WorldWideScience

Sample records for supported local implementation

  1. Implementation of SQLite database support in program gama-local

    Directory of Open Access Journals (Sweden)

    Vaclav Petras

    2012-03-01

    Full Text Available The program gama-local is a part of GNU Gama project and allows adjustment of local geodetic networks. Before realization of this project the program gama-local supported only XML as an input. I designed and implemented support for the SQLite database and thanks to this extension gama-local can read input data from the SQLite database. This article is focused on the specifics of the use of callback functions in C++ using the native SQLite C/C++ Application Programming Interface. The article provides solution to safe calling of callback functions written in C++. Callback functions are called from C library and C library itself is used by C++ program. Provided solution combines several programing techniques which are described in detail, so this article can serve as a cookbook even for beginner programmers.  This project was accomplished within my bachelor thesis.

  2. Community-led local development approach principles implementation when forming a regional local development projects support system in Ukraine

    Directory of Open Access Journals (Sweden)

    Y. G. Udod

    2017-03-01

    Full Text Available The article contains a brief description of the Community-led local development approach (local development under the leadership of the community, CLLD and the main purpose of its use in the European Union. The study indicated periods of the major initiatives to support local development in EU. Moreover the article posted CLLD approach principles’ evolution and the basic principles of the LEADER method and its application in CLLD, which can be applied in Ukraine. Subject to the provisions of the European Economic and Social Committee (EESC for further CLLD-approach distribution the five trends were identified that must be considered when forming a Regional local development projects support system in Ukraine: Multi-fund financing; Unification; Networking and collaboration; Extending the approach; Simplifying the process. The characteristic of the present phase of CLLD-approach, in particular, of the European Network for Rural Development (ENRD, which attaches great importance to the dissemination of the most effective CLLD practices and establish partnerships between communities and territories where the approach is implemented. The study found out the relationship between Community-led local development and Community-driven development (CDD supported by the World Bank.

  3. Implementation of a Mobile Clinical Decision Support Application to Augment Local Antimicrobial Stewardship.

    Science.gov (United States)

    Hoff, Brian M; Ford, Diana C; Ince, Dilek; Ernst, Erika J; Livorsi, Daniel J; Heintz, Brett H; Masse, Vincent; Brownlee, Michael J; Ford, Bradley A

    2018-01-01

    Medical applications for mobile devices allow clinicians to leverage microbiological data and standardized guidelines to treat patients with infectious diseases. We report the implementation of a mobile clinical decision support (CDS) application to augment local antimicrobial stewardship. We detail the implementation of our mobile CDS application over 20 months. Application utilization data were collected and evaluated using descriptive statistics to quantify the impact of our implementation. Project initiation focused on engaging key stakeholders, developing a business case, and selecting a mobile platform. The preimplementation phase included content development, creation of a pathway for content approval within the hospital committee structure, engaging clinical leaders, and formatting the first version of the guide. Implementation involved a media campaign, staff education, and integration within the electronic medical record and hospital mobile devices. The postimplementation phase required ongoing quality improvement, revision of outdated content, and repeated staff education. The evaluation phase included a guide utilization analysis, reporting to hospital leadership, and sustainability and innovation planning. The mobile application was downloaded 3056 times and accessed 9259 times during the study period. The companion web viewer was accessed 8214 times. Successful implementation of a customizable mobile CDS tool enabled our team to expand beyond microbiological data to clinical diagnosis, treatment, and antimicrobial stewardship, broadening our influence on antimicrobial prescribing and incorporating utilization data to inspire new quality and safety initiatives. Further studies are needed to assess the impact on antimicrobial utilization, infection control measures, and patient care outcomes.

  4. 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.

  5. Primary social and emotional aspects of learning (SEAL small group interventions: a qualitative study of factors affecting implementation and the role of Local Authority support

    Directory of Open Access Journals (Sweden)

    Neil Humphrey

    2009-11-01

    Full Text Available The aims of the current study were to examine the factors affecting implementation of social and emotional aspects of learning (SEAL small group interventions in primary schools and to explore the role of support from Local Authorities (LAs in the implementation process. Telephone interviews were conducted with lead SEAL staff in 12 LAs across England as part of a larger national evaluation of this educational initiative. Data were transcribed and subjected to qualitative content analysis. Subsequently, a tentative model was developed to document the relationship between the nature of support provided by LAs (e.g. training events, developing/providing additional materials, factors affecting implementation at school level (e.g. school readiness, the profile of SEAL and perceived barriers to success (e.g. misconceptions about the purpose of small group interventions. These findings are discussed in relation to the existing literature on the implementation of social-emotional initiatives and interventions in education.

  6. 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

  7. 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.

  8. Factors Supporting Implementation among CDSMP Organizations

    Science.gov (United States)

    Paone, Deborah

    2015-01-01

    Reaching individuals who can benefit from evidence-based health promotion and disability prevention programs is a goal of federal, state, and local agencies as well as researchers, providers, community agencies, and other stakeholders. Implementation effectiveness at the organizational level must be achieved in order to reach these individuals and sustain the program. This mixed methods study examined eight organizations within two states that successfully implemented the Chronic Disease Self-Management Program (CDSMP) and sustained it from 4 to 10 years. There were two types of organizations: aging services and health care. Internal and external implementation factors and influences were explored. Additional examination of state activities (as a key external agent supporting CDSMP implementation) was conducted. The examination found agreement among the eight organizations regarding why they had adopted the CDSMP – citing the alignment between the program and their organizations’ mission and purpose to improve health status and promote better self-care, and the demonstrated value (benefits) of the program. Organizations were also alike in that they described the importance of an internal champion and supportive senior leader. Organizations differed in how they experienced and valued peer support and collaborative networks. Organizations also differed in how they filled their CDSMP workshops. Internal drivers and capability were more often discussed as facilitating successful implementation than external factors. However, state activities and external support enabled successful adoption – particularly funding and training. The primary challenges identified by this set of organizations included difficulty in recruiting participants (filling workshops) and irregular or insufficient funding sources. These challenges were identified as significant and represented barriers to sustaining the program. PMID:25964928

  9. Factors Supporting Implementation among CDSMP Organizations.

    Science.gov (United States)

    Paone, Deborah

    2014-01-01

    Reaching individuals who can benefit from evidence-based health promotion and disability prevention programs is a goal of federal, state, and local agencies as well as researchers, providers, community agencies, and other stakeholders. Implementation effectiveness at the organizational level must be achieved in order to reach these individuals and sustain the program. This mixed methods study examined eight organizations within two states that successfully implemented the Chronic Disease Self-Management Program (CDSMP) and sustained it from 4 to 10 years. There were two types of organizations: aging services and health care. Internal and external implementation factors and influences were explored. Additional examination of state activities (as a key external agent supporting CDSMP implementation) was conducted. The examination found agreement among the eight organizations regarding why they had adopted the CDSMP - citing the alignment between the program and their organizations' mission and purpose to improve health status and promote better self-care, and the demonstrated value (benefits) of the program. Organizations were also alike in that they described the importance of an internal champion and supportive senior leader. Organizations differed in how they experienced and valued peer support and collaborative networks. Organizations also differed in how they filled their CDSMP workshops. Internal drivers and capability were more often discussed as facilitating successful implementation than external factors. However, state activities and external support enabled successful adoption - particularly funding and training. The primary challenges identified by this set of organizations included difficulty in recruiting participants (filling workshops) and irregular or insufficient funding sources. These challenges were identified as significant and represented barriers to sustaining the program.

  10. 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...

  11. Deployment Support Leading to Implementation

    Energy Technology Data Exchange (ETDEWEB)

    Cook, E E

    1997-10-01

    cause lateral distribution of the water. The large tank that accommodates the sand bed and the necessary plumbing to simulate various well configurations was received. The monitoring equipment and the sensors are currently being installed. The experimental procedures for Phase II experiments are under further investigation and will be initiated upon installation of CATC and assembly of the monitoring system. Due to insufficient operating funds, the large scale experiments will not be done this year. Task No. 1.3: Technical Support - Development of Standard Test Protocols and Barrier Design Models for In Situ Formed Barriers (B. Overbey & D. Locke, BDM Federal): The Operating Permit Renewal Request for bench scale operations in the FETC B-17 building was submitted to the FETC Lab Safety Committee for approval on 8/14/97. A review of the revised NEPA documents prepared last year indicates that these documents are still applicable for the current work. The initial design and specifications for the CATC vessel were prepared. Construction of the CATC was initiated in early July, the vessel was received August 15, 1997, and on-site work was completed this quarter.

  12. 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.

  13. Smokefree implementation in Colombia: Monitoring, outside funding, and business support

    Directory of Open Access Journals (Sweden)

    Randy Uang

    2017-03-01

    Full Text Available Objective. To analyze successful national smokefree policy implementation in Colombia, a middle income country. Materials and methods. Key informants at the national and local levels were interviewed and news sources and government ministry resolutions were reviewed. Results.Colombia’s Ministry of Health coordinated local implementation practices, which were strongest in larger cities with supportive leadership. Nongovernmental organizations provided technical assistance and highlighted noncompliance. Organizations outside Colombia funded some of these efforts. The bar owners’ association provided concerted education campaigns. Tobacco interests did not openly challenge implementation. Conclusions. Health organization monitoring, external funding, and hospitality industry support contributed to effective implementation, and could be cultivated in other low and middle income countries.

  14. Implementation of Computer Assisted Test Selection System in Local Governments

    Directory of Open Access Journals (Sweden)

    Abdul Azis Basri

    2016-05-01

    Full Text Available As an evaluative way of selection of civil servant system in all government areas, Computer Assisted Test selection system was started to apply in 2013. In phase of implementation for first time in all areas in 2014, this system selection had trouble in several areas, such as registration procedure and passing grade. The main objective of this essay was to describe implementation of new selection system for civil servants in the local governments and to seek level of effectiveness of this selection system. This essay used combination of study literature and field survey which data collection was made by interviews, observations, and documentations from various sources, and to analyze the collected data, this essay used reduction, display data and verification for made the conclusion. The result of this essay showed, despite there a few parts that be problem of this system such as in the registration phase but almost all phases of implementation of CAT selection system in local government areas can be said was working clearly likes in preparation, implementation and result processing phase. And also this system was fulfilled two of three criterias of effectiveness for selection system, they were accuracy and trusty. Therefore, this selection system can be said as an effective way to select new civil servant. As suggestion, local governments have to make prime preparation in all phases of test and make a good feedback as evaluation mechanism and together with central government to seek, fix and improve infrastructures as supporting tool and competency of local residents.

  15. Implementation of the individual placement and support approach

    DEFF Research Database (Denmark)

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

    2017-01-01

    The individual placement and support approach (IPS) has become a widely recognized evidence-based practice to provide work for more people with severe mental illness. The aim of this literature review was to identify and evaluate research on implementation of IPS, focusing on facilitators...... and barriers. Contextual, local organizational, cooperation/team and individual factors influence the implementation process. Key facilitators are the use of a fidelity scale to measure and develop quality and the employment of skilled local leaders and IPS specialists. Barriers are located at the contextual...

  16. A decision support system for on-line leakage localization

    OpenAIRE

    Meseguer, Jordi; Mirats-Tur, Josep M.; Cembrano, Gabriela; Puig, Vicenç; Quevedo, Joseba; Pérez, Ramon; Sanz, Gerard; Ibarra, David

    2014-01-01

    This paper describes a model-driven decision-support system (software tool) implementing a model-based methodology for on-line leakage detection and localization which is useful for a large class of water distribution networks. Since these methods present a certain degree of complexity which limits their use to experts, the proposed software tool focuses on the integration of a method emphasizing its use by water network managers as a decision support system. The proposed software tool integr...

  17. Implementing a Business Intelligence Environment in Local Market of Pakistan

    Directory of Open Access Journals (Sweden)

    FARIA JAMEEL

    2017-04-01

    Full Text Available The BI (Business Intelligence has gained great success during the last decade throughout the world to aid in decision support with the availability of necessary knowledge to reduce costs, increase revenues and minimize risks. The local market of Pakistan is still not very much aware of its benefits, except some multinationals which are using these tools since almost 7-8 years and earning more revenues and improved performances and a few others are under the process of implementation. The small and medium sized businesses of our local market are focused for the implementation of BI. The pros and cons are identified by analysing the BI tools being used by other large companies here in Pakistan and feasibility of these tools at small and medium enterprises is discussed so that they too may focus on their KPIs (Key Performance Indicator to increase their performance level.

  18. 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.

  19. 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.

  20. 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

  1. 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 ...

  2. 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...

  3. Some implementations of local intelligence in CAMAC

    International Nuclear Information System (INIS)

    Parker, C.R.C.B.; Wolstenholme, P.

    1980-01-01

    The incorporation of intelligence into CAMAC units has been made possible by two factors: the massive reduction in price and increase in complexity of semiconductor devices, and the extension of the CAMAC specifications to allow multiple controllers in a single CAMAC crate. The paper describes three implementations of intelligent CAMAC units. Two of these are auxilliary controllers, while the third is a pure CAMAC module. These units have been used extensively in the improvement and extension of the control system for the CERN Intersecting Storage Rings. (Auth.)

  4. 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...

  5. 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

  6. Implementation of Business Game Activity Support System

    Institute of Scientific and Technical Information of China (English)

    TANABU Motonari

    2004-01-01

    Business game can be used not only as an educational tool for the development of decision making ability, but also can be used for supporting the knowledge creation activity in organizations. In this paper, some conceptual considerations to meanings of the business game in the knowledge creation activity by using the knowledge creation theory and other related theories are given,and business game activity concept which refers to game play and development is proposed. Then focusing on the business game activity as an instantiation of the knowledge creation activity, and a Web based gaming activity support system based on the former system called YBG that enables us to play and develop many business games through the standard web browser is proposed. This system also provides us a lot of opportunities to play and develop the business games over business game communities.

  7. 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…

  8. 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.

  9. 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

  10. 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

  11. 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.

    2016-01-01

    Background: 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…

  12. 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

  13. Measuring agreement between decision support reminders: the cloud vs. the local expert

    OpenAIRE

    Dixon, Brian Edward; Simonaitis, Linas; Perkins, Susan M; Wright, Adam; Middleton, Blackford

    2014-01-01

    Background: A cloud-based clinical decision support system (CDSS) was implemented to remotely provide evidence-based guideline reminders in support of preventative health. Following implementation, we measured the agreement between preventive care reminders generated by an existing, local CDSS and the new, cloud-based CDSS operating on the same patient visit data. Methods: Electronic health record data for the same set of patients seen in primary care were sent to both the cloud-based web ser...

  14. 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.

  15. 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?

  16. 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.

  17. [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.

  18. 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

  19. 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.

  20. Central implementation strategies outperform local ones in improving HIV testing in Veterans Healthcare Administration facilities.

    Science.gov (United States)

    Goetz, Matthew Bidwell; Hoang, Tuyen; Knapp, Herschel; Burgess, Jane; Fletcher, Michael D; Gifford, Allen L; Asch, Steven M

    2013-10-01

    Pilot data suggest that a multifaceted approach may increase HIV testing rates, but the scalability of this approach and the level of support needed for successful implementation remain unknown. To evaluate the effectiveness of a scaled-up multi-component intervention in increasing the rate of risk-based and routine HIV diagnostic testing in primary care clinics and the impact of differing levels of program support. Three arm, quasi-experimental implementation research study. Veterans Health Administration (VHA) facilities. Persons receiving primary care between June 2009 and September 2011 INTERVENTION: A multimodal program, including a real-time electronic clinical reminder to facilitate HIV testing, provider feedback reports and provider education, was implemented in Central and Local Arm Sites; sites in the Central Arm also received ongoing programmatic support. Control Arm sites had no intervention Frequency of performing HIV testing during the 6 months before and after implementation of a risk-based clinical reminder (phase I) or routine clinical reminder (phase II). The adjusted rate of risk-based testing increased by 0.4 %, 5.6 % and 10.1 % in the Control, Local and Central Arms, respectively (all comparisons, p education and social marketing significantly increased the frequency at which HIV testing is offered and performed in VHA facilities. These findings support a multimodal approach toward achieving the goal of having every American know their HIV status as a matter of routine clinical practice.

  1. 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.

  2. 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.

  3. 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)

  4. 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…

  5. 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

  6. Barriers to adopting and implementing local-level tobacco control policies.

    Science.gov (United States)

    Satterlund, Travis D; Cassady, Diana; Treiber, Jeanette; Lemp, Cathy

    2011-08-01

    Although California communities have been relatively successful in adopting and implementing a wide range of local tobacco control policies, the process has not been without its setbacks and barriers. Little is known about local policy adoption, and this paper examines these processes related to adopting and implementing outdoor smoke-free policies, focusing on the major barriers faced by local-level tobacco control organizations in this process. Ninety-six projects funded by the California Tobacco Control Program submitted final evaluation reports pertaining to an outdoor smoking objective, and the reports from these projects were analyzed. The barriers were grouped in three primary areas: politically polarizing barriers, organizational barriers, and local political orientation. The barriers identified in this study underscore the need for an organized action plan in adopting local tobacco policy. The authors also suggest potential strategies to offset the barriers, including: (1) having a "champion" who helps to carry an objective forward; (2) tapping into a pool of youth volunteers; (3) collecting and using local data as a persuasive tool; (4) educating the community in smoke-free policy efforts; (5) working strategically within the local political climate; and (6) demonstrating to policymakers the constituent support for proposed policy.

  7. 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.

  8. 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.

  9. 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.

  10. Supporting Local Mobility in Healthcare by Application Roaming among Heterogeneous Devices

    DEFF Research Database (Denmark)

    Bardram, Jacob Eyvind; Kjær, Thomas A.K.; Nielsen, Christina

    2003-01-01

    This paper presents results from a research project aiming at developing an architecture supporting local mobility within hospitals. The architecture is based on fieldwork and design workshops within a large Danish hospital and it has been implemented and evaluated after a pilot phase. Our...... fieldwork has emphasised the differences between remote mobility, where users travel over long distances, and local mobility, where users walk around within a fixed set of buildings and/or places. Based on our field studies and our design work, we conclude that local mobility puts up three requirements...... for computer support; (i) it should integrate into the existing infrastructure, (ii) it should support the use of various heterogeneous devices, and (iii) it should enable seamless application roaming between these devices. The paper describes how these requirements were realized in an architecture for local...

  11. 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.

  12. 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

  13. 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...

  14. 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.

  15. 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

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

    KAUST Repository

    Brammer, Grant

    2011-09-29

    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 for each clade. For situations with multiple local optima, we propose p-support which is a clade support measure that shows the impact optima have on a final consensus tree. Our p-support measure is implemented in our PeakMapper software package. We study our approach on two published, large-scale biological tree collections. PeakMapper shows that each data set contains multiple local optima. p-support shows that both datasets contain clades in the majority consensus tree that are only supported by a subset of the local optima. Clades with low p-support are most likely to benefit from further investigation. These tools provide researchers with new information regarding phylogenetic analyses beyond what is provided by other support measures alone.

  17. 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...

  18. Towards meaningful medication-related clinical decision support: recommendations for an initial implementation.

    Science.gov (United States)

    Phansalkar, S; Wright, A; Kuperman, G J; Vaida, A J; Bobb, A M; Jenders, R A; Payne, T H; Halamka, J; Bloomrosen, M; Bates, D W

    2011-01-01

    Clinical decision support (CDS) can improve safety, quality, and cost-effectiveness of patient care, especially when implemented in computerized provider order entry (CPOE) applications. Medication-related decision support logic forms a large component of the CDS logic in any CPOE system. However, organizations wishing to implement CDS must either purchase the computable clinical content or develop it themselves. Content provided by vendors does not always meet local expectations. Most organizations lack the resources to customize the clinical content and the expertise to implement it effectively. In this paper, we describe the recommendations of a national expert panel on two basic medication-related CDS areas, specifically, drug-drug interaction (DDI) checking and duplicate therapy checking. The goals of this study were to define a starter set of medication-related alerts that healthcare organizations can implement in their clinical information systems. We also draw on the experiences of diverse institutions to highlight the realities of implementing medication decision support. These findings represent the experiences of institutions with a long history in the domain of medication decision support, and the hope is that this guidance may improve the feasibility and efficiency CDS adoption across healthcare settings.

  19. 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.

  20. 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.

  1. 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.

  2. 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.)

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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)

  8. 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

  9. 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.

  10. 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

  11. 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

  12. Barriers facing local governance in the implementation of sanitation ...

    African Journals Online (AJOL)

    The study aimed at exploring the barriers facing local governance in the ... Methods: A qualitative research method was employed whereby in-depth interviews were ... All interviews were audio recorded and transcribed verbatim and content ...

  13. 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.

  14. Framework for local government to implement integrated water ...

    African Journals Online (AJOL)

    The Water Services Act (No. 8 of 1997) of South Africa states that water service delivery is the responsibility of local government as Water Services Authorities. The principal legal responsibility is to complete a Water Services Development Plan (WSDP) every 5 years with annual review. The WSDP encapsulates all the ...

  15. 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.

  16. 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

  17. The Effectiveness of Social Media Implementation at Local Government Levels

    Directory of Open Access Journals (Sweden)

    Elvira NICA

    2014-12-01

    Full Text Available The purpose of this article is to gain a deeper understanding of the management of social me-dia at the local government level, the availability of opportunities for citizen dialogue on govern-ment websites, and the impact that social net-working applications have on e-government. The results of the current study converge with prior research on the growing awareness amongst government practitioners regarding the relevance of social media, the use of social media for feed-back on service quality, and privacy and security commitments in e-government. The literature on the use of information technology to transform government, the potential for online government information to contribute to citizen engagement, and the rapid growth in local government use of social media is relevant to this discussion.

  18. 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.

  19. 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...

  20. 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…

  1. 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…

  2. 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.

  3. High speed fiber optics local area networks: Design and implementation

    Science.gov (United States)

    Tobagi, Fouad A.

    1988-01-01

    The design of high speed local area networks (HSLAN) for communication among distributed devices requires solving problems in three areas: (1) the network medium and its topology; (2) the medium access control; and (3) the network interface. Considerable progress has been made in all areas. Accomplishments are divided into two groups according to their theoretical or experimental nature. A brief summary is given in Section 2, including references to papers which appeared in the literature, as well as to Ph.D. dissertations and technical reports published at Stanford University.

  4. Non-local boxes and their implementation in Minecraft

    Science.gov (United States)

    Simnacher, Timo Yannick

    PR-boxes are binary devices connecting two remote parties satisfying x AND y = a + b mod 2, where x and y denote the binary inputs and a and b are the respective outcomes without signaling. These devices are named after their inventors Sandu Popescu and Daniel Rohrlich and saturate the Clauser-Horne-Shimony-Holt (CHSH) inequality. This Bell-like inequality bounds the correlation that can exist between two remote, non-signaling, classical systems described by local hidden variable theories. Experiments have now convincingly shown that quantum entanglement cannot be explained by local hidden variable theories. Furthermore, the CHSH inequality provides a method to distinguish quantum systems from super-quantum correlations. The correlation between the outputs of the PR-box goes beyond any quantum entanglement. Though PR-boxes would have impressive consequences, as far as we know they are not physically realizable. However, by introducing PR-boxes to Minecraft as part of the redstone system, which simulates the electrical components for binary computing, we can experience the consequences of super-quantum correlations. For instance, Wim van Dam proved that two parties can use a sufficient number of PR-boxes to compute any Boolean function f(x,y) with only one bit of communication.

  5. Implementation of a web-based national child health-care programme in a local context: A complex facilitator role.

    Science.gov (United States)

    Tell, Johanna; Olander, Ewy; Anderberg, Peter; Berglund, Johan Sanmartin

    2018-02-01

    The aim of this study was to investigate child health-care coordinators' experiences of being a facilitator for the implementation of a new national child health-care programme in the form of a web-based national guide. The study was based on eight remote, online focus groups, using Skype for Business. A qualitative content analysis was performed. The analysis generated three categories: adapt to a local context, transition challenges and led by strong incentives. There were eight subcategories. In the latent analysis, the theme 'Being a facilitator: a complex role' was formed to express the child health-care coordinators' experiences. Facilitating a national guideline or decision support in a local context is a complex task that requires an advocating and mediating role. For successful implementation, guidelines and decision support, such as a web-based guide and the new child health-care programme, must match professional consensus and needs and be seen as relevant by all. Participation in the development and a strong bottom-up approach was important, making the web-based guide and the programme relevant to whom it is intended to serve, and for successful implementation. The study contributes valuable knowledge when planning to implement a national web-based decision support and policy programme in a local health-care context.

  6. Local implementation of the Essence of Care benchmarks.

    Science.gov (United States)

    Jones, Sue

    To understand clinical practice benchmarking from the perspective of nurses working in a large acute NHS trust and to determine whether the nurses perceived that their commitment to Essence of Care led to improvements in care, the factors that influenced their role in the process and the organisational factors that influenced benchmarking. An ethnographic case study approach was adopted. Six themes emerged from the data. Two organisational issues emerged: leadership and the values and/or culture of the organisation. The findings suggested that the leadership ability of the Essence of Care link nurses and the value placed on this work by the organisation were key to the success of benchmarking. A model for successful implementation of the Essence of Care is proposed based on the findings of this study, which lends itself to testing by other organisations.

  7. 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.

  8. 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...

  9. Measuring agreement between decision support reminders: the cloud vs. the local expert.

    Science.gov (United States)

    Dixon, Brian Edward; Simonaitis, Linas; Perkins, Susan M; Wright, Adam; Middleton, Blackford

    2014-04-10

    A cloud-based clinical decision support system (CDSS) was implemented to remotely provide evidence-based guideline reminders in support of preventative health. Following implementation, we measured the agreement between preventive care reminders generated by an existing, local CDSS and the new, cloud-based CDSS operating on the same patient visit data. Electronic health record data for the same set of patients seen in primary care were sent to both the cloud-based web service and local CDSS. The clinical reminders returned by both services were captured for analysis. Cohen's Kappa coefficient was calculated to compare the two sets of reminders. Kappa statistics were further adjusted for prevalence and bias due to the potential effects of bias in the CDS logic and prevalence in the relative small sample of patients. The cloud-based CDSS generated 965 clinical reminders for 405 patient visits over 3 months. The local CDSS returned 889 reminders for the same patient visit data. When adjusted for prevalence and bias, observed agreement varied by reminder from 0.33 (95% CI 0.24 - 0.42) to 0.99 (95% CI 0.97 - 1.00) and demonstrated almost perfect agreement for 7 of the 11 reminders. Preventive care reminders delivered by two disparate CDS systems show substantial agreement. Subtle differences in rule logic and terminology mapping appear to account for much of the discordance. Cloud-based CDSS therefore show promise, opening the door for future development and implementation in support of health care providers with limited resources for knowledge management of complex logic and rules.

  10. Flight Deck Weather Avoidance Decision Support: Implementation and Evaluation

    Science.gov (United States)

    Wu, Shu-Chieh; Luna, Rocio; Johnson, Walter W.

    2013-01-01

    Weather related disruptions account for seventy percent of the delays in the National Airspace System (NAS). A key component in the weather plan of the Next Generation of Air Transportation System (NextGen) is to assimilate observed weather information and probabilistic forecasts into the decision process of flight crews and air traffic controllers. In this research we explore supporting flight crew weather decision making through the development of a flight deck predicted weather display system that utilizes weather predictions generated by ground-based radar. This system integrates and presents this weather information, together with in-flight trajectory modification tools, within a cockpit display of traffic information (CDTI) prototype. that the CDTI features 2D and perspective 3D visualization models of weather. The weather forecast products that we implemented were the Corridor Integrated Weather System (CIWS) and the Convective Weather Avoidance Model (CWAM), both developed by MIT Lincoln Lab. We evaluated the use of CIWS and CWAM for flight deck weather avoidance in two part-task experiments. Experiment 1 compared pilots' en route weather avoidance performance in four weather information conditions that differed in the type and amount of predicted forecast (CIWS current weather only, CIWS current and historical weather, CIWS current and forecast weather, CIWS current and forecast weather and CWAM predictions). Experiment 2 compared the use of perspective 3D and 21/2D presentations of weather for flight deck weather avoidance. Results showed that pilots could take advantage of longer range predicted weather forecasts in performing en route weather avoidance but more research will be needed to determine what combinations of information are optimal and how best to present them.

  11. 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.

  12. 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

  13. 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....

  14. Joint support schemes for renewable generation and barriers for implementation

    DEFF Research Database (Denmark)

    Klinge Jacobsen, Henrik; Hansen, Lise-Lotte Pade; Schröder, Sascha Thorsten

    2012-01-01

    expansion with lower prices that will affect existing conventional producers. Supporting that development will be opposed by producers whereas consumers will support such a strategy. However, the investment will be influenced by decisions of producers and the option of securing connection to other markets...... the 2020 RES targets. The countries might also find themselves competing for investment in a market with limited capital available. In both cases, the cost-efficiency of the renewable support policies will be reduced from a coordinated solution. We suggest possible policy solutions for joint support......EU has opened for using joint support schemes as support for promoting renewable energy to meet the 2020 targets. Countries are supporting renewable investment by many different types of support schemes and with different levels of support. The potential coordination benefits with more efficient...

  15. 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.

  16. 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

  17. 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.

  18. 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.

  19. Chaplain Contact with Local Religious Leaders: A Strategic Support

    National Research Council Canada - National Science Library

    Lloyd, Scottie

    2005-01-01

    .... In their role as advisor to commanders chaplains are contacting local religious leaders to build bridges of mutual understanding that foster a more secure environment for mission accomplishment...

  20. 23 CFR 230.204 - Implementation of supportive services.

    Science.gov (United States)

    2010-04-01

    ... PROGRAMS Supportive Services for Minority, Disadvantaged, and Women Business Enterprises § 230.204... training and assistance programs specifically for the benefit of women and minority businesses. Supportive... only to those minority business enterprises determined to be eligible for participation in the Federal...

  1. 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.

  2. Implementing a Game for Supporting Learning in Mathematics

    Science.gov (United States)

    Katmada, Aikaterini; Mavridis, Apostolos; Tsiatsos, Thrasyvoulos

    2014-01-01

    This paper focuses on the design, implementation and evaluation of an online game for elementary and middle school mathematics. Its aim is twofold: (a) the development of the prototype of a flexible and adaptable computer game, and (b) the evaluation of this prototype, as to its usability and technical aspects. The particular computer game was…

  3. Connecting the dots : supporting the implementation of teacher design teams

    NARCIS (Netherlands)

    Binkhorst, Floor

    2017-01-01

    In Teacher Design Teams (TDTs), teachers collaborate on (re)designing educational materials. Although several studies have shown that TDTs can contribute to teachers’ professional development, as well as to sustainable implementation of educational change by using the educational materials they

  4. Supporting Local Seed Businesses : A Training Manual for ISSD Uganda

    NARCIS (Netherlands)

    Mastenbroek, A.; Chebet, A.; Muwanika, C.T.; Adong, C.J.; Okot, F.; Otim, G.; Birungi, J.; Kansiime, M.; Oyee, P.; Ninsiima, P.

    2015-01-01

    The training manual is developed in Uganda to train partner organisations in coaching farmer groups to become sustainable local seed businesses. It introduces the Integrated Seed Sector Development Programme in Uganda and the concept of local seed businesses (LSBs). The manual has 5 modules covering

  5. 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.

  6. 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

  7. Manipulatives Implementation For Supporting Learning Of Mathematics For Prospective Teachers

    Science.gov (United States)

    Sulistyaningsih, D.; Mawarsari, V. D.; Hidayah, I.; Dwijanto

    2017-04-01

    Manipulatives are needed by teachers to facilitate students understand of mathematics which is abstract. As a prospective mathematics teacher, the student must have good skills in making manipulatives. Aims of this study is to describe the implementation of learning courses of manipulative workshop in mathematics education courses by lecturer at Universitas Muhammadiyah Semarang which includes the preparation of learning, general professional ability, the professional capacity specifically, ability of self-development, development class managing, planning and implementation of learning, a way of delivering the material, and evaluation of learning outcomes. Data collection techniques used were questionnaires, interviews, and observation. The research instrument consisted of a questionnaire sheet, sheet observation and interview guides. Validity is determined using data triangulation and triangulation methods. Data were analyzed using an interactive model. The results showed that the average value of activities in preparation for learning, fosters capabilities of general professional, specialized professional, self-development, manage the classroom, implementing the learning, how to deliver the material, and how to evaluate learning outcomes are 79%, 73%, 67%, 75%, 83%, 72%, 64%, and 54%, respectively

  8. 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)

  9. “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.

  10. Personalised mobile services supporting the implementation of clinical guidelines

    NARCIS (Netherlands)

    Jones, Valerie M.; Gay, Valerie; Leijdekkers, Peter; Rienks, Rienk; Hermens, Hermanus J.; Grasso, F; Paris, C

    2009-01-01

    Telemonitoring is emerging as a compelling application of Body Area Networks (BANs). We describe two health BAN systems developed respectively by a European team and an Australian team and discuss some issues encountered relating to formalization of clinical knowledge to support real-time analysis

  11. Towards implementation of optimum nutrition and better clinical nutrition support

    NARCIS (Netherlands)

    Jonkers, C. F.; Prins, F.; van Kempen, A.; Tepaske, R.; Sauerwein, H. P.

    2001-01-01

    Clinical Nutrition Support--defined as nutrition for hospitalized patients suffering from metabolic stress--plays a limited role in the therapeutic routine of the physician. This is not surprising as most research in the field of clinical nutrition is disappointing with regard to the objective

  12. Physical activity support community togetheractive - architecture, implementation and evaluation

    NARCIS (Netherlands)

    Elloumi, Lamia; van Beijnum, Bernhard J.F.; Hermens, Hermanus J.

    Reducing sedentary lifestyle and physical inactivity is getting an increased attention of researchers and health organizations due to its significant benefits on health. In the same direction we are proposing a virtual community system, TogetherActive, which supports people in their daily physical

  13. 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....

  14. 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.…

  15. 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.

  16. IMPLEMENTATION OF CONTROL CARDS AND SUPPORTING METHOD IN PRODUCTION ENGINEERING

    Directory of Open Access Journals (Sweden)

    Anna WOLNOWSKA

    2012-10-01

    Full Text Available In the article there were presented chosen method associated with statistical control of production processes. Mainly focused on control cards and Pareto‐Lorenz analysis. Showed method were implemented to analysis production process stability of hearing aids in X company (the brand name don’t give because date of production is secret. Researches were made few months after new assembly lines starts‐up. Main aim of researches was defects types identification occurred in production process and determine the scale of effect. Finally received results were satisfactory, i.e. despite of occurred errors, control cards analysis showed that production process of BTE‐type (Behind‐The‐Ear hearing aids was stable.

  17. 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.

  18. Residents’ Support in Major Local Events: Leeds Pride.

    OpenAIRE

    Pappas, Nikolaos

    2016-01-01

    This article examines the extent to which community participation and perceived impacts have an influence on residents' support of major events, more specifically, the Leeds Pride celebration. The research examines the perspectives of 400 Leeds permanent residents. The study tests a structural equation model, which has its theoretical basis in social exchange theory. It examines the constructs of community participation, perceived positive and negative impacts, and community support, includin...

  19. Hybrid localized waves supported by resonant anisotropic metasurfaces

    DEFF Research Database (Denmark)

    Bogdanov, A. A.; Yermakov, O. Y.; Ovcharenko, A. I.

    2016-01-01

    We study both theoretically and experimentally a new class of surface electromagnetic waves supported by resonant anisotropic metasurface. At certain frequency this type of metasurface demonstrates the topological transition from elliptical to hyperbolic regime.......We study both theoretically and experimentally a new class of surface electromagnetic waves supported by resonant anisotropic metasurface. At certain frequency this type of metasurface demonstrates the topological transition from elliptical to hyperbolic regime....

  20. 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.

  1. 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.

  2. 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...

  3. Structural health monitoring methodology for simply supported bridges: numerical implementation

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Riveros Jerez

    2007-01-01

    Full Text Available El monitoreo de daño en estructuras civiles está recibiendo actualmente gran interés por parte de investigadores debido al gran impacto económico e implicaciones de seguridad relacionadas con una temprana detección de daño estructural. Las técnicas actuales de inspección visual, que en su gran mayoría han sido desarrolladas para detectar daño estructural a nivel local, pueden ser usadas junto con un sistema de monitoreo de daño estructural para inspeccionar zonas específicas de una estructura. En este artículo se presenta una metodología de monitoreo de daño estructural para puentes simplemente apoyados, esta metodología está dividida en cuatro niveles; el primer nivel plantea una óptima localización de sensores usando el concepto de la matriz de información Fisher; para el segundo y tercer nivel se plantea una identificación del sistema estructural con base en excitaciones ambientales y finalmente en el cuarto nivel se presenta un método probabilístico que utiliza el teorema de Bayes para detectar daño estructural. Un modelo en elementos finitos de un puente a escala es empleado para llevar a cabo esta implementación numérica. Los resultados muestran que la metodología propuesta en este artículo puede ser implementada en el sistema Metro de Medellín, pues este sistema está compuesto por una serie de puentes simplemente apoyados, lo cual facilitaría y justificaría la implementación de sistemas de monitoreo de daño para todo el sistema Metro de Medellín.

  4. Federal support for state and local response operations - PHE

    Science.gov (United States)

    coordinating with Genesee County to assist seniors who need help installing water filters. EPA is working with agencies are working diligently to support state and city officials in responding to the Flint, Michigan federal response and recovery efforts. This means that HHS is working across the federal partners from

  5. 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.

  6. 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.

  7. 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...

  8. 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...

  9. Simulation to Support Local Search in Trajectory Optimization Planning

    Science.gov (United States)

    Morris, Robert A.; Venable, K. Brent; Lindsey, James

    2012-01-01

    NASA and the international community are investing in the development of a commercial transportation infrastructure that includes the increased use of rotorcraft, specifically helicopters and civil tilt rotors. However, there is significant concern over the impact of noise on the communities surrounding the transportation facilities. One way to address the rotorcraft noise problem is by exploiting powerful search techniques coming from artificial intelligence coupled with simulation and field tests to design low-noise flight profiles which can be tested in simulation or through field tests. This paper investigates the use of simulation based on predictive physical models to facilitate the search for low-noise trajectories using a class of automated search algorithms called local search. A novel feature of this approach is the ability to incorporate constraints directly into the problem formulation that addresses passenger safety and comfort.

  10. Solitons supported by localized nonlinearities in periodic media

    International Nuclear Information System (INIS)

    Dror, Nir; Malomed, Boris A.

    2011-01-01

    Nonlinear periodic systems, such as photonic crystals and Bose-Einstein condensates (BEC's) loaded into optical lattices, are often described by the nonlinear Schroedinger or Gross-Pitaevskii equation with a sinusoidal potential. Here, we consider a model based on such a periodic potential, with the nonlinearity (attractive or repulsive) concentrated either at a single point or at a symmetric set of two points, which are represented, respectively, by a single δ function or a combination of two δ functions. With the attractive or repulsive sign of the nonlinearity, this model gives rise to ordinary solitons or gap solitons (GS's), which reside, respectively, in the semi-infinite or finite gaps of the system's linear spectrum, being pinned to the δ functions. Physical realizations of these systems are possible in optics and BEC's, using diverse variants of the nonlinearity management. First, we demonstrate that the single δ function multiplying the nonlinear term supports families of stableregular solitons in the self-attractive case, while a family of solitons supported by the attractive δ function in the absence of the periodic potential is completely unstable. In addition, we show that the δ function can support stable GS's in the first finite band gap in both the self-attractive and repulsive models. The stability analysis for the GS's in the second finite band gap is reported too, for both signs of the nonlinearity. Alongside the numerical analysis, analytical approximations are developed for the solitons in the semi-infinite and first two finite gaps, with the single δ function positioned at a minimum or maximum of the periodic potential. In the model with the symmetric set of two δ functions, we study the effect of the spontaneous symmetry breaking of the pinned solitons. Two configurations are considered, with the δ functions set symmetrically with respect to the minimum or maximum of the underlying potential.

  11. 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…

  12. 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.

  13. Online Services Management Support for an Intelligent Locality

    Directory of Open Access Journals (Sweden)

    Lorena BĂTĂGAN

    2011-07-01

    Full Text Available As the number of habitants of large cities is expanding, put greater pressure on city infrastructure delivering vital services, such as health, education, public safety and transport. These efforts are added to changing public demands for better information, better education, environmental programs, a more open government, lower maintenance costs and other housing options for older people. Therefore, to achieve these goals, it must take into account the quality of all services, but especially the quality of online services based on the use of modern information and communication technologies.The management of service quality on-line offers a performance evaluation and comparative analysis of indicators. He also works as a decision support to improve the quality of online services and increasing customer satisfaction, essential elements in an intelligent city.

  14. Organizational Support in Online Learning Environments: Examination of Support Factors in Corporate Online Learning Implementation

    Science.gov (United States)

    Schultz, Thomas L.; Correia, Ana-Paula

    2015-01-01

    This article explores the role of different types of support in corporate online learning programs. Most research has not specifically focused on all of the support factors required to provide a corporate online learning program, although many research studies address several in regards to the research outcome. An effort was made in this article…

  15. 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.

  16. 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.

  17. 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....

  18. 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...

  19. 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)

  20. 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…

  1. 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

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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...

  7. 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.

  8. [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.

  9. 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.

  10. 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.

  11. 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.

  12. 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…

  13. 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…

  14. 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

  15. 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

  16. 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

  17. 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.

  18. 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

  19. 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

  20. 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...

  1. 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…

  2. 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...

  3. 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

  4. 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.

  5. 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…

  6. 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…

  7. 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.

  8. 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

  9. 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

  10. 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.

  11. 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.

  12. 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

  13. 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.

  14. 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.

  15. 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.

  16. 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)

  17. 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...

  18. 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.

  19. 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.

  20. 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....

  1. 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.

  2. 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

  3. 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.

  4. 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.

  5. 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.

  6. 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…

  7. 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.

  8. 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…

  9. 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…

  10. 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....

  11. 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

  12. 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…

  13. 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…

  14. 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.

  15. 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...

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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.

  1. 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...

  2. 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

  3. 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

  4. 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.

  5. 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.,

  6. 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.

  7. “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.

  8. 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.

  9. 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.

  10. 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.

  11. 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…

  12. 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.

  13. 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

  14. 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

  15. 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

  16. 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.…

  17. Implementing lean in Malaysian universities: Lean awareness level in an engineering faculty of a local university

    Science.gov (United States)

    Azim Khairi, M.; Rahman, Mohamed Abd

    2018-01-01

    Many academic articles were published in Malaysia promoting the goodness of lean in manufacturing and industrial sectors but less attention was apparently given to the possibility of obtaining the same universal benefits when applying lean in non-manufacturing sectors especially higher education. This study aims to determine the level of lean awareness among a local university’s community taking its Faculty of Engineering (FoE) as the case study. It also seeks to identify typical FoE’s staff perception on lean regarding its benefits and the obstacles in implementing it. A web-based survey using questionnaires was carried out for 215 respondents consisting of academic and administrative staff of the faculty. Statistical Package for the Social Science (SPSS) was used to analyze the survey data collected. A total of 13.95% of respondents returned the forms. Slightly more than half of those responded (56.7%) have encountered some of the lean terms with mean 1.43 and standard deviation 0.504. However, the large amount of standard deviation somewhat indicates that the real level of lean awareness of FoE as a group was low. In terms of lean benefits, reduction of waste was favored (93.3%) by the respondents with mean 0.93 and standard deviation 0.254. For obstacles in implementing lean, lack of knowledge was selected by most respondents (86.7%) to be the major factor with mean 0.87 and standard deviation 0.346. Through the analysis done, the study may conclude that level of lean awareness among the university‘s community was low thus may hinder implementation of lean concept.

  18. 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

  19. 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.

  20. 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.

  1. 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

  2. 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...

  3. 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

  4. 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.

  5. 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...

  6. 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.

  7. 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.

  8. 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

  9. 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.

  10. 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)

  11. 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.

  12. 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.

  13. 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

  14. 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

  15. 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

  16. “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.

  17. Complementary Constrains on Component based Multiphase Flow Problems, Should It Be Implemented Locally or Globally?

    Science.gov (United States)

    Shao, H.; Huang, Y.; Kolditz, O.

    2015-12-01

    Multiphase flow problems are numerically difficult to solve, as it often contains nonlinear Phase transition phenomena A conventional technique is to introduce the complementarity constraints where fluid properties such as liquid saturations are confined within a physically reasonable range. Based on such constraints, the mathematical model can be reformulated into a system of nonlinear partial differential equations coupled with variational inequalities. They can be then numerically handled by optimization algorithms. In this work, two different approaches utilizing the complementarity constraints based on persistent primary variables formulation[4] are implemented and investigated. The first approach proposed by Marchand et.al[1] is using "local complementary constraints", i.e. coupling the constraints with the local constitutive equations. The second approach[2],[3] , namely the "global complementary constrains", applies the constraints globally with the mass conservation equation. We will discuss how these two approaches are applied to solve non-isothermal componential multiphase flow problem with the phase change phenomenon. Several benchmarks will be presented for investigating the overall numerical performance of different approaches. The advantages and disadvantages of different models will also be concluded. References[1] E.Marchand, T.Mueller and P.Knabner. Fully coupled generalized hybrid-mixed finite element approximation of two-phase two-component flow in porous media. Part I: formulation and properties of the mathematical model, Computational Geosciences 17(2): 431-442, (2013). [2] A. Lauser, C. Hager, R. Helmig, B. Wohlmuth. A new approach for phase transitions in miscible multi-phase flow in porous media. Water Resour., 34,(2011), 957-966. [3] J. Jaffré, and A. Sboui. Henry's Law and Gas Phase Disappearance. Transp. Porous Media. 82, (2010), 521-526. [4] A. Bourgeat, M. Jurak and F. Smaï. Two-phase partially miscible flow and transport modeling in

  18. 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.

  19. 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.

  20. 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.

  1. Developing partnerships for implementing continental-scale citizen science programs at the local-level

    Science.gov (United States)

    Newman, S. J.; Henderson, S.; Ward, D.

    2012-12-01

    of a suggestion than a set schedule. Maintaining flexibility was critical to the success of the partnerships. Unanticipated fieldwork, new priorities within organizations, and differing levels of involvement from partner staff, advisory boards, or Friends groups, led to varying resource development timelines. The distributed nature of and the willingness of partner staff and volunteers to implement Project BudBurst at their facilities have broadened the participation of the public in this program more than could have been accomplished alone. The new partners benefit from the free and customized education and outreach materials provided by Project BudBurst, while Project BudBurst benefits from the local knowledge and contacts with the public from the partner organizations.

  2. 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

  3. Implementation of an Imaging Spectrometer for Localization and Identification of Radioactive Sources

    International Nuclear Information System (INIS)

    Hermine, Lemaire; Carrel, Frederick; Gmar, Mehdi; Menesguen Yves; Normand, Stephane; Schoepff, Vincent; Abou-Khalil, Roger; Amgarou, Khalil; Menaa, Nabil; Tebug, Timi; Angelique, Jean-Claude; Bonnet, Florent; De-Toro, Daniel; Giarmana, Olivier; Patoz, Audrey; Talent, Philippe

    2013-06-01

    Spatial localization of radioactive sources is currently a main issue interesting nuclear industry as well as homeland security applications, and can be achieved using gamma cameras. For several years, CEA LIST has been designing a new system, called GAMPIX, with improved sensitivity, portability and ease of use. The main remaining limitation is the lack of spectrometric information, preventing radioactive materials identification. This article describes the development of an imaging spectrometer based on the GAMPIX technology. Experimental tests have been carried out according to both spectrometric methods enabled by the pixelated Timepix readout chip used in the GAMPIX gamma camera. The first method is based on the size of the impacts produced by a gamma-ray energy deposition in the detection matrix. The second one uses the Time over Threshold (ToT) mode of the Timepix chip and deals with time spent by pulses generated by charge preamplifiers over a user-specified threshold. Both energy resolution and sensitivity studies proved the superiority of the ToT approach that will consequently be further explored. Energy calibration, tests of several pixel sizes and use of the Medipix3 readout chip are tracks to improve performances of the newly implemented imaging spectrometer. (authors)

  4. Local self-energies for V and Pd emergent from a nonlocal LDA+FLEX implementation

    Science.gov (United States)

    Savrasov, Sergey Y.; Resta, Giacomo; Wan, Xiangang

    2018-04-01

    In the spirit of recently developed LDA+U and LDA+DMFT methods, we implement a combination of density functional theory in its local density approximation (LDA) with a k - and ω -dependent self-energy found from diagrammatic fluctuational exchange (FLEX) approximation. The active Hilbert space here is described by the correlated subset of electrons which allows one to tremendously reduce the sizes of the matrices needed to represent charge and spin susceptibilities. The method is perturbative in nature but accounts for both bubble and ladder diagrams and accumulates the physics of momentum-resolved spin fluctuations missing in such popular approach as GW. As an application, we study correlation effects on band structures in V and Pd. The d -electron self-energies emergent from this calculation are found to be remarkably k independent. However, when we compare our calculated electronic mass enhancements against LDA+DMFT, we find that for the longstanding problem of spin fluctuations in Pd, LDA+FLEX delivers a better agreement with experiment, although this conclusion depends on a particular value of the Hubbard U used in the simulation. We also discuss outcomes of a recently proposed combination of k -dependent FLEX with dynamical mean-field theory (DMFT).

  5. Difficult balances and impossible partners. The implementation local plan for San Giovanni a Teduccio in Naples.

    Directory of Open Access Journals (Sweden)

    Enrico Formato

    2014-02-01

    Full Text Available This article is about the processes involved in preparing the preliminary draft of the implementation local plan (ILP of the San Giovanni a Teduccio district of Naples (2008. The plan, drawn up during the activities of the Innovative programme in the urban field (PIAU financed by the Ministry of Infrastructure in 2004, aims to integrate a series of initiatives, already in progress or planned in the district for the designing of public space, by giving special attention to the redevelopment of the waterfront and the strengthening of its relationships with the city. In the given conditions, the solutions proposed by the plan represent the most advanced point of balance between different visions which general urban planning and subsequent programme agreements can bring about. Finally, ILP’s work is subjected to a persistent contradiction, a structural incompatibility between the activities of the commercial port and the renovation of the waterfront: port and city generate a dialectic which, at present, is not conducive either to economic development based on the logistics or to urban renovation. Why don’t we look for other options rather than this unfruitful incompatibility?

  6. 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)

  7. 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.

  8. 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

  9. 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.

  10. 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

  11. 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/

  12. 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.

  13. 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.

  14. 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.

  15. Design and implementation of an interface supporting information navigation tasks using hyperbolic visualization technique

    International Nuclear Information System (INIS)

    Lee, J. K.; Choi, I. K.; Jun, S. H.; Park, K. O.; Seo, Y. S.; Seo, S. M.; Koo, I. S.; Jang, M. H.

    2001-01-01

    Visualization techniques can be used to support operator's information navigation tasks on the system especially consisting of an enormous volume of information, such as operating information display system and computerized operating procedure system in advanced control room of nuclear power plants. By offering an easy understanding environment of hierarchially structured information, these techniques can reduce the operator's supplementary navigation task load. As a result of that, operators can pay more attention on the primary tasks and ultimately improve the cognitive task performance, in this thesis, an interface was designed and implemented using hyperbolic visualization technique, which is expected to be applied as a means of optimizing operator's information navigation tasks

  16. 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

  17. 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

  18. 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.

  19. 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

  20. 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.

  1. 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.

  2. Towards local implementation of Dutch health policy guidelines: a concept-mapping approach

    NARCIS (Netherlands)

    Kuunders, T.J.M.; Bon-Martens, M.J.H. van; Goor, I.A.M. van de; Paulussen, T.G.W.M.; Oers, H.A.M. van

    2017-01-01

    To develop a targeted implementation strategy for a municipal health policy guideline, implementation targets of two guideline users [Regional Health Services (RHSs)] and guideline developers of leading national health institutes were made explicit. Therefore, characteristics of successful

  3. Towards local implementation of Dutch health policy guidelines : A concept-mapping approach

    NARCIS (Netherlands)

    Kuunders, T.J.M.; Van Bon-martens, M.J.H.; Van De Goor, L.A.M.; Paulussen, T.G.W.M.; Van Oers, J.A.M.

    To develop a targeted implementation strategy for a municipal health policy guideline, implementation targets of two guideline users [Regional Health Services (RHSs)] and guideline developers of leading national health institutes were made explicit. Therefore, characteristics of successful

  4. 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.

  5. 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

  6. Challenges and solutions of implementing and supporting wind diesel applications in remote (AK) locations

    Energy Technology Data Exchange (ETDEWEB)

    Pingree, B. [Northern Power Systems, Barre, VT (United States)

    2010-07-01

    This PowerPoint presentation discussed the methods used by Northern Power Systems to install and support wind-diesel applications in remote locations in Alaska. Over 90 wind turbines have been installed in the state over the last 5 years. Drivers behind the increase in wind turbine installations include the recent energy crisis as well as the introduction of several financial incentives for renewable energy. The correct equipment is needed to overcome the technical challenges associated with wind-diesel systems in remote cold temperature areas. Multiple projects are synchronized within regions, and remote energy management software is used. Centralized power production is promoted where possible, and technicians are trained locally. The wind-diesel market has become successful in Alaska as a result of leadership, a streamline grant and permitting process, and a program that supports First Nations empowerment. Photographs of various Northern Power Systems projects in Alaska were included. tabs., figs.

  7. 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.

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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

  15. 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

  16. 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.

  17. 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

  18. 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

  19. 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

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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).

  5. 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.

  6. 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.

  7. 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)

  8. 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.

  9. Design, Implementation, and Performance Evaluation of Efficient PMIPv6 Based Mobile Multicast Sender Support Schemes

    Directory of Open Access Journals (Sweden)

    Lili Wang

    2015-01-01

    Full Text Available Proxy Mobile IPv6 (PMIPv6 is proposed as a promising network-based mobility management protocol, which does not need any participation of mobile nodes. PMIPv6 does not support the multicast well and most of the current research concentrates on the mobile multicast receiver. However, the mobile multicast sender is also very important and challenging, which has not been addressed well. Therefore, in this paper we propose two efficient PMIPv6 based mobile multicast sender support schemes which are PMIP bidirectional tunneling (PMIP-BT and PMIP direct routing (PMIP-DR. In the PMIP-BT, the multicast traffic can be delivered through the PMIPv6 bidirectional tunnel, while, in the PMIP-DR, the multicast data can be transmitted via an optimized direct multicast routing. Both of them can support the multicast sender mobility transparently enabled in the PMIPv6 networks. We evaluate the performance of the proposed schemes by theoretical analysis, and the numerical results show that the proposed schemes have a better performance in terms of the signaling cost than the current schemes. Meanwhile, the proposed schemes are also implemented on the test bed, and the experimental results not only verify the validity and feasibility of our proposed schemes, but also conclude the different scenarios to which they are applicable.

  10. Prediction of protein subcellular localization using support vector machine with the choice of proper kernel

    Directory of Open Access Journals (Sweden)

    Al Mehedi Hasan

    2017-07-01

    Full Text Available The prediction of subcellular locations of proteins can provide useful hints for revealing their functions as well as for understanding the mechanisms of some diseases and, finally, for developing novel drugs. As the number of newly discovered proteins has been growing exponentially, laboratory-based experiments to determine the location of an uncharacterized protein in a living cell have become both expensive and time-consuming. Consequently, to tackle these challenges, computational methods are being developed as an alternative to help biologists in selecting target proteins and designing related experiments. However, the success of protein subcellular localization prediction is still a complicated and challenging problem, particularly when query proteins may have multi-label characteristics, i.e. their simultaneous existence in more than one subcellular location, or if they move between two or more different subcellular locations as well. At this point, to get rid of this problem, several types of subcellular localization prediction methods with different levels of accuracy have been proposed. The support vector machine (SVM has been employed to provide potential solutions for problems connected with the prediction of protein subcellular localization. However, the practicability of SVM is affected by difficulties in selecting its appropriate kernel as well as in selecting the parameters of that selected kernel. The literature survey has shown that most researchers apply the radial basis function (RBF kernel to build a SVM based subcellular localization prediction system. Surprisingly, there are still many other kernel functions which have not yet been applied in the prediction of protein subcellular localization. However, the nature of this classification problem requires the application of different kernels for SVM to ensure an optimal result. From this viewpoint, this paper presents the work to apply different kernels for SVM in protein

  11. 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.

  12. Customer relationship management. Part 3. Selection and implementation. Support of marketing, sales and service contacts

    International Nuclear Information System (INIS)

    Kramer, K.; Van Rheenen, F.; Jonkman, F.

    2000-01-01

    Customer Relationship Management (CRM) is an approach in which differentiated marketing strategies and programmes are developed based on systematically collected information about individual customers. CRM aims at establishing sustainable and profitable customer relationships. The customer information systems presently used in energy companies no longer support the required CRM processes. However, before an organisation decides to buy a new CRM software package, it should first think hard about the strategy it wants to adopt. Does it opt for Operational Excellence, Product Leadership or Customer Intimacy? The company's knowledge about the behaviour of its customers is of major importance especially when the company wants to adopt the Customer Intimacy strategy. Only when the company has established which customer data it has and wants to have, can the right systems be chosen. The selection of a CRM package and its implementation is discussed in this article

  13. Developing Psychological Culture of Schoolchildren as a Means of Supporting Implementation of Basic Education Standards

    Directory of Open Access Journals (Sweden)

    Dubrovina I.V.

    2018-01-01

    Full Text Available The paper reviews the social situation of development of children and adolescents in the modern society marked by rapid changes. The development of children and adolescents is described as ‘embedding into the culture’ through the education and is closely associated with the formation of their psychological culture. The paper analyses the conditions of personality development in modern children and adolescents, the factors which impede the communication and understanding of other people; it highlights the risks of escaping into the virtual reality or joining asocial groups. The paper also suggests important measures aimed at the formation of psychological culture in children in relation to age-specific tasks of development in primary school and adolescent ages. The development of psychological culture is regarded as the key means of supporting the implementation of modern educational standards as well as the foundation of psychological health in schoolchildren.

  14. Web-Based Implementation of E-Marketing to Support Product Marketing of Chemical Manufacturing Company

    Directory of Open Access Journals (Sweden)

    Riswan Efendi Tarigan

    2015-10-01

    Full Text Available Currently, many company’s marketing strategies are limited only to face-to-face communication, telephone, facsimile, company portfolio, and product brochures. However, those marketing strategies are well- known to have limited impacts. Therefore, the presence of e-marketing as one of the marketing strategies would be appropriate to cover the weaknesses and to solve a number of the marketing problems. The purpose of this study is to discuss matters related to marketing, such    as, proposing a marketing plan using website, expanding marketing segment, and introducing existing  products for a chemical manufacturing company. The adopted research method is a descriptive method where the study is directly performed on the research object to acquire necessary data. The collected data are further analyzed using the Porter’s Five Force and SWOT analysis. Fi- nally, the work provides a number of recommendations for implementing e-marketing strategies to support the company business.

  15. Challenges in implementing individual placement and support in the Australian mental health service and policy context.

    Science.gov (United States)

    Stirling, Yolande; Higgins, Kate; Petrakis, Melissa

    2018-02-01

    Objective Although Australia's service and policy context differs from that of the US, studies have highlighted potential for individual placement and support (IPS) to support competitive employment outcomes for people with severe and persistent mental illness. The aim of the present study was to explore why the model is not yet widely available. Methods A document analysis was conducted to discern reasons for challenges in implementation of IPS practice principles within the Australian service context. Results The document analysis illustrated that although policy acknowledges the importance of increasing employment rates for people with severe and persistent mental illness, consistent measures, change indicators, direction and time frames are lacking in policy and strategy documentation. Further, IPS principles are not consistently evident in guiding operational documentation that government-funded Disability Employment Services (DES) programs are mandated to adhere to. Conclusions For IPS to be readily implemented, it is necessary for government to offer support to agencies to partner and formal endorsement of the model as a preferred approach in tendering processes. Obligations and processes must be reviewed to ensure that model fidelity is achievable within the Australian Commonwealth policy and service context for programs to achieve competitive employment rates comparable to the most successful international programs. What is known about the topic? The IPS model has been established as the most efficacious approach to support people with severe and persistent mental ill health to gain and sustain employment internationally, yet little is known as to why this model has had very limited uptake in the Australian adult mental health service and policy context. What does this paper add? This paper provides an investigation into the achievability of IPS within DES philosophical and contractual arrangements. What are the implications for practitioners? Mental

  16. 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

  17. 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…

  18. 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…

  19. Share point 2013 Implementation Strategy for Supporting KM System Requirements in Nuclear Malaysia

    International Nuclear Information System (INIS)

    Mohamad Safuan Sulaiman; Siti Nurbahyah Hamdan; Abdul Muin Abdul Rahman

    2015-01-01

    Knowledge Management system (KMS or KM System) is an important tool for knowledge intensive organization such as Nuclear Malaysia. In June 2010, MS Share Point 2007 was deployed as a tool for KM System in Nuclear Malaysia and was functioning correctly until the end of 2013, whereby the system failed due to software malfunction and inability of the infrastructure to support its continuous operation and usage expansion. This led to difficulties for users to access their operational data and information, hence hampering access to one of the most important tool for KM System in Nuclear Malaysia. However, recently a newer and updated version of the system for example Share point 2013 was deployed to meet the same objectives. Learning from previous failures, the tool has been analyzed at various stages of technical and management reviews. The implementation of this newer version has been designed to overcome most of the deficiencies faced by the older version, both from the software and infrastructure point of views. The tool has performed very well ever since its commissioning from December 2014 till today. As it is still under warranty till March 2016, minimum maintenance issues have been experienced and any problems have been rectified promptly. This paper describes the implementation strategy in preparing the design information of software and hardware architecture of the new tool to overcome the problems of older version, in order to provide a better platform for KM System in Nuclear Malaysia. (author)

  20. 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.

  1. Adapting a Technology-Based Implementation Support Tool for Community Mental Health: Challenges and Lessons Learned.

    Science.gov (United States)

    Livet, Melanie; Fixsen, Amanda

    2018-01-01

    With mental health services shifting to community-based settings, community mental health (CMH) organizations are under increasing pressure to deliver effective services. Despite availability of evidence-based interventions, there is a gap between effective mental health practices and the care that is routinely delivered. Bridging this gap requires availability of easily tailorable implementation support tools to assist providers in implementing evidence-based intervention with quality, thereby increasing the likelihood of achieving the desired client outcomes. This study documents the process and lessons learned from exploring the feasibility of adapting such a technology-based tool, Centervention, as the example innovation, for use in CMH settings. Mixed-methods data on core features, innovation-provider fit, and organizational capacity were collected from 44 CMH providers. Lessons learned included the need to augment delivery through technology with more personal interactions, the importance of customizing and integrating the tool with existing technologies, and the need to incorporate a number of strategies to assist with adoption and use of Centervention-like tools in CMH contexts. This study adds to the current body of literature on the adaptation process for technology-based tools and provides information that can guide additional innovations for CMH settings.

  2. 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.

  3. 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.

  4. 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.

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

    NARCIS (Netherlands)

    Hoppe, Thomas; Graf, Antonia; Warbroek, Wynzen Douwe Beau; Lammers, Imke; Lepping, Isabella

    2015-01-01

    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

  6. 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

  7. 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)

  8. 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

  9. 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

  10. 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

  11. 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.

  12. 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.

  13. Site-Wide Integrated Water Monitoring - Defining and Implementing Sampling Objectives to Support Site Closure - 13060

    International Nuclear Information System (INIS)

    Wilborn, Bill; Knapp, Kathryn; Farnham, Irene; Marutzky, Sam

    2013-01-01

    The Underground Test Area (UGTA) activity is responsible for assessing and evaluating the effects of the underground nuclear weapons tests on groundwater at the Nevada National Security Site (NNSS), formerly the Nevada Test Site (NTS), and implementing a corrective action closure strategy. The UGTA strategy is based on a combination of characterization, modeling studies, monitoring, and institutional controls (i.e., monitored natural attenuation). The closure strategy verifies through appropriate monitoring activities that contaminants of concern do not exceed the SDWA at the regulatory boundary and that adequate institutional controls are established and administered to ensure protection of the public. Other programs conducted at the NNSS supporting the environmental mission include the Routine Radiological Environmental Monitoring Program (RREMP), Waste Management, and the Infrastructure Program. Given the current programmatic and operational demands for various water-monitoring activities at the same locations, and the ever-increasing resource challenges, cooperative and collaborative approaches to conducting the work are necessary. For this reason, an integrated sampling plan is being developed by the UGTA activity to define sampling and analysis objectives, reduce duplication, eliminate unnecessary activities, and minimize costs. The sampling plan will ensure the right data sets are developed to support closure and efficient transition to long-term monitoring. The plan will include an integrated reporting mechanism for communicating results and integrating process improvements within the UGTA activity as well as between other U.S. Department of Energy (DOE) Programs. (authors)

  14. Implementation of a Complex Intervention to Support Leadership Development in Nursing Homes: A Multimethod Participatory Study.

    Science.gov (United States)

    Dewar, Belinda; Barrie, Karen; Sharp, Cathy; Meyer, Julienne

    2017-04-01

    Leadership is key to quality improvement in nursing homes. This article reports on the initial analysis of the transformational My Home Life Leadership Support program for nursing home managers being implemented in Scotland. It analyses learning from a multimethod participatory descriptive study. Contribution analysis theory informed the evaluation. Evidence-Based Practice, Relationship-Centered Care, Appreciative Inquiry, and Caring Conversations informed the intervention to develop transformational leadership. Data generation methods included baseline and postintervention questionnaires to describe culture change within the study population, together with more in-depth qualitative data generated from group discussions throughout the leadership support program. Qualitative data analysis was an iterative collaborative process with participants to generate themes about the impact of the program on themselves and their practice. Data showed positive changes in managers' perceptions of their self-awareness, leadership communication and relationship skills, and development of positive cultures. This model offers lessons for those interested in ways to approach the emotional, educational, and cultural dynamics of change in other human service contexts.

  15. THE NECESSITY OF IMPLEMENTING REFORMS IN THE FIELD OF LOCAL PUBLIC FINANCE

    Directory of Open Access Journals (Sweden)

    Vezure Oana Sabina

    2013-06-01

    Full Text Available The difficulties faced by local authorities as a result of the austerity conditions in which they work, the elements inherited from the previous regime, the need for additional resources to optimize public finance to meet the needs, optimally, if possible, citizens, require the design and continue the reform of public finances at the local level that correspond to these requirements. Optimization of the reform process in local public finances depend to a great extent on the use of financial levers of fiscal efficiency, fulfilment of the functions of public finance, the way resources are provided and how their administration for economic and social development. The uneven development of economic weakness of the assembly reflect and are unacceptable because, in their turn, become a source of economic and political instability. Responsibility for ensuring sufficient local revenue must not belong to a large measure, the central authorities, the context in which local authorities should prioritize finding solutions to supplement the local budget and obtain funds from the central budget. At the same time, cannot be intended directions of reform in the field of public administration without taking into account the financial implications reflected in the budgets for each level of Government, pyramid-shaped, from central to local level.

  16. Implementation of GAMMON - An efficient load balancing strategy for a local computer system

    Science.gov (United States)

    Baumgartner, Katherine M.; Kling, Ralph M.; Wah, Benjamin W.

    1989-01-01

    GAMMON (Global Allocation from Maximum to Minimum in cONstant time), an efficient load-balancing algorithm, is described. GAMMON uses the available broadcast capability of multiaccess networks to implement an efficient search technique for finding hosts with maximal and minimal loads. The search technique has an average overhead which is independent of the number of participating stations. The transition from the theoretical concept to a practical, reliable, and efficient implementation is described.

  17. Planning experience and prospects of local participation in implementation of nuclear power in Bangladesh

    International Nuclear Information System (INIS)

    Rahman, M.A.; Islam, A.B.M.N.; Quaiyum, M.A.; Hasnat, K.A.; Hossain, M.

    1983-01-01

    The paper summarizes the overall experience of Bangladesh in planning for the introduction of its nuclear power programme. The basis for selection of the type of contract for the first nuclear power project of the country is explained. The paper then analyses the prospect of local participation in the construction of the first nuclear power station by detailing the local capabilities in fields such as civil works, civil works materials supply, electrical/mechanical supplies, mechanical fabrication/erection, transportation, etc. After analysing the domestic infrastructure, the problem areas are identified and measures necessary to improve the degree of local participation are described. (author)

  18. 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

  19. 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.

  20. Local governments and climate change: sustainable energy planning and implementation in small and medium sized communities

    National Research Council Canada - National Science Library

    Van Staden, Maryke; Musco, Francesco

    2010-01-01

    ...) motivations and actions. The most effective responses are those with a holistic, integrated and lon-term approach, addressing both climate change mitigation and adaptation, based on citizen and other local stakeholder involvement...

  1. Local governments and climate change: sustainable energy planning and implementation in small and medium sized communities

    National Research Council Canada - National Science Library

    Van Staden, Maryke; Musco, Francesco

    2010-01-01

    The focus of 'Local governments and climate change' is on how small and medium-sized communities in Europe are effectively responding to climate change, with a particular focus on different approaches...

  2. 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)

  3. Fit-for-purpose wastewater treatment: Testing to implementation of decision support tool (II).

    Science.gov (United States)

    Chhipi-Shrestha, Gyan; Hewage, Kasun; Sadiq, Rehan

    2017-12-31

    This paper is the second in a series of two papers. In Paper I, a decision support tool (DST), FitWater, was developed for evaluating the potential of wastewater treatment (WWT) trains for various water reuse applications. In the present paper, the proposed DST has been tested and implemented. FitWater has been tested with several existing WWT plants in Canada and the USA, demonstrating FitWater's effectiveness in estimating life cycle cost (LCC), health risk, and energy use. FitWater has also been implemented in a newly planned neighbourhood in the Okanagan Valley (BC, Canada) by developing 12 alternative WWT trains for water reuse in lawn and public parks irrigation. The results show that FitWater can effectively rank WWT train alternatives based on LCC, health risk, amount of reclaimed water, energy use, and carbon emissions. Moreover, functions have been developed for the variation of unit annualized LCC and energy intensity per unit log removal of microorganisms in different treatment technologies with varying plant capacities. The functions have power relations, showing the economies of scale. FitWater can be applied to identify a cost-effective, risk-acceptable, and energy efficient wastewater treatment train with a plant capacity of 500m 3 /day or more. Furthermore, FitWater can be used to assess potential economic impacts of developing microbiologically stringent effluent standards. The capability of FitWater can be enhanced by including physio-chemical quality of wastewater, additional treatment technologies, and carbon emissions from wastewater decomposition processes. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. 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) have used a local data integration system (LDIS) as part of their forecast and warning operations. Each has benefited from 3-dimensional 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 and complete understanding of evolving fine-scale weather features. Recent efforts have been undertaken to update the LDIS through the formal tasking process of NASA's Applied Meteorology Unit. The goals include upgrading LDIS with the latest version of ADAS, incorporating new sources of observational data, and making adjustments to shell scripts written to govern the system. A series of scripts run a complete modeling system consisting of the preprocessing step, the main model integration, and the post-processing step. The preprocessing step prepares the terrain, surface characteristics data sets, and the objective analysis for model initialization. Data ingested through ADAS include (but are not limited to) Level II Weather Surveillance Radar- 1988 Doppler (WSR-88D) data from six Florida radars, Geostationary Operational Environmental Satellites (GOES) visible and infrared satellite imagery, surface and upper air observations throughout Florida from NOAA's Earth System Research Laboratory/Global Systems Division

  5. 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

  6. Implementing the ban on smoking in Israeli pubs: measuring airborne nicotine and enforcement by local authorities.

    Science.gov (United States)

    Satran, Carmit; Drach-Zahavy, Anat; Hammond, S Katharine; Baron-Epel, Orna

    2014-06-01

    In 2007 an amendment to the law restricting smoking in pubs and bars (P&Bs) was enacted in Israel. However, a year after the ban only slight decreases in airborne smoke in P&Bs in one city have been reported. We aimed to assess levels of airborne nicotine in Israeli P&Bs and to measure ifself-reported enforcement of the law by local officials was associated with levels of airborne nicotine in P&Bs. Airborne nicotine levels were measured in 72 P&Bs in 29 towns in Israel; this consisted of 90% of eligible towns. In addition, 73 local authority officials were interviewed in 25 of these towns. The officials were asked to assess the local authority's level of enforcement of the law banning smoking in P&Bs. The association of levels of airborne nicotine with the levels of enforcement of the law was calculated. Data were collected during 2009-2010 and analyzed in 2010-2011. Levels of airborne nicotine were comparatively high in P&Bs. No association was detected between levels of nicotine and the P&Bs' characteristics. In the larger towns, levels of airborne nicotine were higher. In 16% of towns the local authority officials reported high levels of law enforcement. Generally, levels of reported enforcement by local authorities were low and did not predict levels of airborne nicotine in the P&Bs. Self-reported local authorities' law enforcement was not associated with levels of airborne nicotine in P&Bs in these towns. There is a need to develop ways to increase law enforcement by the local authorities or other agencies.

  7. Local variation of fragility and glass transition temperature of ultra-thin supported polymer films.

    Science.gov (United States)

    Hanakata, Paul Z; Douglas, Jack F; Starr, Francis W

    2012-12-28

    Despite extensive efforts, a definitive picture of the glass transition of ultra-thin polymer films has yet to emerge. The effect of film thickness h on the glass transition temperature T(g) has been widely examined, but this characterization does not account for the fragility of glass-formation, which quantifies how rapidly relaxation times vary with temperature T. Accordingly, we simulate supported polymer films of a bead-spring model and determine both T(g) and fragility, both as a function of h and film depth. We contrast changes in the relaxation dynamics with density ρ and demonstrate the limitations of the commonly invoked free-volume layer model. As opposed to bulk polymer materials, we find that the fragility and T(g) do not generally vary proportionately. Consequently, the determination of the fragility profile--both locally and for the film as a whole--is essential for the characterization of changes in film dynamics with confinement.

  8. A SOUND SOURCE LOCALIZATION TECHNIQUE TO SUPPORT SEARCH AND RESCUE IN LOUD NOISE ENVIRONMENTS

    Science.gov (United States)

    Yoshinaga, Hiroshi; Mizutani, Koichi; Wakatsuki, Naoto

    At some sites of earthquakes and other disasters, rescuers search for people buried under rubble by listening for the sounds which they make. Thus developing a technique to localize sound sources amidst loud noise will support such search and rescue operations. In this paper, we discuss an experiment performed to test an array signal processing technique which searches for unperceivable sound in loud noise environments. Two speakers simultaneously played a noise of a generator and a voice decreased by 20 dB (= 1/100 of power) from the generator noise at an outdoor space where cicadas were making noise. The sound signal was received by a horizontally set linear microphone array 1.05 m in length and consisting of 15 microphones. The direction and the distance of the voice were computed and the sound of the voice was extracted and played back as an audible sound by array signal processing.

  9. Text localization using standard deviation analysis of structure elements and support vector machines

    Directory of Open Access Journals (Sweden)

    Zagoris Konstantinos

    2011-01-01

    Full Text Available Abstract A text localization technique is required to successfully exploit document images such as technical articles and letters. The proposed method detects and extracts text areas from document images. Initially a connected components analysis technique detects blocks of foreground objects. Then, a descriptor that consists of a set of suitable document structure elements is extracted from the blocks. This is achieved by incorporating an algorithm called Standard Deviation Analysis of Structure Elements (SDASE which maximizes the separability between the blocks. Another feature of the SDASE is that its length adapts according to the requirements of the application. Finally, the descriptor of each block is used as input to a trained support vector machines that classify the block as text or not. The proposed technique is also capable of adjusting to the text structure of the documents. Experimental results on benchmarking databases demonstrate the effectiveness of the proposed method.

  10. Local existence of solutions to the Euler-Poisson system, including densities without compact support

    Science.gov (United States)

    Brauer, Uwe; Karp, Lavi

    2018-01-01

    Local existence and well posedness for a class of solutions for the Euler Poisson system is shown. These solutions have a density ρ which either falls off at infinity or has compact support. The solutions have finite mass, finite energy functional and include the static spherical solutions for γ = 6/5. The result is achieved by using weighted Sobolev spaces of fractional order and a new non-linear estimate which allows to estimate the physical density by the regularised non-linear matter variable. Gamblin also has studied this setting but using very different functional spaces. However we believe that the functional setting we use is more appropriate to describe a physical isolated body and more suitable to study the Newtonian limit.

  11. Local Adaptive Control of Solar Photovoltaics and Electric Water Heaters for Real-time Grid Support

    DEFF Research Database (Denmark)

    Bhattarai, Bishnu Prasad; Mendaza, Iker Diaz de Cerio; Bak-Jensen, Birgitte

    2016-01-01

    Overvoltage (OV) in a low voltage distribution network is one of the foremost issues observed even under moderate penetration of rooftop solar photovoltaics (PVs). Similarly, grid under-voltage (UV) is foreseen as a potential issue resulting from increased integration of large flexible loads......, such as electric vehicles, electric water heaters (EWHs) etc. An adaptive control using only local measurements for the EWHs and PVs is proposed in this study to alleviate OV as well as UV issues. The adaptive control is designed such that it monitors the voltage at the point of connection and adjusts active...... and reactive power injection/consumptions of the EWHs and PVs following the voltage violations. To effectively support the network in real-time, the controller allows EWHs to operate prior to PVs in OV and after the PVs in UV violations. The effectiveness of the proposed control strategy is demonstrated...

  12. 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...

  13. 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

  14. Implementation of ways to effectively integrate health into local environmental planning

    DEFF Research Database (Denmark)

    Jakobsen, Mette Winge

    2015-01-01

    Health impact assessment (HIA) is an approach to ensure sustainable policymaking and development in relation to health. Despite increased interest only few actual HIAs have been carried out in Denmark. In 2011, the Danish Ministry of Health financed the Danish Healthy Cities Network project HIA...... in Danish Municipalities and Region. The project aimed to increase capacity in and implementation of HIA in Denmark as well as ensure health in all policies (HiAP). Mapping of past and current HIA activities was done in 2011 followed by the development of three HIA implementation models...

  15. 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.

  16. 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)

  17. Automatic local beam steering systems for NSLS x-ray storage ring: Design and implementation

    International Nuclear Information System (INIS)

    Singh, O.V.; Nawrocky, R.; Flannigan, J.

    1991-01-01

    Recently, two local automatic steering systems, controlled by microprocessors, have been installed and commissioned in the NSLS X- Ray storage ring. In each system, the position of the electron beam is stabilized at two locations by four independent servo systems. This paper describes three aspects of the local feedback program: design; commissioning; and limitation. The system design is explained by identifying major elements such as beam position detectors, signal processors, compensation amplifiers, ratio amplifiers, trim equalizers and microprocessor feedback controllers. System commissioning involves steps such as matching trim compensation, determination of local orbit bumps, measurement of open loop responses and design of servo circuits. Several limitations of performance are also discussed. 7 refs., 2 figs

  18. Implementation of treatment guidelines to support judicious use of antibiotic therapy.

    Science.gov (United States)

    Deuster, S; Roten, I; Muehlebach, S

    2010-02-01

    Judicious use of antibiotics is essential considering the growth of antimicrobial resistance and escalating costs in health care. This intervention study used treatment guidelines to improve antibiotic therapy by changing prescribing practice. A before-after intervention study was performed in a 550-bed tertiary care teaching hospital in Switzerland, with an additional follow-up analysis 1 year later. The pre-intervention phase included chart analysis of current antibiotic use in 100 consecutive patients from the representative medical and surgical wards included in the study. Treatment guidelines were defined, taking into account published guidelines, the local antibacterial sensitivity of the pathogens, and the hospital antibiotic formulary defined by the drug and therapeutics committee. The guidelines were presented to the medical residents on a pocket card. They were informed and educated by the pharmacist (intervention). In the post-intervention phase immediately after the instruction, and in the follow-up phase 1 year later, a prospective analysis of antibiotic prescription was performed by chart review of 100 antibacterial treatments in consecutive patients to detect changes in antibiotic prescribing (treatment) and to determine whether these changes were sustained. The pre-intervention review of antibiotic use showed the need for therapy improvements in urinary tract infections (UTI) and hospital-acquired pneumonia (HAP). In the post-intervention phase 100% of UTI were treated as recommended, compared to 30% before the intervention (P UTI. Before implementation of the clinical guidelines, HAP was inappropriately treated like community-acquired pneumonia (CAP). Immediately after the intervention, 50% of HAP patients were treated as recommended, and 1 year later (follow-up phase) 56% of HAP patients received the recommended antibiotic medication. This change in prescription practice was significant (P < 0.05). Antibiotic treatment guidelines for the

  19. The NOAA Local Climate Analysis Tool - An Application in Support of a Weather Ready Nation

    Science.gov (United States)

    Timofeyeva, M. M.; Horsfall, F. M.

    2012-12-01

    Citizens across the U.S., including decision makers from the local to the national level, have a multitude of questions about climate, such as the current state and how that state fits into the historical context, and more importantly, how climate will impact them, especially with regard to linkages to extreme weather events. Developing answers to these types of questions for locations has typically required extensive work to gather data, conduct analyses, and generate relevant explanations and graphics. Too frequently providers don't have ready access to or knowledge of reliable, trusted data sets, nor sound, scientifically accepted analysis techniques such that they can provide a rapid response to queries they receive. In order to support National Weather Service (NWS) local office forecasters with information they need to deliver timely responses to climate-related questions from their customers, we have developed the Local Climate Analysis Tool (LCAT). LCAT uses the principles of artificial intelligence to respond to queries, in particular, through use of machine technology that responds intelligently to input from users. A user translates customer questions into primary variables and issues and LCAT pulls the most relevant data and analysis techniques to provide information back to the user, who in turn responds to their customer. Most responses take on the order of 10 seconds, which includes providing statistics, graphical displays of information, translations for users, metadata, and a summary of the user request to LCAT. Applications in Phase I of LCAT, which is targeted for the NWS field offices, include Climate Change Impacts, Climate Variability Impacts, Drought Analysis and Impacts, Water Resources Applications, Attribution of Extreme Events, and analysis techniques such as time series analysis, trend analysis, compositing, and correlation and regression techniques. Data accessed by LCAT are homogenized historical COOP and Climate Prediction Center

  20. 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…

  1. Design and implementation of an interactive website to support long-term maintenance of weight loss.

    Science.gov (United States)

    Stevens, Victor J; Funk, Kristine L; Brantley, Phillip J; Erlinger, Thomas P; Myers, Valerie H; Champagne, Catherine M; Bauck, Alan; Samuel-Hodge, Carmen D; Hollis, Jack F

    2008-01-25

    For most individuals, long-term maintenance of weight loss requires long-term, supportive intervention. Internet-based weight loss maintenance programs offer considerable potential for meeting this need. Careful design processes are required to maximize adherence and minimize attrition. This paper describes the development, implementation and use of a Web-based intervention program designed to help those who have recently lost weight sustain their weight loss over 1 year. The weight loss maintenance website was developed over a 1-year period by an interdisciplinary team of public health researchers, behavior change intervention experts, applications developers, and interface designers. Key interactive features of the final site include social support, self-monitoring, written guidelines for diet and physical activity, links to appropriate websites, supportive tools for behavior change, check-in accountability, tailored reinforcement messages, and problem solving and relapse prevention training. The weight loss maintenance program included a reminder system (automated email and telephone messages) that prompted participants to return to the website if they missed their check-in date. If there was no log-in response to the email and telephone automated prompts, a staff member called the participant. We tracked the proportion of participants with at least one log-in per month, and analyzed log-ins as a result of automated prompts. The mean age of the 348 participants enrolled in an ongoing randomized trial and assigned to use the website was 56 years; 63% were female, and 38% were African American. While weight loss data will not be available until mid-2008, website use remained high during the first year with over 80% of the participants still using the website during month 12. During the first 52 weeks, participants averaged 35 weeks with at least one log-in. Email and telephone prompts appear to be very effective at helping participants sustain ongoing website use

  2. The Politics of Implementing Local Cultures in Music Education in Taiwan

    Science.gov (United States)

    Ho, Wai-Chung

    2006-01-01

    The purpose of the present study was to investigate how the national development of Taiwan has shaped the context of music learning through the development of local cultures in current education reform. Through the examination of relevant literature, official documents, websites and a selection of music education publications that are commonly…

  3. 78 FR 9889 - Proposed Information Collection; Comment Request; State and Local Implementation Grant Program...

    Science.gov (United States)

    2013-02-12

    ... rural as well as urban areas. Because the appointment of the FirstNet Board occurred on August 20, 2012... resiliency requirements; (v) assignment of priority to local users and selection of entities seeking network... format. III. Data OMB Control Number: 0660-0038. Form Number(s): None. Type of Review: Regular submission...

  4. 77 FR 50481 - Development of Programmatic Requirements for the State and Local Implementation Grant Program To...

    Science.gov (United States)

    2012-08-21

    ... and marketing components; \\33\\ number of regional/local/tribal governmental entities using the network... IGBs should continue to have principle [sic] responsibility for interoperability within the NPSBN''); Minnesota at 8 (``[E]xisting IGBs should continue to have principle [sic] responsibility for...

  5. The implementation of local wisdom in reducing natural disaster risk: a case study from West Sumatera

    Science.gov (United States)

    Zulfadrim, Z.; Toyoda, Y.; Kanegae, H.

    2018-01-01

    The purpose of this paper is to introduce some local wisdoms in West Sumatra and propose their challenges that modern values have degraded its knowledge. In a contemporary context, traditional stories (written and oral stories) still relevant to be used and internalized in disaster risk reduction. Traditional knowledge or local wisdom is a system of knowledge derived from long experienced process in the past, adopted and handed over to next generation through evolutionary process. Indigenous or traditional knowledge can be practiced in understanding the nature of natural disaster, to propose the best action in mitigation, to respond in emergency phase, and to suggest more option for recovery process based on previous experience. The paper based on four weeks field research in west Sumatra which is known with their natural hazards due to its geographical location. In the beginning, this paper discusses the nature of local wisdom and how it can be matched in disaster management, then continues to the specific case how the traditional stories in West Sumatera can be internalized and integrated with contemporary disaster risk reduction. This paper proves that local wisdom can be useful as an effective instrument to deal with natural disaster or natural hazard.

  6. The Global-Local Negotiation: Between the Official and the Implemented History Curriculum in Israeli Classrooms

    Science.gov (United States)

    Yemini, Miri; Bronshtein, Yifat

    2016-01-01

    Globalisation and technological advances in the twenty-first century have caused a blurring of national lines, which in the past were the basis of a nearly indisputable model of civic identity. This process has led to a noticeable trend of the globally oriented pressures within the national curricula, on top of the existing locally oriented…

  7. 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

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. Implementing and evaluating e-communication to improve intersectoral cooperation between hospitals and local communities

    DEFF Research Database (Denmark)

    Nicolaisen, Anne; Qvist, Peter

    2015-01-01

    services for the patient. The Region of Southern Denmark has implemented e-communication to improve the cooperation across health care sectors. Communities and hospitals in the Region of Southern Denmark agreed to comply to specified quality standards for the content and timeliness of information exchange...... these will be presented at the conference. Keywords: e-communication, cooperation across health care sectors, audit, evaluation, practice...

  14. 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.).

  15. National satellite-based humid tropical forest change assessment in Peru in support of REDD+ implementation

    Science.gov (United States)

    Potapov, P. V.; Dempewolf, J.; Talero, Y.; Hansen, M. C.; Stehman, S. V.; Vargas, C.; Rojas, E. J.; Castillo, D.; Mendoza, E.; Calderón, A.; Giudice, R.; Malaga, N.; Zutta, B. R.

    2014-12-01

    Transparent, consistent, and accurate national forest monitoring is required for successful implementation of reducing emissions from deforestation and forest degradation (REDD+) programs. Collecting baseline information on forest extent and rates of forest loss is a first step for national forest monitoring in support of REDD+. Peru, with the second largest extent of Amazon basin rainforest, has made significant progress in advancing its forest monitoring capabilities. We present a national-scale humid tropical forest cover loss map derived by the Ministry of Environment REDD+ team in Peru. The map quantifies forest loss from 2000 to 2011 within the Peruvian portion of the Amazon basin using a rapid, semi-automated approach. The available archive of Landsat imagery (11 654 scenes) was processed and employed for change detection to obtain annual gross forest cover loss maps. A stratified sampling design and a combination of Landsat (30 m) and RapidEye (5 m) imagery as reference data were used to estimate the primary forest cover area, total gross forest cover loss area, proportion of primary forest clearing, and to validate the Landsat-based map. Sample-based estimates showed that 92.63% (SE = 2.16%) of the humid tropical forest biome area within the country was covered by primary forest in the year 2000. Total gross forest cover loss from 2000 to 2011 equaled 2.44% (SE = 0.16%) of the humid tropical forest biome area. Forest loss comprised 1.32% (SE = 0.37%) of primary forest area and 9.08% (SE = 4.04%) of secondary forest area. Validation confirmed a high accuracy of the Landsat-based forest cover loss map, with a producer’s accuracy of 75.4% and user’s accuracy of 92.2%. The majority of forest loss was due to clearing (92%) with the rest attributed to natural processes (flooding, fires, and windstorms). The implemented Landsat data processing and classification system may be used for operational annual forest cover loss updates at the national level for REDD

  16. National satellite-based humid tropical forest change assessment in Peru in support of REDD+ implementation

    International Nuclear Information System (INIS)

    Potapov, P V; Dempewolf, J; Talero, Y; Hansen, M C; Stehman, S V; Vargas, C; Rojas, E J; Calderón, A; Giudice, R; Malaga, N; Zutta, B R; Castillo, D; Mendoza, E

    2014-01-01

    Transparent, consistent, and accurate national forest monitoring is required for successful implementation of reducing emissions from deforestation and forest degradation (REDD+) programs. Collecting baseline information on forest extent and rates of forest loss is a first step for national forest monitoring in support of REDD+. Peru, with the second largest extent of Amazon basin rainforest, has made significant progress in advancing its forest monitoring capabilities. We present a national-scale humid tropical forest cover loss map derived by the Ministry of Environment REDD+ team in Peru. The map quantifies forest loss from 2000 to 2011 within the Peruvian portion of the Amazon basin using a rapid, semi-automated approach. The available archive of Landsat imagery (11 654 scenes) was processed and employed for change detection to obtain annual gross forest cover loss maps. A stratified sampling design and a combination of Landsat (30 m) and RapidEye (5 m) imagery as reference data were used to estimate the primary forest cover area, total gross forest cover loss area, proportion of primary forest clearing, and to validate the Landsat-based map. Sample-based estimates showed that 92.63% (SE = 2.16%) of the humid tropical forest biome area within the country was covered by primary forest in the year 2000. Total gross forest cover loss from 2000 to 2011 equaled 2.44% (SE = 0.16%) of the humid tropical forest biome area. Forest loss comprised 1.32% (SE = 0.37%) of primary forest area and 9.08% (SE = 4.04%) of secondary forest area. Validation confirmed a high accuracy of the Landsat-based forest cover loss map, with a producer’s accuracy of 75.4% and user’s accuracy of 92.2%. The majority of forest loss was due to clearing (92%) with the rest attributed to natural processes (flooding, fires, and windstorms). The implemented Landsat data processing and classification system may be used for operational annual forest cover loss updates at the national level

  17. 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.

  18. 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.

  19. 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.

  20. local

    Directory of Open Access Journals (Sweden)

    Abílio Amiguinho

    2005-01-01

    Full Text Available The process of socio-educational territorialisation in rural contexts is the topic of this text. The theme corresponds to a challenge to address it having as main axis of discussion either the problem of social exclusion or that of local development. The reasons to locate the discussion in this last field of analysis are discussed in the first part of the text. Theoretical and political reasons are there articulated because the question is about projects whose intentions and practices call for the political both in the theoretical debate and in the choices that anticipate intervention. From research conducted for several years, I use contributions that aim at discuss and enlighten how school can be a potential locus of local development. Its identification and recognition as local institution (either because of those that work and live in it or because of those that act in the surrounding context are crucial steps to progressively constitute school as a partner for development. The promotion of the local values and roots, the reconstruction of socio-personal and local identities, the production of sociabilities and the equation and solution of shared problems were the dimensions of a socio-educative intervention, markedly globalising. This scenario, as it is argued, was also, intentionally, one of transformation and of deliberate change of school and of the administration of the educative territoires.

  1. Functional design and implementation proposal of a tool to support collaborative knwoledge building

    Directory of Open Access Journals (Sweden)

    Iolanda Garcia Gonzalez

    2013-02-01

    Full Text Available 0 0 1 147 810 USAL 6 1 956 14.0 Normal 0 21 false false false ES JA X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:Calibri; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-ansi-language:ES; mso-fareast-language:EN-US;} This article describes the process of conceptualization and functional design of an electronic forum, which aims to facilitate learning processes based on communication, but also on collaboration and social knowledge building, and their monitoring and evaluation. The experience is based on an innovation project involving the design, development and pilot implementation of an asynchronous communication tool, in the context of the Open University of Catalonia (UOC virtual campus. The design of the tool is based on the analysis of different reference models regarding the use of technology to support collaborative learning and social knowledge building processes. In parallel, and after analyzing some models for the study of collaborative knowledge building processes in virtual environments, the article presents a proposal for the analysis and assessment of such processes mediated by asynchronous communication tools similar to the one designed.

  2. Career Advancement and Work Support Services on the Job: Implementing the Fort Worth Work Advancement and Support Center Program

    Science.gov (United States)

    Schultz, Caroline; Seith, David

    2011-01-01

    The Work Advancement and Support Center (WASC) program in Fort Worth was part of a demonstration that is testing innovative strategies to help increase the income of low-wage workers, who make up a large segment of the U.S. workforce. The program offered services to help workers stabilize their employment, improve their skills, and increase their…

  3. Ectopic lymphoid tissues support local immunoglobulin production in patients with chronic rhinosinusitis with nasal polyps.

    Science.gov (United States)

    Song, Jia; Wang, Hai; Zhang, Ya-Na; Cao, Ping-Ping; Liao, Bo; Wang, Zhe-Zheng; Shi, Li-Li; Yao, Yin; Zhai, Guan-Ting; Wang, Zhi-Chao; Liu, Li-Meng; Zeng, Ming; Lu, Xiang; Wang, Heng; Yang, Xiang-Ping; Yu, Di; Bachert, Claus; Liu, Zheng

    2018-03-01

    The contribution of ectopic lymphoid tissues (eLTs) to local immunoglobulin hyperproduction in patients with chronic rhinosinusitis with nasal polyps (CRSwNP) is unclear. We sought to explore the cellular basis, formation mechanisms, and function of eLTs in patients with CRSwNP. We graded lymphoid aggregations in sinonasal mucosa and histologically studied their structures. The expression of lymphorganogenic factors and molecules required for immunoglobulin production was measured by using real-time PCR, and their localization was analyzed by means of immunohistochemistry and immunofluorescence. The phenotype of follicular helper T cells was analyzed by performing flow cytometry. Immunoglobulin levels were quantified by using the Bio-Plex assay or ImmunoCAP system. Nasal tissue explants were challenged ex vivo with Dermatophagoides pteronyssinus group 1 (Der p 1), and the expression of Iε-Cμ and Iε-Cγ circle transcripts was detected by using seminested PCR. Increased formation of eLTs with germinal center-like structures was discovered in patients with eosinophilic (20.69%) and noneosinophilic (17.31%) CRSwNP compared with that in patients with chronic rhinosinusitis without nasal polyps (5.66%) and control subjects (3.70%). The presence of eLTs was associated with increased expression of lymphorganogenic and inflammatory chemokines and cytokines, as well as their receptors. The expression of molecules required for immunoglobulin production, generation of follicular helper T cells, and production of IgE in eosinophilic polyps and IgG and IgA in both eosinophilic and noneosinophilic polyps were predominantly upregulated in patients with eLTs. After Der p 1 challenge ex vivo, Iε-Cμ transcript was detected only in eosinophilic polyps with eLTs but not in polyps without eLTs and noneosinophilic polyps. eLTs might support local immunoglobulin production and therefore significantly contribute to the development of CRSwNP. Copyright © 2017 American Academy of

  4. An Extension to a Filter Implementation of Local Quadratic Surface for Image Noise Estimation

    DEFF Research Database (Denmark)

    Nielsen, Allan Aasbjerg

    1999-01-01

    Based on regression analysis this paper gives a description for simple image filter design. Specifically 3x3 filter implementations of a quadratic surface, residuals from this surface, gradients and the Laplacian are given. For the residual a 5x5 filter is given also. It is shown that the 3x3......) it is concluded that if striping is to be considered as a part of the noise, the residual from a 3x3 median filter seems best. If we are interested in a salt-and-pepper noise estimator the proposed extension to the 3x3 filter for the residual from a quadratic surface seems best. Simple statistics...

  5. Sensor Network-Based Localization for Continuous Tracking Applications: Implementation and Performance Evaluation

    Directory of Open Access Journals (Sweden)

    Franco Davoli

    2008-10-01

    Full Text Available The increasing interest in systems able to provide users with immersive services (e.g., domotics, context-aware applications, and immersive distance learning tools has encouraged the development of cheap and effective platforms aimed at tracking objects and people within a certain space. In this context, wireless sensor networks (WSNs can play a very important role, since specialized sensors can be fruitfully exploited in order to generate/receive signals by means of which the WSN can derive the position of nodes joined to the objects to be tracked. The paper presents an original localization platform that exploits a single-hop WSN, based on a Microchip MCU and a Cypress RF device, to track its moving nodes. Specifically, the nodes of the network are divided into three sets: the first set consists of anchor nodes that, according to the commands from the sink (the central node of the WSN, generate ultrasonic pulses. These pulses are received by the second set of (moving nodes, which estimate the pulse time trip and communicate it to the sink. Finally, the last set is constituted by general purpose nodes that collect any kind of data from the surrounding field. The sink gathers all the data, computes the position of moving nodes, and transfers information to external users on the Internet. The algorithms adopted to manage the network and to localize moving nodes are discussed. A working prototype based upon the hardware platform, software, and protocol described in this paper has been deployed and tested, and some results are shown. Simulation results of the localization system are presented to show system scalability.

  6. Localization of thermal anomalies in electrical equipment using Infrared Thermography and support vector machine

    Science.gov (United States)

    Laib dit Leksir, Y.; Mansour, M.; Moussaoui, A.

    2018-03-01

    Analysis and processing of databases obtained from infrared thermal inspections made on electrical installations require the development of new tools to obtain more information to visual inspections. Consequently, methods based on the capture of thermal images show a great potential and are increasingly employed in this field. However, there is a need for the development of effective techniques to analyse these databases in order to extract significant information relating to the state of the infrastructures. This paper presents a technique explaining how this approach can be implemented and proposes a system that can help to detect faults in thermal images of electrical installations. The proposed method classifies and identifies the region of interest (ROI). The identification is conducted using support vector machine (SVM) algorithm. The aim here is to capture the faults that exist in electrical equipments during an inspection of some machines using A40 FLIR camera. After that, binarization techniques are employed to select the region of interest. Later the comparative analysis of the obtained misclassification errors using the proposed method with Fuzzy c means and Ostu, has also be addressed.

  7. Implementation of a network level protocol on a GIXINET type local network

    International Nuclear Information System (INIS)

    Loeuillet, J.L.

    1987-11-01

    The installation of a communication system for transferring results from several experiment laboratories to a computing center is described. The objectives of a useful bit rate of 24 kbs, low connection cost and simple infrastructure, extension of the network to 4 buildings situated within a radius of 300m, and connection in the most standardized fashion possible are attained by using the GIXINET local network and adopting the X25 packet protocol. Bit rates of 17.2 kbs for standard 128 octet packets, and 44 kbs for nonstandard packets (776 octets in this case) [fr

  8. Global, National, and Local Goals: English Language Policy Implementation in an Indonesian International Standard School

    Directory of Open Access Journals (Sweden)

    Eddy Haryanto

    2012-12-01

    Full Text Available The purpose of this study was to examine the achievement of students in math and science subjects as the impact of using English as a medium of instruction at an international standard school. A questionnaire was used as a research instrument to 190 students at one international standard school in Jambi Province, Indonesia. A focus group discussion (FGD approach was undertaken to validate and verify the data gathered through the questionnaire and clarify some issues raised in the questionnaire. Data were analyzed by using descriptive statistics and Pearson Product Moment Correlation. It was found that the students’ demographic profile, attitude toward English and grades in math and science subjects were significantly related with their academic achievement. However, students’ perception on methods and techniques was not significantly related with their academic achievement in English, math, and the science subjects. The result showed that the implementation of English as a medium of instruction was not done well in the international standard school. This is perhaps due to the difficulty of learning science and math in English. This study provided information for policy makers, school leaders, researchers, and teacher educators to understand how the policy is implemented at the school level. The challenges of attempting too ambitious linguistic and academic goals in the school were discussed as were policy implications and future research.

  9. Traffic and trend analysis of local- and wide-area networks for a distributed PACS implementation

    Science.gov (United States)

    Gac, Robert J., Jr.; Harding, Douglas, Jr.; Weiser, John C.; Chacko, Anna K.; Radvany, Martin; Romlein, John R.

    2000-05-01

    Inductive Modeling Techniques (IMT) in a stand alone, distributed Picture Archiving and Communication System (PACS) or telemedicine environment can be utilized to monitor SNMP (Simple Network Management Protocol) enabled devices such as network switches, servers or workstations. A comprehensive approach using IMT is presented across the stages of the PACS lifecycle: Pre-PACS, Implementation, and Clinical Use. At each stage of the cycle, the results of IMT can be utilized to assist in assessing and forecasting future system loading. This loading represents a clinical trend analysis equating to the clinical workflow and delivery of services. Specific attention is directed to an understanding and thorough depiction of IMT methodology, focusing on the use of SNMP, the Management Information Base (MIB), and the data stream output that is mapped and placed in an object-oriented database and made available for web-based, real time, in-depth viewing and/or analysis. A thorough description of these outputs is presented, spotlighting potential report applications such as system failures; existing system, CPU, workstation, server and LAN/WAN link utilization; packet rates; application isolation; notification of system alarms; fault isolation; high/low bandwidth users; and data transfer rates. These types of data are increasingly required for programming LAN/WAN upgrades as digital imaging and PACS are implemented.

  10. 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

  11. 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

  12. 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...

  13. An intelligent stand-alone ultrasonic device for monitoring local structural damage: implementation and preliminary experiments

    International Nuclear Information System (INIS)

    Pertsch, Alexander; Kim, Jin-Yeon; Wang, Yang; Jacobs, Laurence J

    2011-01-01

    Continuous structural health monitoring has the potential to significantly improve the safety management of aged, in-service civil structures. In particular, monitoring of local damage growth at hot-spot areas can help to prevent disastrous structural failures. Although ultrasonic nondestructive evaluation (NDE) has proved to be effective in monitoring local damage growth, conventional equipment and devices are usually bulky and only suitable for scheduled human inspections. The objective of this research is to harness the latest developments in embedded hardware and wireless communication for developing a stand-alone, compact ultrasonic device. The device is directed at the continuous structural health monitoring of civil structures. Relying on battery power, the device possesses the functionalities of high-speed actuation, sensing, signal processing, and wireless communication. Integrated with contact ultrasonic transducers, the device can generate 1 MHz Rayleigh surface waves in a steel specimen and measure response waves. An envelope detection algorithm based on the Hilbert transform is presented for efficiently determining the peak values of the response signals, from which small surface cracks are successfully identified

  14. Whole pelvic helical tomotherapy for locally advanced cervical cancer: technical implementation of IMRT with helical tomothearapy

    International Nuclear Information System (INIS)

    Hsieh, Chen-Hsi; Shueng, Pei-Wei; Wei, Ming-Chow; Lee, Hsing-Yi; Hsiao, Sheng-Mou; Chen, Chien-An; Wang, Li-Ying; Hsieh, Yen-Ping; Tsai, Tung-Hu; Chen, Yu-Jen

    2009-01-01

    To review the experience and to evaluate the treatment plan of using helical tomotherapy (HT) for the treatment of cervical cancer. Between November 1st, 2006 and May 31, 2009, 10 cervical cancer patients histologically confirmed were enrolled. All of the patients received definitive concurrent chemoradiation (CCRT) with whole pelvic HT (WPHT) followed by brachytherapy. During WPHT, all patients were treated with cisplatin, 40 mg/m 2 intravenously weekly. Toxicity of treatment was scored according to the Common Terminology Criteria for Adverse Events v3.0 (CTCAE v3.0). The mean survival was 25 months (range, 3 to 27 months). The actuarial overall survival, disease-free survival, locoregional control and distant metastasis-free rates at 2 years were 67%, 77%, 90% and 88%, respectively. The average of uniformity index and conformal index was 1.06 and 1.19, respectively. One grade 3 of acute toxicity for diarrhea, thrombocytopenia and three grade 3 leucopenia were noted during CCRT. Only one grade 3 of subacute toxicity for thrombocytopenia was noted. There were no grade 3 or 4 subacute toxicities of anemia, leucopenia, genitourinary or gastrointestinal effects. Compared with conventional whole pelvic radiation therapy (WPRT), WPHT decreases the mean dose to rectum, bladder and intestines successfully. HT provides feasible clinical outcomes in locally advanced cervical cancer patients. Long-term follow-up and enroll more locally advanced cervical carcinoma patients by limiting bone marrow radiation dose with WPHT technique is warranted

  15. Implementation of Localized Corrosion in the Performance Assessment Model for Yucca Mountain

    International Nuclear Information System (INIS)

    Vivek Jain, S.; David Sevougian; Patrick D. Mattie; Kevin G. Mon; Robert J. Mackinnon

    2006-01-01

    A total system performance assessment (TSPA) model has been developed to analyze the ability of the natural and engineered barriers of the Yucca Mountain repository to isolate nuclear waste over the 10,000-year period following repository closure. The principal features of the engineered barrier system (EBS) are emplacement tunnels (or ''drifts'') containing a two-layer waste package (WP) for waste containment and a titanium drip shield to protect the waste package from seeping water and falling rock, The 20-mm-thick outer shell of the WP is composed of Alloy 22, a highly corrosion-resistant nickel-based alloy. The barrier function of the EBS is to isolate the waste from migrating water. The water and its associated chemical conditions eventually lead to degradation of the waste packages and mobilization of the radionuclides within the packages. There are five possible waste package degradation modes of the Alloy 22: general corrosion, microbially influenced corrosion, stress corrosion cracking, early failure due to manufacturing defects, and localized corrosion. This paper specifically examines the incorporation of the Alloy-22 localized corrosion model into the Yucca Mountain TSPA model, particularly the abstraction and modeling methodology, as well as issues dealing with scaling, spatial variability, uncertainty, and coupling to other sub-models that are part of the total system model

  16. Dirt: Integrating Scientific and Local Knowledge to Support Global Land Management

    Science.gov (United States)

    Okin, G.; Herrick, J.; Bestelmeyer, B.; Hanan, N. P.; Neff, J. C.; Peters, D. P. C.; Sala, O.; Salley, S. W.; Vivoni, E. R.; Wills, S. A.

    2017-12-01

    "Dirt." "It's that elm shade, red rust clay you grew up on - That plowed up ground that your dad damned his luck on." We will draw on the first lines of the chorus from a song by Florida Georgia Line to explain how our collective research can provide insights to help prevent the next Dust Bowl, increase returns on investments in land restoration, and limit nutrient runoff to the Gulf of Mexico. Our presentation will show how we are supporting management decisions in New Mexico, Namibia and Mongolia by integrating NRCS soil survey information with an understanding of soil variability, and landscape patterns and dynamics developed at the Jornada LTER and USDA-ARS research unit, working with and drawing on related research from around the world. We will highlight work identifying wind erosion thresholds based on easily measured changes in vegetation structure. We will also demonstrate how landscape stratification by soils can be used to increase the probability of success of restoration treatments. We will end with a demonstration of a suite of mobile phone apps that are being developed to increase access to scientific knowledge by farmers, policymakers and natural resource managers around the world, and to allow them to contextualize and share their own soil-specific local knowledge. A co-benefit is the use as a crowd-sourcing tool.

  17. Local Plant Diversity Across Multiple Habitats Supports a Diverse Wild Bee Community in Pennsylvania Apple Orchards.

    Science.gov (United States)

    Kammerer, Melanie A; Biddinger, David J; Rajotte, Edwin G; Mortensen, David A

    2016-02-01

    Wild pollinators supply essential, historically undervalued pollination services to crops and other flowering plant communities with great potential to ensure agricultural production against the loss of heavily relied upon managed pollinators. Local plant communities provision wild bees with crucial floral and nesting resources, but the distribution of floristic diversity among habitat types in North American agricultural landscapes and its effect on pollinators are diverse and poorly understood, especially in orchard systems. We documented floristic diversity in typical mid-Atlantic commercial apple (Malus domestica Borkh.) orchards including the forest and orchard-forest edge ("edge") habitats surrounding orchards in a heterogeneous landscape in south-central Pennsylvania, USA. We also assessed the correlation between plant richness and orchard pollinator communities. In this apple production region, edge habitats are the most species rich, supporting 146 out of 202 plant species recorded in our survey. Plant species richness in the orchard and edge habitats were significant predictors of bee species richness and abundance in the orchard, as well as landscape area of the forest and edge habitats. Both the quantity and quality of forest and edges close to orchards play a significant role in provisioning a diverse wild bee community in this agroecosystem. © The Authors 2015. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  18. Stroke localization and classification using microwave tomography with k-means clustering and support vector machine.

    Science.gov (United States)

    Guo, Lei; Abbosh, Amin

    2018-05-01

    For any chance for stroke patients to survive, the stroke type should be classified to enable giving medication within a few hours of the onset of symptoms. In this paper, a microwave-based stroke localization and classification framework is proposed. It is based on microwave tomography, k-means clustering, and a support vector machine (SVM) method. The dielectric profile of the brain is first calculated using the Born iterative method, whereas the amplitude of the dielectric profile is then taken as the input to k-means clustering. The cluster is selected as the feature vector for constructing and testing the SVM. A database of MRI-derived realistic head phantoms at different signal-to-noise ratios is used in the classification procedure. The performance of the proposed framework is evaluated using the receiver operating characteristic (ROC) curve. The results based on a two-dimensional framework show that 88% classification accuracy, with a sensitivity of 91% and a specificity of 87%, can be achieved. Bioelectromagnetics. 39:312-324, 2018. © 2018 Wiley Periodicals, Inc. © 2018 Wiley Periodicals, Inc.

  19. Using iKidTools™ Software Support Systems to Develop and Implement Self-Monitoring Interventions

    Science.gov (United States)

    Patti, Angela L.; Miller, Kevin J.

    2011-01-01

    Educational teams often are faced with the task of developing and implementing Behavioral Intervention Plans (BIPs) for students who present challenging and/or disruptive behaviors. This article describes the steps used to develop and implement a self-monitoring BIP that incorporated an innovative software system, iKidTools™. An authentic case…

  20. Tiered Models of Integrated Academic and Behavioral Support: Effect of Implementation Level on Academic Outcomes

    Science.gov (United States)

    Noltemeyer, Amity; Sansosti, Frank J.

    2012-01-01

    This exploratory study examined (a) Integrated Systems Model (ISM) implementation levels, and (b) the effect of implementation of the academic and behavioral components of ISM on student academic outcomes. Participants included 2,660 students attending six suburban elementary schools. Hierarchical linear regression was conducted using a control…

  1. Applying Adult Behavior Change Theory to Support Mediator-Based Intervention Implementation

    Science.gov (United States)

    Sanetti, Lisa M. H.; Kratochwill, Thomas R.; Long, Anna C. J.

    2013-01-01

    A majority of evidence-based interventions in schools are delivered through consultation models and are implemented by a mediator, such as a teacher. Research indicates that mediators do not always adequately implement adopted evidence-based interventions, limiting their effectiveness in transforming student outcomes. We propose that to transform…

  2. Designing a Deeply Digital Science Curriculum: Supporting Teacher Learning and Implementation with Organizing Technologies

    Science.gov (United States)

    Leary, Heather; Severance, Samuel; Penuel, William R.; Quigley, David; Sumner, Tamara; Devaul, Holly

    2016-01-01

    This paper examines the impacts of technology (e.g., Chromebooks, Google Drive) on teacher learning and student activity in the development and implementation of a deeply digital high school biology unit. Using design-based implementation research, teachers co-designed with researchers and curriculum specialists a student-centered unit aligned to…

  3. 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

  4. 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

  5. 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…

  6. "It Takes a Village": A Case Study of Positive Behavioral Interventions and Supports Implementation in an Exemplary Urban Middle School

    Science.gov (United States)

    Goodman-Scott, Emily; Hays, Danica G.; Cholewa, Blaire E.

    2018-01-01

    Positive Behavioral Interventions and Supports (PBIS) is a widely implemented, culturally responsive framework using prevention and intervention activities to promote a safe school climate and positive academic and behavioral student outcomes. Using a qualitative single-case study design, authors provide a rich description of PBIS implementation…

  7. 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…

  8. 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

    Directory of Open Access Journals (Sweden)

    Taryn Orava

    2017-09-01

    Full Text Available Introduction: 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. Methods: 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. Results: 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. Conclusion: Further assistance is required to sustain comprehensive support for healthy

  9. 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.

  10. Implementation of a Clinical Decision Support Tool for Stool Cultures and Parasitological Studies in Hospitalized Patients.

    Science.gov (United States)

    Nikolic, D; Richter, S S; Asamoto, K; Wyllie, R; Tuttle, R; Procop, G W

    2017-12-01

    There is substantial evidence that stool culture and parasitological examinations are of minimal to no value after 3 days of hospitalization. We implemented and studied the impact of a clinical decision support tool (CDST) to decrease the number of unnecessary stool cultures (STCUL), ova/parasite (O&P) examinations, and Giardia / Cryptosporidium enzyme immunoassay screens (GC-EIA) performed for patients hospitalized >3 days. We studied the frequency of stool studies ordered before or on day 3 and after day 3 of hospitalization (i.e., categorical orders/total number of orders) before and after this intervention and denoted the numbers and types of microorganisms detected within those time frames. This intervention, which corresponded to a custom-programmed hard-stop alert tool in the Epic hospital information system, allowed providers to override the intervention by calling the laboratory, if testing was deemed medically necessary. Comparative statistics were employed to determine significance, and cost savings were estimated based on our internal costs. Before the intervention, 129/670 (19.25%) O&P examinations, 47/204 (23.04%) GC-EIA, and 249/1,229 (20.26%) STCUL were ordered after 3 days of hospitalization. After the intervention, 46/521 (8.83%) O&P examinations, 27/157 (17.20%) GC-EIA, and 106/1,028 (10.31%) STCUL were ordered after 3 days of hospitalization. The proportions of reductions in the number of tests performed after 3 days and the associated P values were 54.1% for O&P examinations ( P < 0.0001), 22.58% for GC-EIA ( P = 0.2807), and 49.1% for STCUL ( P < 0.0001). This was estimated to have resulted in $8,108.84 of cost savings. The electronic CDST resulted in a substantial reduction in the number of evaluations of stool cultures and the number of parasitological examinations for patients hospitalized for more than 3 days and in a cost savings while retaining the ability of the clinician to obtain these tests if clinically indicated. Copyright © 2017

  11. Aortic valve biomechanics during LVAD support: Implementation in a bioreactor design and preliminary testing

    Science.gov (United States)

    Jamal, Madiha

    Although Left Ventricle Assist Device (LVAD) support has enhanced the quality of life for many heart failure patients, its prolonged in-vivo implantation causes change in hemodynamics and biomechanics of the aortic heart valve eventually leading to development of aortic insufficiency (AI). The LVAD decreases pressure in the left ventricle, leading to high transvalvular pressure and reduced aortic valve opening. Our hypothesis is that the increased pressure leads to increased mechanical stretch in the aortic valve leaflets, inducing a cascade of responses that ultimately result in local tissue fibrosis and AI. The goal of this study is to investigate the mechanism behind this hypothesis using the methods of tissue engineering. A bioreactor has been built that imparts cyclic stretch and flow to small 3-D constructs of living cells cultured in a silicone membrane. The approach is to use this device for in vitro tissue culture of vascular interstitial cells (VICs) embedded in a collagen gel, which will be subjected to normal and altered stretch and shear representative of the in vivo valve biomechanics. The bioreactor was validated to measure the amount of stretch and shear it can impart to closely replicate in-vivo conditions using PIV technique and ImageJ software. Mean longitudinal strain of 0.037cm (SD= +/-0.013cm) was recorded with mean perpendicular strain being 0.0046cm (SD= +/-0.0169cm). Measured average shear stress imparted at 100ml/min was 2.735 dynes/cm2 (SD= +/-2.25 dynes/cm2) with 6.21 dynes/cm2 (SD= +/-3.35 dynes/cm2) at 200ml/min. The cells that underwent cycles of stretch and shear in the bioreactor were screened for formation of myofibroblast using techniques of immunohistochemistry. The marker used was ? smooth muscle actin (SMA) which identifies pathological differentiation of the CPCs to myofibroblast. Yhe expression of the myofibroblast phenotype is a feature of valvupathy. In case of Shear Vs Static control, the mean value for SMA expression for

  12. 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

  13. A Novel Enhanced Positioning Trilateration Algorithm Implemented for Medical Implant In-Body Localization

    Directory of Open Access Journals (Sweden)

    Peter Brida

    2013-01-01

    Full Text Available Medical implants based on wireless communication will play crucial role in healthcare systems. Some applications need to know the exact position of each implant. RF positioning seems to be an effective approach for implant localization. The two most common positioning data typically used for RF positioning are received signal strength and time of flight of a radio signal between transmitter and receivers (medical implant and network of reference devices with known position. This leads to positioning methods: received signal strength (RSS and time of arrival (ToA. Both methods are based on trilateration. Used positioning data are very important, but the positioning algorithm which estimates the implant position is important as well. In this paper, the proposal of novel algorithm for trilateration is presented. The proposed algorithm improves the quality of basic trilateration algorithms with the same quality of measured positioning data. It is called Enhanced Positioning Trilateration Algorithm (EPTA. The proposed algorithm can be divided into two phases. The first phase is focused on the selection of the most suitable sensors for position estimation. The goal of the second one lies in the positioning accuracy improving by adaptive algorithm. Finally, we provide performance analysis of the proposed algorithm by computer simulations.

  14. FlooDSuM - a decision support methodology for assisting local authorities in flood situations

    Science.gov (United States)

    Schwanbeck, Jan; Weingartner, Rolf

    2014-05-01

    Decision making in flood situations is a difficult task, especially in small to medium-sized mountain catchments (30 - 500 km2) which are usually characterized by complex topography, high drainage density and quick runoff response to rainfall events. Operating hydrological models driven by numerical weather prediction systems, which have a lead-time of several hours up to few even days, would be beneficial in this case as time for prevention could be gained. However, the spatial and quantitative accuracy of such meteorological forecasts usually decrease with increasing lead-time. In addition, the sensitivity of rainfall-runoff models to inaccuracies in estimations of areal rainfall increases with decreasing catchment size. Accordingly, decisions on flood alerts should ideally be based on areal rainfall from high resolution and short-term numerical weather prediction, nowcasts or even real-time measurements, which is transformed into runoff by a hydrological model. In order to benefit from the best possible rainfall data while retaining enough time for alerting and for prevention, the hydrological model should be fast and easily applicable by decision makers within local authorities themselves. The proposed decision support methodology FlooDSuM (Flood Decision Support Methodology) aims to meet those requirements. Applying FlooDSuM, a few successive binary decisions of increasing complexity have to be processed following a flow-chart-like structure. Prepared data and straightforwardly applicable tools are provided for each of these decisions. Maps showing the current flood disposition are used for the first step. While danger of flooding cannot be excluded more and more complex and time consuming methods will be applied. For the final decision, a set of scatter-plots relating areal precipitation to peak flow is provided. These plots take also further decisive parameters into account such as storm duration, distribution of rainfall intensity in time as well as the

  15. How to Develop and Implement a Career Education Support Unit Curriculum: A Practical Guide in 7 Easy Steps.

    Science.gov (United States)

    Turner, Martha D.

    This booklet is intended to instruct local high school educators on how to write a career education support unit curriculum which provides students with activities that will enable them to acquire the basic understanding and skills essential to function effectively within their economic system. Written in a question/answer format, this guide…

  16. 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.

  17. Developing a mailed phantom to implement a local QA program in Egypt radiotherapy centers

    Science.gov (United States)

    Soliman, H. A.; Aletreby, M.

    2016-07-01

    In this work, a simple method that differs from the IAEA/WHO Thermoluminescent dosimeters (TLD) postal quality assurance (QA) program is developed. A small perspex; polymethyl methacrylate (PMMA), phantom measured 50 mm × 50 mm × 50 mm is constructed to be used for absorbed dose verification of high-energy photon beams in some major radiotherapy centers in Egypt. The phantom weighted only 140.7 g with two buildup covers weighted 14.8 and 43.19 g for the Cobalt-60 and the 6-MV X-ray beams, respectively. This phantom is aimed for use in the future's external audit/QA services in Egypt for the first time. TLD-700 chips are used for testing and investigating a convenient and national dosimetry QA program. Although the used methodology is comparable to previously introduced but new system; it has smaller size, less weight, and different more available material. Comparison with the previous similar designs is introduced. Theoretical calculations were done by the commercial Eclipse treatment planning system, implementing the pencil beam convolution algorithm to verify the accuracy of the experimental calculation of the dose conversion factor of water to the perspex phantom. The new constructed small phantom and methodology was applied in 10 participating radiotherapy centers. The absorbed dose was verified under the reference conditions for both 60Co and 6-MV high-energy photon beams. The checked beams were within the 5% limit except for four photon beams. There was an agreement of 0.2% between our experimental data and those previously published confirming the validity of the applied method in verifying radiotherapy absorbed dose.

  18. 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

  19. Validation of Satellite Precipitation Products Using Local Rain Gauges to Support Water Assessment in Cochabamba, Bolivia

    Science.gov (United States)

    Saavedra, O.

    2017-12-01

    The metropolitan region of Cochabamba has been struggling for a consistent water supply master plan for years. The limited precipitation intensities and growing water demand have led to severe water conflicts since 2000 when the fight for water had international visibility. A new dam has just placed into operation, located at the mountain range north of the city, which is the hope to fulfill partially water demand in the region. Looking for feasible water sources and projects are essential to fulfill demand. However, the limited monitoring network composed by conventional rain gauges are not enough to come up with the proper aerial precipitation patterns. This study explores the capabilities of GSMaP-GPM satellite products combined with local rain gauge network to obtain an enhanced product with spatial and temporal resolution. A simple methodology based on penalty factors is proposed to adjust GSMaP-GPM intensities on grid-by-grid basis. The distance of an evaluated grid to the surrounding rain gauges was taken into account. The final correcting factors were obtained by iteration, at this particular case of study four iterations were enough to reduce the relative error. A distributed hydrological model was forced with the enhanced precipitation product to simulate the inflow to the new operating dam. Once the model parameters were calibrated and validated, forecast simulations were run. For the short term, the precipitation trend was projected using exponential equation. As for the long term projection, precipitation and temperature from the hadGEM2 and MIROC global circulation model outputs were used where the last one was found in closer agreement of predictions in the past. Overall, we found out that the amount of 1000 l/s for water supply to the region should be possible to fulfill till 2030. Beyond this year, the intake of two neighboring basins should be constructed to increase the stored volume. This is study was found particularly useful to forecast river

  20. Ubiquitous User Localization in LBS - The Need for Implementing Ethical Thinking in Our Research Field

    Science.gov (United States)

    Retscher, Guenther; Obex, Franz

    2015-12-01

    Location-based Services (LBS) influence nowadays every individual's life due to the emerging market penetration of smartphones and other mobile devices. For smartphone Apps localization technologies are developed ranging from GNSS beyond to other alternative ubiquitous positioning methods as well as the use of the in-built inertial sensors, such as accelerometers, gyroscopes, magnetometer, barometer, etc. Moreover, signals-of-opportunity which are not intended for positioning at the first sight but are receivable in many environments such as in buildings and public spaces are more and more utilized for positioning and navigation. The use of Wi-Fi (Wireless Fidelity) is a typical example. These technologies, however, have become very powerful tools as the enable to track an individual or even a group of users. Most technical researchers imply that it is mainly about further enhancing technologies and algorithms including the development of new advanced Apps to improve personal navigation and to deliver location oriented information just in time to a single LBS user or group of users. The authors claim that there is a need that ethical and political issues have to be addressed within our research community from the very beginning. Although there is a lot of research going on in developing algorithms to keep ones data and LBS search request in private, researchers can no longer keep their credibility without cooperating with ethical experts or an ethical committee. In a study called InKoPoMoVer (Cooperative Positioning for Real-time User Assistance and Guidance at Multi-modal Public Transit Junctions) a cooperation with social scientists was initiated for the first time at the Vienna University of Technology, Austria, in this context. The major aims of this study in relation to ethical questions are addressed in this paper.

  1. 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...

  2. 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.

  3. 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.

  4. Sustainable brooder for supporting local chicken in North Sumatera Province, Indonesia

    Science.gov (United States)

    Ginting, N.; Hidayat, R.

    2018-02-01

    Demand for local chicken has lasted for ages in Sumatera Utara Province, Indonesia. Demand is higher than supply because local chicken has low productivity which caused by several factors, for example heater or brooder for day old chicken (DOC). People who live in villages where mostly local chicken are raised have difficulty in serving brooder as electricity is expensive. In Biological Laboratory, Animal Production Programme Study, University of Sumatera Utara, a study has been conducted from August until November 2016. The objective of this study is to investigate sustainable brooder for local chicken. A study of 300 local DOC with designs: T1) local DOC + electric lamp brooder, T2) local DOC + biogas lamp brooder, T3) local DOC + propane lamp brooder has conducted. The key parameters measured were temperature stability, DOC spread, body weight gain, and mortality. Designs T1, T2 and T3 were almost equal in temperature stability, DOC spread, body weight gain and mortality while T2 was superior as it was environmentally friendly. A recommendation for local people to use biogas brooder instead of electric or LPG brooder.

  5. Efficient computational model for classification of protein localization images using Extended Threshold Adjacency Statistics and Support Vector Machines.

    Science.gov (United States)

    Tahir, Muhammad; Jan, Bismillah; Hayat, Maqsood; Shah, Shakir Ullah; Amin, Muhammad

    2018-04-01

    Discriminative and informative feature extraction is the core requirement for accurate and efficient classification of protein subcellular localization images so that drug development could be more effective. The objective of this paper is to propose a novel modification in the Threshold Adjacency Statistics technique and enhance its discriminative power. In this work, we utilized Threshold Adjacency Statistics from a novel perspective to enhance its discrimination power and efficiency. In this connection, we utilized seven threshold ranges to produce seven distinct feature spaces, which are then used to train seven SVMs. The final prediction is obtained through the majority voting scheme. The proposed ETAS-SubLoc system is tested on two benchmark datasets using 5-fold cross-validation technique. We observed that our proposed novel utilization of TAS technique has improved the discriminative power of the classifier. The ETAS-SubLoc system has achieved 99.2% accuracy, 99.3% sensitivity and 99.1% specificity for Endogenous dataset outperforming the classical Threshold Adjacency Statistics technique. Similarly, 91.8% accuracy, 96.3% sensitivity and 91.6% specificity values are achieved for Transfected dataset. Simulation results validated the effectiveness of ETAS-SubLoc that provides superior prediction performance compared to the existing technique. The proposed methodology aims at providing support to pharmaceutical industry as well as research community towards better drug designing and innovation in the fields of bioinformatics and computational biology. The implementation code for replicating the experiments presented in this paper is available at: https://drive.google.com/file/d/0B7IyGPObWbSqRTRMcXI2bG5CZWs/view?usp=sharing. Copyright © 2018 Elsevier B.V. All rights reserved.

  6. [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.

  7. 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

  8. 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.

  9. Science Credit for Agriculture: Perceived Support, Preferred Implementation Methods and Teacher Science Course Work.

    Science.gov (United States)

    Johnson, Donald M.

    1996-01-01

    Arkansas agriculture teachers (213 of 259 surveyed) expressed support for granting science credit for agriculture (88.8%); 65.6% supported science credit for a limited number of agriculture courses. Blanket endorsement for all certified agriculture teachers was favored by 71.5%; 56.6% preferred endorsement only for certified teachers completing an…

  10. 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.

  11. Implementation of an Intelligent Tutoring System for Online Homework Support in an Efficacy Trial

    Science.gov (United States)

    Feng, Mingyu; Roschelle, Jeremy; Heffernan, Neil; Fairman, Janet; Murphy, Robert

    2014-01-01

    Much research has been done on the development of an intelligent tutoring system (ITS), and small empirical studies have demonstrated the effectiveness of ITS at promoting student learning. However, large-scale implementation of ITS in school settings has not been researched thoroughly. In this paper, we describe an ongoing randomized controlled…

  12. Regional cooperation for European seas: Governance models in support of the implementation of the MSFD

    NARCIS (Netherlands)

    Tatenhove, van J.P.M.; Raakjaer, J.; Leeuwen, van J.; Hoof, van L.J.W.

    2014-01-01

    During the implementation process of the Marine Strategy Framework Directive (MSFD), Member States are expected to cooperate and coordinate at the regional sea level as wells as arrange stakeholder involvement. However, the MSFD does not specify any governing structures to do so. The aim of this

  13. Using Dynamic Value Stream Mapping and Lean Accounting Box Scores to Support Lean Implementation

    Science.gov (United States)

    Woehrle, Stephen L.; Abou-Shady, Louay

    2010-01-01

    Lean has proven to be an effective management philosophy for improving businesses in a competitive market by eliminating waste and improving operations. An impact of implementing lean projects is the rapid reduction in inventory levels, which gives management the false impression that profits are decreasing while workers on the shop floor observe…

  14. Jumping the PBL Implementation Hurdle: Supporting the Efforts of K-12 Teachers

    Science.gov (United States)

    Ertmer, Peggy A.; Simons, Krista D.

    2006-01-01

    While problem-based learning (PBL) has a relatively long history of successful use in medical and pre-professional schools, it has yet to be widely adopted by K--12 teachers. This may be due, in part, to the numerous challenges teachers experience when implementing PBL. In this paper, we describe specific hurdles that teachers are likely to…

  15. Cultivating Safe and Supportive Schools: The Implementation and Institutionalization of Restorative Justice Practices

    Science.gov (United States)

    Anderson, Eleanor Robinson

    2017-01-01

    Mounting public concern about a school-to-prison pipeline has put schools and districts under increasing pressure to reduce their use of suspensions, expulsions and arrests. Many are turning to restorative justice practices (RJP) as a promising alternative for addressing school discipline and improving school climate. However, implementing RJP in…

  16. A data support infrastructure for Clean Development Mechanism forestry implementation : an inventory perspective from Cameroon

    NARCIS (Netherlands)

    Minang, P.A.; McCall, M.K.; Skutsch, Margaret M.; Verplanke, J.J.

    2007-01-01

    Clean Development Mechanism (CDM) forestry project development requires highly multi-disciplinary and multiple-source information that can be complex, cumbersome and costly to acquire. Yet developing countries in which CDM projects are created and implemented are often data poor environments and

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

    African Journals Online (AJOL)

    The methods currently available in South Africa to implement environmental flows are based on real-time rainfall-runoff models (which require accurate inputs of rainfall data) or the use of flow gauges. Both methods are useful but have limitations which must be fully understood. The main limitation of the latter approach is ...

  18. Enhancing Architecture-Implementation Conformance with Change Management and Support for Behavioral Mapping

    Science.gov (United States)

    Zheng, Yongjie

    2012-01-01

    Software architecture plays an increasingly important role in complex software development. Its further application, however, is challenged by the fact that software architecture, over time, is often found not conformant to its implementation. This is usually caused by frequent development changes made to both artifacts. Against this background,…

  19. Positive Behavior Support in Delaware Schools: Developing Perspectives on Implementation and Outcomes. Executive Summary

    Science.gov (United States)

    Ackerman, Cheryl M.; Cooksy, Leslie J.; Murphy, Aideen; Rubright, Jonathan; Bear, George; Fifield, Steve

    2010-01-01

    In Spring 2010, the Delaware Education Research and Development Center conducted an evaluation of Delaware's PBS project, an initiative focused on developing a school-wide system of strategies to reduce behavior problems and foster a positive school climate. The study focused on facilitators and barriers to PBS implementation, and also included…

  20. Recovery of the local gravity field by spherical regularization wavelets approximation and its numerical implementation

    Science.gov (United States)

    Shuler, Harrey Jeong

    Information technology (IT) is becoming increasingly pervasive throughout society as more data is digitally processed, stored, and transferred. The infrastructure that supports IT activity is growing accordingly, and data center energy demands have increased by nearly a factor of four over the past decade. This dissertation investigates how building design and operation influence energy use and indoor air quality in data centers and provides strategies to improve both design goals simultaneously. As an initial step toward understanding data center air quality, measurements of particle concentrations were made at multiple operating northern California data centers. Ratios of measured particle concentrations in conventional data centers to the corresponding outside concentrations were significantly lower than those reported in the literature for office or residential buildings. Estimates using a material-balance model match well with empirical results, indicating that the dominant particle sources and losses---ventilation and filtration---have been characterized. Measurements taken at a data center using economizers show nearly an order of magnitude increase in particle concentration during economizer activity. However, even with the increase, the measured particle concentrations are still below concentration limits recommended in most industry standards. The research proceeds by exploring the feasibility of using economizers in data centers while simultaneously controlling particle concentrations with high-quality air filtration. Physical and chemical properties of indoor and outdoor particles were analyzed at a data center using economizers and varying levels of air filtration efficiency. Results show that when improved filtration is used in combination with an economizer, the indoor/outdoor concentration ratios for most measured particle types were similar to the measurements when using conventional filtration without economizers. An energy analysis of the data

  1. An Automated System for Generating Situation-Specific Decision Support in Clinical Order Entry from Local Empirical Data

    Science.gov (United States)

    Klann, Jeffrey G.

    2011-01-01

    Clinical Decision Support is one of the only aspects of health information technology that has demonstrated decreased costs and increased quality in healthcare delivery, yet it is extremely expensive and time-consuming to create, maintain, and localize. Consequently, a majority of health care systems do not utilize it, and even when it is…

  2. Implementing a complex intervention to support personal recovery: a qualitative study nested within a cluster randomised controlled trial.

    Science.gov (United States)

    Leamy, Mary; Clarke, Eleanor; Le Boutillier, Clair; Bird, Victoria; Janosik, Monika; Sabas, Kai; Riley, Genevieve; Williams, Julie; Slade, Mike

    2014-01-01

    To investigate staff and trainer perspectives on the barriers and facilitators to implementing a complex intervention to help staff support the recovery of service users with a primary diagnosis of psychosis in community mental health teams. Process evaluation nested within a cluster randomised controlled trial (RCT). 28 interviews with mental health care staff, 3 interviews with trainers, 4 focus groups with intervention teams and 28 written trainer reports. 14 community-based mental health teams in two UK sites (one urban, one semi-rural) who received the intervention. The factors influencing the implementation of the intervention can be organised under two over-arching themes: Organisational readiness for change and Training effectiveness. Organisational readiness for change comprised three sub-themes: NHS Trust readiness; Team readiness; and Practitioner readiness. Training effectiveness comprised three sub-themes: Engagement strategies; Delivery style and Modelling recovery principles. Three findings can inform future implementation and evaluation of complex interventions. First, the underlying intervention model predicted that three areas would be important for changing practice: staff skill development; intention to implement; and actual implementation behaviour. This study highlighted the importance of targeting the transition from practitioners' intent to implement to actual implementation behaviour, using experiential learning and target setting. Second, practitioners make inferences about organisational commitment by observing the allocation of resources, Knowledge Performance Indicators and service evaluation outcome measures. These need to be aligned with recovery values, principles and practice. Finally, we recommend the use of organisational readiness tools as an inclusion criteria for selecting both organisations and teams in cluster RCTs. We believe this would maximise the likelihood of adequate implementation and hence reduce waste in research

  3. Implementing a complex intervention to support personal recovery: a qualitative study nested within a cluster randomised controlled trial.

    Directory of Open Access Journals (Sweden)

    Mary Leamy

    Full Text Available OBJECTIVE: To investigate staff and trainer perspectives on the barriers and facilitators to implementing a complex intervention to help staff support the recovery of service users with a primary diagnosis of psychosis in community mental health teams. DESIGN: Process evaluation nested within a cluster randomised controlled trial (RCT. PARTICIPANTS: 28 interviews with mental health care staff, 3 interviews with trainers, 4 focus groups with intervention teams and 28 written trainer reports. SETTING: 14 community-based mental health teams in two UK sites (one urban, one semi-rural who received the intervention. RESULTS: The factors influencing the implementation of the intervention can be organised under two over-arching themes: Organisational readiness for change and Training effectiveness. Organisational readiness for change comprised three sub-themes: NHS Trust readiness; Team readiness; and Practitioner readiness. Training effectiveness comprised three sub-themes: Engagement strategies; Delivery style and Modelling recovery principles. CONCLUSIONS: Three findings can inform future implementation and evaluation of complex interventions. First, the underlying intervention model predicted that three areas would be important for changing practice: staff skill development; intention to implement; and actual implementation behaviour. This study highlighted the importance of targeting the transition from practitioners' intent to implement to actual implementation behaviour, using experiential learning and target setting. Second, practitioners make inferences about organisational commitment by observing the allocation of resources, Knowledge Performance Indicators and service evaluation outcome measures. These need to be aligned with recovery values, principles and practice. Finally, we recommend the use of organisational readiness tools as an inclusion criteria for selecting both organisations and teams in cluster RCTs. We believe this would

  4. 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

  5. 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…

  6. Design and Implementation of Multi Agentbased Information Fusion System for Decision Making Support (A Case Study on Military Operation

    Directory of Open Access Journals (Sweden)

    Arwin Datunaya Wahyudi Sumari

    2013-09-01

    Full Text Available Quick, accurate, and complete information is highly required for supporting strategically impact decision making in a Military Operation (MO in order to reduce the decision cycle and to minimize the loss. For that purpose, we propose, design and implement a hierarchical Multi Agentbased Information Fusion System for Decision Making Support (MAIFSDMS. The information fusion is implemented by applying Maximum Score of the Total Sum of Joint Probabilities (MSJP fusion method and is done by a collection of Information Fusion Agents (IFA that forms a multiagent system. MAIFS uses a combination of generalization of Dasarathy and Joint Director’s Laboratory (JDL process models for information fusion mechanism. Information fusion products that are displayed in graphical forms provide comprehensive information regarding the MO’s area dynamics. By observing the graphics resulted from the information fusion, the commandant will have situational awareness and knowledge in order to make the most accurate strategic de cision as fast as possible.

  7. Texas Urban Triangle : pilot study to implement a spatial decision support system (SDSS) for sustainable mobility.

    Science.gov (United States)

    2011-03-01

    This project addressed sustainable transportation in the Texas Urban Triangle (TUT) by conducting a pilot : project at the county scale. The project tested and developed the multi-attribute Spatial Decision Support : System (SDSS) developed in 2009 u...

  8. "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

  9. 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.

  10. Development partner support to the health sector at the local level in ...

    African Journals Online (AJOL)

    FRUMENCE

    or are lacking local management and governance structures (Conyers & Mellors, 2005). ... organizations (NGOs), community-based organizations (CBOs), consortia and alliances; and .... Provision of equipment and supplies to facilities. 1.

  11. Information needs to support state and local transportation decision making into the 21st century

    Science.gov (United States)

    1997-03-01

    The Intermodal Surface Transportation Efficiency Act of 1991 (ISTEA) established new requirements for data development and dissemination that have had an impact on federal, state, and local transportation planning processes across the United States. ...

  12. Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider

    OpenAIRE

    Douglas, Heather E; Georgiou, Andrew; Tariq, Amina; Prgomet, Mirela; Warland, Andrew; Armour, Pauline; Westbrook, Johanna I

    2017-01-01

    Introduction: There is limited evidence of the benefits of information and communication technology (ICT) to support integrated aged care services. Objectives: We undertook a case study to describe carelink+, a centralised client service management ICT system implemented by a large aged and community care service provider, Uniting. We sought to explicate the care-related information exchange processes associated with carelink+ and identify lessons for organisations attempting to use ICT to su...

  13. Reliability and efficiency upgrades of power systems operation by implementing intelligent electronic devices with synchrophasor measurement technology support

    Directory of Open Access Journals (Sweden)

    Mokeev Alexey

    2017-01-01

    Full Text Available This paper reviews issues of reliability and efficiency upgrades of power systems functions by means of a widespread implementation of intelligent electronic devices (IED in various purposes supporting synchrophasor measurement technology. Thus, such issues as IED’s operational analysis in the conditions of electromagnetic and electromechanical transient processes and synthesis of digital filters that improve static and dynamic responses of these devices play an important role in their development.

  14. Reliability and efficiency upgrades of power systems operation by implementing intelligent electronic devices with synchrophasor measurement technology support

    OpenAIRE

    Mokeev Alexey

    2017-01-01

    This paper reviews issues of reliability and efficiency upgrades of power systems functions by means of a widespread implementation of intelligent electronic devices (IED) in various purposes supporting synchrophasor measurement technology. Thus, such issues as IED’s operational analysis in the conditions of electromagnetic and electromechanical transient processes and synthesis of digital filters that improve static and dynamic responses of these devices play an important role in their devel...

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. EcoM2 web portal: Collecting empirical data and supporting companies' ecodesign implementation and management

    DEFF Research Database (Denmark)

    Pigosso, Daniela Cristina Antelmi; McAloone, Tim C.; Rozenfeld, Henrique

    2013-01-01

    to that a comprehensive framework has been developed, with the aim of ensuring systematic management, implementation and continuous improvement of the ecodesign process. The framework, called Ecodesign Maturity Model (EcoM2), enables the diagnosis of the company’s ecodesign maturity profile; the identification...... of strengths and limitations; and the establishment of strategic roadmaps for improved ecodesign implementation. This paper describes the development of the EcoM2 web portal, which will allow for the framework to be tested on greater numbers of companies and at the same time to provide a quick diagnosis......Despite the recognition of the potential benefits of ecodesign, a promising approach to integrate environmental concerns into the product development process, its application has failed to reach large numbers of companies and sectors worldwide due to managerial difficulties. In response...

  20. Market-based implementation of Kyoto commitments: how the financial/insurance sector can support industry

    International Nuclear Information System (INIS)

    Knoepfel, Ivo

    1999-01-01

    The implementation of the Kyoto Protocol in the context of the Framework Convention on Climate Change will probably lead to economic winners and losers in various sectors of the economy. Especially carbon intensive industries will need to develop hedging strategies to prevent potential negative effects and to optimise market opportunities. Such strategies can be based on technological innovation, market and product diversification, and on financial/legal offsets. The Kyoto Protocol has introduced new market-based instruments, which can, in a near future provide such hedging opportunities. These include joint implementation, the so-called clean development mechanism, and international emissions trading. The financial services and insurance sector are the natural partners of industry in designing tailored hedging strategies. It is recommended that industry, financial services and insurance companies take a more proactive role in further developing the market-based instruments established by the Kyoto Protocol. (Author)

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

    OpenAIRE

    I Gusti Ayu Oka - Suryawardani; Agung Suryawan - Wiranatha

    2016-01-01

    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 gl...

  2. 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.

  3. Investigation into promotion/disincentive factors and proposal of support policy in implementation of risk assessment

    International Nuclear Information System (INIS)

    Nagasaka, Akihiko; Tomizawa, Norio

    2012-01-01

    The implementation of risk assessment (RA) has been mandated effort in business place of the type of industry that must elect a safe hygiene manager by the enforcement of the revised Occupational Safety and Health Act of April, 2006. However, it is guessed that some problems are still left unfinished in many business places to promote RA effectively. In this study, at first the authors investigated promotion factors and disincentive factors when implementing RA by literature survey. As the result, factors to show as follows were classified in some categories such as participation of the top, the organization which promotes RA, the use of the existing safety activity, matching of RA technique and work, etc. unlike conventional safety activity to learn from a disaster, infiltrating significance of RA to prevent a risk enough, letting a worker engaged in work participate in RA. Next, the authors performed the visit investigation for 8 business places and extracted a new promotion factors to show as follows. incorporating RA in usual duties, utilizing results of RA effectively. In reference to above promotion factors, the authors examined a policy to implement RA smoothly. (author)

  4. Implementing potentially better practices to support the neurodevelopment of infants in the NICU.

    Science.gov (United States)

    Laudert, S; Liu, W F; Blackington, S; Perkins, B; Martin, S; Macmillan-York, E; Graven, S; Handyside, J

    2007-12-01

    The purpose of the Vermont Oxford Neonatal Quality Improvement Collaborative 2005 was to explore improvements related to the physical environment of the newborn intensive care unit (NICU) in order to optimize the neurodevelopmental outcome of newborns. Five centers were involved in a focus group examining NICU environmental design and its impact on the neurodevelopmental outcome of the neonate. Using an evidence-based approach, the group identified 16 potentially better care practices. This article describes the implementation approaches for some of these practices. The practice areas include tactile stimulation, providing early exposure to mother's scent, minimizing exposure to noxious odors, developing a system for noise assessment of the NICU acoustic environment, minimizing ambient noise in the infants environment, and preservation of sleep. Approaches to implementation were center specific. Optimizing neurodevelopment of the newborn was the desired goal, but this outcome is difficult to measure with a limited number of subjects over a short study period. Many of the changes although intuitively beneficial are difficult to measure. Education of all participants was considered essential to the process of implementation. The process of collaborative quality improvement is useful in identifying ways to optimize the physical environment of the NICU to improve the neurodevelopmental outcome of the neonate.

  5. A Framework Applied Three Ways: Responsive Methods of Co-Developing and Implementing Community Science Solutions for Local Impact

    Science.gov (United States)

    Goodwin, M.; Pandya, R.; Udu-gama, N.; Wilkins, S.

    2017-12-01

    While one-size-fits all may work for most hats, it rarely does for communities. Research products, methods and knowledge may be usable at a local scale, but applying them often presents a challenge due to issues like availability, accessibility, awareness, lack of trust, and time. However, in an environment with diminishing federal investment in issues related climate change, natural hazards, and natural resource use and management, the ability of communities to access and leverage science has never been more urgent. Established, yet responsive frameworks and methods can help scientists and communities work together to identify and address specific challenges and leverage science to make a local impact. Through the launch of over 50 community science projects since 2013, the Thriving Earth Exchange (TEX) has created a living framework consisting of a set of milestones by which teams of scientists and community leaders navigate the challenges of working together. Central to the framework are context, trust, project planning and refinement, relationship management and community impact. We find that careful and respectful partnership management results in trust and an open exchange of information. Community science partnerships grounded in local priorities result in the development and exchange of stronger decision-relevant tools, resources and knowledge. This presentation will explore three methods TEX uses to apply its framework to community science partnerships: cohort-based collaboration, online dialogues, and one-on-one consultation. The choice of method should be responsive to a community's needs and working style. For example, a community may require customized support, desire the input and support of peers, or require consultation with multiple experts before deciding on a course of action. Knowing and applying the method of engagement best suited to achieve the community's objectives will ensure that the science is most effectively translated and applied.

  6. Challenges to implementing Gavi's health system strengthening support in Chad and Cameroon: results from a mixed-methods evaluation.

    Science.gov (United States)

    Dansereau, Emily; Miangotar, Yodé; Squires, Ellen; Mimche, Honoré; El Bcheraoui, Charbel

    2017-11-16

    Since 2005, Gavi has provided health system strengthening (HSS) grants to address bottlenecks affecting immunization services. This study is the first to evaluate the Gavi HSS implementation process in either Cameroon or Chad, two countries with significant health system challenges and poor achievement on the child and maternal health Millennium Development Goals. We triangulated quantitative and qualitative data including financial records, document review, field visit questionnaires, and key informant interviews (KII) with representatives from the Ministries of Health, Gavi, and other partners. We conducted a Root Cause Analysis of key implementation challenges, guided by the Consolidated Framework for Implementation Research. We conducted 124 field visits and 43 KIIs in Cameroon, and 57 field visits and 39 KIIs in Chad. Cameroon's and Chad's HSS programs were characterized by delayed disbursements, significant deviations from approved expenditures, and reprogramming of funds. Nearly a year after the programs were intended to be complete, many district and facility-level activities were only partially implemented and significant funds remained unabsorbed. Root causes of these challenges included unpredictable Gavi processes and disbursements, poor communication between the countries and Gavi, insufficient country planning without adequate technical assistance, lack of country staff and leadership, and weak country systems to manage finances and promote institutional memory. Though Chad and Cameroon both critically needed support to strengthen their weak health systems, serious challenges drastically limited implementation of their Gavi HSS programs. Implementation of future HSS programs in these and similar settings can be improved by transparent and reliable procedures and communication from Gavi, proposals that account for countries' programmatic capacity and the potential for delayed disbursements, implementation practices that foster learning and adaptation

  7. Model implementation for dynamic computation of system cost for advanced life support

    Science.gov (United States)

    Levri, J. A.; Vaccari, D. A.

    2004-01-01

    Life support system designs for long-duration space missions have a multitude of requirements drivers, such as mission objectives, political considerations, cost, crew wellness, inherent mission attributes, as well as many other influences. Evaluation of requirements satisfaction can be difficult, particularly at an early stage of mission design. Because launch cost is a critical factor and relatively easy to quantify, it is a point of focus in early mission design. The method used to determine launch cost influences the accuracy of the estimate. This paper discusses the appropriateness of dynamic mission simulation in estimating the launch cost of a life support system. This paper also provides an abbreviated example of a dynamic simulation life support model and possible ways in which such a model might be utilized for design improvement. c2004 COSPAR. Published by Elsevier Ltd. All rights reserved.

  8. Implementing a sub-national strategic framework to reduce the illicit tobacco market to support national strategies

    Directory of Open Access Journals (Sweden)

    Ailsa Rutter

    2018-03-01

    The success of this strategic framework demonstrates that activity can be co-ordinated locally or sub-nationally to support national strategies to reduce the illicit tobacco market. Activity should always be placed within the broader context of 'all tobacco kills' and should contain measures to reduce both supply and demand. Useful resources for other programmes and settings can be found at www.illicit-tobacco.co.uk.

  9. 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.

  10. Development and Implementation of the Waste Management Information System to Support Hanford's River Corridor Cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Nolan, L M [Washington Closure Hanford, LLC, 3070 George Washington Way, Richland, WA 99354 (United States)

    2006-07-01

    This paper describes the development of a Waste Information Management System (WMIS) to support the waste designation, transportation, and disposal processes used by Washington Closure Hanford, LLC to support cleanup of the Columbia River Corridor. This waste, primarily consisting of remediated burial sites and building demolition debris, is disposed at the Environmental Restoration Disposal Facility (ERDF), which is located in the center of the Hanford Site (an approximately 1460 square kilometers site). WMIS uses a combination of bar-code scanning, hand-held computers, and strategic employment of a radio frequency identification (RFID) tag system to track each waste shipment from waste generation to disposal. (authors)

  11. PRE-TRIAL SUPPORT OF YOUNG OFFENDERS (EFFECTIVENESS OF IMPLEMENTATION IN ARKHANGELSK REGION

    Directory of Open Access Journals (Sweden)

    Yana Korneeva

    2015-09-01

    Full Text Available Sophisticated criminal situation with juvenile delinquency in Arkhangelsk region has prompted practitioners to find new ways to counteract. The basis for the acquisition of new knowledge in the field of prevention of juvenile delinquency was the phased introduction of social support for the pre-trial juvenile in conflict with the law. Based on the survey of investigators, investigators, judges and social workers involved in the experiment, the analysis of materials of criminal cases involving young offender’s conclusions about the positive results of the experiment revealed the difficulties and challenges faced by law enforcers. The article provides suggestions for optimizing the procedure of pre-trial support.

  12. Locally Integrated Energy Sectors supported by renewable network management within municipalities

    International Nuclear Information System (INIS)

    Kostevšek, Anja; Petek, Janez; Čuček, Lidija; Klemeš, Jiří Jaromír; Varbanov, Petar Sabev

    2015-01-01

    The decarbonisation of energy systems is one of the important issues of the present energy policies. One of the ways of achieving this is to focus on local energy systems, thus ensuring as much as possible their heat and power self-sufficiency by applying local renewable resource integration and transformation of the renewable energy. Increasing the share of renewables within the local energy balance could be accomplished by using a variety of approaches. One possibility is combining the Locally Integrated Energy Sectors' concept with the novel management and organisation of a renewables-based network. As a first priority, the proposed comprehensive approach focuses on increasing the energy efficiency of municipal heat and power systems using the Locally Integrated Energy Sectors' concept, which is followed by the integration of renewable energy sources with the establishment of a renewable-based network. The proposed approach is illustrated by a case study of district heating based on wood biomass for the municipality Ormož, Slovenia by integrating various end-users from different sectors. - Highlights: • The paper presents a new approach for accelerated inception of RES in municipalities. • LIES with RES network increases energy efficiency and accelerates RES integration. • A demonstration case of district heating on wood biomass within Ormož was performed.

  13. More than just consumers: Integrating local observations into drought monitoring to better support decision making

    Science.gov (United States)

    Ferguson, D. B.; Masayesva, A.; Meadow, A. M.; Crimmins, M.

    2016-12-01

    Drought monitoring and drought planning are complex endeavors. Measures of precipitation or streamflow provide little context for understanding how social and environmental systems impacted by drought are responding. In arid and semi-arid regions of the world, this challenge is particularly acute since social-ecological systems are already well-adapted to dry conditions. Understanding what drought means in these regions is an important first step in developing a decision-relevant monitoring system. Traditional drought indices may be of some use, but local observations may ultimately be more relevant for informing difficult decisions in response to unusually dry conditions. This presentation will focus on insights gained from a collaborative project between the University of Arizona and the Hopi Tribe-a Native American community in the U.S. Southwest-to develop a drought information system that is responsive to local needs. The primary goal of the project was to develop a system that: is based on how drought is experienced by Hopi citizens and resource managers, can incorporate local observations of drought impacts as well as conventional indicators, and brings together local expertise with conventional science-based observations. This kind of drought monitoring system can harnesses as much available information as possible to inform resource managers, political leaders, and citizens about drought conditions, but such a system can also engage these local drought stakeholders in observing, thinking about, and helping guide planning for drought.

  14. Implementation of Nutrition Support Guidelines May Affect Energy and Protein Intake in the Pediatric Intensive Care Unit.

    Science.gov (United States)

    Kyle, Ursula G; Lucas, Laura A; Mackey, Guisela; Silva, Jaime C; Lusk, Jennifer; Orellana, Renan; Shekerdemian, Lara S; Coss-Bu, Jorge A

    2016-05-01

    Critically ill children are at risk of developing malnutrition, and undernutrition is a risk factor for morbidity and mortality. The study evaluated changes in the energy and protein intake before and after implementation of nutrition support (NS) guidelines for a pediatric critical care unit (PICU). This retrospective study documented energy and protein intake for the first 8 days of PICU stay. Basal metabolic rate and protein needs were estimated by Schofield and American Society for Parenteral and Enteral Nutrition Guidelines, respectively. Three hundred thirty-five children from August to December 2012 (pre-implementation) and 185 from October to December 2013 (post-implementation). Implementation of NS Guidelines. Changes in actual energy and protein intake in the post- compared with the pre-Implementation period. Unpaired t tests, Pearson's χ(2) (unadjusted analysis) were used. Logistic regressions were used to estimate odds ratios and 95% confidence intervals for protein and energy intake, adjusted for age, sex, and Pediatric Risk of Mortality score. After the implementation of guidelines, significant improvements were seen during days 5 through 8 in energy intake among children 2 years of age and older, and in protein intake in both age groups (Pprotein deficit/kg/day, as follows: younger than 2-year-olds, -1.5±0.7 g/kg/day vs -1.3±0.8 g/kg/day, P=0.02; 2-year-olds or older, -1.0±0.6 g/kg/day vs -0.7±0.8 g/kg/day, P=0.01; and for the energy deficit/kg/d in 2-year-olds and older, -17.2±13.6 kcal/kg/day vs -13.3±18.1 kcal/kg/day, unpaired t test, P=0.07, in the pre- vs post-implementation period, respectively. The implementation of NS guidelines was associated with improvements in total energy in 2-year-olds and older and protein in younger than 2 and 2 years and older children by days 5 through 8, and protein deficits were significantly lower in the post- vs the pre-implementation period. The implementation of NS guidelines may have had a

  15. Implementation and Demonstration of Grid Frequency Support by V2G Enabled Electric Vehicle

    DEFF Research Database (Denmark)

    Martinenas, Sergejus; Marinelli, Mattia; Andersen, Peter Bach

    2014-01-01

    Safe operation of the electric power system relies on conventional power stations. In addition to providing electrical energy to the network, some power stations also provide a number of ancillary services for the grid stability. These services could potentially be provided by the growing number...... Frequency Regulation. The service is implemented following the technical conditions for ancillary services in the Danish grid. The real life system is developed using web-centric communication technologies between the components. Communication and control functions of the system are validated through...

  16. Mobile Augmented Reality in Supporting Peer Assessment: An Implementation in a Fundamental Design Course

    Science.gov (United States)

    Lan, Chung-Hsien; Chao, Stefan; Kinshuk; Chao, Kuo-Hung

    2013-01-01

    This study presents a conceptual framework for supporting mobile peer assessment by incorporating augmented reality technology to eliminate limitation of reviewing and assessing. According to the characteristics of mobile technology and augmented reality, students' work can be shown in various ways by considering the locations and situations. This…

  17. The eXtensible ontology development (XOD) principles and tool implementation to support ontology interoperability.

    Science.gov (United States)

    He, Yongqun; Xiang, Zuoshuang; Zheng, Jie; Lin, Yu; Overton, James A; Ong, Edison

    2018-01-12

    Ontologies are critical to data/metadata and knowledge standardization, sharing, and analysis. With hundreds of biological and biomedical ontologies developed, it has become critical to ensure ontology interoperability and the usage of interoperable ontologies for standardized data representation and integration. The suite of web-based Ontoanimal tools (e.g., Ontofox, Ontorat, and Ontobee) support different aspects of extensible ontology development. By summarizing the common features of Ontoanimal and other similar tools, we identified and proposed an "eXtensible Ontology Development" (XOD) strategy and its associated four principles. These XOD principles reuse existing terms and semantic relations from reliable ontologies, develop and apply well-established ontology design patterns (ODPs), and involve community efforts to support new ontology development, promoting standardized and interoperable data and knowledge representation and integration. The adoption of the XOD strategy, together with robust XOD tool development, will greatly support ontology interoperability and robust ontology applications to support data to be Findable, Accessible, Interoperable and Reusable (i.e., FAIR).

  18. An Implementation of a Twitter-Supported Personal Learning Network to Individualize Teacher Professional Development

    Science.gov (United States)

    Deyamport, W. H., III.

    2013-01-01

    In this action research study, eight teachers at an elementary school were trained in the use of Twitter to support the development of a personal learning network as a strategy to address non-differentiated professional development at the school. The main research question for this study was: In what ways, if any, can the use of a…

  19. Implementing Schoolwide Positive Behavior Support in High School Settings: Analysis of Eight High Schools

    Science.gov (United States)

    Flannery, K. Brigid; Frank, Jennifer L.; Kato, Mimi McGrath; Doren, Bonnie; Fenning, Pamela

    2013-01-01

    Schoolwide positive behavior support (SWPBS) is a systems-level intervention designed to prevent the occurrence of problem behavior and increase social competence. A growing body of research documents that SWPBS reduces problem behavior and improves academics (e.g., McIntosh, Chard, Boland, & Horner, 2006), yet documentation of the feasibility…

  20. 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

  1. Using Rapid Ethnography to Support the Design and Implementation of Health Information Technologies.

    Science.gov (United States)

    Ackerman, Sara; Gleason, Nathaniel; Gonzales, Ralph

    2015-01-01

    Ethnography is the defining practice - and art - of anthropology. Among health information technology (IT) developers, however, ethnography remains a little used and undervalued mode of inquiry and representation. In this chapter we demonstrate that ethnography can make important contributions to the design and implementation of more user-oriented health IT devices and systems. In particular, we propose 'rapid ethnography' as a pragmatic strategy that draws on classic ethnographic methods, but emphasizes shorter periods of fieldwork and quick turnaround of findings to inform (re)design, programming and implementation efforts. Rapid ethnography is theoretically and empirically situated in science and technology studies' explorations of a) the entanglement of social and technical dimensions of technology use; b) how getting tools to 'work' requires aligning interests across a wide range of human and non-human actors; and c) the ways in which humans and technology transform each other as they interact. We provide two detailed case studies to illustrate the evolution and uses of rapid ethnography at a U.S. academic medical center. By providing deeper insights into the experiences of users, and the contexts and communities in which new tools are introduced, rapid ethnography can serve as a valuable component of Techno-Anthropology and health IT innovation.

  2. Design and implementation of a Windows NT network to support CNC activities

    Science.gov (United States)

    Shearrow, C. A.

    1996-01-01

    The Manufacturing, Materials, & Processes Technology Division is undergoing dramatic changes to bring it's manufacturing practices current with today's technological revolution. The Division is developing Computer Automated Design and Computer Automated Manufacturing (CAD/CAM) abilities. The development of resource tracking is underway in the form of an accounting software package called Infisy. These two efforts will bring the division into the 1980's in relationship to manufacturing processes. Computer Integrated Manufacturing (CIM) is the final phase of change to be implemented. This document is a qualitative study and application of a CIM application capable of finishing the changes necessary to bring the manufacturing practices into the 1990's. The documentation provided in this qualitative research effort includes discovery of the current status of manufacturing in the Manufacturing, Materials, & Processes Technology Division including the software, hardware, network and mode of operation. The proposed direction of research included a network design, computers to be used, software to be used, machine to computer connections, estimate a timeline for implementation, and a cost estimate. Recommendation for the division's improvement include action to be taken, software to utilize, and computer configurations.

  3. WEB 2.0-SUPPORT FOR CHANGE MANAGEMENT DURING BPMS IMPLEMENTATION USING AN OPEN SOURCE APPROACH

    Directory of Open Access Journals (Sweden)

    P.G. Van Schalkwyk

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: The authors argue that business process management systems (BPMS are exposed to similar risks of failure as are traditional enterprise resource planning (ERP systems. Change management is a significant critical success factor, and has to be managed well. Given the socio-technical nature of the implementation environment, communication and collaboration are crucially important to the success of change management. The authors provide an example of how collaboration and communication, as part of change management during BPMS implementation, can be achieved in practice, based on the use of Web 2.0 tools and an open source approach.

    AFRIKAANSE OPSOMMING: Die outeurs voer aan dat besigheidsprosesbestuurstelsels aan soortgelyke falings-risiko’s blootgestel is as tradisionele ondernemingshulpbron-stelsels. Veranderings-bestuur is 'n beduidende kritiese suksesfaktor wat goed bestuur moet word. As gevolg van die sosio-tegniese aard van die implementeringsomgewing is kommunikasie en samewerking van deurslaggewende belang as deel van die veranderingsbestuurs-proses.Die outeurs wys met behulp van ’n voorbeeld hoe samewerking en kommunikasie as deel van veranderings-bestuur bewerkstellig kan word met behulp van Web 2.0 gereedskap en ’n oopbron-benadering.

  4. Does Support for VET Reduce Employee Churn? A Case Study in Local Government. Occasional Paper

    Science.gov (United States)

    Curry, Kath

    2010-01-01

    To what extent do local governments use vocational education and training as a staff retention strategy? Human resources personnel from a selection of councils around Australia believed that a lack of career development or training opportunities might cause an employee to leave their organisation. They had some reservations about the quality and…

  5. Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider

    Directory of Open Access Journals (Sweden)

    Heather E Douglas

    2017-04-01

    Full Text Available Introduction: There is limited evidence of the benefits of information and communication technology (ICT to support integrated aged care services. Objectives: We undertook a case study to describe carelink+, a centralised client service management ICT system implemented by a large aged and community care service provider, Uniting. We sought to explicate the care-related information exchange processes associated with carelink+ and identify lessons for organisations attempting to use ICT to support service integration. Methods: Our case study included seventeen interviews and eleven observation sessions with a purposive sample of staff within the organisation. Inductive analysis was used to develop a model of ICT-supported information exchange. Results: Management staff described the integrated care model designed to underpin carelink+. Frontline staff described complex information exchange processes supporting coordination of client services. Mismatches between the data quality and the functions carelink+ was designed to support necessitated the evolution of new work processes associated with the system. Conclusions: There is value in explicitly modelling the work processes that emerge as a consequence of ICT. Continuous evaluation of the match between ICT and work processes will help aged care organisations to achieve higher levels of ICT maturity that support their efforts to provide integrated care to clients.

  6. Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider.

    Science.gov (United States)

    Douglas, Heather E; Georgiou, Andrew; Tariq, Amina; Prgomet, Mirela; Warland, Andrew; Armour, Pauline; Westbrook, Johanna I

    2017-04-10

    There is limited evidence of the benefits of information and communication technology (ICT) to support integrated aged care services. We undertook a case study to describe carelink+, a centralised client service management ICT system implemented by a large aged and community care service provider, Uniting. We sought to explicate the care-related information exchange processes associated with carelink+ and identify lessons for organisations attempting to use ICT to support service integration. Our case study included seventeen interviews and eleven observation sessions with a purposive sample of staff within the organisation. Inductive analysis was used to develop a model of ICT-supported information exchange. Management staff described the integrated care model designed to underpin carelink+. Frontline staff described complex information exchange processes supporting coordination of client services. Mismatches between the data quality and the functions carelink+ was designed to support necessitated the evolution of new work processes associated with the system. There is value in explicitly modelling the work processes that emerge as a consequence of ICT. Continuous evaluation of the match between ICT and work processes will help aged care organisations to achieve higher levels of ICT maturity that support their efforts to provide integrated care to clients.

  7. Implementing Information and Communication Technology to Support Community Aged Care Service Integration: Lessons from an Australian Aged Care Provider

    Science.gov (United States)

    Georgiou, Andrew; Tariq, Amina; Prgomet, Mirela; Warland, Andrew; Armour, Pauline; Westbrook, Johanna I

    2017-01-01

    Introduction: There is limited evidence of the benefits of information and communication technology (ICT) to support integrated aged care services. Objectives: We undertook a case study to describe carelink+, a centralised client service management ICT system implemented by a large aged and community care service provider, Uniting. We sought to explicate the care-related information exchange processes associated with carelink+ and identify lessons for organisations attempting to use ICT to support service integration. Methods: Our case study included seventeen interviews and eleven observation sessions with a purposive sample of staff within the organisation. Inductive analysis was used to develop a model of ICT-supported information exchange. Results: Management staff described the integrated care model designed to underpin carelink+. Frontline staff described complex information exchange processes supporting coordination of client services. Mismatches between the data quality and the functions carelink+ was designed to support necessitated the evolution of new work processes associated with the system. Conclusions: There is value in explicitly modelling the work processes that emerge as a consequence of ICT. Continuous evaluation of the match between ICT and work processes will help aged care organisations to achieve higher levels of ICT maturity that support their efforts to provide integrated care to clients. PMID:29042851

  8. 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.

  9. The development of supported employment services for people with mental illness: local experience in Hong Kong.

    Science.gov (United States)

    Chiu, Frank P.F.

    2000-01-01

    Before the 1960s in Hong Kong, specialized vocational services for people with mental illness were very limited, and sheltered workshop seemed to be the only option for their future vocational placement at that time. As discussed in the literature, there are still many shortcomings of the sheltered workshop model, that brings us to the emergence of another community-based vocational service: Supported Employment. Unlike traditional vocational services, the concept of supported employment emphasizes the placing of the clients into integrated work environments and then providing on-going support and work-related skills training in the job post. Though supported employment services help many clients to sustain a job in the competitive market, many service barriers and problems still remain unsolved. These service barriers and problems will be discussed in this article, and suggestions will be made.

  10. Formalisation of a new prognosis model for supporting proactive maintenance implementation on industrial system

    International Nuclear Information System (INIS)

    Muller, Alexandre; Suhner, Marie-Christine; Iung, Benoit

    2008-01-01

    The importance of the maintenance function has increased because of its role in keeping and improving system availability and safety, as well as product quality. To support this role, the maintenance concept has undergone several major developments that have led to proactive considerations mainly based on a prognosis process, which normally allows selection of the best maintenance action to be carried out. This paper proposes the deployment and experimentation of a prognosis process within an e-maintenance architecture. The deployment follows a methodology based on the combination of both a probabilistic approach for modelling the degradation mechanism and of an event one for dynamical degradation monitoring. The feasibility and benefits of this new prognosis process is investigated with an experiment using a manufacturing TELMA (TELe-MAintenance) platform supporting the unwinding of metal bobbins

  11. Substance Abuse Counselors’ Recovery Status and Self-Schemas: Preliminary Implications for Empirically Supported Treatment Implementation

    Science.gov (United States)

    Nielson, Elizabeth M.

    2016-01-01

    Purpose The purpose of this paper is to better understand the relationship between substance abuse counselors’ personal recovery status, self-schemas, and willingness to use empirically supported treatments for substance use disorders. Methods A phenomenological qualitative study enrolled 12 practicing substance abuse counselors. Results Within this sample, recovering counselors tended to see those who suffer from addiction as qualitatively different from those who do not and hence themselves as similar to their patients, while nonrecovering counselors tended to see patients as experiencing a specific variety of the same basic human struggles everyone experiences, and hence also felt able to relate to their patients’ struggles. Discussion Since empirically supported treatments may fit more or less neatly within one or the other of these viewpoints, this finding suggests that counselors’ recovery status and corresponding self-schemas may be related to counselor willingness to learn and practice specific treatments. PMID:28626597

  12. Substance Abuse Counselors' Recovery Status and Self-Schemas: Preliminary Implications for Empirically Supported Treatment Implementation.

    Science.gov (United States)

    Nielson, Elizabeth M

    2016-01-01

    The purpose of this paper is to better understand the relationship between substance abuse counselors' personal recovery status, self-schemas, and willingness to use empirically supported treatments for substance use disorders. A phenomenological qualitative study enrolled 12 practicing substance abuse counselors. Within this sample, recovering counselors tended to see those who suffer from addiction as qualitatively different from those who do not and hence themselves as similar to their patients, while nonrecovering counselors tended to see patients as experiencing a specific variety of the same basic human struggles everyone experiences, and hence also felt able to relate to their patients' struggles. Since empirically supported treatments may fit more or less neatly within one or the other of these viewpoints, this finding suggests that counselors' recovery status and corresponding self-schemas may be related to counselor willingness to learn and practice specific treatments.

  13. An implementation of support vector machine on sentiment classification of movie reviews

    Science.gov (United States)

    Yulietha, I. M.; Faraby, S. A.; Adiwijaya; Widyaningtyas, W. C.

    2018-03-01

    With technological advances, all information about movie is available on the internet. If the information is processed properly, it will get the quality of the information. This research proposes to the classify sentiments on movie review documents. This research uses Support Vector Machine (SVM) method because it can classify high dimensional data in accordance with the data used in this research in the form of text. Support Vector Machine is a popular machine learning technique for text classification because it can classify by learning from a collection of documents that have been classified previously and can provide good result. Based on number of datasets, the 90-10 composition has the best result that is 85.6%. Based on SVM kernel, kernel linear with constant 1 has the best result that is 84.9%

  14. Crime Victims Support System and Restorative Justice: Possible Implementation in Malaysia

    OpenAIRE

    Azlinda Azman, PhD; Mohd Taufik bin Mohammad

    2013-01-01

    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 ...

  15. Implementation of Distance Support (DS) to Reduce Total Ownership Cost (R-TOC)

    Science.gov (United States)

    2012-02-01

    Policy of 22 Mar 2007, states that DS combines people, processes and technology into a collaborative infrastructure regardless of geographic location...Tech Assist Data for Submarine Enterprise 120 FTA Events Performed 164 MH Via On-Si te Support Average Cost Per Event (Based on $60.00 Per Hour...CFFC/Command Policy) 16% Success Rate Overa l l On Al l FTA Events 37% Success Rate On Out-Of-Area Events Average MHs Per Event 19 MH Via DS

  16. Implementation of a low-cost mobile devices to support medical diagnosis.

    Science.gov (United States)

    García Sánchez, Carlos; Botella Juan, Guillermo; Ayuso Márquez, Fermín; González Rodríguez, Diego; Prieto-Matías, Manuel; Tirado Fernández, Francisco

    2013-01-01

    Medical imaging has become an absolutely essential diagnostic tool for clinical practices; at present, pathologies can be detected with an earliness never before known. Its use has not only been relegated to the field of radiology but also, increasingly, to computer-based imaging processes prior to surgery. Motion analysis, in particular, plays an important role in analyzing activities or behaviors of live objects in medicine. This short paper presents several low-cost hardware implementation approaches for the new generation of tablets and/or smartphones for estimating motion compensation and segmentation in medical images. These systems have been optimized for breast cancer diagnosis using magnetic resonance imaging technology with several advantages over traditional X-ray mammography, for example, obtaining patient information during a short period. This paper also addresses the challenge of offering a medical tool that runs on widespread portable devices, both on tablets and/or smartphones to aid in patient diagnostics.

  17. Implementation of a Low-Cost Mobile Devices to Support Medical Diagnosis

    Directory of Open Access Journals (Sweden)

    Carlos García Sánchez

    2013-01-01

    Full Text Available Medical imaging has become an absolutely essential diagnostic tool for clinical practices; at present, pathologies can be detected with an earliness never before known. Its use has not only been relegated to the field of radiology but also, increasingly, to computer-based imaging processes prior to surgery. Motion analysis, in particular, plays an important role in analyzing activities or behaviors of live objects in medicine. This short paper presents several low-cost hardware implementation approaches for the new generation of tablets and/or smartphones for estimating motion compensation and segmentation in medical images. These systems have been optimized for breast cancer diagnosis using magnetic resonance imaging technology with several advantages over traditional X-ray mammography, for example, obtaining patient information during a short period. This paper also addresses the challenge of offering a medical tool that runs on widespread portable devices, both on tablets and/or smartphones to aid in patient diagnostics.

  18. Implementation of supported conversation for communication between nursing staff and in-hospital patients with aphasia

    DEFF Research Database (Denmark)

    Jensen, Lise Randrup; Løvholt, Annelise P.; Sørensen, Inger

    2015-01-01

    Background: Patients admitted with aphasia due to stroke may find it difficult to access information and participate in decision-making concerning their own treatment, care, and rehabilitation (O'Halloran, Worrall, & Hickson, 2012). An increased understanding of the importance of communicative...... available a set of shared communication tools. The present study reports the outcome of the training programme for nursing staff. Methods and Procedures: A stepwise adaptation and implementation procedure is described which led to the development of the guideline, tools, and training programme. A mixed......-methods design (Clarke, 2009) was used to measure changes pre- and post-training for nursing staff, including assessment of quantitative and qualitative outcomes. All nurses and nursing assistants received a questionnaire before and after their participation in an SCA workshop, and seven members from the nursing...

  19. 'Nuclear emergency preparedness' for local residents. Support of on-site training of many kinds of places and people

    International Nuclear Information System (INIS)

    Kameda, Kazuhisa

    2005-01-01

    In order to support and ensure the nuclear emergency preparedness system and safety of residents in cities, towns and villages, NPO Nuclear Emergency Preparedness Support Center was established in May, 2003. 130 on-site training and education classes were held and above 2,000 participants attended to them for two years. Objects of the countermeasure of nuclear emergency preparedness in local area and residents, what is nuclear emergency for inhabitants, what is use of Table of International Nuclear Event Scale (INES)?, a use of INES, relation between INES level and the nuclear emergency preparedness system are discussed. (S.Y.)

  20. The health and safety implications of local medical support for land seismic crews in remote locations in southeast Asia

    International Nuclear Information System (INIS)

    Win, P.M.; Suter, P.C.

    1991-01-01

    The paper attempts to detail the benefits and drawbacks of hiring local doctors to support the medical services needed for land seismic acquisition crews in remote locations in South East Asia. The actual conditions prevailing among such seismic operations will be presented highlighting the problems and risks involved. The management of these problems will be outlined in terms of prevention and actual diagnosis and treatment of disease and injuries including emergency stabilization and evacuation of critically ill patients. The results and lessons learned will be evaluated and discussed including the economics of setting up a reasonably reliable medical facility. The paper will conclude that local knowledge, high levels of training and low costs make this type of medical support beneficial for such operations and may well be applicable for similar operations in other parts of the world

  1. 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.

  2. DESIGN AND IMPLEMENTATION OF LOCATION BASED ADVERTISING MOBILE APPLICATION WITH INDOOR LOCALIZATION AS A PROMOTION MEDIA IN SHOPPING CENTER

    Directory of Open Access Journals (Sweden)

    Ratih Ayu Indraswari

    2017-01-01

    Full Text Available Periklanan atau advertising sangat erat hubungannya dengan bisnis atau usaha. Dari sisi konsumen tentu sangat membutuhkan informasi mengenai sebuah produk atau jasa agar kebutuhan dapat terpenuhi dengan efektif. Disamping itu, teknologi perangkat bergerak berkembang cukup pesat dan sudah semakin menyatu dengan kehidupan personal manusia, sehingga secara langsung maupun tidak langsung perangkat bergerak yang dibawa oleh seseorang dapat menjadi sebuah pemancar yang memberikan informasi keberadaan mereka. Oleh sebab itu, dikembangkan sebuah sistem advertising yang dapat memberikan informasi promosi, iklan, dan lain-lain secara langsung kepada konsumen sesuai dengan lokasi saat itu. Tujuan dikembangkannya sistem ini adalah untuk memberikan solusi advertising yang tepat sasaran dan memudahkan konsumen untuk mengetahui promosi yang sedang berlaku pada booth yang sedang mereka kunjungi. Sistem didukung oleh konsep Indoor Localization yang memungkinkan untuk menentukkan lokasi pengguna yang berada didalam ruangan atau gedung. Konsep Indoor Localization diimplementasikan dengan melakukan klasifikasi terhadap data sinyal yang didapat pada waktu tertentu dengan metode Binary Tree Support Vector Machine. Dari data-data tersebut dilakukan pelatihan dan prediksi untuk menentukan lokasi. Tingkat akurasi hasil deteksi lokasi menghasilkan persentase benar sebesar 73%.

  3. Action to Support Practices Implement Research Evidence (ASPIRE): protocol for a cluster-randomised evaluation of adaptable implementation packages targeting 'high impact' clinical practice recommendations in general practice.

    Science.gov (United States)

    Willis, Thomas A; Hartley, Suzanne; Glidewell, Liz; Farrin, Amanda J; Lawton, Rebecca; McEachan, Rosemary R C; Ingleson, Emma; Heudtlass, Peter; Collinson, Michelle; Clamp, Susan; Hunter, Cheryl; Ward, Vicky; Hulme, Claire; Meads, David; Bregantini, Daniele; Carder, Paul; Foy, Robbie

    2016-02-29

    There are recognised gaps between evidence and practice in general practice, a setting which provides particular challenges for implementation. We earlier screened clinical guideline recommendations to derive a set of 'high impact' indicators based upon criteria including potential for significant patient benefit, scope for improved practice and amenability to measurement using routinely collected data. We aim to evaluate the effectiveness and cost-effectiveness of a multifaceted, adaptable intervention package to implement four targeted, high impact recommendations in general practice. The research programme Action to Support Practice Implement Research Evidence (ASPIRE) includes a pair of pragmatic cluster-randomised trials which use a balanced incomplete block design. Clusters are general practices in West Yorkshire, United Kingdom (UK), recruited using an 'opt-out' recruitment process. The intervention package adapted to each recommendation includes combinations of audit and feedback, educational outreach visits and computerised prompts with embedded behaviour change techniques selected on the basis of identified needs and barriers to change. In trial 1, practices are randomised to adapted interventions targeting either diabetes control or risky prescribing and those in trial 2 to adapted interventions targeting either blood pressure control in patients at risk of cardiovascular events or anticoagulation in atrial fibrillation. The respective primary endpoints comprise achievement of all recommended target levels of haemoglobin A1c (HbA1c), blood pressure and cholesterol in patients with type 2 diabetes, a composite indicator of risky prescribing, achievement of recommended blood pressure targets for specific patient groups and anticoagulation prescribing in patients with atrial fibrillation. We are also randomising practices to a fifth, non-intervention control group to further assess Hawthorne effects. Outcomes will be assessed using routinely collected data

  4. Top local cohomology and the catenary of the unmixed part of support of a finitely generated module

    International Nuclear Information System (INIS)

    Nguyen Tu Cuong; Nguyen Thi Dung; Le Thanh Nhan

    2005-09-01

    Let (R,m) be a Noetherian local ring and M a finitely generated R-module with dim M = d. This paper is concerned with the following property for the top local cohomology H m d (M): Ann R (0: H m d (M) p) = p for all prime ideals p is a subset of Ann R H m d ( M). It is shown that this property is equivalent to the catenary of the unmixed part Supp M/U M (0) of the support of M, where U M (0) is the largest submodule of M of dimension less than d. Some characterizations of this property in terms of systems of parameters and relations between the unmixed parts of Supp M and Supp M-circumflex are given. A connection to the so-called co-localization is discussed. (author)

  5. Implementation of telehealth support for patients with type 2 diabetes using insulin treatment: an exploratory study.

    Science.gov (United States)

    Turner, Jane; Larsen, Mark; Tarassenko, Lionel; Neil, Andrew; Farmer, Andrew

    2009-01-01

    Initiating and adjusting insulin treatment for people with type 2 diabetes (T2D) requires frequent clinician contacts both face-to-face and by telephone. We explored the use of a telehealth system to offer additional support to these patients. Twenty-three patients with uncontrolled T2D were recruited from nine general practices to assess the feasibility and acceptability of telehealth monitoring and support for insulin initiation and adjustment. The intervention included a standard algorithm for self-titration of insulin dose, a Bluetooth enabled glucose meter linked to a mobile phone, an integrated diary to record insulin dose, feedback of charted blood glucose data and telehealth nurse review with telephone follow-up. Additional contact with patients was initiated when no readings were transmitted for >3 days or when persistent hyper- or hypoglycaemia was identified. Reponses of patients and clinicians to the system were assessed informally. The mean (SD) patient age was 58 years (12) with 78% male. The mean (SD) diabetes duration was 6.4 years (4.5), HbA1c at baseline was 9.5% (2.2), and the decrease in HbA1c at three months was 0.52% (0.91) with an insulin dose increase of 9 units (26). A mean (SD) of 160 (93) blood glucose readings was transmitted per patient in these three months. Practice nurses and general practitioners (GPs) viewed the technology as having the potential to improve patient care. Most patients were able to use the equipment with training and welcomed review of their blood glucose readings by a telehealth nurse. Although the concept of telehealth monitoring is unfamiliar to most patients and practice nurses, the technology improved the support available for T2D patients commencing insulin treatment.

  6. EXPERTCHOICE© DECISION SUPPORT SYSTEM IMPLEMENTATION FOR VEHICLE SELECTION IN A COLOMBIAN SHIPYARD

    Directory of Open Access Journals (Sweden)

    JULIAN ANDRES ZAPATA CORTES

    2012-01-01

    Full Text Available El presente artículo muestra la aplicación del sistema de soporte de decisiones ¿ DSS (Decision support systems para la selección de automóviles tipo camionetas en un astillero colombiano. El artículo comienza con una descripción acerca de estos sistemas de soporte de decisión, se analiza la disponibilidad de los mismos en el mercado y finaliza con la aplicación del sistema DSS Expertchoice© para la selección de las camionetas en la empresa de estudio.

  7. The IAEA activities supporting implementation of best practice in uranium production cycle

    International Nuclear Information System (INIS)

    Slezak, J.

    2010-01-01

    'Full text:' Since the International Atomic Energy Agency's foundation in 1957, the Agency has had an increasing interest in uranium production cycle (UPC) developments. Recent activities cover tasks on uranium geology & deposits, exploration, mining & processing including environmental issues. The two projects titles are (1) Updating uranium resources, supply and demand and nuclear fuel cycle databases and (2) Supporting good practices in the UPC in particular for new countries. Based o the recent experience, one of the new activities is focused at human resources development to improve application of best practice called Uranium Production Cycle Network (UPNet). (author)

  8. IMPLEMENTATION AND EVALUATION OF A MOBILE MAPPING SYSTEM BASED ON INTEGRATED RANGE AND INTENSITY IMAGES FOR TRAFFIC SIGNS LOCALIZATION

    Directory of Open Access Journals (Sweden)

    M. Shahbazi

    2012-07-01

    Full Text Available Recent advances in positioning techniques have made it possible to develop Mobile Mapping Systems (MMS for detection and 3D localization of various objects from a moving platform. On the other hand, automatic traffic sign recognition from an equipped mobile platform has recently been a challenging issue for both intelligent transportation and municipal database collection. However, there are several inevitable problems coherent to all the recognition methods completely relying on passive chromatic or grayscale images. This paper presents the implementation and evaluation of an operational MMS. Being distinct from the others, the developed MMS comprises one range camera based on Photonic Mixer Device (PMD technology and one standard 2D digital camera. The system benefits from certain algorithms to detect, recognize and localize the traffic signs by fusing the shape, color and object information from both range and intensity images. As the calibrating stage, a self-calibration method based on integrated bundle adjustment via joint setup with the digital camera is applied in this study for PMD camera calibration. As the result, an improvement of 83 % in RMS of range error and 72 % in RMS of coordinates residuals for PMD camera, over that achieved with basic calibration is realized in independent accuracy assessments. Furthermore, conventional photogrammetric techniques based on controlled network adjustment are utilized for platform calibration. Likewise, the well-known Extended Kalman Filtering (EKF is applied to integrate the navigation sensors, namely GPS and INS. The overall acquisition system along with the proposed techniques leads to 90 % true positive recognition and the average of 12 centimetres 3D positioning accuracy.

  9. Implementation of soil protection objectives at local level - case study in eight municipalities; Maaperaensuojelun toteutuminen paikallistasolla. Tapaustutkimus kahdeksassa kunnassa

    Energy Technology Data Exchange (ETDEWEB)

    Lehtinen, H.

    2000-06-01

    This study aims to define the possibilities of the local administration to implement the objectives of soil protection. Important soil issues and development needs were analysed from eight group interviews and written material collected from the voluntarily participating municipalities. Relevant legislation was also reviewed as well as the experiences the municipalities included in the study, had about their action plans for the most important groundwater areas. The scope of a local soil protection policy and its objectives were manifested rather narrowly both in the group interviews and in the planning documents. Focus was on the quality of the groundwater resources and on a better control of the contamination risks. Most important soil problems appeared to be related to storage of oil and hazardous chemicals or accidents occurring in their transport, contaminated land areas, or sand and gravel extraction. Moreover the conflicts that arise in municipal decision-making concerning land use and physical planning were discussed in the interviews. Development needs were usually linked to physical planning at a general level, soil research and monitoring, clean-up of contaminated sites, diminishing of traffic contamination risks, and intensifying supervision, counselling and information dissemination. The interviewed groups saw a need to develop soil protection with greater awareness and more systematically than before, as an integral part of existing municipal administration and decision-making. Action plans for groundwater areas were experienced as useful tools to promote soil protection, but the need for other tools was also acknowledged. Stronger emphasise should be put on the economic and social viewpoints in sustainable development when assessing and monitoring further success in soil protection. Appropriate indicators are also needed. (orig.)

  10. Using Interactive Case Studies to Support Students Understandings of Local Environmental Problems

    Directory of Open Access Journals (Sweden)

    Z. Kostova

    2012-12-01

    Full Text Available The article presents designed and refined an interactive-enhanced curriculum module for 9th grade secondary school students in Bulgaria, based on environmental case studies. In the module activities students from two schools studied the local environments, performed observations and experiments, collected and analyzed data, prepared and presented posters and role plays, made connections between scientific processes and socio-scientific issues and drew conclusions about the global effects of locally created environmental problems. The students’ critical observations of the quality of their surroundings helped them to make a list of local environmental problems, to apply interactive strategies in studying them and to propose rational scientifically based solutions. In the study the attention was directed to the advantages and disadvantages of poster presentations and role playing and to the specific learning difficulties that students had to overcome. Students’ achievements from the two experimental schools were assessed independently in order to give us insights into the details of learning using different interactive strategies and into the acquired performance skills, dependant on students’ interests and personal abilities. The three versions of the module (traditional, dominated by teacher presentation; poster preparation and presentation in which students imitate scientific team research; and role playing in which students not only study the local environmental problems but assume social roles to cope with them demonstrate three levels of students learning independence. Specific assessment tests and check lists were developed for analyzing, evaluating and comparing students’ achievements in each version of the module and in each school. Ecological knowledge assessment tests were based on Bloom’s taxonomy of educational objectives. Poster and role playing preparations and presentations were assessed by specific criteria, shown in the

  11. A3byComp: A Support tool for Basic Implementation of Competency Management Systems in Social Entities

    Directory of Open Access Journals (Sweden)

    Daniel CLAVERO HERRERO

    2015-12-01

    Full Text Available The importance of managing processes related to people working in institutions within the scope of FEAPS evidenced by the increasing incorporation into the strategy of the organizations policies aimed at improving the working conditions of workers and in the development of competence management systems aimed at promoting professional development, which aims greater effectiveness and efficiency in providing support for improving the quality of life of people with disabilities and their families. At the same time, banks have highlighted the need for specific instruments and tools that facilitate the implementation of these systems. In Extremadura, it has been developed a software tool for the implementation of basic competence management systems called A3byComp that has been freely available to the entire network promoting industry collaboration aimed mutual learning.

  12. How to maximally support local and regional biodiversity in applied conservation? Insights from pond management.

    Science.gov (United States)

    Lemmens, Pieter; Mergeay, Joachim; De Bie, Tom; Van Wichelen, Jeroen; De Meester, Luc; Declerck, Steven A J

    2013-01-01

    Biodiversity and nature values in anthropogenic landscapes often depend on land use practices and management. Evaluations of the association between management and biodiversity remain, however, comparatively scarce, especially in aquatic systems. Furthermore, studies also tend to focus on a limited set of organism groups at the local scale, whereas a multi-group approach at the landscape scale is to be preferred. This study aims to investigate the effect of pond management on the diversity of multiple aquatic organism groups (e.g. phytoplankton, zooplankton, several groups of macro-invertebrates, submerged and emergent macrophytes) at local and regional spatial scales. For this purpose, we performed a field study of 39 shallow man-made ponds representing five different management types. Our results indicate that fish stock management and periodic pond drainage are crucial drivers of pond biodiversity. Furthermore, this study provides insight in how the management of eutrophied ponds can contribute to aquatic biodiversity. A combination of regular draining of ponds with efforts to keep ponds free of fish seems to be highly beneficial for the biodiversity of many groups of aquatic organisms at local and regional scales. Regular draining combined with a stocking of fish at low biomass is also preferable to infrequent draining and lack of fish stock control. These insights are essential for the development of conservation programs that aim long-term maintenance of regional biodiversity in pond areas across Europe.

  13. Research and implementation of role-playing teaching mode supported by gamification

    Science.gov (United States)

    Cui, Xu; Zhang, Zhenglei; Sun, Lei

    2017-08-01

    The paper designs a Role-playing Teaching Mode Supported by Gamification to stimulate the interest of learners. In the process of creating the teaching mode, the factors of incentive factors, teaching mode and course selection are the most important factors gained by investigate and research. Then under the guidance of the three factors, a leaning framework of role-playing teaching mode which is called Gamification Learning Framework (GM1.0) is determined. In the design of GM1.0, First, collect problem cases which students interested in and select three courses which are Algorithm Design, Data Structure and Program Design. Then, extract the knowledge points of the three courses and merge into the problem cases to form game maps. Last, Learners gain a role-playing actor to join games with the support of game maps and finish selected tasks reaching a higher task level by upgrade checkpoints, experience promotions and award medals changing. After that, learners’ enthusiasm for learning can be stimulated and the innovation abilities can also be improved gradually.

  14. PEPFAR support of alcohol-HIV prevention activities in Namibia and Botswana: a framework for investigation, implementation and evaluation.

    Science.gov (United States)

    Glenshaw, M; Deluca, N; Adams, R; Parry, C; Fritz, K; Du Preez, V; Voetsch, K; Lekone, P; Seth, P; Bachanas, P; Grillo, M; Kresina, T F; Pick, B; Ryan, C; Bock, N

    2016-01-01

    The association between harmful use of alcohol and HIV infection is well documented. To address this dual epidemic, the US President's Emergency Plan for AIDS Relief (PEPFAR) developed and implemented a multi-pronged approach primarily in Namibia and Botswana. We present the approach and preliminary results of the public health investigative and programmatic activities designed, initiated and supported by PEPFAR to combat the harmful use of alcohol and its association as a driver of HIV morbidity and mortality from 2008 to 2013. PEPFAR supported comprehensive alcohol programming using a matrix model approach that combined the socio-ecological framework and the Alcohol Misuse Prevention and Intervention Continuum. This structure enabled seven component objectives: (1) to quantify harmful use of alcohol through rapid assessments; (2) to develop and evaluate alcohol-based interventions; (3) to promote screening programs and alcohol abuse resource services; (4) to support stakeholder networks; (5) to support policy interventions and (6) structural interventions; and (7) to institutionalize universal prevention messages. Targeted PEPFAR support for alcohol activities resulted in several projects to address harmful alcohol use and HIV. Components are graphically conceptualized within the matrix model, demonstrating the intersections between primary, secondary and tertiary prevention activities and individual, interpersonal, community, and societal factors. Key initiative successes included leveraging alcohol harm prevention activities that enabled projects to be piloted in healthcare settings, schools, communities, and alcohol outlets. Primary challenges included the complexity of multi-sectorial programming, varying degrees of political will, and difficulties monitoring outcomes over the short duration of the program.

  15. Multi-criteria decision support framework for sustainable implementation of effective green supply chain management practices.

    Science.gov (United States)

    Boutkhoum, Omar; Hanine, Mohamed; Boukhriss, Hicham; Agouti, Tarik; Tikniouine, Abdessadek

    2016-01-01

    At present, environmental issues become real critical barriers for many supply chain corporations concerning the sustainability of their businesses. In this context, several studies have been proposed from both academia and industry trying to develop new measurements related to green supply chain management (GSCM) practices to overcome these barriers, which will help create new environmental strategies, implementing those practices in their manufacturing processes. The objective of this study is to present the technical and analytical contribution that multi-criteria decision making analysis (MCDA) can bring to environmental decision making problems, and especially to GSCM field. For this reason, a multi-criteria decision-making methodology, combining fuzzy analytical hierarchy process and fuzzy technique for order preference by similarity to ideal solution (fuzzy TOPSIS), is proposed to contribute to a better understanding of new sustainable strategies through the identification and evaluation of the most appropriate GSCM practices to be adopted by industrial organizations. The fuzzy AHP process is used to construct hierarchies of the influential criteria, and then identify the importance weights of the selected criteria, while the fuzzy TOPSIS process employs these weighted criteria as inputs to evaluate and measure the performance of each alternative. To illustrate the effectiveness and performance of our MCDA approach, we have applied it to a chemical industry corporation located in Safi, Morocco.

  16. Support of Maritime Education and Training Systems for the Implementation of the ISM Code

    Directory of Open Access Journals (Sweden)

    Elena Maggi

    2012-10-01

    Full Text Available The problem of the safety improvement and pollution preventionin maritime tra11Sp011 has become more and more criticaland urgent to solve. In fact, the number of accidents at seahas increased very quickly over time. Concern is growing aboutpoor qualification on safety and poor management standardsin shipping industry. The ISM Code (Intenzational Safety ManagementCode aims to provide intemational standards for safemanagement of ship operations and for pollution prevention.The paper, which presents a part of the work done by the Universityof Trieste - ISTIEE within the framework of theMETHAR project, aims to identify the expected supp01t fromthe MaJitime Education and Training (MET systems to implemmttheISM Code, consequently improving safety and preventingpollution. The paper desCiibes first the 01igin, the objectivesof the ISM Code and the standard requirements on METidentified by the Code. Secondly, it summarises the opinions ofthe operators collected through questionnaires. Finally, it identifiesthe possible enrichment of the MET system in order tobel/.er optimise the implementation of the Code.

  17. Supporting Faculty Development in Hospital Medicine: Design and Implementation of a Personalized Structured Mentoring Program.

    Science.gov (United States)

    Nagarur, Amulya; O'Neill, Regina M; Lawton, Donna; Greenwald, Jeffrey L

    2018-02-01

    The guidance of a mentor can have a tremendous influence on the careers of academic physicians. The lack of mentorship in the relatively young field of hospital medicine has been documented, but the efficacy of formalized mentorship programs has not been well studied. We implemented and evaluated a structured mentorship program for junior faculty at a large academic medical center. Of the 16 mentees who participated in the mentorship program, 14 (88%) completed preintervention surveys and 10 (63%) completed postintervention surveys. After completing the program, there was a statistically significant improvement in overall satisfaction within 5 specific domains: career planning, professional connectedness, self-reflection, research skills, and mentoring skills. All mentees reported that they would recommend that all hospital medicine faculty participate in similar mentorship programs. In this small, single-center pilot study, we found that the addition of a structured mentorship program based on training sessions that focus on best practices in mentoring was feasible and led to increased satisfaction in certain career domains among early-career hospitalists. Larger prospective studies with a longer follow-up are needed to assess the generalizability and durability of our findings. © 2017 Society of Hospital Medicine.

  18. A Tailored Ontology Supporting Sensor Implementation for the Maintenance of Industrial Machines

    Directory of Open Access Journals (Sweden)

    Elaheh Maleki

    2017-09-01

    Full Text Available The longtime productivity of an industrial machine is improved by condition-based maintenance strategies. To do this, the integration of sensors and other cyber-physical devices is necessary in order to capture and analyze a machine’s condition through its lifespan. Thus, choosing the best sensor is a critical step to ensure the efficiency of the maintenance process. Indeed, considering the variety of sensors, and their features and performance, a formal classification of a sensor’s domain knowledge is crucial. This classification facilitates the search for and reuse of solutions during the design of a new maintenance service. Following a Knowledge Management methodology, the paper proposes and develops a new sensor ontology that structures the domain knowledge, covering both theoretical and experimental sensor attributes. An industrial case study is conducted to validate the proposed ontology and to demonstrate its utility as a guideline to ease the search of suitable sensors. Based on the ontology, the final solution will be implemented in a shared repository connected to legacy CAD (computer-aided design systems. The selection of the best sensor is, firstly, obtained by the matching of application requirements and sensor specifications (that are proposed by this sensor repository. Then, it is refined from the experimentation results. The achieved solution is recorded in the sensor repository for future reuse. As a result, the time and cost of the design process of new condition-based maintenance services is reduced.

  19. A Tailored Ontology Supporting Sensor Implementation for the Maintenance of Industrial Machines.

    Science.gov (United States)

    Maleki, Elaheh; Belkadi, Farouk; Ritou, Mathieu; Bernard, Alain

    2017-09-08

    The longtime productivity of an industrial machine is improved by condition-based maintenance strategies. To do this, the integration of sensors and other cyber-physical devices is necessary in order to capture and analyze a machine's condition through its lifespan. Thus, choosing the best sensor is a critical step to ensure the efficiency of the maintenance process. Indeed, considering the variety of sensors, and their features and performance, a formal classification of a sensor's domain knowledge is crucial. This classification facilitates the search for and reuse of solutions during the design of a new maintenance service. Following a Knowledge Management methodology, the paper proposes and develops a new sensor ontology that structures the domain knowledge, covering both theoretical and experimental sensor attributes. An industrial case study is conducted to validate the proposed ontology and to demonstrate its utility as a guideline to ease the search of suitable sensors. Based on the ontology, the final solution will be implemented in a shared repository connected to legacy CAD (computer-aided design) systems. The selection of the best sensor is, firstly, obtained by the matching of application requirements and sensor specifications (that are proposed by this sensor repository). Then, it is refined from the experimentation results. The achieved solution is recorded in the sensor repository for future reuse. As a result, the time and cost of the design process of new condition-based maintenance services is reduced.

  20. IMPLEMENTATION OF OPEN-SOURCE WEB MAPPING TECHNOLOGIES TO SUPPORT MONITORING OF GOVERNMENTAL SCHEMES

    Directory of Open Access Journals (Sweden)

    B. R. Pulsani

    2015-10-01

    Full Text Available Several schemes are undertaken by the government to uplift social and economic condition of people. The monitoring of these schemes is done through information technology where involvement of Geographic Information System (GIS is lacking. To demonstrate the benefits of thematic mapping as a tool for assisting the officials in making decisions, a web mapping application for three government programs such as Mother and Child Tracking system (MCTS, Telangana State Housing Corporation Limited (TSHCL and Ground Water Quality Mapping (GWQM has been built. Indeed the three applications depicted the distribution of various parameters thematically and helped in identifying the areas with higher and weaker distributions. Based on the three applications, the study tends to find similarities of many government schemes reflecting the nature of thematic mapping and hence deduces to implement this kind of approach for other schemes as well. These applications have been developed using SharpMap Csharp library which is a free and open source mapping library for developing geospatial applications. The study highlights upon the cost benefits of SharpMap and brings out the advantage of this library over proprietary vendors and further discusses its advantages over other open source libraries as well.