WorldWideScience

Sample records for survey management suite

  1. Management Satisfaction Survey

    Data.gov (United States)

    Office of Personnel Management — The Chief Human Capital Officers' Managers' Satisfaction Survey asks managers to rate their perception of workforce planning, interaction with and levels of support...

  2. The AST3 controlling and operating software suite for automatic sky survey

    Science.gov (United States)

    Hu, Yi; Shang, Zhaohui; Ma, Bin; Hu, Keliang

    2016-07-01

    We have developed a specialized software package, called ast3suite, to achieve the remote control and automatic sky survey for AST3 (Antarctic Survey Telescope) from scratch. It includes several daemon servers and many basic commands. Each program does only one single task, and they work together to make AST3 a robotic telescope. A survey script calls basic commands to carry out automatic sky survey. Ast3suite was carefully tested in Mohe, China in 2013 and has been used at Dome, Antarctica in 2015 and 2016 with the real hardware for practical sky survey. Both test results and practical using showed that ast3suite had worked very well without any manual auxiliary as we expected.

  3. CAMEO (Computer-Aided Management of Emergency Operations) Software Suite

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — CAMEO is the umbrella name for a system of software applications used widely to plan for and respond to chemical emergencies. All of the programs in the suite work...

  4. FLEXI Project Management Survey

    Science.gov (United States)

    Rohunen, Anna; Krzanik, Lech; Kuvaja, Pasi; Similä, Jouni; Rodriguez, Pilar; Hyysalo, Jarkko; Linna, Tommi

    FLEXI Project Management Survey (FLEXI PMS) has been established to gain detailed knowledge on how the software industry - in particular successful companies - manages agile software development. FLEXI PMS investigates the actual agile values, principles, practices and contexts. The survey is supported by a careful literature review and analysis of existing studies. Special attention is attached to large, multi-site, multi-company and distributed projects - the target area of FLEXI project. The survey is intended to provide solid data for further knowledge acquisition and project/company positioning with regard to feasible agile management practices.

  5. Model-Based Fault Management Engineering Tool Suite Project

    Data.gov (United States)

    National Aeronautics and Space Administration — NASA's successful development of next generation space vehicles, habitats, and robotic systems will rely on effective Fault Management Engineering. Our proposed...

  6. Barriers to communication management in the executive suite

    NARCIS (Netherlands)

    van Ruler, B.; de Lange, R.

    2003-01-01

    For many years now, courses in public relations, advertising, and communication management, at universities throughout Europe have been attracting more students than ever. In many cases, the numbers of these students exceed those in economics, marketing, and law programs. This coincides with an expl

  7. Barriers to communication management in the executive suite

    NARCIS (Netherlands)

    van Ruler, B.; de Lange, R.

    2003-01-01

    For many years now, courses in public relations, advertising, and communication management, at universities throughout Europe have been attracting more students than ever. In many cases, the numbers of these students exceed those in economics, marketing, and law programs. This coincides with an

  8. Sport Management Survey. Employment Perspectives.

    Science.gov (United States)

    Quain, Richard J.; Parks, Janet B.

    1986-01-01

    A survey of sport management positions was designed to determine projected vacancy rates in six sport management career areas. Respondents to the survey were also questioned regarding their awareness of college professional preparation programs. Results are presented. (MT)

  9. Methods for Global Survey of Natural Gas Flaring from Visible Infrared Imaging Radiometer Suite Data

    Directory of Open Access Journals (Sweden)

    Christopher D. Elvidge

    2015-12-01

    Full Text Available A set of methods are presented for the global survey of natural gas flaring using data collected by the National Aeronautics and Space Administration/National Oceanic and Atmospheric Administration NASA/NOAA Visible Infrared Imaging Radiometer Suite (VIIRS. The accuracy of the flared gas volume estimates is rated at ±9.5%. VIIRS is particularly well suited for detecting and measuring the radiant emissions from gas flares through the collection of shortwave and near-infrared data at night, recording the peak radiant emissions from flares. In 2012, a total of 7467 individual flare sites were identified. The total flared gas volume is estimated at 143 (±13.6 billion cubic meters (BCM, corresponding to 3.5% of global production. While the USA has the largest number of flares, Russia leads in terms of flared gas volume. Ninety percent of the flared gas volume was found in upstream production areas, 8% at refineries and 2% at liquified natural gas (LNG terminals. The results confirm that the bulk of natural gas flaring occurs in upstream production areas. VIIRS data can provide site-specific tracking of natural gas flaring for use in evaluating efforts to reduce and eliminate routine flaring.

  10. Technical Reference Suite Addressing Challenges of Providing Assurance for Fault Management Architectural Design

    Science.gov (United States)

    Fitz, Rhonda; Whitman, Gerek

    2016-01-01

    Research into complexities of software systems Fault Management (FM) and how architectural design decisions affect safety, preservation of assets, and maintenance of desired system functionality has coalesced into a technical reference (TR) suite that advances the provision of safety and mission assurance. The NASA Independent Verification and Validation (IV&V) Program, with Software Assurance Research Program support, extracted FM architectures across the IV&V portfolio to evaluate robustness, assess visibility for validation and test, and define software assurance methods applied to the architectures and designs. This investigation spanned IV&V projects with seven different primary developers, a wide range of sizes and complexities, and encompassed Deep Space Robotic, Human Spaceflight, and Earth Orbiter mission FM architectures. The initiative continues with an expansion of the TR suite to include Launch Vehicles, adding the benefit of investigating differences intrinsic to model-based FM architectures and insight into complexities of FM within an Agile software development environment, in order to improve awareness of how nontraditional processes affect FM architectural design and system health management. The identification of particular FM architectures, visibility, and associated IV&V techniques provides a TR suite that enables greater assurance that critical software systems will adequately protect against faults and respond to adverse conditions. Additionally, the role FM has with regard to strengthened security requirements, with potential to advance overall asset protection of flight software systems, is being addressed with the development of an adverse conditions database encompassing flight software vulnerabilities. Capitalizing on the established framework, this TR suite provides assurance capability for a variety of FM architectures and varied development approaches. Research results are being disseminated across NASA, other agencies, and the

  11. Application of Fault Management Theory to the Quantitative Selection of a Launch Vehicle Abort Trigger Suite

    Science.gov (United States)

    Lo, Yunnhon; Johnson, Stephen B.; Breckenridge, Jonathan T.

    2014-01-01

    This paper describes the quantitative application of the theory of System Health Management and its operational subset, Fault Management, to the selection of Abort Triggers for a human-rated launch vehicle, the United States' National Aeronautics and Space Administration's (NASA) Space Launch System (SLS). The results demonstrate the efficacy of the theory to assess the effectiveness of candidate failure detection and response mechanisms to protect humans from time-critical and severe hazards. The quantitative method was successfully used on the SLS to aid selection of its suite of Abort Triggers.

  12. Bayesian adaptive survey protocols for resource management

    Science.gov (United States)

    Halstead, Brian J.; Wylie, Glenn D.; Coates, Peter S.; Casazza, Michael L.

    2011-01-01

    Transparency in resource management decisions requires a proper accounting of uncertainty at multiple stages of the decision-making process. As information becomes available, periodic review and updating of resource management protocols reduces uncertainty and improves management decisions. One of the most basic steps to mitigating anthropogenic effects on populations is determining if a population of a species occurs in an area that will be affected by human activity. Species are rarely detected with certainty, however, and falsely declaring a species absent can cause improper conservation decisions or even extirpation of populations. We propose a method to design survey protocols for imperfectly detected species that accounts for multiple sources of uncertainty in the detection process, is capable of quantitatively incorporating expert opinion into the decision-making process, allows periodic updates to the protocol, and permits resource managers to weigh the severity of consequences if the species is falsely declared absent. We developed our method using the giant gartersnake (Thamnophis gigas), a threatened species precinctive to the Central Valley of California, as a case study. Survey date was negatively related to the probability of detecting the giant gartersnake, and water temperature was positively related to the probability of detecting the giant gartersnake at a sampled location. Reporting sampling effort, timing and duration of surveys, and water temperatures would allow resource managers to evaluate the probability that the giant gartersnake occurs at sampled sites where it is not detected. This information would also allow periodic updates and quantitative evaluation of changes to the giant gartersnake survey protocol. Because it naturally allows multiple sources of information and is predicated upon the idea of updating information, Bayesian analysis is well-suited to solving the problem of developing efficient sampling protocols for species of

  13. Design and functionalities of the MADOR® software suite for dose-reduction management after DTPA therapy.

    Science.gov (United States)

    Leprince, B; Fritsch, P; Bérard, P; Roméo, P-H

    2016-03-01

    A software suite on biokinetics of radionuclides and internal dosimetry intended for the occupational health practitioners of nuclear industry and for expert opinions has been developed under Borland C++ Builder™. These computing tools allow physicians to improve the dosimetric follow-up of workers in agreement with the French regulations and to manage new internal contaminations by radionuclides such as Pu and/or Am after diethylene triamine penta-acetic acid treatments. In this paper, the concept and functionalities of the first two computing tools of this MADOR(®) suite are described. The release 0.0 is the forensic application, which allows calculating the derived recording levels for intake by inhalation or ingestion of the main radioisotopes encountered in occupational environment. Indeed, these reference values of activity are convenient to interpret rapidly the bioassay measurements and make decisions as part of medical monitoring. The release 1.0 addresses the effect of DTPA treatments on Pu/Am biokinetics and the dose benefit. The forensic results of the MADOR(®) suite were validated by comparison with reference data. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  14. The medical antigravity suit for management of surgically uncontrollable bleeding associated with abdominal pregnancy.

    Science.gov (United States)

    Sandberg, E C; Pelligra, R

    1983-07-01

    Three patients with abdominal pregnancy have been treated at Stanford University Hospital in recent years. Common to each was surgically uncontrolled hemorrhage for which circumferential pneumatic compression (supplied by a medical antigravity suit) was used to stop the bleeding. In each patient, the hemostatic effect of treatment was dramatic. In published accounts of the use of the garment in other severely hemorrhaging patients, the effects have been similarly dramatic and equally successful. These observations lead to a compelling consideration in regard to optimum management of patients with abdominal pregnancy. If our experience is confirmed by others, optimum management in abdominal pregnancy hereafter should regularly and routinely include removal of the placenta at the primary operation. This approach would anticipate use of the medical antigravity suit to provide hemostasis if surgically uncontrollable bleeding is encountered. Theoretically, the complications and long-term morbidity associated with retention of the placenta would be eliminated by this means while the previous disadvantage of placental removal, the potential for exsanguinating hemorrhage, would be circumvented.

  15. Global Management Education Graduate Survey, 2011. Survey Report

    Science.gov (United States)

    Schoenfeld, Gregg

    2011-01-01

    Each year for the past 12 years, the Graduate Management Admission Council[R] (GMAC[R]) has conducted a survey of graduate management education students in their final year of business school. This Global Management Education Graduate Survey is distributed to students at participating business schools. The survey allows students to express their…

  16. 2012 Global Management Education Graduate Survey. Survey Report

    Science.gov (United States)

    Leach, Laura

    2012-01-01

    Each year for the past 13 years, the Graduate Management Admission Council (GMAC) has conducted a survey of graduate management education students in their final year of business school. The Global Management Education Graduate Survey is distributed to students at participating schools. The survey allows students to express their opinions about…

  17. Application of Fault Management Theory to the Quantitative Selection of a Launch Vehicle Abort Trigger Suite

    Science.gov (United States)

    Lo, Yunnhon; Johnson, Stephen B.; Breckenridge, Jonathan T.

    2014-01-01

    The theory of System Health Management (SHM) and of its operational subset Fault Management (FM) states that FM is implemented as a "meta" control loop, known as an FM Control Loop (FMCL). The FMCL detects that all or part of a system is now failed, or in the future will fail (that is, cannot be controlled within acceptable limits to achieve its objectives), and takes a control action (a response) to return the system to a controllable state. In terms of control theory, the effectiveness of each FMCL is estimated based on its ability to correctly estimate the system state, and on the speed of its response to the current or impending failure effects. This paper describes how this theory has been successfully applied on the National Aeronautics and Space Administration's (NASA) Space Launch System (SLS) Program to quantitatively estimate the effectiveness of proposed abort triggers so as to select the most effective suite to protect the astronauts from catastrophic failure of the SLS. The premise behind this process is to be able to quantitatively provide the value versus risk trade-off for any given abort trigger, allowing decision makers to make more informed decisions. All current and planned crewed launch vehicles have some form of vehicle health management system integrated with an emergency launch abort system to ensure crew safety. While the design can vary, the underlying principle is the same: detect imminent catastrophic vehicle failure, initiate launch abort, and extract the crew to safety. Abort triggers are the detection mechanisms that identify that a catastrophic launch vehicle failure is occurring or is imminent and cause the initiation of a notification to the crew vehicle that the escape system must be activated. While ensuring that the abort triggers provide this function, designers must also ensure that the abort triggers do not signal that a catastrophic failure is imminent when in fact the launch vehicle can successfully achieve orbit. That is

  18. 2007 Merit Principles Survey: Performance Management Measures

    Data.gov (United States)

    Merit Systems Protection Board — 2007 survey responses from selected Federal agencies summarizing the existence of positive performance management practices and employee engagement scores for each...

  19. SimpleDICOM suite: personal productivity tools for managing DICOM objects.

    Science.gov (United States)

    Branstetter, Barton F; Uttecht, Steven D; Lionetti, David M; Chang, Paul J

    2007-01-01

    Commercial picture archiving and communication systems (PACS) are adept at supporting mainstream radiology work flow, but radiologists frequently encounter situations requiring additional functionality. For example, the incorporation of foreign or nonradiologic images and the deidentification of examinations for research purposes are useful tasks that do not fall within the purview of most commercial PACS. A suite of free, downloadable, vendor-independent software programs designed as PACS add-ons, the SimpleDICOM (Digital Imaging and Communications in Medicine) Suite, has been developed to aid radiologists in performing these tasks. Clinically relevant software design and informed administrative decisions during deployment allow optimal function of this software suite, which is available for download from the Internet. (c) RSNA, 2007.

  20. [Who is suited as operation room manager? Evaluation process for hospitals and candidates].

    Science.gov (United States)

    Schüpfer, G; Bauer, M

    2011-03-01

    Operation room (OR) management is not an end in itself. The challenge is more to organize the complex, inhomogeneous and interference-prone machinery of intraoperative service provision according to business objectives. Although business objectives may differ in some details the ultimate consequence is always to assure the quality of medical care along with adhering to the general economic conditions. The narrower the economic framework the smaller the company's tolerance to unprofessional OR management. Consequently, it can be noticed that OR management has become of age. An internal socialization as frontline leader is no longer sufficient for taking over a job profile which, regarding the risks of revenues and costs belongs to the top management of a company. Prior to looking for a future OR manager it is mandatory to develop a profile of qualifications tailored to the company. In the following selection process the important thing is to identify the candidate who fits best to the developed profile. This paper sees itself as an assistance in the development of such a company-specific qualification profile for an OR manager. On the basis of knowledge, skills and characteristics, different manager typologies are developed, facilitating the successful evaluation in a selection process for both the company and the candidate.

  1. Implementation of Remaining Useful Lifetime Transformer Models in the Fleet-Wide Prognostic and Health Management Suite

    Energy Technology Data Exchange (ETDEWEB)

    Agarwal, Vivek [Idaho National Lab. (INL), Idaho Falls, ID (United States); Lybeck, Nancy J. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Pham, Binh [Idaho National Lab. (INL), Idaho Falls, ID (United States); Rusaw, Richard [Electric Power Research Inst. (EPRI), Palo Alto, CA (United States); Bickford, Randall [Expert Microsystems, Orangevale, CA (United States)

    2015-02-01

    Research and development efforts are required to address aging and reliability concerns of the existing fleet of nuclear power plants. As most plants continue to operate beyond the license life (i.e., towards 60 or 80 years), plant components are more likely to incur age-related degradation mechanisms. To assess and manage the health of aging plant assets across the nuclear industry, the Electric Power Research Institute has developed a web-based Fleet-Wide Prognostic and Health Management (FW-PHM) Suite for diagnosis and prognosis. FW-PHM is a set of web-based diagnostic and prognostic tools and databases, comprised of the Diagnostic Advisor, the Asset Fault Signature Database, the Remaining Useful Life Advisor, and the Remaining Useful Life Database, that serves as an integrated health monitoring architecture. The main focus of this paper is the implementation of prognostic models for generator step-up transformers in the FW-PHM Suite. One prognostic model discussed is based on the functional relationship between degree of polymerization, (the most commonly used metrics to assess the health of the winding insulation in a transformer) and furfural concentration in the insulating oil. The other model is based on thermal-induced degradation of the transformer insulation. By utilizing transformer loading information, established thermal models are used to estimate the hot spot temperature inside the transformer winding. Both models are implemented in the Remaining Useful Life Database of the FW-PHM Suite. The Remaining Useful Life Advisor utilizes the implemented prognostic models to estimate the remaining useful life of the paper winding insulation in the transformer based on actual oil testing and operational data.

  2. Invenio as one Module within a Holistic Service Suite for Research Data Management

    CERN Document Server

    CERN. Geneva

    2017-01-01

    There are some prominent projects, mainly ZENODO (http://zenodo.org) and EUDAT (http://eudat.eu), funded by the EU that make use of the Invenio framework mainly for publishing research data. Yet publishing is only one component of research data management. How about keeping data not be published, long-term preservation, or linking publications to its foundational data? Various different approaches and tools support different a...

  3. Comparing BPM suite K2 Blackpearl and IBM Business process manager

    OpenAIRE

    Kosmač, Matjaž

    2012-01-01

    The thesis brings a comparison of two significant BPM tools called K2 Blackpearl and IBM Business Process Manager, also known as Lombardi. At the beginning we had to identify key criteria to evaluate BPM tools and divide them into larger sets. Afterwards we described how the chosen BPM tools fulfill important criteria in each of these sets. We came to the conclusion that both tools are quite similar, both offering similar (basic) functionalities and features, but often in ve...

  4. MAD: a suite of tools for microarray data management and processing.

    Science.gov (United States)

    Liao, B; Hale, W; Epstein, C B; Butow, R A; Garner, H R

    2000-10-01

    Microarray data management and processing (MAD) is a set of Windows integrated software for microarray analysis. It consists of a relational database for data storage with many user-interfaces for data manipulation, several text file parsers and Microsoft Excel macros for automation of data processing, and a generator to produce text files that are ready for cluster analysis. Executable is available free of charge on http://pompous.swmed.edu. The source code is also available upon request.

  5. Designing Suites of Incentives to Encourage Sustainable Land Management in Rural Queensland

    OpenAIRE

    Jackie Robinson; Jared Dent; Rob Fearon

    2011-01-01

    Agricultural practices including “grazing and overgrazing in general, agricultural production, water use practices, extensive vegetation clearing, wetland drainage on coastal plains, and development on acid sulphate soils†have been identified in the Reef Water Quality Protection Plan (Australian Government and Queensland Government 2009) as contributing towards nutrient, sediment and toxicant loads entering waterways. The management of the discharge of diffuse or non-point sources of disc...

  6. Challenges in the anesthetic management of ambulatory patients in the MRI suites.

    Science.gov (United States)

    Deen, Jasper; Vandevivere, Yzabel; Van de Putte, Peter

    2017-08-16

    MRI is becoming an indispensable diagnostic tool. The need for prolonged motion-free periods has substantially increased the need for deep sedation or anesthesia in a challenging environment. This review summarises recent literature with respect to pharmacological sedative strategies, nonpharmacological alternative approaches, airway management and safety issues in the ambulatory setting. Most literature researches the pediatric patient population. The American Society of Pediatrics published guidelines for monitoring and management of pediatric patients during sedation for diagnostic procedures. Dexmedetomidine is the most researched agent for sedation. It remains uncertain what the clinical implications are of the potential neurotoxicity of repeat sedation or anesthesia in young children. Airway strategies highlight the use of end-tidal carbon dioxide monitoring. Technical imaging advancement and nonpharmacological sedation alternatives allow for shorter procedures with a lower need for sedation. The anesthetic management of ambulatory patients in the MRI environment has its specific challenges and safety issues. However, the implementation of safety guidelines, new pharmacological and alternative nonpharmacological sedation strategies offer interesting perspectives to tackle these challenges.

  7. Governing board, C-suite, and clinical management perceptions of quality and safety structures, processes, and priorities in U.S. hospitals.

    Science.gov (United States)

    Vaughn, Thomas; Koepke, Mark; Levey, Samuel; Kroch, Eugene; Hatcher, Christopher; Tompkins, Christopher; Baloh, Jure

    2014-01-01

    To achieve quality improvement in hospitals requires greater attention to systems thinking than is typical at this time, including a shared understanding across different levels of the hospital of the current state of quality improvement efforts. A self-administered survey assessed the perceptions of board members, C-suite executives, and clinical managers regarding quality activities and structures. This instrument, the Hospital Leadership and Quality Assessment Tool (HLQAT), includes 13 domains in six conceptual areas that we believe are major organizational drivers of quality and safety: (1) commitment of senior leaders, (2) a vision of exemplary quality, (3) a supportive culture, (4) accountable leadership, (5) appropriate organizational structures, and (6) adaptive capability. HLQAT survey results from a convenience sample of more than 300 hospitals were linked to performance on the Centers for Medicare & Medicaid Services (CMS) Core Measures. The results show significantly different perceptions between the groups. Higher HLQAT scores for each respondent group were associated with better hospital performance on the CMS Core Measures. There is no magic bullet--no one domain dominates. Leaders in higher-performing hospitals appear to be more effective at conveying their vision of quality care and creating a culture that supports an expectation that staff and leadership will work across traditional boundaries to improve quality.

  8. General survey of solid-waste management

    Science.gov (United States)

    Reese, T. G.; Wadle, R. C.

    1974-01-01

    Potential ways of providing solid-waste management for a building complex serviced by a modular integrated utility system (MIUS) were explored. Literature surveys were conducted to investigate both conventional and unusual systems to serve this purpose. The advantages and disadvantages of the systems most compatible with MIUS are discussed.

  9. Grassland bird survey protocol : Kulm Wetland Management District

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial Survey Instructions for the grassland bird survey at Kulm Wetland Management District. This survey occurs between May 15th and July 15th annually. All...

  10. Initial Survey Instructions for management unit water monitoring : level

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial survey instructions for 1.08 management unit water monitoring (level) survey on Fish Springs National Wildlife Refuge. This survey is conducted weekly and is...

  11. Initial Survey Instructions for Wind Energy Breeding Shorebird Survey at Kulm Wetland Management District

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial survey instructions for conducting the wind breeding shorebird survey at Kulm Wetland Management District. This survey largely follows the protocol for...

  12. SPORTS ORGANIZATIONS MANAGEMENT IMPROVEMENT: A SURVEY ANALYSIS

    Directory of Open Access Journals (Sweden)

    Alin Molcut

    2015-07-01

    Full Text Available Sport organizations exist to perform tasks that can only be executed through cooperative effort, and sport management is responsible for the performance and success of these organizations. The main of the paper is to analyze several issues of management sports organizations in order to asses their quality management. In this respect a questionnaire has been desingned for performing a survey analysis through a statistical approach. Investigation was conducted over a period of 3 months, and have been questioned a number of managers and coaches of football, all while pursuing an activity in football clubs in the counties of Timis and Arad, the level of training for children and juniors. The results suggest that there is a significant interest for the improvement of management across teams of children and under 21 clubs, emphasis on players' participation and rewarding performance. Furthermore, we can state that in the sports clubs there is established a vision and a mission as well as the objectives of the club's general refers to both sporting performance, and financial performance.

  13. The Dark Energy Survey Data Management System

    Energy Technology Data Exchange (ETDEWEB)

    Mohr, Joseph J.; /Illinois U., Urbana, Astron. Dept. /Illinois U., Urbana; Barkhouse, Wayne; /North Dakota U.; Beldica, Cristina; /Illinois U., Urbana; Bertin, Emmanuel; /Paris, Inst. Astrophys.; Dora Cai, Y.; /NCSA, Urbana; Nicolaci da Costa, Luiz A.; /Rio de Janeiro Observ.; Darnell, J.Anthony; /Illinois U., Urbana, Astron. Dept.; Daues, Gregory E.; /NCSA, Urbana; Jarvis, Michael; /Pennsylvania U.; Gower, Michelle; /NCSA, Urbana; Lin, Huan; /Fermilab /Rio de Janeiro Observ.

    2008-07-01

    The Dark Energy Survey (DES) collaboration will study cosmic acceleration with a 5000 deg2 griZY survey in the southern sky over 525 nights from 2011-2016. The DES data management (DESDM) system will be used to process and archive these data and the resulting science ready data products. The DESDM system consists of an integrated archive, a processing framework, an ensemble of astronomy codes and a data access framework. We are developing the DESDM system for operation in the high performance computing (HPC) environments at the National Center for Supercomputing Applications (NCSA) and Fermilab. Operating the DESDM system in an HPC environment offers both speed and flexibility. We will employ it for our regular nightly processing needs, and for more compute-intensive tasks such as large scale image coaddition campaigns, extraction of weak lensing shear from the full survey dataset, and massive seasonal reprocessing of the DES data. Data products will be available to the Collaboration and later to the public through a virtual-observatory compatible web portal. Our approach leverages investments in publicly available HPC systems, greatly reducing hardware and maintenance costs to the project, which must deploy and maintain only the storage, database platforms and orchestration and web portal nodes that are specific to DESDM. In Fall 2007, we tested the current DESDM system on both simulated and real survey data. We used TeraGrid to process 10 simulated DES nights (3TB of raw data), ingesting and calibrating approximately 250 million objects into the DES Archive database. We also used DESDM to process and calibrate over 50 nights of survey data acquired with the Mosaic2 camera. Comparison to truth tables in the case of the simulated data and internal crosschecks in the case of the real data indicate that astrometric and photometric data quality is excellent.

  14. The Dark Energy Survey Data Management System

    CERN Document Server

    Mohr, Joseph J; Beldica, Cristina; Bertin, Emmanuel; Cai, Y Dora; da Costa, Luiz; Darnell, J Anthony; Daues, Gregory E; Jarvis, Michael; Gower, Michelle; Lin, Huan; Martelli, leandro; Neilsen, Eric; Ngeow, Chow-Choong; Ogando, Ricardo; Parga, Alex; Sheldon, Erin; Tucker, Douglas; Kuropatkin, Nikolay; Stoughton, Chris

    2008-01-01

    The Dark Energy Survey collaboration will study cosmic acceleration with a 5000 deg2 griZY survey in the southern sky over 525 nights from 2011-2016. The DES data management (DESDM) system will be used to process and archive these data and the resulting science ready data products. The DESDM system consists of an integrated archive, a processing framework, an ensemble of astronomy codes and a data access framework. We are developing the DESDM system for operation in the high performance computing (HPC) environments at NCSA and Fermilab. Operating the DESDM system in an HPC environment offers both speed and flexibility. We will employ it for our regular nightly processing needs, and for more compute-intensive tasks such as large scale image coaddition campaigns, extraction of weak lensing shear from the full survey dataset, and massive seasonal reprocessing of the DES data. Data products will be available to the Collaboration and later to the public through a virtual-observatory compatible web portal. Our appr...

  15. Results From the 2014 National Wilderness Manager Survey

    Science.gov (United States)

    Ramesh Ghimire; Ken Cordell; Alan Watson; Chad Dawson; Gary T. Green

    2015-01-01

    A national survey of managers was developed to support interagency wilderness strategic planning. The focus was on major challenges, perceived needs for science and training, and accomplishments of 1995 Strategic Plan objectives. The survey was administered to managers at the four federal agencies with wilderness management responsibilities: the Bureau of Land...

  16. Strategic survey framework for the Northwest Forest Plan survey and manage program.

    Science.gov (United States)

    Randy Molina; Dan McKenzie; Robin Lesher; Jan Ford; Jim Alegria; Richard. Cutler

    2003-01-01

    This document outlines an iterative process for assessing the information needs for all Northwest Forest Plan (NWFP) survey and manage species, designing and implementing strategic surveys (including field surveys and other information-gathering processes), and analyzing that information for use in the NWFP annual species review and adaptive-management processes. The...

  17. Peer to Peer Networks Management Survey

    CERN Document Server

    Amad, Mourad; Aïssani, Djamil

    2012-01-01

    Peer-to-Peer systems are based on the concept of resources localization and mutualisation in dynamic context. In specific environment such as mobile networks, characterized by high variability and dynamicity of network conditions and performances, where nodes can join and leave the network dynamically, resources reliability and availability constitute a critical issue. The resource discovery problem arises in the context of peer to peer (P2P) networks, where at any point of time a peer may be placed at or removed from any location over a general purpose network. Locating a resource or service efficiently is one of the most important issues related to peer-to-peer networks. The objective of a search mechanism is to successfully locate resources while incurring low overhead and low delay. This paper presents a survey on P2P networks management: classification, applications, platforms, simulators and security.

  18. Advantages of implementation of warehouse management it systems on example of WMS LOGISTIC VISION SUITE in logistic complex ROSHEN

    OpenAIRE

    Гандурський, Андрій Вікторович

    2015-01-01

    The article contains theoretical foundations of WMS LOGISTIC VISION SUITE IT system evaluation. Particular attention is given to the implementation of this system in the logistics center ROSHEN. It is presented the description of the software for a specific familiarization and basic parameters of logistic center for comparison. The advantages of using this information support with opportunities of future development are shown

  19. Logistics Management In Nigeria: Some Survey Results | Ojadi ...

    African Journals Online (AJOL)

    Logistics Management In Nigeria: Some Survey Results. ... During the last few years the word logistics has become a more frequently used word in the business ... materials management and distribution processes into a logistics supply chain.

  20. Use of social network analysis in maternity care to identify the profession most suited for case manager role

    NARCIS (Netherlands)

    Groenen, C.J.M.; Duijnhoven, N.T.L. van; Faber, M.J.; Koetsenruijter, J.; Kremer, J.A.M.; Vandenbussche, F.P.H.A.

    2017-01-01

    OBJECTIVE: To improve Dutch maternity care, professionals start working in interdisciplinary patient-centred networks, which includes the patients as a member. The introduction of the case manager is expected to work positively on both the individual and the network level. However, case management

  1. MANAGEMENT SURVEY IN TERMS OF RESPONSABILITY CENTERS

    Directory of Open Access Journals (Sweden)

    ROMANESCU MARCEL LAURENȚIU

    2013-12-01

    Full Text Available The purpose of the paper consists of evaluating the current cost management system, researching the modern means of approaching cost management and creating a methodology and instruments of implementing them in manufacturing enterprises in Romania. By analysing the background, we can state that by moving from expenses records to cost management was a first progres noted in the concept. The new approach has led to the distinct use of information on cost directly in the daily activity of management. Passing from cost management to the managment of costs represents the current stage of development of the concept. This will serve as a base for other future changes

  2. Property Owners and Managers Survey - Single Family Microdata

    Data.gov (United States)

    Department of Housing and Urban Development — The Property Owners and Managers Survey (POMS) Overview, Summary Tables, and Source and Accuracy Statement are available from the U.S. Census Bureau. POMS was...

  3. Basic Project Management Methodologies for Survey Researchers.

    Science.gov (United States)

    Beach, Robert H.

    To be effective, project management requires a heavy dependence on the document, list, and computational capability of a computerized environment. Now that microcomputers are readily available, only the rediscovery of classic project management methodology is required for improved resource allocation in small research projects. This paper provides…

  4. 78 FR 36784 - Survey of Nanomaterial Risk Management Practices

    Science.gov (United States)

    2013-06-19

    ... HUMAN SERVICES Centers for Disease Control and Prevention (CDC) Survey of Nanomaterial Risk Management... of Nanomaterial Risk Management Practices; Notice of Public Meeting and Request for Comments. SUMMARY... nanomaterial producers, distributors, end-users, and R&D laboratories for inclusion in a sampling frame? (3) A...

  5. Evaluating the performance of survey-based operational management procedures

    NARCIS (Netherlands)

    Pomarede, M.; Hillary, R.; Ibaibarriaga, L.; Bogaards, J.A.; Apostolaki, P.

    2010-01-01

    The design and evaluation of survey-based management strategies is addressed in this article, using three case-study fisheries: North Sea herring, Bay of Biscay anchovy and North Sea cod, with a brief history and the main management issues with each fishery outlined. A range of operational managemen

  6. National survey of occupational therapy managers in mental health

    OpenAIRE

    1999-01-01

    This study, part of the College of Occupational Therapists' Mental Health Project, surveyed occupational therapy managers in mental health to gather data about them, the services they managed and their opinions on current and future issues of importance. A questionnaire was sent to the 184 managers who it was believed worked in mental health and it achieved a 65.2% response rate. The majority of the 120 respondents were female, with Head II therapists between the ages of 31 and 40 forming...

  7. A Survey of Electronic Serials Managers Reveals Diversity in Practice

    Directory of Open Access Journals (Sweden)

    Laura Costello

    2014-09-01

    Full Text Available A Review of: Branscome, B. A. (2013. Management of electronic serials in academic libraries: The results of an online survey. Serials Review, 39(4, 216-226. http://dx.doi.org/10.1016/j.serrev.2013.10.004 Abstract Objective – To examine industry standards for the management of electronic serials and measure the adoption of electronic serials over print. Design – Survey questionnaire. Setting – Email lists aimed at academic librarians working in serials management. Subjects – 195 self-selected subscribers to serials email lists. Methods – The author created a 20 question survey that consisted primarily of closed-ended questions pertaining to the collection demographics, staff, budget, and tools of serials management groups in academic libraries. The survey was conducted via Survey Monkey and examined using the analytical features of the tool. Participants remained anonymous and the survey questions did not ask them to reveal identifiable information about their libraries. Main Results – Collection demographics questions revealed that 78% of surveyed librarians estimated that print-only collections represented 40% or fewer of their serials holdings. The author observed diversity in the factors that influence print to digital transitions in academic libraries. However 71.5% of participants indicated that publisher technology support like IP authentication was required before adopting digital subscriptions. A lack of standardization also marked serials workflows, department responsibilities, and department titles. The author did not find a correlation between serials budget and the enrollment size of the institution. Participants reported that they used tools from popular serials management vendors like Serials Solutions, Innovative Interfaces, EBSCO, and Ex Libris, but most indicated that they used more than one tool for serials management. Participants specified 52 unique serials management products used in their libraries. Conclusion

  8. Radioactive wastes management. The consequences of the public debate; Gestion des dechets radioactifs. Les suites du debat public

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    The French law from December 30, 1991 has defined an ambitious 15 years program of researches in order to explore the different possible paths for the long-term management of long-lived high and intermediate level radioactive wastes. The law foresees also that at the end of the 15 years research program, in 2006, a project of law will be prepared by the French government and transmitted to the European parliament. A public debate has been organized and emceed in 2005 in order dialogue with the general public and to gather its questions, remarks and fears. This document presents the decisions that the government wishes to take according to the different points discussed during the debate: implementing a national waste management policy for the overall radioactive materials and wastes, reinforcing the tools of this national policy, confirming the prohibition of storing foreign wastes, broadening ANDRA's missions, continuing and reinforcing researches evaluation, creating an independent nuclear safety authority, securing the financing of nuclear charges, sharing information with the public, reinforcing the role of the local information and follow-up committee, institutionalizing the local information commissions, reinforcing nuclear transparency, defining a waste disposal reference solution (long-duration reversible storage), continuing the researches along the three paths defined, defining a decision process, implementing a progressive and monitored disposal solution, sustaining economically the regions which have endorsed the setting up of a nuclear facility in their territory. Some pedagogical files about the research programs, the inventory of wastes, the separation-transmutation, the underground disposal and the sub-surface storage are attached at the end of the document. (J.S.)

  9. Survey of Mobile Digital Rights Management Platforms

    Directory of Open Access Journals (Sweden)

    Cristian Toma

    2009-06-01

    Full Text Available Based on the development of new communication and data transfer technologies, the mobile solutions for the e-activities have been able to provide new ways to provide multimedia content. This environment describes methods and tools available here, which will bring information, speed and efficiency to any stage and component of the mobile business process. The paper takes into discussion the Digital Rights Management technology in mobile world. The paper presents the main aspects regarding the business and technological models used in mobile digital rights management technology.

  10. Survey of Mobile Digital Rights Management Platforms

    Directory of Open Access Journals (Sweden)

    Cristian Toma

    2009-06-01

    Full Text Available

    Based on the development of new communication and data transfer technologies, the mobile solutions for the e-activities have been able to provide new ways to provide multimedia content. This environment describes methods and tools available here, which will bring information, speed and efficiency to any stage and component of the mobile business process.

    The paper takes into discussion the Digital Rights Management technology in mobile world. The paper presents the main aspects regarding the business and technological models used in mobile digital rights management technology.

  11. Risk Management In Perspective Of Knowledge Management A Brief Survey

    Science.gov (United States)

    Rehman, Zobia; Kifor, Claudiu V.

    2015-09-01

    This article explains the application of knowledge management for project risk management in industry. Combination of knowledge management and risk management is becoming a dire need for industries nowadays, because it has become necessary to make information reach timely to its destined users to achieve the desired goals. Quick decisions are needed throughout a project life cycle to mitigate or avoid a risk, but they are only possible when knowledge about it is in hand and can be inferred for fruitful decisions. Quality engineers make huge effort in analyzing and mitigating the risk and prepare various documents about different risk management stages. But this knowledge resides in documents or underutilized databases without any relation to each other that makes it useless for complex decision making. This article shall explain how knowledge management activities are helpful in risk management and the advantages of their fusion. It will also present a conceptual architecture of an Information Technology based solution for risk management and knowledge management combination.

  12. FluxSuite: a New Scientific Tool for Advanced Network Management and Cross-Sharing of Next-Generation Flux Stations

    Science.gov (United States)

    Burba, G. G.; Johnson, D.; Velgersdyk, M.; Beaty, K.; Forgione, A.; Begashaw, I.; Allyn, D.

    2015-12-01

    Significant increases in data generation and computing power in recent years have greatly improved spatial and temporal flux data coverage on multiple scales, from a single station to continental flux networks. At the same time, operating budgets for flux teams and stations infrastructure are getting ever more difficult to acquire and sustain. With more stations and networks, larger data flows from each station, and smaller operating budgets, modern tools are needed to effectively and efficiently handle the entire process. This would help maximize time dedicated to answering research questions, and minimize time and expenses spent on data processing, quality control and station management. Cross-sharing the stations with external institutions may also help leverage available funding, increase scientific collaboration, and promote data analyses and publications. FluxSuite, a new advanced tool combining hardware, software and web-service, was developed to address these specific demands. It automates key stages of flux workflow, minimizes day-to-day site management, and modernizes the handling of data flows: Each next-generation station measures all parameters needed for flux computations Field microcomputer calculates final fully-corrected flux rates in real time, including computation-intensive Fourier transforms, spectra, co-spectra, multiple rotations, stationarity, footprint, etc. Final fluxes, radiation, weather and soil data are merged into a single quality-controlled file Multiple flux stations are linked into an automated time-synchronized network Flux network manager, or PI, can see all stations in real time, including fluxes, supporting data, automated reports, and email alerts PI can assign rights, allow or restrict access to stations and data: selected stations can be shared via rights-managed access internally or with external institutions Researchers without stations could form "virtual networks" for specific projects by collaborating with PIs from

  13. Security Survey of Internet Browsers Data Managers

    CERN Document Server

    Boja, Catalin

    2011-01-01

    The paper analyses current versions of top three used Internet browsers and compare their security levels to a research done in 2006. The security is measured by analyzing how user data is stored. Data recorded during different browsing sessions and by different password management functions it is considered sensitive data. The paper describes how the browser protects the sensitive data and how an attacker or a forensic analyst can access it.

  14. Online e-Reputation Management Services Survey

    OpenAIRE

    Seigneur, Jean-Marc

    2013-01-01

    Reputation Management is rather a new field in the realm of computer security. This is mainly due to the fact that computers and software are more and more involved in open networks. In these open networks, any encountered user may become part of the user base and associated interactions even if there is no a priori information about those new users. The greater openness of these networks implies greater uncertainty regarding the outcomes of these interactions. Traditional security mechanisms...

  15. Security Survey of Internet Browsers Data Managers

    Directory of Open Access Journals (Sweden)

    Catalin Boja

    2011-09-01

    Full Text Available The paper analyses current versions of top three used Internet browsers and compare their security levels to a research done in 2006. The security is measured by analyzing how user data is stored. Data recorded during different browsing sessions and by different password management functions it is considered sensitive data. The paper describes how the browser protects the sensitive data and how an attacker or a forensic analyst can access it.

  16. 1996 hazardous waste management survey in selected Asian countries

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, D.; Christie, K.; Tao, Hong-lei [EnviroSearch International, Salt Lake City, UT (United States)

    1996-12-31

    This report documents the results of a 42-question survey submitted to countries in Asia concerning their hazardous waste management programs and other issues. The same survey questions were distributed in 1992. This report compares the 1992 and 1996 responses. The respondents were Australia, New Zealand, Malaysia, Philippines, Hong Kong, People`s Republic of China, Taiwan, Japan, Korea, Singapore, Thailand, and Indonesia. 7 figs.

  17. The expeditious survey of soils as a management strategy against degradation processes of agroecosystems

    Science.gov (United States)

    Machado Siqueira, Glécio; Medeiros Bezerra, Joel

    2013-04-01

    The pressure for agricultural use in hilly areas regarded as marginal to the productive process, committed to carrying capacity of natural systems and exposes the available resources, especially soil and water with higher rates of degradation. This fact, coupled with the lack of planning of production activities, knowing the limitations and capabilities of environmental elements, as well as the use of inappropriate agricultural practices and intensive, quickened the processes that generate environmental imbalance. To circumvent these problems, it is necessary to find mechanisms that mitigate the conflicts generated between productive activities and the environment. One should then respect the specificities and restrictions local soil and their interactions with other components of the environment, trying to select and adapt agricultural practices and techniques best suited to local conditions and enabling the sustainable use of land. For this detailed information and appropriate scale, consistent with the need for rural communities become indispensable instrument to support the management of natural resource use. The expeditious survey of soil provides subsidies to use planning and land management and propose management strategies that ensure higher productivity of soils and maintenance of the environmental quality of the area in question, so as to eliminate or at least alleviate the problems of erosion soil. The joint use of land mapping and topographical and use and occupancy permits integrated management for the recovery of degraded areas, the use of soil conservation practices and indicating areas for reforestation, agriculture and pasture. Thus, this study aims to evaluate the use of GIS tools for improving the expeditious survey of soil. The present study was conducted using data from the municipality of Campo do Meio (Minas Gerais, Brazil). Were prepared soil maps, topography and land use and occupation. Later he was made a map of land use capability (FAO

  18. MANAGING THE MEDICINES IN SOCIETY- A SURVEY

    Directory of Open Access Journals (Sweden)

    Singh Gyanendra

    2011-01-01

    Full Text Available There is increasing concern at the amount and cost of prescribed medicines that are unused and then have to be disposed off. Our studies have used health promotion and Dispose Unwanted Medicines Properly campaigns targeted at the patient to describe and quantify the annual cost of waste. The reasons patients return unused drugs to pharmacies have also been explored. The Study focuses on patient explanations for not needing medication categorized as, over-collection in the past, self-management strategies, changes in medical condition, other changes in patient circumstances or the repeat medicines policy at the surgery.The aim of the original study was to make a measurable change in prescribed medicines with a reduction in medicines wastage, whilst at the same time achieving improved standards of pharmaceutical care. Information on patient needs and behavior came from consultation in the pharmacy monitoring forms and interview. The study was based on two medical practices areas in Jhansi and Orai, comparing an outer city and an inner city population. The participants were general practitioners and pharmacists. The outcome was that 67% of the prescription sale was found over the 33% OTC product of the medications that would be expected to be regularly supplied were collected. The study suggests that closer professional management at the point of dispensing and an understanding of patient experiences can help reduce the amount of unwanted medication collected by patients.

  19. Surveying perceptions of landslide risk management in Norway

    Science.gov (United States)

    Chiu, Jessica Ka Yi; Eidsvig, Unni

    2016-04-01

    Enhanced precipitation due to climate change leads to increase in both frequency and intensity of landslides in Norway. A proactive approach to risk management is therefore required to significantly reduce the losses associated with landslides. Opinions and perceptions from practitioners on the performance of landslide risk management can provide insights on areas for improvement in the landslide risk management strategies in Norway. The Risk Management Index (RMI), proposed by Cardona et al. (2004), is a well-established method to measure perceptions of disaster management of selected actors holistically. The RMI is measured based on opinion questionnaires to technical staff, decision-makers, and stakeholders involved in all stages of risk reduction strategies. It is a composite index that considers a wide variety of strategies to manage risks, including structural and non-structural measures, acceptance strategies, disaster management, and risk transfer. The RMI method was modified to be implemented in landslide hazards and to fit with Norwegian conditions. An opinion survey was conducted in autumn 2015 to measure perceptions of landslide risk management in Norway. Perceptions were surveyed for two time periods: 2015 and 2050, and are based on national, county, and municipality levels. Based on the survey results, performance of landslide risk management at any administrative levels in Norway is perceived to improve from `significant' in 2015 to `significant' to `outstanding' in 2050. Knowledge and technology, climate, risk perceptions, and anthropogenic activities are mostly considered by respondents for their 2050 perceptions. Several aspects of landslide risk management in Norway can be improved. For example, landslide hazard evaluation and mapping should be prioritised in Norway. Upgrading, retrofitting, and reconstruction of assets may also be included in the landslide risk reduction strategies. In addition, there should be more focus on inter

  20. The MEME Suite.

    Science.gov (United States)

    Bailey, Timothy L; Johnson, James; Grant, Charles E; Noble, William S

    2015-07-01

    The MEME Suite is a powerful, integrated set of web-based tools for studying sequence motifs in proteins, DNA and RNA. Such motifs encode many biological functions, and their detection and characterization is important in the study of molecular interactions in the cell, including the regulation of gene expression. Since the previous description of the MEME Suite in the 2009 Nucleic Acids Research Web Server Issue, we have added six new tools. Here we describe the capabilities of all the tools within the suite, give advice on their best use and provide several case studies to illustrate how to combine the results of various MEME Suite tools for successful motif-based analyses. The MEME Suite is freely available for academic use at http://meme-suite.org, and source code is also available for download and local installation. © The Author(s) 2015. Published by Oxford University Press on behalf of Nucleic Acids Research.

  1. Survey Study of Moso Bamboo Management Techniques Dissemination in Zhejiang

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    By PRA survey to 1 245 farmer households of 10 key Moso bamboo (Phyllostachys pubescens) production counties, the source and demand of the management techniques in Zhejiang were studied. The conducted principal factor analysis revealed that experience and traditional knowledge are currently major technical sources of farmer households' Moso bamboo forest management techniques and that the demonstrative household is a highly expected technical source, in which the prime factor is interpersonal dissemination ...

  2. A Survey on Event Mining for ICT Network Infrastructure Management

    Institute of Scientific and Technical Information of China (English)

    LIU Zheng; LI Tao; WANG Junchang

    2016-01-01

    Managing large⁃scale complex network infrastructures is chal⁃lenging due to the huge number of heterogeneous network el⁃ements. The goal of this survey is to provide an overview of event mining techniques applied in the network management domain. Event mining includes a series of techniques for au⁃tomatically and effectively discovering valuable knowledge from historical event/log data. We present three research challenges (i.e., event generation, root cause analysis, and failure prediction) for event mining in network management and introduce the corresponding solutions. Event generation (i.e., converting messages in log files into structured events) is the first step in many event mining applications. Automat⁃ic root cause analysis can locate the faulty elements/compo⁃nents without the help of experienced domain experts. Fail⁃ure prediction in proactive fault management improves net⁃work reliability. The representative studies to address the three aforementioned challenges are reviewed and their main ideas are summarized in the survey. In addition, our survey shows that using event mining techniques can improve the network management efficiency and reduce the management cost.

  3. Instant Spring Tool Suite

    CERN Document Server

    Chiang, Geoff

    2013-01-01

    Filled with practical, step-by-step instructions and clear explanations for the most important and useful tasks. A tutorial guide that walks you through how to use the features of Spring Tool Suite using well defined sections for the different parts of Spring.Instant Spring Tool Suite is for novice to intermediate Java developers looking to get a head-start in enterprise application development using Spring Tool Suite and the Spring framework. If you are looking for a guide for effective application development using Spring Tool Suite, then this book is for you.

  4. APOM-project : a survey of pharmacy organization and management

    NARCIS (Netherlands)

    Mobach, MP; van der Werf, JJ; Tromp, TFJ

    1998-01-01

    In 1994, a Ph.D-study started regarding pharmacy, organization and management (APOM) in the Netherlands. The APOM-project deals with the structuring and steering of pharmacy organization. This article describes the summary of the empirical results of a survey in a relatively I ge sample (n = 169).

  5. Medical School Education in Hypertension Management: A National Survey.

    Science.gov (United States)

    Moser, Marvin; And Others

    1983-01-01

    The management of patients with primary hypertension remains a significant problem for the medical profession. In spite of this, specific programs for education in hypertensive vascular disease have been poorly organized. A survey to determine the level of training in this discipline is discussed. (MLW)

  6. Using Leadered Groups in Organizational Behavior and Management Survey Courses

    Science.gov (United States)

    Andre, Rae

    2011-01-01

    In organizational behavior and management survey courses, students are likely to maximize certain career-appropriate knowledge when their classroom groups are leadered rather than leaderless. Using leadered groups facilitates the learning of the professional and managerial skills associated with formal leadership while reducing some problematic…

  7. APOM-project : a survey of pharmacy organization and management

    NARCIS (Netherlands)

    Mobach, MP; van der Werf, JJ; Tromp, TFJ

    1998-01-01

    In 1994, a Ph.D-study started regarding pharmacy, organization and management (APOM) in the Netherlands. The APOM-project deals with the structuring and steering of pharmacy organization. This article describes the summary of the empirical results of a survey in a relatively I ge sample (n = 169). G

  8. The Ohio Schools Pest Management Survey: A Final Report.

    Science.gov (United States)

    2001

    In 2001, the Environmental Studies Senior Capstone Seminar class at Denison University helped the state of Ohio work to prevent harmful pesticide use in schools. In cooperation with Ohio State University's Integrated Pest Management (IPM) in Schools Program, Denison conducted a statewide survey of school districts to determine current pest…

  9. Strategic Issues in Quality Management: 2. Survey Analysis.

    Science.gov (United States)

    Johanssen, Carl Gustav

    1996-01-01

    Examines how and to what extent business-oriented libraries and information centers in the Nordic countries have implemented strategic quality management (SQM), drawing from theoretical considerations in an earlier article. An operational assessment model is proposed and empirical findings from a survey of business information services are…

  10. Management of Periprocedural Anticoagulation: A Survey of Contemporary Practice.

    Science.gov (United States)

    Flaker, Greg C; Theriot, Paul; Binder, Lea G; Dobesh, Paul P; Cuker, Adam; Doherty, John U

    2016-07-12

    Interruption of oral anticoagulation (AC) for surgery or an invasive procedure is a complicated process. Practice guidelines provide only general recommendations, and care of such patients occurs across multiple specialties. The availability of direct oral anticoagulants further complicates decision making and guidance here is limited. To evaluate current practice patterns in the United States for bridging AC, a survey was developed by the American College of Cardiology Anticoagulation Work Group. The goal of the survey was to assess how general and subspecialty cardiologists, internists, gastroenterologists, and orthopedic surgeons currently manage patients who receive AC and undergo surgery or an invasive procedure. The survey was completed by 945 physicians involved in the periprocedural management of AC. The results provide a template for educational and research projects geared toward the development of clinical pathways and point-of-care tools to improve this area of health care. Copyright © 2016 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  11. Managing Virtual Team Work in IT Projects: Survey

    Directory of Open Access Journals (Sweden)

    Hosam Farouk El-Sofany

    2014-12-01

    Full Text Available the nature of managing team work has changed significantly because of changes in organizations and the nature of the work they do. Organizations have become more distributed across geography and across industries. Relationships between people inside an organization and those previously considered outside (customers, suppliers, managers of collaborating organizations, other stakeholders are becoming more important. Organizations have discovered the value of collaborative work. When implementing IT projects in a global environment, a popular strategy is the establishment of virtual teams. The objective of this paper is to examine what competence an IT project manager has to have to lead a virtual IT team successfully. The question is approached from the perspective of competences presented in the IPMA (International Project Management Association competence baseline, or The Eye of Competences. Results from research, as well as a survey conducted, highlighted that both soft and hard skills are needed for the optimal IT project manager to lead a virtual team. To be successful in this area it is not sufficient to be outstanding in technical competences. Soft skills like communication, teamwork and leadership are no less essential. The competences scoring highest in the survey were: clarity of objectives, leadership & project management, communication, reliability & efficiency, teamwork and quality management.

  12. Validation suite for MCNP

    Energy Technology Data Exchange (ETDEWEB)

    Mosteller, R. D. (Russell D.)

    2002-01-01

    Two validation suites, one for criticality and another for radiation shielding, have been defined and tested for the MCNP Monte Carlo code. All of the cases in the validation suites are based on experiments so that calculated and measured results can be compared in a meaningful way. The cases in the validation suites are described, and results from those cases are discussed. For several years, the distribution package for the MCNP Monte Carlo code1 has included an installation test suite to verify that MCNP has been installed correctly. However, the cases in that suite have been constructed primarily to test options within the code and to execute quickly. Consequently, they do not produce well-converged answers, and many of them are physically unrealistic. To remedy these deficiencies, sets of validation suites are being defined and tested for specific types of applications. All of the cases in the validation suites are based on benchmark experiments. Consequently, the results from the measurements are reliable and quantifiable, and calculated results can be compared with them in a meaningful way. Currently, validation suites exist for criticality and radiation-shielding applications.

  13. Experiences of Uav Surveys Applied to Environmental Risk Management

    Science.gov (United States)

    Caprioli, M.; Trizzino, R.; Mazzone, F.; Scarano, M.

    2016-06-01

    In this paper the results of some surveys carried out in an area of Apulian territory affected by serious environmental hazard are presented. Unmanned Aerial Vehicles (UAV) are emerging as a key engineering tool for future environmental survey tasks. UAVs are increasingly seen as an attractive low-cost alternative or supplement to aerial and terrestrial photogrammetry due to their low cost, flexibility, availability and readiness for duty. In addition, UAVs can be operated in hazardous or temporarily inaccessible locations, that makes them very suitable for the assessment and management of environmental risk conditions. In order to verify the reliability of these technologies an UAV survey and A LIDAR survey have been carried outalong about 1 km of coast in the Salento peninsula, near the towns of San Foca, Torre dellOrso and SantAndrea( Lecce, Southern Italy). This area is affected by serious environmental risks due to the presence of dangerous rocky cliffs named falesie. The UAV platform was equipped with a photogrammetric measurement system that allowed us to obtain a mobile mapping of the fractured fronts of dangerous rocky cliffs. UAV-images data have been processed using dedicated software (AgisoftPhotoscan). The point clouds obtained from both the UAV and LIDAR surveys have been processed using Cloud Compare software, with the aim of testing the UAV results with respect to the LIDAR ones. The total error obtained was of centimeter-order that is a very satisfactory result. The environmental information has been arranged in an ArcGIS platform in order to assess the risk levels. The possibility to repeat the survey at time intervals more or less close together depending on the measured levels of risk and to compare the output allows following the trend of the dangerous phenomena. In conclusion, for inaccessible locations of dangerous rocky bodies the UAV survey coupled with GIS methodology proved to be a key engineering tool for the management of environmental

  14. Survey of the management of acute asthma in children.

    LENUS (Irish Health Repository)

    Widger, J

    2009-12-01

    Acute asthma is one of the most common reasons for children presenting to the emergency department. International guidelines for the management of acute paediatric asthma are widely available. In this study we examined how acute asthma in children is managed across hospitals in Ireland and compared Irish practice with standard international guidelines. We surveyed 54 paediatricians across 18 centres in Ireland. A total of 30 (55.5%) individual paediatricians across 17 (94%) centres replied. The majority of centres had a written protocol for the management of acute asthma. A large number of centres use MDI and spacer devices in acute management although doses used varied widely. Only 29% of centres had written asthma action plans available from the emergency department and 53% had plans available from the ward. Irish practice is largely inline with established guidelines. A national asthma strategy could further help to improve asthma care.

  15. EDL Sensor Suite Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Optical Air Data Systems (OADS) L.L.C. proposes a LIDAR based remote measurement sensor suite capable of satisfying a significant number of the desired sensing...

  16. Spatial Database Management System of China Geological Survey Extent

    Institute of Scientific and Technical Information of China (English)

    Chen Jianguo; Chen Zhijun; Wang Quanming; Fang Yiping

    2003-01-01

    The spatial database management system of China geological survey extent is a social service system. Its aim is to help the government and the whole social public to expediently use the spatial database, such as querying, indexing, mapping and product outputting. The management system has been developed based on MAPGIS6. x SDK and Visual C++, considering the spatial database contents and structure and the requirements of users. This paper introduces the software structure, the data flow chart and some key techniques of software development.

  17. Utilizing patient satisfaction surveys to prepare for Medicaid managed care.

    Science.gov (United States)

    Fields, T T; Gomez, P S

    2001-02-01

    To prepare for Medicaid managed care, a community health center incorporated the business principle of continuous quality improvement, often used in the private sector to improve customer service, into its planning process. The initial endeavor was to create a patient satisfaction survey that was appropriate for the uniqueness of the community. The survey, taken monthly, resulted in both staff and patients making active improvements in the clinic environment. Staff showed more enthusiasm, and patients were more assertive in their attitudes toward the clinic. The empowerment of the patient to take ownership in the clinic will be coupled with the next step of the formalized plan, that of educating patients on the steps necessary to ensure that their Medicaid managed care facility will be the local community health center.

  18. Survey among critical care nurses and physicians about delirium management.

    Science.gov (United States)

    Nydahl, Peter; Dewes, Michael; Dubb, Rolf; Hermes, Carsten; Kaltwasser, Arnold; Krotsetis, Susanne; von Haken, Rebecca

    2017-05-18

    Delirium is a serious complication in patients in intensive care units. Previous surveys on delirium management in daily practice showed low adherence to published guidelines. To evaluate delirium management in nurses and physicians working in intensive care units in German-speaking countries and to identify related differences between nurses and physicians. The study used an open online survey with multiple-choice responses. An invitation for participation was spread via journals and electronic resources using a snowball system. Apart from recording socio-demographical characteristics, the survey collected data on delirium assessment, delirium-related processes, non-pharmacological prevention and treatment and barriers for implementation. Differences between nurses and physicians were tested by Fisher's exact test with sequential Bonferroni correction. The survey was conducted in autumn 2016, and 559 clinicians participated. More nurses than physicians reported screening for delirium. The majority of clinicians reported screening for delirium when this was suspected; more than 50% used validated instruments. Half of the clinicians had delirium-related structures implemented, such as two thirds reporting delirium-related processes. Most cited barriers were lack of time and missing knowledge about delirium and its assessment. With significant difference, physicians recommended more than nurses early removal of catheters and daily interprofessional goals for patients. In German-speaking countries, assessment of delirium needs further improvement, leading to accurate assessment. Delirium-related structures and processes appear to be implemented widely, with only a few differences between nurses and physicians. Nurses and physicians in this survey reported similar perceptions and attitudes towards management of delirium. Both professions need more knowledge and inter-professional training on when and how to use validated assessment instruments. © 2017 British

  19. Using airborne geophysical surveys to improve groundwater resource management models

    Science.gov (United States)

    Abraham, Jared D.; Cannia, James C.; Peterson, Steven M.; Smith, Bruce D.; Minsley, Burke J.; Bedrosian, Paul A.

    2010-01-01

    Increasingly, groundwater management requires more accurate hydrogeologic frameworks for groundwater models. These complex issues have created the demand for innovative approaches to data collection. In complicated terrains, groundwater modelers benefit from continuous high‐resolution geologic maps and their related hydrogeologic‐parameter estimates. The USGS and its partners have collaborated to use airborne geophysical surveys for near‐continuous coverage of areas of the North Platte River valley in western Nebraska. The survey objectives were to map the aquifers and bedrock topography of the area to help improve the understanding of groundwater‐surface‐water relationships, leading to improved water management decisions. Frequency‐domain heliborne electromagnetic surveys were completed, using a unique survey design to collect resistivity data that can be related to lithologic information to refine groundwater model inputs. To render the geophysical data useful to multidimensional groundwater models, numerical inversion is necessary to convert the measured data into a depth‐dependent subsurface resistivity model. This inverted model, in conjunction with sensitivity analysis, geological ground truth (boreholes and surface geology maps), and geological interpretation, is used to characterize hydrogeologic features. Interpreted two‐ and three‐dimensional data coverage provides the groundwater modeler with a high‐resolution hydrogeologic framework and a quantitative estimate of framework uncertainty. This method of creating hydrogeologic frameworks improved the understanding of flow path orientation by redefining the location of the paleochannels and associated bedrock highs. The improved models reflect actual hydrogeology at a level of accuracy not achievable using previous data sets.

  20. Surface Contamination Monitor and Survey Information Management System

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-02-01

    Shonka Research Associates, Inc.`s (SRA) Surface Contamination Monitor and Survey Information management System (SCM/SIMS) is designed to perform alpha and beta radiation surveys of floors and surfaces and document the measured data. The SRA-SCM/SIMS technology can be applied to routine operational surveys, characterization surveys, and free release and site closure surveys. Any large nuclear site can make use of this technology. This report describes a demonstration of the SRA-SCM/SIMS technology. This demonstration is part of the chicago Pile-5 (CP-5) Large-Scale Demonstration Project (LSDP) sponsored by the US Department of Energy (DOE), Office of Science and Technology (ST), Deactivation and Decommissioning Focus Area (DDFA). The objective of the LSDP is to select and demonstrate potentially beneficial technologies at the Argonne National Laboratory-East`s (ANL) CP-5 Research Reactor Facility. The purpose of the LSDP is to demonstrate that by using innovative and improved deactivation and decommissioning (D and D) technologies from various sources, significant benefits can be achieved when compared to baseline D and D technologies.

  1. Cost and Management Accounting Practices: A Survey of Manufacturing Companies

    Directory of Open Access Journals (Sweden)

    Ali UYAR

    2010-11-01

    Full Text Available The purpose of this study is to explore cost and management accounting practices utilized by manufacturing companies operating in Istanbul, Turkey. The sample of the study consists of 61 companies, containing both small and medium-sized enterprises, and large companies. The data collection methodology of the study is questionnaire survey. The content of the questionnaire survey is based on several previous studies. The major findings of the study are as follows: the most widely used product costing method is job costing; the complexity in production poses as the highest ranking difficulty in product costing; the most widely used three overhead allocation bases are prime costs, units produced, and direct labor cost; pricing decisions is the most important area where costing information is used; overall mean of the ratio of overhead to total cost is 34.48 percent for all industries; and the most important three management accounting practices are budgeting, planning and control, and cost-volume-profit analysis. Furthermore, decreasing profitability, increasing costs and competition, and economic crises are the factors, which increase the perceived importance of cost accounting. The findings indicate that companies perceive traditional management accounting tools still important. However, new management accounting practices such as strategic planning, and transfer pricing are perceived less important than traditional ones. Therefore, companies need to improve themselves in this aspect.

  2. Research on Geological Survey Data Management and Automatic Mapping Technology

    Directory of Open Access Journals (Sweden)

    Dong Huang

    2017-01-01

    Full Text Available The data management of a large geological survey is not an easy task. To efficiently store and manage the huge datasets, a database of geological information on the basis of Microsoft Access has been created. By using the database of geological information, we can make easily and scientifically store and manage the large geological information. The geological maps—borehole diagrams, the rose diagrams for the joint trends, and joint isointensity diagrams—are traditionally drawn by hand, which is not efficient way; next, it is not easily possible to modify. Therefore, to solve those problems, the automatic mapping method and associated interfaces have been developed by using VS2010 and geological information database; these developments are presented in this article. This article describes the theoretical basis of the new method in detail and provides a case study of practical engineering to demonstrate its application.

  3. DSN Data Visualization Suite

    Science.gov (United States)

    Bui, Bach X.; Malhotra, Mark R.; Kim, Richard M.

    2009-01-01

    The DSN Data Visualization Suite is a set of computer programs and reusable Application Programming Interfaces (APIs) that assist in the visualization and analysis of Deep Space Network (DSN) spacecraft-tracking data, which can include predicted and actual values of downlink frequencies, uplink frequencies, and antenna-pointing angles in various formats that can include tables of values and polynomial coefficients. The data can also include lists of antenna-pointing events, lists of antenna- limit events, and schedules of tracking activities. To date, analysis and correlation of these intricately related data before and after tracking have been difficult and time-consuming. The DSN Data Visualization Suite enables operators to quickly diagnose tracking-data problems before, during, and after tracking. The Suite provides interpolation on demand and plotting of DSN tracking data, correlation of all data on a given temporal point, and display of data with color coding configurable by users. The suite thereby enables rapid analysis of the data prior to transmission of the data to DSN control centers. At the control centers, the same suite enables operators to validate the data before committing the data to DSN subsystems. This software is also Web-enabled to afford its capabilities to international space agencies.

  4. Ensemble: a web-based system for psychology survey and experiment management.

    Science.gov (United States)

    Tomic, Stefan T; Janata, Petr

    2007-08-01

    We provide a description of Ensemble, a suite of Web-integrated modules for managing and analyzing data associated with psychology experiments in a small research lab. The system delivers interfaces via a Web browser for creating and presenting simple surveys without the need to author Web pages and with little or no programming effort. The surveys may be extended by selecting and presenting auditory and/or visual stimuli with MATLAB and Flash to enable a wide range of psychophysical and cognitive experiments which do not require the recording of precise reaction times. Additionally, one is provided with the ability to administer and present experiments remotely. The software technologies employed by the various modules of Ensemble are MySQL, PHP, MATLAB, and Flash. The code for Ensemble is open source and available to the public, so that its functions can be readily extended by users. We describe the architecture of the system, the functionality of each module, and provide basic examples of the interfaces.

  5. Social Surveys about Solid Waste Management within Higher Education Institutes: A Comparison

    Directory of Open Access Journals (Sweden)

    Navarro Ferronato

    2017-03-01

    Full Text Available Solid waste mismanagement is a social burden that requires the introduction of reliable public policies, including recycling principles and technological facilities. However, the development of recycling plans is a real issue for municipal governments, since it involves psychological and cultural factors, both in developed and developing countries. Questionnaire survey is an important tool for evaluating which solid waste management policy is suited for each specific study area, involving citizens and stakeholders. The aim of this paper is to evaluate what approach should be applied for social surveys in higher education institutes, comparing developing and developed countries. Italy is the developed country analyzed, where two universities in different cities are compared, while La Paz (Bolivia is the emerging reality considered. The research conducted in La Paz led us to understand that, although recycling rates are low (about 8%, many students (56.96% separate up to half of the waste produced at home. At the same time, about 53% of those interviewed do not know the recycling practices implemented by the informal sector which is the one that constantly act for improving the recycling rates of the city. Low technological acceptance is instead underlined in the high income country, since there is a common negative opinion concerning the introduction of landfills and incinerators near residential areas (49% disagree. A comparison of the methodologies adopted for the two case studies is introduced whereas investigations results are presented.

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

    Directory of Open Access Journals (Sweden)

    Justyna Dobroszek

    2016-09-01

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

  7. RAJA Performance Suite

    Energy Technology Data Exchange (ETDEWEB)

    2017-09-01

    The RAJA Performance Suite is designed to evaluate performance of the RAJA performance portability library on a wide variety of important high performance computing (HPC) algorithmic lulmels. These kernels assess compiler optimizations and various parallel programming model backends accessible through RAJA, such as OpenMP, CUDA, etc. The Initial version of the suite contains 25 computational kernels, each of which appears in 6 variants: Baseline SequcntiaJ, RAJA SequentiaJ, Baseline OpenMP, RAJA OpenMP, Baseline CUDA, RAJA CUDA. All variants of each kernel perform essentially the same mathematical operations and the loop body code for each kernel is identical across all variants. There are a few kernels, such as those that contain reduction operations, that require CUDA-specific coding for their CUDA variants. ActuaJ computer instructions executed and how they run in parallel differs depending on the parallel programming model backend used and which optimizations are perfonned by the compiler used to build the Perfonnance Suite executable. The Suite will be used primarily by RAJA developers to perform regular assessments of RAJA performance across a range of hardware platforms and compilers as RAJA features are being developed. It will also be used by LLNL hardware and software vendor panners for new defining requirements for future computing platform procurements and acceptance testing. In particular, the RAJA Performance Suite will be used for compiler acceptance testing of the upcoming CORAUSierra machine {initial LLNL delivery expected in late-2017/early 2018) and the CORAL-2 procurement. The Suite will aJso be used to generate concise source code reproducers of compiler and runtime issues we uncover so that we may provide them to relevant vendors to be fixed.

  8. Public health financial management needs: report of a national survey.

    Science.gov (United States)

    Costich, Julia F; Honoré, Peggy A; Scutchfield, F Douglas

    2009-01-01

    The work reported here builds on the identification of public health financial management practice competencies by a national expert panel. The next logical step was to provide a validity check for the competencies and identify priority areas for educational programming. We developed a survey for local public health finance officers based on the public health finance competencies and field tested it with a convenience sample of officials. We asked respondents to indicate the importance of each competency area and the need for training to improve performance; we also requested information regarding respondent education, jurisdiction size, and additional comments. Our local agency survey sample drew on the respondent list from the National Association of County and City Health Officials 2005 local health department survey, stratified by agency size and limited to jurisdiction populations of 25,000 to 1,000,000. Identifying appropriate respondents was a major challenge. The survey was fielded electronically, yielding 112 responses from 30 states. The areas identified as most important and needing most additional training were knowledge of budget activities, financial data interpretation and communication, and ability to assess and correct the organization's financial status. The majority of respondents had some postbaccalaureate education. Many provided additional comments and recommendations. Health department finance officers demonstrated a high level of general agreement regarding the importance of finance competencies in public health and the need for training. The findings point to a critical need for additional training opportunities that are accessible, cost-effective, and targeted to individual needs.

  9. Survey of animal shelter managers regarding shelter veterinary medical services.

    Science.gov (United States)

    Laderman-Jones, B E; Hurley, K F; Kass, P H

    2016-04-01

    Veterinary services are increasingly used in animal shelters, and shelter medicine is an emerging veterinary specialty. However, little is known about working relationships between animal shelters and veterinarians. The aims of this survey were to characterize working relationships that shelter personnel have and want with veterinarians, identify opinions that shelter managers have regarding the veterinarians they work with, and determine areas for relationship growth between veterinarians and shelter managers. An electronic survey was distributed to 1373 managers of North American animal shelters; 536 (39.0%) responded. Almost all shelters had some veterinary relationship, and most had regular relationships with veterinarians. The proportion of shelters that used local clinics (73.9%) was significantly higher than the proportion that retained on-site paid veterinarians (48.5%). The proportion of respondents who did not have but wanted a paid on-site veterinarian (42%) was significantly higher than the proportion of respondents who did not use local clinics but wanted to (7.9%). These data suggest shelter managers valued veterinary relationships, and wished to expand on-site veterinary services. Almost all shelters in this study provided some veterinary care, and all respondents identified at least one common infectious disease, which, for most, had a substantial negative impact on shelter successes. Respondents indicated that the most important roles and greatest expertise of veterinarians were related to surgery, diagnosis and treatment of individual animals. Education of both veterinarians and shelter managers may help ensure that shelters benefit from the full range of services veterinarians can provide, including expertise in disease prevention and animal behavior.

  10. Addressing Tobacco in Managed Care: Results of the 2002 Survey

    Directory of Open Access Journals (Sweden)

    Carol McPhillips-Tangum

    2004-10-01

    Full Text Available Introduction In the United States, tobacco use is the leading preventable cause of death and disease. The health and cost consequences of tobacco dependence have made treatment and prevention of tobacco use a key priority among multiple stakeholders, including health plans, insurers, providers, employers, and policymakers. In 2002, the third survey of tobacco control practices and policies in health plans was conducted by America’s Health Insurance Plans’ technical assistance office as part of the Addressing Tobacco in Managed Care (ATMC program. Methods The ATMC survey was conducted in the spring of 2002 via mail, e-mail, and fax. A 19-item survey instrument was developed and pilot-tested. Of the 19 items, 12 were the same as in previous years, four were modified to collect more detailed data on areas of key interest, and three were added to gain information about strategies to promote smoking cessation. The sample for the survey was drawn from the 687 plans listed in the national directory of member and nonmember health plans in America's Health Insurance Plans. Results Of the 246 plans in the sample, 152 plans (62% representing more than 43.5 million health maintenance organization members completed the survey. Results show that health plans are using evidence-based programs and clinical guidelines to address tobacco use. Compared to ATMC survey data collected in 1997 and 2000, the 2002 ATMC survey results indicate that more health plans are providing full coverage for first-line pharmacotherapies and telephone counseling for smoking cessation. Plans have also shown improvement in their ability to identify at least some members who smoke. Similarly, a greater percentage of plans are employing strategies to address smoking cessation during the postpartum period to prevent smoking relapse and during pediatric visits to reduce or eliminate children’s exposure to environmental tobacco smoke. Conclusion The results of the 2002 ATMC survey

  11. Capacity Building for Institutional Development in Surveying and Land Management

    DEFF Research Database (Denmark)

    Enemark, Stig

    2006-01-01

    as the basic tools for achieving a sustainable approach. However, in many countries, and especially in developing countries and countries in transition, the national capacity to manage land rights, restrictions and responsibilities is not well developed in terms of mature institutions and the necessary human...... for developing the basic capacity in terms of educational programs and professional organizations; and 3) Global development through cooperation with other international NGO´s such as the UN agencies, the World Bank and sister organizations in surveying. FIG, this way, plays a strong role, in improving...

  12. Survey of buffer management policies for delay tolerant networks

    Directory of Open Access Journals (Sweden)

    Sweta Jain

    2014-04-01

    Full Text Available Delay tolerant networks (DTN are a class of networks that are a subset of the traditional mobile ad-hoc networks. It differs from mobile ad hoc networks (MANETs in the sense that it can withstand high delays in delivering data because of frequent network partitions, limited bandwidth and storage constraints persisting in such networks. Owing to these inherent characteristics of the delay tolerant networks improving delivery ratio in such networks depends on two main factors-use of routing strategy and a good buffer management policy. Many routing protocols have been proposed in the literature for DTN. Buffer management is a very important factor in DTN because of the very limited buffer space available in DTN nodes. Although a scheduling policy in DTN determines which message has to be forwarded first, the dropping policy decides which messages are to be dropped in case of buffer overflow. This Letter presents a survey of the existing buffer management policies proposed for DTN and discusses the pros and cons of these approaches. The buffer management techniques have been classified on the basis of information used by them whether they are based on local information of messages available at the node or global information of all the messages in the network.

  13. Parents' childhood fever management: community survey and instrument development.

    Science.gov (United States)

    Walsh, Anne; Edwards, Helen; Fraser, Jenny

    2008-08-01

    This paper is a report of a study to explore Australian parents' knowledge, beliefs, practices and information sources about fever management and develop a scale to measure parents' fever management practices. Parental fever phobia and overuse of antipyretics to reduce fever continue. No scales to measure parents' fever management practices are available. A community-based, postal survey was carried out in 2005 with 401 Australian parents of well children aged 6 months-5 years. Respondents were recruited through advertising (48.4%), face-to-face (26.4%) and snowball (24.4%) methods. A 33-item instrument was developed; construct and content validity were determined by an expert panel and item reliability by test-retest. Moderate fever (40.0 +/- 1.0 degrees C) was reported to be harmful (88%), causing febrile convulsions (77.7%). Usual practices targeted temperature reduction, antipyretic administration (87.8%), temperature monitoring (52.5%). Fewer evidence-based practices, such as encouraging fluids (49.0%) and light clothing (43.8%), were reported. Positive changes over time (36.4%) included less concern and delayed or reduced antipyretic use. Negative practice changes (22.7%) included greater concern and increased antipyretic use. Medical advice was sought for illness symptoms (48.7%) and high (37.4%) or persistent (41.5%) fevers. Fever management was learnt from doctors, family and friends and working experience, while receiving conflicting information (41.9%) increased concerns and created uncertainty about best practice. Parents need consistent evidence-based information about childhood fever management. The Parental Fever Management Scale requires further testing with different populations and in different cultures and healthcare systems to evaluate its usefulness in nursing practice and research.

  14. Space Suit Spins

    Science.gov (United States)

    2005-01-01

    Space is a hostile environment where astronauts combat extreme temperatures, dangerous radiation, and a near-breathless vacuum. Life support in these unforgiving circumstances is crucial and complex, and failure is not an option for the devices meant to keep astronauts safe in an environment that presents constant opposition. A space suit must meet stringent requirements for life support. The suit has to be made of durable material to withstand the impact of space debris and protect against radiation. It must provide essential oxygen, pressure, heating, and cooling while retaining mobility and dexterity. It is not a simple article of clothing but rather a complex modern armor that the space explorers must don if they are to continue exploring the heavens

  15. Literature Survey of previous research work in Models and Methodologies in Project Management

    OpenAIRE

    Ravinder Singh; Dr. Kevin Lano

    2014-01-01

    This paper provides a survey of the existing literature and research carried out in the area of project management using different models, methodologies, and frameworks. Project Management (PM) broadly means programme management, portfolio management, practice management, project management office, etc. A project management system has a set of processes, procedures, framework, methods, tools, methodologies, techniques, resources, etc. which are used to manage the full life cycle of projects. ...

  16. The Large Synoptic Survey Telescope project management control system

    Science.gov (United States)

    Kantor, Jeffrey P.

    2012-09-01

    The Large Synoptic Survey Telescope (LSST) program is jointly funded by the NSF, the DOE, and private institutions and donors. From an NSF funding standpoint, the LSST is a Major Research Equipment and Facilities (MREFC) project. The NSF funding process requires proposals and D&D reviews to include activity-based budgets and schedules; documented basis of estimates; risk-based contingency analysis; cost escalation and categorization. "Out-of-the box," the commercial tool Primavera P6 contains approximately 90% of the planning and estimating capability needed to satisfy R&D phase requirements, and it is customizable/configurable for remainder with relatively little effort. We describe the customization/configuration and use of Primavera for the LSST Project Management Control System (PMCS), assess our experience to date, and describe future directions. Examples in this paper are drawn from the LSST Data Management System (DMS), which is one of three main subsystems of the LSST and is funded by the NSF. By astronomy standards the LSST DMS is a large data management project, processing and archiving over 70 petabyes of image data, producing over 20 petabytes of catalogs annually, and generating 2 million transient alerts per night. Over the 6-year construction and commissioning phase, the DM project is estimated to require 600,000 hours of engineering effort. In total, the DMS cost is approximately 60% hardware/system software and 40% labor.

  17. Asthma Prevalence, Management, and Education in New York State Elementary Schools: A Survey of School Nurses

    Science.gov (United States)

    Kielb, Christine; Lin, Shao; Hwang, Syni-an

    2007-01-01

    A survey of school nurses was conducted in New York State elementary schools to assess asthma and asthma management in students. The survey contained questions about asthma morbidity, management and education, obstacles to management, and school indoor air quality. The reported prevalence of asthma among students was 8.5%. Of the students with…

  18. Australian and New Zealand Perfusion Survey: Management and Procedure

    Science.gov (United States)

    Tuble, Sigrid C.; Willcox, Timothy W.; Baker, Robert A.

    2009-01-01

    Abstract: In this report, we will discuss management and procedural aspects of perfusion practice. This report allows us to compare and contrast recent trends and changes in perfusion with historic practices. A survey comprised of 233 single-answer and 12 open-ended questions was sent by e-mail to senior perfusionists or individuals in charge of perfusion in 40 hospital groups. The survey encompasses a review of the perfusion practices for the calendar year of 2003, and respondents were required to answer the survey based on the predominant practice in their institutions. Standard management of routine adult cardiopulmonary bypass (CPB) in 2003 consisted of perfusion strategies that achieved a target temperature of 32.0°C (range, 28.0–35.0°C), a flow index of 2.4 L/min/m2 (range, 1.6–3.0 L/min/m2) during normothermia and 1.8 L/min/m2 (range, 1.2–3.0 L/min/m2) during hypothermia, and a pressure during CPB between 50 (range, 30–65 mmHg) and 70 mmHg (range, 60–95 mmHg). Myocardial protection with blood cardioplegia was used in 77% of the 20,688 CPB cases, whereas in 53% cases, cardiotomy blood was never processed. Pre-operatively, 76% of perfusion groups assessed their patients (21% directly with the patient), and 85% responded that perfusionists performed or participated in a formal pre-bypass checklist. The majority of the perfusion groups used a handwritten perfusion record (62%), 12% used an electronic perfusion record, and 26% used both, whereas more than one half of the groups were involved in quality assurance (79%), incident reporting (74%), audits (62%), research (53%), participating in interdisciplinary meetings (53%), and morbidity and mortality meetings (65%). Only 26% conducted formal perfusion team meetings. This report outlines the status of clinical management and procedural performance for perfusion practices in Australia and New Zealand in 2003. Awareness of these trends will allow perfusionists to assess both individual practices and

  19. [User guide for Vegetation Structure survey at Kulm Wetland Management District

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Habitat structure user guide for the vegetation structure monitoring survey at Kulm Wetland Management District. This recurring survey happens every year from May...

  20. A summary of the 2004 Devils Lake Wetland Management District roadside transect survey

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report is on the 2004 road transect surveys conducted on the Devils Lake Wetland Management District. Surveys were preformed in an effort to fill the data gap...

  1. Learning DHTMLX suite UI

    CERN Document Server

    Geske, Eli

    2013-01-01

    A fast-paced, example-based guide to learning DHTMLX.""Learning DHTMLX Suite UI"" is for web designers who have a basic knowledge of JavaScript and who are looking for powerful tools that will give them an extra edge in their own application development. This book is also useful for experienced developers who wish to get started with DHTMLX without going through the trouble of learning its quirks through trial and error. Readers are expected to have some knowledge of JavaScript, HTML, Document Object Model, and the ability to install a local web server.

  2. A survey of silage management practices on California dairies.

    Science.gov (United States)

    Heguy, J M; Meyer, D; Silva-del-Río, N

    2016-02-01

    The aim of the present study was to gather baseline information on corn silage-management practices to develop an outreach curriculum for dairy producers and growers. In spring 2013, dairy producers in the San Joaquin Valley (California) were surveyed on their silage-management practices. Response rate was 14.5% (n=160) and herd size averaged 1,512 milking cows. Harvest date was set solely by the dairy producer (53.4%) or with the assistance of the crop manager, custom chopper, or nutritionist (23.3%). On some dairies (23.3%), the dairy producer delegated the harvest date decision. Most dairies (75.0%) estimated crop dry matter before harvest, and the preferred method was milk line evaluation. Dairy producers were mostly unfamiliar with harvest rate but the number [1 (35.9%), 2 (50.3%), or 3 to 5 (13.8%)] and size [6-row (17.7%), 8-row (67.3%), or 10-row (15.0%)] of choppers working simultaneously was reported. Most dairies used a single packing tractor (68.8%) and weighed every load of fresh chopped corn delivered to the silage pit (62%). During harvest, dry matter (66.9%), particle length (80.4%), and kernel processing (92.5%) were monitored. Most dairies completed filling their largest silage structure in less than 3 d (48.5%) or in 4 to 7 d (30.9%). Silage covering was completed no later than 7 2h after structure completion in all dairies, and was often completed within 24 h (68.8%). Packed forage was covered as filled in 19.6% of dairies. Temporary covers were used on some dairies (51.0%), with filling durations of 1 to 60 d. When temporary covers were not used, structures were filled in no more than 15 d. After structure closure, silage feedout started in 1 to 3 wk (44.4%), 4 to 5 wk (31.4%), or 8 or more wk (24.2%). Future considerations included increasing the silage storage area (55.9%), increasing the number of packing tractors (37.0%), planting brown mid-rib varieties (34.4%), buying a defacer to remove silage (33.1%), and creating drive-over piles (32

  3. [Survey in hospitals. Nursing errors, error culture and error management].

    Science.gov (United States)

    Habermann, Monika; Cramer, Henning

    2010-09-01

    Knowledge on errors is important to design safe nursing practice and its framework. This article presents results of a survey on this topic, including data of a representative sample of 724 nurses from 30 German hospitals. Participants predominantly remembered medication errors. Structural and organizational factors were rated as most important causes of errors. Reporting rates were considered low; this was explained by organizational barriers. Nurses in large part expressed having suffered from mental problems after error events. Nurses' perception focussing on medication errors seems to be influenced by current discussions which are mainly medication-related. This priority should be revised. Hospitals' risk management should concentrate on organizational deficits and positive error cultures. Decision makers are requested to tackle structural problems such as staff shortage.

  4. Modified Advanced Crew Escape Suit Intravehicular Activity Suit for Extravehicular Activity Mobility Evaluations

    Science.gov (United States)

    Watson, Richard D.

    2014-01-01

    The use of an intravehicular activity (IVA) suit for a spacewalk or extravehicular activity (EVA) was evaluated for mobility and usability in the Neutral Buoyancy Laboratory (NBL) environment at the Sonny Carter Training Facility near NASA Johnson Space Center in Houston, Texas. The Space Shuttle Advanced Crew Escape Suit was modified to integrate with the Orion spacecraft. The first several missions of the Orion Multi-Purpose Crew Vehicle will not have mass available to carry an EVA-specific suit; therefore, any EVA required will have to be performed by the Modified Advanced Crew Escape Suit (MACES). Since the MACES was not designed with EVA in mind, it was unknown what mobility the suit would be able to provide for an EVA or whether a person could perform useful tasks for an extended time inside the pressurized suit. The suit was evaluated in multiple NBL runs by a variety of subjects, including crewmembers with significant EVA experience. Various functional mobility tasks performed included: translation, body positioning, tool carrying, body stabilization, equipment handling, and tool usage. Hardware configurations included with and without Thermal Micrometeoroid Garment, suit with IVA gloves and suit with EVA gloves. Most tasks were completed on International Space Station mock-ups with existing EVA tools. Some limited tasks were completed with prototype tools on a simulated rocky surface. Major findings include: demonstrating the ability to weigh-out the suit, understanding the need to have subjects perform multiple runs prior to getting feedback, determining critical sizing factors, and need for adjusting suit work envelope. Early testing demonstrated the feasibility of EVA's limited duration and limited scope. Further testing is required with more flight-like tasking and constraints to validate these early results. If the suit is used for EVA, it will require mission-specific modifications for umbilical management or Primary Life Support System integration

  5. Microgrid Controller and Advanced Distribution Management System Survey Report

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Guodong [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Starke, Michael R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Herron, Andrew N. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-07-01

    A microgrid controller, which serves as the heart of a microgrid, is responsible for optimally managing the distributed energy resources, energy storage systems, and responsive demand and for ensuring the microgrid is being operated in an efficient, reliable, and resilient way. As the market for microgrids has blossomed in recently years, many vendors have released their own microgrid controllers to meet the various needs of different microgrid clients. However, due to the absence of a recognized standard for such controllers, vendor-supported microgrid controllers have a range of functionalities that are significantly different from each other in many respects. As a result the current state of the industry has been difficult to assess. To remedy this situation the authors conducted a survey of the functions of microgrid controllers developed by vendors and national laboratories. This report presents a clear indication of the state of the microgrid-controller industry based on analysis of the survey results. The results demonstrate that US Department of Energy funded research in microgrid controllers is unique and not competing with that of industry.

  6. JLABGEO: a new survey and alignment data manager

    Energy Technology Data Exchange (ETDEWEB)

    Tremblay, K.J.; Curtis, C.J. [Thomas Jefferson National Accelerator Facility, Virginia (United States)

    1999-07-01

    The Survey and Alignment group at Thomas Jefferson National Accelerator Facility has relied upon the MS-Dos program Geonet, originally developed at Stanford Linear Accelerator, as its central data manager. With the Lab decision to only use Microsoft Windows NT as the platform for PCs, limitations were reached in using Geonet. A program has been developed at Jefferson Lab, JLabGeo to mimic as many of the Geonet functions as possible, while also expanding and enhancing its capabilities. All of the adjustment programs, originally developed by Dr. Ingolf Burstedde, have been revised in order to work with arrays of any size, and operate as console applications in the NT environment. Integrating the use of a central file server as both the source of the executable programs and data files also ensures that all workstations are using the most recent data. Work continues on developing JLabGeo, notably the integration of all of our survey data types into a easily retrievable database, and the development of a central repository for beamline information and ideal coordinates. (authors)

  7. Anthropometric Accommodation in Space Suit Design

    Science.gov (United States)

    Rajulu, Sudhakar; Thaxton, Sherry

    2007-01-01

    Design requirements for next generation hardware are in process at NASA. Anthropometry requirements are given in terms of minimum and maximum sizes for critical dimensions that hardware must accommodate. These dimensions drive vehicle design and suit design, and implicitly have an effect on crew selection and participation. At this stage in the process, stakeholders such as cockpit and suit designers were asked to provide lists of dimensions that will be critical for their design. In addition, they were asked to provide technically feasible minimum and maximum ranges for these dimensions. Using an adjusted 1988 Anthropometric Survey of U.S. Army (ANSUR) database to represent a future astronaut population, the accommodation ranges provided by the suit critical dimensions were calculated. This project involved participation from the Anthropometry and Biomechanics facility (ABF) as well as suit designers, with suit designers providing expertise about feasible hardware dimensions and the ABF providing accommodation analysis. The initial analysis provided the suit design team with the accommodation levels associated with the critical dimensions provided early in the study. Additional outcomes will include a comparison of principal components analysis as an alternate method for anthropometric analysis.

  8. Peer Assessment for Construction Management and Quantity Surveying Students

    Directory of Open Access Journals (Sweden)

    Patricia McLaughlin

    2012-11-01

    Full Text Available Students undertaking the Bachelor of ConstructionManagement degree course at RMIT University, Melbourne,qualify for registration with the Australian Institute ofQuantity Surveyors (AIQS and the Australian Institute ofBuilding (AIB upon graduation. Over the past decade thedegree course has been constantly upgraded and altered inline with recommendations from professional bodies such asthese and other industry partners. In 1994 the Departmentof Building and Construction Economics re-assesseda range of subjects including the first year technologysubjects. Out of the review a problem-based integratedlearning unit was developed and tested. This unit has nowbeen in place for ten years.Quantity surveying and construction management likemost other professions in the construction industryrequire teamwork and advanced consultation skills. Theseskills may be learnt through experience but there isconsiderable evidence that these skills can be taught in theundergraduate years. Therefore in line with team-basedapproaches used in industry and professional constructionsettings, this year a new assessment model - peerassessment - will be applied to the problem-based learningunit. This paper describes the procedures and processesused to introduce the change and examines the theoreticalbase upon which the model was developed.

  9. An ADARPEF survey on respiratory management in pediatric anesthesia.

    Science.gov (United States)

    Fesseau, Roselyne; Alacoque, Xavier; Larcher, Claire; Morel, Lydia; Lepage, Benoît; Kern, Delphine

    2014-10-01

    There have been recent changes with regard to tools and concepts for respiratory management of children undergoing general anesthesia. To determine the practice of pediatric anesthetists concerning: preoxygenation, breathing systems, ventilation modes, anesthetic agent and airway device, strategies for a general anaesthetic of less than 30 min using spontaneous respiration, and opinion about technical aspects of ventilation. Online questionnaire sent by e-mail to all the anesthetists registered on the mailing list of the French-speaking Pediatric Anesthetists and Intensivists Association (ADARPEF). 232 questionnaires (46%) were returned. More than 25% of anesthetists surveyed declared that they do not perform preoxygenation before induction for children anesthesia lasting <30 min in spontaneous breathing, the use of laryngeal mask increased with age, and the endotracheal tube was reserved for neonates (40% [33-48]). Pressure support ventilation was rarely used from the beginning of induction but was widely used for maintenance, whatever the age-group. Results differed according to the type of institution. Ventilation management depends on the age and institutions in terms of circuit, airway device or ventilation mode, and specific differences exist for neonates. © 2014 John Wiley & Sons Ltd.

  10. Survey assessment on pediatricians' attitudes on head lice management.

    Science.gov (United States)

    Fancelli, Claudia; Prato, Manuela; Montagnani, Carlotta; Pierattelli, Monica; Becherucci, Paolo; Chiappini, Elena; de Martino, Maurizio; Galli, Luisa

    2013-10-03

    for prevention. This is the first study that investigates the clinical practice of family pediatricians about the management and treatment of head lice globally, the Italian pediatricians surveyed proved to be quite informed on the head lice management. However, even in a country where pediatric assistance is free for everybody, a considerable proportion of parents do not seek advice to their own family pediatrician. Therefore, educations of parents, other than continuous updating of pediatricians, may contribute to a better management of head lice in the community.

  11. Data Management and Rescue at a State Geological Survey

    Science.gov (United States)

    Hills, D. J.; McIntyre-Redden, M. R.

    2015-12-01

    As new technologies are developed to utilize data more fully, and as shrinking budgets mean more needs to be done with less, well-documented and discoverable legacy data is vital for continued research and economic growth. Many governmental agencies are mandated to maintain scientific data, and the Geological Survey of Alabama (GSA) is no different. As part of the mandate to explore for, characterize, and report Alabama's mineral, energy, water, and biological resources for the betterment of Alabama's citizens, communities, and businesses, the GSA has increasingly been called upon to make our data (including samples) more accessible to stakeholders. The GSA has been involved in several data management, preservation, and rescue projects, including the National Geothermal Data System and the National Geological and Geophysical Data Preservation Program. GSA staff utilizes accepted standards for metadata, such as those found at the US Geoscience Information Network (USGIN). Through the use of semi-automated workflows, these standards can be applied to legacy data records. As demand for more detailed information on samples increases, especially so that a researcher can do a preliminary assessment prior to a site visit, it has become critical for the efficiency of the GSA to have better systems in place for sample tracking and data management. Thus, GSA is in the process of registering cores and related samples for International Geo Sample Numbers (IGSNs) through the System for Earth Sample Registration. IGSNs allow the GSA to use asset management software to better curate the physical samples and provide more accurate information to stakeholders. Working with other initiatives, such as EarthCube's iSamples project, will ensure that GSA continues to use best practices and standards for sample identification, documentation, citation, curation, and sharing.

  12. Clementine sensor suite

    Energy Technology Data Exchange (ETDEWEB)

    Ledebuhr, A.G. [Lawrence Livermore National Lab., CA (United States)

    1994-11-15

    LLNL designed and built the suite of six miniaturized light-weight space-qualified sensors utilized in the Clementine mission. A major goal of the Clementine program was to demonstrate technologies originally developed for Ballistic Missile Defense Organization Programs. These sensors were modified to gather data from the moon. This overview presents each of these sensors and some preliminary on-orbit performance estimates. The basic subsystems of these sensors include optical baffles to reject off-axis stray light, light-weight ruggedized optical systems, filter wheel assemblies, radiation tolerant focal plane arrays, radiation hardened control and readout electronics and low mass and power mechanical cryogenic coolers for the infrared sensors. Descriptions of each sensor type are given along with design specifications, photographs and on-orbit data collected.

  13. Refining the granulite suite

    Science.gov (United States)

    Taylor, G. Jeffrey; Norman, Marc D.; Keil, Klaus; Cushing, Janet A.

    1992-01-01

    Early studies of rocks retrieved from the Moon during the Apollo missions defined a group of rocks as granulites or 'granulitic impactites'. This included rocks with cataclastic, granulitic, and poikilitic or poikiloblastic textures. Petrographic studies indicate that the textures of 'granulitic breccias' are significantly varied so as to redefine the granulitic suite into at least two distinct groups. The first group consists of rocks that have true granulitic textures: polygonal to rounded, equant grains that are annealed, and have triple junctions with small dispersions from the average 120 degrees. The second group of rocks have poikilitic or poikiloblastic textures, with subhedral to euhedral plagioclase and/or olivine grains enclosed in pyroxene oikocrysts. In some instances, the relationship between the minerals resembles an orthocumulate texture. Rocks previously thought of as granulites may have formed in more than one way. These formation mechanisms are briefly discussed.

  14. Literature Survey of previous research work in Models and Methodologies in Project Management

    Directory of Open Access Journals (Sweden)

    Ravinder Singh

    2014-09-01

    Full Text Available This paper provides a survey of the existing literature and research carried out in the area of project management using different models, methodologies, and frameworks. Project Management (PM broadly means programme management, portfolio management, practice management, project management office, etc. A project management system has a set of processes, procedures, framework, methods, tools, methodologies, techniques, resources, etc. which are used to manage the full life cycle of projects. This also means to create risk, quality, performance, and other management plans to monitor and manage the projects efficiently and effectively.

  15. Future space suit design considerations.

    Science.gov (United States)

    1991-07-01

    Future space travel to the moon and Mars will present new challenges in space suit design. This paper examines the impact that working on the surface environment of the moon and Mars will have on the requirements of space suits. In particular, habitat pressures will impact suit weight and design. Potential structural materials are explored, as are the difficulties in designing a suit to withstand the severe dust conditions expected.

  16. Managing activity difficulties at home: a survey of Medicare beneficiaries.

    Science.gov (United States)

    Dudgeon, Brian J; Hoffman, Jeanne M; Ciol, Marcia A; Shumway-Cook, Anne; Yorkston, Kathryn M; Chan, Leighton

    2008-07-01

    To describe assistance from helpers and use of assistive technology and environmental modification by community-dwelling people with difficulties in activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Cross-sectional study using the 2004 Medicare Current Beneficiary Survey. Community. Nationally representative sample of 14,500 Medicare beneficiaries (mean age, 71.5 y; 55% female; 49% currently married; 68% living with others; 84% white). Not applicable. Self-reported difficulty with ADLs and IADLs; uses of help, assistive technology, and/or environmental modification. Difficulties were reported most frequently for heavy housework, walking, and shopping; money management, shopping, and light housework were reported as activities most often needing a helper. Walking, bathing, and toileting were activities most often needing uses of assistive technology. Bathroom modifications were the most commonly reported environmental modification. Results from a logistic regression showed that advancing age was the primary factor associated with increasing use of helpers and assistive technology or both for difficult activities. Uses of helpers, assistive technology, and environmental modification are common but vary by type of ADL and/or IADL and age. Focused studies regarding uses of help and access to assistive technology and environmental modification appear needed to support community living. Public education about methods and types of accommodations appears needed and may substitute for or augment guidance from care providers.

  17. Management: A continuing literature survey with indexes, March 1976

    Science.gov (United States)

    1976-01-01

    Management is a compilation of references to selected reports, journal articles, and other documents on the subject of management. This publication lists 368 documents originally announced in the 1975 issues of Scientific and Technical Aerospace Reports (STAR) or International Aerospace Abstracts (IAA). It includes references on the management of research and development, contracts, production, logistics, personnel, safety, reliability and quality control. It also includes references on: program, project and systems management; management policy, philosophy, tools, and techniques; decisionmaking processes for managers; technology assessment; management of urban problems; and information for managers on Federal resources, expenditures, financing, and budgeting.

  18. I-WASTE: EPA’s Suite of Homeland Security Decision Support Tools for the Waste and Disaster Debris Management and Disposal

    Science.gov (United States)

    In the U.S., a single comprehensive approach to all-hazards domestic incident management has been established by the Department of Homeland Security through the National Response Framework. This helps prevent, prepare for, respond to, and recover from terrorist attacks, major di...

  19. I-WASTE: EPA’s Suite of Homeland Security Decision Support Tools for the Waste and Disaster Debris Management and Disposal

    Science.gov (United States)

    In the U.S., a single comprehensive approach to all-hazards domestic incident management has been established by the Department of Homeland Security through the National Response Framework. This helps prevent, prepare for, respond to, and recover from terrorist attacks, major di...

  20. Analisis Implementasi Customer Relationship Management dan Marketing Public Relations terhadap Nilai Pelanggan dan Dampaknya terhadap Loyalitas Pelanggan: Studi Kasus Grand Tropic Suites Hotel

    Directory of Open Access Journals (Sweden)

    Natalia

    2012-04-01

    create the value of the superior of the customers where being expected with this superior value to be able to affect the customer to loyal to the Hotel. The aim of this research was to analyze the implementation of Customer Relationship Management programs (CRM and Marketing Public Relations (MPR towards the Perceived Value and it impact towards Customer Loyalty.

  1. PS2: Managing the next step in the Pan-STARRS wide field survey system

    CERN Document Server

    Burgett, William S

    2012-01-01

    The Panoramic Survey Telescope and Rapid Response System (Pan-STARRS) is unique among the existing or planned major ground-based optical survey systems as the only "distributed aperture" system. The concept of increasing system \\'etendue by replicating small telescopes and digital cameras presents both management opportunities and challenges. The focus in this paper is on management lessons learned from PS1, and how those have been used to form the management plan for PS2. The management plan components emphasized here include technical development, financial and schedule planning, and critical path and risk management. Finally, the status and schedule for PS2 are presented.

  2. PS2: managing the next step in the Pan-STARRS wide field survey system

    Science.gov (United States)

    Burgett, William S.

    2012-09-01

    The Panoramic Survey Telescope and Rapid Response System (Pan-STARRS) is unique among the existing or planned major ground-based optical survey systems as the only "distributed aperture" system. The concept of increasing system étendue by replicating small telescopes and digital cameras presents both management opportunities and challenges. The focus in this paper is on management lessons learned from PS1, and how those have been used to form the management plan for PS2. The management plan components emphasized here include technical development, financial and schedule planning, and critical path and risk management. Finally, the status and schedule for PS2 are presented.

  3. HPC Benchmark Suite NMx Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Intelligent Automation Inc., (IAI) and University of Central Florida (UCF) propose to develop a comprehensive numerical test suite for benchmarking current and...

  4. Crisis Management for Secondary Education: A Survey of Secondary Education Directors in Greece

    Science.gov (United States)

    Savelides, Socrates; Mihiotis, Athanassios; Koutsoukis, Nikitas-Spiros

    2015-01-01

    Purpose: The Greek secondary education system lacks a formal crisis management system. The purpose of this paper is to address this problem as follows: elicit current crisis management practices, outline features for designing a formal crisis management system in Greece. Design/methodology/approach: The research is based on a survey conducted with…

  5. Crisis Management for Secondary Education: A Survey of Secondary Education Directors in Greece

    Science.gov (United States)

    Savelides, Socrates; Mihiotis, Athanassios; Koutsoukis, Nikitas-Spiros

    2015-01-01

    Purpose: The Greek secondary education system lacks a formal crisis management system. The purpose of this paper is to address this problem as follows: elicit current crisis management practices, outline features for designing a formal crisis management system in Greece. Design/methodology/approach: The research is based on a survey conducted with…

  6. The US Wilderness Managers Survey: Charting a path for the future

    Science.gov (United States)

    Chad P. Dawson; Ken Cordell; Alan E. Watson; Ramesh Ghimire; Gary T. Green

    2016-01-01

    The Wilderness Manager Survey (WMS) was developed in 2014 to support interagency strategic planning for the National Wilderness Preservation System (NWPS) and asked managers about their perceived threats to the NWPS, the need for science information to support decisionmaking, the need for education and training, and the most important problems for managers in the...

  7. Dental Management Survey Brazil (DMS-BR): creation and validation of a management instrument

    Science.gov (United States)

    Gonzales, Paola Sampaio; Martins, Ismar Eduardo; Biazevic, Maria Gabriela Haye; Silva, Paulo Roberto da; Michel-Crosato, Edgard

    2017-04-10

    Questionnaires for the assessment of knowledge and self-perception can be useful to diagnose what a dentist knows about management and administration. The aim of the present study was to create and validate the Dental Management Survey Brazil (DMS-BR) scale, based on meetings with experts in the field. After having elaborated the first version, 10 audits were performed in dental offices in order to produce the final version, which included nine dimensions: location, patient, finance, marketing, competition, quality, staff, career, and productivity. The accuracy of the instrument was measured by intrarater and interrater reliability. In the validation phase, 247 Brazilian dentists answered a web-based questionnaire. The data were processed using Stata 13.0 and the significance level was set at 95%. The instrument had intrarater and interrater reliability (ICC-0.93 and 0.94). The overall average of respondents for the DMS-BR scale was 3.77 (SD = 0.45). Skewness and kurtosis were below absolute values 3 and 7, respectively. Internal validity measured by Cronbach's alpha was 0.925 and the correlation of each dimension with the final result of the DMS-BR ranged between 0.606 and 0.810. Correlation with the job satisfaction scale was 0.661. The SEM data ranged between 0.80 and 0.56. The questionnaire presented satisfactory indicators of dentists' self-perception about management and administration activities.

  8. Crisis-Management Plans Are Untested, Survey Says

    Science.gov (United States)

    June, Audrey Williams

    2007-01-01

    Newly released survey results reveal that many colleges are focusing more than ever on preparing for a crisis since the massacre at Virginia Tech, but that they may not be well equipped to handle one. The online survey was conducted by SimpsonScarborough, a consulting firm that focuses on colleges and universities. It invited 546 people who are…

  9. PET-Tool: a software suite for comprehensive processing and managing of Paired-End diTag (PET sequence data

    Directory of Open Access Journals (Sweden)

    Wei Chia-Lin

    2006-08-01

    Full Text Available Abstract Background We recently developed the Paired End diTag (PET strategy for efficient characterization of mammalian transcriptomes and genomes. The paired end nature of short PET sequences derived from long DNA fragments raised a new set of bioinformatics challenges, including how to extract PETs from raw sequence reads, and correctly yet efficiently map PETs to reference genome sequences. To accommodate and streamline data analysis of the large volume PET sequences generated from each PET experiment, an automated PET data process pipeline is desirable. Results We designed an integrated computation program package, PET-Tool, to automatically process PET sequences and map them to the genome sequences. The Tool was implemented as a web-based application composed of four modules: the Extractor module for PET extraction; the Examiner module for analytic evaluation of PET sequence quality; the Mapper module for locating PET sequences in the genome sequences; and the ProjectManager module for data organization. The performance of PET-Tool was evaluated through the analyses of 2.7 million PET sequences. It was demonstrated that PET-Tool is accurate and efficient in extracting PET sequences and removing artifacts from large volume dataset. Using optimized mapping criteria, over 70% of quality PET sequences were mapped specifically to the genome sequences. With a 2.4 GHz LINUX machine, it takes approximately six hours to process one million PETs from extraction to mapping. Conclusion The speed, accuracy, and comprehensiveness have proved that PET-Tool is an important and useful component in PET experiments, and can be extended to accommodate other related analyses of paired-end sequences. The Tool also provides user-friendly functions for data quality check and system for multi-layer data management.

  10. The science of trail surveys: Recreation ecology provides new tools for managing wilderness trails

    Science.gov (United States)

    Marion, Jeffrey L.; Wimpey, Jeremy F.; Park, Logan O.

    2011-01-01

    Recreation ecology examines the effects of recreation on protected area ecosystems. One core focus of recreation ecology research is trail science, including the development of efficient protocols to assess and monitor the type and severity of resource impacts, analyses to improve knowledge of factors that influence trail conditions, and studies to assist land managers in improving trail design, maintenance, and visitor management. This article reviews alternative trail survey methodologies most useful for the management of wilderness and backcountry trail networks. Illustrations and implications from survey data for trail planning, design, and management are included.

  11. Colorado cultural resource survey: Management data form [5JA784

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document includes the survey forms necessary to assess cultural resources in Colorado. This document assesses the Lewis children graves (site # 5JA1478) on...

  12. Colorado cultural resource survey: Management data form [5JA784

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document includes the survey forms necessary to assess cultural resources in Colorado. This document assesses the Allard Ranch (site # 5JA784, temporary #...

  13. Moose Population Survey in the Upper Tanana Valley Game Management Unit 12, Alaska, 2008

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — We conducted an aerial moose (Alces alces) survey on Tetlin National Wildlife Refuge and the northeast corner of Game Management Unit (GMU) 12 from 6 – 22 November...

  14. Aquatic plant and waterfowl habitat survey, 1988 : Stillwater Wildlife Management Area and vicinity

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Aquatic vegetation surveys were conducted on Stillwater Wildlife Management Area, Canvasback Club, Carson Lake, and several other wetlands in Lahontan Valley,...

  15. International Human Resource Management Education: A Survey of HR Professionals, Suggestions for Skill Dissemination.

    Science.gov (United States)

    Barclay, Lizabeth A.; Wagner-Marsh, Fraya; Loewe, G. Michael

    2002-01-01

    Surveyed a human resource professional association about training and interest in international human resources management. Based on results, offers recommendations for expanding coverage of this topic in credit and non-credit courses. (EV)

  16. Survey Questionnaire on Environmental Management Practices: Summary of Results by Industry and practices

    OpenAIRE

    Delmas, Magali A; Michael W. Toffel

    2008-01-01

    This document provides a summary of the results of a survey on Environmental Management Practices (EMP) conducted by the University of California at Santa Barbara during October and November 2003. The survey was sent to 3255 facilities in 8 industrial sectors: pulp, paper and paperboard mills, chemical and allied products, refining, primary metals, machinery, electronics /electrical, automotive, and utilities. The survey yielded 562 responses, which constitutes a 17.2% response rate. This sum...

  17. FY12 St Johns River Water Management LiDAR Survey: Putnam (FL)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Light Detection and Ranging (LiDAR) dataset is a survey of the FY12 St Johns River Water Management LiDAR Survey, project area in north-central Florida and...

  18. Formal and Informal Safety Management : The Importance of Ethnographic Research for Safety Surveys

    NARCIS (Netherlands)

    P. Mascini (Peter); Y. Bacharias; I. Abaaziz

    2007-01-01

    textabstractSafety surveys normally focus on the influence of formal safety management (bureaucracy) on safety performances, while neglecting the impact of informal coping strategies (craftsman-ship) that are the main topic of ethnographic safety studies. Based on a survey in a Dutch en-ergy company

  19. Formal and Informal Safety Management : The Importance of Ethnographic Research for Safety Surveys

    NARCIS (Netherlands)

    P. Mascini (Peter); Y. Bacharias; I. Abaaziz

    2007-01-01

    textabstractSafety surveys normally focus on the influence of formal safety management (bureaucracy) on safety performances, while neglecting the impact of informal coping strategies (craftsman-ship) that are the main topic of ethnographic safety studies. Based on a survey in a Dutch en-ergy company

  20. Orion ECLSS/Suit System Intermediate Pressure Integrated Suit Test

    Science.gov (United States)

    Barido, Richard A.

    2014-01-01

    The Intermediate Pressure Integrated Suit Test (IPIST) phase of the integrated system testing of the Orion Vehicle Atmosphere Revitalization System (ARS) technology was conducted for the Multipurpose Crew Vehicle (MPCV) Program within the National Aeronautics and Space Administration (NASA) Exploration Systems Mission Directorate. This test was performed in the eleven-foot human-rated vacuum chamber at the NASA Johnson Space Center by the Crew and Thermal Systems Division. This testing is the second phase of suit loop testing to demonstrate the viability of the Environmental Control and Life Support System (ECLSS) being developed for Orion. The IPIST configuration consisted of development hardware that included the CAMRAS, air revitalization loop fan and suit loop regulator. Two test subjects were in pressure suits at varying suit pressures. Follow-on testing, to be conducted in 2014, will utilize the same hardware with human test subjects in pressure suits at vacuum. This paper will discuss the results and findings of IPIST and will also discuss future testing.

  1. Diagnostic Suite for the PLX- α Project

    Science.gov (United States)

    Yates, Kevin; Gilmore, Mark; Langendorf, Samuel; Dunn, John; Vaughan, Jacquelynne; Martinez, Ricardo; Hsu, Scott

    2016-10-01

    The Plasma Liner Experiment-ALPHA (PLX- α) at Los Alamos National Laboratory is demonstrating the viability and scalability of spherically imploding plasma liners as a compression driver for plasma-jet-driven magneto-inertial fusion (PJMIF). On PLX- α, plasma liners will be formed by merging up to 60 supersonic plasma jets. We are currently conducting conical-liner experiments ( π/2 solid angle with 6 and 7 plasma guns) to diagnose the jet-merging process and determine the values of post-merge Mach-number-degradation and liner uniformity. The diagnostic suite includes 12-chord interferometry, visible-light survey spectroscopy, high-resolution visible spectroscopy, single- and multi-frame intensified visible imaging, and schlieren imaging. The diagnostics suite and a comparison to synthetic data from 3D simulations on the 6- and 7-jet configurations will be presented. Supported by the ARPA-E ALPHA Program.

  2. A Survey of Management Science in University Operations

    Science.gov (United States)

    Schroeder, Roger G.

    1973-01-01

    Discusses applications and research of the management sciences in institutions of higher education. Includes (1) planning, programing, budgeting systems; (2) management information systems; (3) resource allocation models; and (4) mathematical models. In each, the major trends and literature are discussed and numerous references provided. Also…

  3. HPC Benchmark Suite NMx Project

    Data.gov (United States)

    National Aeronautics and Space Administration — In the phase II effort, Intelligent Automation Inc., (IAI) and University of Central Florida (UCF) propose to develop a comprehensive numerical test suite for...

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

    Directory of Open Access Journals (Sweden)

    A. Basson

    2011-02-01

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

  5. SURVEY REGARDING THE LEVEL OF PRODUCT LIFECYCLE MANAGEMENT IN MANUFACTURING COMPANIES

    Directory of Open Access Journals (Sweden)

    František Freiberg

    2011-12-01

    Full Text Available This article is about a questionnaire survey regarding the level of product lifecycle management in manufacturing companies in the Czech Republic. Based on the research available from foreign and domestic literature, a questionnaire survey was compiled and carried out with the purpose of applying the methods used in the life cycle management in selected areas: maintenance, information systems and the cost of the product lifecycle. The survey is carried out through a printed as well as an electronic questionnaire with additional structured interviews in selected manufacturing companies in the Czech Republic, Slovak Republic and Romania.

  6. Corporate Liquidity Management: A Conceptual Framework and Survey

    OpenAIRE

    Heitor Almeida; Murillo Campello; Igor Cunha; Weisbach, Michael S.

    2014-01-01

    Ensuring that a firm has sufficient liquidity to finance valuable projects that occur in the future is at the heart of the practice of financial management. Yet, while discussion of these issues goes back at least to Keynes (1936), a substantial literature on the ways in which firms manage liquidity has developed only recently. We argue that many of the key issues in liquidity management can be understood through the lens of a framework in which firms face financial constraints and wish to en...

  7. Survey on Attitudes and Medical Knowledge at Hospital Palliative Management

    Directory of Open Access Journals (Sweden)

    Juan Rafael López Sánchez

    2016-01-01

    Full Text Available Introduction: Palliative care is defined as the total active care of patients whose disease is not responsive to curative treatment, therefore this study aims to identify the level of attitudes and knowledge in palliative care hospital with high level of complexity. Materials and methods: Observational, cross-sectional method; using a validated survey. It was self-supplied via web. Per­spective practice, knowledge degree, comfort level, perspective relevance and appropriateness of the respondents (doctors in palliative care were assessed. General characteristics, reliability and scores per item and domain were described. Results: 145 physicians, mostly males, were surveyed, most of them with 0-5 years of professional practice and working in the emergency department (51.03 %. Appropriate reliability coefficients were found; overall level of attitudes and knowledge of palliative care was 59.09 points out of 100; lowest score domains were the prospects suitabil­ity (40.73 points and practice (47.04 points. Conclusions: The survey showed moderate to low degrees in attitudes and knowledge, the weakest points were practical perspective and expertise in decision-making. Training aimed at establishing prognosis and improving decision making as to referring to palliative care service must be carried out. Survey results of inspection after train­ing will allow an assessment of the improvements in knowledge and attitudes of palliative care.

  8. Linking a Medical User Survey to Management for Library Effectiveness: II, A Checkland Soft Systems Study.

    Science.gov (United States)

    Brember, V. L.

    1985-01-01

    Presents Checkland's soft systems methodology, discusses it in terms of the systems approach, and illustrates how it was used to relate evidence of user survey to practical problems of library management. Difficulties in using methodology are described and implications for library management and information science research are presented. (8…

  9. Anaesthetic management of the airway in The Netherlands : a postal survey

    NARCIS (Netherlands)

    Borg, PAJ; Stuart, C; Dercksen, B; Eindhoven, GB

    2001-01-01

    Backgound and objective A postal survey was conducted in order to investigate current practice in airway management amongst Dutch anaesthetists and to investigate the role of recent training and the role of an 'Access to the Airway' airway management course. Methods A questionnaire containing 27

  10. A survey of farmers' perceptions and management strategies of the ...

    African Journals Online (AJOL)

    Journal Home > Vol 17, No 3 (2017) >. Log in or Register to ... Data were analysed using descriptive statistical techniques that were frequencies ... farming systems and thus innovative management strategies are necessary. Key words: Sweet ...

  11. Total Quality Leadership. A survey of Danish managers

    DEFF Research Database (Denmark)

    Dahlgaard, Jens Jørn; Larsen, Heine Zahll; Nørgaard, Anders

    In our research the chosen success criteria have been used as the required leadership qualitites for the leaders of the future. By using these requirements we have examined whether Danish leaders and managers are able to match the requirements of the future. Our research is based on a large...... empirical study including more than 100 leaders and managers as well as approx. 600 empolyees in medium sized and large Danish companies....

  12. Managing Virtual Team Work in IT Projects: Survey

    OpenAIRE

    Hosam Farouk El-Sofany; Hassan M. Alwadani; Amer Alwadani

    2014-01-01

    the nature of managing team work has changed significantly because of changes in organizations and the nature of the work they do. Organizations have become more distributed across geography and across industries. Relationships between people inside an organization and those previously considered outside (customers, suppliers, managers of collaborating organizations, other stakeholders) are becoming more important. Organizations have discovered the value of collaborative work. When implementi...

  13. A SURVEY ON INDIAN EXPERIENCE ON INTEGRATED MANAGEMENT STANDARDS (IMS

    Directory of Open Access Journals (Sweden)

    H. Khanna

    2009-09-01

    Full Text Available Adoption of management systems standards is a key issue in manufacturing industry in India. Following the global trend quality and environmental issues are gaining importance. However the number of ISO 14001 certified companies are much less in India as compared to ISO 9001. The integration of ISO 14001 with ISO 9001 may help companies to sustain competitive advantage and overcome disappointments with quality standards and in turn encourage companies to adopt good environmental practices. The aim of this research is to study the implementation of integrated management standards (IMS by the manufacturing organizations in India. The different aspects of integration and benefits of IMS implementation are analyzed. This r esearch is based on empirical study carried out in Indian manufacturing firms, involving the application of a questionnaire. This questionnaire was tested on 50 manufacturing companies in India. The study reveals that focus on stakeholders; top management commitment and training are critical success factors for implementation of IMS. The main benefits of integration are discussed. The small sample size is one of the major limitations of this study. The paper informs the managers in manufacturing organizations and practitioners of management system standards especially in developing countries about IMS and will enable them to adopt IMS in future so that those organizations may not implement multiple and overlapping MSS(Management System Standards.

  14. Orion Suit Loop Variable Pressure Regulator Development

    Science.gov (United States)

    Mosher, Michael; Vassallo, Andrew; Lewis, John F.; Campbell, Melissa

    2014-01-01

    The Orion Multi Purpose Crew Vehicle (MPCV) integrates the cabin and pressure suits with the core life support systems to provide life support during contingency depressurized cabin operations. To provide the multipule suit pressures between nominal pressurized cabin suited operations, suit leak checks, depressurized cabin suited operations, and elevated suit pressure for denitrification, a variable pressure regulator is needed. This paper documents the development and integrated testing of the suit loop regulator for Orion.

  15. Field Research Facility Data Integration Framework Data Management Plan: Survey Lines Dataset

    Science.gov (United States)

    2016-08-01

    clearinghouse tool using the Environmental Systems Research Institute (Esri) Geoportal technology . Once the XML metadata is loaded into the Metadata Manager ...ER D C/ CH L SR -1 6- 4 Coastal Ocean Data Systems Program Field Research Facility Data Integration Framework Data Management Plan...Systems Program ERDC/CHL SR-16-4 August 2016 Field Research Facility Data Integration Framework Data Management Plan Survey Lines Dataset Michael F

  16. Regression Testing Cost Reduction Suite

    Directory of Open Access Journals (Sweden)

    Mohamed Alaa El-Din

    2014-08-01

    Full Text Available The estimated cost of software maintenance exceeds 70 percent of total software costs [1], and large portion of this maintenance expenses is devoted to regression testing. Regression testing is an expensive and frequently executed maintenance activity used to revalidate the modified software. Any reduction in the cost of regression testing would help to reduce the software maintenance cost. Test suites once developed are reused and updated frequently as the software evolves. As a result, some test cases in the test suite may become redundant when the software is modified over time since the requirements covered by them are also covered by other test cases. Due to the resource and time constraints for re-executing large test suites, it is important to develop techniques to minimize available test suites by removing redundant test cases. In general, the test suite minimization problem is NP complete. This paper focuses on proposing an effective approach for reducing the cost of regression testing process. The proposed approach is applied on real-time case study. It was found that the reduction in cost of regression testing for each regression testing cycle is ranging highly improved in the case of programs containing high number of selected statements which in turn maximize the benefits of using it in regression testing of complex software systems. The reduction in the regression test suite size will reduce the effort and time required by the testing teams to execute the regression test suite. Since regression testing is done more frequently in software maintenance phase, the overall software maintenance cost can be reduced considerably by applying the proposed approach.

  17. Quality assurance and risk management: a survey of dental schools and recommendations for integrated program management.

    Science.gov (United States)

    Fredekind, Richard E; Cuny, Eve J; Nadershahi, Nader A

    2002-04-01

    Quality assurance (QA) and risk management (RM) programs are intended to improve patient care, meet accreditation standards, and ensure compliance with liability insurance policies. The purpose of this project was to obtain and disseminate information on whether dental schools integrate QA and RM and what mechanisms have been most effective in measuring accomplishments in these programs. All sixty-five U.S. and Canadian dental schools were sent a twenty-nine-item survey, and forty-six (71 percent) schools responded. The main findings are as follows: 66 percent had a written QA program combined with a QA committee; 95 percent received administrative support; there was wide variation in the makeup of the QA committee; many institutions reported significant changes resulting from the QA program; and over half of the respondents merged QA and RM in some fashion. To develop or maintain an effective QA/RM program, the authors propose the following: obtain active support from the dean; develop goals and mission/vision statements; include trained personnel on the committee; establish wide levels of involvement in the QA program; develop QA measurements to ensure compliance with institutionally developed standards of patient care; and establish continuous cycles of improvement.

  18. Quality Management System at Construction Project: A Questionnaire Survey

    Directory of Open Access Journals (Sweden)

    P.P.Mane

    2015-03-01

    Full Text Available The best quality, time and cost are the important aspects of successful construction project which fulfills the main goal of construction industry. The quality management has to provide the environment within which related tools, techniques and procedures can be deployed effectively leading to operational success for a construction project. The role of quality management for a construction company is not an isolated activity, but intertwined with all the operational and managerial processes of the construction project. The quality management system (QMS in construction industry refers to quality planning, quality assurance and quality control. The paper includes the outcome of the research methodology decided by authors based on interview of project participants and analysis of scrutinized interview data.

  19. Durable Suit Bladder with Improved Water Permeability for Pressure and Environment Suits

    Science.gov (United States)

    Bue, Grant C.; Kuznetz, Larry; Orndoff, Evelyne; Tang, Henry; Aitchison, Lindsay; Ross, Amy

    2009-01-01

    Water vapor permeability is shown to be useful in rejecting heat and managing moisture accumulation in launch-and-entry pressure suits. Currently this is accomplished through a porous Gortex layer in the Advanced Crew and Escape Suit (ACES) and in the baseline design of the Constellation Suit System Element (CSSE) Suit 1. Non-porous dense monolithic membranes (DMM) that are available offer potential improvements for water vapor permeability with reduced gas leak. Accordingly, three different pressure bladder materials were investigated for water vapor permeability and oxygen leak: ElasthaneTM 80A (thermoplastic polyether urethane) provided from stock polymer material and two custom thermoplastic polyether urethanes. Water vapor, carbon dioxide and oxygen permeability of the DMM's was measured in a 0.13 mm thick stand-alone layer, a 0.08 mm and 0.05 mm thick layer each bonded to two different nylon and polyester woven reinforcing materials. Additional water vapor permeability and mechanical compression measurements were made with the reinforced 0.05 mm thick layers, further bonded with a polyester wicking and overlaid with moistened polyester fleece thermal underwear .This simulated the pressure from a supine crew person. The 0.05 mm thick nylon reinforced sample with polyester wicking layer was further mechanically tested for wear and abrasion. Concepts for incorporating these materials in launch/entry and Extravehicular Activity pressure suits are presented.

  20. Extravehicular activity space suit interoperability

    Science.gov (United States)

    Skoog, A. Ingemar; McBarron, James W.; Severin, Guy I.

    1995-10-01

    The European Agency (ESA) and the Russian Space Agency (RKA) are jointly developing a new space suit system for improved extravehicular activity (EVA) capabilities in support of the MIR Space Station Programme, the EVA Suit 2000. Recent national policy agreements between the U.S. and Russia on planned cooperations in manned space also include joint extravehicular activity (EVA). With an increased number of space suit systems and a higher operational frequency towards the end of this century an improved interoperability for both routine and emergency operations is of eminent importance. It is thus timely to report the current status of ongoing work on international EVA interoperability being conducted by the Committee on EVA Protocols and Operations of the International Academy of Astronautics initialed in 1991. This paper summarises the current EVA interoperability issues to be harmonised and presents quantified vehicle interface requirements for the current U.S. Shuttle EMU and Russian MIR Orlan DMA and the new European/Russian EVA Suit 2000 extravehicular systems. Major critical/incompatible interfaces for suits/mothercraft of different combinations arc discussed, and recommendations for standardisations given.

  1. Extravehicular activity space suit interoperability.

    Science.gov (United States)

    Skoog, A I; McBarron JW 2nd; Severin, G I

    1995-10-01

    The European Agency (ESA) and the Russian Space Agency (RKA) are jointly developing a new space suit system for improved extravehicular activity (EVA) capabilities in support of the MIR Space Station Programme, the EVA Suit 2000. Recent national policy agreements between the U.S. and Russia on planned cooperations in manned space also include joint extravehicular activity (EVA). With an increased number of space suit systems and a higher operational frequency towards the end of this century an improved interoperability for both routine and emergency operations is of eminent importance. It is thus timely to report the current status of ongoing work on international EVA interoperability being conducted by the Committee on EVA Protocols and Operations of the International Academy of Astronauts initiated in 1991. This paper summarises the current EVA interoperability issues to be harmonised and presents quantified vehicle interface requirements for the current U.S. Shuttle EMU and Russian MIR Orlan DMA and the new European/Russian EVA Suit 2000 extravehicular systems. Major critical/incompatible interfaces for suits/mother-craft of different combinations are discussed, and recommendations for standardisations given.

  2. 75 FR 56501 - Information Collection; Land Management Agency Volunteer Surveys

    Science.gov (United States)

    2010-09-16

    ... exists regarding volunteering in general, there is very little rigorous, academic research on volunteering as it applies to LMAs, largely because there is no reliable, uniform, and comprehensive data... management values and objectives; and will facilitate further application of findings. The exact number...

  3. A Survey on Evaluation Factors for Business Process Management Technology

    NARCIS (Netherlands)

    Mutschler, B.; Reichert, M.U.

    2006-01-01

    Estimating the value of business process management (BPM) technology is a difficult task to accomplish. Computerized business processes have a strong impact on an organization, and BPM projects have a long-term cost amortization. To systematically analyze BPM technology from an economic-driven persp

  4. Acquisition Information Management system telecommunication site survey results

    Energy Technology Data Exchange (ETDEWEB)

    Hake, K.A. [Oak Ridge National Lab., TN (United States); Key, B.G. [COR, Inc., Oak Ridge, TN (United States)

    1993-09-01

    The Army acquisition community currently uses a dedicated, point-to-point secure computer network for the Army Material Plan Modernization (AMPMOD). It must transition to the DOD supplied Defense Secure Network 1 (DSNET1). This is one of the first networks of this size to begin the transition. The type and amount of computing resources available at individual sites may or may not meet the new network requirements. This task surveys these existing telecommunications resources available in the Army acquisition community. It documents existing communication equipment, computer hardware, associated software, and recommends appropriate changes.

  5. Practice Management Training in the PGY1 Residency Year: Best Practices From Two Nationwide Surveys.

    Science.gov (United States)

    Doligalski, Christina; Verbosky, Michael; Alexander, Earnest; Kotis, Desi; Powell, Michael

    2014-03-01

    The development of future pharmacy leaders is vital to the advancement of our profession. Postgraduate year 1 (PGY1) residency training requires residents to exercise leadership and practice management skills. Two national surveys were conducted to describe the current state of practice management experiences and elucidate best practice recommendations. The surveys, online multiple choice and free response, queried American Society of Health-System Pharmacists (ASHP)-accredited residency program practice management preceptors (survey 1) and PGY1 residents (survey 2) and were distributed via the ASHP residency program directors' listserv. Responses were reviewed and analyzed by members of the University HealthSystem Consortium Pharmacy Council Strategic Initiatives and Programming Committee. Survey 1, completed by 240 institutions, identified that a combination of concentrated and longitudinal practice management experiences were used most frequently (47%), followed by concentrated alone (33%). Universally noted activities included meeting attendance (98%), projects (94%), and committee involvement (92%). Sixty-seven percent of the programs changed the experience in the previous 3 years, with 43% planning changes in the coming year. Survey 2 was completed by 58 PGY1 residents from 42 programs. Most (80%) residents stated they had enough time with their preceptors, and 55% rated their enjoyment of the rotation as 4 or 5 on a 1 to 5 scale (5 = most enjoyed). Our findings suggest that there is not a best practice for the structure or content of the PGY1 practice management experience. These results highlight key recommendations, including the need for practice management-specific preceptor development, incorporation of longitudinal experiences, and more practice management and leadership activities.

  6. Managing and Querying Web Services Communities: A Survey

    CERN Document Server

    Limam, Hela

    2011-01-01

    With the advance of Web Services technologies and the emergence of Web Services into the information space, tremendous opportunities for empowering users and organizations appear in various application domains including electronic commerce, travel, intelligence information gathering and analysis, health care, digital government, etc. However, the technology to organize, search, integrate these Web Services has not kept pace with the rapid growth of the available information space. The number of Web Services to be integrated may be large and continuously changing. To ease and improve the process of Web services discovery in an open environment like the Internet, it is suggested to gather similar Web services into groups known as communities. Although Web services are intensively investigated, the community management issues have not been addressed yet In this paper we draw an overview of several Web services Communities' management approaches based on some currently existing communities platforms and framework...

  7. A Survey Of Top 10 Open Source Learning Management Systems

    Directory of Open Access Journals (Sweden)

    Mohamed R. Elabnody

    2015-08-01

    Full Text Available Open Source LMSs are fully flexible and customizable so they can be designed in line with your schoolorganizations brand image. Open Source LMSs can also be converted to social learning platforms. You can create an online community through your LMS. This paper describes the most important features in learning management systems LMS that are critical to compare and contrast depend on your system requirements. Also represents a multiple LMS providers that are designed to use in university environment.

  8. ["SOS SEIN 84" accelerated breast disease management: Patients satisfaction survey].

    Science.gov (United States)

    Arnaud, Antoine; Dumuids, Magali; Mège, Alice; de Rauglaudre, Gaëtan; Regis Arnaud, Anne; Martin, Nicole; Dupuy Meurat, Françoise; Dolle, Sabine; Gallon, Elise; Serin, Daniel

    2016-05-01

    In case of a new breast symptom or an abnormal result of breast imaging, some women have a problem finding a quick answer to allay their anxiety. The Institut Sainte-Catherine in Avignon has set up a new form of accelerated disease management through the opening of a new dedicated consultation called SOS SEIN 84. We present the result of a prospective quality study of our first new patients.

  9. Using Wide Table to manage web data: a survey

    Institute of Scientific and Technical Information of China (English)

    Bin YANG; Weining QIAN; Aoying ZHOU

    2008-01-01

    With the development of World Wide Web (WWW),storage and utilization of web data has become a big challenge for data management research community.Web data are essentially heterogeneous data,and may change schema frequently,traditional relational data model is inappropriate for web data management.A new data model,called Wide Table (or WT for simplicity),was introduced for this task.There are several characteristics of the WT model.First,WT is usually highly sparsely populated so that most data can be fit into a line or record.Second,queries-are composed on only a small subset of the attributes.Thus,existing query processing and optimization techniques for relational database with normalized tables will not work efficiently anymore.Furthermore,WT is usually of extremely large Volume.It is thought that only largescale distributed storage can accommodate the massive data set.In this paper,requirements and challenges to web data management are discussed.Existing techniques for WT,including logical presentation,physical storage,and query processing,are introduced and analyzed in detail.

  10. openSE: a Systems Engineering Framework Particularly Suited to Particle Accelerator Studies and Development Projects

    Energy Technology Data Exchange (ETDEWEB)

    Bonnal, P. [CERN; Féral, B. [CERN; Kershaw, K. [CERN; Nicquevert, B. [CERN; Baudin, M. [Ecole Normale Superieure; Lari, L. [ESS, Lund; Le Cardinal, J. [Chatenay-Malabry, Ecole Centrale

    2016-07-15

    Particle accelerator projects share many characteristics with industrial projects. However, experience has shown that best practice of industrial project management is not always well suited to particle accelerator projects. Major differences include the number and complexity of technologies involved, the importance of collaborative work, development phases that can last more than a decade, and the importance of telerobotics and remote handling to address future preventive and corrective maintenance requirements due to induced radioactivity, to cite just a few. The openSE framework it is a systems engineering and project management framework specifically designed for scientific facilities’ systems and equipment studies and development projects. Best practices in project management, in systems and requirements engineering, in telerobotics and remote handling and in radiation safety management were used as sources of inspiration, together with analysis of current practices surveyed at CERN, GSI and ESS.

  11. Capacity Building for Institutional Development in Surveying and Land Management

    DEFF Research Database (Denmark)

    Enemark, Stig

    2006-01-01

    Good governance, comprehensive land policies, and sound land administration institutions are essential components for addressing the problems related to land management and land information infrastructures. Both an efficient land market and an effective means of land-use control must be developed...... resources and skills. In this regard, the capacity building concept offers some guidance for analysing and assessing the capacity needs and for identifying an adequate response to these needs at societal, organisational and individual levels. The paper analyses the various means of capacity building...

  12. Use MACES IVA Suit for EVA Mobility Evaluations

    Science.gov (United States)

    Watson, Richard D.

    2014-01-01

    The use of an Intra-Vehicular Activity (IVA) suit for a spacewalk or Extra-Vehicular Activity (EVA) was evaluated for mobility and usability in the Neutral Buoyancy Lab (NBL) environment. The Space Shuttle Advanced Crew Escape Suit (ACES) has been modified (MACES) to integrate with the Orion spacecraft. The first several missions of the Orion MPCV spacecraft will not have mass available to carry an EVA specific suit so any EVA required will have to be performed by the MACES. Since the MACES was not designed with EVA in mind, it was unknown what mobility the suit would be able to provide for an EVA or if a person could perform useful tasks for an extended time inside the pressurized suit. The suit was evaluated in multiple NBL runs by a variety of subjects including crewmembers with significant EVA experience. Various functional mobility tasks performed included: translation, body positioning, carrying tools, body stabilization, equipment handling, and use of tools. Hardware configurations included with and without TMG, suit with IVA gloves and suit with EVA gloves. Most tasks were completed on ISS mockups with existing EVA tools. Some limited tasks were completed with prototype tools on a simulated rocky surface. Major findings include: demonstration of the ability to weigh-out the suit, understanding the need to have subjects perform multiple runs prior to getting feedback, determination of critical sizing factors, and need for adjustment of suit work envelop. The early testing has demonstrated the feasibility of EVA's limited duration and limited scope. Further testing is required with more flight like tasking and constraints to validate these early results. If the suit is used for EVA, it will require mission specific modifications for umbilical management or PLSS integration, safety tether attachment, and tool interfaces. These evaluations are continuing through calendar year 2014.

  13. DASCAR sensor suite and video data system

    Energy Technology Data Exchange (ETDEWEB)

    Carter, R.J. [Oak Ridge National Lab., TN (United States); Barickman, F.S. [National Highway Traffic Safety Administration, East Liberty, OH (United States). Vehicle Research and Test Center; Goodman, M.J. [National Highway Traffic Safety Administration, Washington, DC (United States). Office of Crash Avoidance Research

    1996-12-31

    A research program oriented toward the development of a portable data acquisition system for crash avoidance research has been conducted. This paper discusses the background to the project and the requirements for the data acquisition system. it also provides a brief system overview and describes two of the system`s five major elements, the sensor suite and the video data system, in detail. Components, functions, and specifications are covered Finally the paper addresses the central data collection/analysis facility which was assembled to manage the sensor and video data, and presents the potential uses of the data acquisition system.

  14. Management of gestational hypothyroidism: results of a Brazilian survey.

    Science.gov (United States)

    Villagelin, Danilo; Comarella, Ana Paula; Tiago, Douglas Bernal; Ward, Laura Sterian

    2016-02-01

    Evaluate the management of hypothyroidism in fertile-aged and pregnant women and compare these practices to the recommendations of the Brazilian Society of Endocrinology and Metabolism (SBEM) and the Latin American Thyroid Society, published in 2013. In the first trimester of 2014, SBEM made available to all members an electronic questionnaire based on clinical scenarios in the management of gestational hypothyroidism. The responses of 406 physicians, most of them endocrinologists, were analyzed. Eighty-one per cent of the endocrinologists screen all their pregnant patients for thyroid dysfunction, mostly during the pregestational period or after the first prenatal visit. Following screening, 82% of the respondents initiate treatment when TSH levels are > 2.5 mIU/L while 67% monitor their pregnant patients even if TSH was normal on first trimester screening. For hypothyroid women who are planning pregnancy, 96% of the clinicians are aware of the importance of adjusting the levothyroxine (LT4) dose as soon as pregnancy is confirmed. However, opinions diverge with respect to adjusting the LT4 dose before or after reassessing thyroid function. The most widely used tests for monitoring pregnant women in use of LT4 are TSH and free T4 (62%) or TSH alone (21%). Unanimously, the treatment goal is to achieve the target TSH level for each trimester of gestation. The recommendations of the consensus statements are incorporated into the respondents' clinical practice. It is noteworthy that the great majority of the clinicians favor universal screening.

  15. Survey of 2014 behavioral management programs for laboratory primates in the United States.

    Science.gov (United States)

    Baker, Kate C

    2016-07-01

    The behavioral management of laboratory nonhuman primates in the United States has not been thoroughly characterized since 2003. This article presents the results of a survey behavioral management programs at 27 facilities and covering a total of 59,636 primates, 27,916 housed in indoor cages and 31,720 in group enclosures. The survey included questions regarding program structure, implementation, and methodology associated with social housing, positive reinforcement training, positive human interaction, exercise enclosures, and several categories of inanimate enrichment. The vast majority of laboratory primates are housed socially (83%). Since 2003, the proportion of indoor-housed primates reported to be housed singly has fallen considerably, from 59% to 35% in the facilities surveyed. The use of social housing remains significantly constrained by: 1) research protocol requirements, highlighting the value of closely involved IACUCs for harmonizing research and behavioral management; and 2) the unavailability of compatible social partners, underscoring the necessity of objective analysis of the methods used to foster and maintain compatibility. Positive reinforcement training appears to have expanded and is now used at all facilities responding to the survey. The use of enrichment devices has also increased in the participating facilities. For most behavioral management techniques, concerns over the possibility of negative consequences to animals are expressed most frequently for social housing and destructible enrichment, while skepticism regarding efficacy is limited almost exclusively to sensory enrichment. Behavioral management program staffing has expanded over time in the facilities surveyed, due not only to increased numbers of dedicated behavioral management technicians but also to greater involvement of animal care technicians, suggesting an increase in the integration of behavioral care into animal husbandry. Broad awareness of common practice may assist

  16. Attitudes towards disability management: A survey of employees returning to work and their supervisors.

    Science.gov (United States)

    Busse, Jason W; Dolinschi, Roman; Clarke, Andrew; Scott, Liz; Hogg-Johnson, Sheilah; Amick, Benjamin C; Rivilis, Irina; Cole, Donald

    2011-01-01

    Return to work after a leave on disability is a common phenomenon, but little is known about the attitudes of employees or their supervisors towards the disability management process. We report on employee and supervisor feedback from one disability management experience. 389 consecutive employees from the Ontario offices of a single private Canadian insurance company returning to work from short-term disability, and their supervisors. We surveyed employees and their supervisors about their experience with, and attitudes towards, the disability management process. Of those surveyed, 88 employees and 75 supervisors provided data (response rates of 22.6% and 19.3% respectively). The majority of respondents (79.1% of employees and supervisors) endorsed positive attitudes towards their disability management experience. More than 25% of employees disagreed with the following three items: case managers contributed to recovery, case managers removed barriers to recovery, and sufficient support was provided in the return to work process. More than 25% of employees and managers reported that a commitment to modify an unhelpful work situation was not followed through. The majority of participating employees returning to work from short-term disability, and their supervisors, reported a high level of satisfaction with the disability management process. Areas that may benefit from attention include some aspects of case manager-employee interaction and ensuring that support during the return to work process is provided, including modification to work situations when appropriate.

  17. Managerial competencies of hospital managers in South Africa: a survey of managers in the public and private sectors

    Directory of Open Access Journals (Sweden)

    Pillay Rubin

    2008-02-01

    Full Text Available Abstract Background South Africa has large public and private sectors and there is a common perception that public sector hospitals are inefficient and ineffective while the privately owned and managed hospitals provide superior care and are more sustainable. The underlying assumption is that there is a potential gap in management capacity between the two sectors. This study aims to ascertain the skills and competency levels of hospital managers in South Africa and to determine whether there are any significant differences in competency levels between managers in the different sectors. Methods A survey using a self administered questionnaire was conducted among hospital managers in South Africa. Respondents were asked to rate their proficiency with seven key functions that they perform. These included delivery of health care, planning, organizing, leading, controlling, legal and ethical, and self-management. Ratings were based on a five point Likert scale ranging from very low skill level to very high skill level. Results The results show that managers in the private sector perceived themselves to be significantly more competent than their public sector colleagues in most of the management facets. Public sector managers were also more likely than their private sector colleagues to report that they required further development and training. Conclusion The findings confirm our supposition that there is a lack of management capacity within the public sector in South Africa and that there is a significant gap between private and public sectors. It provides evidence that there is a great need for further development of managers, especially those in the public sector. The onus is therefore on administrators and those responsible for management education and training to identify managers in need of development and to make available training that is contextually relevant in terms of design and delivery.

  18. Managerial competencies of hospital managers in South Africa: a survey of managers in the public and private sectors

    Science.gov (United States)

    Pillay, Rubin

    2008-01-01

    Background South Africa has large public and private sectors and there is a common perception that public sector hospitals are inefficient and ineffective while the privately owned and managed hospitals provide superior care and are more sustainable. The underlying assumption is that there is a potential gap in management capacity between the two sectors. This study aims to ascertain the skills and competency levels of hospital managers in South Africa and to determine whether there are any significant differences in competency levels between managers in the different sectors. Methods A survey using a self administered questionnaire was conducted among hospital managers in South Africa. Respondents were asked to rate their proficiency with seven key functions that they perform. These included delivery of health care, planning, organizing, leading, controlling, legal and ethical, and self-management. Ratings were based on a five point Likert scale ranging from very low skill level to very high skill level. Results The results show that managers in the private sector perceived themselves to be significantly more competent than their public sector colleagues in most of the management facets. Public sector managers were also more likely than their private sector colleagues to report that they required further development and training. Conclusion The findings confirm our supposition that there is a lack of management capacity within the public sector in South Africa and that there is a significant gap between private and public sectors. It provides evidence that there is a great need for further development of managers, especially those in the public sector. The onus is therefore on administrators and those responsible for management education and training to identify managers in need of development and to make available training that is contextually relevant in terms of design and delivery. PMID:18257936

  19. Survey of systems safety analysis methods and their application to nuclear waste management systems

    Energy Technology Data Exchange (ETDEWEB)

    Pelto, P.J.; Winegardner, W.K.; Gallucci, R.H.V.

    1981-11-01

    This report reviews system safety analysis methods and examines their application to nuclear waste management systems. The safety analysis methods examined include expert opinion, maximum credible accident approach, design basis accidents approach, hazard indices, preliminary hazards analysis, failure modes and effects analysis, fault trees, event trees, cause-consequence diagrams, G0 methodology, Markov modeling, and a general category of consequence analysis models. Previous and ongoing studies on the safety of waste management systems are discussed along with their limitations and potential improvements. The major safety methods and waste management safety related studies are surveyed. This survey provides information on what safety methods are available, what waste management safety areas have been analyzed, and what are potential areas for future study.

  20. Efficient Resource Management for Multicast Ad Hoc Networks: Survey

    Directory of Open Access Journals (Sweden)

    Amit Chopra

    2016-09-01

    Full Text Available Group communication over multicast ad hoc network suffers from insufficient utilization of limited resources, i.e. shared channel, battery, data processing capabilities and storage space etc. Multicast routing protocol should be able to manage all these resources because their consumption depends upon different factors, i.e. Unicast/Multicast network operations, dynamic topology due to mobility, control overhead due to scalability, packet loss and retransmission due to collision and congestion etc. All these factors may cause unnecessary network load, delay and unfair resource utilization. However, multicast ad hoc routing protocols are more efficient than Unicast routing protocols, but they also suffer from performance degradation factors discussed above. Researchers have developed various layer wise solutions for resource optimization. In this paper, we will explore the different schemes for fair utilization of network resources.

  1. A survey of commercial object-oriented database management systems

    Science.gov (United States)

    Atkins, John

    1992-01-01

    The object-oriented data model is the culmination of over thirty years of database research. Initially, database research focused on the need to provide information in a consistent and efficient manner to the business community. Early data models such as the hierarchical model and the network model met the goal of consistent and efficient access to data and were substantial improvements over simple file mechanisms for storing and accessing data. However, these models required highly skilled programmers to provide access to the data. Consequently, in the early 70's E.F. Codd, an IBM research computer scientists, proposed a new data model based on the simple mathematical notion of the relation. This model is known as the Relational Model. In the relational model, data is represented in flat tables (or relations) which have no physical or internal links between them. The simplicity of this model fostered the development of powerful but relatively simple query languages that now made data directly accessible to the general database user. Except for large, multi-user database systems, a database professional was in general no longer necessary. Database professionals found that traditional data in the form of character data, dates, and numeric data were easily represented and managed via the relational model. Commercial relational database management systems proliferated and performance of relational databases improved dramatically. However, there was a growing community of potential database users whose needs were not met by the relational model. These users needed to store data with data types not available in the relational model and who required a far richer modelling environment than that provided by the relational model. Indeed, the complexity of the objects to be represented in the model mandated a new approach to database technology. The Object-Oriented Model was the result.

  2. A Survey on Software Project Management Report Part I Importance of Project Management Areas

    OpenAIRE

    Demir, Kadir Alpaslan

    2008-01-01

    Visit research website for more information and reports http://faculty.nps.edu/kdemir/spm.htm The objectives of this study are to identify (i) the importance of various project management areas and (ii) project management challenges in software projects.

  3. Cancer pain management in China: current status and practice implications based on the ACHEON survey.

    Science.gov (United States)

    Xia, Zhongjun

    2017-01-01

    Cancer pain can seriously impact the quality of life (QoL) of patients, and optimal management practices are therefore of paramount importance. The ACHEON survey queried physicians and patients from 10 Asian countries/regions to assess current clinical practices in cancer pain management in Asia. This study presents the data obtained for cancer pain management in mainland China, with an emphasis on practices related to opioid drugs. In several tertiary hospitals across China, 250 patients experiencing cancer pain and 100 physicians were surveyed on questions designed to assess current cancer pain management practices and cancer pain impact on QoL. The patient survey showed that 88% of patients reported moderate-to-severe cancer pain, with a median duration of 6 months. The physician survey showed that medical school/residency training with regard to cancer pain management was inadequate in ~80% of physicians. A total of 80% of physicians and 67.2% of patients reported that pain scale was used during pain assessment; 84% of physicians expressed that physician-perceived pain severity was not completely consistent with actual pain the patient experienced. Of the 147 patients who recalled the medication received, 83.7% were administered opioid prescriptions. Of the 240 patients who received treatment, 43.8% perceived the inadequacy of controlling pain. The primary barriers from physicians perceived to optimal pain management included patients' fear of side effects (58%), patients' fear of addiction (53%), patients' reluctance to report pain (43%), physicians' reluctance to prescribe (29%), physicians' inadequacy of pain assessment (27%) and excessive regulation of opioid analgesics (47%). Knowledge of cancer pain management should be strengthened among physicians. Quantitative pain assessment and principle-based pain management should be combined to achieve pain relief. Misconceptions about opioids in patients and physicians and poor report about pain should be

  4. Management of Asymptomatic Erosive Esophagitis: An E-Mail Survey of Physician's Opinions

    OpenAIRE

    Lim, Seong Woo; Lee, Jun Haeng; Kim, Jie-Hyun; Kim, Jeong Hwan; Kim, Heung Up; Jeon, Seong Woo

    2013-01-01

    Background/Aims The management of asymptomatic erosive esophagitis is controversial. We surveyed physicians' opinions on asymptomatic erosive esophagitis using e-mail. Methods All members of the Korean Society of Neurogastro-enterology and Motility were invited to answer the questionnaire on the treatment and follow-up of patients with asymptomatic erosive esophagitis by e-mail. Results A total of 73 members answered the questionnaire (response rate, 18%). As initial management, 41% of respon...

  5. A Survey on Software Project Management Report Part I Importance of Project Management Areas (Short Version)

    OpenAIRE

    Demir, Kadir Alpaslan

    2008-01-01

    Visit research website for more information and reports http://faculty.nps.edu/kdemir/spm.htm Objectives of this Study: The objectives of this study are to identify (i) the importance of various project management areas and (ii) project management challenges in software projects. This study is conducted to form a basis for a software project management framework. This report focuses on the first part of the objective. The project management areas are identified through extensiv...

  6. Internet服务管理技术综述%A Survey on Internet Service Management Techniques

    Institute of Scientific and Technical Information of China (English)

    袁满; 罗军; 阚志刚; 胡建平; 马健

    2003-01-01

    Internet is currently evolving from a best effort only service towards a service that supports different levels of Quality of Service. Especially,with IPv6 becoming mature and Telecom network,Internet network and wireless mobile network are merged into an all IP network. In the future,Internet will be a network-service-driven. This integrated all IP network will provides tremendous services with service users. Therefore,it will be important to effectively manage these services both for service providers and service users. For service providers,providing high QoS with service users ,They can earn much high profits. For service users ,they can obtain all kinds of abundant different level QoS to meet their needs,at anytime and anywhere. In this paper,service management technique progresses are overall surveyed ,different organization service management models are surveyed ,including their principle and application scenario. Finally,all these service management models are compared. Interoperability among these service management models is implemented by bridge protocol. The survey lays a foundation for next research for Internet service management.

  7. Development and validation of PRISM: a survey tool to identify diabetes self-management barriers.

    Science.gov (United States)

    Cox, Elizabeth D; Fritz, Katie A; Hansen, Kristofer W; Brown, Roger L; Rajamanickam, Victoria; Wiles, Kaelyn E; Fate, Bryan H; Young, Henry N; Moreno, Megan A

    2014-04-01

    Although most children with type 1 diabetes do not achieve optimal glycemic control, no systematic method exists to identify and address self-management barriers. This study develops and validates PRISM (Problem Recognition in Illness Self-Management), a survey-based tool for efficiently identifying self-management barriers experienced by children/adolescents with diabetes and their parents. Adolescents 13 years and older and parents of children 8 years and older visiting for routine diabetes management (n=425) were surveyed about self-management barriers. HbA1c was abstracted from the electronic health record. To develop PRISM, exploratory and confirmatory factor analyses were used. To assess validity, the association of PRISM scores with HbA1c was examined using linear regression. Factor analyses of adolescent and parent data yielded well-fitting models of self-management barriers, reflecting the following domains: (1) Understanding and Organizing Care, (2) Regimen Pain and Bother, (3) Denial of Disease and Consequences, and (4) Healthcare Team, (5) Family, or (6) Peer Interactions. All models exhibited good fit, with χ(2) ratios0.92, and weighted root mean square residualsmanagement barriers, nearly all of which are significantly related to HbA1c. PRISM could be used in clinical practice to identify each child and family's unique self-management barriers, allowing existing self-management resources to be tailored to the family's barriers, ultimately improving effectiveness of such services. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  8. Management of acute rhinosinusitis in Danish general practice: a survey

    Directory of Open Access Journals (Sweden)

    Hansen JG

    2011-07-01

    Full Text Available Jens Georg HansenDepartment of Clinical Epidemiology, Aarhus University Hospital and Aalborg Hospital, Aalborg, DenmarkPurpose: To evaluate whether the ongoing debate over diagnostic problems and treatment choices for acute rhinosinusitis has had any influence on the management of the disease.Methods: We randomly selected 300 Danish general practitioners (GPs from the files of the Research Unit for General Practice at Aarhus University. Invitations to participate and a questionnaire were sent to the GPs by mail.Results: A total of 149 (49% GPs answered the questionnaire. When asked about symptoms, the highest priority was given to sinus pain and signs of tenderness. The most frequent examinations were objective examination of the ear-nose-throat (ENT, palpation of the maxillofacial area, and C-reactive protein point-of-care testing (or CRP rapid test. Nearly all GPs prescribed local vasoconstrictors, and in 70% of cases, antibiotics were prescribed. Phenoxymethylpenicillin was the preferred antibiotic. Use of the CRP rapid test, years in practice, or employment in an ENT department did not have a significant impact on the diagnostic certainty and antibiotic prescribing rate.Conclusion: The clinical diagnoses are based on a few symptoms, signs, and the CRP rapid test. Other examinations, including imaging techniques, are seldom used. Phenoxymethylpenicillin is the preferred antibiotic, and the GPs' diagnostic certainty was 70%.Keywords: general practice, acute rhinosinusitis, diagnosis, treatment, antibiotic

  9. Clinical management of gastric cancer: results of a multicentre survey

    Directory of Open Access Journals (Sweden)

    Xu Feng

    2011-08-01

    Full Text Available Abstract Background The National Comprehensive Cancer Network clinical practice guidelines in oncology-gastric cancer guidelines have been widely used to provide appropriate recommendations for the treatment of patients with gastric cancer. The aim of this study was to examine the adherence of surgical oncologists, medical oncologists, and radiation oncologists' to the recommended guidelines. Methods A questionnaire asking the treatment options for gastric cancer cases was sent to 394 Chinese oncology specialists, including surgical oncologists, medical oncologists, and radiation oncologists working in hospitals joined in The Western Cooperative Gastrointestinal Oncology Group of China. The questionnaire involved a series of clinical scenarios regarding the interpretation of surgery, neoadjuvant, adjuvant, and advanced treatment planning of gastric cancer. Results Analysis of 358 respondents (91% showed variations between each specialization and from the recommended guidelines in the management approaches to specific clinical scenarios. The majority of specialists admitted that less than 50% of patients received multidisciplinary evaluation before treatment. The participants gave different responses to questions involving adjuvant, neoadjuvant, and advanced settings, compared to the recommended guidelines. Conclusions These results highlight the heterogeneity of the treatment of gastric cancer. Surgical oncologists, medical oncologists, and radiation oncologists are not adhering to the recommended guidelines.

  10. Summary of the East Africa Training Consortium Biorisk Management Practices and Training Needs Survey

    Energy Technology Data Exchange (ETDEWEB)

    Wilder, Julie; Mancini, Giulio M.; Wakabi, Timothy; Boggs, Susan E.

    2017-03-01

    A survey was designed to query former Biorisk management (BRM) trainees in the East Africa region about their practices post-training and their perceived future training needs. A subset of those surveyed had been trained as BRM trainers. The survey was conducted to obtain a baseline of BRM practices that can serve as a benchmark for performance monitoring, to identify priorities for future BRM training and to gauge local BRM trainers' abilities to deliver effective training. The survey revealed that less than 50% of the respondents could identify evidence of a BRM system in their institute. Coaching and mentoring by BRM experts was identified as being of highest benefit to enable success as BRM practitioners. Local trainers reached 1538 trainees in the previous year and reported that trainings positively correlated with desired BRM behavior. Acknowledgements The authors wish to sincerely thank all of the former biorisk management trainees in East Africa who agreed to participate in this survey. Their candid and honest input was extremely insightful. We also thank Lora Grainger (06826) and Ben Brodsky (Manager, 06824) for careful and critical review of the report. We are grateful for the financial support of the Defense Threat Reduction Agency, Cooperative Biological Engagement Program.

  11. Interfacing with an EVA Suit

    Science.gov (United States)

    Ross, Amy

    2011-01-01

    A NASA spacesuit under the EVA Technology Domain consists of a suit system; a PLSS; and a Power, Avionics, and Software (PAS) system. Ross described the basic functions, components, and interfaces of the PLSS, which consists of oxygen, ventilation, and thermal control subsystems; electronics; and interfaces. Design challenges were reviewed from a packaging perspective. Ross also discussed the development of the PLSS over the last two decades.

  12. A survey on Electronic waste management in Coimbatore

    Directory of Open Access Journals (Sweden)

    Priyadharshini,

    2011-03-01

    Full Text Available The IT industry has been one of the major drivers of change in economy over the last few decades and has contributed significantly to the digital revolution. New electric and electronic equipmantys have infilterated all aspects of our daily life providing us with more comfort , health and security. The same technology that has made our lives better is on the downside creating more toxic problems for our society. With the growth of IT and related industries the usage and disposal of electrical and electronic equipment is all set to increase, which in turn will increase the quantity of ewaste generated, therefore it has become imperative to study the ewaste management practices that are being adopted. Coimbatore is set to become the next important IT destination after Chennai in Tamil Nadu,with the growth of IT industry and the economic growth the use of electric and electronic products are stet to increase, as the usage increases so will the quantity of ewaste generated. Ewaste is of immense interest owing to the following factors such as increase in volume of ewaste due to changes in technology, it is relatively new form of waste that has to be dealt with when compared to municipal or biomedical wastes. The technique for safe disposal is still being evolved, the quantity of waste is enormous, and the components present in ewaste is not uniform for all kinds of wastes. The types of wastes that come under this category are varied. There are plenty of useful materials that can be recovered and reused. Most importantly the health and environmental effects due to the toxic substances that are a result of improper handling and disposal of ewaste is a cause for major concern.

  13. Women in Management: Analysis of Selected Data from the Current Population Survey. Report to Congressional Requesters.

    Science.gov (United States)

    Robertson, Robert E.

    The key characteristics, representation, and salaries of women in management versus those of their male counterparts were examined through an analysis of Current Population Survey data collected in March 1995 and 2000. The study focused on the following 10 industries: communications; public administration; business and repair services;…

  14. Management of accidental dural puncture and post-dural puncture headache after labour: a Nordic survey

    DEFF Research Database (Denmark)

    Darvish, B; Gupta, A; Alahuhta, S

    2011-01-01

    a major risk with epidural analgesia is accidental dural puncture (ADP), which may result in post-dural puncture headache (PDPH). This survey was conducted to explore the incidence of ADP, the policy for management of PDPH and the educational practices in epidural analgesia during labour...

  15. A Survey of Internship Programs for Management Undergraduates in AACSB-Accredited Institutions

    Science.gov (United States)

    Kim, Eyong B.; Kim, Kijoo; Bzullak, Michael

    2012-01-01

    Purpose: The purpose of this paper is to survey the current status of internship programs for Management undergraduate students and to introduce a well-established internship program. Design/methodology/approach: A web page analysis was conducted on 473 institutions that have AACSB (the Association to Advance Collegiate Schools of Business)…

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

    NARCIS (Netherlands)

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

    2011-01-01

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

  17. 77 FR 39733 - Proposed Information Collection; Comment Request: Appalachian Trail Management Partner Survey

    Science.gov (United States)

    2012-07-05

    ... receiving support from the Appalachian Trail Park Office (ATPO) to protect trail resources and provide for the public enjoyment and visitor experience of the Appalachian National Scenic Trail (Trail). To... Information Collection; Comment Request: Appalachian Trail Management Partner Survey AGENCY: National...

  18. Registration and management of smoking behaviour in patients with coronary heart disease. The EUROASPIRE survey.

    NARCIS (Netherlands)

    T.F.M. van Berkel (Dorien); D. de Baquer; J.W. Deckers (Jaap); D. Wood; H. Boersma (Eric)

    1999-01-01

    textabstractAIMS: To establish to what extent smoking status and its management is recorded in coronary patients' medical records, and to investigate their motivation to change smoking behaviour. METHODS: In EUROASPIRE, a survey on secondary prevention in 21 hospitals i

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

    NARCIS (Netherlands)

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

    2011-01-01

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

  20. Two new patents of Baoxiniao suit

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Recently,Baoxiniao released two patents of suit--cool suit,zero grams of weight suits. "Cool suit" is fashion design,with leisure craft production.Natural fibre blended fabric to retain cool sense of the natural fibre fabric

  1. A Survey of Health Management User Objectives Related to Diagnostic and Prognostic Metrics

    Science.gov (United States)

    Wheeler, Kevin R.; Kurtoglu, Tolga; Poll, Scott D.

    2010-01-01

    One of the most prominent technical challenges to effective deployment of health management systems is the vast difference in user objectives with respect to engineering development. In this paper, a detailed survey on the objectives of different users of health management systems is presented. These user objectives are then mapped to the metrics typically encountered in the development and testing of two main systems health management functions: diagnosis and prognosis. Using this mapping, the gaps between user goals and the metrics associated with diagnostics and prognostics are identified and presented with a collection of lessons learned from previous studies that include both industrial and military aerospace applications.

  2. Factors Influencing IPO Decisions. Do Corporate Managers Use Market and Corporate Timing? A Survey

    Directory of Open Access Journals (Sweden)

    Szyszka Adam

    2014-11-01

    Full Text Available This paper explores the motives for Initial Public Offerings (IPOs; that is, whether market mispricing or the behavioral inclinations of investors and analysts impact corporate decisions about rising equity, with a particular focus on market and corporate timing practices of managers going public. To do so, an anonymous survey was conducted of 166 managers of firms that recently went public at the Warsaw Stock Exchange in Poland (being the second most active IPO market in Europe, after London. The resulting data reveals that managers attempt to time bullish markets and good historical corporate financial results.

  3. Surveying clinician perceptions of risk assessment and management practices in mental health service provision.

    Science.gov (United States)

    Wand, Timothy; Isobel, Sophie; Derrick, Kate

    2015-04-01

    This study aimed to survey multidisciplinary mental health staff on their perceptions of risk assessment and management practices in a local health district in Sydney. The research team developed the risk assessment and management survey (RAMS) which was distributed to staff across the district from November 2013 to January 2014. A total of 340 RAMS were distributed and 164 were returned (48% response rate). There was considerable agreement that risk assessment and management is essential to maintaining safety and delivering good mental health care, and respondents reported high levels of confidence in their judgement when carrying out such practices. Respondents identified organisational pressure in relation to risk assessment and management but also felt supported. However, 65% of respondents considered that there 'is good evidence that risk assessment and management practices are effective in reducing risk in mental health care', when this is not the case. The confidence that clinicians placed in risk assessment and management practices (despite an absence of evidence) is disconcerting. Given the dominance of risk assessment and management, health services mandating such practices have a duty to inform employees of the current evidence base for this approach in reducing risk. © The Royal Australian and New Zealand College of Psychiatrists 2015.

  4. [Emotional Leadership: a survey on the emotional skills expressed by nursing management].

    Science.gov (United States)

    Spagnuolo, Antonella; De Santis, Marco; Torretta, Claudia; Filippi, Mauro; Talucci, Carlo

    2014-01-01

    The emotional leadership applied to nursing management is a new topic in the Italian nursing literature, but of great interest internationally. There is a close correlation between nursing leaders with a well-developed emotional intelligence and nurses working well-being. This study investigates knowledge about the emotional leadership and emotional competence in nursing management. The survey was conducted using a questionnaire devised for the purpose, validated and administered to 130 managers, head nurses and nurses in a hospital in Rome. Analysis of data shows a great interest in the subject. 90% of the sample showed that it is essential for managerial roles, be aware and able to manage their own and others' emotions to generate wellbeing at work. Emotional competencies are considered important just as theoretical, technical and social skills to a effective leadership on nursing. This study is one of the first Italian survey on the importance of the development of emotional intelligence in nursing leadership to improve wellbeing at work. Results of the survey should be confirmed by further studies. The emotional skills could be improved in nursing education programs and used as a yardstick for the nursing managers selection.

  5. Survey of Nutrition Management Practices in Centers for Pediatric Intestinal Rehabilitation.

    Science.gov (United States)

    Nucci, Anita M; Ellsworth, Kipp; Michalski, Austin; Nagel, Emily; Wessel, Jackie

    2017-07-01

    Nutrition management of pediatric intestinal failure (IF) requires interdisciplinary coordination of parenteral nutrition (PN) and enteral nutrition (EN) support. Nutrition strategies used by specialists in pediatric intestinal rehabilitation to promote gut adaptation and manage complications have not been previously summarized. A practice survey was distributed to members of the dietitian subgroup of the American Society for Parenteral and Enteral Nutrition Pediatric Intestinal Failure Section. The survey included 24 open-ended questions related to PN and enteral feeding strategies, nutrition management of PN-associated liver disease, and laboratory monitoring. Dietitians from 14 centers completed the survey. Management components for patients at risk for cholestasis were consistent and included fat minimization, trace element modification, avoiding PN overfeeding, and providing EN. Parenteral amino acid solutions designed for infants/young children are used in patients centers. Eleven centers prescribe a continuous infusion of breast milk or elemental formula 1-2 weeks after resection while 3 centers determine the formula type by the extent of resection. Most (86%) centers do not have a protocol for initiating oral/motor therapy. Laboratory panel composition varied widely by center. The selection and frequency of use depended on clinical variables, including cholestatic status, exclusive vs partial PN dependence, postrepletion verification vs routine monitoring, intestinal anatomy, and acuity of care. EN and PN management strategies are relatively consistent among U.S. centers. Collaborative initiatives are necessary to define better practices and establish laboratory monitoring guidelines.

  6. Chronic Subdural Hematoma: A Questionnaire Survey of Management Practice in India and Review of Literature.

    Science.gov (United States)

    Avanali, Raghunath; Bhadran, Biju; Krishna Kumar, P; Vijayan, Abhishek; Arun, S; Musthafa, Aneeze M; Panchal, Sunil; Gopal, Vinu V

    2016-12-01

    To identify the current management modalities practiced by neurosurgeons in India for chronic subdural hematoma. A questionnaire was prepared for the survey and sent via e-mail to neurosurgeons. It covered the following aspects of managing chronic subdural hematoma: 1) demographic and institutional details; 2) choice of surgical procedure; 3) surgical adjutants such as placing a subdural drain; 4) pre- and postoperative care; and 5) recurrences and management. Responses obtained were entered in a SPSS data sheet and analyzed. Response rate of the survey was 9.3%. The majority of neurosurgeons (75%) preferred to do burr whole drainage for primary chronic subdural hematoma and also for recurrences. Only one third of routinely placed a subdural drain. Considerable practice variations exist for medical and perioperative management. Bedside twist drill drainage, which is effective and less costly than operative room procedures, has not gained popularity in practice. The present survey points towards the importance of making management guidelines for this common neurosurgical entity. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. Survey of Needs for Educational Programs in Banking, Finance and Credit [and] Survey of Need for Educational Programs in Material Management.

    Science.gov (United States)

    William Rainey Harper Coll., Palatine, IL.

    The results of two surveys that were conducted to determine the feasibility of starting programs in (a) Banking, Finance and Credit, and (b) Material Management at William Rainey Harper College are provided. The surveys were made of (a) all banks and savings and loan institutions in the north and western suburbs and downtown Chicago, and (b) 531…

  8. Teaching Physics: with the Physics Suite

    Science.gov (United States)

    Redish, Edward F.

    2003-01-01

    Acompanion guide to using the Physics Suite,Teaching Physicsis a book about learning to be a more effective physics teacher. It is meant for anyone who is interested inlearning about recent developments in physics education. It is not a review of specific topics in physics with hints for how to teach them and lists of common student difficulties. Rather, it is a handbook with a variety of tools for improving both teaching and learning of physics from new kinds of homework and exam problems, to surveys for figuring out what has happened in your class, to tools for taking and analyzing data using computers and video. Teaching Physics includes: an introduction to the cognitive model of thinking and learning that underlies modern physics education research principles and guidelines for making use of and understanding the implications of this cognitive model for the classroom a discussion of formative and summative evaluation with a variety of "thinking problems" useful for homework and exams a discussion of assessment of the success of instruction using research-based concept and attitude surveys discussion of 11 research-based curricular materials for use in lecture, lab, recitation, and workshops environments tips and guidelines for how to improve your instruction In addition, the book comes with a Resource CD containing 14 conceptual and 3 attitude surveys, more than 250 thinking problems covering all areas of introductory physics, resource materials from commercial vendors on use of computerized data acquisition and video, and a variety of other useful reference materials.

  9. Attitude and Intention Regarding Pain Management among Chinese Nursing Students: A Cross-Sectional Questionnaire Survey.

    Science.gov (United States)

    Fang, Liang-Yu; Xu, Yin-Chuan; Lin, Dan-Ni; Jin, Jing-Feng; Yan, Min

    2017-08-01

    Optimal pain management is a priority in effective nursing care. Lack of sufficient pain knowledge associated with inadequate pain management has been proved. However, the intention, defined as the predictor of behavior, regarding pain management remains unknown. Therefore, the study was to determine the attitude and intention regarding pain management among Chinese nursing students and investigate the underlying determinants and their interactions in terms of intention toward pain management. The Pain Management Survey Questionnaire, comprising the key determinants of the theory of planned behavior-that is, direct attitude, belief-based intention, subjective norm, direct control, and indirect control-was used to collect data from 512 nursing students who undertook clinical rotation in an affiliated hospital of a medical college in China. Data were analyzed using descriptive statistics, independent sample t test, Pearson correlation analysis, or structural equation modeling analysis. Chinese nursing students reported negative attitudes and behavioral intentions toward pain management. Direct control, subjective norm, belief-based attitude, and indirect control independently predicted nursing students' intention to treat patients with pain. Direct control was the strongest predictor. Structural equation modeling analysis further revealed 39.84% of the variance associated with intention that could be explained by determinants of the theory of planned behavior. Additionally, educational school level and previous pain management training had great effects on pain management intention. Overall, this study identified intention as an important factor in effective pain treatment. Chinese nursing students have negative attitudes and insufficient intention to pain management. Therefore, hospitals and universities in China should manage these factors to improve nursing students' practice regarding pain management. Copyright © 2017 American Society for Pain Management Nursing

  10. The Days Hotel & Suites Beijing

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    A Cultural Concept Located within striking distance of Beijing's booming Central Business District, the Days Hotel & Suites Beijing also offers easy access to the art of the imperial city. Adjacent to the Panjiayuan Flea Market, where curios and folk artworks of the ancient capital are bought and traded, it is a multi-function concept of fine dining and entertainment that taps into the cultural essence of China's storied past. In the entrance to the sizeable lobby of Regal Palace Chinese Cuisine House, a...

  11. Exploring barriers to pain management in newborn intensive care units: a pilot survey of NICU nurses.

    Science.gov (United States)

    Byrd, Patricia J; Gonzales, Irene; Parsons, Virgil

    2009-12-01

    To explore barriers that NICU nurses face when attempting to optimally manage newborn pain. Ninety California NICU nurses with current membership in the National Association of Neonatal Nurses (NANN) voluntarily participated. A descriptive survey study. A researcher-developed survey consisting of 37 questions was mailed to 300 NICU nurses; 102 were returned and 90 were usable. Probability sampling from a listing of California registered nurses with current membership in the NANN was used to obtain the study's sampling frame. Less than half of the nurses felt that newborn pain is well managed within the NICUs where they are employed. Barriers identified related to physicians' pain management practices, lack of evidence-based pain management protocols, nurses' and physicians' resistance to change practice, infant pain assessment tools, and inadequate staff training regarding pain assessment and management. A knowledge-practice gap still exists within newborn pain management. Increased caregiver education remains a necessity, but strategies that address resistance to change practice within healthcare settings must also be considered.

  12. Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center.

    Science.gov (United States)

    Pronovost, P J; Weast, B; Holzmueller, C G; Rosenstein, B J; Kidwell, R P; Haller, K B; Feroli, E R; Sexton, J B; Rubin, H R

    2003-12-01

    Despite the emphasis on patient safety in health care, few organizations have evaluated the extent to which safety is a strategic priority or their culture supports patient safety. In response to the Institute of Medicine's report and to an organizational commitment to patient safety, we conducted a systematic assessment of safety at the Johns Hopkins Hospital (JHH) and, from this, developed a strategic plan to improve safety. The specific aims of this study were to evaluate the extent to which the culture supports patient safety at JHH and the extent to which safety is a strategic priority. During July and August 2001 we implemented two surveys in disparate populations to assess patient safety. The Safety Climate Scale (SCS) was administered to a sample of physicians, nurses, pharmacists, and other ICU staff. SCS assesses perceptions of a strong and proactive organizational commitment to patient safety. The second survey instrument, called Strategies for Leadership (SLS), evaluated the extent to which safety was a strategic priority for the organization. This survey was administered to clinical and administrative leaders. We received 395 completed SCS surveys from 82% of the departments and 86% of the nursing units. Staff perceived that supervisors had a greater commitment to safety than senior leaders. Nurses had higher scores than physicians for perceptions of safety. Twenty three completed SLS surveys were received from 77% of the JHH Patient Safety Committee members and 50% of the JHH Management Committee members. Management Committee responses were more positive than Patient Safety Committee, indicating that management perceived safety efforts to be further developed. Strategic planning received the lowest scores from both committees. We believe this is one of the first large scale efforts to measure institutional culture of safety and then design improvements in health care. The survey results suggest that strategic planning of patient safety needs

  13. Who should manage protected areas in the Swedish mountain region? A survey approach to co-management.

    Science.gov (United States)

    Zachrisson, Anna

    2008-04-01

    This article investigates attitudes towards co-management of protected areas in Sweden, at the national, county and local level. In Sweden, protected areas are still primarily designated and managed hierarchically-a practice increasingly contested by people living close to them, including indigenous Sámi reindeer herders whose economic activities are located within protected areas. The general view could, on the contrary, be anticipated to be pro-state since protected areas are considered to be of national interest. For democratic reasons, however, the opinions of the whole population should be considered. In order to measure both local and general views, this study is based on a two-sample survey of 8868 respondents. The objectives are to map and explain attitudes regarding who should manage protected areas in Sweden, and to test the usefulness of a multi-level quantitative method. Such an approach is unusual in co-management literature that is empirically mainly based on local case studies. The explanatory ambition sets out to test three hypotheses drawn from common-pool resource theory; resource dependency, common understanding, and trust. Perhaps surprisingly, the results show that a considerable majority of the respondents (at all levels) wish to see self- or co-management. All three hypotheses are important to understand attitudes toward the management of protected areas, but not always in the way that the theory anticipates.

  14. Psychometric properties of the Hospital Survey on Patient Safety Culture for hospital management (HSOPS_M

    Directory of Open Access Journals (Sweden)

    Pfeiffer Yvonne

    2011-07-01

    Full Text Available Abstract Background From a management perspective, it is necessary to examine how a hospital's top management assess the patient safety culture in their organisation. This study examines whether the Hospital Survey on Patient Safety Culture for hospital management (HSOPS_M has the same psychometric properties as the HSOPS for hospital employees does. Methods In 2008, a questionnaire survey including the HSOPS_M was conducted with 1,224 medical directors from German hospitals. When assessing the psychometric properties, we performed a confirmatory factor analysis (CFA. Additionally, we proved construct validity and internal consistency. Results A total of 551 medical directors returned the questionnaire. The results of the CFA suggested a satisfactory global data fit. The indices of local fit indicated a good, but not satisfactory convergent validity. Analyses of construct validity indicated that not all safety culture dimensions were readily distinguishable. However, Cronbach's alpha indicated that the dimensions had an acceptable level of reliability. Conclusion The analyses of the psychometric properties of the HSOPS_M resulted in reasonably good levels of property values. Although the set of dimensions within the HSOPS_M needs further scale refinement, the questionnaire covers a broad range of sub-dimensions and supplies important information on safety culture. The HSOPS_M, therefore, is eligible to measure safety culture from the hospital management's points of view and could be used in nationwide hospital surveys to make inter-organisational comparisons.

  15. Controversies in the management of acute idiopathic thrombocytopenic purpura: a survey of specialists.

    Science.gov (United States)

    Dubansky, A S; Oski, F A

    1986-01-01

    A total of 322 physicians, Board-certified in pediatric hematology, responded to a survey designed to determine several aspects of their management of children with acute idiopathic thrombocytopenic purpura. The survey demonstrates that, in practice among specialists, a controversy exists as to whether or not bone marrow examination needs to be performed, and how often corticosteroids should be prescribed. Seventy-four percent of practitioners would perform the bone marrow examination, whereas 26% would not do so. Forty-six percent of responders prescribe steroids more than half the time, whereas 54% prescribe steroids less than half the time. The questionnaire ascertained the reasons why physicians performed marrow aspirations and prescribed steroids.

  16. Cloud computing for energy management in smart grid - an application survey

    Science.gov (United States)

    Naveen, P.; Kiing Ing, Wong; Kobina Danquah, Michael; Sidhu, Amandeep S.; Abu-Siada, Ahmed

    2016-03-01

    The smart grid is the emerging energy system wherein the application of information technology, tools and techniques that make the grid run more efficiently. It possesses demand response capacity to help balance electrical consumption with supply. The challenges and opportunities of emerging and future smart grids can be addressed by cloud computing. To focus on these requirements, we provide an in-depth survey on different cloud computing applications for energy management in the smart grid architecture. In this survey, we present an outline of the current state of research on smart grid development. We also propose a model of cloud based economic power dispatch for smart grid.

  17. Management and monitoring of hyperthyroid cats: a survey of Australian veterinarians.

    Science.gov (United States)

    Kopecny, Lucy; Higgs, Paul; Hibbert, Angie; Malik, Richard; Harvey, Andrea M

    2017-06-01

    Objectives This study sought to evaluate how Australian veterinarians approach management and monitoring of feline hyperthyroidism and compare these results with a similar survey recently performed in the UK. Methods An invitation to complete an online survey was sent to veterinarians in all states and territories of Australia. The survey comprised questions relating to management of hyperthyroidism, use of antithyroid drugs vs radioiodine treatment vs surgical thyroidectomy, in addition to demographic information for respondents. Results A total of 546 clinicians completed the survey. The most commonly preferred treatments for long-term management of feline hyperthyroidism were antithyroid medications (305/546; 56%) and radioiodine (210/546; 38%), with substantially more respondents selecting radioiodine when cost was removed as a consideration (425/546; 78%). However, most respondents had treated or referred few cases for radioiodine (median 2). Most veterinarians (500/546; 92%) used antithyroid medications either long term or prior to definitive treatment of hyperthyroidism. For medical management, 45% (244/546) of veterinarians used twice-daily carbimazole. Half of respondents (274/546) aimed to maintain the total thyroxine concentration anywhere within the laboratory reference interval in hyperthyroid cats without chronic kidney disease. Blood pressure monitoring was uncommon. Surgical thyroidectomy was rarely performed. Conclusions and relevance Radioiodine was more frequently preferred by Australian veterinarians compared with those in the UK, likely associated with greater availability, reduced cost and shorter hospitalisation times in this jurisdiction, although antithyroid medications were the most frequently used treatment modality. Barriers remain to its utilisation, however, including perceived cost, misconceptions with regard to expected success rate and accessibility. Recent changes to recommendations on the management and monitoring of hyperthyroid

  18. Management of blunt extracranial traumatic cerebrovascular injury: a multidisciplinary survey of current practice

    Directory of Open Access Journals (Sweden)

    Cava Luis P

    2011-04-01

    Full Text Available Abstract Background Extracranial traumatic cerebrovascular injury (TCVI is present in 1-3% of all blunt force trauma patients. Although options for the management of patients with these lesions include anticoagulation, antiplatelet agents, and endovascular treatment, the optimal management strategy for patients with these lesions is not yet established. Objective Multidisciplinary survey of clinicians about current management of TCVI. Methods A six-item multiple-choice survey was sent by electronic mail to a total of 11,784 neurosurgeons, trauma surgeons, stroke neurologists, and interventional radiologists. The survey included questions about their choice of imaging, medical management, and the use of endovascular techniques. Survey responses were analyzed according to stated specialty. Results Seven hundred eighty-five (6.7% responses were received. Overall, a total of 325 (42.8% respondents favored anticoagulation (heparin and/or warfarin, 247 (32.5% favored antiplatelet drugs, 130 (17.1% preferred both anticoagulation and antiplatelet drugs, and 57 (7.5% preferred stenting and/or embolization. Anticoagulation was the most commonly preferred treatment among vascular surgeons (56.9%, neurologists (50.2% and neurosurgeons (40.7%, whereas antiplatelet agents were the most common preferred treatment among trauma surgeons (41.5%. Overall, 158 (20.7% of respondents recommended treatment of asymptomatic dissections and traumatic aneurysms, 211 (27.7% did not recommend it, and 39.4% recommended endovascular treatment only if there is worsening of the lesion on follow-up imaging. Conclusions These data demonstrate the wide variability of physicians' management of traumatic cerebrovascular injury, both on an individual basis, and between specialties. These findings underscore the need for multicenter, randomized trials in this field.

  19. Surgical management of acute cholecystitis. Results of a nation-wide survey among Spanish surgeons.

    Science.gov (United States)

    Badia, Josep M; Nve, Esther; Jimeno, Jaime; Guirao, Xavier; Figueras, Joan; Arias-Díaz, Javier

    2014-10-01

    There is a wide variability in the management of acute cholecystitis. A survey among the members of the Spanish Association of Surgeons (AEC) analyzed the preferences of Spanish surgeons for its surgical management. The majority of the 771 responders didn't declare any subspecialty (41.6%), 21% were HPB surgeons, followed by colorectal and upper-GI specialities. Early cholecystectomy during the first admission is the preferred method of management of 92.3% of surgeons, but only 42.7% succeed in adopting this practice. The most frequent reasons for changing their preferred practice were: Patients not fit for surgery (43.6%) and lack of availability of emergency operating room (35.2%). A total of 88.9% perform surgery laparoscopically. The majority of AEC surgeons advise index admission cholecystectomy for acute cholecystitis, although only half of them succeed in its actual implementation. There is room for improvement in the management of acute cholecystitis in Spanish hospitals.

  20. A Survey Study on Customer Experience in Banking Cash Management Products and, Participation Banking Example

    Directory of Open Access Journals (Sweden)

    Cüneyt DİRİCAN

    2016-04-01

    Full Text Available Banking as a safe bridge of risk management balances relation between deposit and loan. In the growing trend of interest-free banking Turkey practice, Participation Banking is working to fix the expectations of customers with reasonable solutions. For corporate customers with comprehensive cash management expectations, producing appropriate and fast solutions are important for a positive and sustainable customer experience. Cash Management covers collection of trade receivables and short -term debt payments. In this study, in the light of the financial ratios of participation banking within the banking industry, a participation bank customers' experiences and expectations in cash management products and services were evaluated with the survey methodology and its importance were also examined.

  1. Survey of Large-Scale Data Management Systems for Big Data Applications

    Institute of Scientific and Technical Information of China (English)

    吴冷冬; 袁立言; 犹嘉槐

    2015-01-01

    Today, data is flowing into various organizations at an unprecedented scale. The ability to scale out for processing an enhanced workload has become an important factor for the proliferation and popularization of database systems. Big data applications demand and consequently lead to the developments of diverse large-scale data management systems in different organizations, ranging from traditional database vendors to new emerging Internet-based enterprises. In this survey, we investigate, characterize, and analyze the large-scale data management systems in depth and develop comprehensive taxonomies for various critical aspects covering the data model, the system architecture, and the consistency model. We map the prevailing highly scalable data management systems to the proposed taxonomies, not only to classify the common techniques but also to provide a basis for analyzing current system scalability limitations. To overcome these limitations, we predicate and highlight the possible principles that future efforts need to be undertaken for the next generation large-scale data management systems.

  2. Wall finish selection in hospital design: a survey of facility managers.

    Science.gov (United States)

    Lavy, Sarel; Dixit, Manish K

    2012-01-01

    This paper seeks to analyze healthcare facility managers' perceptions regarding the materials used for interior wall finishes and the criteria used to select them. It also examines differences in wall finish materials and the selection process in three major hospital spaces: emergency, surgery, and in-patient units. These findings are compared with healthcare designers' perceptions on similar issues, as currently documented in the literature. Hospital design and the materials used for hospital construction have a considerable effect on the environment and health of patients. A 2002 survey revealed which characteristics healthcare facility designers consider when selecting materials for healthcare facilities; however, no similar study has examined the views of facility managers on building finish selection. A 22-question survey questionnaire was distributed to 210 facility managers of metropolitan, for-profit hospitals in Texas; IRB approval was obtained. Respondents were asked to rank 10 interior wall finish materials and 11 selection criteria for wall finishes. Data from 48 complete questionnaires were analyzed using descriptive statistics and nonparametric statistical analysis methods. The study found no statistically significant differences in terms of wall finish materials or the characteristics for material selection in the three major spaces studied. It identified facility managers' four most-preferred wall finish materials and the five-most preferred characteristics, with a statistical confidence level of greater than 95%. The paper underscores the importance of incorporating all perspectives: facility designers and facility managers should work together toward achieving common organizational goals.

  3. Opioid use for chronic pain management in Italy: results from the Orthopedic Instant Pain survey project

    Directory of Open Access Journals (Sweden)

    Guido Fanelli

    2014-06-01

    Full Text Available Pain is a common symptom in orthopedic patients, but is managed sub-optimally, partly due to scarce opioid use in severe cases. The aim of the Orthopedic Instant Pain Survey (POIS was to evaluate changes in pain management in Italian orthopedic practice 2 years after a legislative change (Law 38/2010 simplifying opioid access for pain control. A web-based survey on the knowledge of this law and trends observed in clinical practice for severe pain treatment was administered to 143 Italian orthopedic specialists. In total, 101 (70% respondents showed a high level of knowledge. Nevertheless, 54.5% stated that they do not use opioids for severe osteo-articular pain management. Main barriers to opioid use are fear of adverse events (61.4%, especially nausea/vomiting and constipation, and patient resistance (29.7%. A modest knowledge of pain classification was also demonstrated. Opioid use remains very limited in Italian orthopedic practice. Physicians’ fear of side effects showed poor knowledge of strategies for effective management of opioid-related adverse events, such as combined oral prolonged-release oxycodone/naloxone. Continuing educational programs could improve delivery of evidence-based pain management.

  4. Neural network-based survey analysis of risk management practices in new product development

    DEFF Research Database (Denmark)

    Kampianakis, Andreas N.; Oehmen, Josef

    2017-01-01

    The current study investigates the applicability of Artificial Neural Networks (ANNs) to analyse survey data on the effectiveness of risk management practices in product development (PD) projects, and its ability to forecast project outcomes. Moreover, this study presents the relations between risk...... management factors affecting the success of a PD project, such as cost. ANNs were chosen due to the fact that hidden inherent relations can be revealed through this type of quantitative analysis. Flexibility in terms of analysis and adaptability on the given dataset are the great advantages of Artificial...

  5. Towards harmonisation of critical laboratory result management - review of the literature and survey of australasian practices.

    Science.gov (United States)

    Campbell, Ca; Horvath, Ar

    2012-11-01

    Timely release and communication of critical test results may have significant impact on medical decisions and subsequent patient outcomes. Laboratories therefore have an important responsibility and contribution to patient safety. Certification, accreditation and regulatory bodies also require that laboratories follow procedures to ensure patient safety, but there is limited guidance on best practices. In Australasia, no specific requirements exist in this area and critical result reporting practices have been demonstrated to be heterogeneous worldwide.Recognising the need for agreed standards and critical limits, the AACB started a quality initiative to harmonise critical result management throughout Australasia. The first step toward harmonisation is to understand current laboratory practices. Fifty eight Australasian laboratories responded to a survey and 36 laboratories shared their critical limits. Findings from this survey are compared to international practices reviewed in various surveys conducted elsewhere. For the successful operation of a critical result management system, critical tests and critical limits must be defined in collaboration with clinicians. Reporting procedures must include how critical results are identified; who can report and who can receive critical results; what is an acceptable timeframe within which results must be delivered or, if reporting fails, what escalation procedures should follow; what communication channels or systems should be used; what should be recorded and how; and how critical result procedures should be maintained and evaluated to assess impact on outcomes.In this paper we review the literature of current standards and recommendations for critical result management. Key elements of critical result reporting are discussed in view of the findings of various national surveys on existing laboratory practices, including data from our own survey in Australasia. Best practice recommendations are made that laboratories

  6. Barberry rust survey – developing tools for diagnosis, analysis and data management

    DEFF Research Database (Denmark)

    Justesen, Annemarie Fejer; Hansen, Jens Grønbech; Hovmøller, Mogens Støvring

    . arrhenatheri and P. striiformoides on barberry species. Survey and DNA sample maps with species designation were displayed in the Wheat Rust ToolBox. The future aim is to integrate barberry rust survey data based on molecular diagnostics and infection assays from research groups world-wide in order to gain......Barberry (Berberis spp.) may serve as alternate host of several Puccinia species including Puccinia graminis and P. striiformis causing stem and yellow rust on cereals and grasses, respectively. In order to study the importance of barberry in the epidemiology of Puccinia species in the CWANA region...... a rust survey was initiated. The aim was to 1) develop a surveillance protocol 2) develop molecular diagnostic tools for identifying Puccinia spp. from aecial samples, and 3) develop a data management and display system of results as part of the Wheat Rust ToolBox (http...

  7. A Survey of Data Management System for Cloud Computing: Models and Searching Methods

    Directory of Open Access Journals (Sweden)

    Linhua Zhou

    2013-06-01

    Full Text Available At present, the research of data storage and management in cloud computing mainly focuses on dealing with data expression and search. This study gives a comprehensive survey of numerous models and approaches of data-intensive applications in cloud computing in both academic and industrial communities. We review various approaches and their ideas of design. And then, we attempt to summarize and appraise the open issues.

  8. The Fritz Roethlisberger Memorial Award Goes to "Using Leadered Groups in Organizational Behavior and Management Survey Courses"

    Science.gov (United States)

    Amoroso, Lisa M.; Loyd, Denise Lewin; Hoobler, Jenny M.

    2012-01-01

    The Fritz J. Roethlisberger Memorial Award for the best article in the 2011 "Journal of Management Education" goes to Rae Andre for her article, Using Leadered Groups in Organizational Behavior and Management Survey Courses ("Journal of Management Education," Volume 35, Number 5, pp. 596-619). In keeping with Roethlisberger's legacy, this year's…

  9. Development of the KnowPain-12 pain management knowledge survey.

    Science.gov (United States)

    Gordon, Debra B; Loeser, John D; Tauben, David; Rue, Tessa; Stogicza, Agnes; Doorenbos, Ardith

    2014-06-01

    The purpose of this study was to develop a brief knowledge survey about chronic noncancer pain that could be used as a reliable and valid measure of a provider's pain management knowledge. This study used a cross-sectional study design. A group of pain experts used a systematic consensus approach to reduce the previously validated KnowPain-50 to 12 questions (2 items per original 6 domains). A purposive sampling of pain specialists and health professionals generated from public lists and pain societies was invited to complete the KnowPain-12 online survey. Between April 4 and September 16, 2012, 846 respondents completed the survey. Respondents included registered nurses (34%), physicians (23%), advanced practice registered nurses (14%), and other allied health professionals and students. Twenty-six percent of the total sample self-identified as "pain specialist." Pain specialists selected the most correct response to the knowledge assessment items more often than did those who did not identify as pain specialists, with the exception of 1 item. KnowPain-12 demonstrated adequate internal consistency reliability (α=0.67). Total scores across all 12 items were significantly higher (Pmanagement knowledge. The ability to assess pain management knowledge with a brief measure will be useful for developing future research studies and specific pain management knowledge intervention approaches for health care providers.

  10. 10 CFR 501.183 - Citizen suits.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Citizen suits. 501.183 Section 501.183 Energy DEPARTMENT..., Violations, Sanctions and Judicial Actions § 501.183 Citizen suits. (a) General. A person who believes he is... will serve as notice to OFE under FUA section 725(b) for purposes of any citizens suit that may be...

  11. Quality of Malaria Case Management in Malawi: Results from a Nationally Representative Health Facility Survey

    Science.gov (United States)

    Steinhardt, Laura C.; Chinkhumba, Jobiba; Wolkon, Adam; Luka, Madalitso; Luhanga, Misheck; Sande, John; Oyugi, Jessica; Ali, Doreen; Mathanga, Don; Skarbinski, Jacek

    2014-01-01

    Background Malaria is endemic throughout Malawi, but little is known about quality of malaria case management at publicly-funded health facilities, which are the major source of care for febrile patients. Methods In April–May 2011, we conducted a nationwide, geographically-stratified health facility survey to assess the quality of outpatient malaria diagnosis and treatment. We enrolled patients presenting for care and conducted exit interviews and re-examinations, including reference blood smears. Moreover, we assessed health worker readiness (e.g., training, supervision) and health facility capacity (e.g. availability of diagnostics and antimalarials) to provide malaria case management. All analyses accounted for clustering and unequal selection probabilities. We also used survey weights to produce estimates of national caseloads. Results At the 107 facilities surveyed, most of the 136 health workers interviewed (83%) had received training on malaria case management. However, only 24% of facilities had functional microscopy, 15% lacked a thermometer, and 19% did not have the first-line artemisinin-based combination therapy (ACT), artemether-lumefantrine, in stock. Of 2,019 participating patients, 34% had clinical malaria (measured fever or self-reported history of fever plus a positive reference blood smear). Only 67% (95% confidence interval (CI): 59%, 76%) of patients with malaria were correctly prescribed an ACT, primarily due to missed malaria diagnosis. Among patients without clinical malaria, 31% (95% CI: 24%, 39%) were prescribed an ACT. By our estimates, 1.5 million of the 4.4 million malaria patients seen in public facilities annually did not receive correct treatment, and 2.7 million patients without clinical malaria were inappropriately given an ACT. Conclusions Malawi has a high burden of uncomplicated malaria but nearly one-third of all patients receive incorrect malaria treatment, including under- and over-treatment. To improve malaria case

  12. Quality of malaria case management in Malawi: results from a nationally representative health facility survey.

    Directory of Open Access Journals (Sweden)

    Laura C Steinhardt

    Full Text Available BACKGROUND: Malaria is endemic throughout Malawi, but little is known about quality of malaria case management at publicly-funded health facilities, which are the major source of care for febrile patients. METHODS: In April-May 2011, we conducted a nationwide, geographically-stratified health facility survey to assess the quality of outpatient malaria diagnosis and treatment. We enrolled patients presenting for care and conducted exit interviews and re-examinations, including reference blood smears. Moreover, we assessed health worker readiness (e.g., training, supervision and health facility capacity (e.g. availability of diagnostics and antimalarials to provide malaria case management. All analyses accounted for clustering and unequal selection probabilities. We also used survey weights to produce estimates of national caseloads. RESULTS: At the 107 facilities surveyed, most of the 136 health workers interviewed (83% had received training on malaria case management. However, only 24% of facilities had functional microscopy, 15% lacked a thermometer, and 19% did not have the first-line artemisinin-based combination therapy (ACT, artemether-lumefantrine, in stock. Of 2,019 participating patients, 34% had clinical malaria (measured fever or self-reported history of fever plus a positive reference blood smear. Only 67% (95% confidence interval (CI: 59%, 76% of patients with malaria were correctly prescribed an ACT, primarily due to missed malaria diagnosis. Among patients without clinical malaria, 31% (95% CI: 24%, 39% were prescribed an ACT. By our estimates, 1.5 million of the 4.4 million malaria patients seen in public facilities annually did not receive correct treatment, and 2.7 million patients without clinical malaria were inappropriately given an ACT. CONCLUSIONS: Malawi has a high burden of uncomplicated malaria but nearly one-third of all patients receive incorrect malaria treatment, including under- and over-treatment. To improve

  13. The Fukushima Health Management Survey: estimation of external doses to residents in Fukushima Prefecture

    Science.gov (United States)

    Ishikawa, Tetsuo; Yasumura, Seiji; Ozasa, Kotaro; Kobashi, Gen; Yasuda, Hiroshi; Miyazaki, Makoto; Akahane, Keiichi; Yonai, Shunsuke; Ohtsuru, Akira; Sakai, Akira; Sakata, Ritsu; Kamiya, Kenji; Abe, Masafumi

    2015-01-01

    The Fukushima Health Management Survey (including the Basic Survey for external dose estimation and four detailed surveys) was launched after the Fukushima Dai-ichi Nuclear Power Plant accident. The Basic Survey consists of a questionnaire that asks Fukushima Prefecture residents about their behavior in the first four months after the accident; and responses to the questionnaire have been returned from many residents. The individual external doses are estimated by using digitized behavior data and a computer program that included daily gamma ray dose rate maps drawn after the accident. The individual external doses of 421,394 residents for the first four months (excluding radiation workers) had a distribution as follows: 62.0%, <1 mSv; 94.0%, <2 mSv; 99.4%, <3 mSv. The arithmetic mean and maximum for the individual external doses were 0.8 and 25 mSv, respectively. While most dose estimation studies were based on typical scenarios of evacuation and time spent inside/outside, the Basic Survey estimated doses considering individually different personal behaviors. Thus, doses for some individuals who did not follow typical scenarios could be revealed. Even considering such extreme cases, the estimated external doses were generally low and no discernible increased incidence of radiation-related health effects is expected. PMID:26239643

  14. A Survey on Urban Traffic Management System Using Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Kapileswar Nellore

    2016-01-01

    Full Text Available Nowadays, the number of vehicles has increased exponentially, but the bedrock capacities of roads and transportation systems have not developed in an equivalent way to efficiently cope with the number of vehicles traveling on them. Due to this, road jamming and traffic correlated pollution have increased with the associated adverse societal and financial effect on different markets worldwide. A static control system may block emergency vehicles due to traffic jams. Wireless Sensor networks (WSNs have gained increasing attention in traffic detection and avoiding road congestion. WSNs are very trendy due to their faster transfer of information, easy installation, less maintenance, compactness and for being less expensive compared to other network options. There has been significant research on Traffic Management Systems using WSNs to avoid congestion, ensure priority for emergency vehicles and cut the Average Waiting Time (AWT of vehicles at intersections. In recent decades, researchers have started to monitor real-time traffic using WSNs, RFIDs, ZigBee, VANETs, Bluetooth devices, cameras and infrared signals. This paper presents a survey of current urban traffic management schemes for priority-based signalling, and reducing congestion and the AWT of vehicles. The main objective of this survey is to provide a taxonomy of different traffic management schemes used for avoiding congestion. Existing urban traffic management schemes for the avoidance of congestion and providing priority to emergency vehicles are considered and set the foundation for further research.

  15. Pediatric Concussion Management in the Emergency Department: A National Survey of Parents.

    Science.gov (United States)

    Zamarripa, Angela; Clark, Sarah J; Rogers, Alexander J; Wang-Flores, Helena; Stanley, Rachel M

    2017-02-01

    To examine parental expectations and beliefs about diagnosis and management of pediatric concussion. We conducted a cross-sectional web-based survey of a nationally representative panel of US parents in March 2014. Parents of 10- to 17-year-old children responded to questions about their expectations and beliefs about diagnosis and management of pediatric concussion in the emergency department (ED). Weighted percentages for descriptive statistics were calculated, and χ2 statistics were used for bivariate analysis. Survey participation was 53%, and of 912 parent respondents with a child 10-17 years of age who were presented with a scenario of their child having mild symptoms of concussion, 42% would seek immediate ED care. Parents who would seek immediate ED care for this scenario were more likely than parents who would consult their child's usual provider or wait at home to "definitely expect" imaging (65% vs 21%), definitive diagnosis of concussion (77% vs 61%), a timeline for return to activity (80% vs 60%), and a signed return to play form (55% vs 41%). Many parents who bring children to the ED following a possible concussion are likely to expect comprehensive and definitive care, including imaging, a definitive diagnosis, a timeline for return to activity, and a signed return to play form. To manage these expectations, healthcare providers should continue to educate parents about the evaluation and management of concussion. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. A Survey on Urban Traffic Management System Using Wireless Sensor Networks.

    Science.gov (United States)

    Nellore, Kapileswar; Hancke, Gerhard P

    2016-01-27

    Nowadays, the number of vehicles has increased exponentially, but the bedrock capacities of roads and transportation systems have not developed in an equivalent way to efficiently cope with the number of vehicles traveling on them. Due to this, road jamming and traffic correlated pollution have increased with the associated adverse societal and financial effect on different markets worldwide. A static control system may block emergency vehicles due to traffic jams. Wireless Sensor networks (WSNs) have gained increasing attention in traffic detection and avoiding road congestion. WSNs are very trendy due to their faster transfer of information, easy installation, less maintenance, compactness and for being less expensive compared to other network options. There has been significant research on Traffic Management Systems using WSNs to avoid congestion, ensure priority for emergency vehicles and cut the Average Waiting Time (AWT) of vehicles at intersections. In recent decades, researchers have started to monitor real-time traffic using WSNs, RFIDs, ZigBee, VANETs, Bluetooth devices, cameras and infrared signals. This paper presents a survey of current urban traffic management schemes for priority-based signalling, and reducing congestion and the AWT of vehicles. The main objective of this survey is to provide a taxonomy of different traffic management schemes used for avoiding congestion. Existing urban traffic management schemes for the avoidance of congestion and providing priority to emergency vehicles are considered and set the foundation for further research.

  17. Z-2 Suit Support Stand and MKIII Suit Center of Gravity Test

    Science.gov (United States)

    Nguyen, Tuan Q.

    2014-01-01

    NASA's next generation spacesuits are the Z-Series suits, made for a range of possible exploration missions in the near future. The prototype Z-1 suit has been developed and assembled to incorporate new technologies that has never been utilized before in the Apollo suits and the Extravehicular Mobility Unit (EMU). NASA engineers tested the Z-1 suit extensively in order to developed design requirements for the new Z-2 suit. At the end of 2014, NASA will be receiving the new Z-2 suit to perform more testing and to further develop the new technologies of the suit. In order to do so, a suit support stand will be designed and fabricated to support the Z-2 suit during maintenance, sizing, and structural leakage testing. The Z-2 Suit Support Stand (Z2SSS) will be utilized for these purposes in the early testing stages of the Z-2 suit.

  18. Management of optic neuritis and impact of clinical trials: an international survey

    DEFF Research Database (Denmark)

    Biousse, Valérie; Calvetti, Olivier; Drews-Botsch, Carolyn D

    2009-01-01

    OBJECTIVE: 1) To evaluate the management of acute isolated optic neuritis (ON) by ophthalmologists and neurologists; 2) to evaluate the impact of clinical trials; 3) to compare these practices among 7 countries. METHODS: A survey on diagnosis and treatment of acute isolated ON was sent to 5...... more frequently presented to ophthalmologists, and were subsequently referred to neurologists or subspecialists. Evaluation and management of ON varied among countries, mostly because of variations in healthcare systems, imaging access, and local guidelines. A brain MRI was obtained for 70...... countries, steroids were often prescribed to improve visual outcome or to decrease the long-term risk of multiple sclerosis. INTERPRETATION: Although recent clinical trials have changed the management of acute ON around the world, many neurologists and ophthalmologists do not evaluate and treat acute...

  19. Results from a national survey on chronic care management by health plans.

    Science.gov (United States)

    Mattke, Soeren; Higgins, Aparna; Brook, Robert

    2015-05-01

    The growing burden of chronic disease necessitates innovative approaches to help patients and to ensure the sustainability of our healthcare system. Health plans have introduced chronic care management models, but systematic data on the type and prevalence of different approaches are lacking. Our goal was to conduct a systematic examination of chronic care management programs offered by health plans in the commercial market (ie, in products sold to employers and individuals. We undertook a national survey of a representative sample of health plans (70 plans, 36% response rate) and 6 case studies on health plans' programs to improve chronic care in the commercial market. The data underwent descriptive and bivariate analyses. All plans, regardless of size, location, and ownership, offer chronic care management programs, which identify eligible members from claims data and match them to interventions based on overall risk and specific care gaps. Plans then report information on care gaps to providers and offer self-management support to their members. While internal evaluations suggest that the interventions improve care and reduce cost, plans report difficulties in engaging members and providers. To overcome those obstacles, plans are integrating their programs into provider work flow, collaborating with providers on care redesign and leveraging patient support technologies. Our study shows that chronic care management programs have become a standard component of the overall approach used by health plans to manage the health of their members.

  20. SURVEY

    DEFF Research Database (Denmark)

    SURVEY er en udbredt metode og benyttes inden for bl.a. samfundsvidenskab, humaniora, psykologi og sundhedsforskning. Også uden for forskningsverdenen er der mange organisationer som f.eks. konsulentfirmaer og offentlige institutioner samt marketingsafdelinger i private virksomheder, der arbejder...... med surveys. Denne bog gennemgår alle surveyarbejdets faser og giver en praktisk indføring i: • design af undersøgelsen og udvælgelse af stikprøver, • formulering af spørgeskemaer samt indsamling og kodning af data, • metoder til at analysere resultaterne...

  1. Accounting for vulnerable populations in rural hazard mitigation plans: results of a survey of emergency managers.

    Science.gov (United States)

    Horney, Jennifer A; Nguyen, Mai; Cooper, John; Simon, Matthew; Ricchetti-Masterson, Kristen; Grabich, Shannon; Salvesen, David; Berke, Philip

    2013-01-01

    Rural areas of the United States are uniquely vulnerable to the impacts of natural disasters. One possible way to mitigate vulnerability to disasters in rural communities is to have a high-quality hazard mitigation plan in place. To understand the resources available for hazard mitigation planning and determine how well hazard mitigation plans in rural counties meet the needs of vulnerable populations, we surveyed the lead planning or emergency management official responsible for hazard mitigation plans in 96 rural counties in eight states in the Southeastern United States. In most counties, emergency management was responsible for implementing the county's hazard mitigation plan and the majority of counties had experienced a presidentially declared disaster in the last 5 years. Our research findings demonstrated that there were differences in subjective measures of vulnerability (as reported by survey respondents) and objective measures of vulnerability (as determined by US Census data). In addition, although few counties surveyed included outreach to vulnerable groups as a part of their hazard mitigation planning process, a majority felt that their hazard mitigation plan addressed the needs of vulnerable populations "well" or "very well." These differences could result in increased vulnerabilities in rural areas, particularly for certain vulnerable groups.

  2. Is the adoption of Strategic Management Accounting techniques really “strategy-driven”? Evidence from a survey

    OpenAIRE

    Cinquini, Lino; Tenucci, Andrea

    2007-01-01

    Several different approaches to Strategic Management Accounting (SMA) can be found in the literature of management ac counting since Simmonds (1981) coined the term. However, there is a little survey research about SMA practice, with the exception of the studies of Guilding et al. (2000) and Cravens & Guilding (2001). The paper aims to enrich the fragmented knowledge on t he topic by a contingency research study based on an internet questionnaire survey on Italian companies. The study foc...

  3. Managing skin and soft-tissue infection and nosocomial pneumonia caused by MRSA: a 2014 follow-up survey.

    Science.gov (United States)

    Dryden, Matthew; Andrasevic, Arjana Tambic; Bassetti, Matteo; Bouza, Emilio; Chastre, Jean; Baguneid, Mo; Esposito, Silvano; Giamarellou, Helen; Gyssens, Inge; Nathwani, Dilip; Unal, Serhat; Voss, Andreas; Wilcox, Mark

    2015-04-24

    As a follow-up to our 2009 survey, in order to explore opinion and practice on the epidemiology and management of meticillin-resistant Staphylococcus aureus (MRSA) in Europe, we conducted a second survey to elicit current opinions on this topic, particularly around antibiotic choice, dose, duration and route of administration. We also aimed to further understand how the management of MRSA has evolved in Europe during the past 5 years. Members of an expert panel of infectious diseases specialists convened in London (UK) in January 2014 to identify and discuss key issues in the management of MRSA. Following this meeting, a survey was developed comprising 36 questions covering a wide range of topics on MRSA complicated skin and soft-tissue infection and nosocomial pneumonia management. The survey instrument, a web-based questionnaire, was sent to the International Society of Chemotherapy for distribution to registered European infection societies and their members. This article reports the survey results from the European respondents. At the time of the original survey, the epidemiology of MRSA varied significantly across Europe and there were differing views on best practice. The current findings suggest that the epidemiology of healthcare-associated MRSA in Europe is, if anything, even more polarised, whilst community-acquired MRSA has become much more common. However, there now appears to be a much greater knowledge of current treatment/management options, and antimicrobial stewardship has moved forward considerably in the 5 years since the last survey.

  4. Physiotherapy management of patients undergoing thoracotomy procedure: A survey of current practice in Gauteng

    Directory of Open Access Journals (Sweden)

    Liezel Schwellnus

    2017-02-01

    Full Text Available Background: Physiotherapy is included in the management of patients undergoing thoracic surgery. The aim of this study was to describe physiotherapy practice in the management of patients who undergo an open thoracotomy.Methods: A cross-sectional study using convenience sampling was undertaken. An electronic self-administered questionnaire was distributed via SurveyMonkey to 1389 physiotherapists registered with the South African Society of Physiotherapy in Gauteng. The data collection period was August and September 2014 and data were analysed descriptively.Results: A total of 323 physiotherapists (23.3% responded to the survey and 141 (10.2% indicated that they treated patients with open thoracotomies. Preoperative treatment was done by 65 (41.6% and consisted of teaching supported coughing (92.3%; n = 60, sustained maximal inspiration (70.8%; n = 46 and the active cycle of breathing technique (69.2%; n = 45. One hundred and sixteen (82.3% respondents treated patients during their hospital stay. Deep breathing exercises (97.6%; n = 83, coughing (95.3%; n = 81, early mobilisation (95.3%; n = 81, upper limb mobility exercises (91.8%; n = 78, chest wall vibrations (88.2%; n = 75 and trunk mobility exercises (85.9%; n = 73 were done frequently. Pain management modalities were less common, for example transcutaneous electrical nerve stimulation (12.9%; n = 11. Post hospital physiotherapy management was uncommon (32.6%; n = 46.Conclusion: Physiotherapy related to early mobilisation in hospital is in line with evidence-based practice, but further education is needed regarding the need for physiotherapy post hospital discharge and pain management.

  5. Management of third stage labour following vaginal birth in Iran: a survey of current policies.

    Science.gov (United States)

    Afshari, Poorandokht; Medforth, Janet; Aarabi, Mohsen; Abedi, Parvin; Soltani, Hora

    2014-01-01

    this study was aimed to provide information on policies for the practice of managing the third stage of labour in Iran, including discussion of related systematic evidence. this survey used a standard questionnaire to obtain information about prevention and early treatment of postpartum haemorrhage from all geographical areas in Iran, in 2010. the survey included maternity units from 23 provinces, covering 129 out of a total of 560 maternity units in Iran. at least one public hospital, one private hospital and one rural birth facility unit were included from each province. Questionnaires were completed by the unit's senior midwife with support from the unit's lead obstetrician. all the units who were approached responded to the study including 69 public hospitals, 32 private hospitals and 28 rural birth facility units. The rate of active management of the third stage of labour was 57 per cent, although answers to individual components of management indicated a higher rate for active interventions than expectant management. Ninety-four per cent of the responding centres indicated oxytocin administration, 71 per cent apply early cord clamping and 65 per cent apply controlled cord traction. A lack of standard definition for postpartum haemorrhage was reported in 18 per cent of units. a high rate of active management was reported in Iran with variation in its different components which is in line with the international findings. These policies were mainly congruent with the existing systematic evidence except for timing of cord clamping. there is a need for improvement in locally sensitive policy development, continuing education, establishing accurate auditing systems and ensuring access to facilities such as blood banks and products in rural units. Efforts to reduce maternal mortality and morbidity and investigations into their causes should be extended to factors beyond the third stage of labour care clinical components. Crown Copyright © 2013. Published by

  6. Survey of management practices on reproductive performance of dairy cattle on large US commercial farms.

    Science.gov (United States)

    Caraviello, D Z; Weigel, K A; Fricke, P M; Wiltbank, M C; Florent, M J; Cook, N B; Nordlund, K V; Zwald, N R; Rawson, C L

    2006-12-01

    A survey regarding general management, sire selection, reproductive management, inseminator training and technique, heat abatement, body condition scoring, facility design and grouping, nutrition, employee training and management, and animal health and bio-security was carried out from March to September of 2004 in 153 herds in the Alta Genetics (Watertown, WI) Advantage Progeny Testing Program. A total of 103 herds (67.3%) completed the survey. Herd size was 613 +/- 46 cows, with herds located in Wisconsin (26), California (12), New York (11), Minnesota (10), Michigan (7), Washington (6), Pennsylvania (6), Iowa (5), Idaho (5), Texas (4), Ohio (4), and other states (7). These farms sold 34.5 +/- 0.3 kg of milk/d per cow, with an annual culling rate of 34 +/- 1% and a calving interval of 13.8 +/- 0.1 mo. Cows were observed for estrus 2.8 +/- 0.3 times/d, for a duration of 27 +/- 4 min, but 78% of the respondents admitted that detection of estrus was not the employee's sole responsibility at that time. Managers tried to achieve pregnancy until 8.8 +/- 0.9 failed inseminations, 300 +/- 26 d postpartum, or milk yield cows were culled at 326 +/- 36 d postpartum or milk yield cows, respectively. Hormonal synchronization or timed artificial insemination programs were used in 87% of the herds, with 86% synchronizing first services, 77% resynchronizing repeat services, and 59% treating cystic, anestrous, or anovular cows. Finding good employees was identified as the greatest labor challenge, followed by training and supervising employees. Mastitis and hairy heel warts were noted as the greatest animal health concerns, followed by lameness, abortions, and death losses, whereas the greatest reproductive challenges were artificial insemination service rate, conception rate, twinning, and retained placenta or metritis. Results of this study can provide a useful benchmark or reference with regard to commonly used management practices on large commercial US dairy farms at the

  7. Healthcare Managers' Perceptions of Patient Perpetrated Aggression and Prevention Strategies: A Cross Sectional Survey.

    Science.gov (United States)

    Baby, Maria; Swain, Nicola; Gale, Christopher

    2016-07-01

    Patient or client aggression towards staff is a risk in healthcare. Healthcare takes place in a variety of settings, including hospitals, community, and Aged Care facilities. A minimal amount is known regarding the existence of safety and training measures available throughout the broad range of hospital and community healthcare services. A web-based survey of the type and frequency of violence experienced by healthcare staff was sent to unit managers working in mental health and older peoples' services of District Health Boards, Non-Governmental Organisations, and Aged Care facilities across New Zealand. One hundred and forty-one managers responded to the survey with a response rate of 79.21%. Managers reported high rates of verbal aggression and assaults against staff within their services. A total of 60% of respondents stated that an increase in assaults against staff was due to an increase in violent events and 43.1% related this to increased staff awareness and reporting of violent events to management. Communication skills and de-escalation training were provided across approximately 95% of organisations. The availability of safety measures including panic buttons, personal alarms, use of security personnel, and police assistance were more widely available and accessible within hospital settings and the community sector was found to mostly rely on police for assistance when violence occurs. The perception of violence is high in healthcare. Prevention and management training is provided in public hospital and aged care setting but not so much in NGOs. All areas of healthcare provision could benefit from increased evidence based aggression prevention programmes.

  8. Clinician Survey to Determine Knowledge of Dengue and Clinical Management Practices, Texas, 2014.

    Science.gov (United States)

    Adam, Jessica K; Abeyta, Roman; Smith, Brian; Gaul, Linda; Thomas, Dana L; Han, George; Sharp, Tyler M; Waterman, Stephen H; Tomashek, Kay M

    2017-03-01

    AbstractDengue, a mosquito-borne viral disease, is increasingly being identified as a cause of outbreaks in the United States. During July-December 2013, a total of three south Texas counties reported 53 laboratory-confirmed dengue cases; 26 were locally acquired, constituting the largest outbreak in Texas since 2005. Because dengue outbreaks are expected to continue in south Texas and early case identification and timely treatment can reduce mortality, we sought to determine clinicians' knowledge of dengue and its clinical management. A survey was sent to 2,375 south Texas clinicians; 217 (9%) completed the survey. Approximately half of participants demonstrated knowledge needed to identify dengue cases, including symptoms (56%), early indicators of shock (54%), or timing of thrombocytopenia (48%). Fewer than 20% correctly identified all prevention messages, severe dengue warning signs, or circumstances in which a dengue patient should return for care. Knowledge of clinical management was limited; few participants correctly identified scenarios when plasma leakage occurred (10%) or a crystalloid solution was indicated (7%); however, 45% correctly identified when a blood transfusion was indicated. Because of the ongoing threat of dengue, we recommend clinicians in south Texas receive dengue clinical management training.

  9. Survey of the initial management and imaging protocols for occult scaphoid fractures in UK hospitals

    Energy Technology Data Exchange (ETDEWEB)

    Brookes-Fazakerley, S.D.; Kumar, A.J.S. [Countess of Chester Hospital NHS Foundation Trust, Department of Trauma and Orthopaedics, Chester (United Kingdom); Oakley, J. [Robert Jones and Agnes Hunt Orthopaedic and District Hospital NHS Trust, Oswestry, Shropshire (United Kingdom)

    2009-11-15

    The aim of this research was to survey how occult fractures of the scaphoid bone are both imaged and managed initially. A total of 832 questionnaires were sent via e-mail to active associate members of the British Orthopaedic Association. Included was a series of questions regarding the timing of initial and subsequent orthopaedic review of this group of patients and the use of serial radiographs and second-line imaging techniques. Nearly half of the UK's acute NHS trusts were represented (45%). The response rate was 16% (130 out of 832). Only 16% of respondents were aware of a local imaging protocol for the investigation of suspected fractures of the scaphoid. Ninety-four percent of respondents performed a second radiograph at first fracture clinic review. Fifty-eight percent used magnetic resonance imaging (MRI) as a second-line investigation; with computed tomography scan and radionuclide isotope bone scan being performed by 26% and 16% respondents, respectively. The survey revealed a wide variation in the management of occult fractures of the scaphoid. MRI has been shown to be both sensitive and specific in diagnosing occult carpal bone fractures. There is a need to standardise the management of these injuries to ensure early diagnosis and limit unnecessary wrist immobilisation. (orig.)

  10. Information Management System Supporting a Multiple Property Survey Program with Legacy Radioactive Contamination.

    Science.gov (United States)

    Stager, Ron; Chambers, Douglas; Wiatzka, Gerd; Dupre, Monica; Callough, Micah; Benson, John; Santiago, Erwin; van Veen, Walter

    2017-04-01

    The Port Hope Area Initiative is a project mandated and funded by the Government of Canada to remediate properties with legacy low-level radioactive waste contamination in the Town of Port Hope, Ontario. The management and use of large amounts of data from surveys of some 4800 properties is a significant task critical to the success of the project. A large amount of information is generated through the surveys, including scheduling individual field visits to the properties, capture of field data laboratory sample tracking, QA/QC, property report generation and project management reporting. Web-mapping tools were used to track and display temporal progress of various tasks and facilitated consideration of spatial associations of contamination levels. The IM system facilitated the management and integrity of the large amounts of information collected, evaluation of spatial associations, automated report reproduction and consistent application and traceable execution for this project.x. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  11. An international survey of screening and management of hypothyroidism during pregnancy in Latin America.

    Science.gov (United States)

    Medeiros, Mateus Fernandes da Silva; Cerqueira, Taise Lima de Oliveira; Silva Junior, Joaquim Custódio; Amaral, Magali Teresopolis Reis; Vaidya, Bijay; Poppe, Kris Gustave; Carvalho, Gisah Amaral de; Gutierrez, Silvia; Alcaraz, Graciela; Abalovich, Marcos; Ramos, Helton Estrela

    2014-12-01

    To determine how endocrinologists in Latin America deal with clinical case scenarios related to hypothyroidism and pregnancy. In January 2013, we sent an electronic questionnaire on current practice relating to management of hypothyroidism in pregnancy to 856 members of the Latin American Thyroid Society (LATS) who manage pregnant patients with thyroid disease. Subsequently, we have analyzed responses from physician members. Two hundred and ninety-three responders represent clinicians from 13 countries. All were directly involved in the management of maternal hypothyroidism and 90.7% were endocrinologists. The recommendation of a starting dose of L-thyoxine for a woman diagnosed with overt hypothyroidism in pregnancy, preconception management of euthyroid women with known thyroid autoimmunity and approach related to ovarian hyperstimulation in women with thyroid peroxidase antibodies were widely variable. For women with known hypothyroidism, 34.6% of responders would increase L-thyroxine dose by 30-50% as soon as pregnancy is confirmed. With regard to screening, 42.7% of responders perform universal evaluation and 70% recommend TSH hypothyroid pregnant women. Deficiencies in diagnosis and management of hypothyroidism during pregnancy were observed in our survey, highlighting the need for improvement of specialist education and quality of care offered to patients with thyroid disease during pregnancy in Latin America.

  12. A postal survey of hydrosalpinx management prior to IVF in the United Kingdom.

    Science.gov (United States)

    Hammadieh, N; Afnan, M; Evans, J; Sharif, K; Amso, N; Olufowobi, O

    2004-04-01

    In the last decade, numerous studies have demonstrated concern about the presence of hydrosalpinx and its management in patients undergoing IVF. We evaluated the current management of hydrosalpinx prior to IVF treatment in the UK. A total of 117 postal survey, anonymous, sealed questionnaires were sent to all IVF centres in the UK, to determine the policy for the management of hydrosalpinx in infertile women prior to IVF treatment. There were 88 (75%) responders, of which 80 (91%) indicated that they discussed the effect of hydrosalpinx on IVF outcome. Ten (12%) units did not recommend treatment of hydrosalpinx prior to IVF treatment, while 30 (36%), 27 (33%) and 16 (19%) recommended treatment weakly, strongly and very strongly respectively. The treatment options offered by clinicians were laparoscopic salpingectomy (75%), open salpingectomy (45%), salpingostomy (40%), proximal tubal occlusion (34%), transvaginal songraphic (TVS) aspiration during oocyte collection (23%) and TVS aspiration before oocyte collection (10%). The frequency of use varied from one option of treatment to another. Only 28% of the responders had a protocol or guidelines for the management of hydrosalpinx. More attention should be given to patients with hydrosalpinx prior to IVF treatment and patients should be counselled about the negative effect of hydrosalpinx on IVF outcome. There is a wide variation in the management of hydrosalpinx prior to IVF treatment in the UK and many treatment options may be questionable, as they are not yet based on evidence.

  13. Inventory and perspectives of chronic disease management programs in Switzerland: an exploratory survey

    Directory of Open Access Journals (Sweden)

    Isabelle Peytremann-Bridevaux

    2009-10-01

    Full Text Available Objective: To describe chronic disease management programs active in Switzerland in 2007, using an exploratory survey. Methods: We searched the internet (Swiss official websites and Swiss web-pages, using Google, a medical electronic database (Medline, reference lists of pertinent articles, and contacted key informants. Programs met our operational definition of chronic disease management if their interventions targeted a chronic disease, included a multidisciplinary team (≥2 healthcare professionals, lasted at least six months, and had already been implemented and were active in December 2007. We developed an extraction grid and collected data pertaining to eight domains (patient population, intervention recipient, intervention content, delivery personnel, method of communication, intensity and complexity, environment, clinical outcomes. Results: We identified seven programs fulfilling our operational definition of chronic disease management. Programs targeted patients with diabetes, hypertension, heart failure, obesity, psychosis and breast cancer. Interventions were multifaceted; all included education and half considered planned follow-ups. The recipients of the interventions were patients, and healthcare professionals involved were physicians, nurses, social workers, psychologists and case managers of various backgrounds. Conclusions: In Switzerland, a country with universal healthcare insurance coverage and little incentive to develop new healthcare strategies, chronic disease management programs are scarce. For future developments, appropriate evaluations of existing programs, involvement of all healthcare stakeholders, strong leadership and political will are, at least, desirable.

  14. Neonatal nurses' perceptions of pain assessment and management in NICUs: a national survey.

    Science.gov (United States)

    Cong, Xiaomei; Delaney, Colleen; Vazquez, Victoria

    2013-10-01

    The purpose of this survey was to investigate neonatal nurses' perceptions of knowledge and practice in pain assessment and management. A convenience sample consisted of 237 neonatal nurses with a membership in National Association of Neonatal Nurses (NANN) and neonatal nurses in Connecticut who were not NANN members. A researcher-developed questionnaire, including 36 questions with Likert scale and 2 open-ended questions, was used. The nurses were knowledgeable, and about 50% felt that they received adequate training and continuing education on pain. Participants reported the use of pain assessment tools (81%) and felt confident in uses of pharmacologic (83%) and nonpharmacologic interventions (79%). More than half felt that the pain tool used in their unit was appropriate for neonates (65%) and was an accurate measure (60%). Fewer than half reported that pain was well managed (44%) and that their pain protocols were research evidence based (43%). Nurses' perceptions of well-managed pain were significantly correlated with training, use of appropriate and accurate pain tools, and clear and research-based protocols. Barriers to effective pain management emerged as resistance to change, lack of knowledge, perceived fear of side effects of pain medication and incorrect interpretation of pain signals, lack of time, and lack of trust in the pain assessment tools. Gaps exist in knowledge, evidence, and practice in neonatal assessment and management.

  15. The management of vocal fold nodules in children: a national survey of speech-language pathologists.

    Science.gov (United States)

    Signorelli, Monique E; Madill, Catherine J; McCabe, Patricia

    2011-06-01

    The purpose of this study was to determine the management options and voice therapy techniques currently being used by practicing speech-language pathologists (SLPs) to treat vocal fold nodules (VFNs) in children. The sources used by SLPs to inform and guide their clinical decisions when managing VFNs in children were also explored. Sixty-two SLPs completed a 23-item web-based survey. Data was analysed using frequency counts, content analyses, and supplementary analyses. SLPs reported using a range of management options and voice therapy techniques to treat VFNs in children. Voice therapy was reportedly the most frequently used management option across all respondents, with the majority of SLPs using a combination of indirect and direct voice therapy techniques. When selecting voice therapy techniques, the majority of SLPs reported that they did not use the limited external evidence available to guide their clinical decisions. Additionally, the majority of SLPs reported that they frequently relied on lower levels of evidence or non-evidence-based sources to guide clinical practice both in the presence and absence of higher quality evidence. Further research needs to investigate strategies to remove the barriers that impede SLPs use of external evidence when managing VFNs in children.

  16. A survey on parasite management by equine veterinarians highlights the need for a regulation change.

    Science.gov (United States)

    Sallé, Guillaume; Cabaret, Jacques

    2015-01-01

    In-depth knowledge of the use of anthelminthics in the field, especially by veterinarians, is required to design more sustainable parasite control strategies. An online survey was sent by e-mail to 940 equine veterinary practitioners to describe their equine practice, their awareness about parasites and the management strategies they apply. Gastrointestinal parasites were generally considered (68%) as an issue of moderate importance. Drug efficacy failure was a minor or moderate issue for 47% and 48% of responders, respectively. Parasite management mostly relied on the use of systematic calendar treatments across a wide variety of horse owners (ie, riding schools, studs or hobby horse owners). Almost half of the practitioners (42%) never performed Faecal Egg Count (FEC) before drenching. Horse owners or their employees in charge of equines were reported to be the only person managing drenching in 59% of the collected answers. This was associated with the report of many off-label uses of anthelmintics and the frequent buying of drugs using the internet. Given the critical situation regarding anthelmintic resistance, it seems necessary for veterinarians to reclaim parasite management and prevention as a specific topic. Implementation of stricter regulations for use of anthelmintics, like the one applied in Denmark, may make parasitic management in equids more sustainable.

  17. Risk management dilemmas in dementia care: an organizational survey in three UK countries.

    Science.gov (United States)

    Clarke, Charlotte L; Gibb, Catherine E; Keady, John; Luce, Anna; Wilkinson, Heather; Williams, Linda; Cook, Ailsa

    2009-06-01

    Aims and objectives.  The overall project aimed to understand the variability of the construction of risk in dementia care from the perspective of the person with dementia, family carers and practitioners with the intention of developing negotiated partnerships in risk management. This paper focuses on the objective of identifying the understandings of risk by practitioners. Background.  Risk management can result in a 'safety first' approach to care practices, but this may be disempowering for people with dementia. Design.  This paper describes the results of the first stage of the study: a survey to service managers or equivalent in health, social and voluntary sector care organizations in three countries of the UK. Methods.  Data from this stage was collection by postal questionnaire (n = 46). Results.  Risk was portrayed as a multidimensional concept and clustered around three themes: (1) Risk and Independence, (2) Risk and Resource, and (3) Organizational Risk Management. Conclusions.  Very wide understandings of risk are identifiable, ranging from avoidance of physical harm through to managed risk taking to improve quality of life, and to an appreciation of the impact of organizational and professional patterns of behaviour resulting in harm to the person with dementia. Relevance to clinical practice.  Obtaining information about the perspectives of others may help to illuminate some of the dilemmas experienced by staff in this study, and the development of risk assessment frameworks may assist staff to resolve some of these.

  18. Organizational climate survey: management model tool on continuous improvement promotion in Finantial Institutional Environment

    Directory of Open Access Journals (Sweden)

    Alex Amancio da Silva

    2016-06-01

    Full Text Available The organizational climate survey has been an important tool in the corporate world, the way in which the institutions can assess and ascertain through the results, the degree of satisfaction of its employees and look through plan of action, achieve better results in both performance and production. Through an empirical research, exploratory qualitative research, with collection of secondary data, it was found that the implementation of the organizational climate survey, "Speak Frankly" from Itaú Unibanco, it could analyze data and make a plan of effective action aiming at continuous improvement in the organizational environment, serving as personnel management model. The results were favorable in the period from year 2012 to 2014 with an increase of the degree of satisfaction in four 4% and maintained excellent adherence to answer questions reaching 90% the number of employees.

  19. A survey of pediatric hematology/oncology specialists regarding management of central line associated venous thrombosis.

    Science.gov (United States)

    Witmer, Char M; Sauck, Emily; Raffini, Leslie J

    2016-12-01

    Central venous catheters (CVCs) account for the largest proportion of thrombotic events in pediatric patients. Questions remain regarding adequate treatment and prevention methods. We surveyed pediatric hematology/oncology specialists, using hypothetical cases to assess management strategies for acute CVC thrombosis and secondary prevention. Survey respondents varied in the use of the thrombophilia evaluation (33.3%, 41/123) and duration of treatment (6 weeks: 54.1%, 66/122). Secondary CVC prophylaxis was utilized by 36.6% (45/123) of respondents and by 24.4% (30/123) but only if there was a documented thrombophilia. This heterogeneity highlights the need for clinical studies to address these important clinical questions.

  20. A survey of Bureau of Land Management employees on collaboration and alternative dispute resolution

    Science.gov (United States)

    Ruell, Emily W.; Burkardt, Nina; Donovan, Ryan M.

    2015-01-01

    The Bureau of Land Management (BLM) has been actively expanding its capacity to work cooperatively with other agencies, Tribes, the public, and other stakeholders using collaborative and alternative dispute resolution (ADR) approaches. In 1997, the BLM created the BLM’s Collaboration and Alternative Dispute Resolution Program (Collaboration/ADR Program) to centralize, strengthen, and coordinate these efforts. Specifically, the Collaboration/ADR Program is charged with developing ADR policies; ensuring that statutory and regulatory requirements are met; and providing training, resources, and direct support for collaboration and ADR in the BLM. At the request of the Collaboration/ADR Program, the Policy Analysis and Science Assistance Branch of the U.S. Geological Survey, located in the Fort Collins Science Center, conducted an online survey of BLM employees in early 2013 to address four overarching questions: What information sources and assistance resources are BLM employees currently accessing to fill their conflict/dispute resolution and collaboration needs? 

  1. Perceived conflict in the couple and chronic illness management: Preliminary analyses from the Quebec Health Survey

    Directory of Open Access Journals (Sweden)

    Hudon Catherine

    2006-10-01

    Full Text Available Abstract Background The quality of the relationship with the spouse/partner appears crucial among patients with multiple chronic conditions where illness management is complex and multifaceted. This study draws on data from the Quebec Health Survey (QHS to examine, among patients with one or more chronic conditions, the relation between marital status, the perceived conflict with the spouse/partner, and what the patients do to manage their illness as well as how they perceive their health. Methods Data from the QHS 1998 were used. The sample included 7547 coupled adults who had one or more chronic health problems lasting more than 6 months. Independent variables included marital status, perceived conflict with the spouse/partner, and the number of chronic conditions. Illness management was defined broadly as a measure of the patient's efforts at self-care and an illness status indicator, including visits to the generalist and the specialist, the use of telephone health line in the last 12 months, self-rated general health, mental health, and a measure of psychological distress. Linkages between the independent variables and illness management were assessed for males and females separately with logistic regressions, while accounting for the survey sampling design and household clustering. Results Female patients who did not live with their partner and had never been married were more likely to report a negative perception of their general health and a higher psychological distress than those who were married. Perceived conflict with the partner was linked to a negative perception of mental health and a higher psychological distress among both men and women. Compared to patients with only one chronic condition, males who reported more than one chronic condition were more likely to have consulted a generalist prior to the survey and used the telephone health line, whereas females were more likely to have consulted a specialist. Both males and

  2. Environmental Survey Report for the ETTP: Environmental Management Waste Management Facility (EMWMF) Haul Road Corridor, Oak Ridge, Tennessee

    Energy Technology Data Exchange (ETDEWEB)

    Peterson, M.J.

    2005-12-20

    This report summarizes the results of environmental surveys conducted within the corridor of a temporary haul road (''Haul Road'') to be constructed from East Tennessee Technology Park (ETTP) to the Environmental Management Waste Management Facility (EMWMF) located just west of the Y-12 National Security Complex (Y-12). Environmental surveys were conducted by natural resource experts at Oak Ridge National Laboratory who routinely assess the significance of various project activities on the Oak Ridge Reservation (ORR). ORNL assistance to the Haul Road Project included environmental assessments necessary to determine the best route for minimizing impacts to sensitive resources such as wetlands or rare plants. Once the final route was chosen, environmental surveys were conducted within the corridor to evaluate the impacts to sensitive resources that could not be avoided. The final Haul Road route follows established roads and a power-line corridor to the extent possible (Fig. 1). Detailed explanation regarding the purpose of the Haul Road and the regulatory context associated with its construction is provided in at least two major documents and consequently is not presented here: (1) Explanation of Significant Differences for the Record of Decision for the Disposal of Oak Ridge Reservation Comprehensive Environmental Response, Compensation, and Liability Act of 1980 Waste, Oak Ridge, Tennessee (January 2005, DOE/OR/01-2194&D2), and (2) Environmental Monitoring Plan for The ETTP to EMWMF Haul Road for the Disposal of Oak Ridge Reservation Comprehensive Environmental Response, Compensation, and Liability Act of 1980 Waste, Oak Ridge, Tennessee (April 2005, BJC/OR-2152). The focus of this report is a description of the sensitive resources to be impacted by Haul Road construction. Following a short description of the methods used for the environmental surveys, results and observations are presented in the following subsections: (1) General description

  3. NetSuite OneWorld Implementation 2011 R2

    CERN Document Server

    Foydel, Thomas

    2011-01-01

    This book is a focused, step-by step tutorial that shows you how to successfully implement NetSuite OneWorld into your organization. It is written in an easy-to-read style, with a strong emphasis on real-world, practical examples with step-by-step explanations. The book focuses on NetSuite OneWorld 2011 R1. If you are an application administrator, business analyst, project team member or business process owner who wants to implement NetSuite OneWorld into your organization, then this book is for you. This book might also be useful if you are a business manager considering a new system for your

  4. Current antimicrobial usage for the management of neutropenic fever in Korea: a nationwide survey.

    Science.gov (United States)

    Choi, Su-Mi; Park, Sun Hee; Lee, Dong-Gun; Choi, Jung-Hyun; Yoo, Jin-Hong; Shin, Wan-Shik

    2008-12-01

    A nationwide questionnaire-based survey was performed to evaluate the current clinical practices for the management of neutropenic fever in hematology units and hematopoietic stem cell transplantation (HSCT) centers throughout Korea. A 86.9% response rate was obtained from a total of 46 doctors and practical policies of the 33 sites were analysed. Approximately 42.4% and 84.8% of the sites responded that they used oral fluoroquinolone as prophylaxis for neutropenic patients receiving chemotherapy and HSCT, respectively. Additionally, 42.4% of the sites responded that they used antifungal prophylaxis in the chemotherapy groups whereas 90.9% of the sites responded that they used antifungal prophylaxis in HSCT recipients. Approximately half of the responding sites prescribed combination regimen with 3rd or 4th cephalosporin plus aminoglycoside as a first-line therapy. Most of the sites considered persistent fever for 2-4 days or aggravated clinical symptoms for 1-2 days as failure of the first-line regimen, and they changed antibiotics to second-line regimens that varied widely among the sites. Twenty-seven sites (84.4%) responded that they considered adding an antifungal agent when fever persisted for 5-7 days despite antibacterial therapy. Amphotericin B deoxycholate was preferred as a first-line antifungal, which was probably due to the limitations of the national health insurance system. The role of oral antibiotics in the management of neutropenic fever still accounted for a small portion. To the best of our knowledge, this survey is the first report to examine the practical policies currently in place for the management of neutropenic fever in Korea and the results of this survey may help to establish a Korean guideline in the future.

  5. Questionnaire Survey on Asthma Management of Japanese Allergists I. Diagnosis patient education and management

    Directory of Open Access Journals (Sweden)

    Kazuharu Tsukioka

    1996-01-01

    Responses to the questionnaire on the diagnosis, patient education and management of asthma indicated that a reduced number of patients with severe asthma were seen in 1993 in both Pediatric and Internal Medicine Departments compared with 5 years before, despite the increase in total number of asthma patients in Japan. Specifiic IgE radioallergosorbent test (RAST measurements were frequently performed instead of skin testing for diagnosis, and eosinophil count and bronchodilator response served as an adjunct to the diagnosis. Patients were frequently asked detailed questions about aspirin-induced asthma, which accounted for 8.8, 2.2 and 1.5% of patients with asthma in the adult, schoolchildren (6–16 years and infant (≤ 5 years groups, respectively. In achieving ‘control of asthma’, first priority was given to coping with the symptoms in children aged 5 years or less and to enabling routine daily life activities in patients 6 years of age or older. Usefulness of peak flow measurements was widely recognized and a detailed plan for allergen avoidance (house dust was often given to patients.

  6. Employers' and employees' views on responsibilities for career management in nursing: a cross-sectional survey.

    Science.gov (United States)

    Philippou, Julia

    2015-01-01

    To examine nurse employees' and employers' views about responsibilities for managing nurses' careers. Career management policies are associated with cost savings, in terms of workforce recruitment and retention and an increase in job and career satisfaction. In nursing, responsibility for career management remains relatively unexplored. A multicenter, cross-sectional questionnaire survey. Data were collected from 871 nurse employees and employers in the British National Health Service. The study was conducted in 2008, a period when policy reforms aimed at modernizing the healthcare workforce in England. In the current discussions in Europe and the USA about the future of nursing, these data reveal insights not previously reported. Exploratory analyses were undertaken using descriptive and inferential statistics. The analysis indicated a temporal dimension to career management responsibilities. Short-term responsibilities for securing funding and time for development lay more with employers. Medium-term responsibilities for assessing nurses' strengths and weakness, determining job-related knowledge and skills and identifying education and training needs appeared to be shared. Long-term responsibilities for developing individual careers and future development plans lay primarily with employees. New ways of managing nurses' career development that lead to greater independence for employees and greater flexibility for employers, while retaining a high-calibre and competent workforce, are needed. Ultimately, career management responsibilities should not tilt to either side but rather be shared to benefit both parties. Clarifying employers' and employees' responsibilities for career management may help both parties to develop a common understanding of each other's role and to meet their obligations in a constructive dialogue. © 2014 John Wiley & Sons Ltd.

  7. Provider confidence in opioid prescribing and chronic pain management: results of the Opioid Therapy Provider Survey.

    Science.gov (United States)

    Pearson, Amy Cs; Moman, Rajat N; Moeschler, Susan M; Eldrige, Jason S; Hooten, W Michael

    2017-01-01

    Many providers report lack of confidence in managing patients with chronic pain. Thus, the primary aim of this study was to investigate the associations of provider confidence in managing chronic pain with their practice behaviors and demographics. The primary outcome measure was the results of the Opioid Therapy Provider Survey, which was administered to clinicians attending a pain-focused continuing medical education conference. Nonparametric correlations were assessed using Spearman's rho. Of the respondents, 55.0% were women, 92.8% were white, and 56.5% were physicians. Primary care providers accounted for 56.5% of the total respondents. The majority of respondents (60.8%) did not feel confident managing patients with chronic pain. Provider confidence in managing chronic pain was positively correlated with 1) following an opioid therapy protocol (P=0.001), 2) the perceived ability to identify patients at risk for opioid misuse (P=0.006), and 3) using a consistent practice-based approach to improve their comfort level with prescribing opioids (Pconfidence was negatively correlated with the perception that treating pain patients was a "problem in my practice" (P=0.005). In this study, the majority of providers did not feel confident managing chronic pain. However, provider confidence was associated with a protocolized and consistent practice-based approach toward managing opioids and the perceived ability to identify patients at risk for opioid misuse. Future studies should investigate whether provider confidence is associated with measurable competence in managing chronic pain and explore approaches to enhance appropriate levels of confidence in caring for patients with chronic pain.

  8. The PROOF benchmark suite measuring PROOF performance

    Science.gov (United States)

    Ryu, S.; Ganis, G.

    2012-06-01

    The PROOF benchmark suite is a new utility suite of PROOF to measure performance and scalability. The primary goal of the benchmark suite is to determine optimal configuration parameters for a set of machines to be used as PROOF cluster. The suite measures the performance of the cluster for a set of standard tasks as a function of the number of effective processes. Cluster administrators can use the suite to measure the performance of the cluster and find optimal configuration parameters. PROOF developers can also utilize the suite to help them measure, identify problems and improve their software. In this paper, the new tool is explained in detail and use cases are presented to illustrate the new tool.

  9. From Sky to Archive: Long Term Management of Sky Survey Data

    Science.gov (United States)

    Darch, Peter T.; Sands, Ashley E.; Borgman, Christine; Golshan, Milena S.; Traweek, Sharon

    2017-01-01

    Sky survey data may remain scientifically valuable long beyond the end of a survey’s operational period, both for continuing inquiry and for calibrating and testing instruments for subsequent generations of surveys. Astronomy infrastructure has many stakeholders, including those concerned with data management. Research libraries are increasingly partnering with scholars to sustain access to data.The Sloan Digital Sky Survey (SDSS) was among the first major scientific projects to partner with libraries in this way, embarking on a data transfer process with two university libraries. We report on a qualitative case study of this process.Ideally, long-term sustainability of sky survey data would be a key part of planning and construction, but rarely does this occur. Teams are under pressure to deliver a project on time and on budget that produces high-quality data during its operational period, leaving few resources available to plan long-term data management. The difficulty of planning is further compounded by the complexity of predicting circumstances and needs of the astronomy community in future decades. SDSS team members regarded libraries, long-lived institutions concerned with access to scholarship, as a potential solution to long-term data sustainability.As the SDSS data transfer was the first of this scale attempted - 160 TB of data - astronomers and library staff were faced with scoping the range of activities involved. They spent two years planning this five-year process. While successful overall as demonstration projects, the libraries encountered many obstacles. We found all parties experienced difficulty in articulating their notions of “scientific data,” “archiving,” “serving,” and “providing access” to the datasets. Activities and interpretations of the data transfer process varied by institutional motivations for participation and by available infrastructure. We conclude several, rather than a single, “library solutions” for long

  10. Management of optic neuritis and impact of clinical trials: an international survey

    DEFF Research Database (Denmark)

    Biousse, Valérie; Calvetti, Olivier; Drews-Botsch, Carolyn D

    2009-01-01

    OBJECTIVE: 1) To evaluate the management of acute isolated optic neuritis (ON) by ophthalmologists and neurologists; 2) to evaluate the impact of clinical trials; 3) to compare these practices among 7 countries. METHODS: A survey on diagnosis and treatment of acute isolated ON was sent to 5,443 n...... ON patients according to the best evidence from clinical research. This confirms that evaluation of the impact of major clinical trials ("translational T2 clinical research") is essential when assessing the effects of interventions designed to improve quality of care....

  11. Performance analysis of data intensive cloud systems based on data management and replication: a survey

    Energy Technology Data Exchange (ETDEWEB)

    Malik, Saif Ur Rehman; Khan, Samee U.; Ewen, Sam J.; Tziritas, Nikos; Kolodziej, Joanna; Zomaya, Albert Y.; Madani, Sajjad A.; Min-Allah, Nasro; Wang, Lizhe; Xu, Cheng-Zhong; Malluhi, Qutaibah Marwan; Pecero, Johnatan E.; Balaji, Pavan; Vishnu, Abhinav; Ranjan, Rajiv; Zeadally, Sherali; Li, Hongxiang

    2015-03-14

    As we delve deeper into the ‘Digital Age’, we witness an explosive growth in the volume, velocity, and variety of the data available on the Internet. For example, in 2012 about 2.5 quintillion bytes of data was created on a daily basis that originated from myriad of sources and applications including mobiledevices, sensors, individual archives, social networks, Internet of Things, enterprises, cameras, software logs, etc. Such ‘Data Explosions’ has led to one of the most challenging research issues of the current Information and Communication Technology era: how to optimally manage (e.g., store, replicated, filter, and the like) such large amount of data and identify new ways to analyze large amounts of data for unlocking information. It is clear that such large data streams cannot be managed by setting up on-premises enterprise database systems as it leads to a large up-front cost in buying and administering the hardware and software systems. Therefore, next generation data management systems must be deployed on cloud. The cloud computing paradigm provides scalable and elastic resources, such as data and services accessible over the Internet Every Cloud Service Provider must assure that data is efficiently processed and distributed in a way that does not compromise end-users’ Quality of Service (QoS) in terms of data availability, data search delay, data analysis delay, and the like. In the aforementioned perspective, data replication is used in the cloud for improving the performance (e.g., read and write delay) of applications that access data. Through replication a data intensive application or system can achieve high availability, better fault tolerance, and data recovery. In this paper, we survey data management and replication approaches (from 2007 to 2011) that are developed by both industrial and research communities. The focus of the survey is to discuss and characterize the existing approaches of data replication and management that tackle the

  12. Management of shoulder pain by UK general practitioners (GPs): a national survey.

    Science.gov (United States)

    Artus, Majid; van der Windt, Danielle A; Afolabi, Ebenezer K; Buchbinder, Rachelle; Chesterton, Linda S; Hall, Alison; Roddy, Edward; Foster, Nadine E

    2017-06-21

    Studies in Canada, the USA and Australia suggested low confidence among general practitioners (GPs) in diagnosing and managing shoulder pain, with frequent use of investigations. There are no comparable studies in the UK; our objective was to describe the diagnosis and management of shoulder pain by GPs in the UK. A national survey of a random sample of 5000 UK GPs collected data on shoulder pain diagnosis and management using two clinical vignettes that described primary care presentations with rotator cuff tendinopathy (RCT) and adhesive capsulitis (AdhC). Seven hundred and fourteen (14.7%) responses were received. 56% and 83% of GPs were confident in their diagnosis of RCT and AdhC, respectively, and a wide range of investigations and management options were reported. For the RCT presentation, plain radiographs of the shoulder were most common (60%), followed by blood tests (42%) and ultrasound scans (USS) (38%). 19% of those who recommended a radiograph and 76% of those who recommended a USS did so 'to confirm the diagnosis'. For the AdhC presentation, the most common investigations were blood tests (60%), plain shoulder radiographs (58%) and USS (31%). More than two-thirds of those recommending a USS did so 'to confirm the diagnosis'. The most commonly recommended treatment for both presentations was physiotherapy (RCT 77%, AdhC 71%) followed by non-steroidal anti-inflammatory drugs (RCT 58%, AdhC 74%). 17% opted to refer the RCT to secondary care (most often musculoskeletal interface service), compared with 31% for the AdhC. This survey of GPs in the UK highlights reliance on radiographs and blood tests in the management of common shoulder pain presentations. GPs report referring more than 7 out of 10 patients with RCT and AdhC to physiotherapists. These findings need to be viewed in the context of low response to the survey and, therefore, potential non-response bias. © Article author(s) (or their employer(s) unless otherwise stated in the text of the

  13. A national survey of Russian physicians' knowledge of diagnosis and management of food-induced anaphylaxis.

    Science.gov (United States)

    Munblit, Daniel; Treneva, Marina; Korsunskiy, Ilya; Asmanov, Alan; Pampura, Alexander; Warner, John O

    2017-07-20

    Food allergy is an increasing burden worldwide and is a common problem within paediatric populations, affecting 5%-8% of children. Anaphylaxis caused by food proteins is a potentially life-threatening condition and all healthcare practitioners should be aware of its recognition and management. Russia is the largest country in Europe but it is still unknown whether physicians are prepared to diagnose and manage food-induced anaphylaxis effectively. We aimed to examine physicians' knowledge of diagnosis and management of food-induced anaphylaxis. A survey was designed and published online at VrachiRF.ru website (for registered Russian-speaking practicing physicians). We obtained information on respondents' clinical settings, experience and specialty. Survey questions were based on a characteristic clinical scenario of anaphylaxis due to food ingestion. Outcome measures consisted of correct answers to the anaphylaxis diagnosis and management questions. From a total of 707 of physicians accessed in the survey, 315 (45%) responded to the clinical scenario. 16 respondents reported training in allergy-immunology and have been excluded from the analysis, leaving the final sample size of 299. Respondents were paediatricians (68%) and other specialties adult physicians (32%). Overall, 100 (33%) of respondents diagnosed anaphylaxis, but only 29% of those making the correct diagnosis administered adrenalin (1:1000) intramuscular. Respondents working in secondary/tertiary clinics diagnosed anaphylaxis significantly more often (p=0.04) when compared with primary care/private practice physicians. This difference was also apparent as the most important influence on responses in the multivariate analysis. In this national sample of Russian physicians, we found poor knowledge in both anaphylaxis diagnosis and management. Our data show that the chance of being properly diagnosed with anaphylaxis is 33% and being appropriately treated with adrenalin is 10%. These findings highlight

  14. Neonatal nurses' perceptions of pain management: survey of the United States and China.

    Science.gov (United States)

    Cong, Xiaomei; McGrath, Jacqueline M; Delaney, Colleen; Chen, Hua; Liang, Shuang; Vazquez, Victoria; Keating, Laura; Chang, Kimberly; Dejong, Angela

    2014-12-01

    Despite growing knowledge, neonatal pain remains unrecognized, undertreated, and generally challenging. A cross-sectional survey study was conducted to investigate neonatal nurses' perceptions, knowledge, and practice of infant pain in the United States and China, including 343 neonatal nurses (American nurses [n = 237]; Chinese nurses [n = 106]). Nurses' responses regarding neonatal pain reflected adequate knowledge in general pain concepts, but knowledge deficits related to several topics were found (e.g., preterm infants are more sensitive to pain and long-term consequences of pain). Most reported regular use of pain assessment tools, but fewer agreed that the tool used was appropriate and accurate. More American nurses (83%) than Chinese nurses (58%) felt confident in the use of pain medications, while more Chinese nurses (78%) than American nurses (61%) acknowledged the effectiveness of nonpharmacologic interventions. About half reported that pain in their units was well managed (American: 44.3%; Chinese: 55.7%), and less than half felt that pain guidelines/protocols were research-based (American: 42.6%; Chinese: 34.9%). Nurses' perceptions of well-managed pain in their units were significantly correlated with adequate education/training, use of accurate tools, and use of research-based protocols. Barriers to effective pain management included resistance to change, lack of knowledge, lack of time, fear of side effects of pain medication, and lack of trust in the tools. The survey reflects concerns that pain has not been well managed in many neonatal intensive care units in the United States and China. Further actions are needed to solve the issues of inadequate training, lack of clinically feasible pain tools, and absence of evidence-based guidelines/protocols.

  15. Implementation and outcomes of commercial disease management programs in the United States: the disease management outcomes consolidation survey.

    Science.gov (United States)

    Fitzner, Karen; Fox, Kathe; Schmidt, Joseph; Roberts, Mark; Rindress, Donna; Hay, Joel

    2005-08-01

    Despite widespread adoption of disease management (DM) programs by US health plans, gaps remain in the evidence for their benefit. The Disease Management Outcomes Consolidation Survey was designed to gather data on DM programs for commercial health plans, to assess program success and DM effectiveness. The questionnaire was mailed to 292 appropriate health plan contacts; 26 plans covering more than 14 million commercial members completed and returned the survey. Respondents reported that DM plays a significant and increasing role in their organizations. Key reasons for adopting DM were improving clinical outcomes, reducing medical costs and utilization, and improving member satisfaction. More respondents were highly satisfied with clinical results than with utilization or cost outcomes of their programs (46%, 17%, and 13%, respectively). Detailed results were analyzed for 57 DM programs with over 230,000 enrollees. Most responding plans offered DM programs for diabetes and asthma, with return on investment (ROI) ranging from 0.16:1 to 4:1. Weighted by number of enrollees per DM program, average ROI was 2.56:1 for asthma (n = 1,136 enrollees) and 1.98:1 for diabetes (n = 25,364). Most (but not all) respondents reported reduced hospital admissions, increasing rates of preventive care, and improved clinical measures. Few respondents provided detailed information about DM programs for other medical conditions, but most that did reported positive outcomes. Lack of standardized methodology was identified as a major barrier to in-house program evaluation. Although low response rate precluded drawing many general conclusions, a clear need emerged for more rigorous evaluation methods and greater standardization of outcomes measurement.

  16. Realization of client/server management information system of coal mine based on ODBC in geology and survey

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Q.; Mao, S.; Yang, F.; Han, Z. [Shandong University of Science and Technology (China). Geoscience Department

    2000-08-01

    The paper describes in detail the framework and the application theory of Open Database Connectivity (ODBC), the formation of a client/server system of geological and surveying management information system, and the connection of the various databases. Then systematically, the constitution and functional realization of the geological management information system are introduced. 5 refs., 5 figs.

  17. Managing multiple projects: a literature review of setting priorities and a pilot survey of healthcare researchers in an academic setting.

    Science.gov (United States)

    Hopkins, Robert Borden; Campbell, Kaitryn; O'Reilly, Daria; Tarride, Jean-Eric; Bowen, Jim; Blackhouse, Gord; Goerre, Ron

    2007-05-16

    To summarize and then assess with a pilot study the use of published best practice recommendations for priority setting during management of multiple healthcare research projects, in a resource-constrained environment. Medical, economic, business, and operations literature was reviewed to summarize and develop a survey to assess best practices for managing multiple projects. Fifteen senior healthcare research project managers, directors, and faculty at an urban academic institution were surveyed to determine most commonly used priority rules, ranking of rules, characteristics of their projects, and availability of resources. Survey results were compared to literature recommendations to determine use of best practices. Seven priority-setting rules were identified for managing multiple projects. Recommendations on assigning priorities by project characteristics are presented. In the pilot study, a large majority of survey respondents follow best practice recommendations identified in the research literature. However, priority rules such as Most Total Successors (MTS) and Resource Scheduling Method (RSM) were used "very often" by half of the respondents when better performing priority rules were available. Through experience, project managers learn to manage multiple projects under resource constraints. Best practice literature can assist project managers in priority setting by recommending the most appropriate priority given resource constraints and project characteristics. There is room for improvement in managing multiple projects.

  18. Enhancing the role of nutrition professionals in weight management: A cross-sectional survey.

    Science.gov (United States)

    Bleich, Sara N; Bandara, Sachini; Bennett, Wendy; Cooper, Lisa A; Gudzune, Kimberly A

    2015-02-01

    (1) To determine the nonphysician health profession perceived as best qualified to provide weight management. (2) To examine nutrition professionals' current practice characteristics and perceived challenges and solutions for obesity care. (3) To examine the association between nutrition professionals' quality of training and self-efficacy in weight management. A 2014 national cross-sectional online survey of 500 U.S. nonphysician health professionals (100 from each: nutrition, nursing, behavioral/mental health, exercise, pharmacy) was analyzed. Nutrition professionals most commonly self-identified as the most qualified group to help patients lose weight (92%), sentiments supported by other health professionals (57%). The most often cited challenge was lack of patient adherence (87%). Among nutrition professionals, 77% reported receiving high-quality training in weight loss counseling. Nutrition professionals who reported high-quality training were significantly more likely to report confidence (95% vs. 48%) and success (74 vs. 50%) in helping obese patients lose weight (Pweight management counseling to obese patients. Yet nutrition professionals' receipt of high-quality weight management training appears critical to their success in helping patients lose weight. © 2014 The Obesity Society.

  19. An Evaluation of the Federal Energy Management Program Technical Assistance Workshops: Results of a 1998 Customer Survey

    Energy Technology Data Exchange (ETDEWEB)

    G. B. Gordon; N. Hall

    1999-04-01

    This report presents the results of a customer telephone survey of the participants of six workshops provided by the U. S. Department of Energy Federal Energy Management Program (FEMP) during calendar years 1995 and 1996. The primary purpose for the survey was to provide the Team Leader for FEMP Technical Assistance and members of the team with detailed customer feedback pertaining to how well selected FEMP workshops are doing and to identify areas for improvement. The information presented enables managers to see both the strengths of their workshops, as well as workshop components that can be improved. In addition, the report identifies the questions included in the survey that were the most productive for obtaining customers experiences, opinions and recommendations. The experiences gained during this survey provide a platform from which to launch an annual FEMP customer survey.

  20. The challenges of pain management in primary care: a pan-European survey

    Directory of Open Access Journals (Sweden)

    Johnson M

    2013-05-01

    Full Text Available Martin Johnson,1 Beverly Collett,2 José M Castro-Lopes3On behalf of OPENMinds Primary Care1Community Pain Medicine, Cardiff University, Cardiff, UK; 2Pain Management Service, University Hospitals of Leicester NHS Trust, Leicester, UK; 3Department of Experimental Biology, Faculty of Medicine of the University of Porto, Porto, PortugalBackground: The OPENMinds Primary Care group is a group of European primary care physicians (PCPs with an interest in pain management, formed to improve the understanding and management of chronic pain in primary care.Objective: A survey was conducted to assess the challenges of chronic nonmalignant pain (CNMP management in primary care in Europe, focusing particularly on pain assessment, opioid therapy, and educational needs.Methods: A questionnaire was developed for online use by PCPs in 13 European countries (Belgium, Denmark, France, Germany, Ireland, Italy, the Netherlands, Norway, Poland, Portugal, Spain, Sweden, and the UK.Results: A total of 1309 PCPs completed the questionnaire, approximately 100 from each country. Most PCPs (84% perceived CNMP to be one of the most challenging conditions to treat, yet a low priority within healthcare systems. Only 48% of PCPs used pain assessment tools, and 81% considered chronic pain and its impact on quality of life to be underassessed in primary care. PCPs were less confident about prescribing strong opioids for CNMP than for use in cancer pain. Most PCPs (84% considered their initial training on CNMP was not comprehensive, with 89% recognizing a need for more education on the topic.Conclusion: These findings reveal that PCPs in Europe find CNMP a challenge to treat. Areas to address with training include underuse of pain assessment tools and lack of confidence in use of opioid therapy. Guidelines on CNMP management in primary care would be welcomed. The insights gained should provide the basis for future initiatives to support primary care management of chronic pain

  1. National survey on thromboprophylaxis and anticoagulant or antiplatelet management in neurosurgical and neurocritical patients.

    Science.gov (United States)

    Vázquez-Alonso, E; Fábregas, N; Rama-Maceiras, P; Ingelmo Ingelmo, I; Valero Castell, R; Valencia Sola, L; Iturri Clavero, F

    2015-12-01

    To determine the protocols used by Spanish anaesthesiologists for thromboprophylaxis and anticoagulant or antiplatelet drugs management in neurosurgical or neurocritical care patients. An online survey with 22 questions, with one or multiple options, launched by the Neuroscience Subcommittee of the Spanish Anaesthesia Society and available between June and October 2012. Of the 73 hospitals included in the National Hospitals Catalogue, a valid response to the online questionnaire was received by 41 anaesthesiologists from 37 sites (response rate 50.7%). Only one response per site was used. A specific protocol was available in 27% of these centres. Mechanical thromboprophylaxis is used, intraoperatively or postoperatively, in 80%, and pharmacological treatment is used by 75% of respondents. Enoxaparin was the most frequent heparin used in craniotomy patients (78%). Craniotomies were performed maintaining acetylsalicylic acid treatment in patients with coronary stents and double anti-platelet treatment in a half of the centres. Mechanical thromboprophylaxis is used more frequently than the pharmacological approach in neurosurgical or neurocritical populations in Spanish hospitals. Management of patients under previous anticoagulant treatment was highly heterogeneous among hospitals included in this survey. Previous antiplatelet treatment is modified depending on primary or secondary prescription. Copyright © 2014 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  2. Management of people with acute low-back pain: a survey of Australian chiropractors

    Directory of Open Access Journals (Sweden)

    Walker Bruce F

    2011-12-01

    Full Text Available Abstract Introduction Chiropractors commonly provide care to people with acute low-back pain (LBP. The aim of this survey was to determine how chiropractors intend to support and manage people with acute LBP and if this management is in accordance with two recommendations from an Australian evidence-based acute LBP guideline. The two recommendations were directed at minimising the use of plain x-ray and encouraging the patient to stay active. Methods This is a cross sectional survey of chiropractors in Australia. This paper is part of the ALIGN study in which a targeted implementation strategy was developed to improve the management of acute LBP in a chiropractic setting. This implementation strategy was subsequently tested in a cluster randomised controlled trial. In this survey phase of the ALIGN study we approached a random sample of 880 chiropractors in three States of Australia. The mailed questionnaire consisted of five patient vignettes designed to represent people who would typically present to chiropractors with acute LBP. Four vignettes represented people who, according to the guideline, would not require a plain lumbar x-ray, and one vignette represented a person with a suspected vertebral fracture. Respondents were asked, for each vignette, to indicate which investigation(s they would order, and which intervention(s they would recommend or undertake. Results Of the 880 chiropractors approached, 137 were deemed ineligible to participate, mostly because they were not currently practising, or mail was returned to sender. We received completed questionnaires from 274 chiropractors (response rate of 37%. Male chiropractors made up 66% of respondents, 75% practised in an urban location and their mean number of years in practice was 15. Across the four vignettes where an x-ray was not indicated 68% (95% Confidence Intervals (CI: 64%, 71% of chiropractors responded that they would order or take an x-ray. In addition 51% (95%CI: 47%, 56

  3. What does it mean to manage sky survey data? A model to facilitate stakeholder conversations

    Science.gov (United States)

    Sands, Ashley E.; Darch, Peter T.

    2016-06-01

    Astronomy sky surveys, while of great scientific value independently, can be deployed even more effectively when multiple sources of data are combined. Integrating discrete datasets is a non-trivial exercise despite investments in standard data formats and tools. Creating and maintaining data and associated infrastructures requires investments in technology and expertise. Combining data from multiple sources necessitates a common understanding of data, structures, and goals amongst relevant stakeholders.We present a model of Astronomy Stakeholder Perspectives on Data. The model is based on 80 semi-structured interviews with astronomers, computational astronomers, computer scientists, and others involved in the building or use of the Sloan Digital Sky Survey (SDSS) and Large Synoptic Survey Telescope (LSST). Interviewees were selected to ensure a range of roles, institutional affiliations, career stages, and level of astronomy education. Interviewee explanations of data were analyzed to understand how perspectives on astronomy data varied by stakeholder.Interviewees described sky survey data either intrinsically or extrinsically. “Intrinsic” descriptions of data refer to data as an object in and of itself. Respondents with intrinsic perspectives view data management in one of three ways: (1) “Medium” - securing the zeros and ones from bit rot; (2) “Scale” - assuring that changes in state are documented; or (3) “Content” - ensuring the scientific validity of the images, spectra, and catalogs.“Extrinsic” definitions, in contrast, define data in relation to other forms of information. Respondents with extrinsic perspectives view data management in one of three ways: (1) “Source” - supporting the integrity of the instruments and documentation; (2) “Relationship” - retaining relationships between data and their analytical byproducts; or (3) “Use” - ensuring that data remain scientifically usable.This model shows how data management can

  4. Demand-Side Management and Integrated Resource Planning: Findings from a Survey of 24 Electric Utilities

    Energy Technology Data Exchange (ETDEWEB)

    Schweitzer, M.

    1991-01-01

    Integrated resource planning differs from traditional utility planning practices primarily in its increased attention to demand-side management (DSM) programs and its integration of supply- and demand-side resources into a combined resource portfolio. This report details the findings from an Oak Ridge National Laboratory (ORNL) survey of 24 electric utilities that have well-developed integrated planning processes. These utilities account for roughly one-third of total capacity, electricity generation, and DSM-program expenditures nationwide. The ORNL survey was designed to obtain descriptive data on a national sample of utilities and to test a number of hypothesized relationships between selected utility characteristics and the mix of resources selected for the integrated plan, with an emphasis on the use of DSM resources and the processes by which they are chosen. The survey solicited information on each utility's current and projected resource mix, operating environment, procedures used to screen potential DSM resources, techniques used to obtain public input and to integrate supply- and demand-side options into a unified plan, and procedures used in the final selection of resources for the plan.

  5. A national survey into perioperative anesthetic management of patients with a fractured neck of femur

    Directory of Open Access Journals (Sweden)

    Soinikoski Mirka

    2012-07-01

    Full Text Available Abstract Background We made a survey among Finnish anesthesiologists concerning the current perioperative anesthetic practice of hip fracture patients for further development in patient care. Methods All members of the Finnish Society of Anesthesiologists with a known e-mail address (786 were invited to participate in an internet-based survey. Results The overall response rate was 55% (423 responses; 298 respondents participated in the care of hip fracture patients. Preoperative analgesia was mostly managed with oxycodone and paracetamol; every fifth respondent applied an epidural infusion. Most respondents (98% employed a spinal block with or without an epidural catheter for intraoperative anesthesia. Midazolam, propofol and/or fentanyl were used for additional sedation. General anesthesia was used rarely. Postoperatively, paracetamol and non-steroidal anti-inflammatory drugs and occasionally peroral oxycodone, were prescribed in addition to epidural analgesia. Conclusions The survey suggests that the impact of more individualised analgesia regimens, both preoperatively and postoperatively, should be investigated in further studies.

  6. Managing anticoagulation and antiplatelet medications in GI endoscopy: a survey comparing the East and the West.

    Science.gov (United States)

    Lee, Sun-Young; Tang, Shou-jiang; Rockey, Don C; Weinstein, Douglas; Lara, Luis; Sreenarasimhaiah, Jayaprakash; Choi, Kyoo Wan

    2008-06-01

    Anticoagulation and antiplatelet medications may potentiate GI bleeding, and their use may lead to an increased need for a GI endoscopy. We hypothesized that there might be different practice patterns among international endoscopists. To explore the differences in management practices for patients who receive anticoagulation and antiplatelet medications from Eastern and Western endoscopists. International survey study. Academic medical centers and private clinics. Members of the American Society for Gastrointestinal Endoscopy (ASGE) in Eastern (Korea, Japan, China, India, Thailand, Singapore, Malaysia, and Philippines) and Western (United States and Canada) countries were invited to complete a Web-site-based questionnaire. In addition, the questionnaire was sent to university hospitals in South Korea and academic institutions in the United States. A survey was administered that contained detailed questions about the use of an endoscopy in patients on anticoagulation and antiplatelet medications. Different opinions and clinical practice patterns regarding the use of anticoagulation and antiplatelet medications by Eastern and Western endoscopists. A total of 105 Eastern and 106 Western endoscopists completed the survey. Western endoscopists experienced more instances of procedure-related bleeding (P = .003) and thromboembolism after withdrawal of medications (P = .016). Eastern endoscopists restarted medications later (1-3 days) than Western endoscopists after a biopsy (same day) (P education are required in the area of GI endoscopy for patients on anticoagulation and antiplatelet medications, particularly given that individual patient characteristics may be associated with unique types of complications.

  7. Cyber-infrastructure to Support Science and Data Management for the Dark Energy Survey

    CERN Document Server

    Ngeow, C; Alam, T; Barkhouse, W A; Beldica, C; Cai, D; Daues, G; Plante, R; Annis, J; Lin, H; Tucker, D; Smith, R C

    2006-01-01

    The Dark Energy Survey (DES; operations 2009-2015) will address the nature of dark energy using four independent and complementary techniques: (1) a galaxy cluster survey over 4000 deg2 in collaboration with the South Pole Telescope Sunyaev-Zel'dovich effect mapping experiment, (2) a cosmic shear measurement over 5000 deg2, (3) a galaxy angular clustering measurement within redshift shells to redshift=1.35, and (4) distance measurements to 1900 supernovae Ia. The DES will produce 200 TB of raw data in four bands, These data will be processed into science ready images and catalogs and co-added into deeper, higher quality images and catalogs. In total, the DES dataset will exceed 1 PB, including a 100 TB catalog database that will serve as a key science analysis tool for the astronomy/cosmology community. The data rate, volume, and duration of the survey require a new type of data management (DM) system that (1) offers a high degree of automation and robustness and (2) leverages the existing high performance co...

  8. [Importance of the primary physician for pain management in patients with recurrent advanced cancer--a questionnaire survey].

    Science.gov (United States)

    Konishi, Toshiro; Sasaki, Tsuneo; Aiba, Keisuke; Fukutomi, Takashi; Kakegawa, Kimiko; Okubo, Takashi

    2009-03-01

    With the objective of clarifying points that needed improvement to provide earlier and better treatment of pain by assessing the current state of cancer pain management in Japan, we conducted a questionnaire survey about pain management in patients with advanced/recurrent cancer who were suffering from pain. The results of the survey revealed that it is important for primary physician to place greater emphasis on pain management when treating cancer patients, to inform patients that the doctor should always be told if the patient has pain, and provide appropriate information about medical narcotics to their patients. The team approach to management of cancer has been increasing in importance recently. This survey suggested it is important for primary physicians, who play a central role in such teams, to listen to their patients' complaints about symptoms including pain. Furthermore, it should be remembered that patients are eager to establish a good, trusting relationship with their primary physician.

  9. Management of Patient-Reported Outcome (PRO Alerts in Clinical Trials: A Cross Sectional Survey.

    Directory of Open Access Journals (Sweden)

    Derek Kyte

    Full Text Available Assessment of patient-reported outcomes (PROs provides valuable information to inform patient-centered care, but may also reveal 'PRO alerts': psychological distress or physical symptoms that may require an immediate response. Ad-hoc management of PRO alerts in clinical trials may result in suboptimal patient care or potentially bias trial results. To gain greater understanding of current practice in PRO alert management we conducted a national survey of personnel involved in clinical trials with a PRO endpoint.We conducted a national cross-sectional survey of 767 UK-based research nurses, data managers/coordinators, trial managers and chief/principal investigators involved in clinical trials using PROs. Respondents were self-selected volunteers from a non-randomised sample of eligible individuals recruited via 55 UK Clinical Research Collaboration Registered Clinical Trials Units and 19 Comprehensive Local Research Networks. Questions centred on the proportion of trial personnel encountering alerts, how staff responded to PRO alerts and whether current guidance was deemed sufficient to support research personnel. We undertook descriptive analyses of the quantitative data and directed thematic analysis of free-text comments. 20% of research nurses did not view completed PRO questionnaires and were not in a position to discover alerts, 39-50% of the remaining respondent group participants reported encountering PRO alerts. Of these, 83% of research nurses and 54% of data managers/trial coordinators reported taking action to assist the trial participant, but less than half were able to record the intervention in the trial documentation. Research personnel reported current PRO alert guidance/training was insufficient.Research personnel are intermittently exposed to PRO alerts. Some intervene to help trial participants, but are not able to record this intervention in the trial documentation, risking co-intervention bias. Other staff do not check PRO

  10. Pilot Survey of Breast Cancer Management in Sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Verna D.N.K. Vanderpuye

    2017-06-01

    Full Text Available Purpose: To understand the current state of breast cancer management in sub-Saharan Africa. Methods: We conducted an anonymous online survey of breast cancer management among African Organization for Research and Treatment in Cancer (AORTIC members by using a 42-question structured questionnaire in both English and French in 2013. Results: Twenty members from 19 facilities in 14 countries responded to the survey. Twelve members (60% belonged to a multidisciplinary breast cancer team. Radiotherapy equipment was available in seven facilities (36%, but equipment had down time at least once a week in four facilities. Available chemotherapy drugs included methotrexate, cyclophosphamide, fluorouracil, anthracyclines, and vincristine, whereas trastuzumab, taxanes, vinorelbine, and gemcitabine were available in few facilities. Core-needle biopsy was available in 16 facilities (84%; mammogram, in 17 facilities (89%; computed tomography scan, in 15 facilities (79%; magnetic resonance imaging, in 11 facilities (58%; and bone scans, in nine facilities (47%. It took an average of 1 to 3 weeks to report histopathology. Immunohistochemistry was available locally in eight facilities (42%, outside hospitals but within the country in seven facilities (37%, and outside the country in four facilities (21%. Thirteen facilities (68% performed axillary node dissections as part of a breast protocol. Neoadjuvant chemotherapy was the most common therapy for locally advanced breast cancer in 13 facilities (68%. In three facilities (16%, receptor status did not influence the prescription of hormone treatment. Conclusion: This pilot survey suggests that AORTIC members in sub-Saharan Africa continue to make gains in the provision of access to multidisciplinary breast cancer care, but the lack of adequate pathology and radiotherapy services is a barrier. Focused attention on in-country and regional training needs and improvement of health systems deliverables is urgently

  11. Sibelius. Karelia Suite, Op. 11 / Robert Layton

    Index Scriptorium Estoniae

    Layton, Robert

    1996-01-01

    Uuest heliplaadist "Sibelius. Karelia Suite, Op. 11. Luonnotar, Op. 70 a. Andante festivo. The Oceanides, Op. 73. King Christian II, Op. 27-Suite. Finlandia, Op. 26a. Gothenburg Symphony Orchester, Neeme Järvi" DG 447 760-2GH (72 minutes: DDD)

  12. 46 CFR 169.551 - Exposure suits.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Exposure suits. 169.551 Section 169.551 Shipping COAST... and Firefighting Equipment Additional Lifesaving Equipment § 169.551 Exposure suits. (a) This section applies to each vessel operating in exposed or partially protected waters service except those—...

  13. Sibelius. Karelia Suite, Op. 11 / Robert Layton

    Index Scriptorium Estoniae

    Layton, Robert

    1996-01-01

    Uuest heliplaadist "Sibelius. Karelia Suite, Op. 11. Luonnotar, Op. 70 a. Andante festivo. The Oceanides, Op. 73. King Christian II, Op. 27-Suite. Finlandia, Op. 26a. Gothenburg Symphony Orchester, Neeme Järvi" DG 447 760-2GH (72 minutes: DDD)

  14. Class Action Suits against Public Schools.

    Science.gov (United States)

    Mesibov, Laurie

    1984-01-01

    If a suit is brought as a class action, either plaintiff or defendant may move to uphold or challenge class certification. If neither does so, the court decides whether the action may be maintained as a class suit. Prerequisites for class certification from Rule 23 (Federal Rules of Civil Procedure) are explained. (TE)

  15. Evaporation-Cooled Protective Suits for Firefighters

    Science.gov (United States)

    Weinstein, Leonard Murray

    2007-01-01

    Suits cooled by evaporation of water have been proposed as improved means of temporary protection against high temperatures near fires. When air temperature exceeds 600 F (316 C) or in the presence of radiative heating from nearby sources at temperatures of 1,200 F (649 C) or more, outer suits now used by firefighters afford protection for only a few seconds. The proposed suits would exploit the high latent heat of vaporization of water to satisfy a need to protect against higher air temperatures and against radiant heating for significantly longer times. These suits would be fabricated and operated in conjunction with breathing and cooling systems like those with which firefighting suits are now equipped

  16. The BRITNeY Suite Animation Tool

    DEFF Research Database (Denmark)

    Westergaard, Michael; Lassen, Kristian Bisgaard

    2006-01-01

    This paper describes the BRITNeY suite, a tool which enables users to create visualizations of formal models. BRITNeY suite is integrated with CPN Tools, and we give an example of how to extend a simple stop-and-wait protocol with a visualization in the form of message sequence charts. We also sh...... examples of animations created during industrial projects to give an impression of what is possible with the BRITNeY suite.......This paper describes the BRITNeY suite, a tool which enables users to create visualizations of formal models. BRITNeY suite is integrated with CPN Tools, and we give an example of how to extend a simple stop-and-wait protocol with a visualization in the form of message sequence charts. We also show...

  17. Survey of management practices related to bovine respiratory disease in preweaned calves on California dairies.

    Science.gov (United States)

    Love, W J; Lehenbauer, T W; Karle, B M; Hulbert, Lindsey E; Anderson, Randall J; Van Eenennaam, A L; Farver, T B; Aly, S S

    2016-02-01

    In the spring of 2013, a survey of California (CA) dairies was performed to characterize management practices related to bovine respiratory disease in preweaned calves, compare these practices across geographic regions of the state, and determine the principal components that explain the variability in management between herds. The questionnaire consisted of 53 questions divided into 6 sections to assess management practices affecting dairy calves from precalving to weaning. The questionnaire was mailed to 1,523 grade A licensed dairies in CA and 224 responses (14.7%) were collected. Survey response rates were similar over the 3 defined regions of CA: northern CA, northern San Joaquin Valley, and the greater southern CA region. The mean size of respondent herds was 1,423 milking cows. Most dairies reported raising preweaned calves on-site (59.7%). In 93.3% of dairies, preweaned calves were raised in some form of individual housing. Nonsaleable milk was the most frequent liquid diet fed to preweaned heifers (75.2%). Several important differences were identified between calf-raising practices in CA and practices reported in recent nationwide studies, including herd sizes, housing practices, and sources of milk fed to heifers. The differences between the CA and nationwide studies may be explained by differences in herd size. Regional differences within CA were also identified. Compared with the 2 other regions, northern CA dairies were found to have smaller herds, less Holstein cattle, calves remained with dams for longer periods of time after calving, were more likely to be certified organic dairies, and raised their own calves more often. Principal component analysis was performed and identified 11 components composed of 28 variables (questions) that explained 66.5% of the variability in the data. The identified components and questions will contribute to developing a risk assessment tool for bovine respiratory disease in preweaned dairy calves.

  18. Management strategies in Lynch syndrome and familial adenomatous polyposis: a national healthcare survey in Japan.

    Science.gov (United States)

    Yamano, Tomoki; Hamanaka, Michiko; Babaya, Akihito; Kimura, Kei; Kobayashi, Masayoshi; Fukumoto, Miki; Tsukamoto, Kiyoshi; Noda, Masafumi; Matsubara, Nagahide; Tomita, Naohiro; Sugihara, Kenichi

    2017-02-01

    Lynch syndrome (LS) and familial adenomatous polyposis (FAP) are major sources of hereditary colorectal cancer (CRC) and are associated with other malignancies. There is some heterogeneity in management strategies in Japan. We undertook a survey of management of hereditary CRC in hospitals that are members of the Japan Society of Colorectal Cancer Research. One hundred and ninety departments responded, of which 127 were from designated cancer care hospitals (DCCHs) according to the Japanese government. There were 25 488 operations for CRC in these departments in 2015. The DCCHs performed better with regard to usage of Japan Society of Colorectal Cancer Research guidelines, referring new CRC patients for LS screening, and having in-house genetic counselors and knowledge of treatment for LS. There were 174 patients diagnosed with LS and 602 undergoing follow-up in 2011-2015, which is fewer than the number expected from CRC operations in 2015. These numbers were not affected by whether the institution was a DCCH. Universal screening for LS was carried out in 8% of the departments. In contrast, 541 patients were diagnosed with FAP and 273 received preventive proctocolectomy/colectomy in 2011-2015. The DCCH departments undertook more surgery than non-DCCH departments, although most of the management, including surgical procedures and use of non-steroidal anti-inflammatory drugs, was similar. Management of desmoid tumor in the abdominal cavity differed according to the number of patients treated. In conclusion, there was heterogeneity in management of LS but not FAP. Most patients with LS may be overlooked and universal screening for LS is not common in Japan.

  19. Self-management skills in adolescents with chronic rheumatic disease: A cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Lawson Erica F

    2011-12-01

    Full Text Available Abstract Background For adolescents with a diagnosis of lifelong chronic illness, mastery of self-management skills is a critical component of the transition to adult care. This study aims to examine self-reported medication adherence and self-care skills among adolescents with chronic rheumatic disease. Methods Cross-sectional survey of 52 adolescent patients in the Pediatric Rheumatology Clinic at UCSF. Outcome measures were self-reported medication adherence, medication regimen knowledge and independence in health care tasks. Predictors of self-management included age, disease perception, self-care agency, demographics and self-reported health status. Bivariate associations were assessed using the Student's t-test, Wilcoxon rank sum test and Fisher exact test as appropriate. Independence in self-management tasks were compared between subjects age 13-16 and 17-20 using the chi-squared test. Results Subjects were age 13-20 years (mean 15.9; 79% were female. Diagnoses included juvenile idiopathic arthritis (44%, lupus (35%, and other rheumatic conditions (21%. Mean disease duration was 5.3 years (SD 4.0. Fifty four percent reported perfect adherence to medications, 40% reported 1-2 missed doses per week, and 6% reported missing 3 or more doses. The most common reason for missing medications was forgetfulness. Among health care tasks, there was an age-related increase in ability to fill prescriptions, schedule appointments, arrange transportation, ask questions of doctors, manage insurance, and recognize symptoms of illness. Ability to take medications as directed, keep a calendar of appointments, and maintain a personal medical file did not improve with age. Conclusions This study suggests that adolescents with chronic rheumatic disease may need additional support to achieve independence in self-management.

  20. A survey of physician practices in managing people with dementia in Hong Kong

    Directory of Open Access Journals (Sweden)

    Patrick Kor Pui-kin

    Full Text Available Background and Objectives: Managing patients with dementia (PWD in accordance with established clinical practice guidelines is important in providing optimal care. However, information about the actual processes of diagnosis and treatment is scanty. The objective of this paper is to explore the daily practices and management of PWD by physicians in Hong Kong. Methods: A survey was conducted to explore the practices of local physicians in managing PWD. A questionnaire was sent to the Hong Kong Medical Association, which represents 61% of all locally registered medical practitioners. Results: The Mini-Mental State Examination (MMSE was the most common screening instrument (89.4%, followed by the Clock drawing test (29.3%. The most frequently used imaging tests were computed tomography (67.9%. Tests for thyroid-stimulating hormones (85.9% and vitamin B12 (74.9%, as well as the Venereal Disease Research Laboratory Test (74.9%, were frequently performed to rule out reversible causes. Cholinesterase inhibitor (69.7% and N-Methyl-D-asparate (44.1% were the most commonly used anti-dementia medications. The most common reason for referring patients to specialists was the “occurrence of severe behavioral and psychiatric symptoms (BPSD” (59.6%. Discussion: Most physicians in Hong Kong can select cognitive assessment tools, laboratory tests, and imaging tests recommended by several practice guidelines. Primary care physicians should be able to manage PWD who are in stable condition and without severe BPSD. Better education of physicians in the diagnosis and management of dementia is needed to ensure that all physicians practice in ways consistent with the established practice guidelines.

  1. Statewide Survey of Healthcare Professionals: Management of Patients With Chronic Noncancer Pain.

    Science.gov (United States)

    Howell, Donelle; Kaplan, Louise

    2015-01-01

    Increased availability of prescription opioids has caused serious problems with misuse, abuse, and increased rates of morbidity and mortality. In response, Washington State enacted a law to regulate pain management and opioid prescribing practices. The purpose of this research was to investigate healthcare professionals' practices for the care of individuals with chronic noncancer pain (CNP) who received opioid therapy before the enactment of the Washington State law. This descriptive study used a tailored design survey protocol with a 23-item questionnaire and stratified random sample of 1618 Washington State healthcare professionals. Topic areas assessed included prescribing patterns; use of best practices; consultation access; and provider education, satisfaction, and competence in prescribing opioids. Only 41% of the respondents provided care for patients with CNP. Of these, nearly all (96%) managed patients with prescription opioids. Most reported "always" obtaining, evaluating, and documenting the patient's health history (86%); reviewing the patient's history for substance abuse (77.8%); and conducting ongoing interviews (57.3%). Sixty percent of the respondents self-rated being not at all, somewhat, or moderately competent to prescribe opioids. Only 8.5% reported being very or extremely satisfied working with patients with CNP. The enactment of Washington State's pain management law mandates all providers to adopt management and prescribing practices for patients with CNP receiving opioid medications. This study determined that these practices were not universally adopted before the law. Evaluation of the effect of this law is essential to determine if it can serve as a model for other states. In 2010, Washington State enacted legislation on the management of CNP. The purpose of this study was to assess clinical practice among health professionals providing care to patients with CNP before implementation of the law and to discuss the potential impact of the

  2. Management of asthma in pregnant women by general practitioners: A cross sectional survey

    Directory of Open Access Journals (Sweden)

    Abramson Michael J

    2011-11-01

    Full Text Available Abstract Background Poorly controlled asthma can lead to maternal and fetal complications. Despite the known risks of poorly controlled asthma during pregnancy and the need for stepping up therapy when appropriate, there are concerns that management is suboptimal in primary care. Our objective was to investigate the management of asthma during pregnancy by general practitioners providing shared maternity care. Methods A pre-piloted, anonymous mail survey was sent to all general practitioners (n = 842 involved in shared maternity care at six maternity hospitals in Victoria, Australia. Respondents were asked about their perceived safety of individual asthma medications during pregnancy. Approach to asthma management during pregnancy was further explored using scenarios of pregnant women with stable and deteriorating asthma and poor medication adherence. Results Inhaled corticosteroids (ICS were perceived to be the safest and were the preferred preventive medication in first trimester (74.1%, whilst leukotriene receptor antagonists were the least preferred (2.9%. A quarter (25.8% of respondents would stop or decrease patients' ICS doses during pregnancy, even when their asthma was well controlled by current therapy. In addition, 12.1% of respondents were not sure how to manage deteriorating asthma during pregnancy and opted to refer to another health professional. Almost half the respondents (48.9% reported encountering medication nonadherence during pregnancy. Conclusion A lack of confidence and/or knowledge among general practitioners in managing deteriorating asthma in pregnancy was observed despite a good understanding of the safety of asthma medications during pregnancy, compliance with evidence-based guidelines in the selection of preventive medications, and self reported good asthma knowledge.

  3. Variable Vector Countermeasure Suit (V2Suit) for Space Habitation and Exploration Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The “Variable Vector Countermeasure Suit (V2Suit) for Space Habitation and Exploration” is a visionary system concept that will revolutionize space...

  4. Variable Vector Countermeasure Suit (V2Suit) for Space Habitation and Exploration Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Variable Vector Countermeasure Suit (V2Suit) is a specialized spacesuit designed to keep astronauts healthy during long-duration space exploration missions and...

  5. Establishing Long Term Data Management Research Priorities via a Data Decadal Survey

    Science.gov (United States)

    Wilson, A.; Uhlir, P.; Meyer, C. B.; Robinson, E.

    2013-12-01

    competition with other priorities of the research enterprise. This presentation will introduce the Data Decadal Survey, an initial concept created in collaboration between the Federation of Earth Science Information Partners (ESIP) and of the National Research Council's Board on Research Data and Information (BRDI). Consistent with Executive open data policies, the Survey will provide a coordinating platform to address overarching issues and identify research needs and funding priorities in scientific data management and stewardship for the long term. The Survey would address at the broadest level gaps in data management knowledge and practices that hold back scientific progress, and recommend a strategy to address them. The goal is to provide a long term strategic vision that will increase the meaningful availability of higher quality data, create or improve tools, processes, and practices that support accreditation, accountability, traceability, and reproducibility, redirect resources previously required by scientists for data discovery, acquisition, and reformatting to performing actual science, thereby ultimately enhancing scientific knowledge.

  6. Optimization Models and Methods for Demand-Side Management of Residential Users: A Survey

    Directory of Open Access Journals (Sweden)

    Antimo Barbato

    2014-09-01

    Full Text Available The residential sector is currently one of the major contributors to the global energy balance. However, the energy demand of residential users has been so far largely uncontrollable and inelastic with respect to the power grid conditions. With the massive introduction of renewable energy sources and the large variations in energy flows, also the residential sector is required to provide some flexibility in energy use so as to contribute to the stability and efficiency of the electric system. To address this issue, demand management mechanisms can be used to optimally manage the energy resources of customers and their energy demand profiles. A very promising technique is represented by demand-side management (DSM, which consists in a proactive method aimed at making users energy-efficient in the long term. In this paper, we survey the most relevant studies on optimization methods for DSM of residential consumers. Specifically, we review the related literature according to three axes defining contrasting characteristics of the schemes proposed: DSM for individual users versus DSM for cooperative consumers, deterministic DSM versus stochastic DSM and day-ahead DSM versus real-time DSM. Based on this classification, we provide a big picture of the key features of different approaches and techniques and discuss future research directions.

  7. Weight Management Advice for Clients with Overweight or Obesity: Allied Health Professional Survey

    Directory of Open Access Journals (Sweden)

    Suzanne J. Snodgrass

    2016-11-01

    Full Text Available The prevalence of obesity is increasing. The potential for allied health professionals to intervene through the provision of lifestyle advice is unknown. This study aimed to determine the knowledge, attitudes and practices of health professionals in the provision of dietary and physical activity advice for clients with overweight or obesity. Dietitians, exercise physiologists, nurses, occupational therapists, physiotherapists and psychologists (n = 296 working in New South Wales were surveyed using paper-based and online methods. The majority of health professionals (71% believed that providing weight management advice was within their scope of practice; 81% provided physical activity advice but only 57% provided dietary advice. Other than dietitians, few had received training in client weight management during their professional qualification (14% or continuing education (16%. Providing dietary advice was associated with: believing it was within their scope of practice (OR 3.9, 95% CI 1.9–7.9, p < 0.01, training during their entry-level qualification (OR 7.2, 3.2–16.4, p < 0.01 and having departmental guidelines (OR 4.7, 2.1–10.9, p < 0.01. Most health professionals are willing to provide lifestyle advice to clients with overweight or obesity but few have received required training. Developing guidelines and training for in client weight management may potentially impact on rising obesity levels.

  8. How French general practitioners manage and prevent recurrent respiratory tract infections in children: the SOURIRRE survey

    Science.gov (United States)

    Chicoulaa, Bruno; Haas, Hervé; Viala, Jérôme; Salvetat, Maryline; Olives, Jean-Pierre

    2017-01-01

    Background Recurrent respiratory tract infections (RRTIs) are the most common reason for children’s visits to primary care physicians in France; however, little is known about general practitioners’ (GPs) opinions and expectations concerning the management and prevention of these common and recurrent pathologies. Purpose To describe French GPs’ daily practice in the management of respiratory infections and the prevention of their recurrence in children. Methods A sample group of French GPs answered a structured questionnaire on risk factors, RRTI management, antibiotic use and prevention measures. Results A total of 358 GPs participated in the survey. Rhinopharyngitis, the most frequent respiratory infection, was considered to be recurrent if six or more episodes occurred in a year. Four risk factors were acknowledged as substantial: living in communities, passive smoking, pollution and allergies. Around 63% of GPs said that RRTIs are too often treated with antibiotics. More than 85% thought that prevention of RRTIs is possible. Smoking cessation, vaccination, allergen avoidance and hygiene were identified as the main preventive measures. A large majority of GPs (84%) prescribed products for prevention and ~90% would prescribe a product stimulating immunity if the efficacy and tolerability of these agents was proven and confirmed in their daily practice. Conclusions French GPs are well aware of the health and socioeconomic burdens resulting from RRTIs, as well as the risk of antibiotic overuse. They have a prevention-oriented approach, implement preventive measures when possible and prescribe products for prevention. PMID:28293116

  9. Dentists' attitudes and behaviour regarding deep carious lesion management: a multi-national survey.

    Science.gov (United States)

    Schwendicke, Falk; Stangvaltaite, Lina; Holmgren, Christopher; Maltz, Marisa; Finet, Marion; Elhennawy, Karim; Eriksen, Isabel; Kuzmiszyn, Tone Christiansen; Kerosuo, Eero; Doméjean, Sophie

    2017-01-01

    The present study aimed, using a questionnaire, to assess and compare behaviour, attitudes and beliefs of French, German and Norwegian dentists regarding deep carious lesion management. A mail survey was applied to simple random national samples of dentists. Descriptive analysis and logistic regression analysis were performed. Sample size was 661 (response rate, 33 %) in France, 622 (25 %) in Germany and 199 (33 %) in Norway. Hardness was the criterion used most often for assessing carious tissue removal in all three countries (>95 %), with most dentists aiming for only hard dentine remaining at the pulpal wall (>66 %); dentine colour was not found relevant by most respondents. The majority of French and German practitioners (>66 %) would perform complete excavation even for deep lesions, while most Norwegian dentists (84 %) opted for stepwise excavation. Most dentists thought complete removal was required to avoid lesion progression and were uncertain if remaining sealed bacteria would harm the pulp. Treatment decisions were guided by prior experience and familiarity. For example, stepwise removal was performed less often by dentists who were male, French, German or those in the private sector. Less invasive strategies for managing deep lesions have not widely entered clinical practice in France and Germany. Underlying beliefs shape decision-making. The present study is the first of its nature to analyse and compare deep carious lesion management between three European countries. It shows that there is an urgent need to practically educate dentists in less invasive strategies.

  10. Rapid survey protocol that provides dynamic information on reef condition to managers of the Great Barrier Reef.

    Science.gov (United States)

    Beeden, R J; Turner, M A; Dryden, J; Merida, F; Goudkamp, K; Malone, C; Marshall, P A; Birtles, A; Maynard, J A

    2014-12-01

    Managing to support coral reef resilience as the climate changes requires strategic and responsive actions that reduce anthropogenic stress. Managers can only target and tailor these actions if they regularly receive information on system condition and impact severity. In large coral reef areas like the Great Barrier Reef Marine Park (GBRMP), acquiring condition and impact data with good spatial and temporal coverage requires using a large network of observers. Here, we describe the result of ~10 years of evolving and refining participatory monitoring programs used in the GBR that have rangers, tourism operators and members of the public as observers. Participants complete Reef Health and Impact Surveys (RHIS) using a protocol that meets coral reef managers' needs for up-to-date information on the following: benthic community composition, reef condition and impacts including coral diseases, damage, predation and the presence of rubbish. Training programs ensure that the information gathered is sufficiently precise to inform management decisions. Participants regularly report because the demands of the survey methodology have been matched to their time availability. Undertaking the RHIS protocol we describe involves three ~20 min surveys at each site. Participants enter data into an online data management system that can create reports for managers and participants within minutes of data being submitted. Since 2009, 211 participants have completed a total of more than 10,415 surveys at more than 625 different reefs. The two-way exchange of information between managers and participants increases the capacity to manage reefs adaptively, meets education and outreach objectives and can increase stewardship. The general approach used and the survey methodology are both sufficiently adaptable to be used in all reef regions.

  11. Survey of shark fisheries and preparation of a National Plan of Action (NPOA) for conservation and management of shark resources in Bangladesh

    OpenAIRE

    2014-01-01

    The report presents; terms of reference; work progress; surveys of shark fishers and traders; shark biodiversity survey; and a National Plan of Action (NPOA) for conservation and management of shark resources in Bangladesh.

  12. The Analysis of Enterprise Survey and Information Management System%企业调查与信息管理系统研究

    Institute of Scientific and Technical Information of China (English)

    国家统计局服务业调查中心课题组

    2005-01-01

    The paper discusses the method of how to build the Enterprise Survey and Information Management System. It is based on the work of Enterprise Survey Organization of NBS and the methodology of Software Engineering.

  13. Extending the GI Brokering Suite to Support New Interoperability Specifications

    Science.gov (United States)

    Boldrini, E.; Papeschi, F.; Santoro, M.; Nativi, S.

    2014-12-01

    The GI brokering suite provides the discovery, access, and semantic Brokers (i.e. GI-cat, GI-axe, GI-sem) that empower a Brokering framework for multi-disciplinary and multi-organizational interoperability. GI suite has been successfully deployed in the framework of several programmes and initiatives, such as European Union funded projects, NSF BCube, and the intergovernmental coordinated effort Global Earth Observation System of Systems (GEOSS). Each GI suite Broker facilitates interoperability for a particular functionality (i.e. discovery, access, semantic extension) among a set of brokered resources published by autonomous providers (e.g. data repositories, web services, semantic assets) and a set of heterogeneous consumers (e.g. client applications, portals, apps). A wide set of data models, encoding formats, and service protocols are already supported by the GI suite, such as the ones defined by international standardizing organizations like OGC and ISO (e.g. WxS, CSW, SWE, GML, netCDF) and by Community specifications (e.g. THREDDS, OpenSearch, OPeNDAP, ESRI APIs). Using GI suite, resources published by a particular Community or organization through their specific technology (e.g. OPeNDAP/netCDF) can be transparently discovered, accessed, and used by different Communities utilizing their preferred tools (e.g. a GIS visualizing WMS layers). Since Information Technology is a moving target, new standards and technologies continuously emerge and are adopted in the Earth Science context too. Therefore, GI Brokering suite was conceived to be flexible and accommodate new interoperability protocols and data models. For example, GI suite has recently added support to well-used specifications, introduced to implement Linked data, Semantic Web and precise community needs. Amongst the others, they included: DCAT: a RDF vocabulary designed to facilitate interoperability between Web data catalogs. CKAN: a data management system for data distribution, particularly used by

  14. Infertility practice management. I. Leadership and management style: results from the 2002 survey of 374 Society for Assisted Reproductive Technology member centers.

    Science.gov (United States)

    Gerson, Steven C; Kemp, Denise E; Balser, David P; Masler, Steve N; Hart, Brad; Bubka, Andrea; Bonato, Frederick

    2004-10-01

    To identify current trends in management and leadership styles in Society for Assisted Reproductive Technology (SART) member infertility centers; and to understand the similarities and disparities that exist in physicians', administrators', and staff perceptions of management and leadership styles in these centers. Questionnaires were developed to collect information on the leadership and management styles in place in SART member infertility centers. Survey instruments were distributed to the 374 SART centers. Survey instruments for one physician, the center administrator, and six staff members (two each in nursing, laboratory, and administration) were issued to the SART liaison in each of the SART member centers. Respondents included physicians, practice administrators, nurses, technicians, patient services, billing, and support staff. Analysis of respondents' answers revealed that surveyed staff members reported a fairly high degree of job satisfaction. Physician and administrator management styles seemed to fall between interactive and directive styles; however, physicians and administrators perceived themselves as being more interactive than other staff members viewed them. Overall, extreme differences were unlikely, given the reported high degree of job satisfaction. Finally, survey outcome data were compared with responding centers' ART outcome rates as published by the Centers for Disease Control and Prevention (CDC). Overall, although employee job satisfaction seemed to be high, there were statistical differences between groups for several questions; the disparities in responses for these questions are indicators for potential management and leadership consideration. In addition, statistical correlations were found between the responses for several questions and the centers' respective CDC-published ART outcome rates.

  15. Oracle SOA Suite 11g performance cookbook

    CERN Document Server

    Brasier, Matthew; Wright, Nicholas

    2013-01-01

    This is a Cookbook with interesting, hands-on recipes, giving detailed descriptions and lots of practical walkthroughs for boosting the performance of your Oracle SOA Suite.This book is for Oracle SOA Suite 11g administrators, developers, and architects who want to understand how they can maximise the performance of their SOA Suite infrastructure. The recipes contain easy to follow step-by-step instructions and include many helpful and practical tips. It is suitable for anyone with basic operating system and application server administration experience.

  16. The management of depressive symptoms in patients with COPD: a postal survey of general practitioners.

    Science.gov (United States)

    Yohannes, Abebaw Mengistu; Hann, Mark; Sibbald, Bonnie

    2011-07-01

    We examined the management of depression by general practitioners (GPs), through the use of case vignettes, in patients with chronic obstructive pulmonary disease (COPD), severe osteoarthritis and depressive symptoms alone. Depression is common in patients with COPD. Untreated depression leads to poor compliance with medical treatment and increases health-care utilisation. We surveyed a random sample of GPs (n = 3956) in England using a postal questionnaire. The questionnaire explored how GPs would approach the management of emotional distress in patients with and without a chronic condition and gauged their views of and experiences with depression in patients with COPD. A total of 864 completed responses were received (22%). In the vignettes, a significantly greater percentage of GPs reported that they would explore or offer the diagnosis of depression in a patient with COPD (95.4%) compared with patients with either severe osteoarthritis (88.3%) or depressive symptoms alone (86.3%). In each case, the vast majority of GPs reported that they would explore a diagnosis of depression using a clinical diagnostic tool. The preferred method of treatment, if offered, in all three cases was a combination of anti-depressant drugs and psychological therapy. GPs endorsed the importance of routinely screening for depression in patients who have COPD and acknowledged that depression impairs patient self-management of COPD.In conclusion, GPs in England were able to diagnose depression from the vignettes and plan appropriate treatment strategies in patients with chronic diseases. This should be complemented with thorough physical examination by GPs to rule out other factors such as the impact of physical illness. GPs believe depression interferes with patient self-management of COPD.

  17. Incidence, severity, help seeking, and management of uncomplicated urinary tract infection: a population-based survey.

    Science.gov (United States)

    Butler, Chris C; Hawking, Meredith K D; Quigley, Anna; McNulty, Cliodna A M

    2015-10-01

    Limited knowledge of the population incidence and management of uncomplicated urinary tract infection (UTI) limits information provision and interventions to enhance care in the community. To describe incidence and severity, help seeking, and management of UTI from a population perspective. Household survey in England in 2014. In total, a random sample of 2424 females aged ≥16 years were interviewed in their own homes using computer-assisted interviewing about their UTI symptoms, help seeking, and management. Data were weighted by sex, age, ethnicity, working status, social grade, and housing tenure, and Government Office Region to be broadly representative of the general population. Of the females interviewed, 892 (37%) reported having had at least one UTI in their lifetime (29% had more than one episode). In the past year, 11% of all females reported a UTI and 3% recurrent UTI (≥3 or more). Of those who had ever had a UTI, 48% rated their last UTI as fairly or very severe. In total, 95% consulted a health professional; 65% at their local GP practice during routine consulting hours. Out-of-hours consulting was uncommon but more prevalent in younger females. Of those contacting a health professional, 76% had a urine test, 74% were prescribed an antibiotic, but only 63% of these reported taking the antibiotic. Delayed antibiotic prescribing was rare. UTI symptoms are common; most females consult in general practice, and are prescribed antibiotics, but one-third report not taking the antibiotics as prescribed. Benefit and harms in those taking, and not taking, antibiotics need to be better understood in order to improve help seeking, management, and adherence. Urine tests and antibiotics could be reduced by basing empirical antibiotics on symptoms, and increasing use of back-up prescriptions. © British Journal of General Practice 2015.

  18. The home management of Artificial Nutrition: a survey among doctors and nurses.

    Science.gov (United States)

    Gamberi, Sara; Calamassi, Diletta; Coletta, David; Dolenti, Silvia; Valoriani, Alice; Tarquini, Roberto

    2017-08-23

    The management of Artificial Nutrition (NA), especially in the home environment (HAN) requires specific skills in order to ensure the correct therapeutic education, prevention of complications and the provision of appropriate treatment to the person. The aim of this survey was to identify the perceptions of nurses and doctors, as well as comparing to their perceived competence in NA and the gap between their perceived versus actual knowledge and management methods. This observational study was conducted in a Tuscan health region of Italy, involving 50 Home Care Services nurses and 50 general practitioners. Participants were asked to complete an online questionnaire that was constructed for purpose. The results show that for the management of the person with NA, both for doctors and for nurses show great variability in responses. Less than half of those providing care make assessments of nutritional status and dysphagia as well as the possibility of re-feeding by natural means in NA patients. Care providers expressed uncertainty as to which professional should carry out such assessments. A mismatch was also evident between the skills possessed and the self-assessments performed regarding their knowledge base of NA. Almost all of doctors of nurses indicated a desire to participate in training events relating to NA. The results highlight the need for caregivers to have specific operating protocols. The results also highlight the need to aim to work as a team, emphasizing the importance of basic communication as well as the need for clarity as to the responsibilities and roles of the professionals involved.Key words: Artificial Nutrition, Nurses, Doctors, home management, skills, training, team.

  19. Understanding patient perspectives on management of their chronic pain: online survey protocol

    Directory of Open Access Journals (Sweden)

    Gaikwad M

    2016-12-01

    Full Text Available Manasi Gaikwad,1,2 Simon Vanlint,1 G Lorimer Moseley,2,3 Murthy N Mittinty,4 Nigel Stocks1 1Discipline of General Practice, School of Medicine, University of Adelaide, Adelaide, SA, 2Sansom Institute for Health Research, University of South Australia, Adelaide, SA, 3Neuroscience Research Australia, Sydney, NSW, 4School of Public Health, University of Adelaide, Adelaide, SA, Australia Background: It is widely recognized that both doctors and patients report discontent regarding pain management provided and received. The impact of chronic pain on an individual’s life resonates beyond physical and mental suffering; equal or at times even greater impact is observed on an individual’s personal relationships, ability to work, and social interactions. The degree of these effects in each individual varies, mainly because of differences in biological factors, social environment, past experiences, support, and belief systems. Therefore, it is equally possible that these individual patient characteristics could influence their treatment outcome. Research shows that meeting patient expectations is a major challenge for health care systems attempting to provide optimal treatment strategies. However, patient perspectives and expectations in chronic pain management have not been studied extensively. The aim of this study is to investigate the views, perceptions, beliefs, and expectations of individuals who experience chronic pain on a daily basis, and the strategies used by them in managing chronic pain. This paper describes the study protocol to be used in a cross sectional survey of chronic pain patients.Methods and analysis: The study population will comprise of individuals aged ≥18 years, who have experienced pain for ≥3 months with no restrictions of sex, ethnicity, or region of residence. Ethics approval for our study was obtained from Humans research ethics committees, University of Adelaide and University of South Australia. Multinomial

  20. Variations in the clinical practice of physicians managing Takayasu arteritis: a nationwide survey

    Directory of Open Access Journals (Sweden)

    Barra L

    2017-05-01

    Full Text Available Lillian Barra,1 Patrick Liang,2 Susanne M Benseler,3 David A Cabral,4 Aurore Fifi-Mah,5 Yueyang Li,1 Nataliya Milman,6 Marinka Twilt,3 Elaine Yacyshyn,7 Christian Pagnoux8 1Division of Rheumatology, The University of Western Ontario, St Joseph’s Health Care, London, Ontario, 2Division of Rheumatology, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, 3Division of Rheumatology, Department of Paediatrics, Alberta Children’s Hospital, University of Calgary, Calgary, Alberta, 4Division of Rheumatology, BC Children’s Hospital, Vancouver, British Columbia, 5Division of Rheumatology, South Health Campus, University of Calgary, Calgary, Alberta, 6Division of Rheumatology, Department of Medicine, University of Ottawa, Ottawa, 7Division of Rheumatology, University of Alberta, Edmonton, Alberta, 8Department of Rheumatology, Mount Sinai Hospital, Toronto, University of Toronto, Ontario, Canada Objective: Takayasu arteritis (TAK is a large vessel vasculitis that predominately affects young women and can cause severe ischemic complications. Given the rarity of TAK, the management of this condition is challenging. We aim to describe current rheumatologist practices for the management of TAK and identify discrepancies and gaps in knowledge. Methods: An online survey (developed by the Canadian Vasculitis Network and approved by the Canadian Rheumatology Association containing 48 questions with regard to the diagnosis, monitoring and treatment of TAK was distributed to 495 Canadian adult and pediatric rheumatologists by email. Results: Sixty-six rheumatologists completed the survey (13% response rate: the majority (73% were from academic centers and ≤25% reported managing more than ten patients in their career. For establishing the diagnosis of TAK, they relied on a combination of signs and symptoms of ischemia, elevations of inflammatory markers and vascular imaging (typically computed tomography and magnetic resonance angiography. The

  1. Three years monitoring survey of pesticide residues in Sardinia wines following integrated pest management strategies.

    Science.gov (United States)

    Angioni, Alberto; Dedola, Fabrizio

    2013-05-01

    This paper reports the results of a pesticide monitoring survey on wine grapes from the 2008-2010 vintage from vineyards grown according to integrated pest management strategies. A multi-residue gas chromatography-mass spectrometry method in electron ionization and chemical ionization mode has been used for the determination of 30 pesticides in wine samples. The analytical method showed good recoveries and allowed a good separation of the selected pesticides. Repeatability and intermediate precision showed good results with CV < 20 %. The instrumental method limits of determination (LOD) and of quantification (LOQ) were below the maximum residue levels set in wine. The analysis of the wines showed that pesticide residues were below the instrumental LOQ, and most of them were undetectable (

  2. Survey on Security Issues in File Management in Cloud Computing Environment

    Science.gov (United States)

    Gupta, Udit

    2015-06-01

    Cloud computing has pervaded through every aspect of Information technology in past decade. It has become easier to process plethora of data, generated by various devices in real time, with the advent of cloud networks. The privacy of users data is maintained by data centers around the world and hence it has become feasible to operate on that data from lightweight portable devices. But with ease of processing comes the security aspect of the data. One such security aspect is secure file transfer either internally within cloud or externally from one cloud network to another. File management is central to cloud computing and it is paramount to address the security concerns which arise out of it. This survey paper aims to elucidate the various protocols which can be used for secure file transfer and analyze the ramifications of using each protocol.

  3. Knowledge, Skills and Experience Managing Tracheostomy Emergencies: A Survey of Critical Care Medicine trainees

    LENUS (Irish Health Repository)

    Nizam, AA

    2016-10-01

    Since the development of percutaneous tracheostomy, the number of tracheostomy patients on hospital wards has increased. Problems associated with adequate tracheostomy care on the wards are well documented, particularly the management of tracheostomy-related emergencies. A survey was conducted among non-consultant hospital doctors (NCHDs) starting their Critical Care Medicine training rotation in a university affiliated teaching hospital to determine their basic knowledge and skills in dealing with tracheostomy emergencies. Trainees who had received specific tracheostomy training or who had previous experience of dealing with tracheostomy emergencies were more confident in dealing with such emergencies compared to trainees without such training or experience. Only a minority of trainees were aware of local hospital guidelines regarding tracheostomy care. Our results highlight the importance of increased awareness of tracheostomy emergencies and the importance of specific training for Anaesthesia and Critical Care Medicine trainees.

  4. Risk management policies and practices regarding radio frequency electromagnetic fields: results from a WHO survey

    Science.gov (United States)

    Dhungel, Amit; Zmirou-Navier, Denis; van Deventer, Emilie

    2015-01-01

    This study aims to describe current risk management practices and policies across the world in relation to personal exposures from devices emitting radiofrequency fields, environmental exposures from fixed installations and exposures in the work environment. Data from 86 countries representing all WHO regions were collected through a survey. The majority of countries (76.8 %) had set exposure limits for mobile devices, almost all (90.7 %) had set public exposure limits for fixed installations and 76.5 % had specified exposure limits for personnel in occupational settings. A number of other policies had been implemented at the national level, ranging from information provisions on how to reduce personal exposures and restrictions of usage for certain populations, such as children or pregnant women to prevention of access around base stations. This study suggests that countries with higher mobile subscriptions tend to have set radiofrequency exposure limits for mobile devices and to have provisions on exposure measurements about fixed installations. PMID:25394650

  5. The Impact of Culture on International Management: A Survey of Project Communications in Singapore

    Directory of Open Access Journals (Sweden)

    Dun Tran

    2012-11-01

    Full Text Available This paper provides the results of an exploratory survey of construction industry managersin Singapore to isolate some of the common effects of national and organisational culture,together with the personal characteristics of managers, on the efficacy of project communication.By examination of significant correlation coefficients, the various types of influencesare identified. The results of the research suggest that the managers’ attitude andbehaviours toward communication may be guided to large extent by their level of competence.The study also provides evidence to suggest that the individuals’ understanding ofthe communication process and its barriers, the way they behave with other individualsand expect to be treated, varies according to national cultures.

  6. Screening and management of hypothyroidism in pregnancy: results of an Asian survey.

    Science.gov (United States)

    Azizi, Fereidoun; Amouzegar, Atieh; Mehran, Ladan; Alamdari, Shahram; Subekti, Imam; Vaidya, Bijay; Poppe, Kris; San Luis, Teofilo; Akamizu, Takashi

    2014-01-01

    Maternal hypothyroidism in pregnancy is associated with several adverse outcomes. The American Thyroid Association and the Endocrine Society Guidelines for the management of thyroid diseases in pregnancy were published in 2011 and 2012, respectively; however, impact of the guidelines in routine clinical practice is unknown. We therefore carried out a survey to study current practices in the screening and management of hypothyroidism in pregnancy. We collected completed questionnaire survey based on clinical case scenarios from 321 members of the Asia-Oceania Thyrpid Association (AOTA). Responses from 310 clinician members (from 21 Asian countries) were analyzed. For a woman with hypothyroidism planning pregnancy, 54% favored testing thyroid function before adjusting the dose, whilst 32% recommended increasing the dose of L-thyroxine (L-T₄) as soon as pregnancy is confirmed. For a pregnant woman with newly diagnosed overt hypothyroidism, most responders initiated a full dose of L-T₄. One half of responders used serum TSH and free T₄ to monitor the dose of L-T₄. Although the target of thyroid function tests that responders aimed to achieve with L-T₄ was inconsistent, but a majority aim to keep TSH within recommended trimester specific range. Twenty-one % responders or their institutions screened all pregnant women for thyroid dysfunction, 66% performed targeted screening of only the high-risk group, whilst 13% did not carry out systemic screening. Majority of responders practices within recommendations of major professional societies; however, there is wide variation in the clinical practice in the treatment and screening of hypothyroidism during pregnancy in Asia.

  7. [Nationwide survey on radioactive waste management related to positron emission tomography in Japan].

    Science.gov (United States)

    Nagaoka, Hiroaki; Watanabe, Hiroshi; Yamaguchi, Ichiro; Fujibuchi, Toshioh; Kida, Tetsuo; Tanaka, Shinji

    2009-12-20

    A clearance system for medical radioactive solid waste has not yet been implemented in Japan. Since 2004 new regulations have allowed institutions using positron emission tomography(PET)to handle totally decayed radioactive waste as non-radioactive waste after decay-in-storage. It was expected that this new regulation would mediate the installation of clearance systems in Japan. In order to assess the current situation of radiation safety management in PET institutions, we conducted a nationwide survey. The study design was a cross-sectional descriptive study conducted by questionnaire. The subjects of this survey were all the PET institutions in Japan. Among 224 institutes, 128 institutes are equipped with cyclotrons and 96 institutes are not. The number of returned questionnaires was 138. Among institutes that are using delivered radiopharmaceuticals, 80% treat their waste as non-radioactive according to the new regulation. The impact of new regulations for reducing radioactive waste in PET institutes without a cyclotron was estimated at about $400 thousand per year. The main concern of medical institutes was assessment of the contamination caused by by-products of radioactive nuclides generated in target water during the operation of a cyclotron. It was thought that a rational rule based on scientific risk management should be established because these by-products of radioactive nuclides are negligible for radiation safety. New regulation has had a good influence on medical PET institutes, and it is expected that a clearance system for medical radioactive waste will be introduced in the near future, following these recent experiences in PET institutes.

  8. [Management of cardiogenic shock: Results from a survey in France and Belgium].

    Science.gov (United States)

    Champion, S; Deye, N

    2017-04-01

    Physician survey on cardiogenic shock management; recommendations for the management of patients with cardiogenic shock are based mostly on experts' opinion. Overall 1585 emails were sent to "senior" intensive care physicians from France and Belgium from September 2014 to march 2015. Response rate was 10% (157 respondents). Agreement was assessed based on RAND/UCLA methodology. Continuous monitoring of cardiac output, vascular filling, noninvasive ventilation were deemed appropriate. The use of systematic diuretics and dopamine seemed inappropriate. There was a strong agreement to use dobutamine as inotropic drug in first intention. The use of noradrenaline and adrenaline was considered appropriate. There was a strong agreement to use mechanical circulatory support, in particular extracorporeal life support, in refractory cardiogenic shock. Only 25% of responders felt that there are criteria of refractory cardiogenic shock. Concerning the objectives of systolic, diastolic and mean blood pressure, 95% of the responses were in the range between 70 to 100, 30 to 50, and 55 to 65mmHg, respectively. The target of SvO2 was between 55% and 75%, and cardiac index between 1.5 and 3L/min/m(2) for 95% of responders. There was a strong agreement to maintain hemoglobin between 7 and 9.9g/dL. Based on our physician survey, we found an agreement in vascular filling and early enteral nutrition. Dobutamine and noradrenaline should be the preferred drugs, but not dopamine. Mechanical circulatory support (preferably with extracorporeal support) should be restricted to refractory cardiogenic shock. Those responses differed slightly from experts' opinion, available in terms of recommendations. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  9. Management of iron deficiency anemia: A survey of pediatric hematology/oncology specialists

    Science.gov (United States)

    Powers, Jacquelyn M.; McCavit, Timothy L.; Buchanan, George R.

    2015-01-01

    Background Iron deficiency anemia (IDA) is the most common hematologic condition in children and adolescents in the United States (US). No prior reports have described the management of IDA by a large cohort of pediatric hematology-oncology specialists. Procedure A 20-question electronic survey that solicited responses to two hypothetical cases of IDA was sent to active members of the American Society of Pediatric Hematology/Oncology (ASPHO) in the United States. Results Of 1,217 recipients, 398 (32.7%) reported regularly treating IDA and completed the survey. In a toddler with nutritional IDA, 15% (N=61) of respondents reported ordering no diagnostic test beyond a complete blood count. Otherwise, wide variability in laboratory testing was reported. For treatment, most respondents would prescribe ferrous sulfate (N=335, 84%) dosed at 6 mg/kg/day (N=248, 62%) divided twice daily (N=272, 68%). The recommended duration of iron treatment after resolution of anemia and normalized serum ferritin varied widely from 0 months to 3 months. For an adolescent with heavy menstrual bleeding and IDA, most respondents recommended ferrous sulfate (N=327, 83%), with dosing based on the number of tablets daily. For IDA refractory to oral treatment, intravenous iron therapy was recommended most frequently, 48% (N=188) using iron sucrose, 17% (n=68) ferric gluconate, and 15% (N=60) low molecular weight iron dextran. Conclusion The approach to diagnosis and treatment of IDA in childhood was widely variable among responding ASPHO members. Given the lack of an evidence base to guide clinical decision making, further research investigating IDA management is needed. PMID:25663613

  10. Patient and physician asthma deterioration terminology: results from the 2009 Asthma Insight and Management survey.

    Science.gov (United States)

    Blaiss, Michael S; Nathan, Robert A; Stoloff, Stuart W; Meltzer, Eli O; Murphy, Kevin R; Doherty, Dennis E

    2012-01-01

    Long-term achievement of asthma control is dependent in part on the use of mutually understandable asthma terminology in all verbal and written patient-physician communications. Using data from the Asthma Insight and Management (AIM) survey, the objective of this analysis is to provide a contemporary depiction of asthma deterioration terminology as used by current asthma patients and physicians in the United States. As part of the 2009 AIM survey, current asthma patients (≥12 years of age; weighted n = 2499) and physicians (n = 309) were queried about their recognition, understanding, and/or use of the terms "asthma attack," "asthma flare-up," and "asthma exacerbation" in telephone interviews. Nearly all patients had heard the term "asthma attack" (97%), but relatively few had heard the term "asthma exacerbation" (24%); 71% had heard "asthma flare-up." In contrast, physicians reported using the term "asthma attack" least (65%) and the term "asthma exacerbation" most (77%) when discussing asthma with their patients; 70% reported using "asthma flare-up." Among patients familiar with "asthma flare-up" and "asthma exacerbation" (n = 502), only 38% said that the terms mean the same thing; nearly all physicians (94%) said that the terms mean the same thing. Collectively, data from the AIM survey suggest that patients and physicians use different asthma deterioration terminology and, more importantly, that they do not necessarily understand each other's terms. Standardizing asthma deterioration terminology may help optimize asthma patient-physician communication to improve patient understanding of written asthma action plans and therefore, enhance patient outcomes.

  11. The policies of ethics committees in the management of biobanks used for research: an Italian survey.

    Science.gov (United States)

    Porteri, Corinna; Togni, Elena; Pasqualetti, Patrizio

    2014-02-01

    Gaps in regulations pertaining to the collection and storage of biological materials in a biobank, at least in the European context, have made the writing of local guidelines essential from an ethical point of view. Nevertheless, until recently, the elaboration of local guidelines for the collection, use and storage of biological materials in a biobank has been the exception in Italy and all European countries. In this context, it is of value to know the policies, even if they are unwritten, of local ethics committees (ECs) engaged in the evaluation of research protocols involving biobanks and biological materials. This paper presents the results of a survey carried out among local Italian ECs (229) to document their attitudes and policies regarding the management of the ethical issues related to biobanks and the use of biological materials. A questionnaire was developed to investigate the areas regarded as critical from an ethical-legal point of view: informed consent and information to the subjects; protection of confidentiality; communication of research results; access/transfer of biological materials and related data; ownership of samples and data and intellectual property rights; and subjects' remuneration and benefit sharing. Twenty-six ECs from the Italian Institutes for Research and Care (62%) and 26 other ECs (14%) participated in the survey.

  12. Baseline survey of health prophylaxis and management practices on Swiss dairy farms.

    Science.gov (United States)

    Gordon, P; Kohler, S; Reist, M; van den Borne, B; Menéndez González, S; Doherr, M

    2012-09-01

    Health prophylaxis management practices have acquired a major role in the success of dairy herd health programs, however, little is known about the scope and level of implementation on Swiss dairy farms. The main objective of this study was therefore to provide a general overview of the most important preventive measures which are currently being used on these farms. In March 2011, an online survey with 75 questions was sent to 2'285 randomly selected Swiss dairy farmers. Response rate by question ranged from 35 to 53 %. Within this study, answers were compared between dairy farms with a tie-stall (n = 739) and farms with a free-stall (n = 458). Homeopathic treatments were used by 51 % of the dairy farmers and antibiotic dry cow treatments by 94 %. Farmers with a tie-stall tended to carry out more prophylactic treatments against external parasites, vaccinated their cows more frequently against Clostridium chauvoei and Moraxella bovis, and carried out claw trimming more frequently than dairy farmers with a free-stall. A higher proportion of dairy farmers with a free-stall had a written feeding plan, carried out regular feed analysis, wore an apron and rubber gloves during milking, and carried out post milking teat disinfection more frequently than dairy farmers with a tie-stall. The data collected in this survey could assist in improving future dairy health communication campaigns in Switzerland.

  13. Survey of U.S. zoo and aquarium animal care staff attitudes regarding humane euthanasia for population management.

    Science.gov (United States)

    Powell, David M; Ardaiolo, Matthew

    2016-05-01

    The humane euthanasia of animals for population management, or culling, has been suggested as one possible tool for managing animal populations for sustainability, and recent, highly publicized euthanasia of zoo animals in Copenhagen has stimulated global conversation about population management in zoos. We conducted a nationwide survey of U.S. zoo and aquarium personnel, including keepers, managers, and leaders of AZA animal programs, to assess their overall attitudes regarding population management euthanasia. The surveyed populations were generally very aware of the concept of population management euthanasia. Managers and animal program leaders were more supportive of euthanasia than keepers. We found that regardless of role, men were more supportive of euthanasia than women. Those personnel who were aware of instances of population management euthanasia at their institutions before were more supportive of it than those who were not. Support for culling varied with the kind of animal being considered for it, with three general taxon acceptability groupings emerging. Education, tenure in the profession, taxonomic expertise, and whether or not the responder took the survey before or after the Copenhagen events were not strong predictors of attitudes. Overall, the surveyed populations were approximately evenly split in terms of being in favor of euthanasia, not supporting euthanasia, or being unsure. Most responders indicated that they would be more likely to accept culling if more information was provided on its rationale. These results will form the basis for further discussions on the role of humane euthanasia for population management. Zoo Biol. 35:187-200, 2016. © 2016 Wiley Periodicals, Inc.

  14. Strauss: Der Rosenkavalier - Suite / Michael Kennedy

    Index Scriptorium Estoniae

    Kennedy, Michael

    1990-01-01

    Uuest heliplaadist "Strauss: Der Rosenkavalier - Suite, Salome-Dance of the seven veils, Capriccio-Prelude, Intermezzo, Morgen Mittag um elf! Felicity Lott, Scottish National Orchestra, Neeme Järvi" Chandos ABRD 1397. ABTD 1397. CHAN 8758

  15. GRUP PERMUTASI SIKLIS DALAM PERMAINAN SUIT

    Directory of Open Access Journals (Sweden)

    Bagus Ardi Saputro

    2012-09-01

    Full Text Available Makalah ini merupakan kajian konsep grup permutasi dalam sebuah permainan suit. Grup permuatasi yang terdapat dalam permainan suit adalah grup permutasi yang siklis. Penyajian grup menggunakan permainan dalam pembelajaran aljabar abstrak dapat dilakukan guna meningkatkan minat mahasiswa dan memberikan pemahaman yang mendalam tentang konsep grup.   Kata Kunci: Permainan, Grup, Aljabar, Siklis, Permutasi     This paper is a study of the concept of a permutation group in a game suit. Grup permuatasi contained in the suit game is a cyclic permutation group. Presentation of the group using games in learning abstract algebra can be done to increase student interest and provide a deep understanding of the concept of the group.   Keywords: Games, Groups, Algebra, Cyclical, Permutations

  16. "Suits" äratab vastikustunde / Katri Viitpoom

    Index Scriptorium Estoniae

    Viitpoom, Katri

    2009-01-01

    "Suits" on šokeeriv ja suitsetamise vastu vastikust tekitav õppefilm, mis sobib vaatamiseks keskkoolinoortele ja juba tubakasõltuvuses vaevlevatele keskmise kooliastme õpilastele. Režissöör Jan Erik Nõgisto

  17. AX-5 space suit reliability model

    Science.gov (United States)

    Reinhardt, AL; Magistad, John

    1990-01-01

    The AX-5 is an all metal Extra-vehicular (EVA) space suit currently under consideration for use on Space Station Freedom. A reliability model was developed based on the suit's unique design and on projected joint cycle requirements. Three AX-5 space suit component joints were cycled under simulated load conditions in accordance with NASA's advanced space suit evaluation plan. This paper will describe the reliability model developed, the results of the cycle testing, and an interpretation of the model and test results in terms of projected Mean Time Between Failure for the AX-5. A discussion of the maintenance implications and life cycle for the AX-5 based on this projection is also included.

  18. Strauss: Der Rosenkavalier - Suite / Michael Kennedy

    Index Scriptorium Estoniae

    Kennedy, Michael

    1990-01-01

    Uuest heliplaadist "Strauss: Der Rosenkavalier - Suite, Salome-Dance of the seven veils, Capriccio-Prelude, Intermezzo, Morgen Mittag um elf! Felicity Lott, Scottish National Orchestra, Neeme Järvi" Chandos ABRD 1397. ABTD 1397. CHAN 8758

  19. Heinrich Stahl ja ta kaasaegsed / Gustav Suits

    Index Scriptorium Estoniae

    Suits, Gustav, 1883-1956

    1999-01-01

    Varem ilmunud: Suits, Gustav. Eesti kirjanduslugu I. Lund : Eesti Kirjanike Kooperatiiv, 1953. Heinrich Stahl (1600-1657), Joachim Rossihnius (1600-1646), Reiner Brockmann (1609-1647), Johann Gutsleff (surn. 1657)

  20. SiLK: A Tool Suite for Unsampled Network Flow Analysis at Scale

    Science.gov (United States)

    2014-06-01

    SiLK : A Tool Suite for Unsampled Network Flow Analysis at Scale Mark Thomas, Leigh Metcalf, Jonathan Spring, Paul Krystosek, Katherine Prevost netsa...make the problem manageable, but sampling unacceptably reduces the fidelity of ana- lytic conclusions. In this paper we discuss SiLK , a tool suite...created to analyze this high-volume data source without sampling. SiLK implementation and archi- tectural design are optimized to manage this Big Data

  1. STS-86 Pilot Michael Bloomfield suits up

    Science.gov (United States)

    1997-01-01

    STS-86 Pilot Michael J. Bloomfield relaxes for a moment while donning his launch and entry suit with the assistance of a suit technician in the Operations and Checkout Building. This will be Bloomfields first spaceflight. He and the six other crew members will depart shortly for Launch Pad 39A, where the Space Shuttle Atlantis awaits liftoff on a 10-day mission slated to be the seventh docking of the Space Shuttle with the Russian Space Station Mir.

  2. A survey of airway and ventilator management strategies in North American pediatric burn units.

    Science.gov (United States)

    Silver, Geoffrey M; Freiburg, Carter; Halerz, Marcia; Tojong, Jonathan; Supple, Kathy; Gamelli, Richard L

    2004-01-01

    A survey was used to gather information regarding airway management patterns in thermally injured children. North American pediatric burn centers listed by the American Burn Association were sent a survey designed to examine patterns of pediatric airway management in children with acute respiratory failure. The sample population means for the number of patients ventilated more than 48 hours and the number of patients ventilated more than 48 hours with inhalation injury were used to separate centers into large and small pediatric burn centers. Small pediatric burn centers had less than 50 patients who were intubated during a 5-year period. A five-point nominal scale was used to facilitate statistical analysis. Twenty-five pediatric burn centers included in the analysis estimated that 11,494 children were admitted during the 5-year period. There was no statistically dominant ventilator mode being used in the setting of acute respiratory failure identified by this survey. Large pediatric burn centers reported more frequent use of cuffed endotracheal tubes and more frequent change from an uncuffed to a cuffed endotracheal tube in patients who were difficult to ventilate because of an excess leak. Large pediatric burn centers reported a higher prevalence of tracheomalacia then small pediatric burn centers. Steroids were used by most centers before extubation in patients with persistent airway edema. No centers reported complications from steroid use. There is lack of clear consensus regarding the application of various ventilator modes in the setting of acute respiratory failure irrespective of center volume. There were divergent of practice patterns between large and small pediatric burn centers regarding the use of cuffed endotracheal tubes and the timing of tracheostomy. There was agreement between large and small pediatric burn centers in tracheostomy use in children older the age of 7 and the use of steroids as an adjunct to extubation in patients with lingering

  3. The effect of managed care on use of health care services: results from two contemporaneous household surveys.

    Science.gov (United States)

    Deb, Partha; Li, Chenghui; Trivedi, Pravin K; Zimmer, David M

    2006-07-01

    This paper estimates treatment effects of managed care plans on the utilization of health care services using data from two contemporaneous, nationally representative household surveys from the USA. The paper exploits recent advances in simulation-based econometrics to take the endogeneity of enrollment into managed care plans into account and identify the causal relationship between managed care enrollment and utilization. Overall, results from the two surveys are remarkably similar, lending credibility to their external validity and to the econometric model and estimation methods. There is significant evidence of self-selection into managed care plans. After accounting for selection, an individual enrolled in an health maintenance organization (HMO) plan has 2 more visits to a doctor and has 0.1 more visits to the emergency room per year than would the same individual enrolled in a nonmanaged care plan.

  4. Engineering change management report 2012: Survey results on causes and effects, current practice, problems, and strategies in Brazil

    DEFF Research Database (Denmark)

    Chucholowski, Nepomuk; Langer, Stefan; Ferreira, Marcelo Gitirana Gomes

    management of engineering changes is a crucial precondition for Brazilian companies to successfully compete not only on the fast growing Brazilian market, but also on the world market which becomes more interesting due to the rising industrial power of Brazil. To achieve improvements in engineering change...... management practice, industry and universities need to work together. In this report the main findings of our study on Engineering Change Management (ECM) in Brazilian companies are presented, which indicate possible solution strategies and further research needs. Our survey aimed on the investigation...... of current practice, the biggest challenges and potential strategies of engineering change management. A total of 55 Brazilian companies from a broad range of industry sectors and company sizes participated from December 2011 until January 2012 in the survey which was elaborated and conducted by members...

  5. A Survey on Current Practice of Management of Early Onset Neonatal Sepsis.

    Science.gov (United States)

    Dey, A C; Hossain, M I; Afroze, S; Dey, S K; Mannan, M A; Shahidullah, M

    2016-04-01

    It was a survey type of cross sectional study where the participants were from different teaching/referral hospital across the country and was done to gather information regarding current practice of management of neonatal sepsis among paediatricians and neonatologists and was conducted on the spot during a national conference of Bangladesh Perinatal Society in December 2013. Specialists in neonatology, paediatrics, and some other disciplines working in different institutes across the country were requested to respond. Out of 150 physicians, 92 (61.33%) were neonatologists. Physicians suspected early onset neonatal sepsis (EONS) when there is history suggestive of prolonged rupture of membrane (74.77%), prolonged labour (9.33%), chorioamnionitis (7.33%) and maternal fever (2%). Clinical sepsis is found commonly (53.33%) which is later proved by laboratory evidences such as Hb%, TC, DC PBF (peripheral blood film), C-reactive protein, chest X-ray etc. Injection Ampicillin and Gentamycin are still the first choice of antibiotics (61.3%). Preferred route was intravenous (95.3%). Antibiotics were given for 7-10 days by most of the physicians (48.77%). However there is lack of uniformity among the participants in regard to taking decision about antibiotics, the choice of first line and the subsequent options of antibiotics. So, neonatal sepsis is the most important cause of neonatal mortality in the community. Therefore a standard protocolized approach for diagnosis and management of Early Onset Neonatal Sepsis may prove critical which is currently not in practice uniformly.

  6. [Perspectives of Spanish psychiatrists on the management of dementias: the PsicoDem survey].

    Science.gov (United States)

    Martín-Carrasco, Manuel; Arranz, Francisco Javier

    2015-01-01

    Mental health services are not systematically involved in the care of dementias in Spain. Nevertheless, many patients with dementia attend these services. The perspective of psychiatrist as regards this situation has not been evaluated at the national level to date, and it may be of interest to determine their actual involvement and the strategies to foster it. A survey was conducted on 2,000 psychiatrists on a range of mental health care services. Respondents provided socio-demographic data and information about clinical aspects, together with their opinions regarding the management of dementia. Responses were described by their raw frequencies and measures of association for cross-tabulations resulting from selected pairs of questions. Inferences were made by calculating their 95% confidence intervals. Psychiatrist involvement in the management of dementias was limited, aside from those involved in psycho-geriatric units or nursing homes facilities. However, there were wide, regional differences. Nearly all respondents (81%) were ready to augment their knowledge and skills in the area of dementia. In particular, the insufficient medical education, together with other organizational factors, such as the difficulties in ordering diagnostic tests (i.e. neuroimaging), or prescribing anti-dementia drugs in some regions, were common barriers psychiatrists faced when approaching patients with dementia. Increasing psychiatrist involvement and boosting coordinated efforts with other specialists in a form of integrated care may advance the care of dementias in Spain to a more valuable level. Copyright © 2013 SEP y SEPB. Published by Elsevier España. All rights reserved.

  7. Nurses' perceptions of pain assessment and management practices in neonates: a cross-sectional survey.

    Science.gov (United States)

    Pölkki, Tarja; Korhonen, Anne; Laukkala, Helena

    2017-08-22

    This study aimed to describe pain assessment and management practices for neonates based on nurses' perceptions in neonatal intensive care units (NICUs). A descriptive cross-sectional survey was conducted in Finland. Of all nurses (N = 422) working in the NICUs in the country's five university hospitals, 294 responded to a questionnaire. The data were analysed by statistical methods. Nurses agreed that pain assessment is important, but over half of them reported being able to assess pain in a reliable way without using pain assessment scales. Physiological parameters and changes in neonate's behaviour were reported as routinely observed, but many specific facial expressions indicative of pain were less often observed. Only a few pain assessment scales were known, and they were not routinely used in clinical practice. Most nurses reported using physical methods and giving oral sucrose along with non-nutritive sucking. Counselling parents to continue breastfeeding or guiding them to use skin-to-skin care or music was rarely reported as used to alleviate infants' pain. Educational interventions for nurses are needed to improve pain assessment and management practices in the NICUs. In addition, there is a need for national guidelines in order to ensure the equal treatment to all neonates. © 2017 Nordic College of Caring Science.

  8. Comparing Coral Reef Survey Methods. Unesco Reports in Marine Science No. 21 Report of a Regional Unesco/UNEP Workshop on Coral Reef Survey Management and Assessment Methods in Asia and the Pacific (Phuket, Thailand, December 13-17, 1982).

    Science.gov (United States)

    United Nations Educational, Scientific, and Cultural Organization, Paris (France). Div. of Marine Sciences.

    This report includes nine papers prepared for a workshop on coral reef survey management and assessment methods in Asia and the Pacific. The papers are: "A Contrast in Methodologies between Surveying and Testing" (Charles Birkeland); "Coral Reef Survey Methods in the Andaman Sea" (Hansa Chansang); "A Review of Coral Reef…

  9. Comparing Coral Reef Survey Methods. Unesco Reports in Marine Science No. 21 Report of a Regional Unesco/UNEP Workshop on Coral Reef Survey Management and Assessment Methods in Asia and the Pacific (Phuket, Thailand, December 13-17, 1982).

    Science.gov (United States)

    United Nations Educational, Scientific, and Cultural Organization, Paris (France). Div. of Marine Sciences.

    This report includes nine papers prepared for a workshop on coral reef survey management and assessment methods in Asia and the Pacific. The papers are: "A Contrast in Methodologies between Surveying and Testing" (Charles Birkeland); "Coral Reef Survey Methods in the Andaman Sea" (Hansa Chansang); "A Review of Coral Reef…

  10. Patterns of care in the management of seminoma stage I: results from a European survey.

    Science.gov (United States)

    Vossen, Carla Y; Horwich, Alan; Daugaard, Gedske; van Poppel, Hein; Osanto, Susanne

    2012-08-01

    Study Type - Therapy (practise pattern survey). Level of Evidence 3b. What's known on the subject? and What does the study add? The uncertainties about differences in relapse and rates of other late events such as second malignancy and cardiovascular events for the three post-orchidectomy strategies in seminoma stage I patients has led to debates about whether the three strategies are equally effective and safe. The differences in interpretation of the data as well as the debates are likely to result in differences in treatment after orchidectomy in seminoma stage I patient management. Current care patterns after orchidectomy are, however, unknown. We assessed patterns of care for seminoma stage I patients after orchidectomy by distributing a survey among doctors treating such patients across Europe. The 969 respondents showed large differences in care strategies between specialties and countries that indicate the need for research into long-term relapse rates and long-term adverse effects to standardize and optimize care for seminoma stage I patients. • To assess precise patterns of care after orchidectomy in Europe for stage I seminoma patients, we aimed to perform a survey among doctors in the various European countries. • We distributed a survey in 2009 and 2010 among American Society of Clinical Oncology and European Association of Urology members. • In total, 969 questionnaires were included in the analysis. More than half of the 969 physicians (58%) currently offer only one post-surgical treatment: 18% only surveillance, 19% only radiotherapy and 21% only chemotherapy. Thirteen percent of the 969 physicians currently offer all three strategies, 25% offer surveillance and adjuvant radiotherapy or chemotherapy, and 5% offer either adjuvant radiotherapy or chemotherapy without surveillance. • We found large differences in care patterns between specialties and countries. Even within countries, care after orchidectomy was not standardized. • Before 2005

  11. The initial management of stable angina in Europe, from the Euro Heart Survey: a description of pharmacological management and revascularization strategies initiated within the first month of presentation to a cardiologist in the Euro Heart Survey of Stable Angina.

    NARCIS (Netherlands)

    Daly, C.A.; Clemens, F.; Lopez-Sendon, J.; Tavazzi, L.; Boersma, E.; Danchin, N.; Delahaye, F.; Gitt, A.; Julian, D.; Mulcahy, D.; Ruzyllo, W.; Thygesen, K.; Verheugt, F.W.A.; Fox, K.M.

    2005-01-01

    AIMS: In order to assess adherence to guidelines and international variability in management, the Euro Heart Survey of Newly Presenting Angina prospectively studied medical therapy, percutaneous coronary intervention (PCI), and surgery in patients with new-onset stable angina in Europe. METHODS AND

  12. Total Quality Management in Higher Education: Clearing the Hurdles. A Survey on Strategies for Implementing Quality Management Practices in Higher Education. A GOAL/QPC Application Report.

    Science.gov (United States)

    Seymour, Daniel

    Based on a survey of Quality Management (QM) practitioners at 21 colleges, this study presents the 10 most difficult implementation hurdles to QM in higher education and a set of hurdle-clearing strategies. The hurdles are: (1) lack of time to implement QM; (2) perception that QM is something for janitorial and housing staffs but not applicable to…

  13. Total Quality Management in Higher Education: Clearing the Hurdles. A Survey on Strategies for Implementing Quality Management Practices in Higher Education. A GOAL/QPC Application Report.

    Science.gov (United States)

    Seymour, Daniel

    Based on a survey of Quality Management (QM) practitioners at 21 colleges, this study presents the 10 most difficult implementation hurdles to QM in higher education and a set of hurdle-clearing strategies. The hurdles are: (1) lack of time to implement QM; (2) perception that QM is something for janitorial and housing staffs but not applicable to…

  14. Development of a brief survey to measure nursing home residents' perceptions of pain management.

    Science.gov (United States)

    Teno, Joan M; Dosa, David; Rochon, Therese; Casey, Virginia; Mor, Vincent

    2008-12-01

    Persistent severe pain in nursing home residents remains an important public health problem. One major key to quality improvement efforts is the development of tools to assist in auditing and monitoring the quality of health care delivery to these patients. A qualitative synthesis of existing pain guidelines, and input from focus groups and an expert panel, were used to develop a 10-item instrument, the Resident Assessment of Pain Management (RAPM). The psychometric properties of the RAPM were examined in a sample of 107 (82% female, average age 85) cognitively intact nursing home residents living in six Rhode Island nursing homes. Reliability and internal consistency were evaluated with test-retest and Cronbach's alpha, respectively, and validity was examined against independent assessment of pain management by research nurses. After comparing the results of RAPM with the independent pain assessment and examining a frequency distribution and factor analysis, five of the 10 items were retained. Internal reliability of the final instrument was 0.55. The rate of reported concerns ranged from 8% stating that they were not receiving enough pain medication to 43% stating that pain interfered with their sleep. The median pain problem score (i.e., the count of the number of opportunities to improve) was 1, with 23% of residents reporting three or more concerns. Overall, RAPM was moderately correlated (Spearman correlation coefficient r=0.43) with an independent expert nurse assessment of the quality of pain management. Evidence of construct validity for RAPM is based on the correlation of the pain problem score with nursing home resident satisfaction with pain management (r=0.26), reported average pain intensity (r=0.41), research nurse completion of the Minimum Data Set pain items (r=0.52), and the quality of pain documentation in the medical record (r=0.28). In conclusion, RAPM is a brief survey tool easily administered to nursing home residents that identifies

  15. Responsibility for managing musculoskeletal disorders – A cross-sectional postal survey of attitudes

    Directory of Open Access Journals (Sweden)

    Larsson Maria EH

    2008-08-01

    Full Text Available Abstract Background Musculoskeletal disorders are a major burden on individuals, health systems and social care systems and rehabilitation efforts in these disorders are considerable. Self-care is often considered a cost effective treatment alternative owing to limited health care resources. But what are the expectations and attitudes in this question in the general population? The purpose of this study was to describe general attitudes to responsibility for the management of musculoskeletal disorders and to explore associations between attitudes and background variables. Methods A cross-sectional, postal questionnaire survey was carried out with a random sample of a general adult Swedish population of 1770 persons. Sixty-one percent (n = 1082 responded to the questionnaire and was included for the description of general attitudes towards responsibility for the management of musculoskeletal disorders. For the further analyses of associations to background variables 683–693 individuals could be included. Attitudes were measured by the "Attitudes regarding Responsibility for Musculoskeletal disorders" (ARM instrument, where responsibility is attributed on four dimensions; to myself, as being out of my hands, to employers or to (medical professionals. Multiple logistic regression was used to explore associations between attitudes to musculoskeletal disorders and the background variables age, sex, education, physical activity, presence of musculoskeletal disorders, sick leave and whether the person had visited a care provider. Results A majority of participants had internal views, i.e. showed an attitude of taking personal responsibility for musculoskeletal disorders, and did not place responsibility for the management out of their own hands or to employers. However, attributing shared responsibility between self and medical professionals was also found. The main associations found between attitude towards responsibility for musculoskeletal

  16. Survey of the knowledge and management of transient ischemic attacks among primary care physicians and nurses.

    Science.gov (United States)

    Purroy, F; Cruz Esteve, I; Galindo Ortego, M G; Marsal Mora, J R; Oró, M; Plana, A

    2011-05-01

    Transient ischaemic attack (TIA) patients often report that Primary Care physicians (PCPs) and nurses are their main medical contacts after onset of symptoms in our health area. There are few studies on the knowledge and management of TIA among Community and Family Medicine professionals. Our aim was to study the current knowledge and practice in the management of TIA patients among Primary Care physicians and nurses. A cross-sectional survey with seven questions about TIA was conducted among 640 PCPs and nurses from Primary Care centres in our health area. In total, 285 (46.7% PCPs) took participate in the study. Of these, 239 (83.9%) participants knew the duration of a TIA. However only 40 (14%) recognised all clinical symptoms. An urgent neuroimaging was preferred by 67%. Only 42.5% agreed that an urgent cervical duplex would be useful in these patients. Transcranial Doppler was recognised by only 35.4%. A majority (78.2%) of participants agreed that TIA patients must be admitted to hospital. PCPs had the best knowledge of TIA (odds ratio [OR] 2.138; 95% CI 1.124-4.067; P = 0.021) but there were no differences between physicians and nurses on the management of these patients. Nurses from rural Primary Care centers had the worst level of knowledge (OR 0.410; 95% CI 0.189-0.891; P = 0.024). TIA was well recognized as a medical emergency. However, knowledge of clinical symptoms of TIA must be improved. Copyright © 2010 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  17. A descriptive survey of management and operations at selected sports medicine centers in the United States.

    Science.gov (United States)

    Olsen, D

    1996-11-01

    No uniform guidelines for operations or accreditation standards for sports medicine center were available and, at the time of this study, little information on the management and operation of sports medicine centers was available in the literature. The purpose of the study was to determine the management structure and function of selected sports medicine centers in the United States. Questionnaires were mailed to 200 randomly selected centers throughout the United State from a directory of sports medicine centers published in Physician and Sportsmedicine (1992) to gather descriptive information on eight areas, including 1) general background, 2) staffing, 3) services, facilities, and equipment, 4) billing, collections, and revenue, 5) clientele, caseloads, and referrals, 6) ownership and financing, 7) school and club outreach contracts, and 8) marketing strategies and future trends. A total of 71 surveys (35.5%) were returned in the allotted time frame. Data were analyzed using ranges, means, medians, modes, and percentages. Results yielded several conclusions about sports medicine centers. Nearly all (93%) of the centers employed physical therapists; physical therapists were clinical directors at 70.2% of centers; orthopaedists were most often medical directors; rehabilitation was the most frequently offered service (93%); physical therapy produced the highest revenue; sports injuries accounted for a mean 34.5% of patients, who were mostly recreational or high school athletes between 13-60 years of age; primary shareholders were most often physical therapists or physicians; most were involved in outreach services for schools; marketing strategies primarily involved communication with referral sources; and managed care was identified most frequently as a trend affecting the future of sports medicine centers. Findings identified common aspects of sports medicine centers and may assist in establishing guidelines for operations or accreditation of sports medicine

  18. MANAGEMENT OF AE-CB/COPD: A SURVEY OF RESPIRATORY PHYSICIANS IN SOME REGIONS OF CHINA

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Objective To investigate the bacteria spectrum isolated from AE-CB/ COPD and the manner of management of AE-CB/ COPD in respiratory or internal medicine department in some regions of China. Methods Respiratory physicians received questionnaire at randomization just after they managed a patient presenting to outpatient department with AE-CB/ COPD, on general conditions and symptoms of patients, type of examinations, diagnosis, type of antibiotics used and mode of administration. Results of sputum bacteria culture were followed up.Results Among the 1583 AE-CB/COPD , 63. 04% were male and 35. 19% were female. 54.6% of them were older than 60 years. 81.87% of the patients produced sputum. Sputum bacteria culture, chest X-ray and chest CT were carried out to 21.3%, 66. 3% and 11. 1% patients, respectively. 355 strains were isolated from patients whose sputum bacteria culture was positive. Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis were the three most isolates. 84. 7% of the 1583 AE-CB/COPD received 1692 times of antibiotic prescribing. The most frequently prescribed antibiotic were B-lactams (51.36% of all antibiotic prescribing), macrolides (14.01%) and quinolones (31.03%). Much more macrolides were prescribed in the area where more patients pay the medicines at his own expense than those in the area where more patients share public health service.Conclusion In China, respiratory physicians can reasonably select antibiotics to manage acute exacerbation of chronic bronchitis/ chronic obstructive pulmonary disease in pulmonary outpatient department. Sputum culture is done in part of the patients, but susceptibility tests are missing. One issue revealed by the survey is that the list of prescribing medications laid down by government have great influence on antibiotic use.

  19. Periodic bowhead whale aerial surveys by the USDI/Minerals Management Service in the Bering, Chukchi and Beaufort Seas, April 1979 - October 2001 (NODC Accession 0001139)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Minerals Management Service (MMS), previously Bureau of Land Management, has funded fall bowhead whale aerial surveys in this area each year since 1978, using a...

  20. Management of Mental Health Crises Among Youths With and Without ASD: A National Survey of Child Psychiatrists.

    Science.gov (United States)

    Kalb, Luther G; Stuart, Elizabeth A; Mandell, David S; Olfson, Mark; Vasa, Roma A

    2017-06-01

    This study compared management by child psychiatrists of mental health crises among youths with and without autism spectrum disorder (ASD). A custom online mental health crisis services survey was administered to members of the American Academy of Child and Adolescent Psychiatry. The survey probed three domains of crisis management: willingness to work with youths with a history of mental health crisis, comfort level in managing a mental health crisis, and availability of external resources during a crisis. Child psychiatrists reporting on management of youths with ASD (N=492) and without ASD (N=374) completed the survey. About 75% of psychiatrists in both groups were willing to accept a child with a history of a mental health crisis in their practice. During a crisis, psychiatrists caring for youths with ASD had less access to external consultation resources, such as a crisis evaluation center or other mental health professionals, compared with those caring for youths without ASD. Psychiatrists also expressed concerns about the ability of emergency department professionals and emergency responders to manage mental health crises among youths in a safe and developmentally appropriate manner, particularly among those with ASD. Child psychiatrists are in need of more external resources to manage youths with ASD who are experiencing a mental health crisis. There is also a need to develop best practice procedures for emergency responders who are working with youths experiencing a mental health crisis.

  1. DRIVING AND LIMITING FACTORS IN THE FARM MANAGEMENT BY YOUNG FARMERS IN THE CONTEXT OF SURVEY RESEARCH

    Directory of Open Access Journals (Sweden)

    Barbara Kiełbasa

    2016-03-01

    Full Text Available The purpose of the study was to identify driving and limiting factors of farm management in a region of fragmented agriculture. The paper presents the results of the research conducted in the South-Eastern Poland (Macroregion of Małopolska and Pogórze. The survey was conducted in 2014 in the farms managed by young farmers, i.e. the benefi ciaries of the measure “Setting up of young farmers” from the RDP 2007–2013, with the use of a survey method with a questionnaire interview. The research was empirical, and its main goal was to present a case study of the farm management by young farmers in terms of specifi c management barriers. The results of the studies pointed to the fragmented agrarian structure as the one of the biggest barriers of the eff ective farm management. The young farmers pointed that fragmented agrarian structure signifi cantly impedes the purchase or lease of agricultural land, and the farm development in the same way. The survey pointed to the factors that contribute to the young farmers: the entrepreneurial attitude, activity and creativity, training, the management knowledge and better access to the Common Agricultural Policy instruments.

  2. Preservice Teachers' Classroom Management Training: A Survey of Self-Reported Training Experiences, Content Coverage, and Preparedness

    Science.gov (United States)

    Christofferson, Michael; Sullivan, Amanda L.

    2015-01-01

    Many teachers report that their preservice training in classroom management was inadequate or ineffective, but little is known about the types of training they receive. In this exploratory study, 157 preservice teachers from throughout the United States were surveyed about the training sources through which they obtained knowledge and skills in…

  3. Preservice Teachers' Classroom Management Training: A Survey of Self-Reported Training Experiences, Content Coverage, and Preparedness

    Science.gov (United States)

    Christofferson, Michael; Sullivan, Amanda L.

    2015-01-01

    Many teachers report that their preservice training in classroom management was inadequate or ineffective, but little is known about the types of training they receive. In this exploratory study, 157 preservice teachers from throughout the United States were surveyed about the training sources through which they obtained knowledge and skills in…

  4. [Survey of parental acceptance rate to behavior management techniques used in pediatric dentistry].

    Science.gov (United States)

    Chen, Xu; Jin, Shi-Fu; Liu, Hong-Bo

    2008-10-01

    To investigate the parental acceptance rate to behavior management techniques (BMT) used in pediatric dentistry. Two hundred and eighty-five subjects (mother or father) were included in this survey. Five behavior management techniques including (1)tell-show-do; (2)voice control; (3)passive restraint; (4)sedation; (5) general anesthesia commonly used in pediatric dentistry were explained to the parents and then filled the questionnaires by either of the parents, including the parental age, gender, educational level and income, The answerer rated their acceptance of each technique using a visual analogue scale (VAS), a continuous scale ranging from 0 to 100mm. The left end represented "completely acceptable" and the right end represented "completely unacceptable". The subjects were instructed to rate the acceptability of each technique by placing a mark on the VAS response line. The acceptability rating of each technique by the subject was determined by measuring the distance between VAS line from the left end to the mark. SPSS10.0 software was used for statistical analysis. VAS measurements were analyzed using a factorial analysis of variance (ANOVA). Student's t test was used to analyze the difference between the acceptance rates for different gender of the answerers. The correlation between independent variables consisted of parental gender, education level, income and behavior management techniques were analyzed using Spearman correlation test. The order of decreasing acceptance rate was as follows, tell-show-do, voice control, sedation, general anesthesia and passive restraint. The difference between each of them was statistically significant (F=215.2,Panesthesia by Spearman correlation analysis (P<0.01). The acceptance rate of tell-show-do and passive restraint were related to parental gender. According to Students's t test, female tended to accept tell-show-do more than males (P=0.011), nevertheless more males tended to accept passive restraint (P=0.001). No

  5. The Reten-World survey of the management of acute urinary retention: preliminary results.

    Science.gov (United States)

    Emberton, Mark; Fitzpatrick, John M

    2008-03-01

    Acute urinary retention (AUR) is a urological emergency characterized by a sudden and painful inability to pass urine. It represents a significant worldwide public health issue, as mortality within the year following an AUR episode appears much higher than in the general population, especially in younger patients. Management of AUR involves immediate bladder catheterization usually followed, until recently, by prostatic surgery. The greater morbidity and mortality associated with emergency surgery (within a few days after AUR), and the potential morbidity associated with prolonged catheterization (bacteriuria, fever, urosepsis) has led to an increasing use of a trial without catheter (TWOC). TWOC involves catheter removal after 1-3 days, allowing 23-40% of patients to void successfully, so that surgery can be performed at a later stage, if needed. Use of an alpha(1)-blocker before a TWOC may also be of help, as it has been demonstrated that it increases the chances of successful voiding after catheter removal. In the UK, this TWOC policy has resulted in a progressive decrease in the number of surgical procedures following a first episode of AUR, with the detriment of a slight increase in the AUR recurrence rate. Currently, there is no consensus on the optimal management of AUR in terms of type of catheterization, duration of catheterization and management following catheterization. The Reten-World survey is aimed at assessing current practice in the management of AUR in France, Asia, Latin America, North Africa and the Middle East. Interim results based on 3785 men with AUR associated with benign prostatic hyperplasia show that a urethral catheter is inserted in most cases (87%). Following this initial step, a TWOC after a median of 3 days' catheterization has become standard practice worldwide, with only a minority of men (6%) undergoing immediate surgery. Treatment with an alpha(1)-blocker before a TWOC improves the chances of success, regardless of the duration

  6. Identification and management of women with inherited bleeding disorders: a survey of obstetricians and gynaecologists in the United Kingdom.

    Science.gov (United States)

    Chi, C; Shiltagh, N; Kingman, C E C; Economides, D L; Lee, C A; Kadir, R A

    2006-07-01

    A mail survey of members and fellows of Royal College of Obstetricians and Gynaecologists was carried out to determine current practices of obstetricians and gynaecologists in the United Kingdom in the management of women with inherited bleeding disorders. In total, 3929 questionnaires were sent, 707 returned and analysis was limited to 545 valid questionnaires. In the past 5 years, 91% have managed women with inherited bleeding disorders. The majority (83%) considered inherited bleeding disorders to be under diagnosed in obstetrics and gynaecology. More than 80% considered the prevalence of von Willebrand's disease (VWD) to be management guidelines are essential in minimizing haemorrhagic complications and improving quality of care of these women.

  7. Fluid management in burn patients: results from a European survey-more questions than answers.

    Science.gov (United States)

    Boldt, Joachim; Papsdorf, Michael

    2008-05-01

    Many strategies were proposed for fluid management in burn patients with different composition containing saline solution, colloids, or plasma. The actual clinical use of volume replacement regimen in burn patients in Europe was analysed by an international survey. A total of 187 questionnaires consisting of 20 multiple-choice questions were sent to 187 burn units listed by the European Burn Association. The response rate was 43%. The answers came from a total of 20 European countries. Volume replacement is mostly exclusively with crystalloids (always: 58%; often: 28%). The majority still use fixed formulae: 12% always use the traditional Baxter formula, in 50% modifications of this formula are used. The most often used colloid is albumin (always: 17%, often: 38%), followed by HES (always: 4%, often: 34%). Gelatins, dextrans, and hypertonic saline are used only very rarely. Fresh frozen plasma (FFP) is given in 12% of the units as the colloid of choice. Albumin was named most often to be able to improve patients' outcome (64%), followed by HES (53%), and the exclusive use of crystalloids (45%). Central venous pressure (CVP) is most often used to monitor volume therapy (35%), followed by the PiCCO-system (23%), and mixed-venous saturation (ScVO2; 10%). It is concluded that the kind of volume therapy differs widely among European burn units. This survey supported that no generally accepted volume replacement strategy in burn patients exists. New results, e.g. importance of goal-directed therapy or data concerning use of albumin in the critically ill, have not yet influenced strategies of volume replacement in the burn patient.

  8. A survey-based assessment of seagrass status, management and legislation in Europe

    Directory of Open Access Journals (Sweden)

    Carmen B. De Los Santos

    2014-06-01

    Perception of the ecological status of European seagrasses varied greatly among species and countries. Z. noltei and Z. marina got low scores in most of the countries whereas P. oceanica was rated from “moderate” to “very good” and Cymodocea nodosa got very dissimilar scores (Fig 1. Coastal development and eutrophication were reported as the mayor threats to seagrasses (Fig 2, in agreement with recent global or regional assessments (Grech et al., 2012, Marbà et al., 2014. Some of the respondent underlined the limited research background to score seagrass threats or their local particularity. Seagrasses have been reported as uncharismatic ecosystems (Duarte et al., 2008 and this was reflected in our results: scores were low for the public and policy makers and variable for managers (Fig 1. Some respondents highlighted a differential awareness among species (higher for P. oceanica than for other co-existing species. Several management and conservation instruments are, however, increasing the seagrass awareness in Europe, such as the use of seagrasses as indicators in the Water Framework Directory (WFD and the existence of volunteer-based monitoring programmes, which typically include outreach initiatives for the general public and interactions with managers (e.g. www.lifeposidoniandalucia.es, www.famar.wordpress.com. Borum et al. (2004 stated that “several countries already have established comprehensive and advanced monitoring programmes for seagrasses, but in many European countries programmes are virtually absent”. After a decade, our survey showed that seagrass monitoring effort, although increasing, is still variable or absent in some countries (Figs 2 & 3. Similarly, the mapped area of seagrass beds is very poor in many countries (Fig 2, or only presence/absence data or roughly theoretical estimations of total area are available. Seagrass mapping and/or monitoring were reported to be unorganised (specially when various local groups and/or regional

  9. Fostering New Roles for Librarians: Skills Set for Repository Managers — Results of a Survey in Italy

    Directory of Open Access Journals (Sweden)

    Maria Cassella

    2012-04-01

    Full Text Available The open access movement in scholarly communication has grown considerably over the last ten years and it has driven an increase in the number of institutional repositories (IRs. New professional roles and skills had to be developed to secure effective IR management. Collection developmente expertise and metadata curation are regarded as strategic roles for repositories and therefore it is only logical for the library and information community to take on the responsibility for managing these digital archives. However, it has become clear that traditional librarian skills do not suffice anymore to run successful repositories. A richer set of skills is needed, including management and communication skills, technical skills, and expertise with regard to access rights and preservation of digital content. Referring to the work carried out by the SHERPA Project in the UK with regard to the skills set for repository staff, the authors performed a survey among repository managers in Italy to assess the educational and professional background of the repository managers and the skills set required to implement successful institutional repositories. The survey findings show that the professional profile of the repository manager is a multiform and complex one. It requires cross-functional and highly specialised competencies. Italian repository managers are of the opinion that the skills required to promote the repository within the institution and those required to deal with copyright issues as the most essential skills repository managers should acquire and be trained for. Collection development and metadata expertise, familiarity with project management and expertise in repository workflow design are also highly rated. Technical skills are needed to deal with interoperability standards and protocols. In Italy academic curricula do not meet the repository managers’ educational needs. Academic programmes should be developed to include communication

  10. Diagnosis, Management and Assessment of Adults with Joint Hypermobility Syndrome: A UK-Wide Survey of Physiotherapy Practice.

    Science.gov (United States)

    Palmer, Shea; Cramp, Fiona; Lewis, Rachel; Muhammad, Shahid; Clark, Emma

    2015-06-01

    Joint hypermobility syndrome (JHS) is a heritable disorder associated with excessive joint range of motion and pain in the absence of inflammatory joint disease. It is a relatively common cause of musculoskeletal pain but is generally understood to be under-recognized and poorly managed in clinical practice. The present study therefore aimed to identify how JHS is diagnosed, managed and assessed in routine physiotherapy practice. A survey tool was developed from similar physiotherapy surveys of musculoskeletal practice, a review of the literature, and consultation with researchers and clinicians. Paper copies of the final survey were sent to 201 randomly selected secondary care organizations across the UK and an electronic version was advertised through physiotherapy professional networks. A total of 66 responses (80% women) were received from physiotherapists, with a wide range of clinical experience. Only 32% of respondents reported that they had received formal training in JHS management. The Brighton diagnostic criteria for JHS were not often used (only 31% of respondents). The stated aims of physiotherapy and the specific interventions employed seem well matched, with a focus on advice, education, exercise and self-management. Although pain relief was not reported as a high priority in terms of treatment aims, pain was most often assessed as an outcome, suggesting a mismatch between what clinicians aim to achieve and what they measure. The results suggest that reported management strategies are broadly appropriate to long-term musculoskeletal conditions but additional training specific to JHS may be required, particularly in diagnosis and assessment.

  11. National survey on perioperative anaesthetic management in the endovascular treatment of acute ischaemic stroke.

    Science.gov (United States)

    Romero Kräuchi, O; Valencia, L; Iturri, F; Mariscal Ortega, A; López Gómez, A; Valero, R

    2017-09-15

    To assess the anaesthetic management of treatment for endovascular acute ischaemic stroke (AIS) in Spain. A survey was designed by the SEDAR Neuroscience Section and sent to the Spanish anaesthesiology departments with a primary stroke centre between July and November 2016. Of the 47 hospitals where endovascular treatment of AIS is performed, 37 anaesthesiology departments participated. Thirty responses were obtained; three of which were eliminated due to duplication (response rate of 72.9%). Health coverage for AIS endovascular treatment was available 24hours a day in 63% of the hospitals. The anaesthesiologist in charge of the procedure was physically present in the hospital in 55.3%. There was large inter-hospital variability in non-standard monitoring and type of anaesthesia. The most important criterion for selecting type of anaesthesia was multidisciplinary choice made by the anaesthesiologist, neurologist and neuroradiologist (59.3%). The duration of time from arrival to arterial puncture was 10-15minutes in 59.2%. In 44.4%, systolic blood pressure was maintained between 140-180mmHg, and diastolic blood pressure<105mmHg. Glycaemic levels were taken in 81.5% of hospitals. Intravenous heparinisation was performed during the procedure in 66.7% with different patterns of action. In cases of moderate neurological deterioration with no added complications, 85.2% of the included hospitals awakened and extubated the patients. The wide variability observed in the anaesthetic management and the organization of the endovascular treatment of AIS demonstrates the need to create common guidelines for anaesthesiologists in Spain. Copyright © 2017 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  12. Golden eagle records from the Midwinter Bald Eagle Survey: information for wind energy management and planning

    Science.gov (United States)

    Eakle, Wade; Haggerty, Patti; Fuller, Mark; Phillips, Susan L.

    2013-01-01

    The purpose of this Data Series report is to provide the occasions, locations, and counts when golden eagles were recorded during the annual Midwinter Bald Eagle Surveys. Golden eagles (Aquila chrysaetos) are protected by Federal statutes including the Bald and Golden Eagle Protection Act (BGEPA) (16 USC 668-668c) and the Migratory Bird Treaty Act (MBTA) (16 USC 703-12). The U.S. Fish and Wildlife Service (Service) manages golden eagles with the goal of maintaining stable or increasing breeding populations (U.S. Fish and Wildlife Service, 2009). Development for the generation of electricity from wind turbines is occurring in much of the range of the golden eagle in the western United States. Development could threaten population stability because golden eagles might be disturbed by construction and operation of facilities and they are vulnerable to mortality from collisions with wind turbines (Smallwood and Thelander, 2008). Therefore, the Service has proposed a process by which wind energy developers can collect information that could lead to Eagle Conservation Plans (ECP), mitigation, and permitting that allow for golden eagle management in areas of wind energy development (U.S. Fish and Wildlife Service, 2011). The Service recommends that ECP be developed in stages, and the first stage is to learn if golden eagles occur at the landscape level where potential wind facilities might be located. Information about where eagles occur can be obtained from technical literature, agency files, and other sources of information including on-line biological databases. The broad North American distribution of golden eagles is known, but there is a paucity of readily available information about intermediate geographic scales and site-specific scales, especially during the winter season (Kochert and others, 2002).

  13. Flight Crew Survey Responses from the Interval Management (IM) Avionics Phase 2 Flight Test

    Science.gov (United States)

    Baxley, Brian T.; Swieringa, Kurt A.; Wilson, Sara R.; Roper, Roy D.; Hubbs, Clay E.; Goess, Paul A.; Shay, Richard F.

    2017-01-01

    The Interval Management (IM) Avionics Phase 2 flight test used three aircraft over a nineteen day period to operationally evaluate a prototype IM avionics. Quantitative data were collected on aircraft state data and IM spacing algorithm performance, and qualitative data were collected through end-of-scenario and end-of-day flight crew surveys. The majority of the IM operations met the performance goals established for spacing accuracy at the Achieve-by Point and the Planned Termination Point, however there were operations that did not meet goals for a variety of reasons. While the positive spacing accuracy results demonstrate the prototype IM avionics can contribute to the overall air traffic goal, critical issues were also identified that need to be addressed to enhance IM performance. The first category was those issues that impacted the conduct and results of the flight test, but are not part of the IM concept or procedures. These included the design of arrival and approach procedures was not ideal to support speed as the primary control mechanism, the ground-side of the Air Traffic Management Technology Demonstration (ATD-1) integrated concept of operations was not part of the flight test, and the high workload to manually enter the information required to conduct an IM operation. The second category was issues associated with the IM spacing algorithm or flight crew procedures. These issues include the high frequency of IM speed changes and reversals (accelerations), a mismatch between the deceleration rate used by the spacing algorithm and the actual aircraft performance, and some spacing error calculations were sensitive to normal operational variations in aircraft airspeed or altitude which triggered additional IM speed changes. Once the issues in these two categories are addressed, the future IM avionics should have considerable promise supporting the goals of improving system throughput and aircraft efficiency.

  14. A Survey of Communications and Networking Technologies for Energy Management in Buildings and Home Automation

    Directory of Open Access Journals (Sweden)

    Aravind Kailas

    2012-01-01

    Full Text Available With the exploding power consumption in private households and increasing environmental and regulatory restraints, the need to improve the overall efficiency of electrical networks has never been greater. That being said, the most efficient way to minimize the power consumption is by voluntary mitigation of home electric energy consumption, based on energy-awareness and automatic or manual reduction of standby power of idling home appliances. Deploying bi-directional smart meters and home energy management (HEM agents that provision real-time usage monitoring and remote control, will enable HEM in “smart households.” Furthermore, the traditionally inelastic demand curve has began to change, and these emerging HEM technologies enable consumers (industrial to residential to respond to the energy market behavior to reduce their consumption at peak prices, to supply reserves on a as-needed basis, and to reduce demand on the electric grid. Because the development of smart grid-related activities has resulted in an increased interest in demand response (DR and demand side management (DSM programs, this paper presents some popular DR and DSM initiatives that include planning, implementation and evaluation techniques for reducing energy consumption and peak electricity demand. The paper then focuses on reviewing and distinguishing the various state-of-the-art HEM control and networking technologies, and outlines directions for promoting the shift towards a society with low energy demand and low greenhouse gas emissions. The paper also surveys the existing software and hardware tools, platforms, and test beds for evaluating the performance of the information and communications technologies that are at the core of future smart grids. It is envisioned that this paper will inspire future research and design efforts in developing standardized and user-friendly smart energy monitoring systems that are suitable for wide scale deployment in homes.

  15. Z-2 Prototype Space Suit Development

    Science.gov (United States)

    Ross, Amy; Rhodes, Richard; Graziosi, David; Jones, Bobby; Lee, Ryan; Haque, Bazle Z.; Gillespie, John W., Jr.

    2014-01-01

    NASA's Z-2 prototype space suit is the highest fidelity pressure garment from both hardware and systems design perspectives since the Space Shuttle Extravehicular Mobility Unit (EMU) was developed in the late 1970's. Upon completion the Z-2 will be tested in the 11 foot human-rated vacuum chamber and the Neutral Buoyancy Laboratory (NBL) at the NASA Johnson Space Center to assess the design and to determine applicability of the configuration to micro-, low- (asteroid), and planetary- (surface) gravity missions. This paper discusses the 'firsts' that the Z-2 represents. For example, the Z-2 sizes to the smallest suit scye bearing plane distance for at least the last 25 years and is being designed with the most intensive use of human models with the suit model.

  16. Advanced EVA Suit Camera System Development Project

    Science.gov (United States)

    Mock, Kyla

    2016-01-01

    The National Aeronautics and Space Administration (NASA) at the Johnson Space Center (JSC) is developing a new extra-vehicular activity (EVA) suit known as the Advanced EVA Z2 Suit. All of the improvements to the EVA Suit provide the opportunity to update the technology of the video imagery. My summer internship project involved improving the video streaming capabilities of the cameras that will be used on the Z2 Suit for data acquisition. To accomplish this, I familiarized myself with the architecture of the camera that is currently being tested to be able to make improvements on the design. Because there is a lot of benefit to saving space, power, and weight on the EVA suit, my job was to use Altium Design to start designing a much smaller and simplified interface board for the camera's microprocessor and external components. This involved checking datasheets of various components and checking signal connections to ensure that this architecture could be used for both the Z2 suit and potentially other future projects. The Orion spacecraft is a specific project that may benefit from this condensed camera interface design. The camera's physical placement on the suit also needed to be determined and tested so that image resolution can be maximized. Many of the options of the camera placement may be tested along with other future suit testing. There are multiple teams that work on different parts of the suit, so the camera's placement could directly affect their research or design. For this reason, a big part of my project was initiating contact with other branches and setting up multiple meetings to learn more about the pros and cons of the potential camera placements we are analyzing. Collaboration with the multiple teams working on the Advanced EVA Z2 Suit is absolutely necessary and these comparisons will be used as further progress is made for the overall suit design. This prototype will not be finished in time for the scheduled Z2 Suit testing, so my time was

  17. EVA Suit Microbial Leakage Investigation Project

    Science.gov (United States)

    Falker, Jay; Baker, Christopher; Clayton, Ronald; Rucker, Michelle

    2016-01-01

    The objective of this project is to collect microbial samples from various EVA suits to determine how much microbial contamination is typically released during simulated planetary exploration activities. Data will be released to the planetary protection and science communities, and advanced EVA system designers. In the best case scenario, we will discover that very little microbial contamination leaks from our current or prototype suit designs, in the worst case scenario, we will identify leak paths, learn more about what affects leakage--and we'll have a new, flight-certified swab tool for our EVA toolbox.

  18. Implementing Sentinels in the TARGIT BI Suite

    DEFF Research Database (Denmark)

    Middelfart, Morten; Pedersen, Torben Bach

    2011-01-01

    This paper describes the implementation of socalled sentinels in the TARGIT BI Suite. Sentinels are a novel type of rules that can warn a user if one or more measure changes in a multi-dimensional data cube are expected to cause a change to another measure critical to the user. Sentinels notify...... users based on previous observations, e.g., that revenue might drop within two months if an increase in customer problems combined with a decrease in website traffic is observed. In this paper we show how users, without any prior technical knowledge, can mine and use sentinels in the TARGIT BI Suite. We...

  19. Imaging and image management: A survey on current outlook and awareness in pathology practice

    Directory of Open Access Journals (Sweden)

    M Indu

    2015-01-01

    Full Text Available Background: Flexibility of digital photography enables it to be an integral part of pathology practice. An assessment of guidelines of imaging is essential for proper usage of photographs. Objectives: The purpose of the study was to assess awareness of oral pathologists about various aspects of medical photography. Methods: Questionnaire based on the availability of facilities, usage, technical details and ethical issues of medical photography was sent to postgraduate students and teaching faculties of Oral Pathology in various localities in India. Results: Photographs were taken mostly for the purposes of publication, medical documentation and education. Significant number of postgraduate students and faculties of Oral Pathology didn′t receive any training or hadn′t gone through any publications/books (P = 0.000 about medical photography. Consent for patient photography was taken by significant number of respondents (P = 0.000 but in a verbal form. Majority of people used image editing software, but 19.0% of faculties and 21.1% of postgraduate students were unaware of deleterious effect of image editing. Firm and sensible instructions concerning image storage, sharing and accessibility were not yet created. Conclusion: This survey drew attention towards lack of proper understanding about the technical details, medical protocols and ethical issues related to medical photography. These findings recommend implementation of basic training for medical photography and policy for image management for students and faculties in every health care institution.

  20. Perceptions of fish habitat conditions in Oklahoma tailwater fisheries: a survey of fisheries managers

    Science.gov (United States)

    Long, James M.

    2011-01-01

    While the downstream effects of dams on fish habitat have long been recognized, broad-scale assessments of tailwater fish habitat have rarely been conducted. In this paper, I report on the status of tailwater fisheries in Oklahoma as determined through a web-based survey of fisheries biologists with the Oklahoma Department of Wildlife Conservation conducted in July 2010. Respondents addressed 38 tailwaters, encompassing all major areas of the state. The majority of fish species comprising these fisheries included blue catfish (Ictalurus furcatus), followed by white bass (Morone chrysops), channel catfish (I. punctatus) and flathead catfish (Pylodictis olivaris). Most respondents indicated no or low concerns with fish habitat in tailwaters under their management supervision; only two tailwaters (Tenkiller Ferry and Fort Gibson) had the majority of concerns with fish habitat identified as high to moderately high. Principal components analysis and subsequent correlation analysis showed that tailwaters that scored high for issues related to shoreline erosion, change in water depth, flow fluctuations, and flow timing were associated with dams with large maximum discharge ability. No other factors related to fish habitat condition in tailwaters were found. In Oklahoma, dams with maximum discharge of at least 6,767.5 m3 sec–1 were more likely to have flow-related fish habitat concerns in the tailwater.

  1. [Validation of the Spanish Version of Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS)].

    Science.gov (United States)

    Vives Cases, Carmen; Torrubiano Domínguez, Jordi; Carrasco Portiño, Mercedes; Espinar-Ruiz, Eva; Gil-González, Diana; Goicolea, Isabel

    2015-04-01

    At the international level PREMIS -"Physician Readiness to Manage Intimate Partner Violence Survey"- is amongst the most comprehensive instruments to evaluate primary health care professionals' readiness. The aim of this study is to assess the reliability, internal consistency and construct validity of the Spanish version of this questionnaire. After translation, back translation and assessment of content validity of the questionnaire, 200 questionnaires were distributed to medical doctors and nurses working in 15 primary health care centres located in 4 autonomous regions (Comunidad Valenciana, Castilla León, Murcia, Cantabria), in 2013. Cronbach's alpha, intraclass correlation and rho Spearman coefficients were calculated. the Spanish version of PREMIS encompasses 64 items. Cronbach's alpha coefficient was greater than or close to 0.7 in most of indices. Intraclass correlation coefficient of 0.87 and Spearman coefficient of 0.67 showed a high reliability. All correlations for the scale of Opinions, which is the only one that was considered factorial structure of the questionnaire PREMIS, were higher than 0.30. the Spanish version of PREMIS obtained good internal validity, high reliability and predictive self-reported capacity of medical practitioners and nurses in Intimate Partner Violence cases in PHC centers.

  2. Practices of infectious control management during neutropenia: A survey from 149 French hospitals.

    Science.gov (United States)

    Lequilliec, N; Raymond, R; Vanjak, D; Baghdadi, N; Boulestreau, H; Zahar, J-R; Gangneux, J-P

    2017-06-01

    Neutropenic patients represent a growing and fragile population in our hospitals. Numerous treatments induce neutropenia in haematology wards and elsewhere. Although strict isolation is recommended during post-haematopoietic stem cell transplantation neutropenia, this may not be the current practice in other situations. In this study, our objective was to analyse what protective measures are applied in neutropenic patients in a French survey. A questionnaire was sent out to infection control teams of 400 public and private French hospitals to enquire about their local recommendations regarding infection prevention in neutropenic patients. Among the 166 (41%) responders, 134 (81%) managed neutropenic patients. All of the centres recommended protective isolation for neutropenic patients. However, only 46 (34%) had clearly defined patients warranting specific isolation measures in terms of the level of neutropenia. All of the centres recommended several barrier measures, but these were highly variable according to the type of air treatment in the wards (note that only 72% of haematology wards are equipped with air treatment). Gowns, gloves, masks, hats and shoe covers were respectively recommended in 128 (95%), 79 (59%), 132 (98%), 87 (65%), and 34 (25%) of the establishments. Surprisingly, the recommendations vary both among hospitals and within the same hospital among different clinical wards. In conclusion, protective measures for neutropenic patients are applied variably and urgently require a consensus to homogenize practices. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  3. Orthopedic management of osteopetrosis: results of a survey and review of the literature.

    Science.gov (United States)

    Armstrong, D G; Newfield, J T; Gillespie, R

    1999-01-01

    Osteopetrosis or Albers-Schonberg disease is a rare hereditary disorder of osteoclast function in which resorption of bone is diminished, resulting in abnormally dense bones. The condition is known to occur in at least four recognizable clinical patterns, each of which is variable. The optimal treatment of fractures and of bone deformity in these patients has not previously been made clear. To determine appropriate orthopedic management of the condition, we conducted a survey of the membership of the Pediatric Orthopedic Society of North America. The combined experience of 57 surgeons who treated 79 patients with osteopetrosis was compiled. Four femoral neck fractures treated by closed reduction and internal fixation had a satisfactory result, but three treated nonoperatively developed varus and required osteotomy. A total of 20 hips was treated for coxa vara by various means, none of which was free of complications. Valgus osteotomy, when used as the primary treatment for coxa vara, was the most consistently satisfactory procedure, whereas in situ pinning failed in two of three hips. Fourteen subtrochanteric fractures and 31 other fractures of the femur were treated. Good results were reported with traction or casting or both in the majority of those fractures. Twenty-nine tibia fractures were treated successfully, the majority by nonoperative means. Upper extremity fractures healed well with closed reduction and casting. Vertebral fractures, spondylolysis, and back pain were most frequently treated without surgery.

  4. An Experts Survey on Sustainability Across Twenty-Seven Extensive European Systems of Grassland Management

    Science.gov (United States)

    Caballero, Rafael; Gil, Ángel; Fernández-Santos, Xavier

    2008-08-01

    European Large Scale Grazing Systems (LSGS) are at a crossroad with environmental, agronomic, and social factors interacting on their future viability. This research assesses the current environmental and socio-economic status of a wide range of European LSGS according to an agreed subset of sustainability criteria and indicators, which have been recognized by corresponding experts and privileged observers on their respective case-study system. A survey questionnaire was drafted containing five main criteria (pastoral use, environmental, economic, social, and market and development), with four conceptual-scored variables (indicators) within each criterion. Descriptive, analytical and clustering statistical techniques helped to draw a synthesis of the main result and to standardize sustainability variables across different biogeographical regions and management situations. The results show large multicollinearity among the 20 variables proposed. This dependence was revealed by the reduction to six main factor-components, which accounted for about 73% of the total variance in responses. Aggregation of point-score indicators across criteria to obtain a sustainability index can be of less policy relevance than responses to specific criteria or indicators. Affinity between case-study systems, as judged by collaborative-expert responses, was not related to biogeographical location, operating livestock sector, or population density in their areas. The results show larger weaknesses and constraints in the economic and social criteria than in the pastoral and environmental criteria, and the large heterogeneity of responses appears in the social criterion.

  5. Foundational Report Series: Advanced Distribution Management Systems for Grid Modernization, DMS Industry Survey

    Energy Technology Data Exchange (ETDEWEB)

    Singh, Ravindra [Argonne National Lab. (ANL), Argonne, IL (United States); Uluski, Robert [Argonne National Lab. (ANL), Argonne, IL (United States); Reilly, James T. [Reilly Associates, Pittston, PA (United States); Martino, Sal [Electric Power Research Inst. (EPRI), Palo Alto, CA (United States); Lu, Xiaonan [Argonne National Lab. (ANL), Argonne, IL (United States); Wang, Jianhui [Argonne National Lab. (ANL), Argonne, IL (United States)

    2017-04-01

    The objective of this survey is to benchmark current practices for DMS implementation to serve as a guide for future system implementations. The survey sought information on current plans to implement DMS, DMS functions of interest, implementation challenges, functional benefits achieved, and other relevant information. These survey results were combined (where possible) with results of similar surveys conducted in the previous four years to observe trends over time.

  6. Management Strategies for Vitamin K Antagonists Reversal in Patients With Major Bleeding: A Survey of Italian Emergency Departments.

    Science.gov (United States)

    Bernardi, Enrico; Imberti, Davide; Ferrari, Annamaria

    2017-01-01

    Emergency physicians frequently deal with patients on vitamin K antagonists (VKAs) suffering major bleeding events, and rapid reversal of anticoagulation in this setting is of paramount importance. In Italy, given the absence of specific national guidelines, local policies are likely to differ, possibly impacting on clinical outcomes. We decided to perform a telephone survey among Italian emergency physicians to evaluate management strategies for VKAs reversal in patients with major bleeding. We conducted a computer-assisted, 10-minute telephone survey of 15 questions, focusing on the local prevalence, assessment, and management strategies of major and intracranial hemorrhage (ICH) occurring in patients on VKAs. We planned to interview a sample of 320 Italian emergency physicians. Institutions from all geographic areas of Italy were to participate in the survey. Of the 320 physicians contacted, 150 (47%) completed the survey, 95% being employed in public hospitals. Focusing on ICH, only 29% of the responders stated they would reverse anticoagulation irrespective of the international normalized ratio value, and only 27% would use prothrombin-complex concentrate as first-line agent. In patients needing urgent neurosurgical operation, less than 50% would administer prothrombin-complex concentrate before surgery. The average knowledge of management strategies for reversal of anticoagulation displayed by Italian emergency physicians appears to be unsatisfactory. The need for an extensive educational program and for the implementation of specific guidelines, possibly endorsed by Scientific Societies, cannot be underemphasized. © The Author(s) 2015.

  7. A security suite for wireless body area networks

    CERN Document Server

    Sampangi, Raghav V; Urs, Shalini R; Sampalli, Srinivas

    2012-01-01

    Wireless Body Area Networks (WBANs) have gained a lot of research attention in recent years since they offer tremendous benefits for remote health monitoring and continuous, real-time patient care. However, as with any wireless communication, data security in WBANs is a challenging design issue. Since such networks consist of small sensors placed on the human body, they impose resource and computational restrictions, thereby making the use of sophisticated and advanced encryption algorithms infeasible. This calls for the design of algorithms with a robust key generation / management scheme, which are reasonably resource optimal. This paper presents a security suite for WBANs, comprised of IAMKeys, an independent and adaptive key management scheme for improving the security of WBANs, and KEMESIS, a key management scheme for security in inter-sensor communication. The novelty of these schemes lies in the use of a randomly generated key for encrypting each data frame that is generated independently at both the s...

  8. Heterogeneity prevails: the state of clinical trial data management in Europe - results of a survey of ECRIN centres

    Directory of Open Access Journals (Sweden)

    Doran Peter

    2010-07-01

    Full Text Available Abstract Background The use of Clinical Data Management Systems (CDMS has become essential in clinical trials to handle the increasing amount of data that must be collected and analyzed. With a CDMS trial data are captured at investigator sites with "electronic Case Report Forms". Although more and more of these electronic data management systems are used in academic research centres an overview of CDMS products and of available data management and quality management resources for academic clinical trials in Europe is missing. Methods The ECRIN (European Clinical Research Infrastructure Network data management working group conducted a two-part standardized survey on data management, software tools, and quality management for clinical trials. The questionnaires were answered by nearly 80 centres/units (with an overall response rate of 47% and 43% from 12 European countries and EORTC. Results Our survey shows that about 90% of centres have a CDMS in routine use. Of these CDMS nearly 50% are commercial systems; Open Source solutions don't play a major role. In general, solutions used for clinical data management are very heterogeneous: 20 different commercial CDMS products (7 Open Source solutions in addition to 17/18 proprietary systems are in use. The most widely employed CDMS products are MACRO™ and Capture System™, followed by solutions that are used in at least 3 centres: eResearch Network™, CleanWeb™, GCP Base™ and SAS™. Although quality management systems for data management are in place in most centres/units, there exist some deficits in the area of system validation. Conclusions Because the considerable heterogeneity of data management software solutions may be a hindrance to cooperation based on trial data exchange, standards like CDISC (Clinical Data Interchange Standard Consortium should be implemented more widely. In a heterogeneous environment the use of data standards can simplify data exchange, increase the quality of

  9. The EVA space suit development in Europe

    Science.gov (United States)

    Skoog, A. Ingemar

    The progress of the European EVA space suit predevelopment activities has resulted in an improved technical reference concept, which will form the basis for a start of the Phase C/D development work in 1992. Technology development work over the last 2 years has resulted in a considerable amount of test data and a better understanding of the characteristics and behaviour of individual parts of the space suit system, in particular in the areas of suits' mobility and life support functions. This information has enabled a consolidation of certain design features on the one hand, but also led to the challenging of some of the design solutions on the other hand. While working towards an improved situation with respect to the main design drivers mass and cost, the technical concept has been improved with respect to functional safety and ease of handling, taking the evolving Hermes spaceplane requirements into consideration. Necessary hardware and functional redundancies have been implemented taking the operational scenario with Hermes and Columbus servicing into consideration. This paper presents the latest design status of the European EVA space suit concept, with particular emphasis on crew safety, comfort and productivity, in the frame of the predevelopment work for the European Space Agency.

  10. Prokofiev. "Romeo and Juliet" - Suites / Iran March

    Index Scriptorium Estoniae

    March, Iran

    1991-01-01

    Uuest heliplaadist "Prokofiev. "Romeo and Juliet" - Suites: N 1 Op. 64 bis a; N 2 Op. 64 ter b; N 3 Op. 101 c. Royal Scottish National Orchestra /Neeme Järvi" Chandos cassette ABTD 1536; CD CHAN 8940 (78 minutes) etc

  11. Uus Testament ja Piibel / Gustav Suits

    Index Scriptorium Estoniae

    Suits, Gustav, 1883-1956

    1999-01-01

    Varem ilmunud: Suits, Gustav. Eesti kirjanduslugu I. Lund : Eesti Kirjanike Kooperatiiv, 1953. Meie Issanda Jesusse Kristusse Uus Testament Ehk Jummala Ue Sädusse Sanna (1715). Eeltööd Vana Testamendi tõlkimiseks põhjaeesti keelde eesotsas Anton Thor Hellega. Ilmus täispiibel: Piibli Ramat, se on keik se Jummala Sanna...(1739)

  12. August Weizenbergi rahumõtted / Gustav Suits

    Index Scriptorium Estoniae

    Suits, Gustav, 1883-1956

    2002-01-01

    Esmakordselt ilmunud: Isamaa, 28., 30. Jun. 1906, nr. 49-50. Ajendatud A. Weizenbergi kirjutisest "Kihutused" ajalehes "Isamaa", 1906, nr. 44-47. Vt. ka: August Weizenberg: vastus härra Spectatorile, Suits, G. Vabaduse väraval, lk. 403-409

  13. Antigravity Suits For Studies Of Weightlessness

    Science.gov (United States)

    Kravik, Stein E.; Greenleaf, John

    1992-01-01

    Report presents results of research on use of "antigravity" suit, one applying positive pressure to lower body to simulate some effects of microgravity. Research suggests lower-body positive pressure is alternative to bed rest or immersion in water in terrestrial studies of cardioregulatory, renal, electrolyte, and hormonal changes induced in humans by microgravity.

  14. How to Avoid an Educational Malpractice Suit.

    Science.gov (United States)

    Patterson, Arlene H.

    Increasing demands for professional accountability in education, coupled with a growing tendency in the American public to seek redress through the courts, have given rise to the educational malpractice suit, alleging that students have failed to learn because schools have been negligent in their duty to educate. This chapter provides guidelines…

  15. Implementing Sentinels in the TARGIT BI Suite

    DEFF Research Database (Denmark)

    Middelfart, Morten; Pedersen, Torben Bach

    2011-01-01

    users based on previous observations, e.g., that revenue might drop within two months if an increase in customer problems combined with a decrease in website traffic is observed. In this paper we show how users, without any prior technical knowledge, can mine and use sentinels in the TARGIT BI Suite. We...

  16. What's New with MS Office Suites

    Science.gov (United States)

    Goldsborough, Reid

    2012-01-01

    If one buys a new PC, laptop, or netbook computer today, it probably comes preloaded with Microsoft Office 2010 Starter Edition. This is a significantly limited, advertising-laden version of Microsoft's suite of productivity programs, Microsoft Office. This continues the trend of PC makers providing ever more crippled versions of Microsoft's…

  17. Prokofiev. "Romeo and Juliet" - Suites / Iran March

    Index Scriptorium Estoniae

    March, Iran

    1991-01-01

    Uuest heliplaadist "Prokofiev. "Romeo and Juliet" - Suites: N 1 Op. 64 bis a; N 2 Op. 64 ter b; N 3 Op. 101 c. Royal Scottish National Orchestra /Neeme Järvi" Chandos cassette ABTD 1536; CD CHAN 8940 (78 minutes) etc

  18. A Suite of Tools for Technology Assessment

    Science.gov (United States)

    2007-09-01

    Saden, Povinelli & Rosen, 1989). • This was a significant change in emphasis on the part of NASA, where technology had previously viewed as merely...Cost Analysis Symposium, April 13, 2005. A Suite of Tools for Technology Assessment 24 Bibliography - continued: • Sadin, Stanley T.; Povinelli

  19. Management of Respiratory Syncytial Virus Bronchiolitis: 2015 Survey of Members of the European Society for Paediatric Infectious Diseases

    Directory of Open Access Journals (Sweden)

    Elliott J. Carande

    2016-01-01

    Full Text Available In 1995, the European Society for Paediatric Infectious Diseases (ESPID carried out a survey of its members to assess the variation in management of respiratory syncytial virus (RSV bronchiolitis. The aim of the current study was to carry out a similar survey 20 years later to assess how the management had changed. An electronic, structured, English language survey, based on the United Kingdom National Institute for Health and Care Excellence (NICE bronchiolitis draft guideline, was sent to ESPID members in March 2015. Questions asked included information on treatment practices of infants with bronchiolitis and doctor demographics. We received responses from 135 doctors (14% of the ESPID members who worked in 115 hospitals. 56% of the doctors used a written guideline to manage bronchiolitic infants. All doctors stated that they isolated individually or in cohorts all hospitalised bronchiolitis infants. The level of oxygen saturation suggested as an indication to administer supplemental oxygen varied between <89% and <95%. We found significant reductions in the use of ribavirin, bronchodilators, and corticosteroids from 1995 to 2015 (ribavirin 57% to 13%, P<0.0001; bronchodilators 95% to 82%, P=0.0024; corticosteroids 81% to 45%, P<0.0001. Although variability in management remains high, encouragingly significantly fewer doctors are prescribing ribavirin, bronchodilators, and corticosteroids compared to 20 years ago.

  20. Archeological Survey of Selected Fish and Wildlife Management Areas at Pomme de Terre and Stockton Lakes, Dade, Hickory, and Polk Counties, Missouri

    Science.gov (United States)

    1989-01-01

    Selected Fish and Wildlife Management Areas at Pomme de Terre and Stockton Lakes, Dade, Hickory, and Polk Counties, Missouri Contract No. DACW41-81-C...Jackson _________________________56 1989 907 0J) O . ARCHEOLOGICAL SURVEY OF SELECTED FISH AND WILDLIFE MANAGEMENT AREAS AT POMME DE TERRE AND...NO. NO. ACCESSION NO. 11. TITLE (Include Securrty Classification) Archeological Survey of Selected Fish and Wildlife Management Areas at Pomme de Terre

  1. The extent and influence of Asbestos Safety Awareness training among managers who had previously commissioned an asbestos survey in their workplace buildings.

    Science.gov (United States)

    Hickey, Jane; Saunders, Jean; Davern, Peter

    2015-01-01

    A telephone survey was conducted among a sample of managers (n=30) in Ireland who had previously commissioned an asbestos survey in their workplace buildings. The aims of the telephone survey were to examine the extent to which managers had completed Asbestos Safety Awareness (ASA) training, and to assess how such training might influence (i) their instinctive thoughts on asbestos, and (ii) their approach to aspects of asbestos management within their buildings. Managers' motivations for commissioning the asbestos survey were also identified. The study found that ASA-trained managers (n=11) were not significantly more likely to work in larger organisations or in organisations which operated an accredited management system. Though ASA-trained managers' instinctive thoughts on asbestos were of a slightly poorer technical quality compared with those of non-ASA-trained managers, they were still significantly more cognisant of their responsibilities towards those of their employees at specific risk of asbestos exposure. Most managers (n=28) commissioned the asbestos survey to satisfy a pre-requisite of external contractors for commencing refurbishment/demolition work in their buildings. Given its potential to positively influence the occupational management of asbestos, the authors recommend the general promotion of suitably tailored ASA-training programmes among building managers and external contractors alike.

  2. A Nordic survey of management practices and owners' attitudes towards keeping horses in groups.

    Science.gov (United States)

    Hartmann, E; Bøe, K E; Christensen, J W; Hyyppä, S; Jansson, H; Jørgensen, G H M; Ladewig, J; Mejdell, C M; Norling, Y; Rundgren, M; Särkijärvi, S; Søndergaard, E; Keeling, L J

    2015-09-01

    Keeping horses in groups is widely recommended but limited information is available about how this is implemented in practice. The aim of this survey was to describe how horses are kept in the Nordic countries in relation to sex, age, breed, and equestrian discipline and to assess owners' attitudes toward keeping horses in groups. Horse owners in Denmark, Finland, Norway, and Sweden were approached using a web-based questionnaire, which was translated into 4 languages and distributed online via equestrian forums, organizations, and social media. The number of respondents was 3,229, taking care of 17,248 horses. Only 8% of horses were never kept in groups, 47% were permanently grouped for 24 h/d, and 45% were stabled singly but grouped during turnout. Yearlings were most often permanently kept in groups (75%), mares and geldings more commonly during parts of the day (50 and 51%, respectively), and stallions were often kept alone (38%). Icelandic horses were more likely to be permanently kept in groups (36%) than warmbloods (16%) and ponies (15%). Twice as many competition horses (51%) were never grouped compared with horses used for breeding (20%) or leisure purposes (15%). The majority of respondents (86%) strongly agreed that group housing benefits horse welfare and that it is important for horses to have the company of conspecifics (92%). Nevertheless, not all horses were kept in groups, showing that attitudes toward group housing may not necessarily reflect current management. The risk of injury was a concern of many respondents (45%), as was introducing unfamiliar horses into already established groups (40%) and challenges in relation to feeding in groups (44%). Safety of people (23%) and difficulties handling group-kept horses (19%) were regarded as less problematic. Results suggest that the majority of horses have the possibility to freely interact with other horses, either as fulltime members of a group during 24 h/d or during turnout. Future research should

  3. Prevalence and Characterization of Thyroid Hemiagenesis in Japan: The Fukushima Health Management Survey

    Science.gov (United States)

    Midorikawa, Sanae; Matsuzuka, Takashi; Fukushima, Toshihiko; Ito, Yuko; Shimura, Hiroki; Takahashi, Hideto; Ohira, Tetsuya; Ohtsuru, Akira; Abe, Masafumi; Suzuki, Shinichi; Yamashita, Shunichi

    2017-01-01

    Background: Thyroid hemiagenesis is a rare congenital variant characterized by the lack of development of one thyroid lobe with no clinical manifestations. Methods: This study was performed to determine the prevalence and characteristics of thyroid hemiagenesis in a normal Japanese population. This cross-sectional study was performed from October 9, 2011, to April 30, 2015. In total, 299,908 children and young adults in the Fukushima Health Management Survey were examined to determine the presence of thyroid agenesis or hemiagenesis. Thyroid width, thickness, and length were measured in 292,452 of these subjects. Results: Thyroid agenesis was diagnosed in 13 subjects, and hemiagenesis was detected in 67 subjects (0.02%; 22.3/100,000 individuals). Although there was no significant sex-related difference (p = 0.067), the female:male ratio was 1.67:1.00. Females were significantly dominant in right hemiagenesis, while there was no difference in left hemiagenesis between males and females. The thyroid volumes at the 2.5th and 97.5th percentiles for age and body surface area were determined for each sex. Multivariate regression analysis showed that a large hemithyroid volume was independently associated with the presence of contralateral hemiagenesis (p thyroid hemiagenesis in the present study is in agreement with that reported in other countries. The prevalence of right hemiagenesis was higher in females, and the larger contralateral lobe in patients with rather than without hemiagenesis may have been caused by a compensatory feedback mechanism to prevent hypothyroidism. In addition, the prevalence of hemiagenesis, especially right hemiagenesis, may be affected by sex-related factors similar to those in patients with an ectopic thyroid gland. PMID:28657504

  4. Team approach concept in management of oro-facial clefts: a survey of Nigerian practitioners

    Directory of Open Access Journals (Sweden)

    Obimakinde Obitade S

    2009-05-01

    Full Text Available Abstract Background Cleft palate craniofacial teams have evolved across the globe in the last 20 years in compliance with the interdisciplinary concept of management of oro-facial clefts. An interdisciplinary care allows a coordinated treatment protocol for the patient. The objective of this study was to evaluate oro-facial cleft care in Nigeria with particular emphasis on the compliance of the practitioners to the team approach concept. Methods A snapshot survey was conducted among specialists that attended the Pan African Congress on Cleft Lip and Palate, at the International Institute of Tropical Agriculture, Nigeria in February 2007. Result Sixty three respondents successfully completed and returned the questionnaire for analysis. Mean age of respondents was 43.5 years and the range was 38–62 years. Male to female ratio was 2.7:1. Oral and Maxillofacial Surgeons and Plastic Surgeons constituted the majority of respondents (38.1% and 22.2% respectively. Only 47.6% (n = 30 of the specialists belonged to cleft teams. Majority of Oral and Maxillofacial Surgeons and Plastic Surgeons belonged to cleft teams (70% and 63.3% respectively while speech pathologists and orthodontists were less represented (20% and 36.7% respectively in teams. Conclusion Findings from this study suggests that interdisciplinary care for the cleft patient does not appear to have been fully embraced in Nigeria. This may be a result of several reasons ranging from non availability of the requisite specialists, the relatively young age of cleft care practice in this part of the world to the poor state of infrastructure.

  5. A survey of dairy calf management practices in Canada that affect animal welfare.

    Science.gov (United States)

    Vasseur, E; Borderas, F; Cue, R I; Lefebvre, D; Pellerin, D; Rushen, J; Wade, K M; de Passillé, A M

    2010-03-01

    There is growing interest among the public in farm animal welfare and a need for methods to assess animal welfare on farm. A survey on calf rearing practices that might affect dairy calf welfare was performed via a 1-h interview on 115 dairy farms (mean +/- SD: herd size=52.5+/-20.9 cows; milk production=8,697+/-1,153L) distributed throughout the province of Quebec. Despite frequent recommendations, many dairy producers continue to use management practices that increase the health risks of milk-fed calves. Major risk factors for poor calf welfare identified were 1) no use of calving pen in 51.3% of herds and low level of surveillance of calvings, especially at nighttime (once every 12h), 2) no disinfection of newborn's navel in 36.8% of herds, and delayed identification and, hence, calf monitoring (3 d), 3) 15.6% of farms relied on the dam to provide colostrum and none checked colostrum quality or passive transfer of immunity, 4) dehorning and removal of extra teats proceeded at late ages (6.4 wk and 6.7 mo, respectively) and without adequate pain control, 5) use of traditional restrictive milk feeding and waste milk distributed to unweaned calves without precaution in 48.2% of herds, 6) abrupt weaning performed in 16.5% of herds, and 7) calves housed individually in 87.9% of herds, and most inappropriate housing systems (crate=27.0%, tie-stall=13.9%, attached against a wall=5.7%) remained. This risk factor assessment was the first step in an intervention strategy to improve calf welfare on dairy farms.

  6. Prevalence of Dyslipidemia and Management in the Thai Population, National Health Examination Survey IV, 2009

    Directory of Open Access Journals (Sweden)

    Wichai Aekplakorn

    2014-01-01

    Full Text Available This study determined the prevalence and management of dyslipidemia in Thai adults using data from the Thai National Health Examination Survey IV in 2009. Dyslipidemia was defined based on the Third Adult Treatment Panel guidelines. A total of 19,021 adults aged 20 yr and over were included. Mean (SE levels of total cholesterol, HDL-C, LDL-C, and triglycerides were 206.4 (1.03, 46.9 (0.34, 128.7 (1.09, and 131.4 (2.20 mg/dL, respectively. Prevalence of high LDL-C, low HDL-C, and high triglycerides were 29.6 %, 47.1 %, and 38.6%, respectively. Compared with individuals in the north and northeast, residents in Bangkok and Central region had significant higher levels of LDL-C but lower level of HDL-C. Triglyceride level was the highest in the northeast residents. Overall, 66.5% of Thais had some forms of dyslipidemia. Awareness and treatment of high LDL-C among those with high LDL-C were 17.8% and 11.7%, respectively. Among individuals aware of high LDL-C, those at highest CHD risk compared with those at low risk had higher percentage of treatment (73.1% versus 51.7%, resp. but lower percentage of control at goal (32.9% versus 76.4%, resp.. Various forms of dyslipidemia are common in Thai adults, with a low level of awareness and treatment of high LDL-C.

  7. Developing a performance data suite to facilitate lean improvement in a chemotherapy day unit.

    Science.gov (United States)

    Lingaratnam, Senthil; Murray, Danielle; Carle, Amber; Kirsa, Sue W; Paterson, Rebecca; Rischin, Danny

    2013-07-01

    A multidisciplinary team from the Peter MacCallum Cancer Centre in Melbourne, Australia, developed a performance data suite to support a service improvement project based on lean manufacturing principles in its 19-chair chemotherapy day unit (CDU) and cytosuite chemotherapy production facility. The aims of the project were to reduce patient wait time and improve equity of access to the CDU. A project team consisting of a pharmacist and CDU nurse supported the management team for 10 months in engaging staff and customers to identify waste in processes, analyze root causes, eliminate non-value-adding steps, reduce variation, and level workloads to improve quality and flow. Process mapping, staff and patient tracking and opinion surveys, medical record audits, and interrogation of electronic treatment records were undertaken. This project delivered a 38% reduction in median wait time on the day (from 32 to 20 minutes; P lean improvement methodology provided a robust framework for improved understanding and management of complex system constraints within a CDU, resulting in improved access to treatment and reduced waiting times on the day.

  8. Application of the MERIT survey in the multi-criteria quality assessment of occupational health and safety management.

    Science.gov (United States)

    Korban, Zygmunt

    2015-01-01

    Occupational health and safety management systems apply audit examinations as an integral element of these systems. The examinations are used to verify whether the undertaken actions are in compliance with the accepted regulations, whether they are implemented in a suitable way and whether they are effective. One of the earliest solutions of that type applied in the mining industry in Poland involved the application of audit research based on the MERIT survey (Management Evaluation Regarding Itemized Tendencies). A mathematical model applied in the survey facilitates the determination of assessment indexes WOPi for each of the assessed problem areas, which, among other things, can be used to set up problem area rankings and to determine an aggregate (synthetic) assessment. In the paper presented here, the assessment indexes WOPi were used to calculate a development measure, and the calculation process itself was supplemented with sensitivity analysis.

  9. ANALYSIS OF DESIGN ELEMENTS IN SKI SUITS

    Directory of Open Access Journals (Sweden)

    Birsen Çileroğlu

    2014-06-01

    Full Text Available Popularity of Ski Sport in 19th century necessitated a new perspective on protective skiing clothing ag ainst the mountain climates and excessive cold. Winter clothing were the basis of ski attire during this period. By the beginning of 20th century lining cloth were used to minimize the wind effect. The difference between the men and women’s ski attire of the time consisted of a knee - length skirts worn over the golf trousers. Subsequent to the First World War, skiing suit models were influenced by the period uniforms and the producers reflected the fashion trends to the ski clothing. In conformance with th e prevailing trends, ski trousers were designed and produced for the women thus leading to reduction in gender differences. Increases in the ski tourism and holding of the first winter olympics in 1924 resulted in variations in ski attires, development of design characteristics, growth in user numbers, and enlargement of production capacities. Designers emphasized in their collections combined presence of elegance and practicality in the skiing attire. In 1930s, the ski suits influenced by pilots’ uniforms included characteristics permitting freedom of motion, and the design elements exhibited changes in terms of style, material and aerodynamics. In time, the ski attires showed varying design features distinguishing professionals from the amateurs. While protective functionality was primary consideration for the amateurs, for professionals the aerodynamic design was also a leading factor. Eventually, the increased differences in design characteristics were exhibited in ski suit collections, World reknown brands were formed, production and sales volumes showed significant rise. During 20th century the ski suits influenced by fashion trends to acquire unique styles reached a position of dominance to impact current fashion trends, and apart from sports attir es they became a style determinant in the clothing of cold climates. Ski suits

  10. Guidelines for the use of household interview duration analysis in CAPI survey management

    OpenAIRE

    Böhme, Marcus; Stöhr, Tobias

    2012-01-01

    This paper provides evidence based guidance for practical survey work, namely choosing interviewers and their workload. Analyzing a survey of 3568 households obtained through computer assisted personal interviews (CAPI) we find that interviewers learn considerably while the survey progresses. Time requirements for field work increase concavely with sample size which allows larger samples to be realized with a given budget than would be expected in planning such projects with simplistic cost e...

  11. Guidelines for the Use of Household Interview Duration Analysis in CAPI Survey Management

    OpenAIRE

    Marcus Böhme, Tobias Stoehr

    2012-01-01

    This paper provides evidence based guidance for practical survey work, namely choosing interviewers and their workload. Analyzing a survey of 3568 households obtained through computer assisted personal interviews (CAPI) we find that interviewers learn considerably while the survey progresses. Time requirements for field work increase concavely with sample size which allows larger samples to be realized with a given budget than would be expected in planning such projects with simplistic cost e...

  12. Bilateral simultaneous anterior cruciate ligament injury: a case report and national survey of orthopedic surgeon management preference

    Directory of Open Access Journals (Sweden)

    Ehsan Saadat

    2014-12-01

    Full Text Available Unilateral anterior cruciate ligament (ACL tear is a common injury seen by sports medicine orthopedic surgeons. However, a bilateral simultaneous ACL injury is extremely rare and has been reported only three times in the literature. We present a young female skier with simultaneous bilateral ACL tears that were managed with staged ACL reconstruction. We then conducted a nationwide survey (United States to determine the prevalence of simultaneous bilateral ACL tear and preferred management strategies by sports medicine orthopedic surgeons. Sports medicine fellowship directors were contacted and asked to send an 8-item survey to colleagues (sports medicine fellowship trained surgeons asking about overall number of ACL reconstructions performed, number of bilateral simultaneous ACL injuries seen and optimal management strategies of such an injury. Out of 43 responses, only 22 (51.2% surgeons had seen a bilateral simultaneous ACL injury. Of these, 16 (76.2% preferred staged reconstruction. Graft choice was mixed between autograft and allograft, but a large majority preferred either patellar tendon autograft (58% or hamstring autograft (41% were the most common choice. Staged reconstruction is the treatment of choice by surgeons surveyed in our study.

  13. Preliminary survey of Geray reservoir, Amhara National Regional State, West Gojjam, Jabitehnan Woreda, Ethiopia: focus on wetland management

    Directory of Open Access Journals (Sweden)

    Miheret Endalew Tegegnie

    2015-04-01

    Full Text Available Objective: To collect baseline information, to raise public awareness on the reservoir wetland situation, and to recommend an intervention mechanism to sustain its ecosystem services. Methods: Survey on Geray reservoir was carried out during 2010-2011. Questionnaire survey to collect data in Geray reservoir watershed kebeles was deployed and the data included land use and land cover, livestock and human population, crop patterns, topography and soil type in these kebeles. Focus group discussion with local community to obtain indigenous knowledge was considered. Secondary data collection and relevant literature were surveyed. The collected data were analysed with descriptive statistics. Results: Critical problems observed on the wetland and the surrounding watershed included vegetation cover removal, land degradation, wetland hardening, pressurized grazing, expansion of floating macrophytes on the reservoir, water seepage at the weir, water use management and water use conflicts, drainage structures maintenance and lack of institutional accountability. Open access and inadequate management has increased anthropogenic factors resulting amplified decline of ecosystem goods and services. Conclusions: The reservoir is under growing stress and nearing to disappearance unless and otherwise timely measures are taken to mitigate the prevailing encroachment towards the wetland. Sustainable management of hydrological, ecological, social, biodiversity and economical values based on knowledge and experience on environment, land use, extension services and research to restore and sustain the various values and functions, calls for different stakeholders to alleviate negatively impacting factors on the wetland. Further information generation on the wetland situation on the Geray wetland specifically on wetland valuation is highly demanded.

  14. Preliminary survey of Geray reservoir, Amhara National Regional State, West Gojjam, Jabitehnan Woreda, Ethiopia:focus on wetland management

    Institute of Scientific and Technical Information of China (English)

    Miheret Endalew Tegegnie

    2015-01-01

    Objective: To collect baseline information, to raise public awareness on the reservoir wetland situation, and to recommend an intervention mechanism to sustain its ecosystem services. Methods: Survey on Geray reservoir was carried out during 2010-2011. Questionnaire survey to collect data in Geray reservoir watershed kebeles was deployed and the data included land use and land cover, livestock and human population, crop patterns, topography and soil type in these kebeles. Focus group discussion with local community to obtain indigenous knowledge was considered. Secondary data collection and relevant literature were surveyed. The collected data were analysed with descriptive statistics. Results: Critical problems observed on the wetland and the surrounding watershed included vegetation cover removal, land degradation, wetland hardening, pressurized grazing, expansion of floating macrophytes on the reservoir, water seepage at the weir, water use management and water use conflicts, drainage structures maintenance and lack of institutional accountability. Open access and inadequate management has increased anthropogenic factors resulting amplified decline of ecosystem goods and services. Conclusions: The reservoir is under growing stress and nearing to disappearance unless and otherwise timely measures are taken to mitigate the prevailing encroachment towards the wetland. Sustainable management of hydrological, ecological, social, biodiversity and economical values based on knowledge and experience on environment, land use, extension services and research to restore and sustain the various values and functions, calls for different stakeholders to alleviate negatively impacting factors on the wetland. Further information generation on the wetland situation on the Geray wetland specifically on wetland valuation is highly demanded.

  15. Variation in Management of Fever and Neutropenia Among Pediatric Patients With Cancer: A Survey of Providers in Michigan.

    Science.gov (United States)

    Mueller, Emily L; Walkovich, Kelly J; Yanik, Gregory A; Clark, Sarah J

    2015-01-01

    Considerable variation in the management of fever and neutropenia (FN) exists, with factors associated with treatment variation not well described. An online survey of 90 pediatric cancer providers in Michigan was performed in Spring 2014. The survey frame was pediatric patients with cancer receiving treatment, with a Port-a-cath, who were clinically stable. Criteria for "Decreased" and "Increased" risk groups were defined by respondents. Survey questions addressed FN definitions, risk groups conceptualization, routine clinical practice, and management guidelines, in the context of risk groups and distance to treating institution. Fifty providers responded (56%); the majority defined a febrile event as temperature >38.3°C and/or 2 events >38.0°C within a 24-hour period. Neutropenia was defined as current or anticipated absolute neutrophil count (ANC) 2 hours away. Respondents were significantly more likely to have a "Decreased Risk" patient travel over 2 hours if they rated the local ED as "Poor to Fair" on ability to access Port-a-caths (P = .048). Most respondents would discharge patients who are afebrile for 24 hours, blood cultures negative for 48 hours, and neutrophil count of greater than 200/μL; 40% preferred discharge on oral antibiotics when the ANC febrile pediatric patients with cancer is significantly influenced by the providers' perceptions of local EDs. Future investigation of local hospitals' ability to provide urgent evaluation, combined with parental perspectives, could lead to improvements in timely and effective management.

  16. In Outer Space without a Space Suit?

    CERN Document Server

    Bolonkin, Alexander

    2008-01-01

    The author proposes and investigates his old idea - a living human in space without the encumbrance of a complex space suit. Only in this condition can biological humanity seriously attempt to colonize space because all planets of Solar system (except the Earth) do not have suitable atmospheres. Aside from the issue of temperature, a suitable partial pressure of oxygen is lacking. In this case the main problem is how to satiate human blood with oxygen and delete carbonic acid gas (carbon dioxide). The proposed system would enable a person to function in outer space without a space suit and, for a long time, without food. That is useful also in the Earth for sustaining working men in an otherwise deadly atmosphere laden with lethal particulates (in case of nuclear, chemical or biological war), in underground confined spaces without fresh air, under water or a top high mountains above a height that can sustain respiration.

  17. [Aspects of communication regarding medical malpractice suits].

    Science.gov (United States)

    Pilling, János; Erdélyi, Kamilla

    2016-04-24

    Due to problems experienced in health care, there is an increased amount of malpractice suits nowadays. Nevertheless, some physicians are more likely to be sued, or more frequently sued, than others. Numerous studies indicate that this phenomenon fundamentally results from a lack of interpersonal and communication skills on the part of the sued doctor, namely, deficiencies in questioning the patient, listening, conveying information, etc. Communication is of pivotal importance in patient care vis-à-vis medical errors as well. The majority of physicians aim to conceal the error, albeit this may lead to further deterioration of the patient's condition. In institutions where open communication regarding errors was introduced within the medical team and toward the patient and their family alike, the number of malpractice suits decreased. It is crucial to establish a means of support for doctors, and to promote communication trainings, as well as a supportive legal environment.

  18. Enhancements to the opera-3d suite

    Science.gov (United States)

    Riley, Christopher P.

    1997-02-01

    The OPERA-3D suite of programs has been enhanced to include 2 additional 3 dimensional finite element based solvers, with complimentary features in the pre- and postprocessing. SOPRANO computes electromagnetic fields at high frequency including displacement current effects. It has 2 modules—a deterministic solution at a user defined frequency and an eigenvalue solution for modal analysis. It is suitable for designing microwave structures and cavities found in particle accelerators. SCALA computes electrostatic fields in the presence of space charge from charged particle beams. The user may define the emission characteristics of electrodes or plasma surfaces and compute the resultant space charge limited beams, including the presence of magnetic fields. Typical applications in particle accelerators are electron guns and ion sources. Other enhancements to the suite include additional capabilities in TOSCA and ELEKTRA, the static and dynamic solvers.

  19. [EC5-Space Suit Assembly Team- Internship

    Science.gov (United States)

    Maicke, Andrew

    2016-01-01

    There were three main projects in this internship. The first pertained to the Bearing Dust Cycle Test, in particular automating the test to allow for easier administration. The second concerned modifying the communication system setup in the Z2 suit, where speakers and mics were adjusted to allow for more space in the helmet. And finally, the last project concerned the tensile strength testing of fabrics deemed as candidates for space suit materials and desired to be sent off for radiation testing. The major duties here are split up between the major projects detailed above. For the Bearing Dust Cycle Test, the first objective was to find a way to automate administration of the test, as the previous version was long and tedious to perform. In order to do this, it was necessary to introduce additional electronics and perform programming to control the automation. Once this was done, it would be necessary to update documents concerning the test setup, procedure, and potential hazards. Finally, I was tasked with running tests using the new system to confirm system performance. For the Z2 communication system modifications, it was necessary to investigate alternative speakers and microphones which may have better performance than those currently used in the suit. Further, new speaker and microphone positions needed to be identified to keep them out of the way of the suit user. Once this was done, appropriate hardware (such as speaker or microphone cases and holders) could be prototyped and fabricated. For the suit material strength testing, the first task was to gather and document various test fabrics to identify the best suit material candidates. Then, it was needed to prepare samples for testing to establish baseline measurements and specify a testing procedure. Once the data was fully collected, additional test samples would be prepared and sent off-site to undergo irradiation before being tested again to observe changes in strength performance. For the Bearing

  20. AX-5 space suit bearing torque investigation

    Science.gov (United States)

    Loewenthal, Stuart; Vykukal, Vic; Mackendrick, Robert; Culbertson, Philip, Jr.

    1990-01-01

    The symptoms and eventual resolution of a torque increase problem occurring with ball bearings in the joints of the AX-5 space suit are described. Starting torques that rose 5 to 10 times initial levels were observed in crew evaluation tests of the suit in a zero-g water tank. This bearing problem was identified as a blocking torque anomaly, observed previously in oscillatory gimbal bearings. A large matrix of lubricants, ball separator designs and materials were evaluated. None of these combinations showed sufficient tolerance to lubricant washout when repeatedly cycled in water. The problem was resolved by retrofitting a pressure compensated, water exclusion seal to the outboard side of the bearing cavity. The symptoms and possible remedies to blocking are discussed.

  1. TSNLP Test Suites for Natural Language Processing

    CERN Document Server

    Lehmann, S; Regnier-Prost, S; Netter, K; Lux, V; Klein, J; Falkedal, K; Fouvry, F; Estival, D; Dauphin, E; Compagnion, H; Baur, J; Baur, J; Balkan, L; Arnold, D; Lehmann, Sabine; Oepen, Stephan; Regnier-Prost, Sylvie; Netter, Klaus; Lux, Veronika; Klein, Judith; Falkedal, Kirsten; Fouvry, Frederik; Estival, Dominique; Dauphin, Eva; Compagnion, Herve; Baur, Judith; Baur, Judith; Balkan, Lorna; Arnold, Doug

    1996-01-01

    The TSNLP project has investigated various aspects of the construction, maintenance and application of systematic test suites as diagnostic and evaluation tools for NLP applications. The paper summarizes the motivation and main results of the project: besides the solid methodological foundation, TSNLP has produced substantial multi-purpose and multi-user test suites for three European languages together with a set of specialized tools that facilitate the construction, extension, maintenance, retrieval, and customization of the test data. As TSNLP results, including the data and technology, are made publicly available, the project presents a valuable linguistic resourc e that has the potential of providing a wide-spread pre-standard diagnostic and evaluation tool for both developers and users of NLP applications.

  2. The BTeV Software Tutorial Suite

    Energy Technology Data Exchange (ETDEWEB)

    Robert K. Kutschke

    2004-02-20

    The BTeV Collaboration is starting to develop its C++ based offline software suite, an integral part of which is a series of tutorials. These tutorials are targeted at a diverse audience, including new graduate students, experienced physicists with little or no C++ experience, those with just enough C++ to be dangerous, and experts who need only an overview of the available tools. The tutorials must both teach C++ in general and the BTeV specific tools in particular. Finally, they must teach physicists how to find and use the detailed documentation. This report will review the status of the BTeV experiment, give an overview of the plans for and the state of the software and will then describe the plans for the tutorial suite.

  3. Extending and Enhancing SAS (Static Analysis Suite)

    CERN Document Server

    Ho, David

    2016-01-01

    The Static Analysis Suite (SAS) is an open-source software package used to perform static analysis on C and C++ code, helping to ensure safety, readability and maintainability. In this Summer Student project, SAS was enhanced to improve ease of use and user customisation. A straightforward method of integrating static analysis into a project at compilation time was provided using the automated build tool CMake. The process of adding checkers to the suite was streamlined and simplied by developing an automatic code generator. To make SAS more suitable for continuous integration, a reporting mechanism summarising results was added. This suitability has been demonstrated by inclusion of SAS in the Future Circular Collider Software nightly build system. Scalability of the improved package was demonstrated by using the tool to analyse the ROOT code base.

  4. Aerial Surveys of Arctic Marine Mammals (ASAMM) collected by National Marine Mammal Laboratory, Bureau of Ocean Energy Management, and other agencies in the Bering, Chukchi and Beaufort Seas (NODC Accession 0039614)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This archival package contains aerial survey data from the surveys described below. The Bureau of Ocean Energy Management (BOEM), formerly the Minerals Management...

  5. Knowledge, practices, and perceived barriers regarding cancer pain management among physicians and nurses in Korea: a nationwide multicenter survey.

    Science.gov (United States)

    Jho, Hyun Jung; Kim, Yeol; Kong, Kyung Ae; Kim, Dae Hyun; Choi, Jin Young; Nam, Eun Jeong; Choi, Jin Young; Koh, Sujin; Hwang, Kwan Ok; Baek, Sun Kyung; Park, Eun Jung

    2014-01-01

    Medical professionals' practices and knowledge regarding cancer pain management have often been cited as inadequate. This study aimed to evaluate knowledge, practices and perceived barriers regarding cancer pain management among physicians and nurses in Korea. A nationwide questionnaire survey was administered to physicians and nurses involved in the care of cancer patients. Questionnaire items covered pain assessment and documentation practices, knowledge regarding cancer pain management, the perceived barriers to cancer pain control, and processes perceived as the major causes of delay in opioid administration. A total of 333 questionnaires (149 physicians and 284 nurses) were analyzed. Nurses performed pain assessment and documentation more regularly than physicians did. Although physicians had better knowledge of pain management than did nurses, both groups lacked knowledge regarding the side effects and pharmacology of opioids. Physicians working in the palliative care ward and nurses who had received pain management education obtained higher scores on knowledge. Physicians perceived patients' reluctance to take opioids as a barrier to pain control, more so than did nurses, while nurses perceived patients' tendency to under-report of pain as a barrier, more so than did physicians. Physicians and nurses held different perceptions regarding major cause of delay during opioid administration. There were differences between physicians and nurses in knowledge and practices for cancer pain management. An effective educational strategy for cancer pain management is needed in order to improve medical professionals' knowledge and clinical practices.

  6. Immersion Suit Flotation Testing REACT Report

    Science.gov (United States)

    2016-08-01

    and found no signs of wear, abrasion, tears or rips, nor material failure, including adhesive seals. Because we received this suit from the CG...RDC | M. Lewandowski & LT Clark Public | Aug 2016 2.1.1 Review of Available Information The team looked into how to best-simulate the person in the...mannequins. The project team also considered appropriate venues for the experiment. Ideally , the project desired a site with relatively warm water

  7. Regenerative Blower for EVA Suit Ventilation Fan

    Science.gov (United States)

    Izenson, Michael G.; Chen, Weibo; Paul, Heather L.

    2010-01-01

    Portable life support systems in future space suits will include a ventilation subsystem driven by a dedicated fan. This ventilation fan must meet challenging requirements for pressure rise, flow rate, efficiency, size, safety, and reliability. This paper describes research and development that showed the feasibility of a regenerative blower that is uniquely suited to meet these requirements. We proved feasibility through component tests, blower tests, and design analysis. Based on the requirements for the Constellation Space Suit Element (CSSE) Portable Life Support System (PLSS) ventilation fan, we designed the critical elements of the blower. We measured the effects of key design parameters on blower performance using separate effects tests, and used the results of these tests to design a regenerative blower that will meet the ventilation fan requirements. We assembled a proof-of-concept blower and measured its performance at sub-atmospheric pressures that simulate a PLSS ventilation loop environment. Head/flow performance and maximum efficiency point data were used to specify the design and operating conditions for the ventilation fan. We identified materials for the blower that will enhance safety for operation in a lunar environment, and produced a solid model that illustrates the final design. The proof-of-concept blower produced the flow rate and pressure rise needed for the CSSE ventilation subsystem while running at 5400 rpm, consuming only 9 W of electric power using a non-optimized, commercial motor and controller and inefficient bearings. Scaling the test results to a complete design shows that a lightweight, compact, reliable, and low power regenerative blower can meet the performance requirements for future space suit life support systems.

  8. Center for Efficient Exascale Discretizations Software Suite

    Energy Technology Data Exchange (ETDEWEB)

    2017-08-30

    The CEED Software suite is a collection of generally applicable software tools focusing on the following computational motives: PDE discretizations on unstructured meshes, high-order finite element and spectral element methods and unstructured adaptive mesh refinement. All of this software is being developed as part of CEED, a co-design Center for Efficient Exascale Discretizations, within DOE's Exascale Computing Project (ECP) program.

  9. A new device for the inflation of the antigravity suit.

    Science.gov (United States)

    Brodrick, P M

    1986-02-01

    The 'Schuco' orthopaedic tourniquet inflator can be simply converted into a suitable device for inflating an antigravity suit (G-suit). The antigravity suit may be used on neurosurgical patients undergoing procedures in the sitting position to help prevent hypotension and air embolism. The availability of this device may encourage the more widespread use of an antigravity suit in neuro-anaesthetic practice.

  10. Voice Disorder Management Competencies: A Survey of School-Based Speech-Language Pathologists in Nebraska

    Science.gov (United States)

    Teten, Amy F.; DeVeney, Shari L.; Friehe, Mary J.

    2016-01-01

    Purpose: The purpose of this survey was to determine the self-perceived competence levels in voice disorders of practicing school-based speech-language pathologists (SLPs) and identify correlated variables. Method: Participants were 153 master's level, school-based SLPs with a Nebraska teaching certificate and/or licensure who completed a survey,…

  11. Managing urban wastewater in China: a survey of build-operate-transfer contracts

    NARCIS (Netherlands)

    Braadbaart, O.D.; Zhang, M.S.; Wang, Y.

    2009-01-01

    This paper reports on a nationwide field survey of wastewater plants under build-operate-transfer ( BOT) contracts in China. The survey yielded information on contracting parties, size, duration and location of 37 BOT contracts. The key findings are that municipal governments feature as first partie

  12. A Survey of Digital Cultural Heritage Initiatives and Their Sustainability Concerns. Managing Economic Challenges.

    Science.gov (United States)

    Zorich, Diane M.

    In September 2002, the Council on Library and Information Re-sources (CLIR) commissioned a survey of North American-based digital cultural heritage initiatives (DCHIs). The purpose of the survey was to identify the scope, financing, organizational structure, and sustainability of DCHIs. To gain a funder's perspective on these initiatives, the…

  13. The U.S. Geological Survey Geologic Collections Management System (GCMS)—A master catalog and collections management plan for U.S. Geological Survey geologic samples and sample collections

    Science.gov (United States)

    ,

    2015-01-01

    The U.S. Geological Survey (USGS) is widely recognized in the earth science community as possessing extensive collections of earth materials collected by research personnel over the course of its history. In 2006, a Geologic Collections Inventory was conducted within the USGS Geology Discipline to determine the extent and nature of its sample collections, and in 2008, a working group was convened by the USGS National Geologic and Geophysical Data Preservation Program to examine ways in which these collections could be coordinated, cataloged, and made available to researchers both inside and outside the USGS. The charge to this working group was to evaluate the proposition of creating a Geologic Collections Management System (GCMS), a centralized database that would (1) identify all existing USGS geologic collections, regardless of size, (2) create a virtual link among the collections, and (3) provide a way for scientists and other researchers to obtain access to the samples and data in which they are interested. Additionally, the group was instructed to develop criteria for evaluating current collections and to establish an operating plan and set of standard practices for handling, identifying, and managing future sample collections. Policies and procedures promoted by the GCMS would be based on extant best practices established by the National Science Foundation and the Smithsonian Institution. The resulting report—USGS Circular 1410, “The U.S. Geological Survey Geologic Collections Management System (GCMS): A Master Catalog and Collections Management Plan for U.S. Geological Survey Geologic Samples and Sample Collections”—has been developed for sample repositories to be a guide to establishing common practices in the collection, retention, and disposal of geologic research materials throughout the USGS.

  14. Civilizing the Conversation? Using Surveys to Inform Water Management and Science in the Sacramento-San Joaquin Delta

    Science.gov (United States)

    Hanak, E.; Phillips Chappelle, C.

    2013-12-01

    Improving ecosystem outcomes in California's Sacramento-San Joaquin Delta is a complex, high-stakes water resource management challenge. The Delta is a major hub for water supply conveyance and a valued ecological resource. Yet long-term declines in native fish populations have resulted in severe legal constraints on water exports and fueled growing public debates about the roles and responsibilities of flow modification and other sources of ecosystem stress. Meanwhile, scientific uncertainty, and the inability of the scientific community to effectively communicate what *is* known, has frustrated policymakers and encouraged 'combat science' - the commissioning and use of competing scientific opinions in the courtroom. This paper summarizes results from a study designed to inform the policy process through the use of confidential surveys of scientific researchers (those publishing in peer-reviewed journals, n=122) and engaged stakeholders and policymakers (n=240). The surveys, conducted in mid-2012, sought respondents' views on the sources of ecosystem stress and priority ecosystem management actions. The scientist survey is an example of the growing use of expert elicitation to address gaps in the scientific literature, particularly where there is uncertainty about priorities for decisionmaking (e.g., Cvitanovic et al. 2013, J. of Env. Mgmt; McDaniels et al. 2012, Risk Analysis). The stakeholder survey is a useful complement, enabling the identification of areas of consensus and divergence among stakeholder groups and between these groups and scientific experts. The results suggest such surveys are a promising tool for addressing complex water management problems. We found surprisingly high agreement among scientists on the relative roles of stressors and the most promising management actions; they emphasized restoring more natural processes through habitat and flow actions within the watershed, consistent with 'reconciliation ecology' approaches (Rosenzweig 2003

  15. The extent and influence of Asbestos Safety Awareness training among managers who had previously commissioned an asbestos survey in their workplace buildings

    Science.gov (United States)

    HICKEY, Jane; SAUNDERS, Jean; DAVERN, Peter

    2015-01-01

    A telephone survey was conducted among a sample of managers (n=30) in Ireland who had previously commissioned an asbestos survey in their workplace buildings. The aims of the telephone survey were to examine the extent to which managers had completed Asbestos Safety Awareness (ASA) training, and to assess how such training might influence (i) their instinctive thoughts on asbestos, and (ii) their approach to aspects of asbestos management within their buildings. Managers’ motivations for commissioning the asbestos survey were also identified. The study found that ASA-trained managers (n=11) were not significantly more likely to work in larger organisations or in organisations which operated an accredited management system. Though ASA-trained managers’ instinctive thoughts on asbestos were of a slightly poorer technical quality compared with those of non-ASA-trained managers, they were still significantly more cognisant of their responsibilities towards those of their employees at specific risk of asbestos exposure. Most managers (n=28) commissioned the asbestos survey to satisfy a pre-requisite of external contractors for commencing refurbishment/demolition work in their buildings. Given its potential to positively influence the occupational management of asbestos, the authors recommend the general promotion of suitably tailored ASA-training programmes among building managers and external contractors alike. PMID:25914070

  16. How do managers behave in stock option plans? Clinical evidence from exercise and survey data

    NARCIS (Netherlands)

    Sautner, Z.; Weber, M.

    2009-01-01

    We use unique case study data to analyze the behavior of top managers in an executive stock option plan. We gather questionnaire data on the managers' traits and combine it with exercise data. Managers in our sample expect low volatilities (compared to historical estimates) and are well diversified

  17. How do managers behave in stock option plans? Clinical evidence from exercise and survey data

    NARCIS (Netherlands)

    Sautner, Z.; Weber, M.

    2009-01-01

    We use unique case study data to analyze the behavior of top managers in an executive stock option plan. We gather questionnaire data on the managers' traits and combine it with exercise data. Managers in our sample expect low volatilities (compared to historical estimates) and are well diversified

  18. Palliative care case management in primary care settings: A nationwide survey

    NARCIS (Netherlands)

    Plas, A.G. van der; Deliens, L.; Watering, M. van de; Jansen, W.J.; Vissers, K.C.P.; Onwuteaka-Philipsen, B.D.

    2013-01-01

    BACKGROUND: In case management an individual or small team is responsible for navigating the patient through complex care. Characteristics of case management within and throughout different target groups and settings vary widely. Case management is relatively new in palliative care. Insight into the

  19. The management of lactose intolerance among primary care physicians and its correlation with management by gastroenterologists: the SEPD-SEMG national survey

    Directory of Open Access Journals (Sweden)

    Federico Argüelles-Arias

    2015-09-01

    Full Text Available Introduction and aims: The understanding of lactose intolerance (LI is limited in some professional settings. Sociedad Española de Patología Digestiva (SEPD and Sociedad Española de Medicina General (SEMG have developed a survey in order to: a Analyze primary care physicians (PCPs knowledge and clinical management; and b to compare results with those of a previous survey of Spanish gastroenterologists (GEs. Material and methods: An online questionnaire was sent to SEMG members with 27 items on various issues: Demographics, occupational characteristics, outlook on LI, diagnostic tests, treatment, and follow-up. Results were compared to those from a survey of GEs. Results: A total of 456 PCPs responded, versus 477 GEs. PCPs had an older mean age and longer professional experience. Level of understanding of LI was similar, albeit a higher proportion of PCPs lacked epidemiological awareness (p 0.001, and LI symptoms as overlapping those of irritable bowel syndrome (93.5 vs. 88.2%; p = 0.005, although symptoms perceived as suspicious of LI were similar in both groups. Dietary recommendations were recognized as the primary therapeutic approach. Conclusion: This study reveals the outlook of PCPs on LI, and allows comparison with that of GEs, as a basis for the development of strategies aimed at improving LI understanding, approach and management in our setting.

  20. The management of lactose intolerance among primary care physicians and its correlation with management by gastroenterologists: the SEPD-SEMG national survey.

    Science.gov (United States)

    Argüelles-Arias, Federico; Rodríguez Ledo, Pilar; Tenías, José María; Otero, Mercedes; Casellas, Francesc; Blay Cortés, Guadalupe; Lucendo, Alfredo; Domínguez-Jiménez, José Luis; Carballo, Fernando

    2015-09-01

    The understanding of lactose intolerance (LI) is limited in some professional settings. Sociedad Española de Patología Digestiva (SEPD) and Sociedad Española de Medicina General (SEMG) have developed a survey in order to: a) Analyze primary care physicians (PCPs) knowledge and clinical management; and b) to compare results with those of a previous survey of Spanish gastroenterologists (GEs). An online questionnaire was sent to SEMG members with 27 items on various issues: Demographics, occupational characteristics, outlook on LI, diagnostic tests, treatment, and follow-up. Results were compared to those from a survey of GEs. A total of 456 PCPs responded, versus 477 GEs. PCPs had an older mean age and longer professional experience. Level of understanding of LI was similar, albeit a higher proportion of PCPs lacked epidemiological awareness (p 0.001), and LI symptoms as overlapping those of irritable bowel syndrome (93.5 vs. 88.2%; p = 0.005), although symptoms perceived as suspicious of LI were similar in both groups. Dietary recommendations were recognized as the primary therapeutic approach. This study reveals the outlook of PCPs on LI, and allows comparison with that of GEs, as a basis for the development of strategies aimed at improving LI understanding, approach and management in our setting.

  1. Using Smartphones and Health Apps to Change and Manage Health Behaviors: A Population-Based Survey.

    Science.gov (United States)

    Ernsting, Clemens; Dombrowski, Stephan U; Oedekoven, Monika; O Sullivan, Julie L; Kanzler, Melanie; Kuhlmey, Adelheid; Gellert, Paul

    2017-04-05

    Chronic conditions are an increasing challenge for individuals and the health care system. Smartphones and health apps are potentially promising tools to change health-related behaviors and manage chronic conditions. The aim of this study was to explore (1) the extent of smartphone and health app use, (2) sociodemographic, medical, and behavioral correlates of smartphone and health app use, and (3) associations of the use of apps and app characteristics with actual health behaviors. A population-based survey (N=4144) among Germans, aged 35 years and older, was conducted. Sociodemographics, presence of chronic conditions, health behaviors, quality of life, and health literacy, as well as the use of the Internet, smartphone, and health apps were assessed by questionnaire at home visit. Binary logistic regression models were applied. It was found that 61.25% (2538/4144) of participants used a smartphone. Compared with nonusers, smartphone users were younger, did more research on the Internet, were more likely to work full-time and more likely to have a university degree, engaged more in physical activity, and less in low fat diet, and had a higher health-related quality of life and health literacy. Among smartphone users, 20.53% (521/2538) used health apps. App users were younger, less likely to be native German speakers, did more research on the Internet, were more likely to report chronic conditions, engaged more in physical activity, and low fat diet, and were more health literate compared with nonusers who had a smartphone. Health apps focused on smoking cessation (232/521, 44.5%), healthy diet (201/521, 38.6%), and weight loss (121/521, 23.2%). The most common app characteristics were planning (264/521, 50.7%), reminding (188/521, 36.1%), prompting motivation (179/521 34.4%), and the provision of information (175/521, 33.6%). Significant associations were found between planning and the health behavior physical activity, between feedback or monitoring and physical

  2. Using Smartphones and Health Apps to Change and Manage Health Behaviors: A Population-Based Survey

    Science.gov (United States)

    Dombrowski, Stephan U; Oedekoven, Monika; O´Sullivan, Julie L; Kanzler, Melanie; Kuhlmey, Adelheid; Gellert, Paul

    2017-01-01

    Background Chronic conditions are an increasing challenge for individuals and the health care system. Smartphones and health apps are potentially promising tools to change health-related behaviors and manage chronic conditions. Objective The aim of this study was to explore (1) the extent of smartphone and health app use, (2) sociodemographic, medical, and behavioral correlates of smartphone and health app use, and (3) associations of the use of apps and app characteristics with actual health behaviors. Methods A population-based survey (N=4144) among Germans, aged 35 years and older, was conducted. Sociodemographics, presence of chronic conditions, health behaviors, quality of life, and health literacy, as well as the use of the Internet, smartphone, and health apps were assessed by questionnaire at home visit. Binary logistic regression models were applied. Results It was found that 61.25% (2538/4144) of participants used a smartphone. Compared with nonusers, smartphone users were younger, did more research on the Internet, were more likely to work full-time and more likely to have a university degree, engaged more in physical activity, and less in low fat diet, and had a higher health-related quality of life and health literacy. Among smartphone users, 20.53% (521/2538) used health apps. App users were younger, less likely to be native German speakers, did more research on the Internet, were more likely to report chronic conditions, engaged more in physical activity, and low fat diet, and were more health literate compared with nonusers who had a smartphone. Health apps focused on smoking cessation (232/521, 44.5%), healthy diet (201/521, 38.6%), and weight loss (121/521, 23.2%). The most common app characteristics were planning (264/521, 50.7%), reminding (188/521, 36.1%), prompting motivation (179/521 34.4%), and the provision of information (175/521, 33.6%). Significant associations were found between planning and the health behavior physical activity

  3. Engineering change management report 2012: Survey results on causes and effects, current practice, problems, and strategies in Brazil

    DEFF Research Database (Denmark)

    Chucholowski, Nepomuk; Langer, Stefan; Ferreira, Marcelo Gitirana Gomes

    Engineering changes (ECs) are well known for generating additional costs and decreasing de-velopment efficiency. Yet, they are a fundamental part of product and service development and they are necessary to keep up with, for example, competitors, market trends or new technolo-gies. The effective...... management of engineering changes is a crucial precondition for Brazilian companies to successfully compete not only on the fast growing Brazilian market, but also on the world market which becomes more interesting due to the rising industrial power of Brazil. To achieve improvements in engineering change...... management practice, industry and universities need to work together. In this report the main findings of our study on Engineering Change Management (ECM) in Brazilian companies are presented, which indicate possible solution strategies and further research needs. Our survey aimed on the investigation...

  4. Peri-operative management of high-risk paediatric adenotonsillectomy patients: A survey of 35 UK tertiary referral centres.

    Science.gov (United States)

    Cheong, Ryan Chin Taw; Bowles, Philippe; Moore, Andrew; Watts, Simon

    2017-05-01

    Peri-operative management of high-risk paediatric patients undergoing adenotonsillectomy for treatment of obstructive sleep apnoea varies between tertiary referral hospitals. 'Day of surgery cancellation' (DoSC) rates of up to 11% have been reported due to pre-booked critical care being unavailable on the day of surgery as a result of competing needs from other hospital departments. We report the results of a survey of peri-operative management in UK tertiary care centres of high-risk paediatric patients undergoing adenotonsillectomy for obstructive sleep apnoea (OSA). An 8-point questionnaire was developed using a cloud-based software platform (www.surveymonkey.com). A web-link to the survey was embedded in a customised e-mail which was sent via secure server to the Clinical Leads for Paediatric Otolaryngology at 35 United Kingdom (UK) Tertiary referral centres. The survey response rate was 60% (n = 21). Almost all (94.1%) of centres considered paediatric critical care facilities to be limited, with 70.6% (n = 12) stating that DoSC often occurred due to unavailable paediatric critical care capacity. There was variation between tertiary referral units in the practice applied for pre-booking critical care beds (our survey identifies 6 variations) (Table 1). The most frequent selection method reported (47.1%) was at the discretion of the booking clinician at the time of listing the patient for surgery. In the context of limited critical care resources, variation in practice and difficulty in accurately predicting which patients will require post-operative critical care beds, a review and consensus on best practice in the peri-operative management of high risk paediatric adenotonsillectomy patients may offer a safe means of reducing cancellations and improving patient care, resource allocation and hospital efficiency. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Current practices in the management of malignant pleural effusions: a survey among members of the European Society of Thoracic Surgeons.

    Science.gov (United States)

    Scarci, Marco; Caruana, Edward; Bertolaccini, Luca; Bedetti, Benedetta; Brunelli, Alessandro; Varela, Gonzalo; Papagiannopoulos, Kostas; Kuzdzal, Jaroslaw; Massard, Gilbert; Ruffini, Enrico; Falcoz, Pierre Emmanuel; Opitz, Isabelle; Batirel, Hasan; Toker, Alper; Rocco, Gaetano

    2017-03-01

    Malignant pleural effusion (MPE) commonly complicates advanced malignancy and their exact management is still undefined. We undertook a survey to determine the current practice among members of the European Society of Thoracic Surgeons (ESTS). A cross-sectional survey focused on the current practice of management of MPE was developed by the authors. The questions were outlined after a review of the literature and circulated in an Internet-based survey format. Computed tomography (125, 92%) and chest X-ray (106, 78%) are the most common imaging modalities performed in the initial evaluation. Video-assisted thoracoscopic surgery for washout and pleurodesis (93, 68%) was reported as the preferred approach to patients with uncomplicated MPE. Sixty-one (45%) of the responding colleagues routinely use large bore chest tubes for draining malignant effusions. Forty-nine (35%) surgeons would not apply suction to the drainage system, whilst 50 (37%) would use -2 kPa or less. Talc (124, 91%) is the most commonly used sclerosing agent for pleurodesis in the context of malignant pleural effusion. The practice of 76 (56%) of the respondents is not informed by any clinical guidelines, whilst 60 (44%) reported adhering to the 2010 British Thoracic Society Pleural Disease Guideline. Seventy-one (52%) declared that the guidance was in need of updating or revision. This survey demonstrates the lacking adoption of the existing clinical guidance in this field, as well as the need for more contemporary guidelines for a better-informed practice. The ESTS Working Group on the management of MPE has been established for this purpose.

  6. Management of postoperative junctional ectopic tachycardia in pediatric patients: a survey of 30 centers in Germany, Austria, and Switzerland.

    Science.gov (United States)

    Entenmann, Andreas; Michel, Miriam; Herberg, Ulrike; Haas, Nikolaus; Kumpf, Matthias; Gass, Matthias; Egender, Friedemann; Gebauer, Roman

    2017-07-21

    Postoperative junctional ectopic tachycardia (JET) is a frequent complication after pediatric cardiac surgery. Current recommendations on how and when to treat JET are inconsistent. We evaluated the management strategies of postoperative JET in German-speaking countries. We sent an online survey to 30 centers of pediatric cardiology that perform surgery for congenital heart defects in Germany (24), Austria (4), and Switzerland (2). The survey asked 18 questions about how and in what treatment sequence postoperative JET was managed. All 30 centers completed the survey (100% return rate). There was general agreement that the management of JET is based on administration of antiarrhythmic drugs, body surface cooling, and temporary pacing. Many centers presented treatment algorithms based on published literature, all centers named amiodarone as the first drug of choice. Significant disagreement was found concerning the timing and sequential order of additional therapeutic measures and particularly about the dosing of amiodarone and the role of R-wave synchronized atrial pacing. This survey reveals that from center to center, the treatment of postoperative JET may vary substantially. Future work should focus on those treatment modalities where a high rate of variation is found. Such studies may be of value to achieve commonly adopted treatment recommendations. What is known: • Treatment of postoperative junctional ectopic tachycardia is predominantly based on administration of antiarrhythmic drugs, therapeutic cooling, and temporary pacing. • Amiodarone is the antiarrhythmic drug of choice in this context. What is new: • Dosing and duration of administration of amiodarone differ relevantly from center to center. • The sequential order of drug administration, therapeutic cooling, and pacing is not consistent.

  7. A survey on the beliefs and knowledge of gout management in new medical graduates; New South Wales, Australia.

    Science.gov (United States)

    Terrill, Matthew; Riordan, John

    2017-05-25

    To assess the beliefs and knowledge of gout management in new medical graduates. A survey on gout management was sent to new medical graduates during their orientation week, New South Wales, Australia. Of 15 hospital networks, 11 agreed to participate. From these, 168 graduates responded (23.7% response rate). Most (81.1%) felt that gout was a serious disease, 51.2% answered that they had been taught adequately to manage acute gout, only 37.2% for chronic gout. In an acute gout flare, 63.4% answered they would continue urate lowering therapy and 67.2% were aware of first-line pharmacological management options; 28% answered the correct dosing regimen for colchicine. Chronic management was answered poorly. Only 42.0% stated they would titrate allopurinol dosing to a target urate level; 23.5% would check the urate level monthly. More than half, 56.8%, were aware that medical prophylaxis is indicated when initiating urate lowering therapy. Of this subgroup, 46.7% (25.9% overall) knew that non-steroidal anti-inflammatory drugs and colchicine were recommended and 28.4% (15.4% overall) answered the correct timeframe of use. Close to one-third (35.0%), were aware of febuxostat, probenecid and benzbromarone as second-line urate lowering therapy. The findings of this study suggest that new graduates' knowledge of gout management, especially chronic management, is suboptimal. Many felt their teaching on gout management inadequate; this is a potential target for intervention. Up to date university education which covers chronic management may lead to better clinical outcomes for this burdensome disease. © 2017 Asia Pacific League of Associations for Rheumatology and John Wiley & Sons Australia, Ltd.

  8. Methods for integrated use of fisheries research survey information in understanding marine fish population ecology and better management advice : improving methods for evaluation of research survey information under consideration of survey fish detection and catch efficiency

    NARCIS (Netherlands)

    Nielsen, J.R.

    2015-01-01

    Summary The thesis developed and improved methods for the integrated analysis of different types of fishery independent research surveys (trawl surveys, acoustic surveys, hydrographical surveys, and gillnet surveys) to study the distribution, density, abundance, migration and

  9. Physiotherapists' perceptions of patient adherence to prescribed self-management strategies: a cross-sectional survey of Australian physiotherapists.

    Science.gov (United States)

    Peek, Kerry; Carey, Mariko; Sanson-Fisher, Robert; Mackenzie, Lisa

    2017-09-01

    Physiotherapists often prescribe self-management strategies for their patients. However, the effectiveness of these strategies in improving patient outcome is related to the rate of patient adherence. The aims of this study were to explore physiotherapists' views on the importance and perceived rates of patient adherence to physiotherapist prescribed self-management strategies; the perceived importance of methods physiotherapists can employ to aid patient adherence and the barriers to employing these methods. A cross-sectional web-based survey was emailed to 808 physiotherapist members of the Australian Physiotherapy Association. To maximize response rates, two reminder emails were utilized. In total, 352 physiotherapists completed the survey (response rate 44%). A majority of physiotherapists (89%) believed that patient self-management strategies were important in improving patient outcomes; however, the mean perceived rate of patient adherence across all strategies was only 67%. Physiotherapists reported that there were a number of important methods that can be employed to aid patient adherence such as providing patient education and allowing time for patient practice; with minimal perceived barriers to employing these methods. Results indicate that physiotherapists perceive that patient outcomes can be positively impacted by patient adherence to a range of self-management strategies. Physiotherapists should be encouraged to implement into their routine clinical practice evidence-based methods to aid patient adherence. Implications for Rehabilitation Physiotherapists believe that patient self-management strategies are important for improving patient outcomes, however, the perceived rates of patient adherence could be improved. Physiotherapists should adopt a collaborative approach with their patients to address any barriers to adherence to positively impact on patient outcome. Physiotherapists perceive that there are a number of modifiable characteristics which

  10. Euro Heart Survey 2009 Snapshot: regional variations in presentation and management of patients with AMI in 47 countries

    Science.gov (United States)

    Puymirat, Etienne; Battler, Alex; Birkhead, John; Bueno, Hector; Clemmensen, Peter; Cottin, Yves; Fox, Keith AA; Gorenek, Bulent; Hamm, Christian; Huber, Kurt; Lettino, Maddalena; Lindahl, Bertil; Müller, Christian; Parkhomenko, Alexander; Price, Susanna; Quinn, Tom; Schiele, Francois; Simoons, Maarten; Tatu-Chitoiu, Gabriel; Tubaro, Marco; Vrints, Christiaan; Zahger, Doron; Zeymer, Uwe

    2013-01-01

    Aims: Detailed data on patients admitted for acute myocardial infarction (AMI) on a European-wide basis are lacking. The Euro Heart Survey 2009 Snapshot was designed to assess characteristics, management, and hospital outcomes of AMI patients throughout European Society of Cardiology (ESC) member countries in a contemporary ‘real-world’ setting, using a methodology designed to improve the representativeness of the survey. Methods: Member countries of the ESC were invited to participate in a 1-week survey of all patients admitted for documented AMI in December 2009. Data on baseline characteristics, type of AMI, management, and complications were recorded using a dedicated electronic form. In addition, we used data collected during the same time period in national registries in Sweden, England, and Wales. Data were centralized at the European Heart House. Results: Overall, 4236 patients (mean age 66±13 years; 31% women) were included in the study in 47 countries. Sixty per cent of patients had ST-segment elevation myocardial infarction, with 50% having primary percutaneous coronary intervention and 21% fibrinolysis. Aspirin and thienopyridines were used in >90%. Unfractionated and low-molecular-weight heparins were the most commonly used anticoagulants. Statins, beta-blockers, and angiotensin-converting enzyme inhibitors were used in >80% of the patients. In-hospital mortality was 6.2%. Regional differences were observed, both in terms of population characteristics, management, and outcomes. Conclusions: In-hospital mortality of patients admitted for AMI in Europe is low. Although regional variations exist in their presentation and management, differences are limited and have only moderate impact on early outcomes. PMID:24338295

  11. Strategic wellness management in Finland: The first national survey of the management of employee well-being.

    Science.gov (United States)

    Aura, Ossi; Ahonen, Guy; Ilmarinen, Juhani

    2010-12-01

    To examine the scope of strategic wellness management (SWM) in Finland. To measure management of wellness a strategic wellness management index (SWMI) was developed. On the basis of the developed SWM model an Internet questionnaire was conducted for randomly selected employers representing seven business areas and three size categories. Corporate activities and SWMI for each employer and for business area and size groups were calculated. Results highlighted relatively good activity in strategic wellness (SW) processes and fairly low level of SWM procedures. The average values (± SD) of SWMI were 53.6 ± 12.3 for large, 42.8 ± 11.7 for medium-size, and 32.8 ± 12.1 for small companies. SWMI can be a positive new, strong concept to measure SW processes and thus improve both the well-being of the employees and the productivity of the enterprise.

  12. Fish Structural Habitat Surveys from Grays Reef National Marine Sanctuary Research Open Management Zones

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — In situ visual surveys were conducted to generate size estimates and species composition of fish community habitat measurements (ledge height, macroalgal ht, sessile...

  13. Software Defined Networking for Improved Wireless Sensor Network Management: A Survey

    Science.gov (United States)

    Ndiaye, Musa; Hancke, Gerhard P.; Abu-Mahfouz, Adnan M.

    2017-01-01

    Wireless sensor networks (WSNs) are becoming increasingly popular with the advent of the Internet of things (IoT). Various real-world applications of WSNs such as in smart grids, smart farming and smart health would require a potential deployment of thousands or maybe hundreds of thousands of sensor nodes/actuators. To ensure proper working order and network efficiency of such a network of sensor nodes, an effective WSN management system has to be integrated. However, the inherent challenges of WSNs such as sensor/actuator heterogeneity, application dependency and resource constraints have led to challenges in implementing effective traditional WSN management. This difficulty in management increases as the WSN becomes larger. Software Defined Networking (SDN) provides a promising solution in flexible management WSNs by allowing the separation of the control logic from the sensor nodes/actuators. The advantage with this SDN-based management in WSNs is that it enables centralized control of the entire WSN making it simpler to deploy network-wide management protocols and applications on demand. This paper highlights some of the recent work on traditional WSN management in brief and reviews SDN-based management techniques for WSNs in greater detail while drawing attention to the advantages that SDN brings to traditional WSN management. This paper also investigates open research challenges in coming up with mechanisms for flexible and easier SDN-based WSN configuration and management. PMID:28471390

  14. Software Defined Networking for Improved Wireless Sensor Network Management: A Survey.

    Science.gov (United States)

    Ndiaye, Musa; Hancke, Gerhard P; Abu-Mahfouz, Adnan M

    2017-05-04

    Wireless sensor networks (WSNs) are becoming increasingly popular with the advent of the Internet of things (IoT). Various real-world applications of WSNs such as in smart grids, smart farming and smart health would require a potential deployment of thousands or maybe hundreds of thousands of sensor nodes/actuators. To ensure proper working order and network efficiency of such a network of sensor nodes, an effective WSN management system has to be integrated. However, the inherent challenges of WSNs such as sensor/actuator heterogeneity, application dependency and resource constraints have led to challenges in implementing effective traditional WSN management. This difficulty in management increases as the WSN becomes larger. Software Defined Networking (SDN) provides a promising solution in flexible management WSNs by allowing the separation of the control logic from the sensor nodes/actuators. The advantage with this SDN-based management in WSNs is that it enables centralized control of the entire WSN making it simpler to deploy network-wide management protocols and applications on demand. This paper highlights some of the recent work on traditional WSN management in brief and reviews SDN-based management techniques for WSNs in greater detail while drawing attention to the advantages that SDN brings to traditional WSN management. This paper also investigates open research challenges in coming up with mechanisms for flexible and easier SDN-based WSN configuration and management.

  15. Software Defined Networking for Improved Wireless Sensor Network Management: A Survey

    Directory of Open Access Journals (Sweden)

    Musa Ndiaye

    2017-05-01

    Full Text Available Wireless sensor networks (WSNs are becoming increasingly popular with the advent of the Internet of things (IoT. Various real-world applications of WSNs such as in smart grids, smart farming and smart health would require a potential deployment of thousands or maybe hundreds of thousands of sensor nodes/actuators. To ensure proper working order and network efficiency of such a network of sensor nodes, an effective WSN management system has to be integrated. However, the inherent challenges of WSNs such as sensor/actuator heterogeneity, application dependency and resource constraints have led to challenges in implementing effective traditional WSN management. This difficulty in management increases as the WSN becomes larger. Software Defined Networking (SDN provides a promising solution in flexible management WSNs by allowing the separation of the control logic from the sensor nodes/actuators. The advantage with this SDN-based management in WSNs is that it enables centralized control of the entire WSN making it simpler to deploy network-wide management protocols and applications on demand. This paper highlights some of the recent work on traditional WSN management in brief and reviews SDN-based management techniques for WSNs in greater detail while drawing attention to the advantages that SDN brings to traditional WSN management. This paper also investigates open research challenges in coming up with mechanisms for flexible and easier SDN-based WSN configuration and management.

  16. Initial Survey Instructions for a spatial inventory of native sod, reconstructed prairie, and seeded introduced grasslands at Kulm Wetland Management District

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Initial Survey Instructions for a spatial inventory of native sod, reconstructed prairie, and seeded introduced grasslands at Kulm Wetland Management District....

  17. Effect of medical institution change on gestational duration after the Great East Japan Earthquake: The Fukushima Health Management Survey.

    Science.gov (United States)

    Suzuki, Kohta; Goto, Aya; Fujimori, Keiya

    2016-12-01

    The aim of this study was to examine the association between medical institution change for perinatal care and gestational duration after the Great East Japan Earthquake using data from the Fukushima Health Management Survey. The data of pregnant women who experienced the earthquake in Fukushima prefecture and participated in the Pregnancy and Birth Survey as part of the Fukushima Health Management Survey were analyzed. The primary and secondary outcomes of this study were gestational duration and preterm birth, respectively. The main study factor was prenatal checkup institution (only one institution, changed institution due to self-referral, changed institution due to medical indication, and went to parents' home for childbirth). Self-referral was considered as indicative of relocation after the disaster. Multiple linear and logistic regression analyses were conducted to examine the effect of earthquake on each outcome. A total of 5593 (60.2%) participants experienced the earthquake between the 4th and 37th weeks of their gestational period. After controlling for variables, pregnant women who changed their perinatal checkup institution due to medical indication were significantly associated with shorter gestational duration (β = -10.6, P Earthquake and the subsequent Fukushima Daiichi nuclear disaster was not significant. © 2016 Japan Society of Obstetrics and Gynecology.

  18. DASCAR sensor suite and video data system

    Science.gov (United States)

    Carter, Richard J.; Barickman, Frank S.; Goodman, Michael J.

    1997-02-01

    A research program oriented toward the development of a portable data acquisition system for crash avoidance research has been conducted. This paper discusses the background to the project and the requirements for the data acquisition system. It also provides a brief system overview and describes two of the system's five major elements, the sensor suite and the video data system, in detail. Components, functions, and specifications are covered. Finally the paper addresses the central data collection/analysis facility which was assembled to mange the sensor and video data, and presents the potential uses of the data acquisition system.

  19. Marketing Problems of Tourism Certifacated Hotel Managements- AField Survey in Bal›kesirProvince

    OpenAIRE

    Bedriye Tuncsiper; Mehmet Oguzhan ‹lban

    2006-01-01

    This study aims to searh marketing problems of hotel managements located in Balikesir, and the types of marketing applications applied by these managements. According to the results, the most important problems of these managements are: the difficulty of following technology,inadequte demand, difficulty of costumer satistification, cheating and confusing advertisements, excessive competition, and not having talented and educated salesmen. Against these problems, it is understood that service,...

  20. A Survey of Knowledge Management Research & Development at NASA Ames Research Center

    Science.gov (United States)

    Keller, Richard M.; Clancy, Daniel (Technical Monitor)

    2002-01-01

    This chapter catalogs knowledge management research and development activities at NASA Ames Research Center as of April 2002. A general categorization scheme for knowledge management systems is first introduced. This categorization scheme divides knowledge management capabilities into five broad categories: knowledge capture, knowledge preservation, knowledge augmentation, knowledge dissemination, and knowledge infrastructure. Each of nearly 30 knowledge management systems developed at Ames is then classified according to this system. Finally, a capsule description of each system is presented along with information on deployment status, funding sources, contact information, and both published and internet-based references.

  1. Survey of Firms/Agencies Employing Cornell Graduates with Bachelors Degrees in Applied Economics and Business Management. Cornell Agricultural Economics Staff Paper No. 89-15.

    Science.gov (United States)

    Knoblauch, Wayne A.; German, Gene A.

    Employers were surveyed to obtain their opinions as to the quality of the Cornell University undergraduate program in applied economics and business management. In addition, employers were asked to recommend modifications in the program to enable students to meet the challenges of the future. Survey instruments were mailed to recruiters in 173…

  2. A questionnaire survey on the management of Graves' orbitopathy in China:A comparison with Europe and Latin-America

    Institute of Scientific and Technical Information of China (English)

    Shu-Hang Xu; Xing-Jia Li; Guo-Fang Chen; Quan-Xi Zheng; Yu Yang; Yong-Xin Hu; Kun Wang; Chao Liu

    2015-01-01

    Objective: Management of Graves' orbitopathy (GO) continues to be a challenge to clinical endocrinologists. In the last few years, surveys on GO management have succeeded in elucidating trends in Europe and Latin America. To determine how endocrinologists in China assess and treat patients with GO and gain insight into how to make the management of this disease more uniform and standardized. Methods: Based on the questionnaire used in the European survey on GO, a questionnaire in China was drafted and circulated to the members of Chinese Society of Endocrinology (CSE) during the annual meeting. Results: A total of 124 valid responses were analysed. Almost all respondents (94.4%) claimed that a multidisciplinary approach for GO management was valuable. Over 80% of the participants advocated the assessment of exophthalmometry, vision, visual fields by perimetry, eye movements, and fundoscopy. Glucocorticoids were preferred as the first-line therapy by 92.7% of respondents, among them, 59.7% choose the intravenous route. The treatment strategy for GO with intravenous glucocorticoids therapy still remains debatable. Anti-thyroid drugs (ATDs) were the most common choice (72.6%) for first-line therapy of coexisting hyperthyroidism. Treatment options for GO were very similar among Chinese, Latin-American and Eu-ropean respondents, whereas radioactive iodine and surgical treatment were more often indicated for co-existing hyperthyroidism in China. Conclusion: The appropriate treatment for patients with GO is controversial even among thyroid specialists. Further training of thyroid specialists, easier access of patients to multidisciplinary centres and establishment of practice guidelines are required for the management of this condition in China. Copyright © 2015, Chinese Medical Association Production. Production and hosting by Elsevier B.V. on behalf of KeAi Communications Co., Ltd. This is an open access article under the CC BY-NC-ND license (http

  3. The Nordic maintenance care program – case management of chiropractic patients with low back pain: A survey of Swedish chiropractors

    Directory of Open Access Journals (Sweden)

    Jørgensen Kristian

    2008-06-01

    Full Text Available Abstract Background Chiropractic treatment for low back pain (LBP can often be divided into two phases: Initial treatment of the problem to attempt to remove pain and bring it back into its pre-clinical or maximum improvement status, and "maintenance care", during which it is attempted to maintain this status. Although the use of chiropractic maintenance care has been described and discussed in the literature, there is no information as to its precise indications. The objective of this study is to investigate if there is agreement among Swedish chiropractors on the overall patient management for various types of LBP-scenarios, with a special emphasis on maintenance care. Method The design was a mailed questionnaire survey. Members of the Swedish Chiropractors' Association, who were participants in previous practice-based research, were sent a closed-end questionnaire consisting of nine case scenarios and six clinical management alternatives and the possibility to create one's own alternative, resulting in a "nine-by-seven" table. The research team defined its own pre hoc choice of "clinically logical" answers based on the team's clinical experience. The frequency of findings was compared to the suggestions of the research team. Results Replies were received from 59 (60% of the 99 persons who were invited to take part in the study. A pattern of self-reported clinical management strategies emerged, largely corresponding to the "clinically logical" answers suggested by the research team. In general, patients of concern would be referred out for a second opinion, cases with early recovery and without a history of previous low back pain would be quickly closed, and cases with quick recovery and a history of recurring events would be considered for maintenance care. However, also other management patterns were noted, in particular in the direction of maintenance care. Conclusion To a reasonable extent, Swedish chiropractors participating in this

  4. A survey of management of congenital nasolacrimal duct obstruction by pediatric primary health care providers in Spain.

    Science.gov (United States)

    Galindo-Ferreiro, Alicia; Palencia-Ercilla, Teresa; Ferreira, Livia Mendoza; Galvez-Ruiz, Alberto; Zornoff, Denise C M; Khandekar, Rajiv; Schellini, Silvana A

    2017-06-26

    To survey the management of congenital nasolacrimal duct obstruction (CNLDO) by pediatric primary health care providers in Spain. This was a descriptive study using a web-based questionnaire to evaluate the perceptions of the members of the Pediatric Primary Care Society in Castilla-León, Spain (APAPCYL), regarding management of CNLDO. The questionnaire contained 14 direct questions and was sent by e-mail to all the pediatricians. All the responses were analyzed by the frequency of occurrence and percentages. Ninety physicians responded to the questionnaire. Massage 2 or 3 times a day was the initial treatment advised by 60.47% of pediatricians. Nearly half of the pediatricians recommended continuing massage until symptoms resolved. Fewer than 50% of children required referral to an ophthalmologist. Reasons for an ophthalmic consult included persistence of symptoms among 87.21% of pediatricians and parental/guardian request among 10.5% of pediatricians. According to 45.6% of pediatricians, their knowledge about CNLDO is limited, and 92.2% would like to receive further training on CNLDO. Massage was the main initial treatment for managing CNLDO among pediatricians. The outcomes of this survey indicated that massage fails in fewer than 50% of patients and an ophthalmic referral is required for these cases.

  5. Management of Adult Growth Hormone Deficiency at Peking Union Medical College Hospital:A Survey among Physicians

    Institute of Scientific and Technical Information of China (English)

    Hong-bo Yang; Meng-qi Zhang; Hui Pan; Hui-juan Zhu

    2016-01-01

    Objective To evaluate physicians’ attitude and knowledge about the management of adult growth hormone deficiency (AGHD) at Peking Union Medical College Hospital and impact factors associated with better decision-making. Methods A 21-question anonymous survey was distributed and collected at Peking Union Medical College Hospital, a major teaching hospital in Chinese Academy of Medical Sciences. Data of physicians’ educational background, clinical training, patient workload per year and continuing medical education in AGHD were collected. Factors associated with appropriate answers were further analyzed by multivariate regression models. Results One hundred and eighteen internal medicine residents, endocrine fellows, attending physicians and visiting physicians responded to the survey. Among them, 44.9% thought that AGHD patients should accept recombinant human growth hormone replacement therapy. Moreover, 56.8% selected insulin tolerance test and growth hormone-releasing hormone-arginine test for the diagnosis of AGHD. Logistic regression analysis of physician demographic data, educational background, and work experience found no consistent independent factors associated with better decision-making, other than continued medical education, that were associated with treatment choice. Conclusions The physicians’ reported management of AGHD in this major academic healthcare center in Beijing was inconsistent with current evidence. High quality continued medical education is required to improve Chinese physician management of AGHD.

  6. A survey on the impact of the training period on empowering management team: A case study Saipa Group

    Directory of Open Access Journals (Sweden)

    Hasan Darvish

    2013-06-01

    Full Text Available Having reliable and skilled employees are essential component of any organization. Employees are considered as intangible assets for most organizations and they are the primary source of making value added decisions. On the other hand, a learning organization is capable of making continuous improvement and survives in today’s competitive environment. The proposed study of this paper considers whether training programs could empower employees who were working as managers for Saipa Group Company, a well-known automaker in Iran. The study concentrates on those employees who participated in master program in one of educational organizations in city of Tehran, Iran. 178 managers attended this program representing approximately 70% of total managers. The results of our survey have indicated that while training programs have created meaningful sense and help them have a better sense of efficacy it has not created any feeling of competence or building feeling of self-organization. The survey also concluded that training programs could increase the level of meaningful sense and the feeling of competence. In addition, the results indicate that training programs could increase employees’ self-organization as well as efficacy characteristics.

  7. Breaking the Silos: The art Documentation Suite

    Science.gov (United States)

    Kutschke, Robert K.

    2015-12-01

    The art event-processing framework is used by almost all new experiments at Fermilab, and by several outside of Fermilab. All use art as an external product in the same sense that the compiler, ROOT, Geant4, CLHEP and boost are external products. The art team has embarked on a campaign to document art and develop training materials for new users. Many new users of art have little or no knowledge of C++, software engineering, build systems or the many external packages used by art or their experiments, such as ROOT, CLHEP, HEPPDT, and boost. To effectively teach art requires that the training materials include appropriate introductions to these topics as they are encountered. Experience has shown that simply referring readers to the existing native documentation does not work; too often a simple idea that they need to understand is described in a context that presumes prerequisites that are unimportant for a beginning user of art. There is the additional complication that the training materials must be presented in a way that does not presume knowledge of any of the experiments using art. Finally, new users of art arrive at random times throughout the year and the training materials must allow them to start to learn art at any time. This presentation will explain the strategies adopted by the art team to develop a documentation suite that complies with these boundary conditions. It will also show the present status of the documentation suite, including feedback the art team has received from pilot users.

  8. Integrated Instrument Simulator Suites for Earth Science

    Science.gov (United States)

    Tanelli, Simone; Tao, Wei-Kuo; Matsui, Toshihisa; Hostetler, Chris; Hair, Johnathan; Butler, Carolyn; Kuo, Kwo-Sen; Niamsuwan, Noppasin; Johnson, Michael P.; Jacob, Joseph C.; hide

    2012-01-01

    The NASA Earth Observing System Simulators Suite (NEOS3) is a modular framework of forward simulations tools for remote sensing of Earth's Atmosphere from space. It was initiated as the Instrument Simulator Suite for Atmospheric Remote Sensing (ISSARS) under the NASA Advanced Information Systems Technology (AIST) program of the Earth Science Technology Office (ESTO) to enable science users to perform simulations based on advanced atmospheric and simple land surface models, and to rapidly integrate in a broad framework any experimental or innovative tools that they may have developed in this context. The name was changed to NEOS3 when the project was expanded to include more advanced modeling tools for the surface contributions, accounting for scattering and emission properties of layered surface (e.g., soil moisture, vegetation, snow and ice, subsurface layers). NEOS3 relies on a web-based graphic user interface, and a three-stage processing strategy to generate simulated measurements. The user has full control over a wide range of customizations both in terms of a priori assumptions and in terms of specific solvers or models used to calculate the measured signals.This presentation will demonstrate the general architecture, the configuration procedures and illustrate some sample products and the fundamental interface requirements for modules candidate for integration.

  9. Characterization of the unhealthy and hazardous situations under the forensic expert survey and safety management in quarries

    Directory of Open Access Journals (Sweden)

    Ricardo Guimarães de Paula

    Full Text Available Abstract In the typical activities of quarries, it is common for the employees to be exposed to diverse risk factors, pertaining to their health or physical integrity. This kind of exposition, in Brazil, entitles these employees to additional payments, defined in law from different technical parameters. The controversies concerning the payment of these premiums between the employers and the employees, like the other conflicts between capital and labor, are solved in Brazil by the Labor Courts, and the forensic expert survey is one of the main tools used by the judges. This study aimed to characterize the unhealthy or hazardous situations in quarries using the forensic expert survey, focusing on the concepts and the legal definitions of the unhealthy or hazardous situations in labor activities, as well as the main aspects of the expert evidence technique and the judicial proceeding. This analysis revealed that most of the functions in quarries mean exposure to hazards, requiring appropriate management

  10. Tier-3 Monitoring Software Suite (T3MON) proposal

    CERN Document Server

    Andreeva, J; The ATLAS collaboration; Klimentov, A; Korenkov, V; Oleynik, D; Panitkin, S; Petrosyan, A

    2011-01-01

    The ATLAS Distributed Computing activities concentrated so far in the “central” part of the computing system of the experiment, namely the first 3 tiers (CERN Tier0, the 10 Tier1s centres and the 60+ Tier2s). This is a coherent system to perform data processing and management on a global scale and host (re)processing, simulation activities down to group and user analysis. Many ATLAS Institutes and National Communities built (or have plans to build) Tier-3 facilities. The definition of Tier-3 concept has been outlined (REFERENCE). Tier-3 centres consist of non-pledged resources mostly dedicated for the data analysis by the geographically close or local scientific groups. Tier-3 sites comprise a range of architectures and many do not possess Grid middleware, which would render application of Tier-2 monitoring systems useless. This document describes a strategy to develop a software suite for monitoring of the Tier3 sites. This software suite will enable local monitoring of the Tier3 sites and the global vie...

  11. Managing an Online Survey about Influenza Vaccination in Primary Healthcare Workers

    Directory of Open Access Journals (Sweden)

    Diana Toledo

    2015-01-01

    Full Text Available Online surveys are increasingly used due to their speed and efficiency. The aim of this study was to analyze factors that may have contributed to the quality and speed of response of an online survey on influenza vaccination in primary healthcare workers. A multicenter study including family physicians, nurses and pediatricians from primary healthcare teams from seven Spanish Autonomous Communities was designed. The centers were selected by simple random sampling. The survey remained active and accessible for 56 days and four reminders were sent. The odds ratios (OR and their 95% confidence intervals (CI were calculated to assess the association of sociodemographic variables and responding to the survey before the second reminder. Complete, validated information was obtained from 1965 primary healthcare workers. The total response rate was 36.2%. More nurses (46.3% responded before the second reminder and more family physicians (52.8% after the second reminder. The adjusted OR shows that family physicians responded later (AOR 1.46, 95% CI 1.2–1.8 than nurses. The responses obtained in the first 24 h after the initial sending and the reminders accounted for 41.7% of the completed surveys, indicating the importance of reminders.

  12. A survey of computer-based approaches for greenhouse climate management.

    NARCIS (Netherlands)

    Schotman, P.J.

    1996-01-01

    This study recapitulates research efforts that have addressed the restricted problem of greenhouse climate management. This problem is first analyzed by looking at the current working method of the grower and the characteristics of this management task. The different attempts to automate parts of ma

  13. Environmental impacts of SMEs and the effects of formal management tools : Evidence from EU's largest survey

    NARCIS (Netherlands)

    Graafland, Johan; Smid, Hugo

    Much literature on corporate social responsibility suggests that formal management tools to manage environmental impacts, such as environmental reporting or ISO14001 certification, are not suitable for small and medium-sized enterprises (SMEs). Other studies, however, argue that using some form of

  14. Environmental impacts of SMEs and the effects of formal management tools : Evidence from EU's largest survey

    NARCIS (Netherlands)

    Graafland, Johan; Smid, Hugo

    2016-01-01

    Much literature on corporate social responsibility suggests that formal management tools to manage environmental impacts, such as environmental reporting or ISO14001 certification, are not suitable for small and medium-sized enterprises (SMEs). Other studies, however, argue that using some form of f

  15. Dysphagia Management: A Survey of School-Based Speech-Language Pathologists in Vermont

    Science.gov (United States)

    Hutchins, Tiffany L.; Gerety, Katherine W.; Mulligan, Moira

    2011-01-01

    Purpose: This study (a) gathered information about the kinds of dysphagia management services school-based speech-language pathologists (SLPs) provide, (b) examined the attitudes of SLPs related to dysphagia management, (c) compared the responses of SLPs on the basis of their experience working in a medical setting, and (d) investigated the…

  16. A survey of the influencing factors and models for resident's household waste management behavior

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The problem of household solid waste has been concerned and researched on by municipalities and researchers.At present, household solid waste has been changed to management problem from technical one. From the point view of management, the research on household solid waste is to study the factors which influence resident's behavior of managtng their waste. Based on the literature review, firstly, this paper summarizes those factors which have already been identified to have impact on resident's behavior of managing their waste. They are social-demographic variables,knowledge, environmental values, psychological factors, publicity and system design. Secondly, three typical models of the relationship between factors and behavior, which are factors determining task performance in waste management,conceptualization of waste management behavior and the theoretical model of repeated behavior on household waste management, are analyzed and the deficiencies of these models are also analyzed. Finally, according to the current situation in household waste management and the culture and resident's habits in China, this paper puts forward a research focus and suggestions about resident 's behavior of household solid waste management.

  17. Survey of HNPCC Management Analysis of Responses from 18 International Cancer Centres

    Directory of Open Access Journals (Sweden)

    Chow Elizabeth

    2005-10-01

    Full Text Available Abstract Eighteen international cancer centres responded to a questionnaire designed to determine clinic practices regarding the management of Hereditary Non-Polyposis Colorectal Cancer (HNPCC. Areas covered include definition, clinical intakes, pre-genetic testing for microsatellite instability (MSI or expression of mismatch repair (MMR genes by immunohistochemistry (IHC, mutational analysis, consent practices, counselling, surveillance planning, and surgical decision making. In the absence of a firm evidence base, some management practices were variable, with local access to funding and other resources being influential. More consistent responses were evident for management practices with a stronger evidence base from previous clinical research. This document provides important information to guide the management of HNPCC patients, allow comparisons to be made between the approaches of various clinics to HNPCC families, and define management issues that need to be addressed in clinical research.

  18. A survey of castration methods and associated livestock management practices performed by bovine veterinarians in the United States

    Directory of Open Access Journals (Sweden)

    Bradburn Ryan M

    2010-03-01

    Full Text Available Abstract Background Castration of male calves destined for beef production is a common management practice performed in the United States amounting to approximately 15 million procedures per year. Societal concern about the moral and ethical treatment of animals is increasing. Therefore, production agriculture is faced with the challenge of formulating animal welfare policies relating to routine management practices such as castration. To enable the livestock industry to effectively respond to these challenges there is a need for more data on management practices that are commonly used in cattle production systems. The objective of this survey was to describe castration methods, adverse events and husbandry procedures performed by U.S. veterinarians at the time of castration. Invitations to participate in the survey were sent to email addresses of 1,669 members of the American Association of Bovine Practitioners and 303 members of the Academy of Veterinary Consultants. Results After partially completed surveys and missing data were omitted, 189 responses were included in the analysis. Surgical castration with a scalpel followed by testicular removal by twisting (calves 90 kg was the most common method of castration used. The potential risk of injury to the operator, size of the calf, handling facilities and experience with the technique were the most important considerations used to determine the method of castration used. Swelling, stiffness and increased lying time were the most prevalent adverse events observed following castration. One in five practitioners report using an analgesic or local anesthetic at the time of castration. Approximately 90% of respondents indicated that they vaccinate and dehorn calves at the time of castration. Over half the respondents use disinfectants, prophylactic antimicrobials and tetanus toxoid to reduce complications following castration. Conclusions The results of this survey describe current methods of

  19. Parent-reported physician diagnosis is an important factor in asthma management: an elementary school survey.

    Science.gov (United States)

    Homnick, Douglas N; DeJong, Sandra R

    2007-06-01

    Parent surveys seem to provide sufficient information for asthma case selection. In this study, elementary school children were identified for an asthma education program through a screening questionnaire, followed by a comprehensive family survey. The data were analyzed by groups according to those with parent-reported physician diagnosis or no physician diagnosis. Those with an asthma diagnosis had less nighttime symptoms, less family stress, and more asthma follow-up visits, and were prescribed appropriate medications and peak flow meters more often than those students without a physician diagnosis of asthma. A physician commitment to or recognition of an asthma diagnosis is an important factor in subsequent asthma care.

  20. Research on Novel Pattern of Agricultural Economy based on Accurate Information Management System: A Survey

    Institute of Scientific and Technical Information of China (English)

    Liang Wang; Mengyan Liu

    2015-01-01

    The agricultural development in the less developed districts is a big challenge as they are resource poor regions and crops are grown under more risky agro-ecological conditions. In this paper, we conduct research on novel pattern of agricultural economy based on accurate information management system. Agricultural information is the agriculture prenatal, during and aider the information process, mainly to solve the problems in the development of agricultural production. Rural information includes rural economic information, rural management and related information, rural information culture and the rural social service information. Our system modifies the efficiency of managing materials which will largely enhance the economical result for the agricultural activities.

  1. [Quality management and consumer orientation: survey of referring pediatricians of a Berlin pediatric clinic].

    Science.gov (United States)

    Lüthy, A; Lotze, I; Leiske, M; Rossi, R

    2000-01-01

    Quality management in hospitals not only includes performance according to international medical standards but also the optimization of processes regarding internal staff as well as external customers. Total Quality Management (TQM) and the Business Excellence Model of the European Foundation of Quality Management (EFQM) require continuous evaluation of customer satisfaction. Specialists and family physician as external customers influence the patient's choice of a hospital. The aim of the present study is to evaluate the satisfaction of admitting physicians of a children's hospital with the help of a questionnaire. The results describe their needs and their level of satisfaction regarding service, information, cooperation and communication within the hospital.

  2. A descriptive survey study of violence management and priorities among psychiatric staff in mental health services, across seventeen european countries.

    Science.gov (United States)

    Cowman, Seamus; Björkdahl, Anna; Clarke, Eric; Gethin, Georgina; Maguire, Jim

    2017-01-19

    In mental health services what is commonplace across international frontiers is that to prevent aggressive patients from harming themselves, other patients or staff, coercive measures and foremost, violence management strategies are required. There is no agreement, recommendations or direction from the EU on which measures of coercion should be practiced across EU countries, and there is no overall one best practice approach. The project was conceived through an expert group, the European Violence in Psychiatry Research Group (EViPRG). The study aimed to incorporate an EU and multidisciplinary response in the determination of violence management practices and related research and education priorities across 17 European countries. From the EVIPRG members, one member from each country agreed to act as the national project coordinator for their country. Given the international spread of respondents, an eDelphi survey approach was selected for the study design and data collection. A survey instrument was developed, agreed and validated through members of EVIPRG. The results included a total of 2809 respondents from 17 countries with 999 respondents who self-selected for round 2 eDelphi. The majority of respondents worked in acute psychiatry, 54% (n = 1511); outpatient departments, 10.5% (n = 295); and Forensic, 9.3% (n = 262). Other work areas of respondents include Rehabilitation, Primary Care and Emergency. It is of concern that 19.5% of respondents had not received training on violence management. The most commonly used interventions in the management of violent patients were physical restraint, seclusion and medications. The top priorities for education and research included: preventing violence; the influence of environment and staff on levels of violence; best practice in managing violence; risk assessment and the aetiology and triggers for violence and aggression. In many European countries there is an alarming lack of clarity on matters of procedure

  3. Australian survey of current practice and guideline use in adult cancer pain assessment and management: The community nurse perspective.

    Science.gov (United States)

    Phillips, Jane L; Lovell, Melanie; Luckett, Tim; Agar, Meera; Green, Anna; Davidson, Patricia

    2015-01-01

    Cancer pain remains a major public health concern. Despite effective treatments being available to manage the majority of cancer pain, this debilitating symptom is frequently under treated. As cancer has becomes a chronic disease a range of health professionals, including community nurses in Australia are increasingly caring for people living with cancer related pain. Yet, little is known about community nurses capacity to assess and manage cancer pain in accordance with best available evidence. This study aimed to: identify the barriers and facilitators to adult cancer pain assessment and management as perceived by Australian health professionals; identify if cancer pain guidelines are currently used; identify barriers and facilitators to guideline use; and establish the need for Australian cancer pain guidelines. This article reports on community nurses' perceptions of managing cancer pain in the community setting. A cross-sectional survey was administered online. Invitations were circulated via peak bodies and clinical leaders seeking the views and experiences of health professionals involved in caring for people living with cancer pain. Descriptive statistics were used to summarise the quantitative data, and thematic content analysis were used to describe the qualitative data. Sixty-two community nurses responded to the survey, representing 29% of the total sample. These participants reported high levels of adherence to accepted cancer pain management practices in their workplace, with 71% nominating the Palliative Care Therapeutic Guideline V.3 as being most frequently used to manage community patients' cancer related pain. Key barriers to effective cancer pain management in the community were: difficulties accessing non-pharmacological interventions (89%), lack of coordination by multiple providers (89%), and impact of distance on ability to access pain-related services for patients (86%). A range of system, health professional and consumer barriers limit

  4. Astronaut Scott Carpenter and technician Joe Schmidt during suiting exercise

    Science.gov (United States)

    1961-01-01

    Mercury Astronaut M. Scott Carpenter, prime pilot for the Mercury-Atlas 7 flight, and Crew Equipment Specialist Joe Schmidt are before a suiting exercise. Schmidt is seen checking the gloves on the Carpenter's pressure suit.

  5. How General Practitioners and Their Patients Adhere to Osteoporosis Management: A Follow-Up Survey among Czech General Practitioners.

    Science.gov (United States)

    Vytrisalova, Magda; Touskova, Tereza; Fuksa, Leos; Karascak, Roman; Palicka, Vladimir; Byma, Svatopluk; Stepan, Jan

    2017-01-01

    Introduction: General practitioners (GPs) are key participants in osteoporosis (OP) management. The aim was to evaluate their adherence to lege artis management of the disease, potential barriers, and to discuss differences observed in comparison with the baseline survey carried out in 2007; the focus was on secondary prevention. Methods: On behalf of two professional associations, 2-round postal survey among randomly selected GPs (>1/4 of all Czech GPs) was performed in 2014. The questionnaire covered areas concerning GP's role in the fight against OP, knowledge about OP, management of OP-related fractures, barriers to the management of OP, system- and patient-related in particular, and availability and use of information sources. Results: The overall questionnaire return rate was 37% (551 respondents); mean age of the respondents was 53 year (37% men). The GP's role in the treatment of OP was rated as essential in 28 and 37% of men and women, respectively (P = 0.012). The guideline for diagnosis and treatment of OP for GPs was considered accessible by 92% of respondents. As much as 60% of the respondents were adherent to the guideline, i.e., used it repeatedly. The knowledge of several risk factors was very good, however, recommended daily intake of calcium was stated correctly by only 41% of respondents, and daily intake of vitamin D by only 40%. Three quarters reported active steps after a fracture: referral to a specialist, life-style recommendations, prescription of calcium/vitamin D supplements. Half of the respondents focus on fall prevention. System-related barriers, such as lack of possibility to prescribe selected drugs (61%) and financial limits set by health insurance company (44%) were most frequently reported. Patient-related barriers were also common, patient's non-adherence (reported by 29%) and patient's reluctance to go to a specialist (18%). Conclusion: GPs adhered to OP management more than in 2007. Knowledge of risk factors and involvement in

  6. Effective identification and management of emerging food risks: Results of an international Delphi survey

    NARCIS (Netherlands)

    Wentholt, M.T.A.; Fischer, A.R.H.; Rowe, G.; Marvin, H.J.P.; Frewer, L.J.

    2010-01-01

    Early identification of emerging food risks will protect human and animal health, the environment and economy. A two-round Delphi survey identified international experts’ views regarding knowledge gaps associated with the identification and mitigation of emerging food risks, and barriers to emerging

  7. Accounting protesting and warm glow bidding in Contingent Valuation surveys considering the management of environmental goods

    DEFF Research Database (Denmark)

    Grammatikopoulou, Ioanna; Olsen, Søren Bøye

    2013-01-01

    Based on a Contingent Valuation survey aiming to reveal the willingness to pay (WTP) for conservation of a wetland area in Greece, we show how protest and warm glow motives can be taken into account when modeling WTP. In a sample of more than 300 respondents, we find that 54% of the positive bids...

  8. Using a Client Survey to Support Continuous Improvement: An Australian Case Study in Managing Change

    Science.gov (United States)

    Besch, Janice

    2014-01-01

    With the arrival of online survey tools that are low-cost, readily available and easy to administer, all organizations have access to one of the most effective mechanisms for determining quality improvement priorities and measuring progress towards achieving those priorities over time. This case study outlines the use made of this simple tool by a…

  9. Austin Community College Management Response to Employee Satisfaction Survey, Spring 2000.

    Science.gov (United States)

    Austin Community Coll., TX.

    Findings from an Employee Satisfaction Survey conducted in spring 2000 at Austin Community College (ACC) (Texas) indicate that: (1) staff in many areas need customer service training; (2) telephones are not used effectively by many offices; (3) many areas are not able to respond quickly to the needs of college staff; and (4) 18 highly used areas…

  10. Survey of capeweed distribution in Australia in relation to climate, landforms, soil types and management practices

    Science.gov (United States)

    Arnold, G. W.; Honey, F. R. (Principal Investigator)

    1975-01-01

    The author has identified the following significant results. The ground measurements of the reflectivity of the capeweed species shows significant variation from the pasture species measured. The variation in the capeweed signature, as a function of the flower cover indicates that the optimum time for a survey would be when the capeweed is at peak flowering.

  11. Pregnancy and melanoma: a European-wide survey to assess current management and a critical literature overview.

    Science.gov (United States)

    Ribero, S; Longo, C; Dika, E; Fortes, C; Pasquali, S; Nagore, E; Glass, D; Robert, C; Eggermont, A M; Testori, A; Quaglino, P; Nathan, P; Argenziano, G; Puig, S; Bataille, V

    2017-01-01

    Management of melanoma during pregnancy can be extremely challenging. The reported incidence of melanoma in pregnancy ranges from 2.8 to 5.0 per 100 000 pregnancies. There are no guidelines for the management of melanoma during pregnancy. The survey was designed to investigate the opinions of melanoma physicians on decision making in relation to pregnancy and melanoma. A clinical scenario-based survey on management of pregnancy in melanoma was distributed all over Europe via the membership of the EORTC and other European melanoma societies. A total of 290 questionnaires were returned with a larger participation from southern Europe. A large heterogeneity was found for the answers given in the different clinical scenarios with 50% of the answers showing discordance, especially regarding sentinel lymph node biopsy during pregnancy. Discordant answers were also found for the counselling of women about a potential delay in getting pregnant after a high-risk melanoma (35% for a 2 year wait minimum vs. 57% no waiting needed), while for thin melanomas, as expected, there was more concordance with 70% of the physicians recommending no delay. Fifteen per cent of physicians recommended an abortion in stage II melanoma during the third month of pregnancy. Twenty per cent of the responders advised against hormonal replacement therapy in melanoma patients. The management of melanoma during pregnancy varies widely in Europe. At present, there is a lack of consensus in Europe, which may lead to very important decisions in women with melanoma, and guidelines are needed. © 2016 European Academy of Dermatology and Venereology.

  12. Management of small-cell lung cancer with radiotherapy—a pan-Canadian survey of radiation oncologists

    Science.gov (United States)

    Shahi, J.; Wright, J.R.; Gabos, Z.; Swaminath, A.

    2016-01-01

    Background The management of small-cell lung cancer (sclc) with radiotherapy (rt) varies, with many treatment regimens having been described in the literature. We created a survey to assess patterns of practice and clinical decision-making in the management of sclc by Canadian radiation oncologists (ros). Methods A 35-item survey was sent by e-mail to Canadian ros. The questions investigated the role of rt, the dose and timing of rt, target delineation, and use of prophylactic cranial irradiation (pci) in limited-stage (ls) and extensive-stage (es) sclc. Results Responses were received from 52 eligible ros. For ls-sclc, staging (98%) and simulation or dosimetric (96%) computed tomography imaging were key determinants of rt suitability. The most common dose and fractionation schedule was 40–45 Gy in 15 once-daily fractions (40%), with elective nodal irradiation performed by 31% of ros. Preferred management of clinical T1/2aN0 sclc favoured primary chemoradiotherapy (64%). For es-sclc, consolidative thoracic rt was frequently offered (88%), with a preferred dose and fractionation schedule of 30 Gy in 10 once-daily fractions (70%). Extrathoracic consolidative rt would not be offered by 23 ros (44%). Prophylactic cranial irradiation was generally offered in ls-sclc (100%) and es-sclc (98%) after response to initial treatment. Performance status, baseline cognition, and pre-pci brain imaging were important patient factors assessed before an offer of pci. Conclusions Canadian ros show practice variation in sclc management. Future clinical trials and national treatment guidelines might reduce variability in the treatment of early-stage disease, optimization of dose and targeting in ls-sclc, and definition of suitability for pci or consolidative rt. PMID:27330347

  13. A small evaluation suite for Ada compilers

    Science.gov (United States)

    Wilke, Randy; Roy, Daniel M.

    1986-01-01

    After completing a small Ada pilot project (OCC simulator) for the Multi Satellite Operations Control Center (MSOCC) at Goddard last year, the use of Ada to develop OCCs was recommended. To help MSOCC transition toward Ada, a suite of about 100 evaluation programs was developed which can be used to assess Ada compilers. These programs compare the overall quality of the compilation system, compare the relative efficiencies of the compilers and the environments in which they work, and compare the size and execution speed of generated machine code. Another goal of the benchmark software was to provide MSOCC system developers with rough timing estimates for the purpose of predicting performance of future systems written in Ada.

  14. Specification for the VERA Depletion Benchmark Suite

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kang Seog [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-12-17

    CASL-X-2015-1014-000 iii Consortium for Advanced Simulation of LWRs EXECUTIVE SUMMARY The CASL neutronics simulator MPACT is under development for the neutronics and T-H coupled simulation for the pressurized water reactor. MPACT includes the ORIGEN-API and internal depletion module to perform depletion calculations based upon neutron-material reaction and radioactive decay. It is a challenge to validate the depletion capability because of the insufficient measured data. One of the detoured methods to validate it is to perform a code-to-code comparison for benchmark problems. In this study a depletion benchmark suite has been developed and a detailed guideline has been provided to obtain meaningful computational outcomes which can be used in the validation of the MPACT depletion capability.

  15. Vadose zone flow convergence test suite

    Energy Technology Data Exchange (ETDEWEB)

    Butcher, B. T. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2017-06-05

    Performance Assessment (PA) simulations for engineered disposal systems at the Savannah River Site involve highly contrasting materials and moisture conditions at and near saturation. These conditions cause severe convergence difficulties that typically result in unacceptable convergence or long simulation times or excessive analyst effort. Adequate convergence is usually achieved in a trial-anderror manner by applying under-relaxation to the Saturation or Pressure variable, in a series of everdecreasing RELAxation values. SRNL would like a more efficient scheme implemented inside PORFLOW to achieve flow convergence in a more reliable and efficient manner. To this end, a suite of test problems that illustrate these convergence problems is provided to facilitate diagnosis and development of an improved convergence strategy. The attached files are being transmitted to you describing the test problem and proposed resolution.

  16. Automated integration of lidar into the LANDFIRE product suite

    Science.gov (United States)

    Peterson, Birgit; Nelson, Kurtis; Seielstad, Carl; Stoker, Jason; Jolly, W. Matt; Parsons, Russell

    2015-01-01

    Accurate information about three-dimensional canopy structure and wildland fuel across the landscape is necessary for fire behaviour modelling system predictions. Remotely sensed data are invaluable for assessing these canopy characteristics over large areas; lidar data, in particular, are uniquely suited for quantifying three-dimensional canopy structure. Although lidar data are increasingly available, they have rarely been applied to wildland fuels mapping efforts, mostly due to two issues. First, the Landscape Fire and Resource Planning Tools (LANDFIRE) program, which has become the default source of large-scale fire behaviour modelling inputs for the US, does not currently incorporate lidar data into the vegetation and fuel mapping process because spatially continuous lidar data are not available at the national scale. Second, while lidar data are available for many land management units across the US, these data are underutilized for fire behaviour applications. This is partly due to a lack of local personnel trained to process and analyse lidar data. This investigation addresses these issues by developing the Creating Hybrid Structure from LANDFIRE/lidar Combinations (CHISLIC) tool. CHISLIC allows individuals to automatically generate a suite of vegetation structure and wildland fuel parameters from lidar data and infuse them into existing LANDFIRE data sets. CHISLIC will become available for wider distribution to the public through a partnership with the U.S. Forest Service’s Wildland Fire Assessment System (WFAS) and may be incorporated into the Wildland Fire Decision Support System (WFDSS) with additional design and testing. WFAS and WFDSS are the primary systems used to support tactical and strategic wildland fire management decisions.

  17. The management of depressive symptoms in patients with COPD: a postal survey of general practitioners.

    NARCIS (Netherlands)

    Yohannes, A.M.; Hann, M.; Sibbald, B.S.

    2011-01-01

    AIMS: We examined the management of depression by general practitioners (GPs), through the use of case vignettes, in patients with chronic obstructive pulmonary disease (COPD), severe osteoarthritis and depressive symptoms alone. BACKGROUND: Depression is common in patients with COPD. Untreated

  18. Fish, Benthic and Urchin Survey Data from Kahekili Herbivore Fisheries Management Area (HFMA), Maui since 2008

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — In 2009, the state of Hawaii established the Kahekili Herbivore Fisheries Management Area (KHFMA) in West Maui. Fishing for herbivores (parrotfishes, surgeonfishes,...

  19. A Survey of Health Management User Objectives in Aerospace Systems Related to Diagnostic and Prognostic Metrics

    Data.gov (United States)

    National Aeronautics and Space Administration — One of the most prominent technical challenges to effective deployment of health management systems is the vast difference in user objectives with respect to...

  20. A Survey of the Burden of Management of Chronic Suppurative Otitis ...

    African Journals Online (AJOL)

    were accredited (full and partial) by the West African College of Surgeons for postgraduate .... Epidemiology and natural history of chronic suppurative otitis media. .... knowledge and associated dental management. 320. Edet A see Ezechi OC ...