Translating an early childhood obesity prevention program for local community implementation: a case study of the Melbourne InFANT Program

Directory of Open Access Journals (Sweden)

R. Laws

2016-08-01

Full Text Available Abstract Background While there is a growing interest in the field of research translation, there are few published examples of public health interventions that have been effectively scaled up and implemented in the community. This paper provides a case study of the community-wide implementation of the Melbourne Infant, Feeding, Activity and Nutrition Trial (InFANT, an obesity prevention program for parents with infants aged 3–18 months. The study explored key factors influencing the translation of the Program into routine practice and the respective role of policy makers, researchers and implementers. Methods Case studies were conducted of five of the eight prevention areas in Victoria, Australia who implemented the Program. Cases were selected on the basis of having implemented the Program for 6 months or more. Data were collected from January to June 2015 and included 18 individual interviews, one focus group and observation of two meetings. A total of 28 individuals, including research staff (n = 4, policy makers (n = 2 and implementers (n = 22, contributed to the data collected. Thematic analysis was conducted using cross case comparisons and key themes were verified through member checking. Results Key facilitators of implementation included availability of a pre-packaged evidence based program addressing a community need, along with support and training provided by research staff to local implementers. Partnerships between researchers and policy makers facilitated initial program adoption, while local partnerships supported community implementation. Community partnerships were facilitated by local coordinators through alignment of program goals with existing policies and services. Workforce capacity for program delivery and administration was a challenge, largely overcome by embedding the Program into existing roles. Adapting the Program to fit local circumstance was critical for feasible and sustainable delivery, however

Building local human resources to implement SLMTA with limited donor funding: The Ghana experience.

Science.gov (United States)

Nkrumah, Bernard; van der Puije, Beatrice; Bekoe, Veronica; Adukpo, Rowland; Kotey, Nii A; Yao, Katy; Fonjungo, Peter N; Luman, Elizabeth T; Duh, Samuel; Njukeng, Patrick A; Addo, Nii A; Khan, Fazle N; Woodfill, Celia J I

2014-11-03

In 2009, Ghana adopted the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme in order to improve laboratory quality. The programme was implemented successfully with limited donor funding and local human resources. To demonstrate how Ghana, which received very limited PEPFAR funding, was able to achieve marked quality improvement using local human resources. Local partners led the SLMTA implementation and local mentors were embedded in each laboratory. An in-country training-of-trainers workshop was conducted in order to increase the pool of local SLMTA implementers. Three laboratory cohorts were enrolled in SLMTA in 2011, 2012 and 2013. Participants from each cohort attended in a series of three workshops interspersed with improvement projects and mentorship. Supplemental training on internal audit was provided. Baseline, exit and follow-up audits were conducted using the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) checklist. In November 2013, four laboratories underwent official SLIPTA audits by the African Society for Laboratory Medicine (ASLM). The local SLMTA team successfully implemented three cohorts of SLMTA in 15 laboratories. Seven out of the nine laboratories that underwent follow-up audits have reached at least one star. Three out of the four laboratories that underwent official ASLM audits were awarded four stars. Patient satisfaction increased from 25% to 70% and sample rejection rates decreased from 32% to 10%. On average, $40 000 was spent per laboratory to cover mentors' salaries, SLMTA training and improvement project support. Building in-country capacity through local partners is a sustainable model for improving service quality in resource-constrained countries such as Ghana. Such models promote country ownership, capacity building and the use of local human resources for the expansion of SLMTA.

Implementation of local climate action plans

DEFF Research Database (Denmark)

Damsø, Tue Noa Jacques; Kjær, Tyge; Christensen, Thomas Budde

2017-01-01

The purpose of this article is to improve understanding of local climate action plans and their implementation and evaluation. It explores how goal definition and the choice of assessment metrics frame goal attainment and influence implementation behaviour. Using the Danish capital of Copenhagen...... a high overall implementation performance, both in terms of changes in energy supply and emission reductions, these metrics are only partially linked. It also shows that inconsistencies between the system scope of the base year emissions and goal attainment, due to the use of offsetting, may lead...

Ingredients for Success: Strategies to Support Local Food Use in Health Care Institutions.

Science.gov (United States)

Linton, Emily; Keller, Heather; Duizer, Lisa

2018-06-12

There is growing interest in use of local food within health care institutions such as hospitals and long-term care homes. This study explored stakeholder perspectives on (i) influences on local food use and (ii) strategies that support success and sustainability of use in health care institutions. Fifteen participants who were institutional leaders with experience in implementing or supporting local food use in health care institutions in Ontario were recruited through purposeful and snowball sampling. A semi-structured interview was conducted by telephone and audio-recorded. Qualitative content analysis identified that influences on local food use were: product availability, staff and management engagement, and legislation and resources (e.g., funding, labour). Several strategies were offered for building and sustaining success including: setting goals, requesting local food availability from suppliers, and more clearly identifying local foods in product lists. The influences and potential strategies highlighted in this paper provide a greater understanding for dietitians and food service managers on how local foods can be incorporated into health care institutions.

Building local human resources to implement SLMTA with limited donor funding: The Ghana experience

Directory of Open Access Journals (Sweden)

Bernard Nkrumah

2014-11-01

Full Text Available Background: In 2009, Ghana adopted the Strengthening Laboratory Management Toward Accreditation (SLMTA programme in order to improve laboratory quality. The programme was implemented successfully with limited donor funding and local human resources. Objectives: To demonstrate how Ghana, which received very limited PEPFAR funding, was able to achieve marked quality improvement using local human resources. Method: Local partners led the SLMTA implementation and local mentors were embedded in each laboratory. An in-country training-of-trainers workshop was conducted in order to increase the pool of local SLMTA implementers. Three laboratory cohorts were enrolled in SLMTA in 2011, 2012 and 2013. Participants from each cohort attended in a series of three workshops interspersed with improvement projects and mentorship. Supplemental trainingon internal audit was provided. Baseline, exit and follow-up audits were conducted using the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA checklist. In November 2013, four laboratories underwent official SLIPTA audits by the African Society for Laboratory Medicine (ASLM. Results: The local SLMTA team successfully implemented three cohorts of SLMTA in 15 laboratories. Seven out of the nine laboratories that underwent follow-up audits have reached at least one star. Three out of the four laboratories that underwent official ASLM audits were awarded four stars. Patient satisfaction increased from 25% to 70% and sample rejection rates decreased from 32% to 10%. On average, $40 000 was spent per laboratory to cover mentors’salaries, SLMTA training and improvement project support. Conclusion: Building in-country capacity through local partners is a sustainable model for improving service quality in resource-constrained countries such as Ghana. Such modelspromote country ownership, capacity building and the use of local human resources for the expansion of SLMTA.

The local implementation of clean(er) fuels policies in Europe. A Handbook with guidelines. Final version

International Nuclear Information System (INIS)

Mulder, F.; Amara, Sliman Abu; Uustal, M.; Pelkmans, L.; Devriendt, N.; Rogulska, M.; Defranceschi, P.

2009-05-01

handbook are: to disseminate information, insights and knowledge on good practice examples of local implementation of clean(er) fuel and vehicles policies; to identify and present the vital market elements for local implementation and the process to achieve them; to support local governments in Europe by identifying the key success factors for the local implementation of a clean(er) fuels and vehicles policy.

Implementing complex innovations: factors influencing middle manager support.

Science.gov (United States)

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

2011-01-01

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

Implementing ITI for urban development locally

Directory of Open Access Journals (Sweden)

Garyfallia Katsavounidou

2017-12-01

Full Text Available In the current Programming Period (2014-2020 the European Commission has introduced a new strategic instrument, the Integrated Territorial Investment (ITI, which shifts the decisions on allocation of funds to the local level and, most importantly, enables drawing of funds from several priority axes and from several European Structural and Investment Funds. Greece is one of EU member countries that has committed on using ITIs as a tool for urban development. In August 2016, in the Region of Central Macedonia, urban authorities with a population of over 10.000 inhabitants were invited by the Managing Authority of the Regional Operational Programme to submit a Strategy for Sustainable Urban Development (SUD, through the mandatory implementation of the ITI tool. The paper focuses on one of these municipalities, the city of Veria, where the ITI approach has been implemented for the design of an ITI of urban scale (ITI-SUD. The integrated approach prescribed by regional authorities forced Municipalities to adopt government approaches uncommon until now: to involve multiple stakeholders in the entire process, from strategy development to project selection and implementation. The paper describes the benefits and challenges of the new approach as applied in the local context, showing the vertical and horizontal connections of urban development strategies. Most importantly, in the context of ‘procedural learning’ happening in Europe in the field of territorial cohesion, it offers an insight on how European cohesion policy strategies and tools are tested at the local level.

Development and implementation of a local government survey to measure community supports for healthy eating and active living

Directory of Open Access Journals (Sweden)

Latetia V Moore

2017-06-01

Full Text Available The ability to make healthy choices is influenced by where one lives, works, shops, and plays. Locally enacted policies and standards can influence these surroundings but little is known about the prevalence of such policies and standards that support healthier behaviors. In this paper, we describe the development of a survey questionnaire designed to capture local level policy supports for healthy eating and active living and findings and lessons learned from a 2012 pilot in two states, Minnesota and California, including respondent burden, survey sampling and administration methods, and survey item feasibility issues. A 38-item, web-based, self-administered survey and sampling frame were developed to assess the prevalence of 22 types of healthy eating and active living policies in a representative sample of local governments in the two states. The majority of respondents indicated the survey required minimal effort to complete with half taking <20 min to complete the survey. A non-response follow-up plan including emails and phone calls was required to achieve a 68% response rate (versus a 37% response rate for email only reminders. Local governments with larger residential populations reported having healthy eating and active living policies and standards more often than smaller governments. Policies that support active living were more common than those that support healthy eating and varied within the two states. The methods we developed are a feasible data collection tool for estimating the prevalence of municipal healthy eating and active living policies and standards at the state and national level.

Proposal of a Holistic Model to Support Local-Level Evidence-Based Practice

Directory of Open Access Journals (Sweden)

Said Shahtahmasebi

2010-01-01

Full Text Available In response to a central drive for evidence-based practice, there have been many research support schemes, setups, and other practices concentrating on facilitating access to external research, such as the Centre for Evidence Based Healthcare Aotearoa, the Cochrane Collaboration, and the York Centre for Reviews and Dissemination. Very little attention has been paid to supporting internal research in terms of local evidence and internal research capabilities. The whole evidence-based practice movement has alienated internal decision makers and, thus, very little progress has been made in the context of evidence informing local policy formation. Health and social policies are made centrally based on dubious claims and often evidence is sought after implementation. For example, on record, most health care practitioners appear to agree with the causal link between depression and mental illness (sometimes qualified with other social factors with suicide; off the record, even some psychiatrists doubt that such a link is applicable to the population as a whole. Therefore, be it through misplaced loyalty or a lack of support for internal researchers/decision makers, local evidence informing local decision making may have been ignored in favour of external evidence. In this paper, we present a practical holistic model to support local evidence-based decision making. This approach is more relevant in light of a new approach to primary health care of “local knowledge” complementing external evidence. One possible outcome would be to network with other regional programmes around the world to share information and identify “best” practices, such as the “Stop Youth Suicide Campaign”(www.stopyouthsuicide.com.

Implementation of Local Wellness Policies in Schools: Role of School Systems, School Health Councils, and Health Disparities.

Science.gov (United States)

Hager, Erin R; Rubio, Diana S; Eidel, G Stewart; Penniston, Erin S; Lopes, Megan; Saksvig, Brit I; Fox, Renee E; Black, Maureen M

2016-10-01

Written local wellness policies (LWPs) are mandated in school systems to enhance opportunities for healthy eating/activity. LWP effectiveness relies on school-level implementation. We examined factors associated with school-level LWP implementation. Hypothesized associations included system support for school-level implementation and having a school-level wellness team/school health council (SHC), with stronger associations among schools without disparity enrollment (majority African-American/Hispanic or low-income students). Online surveys were administered: 24 systems (support), 1349 schools (LWP implementation, perceived system support, SHC). The state provided school demographics. Analyses included multilevel multinomial logistic regression. Response rates were 100% (systems)/55.2% (schools). Among schools, 44.0% had SHCs, 22.6% majority (≥75%) African-American/Hispanic students, and 25.5% majority (≥75%) low-income (receiving free/reduced-price meals). LWP implementation (17-items) categorized as none = 36.3%, low (1-5 items) = 36.3%, high (6+ items) = 27.4%. In adjusted models, greater likelihood of LWP implementation was observed among schools with perceived system support (high versus none relative risk ratio, RRR = 1.63, CI: 1.49, 1.78; low versus none RRR = 1.26, CI: 1.18, 1.36) and SHCs (high versus none RRR = 6.8, CI: 4.07, 11.37; low versus none RRR = 2.24, CI: 1.48, 3.39). Disparity enrollment did not moderate associations (p > .05). Schools with perceived system support and SHCs had greater likelihood of LWP implementation, with no moderating effect of disparity enrollment. SHCs/support may overcome LWP implementation obstacles related to disparities. © 2016, American School Health Association.

Institutional Framework for Support of Local Entrepreneurship Within Leader Approach in Slovakia

Directory of Open Access Journals (Sweden)

Bumbalová Monika

2017-12-01

Full Text Available Current development of rural areas of Slovakia is not fully reflecting the measures taken at the level of the European Union. Contrary, the differences between the territories seem to be deepening. When analysing the critical factors, job creation together with unemployment seem to be among the most pressing ones. The academics believe that the local entrepreneurship and development of small and medium size enterprises (SME in rural areas have significant impact on accelerating the development of these communities, yet, only limited measures are taken to support them. Therefore, the main objective of the paper is to analyze the institutional framework for support of local SME within implementation of the LEADER approach as a direct instrument of the rural development policy. The emphasis was put on the last programming period (2007 – 2013 and the conditions set for the current programming period (2014 – 2020.

Towards guideline implementation for integrated local health policies : Evaluation of an experimental implementation strategy in regional health services

NARCIS (Netherlands)

Kuunders, T.J.M.; Cloin, J.C.M.; van Bon, M.J.H.; Paulussen, T.G.W.M.; van Oers, J.A.M.; van de Goor, L.A.M.

2017-01-01

To enhance implementation of a Guideline for integrated local health policy, a draft implementation strategy (DIS) was developed. It was hypothesized that the DIS would be feasible and effective to enhance the use of a Guideline for integrated local health policy. To examine its feasibility and

Preparing the 1993--94 Safeguards Implementation Support Programme for IAEA

International Nuclear Information System (INIS)

Green, L.

1993-01-01

The 1993-94 Safeguards Implementation Support (IS) Program describes the Department of Safeguards' program of implementation support for the coming two years. The main body of the document describes the IS program for IAEA. A detailed description of the individual IS needs for 1993-1994 is contained in an annex that specifies the nee, assigns priorities and lists tasks and activities underway to address the need. Other annexes address policy and procedures for program planning and management, current Member State Support Programs (MSSP) tasks, and identification of MSSP resources required for implementation of developed technologies that could be provided. The primary responsibility for supporting the implementation of safeguards technology is with the support divisions of the Department of Safeguards. However, in this time of limited resources it is essential that, where possible, the Department receives assistance from MSSPs that have the needed resources. This document should serve as a guide for IAEA, in planning implementation support activities and for identifying tasks for MSSPs wishing to provide assistance

National public health policy in a local context--implementation in two Swedish municipalities.

Science.gov (United States)

Jansson, Elisabeth; Fosse, Elisabeth; Tillgren, Per

2011-12-01

In 2003 the wide-ranging Swedish National Public Health Policy (SNPHP), with a focus on health determinants, was adopted by the Swedish parliament. In the context of multilevel governance, SNPHP implementation is dependent on self-governed municipalities and counties. The aim of the study is, from a municipal perspective, to investigate public-health policies in two municipalities. Content analysis of documents and interviews provided a foundation for an explorative case study. The SNPHP at national level is overriding but politically controversial. At local level, a health-determinants perspective was detectable in the policies implemented, but none regarding to health equality. At local level, the SNPHP is not regarded as implementable; rather, limited parts have, to varying degrees, been reconciled with local public-health goals, according to municipal needs and conditions. A success-promoting factor in the two municipalities was the presence of committed and knowledgeable actors/implementers. Also, the municipality with a more centrally controlled and stable party-political leadership succeeded better in implementing structural and intersectoral community-wide policies for coordinated local health promotion. The contents of national and local public-health policies differ, and municipalities that have implemented their own local health policies do not seem to regard the SNPHP as justifiable or adoptable. If the SNPHP overall aim regarding equal health is to be achieved homogeneously in Swedish municipalities, its contents and purpose need clearer management and negotiation, so that implementation of the national policy locally is understandable and motivated. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Implementation of SNS Model for Intrusion Prevention in Wireless Local Area Network

DEFF Research Database (Denmark)

Isah, Abdullahi

The thesis has proposed and implemented a so-called SNS (Social network security) model for intrusion prevention in the Wireless Local Area Network of an organization. An experimental design was used to implement and test the model at a university in Nigeria.......The thesis has proposed and implemented a so-called SNS (Social network security) model for intrusion prevention in the Wireless Local Area Network of an organization. An experimental design was used to implement and test the model at a university in Nigeria....

Interventions to Support System-level Implementation of Health Promoting Schools: A Scoping Review

Directory of Open Access Journals (Sweden)

Jessie-Lee D. McIsaac

2016-02-01

Full Text Available Health promoting schools (HPS is recognized globally as a multifaceted approach that can support health behaviours. There is increasing clarity around factors that influence HPS at a school level but limited synthesized knowledge on the broader system-level elements that may impact local implementation barriers and support uptake of a HPS approach. This study comprised a scoping review to identify, summarise and disseminate the range of research to support the uptake of a HPS approach across school systems. Two reviewers screened and extracted data according to inclusion/exclusion criteria. Relevant studies were identified using a multi-phased approach including searching electronic bibliographic databases of peer reviewed literature, hand-searching reference lists and article recommendations from experts. In total, 41 articles met the inclusion criteria for the review, representing studies across nine international school systems. Overall, studies described policies that provided high-level direction and resources within school jurisdictions to support implementation of a HPS approach. Various multifaceted organizational and professional interventions were identified, including strategies to enable and restructure school environments through education, training, modelling and incentives. A systematic realist review of the literature may be warranted to identify the types of intervention that work best for whom, in what circumstance to create healthier schools and students.

Interventions to Support System-level Implementation of Health Promoting Schools: A Scoping Review

Science.gov (United States)

McIsaac, Jessie-Lee D.; Hernandez, Kimberley J.; Kirk, Sara F.L.; Curran, Janet A.

2016-01-01

Health promoting schools (HPS) is recognized globally as a multifaceted approach that can support health behaviours. There is increasing clarity around factors that influence HPS at a school level but limited synthesized knowledge on the broader system-level elements that may impact local implementation barriers and support uptake of a HPS approach. This study comprised a scoping review to identify, summarise and disseminate the range of research to support the uptake of a HPS approach across school systems. Two reviewers screened and extracted data according to inclusion/exclusion criteria. Relevant studies were identified using a multi-phased approach including searching electronic bibliographic databases of peer reviewed literature, hand-searching reference lists and article recommendations from experts. In total, 41 articles met the inclusion criteria for the review, representing studies across nine international school systems. Overall, studies described policies that provided high-level direction and resources within school jurisdictions to support implementation of a HPS approach. Various multifaceted organizational and professional interventions were identified, including strategies to enable and restructure school environments through education, training, modelling and incentives. A systematic realist review of the literature may be warranted to identify the types of intervention that work best for whom, in what circumstance to create healthier schools and students. PMID:26861376

Facilitators for the development and implementation of health promoting policy and programs – a scoping review at the local community level

Directory of Open Access Journals (Sweden)

Daniel Weiss

2016-02-01

each of these important facilitating factors, various elements supporting implementation were discussed and highlighted in this study. Conclusion Our results indicate that clear and consistent facilitators exist for supporting health promoting policy development and program implementation at the local level. These results offer a starting point for local action on the Social Determinants of Health and have the potential to contribute to the development of a framework for improving action at the local level.

Policies Supporting Local Food in the United States

Directory of Open Access Journals (Sweden)

Steve W. Martinez

2016-08-01

Full Text Available Local food has been the subject of federal, state, and local government policies in recent years throughout the United States as consumer demand has grown. Local foods have been linked to several government priorities—including enhancing the rural economy, the environment, and supporting agricultural producers. This article provides an overview of U.S. Federal, State and regional policies designed to support local food systems. It details the latest economic information on policy, relying on findings from several national surveys and a synthesis of recent literature. Federal policies related to local food systems were greatly expanded by the 2008 Farm Bill, and are further expanded in the Agricultural Act of 2014. United States policies address several barriers to the further expansion of local food markets, including scaling up output of small farms to address the needs of larger commercial outlets, lack of infrastructure for increasing local food sales, ability to trace product source, and producer education regarding local food expansion.

The Role of Decision Support in the Implementation of “Sustainable Transport” Plans

DEFF Research Database (Denmark)

Gudmundsson, Henrik; Ericsson, Eva; Tight, Miles

2012-01-01

but also the difficulty of unpicking its exact role in each case. Stockholm presented the most successful case, with a mix of academic and experience-based knowledge inputs facilitating understanding and acceptance. The cycle plan example revealed very limited influence of cycling design guidance. The UK......Improved decision support is deemed essential for the planning and implementation of sustainable transport solutions, but limited evidence exists that decision-relevant information is effectively used for these purposes. This paper applies a framework inspired by research in “knowledge utilization......” to examine to what extent various kinds of decision support are used and have become influential in three different planning situations—a local cycle plan in Copenhagen, the Stockholm congestion charging trial and the UK national transport strategy. The results reveal the extensive use of decision support...

Design and implementation of interface units for high speed fiber optics local area networks and broadband integrated services digital networks

Science.gov (United States)

Tobagi, Fouad A.; Dalgic, Ismail; Pang, Joseph

1990-01-01

The design and implementation of interface units for high speed Fiber Optic Local Area Networks and Broadband Integrated Services Digital Networks are discussed. During the last years, a number of network adapters that are designed to support high speed communications have emerged. This approach to the design of a high speed network interface unit was to implement package processing functions in hardware, using VLSI technology. The VLSI hardware implementation of a buffer management unit, which is required in such architectures, is described.

Mind the gap! Barriers and implementation deficiencies of energy policies at the local scale in urban China

International Nuclear Information System (INIS)

Wu, Jing; Zuidema, Christian; Gugerell, Katharina; Roo, Gert de

2017-01-01

Environmental concerns and potential social-economic impacts associated with fossil fuels have turned cities into indispensable entities for supporting energy transitions in China. Pursuing a transition towards a sustainable energy system has become a major policy concern for the Chinese central government. In response, and on the basis of a top-down and conformance-oriented system of policy implementation and evaluation, the Chinese central government has launched various policies and targets on energy efficiency and production that lower levels of government have to follow. However, the translation of top-down targets and the measurement of conformance-based targets have both proved to be problematic. This paper investigates Chinese state policy on energy efficiency through four empirical case studies. It identifies how policy design of target setting and evaluation is both impacting and driving the implementation of energy efficiency at the local urban scale. We demonstrate how local authorities are faced with constraining barriers that can inhibit the implementation of centrally issued targets and policies. These barriers may even undermine local performance in the pursuit of ambitious energy efficiency goals, resulting in potentially harmful consequences. - Highlights: • Energy efficiency policies are ill-adapted to the diversity of local circumstances. • Predominant focus on conformance in energy policies overlooks local performance. • Pursuing ambitions runs the risk of being undermined by strict measuring systems. • Chinese energy transition needs more flexibility in target setting and evaluation.

Walking the tightrope-perspectives on local politicians' role in implementing a national social care policy on evidence-based practice.

Science.gov (United States)

Bäck, A; Ståhl, C; von Thiele Schwarz, U; Richter, A; Hasson, H

2016-01-01

Despite national policy recommending evidence-based practice (EBP), its application in social care has been limited. While local politicians can affect the process, little is known about their knowledge, attitudes and roles regarding EBP. The aim here is twofold: to explore the role of local politicians in the implementation of EBP in social care from both their own and a management perspective; and to examine factors politicians perceive as affecting their decisions and actions concerning the implementation of EBP policy. Local politicians (N = 13) and managers (N = 22) in social care were interviewed. Qualitative thematic analysis with both inductive and deductive codes was used. Politicians were rather uninformed regarding EBP and national policy. The factors limiting their actions were, beside the lack of awareness, lack of ability to question existing working methods, and a need for support in the steering of EBP. Thus, personal interest played a significant part in what role the politicians assumed. This resulted in some politicians taking a more active role in steering EBP while others were not involved. From the managers' perspective, a more active steering by politicians was desired. Setting budget and objectives, as well as active follow-up of work processes and outcomes, were identified as means to affect the implementation of EBP. However, the politicians seemed unaware of the facilitating effects of these actions. Local politicians had a possibility to facilitate the implementation of EBP, but their role was unclear. Personal interest played a big part in determining what role was taken. The results imply that social care politicians might need support in the development of their steering of EBP. Moving the responsibility for EBP facilitation upwards in the political structure could be an important step in developing EBP in social care.

[The implementation of Individual Placement and Support in the Netherlands].

Science.gov (United States)

Giesen, F; van Erp, N; van Weeghel, J; Michon, H; Kroon, H

2007-01-01

Individual Placement and Support is a vocational rehabilitation programme for people with severe mental illness, which was implemented during the period 2003-2005 at four locations in the Netherlands. To investigate the degree of compliance with the Individual Placement and Support programme, the factors that hindered or facilitated its implementation, and the results. The degree of compliance was assessed using the Individual Placement and Support fidelity scale. Data regarding the factors that hindered or facilitated the implementation were collected via interviews and monitoring. In addition, data were collected on patient characteristics, the support provided and the jobs found. None of the locations achieved the highest level of compliance, although two locations came close. Eighteen per cent of the 316 patients were helped to find a regular job. The most important obstacles to implementation were loss of vocational team members, project leaders' lack of time, lack of finance, and insufficient cooperation between the organisations involved. The most important facilitating factors were the skills and commitment of the vocational team member(s) and the integration of the vocational teammember(s) and the mental health team. It is not easy to implement Individual Placement and Support. However, if more attention is given to good project management, Individual Placement and Support can succeed in the Netherlands.

“In Accordance with Local Conditions”: Policy Design and Implementation of Agrarian Change Policies in Rural China

Directory of Open Access Journals (Sweden)

René Trappel

2016-01-01

Full Text Available An important part of Beijing’s strategy to reduce the welfare gap between urban and rural parts of China has been the promotion of urbanisation. Replacing peasant agriculture with commercial operations of scale is an integral part of this endeavour. This article analyses the implementation of policies meant to transform the structure of Chinese agriculture. It argues that the central government is using a set of very flexible policies, project-based implementation and adaption to local conditions to guide and support an existing dynamic of structural transformation in agriculture. Local governments, in turn, appreciate the flexibility, the political predictability, the potential revenue improvements and the cognitive framework inherent in these programmes. The article is primarily based on interviews with leading cadres at the township and county levels in the provinces of Shandong, Sichuan and Guizhou between 2008 and 2010.

Implementation of Multiple Intelligences Supported Project-Based Learning in EFL/ESL Classrooms

Science.gov (United States)

Bas, Gokhan

2008-01-01

This article deals with the implementation of Multiple Intelligences supported Project-Based learning in EFL/ESL Classrooms. In this study, after Multiple Intelligences supported Project-based learning was presented shortly, the implementation of this learning method into English classrooms. Implementation process of MI supported Project-based…

Porous silicon localization for implementation in matrix biosensors

International Nuclear Information System (INIS)

Benilov, A.; Cabrera, M.; Skryshevsky, V.; Martin, J.-R.

2007-01-01

The search of appropriate substrates and methods of surface DNA functionalisation is one of the important tasks of semiconductor biosensors. In this work we develop a method of light-assisted porous silicon etching in order to localize porous silicon spots on silicon substrate for matrix fluorophore-labeled DNA sensors implementation. The principal difference of porous spots localization proposed is considered for n- and p-type Si substrates under the condition of supplementary illumination. The tuning of the porous profile via applying of lateral electric field is proposed and experimentally proved

Identifying Barriers and Facilitators in Implementing Schoolwide Positive Behavior Support

Science.gov (United States)

Kincaid, Don; Childs, Karen; Blase, Karen A.; Wallace, Frances

2007-01-01

As the number of schools implementing systemic, schoolwide positive behavior support (PBS) processes expands (nationally, at least 5,000 schools are participating), increasing attention is being paid to the efficacy of implementation. This article describes a case study of the experiences of Florida's Positive Behavior Support Project, which used…

Multiple excitation of supports - Part 2 : Implementation in TUBO system

International Nuclear Information System (INIS)

Galeao, A.C.N.R.; Barbosa, H.J.C.

1980-12-01

From the formulation of multiple excitation support problem, discussed in the first part of this work, and with the use of numerical techniques presented there, we discuss in this second part, the implementation in TUBO system, the follow procedure: Direct integration, Modal overlap, Spectral response emphasizing the aspects related to supports excitation. Finally, we present two numerical examples of TUBO system utilization in the solution of support movement problem. The several implemented computational procedures are compared. (E.G.) [pt

CRITICAL SUCCESS FACTORS FOR IMPLEMENTING LEAN PRACTICES IN IT SUPPORT SERVICES

Directory of Open Access Journals (Sweden)

Goutam Kundu

2012-12-01

Full Text Available Many studies have been done to identify the critical success factors (CSFs in for successful lean implementation in the manufacturing firms. But, till date, no systematic study has been done to identify the CSFs from the perspective of lean implementation in IT support service sector. This paper aims to address this area. A detailed literature review was undertaken to identify CSFs for lean implementation in manufacturing and services context and to consider their applicability to the IT support services sector. This paper is based on a conceptual discussion of CSFs as applied to the IT support services sector. The authors proposed a set of CSFs which is believed to be suitable for IT support service enterpri ses. The relevance of CSFs will need to be tested and qualitative research is needed to inform further work. The proposed CSFs are aimed at being useful to IT support services sector as a guideline, so as to ensure a positive outcome of the lean implementation process in IT support services sector.

Incorporating Implementation of ITS Technologies into Local Planning Processes

Science.gov (United States)

1998-09-16

In this paper, the author discusses the barriers to implementing intelligent : transportation systems (ITS) at the local level. Chief among these is the need t : o education the public. At the same time, this educational effort must be : tailored for...

The implementation goals of geoinformation support to planning and spatial management at the local level in the framework of the ONIX project

Directory of Open Access Journals (Sweden)

Franc J. Zakrajšek

1999-01-01

Full Text Available The project objective is to strengthen the development, establishment, maintenance and use of the geographical data bases in the processes of physical planning and urban management on local level. It is a part of the Slovenian environmental project Onix. The current state is the phase of implementation.

Results of German support programme to implement the UN FCCC

Energy Technology Data Exchange (ETDEWEB)

Liptow, H. [GTZ, Eschborn (Germany)

1996-12-31

This paper presents a summary of German efforts in support of implementing the Framework Convention on Climate Change (FCCC). Following the Rio conference, the task of supporting outreach efforts was given to the GTZ since that is its general function, and within the context of German Technical Co-operation (TC), a program was implemented. Their initial effort was directed at helping implement inventory studies in target countries, including studies of options for reducing emissions. Once a level of information and factual knowledge was in place, they presented the type of technical support which Germany could offer in meeting the needs envisioned to achieve reduced emissions, in the form of technical co-operation. Experiences are discussed for the cases of a number of different participating countries.

Realistic nurse-led policy implementation, optimization and evaluation: novel methodological exemplar.

Science.gov (United States)

Noyes, Jane; Lewis, Mary; Bennett, Virginia; Widdas, David; Brombley, Karen

2014-01-01

To report the first large-scale realistic nurse-led implementation, optimization and evaluation of a complex children's continuing-care policy. Health policies are increasingly complex, involve multiple Government departments and frequently fail to translate into better patient outcomes. Realist methods have not yet been adapted for policy implementation. Research methodology - Evaluation using theory-based realist methods for policy implementation. An expert group developed the policy and supporting tools. Implementation and evaluation design integrated diffusion of innovation theory with multiple case study and adapted realist principles. Practitioners in 12 English sites worked with Consultant Nurse implementers to manipulate the programme theory and logic of new decision-support tools and care pathway to optimize local implementation. Methods included key-stakeholder interviews, developing practical diffusion of innovation processes using key-opinion leaders and active facilitation strategies and a mini-community of practice. New and existing processes and outcomes were compared for 137 children during 2007-2008. Realist principles were successfully adapted to a shorter policy implementation and evaluation time frame. Important new implementation success factors included facilitated implementation that enabled 'real-time' manipulation of programme logic and local context to best-fit evolving theories of what worked; using local experiential opinion to change supporting tools to more realistically align with local context and what worked; and having sufficient existing local infrastructure to support implementation. Ten mechanisms explained implementation success and differences in outcomes between new and existing processes. Realistic policy implementation methods have advantages over top-down approaches, especially where clinical expertise is low and unlikely to diffuse innovations 'naturally' without facilitated implementation and local optimization. © 2013

Building local participation and support for ALFRED project

International Nuclear Information System (INIS)

Apostol, M.; Constantin, M.; Diaconu, D.

2016-01-01

At the beginning of 2015, a Local Dialog Group (LDG) was set-up under the FP7 ARCADIA project, as an interface between the implementer of ALFRED demonstrator (Fostering ALfred CONstruction - FALCON consortium) and local community from Mioveni town. The paper discusses the current situation and the possible evolution of the group beyond the ARCADIA project (November 2016). The possible evolution could be the transformation in a Local Committee (LC), this fact leading to the extension of LDG.s actual role, towards a larger participation in decision making process (DMP). Aspects regarding LC construction elements as local context, mission and role, legitimacy, funding and resources, organizing mode, products and outputs, the interaction with other stakeholders, are presented in the paper. In order to describe the context, some general elements concerning the Local Committees (LCs) as tools for the communities. involvement in the DMP are also introduced. (authors)

Supporting Implementation of Evidence-Based Practices through Practice-Based Coaching

Science.gov (United States)

Snyder, Patricia A.; Hemmeter, Mary Louise; Fox, Lise

2015-01-01

In active implementation science frameworks, coaching has been described as an important competency "driver" to ensure evidence-based practices are implemented as intended. Empirical evidence also has identified coaching as a promising job-embedded professional development strategy to support implementation of quality teaching practices.…

Comparative analysis of elements and models of implementation in local-level spatial plans in Serbia

Directory of Open Access Journals (Sweden)

Stefanović Nebojša

2017-01-01

Full Text Available Implementation of local-level spatial plans is of paramount importance to the development of the local community. This paper aims to demonstrate the importance of and offer further directions for research into the implementation of spatial plans by presenting the results of a study on models of implementation. The paper describes the basic theoretical postulates of a model for implementing spatial plans. A comparative analysis of the application of elements and models of implementation of plans in practice was conducted based on the spatial plans for the local municipalities of Arilje, Lazarevac and Sremska Mitrovica. The analysis includes four models of implementation: the strategy and policy of spatial development; spatial protection; the implementation of planning solutions of a technical nature; and the implementation of rules of use, arrangement and construction of spaces. The main results of the analysis are presented and used to give recommendations for improving the elements and models of implementation. Final deliberations show that models of implementation are generally used in practice and combined in spatial plans. Based on the analysis of how models of implementation are applied in practice, a general conclusion concerning the complex character of the local level of planning is presented and elaborated. [Project of the Serbian Ministry of Education, Science and Technological Development, Grant no. TR 36035: Spatial, Environmental, Energy and Social Aspects of Developing Settlements and Climate Change - Mutual Impacts and Grant no. III 47014: The Role and Implementation of the National Spatial Plan and Regional Development Documents in Renewal of Strategic Research, Thinking and Governance in Serbia

Toward an evidence-based system for innovation support for implementing innovations with quality: tools, training, technical assistance, and quality assurance/quality improvement.

Science.gov (United States)

Wandersman, Abraham; Chien, Victoria H; Katz, Jason

2012-12-01

An individual or organization that sets out to implement an innovation (e.g., a new technology, program, or policy) generally requires support. In the Interactive Systems Framework for Dissemination and Implementation, a Support System should work with Delivery Systems (national, state and/or local entities such as health and human service organizations, community-based organizations, schools) to enhance their capacity for quality implementation of innovations. The literature on the Support System [corrected] has been underresearched and under-developedThis article begins to conceptualize theory, research, and action for an evidence-based system for innovation support (EBSIS). EBSIS describes key priorities for strengthening the science and practice of support. The major goal of EBSIS is to enhance the research and practice of support in order to build capacity in the Delivery System for implementing innovations with quality, and thereby, help the Delivery System achieve outcomes. EBSIS is guided by a logic model that includes four key support components: tools, training, technical assistance, and quality assurance/quality improvement. EBSIS uses the Getting To Outcomes approach to accountability to aid the identification and synthesis of concepts, tools, and evidence for support. We conclude with some discussion of the current status of EBSIS and possible next steps, including the development of collaborative researcher-practitioner-funder-consumer partnerships to accelerate accumulation of knowledge on the Support System.

Targeted Local Support Vector Machine for Age-Dependent Classification.

Science.gov (United States)

Chen, Tianle; Wang, Yuanjia; Chen, Huaihou; Marder, Karen; Zeng, Donglin

2014-09-01

We develop methods to accurately predict whether pre-symptomatic individuals are at risk of a disease based on their various marker profiles, which offers an opportunity for early intervention well before definitive clinical diagnosis. For many diseases, existing clinical literature may suggest the risk of disease varies with some markers of biological and etiological importance, for example age. To identify effective prediction rules using nonparametric decision functions, standard statistical learning approaches treat markers with clear biological importance (e.g., age) and other markers without prior knowledge on disease etiology interchangeably as input variables. Therefore, these approaches may be inadequate in singling out and preserving the effects from the biologically important variables, especially in the presence of potential noise markers. Using age as an example of a salient marker to receive special care in the analysis, we propose a local smoothing large margin classifier implemented with support vector machine (SVM) to construct effective age-dependent classification rules. The method adaptively adjusts age effect and separately tunes age and other markers to achieve optimal performance. We derive the asymptotic risk bound of the local smoothing SVM, and perform extensive simulation studies to compare with standard approaches. We apply the proposed method to two studies of premanifest Huntington's disease (HD) subjects and controls to construct age-sensitive predictive scores for the risk of HD and risk of receiving HD diagnosis during the study period.

Implementation of workflow engine technology to deliver basic clinical decision support functionality.

Science.gov (United States)

Huser, Vojtech; Rasmussen, Luke V; Oberg, Ryan; Starren, Justin B

2011-04-10

Workflow engine technology represents a new class of software with the ability to graphically model step-based knowledge. We present application of this novel technology to the domain of clinical decision support. Successful implementation of decision support within an electronic health record (EHR) remains an unsolved research challenge. Previous research efforts were mostly based on healthcare-specific representation standards and execution engines and did not reach wide adoption. We focus on two challenges in decision support systems: the ability to test decision logic on retrospective data prior prospective deployment and the challenge of user-friendly representation of clinical logic. We present our implementation of a workflow engine technology that addresses the two above-described challenges in delivering clinical decision support. Our system is based on a cross-industry standard of XML (extensible markup language) process definition language (XPDL). The core components of the system are a workflow editor for modeling clinical scenarios and a workflow engine for execution of those scenarios. We demonstrate, with an open-source and publicly available workflow suite, that clinical decision support logic can be executed on retrospective data. The same flowchart-based representation can also function in a prospective mode where the system can be integrated with an EHR system and respond to real-time clinical events. We limit the scope of our implementation to decision support content generation (which can be EHR system vendor independent). We do not focus on supporting complex decision support content delivery mechanisms due to lack of standardization of EHR systems in this area. We present results of our evaluation of the flowchart-based graphical notation as well as architectural evaluation of our implementation using an established evaluation framework for clinical decision support architecture. We describe an implementation of a free workflow technology

Implementation of workflow engine technology to deliver basic clinical decision support functionality

Science.gov (United States)

2011-01-01

Background Workflow engine technology represents a new class of software with the ability to graphically model step-based knowledge. We present application of this novel technology to the domain of clinical decision support. Successful implementation of decision support within an electronic health record (EHR) remains an unsolved research challenge. Previous research efforts were mostly based on healthcare-specific representation standards and execution engines and did not reach wide adoption. We focus on two challenges in decision support systems: the ability to test decision logic on retrospective data prior prospective deployment and the challenge of user-friendly representation of clinical logic. Results We present our implementation of a workflow engine technology that addresses the two above-described challenges in delivering clinical decision support. Our system is based on a cross-industry standard of XML (extensible markup language) process definition language (XPDL). The core components of the system are a workflow editor for modeling clinical scenarios and a workflow engine for execution of those scenarios. We demonstrate, with an open-source and publicly available workflow suite, that clinical decision support logic can be executed on retrospective data. The same flowchart-based representation can also function in a prospective mode where the system can be integrated with an EHR system and respond to real-time clinical events. We limit the scope of our implementation to decision support content generation (which can be EHR system vendor independent). We do not focus on supporting complex decision support content delivery mechanisms due to lack of standardization of EHR systems in this area. We present results of our evaluation of the flowchart-based graphical notation as well as architectural evaluation of our implementation using an established evaluation framework for clinical decision support architecture. Conclusions We describe an implementation of

[The implementation of strategy of medicinal support in multi-type hospital].

Science.gov (United States)

Ludupova, E Yu

2016-01-01

The article presents brief review of implementation of strategy of medicinal support of population of the Russian Federation and experience of application of at the level of regional hospital. The necessity and importance of implementation into practice of hospitals of methodology of pharmaco-economical management of medicinal care using modern technologies of XYZ-, ABC and VEN-analysis is demonstrated. The stages of development and implementation of process of medicinal support of multifield hospital applying principles of system of quality management (processing and systemic approaches, risk management) on the basis of standards ISO 9001 are described. The significance of monitoring of results ofprocess of medicinal support of the basis of implementation of priority target programs (prevention of venous thrombo-embolic complications, system od control of anti-bacterial therapy) are demonstrated in relation to multi-field hospital using technique of ATC/DDD-analysis for evaluating indices of effectiveness and efficiency.

Implementation of a workplace smoking ban in bars: The limits of local discretion

Directory of Open Access Journals (Sweden)

Bero Lisa A

2008-12-01

Full Text Available Abstract Background In January 1998, the California state legislature extended a workplace smoking ban to bars. The purpose of this study was to explore the conditions that facilitate or hinder compliance with a smoking ban in bars. Methods We studied the implementation of the smoking ban in bars by interviewing three sets of policy participants: bar employers responsible for complying with the law; local government officials responsible for enforcing the law; and tobacco control activists who facilitated implementation. We transcribed the interviews and did a qualitative analysis of the text. Results The conditions that facilitated bar owners' compliance with a smoking ban in bars included: if the cost to comply was minimal; if the bars with which they were in competition were in compliance with the smoking ban; and if there was authoritative, consistent, coordinated, and uniform enforcement. Conversely, the conditions that hindered compliance included: if the law had minimal sanctions; if competing bars in the area allowed smoking; and if enforcement was delayed or inadequate. Conclusion Many local enforcers wished to forfeit their local discretion and believed the workplace smoking ban in bars would be best implemented by a state agency. The potential implication of this study is that, given the complex nature of local politics, smoking bans in bars are best implemented at a broader provincial or national level.

Implementation of a workplace smoking ban in bars: the limits of local discretion.

Science.gov (United States)

Montini, Theresa; Bero, Lisa A

2008-12-08

In January 1998, the California state legislature extended a workplace smoking ban to bars. The purpose of this study was to explore the conditions that facilitate or hinder compliance with a smoking ban in bars. We studied the implementation of the smoking ban in bars by interviewing three sets of policy participants: bar employers responsible for complying with the law; local government officials responsible for enforcing the law; and tobacco control activists who facilitated implementation. We transcribed the interviews and did a qualitative analysis of the text. The conditions that facilitated bar owners' compliance with a smoking ban in bars included: if the cost to comply was minimal; if the bars with which they were in competition were in compliance with the smoking ban; and if there was authoritative, consistent, coordinated, and uniform enforcement. Conversely, the conditions that hindered compliance included: if the law had minimal sanctions; if competing bars in the area allowed smoking; and if enforcement was delayed or inadequate. Many local enforcers wished to forfeit their local discretion and believed the workplace smoking ban in bars would be best implemented by a state agency. The potential implication of this study is that, given the complex nature of local politics, smoking bans in bars are best implemented at a broader provincial or national level.

Implementing peer support in secondary schools: facing the ...

African Journals Online (AJOL)

Erna Kinsey

high-risk behaviour related to HIV/AIDS, substance abuse, and various forms of crime. Peer supporters .... nator from the Gauteng Department of Education to implement the project in ..... and aggression, and being idealised by their peers.

Implementation Support of Security Design Patterns Using Test Templates

Directory of Open Access Journals (Sweden)

Masatoshi Yoshizawa

2016-06-01

Full Text Available Security patterns are intended to support software developers as the patterns encapsulate security expert knowledge. However, these patterns may be inappropriately applied because most developers are not security experts, leading to threats and vulnerabilities. Here we propose a support method for security design patterns in the implementation phase of software development. Our method creates a test template from a security design pattern, consisting of an “aspect test template” to observe the internal processing and a “test case template”. Providing design information creates a test from the test template with a tool. Because our test template is reusable, it can easily perform a test to validate a security design pattern. In an experiment involving four students majoring in information sciences, we confirm that our method can realize an effective test, verify pattern applications, and support pattern implementation.

Evidence-Based Programs for Older Adults: A Disconnect Between U.S. National Strategy and Local Senior Center Implementation.

Science.gov (United States)

Bobitt, Julie; Schwingel, Andiara

2017-01-01

While U.S. national policies have been developed to support evidence-based (EB) lifestyle programs for older adults, there has been limited research to determine the extent to which these programs actually reach local communities. This study sought to identify factors that impact the implementation of EB physical activity, nutrition, and chronic disease management programs at regional (Area Agencies on Aging [AAAs]) and community levels (senior Centers [SCs]). Interviews were conducted with directors of four AAAs and 12 SCs to understand their perspectives on EB program implementation. Narratives revealed differences between AAAs and SCs regarding knowledge about EB programs and reasons to promote and adopt these programs. The only agreement occurred when discussing concerns about funding and program inflexibility. Substantial gaps exist between how EB lifestyle programs are promoted and implemented at the regional and community levels.

A Successful Implementation Strategy to Support Adoption of Decision Making in Mental Health Services.

Science.gov (United States)

MacDonald-Wilson, Kim L; Hutchison, Shari L; Karpov, Irina; Wittman, Paul; Deegan, Patricia E

2017-04-01

Individual involvement in treatment decisions with providers, often through the use of decision support aids, improves quality of care. This study investigates an implementation strategy to bring decision support to community mental health centers (CMHC). Fifty-two CMHCs implemented a decision support toolkit supported by a 12-month learning collaborative using the Breakthrough Series model. Participation in learning collaborative activities was high, indicating feasibility of the implementation model. Progress by staff in meeting process aims around utilization of components of the toolkit improved significantly over time (p < .0001). Survey responses by individuals in service corroborate successful implementation. Community-based providers were able to successfully implement decision support in mental health services as evidenced by improved process outcomes and sustained practices over 1 year through the structure of the learning collaborative model.

Global corporate workplaces implementing new global workplace standards in a local context

CERN Document Server

Hodulak, Martin

2017-01-01

In recent years, multinational corporations were increasingly engaged in the development of standardized global workplace models. For their implementation and feasibility, it is decisive as how these standards fit the diverse regional workplace cultures. This topic was pursued in the course of a research project, comparing established workplaces in Germany, USA and Japan against global workplace standards of multinational corporations. The analysis confirmed the expected differences among local workplaces and on the other hand a predominant mainstream among global corporate workplace standards. Conspicuous however, are the fundamental differences between local models and corporate standards. For the implementation of global standards in local context, this implies multiple challenges on cultural, organizational and spatial level. The analysis findings provide information for assessing current projects and pinpointing optimization measures. The analysis framework further provides a tool to uncover and assess n...

Local Voice and Benefit in the Implementation of RWM Policy

International Nuclear Information System (INIS)

Blowers, Andrew

2009-01-01

In several countries key decisions have been taken on the options for the long-term management of radioactive waste and most have opted for deep geological disposal as the best available approach; in a few cases (Finland, Sweden, USA, France), progress has been made towards the selection of a site for a repository. The author considers that, as the emphasis shifts from the assessment of options to the implementation of proposals so there is a corresponding shift from generic to specific concerns and from national policy to specific and local siting issues. Questions of local voice and benefit, of involvement in decision making and the well being of communities come more and more to command the attention of policy makers. In setting out strategies for implementation it is necessary to take into account the contextualising elements which influence the framing and development of policy, among which three elements in particular: timescale, discourse, and community. Each of these three contextualising elements poses issues for the continuing implementation of policies and programmes of radioactive waste management. For the author, these key issues are fairness, power, and well being, and although there is manifestly a new approach to radioactive waste management, most countries are only at the beginning of the process of implementation. The politics and practicalities of introducing innovative approaches designed to transform perceptions and practices poses some difficult problems which can be identified by asking the questions: Where? How? When? and Who?

47 CFR 54.301 - Local switching support.

Science.gov (United States)

2010-10-01

... Deferred Maintenance and Retirements Included in Account 1438 Deferred Charges Included in Account 1438... paragraph (d) of this section, shall be multiplied by the local switching support factor. For purposes of... total unseparated dollar amount assigned to each account listed below for the calendar year following...

Initial investigation of organisational factors associated with the implementation of active support.

Science.gov (United States)

Fyffe, Chris; McCubbery, Jeffrey; Reid, Katharine J

2008-09-01

Active support (AS) has been shown to increase the amount of time that residents in shared residential settings are involved in purposeful activities. The organisational processes required to implement AS have been less well researched. Staff in community houses answered questions about the occurrence of organisational activities and processes thought to assist AS implementation (e.g., training and teamwork), their understanding of engagement, and their experience of changes in staff practice consistent with AS (including implementation problems). Non-house-based managers were also interviewed about their role in AS implementation. Reported occurrence of organisational activities and processes (e.g., training and teamwork) and understanding of engagement were associated with more reports of changes in staff practice and fewer staff reports of implementation problems. Staff reports on the role of non-house-based managers were not associated with reports of changes in staff practice or with reports of fewer AS implementation problems. Non-house-based managers' reports overestimated their role in AS implementation when compared with reports from house-based staff groups. While there are limitations in the research design (including the reliance on staff reports), the findings support the importance of wider organisational factors (beyond training programs for direct support staff) as integral to the implementation of AS. There is a need for further research on AS implementation.

An interactive local flattening operator to support digital investigations on artwork surfaces.

Science.gov (United States)

Pietroni, Nico; Massimiliano, Corsini; Cignoni, Paolo; Scopigno, Roberto

2011-12-01

Analyzing either high-frequency shape detail or any other 2D fields (scalar or vector) embedded over a 3D geometry is a complex task, since detaching the detail from the overall shape can be tricky. An alternative approach is to move to the 2D space, resolving shape reasoning to easier image processing techniques. In this paper we propose a novel framework for the analysis of 2D information distributed over 3D geometry, based on a locally smooth parametrization technique that allows us to treat local 3D data in terms of image content. The proposed approach has been implemented as a sketch-based system that allows to design with a few gestures a set of (possibly overlapping) parameterizations of rectangular portions of the surface. We demonstrate that, due to the locality of the parametrization, the distortion is under an acceptable threshold, while discontinuities can be avoided since the parametrized geometry is always homeomorphic to a disk. We show the effectiveness of the proposed technique to solve specific Cultural Heritage (CH) tasks: the analysis of chisel marks over the surface of a unfinished sculpture and the local comparison of multiple photographs mapped over the surface of an artwork. For this very difficult task, we believe that our framework and the corresponding tool are the first steps toward a computer-based shape reasoning system, able to support CH scholars with a medium they are more used to. © 2011 IEEE

Decision support for patient care: implementing cybernetics.

Science.gov (United States)

Ozbolt, Judy; Ozdas, Asli; Waitman, Lemuel R; Smith, Janis B; Brennan, Grace V; Miller, Randolph A

2004-01-01

The application of principles and methods of cybernetics permits clinicians and managers to use feedback about care effectiveness and resource expenditure to improve quality and to control costs. Keys to the process are the specification of therapeutic goals and the creation of an organizational culture that supports the use of feedback to improve care. Daily feedback on the achievement of each patient's therapeutic goals provides tactical decision support, enabling clinicians to adjust care as needed. Monthly or quarterly feedback on aggregated goal achievement for all patients on a clinical pathway provides strategic decision support, enabling clinicians and managers to identify problems with supposed "best practices" and to test hypotheses about solutions. Work is underway at Vanderbilt University Medical Center to implement feedback loops in care and management processes and to evaluate the effects.

A Knowledge Management Approach to Support Software Process Improvement Implementation Initiatives

Science.gov (United States)

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

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

Implementation and evaluation of a medical image management system with content-based retrieval support

International Nuclear Information System (INIS)

Carita, Edilson Carlos; Seraphim, Enzo; Honda, Marcelo Ossamu; Azevedo-Marques, Paulo Mazzoncini de

2008-01-01

Objective: the present paper describes the implementation and evaluation of a medical images management system with content-based retrieval support (PACS-CBIR) integrating modules focused on images acquisition, storage and distribution, and text retrieval by keyword and images retrieval by similarity. Materials and methods: internet-compatible technologies were utilized for the system implementation with free ware, and C ++ , PHP and Java languages on a Linux platform. There is a DICOM-compatible image management module and two query modules, one of them based on text and the other on similarity of image texture attributes. Results: results demonstrate an appropriate images management and storage, and that the images retrieval time, always < 15 sec, was found to be good by users. The evaluation of retrieval by similarity has demonstrated that the selected images extractor allowed the sorting of images according to anatomical areas. Conclusion: based on these results, one can conclude that the PACS-CBIR implementation is feasible. The system has demonstrated to be DICOM-compatible, and that it can be integrated with the local information system. The similar images retrieval functionality can be enhanced by the introduction of further descriptors. (author)

Application in localization of the material used for CRDM seismic support

International Nuclear Information System (INIS)

Wang Qingtian; He Peifeng; Mu Dianpeng

2011-01-01

CRDM seismic support stand in the top of reactor vessel head, and belong to LS equipment. Now all of the manufacture of CRDM seismic support are in China, so the materials localization of CRDM seismic support is quite vital. Comparing with chemical requirements, mechanical properties and hardness between foreign and domestic equipment material, the paper bring forward the base material and welding material. At last, mechanical analysis is adopted, and the result indicates the material localization meet the design requirements. (authors)

Barriers to implementation of a computerized decision support system for depression: an observational report on lessons learned in "real world" clinical settings

Directory of Open Access Journals (Sweden)

Sunderajan Prabha

2009-01-01

Full Text Available Abstract Background Despite wide promotion, clinical practice guidelines have had limited effect in changing physician behavior. Effective implementation strategies to date have included: multifaceted interventions involving audit and feedback, local consensus processes, marketing; reminder systems, either manual or computerized; and interactive educational meetings. In addition, there is now growing evidence that contextual factors affecting implementation must be addressed such as organizational support (leadership procedures and resources for the change and strategies to implement and maintain new systems. Methods To examine the feasibility and effectiveness of implementation of a computerized decision support system for depression (CDSS-D in routine public mental health care in Texas, fifteen study clinicians (thirteen physicians and two advanced nurse practitioners participated across five sites, accruing over 300 outpatient visits on 168 patients. Results Issues regarding computer literacy and hardware/software requirements were identified as initial barriers. Clinicians also reported concerns about negative impact on workflow and the potential need for duplication during the transition from paper to electronic systems of medical record keeping. Conclusion The following narrative report based on observations obtained during the initial testing and use of a CDSS-D in clinical settings further emphasizes the importance of taking into account organizational factors when planning implementation of evidence-based guidelines or decision support within a system.

Position of the American Dietetic Association: local support for nutrition integrity in schools.

Science.gov (United States)

Bergman, Ethan A; Gordon, Ruth W

2010-08-01

It is the position of the American Dietetic Association (ADA) that schools and communities have a shared responsibility to provide students with access to high-quality, affordable, nutritious foods and beverages. School-based nutrition services, including the provision of meals through the National School Lunch Program and the School Breakfast Program, are an integral part of the total education program. Strong wellness policies promote environments that enhance nutrition integrity and help students to develop lifelong healthy behaviors. ADA actively supported the 2004 and proposed 2010 Child Nutrition reauthorization which determines school nutrition policy. ADA believes that the Dietary Guidelines for Americans should serve as the foundation for all food and nutrition assistance programs and should apply to all foods and beverages sold or served to students during the school day. Local wellness policies are mandated by federal legislation for all school districts participating in the National School Lunch Program. These policies support nutrition integrity,including a healthy school environment. Nutrition integrity also requires coordinating nutrition education and promotion and funding research on program outcomes. Registered dietitians and dietetic technicians, registered, and other credentialed staff, are essential for nutrition integrity in schools to perform in policy-making, management, education, and community building roles. A healthy school environment can be achieved through adequate funding of school meals programs and through implementation and evaluation of strong local wellness policies.

Sustained Implementation Support Scale: Validation of a Measure of Program Characteristics and Workplace Functioning for Sustained Program Implementation.

Science.gov (United States)

Hodge, Lauren M; Turner, Karen M T; Sanders, Matthew R; Filus, Ania

2017-07-01

An evaluation measure of enablers and inhibitors to sustained evidence-based program (EBP) implementation may provide a useful tool to enhance organizations' capacity. This paper outlines preliminary validation of such a measure. An expert informant and consumer feedback approach was used to tailor constructs from two existing measures assessing key domains associated with sustained implementation. Validity and reliability were evaluated for an inventory composed of five subscales: Program benefits, Program burden, Workplace support, Workplace cohesion, and Leadership style. Exploratory and confirmatory factor analysis with a sample of 593 Triple P-Positive Parenting Program-practitioners led to a 28-item scale with good reliability and good convergent, discriminant, and predictive validity. Practitioners sustaining implementation at least 3 years post-training were more likely to have supervision/peer support, reported higher levels of program benefit, workplace support, and positive leadership style, and lower program burden compared to practitioners who were non-sustainers.

Socioeconomic Factors Affecting Local Support for Black Bear Recovery Strategies

Science.gov (United States)

Morzillo, Anita T.; Mertig, Angela G.; Hollister, Jeffrey W.; Garner, Nathan; Liu, Jianguo

2010-06-01

There is global interest in recovering locally extirpated carnivore species. Successful efforts to recover Louisiana black bear in Louisiana have prompted interest in recovery throughout the species’ historical range. We evaluated support for three potential black bear recovery strategies prior to public release of a black bear conservation and management plan for eastern Texas, United States. Data were collected from 1,006 residents living in proximity to potential recovery locations, particularly Big Thicket National Preserve. In addition to traditional logistic regression analysis, we used conditional probability analysis to statistically and visually evaluate probabilities of public support for potential black bear recovery strategies based on socioeconomic characteristics. Allowing black bears to repopulate the region on their own (i.e., without active reintroduction) was the recovery strategy with the greatest probability of acceptance. Recovery strategy acceptance was influenced by many socioeconomic factors. Older and long-time local residents were most likely to want to exclude black bears from the area. Concern about the problems that black bears may cause was the only variable significantly related to support or non-support across all strategies. Lack of personal knowledge about black bears was the most frequent reason for uncertainty about preferred strategy. In order to reduce local uncertainty about possible recovery strategies, we suggest that wildlife managers focus outreach efforts on providing local residents with general information about black bears, as well as information pertinent to minimizing the potential for human-black bear conflict.

Equipment support for the implementation of safeguards

International Nuclear Information System (INIS)

Arlt, R.; Bosler, G.; Goldfarb, M.; Schanfein, M.; Whichello, J.

2001-01-01

Full text: The provision of effective, reliable, and user-friendly equipment needed for the implementation of safeguards is one of the main objectives of the Division of Technical Services (SOTS) in the Department of Safeguards. As an outcome of a review by an independent external consultant firm, the instrumentation sections of the SGTS were reorganized in January 2001 into two new sections, the Section for NDA Systems and Seals (TNS) and Section for Installed Systems (TIE). Each section has 'cradle-to-grave' responsibilities for development, implementation, maintenance, and decommissioning of safeguards instruments and measurement systems. Unattended assay, monitoring and surveillance instruments are the responsibility of TIE while attended nondestructive assay (NDA) instruments and seals are handled by TNS. The principal goals of both sections are to define equipment requirements based on Departmental needs, to coordinate Support Programme tasks concerning development and implementation activities, to provide system engineering of commercial components, manage laboratory and to do field testing and prove system suitability for defined safeguards applications. In addition both sections coordinate equipment and supply needs for the Department, including acquisition, preparation, servicing, installation, commissioning, troubleshooting, maintenance and repair, ensuring their availability when needed. As required, TIE and TNS provide specialized field support to the Operations Divisions. Each section is working to standardize equipment as much as possible and reduce the number of instruments performing the same function. This reduces both inspector and technician training, required parts inventories, and overall life-cycle costs. Development based on User Needs from the Operations Divisions follows a strict quality control program that includes a thorough qualification testing procedure with the last phase being field-testing under actual facility conditions. A

A Novel Support Vector Machine with Globality-Locality Preserving

Directory of Open Access Journals (Sweden)

Cheng-Long Ma

2014-01-01

Full Text Available Support vector machine (SVM is regarded as a powerful method for pattern classification. However, the solution of the primal optimal model of SVM is susceptible for class distribution and may result in a nonrobust solution. In order to overcome this shortcoming, an improved model, support vector machine with globality-locality preserving (GLPSVM, is proposed. It introduces globality-locality preserving into the standard SVM, which can preserve the manifold structure of the data space. We complete rich experiments on the UCI machine learning data sets. The results validate the effectiveness of the proposed model, especially on the Wine and Iris databases; the recognition rate is above 97% and outperforms all the algorithms that were developed from SVM.

Implementing telehealth to support medical practice in rural/remote regions: what are the conditions for success?

Science.gov (United States)

Gagnon, Marie-Pierre; Duplantie, Julie; Fortin, Jean-Paul; Landry, Réjean

2006-08-24

Telehealth, as other information and communication technologies (ICTs) introduced to support the delivery of health care services, is considered as a means to answer many of the imperatives currently challenging health care systems. In Canada, many telehealth projects are taking place, mostly targeting rural, remote or isolated populations. So far, various telehealth applications have been implemented and have shown promising outcomes. However, telehealth utilisation remains limited in many settings, despite increased availability of technology and telecommunication infrastructure. A qualitative field study was conducted in four remote regions of Quebec (Canada) to explore perceptions of physicians and managers regarding the impact of telehealth on clinical practice and the organisation of health care services, as well as the conditions for improving telehealth implementation. A total of 54 respondents were interviewed either individually or in small groups. Content analysis of interviews was performed and identified several effects of telehealth on remote medical practice as well as key conditions to ensure the success of telehealth implementation. According to physicians and managers, telehealth benefits include better access to specialised services in remote regions, improved continuity of care, and increased availability of information. Telehealth also improves physicians' practice by facilitating continuing medical education, contacts with peers, and access to a second opinion. At the hospital and health region levels, telehealth has the potential to support the development of regional reference centres, favour retention of local expertise, and save costs. Conditions for successful implementation of telehealth networks include the participation of clinicians in decision-making, the availability of dedicated human and material resources, and a planned diffusion strategy. Interviews with physicians and managers also highlighted the importance of considering

Implementing telehealth to support medical practice in rural/remote regions: what are the conditions for success?

Directory of Open Access Journals (Sweden)

Duplantie Julie

2006-08-01

Full Text Available Abstract Background Telehealth, as other information and communication technologies (ICTs introduced to support the delivery of health care services, is considered as a means to answer many of the imperatives currently challenging health care systems. In Canada, many telehealth projects are taking place, mostly targeting rural, remote or isolated populations. So far, various telehealth applications have been implemented and have shown promising outcomes. However, telehealth utilisation remains limited in many settings, despite increased availability of technology and telecommunication infrastructure. Methods A qualitative field study was conducted in four remote regions of Quebec (Canada to explore perceptions of physicians and managers regarding the impact of telehealth on clinical practice and the organisation of health care services, as well as the conditions for improving telehealth implementation. A total of 54 respondents were interviewed either individually or in small groups. Content analysis of interviews was performed and identified several effects of telehealth on remote medical practice as well as key conditions to ensure the success of telehealth implementation. Results According to physicians and managers, telehealth benefits include better access to specialised services in remote regions, improved continuity of care, and increased availability of information. Telehealth also improves physicians' practice by facilitating continuing medical education, contacts with peers, and access to a second opinion. At the hospital and health region levels, telehealth has the potential to support the development of regional reference centres, favour retention of local expertise, and save costs. Conditions for successful implementation of telehealth networks include the participation of clinicians in decision-making, the availability of dedicated human and material resources, and a planned diffusion strategy. Interviews with physicians and

40 CFR 109.5 - Development and implementation criteria for State, local and regional oil removal contingency plans.

Science.gov (United States)

2010-07-01

... regional oil removal contingency plans. Criteria for the development and implementation of State, local and... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Development and implementation criteria for State, local and regional oil removal contingency plans. 109.5 Section 109.5 Protection of...

A GPU Implementation of Local Search Operators for Symmetric Travelling Salesman Problem

Directory of Open Access Journals (Sweden)

Juraj Fosin

2013-06-01

Full Text Available The Travelling Salesman Problem (TSP is one of the most studied combinatorial optimization problem which is significant in many practical applications in transportation problems. The TSP problem is NP-hard problem and requires large computation power to be solved by the exact algorithms. In the past few years, fast development of general-purpose Graphics Processing Units (GPUs has brought huge improvement in decreasing the applications’ execution time. In this paper, we implement 2-opt and 3-opt local search operators for solving the TSP on the GPU using CUDA. The novelty presented in this paper is a new parallel iterated local search approach with 2-opt and 3-opt operators for symmetric TSP, optimized for the execution on GPUs. With our implementation large TSP problems (up to 85,900 cities can be solved using the GPU. We will show that our GPU implementation can be up to 20x faster without losing quality for all TSPlib problems as well as for our CRO TSP problem.

Implementation of energy-saving policies in China: How local governments assisted industrial enterprises in achieving energy-saving targets

International Nuclear Information System (INIS)

Zhao, Xiaofan; Li, Huimin; Wu, Liang; Qi, Ye

2014-01-01

Local governments have replaced the national ministries that are in charge of various industries to become the primary implementer of energy-saving policies in China since 2000. This paper employs a case study-based approach to demonstrate the significance of local governments’ policy measures in assisting industrial enterprises with energy-saving activities in China. Based on the longitudinal case of the Jasmine Thermal Electric Power Company, this paper hypothesizes that sub-national governments have played a major role in implementing energy-saving policies in China since the 11th Five-year-plan period. A wide range of provincial and municipal agencies collaborated in implementing five types of policy measures – informational policy, skill building, improved enforcement of central directives, price adjustment, and funding – that reduced barriers to energy saving and motivated active pursuit of energy-saving activities at industrial enterprises. The case study demonstrates how an enterprise and local governments work together to achieve the enterprise's energy-saving target. The authors will investigate the hypothesis of this paper in the context of multiple case studies that they plan to undertake in the future. - Highlights: • We employ a case study-based approach to study policy implementation in China. • Local governments have played a major role in implementing energy-saving policies. • Local public agencies collaborated in implementing five types of policy measures. • Local policy measures reduced barriers to energy saving at industrial enterprises. • Enterprises and local governments work together to achieve energy-saving targets

A Training Intervention for Supervisors to Support a Work-Life Policy Implementation

Directory of Open Access Journals (Sweden)

Naima Laharnar

2013-09-01

Conclusion: CBT is an effective strategy to increase supervisors' knowledge and awareness to support policy implementation. The lack of supervisor training and knowledge of an important but complex employee benefit exposes a serious impediment to effective policy implementation and may lead to negative outcomes for the organization and the employee, supporting the Ryan-Kossek model. The results further demonstrate that long-time employees need supplementary training on complex workplace policies such as FMLA.

An Efficient Local Correlation Matrix Decomposition Approach for the Localization Implementation of Ensemble-Based Assimilation Methods

Science.gov (United States)

Zhang, Hongqin; Tian, Xiangjun

2018-04-01

Ensemble-based data assimilation methods often use the so-called localization scheme to improve the representation of the ensemble background error covariance (Be). Extensive research has been undertaken to reduce the computational cost of these methods by using the localized ensemble samples to localize Be by means of a direct decomposition of the local correlation matrix C. However, the computational costs of the direct decomposition of the local correlation matrix C are still extremely high due to its high dimension. In this paper, we propose an efficient local correlation matrix decomposition approach based on the concept of alternating directions. This approach is intended to avoid direct decomposition of the correlation matrix. Instead, we first decompose the correlation matrix into 1-D correlation matrices in the three coordinate directions, then construct their empirical orthogonal function decomposition at low resolution. This procedure is followed by the 1-D spline interpolation process to transform the above decompositions to the high-resolution grid. Finally, an efficient correlation matrix decomposition is achieved by computing the very similar Kronecker product. We conducted a series of comparison experiments to illustrate the validity and accuracy of the proposed local correlation matrix decomposition approach. The effectiveness of the proposed correlation matrix decomposition approach and its efficient localization implementation of the nonlinear least-squares four-dimensional variational assimilation are further demonstrated by several groups of numerical experiments based on the Advanced Research Weather Research and Forecasting model.

“In Accordance with Local Conditions”: Policy Design and Implementation of Agrarian Change Policies in Rural China

Directory of Open Access Journals (Sweden)

René Trappel

2016-01-01

Full Text Available An important part of Beijing’s strategy to reduce the welfare gap between urban and rural parts of China has been the promotion of urbanisation. Replacing peasant agriculture with commercial operations of scale is an integral part of this endeavour. This article analyses the implementation of policies meant to transform the structure of Chinese agriculture. It argues that the central government is using a set of very flexible policies, project-based implementation and adaption to local conditions to guide and support an existing dynamic of structural transformation in agriculture. Local governments, in turn, appreciate the flexibility, the political predictability, the potential revenue improvements and the cognitive framework inherent in these programmes. The article is primarily based on interviews with leading cadres at the township and county levels in the provinces of Shandong, Sichuan and Guizhou between 2008 and 2010.

Mindfully implementing simulation tools for supporting pragmatic design inquiries

NARCIS (Netherlands)

Hartmann, Timo; olde Scholtenhuis, Léon Luc; Zerjav, Vedran; Champlin, Carissa J

2015-01-01

Based upon a conceptualization of the engineering design process as pragmatic inquiry, this paper introduces a framework for supporting designers and design managers with a better understanding of the trade-offs required for a successful implementation of simulation tools. This framework contributes

Implementing e-network-supported inquiry learning in science

DEFF Research Database (Denmark)

Williams, John; Cowie, Bronwen; Khoo, Elaine

2013-01-01

The successful implementation of electronically networked (e-networked) tools to support an inquiry-learning approach in secondary science classrooms is dependent on a range of factors spread between teachers, schools, and students. The teacher must have a clear understanding of the nature......-construct knowledge using a wide range of resources for meaning making and expression of ideas. These outcomes were, however, contingent on the interplay of teacher understanding of the nature of science inquiry and school provision of an effective technological infrastructure and support for flexible curriculum...... of inquiry, the school must provide effective technological infrastructure and sympathetic curriculum parameters, and the students need to be carefully scaffolded to the point of engaging with the inquiry process. Within this study, e-networks supported students to exercise agency, collaborate, and co...

Elusive Implementation

DEFF Research Database (Denmark)

Heering Holt, Ditte; Rod, Morten Hulvej; Waldorff, Susanne Boch

2018-01-01

in health. However, despite growing support for intersectoral policymaking, implementation remains a challenge. Critics argue that public health has remained naïve about the policy process and a better understanding is needed. Based on ethnographic data, this paper conducts an in-depth analysis of a local......: On the basis of an explorative study among ten Danish municipalities, we conducted an ethnographic study of the development of a municipal-wide implementation strategy for the intersectoral health policy of a medium-sized municipality. The main data sources consist of ethnographic field notes from participant...

Local bureaucrats as bricoleurs. The everyday implementation practices of county environment officers in rural Kenya

Directory of Open Access Journals (Sweden)

Mikkel Funder

2015-03-01

Full Text Available Bricolage in natural resource governance takes place through the interplay of a variety of actors. This article explores the practices of a group whose agency as bricoleurs has received little attention, namely the government officers who represent the state in the everyday management of water, land, forests and other resources across rural Africa. Specifically we examine how local Environment Officers in Taita Taveta County in Kenya go about implementing the national environmental law on the ground, and how they interact with communities in this process. As representatives of “the local state”, the Environment Officers occupy an ambiguous position in which they are expected to implement lofty laws and policies with limited means and in a complex local reality. In response to this they employ three key practices, namely (i working through personal networks, (ii tailoring informal agreements, and (iii delegating public functions and authority to civil society. As a result, the environmental law is to a large extent implemented through a blend of formal and informal rules and governance arrangements, produced through the interplay of the Environment Officers, communities and other local actors.

Why do local communities support or oppose seawater desalination?

Science.gov (United States)

Mirza Ordshahi, B.; Heck, N.; Faraola, S.; Paytan, A.; Haddad, B.; Potts, D. C.

2016-12-01

Freshwater shortages have become a global problem due to increasing water consumption and environmental changes which are reducing the reliability of traditional water resources. One option to address water shortages in coastal areas is the use of seawater desalination. Desalination technology is particularly valued for the production of high quality drinking water and consistent production. However, seawater desalination is controversial due to potential environmental, economic, and societal impacts and lack of public support for this water supply method. Compared to alternative potable water production methods, such as water recycling, little is known about public attitudes towards seawater desalination and factors that shape local support or rejection. Our research addresses this gap and explores variables that influence support for proposed desalination plants in the Monterey Bay region, where multiple facilities have been proposed in recent years. Data was collected via a questionnaire-based survey among a random sample of coastal residents and marine stakeholders between June-July, 2016. Findings of the study identify the influence of socio-demographic variables, knowledge about desalination, engagement in marine activities, perception of the environmental context, and the existence of a National Marine Sanctuary on local support. Research outcome provide novel insights into public attitudes towards desalination and enhances our understanding of why communities might support or reject this water supply technology.

Implementing China`s Agenda 21: From National Strategy to Local Actions

Energy Technology Data Exchange (ETDEWEB)

Gan, Lin

1998-12-01

This report analyses the process of adaptation of the Chinese governmental policy in response to sustainable development. It reviews the historical roots from which response to sustainable development arises. By examining the policy-making and implementation processes of China`s Agenda 21, the author studies (1) the dynamic forces that contribute to the establishment of the national and regional Agenda 21 and the relationships between different institutional preferences, arrangements and their obstacles, (2) the driving forces that pro-active responses to implement Agenda 21 projects, and the role of local governments in the process, (3) the relationship between international environmental aid and national capacity building for the environment, (4) the obstacles and conflicting interests that limit the implementation of Agenda 21 and sustainable development in China. 22 refs., 2 tabs.

Supporting Parent Engagement in Programme-Wide Behavioural Intervention Implementation

Science.gov (United States)

Cummings, Katrina P.

2017-01-01

Positive behaviour intervention and support (PBIS) models are evolving as an effective means to promote social and emotional competence among young children and address challenging behaviours. This study was designed to gain insights into parental involvement in programme-wide implementation of the "Pyramid" model. Interviews were…

Implementing European climate adaptation policy. How local policymakers react to European policy

Directory of Open Access Journals (Sweden)

Thomas Hartmann

2015-04-01

Full Text Available EU policy and projects have an increasing influence on policymaking for climate adaptation. This is especially evident in the development of new climate adaptation policies in transnational city networks. Until now, climate adaptation literature has paid little attention to the influence that these EU networks have on the adaptive capacity in cities. This paper uses two Dutch cities as an empirical base to evaluate the influence of two EU climate adaptation projects on both the experience of local public officials and the adaptive capacity in the respective cities. The main conclusion is that EU climate adaptation projects do not automatically lead to an increased adaptive capacity in the cities involved. This is due to the political opportunistic use of EU funding, which hampers the implementation of climate adaptation policies. Furthermore, these EU projects draw attention away from local network building focused on the development and implementation of climate adaptation policies. These factors have a negative cumulative impact on the performance of these transnational policy networks at the adaptive capacity level in the cities involved. Therefore, in order to strengthen the adaptive capacity in today’s European cities, a context-specific, integrative approach in urban planning is needed at all spatial levels. Hence, policy entrepreneurs should aim to create linkage between the issues in the transnational city network and the concerns in local politics and local networks.

Implementation of Auctions for Renewable Energy Support in Poland: a Case Study

DEFF Research Database (Denmark)

Kitzing, Lena; Wendring, Paul

This report deals with the planned implementation of auctions for Renewable Energy support in Poland from 2016 onwards. The report focuses on the implementation process and provides the necessary background information. Furthermore the planned auction design is described and discussed both from...... criteria, of appropriate auction formats and suitable design elements for RES auctions, as well as the analysis of past auction implementations....

Instruments for implementation of Local Agenda 21 in Borsod-Abauj-Zemplen County in Hungary

Energy Technology Data Exchange (ETDEWEB)

Avar, B.; Domaradzka, M.; Goettinger, P.; Loncsar, K.; Majlathova, L.; Monteiro, S.C.; Solti, E. [Environmental Management and Policy Workgroup, Kossuth Lajos University, Debrecen (Hungary)

1999-04-01

The aim of this project is to contribute to the Local Agenda 21 concept in regional development. The overall objective of the report is to formulate a bridge between actors playing their role on different levels, vertical and horizontal integration of different European Union and national development and strategies. It also can be worded as to draw a multi-folded picture and give recommendations about the implementation of the principles of Local Agenda 21 in regional development processes in the Borsod-Abauj-Zemplen County in Hungary. In order to reach this goal this report aims to serve as a tool for better understanding and provide better information and communication between different levels of actors on this field. In order to fulfil the task described above the main objectives of the research are the followings: the report has an overview and evaluation of the present state of regional development activities in terms of county and sub-regional strategies, programmes and their implementation. Identification of gaps in the implementation phase serves as a base for better understanding the reasons behind them. On the base of conclusions from case studies surveyed a set of tools and instruments can be recommended in order to find possible solutions for the gaps and to improve not only the quality of implementation at local level but also for national and county level responsible. The report aims to define ways of improvement of regional strategies to provide better interaction mainly between the different levels of playing field. For county level it is aimed to elaborate ways of improvement to get closer the real needs and possibilities to local level especially in the field of communication and co-operation. For local level, building a potential to fulfil its needs by better use of resources, improvement of their potential in strategical levels is a first priority. In order to achieve the improvement of quality of life, economic situation, chance of employment

Instructional support and implementation structure during elementary teachers' science education simulation use

Science.gov (United States)

Gonczi, Amanda L.; Chiu, Jennifer L.; Maeng, Jennifer L.; Bell, Randy L.

2016-07-01

This investigation sought to identify patterns in elementary science teachers' computer simulation use, particularly implementation structures and instructional supports commonly employed by teachers. Data included video-recorded science lessons of 96 elementary teachers who used computer simulations in one or more science lessons. Results indicated teachers used a one-to-one student-to-computer ratio most often either during class-wide individual computer use or during a rotating station structure. Worksheets, general support, and peer collaboration were the most common forms of instructional support. The least common instructional support forms included lesson pacing, initial play, and a closure discussion. Students' simulation use was supported in the fewest ways during a rotating station structure. Results suggest that simulation professional development with elementary teachers needs to explicitly focus on implementation structures and instructional support to enhance participants' pedagogical knowledge and improve instructional simulation use. In addition, research is needed to provide theoretical explanations for the observed patterns that should subsequently be addressed in supporting teachers' instructional simulation use during professional development or in teacher preparation programs.

Implementation of a tobacco-free workplace program at a local mental health authority.

Science.gov (United States)

Correa-Fernández, Virmarie; Wilson, William T; Shedrick, Deborah A; Kyburz, Bryce; L Samaha, Hannah; Stacey, Timothy; Williams, Teresa; Lam, Cho Y; Reitzel, Lorraine R

2017-06-01

Tobacco-free workplace policies that incorporate evidence-based practices can increase the reach and effectiveness of tobacco dependence treatment among underserved populations but may be underutilized due to limited knowledge about implementation processes. This paper describes the implementation of a comprehensive tobacco-free workplace program at a behavioral healthcare community center in Texas. The center participated in a tobacco-free workplace program implementation project that provided guidance and resources and allowed center autonomy in implementation. Six employee-based subcommittees guided implementation of program components including consumer and staff surveys, policy development, signage, tobacco use assessments, communication, and nicotine replacement distribution. Timeline development, successes, challenges, lessons learned, and sustainability initiatives are delineated. Concerns about the tobacco-free workplace policy from the center's staff and consumers were gradually replaced by strong support for the initiative. Program success was enabled by consistent support from the center's leadership, publicity of program efforts, and educational campaigns. The center surpassed the program expectations when it adopted a tobacco-free hiring policy, which was not an initial program goal. This center's path to a tobacco-free workplace provides an implementation and sustainability model for other behavioral health community centers and other organizations to become tobacco free.

Using satellite-based rainfall data to support the implementation of ...

African Journals Online (AJOL)

2009-10-30

Oct 30, 2009 ... of environmental water requirements in South Africa ... The methods currently available in South Africa to implement environmental flows are based on ..... B and TENTE T (2009) Decision support system for the Berg River.

Performing Compliance: The Work of Local Policy Workers during the Implementation of National Health Promotion Guidelines

Science.gov (United States)

Wimmelmann, Camila Lawaetz

2017-01-01

Guidelines are increasingly used to regulate how local authorities engage in practices. Focusing on the Danish national health promotion guidelines, this article reveals that the local policy workers did not implement the guidelines as proposed. Using a dramaturgical framework, it illustrates how the local policy workers front-staged some…

Promoting energy efficiency: supporting Public Administration and Local Bodies

International Nuclear Information System (INIS)

Fasano, G.; Manila, E.

2008-01-01

ENEAS's institutional tasks include technical and scientific support to Public Administration and Local Bodies in the field of energy. Recently such a role has been strengthened by setting up the Agency for Energy Efficiency which ENEA is responsible for [it

Building multidisciplinary health workforce capacity to support the implementation of integrated, people-centred Models of Care for musculoskeletal health.

Science.gov (United States)

Chehade, M J; Gill, T K; Kopansky-Giles, D; Schuwirth, L; Karnon, J; McLiesh, P; Alleyne, J; Woolf, A D

2016-06-01

To address the burden of musculoskeletal (MSK) conditions, a competent health workforce is required to support the implementation of MSK models of care. Funding is required to create employment positions with resources for service delivery and training a fit-for-purpose workforce. Training should be aligned to define "entrustable professional activities", and include collaborative skills appropriate to integrated and people-centred care and supported by shared education resources. Greater emphasis on educating MSK healthcare workers as effective trainers of peers, students and patients is required. For quality, efficiency and sustainability of service delivery, education and research capabilities must be integrated across disciplines and within the workforce, with funding models developed based on measured performance indicators from all three domains. Greater awareness of the societal and economic burden of MSK conditions is required to ensure that solutions are prioritised and integrated within healthcare policies from local to regional to international levels. These healthcare policies require consumer engagement and alignment to social, economic, educational and infrastructure policies to optimise effectiveness and efficiency of implementation. Copyright © 2016 Elsevier Ltd. All rights reserved.

SO2 NAAQS Implementation Training and Assistance for State and Local Air Agencies

Science.gov (United States)

Presentations and training help air agencies understand the National Ambient Air Quality Standards (NAAQS) for sulfur dioxide, how to engage the public in local emissions reduction programs, successful state implementation plan (SIP) development, and more.

Three Hundred Sixty Degree Feedback: program implementation in a local health department.

Science.gov (United States)

Swain, Geoffrey R; Schubot, David B; Thomas, Virginia; Baker, Bevan K; Foldy, Seth L; Greaves, William W; Monteagudo, Maria

2004-01-01

Three Hundred Sixty Degree Feedback systems, while popular in business, have been less commonly implemented in local public health agencies. At the same time, they are effective methods of improving employee morale, work performance, organizational culture, and attainment of desired organizational outcomes. These systems can be purchased "off-the-shelf," or custom applications can be developed for a better fit with unique organizational needs. We describe the City of Milwaukee Health Department's successful experience customizing and implementing a 360-degree feedback system in the context of its ongoing total quality improvement efforts.

Getting to uptake: do communities of practice support the implementation of evidence-based practice?

Science.gov (United States)

Barwick, Melanie A; Peters, Julia; Boydell, Katherine

2009-02-01

Practitioners are increasingly encouraged to adopt evidence-based practices (EBP) leading to a need for new knowledge translation strategies to support implementation and practice change. This study examined the benefits of a community of practice in the context of Ontario's children's mental health sector where organizations are mandated to adopt a standardized outcome measure to monitor client response to treatment. Readiness for change, practice change, content knowledge, and satisfaction with and use of implementation supports were examined among practitioners newly trained on the measure who were randomly assigned to a community of practice (CoP) or a practice as usual (PaU) group. CoP practitioners attended 6 sessions over 12 months; PaU practitioners had access to usual implementation supports. Groups did not differ on readiness for change or reported practice change, although CoP participants demonstrated greater use of the tool in practice, better content knowledge and were more satisfied with implementation supports than PaU participants. CoPs present a promising model for translating EBP knowledge and promoting practice change in children's mental health that requires further study.

Improving implementation of the smoking cessation guidelines with pregnant women: How to support clinicians?

Science.gov (United States)

Longman, Jo M; Adams, Catherine M; Johnston, Jennifer J; Passey, Megan E

2018-03-01

this study aimed to explore the enablers and barriers to implementation of the Australian smoking cessation in pregnancy guidelines. These guidelines direct clinicians to follow the 5As of cessation: Ask, Advise, Assess, Assist and Arrange follow-up. semi-structured interviews based on the Theoretical Domains Framework (TDF) elicited clinicians' views and experiences of implementing the guidelines. antenatal care in the NSW public health system. 27 maternity service managers, obstetricians and midwives. participants confirmed that implementation of the smoking cessation guidelines was sub-optimal. This was particularly the case with Assist and Arrange follow up at the initial visit, and with following any of the 5As at subsequent visits. Key barriers included systems which did not support implementation or monitoring, lack of knowledge, skills and training, perceived time restrictions, 'difficult conversations' and perceiving smoking as a social activity. Enablers included clinicians' knowledge of the harms of smoking in pregnancy, clinicians' skills in communicating with pregnant women, positive emotions, professional role and identity, the potential of training and of champions to influence practice, and systems that regulated behaviour. these findings will contribute to the development of a multifaceted intervention to support clinicians in implementing the guidelines. Building on existing strengths, antenatal care providers may be supported in implementing the guidelines by working with systems which remind and support implementation, the clear reframing of smoking as an addiction, knowledge and skills development and by realizing the potential of leadership to maximise the impact of reinforcement and social influence. Copyright © 2018 Elsevier Ltd. All rights reserved.

High-frequency asymptotics of the local vertex function. Algorithmic implementations

Energy Technology Data Exchange (ETDEWEB)

Tagliavini, Agnese; Wentzell, Nils [Institut fuer Theoretische Physik, Eberhard Karls Universitaet, 72076 Tuebingen (Germany); Institute for Solid State Physics, Vienna University of Technology, 1040 Vienna (Austria); Li, Gang; Rohringer, Georg; Held, Karsten; Toschi, Alessandro [Institute for Solid State Physics, Vienna University of Technology, 1040 Vienna (Austria); Taranto, Ciro [Institute for Solid State Physics, Vienna University of Technology, 1040 Vienna (Austria); Max Planck Institute for Solid State Research, D-70569 Stuttgart (Germany); Andergassen, Sabine [Institut fuer Theoretische Physik, Eberhard Karls Universitaet, 72076 Tuebingen (Germany)

2016-07-01

Local vertex functions are a crucial ingredient of several forefront many-body algorithms in condensed matter physics. However, the full treatment of their frequency dependence poses a huge limitation to the numerical performance. A significant advancement requires an efficient treatment of the high-frequency asymptotic behavior of the vertex functions. We here provide a detailed diagrammatic analysis of the high-frequency asymptotic structures and their physical interpretation. Based on these insights, we propose a frequency parametrization, which captures the whole high-frequency asymptotics for arbitrary values of the local Coulomb interaction and electronic density. We present its algorithmic implementation in many-body solvers based on parquet-equations as well as functional renormalization group schemes and assess its validity by comparing our results for the single impurity Anderson model with exact diagonalization calculations.

Achieving local support for a low-level radioactive waste disposal facility in Illinois

International Nuclear Information System (INIS)

Kerr, T.A.; Seidler, P.E.

1989-01-01

This paper discusses how Illinois is progressing toward the goal of having a new low-level radioactive waste (LLW) disposal facility in operation by the federally mandated milestone of January 1, 1993. To accomplish this task, Illinois has adopted a voluntary siting process. The voluntary siting process will be successful by definition only if a high level of local support can be achieved and sustained. A strong public participation program in conjunction with a comprehensive information and education program is essential to fostering the necessary local support. Many other elements are also needed throughout this process. The Illinois Department of Nuclear Safety (IDNS) has found that making grants to local governments, awarding scholarships for area students, enacting a comprehensive system of legislation and regulations, explaining the site identification and characterization program, describing facility design features, practicing a strong policy of buying and hiring locally, maintaining good relationships with local news media and building trust through personal relationships have all greatly contributed to support for the LLW program in the potential host communities

Implementing Local Climate Change Adaptation and Mitigation Actions: The Role of Various Policy Instruments in a Multi-Level Governance Context

Directory of Open Access Journals (Sweden)

E. Carina H. Keskitalo

2016-01-01

Full Text Available Recently, considerable focus, e.g., in the fifth IPCC (Intergovernmental Panel on Climate Change Assessment Report (2014 has been trained on why adaptation and mitigation have not been developed more than at present, with relatively few local government actions taken compared with, for example, more discursive policy agreement on the importance of the issue of climate change. Going beyond a focus on general limits and barriers, this comment suggests that one important issue is that climate change has not yet been sufficiently integrated into the state regulative structure of legislation and policy-making. A comparison between three cases suggests that local developments that are not supported in particular by binding regulation are unlikely to achieve the same general level of implementation as issues for which such regulative demands (and thereby also requirements for prioritization exist. This constitutes an important consideration for the development of adaptation and mitigation as policy areas, including on the local level.

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.

Planning for transit-supportive development : a practitioner's guide. Section 5 : local planning and transit-supportive development.

Science.gov (United States)

2014-06-01

Planning for Transit-Supportive Development: A Practitioners Guide is a toolkit of practical and innovative measures to help : Metropolitan Planning Organizations (MPOs), regional planners, transit agencies, and local government elected o...

Planning support concept to implementation of sustainable parking development projects in ancient Mediterranean cities

Directory of Open Access Journals (Sweden)

Nikša Jajac

2014-12-01

Full Text Available This paper proposes a planning support concept (PSC to implementation of sustainable parking development projects (SPDP in ancient Mediterranean cities. It is conceptualized by the logic of decision support systems and a multicriteria analysis approach. The purpose of the concept is to support setting of implementation priorities for subprojects (construction of new and/or improvement of existing parking within a SPDP. Analysing the existing and a planned state of parking within the city a goal tree is established. Subprojects are defined accordingly. Objectives from the last hierarchy level within the goal tree are used as criteria for assessment of defined subprojects. Representatives of stakeholders provided criteria weights by application of AHP and SAW methods. PROMETHEE II was used for priority ranking and PROMETHEE V ensured a definition of project’s implementation phases. The result of the presented concept is the implementation plan for such projects. The concept is tested on the city of Trogir.

Informing the Implementation of School-Wide Positive Behaviour Support in Singapore Preschools

OpenAIRE

LILY HUI SING LAU

2017-01-01

This thesis sought to inform the implementation of School-Wide Positive Behaviour Support (SWPBS) in Singapore preschools. Findings indicated that SWPBS implementation is likely to be perceived as needed by teachers, and that there is a need to focus on training teachers in SWPBS primary tier classroom management practices when SWPBS is implemented. Additionally, the Classroom Check-Up consultation model was shown to be a promising coaching model to be included in SWPBS training. A major cont...

An efficient implementation of maximum likelihood identification of LTI state-space models by local gradient search

NARCIS (Netherlands)

Bergboer, N.H.; Verdult, V.; Verhaegen, M.H.G.

2002-01-01

We present a numerically efficient implementation of the nonlinear least squares and maximum likelihood identification of multivariable linear time-invariant (LTI) state-space models. This implementation is based on a local parameterization of the system and a gradient search in the resulting

NASA Supportability Engineering Implementation Utilizing DoD Practices and Processes

Science.gov (United States)

Smith, David A.; Smith, John V.

2010-01-01

The Ares I design and development program made the determination early in the System Design Review Phase to utilize DoD ILS and LSA approach for supportability engineering as an integral part of the system engineering process. This paper is to provide a review of the overall approach to design Ares-I with an emphasis on a more affordable, supportable, and sustainable launch vehicle. Discussions will include the requirements development, design influence, support concept alternatives, ILS and LSA planning, Logistics support analyses/trades performed, LSA tailoring for NASA Ares Program, support system infrastructure identification, ILS Design Review documentation, Working Group coordination, and overall ILS implementation. At the outset, the Ares I Project initiated the development of the Integrated Logistics Support Plan (ILSP) and a Logistics Support Analysis process to provide a path forward for the management of the Ares-I ILS program and supportability analysis activities. The ILSP provide the initial planning and coordination between the Ares-I Project Elements and Ground Operation Project. The LSA process provided a system engineering approach in the development of the Ares-I supportability requirements; influence the design for supportability and development of alternative support concepts that satisfies the program operability requirements. The LSA planning and analysis results are documented in the Logistics Support Analysis Report. This document was required during the Ares-I System Design Review (SDR) and Preliminary Design Review (PDR) review cycles. To help coordinate the LSA process across the Ares-I project and between programs, the LSA Report is updated and released quarterly. A System Requirement Analysis was performed to determine the supportability requirements and technical performance measurements (TPMs). Two working groups were established to provide support in the management and implement the Ares-I ILS program, the Integrated Logistics

Developing the Capacity to Implement Tier 2 and Tier 3 Supports: How Do We Support Our Faculty and Staff in Preparing for Sustainability?

Science.gov (United States)

Oakes, Wendy Peia; Lane, Kathleen Lynne; Germer, Kathryn A.

2014-01-01

School-site and district-level leadership teams rely on the existing knowledge base to select, implement, and evaluate evidence-based practices meeting students' multiple needs within the context of multitiered systems of support. The authors focus on the stages of implementation science as applied to Tier 2 and Tier 3 supports; the…

Safety assessment to support NUE fuel full core implementation in CANDU reactors

Energy Technology Data Exchange (ETDEWEB)

Fan, H.Z.; Laurie, T.; Siddiqi, A.; Li, Z.P.; Rouben, D.; Zhu, W.; Lau, V.; Cottrell, C.M. [CANDU Energy Inc., Mississauga, Ontario (Canada)

2013-07-01

The Natural Uranium Equivalent (NUE) fuel contains a combination of recycled uranium and depleted uranium, in such a manner that the resulting mixture is similar to the natural uranium currently used in CANDU® reactors. Based on successful preliminary results of 24 bundles of NUE fuel demonstration irradiation in Qinshan CANDU 6 Unit 1, the NUE full core implementation program has been developed in cooperation with the Third Qinshan Nuclear Power Company and Candu Energy Inc, which has recently received Chinese government policy and funding support from their National-Level Energy Innovation program. This paper presents the safety assessment results to technically support NUE fuel full core implementation in CANDU reactors. (author)

Australian smokers' support for plain or standardised packs before and after implementation: findings from the ITC Four Country Survey.

Science.gov (United States)

Swift, Elena; Borland, Ron; Cummings, K Michael; Fong, Geoffrey T; McNeill, Ann; Hammond, David; Thrasher, James F; Partos, Timea R; Yong, Hua-Hie

2015-11-01

Plain packaging (PP) for tobacco products was fully implemented in Australia on 1 December 2012 along with larger graphic health warnings. Using longitudinal data from the Australian arm of the ITC Four Country Survey, we examined attitudes to the new packs before and after implementation, predictors of attitudinal change, and the relationship between support and quitting activity. A population-based cohort study design, with some cross-sectional analyses. Surveys of Australian smokers assessed attitudes to PP at four time points prior to implementation (from 2007 to 2012) and one post-implementation wave collected (early/mid-2013). Trend analysis showed a slight rise in opposition to PP among smokers in the waves leading up to their implementation, but no change in support. Support for PP increased significantly after implementation (28.2% pre vs 49% post), such that post-PP more smokers were supportive than opposed (49% vs 34.7%). Multivariate analysis showed support either before or after implementation was predicted by belief in greater adverse health impacts of smoking, desire to quit and lower addiction. Among those not supportive before implementation, having no clear opinion about PP (versus being opposed) prior to the changes also predicted support post-implementation. Support for PP was prospectively associated with higher levels of quitting activity. Since implementation of PP along with larger warnings, support among Australian smokers has increased. Support is related to lower addiction, stronger beliefs in the negative health impacts of smoking, and higher levels of quitting activity. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Implementation Of The Local Minimum Wage In Malang City (A Case Study in Malang City 2014

Directory of Open Access Journals (Sweden)

Dhea Candra Dewi Candra Dewi

2015-04-01

Full Text Available Wage system in a framework of how wages set and defined in order to improve the welfare of worker. The Indonesian government attempt to set a minimum wage in accordance with the eligibility standard of living. The study intend to analize the policy of Local Minimum Wage in Malang City in 2014, its implementation and constraining factors of those Local Minimum Wages. The research uses interactive model analysis as introduced by Miles and Hubermann [6] that consist of data collection, data reduction, data display, and conclusion. Constraining factors seen at the respond given by relevant actors to the policy such as employer organizations, worker unions, wage councils, and local government. Firstly, company as employer organization does not use wage scale system as suggested by the policy. Secondly, lack of communication forum between company and worker union sounds very high. Thirdly, inability of small and big companies to pay minimum standard wages. Lastly, disagreement and different opinion about wage scale applied between local wage council, employer organization and workers union that often occurs in tripartite communication forum.     Keywords: Employers Organization, Local Minimum Wage, Local Wage Council, Policy Implementation, Tripartite Communication forum, Workers Union.

Climate change adaptation among Tibetan pastoralists: challenges in enhancing local adaptation through policy support.

Science.gov (United States)

Fu, Yao; Grumbine, R Edward; Wilkes, Andreas; Wang, Yun; Xu, Jian-Chu; Yang, Yong-Ping

2012-10-01

While researchers are aware that a mix of Local Ecological Knowledge (LEK), community-based resource management institutions, and higher-level institutions and policies can facilitate pastoralists' adaptation to climate change, policy makers have been slow to understand these linkages. Two critical issues are to what extent these factors play a role, and how to enhance local adaptation through government support. We investigated these issues through a case study of two pastoral communities on the Tibetan Plateau in China employing an analytical framework to understand local climate adaptation processes. We concluded that LEK and community-based institutions improve adaptation outcomes for Tibetan pastoralists through shaping and mobilizing resource availability to reduce risks. Higher-level institutions and policies contribute by providing resources from outside communities. There are dynamic interrelationships among these factors that can lead to support, conflict, and fragmentation. Government policy could enhance local adaptation through improvement of supportive relationships among these factors. While central government policies allow only limited room for overt integration of local knowledge/institutions, local governments often have some flexibility to buffer conflicts. In addition, government policies to support market-based economic development have greatly benefited adaptation outcomes for pastoralists. Overall, in China, there are still questions over how to create innovative institutions that blend LEK and community-based institutions with government policy making.

SUPPORTS FOR LOCAL BREEDS IN THE EUROPEAN REGION – AN OVERVIEW

Directory of Open Access Journals (Sweden)

Danijela Bojkovski

2015-09-01

Full Text Available This study analysed the incentives for conservation of local breeds in 35 European countries, with the particular reference to the situation in Slovenia. In order to collect all necessary data in different countries, detailed questionnaire was developed and sent out to National coordinators for Animal Genetic Resources in the European Region. Data were edited and analysed using MS Excel program where basic descriptive statistics was performed to show differences among countries in incentive payments. Incentives for local breeds in Slovenia were paid from the Agri-environmental payments. The amount of payment for one livestock unit was 89.38 € per year. Subsidies for adult cattle and horses of local breeds were therefore 89.38 € per animal, while for pigs there were 44.69 € per animal and for sheep and goats 13.41 € per animal. Comparing data from different countries, the highest subsides were received for cattle ranging from 45 € to 520 € for bulls. From all 35 countries, 16 countries have subsidies for horses. Despite two breeds of sheep and one breed of goat in Slovenia highly endangered, the level of subsides for sheep and goats for local breeds included in the environmental payments were equal i.e., 13.41 € per animal. Compared to 21 countries reported the financial support for sheep, only two countries had lower support than in Slovenia. The EC Regulations can explain differences in payments where the Member States are free when determining the payments level. Another reason could be since out of 35 countries, eleven are not EU members. National coordinators from all countries agreed that financial support per head is very important tool for breed conservation and such a practice should be continued. However, the current level of support does not compensate loss of income due to lower productivity.

Local scale decision support systems - actual situation and trends for the future

International Nuclear Information System (INIS)

Govaerts, P.

1993-01-01

Based on the communications presented in the session on local scale decision support systems, some common trends for those models have been identified. During the last decade the evolutionary change of those models is related with the better insight in decisions to be taken with respect to interventions, the acceptance of large uncertainties, the perceived importance of social and economic factors and shift of the identity of the user. A more revolutionary change is predicted for the near future, putting most emphasis on the predictive mode, extending the integration of monitoring data in the decision support system, and the use of pre-established scenarios. The local scale decision support system will become the key module of the off-site emergency control room. (author)

Peace corps partnered health services implementation research in global health: opportunity for impact.

Science.gov (United States)

Dykens, Andrew; Hedrick, Chris; Ndiaye, Youssoupha; Linn, Annē

2014-09-01

, the contributions of each partner are as follows: the local community and health system leadership guides the work in consideration of local priorities and context; the Peace Corps provides logistical support, community expertise, and local trust; and the academic institutions offer professional technical and public health educational and training resources and research support. The Peace Corps offers the opportunity to enhance a community-academic partnership in LMICs through community-level guidance, logistical assistance, and research support for community based participatory primary health-care services implementation research that addresses local primary healthcare priorities.

The Effect of Economic Inflation on Local Public Library Support in Kentucky, 1967-1976.

Science.gov (United States)

Smith, Robert C.

This study was developed on the hypothesis that economic inflation reduced the purchasing power of local support for public libraries from 1967 through fiscal 1976. The total local support for public libraries in each county in each year of the study was adjusted from the reported nominal amount to the relative Consumer Price Index value of 1967…

Forms of Supporting Local Innovative Business Activity in European Countries

Directory of Open Access Journals (Sweden)

Oleksandr Fedirko

2017-04-01

Full Text Available The article investigates contemporary trends of innovation policy of European countries, describes the essence of contemporary mechanisms and tools for supporting local innovative development. The following most powerful tools for facilitating scientific and technical and innovative business activity are discovered: direct support of private R&D, financing of innovative enterprises, governmental and private cooperative scientific and research projects. A trend is identified for decreasing the share of institutional financing of R&D, and increasing of weight of competitive financing of academic institutions. A conclusion is made as for spreading of technologies commercialization processes support, especially on final stages thereof; the share of these has increased in respect of governmental programs focused on early stages of scientific and research projects. An insight is that within the last two decades the tools for facilitating local innovative business activities have been diversified in the EU: alongside with long-term collaborative governmental and private R&D and initiatives for developing innovative science intensive clusters, short-term tools have been significantly spread, such as innovation projects vouchers and science intensive start-ups support. Given that, it is established that traditionally developed toolkit for supporting small and medium enterprises is being complimented with scaled programs of large companies direct financing. A general trend is identified for increasing the weight of collaborative programs, while the share of individual subsidies and grants for R&D and that of companies innovative activity has substantially decreased. Higher effectiveness of start-ups facilitation measures is concluded, as well as that of venture investments, in comparison with individual subsidies. The leading role of start-ups in EU economy is determined by a range of advantages originating from dynamic process of formation thereof

The Transfer of Local Authority School Support Services to External Social Enterprises

Science.gov (United States)

Hatcher, Richard

2015-01-01

This paper explores an emerging and largely unresearched sector of the school education market, the transfer of local authority support services to external social enterprises. It locates these new social enterprises as a consequence of government strategies to reduce public spending, shrink local government and create competitive markets in…

Exploring Barriers to Implementing a School-Wide Positive Behavioral Intervention and Support Program

Science.gov (United States)

Gay, Ronald Lynn

2016-01-01

This study examined factors related to the implementation of a School Wide Positive Behavioral Intervention and Support (SWPBIS) program at a large middle school in the United States. Parent Teacher Student Association volunteers at the school reported that teacher fidelity to implementation of SWPBIS activities was inconsistent, threatening the…

Supporting FEI through innovation strategy implementation

DEFF Research Database (Denmark)

Aagaard, Annabeth

the ‘predictability’ of the discovery process/FEI ought to be an immediate priority area of investment for Pharma (Duyck, 2003). This paper explores how pharmaceutical front end innovation can be actively supported through the development and implementation of an innovation strategy. The empirical field......-year Ph.D. study the process of identifying, developing and integrating a targeted innovation corporate strategy and divisional action plans is examined and effects and results are evaluated and measured. The findings and key learnings from the study are presented as propositions of how innovation......, Steven & Burly, 2003, and Vernorn et al., 2008) and that innovation strategies play a central role in optimization of innovation (Clark & Wheelwright, 1995; Cottam et al., 2001; Morgan & Berthon, 2008). Cottam et al. (2001) stress that in order to maximize the benefits of previous innovations innovative...

Supports and Concerns for Teacher Professional Growth During the Implementation of a Science Curriculum Innovation

Science.gov (United States)

Peers, Cheryl (Shelley) E.; Diezmann, Carmel M.; Watters, James J.

2003-02-01

Internationally, considerable reform in science education is occurring which promotes constructivist philosophies and advocates constructivist-inspired pedagogical strategies that are new to many teachers. This paper reports on the supporting factors necessary for teacher professional growth and the issues of concern that were evident during one primary teacher''s successful implementation of a unit of work based on a draft of a new state-wide science syllabus which proposes such approaches. One researcher (CEP) provided guidance during the writing and implementation of the unit through professional development workshops complemented by ongoing collegial support. The analysis of the teacher''s practice reveals that professional growth required a willingness of the teacher to engage with change and modify his professional practice. The support factors for teacher growth consisted of an appropriate program of professional development, teacher understanding of the elements of the curriculum innovation, and successful experiences in implementing new approaches. In contrast, the issues of concern were: the adequacy of support for planning including the time required to understand the innovation and make changes to teaching practice; science equipment; teacher knowledge; classroom management strategies; and ways to cope with change. Understanding of these support factors and issues of concern is vital for the successful implementation of science curriculum innovations.

The researchers' role in knowledge translation: a realist evaluation of the development and implementation of diagnostic pathways for cancer in two United Kingdom localities.

Science.gov (United States)

Banks, Jon; Wye, Lesley; Hall, Nicola; Rooney, James; Walter, Fiona M; Hamilton, Willie; Gjini, Ardiana; Rubin, Greg

2017-12-13

In examining an initiative to develop and implement new cancer diagnostic pathways in two English localities, this paper evaluates 'what works' and examines the role of researchers in facilitating knowledge translation amongst teams of local clinicians and policy-makers. Using realist evaluation with a mixed methods case study approach, we conducted documentary analysis of meeting minutes and pathway iterations to map pathway development. We interviewed 14 participants to identify the contexts, mechanisms and outcomes (CMOs) that led to successful pathway development and implementation. Interviews were analysed thematically and four CMO configurations were developed. One site produced three fully implemented pathways, while the other produced two that were partly implemented. In explaining the differences, we found that a respected, independent, well-connected leader modelling partnership working and who facilitates a local, stable group that agree about the legitimacy of the data and project (context) can empower local teams to become sufficiently autonomous (mechanism) to develop and implement research-based pathways (outcome). Although both teams designed relevant, research-based cancer pathways, in the site where the pathways were successfully implemented the research team merely assisted, while, in the other, the research team drove the initiative. Based on our study findings, local stakeholders can apply local and research knowledge to develop and implement research-based pathways. However, success will depend on how academics empower local teams to create autonomy. Crucially, after re-packaging and translating research for local circumstances, identifying fertile environments with the right elements for implementation and developing collaborative relationships with local leaders, academics must step back.

Development and implementation of computerized operator support systems in nuclear installations

International Nuclear Information System (INIS)

1994-01-01

This report has been prepared to address the development and implementation of computerized operator support systems (COSS) in nuclear installations. The requirements of operators in information management and job performance in a control room environment are discussed. These requirements, which must be agreed to by the operators, provide a focus for the developers of COSS for implementation in an operational environment. The design methodology presents good practice approaches derived from the experience gained and the lessons learned during actual development of the COSS. The team concept, pilot study and structured step by step phases of software development and implementation should help COSS developers to achieve the level of quality and reliability required. 8 figs, 1 tab

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

Science.gov (United States)

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

2015-01-01

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

On the supporting implement of the pediatric radiography

International Nuclear Information System (INIS)

Sakakibara, Toshihiko; Takahashi, Ryokichi; Baba, Kazuo; Takegoshi, Ryoichi

1974-01-01

The exposure to radiation must be naturally taken into consideration. Especially, the x-ray diagnosis should be carefully done in infants, because the exposure dose must be decreased. In addition, it is to be desired that x-ray examination in infants should be done by a group who are practiced in the equipment and exposure technique, and well know the protection. From the point of dealing and protection of x-rays, it is important to use the supporting implements for x-ray diagnosis, especially in infants. (Namekawa, K.)

Establishing support groups for HIV-infected women: using experiences to develop guiding principles for project implementation.

Science.gov (United States)

Visser, Maretha J; Mundell, Jonathan P

2008-07-01

HIV-infected women need support to deal with their diagnosis as well as with the stigma attached to HIV. As part of their practical training, Master's-level psychology students negotiated with the staff of four clinics in townships in Tshwane, South Africa, to establish support groups for HIV+ women and offered to assist them in facilitating the groups. This study aimed to understand why the implementation of groups was successful in one clinic and not other clinics. The student reports on their experiences and interaction with clinic staff and clients were used as sources of data. Using qualitative data analysis, different dynamics and factors that could affect project implementation were identified in each clinic. The socio-ecological and systems theories were used to understand implementation processes and obstacles in implementation. The metaphor of building a bridge over a gorge was used to describe the different phases in and obstacles to the implementation of the intervention. Valuable lessons were learnt, resulting in the development of guiding principles for the implementation of support groups in community settings.

Individual Consumer Food Localism: A Review Anchored in Canadian Farmwomen's Reflections

Science.gov (United States)

McIntyre, Lynn; Rondeau, Krista

2011-01-01

Local food movements have emerged in many parts of Canada to support local farmers, sustain the regional food supply, encourage the consumption of healthier foods, and address environmental concerns associated with conventional agriculture. The implementation of food localism to date, however, has remained primarily the responsibility of…

Teacher and student supports for implementation of the NGSS

Science.gov (United States)

Severance, Samuel

Through three articles, this dissertation examines the use of supports for implementing the Next Generation Science Standards (NGSS) within a large urban school district. Article one, titled Organizing for Teacher Agency in Curricular Co-design, examines the need for coherent curriculum materials that teachers' had a meaningful role in shaping and how the use of a co-design approach and specific tools and routines can help to address this need. Article two, titled Relevant Learning and Student Agency within a Citizen Science Design Challenge, examines the need for curriculum materials that provide students with learning experiences they find relevant and that expands their sense of agency and how a curriculum centered around a community-based citizen science design challenge can help achieve such an aim. Article three, titled Implementation of a Novel Professional Development Program to Support Teachers' Understanding of Modeling, examines the need for professional development that builds teachers' understanding of and skill in engaging their students in the practice of developing and using models and how a novel professional development program, the Next Generation Science Exemplar, can aid teachers in this regard by providing them with carefully sequenced professional development activities and specific modeling tools for use in the classroom.

Provider-identified barriers and facilitators to implementing a supported employment program in spinal cord injury.

Science.gov (United States)

Cotner, Bridget A; Ottomanelli, Lisa; O'Connor, Danielle R; Trainor, John K

2018-06-01

In a 5-year study, individual placement and support (IPS) significantly increased employment rate of United States Veterans with spinal cord injury (SCI), a historically underemployed population. In a follow-up study, data on barriers and facilitators to IPS implementation were identified. Over 24 months of implementation, 82 key medical and vocational staff underwent semi-structured interviews (n = 130). Interviews were digitally recorded and qualitatively analyzed (ATLAS.ti v0.7) using a constant comparative method to generate themes. Some barriers to implementation occurred throughout the study, such as Veterans' lack of motivation and providers' difficulty integrating vocational and medical rehabilitation. Other barriers emerged at specific stages, for example, early barriers included a large geographic service area and a large patient caseload, and late barriers included need for staff education. Facilitators were mostly constant throughout implementation and included leadership support and successful integration of vocational staff into the medical care team. Implementation strategies need to be adjusted as implementation progresses and matures. The strategies that succeeded in this setting, which were situated in a real-world context of providing IPS as a part of SCI medical care, may inform implementation of IPS for other populations with physical disabilities. Implications for Rehabilitation Key facilitators to IPS in SCI implementation are integrating vocational staff with expertise in IPS and SCI on clinical rehabilitation teams and providing leadership support. Ongoing barriers to IPS in SCI include patient specific and program administration factors such as caseload size and staffing patterns. Varying implementation strategies are needed to address barriers as they arise and facilitate successful implementation.

Supporting farmers in maintaining and selecting seeds of local varieties

NARCIS (Netherlands)

Almekinders, C.J.M.; Louwaars, N.P.

2009-01-01

This book addresses strategies and approaches through which professionals can support informal seed supply, and link these with the conservation and use of the huge genetic resource base of crops and local varieties. The aim of all the strategies, case studies and reflections on experiences

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

Clinical Decision Support to Implement CYP2D6 Drug-Gene Interaction.

Science.gov (United States)

Caraballo, Pedro J; Parkulo, Mark; Blair, David; Elliott, Michelle; Schultz, Cloann; Sutton, Joseph; Rao, Padma; Bruflat, Jamie; Bleimeyer, Robert; Crooks, John; Gabrielson, Donald; Nicholson, Wayne; Rohrer Vitek, Carolyn; Wix, Kelly; Bielinski, Suzette J; Pathak, Jyotishman; Kullo, Iftikhar

2015-01-01

The level of CYP2D6 metabolic activity can be predicted by pharmacogenomic testing, and concomitant use of clinical decision support has the potential to prevent adverse effects from those drugs metabolized by this enzyme. Our initial findings after implementation of clinical decision support alerts integrated in the electronic health records suggest high feasibility, but also identify important challenges.

Local and regional greenhouse gas management

International Nuclear Information System (INIS)

Fleming, P.D.; Webber, P.H.

2004-01-01

This paper discusses the role of local government, working at both the local and regional level, to achieve substantial (greater than 20%) greenhouse gas emissions reductions. It identifies many different funding regimes and organisations supporting greenhouse gas emissions reductions and a lack of data with which to measure progress. The work in the East Midlands and in the City of Leicester are summarised and an evaluation of progress towards Leicester's target of 50% carbon dioxide (CO 2 ) emission reduction by 2025 based on 1990 is presented. Leicester's initiatives to reduce carbon emissions for the domestic and non-domestic sectors between 1996 and 1999 are analysed. Progress has been made in reducing the rate of rise in energy demand in Leicester and where energy efficiency activities have been concentrated, savings of 20-30% have been obtained. Significant CO 2 savings are achievable at the local and regional level, but the streamlining of support mechanisms for local authorities and a clearer national framework to support implementation are needed to enable all, rather than a few, UK local authorities to make progress

Implementing clinical decision support for primary care professionals – the process

DEFF Research Database (Denmark)

Kortteisto, Tiina; Komulainen, Jorma; Kunnamo, Ilkka

2012-01-01

implementation of eCDS requires time and repeated supportive input. Primary care professionals need time and training for adapting eCDS in their daily routine. In addition, the eCDS content should be tailored to fulfil different professionals’ information needs in primary care practice....

Building Systems for Successful Implementation of Function-Based Support in Schools

Science.gov (United States)

Anderson, Cynthia M.; Horner, Robert H.; Rodriguez, Billie Jo; Stiller, Brianna

2013-01-01

Supporting the full range of students with behavioral challenges requires that schools build the capacity to implement evidence-based behavioral interventions. Fortunately, a substantive body of research documents behavioral interventions are available to both decrease problem behavior and enhance prosocial skills. To date, however, this…

National strategy for suicide prevention in Japan: impact of a national fund on progress of developing systems for suicide prevention and implementing initiatives among local authorities.

Science.gov (United States)

Nakanishi, Miharu; Yamauchi, Takashi; Takeshima, Tadashi

2015-01-01

In Japan, the Cabinet Office released the 'General Principles of Suicide Prevention Policy' in 2007 and suggested nine initiatives. In 2009, a national fund was launched to help prefectures (the administrative divisions of Japan) and local authorities implement five categories of suicide-prevention programs. This paper examines the impact of the national fund on the establishment of the systems for suicide prevention and the implementation of these initiatives among local authorities. The present study included 1385 local authorities (79.5%) from all 47 prefectures that responded to the cross-sectional questionnaire survey. Improved suicide-prevention systems and the implementation of nine initiatives in April 2013 were observed among 265 local authorities (19.1%) that implemented 'Training of community service providers' and 'Public awareness campaigns'; 178 local authorities (12.9%) that implemented 'Face-to-face counseling', 'Training of community service providers' and 'Public awareness campaigns'; and 324 local authorities (23.4%) that implemented 'Trauma-informed policies and practices'. There was no significant difference in suicide-prevention systems and the implementation of nine initiatives between 203 local authorities (14.7%) that implemented only 'Public awareness campaigns' and 231 local authorities (16.7%) that did not implement any suicide-prevention programs. The results of our study suggest that the national fund promoted the establishment of community systems for suicide prevention and helped implement initiatives among local authorities. The national suicide-prevention strategy in Japan should explore a standard package of programs to guide community suicide-prevention efforts with a sustained workforce among local authorities. © 2014 The Authors. Psychiatry and Clinical Neurosciences © 2014 Japanese Society of Psychiatry and Neurology.

Challenges of implementing routine health behavior change support in a children's hospital setting.

Science.gov (United States)

Elwell, Laura; Powell, Jane; Wordsworth, Sharon; Cummins, Carole

2014-07-01

Evidence indicates that health behavior change initiatives are often not implemented successfully. This qualitative study aims to understand the barriers and facilitators to implementation of health behavior change brief advice into routine practice in an acute children's hospital setting. Semi-structured interviews were conducted with health professionals working at a UK children's hospital (n=33). Participants were purposively sampled to incorporate a range of specialties, job roles and training. An inductive thematic framework analysis identified two emergent themes. These capture the challenges of implementing routine health behavior change support in a children's hospital setting: (1) 'health professional knowledge, beliefs and behaviors' and (2) 'patient and family related challenges'. This study enhances findings from previous research by outlining the challenges pediatric health professionals face in relation to supporting health behavior change. Challenges include failure to assume responsibility, low confidence, prioritization of the health provider relationship with patients and families, health provider and patient knowledge, and low patient and family motivation. Skills-based behavior change training is needed for pediatric health professionals to effectively support health behavior change. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Implementation of evidence-based supported employment in regional Australia.

Science.gov (United States)

Morris, Adrienne; Waghorn, Geoffrey; Robson, Emma; Moore, Lyndell; Edwards, Emma

2014-06-01

To implement the Individual Placement and Support (IPS) approach at 4 locations in regional New South Wales, Australia. Outcomes attained were compared with a national non-IPS program and with international trials of IPS within and outside the United States. Four IPS programs were established through formal partnerships between mental health services and disability employment services. Ninety-five mental health service clients commenced employment assistance and were tracked for a minimum of 12 months. Two sites achieved good fidelity to IPS principles, and 2 sites achieved fair fidelity. IPS clients had 3.5 times greater odds of attaining 13 weeks' employment than those receiving assistance in the national network of disability employment services. Implementing IPS is challenging in the Australian service delivery context. Factors other than program fidelity appear to contribute to excellent employment outcomes. Further research is needed to identify these factors.

Federal Programs Supporting Educational Change, Vol. VII: Factors Affecting Implementation and Continuation.

Science.gov (United States)

Berman, Paul; And Others

This report is one of three volumes that describe the second phase of a study that examined the implementation of four federal change agent programs related to education. Phase 2 of the study focused on what happens to local projects in the two largest change agent programs--ESEA Title III and ESEA Title VII--when federal funding stops. This…

The use of GIS-based support of recreational trail planning by local governments

DEFF Research Database (Denmark)

Olafsson, Anton Stahl; Skov-Petersen, Hans

2014-01-01

In the last decade, multiple GIS-based planning support systems have been developed in order to improve the basis for spatial planning. Recent research has focused on problems regarding a lack of utilisation or barriers to the use of advanced GIS and GIS-based planning support systems in planning...... applications. This paper discusses these research findings in the context of outdoor recreational planning by local governments in Denmark. According to a national survey of municipal planners, GIS-based planning support is widely used in Denmark, but more GIS is needed and is being requested for local outdoor...... recreation planning. However, considerable differences exist between the ways municipalities assess their need for and use of GIS planning support. These differences are explored in more detail using a factor analysis of planning variables and uses of GIS. Three situations are described: 1) extensive network...

Clinical implementation of coverage probability planning for nodal boosting in locally advanced cervical cancer

DEFF Research Database (Denmark)

Ramlov, Anne; Assenholt, Marianne S; Jensen, Maria F

2017-01-01

PURPOSE: To implement coverage probability (CovP) for dose planning of simultaneous integrated boost (SIB) of pathologic lymph nodes in locally advanced cervical cancer (LACC). MATERIAL AND METHODS: CovP constraints for SIB of the pathological nodal target (PTV-N) with a central dose peak...

Local Food Systems Supported by Communities Nationally and Internationally

Directory of Open Access Journals (Sweden)

Izabella Mária Bakos

2017-06-01

Full Text Available Due to the concerns about the long-term sustainability of globalized retail trade as well as the more and more determining health-conscious food-consuming attitude the systems of government respectively the groups of conscious consumers all over the world put emphasis on the popularization and development of local food chains and small-scale supply chains simultaneously they connect the retailers producing highquality, local foods with the direct markets. In my study, I would like to present an overview of the development and current state of community supported agricultural systems on the international and Hungarian level and on the basis of the results of my questionnaire survey. I will indicate whether there are any demand for local food in Hungary and about how much the population of the six investigated settlements are familiar with it. Within this type of alternative local food systems, farmers and their buyers form a community based on social capital (co-operation, mutual trust and mutual responsibility, a direct sales channel, in such a way that cooperation is also beneficial to the producer and the consumer. The producer is in an advantageous position as he can form a direct and long-term relationship with his consumers selling his high-quality products locally consequently he can work in a cost-effective and optimal way. However, the advantage of the consumer is that he can obtain healthy foods from reliable sources contributing to the maintenance of his health respectively to the development of local economy.

Final Report. SFAA No. DEFC02-98CH10961. Technical assistance for joint implementation and other supporting mechanisms and measures for greenhouse gas emissions mitigation

Energy Technology Data Exchange (ETDEWEB)

Knight, Denise

2001-10-15

IIEC, a division of CERF, has developed an extensive base of experience implementing activities that support climate action by developing USIJI projects in transitional countries within Asia, Latin America, Central and Eastern Europe, and southern Africa. IIEC has been able to provide a range of technical and policy assistance to governments and industry in support of sustainable energy use. IIEC continues to work in key countries with local partners to develop and implement energy efficiency policies and standards, develop site-specific projects, and assist governing bodies to establish national priorities and evaluation criteria for approving GHG-mitigation projects. As part of this project, IIEC focused on promoting a series of activities in Thailand and South Africa in order to identify GHG mitigation projects and work within the national approval process of those countries. The sections of this report outline the activities conducted in each country in order to achieve that goal.

REsearch into implementation STrategies to support patients of different ORigins and language background in a variety of European primary care settings (RESTORE): study protocol.

Science.gov (United States)

MacFarlane, Anne; O'Donnell, Catherine; Mair, Frances; O'Reilly-de Brún, Mary; de Brún, Tomas; Spiegel, Wolfgang; van den Muijsenbergh, Maria; van Weel-Baumgarten, Evelyn; Lionis, Christos; Burns, Nicola; Gravenhorst, Katja; Princz, Christine; Teunissen, Erik; van den Driessen Mareeuw, Francine; Saridaki, Aristoula; Papadakaki, Maria; Vlahadi, Maria; Dowrick, Christopher

2012-11-20

The implementation of guidelines and training initiatives to support communication in cross-cultural primary care consultations is ad hoc across a range of international settings with negative consequences particularly for migrants. This situation reflects a well-documented translational gap between evidence and practice and is part of the wider problem of implementing guidelines and the broader range of professional educational and quality interventions in routine practice. In this paper, we describe our use of a contemporary social theory, Normalization Process Theory and participatory research methodology--Participatory Learning and Action--to investigate and support implementation of such guidelines and training initiatives in routine practice. This is a qualitative case study, using multiple primary care sites across Europe. Purposive and maximum variation sampling approaches will be used to identify and recruit stakeholders-migrant service users, general practitioners, primary care nurses, practice managers and administrative staff, interpreters, cultural mediators, service planners, and policy makers. We are conducting a mapping exercise to identify relevant guidelines and training initiatives. We will then initiate a PLA-brokered dialogue with stakeholders around Normalization Process Theory's four constructs--coherence, cognitive participation, collective action, and reflexive monitoring. Through this, we will enable stakeholders in each setting to select a single guideline or training initiative for implementation in their local setting. We will prospectively investigate and support the implementation journeys for the five selected interventions. Data will be generated using a Participatory Learning and Action approach to interviews and focus groups. Data analysis will follow the principles of thematic analysis, will occur in iterative cycles throughout the project and will involve participatory co-analysis with key stakeholders to enhance the

Socioeconomic Factors Affecting Local Support for Black Bear Recovery Strategies(AED)

Science.gov (United States)

There is global interest in recovering locally extirpated carnivore species. Successful efforts to recover Louisiana black bear in Louisiana have prompted interest in recovery throughout the species’ historical range. We evaluated support for three potential black bear recovery s...

Successful Implementation of a Computer-Supported Collaborative Learning System in Teaching E-Commerce

Science.gov (United States)

Ngai, E. W. T.; Lam, S. S.; Poon, J. K. L.

2013-01-01

This paper describes the successful application of a computer-supported collaborative learning system in teaching e-commerce. The authors created a teaching and learning environment for 39 local secondary schools to introduce e-commerce using a computer-supported collaborative learning system. This system is designed to equip students with…

A Training Intervention for Supervisors to Support a Work-Life Policy Implementation

Science.gov (United States)

Laharnar, Naima; Glass, Nancy; Perrin, Nancy; Hanson, Ginger; Kent Anger, W.

2013-01-01

Background Effective policy implementation is essential for a healthy workplace. The Ryan-Kossek 2008 model for work-life policy adoption suggests that supervisors as gatekeepers between employer and employee need to know how to support and communicate benefit regulations. This article describes a workplace intervention on a national employee benefit, Family and Medical Leave Act (FMLA), and evaluates the effectiveness of the intervention on supervisor knowledge, awareness, and experience with FMLA. Methods The intervention consisted of computer-based training (CBT) and a survey measuring awareness and experience with FMLA. The training was administered to 793 county government supervisors in the state of Oregon, USA. Results More than 35% of supervisors reported no previous training on FMLA and the training pre-test revealed a lack of knowledge regarding benefit coverage and employer responsibilities. The CBT achieved: (1) a significant learning effect and large effect size of d = 2.0, (2) a positive reaction to the training and its design, and (3) evidence of increased knowledge and awareness regarding FMLA. Conclusion CBT is an effective strategy to increase supervisors' knowledge and awareness to support policy implementation. The lack of supervisor training and knowledge of an important but complex employee benefit exposes a serious impediment to effective policy implementation and may lead to negative outcomes for the organization and the employee, supporting the Ryan-Kossek model. The results further demonstrate that long-time employees need supplementary training on complex workplace policies such as FMLA. PMID:24106648

Strategies for Local Low-Carbon Development

Energy Technology Data Exchange (ETDEWEB)

Zhou, Nan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Price, Lynn [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Fridley, David [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Ohshita, Stephanie [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Khanna, Nina [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Min, Hu [Energy Foundation China, Beijing (China); Xiulian, Hu [Energy Research Inst., Beijing (China)

2012-11-14

Cities around the world are implementing policies and programs with the goal to reduce greenhouse gas emissions, as well as save energy, reduce costs, and protect the local, regional, and global environment. In China, low-carbon development is a key element of the 12th Five Year Plan. Pilot low-carbon development zones have been initiated in five provinces and eight cities and many other locations around China also want to pursue a low-carbon development pathway. This booklet provides information for government officials, policy makers, program designers and implementers, provincial and city planners, and others who want an overview of the key options available for low-carbon development at local level. These Strategies for Local Low-Carbon Development draw from successful experiences from around the world. Information is provided for low-carbon actions that can be taken in the sectors of (1) Industry, (2) Buildings and Appliances, (3) Electric Power, (4) Consumption and Waste Management, (5) Transportation and Urban Form, and (6) Agriculture and Forestry. A description of each policy is provided along with information on the stakeholders involved in implementation, the conditions for successful implementation, the expected energy and carbon savings, and the policy cost-effectiveness. Case studies show how each policy has been implemented somewhere around the world. While there are many low-carbon options available for local implementation, this booklet aims to provide guidance on those that have been most successful, that have the largest impact, and that are cost-effective in order to support low-carbon development efforts in Chinese cities.

Population support before and after the implementation of smoke-free laws in the United States: trends from 1992-2007.

Science.gov (United States)

Nagelhout, Gera E; Wolfson, Tanya; Zhuang, Yue-Lin; Gamst, Anthony; Willemsen, Marc C; Zhu, Shu-Hong

2015-03-01

Several states implemented comprehensive smoke-free laws in workplaces (14 states), restaurants (17 states), and bars (13 states) between 2002 and 2007. We tested the hypothesis that public support for smoke-free laws increases at a higher rate in states that implemented smoke-free laws between 2002 and 2007 (group A) than in states that implemented smoke-free laws after that time or not at all (group B). The period before the implementation (1992-2001) was also considered. Data was used from the Current Population Survey (CPS) Tobacco Use Supplements (TUS), which is representative for the U.S. adult population. Respondents were asked whether they thought smoking should not be allowed in indoor work areas, restaurants, and bars and cocktail lounges. Differences in trends were analyzed with binomial mixed effects models. Population support for smoke-free restaurants and bars was higher among group A than among group B before 2002. After 2002, support for smoke-free restaurants and bars increased at a higher rate among group A than among group B. Population support for smoke-free workplaces did not differ between group A and B, and the increase in support for smoke-free workplaces also did not differ between these groups. The positive association between the implementation of smoke-free restaurant and bar laws and the rate of increase in support for these laws partly supported the hypothesis. The implementation of the laws may have caused support to increase, but also states that have higher support may have been more likely to implement smoke-free laws. © The Author 2014. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Developing and Implementing Effective Communications Systems: Improving SEA Communication with LEAs, Partners/Vendors, and the Public. Benchmark. No. 2

Science.gov (United States)

Brasiel, S.; Nafziger, D.

2013-01-01

State education agencies (SEAs) are central players in initiating and leading new reform efforts and in supporting and implementing Federal initiatives. Traditional approaches to providing public information are not adequate for producing public awareness and support and in supporting program implementation at the local level. With limited…

The diffusion of youth-led participatory research in urban schools: the role of the prevention support system in implementation and sustainability.

Science.gov (United States)

Ozer, Emily J; Cantor, Jeremy P; Cruz, Gary W; Fox, Brian; Hubbard, Elizabeth; Moret, Lauren

2008-06-01

This article discusses the dissemination of a process of youth-led participatory research in urban secondary schools within the Interactive Systems Framework for Dissemination and Implementation (ISF) developed in collaboration with the CDC and its university partners (Wandersman et al. American Journal of Community Psychology, 41(3-4) 2008). The focus here is on the development of the Prevention Support System with respect to general and innovation-specific capacity building. The specific process under study involves youth-led needs assessment and research to inform the planning of prevention programs and policies to address students' health and developmental needs. The article first briefly describes the youth-led research process, its potential benefits, and a case example in two urban secondary schools. It then describes challenges and responses in providing support for the diffusion of this model in 6 secondary schools. The settings are urban public schools with a majority of students of color from diverse ethnic groups: Asian-American, Latino, and African-American. This project constitutes a collaborative partnership with a university school of public health and community-based organizations (CBOs) to build capacity for long-term, sustainable implementation of this innovative process within the local school system. The perspectives of the university-based researcher and the CBO partners on the development and effectiveness of the Prevention Support System are presented.

Close or renew? Factors affecting local community support for rebuilding nuclear power plants in the Czech Republic

International Nuclear Information System (INIS)

Frantál, Bohumil; Malý, Jiří

2017-01-01

Rebuilding and upgrading of existing nuclear power plants represent a great energy policy challenge today. In this paper, factors that affect local community support for the rebuilding of an existing nuclear power plant are explored using a regression analysis model. It is based on a survey involving nearly 600 residents of twelve municipalities located in the vicinity of the Dukovany power plant in the Czech Republic. Nearly two thirds of local population support the rebuilding of the plant. The support for rebuilding is not directly affected by distance of residence from the power plant or perceptions of its local economic impacts, but is more influenced by general perceptions of pros of nuclear power. Work in the power plant, perception of nuclear power as a clean energy contributing to climate change mitigation and negative attitude to the renewable energy development are strongest predictors of the support. In terms of energy policy implications, it seems that the education of the public and awareness of nuclear power plants as a clean, safe and landscape compatible system of energy production are more important for increasing acceptance of rebuilding projects than spatial distribution of economic benefits to local communities. - Highlights: • Predictors of support for nuclear power plant (NPP) rebuilding are explored. • Support is not affected by distance or perception of local economic impacts. • Support is affected by general perceptions of pros of NPPs. • Support is determined by perception of NPPs as a clean energy. • Support is correlated with a negative attitude to renewable energy promotion.

The Urban Leaders Adaptation Initiative: Climate Resilient Local Governments

Science.gov (United States)

Foster, J. G.

2008-12-01

Local governments, the first responders to public health, safety and environmental hazards, must act now to lessen vulnerabilities to climate change. They must plan for and invest in "adapting" to inevitable impacts such as flood, fire, and draught that will occur notwithstanding best efforts to mitigate climate change. CCAP's Urban Leaders Adaptation Initiative is developing a framework for informed decision making on climate adaptation. Looking ahead to projected climate impacts and 'back casting' can identify what is needed now to both reduce greenhouse gas emissions and build local resiliency to climate change. CCAP's partnership with King County (WA), Chicago, Los Angeles, Miami-Dade County (FL), Milwaukee, Nassau County (NY), Phoenix, San Francisco, and Toronto is advancing policy discussions to ensure that state and local governments consider climate change when making decisions about infrastructure, transportation, land use, and resource management. Through the Initiative, local leaders will incorporate climate change into daily urban management and planning activities, proactively engage city and county managers and the public in developing solutions, and build community resilience. One goal is to change both institutional and public attitudes and behaviors. Determining appropriate adaptation strategies for each jurisdiction requires Asking the Climate Question: "How does what we are doing increase our resilience to climate change?" Over the next three years, the Initiative will design and implement specific adaptation plans, policies and 'catalytic' projects, collect and disseminate "best practices," and participate in framing national climate policy discussions. In the coming years, policy-makers will have to consider climate change in major infrastructure development decisions. If they are to be successful and have the resources they need, national climate change policy and emerging legislation will have to support these communities. The Urban Leaders

Implementing personalisation for people with mental health problems: a comparative case study of four local authorities in England.

Science.gov (United States)

Larsen, John; Ainsworth, Emily; Harrop, Clare; Patterson, Sue; Hamilton, Sarah; Szymczynska, Paulina; Tew, Jerry; Manthorpe, Jill; Pinfold, Vanessa

2013-04-01

Enhancing choice and control for people using services is a mental health and social-care service priority in England. Personalisation is a new policy and practice for delivery of social-care services where eligible adults are allocated a personal budget to spend to meet their agreed support needs. To describe approaches to introducing personal budgets to people with severe and enduring mental health needs, and to identify facilitators or barriers encountered. Within four English local authority (LA) areas, purposively selected to provide maximum variation, semi-structured interviews were undertaken with 58 participants from LAs, NHS trusts and third-sector organisations. An Interpretive Framework analysis considered within- and across-site insights. Issues arising from the implementation of personalisation for people with mental health needs are presented under two general themes: "responsibility and power" and "vision and leadership". Key challenges identified were complexities of working across NHS and LAs, the importance of effective leadership and engagement with service user representatives. Implementing personal budgets in mental health requires effective engagement of health and social-care systems. Change processes need strong leadership, clear vision and personal commitment, with ownership by all key stakeholders, including front-line practitioners.

Local and Regional Authorities as Resources for Implementing Universal Design Policy in Norway.

Science.gov (United States)

Lund, Einar

2016-01-01

The municipalities and regional authorities are in general resources for achieving national goals. Their management and works are crucial to the development and implementation of Universal Design. Through several programmes, national authorities have worked for activating the local and regional levels. The results are visible. We can see a long-term national strategy to help make society accessible to everyone and prevent discrimination. Participating municipalities and regional authorities are now able to create their own policy and strategies and implement solutions. The national programs have involved interested and motivated municipalities. All the 18 counties in Norway have been involved more or less in different periods and the same with up to a third of the about good 400 municipalities.

Broad support for regulating the clinical implementation of future reproductive techniques.

Science.gov (United States)

Hendriks, S; Vliegenthart, R; Repping, S; Dancet, E A F

2018-01-01

Do gynaecologists, infertile patients and the general public, consider that regulation of the clinical implementation of stem cell-based fertility treatments is required? There is broad support from gynaecologists, patients and the general public for regulating the clinical implementation of future stem cell-based fertility treatments. There is debate on the need to regulate the clinical implementation of novel techniques. Regulation may hinder their swift adoption and delay benefits for patients, but may prevent the implementation of ineffective or harmful techniques. Stem cell-based fertility treatments, which involve creating oocytes or spermatozoa by manipulating stem cells, are likely to be implemented in clinical practice in the near future and will probably impact future generations as well as the current one. A cross-sectional survey was conducted among gynaecologists working in fertility clinics (n = 179), patients with severe infertility (n = 348) and a representative sample of the general public (n = 1250). The questionnaire was disseminated in the Netherlands in the winter of 2015-2016. The newly developed questionnaire was reviewed by experts and tested among the general public. The questionnaire assessed whether participants wanted each of nine potential negative consequences of the clinical implementation of stem cell-based fertility treatments to be regulated. In addition, the importance of all negative and positive potential consequences, the appropriate regulatory body and its need to consult with advisors from various backgrounds was questioned. In total, 958 respondents completed the questionnaire (response rate: 54%). A large majority of each participant group (>85%) wanted regulation, for at least one potential negative consequence of the clinical implementation of stem cell-based fertility treatments. The majority of all participant groups wanted regulation for serious health risks for intended parents, serious health risks for children and

Local Support for Alcohol Control Policies and Perceptions of Neighborhood Issues in Two College Communities.

Science.gov (United States)

Fairlie, Anne M; DeJong, William; Wood, Mark D

2015-01-01

Although valuable, national opinion surveys on alcohol policy may be less informative for policy development at the local level. Using samples of adult residents in 2 college communities, the present study: (1) measured public support for local alcohol control policies to stem underage drinking and alcohol overservice in on-premise outlets, (2) assessed residents' opinions regarding neighborhood problems, and (3) identified factors associated with strong policy support. We administered random-sample telephone surveys to residents aged 21 years and older in college communities located in Community 1 (N = 501; mean age = 57.4 years, SD = 14.7) and Community 2 (N = 505; mean age = 56.0 years, SD = 15.2). The response rates were typical of telephone surveys (Community 1: 33.5%; Community 2: 29.9%). We assessed support for 16 alcohol control policies and the occurrence of specific types of neighborhood incidents (e.g., witnessing intoxicated people). We used multiple regression analyses to determine factors associated with policy support. Residents in Community 1 reported significantly higher weekly alcohol use, a greater number of witnessed neighborhood incidents, and a higher level of perceived neighborhood problems than did residents in Community 2. Residents in Community 1 perceived local alcohol control policies and their enforcement to be significantly stricter. Overall, policy support was high and did not differ between the communities. In both communities, higher policy support was significantly associated with being female, being older, less weekly alcohol use, and lower perceived strictness of alcohol control policies and enforcement. It is important for campus officials and community leaders to be aware of and publicize favorable public opinion when advocating for policy change, especially at the local level. Information on residents' perceptions of the neighborhood issues they face can also inform local policy and enforcement efforts.

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)

IAEA Global Support of Decommissioning Implementation with a Focus on Advanced Technologies

International Nuclear Information System (INIS)

Michal, Vladimir; )

2017-01-01

Recently there are about 140 power reactors in decommissioning phase worldwide excluding 17+ that might be considered as decommissioned. In addition, more than 400 other nuclear facilities, such as research reactors or nuclear fuel cycle facilities, have been shutdown for decommissioning, have been undergoing active decommissioning or have already been fully dismantled. The IAEA provides various kind of support for Member States including publication of safety and technical reports providing guidance, recommendations, experiences, good practices and lessons learned covering the preparatory and implementation decommissioning phases. Many training courses, workshops, seminars etc. were organized to support sharing of good practices among specialists and organizations involved. In line with the non-technical aspects, such as decommissioning planning, costing, managerial approaches etc., there are also presented and discussed technical solutions often with a focus on the advanced technologies to be considered. Several completed and ongoing IAEA initiatives partially or fully address the advanced approaches and techniques to support safe and effective implementation of decommissioning projects. The presentation will provide an overview of relevant activities organized so far and perspectives of the IAEA on advanced technologies for decommissioning. (author)

Contribution of Female Entrepreneurs in Promoting Local Food to Support Tourism in Bali

OpenAIRE

Putu Sucita Yanthy; N. Darma Putra; I Komang Gde Bendesa

2016-01-01

This study analyzed the contributions of Balinese female entrepreneurs in the culinary industry in promoting local food to support tourism in Bali. Research was undertaken in the area of Bali province and data were obtained from observations, interviews and study of literature supported by the theory of invented tradition. Eight Balinese warrior of culinaries were interviewed supported by food bloggers, literature reviews and documentation. Data were analyzed based on descriptive qualitative....

Implementing pharmacogenomics decision support across seven European countries: The Ubiquitous Pharmacogenomics (U-PGx) project.

Science.gov (United States)

Blagec, Kathrin; Koopmann, Rudolf; Crommentuijn-van Rhenen, Mandy; Holsappel, Inge; van der Wouden, Cathelijne H; Konta, Lidija; Xu, Hong; Steinberger, Daniela; Just, Enrico; Swen, Jesse J; Guchelaar, Henk-Jan; Samwald, Matthias

2018-02-09

Clinical pharmacogenomics (PGx) has the potential to make pharmacotherapy safer and more effective by utilizing genetic patient data for drug dosing and selection. However, widespread adoption of PGx depends on its successful integration into routine clinical care through clinical decision support tools, which is often hampered by insufficient or fragmented infrastructures. This paper describes the setup and implementation of a unique multimodal, multilingual clinical decision support intervention consisting of digital, paper-, and mobile-based tools that are deployed across implementation sites in seven European countries participating in the Ubiquitous PGx (U-PGx) project. © The Author(s) 2018. Published by Oxford University Press on behalf of the American Medical Informatics Association.

How to calculate the annual costs of NGO-implemented programmes to support orphans and vulnerable children: a six-step approach.

Science.gov (United States)

Larson, Bruce A; Wambua, Nancy

2011-12-19

Information on the costs of implementing programmes designed to provide support of orphans and vulnerable children (OVC) in sub-Saharan Africa and elsewhere is increasingly being requested by donors for programme evaluation purposes. To date, little information exists to document the costs and structure of costs of OVC programmes as actually implemented "on the ground" by local non-governmental organizations (NGOs). This analysis provides a practical, six-step approach that NGOs can incorporate into routine operations to evaluate their costs of implementing their OVC programmes annually. This approach is applied to the Community-Based Care for Orphans and Vulnerable Children (CBCO) Program implemented by BIDII (a Kenyan NGO) in Eastern Province of Kenya. The costing methodology involves the following six steps: accessing and organizing the NGO's annual financial report into logical sub-categories; reorganizing the sub-categories into input cost categories to create a financial cost profile; estimating the annual equivalent payment for programme equipment; documenting donations to the NGO for programme implementation; including a portion of NGO organizational costs not attributed to specific programmes; and including the results of Steps 3-5 into an expanded cost profile. Detailed results are provided for the CBCO programme. This paper shows through a concrete example how NGOs implementing OVC programmes (and other public health programmes) can organize themselves for data collection and documentation prospectively during the implementation of their OVC programmes so that costing analyses become routine practice to inform programme implementation rather than a painful and flawed retrospective activity. Such information is required if the costs and outcomes achieved by OVC programmes will ever be clearly documented and compared across OVC programmes and other types of programmes (prevention, treatment, etc.).

Instructional Support and Implementation Structure during Elementary Teachers' Science Education Simulation Use

Science.gov (United States)

Gonczi, Amanda L.; Chiu, Jennifer L.; Maeng, Jennifer L.; Bell, Randy L.

2016-01-01

This investigation sought to identify patterns in elementary science teachers' computer simulation use, particularly implementation structures and instructional supports commonly employed by teachers. Data included video-recorded science lessons of 96 elementary teachers who used computer simulations in one or more science lessons. Results…

Local health and social care responses to implementing the national cold weather plan.

Science.gov (United States)

Heffernan, C; Jones, L; Ritchie, B; Erens, B; Chalabi, Zaid; Mays, N

2017-09-18

The Cold Weather Plan (CWP) for England was launched by the Department of Health in 2011 to prevent avoidable harm to health by cold weather by enabling individuals to prepare and respond appropriately. This study sought the views of local decision makers involved in the implementation of the CWP in the winter of 2012/13 to establish the effects of the CWP on local planning. It was part of a multi-component independent evaluation of the CWP. Ten LA areas were purposively sampled which varied in level of deprivation and urbanism. Fifty-two semi-structured interviews were held with health and social care managers involved in local planning between November 2012 and May 2013. Thematic analysis revealed that the CWP was considered a useful framework to formalize working arrangements between agencies though local leadership varied across localities. There were difficulties in engaging general practitioners, differences in defining vulnerable individuals and a lack of performance monitoring mechanisms. The CWP was welcomed by local health and social care managers, and improved proactive winter preparedness. Areas for improvement include better integration with general practice, and targeting resources at socially isolated individuals in cold homes with specific interventions aimed at reducing social isolation and building community resilience. © The Author 2017. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

National ecosystem assessments supported by scientific and local knowledge

Science.gov (United States)

Herrick, J.E.; Lessard, V.C.; Spaeth, K.E.; Shaver, P.L.; Dayton, R.S.; Pyke, D.A.; Jolley, L.; Goebel, J.J.

2010-01-01

An understanding of the extent of land degradation and recovery is necessary to guide land-use policy and management, yet currently available land-quality assessments are widely known to be inadequate. Here, we present the results of the first statistically based application of a new approach to national assessments that integrates scientific and local knowledge. Qualitative observations completed at over 10 000 plots in the United States showed that while soil degradation remains an issue, loss of biotic integrity is more widespread. Quantitative soil and vegetation data collected at the same locations support the assessments and serve as a baseline for monitoring the effectiveness of policy and management initiatives, including responses to climate change. These results provide the information necessary to support strategic decisions by land managers and policy makers. ?? The Ecological Society of America.

Local Governments Supporting Local Energy Initiatives: Lessons from the Best Practices of Saerbeck (Germany and Lochem (The Netherlands

Directory of Open Access Journals (Sweden)

Thomas Hoppe

2015-02-01

Full Text Available The social dimension of the transition to a low carbon economy is a key challenge to cities. The establishment of local energy initiatives (LEIs has recently been attracting attention. It is of great importance to draw lessons from best practices when LEIs have been facilitated by local governments and made a substantial contribution to greening local energy systems. The main research questions in this paper are: What lessons can be drawn from successful local low carbon energy transition cases, and which strategies proved successful to support LEIs? We have used analytical notions from the Strategic Niche Management (SNM and grassroots innovation literature to analyze two best-practice cases: Saerbeck (Germany and Lochem (The Netherlands. Data collection involved a set of fourteen in-depth interviews and secondary data. The results show that three key factors from SNM (building networks, managing expectations, and facilitation of learning are of great importance. However, to a great degree it is also strategic, community serving, responsive, reflexive leadership and proper process management by public officials that spurred success, which would not have been possible without close interaction and mutual trust between local government and representatives of the local communities.

Implementation of digital interventions for sexual health for young people

Directory of Open Access Journals (Sweden)

Sue Mann

2015-10-01

We conducted a scoping review of evidence on digital interventions for sexual health promotion for young people aged 13 to 24 years in the UK, defining sexual health in holistic terms, to include physical, emotional, mental and social well-being in relation to sexuality. Interactive digital interventions (IDI are defined as digital media programmes that provide sexual health information and tailored decision support, behaviour-change support, and/or emotional support for sexual health issues. We conducted a thorough review of literature to locate and synthesise available evidence on digital interventions for sexual health spanning the last ten years, integrating the findings with the views of key informants (young people, parents, and experts in digital media/sexual health. Results and conclusions There were few studies that assess the factors related to successful implementation of sexual health promotion IDIs. Potential barriers and facilitators to implementation of IDI should be addressed at the very beginning of an intervention development process. Engaging with sexual health promotion interventions online allows private and convenient access as well as potentially reaching populations who engage less frequently with mainstream services. However, it is difficult to ensure that users will find the intervention, or engage for long enough for them to be effective. The reach of online IDI could be enhanced by linking sexual health promotion interventions with existing digital systems such as STI self-test websites, or with trusted branded websites or popular social networking sites. Offering interventions in static settings such as the clinic or classroom encourages engagement and enables interventions to be delivered with fidelity but potentially at the expense of the privacy and convenience offered by online interventions. Using the knowledge of local staff is vital for both successful intervention development and successful implementation. An effective

Enhancing guideline-based decision support with distributed computation through local mobile application

NARCIS (Netherlands)

Shalom, Erez; Shahar, Yuval; Goldstein, Ayelet; Ariel, Elior; Quaglini, Silvana; Sacchi, Lucia; Fung, L.S.N.; Jones, Valerie M.; Broens, T.H.F.; García-Sáez, Gema; Hernando, Elena

2014-01-01

We introduce the need for a distributed guideline-based decision support (DSS) process, describe its characteristics, and explain how we implemented this process within the European Union’s MobiGuide project. In particular, we have developed a mechanism of sequential, piecemeal projection, i.e.,

Stakeholders' Perception on National Heatwave Plans and Their Local Implementation in Belgium and The Netherlands.

Science.gov (United States)

van Loenhout, Joris Adriaan Frank; Rodriguez-Llanes, Jose Manuel; Guha-Sapir, Debarati

2016-11-10

National heatwave plans are aimed at reducing the avoidable human health consequences due to heatwaves, by providing warnings as well as improving communication between relevant stakeholders. The objective of this study was to assess the perceptions of key stakeholders within plans in Belgium and The Netherlands on their responsibilities, the partnerships, and the effectiveness of the local implementation in Brussels and Amsterdam. Key informant interviews were held with stakeholders that had an important role in development of the heatwave plan in these countries, or its implementation in Brussels or Amsterdam. Care organisations, including hospitals and elderly care organisations, had a lack of familiarity with the national heatwave plan in both cities, and prioritised heat the lowest. Some groups of individuals, specifically socially isolated individuals, are not sufficiently addressed by the current national heatwave plans and most local plans. Stakeholders reported that responsibilities were not clearly described and that the national plan does not describe tasks on a local level. We recommend to urgently increase awareness on the impact of heat on health among care organisations. More emphasis needs to be given to the variety of heat-risk groups. Stakeholders should be involved in the development of updates of the plans.

Barriers and facilitators to implementing family support and education in Early Psychosis Intervention programmes: A systematic review.

Science.gov (United States)

Selick, Avra; Durbin, Janet; Vu, Nhi; O'Connor, Karen; Volpe, Tiziana; Lin, Elizabeth

2017-10-01

Family support is a core component of the Early Psychosis Intervention (EPI) model, yet it continues to have relatively low rates of implementation in practice. This paper reports results of a literature review on facilitators and barriers to delivering family interventions in EPI programmes. A search was conducted of 4 electronic databases, Medline, EMBASE, PsycINFO and Joanna Briggs, from 2000 to 2015 using terms related to early onset psychosis, family work and implementation. Four thousand four hundred and two unique studies were identified, 7 of which met inclusion criteria. Barriers and facilitators were coded and aggregated to higher-level themes using a consensus approach. Five of 7 studies examined structured multifamily psychoeducation. Uptake by families was affected by: family/client interest and readiness to participate; ability to access supports; and support needs/preferences. Implementation by programmes was affected by staff access to training and resources to provide family support. A key finding across the identified studies was that families have different needs and preferences regarding the timing, length, intensity and content of the intervention. One size does not fit all and many families do not require the intensive psychoeducational programmes typically provided. The reviewed literature suggests that flexible, tiered approaches to care may better meet family needs and increase rates of uptake of family support. However, more research is needed on the effectiveness of different models of family support in early psychosis and how they can be successfully implemented. © 2017 John Wiley & Sons Australia, Ltd.

Designing and Implementing a Mentoring Program to Support Clinically-Based Teacher Education

Science.gov (United States)

Henning, John E.; Gut, Dianne; Beam, Pamela

2015-01-01

This article describes one teacher preparation program's approach to designing and implementing a mentoring program to support clinically-based teacher education. The design for the program is based on an interview study that compared the mentoring experiences of 18 teachers across three different contexts: student teaching, early field…

Supporting Community-Oriented Educational Change

Directory of Open Access Journals (Sweden)

Linda Mabry

1999-04-01

Full Text Available A study of a federally funded program to develop and implement community-oriented social studies curricula and curriculum-based assessments grounds cautions for educational change initiatives. In this case, despite the project director's stated intent to support teachers' desire for instruction regarding local culture and history, top-down support for classroom-level change evidenced insensitivity. Production and implementation of the planned curricula and assessments was obstructed by teacher's lack of cultural identification with the targeted community groups, workload, competing instructional priorities, inadequate communication, and organizational politics. Professional development was sometimes beneficial but more often ineffective—either perfunctory, unnecessary, or disregarded. The findings offer insight regarding educational change and a systemic analysis.

Development and Implementation of Dynamic Scripts to Support Local Model Verification at National Weather Service Weather Forecast Offices

Science.gov (United States)

Zavodsky, Bradley; Case, Jonathan L.; Gotway, John H.; White, Kristopher; Medlin, Jeffrey; Wood, Lance; Radell, Dave

2014-01-01

Local modeling with a customized configuration is conducted at National Weather Service (NWS) Weather Forecast Offices (WFOs) to produce high-resolution numerical forecasts that can better simulate local weather phenomena and complement larger scale global and regional models. The advent of the Environmental Modeling System (EMS), which provides a pre-compiled version of the Weather Research and Forecasting (WRF) model and wrapper Perl scripts, has enabled forecasters to easily configure and execute the WRF model on local workstations. NWS WFOs often use EMS output to help in forecasting highly localized, mesoscale features such as convective initiation, the timing and inland extent of lake effect snow bands, lake and sea breezes, and topographically-modified winds. However, quantitatively evaluating model performance to determine errors and biases still proves to be one of the challenges in running a local model. Developed at the National Center for Atmospheric Research (NCAR), the Model Evaluation Tools (MET) verification software makes performing these types of quantitative analyses easier, but operational forecasters do not generally have time to familiarize themselves with navigating the sometimes complex configurations associated with the MET tools. To assist forecasters in running a subset of MET programs and capabilities, the Short-term Prediction Research and Transition (SPoRT) Center has developed and transitioned a set of dynamic, easily configurable Perl scripts to collaborating NWS WFOs. The objective of these scripts is to provide SPoRT collaborating partners in the NWS with the ability to evaluate the skill of their local EMS model runs in near real time with little prior knowledge of the MET package. The ultimate goal is to make these verification scripts available to the broader NWS community in a future version of the EMS software. This paper provides an overview of the SPoRT MET scripts, instructions for how the scripts are run, and example use

REsearch into implementation STrategies to support patients of different ORigins and language background in a variety of European primary care settings (RESTORE: study protocol

Directory of Open Access Journals (Sweden)

MacFarlane Anne

2012-11-01

Full Text Available Abstract Background The implementation of guidelines and training initiatives to support communication in cross-cultural primary care consultations is ad hoc across a range of international settings with negative consequences particularly for migrants. This situation reflects a well-documented translational gap between evidence and practice and is part of the wider problem of implementing guidelines and the broader range of professional educational and quality interventions in routine practice. In this paper, we describe our use of a contemporary social theory, Normalization Process Theory and participatory research methodology—Participatory Learning and Action—to investigate and support implementation of such guidelines and training initiatives in routine practice. Methods This is a qualitative case study, using multiple primary care sites across Europe. Purposive and maximum variation sampling approaches will be used to identify and recruit stakeholders—migrant service users, general practitioners, primary care nurses, practice managers and administrative staff, interpreters, cultural mediators, service planners, and policy makers. We are conducting a mapping exercise to identify relevant guidelines and training initiatives. We will then initiate a PLA-brokered dialogue with stakeholders around Normalization Process Theory’s four constructs—coherence, cognitive participation, collective action, and reflexive monitoring. Through this, we will enable stakeholders in each setting to select a single guideline or training initiative for implementation in their local setting. We will prospectively investigate and support the implementation journeys for the five selected interventions. Data will be generated using a Participatory Learning and Action approach to interviews and focus groups. Data analysis will follow the principles of thematic analysis, will occur in iterative cycles throughout the project and will involve participatory co

Influence of regional support systems (pillars and backfill) on local areas and internal support requirements adjacent to that regional support.

CSIR Research Space (South Africa)

Squelch, AP

2001-11-01

Full Text Available was observed of backfill creating worse hangingwall conditions; instead it was observed that poor backfill placement was associated with the less favourable hangingwall conditions. • Generally, well placed backfill improves conditions in face areas... if it is kept close to the face and conventionally designed working area support that fits in well with the backfilling/mining cycle is implemented. Conversely, quality is not assured if backfill is not well placed. Also large fill-to-face distances...

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

Science.gov (United States)

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

2017-07-18

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

ASSESSMENT OF GUESTS’ PERCEPTION IN IMPLEMENTATION OF GREEN HOTEL IN SUPPORTING SUSTAINABLE TOURISM

Directory of Open Access Journals (Sweden)

I Gusti Ayu Oka - Suryawardani

2016-03-01

Full Text Available Tourism industry faced by threats in implementing sustainable tourism development. UNEP (United Nation Environmental Programme designs the concept to gain sustainable development through the program called the greening of industry which includes minimization of energy used, reducing green house emission, water consumption efficiency, waste management, reducing loss of biological diversity, and preserving cultural heritage. Dependency of tourism industry in using energy will impact in global warming and climate change which will lead to sustainability of the future of tourism development. The research was designed to assess guests’ perception on implementation of green hotel in supporting sustainable tourism in Bali. Research was undertaken in DKP hotel which is located in Kuta, Bali in the periods of April-June 2011. The hotel was choosen because DKP hotel is one of the hotels in Bali that has implemented the concept of green hotel in the hotel operational and was awarded as Green Hotel Award in the year of 2010. Sample was designed based on the minimum criteria on using Structural Equation Modelling (SEM. Respondents were guests who stay in the hotel and were willing to be interviewed and fill-in the questionnaires. The number of respondents were 121. Assessing guests’ perception was undertaken based on five-point Likert rating scale and relationship between variables which express level of concern of hotel management on the environment conservation, social-culture preservation and economic development were analyzed by using Software AMOS Version 23. The results show that assessment of guests’ perception in implementation of green hotel in the hotel operational through conservation of environment and preserving social and culture and its impact on economis development was positip and has resulted in supporting sustainable tourism. Environmental conservation awarenesss has been implemented through energy and water efficiency, waste

Extended producer responsibility for packaging wastes and WEEE - a comparison of implementation and the role of local authorities across Europe.

Science.gov (United States)

Cahill, Rachel; Grimes, Sue M; Wilson, David C

2011-05-01

A comparison of the implementation of extended producer responsibility (EPR) to packaging waste and waste electrical and electronic equipment (WEEE) is presented for a representative sample of eleven European Union countries based on five indicators: stakeholders and responsibilities; compliance mechanisms; role of local authorities; financing mechanisms and merits and limitations, with four countries selected for more detailed case study analysis. Similarities, trends and differences in national systems are highlighted with particular focus on the role of local authorities and their relationship with obligated producers and the effect on the operation and success of each system. The national systems vary considerably in design, in terms of influence of pre-existing policy and systems, methods of achieving producer compliance (multiple or single collective schemes), fee structures, targets, waste stream prioritization and local authority involvement. Differing approaches are evident across all member states with respect to the role played by local authorities, responsibility apportioned to them, and the evolution of working relationships between obligated producers and municipalities. On the whole, EPR for packaging and WEEE has been successfully implemented throughout Europe in terms of Directive targets. It is, however, clear that the EPR systems currently in application across Europe differ primarily due to contrasting opinion on the legitimacy of local authorities as stakeholders and, in some cases, a fear on the part of industry of associated costs. Where local authorities have been engaged in the design and implementation of national systems, existing infrastructure used and defined roles established for producers and local authorities, results have been significantly more positive than in the cases where local authorities have had limited engagement.

Why Organization May Be the Primary Limitation to Implementing Sustainability at the Local Level: Examples from Swedish Case Studies

Directory of Open Access Journals (Sweden)

E. Carina H. Keskitalo

2017-03-01

Full Text Available Much of the effort to address environmental issues at the local level has focused on defining principles and aims rather than addressing the operational difficulties of implementation. Drawing upon insights from sustainability scholarship, this study reviews two cases: the development of a Swedish standard for implementing sustainable development at municipality, county council, and regional levels, and attempts by a small rural municipality to establish a process towards implementing the Aalborg Commitments. The research illustrates the specific organizational and managerial complexity of these case study experiences. It concludes that an organizational focus on integration and mainstreaming deserves particular attention to achieve broader sustainability, or related environmental or adaptation goals. The results, in particular, highlight the role that integrated management systems can play for sustainability work at the local level.

Local Government Implementation of Long-Term Stewardship at Two DOE Facilities

Energy Technology Data Exchange (ETDEWEB)

John Pendergrass; Roman Czebiniak; Kelly Mott; Seth Kirshenberg; Audrey Eidelman; Zachary Lamb; Erica Pencak; Wendy Sandoz

2003-08-13

The Department of Energy (DOE) is responsible for cleaning up the radioactive and chemical contamination that resulted from the production of nuclear weapons. At more than one hundred sites throughout the country DOE will leave some contamination in place after the cleanup is complete. In order to protect human health and the environment from the remaining contamination DOE, U.S. Environmental Protection Agency (EPA), state environmental regulatory agencies, local governments, citizens and other entities will need to undertake long-term stewardship of such sites. Long-term stewardship includes a wide range of actions needed to protect human health in the environment for as long as the risk from the contamination remains above acceptable levels, such as barriers, caps, and other engineering controls and land use controls, signs, notices, records, and other institutional controls. In this report the Environmental Law Institute (ELI) and the Energy Communities Alliance (ECA) examine how local governments, state environmental agencies, and real property professionals implement long-term stewardship at two DOE facilities, Losa Alamos National Laboratory and Oak Ridge Reservation.

Staff Concerns in Schools Planning for and Implementing School-Wide Positive Behavior Interventions and Supports

Science.gov (United States)

Tyre, Ashli D.; Feuerborn, Laura L.; Woods, Leslie

2018-01-01

Understanding staff concerns about a systemic change effort allows leadership teams to better anticipate and address staff needs for professional development and support. In this study, staff concerns in nine schools planning for or implementing School-Wide Positive Behavior Interventions and Supports (SWPBIS) were explored using the…

Supporting science in developing countries using open technologies

International Nuclear Information System (INIS)

Canessa, Enrique; Zennaro, Marco; Fonda, Carlo

2009-01-01

We describe our contributions in using information and communication technologies (ICT) to address the digital and knowledge divides in developing regions. These include the implementation of new prototype systems using state-of-the-art, low-cost technologies based on the scientific audience, the local information technology infrastructure and the level of support available from local technical staff. Efforts are made to provide the necessary capacity and know-how to understand and manage their available information infrastructure with the final goal of supporting their science to allow participation at an international level

Implementing local projects to reduce the stigma of mental illness.

Science.gov (United States)

Warner, Richard

2008-01-01

This editorial describes strategies used and the lessons learned in implementing two local anti-stigma projects. The WPA Programme to Reduce Stigma and Discrimination Because of Schizophrenia established projects to fight stigma in 20 countries, using social-marketing techniques to enhance their effectiveness. First steps at each site were to establish an action committee and conduct a survey of perceived stigma. Based on survey results, the action committees selected a few homogeneous and accessible target groups, such as employers, and criminal justice personnel. Messages and media were selected, tested, and refined. Guidelines are provided for setting up a consumer (service-user) speakers' bureau and for establishing a media-watch organization, which can lobby news and entertainment media to exclude negative portrayals of people with mental illness. Improvements in knowledge about mental illness were effected in high school students and criminal justice personnel. Positive changes in attitude towards people with mental illness were achieved with high school students, but were more difficult to achieve with police officers. Local antistigma projects can be effective in reducing stigma and relatively inexpensive. The involvement of consumers is important in working with police officers. Project organizers should be on the lookout for useful changes that can become permanent.

Implementation of Auctions for Renewable Energy Support in the Netherlands and Denmark: A cooperation case study

DEFF Research Database (Denmark)

Gephart, Malte; Kitzing, Lena; Tiedeman, Silvana

This report deals with the potential implementation of opened auctions for Renewable Energy support in the Netherlands from 2017 on. The report focuses on the implementation process and provides the necessary background information. Furthermore the planned auction design is described and discussed...... of success criteria, of appropriate auction formats and suitable design elements for RES auctions, as well as the analysis of past auction implementations....

Remodularizing Java Programs for Improved Locality of Feature Implementations in Source Code

DEFF Research Database (Denmark)

Olszak, Andrzej; Jørgensen, Bo Nørregaard

2011-01-01

Explicit traceability between features and source code is known to help programmers to understand and modify programs during maintenance tasks. However, the complex relations between features and their implementations are not evident from the source code of object-oriented Java programs....... Consequently, the implementations of individual features are difficult to locate, comprehend, and modify in isolation. In this paper, we present a novel remodularization approach that improves the representation of features in the source code of Java programs. Both forward- and reverse restructurings...... are supported through on-demand bidirectional restructuring between feature-oriented and object-oriented decompositions. The approach includes a feature location phase based of tracing program execution, a feature representation phase that reallocates classes into a new package structure based on single...

Using systems thinking to support clinical system transformation.

Science.gov (United States)

Best, Allan; Berland, Alex; Herbert, Carol; Bitz, Jennifer; van Dijk, Marlies W; Krause, Christina; Cochrane, Douglas; Noel, Kevin; Marsden, Julian; McKeown, Shari; Millar, John

2016-05-16

Purpose - The British Columbia Ministry of Health's Clinical Care Management initiative was used as a case study to better understand large-scale change (LSC) within BC's health system. Using a complex system framework, the purpose of this paper is to examine mechanisms that enable and constrain the implementation of clinical guidelines across various clinical settings. Design/methodology/approach - Researchers applied a general model of complex adaptive systems plus two specific conceptual frameworks (realist evaluation and system dynamics mapping) to define and study enablers and constraints. Focus group sessions and interviews with clinicians, executives, managers and board members were validated through an online survey. Findings - The functional themes for managing large-scale clinical change included: creating a context to prepare clinicians for health system transformation initiatives; promoting shared clinical leadership; strengthening knowledge management, strategic communications and opportunities for networking; and clearing pathways through the complexity of a multilevel, dynamic system. Research limitations/implications - The action research methodology was designed to guide continuing improvement of implementation. A sample of initiatives was selected; it was not intended to compare and contrast facilitators and barriers across all initiatives and regions. Similarly, evaluating the results or process of guideline implementation was outside the scope; the methods were designed to enable conversations at multiple levels - policy, management and practice - about how to improve implementation. The study is best seen as a case study of LSC, offering a possible model for replication by others and a tool to shape further dialogue. Practical implications - Recommended action-oriented strategies included engaging local champions; supporting local adaptation for implementation of clinical guidelines; strengthening local teams to guide implementation; reducing

Supporting chemistry teachers in implementing formative assessment of investigative practical work in Botswana

NARCIS (Netherlands)

Motswiri, M.

2004-01-01

With the assumption that exemplary curriculum materials have the potential to serve as an effective support for teachers implementing an innovative curriculum reform, this study was initiated in September 1999. Its aim was to investigate the characteristics of BGCSE exemplary curriculum materials

Local Safety Toolkit: Enabling safe communities of opportunity

CSIR Research Space (South Africa)

Holtmann, B

2010-08-31

Full Text Available remain inadequate to achieve safety. The Local Safety Toolkit supports a strategy for a Safe South Africa through the implementation of a model for a Safe Community of Opportunity. The model is the outcome of work undertaken over the course of the past...

Community-based interventions to improve HPV vaccination coverage among 13- to 15-year-old females: measures implemented by local governments in Japan.

Directory of Open Access Journals (Sweden)

Hiroyuki Fujiwara

Full Text Available The purpose of this study was to examine the effect of various community-based interventions in support of HPV vaccination implemented by cities and towns within Tochigi prefecture, Japan with a view to identifying useful indicators which might guide future interventions to improve HPV vaccination coverage in the prefecture. A postal questionnaire survey of all 27 local governments in Tochigi Prefecture was conducted in December 2010. All 27 responded, and 22 provided the exact numbers of the targeted and vaccinated populations of 13- to 15-year-old girls from April to December 2010. The local governments also answered questions on the type of interventions implemented including public subsidies, school-based programs, direct mail, free tickets and recalls. Local governments that conducted a school-based vaccination program reported 96.8% coverage for the 1(st dose, 96.2% for the 2(nd dose, and 91.2% for the 3(rd dose. Those that provided subsidies without school-based programs reported a wide range of vaccination rates: 45.7%-95.0% for the 1(st dose, 41.1%-93.7% for the 2(nd dose and 3.1%-90.1% for the 3(rd dose. Among this group, the combination of a free ticket, direct mail and recall was most effective, with 95.0% coverage for the 1(st dose, 93.7% for the 2(nd dose, and 90.1% for the 3(rd dose. The governments that did not offer a subsidy had the lowest vaccination coverage, with 0.8%-1.4% for the 1(st dose, 0.0%-0.8% for the 2(nd dose, and 0.1%-0.1% for the 3(rd dose. The results of this survey indicate that school-based vaccinations and public subsidies are the most effective method to improve HPV vaccination coverage; however, the combination of a free ticket, direct mail, and recalls with public subsidies are also important measures in increasing the vaccination rate. These data may afford important indicators for the successful implementation of future HPV vaccination programs.

Barriers, facilitators and views about next steps to implementing supports for evidence-informed decision-making in health systems: a qualitative study.

Science.gov (United States)

Ellen, Moriah E; Léon, Grégory; Bouchard, Gisèle; Ouimet, Mathieu; Grimshaw, Jeremy M; Lavis, John N

2014-12-05

Mobilizing research evidence for daily decision-making is challenging for health system decision-makers. In a previous qualitative paper, we showed the current mix of supports that Canadian health-care organizations have in place and the ones that are perceived to be helpful to facilitate the use of research evidence in health system decision-making. Factors influencing the implementation of such supports remain poorly described in the literature. Identifying the barriers to and facilitators of different interventions is essential for implementation of effective, context-specific, supports for evidence-informed decision-making (EIDM) in health systems. The purpose of this study was to identify (a) barriers and facilitators to implementing supports for EIDM in Canadian health-care organizations, (b) views about emerging development of supports for EIDM, and (c) views about the priorities to bridge the gaps in the current mix of supports that these organizations have in place. This qualitative study was conducted in three types of health-care organizations (regional health authorities, hospitals, and primary care practices) in two Canadian provinces (Ontario and Quebec). Fifty-seven in-depth semi-structured telephone interviews were conducted with senior managers, library managers, and knowledge brokers from health-care organizations that have already undertaken strategic initiatives in knowledge translation. The interviews were taped, transcribed, and then analyzed thematically using NVivo 9 qualitative data analysis software. Limited resources (i.e., money or staff), time constraints, and negative attitudes (or resistance) toward change were the most frequently identified barriers to implementing supports for EIDM. Genuine interest from health system decision-makers, notably their willingness to invest money and resources and to create a knowledge translation culture over time in health-care organizations, was the most frequently identified facilitator to

Design, Implementation & Assessment of Local Exhaust Ventilation System and dust collectors for crushing unit

Directory of Open Access Journals (Sweden)

Farshid Ghorbani shahna

2015-09-01

Full Text Available Background & objective: Industrial ventilation systems and dust collectors are effective solutions to reduce particulate emissions in the workplace and environmental in mineral processes. In this study, Local Exhaust Ventilation System and dust collectors for control of emitted silica, coke, silicon carbide dusts from crushing unit was designed and evaluated. Methods: : Local Exhaust ventilation system based on standards and guides was designed and implemented after field study of the processes and sources of air pollutants. A set comprised of the four parallel cyclones (Stairmand model and a new design of the scrubber had been used for dust control. After set-up of systems, its effectiveness in reducing the exposure of workers in the workshops and dust collecting were assessed. Results: Test results were significant differences between the concentration of particles in both on and off the ventilation system revealed (P <0.05. The system has been implemented as means of personal exposure to pollutants and environmental emissions were reduced 93.01% and 64.64%, respectively. Also, alone and integrated collection efficiency of cyclone and scrubber, were 94.2%, 59.05% and 97.4%, respectively. The results show good agreement with the values of the parameters ventilation system was designed. Conclusion: Implementation of integrated dust collectors is a good option in industries that have the financial and technical constraints to improve change processes and devices. This method with attainment to health and environmental standards not only can be resolve of the pollution problems, but also will be economically justified of such projects with reduction of depreciation expense and dust recycling.

Sustainable implementation of microhydro to eradicate poverty in Africa

Energy Technology Data Exchange (ETDEWEB)

Jonker Klunne, Wim

2010-09-15

Local, micro scale, village level hydropower plants can play an important role towards eradication of poverty in rural areas. However, despite a good understanding of the technology involved and the enormous potential that exists in Africa, relative small numbers of micro hydro projects are currently in operation in Africa. This paper does look into the current situation on the continent with respect to installed systems and projects that are being implemented. It compares different implementation models and will conclude on ingredients for implementation models that will support the sustainable operation of micro hydroplants once built.

Changing practice to support self-management and recovery in mental illness: application of an implementation model.

Science.gov (United States)

Harris, Melanie; Jones, Phil; Heartfield, Marie; Allstrom, Mary; Hancock, Janette; Lawn, Sharon; Battersby, Malcolm

2015-01-01

Health services introducing practice changes need effective implementation methods. Within the setting of a community mental health service offering recovery-oriented psychosocial support for people with mental illness, we aimed to: (i) identify a well-founded implementation model; and (ii) assess its practical usefulness in introducing a new programme for recovery-oriented self-management support. We reviewed the literature to identify implementation models applicable to community mental health organisations, and that also had corresponding measurement tools. We used one of these models to inform organisational change strategies. The literature review showed few models with corresponding tools. The Promoting Action on Research Implementation in Health Services (PARIHS) model and the related Organisational Readiness to Change Assessment (ORCA) tool were used. The PARIHS proposes prerequisites for health service change and the ORCA measures the extent to which these prerequisites are present. Application of the ORCA at two time points during implementation of the new programme showed strategy-related gains for some prerequisites but not for others, reflecting observed implementation progress. Additional strategies to address target prerequisites could be drawn from the PARIHS model. The PARIHS model and ORCA tool have potential in designing and monitoring practice change strategies in community mental health organisations. Further practical use and testing of implementation models appears justified in overcoming barriers to change.

Implementing Lean Manufacturing in Malaysian Small and Medium Startup Pharmaceutical Company

Science.gov (United States)

Ibrahim, Wan Mohd Khairi bin Wan; Rahman, Mohamed Abdul; Abu Bakar, Mohd Rushdi bin

2017-03-01

Domestic pharmaceutical industry has been identified by the Malaysian government as an industry to be developed under its 11th economic development plan. Most homegrown pharmaceutical companies fall under the category of small and medium enterprises (SME) and therefore need to be highly efficient in their operations to compete with the multinationals. Though lean manufacturing is a well-known methodology to achieve an efficient operation, only a small percentage of the local SMEs implement it. The study aims to determine the real success factors in lean implementation through systematic review of relevant literature on lean manufacturing implementation in local companies, onsite observation of a selected SME company, Global Factor Sdn. Bhd. (GFSB), that successfully implemented lean manufacturing followed by actual implementation of lean project at IKOP Sdn. Bhd., a small startup pharmaceutical company. Lean tools like Gemba, value stream map (VSM) and spaghetti diagram were used to analyze and improve a process at IKOP Sdn. Bhd. The literature review showed that the implementation of lean manufacturing at Malaysian SMEs involved in pharmaceutical industry is at its infancy. Study at GFSB indicated that successful implementation of lean manufacturing stems from management support, employee’s commitment, government support and knowledge on lean among employees. Application of lean tools in IKOP Sdn. Bhd. to improve the process cycle efficiency of hand sanitizer, i-Hand 4.0, has shown that the GMP guidelines are not jeopardized. The Kaizen improvement project resulted in 46.3% reduction in lead time. It may be concluded that implementing lean manufacturing in any small local startup pharmaceutical company is beneficial in reducing operational costs and increasing the efficiency and effectiveness and does not conflict with the existing GMP guidelines.

Contribution of Female Entrepreneurs in Promoting Local Food to Support Tourism in Bali

Directory of Open Access Journals (Sweden)

Putu Sucita Yanthy

2016-10-01

Full Text Available This study analyzed the contributions of Balinese female entrepreneurs in the culinary industry in promoting local food to support tourism in Bali. Research was undertaken in the area of Bali province and data were obtained from observations, interviews and study of literature supported by the theory of invented tradition. Eight Balinese warrior of culinaries were interviewed supported by food bloggers, literature reviews and documentation. Data were analyzed based on descriptive qualitative. The results show that Balinese female entrepreneurs have: (1 popularized Balinese food, (2 preserved the existence of Balinese food, (3 strengthened the Balinese culinary identity, and (4 supported tourism in Bali.

Collaborative networks in support of service-enhanced products

NARCIS (Netherlands)

Camarinha-Matos, L.M.; Afsarmanesh, H.; Koelmel, B.

2011-01-01

The development and support of highly customized and service-enhanced products requires new organizational structures, involving the manufacturers, customers and local suppliers in a process of co-creation. This requires the implementation of the glocal enterprise notion with value creation from

A Severe Acute Respiratory Syndrome extranet: supporting local communication and information dissemination

Directory of Open Access Journals (Sweden)

Kealey Cathy M

2005-06-01

Full Text Available Abstract Background The objective of this study was to explore the use and perceptions of a local Severe Acute Respiratory Syndrome (SARS Extranet and its potential to support future information and communication applications. The SARS Extranet was a single, managed electronic and limited access system to manage local, provincial and other SARS control information. Methods During July, 2003, a web-based and paper-based survey was conducted with 53 SARS Steering Committee members in Hamilton. It assessed the use and perceptions of the Extranet that had been built to support the committee during the SARS outbreak. Before distribution, the survey was user-tested based on a think-aloud protocol, and revisions were made. Quantitative and qualitative questions were asked related to frequency of use of the Extranet, perceived overall usefulness of the resource, rationale for use, potential barriers, strengths and limitations, and potential future uses of the Extranet. Results The response rate was 69.4% (n = 34. Of all respondents, 30 (88.2% reported that they had visited the site, and rated it highly overall (mean = 4.0; 1 = low to 5 = high. However, the site was rated 3.4 compared with other communications strategies used during the outbreak. Almost half of all respondents (44.1% visited the site at least once every few days. The two most common reasons the 30 respondents visited the Extranet were to access SARS Steering Committee minutes (63.3% and to access Hamilton medical advisories (53.3%. The most commonly cited potential future uses for the Extranet were the sending of private emails to public health experts (63.3%, and surveillance (63.3%. No one encountered personal barriers in his or her use of the site, but several mentioned that time and duplication of email information were challenges. Conclusion Despite higher rankings of various communication strategies during the SARS outbreak, such as email, meetings, teleconferences, and other web

The Mixed Waste Management Facility: Technology selection and implementation plan, Part 2, Support processes

International Nuclear Information System (INIS)

Streit, R.D.; Couture, S.A.

1995-03-01

The purpose of this document is to establish the foundation for the selection and implementation of technologies to be demonstrated in the Mixed Waste Management Facility, and to select the technologies for initial pilot-scale demonstration. Criteria are defined for judging demonstration technologies, and the framework for future technology selection is established. On the basis of these criteria, an initial suite of technologies was chosen, and the demonstration implementation scheme was developed. Part 1, previously released, addresses the selection of the primary processes. Part II addresses process support systems that are considered ''demonstration technologies.'' Other support technologies, e.g., facility off-gas, receiving and shipping, and water treatment, while part of the integrated demonstration, use best available commercial equipment and are not selected against the demonstration technology criteria

Local niche planning and its strategic implications for implementation of energy-efficient technology

DEFF Research Database (Denmark)

Quitzau, Maj-Britt; Hoffmann, Birgitte; Elle, Morten

2012-01-01

-management process for enabling transitions. The study outlines the proactive spatial planning of a Danish local authority in order to illustrate how the strategic work performed in this kind of local development project represents a special form of niche management that is able to create room for innovation...... such a gap between policy visions and their implementation in practice specific forms of strategic work is needed, according to new transformative ideas in spatial planning. The aim of this paper is to characterize the transformative capacities of this kind of strategic work at the spatial scale of the town...... in order to assess how such activities engage with sustainable transitions. The theoretical contribution of the paper is to compare strategic work performed in transformative forms of spatial planning with the strategic work intended in strategic niche management, which represent a change...

Design of the Local Instrument for KSTAR Gravity Support

International Nuclear Information System (INIS)

Her, N. I.; Kim, H. K.; Kim, Y. O.; Sa, J. W.; Kim, G. H.; Kim, K. M.; Park, Y. M.; Hong, G. H.; Choi, C. H.; Bak, J. S.

2005-01-01

should be operated without malfunction in the environment of cryogenic temperature up to 4.5 K and high magnetic field up to 2T(Tesla). In this study, the design of local instrumentation system for gravity support and its prototype testing results are summarized

Development, Implementation, and Evaluation of a Curriculum to Prepare Volunteer Navigators to Support Older Persons Living With Serious Illness.

Science.gov (United States)

Duggleby, Wendy; Pesut, Barbara; Cottrell, Laura; Friesen, Lynnelle; Sullivan, Kelli; Warner, Grace

2018-05-01

The purpose of this article is to report the development, implementation, and evaluation of a curriculum designed to prepare volunteer navigators to support community-dwelling older persons with serious chronic illness. The role of the volunteer navigator was to facilitate independence and quality of life through building social connections, improving access to resources, and fostering engagement. A curriculum was constructed from evidence-based competencies, piloted and revised, and then implemented in 7 subsequent workshops. Workshop participants were 51 volunteers and health-care providers recruited through local hospice societies and health regions. Curriculum was evaluated through satisfaction and self-efficacy questionnaires completed at workshop conclusion. Postworkshop evaluation indicated a high degree of satisfaction with the training. One workshop cohort of 7 participants was followed for 1 year to provide longitudinal evaluation data. Participants followed longitudinally reported improved self-efficacy over 12 months and some challenges with role transition. Future improvements will include further structured learning opportunities offered by telephone postworkshop, focusing on advocacy, communication, and conflict management. Overall, volunteers were satisfied with the curriculum and reported good self-perceived efficacy in their new role as navigators.

International physical protection standards: support for development and implementation

International Nuclear Information System (INIS)

Soo Hoo, M.S.

2002-01-01

Full text: Since 1972, the IAEA has been a recognized organization in promoting the development of international standards on the physical protection of nuclear materials. This responsibility has continued through the present in the 1999 publication of the fourth revision of INFCIRC/225, the physical protection of nuclear material and nuclear facilities and in being the repository for the convention on the physical protection of nuclear material which was originally published in 1980 as INFCIRC/274. The IAEA has also published other reference documents in support these two standards. With changing world events and greater concern for the physical protection of nuclear materials and facilities, IAEA member states have increased IAEA physical protection responsibilities. Currently, the IAEA is serving as the secretariat for drafting revisions to the physical protection convention. The proposed revisions will strengthen international physical protection standards through the incorporation of physical protection fundamentals that should apply to all nuclear materials in international or domestic use, storage and transport. Furthermore, the physical protection fundamentals would also extend to include nuclear facilities. Presently, the physical protection convention applies only to nuclear materials that are in international transport. To complement efforts to develop and promote international physical protection standards, the IAEA is actively involved in assisting member states with the implementation of the standards. This is accomplished through the delivery of training courses, workshops and hosting other international forums for the exchange of information. Through review services such as the international physical protection advisory service (IPPAS), the IAEA provides advice to member states on the application of international standards at national and facility-specific levels. These services can be followed up with technical support to implement the

SUPPORTING TEACHERS IN IMPLEMENTING FORMATIVE ASSESSMENT PRACTICES IN EARTH SYSTEMS SCIENCE

Science.gov (United States)

Harris, C. J.; Penuel, W. R.; Haydel Debarger, A.; Blank, J. G.

2009-12-01

An important purpose of formative assessment is to elicit student thinking to use in instruction to help all students learn and inform next steps in teaching. However, formative assessment practices are difficult to implement and thus present a formidable challenge for many science teachers. A critical need in geoscience education is a framework for providing teachers with real-time assessment tools as well as professional development to learn how to use formative assessment to improve instruction. Here, we describe a comprehensive support system, developed for our NSF-funded Contingent Pedagogies project, for addressing the challenge of helping teachers to use formative assessment to enhance student learning in middle school Earth Systems science. Our support system is designed to improve student understanding about the geosphere by integrating classroom network technology, interactive formative assessments, and contingent curricular activities to guide teachers from formative assessment to instructional decision-making and improved student learning. To accomplish this, we are using a new classroom network technology, Group Scribbles, in the context of an innovative middle-grades Earth Science curriculum called Investigating Earth Systems (IES). Group Scribbles, developed at SRI International, is a collaborative software tool that allows individual students to compose “scribbles” (i.e., drawings and notes), on “post-it” notes in a private workspace (a notebook computer) in response to a public task. They can post these notes anonymously to a shared, public workspace (a teacher-controlled large screen monitor) that becomes the centerpiece of group and class discussion. To help teachers implement formative assessment practices, we have introduced a key resource, called a teaching routine, to help teachers take advantage of Group Scribbles for more interactive assessments. Routine refers to a sequence of repeatable interactions that, over time, become

Determination of the Support Level of Local Organizations in a Model Forest Initiative: Do Local Stakeholders Have Willingness to Be Involved in the Model Forest Development?

Directory of Open Access Journals (Sweden)

Ahmet Tolunay

2014-10-01

Full Text Available Voluntary cooperation and the support of stakeholders carry a major importance in the development of Model Forests. The identification of the support level of local organizations as stakeholders in the Bucak Model Forest initiative, located in the Mediterranean region of Turkey, constitutes the theme of this study. Within this scope, the views of the stakeholders comprising local government units (LGUs, non-governmental organizations (NGOs, village councils (VCs, professional organizations (POs and forest products enterprises (FPEs located in the district of Bucak were collected by utilizing a survey technique. The data were analysed by using non-parametric statistical analyses due to the absence of a normal distribution. The results show that the information provided about the Model Forest concept to the stakeholders located in the district on the Bucak Model Forest initiative was identified as a factor impacting the support level. Moreover, it was also observed that the stakeholders were more willing to provide advisory support rather than financial support. NGOs and VCs were identified as stakeholders who could not provide financial support due to their restricted budgets. We discuss the benefits for a Model Forest initiative of establishing international cooperation to strengthen the local and regional sustainable development process.

Factors That Contribute to Community Members' Support of Local Nature Centers

Science.gov (United States)

Browning, Matthew H. E. M.; Stern, Marc J.; Ardoin, Nicole M.; Heimlich, Joe E.

2018-01-01

Nature centers can serve as valuable community institutions if they are seen as providing important services to the community. Through survey research in communities surrounding 16 nature centers in the United States, we examine the attitudes, behaviors, and beliefs that drive hypothetical support for nature centers from local residents.…

IMPLEMENTATION OF AERONAUTICAL LOCAL SATELLITE AUGMENTATION SYSTEM

Directory of Open Access Journals (Sweden)

Stojce Ilcev

2011-03-01

Full Text Available Abstract. This paper introduces development and implementation of new Local Satellite AugmentationSystem as an integration component of the Regional Satellite Augmentation System (RSAS employingcurrent and new Satellite Communications, Navigation and Surveillance (CNS for improvement of the AirTraffic Control (ATC and Air Traffic Management (ATM and for enhancement safety systems includingtransport security and control of flights in all stages, airport approaching, landing, departures and allmovements over airport surface areas. The current first generation of the Global Navigation Satellite SystemGNSS-1 applications are represented by fundamental military solutions for Position, Velocity and Time ofthe satellite navigation and determination systems such as the US GPS and Russian GLONASS (Former-USSR requirements, respectively. The establishment of Aeronautical CNS is also discussed as a part ofGlobal Satellite Augmentation Systems of GPS and GLONASS systems integrated with existing and futureRSAS and LSAS in airports areas. Specific influence and factors related to the Comparison of the Currentand New Aeronautical CNS System including the Integration of RSAS and GNSS solutions are discussedand packet of facts is determined to maximize the new satellite Automatic Dependent Surveillance System(ADSS and Special Effects of the RSAS Networks. The possible future integration of RSAS and GNSS andthe common proposal of the satellite Surface Movement Guidance and Control are presented in thechangeless ways as of importance for future enfacements of ATC and ATM for any hypothetical airportinfrastructure.Keywords: ADSS, ATC, ATM, CNS, GSAS, LRAS, RSAS, SMGC, Special Effects of RSAS.

Implementing shared governance in a patient care support industry: information technology leading the way.

Science.gov (United States)

Hartley, Lou Ann

2014-06-01

Implementing technology in the clinical setting is not a project but rather a journey in transforming care delivery. As nursing leaders in healthcare and patient care support organizations embrace technology to drive reforms in quality and efficiency, growing opportunities exist to share experiences between these industries. This department submission describes the journey to nursing shared governance from the perspective of an information technology-based company realizing the goal of supporting patient care.

Implementing a strategic approach to employee wellness--globally and locally.

Science.gov (United States)

Malouf, Michael

2011-01-01

Today's multinational companies understand the need for a healthier workforce. Whether in developed markets such as the United States and the United Kingdom, or in emerging economies such as China and India, health trends pointing to a rising incidence of chronic disease and lifestyle-related health issues are requiring a strategic response from employers. A study MetLife undertook in coordination with the Sloan Center on Aging & Work at Boston College involved a detailed examination at four large multinational companies to understand how health trends vary by country and the specific programs the organizations implemented to support a healthier workforce. This article highlights some of the bestpractices the study found for an integrated health and wellness program.

A Case Study on the Implementation of Local Health Insurance Benefit Packages

Directory of Open Access Journals (Sweden)

Supriyantoro Supriyantoro

2015-06-01

Full Text Available Background: The variation of benefit packages implemented by some local social health insurance schemes (Jamkesda become an important issue in the effort to integrating them into National Health Insurance (JKN. This study aims to describe implementation of Jamkesda’s benefit packages as a basic consideration in integration to JKN. Methods: Design of this study is case study with qualitative and quantitative aproaches, conducted 2013–2014 in all of districts/cities which already have Jamkesda. Primary and secondary data was collected. Primary data has been collected by focus group discussion, interview, observation, and self administered questioner. Secondary data collected from many sources such as articles, journal, official document, statistics data, and others. Results:Of this study show there is no significant relationship between fiscal capacity group and benefit packages (continuity correction, p value = 0.065. But, districts/cities with high fiscal capacity (high and very high seem likely to have probability 1,920 bigger than lower capacity districts/cities in giving equal or more benefit than existing national social health insurance (Jamkesmas (Mantel-Haenszel, Common Odds Ratio Estimates = 1.920; Confidence Interval 95% =1.008–3.658; asymp. Sig 2 sided = 0.047. There is variation of benefit packages between each Jamkesda. Qualitative results show there are many obstacles faced in giving benefit health services, such as limited community accessibility to health facilities, the absence of health workforce, and lack of health infrastructure and equipment. Recomendation: This study recommends to set a national minimum benefit packages and equalizing percetion of local decission maker.

How Do Staff Perceive Schoolwide Positive Behavior Supports? Implications for Teams in Planning and Implementing Schools

Science.gov (United States)

Feuerborn, Laura L.; Tyre, Ashli D.

2016-01-01

Schoolwide Positive Behavior Support (SWPBS) offers an alternative to reactive and exclusionary school discipline practices. However, the shift to SWPBS requires substantial change in the practices of staff, and many leadership teams struggle to rally staff support for implementation. With a more thorough understanding of staff perceptions, level…

Innovatively Supporting Teachers' Implementation of School-Based Sex Education: Developing A Web-Based Coaching Intervention From Problem to Solution.

Science.gov (United States)

Schutte, Lisette; van den Borne, Marieke; Kok, Gerjo; Meijer, Suzanne; Mevissen, Fraukje Ef

2016-07-12

Full program implementation is crucial for effectiveness but is often overlooked or insufficiently considered during development of behavioral change interventions. For school-based health promotion programs, teachers are key players in program implementation, but teacher support in this phase is mostly limited to technical support and information. To ensure optimal implementation of the Dutch school-based sexual health program Long Live Love, a Web-based coaching website was developed to support teachers in completeness and fidelity of program implementation. The aim of this paper is to provide insight into the process of systematic development of a Web-based coaching intervention to support teachers in their implementation of a school-based sexual health program. The intervention mapping (IM) protocol was applied for the development of a theory- and evidence-based intervention. The IM process begins with (1) a needs assessment, followed by (2) the formulation of change objectives, (3) the selection of theory-based intervention methods and practical applications that take the parameters for effectiveness into consideration, (4) integration of practical applications into an organized program, (5) planning for adoption, implementation, and sustainability of the program, and finally, (6) generating an evaluation plan to measure program effectiveness. Teacher's implementation behavior was characterized by inconsistently selecting parts of the program and not delivering (all) lessons as intended by program developers. Teachers, however, did not perceive this behavior as problematic, revealing the discrepancy between teacher's actual and perceived need for support in delivering Long Live Love lessons with completeness and fidelity. Teachers did, however, acknowledge different difficulties they encountered which could potentially negatively influence the quality of implementation. With the IM protocol, this Web-based coaching intervention was developed based on a concept

Innovatively Supporting Teachers’ Implementation of School-Based Sex Education: Developing A Web-Based Coaching Intervention From Problem to Solution

Science.gov (United States)

Kok, Gerjo; Meijer, Suzanne; Mevissen, Fraukje EF

2016-01-01

Background Full program implementation is crucial for effectiveness but is often overlooked or insufficiently considered during development of behavioral change interventions. For school-based health promotion programs, teachers are key players in program implementation, but teacher support in this phase is mostly limited to technical support and information. To ensure optimal implementation of the Dutch school-based sexual health program Long Live Love, a Web-based coaching website was developed to support teachers in completeness and fidelity of program implementation. Objective The aim of this paper is to provide insight into the process of systematic development of a Web-based coaching intervention to support teachers in their implementation of a school-based sexual health program. Methods The intervention mapping (IM) protocol was applied for the development of a theory- and evidence-based intervention. The IM process begins with (1) a needs assessment, followed by (2) the formulation of change objectives, (3) the selection of theory-based intervention methods and practical applications that take the parameters for effectiveness into consideration, (4) integration of practical applications into an organized program, (5) planning for adoption, implementation, and sustainability of the program, and finally, (6) generating an evaluation plan to measure program effectiveness. Results Teacher’s implementation behavior was characterized by inconsistently selecting parts of the program and not delivering (all) lessons as intended by program developers. Teachers, however, did not perceive this behavior as problematic, revealing the discrepancy between teacher’s actual and perceived need for support in delivering Long Live Love lessons with completeness and fidelity. Teachers did, however, acknowledge different difficulties they encountered which could potentially negatively influence the quality of implementation. With the IM protocol, this Web-based coaching

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.

Conditions That Support the Implementation of E-Government through the Digital Towpath Project: An Exploratory Study

Science.gov (United States)

Tyksinski, Deborah J.

2009-01-01

This study examined the social environmental conditions perceived by local government representatives as relatively important for their implementation of e-government using the Digital Towpath Project (DTP) content management system, referred to as "websites". The survey population included individuals who administered the municipal websites for…

Managerial attitude to the implementation of quality management systems in Lithuanian support treatment and nursing hospitals

Directory of Open Access Journals (Sweden)

Lydeka Zigmas

2006-09-01

Full Text Available Abstract Background The regulations of the Quality Management System (QMS implementation in health care organizations were approved by the Lithuanian Ministry of Health in 1998. Following the above regulations, general managers of health care organizations had to initiate the QMS implementation in hospitals. As no research on the QMS implementation has been carried out in Lithuanian support treatment and nursing hospitals since, the objective of this study is to assess its current stage from a managerial perspective. Methods A questionnaire survey of general managers of Lithuanian support treatment and nursing hospitals was carried out in the period of January through March 2005. Majority of the items included in the questionnaire were measured on a seven-point Likert scale. During the survey, a total of 72 questionnaires was distributed, out of which 58 filled-in ones were returned (response rate 80.6 per cent; standard sampling error 0.029 at 95 per cent level of confidence. Results Quality Management Systems were found operating in 39.7 per cent of support treatment and nursing hospitals and currently under implementation in 46.6 per cent of hospitals (13.7% still do not have it. The mean of the respondents' perceived QMS significance is 5.8 (on a seven-point scale. The most critical issues related to the QMS implementation include procedure development (5.5, lack of financial resources (5.4 and information (5.1, and development of work guidelines (4.6, while improved responsibility and power sharing (5.2, better service quality (5.1 and higher patient satisfaction (5.1 were perceived by the respondents as the key QMS benefits. The level of satisfaction with the QMS among the management of the surveyed hospitals is mediocre (3.6. However it was found to be higher among respondents who were more competent in quality management, were familiar with ISO 9000 standards, and had higher numbers of employees trained in quality management. Conclusion

Implementing mental health peer support: a South Australian experience.

Science.gov (United States)

Franke, Carmen C D; Paton, Barbara C; Gassner, Lee-Anne J

2010-01-01

Mental illness is among the greatest causes of disability, diminished quality of life and reduced productivity. Mental health policy aims to reform services to meet consumers' needs and one of the strategies is to increase the number of consumers working in the mental health service system. In South Australia, the Peer Work Project was established to provide a program for the training of consumers to work alongside mental health services. The project developed a flexible training pathway that consisted of an information session, the Introduction to Peer Work (IPW) course and further training pathways for peer workers. External evaluation indicated that the IPW course was a good preparation for peer workers, but a crucial factor in the implementation process of employing peer workers was commitment and leadership within the organisation in both preparing the organisation and supporting peer workers in their role. To assist organisations wanting to employ peer workers, a three step model was developed: prepare, train and support. The project has been successful in establishing employment outcomes for IPW graduates. The outcomes increased with time after graduation and there was a shift from voluntary to paid employment.

Effect evaluation of a web-based coaching intervention to support implementation of sex education among secondary school teachers : randomized controlled trial

NARCIS (Netherlands)

Schutte, Lisette; Mevissen, Fraukje E F; Meijer, Suzanne; Paulussen, Theo; van Empelen, Pepijn; Kok, Gerjo

2017-01-01

BACKGROUND: The quality of implementation is important to ensure the effectiveness of behavioral change interventions in practice. Implementing such programs with completeness and adherence is not an automatic process and may require additional support. In school settings, the support teachers

Local cultural conservation to support sustainable tourism in Kuta tourist area

Science.gov (United States)

Murni, NGN S.; Kanca, I. N.; Antara, D. M. S.

2018-01-01

Cultural conservation is very important in the tourism area to support sustainable tourism. This study uses the cultural studies approach and tourism. The specific purposes of this research are (1) to know the forms of cultural conservation conducted by the people of Kuta Traditional Village (Desa Adat Kuta), (2) to know the impact of tourism on the conservation of local culture, (3) to find out the strategy in preserving local culture for the sustainability of tourism in Kuta tourist area. The method used is qualitative interpretative method. Data collection conducted through direct observation in 13 banjar (sub-village), through in-depth interviews, and documentation. The results showed (1) the forms of cultural conservation are traditional arts such as dance, music orchestra,. Crafts, traditional song, classical barong and calonarang art performance, and local culture pancayadnya (five offerings). (2) the impact of tourism on cultural conservation is positive impacts such as increase of culture creativities, conservation of local culture, and the negative impact such as loss of culture space, decrease traditional subak, reduce fishermen, change of cultural value, and life style.(3) Strategy of Desa Adat in preserving culture by carrying out the festival annually, Kuta Cultural Art Festival (FBK) and Kuta Beach Festival (KBF).

Community support for campus approaches to sustainable energy use: The role of 'town-gown' relationships

International Nuclear Information System (INIS)

McComas, Katherine A.; Stedman, Richard; Sol Hart, P.

2011-01-01

Across the United States, universities are grappling with challenges associated with adopting approaches to more sustainable energy use. One approach has been to develop energy-related projects in their local, host communities. Because host communities can play a major role in the successful planning and implementation of these projects, understanding the factors relating to their support is important. Building on research that suggests that procedural fairness is one such key factor, this study examines community members' support of six approaches a local university could implement to work towards a goal of carbon neutrality. The results of a mail survey (N=677) found that perceived fairness of campus decision makers was significantly related to community support for the proposed approaches; however, beliefs about the efficacy of the different approaches to address challenges associated with climate change had the strongest relationship with support. The results also suggest that residents prefer changes in the energy infrastructure, such as the development of wind power, over the purchase of carbon offsets. We discuss the results in terms of actions that universities may take to foster community engagement in decision-making for university-sponsored sustainable energy projects. - Research highlights: → Residents were surveyed about support of a local university's energy choices. → Perceived fairness of campus authorities related to local support. → Beliefs about ability of energy choices to address climate change predicted support.

An analysis of the declining support for the ANC during the 2011 South African local government elections

Directory of Open Access Journals (Sweden)

C Twala

2012-12-01

Full Text Available Local government elections are notorious for low voter turnout, but the May 2011 elections in South Africa showed a record 58 percent of the 24 million registered voters. In South Africa, local government matters and not just because it provides a pointer to what might happen in the provincial and national elections due in 2014, but helps in determining the readiness of the African Nation Congress in providing basic services to the different communities. Interestingly, these elections were preceded by service delivery protests against the ANC. The article is an analysis of the decreased support for the ANC during the 2011 local government elections. The multifaceted reasons behind the boiling cauldron of this decline in support for the ANC are scrutinised. Underpinning this decline in support often lie deep and complex factors which can be uncovered through a careful analysis of the ANC’s campaigning strategies ahead of these elections; the media which has been accused of rampant sensationalism; service delivery protests and mudslinging from other political parties. However, it is not the author’s intention in this article to deal with how other parties fared during these elections, but to highlight their impact on the declined support received by the ANC in the elections. The discussion is presented in four parts: the first presents an exploratory discussion on the theory of local government in the sphere of governance. The second part discusses some key strategies and tactics used by the ANC in attempts to galvanise support, as well as the challenges encountered. The third deals with the opposition parties’ machinery in preventing the ANC from getting a majority vote during the election. Lastly, the article concludes by highlighting the lessons learnt by the ANC during these elections within the framework of electoral politics in South Africa. Keywords: local election 2011, African National Congress (ANC, local government.  Disciplines

Status of Activities to Implement a Sustainable System of MC&A Equipment and Methodological Support at Rosatom Facilities

Energy Technology Data Exchange (ETDEWEB)

J.D. Sanders

2010-07-01

Under the U.S.-Russian Material Protection, Control and Accounting (MPC&A) Program, the Material Control and Accounting Measurements (MCAM) Project has supported a joint U.S.-Russian effort to coordinate improvements of the Russian MC&A measurement system. These efforts have resulted in the development of a MC&A Equipment and Methodological Support (MEMS) Strategic Plan (SP), developed by the Russian MEM Working Group. The MEMS SP covers implementation of MC&A measurement equipment, as well as the development, attestation and implementation of measurement methodologies and reference materials at the facility and industry levels. This paper provides an overview of the activities conducted under the MEMS SP, as well as a status on current efforts to develop reference materials, implement destructive and nondestructive assay measurement methodologies, and implement sample exchange, scrap and holdup measurement programs across Russian nuclear facilities.

A neo-strategic planning approach to enhance local tobacco control programs.

Science.gov (United States)

Douglas, Malinda R; Carter, Sara Sally R; Wilson, Andrew P; Chan, Andie

2015-01-01

Research in tobacco control demonstrating best practices is widely disseminated; however, application at the local level is often difficult. Translating research into practice requires a concerted effort to develop an understanding of the evidence and how it can be applied within diverse contexts. A strategic planning infrastructure was developed to support the translation of evidence-based interventions into community practice. This paper highlights the strategic process of turning "know-what" into "know-how" to facilitate the strategic planning and implementation of tobacco control best practices at the local level. The purpose, people, process, and product strategies of knowledge management and translation provided a framework for the strategic planning infrastructure. The knowledge translation concepts of audience, motivations, and mechanisms were synergized in the neo-strategic planning component design. The participants were 20 community coalitions funded to implement local tobacco control programs. From 2004 to 2011, the strategic planners facilitated a cyclical process to translate research into practice using a trio of integrated tools, skill-building workshops on strategic planning, and grantee-driven technical assistance and consultation. In the short term, the usefulness of the strategic planning components to the programs was measured. The intermediate outcome was the successful movement of the community programs from the planning stage to the implementation stage. The achievement of community-level changes in planned tobacco control efforts was the overall outcome measure for the success of the local coalitions. Seventeen of 20 communities that began the planning process implemented strategic plans. All 17 of the programs implemented evidence-based practices, resulting in numerous tobacco-free policies, increased cessation, and increased support from the media and community. Bridging the gap between research and practice can enhance the practicality

Teachers' Perceptions on Preparedness and Supports to Implement the English Language Arts Common Core State Standards

Science.gov (United States)

Fernandez, Maria Clara

2017-01-01

The purpose of this study was to: (1) describe elementary teachers' perceptions on their preparedness to implement the English Language Arts Common Core State Standards (ELA-CCSS); (2) determine how perceptions influenced changes in instructional practices; and (3) to explore ELA-CCSS implementation challenges and/or barriers in supporting teacher…

The codevelopment of coastal fisheries monitoring methods to support local management

Directory of Open Access Journals (Sweden)

Eva Schemmel

2016-12-01

Full Text Available Small-scale fisheries across the globe provide critical food security, livelihoods, and human well-being, but are threatened by a combination of local and global stressors, including overexploitation, pollution, and climate change. Participatory approaches to management, especially those that incorporate local communities and customary knowledge can provide meaningful biological information that supports sustainable fisheries management and builds local adaptive capacity to changing ocean conditions. Through a collaboration between fishers, scientists, NGOs, and regulating agencies, we developed a low-cost, low-tech method to assess the seasonal spawning peaks, lunar spawning cycles, and size at maturity (L50 for key targeted reef fish, combining traditional knowledge and practice with modern scientific approaches, including gonadosomatic index (GSI and histology. Two years of community-based monitoring resulted in data from 57 species and 15 families of reef and nearshore fishes (n = 2595, with detailed information for 10 species at 4 locations across the Hawaiian Islands. Comparisons between community-collected GSI data and scientifically (histologically assessed spawning cycles and size at reproductive maturity produced similar results suggesting that these approaches can be applied in data-poor fisheries to assess spawning seasons and size at maturity (L50, both of which are critical needs for effective fisheries management. Semistructured surveys revealed a large body of local knowledge on spawning times and harvest practices based on allowing spawning to occur before harvesting and protecting small and large size classes, but little evidence that fishers understand temporal patterns of spawning. This suggests that monitoring methods that fill key gaps such as this and are congruent with these local knowledge systems and customary harvest practices may be key for local stewardship and adaptive management.

Implementation of the Individual Placement and Support approach for people with mental illness – a systematic review of facilitators and barriers

DEFF Research Database (Denmark)

Bonfils, Inge Storgaard; Hansen, Henrik; Stentoft Dalum, Helle

2015-01-01

/evaluations and reviews included in the review. Results: Factors influencing the implementation process exist on the contextual, local organizational, cooperation/team and individual level. There is an inherent interdependency between various factors. Key element is the use of fidelity scale and skilled local leadership...... and IPS specialist. A general awareness towards how attitudes, values and institutional logics influence the implementation process is needed to change the systems logic from a “caring perspective” towards a” rehabilitation approach”. Conclusion: Existing research points to how multiple factors influence...

The Key Success and Strategic Role of Accrual Based Accounting Implementation

Directory of Open Access Journals (Sweden)

Surepno Surepno

2015-09-01

Full Text Available Central Government policy to adopt accrual-based accounting system providing consequences for local governments to apply accrual accounting in the financial statements. Empirical evidence shows that the readiness of the local government in Indonesia in the process of implementation of accrual accounting is still relatively low. This study aimed to analyze the success of Semarang Government in implementing accrual accounting. This study also analyzes the offender's response to the implementation of the strategic role of accrual accounting in transparency and accountability. Furthermore, the method used in this study is a qualitative approach to perform a case study at the Department of Finance and Asset Management Area (DPKAD Semarang by means of interviewing the key actors of implementation. The results showed that the successful implementation of accrual accounting Semarang government is supported by four main strategies, namely management commitment, regulatory development, information systems development and human resource development. Furthermore, based on the conclusions of the implementers shows that accrual accounting has a strategic role in increasing transparency and accountability through financial reporting.

The role of the Pharmacist in the design, development and implementation of Medication Prescription Support Systems

Directory of Open Access Journals (Sweden)

Núria Solà Bonada

2016-11-01

Full Text Available Clinical Decision Support Systems (CDSS are computerized tools designed to help healthcare professionals to make clinical and therapeutic decisions, with the objective of improving patient care. Prescription-targeted CDSS have the highest impact in improving patient safety. Although there are different designs and functionalities, all these systems will combine clinical knowledge and patient information in a smart manner, in order to improve the prescription process. With the emergence of new technologies and advances in smart decision systems, the implementation of said systems can achieve an important improvement in terms of the prescription process and patient safety. The design and implementation of these systems should be performed by a multidisciplinary team of professionals, where Pharmacists will play an important role due to their technical knowledge about medications and the technologies associated to their use. This article aims to provide basic guidelines for the design and adequate implementation, monitoring and follow-up of Clinical Decision Support Systems within the setting of pharmacological prescription.

A new support measure to quantify the impact of local optima in phylogenetic analyses.

KAUST Repository

Brammer, Grant; Sul, Seung-Jin; Williams, Tiffani L

2011-01-01

Phylogentic analyses are often incorrectly assumed to have stabilized to a single optimum. However, a set of trees from a phylogenetic analysis may contain multiple distinct local optima with each optimum providing different levels of support

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.

Evaluating the Implementation and Feasibility of a Web-Based Tool to Support Timely Identification and Care for the Frail Population in Primary Healthcare Settings

Directory of Open Access Journals (Sweden)

Beverley Lawson

2017-07-01

Full Text Available Background Understanding and addressing the needs of frail persons is an emerging health priority for Nova Scotia and internationally. Primary healthcare (PHC providers regularly encounter frail persons in their daily clinical work. However, routine identification and measurement of frailty is not standard practice and, in general, there is a lack of awareness about how to identify and respond to frailty. A web-based tool called the Frailty Portal was developed to aid in identifying, screening, and providing care for frail patients in PHC settings. In this study, we will assess the implementation feasibility and impact of the Frailty Portal to: (1 support increased awareness of frailty among providers and patients, (2 identify the degree of frailty within individual patients, and (3 develop and deliver actions to respond to frailtyl in community PHC practice. Methods This study will be approached using a convergent mixed method design where quantitative and qualitative data are collected concurrently, in this case, over a 9-month period, analyzed separately, and then merged to summarize, interpret and produce a more comprehensive understanding of the initiative’s feasibility and scalability. Methods will be informed by the ‘Implementing the Frailty Portal in Community Primary Care Practice’ logic model and questions will be guided by domains and constructs from an implementation science framework, the Consolidated Framework for Implementation Research (CFIR. Discussion The ‘Frailty Portal’ aims to improve access to, and coordination of, primary care services for persons experiencing frailty. It also aims to increase primary care providers’ ability to care for patients in the context of their frailty. Our goal is to help optimize care in the community by helping community providers gain the knowledge they may lack about frailty both in general and in their practice, support improved identification of frailty with the use of screening

Urban greening supported by GIS: from data collection to policy implementation

Directory of Open Access Journals (Sweden)

Luke Drake

2015-11-01

Full Text Available While the multiple benefits of urban greening are known, implementing green projects in post-industrial urban centers—where economic development, community revitalization and job creation are prioritized—requires accurate data that are relevant to local advocates and decision-makers. Municipal tax rolls are often used to identify vacant properties but are not necessarily up-to-date or do not contain detailed attributes about vacant properties. The Rutgers University Center for Urban Environmental Sustainability (CUES partnered with the City of Trenton and Isles, Inc., a local non-governmental organization (NGO, to conduct a unique smart-phone based city-wide property survey that captured property data not available in the city's tax rolls. Spatial analysis of data was completed and compared to a baseline vacant property survey. Having current and accurate data has empowered Trenton to develop a strategy to redevelop their unproductive tax base, and has given an NGO the tools needed to draft a Master Plan Revision to institutionalize the need for green redevelopment. This paper discusses data collection and analysis methodology and recommendations to “green” the City of Trenton.

Design, Development and Implementation of Decision Support Systems for Private Equity Investment

OpenAIRE

Vroomen, Paul

2017-01-01

The objective of this research is to design, develop and implement an intelligent decision support system (IDSS) for making rational private equity investment decisions. (Private equity investments are capital investments in enterprises that are not traded on public equity markets; they include Equity Buy-Out, Venture Capital, and the new Equity Crowd Funding (ECF) asset classes). The design and development of the IDSS requires the integration of investment science (valuation theory, portfoli...

Cities & counties - back to the basics: Creating a local energy program

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-12-01

Outlined in this brochure are steps that local governments, or communities at large, can follow to devise an energy efficiency program. In general, an energy efficiency policy is first legislated by the local governing body. Then, an energy program is created to support the policy by developing and executing an action plan. The steps are: Determine how much you spend on energy; Designate or create a lead office; Link energy programs with community goals; Build grassroots community support; Don`t reinvent the wheel; Prioritize actions and develop a draft plan; Implement the plan; Evaluate success and update the plan; and, Publicize the benefits.

Design and implementation of a risk assessment module in a spatial decision support system

Science.gov (United States)

Zhang, Kaixi; van Westen, Cees; Bakker, Wim

2014-05-01

The spatial decision support system named 'Changes SDSS' is currently under development. The goal of this system is to analyze changing hydro-meteorological hazards and the effect of risk reduction alternatives to support decision makers in choosing the best alternatives. The risk assessment module within the system is to assess the current risk, analyze the risk after implementations of risk reduction alternatives, and analyze the risk in different future years when considering scenarios such as climate change, land use change and population growth. The objective of this work is to present the detailed design and implementation plan of the risk assessment module. The main challenges faced consist of how to shift the risk assessment from traditional desktop software to an open source web-based platform, the availability of input data and the inclusion of uncertainties in the risk analysis. The risk assessment module is developed using Ext JS library for the implementation of user interface on the client side, using Python for scripting, as well as PostGIS spatial functions for complex computations on the server side. The comprehensive consideration of the underlying uncertainties in input data can lead to a better quantification of risk assessment and a more reliable Changes SDSS, since the outputs of risk assessment module are the basis for decision making module within the system. The implementation of this module will contribute to the development of open source web-based modules for multi-hazard risk assessment in the future. This work is part of the "CHANGES SDSS" project, funded by the European Community's 7th Framework Program.

Managing symptoms during cancer treatments: evaluating the implementation of evidence-informed remote support protocols

Directory of Open Access Journals (Sweden)

Stacey Dawn

2012-11-01

Full Text Available Abstract Background Management of cancer treatment-related symptoms is an important safety issue given that symptoms can become life-threatening and often occur when patients are at home. With funding from the Canadian Partnership Against Cancer, a pan-Canadian steering committee was established with representation from eight provinces to develop symptom protocols using a rigorous methodology (CAN-IMPLEMENT©. Each protocol is based on a systematic review of the literature to identify relevant clinical practice guidelines. Protocols were validated by cancer nurses from across Canada. The aim of this study is to build an effective and sustainable approach for implementing evidence-informed protocols for nurses to use when providing remote symptom assessment, triage, and guidance in self-management for patients experiencing symptoms while undergoing cancer treatments. Methods A prospective mixed-methods study design will be used. Guided by the Knowledge to Action Framework, the study will involve (a establishing an advisory knowledge user team in each of three targeted settings; (b assessing factors influencing nurses’ use of protocols using interviews/focus groups and a standardized survey instrument; (c adapting protocols for local use, ensuring fidelity of the content; (d selecting intervention strategies to overcome known barriers and implementing the protocols; (e conducting think-aloud usability testing; (f evaluating protocol use and outcomes by conducting an audit of 100 randomly selected charts at each of the three settings; and (g assessing satisfaction with remote support using symptom protocols and change in nurses’ barriers to use using survey instruments. The primary outcome is sustained use of the protocols, defined as use in 75% of the calls. Descriptive analysis will be conducted for the barriers, use of protocols, and chart audit outcomes. Content analysis will be conducted on interviews/focus groups and usability testing

The challenge of transferring an implementation strategy from academia to the field: a process evaluation of local quality improvement collaboratives in Dutch primary care using the normalization process theory.

Science.gov (United States)

Trietsch, Jasper; van Steenkiste, Ben; Hobma, Sjoerd; Frericks, Arnoud; Grol, Richard; Metsemakers, Job; van der Weijden, Trudy

2014-12-01

A quality improvement strategy consisting of comparative feedback and peer review embedded in available local quality improvement collaboratives proved to be effective in changing the test-ordering behaviour of general practitioners. However, implementing this strategy was problematic. We aimed for large-scale implementation of an adapted strategy covering both test ordering and prescribing performance. Because we failed to achieve large-scale implementation, the aim of this study was to describe and analyse the challenges of the transferring process. In a qualitative study 19 regional health officers, pharmacists, laboratory specialists and general practitioners were interviewed within 6 months after the transfer period. The interviews were audiotaped, transcribed and independently coded by two of the authors. The codes were matched to the dimensions of the normalization process theory. The general idea of the strategy was widely supported, but generating the feedback was more complex than expected and the need for external support after transfer of the strategy remained high because participants did not assume responsibility for the work and the distribution of resources that came with it. Evidence on effectiveness, a national infrastructure for these collaboratives and a general positive attitude were not sufficient for normalization. Thinking about managing large databases, responsibility for tasks and distribution of resources should start as early as possible when planning complex quality improvement strategies. Merely exploring the barriers and facilitators experienced in a preceding trial is not sufficient. Although multifaceted implementation strategies to change professional behaviour are attractive, their inherent complexity is also a pitfall for large-scale implementation. © 2014 John Wiley & Sons, Ltd.

Factors affecting implementation of an evidence-based practice in the Veterans Health Administration: Illness management and recovery.

Science.gov (United States)

McGuire, Alan B; Salyers, Michelle P; White, Dominique A; Gilbride, Daniel J; White, Laura M; Kean, Jacob; Kukla, Marina

2015-12-01

Illness management and recovery (IMR) is an evidence-based practice that assists consumers in managing their illnesses and pursuing personal recovery goals. Although research has examined factors affecting IMR implementation facilitated by multifaceted, active roll-outs, the current study attempted to elucidate factors affecting IMR implementation outside the context of a research-driven implementation. Semi-structured interviews with 20 local recovery coordinators and 18 local IMR experts were conducted at 23 VA medical centers. Interviews examined perceived and experienced barriers and facilitators to IMR implementation. Data were analyzed via thematic inductive/deductive analysis in the form of crystallization/immersion. Six factors differed between sites implementing IMR from those not providing IMR: awareness of IMR, importer-champions, autonomy-supporting leadership, veteran-centered care, presence of a sensitive period, and presence of a psychosocial rehabilitation and recovery center. Four factors were common in both groups: recovery orientation, evidence-based practices orientation, perceived IMR fit within program structure, and availability of staff time. IMR can be adopted in lieu of active implementation support; however, knowledge dissemination appears to be key. Future research should examine factors affecting the quality of implementation. (c) 2015 APA, all rights reserved).

Technological Implementation of Renewable Energy in Rural-Isolated Areas and Small-Medium Islands in Indonesia: Problem Mapping And Preliminary Surveys of Total People Participation in a Local Wind Pump Water Supply

Science.gov (United States)

Taufik, Ahmad

2007-10-01

This article discusses a formulation of problem mapping and preliminary surveys of total people participation in a local wind pump (LWP) water supply in term of technological implementation of renewable energy (RE) in rural-isolated areas and small-medium islands in Indonesia. The formulation was constructed in order to enhance and to promote the local product of RE across Indonesia. It was also addressed to accommodate local potencies, barriers and opportunities into a priority map. Moreover, it was designed into five aspects such as (1) local technology of the RE: a case of pilot project of the LWP; (2) environmental-cultural aspects related to global issues of energy-renewable energy; (3) potencies and barriers corresponding to local, national, regional and international contents; (4) education and training and (5) gender participation. To focus the formulation, serial preliminary surveys were conducted in five major areas, namely: (1) survey on support and barrier factors of the aspects; (2) strategic planning model, a concept A-B-G which stands for Academician-Business people-Government; (3) survey on background based knowledge on energy conservation; (4) survey on gender participation in energy conservation and (5) survey on local stakeholder involvement. Throughout the surveys, it has been notified that the concept needs to be developed to any level of its component since its elements were identified in tolerance values such as high potency value of the LWP development (95%); a strong potency of rural area application (88%); a medium background of energy, energy conservation (EC) identified in a range of 56%-72%, sufficient support from local stakeholders and gender participation.

Social barriers in wind power implementation in The Netherlands: Perceptions of wind power entrepreneurs and local civil servants of institutional and social conditions in realizing wind power projects

International Nuclear Information System (INIS)

Agterbosch, Susanne; Glasbergen, Pieter; Vermeulen, Walter J.V.

2007-01-01

The primary social factors for the implementation of wind energy projects in a liberalized market are entrepreneurs willing to invest. Understanding conditions that trigger entrepreneurs to invest in these projects, and understanding conditions that determine the chance of success for entrepreneurs to implement and exploit their projects, is vital for setting up effective policies to stimulate wind electricity generation. This paper analyses the way in which wind power entrepreneurs and local civil servants experience social and institutional conditions in the operational process of realizing wind power projects, and their perceptions of policy implications. A groups support system in an electronic board room was used to analyze the perceptions. From the analysis it was concluded that wind power entrepreneurs and civil servants share the opinion that the institutionally embedded power position of local politicians, and the sensitiveness of the local political debate for the popular opinion are most critical for project realization. With regard to the proposed solutions, both groups differ in their approach. Entrepreneurs stress procedural solutions, such as limiting the possibilities to appeal, reducing the complexity of the formal authorization trajectory and using a top down planning approach. Civil servants stress more strategic solutions, such as providing more public information on the necessity of wind power for local politicians and citizens, and community involvement in planning processes. Finally, the analysis explains that steering strategies that have been developed at the national level to solve the planning problems at the operational level do not address the right problems. (author)

Implementation status of the global and local beam position feedback systems for the Advanced Photon Source storage ring

International Nuclear Information System (INIS)

Chung, Y.; Barr, D.; Decker, G.; Galayda, J.; Kirchman, J.; Lenkszus, F.; Lumpkin, A.; Votaw, A.J.

1995-01-01

The Advanced Photon Source (APS) is implementing an extensive beam position feedback system for both global and local stabilization of particle and photon beams based on digital signal processing. The description and operational experience of the system will be given in this paper. In particular, we will discuss the underlying fundamental principles, hardware layout, controls interface, and automatic software generation for multiple digital signal processors (DSPS) distributed in 20 VME crates around the ring. The feedback system runs at 4-kHz sampling frequency in order to achieve the correction bandwidth of approximately 100 Hz. For the maximum correction efficiency and resolution of conflicts among multiple local feedback systems due to the local bump closure error, the global and local feedback systems are combined into a single unified system. This novel approach is made possible through data sharing among the global and local systems via the fiber-optically networked reflective memories

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

Science.gov (United States)

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

2004-12-01

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

Linking vegetable preferences, health and local food systems through community-supported agriculture.

Science.gov (United States)

Wilkins, Jennifer L; Farrell, Tracy J; Rangarajan, Anusuya

2015-09-01

The objective of the present study was to explore the influence of participation in community-supported agriculture (CSA) on vegetable exposure, vegetable intake during and after the CSA season, and preference related to locally produced vegetables acquired directly from CSA growers. Quantitative surveys were administered at three time points in two harvest seasons to four groups of CSA participants: new full-paying, returning full-paying, new subsidized and returning subsidized members. Questionnaires included a vegetable frequency measure and measures of new and changed vegetable preference. Comparisons were made between new and returning CSA members and between those receiving subsidies and full-paying members. The research was conducted in a rural county in New York, USA. CSA members who agreed to participate in the study. Analysis was based on 151 usable questionnaires. CSA participants reported higher intake of eleven different vegetables during the CSA season, with a sustained increase in some winter vegetables. Over half of the respondents reported trying at least one, and up to eleven, new vegetables. Sustained preferences for CSA items were reported. While those who choose to join a CSA may be more likely to acquire new and expanded vegetable preferences than those who do not, the CSA experience has the potential to enhance vegetable exposure, augment vegetable preference and increase overall vegetable consumption. Dietary patterns encouraged through CSA participation can promote preferences and consumer demand that support local production and seasonal availability. Emphasis on fresh and fresh stored locally produced vegetables is consistent with sustainable community-based food systems.

[Implementation of ontology-based clinical decision support system for management of interactions between antihypertensive drugs and diet].

Science.gov (United States)

Park, Jeong Eun; Kim, Hwa Sun; Chang, Min Jung; Hong, Hae Sook

2014-06-01

The influence of dietary composition on blood pressure is an important subject in healthcare. Interactions between antihypertensive drugs and diet (IBADD) is the most important factor in the management of hypertension. It is therefore essential to support healthcare providers' decision making role in active and continuous interaction control in hypertension management. The aim of this study was to implement an ontology-based clinical decision support system (CDSS) for IBADD management (IBADDM). We considered the concepts of antihypertensive drugs and foods, and focused on the interchangeability between the database and the CDSS when providing tailored information. An ontology-based CDSS for IBADDM was implemented in eight phases: (1) determining the domain and scope of ontology, (2) reviewing existing ontology, (3) extracting and defining the concepts, (4) assigning relationships between concepts, (5) creating a conceptual map with CmapTools, (6) selecting upper ontology, (7) formally representing the ontology with Protégé (ver.4.3), (8) implementing an ontology-based CDSS as a JAVA prototype application. We extracted 5,926 concepts, 15 properties, and formally represented them using Protégé. An ontology-based CDSS for IBADDM was implemented and the evaluation score was 4.60 out of 5. We endeavored to map functions of a CDSS and implement an ontology-based CDSS for IBADDM.

An analysis of the implementation of an environmental management system in a local public administration.

Science.gov (United States)

Lozano, Macarena; Vallés, José

2007-03-01

The Environmental Management System (EMS) is commonly implemented in private firms. However, on the basis of a strengths, weaknesses, opportunities and threats (SWOT) analysis, our work analyzes the consequences of implementing an EMS within the context of local public administrations, particularly regarding the City Council of Ohanes in Almería (Spain). This is the first European corporation to implement an EMS according to the ISO 14001 Standard, certified by the Spanish Association of Normalization and Certification. Its analysis would be equivalent to the Shumpeterian "market innovator study", so that public administration "followers" can take advantage of the derived benefits and of minimizing the negative effects of such an experience. On the other hand, we show that the economic and environmental advantages derived from the EMS go beyond the activities that the City Council is in charge of. They have spillover effects that extend them to all economic activities in the municipality and these effects are expected to be increased in the medium and long-term perspective. In this paper, we compare the costs and benefits that the municipality obtains in two cases: the City Council implements the EMS or it does not implement it. The main objective of this article is to show the economic and environmental advantages obtained by a municipality when it is only the City Council who is implementing an EMS. It is logical to suppose that this case study can stimulate other municipalities to use this instrument, even if the economic and environmental characteristics of the municipality are different.

Glocal clinical registries: pacemaker registry design and implementation for global and local integration--methodology and case study.

Directory of Open Access Journals (Sweden)

Kátia Regina da Silva

Full Text Available The ability to apply standard and interoperable solutions for implementing and managing medical registries as well as aggregate, reproduce, and access data sets from legacy formats and platforms to advanced standard formats and operating systems are crucial for both clinical healthcare and biomedical research settings.Our study describes a reproducible, highly scalable, standard framework for a device registry implementation addressing both local data quality components and global linking problems.We developed a device registry framework involving the following steps: (1 Data standards definition and representation of the research workflow, (2 Development of electronic case report forms using REDCap (Research Electronic Data Capture, (3 Data collection according to the clinical research workflow and, (4 Data augmentation by enriching the registry database with local electronic health records, governmental database and linked open data collections, (5 Data quality control and (6 Data dissemination through the registry Web site. Our registry adopted all applicable standardized data elements proposed by American College Cardiology / American Heart Association Clinical Data Standards, as well as variables derived from cardiac devices randomized trials and Clinical Data Interchange Standards Consortium. Local interoperability was performed between REDCap and data derived from Electronic Health Record system. The original data set was also augmented by incorporating the reimbursed values paid by the Brazilian government during a hospitalization for pacemaker implantation. By linking our registry to the open data collection repository Linked Clinical Trials (LinkedCT we found 130 clinical trials which are potentially correlated with our pacemaker registry.This study demonstrates how standard and reproducible solutions can be applied in the implementation of medical registries to constitute a re-usable framework. Such approach has the potential to

Variation at local government level in the support for families of severely disabled children and the factors that affect it.

Science.gov (United States)

Forsyth, Rob; McNally, Richard; James, Peter; Crossland, Kevin; Woolley, Mark; Colver, Allan

2010-11-01

The aim of this study was to examine geographical variability in the support for families caring for children with severe disabilities as well as the relationships between this variability and local government social and educational performance indicators. Data were collected from a cross-sectional, self-completed postal survey of the families of 5862 children and young people (aged 0-24 y, mean 10 y 7 mo; 68% male) with severe disabilities resulting in a variety of impairments (21% with autism spectrum disorders, 16% with learning disabilities,* 13% with emotional and behavioural difficulties, and 13% with cerebral palsy [CP]). Data on the severity of intrinsic impairment were assessed using the Health Utilities Index, and the need for support was assessed from the results of a novel parent-completed questionnaire, the European Child Environment Questionnaire (ECEQ). These responses were related to data published by local authorities on educational and social policy. Higher levels of unmet need and lack of support, as reported by parents of children and young people with severe disabilities, are associated with greater impairment but not with socioeconomic deprivation. After controlling for impairment and diagnosis, variation at local government level is of the order of 1 to 1.5 ECEQ standard deviation scores. The best- and the worst-performing local authorities--in terms of the averages of the 'support' scores reported by their surveyed residents--cluster in urban areas. For children with CP, a positive correlation was found between the reported unmet educational support requirements in each local authority area and rates of mainstream school placement for children with special educational needs. This indicates that the placement of children with disabilities into mainstream schools is associated with reported unmet need (r=0.60; p=0.01). In the case of children with autism spectrum diagnoses, the provision of additional basic educational support in mainstream

Identifying and overcoming implementation challenges: Experience of 59 noninstitutional long-term services and support pilot programs in the Veterans Health Administration.

Science.gov (United States)

Sullivan, Jennifer L; Adjognon, Omonyêlé L; Engle, Ryann L; Shin, Marlena H; Afable, Melissa K; Rudin, Whitney; White, Bert; Shay, Kenneth; Lukas, Carol VanDeusen

From 2010 to 2013, the Department of Veterans Affairs (VA) funded a large pilot initiative to implement noninstitutional long-term services and supports (LTSS) programs to support aging Veterans. Our team evaluated implementation of 59 VA noninstitutional LTSS programs. The specific objectives of this study are to (a) examine the challenges influencing program implementation comparing active sites that remained open and inactive sites that closed during the funding period and (b) identify ways that active sites overcame the challenges they experienced. Key informant semistructured interviews occurred between 2011 and 2013. We conducted 217 telephone interviews over four time points. Content analysis was used to identify emergent themes. The study team met regularly to define each challenge, review all codes, and discuss discrepancies. For each follow-up interview with the sites, the list of established challenges was used as a priori themes. Emergent data were also coded. The challenges affecting implementation included human resources and staffing issues, infrastructure, resources allocation and geography, referrals and marketing, leadership support, and team dynamics and processes. Programs were able to overcome challenges by communicating with team members and other areas in the organization, utilizing information technology solutions, creative use of staff and flexible schedules, and obtaining additional resources. This study highlights several common challenges programs can address during the program implementation. The most often mentioned strategy was effective communication. Strategies also targeted several components of the organization including organizational functions and processes (e.g., importance of coordination within a team and across disciplines to provide good care), infrastructure (e.g., information technology and human resources), and program fit with priorities in the organization (e.g., leadership support). Anticipating potential pitfalls of

Design and implementation of visualization methods for the CHANGES Spatial Decision Support System

Science.gov (United States)

Cristal, Irina; van Westen, Cees; Bakker, Wim; Greiving, Stefan

2014-05-01

The CHANGES Spatial Decision Support System (SDSS) is a web-based system aimed for risk assessment and the evaluation of optimal risk reduction alternatives at local level as a decision support tool in long-term natural risk management. The SDSS use multidimensional information, integrating thematic, spatial, temporal and documentary data. The role of visualization in this context becomes of vital importance for efficiently representing each dimension. This multidimensional aspect of the required for the system risk information, combined with the diversity of the end-users imposes the use of sophisticated visualization methods and tools. The key goal of the present work is to exploit efficiently the large amount of data in relation to the needs of the end-user, utilizing proper visualization techniques. Three main tasks have been accomplished for this purpose: categorization of the end-users, the definition of system's modules and the data definition. The graphical representation of the data and the visualization tools were designed to be relevant to the data type and the purpose of the analysis. Depending on the end-users category, each user should have access to different modules of the system and thus, to the proper visualization environment. The technologies used for the development of the visualization component combine the latest and most innovative open source JavaScript frameworks, such as OpenLayers 2.13.1, ExtJS 4 and GeoExt 2. Moreover, the model-view-controller (MVC) pattern is used in order to ensure flexibility of the system at the implementation level. Using the above technologies, the visualization techniques implemented so far offer interactive map navigation, querying and comparison tools. The map comparison tools are of great importance within the SDSS and include the following: swiping tool for comparison of different data of the same location; raster subtraction for comparison of the same phenomena varying in time; linked views for comparison

CDC/NACCHO Accreditation Support Initiative: advancing readiness for local and tribal health department accreditation.

Science.gov (United States)

Monteiro, Erinn; Fisher, Jessica Solomon; Daub, Teresa; Zamperetti, Michelle Chuk

2014-01-01

Health departments have various unique needs that must be addressed in preparing for national accreditation. These needs require time and resources, shortages that many health departments face. The Accreditation Support Initiative's goal was to test the assumption that even small amounts of dedicated funding can help health departments make important progress in their readiness to apply for and achieve accreditation. Participating sites' scopes of work were unique to the needs of each site and based on the proposed activities outlined in their applications. Deliverables and various sources of data were collected from sites throughout the project period (December 2011-May 2012). Awardees included 1 tribal and 12 local health departments, as well as 5 organizations supporting the readiness of local and tribal health departments. Sites dedicated their funding toward staff time, accreditation fees, completion of documentation, and other accreditation readiness needs and produced a number of deliverables and example documents. All sites indicated that they made accreditation readiness gains that would not have occurred without this funding. Preliminary evaluation data from the first year of the Accreditation Support Initiative indicate that flexible funding arrangements may be an effective way to increase health departments' accreditation readiness.

Design and implementation of a fiber optic link for a token ring local area network

OpenAIRE

Doran, Thomas J.

1992-01-01

Approved for public release; distribution is unlimited This thesis described the design and implementation of a fiber optic link for a token ring local area network (LAN). It features the use of fiber optic channels as the transmission medium between a computer system and a wiring concentrator to convert a physical ring design into a star-wired configuration. The LAN was controlled by the TMS380 LAN Adapter chipset, which provided all diagnostic and network management features to include...

Theory of local and global processes which affect solar wind electrons. 2. Experimental support

International Nuclear Information System (INIS)

Scudder, J.D.; Olbert, S.

1979-01-01

We have extended the theoretical considerations of Scudder and Olbert (1979) (hereafter called paper 1) to show from the microscopic characteristics of the Coulomb cross section that there are three natural subpopulations for plasma electrons: the subthermals with local kinetic energy E 7kT/sub c/. We present experimental support from three experimental groups on three different spacecraft over a radial range in the interplanetary medium for the five interrelations projected in paper 1 between solar wind electron properties and changes in the interplanetary medium: (1) subthermals respond primarily to local changes (compressions and rarefactions) in stream dynamics: (2) the extrathermal fraction of the ambient electron density should be anticorrelated with the asymptotic bulk speed; (3) the extrathermal 'temperature' should be anticorrelated with the local wind speed at 1 AU; (4) the heat flux carried by electrons should be anticorrelated with the local bulk speed; and (5) the extrathermal differential 'temperature' should be nearly independent of radius within 1 Au. From first principles and the spatial inhomogeneity of the plasma we show that the velocity dependence of Coulomb collisions in the solar wind plasmaproduces a bifurcation in the solar wind electron distribution function at a transition energy E*. This energy is theoretically shown to scale with the local thermal temperature as E*(r) approx. =GAMMAkT/sub c/(r). This scaling is observationally supported over the radial range from 0.45 to 0.9 AU and at 1 AU. The extrathermals, defined on the basis of Coulomb collisions, are synonymous with the subpopulation previously labeled in the literature as the 'halo' or 'hot' component

Barriers to and facilitators of implementing shared decision making and decision support in a paediatric hospital: A descriptive study.

Science.gov (United States)

Boland, Laura; McIsaac, Daniel I; Lawson, Margaret L

2016-04-01

To explore multiple stakeholders' perceived barriers to and facilitators of implementing shared decision making and decision support in a tertiary paediatric hospital. An interpretive descriptive qualitative study was conducted using focus groups and interviews to examine senior hospital administrators', clinicians', parents' and youths' perceived barriers to and facilitators of shared decision making and decision support implementation. Data were analyzed using inductive thematic analysis. Fifty-seven stakeholders participated. Six barrier and facilitator themes emerged. The main barrier was gaps in stakeholders' knowledge of shared decision making and decision support. Facilitators included compatibility between shared decision making and the hospital's culture and ideal practices, perceptions of positive patient and family outcomes associated with shared decision making, and positive attitudes regarding shared decision making and decision support. However, youth attitudes regarding the necessity and usefulness of a decision support program were a barrier. Two themes were both a barrier and a facilitator. First, stakeholder groups were uncertain which clinical situations are suitable for shared decision making (eg, new diagnoses, chronic illnesses, complex decisions or urgent decisions). Second, the clinical process may be hindered if shared decision making and decision support decrease efficiency and workflow; however, shared decision making may reduce repeat visits and save time over the long term. Specific knowledge translation strategies that improve shared decision making knowledge and match specific barriers identified by each stakeholder group may be required to promote successful shared decision making and decision support implementation in the authors' paediatric hospital.

From innovation to implementation: the long and winding road.

Science.gov (United States)

Galavotti, Christine; Kuhlmann, Anne K Sebert; Kraft, Joan Marie; Harford, Nicola; Petraglia, Joseph

2008-06-01

Building on theory and past research, in early 2000 scientists in the Division of Reproductive Health developed a prevention innovation for CDC's Global AIDS Program for use in countries severely affected by the HIV/AIDS epidemic. This innovative program model is called MARCH: Modeling and Reinforcement to Combat HIV/AIDS (Galavotti et al. Am J Public Health 91:1602-1607, 2001). MARCH promotes behavioral changes that reduce the risk of HIV infection and creates normative environments that sustain these changes through two key program components: entertainment-education using mass media, particularly long-running radio serial dramas, and reinforcement activities at the community level. Using the framework developed by Wandersman et al. (Am J Commun Psychol, 41(3-4), 2008), we describe the key elements of the MARCH prevention innovation and outline how we support its adaptation and implementation. We focus on the following questions: How do we get from an innovative model to effective program implementation in the field? How do we support implementation with fidelity when adaptation is required? And, once implemented, can we demonstrate fidelity of the adaptation to the original program model? Because our program model requires local adaptation for every instance of implementation, we suggest a potential enhancement to the Interactive Systems Framework-support for adaptation of the innovation-as part of the Prevention Support System. In this paper we describe how we supported adaptation of the radio serial drama component for unique contexts in several African countries. We focus attention on the tools and trainings we developed to build innovation specific capacity for implementation, including capacities for adaptation. We then present results of a qualitative analysis of scripts from the MARCH radio serial drama in Zimbabwe to assess the adapted program's fidelity to the original design of the innovation. Finally, we discuss lessons learned and explore

Facilitating the implementation of evidence- based practice through contextual support and nursing leadership.

Science.gov (United States)

Kueny, Angela; Shever, Leah L; Lehan Mackin, Melissa; Titler, Marita G

2015-01-01

Nurse managers (NMs) play an important role promoting evidence-based practice (EBP) on clinical units within hospitals. However, there is a dearth of research focused on NM perspectives about institutional contextual factors to support the goal of EBP on the clinical unit. The purpose of this article is to identify contextual factors described by NMs to drive change and facilitate EBP at the unit level, comparing and contrasting these perspectives across nursing units. This study employed a qualitative descriptive design using interviews with nine NMs who were participating in a large effectiveness study. To stratify the sample, NMs were selected from nursing units designated as high or low performing based on implementation of EBP interventions, scores on the Meyer and Goes research use scale, and fall rates. Descriptive content analysis was used to identify themes that reflect the complex nature of infrastructure described by NMs and contextual influences that supported or hindered their promotion of EBP on the clinical unit. NMs perceived workplace culture, structure, and resources as facilitators or barriers to empowering nurses under their supervision to use EBP and drive change. A workplace culture that provides clear communication of EBP goals or regulatory changes, direct contact with CEOs, and clear expectations supported NMs in their promotion of EBP on their units. High-performing unit NMs described a structure that included nursing-specific committees, allowing nurses to drive change and EBP from within the unit. NMs from high-performing units were more likely to articulate internal resources, such as quality-monitoring departments, as critical to the implementation of EBP on their units. This study contributes to a deeper understanding of institutional contextual factors that can be used to support NMs in their efforts to drive EBP changes at the unit level.

Implementation of Self Organizing Map (SOM) as decision support: Indonesian telematics services MSMEs empowerment

Science.gov (United States)

Tosida, E. T.; Maryana, S.; Thaheer, H.; Hardiani

2017-01-01

Information technology and communication (telematics) is one of the most rapidly developing business sectors in Indonesia. It has strategic position in its contribution towards planning and implementation of developmental, economics, social, politics and defence strategies in business, communication and education. Aid absorption for the national telecommunication SMEs is relatively low; therefore, improvement is needed using analysis on business support cluster of which basis is types of business. In the study, the business support cluster analysis is specifically implemented for Indonesian telecommunication service. The data for the business are obtained from the National Census of Economic (Susenas 2006). The method used to develop cluster model is an Artificial Neural Network (ANN) system called Self-Organizing Maps (SOM) algorithm. Based on Index of Davies Bouldin (IDB), the accuracy level of the cluster model is 0.37 or can be categorized as good. The cluster model is developed to find out telecommunication business clusters that has influence towards the national economy so that it is easier for the government to supervise telecommunication business.

Child Support: States' Implementation of the 1984 Child Support Enforcement Amendments. Briefing Report to the Chairman, Subcommittee on Public Assistance and Unemployment Compensation, Committee on Ways and Means, House of Representatives.

Science.gov (United States)

General Accounting Office, Washington, DC. Div. of Human Resources.

This document reports on the states' implementation of the Child Support Enforcement Amendments of 1984. The Child Support Enforcement Program is a federally administered, state run program in which child support agencies locate absent parents, establish paternity, obtain support orders, and enforce support collections with the purpose of reducing…

Exploring Local Level Factors Shaping the Implementation of a Blended Learning Module for Information and Geospatial Literacy in Ontario

Directory of Open Access Journals (Sweden)

Michelle M. Vine

2016-12-01

Full Text Available The objectives of this research study were to examine local level factors shaping the implementation of a blended pedagogical approach for geospatial- and information-literacy, and to understand implementer satisfaction. As such, we addressed the following research questions: What local-level factors shape the implementation of the blended learning model? and How satisfied are implementers (faculty, administrators and library instructional/support staff with the new blended learning model for geospatial and information fluency? Focus groups (n=7 plus one interview (total n=22 were conducted with key stakeholders (e.g., staff, faculty, administrators to better understand facilitators, barriers, and/or issues related to module development, in addition to perceptions about how the modules are utilized by teaching assistants (TAs, instructional assistants (IAs, and instructors. Participants were identified according to their status as either discipline-specific instructional staff (i.e., instructor, TA, IA or staff who supported the development of modules (i.e., library instructional staff, library management, administrators. From an ontological standpoint that privileges an individual perspective on the nature of reality, while epistemologically seeking to understand the relationship between the “knower” and what can be known, we adopted a theory of constructivism to support this inquiry. Transcripts were imported into a qualitative analysis software package (NVivo 8.0 for organization, coding and analysis. Instructors found value in the online modules, particularly in a blended learning setting. Instructors felt that having the material in advance, in-class time could be better focused on interaction, assignments, and assessments and resulted in reduced anxiety in busy lab environments. Several key themes emerged, including: (a instructor expectations (time constraints, sustainability, and collaborative nature of development process and

Challenges to establishing successful partnerships in community health promotion programs: local experiences from the national implementation of healthy eating activity and lifestyle (HEAL™) program.

Science.gov (United States)

Dennis, Sarah; Hetherington, Sharon A; Borodzicz, Jerrad A; Hermiz, Oshana; Zwar, Nicholas A

2015-04-01

Community-based programs to address physical activity and diet are seen as a valuable strategy to reduce risk factors for chronic disease. Community partnerships are important for successful local implementation of these programs but little is published to describe the challenges of developing partnerships to implement health promotion programs. The aim of this study was to explore the experiences and opinions of key stakeholders on the development and maintenance of partnerships during their implementation of the HEAL™ program. Semi-structured interviews with key stakeholders involved in implementation of HEAL™ in four local government areas. The interviews were transcribed verbatim and analysed thematically. Partnerships were vital to the success of the local implementation. Successful partnerships occurred where the program met the needs of the partnering organisation, or could be adapted to do so. Partnerships took time to develop and were often dependent on key people. Partnering with organisations that had a strong influence in the community could strengthen existing relationships and success. In remote areas partnerships took longer to develop because of fewer opportunities to meet face to face and workforce shortages and this has implications for program funding in these areas. Partnerships are important for the successful implementation of community preventive health programs. They take time to develop, are dependent on the needs of the stakeholders and are facilitated by stable leadership. SO WHAT?: An understanding of the role of partnerships in the implementation of community health programs is important to inform several aspects of program delivery, including flexibility in funding arrangements to allow effective and mutually beneficial partnerships to develop before the implementation phase of the program. It is important that policy makers have an understanding of the time it takes for partnerships to develop and to take this into consideration

A partnership approach to local energy management between European and Asian cities

International Nuclear Information System (INIS)

Webber, Peter; Pardo, Manuel; Conway, Stewart; Lack, Don; Ferreira, Vasco; Castanheira, Luis

2005-01-01

In Europe, several local areas have a number of years of experience with implementing local energy and greenhouse gas management policies, addressing national and international climate change targets. For example, in the city of Leicester in the UK, local strategies and measures have been implemented over several years to improve the energy efficiency of the Council's own operations and to manage city-wide energy consumption and greenhouse gas emissions. Recently, Leicester has participated in a European Commission funded project, which explores the potential for European local authorities and agencies to use their experience to work with a local area in a developing country where energy demand has been increasing rapidly, addressing climate change and sustainable development issues. The project has aimed to provide support at the local level with developing a framework to minimise energy-related contributions to climate change and air pollution, while giving quality of life benefits. It has used a partnership approach between Leicester, Vila Nova de Gaia municipality in Portugal, and a city in the Gujarat, India. The local level's role in each country in local energy management has been investigated. This has included a baseline assessment of local energy use, renewable energy and climate change issues in each partner city. The most locally relevant energy technologies have been selected and their implementation discussed in the local workshops involving a range of organisations and individuals, with actions being identified to improve the local management of energy, such as raising awareness and ensuring easy access to information

Status of Activities to Implement a Sustainable System of MC and A Equipment and Methodological Support at Rosatom Facilities

International Nuclear Information System (INIS)

Sanders, J.D.

2010-01-01

Under the U.S.-Russian Material Protection, Control and Accounting (MPC and A) Program, the Material Control and Accounting Measurements (MCAM) Project has supported a joint U.S.-Russian effort to coordinate improvements of the Russian MC and A measurement system. These efforts have resulted in the development of a MC and A Equipment and Methodological Support (MEMS) Strategic Plan (SP), developed by the Russian MEM Working Group. The MEMS SP covers implementation of MC and A measurement equipment, as well as the development, attestation and implementation of measurement methodologies and reference materials at the facility and industry levels. This paper provides an overview of the activities conducted under the MEMS SP, as well as a status on current efforts to develop reference materials, implement destructive and nondestructive assay measurement methodologies, and implement sample exchange, scrap and holdup measurement programs across Russian nuclear facilities.

The local investment in renewable energies; L'investissement local dans les energies renouvelables

Energy Technology Data Exchange (ETDEWEB)

Poussard, E.; Quantin, J.; Grepmeier, K.; Larsen, J.; Manolakaki, E.; Twele, J

2003-07-01

These proceedings present some European testimonies about the advantage of local investment, illustrated with concrete cases taken in Germany, Denmark and Switzerland. They demonstrate that local investment in renewable energy sources is a reality and that this practice has indisputably contributed to their significant development in some countries of the European Union. The sustain of foreign banks to the financing of renewable energy sources is at the evidence an example to follow up in countries like France, Greece or Spain. Important efforts have to be made to simplify and encourage the implementation of projects, in particular from the administrative point of view. Beyond the financial aspects, the colloquium has shown that these practices of citizenship involvement represent an important factor of social adaptation and acceptation. The projects, gathering local actors but also the overall citizens through common investment funds, ensure a better territorial anchoring and a sustain to local and sustainable development. This document has been published with the support of the European Commission and ADEME (French Agency for Environment and Energy Management). (J.S.)

Mathematics-Literacy Checklists: A Pedagogical Innovation to Support Teachers as They Implement the Common Core

Science.gov (United States)

del Prado Hill, Pixita; Friedland, Ellen S.; McMillen, Susan

2016-01-01

This article presents two innovative tools--the Mathematics-Literacy Planning Framework and Mathematics-Literacy Implementation Checklist--which are designed to help instructional coaches and specialists support teachers to meet the challenges of the mathematics-literacy integration goals of the Common Core. Developed with teacher input, these…

Climate Services Information System Activities in Support of The Global Framework for Climate Services Implementation

Science.gov (United States)

Timofeyeva-Livezey, M. M.; Horsfall, F. M. C.; Pulwarty, R. S.; Klein-Tank, A.; Kolli, R. K.; Hechler, P.; Dilley, M.; Ceron, J. P.; Goodess, C.

2017-12-01

The WMO Commission on Climatology (CCl) supports the implementation of the Global Framework for Climate Services (GFCS) with a particular focus on the Climate Services Information System (CSIS), which is the core operational component of GFCS at the global, regional, and national level. CSIS is designed for producing, packaging and operationally delivering authoritative climate information data and products through appropriate operational systems, practices, data exchange, technical standards, authentication, communication, and product delivery. Its functions include climate analysis and monitoring, assessment and attribution, prediction (monthly, seasonal, decadal), and projection (centennial scale) as well as tailoring the associated products tUEAo suit user requirements. A central, enabling piece of implementation of CSIS is a Climate Services Toolkit (CST). In its development phase, CST exists as a prototype (www.wmo.int/cst) as a compilation of tools for generating tailored data and products for decision-making, with a special focus on national requirements in developing countries. WMO provides a server to house the CST prototype as well as support operations and maintenance. WMO members provide technical expertise and other in-kind support, including leadership of the CSIS development team. Several recent WMO events have helped with the deployment of CST within the eight countries that have been recognized by GFCS as illustrative for developing their climate services at national levels. Currently these countries are developing climate services projects focusing service development and delivery for selected economic sectors, such as for health, agriculture, energy, water resources, and hydrometeorological disaster risk reduction. These countries are working together with their respective WMO Regional Climate Centers (RCCs), which provide technical assistance with implementation of climate services projects at the country level and facilitate development of

Capacity building in rural Guatemala by implementing a solid waste management program

International Nuclear Information System (INIS)

Zarate, M.A.; Slotnick, J.; Ramos, M.

2008-01-01

The development and implementation of a solid waste management program served to build local capacity in San Mateo Ixtatan between 2002 and 2003 as part of a public health action plan. The program was developed and implemented in two phases: (1) the identification and education of a working team from the community; and (2) the completion of a solid waste classification and quantification study. Social capital and the water cycle were two public health approaches utilized to build a sustainable program. The activities accomplished gained support from the community and municipal authorities. A description of the tasks completed and findings of the solid waste classification and quantification performed by a local working group are presented in this paper

Supporting the Evaluation and Implementation of Musculoskeletal Models of Care: A Globally Informed Framework for Judging Readiness and Success.

Science.gov (United States)

Briggs, Andrew M; Jordan, Joanne E; Jennings, Matthew; Speerin, Robyn; Bragge, Peter; Chua, Jason; Woolf, Anthony D; Slater, Helen

2017-04-01

To develop a globally informed framework to evaluate readiness for implementation and success after implementation of musculoskeletal models of care (MOCs). Three phases were undertaken: 1) a qualitative study with 27 Australian subject matter experts (SMEs) to develop a draft framework; 2) an eDelphi study with an international panel of 93 SMEs across 30 nations to evaluate face validity, and refine and establish consensus on the framework components; and 3) translation of the framework into a user-focused resource and evaluation of its acceptability with the eDelphi panel. A comprehensive evaluation framework was developed for judging the readiness and success of musculoskeletal MOCs. The framework consists of 9 domains, with each domain containing a number of themes underpinned by detailed elements. In the first Delphi round, scores of "partly agree" or "completely agree" with the draft framework ranged 96.7%-100%. In the second round, "essential" scores ranged 58.6%-98.9%, resulting in 14 of 34 themes being classified as essential. SMEs strongly agreed or agreed that the final framework was useful (98.8%), usable (95.1%), credible (100%) and appealing (93.9%). Overall, 96.3% strongly supported or supported the final structure of the framework as it was presented, while 100%, 96.3%, and 100% strongly supported or supported the content within the readiness, initiating implementation, and success streams, respectively. An empirically derived framework to evaluate the readiness and success of musculoskeletal MOCs was strongly supported by an international panel of SMEs. The framework provides an important internationally applicable benchmark for the development, implementation, and evaluation of musculoskeletal MOCs. © 2016, American College of Rheumatology.

Further assessment of seismic hazard/risk in the Bushveld Complex platinum mines and the implication for regional and local support design.

CSIR Research Space (South Africa)

Brink, AVZ

2002-03-01

Full Text Available Final Project Report Further assessment of seismic hazard/risk in the Bushveld Complex platinum mines and the implication for regional and local support design. A.v.Z Brink, M.K.C. Roberts, S.M Spottiswoode Research Agency: CSIR: Division of Mining... on the VCR. An industry workshop on local support requirements in areas of higher seismic risk resulted in the specification of support requirements. A maximum design parameter for yielding support in terms of the ground motion velocity is 1 m...

Implementation strategies of internet-based asthma self-management support in usual care. Study protocol for the IMPASSE cluster randomized trial.

Science.gov (United States)

van Gaalen, Johanna L; Bakker, Moira J; van Bodegom-Vos, Leti; Snoeck-Stroband, Jiska B; Assendelft, Willem J J; Kaptein, Ad A; van der Meer, Victor; Taube, Christian; Thoonen, Bart P; Sont, Jacob K

2012-11-21

Internet-based self-management (IBSM) support cost-effectively improves asthma control, asthma related quality of life, number of symptom-free days, and lung function in patients with mild to moderate persistent asthma. The current challenge is to implement IBSM in clinical practice. This study is a three-arm cluster randomized trial with a cluster pre-randomisation design and 12 months follow-up per practice comparing the following three IBSM implementation strategies: minimum strategy (MS): dissemination of the IBSM program; intermediate strategy (IS): MS + start-up support for professionals (i.e., support in selection of the appropriate population and training of professionals); and extended strategy (ES): IS + additional training and ongoing support for professionals. Because the implementation strategies (interventions) are primarily targeted at general practices, randomisation will occur at practice level.In this study, we aim to evaluate 14 primary care practices per strategy in the Leiden-The Hague region, involving 140 patients per arm. Patients aged 18 to 50 years, with a physician diagnosis of asthma, prescription of inhaled corticosteroids, and/or montelukast for ≥3 months in the previous year are eligible to participate. Primary outcome measures are the proportion of referred patients that participate in IBSM, and the proportion of patients that have clinically relevant improvement in the asthma-related quality of life. The secondary effect measures are clinical outcomes (asthma control, lung function, usage of airway treatment, and presence of exacerbations); self-management related outcomes (health education impact, medication adherence, and illness perceptions); and patient utilities. Process measures are the proportion of practices that participate in IBSM and adherence of professionals to implementation strategies. Cost-effective measurements are medical costs and healthcare consumption. Follow-up is six months per patient. This study

Implementation strategies of internet-based asthma self-management support in usual care. Study protocol for the IMPASSE cluster randomized trial

Directory of Open Access Journals (Sweden)

van Gaalen Johanna L

2012-11-01

Full Text Available Abstract Background Internet-based self-management (IBSM support cost-effectively improves asthma control, asthma related quality of life, number of symptom-free days, and lung function in patients with mild to moderate persistent asthma. The current challenge is to implement IBSM in clinical practice. Methods/design This study is a three-arm cluster randomized trial with a cluster pre-randomisation design and 12 months follow-up per practice comparing the following three IBSM implementation strategies: minimum strategy (MS: dissemination of the IBSM program; intermediate strategy (IS: MS + start-up support for professionals (i.e., support in selection of the appropriate population and training of professionals; and extended strategy (ES: IS + additional training and ongoing support for professionals. Because the implementation strategies (interventions are primarily targeted at general practices, randomisation will occur at practice level. In this study, we aim to evaluate 14 primary care practices per strategy in the Leiden-The Hague region, involving 140 patients per arm. Patients aged 18 to 50 years, with a physician diagnosis of asthma, prescription of inhaled corticosteroids, and/or montelukast for ≥3 months in the previous year are eligible to participate. Primary outcome measures are the proportion of referred patients that participate in IBSM, and the proportion of patients that have clinically relevant improvement in the asthma-related quality of life. The secondary effect measures are clinical outcomes (asthma control, lung function, usage of airway treatment, and presence of exacerbations; self-management related outcomes (health education impact, medication adherence, and illness perceptions; and patient utilities. Process measures are the proportion of practices that participate in IBSM and adherence of professionals to implementation strategies. Cost-effective measurements are medical costs and healthcare consumption

Development, Validation, and Evaluation of Literacy 3D: A Package Supporting Tier 1 Preschool Literacy Instruction Implementation and Intervention

Science.gov (United States)

Greenwood, Charles R.; Abbott, Mary; Beecher, Constance; Atwater, Jane; Petersen, Sarah

2017-01-01

Increasingly, prekindergarten programs with literacy outcome goals are seeking to implement evidence-based practices to improve results. Such efforts require instructional intervention strategies to engage children as well as strategies to support teacher implementation. Reported is the iterative development of Literacy 3D, an enhanced support…

Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings.

Science.gov (United States)

Poulin, Paule; Austen, Lea; Scott, Catherine M; Poulin, Michelle; Gall, Nadine; Seidel, Judy; Lafrenière, René

2013-01-01

Introducing new health technologies, including medical devices, into a local setting in a safe, effective, and transparent manner is a complex process, involving many disciplines and players within an organization. Decision making should be systematic, consistent, and transparent. It should involve translating and integrating scientific evidence, such as health technology assessment (HTA) reports, with context-sensitive evidence to develop recommendations on whether and under what conditions a new technology will be introduced. However, the development of a program to support such decision making can require considerable time and resources. An alternative is to adapt a preexisting program to the new setting. We describe a framework for adapting the Local HTA Decision Support Program, originally developed by the Department of Surgery and Surgical Services (Calgary, AB, Canada), for use by other departments. The framework consists of six steps: 1) development of a program review and adaptation manual, 2) education and readiness assessment of interested departments, 3) evaluation of the program by individual departments, 4) joint evaluation via retreats, 5) synthesis of feedback and program revision, and 6) evaluation of the adaptation process. Nine departments revised the Local HTA Decision Support Program and expressed strong satisfaction with the adaptation process. Key elements for success were identified. Adaptation of a preexisting program may reduce duplication of effort, save resources, raise the health care providers' awareness of HTA, and foster constructive stakeholder engagement, which enhances the legitimacy of evidence-informed recommendations for introducing new health technologies. We encourage others to use this framework for program adaptation and to report their experiences.

Community based social marketing for implementation of energy saving targets at local level

Directory of Open Access Journals (Sweden)

Dalia Streimikiene

2015-05-01

Full Text Available Energy saving and greenhouse gas (GHG emission reduction policies at local level need to be investigated and new tools for climate change mitigation are necessary seeking to achieve GHG emission targets in Lithuania. Most Lithuanian municipalities have signed Covenant of Mayors and have prepared local energy action plans. However, all these plans include just energy saving measures on supply side and renovation of buildings. Nevertheless, the significant energy savings and GHG emission reductions can be achieved through behavioural changes. The aim of the paper is to apply community based social marketing approach in assessment of achievable energy saving and GHG emission reduction targets set by local energy action plans. The paper presents the results of case study implemented in Kaunas region municipality. The case study was conducted by creating focus groups and applying two scenarios: baseline or doing nothing and climate change mitigation scenario including intervention measures. The results of case study revealed that the total energy consumption reduction target set in Sustainable energy development strategy of Kaunas region county - 11% - can be achieved by combining results of energy consumption reduction in both focus groups. The survey conducted after study finalization revealed that respondents were provided with a lot of additional knowledge during the study and achieved real money savings. The major barriers of energy savings in households are related with the lack of information on energy savings and GHG emission reduction.

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

Science.gov (United States)

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

2010-12-01

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

Normal mammogram detection based on local probability difference transforms and support vector machines

International Nuclear Information System (INIS)

Chiracharit, W.; Kumhom, P.; Chamnongthai, K.; Sun, Y.; Delp, E.J.; Babbs, C.F

2007-01-01

Automatic detection of normal mammograms, as a ''first look'' for breast cancer, is a new approach to computer-aided diagnosis. This approach may be limited, however, by two main causes. The first problem is the presence of poorly separable ''crossed-distributions'' in which the correct classification depends upon the value of each feature. The second problem is overlap of the feature distributions that are extracted from digitized mammograms of normal and abnormal patients. Here we introduce a new Support Vector Machine (SVM) based method utilizing with the proposed uncrossing mapping and Local Probability Difference (LPD). Crossed-distribution feature pairs are identified and mapped into a new features that can be separated by a zero-hyperplane of the new axis. The probability density functions of the features of normal and abnormal mammograms are then sampled and the local probability difference functions are estimated to enhance the features. From 1,000 ground-truth-known mammograms, 250 normal and 250 abnormal cases, including spiculated lesions, circumscribed masses or microcalcifications, are used for training a support vector machine. The classification results tested with another 250 normal and 250 abnormal sets show improved testing performances with 90% sensitivity and 89% specificity. (author)

Glocal Clinical Registries: Pacemaker Registry Design and Implementation for Global and Local Integration – Methodology and Case Study

Science.gov (United States)

da Silva, Kátia Regina; Costa, Roberto; Crevelari, Elizabeth Sartori; Lacerda, Marianna Sobral; de Moraes Albertini, Caio Marcos; Filho, Martino Martinelli; Santana, José Eduardo; Vissoci, João Ricardo Nickenig; Pietrobon, Ricardo; Barros, Jacson V.

2013-01-01

Background The ability to apply standard and interoperable solutions for implementing and managing medical registries as well as aggregate, reproduce, and access data sets from legacy formats and platforms to advanced standard formats and operating systems are crucial for both clinical healthcare and biomedical research settings. Purpose Our study describes a reproducible, highly scalable, standard framework for a device registry implementation addressing both local data quality components and global linking problems. Methods and Results We developed a device registry framework involving the following steps: (1) Data standards definition and representation of the research workflow, (2) Development of electronic case report forms using REDCap (Research Electronic Data Capture), (3) Data collection according to the clinical research workflow and, (4) Data augmentation by enriching the registry database with local electronic health records, governmental database and linked open data collections, (5) Data quality control and (6) Data dissemination through the registry Web site. Our registry adopted all applicable standardized data elements proposed by American College Cardiology / American Heart Association Clinical Data Standards, as well as variables derived from cardiac devices randomized trials and Clinical Data Interchange Standards Consortium. Local interoperability was performed between REDCap and data derived from Electronic Health Record system. The original data set was also augmented by incorporating the reimbursed values paid by the Brazilian government during a hospitalization for pacemaker implantation. By linking our registry to the open data collection repository Linked Clinical Trials (LinkedCT) we found 130 clinical trials which are potentially correlated with our pacemaker registry. Conclusion This study demonstrates how standard and reproducible solutions can be applied in the implementation of medical registries to constitute a re-usable framework

Maintaining a Local Data Integration System in Support of Weather Forecast Operations

Science.gov (United States)

Watson, Leela R.; Blottman, Peter F.; Sharp, David W.; Hoeth, Brian

2010-01-01

Since 2000, both the National Weather Service in Melbourne, FL (NWS MLB) and the Spaceflight Meteorology Group (SMG) at Johnson Space Center in Houston, TX have used a local data integration system (LDIS) as part of their forecast and warning operations. The original LDIS was developed by NASA's Applied Meteorology Unit (AMU; Bauman et ai, 2004) in 1998 (Manobianco and Case 1998) and has undergone subsequent improvements. Each has benefited from three-dimensional (3-D) analyses that are delivered to forecasters every 15 minutes across the peninsula of Florida. The intent is to generate products that enhance short-range weather forecasts issued in support of NWS MLB and SMG operational requirements within East Central Florida. The current LDIS uses the Advanced Regional Prediction System (ARPS) Data Analysis System (ADAS) package as its core, which integrates a wide variety of national, regional, and local observational data sets. It assimilates all available real-time data within its domain and is run at a finer spatial and temporal resolution than current national- or regional-scale analysis packages. As such, it provides local forecasters with a more comprehensive understanding of evolving fine-scale weather features

Implementation of the TsunamiReady Supporter Program in Puerto Rico

Science.gov (United States)

Flores Hots, V. E.; Vanacore, E. A.; Gonzalez Ruiz, W.; Gomez, G.

2016-12-01

The Puerto Rico Seismic Network (PRSN) manages the PR Tsunami Program (NTHMP), including the TsunamiReady Supporter Program. Through this program the PRSN helps private organizations, businesses, facilities or local government entities to willingly engage in tsunami planning and preparedness that meet some requirements established by the National Weather Service. TsunamiReady Supporter organizations are better prepared to respond to a tsunami emergency, developing a response plan (using a template that PRSN developed and provides), and reinforcing their communication systems including NOAA radio, RSS, and loud speakers to receive and disseminate the alerts issued by the NWS and the Tsunami Warning Centers (TWC). The planning and the communication systems added to the training that PRSN provides to the staff and employees, are intend to help visitors and employees evacuate the tsunami hazard zone to the nearest assembly point minimizing loss of life. Potential TsunamiReady Supporters include, but are not limited to, businesses, schools, churches, hospitals, malls, utilities, museums, beaches, and harbors. However, the traditional targets for such programs are primarily tourism sites and hotels where people unaware of the tsunami hazard may be present. In 2016 the Tsunami Ready Program guided four businesses to achieve the TsunamiReady Supporter recognition. Two facilities were hotels near or inside the evacuation zone. The other facilities were the first and only health center and supermarket to be recognized in the United States and US territories. Based on the experience of preparing the health center and supermarket sites, here we present two case studies of how the TsunamiReady Supporter Program can be applied to non-traditional facilities as well as how the application of this program to such facilities can improve tsunami hazard mitigation. Currently, we are working on expanding the application of this program to non-traditional facilities by working with a

Staff training and outreach support for Cognitive Stimulation Therapy and its implementation in practice: a cluster randomised trial.

Science.gov (United States)

Streater, Amy; Spector, Aimee; Hoare, Zoe; Aguirre, Elisa; Russell, Ian; Orrell, Martin

2017-12-01

There is evidence that Cognitive Stimulation Therapy and maintenance Cognitive Stimulation Therapy are effective in mild to moderate dementia. There is, however, little evidence available for its implementation in practice and the impact of outreach support on the sustainability of the programme. Two hundred and forty-one staff members were randomised from 63 dementia care settings between outreach support including an online forum, email, and telephone support, compared to usual Cognitive Stimulation Therapy control group. The primary outcome was average number of attendees to the Cognitive Stimulation Therapy and maintenance Cognitive Stimulation Therapy programmes. There was no difference in average number of attendees between the intervention and usual Cognitive Stimulation Therapy control groups for the Cognitive Stimulation Therapy (p = 0.82) or the maintenance Cognitive Stimulation Therapy programme (p = 0.97). Outreach support does not affect the average number of people with dementia attending the Cognitive Stimulation Therapy or maintenance Cognitive Stimulation Therapy programme. Irrespective of outreach support, the programmes remain widely implemented and yield perceived benefits for people with dementia. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

Psychiatric service staff perceptions of implementing a shared decision-making tool: a process evaluation study.

Science.gov (United States)

Schön, Ulla-Karin; Grim, Katarina; Wallin, Lars; Rosenberg, David; Svedberg, Petra

2018-12-01

Shared decision making, SDM, in psychiatric services, supports users to experience a greater sense of involvement in treatment, self-efficacy, autonomy and reduced coercion. Decision tools adapted to the needs of users have the potential to support SDM and restructure how users and staff work together to arrive at shared decisions. The aim of this study was to describe and analyse the implementation process of an SDM intervention for users of psychiatric services in Sweden. The implementation was studied through a process evaluation utilizing both quantitative and qualitative methods. In designing the process evaluation for the intervention, three evaluation components were emphasized: contextual factors, implementation issues and mechanisms of impact. The study addresses critical implementation issues related to decision-making authority, the perceived decision-making ability of users and the readiness of the service to increase influence and participation. It also emphasizes the importance of facilitation, as well as suggesting contextual adaptations that may be relevant for the local organizations. The results indicate that staff perceived the decision support tool as user-friendly and useful in supporting participation in decision-making, and suggest that such concrete supports to participation can be a factor in implementation if adequate attention is paid to organizational contexts and structures.

Key Success Factors of Renewable Energy Projects Implementation in Rural Areas of Indonesia

Directory of Open Access Journals (Sweden)

Wati Hermawati

2017-12-01

Full Text Available This paper is an exploratory study on renewable energy implementation in the rural areas of Indonesia. The study aim was to investigate the factors contributing to the sustainability of renewable energy projects in the rural areas. It mostly uses a qualitative approach. Primary data was mainly obtained from in-depth interviews conducted in site areas with the project owners, project managers, a key person in each local government, industry representatives, and the local community, including local leaders and users of renewable energy. Secondary data in the form of various official project reports was also used. The results indicated that the success of energy project implementation lay not only in good technology performance and long-term maintenance, but was also highly dependent on six key factors, namely: (1 project planning and development; (2 community participation; (3 active communication and beneficiaries; (4 availability of maintenance program, workshop and technician; (5 project management and institutionalization; (6 local government support and networks. The findings from this study provide useful insights to all stakeholders involved in the implementation of renewable energy technology for the rural areas in Indonesia.

LARA. Localization of an automatized refueling machine by acoustical sounding in breeder reactors - implementation of artificial intelligence techniques

International Nuclear Information System (INIS)

Lhuillier, C.; Malvache, P.

1987-01-01

The automatic control of the machine which handles the nuclear subassemblies in fast neutron reactors requires autonomous perception and decision tools. An acoustical device allows the machine to position in the work area. Artificial intelligence techniques are implemented to interpret the data: pattern recognition, scene analysis. The localization process is managed by an expert system. 6 refs.; 8 figs

A Support Vector Learning-Based Particle Filter Scheme for Target Localization in Communication-Constrained Underwater Acoustic Sensor Networks.

Science.gov (United States)

Li, Xinbin; Zhang, Chenglin; Yan, Lei; Han, Song; Guan, Xinping

2017-12-21

Target localization, which aims to estimate the location of an unknown target, is one of the key issues in applications of underwater acoustic sensor networks (UASNs). However, the constrained property of an underwater environment, such as restricted communication capacity of sensor nodes and sensing noises, makes target localization a challenging problem. This paper relies on fractional sensor nodes to formulate a support vector learning-based particle filter algorithm for the localization problem in communication-constrained underwater acoustic sensor networks. A node-selection strategy is exploited to pick fractional sensor nodes with short-distance pattern to participate in the sensing process at each time frame. Subsequently, we propose a least-square support vector regression (LSSVR)-based observation function, through which an iterative regression strategy is used to deal with the distorted data caused by sensing noises, to improve the observation accuracy. At the same time, we integrate the observation to formulate the likelihood function, which effectively update the weights of particles. Thus, the particle effectiveness is enhanced to avoid "particle degeneracy" problem and improve localization accuracy. In order to validate the performance of the proposed localization algorithm, two different noise scenarios are investigated. The simulation results show that the proposed localization algorithm can efficiently improve the localization accuracy. In addition, the node-selection strategy can effectively select the subset of sensor nodes to improve the communication efficiency of the sensor network.

Human Activity Recognition Supported on Indoor Localization: A Systematic Review.

Science.gov (United States)

Cerón, Jesús; López, Diego M

2018-01-01

The number of older adults is growing worldwide. This has a social and economic impact in all countries because of the increased number of older adults affected by chronic diseases, health emergencies, and disabilities, representing at the end high cost for the health system. To face this problem, the Ambient Assisted Living (AAL) domain has emerged. Its main objective is to extend the time that older adults can live independently in their homes. AAL is supported by different fields and technologies, being Human Activity Recognition (HAR), control of vital signs and location tracking the three of most interest during the last years. To perform a systematic review about Human Activity Recognition (HAR) approaches supported on Indoor Localization (IL) and vice versa, describing the methods they have used, the accuracy they have obtained and whether they have been directed towards the AAL domain or not. A systematic review of six databases was carried out (ACM, IEEE Xplore, PubMed, Science Direct and Springer). 27 papers were found. They were categorised into three groups according their approach: paper focus on 1. HAR, 2. IL, 3. HAR and IL. A detailed analysis of the following factors was performed: type of methods and technologies used for HAR, IL and data fusion, as well as the precision obtained for them. This systematic review shows that the relationship between HAR and IL has been very little studied, therefore providing insights of its potential mutual support to provide AAL solutions.

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)

Analysis, Design and Implementation of an Embedded Realtime Sound Source Localization System Based on Beamforming Theory

Directory of Open Access Journals (Sweden)

Arko Djajadi

2009-12-01

Full Text Available This project is intended to analyze, design and implement a realtime sound source localization system by using a mobile robot as the media. The implementated system uses 2 microphones as the sensors, Arduino Duemilanove microcontroller system with ATMega328p as the microprocessor, two permanent magnet DC motors as the actuators for the mobile robot and a servo motor as the actuator to rotate the webcam directing to the location of the sound source, and a laptop/PC as the simulation and display media. In order to achieve the objective of finding the position of a specific sound source, beamforming theory is applied to the system. Once the location of the sound source is detected and determined, the choice is either the mobile robot will adjust its position according to the direction of the sound source or only webcam will rotate in the direction of the incoming sound simulating the use of this system in a video conference. The integrated system has been tested and the results show the system could localize in realtime a sound source placed randomly on a half circle area (0 - 1800 with a radius of 0.3m - 3m, assuming the system is the center point of the circle. Due to low ADC and processor speed, achievable best angular resolution is still limited to 25o.

“Learning together, growing with family”: The implementation and evaluation of a family support programme

Directory of Open Access Journals (Sweden)

Pere Amorós-Martí

2016-07-01

Full Text Available The "Learning together, growing with family" programme is targeted to at-risk parents and children from 6 to 11 years old, with a preventive focus on promoting positive parent-child relationships. In this study, we examined the quality of the programme implementation and its influence on the programme results in a sample of 425 parents and 138 facilitators drawn from the first trial. Mixed methods were used, consisting of: parental self-reports on parenting dimensions, professionals´ records on parental attendance and appraisals on six topics of the implementation process, and focus group discussions in which facilitators reported on the initial steps of the implementation. Results showed a high quality of implementation with respect to the group facilitator and the programme organization factors, followed by the coordination with services and the support facilities offered to participants and, finally, by the factors of fidelity and prior organization steps. Results of the focus groups confirmed that the prior steps were challenging and offered the more effective strategies. Better quality in the implementation factors predicted better parenting styles and parental competencies after the programme, as well as a higher attendance rate. In sum, this study demonstrates the importance of good implementation in at-risk contexts and provides some clues as to the key elements that moderate programme effectiveness.

Operational Decision Support for Material Management in Continuous Mining Systems: From Simulation Concept to Practical Full-Scale Implementations

Directory of Open Access Journals (Sweden)

Masoud Soleymani Shishvan

2017-07-01

Full Text Available Material management in opencast mines is concerned with planning, organizing, and control of the flow of materials from their extraction points to destinations. It can be strongly affected by operational decisions that have to be made during the production process. To date, little research has focused on the application of simulation modeling as a powerful supportive tool for decision making in such systems. Practical experiences from implementing a simulation model of a mine for the operational support on an industrial scale are not known to the authors. This paper presents the extension of a developed stochastic simulation model by the authors from a conceptual stage (TRL4 to a new Technology Readiness Level (TRL 6 by implementing it in an industrially relevant environment. A framework for modeling, simulation, and validation of the simulation model applied to two large opencast lignite mines is presented in detail. Operational implementation issues, experiences, and challenges in practical applications are discussed. Furthermore, the strength of applying the simulation modeling as an operational decision support for material management in coal mining is demonstrated. Results of the case studies are used to describe the details of the framework, and to illustrate the strength and limitations of its application.

Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings

Directory of Open Access Journals (Sweden)

Poulin P

2013-11-01

Full Text Available Paule Poulin,1 Lea Austen,1 Catherine M Scott,2 Michelle Poulin,1 Nadine Gall,2 Judy Seidel,3 René Lafrenière1 1Department of Surgery, 2Knowledge Management, 3Public Health Innovation and Decision Support, Alberta Health Services, Calgary, AB, Canada Purpose: Introducing new health technologies, including medical devices, into a local setting in a safe, effective, and transparent manner is a complex process, involving many disciplines and players within an organization. Decision making should be systematic, consistent, and transparent. It should involve translating and integrating scientific evidence, such as health technology assessment (HTA reports, with context-sensitive evidence to develop recommendations on whether and under what conditions a new technology will be introduced. However, the development of a program to support such decision making can require considerable time and resources. An alternative is to adapt a preexisting program to the new setting. Materials and methods: We describe a framework for adapting the Local HTA Decision Support Program, originally developed by the Department of Surgery and Surgical Services (Calgary, AB, Canada, for use by other departments. The framework consists of six steps: 1 development of a program review and adaptation manual, 2 education and readiness assessment of interested departments, 3 evaluation of the program by individual departments, 4 joint evaluation via retreats, 5 synthesis of feedback and program revision, and 6 evaluation of the adaptation process. Results: Nine departments revised the Local HTA Decision Support Program and expressed strong satisfaction with the adaptation process. Key elements for success were identified. Conclusion: Adaptation of a preexisting program may reduce duplication of effort, save resources, raise the health care providers' awareness of HTA, and foster constructive stakeholder engagement, which enhances the legitimacy of evidence

Transforming the way we live together: a model to move communities from policy to implementation.

Science.gov (United States)

Keyes, Laura; Phillips, Deborah R; Sterling, Evelina; Manegdeg, Tyrone; Kelly, Maureen; Trimble, Grace; Mayerik, Cheryl

2014-01-01

Most cities, counties, and neighborhoods are not designed for an aging population. By providing a range of services to all residents, Lifelong Communities allow individuals to age in place. Although the Lifelong Communities Initiative is based on established guiding principles, little information exists regarding the realities of moving from policy to implementation. The Atlanta Regional Commission conducted a case study in Mableton, Georgia, and found successful implementation requires a combination of support from local citizen groups and government. The Atlanta Regional Commission is replicating these best practices in other communities and providing support to those aspiring to launch or expand Lifelong Communities.

Implementing new routines in adult mental health care to identify and support children of mentally ill parents.

Science.gov (United States)

Lauritzen, Camilla; Reedtz, Charlotte; Van Doesum, Karin T M; Martinussen, Monica

2014-02-07

Mental health problems are often transmitted from one generation to the next. This knowledge has led to changes in Norwegian legislation, making it mandatory to assess whether or not patients have children, and to provide necessary support for the children of mentally ill patients. The main purpose of this study was to evaluate the process of implementing new routines in adult mental health services to identify and support children of mentally ill parents. The design was a pre-test post-test study. The sample (N = 219 at pre-test and N = 185 at post-test) included mental health professionals in the largest hospital in the region, who responded to a web-based survey on the routines of the services, attitudes within the workforce capacity, worker's knowledge on the impact of parental mental illness on children, knowledge on legislation concerning children of patients, and demographic variables. The results of this study indicated that some changes are taking place in clinical practice in terms of increased identification of children. Adult mental health services providing support for the children was however not fully implemented as a new practice. The main finding in this study is that the identification frequency had increased significantly according to self-reported data since the Family Assessment Form was implemented. The increase in self-reported identification behavior is however taking place very slowly. Three years after the legislation was changed to making it mandatory to assess whether or not patients have children, it was still not fully incorporated in the routines of the entire workforce. In terms of support for the families affected by parental mental illness, the changes are not yet significant.

Development of computational infrastructure to support hyper-resolution large-ensemble hydrology simulations from local-to-continental scales

Data.gov (United States)

National Aeronautics and Space Administration — Development of computational infrastructure to support hyper-resolution large-ensemble hydrology simulations from local-to-continental scales A move is currently...

Supported Decision-Making from Theory to Practice: Implementing the Right to Enjoy Legal Capacity

Directory of Open Access Journals (Sweden)

Rosie Harding

2018-04-01

Full Text Available The right to equal recognition before the law, protected by Article 12 of the United Nations (UN Convention on the Rights of Persons with Disabilities (CRPD, mandates the use of supported decision-making practices to enable disabled people, particularly those with intellectual and/or psychosocial disabilities, to enjoy their legal capacity. Finding ways to translate this theoretical mandate into practice poses a number of particularly challenging socio-legal issues, which this research seeks to address. The English Mental Capacity Act 2005 (MCA sets out a right to support with decision-making (s.1(3, underpinned by a presumption of capacity (s.1(2. Qualitative interviews with intellectually disabled people, their supporters, and care and support professionals were undertaken to explore how disabled people make decisions in their everyday lives, the kinds of support they need, and the strategies for supported decision-making used in practice. Analysis of these interviews suggests that a range of supported decision-making techniques have been developed in practice and are effective in supporting everyday preferences and some life choices. Paradoxically, it appears that as decisions become more complex, the support available to disabled people reduces. Specifically, much less support is available for more difficult decisions around finances, healthcare and legal matters. We argue that the reasons for this are due to a web of regulatory, social and policy issues. We conclude that implementing the right to enjoy legal capacity through supported decision-making will require a combination of regulatory reform, social change and policy amendment.

Implementation of principle of local ownership: From victimization to empowerment of women

Directory of Open Access Journals (Sweden)

Mršević Zorica

2017-01-01

Full Text Available The paper presents the existence of a conflict between local ownership and the introduction of gender equality in situations of post-conflict peace-building under the control of international actors, mostly UN peacekeeping forces. The authors present the essential meanings of the term “local ownership” and understanding of its importance for the success of peacekeeping missions and reforms of the security sector in post-conflict societies in achieveing lasting peace. Local civil or military leaders can actually consider that gender equality is not needed in their culture, and that the participation of women in the security sector is not socio-culturally acceptable. That is why various international actors may be reluctant to advocate for gender equality, considering it as an imposition of foreign cultural values that could potentially destabilize the security sector reform process. The paper presents examples of Sahel region, South Sudan, South Africa, East Timor and Sri Lanka, ilustrating that women and men have different experiences of conflict, and that women in conflict and post-conflict situations are especially vulnerable to sexual and other forms of gender-based violence. Therefore, women’s active participation in peace-building and ending violence and conflicts is essential for peace, security and general cessation of further victimization of women. Supporting the existing power relations characterized by structural gender inequality and violence diminish the value of security sector reform. Moreover, the process of peace-building is destabilized by maintaining permanent sources of victimization of women, discrimination and easy outbreak of armed conflict. This might result in the poorly reformed security sector, which only fits the needs of male local dominant groups and protects their interests, leaving majority of women still in a situation of high risk from various forms of victimization.

Professionals' Perspectives on Organizational Factors that Support or Hinder the Successful Implementation of Family-Centered Practice

Science.gov (United States)

Wright, Alexandra; Hiebert-Murphy, Diane; Trute, Barry

2010-01-01

This article presents findings from an exploratory, qualitative study whose objective was to identify professionals' perceptions of organizational factors that support or hinder the implementation of family-centered practice (FCP). Two disability services organizations in Manitoba, Canada, were selected as the research sites. In 2002, all staff…

Climatic change and local policy, Amsterdam, Netherlands. Policy options and implementation strategies to reduce emission of CO2

International Nuclear Information System (INIS)

Schol, E.; Van den Bosch, A.; Ligthart, F.A.T.M.; Roemer, J.C.; Ruijg, G.J.; Schaeffer, G.J.; Dinkelman, D.H.; Kok, I.C.; De Paauw, K.F.B.

1998-04-01

Insight is given into the local policy options with respect to climate change, in this case within the sphere of influence of Amsterdam local authorities. A list of new policy options for CO2-reduction has been made with the assistance of local policy makers and representatives of interest groups. These policy options have been divided into three qualitative scenarios: Institutional Cultural Change, Technological Innovation and Least Regrets. The environmental, economic and other effects have been described for each policy option. The three most interesting policy options have been selected by local policy makers and representatives of interest groups during a workshop. Implementation strategies have been developed for the options selected. These strategies have been discussed during a second workshop. The reduction target, stabilization of CO2-emissions in 2015 compared to 1993, can be realized by a combination of all the new policy options. The three selected policy options count for 40% of this total CO2-emission reduction. Finally, a general outline on the methodology to construct local policies for climate protection has been described. This methodology can also be applied to other cities and municipal administrators, e.g. participants of Cities for Climate Protection, an initiative of the International Council for Local Environmental Initiatives, or the Netherlands Climate Association. 136 refs

A survey on the perceived need and value of decision-support tools for joint mitigation of air pollution and climate change in cities

Directory of Open Access Journals (Sweden)

Erika von Schneidemesser

2017-11-01

Full Text Available Decision-support tools are increasingly popular for informing policy decisions linked to environmental issues. For example, a number of decision-support tools on transport planning provide information on expected effects of different measures (actions, policies, or interventions on air quality, often combined with information on noise pollution or mitigation costs. These tools range in complexity and scale of applicability, from city to international, and include one or several polluting sectors. However, evaluation of the need and utility of tools to support decisions on such linked issues is often lacking, especially for tools intended to support local authorities at the city scale. Here we assessed the need for and value of combining air pollution and climate change mitigation measures into one decision-support tool and the existing policy context in which such a tool might be used. We developed a prototype decision-support tool for evaluating measures for coordinated management of air quality and climate change; and administered a survey in which respondents used the prototype to answer questions about demand for such tools and requirements to make them useful. Additionally, the survey asked questions about participants’ awareness of linkages between air pollution and climate change that are crucial for considering synergies and trade-offs among mitigation measures. Participants showed a high understanding of the linkages between air pollution and climate change, especially recognizing that emissions of greenhouse gases and air pollutants come from the same source. Survey participants were: European, predominantly German; employed across a range of governmental, non-governmental and research organizations; and responsible for a diversity of issues, primarily involving climate change, air pollution or environment. Survey results showed a lack of awareness of decision-support tools and little implementation or regular use. However

Fire fighters as basic life support responders: A study of successful implementation

Directory of Open Access Journals (Sweden)

Christensen Erika

2009-04-01

Full Text Available Abstract Background First responders are recommended as a supplement to the Emergency Medical Services (EMS in order to achieve early defibrillation. Practical and organisational aspects are essential when trying to implement new parts in the "Chain of Survival"; areas to address include minimizing dispatch time, ensuring efficient and quick communication, and choosing areas with appropriate driving distances. The aim of this study was to implement a system using Basic Life Support (BLS responders equipped with an automatic external defibrillator in an area with relatively short emergency medical services' response times. Success criteria for implementation was defined as arrival of the BLS responders before the EMS, attachment (and use of the AED, and successful defibrillation. Methods This was a prospective observational study from September 1, 2005 to December 31, 2007 (28 months in the city of Aarhus, Denmark. The BLS responder system was implemented in an area up to three kilometres (driving distance from the central fire station, encompassing approximately 81,500 inhabitants. The team trained on each shift and response times were reduced by choice of area and by sending the alarm directly to the fire brigade dispatcher. Results The BLS responders had 1076 patient contacts. The median response time was 3.5 minutes (25th percentile 2.75, 75th percentile 4.25. The BLS responders arrived before EMS in 789 of the 1076 patient contacts (73%. Cardiac arrest was diagnosed in 53 cases, the AED was attached in 29 cases, and a shockable rhythm was detected in nine cases. Eight were defibrillated using an AED. Seven of the eight obtained return of spontaneous circulation (ROSC. Six of the seven obtaining ROSC survived more than 30 days. Conclusion In this study, the implementation of BLS responders may have resulted in successful resuscitations. On basis of the close corporation between all participants in the chain of survival this project

Implementation strategies to promote community-engaged efforts to counter tobacco marketing at the point of sale.

Science.gov (United States)

Leeman, Jennifer; Myers, Allison; Grant, Jennifer C; Wangen, Mary; Queen, Tara L

2017-09-01

The US tobacco industry spends $8.2 billion annually on marketing at the point of sale (POS), a practice known to increase tobacco use. Evidence-based policy interventions (EBPIs) are available to reduce exposure to POS marketing, and nationwide, states are funding community-based tobacco control partnerships to promote local enactment of these EBPIs. Little is known, however, about what implementation strategies best support community partnerships' success enacting EBPI. Guided by Kingdon's theory of policy change, Counter Tools provides tools, training, and other implementation strategies to support community partnerships' performance of five core policy change processes: document local problem, formulate policy solutions, engage partners, raise awareness of problems and solutions, and persuade decision makers to enact new policy. We assessed Counter Tools' impact at 1 year on (1) partnership coordinators' self-efficacy, (2) partnerships' performance of core policy change processes, (3) community progress toward EBPI enactment, and (4) salient contextual factors. Counter Tools provided implementation strategies to 30 partnerships. Data on self-efficacy were collected using a pre-post survey. Structured interviews assessed performance of core policy change processes. Data also were collected on progress toward EBPI enactment and contextual factors. Analysis included descriptive and bivariate statistics and content analysis. Following 1-year exposure to implementation strategies, coordinators' self-efficacy increased significantly. Partnerships completed the greatest proportion of activities within the "engage partners" and "document local problem" core processes. Communities made only limited progress toward policy enactment. Findings can inform delivery of implementation strategies and tests of their effects on community-level efforts to enact EBPIs.

Local DER Driven Grid Support by Coordinated Operation of Devices

International Nuclear Information System (INIS)

Warmer, C.J.; Kamphuis, I.G.

2009-01-01

ways. The main key words here are flexibility and variability. This flexibility provides a virtual storage capacity within the electricity grid that can be utilized for balancing services at the local grid. We will present how the PowerMatcher concept, developed by ECN, supports the setting up of local balancing markets in a flexible and logical way. The ICT is already available as an enabling technology. The concept has been demonstrated in several field tests

FISCAL DECENTRALIZATION DETERMINANTS AND LOCAL ECONOMIC DEVELOPMENT IN EU COUNTRIES

Directory of Open Access Journals (Sweden)

Anca Florentina GAVRILUŢĂ (VATAMANU

2017-12-01

Full Text Available This work aims to assess the impact of fiscal decentralization on local (regional development in the EU Member States while controlling for macroeconomic and local autonomy specific factors. Using a panel data approach with dynamic effects, we examined the implications of fiscal decentralization on local development across European Union countries over the 1990-2004 period. The novelty of the study is emphasized by including in the analysis a variable which tests local fiscal discipline, more exactly, Fiscal Rule Strength Index for local level of government. Our findings suggest that prosperity of regions, measured in GDP growth depends on variables such as characteristics of decentralization undertaken by each country or local fiscal discipline, confirming our primary hypothesis. This supports the view that recently implemented reforms aiming to enforce fiscal discipline following-up the Fiscal Compact strengthened the local budgetary framework and restrained, therefore, the local discretionary power to act towards development.

Public support for river restoration funding in relation to local river ecomorphology, population density, and mean income

Science.gov (United States)

SchläPfer, Felix; Witzig, Pieter-Jan

2006-12-01

In 1997, about 140,000 citizens in 388 voting districts in the Swiss canton of Bern passed a ballot initiative to allocate about 3 million Swiss Francs annually to a canton-wide river restoration program. Using the municipal voting returns and a detailed georeferenced data set on the ecomorphological status of the rivers, we estimate models of voter support in relation to local river ecomorphology, population density, mean income, cultural background, and recent flood damage. Support of the initiative increased with increasing population density and tended to increase with increasing mean income, in spite of progressive taxation. Furthermore, we found evidence that public support increased with decreasing "naturalness" of local rivers. The model estimates may be cautiously used to predict the public acceptance of similar restoration programs in comparable regions. Moreover, the voting-based insights into the distribution of river restoration benefits provide a useful starting point for debates about appropriate financing schemes.

Agent Collaborative Target Localization and Classification in Wireless Sensor Networks

Directory of Open Access Journals (Sweden)

Sheng Wang

2007-07-01

Full Text Available Wireless sensor networks (WSNs are autonomous networks that have beenfrequently deployed to collaboratively perform target localization and classification tasks.Their autonomous and collaborative features resemble the characteristics of agents. Suchsimilarities inspire the development of heterogeneous agent architecture for WSN in thispaper. The proposed agent architecture views WSN as multi-agent systems and mobileagents are employed to reduce in-network communication. According to the architecture,an energy based acoustic localization algorithm is proposed. In localization, estimate oftarget location is obtained by steepest descent search. The search algorithm adapts tomeasurement environments by dynamically adjusting its termination condition. With theagent architecture, target classification is accomplished by distributed support vectormachine (SVM. Mobile agents are employed for feature extraction and distributed SVMlearning to reduce communication load. Desirable learning performance is guaranteed bycombining support vectors and convex hull vectors. Fusion algorithms are designed tomerge SVM classification decisions made from various modalities. Real world experimentswith MICAz sensor nodes are conducted for vehicle localization and classification.Experimental results show the proposed agent architecture remarkably facilitates WSNdesigns and algorithm implementation. The localization and classification algorithms alsoprove to be accurate and energy efficient.

New CLGF Four-Year Grant to Help Local Government Service Delivery and Boost CLGF’s Research Capacity

Directory of Open Access Journals (Sweden)

Lucy Slack

2012-12-01

Full Text Available The UK Department for International Development (UK AID has agreed £4.5 million funding for a four-year CLGF programme to improve governance and service delivery at local level in several areas of the Commonwealth including Africa and Asia from 2012-16. It will also help to support national policy frameworks for local government service delivery, and increase engagement of local government in regional policy planning and implementation. CLGF will continue to work with its members, UN partners and others to mobilise more resources towards the support of local government in the Commonwealth. The new programme will focus on local government pilot projects in LED, supporting ministries and local government associations in strengthening their national policy making for local government, and establish regional forums to enable local government to engage in and influence regional policy making to reflect the needs and priorities of local government. It will also boost CLGF’s research capacity with targeted research to strengthen CLGF’s policy making and advocacy, including more sustained engagement in international policy debates on key issues affecting local government, such as climate change.

Implementing an organised cervical screening programme in the Republic of Moldova-Stakeholder identification and engagement.

Science.gov (United States)

Davies, Philip; Valuta, Diana; Cojohari, Natalia; Sancho-Garnier, Helene

2017-10-01

Successfully implementing cervical screening programmes requires them to be adapted to the local context and have broad stakeholder support. This can be achieved by actively engaging local stakeholders in planning as well as implementing the programmes. The Moldovan government started implementing an organised cervical screening programme in 2010 with the first step being stakeholder identification and engagement. This process started by contacting easily identified stakeholders with each asked to recommend others and the process continued until no new ones were identified. Stakeholders were then involved in a series of individual and group meetings over a 2-year period to build confidence and encourage progressively greater engagement. In total, 87 individuals from 46 organisations were identified. Over the 2-year process, the individual and group meetings facilitated a change in stakeholder attitudes from disinterest, to acceptance and finally to active cooperation in designing the screening programme and preparing an implementation plan that were both well adapted to the Moldovan context. Developing the broad support needed to implement cervical screening programmes required ongoing interaction with stakeholders over an extended period. This interaction allowed stakeholder concerns to be identified and addressed, progress to be demonstrated, and stakeholders to be educated about organised screening programmes so they had the knowledge to progressively take greater responsibility and ownership. Copyright © 2017 Elsevier Ltd. All rights reserved.

Physicians' accounts of frontline tensions when implementing pilot projects to improve primary care.

Science.gov (United States)

Mansfield, Elizabeth; Bhattacharyya, Onil; Christian, Jennifer; Naglie, Gary; Steriopoulos, Vicky; Webster, Fiona

2018-03-19

Purpose Canada's primary care system has been described as "a culture of pilot projects" with little evidence of converting successful initiatives into funded, permanent programs or sharing project outcomes and insights across jurisdictions. Health services pilot projects are advocated as an effective strategy for identifying promising models of care and building integrated care partnerships in local settings. In the qualitative study reported here, the purpose of this paper is to investigate the strengths and challenges of this approach. Design/methodology/approach Semi-structured interviews were conducted with 34 primary care physicians who discussed their experiences as pilot project leads. Following thematic analysis methods, broad system issues were captured as well as individual project information. Findings While participants often portrayed themselves as advocates for vulnerable patients, mobilizing healthcare organizations and providers to support new models of care was discussed as challenging. Competition between local healthcare providers and initiatives could impact pilot project success. Participants also reported tensions between their clinical, project management and research roles with additional time demands and skill requirements interfering with the work of implementing and evaluating service innovations. Originality/value Study findings highlight the complexity of pilot project implementation, which encompasses physician commitment to addressing care for vulnerable populations through to the need for additional skill set requirements and the impact of local project environments. The current pilot project approach could be strengthened by including more multidisciplinary collaboration and providing infrastructure supports to enhance the design, implementation and evaluation of health services improvement initiatives.

"Many miles to go …": a systematic review of the implementation of patient decision support interventions into routine clinical practice.

Science.gov (United States)

Elwyn, Glyn; Scholl, Isabelle; Tietbohl, Caroline; Mann, Mala; Edwards, Adrian G K; Clay, Catharine; Légaré, France; van der Weijden, Trudy; Lewis, Carmen L; Wexler, Richard M; Frosch, Dominick L

2013-01-01

Two decades of research has established the positive effect of using patient-targeted decision support interventions: patients gain knowledge, greater understanding of probabilities and increased confidence in decisions. Yet, despite their efficacy, the effectiveness of these decision support interventions in routine practice has yet to be established; widespread adoption has not occurred. The aim of this review was to search for and analyze the findings of published peer-reviewed studies that investigated the success levels of strategies or methods where attempts were made to implement patient-targeted decision support interventions into routine clinical settings. An electronic search strategy was devised and adapted for the following databases: ASSIA, CINAHL, Embase, HMIC, Medline, Medline-in-process, OpenSIGLE, PsycINFO, Scopus, Social Services Abstracts, and the Web of Science. In addition, we used snowballing techniques. Studies were included after dual independent assessment. After assessment, 5322 abstracts yielded 51 articles for consideration. After examining full-texts, 17 studies were included and subjected to data extraction. The approach used in all studies was one where clinicians and their staff used a referral model, asking eligible patients to use decision support. The results point to significant challenges to the implementation of patient decision support using this model, including indifference on the part of health care professionals. This indifference stemmed from a reported lack of confidence in the content of decision support interventions and concern about disruption to established workflows, ultimately contributing to organizational inertia regarding their adoption. It seems too early to make firm recommendations about how best to implement patient decision support into routine practice because approaches that use a 'referral model' consistently report difficulties. We sense that the underlying issues that militate against the use of

Prospect development of local beef cattle from South Kalimantan as supporting to food sovereignty in Indonesia

Science.gov (United States)

Rahmatullah, S. N.; Sulaiman, A.; Askalani; Azizi, N. M. K.

2018-04-01

Development production of Indonesia local cattle didn’t balance increasing of consumption livestock in Indonesian so that’s makes imports are still high both local beef production. Indonesian local cattle is one of cattle the largest contributed the national meat production of ruminant particular group of cattle so that the livestock has the potential to be developed as a profitable business if doing of farmer. One of advantages is potential areas in South Kalimantan mainly swamp lands was very large. It’s one effort in national promoting food sovereignty programme and the provinces especially about introduction of Indonesian local cattle in the swamp area are also important. Availability of region in South Kalimantan spacious and great forage production, then prospects for cattle productivity there is huge so that’s can even increase income for farmers. The programme more serious support from the governance of South Kalimantan province to develop Indonesian local cattle in swamp area and in that’s a real policy for encouraging farmers to maintain Indonesian local cattle to make sustainable food in Indonesia.

Japan's nuclear PA activity in local governments

International Nuclear Information System (INIS)

Fujii, Nobuyuki

1995-01-01

This presentation emphasises some points of PA activities, based on the experience of 'cooperation projects for local governments'. Local governments distribute the public information directly to the residents. This is very important because officers of the local government can be the opinion leaders of the region. Local government exist very close to the residents, while the central government is a distant and faceless existence for the local people. It is believed that the local governments play an imperative role in PA activities. In other words, we must further utilize the organizations and functions of the local governments to implement PA activities. In conclusion, three recommendations are offered. Firstly, enough budget and authority should be given to the local governments as far as PA activities in their areas are concerned, and most of such activities should be entrusted to the local governments. Local governments should place more public relations officers, and continue the manpower development. Second, with regard to highly technical or specialized issues which a local governments cannot treat alone, related organizations like JAERO should support their PA activities. Third, such related organizations should also cooperate with local government including assistance in providing know-how, when their public information activities focus on educators, journalists, or the women. These three points should be given due consideration in our cooperation projects for the local governments, and JAERO is doing its best every day

The local investment in renewable energies

International Nuclear Information System (INIS)

Poussard, E.; Quantin, J.; Grepmeier, K.; Larsen, J.; Manolakaki, E.; Twele, J.

2003-01-01

These proceedings present some European testimonies about the advantage of local investment, illustrated with concrete cases taken in Germany, Denmark and Switzerland. They demonstrate that local investment in renewable energy sources is a reality and that this practice has indisputably contributed to their significant development in some countries of the European Union. The sustain of foreign banks to the financing of renewable energy sources is at the evidence an example to follow up in countries like France, Greece or Spain. Important efforts have to be made to simplify and encourage the implementation of projects, in particular from the administrative point of view. Beyond the financial aspects, the colloquium has shown that these practices of citizenship involvement represent an important factor of social adaptation and acceptation. The projects, gathering local actors but also the overall citizens through common investment funds, ensure a better territorial anchoring and a sustain to local and sustainable development. This document has been published with the support of the European Commission and ADEME (French Agency for Environment and Energy Management). (J.S.)

Impaired rich club and increased local connectivity in children with traumatic brain injury: Local support for the rich?

Science.gov (United States)

Verhelst, Helena; Vander Linden, Catharine; De Pauw, Toon; Vingerhoets, Guy; Caeyenberghs, Karen

2018-03-12

Recent evidence has shown the presence of a "rich club" in the brain, which constitutes a core network of highly interconnected and spatially distributed brain regions, important for high-order cognitive processes. This study aimed to map the rich club organization in 17 young patients with moderate to severe TBI (15.71 ± 1.75 years) in the chronic stage of recovery and 17 age- and gender-matched controls. Probabilistic tractography was performed on diffusion weighted imaging data to construct the edges of the structural connectomes using number of streamlines as edge weight. In addition, the whole-brain network was divided into a rich club network, a local network and a feeder network connecting the latter two. Functional outcome was measured with a parent questionnaire for executive functioning. Our results revealed a significantly decreased rich club organization (p values < .05) and impaired executive functioning (p < .001) in young patients with TBI compared with controls. Specifically, we observed reduced density values in all three subnetworks (p values < .005) and a reduced mean strength in the rich club network (p = .013) together with an increased mean strength in the local network (p = .002) in patients with TBI. This study provides new insights into the nature of TBI-induced brain network alterations and supports the hypothesis that the local subnetwork tries to compensate for the biologically costly subnetwork of rich club nodes after TBI. © 2018 Wiley Periodicals, Inc.

Design and Implementation of an Ultrasonic Local Positioning System for Robot Guidance in a Heavy Liquid Metal Environment

International Nuclear Information System (INIS)

De-Cock, Wouter; Kenis, Steven; Van-Roy, Ken; Verachtert, Lieven; Leroux, Paul

2013-06-01

In this paper, we describe a preliminary research towards the use of chirp coded spread spectrum techniques to implement a local positioning system to assist robot operators during manipulations and maintenance tasks in the future MYRRHA reactor. Preliminary test results in a simple experimental setup show promising results towards further developments of the system as the developed algorithms are able to discriminate between different transducers. (authors)

Policy support, norms, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico city.

Science.gov (United States)

Thrasher, James F; Pérez-Hernández, Rosaura; Swayampakala, Kamala; Arillo-Santillán, Edna; Bottai, Matteo

2010-09-01

We assessed attitudes and beliefs about smoke-free laws, compliance, and secondhand smoke exposure before and after implementation of a comprehensive smoke-free law in Mexico City. Trends and odds of change in attitudes and beliefs were analyzed across 3 representative surveys of Mexico City inhabitants: before implementation of the policy (n=800), 4 months after implementation (n=961), and 8 months after implementation (n=761). Results indicated high and increasing support for 100% smoke-free policies, although support did not increase for smoke-free bars. Agreement that such policies improved health and reinforced rights was high before policy implementation and increased thereafter. Social unacceptability of smoking increased substantially, although 25% of nonsmokers and 50% of smokers agreed with smokers' rights to smoke in public places at the final survey wave. Secondhand smoke exposure declined generally as well as in venues covered by the law, although compliance was incomplete, especially in bars. Comprehensive smoke-free legislation in Mexico City has been relatively successful, with changes in perceptions and behavior consistent with those revealed by studies conducted in high-income countries. Normative changes may prime populations for additional tobacco control interventions.

Implementing interventions in adult mental health services to identify and support children of mentally ill parents.

OpenAIRE

Lauritzen, Camilla

2014-01-01

Paper 3 of this thesis is not available in Munin: 3. Lauritzen, C., & Reedtz, C.: 'Support for children of mental health service users in Norway', Mental Health Practice (2013), vol. 16:12-18. Available at http://dx.doi.org/10.7748/mhp2013.07.16.10.12.e875 This dissertation is a result of a large-scale longitudinal project (the BAP-study) where the overall aim was to monitor and evaluate the implementation of clinical change to identify and support children of mentally ill parents within t...

Local Learning Strategies for Wake Identification

Science.gov (United States)

Colvert, Brendan; Alsalman, Mohamad; Kanso, Eva

2017-11-01

Swimming agents, biological and engineered alike, must navigate the underwater environment to survive. Tasks such as autonomous navigation, foraging, mating, and predation require the ability to extract critical cues from the hydrodynamic environment. A substantial body of evidence supports the hypothesis that biological systems leverage local sensing modalities, including flow sensing, to gain knowledge of their global surroundings. The nonlinear nature and high degree of complexity of fluid dynamics makes the development of algorithms for implementing localized sensing in bioinspired engineering systems essentially intractable for many systems of practical interest. In this work, we use techniques from machine learning for training a bioinspired swimmer to learn from its environment. We demonstrate the efficacy of this strategy by learning how to sense global characteristics of the wakes of other swimmers measured only from local sensory information. We conclude by commenting on the advantages and limitations of this data-driven, machine learning approach and its potential impact on broader applications in underwater sensing and navigation.

A Methodology for Decision Support for Implementation of Cloud Computing IT Services

Directory of Open Access Journals (Sweden)

Adela Tušanová

2014-07-01

Full Text Available The paper deals with the decision of small and medium-sized software companies in transition to SaaS model. The goal of the research is to design a comprehensive methodic to support decision making based on actual data of the company itself. Based on a careful analysis, taxonomy of costs, revenue streams and decision-making criteria are proposed in the paper. On the basis of multi-criteria decision-making methods, each alternative is evaluated and the alternative with the highest score is identified as the most appropriate. The proposed methodic is implemented as a web application and verified through  case studies.

Implementing new routines in adult mental health care to identify and support children of mentally ill parents

OpenAIRE

Lauritzen, Camilla; Reedtz, Charlotte; Van Doesum, Karin TM; Martinussen, Monica

2014-01-01

Background: Mental health problems are often transmitted from one generation to the next. This knowledge has led to changes in Norwegian legislation, making it mandatory to assess whether or not patients have children, and to provide necessary support for the children of mentally ill patients. The main purpose of this study was to evaluate the process of implementing new routines in adult mental health services to identify and support children of mentally ill parents. Methods: The design w...

Experiences of General Practitioners and Practice Support Staff Using a Health and Lifestyle Screening App in Primary Health Care: Implementation Case Study.

Science.gov (United States)

Webb, Marianne Julie; Wadley, Greg; Sanci, Lena Amanda

2018-04-24

Technology-based screening of young people for mental health disorders and health compromising behaviors in general practice increases the disclosure of sensitive health issues and improves patient-centered care. However, few studies investigate how general practitioners (GPs) and practice support staff (receptionists and practice managers) integrate screening technology into their routine work, including the problems that arise and how the staff surmount them. The aim of this study was to investigate the implementation of a health and lifestyle screening app, Check Up GP, for young people aged 14 to 25 years attending an Australian general practice. We conducted an in-depth implementation case study of Check Up GP in one general practice clinic, with methodology informed by action research. Semistructured interviews and focus groups were conducted with GPs and support staff at the end of the implementation period. Data were thematically analyzed and mapped to normalization process theory constructs. We also analyzed the number of times we supported staff, the location where young people completed Check Up GP, and whether they felt they had sufficient privacy and received a text messaging (short message service, SMS) link at the time of taking their appointment. A total of 4 GPs and 10 support staff at the clinic participated in the study, with all except 3 receptionists participating in the final interviews and focus groups. During the 2-month implementation period, the technology and administration of Check Up GP was iterated through 4 major quality improvement cycles in response to the needs of the staff. This resulted in a reduction in the average time taken to complete Check Up GP from 14 min to 10 min, improved SMS text messaging for young people, and a more consistent description of the app by receptionists to young people. In the first weeks of implementation, researchers needed to regularly support staff with the app's administration; however, this support

Supporting Students with Severe Disabilities in Inclusive Schools: A Descriptive Account From Schools Implementing Inclusive Practices

Science.gov (United States)

Kurth, Jennifer A.; Lyon, Kristin J.; Shogren, Karrie A.

2015-01-01

The purpose of the present study was to investigate practices that support the inclusion of students with severe disabilities in the learning and social activities of inclusive K-8 schools to inform inclusive school reform research and practice. Eighteen K-8 students with severe disabilities in six schools recognized for their implementation of…

Evaluation of the implementation of entrepreneurial potential (on the example of the Republic of Tatarstan)

Science.gov (United States)

Guzelbaeva, G. T.; Rakhmatullina, D. K.; Akhmetshina, E. R.

2017-12-01

Increase in the number of small businesses and the lack of effectiveness of existing support at local and regional level have led to curb the development of entrepreneurial activity. The article presents the methodological tools for assessing the effectiveness, which allows to identify existing municipalities in the advantages and disadvantages for the implementation of entrepreneurial potential, including the effectiveness of state and municipal support measures, as well as calculate the degree of progress in the implementation of entrepreneurial potential. In order to evaluate the implementation of the business potential of the Republic of Tatarstan and the impact of their public support at the regional level was calculated indexes of business activity in the municipal districts (MD) of the republic. It should be noted that a major breakthrough in share of small and medium-sized businesses is important to the whole ecosystem. The method of evaluation of the implementation of entrepreneurial potential which is presented in this paper can be used by every competent organization to analyze and form the effective programs of the economic and finance development.

Regional legislation in Italy for the protection of local varieties

Directory of Open Access Journals (Sweden)

Enrico Bertacchini

2011-11-01

Full Text Available This article analyses the consequences of regional legislation in Italy on protecting local and autochthonous varieties. In accordance with the objectives of the FAO treaty on plant genetic resources (ITPGRFA, these laws have emerged as one of the most interesting institutional attempts at Italian and European level towards enhancing and protecting agricultural biodiversity. A description of the regional laws and their implementation highlights the importance of supporting farming systems that are close relationship with the territory and local communities, creating sufficient juridical space for the varieties that are not part of the ‘formal’ seed system.

Facilitating the implementation of evidence-based practice through contextual support and nursing leadership

Directory of Open Access Journals (Sweden)

Kueny A

2015-06-01

Full Text Available Angela Kueny,1 Leah L Shever,2 Melissa Lehan Mackin,3 Marita G Titler4 1Luther College, Decorah, IA, 2The University of Michigan Hospital and Health Center, Ann Arbor, MI, 3University of Iowa College of Nursing, Iowa City, IA, 4University of Michigan School of Nursing, Ann Arbor, MI, USA Background/purpose: Nurse managers (NMs play an important role promoting evidence-based practice (EBP on clinical units within hospitals. However, there is a dearth of research focused on NM perspectives about institutional contextual factors to support the goal of EBP on the clinical unit. The purpose of this article is to identify contextual factors described by NMs to drive change and facilitate EBP at the unit level, comparing and contrasting these perspectives across nursing units. Methods: This study employed a qualitative descriptive design using interviews with nine NMs who were participating in a large effectiveness study. To stratify the sample, NMs were selected from nursing units designated as high or low performing based on implementation of EBP interventions, scores on the Meyer and Goes research use scale, and fall rates. Descriptive content analysis was used to identify themes that reflect the complex nature of infrastructure described by NMs and contextual influences that supported or hindered their promotion of EBP on the clinical unit. Results: NMs perceived workplace culture, structure, and resources as facilitators or barriers to empowering nurses under their supervision to use EBP and drive change. A workplace culture that provides clear communication of EBP goals or regulatory changes, direct contact with CEOs, and clear expectations supported NMs in their promotion of EBP on their units. High-performing unit NMs described a structure that included nursing-specific committees, allowing nurses to drive change and EBP from within the unit. NMs from high-performing units were more likely to articulate internal resources, such as quality

A theory of local and global processes which affect solar wind electrons. 2. Experimental support

International Nuclear Information System (INIS)

Scudder, J.D.; Olbert, S.

1979-05-01

The microscopic characteristics of the Coulomb cross section show that there are three natural subpopulations for plasma electrons: the subthermals; the transthermals; and the extrathermals. Data from three experimental groups on three different spacecraft in the interplanetary medium over a radial range are presented to support the five interrelations projected between solar wind electron properties and changes in the interplanetary medium: (1) subthermals respond primarily to local changes (compression and rarefactions) in stream dynamics; (2) the extrathermal fraction of the ambient electron density should be anti-correlated with the asymptotic bulk speed; (3) the extrathermal 'temperature' should be anti-correlated with the local wind speed at 1 AU; (4) the heat flux carried by electrons should be anti-correlated with the local bulk speed; and (5) the extrathermal differential 'temperature' should be nearly independent of radius within 1 AU

Partnering Students, Scientists, and the Local Community in a Regionally-focused Field Campaign

Science.gov (United States)

McLaughlin, J. W.; Lemone, M. A.; Seavey, M. M.; Washburne, J. C.

2006-05-01

The GLOBE Program (www.globe.gov) involves students and scientists in a worldwide environmental data collection effort. The GLOBE ONE field campaign (www.globe.gov/globeone) represents a model for a focused implementation of GLOBE via a geographically-specific project. The campaign, which occurred in Black Hawk County, Iowa from February 2004 to February 2006, was developed by GLOBE Principal Investigators (PIs), the GLOBE Program Office, and GLOBE Iowa. The central scientific objective was to compare quantitatively the environmental effects of various soil tillage techniques. In addition, student research projects were supported that spanned a variety of Earth science topics. The campaign established a partnership between students and scientists to collect a structured, multidisciplinary data set and also increase GLOBE visibility. The fact that GLOBE ONE occurred in a focused geographic area made it necessary to form a network for local support. This started with choosing an active GLOBE partner, namely the Iowa Academy of Science, who had the ability to oversee the local implementation of such a project. Once this partner was chosen, additional local groups needed to be recruited to support the project. The local network included K-12 schools, the County Conservation Board, the University of Northern Iowa, Hawkeye Community College, and community volunteers. This network collected data via automated instrumentation, first-hand observations, and through special events organized with a focus on a specific measurement. The first major step in supporting student research was a teacher training workshop held in March of 2006 that helped to provide tools for, and increase comfort levels with, promoting scientific inquiry in the classroom. Student-scientists interactions were promoted via scientist visits, video conferences, letters, and email exchanges. The culminating event was a Student Research Symposium held in February 2006 which gave students and scientists a

practices and challenges of implementing locally available ...

African Journals Online (AJOL)

Temechegn

solution to do science in classrooms under difficult financial constraints. LAE from locally ... [African Journal of Chemical Education—AJCE 7(1),. January 2017] ... Qualitative method was used to supplement quantitative analysis. In Amhara ...

Visible light communication technology for fine-grained indoor localization

Science.gov (United States)

Vieira, M.; Vieira, M. A.; Louro, P.; Fantoni, A.; Vieira, P.

2018-02-01

This paper focuses on designing and analysing a visible light based communication and positioning system. The indoor positioning system uses trichromatic white Light Emitting Diodes (LEDs), both for illumination purposes and as transmitters, and an optical processor, based on a-SiC:H technology, as mobile receiver. On-Off Keying (OOK) modulation scheme is used, proving a good trade-off between system performance and implementation complexity. In the following, the relationship between the transmitted data and the received output levels is decoded. LED bulbs work as transmitters, sending information together with different identifiers, IDs, related to their physical locations. Square and diamond topologies for the unit cell are analyzed, and a 2D localization design, demonstrated by a prototype implementation, is presented. Fine-grained indoor localization is tested. The received signal is used in coded multiplexing techniques for supporting communications and navigation concomitantly on the same channel. The location and motion information is found by mapping the position and estimating the location areas.

Reducing Binge Drinking in Adolescents through Implementation of the Strategic Prevention Framework

Science.gov (United States)

Anderson-Carpenter, Kaston D.; Watson-Thompson, Jomella; Chaney, Lisa; Jones, Marvia

2016-01-01

The Strategic Prevention Framework (SPF) is a conceptual model that supports coalition-driven efforts to address underage drinking and related consequences. Although the SPF has been promoted by the U.S. Substance Abuse and Mental Health Services Administration’s Center for Substance Abuse Prevention and implemented in multiple U.S. states and territories, there is limited research on the SPF’s effectiveness on improving targeted outcomes and associated influencing factors. The present quasi-experimental study examines the effects of SPF implementation on binge drinking and enforcement of existing underage drinking laws as an influencing factor. The intervention group encompassed 11 school districts that were implementing the SPF with local prevention coalitions across eight Kansas communities. The comparison group consisted of 14 school districts that were matched based on demographic variables. The intervention districts collectively facilitated 137 community-level changes, including new or modified programs, policies, and practices. SPF implementation supported significant improvements in binge drinking and enforcement outcomes over time (p .05). Overall, the findings provide a basis for guiding future research and community-based prevention practice in implementing and evaluating the SPF. PMID:27217310

Implementing a short-term family support group.

Science.gov (United States)

Koontz, E; Cox, D; Hastings, S

1991-05-01

1. Although family involvement has been increasingly recognized as a vital component in the treatment and care of the mentally ill, little has been written about efforts to provide education and support to the families of patients hospitalized for short-term evaluation and treatment. 2. The family education and support group provided emotional support and critical information to increase family members' coping and problem solving abilities, and enabled them to return to a pre-crisis or higher level of functioning. 3. The family education and support group not only enhances the assessment and planning phases of the nursing process, but it also can serve as a useful intervention for strengthening the patient's major support system.

Cost-effectiveness and value of information analysis of nutritional support for preventing pressure ulcers in high-risk patients: implement now, research later.

Science.gov (United States)

Tuffaha, Haitham W; Roberts, Shelley; Chaboyer, Wendy; Gordon, Louisa G; Scuffham, Paul A

2015-04-01

Pressure ulcers are a major cause of mortality, morbidity, and increased healthcare cost. Nutritional support may reduce the incidence of pressure ulcers in hospitalised patients who are at risk of pressure ulcer and malnutrition. To evaluate the cost-effectiveness of nutritional support in preventing pressure ulcers in high-risk hospitalised patients, and to assess the value of further research to inform the decision to implement this intervention using value of information analysis (VOI). The analysis was from the perspective of Queensland Health, Australia using a decision model with evidence derived from a systematic review and meta-analysis. Resources were valued using 2014 prices and the time horizon of the analysis was one year. Monte Carlo simulation was used to estimate net monetary benefits (NB) and to calculate VOI measures. Compared with standard hospital diet, nutritional support was cost saving at AU$425 per patient, and more effective with an average 0.005 quality-adjusted life years (QALY) gained. At a willingness-to-pay of AU$50,000 per QALY, the incremental NB was AU$675 per patient, with a probability of 87 % that nutritional support is cost-effective. The expected value of perfect information was AU$5 million and the expected value of perfect parameter information was highest for the relative risk of developing a pressure ulcer at AU$2.5 million. For a future trial investigating the relative effectiveness of the interventions, the expected net benefit of research would be maximised at AU$100,000 with 1,200 patients in each arm if nutritional support was perfectly implemented. The opportunity cost of withholding the decision to implement the intervention until the results of the future study are available would be AU$14 million. Nutritional support is cost-effective in preventing pressure ulcers in high-risk hospitalised patients compared with standard diet. Future research to reduce decision uncertainty is worthwhile; however, given the

CONSIDERATIONS CONCERNING THE EVOLUTION OF THE LOCAL DEVELOPMENT STRATEGY OF SOME LEADER TERRITORIES IN ARAD COUNTY

Directory of Open Access Journals (Sweden)

Radu Lucian Blaga

2014-12-01

Full Text Available Romanian National Rural Development Programme (NRDP 2007-2013 is the document, which applies EU Common Agricultural Policy in Romania as EU member state. LEADER, as part of EU Common Agricultural Policy was developed like territory planning policies focused on the rural area of intervention. It proved more effective and productive, being decided and implemented at local level by the local actors, using clear and transparent procedures for the evaluation of strategic objectives and plans, having the support of local governments and technical assistance necessary to transmit best practices. The European Agricultural Fund for Rural Development (EAFRD finances investments in LEADER axis, using intervention areas (priority 1, priority 2 and priority 3 and related measures to NRDP. These measures can be found in a variable degree at the level of the Local Development Strategy (LDS elaborated by The Local Action Groups (LAGs, LEADER territory concerned. Based on these issues, the paper seeks to present some practical considerations of the assessment of the LAG‟s activities in the implementation of strategy, scientifically linked to the portfolio analysis activities (intervention areas and measures that compound the Local Development Strategy of some LEADER entities of the Arad County. The evaluation used outcome indicators for implementation of the Strategy.

Combining local action with community legislating implementation. The example of the ''display' campaign for the voluntary display of municipal buildings energy consumption, water use and CO{sub 2} emissions; Comment la mise en oeuvre de la legislation communautaire et l'action locale peuvent se conjuguer?. L'exemple de la campagne ''Display'' pour l'affichage volontaire des consommations d'energie, d'eau et des emissions de CO{sub 2} des batiments municipaux

Energy Technology Data Exchange (ETDEWEB)

Mangnin, G.; Schilken, P.

2003-07-01

The relationship between European level institutions and local authorities is an issue that is often raised and, in particular, the following questions are asked: is the local level acquainted with Community legislative initiatives; is Community legislation suitable for implementation at local level; is it possible for widely separated institutional levels to co-operate effectively and provide support to one another; is the local level involved only at the very end of the process, when the whole legislative procedure has already been completed, been transposed into national legislation and implemented; is local action, because of national and cultural peculiarities involved, really compatible with European-wide initiatives? The public part of the Display Campaign launched by Energie-Cites was started in September 2004 and the initiative is set to develop over the next decade. Through this Campaign, they intend to provide pragmatic answers to the above questions, as well as to a few others. (author)

Implementation of new skills to support lifestyle changes - what helps and what hinders?

Science.gov (United States)

Tinati, Tannaze; Lawrence, Wendy; Ntani, Georgia; Black, Christina; Cradock, Sue; Jarman, Megan; Pease, Anna; Inskip, Hazel; Cooper, Cyrus; Baird, Janis; Barker, Mary

2013-01-01

Effective communication is necessary for good relationships between healthcare practitioners and clients. This study examined barriers and facilitators to implementing new communication skills. One hundred and one Sure Start Children’s Centre staff attended one of 13 follow-up workshops to reflect on the use of new skills following a training course in communication, reflection and problem-solving. Barriers and facilitators were assessed with an adapted Problematic Experiences of Therapy scale (PETS). Staff reported frequency of skill use, and described what made it more difficult or easier to use the skills. The PETS indicated that staff had confidence in using the skills, but felt there were practical barriers to using them, such as lack of time. Skills were used less often when staff perceived parents not to be engaging with them (rs=−0.42, puse the skills (rs =−0.37, pskills. Facilitators included seeing the benefits of using the skills, finding opportunities and having good relationships with parents. Understanding the range of barriers and facilitators to implementation is essential when developing training to facilitate on-going support and sustain skill use. Special attention should be given to exploring trainees’ perceptions of time, in order to be able to address this significant barrier to skill implementation. Staff training requires a multifaceted approach to address the range of perceived barriers. PMID:22452549

PCA safety data review after clinical decision support and smart pump technology implementation.

Science.gov (United States)

Prewitt, Judy; Schneider, Susan; Horvath, Monica; Hammond, Julia; Jackson, Jason; Ginsberg, Brian

2013-06-01

Medication errors account for 20% of medical errors in the United States with the largest risk at prescribing and administration. Analgesics or opioids are frequently used medications that can be associated with patient harm when prescribed or administered improperly. In an effort to decrease medication errors, Duke University Hospital implemented clinical decision support via computer provider order entry (CPOE) and "smart pump" technology, 2/2008, with the goal to decrease patient-controlled analgesia (PCA) adverse events. This project evaluated PCA safety events, reviewing voluntary report system and adverse drug events via surveillance (ADE-S), on intermediate and step-down units preimplementation and postimplementation of clinical decision support via CPOE and PCA smart pumps for the prescribing and administration of opioids therapy in the adult patient requiring analgesia for acute pain. Voluntary report system and ADE-S PCA events decreased based upon 1000 PCA days; ADE-S PCA events per 1000 PCA days decreased 22%, from 5.3 (pre) to 4.2 (post) (P = 0.09). Voluntary report system events decreased 72%, from 2.4/1000 PCA days (pre) to 0.66/1000 PCA days (post) and was statistically significant (P PCA events between time periods in both the ADE-S and voluntary report system data, thus supporting the recommendation of clinical decision support via CPOE and PCA smart pump technology.

Initial results of local grid control using wind farms with grid support

Energy Technology Data Exchange (ETDEWEB)

Soerensen, Poul; Hansen, Anca D.; Iov, F.; Blaabjerg, F.

2005-09-01

This report describes initial results with simulation of local grid control using wind farms with grid support. The focus is on simulation of the behaviour of the wind farms when they are isolated from the main grid and establish a local grid together with a few other grid components. The isolated subsystems used in the work presented in this report do not intend to simulate a specific subsystem, but they are extremely simplified single bus bar systems using only a few more components than the wind farm. This approach has been applied to make it easier to understand the dynamics of the subsystem. The main observation is that the fast dynamics of the wind turbines seem to be able to contribute significantly to the grid control, which can be useful where the wind farm is isolated with a subsystem from the main grid with surplus of generation. Thus, the fast down regulation of the wind farm using automatic frequency control can keep the subsystem in operation and thereby improve the reliability of the grid. (LN)

LOCAL WISDOM OF SABANG ISLAND SOCIETY (ACEH, INDONESIA IN BUILDING ECOLOGICAL INTELLIGENCE TO SUPPORT SUSTAINABLE TOURISM

Directory of Open Access Journals (Sweden)

Dian ASWITA

2018-05-01

Full Text Available One of the existing natural and environmental uses in Aceh (Indonesia is tourism. One of the aspects that determine the development and sustainability of tourism is the institutional and community aspects. Sustainable tourism is a picture of the ecosystem sustainability and socio-economic development of the community. This study aims to reveal and find local wisdom practices and explore local knowledge owned by Sabang Island community in the management and conservation of the environment so as to support the realization of sustainable tourism. This study uses rationalistic paradigm and uses qualitative research method. The data that has been collected is analyzed descriptively. Local wisdom and local knowledge are reflected in how society has a unique way of looking at and understanding nature and interacting with it. In the Aceh community, there are customary institutions that regulate the rules or interactions of the community with the environment, including “panglima laot”, “keujreun blang”, “peutua seuneubok”, “pawang glee or peutua uteun”, “haria peukan” and “syahbanda”. Local wisdom and local knowledge have great potential in maintaining, preserving and sustainability of the environment used by communities to meet their living needs. Ecological, social and religious intelligence formed through local wisdom and local knowledge can be an aspect in maintaining environmental sustainability in order to build sustainable tourism on Sabang Island.

Local government broadband policies for areas with limited Internet access

Directory of Open Access Journals (Sweden)

Yoshio Arai

2014-03-01

Full Text Available Despite their wide diffusion in developed countries, broadband services are still limited in areas where providing them is not profitable for private telecom carriers. To address this, many local governments in Japan have implemented broadband deployment projects subsidized by the national government. In this paper, we discuss local government broadband policies based on survey data collected from municipalities throughout the country. With the support of national promotion policies, broadband services were rapidly introduced to most local municipalities in Japan during the 2000s. Local government deployment policies helped to reduce the number of areas with no broadband access. A business model based on the Indefeasible Right of Use (IRU contract between a private telecom carrier and a local government has been developed in recent years. Even local governments without the technical capacity to operate a broadband business can introduce broadband services into their territory using the IRU business model.

The passage and initial implementation of Oregon's Measure 44

Science.gov (United States)

Goldman, L.; Glantz, S.

1999-01-01

OBJECTIVE—To prepare a history of the passage and early implementation of Ballot Measure 44, "An Act to Support the Oregon Health Plan", and tobacco control policymaking in Oregon. Measure 44 raised cigarette taxes in Oregon by US$0.30 per pack, and dedicated 10% of the revenues to tobacco control.
METHODS—Data were gathered from interviews with members of the Committee to Support the Oregon Health Plan, Measure 44's campaign committee, as well as with state and local officials, and tobacco control advocates. Additional information was obtained from public documents, internal memoranda, and news reports.
RESULTS—Although the tobacco industry outspent Measure 44's supporters 7 to 1, the initiative passed with 56% of the vote. Even before the election, tobacco control advocates were working to develop an implementation plan for the tobacco control programme. They mounted a successful lobbying campaign to see that the legislature did not divert tobacco control funds to other uses. They also stopped industry efforts to limit the scope of the programme. The one shortcoming of the tobacco control forces was not getting involved in planning the initiative early enough to influence the amount of money that was devoted to tobacco control. Although public health groups provided 37% of the money it cost to pass Measure 44, only 10% of revenues were devoted to tobacco control.
CONCLUSIONS—Proactive planning and aggressive implementation can secure passage of tobacco control initiatives and see that the associated implementing legislation follows good public health practice.


Keywords: advocacy; legislation; implementation; tobacco tax PMID:10599577

New nuclear plant development - balancing localization with competitiveness

International Nuclear Information System (INIS)

Caplan, M.; Thompson, T.S.

2014-01-01

Nuclear power plants are large infrastructure projects that require government support and approval. This paper will highlight and contrast the larger, mostly government-desired, nuclear program localization objectives with the more utility-specific requirements for successful project implementation. Governments are concerned about sustainable industrial development, particularly manufacturing, and job creation while utilities are focused on delivering reliable electricity to consumers at the lowest cost. Numerous countries emphasize local content as a key requirement when procuring a station. For countries like China and Korea that have large programs, their strategy has been to localize to the point of having their own indigenous design. However, developing a workable localization strategy that truly benefits the local economy for others including existing nuclear markets like Canada, the UK, South Africa and Brazil as well as in newly developing markets such as Vietnam and Malaysia is more challenging. These countries may not look to indigenize a new design, rather they would localize elements of the nuclear program that best fit their strengths. The paper will discuss the issues related to developing successful localization and industrialization strategies in a changing nuclear world. (author)

New nuclear plant development - balancing localization with competitiveness

Energy Technology Data Exchange (ETDEWEB)

Caplan, M.; Thompson, T.S. [MZ Consulting Inc., ON (Canada)

2014-07-01

Nuclear power plants are large infrastructure projects that require government support and approval. This paper will highlight and contrast the larger, mostly government-desired, nuclear program localization objectives with the more utility-specific requirements for successful project implementation. Governments are concerned about sustainable industrial development, particularly manufacturing, and job creation while utilities are focused on delivering reliable electricity to consumers at the lowest cost. Numerous countries emphasize local content as a key requirement when procuring a station. For countries like China and Korea that have large programs, their strategy has been to localize to the point of having their own indigenous design. However, developing a workable localization strategy that truly benefits the local economy for others including existing nuclear markets like Canada, the UK, South Africa and Brazil as well as in newly developing markets such as Vietnam and Malaysia is more challenging. These countries may not look to indigenize a new design, rather they would localize elements of the nuclear program that best fit their strengths. The paper will discuss the issues related to developing successful localization and industrialization strategies in a changing nuclear world. (author)

Typology of local government’s projects and it’s using for methodological support of the project’s ground

Directory of Open Access Journals (Sweden)

Y. P. Sharov

2016-07-01

Full Text Available Taking into account diversity of local government’s projects, traditional project’s technologies of business management can be use for it with some constraints. Present project’s classifications are imperfect, inadequate for modern conditions of local government, have week applied orientation. The approach for systematization of project’s diversity in local government, which realized as typology of local government’s projects, is decrypted in the article. Use of the typology for forming recommendations to determine of deep’ level of local government’s project’s competitiveness ground is shown for different sub multitudes, the main of which are invest projects and social­management projects. Shown, that for technical­economical ground of invest projects could be used the traditional technologies of the project management, but for social­management projects ground could be done on the base of the project’s concept. The need of strengthening of local government’s project concept’s complexity discovered. The logical structure and content of complex concept preferred, the approaches to deeper working up of some concept’s position recommended.  The approach for system determination of results and success’ indicators of projects preferred. It base on problem’s analyze and description of start’s and finish’s state of project’s environment (changes of environment concerning implementation of project. The key words of problem’s symptoms look for in the space of potential target effects of local government’s projects (financial, economical, social, management, political, ecological. Then these key words reform and edit, after that they become the content’s essence of success’ indicators. During form the concept of local government’s projects recommended to do analyze of opportunities to remake projects as partially commercial by the way to give office’s rooms, places for advertising, places for trade

Streamlining Local Behaviour Through Communication, Incentives and Control: A Case Study of Local Environmental Policies in China

Directory of Open Access Journals (Sweden)

Thomas Heberer

2011-01-01

Full Text Available This article describes how China uses evaluation ratings and monitoring as incentives in order to foster the implementation of environmental policies at the local level. It is argued that decentralisation in China leaves room for actors at the local levels to manoeuver and bargain with those on higher levels for flexible adjustment of implementation policies according to local conditions. However, decentralisation is accompanied by significant institutional changes in the structure of intergovernmental communication, incentives and control. Accordingly, decentralisation in China exhibits a specific design which leaves space for divergent local environmental policies while also engendering “grass-roots mechanisms”. On the whole, this new institutional setting benefits the implementation of environmental policies.

Implementing a Swedish regionalized medical program supported by digital technologies: possibilities and challenges from a management perspective.

Science.gov (United States)

Pettersson, Fanny L M

2013-01-01

In 2011, Umeå University in Sweden was facing its first attempt to transform the existing medical program into a regionalized medical program (RMP), supported by the use of digital technologies. The Swedish RMP means that students are distributed in geographically separated groups while doing their five clinical clerkship semesters. To provide medical students with ways of undertaking their theoretical studies when geographically distributed, digital technologies are used for educational and administrative purposes. In this article, the Swedish RMP will be described and related to previous international research on educating medical students in rural settings. The aim of this article was, from a management perspective, to understand if and how contradictions arise during the implementation process of the Swedish RMP, supported by digital technologies. Based on this analysis, a further aim was to discuss, from a management perspective, the possibilities and challenges for improvement of this medical educational practice, as well as to provide implications for other similar changes in medical programs internationally. To identify possible contradictions during the implementation process, ethnographically inspired observations were made during management work meetings, before and during the first regionalized semester. In addition, in-depth follow-up interviews were held in May and June 2011 with six management executives of the Swedish RMP, concerning their expectations and experiences of the implementation process. The qualitative and activity theory (AT)-inspired analysis resulted in the emergence of two main themes and seven sub-themes. The analysis suggests that a number of contradictions arose during the implementation process of the Swedish RMP. For instance, a contradiction constituted as a conflict between the university management and some teachers concerning how digital technologies and technology enhanced learning (TEL) could and should be used when

The role of locally-designed organizational artifacts in supporting nurses’ work: an ethnographic study on the wards

Science.gov (United States)

Talamo, Alessandra; Mellini, Barbara; Barbieri, Barbara

2017-01-01

This paper aims to describe how nurses' planning and coordination work is performed through the use of locally designed tools (i.e., diaries, planners, reminders, and organizers). These tools are investigated as the materialization of organizational work, thus offering a complementary perspective on nursing practice to that proposed by the professional mandate and supported by official artifacts in use. Ethnographic study. By analyzing locally designed artifacts, the rationale that enables nurses to make the flow of activities work is highlighted and explained. Evidence is provided by a description of how nurses' tacit knowledge is reified and embedded into objects produced by the nurses themselves. Implications for the design of digital systems supporting nursing practice are discussed. The analysis of these artifacts has allowed an understanding of practices used by the nurses to manage the workflow in the wards.

The Implementation of a Cost Effectiveness Analyzer for Web-Supported Academic Instruction: An Example from Life Science

Science.gov (United States)

Cohen, Anat; Nachmias, Rafi

2012-01-01

This paper describes implementation of a quantitative cost effectiveness analyzer for Web-supported academic instruction that was developed in our University. The paper presents the cost effectiveness analysis of one academic exemplary course in Life Science department and its introducing to the course lecturer for evaluation. The benefits and…

Design and Implementation of IoT Cloud Moveable SCADA Supported by GSM for Industrial Applications

Directory of Open Access Journals (Sweden)

Mahmoud Shaker Nasr

2017-05-01

Full Text Available The world at the beginning of a new era of innovation and development with the rise of the industrial Internet or Internet of Things, IoT. It takes the space through the convergence of the global industrial system with the power of advanced computing, analytics, and low cost sensor devices and innovation of communication allowed by the Internet. One of the most important developments is IoT SCADA systems, which are considered as infrastructure of society because of their potential enormous in several industrial applications. This paper presents the design of a new generation of SCADA, named moveable SCADA , based on IoT cloud, and supported by GSM for more flexibility and reliability. The system is applied to industrial application that consists of three-control processes which are temperature, liquid level and motor processes. The three control processes data acquisition and controllers are implemented using embedded microcontroller system while a gateway is used to transfer the data proceed in field supervisor at first as well as main supervisor and monitoring engineer through IoT cloud. The system supported by GSM unit to support the system in case of internet failure. Also a camera is added to the system in order to monitor any location, any location (determined by any of the authorities in the field where the camera is mounted. The proposed SCADA is implemented practically and tested for many cases; the presented obtained results demonstrate that the system operation is very fair and meet the required targets.

Earth Observations, Models and Geo-Design in Support of SDG Implementation and Monitoring

Science.gov (United States)

Plag, H. P.; Jules-Plag, S.

2016-12-01

Implementation and Monitoring of the United Nations' Sustainable Development Goals (SDGs) requires support from Earth observation and scientific communities. Applying a goal-based approach to determine the data needs to the Targets and Indicators associated with the SDGs demonstrates that integration of environmental with socio-economic and statistical data is required. Large data gaps exist for the built environment. A Geo-Design platform can provide the infrastructure and conceptual model for the data integration. The development of policies and actions to foster the implementation of SDGs in many cases requires research and the development of tools to answer "what if" questions. Here, agent-based models and model webs combined with a Geo-Design platform are promising avenues. This advanced combined infrastructure can also play a crucial role in the necessary capacity building. We will use the example of SDG 5 (Gender equality) to illustrate these approaches. SDG 11 (Sustainable Cities and Communities) is used to underline the cross-goal linkages and the joint benefits of Earth observations, data integration, and modeling tools for multiple SDGs.

Local Government Systems and Decentralization: Evidence from Pakistan’s Devolution Plan

Directory of Open Access Journals (Sweden)

Muhammad Shakil Ahmad

2013-03-01

Full Text Available The discourse of governance and development practitioners continues to embrace community participation and community empowerment as an elementary means of building local capacity for poverty reduction, development and change at the local level. This article is a review of the decentralization initiatives of local government systems after the announcement of the devolution plan in Pakistan. It evaluates the initiatives’ participatory methods to ascertain the extent to which they have improved the process of community development at the local level. This article also measures the impact of community empowerment on the sustainability of community-driven projects implemented under the decentralization initiative through community-based organizations known as Citizen Community Boards (CCBs. Document analysis and literature review methodologies were employed to gain further insight into the decentralization phenomenon in Pakistan. The results describe human development, improvements in community empowerment and the sustainability of local projects; however, the sense of community has yet to be translated into shared benefits for rural communities. The fundamental goal of decentralization seems to be elusive because only power was transferred to the local level, whereas there is little support for community capacity building and community access to resources and the elites still control the electoral process. It is argued that community development initiatives in Pakistan require continuous support from local governments to boost local rural economies. Likewise, community-local government participatory development strategies can lead to strong local ownership and empowerment in rural communities.

Recovery strategies implemented by sport support staff of elite rugby players in South Africa

Directory of Open Access Journals (Sweden)

D.V. Van Wyk

2009-01-01

Full Text Available Objective: The main aim of this study was to determine strategies used toaccelerate recovery of elite rugby players after training and matches, asused by medical support staff of rugby teams in South A frica. A  secondaryaim was to focus on specifics of implementing ice/cold water immersion asrecovery strategy. Design: A  Questionnaire-based cross sectional descriptive survey was used.Setting and Participants: Most (n=58 of the medical support staff ofrugby teams (doctors, physiotherapists, biokineticists and fitness trainerswho attended the inaugural Rugby Medical A ssociation conference linked to the South A frican Sports MedicineA ssociation Conference in Pretoria (14-16th November, 2007 participated in the study. Results: Recovery strategies were utilized mostly after matches. Stretching and ice/cold water immersion were utilized the most (83%. More biokineticists and fitness trainers advocated the usage of stretching than their counter-parts (medical doctors and physiotherapists. Ice/Cold water immersion and A ctive Recovery were the top two ratedstrategies. A  summary of the details around implementation of ice/cold water therapy is shown (mean as utilized bythe subjects: (i The time to immersion after matches was 12±9 min; (ii The total duration of one immersion sessionwas 6±6 min; (iii 3 immersion sessions per average training week was utilized by subjects; (iv The average water temperature was 10±3 ºC.; (v Ice cubes were used most frequently to cool water for immersion sessions, and(vi plastic drums were mostly used as the container for water. Conclusion: In this survey the representative group of support staff provided insight to which strategies are utilizedin South A frican elite rugby teams to accelerate recovery of players after training and/or matches.

Surgical model-view-controller simulation software framework for local and collaborative applications.

Science.gov (United States)

Maciel, Anderson; Sankaranarayanan, Ganesh; Halic, Tansel; Arikatla, Venkata Sreekanth; Lu, Zhonghua; De, Suvranu

2011-07-01

Surgical simulations require haptic interactions and collaboration in a shared virtual environment. A software framework for decoupled surgical simulation based on a multi-controller and multi-viewer model-view-controller (MVC) pattern was developed and tested. A software framework for multimodal virtual environments was designed, supporting both visual interactions and haptic feedback while providing developers with an integration tool for heterogeneous architectures maintaining high performance, simplicity of implementation, and straightforward extension. The framework uses decoupled simulation with updates of over 1,000 Hz for haptics and accommodates networked simulation with delays of over 1,000 ms without performance penalty. The simulation software framework was implemented and was used to support the design of virtual reality-based surgery simulation systems. The framework supports the high level of complexity of such applications and the fast response required for interaction with haptics. The efficacy of the framework was tested by implementation of a minimally invasive surgery simulator. A decoupled simulation approach can be implemented as a framework to handle simultaneous processes of the system at the various frame rates each process requires. The framework was successfully used to develop collaborative virtual environments (VEs) involving geographically distributed users connected through a network, with the results comparable to VEs for local users.

Local agenda 21. The French experience

International Nuclear Information System (INIS)

2002-01-01

In keeping with the Rio Declaration on Environment and Development, and with the ''Agenda 21'' Action program for the 21 Century, the French Minister of the Environment, in January 1993, and again on 11 May 1994, set up new mechanisms, entitled ''Urban Ecology Charters'' or ''Environmental Charters'', also described as ''Partnership Programmes for Sustainable Development''. Their purpose is to implement a new economic approach which, in the Rio spirit, encourages a sustainable form of development, characterized by the integration of environmental costs. Since 1999, a broad new legal text, the ''Act on Spatial Planning and Sustainable Development Policy'' encourages urban and rural local government to define and run development projects that refer to Chapter 28 of the Action 21 program of Rio. The development of Agenda 21 is now supported by contracts between the State and local authorities of various character, such as the large ''Regions'' (of which there are only 21 in France), local institutions responsible for managing urban agglomerations, smaller ad-hoc rural areas called ''Pays'', and some of the regional natural parks or reserves. Such development projects are required broadly to call upon the participation of, and partnership with concerned private and public stakeholders. They must support modes of production and consumption that are thrifty in resources (energy, water, soil, air, biodiversity), and also socially responsible towards populations of other countries and future generations. (author)

Public support for river restoration. A mixed-method study into local residents' support for and framing of river management and ecological restoration in the Dutch floodplains.

Science.gov (United States)

Buijs, Arjen E

2009-06-01

In many European countries, accommodating water has become the dominant paradigm in river management. In the Netherlands, extensive river restoration projects are being implemented, many of which draw serious opposition from the public. To investigate the causes of such opposition, a comprehensive study of public attitudes towards river restoration was conducted in three floodplains, both before and after river restoration. The study combined quantitative questionnaires (N=562) with open interviews (N=29). This paper describes how local residents perceive the effects of river restoration on landscape quality and how residents and protest groups use landscape quality in combination with other arguments to strategically frame river management policies. Results show that measurement of the perceived outcomes of nature restoration needs to be complemented by a more dynamic type of research, focusing on the social processes of the framing of restoration plans. Theoretically, the paper aims to contribute to the development of a rigorous research strategy to study framing processes in environmental management, using a mixed-methods approach. In general, local residents are supportive of river restoration projects. Although restoration may diminish feelings of attachment to an area, for most people this negative effect is compensated by the positive effects on scenic beauty and perceived protection from flooding. However, these positive effects may become contested because of the active framing of river restoration by protest groups. Residents use three distinct frames to give meaning to river restoration projects: (i) an attachment frame, focusing on cultural heritage and place attachment (ii) an attractive nature frame, focusing on nature as attractive living space and the intrinsic value of nature (iii) a rurality frame, focusing on rural values, agriculture and cultural heritage. Resistance to river restoration plans stems from the attachment and rurality frames

Bridging the Gap: Developing a Tool to Support Local Civilian and Military Disaster Preparedness

Science.gov (United States)

2010-01-01

open house and air show), the National Basketball Association ( NBA ) All-Star Game, or NASCAR 34 Bridging the Gap: Developing a Tool to Support Local...Americas] protest in Columbus, the National Col- legiate Athletic Association [NCAA] Final Four basketball games in San Antonio, and annual New Year’s...there are large events, such as the NBA All-Star Game, which pose some difficulties related to law enforcement. Other recent events with potential

Support of local entrepreneurship: An empirical investigation for Serres-Greece

Directory of Open Access Journals (Sweden)

Balomenou Chrysanthi

2013-01-01

Full Text Available This paper is divided into two parts, one theoretical and one empirical. The research deals with entrepreneurs that received loans from National Fund for Entrepreneurship and Development (ETEAN in Greek language. ETEAN provided enterprises with non interest or low interest loans based on state guarantees. The main objective of this research is to examine the project\\'s effectiveness and its contribution into local development on Regional Unity of Serres, Central Macedonia, Greece. The first part is divided into two sections. A comparative analysis of guarantees to small and medium enterprises (SME’s is presented in the first part referring to the European Union and in the second part to Greece. Particularly, in the first section of our paper presented data concerning guarantees provided in the EU. At the second section presented data which indicate the role of ETEAN’s programs into the contribution of local development in Greece and the moral hazards due to state provided guarantees. Furthermore, obstacles that entrepreneurs face when they applied for guarantee loans are analyzed in this part. Our data were extracted during the last three years by the extensive use of web links on the internet. Most data were taken from the websites of above mentioned ETEAN, the Pan-European Gateway to Business and Innovation Financing, the Gateway to European Research and Development and B.I.S. At the second part presented the results of our research based on 200 entrepreneurs in Serres who receive loans from ETEAN. The results analyzed with the use of descriptive statistical methods and correlations. It is noticeable that businessmen’s answers are similar to those deduced from the results of the researches that have been referred to in bibliography. In the final part of this paper the main conclusion is pointed out and that is that those programs which provide enterprises low interest or non interest loans support local development.

Advanced Materials in Support of EERE Needs to Advance Clean Energy Technologies Program Implementation

Energy Technology Data Exchange (ETDEWEB)

Liby, Alan L [ORNL; Rogers, Hiram [ORNL

2013-10-01

The goal of this activity was to carry out program implementation and technical projects in support of the ARRA-funded Advanced Materials in Support of EERE Needs to Advance Clean Energy Technologies Program of the DOE Advanced Manufacturing Office (AMO) (formerly the Industrial Technologies Program (ITP)). The work was organized into eight projects in four materials areas: strategic materials, structural materials, energy storage and production materials, and advanced/field/transient processing. Strategic materials included work on titanium, magnesium and carbon fiber. Structural materials included work on alumina forming austentic (AFA) and CF8C-Plus steels. The advanced batteries and production materials projects included work on advanced batteries and photovoltaic devices. Advanced/field/transient processing included work on magnetic field processing. Details of the work in the eight projects are available in the project final reports which have been previously submitted.

Implementation of GIS-DSS PRANA within sustainable rehabilitation of radioactive contaminated territories

International Nuclear Information System (INIS)

Yatsalo, B.

2003-01-01

Full text: Analysis of the current situation in contaminated farms and settlements of Bryansk region is based on the monitoring data and model estimates. Model assessments of agricultural produce contamination, doses to the local population, radiological risk and results of countermeasure (CM) implementation have been carried out with the use of PRANA GIS-DSS. Applied Geographic Information System (GIS) PRANA is a Decision Support System (DSS) for implementation within the rehabilitation of radioactive contaminated territories. PRANA has been introduced for practical use in Bryansk as a GIS-DSS system for monitoring networking support and countermeasure analysis. The main blocks of the PRANA DSS are: libraries of electronic maps, including different layers of vector maps of landuse for all contaminated districts of Bryansk region: Novozybkov, Klintsy, Gordeevsky, Krasnogorsky, Zlynkovsky and Klimovsky (more than 30000 polygons of vector electronic maps); databases (radioecological, ecological, economic, demographic and other monitoring data and model parameters, including attributive information of vector electronic maps); model blocks for assessing: contamination of agricultural production, external and internal doses to the local population, radiological risks and corresponding results of CMs implementation; evaluation of CMs effectiveness and decision-making support an protection of the population and rehabilitation of radioactive contaminated territories both on local and regional/district levels (from separate settlement/field up to group of settlements/farms and region as a whole). The following 'risk indices' are considered within decision-making an Risk Based Land Management (RBLM) with the use of PRANA DSS: surface density contamination of territory with radionuclides ( 137 Cs, 90 Sr); contamination of agricultural production (plant growing and animal husbandry, including farm and private production); external and internal doses to the local population

Ten steps or climbing a mountain: a study of Australian health professionals' perceptions of implementing the baby friendly health initiative to protect, promote and support breastfeeding.

Science.gov (United States)

Schmied, Virginia; Gribble, Karleen; Sheehan, Athena; Taylor, Christine; Dykes, Fiona C

2011-08-31

The Baby Friendly Hospital (Health) Initiative (BFHI) is a global initiative aimed at protecting, promoting and supporting breastfeeding and is based on the ten steps to successful breastfeeding. Worldwide, over 20,000 health facilities have attained BFHI accreditation but only 77 Australian hospitals (approximately 23%) have received accreditation. Few studies have investigated the factors that facilitate or hinder implementation of BFHI but it is acknowledged this is a major undertaking requiring strategic planning and change management throughout an institution. This paper examines the perceptions of BFHI held by midwives and nurses working in one Area Health Service in NSW, Australia. The study used an interpretive, qualitative approach. A total of 132 health professionals, working across four maternity units, two neonatal intensive care units and related community services, participated in 10 focus groups. Data were analysed using thematic analysis. Three main themes were identified: 'Belief and Commitment'; 'Interpreting BFHI' and 'Climbing a Mountain'. Participants considered the BFHI implementation a high priority; an essential set of practices that would have positive benefits for babies and mothers both locally and globally as well as for health professionals. It was considered achievable but would take commitment and hard work to overcome the numerous challenges including a number of organisational constraints. There were, however, differing interpretations of what was required to attain BFHI accreditation with the potential that misinterpretation could hinder implementation. A model described by Greenhalgh and colleagues on adoption of innovation is drawn on to interpret the findings. Despite strong support for BFHI, the principles of this global strategy are interpreted differently by health professionals and further education and accurate information is required. It may be that the current processes used to disseminate and implement BFHI need to be

Ten steps or climbing a mountain: A study of Australian health professionals' perceptions of implementing the baby friendly health initiative to protect, promote and support breastfeeding

Directory of Open Access Journals (Sweden)

Sheehan Athena

2011-08-01

Full Text Available Abstract Background The Baby Friendly Hospital (Health Initiative (BFHI is a global initiative aimed at protecting, promoting and supporting breastfeeding and is based on the ten steps to successful breastfeeding. Worldwide, over 20,000 health facilities have attained BFHI accreditation but only 77 Australian hospitals (approximately 23% have received accreditation. Few studies have investigated the factors that facilitate or hinder implementation of BFHI but it is acknowledged this is a major undertaking requiring strategic planning and change management throughout an institution. This paper examines the perceptions of BFHI held by midwives and nurses working in one Area Health Service in NSW, Australia. Methods The study used an interpretive, qualitative approach. A total of 132 health professionals, working across four maternity units, two neonatal intensive care units and related community services, participated in 10 focus groups. Data were analysed using thematic analysis. Results Three main themes were identified: 'Belief and Commitment'; 'Interpreting BFHI' and 'Climbing a Mountain'. Participants considered the BFHI implementation a high priority; an essential set of practices that would have positive benefits for babies and mothers both locally and globally as well as for health professionals. It was considered achievable but would take commitment and hard work to overcome the numerous challenges including a number of organisational constraints. There were, however, differing interpretations of what was required to attain BFHI accreditation with the potential that misinterpretation could hinder implementation. A model described by Greenhalgh and colleagues on adoption of innovation is drawn on to interpret the findings. Conclusion Despite strong support for BFHI, the principles of this global strategy are interpreted differently by health professionals and further education and accurate information is required. It may be that the

Measures with locally finite support and spectrum.

Science.gov (United States)

Meyer, Yves F

2016-03-22

The goal of this paper is the construction of measures μ on R(n)enjoying three conflicting but fortunately compatible properties: (i) μ is a sum of weighted Dirac masses on a locally finite set, (ii) the Fourier transform μ f μ is also a sum of weighted Dirac masses on a locally finite set, and (iii) μ is not a generalized Dirac comb. We give surprisingly simple examples of such measures. These unexpected patterns strongly differ from quasicrystals, they provide us with unusual Poisson's formulas, and they might give us an unconventional insight into aperiodic order.

Building capacity in implementation science research training at the University of Nairobi.

Science.gov (United States)

Osanjo, George O; Oyugi, Julius O; Kibwage, Isaac O; Mwanda, Walter O; Ngugi, Elizabeth N; Otieno, Fredrick C; Ndege, Wycliffe; Child, Mara; Farquhar, Carey; Penner, Jeremy; Talib, Zohray; Kiarie, James N

2016-03-08

Health care systems in sub-Saharan Africa, and globally, grapple with the problem of closing the gap between evidence-based health interventions and actual practice in health service settings. It is essential for health care systems, especially in low-resource settings, to increase capacity to implement evidence-based practices, by training professionals in implementation science. With support from the Medical Education Partnership Initiative, the University of Nairobi has developed a training program to build local capacity for implementation science. This paper describes how the University of Nairobi leveraged resources from the Medical Education Partnership to develop an institutional program that provides training and mentoring in implementation science, builds relationships between researchers and implementers, and identifies local research priorities for implementation science. The curriculum content includes core material in implementation science theory, methods, and experiences. The program adopts a team mentoring and supervision approach, in which fellows are matched with mentors at the University of Nairobi and partnering institutions: University of Washington, Seattle, and University of Maryland, Baltimore. A survey of program participants showed a high degree satisfaction with most aspects of the program, including the content, duration, and attachment sites. A key strength of the fellowship program is the partnership approach, which leverages innovative use of information technology to offer diverse perspectives, and a team model for mentorship and supervision. As health care systems and training institutions seek new approaches to increase capacity in implementation science, the University of Nairobi Implementation Science Fellowship program can be a model for health educators and administrators who wish to develop their program and curricula.

Design and implementation of wireless dose logger network for radiological emergency decision support system

International Nuclear Information System (INIS)

Gopalakrishnan, V.; Baskaran, R.; Venkatraman, B.

2016-01-01

A decision support system (DSS) is implemented in Radiological Safety Division, Indira Gandhi Centre for Atomic Research for providing guidance for emergency decision making in case of an inadvertent nuclear accident. Real time gamma dose rate measurement around the stack is used for estimating the radioactive release rate (source term) by using inverse calculation. Wireless gamma dose logging network is designed, implemented, and installed around the Madras Atomic Power Station reactor stack to continuously acquire the environmental gamma dose rate and the details are presented in the paper. The network uses XBee–Pro wireless modules and PSoC controller for wireless interfacing, and the data are logged at the base station. A LabView based program is developed to receive the data, display it on the Google Map, plot the data over the time scale, and register the data in a file to share with DSS software. The DSS at the base station evaluates the real time source term to assess radiation impact.

Design and implementation of wireless dose logger network for radiological emergency decision support system.

Science.gov (United States)

Gopalakrishnan, V; Baskaran, R; Venkatraman, B

2016-08-01

A decision support system (DSS) is implemented in Radiological Safety Division, Indira Gandhi Centre for Atomic Research for providing guidance for emergency decision making in case of an inadvertent nuclear accident. Real time gamma dose rate measurement around the stack is used for estimating the radioactive release rate (source term) by using inverse calculation. Wireless gamma dose logging network is designed, implemented, and installed around the Madras Atomic Power Station reactor stack to continuously acquire the environmental gamma dose rate and the details are presented in the paper. The network uses XBee-Pro wireless modules and PSoC controller for wireless interfacing, and the data are logged at the base station. A LabView based program is developed to receive the data, display it on the Google Map, plot the data over the time scale, and register the data in a file to share with DSS software. The DSS at the base station evaluates the real time source term to assess radiation impact.

Design and implementation of wireless dose logger network for radiological emergency decision support system

Energy Technology Data Exchange (ETDEWEB)

Gopalakrishnan, V.; Baskaran, R.; Venkatraman, B. [Radiation Impact Assessment Section, Radiological Safety Division, Indira Gandhi Centre for Atomic Research (IGCAR), Kalpakkam 603102 (India)

2016-08-15

A decision support system (DSS) is implemented in Radiological Safety Division, Indira Gandhi Centre for Atomic Research for providing guidance for emergency decision making in case of an inadvertent nuclear accident. Real time gamma dose rate measurement around the stack is used for estimating the radioactive release rate (source term) by using inverse calculation. Wireless gamma dose logging network is designed, implemented, and installed around the Madras Atomic Power Station reactor stack to continuously acquire the environmental gamma dose rate and the details are presented in the paper. The network uses XBee–Pro wireless modules and PSoC controller for wireless interfacing, and the data are logged at the base station. A LabView based program is developed to receive the data, display it on the Google Map, plot the data over the time scale, and register the data in a file to share with DSS software. The DSS at the base station evaluates the real time source term to assess radiation impact.

Implementing Lumberjacks and Black Swans Into Model-Based Tools to Support Human-Automation Interaction.

Science.gov (United States)

Sebok, Angelia; Wickens, Christopher D

2017-03-01

The objectives were to (a) implement theoretical perspectives regarding human-automation interaction (HAI) into model-based tools to assist designers in developing systems that support effective performance and (b) conduct validations to assess the ability of the models to predict operator performance. Two key concepts in HAI, the lumberjack analogy and black swan events, have been studied extensively. The lumberjack analogy describes the effects of imperfect automation on operator performance. In routine operations, an increased degree of automation supports performance, but in failure conditions, increased automation results in more significantly impaired performance. Black swans are the rare and unexpected failures of imperfect automation. The lumberjack analogy and black swan concepts have been implemented into three model-based tools that predict operator performance in different systems. These tools include a flight management system, a remotely controlled robotic arm, and an environmental process control system. Each modeling effort included a corresponding validation. In one validation, the software tool was used to compare three flight management system designs, which were ranked in the same order as predicted by subject matter experts. The second validation compared model-predicted operator complacency with empirical performance in the same conditions. The third validation compared model-predicted and empirically determined time to detect and repair faults in four automation conditions. The three model-based tools offer useful ways to predict operator performance in complex systems. The three tools offer ways to predict the effects of different automation designs on operator performance.

Rationale, Implementation and Evaluation of Assistive Strategies for an Active Back-Support Exoskeleton

Directory of Open Access Journals (Sweden)

Stefano Toxiri

2018-05-01

Full Text Available Active exoskeletons are potentially more effective and versatile than passive ones, but designing them poses a number of additional challenges. An important open challenge in the field is associated to the assistive strategy, by which the actuation forces are modulated to the user’s needs during the physical activity. This paper addresses this challenge on an active exoskeleton prototype aimed at reducing compressive low-back loads, associated to risk of musculoskeletal injury during manual material handling (i.e., repeatedly lifting objects. An analysis of the biomechanics of the physical task reveals two key factors that determine low-back loads. For each factor, a suitable control strategy for the exoskeleton is implemented. The first strategy is based on user posture and modulates the assistance to support the wearer’s own upper body. The second one adapts to the mass of the lifted object and is a practical implementation of electromyographic control. A third strategy is devised as a generalized combination of the first two. With these strategies, the proposed exoskeleton can quickly adjust to different task conditions (which makes it versatile compared to using multiple, task-specific, devices as well as to individual preference (which promotes user acceptance. Additionally, the presented implementation is potentially applicable to more powerful exoskeletons, capable of generating larger forces. The different strategies are implemented on the exoskeleton and tested on 11 participants in an experiment reproducing the lifting task. The resulting data highlights that the strategies modulate the assistance as intended by design, i.e., they effectively adjust the commanded assistive torque during operation based on user posture and external mass. The experiment also provides evidence of significant reduction in muscular activity at the lumbar spine (around 30% associated to using the exoskeleton. The reduction is well in line with previous

Creating an enabling environment for WR&R implementation.

Science.gov (United States)

Stathatou, P-M; Kampragou, E; Grigoropoulou, H; Assimacopoulos, D; Karavitis, C; Gironás, J

2017-09-01

Reclaimed water is receiving growing attention worldwide as an effective solution for alleviating the growing water scarcity in many areas. Despite the various benefits associated with reclaimed water, water recycling and reuse (WR&R) practices are not widely applied around the world. This is mostly due to complex and inadequate local legal and institutional frameworks and socio-economic structures, which pose barriers to wider WR&R implementation. An integrated approach is therefore needed while planning the implementation of WR&R schemes, considering all the potential barriers, and aiming to develop favourable conditions for enhancing reclaimed water use. This paper proposes a comprehensive methodology supporting the development of an enabling environment for WR&R implementation. The political, economic, social, technical, legal and institutional factors that may influence positively (drivers) or negatively (barriers) WR&R implementation in the regional water systems are identified, through the mapping of local stakeholder perceptions. The identified barriers are further analysed, following a Cross-Impact/System analysis, to recognize the most significant barriers inhibiting system transition, and to prioritize the enabling instruments and arrangements that are needed to boost WR&R implementation. The proposed methodology was applied in the Copiapó River Basin in Chile, which faces severe water scarcity. Through the analysis, it was observed that barriers outweigh drivers for the implementation of WR&R schemes in the Copiapó River Basin, while the key barriers which could be useful for policy formulation towards an enabling environment in the area concern the unclear legal framework regarding the ownership of treated wastewater, the lack of environmental policies focusing on pollution control, the limited integration of reclaimed water use in current land use and development policies, the limited public awareness on WR&R, and the limited availability of

Internal Guidelines for interactions with communities and local governments

International Nuclear Information System (INIS)

1985-11-01

These Guidelines provide principles for interactions with local populations. Interaction with communities and local govenments are the responsibility of the Office of Civilian Radioactive Wastes Management program's implementing offices. The Guidelines provide policy direction to these implementing offices, while preserving their ability to tailor local interactions to fit a given situation, taking into account the social and political context and the history of local involvement in the program. Project Offices conduct community and local interactions within overall program resources which must be husbanded prudently. Careful planning by implementing offices should ensure that adequate resources are available to foster effective interactions with local representatives

Implementation of misoprostol for postabortion care in Kenya and Uganda: a qualitative evaluation

Directory of Open Access Journals (Sweden)

Joachim Osur

2013-04-01

Full Text Available Objective: Evaluate implementation of misoprostol for postabortion care (MPAC in two African countries. Design: Qualitative, program evaluation. Setting: Twenty-five public and private health facilities in Rift Valley Province, Kenya, and Kampala Province, Uganda. Sample: Forty-five MPAC providers, health facility managers, Ministry of Health officials, and non-governmental (NGO staff involved in program implementation. Methods and main outcome measures: In both countries, the Ministry of Health, local health centers and hospitals, and NGO staff developed evidence-based service delivery protocols to introduce MPAC in selected facilities; implementation extended from January 2009 to October 2010. Semi-structured, in-depth interviews evaluated the implementation process, identified supportive and inhibitive policies for implementation, elicited lessons learned during the process, and assessed provider satisfaction and providers’ impressions of client satisfaction with MPAC. Project reports were also reviewed. Results: In both countries, MPAC was easy to use, and freed up provider time and health facility resources traditionally necessary for provision of PAC with uterine aspiration. On-going support of providers following training ensured high quality of care. Providers perceived that many women preferred MPAC, as they avoided instrumentation of the uterus, hospital admission, cost, and stigma associated with abortion. Appropriate registration of misoprostol for use in the pilot, and maintaining supplies of misoprostol, were significant challenges to service provision. Support from the Ministry of Health was necessary for successful implementation; lack of country-based standards and guidelines for MPAC created challenges. Conclusions: MPAC is simple, cost-effective and can be readily implemented in settings with high rates of abortion-related mortality.

Implementing a Nutrition and Physical Activity Curriculum in Head Start Through an Academic-Community Partnership.

Science.gov (United States)

Zahnd, Whitney E; Smith, Tracey; Ryherd, Susan J; Cleer, Melissa; Rogers, Valerie; Steward, David E

2017-06-01

Schools may be an effective avenue for interventions that prevent childhood obesity. I am Moving I am Learning/Choosy Kids © (IMIL/CK) is a curriculum recommended by Head Start (HS) for education in nutrition, physical activity, and healthy lifestyle habits. We formed an academic-community partnership (ACP), the Springfield Collaborative for Active Child Health, to promote prevention of childhood obesity, in part, to implement the IMIL/CK curriculum in local HS sites. The ACP included a medical school, HS program, public school district, and state health department. Community-based participatory research principles helped identify and organize important implementation activities: community engagement, curriculum support, professional teacher training, and evaluation. IMIL/CK was piloted in 1 school then implemented in all local HS sites. All sites were engaged in IMIL/CK professional teacher training, classroom curriculum delivery, and child physical activity assessments. Local HS policy changed to include IMIL/CK in lesson plans and additional avenues of collaboration were initiated. Furthermore, improvements in physical activity and/or maintenance or improvement of healthy weight prevalence was seen in 4 of the 5 years evaluated. An ACP is an effective vehicle to implement and evaluate childhood obesity prevention programming in HS sites. © 2017, American School Health Association.

China’s Conversion of Cropland to Forest Program for Household Delivery of Ecosystem Services: How Important is a Local Implementation Regime to Survival Rate Outcomes?

Directory of Open Access Journals (Sweden)

Michael T. Bennett

2014-09-01

Full Text Available China’s Conversion of Cropland to Forests Program (CCFP is the world’s largest afforestation-based Payments for Ecosystem Services (PES program, having retired and afforested over 24 million ha involving 32 million rural households. Prior research has primarily focused on the CCFP’s rural welfare impacts, with few studies on program-induced environmental improvements, particularly at the household level. In this study, data from a 2010 survey covering 2808 rural households from across China was analyzed using an interval regression model to explain household-reported survival rates of trees planted on program-enrolled cropland. In addition to household-level factors, we explore the influence of local conditions and institutional configurations by exploiting the wide diversity of contexts covered by the data set. We find that households with more available labor and more forestry experience manage trees better, but that higher opportunity costs for both land and labor have the opposite effect. We also find that the local implementation regime- e.g., the degree of prior consultation with participants and regular monitoring - has a strong positive effect on reported survivorship. We suggest that the level of subsidy support to participating households will be key to survivorship of trees in planted CCFP forests for some time to come.

A two-state comparative implementation of peer-support intervention to link veterans to health-related services after incarceration: a study protocol.

Science.gov (United States)

Simmons, Molly M; Fincke, Benjamin G; Drainoni, Mari-Lynn; Kim, Bo; Byrne, Tom; Smelson, David; Casey, Kevin; Ellison, Marsha L; Visher, Christy; Blue-Howells, Jessica; McInnes, D Keith

2017-09-12

Approximately 600,000 persons are released from prison annually in the United States. Relatively few receive sufficient re-entry services and are at risk for unemployment, homelessness, poverty, substance abuse relapse and recidivism. Persons leaving prison who have a mental illness and/or a substance use disorder are particularly challenged. This project aims to create a peer mentor program to extend the reach and effectiveness of reentry services provided by the Department of Veterans' Affairs (VA). We will implement a peer support for reentry veterans sequentially in two states. Our outcome measures are 1) fidelity of the intervention, 2) linkage to VA health care and, 3) continued engagement in health care. The aims for this project are as follows: (1) Conduct contextual analysis to identify VA and community reentry resources, and describe how reentry veterans use them. (2) Implement peer-support, in one state, to link reentry veterans to Veterans' Health Administration (VHA) primary care, mental health, and SUD services. (3) Port the peer-support intervention to another, geographically, and contextually different state. This intervention involves a 2-state sequential implementation study (Massachusetts, followed by Pennsylvania) using a Facilitation Implementation strategy. We will conduct formative and summative analyses, including assessment of fidelity, and a matched comparison group to evaluate the intervention's outcomes of veteran linkage and engagement in VHA health care (using health care utilization measures). The study proceeds in 3 phases. We anticipate that a peer support program will be effective at improving the reentry process for veterans, particularly in linking them to health, mental health, and SUD services and helping them to stay engaged in those services. It will fill a gap by providing veterans with access to a trusted individual, who understands their experience as a veteran and who has experienced justice involvement. The outputs from

Protocol for implementation of family health history collection and decision support into primary care using a computerized family health history system

Directory of Open Access Journals (Sweden)

Agbaje Astrid B

2011-10-01

Full Text Available Abstract Background The CDC's Family History Public Health Initiative encourages adoption and increase awareness of family health history. To meet these goals and develop a personalized medicine implementation science research agenda, the Genomedical Connection is using an implementation research (T3 research framework to develop and integrate a self-administered computerized family history system with built-in decision support into 2 primary care clinics in North Carolina. Methods/Design The family health history system collects a three generation family history on 48 conditions and provides decision support (pedigree and tabular family history, provider recommendation report and patient summary report for 4 pilot conditions: breast cancer, ovarian cancer, colon cancer, and thrombosis. All adult English-speaking, non-adopted, patients scheduled for well-visits are invited to complete the family health system prior to their appointment. Decision support documents are entered into the medical record and available to provider's prior to the appointment. In order to optimize integration, components were piloted by stakeholders prior to and during implementation. Primary outcomes are change in appropriate testing for hereditary thrombophilia and screening for breast cancer, colon cancer, and ovarian cancer one year after study enrollment. Secondary outcomes include implementation measures related to the benefits and burdens of the family health system and its impact on clinic workflow, patients' risk perception, and intention to change health related behaviors. Outcomes are assessed through chart review, patient surveys at baseline and follow-up, and provider surveys. Clinical validity of the decision support is calculated by comparing its recommendations to those made by a genetic counselor reviewing the same pedigree; and clinical utility is demonstrated through reclassification rates and changes in appropriate screening (the primary outcome

An e-learning supported Train-the-Trainer program to implement a suicide practice guideline. Rationale, content and dissemination in Dutch mental health care.

NARCIS (Netherlands)

Groot, M. de; Beurs, D.P. de; Keijser, J. de; Kerkhof, A.F.J.M.

2015-01-01

An e-learning supported Train-the-Trainer program was developed to implement the Dutch suicide practice guideline inmental health care. Literature on implementation strategies has been restricted to the final reporting of studieswith little opportunity to describe relevant contextual, developmental

Territorial authorities, stakeholders of participative and citizen projects of renewable energy. From support to management: how to do it?

International Nuclear Information System (INIS)

Peullemeulle, Justine; Duval, Joakim; Boumard, Erwan; Leclercq, Michel; Paraiso, Jean-Eric; Foulon, Arno; Parrouffe, Jean-Michel; Guillerminet, Marie-Laure; Mouhamad, Sakina; Leclercq, Michel; Poize, Noemie; Duffes, Thomas; Billard, Marianne; Leyendecker, Manon; Jourdain, Pierre

2017-09-01

This publication aims at being a guide for public actors in the implementation and management of participative and citizen projects of renewable energy. It first outlines context and stakes for territorial authorities and citizen, both considered as actors of a democracy of energy. In the next chapter, and by referring to actual examples, it describes the approach to a citizen-based project, and more precisely how a local authority can support the emergence of projects, as well as citizen initiatives, how it is involved in the development phase, and in the building phase. The next chapter highlights lessons which can be learned from a set of current experiments and situations: how can citizen make authorities participate to a project they initiated, how can authorities can make citizen participate to a project they initiated, which actions to implement when a developer wants to intervene on a territory, case of local authorities supporting the local policy of development of citizen renewable energies

Implementing a WIC-Based Intervention to Promote Exclusive Breastfeeding: Challenges, Facilitators, and Adaptive Strategies.

Science.gov (United States)

Eldridge, Johanna D; Hartnett, Josette O; Lee, Furrina F; Sekhobo, Jackson P; Edmunds, Lynn S

Understand factors that contributed to the implementation of a successful multicomponent intervention to promote exclusive breastfeeding (EBF) within Special Supplemental Nutrition Program for Woman, Infants, and Children (WIC) clinics. Qualitative study of staff implementers' experiences using implementation status reports, facilitated group discussion immediately after implementation, and WIC administrative data. WIC staff from 12 clinics participated in an EBF Learning Community composed of 8 intervention trainings and ongoing support from trainers and peers. A total of 47 WIC staff including 11 directors, 20 other administrators, 8 nutritionists, and 6 peer counselors. A WIC-integrated EBF promotion initiative, supported through a Learning Community, composed of prenatal screening, tailored trimester-specific counseling, and timely postpartum follow-up. Challenges and facilitators to implementation within clinics. Iterative qualitative analysis using directed, emergent, and thematic coding. Implementation experiences were characterized by (1) perceived benefits of implementation, including improved EBF knowledge and counseling confidence among staff; and (2) managing implementation, including responding to challenges posed by clinic settings (resources, routine practices, values, and perceptions of mothers) through strategies such as adapting clinic practices and intervention components. Implementation was shaped by clinic setting and adaptive strategies. Future WIC interventions may benefit from formal consideration of intervention fit with local clinic setting and allowable adaptations. Copyright © 2017 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

Financial sustainability of PV implementation in Swaziland

International Nuclear Information System (INIS)

Westra, C.A.; Van Roekel, G.M.; Lasschuit, P.E.

2001-10-01

During the past 10 years, more than 700 Solar Home Systems have been implemented by this project in Swaziland, southern Africa. The implementation process started with household energy surveys, the results of which showing significant energy needs for cooking, lighting and basic communication applications (i.e. radio/TV), particularly in rural areas. An implementation project of Solar Home Systems was set up to start rural electrification with solar PV and focused on lighting and small electrical demands. The national government, whose own resources were limited, supported the project as an important step towards addressing the country's range of energy needs. Together with a local company, Swazitronix, a joint venture was established to facilitate the implementation project. With a project loan from the Dutch social bank, the Triodosbank, standard Solar Home Systems were sold, assembled, installed and serviced. Customers paid the full cost of their PV systems and services. Awareness and education issues also formed key aspects of the project. During a later project phase, credit financing instruments were introduced providing a final element of experience crucial to future project implementation. The project's relative success and experiences (i.e. 82% loan repayment rate, detailed review of the causes behind loan defaults, and monitoring survey results) are detailed herein, providing valuable lessons regarding financial sustainability, the linchpin of successful PV implementation. 8 refs

Design and Implementation of the Retinoblastoma Collaborative Laboratory.

Science.gov (United States)

Qaiser, Seemi; Limo, Alice; Gichana, Josiah; Kimani, Kahaki; Githanga, Jessie; Waweru, Wairimu; Dimba, Elizabeth A O; Dimaras, Helen

2017-01-01

The purpose of this work was to describe the design and implementation of a digital pathology laboratory, the Retinoblastoma Collaborative Laboratory (RbCoLab) in Kenya. The RbCoLab is a central lab in Nairobi that receives retinoblastoma specimens from all over Kenya. Specimens were processed using evidence-based standard operating procedures. Images were produced by a digital scanner, and pathology reports were disseminated online. The lab implemented standard operating procedures aimed at improving the accuracy, completeness, and timeliness of pathology reports, enhancing the care of Kenyan retinoblastoma patients. Integration of digital technology to support pathology services supported knowledge transfer and skills transfer. A bidirectional educational network of local pathologists and other clinicians in the circle of care of the patients emerged and served to emphasize the clinical importance of cancer pathology at multiple levels of care. A 'Robin Hood' business model of health care service delivery was developed to support sustainability and scale-up of cancer pathology services. The application of evidence-based protocols, comprehensive training, and collaboration were essential to bring improvements to the care of retinoblastoma patients in Kenya. When embraced as an integrated component of retinoblastoma care, digital pathology offers the opportunity for frequent connection and consultation for development of expertise over time.

Local Content

CSIR Research Space (South Africa)

Gibberd, Jeremy

2016-10-01

Full Text Available Local content refers to materials and products made in a country as opposed those that are imported. There is an increasing interest in the concept of local content as a means of supporting local economies and providing jobs (Belderbos & Sleuwaegen...

Current algebra and the local nature of symmetries in local quantum theory

International Nuclear Information System (INIS)

Doplicher, S.

In this report we mainly discuss the problem of finding local observables which measure the charges in a volume smaller than their localization region, in particular providing the existence of local observables with a specific physical interpretation. In the same way we can also establish the existence of a version of the current algebra structure. Similar local observables can be constructed for the energy-momentum; we also comment on the local implementation of supersymmetries. (orig./HSI)

Phased implementation of spaced clinic visits for stable HIV-positive patients in Rwanda to support Treat All.

Science.gov (United States)

Nsanzimana, Sabin; Remera, Eric; Ribakare, Muhayimpundu; Burns, Tracy; Dludlu, Sibongile; Mills, Edward J; Condo, Jeanine; Bucher, Heiner C; Ford, Nathan

2017-07-21

In 2016, Rwanda implemented "Treat All," requiring the national HIV programme to increase antiretroviral (ART) treatment coverage to all people living with HIV. Approximately half of the 164,262 patients on ART have been on treatment for more than five years, and long-term retention of patients in care is an increasing concern. To address these challenges, the Ministry of Health has introduced a differentiated service delivery approach to reduce the frequency of clinical visits and medication dispensing for eligible patients. This article draws on key policy documents and the views of technical experts involved in policy development to describe the process of implementation of differentiated service delivery in Rwanda. Implementation of differentiated service delivery followed a phased approach to ensure that all steps are clearly defined and agreed by all partners. Key steps included: definition of scope, including defining which patients were eligible for transition to the new model; definition of the key model components; preparation for patient enrolment; considerations for special patient groups; engagement of implementing partners; securing political and financial support; forecasting drug supply; revision, dissemination and implementation of ART guidelines; and monitoring and evaluation. Based on the outcomes of the evaluation of the new service delivery model, the Ministry of Health will review and strategically reduce costs to the national HIV program and to the patient by exploring and implementing adjustments to the service delivery model.

Ontario's emergency department process improvement program: the experience of implementation.

Science.gov (United States)

Rotteau, Leahora; Webster, Fiona; Salkeld, Erin; Hellings, Chelsea; Guttmann, Astrid; Vermeulen, Marian J; Bell, Robert S; Zwarenstein, Merrick; Rowe, Brian H; Nigam, Amit; Schull, Michael J

2015-06-01

In recent years, Lean manufacturing principles have been applied to health care quality improvement efforts to improve wait times. In Ontario, an emergency department (ED) process improvement program based on Lean principles was introduced by the Ministry of Health and Long-Term Care as part of a strategy to reduce ED length of stay (LOS) and to improve patient flow. This article aims to describe the hospital-based teams' experiences during the ED process improvement program implementation and the teams' perceptions of the key factors that influenced the program's success or failure. A qualitative evaluation was conducted based on semistructured interviews with hospital implementation team members, such as team leads, medical leads, and executive sponsors, at 10 purposively selected hospitals in Ontario, Canada. Sites were selected based, in part, on their changes in median ED LOS following the implementation period. A thematic framework approach as used for interviews, and a standard thematic coding framework was developed. Twenty-four interviews were coded and analyzed. The results are organized according to participants' experience and are grouped into four themes that were identified as significantly affecting the implementation experience: local contextual factors, relationship between improvement team and support players, staff engagement, and success and sustainability. The results demonstrate the importance of the context of implementation, establishing strong relationships and communication strategies, and preparing for implementation and sustainability prior to the start of the project. Several key factors were identified as important to the success of the program, such as preparing for implementation, ensuring strong executive support, creation of implementation teams based on the tasks and outcomes of the initiative, and using multiple communication strategies throughout the implementation process. Explicit incorporation of these factors into the

Implementering & Performative Potentialer

DEFF Research Database (Denmark)

Damkjer, Annemarie

organizational boundaries. Furthermore, the analysis reflect how specific modes of ordering in the local process of implementation perform and displace the technology of performance management. The study provides an alternative view of the performative potentials in implementation processes and specifically...... challenge the traditional models of implementation. It is suggested, that we view implementation practices as performative in relation to the co-configuration of technology and organizational practices and that both the co-configurative perspective and the materiality of implementation practices is included......This thesis investigates how technology is constituted as an object of implementation. Using the theoretical lens of actor-network theory the thesis investigates how the technology of performance management becomes a matter of implementation in the Danish Defence and how the technology...

Integrated care reform in urban China: a qualitative study on design, supporting environment and implementation.

Science.gov (United States)

Qian, Yi; Hou, Zhiyuan; Wang, Wei; Zhang, Donglan; Yan, Fei

2017-10-25

Initiatives on integrated care between hospitals and community health centers (CHCs) have been introduced to transform the current fragmented health care delivery system into an integrated system in China. Up to date no research has analyzed in-depth the experiences of these initiatives based on perspectives from various stakeholders. This study analyzed the integrated care pilot in Hangzhou City by investigating stakeholders' perspectives on its design features and supporting environment, their acceptability of this pilot, and further identifying the enabling and constraining factors that may influence the implementation of the integrated care reform. The qualitative study was carried out based on in-depth interviews and focus group discussions with 50 key informants who were involved in the policy-making process and implementation. Relevant policy documents were also collected for analysis. The pilot in Hangzhou was established as a CHC-led delivery system based on cooperation agreement between CHCs and hospitals to deliver primary and specialty care together for patients with chronic diseases. An innovative learning-from-practice mentorship system between specialists and general practitioners was also introduced to solve the poor capacity of general practitioners. The design of the pilot, its governance and organizational structure and human resources were enabling factors, which facilitated the integrated care reform. However, the main constraining factors were a lack of an integrated payment mechanism from health insurance and a lack of tailored information system to ensure its sustainability. The integrated care pilot in Hangzhou enabled CHCs to play as gate-keeper and care coordinator for the full continuum of services across the health care providers. The government put integrated care a priority, and constructed an efficient design, governance and organizational structure to enable its implementation. Health insurance should play a proactive role, and

Methodological practices of positive energy territories. To articulate approaches and tools in order to implement energy transition

International Nuclear Information System (INIS)

Bailleul, Esther

2017-01-01

This publication comments the results of a survey which aimed at understanding how French territories are properly implementing their local energy transition by using a variety of tools designed for the design and follow-up of their climate-energy policies, and other supports (regional programs, experts, local associations, and so on). Different aspects are addressed: the importance of support devices, the uneven level of knowledge or adequacy of tools, the role of external expertise, the way the great number of tools is managed, additional needs, issues related to financing and to mobilisation. In the second part, six examples are presented which correspond to different geographical situations and stakes

Cost analysis of the development and implementation of a spatial decision support system for malaria elimination in Solomon Islands.

Science.gov (United States)

Marston, Luke; Kelly, Gerard C; Hale, Erick; Clements, Archie C A; Hodge, Andrew; Jimenez-Soto, Eliana

2014-08-18

The goal of malaria elimination faces numerous challenges. New tools are required to support the scale up of interventions and improve national malaria programme capacity to conduct detailed surveillance. This study investigates the cost factors influencing the development and implementation of a spatial decision support system (SDSS) for malaria elimination in the two elimination provinces of Isabel and Temotu, Solomon Islands. Financial and economic costs to develop and implement a SDSS were estimated using the Solomon Islands programme's financial records. Using an ingredients approach, verified by stakeholders and operational reports, total costs for each province were quantified. A budget impact sensitivity analysis was conducted to investigate the influence of variations in standard budgetary components on the costs and to identify potential cost savings. A total investment of US$ 96,046 (2012 constant dollars) was required to develop and implement the SDSS in two provinces (Temotu Province US$ 49,806 and Isabel Province US$ 46,240). The single largest expense category was for computerized equipment totalling approximately US$ 30,085. Geographical reconnaissance was the most expensive phase of development and implementation, accounting for approximately 62% of total costs. Sensitivity analysis identified different cost factors between the provinces. Reduced equipment costs would deliver a budget saving of approximately 10% in Isabel Province. Combined travel costs represented the greatest influence on the total budget in the more remote Temotu Province. This study provides the first cost analysis of an operational surveillance tool used specifically for malaria elimination in the South-West Pacific. It is demonstrated that the costs of such a decision support system are driven by specialized equipment and travel expenses. Such factors should be closely scrutinized in future programme budgets to ensure maximum efficiencies are gained and available resources

Modeling of Local BEAM Structure for Evaluation of MMOD Impacts to Support Development of a Health Monitoring System

Science.gov (United States)

Lyle, Karen H.; Vassilakos, Gregory J.

2015-01-01

This report summarizes initial modeling of the local response of the Bigelow Expandable Activity Module (BEAM) to micrometeorite and orbital debris (MMOD) impacts using a structural, non-linear, transient dynamic finite element code. Complementary test results for a local BEAM structure are presented for both hammer and projectile impacts. Review of these data provided guidance for the transient dynamic model development. The local model is intended to support predictions using the global BEAM model, described in a companion report. Two types of local models were developed. One mimics the simplified Soft-Goods (fabric envelop) part of the BEAM NASTRAN model delivered by the project. The second investigates through-the-thickness modeling challenges for MMOD-type impacts. Both the testing and the analysis summaries contain lessons learned and areas for future efforts.

Conference: photovoltaic energy - local authorities - Citizen

International Nuclear Information System (INIS)

Belon, Daniel; Witte, Sonja; Simonet, Luc; Waldmann, Lars; Fouquet, Doerte; Dupassieux, Henri; Longo, Fabio; Brunel, Arnaud; Kruppert, Andreas; Vachette, Philippe

2012-01-01

The French-German office for Renewable energies (OFAEnR) organised a conference on the role of photovoltaic energy, local authorities and Citizens as pillars of the energy transition. In the framework of this French-German exchange of experience, about 100 participants exchanged views on the role of local authorities and Citizens in the implementation of the energy transition. This document brings together the available presentations (slides) made during this event: 1 - Solar photovoltaics, local communities and citizens - Cornerstones of the energy revolution. Franco-German viewpoints (Daniel Belon); 2 - Structure and management of the distribution system operators in Germany. efficient, innovative and reliable: Local public enterprises in Germany (Sonja Witte); 3 - Photovoltaic energy: technical challenges for power grids - A distribution network operator's (DNO) point-of-view (Luc Simonet); 4 - The sun and the grid - challenges of the energy transition (Lars Waldmann); 5 - The role of local public authorities in the networks management: legal situation in France, Germany and in the EU (Doerte Fouquet); 6 - Towards energy transition: challenges for renewable energies - Urban solar planning tools (Henri Dupassieux); 7 - The local energy supply as a municipal task - solar land-use planning in practice in Germany (Fabio Longo); 8 - Supporting and facilitating the financing of photovoltaic projects at a community level (Arnaud Brunel); 9 - Photovoltaics in the municipality VG Arzfeld (Andreas Kruppert); 10 - For the energy revolution to be a success: Invest into renewable energy. Local, controllable and renewable 'shared energy' that is grassroots (Philippe Vachette)

STUDY CONCERNING THE EXECUTION OF LOCAL BUDGETS REVENUES

Directory of Open Access Journals (Sweden)

Cristinel ICHIM

2013-12-01

Full Text Available Implementation of local budget revenues is a very important sub-phase of the local budgetary process its correct accomplishment ensures regularity and efficiency in revenue collection, which will cover the local budget expenditures. Through this scientific approach we intended to achieve an analysis of the implementation of revenues mobilized to the local budgets in Romania. The study started with fixing the concept of execution of budget revenues and defining its phases, and followed with the analysis of the implementation of local budget revenues in three levels, namely: the overall local budgets in Romania, at the city level and at the community level. We have to mention that the analysis of the execution of local budgets was done in 2011, based on existing data in the last occurrence of the Romanian Statistical Yearbook for 2012. The paper concluded with some considerations regarding the execution of local budgets revenues and some proposals for improving the collection of local income.

A novel representation for apoptosis protein subcellular localization prediction using support vector machine.

Science.gov (United States)

Zhang, Li; Liao, Bo; Li, Dachao; Zhu, Wen

2009-07-21

Apoptosis, or programmed cell death, plays an important role in development of an organism. Obtaining information on subcellular location of apoptosis proteins is very helpful to understand the apoptosis mechanism. In this paper, based on the concept that the position distribution information of amino acids is closely related with the structure and function of proteins, we introduce the concept of distance frequency [Matsuda, S., Vert, J.P., Ueda, N., Toh, H., Akutsu, T., 2005. A novel representation of protein sequences for prediction of subcellular location using support vector machines. Protein Sci. 14, 2804-2813] and propose a novel way to calculate distance frequencies. In order to calculate the local features, each protein sequence is separated into p parts with the same length in our paper. Then we use the novel representation of protein sequences and adopt support vector machine to predict subcellular location. The overall prediction accuracy is significantly improved by jackknife test.

Geological disposal of radioactive wastes: national commitment, local and regional involvement

International Nuclear Information System (INIS)

2013-07-01

Long-term radioactive waste management, including geological disposal, involves the construction of a limited number of facilities and it is therefore a national challenge with a strong local/regional dimension. Public information, consultation and/or participation in environmental or technological decision-making are today's best practice and must take place at the different geographical and political scales. Large-scale technology projects are much more likely to be accepted when stakeholders have been involved in making them possible and have developed a sense of interest in or responsibility for them. In this way, national commitment, and local and regional involvement are two essential dimensions of the complex task of securing continued societal agreement for the deep geological disposal of radioactive wastes. Long-term radioactive waste management, including geological disposal, is a national challenge with a strong local/regional dimension. The national policy frameworks increasingly support participatory, flexible and accountable processes. Radioactive waste management institutions are evolving away from a technocratic stance, demonstrating constructive interest in learning and adapting to societal requirements. Empowerment of the local and regional actors has been growing steadily in the last decade. Regional and local players tend to take an active role concerning the siting and implementation of geological repositories. National commitment and local/regional involvement go hand-in-hand in supporting sustainable decisions for the geological disposal of radioactive waste

District heating versus local heating - Social supportability

International Nuclear Information System (INIS)

Matei, Magdalena; Enescu, Diana; Varjoghie, Elena; Radu, Florin; Matei, Lucian

2004-01-01

District heating, DH, is an energy source which can provide a cost-effective, environmentally friendly source of heat and power for cities, but only in the case of well running systems, with reasonable technological losses. The benefits of DH system are well known: environmental friendly, energy security, economic and social advantages. DH already covers 60% of heating and hot water needs in transition economies. Today, 70 % of Russian, Latvian and Belarus homes use DH, and heating accounts for one-third of total Russian energy consumption. Yet a large number of DH systems in the region face serious financial, marketing or technical problems because of the policy framework. How can DH issues be best addressed in national and local policy? What can governments do to create the right conditions for the sustainable development of DH while improving service quality? What policies can help capture the economic, environmental and energy security benefits of co-generation and DH? To address these questions, the International Energy Agency (IEA) hosted in 2002 and 2004 conference focusing on the crucial importance of well-designed DH policies, for exchanging information on policy approaches. The conclusions of the conference have shown that 'DH systems can do much to save energy and boost energy security, but stronger policy measures are needed to encourage wise management and investment. With a stronger policy framework, DH systems in formerly socialist countries could save the equivalent of 80 billion cubic meters of natural gas a year through supply side efficiency improvements. This is greater than total annual natural gas consumption in Italy'. More efficient systems will also decrease costs, reducing household bills and making DH competitive on long-term. This paper presents the issues: -Theoretical benefits of the district heating and cooling systems; - Municipal heating in Romania; - Technical and economic problems of DH systems and social supportability; - How

Local Support Mechanisms for Entrepreneurship: The Approach of Local Development and Innovation Institutions

Directory of Open Access Journals (Sweden)

Katimertzopoulos, F.

2017-03-01

Full Text Available Purpose: The growth potential of SMEs entrepreneurship is examined at regional and local level, initially on a Global scale and then for the case of Greece. Additionally, the possibility of an economic development policy beyond the macroeconomic approach is examined, focusing on business growth and competitiveness in the light of meso and micro-economic policy approach. Design/methodology/approach: This research leads to the proposal of building knowledge mechanisms and direct and efficient systematic development and innovation at the local level, particularity during a time of economic crisis. The establishment of Institutes of Local Development and Innovation (ITAK is primarily geared towards promoting innovative entrepreneurship and extroversion of locally installed businesses. As part of the proposal for the establishment of ITAK, a questionnaire was developed - a tool to initially measure companies' opinions on the need for outside help in the macro, meso and micro environment, in order to demonstrate that ITAK local-level structures could be developed. Findings: The survey results were accrued via the analysis of questionnaires distributed to companies. The results of the questionnaires in the micro-environment in relation to those in the macro-environment shows a lower tendency to change business, which may be because managers perceive economics several times more in macroeconomic terms rather than in meso and micro economic (terms. Research limitations/implications: The restrictions of this particular research are the small sample of study of businesses in one country (Greece; this is because the approach of study, which is quantitative-qualitative, limits analysis to small data sets in the current phase. Originality/value: The results in the micro-environment, in relation to those at macro-environmental, shows a lower tendency to change business, something which may be because managers perceive economics several times more in

Implementation Issues in Multicultural Education: What Are Secondary Public School Educators Facing?

Directory of Open Access Journals (Sweden)

LaVonne Fedynich

2016-02-01

Full Text Available This mixed method study sought to explore the issues that faced secondary teachers in a rural central Georgia public high school when attempting to implement a multicultural education program.  The key issues of this study centered on the teachers’ multicultural education training and the school’s multicultural education program. Data were gathered from a total of thirty randomly chosen teachers in the Social Studies, Math and English departments at the school. Twenty-five of the thirty teachers received a hard copy four question Likert scale survey to complete. The remaining 5 participants took part in face-to-face interviews discussing six open-ended questions.  The findings pointed to several issues facing the teachers such as the lack of an officially implemented multicultural education program, the lack of support from school administrators, no in-service training available for teachers, parental and student misapprehension, and a lack of an officially defined policy on implementation and support of a multicultural education program from administrators locally and district-wide.

Development of a greenhouse gas accounting GIS-based tool to support local policy making—application to an Italian municipality

International Nuclear Information System (INIS)

Asdrubali, F.; Presciutti, A.; Scrucca, F.

2013-01-01

Climate change is the issue of the century and, according to Agenda 21, local actions are essential to impact global mitigation of greenhouse gases (GHG) emissions (“think globally, act locally”). However, in order to plan and implement effective, sustainable actions, local authorities need detailed information on their GHG emissions and their sources. This paper presents the work that led to the development of a GIS-based tool for local GHG accounting, which provides data for local decision-makers in an innovative manner different from traditional GHG inventories. The original aspects of the study are the geo-referencing of all results and the possibility of calculating all emissions (carbon sources) and removals (carbon sinks) with input data of different accuracy. - Highlights: • We developed a GIS-based tool for local (municipal) GHG accounting. • All emissions (carbon sources) and removals (carbon sinks) are geo-referenced. • The tool can be used with different levels of input data (less or more accurate). • The town of Spoleto (Italy) was chosen to apply and validate both methodologies. • The tool is effective to monitor the energy and environmental policies of the municipality

Consumer Protection Towards Local Food Production In Southeast Sulawesi Indonesia

Directory of Open Access Journals (Sweden)

Suriani BT. Tolo

2015-08-01

Full Text Available Abstract Consumers have rights which should not just be ignored by businesses such as the right to be a safety the right be informed the right to be heard as well as the right to a good environment and healthy. Kendari Regency as a local government has been manifested by issuing regulations and policies that support the development of local food production such as the Mayor of Kendari regulation No. 15 of 2010 and Mayor Kendari Decree No. 427 of 2012 regarding the Establishment of Community Care Local Food. It appears that the local government is trying to make this local food as an alternative food. The type of research used in this paper is a socio-legal research reviewing the local food production from the perspective of consumer protection. The outcomes of the research indicate that responsibility of food business operators in the implementation of local production is essentially an effort to assist the government in ensuring the realization of food safety system. Therefore there is a need for awareness of the laws and regulations for all parties involved towards local food production especially in Kendari Regency Southeast Sulawesi on the food production process.

Information sharing model in supporting implementation of e-procurement service: Case of Bandung city

Science.gov (United States)

Ramantoko, Gadang; Irawan, Herry

2017-10-01

This research examines the factors influencing the Information Sharing Model in Supporting Implementation of e-Procurement Services: Case of Bandung City in its early maturity stage. The early maturity of information sharing stage was determined using e-Government Maturity Stage Conceptual Framework from Estevez. Bandung City e-Procurement Information Sharing system was categorized at stage 1 in Estevez' model where the concern was mainly on assessing the benefit and risk of implementing the system. The Authors were using DeLone & McLean (D&M) Information System Success model to study benefit and risk of implementing the system in Bandung city. The model was then empirically tested by employing survey data that was collected from the available 40 listed supplier firms. D&M's model adjusted by Klischewski's description was introducing Information Quality, System Quality, and Service Quality as independent variable; Usability and User Satisfaction as intermediate dependent variable; and Perceived Net Benefit as final dependent variable. The findings suggested that, all of the predictors in D&M's model significantly influenced the net perceived benefit of implementing the e-Procurement system in the early maturity stage. The theoretical contribution of this research suggested that D&M's model might find useful in modeling complex information technology successfulness such as the one used in e-Procurement service. This research could also have implications for policy makers (LPSE) and system providers (LKPP) following the introduction of the service. However, the small number of respondent might be considered limitation of the study. The model needs to be further tested using larger number of respondents by involving the population of the firms in extended boundary/municipality area around Bandung.

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

Energy Technology Data Exchange (ETDEWEB)

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

2005-07-01

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

Introduction of mobile phones for use by volunteer community health workers in support of integrated community case management in Bushenyi District, Uganda: development and implementation process.

Science.gov (United States)

Tumusiime, David Katuruba; Agaba, Gad; Kyomuhangi, Teddy; Finch, Jan; Kabakyenga, Jerome; MacLeod, Stuart

2014-01-01

A substantial literature suggests that mobile phones have great potential to improve management and survival of acutely ill children in rural Africa. The national strategy of the Ugandan Ministry of Health calls for employment of volunteer community health workers (CHWs) in implementation of Integrated Community Case Management (iCCM) of common illnesses (diarrhea, acute respiratory infection, pneumonia, fever/malaria) affecting children under five years of age. A mobile phone enabled system was developed within iCCM aiming to improve access by CHWs to medical advice and to strengthen reporting of data on danger signs and symptoms for acutely ill children under five years of age. Herein critical steps in development, implementation, and integration of mobile phone technology within iCCM are described. Mechanisms to improve diagnosis, treatment and referral of sick children under five were defined. Treatment algorithms were developed by the project technical team and mounted and piloted on the mobile phones, using an iterative process involving technical support personnel, health care providers, and academic support. Using a purposefully developed mobile phone training manual, CHWs were trained over an intensive five-day course to make timely diagnoses, recognize clinical danger signs, communicate about referrals and initiate treatment with appropriate essential drugs. Performance by CHWs and the accuracy and completeness of their submitted data was closely monitored post training test period and during the subsequent nine month community trial. In the full trial, the number of referrals and correctly treated children, based on the agreed treatment algorithms, was recorded. Births, deaths, and medication stocks were also tracked. Seven distinct phases were required to develop a robust mobile phone enabled system in support of the iCCM program. Over a nine month period, 96 CHWs were trained to use mobile phones and their competence to initiate a community trial was

TANDEM - French-German cooperation for local energy transition

International Nuclear Information System (INIS)

Mouchard, Claire; Garreau, Enora; Maurer, Christiane; Schilken, Peter; Keilmann, Jenny-Claire; Janssen, Ulrike

2014-01-01

The simultaneous implementation of the German 'Energiewende' and the French 'Transition energetique' prompted both country's governments to sign various cooperation agreements. As both 'Energiewende' and 'Transition energetique' put a strong focus on decentralization of energy supply, establishing close inter-communal cooperation is particularly promising. The project TANDEM, which is jointly led by Klima-Buendnis and Energy Cities - both local authority networks - and co-funded by Germany's Federal Environment Agency (UBA) and the French Energy Agency ADEME provides French and German local authorities with a unique opportunity to exchange experiences and create partnerships for climate protection having the following objectives: - Creating broad mutual understanding for the respective situation, challenges and framework in energy and climate policy; - Encourage exchanges with regard to obstacles and success factors concerning the realization of ambitious energy- and climate-goals and promoting mutual transfer of know-how; - Stimulating close collaboration between local authorities from both countries while involving and supporting local stakeholders and citizens; - Implementing initial stages of cooperation projects during the lifetime of the TANDEM project and creating a foundation for long-term cooperation; - Raise awareness for demands, requirements and concerns of local authorities on a national and European level in order to strengthen their influence and enlarge their scope of action. In this document, the authors briefly present the French, German and European contexts and the organization of both countries regarding energy transition. Then, a parallel is made between the national energy-climate plans of both countries ('Klimaschutzkonzepte' and 'Plans Climat-Energie Territoriaux') to identify the similarities and differences in order to learn from each other and to be able to create cooperations between both policy mechanisms

[A nationwide survey for implementation of Health Japan 21 anti-smoking countermeasures in municipalities throughout Japan].

Science.gov (United States)

Shinmura, Hiromi; Wakabayashi, Chihiro; Kunisawa, Naoko; Kayaba, Kazunori; Miura, Yoshihiko; Ojima, Toshiyuki; Yanagawa, Hiroshi

2008-03-01

Smoking cessation is one of the most important items for improvement of health in Japan. The Japanese government started a new campaign called the "Health Japan 21" to promote better health of Japanese citizens in the 21st century. The purpose of the present study was to observe the situation of the municipalities throughout Japan regarding implementation of anti-smoking countermeasures and setting of the level of target values to be achieved over the next ten years. Mail questionnaire forms were sent to 953 municipalities which had formulated specific local plans for the promotion of health. Of this total, 793 (83.2%) responded to the inquiry. The most commonly implemented countermeasure against smoking was restricting smoking only to limited areas in municipality offices (75%), followed by providing support for stopping smoking (35%), and providing a complete smoke free environment in municipality offices (32.4%). Proportions of local governments putting a ban on smoking on public roads (7.5%), giving publicity to restaurants with smoking restrictions (vending machines and restricting tobacco advertisement. Most municipalities have made much of anti-smoking activities. However, measures for school children were not satisfactorily implemented. The execution rates for anti-smoking activities are low in small-scale municipalities and therefore it is necessary to provide particular support in these cases.

Planning and Implementing Immunization Billing Programs at State and Local Health Departments: Barriers and Possible Solutions.

Science.gov (United States)

Corriero, Rosemary; Redmon, Ginger

Before participating in a project funded by the Centers for Disease Control and Prevention, most state and local health departments (LHDs) were not seeking reimbursement or being fully reimbursed by insurance plans for the cost of immunization services (including vaccine costs and administration fees) they provided to insured patients. Centers for Disease Control and Prevention's Billables Project was designed to enable state and LHDs to bill public and private insurance plans for immunization services provided to insured patients. Identify and describe key barriers state and LHDs may encounter while planning and implementing a billing program, as well as possible solutions for overcoming those barriers. This study used reports from Billables Project participants to explore barriers they encountered when planning and implementing a billing program and steps taken to address those barriers. Thirty-eight state immunization programs. Based on project participants' reports, barriers were noted in 7 categories: (1) funding and costs, (2) staff, (3) health department characteristics, (4) third-party payers and insurance plans, (5) software, (6) patient insurance status, and (7) other barriers. Possible solutions for overcoming those barriers included hiring or seeking external help, creating billing guides and training modules, streamlining workflows, and modifying existing software systems. Overcoming barriers during planning and implementation of a billing program can be challenging for state and LHDs, but the experiences and suggestions of past Billables Project participants can help guide future billing program efforts.

Support for healthy eating at schools according to the comprehensive school health framework: evaluation during the early years of the Ontario School Food and Beverage Policy implementation.

Science.gov (United States)

Orava, Taryn; Manske, Steve; Hanning, Rhona

2017-09-01

Provincial, national and international public health agencies recognize the importance of school nutrition policies that help create healthful environments aligned with healthy eating recommendations for youth. School-wide support for healthy living within the pillars of the comprehensive school health (CSH) framework (social and physical environments; teaching and learning; healthy school policy; and partnerships and services) has been positively associated with fostering improvements to student health behaviours. This study used the CSH framework to classify, compare and describe school support for healthy eating during the implementation of the Ontario School Food and Beverage Policy (P/PM 150). We collected data from consenting elementary and secondary schools in a populous region of Ontario in Time I (2012/13) and Time II (2014). Representatives from the schools completed the Healthy School Planner survey and a food environmental scan (FES), which underwent scoring and content analyses. Each school's support for healthy eating was classified as either "initiation," "action" or "maintenance" along the Healthy School Continuum in both time periods, and as "high/increased," "moderate" or "low/decreased" within individual CSH pillars from Time I to Time II. Twenty-five school representatives (8 elementary, 17 secondary) participated. Most schools remained in the "action" category (n = 20) across both time periods, with varying levels of support in the CSH pillars. The physical environment was best supported (100% high/increased support) and the social environment was the least (68% low/decreased support). Only two schools achieved the highest rating (maintenance) in Time II. Supports aligned with P/PM 150 were reportedly influenced by administration buy-in, stakeholder support and relevancy to local context. Further assistance is required to sustain comprehensive support for healthy eating in Ontario school food environments.