J M; Krakow, M; McCarty, D; Argeriou, M

    1992-01-01

    There is increased interest in documenting the characteristics and treatment outcomes of clients served with Alcohol, Drug Abuse, and Mental Health Block Grant funds. The evolution of federal client-based management systems for substance abuse treatment services demonstrates that data collection systems are important but require continued support. A review of the Massachusetts substance abuse management information system illustrates the utility of a client-based data set. The development and implementation of a comprehensive information system require overcoming organizational barriers and project delays, fostering collaborative efforts among staff from diverse agencies, and employing considerable resources. In addition, the need to develop mechanisms for increasing the reliability of the data and ongoing training for the users is presented. Finally, three applications of the management information system's role in shaping policy are reviewed: developing services for special populations (communities of color, women, and pregnant substance abusers, and injection drug users), utilizing MIS data for evaluation purposes, and determining funding allocations.

  20. Support system for Neutron Activation Analysis

    International Nuclear Information System (INIS)

    Sasajima, Fumio; Ohtomo, Akitoshi; Sakurai, Fumio; Onizawa, Koji

    1999-01-01

    In the research reactor of JAERI, the Neutron Activation Analysis (NAA) has been utilized as a major part of an irradiation usage. To utilize NAA, research participants are always required to learn necessary technique. Therefore, we started to examine a support system that will enable to carry out INAA easily even by beginners. The system is composed of irradiation device, gamma-ray spectrometer and data analyzing instruments. The element concentration is calculated by using KAYZERO/SOLCOI software with the K 0 standardization method. In this paper, we review on a construction of this INAA support system in JRR-3M of JAERI. (author)

  1. The Use of Energy Storage Systems for Supporting the Voltage Needs of Urban and Suburban Railway Contact Lines

    Directory of Open Access Journals (Sweden)

    Enrico Pagano

    2013-03-01

    Full Text Available The paper aims to contribute to the use of electric double layer capacitor (EDLC sets for boosting voltages of contact lines in urban and suburban railway traction systems. Different electrical configurations of contact lines are considered and investigated. For each of them, proper mathematical models are suggested to evaluate the electrical performances of the contact lines. They give rise, also, to sample design procedures for the sizing of the most appropriate energy storage systems, to be distributed along the lines, for boosting line voltages and avoiding undesired voltage drops. A numerical example based on the “Cumana” suburban Naples railway network is presented to give an idea of the weights and sizes of electric double layer capacitors needed to boost the voltage of a sample contact line. In particular, three different EDLC systems, for a overall installed energy of 9.6 kWh, have been placed nearby the stations presenting the highest voltage drops during the most representative situation of trains’ service. The new voltage drop is equal to 32% of that obtained in absence of EDLCs.

  2. The Use of Energy Storage Systems for Supporting the Voltage Needs of Urban and Suburban Railway Contact Lines

    Energy Technology Data Exchange (ETDEWEB)

    Iannuzzi, Diago [University of Federico II, Naples (Italy). Electrical Engineering Department; Pagano, Enrico [University of Federico II, Naples (Italy). Electrical Engineering Department; Tricoli, Pietro [University of Birmingham (United Kingdom). School of Electronic, Electrical and Computer Engineering

    2013-04-15

    The paper aims to contribute to the use of electric double layer capacitor (EDLC) sets for boosting voltages of contact lines in urban and suburban railway traction systems. Different electrical configurations of contact lines are considered and investigated. For each of them, proper mathematical models are suggested to evaluate the electrical performances of the contact lines. They give rise, also, to sample design procedures for the sizing of the most appropriate energy storage systems, to be distributed along the lines, for boosting line voltages and avoiding undesired voltage drops. A numerical example based on the “Cumana” suburban Naples railway network is presented to give an idea of the weights and sizes of electric double layer capacitors needed to boost the voltage of a sample contact line. In particular, three different EDLC systems, for a overall installed energy of 9.6 kWh, have been placed nearby the stations presenting the highest voltage drops during the most representative situation of trains’ service. The new voltage drop is equal to 32% of that obtained in absence of EDLCs.

  3. Psychosocial Care Needs of Melanoma Survivors: Are They Being Met?

    Directory of Open Access Journals (Sweden)

    Sabine Fischbeck

    Full Text Available Patients who have survived malignant melanoma for more than five years may lack the opportunity to talk about their burden. As a consequence their psychosocial care needs remain undetected and available supportive interventions may not be utilised. Therefore, the psychosocial burden of this patient group needs to be assessed using specific screening instruments. The aim of this study was to investigate the psychosocial burden of long-term melanoma survivors, their psychosocial care needs and the determinants of these needs. We wanted to find out if the use of professional support corresponds to the care needs defined by experts. Using the cancer registry of Rhineland-Palatinate, melanoma patients diagnosed at least 5 years before the survey were contacted by physicians. N = 689 former patients completed the Hornheide Questionnaire (short form HQ-S to identify psychosocial support need (scale cut off ≥ 16 or item-based cut-off score and the potential psychosocial determinants of these needs. Additionally, they were asked about their utilisation of the professional support system. More than one third (36% of them was in need for professional psychosocial support. The highest burden scores concerned worry about tumour progression. Younger age (< 50, higher general fatigue, higher symptom burden, lower general health, negative social interactions and unfulfilled information needs were significant predictors of the need for psychosocial intervention. Related to the percentage of survivors identified as 'in need', the professional support system was underused. Further studies should investigate whether using the HQ-S to routinely identify burdened melanoma patients could lead to better fulfilment of their intervention needs, ultimately enhancing health-related quality of life.

  4. The Need for Intelligent Control of Space Power Systems

    Science.gov (United States)

    May, Ryan David; Soeder, James F.; Beach, Raymond F.; McNelis, Nancy B.

    2013-01-01

    As manned spacecraft venture farther from Earth, the need for reliable, autonomous control of vehicle subsystems becomes critical. This is particularly true for the electrical power system which is critical to every other system. Autonomy can not be achieved by simple scripting techniques due to the communication latency times and the difficulty associated with failures (or combinations of failures) that need to be handled in as graceful a manner as possible to ensure system availability. Therefore an intelligent control system must be developed that can respond to disturbances and failures in a robust manner and ensure that critical system loads are served and all system constraints are respected.

  5. Early Detection and Prevention of Mental Health Problems: Developmental Epidemiology and Systems of Support.

    Science.gov (United States)

    Costello, E Jane

    2016-01-01

    This article reviews the role of developmental epidemiology in the prevention of child and adolescent mental disorders and the implications for systems of support. The article distinguishes between universal or primary prevention, which operates at the level of the whole community to limit risk exposure before the onset of symptoms, and secondary or targeted prevention, which operates by identifying those at high risk of developing a disorder. It discusses different aspects of time as it relates to risk for onset of disease, such as age at first exposure, duration of exposure, age at onset of first symptoms, and time until treatment. The study compares universal and targeted prevention, describing the systems needed to support each, and their unintended consequences.

  6. ACADEMIC INTEGRITY SUPPORT SYSTEM FOR UKRAINIAN UNIVERSITIES

    Directory of Open Access Journals (Sweden)

    V. G. Sherstjuk

    2017-04-01

    Full Text Available Purpose. Developing the methodology for providing academic integrity in the university. The methodology is based on Web-oriented academic integrity support system, developed by the authors, which enters into the information system of learning process control. Academic integrity support system is aimed at maintaining academic integrity as a basic institutional value, which will help to reduce corruption, plagiarism and other types of academic dishonesty. Methodology. The methodology of problem to solve is based on the development of the information system of education process control with the integral elements of quality control. The information subsystem of academic integrity support is its basic part. Findings. The proposed information system allows us to fulfill the following levels: educational process monitoring; audit of internal processes, which is necessary for developing the effective quality control system; assessment of achievements of educational process participants; formalization of the interaction of educational process participants. The system is aimed at the development of new academic society based on the following principles: open access to the information, at which the access of wide audience to the information provides participation, forming the sense of responsibility and social control; transparency of the information, by which its relevance, quality, reliability are meant; responsibility of all members of educational process; measurability, at which any action in educational process should be measured; detail of describing the actions, results and processes; support, which is meant by automatic tools of the realization of the principles of open access to the information, transparency of the information, responsibility of all participants of educational process, measurability, detail, support. The practical realization of information system is based on the development of a common repository of university information. The

  7. Decision support systems and expert systems for risk and safety analysis

    International Nuclear Information System (INIS)

    Baybutt, P.

    1986-01-01

    During the last 1-2 years, rapid developments have occurred in the development of decision support systems and expert systems to aid in decision making related to risk and safety of industrial plants. These activities are most noteworthy in the nuclear industry where numerous systems are under development with implementation often being made on personal computers. An overview of some of these developments is provided, and an example of one recently developed decision support system is given. This example deals with CADET, a system developed to aid the U.S. Nuclear Regulatory Commission in making decisions related to the topical issue of source terms resulting from degraded core accidents in light water reactors. The paper concludes with some comments on the likely directions of future developments in decision support systems and expert systems to aid in the management of risk and safety in industrial plants. (author)

  8. The Needs for Information and Knowledge Sharing through Microsoft Office Sharepoint System (MOSS) in Nuclear Agency

    International Nuclear Information System (INIS)

    Radhiah Jamalludin; Manisah Saedon; Siti Nurbahyah Hamdan; Sufian Norazam Mohamed Aris

    2011-01-01

    This paper explain in detail the advantage of using Microsoft Office Sharepoint System or Sharepoint-Knowledge Management System (SP-KMS) use as a platform for knowledge sharing among Nuclear Malaysia staffs. SP-KMS was launched in early June 2010 for Technical Programme starting with Technical Support Division, Radiation Safety and Health Division, Engineering Division and Reactor Technology Division. The uses of SP-KMS then expand in other division that need knowledge sharing such as Research Institute of Management Center (RIMC) and Agricultural and Biosciences Division. (author)

  9. Renewable energy production support schemes for residential-scale solar photovoltaic systems in Nordic conditions

    International Nuclear Information System (INIS)

    Hirvonen, Janne; Kayo, Genku; Cao, Sunliang; Hasan, Ala; Sirén, Kai

    2015-01-01

    The objective of this study was to examine the effect of production-based support schemes on the economic feasibility of residential-scale PV systems (1–10 kW) in Finland. This was done by calculating the payback time for various sizes of newly installed PV systems for a Finnish detached house with district heating. Three types of economic support schemes (guaranteed selling price, fixed premiums and self-consumption incentives) were tested in an hourly simulation. The load of the building was based on real-life measurements, while PV output was simulated with TRNSYS software. The energy results were post-processed with economic data in MATLAB to find the payback time. Hourly electricity prices from the Nordic energy market were used with PV system prices from Finnish companies. Unsubsidised residential PV systems in Finland had payback times of more than 40 years. The production-based support for PV generation needs to be two to three times the buying price of electricity, to make it possible to pay back the initial investment in 20 years. Low capacity systems with more than 50% self-consumption (under 3 kW) were favoured by self-consumption incentives, while high capacity systems with less than 40% self-consumption (over 5 kW) were favoured by the FIT-type support schemes. - Highlights: • Unsubsidised residential PV is uneconomical in Finland. • Support rate must be 2 times the electricity price for reasonable payback time. • Even using all electricity on-site is not profitable enough without support. • Assumed real interest rate had great influence on payback time. • Hourly electricity prices are much lower than average values from Finnish statistics

  10. Antecedents of perceived coach autonomy supportive and controlling behaviors: coach psychological need satisfaction and well-being.

    Science.gov (United States)

    Stebbings, Juliette; Taylor, Ian M; Spray, Christopher M

    2011-04-01

    Within the self-determination theory (Deci & Ryan, 2000) framework, research has considered the consequences of coaches' autonomy supportive and controlling behaviors on various athlete outcomes (e.g., motivation and performance). The antecedents of such behaviors, however, have received little attention. Coaches (N = 443) from a variety of sports and competitive levels completed a self-report questionnaire to assess their psychological need satisfaction, well-being and perceived interpersonal behaviors toward their athletes. Structural equation modeling demonstrated that coaches' competence and autonomy need satisfaction positively predicted their levels of psychological well-being, as indexed by positive affect and subjective vitality. In turn, coaches' psychological well-being positively predicted their perceived autonomy support toward their athletes, and negatively predicted their perceived controlling behaviors. Overall, the results highlight the importance of coaching contexts that facilitate coaches' psychological need satisfaction and well-being, thereby increasing the likelihood of adaptive coach interpersonal behavior toward athletes.

  11. Selecting effective persuasive strategies in behavior change support systems: Third International Workshop on Behavior Change Support Systems (BCSS 2015)

    NARCIS (Netherlands)

    Kelders, Saskia Marion; Kulyk, Olga Anatoliyivna; van Gemert-Pijnen, Julia E.W.C.; Oinas-Kukkonen, Harri; Kelders, Saskia; Kulyk, Olga; van Gemert-Pijnen, Lisette; Oinas-Kukkonen, Harri

    2015-01-01

    The Third International Workshop on Behavior Change Support Systems provides a place to discuss recent advances in BCSS research. The selected papers show that research into behavior change support systems is expanding: not only by trying to reach more and other people, but also by expanding the

  12. Web 2.0 systems supporting childhood chronic disease management: design guidelines based on information behaviour and social learning theories.

    Science.gov (United States)

    Ekberg, Joakim; Ericson, Leni; Timpka, Toomas; Eriksson, Henrik; Nordfeldt, Sam; Hanberger, Lena; Ludvigsson, Johnny

    2010-04-01

    Self-directed learning denotes that the individual is in command of what should be learned and why it is important. In this study, guidelines for the design of Web 2.0 systems for supporting diabetic adolescents' every day learning needs are examined in light of theories about information behaviour and social learning. A Web 2.0 system was developed to support a community of practice and social learning structures were created to support building of relations between members on several levels in the community. The features of the system included access to participation in the culture of diabetes management practice, entry to information about the community and about what needs to be learned to be a full practitioner or respected member in the community, and free sharing of information, narratives and experience-based knowledge. After integration with the key elements derived from theories of information behaviour, a preliminary design guideline document was formulated.

  13. Comparison of Basic Psychological Needs, Social Support and Stressful events in Addicts and Non-addicts: gender differences

    Directory of Open Access Journals (Sweden)

    Rahele Mohammadi

    2017-05-01

    Full Text Available The aim of this study was to compare basic psychological needs, stressful life events, and social support in addicts and non-addicts. The study was a causal-comparative research. Two hundreds residents of Khorramabad were chosen by available sampling (130 healthy and 70 addicts and were asked to respond to Basic Psychological Need Scale La Guardia, Ryan, Couchman & Deci, Multi-facet Perceived Social Support Scale Zimet, Powell, Farley, Werkman, & Berkoff, Addiction Acceptance Scale Weed, Butcher, McKenna, & Ben-Porath, and Weekly Stress Inventory Brantley, Jones & Boudreaux. Results of analysis of variance and and discriminant analysis showed singnificant differences between men and women. The results also showed significant differences  competency and friend social support in the two groups of men, and autonomy, competency and family social support in the two groups of women. Discriminant analysis revealed that stressful life events and competency predict addiction in men. and relationship and family social support predict addiction in women.Results were discussed according to different protecting factors in men and women and possible reciprocal relationships between addiction and protecting factors.

  14. Beyond advertising : large displays for supporting people’s needs and activities in public space

    NARCIS (Netherlands)

    Kanis, Marije; Groen, Maarten; Meys, Wouter; Slakhorst, Wout; Veenstra, Mettina

    2011-01-01

    This paper explores how displays can be used to support human needs and activities in public spaces rather than be employed for commercial purposes only. Based on our analysis of screen usage around the world, eight different categories of usage are described and motivated. For the purpose of

  15. Challenges for Life Support Systems in Space Environments, Including Food Production

    Science.gov (United States)

    Wheeler, Raymond M.

    2012-01-01

    Environmental Control and Life Support Systems (ECLSS) refer to the technologies needed to sustain human life in space environments. Histor ically these technologies have focused on providing a breathable atmo sphere, clean water, food, managing wastes, and the associated monitoring capabilities. Depending on the space agency or program, ELCSS has sometimes expanded to include other aspects of managing space enviro nments, such as thermal control, radiation protection, fire detection I suppression, and habitat design. Other times, testing and providing these latter technologies have been associated with the vehicle engi neering. The choice of ECLSS technologies is typically driven by the mission profile and their associated costs and reliabilities. These co sts are largely defined by the mass, volume, power, and crew time req uirements. For missions close to Earth, e.g., low-Earth orbit flights, stowage and resupply of food, some 0 2, and some water are often the most cost effective option. But as missions venture further into spa ce, e.g., transit missions to Mars or asteroids, or surface missions to Moon or Mars, the supply line economics change and the need to clos e the loop on life support consumables increases. These are often ref erred to as closed loop or regenerative life support systems. Regardless of the technologies, the systems must be capable of operating in a space environment, which could include micro to fractional g setting s, high radiation levels, and tightly closed atmospheres, including perhaps reduced cabin pressures. Food production using photosynthetic o rganisms such as plants by nature also provides atmospheric regenerat ion (e.g., CO2 removal and reduction, and 0 2 production), yet to date such "bioregenerative" technologies have not been used due largely t o the high power requirements for lighting. A likely first step in te sting bioregenerative capabilities will involve production of small a mounts of fresh foods to supplement to crew

  16. Assessment of Space Nuclear Thermal Propulsion Facility and Capability Needs

    Energy Technology Data Exchange (ETDEWEB)

    James Werner

    2014-07-01

    The development of a Nuclear Thermal Propulsion (NTP) system rests heavily upon being able to fabricate and demonstrate the performance of a high temperature nuclear fuel as well as demonstrating an integrated system prior to launch. A number of studies have been performed in the past which identified the facilities needed and the capabilities available to meet the needs and requirements identified at that time. Since that time, many facilities and capabilities within the Department of Energy have been removed or decommissioned. This paper provides a brief overview of the anticipated facility needs and identifies some promising concepts to be considered which could support the development of a nuclear thermal propulsion system. Detailed trade studies will need to be performed to support the decision making process.

  17. Support network and social support for children with special health care need

    Directory of Open Access Journals (Sweden)

    Thaís Araújo Barbosa

    2016-02-01

    Full Text Available Objective: to understand and identify the support network and social support from the perspective of families of children with chronic conditions. Methods: a qualitative study, with content analysis of 134 records, followed by ten semi-structured interviews. Results: the analysis has revealed that the primary caregiver, the mother, participates in a network of limited support, only with the help of her husband, children, grandparents and the child´s godparents. They also have a social network through a multidisciplinary team, which in some cases is not effective. Conclusion: families have a deficient and limited support network and the demand for care rely only on the support of the husband, grandparents, children, and godparents. Social networking refers to the philanthropic institutions, while the aid of public service, basic health unit is basic.

  18. Integrated Multimedia Based Intelligent Group Decision Support System for Electrical Power Network

    Directory of Open Access Journals (Sweden)

    Ajay Kumar Saxena

    2002-05-01

    Full Text Available Electrical Power Network in recent time requires an intelligent, virtual environment based decision process for the coordination of all its individual elements and the interrelated tasks. Its ultimate goal is to achieve maximum productivity and efficiency through the efficient and effective application of generation, transmission, distribution, pricing and regulatory systems. However, the complexity of electrical power network and the presence of conflicting multiple goals and objectives postulated by various groups emphasized the need of an intelligent group decision support system approach in this field. In this paper, an Integrated Multimedia based Intelligent Group Decision Support System (IM1GDSS is presented, and its main components are analyzed and discussed. In particular attention is focused on the Data Base, Model Base, Central Black Board (CBB and Multicriteria Futuristic Decision Process (MFDP module. The model base interacts with Electrical Power Network Load Forecasting and Planning (EPNLFP Module; Resource Optimization, Modeling and Simulation (ROMAS Module; Electrical Power Network Control and Evaluation Process (EPNCAEP Module, and MFDP Module through CBB for strategic planning, management control, operational planning and transaction processing. The richness of multimedia channels adds a totally new dimension in a group decision making for Electrical Power Network. The proposed IMIGDSS is a user friendly, highly interactive group decision making system, based on efficient intelligent and multimedia communication support for group discussions, retrieval of content and multi criteria decision analysis.

  19. Ideology Influencing Action: Special Educational Needs Co-Ordinator and Learning Support Assistant Role Conceptualisations and Experiences of Special Needs Education in England

    Science.gov (United States)

    Maher, Anthony John; Vickerman, Philip

    2018-01-01

    One outcome of England's Code of Practice' (DfE, 1994) was an increase, first, in the number of learning support assistants (LSAs) working in mainstream schools and, second, the establishment of the role of special educational needs co-ordinator (SENCO). Semi-structured interviews were conducted with SENCOs and LSAs to explore: (i) why they chose…

  20. The Motivational Outcomes of Psychological Need Support among Pre-Service Teachers: Multicultural and Self-determination Theory Perspectives

    Directory of Open Access Journals (Sweden)

    Haya Kaplan

    2017-08-01

    Full Text Available The study employed a self-determination theory (SDT framework to explore pre-service teachers’ perceptions of their professional training in relation to motivational outcomes. We hypothesized that students’ perceptions of basic psychological need support will be positively associated with their sense of relatedness, competence, and autonomous motivation and negatively associated with controlled motivation. Sense of relatedness, competence, and autonomous motivation were hypothesized to be positively associated with personal accomplishment, engagement, and self-exploration and negatively associated with emotional exhaustion. The study was conducted within a multicultural context, which enabled exploration of the hypotheses among students from two different cultural backgrounds. Based on the universality of SDT, we expected that the general models would be similar for both cultures, although some mean level and correlational paths may be different. The sample (N = 308; mean age 23.4 consisted of Muslim Arab-Bedouin (55.3% and Jewish (44.7% pre-service teachers enrolled in the same teachers’ college in Israel. The participants completed self-report surveys assessing their sense of basic psychological need support, autonomous and controlled motivation, self-accomplishment, engagement, self-exploration, and emotional exhaustion. Multiple-group structural equation modeling revealed that need support contributed positively to autonomous motivation, sense of relatedness, and sense of competence in both cultures. Autonomous motivation contributed positively to sense of self-accomplishment, engagement, and self-exploration. Competence in turn was positively related to engagement and negatively related to emotional exhaustion, and relatedness was associated with engagement only among the Bedouin students, and with self-accomplishment only among the Jewish students. These results indicate that sense of need support is highly important regardless

  1. WIPP supplementary roof support system Room 1, Panel 1: Geotechnical field data analysis report

    International Nuclear Information System (INIS)

    1993-03-01

    The design of the Room 1, Panel 1, supplementary roof support system was finalized in September 1991, and the system successfully installed in the test bin area between the bulkheads by December 1991. Simultaneously with the support system installation, existing monitoring system was upgraded to meet the needs of the installed roof support. This included extensometers, closure stations, rockbolt load cells as well as survey measurements of roof sag and floor lift. A Project Control Group (PCG) was established in order to monitor room and support system performance. Weekly meetings of the PCG were held to review all monitored data against criteria set in the initial design, and to modify these where necessary. Records of these meetings have been kept, with copies of all data summaries and action notes. These data records are maintained in the Engineering data files. After more than ten months of monitoring and reviewing experience, several modifications have been made both to the way data has been reported as well as to the load adjustment criteria. The support system has performed as expected in the design, with no signs of instability developing considering the rates of roof deformation, the rock bolt loads and the observed fracture behavior in the roof. This is particularly true of the horizon in which the rockbolt anchors are located, the most critical part of the design. The distribution of load build-up, throughout the 286 rockbolt load cells installed, in the Room 1 has been found satisfactory, and the load increases as evaluated by the PCG on a weekly basis have been within the acceptable range. The minimum life of the installed support system is estimated at 15 years based on the highest roof expansion rate experienced to date. This report provides analysis of geotechnical field data collected up to December 1992

  2. Monitoring support system for nuclear power plant

    International Nuclear Information System (INIS)

    Higashikawa, Yuichi; Kubota, Rhuji; Tanaka, Keiji; Takano, Yoshiyuki

    1996-01-01

    The nuclear power plants in Japan reach to 49 plants and supply 41.19 million kW in their installed capacities, which is equal to about 31% of total electric power generation and has occupied an important situation as a stable energy supplying source. As an aim to keeping safe operation and working rate of the power plants, various monitoring support systems using computer technology, optical information technology and robot technology each advanced rapidly in recent year have been developed to apply to the actual plants for a plant state monitoring system of operators in normal operation. Furthermore, introduction of the emergent support system supposed on accidental formation of abnormal state of the power plants is also investigated. In this paper, as a monitoring system in the recent nuclear power plants, design of control panel of recent central control room, introduction to its actual plant and monitoring support system in development were described in viewpoints of improvement of human interface, upgrade of sensor and signal processing techniques, and promotion of information service technique. And, trend of research and development of portable miniature detector and emergent monitoring support system are also introduced in a viewpoint of labor saving and upgrade of the operating field. (G.K.)

  3. Identifying the support needs of fathers affected by post-partum depression: a pilot study.

    Science.gov (United States)

    Letourneau, N; Duffett-Leger, L; Dennis, C-L; Stewart, M; Tryphonopoulos, P D

    2011-02-01

    The purpose of this pilot study was to describe the experiences, support needs, resources, and barriers to support for fathers whose partners had post-partum depression (PPD) in preparation for a larger study. Qualitative methods and community-based research approaches were used in this exploratory/descriptive multi-site study, conducted in New Brunswick and Alberta. Telephone interviews were conducted with a total of 11 fathers in New Brunswick (n= 7) and Alberta (n= 4). Fathers experienced a number of depressive symptoms including: anxiety, lack of time and energy, irritability, feeling sad or down, changes in appetite, and thoughts of harm to self or baby. The most common barriers for fathers were lack of information regarding PPD resources and difficulty seeking support. This pilot study establishes the feasibility of the larger-scale exploration of fathers' experiences in supporting their spouses affected by PPD. © 2010 Blackwell Publishing.

  4. The need for sustainability and alignment of future support for National Immunization Technical Advisory Groups (NITAGs) in low and middle-income countries.

    Science.gov (United States)

    Howard, Natasha; Bell, Sadie; Walls, Helen; Blanchard, Laurence; Brenzel, Logan; Jit, Mark; Mounier-Jack, Sandra

    2018-02-22

    National Immunisation Technical Advisory Groups (NITAGs) provide independent guidance to health ministries to support evidence-based and nationally relevant immunisation decisions. We examined NITAGs' value, sustainability, and need for support in low and middle-income countries, drawing from a mixed-methods study including 130 global and national-level key informant interviews. NITAGs were particularly valued for providing independent and nationally owned evidence-based decision-making (EBDM), but needed to be integrated within national processes to effectively balance independence and influence. Participants agreed that most NITAGs, being relatively new, would need developmental and strengthening support for at least a decade. While national governments could support NITAG functioning, external support is likely needed for requisite capacity building. This might come from Gavi mechanisms and WHO, but would require alignment among stakeholders to be effective.

  5. Strategic need for a multi-purpose thermal hydraulic loop for support of advanced reactor technologies

    Energy Technology Data Exchange (ETDEWEB)

    O' Brien, James E. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Sabharwall, Piyush [Idaho National Lab. (INL), Idaho Falls, ID (United States); Yoon, Su -Jong [Idaho National Lab. (INL), Idaho Falls, ID (United States); Housley, Gregory K. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-09-01

    This report presents a conceptual design for a new high-temperature multi fluid, multi loop test facility for the INL to support thermal hydraulic, materials, and thermal energy storage research for nuclear and nuclear-hybrid applications. In its initial configuration, the facility will include a high-temperature helium loop, a liquid salt loop, and a hot water/steam loop. The three loops will be thermally coupled through an intermediate heat exchanger (IHX) and a secondary heat exchanger (SHX). Research topics to be addressed with this facility include the characterization and performance evaluation of candidate compact heat exchangers such as printed circuit heat exchangers (PCHEs) at prototypical operating conditions, flow and heat transfer issues related to core thermal hydraulics in advanced helium-cooled and salt-cooled reactors, and evaluation of corrosion behavior of new cladding materials and accident-tolerant fuels for LWRs at prototypical conditions. Based on its relevance to advanced reactor systems, the new facility has been named the Advanced Reactor Technology Integral System Test (ARTIST) facility. Research performed in this facility will advance the state of the art and technology readiness level of high temperature intermediate heat exchangers (IHXs) for nuclear applications while establishing the INL as a center of excellence for the development and certification of this technology. The thermal energy storage capability will support research and demonstration activities related to process heat delivery for a variety of hybrid energy systems and grid stabilization strategies. Experimental results obtained from this research will assist in development of reliable predictive models for thermal hydraulic design and safety codes over the range of expected advanced reactor operating conditions. Proposed/existing IHX heat transfer and friction correlations and criteria will be assessed with information on materials compatibility and instrumentation

  6. Proposals on the establishment of the decision support systems for nuclear emergency management in China

    International Nuclear Information System (INIS)

    Qu Jingyuan; Wang Xingyu; Xue Dazhi; Shi Zhongqi; Xi Shuren; Cao Jianzhu

    2003-01-01

    As an important part of Chinese three-level nuclear emergency management system, decision support/accident consequence assessment systems have primarily been established at national, provincial and licensee levels. Valuable experience has been accumulated in the development, operation and maintenance of these systems. At the same time, more and more attention has been paid to their performance regarding to accurate judgment and forecast as well as the application of the information provided by them in a decision-making in the event of an accident. This paper briefly presents current status of the development and application of the systems in China. Then it discusses the need to establish a comprehensive network of decision support/accident consequence assessment systems based on the current systems built up at national, provincial and licensee levels. Finally, the way by which this ultimate goal can be achieved is proposed in this paper

  7. Development of support system for nuclear power plant piping

    International Nuclear Information System (INIS)

    Horino, Satoshi

    1987-01-01

    Ishikawajima-Harima Heavy Industries Co., Ltd. has advanced the development of Integrated Nuclear Plant Piping System (INUPPS) for nuclear power plants since 1980, and continued its improvement up to now. This time as its component, a piping support system (PISUP) has been developed. The piping support system deals with the structures such as piping supports and the stands for maintenance and inspection, and as for standard supporting structures, it builds up automatically the structures including the selection of optimum members by utilizing the standard patterns in cooperation with the piping design system including piping stress analysis. As for the supporting structures deviating from the standard, by amending a part of the standard patterns in dialogue from, structures can be built up. By using the data produced in this way, this system draws up consistently a design book, production management data and so on. From the viewpoint of safety, particular consideration is given to the aseismatic capability of nuclear power plants, and piping is fundamentally designed regidly to avoid resonance. It is necessary to make piping supports so as to have sufficient strength and rigidity. The features of the design of piping supports for nuclear power plant, the basic concept of piping support system, the constitution of the software and hardware, the standard patterns and the structural patterns of piping support system and so on are described. (Kako, I.)

  8. Patient perspectives on peer support for adults with type 1 diabetes: a need for diabetes-specific social capital

    Directory of Open Access Journals (Sweden)

    Joensen LE

    2016-08-01

    Full Text Available Lene E Joensen,1 Tine Filges,2 Ingrid Willaing1 1Health Promotion Research, Steno Diabetes Center, Gentofte, 2Filges Analysis, Hellerup, Denmark Aim: To explore the function of peer support from the perspective of adults with type 1 diabetes in Denmark. Methods: The study population consisted of 20 adults with type 1 diabetes. The sample was diverse in relation to educational background, age, sex, and cohabitation status. Inspired by action research, several methods and perspectives on peer support were explored and tested. Workshops and group and individual interviews were performed. Systematic text condensation was used to analyze data, supplemented with theory-based interpretive analysis. Results: Adults with type 1 diabetes found peer support highly relevant to reduce a burdensome feeling of diabetes-specific loneliness. Peer support showed potential to create diabetes-specific social capital not only by creating reciprocal social support between peers but also, more importantly, by creating space for genuine trust and a feeling of communality. There was a widespread feeling of the pervasive impact of diabetes on daily life and thus the relevance of discussing all aspects of life. However, participants perceived peer support as particularly relevant in relation to big changes in life, for example, in family life, at work, or through treatment events such as getting an insulin pump. Conclusion: Peer support programs focusing on creating and establishing diabetes-specific social capital using participatory approaches seem highly relevant among adults with type 1 diabetes. Content, methods, and effects of peer support need further exploration in collaboration with adults with type 1 diabetes. Keywords: type 1 diabetes mellitus, adult, psychosocial support systems, patient preferences, peer support, diabetes-specific social capital, diabetes-specific loneliness

  9. 7. Mentor update and support: what do mentors need from an update?

    Science.gov (United States)

    Phillips, Mari; Marshall, Joyce

    2015-04-01

    Mentorship is the 14th series of 'Midwifery basics' targeted at practising midwives. The aim of these articles is to provide information to raise awareness of the impact of the work of midwives on women's experience, and encourage midwives to seek further information through a series of activities relating to the topic. In this seventh article Mari Phillips and Joyce Marshall consider some of the key issues related to mentor update and support and consider what mentors need from their annual update.

  10. A Support Database System for Integrated System Health Management (ISHM)

    Science.gov (United States)

    Schmalzel, John; Figueroa, Jorge F.; Turowski, Mark; Morris, John

    2007-01-01

    The development, deployment, operation and maintenance of Integrated Systems Health Management (ISHM) applications require the storage and processing of tremendous amounts of low-level data. This data must be shared in a secure and cost-effective manner between developers, and processed within several heterogeneous architectures. Modern database technology allows this data to be organized efficiently, while ensuring the integrity and security of the data. The extensibility and interoperability of the current database technologies also allows for the creation of an associated support database system. A support database system provides additional capabilities by building applications on top of the database structure. These applications can then be used to support the various technologies in an ISHM architecture. This presentation and paper propose a detailed structure and application description for a support database system, called the Health Assessment Database System (HADS). The HADS provides a shared context for organizing and distributing data as well as a definition of the applications that provide the required data-driven support to ISHM. This approach provides another powerful tool for ISHM developers, while also enabling novel functionality. This functionality includes: automated firmware updating and deployment, algorithm development assistance and electronic datasheet generation. The architecture for the HADS has been developed as part of the ISHM toolset at Stennis Space Center for rocket engine testing. A detailed implementation has begun for the Methane Thruster Testbed Project (MTTP) in order to assist in developing health assessment and anomaly detection algorithms for ISHM. The structure of this implementation is shown in Figure 1. The database structure consists of three primary components: the system hierarchy model, the historical data archive and the firmware codebase. The system hierarchy model replicates the physical relationships between

  11. The Support System in Distance Education:Factors Affecting Achievements Among Women Learners

    Directory of Open Access Journals (Sweden)

    Rozhan M IDRUS

    2005-10-01

    Full Text Available The Support System in Distance Education:Factors Affecting Achievements Among Women Learners Hanafi ATAN Zuraidah A. RAHMAN Omar MAJID Noraida A. GHANIRozhan M IDRUS School of Distance EducationUniversiti Sains Malaysia11800 Penang, MALAYSIA ABSTRACT Distance education has the potential to contribute to the enhancement of women’s development by overcoming not only temporal and spatial barriers but familial commitments as well. It brings education to their home and allows women to learn at their individual pace, seek skills for individual development and at the same time, enables them to fulfill family responsibilities. An important element of distance education is the provision of the learner support system that provides students the access to learning resources and means of communication that would facilitate the array of educational activities and exposure to various other guidance and advisories. This paper reports on the study undertaken to elucidate the dimensions of the support system provided by the School of Distance Education (SDE, Universiti Sains Malaysia (USM to its women learners that would have significant impact on their achievements. The factorial analysis conducted revealed that the role of the faculty is the main contributing factor affecting these achievements, followed by the provision of the intensive course, the electronic portal, video conferencing and to a much lesser extent, the existence of the regional centres. The implications of this study are discussed with the view of improving the support system provided by the institution and the need to put into action the necessary strategies to further improve the achievement of the women learners.

  12. Advanced Technologies to Improve Closure of Life Support Systems

    Science.gov (United States)

    Barta, Daniel J.

    2016-01-01

    As NASA looks beyond the International Space Station toward long-duration, deep space missions away from Earth, the current practice of supplying consumables and spares will not be practical nor affordable. New approaches are sought for life support and habitation systems that will reduce dependency on Earth and increase mission sustainability. To reduce launch mass, further closure of Environmental Control and Life Support Systems (ECLSS) beyond the current capability of the ISS will be required. Areas of particular interest include achieving higher degrees of recycling within Atmosphere Revitalization, Water Recovery and Waste Management Systems. NASA is currently investigating advanced carbon dioxide reduction processes that surpass the level of oxygen recovery available from the Sabatier Carbon Dioxide Reduction Assembly (CRA) on the ISS. Candidate technologies will potentially improve the recovery of oxygen from about 50% (for the CRA) to as much as 100% for technologies who's end product is solid carbon. Improving the efficiency of water recycling and recovery can be achieved by the addition of advanced technologies to recover water from brines and solid wastes. Bioregenerative technologies may be utilized for water reclaimation and also for the production of food. Use of higher plants will simultaneously benefit atmosphere revitalization and water recovery through photosynthesis and transpiration. The level at which bioregenerative technologies are utilized will depend on their comparative requirements for spacecraft resources including mass, power, volume, heat rejection, crew time and reliability. Planetary protection requirements will need to be considered for missions to other solar system bodies.

  13. Parental Support for Basic Psychological Needs and Happiness: The Importance of Sense of Uniqueness

    Science.gov (United States)

    Simsek, Omer Faruk; Demir, Meliksah

    2013-01-01

    Past empirical research relying on self-determination theory (SDT) has consistently shown that parental support of basic psychological needs (BPN) is associated with adolescent happiness. Yet, the specific mechanisms accounting for this link are still undetermined. The present study aimed to address this gap in the literature by testing a…

  14. Good practice in social care: the views of people with severe and complex needs and those who support them.

    Science.gov (United States)

    Gridley, Kate; Brooks, Jenni; Glendinning, Caroline

    2014-11-01

    This paper reports findings drawn from a study of good practice in English social care for adults with disability and older people with severe and complex needs. People with severe and complex needs are a relatively small proportion of adult social care service users, but they are growing in numbers and have resource-intensive needs. The study involved qualitative research with adults with disability and older people with severe and complex needs, family carers and members of specialist organisations (n = 67), focusing on the features of social care services they considered to be good practice. Data were collected between August 2010 and June 2011. The approach to data collection was flexible, to accommodate participants' communication needs and preferences, including face-to-face and telephone interviews, Talking Mats(©) sessions and a focus group. Data were managed using Framework and analysed thematically. Features of good practice were considered at three levels: (i) everyday support; (ii) service organisation; and (iii) commissioning. Findings relating to the first two of these are presented here. Participants emphasised the importance of person-centred ways of working at all levels. Personalisation, as currently implemented in English social care, aims to shift power from professionals to service users through the allocation of personal budgets. This approach focuses very much on the role of the individual in directing his/her own support arrangements. However, participants in this study also stressed the importance of ongoing professional support, for example, from a specialist key worker or case manager to co-ordinate diverse services and ensure good practice at an organisational level. The paper argues that, despite the recent move to shift power from professionals to service users, people with the most complex needs still value support from professionals and appropriate organisational support. Without these, they risk being excluded from the benefits

  15. Do information systems meet the needs of primary care trusts?

    Directory of Open Access Journals (Sweden)

    Diane Jones

    2003-06-01

    The paper concludes that although PCG/Ts and general practices have made substantial progress, there is a long way to go before information providers generate high-quality information to support the needs of PCTs.

  16. 30 CFR 75.817 - Cable handling and support systems.

    Science.gov (United States)

    2010-07-01

    ... High-Voltage Longwalls § 75.817 Cable handling and support systems. Longwall mining equipment must be provided with cable-handling and support systems that are constructed, installed and maintained to minimize... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Cable handling and support systems. 75.817...

  17. Decision support system for Wamakersvallei Winery

    CSIR Research Space (South Africa)

    Van Der Merwe, A

    2007-09-01

    Full Text Available The goal of the study is to lend decision support to management a a wine cellar in three areas of expertise, with Wamakersvallei Winery serving as a special case study. This decision support system is to be delivered in the form of Excel spreadsheet...

  18. Radwaste Decision Support System

    International Nuclear Information System (INIS)

    Westrom, G.; Vance, J.N.; Gelhaus, F.E.

    1989-01-01

    The purpose of the Radwaste Decision Support System (RDSS) is to provide expert advice, analysis results and instructional material relative to the treatment, handling, transport and disposal of low-level radioactive waste produced in nuclear power plants. This functional specification addresses the following topics: Functions of the RDSS, Relationships and interfaces between the function, Development of the decisions and logic tree structures embodied in waste management, Elements of the database and the characteristics required to support the decision-making process, Specific User requirements for the RDSS, Development of the user interface, Basic software architecture, and Concepts for the RDSS usage including updating and maintenance

  19. MOODLE – COMPUTERIZED DISTANT LEARNING SUPPORT SYSTEM

    Directory of Open Access Journals (Sweden)

    V. A. Tunda

    2014-01-01

    for each level and help Moodle users to carry out their work in an ever-growing versions of this system. The second important feature of the group is to perform administrative work on authentication of users and transfer/expulsion from the course assignment and modification of the roles, responsibilities and opportunities of users of Moodle, backing up, and take the necessary measures to ensure the confidentiality and security, implement the necessary measures for transfer students with the course on the course, at the end of the semester or school year, maintaining the required accounting and reporting documents, and so on.This article tries to understand the enormous potential of Moodle in transposition on the duties of the officers of the ad hoc group support this system within the University as a whole. Only competent and timely response to the needs of the teachers involved in the conduct of training courses in Moodle environment can allow to achieve a high level of educational services.

  20. Geospatial decision support systems for societal decision making

    Science.gov (United States)

    Bernknopf, R.L.

    2005-01-01

    While science provides reliable information to describe and understand the earth and its natural processes, it can contribute more. There are many important societal issues in which scientific information can play a critical role. Science can add greatly to policy and management decisions to minimize loss of life and property from natural and man-made disasters, to manage water, biological, energy, and mineral resources, and in general, to enhance and protect our quality of life. However, the link between science and decision-making is often complicated and imperfect. Technical language and methods surround scientific research and the dissemination of its results. Scientific investigations often are conducted under different conditions, with different spatial boundaries, and in different timeframes than those needed to support specific policy and societal decisions. Uncertainty is not uniformly reported in scientific investigations. If society does not know that data exist, what the data mean, where to use the data, or how to include uncertainty when a decision has to be made, then science gets left out -or misused- in a decision making process. This paper is about using Geospatial Decision Support Systems (GDSS) for quantitative policy analysis. Integrated natural -social science methods and tools in a Geographic Information System that respond to decision-making needs can be used to close the gap between science and society. The GDSS has been developed so that nonscientists can pose "what if" scenarios to evaluate hypothetical outcomes of policy and management choices. In this approach decision makers can evaluate the financial and geographic distribution of potential policy options and their societal implications. Actions, based on scientific information, can be taken to mitigate hazards, protect our air and water quality, preserve the planet's biodiversity, promote balanced land use planning, and judiciously exploit natural resources. Applications using the

  1. Post-Sale Customer Support Methodology in the TQM System

    Directory of Open Access Journals (Sweden)

    Dr.Sc. Elizabeta Mitreva

    2014-06-01

    Full Text Available In this paper a survey of the activities in the post-sale period of the product is made and based on the analysis of the results, a methodology that managers could use to design and implement the system of total quality management has been created. The implementation of this methodology is carried out in a simplified way and in less time, without having to study and deepen new knowledge for internal standardization, statistical process control, cost analysis and optimization of business processes The purpose of this paper is to lay a good foundation for Macedonian companies in their post-sale period activities of the product, to understand the philosophy of TQM (Total Quality Management and benefits will be achieved by implementing the system and setting strategic directions for success. These activities begin by identifying the wishes and needs of customers/users, reengineering business processes for sales support, satisfaction of employees and all stakeholders. As a result of the implementation of this methodology in practice, improved competitiveness, increased efficiency, reduction of quality costs and increased productivity are noted. The methodology proposed in this paper brings together all the activities in the spiral of quality in a company that deals with post-sales support. Due to the necessity of flow of information about quality in the entire enterprise, an information system is designed accordingly to the QC-CEPyramid model in several steps.

  2. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study

    Science.gov (United States)

    2014-01-01

    Background General Practitioners (GPs) are well-positioned to provide grief support to patients. Most GPs view the provision of bereavement care as an important aspect of their role and the GP is the health professional that many people turn to when they need support. We aimed to explore GPs’ understandings of bereavement care and their education and professional development needs in relation to bereavement care. Methods An in-depth qualitative design was adopted using a social constructionist approach as our aims were exploratory and applied. Nineteen GPs (12 women and 7 men) living in Western Australia were interviewed; 14 were based in metropolitan Perth and 5 in rural areas. GPs were invited, via a letter, to participate in a semi-structured interview. The interviews occurred within each GP’s workplace or, for the rural GPs, via telephone, and all interviews were digitally audio-recorded and transcribed. Results Analysis was based upon constant comparison and began as soon as possible after each interview. The data revealed four tensions or opposing views concerning bereavement and bereavement care. These were (1) whether grief is a standardised versus an individual process, (2) the role of the GP in intervening versus promoting resilience, (3) the GP as a broker of services versus a service provider, and (4) the need for formal education and professional development versus ‘on-the-job’ experiential learning. Conclusions GPs have a critical role in exploring distress, including grief. However, changes need to be made to ensure GPs have up-to-date knowledge of contemporary theories and approaches. GPs urgently need education both at the undergraduate and postgraduate degree levels, and in continuing professional development. Otherwise GPs will rely on out-dated theories and constructions of grief, which may be detrimental to patient care. PMID:24670040

  3. “I just have diabetes”: children’s need for diabetes self-management support and how a social robot can accommodate their needs

    Directory of Open Access Journals (Sweden)

    Blanson Henkemans OA

    2012-07-01

    Full Text Available Olivier A Blanson Henkemans, Vera Hoondert, Femke Schrama-Groot, Rosemarijn Looije, Laurence L Alpay, Mark A NeerincxTNO, Lifestyle, Leiden, The NetherlandsPurpose: Children with type 1 diabetes need to self-manage their illness to minimize its impact on their long-term health. However, because children are still developing cognitively and emotionally, self-management is challenging. The European FP7 project, ALIZ-E, looks at how social robots can support children aged 8–12 years with their diabetes self-management. To acquire user requirements for such a robot, we studied how diabetes self-management is organized for children and how they experience their illness and its management regarding their quality of life.Methods: We conducted semistructured interviews with diabetes caregivers (n = 6 and children 8–12 with type 1 diabetes (n = 9, and surveyed their parents (n = 9.Results: Results of the interviews with caregivers show that parents play a prominent role in diabetes self-management and, accordingly, children do not experience significant problems. However, because children develop a need for autonomy during puberty, it is important that they become more proficient in their self-management at an earlier age. Results of the interviews with children show that they accept diabetes as a part of their life and want to be seen as regular children. Also, children experience difficulties in unusual situations (eg, doing sports and vacationing and at school. The illness comes at the cost of the child’s mental well-being (eg, insecurity, fear, and worry and physical well-being (eg, listlessness and tiredness. Regarding social well-being, children enjoy attending diabetes camps and having friends with diabetes, due to a common understanding of their condition. Finally, parents are not always fully aware of how children experience their illness.Conclusion: Children could benefit from social robots offering motivation, training, and (parental

  4. Clinical Information Support System (CISS)

    Data.gov (United States)

    Department of Veterans Affairs — Clinical Information Support System (CISS) is a web-based portal application that provides a framework of services for the VA enterprise and supplies an integration...

  5. Current Practice in Meeting Child Health Needs in Family Support Services: Variation by Service Type and Perspectives on Future Developments

    Science.gov (United States)

    Gabhainn, Saoirse Nic; Dolan, Pat; Canavan, John; O'Higgins, Siobhan

    2009-01-01

    The needs of all service users include those related to physical, emotional, sexual and mental health. This article documents where child health needs are recognised and being met within family support services in the west of Ireland, investigates whether there is variation across different types of family support services and presents the views…

  6. A mobile computer system to support first responders to a radiological emergency

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Antonio J.D. da, E-mail: antoniojoseds@gmail.com [Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil). Programa de Pos-Graduacao em Informatica; Santos, Joao R. dos; Pereira, Claudio M.N.A.; Carvalho, Paulo V.R., E-mail: paulov@ien.gov.br [Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

    2013-07-01

    Decision-making in emergency situations is characterized by its speed, pressure, and especially the uncertainty of information. Uninformed decisions or decisions based on unreliable data may lead to inappropriate actions. Although several studies that aim to combine different databases and provide full information to emergency response operation commanders can be found, only few of them are dedicated to radiological emergencies situations and even less are those that aim to provide support for the emergency first responder. We developed a system to support first responders to deal with radiological emergencies using cognitive task analysis techniques to elicit the tacitly knowledge of practitioners to grasp what information is really needed during radiological emergency response. (author)

  7. A mobile computer system to support first responders to a radiological emergency

    International Nuclear Information System (INIS)

    Silva, Antonio J.D. da

    2013-01-01

    Decision-making in emergency situations is characterized by its speed, pressure, and especially the uncertainty of information. Uninformed decisions or decisions based on unreliable data may lead to inappropriate actions. Although several studies that aim to combine different databases and provide full information to emergency response operation commanders can be found, only few of them are dedicated to radiological emergencies situations and even less are those that aim to provide support for the emergency first responder. We developed a system to support first responders to deal with radiological emergencies using cognitive task analysis techniques to elicit the tacitly knowledge of practitioners to grasp what information is really needed during radiological emergency response. (author)

  8. Traumatic brain injury: caregivers' problems and needs.

    Science.gov (United States)

    Hassan, S T S; Khaw, W F; Rosna, A R; Husna, J

    2011-01-01

    Traumatic brain injury (TBI) is an increasingly major world health problem. This short review using the most pertinent articles on TBI caregiving problems and needs highlights the pressing issues. Articles focusing on both TBI-caregivers' problems and needs are rarely found, especially for developing countries. Most TBI-caregiving is done by family members, whose altered lives portend burden and stresses which add to the overwhelming demand of caring for the TBI-survivor. Lack of information, financial inadequacy, anxiety, distress, coping deficits, poor adaptability, inadequate knowledge and skills, and a poor support system comprise the major problems. Dysfunctional communication between caregivers and care-receivers has been little researched. The major needs are focused on health and rehabilitation information, financial advice and assistance, emotional and social support, and positive psychological encouragement. In time, health information needs may be met, but not emotional support. Information on TBI caregiving problems and unmet needs is critical to all relevant healthcare stakeholders.

  9. Website as Co-Created Decision Support System Towards Enhanced Experience of Solo City Tourism

    Directory of Open Access Journals (Sweden)

    Utomo Sarjono Putro

    2016-12-01

    Full Text Available Abstract. The linkage among information-intensive era, technology, and tourism industry build inseparable genetic relationship which is supposed to be realized in practice. Let alone in this digital era, the urgency to exploit information to the next level resulted in the need to bring a higher game on the technology in order to manage information effectively and efficiently. Tourism industry is categorized as complex system regarding the components substituted it. The diverse elements which interact with dynamics pace give birth to complex tasks to manage by the responsible parties and consequently enhance experience in tourism industry. Competing with complex situation, computerized decision system is urgently needed to collect and also distribute accurate knowledge of tourism industry, collaborate with both supporting public and private sectors, and gain rationality for all stakeholders in the system. Solo city, known also as Surakarta and located in Central Java (Indonesia, is obliged to do its tourism industry justice as it is an important vehicle for regional development of the city. Tourism industry of Solo city represents the major and significant contributor to the local economy to the point where tourism is the brand of Solo city. Taking the prior research finding, value orchestration platform to promote tourism in batik Solo industrial cluster into the reference, this study improves the model by highlighting the duality function the tourism website supposed to have using hashtag (# minings principle as the latest user interface technology. This study proposes a collaborative website platform as a co-created decision support system to enhance tourism experience for tourist as consumer and optimize management process for Department of Culture and Tourism of Solo city as provider. Keywords: Decision support system, hashtag mining, service-dominant logic, solo city, tourism experience

  10. Operator decision support system for sodium loop

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kwang Hyeang; Park, Kyu Ho; Kim, Tak Kon; Jo, Choong Ho; Seong, Kyeong A; Lee, Keon Myeong; Kim, Yeong Dal; Kim, Chang Beom; Kim, Jong Kyu; Jo, Hee Chang; Lee, Ji Hyeong; Jeong, Yoon Soo; Chio, Jong Hyeong; Jeong, Bong Joon; Hong, Joon Seong; Kim, Bong Wan; Seong, Byeong Hak [Korea Advanced Institute Science and Technology, Taejon (Korea, Republic of)

    1994-07-01

    The objective of this study is to develop an operator decision support system by computerizing the sodium circuit. This study developed graphical display interface for the control panel which provides the safety control of equipment, the recognition of experimental process states and sodium circuit states. In this study, basic work to develop an operator decision support real-time expert system for sodium loop was carried out. Simplification of control commands and effective operation of various real-time data and signals by equipment code standardization are studied. The cost ineffectiveness of the single processor structure provides the ground for the development of cost effective parallel processing system. The important tasks of this study are (1) design and implementation of control state surveillance panel of sodium loop, (2) requirement analysis of operator support real-time expert system for sodium loop, (3) design of standard code rule for operating equipment and research on the cost effective all purpose parallel processing system and (4) requirement analysis of expert system and design of control state variables and user interface for experimental process. 10 refs., 36 figs., 20 tabs.

  11. Infrastructure to Support Hydrologic Research: Information Systems

    Science.gov (United States)

    Lall, U.; Duffy, C j

    2001-12-01

    Hydrologic Sciences are inherently interdisciplinary. Consequently, a myriad state variables are of interest to hydrologists. Hydrologic processes transcend many spatial and temporal scales, and their measurements reflect a variety of scales of support. The global water cycle is continuously modified by human activity through changes in land use, alteration of rivers, irrigation and groundwater pumping and through a modification of atmospheric composition. Since water is a solvent and a medium of transport, the water cycle fundamentally influences other material and energy cycles. This metaphor extends to the function that a hydrologic research information system needs to provide, to facilitate discovery in earth systems science, and to improve our capability to manage resources and hazards in a sustainable manner. At present, we have a variety of sources that provide data useful for hydrologic analyses, that range from massive remote sensed data sets, to sparsely sampled historical and paleo data. Consequently, the first objective of the Hydrologic Information Systems (HIS) group is to design a data services system that makes these data accessible in a uniform and useful way for specific, prioritized research goals. The design will include protocols for archiving and disseminating data from the Long Term Hydrologic Observatories (LTHOs), and comprehensive modeling experiments. Hydrology has a rich tradition of mathematical and statistical modeling of processes. However, given limited data and access to it, and a narrow focus that has not exploited connections to climatic and ecologic processes (among others), there have been only a few forays into diagnostic analyses of hydrologic fields, to identify and evaluate spatial and process teleconnections and an appropriate reduced space for modeling and understanding systems. The HIS initiative consequently proposes an investment in research and the provision of toolboxes to facilitate such analyses using the data

  12. 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)

  13. Development of a PC-based ground support system for a small satellite instrument

    Science.gov (United States)

    Deschambault, Robert L.; Gregory, Philip R.; Spenler, Stephen; Whalen, Brian A.

    1993-11-01

    The importance of effective ground support for the remote control and data retrieval of a satellite instrument cannot be understated. Problems with ground support may include the need to base personnel at a ground tracking station for extended periods, and the delay between the instrument observation and the processing of the data by the science team. Flexible solutions to such problems in the case of small satellite systems are provided by using low-cost, powerful personal computers and off-the-shelf software for data acquisition and processing, and by using Internet as a communication pathway to enable scientists to view and manipulate satellite data in real time at any ground location. The personal computer based ground support system is illustrated for the case of the cold plasma analyzer flown on the Freja satellite. Commercial software was used as building blocks for writing the ground support equipment software. Several levels of hardware support, including unit tests and development, functional tests, and integration were provided by portable and desktop personal computers. Satellite stations in Saskatchewan and Sweden were linked to the science team via phone lines and Internet, which provided remote control through a central point. These successful strategies will be used on future small satellite space programs.

  14. Quality education as quality system support

    International Nuclear Information System (INIS)

    Crnoshia, L.; Gavriloska, M.; Denkovska, J.; Dimitrovski, A.

    1999-01-01

    Within the last ten years we are witnesses of the political and economical system transformation, that imposed the need for changing the way of thinking and work planning. The quality has become the imperative of working and a precondition for survival in the market. Solving the quality problems seeks planned and systematic approach that supposed appropriate personnel with adequate knowledge in the field of quality management and implementation of the quality system. Having in mind the need for documented quality system and quality management OKTA, has already started with personnel educational process for quality as a precondition for successful establishment of quality system. In this paper we present quality education approach and manner of its realization in OKTA Crude Oil Refinery - Skopje, Macedonia. (Original)

  15. Development Approach of the Advanced Life Support On-line Project Information System

    Science.gov (United States)

    Levri, Julie A.; Hogan, John A.; Morrow, Rich; Ho, Michael C.; Kaehms, Bob; Cavazzoni, Jim; Brodbeck, Christina A.; Whitaker, Dawn R.

    2005-01-01

    The Advanced Life Support (ALS) Program has recently accelerated an effort to develop an On-line Project Information System (OPIS) for research project and technology development data centralization and sharing. There has been significant advancement in the On-line Project Information System (OPIS) over the past year (Hogan et al, 2004). This paper presents the resultant OPIS development approach. OPIS is being built as an application framework consisting of an uderlying Linux/Apache/MySQL/PHP (LAMP) stack, and supporting class libraries that provides database abstraction and automatic code generation, simplifying the ongoing development and maintenance process. Such a development approach allows for quick adaptation to serve multiple Programs, although initial deployment is for an ALS module. OPIS core functionality will involve a Web-based annual solicitation of project and technology data directly from ALS Principal Investigators (PIs) through customized data collection forms. Data provided by PIs will be reviewed by a Technical Task Monitor (TTM) before posting the information to OPIS for ALS Community viewing via the Web. Such Annual Reports will be permanent, citable references within OPIS. OPlS core functionality will also include Project Home Sites, which will allow PIS to provide updated technology information to the Community in between Annual Report updates. All data will be stored in an object-oriented relational database, created in MySQL(Reistered Trademark) and located on a secure server at NASA Ames Research Center (ARC). Upon launch, OPlS can be utilized by Managers to identify research and technology development (R&TD) gaps and to assess task performance. Analysts can employ OPlS to obtain the current, comprehensive, accurate information about advanced technologies that is required to perform trade studies of various life support system options. ALS researchers and technology developers can use OPlS to achieve an improved understanding of the NASA

  16. Support needs of people living with Mycobacterium ulcerans (Buruli ulcer) disease in a Ghana rural community: a grounded theory study.

    Science.gov (United States)

    Effah, Alex; Ersser, Steven J; Hemingway, Ann

    2017-12-01

    Mycobacterium ulcerans (also known as Buruli ulcer) disease is a rare skin disease which is prevalent in rural communities in the tropics mostly in Africa. Mortality rate is low, yet morbidity and consequent disabilities affect the quality of life of sufferers. The aim of this paper is to use the grounded theory method to explore the support needs of people living with the consequences of Buruli ulcer in an endemic rural community in Ghana. We used the grounded theory research approach to explore the experiences of people living with Mycobacterium ulcerans in a rural district in Ghana and provide a basis to understand the support needs of this group. The key support needs identified were: functional limitations, fear and frequency of disease recurrence, contracture of limbs and legs, loss of sensation and numbness in the affected body area, lack of information from health professionals about self-care, feeling tired all the time, insomnia, lack of good diet, lack of access to prostheses, having to walk long distances to access health services, and loss of educational opportunities. The study discusses how the systematically derived qualitative data has helped to provide a unique insight and advance our understanding of the support needs of people living with BU and how they live and attempt to adapt their lives with disability. We discuss how the availability of appropriate interventions and equipment could help them self-manage their condition and improve access to skin care services. The support needs of this vulnerable group were identified from a detailed analysis of how those living with BU coped with their lives. A key issue is the lack of education to assist self-management and prevent deterioration. Further research into the evaluation of interventions to address these support needs is necessary including self-management strategies. © 2017 The International Society of Dermatology.

  17. Leadership for social justice? : exploring training and support needs of Indian school principals

    OpenAIRE

    Ranjan, Pukhraj

    2017-01-01

    School Leadership is a fairly unexplored area within the education discourse, especially in developing countries like India. The purpose of this research study is to identify the training and support needs of Indian school principals, working with students from marginalized, under-resourced communities. This purpose is met by attaining a holistic understanding of a school leader’s perceptions about his/her role and responsibilities, challenges, underlying mindsets and opportunities. For t...

  18. 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

  19. Achieving Closure for Bioregenerative Life Support Systems: Engineering and Ecological Challenges, Research Opportunities

    Science.gov (United States)

    Dempster, William; Allen, John P.

    Closed systems are desirable for a number of purposes: space life support systems where precious life-supporting resources need to be kept inside; biospheric systems; where global ecological pro-cesses can be studied in great detail and testbeds where research topics requiring isolation from the outside (e.g. genetically modified organisms; radioisotopes) can be studied in isolation from the outside environment and where their ecological interactions and fluxes can be studied. But to achieve and maintain closure raises both engineering and ecological challenges. Engineering challenges include methods of achieving closure for structures of different materials, and devel-oping methods of allowing energy (for heating and cooling) and information transfer through the materially closed structure. Methods of calculating degree of closure include measuring degradation rates of inert trace gases introduced into the system. An allied problem is devel-oping means of locating where leaks are located so that they may be repaired and degree of closure maintained. Once closure is achieved, methods of dealing with the pressure differen-tials between inside and outside are needed: from inflatable structures which might adjust to the pressure difference to variable volume chambers attached to the life systems component. These issues are illustrated through the engineering employed at Biosphere 2, the Biosphere 2 Test Module and the Laboratory Biosphere and a discussion of methods used by other closed ecological system facility engineers. Ecological challenges include being able to handle faster cycling rates and accentuated daily and seasonal fluxes of critical life elements such as carbon dioxide, oxygen, water, macro-and mico-nutrients. The problems of achieving sustainability in closed systems for life support include how to handle atmospheric dynamics including trace gases, producing a complete human diet and recycling nutrients and maintaining soil fertility, healthy air and

  20. Automatic seismic support design of piping system by an object oriented expert system

    International Nuclear Information System (INIS)

    Nakatogawa, T.; Takayama, Y.; Hayashi, Y.; Fukuda, T.; Yamamoto, Y.; Haruna, T.

    1990-01-01

    The seismic support design of piping systems of nuclear power plants requires many experienced engineers and plenty of man-hours, because the seismic design conditions are very severe, the bulk volume of the piping systems is hyge and the design procedures are very complicated. Therefore we have developed a piping seismic design expert system, which utilizes the piping design data base of a 3 dimensional CAD system and automatically determines the piping support locations and support styles. The data base of this system contains the maximum allowable seismic support span lengths for straight piping and the span length reduction factors for bends, branches, concentrated masses in the piping, and so forth. The system automatically produces the support design according to the design knowledge extracted and collected from expert design engineers, and using design information such as piping specifications which give diameters and thickness and piping geometric configurations. The automatic seismic support design provided by this expert system achieves in the reduction of design man-hours, improvement of design quality, verification of design result, optimization of support locations and prevention of input duplication. In the development of this system, we had to derive the design logic from expert design engineers and this could not be simply expressed descriptively. Also we had to make programs for different kinds of design knowledge. For these reasons we adopted the object oriented programming paradigm (Smalltalk-80) which is suitable for combining programs and carrying out the design work

  1. Needs of caregivers of cancer patients: validation of the Mexican version of the Support Person Unmet Needs Survey (SPUNS-SFM).

    Science.gov (United States)

    Doubova, Svetlana V; Aguirre-Hernandez, Rebeca; Infante-Castañeda, Claudia; Martinez-Vega, Ingrid; Pérez-Cuevas, Ricardo

    2015-10-01

    The purpose of this study was to validate the Mexican version of the Support Person Unmet Needs Survey (SPUNS-SFM). A cross-sectional survey that included 826 primary caregivers of cancer patients was conducted from June to December 2013 at the Oncology Hospital of the Mexican Institute of Social Security in Mexico City. The validation procedure comprised (1) content validity through a group of experts; (2) construct validity through an exploratory factor analysis based on the polychoric correlation matrix; (3) internal consistency using Cronbach's alpha; (4) convergent validity between SPUNS-SFM and quality of life, anxiety-and-depression scales by calculating Spearman's rank correlation coefficient;( 5) discriminative validity through the Wilcoxon rank-sum test; and (6) test-retest reliability using intraclass correlation coefficient. SPUNS-SFM has 23 items with six factors accounting for 65 % of the total variance. The domains were concerns about the future, access and continuity of healthcare, information, work and finance, and personal and emotional needs. Cronbach's alpha values ranged from 0.70 to 0.88 among factors. SPUNS-SFM had moderate convergent validity compared with quality of life and depression-and-anxiety scales and good discriminative validity, revealing high needs for younger caregivers and more emotional needs for caregivers of patients with advanced cancer stages. Intraclass correlation coefficient between SPUNS-SFM measurements was 0.78. SPUNS-SFM is a valid and reliable tool to identify needs of caregivers of cancer patients.

  2. Prototype Development of an ICT System to Support Construction Management Based on Virtual Models and RFID

    DEFF Research Database (Denmark)

    Sørensen, Kristian Birch; Christiansson, Per; Svidt, Kjeld

    2009-01-01

    early example) of an ICT system was carried out to identify and formalise user needs in relation to construction management based on virtual models and radio frequency identification (RFID). The prototype was developed to support working processes in real-time project progress management, quality...

  3. Compactly Supported Curvelet-Type Systems

    DEFF Research Database (Denmark)

    Rasmussen, Kenneth Niemann; Nielsen, Morten

    2012-01-01

    We study a flexible method for constructing curvelet-type frames. These curvelet-type systems have the same sparse representation properties as curvelets for appropriate classes of smooth functions, and the flexibility of the method allows us to give a constructive description of how to construct...... curvelet-type systems with a prescribed nature such as compact support in direct space. The method consists of using the machinery of almost diagonal matrices to show that a system of curvelet molecules which is sufficiently close to curvelets constitutes a frame for curvelet-type spaces. Such a system...

  4. Development of refueling support system

    International Nuclear Information System (INIS)

    Nishimura, Hiroshi; Hayashi, Shoichi; Sano, Kazuya; Hochin, Koji; Iguchi, Yukihiro

    1992-01-01

    The refueling of Fugen Nuclear Power Station requires correct management of fuels, etc. And empirical knowledge is necessary for efficient planning and refueling. Fugen developed refueling support system and put it into practical operation. The system features a network of refueling equipment and AI rules aquired from operators knowledge. The system helps make an optimized plan, displays step-by-step guidance and prints out lists of fuel locations and movements. The system reduced the labor of the operators, optimized the management and improved the reliability of the refueling. (author)

  5. From user needs to system specifications: multi-disciplinary thematic seminars as a collaborative design method for development of health information systems.

    Science.gov (United States)

    Scandurra, I; Hägglund, M; Koch, S

    2008-08-01

    This paper presents a new multi-disciplinary method for user needs analysis and requirements specification in the context of health information systems based on established theories from the fields of participatory design and computer supported cooperative work (CSCW). Whereas conventional methods imply a separate, sequential needs analysis for each profession, the "multi-disciplinary thematic seminar" (MdTS) method uses a collaborative design process. Application of the method in elderly homecare resulted in prototypes that were well adapted to the intended user groups. Vital information in the points of intersection between different care professions was elicited and a holistic view of the entire care process was obtained. Health informatics-usability specialists and clinical domain experts are necessary to apply the method. Although user needs acquisition can be time-consuming, MdTS was perceived to efficiently identify in-context user needs, and transformed these directly into requirements specifications. Consequently the method was perceived to expedite the entire ICT implementation process.

  6. Use of the decision support system RECASS NT (Radio Ecological Analysis Support System) for anti terrorism actions

    International Nuclear Information System (INIS)

    Bulgakov, V.G.; Gariyants, A.M.; Kosykh, V.S.; Shershakov, V.M.

    2006-01-01

    Decision support system RECASS NT (Radio Ecological Analysis Support System) was developed and is still enhancing in Federal Service Roshydromet for providing on-line estimates and prognoses of radiation and chemical situation in the event of an emergency, including acts of terrorism, as well as to estimate transboundary pollutants transport. RECASS NT has been installed at all ten NPPs of the Russian Federation, in Crisis Centers of Roshydromet, concern Rosenergoatom and Minatom, at plants for destroying chemical weapons. The paper describes the structure of RECASS NT system and discuss its possible application in case of an emergency on examples of using the system during radiation emergency response exercises at NPPs. RECASS NT can be used for developing recommendations regarding time when anti terrorism operations are better to be started with a view to minimize damage

  7. Modular robotic system for forensic investigation support

    Science.gov (United States)

    Kowalski, Grzegorz; Główka, Jakub; Maciaś, Mateusz; Puchalski, Sławomir

    2017-10-01

    Forensic investigation on the crime scene is an activity that requires not only knowledge about the ways of searching for evidence, collecting and processing them. In some cases the area of operation might not be properly secured and poses threat to human health or life. Some devices or materials may be left intentionally or not to injure potential investigators. Besides conventional explosives, threats can be in form of CBRN materials, which have not only immediate effect on the exposed personnel, but can contaminate further people, when being transferred for example on clothes or unsecured equipment. In this case a risk evaluation should be performed, that can lead to conclusions that it is too dangerous for investigators to work. In that kind of situation remote devices, which are able to examine the crime scene and secure samples, can be used. In the course of R&D activities PIAP developed a system, which is based on small UGV capable of carrying out inspection of suspicious places and securing evidence, when needed. The system consists of remotely controlled mobile robot, its control console and a set of various inspection and support tools, that enable detection of CBRN threats as well as revelation, documentation and securing of the evidence. This paper will present main features of the system, like mission adjustment possibilities and communication aspects, and also examples of the forensic accessories.

  8. Integration of a satellite ground support system based on analysis of the satellite ground support domain

    Science.gov (United States)

    Pendley, R. D.; Scheidker, E. J.; Levitt, D. S.; Myers, C. R.; Werking, R. D.

    1994-11-01

    This analysis defines a complete set of ground support functions based on those practiced in real space flight operations during the on-orbit phase of a mission. These functions are mapped against ground support functions currently in use by NASA and DOD. Software components to provide these functions can be hosted on RISC-based work stations and integrated to provide a modular, integrated ground support system. Such modular systems can be configured to provide as much ground support functionality as desired. This approach to ground systems has been widely proposed and prototyped both by government institutions and commercial vendors. The combined set of ground support functions we describe can be used as a standard to evaluate candidate ground systems. This approach has also been used to develop a prototype of a modular, loosely-integrated ground support system, which is discussed briefly. A crucial benefit to a potential user is that all the components are flight-qualified, thus giving high confidence in their accuracy and reliability.

  9. Crime Victims Support System and Restorative Justice: Possible Implementation in Malaysia

    Directory of Open Access Journals (Sweden)

    Azlinda Azman, PhD

    2013-06-01

    Full Text Available Victims’ position is increasingly acknowledged in the criminal justice system across the world. Because of that, criminal justice systems in various countries slowly transform from focusing too much on the relationship between offenders and the legal system and to between the offenders and their victims. Several programs are highlighted such as victim-offender mediation, family group conferences, reparative orders and referral orders in this article. Findings from several studies support the effectiveness of the programs on both the victims and the offenders in terms of several measurements such as satisfaction and recidivism. Looking at this revolution, Malaysian academicians and professionals are beginning to recognize restorative justice as a possible revolution to its criminal justice system, but Malaysian criminal justice system first needs to strengthen or build components that support victims of crime, as this is one of the main principles of restorative justice. Currently, Malaysia still focuses on offenders and their relationship with legal system, but not much with their own victims (physical, emotional, and psychological consequences of the crime. Several possible issues before formal implementation of restorative justice are discussed. The issues (culture, training, and attitude of Malaysian people, including the victims, offenders, and those who work with them can influence the efficiency of restorative justice programs if not identified systematically. These issues can also be the possible research areas to be ventured in the future as these researches can help in implementation.

  10. Longitudinal Relations between Perceived Autonomy Support and Basic Need Satisfaction in Two Student Cohorts

    Science.gov (United States)

    Diseth, Åge; Breidablik, Hans Johan; Meland, Eivind

    2018-01-01

    The relation between autonomy support and basic need satisfaction was investigated by applying a longitudinal design at a time interval of two years, and by comparing two different grade level cohorts of students. Participants comprised 1.225 Norwegian students divided by two subsamples (6th and 8th grade level/8th and 10th grade level). The…

  11. Computer-based Monitoring for Decision Support Systems and Disaster Preparedness in Buildings

    Directory of Open Access Journals (Sweden)

    Alan Vinh

    2009-04-01

    Full Text Available The operation of modern buildings can support a vast amount of static and real-time data. Static information such as building schematics is vital for security and rescue purposes. There is a need for building managers and for first responders to be notified of designated building alerts in real-time so that actions can be performed promptly. The capability to monitor building devices and to keep the first responder community updated with the latest building information during emergency situations, as well as the ability to remotely control certain building devices and processes, can be realized today. This paper describes the various challenges encountered in the research area of building interoperability and proposes methods and insights for developing a standards framework to enable communication between building information systems and first responder information systems. Having a standards framework in place will assist in the development and deployment of commercial products in support of building interoperability.

  12. Software Tools to Support the Assessment of System Health

    Science.gov (United States)

    Melcher, Kevin J.

    2013-01-01

    sensors that optimally meet the performance goals and the constraints. It identifies optimal sensor suite solutions by utilizing a merit (i.e., cost) function with one of several available optimization approaches. As part of its analysis, S4 can expose fault conditions that are difficult to diagnose due to an incomplete diagnostic philosophy and/or a lack of sensors. S4 was originally developed and applied to liquid rocket engines. It was subsequently used to study the optimized selection of sensors for a simulation ]based aircraft engine diagnostic system. The ETA Tool is a software ]based analysis tool that augments the testability analysis and reporting capabilities of a commercial ]off ]the ]shelf (COTS) package. An initial diagnostic assessment is performed by the COTS software using a user ]developed, qualitative, directed ]graph model of the system being analyzed. The ETA Tool accesses system design information captured within the model and the associated testability analysis output to create a series of six reports for various system engineering needs. These reports are highlighted in the presentation. The ETA Tool was developed by NASA to support the verification of fault management requirements early in the Launch Vehicle process. Due to their early development during the design process, the TEAMS ]based diagnostic model and the ETA Tool were able to positively influence the system design by highlighting gaps in failure detection, fault isolation, and failure recovery.

  13. AI User Support System for SAP ERP

    Science.gov (United States)

    Vlasov, Vladimir; Chebotareva, Victoria; Rakhimov, Marat; Kruglikov, Sergey

    2017-10-01

    An intelligent system for SAP ERP user support is proposed in this paper. It enables automatic replies on users’ requests for support, saving time for problem analysis and resolution and improving responsiveness for end users. The system is based on an ensemble of machine learning algorithms of multiclass text classification, providing efficient question understanding, and a special framework for evidence retrieval, providing the best answer derivation.

  14. Effectively marketing prepaid medical care with decision support systems.

    Science.gov (United States)

    Forgionne, G A

    1991-01-01

    The paper reports a decision support system (DSS) that enables health plan administrators to quickly and easily: (1) manage relevant medical care market (consumer preference and competitors' program) information and (2) convert the information into appropriate medical care delivery and/or payment policies. As the paper demonstrates, the DSS enables providers to design cost efficient and market effective medical care programs. The DSS provides knowledge about subscriber preferences, customer desires, and the program offerings of the competition. It then helps administrators structure a medical care plan in a way that best meets consumer needs in view of the competition. This market effective plan has the potential to generate substantial amounts of additional revenue for the program. Since the system's data base consists mainly of the provider's records, routine transactions, and other readily available documents, the DSS can be implemented at a nominal incremental cost. The paper also evaluates the impact of the information system on the general financial performance of existing dental and mental health plans. In addition, the paper examines how the system can help contain the cost of providing medical care while providing better services to more potential beneficiaries than current approaches.

  15. Infrastructure Support for Collaborative Pervasive Computing Systems

    DEFF Research Database (Denmark)

    Vestergaard Mogensen, Martin

    Collaborative Pervasive Computing Systems (CPCS) are currently being deployed to support areas such as clinical work, emergency situations, education, ad-hoc meetings, and other areas involving information sharing and collaboration.These systems allow the users to work together synchronously......, but from different places, by sharing information and coordinating activities. Several researchers have shown the value of such distributed collaborative systems. However, building these systems is by no means a trivial task and introduces a lot of yet unanswered questions. The aforementioned areas......, are all characterized by unstable, volatile environments, either due to the underlying components changing or the nomadic work habits of users. A major challenge, for the creators of collaborative pervasive computing systems, is the construction of infrastructures supporting the system. The complexity...

  16. Teachers' Challenges, Strategies, and Support Needs in Schools Affected by Community Violence: A Qualitative Study

    Science.gov (United States)

    Maring, Elisabeth F.; Koblinsky, Sally A.

    2013-01-01

    Background: Exposure to community violence compromises teacher effectiveness, student learning, and socioemotional well-being. This study examined the challenges, strategies, and support needs of teachers in urban schools affected by high levels of community violence. Methods: Twenty teachers from 3 urban middle schools with predominantly…

  17. Operating-System Support for Distributed Multimedia

    NARCIS (Netherlands)

    Mullender, Sape J.; Leslie, Ian M.; McAuley, Derek

    1994-01-01

    Multimedia applications place new demands upon processors, networks and operating systems. While some network designers, through ATM for example, have considered revolutionary approaches to supporting multimedia, the same cannot be said for operating systems designers. Most work is evolutionary in

  18. Marketing analysis support system; Marketing bunseki shien system

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-01-10

    Fuji Electric Co., Ltd., in collaboration with Shitashion Japan and Arthur Andersen Ltd., developed a 'marketing analysis support system' which integrally analyzes evaluation factors of various dimensions explaining consumers' purchasing behaviors and which supports business for the efficient operation of product development and demand prediction. This system breaks down products into each evaluation factor from psychological and physical viewpoints, and carries out various kinds of multivariate analysis, thereby making it easy to understand visually, for example, what evaluation factors decide relative positional relations between evaluation factors or between products as well as the position of a product in the whole. Further, more precise marketing analysis and prediction become possible by visually grasping blank areas of products, extent of competition, distribution of products, composition of product series, etc. (translated by NEDO)

  19. PLM system support for modular product development

    DEFF Research Database (Denmark)

    Bruun, Hans Peter Lomholt; Mortensen, Niels Henrik; Harlou, Ulf

    2015-01-01

    A modular design strategy both enables, but also demands, parallelism in design activities and collaboration between a diversity of disciplines in companies, which often involves supporting computer-based tools for enhancing interaction, design management, and communication. Product data management...... (PDM) and product lifecycle management (PLM) systems offer support by automating and managing some of the operational complexity of modular design activities. PLM system tools are used for handling a variety of product definitions, to manage workflow of development activities, and to measure relational...... properties such as cost and performance. Companies often use a PLM tool for management of CAD files, documents, and drawings, but they do not take advantage of the full potential of the PLM system to support the development activities of modular product designs. The key result of this paper...

  20. Decision Support System for Determining Scholarship Selection using an Analytical Hierarchy Process

    Science.gov (United States)

    Puspitasari, T. D.; Sari, E. O.; Destarianto, P.; Riskiawan, H. Y.

    2018-01-01

    Decision Support System is a computer program application that analyzes data and presents it so that users can make decision more easily. Determining Scholarship Selection study case in Senior High School in east Java wasn’t easy. It needed application to solve the problem, to improve the accuracy of targets for prospective beneficiaries of poor students and to speed up the screening process. This research will build system uses the method of Analytical Hierarchy Process (AHP) is a method that solves a complex and unstructured problem into its group, organizes the groups into a hierarchical order, inputs numerical values instead of human perception in comparing relative and ultimately with a synthesis determined elements that have the highest priority. The accuracy system for this research is 90%.

  1. The application of VR-GIS to decommissioning decision support system (DDSS) of nuclear reactor

    International Nuclear Information System (INIS)

    Zhu Bo

    2005-01-01

    Advanced management technique and Decision Support System (DSS) are needed to solve the problems of the nuclear reactor decommissioning decision-making. In this study, a kind of new DSS technique for nuclear reactor decommissioning is introduced. It is based on the Virtual Reality (VR) and Geography Information System (GIS), which combine with the scientific management method, operational research, cybernetics and behavior science. The proposed DDSS (Decommissioning Decision Support System) can provide decision-maker the real time 3-D virtual Environment, GIS information and background material of the decommissioning reactor, help to ascertain the decision-making target, modify the decision module and optimize the dismantling plan. The data from three modules (VR Environment Module, VR-DOSE Management Module and Route Layout GIS Module) are used to continuously