WorldWideScience

Sample records for sustaining effective programs

  1. Assessing Capacity for Sustainability of Effective Programs and Policies in Local Health Departments.

    Science.gov (United States)

    Tabak, Rachel G; Duggan, Katie; Smith, Carson; Aisaka, Kristelle; Moreland-Russell, Sarah; Brownson, Ross C

    2016-01-01

    Sustainability has been defined as the existence of structures and processes that allow a program to leverage resources to effectively implement and maintain evidence-based public health and is important in local health departments (LHDs) to retain the benefits of effective programs. Explore the applicability of the Program Sustainability Framework in high- and low-capacity LHDs as defined by national performance standards. Case study interviews from June to July 2013. Standard qualitative methodology was used to code transcripts; codes were developed inductively and deductively. Six geographically diverse LHD's (selected from 3 of high and 3 of low capacity) : 35 LHD practitioners. Thematic reports explored the 8 domains (Organizational Capacity, Program Adaptation, Program Evaluation, Communications, Strategic Planning, Funding Stability, Environmental Support, and Partnerships) of the Program Sustainability Framework. High-capacity LHDs described having environmental support, while low-capacity LHDs reported this was lacking. Both high- and low-capacity LHDs described limited funding; however, high-capacity LHDs reported greater funding flexibility. Partnerships were important to high- and low-capacity LHDs, and both described building partnerships to sustain programming. Regarding organizational capacity, high-capacity LHDs reported better access to and support for adequate staff and staff training when compared with low-capacity LHDs. While high-capacity LHDs described integration of program evaluation into implementation and sustainability, low-capacity LHDs reported limited capacity for measurement specifically and evaluation generally. When high-capacity LHDs described program adoption, they discussed an opportunity to adapt and evaluate. Low-capacity LHDs struggled with programs requiring adaptation. High-capacity LHDs described higher quality communication than low-capacity LHDs. High- and low-capacity LHDs described strategic planning, but high

  2. The Avahan Transition: Effects of Transition Readiness on Program Institutionalization and Sustained Outcomes.

    Directory of Open Access Journals (Sweden)

    Sachiko Ozawa

    Full Text Available With declines in development assistance for health and growing interest in country ownership, donors are increasingly faced with the task of transitioning health programs to local actors towards a path to sustainability. Yet there is little available guidance on how to measure and evaluate the success of a transition and its subsequent effects. This study assesses the transition of the Avahan HIV/AIDS prevention program in India to investigate how preparations for transition affected continuation of program activities post-transition.Two rounds of two surveys were conducted and supplemented by data from government and Avahan Computerized Management Information Systems (CMIS. Exploratory factor analysis was used to develop two measures: 1 transition readiness pre-transition, and 2 institutionalization (i.e. integration of initial program systems into organizational procedures and behaviors post-transition. A fixed effects model was built to examine changes in key program delivery outcomes over time. An ordinary least square regression was used to assess the relationship between transition readiness and sustainability of service outcomes both directly, and indirectly through institutionalization.Transition readiness data revealed 3 factors (capacity, alignment and communication, on a 15-item scale with adequate internal consistency (alpha 0.73. Institutionalization was modeled as a unidimensional construct, and a 12-item scale demonstrated moderate internal consistency (alpha 0.60. Coverage of key populations and condom distribution were sustained compared to pre-transition levels (p<0.01. Transition readiness, but not institutionalization, predicted sustained outcomes post-transition. Transition readiness did not necessarily lead to institutionalization of key program elements one year after transition.Greater preparedness prior to transition is important to achieve better service delivery outcomes post-transition. This paper illustrates a

  3. Preliminary Effectiveness and Sustainability of Group Aerobic Exercise Program in Patients with Schizophrenia.

    Science.gov (United States)

    Yoon, Sol; Ryu, Je-Kwang; Kim, Chan-Hyung; Chang, Jhin-Goo; Lee, Hwa-Bock; Kim, Do-Hoon; Roh, Daeyoung

    2016-09-01

    The objective of this study was to examine the feasibility and sustained effect of a group aerobic exercise program in patients with schizophrenia. Twenty-four schizophrenic patients participated in a group-based individually tailored 90-minute outdoor cycling session per week for 3 months with intervention to enhance motivation. Physical health was evaluated by anthropometric measures, cardiorespiratory (CR) fitness, and blood tests. Mental health was assessed on self-esteem, interpersonal relationship, quality of life, and global function. Attrition rate for the exercise program was 8.3%. Exercise program significantly increased participant's self-esteem, positive relationship, global function, and quality of life. CR fitness significantly improved after 3 months. At the 9-month follow-up, 6 months after program completion, only in interpersonal relationship change the improved effects were maintained. These findings support the feasibility of group aerobic exercise program with high level of adherence and its long-term benefits in positive relationship change.

  4. Assessing Program Sustainability in an Eating Disorder Prevention Effectiveness Trial Delivered by College Clinicians

    Science.gov (United States)

    Rohde, Paul; Shaw, Heather; Butryn, Meghan L.; Stice, Eric

    2015-01-01

    Sustainability of the Body Project, a dissonance-based selective eating disorder prevention program supported by efficacy and effectiveness trials, has not previously been examined. This mixed-methods study collected qualitative and quantitative data on training, supervision, and the intervention from 27 mental health clinicians from eight US universities who participated in an effectiveness trial and quantitative data on 2-year sustainability of program delivery. Clinicians, who were primarily masters-level mental health providers, had limited experience delivering manualized interventions. They rated the training and manual favorably, noting that they particularly liked the role-plays of session activities and intervention rationale, but requested more discussion of processes and group management issues. Clinicians were satisfied receiving emailed supervision based on videotape review. They reported enjoying delivering the Body Project but reported some challenges with the manualized format and time constraints. Most clinicians anticipated running more groups after the study ended but only four universities (50%) reported providing additional Body Project groups at the 1-year follow-up assessment and sustained delivery of the groups decreased substantially two years after study completion, with only one university (12%) continuing to deliver groups. The most commonly reported barriers for conducting additional groups were limited time and high staff turnover. PMID:26143559

  5. Influence and effectiveness of financial incentive programs in programs in promoting sustainable forestry in the South

    Science.gov (United States)

    John L. Greene; Thomas J. Straka; Steven E. Daniels; Michael G. Jacobson; Michael A. Kilgore

    2009-01-01

    Selected state agency foresters in each of the 13 southern states were surveyed about the financial incentive programs available to nonindustrial private forest owners. The foresters were asked to name and describe the public and private programs available in their state, to assess forest owners’ awareness of each program, its appeal among the owners aware of it, its...

  6. Sustainable Effects of Small Hydropower Substituting Firewood Program in Majiang County, Guizhou Province, China

    Directory of Open Access Journals (Sweden)

    Xiaoxia Zhang

    2017-06-01

    Full Text Available Small hydropower substituting fuel (SHSF is an ecological environment protection program to improve regional ecosystems and alleviate poverty. However, the sustainability of SHSF programs remains controversial due to lingering doubts about its potential for socioeconomic development and its environmental impacts. The sustainability of SHSF was examined based on field investigations and household questionnaire surveys. The results were as follows: (1 Biomass of SHSF protected masson pine (Pinus massoniana and weeping cypress (Platycladus orientalis plantations were 11.06 t·ha−1 and 7.15 t·ha−1 higher than unprotected plantations, respectively. Furthermore, the differences in ecosystem biomass were mainly derived from arbor biomass. While the energy conversion efficiency based on field investigations was merely 1.28 kg (kWh−1, which was only 64% of the empirical value and 54% of the guideline for accounting for the ecological benefit of small hydropower substituting fuel. (2 Households’ total income in SHSF villages was higher than in households with access to a hydropower plant but no substituting fuel or households with no hydropower plant. (3 Most of the households had a positive attitude towards SHSF because of its cheaper electricity and associated ecological environmental improvements. Overall, our results suggest optimistic and sustainable prospects for the SHSF program; however, continued education and policy communications are needed to sustain program success.

  7. Effectiveness and Cost-benefit Evaluation of a Comprehensive Workers' Health Surveillance Program for Sustainable Employability of Meat Processing Workers

    NARCIS (Netherlands)

    van Holland, Berry J; Reneman, Michiel F; Soer, Remko; Brouwer, Sandra; de Boer, Michiel R

    2017-01-01

    Objective To evaluate the effectiveness of a comprehensive workers' health surveillance (WHS) program on aspects of sustainable employability and cost-benefit. Methods A cluster randomized stepped wedge trial was performed in a Dutch meat processing company from february 2012 until march 2015. In

  8. Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points.

    Science.gov (United States)

    Hanten, W P; Olson, S L; Butts, N L; Nowicki, A L

    2000-10-01

    Myofascial trigger points (TPs) are found among patients who have neck and upper back pain. The purpose of this study was to determine the effectiveness of a home program of ischemic pressure followed by sustained stretching for the treatment of myofascial TPs. Forty adults (17 male, 23 female), aged 23 to 58 years (mean=30.6, SD=9.3), with one or more TPs in the neck or upper back participated in this study. Subjects were randomly divided into 2 groups receiving a 5-day home program of either ischemic pressure followed by general sustained stretching of the neck and upper back musculature or a control treatment of active range of motion. Measurements were obtained before the subjects received the home program instruction and on the third day after they discontinued treatment. Trigger point sensitivity was measured with a pressure algometer as pressure pain threshold (PPT). Average pain intensity for a 24-hour period was scored on a visual analog scale (VAS). Subjects also reported the percentage of time in pain over a 24-hour period. A multivariate analysis of covariance, with the pretests as the covariates, was performed and followed by 3 analyses of covariance, 1 for each variable. RESULTS Differences were found between the treatment and control groups for VAS scores and PPT. No difference was found between the groups for percentage of time in pain. A home program, consisting of ischemic pressure and sustained stretching, was shown to be effective in reducing TP sensitivity and pain intensity in individuals with neck and upper back pain. The results of this study indicate that clinicians can treat myofascial TPs through monitoring of a home program of ischemic pressure and stretching.

  9. Effectiveness and sustainability of the ViSC Social Competence Program to prevent cyberbullying and cyber-victimization: Class and individual level moderators.

    Science.gov (United States)

    Gradinger, Petra; Yanagida, Takuya; Strohmeier, Dagmar; Spiel, Christiane

    2016-01-01

    We investigated whether the general anti-bullying program ViSC sustainably prevents cyberbullying and cyber-victimization. A longitudinal randomized control group design was used to examine (i) program effectiveness immediately after a 1 year implementation phase and (ii) sustainable program effects 6 months later taking several moderators on the class level (class climate and ethnic diversity) and on the individual level (gender, age, internet usage, traditional bullying/victimization) into account. Effectiveness (e.g., the change between waves 2 and 1) was examined in 2,042 students (47.6% girls), aged 11.7 years (SD = 0.88) enrolled in 18 schools and 103 classes. Sustainability (e.g., the change between waves 3 and 2) was examined in a sub-sample of 6 schools and 35 classes comprising 659 students. The self-assessment multiple-item scales showed longitudinal and multiple group invariance. Factor scores were extracted to compute difference scores for effectiveness (Posttest minus Pretest) and sustainability (Follow-up test minus Posttest) for cyberbullying and cyber-victimization. Multilevel Modeling was applied to examine (i) the effectiveness and (ii) the sustainability of the ViSC intervention controlling for several individual and class level variables. Controlling for covariates, it was demonstrated that the ViSC program is effective in preventing cyberbullying and cyber-victimization and that the effects are sustainable after 6 months. The consequences for cyberbullying prevention are discussed. © 2016 Wiley Periodicals, Inc.

  10. Effectiveness and Cost-benefit Evaluation of a Comprehensive Workers' Health Surveillance Program for Sustainable Employability of Meat Processing Workers.

    Science.gov (United States)

    van Holland, Berry J; Reneman, Michiel F; Soer, Remko; Brouwer, Sandra; de Boer, Michiel R

    2017-03-24

    Objective To evaluate the effectiveness of a comprehensive workers' health surveillance (WHS) program on aspects of sustainable employability and cost-benefit. Methods A cluster randomized stepped wedge trial was performed in a Dutch meat processing company from february 2012 until march 2015. In total 305 workers participated in the trial. Outcomes were retrieved during a WHS program, by multiple questionnaires, and from company registries. Primary outcomes were sickness absence, work ability, and productivity. Secondary outcomes were health, vitality, and psychosocial workload. Data were analyzed with linear and logistic multilevel models. Cost-benefit analyses from the employer's perspective were performed as well. Results Primary outcomes sickness absence (OR = 1.40), work ability (B = -0.63) and productivity (OR = 0.71) were better in the control condition. Secondary outcomes did not or minimally differ between conditions. Of the 12 secondary outcomes, the only outcome that scored better in the experimental condition was meaning of work (B = 0.18). Controlling for confounders did not or minimally change the results. However, our stepped wedge design did not enable adjustment for confounding in the last two periods of the trial. The WHS program resulted in higher costs for the employer on the short and middle term. Conclusions Primary outcomes did not improve after program implementation and secondary outcomes remained equal after implementation. The program was not cost-beneficial after 1-3 year follow-up. Main limitation that may have contributed to absence of positive effects may be program failure, because interventions were not deployed as intended.

  11. Stakeholder Effect: A Qualitative Study of the Influence of Farm Leaders' Ideas on a Sustainable Agriculture Education Program for Adults.

    Science.gov (United States)

    Grudens-Schuck, Nancy

    2001-01-01

    In a Canadian adult education program on sustainable agriculture, stakeholder participation in planning reconfigured power relationships. Farmers successfully influenced program design, even when their assumptions differed from educators. The project showed the importance of social and political dimensions of learning and of educators' recognition…

  12. Effectiveness of financial incentive programs in promoting sustainable forestry in the west

    Science.gov (United States)

    John L. Greene; Steven E. Daniels; Michael A. Kilgore; Thomas J. Straka; Michael G. Jacobson

    2011-01-01

    Selected forestry officials in each of the 13 western states were surveyed in 2005 concerning their opinions on the public and private financial incentive programs available to nonindustrial private forest owners in their state. The officials were asked to name and describe the programs and to assess forest owners’ awareness of each one, its appeal among owners aware...

  13. Program sustainability: focus on organizational routines.

    Science.gov (United States)

    Pluye, P; Potvin, L; Denis, J L; Pelletier, J

    2004-12-01

    Program sustainability is an ongoing concern for most people in health promotion. However, the current notion of sustainability in organizations, namely routinization, needs refinement. This article examines organizational routines. In so doing, it refines the notion of sustainability and the assessment of routines. Drawing on the organizational literature, a routinized program is defined by the presence of routinized activities, meaning that these activities exhibit four characteristics of organizational routines: memory, adaptation, values and rules. To answer the question of how these characteristics are useful, we conducted an empirical study of the routinization of the Quebec Heart Health Demonstration Project in five community health centers. Our method consisted of a multiple-case study. We observed project activities in each center in 2000. The data came from documents and interviews with project actors. Our results show that, in one of the centers, no resources had been officially committed to project activities. Even so, the actors continued some activities on an informal basis. In another center, the activities satisfied three of the four routine characteristics. In the three others, activities satisfied all of the characteristics. These results suggest focusing the study of program sustainability on the routinization of activities resulting from it. They indicate four distinct degrees of sustainability: (1) the absence of sustainability; no program activity is continued; (2) precarious sustainability; some residual activities are pursued, at least unofficially; (3) weak sustainability; the program produces some official activities that are not routinized; and (4) sustainability through routinization; routinized activities result from the program.

  14. Influence and effectiveness of financial incentive programs in promoting sustainable forestry in the south

    Science.gov (United States)

    Michael G. Jacobson; John L. Greene; Thomas J. Straka; Steven E. Daniels; Michael A. Kilgore

    2009-01-01

    State forestry officials responsible for forestry incentive programs in each of the 13 southern states were surveyed concerning their opinions on financial incentiveprograms available to nonindustrial private forest owners. The forestry officials were asked to name and describe the public and...

  15. Sustaining a school-based prevention program: results from the Aban Aya Sustainability Project.

    Science.gov (United States)

    Fagen, Michael C; Flay, Brian R

    2009-02-01

    Sustaining effective school-based prevention programs is critical to improving youth and population-based health. This article reports on results from the Aban Aya Sustainability Project, an effort to sustain a school-based prevention program that was tested via a randomized trial and targeted violence, drug use, and risky sex-related behaviors among a cohort of 5th-grade African American children followed through 10th grade. Sustainability project health educators trained parent educators to deliver the Aban Aya prevention curriculum in five schools, and project researchers studied the resultant curricular implementation and relations between the research and school-based teams. Study results showed uneven implementation across the five schools that we largely attributed to parent educator preparation and parent educator-health educator relations. These and related results are discussed to answer the study's primary research question: How viable was the sustainability project's parent-centered approach to sustaining a school-based prevention program?

  16. The Effect of Incentives on Sustainable Behavior

    DEFF Research Database (Denmark)

    Huber, Laura Rosendahl; Sloof, Randolph; Van Praag, Mirjam

    2017-01-01

    This study investigates how children respond to different treatments aimed to fostersustainable behavior in a productive (firm like) setting. We conduct a field experiment using teams of children (aged 11 or 12) that are participating in an entrepreneurship education program in the last grade...... of primary school in the Netherlands. Schools participating in this program are randomly assigned to one of three treatments: the first is purely financially oriented, the second promotes sustainable behavior and the third also induces sustainability by (monetary) incentives. Comparing the first twogroups we...... find that solely promoting sustainability does not lead to a change in sustainable behavior. However, once the monetary reward is linked to sustainable outcome measures, we find a significant positive effect on sustainable behavior. Inour specificsetting, the choice to behave more sustainable comes...

  17. Sustained employability of workers in a production environment: design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program

    Directory of Open Access Journals (Sweden)

    van Holland Berry J

    2012-11-01

    Full Text Available Abstract Background Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However, evidence for these health surveillance programs is lacking. The FLESH study (Functional Labour Evaluation for Sustained Health and employment was developed to evaluate a comprehensive workers’ health promotion program on its effectiveness, cost-benefit, and process of the intervention. Methods The study is designed as a cluster randomised stepped wedge trial with randomisation at company plant level and is carried out in a large meat processing company. Every contracted employee is offered the opportunity to participate in the POSE program (Promotion Of Sustained Employability. The main goals of the POSE program are 1 providing employee’s insight into their current employability and health status, 2 offering opportunities to improve employability and decrease health risks and 3 improving employability and health sustainably in order to keep them healthy at work. The program consists of a broad assessment followed by a counselling session and, if needed, a tailored intervention. Measurements will be performed at baseline and will be followed up at 20, 40, 60, 80, 106 and 132 weeks. The primary outcome measures are work ability, productivity and absenteeism. Secondary outcomes include health status, vitality, and psychosocial workload. A cost-benefit study will be conducted from the employers’ perspective. A process evaluation will be conducted and the satisfaction of employer and employees with the program will be assessed. Discussion This study provides information on the effectiveness of the POSE program on sustained employment. When the program proves to be effective, employees benefit by improved work ability, and health. Employers benefit

  18. Sustained employability of workers in a production environment: design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program.

    Science.gov (United States)

    van Holland, Berry J; de Boer, Michiel R; Brouwer, Sandra; Soer, Remko; Reneman, Michiel F

    2012-11-20

    Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However, evidence for these health surveillance programs is lacking. The FLESH study (Functional Labour Evaluation for Sustained Health and employment) was developed to evaluate a comprehensive workers' health promotion program on its effectiveness, cost-benefit, and process of the intervention. The study is designed as a cluster randomised stepped wedge trial with randomisation at company plant level and is carried out in a large meat processing company. Every contracted employee is offered the opportunity to participate in the POSE program (Promotion Of Sustained Employability). The main goals of the POSE program are 1) providing employee's insight into their current employability and health status, 2) offering opportunities to improve employability and decrease health risks and 3) improving employability and health sustainably in order to keep them healthy at work. The program consists of a broad assessment followed by a counselling session and, if needed, a tailored intervention. Measurements will be performed at baseline and will be followed up at 20, 40, 60, 80, 106 and 132 weeks. The primary outcome measures are work ability, productivity and absenteeism. Secondary outcomes include health status, vitality, and psychosocial workload. A cost-benefit study will be conducted from the employers' perspective. A process evaluation will be conducted and the satisfaction of employer and employees with the program will be assessed. This study provides information on the effectiveness of the POSE program on sustained employment. When the program proves to be effective, employees benefit by improved work ability, and health. Employers benefit from healthier employees, reduced sick leave (costs) and

  19. Sustaining Arts Programs in Public Education

    Science.gov (United States)

    Dunstan, David

    2016-01-01

    The purpose of this qualitative research case study was to investigate leadership and funding decisions that determine key factors responsible for sustaining arts programs in public schools. While the educational climate, financial constraints, and standardized testing continue to impact arts programs in public education, Eastland High School, the…

  20. Sustained programs in physics teacher education

    Science.gov (United States)

    Scherr, Rachel

    2014-03-01

    For over a decade, physics teacher education programs have been transformed at a number of institutions around the country through support from the Physics Teacher Education Coalition (PhysTEC), led by the American Physical Society in partnership with the American Association of Physics Teachers. In 2012-2013, PhysTEC supported an independent study on the sustainability of its sites after project funding ends. The study sought to measure the extent to which programs have been sustained and to identify what features should be prioritized for building sustainable physics teacher education programs. Most PhysTEC legacy sites studied have sustained their production of physics teachers. A few sites studied have thriving physics teacher education programs, that is, programs that have continued to substantially increase their production of teachers since the PhysTEC award. All of the studied sites that sustained their production of physics teachers have a champion of physics teacher education and corresponding institutional motivation and commitment. The necessity of the champion was known from the Report of the Task Force on Teacher Education in Physics (T-TEP report) and borne out by this study. The necessity of institutional motivation and commitment is a finding of this study. At some sites, PhysTEC support has precipitated an institutional focus on physics teacher education, leveraging other resources (including both awards and personnel) benefiting physics teacher education. The study also documented the sustainability of components of physics teacher education programs, such as recruitment, early teaching experiences, and a teacher in residence. Sustained components tend to be those that have direct benefit to undergraduates in the physics department, whereas less-sustained components seem to be those that primarily benefit secondary teachers. The number of sustained components does not appear to correspond to teacher production; that is, sites that have sustained

  1. Assessing sustainability of Lifestyle Education for Activity Program (LEAP).

    Science.gov (United States)

    Saunders, R P; Pate, R R; Dowda, M; Ward, D S; Epping, J N; Dishman, R K

    2012-04-01

    Sustained intervention effects are needed for positive health impacts in populations; however, few published examples illustrate methods for assessing sustainability in health promotion programs. This paper describes the methods for assessing sustainability of the Lifestyle Education for Activity Program (LEAP). LEAP was a comprehensive school-based intervention that targeted change in instructional practices and the school environment to promote physical activity (PA) in high school girls. Previous reports indicated that significantly more girls in the intervention compared with control schools reported engaging in vigorous PA, and positive long-term effects on vigorous PA also were observed for girls in schools that most fully implemented and maintained the intervention 3 years following the active intervention. In this paper, the seven steps used to assess sustainability in LEAP are presented; these steps provide a model for assessing sustainability in health promotion programs in other settings. Unique features of the LEAP sustainability model include assessing sustainability of changes in instructional practices and the environment, basing assessment on an essential element framework that defined complete and acceptable delivery at the beginning of the project, using multiple data sources to assess sustainability, and assessing implementation longitudinally.

  2. Using the Program Sustainability Assessment Tool to Assess and Plan for Sustainability

    Science.gov (United States)

    Mainor, Avia; Moreland-Russell, Sarah; Maier, Ryan C.; Brossart, Laura; Luke, Douglas A.

    2014-01-01

    Implementing and growing a public health program that benefits society takes considerable time and effort. To ensure that positive outcomes are maintained over time, program managers and stakeholders should plan and implement activities to build sustainability capacity within their programs. We describe a 3-part sustainability planning process that programs can follow to build their sustainability capacity. First, program staff and stakeholders take the Program Sustainability Assessment Tool to measure their program’s sustainability across 8 domains. Next, managers and stakeholders use results from the assessment to inform and prioritize sustainability action planning. Lastly, staff members implement the plan and keep track of progress toward their sustainability goals. Through this process, staff can more holistically address the internal and external challenges and pressures associated with sustaining a program. We include a case example of a chronic disease program that completed the Program Sustainability Assessment Tool and engaged in program sustainability planning. PMID:24456644

  3. HANFORD SITE SUSTAINABILITY PROGRAM RICHLAND WASHINGTON - 12464

    Energy Technology Data Exchange (ETDEWEB)

    FRITZ LL

    2012-01-12

    In support of implementation of Executive Order (EO) 13514, Federal Leadership in Environmental, Energy and Economic Performance, the Hanford Site Sustainability Plan was developed to implement strategies and activities required to achieve the prescribed goals in the EO as well as demonstrate measurable progress in environmental stewardship at the Hanford Site. The Hanford Site Sustainability Program was developed to demonstrate progress towards sustainability goals as defined and established in Executive Order (EO) 13514, Federal Leadership in Environmental, Energy and Economic Performance; EO 13423, Strengthening Federal Environmental, Energy and Transportation Management, and several applicable Energy Acts. Multiple initiatives were undertaken in Fiscal Year (FY) 2011 to implement the Program and poise the Hanford Site as a leader in environmental stewardship. In order to implement the Hanford Site Sustainability Program, a Sustainability Plan was developed in conjunction with prime contractors, two U.S. Department of Energy (DOE) Offices, and key stakeholders to serve as the framework for measuring progress towards sustainability goals. Based on the review of these metrics and future plans, several activities were initiated to proactively improve performance or provide alternatives for future consideration contingent on available funding. A review of the key metric associated with energy consumption for the Hanford Site in FY 2010 and 2011 indicated an increase over the target reduction of 3 percent annually from a baseline established in FY 2003 as illustrated in Figure 1. This slight increase was attributed primarily from the increased energy demand from the cleanup projects funded by the American Recovery and Reinvestment Act (ARRA) in FY 2010 and 2011. Although it is forecasted that the energy demand will decrease commensurate with the completion of ARRA projects, several major initiatives were launched to improve energy efficiency.

  4. Sustained employability of workers in a production environment: design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program

    OpenAIRE

    van Holland Berry J; de Boer Michiel R; Brouwer Sandra; Soer Remko; Reneman Michiel F

    2012-01-01

    Abstract Background Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However, evidence for these health surveillance programs is lacking. The FLESH study (Functional Labour Evaluation for Sustained Health and employment) was developed to evaluate a comprehensive workers’ ...

  5. Effective Assessment Framework: Sustainability of Post Amnesty ...

    African Journals Online (AJOL)

    To proffer solution, Federal government came up with post-amnesty program. Based on this, the study sought; (i) To determine the level of effectiveness of the implementation of the Post Amnesty Programme since its inception in 2009, (ii) determine how effective evaluation method can sustain Post Amnesty programme ...

  6. Sustained Hospital-based Wellness Program

    Science.gov (United States)

    Danielson, Karen; Jeffers, Katharine; Kaiser, Leslie; McKinley, Lee; Kuhn, Thomas; Voorhies, Gigi

    2014-01-01

    Introduction: Beginning as a grassroots initiative, a community hospital employing 2800 celebrates the stress-transforming benefits of HeartMath for its employees and community. Initially introduced to address the deleterious effects of personal stress experienced by the high healthcare claimants of the organization, HeartMath was eventually introduced to every stratification of the organization's population health management. The ensuing depth and breadth of HeartMath's presence in the organization is a consequence of a deliberate effort to integrate the program at every possible and sensible touch point of the organization and, ultimately, patient care. Today, 5 years later, the success of HeartMath at Indiana University (IU) Health Bloomington continues to be a tribute to the grassroots movement of an established worksite wellness program. Methods: HeartMath was initiated as an intervention for transforming the stress of a workforce's highest healthcare claimants: those with the complexities of co-morbidities as well as challenging psychosocial and economic realities. This segment of a workforce is invariably the greatest strain to any organization's health plan. As importantly, on an individual level and subsequent to their health status, the respective employees can experience tremendous personal strain in several dimensions of their lives. Further compounding their marginal and worsening physical health, the inherent challenges of the current medical system to integrate and advocate for their care requires that stress be addressed and skills developed for a positive, long-term, and sustainable outcome. From this small but powerful vantage point, IU Health Bloomington's platinum worksite wellness program (a distinction of the Wellness Council of America) extended HeartMath to every population health management stratification within the organization. This specific program migration happened initially by way of departments and units that expressed, in an

  7. Sustainable Procurement: Integrating Classroom Learning with University Sustainability Programs

    Science.gov (United States)

    Goldschmidt, Kyle; Harrison, Terry; Holtry, Matthew; Reeh, Jeremy

    2013-01-01

    Organizations are facing increased pressure from various stakeholders to address issues of sustainability, resulting in a growing demand for sustainability education and training. Procurement groups remain the key drivers of many sustainability-related strategies, placing pressure on universities to integrate sustainability concepts into the…

  8. The Influence of Community Health Resources on Effectiveness and Sustainability of Community and Lay Health Worker Programs in Lower-Income Countries: A Systematic Review.

    Science.gov (United States)

    de Vries, Daniel H; Pool, Robert

    2017-01-01

    Despite the availability of practical knowledge and effective interventions required to reduce priority health problems in low-income countries, poor and vulnerable populations are often not reached. One possible solution to this problem is the use of Community or Lay Health Workers (CLHWs). So far, however, the development of sustainability in CLHW programs has failed and high attrition rates continue to pose a challenge. We propose that the roles and interests which support community health work should emerge directly from the way in which health is organized at community level. This review explores the evidence available to assess if increased levels of integration of community health resources in CLHW programs indeed lead to higher program effectiveness and sustainability. This review includes peer-reviewed articles which meet three eligibility criteria: 1) specific focus on CLHWs or equivalent; 2) randomized, quasi-randomized, before/after methodology or substantial descriptive assessment; and 3) description of a community or peer intervention health program located in a low- or middle-income country. Literature searches using various article databases led to 2930 hits, of which 359 articles were classified. Of these, 32 articles were chosen for extensive review, complemented by analysis of the results of 15 other review studies. Analysis was conducted using an excel based data extraction form. Because results showed that no quantitative data was published, a descriptive synthesis was conducted. The review protocol was not proactively registered. Findings show minimal inclusion of even basic community level indicators, such as the degree to which the program is a community initiative, community input in the program or training, the background and history of CLHW recruits, and the role of the community in motivation and retention. Results show that of the 32 studies, only one includes one statistical measure of community integration. As a result of this lack of

  9. The Influence of Community Health Resources on Effectiveness and Sustainability of Community and Lay Health Worker Programs in Lower-Income Countries: A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Daniel H de Vries

    Full Text Available Despite the availability of practical knowledge and effective interventions required to reduce priority health problems in low-income countries, poor and vulnerable populations are often not reached. One possible solution to this problem is the use of Community or Lay Health Workers (CLHWs. So far, however, the development of sustainability in CLHW programs has failed and high attrition rates continue to pose a challenge. We propose that the roles and interests which support community health work should emerge directly from the way in which health is organized at community level. This review explores the evidence available to assess if increased levels of integration of community health resources in CLHW programs indeed lead to higher program effectiveness and sustainability.This review includes peer-reviewed articles which meet three eligibility criteria: 1 specific focus on CLHWs or equivalent; 2 randomized, quasi-randomized, before/after methodology or substantial descriptive assessment; and 3 description of a community or peer intervention health program located in a low- or middle-income country. Literature searches using various article databases led to 2930 hits, of which 359 articles were classified. Of these, 32 articles were chosen for extensive review, complemented by analysis of the results of 15 other review studies. Analysis was conducted using an excel based data extraction form. Because results showed that no quantitative data was published, a descriptive synthesis was conducted. The review protocol was not proactively registered. Findings show minimal inclusion of even basic community level indicators, such as the degree to which the program is a community initiative, community input in the program or training, the background and history of CLHW recruits, and the role of the community in motivation and retention. Results show that of the 32 studies, only one includes one statistical measure of community integration. As a result

  10. Sustaining health education research programs in Aboriginal communities.

    Science.gov (United States)

    Wisener, Katherine; Shapka, Jennifer; Jarvis-Selinger, Sandra

    2017-09-01

    Despite evidence supporting the ongoing provision of health education interventions in First Nations communities, there is a paucity of research that specifically addresses how these programs should be designed to ensure sustainability and long-term effects. Using a Community-Based Research approach, a collective case study was completed with three Canadian First Nations communities to address the following research question: What factors are related to sustainable health education programs, and how do they contribute to and/or inhibit program success in an Aboriginal context? Semi-structured interviews and a sharing circle were completed with 19 participants, including members of community leadership, external partners, and program staff and users. Seven factors were identified to either promote or inhibit program sustainability, including: 1) community uptake; 2) environmental factors; 3) stakeholder awareness and support; 4) presence of a champion; 5) availability of funding; 6) fit and flexibility; and 7) capacity and capacity building. Each factor is provided with a working definition, influential moderators, and key evaluation questions. This study is grounded in, and builds on existing research, and can be used by First Nations communities and universities to support effective sustainability planning for community-based health education interventions.

  11. Effective Programming

    DEFF Research Database (Denmark)

    Frost, Jacob

    To investigate the use of VTLoE as a basis for formal derivation of functional programs with effects. As a part of the process, a number of issues central to effective formal programming are considered. In particular it is considered how to develop a proof system suitable for pratical reasoning......, how to implement this system in the generic proof assistant Isabelle and finally how to apply the logic and the implementation to programming....

  12. Sustained employability of workers in a production environment : design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program

    NARCIS (Netherlands)

    van Holland, Berry J.; de Boer, Michiel R.; Brouwer, Sandra; Soer, Remko; Reneman, Michiel F.

    2012-01-01

    Background: Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However,

  13. Sustained employability of workers in a production environment: design of a stepped wedge trial to evaluate effectiveness and cost-benefit of the POSE program

    NARCIS (Netherlands)

    van Holland, B.J.; de Boer, M.R.; Brouwer, S.; Soer, R.; Reneman, M.F.

    2012-01-01

    Background: Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However,

  14. Sustaining health promotion programs within sport and recreation organisations.

    Science.gov (United States)

    Casey, Meghan M; Payne, Warren R; Eime, Rochelle M; Brown, Sue J

    2009-01-01

    The involvement of the sport and recreation sector as a setting for health promotion is a new strategy implemented by health policy makers and strategic planners. Strategies to promote and sustain health promotion activities are important considering the risk that programs may cease after initial funding ends. This study explored the factors affecting the sustainability of a sport- and recreation-based health promotion program. A stratified sampling method was used to select four of the nine Regional Sports Assemblies (RSAs) that delivered a state-wide health promotion program funded by the Victorian Health Promotion Foundation in Australia. Data were collected from in-depth interviews with four Executive Officers (EOs) and focus group discussions with their Boards of Management. A sustainability checklist with pre-specified dimensions (e.g. organisational setting, broader community environment, and program design and implementation) guided data collection and analysis. The results showed that the organisational setting and the broader community environment supported program institutionalisation; whilst the design and implementation of the program worked against institutionalisation. The capacity of the organisations to generate new funds for the program was limited; the relationship between the central funding organisation and the Boards of Management was weak; and the program did not support the retention of staff. The engagement of sport and recreation organisations has potential to facilitate health promotion and public health. To enhance organisational capacity and achieve program sustainability, it is important that organisational processes, structures, and resources that support long-term health promotion practice are effectively and efficiently planned and managed.

  15. Alternative Aviation Jet Fuel Sustainability Evaluation Report Task 1 : Report Evaluating Existing Sustainability Evaluation Programs

    Science.gov (United States)

    2011-10-25

    This report describes how existing biofuel sustainability evaluation programs meet requirements that are under consideration or are in early phases of adoption and implementation in various US and international contexts. Biofuel sustainability evalua...

  16. Factors influencing perceived sustainability of Dutch community health programs

    NARCIS (Netherlands)

    Vermeer, A. J. M.; van Assema, P.; Hesdahl, B.; Harting, J.; de Vries, N. K.

    2015-01-01

    We assessed the perceived sustainability of community health programs organized by local intersectoral coalitions, as well as the factors that collaborating partners think might influence sustainability. Semi-structured interviews were conducted among 31 collaborating partners of 5 community health

  17. Proactive sustainability strategy and corporate sustainability performance: The mediating effect of sustainability control systems.

    Science.gov (United States)

    Wijethilake, Chaminda

    2017-07-01

    This study examines to what extent corporations use sustainability control systems (SCS) to translate proactive sustainability strategy into corporate sustainability performance. The study investigates the mediating effect of SCS on the relationship between proactive sustainability strategy and corporate sustainability performance. Survey data were collected from top managers in 175 multinational and local corporations operating in Sri Lanka and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). SCS were observed to only partially mediate the relationship between proactive sustainability strategy and corporate sustainability performance. The mediating effect of SCS is further examined under three sustainability strategies; environmental and social strategies reveal a partial mediation, while the economic strategy exhibits no mediation. The study also finds that (i) a proactive sustainability strategy is positively associated with SCS and corporate sustainability performance and (ii) SCS are positively associated with corporate sustainability performance. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Implementing sustainable development programs in Chicago

    Energy Technology Data Exchange (ETDEWEB)

    Henderson, H.

    1994-12-31

    Achieving sustainable development requires a revision of the present view of the nature of the city as an environment, and its relation to a larger ecosystem of which it is an essential part. The environmental health of a wilderness area is inextricably related to the environmental, and economic, health of the great urban centers. The vitality of dense metropolitan areas, where population and economic activities are concentrated, is key to the preservation of productive farm lands, wildlife habitat, and open spaces. The social and economic crisis which grips many metropolitan centers, with attendant flight of industry and development to the so-called {open_quotes}greenfields,{close_quotes} fundamentally spreads a broader crisis to our common ecosystem. This crisis is marked by the obliteration of habitat necessary for biodiversity, loss of fertile farm land, and the contamination of air, water and land, as an unescapable effect of the sprawl created by flight from the urban centers. The removal of false conceptual distinctions between the city and nature, distinctions that are unfortunately at the heart of so much of American environmental philosophy, is key to the concept of `sustainable development.` This article sets forth how the City of Chicago is implementing this understanding of the nature of the urban environment, in pursuit of sustainable development within the city.

  19. Sustainability Management Program for Industries- A Case Study

    Directory of Open Access Journals (Sweden)

    Long Su Weng Alwin

    2017-01-01

    Full Text Available This research studied the effectiveness of Sustainability Management Program in improving production efficiency of the manufacturing site with verified result using the regression analysis. For this study, a dairy manufacturing industry located in Malaysia was selected and major energy consuming equipment in the industryplant were identified. Sustainability Management Program (SMP was carried out for three years and energy consumption and product has improved regression coefficients of 0.625 in 2013, 0.826 in 2014, and 0.878 in 2015 as the manufacturing site becomes more energy efficient. This suggests that the energy management should be carried out in a continuous manner with energy management team responsible for energy saving practices.

  20. Effects of an 8-week yoga program on sustained attention and discrimination function in children with attention deficit hyperactivity disorder

    Directory of Open Access Journals (Sweden)

    Chien-Chih Chou

    2017-01-01

    Full Text Available This study investigated whether a yoga exercise intervention influenced the sustained attention and discrimination function in children with ADHD. Forty-nine participants (mean age = 10.50 years were assigned to either a yoga exercise or a control group. Participants were given the Visual Pursuit Test and Determination Test prior to and after an eight-week exercise intervention (twice per week, 40 min per session or a control intervention. Significant improvements in accuracy rate and reaction time of the two tests were observed over time in the exercise group compared with the control group. These findings suggest that alternative therapies such as yoga exercises can be complementary to behavioral interventions for children with attention and inhibition problems. Schools and parents of children with ADHD should consider alternatives for maximizing the opportunities that children with ADHD can engage in structured yoga  exercises.

  1. Public health program capacity for sustainability: a new framework.

    Science.gov (United States)

    Schell, Sarah F; Luke, Douglas A; Schooley, Michael W; Elliott, Michael B; Herbers, Stephanie H; Mueller, Nancy B; Bunger, Alicia C

    2013-02-01

    Public health programs can only deliver benefits if they are able to sustain activities over time. There is a broad literature on program sustainability in public health, but it is fragmented and there is a lack of consensus on core constructs. The purpose of this paper is to present a new conceptual framework for program sustainability in public health. This developmental study uses a comprehensive literature review, input from an expert panel, and the results of concept-mapping to identify the core domains of a conceptual framework for public health program capacity for sustainability. The concept-mapping process included three types of participants (scientists, funders, and practitioners) from several public health areas (e.g., tobacco control, heart disease and stroke, physical activity and nutrition, and injury prevention). The literature review identified 85 relevant studies focusing on program sustainability in public health. Most of the papers described empirical studies of prevention-oriented programs aimed at the community level. The concept-mapping process identified nine core domains that affect a program's capacity for sustainability: Political Support, Funding Stability, Partnerships, Organizational Capacity, Program Evaluation, Program Adaptation, Communications, Public Health Impacts, and Strategic Planning. Concept-mapping participants further identified 93 items across these domains that have strong face validity-89% of the individual items composing the framework had specific support in the sustainability literature. The sustainability framework presented here suggests that a number of selected factors may be related to a program's ability to sustain its activities and benefits over time. These factors have been discussed in the literature, but this framework synthesizes and combines the factors and suggests how they may be interrelated with one another. The framework presents domains for public health decision makers to consider when developing

  2. Light Water Reactor Sustainability Program Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    George Griffith; Robert Youngblood; Jeremy Busby; Bruce Hallbert; Cathy Barnard; Kathryn McCarthy

    2012-01-01

    Nuclear power has safely, reliably, and economically contributed almost 20% of electrical generation in the United States over the past two decades. It remains the single largest contributor (more than 70%) of non-greenhouse-gas-emitting electric power generation in the United States. Domestic demand for electrical energy is expected to experience a 31% growth from 2009 to 2035. At the same time, most of the currently operating nuclear power plants will begin reaching the end of their initial 20-year extension to their original 40-year operating license for a total of 60 years of operation. Figure E-1 shows projected nuclear energy contribution to the domestic generating capacity. If current operating nuclear power plants do not operate beyond 60 years, the total fraction of generated electrical energy from nuclear power will begin to decline - even with the expected addition of new nuclear generating capacity. The oldest commercial plants in the United States reached their 40th anniversary in 2009. The U.S. Department of Energy Office of Nuclear Energy's Research and Development Roadmap (Nuclear Energy Roadmap) organizes its activities around four objectives that ensure nuclear energy remains a compelling and viable energy option for the United States. The four objectives are as follows: (1) develop technologies and other solutions that can improve the reliability, sustain the safety, and extend the life of the current reactors; (2) develop improvements in the affordability of new reactors to enable nuclear energy to help meet the Administration's energy security and climate change goals; (3) develop sustainable nuclear fuel cycles; and (4) understand and minimize the risks of nuclear proliferation and terrorism. The Light Water Reactor Sustainability (LWRS) Program is the primary programmatic activity that addresses Objective 1. This document summarizes the LWRS Program's plans.

  3. Building Innovation and Sustainability in Programs of Research.

    Science.gov (United States)

    Villarruel, Antonia M

    2018-01-01

    Innovation and sustainability are two important concepts of impactful programs of research. While at first glance these concepts and approaches may seem at odds, they are synergistic. We examine the social, political, and policy context as it relates to innovation and sustainability. We present an exemplar of a program of research and discuss factors to consider in developing innovative and sustainable programs of research. Innovation is an important component of sustainable programs of research. Understanding the social and political context and addressing relevant policy issues are factors to be considered in both innovation and sustainability. Innovation and sustainability, important components of research, are also central to clinical practice. Open communication between researchers and clinicians can support the acceleration of innovations and the integration of evidence-based findings in practice. © 2017 Sigma Theta Tau International.

  4. Sustainable Eco Coastal Development Through Corporate Social Responsibility (CSR) Program

    Science.gov (United States)

    Rakhmanissazly, Arsi; Mursito Ardy, Yong; Abdullah

    2017-02-01

    Besides technical problems the company’s operational constraints that may effect high deficiency for the company is the company - community conflicts. Company - community conflict can also arise depends on the geographic conditions and characteristics of the community itself. Some studies has show that coastal community have higher level of social risk when compared to non-coastal community. Also, the coastal community ussually only rely on what sea provides as their main livelihood. Because of the level of education still contemtible the community couldn’t optimized the potential of their own area. Corporate Social Responsibility (CSR) har emerged as an important approach for addressing the social and environmental impact of company activities. Through CSR program, PT Pertamina EP Asset 3 Tambun Field (PEP) try to form value integration by utilizing resources from the community and the company by making sustainable eco - coastal living in Desa Tambaksari, Karawang, one of PEP working area. Using sustainable livelihood approach begin with compiling data by doing social mapping PEP has initiate the area to becoming Fish Processing Industry Centre. By implementing PDCA in every steps of the program, PEP has multiplied some other programs such as Organic Fish Feed Processing, Seaweed Farming and Waste Bank for Green Coastal Village. These program is PEP’s effort to create a sustainability environment by enhancing the community’s potentials as well as resolving social problems around Tambaksari. The most important result besides getting our license to operate from the community, is the community itself can grow into an eco coastal sustainable system.

  5. Light Water Reactor Sustainability Program: Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2017-05-01

    proliferation and terrorism. The Light Water Reactor Sustainability (LWRS) Program is the primary programmatic activity that addresses Objective 1. This document summarizes the LWRS Program’s plans. For the LWRS Program, sustainability is defined as the ability to maintain safe and economic operation of the existing fleet of nuclear power plants for a longer-than-initially-licensed lifetime. It has two facets with respect to long-term operations: (1) manage the aging of plant systems, structures, and components so that nuclear power plant lifetimes can be extended and the plants can continue to operate safely, efficiently, and economically; and (2) provide science-based solutions to the industry to implement technology to exceed the performance of the current labor-intensive business model.

  6. A Social Insurance Model for Pharmacare: Ontario's Options for a More Sustainable, Cost-Effective Drug Program

    OpenAIRE

    Colin Busby; William B.P. Robson

    2011-01-01

    With annual spending of about $4.5 billion dollars in 2010, Canada’s largest drug plan – the Ontario Drug Program (ODB) – will become harder to afford as the babyboomers age and workforce growth slows. A business-as-usual approach to funding the plan, which provides publicly funded drug benefits to every Ontario resident aged 65 an older, presents a bleak prospect and amounts to wilfully passing on an exorbitant bill to future generations. Ontario, like all jurisdictions, faces tough challeng...

  7. Labor productivity, perceived effectiveness, and sustainability of innovative projects

    NARCIS (Netherlands)

    Makai, P.; Cramm, J.M.; Grotel, M. van; Nieboer, A.P.

    2014-01-01

    OBJECTIVE: To assess labor productivity, perceived effectiveness, and sustainability of a national quality program that sought to stimulate efficiency gains through increased labor productivity while maintaining quality through implementing small-scale innovation projects. DESIGN: Longitudinal

  8. Light Water Reactor Sustainability Program Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    Kathryn McCarthy; Jeremy Busby; Bruce Hallbert; Shannon Bragg-Sitton; Curtis Smith; Cathy Barnard

    2013-04-01

    Nuclear power has safely, reliably, and economically contributed almost 20% of electrical generation in the United States over the past two decades. It remains the single largest contributor (more than 70%) of non-greenhouse-gas-emitting electric power generation in the United States. Domestic demand for electrical energy is expected to experience a 31% growth from 2009 to 2035. At the same time, most of the currently operating nuclear power plants will begin reaching the end of their initial 20-year extension to their original 40-year operating license for a total of 60 years of operation. Figure E-1 shows projected nuclear energy contribution to the domestic generating capacity. If current operating nuclear power plants do not operate beyond 60 years, the total fraction of generated electrical energy from nuclear power will begin to decline—even with the expected addition of new nuclear generating capacity. The oldest commercial plants in the United States reached their 40th anniversary in 2009. The U.S. Department of Energy Office of Nuclear Energy’s Research and Development Roadmap (Nuclear Energy Roadmap) organizes its activities around four objectives that ensure nuclear energy remains a compelling and viable energy option for the United States. The four objectives are as follows: (1) develop technologies and other solutions that can improve the reliability, sustain the safety, and extend the life of the current reactors; (2) develop improvements in the affordability of new reactors to enable nuclear energy to help meet the Administration’s energy security and climate change goals; (3) develop sustainable nuclear fuel cycles; and (4) understand and minimize the risks of nuclear proliferation and terrorism. The Light Water Reactor Sustainability (LWRS) Program is the primary programmatic activity that addresses Objective 1. This document summarizes the LWRS Program’s plans.

  9. Light Water Reactor Sustainability Program Integrated Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    McCarthy, Kathryn A. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Busby, Jeremy [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Hallbert, Bruce [Idaho National Lab. (INL), Idaho Falls, ID (United States); Bragg-Sitton, Shannon [Idaho National Lab. (INL), Idaho Falls, ID (United States); Smith, Curtis [Idaho National Lab. (INL), Idaho Falls, ID (United States); Barnard, Cathy [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-04-01

    Nuclear power has safely, reliably, and economically contributed almost 20% of electrical generation in the United States over the past two decades. It remains the single largest contributor (more than 70%) of non-greenhouse-gas-emitting electric power generation in the United States. Domestic demand for electrical energy is expected to experience a 31% growth from 2009 to 2035. At the same time, most of the currently operating nuclear power plants will begin reaching the end of their initial 20-year extension to their original 40-year operating license for a total of 60 years of operation. Figure E-1 shows projected nuclear energy contribution to the domestic generating capacity. If current operating nuclear power plants do not operate beyond 60 years, the total fraction of generated electrical energy from nuclear power will begin to decline—even with the expected addition of new nuclear generating capacity. The oldest commercial plants in the United States reached their 40th anniversary in 2009. The U.S. Department of Energy Office of Nuclear Energy’s Research and Development Roadmap (Nuclear Energy Roadmap) organizes its activities around four objectives that ensure nuclear energy remains a compelling and viable energy option for the United States. The four objectives are as follows: (1) develop technologies and other solutions that can improve the reliability, sustain the safety, and extend the life of the current reactors; (2) develop improvements in the affordability of new reactors to enable nuclear energy to help meet the Administration’s energy security and climate change goals; (3) develop sustainable nuclear fuel cycles; and (4) understand and minimize the risks of nuclear proliferation and terrorism. The Light Water Reactor Sustainability (LWRS) Program is the primary programmatic activity that addresses Objective 1. This document summarizes the LWRS Program’s plans.

  10. 2011 Biomass Program Platform Peer Review. Sustainability

    Energy Technology Data Exchange (ETDEWEB)

    Eng, Alison Goss [Office of Energy Efficiency and Renewable Energy (EERE), Washington, DC (United States)

    2012-02-01

    This document summarizes the recommendations and evaluations provided by an independent external panel of experts at the 2011 U.S. Department of Energy Biomass Program’s Sustainability Platform Review meeting.

  11. Sustainable transportation for tourism : green certification programs.

    Science.gov (United States)

    2013-11-01

    The overall project goal of guiding planning and management of transportation to serve the needs of : sustainable tourism focused on three tourism-related transportation contexts. The first context was : selected types of roads important to tourism i...

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

    Science.gov (United States)

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

    2017-07-01

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

  13. Sustainability of a physical activity and nutrition program for seniors.

    Science.gov (United States)

    Pasalich, M; Lee, A H; Jancey, J; Burke, L; Howat, P

    2013-01-01

    This prospective cohort study aimed to determine the impact of a low cost, home-based physical activity and nutrition program for older adults at 6 months follow-up. A follow-up survey was conducted 6 months after program completion via computer-assisted telephone interviewing. The International Physical Activity Questionnaire and the Fat and Fibre Barometer were used to measure physical activity levels and dietary behaviours, respectively. Self-reported height, weight, waist and hip circumferences were obtained. Changes over three time points of data collection (baseline, post-program, follow-up) and differences between the intervention and control groups were assessed. The use of program materials was also evaluated. Community and home-based. Insufficiently active 60 to 70 year olds (n = 176, intervention and n = 198, control) residing in suburbs within the Perth metropolitan area. A sustained improvement was observed for the intervention group in terms of fat avoidance behaviours (p interaction = .007). Significant improvements were found for strength exercises, fibre intake, body mass index and waist-to-hip ratio at either post-program or follow-up, however the overall effect was not significant. At post-program, the intervention group increased time spent participating in moderate activity by 50 minutes (p > .05), which was followed by a significant decline at follow-up (p nutrition intervention resulted in a sustained improvement in fat avoidance behaviours and overall short-term gains in physical activity. Future studies for older adults are recommended to investigate gender-specific behavioural barriers as well as booster interventions which focus on physical activity.

  14. Photic effects on sustained performance

    Science.gov (United States)

    French, J.; Whitmore, J.; Hannon, P. J.; Brainard, G.; Schiflett, S.

    1992-01-01

    Research is described which evaluates manipulating environmental light intensity as a means to attenuate fatigue. A counter balanced, within-subjects design was used to compare nine male subjects exposed to dim (100 lux) and bright (3000 lux) light conditions. Oral temperature values were greater for the bright light group over the dim light condition. Melatonin levels were suppressed by bright light treatment. Also, the frequency of eye blink rate was less for subjects during bright over dim light exposure. Light exposure was without effect on subjective fatigue. However, irrespective of light condition, significant effects on confusion, fatigue, and vigor mood dimensions were found as a result of 30 hour sleep deprivation. The findings suggest that bright lights may be used to help sustain nocturnal activity otherwise susceptible to fatigue. Such findings may have implications for the lighting arrangements on space flights during the subjective night for astronauts.

  15. A Mathematical Programming Approach to the Optimal Sustainable Product Mix for the Process Industry

    Directory of Open Access Journals (Sweden)

    Noha M. Galal

    2015-09-01

    Full Text Available The increasing concerns about the environment and the depletion of natural resources are the main drivers for the growing interest in sustainability. Manufacturing operations are frequently considered to have an adverse effect on the environment. Hence, the sustainable operation of manufacturing facilities is a vital practice to ensure sustainability. The aim of this paper is to find the optimum product mix of a manufacturing facility to maximize its sustainability. A mixed integer non-linear programming model is developed to specify the product mix in order to maximize a proposed sustainability index (SI of a manufacturing facility. The sustainability index comprises the economic, environmental and social pillars of sustainability in a weighted form using the analytic hierarchy process (AHP. The model results allow the identification of the prospective improvements of manufacturing sustainability.

  16. The Program Sustainability Assessment Tool: a new instrument for public health programs.

    Science.gov (United States)

    Luke, Douglas A; Calhoun, Annaliese; Robichaux, Christopher B; Elliott, Michael B; Moreland-Russell, Sarah

    2014-01-23

    Public health programs can deliver benefits only if they are able to sustain programs, policies, and activities over time. Although numerous sustainability frameworks and models have been developed, there are almost no assessment tools that have demonstrated reliability or validity or have been widely disseminated. We present the Program Sustainability Assessment Tool (PSAT), a new and reliable instrument for assessing the capacity for program sustainability of various public health and other programs. A measurement development study was conducted to assess the reliability of the PSAT. Program managers and staff (n = 592) representing 252 public health programs used the PSAT to rate the sustainability of their program. State and community-level programs participated, representing 4 types of chronic disease programs: tobacco control, diabetes, obesity prevention, and oral health. The final version of the PSAT contains 40 items, spread across 8 sustainability domains, with 5 items per domain. Confirmatory factor analysis shows good fit of the data with the 8 sustainability domains. The subscales have excellent internal consistency; the average Cronbach's α is 0.88, ranging from 0.79 to 0.92. Preliminary validation analyses suggest that PSAT scores are related to important program and organizational characteristics. The PSAT is a new and reliable assessment instrument that can be used to measure a public health program's capacity for sustainability. The tool is designed to be used by researchers, evaluators, program managers, and staff for large and small public health programs.

  17. Sustainable care improvement programs supported by undergraduate health care education

    NARCIS (Netherlands)

    C.H.M. Smits (Carolien); A. Harps (Annelies); A.M.V. Stoopendaal (Annemiek); A.M. Kamper (Ad); M.M.H. Strating (Mathilde); R.A. Bal (Roland)

    2017-01-01

    markdownabstractBackground: The Care for Better Region program was developed to achieve sustainable care improvement focusing onfall prevention. Key ingredients involved improvement teams developing and implementing a falls reduction plan, PracticeDevelopment; facilitation of

  18. Sustainable Transportation Program 2011 Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    Vaughan, Kathi H [ORNL

    2012-06-01

    Highlights of selected research and development efforts at Oak Ridge National Laboratory funded by the Vehicle Technologies Program, Biomass Program, and Hydrogen and Fuel Cells Program of the Department of Energy, Office of Energy Efficiency and Renewable Energy; and the Department of Transportation.

  19. Sustainability Science Educational Program as Integrated Disciplinary Education : Practices and Lessons at Osaka University

    Science.gov (United States)

    Uwasu, Michinori; Shimoda, Yoshiyuki

    As global threats such as climate change and economic crisis have been emerging, the demand for the establishment of integrated disciplinary education programs is increasing. The Research Institute for Sustainability Science (RISS) at Osaka University started a new program on sustainability in October 2007. The RISS program addresses the ways to utilize knowledge effectively to understand the dynamic interactions between nature and human society. This paper first overviews the RISS Program for Sustainability Science. The paper then discusses the main problems as well as attempts and efforts to challenge those issues. Although issues including institutional barriers and faculty development yet remain in promoting integrated education, the RISS program functions as a platform to disseminate the idea of sustainability science across the university.

  20. Sustaining Physics Teacher Education Coalition programs in physics teacher education

    Science.gov (United States)

    Scherr, Rachel E.; Plisch, Monica; Goertzen, Renee Michelle

    2017-06-01

    Understanding the mechanisms of increasing the number of physics teachers educated per year at institutions with thriving physics teacher preparation programs may inspire and support other institutions in building thriving programs of their own. The Physics Teacher Education Coalition (PhysTEC), led by the American Physical Society (APS) and the American Association of Physics Teachers (AAPT), has supported transformation of physics teacher preparation programs at a number of institutions around the country for over a decade. In 2012-2013, PhysTEC supported an independent study on the sustainability of its sites after project funding ends. The study sought to measure the extent to which programs have been sustained and to identify what features should be prioritized for building sustainable physics teacher preparation programs. Most of the studied sites have sustained increases in the number of physics teachers educated per year as well as funding for physics teacher preparation. About half of the programs are thriving, in that in the post-award period, they have further increased both the number of physics teachers educated per year and funding for physics teacher preparation. All studied sites that sustained increases in the number of physics teachers educated per year have two features in common: a champion of physics teacher education and institutional commitment. The thriving physics teacher preparation programs in this study implemented different elements of physics teacher preparation according to diverse local priorities and opportunities, including the unique expertise of local personnel.

  1. Sustaining Physics Teacher Education Coalition programs in physics teacher education

    Directory of Open Access Journals (Sweden)

    Rachel E. Scherr

    2017-02-01

    Full Text Available Understanding the mechanisms of increasing the number of physics teachers educated per year at institutions with thriving physics teacher preparation programs may inspire and support other institutions in building thriving programs of their own. The Physics Teacher Education Coalition (PhysTEC, led by the American Physical Society (APS and the American Association of Physics Teachers (AAPT, has supported transformation of physics teacher preparation programs at a number of institutions around the country for over a decade. In 2012–2013, PhysTEC supported an independent study on the sustainability of its sites after project funding ends. The study sought to measure the extent to which programs have been sustained and to identify what features should be prioritized for building sustainable physics teacher preparation programs. Most of the studied sites have sustained increases in the number of physics teachers educated per year as well as funding for physics teacher preparation. About half of the programs are thriving, in that in the post-award period, they have further increased both the number of physics teachers educated per year and funding for physics teacher preparation. All studied sites that sustained increases in the number of physics teachers educated per year have two features in common: a champion of physics teacher education and institutional commitment. The thriving physics teacher preparation programs in this study implemented different elements of physics teacher preparation according to diverse local priorities and opportunities, including the unique expertise of local personnel.

  2. Factors influencing perceived sustainability of Dutch community health programs.

    Science.gov (United States)

    Vermeer, A J M; Van Assema, P; Hesdahl, B; Harting, J; De Vries, N K

    2015-09-01

    We assessed the perceived sustainability of community health programs organized by local intersectoral coalitions, as well as the factors that collaborating partners think might influence sustainability. Semi-structured interviews were conducted among 31 collaborating partners of 5 community health programs in deprived neighborhoods in the southern part of the Netherlands. The interview guide was based on a conceptual framework that includes factors related to the context, the leading organization, leadership, the coalition, collaborating partners, interventions and outcomes. Interviews were recorded, transcribed and content analyzed using NVivo 8.0. Participants in each of the programs varied in their perceptions of the sustainability of the program, but those people collaborating in pre-existing neighborhood structures expressed relatively high faith in their continuation. The participating citizens in particular believed that these structures would continue to address the health of the community in the future. We found factors from all categories of the conceptual framework that were perceived to influence sustainability. The program leaders appeared to be crucial to the programs, as they were frequently mentioned in close interaction with other factors. Program leaders should use a motivating and supportive leadership style and should act as 'program champions'. © The Author (2013). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  3. Innovating engineering study programs for a sustainable society

    DEFF Research Database (Denmark)

    Schjær-Jacobsen, Hans; Andersen, Birte Møller; Molin, Jesper

    2011-01-01

    in order to comply with society’s ambitions. Further, the new learning elements introduced in the curriculum of study programs are described and examples of theoretical and practical implementations of specific technical solutions developed by the students are presented. Focus is on such areas as wind, bio......The Danish government as well as regional and municipal authority has issued ambitious goals and plans for building a sustainable future by developing and implementing alternative practices and technological solutions to societal needs. As an educational institution Copenhagen University College...... of Engineering (IHK) supports this process by innovation of the engineering study programs offered by the institution to deliver on the necessary sustainable competences acquired by our engineering students. The paper describes the sustainability strategy developed to transform IHK into a sustainable institution...

  4. SUSTAINABILITY UNIVERSITY PROGRAM FOR SUSTAINABLE DEVELOPMENT COMPANY (PUEDES IN THE CITY OF ESTELÍ, NICARAGUA

    Directory of Open Access Journals (Sweden)

    Beverly Castillo Herrera

    2013-07-01

    Full Text Available This article discusses the sustainability that has taken the program Company University for Sustainable Development (PUEDES which ran from 2008 to 2009 in the city of Estelí, Nicaragua. It highlights the success stories of MSMEs involved, enabling sustainability and strengthening the links between Estelí Multidisciplinary Regional School (Unite-FAREM-Estelí and employers organized in the Chamber of Commerce of Estelí. The methodology for this article includes desk research and interviews with the president of the Chamber of Industry and Trade of Estelí, businessmen and university professors involved in this experience.

  5. Planning for Sustainability of an Evidence-Based Mental Health Promotion Program in Canadian Elementary Schools.

    Science.gov (United States)

    Leadbeater, Bonnie J; Gladstone, Emilie J; Sukhawathanakul, Paweena

    2015-09-01

    Substantial research illuminates many factors effecting the implementation of evidence-based mental health promotion programs in schools; however, research on how schools plan for sustaining their investments in these programs is limited. In this qualitative study, we elicited descriptions of opportunities and challenges for sustainability. We interviewed 24 individuals from schools involved in a longitudinal, qualitative research project that followed uptake and implementation of the evidence-based WITS Programs across 2 years (Leadbeater et al. 2012). WITS stands for Walk away, Ignore, Talk it out and Seek help and the online WITS Programs focus on preventing peer victimization ( www.witsprograms.ca ). Our findings suggest that sustainability planning in schools is not merely a next step following high quality implementation, but rather involves multiple ongoing processes that need to be anticipated and supported by school leadership and program champions and developers in order to realize investments in evidence-based programs.

  6. Sustainability of Social-Emotional Learning and related Programs: Lessons from a Field Study

    Directory of Open Access Journals (Sweden)

    Maurice Elias

    2010-04-01

    Full Text Available Social-emotional learning, character education, and related programs are being implemented in schools with increasing frequency and research supports their short-term effectiveness. However, there has been no empirical work to date that identifies the factors important for the long-term sustainability of programs established as excellent models of implementation. Using a series of case studies of evidence-based social-emotional learning programs implemented successfully for at least five years, this study articulates principles that characterize programs that were found to be well-sustained over time. These principles have implications for practice and serve as starting points for future research.

  7. Linear Programming Approach to Sustainable Management of ...

    African Journals Online (AJOL)

    A linear programming (LP) model was used to prescribe timber harvest in the management of even-aged Gmelina arborea plantations in Omo Forest Reserve, Southwestern, Nigeria. The plantations now being managed for timber production are to be exploited within fifteen years based on a 5-year harvesting period.

  8. Sustainable Development Policy Institute Immersion Program on ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Moreover, university students in the public sector education system are not exposed to academic culture, research standards and methodologies that are common ... of the proposed program, SDPI hopes to call attention to the endemic links between structural violence, direct violence, identity formation and social relations.

  9. Sustainability of an interdisciplinary secondary prevention program for hairdressers.

    Science.gov (United States)

    Wulfhorst, B; Bock, M; Gediga, G; Skudlik, C; Allmers, H; John, S M

    2010-02-01

    Two hundred and fifteen hairdressers suffering from occupational skin diseases (OSD) have attended a 6-month combined dermatological and educational prevention program with an education and counseling scheme as well as an intervention in the respective hairdressers' shops. The aim of this program, conducted from 1994 to 1997, was to enable the affected hairdressers to remain at work without suffering from major OSD. To assess the sustainability of this interdisciplinary medical and educational training program, the intervention group (IG, N = 215) and a control group (CG, hairdressers with OSD who solely received dermatological treatment, N = 85) were followed up 9 month and 5 years after their individual project participation by a standardized questionnaire. A subcohort of the intervention group (IG(1994), participants in 1994, N = 62) was followed up again 10 years after their participation. The follow-up survey 9 months after the beginning of the program (response rate: IG: N = 163, 75.8%; CG: N = 80, 94.1%) showed that 71.8% (N = 117) of the intervention group could remain in work as opposed to 60.0% (N = 48) in the control group. In the intervention group 14.7% gave up work due to OSD versus 22.5% in the control group (no statistically significant effect). In the 5-year follow-up (response rate: IG: N = 172, 80%; CG: N = 55, 64.7%) 58.7% (N = 101) of the IG remained at work versus 29.1% (N = 16) of the CG. In the IG 12.8% had stopped work because of OSD versus 27.3% in the CG (p sustained knowledge on OSD and more adequate prevention at the work place in the IG. The results confirm that interdisciplinary training can be successful in effecting self-protection against workplace hazards by using positive approaches that include the learning of "safe" behavior and insuring transferability to real workplace settings ("empowerment"). Combined preventive measures as studied in this program have recently become the standard offered by different statutory accident

  10. Clemson University Science Master's Program in Sustainable and Resilient Infrastructure: A program evaluation

    Science.gov (United States)

    O'Sell, Elizabeth Eberhart

    The Clemson University Science Master's Program (SMP) in Sustainable and Resilient Infrastructure is a program which aims to link engineering, materials, construction, environment, architecture, business, and public policy to produce graduates with unique holistic perspective and expertise to immediately contribute to the workforce in the area of sustainable and resilient infrastructure. A program evaluation of the SMP has been performed to study the effectiveness of the SMP and identify areas where the goals and vision of the SMP are achieved and areas where improvements can be made. This was completed by analysis of trends within survey responses, review of Master's thesis reports, and review of courses taken. It was found that the SMP has facilitated new interdisciplinary research collaborations of faculty in different concentration areas within the Glenn Department of Civil Engineering, as well as collaboration with faculty in other departments. It is recommended that a course which provides instruction in all eight competency areas be required for all SMP students to provide a comprehensive overview and ensure all students are exposed to concepts of all competency areas. While all stakeholders are satisfied with the program and believe it has been successful thus far, efforts do need to be made as the program moves forward to address and improve some items that have been mentioned as needing improvement. The concerns about concentration courses, internship planning, and advising should be addressed. This evaluation provides benefits to prospective students, current SMP participants, and outside program supporters. The goal of this evaluation is to provide support that the SMP is an effective and worthwhile program for participating students, while attempting to identify any necessary program improvements and provide recommendations for achieving these improvements. This goal has been accomplished.

  11. Sustainability of a long term professional development program

    Science.gov (United States)

    Ries, Christine E.

    Currently, in most school districts, the main form of teacher education comes from professional development (PD) that claims to improve teaching and student achievement. School districts and teachers spend time and money trying to make sure that they are providing the best quality education for their students. Yet, educators are looking for what the most effective form of PD should look like. Utilizing the methodology of a descriptive case study a long-term PD grant, called Science Alliance was evaluated to add to the research on PD and grant program efficacy. Twelve teachers that participated in the Science Alliance grant were interviewed, observed, and given a survey to see how and to what degree they were implementing the inquiry methodology three years after the grant ended. The results were compared with previously existing data that were collected by a company that Science Alliance hired to complete external research on the effects of the PD. The findings suggest that the teachers that participated have sustained the utilization and implementation of the methodology learned during the training. School administrators and/or staff developers could utilize the findings from this study to see what effective PD may entail. Future researchers may use findings from this study when reporting about grant program evaluations and/or PD.

  12. Pediatric injury prevention programs: Identifying markers for success and sustainability.

    Science.gov (United States)

    Chaudhary, Sofia; Pomerantz, Wendy J; Miller, Beverly; Pan, Anqi; Agarwal, Maneesha

    2017-11-01

    Injury is the leading cause of death in children. Although many pediatric hospitals and trauma centers provide injury prevention (IP) programming, there is no national standard. This study aims to identify characteristics of a sustainable and successful IP program by querying programs affiliated with the Injury Free Coalition for Kids (IFCK). The IFCK sites were sent a 30-question survey via e-mail. Questions focused on demographics, scope of IP activities, self-efficacy, and outcome measures including finances, academic productivity, and legislative advocacy. Counts and frequencies were calculated and compared using χ tests. The survey was completed by 38 (90.4%) of 42 sites. The majority were associated with a freestanding children's hospital (57.9%) and Level I pediatric trauma center (86.8%). Most programs (79%) had at least one dedicated full-time equivalent (FTE) staff. Research was most common on child passenger safety and teen driving. Nearly 30% of programs offered educational curricula to health care providers; these sites were more likely to have FTE support (p = 0.036). Steady sources of funding were identified for 60.5% of programs, with 47.8% citing their hospital as the primary source; 73% of respondents were confident in their program's capacity to sustain activities; these were more likely to be larger programs (p = 0.001) with steady sources of funding (p < 0.001). Despite 73.7% of sites having academic affiliations, 60.5% had 5 or fewer publications over the previous 5 years. In the prior 2 years, 55.3% of programs impacted legislative or policy changes. Funding, size of program, and FTE had no statistical correlation with research productivity or number of legislative/policy contributions. This study characterizes the variation among pediatric IP programs within IFCK sites, while highlighting the association between financial and FTE support from programs' institutions with sustainable IP programming. These results can assist programs in

  13. Labor productivity, perceived effectiveness, and sustainability of innovative projects.

    Science.gov (United States)

    Makai, Peter; Cramm, Jane M; van Grotel, Marloes; Nieboer, Anna P

    2014-01-01

    To assess labor productivity, perceived effectiveness, and sustainability of a national quality program that sought to stimulate efficiency gains through increased labor productivity while maintaining quality through implementing small-scale innovation projects. Longitudinal measures of labor productivity and quality were collected at baseline and after completion of the innovation projects. Perceived effectiveness and sustainability (measured by routinization) were assessed cross-sectionally after project completion. This study was conducted in The Netherlands. Ninety-eight improvement projects in long-term care organizations. A national quality program to stimulate innovative approaches in long-term care. Labor productivity, perceived effectiveness, and sustainability were the main outcome measures. Labor productivity data were available for only 37 (38%) of the 98 projects, 33 (89%) of which demonstrated significantly improved efficiency. Perceived effectiveness was significantly associated with sustainability (0.29; p labor productivity. To achieve sustainability in long-term care, developers of innovative projects must collect better quality information on efficiency gains in terms of labor productivity and focus more on efficiency improvement. More research is necessary to explore relationships between labor productivity, perceived effectiveness, and sustainability. © 2012 National Association for Healthcare Quality.

  14. Sustainability of school-located influenza vaccination programs in Florida.

    Science.gov (United States)

    Tran, Cuc H; Brew, Joe; Johnson, Nicholas; Ryan, Kathleen A; Martin, Brittany; Cornett, Catherine; Caron, Brad; Duncan, R Paul; Small, Parker A; Myers, Paul D; Morris, J Glenn

    2016-05-23

    School-located influenza vaccination (SLIV) programs are a promising strategy for increasing vaccination coverage among schoolchildren. However, questions of economic sustainability have dampened enthusiasm for this approach in the United States. We evaluated SLIV sustainability of a health department led, county-wide SLIV program in Alachua County, Florida. Based on Alachua's outcome data, we modeled the sustainability of SLIV programs statewide using two different implementation costs and at different vaccination rates, reimbursement amount, and Vaccines for Children (VFC) coverage. Mass vaccination clinics were conducted at 69 Alachua County schools in 2013 using VFC (for Medicaid and uninsured children) and non-VFC vaccines. Claims were processed after each clinic and submitted to insurance providers for reimbursement ($5 Medicaid and $47.04 from private insurers). We collected programmatic expenditures and volunteer hours to calculate fixed and variable costs for two different implementation costs (with or without in-kind costs included). We project program sustainability for Florida using publicly available county-specific student populations and health insurance enrollment data. Approximately 42% (n=12,853) of pre-kindergarten - 12th grade students participated in the SLIV program in Alachua. Of the 13,815 doses provided, 58% (8042) were non-VFC vaccine. Total implementation cost was $14.95/dose or $7.93/dose if "in-kind" costs were not included. The program generated a net surplus of $24,221, despite losing $4.68 on every VFC dose provided to Medicaid and uninsured children. With volunteers, 99% of Florida counties would be sustainable at a 50% vaccination rate and average reimbursement amount of $3.25 VFC and $37 non-VFC. Without volunteers, 69% of counties would be sustainable at 50% vaccination rate if all VFC recipients were on Medicaid and its reimbursement increased from $5 to $10 (amount private practices receive). Key factors that contributed to the

  15. Sustainable Supply Chain Management Programs in the 21st Century

    Science.gov (United States)

    Neureuther, Brian D.; O'Neill, Kevin

    2011-01-01

    One of the most difficult challenges for an undergraduate supply chain management program at smaller universities is to create an environment of sustainability. Supply chain management is not at the tip of tongue for many graduating high school students and few undergraduate curriculums require a course in the content area. This research addresses…

  16. Development of a sustainable community-based dental education program.

    Science.gov (United States)

    Piskorowski, Wilhelm A; Fitzgerald, Mark; Mastey, Jerry; Krell, Rachel E

    2011-08-01

    Increasing the use of community-based programs is an important trend in improving dental education to meet the needs of students and the public. To support this trend, understanding the history of programs that have established successful models for community-based education is valuable for the creation and development of new programs. The community-based education model of the University of Michigan School of Dentistry (UMSOD) offers a useful guide for understanding the essential steps and challenges involved in developing a successful program. Initial steps in program development were as follows: raising funds, selecting an outreach clinical model, and recruiting clinics to become partners. As the program developed, the challenges of creating a sustainable financial model with the highest educational value required the inclusion of new clinical settings and the creation of a unique revenue-sharing model. Since the beginning of the community-based program at UMSOD in 2000, the number of community partners has increased to twenty-seven clinics, and students have treated thousands of patients in need. Fourth-year students now spend a minimum of ten weeks in community-based clinical education. The community-based program at UMSOD demonstrates the value of service-based education and offers a sustainable model for the development of future programs.

  17. MARKETING PROGRAMS FOR GREEN PRODUCTS IN ACHIEVING ECOLOGICAL SUSTAINABILITY

    Directory of Open Access Journals (Sweden)

    Gabriela CĂPĂȚÎNĂ

    2015-04-01

    Full Text Available This article explores one dimension of green marketing programs: their potential application as a solution in achieving and maintaining the ecological sustainability on global market. We examine the necessity to develop and launch green products which can respond to environment degradation as a treatment against this phenomenon. This paper is structured in three sections: the first section is related to a clear delimitation and a better understanding of terms; the second one is an overview of the literature about ecological sustainability; the third section is the most relevant part of this paper because is trying to shape a framework of marketing programs for the development of green products, considering the decisions related to marketing mix elements. Even if green marketing programs make sense, current understanding of how managers can start to develop or transform their marketing efforts is far from comprehensive; therefore, this study is addressed to this knowledge gap.

  18. Sustainable production program in the Mexican mining industry: occupational risks

    Directory of Open Access Journals (Sweden)

    Andrea Zavala Reyna

    2015-07-01

    Full Text Available Speaking of mining and sustainability sounds contradictory, as the environmental impact generated by resource extraction is well known. However, there are mining companies that are working to be safe and environmentally friendly. An example of this is presented in this study aimed at identifying occupational risks generated by the activities of a small-scale gold and silver mine located in northwestern Mexico. The methodology followed was a Sustainable Production Program (SPP based on a continuous cycle of five steps in which the tools of cleaner production and pollution prevention are adapted. As a result of this project, it was possible to implement SPP activities: training for workers, use of personal protective equipment and adequate handling of chemicals. As a conclusion, it was verified that SPP application helped this mining company move towards sustainable patterns of production.

  19. Examples of Pre-College Programs that Teach Sustainability

    Science.gov (United States)

    Passow, M. J.

    2015-12-01

    Programs to help pre-college students understand the importance of Sustainability can be found around the world. A key feature for many is the collaboration among educators, researchers, and business. Two examples will be described to indicate what is being done and goals for the future. "Educação para a Sustentabilidade" ("Education for Sustainability", http://sustentabilidade.colband.net.br/) developed at the Colegio Bandeirantes in Sao Paulo, Brazil, is a popular extracurricular offering at one of Brazil's top schools that empowers students to investigate major issues facing their country and the world. They recognized that merely knowing is insufficient, so they have created several efforts towards an "environmentally friendly, socially just, and economically viable" world. The Education Project for Sustainability Science interacts with students in various grade levels within the school, participates in sustainability initiatives in other parts of the nation, and communicates electronically with like-minded programs in other countries. A second example will spotlight the CHANGE Viewer (Climate and Health Analysis for Global Education Viewer, http://climatechangehumanhealth.org/), a visualization tool that uses NASA World Wind to explore climate science through socio-economic datasets. Collaboration among scientists, programmers, and classroom educators created a suite of activities available to teach about Food Security, Water Resources, Rising Sea Level, and other themes.

  20. Sustainability of evidence-based community-based physical activity programs for older adults: lessons from Active for Life.

    Science.gov (United States)

    Estabrooks, Paul A; Smith-Ray, Renae L; Dzewaltowski, David A; Dowdy, Diane; Lattimore, Diana; Rheaume, Carol; Ory, Marcia G; Bazzarre, Terry; Griffin, Sarah F; Wilcox, Sara

    2011-06-01

    Program sustainability in community and healthcare settings is critical to realizing the translation of research into practice. The purpose of this study is to describe the implementation and assessment of an intervention to increase organizational maintenance of evidence-based physical activity programs and the factors that impede or facilitate sustainability. All organizations implemented a sustainability action plan that included identifying factors related to sustainability, examining resources available, identifying program modifications to enhance sustainability, and long-term action planning. A mixed methods approach was used. Organizational (n = 12 sites) ability to demonstrate program effectiveness, align priorities with the organizational mission, and integrate the program within the existing infrastructure were strengths related to sustainability. Sites were more optimistic about program sustainability when they had less reliance on internal financial, but more reliance on internal human resources to run the program post-funding. The study resulted in a number of tools that can help community organizations plan for sustainability of physical activity programs.

  1. Supporting hospital renewal through strategic environmental sustainability programs.

    Science.gov (United States)

    Pisters, Peter; Bien, Belinda; Dankner, Stewart; Rubinstein, Ed; Sheriff, Fatima

    2017-03-01

    Although the impact the environment can have on human health is well understood, the healthcare system's impact on the environment is a topic that's only been explored since the mid-1990s. More recent has been a realization of the risks that climate change poses to health and healthcare. Although there are numerous direct benefits for hospitals adapting environmental sustainability programs, this article examines how the systemic approach taken by the University Health Network's (UHN) Energy & Environment program not only improves the hospital's environmental performance and provides significant cost savings but also supports several areas of focus that are part of UHN's current journey of renewal.

  2. Roadmap to a Sustainable Structured Trusted Employee Program

    Energy Technology Data Exchange (ETDEWEB)

    Coates, Cameron W [ORNL; Eisele, Gerhard R [ORNL

    2013-08-01

    Organizations (facility, regulatory agency, or country) have a compelling interest in ensuring that individuals who occupy sensitive positions affording access to chemical biological, radiological and nuclear (CBRN) materials facilities and programs are functioning at their highest level of reliability. Human reliability and human performance relate not only to security but also focus on safety. Reliability has a logical and direct relationship to trustworthiness for the organization is placing trust in their employees to conduct themselves in a secure, safe, and dependable manner. This document focuses on providing an organization with a roadmap to implementing a successful and sustainable Structured Trusted Employee Program (STEP).

  3. From Intuitive Programming of Robotic Systems to Business Sustainability of Manufacturing SMEs

    Directory of Open Access Journals (Sweden)

    Bogdan Mocan

    2016-02-01

    Full Text Available Economic growth and sustainable development are issues which are becoming more and more important for nowadays companies. Sustainable development strives for moderate and responsible use within the economic and production activity the limited resources of our planet. Eco-innovations, eco-efficiency and corporate social responsibility practices define much of the current industrial sustainability agenda. While important, they are insufficient in themselves to deliver the holistic changes necessary to achieve long-term social and environmental sustainability. This paper proposed a framework for designing multimodal human-robot interfaces and a demonstrator that facilitate a sustainable use of robotic systems with positive effects on SMEs business sustainability. The proposed approach is intended to bring important contributions to the development of human robot interaction in order to facilitate intuitive programming and to enable easily adapting to changes in robot tasks and applications without the need of using skilled personnel. Our research emphasize the idea that new technologies in product and process create and enable new business strategies; and we demonstrate that changing the paradigm in programming industrial robotic systems it is possible by a “business case for sustainability” to have a sustainable development of the business, in special in case of SMEs.

  4. Impact of International Cooperation for Sustaining Space-Science Programs

    CERN Document Server

    Jani, Karan

    2016-01-01

    Space-science programs provide a wide range of application to a nation's key sectors of development: science-technology infrastructure, education, economy and national security. However, the cost of sustaining a space-science program has discouraged developing nations from participating in space activities, while developed nations have steadily cut down their space-science budget in past decade. In this study I investigate the role of international cooperation in building ambitious space-science programs, particularly in the context of developing nations. I devise a framework to quantify the impact of international collaborations in achieving the space-science goals as well as in enhancing the key sectors of development of a nation. I apply this framework on two case studies, (i) Indian Space Research Organization - a case of space-science program from a developing nation that has historically engaged in international collaborations, and (ii) International Space Station - a case for a long term collaboration ...

  5. Hydrologic monitoring for Chicago’s Sustainable Streetscapes Program

    Science.gov (United States)

    Duncker, James J.; Morrow, William S.

    2016-04-05

    The Chicago Department of Transportation’s Sustainable Streetscapes Program is an innovative program that strives to convert Chicago’s neighborhood commercial areas, riverwalks, and bicycle facilities into active, attractive places for Chicagoans to live, work, and play. The objective of each project is to create flourishing public places while improving the ability of infrastructure to support dense urban living. The U.S. Geological Survey (USGS), in cooperation with the Metropolitan Water Reclamation District of Greater Chicago (MWRDGC), and the Chicago Department of Transportation (CDOT), is monitoring the pre- and postconstruction hydrologic characteristics of an urban corridor on the south side of Chicago that is being renovated using sustainable streetscapes technology.The CDOT Sustainable Streetscapes Program utilizes urban stormwater best-management practices (BMPs) to reduce the storm runoff to the local combined sewer system. The urban stormwater BMPs include permeable pavement, bioswales, infiltration basins, and planters. The urban stormwater BMPs are designed to capture the first flush of storm runoff through features that enhance the infiltration of stormwater runoff to shallow groundwater.The hydrology of the Sustainable Streetscapes Program area is being monitored to evaluate the impacts and effectiveness of the urban stormwater BMP’s. Continuous monitoring of rainfall, sewer flows, stormwater runoff, soil moisture, and groundwater levels will give engineers and scientists measured data to define baseline pre- and postconstruction conditions for the evaluation of the BMPs.Three tipping-bucket rain gages are located along the project corridor. The data provide information on the intensity and volume of rainfall. Rainfall can be highly variable even over a small area like the project corridor.Continuous recording meters are located at specific locations in the combined sewers to record water level and flow during both dry weather (mostly

  6. Build IT: Scaling and Sustaining an Afterschool Computer Science Program for Girls

    Science.gov (United States)

    Koch, Melissa; Gorges, Torie; Penuel, William R.

    2012-01-01

    "Co-design"--including youth development staff along with curriculum designers--is the key to developing an effective program that is both scalable and sustainable. This article describes Build IT, a two-year afterschool and summer curriculum designed to help middle school girls develop fluency in information technology (IT), interest in…

  7. Program Sustainability: Hearing Loss and Tinnitus Prevention in American Indian Communities.

    Science.gov (United States)

    Martin, William Hal; Sobel, Judith L; Griest, Susan E; Howarth, Linda C; Becker, Thomas M

    2017-03-01

    An important goal of any health promotion effort is to have it maintained in delivery and effectiveness over time. The purpose of this study was to establish a community-based noise-induced hearing loss and tinnitus prevention program in three different types of American Indian communities and evaluate them for evidence of long-term sustainability. The target population was fourth- and fifth-grade students from three different models of American Indian communities. The evidenced-based Dangerous Decibels ® program was adapted to include local media, classroom education, family and community outreach, and web-based activities. Sustainability was attempted by promoting funding stability, political support, partnerships, organizational capacity, program adaptation, program evaluation, communications, public health impacts, and strategic planning. Currently, there is evidence suggesting that the hearing health promotion program is self-sustaining in all three American Indian communities. The intervention was effective at changing knowledge, attitudes, beliefs, and behaviors in the target population, but program adoption and self-sustenance faced challenges that required patience, persistence, and creativity by the program team. Components of the intervention continue to be delivered by local members of each community. Critical factors that led to self-sustaining programs included approval of community leaders and engagement of community members in the design, administration, and evaluation of the effort; use of a well-developed, evidence-based intervention; and high-level training of local participants who could confidently and effectively continue delivering the program following a gradual transition to independence. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  8. Pediatric obesity community programs: barriers & facilitators toward sustainability.

    Science.gov (United States)

    Po'e, Eli K; Gesell, Sabina B; Lynne Caples, T; Escarfuller, Juan; Barkin, Shari L

    2010-08-01

    Our current generation of young people could become the first generation to live shorter lives than their parents. Families need resources in their community to address this issue. Identifying barriers and facilitators of community organizations to offer obesity-related services is a first step in understanding sustainable community programs. The objective of this study is to identify common barriers and facilitators in community organizational programs designed to prevent or reduce pediatric obesity. We conducted an exploratory qualitative research study based on grounded theory. Thirty-six community organizations were identified based on self-descriptions of goals involving pediatric obesity. Semi-structured, systematic, face-to-face interviews among program directors (n = 24) were recorded, transcribed, and coded for recurrent themes. Relevant themes were abstracted from interviews by a standardized iterative process by two independent reviewers between December 2007 and November 2008. Theme discordance was reconciled by a third reviewer. Seventy percent of organizations indicated that obesity prevention/treatment was their explicit goal with remaining groups indicating healthy lifestyles as a more general goal. Facilitators to provision of these programs included: programmatic enhancements such as improved curriculums (73%), community involvement such as volunteers (62.5%), and partnerships with other programs (54.2%). Barriers that threatened sustainability included lack of consistent funding (43.8%), lack of consistent participation from the target population (41.7%) and lack of support staff (20.8%). New approaches in fostering partnerships between organizations need to be developed. Building coalitions and engaging community members in developing community based programs may be a helpful strategy to strengthen community-based programs to address the pediatric obesity epidemic.

  9. Additional Indicators to Promote Social Sustainability within Government Programs: Equity and Efficiency

    Directory of Open Access Journals (Sweden)

    Adriana Acevedo Tirado

    2015-07-01

    Full Text Available Social programs are crucial to reduce poverty and inequity in developing countries. The operation of social programs, however, cannot be improved with traditional engineering tools since these tools are designed to maximize profits: in social programs maximizing profits is not the objective, social sustainability is. Field research was conducted and it was found that the operation of social programs is considered more socially sustainable if it meets two criteria: Efficiency and Equity; in other words, if the program can help more people who need it the most. This paper proposes a methodology centered in the development of mathematical formulas for the concepts of Efficiency and Equity, so that, by being able to measure them, government programs operation can be enhanced with engineering tools. The methodology is illustrated with a case study, a subsidized milk distribution program in Mexico, called Liconsa. Once the formulas were developed and used in a simulation model for Liconsa, different policies were tested and their results regarding Efficiency and Equity were compared. Results showed the best policies for Liconsa are the balanced ones: where help is increased for beneficiaries, while cost reduction commitments are obtained. In the discussion it is argued how the developed Equity and Efficiency indicators help to understand the tradeoffs between the objectives in opposition: instead of analyzing dozens of indicators, some of them improving and others worsening, the two formulas allow to capture all effects into two objectives and evaluate decisions based on their integral impact. Conclusions show that the mathematical definition of Equity and Efficiency supports better and more informed decision making towards improving the social sustainability of the programs operation. The mathematical definition of Equity and Efficiency and its use in engineering models helps balance the opposing objectives of social programs operation and promotes

  10. Effective and Sustainable Health Research Partnerships : a ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Effective and Sustainable Health Research Partnerships : a Collaborative Canada-South Project. IDRC frequently supports collaborative Canada-South research on subjects of vital interest to developing countries, such as health. This project is concerned with learning how to structure and manage Canada-South research ...

  11. Effective Strategies for Sustaining Professional Learning Communities

    Science.gov (United States)

    Bennett, Patricia R.

    2010-01-01

    Professional Learning Communities (PLCs), in which educators work collaboratively to improve learning for students, need effective strategies to sustain them. PLCs promote continuous improvement in student learning and build academic success with increased teacher expertise. Grounded in organizational systems theory, participative leadership…

  12. Sustainable Ergonomic Program - Basic Condition for Implementation of Corporate Social Responsibility

    Science.gov (United States)

    Marková, Petra; Beňo, Rastislav; Hatiar, Karol

    2012-12-01

    Gradually increasing pressure on companies to start to behave socially responsible is a response to social, environmental and economic requirements. The society faces a period of changes that have occurred since the beginning of the crisis and revealing weaknesses in the economy. We become witnesses of rapid changes and challenges posed by globalization, lack of resources, demographic structure and innovation. Objective necessity becomes a corporate social responsibility (CSR) already at the companies’ level, which is supported by the approach of the EU institutions and the Slovak Republic. One of the possible appliance through which we can contribute to the sustainability of CSR are sustainable ergonomic programs. When we want to talk about sustainable ergonomic program is important to focus on three key areas. The first area is the Impact of technic and technology to employees at work, the second area is the Importance and impact of socially responsible HR in ergonomics and last area is the Creation of the work environment in relation to environmental sustainability. Ergonomic programs sustainability requires to apply appropriate methods for evaluation of their cost benefit and health effect.

  13. Linking Curriculum and Learning to Facilities: Arizona State University's GK-12 Sustainable Schools Program

    Science.gov (United States)

    Elser, Monica M.; Pollari, Lynette; Frisk, Erin; Wood, Mark

    2011-01-01

    Arizona State University's "Sustainability Science for Sustainable Schools program" brings together graduate students, sustainability researchers, high school teachers and students, and school or district administrators in a project designed to address the challenge of becoming a "sustainable school." Funded by the National…

  14. Barriers and Facilitators for Sustainability of Tele-Homecare Programs: A Systematic Review.

    Science.gov (United States)

    Radhakrishnan, Kavita; Xie, Bo; Berkley, Amy; Kim, Miyong

    2016-02-01

    To identify the barriers and facilitators for sustainability of tele-homecare programs implemented by home health nursing agencies for chronic disease management. English-language articles on home telehealth in the CINAHL, PubMed/MEDLINE, PsychInfo, Web of Science, and Cochrane Reviews databases published from January 1996 to December 2013. We performed a systematic literature review. Data extraction using PRISMA guidelines and quality appraisal using the Mixed Methods Appraisal Tool (MMAT) were conducted on relevant empirical studies. Thematic analysis across the studies and narrative summaries were used to synthesize the findings from the included studies. Of the initial 3,920 citations, we identified 16 articles of moderate quality meeting our inclusion criteria. Perceptions on effectiveness of tele-homecare programs for achieving intended outcomes; tailoring of tele-homecare programs to patient characteristics and needs; relationship and communication between patient, nurse, and other health care professional users of tele-homecare; home health organizational process and culture; and technology quality, capability, and usability impacted the sustainability of tele-homecare programs. The findings of this systematic review provide implications for sustained usage of tele-homecare programs by home health nursing agencies and can help such programs realize their potential for chronic disease management. © Health Research and Educational Trust.

  15. Creating and Sustaining a Successful Fellowship Program: Challenges and Solutions.

    Science.gov (United States)

    Herr, Keith D; Hanna, Tarek N; Khurana, Bharti; Johnson, Jamlik-Omari; Sodickson, Aaron D

    Subspecialty expertise and fellowship training are two of the most desirable attributes in new radiology hires and, not surprisingly, the vast majority of diagnostic radiologists entering the job market today have had fellowship training. Fellowship training imparts not only expertise beyond that which is attainable during residency, but also a unique opportunity for professional maturation. In this article, we offer guidance in planning, building and sustaining a successful fellowship. The key steps in this process include strategic planning, development of a curriculum that can be customized to meet the educational goals of any individual fellow, professional development and trainee preparation for the marketplace, and approaches to ensure program longevity and success through local, regional and national fellow recruitment efforts. While many of the ideas presented are framed from the perspective of their integration into a newly formed fellowship program, they can also be adapted for use by existing fellowship programs as opportunities for program growth and improvement. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Sustainability of donor programs: evaluating and informing the transition of a large HIV prevention program in India to local ownership

    Directory of Open Access Journals (Sweden)

    Sara Bennett

    2011-12-01

    Full Text Available Sustainability is the holy grail of many development projects, yet there is limited evidence about strategies that effectively support transition of programs from donor funding to national governments. The first phase of Avahan, the India AIDS Initiative supported by the Bill and Melinda Gates Foundation (2003–2009, aimed to demonstrate an HIV/AIDS prevention program at scale, primarily targeted at high-risk groups. During the second phase (2009–2013, this large-scale program will be transitioned to its natural owners: the Government of India and local communities. This paper describes the evaluation design for the Avahan transition strategy.A detailed logic model for the transition was developed. The Avahan transition strategy focuses on three activities: 1 enhancing capacities among communities, non-governmental organizations (NGOs, and government entities, in line with India's national AIDS control strategy; 2 aligning technical and managerial aspects of Avahan programs with government norms and standards; and 3 promoting and sustaining commitment to services for most-at-risk populations. It is anticipated that programs will then transfer smoothly to government and community ownership, become institutionalized within the government system, and support a sustained HIV/AIDS response.The research design evaluates the implementation and effectiveness of 1 activities undertaken by the program; 2 intermediate effects including the process of institutionalization and the extent to which key Avahan organizational procedures and behaviors are integrated into government systems; and 3 overarching effects namely the impact of the transition process on the sustained delivery of HIV/AIDS prevention services to high-risk groups. Both qualitative and quantitative research approaches are employed so that the evaluation will both assess outcomes and explain why they have occurred.It is unusual for donor-supported projects in low- and middle

  17. The impact of environmental supply chain sustainability programs on shareholder wealth

    NARCIS (Netherlands)

    Dam, Lammertjan; Petkova, Boyana

    2014-01-01

    Purpose - Multinationals are increasingly pressured by stakeholders to commit to environmental sustainability that exceeds their own firm borders. As a result, multinationals have started to commit to environmental supply chain sustainability programs (ESCSPs). However, little is known about whether

  18. Developing Sustainable Cancer Education Programs: Training Public Health Students to Deliver Cancer 101 in Puerto Rico.

    Science.gov (United States)

    Rivera, Y M; Moreno, L; Briant, K J; Vélez, H; Jiménez, J C; Torres, J; Vadaparampil, S T; Muñoz-Antonia, T; Quinn, G P

    2018-02-01

    The use of promotores to educate Hispanic communities about different health topics has been proven successful, albeit with limitations in program sustainability. The goal of this study was to develop a sustainable train-the-trainer model to train graduate public health (PH) students to disseminate cancer education among communities in Puerto Rico (PR). Graduate students (n = 32) from Ponce Health Sciences University's (PHSU) PH program participated in a 2-day Cáncer 101 training, where they learned how to deliver nine cancer modules to the community. Cancer knowledge was assessed before and after the training via 54 items measuring discussed concepts. Participants also assessed the training's effectiveness by completing a training evaluation informed by social cognitive theory (SCT) constructs of self-efficacy, outcome expectations, facilitation, and observational learning. Participants were mainly female (78.1 %), 26.7 ± 3.9 years old, and enrolled in a Masters-level program (81.3 %). Participants reported an average 11.38-point increase in cancer knowledge after attending the training [t(31) = 14.88, p reporting satisfactory comments in the open-ended responses and high scores on measured SCT constructs. The Cáncer 101 training program effectively prepared students to deliver cancer education to local communities. Training graduate PH students to educate communities about health issues is an innovative, and potentially sustainable, way to reach underserved populations.

  19. "Initiate-build-operate-transfer"--a strategy for establishing sustainable telemedicine programs in developing countries: initial lessons from the balkans.

    Science.gov (United States)

    Latifi, Rifat; Merrell, Ronald C; Doarn, Charles R; Hadeed, George J; Bekteshi, Flamur; Lecaj, Ismet; Boucha, Kathe; Hajdari, Fatmir; Hoxha, Astrit; Koshi, Dashurije; de Leonni Stanonik, Mateja; Berisha, Blerim; Novoberdaliu, Kadri; Imeri, Arben; Weinstein, Ronald S

    2009-12-01

    Establishing sustainable telemedicine has become a goal of many developing countries around the world. Yet, despite initiatives from a select few individuals and on occasion from various governments, often these initiatives never mature to become sustainable programs. The introduction of telemedicine and e-learning in Kosova has been a pivotal step in advancing the quality and availability of medical services in a region whose infrastructure and resources have been decimated by wars, neglect, lack of funding, and poor management. The concept and establishment of the International Virtual e-Hospital (IVeH) has significantly impacted telemedicine and e-health services in the Balkans. The success of the IVeH in Kosova has led to the development of similar programs in other Balkan countries and other developing countries in the hope of modernizing and improving their healthcare infrastructure. A comprehensive, four-pronged strategy, "Initiate-Build-Operate-Transfer" (IBOT), may be a useful approach in establishing telemedicine and e-health educational services in developing countries. The development strategy, IBOT, used by the IVeH to establish and develop telemedicine programs, was discussed. IBOT includes assessment of healthcare needs of each country, the development of a curriculum and education program, the establishment of a nationwide telemedicine network, and the integration of the telemedicine program into the healthcare infrastructure. The endpoint is the transfer of a sustainable telehealth program to the nation involved. By applying IBOT, a sustainable telemedicine program of Kosova has been established as an effective prototype for telemedicine in the Balkans. Once fully matured, the program will be transitioned to the national Ministry of Health, which ensures the sustainability and ownership of the program. Similar programs are being established in Albania, Macedonia, and other countries around the world. The IBOT model has been effective in creating

  20. Lessons from a Train-the-Trainer Professional Development Program: The Sustainable Trainer Engagement Program (STEP)

    Science.gov (United States)

    Shupla, Christine; Gladney, Alicia; Dalton, Heather; LaConte, Keliann; Truxillo, Jeannette; Shipp, Stephanie

    2015-11-01

    The Sustainable Trainer Engagement Program (STEP) is a modified train-the-trainer professional development program being conducted by the Lunar and Planetary Institute (LPI). STEP has provided two cohorts of 6-8th grade science specialists and lead teachers in the Houston region with in-depth Earth and Space Science (ESS) content, activities, and pedagogy over 15 days each, aligned with Texas science standards. This project has two over-arching goals: to improve middle school ESS instruction, and to create and test an innovative model for Train-the-Trainer.This poster will share details regarding STEP’s activities and resources, program achievements, and its main findings to date. STEP is being evaluated by external evaluators at the Research Institute of Texas, part of the Harris County Department of Education. External evaluation shows an increase after one year in STEP participants’ knowledge (cohort 1 showed a 10% increase; cohort 2 showed a 20% increase), confidence in teaching Earth and Space Science effectively (cohort 1 demonstrated a 10% increase; cohort 2 showed a 20% increase), and confidence in preparing other teachers (cohort 1 demonstrated a 12% increase; cohort 2 showed a 20% increase). By September 2015, STEP participants led (or assisted in leading) approximately 40 workshops for about 1800 science teachers in Texas. Surveys of teachers attending professional development conducted by STEP participants show very positive responses, with averages for conference workshop evaluations ranging from 3.6 on a 4 point scale, and other evaluations averaging from 4.1 to 5.0 on a 5 point scale.Main lessons for the team on the train-the-trainer model include: a lack of confidence by leaders in K-12 science education in presenting ESS professional development, difficulties in arranging for school or district content-specific professional development, the minimal duration of most school and district professional development sessions, and uncertainties in

  1. Sustaining Teen Pregnancy Prevention Programs in Schools: Needs and Barriers Identified by School Leaders

    Science.gov (United States)

    Craft, Lesley R.; Brandt, Heather M.; Prince, Mary

    2016-01-01

    Background: To reduce teen pregnancy rates, prevention programs must be consistently available to large numbers of youth. However, prevention efforts have been historically conducted with little emphasis on ensuring program sustainability. This study examined the needs and barriers to sustaining teen pregnancy prevention (TPP) programming in…

  2. Music in the mountains: creating sustainable therapy programs from short-term missions

    Directory of Open Access Journals (Sweden)

    Rachel Foxell

    2015-01-01

    Full Text Available This field report describes the experiences of a Registered Music Therapist (RMT living, working, and musicking1 during a short-term health mission to Northern India. Using a sustainability approach, collaboration with several local and global health organisations resulted in the development of a therapeutic music program for children with disabilities. Disability is a complex phenomenon, and in rural areas of India, disability is viewed as a foundation for shame and exclusion. The Community-based project, Samvedna, oversees the therapy, healthcare, and education of over 100 children with a disability in remote villages and is heavily involved in disability advocacy in the area. Sustainable programs are more effective for individuals and communities in both the short and long term. RMTs and other health professionals can be instrumental in setting up sustainable programs, such as teaching specific skills and knowledge to local teams, provided there is thorough preparation and ongoing collaboration to determine the priorities and expectations of the program.

  3. Designing Programs that Foster Sustained Interest in STEM

    Science.gov (United States)

    Cuff, K. E.; Diaz, J. L.; Marks-Block, T. A.

    2008-12-01

    Current and possible future shortages of science, technology, engineering and mathematics (STEM) professionals in the US are again becoming hot topics of discussion amongst policy makers and educators alike. In an innovative approach to addressing these concerns, Tai et al. (2006) analyzed a large set of longitudinal study data to gain a deeper understanding of the impact of early STEM experiences on career choices. The results of their work indicate a statistically significant relationship between early expressed interest in STEM and inclination to enter STEM-related career paths. While this relationship is one that has resided at the core of most STEM educators' work for many years, the quantitative evidence provided by Tai et al. underscores the need to pay closer attention to students' STEM interest levels, particularly during periods when such interest is in jeopardy of becoming eroded. Recent work at UC Berkeley's Lawrence Hall of Science related to the development of STEM education models tailored to specifically meet the needs of students in disadvantaged Bay Area communities has resulted in the creation of the East Bay Academy for Young Scientists (EBAYS). EBAYS has been designed to stimulate and sustain interest in STEM by engaging participants in a combination of community-based environmental science research and hands-on content learning activities presented in after school and summer program settings. Given that its programming occurs in an environment where time and academic content constraints are not critical factors, EBAYS is able to provide opportunities for participants to experience STEM in a highly interactive, in-depth manner that differs significantly from the more depersonalized approaches commonly associated with more traditional educational settings. Founded on the research-based premise that when young people are engaged in learning activities that they perceive as relevant, they are more likely to take more initiative, remain attentive

  4. Light Water Reactor Sustainability Program. Digital Architecture Requirements

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Kenneth [Idaho National Lab. (INL), Idaho Falls, ID (United States); Oxstrand, Johanna [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-03-01

    The Digital Architecture effort is a part of the Department of Energy (DOE) sponsored Light-Water Reactor Sustainability (LWRS) Program conducted at Idaho National Laboratory (INL). The LWRS program is performed in close collaboration with industry research and development (R&D) programs that provides the technical foundations for licensing and managing the long-term, safe, and economical operation of current nuclear power plants (NPPs). One of the primary missions of the LWRS program is to help the U.S. nuclear industry adopt new technologies and engineering solutions that facilitate the continued safe operation of the plants and extension of the current operating licenses. Therefore, a major objective of the LWRS program is the development of a seamless digital environment for plant operations and support by integrating information from plant systems with plant processes for nuclear workers through an array of interconnected technologies. In order to get the most benefits of the advanced technology suggested by the different research activities in the LWRS program, the nuclear utilities need a digital architecture in place to support the technology. A digital architecture can be defined as a collection of information technology (IT) capabilities needed to support and integrate a wide-spectrum of real-time digital capabilities for nuclear power plant performance improvements. It is not hard to imagine that many processes within the plant can be largely improved from both a system and human performance perspective by utilizing a plant wide (or near plant wide) wireless network. For example, a plant wide wireless network allows for real time plant status information to easily be accessed in the control room, field workers’ computer-based procedures can be updated based on the real time plant status, and status on ongoing procedures can be incorporated into smart schedules in the outage command center to allow for more accurate planning of critical tasks. The goal

  5. 77 FR 10543 - Announcement of Funding Awards for the Capacity Building for Sustainable Communities Program for...

    Science.gov (United States)

    2012-02-22

    ... 2000, dba Envision 600,000 Utah, 254 South 600 East, Salt Lake City, UT Institute for Sustainable... URBAN DEVELOPMENT Announcement of Funding Awards for the Capacity Building for Sustainable Communities Program for Fiscal Year 2011 AGENCY: Office of Sustainable Housing and Communities, HUD. ACTION...

  6. A Call for Sustainability Education in Post-Secondary Outdoor Recreation Programs

    Science.gov (United States)

    O'Connell, Timothy S.; Potter, Tom G.; Curthoys, Lesley P.; Dyment, Janet E.; Cuthbertson, Brent

    2005-01-01

    Purpose: The purpose of this paper is to examine the link between sustainability education and outdoor education and to encourage outdoor recreation educators to evaluate their programs with regard to sustainability and sustainable living. Design/methodology/approach: This paper starts by presenting several factors that currently hinder the…

  7. Factors associated with sustainability of 2 quality improvement programs after achieving early implementation success. A qualitative case study.

    Science.gov (United States)

    Ament, Stephanie M C; Gillissen, Freek; Moser, Albine; Maessen, José M C; Dirksen, Carmen D; von Meyenfeldt, Maarten F; van der Weijden, Trudy

    2017-12-01

    Sustainability of innovations is a relatively new concept in health care research and has become an issue of growing interest. The current study explored factors related to the sustainability of 2 multidisciplinary hospital-based programs 3 to 6 years after achieving early implementation success. An exploratory qualitative study was conducted into 2 implementation cases, an Enhanced Recovery After Surgery program for colorectal surgery and a short-stay program for breast cancer surgery. Semistructured interviews were held with key persons involved in the care process in 14 hospitals from both cases minimally 3 years after the implementation, between March 2012 and May 2013. The Consolidated Framework for Implementation Research was used to direct the development of the interview guide, during data collection and during analysis. A directed content analysis was performed. A total of 21 interviews with 26 individuals were held, 18 regarding the Enhanced Recovery After Surgery case and 8 regarding the short-stay program case. Respondents mentioned the following factors associated with sustainability of the programs: modification and adaptability of the program, cost-effectiveness, institutionalization into existing systems, short communication lines within the multidisciplinary team, an innovative culture, benefits for patients, cosmopolitanism, the existence of external policies and incentives, trust and belief in the program, and spread of the program to other settings. Two factors are not covered by the Consolidated Framework for Implementation Research, ie, modification of the program over the years and spread of the program to other contexts. The factors associated with sustainability put forward in both cases were largely the same. Leadership and the implementation project were not mentioned as having influenced the long-term sustainability of the benefits achieved. Sustainability of the innovations is influenced by determinants stemming from all ecological

  8. Materials Inventory Database for the Light Water Reactor Sustainability Program

    Energy Technology Data Exchange (ETDEWEB)

    Kazi Ahmed; Shannon M. Bragg-Sitton

    2013-08-01

    Scientific research involves the purchasing, processing, characterization, and fabrication of many sample materials. The history of such materials can become complicated over their lifetime – materials might be cut into pieces or moved to various storage locations, for example. A database with built-in functions to track these kinds of processes facilitates well-organized research. The Material Inventory Database Accounting System (MIDAS) is an easy-to-use tracking and reference system for such items. The Light Water Reactor Sustainability Program (LWRS), which seeks to advance the long-term reliability and productivity of existing nuclear reactors in the United States through multiple research pathways, proposed MIDAS as an efficient way to organize and track all items used in its research. The database software ensures traceability of all items used in research using built-in functions which can emulate actions on tracked items – fabrication, processing, splitting, and more – by performing operations on the data. MIDAS can recover and display the complete history of any item as a simple report. To ensure the database functions suitably for the organization of research, it was developed alongside a specific experiment to test accident tolerant nuclear fuel cladding under the LWRS Advanced Light Water Reactor Nuclear Fuels Pathway. MIDAS kept track of materials used in this experiment from receipt at the laboratory through all processes, test conduct and, ultimately, post-test analysis. By the end of this process, the database proved to be right tool for this program. The database software will help LWRS more efficiently conduct research experiments, from simple characterization tests to in-reactor experiments. Furthermore, MIDAS is a universal tool that any other research team could use to organize their material inventory.

  9. Creation of an Innovative Sustainability Science Undergraduate Degree Program: A 10-Step Process

    Science.gov (United States)

    Smith-Sebasto, Nicholas J.; Shebitz, Daniela J.

    2013-01-01

    We explain the process used at Kean University (New Jersey) to create an innovative undergraduate degree program in sustainability science. This interdisciplinary program provides students with the strong science background necessary to understand and address the opportunities associated with sustainability. We articulate seven steps taken during…

  10. A Mixed-Method Application of the Program Sustainability Assessment Tool to Evaluate the Sustainability of 4 Pediatric Asthma Care Coordination Programs.

    Science.gov (United States)

    Stoll, Shelley; Janevic, Mary; Lara, Marielena; Ramos-Valencia, Gilberto; Stephens, Tyra Bryant; Persky, Victoria; Uyeda, Kimberly; Ohadike, Yvonne; Malveaux, Floyd

    2015-12-03

    As part of a cross-site evaluation of the implementation of an evidence-based intervention for pediatric asthma care coordination into low-income communities, we sought to understand the factors that influenced the programs' expected sustainability of the programs after external funding ended. We administered the Center for Public Health Systems Science's Program Sustainability Assessment Tool, a 40-item instrument assessing 8 domains of sustainability capacity, to 12 key informants across 4 program sites. We developed open-ended probes for each domain. We examined patterns in site-specific and overall domain scores, and coded qualitative data to identify challenges and strategies in each domain. Across sites, the domains of program evaluation (cross-site mean, 5.4 on a scale of 1-7) and program adaptation (mean, 5.2) had the highest ratings (indicating a strong finding during program evaluation) and funding stability had the lowest rating (mean, 2.7). Scores varied most across sites in the domains of strategic planning (SD, 0.9) and funding stability (SD, 0.9). Qualitative data revealed key challenges, including how implementation difficulties and externally led implementation can impede planning for sustainability. Program leaders discussed multiple strategies for enhancing capacity within each domain, including capitalizing on the interconnectedness of all domains, such as using evaluation and communication strategies to bolster internal political support throughout the implementation process. Findings indicating weak and strong domains were consistent with previous findings of studies that used the Program Sustainability Assessment Tool. The addition of qualitative probes yielded detailed data describing capacity strengths, weaknesses, and strategies to increase the likelihood that programs are sustained.

  11. LINK BETWEEN SUSTAINABLE DEVELOPMENT AND EFFECTIVENESS IN REGIONAL GOVERNMENT

    Directory of Open Access Journals (Sweden)

    JAN ZÁVODNÝ POSPÍŠIL

    2013-05-01

    Full Text Available The paper describes relationship between sustainable development and regional government efficiency. Author defines first sustainable development, its principles and relationship to the public administration area. With usage of systematic review is later defined efficiency in public administration. Based on this information is analyzed relationship between sustainable development and the effectiveness of the management system of regional government.

  12. LINK BETWEEN SUSTAINABLE DEVELOPMENT AND EFFECTIVENESS IN REGIONAL GOVERNMENT

    OpenAIRE

    JAN ZÁVODNÝ POSPÍŠIL

    2013-01-01

    The paper describes relationship between sustainable development and regional government efficiency. Author defines first sustainable development, its principles and relationship to the public administration area. With usage of systematic review is later defined efficiency in public administration. Based on this information is analyzed relationship between sustainable development and the effectiveness of the management system of regional government.

  13. A sample theory-based logic model to improve program development, implementation, and sustainability of Farm to School programs.

    Science.gov (United States)

    Ratcliffe, Michelle M

    2012-08-01

    Farm to School programs hold promise to address childhood obesity. These programs may increase students’ access to healthier foods, increase students’ knowledge of and desire to eat these foods, and increase their consumption of them. Implementing Farm to School programs requires the involvement of multiple people, including nutrition services, educators, and food producers. Because these groups have not traditionally worked together and each has different goals, it is important to demonstrate how Farm to School programs that are designed to decrease childhood obesity may also address others’ objectives, such as academic achievement and economic development. A logic model is an effective tool to help articulate a shared vision for how Farm to School programs may work to accomplish multiple goals. Furthermore, there is evidence that programs based on theory are more likely to be effective at changing individuals’ behaviors. Logic models based on theory may help to explain how a program works, aid in efficient and sustained implementation, and support the development of a coherent evaluation plan. This article presents a sample theory-based logic model for Farm to School programs. The presented logic model is informed by the polytheoretical model for food and garden-based education in school settings (PMFGBE). The logic model has been applied to multiple settings, including Farm to School program development and evaluation in urban and rural school districts. This article also includes a brief discussion on the development of the PMFGBE, a detailed explanation of how Farm to School programs may enhance the curricular, physical, and social learning environments of schools, and suggestions for the applicability of the logic model for practitioners, researchers, and policy makers.

  14. Sustainable practice improvements: impact of the Comprehensive Advanced Palliative Care Education (CAPCE) program.

    Science.gov (United States)

    Harris, Diane; Hillier, Loretta M; Keat, Nancy

    2007-01-01

    This paper describes an education program designed to improve palliative care practice through the development of workplace hospice palliative care resources (PCRs), and its impact on knowledge transfer and longer-term changes to clinical practice. Evaluation methods included pre- and post-program questionnaires, and a survey of learners' (n=301) perceptions of program learning strategies. Interviews (n=21) were conducted with a purposeful sample of PCRs and representatives from their work sites. Ratings of the sessions indicated that they were relevant to learners' clinical practice. At follow up, the majority of learners (83%) continued to serve as PCRs. Many positive effects were identified, including enhanced pain and symptom management, staff education, and development of care policies and guidelines. Management support, particularly the prioritization of palliative care and staff development, were factors facilitating sustained implementation. These findings highlight the importance of multimodal learning strategies and supportive work environments in the development of PCRs to enhance palliative care practice.

  15. Sustainability of a successful health and nutrition program in a remote aboriginal community.

    Science.gov (United States)

    Lee, A J; Bonson, A P; Yarmirr, D; O'Dea, K; Mathews, J D

    1995-06-19

    To assess the long term effect of a nutrition program in a remote Aboriginal community (Minjilang). Evaluation of nutritional outcomes over the three years before and the three years after a health and nutrition program that ran from June 1989 to June 1990. Turnover of food items at the community store was used as a measure of dietary intake at Minjilang and a comparison community. A community of about 150 Aboriginal people live at Minjilang on Croker Island, 240 km north-east of Darwin. A similar community of about 300 people on another island was used as the comparison. The program produced lasting improvements in dietary intake of most target foods (including fruit, vegetables and wholegrain bread) and nutrients (including folate, ascorbic acid and thiamine). Sugar intake fell in both communities before the program, but the additional decrease in sugar consumption during the program at Minjilang "rebounded" in the next year. Dietary improvements in the comparison community were delayed and smaller than at Minjilang. The success of the program at Minjilang was linked to an ongoing process of social change, which in turn provided a stimulus for dietary improvement in the comparison community. When Aboriginal people themselves control and maintain ownership of community-based intervention programs, nutritional improvements can be initiated and sustained.

  16. 48 CFR 970.5223-7 - Sustainable acquisition program.

    Science.gov (United States)

    2010-10-01

    ... Management, and Executive Order 13514, Federal Leadership in Environmental, Energy, and Economic Performance... Leadership in High Performance and Sustainable Buildings (Guiding Principles) shall be achieved through... SUPPLEMENTARY REGULATIONS DOE MANAGEMENT AND OPERATING CONTRACTS Solicitation Provisions and Contract Clauses...

  17. United Nations Environment Program - Sustainable Purchasing Guidance Profile

    Science.gov (United States)

    To help you find the resource that is right for your organization, EPA conducted a scan of the landscape and developed summary profiles of some of the leading sources of sustainable purchasing guidance around the globe.

  18. Investment in selective social programs: a proposed methodological tool for the analysis of programs’ sustainability

    Directory of Open Access Journals (Sweden)

    Manuel Antonio Barahona Montero

    2014-08-01

    Full Text Available This paper proposes a methodology to evaluate sustainability of Selective Social Programs (SSP, based on the relationship between economic growth and human development posed by the United Nations Development Program (UNDP.  For such purposes, the Circle of Sustainability is developed, which is comprised of 12 pillars. Each pillar is evaluated based on its current status and impact.  Combining both results allows to assesses sustainability of these programs and identify areas of focus. Therefore, this methodology helps to better channel available efforts and resources.

  19. Developing Effective Instructional Programs.

    Science.gov (United States)

    Sizemore, Barbara; And Others

    A group of three conference papers, all addressing effective instructional programs, is presented in this document. The first paper, entitled "The Organization--A Viable Instrument for Progress" (Barbara Sizemore), addresses the subject of high-achieving, predominantly black elementary schools. Routines in these schools not present in…

  20. An Agenda for Research on the Sustainability of Public Health Programs

    Science.gov (United States)

    Dearing, James W.

    2011-01-01

    Funders of programs in public health and community health are increasingly concerned about the sustainability of changes they initiate. Despite a recent increase in sustainability research and evaluation, this literature has not developed a widely used paradigm for conducting research that can accumulate into generalizable findings. We provide guidance for research and evaluation of health program sustainability, including definitions and types of sustainability, specifications and measurements of dependent variables, definitions of independent variables or factors that influence sustainability, and suggestions for designs for research and data collection. We suggest viewing sustainability research as a further stage in the translation or dissemination of research-based interventions into practice. This perspective emphasizes ongoing relationships with earlier stages of a broader diffusion framework, including adoption and implementation processes. PMID:21940916

  1. Examining Sustainability Factors for Organizations that Adopted Stanford’s Chronic Disease Self-Management Program

    Science.gov (United States)

    Tomioka, Michiyo; Braun, Kathryn L.

    2015-01-01

    In 2006, funds were received to replicate Stanford’s Chronic Disease Self-Management Program (CDSMP) among eldercare providers in Honolulu. This case study, conducted 1 year after the close of the initial 3-year replication grant, explored factors for sustaining the delivery of CDSMP, with an aim to create guidelines for cultivating sustainability. Face-to-face semi-structured interviews were conducted with one representative from each of eight eldercare agencies, with the representative specified by the agency. Representatives discussed the presence and strength (low, medium, or high) of sustainability factors, including readiness, champions, technical assistance, perceived fit of CDSMP with their agency, CDSMP modifiability, perceived benefits of CDSMP, and other. Only three of the eight agencies (38%) were still offering CDSMP by the end of 2010. Agencies who sustained CDSMP rated higher on all sustainability factors compared to those that did not sustain the program. Additional factors identified by representatives as important were funding and ongoing access to pools of elders from which to recruit program participants. When replicating evidence-based programs, sustainability factors must be consciously nurtured. For example, readiness must be cultivated, multiple champions must be developed, agencies must be helped to modify the program to best fit their clientele, evaluation findings demonstrating program benefit should be shared, and linkages to funding may be needed. PMID:25964896

  2. Speurwerkprogramma 2015-2018, Theme Sustainable Chemical Industry, Program 2015

    NARCIS (Netherlands)

    Berkel, A.I. van

    2014-01-01

    This report describes the context, ambition, content and governance of the TNO program for the chemical industry for the period 2015 – 2018. That program is the successor of the first TNO innovation program that was specifically established for the chemical industry. TNO started the program

  3. Dark Skies Awareness Programs for the International Year of Astronomy: Involvement, Outcomes and Sustainability

    Science.gov (United States)

    Walker, Constance E.

    2010-01-01

    The preservation of dark skies is a growing global concern, yet it is one of the easiest environmental problems people can address on local levels. For this reason, the goal of the IYA Dark Skies Awareness Cornerstone Project is to raise public awareness of the impact of artificial lighting on local environments by getting people worldwide involved in a variety of programs. These programs provide resources on light pollution for new technologies like a presence in Second Life and podcasts, for local thematic events at national parks and observatory open houses, for international thematic events like International Dark Skies Week and Earth Hour, for a program in the arts like an international photo contest, for global citizen-science programs that measure night sky brightness worldwide, and for educational materials like a kit with a light shielding demonstration. These programs have been successfully used around the world during IYA to raise awareness of the effects of light pollution on public health, economic issues, ecological consequences, energy conservation, safety and security, and astronomy. The presentation will provide an update, take a look ahead at the project's sustainability, and describe how people can be involved in the future. Information about the programs is at www.darkskiesawareness.org.

  4. Saint Louis Center for Sustainment of Trauma and Readiness Skills: A Collaborative Air Force-Civilian Trauma Skills Training Program

    Science.gov (United States)

    2016-05-19

    Journal Article 3. DATES COVERED (From – To) June 2014 – December 2014 4. TITLE AND SUBTITLE Saint Louis Center for Sustainment of Trauma and...Readiness Skills: A Collaborative Air Force-Civilian Trauma Skills Training Program 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT...in support of these campaigns have had to maintain a high degree of clinical skill to effectively render care to wounded combatants, a necessity

  5. The influence of financial incentive programs in promoting sustainable forestry on the nation's family forests

    Science.gov (United States)

    Michael A. Kilgore; John L. Greene; Michael G. Jacobson; Thomas J. Straka; Steven E. Daniels

    2007-01-01

    Financial incentive programs were evaluated to assess their contribution to promoting sustainable forestry practices on the nation’s family forests. The evaluation consisted of an extensive review of the literature on financial incentive programs, a mail survey of the lead administrator of financial incentive programs in each state forestry agency, and focus groups...

  6. Public-Interest Values and Program Sustainability: Some Implications for Evaluation Practice

    Science.gov (United States)

    Chelimsky, Eleanor

    2014-01-01

    Evaluating the longer-term sustainability of government programs and policies seems in many ways to go beyond the boundaries of typical evaluation practice. Not only have intervention failures over time been difficult to predict, but the question of sustainability itself tends to fall outside current evaluation thinking, timing and functions. This…

  7. Sustaining Gains in Health Programs: Technical Efficiency and its Determinants in Malaria Programs in Sub-Saharan Africa.

    Science.gov (United States)

    Atake, Esso-Hanam

    2017-04-01

    Since the year 2000, Africa has made significant progress in the fight against malaria. Between 2000 and 2015, the incidence and death from malaria fell by 42 and 66%, respectively. However, the African region still accounts for most global cases of malaria. In 2015, the region was home to 89% of malaria cases and 91% of malaria death. This study aimed to evaluate efficiency of policies against malaria in 30 malaria-endemic Sub-Saharan African (SSA) countries, from the perspective of sustaining gains. The data came from World Malaria Report 2013. Data were analyzed using the double bootstrap method. We first estimated bootstrapped efficiency scores. Then, bootstrapped truncated regression was used to determine factors associated with malaria program efficiency. This study showed that most malaria programs in SSA are technically inefficient. We also found that aid from international institutions and public expenditures on malaria programs do not significantly affect the efficiency of malaria programs. However, in an enhanced governance context, international aid and public expenditure impact positively on the efficiency of malaria programs. Moreover, intermittent preventive treatment for pregnant women is associated with a positive effect on the efficiency. Surprisingly, the free care policies-artemisinin-based combinations for under five-year-old children in the public facilities, rapid diagnostic tests, and distribution of insecticide-treated bed nets and long-lasting insecticide-impregnated nets-does not significantly affect the efficiency of malaria programs. Financing alone does not ensure efficiency of malaria programs. Good governance and the targeting of the most vulnerable segments of the population are necessary to reduce malaria deaths and improve efficiency of malaria programs in SSA.

  8. "Initiate-build-operate-transfer" - a strategy for establishing sustainable telemedicine programs not only in the developing countries.

    Science.gov (United States)

    Latifi, Rifat

    2011-01-01

    Establishing sustainable telemedicine has become a goal of many developing countries around the world. Yet, despite initiatives from a select few individuals and on occasion from various governments, often these initiatives never mature to become sustainable programs. The introduction of telemedicine and e-learning in the Balkans has been a pivotal step in advancing the quality and availability of medical services in a region whose infrastructure and resources have been decimated by wars, neglect, lack of funding, and poor management. The concept and establishment of the International Virtual e-Hospital (IVeH) has significantly impacted telemedicine and e-health services in Kosova. The success of the IVeH in Kosova has led to the development of similar programs in other Balkan countries and other developing countries in the hope of modernizing and improving their healthcare infrastructure. A comprehensive, four-pronged strategy developed by IVeH "Initiate-Build-Operate-Transfer" (IBOT), may be a useful approach in establishing telemedicine and e-health educational services not only in developing countries, but in developed countries. The development strategy, IBOT, used by the IVeH to establish and develop telemedicine programs is described. IBOT includes assessment of healthcare needs of each country, the development of a curriculum and education program, the establishment of a nationwide telemedicine network, and the integration of the telemedicine program into the very core of healthcare infrastructure. The end point is the transfer of a sustainable telehealth program to the nation involved. By applying IBOT, a sustainable telemedicine program of Kosova and Albania has been established as an effective prototype for telemedicine in the Balkans. Once fully matured, the program is transitioned to the Ministry of Health, which ensures the sustainability and ownership of the program. Similar programs are being established in Macedonia, Montenegro and other countries

  9. Implementation of sustainable energy programs in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Spitalnik, J. [FEBRAE, Rio Janeiro (Brazil)

    2001-07-01

    Energy, a major contributor to development, is an essential element for increasing quality of life. During the next decades, the developing world will experience an explosive increase of energy demand, requiring enormous efforts and ingenuity to be fully satisfied. Delays may create public frustration for not achieving paradigm levels of quality of life, giving eventually rise to serious pressures on governments. The concept of sustainable energy options for development cannot be analyzed under the same prism in developed and developing countries. The relative degree of a country development should be introduced when setting up the path to sustainable development. (author)

  10. Social Emotional Learning: Implementation of Sustainability-Oriented Program in Latvia

    National Research Council Canada - National Science Library

    Baiba Martinsone

    2016-01-01

    This article is focused on the description of the content and the implementation process of an originally developed, culturally appropriate and sustainable social and emotional learning program in Latvia...

  11. Sustained Benefit of a Psycho-educational Training Program for Dementia Caregivers in Taiwan

    Directory of Open Access Journals (Sweden)

    Chien-Chi Hsu

    2017-03-01

    Conclusion: The caregivers for dementia patients may have sustained benefit of reducing burden, decreasing psychological morbidity and enhancing psychological wellbeing after the intensive psycho-educational training programs' intervention.

  12. Sustainability of ARV provision in developing countries: challenging a framework based on program history

    OpenAIRE

    Azeredo, Thiago Botelho; Oliveira,Maria Auxiliadora; Santos-Pinto,Cláudia Du Bocage; Miranda,Elaine Silva; Osorio-de-Castro,Claudia Garcia Serpa

    2017-01-01

    Abstract The provision of ARVs is central to HIV/AIDS programs, because of its impact on the course of the disease and on quality of life. Although first-line treatments costs have declined, treatment-associated expenses are steeper each year. Sustainability is therefore an important variable for the success of treatment programs. A conceptual framework on sustainability of ARV provision was developed, followed by data collection instruments. The pilot study was undertaken in Brazil. Bolivia,...

  13. 48 CFR 952.223-78 - Sustainable acquisition program.

    Science.gov (United States)

    2010-10-01

    ... Transportation Management, and Executive Order 13514, Federal Leadership in Environmental, Energy, and Economic... Leadership in High Performance and Sustainable Buildings (Guiding Principles) shall be achieved through... Environmental, Energy and Transportation Management, (http://www.epa.gov/greeningepa/practices/eo13423.htm) and...

  14. Sustainability, the Greenhouse effect, silviculture, and overpopulation

    Energy Technology Data Exchange (ETDEWEB)

    Hall, F.K. (International Paper Co., Corporate Research Center, Tuxedo Park, NY (US))

    1991-10-01

    Ever since man became conscious of the finite dimensions of Planet Earth, he has worried about his ability to survive in an ever-more crowded environment. This paper reports that the fundamental question underlying this concern is sustainability: Can we indefinitely supply, maintain, and prolong that which we have This question is, of course, multifaceted. Man's early concerns quickly polarized the scientists and economists of this world into two philosophical camps---the Malthusians and the Cornucopians. Over time, economists learned that Malthus seriously underestimated the capacity of technology to enhance productivity, although Malthusian sympathizers (both scientists and economists) continually raised the specter of imminent doom. Much of what lies ahead will provide a series of daunting challenges for us all, and the engine that drives sustainability has to be technology. The central issue is to ensure that the right kind of technology is available, and that it is used widely to ensure sustainability.

  15. Tourism, sustainable development and human rights: The program “Travel More Golden Age”

    Directory of Open Access Journals (Sweden)

    Rodrigo Freire de Carvalho e Silva

    2012-12-01

    Full Text Available This article aims to discuss the relationship between tourism and sustainable development. For this, start with a presentation on the history of the development concept, which gradually abandons a economistic perspective to incorporate, from theoretical elaborations produced in the UN plan, the issues of sustainability and human rights. We discuss the prospects for development of Amartya Sen and Ignacy Sachs. Then the article focuses on the issue of sustainable tourism, discussing the relations between tourism and sustainability from the theoretical and methodological approach proposed by Sachs and Sen. Finally, discuss the theme of social tourism, focusing attention on Brazilian social tourism program “Travel More Golden Age”.

  16. Conceptualizing the Effectiveness of Sustainability Assessment in Development Cooperation

    Directory of Open Access Journals (Sweden)

    Jean Hugé

    2015-05-01

    Full Text Available Sustainability assessment has emerged as a key decision-support process in development cooperation in response to the growing acknowledgement of the impacts of global change. This paper aims at conceptualizing the effectiveness of sustainability assessment as applied in development cooperation, by focusing on the sustainability assessment practice by actors of the official Belgian Development Cooperation. The conceptualization of the effectiveness of sustainability assessment is synthesized in a set of issues and concerns, based on semi-structured interviews. The paper highlights the specificity of sustainability assessment in the development cooperation sector (e.g., through the cultural and discursive compatibility dimensions of assessment in a North-South context. Effectiveness is inherently linked to the expected functions of sustainability assessment in the decision-making process, which include fostering organizational change, shaping contextually adapted framings of sustainability and operationalizing the sustainability transition. These findings highlight the relevance of a discourse-sensitive approach to sustainability assessment if one is to strengthen its credibility and legitimacy.

  17. Sustaining Our Nation's Seniors through Federal Food and Nutrition Programs.

    Science.gov (United States)

    Gergerich, Erika; Shobe, Marcia; Christy, Kameri

    2015-01-01

    Food insecurity is a pressing issue in the United States where one in six people suffer from hunger. The older adult population faces unique challenges to receiving adequate nutrition. The federal government currently employs four food and nutrition programs that target the senior population in an effort to address their specific needs. These are the Congregate Meals and Home Delivered Meals Programs (provided through the Older Americans Act), and the Senior Farmers' Market Nutrition Program and Child and Adult Care Food Program (provided by the United States Department of Agriculture). As the older adult population continues to grow, it will be important to evaluate and improve these programs and the social policies related to them. This manuscript describes each policy in depth, considers economic and political elements that have shaped each policy, describes the level of program success, and offers suggestions for future research and program development.

  18. Programming Sustainable Urban Nodes for Spontaneous, Intensive Urban Environments

    Science.gov (United States)

    Szubryt-Obrycka, Adriana

    2017-10-01

    functional programming (services). Then, the aspect of permanence or temporality will be addressed to determine the choice of appropriate technologies used in order to convey programmatic assertions into physical solutions. The nodes are meant to be as lightweight installments in the area as possible, but at the same time as durable and of good quality as to support positive social effects and reinforce building social capital in the area. The author believe that this emergency-based AT node scenario can be extrapolated to unbalanced housing areas being the result of urban sprawl, after being only slightly adjusted to local standards. But the main goal is to allow for efficient interventions in areas in dire needs and poor environments with limited resources or limited funds.

  19. Building leadership capacity to drive sustainable water management: the evaluation of a customised program.

    Science.gov (United States)

    Taylor, A C

    2010-01-01

    This paper describes a customised, six-month, leadership development program (LDP) that was designed for emerging leaders in the Australian water industry who were promoting sustainable urban water management (SUWM). It also presents results from an evaluation of the program's benefits, costs and overall 'return on investment' (ROI). The program was designed to help build emergent leadership capacity in the water industry, given strong evidence that this form of leadership plays an important role in advancing SUWM. It involved '360-degree feedback' processes, training, individual leadership development plans, and coaching sessions. Its design was informed by a review of the literature, and its content was informed by local empirical research involving effective SUWM leaders. The evaluation used a seven-tier assessment framework that examined different dimensions of the program's performance using source and methodological triangulation. The results indicate that such LDPs can produce a range of positive outcomes, such as promoting desired leadership behaviours and generating a positive ROI estimate. Specifically, the program's estimated ROI was approximately 190% after only one year. The primary conclusion is that evidence-based LDPs which are highly customised for specific types of leaders in the water industry represent a promising type of intervention to build forms of leadership capacity which are needed to successfully promote SUWM.

  20. Easier said than done: intervention sustainability in an urban after-school program.

    Science.gov (United States)

    Lyon, Aaron R; Frazier, Stacy L; Mehta, Tara; Atkins, Marc S; Weisbach, Jessica

    2011-11-01

    Although sustainability is frequently described as a project goal in community-based programs, concentrated efforts to sustain interventions beyond the conclusion of research funding have only recently emerged as a focus of implementation research. The current paper describes a study of behavioral consultation to after-school program staff in low-SES, urban communities. Following consultation, staff use of four recommended tools and strategies was examined, emphasizing facilitators and barriers to sustainability. Results indicated high perceived utility and intention to use intervention components, but low sustainability at two follow-up time points within 1 year after the initial consultation concluded. Findings suggest that ongoing implementation support in community settings may be necessary to ensure the sustainability of interventions and meet the mental health needs of participating high-risk youth.

  1. Planning and Evaluating ICT in Education Programs Using the Four Dimensions of Sustainability: A Program Evaluation from Egypt

    Science.gov (United States)

    Pouezevara, Sarah; Mekhael, Sabry William; Darcy, Niamh

    2014-01-01

    This paper presents the findings from a program evaluation of an ICT in education project within the USAID-funded Girls Improved Learning Outcomes (GILO) program. The evaluation uses a framework of four dimensions of ICT sustainability to examine the appropriateness of the design and implementation of the project, which provided simple, relevant…

  2. Sustaining the Effects of Gatekeeper Suicide Prevention Training.

    Science.gov (United States)

    Shtivelband, Annette; Aloise-Young, Patricia A; Chen, Peter Y

    2015-02-23

    Background: Gatekeeper training is a promising suicide prevention strategy that is growing in popularity. Although gatekeeper training programs have been found to improve trainee knowledge, self-efficacy, and perceived skills, researchers have found that the benefit of gatekeeper training may not last over time. Aims: The purpose of this study was to identify strategies for strengthening the long-term effects of suicide prevention gatekeeper training. Method: In-depth interviews and focus groups were conducted with gatekeepers (N = 44) and data were analyzed using a qualitative research approach. Results: The results of this study suggest that posttraining interventions may be more effective if they include the following seven themes: (a) social network - connecting with other gatekeepers; (b) continued learning - further education; (c) community outreach - building awareness; (d) accessibility - convenience; (e) reminders - ongoing communication; (f) program improvement -- enhancing previous training; and (g) certification - accreditation. Conclusion: Posttraining interventions that incorporate the themes from this study offer a promising direction in which to sustain the effects of gatekeeper suicide prevention training.

  3. Sustaining educational and public outreach programs in astronomy

    CERN Document Server

    Clarkson, William I; Swift, Carrie M; Rasmussen, Eric J; Matzke, David; Murrell, Steven R; LoPresto, Michael C; Campbell, Timothy; Clubb, Robert; Salliotte, Dennis

    2016-01-01

    We advocate meaningful support of sustained education-outreach partnerships between regional metropolitan undergraduate institutions and astronomical clubs and societies. We present our experience as an example, in which we have grown a partnership between the University of Michigan-Dearborn (hereafter UM-D, a 4-year primarily undergraduate institution or PUI), Henry Ford College (hereafter HFC, a 2-year undergraduate college), and maintained a strong collaboration with the Ford Amateur Astronomy Club (FAAC), which is highly active in the Detroit Metropolitan Area. By allowing each organization to play to its strengths, we have developed a continuum of education-outreach efforts at all levels, with connecting tissue between the previously disparate efforts. To-date, faculty and staff effort on these initiatives has been nearly entirely voluntary and somewhat ad-hoc. Here we suggest an initiative to sustain the continuum of education-outreach for the long-term. There are two levels to the suggested initiative....

  4. Effective Learning Approaches for Sustainability: A Student Perspective

    Science.gov (United States)

    Erskine, Laura; Johnson, Scott D.

    2012-01-01

    The authors offer an exploratory glimpse into the perceived effectiveness of learning approaches presently being used to teach students about sustainability in a business school setting. Sustainability is a topic of growing importance in business and business education. Using teaching approaches generated through self-reports related to the…

  5. How to use composite indicator and linear programming model for determine sustainable tourism.

    Science.gov (United States)

    Ziaabadi, Maryam; Malakootian, Mohammad; Zare Mehrjerdi, Mohammad Reza; Jalaee, Seied Abdolmajid; Mehrabi Boshrabadi, Hosein

    2017-01-01

    The tourism industry which is one of the most dynamic economic activities in today's world plays a significant role in the sustainable development. Therefore, in addition to paying attention to tourism, sustainable tourism must be taken into huge account; otherwise, the environment and its health will be damaged irreparably. To determine the level of sustainability in this study, indicators of sustainable tourism were first presented in three environmental health, economic and social aspects. Then, the levels of sustainable tourism and environmental sustainability were practically measured in different cities of Kerman Province using a composite indicator, a linear programming model, Delphi method and the questionnaire technique. Finally, the study cities (tourist attractions) were ranked. Result of this study showed that unfortunately the tourism opportunities were not used appropriately in these cities and tourist destinations, and that environmental aspect (health and environmental sustainability) had very bad situations compared to social and economic aspects. In other words, environmental health had the lowest levels of sustainability. The environment is a place for all human activities like tourism, social and economic issues; therefore, its stability and health is of great importance. Thus, it is necessary to pay more attention to sustainability of activities, management and environmental health in planning sustainable development in regional and national policy.

  6. Zero Waste: A Realistic Sustainability Program for Schools

    Science.gov (United States)

    Schumpert, Kary; Dietz, Cyndra

    2012-01-01

    Eco-Cycle, one of the nation's oldest and largest nonprofit recycling organizations, has coordinated recycling services and environmental education programs for the two Boulder area public school districts (80 schools) since 1987. In 2005, Eco-Cycle launched the Green Star Schools program in four pilot elementary schools with the goal of moving…

  7. Sustaining Physics Teacher Education Coalition Programs in Physics Teacher Education

    Science.gov (United States)

    Scherr, Rachel E.; Plisch, Monica; Goertzen, Renee Michelle

    2017-01-01

    Understanding the mechanisms of increasing the number of physics teachers educated per year at institutions with thriving physics teacher preparation programs may inspire and support other institutions in building thriving programs of their own. The Physics Teacher Education Coalition (PhysTEC), led by the American Physical Society (APS) and the…

  8. Ethnography of a Sustainable Agriculture Program: A Case Study of a Social Movement's Inception and Growth on a University Campus

    Science.gov (United States)

    Triana, Benjamin

    2016-01-01

    This ethnography documents how the message of sustainability was interpreted and communicated through a sustainable agricultural (SAG) program at an American higher education institution. The ethnography documents the evolution of the program as the program tackled obstacles and accomplished its goals during the initial phases of the program's…

  9. Sustaining an Effective ABC-ABM System

    Directory of Open Access Journals (Sweden)

    Gary COKINS

    2011-02-01

    Full Text Available The purpose of this paper is to describe the Activity- Based Costing (ABC and Activity-Based Management (ABM system and techniques to sustain them as a permanent and repeatable production reporting system, not just for one-off analysis. A comparison is made between ABC/ABM modeling software that extracts source data and business systems that include ABC/ABM modeling features. There are presented the stages of updating, running and rerunning the ABC/ABM system. The resulting information calculated and provided by the ABC/ABM system are analyzed and interpreted in terms of a multidimensional data analysis. The article ends with the authors' conclusions about the benefits of continued operation of sustaining the ABC/ABM system.

  10. [Efficacy and sustainability of a smoking prevention program for pupils--"ohnekippe"].

    Science.gov (United States)

    Kreuter, M; Bauer, C M; Ehmann, M; Kappes, J; Drings, P; Herth, F J F

    2014-07-01

    Since 2000 the Thoraxklinik Heidelberg offers the primary smoking prevention program "ohnekippe" for children aged 12-14 years. This program was scientifically evaluated to test its efficacy and sustainability. All pupils participating in this prevention program (n=1427) were asked to complete a written survey regarding their smoking behaviour at the time of intervention (baseline) and after one year. A control group (n=1412) without intervention from comparable schools and grades were questioned in parallel. Afterwards the program was modified with active involvement of schools and then data regarding smoking prevalence of young people were compared based on the microcensus 2005 and 2009. 187 (13,4 %) pupils in the intervention and 215 (15,4 %) pupils in the control group were smokers at baseline. One year after, the number of regular and occasional smokers had increased from 11.2 % to 21.2 % in both groups without significant differences. Besides age and initial smoking status the "peer group" had important influence on smoking behaviour of young people. After modifying the program the number of smoking young people in the catchment area of "ohnekippe" has decreased significantly (7.8 %). Overall smoking prevalence in this age group was much lower (11,8 %) than in the rest of Baden-Württemberg (16.0 %) and of Germany (17.5 %). Smoking prevention programs for young people can be effective if they are appropriately designed. Not only one prevention event, but intensive preparation and follow-up in schools as well as involvement of the "peer group" is essential for a successful intervention. After appropriate modification the smoking prevention program "ohnekippe" shows highly promising success. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Stakeholder's perspective: Sustainability of a community health worker program in Afghanistan.

    Science.gov (United States)

    Najafizada, Said Ahmad Maisam; Labonté, Ronald; Bourgeault, Ivy Lynn

    2017-02-01

    The objectives of this study were two-fold: 1) to examine how different stakeholders define sustainability, and 2) to identify barriers to and facilitators of the sustainability of the Afghan CHW program. We interviewed 63 individual key informants, and conducted 11 focus groups [35 people] with policymakers, health managers, community health workers, and community members across Afghanistan. The participants were purposefully selected to provide a wide range of perspectives. Different stakeholders define sustainability differently. Policymakers emphasize financial resources; health managers, organizational operations; and community-level stakeholders, routine frontline activities. The facilitators they identify include integration into the health system, community support, and capable human resources. Barriers they noted include lack of financial resources, poor program design and implementation, and poor quality of services. Measures to ensure sustainability could be national revenue allocation, health-specific taxation, and community financing. Sustainability is complicated and has multiple facets. The plurality of understanding of sustainability among stakeholders should be addressed explicitly in the program design. To ensure sustainability, there is a need for a coordinated effort amongst all stakeholders. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Social Emotional Learning: Implementation of Sustainability-Oriented Program in Latvia

    Science.gov (United States)

    Martinsone, Baiba

    2016-01-01

    This article is focused on the description of the content and the implementation process of an originally developed, culturally appropriate and sustainable social and emotional learning program in Latvia. The article also includes the teachers' self-reflected experience illustrated through the perspective of the program's sample activities. The…

  13. How Academics in Undergraduate Business Programs at an Australian University View Sustainability

    Science.gov (United States)

    von der Heidt, Tania; Lamberton, Geoffrey

    2014-01-01

    This article explores conceptualisations of sustainability and perceptions of its importance in curriculum held by business subject and program leaders. Results are reported from an empirical study of the first-year Bachelor of Business program at an Australian university. Research data was collected in 16 semi-structured, in-depth interviews with…

  14. Logistical and fiscal sustainability of a school-based, pharmacist-administered influenza vaccination program.

    Science.gov (United States)

    Fontanesi, John; Jue-Leong, Sierra

    2012-01-01

    To assess the fiscal and logistical viability of school-based, pharmacist-administered influenza vaccination programs. Econometric observational study. Nine schools in the Rincon Unified School District, Santa Rosa, CA. Safeway Pharmacies; Rincon Unified School District; California Department of Public Health, Immunization Branch; and University of California, San Diego. Assessment of direct workflow observations and administrative data. Unit costs, productivity, and effectiveness of school-based, pharmacist-administered influenza vaccination programs. The results showed a unit cost of $23.63 (compared with $25.60 for mass vaccination and $39.79 for walk-in shot-only vaccination clinics). The productivity index ($0.88) and efficiency index ($1.12) were better compared with data reported for comparable vaccination programs. School-based, pharmacist-administered vaccination programs are fiscally and logistically self-sustaining, viable alternatives to medical office-based or community-based mass vaccination clinics, and may offer a practical strategy for vaccinating children and adolescents.

  15. Tackling the motivation to monitor: success and sustainability of a participatory monitoring program

    Directory of Open Access Journals (Sweden)

    Navinder J. Singh

    2014-12-01

    Full Text Available Monitoring of species and their ecosystem attributes is a fundamental requirement in applied ecology and conservation. However, landscape scale monitoring requires an immense effort and commitment, especially when species have a wide distribution or are migratory in nature. Participatory monitoring, whereby local communities are engaged, is increasingly being proposed to address landscape scale monitoring. Its implementation is met with many challenges related to finances, motivation of the local people, lack of trained manpower, and nondirect legal use of the species in question. It is of interest to determine what makes a participatory monitoring program interesting for locals to ensure their long term engagement. Using the unique 26-year program of hunters' observations of moose (Alces alces in Sweden as a case study, we present the evolution of this highly successful participatory monitoring program and show that tackling the motivation to monitor, early involvement of local NGOs, social activities revolving around use of the resource, the biology and economic value of the species, and technical and practical aspects related to the monitoring, together create a successful participatory monitoring program. When users benefit directly from the resource, participate in conservation/management decision making, socialize with other participants, and get rewards for their commitment and effective monitoring, participatory monitoring schemes can then become rewarding and sustainable.

  16. Sustainment of smoking cessation programs in substance use disorder treatment organizations.

    Science.gov (United States)

    Knudsen, Hannah K; Muilenburg, Jessica; Eby, Lillian T

    2013-06-01

    The majority of individuals who enter substance use disorder (SUD) treatment also use tobacco. Integrating smoking cessation services into SUD treatment may have substantial public health benefits, but few studies have examined whether organizations offering counseling-based smoking cessation programs sustain them over time. This study examines sustainment of smoking cessation programs using 2 waves of data collected from 150 SUD treatment organizations. Data were collected in 2006-2008 and 2009-2010 using face-to-face interviews, telephone interviews, and mailed surveys. Logistic regression models of sustainment were estimated with administrators' attitudes toward smoking cessation and organizational barriers as covariates. About 60.2% of these SUD treatment organizations sustained their counseling-based smoking cessation programs at follow-up. Sustainment was significantly more likely when administrators' baseline attitudes about the impact of smoking cessation on recovery were more supportive (odds ratio, OR = 1.84; 95% confidence interval, CI = 1.13-3.01; p =.015) and when programs were accredited (OR = 3.95, 95% CI = 1.65-9.50, p =.002). Worsening over time of barriers encompassing staff interest, staff skills, and competing treatment demands were negatively associated with sustainment (OR = 0.58, 95% CI = 0.42-0.81, p =.001). These findings provided empirical support for theoretical perspectives regarding the importance of leadership and staff expertise in promoting sustainment of innovations over time. Although the majority of SUD treatment organizations sustained their smoking cessation programs, the 40% rate of discontinuation is concerning and highlights the ongoing challenges faced by tobacco control efforts in substance abuse treatment.

  17. The Effectiveness and Sustainability of the Sterilization Policy in China

    OpenAIRE

    Chien-Ping Chung; Jen-Te Hwang; Chieh-Hsuan Wang

    2014-01-01

    The aim of this paper is to examine the sterilization policy in China. First, several indices are used to measure the status of China’s markets and to determine effectiveness and sustainability of the sterilization policy and the possible impacts it may have induced. Second, within a microeconomic framework, we incorporate the housing price variable into the target loss function of the monetary authority to explore its financial capabilities and evaluate the effectiveness and sustainability o...

  18. Online Platform Support for Sustained, Collaborative and Self-directed Engagement of Teachers in a Blended Professional Development Program

    Science.gov (United States)

    Osburg, Thomas; Todorova, Albena

    Professional development of teachers plays a significant role for the success of educational reforms and for student achievement. Programs for developing teachers’ skills to integrate digital media in the classroom have received increased attention, due to the role of technology in today’s world. Recent research and field experiences have identified elements which contribute to the effectiveness of such programs, among them opportunities for sustained, collaborative and self-directed learning. This paper explores how an online platform of a large scale blended program for professional development, Intel® Teach - Advanced Online, supports the implementation of such opportunities in practice and incorporates them in the structure of the program. The positive outcomes from the program as evidenced by its evaluation indicate that professional development based on the design principles identified as effective by recent research is a viable solution for addressing the limitations of traditional teacher training for technology integration.

  19. Factors related to the economic sustainability of two-year chemistry-based technology training programs

    Science.gov (United States)

    Backus, Bridgid A.

    Two-year chemistry-based technology training (CBTT) programs in the U.S. are important in the preparation of the professional technical workforce. The purpose of this study was to identify, examine, and analyze factors related to the economic sustainability of CBTT programs. A review of literature identified four clustered categories of 31 sub-factors related to program sustainability. Three research questions relating to program sustainability were: (1) What is the relative importance of the identified factors?, (2) What differences exist between the opinions of administrators and faculty?, and (3) What are the interrelationships among the factors? In order to answer these questions, survey data gathered from CBTT programs throughout the United States were analyzed statistically. Conclusions included the following: (1) Rank order of the importance to sustainability of the clustered categories was: (1) Partnerships, (2) Employer and Student Educational Goals, (3) Faculty and Their Resources, and (4) Community Perceptions and Marketing Strategies. (2) Significant correlations between ratings of sustainability and the sub-factors included: degree of partnering, college responsiveness, administration involvement in partnerships, experiential learning opportunities, employer input in curriculum development, use of skill standards, number of program graduates, student job placement, professional development opportunities, administrator support, presence of a champion, flexible scheduling, program visibility, perception of chemical technicians, marketing plans, and promotion to secondary students. (3) Faculty and administrators differed significantly on only two sub-factor ratings: employer assisted curriculum development, and faculty workloads. (4) Significant differences in ratings by small program faculty and administrators and large program faculty and administrators were indicated, with most between small program faculty and large program administrators. The study

  20. Policies and programs for sustainable energy innovations renewable energy and energy efficiency

    CERN Document Server

    Kim, Jisun; Iskin, Ibrahim; Taha, Rimal; Blommestein, Kevin

    2015-01-01

    This volume features research and case studies across a variety of industries to showcase technological innovations and policy initiatives designed to promote renewable energy and sustainable economic development. The first section focuses on policies for the adoption of renewable energy technologies, the second section covers the evaluation of energy efficiency programs, and the final section provides evaluations of energy technology innovations. Environmental concerns, energy availability, and political pressure have prompted governments to look for alternative energy resources that can minimize the undesirable effects for current energy systems.  For example, shifting away from conventional fuel resources and increasing the percentage of electricity generated from renewable resources, such as solar and wind power, is an opportunity to guarantee lower CO2 emissions and to create better economic opportunities for citizens in the long run.  Including discussions of such of timely topics and issues as global...

  1. Sustained effects of grass pollen AIT.

    Science.gov (United States)

    Durham, S R

    2011-07-01

    We report the sustained efficacy of the SQ-standardized grass allergy immunotherapy tablet Grazax® (Phleum pratense 75000 SQ-T/2,800 BAU, ALK, Denmark) from a 5-year randomized, double-blind, placebo-controlled phase III trial. Adults with moderate-to-severe grass pollen allergy inadequately controlled by symptomatic medications were followed for 2 years after the completion of 3 years of treatment. The active group demonstrated a 31% reduction in median rhinoconjunctivitis symptom score over the season compared with placebo. Individual symptom scores favoured active treatment. Combined symptom and medication scores demonstrated a 33% reduction in medians with active treatment. Persistent clinical efficacy was accompanied by prolonged increases in allergen-specific IgG(4) antibodies and IgE-blocking factor, confirming clinical and immunological tolerance for at least 2 years after the treatment completion. No safety issues were identified during follow-up. © 2011 John Wiley & Sons A/S.

  2. Enabling Effective Problem-oriented Research for Sustainable Development

    Directory of Open Access Journals (Sweden)

    Christoph Kueffer

    2012-12-01

    Full Text Available Environmental problems caused by human activities are increasing; biodiversity is disappearing at an unprecedented rate, soils are being irreversibly damaged, freshwater is increasingly in short supply, and the climate is changing. To reverse or even to reduce these trends will require a radical transformation in the relationship between humans and the natural environment. Just how this can be achieved within, at most, a few decades is unknown, but it is clear that academia must play a crucial role. Many believe, however, that academic institutions need to become more effective in helping societies move toward sustainability. We first synthesize current thinking about this crisis of research effectiveness. We argue that those involved in producing knowledge to solve societal problems face three particular challenges: the complexity of real-world sustainability problems, maintaining impartiality when expert knowledge is used in decision making, and ensuring the salience of the scientific knowledge for decision makers. We discuss three strategies to meet these challenges: conducting research in interdisciplinary teams, forming research partnerships with actors and experts from outside academia, and framing research questions with the aim of solving specific problems (problem orientation. However, we argue that implementing these strategies within academia will require both cultural and institutional change. We then use concepts from transition management to suggest how academic institutions can make the necessary changes. At the level of system optimization, we call for: quality criteria, career incentives, and funding schemes that reward not only disciplinary excellence but also achievements in inter-/transdisciplinary work; professional services and training through specialized centers that facilitate problem-oriented research and reciprocal knowledge exchange with society; and the integration of sustainability and inter

  3. DOE-NE Light Water Reactor Sustainability Program and EPRI Long-Term Operations Program. Joint Research and Development Plan

    Energy Technology Data Exchange (ETDEWEB)

    Williams, Don

    2014-04-01

    Nuclear power has contributed almost 20% of the total amount of electricity generated in the United States over the past two decades. High capacity factors and low operating costs make nuclear power plants (NPPs) some of the most economical power generators available. Further, nuclear power remains the single largest contributor (nearly 70%) of non-greenhouse gas-emitting electric power generation in the United States. Even when major refurbishments are performed to extend operating life, these plants continue to represent cost-effective, low-carbon assets to the nation’s electrical generation capability. By the end of 2014, about one-third of the existing domestic fleet will have passed their 40th anniversary of power operations, and about one-half of the fleet will reach the same 40-year mark within this decade. Recognizing the challenges associated with pursuing extended service life of commercial nuclear power plants, the U.S. Department of Energy’s (DOE) Office of Nuclear Energy (NE) and the Electric Power Research Institute (EPRI) have established separate but complementary research and development programs (DOE-NE’s Light Water Reactor Sustainability [LWRS] Program and EPRI’s Long-Term Operations [LTO] Program) to address these challenges. To ensure that a proper linkage is maintained between the programs, DOE-NE and EPRI executed a memorandum of understanding in late 2010 to “establish guiding principles under which research activities (between LWRS and LTO) could be coordinated to the benefit of both parties.” This document represents the third annual revision to the initial version (March 2011) of the plan as called for in the memorandum of understanding.

  4. Strategies for Supporting and Sustaining Undergraduate Research Programs

    Science.gov (United States)

    Ryan, J. G.

    2004-12-01

    A key challenge in developing a viable undergraduate research program is securing adequate support for the effort, both in terms of reliable financial support, and (perhaps most importantly) in terms of providing adequate student/faculty contact time. Financial support for undergraduate research is available via the NSF Research Experiences for Undergraduates Program, which provides funds for student research efforts both on relatively small scales (i.e., 1-2 students/yr via REU Supplement funds) and on much larger scales (REU Site research projects involving 10 or more students/yr). Depending on the NSF program, funds for intermediate scale undergraduate research efforts (i.e., 3-5 students/yr) may be available as Participant Support via the normal proposal submission process. For faculty at predominantly undergraduate institutions, research support obtained via the NSF RUI program and other funding outlets (i.e., ACS-PRF) presumes substantial undergraduate participation in research projects. Securing sufficient faculty contact time for undergraduate researchers is critical to their success and professional development, as well as to the ultimate success of the research. However, the additional time required to train undergraduates in research protocols, along with the challenge of working adequate research time into their generally busier class (and often work) schedules can render such efforts unproductive for research faculty. Strategies I have found helpful in getting the necessary time-on-task and contact time with student researchers include: 1) mentoring 3-4 undergraduates in group research projects, which facilitates technical training and ensures sufficient 'hands' to complete the work; 2) building technical training into traditional courses through open-ended investigative laboratory activities, such that students can begin to develop research skills, as well as the necessary investigative mindset; 3) when possible, providing stipend support for student

  5. Operating a sustainable disease management program for chronic obstructive pulmonary disease.

    Science.gov (United States)

    Endicott, Linda; Corsello, Phillip; Prinzi, Michele; Tinkelman, David G; Schwartz, Abby

    2003-01-01

    Chronic obstructive pulmonary disease (COPD) is one of our nation's most rapidly growing chronic health conditions. It is estimated that over 16 million individuals are diagnosed with COPD (Friedman & Hilleman, 2001). In addition, another 16 million are misdiagnosed as asthma or not diagnosed at all. COPD is a condition that affects the working-age as well as the elderly. Despite the high mortality rate, COPD is a treatable and modifiable condition. Disease management programs (DMPs) for asthma are a common initiative within many health insurance plans and integrated delivery networks. Similar initiatives are not as common for COPD. This article will highlight the National Jewish Medical and Research Center's COPD DMP interventions and outcomes. To outline interventions and operational strategies critical in developing and operating a sustainable and effective disease management program for COPD. Disease Management is an effective model for managing individuals with COPD. Applying a case management model that includes (1) risk-identification and stratification; (2) education and empowerment regarding self-monitoring and management; (3) lifestyle modification; (4) communication and collaboration amongst patients, healthcare providers, and case managers to enhance the treatment plan; (5) providing after-hours support; and (6) monitoring care outcomes is crucial. Applying these interventions in a credible manner will improve the quality of life and quality of care delivered to individuals with mild, moderate, severe, and very severe COPD. Additionally, these interventions can significantly reduce utilization events.

  6. Realism and Impartiality: Making Sustainability Effective in Decision-Making.

    Science.gov (United States)

    Bastons, Miquel; Armengou, Jaume

    2017-08-01

    There is both individual and collective widespread concern in society about the impact of human activity and the effects of our decisions on the physical and social environment. This concern is included within the idea of sustainability. The meaning of the concept is still ambiguous and its practical effectiveness disputed. Like many other authors, this article uses as a starting point the definition proposed by the World Commission on Environment and Development (Our common future, Oxford University Press, Oxford, 1987), considering it to be a proposal for changing the assessment of the effects of decisions, from at least two perspectives: (1) what effects we should consider and (2) how we should assess them. Based on this double perspective, sustainability is explored as a method for decision-making which both expands the assessment of the consequences, and also provides an objective criterion for such assessment. It will be argued that the idea of sustainability, seen from this perspective, brings to decision-making two qualities which had been partially lost: realism and impartiality. In turn, the criteria for realism and impartiality in decision-making can be used to identify the limitations of some partial approaches to sustainability, which suffer from insufficient realism (emotional altruism), insufficient impartiality (tactical altruism) or both phenomena at once (egoism). The article concludes by demonstrating how realism and impartiality provide the basis for a new form of sustainable decision-making (ethical sustainability), which is dependent on the development of two moral virtues, prudence and benevolence, and which brings practical effectiveness and ethical sense to the concept of sustainability.

  7. Sustainability of ARV provision in developing countries: challenging a framework based on program history.

    Science.gov (United States)

    Azeredo, Thiago Botelho; Oliveira, Maria Auxiliadora; Santos-Pinto, Cláudia Du Bocage; Miranda, Elaine Silva; Osorio-de-Castro, Claudia Garcia Serpa

    2017-08-01

    The provision of ARVs is central to HIV/AIDS programs, because of its impact on the course of the disease and on quality of life. Although first-line treatments costs have declined, treatment-associated expenses are steeper each year. Sustainability is therefore an important variable for the success of treatment programs. A conceptual framework on sustainability of ARV provision was developed, followed by data collection instruments. The pilot study was undertaken in Brazil. Bolivia, Peru and Mozambique, were visited. Key informants were identified and interviewed. Investigation of sustainability related to ARV provision involved implementation and routinization events of provision schemes. Evidence of greater sustainability potential was observed in Peru, where provision is implemented and routinized by the National HIV/AIDS program and expenditures met by the government. In Mozambique, provision is dependent on donations and external aid, but the country displays a great effort to incorporate ARV provision and care in routine healthcare activities. Bolivia, in addition to external dependence on financing and management of drug supply, presents problems regarding implementation and routinization. The conceptual framework was useful in recognizing events that influence sustainable ARV provision in these countries.

  8. Recovery Act - Sustainable Transportation: Advanced Electric Drive Vehicle Education Program

    Energy Technology Data Exchange (ETDEWEB)

    Caille, Gary

    2013-12-13

    The collective goals of this effort include: 1) reach all facets of this society with education regarding electric vehicles (EV) and plug–in hybrid electric vehicles (PHEV), 2) prepare a workforce to service these advanced vehicles, 3) create web–based learning at an unparalleled level, 4) educate secondary school students to prepare for their future and 5) train the next generation of professional engineers regarding electric vehicles. The Team provided an integrated approach combining secondary schools, community colleges, four–year colleges and community outreach to provide a consistent message (Figure 1). Colorado State University Ventures (CSUV), as the prime contractor, plays a key program management and co–ordination role. CSUV is an affiliate of Colorado State University (CSU) and is a separate 501(c)(3) company. The Team consists of CSUV acting as the prime contractor subcontracted to Arapahoe Community College (ACC), CSU, Motion Reality Inc. (MRI), Georgia Institute of Technology (Georgia Tech) and Ricardo. Collaborators are Douglas County Educational Foundation/School District and Gooru (www.goorulearning.org), a nonprofit web–based learning resource and Google spin–off.

  9. Light Water Reactor Sustainability Program: Digital Architecture Project Plan

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Ken [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-09-01

    There are many technologies available to the nuclear power industry to improve efficiency in plant work activities. These range from new control room technologies to those for mobile field workers. They can make a positive impact on a wide range of performance objectives – increase in productivity, human error reduction, validation of results, accurate transfer of data, and elimination of repetitive tasks. It is expected that the industry will more and more turn to these technologies to achieve these operational efficiencies to lower costs. At the same time, this will help utilities manage a looming staffing problem as the inevitable retirement wave of the more seasoned workers affects both staffing levels and knowledge retention. A barrier to this wide-scale implementation of new technologies for operational efficiency is the lack of a comprehensive digital architecture that can support the real-time information exchanges needed to achieve the desired operational efficiencies. This project will define an advanced digital architecture that will accommodate the entire range of system, process, and plant worker activity to enable the highest degree of integration, thereby creating maximum efficiency and productivity. This pilot project will consider a range of open standards that are suitable for the various data and communication requirements of a seamless digital environment. It will map these standards into an overall architecture to support the II&C developments of this research program.

  10. Variation in Sustainability Competency Development According to Age, Gender, and Disciplinary Affiliation: Implications for Teaching Practice and Overall Program Structure

    Science.gov (United States)

    Remington-Doucette, Sonya; Musgrove, Sheryl

    2015-01-01

    Purpose: The purpose of this paper is to present the results of a classroom assessment aimed at determining the extent to which five key sustainability competencies develop in students during an introductory transdisciplinary sustainability course. University sustainability programs intend to provide integrated education that fosters the key…

  11. School effectiveness and school improvement : Sustaining links

    NARCIS (Netherlands)

    Creemers, B.P.M.; Reezigt, G.J.

    1997-01-01

    Ideally, school effectiveness research and school improvement might have a relationship with a surplus value for both. In reality, this relationship is often troublesome. Some problems can be attributed to the intrinsic differences between effectiveness and improvement, such as different missions.

  12. Sustaining Liminality: Experiences and Negotiations of International Females in U.S. Engineering Graduate Programs

    Science.gov (United States)

    Dutta, Debalina

    2012-01-01

    This project examines the intersectionalities of international females in engineering graduate programs of the United States, using frameworks of sustainability and liminality theory. According to Dutta and Kisselburgh (2011) international females in graduate engineering constitute the "minorities of minorities," not only in terms of…

  13. A University-Hosted Program in Pursuit of Coastal Sustainability: The Case of Tokyo Bay

    Directory of Open Access Journals (Sweden)

    Osamu Baba

    2013-09-01

    Full Text Available This study presents a unique way by which a university program can contribute to capacity development for coastal sustainability. The program is steered by a working group of volunteer faculty members, having different academic backgrounds, in collaboration with students and marine professionals, including fisherfolk and environment education interpreters. Although the program began with conventional educational ideas and style, its practical framework evolved to include interactive activities with collaborators in the community, all of which were geared toward social learning. The combination of service learning and participatory action research (PAR was proven to be an adequate approach to link higher education for sustainable development (HESD and university-community partnerships and to promote learning for coastal sustainability. Challenges identified include (1 ensuring continuity of learning and (2 reducing the heavy workload of faculty members involved in program preparation and coordination. The authors would like to emphasize the possibilities offered by the engagement of scholarship in the capacity development for coastal sustainability by focusing on community-based efforts.

  14. Implementing and Sustaining School-Located Influenza Vaccination Programs: Perspectives from Five Diverse School Districts

    Science.gov (United States)

    Wilson, Dulmini; Sanchez, Kathleen M.; Blackwell, Susan H.; Weinstein, Eva; El Amin, A. Nelson

    2013-01-01

    Local health departments have typically led school-located influenza vaccination (SLIV) programs, assuming resource-intensive roles in design, coordination, and vaccination. This level of involvement is often not financially sustainable over time. Five diverse school districts in Los Angeles County designed, implemented, refined, and…

  15. Making distribution of wheelchairs sustainable: A Wheels for the World program in North India, October 2015

    Directory of Open Access Journals (Sweden)

    Jubin Varghese

    2015-01-01

    Full Text Available A description of a program carried out in October 2015 in North India of distribution of wheelchairs and other assistive devices for persons with disabilities. Applying cooperative approaches through churches, NGOs and networks, outside resources were utilized to develop a sustainable approach to meeting identified disability needs in low-resource settings.

  16. Perspective Transformation through College Summer Service Immersion Programs: Is Learning Enhanced by Sustained Engagement?

    Science.gov (United States)

    Hudson, Tara D.; Serra, Susan; Shappell, Andrea Smith; Gray-Girton, Angela; Brandenberger, Jay

    2017-01-01

    Summer offers the opportunity for sustained community engagement through immersions in summer service-learning programs. A group of 16 colleges and universities that sponsor domestic and international summer service initiatives have formed a Summer Service Collaborative (SSC) to enhance preparation, immersion, and follow-up in light of the unique…

  17. Development of an Interdisciplinary, Intercultural Master's Program on Sustainability: Learning from the Richness of Diversity

    Science.gov (United States)

    van Dam-Mieras, Rietje; Lansu, Angelique; Rieckmann, Marco; Michelsen, Gerd

    2008-01-01

    The purpose of this article is to describe a joint effort between three European and six Latin American universities to create an international Master's degree program on Sustainable Development and Management. Faculty members from these institutions are working together on this unusual and innovative project, which recognizes the importance of…

  18. ERP characterization of sustained attention effects in visual lexical categorization.

    Directory of Open Access Journals (Sweden)

    Clara D Martin

    Full Text Available As our understanding of the basic processes underlying reading is growing, the key role played by attention in this process becomes evident. Two research topics are of particular interest in this domain: (1 it is still undetermined whether sustained attention affects lexical decision tasks; (2 the influence of attention on early visual processing (i.e., before orthographic or lexico-semantic processing stages remains largely under-specified. Here we investigated early perceptual modulations by sustained attention using an ERP paradigm adapted from Thierry et al. [1]. Participants had to decide whether visual stimuli presented in pairs pertained to a pre-specified category (lexical categorization focus on word or pseudoword pairs. Depending on the lexical category of the first item of a pair, participants either needed to fully process the second item (hold condition or could release their attention and make a decision without full processing of the second item (release condition. The P1 peak was unaffected by sustained attention. The N1 was delayed and reduced after the second item of a pair when participants released their attention. Release of sustained attention also reduced a P3 wave elicited by the first item of a pair and abolished the P3 wave elicited by the second. Our results are consistent with differential effects of sustained attention on early processing stages and working memory. Sustained attention modulated early processing stages during a lexical decision task without inhibiting the process of stimulus integration. On the contrary, working memory involvement/updating was highly dependent upon the allocation of sustained attention. Moreover, the influence of sustained attention on both early and late cognitive processes was independent of lexical categorization focus.

  19. Light Water Reactor Sustainability Program Advanced Seismic Soil Structure Modeling

    Energy Technology Data Exchange (ETDEWEB)

    Bolisetti, Chandrakanth [Idaho National Lab. (INL), Idaho Falls, ID (United States); Coleman, Justin Leigh [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-06-01

    Risk calculations should focus on providing best estimate results, and associated insights, for evaluation and decision-making. Specifically, seismic probabilistic risk assessments (SPRAs) are intended to provide best estimates of the various combinations of structural and equipment failures that can lead to a seismic induced core damage event. However, in some instances the current SPRA approach has large uncertainties, and potentially masks other important events (for instance, it was not the seismic motions that caused the Fukushima core melt events, but the tsunami ingress into the facility). SPRA’s are performed by convolving the seismic hazard (this is the estimate of all likely damaging earthquakes at the site of interest) with the seismic fragility (the conditional probability of failure of a structure, system, or component given the occurrence of earthquake ground motion). In this calculation, there are three main pieces to seismic risk quantification, 1) seismic hazard and nuclear power plants (NPPs) response to the hazard, 2) fragility or capacity of structures, systems and components (SSC), and 3) systems analysis. Two areas where NLSSI effects may be important in SPRA calculations are, 1) when calculating in-structure response at the area of interest, and 2) calculation of seismic fragilities (current fragility calculations assume a lognormal distribution for probability of failure of components). Some important effects when using NLSSI in the SPRA calculation process include, 1) gapping and sliding, 2) inclined seismic waves coupled with gapping and sliding of foundations atop soil, 3) inclined seismic waves coupled with gapping and sliding of deeply embedded structures, 4) soil dilatancy, 5) soil liquefaction, 6) surface waves, 7) buoyancy, 8) concrete cracking and 9) seismic isolation The focus of the research task presented here-in is on implementation of NLSSI into the SPRA calculation process when calculating in-structure response at the area

  20. Creating, Invigorating, and Sustaining Effective Teams.

    Science.gov (United States)

    Trimble, Susan; Miller, John W.

    1996-01-01

    Teams can boost creativity, morale, and communication, but they can also unleash disharmony, create tension, and waste time. To maximize teaming benefits, administrators must share authority, cultivate teacher leadership, train all team members, use situational leadership, model effective team leader behaviors, provide incentives, support each…

  1. Sustainable agriculture development through effective farmer groups

    African Journals Online (AJOL)

    Group formation cannot simply be achieved by calling people together. The formation and development of an effective farmer group is influenced by the skills of the group promoter and the adherence to certain basic group dynamic principles. This paper reflects on the experience of establishing and working with farmer ...

  2. Sustained production of multi-decadal climate records - Lessons from the NOAA Climate Data Record Program

    Science.gov (United States)

    Bates, J. J.

    2015-12-01

    NOAA's Climate Data Record (CDR) Program was designed to be responsive to the needs of climate monitoring, research, and services with the ultimate aim of serving decision making across a spectrum of users for the long term. It requires the sustained production of high quality, multidecadal time series data describing the global atmosphere, oceans, and land surface that can be used for informed decision making. The challenges of a long-term program of sustaining CDRs, as contrasted with short-term efforts of traditional three-year research programs, are substantial and different. The sustained production of CDRs requires collaboration between experts in the climate community, data management, and software development and maintenance. It is also informed by scientific application and associated user feedback on the accessibility and usability of the produced CDRs. The CDR Program has developed a metric for assessing the maturity of CDRs with respect to data management, software, and user application and applied it to over 28 CDRs. The main/primary lesson learned over the past seven years is that a rigorous, team approach to data management, employing subject matter experts at every step, is critical to open and transparent production. This approach also makes it much easier to support the needs of users who want near-real-time production of "interim" CDRs for monitoring and users who want to use CDRs for tailored authoritative information, such as a drought index. This talk will review of the history of the CDR program, current status, and plans.

  3. Accounting for variations in ART program sustainability outcomes in health facilities in Uganda: a comparative case study analysis.

    Science.gov (United States)

    Zakumumpa, Henry; Bennett, Sara; Ssengooba, Freddie

    2016-10-18

    Uganda implemented a national ART scale-up program at public and private health facilities between 2004 and 2009. Little is known about how and why some health facilities have sustained ART programs and why others have not sustained these interventions. The objective of the study was to identify facilitators and barriers to the long-term sustainability of ART programs at six health facilities in Uganda which received donor support to commence ART between 2004 and 2009. A case-study approach was adopted. Six health facilities were purposively selected for in-depth study from a national sample of 195 health facilities across Uganda which participated in an earlier study phase. The six health facilities were placed in three categories of sustainability; High Sustainers (2), Low Sustainers (2) and Non- Sustainers (2). Semi-structured interviews with ART Clinic managers (N = 18) were conducted. Questionnaire data were analyzed (N = 12). Document review augmented respondent data. Based on the data generated, across-case comparative analyses were performed. Data were collected between February and June 2015. Several distinguishing features were found between High Sustainers, and Low and Non-Sustainers' ART program characteristics. High Sustainers had larger ART programs with higher staffing and patient volumes, a broader 'menu' of ART services and more stable program leadership compared to the other cases. High Sustainers associated sustained ART programs with multiple funding streams, robust ART program evaluation systems and having internal and external program champions. Low and Non Sustainers reported similar barriers of shortage and attrition of ART-proficient staff, low capacity for ART program reporting, irregular and insufficient supply of ARV drugs and a lack of alignment between ART scale-up and their for-profit orientation in three of the cases. We found that ART program sustainability was embedded in a complex system involving dynamic interactions

  4. URBAN ENVIRONMENTAL SUSTAINABILITY: A CHALLENGE TO EFFECTIVE LANDSCAPING IN NIGERIA

    Directory of Open Access Journals (Sweden)

    Anifowose M. O. Atolagbe

    2006-01-01

    Full Text Available The poor quality of the Nigerian urban environment has been attributed partly to the inadequate%2C misuse and mis- management of the urban open spaces. This%2C according to various researchers%2C has exerted a major strain on the physical outlook of the environment and a negative effect on the welfare and productivity of the residents. This has called for the need to identify and analyze the open spaces in the urban environment and assess the implications of their landscape planning on the status of the city and the development of a healthy and sustainable environment. This study therefore discusses the concept of sustainability%2C particularly within the built environment. It looks into the principles and indicators for sustainability of the environment and the resulting problems. Furthermore%2C a case study of Akure urban core was carried out to assess the uses and landscape status of the open spaces. The results when statistically analysed showed the inadequacies in the provision and management of the open spaces in the study area. It therefore recommends attainable policies for the effective sustainability of the environment. Abstract in Bahasa Indonesia : urban environment%2C sustainability%2C landscaping.

  5. Sustaining Behavior Changes Following a Venous Leg Ulcer Client Education Program.

    Science.gov (United States)

    Miller, Charne; Kapp, Suzanne; Donohue, Lisa

    2014-09-04

    Venous leg ulcers are a symptom of chronic insufficiency of the veins. This study considered the sustainability of behavior changes arising from a client focus e-Learning education program called the "Leg Ulcer Prevention Program" (LUPP) for people with a venous leg ulcer. Data from two related studies were used to enable a single sample (n = 49) examination of behavior maintenance across an average 8 to 9 months period. Physical activity levels increased over time. Leg elevation, calf muscle exercises, and soap substitute use were seen to fluctuate over the follow up time points. The use of a moisturizer showed gradual decline over time. The provision of a client-focused venous leg ulcer program was associated with behavior changes that had varied sustainability across the evaluation period.

  6. SLFP: a stochastic linear fractional programming approach for sustainable waste management.

    Science.gov (United States)

    Zhu, H; Huang, G H

    2011-12-01

    A stochastic linear fractional programming (SLFP) approach is developed for supporting sustainable municipal solid waste management under uncertainty. The SLFP method can solve ratio optimization problems associated with random information, where chance-constrained programming is integrated into a linear fractional programming framework. It has advantages in: (1) comparing objectives of two aspects, (2) reflecting system efficiency, (3) dealing with uncertainty expressed as probability distributions, and (4) providing optimal-ratio solutions under different system-reliability conditions. The method is applied to a case study of waste flow allocation within a municipal solid waste (MSW) management system. The obtained solutions are useful for identifying sustainable MSW management schemes with maximized system efficiency under various constraint-violation risks. The results indicate that SLFP can support in-depth analysis of the interrelationships among system efficiency, system cost and system-failure risk. Copyright © 2011 Elsevier Ltd. All rights reserved.

  7. Partnering with education and job and training programs for sustainable tobacco control among Baltimore african american young adults.

    Science.gov (United States)

    Smith, Katherine Clegg; Bone, Lee; Clay, Eric A; Owings, Kerry; Thames, Sean; Stillman, Frances

    2009-01-01

    Young adults are generally overlooked in tobacco control initiatives, even though they are critical to sustained success. African American young adults who are not in higher education or working are particularly vulnerable to harmful tobacco use, given high smoking rates and limited access to cessation services. Guided by community-based participatory research (CBPR) principles, we sought to identify program and community-level strategies to reduce tobacco use among African American young adults in Baltimore. We describe the challenges and opportunities for integrating effective tobacco control into community-based education and job training programs for unemployed young adults. As part of a longstanding community-research partnership in Baltimore, we conducted fourteen semistructured key informant interviews with leaders from city government and education and job training programs for young adults. The research design, data collection, analysis, and dissemination all included dialogue between and active contribution by both research and community partners. Interview data were structured into opportunities (mindset for change and desire for bonds with a trusted adult), challenges (culture of fatalism, tobacco as a stress reliever, and culture of tobacco use among young adults), and possible tobacco control solutions (tobacco education designed with and for program staff and participants and integration of tobacco issues into holistic program goals and policies). The emergent themes enhance our understanding of how tobacco is situated in the lives of unemployed young adults and the potential for building sustainable, community-based public health solutions.

  8. Light Water Reactor Sustainability Program: Digital Technology Business Case Methodology Guide

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Ken [Idaho National Lab. (INL), Idaho Falls, ID (United States); Lawrie, Sean [ScottMadden, Inc., Raleigh, NC (United States); Hart, Adam [ScottMadden, Inc., Raleigh, NC (United States); Vlahoplus, Chris [ScottMadden, Inc., Raleigh, NC (United States)

    2014-09-01

    The Department of Energy’s (DOE’s) Light Water Reactor Sustainability Program aims to develop and deploy technologies that will make the existing U.S. nuclear fleet more efficient and competitive. The program has developed a standard methodology for determining the impact of new technologies in order to assist nuclear power plant (NPP) operators in building sound business cases. The Advanced Instrumentation, Information, and Control (II&C) Systems Technologies Pathway is part of the DOE’s Light Water Reactor Sustainability (LWRS) Program. It conducts targeted research and development (R&D) to address aging and reliability concerns with the legacy instrumentation and control and related information systems of the U.S. operating light water reactor (LWR) fleet. This work involves two major goals: (1) to ensure that legacy analog II&C systems are not life-limiting issues for the LWR fleet and (2) to implement digital II&C technology in a manner that enables broad innovation and business improvement in the NPP operating model. Resolving long-term operational concerns with the II&C systems contributes to the long-term sustainability of the LWR fleet, which is vital to the nation’s energy and environmental security. The II&C Pathway is conducting a series of pilot projects that enable the development and deployment of new II&C technologies in existing nuclear plants. Through the LWRS program, individual utilities and plants are able to participate in these projects or otherwise leverage the results of projects conducted at demonstration plants. Performance advantages of the new pilot project technologies are widely acknowledged, but it has proven difficult for utilities to derive business cases for justifying investment in these new capabilities. Lack of a business case is often cited by utilities as a barrier to pursuing wide-scale application of digital technologies to nuclear plant work activities. The decision to move forward with funding usually hinges on

  9. Postgraduate education in transfusion medicine in the absence of formal residency training: assessment of factors needed to develop and sustain a postgraduate diploma program.

    Science.gov (United States)

    Louw, Vernon J; Nel, Marietjie M; Hay, John F

    2013-12-01

    Quality education in transfusion medicine is key to delivering a safe and cost-effective blood service, yet postgraduate residency programs are lacking in many resource-limited countries and regions. The first formal, accredited, postgraduate training program in transfusion medicine aimed at medical doctors was developed and implemented at the University of the Free State in Bloemfontein, South Africa, in 2008. In the context of high demand and limited resources, ensuring sustainability of postgraduate training programs is essential. A formal qualitative and semi-quantitative research approach was followed to determine and test the factors considered important in program sustainability, and consisted of a literature survey, followed by semi-structured interviews and a Delphi survey. Fifty-five factors were identified from the semi-structured interviews. During the Delphi survey, consensus was reached on 41 and stability declared on a further 13. These factors formed the basis of a structured model informing the sustainability aspects of a postgraduate program in transfusion medicine. Literature on program sustainability in the field of transfusion medicine is very limited. This study identified the key factors essential to the long-term viability of a postgraduate program in transfusion medicine and should find broad applicability in other resource-limited countries and regions. It is envisaged that this will enable such programs to reach a state of self-sufficiency while not being overly reliant on external funding and support. Copyright © 2012 Elsevier Ltd. All rights reserved.

  10. Enriching preschool classrooms and home visits with evidence-based programming: sustained benefits for low-income children.

    Science.gov (United States)

    Bierman, Karen L; Heinrichs, Brenda S; Welsh, Janet A; Nix, Robert L; Gest, Scott D

    2017-02-01

    Growing up in poverty undermines healthy development, producing disparities in the cognitive and social-emotional skills that support early learning and mental health. Preschool and home-visiting interventions for low-income children have the potential to build early cognitive and social-emotional skills, reducing the disparities in school readiness that perpetuate the cycle of poverty. However, longitudinal research suggests that the gains low-income children make during preschool interventions often fade at school entry and disappear by early elementary school. In an effort to improve the benefits for low-income children, the REDI program enriched Head Start preschool classrooms (study one) and home visits (study two) with evidence-based programming, documenting positive intervention effects in two randomized trials. In this study, REDI participants were followed longitudinally, to evaluate the sustained impact of the classroom and home-visiting enrichments 3 years later, when children were in second grade. The combined sample included 556 children (55% European American, 25% African American, 19% Latino; 49% male): 288 children received the classroom intervention, 105 children received the classroom intervention plus the home-visiting intervention, and 173 children received usual practice Head Start. The classroom intervention led to sustained benefits in social-emotional skills, improving second grade classroom participation, student-teacher relationships, social competence, and peer relations. The coordinated home-visiting intervention produced additional benefits in child mental health (perceived social competence and peer relations) and cognitive skills (reading skills, academic performance). Significant effects ranged from 25% to 48% of a standard deviation, representing important effects of small to moderate magnitude relative to usual practice Head Start. Preschool classroom and home-visiting programs for low-income children can be improved with the use

  11. Discourses on sustainable forest management and effects of Natura 2000

    NARCIS (Netherlands)

    Ferranti, Francesca; Vericat, Pau; Koning, de Jessica

    2017-01-01

    This study analyzed discourses influencing the meaning of Sustainable Forest Management in Catalonia (Spain) and the effects of the European Natura 2000 policy on these discourses. It focused on the Montseny area and on the Administration and Practitioner stakeholder groups. Based on literature

  12. Classifying Adoption of Sustainability Policies and Programs: Quantitative and Qualitative Methods for the Development of a Community Sustainability Typology

    Science.gov (United States)

    Understanding how and why different communities engage with sustainability policies and actions is of critical importance for furthering implementation of innovative and conventional sustainability strategies. Despite this importance, an understanding of how and why communities a...

  13. The Effectiveness and Sustainability of the Sterilization Policy in China

    Directory of Open Access Journals (Sweden)

    Chien-Ping Chung

    2014-01-01

    Full Text Available The aim of this paper is to examine the sterilization policy in China. First, several indices are used to measure the status of China’s markets and to determine effectiveness and sustainability of the sterilization policy and the possible impacts it may have induced. Second, within a microeconomic framework, we incorporate the housing price variable into the target loss function of the monetary authority to explore its financial capabilities and evaluate the effectiveness and sustainability of China’s sterilization policy. The empirical results show that Chinese monetary authorities sterilize almost all of the effects of international capital inflows and increase foreign exchange reserves on the monetary base. That is, increased capital mobility does not sabotage the independence of the Chinese monetary policy. Nevertheless, analyses of the sustainability of sterilization policy indicate that the sustainability of the monetary sterilization policy has been seriously challenged since March 2008, which suggests that Chinese monetary authority has endured tremendous pressure for unsustainable sterilization.

  14. Can an Infusion of Federal Funds Result in Sustainable Projects? An Evaluation of Suicide Prevention Programs.

    Science.gov (United States)

    Apsler, Robert; Formica, Scott W; Stout, Ellyson; Carr, Colleen

    2017-12-01

    Our study evaluated the sustainability of programs in early cohorts of the Garrett Lee Smith (GLS) Memorial Act suicide prevention initiative, a major source of federal funding for youth suicide prevention among states, tribes, and institutions of higher education. We sought to: (1) determine whether suicide prevention activities initiated with federal support continued after funding ended, and (2) identify factors associated with sustainment. Thirty-three sites between 1 and 4 years beyond the end of their GLS grant participated in a retrospective online survey assessing their level of suicide prevention activity 1 year before, during (during-GLS), and 1 year after funding (after-GLS). We found that, on average, sites experienced a 6% decrease in their overall level of activity from during- to after-GLS. Twenty-two (67% of responding sites) exhibited either an increase in activity level or no more than a 10% decline from during- to after-GLS periods. After-GLS scores for the 11 remaining sites declined between 11 and 30% from their during-GLS levels. We conducted semi-structured follow-up interviews with 13 sites that successfully continued their activities to explore factors associated with sustainability. Our findings indicate that program actions in the during-GLS period associated with sustainability included: maintaining a sustainability mindset, developing and nurturing partnerships and relationships, embedding services in parent organizations, pursuing new and diversified funding, and implementing cost-reduction efficiencies. Actions in the after-GLS period associated with sustainability included: obtaining funding from other sources, reconfiguring, and maintaining continuous leadership.

  15. Factors that influence evidence-based program sustainment for family support providers in child protection services in disadvantaged communities.

    Science.gov (United States)

    Hodge, Lauren M; Turner, Karen M T; Sanders, Matthew R; Forster, Michell

    2017-08-01

    This paper evaluates program, workplace and process factors associated with implementation and sustainment of an evidence-based parenting support program (EBP) in disadvantaged communities. Correlation analyses and binary logistic regressions were used to assess the associations between key implementation support factors and program implementation (at 18 months) and sustainment (at 36 months) post training with (N=35) Australian Aboriginal and Torres Strait Islander family support providers using the Triple P - Positive Parenting Program in Indigenous child protection agencies. This study demonstrated that for implementation at 18 months, there was a trend for implementing providers to report higher levels of partnership support, perceived program benefit, workplace support and workplace cohesion. However, the only significant relationship was with partnership support (r=.31 pprogram implementation. For sustained implementation at 36 months, no relationship was found between sustainment and program characteristics, workplace characteristics, supervision and peer support or sustainability planning. Supportive coaching was the only significant correlate (r=0.46, pp=0.009] in the program sustainment model. Overall, these findings suggest the need for further exploration of program and workplace variables and provide evidence to consider incorporating partnership support and supportive coaching in real world implementation models to improve the likelihood of EBP implementation and sustainment in Indigenous communities. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Beyond Magnet® Designation: Perspectives From Nurse Managers on Factors of Sustainability and High-Performance Programming.

    Science.gov (United States)

    Hayden, Margaret A; Wolf, Gail A; Zedreck-Gonzalez, Judith F

    2016-10-01

    The aim of this study was to identify patterns of high-performing behaviors and nurse manager perceptions of the factors of Magnet® sustainability at a multidesignated Magnet organization. The Magnet program recognizes exemplary professional nursing practice and is challenging to achieve and sustain. Only 10% (n = 42) of Magnet hospitals sustained designation for 12 years or longer. This study explored the perspectives of Magnet nurse managers regarding high-performing teams and the sustainability of Magnet designation. A qualitative study of nurse managers was conducted at 1 multidesignated Magnet organization (n = 13). Interview responses were analyzed using pattern recognition of Magnet model domains and characteristics of high-performing teams and then related to factors of Magnet sustainability. Transformational leadership is both an essential factor for sustainability and a potential barrier to sustainability of Magnet designation. Transformational nursing leaders lead high-performing teams and should be in place at all levels as an essential factor in sustaining Magnet redesignation.

  17. Is there sustainable entrepreneurship in the wine industry? Exploring Sicilian wineries participating in the SOStain program

    Directory of Open Access Journals (Sweden)

    Emanuele Schimmenti

    2016-06-01

    Full Text Available Global climate change and the accelerating depletion of natural resources have contributed to increase discussions about the role of private enterprises in reversing negative environmental trends. Rather than focusing on profit maximization, policy makers and consumers pressure groups expect firms to meet a triple-bottom line of economic, environmental and social value creation. Hence sustainable entrepreneurship has received recently increasing interest as a phenomenon and a research topic. More recently, the concept of sustainability has been taken seriously in the Italian wine industry. The organizational challenge for entrepreneurship is to better integrate social and environmental performance into the economic business logic. The aim of this manuscript is to illustrate, through a descriptive approach, the adaptation of the wine industry to the new scenario of sustainable entrepreneurship. To reach this goal we carried out an explorative analysis of 3 Sicilian wineries involved in the SOStain program, which aims at the improvement of sustainability in the wine industry. The findings of the analysis show the existence of sustainability-driven entrepreneurship, in which the wineries undertake to behave ethically and contribute to economic development while improving the quality of life for the workforce, their families, the local and global community as well as future generations.

  18. An organizational perspective on the long-term sustainability of a nursing best practice guidelines program: a case study.

    Science.gov (United States)

    Fleiszer, Andrea R; Semenic, Sonia E; Ritchie, Judith A; Richer, Marie-Claire; Denis, Jean-Louis

    2015-12-03

    Many healthcare innovations are not sustained over the long term, wasting costly implementation efforts and often desperately-needed initial improvements. Although there have been advances in knowledge about innovation implementation, there has been considerably less attention focused on understanding what happens following the early stages of change. Research is needed to determine how to improve the 'staying power' of healthcare innovations. As almost no empirical knowledge exists about innovation sustainability in nursing, the purpose of our study was to understand how a nursing best practice guidelines (BPG) program was sustained over a long-term period in an acute healthcare centre. We conducted a qualitative descriptive case study to examine the program's sustainability at the nursing department level of the organization. The organization was a large, urban, multi-site acute care centre in Canada. The patient safety-oriented BPG program, initiated in 2004, consisted of an organization-wide implementation of three BPGs: falls prevention, pressure ulcer prevention, and pain management. Data were collected eight years following program initiation through 14 key informant interviews, document reviews, and observations. We developed a framework for the sustainability of healthcare innovations to guide data collection and content analysis. Program sustainability entailed a combination of three essential characteristics: benefits, institutionalization, and development. A constellation of 11 factors most influenced the long-term sustainability of the program. These factors were innovation-, context-, leadership-, and process-related. Three key interactions between factors influencing program sustainability and characteristics of program sustainability accounted for how the program had been sustained. These interactions were between: leadership commitment and benefits; complementarity of leadership actions and both institutionalization and development; and a

  19. Development plan for the External Hazards Experimental Group. Light Water Reactor Sustainability Program

    Energy Technology Data Exchange (ETDEWEB)

    Coleman, Justin Leigh [Idaho National Lab. (INL), Idaho Falls, ID (United States); Smith, Curtis Lee [Idaho National Lab. (INL), Idaho Falls, ID (United States); Burns, Douglas Edward [Idaho National Lab. (INL), Idaho Falls, ID (United States); Kammerer, Annie [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-03-01

    This report describes the development plan for a new multi-partner External Hazards Experimental Group (EHEG) coordinated by Idaho National Laboratory (INL) within the Risk-Informed Safety Margin Characterization (RISMC) technical pathway of the Light Water Reactor Sustainability Program. Currently, there is limited data available for development and validation of the tools and methods being developed in the RISMC Toolkit. The EHEG is being developed to obtain high-quality, small- and large-scale experimental data validation of RISMC tools and methods in a timely and cost-effective way. The group of universities and national laboratories that will eventually form the EHEG (which is ultimately expected to include both the initial participants and other universities and national laboratories that have been identified) have the expertise and experimental capabilities needed to both obtain and compile existing data archives and perform additional seismic and flooding experiments. The data developed by EHEG will be stored in databases for use within RISMC. These databases will be used to validate the advanced external hazard tools and methods.

  20. Developing sustainable trauma care education in Egypt: sequential trauma education program, steps to success.

    Science.gov (United States)

    El-Shinawi, Mohamed; McCunn, Maureen; Sisley, Amy C; El-Setouhy, Maged; Hirshon, Jon Mark

    2015-01-01

    As one of the leading causes of death and disability in the world, human trauma and injury disproportionately affects individuals in developing countries. To meet the need for improved trauma care in Egypt, the Sequential Trauma Emergency/Education ProgramS (STEPS) course was created through the collaborative effort of U.S. and Egyptian physicians. The objective of course development was to create a high-quality, modular, adaptable, and sustainable trauma care course that could be readily adopted by a lower- or middle-income country. We describe the development, transition, and host nation sustainability of a trauma care training course between a high-income Western nation and a lower-middle-income Middle Eastern/Northern African country, including the number of physicians trained and the challenges to program development and sustainability. STEPS was developed at the University of Maryland, based in part on World Health Organization's Emergency and Trauma Care materials, and introduced to the Egyptian Ministry of Health and Population and Ain Shams University in May 2006. To date, 639 physicians from multiple specialties have taken the 4-day course through the Ministry of Health and Population or public/governmental universities. In 2008, the course transitioned completely to the leadership of Egyptian academic physicians. Multiple Egyptian medical schools and the Egyptian Emergency Medicine Board now require STEPS or its equivalent for physicians in training. Success of this collaborative educational program is demonstrated by the numbers of physicians trained, the adoption of STEPS by the Egyptian Emergency Medicine Board, and program continuance after transitioning to in-country leadership and trainers. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  1. The Effect of Implementation of Education for Sustainable Development in Swedish Compulsory Schools--Assessing Pupils' Sustainability Consciousness

    Science.gov (United States)

    Olsson, D.; Gericke, N.; Chang Rundgren, S.-N.

    2016-01-01

    During the past decade, numerous schools in Sweden have implemented education for sustainable development (ESD) as an explicit guiding approach in teaching. In this paper, we investigate the effect of this approach in comparison with that of pupils taught in ordinary schools. Accordingly, we introduce the concept of sustainability consciousness to…

  2. Sustainable childhood obesity prevention through community engagement (SCOPE) program: evaluation of the implementation phase.

    Science.gov (United States)

    McIntosh, Bonnie; Daly, Amelia; Mâsse, Louise C; Collet, Jean-Paul; Higgins, Joan Wharf; Naylor, Patti-Jean; Amed, Shazhan

    2015-10-01

    Childhood obesity rates are steadily rising. Sustainable Childhood Obesity Prevention Through Community Engagement (SCOPE) is a community-based participatory action research (PAR) program aimed at preventing childhood obesity. This study aimed to describe community perspectives on, and elicit feedback about, SCOPE's first phase of implementation in two pilot cities in British Columbia, Canada. A case study was implemented using interviews and questionnaires to obtain feedback about SCOPE from two groups: SCOPE coordinators and stakeholders (i.e., individuals and organizations that were a member of the community and engaged with SCOPE coordinators). Participants were recruited via email and (or) by telephone. Coordinators completed a telephone interview. Stakeholders completed a questionnaire and (or) a telephone interview. Thematic analysis was conducted. Participants included 2 coordinators and 15 stakeholders. Participants similarly interpreted SCOPE as a program focused on raising awareness about childhood obesity prevention, while engaging multiple community sectors. Overall, participants valued the program's role in facilitating networking and partnership development, providing evidence-based resources, technical expertise, and contributing funding. Participants felt that SCOPE is sustainable. However, participants felt that barriers to achieving healthy weights among children included those related to the built environment, and social, behavioral, and economic obstacles. Perspectives on factors that facilitated and acted as barriers to SCOPE's first phase of implementation were obtained from the SCOPE communities and may be used to enhance the sustainability of SCOPE and its applicability to other BC communities.

  3. Overview of the US Department of Energy Light Water Reactor Sustainability Program

    Energy Technology Data Exchange (ETDEWEB)

    K. A. McCarthy; D. L. Williams; R. Reister

    2012-05-01

    The US Department of Energy Light Water Reactor Sustainability Program is focused on the long-term operation of US commercial power plants. It encompasses two facets of long-term operation: (1) manage the aging of plant systems, structures, and components so that nuclear power plant lifetimes can be extended and the plants can continue to operate safely, efficiently, and economically; and (2) provide science-based solutions to the nuclear industry that support implementation of performance improvement technologies. An important aspect of the Light Water Reactor Sustainability Program is partnering with industry and the Nuclear Regulatory Commission to support and conduct the long-term research needed to inform major component refurbishment and replacement strategies, performance enhancements, plant license extensions, and age-related regulatory oversight decisions. The Department of Energy research, development, and demonstration role focuses on aging phenomena and issues that require long-term research and/or unique Department of Energy laboratory expertise and facilities and are applicable to all operating reactors. This paper gives an overview of the Department of Energy Light Water Reactor Sustainability Program, including vision, goals, and major deliverables.

  4. The DataTools Professional Development Program: Sustainability via a University Partnership

    Science.gov (United States)

    Haddad, N.; Ledley, T. S.; McAuliffe, C. A.; Reider, D.

    2009-12-01

    The DataTools professional development program (http://serc.carleton.edu/eet/msdatatools), offered by TERC, helps teachers integrate technology, scientific data, and inquiry into their middle and high school curricula. It leverages the resources and techniques of the Earth Exploration Toolbook (http://serc.carleton.edu/eet), an online collection of investigations that promotes the use of technology and scientific data in the context of studying the earth system. Over the course of the year-long program, teachers develop skills and a pedagogy of inquiry through a combination of on-line and face-to-face professional development and a significant amount of peer support. They learn to use information technologies that support the visualization and analysis of numerical, geospatial, and image data. DataTools was funded by NSF’s ITEST program to operate for three years. During year two we started to investigate the possibility of transforming the program into a graduate-level course at the University of Massachusetts, Dartmouth (UMD). The first step in that process was partnering with UMD to offer the third year of the NSF-funded program as a 3-credit graduate course on a 1-year trial basis. Our UMD partner participated in advertising the program to teachers in its network, provided classroom space at UMD for the face-to-face meetings and summer workshop, and offered three graduate credits to teachers who successfully completed the program. TERC staff continued to provide the professional development. The formation of the School for Education, Public Policy, and Civic Engagement at UMD, and the new STEM Department within that school appear to be favoring the transformation of this NSF-funded program into a sustainable graduate level course for in-service teachers. A key element to developing a sustainable course at a large university is to position it in a way that can service the largest number of students. In addition to the tremendous need of science professional

  5. Promising practices for school-located vaccination clinics-- part II: clinic operations and program sustainability.

    Science.gov (United States)

    Lott, John; Johnson, Jennifer

    2012-03-01

    A school-located mass vaccination program can enable rapid vaccination of a large number of students while minimizing disruption of their school activities. During 3 consecutive influenza seasons beginning in 2005, the Knox County Health Department conducted school-located mass vaccination clinics using live attenuated influenza vaccine. Overall, the proportion of elementary schoolchildren vaccinated with live attenuated influenza vaccine exceeded 40% each year. We describe key lessons learned in clinic operations, including obtaining informed consent, defining the organizational structure and roles, preparing the school, staffing, training, supplies, vaccine management, team communication, and data management. We conclude by discussing program costs and sustainability.

  6. Program in environmental sustainability uses interdisciplinary approach to cross-train students

    Science.gov (United States)

    Arvidson, Raymond E.; Johnson, Sarah S.

    The Hewlett Program in Environmental Sustainability, an experimental educational pathway for undergraduate students interested in the study of the environment (http://wundow.wustl.edu/hewlett), is now in its third year at Washington University. About 90% of incoming students have stayed with the program through the first year and about 80% through the second year.The program's objectives and implementation closely follow the recommendations presented in a 1998 Boyer Commission Report on emphasizing and improving undergraduate education at research universities (http://notes.cc.sunysb.edu/Pres/boyer/nsf). A clustered, interdisciplinary approach is used for coursework, with key environmental problems viewed from scientific, political, cultural, and ethical perspectives. Courses are taught by instructors who conduct research in environmental areas. The program's multidisciplinary nature is considered a strong draw for faculty involvement, though retaining faculty is still an issue.

  7. Sustained Effects of Acupuncture Stimulation Investigated with Centrality Mapping Analysis.

    Science.gov (United States)

    Long, Xiangyu; Huang, Wenjing; Napadow, Vitaly; Liang, Fanrong; Pleger, Burkhard; Villringer, Arno; Witt, Claudia M; Nierhaus, Till; Pach, Daniel

    2016-01-01

    Acupuncture can have instant and sustained effects, however, its mechanisms of action are still unclear. Here, we investigated the sustained effect of acupuncture by evaluating centrality changes in resting-state functional magnetic resonance imaging after manually stimulating the acupuncture point ST36 at the lower leg or two control point locations (CP1 same dermatome, CP2 different dermatome). Data from a previously published experiment evaluating instant BOLD effects and S2-seed-based resting state connectivity was re-analyzed using eigenvector centrality mapping and degree centrality mapping. These data-driven methods might add new insights into sustained acupuncture effects on both global and local inter-region connectivity (centrality) by evaluating the summary of connections of every voxel. We found higher centrality in parahippocampal gyrus and middle temporal gyrus after ST36 stimulation in comparison to the two control points. These regions are positively correlated to major hubs of the default mode network, which might be the primary network affected by chronic pain. The stronger integration of both regions within the whole-brain connectome after stimulation of ST36 might be a potential contributor to pain modulation by acupuncture. These findings highlight centrality mapping as a valuable analysis for future imaging studies investigating clinically relevant outcomes associated with physiological response to acupuncture stimulation. NCT01079689, ClinicalTrials.gov.

  8. Sustained effects of acupuncture stimulation investigated with centrality mapping analysis

    Directory of Open Access Journals (Sweden)

    Xiangyu Long

    2016-10-01

    Full Text Available Acupuncture can have instant and sustained effects, however its mechanisms of action are still unclear. Here we investigated the sustained effect of acupuncture by evaluating centrality changes in resting-state functional magnetic resonance imaging after manually stimulating the acupuncture point ST36 at the lower leg or two control point locations (CP1 same dermatome, CP2 different dermatome. Data from a previously published experiment evaluating instant BOLD effects and S2-seed-based resting state connectivity was re-analyzed using eigenvector centrality mapping (ECM and degree centrality mapping (DCM. These data-driven methods might add new insights into sustained acupuncture effects on both global and local inter-region connectivity (centrality by evaluating the summary of connections of every voxel. We found higher centrality in parahippocampal gyrus and middle temporal gyrus after ST36 stimulation in comparison to the two control points. These regions are positively correlated to major hubs of the default mode network, which might be the primary network affected by chronic pain. The stronger integration of both regions within the whole-brain connectome after stimulation of ST36 might be a potential contributor to pain modulation by acupuncture. These findings highlight centrality mapping as a valuable analysis for future imaging studies investigating clinically-relevant outcomes associated with physiological response to acupuncture stimulation.

  9. The Effects of Sustainable Tourism on the Pygmies of Cameroon

    OpenAIRE

    Njenji, Julius

    2014-01-01

    The Cameroon Pygmies like many indigenous groups of the World are facing threats and marginalization or discrimination on the land they first possessed by their neighboring farmer´s group known as, the Bantus and the Cameroon Government policies as a result of tourism development. This study examines The Effects of Sustainable Tourism on the Pygmies of Cameroon as the government pushes its policy to invest more in tourism, hoping to make Cameroon a tourist destination by 2035. The tourism gro...

  10. Transnational Comparison of Sustainability Assessment Programs for Viticulture and a Case-Study on Programs’ Engagement Processes

    Directory of Open Access Journals (Sweden)

    Irina Santiago-Brown

    2014-04-01

    Full Text Available This article documents and compares the most prominent sustainability assessment programs for individual organisations in viticulture worldwide. Certification and engagement processes for membership uptake; benefits; motives; inhibiting factors; and desirable reporting system features of viticultural sustainability programs, are all considered. Case-study results are derived from nine sustainability programs; 14 focus groups with 83 CEOs, Chief Viticulturists or Winemakers from wine grape production organizations from five countries (Australia, Chile, New Zealand, South Africa and the United States; 12 semi-structured interviews with managers either currently or formerly in charge of the sustainability programs; researcher observations; and analysis of documents. Programs were categorized by their distinct program assessment methods: process-based, best practice-based, indicator-based and criterion-based. We found that programs have been created to increase growers’ sustainability, mainly through the direct and indirect education they receive and promote, and the economic benefit to their business caused by overall improvement of their operations. The main finding from this study is that the success of each of these programs is largely due to the people driving the programs (program managers, innovative growers and/or early adopters and the way these people communicate and engage with their stakeholders and peers.

  11. Chewing and Attention: A Positive Effect on Sustained Attention

    Directory of Open Access Journals (Sweden)

    Yoshiyuki Hirano

    2015-01-01

    Full Text Available Chewing is crushing food not only to aid swallowing and digestion, but also to help stress relief and regulate cognitive function, especially in attention. It is well known that chewing gum is used for sleepiness prevention during work, learning, and driving, suggesting a link between chewing and sustained attention. We hypothesized that chewing elevates attention and/or alertness, leading to improvements in cognitive performance. We carried out a systematic review of the PubMed database. We inspected the attributes of effects on attention in studies investigating the effects of chewing on attention or alertness conducted with pre-post design in healthy subjects, except elderly. We identified 151 references, 22 of which were included: 14 (64% showed positive attributes of effects on attention, 1 (5% showed negative attributes of effects on attention, 5 (23% showed both positive and negative attributes of effects on attention, and 2 (9% showed no significant attributes of effects on attention. Thus, positive attributes of effects of chewing on attention, especially on sustained attention, were shown in over half of the reports. These effects also appeared with improvement in mood and stress relief and were influenced by time-on-task effect. Further studies are needed, but chewing could be useful for modifying cognitive function.

  12. Chewing and attention: a positive effect on sustained attention.

    Science.gov (United States)

    Hirano, Yoshiyuki; Onozuka, Minoru

    2015-01-01

    Chewing is crushing food not only to aid swallowing and digestion, but also to help stress relief and regulate cognitive function, especially in attention. It is well known that chewing gum is used for sleepiness prevention during work, learning, and driving, suggesting a link between chewing and sustained attention. We hypothesized that chewing elevates attention and/or alertness, leading to improvements in cognitive performance. We carried out a systematic review of the PubMed database. We inspected the attributes of effects on attention in studies investigating the effects of chewing on attention or alertness conducted with pre-post design in healthy subjects, except elderly. We identified 151 references, 22 of which were included: 14 (64%) showed positive attributes of effects on attention, 1 (5%) showed negative attributes of effects on attention, 5 (23%) showed both positive and negative attributes of effects on attention, and 2 (9%) showed no significant attributes of effects on attention. Thus, positive attributes of effects of chewing on attention, especially on sustained attention, were shown in over half of the reports. These effects also appeared with improvement in mood and stress relief and were influenced by time-on-task effect. Further studies are needed, but chewing could be useful for modifying cognitive function.

  13. Using Skype to support remote clinical supervision for health professionals delivering a sustained maternal early childhood program: a phenomenographical study.

    Science.gov (United States)

    Bruce, Tracey; Byrne, Fiona; Kemp, Lynn

    2018-02-19

    Skype technology was implemented by the Australian Maternal Early Childhood Sustained Home-visiting (MECSH) Support Service as a tool for the remote provision of clinical supervision and case review processes for clinicians working in the MECSH program in Seoul, South Korea. Clinical supervision and case review are core components of MECSH-based programs to enhance critical thinking and support child and family health nurses to provide services for challenging and complex families within a sustained home visiting context. To gain a better understanding of the processes underpinning sustainable delivery of remote clinical supervision using digital technologies. A phenomenographical study was undertaken to understand the MECSH Support Service Nurse Consultant's experience as a supervisor facilitating the clinical supervision sessions. Recorded notes and reflections on each supervision session, noting exemplars and characteristics of the experience were read and re-read to derive the characterisations of the experience. The experience has provided learnings in three domains: 1) the processes in using Skype, including management of technology, meeting structure and privacy; 2) supervisory processes, including maximising visual capacity for shared understanding and managing emotions; and 3) language translation, including managing clarity of, and time for translation. This study suggests Skype has potential for use in remote provision of clinical supervision and case review, and also to support delivery of supervision and clinical services where translation is required. However, further research evaluating the benefit of telesupervision from the perspectives of both the supervisor and supervisee is necessary to determine if it is a sustainable process for practitioners servicing families with complex needs. Impact statement: Skype has potential as an effective technology for supporting availability of high quality supervision by distance and in cross

  14. Green Marine: An environmental program to establish sustainability in marine transportation.

    Science.gov (United States)

    Walker, Tony R

    2016-04-15

    European maritime companies have adopted programs to limit operational impacts on the environment. For maritime companies in North America, the Green Marine Environmental Program (GMEP) offers a framework to establish and reduce environmental footprints. Green Marine (GM) participants demonstrate annual improvements of specific environmental performance indicators (e.g., reductions in air pollution emissions) to maintain certification. Participants complete annual self-evaluations with results determining rankings for performance indicators on a 1-to-5 scale. Self-evaluations are independently verified every two years to ensure rigor and individual results are made publicly available annually to achieve transparency. GM benefits the marine industry across North America by encouraging sustainable development initiatives. GM's credibility is reflected through a diverse network of environmental groups and government agencies that endorse and help shape the program. Merits of this relatively new maritime certification (not previously described in the academic literature), are discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Developing Orthopaedic Trauma Capacity in Uganda: Considerations From the Uganda Sustainable Trauma Orthopaedic Program.

    Science.gov (United States)

    OʼHara, Nathan N; OʼBrien, Peter J; Blachut, Piotr A

    2015-10-01

    Uganda, like many low-income countries, has a tremendous volume of orthopaedic trauma injuries. The Uganda Sustainable Trauma Orthopaedic Program (USTOP) is a partnership between the University of British Columbia and Makerere University that was initiated in 2007 to reduce the consequences of neglected orthopaedic trauma in Uganda. USTOP works with local collaborators to build orthopaedic trauma capacity through clinical training, skills workshops, system support, technology development, and research. USTOP has maintained a multidisciplinary approach to training, involving colleagues in anaesthesia, nursing, rehabilitation, and sterile reprocessing. Since the program's inception, the number of trained orthopaedic surgeons practicing in Uganda has more than doubled. Many of these newly trained surgeons provide clinical care in the previously underserved regional hospitals. The program has also worked with collaborators to develop several technologies aimed at reducing the cost of providing orthopaedic care without compromising quality. As orthopaedic trauma capacity in Uganda advances, USTOP strives to continually evolve and provide relevant support to colleagues in Uganda.

  16. Can Companies Induce Sustainable Consumption? The Impact of Knowledge and Social Embeddedness on Airline Sustainability Programs in the U.S.

    Directory of Open Access Journals (Sweden)

    Yohan Kim

    2014-05-01

    Full Text Available This paper investigates how consumers’ level of knowledge and social embeddedness can influence sustainable consumption. An extended model of goal-directed behavior (MGB is tested by U.S. airline consumers who have participated in UNICEF’s Change for Good (CFG and voluntary carbon offsetting (VCO programs. Results show that consumers’ knowledge positively influenced their subjective norms and attitudes towards participation of VCO and CFG. Increasing consumers’ sense of social embeddedness is also found to be crucial in forming their subjective norms for both CFG and VCO. Moreover, positive anticipated emotion is found to influence consumers’ desire to participate in VCO, while negative anticipated emotion influences desire towards CFG participation. The findings of this research provide a practical implication on strategies for the airline industry to induce sustainable consumption behavior, as well as demonstrate the need for different emotional elicitation strategies for different sustainability programs.

  17. Sustainability and factors affecting the success of community-based reproductive health programs in rural northwest Ethiopia.

    Science.gov (United States)

    Argaw, Daniel; Fanthahun, Mesganaw; Berhane, Yemane

    2007-08-01

    arious Community-Based Reproductive Health interventions were initiated in many developing countries but their effectiveness has not been evaluated as much as needed. A comparative cross sectional study was carried out in February 2002 among women who participated in community based reproductive health interventions in South Gondar zone, Ethiopia. The study was conducted in eight kebeles taking successful and weak program areas for comparison. Both quantitative and qualitative methods were used for data collection. The qualitative method included key informants interview, and Focus Group Discussions with Community-based reproductive health agents (CBRHAs). A multistage sampling technique was employed to select 792 study subjects for the quantitative part of the study. Awareness of the presence of the CBRHA in the locality, participation in selection of the agents, acceptance of the agent, and evertalking to CBRHA about reproductive health issues were significantly higher in successful than in weak program areas [OR(95% CI) = 2.32 (1.74, 3.08), 3.28 (1.22, 9.27), 6.65 (3.59, 12.43), and 5.05 (3.22, 7.96), respectively]. In multiple logistic regression analysis awareness of presence of CBRHA in the village, acceptance of the CBRHA, and having had discussion with CBRHA maintained significant associations with type of community-based reproductive health program (successful/weak). Focus Group Discussions and Key Informant Interviews revealed better involvement of community leaders and health workers in the process of selecting and supervising CBRHA in successful areas compared to weak areas. The sustainability score of the Community-Based Reproductive Health Program (CBRHP) graded by the program coordinators was 2.92 out of 5. Acceptance of the CBRHAs, communication of the agents with community members, level of Support to the agents, better involvement of community representatives in the selection process were found to be the major factors affecting CBRHP. Overall

  18. [Sustainability of an innovative school food program: a case study in the northeast of Brazil].

    Science.gov (United States)

    Melo, Mariana Navarro Tavares de; Sá, Ronice Maria Pereira Franco de; Melo, Djalma Agripino de

    2016-06-01

    The Brazilian School Food Program (PNAE) is intersectoral innature. It encourages social participation and local economies and is considered here as a health promotionpractice. In the Northeastern State of Pernambuco, the city of Tabira acquired international renownin 2012 for the management of its school food program (PAE). This study analyzed the positive and negative factors related to the sustainability of the innovations in Tabira to understand the processes related to the continuity of the innovative actions implemented. The research used a qualitative approach with a case study strategy. A focus group, semi-structured interviews with key actors and document analysis were performed. The data were processed using content analysis and the techniques of thematic analysis. Positive organizational and socio-political factors were: the program institutionalization, the efficient use of financial resources, municipalized management, high community participation and the use of local resources. Negative factors were: weak inter-sectoral coordination and training and poor professional qualification. The strong political engagement at the local level showed both positive and negative impacts on sustainability.

  19. Effective Communication and Neurolinguistic Programming

    Directory of Open Access Journals (Sweden)

    Ahsan Bashir (Corresponding Author

    2012-06-01

    Full Text Available Importance of effective communication can hardly be ignored in any sphere of life. This is achieved through various means. One such instrument is Neurolinguistic Programming (NLP which has now taken roots in various aspects of learning and education. Its potential spans education and learning, language teaching, business management and marketing, psychology, law, and several other fields. In our work, we will briefly explore various facets of NLP with special reference to effective communication.

  20. Los Alamos National Laboratory and Lawrence Livermore National Laboratory Plutonium Sustainment Monthly Program Report September 2012

    Energy Technology Data Exchange (ETDEWEB)

    McLaughlin, Anastasia Dawn [Los Alamos National Laboratory; Storey, Bradford G. [Los Alamos National Laboratory; Bowidowicz, Martin [Los Alamos National Laboratory; Robertson, William G. [Los Alamos National Laboratory; Hobson, Beverly F. [Los Alamos National Laboratory

    2012-10-22

    In March of 2012 the Plutonium Sustainment program at LANL completed or addressed the following high-level activities: (1) Delivered Revision 2 of the Plutonium Sustainment Manufacturing Study, which incorporated changes needed due to the release of the FY2013 President's Budget and the delay in the Chemistry and Metallurgy Research Replacement Nuclear Facility (CMRRNF). (2) W87 pit type development activities completed a detailed process capability review for the flowsheet in preparation for the Engineering Development Unit Build. (3) Completed revising the Laser Beam Welding schedule to address scope and resource changes. (4) Completed machining and inspecting the first set of high-fidelity cold parts on Precitech 2 for Gemini. (5) The Power Supply Assembly Area started floor cutting with a concrete saw and continued legacy equipment decommissioning. There are currently no major issues associated with achieving MRT L2 Milestones 4195-4198 or the relevant PBIs associated with Plutonium Sustainment. There are no budget issues associated with FY12 final budget guidance. Table 1 identifies all Baseline Change Requests (BCRs) that were initiated, in process, or completed during the month. The earned value metrics overall for LANL are within acceptable thresholds, so no high-level recovery plan is required. Each of the 5 major LANL WBS elements is discussed in detail.

  1. Therapist turnover and new program sustainability in mental health clinics as a function of organizational culture, climate, and service structure.

    Science.gov (United States)

    Glisson, Charles; Schoenwald, Sonja K; Kelleher, Kelly; Landsverk, John; Hoagwood, Kimberly Eaton; Mayberg, Stephen; Green, Philip

    2008-03-01

    The present study incorporates organizational theory and organizational characteristics in examining issues related to the successful implementation of mental health services. Following the theoretical foundations of socio-technical and cultural models of organizational effectiveness, organizational climate, culture, legal and service structures, and workforce characteristics are examined as correlates of therapist turnover and new program sustainability in a nationwide sample of mental health clinics. Results of General Linear Modeling (GLM) with the organization as the unit of analysis revealed that organizations with the best climates as measured by the Organizational Social Context (OSC) profiling system, had annual turnover rates (10%) that were less than half the rates found in organizations with the worst climates (22%). In addition, organizations with the best culture profiles sustained new treatment or service programs over twice as long (50 vs. 24 months) as organizations with the worst cultures. Finally, clinics with separate children's services units had higher turnover rates than clinics that served adults and children within the same unit. The findings suggest that strategies to support the implementation of new mental health treatments and services should attend to organizational culture and climate, and to the compatibility of organizational service structures with the demand characteristics of treatments.

  2. Jamie's Ministry of Food: quasi-experimental evaluation of immediate and sustained impacts of a cooking skills program in Australia.

    Directory of Open Access Journals (Sweden)

    Anna Flego

    Full Text Available To evaluate the immediate and sustained effectiveness of the first Jamie's Ministry of Food Program in Australia on individuals' cooking confidence and positive cooking/eating behaviours.A quasi- experimental repeated measures design was used incorporating a wait-list control group. A questionnaire was developed and administered at baseline (T1, immediately post program (T2 and 6 months post completion (T3 for participants allocated to the intervention group, while wait -list controls completed it 10 weeks prior to program commencement (T1 and just before program commencement (T2. The questionnaire measured: participants' confidence to cook, the frequency of cooking from basic ingredients, and consumption of vegetables, vegetables with the main meal, fruit, ready-made meals and takeaway. Analysis used a linear mixed model approach for repeated measures using all available data to determine mean differences within and between groups over time.All adult participants (≥18 years who registered and subsequently participated in the program in Ipswich, Queensland, between late November 2011- December 2013, were invited to participate.In the intervention group: 694 completed T1, 383 completed T1 and T2 and 214 completed T1, T2 and T3 assessments. In the wait-list group: 237 completed T1 and 149 completed T1 and T2 assessments. Statistically significant increases within the intervention group (P<0.001 and significant group*time interaction effects (P<0.001 were found in all cooking confidence measures between T1 and T2 as well as cooking from basic ingredients, frequency of eating vegetables with the main meal and daily vegetable intake (0.52 serves/day increase. Statistically significant increases at T2 were sustained at 6 months post program in the intervention group.Jamie's Ministry of Food Program, Australia improved individuals' cooking confidence and cooking/eating behaviours contributing to a healthier diet and is a promising community

  3. Sustainable exposure prevention through innovative detection and remediation technologies from the NIEHS Superfund Research Program.

    Science.gov (United States)

    Henry, Heather F; Suk, William A

    2017-03-01

    Innovative devices and tools for exposure assessment and remediation play an integral role in preventing exposure to hazardous substances. New solutions for detecting and remediating organic, inorganic, and mixtures of contaminants can improve public health as a means of primary prevention. Using a public health prevention model, detection and remediation technologies contribute to primary prevention as tools to identify areas of high risk (e.g. contamination hotspots), to recognize hazards (bioassay tests), and to prevent exposure through contaminant cleanups. Primary prevention success is ultimately governed by the widespread acceptance of the prevention tool. And, in like fashion, detection and remediation technologies must convey technical and sustainability advantages to be adopted for use. Hence, sustainability - economic, environmental, and societal - drives innovation in detection and remediation technology. The National Institute of Health (NIH) National Institute of Environmental Health Sciences (NIEHS) Superfund Research Program (SRP) is mandated to advance innovative detection, remediation, and toxicity screening technology development through grants to universities and small businesses. SRP recognizes the importance of fast, accurate, robust, and advanced detection technologies that allow for portable real-time, on-site characterization, monitoring, and assessment of contaminant concentration and/or toxicity. Advances in non-targeted screening, biological-based assays, passive sampling devices (PSDs), sophisticated modeling approaches, and precision-based analytical tools are making it easier to quickly identify hazardous "hotspots" and, therefore, prevent exposures. Innovation in sustainable remediation uses a variety of approaches: in situ remediation; harnessing the natural catalytic properties of biological processes (such as bioremediation and phytotechnologies); and application of novel materials science (such as nanotechnology, advanced

  4. Sustaining liminality: Experiences and negotiations of international females in U.S. engineering graduate programs

    Science.gov (United States)

    Dutta, Debalina

    This project examines the intersectionalities of international females in engineering graduate programs of the United States, using frameworks of sustainability and liminality theory. According to Dutta and Kisselburgh (2011) international females in graduate engineering constitute the minorities of minorities, not only in terms of their status as international students but also by their underrepresentation as women in engineering (Faulkner, 2009). Research regarding international female graduate students tends to be categorized as the experiences of international students in the U.S. (Lee & Rice, 2007), or as the struggles of female engineers in engineering disciplines (Tonso, 2007). Therefore, this project aims to distinguish the unique population of female engineers of international origin from holistic studies of international students, and attempts to draw out and understand the experiences of international female students in U.S. engineering graduate programs. Dutta and Kisselburgh (2011) found that female engineers who are international in origin exist in liminal states indefinitely. This liminal nature has been described under the theory of liminality (Turner, 1967) which posits that when transitioning from one life-changing event to another (such as birth, death, marriage), individuals go through a transformatory phase where they are subjected to invisibility, vulnerability, and a feeling of loss. Although Turner posited this phase as transcendental and temporary, Dutta and Kisselburgh (2011) suggest the liminal period can be more permanent in contemporary global societies. In other words, liminal experiences of vulnerability and structural invisibility may be sustained experiences of international female engineering students. Furthermore, the project attends to the overlaps, tensions and challenging experiences faced by international females in surviving engineering graduate program. To achieve this goal, liminality theory is limited in accounting for how

  5. Light Water Reactor Sustainability Research and Development Program Plan -- Fiscal Year 2009–2013

    Energy Technology Data Exchange (ETDEWEB)

    Idaho National Laboratory

    2009-12-01

    Nuclear power has reliably and economically contributed almost 20% of electrical generation in the United States over the past two decades. It remains the single largest contributor (more than 70%) of non-greenhouse-gas-emitting electric power generation in the United States. By the year 2030, domestic demand for electrical energy is expected to grow to levels of 16 to 36% higher than 2007 levels. At the same time, most currently operating nuclear power plants will begin reaching the end of their 60-year operating licenses. If current operating nuclear power plants do not operate beyond 60 years, the total fraction of generated electrical energy from nuclear power will begin to decline—even with the expected addition of new nuclear generating capacity. The oldest commercial plants in the United States reached their 40th anniversary this year. U.S. regulators have begun considering extended operations of nuclear power plants and the research needed to support long-term operations. The Light Water Reactor Sustainability (LWRS) Research and Development (R&D) Program, developed and sponsored by the Department of Energy, is performed in close collaboration with industry R&D programs. The purpose of the LWRS R&D Program is to provide technical foundations for licensing and managing long-term, safe and economical operation of the current operating nuclear power plants. The LWRS R&D Program vision is captured in the following statements: Existing operating nuclear power plants will continue to safely provide clean and economic electricity well beyond their first license- extension period, significantly contributing to reduction of United States and global carbon emissions, enhancement of national energy security, and protection of the environment. There is a comprehensive technical basis for licensing and managing the long-term, safe, economical operation of nuclear power plants. Sustaining the existing operating U.S. fleet also will improve its international engagement

  6. Sustaining modified behaviours learnt in a diabetes prevention program in regional Australia: the role of social context

    Directory of Open Access Journals (Sweden)

    Walker Christine

    2012-12-01

    Full Text Available Abstract Background The Greater Green Triangle diabetes prevention program was conducted in primary health care setting of Victoria and South Australia in 2004–2006. This program demonstrated significant reductions in diabetes risk factors which were largely sustained at 18 month follow-up. The theoretical model utilised in this program achieved its outcomes through improvements in coping self-efficacy and planning. Previous evaluations have concentrated on the behavioural components of the intervention. Other variables external to the main research design may have contributed to the success factors but have yet to be identified. The objective of this evaluation was to identify the extent to which participants in a diabetes prevention program sustained lifestyle changes several years after completing the program and to identify contextual factors that contributed to sustaining changes. Methods A qualitative evaluation was conducted. Five focus groups were held with people who had completed a diabetes prevention program, several years later to assess the degree to which they had sustained program strategies and to identify contributing factors. Results Participants value the recruitment strategy. Involvement in their own risk assessment was a strong motivator. Learning new skills gave participants a sense of empowerment. Receiving regular pathology reports was a means of self-assessment and a motivator to continue. Strong family and community support contributed to personal motivation and sustained practice. Conclusions Family and local community supports constitute the contextual variables reported to contribute to sustained motivation after the program was completed. Behaviour modification programs can incorporate strategies to ensure these factors are recognised and if necessary, strengthened at the local level.

  7. System-Level Influences on the Sustainability of a Cognitive Therapy Program in a Community Behavioral Health Network.

    Science.gov (United States)

    Stirman, Shannon Wiltsey; Matza, Alexis; Gamarra, Jennifer; Toder, Katherine; Xhezo, Regina; Evans, Arthur C; Hurford, Matthew; Beck, Aaron T; Crits-Christoph, Paul; Creed, Torrey

    2015-07-01

    The purpose of this study was to examine influences on the sustainability of a program to implement an evidence-based psychotherapy in a mental health system. Interviews with program administrators, training consultants, agency administrators, and supervisors (N=24), along with summaries of program evaluation data and program documentation, were analyzed with a directed content-analytic approach. Findings suggested a number of interconnected and interacting influences on sustainability, including alignment with emerging sociopolitical influences and system and organizational priorities; program-level adaptation and evolution; intervention flexibility; strong communication, collaboration, planning, and support; and perceived benefit. These individual factors appeared to mutually influence one another and contribute to the degree of program sustainability achieved at the system level. Although most influences were positive, financial planning and support emerged as potentially both facilitator and barrier, and evaluation of benefits at the patient level remained a challenge. Several factors appeared to contribute to the sustainability of a psychosocial intervention in a large urban mental health system and warrant further investigation. Understanding interconnections between multiple individual facilitators and barriers appears critical to advancing understanding of sustainability in dynamic systems and adds to emerging recommendations for other implementation efforts. In particular, implications of the findings include the importance of implementation strategies, such as long-term planning, coalition building, clarifying roles and expectations, planned adaptation, evaluation, diversification of financing strategies, and incentivizing implementation.

  8. Assessing Preschools Using the Eco-Schools Program in Terms of Educating for Sustainable Development in Early Childhood Education

    Science.gov (United States)

    Korkmaz, Aysel; Guler Yildiz, Tulin

    2017-01-01

    This study assesses the practices and environmental properties of preschools implementing the Eco-Schools program, targeting education for sustainable development (ESD) in terms of the program's environmental, sociocultural, and economic pillars. Qualitative and quantitative methods were used. The sample group, determined through criterion…

  9. Sustained Energy Savings Achieved through Successful Industrial Customer Interaction with Ratepayer Programs: Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Goldberg, Amelie [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Hedman, Bruce [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Taylor, Robert P. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Russell, Christopher [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-10-01

    Many states have implemented ratepayer-funded programs to acquire energy efficiency as a predictable and reliable resource for meeting existing and future energy demand. These programs have become a fixture in many U.S. electricity and natural gas markets as they help postpone or eliminate the need for expensive generation and transmission investments. Industrial energy efficiency (IEE) is an energy efficiency resource that is not only a low cost option for many of these efficiency programs, but offers productivity and competitive benefits to manufacturers as it reduces their energy costs. However, some industrial customers are less enthusiastic about participating in these programs. IEE ratepayer programs suffer low participation by industries across many states today despite a continual increase in energy efficiency program spending across all types of customers, and significant energy efficiency funds can often go unused for industrial customers. This paper provides four detailed case studies of companies that benefited from participation in their utility’s energy efficiency program offerings and highlights the business value brought to them by participation in these programs. The paper is designed both for rate-payer efficiency program administrators interested in improving the attractiveness and effectiveness of industrial efficiency programs for their industrial customers and for industrial customers interested in maximizing the value of participating in efficiency programs.

  10. New Sustainability Programs and Their Impact at a Large Public State University

    Science.gov (United States)

    Bralower, T. J.; Guertin, L. A.

    2016-12-01

    The Pennsylvania State University comprises 24 campuses across the state. Students who are admitted to any campus are automatically admitted to the University Park Campus once they meet the entrance requirements for their major. The University Park Campus has a Geoscience Department with over 30 faculty and several degree programs. Several of the campuses also have Geoscience faculty. Two of the campuses offer majors in geoscience fields with plans at other campuses to add Environmental Science degree programs. Campus faculty play an instrumental role in recruiting students into the geosciences and providing them with general and allied science education. However, these faculty have high teaching loads and often struggle to fulfill student demand for courses. Penn State is also home to the World Campus which offers courses solely online to students all around the world including a large number of Military personnel. Penn State has led the development of five introductory-level blended and online courses as part of the InTeGrate STEP center. These courses are Coastal Processes, Hazards and Society; Water Science and Society; Climate, Energy, and Our Future; the Future of Food; and Earth Modeling. They add to an existing blended and online course, Earth in the Future that has been taught at the University Park and World Campuses for four years. Combined, the courses include 70 weekly modules. The courses constitute the basis of a recently approved Minor and Certificate of Excellence in Earth Sustainability offered in online format through the World Campus and in blended format at all the campuses. We are in the process of establishing an e-Learning Cooperative so that faculty at a campus can teach any of the sustainability courses online to students throughout the Penn State system. This will enable students to receive a greater introduction to, and variety of, sustainability courses at the campuses, and enable faculty to tailor courses to local campus interests and

  11. The Infrastructure Necessary to Support a Sustainable Material Protection, Control and Accounting (MPC&A) Program in Russia

    Energy Technology Data Exchange (ETDEWEB)

    Bachner, Katherine M.; Mladineo, Stephen V.

    2011-07-20

    The NNSA Material Protection, Control, and Accounting (MPC&A) program has been engaged for fifteen years in upgrading the security of nuclear materials in Russia. Part of the effort has been to establish the conditions necessary to ensure the long-term sustainability of nuclear security. A sustainable program of nuclear security requires the creation of an indigenous infrastructure, starting with sustained high level government commitment. This includes organizational development, training, maintenance, regulations, inspections, and a strong nuclear security culture. The provision of modern physical protection, control, and accounting equipment to the Russian Federation alone is not sufficient. Comprehensive infrastructure projects support the Russian Federation's ability to maintain the risk reduction achieved through upgrades to the equipment. To illustrate the contributions to security, and challenges of implementation, this paper discusses the history and next steps for an indigenous Tamper Indication Device (TID) program, and a Radiation Portal Monitoring (RPM) program.

  12. Contexts for Sustainable Implementation of a Colorectal Cancer Screening Program at a Community Health Center.

    Science.gov (United States)

    Yip, Mei-Po; Chun, Alan; Edelson, Jane; Feng, Xuaohua; Tu, Shin-Ping

    2016-01-01

    "Context" is a mediating construct that significantly influences the initiation and maintenance of program implementation, but it has seldom been studied in process evaluation. This case study describes the contextual factors that encourage or impede the implementation processes of a research-tested program at a Federally Qualified Community Health Center. We conducted 14 key informant interviews with providers, nurses, medical assistants, and clinic staff in leadership and management positions during the 24 months of active implementation. Interview data were analyzed using Atlas.ti software. A written log documenting exposure, adherence, and coverage of the implementation was used to describe implementation fidelity. Findings indicated that program implementation needs to align with the organization's mission and values. Sensemaking caused individuals to understand the importance of the new process and increased their motivation to follow assigned procedures. Revisions of the implementation process allowed the program to fit better with the clinic's existing workflow. However, permitting flexibility in the delivery of an intervention may result in inconsistent implementation fidelity. In this study, threats to implementation included unanticipated changes in the clinic environment, such as budget cuts to resources and staff turnover as a consequence of the current economic downturn. Momentum leading to sustainable implementation requires a continuous team effort and a stable environment; consequently, a successful implementation requires a structure that supports problem solving, communication, and evaluation. © 2015 Society for Public Health Education.

  13. Sustaining effect of soil warming on organic matter decomposition

    Science.gov (United States)

    Hou, Ruixing; Ouyang, Zhu; Dorodnikov, Maxim; Wilson, Glenn; Kuzyakov, Yakov

    2015-04-01

    Global warming affects various parts of carbon (C) cycle including acceleration of soil organic matter (SOM) decomposition with strong feedback to atmospheric CO2 concentration. Despite many soil warming studies showed changes of microbial community structure, only very few were focused on sustainability of soil warming on microbial activity associated with SOM decomposition. Two alternative hypotheses: 1) acclimation because of substrate exhaustion and 2) sustaining increase of microbial activity with accelerated decomposition of recalcitrant SOM pools were never proven under long term field conditions. This is especially important in the nowadays introduced no-till crop systems leading to redistribution of organic C at the soil surface, which is much susceptible to warming effects than the rest of the profile. We incubated soil samples from a four-year warming experiment with tillage (T) and no-tillage (NT) practices under three temperatures: 15, 21, and 27 °C, and related the evolved total CO2 efflux to changes of organic C pools. Warmed soils released significantly more CO2 than the control treatment (no warming) at each incubation temperature, and the largest differences were observed under 15 °C (26% increase). The difference in CO2 efflux from NT to T increase with temperature showing high vulnerability of C stored in NT to soil warming. The Q10 value reflecting the sensitivity of SOM decomposition to warming was lower for warmed than non-warmed soil indicating better acclimation of microbes or lower C availability during long term warming. The activity of three extracellular enzymes: β-glucosidase, chitinase, sulphatase, reflecting the response of C, N and S cycles to warming, were significantly higher under warming and especially under NT compared to two other respective treatments. The CO2 released during 2 months of incubation consisted of 85% from recalcitrant SOM and the remaining 15% from microbial biomass and extractable organic C based on the

  14. Schistosomiasis Sustained Control Program in Ethnic Groups Around Ninefescha (Eastern Senegal).

    Science.gov (United States)

    N'Diaye, Monique; Dioukhane, Elhadji M; Ndao, Babacar; Diedhiou, Kemo; Diawara, Lamine; Talla, Idrissa; Vernet, Charlotte; Bessin, François; Barbier, Dominique; Dewavrin, Patrick; Klotz, Francis; Georges, Pierre

    2016-09-07

    Schistosomiasis is the second most significant parasitic disease in children in several African countries. For this purpose, the "Programme National de Lutte contre les Bilharzioses" (PNLB) was developed in partnership with the World Health Organization (WHO) to control this disease in Senegal. However, geographic isolation of Bedik ethnic groups challenged implementation of the key elements of the schistosomiasis program in eastern Senegal, and therefore, a hospital was established in Ninefescha to improve access to health care as well as laboratory support for this population. The program we have implemented from 2008 in partnership with the PNLB/WHO involved campaigns to 1) evaluate schistosomiasis prevalence in children of 53 villages around Ninefescha hospital, 2) perform a mass drug administration following the protocol established by the PNLB in school-aged children, 3) monitor annual prevalence, 4) implement health education campaigns, and 5) oversee the building of latrines. This campaign led to a drop in schistosomiasis prevalence but highlighted that sustainable schistosomiasis control by praziquantel treatment, awareness of the use of latrines, and inhabitants' voluntary commitment to the program are crucial to improve Schistosoma elimination. Moreover, this study revealed that preschool-aged children, for whom praziquantel was not recommended until 2014 in Senegal, constituted a significant reservoir for the parasite. © The American Society of Tropical Medicine and Hygiene.

  15. The effect of knowledge based view on sustainable competitive advantage

    Directory of Open Access Journals (Sweden)

    Fatemeh Rezaee

    2015-11-01

    Full Text Available This study investigates the quantitative relationship between knowledge based view (i.e. empowering employees, promoting confidence, coding rules and sustainability competitive advantage (i.e. market, customer, financial within the banking industry of Iran. A valid research instrument was utilized to conduct a survey of 150 top- and middle-level managers from Mellat bank of Iran. With a response rate of 81.3 percent, 122 questionnaires are returned; the number of valid and usable questionnaires was 101. In order to determine validity of questionnaire, the content validity was used and Cronbach's alpha was used to determine the reliability of the questionnaire (KBV questionnaire 0.886, SCA questionnaire 0.843. Utilizing the structural equation modeling, and after a series of exploratory and confirmatory factor analyses, it was found that KBV had the greatest effect on the market centered SCA, while it had the least influence on the customer centered.

  16. Sustainable packaging: from eco-efficiency to eco-effectiveness

    DEFF Research Database (Denmark)

    Niero, Monia; Boas, Simon H.; Olsen, Stig Irving

    2014-01-01

    and the natural environment. Companies in the packaging sector have traditionally been using the Life Cycle Assessment (LCA) methodology to fulfill these requirements. However, being inspired by the eco-efficiency principle, LCA aims to reduce the negative environmental footprint of human activities by optimizing......According to Verghese et al (2012) sustainable packaging should be: effective in delivering its functional requirements, efficient in its use of materials, energy, and water throughout its life cycle, cyclic in its use of renewable materials and recoverability at end-of-life, and safe for people......-effective” solutions,i.e. maximizing the benefit to ecological systems. C2C is based on three key principles “waste equal food”,“use solar energy income” and “celebrate diversity” (McDonough and Braungart, 2002). The first principlecalls for eliminating the concept of waste by designing systems where waste...

  17. Effects of lifestyle modification programs on cardiac risk factors.

    Science.gov (United States)

    Razavi, Moaven; Fournier, Stephen; Shepard, Donald S; Ritter, Grant; Strickler, Gail K; Stason, William B

    2014-01-01

    Medicare conducted a payment demonstration to evaluate the effectiveness of two intensive lifestyle modification programs in patients with symptomatic coronary artery disease: the Dr. Dean Ornish Program for Reversing Heart Disease (Ornish) and Cardiac Wellness Program of the Benson-Henry Mind Body Institute. This report describes the changes in cardiac risk factors achieved by each program during the active intervention year and subsequent year of follow-up. The demonstration enrolled 580 participants who had had an acute myocardial infarction, had undergone coronary artery bypass graft surgery or percutaneous coronary intervention within 12 months, or had documented stable angina pectoris. Of these, 98% completed the intense 3-month intervention, 71% the 12-month intervention, and 56% an additional follow-up year. Most cardiac risk factors improved significantly during the intense intervention period in both programs. Favorable changes in cardiac risk factors and functional cardiac capacity were maintained or improved further at 12 and 24 months in participants with active follow-up. Multivariable regressions found that risk-factor improvements were positively associated with abnormal baseline values, Ornish program participation for body mass index and systolic blood pressure, and with coronary artery bypass graft surgery. Expressed levels of motivation to lose weight and maintain weight loss were significant independent predictors of sustained weight loss (p = 0.006). Both lifestyle modification programs achieved well-sustained reductions in cardiac risk factors.

  18. Effects of lifestyle modification programs on cardiac risk factors.

    Directory of Open Access Journals (Sweden)

    Moaven Razavi

    Full Text Available Medicare conducted a payment demonstration to evaluate the effectiveness of two intensive lifestyle modification programs in patients with symptomatic coronary artery disease: the Dr. Dean Ornish Program for Reversing Heart Disease (Ornish and Cardiac Wellness Program of the Benson-Henry Mind Body Institute. This report describes the changes in cardiac risk factors achieved by each program during the active intervention year and subsequent year of follow-up. The demonstration enrolled 580 participants who had had an acute myocardial infarction, had undergone coronary artery bypass graft surgery or percutaneous coronary intervention within 12 months, or had documented stable angina pectoris. Of these, 98% completed the intense 3-month intervention, 71% the 12-month intervention, and 56% an additional follow-up year. Most cardiac risk factors improved significantly during the intense intervention period in both programs. Favorable changes in cardiac risk factors and functional cardiac capacity were maintained or improved further at 12 and 24 months in participants with active follow-up. Multivariable regressions found that risk-factor improvements were positively associated with abnormal baseline values, Ornish program participation for body mass index and systolic blood pressure, and with coronary artery bypass graft surgery. Expressed levels of motivation to lose weight and maintain weight loss were significant independent predictors of sustained weight loss (p = 0.006. Both lifestyle modification programs achieved well-sustained reductions in cardiac risk factors.

  19. Sustainable Tourism and Eradication of Poverty (Step: impact assessment of a tourism development program in Brazil

    Directory of Open Access Journals (Sweden)

    Marcelo Cortes Neri

    2012-06-01

    Full Text Available This paper aims to evaluate the social impacts of the Tourism Development Program (Prodetur in the northeastern town of Porto Seguro, Bahia, Brazil. The method used is based on the difference in difference technique applied to the 1991 and 2000 Census microdata. The results suggest social advances following from poverty relief based on income - where the benefits are distributed, generally, in a relatively equal manner between the native and migrant population. There is a relative deterioration in the sanitary situation, which consists of a very serious problem in the mid- and long-term, whose costs are mostly borne by the native population. Therefore, maintaining the natural capital is the main aspect that distances Porto Seguro’s tourism supply from the concept of sustainability. The article also relies on difference in difference estimators to assess the impacts of local public policies related to the sector.

  20. Infection Programs Sustained Lymphoid Stromal Cell Responses and Shapes Lymph Node Remodeling upon Secondary Challenge

    Directory of Open Access Journals (Sweden)

    Julia L. Gregory

    2017-01-01

    Full Text Available Lymph nodes (LNs are constructed of intricate networks of endothelial and mesenchymal stromal cells. How these lymphoid stromal cells (LSCs regulate lymphoid tissue remodeling and contribute to immune responses remains poorly understood. We performed a comprehensive functional and transcriptional analysis of LSC responses to skin viral infection and found that LSC subsets responded robustly, with different kinetics for distinct pathogens. Recruitment of cells to inflamed LNs induced LSC expansion, while B cells sustained stromal responses in an antigen-independent manner. Infection induced rapid transcriptional responses in LSCs. This transcriptional program was transient, returning to homeostasis within 1 month of infection, yet expanded fibroblastic reticular cell networks persisted for more than 3 months after infection, and this altered LN composition reduced the magnitude of LSC responses to subsequent heterologous infection. Our results reveal the complexity of LSC responses during infection and suggest that amplified networks of LN stromal cells support successive immune responses.

  1. Building sustainable organizational capacity to deliver HIV programs in resource-constrained settings: stakeholder perspectives.

    Science.gov (United States)

    Sharma, Anjali; Chiliade, Philippe; Michael Reyes, E; Thomas, Kate K; Collens, Stephen R; Rafael Morales, José

    2013-12-13

    In 2008, the US government mandated that HIV/AIDS care and treatment programs funded by the US President's Emergency Plan for AIDS Relief (PEPFAR) should shift from US-based international partners (IPs) to registered locally owned organizations (local partners, or LPs). The US Health Resources and Services Administration (HRSA) developed the Clinical Assessment for Systems Strengthening (ClASS) framework for technical assistance in resource-constrained settings. The ClASS framework involves all stakeholders in the identification of LPs' strengths and needs for technical assistance. This article examines the role of ClASS in building capacity of LPs that can endure and adapt to changing financial and policy environments. All stakeholders (n=68) in Kenya, Zambia, and Nigeria who had participated in the ClASS from LPs and IPs, the US Centers for Disease Control and Prevention (CDC), and, in Nigeria, HIV/AIDS treatment facilities (TFs) were interviewed individually or in groups (n=42) using an open-ended interview guide. Thematic analysis revealed stakeholder perspectives on ClASS-initiated changes and their sustainability. Local organizations were motivated to make changes in internal operations with the ClASS approach, PEPFAR's competitive funding climate, organizational goals, and desired patient health outcomes. Local organizations drew on internal resources and, if needed, technical assistance from IPs. Reportedly, ClASS-initiated changes and remedial action plans made LPs more competitive for PEPFAR funding. LPs also attributed their successful funding applications to their preexisting systems and reputation. Bureaucracy, complex and competing tasks, and staff attrition impeded progress toward the desired changes. Although CDC continues to provide technical assistance through IPs, declining PEPFAR funds threaten the consolidation of gains, smooth program transition, and continuity of treatment services. The well-timed adaptation and implementation of Cl

  2. Light Water Reactor Sustainability Program Reactor Safety Technologies Pathway Technical Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    Corradini, M. L. [Univ. of Wisconsin, Madison, WI (United States); Peko, D. [US Dept. of Energy, Washington, DC (United States); Farmer, M. [Argonne National Lab. (ANL), Argonne, IL (United States); Rempe, J. [Rempe and Associates LLC, Idaho Falls, ID (United States); Humrickhouse, P. [Idaho National Lab. (INL), Idaho Falls, ID (United States); O' Brien, J. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Robb, K. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Gauntt, R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Osborn, D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-06-01

    In the aftermath of the March 2011 multi-unit accident at the Fukushima Daiichi nuclear power plant (Fukushima), the nuclear community has been reassessing certain safety assumptions about nuclear reactor plant design, operations and emergency actions, particularly with respect to extreme events that might occur and that are beyond each plant’s current design basis. Because of our significant domestic investment in nuclear reactor technology (99 operating reactors in the fleet of commercial LWRs with five under construction), the United States has been a major leader internationally in these activities. The U.S. nuclear industry is voluntarily pursuing a number of additional safety initiatives. The NRC continues to evaluate and, where deemed appropriate, establish new requirements for ensuring adequate protection of public health and safety in the occurrence of low probability events at nuclear plants; (e.g., mitigation strategies for beyond design basis events initiated by external events like seismic or flooding initiators). The DOE has also played a major role in the U.S. response to the Fukushima accident. Initially, DOE worked with the Japanese and the international community to help develop a more complete understanding of the Fukushima accident progression and its consequences, and to respond to various safety concerns emerging from uncertainties about the nature of and the effects from the accident. DOE R&D activities are focused on providing scientific and technical insights, data, analyses methods that ultimately support industry efforts to enhance safety. These activities are expected to further enhance the safety performance of currently operating U.S. nuclear power plants as well as better characterize the safety performance of future U.S. plants. In pursuing this area of R&D, DOE recognizes that the commercial nuclear industry is ultimately responsible for the safe operation of licensed nuclear facilities. As such, industry is considered the primary

  3. Light Water Reactor Sustainability Program: Reactor Safety Technologies Pathway Technical Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    Corradini, M. L. [Univ. of Wisconsin, Madison, WI (United States)

    2015-06-01

    In the aftermath of the March 2011 multi-unit accident at the Fukushima Daiichi nuclear power plant (Fukushima), the nuclear community has been reassessing certain safety assumptions about nuclear reactor plant design, operations and emergency actions, particularly with respect to extreme events that might occur and that are beyond each plant’s current design basis. Because of our significant domestic investment in nuclear reactor technology (99 operating reactors in the fleet of commercial LWRs with five under construction), the United States has been a major leader internationally in these activities. The U.S. nuclear industry is voluntarily pursuing a number of additional safety initiatives. The NRC continues to evaluate and, where deemed appropriate, establish new requirements for ensuring adequate protection of public health and safety in the occurrence of low probability events at nuclear plants; (e.g., mitigation strategies for beyond design basis events initiated by external events like seismic or flooding initiators). The DOE has also played a major role in the U.S. response to the Fukushima accident. Initially, DOE worked with the Japanese and the international community to help develop a more complete understanding of the Fukushima accident progression and its consequences, and to respond to various safety concerns emerging from uncertainties about the nature of and the effects from the accident. DOE R&D activities are focused on providing scientific and technical insights, data, analyses methods that ultimately support industry efforts to enhance safety. These activities are expected to further enhance the safety performance of currently operating U.S. nuclear power plants as well as better characterize the safety performance of future U.S. plants. In pursuing this area of R&D, DOE recognizes that the commercial nuclear industry is ultimately responsible for the safe operation of licensed nuclear facilities. As such, industry is considered the primary

  4. Screening for Mental Health Problems: Addressing the Base Rate Fallacy for a Sustainable Screening Program in Integrated Primary Care.

    Science.gov (United States)

    Lavigne, John V; Feldman, Marissa; Meyers, Kathryn Mendelsohn

    2016-11-01

    The Affordable Care Act has stimulated interest in screening for psychological problems in primary care. Given the scale with which screening might occur, the implications of a problem known as the base rate fallacy need to be considered. The concepts of sensitivity and specificity, positive and negative predictive value, and the base rate fallacy are discussed. The possibility that a screening program may not improve upon random selection is reviewed, as is the possibility that sequential screening might be useful. Developing effective screening programs for pediatric mental health problems is highly desirable, and properly addressing the high rate of false positives may improve the likelihood that such programs can be sustained. Consideration needs to be given to the use of sequential screening, which has both advantages and disadvantages, depending upon the type of problem to be screened for and the availability of resources for follow-up evaluations. © The Author 2016. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  5. Evaluating Continued Use of an Online Teacher Professional Development Program with a Sustained Implementation Scale

    Science.gov (United States)

    Rasmussen, Clay L.; Byrd, David R.

    2016-01-01

    The purpose of this study was to determine the effectiveness of a teacher professional development (PD) program as measured by the extent that participants have continued to use lessons and materials up to three years after the PD experience. The PD was delivered online and structured by five key characteristics of effective PD. A…

  6. Faculty Development Workshops to Support Establishing and Sustaining Undergraduate Research Programs in the Earth Sciences (Invited)

    Science.gov (United States)

    Fox, L. K.; Guertin, L. A.

    2013-12-01

    for funding professional development, impact of workshops on initiating and sustaining undergraduate research programs, and future directions of this program.

  7. The effect of resource based view on sustainable capability advantage

    Directory of Open Access Journals (Sweden)

    Mostafa Jafari

    2014-12-01

    Full Text Available Nowadays, it is important to achieve and to sustain an organization’s competitive advantage in complex environments. This paper evaluates different concepts that have led to such benefits. The study sheds light on resource based view (RBV and its role to reach sustainable competitive advantage (SCA within banking industry of Iran. A valid research instrument was utilized to conduct a survey of 150 top- and middle-level managers from Mellat bank of Iran. With a response rate of 81.3 percent, 122 questionnaires were returned while a number of valid and usable questionnaires were 101. In order to determine validity of questionnaire, the content validity and Cronbach's alpha were used to determine the reliability of the questionnaire (RBV questionnaire 0.934, SCA questionnaire 0.843. The study utilized structural equation modelling, and a series of exploratory and confirmatory factor analyses and they tested the integrated model of MKM and SCA. Statistical support was found for the hypothesized relationships. Moreover it has been shown that RBV had the greatest effect on the market centered SCA, while it had the least influence on the financial centered. The findings offer valuable insights on the generalizability of MKM in a research setting. Structural equation modeling has been implemented and the study also used freedman test to rank the factors and the results show that communication was the most important factor (4.41, followed by process (4.03, knowledge implementation (2.79, decision making (2.54 and human resources (1.22 was the last important factor.

  8. Effect of attention control on sustained attention during induced anxiety.

    Science.gov (United States)

    Grillon, Christian; Robinson, Oliver J; Mathur, Ambika; Ernst, Monique

    2016-01-01

    Anxiety has wide-reaching and complex effects on cognitive performance. Although it can intrude on cognition and interfere with performance, it can also facilitate information processing and behavioural responses. In a previous study, we showed that anxiety induced by threat of shock facilitates performance on the Sustained Attention to Response Task, a vigilance test, which probes response inhibition to infrequent nogo stimuli. The present study sought to identify factors that may have contributed to such improved performance, including on- and off-task thinking (assessed with thought probes) and individual differences in attention control, as measured with the Attention Control Scale. Replicating our prior finding, we showed that shock threat significantly reduced errors of commission on the nogo trials. However, we extended this finding in demonstrating that this effect was driven by subjects with low attention control. We therefore confirm that anxiety increases inhibitory control of prepotent responses--a mechanism which is adaptive under threat--and show that this effect is greater in those who rely more upon such prepotent responding, i.e., those with low attentional control.

  9. Light Water Reactor Sustainability Program Grizzly Year-End Progress Report

    Energy Technology Data Exchange (ETDEWEB)

    Benjamin Spencer; Yongfeng Zhang; Pritam Chakraborty; S. Bulent Biner; Marie Backman; Brian Wirth; Stephen Novascone; Jason Hales

    2013-09-01

    The Grizzly software application is being developed under the Light Water Reactor Sustainability (LWRS) program to address aging and material degradation issues that could potentially become an obstacle to life extension of nuclear power plants beyond 60 years of operation. Grizzly is based on INL’s MOOSE multiphysics simulation environment, and can simultaneously solve a variety of tightly coupled physics equations, and is thus a very powerful and flexible tool with a wide range of potential applications. Grizzly, the development of which was begun during fiscal year (FY) 2012, is intended to address degradation in a variety of critical structures. The reactor pressure vessel (RPV) was chosen for an initial application of this software. Because it fulfills the critical roles of housing the reactor core and providing a barrier to the release of coolant, the RPV is clearly one of the most safety-critical components of a nuclear power plant. In addition, because of its cost, size and location in the plant, replacement of this component would be prohibitively expensive, so failure of the RPV to meet acceptance criteria would likely result in the shutting down of a nuclear power plant. The current practice used to perform engineering evaluations of the susceptibility of RPVs to fracture is to use the ASME Master Fracture Toughness Curve (ASME Code Case N-631 Section III). This is used in conjunction with empirically based models that describe the evolution of this curve due to embrittlement in terms of a transition temperature shift. These models are based on an extensive database of surveillance coupons that have been irradiated in operating nuclear power plants, but this data is limited to the lifetime of the current reactor fleet. This is an important limitation when considering life extension beyond 60 years. The currently available data cannot be extrapolated with confidence further out in time because there is a potential for additional damage mechanisms (i

  10. A Language Exchange Program: Sustainability Innovation in Language and Culture Engagement

    Directory of Open Access Journals (Sweden)

    Trinidad Fernández

    2014-04-01

    Full Text Available Spanish Educational Laws over the past years have been promoting the widespread use of English as the vehicle for teaching and learning in most curricular subjects. This trend is evincing new needs especially among higher education students. Consequently, Spanish Universities are looking for ways to provide international training involving global partnerships. The Polytechnic University of Madrid, Spain (UPM, and the University of British Columbia, Okanagan, Canada (UBCO have come together to offer opportunities for international collaboration and learning, thus facilitating virtual encounters among Spanish and Canadian students. The Language Exchange Program between the UPM and UBCO acts as a model for sustainability innovation in language and culture engagement as the students can interact with native speakers in communication tasks. This interdisciplinary initiative supports the latest methodological principles observed in the Common European Framework for Languages [1], such as autonomous and life-long learning, self-assessment and peer-assessment as well as the incorporation of new technologies to the learning process. Additionally the 'virtual' mobility is provided at no extra cost. This article presents the preliminary results of two virtual exchange programs that have been offering varied forms of study which are venue-independent, promoting collaborative work and cultural exchange.

  11. 75 FR 6689 - Sustainable Communities Planning Grant Program Advance Notice and Request for Comment

    Science.gov (United States)

    2010-02-10

    ... sustainable development; and (b) investing in transportation infrastructure that directly supports sustainable... all communities by investing in healthy, safe, and walkable neighborhoods--rural, urban, or suburban..., economic development, land use, environmental, energy, green space and water infrastructure priorities and...

  12. Utility green pricing programs: A statistical analysis of program effectiveness

    Energy Technology Data Exchange (ETDEWEB)

    Wiser, Ryan; Olson, Scott; Bird, Lori; Swezey, Blair

    2004-02-01

    Development of renewable energy. Such programs have grown in number in recent years. The design features and effectiveness of these programs varies considerably, however, leading a variety of stakeholders to suggest specific marketing and program design features that might improve customer response and renewable energy sales. This report analyzes actual utility green pricing program data to provide further insight into which program features might help maximize both customer participation in green pricing programs and the amount of renewable energy purchased by customers in those programs. Statistical analysis is performed on both the residential and non-residential customer segments. Data comes from information gathered through a questionnaire completed for 66 utility green pricing programs in early 2003. The questionnaire specifically gathered data on residential and non-residential participation, amount of renewable energy sold, program length, the type of renewable supply used, program price/cost premiums, types of consumer research and program evaluation performed, different sign-up options available, program marketing efforts, and ancillary benefits offered to participants.

  13. Sustainability in the University Student's Mind: Are University Endorsements, Financial Support, and Programs Making a Difference?

    Science.gov (United States)

    Perrault, Evan K.; Clark, Scott K.

    2017-01-01

    Despite the increasing awareness that sustainability is an issue needing ongoing attention, and despite millions of dollars spent yearly at universities to promote sustainable behaviors, previous research has found college students have primarily a unidimensional understanding of what sustainability encompasses. The current research sought to…

  14. Sustainable Schools Program and Practice: Partnership Building with the Tempe Union High School District

    Science.gov (United States)

    Koster, Auriane; Denker, Brendan

    2012-01-01

    Arizona State University's (ASU) Global Institute of Sustainability (GIOS) was awarded a five-year National Science Foundation (NSF) GK-12 grant in 2009 entitled "Sustainability Science for Sustainable Schools." The general focus of the grant is on science, technology, engineering, and math (STEM) education in K-12 schools. The…

  15. Development of a comprehensive and sustainable gynecologic oncology training program in western Kenya, a low resource setting

    Directory of Open Access Journals (Sweden)

    Barry Rosen

    2017-08-01

    This is the first recognized fellowship training program in sub-Saharan Africa outside of South Africa. It is an example of a collaborative effort to improve women's health in a low-resource country. This is a Kenyan managed program through Moi University. These subspecialty trained doctors will also provide advice that will shape health care policy and provide sustainable expertise for women diagnosed with a gynecologic cancer.

  16. Examining the compatibility between forestry incentive programs in the US and the practice of sustainable forest management

    Science.gov (United States)

    Steven E Daniels; Michael A Kilgore; Michael G Jacobson; John L Greene; Thomas J Straka

    2010-01-01

    This research explores the intersection between the various federal and state forestry incentive programs and the adoption of sustainable forestry practices on nonindustrial private forest (NIPF) lands in the US. The qualitative research reported here draws upon a series of eight focus groups of NIPF landowners (two each in Minnesota, Oregon, Pennsylvania, and South...

  17. Resident-groups taking over the role of professionals, our new hope in sustainable-energy real-estate programs

    NARCIS (Netherlands)

    Sanders, F.C.

    2009-01-01

    For new Real-Estate developments in the Netherlands, as for existing housing stock, Kyoto follow-ups to reduce the carbon energy use in new developments by up to 50% in 7 years have been agreed between government and housing developers since mid 2008. An obstacle to these sustainable-energy programs

  18. The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research

    Science.gov (United States)

    2012-01-01

    Background The introduction of evidence-based programs and practices into healthcare settings has been the subject of an increasing amount of research in recent years. While a number of studies have examined initial implementation efforts, less research has been conducted to determine what happens beyond that point. There is increasing recognition that the extent to which new programs are sustained is influenced by many different factors and that more needs to be known about just what these factors are and how they interact. To understand the current state of the research literature on sustainability, our team took stock of what is currently known in this area and identified areas in which further research would be particularly helpful. This paper reviews the methods that have been used, the types of outcomes that have been measured and reported, findings from studies that reported long-term implementation outcomes, and factors that have been identified as potential influences on the sustained use of new practices, programs, or interventions. We conclude with recommendations and considerations for future research. Methods Two coders identified 125 studies on sustainability that met eligibility criteria. An initial coding scheme was developed based on constructs identified in previous literature on implementation. Additional codes were generated deductively. Related constructs among factors were identified by consensus and collapsed under the general categories. Studies that described the extent to which programs or innovations were sustained were also categorized and summarized. Results Although "sustainability" was the term most commonly used in the literature to refer to what happened after initial implementation, not all the studies that were reviewed actually presented working definitions of the term. Most study designs were retrospective and naturalistic. Approximately half of the studies relied on self-reports to assess sustainability or elements that

  19. Building sustainable organizational capacity to deliver HIV programs in resource-constrained settings: stakeholder perspectives

    Directory of Open Access Journals (Sweden)

    Anjali Sharma

    2013-12-01

    Full Text Available Background: In 2008, the US government mandated that HIV/AIDS care and treatment programs funded by the US President's Emergency Plan for AIDS Relief (PEPFAR should shift from US-based international partners (IPs to registered locally owned organizations (local partners, or LPs. The US Health Resources and Services Administration (HRSA developed the Clinical Assessment for Systems Strengthening (ClASS framework for technical assistance in resource-constrained settings. The ClASS framework involves all stakeholders in the identification of LPs’ strengths and needs for technical assistance. Objective: This article examines the role of ClASS in building capacity of LPs that can endure and adapt to changing financial and policy environments. Design: All stakeholders (n=68 in Kenya, Zambia, and Nigeria who had participated in the ClASS from LPs and IPs, the US Centers for Disease Control and Prevention (CDC, and, in Nigeria, HIV/AIDS treatment facilities (TFs were interviewed individually or in groups (n=42 using an open-ended interview guide. Thematic analysis revealed stakeholder perspectives on ClASS-initiated changes and their sustainability. Results: Local organizations were motivated to make changes in internal operations with the ClASS approach, PEPFAR's competitive funding climate, organizational goals, and desired patient health outcomes. Local organizations drew on internal resources and, if needed, technical assistance from IPs. Reportedly, ClASS-initiated changes and remedial action plans made LPs more competitive for PEPFAR funding. LPs also attributed their successful funding applications to their preexisting systems and reputation. Bureaucracy, complex and competing tasks, and staff attrition impeded progress toward the desired changes. Although CDC continues to provide technical assistance through IPs, declining PEPFAR funds threaten the consolidation of gains, smooth program transition, and continuity of treatment services

  20. Shallow Roots Require Constant Watering: The Challenge of Sustained Impact in Educational Programs

    Science.gov (United States)

    Rosen, Yigal; Perkins, David

    2013-01-01

    Socially-oriented educational programs often face societal barriers. Peace education in a region of prolonged conflict faces a negative socio-political environment that works against its effects. The media, leadership, educational system and other societal institutions continue to express a culture of conflict. Recent studies show that the effects…

  1. Transportability of Multisystemic Therapy to Community Settings: Can a Program Sustain Outcomes without MST Services Oversight?

    Science.gov (United States)

    Smith-Boydston, Julianne M.; Holtzman, Rochelle J.; Roberts, Michael C.

    2014-01-01

    Background: Multisystemic therapy (MST) has been shown to be effective in treating delinquent behavior in youth. However, some community agencies with MST programs are unable to afford the ongoing costs of licensure and quality assurance oversight provided by MST services. Objective: The present study utilized retrospective archival analyses of…

  2. Examining the Sustainability of an Evidence-Based Preschool Curriculum: The REDI Program

    Science.gov (United States)

    Sanford DeRousie, Rebecca M.; Bierman, Karen L.

    2011-01-01

    This study examined the extent to which an evidence-based preschool curriculum (Head Start REDI) was sustained by 20 teachers during the year following a randomized controlled efficacy trial, when teachers were no longer required by the research project to implement the curriculum. Two quantitative measures of sustainability (teacher ratings, REDI coach ratings) and a qualitative measure (teacher interview) were collected and compared. Sustainability varied by the specific curriculum component, with higher rates of sustainability for the social-emotional component (Preschool PATHS) than for the language and literacy components. Estimates of sustainability were affected by the method of measurement, with REDI coach ratings and qualitative teacher interviews more closely aligned than teacher ratings. Responses from qualitative interviews identified the main factors that teachers thought affected sustainability. Teacher responses suggest that efforts to promote sustainability are best targeted at reducing barriers, such as competing demands, rather than simply highlighting the benefits of the new curriculum. PMID:22408287

  3. Effective contribution of structural engineers to green buildings and sustainability

    National Research Council Canada - National Science Library

    Chaudhary, Tariq; Piracha, Awais

    2013-01-01

    .... However, their contribution seems to be limited in sustainability rating systems. This review analysed the credits available in the Leadership in Energy and Environmental Design green building rating systems related to the structural aspects...

  4. What are the Most Effective Drivers of Sustainable Development in the Decision Making Process

    DEFF Research Database (Denmark)

    Hansen, Hanne Tine Ring; Knudstrup, Mary-Ann

    2017-01-01

    and sustaining the market demand for sustainable buildings it is actually the economic and social drivers for sustainable building, such as life cycle costs, futureproofing of investments, better quality and Corporate Social Responsibility (CSR), that have the greatest impact on construction clients’ decision......The identification of the most effective drivers of sustainable development is a focal point for most – if not all – policymakers and companies interested in sustainable development. Whilst the answer to this is of course very contextual this paper presents a practitioner’s review of the political...... and voluntary drivers for sustainable building in Denmark. The paper identifies the most influential drivers for sustainable development in the Danish Building industry by combining a review of the regulatory political drivers in Denmark with two market surveys for construction clients from 2015 and 2016...

  5. Sport Management Graduate Programs: Characteristics of Effectiveness.

    Science.gov (United States)

    Li, Ming; And Others

    1994-01-01

    Reports a study that examined the characteristics that enable graduate sport management programs to achieve their objectives. Surveys of sport management educators found they agreed on 11 characteristics that indicated a sport management program's effectiveness. Respondents believed an effective program should produce sport managers, not…

  6. The impact and sustainability of the graduated driver licensing program in preventing motor vehicle crashes in Massachusetts.

    Science.gov (United States)

    Kaafarani, Haytham M A; Lee, Jarone; Cropano, Catrina; Chang, Yuchiao; Raybould, Toby; Klein, Eric; Gervasini, Alice; Petrovick, Laurie; DePesa, Chris; Camargo, Carlos A; Velmahos, George C; Masiakos, Peter

    2015-02-01

    Graduated driving licensing (GDL) programs phase in driving privileges for teenagers. We aimed to evaluate the effect of the 2007 GDL law on the incidence of total motor vehicle crashes (tMVCs) and fatal motor vehicle crashes (fMVCs) among teenagers in Massachusetts. The Fatality Analysis and Reporting System, the Missouri Census Data Center, and the Massachusetts Department of Transportation databases were all used to create and compare the incidence of tMVCs and fMVCs before (2002-2006) and after (2007-2011) the law enactment. The following three driver age groups were studied: 16 years to 17 years (evaluating the law effect), 18 years to 20 years (evaluating the sustainability of the effect), and 25 years to 29 years (control group). As a sensitivity analysis, we compared the incidence rates per population and per licenses issued. tMVCs decreased following the law for all three age groups (16-17 years, from 7.6 to 4.8 per 1,000 people, p < 0.0001; 18-20 years, from 8.5 to 6.4 per 1,000 people, p < 0.0001; 25-29 years, from 6.2 to 5.2 per 1,000 people, p < 0.0001), but the percentage decrease in tMVC rates was less in the control group (37%, 25%, and 15%, respectively; both p's < 0.0001). The rates of fMVC also decreased in the age groups of 16 years to 17 years (from 14.0 to 8.6 per 100,000 people, p = 0.0006), 18 years to 20 years (from 21.2 to 13.7 per 100,000 people, p < 0.0001), and 25 years to 29 years (from 14.4 to 11.0 per 100,000 people, p < 0.0001). All of these results were confirmed in the sensitivity analyses. The 2007 Massachusetts GDL was associated with a decreased incidence of teenager tMVCs and fMVCs, and the effect was sustainable. This study provides further support to develop, implement, enforce, and maintain GDL programs aimed at preventing MVCs and their related mortality in the young novice driver population. Epidemiologic/prognostic study, level III.

  7. Effects of artemisinin sustained-release granules on mixed alga growth and microcystins production and release.

    Science.gov (United States)

    Ni, Lixiao; Li, Danye; Hu, Shuzhen; Wang, Peifang; Li, Shiyin; Li, Yiping; Li, Yong; Acharya, Kumud

    2015-12-01

    To safely and effectively apply artemisinin sustained-release granules to control and prevent algal water-blooms, the effects of artemisinin and its sustained-release granules on freshwater alga (Scenedesmus obliquus (S. obliquus) and Microcystis aeruginosa (M. aeruginosa)), as well as the production and release of microcystins (MCs) were studied. The results showed that artemisinin sustained-release granules inhibited the growth of M. aeruginosa (above 95% IR) and S. obliquus (about 90% IR), with M. aeruginosa more sensitive. The artemisinin sustained-release granules had a longer inhibition effect on growth of pure algae and algal coexistence than direct artemisinin dosing. The artemisinin sustained-release granules could decrease the production and release of algal toxins due to the continued stress of artemisinin released from artemisinin sustained-release granules. There was no increase in the total amount of MC-LR in the algal cell culture medium.

  8. Advancing understanding of the sustainability of lay health advisor (LHA) programs for African-American women in community settings.

    Science.gov (United States)

    Shelton, Rachel C; Charles, Thana-Ashley; Dunston, Sheba King; Jandorf, Lina; Erwin, Deborah O

    2017-09-01

    Lay health advisor (LHA) programs have made strong contributions towards the elimination of health disparities and are increasingly being implemented to promote health and prevent disease. Developed in collaboration with African-American survivors, the National Witness Project (NWP) is an evidence-based, community-led LHA program that improves cancer screening among African-American women. NWP has been successfully disseminated, replicated, and implemented nationally in over 40 sites in 22 states in diverse community settings, reaching over 15,000 women annually. We sought to advance understanding of barriers and facilitators to the long-term implementation and sustainability of LHA programs in community settings from the viewpoint of the LHAs, as well as the broader impact of the program on African-American communities and LHAs. In the context of a mixed-methods study, in-depth telephone interviews were conducted among 76 African-American LHAs at eight NWP sites at baseline and 12-18 months later, between 2010 and 2013. Qualitative data provides insight into inner and outer contextual factors (e.g., community partnerships, site leadership, funding), implementation processes (e.g., training), as well as characteristics of the intervention (e.g., perceived need and fit in African-American community) and LHAs (e.g., motivations, burnout) that are perceived to impact the continued implementation and sustainability of NWP. Factors at the contextual levels and related to motivations of LHAs are critical to the sustainability of LHA programs. We discuss how findings are used to inform (1) the development of the LHA Sustainability Framework and (2) strategies to support the continued implementation and sustainability of evidence-based LHA interventions in community settings.

  9. Sustainable Cost Models for mHealth at Scale: Modeling Program Data from m4RH Tanzania.

    Science.gov (United States)

    Mangone, Emily R; Agarwal, Smisha; L'Engle, Kelly; Lasway, Christine; Zan, Trinity; van Beijma, Hajo; Orkis, Jennifer; Karam, Robert

    2016-01-01

    There is increasing evidence that mobile phone health interventions ("mHealth") can improve health behaviors and outcomes and are critically important in low-resource, low-access settings. However, the majority of mHealth programs in developing countries fail to reach scale. One reason may be the challenge of developing financially sustainable programs. The goal of this paper is to explore strategies for mHealth program sustainability and develop cost-recovery models for program implementers using 2014 operational program data from Mobile for Reproductive Health (m4RH), a national text-message (SMS) based health communication service in Tanzania. We delineated 2014 m4RH program costs and considered three strategies for cost-recovery for the m4RH program: user pay-for-service, SMS cost reduction, and strategic partnerships. These inputs were used to develop four different cost-recovery scenarios. The four scenarios leveraged strategic partnerships to reduce per-SMS program costs and create per-SMS program revenue and varied the structure for user financial contribution. Finally, we conducted break-even and uncertainty analyses to evaluate the costs and revenues of these models at the 2014 user volume (125,320) and at any possible break-even volume. In three of four scenarios, costs exceeded revenue by $94,596, $34,443, and $84,571 at the 2014 user volume. However, these costs represented large reductions (54%, 83%, and 58%, respectively) from the 2014 program cost of $203,475. Scenario four, in which the lowest per-SMS rate ($0.01 per SMS) was negotiated and users paid for all m4RH SMS sent or received, achieved a $5,660 profit at the 2014 user volume. A Monte Carlo uncertainty analysis demonstrated that break-even points were driven by user volume rather than variations in program costs. These results reveal that breaking even was only probable when all SMS costs were transferred to users and the lowest per-SMS cost was negotiated with telecom partners. While this

  10. Sustainable Cost Models for mHealth at Scale: Modeling Program Data from m4RH Tanzania.

    Directory of Open Access Journals (Sweden)

    Emily R Mangone

    Full Text Available There is increasing evidence that mobile phone health interventions ("mHealth" can improve health behaviors and outcomes and are critically important in low-resource, low-access settings. However, the majority of mHealth programs in developing countries fail to reach scale. One reason may be the challenge of developing financially sustainable programs. The goal of this paper is to explore strategies for mHealth program sustainability and develop cost-recovery models for program implementers using 2014 operational program data from Mobile for Reproductive Health (m4RH, a national text-message (SMS based health communication service in Tanzania.We delineated 2014 m4RH program costs and considered three strategies for cost-recovery for the m4RH program: user pay-for-service, SMS cost reduction, and strategic partnerships. These inputs were used to develop four different cost-recovery scenarios. The four scenarios leveraged strategic partnerships to reduce per-SMS program costs and create per-SMS program revenue and varied the structure for user financial contribution. Finally, we conducted break-even and uncertainty analyses to evaluate the costs and revenues of these models at the 2014 user volume (125,320 and at any possible break-even volume.In three of four scenarios, costs exceeded revenue by $94,596, $34,443, and $84,571 at the 2014 user volume. However, these costs represented large reductions (54%, 83%, and 58%, respectively from the 2014 program cost of $203,475. Scenario four, in which the lowest per-SMS rate ($0.01 per SMS was negotiated and users paid for all m4RH SMS sent or received, achieved a $5,660 profit at the 2014 user volume. A Monte Carlo uncertainty analysis demonstrated that break-even points were driven by user volume rather than variations in program costs.These results reveal that breaking even was only probable when all SMS costs were transferred to users and the lowest per-SMS cost was negotiated with telecom partners

  11. Light Water Reactor Sustainability Program A Reference Plan for Control Room Modernization: Planning and Analysis Phase

    Energy Technology Data Exchange (ETDEWEB)

    Jacques Hugo; Ronald Boring; Lew Hanes; Kenneth Thomas

    2013-09-01

    The U.S. Department of Energy’s Light Water Reactor Sustainability (LWRS) program is collaborating with a U.S. nuclear utility to bring about a systematic fleet-wide control room modernization. To facilitate this upgrade, a new distributed control system (DCS) is being introduced into the control rooms of these plants. The DCS will upgrade the legacy plant process computer and emergency response facility information system. In addition, the DCS will replace an existing analog turbine control system with a display-based system. With technology upgrades comes the opportunity to improve the overall human-system interaction between the operators and the control room. To optimize operator performance, the LWRS Control Room Modernization research team followed a human-centered approach published by the U.S. Nuclear Regulatory Commission. NUREG-0711, Rev. 3, Human Factors Engineering Program Review Model (O’Hara et al., 2012), prescribes four phases for human factors engineering. This report provides examples of the first phase, Planning and Analysis. The three elements of Planning and Analysis in NUREG-0711 that are most crucial to initiating control room upgrades are: • Operating Experience Review: Identifies opportunities for improvement in the existing system and provides lessons learned from implemented systems. • Function Analysis and Allocation: Identifies which functions at the plant may be optimally handled by the DCS vs. the operators. • Task Analysis: Identifies how tasks might be optimized for the operators. Each of these elements is covered in a separate chapter. Examples are drawn from workshops with reactor operators that were conducted at the LWRS Human System Simulation Laboratory HSSL and at the respective plants. The findings in this report represent generalized accounts of more detailed proprietary reports produced for the utility for each plant. The goal of this LWRS report is to disseminate the technique and provide examples sufficient to

  12. BIM and Sustainability Education: Incorporating Instructional Needs into Curriculum Planning in CEM Programs Accredited by ACCE

    Directory of Open Access Journals (Sweden)

    Jingxiao Zhang

    2016-05-01

    Full Text Available Higher education ought to support the identification of training needs for industrial building information modelling (BIM curriculum development and sustainability education in the fields of civil engineering and management (CEM. This paper proposes a framework based on a four-phase step-by-step quality function deployment (QFD application for CEM curriculum planning and quality management. The framework attempts to respond to requests collected from 17 professionals and professors in order to integrate BIM into the higher education curriculum in China with a specific focus on construction management programs accredited by the American Council for Construction Education (ACCE. The entropy method and a K1–K6 scale adapted from Bloom’s revised cognitive process were employed to evaluate the CEM curriculum in QFD. The proposed framework was successfully applied to CEM curriculum planning, which included two curriculums of the four main knowledge areas provided by the Chinese CEM guidelines: construction cost and flow construction. Two curriculum areas showed that content should focus on knowledge such as (a Program evaluation and review technique(PERT planning; (b construction optimization in flow construction; (c principles of bill of quantities and (d construction consumption in construction costs. As for teaching quality management in China, the higher education curriculum should focus on three aspects to promote curriculum integration: (a pedagogical design; (b teaching resource and material and (c curriculum assessment. This research sheds light on the pedagogical shift to a similar context that has established guidelines accredited by the ACCE, with respect to reviewing curriculum planning from a knowledge system perspective in order to meet industrial demands at the operational level.

  13. Short-term and sustained effects of a health system strengthening ...

    African Journals Online (AJOL)

    There is a need to develop reproducible interventions that reinforce the implementation of these guidelines and assess their effect and sustainability. Objectives. To assess the short-term and sustained effects of a health system strengthening intervention on mortality attributable to SAM in two hospitals located in the Eastern ...

  14. Building Corporate Reputation through Sustainable Entrepreneurship: The Mediating Effect of Ethical Behavior

    Directory of Open Access Journals (Sweden)

    Mª del Mar Ramos-González

    2017-09-01

    Full Text Available This article investigates how a management approach based on sustainable entrepreneurship can positively affect corporate reputation. The analysis showed that this effect is enhanced by the mediating effect of good governance based on ethical behavior. The empirical study was conducted using data for 104 large Spanish firms defined as sustainable by the Corporate Reputation Business Monitor (MERCO ranking.

  15. Light Water Reactor Sustainability Program Status of Silicon Carbide Joining Technology Development

    Energy Technology Data Exchange (ETDEWEB)

    Bragg-Sitton, Shannon M. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2013-09-01

    Advanced, accident tolerant nuclear fuel systems are currently being investigated for potential application in currently operating light water reactors (LWR) or in reactors that have attained design certification. Evaluation of potential options for accident tolerant nuclear fuel systems point to the potential benefits of silicon carbide (SiC) relative to Zr-based alloys, including increased corrosion resistance, reduced oxidation and heat of oxidation, and reduced hydrogen generation under steam attack (off-normal conditions). If demonstrated to be applicable in the intended LWR environment, SiC could be used in nuclear fuel cladding or other in-core structural components. Achieving a SiC-SiC joint that resists corrosion with hot, flowing water, is stable under irradiation and retains hermeticity is a significant challenge. This report summarizes the current status of SiC-SiC joint development work supported by the Department of Energy Light Water Reactor Sustainability Program. Significant progress has been made toward SiC-SiC joint development for nuclear service, but additional development and testing work (including irradiation testing) is still required to present a candidate joint for use in nuclear fuel cladding.

  16. Sustainability policy and effects on practices in the remediation field

    Science.gov (United States)

    Hou, D.; Al-Tabbaa, A.

    2012-12-01

    Land is not only a critical component of the earth's life support system, but also a precious resource and an important factor of production in economy. However, historical industrial operations have caused a huge stockpile of contaminated land that is only slowly being remediated. After several decades of clean-up efforts, there are still an estimated 294,000 contaminated sites in the US and over 300,000 hectares of potentially contaminated land in the UK. It is imperative to develop technical solutions as well as socioeconomic and political instruments to achieve sustainable restoration of contaminated land. The inclusion of sustainability in decision making provides an opportunity to integrate a wide range of considerations: risk control, brownfield regeneration, carbon footprint, water footprint, renewable energy, etc. This study explores the behavior patterns and driving forces behind sustainable practices in remediation, aiming at advancing our understanding of the fundamental relationships among changing natural and manipulated geological environments, sustainability, and technology choices. A large-scale survey is being conducted in the US and UK to study behaviour and decision making issues from a stakeholder perspective. Historically stakeholder theories have been extensively applied to study organization management issues in the academia. This study intends to apply stakeholder theories to engineering practice and sustainability science studies. Pilot test results found that sustainability considerations are widely adopted and in a wide variety of ways. Site owners and regulators are found to be most influential in the decision making process. There is no lack of incentives to adopt sustainability practices, but various factors, such as lack of resources and cost considerations, are still considered impeding factors. At the time of the 2012 AGU meeting, further results from the survey will be available.

  17. Integrated, long term, sustainable, cost effective biosolids management at a large Canadian wastewater treatment facility

    Energy Technology Data Exchange (ETDEWEB)

    LeBlance, R.J.; Allain, C.J.; Laughton, P.J.; Henry, J.G.

    2003-07-01

    The Greater Moncton Sewerage Commission's 115 000 m{sup 3}/d advanced, chemically assisted primary wastewater treatment facility located in New Brunswick, Canada, has developed an integrated, long term, sustainable, cost effective programme for the management and beneficial utilization of biosolids from lime stabilized raw sludge. The paper overviews biosolids production, lime stabilization, conveyance, and odour control followed by an indepth discussion of the wastewater sludge as a resource programme, namely: composting, mine site reclamation, landfill cover, land application for agricultural use, tree farming, sod farm base as a soil enrichment, topsoil manufacturing. The paper also addresses the issues of metals, pathogens, organic compounds, the quality control program along with the regulatory requirements. Biosolids capital and operating costs are presented. Research results on removal of metals from primary sludge using a unique biological process known as BIOSOL as developed by the University of Toronto, Canada to remove metals and destroy pathogens are presented. The paper also discusses an ongoing cooperative research project with the Universite de Moncton where various mixtures of plant biosolids are composted with low quality soil. Integration, approach to sustainability and ''cumulative effects'' as part of the overall biosolids management strategy is also discussed. (author)

  18. “Frontload” in complex project program management to aim for lifetime sustainability of offshore windmill parks

    DEFF Research Database (Denmark)

    Brink, Tove

    2015-01-01

    This paper reveals how project program management can aim for lifetime sustainability of offshore windmill parks through innovation. The research is based on a qualitative focus group interview with 11 enterprises and 6 individual semi-constructed interviews with 6 enterprises. Offshore windmill...... parks are revealed to be complex product systems (CoPS), and this context has an important impact on the structuring of project program management. The findings show a need for the “frontload” of resources in the early stage of project program management. This structure is different from the widely used...... to existing project management literature on CoPS....

  19. Cost-Effectiveness Analysis of a Military Hearing Conservation Program.

    Science.gov (United States)

    Garcia, Seth L; Smith, Kenneth J; Palmer, Catherine

    2018-02-07

    Occupational noise threatens U.S. worker health and safety and commands a significant financial burden on state and federal government worker compensation programs. Previous studies suggest that hearing conservation programs have contributed to reduced occupational hearing loss for noise-exposed workers. Many military personnel are overexposed to noise and are provided hearing conservation services. Select military branches require all active duty personnel to follow hearing conservation program guidelines, regardless of individual noise exposure. We evaluated the cost-effectiveness of a military hearing conservation program, relative to no intervention, in relation to cases of hearing loss prevented. We employed cost-effectiveness analytic methods to compare the costs and effectiveness, in terms of hearing loss cases prevented, of a military hearing conservation program relative to no program. We used costs and probability estimates available in the literature and publicly available sources. The effectiveness of the interventions was analyzed based on whether hearing loss occurred over a 20-yr time frame. The incremental cost-effectiveness ratio of the hearing conservation program compared with no intervention was $10,657 per case of hearing loss prevented. Workers were 28% less likely to sustain hearing loss in our model when they received the hearing conservation program compared with no intervention, which reflected the greater effectiveness of the hearing conservation program. Cost-effectiveness results were sensitive to estimated values for the probability of acquiring hearing loss from both interventions and the cost of hearing protection. We performed a Monte Carlo probabilistic sensitivity analysis where we simultaneously varied all the model parameters to their extreme plausible bounds. When we ran 10,000 Monte Carlo iterations, we observed that the hearing conservation program was more cost-effective in 99% of cases when decision makers were willing to

  20. Measuring the effectiveness of an audiological counseling program.

    Science.gov (United States)

    English, Kris; Archbold, Sue

    2014-02-01

    Audiologists routinely observe patients struggle with psycho-emotional difficulties associated with hearing loss, yet are often underprepared to manage this vital aspect of patient care. For this reason, a workshop was developed for audiologists interested in expanding their counselling skills. Since one-time workshops typically do not result in changes in practice, this program adopted a distributed-over-time learning model, consisting of 20 hours of participation across six weeks. The extended nature of the program provided multiple opportunities to learn several counselling strategies, and apply and evaluate the effectiveness of these strategies in clinical settings. Learning objectives were assessed throughout the six-week program. However, at the conclusion of each program, it was unknown whether new knowledge carried over into sustained new skills. Therefore, we surveyed attendees six months after their program, to determine if the program had affected changes in their practice. Twenty clinicians (response rate = 91%) participated in the survey. All respondents made some, and often many, changes in patient communication. They applied several counseling concepts to their work settings and reported positive changes in patient-clinician dynamics. Results suggest that a six-week program is effective in helping clinicians change their counseling skills within their practice.

  1. More talking, more doing: because we can. : Comparative study of effectiveness of sustainability integration strategies.

    OpenAIRE

    Jablonski, Przemyslaw; Kanwal, Khadija

    2017-01-01

    This research study measures the impact of academic engagement and operational engagement, the strategies that are used by business schools for sustainability integration. The effectiveness of these strategies is studied through their impact on business students’ sustainability perception, their Corporate Social Responsibility (CSR) attitude, and their current behavior regarding sustainability. It is a quantitative study in which Independent sample t-test is used based on sample of 158 busine...

  2. Over a Decade of Lessons Learned from an REU Program in the Science of Global Change and Sustainability

    Science.gov (United States)

    Hersh, E. S.; James, E. W.; Banner, J. L.

    2014-12-01

    The Research Experience for Undergraduates (REU) in "The Science of Global Change and Sustainability" at the University of Texas at Austin Environmental Science Institute (ESI) has just completed its twelfth summer. The program has 113 REU alumni plus 5 Research Experience for Teachers (RET) alumni, selected from a competitive pool of 976 applicants (~14% acceptance rate), 68% from 61 smaller colleges and universities (of 79 schools represented), 40% of those who self-reported coming from demographics underrepresented in STEM, and with nearly 70% women. Students conduct independent research under the supervision of a faculty mentor in four major interdisciplinary themes: Impacts on Ecosystems, Impacts on Watersheds and the Land Surface, Campus Sustainability, and Reconstructing Past Global Change. These themes bridge chemistry, biology, ecology, environmental policy, civil and environmental engineering, marine science, and geological science. The summer cohort participates in weekly research and professional development seminars along with group field exercises. Topics include graduate school, career preparation, research ethics, sustainability, global change, environmental justice, and research communication. These activities plus the student's individual research comprise a portfolio that culminates in a reflection essay integrating the concepts, methods, and perspectives gained over the 10-week program. Program alumni were surveyed in 2014 to gauge long-term impact and outcomes. Of the 76 surveyed from 2006-2013, 39% responded. 67% have earned or are working on a graduate degree, and 94% of the graduate programs are in STEM. 93% of the responding alumni felt that the program "influenced my job and educational choices" and 97% felt that the program "helped me better understand scientific research." 40% presented their findings at a conference and 17% authored or co-authored a peer-reviewed publication. This presentation will include a discussion of best practices

  3. Effective Career Exploration Programs Revisited.

    Science.gov (United States)

    Wiggins, James D.

    1987-01-01

    Replicated findings of Wiggins and Moody (1981). Evaluated four types of high school career exploration programs: cluster (N=53), Career Maturity Inventory (N=52), Career Survey (N=57), and Self-Directed Search/Vocational Preference Inventory (N=55). Results favored latter three programs which allowed students to pursue their own interests instead…

  4. Undergraduate Sustainable Learning: Effects of Sustainable Soilless Media on Production and Sensory Evaluation of Cucumbers, Basil, Parsley, and Lettuce

    Directory of Open Access Journals (Sweden)

    Victoria Russell

    2011-08-01

    Full Text Available Modern greenhouse production has been ~100% reliant on fossil fuels for all inputs (glazing, heating, fertilization, lighting, post-harvest. Recent innovations may reduce fossil fuel dependence but their effectiveness may not be thoroughly tested. To promote education in sustainable production, undergraduate students in Greenhouse Management class (Hort 3002W; University of Minnesota tested the effectiveness of two organic or ‘sustainable’ soilless media (Sunshine Natural and Organic Growing Mix, Sungro Metro-Mix Special Blend with a control (Sunshine LC8 Professional for crop production (height, leaf/flower number, yield and sensory evaluations (appearance, texture, taste, purchase of cucumbers (‘Big Burpless Hybrid’, ‘Sweet Burpless Hybrid’, basil (‘Opal Purple’, ‘Redleaf’, parsley (‘Green River’, ‘Extra Curled Dwarf’, ‘Hamburg’, and lettuce (Flying Saucer ‘Green’, ‘Red’. Significant differences between sustainable vs. control soils occurred for plant growth, depending on vegetative or reproductive traits, crops, and cultivars. These differences occasionally disappeared for sensory evaluation of edible components. In most crops, however, cultivars were highly significant factors. Undergraduate research can be used to provide directionality for future vegetable and herb plant breeding to focus on creating cultivars with increased yield and high consumer acceptance when grown in sustainable greenhouse soilless mixes.

  5. Program description for the program Fuel program sustainability July 1, 2011 through June 30, 2015; Programbeskrivning foer programmet Braensleprogrammet haallbarhet 1 juli 2011 till och med 30 juni 2015

    Energy Technology Data Exchange (ETDEWEB)

    2011-04-15

    The Fuel program sustainability is included as one of three programs in a cohesive commitment to increased, sustainable and efficient production and use of indigenous and renewable fuels that are implemented by the Swedish Energy Agency from July 1, 2011 to June 30, 2015. The program focuses on issues of environment and ecological sustainability of the production of biofuels, and systems and resource issues concerning the use. It does not include purely technical issues related to biofuels production or processes in which fuel is converted to heat, electricity or fuel. Questions about fuel supply and fuel processing / scale combustion are treated in the parallel running programs; the Fuel program supply and the Fuel program conversion. The four-year program will commence on July 1, 2011 and will run until June 30, 2015 and has an annual budget of total SEK 16 millions. Ambiguities in the environmental area may through various regulations mean various forms of barriers on the biofuel market. The Fuel program sustainability aims to sort out such ambiguities and, if possible, eliminate such obstacles, identify solutions and develop opportunities. The availability of biofuels and croplands is limited relative to needs. Thus the program also aims to describe the resource efficiency and climate benefits of current biofuel chains, and the possibility of using instruments to stimulate good practice. The program consists of sub-areas that partly overlap. - The sub-area Environment and sustainability focuses on how biofuel production will be designed to meet national and international environmental objectives and sustainability criteria. - The sub-area Biofuels and greenhouse gases describes different climate aspects related to production and exploitation of biofuels. - The sub-area System and market focuses on resource- and climate-efficient solutions in a system perspective, and how the bio-energy system can be affected by policy instruments

  6. Effectiveness of a community‐directed ‘healthy lifestyle’ program in a remote Australian Aboriginal community

    National Research Council Canada - National Science Library

    Rowley, Kevin G; Daniel, Mark; Skinner, Karen; Skinner, Michelle; White, Gwyneth A; O'Dea, Kerin

    2000-01-01

    Objective : To assess the sustainability and effectiveness of a community‐directed program for primary and secondary prevention of obesity, diabetes and cardiovascular disease in an Aboriginal community in north...

  7. [Effects of distractors on sustained attention in children with attention-deficit hyperactive disorder].

    Science.gov (United States)

    Xu, Yan; Zhou, Xiao-lin; Wang, Yu-feng

    2004-01-01

    Using an experimental design combining the sustained attention task (CPT, SART) and the flanker task, we investigated: 1) whether children with attention-deficit hyperactive disorder (ADHD) have deficits in their sustained attention; 2) whether distractors have different effects on response to targets at different sustained attention levels; 3) whether different subtypes of ADHD children show different patterns in sustained attention. Subjects were recruited from elementary school (Grade 2 - 6). Twenty seven ADHD children (23 male, 4 female) and 29 normal controls (24 male, 5 female) were matched by IQ and age. The cognitive experiment measuring reaction times and error rates was conducted on a computer using DMDX software. ADHD and normal children's performance in sustained attention and the effect of distractors were analyzed, and the results of subtypes of ADHD were compared. ADHD children and normal children did not show significant differences in error rates in their response to dominant (non-attentional) item. However, distractors impaired ADHD children's response to targets. ADHD children also showed more errors than normal children in the sustained attention task, but compared with the non-distractor condition, distractors facilitated their response. ADHD children have deficits in their sustained attention, reflecting the deficits in brain development. More importantly, this study found that the effects of distractors in sustained attention can be dissociated according to the level of demand on sustained attention: distractors interfered with responses to targets when the demand on sustained attention was low, and they facilitated responses to targets when the demand on sustained attention was high. There were no significant differences between ADHD-inattentive type and ADHD-combined type in their deficits in sustained attention.

  8. Sustainability of a Community-Based CHOICE Program to Improve the Health and Nutrition Status of Mothers and Infants in Indonesia.

    Science.gov (United States)

    Eder, Clara; Khatiwada, Lila Kumar; Schooley, Janine

    2018-02-10

    Objectives Few studies have been undertaken to determine whether and how project results are sustained. University of Notre Dame (ND) and Project Concern International conducted a Post-Project Sustainability Study (PSS) of a USAID-funded program (CHOICE), implemented in Indonesia, Banten province, between 2003 and 2007, in order to determine lasting effects and improve PSS methodologies. Methods Sustainability was measured through a comparison of data collected on mother-infant pairs in 2014 with final evaluation data from 2007; and through a comparison of 2014 data collected from the CHOICE villages and comparison villages. Results The analysis showed positive differences in multiple indicators in CHOICE villages between 2007 and 2014, including births attended by skilled personnel (Mean Difference 48.56, 95% CI 38.68 to 58.43) and treatment of diarrhea (MD 16.42, 95% CI - 0.94 to 33.37). However, only one statistically significant difference between intervention and comparison groups in 2014 was observed, infants with diarrhea whose mothers sought advice or treatment (MD - 5.48, 95% CI - 9.55 to 1.39), showing more mothers in intervention group sought advice or treatment. Because contextual factors were not studied in detail and baseline data was not available for the comparison villages, it is difficult to determine the reasons for the results. Given that longitudinal data was not collected, it is also difficult to determine whether results fluctuated between 2007 and 2014. Conclusions for practice This PSS contributes to the limited body of knowledge in sustainability research. Lessons learned from this study will increase potential for sustainable impact of projects, as more rigorous measurement will lead to greater overall understanding of how sustainability actually "happens".

  9. Sustainability from the Transdisciplinary Perspective: An Action Research Strategy for Continuing Education Program Development

    Science.gov (United States)

    Salite, lga; Drelinga, Elga; Iliško, Dzintra; Olehnovica, Eridiana; Zarina, Sandra

    2016-01-01

    The need to focus on a transdisciplinary approach in education for sustainable development (EDS) has been reflected in research and especially action research as a possible solution, which can open a new perspective for understanding and interpretation of the complex phenomenon of sustainability as well as for developing new open continuing…

  10. Examining the Sustainability of an Evidence-Based Preschool Curriculum: The REDI Program

    Science.gov (United States)

    Sanford DeRousie, Rebecca M.; Bierman, Karen L.

    2012-01-01

    This study examined the extent to which an evidence-based preschool curriculum (Head Start REDI) was sustained by 20 teachers during the year following a randomized controlled efficacy trial, when teachers were no longer required by the research project to implement the curriculum. Two quantitative measures of sustainability (teacher ratings, REDI…

  11. Internal Medicine Residency Program in Guyana: A Collaborative Model for Sustainable Graduate Medical Education in Resource-Limited Settings.

    Science.gov (United States)

    Persaud, Dev; Cole, Joanna; Jainarine, Ramdeo; Khalid, Zahira

    2017-01-01

    The Georgetown Public Hospital Corporation (GPHC) started the Internal Medicine/Infectious Diseases residency program in 2013. It was a collaborative initiative between GPHC and University of Maryland. Since that time the program has gone through many trials and developed new partnerships and collaboration and emerged as a young successful program with close international links that have worked and persevered in developing the successful academic and professional careers of its residents. International collaborations have resulted in applying innovative methods of teaching to deliver the curriculum in a sustainable manner in a resource-limited setting. The article discusses in detail the history of the program and the roles that the collaborative partners have played in the evolution of the program.

  12. Identifying Effective and Sustainable Measures for Community-Based Environmental Monitoring

    Science.gov (United States)

    McKay, Ariana J.; Johnson, Chris J.

    2017-09-01

    Resource development projects typically result in monitoring programs that fail to fully consider the values and participation of surrounding communities. Also, monitoring protocols for single environmental values can be insufficient for addressing the cumulative impacts of resource development. Community-based environmental monitoring (CBEM) has emerged as a way to meaningfully include local citizens in the decision-making process and assessment of the development of natural resources. Our research explored how to develop effective and sustainable CBEM. Interviews were conducted with staff from 15 CBEM programs established across Canada to identify criteria of what constitutes effective CBEM. Results demonstrate that CBEM offers an effective, locally adapted, and culturally applicable approach to facilitate community participation in natural resource management and to track environmental change. Benefits of CBEM include: locally relevant monitoring protocols, inclusion of cumulative impacts, better informed decision-making, and increased awareness and collaboration amongst community, governments, and proponents. Challenges associated with CBEM are cost, capacity, longevity, distribution of results, and establishing credibility. This research validates the use of CBEM for improving resource management.

  13. Effects of electromagnetic forcing on self-sustained jet oscillations

    NARCIS (Netherlands)

    Kalter, R.; Tummers, M.J.; Kenjeres, S.; Righolt, B.W.; Kleijn, C.R.

    2014-01-01

    The influence of electromagnetic forcing on self-sustained oscillations of a jet issuing from a submerged nozzle into a thin vertical cavity (width W much larger than thickness T) has been studied using particle image velocimetry. A permanent Lorentz force is produced by applying an electrical

  14. Environmental extension as effective tool for sustainable natural ...

    African Journals Online (AJOL)

    It should involve all possible interaction of all actors in environmental concerns, i.e. its users, researchers ad change agents in ways of horizontal dissemination of information to foster common understanding of the environment and its management. This paper suggests ways of maintaining bio-diversity through sustained ...

  15. Sustainability effects of household-scale biogas in rural China

    NARCIS (Netherlands)

    Gosens, J.; Lu Yonglong,; He Guizhen,; Bluemling, B.; Beckers, T.A.M.

    2013-01-01

    Households in rural China rely heavily on low quality fuels which results in reduced quality of life and environmental degradation. This study assesses the comparative contribution of household scale biogas installations to the broad set of sustainability objectives in the Chinese biogas policy

  16. Sustainable school infrastructure through effective innovative building technology selection

    CSIR Research Space (South Africa)

    Mphahlele, C

    2014-10-01

    Full Text Available The aim of the paper is to provide an overview of a model proposed for the selection Innovative Building Technologies (IBTs) and procurement of services supporting the erection of the IBTs that will ensure the construction of a sustainable school...

  17. Effects of economics and demographics on global fisheries sustainability.

    Science.gov (United States)

    Ding, Qi; Wang, Yali; Chen, Xinjun; Chen, Yong

    2017-08-01

    A good understanding of social factors that lead to marine ecological change is important to developing sustainable global fisheries. We used balanced panel models and conducted cross-national time-series analyses (1970-2010) of 122 nations to examine how economic prosperity and population growth affected the sustainability of marine ecosystems. We used catches in economic exclusive zone (EEZ); mean trophic level of fishery landings (MTL); primary production required to sustain catches (expressed as percentage of local primary production [%PPR]); and an index of ecosystem overfishing (i.e., the loss in secondary production index [L index]) as indicators of ecological change in marine ecosystems. The EEZ catch, %PPR, and L index declined gradually after gross domestic product (GDP) per capita reached $15,000, $14,000, and $19,000, respectively, and MTL increased steadily once GDP per capita exceeded $20,000. These relationships suggest that economic growth and biodiversity conservation are compatible goals. However, increasing human populations would degrade marine ecosystems. Specifically, a doubling of human population caused an increase in the %PPR of 17.1% and in the L index of 0.0254 and a decline in the MTL of 0.176. A 1% increase in human population resulted in a 0.744% increase in EEZ catch. These results highlight the importance of considering social and economic factors in developing sustainable fisheries management policy. © 2016 Society for Conservation Biology.

  18. Welfare and Child Support Program Knowledge Gaps Reduce Program Effectiveness

    Science.gov (United States)

    Meyer, Daniel R.; Cancian, Maria; Nam, Kisun

    2007-01-01

    There is little research on knowledge of the policy rules that could affect individuals, either in general or in evaluations of new programs. The lack of research is surprising, given that knowledge gaps could limit the effectiveness of reforms or lead to incorrect inferences regarding the effects of a policy change. In this article, we use survey…

  19. Geriatrics Education Team Model Results in Sustained Geriatrics Training in 15 Residency and Fellowship Programs and Scholarship.

    Science.gov (United States)

    Denson, Steven; Simpson, Deborah; Denson, Kathryn; Brown, Diane; Manzi, Gabriel; Rehm, Judith; Wessel, Bambi; Duthie, Edmund H

    2016-04-01

    Caring for the growing elderly population will require specialty and subspecialty physicians who have not completed geriatric medicine fellowship training to participate actively in patient care. To meet this workforce demand, a sustainable approach to integrating geriatrics into specialty and subspecialty graduate medical education training is needed. This article describes the use of a geriatrics education team (GET) model to develop, implement, and sustain specialty-specific geriatrics curricula using a systematic process of team formation and needs assessment through evaluation, with a unique focus on developing curricular interventions that are meaningful to each specialty and satisfy training, scholarship, and regulatory requirements. The GET model and associated results from 15 specialty residency and fellowship training programs over a 4-year period include 93% curriculum sustainability after initial implementation, more than half of the programs introducing additional geriatrics education, and more than 80% of specialty GETs fulfilling their scholarship requirements through their curriculum dissemination. Win-wins and barriers encountered in using the GET model, along with the model's efficacy in curriculum development, sustainability, and dissemination, are summarized. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  20. The Effect of Board Independence on the Sustainability Reporting Practices of Large U.S. Firms \\

    Directory of Open Access Journals (Sweden)

    David N. Herda

    2012-12-01

    firms with a greater proportion of independent board members are: 1 more likely to publish standalone sustainability reports, and 2 more likely to publish higher quality sustainability reports. This paper contributes to prior literature that reports somewhat mixed results on the effect of board independence on voluntary disclosure.

  1. Attribute Segmentation and Communication Effects on Healthy and Sustainable Consumer Diet Intentions

    NARCIS (Netherlands)

    Verain, Muriel; Sijtsema, Siet; Dagevos, Hans; Antonides, Gerrit

    2017-01-01

    A shift towards more sustainable consumer diets is urgently needed. Dietary guidelines state that changes towards less animal-based and more plant-based diets are beneficial in terms of sustainability and, in addition, will have a positive effect on public health. Communication on these guidelines

  2. Volcanic Ash Soils: Sustainable Soil Management Practices, With Examples of Harvest Effects and Root Disease Trends

    Science.gov (United States)

    Mike Curran; Pat Green; Doug Maynard

    2007-01-01

    Sustainability protocols recognize forest soil disturbance as an important issue at national and international levels. At regional levels continual monitoring and testing of standards, practices, and effects are necessary for successful implementation of sustainable soil management. Volcanic ash-cap soils are affected by soil disturbance and changes to soil properties...

  3. Combined effects of attention and motivation on visual task performance: transient and sustained motivational effects.

    Science.gov (United States)

    Engelmann, Jan B; Damaraju, Eswar; Padmala, Srikanth; Pessoa, Luiz

    2009-01-01

    We investigated how the brain integrates motivational and attentional signals by using a neuroimaging paradigm that provided separate estimates for transient cue- and target-related signals, in addition to sustained block-related responses. Participants performed a Posner-type task in which an endogenous cue predicted target location on 70% of trials, while motivation was manipulated by varying magnitude and valence of a cash incentive linked to task performance. Our findings revealed increased detection performance (d') as a function of incentive value. In parallel, brain signals revealed that increases in absolute incentive magnitude led to cue- and target-specific response modulations that were independent of sustained state effects across visual cortex, fronto-parietal regions, and subcortical regions. Interestingly, state-like effects of incentive were observed in several of these brain regions, too, suggesting that both transient and sustained fMRI signals may contribute to task performance. For both cue and block periods, the effects of administering incentives were correlated with individual trait measures of reward sensitivity. Taken together, our findings support the notion that motivation improves behavioral performance in a demanding attention task by enhancing evoked responses across a distributed set of anatomical sites, many of which have been previously implicated in attentional processing. However, the effect of motivation was not simply additive as the impact of absolute incentive was greater during invalid than valid trials in several brain regions, possibly because motivation had a larger effect on reorienting than orienting attentional mechanisms at these sites.

  4. Combined effects of attention and motivation on visual task performance: transient and sustained motivational effects

    Directory of Open Access Journals (Sweden)

    Jan B Engelmann

    2009-03-01

    Full Text Available We investigated how the brain integrates motivational and attentional signals by using a neuroimaging paradigm that provided separate estimates for transient cue- and target-related signals, in addition to sustained block-related responses. Participants performed a Posner-type task in which an endogenous cue predicted target location on 70% of trials, while motivation was manipulated by varying magnitude and valence of a cash incentive linked to task performance. Our findings revealed increased detection performance (d’ as a function of incentive value. In parallel, brain signals revealed that increases in absolute incentive magnitude led to cue- and target-specific response modulations that were independent of sustained state effects across visual cortex, fronto-parietal regions, and subcortical regions. Interestingly, state-like effects of incentive were observed in several of these brain regions, too, suggesting that both transient and sustained fMRI signals may contribute to task performance. For both cue and block periods, the effects of administering incentives were correlated with individual trait measures of reward sensitivity. Taken together, our findings support the notion that motivation improves behavioral performance in a demanding attention task by enhancing evoked responses across a distributed set of anatomical sites, many of which have been previously implicated in attentional processing. However, the effect of motivation was not simply additive as the impact of absolute incentive was greater during invalid than valid trials in several brain regions, possibly because motivation had a larger effect on reorienting than orienting attentional mechanisms at these sites.

  5. Assessing the sustained impact of a school-based obesity prevention program for adolescent boys: the ATLAS cluster randomized controlled trial.

    Science.gov (United States)

    Lubans, David R; Smith, Jordan J; Plotnikoff, Ronald C; Dally, Kerry A; Okely, Anthony D; Salmon, Jo; Morgan, Philip J

    2016-08-20

    Obesity prevention interventions targeting 'at-risk' adolescents are urgently needed. The aim of this study is to evaluate the sustained impact of the 'Active Teen Leaders Avoiding Screen-time' (ATLAS) obesity prevention program. Cluster RCT in 14 secondary schools in low-income communities of New South Wales, Australia. Participants were 361 adolescent boys (aged 12-14 years) 'at risk' of obesity. The intervention was based on Self-Determination Theory and Social Cognitive Theory and involved: professional development, fitness equipment for schools, teacher-delivered physical activity sessions, lunch-time activity sessions, researcher-led seminars, a smartphone application, and parental strategies. Assessments for the primary (body mass index [BMI], waist circumference) and secondary outcomes were conducted at baseline, 8- (post-intervention) and 18-months (follow-up). Analyses followed the intention-to-treat principle using linear mixed models. After 18-months, there were no intervention effects for BMI or waist circumference. Sustained effects were found for screen-time, resistance training skill competency, and motivational regulations for school sport. There were no clinically meaningful intervention effects for the adiposity outcomes. However, the intervention resulted in sustained effects for secondary outcomes. Interventions that more intensively target the home environment, as well as other socio-ecological determinants of obesity may be needed to prevent unhealthy weight gain in adolescents from low-income communities. Australian Clinical Trial Registry ACTRN12612000978864.

  6. Assessing the Sustainability of Small Farmer Natural Resource Management Systems. A Critical Analysis of the MESMIS Program (1995-2010

    Directory of Open Access Journals (Sweden)

    Marta Astier

    2012-09-01

    Full Text Available Sustainability assessment oriented to improve current systems and practices is urgently needed, particularly in the context of small farmer natural resource management systems (NRMS. Unfortunately, social-ecological systems (SES theory, sustainability evaluation frameworks, and assessment methods are still foreign not only to farmers but to many researchers, students, NGOs, policy makers/operators, and other interested groups. In this paper we examine the main achievements and challenges of the MESMIS Program (Spanish acronym for Indicator-based Sustainability Assessment Framework, a 15-year ongoing effort with impact in 60 case studies and 20 undergraduate and graduate programs mainly in Ibero-America that is attempting to cope with the stated challenges. The MESMIS experience shows that it is possible to conduct sustainability assessments in the context of small farmers through a long-term, participatory, interdisciplinary, and multi-institutional approach that integrates a solid theoretical background, a field-tested operational framework, learning tools specifically devised to facilitate the understanding of sustainability as a multidimensional and dynamic concept, and a growing set of case studies to apply to and get feedback from users. Specifically, through the dissemination of the MESMIS assessment framework in a large set of case studies in a contrasting set of social-ecological contexts, we have been able to: (a characterize the NRMS, their subsystems, and their main interactions; (b link attributes, i.e., general systemic properties, with sustainability indicators to assess critical socioeconomic and environmental aspects of the NRMS; (c integrate indicators through multicriteria tools and to expose the multidimensional aspects of sustainability; (d propose an initial multiscale assessment to articulate processes and actors at different spatial scales; (e develop multimedia learning tools, i.e., Interactive-MESMIS, to help users

  7. From Attitude Change to Behaviour Change: Institutional Mediators of Education for Sustainable Development Effectiveness

    Directory of Open Access Journals (Sweden)

    Ismael Velasco

    2014-09-01

    Full Text Available In this paper, we explore the way in which institutional contexts mediate values-focused behaviour change, with potential design implications. We use concepts taken from training research, where “learning transfer” refers to the translation into practice of the learning acquired during training: it is considered necessary to generalize it for the job context and for it to be maintained over a period of time on the job. In this paper, we analyse the example of one education for sustainable development (ESD intervention that is already established as pedagogically effective when it is deployed in diverse institutional environments worldwide—the Youth as Agents of Behaviour Change program of the International Federation of Red Cross and Red Crescent Societies (IFRC. This allows an opportunity to consider variations in learning transfer due to distinctive moderating institutional features, which can now be understood in terms of varying transfer climates, levels of leadership support and opportunities to practice. Additional barriers of tokenistic consultation, lack of role clarity and perverse effects of increased distance between trainees and their colleagues on return were also seen. ESD programs intending to bridge the values-action gap could benefit from not focusing only on the training content, but pre-planning organisational support for returning trainees and including in the training ways for them to assess and plan to overcome such difficulties.

  8. A unit-level perspective on the long-term sustainability of a nursing best practice guidelines program: An embedded multiple case study.

    Science.gov (United States)

    Fleiszer, Andrea R; Semenic, Sonia E; Ritchie, Judith A; Richer, Marie-Claire; Denis, Jean-Louis

    2016-01-01

    Best practice guidelines are a tool for narrowing research-to-practice gaps and improving care outcomes. There is some empirical understanding of guideline implementation in nursing settings, yet there has been almost no consideration of the longer-term sustainability of guideline-based practice improvements. Many healthcare innovations are not sustained, underscoring the need for knowledge about how to promote their survival. To understand how a nursing best practice guidelines program was sustained on acute healthcare center nursing units. We undertook a qualitative descriptive case study of an organization-wide nursing best practice guidelines program with four embedded nursing unit subcases. The setting was a large, tertiary/quaternary urban health center in Canada. The nursing department initiated a program to enhance patient safety through the implementation of three guidelines: falls prevention, pressure ulcer prevention, and pain management. We selected four inpatient unit subcases that had differing levels of program sustainability at an average of almost seven years post initial program implementation. Data sources included 39 key informant interviews with nursing leaders/administrators and frontline nurses; site visits; and program-related documents. Data collection and content analysis were guided by a framework for the sustainability of healthcare innovations. Program sustainability was characterized by three elements: benefits, routinization, and development. Seven key factors most accounted for the differences in the level of program sustainability between subcases. These factors were: perceptions of advantages, collaboration, accountability, staffing, linked levels of leadership, attributes of formal unit leadership, and leaders' use of sustainability activities. Some prominent relationships between characteristics and factors explained long-term program sustainability. Of primary importance was the extent to which unit leaders used sustainability

  9. Chewing and Attention: A Positive Effect on Sustained Attention

    OpenAIRE

    Yoshiyuki Hirano; Minoru Onozuka

    2015-01-01

    Chewing is crushing food not only to aid swallowing and digestion, but also to help stress relief and regulate cognitive function, especially in attention. It is well known that chewing gum is used for sleepiness prevention during work, learning, and driving, suggesting a link between chewing and sustained attention. We hypothesized that chewing elevates attention and/or alertness, leading to improvements in cognitive performance. We carried out a systematic review of the PubMed database. We ...

  10. Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition.

    Science.gov (United States)

    Robroek, Suzan J W; Lindeboom, Dennis E M; Burdorf, Alex

    2012-03-05

    physical activity level were less likely to participate (Odds Ratio (OR)=0.60, 95% Confidence interval (95%CI), 0.43-0.85) but more likely to sustain participation throughout the study period (ORs ranging from 1.40 to 2.06). Furthermore, it was found that smokers were less likely to sustain their participation in the first and second year (OR=0.54, 95%CI 0.35-0.82) and to visit the website (OR=0.72, 95%CI 0.54-0.96). Website use was highest in the periods immediately after the baseline (73%) and follow-up questionnaires (71% and 87%). Employees in the intervention were more likely to visit the website in the period they received monthly emails (OR=5.88, 95%CI 3.75-9.20) but less likely to visit the website in the subsequent period (OR=0.62, 95%CI 0.45-0.85). Modest initial participation and high attrition in program use were found. Workers with a low intention to change their behavior were less likely to participate, but once enrolled they were more likely to sustain their participation. Lifestyle and health indicators were not related to initial participation, but those with an unhealthy lifestyle were less likely to sustain. This might influence program effectiveness. Regular email messages prompted website use, but the use of important Web-based tools was modest. There is a need for more appealing techniques to enhance retention and to keep those individuals who need it most attracted to the program. ISRCTN52854353; http://www.controlled-trials.com/ISRCTN52854353.

  11. Effects of hypercapnia and NO synthase inhibition in sustained hypoxic pulmonary vasoconstriction.

    Science.gov (United States)

    Ketabchi, Farzaneh; Ghofrani, Hossein A; Schermuly, Ralph T; Seeger, Werner; Grimminger, Friedrich; Egemnazarov, Bakytbek; Shid-Moosavi, S Mostafa; Dehghani, Gholam A; Weissmann, Norbert; Sommer, Natascha

    2012-01-31

    Acute respiratory disorders may lead to sustained alveolar hypoxia with hypercapnia resulting in impaired pulmonary gas exchange. Hypoxic pulmonary vasoconstriction (HPV) optimizes gas exchange during local acute (0-30 min), as well as sustained (> 30 min) hypoxia by matching blood perfusion to alveolar ventilation. Hypercapnia with acidosis improves pulmonary gas exchange in repetitive conditions of acute hypoxia by potentiating HPV and preventing pulmonary endothelial dysfunction. This study investigated, if the beneficial effects of hypercapnia with acidosis are preserved during sustained hypoxia as it occurs, e.g in permissive hypercapnic ventilation in intensive care units. Furthermore, the effects of NO synthase inhibitors under such conditions were examined. We employed isolated perfused and ventilated rabbit lungs to determine the influence of hypercapnia with or without acidosis (pH corrected with sodium bicarbonate), and inhibitors of endothelial as well as inducible NO synthase on acute or sustained HPV (180 min) and endothelial permeability. In hypercapnic acidosis, HPV was intensified in sustained hypoxia, in contrast to hypercapnia without acidosis when HPV was amplified during both phases. L-NG-Nitroarginine (L-NNA), a non-selective NO synthase inhibitor, enhanced acute as well as sustained HPV under all conditions, however, the amplification of sustained HPV induced by hypercapnia with or without acidosis compared to normocapnia disappeared. In contrast 1400 W, a selective inhibitor of inducible NO synthase (iNOS), decreased HPV in normocapnia and hypercapnia without acidosis at late time points of sustained HPV and selectively reversed the amplification of sustained HPV during hypercapnia without acidosis. Hypoxic hypercapnia without acidosis increased capillary filtration coefficient (Kfc). This increase disappeared after administration of 1400 W. Hypercapnia with and without acidosis increased HPV during conditions of sustained hypoxia. The

  12. Effects of hypercapnia and NO synthase inhibition in sustained hypoxic pulmonary vasoconstriction

    Directory of Open Access Journals (Sweden)

    Ketabchi Farzaneh

    2012-01-01

    Full Text Available Abstract Background Acute respiratory disorders may lead to sustained alveolar hypoxia with hypercapnia resulting in impaired pulmonary gas exchange. Hypoxic pulmonary vasoconstriction (HPV optimizes gas exchange during local acute (0-30 min, as well as sustained (> 30 min hypoxia by matching blood perfusion to alveolar ventilation. Hypercapnia with acidosis improves pulmonary gas exchange in repetitive conditions of acute hypoxia by potentiating HPV and preventing pulmonary endothelial dysfunction. This study investigated, if the beneficial effects of hypercapnia with acidosis are preserved during sustained hypoxia as it occurs, e.g in permissive hypercapnic ventilation in intensive care units. Furthermore, the effects of NO synthase inhibitors under such conditions were examined. Method We employed isolated perfused and ventilated rabbit lungs to determine the influence of hypercapnia with or without acidosis (pH corrected with sodium bicarbonate, and inhibitors of endothelial as well as inducible NO synthase on acute or sustained HPV (180 min and endothelial permeability. Results In hypercapnic acidosis, HPV was intensified in sustained hypoxia, in contrast to hypercapnia without acidosis when HPV was amplified during both phases. L-NG-Nitroarginine (L-NNA, a non-selective NO synthase inhibitor, enhanced acute as well as sustained HPV under all conditions, however, the amplification of sustained HPV induced by hypercapnia with or without acidosis compared to normocapnia disappeared. In contrast 1400 W, a selective inhibitor of inducible NO synthase (iNOS, decreased HPV in normocapnia and hypercapnia without acidosis at late time points of sustained HPV and selectively reversed the amplification of sustained HPV during hypercapnia without acidosis. Hypoxic hypercapnia without acidosis increased capillary filtration coefficient (Kfc. This increase disappeared after administration of 1400 W. Conclusion Hypercapnia with and without acidosis

  13. Aligning Needs, Expectations, and Learning Outcomes to Sustain Self-Efficacy through Transfer Learning Community Programs

    Science.gov (United States)

    Leptien, Jennifer R.

    2015-01-01

    This chapter addresses strengths and difficulties encountered in implementing transfer learning community models and how efficacy is supported through transfer learning community programming. Transfer programming best practices and recommendations for program improvements are presented.

  14. Establishing and Sustaining a Prospective Screening Program for Breast Cancer-Related Lymphedema at the Massachusetts General Hospital: Lessons Learned

    Directory of Open Access Journals (Sweden)

    Cheryl Brunelle

    2015-05-01

    Full Text Available There has been an increasing call to prospectively screen patients with breast cancer for the development of breast cancer-related lymphedema (BCRL following their breast cancer treatment. While the components of a prospective screening program have been published, some centers struggle with how to initiate, establish, and sustain a screening program of their own. The intent of this manuscript is to share our experience and struggles in establishing a prospective surveillance program within the infrastructure of our institution. It is our hope that by sharing our history other centers can learn from our mistakes and successes to better design their own prospective screening program to best serve their patient population.

  15. QPEL: Quantum Program and Effect Language

    Directory of Open Access Journals (Sweden)

    Robin Adams

    2014-12-01

    Full Text Available We present the syntax and rules of deduction of QPEL (Quantum Program and Effect Language, a language for describing both quantum programs, and properties of quantum programs - effects on the appropriate Hilbert space. We show how semantics may be given in terms of state-and-effect triangles, a categorical setting that allows semantics in terms of Hilbert spaces, C*-algebras, and other categories. We prove soundness and completeness results that show the derivable judgements are exactly those provable in all state-and-effect triangles.

  16. Alto Patache fog oasis in the Atacama Desert: Geographical basis for a sustainable development program

    Science.gov (United States)

    Calderón, M.; Cereceda, P.; Larrain, H.; Osses, P.; Pérez, L.; Ibáñez, M.

    2010-07-01

    Alto Patache coastal fog oasis is a protected area located south of Iquique, Northern Chile, being presently in charge of the Atacama Desert Center (ADC) research group of the Pontificia Universidad Católica de Chile, since 1997. On 2007, the Chilean Government bestowed a piece of land stretch covering 1,114 hectares to ADC scientific group for scientific research, ecosystem protection and environmental education. This oasis has been recently studied from different points of view: climate, biogeography, fog collection, geomorphology, soil survey and land use planning, plant distribution, conservation and archaeology. During 2009, a study of the geographical basis to elaborate a general management plan was undertaken to collect information to fulfill our planned out objectives. Through this study, georreferenciated strategic information was compiled to evaluate future actions conducting to a sustainable development within the protected area. This information was translated into thematic maps showing the spatial distribution of variables like: climate, geology, geomorphology, soils, vegetation, fauna, archaeological sites and management zones. The methodology used is the analysis of satellite imagery, using GPS by creating a cartographic Data Base incorporated in GIS. Results show that the area starts at the littoral plain, ranging from 500 m to 2.000 m, being continued in parts by a piedmont intercepted by a very abrupt mega-cliff, or hectares of climbing sand dunes leading to a short high plateau limited by a soft hilly area to the East. Two soil types are characteristic: Entisols (Torriorthent) covering the coastal beach sediments, and Aridisols along the cliff and adjacent hills. Vegetation consists not only of a very rich lichen cover, but also of endangered vascular species associations constituting a very fragile sub-tropical coastal desert community, such as Eulychnia, Cumulopuntia, Eriosyce cacti, and Lycium - Nolana- Ephedra communities. Fog oasis

  17. Glucocorticoids as mediators of developmental programming effects.

    Science.gov (United States)

    Khulan, Batbayar; Drake, Amanda J

    2012-10-01

    Epidemiological evidence suggests that exposure to an adverse environment in early life is associated with an increased risk of cardio-metabolic and behavioral disorders in adulthood, a phenomenon termed 'early life programming'. One major hypothesis for early life programming is fetal glucocorticoid overexposure. In animal studies, prenatal glucocorticoid excess as a consequence of maternal stress or through exogenous administration to the mother or fetus is associated with programming effects on cardiovascular and metabolic systems and on the brain. These effects can be transmitted to subsequent generations. Studies in humans provide some evidence that prenatal glucocorticoid exposure may exert similar programming effects on glucose/insulin homeostasis, blood pressure and neurodevelopment. The mechanisms by which glucocorticoids mediate these effects are unclear but may include a role for epigenetic modifications. This review discusses the evidence for glucocorticoid programming in animal models and in humans. Copyright © 2012 Elsevier Ltd. All rights reserved.

  18. Starting the Pluralistic Tradition of Teaching? Effects of Education for Sustainable Development (ESD) on Pre-Service Teachers' Views on Teaching about Sustainable Development

    Science.gov (United States)

    Andersson, Klas

    2017-01-01

    There is currently a well-established belief among politicians, scholars and university representatives that educational systems can produce positive attitudes towards sustainable development (SD) among citizens. This article investigates whether Education for Sustainable Development (ESD) in teacher education has effects on pre-service teachers'…

  19. The effect of incentives on sustainable behavior : evidence from a field experiment

    NARCIS (Netherlands)

    Rosendahl Huber, L.; Sloof, R.; Van Praag, M

    This study investigates how children respond to different treatments aimed to foster sustainable behavior in a productive (firm like) setting. We conduct a field experiment using teams of children (aged 11 or 12) that are participating in an entrepreneurship education program in the last grade of

  20. Sustainable effects on suicidality were found for the Nuremberg alliance against depression.

    Science.gov (United States)

    Hegerl, Ulrich; Mergl, Roland; Havers, Inga; Schmidtke, Armin; Lehfeld, Hartmut; Niklewski, Günter; Althaus, David

    2010-08-01

    During an intense four-level community-based intervention program conducted in Nuremberg (490,000 inhabitants) in 2001 and 2002 [Nuremberg Alliance Against Depression (NAD)], the number of suicidal acts (main outcome completed + attempted suicides) had dropped significantly (-21.7%), a significant effect compared with the baseline year and the control region (Wuerzburg, about 290,000 inhabitants). To assess the sustainability of the intervention effects the number of suicidal acts was assessed in the follow-up year (2003), after the termination of the 2-year intervention. Also, in the follow-up year (2003), the reduction in suicidal acts compared with the baseline year in Nuremberg (2000 vs. 2003: -32.4%) was significantly larger than that in the control region (P = 0.0065). The reduction was even numerically larger than that of the intervention years (2001, 2002). Thus, 1 year after the end of the main intervention, preventive effects on suicidality of the NAD remain at least stable. The four-level intervention concept appears to be cost-effective and is presently implemented in many European regions.

  1. The Sustainable and Healthy Communities Research Program: The Environmental Protection Agency’s Research Approach to Assisting Community Decision-Making

    Directory of Open Access Journals (Sweden)

    Kevin Summers

    2014-01-01

    Full Text Available A sustainable world is one in which human needs are met equitably and without sacrificing the ability of future generations to meet their needs on environmental, economic, and social fronts. The United States (U.S. Environmental Protection Agency’s Sustainable and Healthy Communities Research Program aims to assist communities (large and small to make decisions for their long term sustainability with respect to the three pillars of human well-being—environmental, economic and social—and are tempered in a way that ensures social equity, environmental justice and intergenerational equity. The primary tool being developed by the Sustainable and Healthy Communities (SHC research program to enhance sustainable decision making is called TRIO (Total Resources Impacts and Outcomes. The conceptual development of this tool and the SHC program attributes are discussed.

  2. [Governance, sustainability, and equity in the health program for the municipality of São José dos Pinhais, Brazil].

    Science.gov (United States)

    Bueno, Roberto Eduardo; Moysés, Simone Tetu; Bueno, Paula Alexandra Reis; Moysés, Samuel Jorge

    2013-12-01

    To analyze the Final Report of the VIII Health Conference and the São José dos Pinhais City Health Program for 2010-2013 and investigate whether these documents addressed the themes of sustainability, governance, and equity and the interfaces between these themes--government policies, power balance, and inclusive processes/impacting results--that make up the Concept Model for Human Development and Health Promotion developed by the authors. This case study analyzed 331 proposals approved for incorporation in the City Health Program. The six thematical categories of the Concept Model were analyzed using ATLAS Ti 5.0 software. The proposals were classified according to the number of themes and interfaces of the Concept Model: full health proposals contained all six categories; partial proposals contained three categories; and incipient proposals contained one category. Of 331 proposals approved, 162 (49%) contemplated the six thematical categories and were classified as full health promotion proposals. Ninety-five (29%) contemplated three categories (partial health promotion). Of these, 38 (12%) addressed Governance, Sustainability, and Government Policies, 33 (10%) addressed Governance, Power Balance, and Equity and 24 (7%) addressed Equity, Inclusive Processes/Impact Results, and Sustainability. Finally, 74 (22%) proposals contemplated only one category and were classified as incipient: 36 (11%) addressed Governance, 27 (8%) addressed sustainability, and 11 (3%) addressed equity. Based on the fact that 49% of the proposals approved were classified as full health promotion, it is considered that the effectiveness of social control and popular participation in the construction of health policies at the local level contritute to the promotion of health in the city.

  3. Real effects of government debt on sustainable economic growth in Malaysia

    Directory of Open Access Journals (Sweden)

    Muhammad Danial Ariff Burhanudin

    2017-10-01

    Full Text Available The persistent increase of government debt in Malaysia in the recent years has raised con-cerns as to whether the borrowings have spurred the economy or became a drag on econom-ic growth. The present paper investigates the real effect of government debt on sustainable economic growth in Malaysia using the Autoregressive Distributed Lag approach for the period of 1970-2015. The results show there are positive significant long- and short-run relationships between government debt and sustainable economic growth. There is also a unidirectional causality running from government debt to sustainable economic growth. The findings indicate that Malaysia’s government debt is an important macroeconomic element for sustainability of economic growth in Malaysia. There is no evidence, however, to con-clude that the level of government debt had any adverse impacts on sustainable economic growth.

  4. A comparative analysis of the effects of economic policy instruments in promoting environmentally sustainable transport

    DEFF Research Database (Denmark)

    Elvik, Rune; Ramjerdi, Farideh

    2014-01-01

    ; (3) Toll schemes; (4) Reward systems giving incentives to reduce driving or change driver behaviour. The effects of these policy instruments are stated in terms of elasticities. All four economic policy instruments have negative elasticities, which means that they do promote environmentally......This paper presents a comparative analysis of the effects of economic policy instruments in promoting environmentally sustainable transport. Promoting environmentally sustainable transport is defined as follows: (1) Reducing the volume of motorised travel; (2) Transferring travel to modes...

  5. The Social Value Of Vaccination Programs: Beyond Cost-Effectiveness.

    Science.gov (United States)

    Luyten, Jeroen; Beutels, Philippe

    2016-02-01

    In the current global environment of increased strain on health care budgets, all medical interventions have to compete for funding. Cost-effectiveness analysis has become a standard method to use in estimating how much value an intervention offers relative to its costs, and it has become an influential element in decision making. However, the application of cost-effectiveness analysis to vaccination programs fails to capture the full contribution such a program offers to the community. Recent literature has highlighted how cost-effectiveness analysis can neglect the broader economic impact of vaccines. In this article we also argue that socioethical contributions such as effects on health equity, sustaining the public good of herd immunity, and social integration of minority groups are neglected in cost-effectiveness analysis. Evaluations of vaccination programs require broad and multidimensional perspectives that can account for their social, ethical, and economic impact as well as their cost-effectiveness. Project HOPE—The People-to-People Health Foundation, Inc.

  6. EPIVAC International Conference on Financial Sustainability of Immunization Programs in sub-Saharan Africa, February 16-18, 2012, Ouidah, Benin.

    Science.gov (United States)

    Drach, Marcel; Le Gargasson, Jean-Bernard; Mathonnat, Jacky; Da Silva, Alfred; Kaddar, Miloud; Colombini, Anaïs

    2013-09-23

    The introduction of new vaccines with much higher prices than traditional vaccines results in increasing budgetary pressure on immunization programs in GAVI-eligible countries, increasing the need to ensure their financial sustainability. In this context, the third EPIVAC (Epidemiology and Vaccinology) technical conference was held from February 16 to 18, 2012 at the Regional Institute of Public Health in Ouidah, Benin. Managers of ministries of health and finance from 11 West African countries (GAVI eligible countries), as well as former EPIVAC students and European experts, shared their knowledge and best practices on immunization financing at district and country level. The conference concluded by stressing five major priorities for the financial sustainability of national immunization programs (NIPs) in GAVI-eligible countries. - Strengthen public financing by increasing resources and fiscal space, improving budget processes, increasing contribution of local governments and strengthen efficiency of budget spending. - Promote equitable community financing which was recognized as a significant and essential contribution to the continuity of EPI operations. - Widen private funding by exploring prospects offered by sponsorship through foundations dedicated to immunization and by corporate social responsibility programs. - Contain the potential crowding-out effect of GAVI co-financing and ensure that decisions on new vaccine introductions are evidence-based. - Seek out innovative financing mechanisms such as taxes on food products or a national solidarity fund. Copyright © 2013. Published by Elsevier Ltd.. All rights reserved.

  7. Effect of transient versus sustained activation on interocular suppression.

    Science.gov (United States)

    Nichols, David F; Wilson, Hugh R

    2009-01-01

    Switches in perceptual dominance resulting from either binocular rivalry or flash suppression likely involve some mechanism of interocular suppression, although it is unclear from past research whether different mechanisms are involved in the two cases. Using monocular, centrally fixated sinusoidal gratings surrounded by contiguous annuli of rivalrous gratings, suppression of the entire central grating was possible using either technique. However, the magnitude of the suppression was unaffected by the presence of an ipsilateral surround for flash suppression, yet, for binocular rivalry, suppression no longer occurred when the surrounds were fusible. Nevertheless, computational modeling demonstrates that the differences between the techniques may be attributable to the sustained versus transient stimulation of the contralateral surround, with the magnitude of the suppression proportional to the activation of the contralateral surround. Consistent with this, suppression extends over a greater distance at the onset of the contralateral surround than during sustained rivalry. Therefore, it is likely that perceptual dominance in both binocular rivalry and flash suppression is based on the same mechanism of interocular suppression.

  8. Collaboration Between Universities: An effective way of sustaining community-university partnerships?

    Directory of Open Access Journals (Sweden)

    Jonathan Pratt

    2011-11-01

    Full Text Available This article highlights some of the opportunities and challenges that collaboration between higher education institutions (HEIs can bring to the development of sustainable community-university partnerships. In particular, it explores the potential for universities to collaborate on building effective engagement mechanisms (such as helpdesks, ‘hub and spoke’ contact models, and research groups to review ideas for activities that will support an ongoing flow of new projects and partnerships over time. It draws on evidence gathered from the evaluation and coordination of the South East Coastal Communities (SECC program, an almost unique experiment in collaboration between English universities. In an ‘age of austerity’, opportunities to reduce costs without damaging core services are of particular interest to public funding bodies. The article suggests that collaboration between universities may be an efficient and effective way of engaging with local communities, but that it is not cost-free, and high-level strategic buy-in within HEIs is required if community-university partnerships are to thrive in the current higher education funding environment. The article also suggests that there may be a geographic dimension to effective collaboration between universities in both community-university partnership work and the mechanisms that support community engagement. Inter-university collaboration across the whole region covered by the SECC program has been much weaker than collaboration at a subregional level and within ‘city-regions’ in particular. This raises a key question: does the natural geography for effective collaboration between universities need to reflect, at least in part, the geographies of communities themselves, in terms of lived experiences and/or community representation? Such a debate has interesting and timely parallels in the United Kingdom, where the new coalition government is bringing about a fundamental shift in the

  9. Fostering Sustainable Energy Entrepreneurship among Students: The Business Oriented Technological System Analysis (BOTSA Program at Eindhoven University of Technology

    Directory of Open Access Journals (Sweden)

    Mara Wijnker

    2015-06-01

    Full Text Available The Business Oriented Technological System Analysis (BOTSA program is a new teaching and learning concept developed by Eindhoven University of Technology (the Netherlands with participation from innovative companies in renewable energy. It is designed to stimulate sustainable entrepreneurship among engineering students in this field. The program combines the placement of students in companies to study and contribute to the development and incubation of sustainable energy innovations, with a curriculum at the university designed to support these internships from a scientific perspective. The teaching method assists students in developing a broad system view that enables them to analyze the potential of, and bottlenecks to promising innovations from a realistic business perspective. This empowers students to identify those techno-economic aspects that are critical to innovation success, and advise the entrepreneurs about these aspects. Experience indicates that teachers, students, and entrepreneurs find BOTSA a valuable way of coaching, learning and working. Theoretical support for this method is found in system analysis originating in evolutionary innovation theory in combination with concepts of entrepreneurship, business model generation and sustainable/green innovation.

  10. Russian Dolls and Chinese Whispers: Two Perspectives on the Unintended Effects of Sustainability Indicator Communication

    DEFF Research Database (Denmark)

    Lyytimäki, Jari; Gudmundsson, Henrik; Sørensen, Claus Hedegaard

    2011-01-01

    to describe and assess key trends at local, national and global level. We argue that it is at least equally important to focus on how, when and by whom indicators are actually used. In addition, the focus should be on what kinds of desirable and undesirable effects are related to the use or non......Indicators are considered a key tool in assessing whether societies are progressing towards sustainability. In indicator development, the main emphasis has been on the production of new indicators. Various kinds of sustainable development indicators and indicator sets have been developed......-use of indicators. Here, attention is paid to the negative, unintended effects of sustainability indicators in communication processes. Starting from an earlier typology focusing on health communication, various types of negative unintended effects of sustainable development indicators are identified and discussed....

  11. Acute and sustained effects of cognitive emotion regulation in major depression.

    Science.gov (United States)

    Erk, Susanne; Mikschl, Alexandra; Stier, Sabine; Ciaramidaro, Angela; Gapp, Volker; Weber, Bernhard; Walter, Henrik

    2010-11-24

    Dysfunctional regulation of mood and emotion is a key component of major depressive disorder and leads to sustained negative feelings. Using functional MRI (fMRI), we investigated the temporal dynamics of emotion regulation in patients with major depressive disorder and in healthy controls, testing for acute and sustained neural effects of active emotion regulation. Moderately depressed individuals (n = 17) and never-depressed healthy control subjects (n = 17) underwent fMRI during performance of an active cognitive emotion regulation task while viewing emotionally arousing pictures. In a second task, completed 15 min later, subjects were presented with the same stimuli in a passive viewing task. Whole-brain analyses and connectivity measures were used to determine acute and sustained effects of emotion regulation on brain activation and coupling between regions. On the group level, patients were able to downregulate negative emotions and corresponding amygdala activation, but this ability decreased with increasing symptom severity. Moreover, only healthy control subjects showed a sustained regulation effect in the amygdala after a 15 min delay, whereas depressed patients did not. Finally, patients exhibited diminished prefrontal activation and reduced prefrontolimbic coupling during active regulation. Although emotion regulation capacity in medicated depressive patients appears to be preserved depending on symptom severity, the effect is not sustained. Correlational analyses provide evidence that this diminished sustained-regulation effect might be related to reduced prefrontal activation during regulation.

  12. EPA, the Mayor’s Office of Sustainability in Atlanta, Atlanta Workforce Development Agency and Local Partners Announce the Proctor Creek Trash Free Waters Community Workforce Program

    Science.gov (United States)

    EPA News Release: EPA, the Mayor’s Office of Sustainability in Atlanta, Atlanta Workforce Development Agency and Local Partners Announce the Proctor Creek Trash Free Waters Community Workforce Program

  13. Sustainable Materials Management (SMM) Web Academy Webinar: Let’s WRAP (Wrap Recycling Action Program): Best Practices to Boost Plastic Film Recycling in Your Community

    Science.gov (United States)

    This is a webinar page for the Sustainable Management of Materials (SMM) Web Academy webinar titled Let’s WRAP (Wrap Recycling Action Program): Best Practices to Boost Plastic Film Recycling in Your Community

  14. An Integrated Sustainable Business and Development System: Thoughts and Opinions

    Directory of Open Access Journals (Sweden)

    Rachel J. C. Chen

    2014-09-01

    Full Text Available Companies understand the importance of monitoring and managing their environmental impacts and aim to integrate, with consistent quality control, effective reduce-reuse-recycle programs and risk preventions. By building an integrated sustainable business and development system to meet certain environmental standards, many companies are eligible to be “green” certified. Companies may consider recognizing global visions on sustainability while implementing local best practices. An integrated sustainable business and development system includes talent management, sustainable supply chain, practicing strategies of leveraging resources effectively, implementing social responsibilities, initiating innovative programs of recycling, reducing, and reusing, advancing leaders’ perceptions towards sustainability, reducing innovation barriers, and engaging sustainable practices strategically.

  15. Promoting Success of Ethnic Minority and Male Students in an Accelerated, Entry-Level Master of Nursing Program: The SUSTAIN Program.

    Science.gov (United States)

    Cowan, Patricia A; Weeks, Y'Esha; Wicks, Mona Newsome

    2015-09-01

    Diverse health care workers are essential to meet the needs of a diverse U.S. Ethnic minorities and men are frequently underrepresented in the nursing profession and within schools of nursing. Although many nursing schools have implemented programs to improve retention and academic success of these students, the lack of success is, in part, a reflection of program ineffectiveness. A nursing college developed the multifaceted SUSTAIN (Scholarships for Underrepresented Students in an Accelerated Initial Nursing) program to promote ethnic minority and male students' success in an accelerated entry-level master of nursing program. Students engaged in mentoring, academic support, and service-learning activities. Participants (N = 51) achieved 100% retention and graduation rates and a 92% first-time NCLEX-RN(®) examination pass rate. Program students participated in professional organizations and held leadership roles within the college. Implementation of a program focused on student retention and success is recommended for diverse students enrolled in accelerated entry-level master of nursing programs. Copyright 2015, SLACK Incorporated.

  16. MBA Program Trends and Best Practices in Teaching Sustainability: Live Project Courses

    Science.gov (United States)

    Sroufe, Robert; Ramos, Diane

    2011-01-01

    This study offers a model for incorporating live sustainability consulting projects in an MBA curriculum to nurture cross-functional faculty collaboration while offering students proving ground for solving contemporary challenges related to ethical management of all forms of capital. We attempt to first lay a foundation for the recent evolution of…

  17. Program (Re)design Model: A Sustainable, System-Level Approach to Faculty Development

    Science.gov (United States)

    Fowler, Debra; Macik, Maria L.; Sandoval, Carolyn L.; Bakenhus, Chelsea; MacWillie, Sherri

    2016-01-01

    Traditional professional development related to teaching is offered on a short-term basis and at the individual level. Recent experiences and research studies have led to an organizational level model in which the educational developer forms a sustained partnership with administrators, faculty, staff, and students in a department, offering…

  18. Effects and Sustainability of Trainings for the Oral and Practical Part of the German Final Exam in Medicine

    Science.gov (United States)

    Öchsner, Wolfgang; Geiler, Sandra; Huber-Lang, Markus

    2013-01-01

    Study Goals: It is known that the manifold limitations of oral and practical examinations can be improved by specific training. With the help of an online survey, our present study analyzes the effects that can be achieved by the training conducted at the University of Ulm for examiners in the final medical examination, the long-lasting impact of the training, and differences among participant subgroups. Method: All 367 participants in the training at Ulm (2007- 2012) were contacted via email. Sixty-three persons responded to the survey that included 28 items concerning demographic data, effectiveness, and sustainability. Results: Six main effects of the training were identified (meaning effects rated with a grade of 1 or 2 on a 6-point scale by two thirds of the participants, with 1=“applicable” and 6=“not applicable”; cumulated percentage of answers of 1 or 2 in parentheses): Conscious handling of strengths and weaknesses of oral examinations (71%), Knowledge of factors contributing to the reliability of oral/practical examinations (76%), Knowledge of factors contributing to the validity of oral/practical examinations (75%), Improvement of competence in task construction (68%), Improvement of competence in respect to examination formalities (75%), Implementation of the concept of “structured oral examinations” (a priori planning of examination subjects, tasks, levels of expectation and grading criteria) (86%). The responses of participants trained more than two years ago were not significantly different from the answers given by recently trained persons. This is an argument for the sustainability of the training effects. Furthermore, participants without relevant prior experience in oral/practical examinations profited significantly more from the trainings, especially in the areas of stress reduction, confidence in grading, and competence in critical discrimination of grading. Conclusion: The positive and sustained effects of the examiner training

  19. Effects and sustainability of trainings for the oral and practical part of the German final exam in medicine.

    Science.gov (United States)

    Öchsner, Wolfgang; Geiler, Sandra; Huber-Lang, Markus

    2013-01-01

    It is known that the manifold limitations of oral and practical examinations can be improved by specific training. With the help of an online survey, our present study analyzes the effects that can be achieved by the training conducted at the University of Ulm for examiners in the final medical examination, the long-lasting impact of the training, and differences among participant subgroups. All 367 participants in the training at Ulm (2007- 2012) were contacted via email. Sixty-three persons responded to the survey that included 28 items concerning demographic data, effectiveness, and sustainability. Six main effects of the training were identified (meaning effects rated with a grade of 1 or 2 on a 6-point scale by two thirds of the participants, with 1="applicable" and 6="not applicable"; cumulated percentage of answers of 1 or 2 in parentheses): 1. Conscious handling of strengths and weaknesses of oral examinations (71%), 2. Knowledge of factors contributing to the reliability of oral/practical examinations (76%), 3. Knowledge of factors contributing to the validity of oral/practical examinations (75%), 4. Improvement of competence in task construction (68%), 5. Improvement of competence in respect to examination formalities (75%), 6. Implementation of the concept of "structured oral examinations" (a priori planning of examination subjects, tasks, levels of expectation and grading criteria) (86%). The responses of participants trained more than two years ago were not significantly different from the answers given by recently trained persons. This is an argument for the sustainability of the training effects. Furthermore, participants without relevant prior experience in oral/practical examinations profited significantly more from the trainings, especially in the areas of stress reduction, confidence in grading, and competence in critical discrimination of grading. The positive and sustained effects of the examiner training argue for continuing the training

  20. ORD Science and Technology for Sustainability Research Program Mid-Cycle Review - July 2009

    Science.gov (United States)

    The purpose of the review was to evaluate progress that the STS Program has made since the 2007 program review and to assess the responsiveness of the Program to advice, comments, and recommendations provided by the BOSC as a product of that review.

  1. Structural model to evaluate the effect of participation and satisfaction on ecotourism sustainability

    Science.gov (United States)

    Kencana, Eka N.; Manutami, T.

    2017-10-01

    This paper is directed to study the effect of local community participation and visitors’ satisfaction on ecotourism sustainability at Badung regency of Bali province, Indonesia. Two important aspects regarding ecotourism sustainability had been studied, i.e. (a) economic benefits for local people and (b) tourists’ satisfaction. Applying variance-based structural equation modeling, data were collected in July 2015 from local community leaders of Kiadan Village at Badung regency and tourists whom visited this village, were analysed. Four latent variables, namely (a) community participation, (b) economic benefits, (c) tourists’ satisfaction, and (d) ecotourism sustainability, were used to build structural model. The results showed sustainability of Kiadan’s ecotourism was significantly affected by local community participation and visitors’ satisfaction although community participation’s effect slightly greater than tourists’ satisfaction with path values for participation and satisfaction as much as 0.651 and 0.627, respectively.

  2. Creating and Sustaining Effective Partnership between Government and Industry

    Science.gov (United States)

    2011-04-30

    defense industry, fielding, contracting, interoperability, organizational behavior, risk management, cost estimating, and many others. Approaches...Finance from Cameron University and an MBA from Drury University. [scott.fouse@dau.mil] Allen Green—Engineer and Program Manager, SAIC, Inc...report published by the U.S. Government Accountability Office (GAO) stated the following: To better ensure Warfighter capabilities are delivered when

  3. Testing a top-down strategy for establishing a sustainable telemedicine program in a developing country: the Arizona telemedicine program-US Army-Republic of Panama Initiative.

    Science.gov (United States)

    Vega, Silvio; Marciscano, Ivette; Holcomb, Michael; Erps, Kristine A; Major, Janet; Lopez, Ana Maria; Barker, Gail P; Weinstein, Ronald S

    2013-10-01

    Many developing countries have shown interest in embracing telemedicine and incorporating it into their healthcare systems. In 2000, the U.S. Army Yuma Proving Ground (YPG) initiated a program to assist the Republic of Panama in establishing a demonstration Panamanian rural telemedicine program. YPG engaged the Arizona Telemedicine Program (ATP) to participate in the development and implementation of the program. The ATP recommended adoption of a "top-down" strategy for creating the program. Early buy-in of the Panamanian Ministry of Health and academic leaders was regarded as critical to the achievement of long-term success. High-level meetings with the Minister of Health and the Rectors (i.e., Presidents) of the national universities gained early program support. A telemedicine demonstration project was established on a mountainous Indian reservation 230 miles west of Panama City. Today, three rural telemedicine clinics are linked to a regional Ministry of Health hospital for teleconsultations. Real-time bidirectional videoconferencing utilizes videophones connected over Internet protocol networks at a data rate of 768 kilobits per second to the San Felix Hospital. Telepediatrics, tele-obstetrics, telepulmonology, teledermatology, and tele-emergency medicine services became available. Telemedicine services were provided to the three sites for a total of 1,013 cases, with numbers of cases increasing each year. These three demonstration sites remained in operation after discontinuation of the U.S. involvement in September 2009 and serve as a model program for other telemedicine initiatives in Panama. Access to the assets of a partner-nation was invaluable in the establishment of the first model telemedicine demonstration program in Panama. After 3 years, the Panamanian Telemedicine and Telehealth Program (PTTP) became self-sufficient. The successful achievement of sustainability of the PTTP after disengagement by the United States fits the Latifi-Weinstein model

  4. Sustainability of hydrogen supply chain. Part I: Identification of critical criteria and cause–effect analysis for enhancing the sustainability using DEMATEL

    DEFF Research Database (Denmark)

    Ren, Jingzheng; Manzardo, Alessandro; Toniolo, Sara

    2013-01-01

    The enhancement of sustainability of hydrogen supply chain is of vital importance for the stakeholders/decision-makers to design a sustainable hydrogen supply chain. The objective of this paper is to develop a method for prioritizing the influential factors, identifying the key driving factors...... that influence the sustainability of hydrogen supply chain and mapping the cause–effect relationships to improve the sustainability of hydrogen supply chain. In this paper, thirty seven criteria in four aspects including economic, technological, environmental and societal aspects are considered for enhancing...... the sustainability of hydrogen supply chain, and decision making trial and evaluation laboratory has been used to analyze the relationships among these criteria. The status of hydrogen supply chain in China has been studied by the proposed method, and the results are consistent with the actual conditions. It could...

  5. Understanding Effective Program Improvement Schools through a Distributed Leadership Task Context Model

    Science.gov (United States)

    Gipson, Frances Marie

    2012-01-01

    Federal, state, and local agencies face challenges organizing resources that create the conditions necessary to create, sustain, and replicate effective high performing schools. Knowing that leadership does impact achievement outcomes and that school districts tackle growing numbers of sanctioned Program Improvement schools, a distributed…

  6. Utility Green Pricing Programs: A Statistical Analysis of Program Effectiveness

    Energy Technology Data Exchange (ETDEWEB)

    Wiser, R.; Olson, S.; Bird, L.; Swezey, B.

    2004-02-01

    This report analyzes actual utility green pricing program data to provide further insight into which program features might help maximize both customer participation in green pricing programs and the amount of renewable energy purchased by customers in those programs.

  7. Effective Disclosure in the Fast-Fashion Industry: from Sustainability Reporting to Action

    Directory of Open Access Journals (Sweden)

    Sofia Garcia-Torres

    2017-12-01

    Full Text Available This work, set in the context of the apparel industry, proposes an action-oriented disclosure tool to help solve the sustainability challenges of complex fast-fashion supply chains (SCs. In a search for effective disclosure, it focusses on actions towards sustainability instead of the measurements and indicators of its impacts. We applied qualitative and quantitative content analysis to the sustainability reporting of the world’s two largest fast-fashion companies in three phases. First, we searched for the challenges that the organisations report they are currently facing. Second, we introduced the United Nations’ Sustainable Development Goals (SDGs framework to overcome the voluntary reporting drawback of ‘choosing what to disclose’, and revealed orphan issues. This broadened the scope from internal corporate challenges to issues impacting the ecosystems in which companies operate. Third, we analysed the reported sustainability actions and decomposed them into topics, instruments, and actors. The results showed that fast-fashion reporting has a broadly developed analysis base, but lacks action orientation. This has led us to propose the ‘Fast-Fashion Sustainability Scorecard’ as a universal disclosure framework that shifts the focus from (i reporting towards action; (ii financial performance towards sustainable value creation; and (iii corporate boundaries towards value creation for the broader SC ecosystem.

  8. Simulating the cumulative effects of multiple forest management strategies on landscape measures of forest sustainability

    Science.gov (United States)

    Eric J. Gustafson; David E. Lytle; Randy Swaty; Craig Loehle

    2007-01-01

    While the cumulative effects of the actions of multiple owners have long been recognized as critically relevant to efforts to maintain sustainable forests at the landscape scale, few studies have addressed these effects. We used the HARVEST timber harvest simulator to predict the cumulative effects of four owner groups (two paper companies, a state forest and non-...

  9. The Economic and Clinical Impact of Sustained Use of a Progressive Mobility Program in a Neuro-ICU.

    Science.gov (United States)

    Hester, Jeannette M; Guin, Peggy R; Danek, Gale D; Thomas, Jaime R; Titsworth, William L; Reed, Richard K; Vasilopoulos, Terrie; Fahy, Brenda G

    2017-06-01

    To investigate a progressive mobility program in a neurocritical care population with the hypothesis that the benefits and outcomes of the program (e.g., decreased length of stay) would have a significant positive economic impact. Retrospective analysis of economic and clinical outcome data before, immediately following, and 2 years after implementation of the Progressive Upright Mobility Protocol Plus program (UF Health Shands Hospital, Gainesville, FL) involving a series of planned movements in a sequential manner with an additional six levels of rehabilitation in the neuro-ICU at UF Health Shands Hospital. Thirty-bed neuro-ICU in an academic medical center. Adult neurologic and neurosurgical patients: 1,118 patients in the pre period, 731 patients in the post period, and 796 patients in the sustained period. Implementation of Progressive Upright Mobility Protocol Plus. ICU length of stay decreased from 6.5 to 5.8 days in the immediate post period and 5.9 days in the sustained period (F(2,2641) = 3.1; p = 0.045). Hospital length of stay was reduced from 11.3 ± 14.1 days to 8.6 ± 8.8 post days and 8.8 ± 9.3 days sustained (F(2,2641) = 13.0; p ICU length of stay (p = 0.031) and hospital length of stay (p < 0.001) remained after adjustment for age, sex, diagnoses, sedation, and ventilation. Hospital-acquired infections were reduced by 50%. Average total cost per patient after adjusting for inflation was significantly reduced by 16% (post period) and 11% (sustained period) when compared with preintervention (F(2,2641) = 3.1; p = 0.045). Overall, these differences translated to an approximately $12.0 million reduction in direct costs from February 2011 through the end of 2013. An ongoing progressive mobility program in the neurocritical care population has clinical and financial benefits associated with its implementation and should be considered.

  10. Sustainable Hydraulic Barrier Design Technologies for Effective Infrastructure Engineering

    Directory of Open Access Journals (Sweden)

    Chitral Wijeyesekera Devapriya

    2017-01-01

    Full Text Available Migration of liquids lead to embarrassing post construction scenarios such as that of leaks from roofs, potable water leaking from water tanks/ reservoirs, rising damp in walls with groundwater seeping into basement structures, leakage of water from ornamental lakes and ponds or leachate leakage into the environment from MSW landfill sites. Such failures demand immediate and expensive maintenance. A stringent control on structural and waterproof stability is deemed necessary for long term service life of structures and in particular underground and near surface structures. On a micro scale and over a longer time scale, the phenomenon of rising dampness occurs in older buildings with the groundwater rising up through walls, floors and masonry via capillary action. Even slower rates of contaminant fluid migration occur through landfill base liners. In this paper a variety of hydraulic barrier technologies is critically discussed against a backdrop of relevant case studies. The choice of an appropriate hydraulic barrier technology for a given scenario will depend also on the sustainability, financial affordability and subjective aesthetics.

  11. Can Rebound Effects Explain Why Sustainable Mobility Has Not Been Achieved?

    Directory of Open Access Journals (Sweden)

    Hans Jakob Walnum

    2014-12-01

    Full Text Available Since the report “Our Common Future” launched sustainable development as a primary goal for society in 1987, both scientific and political discussions about the term’s definition and how to achieve sustainable development have ensued. The manifold negative environmental impacts of transportation are an important contributor to the so-far non-sustainable development in financially rich areas of the world. Thus, achieving sustainable mobility is crucial to achieving the wider challenge of sustainable development. In this article, we limit our sustainability focus to that of energy use and greenhouse gas (GHG emissions. We discuss whether rebound effects can reveal why sustainable mobility has not been reached. Rebound effects refer to behavioral or other systemic responses after the implementation of new technologies or other measures to reduce energy consumption. Three main strategies exist for achieving sustainable mobility: efficiency, substitution, and volume reduction. (1 The efficiency strategy is based on the idea that environmental problems caused by transport can be improved by developing new and more efficient technologies to replace old, inefficient, and polluting materials and methods; (2 The second strategy—substitution—argues for a change to less polluting means of transport; (3 The volume reduction strategy argue that efficiency and substitution are not sufficient, we must fundamentally change behavior and consumption patterns; people must travel less, and freight volumes must decrease. We found rebound effects associated with all three of the main strategies that will lead to offsetting expected savings in energy use and GHG emissions in the transport sector.

  12. Sustaining International Partnerships: The European Master of Science Program In Occupational Therapy: A Case Study

    DEFF Research Database (Denmark)

    Ilott, Irene; Kottorp, Anders; la Cour, Karen

    2013-01-01

    Abstract International partnerships are a mechanism for supporting the academic development of occupational therapy and promoting cultural competence. This case study describes the factors that have helped to sustain a post-qualifying programme implemented by five higher education institutions...... comprises students from an average of eight countries to optimize inter-cultural dialogue. Four factors support sustainability. These are 1) supportive professional European networks; 2) timeliness and alignment with European higher education policy; 3) partnership structures and processes that emphasize...... joint decision making and accountability; and 4) the stimulus and satisfaction associated with internationalization. The main limitations are considering the OT-EuroMaster as an intrinsic case study and using opportunistic data collection that undermines the rigor and transferability of the findings...

  13. Graduate Programs in Green Growth and Sustainable Development: A Comparative Approach

    OpenAIRE

    Fairlie Reinoso, Alan

    2017-01-01

    Since the concern about the negative impacts of the current economic modelin the scarcity of natural resources and their conservation, it comes the need toconfront them and create, from academia, some research areas that include thesenew features and development trends. In this paper, an overview of the conceptualaspects of the main proposals for the transition to sustainable development isperformed, such as the Green Growth, Bio-Commerce, Bio-Economy, amongothers. Then, it is identified and ...

  14. Conservation program works as an alternative irrigation districts in sustainable water management of agricultural use

    Directory of Open Access Journals (Sweden)

    Víctor Manuel Peinado Guevara

    2012-05-01

    Full Text Available Water scarcity is an issue of worldwide concern since it is already having an impact on social development. Mexico is not an exception to this problem because in several regions of the country are great difficulties in supplying water, primarily for agricultural use. In Sinaloa, it had been mentioned repeatedly by the media that in the Irrigation District 063, located in the northern of the state, there are problems of water scarcity, and yet there still exist difficulties in conserving the resource. More than 49% of the water used for agriculture is wasted. To resolve this problem, producers and government agencies spend significant resources for investment in water conservation. However, the results have not been entirely satisfactory because the waste is high, a situation that motivates them to study more deeply the main weaknesses that affect sustainable resource use. Farmer’s participation in the administration of water infrastructure is important, as well as providing financial resources for the conservation of water system; and participation in activities of construction and repaired of water infrastructure. Farmer’s should also plan and design strategies for water conservation. This situation requires an appropriate level of technology and intellectual, rather than local producers and thus no complicated sustainable resource management. That is what local producers don’t have and therefore it complicates the sustainable management of the resource.

  15. 76 FR 5821 - Earned Import Allowance Program: Evaluation of the Effectiveness of the Program for Certain...

    Science.gov (United States)

    2011-02-02

    ... COMMISSION Earned Import Allowance Program: Evaluation of the Effectiveness of the Program for Certain... investigation No. 332-503, Earned Import Allowance Program: Evaluation of the Effectiveness of the Program for... Import Allowance Program (EIAP) and directed the Commission to conduct annual reviews of the program for...

  16. Sustainable Overall Throughputability Effectiveness (S.O.T.E. as a Metric for Production Systems

    Directory of Open Access Journals (Sweden)

    Orlando Durán

    2018-01-01

    Full Text Available This paper proposes a new index for a comprehensive and systematic measurement of sustainability and throughput performance in production systems. The proposed index, called Sustainable Overall Throughput Effectiveness (S.O.T.E., is designed on the basis of a comparison of the environmental and operational factors. Specifically, it integrates the following four dimensions: availability, utilization, performance, and environmental sustainability. The way each dimension is measured is explained and justified. This index uses the overall environmental equipment effectiveness (OEEE index, which is based on the Overall Equipment Effectiveness (OEE index. However, such metrics are lacking at the factory level, because OEEE, as well as the OEE, is devoted to equipment-level. Its application and potential contribution to the analysis of sustainable throughput is demonstrated through a case study in an actual crushing plant. Through examining several hypotheses concerning the relationship between operational and environmental performance, a series of useful conclusions could be raised. The main difference and advantage of the proposed S.O.T.E. is that S.O.T.E., as it is based on the Overall Throughput Effectiveness (OTE, measures factory-level sustainability and operational performance. S.O.T.E. allows us to relate the impact of the overall effectiveness of each one of the components of the index to each piece of equipment that makes a part of the production systems. Furthermore, S.O.T.E., as OTE, take into account the production system configuration (series, parallel, assembly, etc..

  17. The effect of mental fatigue on sustained attention: an fNIRS study

    Science.gov (United States)

    Zhang, Zhen; Yang, Hanjun; Cao, Yong; Xu, Fenggang; Jiang, Jin; Jiao, Xuejun

    2017-01-01

    Sustained attention is the ability to keep focused and vigilance for long time in external stimulation, which was crucial in safe-critical human-machine system. While the ability of sustained attention will decline because of mental fatigue, even lead to serious accidents in fatigue state. Therefore, it is of great significance to explore the impact of fatigue on sustained attention. Functional Near-Infrared Spectroscopy (fNIRS) can measure cerebral hemoglobin in order to reflect cognitive function indirectly. In previous related fatigue studies, monotonous and long-time CPT (continuous performance test task) was often used to explore the performance change and brain activity, but the effect of time on task (TOT) was always involved. In this study, in order to avoid the TOT effect, the sustained attention task and fatigue task were separated. It was adopted in the study that the modified continuous performance test (CPT) was chosen as the sustained attention task and verbal 2-back task as the fatigue induced task. The fNIRS signals were extracted from 10 channels in the prefrontal cortex (PFC) from 20 healthy subjects. Studies found that cerebral lateralization increased significantly from alert to fatigue state in sustained attention task. Besides, Average oxyhemoglobin (HBO) of PFC increased significantly from alert to fatigue task, and the spatial pattern of activity of oxyhemoglobin also changed, which c be sensitive features to fatigue detection.

  18. Financial incentive programs' influence in promoting sustainable forestry in the northern region

    Science.gov (United States)

    Michael G. Jacobson; Thomas J. Straka; John L. Greene; Michael A. Kilgore; Steven E. Daniels

    2009-01-01

    Selected forestry officials in each of the 20 northern states were surveyed concerning their opinions on the public and private financial incentive programs available to nonindustrial private forest owners in their state. The officials were asked to name and describe the programs and to assess forest owners' awareness of each one, its appeal among the owners aware...

  19. Roadmap for Nondestructive Evaluation of Reactor Pressure Vessel Research and Development by the Light Water Reactor Sustainability Program

    Energy Technology Data Exchange (ETDEWEB)

    Smith, Cyrus M [ORNL; Nanstad, Randy K [ORNL; Clayton, Dwight A [ORNL; Matlack, Katie [Georgia Institute of Technology; Ramuhalli, Pradeep [Pacific Northwest National Laboratory (PNNL); Light, Glenn [Southwest Research Institute, San Antonio

    2012-09-01

    The Department of Energy s (DOE) Light Water Reactor Sustainability (LWRS) Program is a five year effort which works to develop the fundamental scientific basis to understand, predict, and measure changes in materials and systems, structure, and components as they age in environments associated with continued long-term operations of existing commercial nuclear power reactors. This year, the Materials Aging and Degradation (MAaD) Pathway of this program has placed emphasis on emerging Non-Destructive Evaluation (NDE) methods which support these objectives. DOE funded Research and Development (R&D) on emerging NDE techniques to support commercial nuclear reactor sustainability is expected to begin next year. This summer, the MAaD Pathway invited subject matter experts to participate in a series of workshops which developed the basis for the research plan of these DOE R&D NDE activities. This document presents the results of one of these workshops which are the DOE LWRS NDE R&D Roadmap for Reactor Pressure Vessels (RPV). These workshops made a substantial effort to coordinate the DOE NDE R&D with that already underway or planned by the Electric Power Research Institute (EPRI) and the Nuclear Regulatory Commission (NRC) through their representation at these workshops.

  20. The effects of sustained hyperventilation on regional cerebral blood volume in thiopental-anesthetized rats.

    Science.gov (United States)

    Broux, Christophe; Tropres, Irène; Montigon, Olivier; Julien, Cécile; Decorps, Michel; Payen, Jean-François

    2002-12-01

    Sustained hyperventilation has a time-limited effect on cerebrovascular dynamics. We investigated whether this effect was similar among brain regions by measuring regional cerebral blood volume (CBV) with steady-state susceptibility contrast magnetic resonance imaging during 3 h of hyperventilation. Regional CBV was determined in nine thiopental-anesthetized, mechanically-ventilated rats every 30 min in the dorsoparietal neocortex, the corpus striatum, and the cerebellum. The corpus striatum was the only brain region showing a stable reduction in CBV during the hypocapnic episode (PaCO(2), 24 +/- 3 mm Hg). In contrast, neocortex and, to a lesser extent, cerebellum exhibited a progressive return toward normal values despite continued hypocapnia. No evidence of a rebound in CBV was found on return to normal ventilation in the three brain regions. We conclude that sustained hyperventilation can lead to an uneven change in the reduction of CBV, possibly because of differences of brain vessels in their sensitivity to extracellular pH. Our results in neocortex confirm the transient effect of sustained hyperventilation on cerebral hemodynamics. Sustained hyperventilation has a transient effect in decreasing cerebral blood volume (CBV). Using susceptibility contrast magnetic resonance imaging in thiopental-anesthetized rats, we found differences between brain regions in their transient CBV response to sustained hyperventilation.

  1. Development of a comprehensive and sustainable gynecologic oncology training program in western Kenya, a low resource setting.

    Science.gov (United States)

    Rosen, Barry; Itsura, Peter; Tonui, Philip; Covens, Alan; van Lonkhuijzen, Luc; Orang'o, Elkanah Omenge

    2017-08-01

    To provide information on the development of a gynecologic oncology training program in a low-resource setting in Kenya. This is a review of a collaboration between Kenyan and North American physicians who worked together to develop a gynecologic oncology training in Kenya. We review the published data on the increase of cancer incidence in sub-Saharan Africa and outline the steps that were taken to develop this program. The incidence of cervical cancer in Kenya is very high and is the leading cause of cancer mortality in Kenya. WHO identifies cancer as a new epidemic affecting countries in sub-Saharan Africa. In Kenya, a country of 45 million, there is limited resources to diagnose and treat cancer. In 2009 in western Kenya, at Moi University there was no strategy to manage oncology in the Reproductive Health department. There was only 1 gynecologic oncologists in Kenya in 2009. A collaboration between Canadian and Kenya physicians resulted in development of a gynecologic oncology clinical program and initiation of fellowship training in Kenya. In the past 4 years, five fellows have graduated from a 2 year fellowship training program. Integration of data collection on all the patients as part of this program provided opportunities to do clinical research and to acquire peer reviewed grants. This is the first recognized fellowship training program in sub-Saharan Africa outside of South Africa. It is an example of a collaborative effort to improve women's health in a low-resource country. This is a Kenyan managed program through Moi University. These subspecialty trained doctors will also provide advice that will shape health care policy and provide sustainable expertise for women diagnosed with a gynecologic cancer.

  2. Short Intervention, Sustained Effects: Promoting Students’ Math Competence Beliefs, Effort, and Achievement

    NARCIS (Netherlands)

    Brisson, Brigitte Maria; Dicke, Anna Lena; Gaspard, Hanna; Häfner, Isabelle; Flunger, Barbara|info:eu-repo/dai/nl/412516322; Nagengast, Benjamin; Trautwein, Ulrich

    2017-01-01

    The present study investigated the effectiveness of two short relevance interventions (writing a text or evaluating quotations about the utility of mathematics) using a sample of 1,916 students in 82 math classrooms in a cluster randomized controlled experiment. Short-term and sustained effects (6

  3. Between green growth and degrowth: Decoupling, rebound effects and the politics for long-term sustainability

    DEFF Research Database (Denmark)

    Nørgaard, Jørgen; Xue, Jin

    2016-01-01

    that the rebound effect is both a natural consequence of the growth dedicated society and a driver of further economic growth. Through rebound effects, labour productivity and eco-efficiency technologies in the growth society tend to contradict the goal of achieving environmental sustainability. To address...

  4. Light Water Reactor Sustainability Program: Evaluation of Localized Cable Test Methods for Nuclear Power Plant Cable Aging Management Programs

    Energy Technology Data Exchange (ETDEWEB)

    Glass, Samuel W. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Fifield, Leonard S. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Hartman, Trenton S. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2016-05-30

    This Pacific Northwest National Laboratory (PNNL) milestone report describes progress to date on the investigation of nondestructive test (NDE) methods focusing particularly on local measurements that provide key indicators of cable aging and damage. The work includes a review of relevant literature as well as hands-on experimental verification of inspection capabilities. As NPPs consider applying for second, or subsequent, license renewal (SLR) to extend their operating period from 60 years to 80 years, it important to understand how the materials installed in plant systems and components will age during that time and develop aging management programs (AMPs) to assure continued safe operation under normal and design basis events (DBE). Normal component and system tests typically confirm the cables can perform their normal operational function. The focus of the cable test program is directed toward the more demanding challenge of assuring the cable function under accident or DBE. Most utilities already have a program associated with their first life extension from 40 to 60 years. Regrettably, there is neither a clear guideline nor a single NDE that can assure cable function and integrity for all cables. Thankfully, however, practical implementation of a broad range of tests allows utilities to develop a practical program that assures cable function to a high degree. The industry has adopted 50% elongation at break (EAB) relative to the un-aged cable condition as the acceptability standard. All tests are benchmarked against the cable EAB test. EAB is a destructive test so the test programs must apply an array of other NDE tests to assure or infer the overall set of cable’s system integrity. These cable NDE programs vary in rigor and methodology. As the industry gains experience with the efficacy of these programs, it is expected that implementation practice will converge to a more common approach. This report addresses the range of local NDE cable tests that are

  5. Effect of Corrupt Behavior of the Forestry Bureaucrats on the Forest Sustainability

    Directory of Open Access Journals (Sweden)

    Sudarsono Soedomo

    2012-11-01

    Full Text Available 800x600 This article show that corrupt bureaucrats do not always result in a negative effect on the forest sustainability. Even under a certain condition, a corrupt behavior may result in a positive effect on the forest sustainability. An inappropriate policy is more important a cause of the forest sustainability than a corrupt behavior. Therefore, fixing this structural mistake needs to be prioritized in combating the forest destruction, for this structural mistake is the real primary cause of the forest destruction in Indonesia. Fixing this structural mistake is much more effective in combating the forest destruction than finding honest bureaucrats. Keywords:     Birokrat, Distortionary, Nondistortionary, Kelestarian, Korup. Normal 0 false false false IN X-NONE X-NONE MicrosoftInternetExplorer4

  6. Mindfulness-Based Stress Reduction in Post-treatment Breast Cancer Patients: Immediate and Sustained Effects Across Multiple Symptom Clusters.

    Science.gov (United States)

    Reich, Richard R; Lengacher, Cecile A; Alinat, Carissa B; Kip, Kevin E; Paterson, Carly; Ramesar, Sophia; Han, Heather S; Ismail-Khan, Roohi; Johnson-Mallard, Versie; Moscoso, Manolete; Budhrani-Shani, Pinky; Shivers, Steve; Cox, Charles E; Goodman, Matthew; Park, Jong

    2017-01-01

    Breast cancer survivors (BCS) face adverse physical and psychological symptoms, often co-occurring. Biologic and psychological factors may link symptoms within clusters, distinguishable by prevalence and/or severity. Few studies have examined the effects of behavioral interventions or treatment of symptom clusters. The aim of this study was to identify symptom clusters among post-treatment BCS and determine symptom cluster improvement following the Mindfulness-Based Stress Reduction for Breast Cancer (MBSR(BC)) program. Three hundred twenty-two Stage 0-III post-treatment BCS were randomly assigned to either a six-week MBSR(BC) program or usual care. Psychological (depression, anxiety, stress, and fear of recurrence), physical (fatigue, pain, sleep, and drowsiness), and cognitive symptoms and quality of life were assessed at baseline, six, and 12 weeks, along with demographic and clinical history data at baseline. A three-step analytic process included the error-accounting models of factor analysis and structural equation modeling. Four symptom clusters emerged at baseline: pain, psychological, fatigue, and cognitive. From baseline to six weeks, the model demonstrated evidence of MBSR(BC) effectiveness in both the psychological (anxiety, depression, perceived stress and QOL, emotional well-being) (P = 0.007) and fatigue (fatigue, sleep, and drowsiness) (P < 0.001) clusters. Results between six and 12 weeks showed sustained effects, but further improvement was not observed. Our results provide clinical effectiveness evidence that MBSR(BC) works to improve symptom clusters, particularly for psychological and fatigue symptom clusters, with the greatest improvement occurring during the six-week program with sustained effects for several weeks after MBSR(BC) training. Name and URL of Registry: ClinicalTrials.gov. Registration number: NCT01177124. Copyright © 2016. Published by Elsevier Inc.

  7. Do, but Don't Tell: The Search for Social Responsibility and Sustainability in the Websites of the Top-100 US MBA Programs

    Science.gov (United States)

    Hart, Timothy A.; Fox, Corey J.; Ede, Kenneth F.; Korstad, John

    2015-01-01

    Purpose: The purpose of this study is to investigate the degree to which business schools, in particular MBA programs, have developed academic programs and centers specifically focused on corporate social responsibility and sustainability (CSRS) and, for those that have, promote them on their Web sites. The instruction of CSRS in institutions of…

  8. Integrating Sustainable Development Concept into Science Education Program Is Not Enough; We Need Competent Science Teachers for Education for Sustainable Development--Turkish Experience

    Science.gov (United States)

    Karaarslan, Güliz; Teksöz, Gaye

    2016-01-01

    In order to educate science teachers for a sustainable future, recent discussions are going on related to collaboration between science education and education for sustainable development (ESD). Still, ESD has been in a development stage and needs to be improved in terms of developing teacher competencies. Therefore, in this study we focused on…

  9. The Sustainability Analysis Framework: An Effective Knowledge Communication Tool in a Whole of Government Context

    Directory of Open Access Journals (Sweden)

    Kendal Hodgman

    2007-06-01

    Full Text Available This paper focuses on the structural formation of the Sustainability Analysis Framework (SAF, which has proved to be an effective knowledge communication tool in the largest state administration in Australia, the Government of New South Wales. The SAF, devised by the author, has been implemented across thirty-eight state agencies and demonstrates that a whole of government Sustainability perspective is achievable. The level of the NSW Government's commitment to this process is evidenced by the fact that it was coordinated at the highest levels of the administration and engaged high-level input from a comprehensive portfolio of its agencies. The SAF's successful deployment across this significant bureaucracy shows that the generally applicable mechanism is effective in data collation, information sharing, knowledge organisation and the communication of Sustainability practice and wisdom. At the heart of the paper is the author's contention that one of the key problems which jeopardises our common future on Earth is the lack of effective tools to communicate Sustainability thinking and practice. In the course of the project, upon which this paper is based, the author identified the need for a visually and conceptually accessible mechanism to accelerate the uptake of Sustainability practice in a whole of organization context. In designing the SAF, which has successfully bridged this knowledge communication gap, the author employed two of humanity's fundamental learning tools – the diagram and the story.

  10. A Research on Class Teachers Related to Determining the Effects of Consumers’ Personal Values on Sustainable Consumption Behavior

    Directory of Open Access Journals (Sweden)

    Rıdvan Karalar

    2010-06-01

    Full Text Available The world’s sources about to running out have been realised as a result of that population increase and economic development to be lived in the twentieth century have caused the transformation from the notion of unlimited economic development to sustainable development notion. Sustainable development is a model that predicts existing generation satisfies their needs without that next generation’s satisfy their need. Projection of sustainable development on marketing area have been actualized by means of coming up with sustainable marketing approach. Sustainable marketing approach predict to create sustainable solutions by adding conformity with eco-system in addition to achieving organizational goals and satisfy consumers’ needs which traditional marketing’s goals. The target of sustainable development notion in regard of consumption is to be accepted sustainable consumption behavior. It requires inquiring factors affecting behavior in question because sustainable consumption pattern to be accepted and spread to the world. In the study examined that individual values affecting sustainable consumption behavior of class teacher who work at elementary schools in Kutahya, Merkez. The findings indicate the significant effect of universalism and security values type in sustainable consumption behavior. Also, it is found that frequency of sustainable consumption behavior is mid-level. The results of this research have significant implications for stakeholders of sustainable consumption and future research.

  11. Adult Education and Social Sustainability: Harnessing the "Red Queen Effect"

    Science.gov (United States)

    Easton, Peter

    2007-01-01

    In 1973, the evolutionary biologist Leigh Van Valen of the University of Chicago devised what he called the "Red Queen Effect" to describe the growth and development of species. It stipulated that an evolutionary system must continue to develop just to maintain its fitness relative to others evolving in its environment. The literary reference is…

  12. Sustainable markets for sustainable energy

    Energy Technology Data Exchange (ETDEWEB)

    Millan, J.; Smyser, C.

    1997-12-01

    The author discusses how the Inter-American Development Bank (IDB) is involved in sustainable energy development. It presently has 50 loans and grants for non conventional renewable energy projects and ten grants for efficiency programs for $600 and $17 million respectively, representing 100 MW of power. The IDB is concerned with how to create a sustainable market for sustainable energy projects. The IDB is trying to work with government, private sector, NGOs, trading allies, credit sources, and regulators to find proper roles for such projects. He discusses how the IDB is working to expand its vision and objectives in renewable energy projects in Central and South America.

  13. What Happens After the Demonstration Phase? The Sustainability of Canada's At Home/Chez Soi Housing First Programs for Homeless Persons with Mental Illness.

    Science.gov (United States)

    Nelson, Geoffrey; Caplan, Rachel; MacLeod, Timothy; Macnaughton, Eric; Cherner, Rebecca; Aubry, Tim; Méthot, Christian; Latimer, Eric; Piat, Myra; Plenert, Erin; McCullough, Scott; Zell, Sarah; Patterson, Michelle; Stergiopoulos, Vicky; Goering, Paula

    2017-03-01

    This research examined the sustainability of Canada's At Home/Chez Soi Housing First (HF) programs for homeless persons with mental illness 2 years after the end of the demonstration phase of a large (more than 2000 participants enrolled), five-site, randomized controlled trial. Qualitative interviews were conducted with 142 participants (key informants, HF staff, and persons with lived experience) to understand sustainability outcomes and factors that influenced those outcomes. Also, a self-report HF fidelity measure was completed for nine HF programs that continued after the demonstration project. A cross-site analysis was performed, using the five sites as case studies. The findings revealed that nine of the 12 HF programs (75%) were sustained, and that seven of the nine programs reported a high level of fidelity (achieving an overall score of 3.5 or higher on a 4-point scale). The sites varied in terms of the level of systems integration and expansion of HF that were achieved. Factors that promoted or impeded sustainability were observed at multiple ecological levels: broad contextual (i.e., dissemination of research evidence, the policy context), community (i.e., partnerships, the presence of HF champions), organizational (i.e., leadership, ongoing training, and technical assistance), and individual (i.e., staff turnover, changes, and capacity). The findings are discussed in terms of the implementation science literature and their implications for how evidence-based programs like HF can be sustained. © Society for Community Research and Action 2017.

  14. Propulsion Induced Effects (PIE) Test Program

    Science.gov (United States)

    Cappuccio, Gelsomina; Won, Mark J.

    1999-01-01

    The Propulsion Induced Effects (PIE) test program is being lead by NASA Ames for Configuration Aerodynamics (CA). Representatives from CA, Technology Integration (TI), Inlet, and the Nozzle ITD's are working with Ames in defining and executing this test program. The objective of the CA 4-14 milestone is to assess the propulsion/airframe integration characteristics of the Technology Concept Airplane (TCA) and design variations using computational and experimental methods. The experimental aspect includes static calibrations, transonic and supersonic wind tunnel testing. The test program will generate a comprehensive database that will include all appropriate wind tunnel corrections, with emphasis placed on establishing the propulsion induced effects on the flight performance of the TCA.

  15. Can the Clean Development Mechanism attain both cost-effectiveness and sustainable development objectives?

    Energy Technology Data Exchange (ETDEWEB)

    Kolshus, Hans H; Vevatne, Jonas; Torvanger, Asbjoern; Aunan, Kristin

    2001-06-01

    The Clean Development Mechanism (CDM), as defined in the Kyoto Protocol, has two objectives: to promote sustainable development in host developing countries, and to improve global cost-effectiveness by assisting developed countries in meeting their Kyoto targets. The aim of this paper is to explore the background of the CDM and discuss to what extent its current design allows it to achieve its dual objective. The first part of the paper is a literature review that includes descriptions of the flexibility mechanisms under the Kyoto Protocol; the CDM's market potential, and the issues of cost-effectiveness and sustainable development. In the second part of the paper, we discuss to what extent there is a conflict between cost-effectiveness and sustain ability, and whether the two objectives of the CDM can be achieved simultaneously. We develop a set of indicators to evaluate non-carbon benefits of CDM projects on the environment, development, and. equity, and show how these indicators can be used in practice by looking at case studies of CDM project candidates in the energy sector from Brazil and China. We demonstrate that for some CDM projects there is a trade-off between cost-effectiveness, in terms of a low quota price, and a high score on sustain ability indicators. We have reason to believe that the size of the CDM market in some studies is over-estimated since transaction costs and the challenge of promoting sustainable development are not fully accounted for. Also, we find that the proposed set of indicators can be a necessary tool to assure that sustain ability impacts of CDM projects are taken into consideration. (author)

  16. Sustainability of an Integrated Adventure-Based Training and Health Education Program to Enhance Quality of Life Among Chinese Childhood Cancer Survivors: A Randomized Controlled Trial.

    Science.gov (United States)

    Chung, Oi Kwan Joyce; Li, Ho Cheung William; Chiu, Sau Ying; Ho, Ka Yan; Lopez, Violeta

    2015-01-01

    Physical activity is of paramount importance to enhance the quality of life of childhood cancer survivors. The objectives of this study were to examine the sustainability, feasibility, and acceptability of an adventure-based training and health education program in changing the exercise behavior and enhancing the physical activity levels, self-efficacy, and quality of life of childhood cancer survivors. A follow-up study (12 and 18 months) of a previous study was conducted. Participants in the experimental group (n = 33) joined a 4-day integrated adventure-based training and health education program. The control group (n = 36) received the standard medical care. Changes in exercise behavior, levels of physical activity, self-efficacy, and quality of life were assessed from the time of recruitment, and at 12 and 18 months after starting the intervention. Process evaluation was conducted to determine whether the program was feasible and acceptable to participants. From baseline to 18 months after the intervention, the experimental group reported statistically significant differences in the stages of change in physical activity and higher levels of physical activity, self-efficacy, and quality of life than did the control group. The results of process evaluation revealed that the program was both feasible and acceptable to participants. The program was found to have substantial effects on enhancing the physical activity levels, self-efficacy, and quality of life of childhood cancer survivors over at least 18 months. Healthcare professionals should consider adopting such programs to promote the regular physical activity among childhood cancer survivors.

  17. ARIES Oxide Production Program Assessment of Risk to Long-term Sustainable Production Rate

    Energy Technology Data Exchange (ETDEWEB)

    Whitworth, Julia [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Lloyd, Jane Alexandria [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Majors, Harry W. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-05-04

    This report describes an assessment of risks and the development of a risk watch list for the ARIES Oxide Production Program conducted in the Plutonium Facility at LANL. The watch list is an active list of potential risks and opportunities that the management team periodically considers to maximize the likelihood of program success. The initial assessments were made in FY 16. The initial watch list was reviewed in September 2016. The initial report was not issued. Revision 1 has been developed based on management review of the original watch list and includes changes that occurred during FY-16.

  18. Effect of programmed circadian temperature fluctuations on ...

    African Journals Online (AJOL)

    Effect of programmed circadian temperature fluctuations on population dynamics of. Biomphalaria pfeifferi (Krauss). K.N. de Kock and J.A. van Eeden. Snail Research Unit, Medical Research Council, Potchefstroom University for Christian Higher Education,. Potchefstroom. Until now all life-table studies on freshwater snails.

  19. The Programmed Instruction Era: When Effectiveness Mattered

    Science.gov (United States)

    Molenda, Michael

    2008-01-01

    Programmed instruction (PI) was devised to make the teaching-learning process more humane by making it more effective and customized to individual differences. B.F. Skinner's original prescription was modified by later innovators to incorporate more human interaction, social reinforcers and other forms of feedback, larger and more flexible chunks…

  20. Effectiveness of programs to prevent school bullying

    NARCIS (Netherlands)

    Baldry, A.C.; Farrington, D.P.

    2007-01-01

    Sixteen major evaluations of programs to prevent school bullying, conducted in 11 different countries, are reviewed in detail. Of these 16 evaluations, 8 produced desirable results, 2 produced mixed results, 4 produced small or negligible effects, and 2 produced undesirable results. These varying

  1. Business Ethics, Corporate Social Responsibility and Sustainability in management master programs : A qualitative study on the EQUIS-accredited business schools in four Nordic countries

    OpenAIRE

    Larsson, Linnéa; Massart, Catherine

    2009-01-01

    With today’s public debates concerning the environmental and social issues there is a need to educate the future business leaders how to run a business in a way that can contribute to sustainability and the protection of the world’s natural resources. Therefore, the aim of this study is to investigate to what extent management master programs at the EQUIS-accredited business schools in the Nordic countries include courses which address the concepts of Business Ethics, CSR and Sustainability. ...

  2. Inside Out: Program Integrity and Effectiveness of the Cognitive-Behavioural Program EQUIP for Incarcerated Youth

    NARCIS (Netherlands)

    Helmond, P.E.

    2013-01-01

    In correctional facilities intervention programs are used to reduce behavioral problems and recidivism. Intervention programs can be effective when they contain effective ingredients and are implemented with high levels of program integrity. Program integrity is the degree to which programs are

  3. Institutionalization and Sustainability of the National Science Foundation's Advanced Technological Education Program. CCRC Brief. Number 20

    Science.gov (United States)

    Bailey, Thomas R.; Matsuzuka, Yukari; Jacobs, James; Morest, Vanessa Smith; Hughes, Katherine L.

    2004-01-01

    In response to the 1992 Scientific and Advanced Technology Act (SATA), the National Science Foundation (NSF) initiated the Advanced Technological Education (ATE) program to promote systemic reform of the nation's science, technology, engineering, and mathematics (STEM) education. The Act gave community colleges the central role for the…

  4. Assessing Nature-Based Recreation to Support Economic Development and Environmental Sustainability Extension Programs

    Science.gov (United States)

    Borisova, Tatiana; Bi, Xiang; Larkin, Sherry; Longanecker, James

    2016-01-01

    In support of community development, natural resource, and other Extension programs, the research reported here aimed to identify current and potential outdoor recreational opportunities in the St. Johns River Basin, an inland area in northeastern Florida. We identify the characteristics of the visitors participating in the recreational activities…

  5. The Architecture of a High-Impact and Sustainable Peer Leader Program: A Blueprint for Success

    Science.gov (United States)

    Esplin, Pat; Seabold, Jenna; Pinnegar, Fred

    2012-01-01

    The research literature in higher education is abundantly clear that each student's engagement and involvement in the college experience make a difference in the kind of education the student receives as well as the outcomes. Peer leadership programs in higher education are growing in popularity because they provide a variety of ways to…

  6. Creating a Platform for Sustained Neighborhood Improvement: Interim Findings from Chicago's New Communities Program

    Science.gov (United States)

    Greenberg, David; Verma, Nandita; Dillman, Keri-Nicole; Chaskin, Robert

    2010-01-01

    Distressed urban neighborhoods face challenges on multiple fronts, but most efforts to confront these problems work in isolation of one another. The New Communities Program (NCP) is an exception, helping selected Chicago neighborhoods develop partnerships to address challenges involving employment, education, housing, and safety in a…

  7. Tactical Aircraft: F-22A Modernization Program Faces Cost, Technical, and Sustainment Risks

    Science.gov (United States)

    2012-05-01

    relocating the Raptor Avionics Integration Lab—a critical work site that stimulates sensors for targeting—from Marietta , Georgia, to Ogden Air Logistics...In performing our work, we obtained information and interviewed officials from the F-22A Program Office, Wright-Patterson Air Force Base, Ohio ; Air

  8. IDES-EDU – new interdisciplinary education program for Sustainable Buildings

    DEFF Research Database (Denmark)

    Dvorakova, Pavla; Kabele, Karel; Brunsgaard, Camilla

    2013-01-01

    Buildings fulfilling all requirements related to energy, economy and environment are necessary to be designed by interdisciplinary teams with efficient transfer of information and good knowledge base. IDES EDU is a project co-funded by the Intelligent Energy Europe program in which 15 European...

  9. Ice, Ice, Baby: A Program for Sustained, Classroom-Based K-8 Teacher Professional Development

    Science.gov (United States)

    Hamilton, C.

    2009-12-01

    Ice, Ice, Baby is a K-8 science program created by the education team at the Center for the Remote Sensing of Ice Sheets (CReSIS), an NSF-funded science and technology center headquartered at the University of Kansas. The twenty-four hands-on activities, which constitute the Ice, Ice, Baby curriculum, were developed to help students understand the role of polar ice sheets in sea level rise. These activities, presented in classrooms by CReSIS' Educational Outreach Coordinator, demonstrate many of the scientific properties of ice, including displacement and density. Student journals are utilized with each lesson as a strategy for improving students' science process skills. Journals also help the instructor identify misconceptions, assess comprehension, and provide students with a year-long science reference log. Pre- and post- assessments are given to both teachers and students before and after the program, providing data for evaluation and improvement of the Ice, Ice, Baby program. While students are actively engaged in hands-on learning about the unusual topics of ice sheets, glaciers, icebergs and sea ice, the CReSIS' Educational Coordinator is able to model best practices in science education, such as questioning and inquiry-based methods of instruction. In this way, the Ice, Ice, Baby program also serves as ongoing, in-class, professional development for teachers. Teachers are also provided supplemental activities to do with their classes between CReSIS' visits to encourage additional science lessons, reinforce concepts taught in the Ice, Ice, Baby program, and to foster teachers' progression toward more reform-based science instruction.

  10. Assessment of the US Department of Energy's Sustainable Energy Resources for Consumers Grant Program

    Energy Technology Data Exchange (ETDEWEB)

    Lenahan, Tim [APPRISE, Inc., Princeton, NJ (United States); Bausch, Daniel [APPRISE, Inc., Princeton, NJ (United States); Carroll, David [APPRISE, Inc., Princeton, NJ (United States); Tonn, Bruce Edward [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Rose, Erin M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Hawkins, Beth A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2017-10-01

    This report presents the results of an assessment of the Sustainable Energy Resources for Consumers (SERC) grant program that was administered by the US Department of Energy Weatherization and Intergovernmental Program Office. Grants totaling $90 million were awarded to 101 local weatherization agencies located in 27 states. More than 15,000 housing units were touched by the SERC program. Close to 29,000 SERC technologies were installed and/or services delivered. The report summarizes the results of site visits to 27 agencies in which the following 14 technologies were observed: solar photovoltaic panels, solar hot water heaters, solar thermal air panels for space heating, tankless water heaters, heat pump water heaters, geothermal heat pumps, super-evaporative cooling systems, combination boilers and indirect water heaters, small-scale residential wind systems, cool roofs, masonry spray foam insulation, attic radiant barriers, mini-split heat pumps, and in-home energy monitors. The evaluation found that the national weatherization network is capable of installing and delivering a wide range of new and innovative technologies, but the usability and adoptability of some technologies may prove impractical for the weatherization network and the demographic for which it serves.

  11. Sustained attention in adult ADHD : time-on-task effects of various measures of attention

    NARCIS (Netherlands)

    Tucha, Lara; Fuermaier, Anselm B.M.; Koerts, Janneke; Buggenthin, Rieka; Aschenbrenner, Steffen; Weisbrod, Matthias; Thome, Johannes; Lange, Klaus W.; Tucha, Oliver

    Neuropsychological research on adults with ADHD showed deficits in various aspects of attention. However, the majority of studies failed to explore the change of performance over time, so-called time-on-task effects. As a consequence, little is known about sustained attention performance of adults

  12. Sustainable semiarid dryland production in relation to tillage effects on Hydrology: 1983-2013

    Science.gov (United States)

    Semiarid dryland crop yields with no-till, NT, residue management are often greater than stubble-mulch tillage, SM, as a result of improved soil conditions or water conservation, but knowledge of long-term tillage effects on the comprehensive field hydrology and sustained crop production is needed. ...

  13. Sustained protective effects of 7-monohydroxyethylrutoside in an in vivo model of cardiac ischemia-reperfusion

    NARCIS (Netherlands)

    De Celle, T; Heeringa, P; Strzelecka, AE; Bast, A; Smits, JF; Janssen, BJ

    2004-01-01

    Earlier studies have shown that 7-monohydroxyethylrutoside (monoHER), an antioxidant flavonoid, protects against doxorubicin-induced cardiotoxicity. In this study, we investigated potential sustained cardioprotective effects of monoHER in a model of ischemia-reperfusion (I/R) in mice. Ischemia was

  14. India's Proposed Universal Health Coverage Policy: Evidence for Age Structure Transition Effect and Fiscal Sustainability.

    Science.gov (United States)

    Narayana, Muttur Ranganathan

    2016-12-01

    India's High Level Expert Group on Universal Health Coverage in 2011 recommended a universal, public-funded and national health coverage policy. As a plausible forward-looking macroeconomic reform in the health sector, this policy proposal on universal health coverage (UHC) needs to be evaluated for age structure transition effect and fiscal sustainability to strengthen its current design and future implementation. Macroeconomic analyses of the long-term implications of age structure transition and fiscal sustainability on India's proposed UHC policy. A new measure of age-specific UHC is developed by combining the age profile of public and private health consumption expenditure by using the National Transfer Accounts methodology. Different projections of age-specific public health expenditure are calculated over the period 2005-2100 to account for the age structure transition effect. The projections include changes in: (1) levels of the expenditure as gross domestic product grows, (2) levels and shape of the expenditure as gross domestic product grows and expenditure converges to that of developed countries (or convergence scenario) based on the Lee-Carter model of forecasting mortality rates, and (3) levels of the expenditure as India moves toward a UHC policy. Fiscal sustainability under each health expenditure projection is determined by using the measures of generational imbalance and sustainability gap in the Generational Accounting methodology. Public health expenditure is marked by age specificities and the elderly population is costlier to support for their healthcare needs in the future. Given the discount and productivity growth rates, the proposed UHC is not fiscally sustainable under India's current fiscal policies except for the convergence scenario. However, if the income elasticity of public expenditure on social welfare and health expenditure is less than one, fiscal sustainability of the UHC policy is attainable in all scenarios of projected public

  15. A Cost-Effective Energy-Recovering Sustain Driving Circuit for ac Plasma Display Panels

    Science.gov (United States)

    Lim, Jae Kwang; Tae, Heung-Sik; Choi, Byungcho; Kim, Seok Gi

    A new sustain driving circuit, featuring an energy-recovering function with simple structure and minimal component count, is proposed as a cost-effective solution for driving plasma display panels during the sustaining period. Compared with existing solutions, the proposed circuit reduces the number of semiconductor switches and reactive circuit components without compromising the circuit performance and gas-discharging characteristics. In addition, the proposed circuit utilizes the harness wire as an inductive circuit component, thereby further simplifying the circuit structure. The performance of the proposed circuit is confirmed with a 42-inch plasma display panel.

  16. Sustaining Employability: A Process for Introducing Cloud Computing, Big Data, Social Networks, Mobile Programming and Cybersecurity into Academic Curricula

    Directory of Open Access Journals (Sweden)

    Razvan Bologa

    2017-12-01

    Full Text Available This article describes a process for introducing modern technological subjects into the academic curricula of non-technical universities. The process described may increase and contribute to social sustainability by enabling non-technical students’ access to the field of the Internet of Things and the broader Industry 4.0. The process has been defined and tested during a curricular reform project that took place in two large universities in Eastern Europe. In this article, the authors describe the results and impact, over multiple years, of a project financed by the European Union that aimed to introduce the following subjects into the academic curricula of business students: cloud computing, big data, mobile programming, and social networks and cybersecurity (CAMSS. The results are useful for those trying to implement similar curricular reforms, or to companies that need to manage talent pipelines.

  17. Hype, harmony and human factors: applying user-centered design to achieve sustainable telehealth program adoption and growth.

    Science.gov (United States)

    Rossos, P G; St-Cyr, O; Purdy, B; Toenjes, C; Masino, C; Chmelnitsky, D

    2015-01-01

    Despite decades of international experience with the use of information and communication technologies in healthcare delivery, widespread telehealth adoption remains limited and progress slow. Escalating health system challenges related to access, cost and quality currently coincide with rapid advancement of affordable and reliable internet based communication technologies creating unprecedented opportunities and incentives for telehealth. In this paper, we will describe how Human Factors Engineering (HFE) and user-centric elements have been incorporated into the establishment of telehealth within a large academic medical center to increase acceptance and sustainability. Through examples and lessons learned we wish to increase awareness of HFE and its importance in the successful implementation, innovation and growth of telehealth programs.

  18. Wineries Evaluation of Costs and Benefits of Sustainability Certification Program: The Case of Terra Vitis in France.

    Science.gov (United States)

    Jourjon, Frederique; Chou, Hsia-Chi; Gezart, Anna; Kadison, Amy E; Martinat, Lea; Pomarici, Eugenio; Vecchio, Riccardo

    2016-01-01

    The current paper analyses the evaluation of the costs and benefits of French wineries (N=69) participating in the sustainability program Terra Vitis, a widespread environmental certification scheme within the French wine industry. An online questionnaire was sent to all Terra Vitis participants, in order to analyse the evaluation of economic costs and benefits (together with environmental benefits) as perceived by wineries. Our findings reveal that older participants in the scheme (over 5 years), firms with higher export share (>40% of annual turnover) and cooperative wineries tend to be keener to assign a positive evaluation to the benefits/costs ratio in both the vineyard and the winery. In the context of increasing concerns regarding the economic and environmental performance of the French agricultural sector, such findings and also the patent research could be useful for policy makers and entrepreneurs in defining mainstream normative and corporate strategies. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  19. Recycling and social technologies for sustainability: The Brazilian experience of wastepickers' inclusion in selective collection programs.

    Science.gov (United States)

    Lima, Francisco de Paula Antunes; de Oliveira, Fabiana Goulart

    2017-01-01

    Alternatives are being developed for waste treatment all over the world. Solidary selective collection is a recognized social technology for taking millions of people out of absolute poverty. However, this technology raises crucial questions regarding its nature and development perspective. What can be said of the legitimacy of a social technology that is born from misery and maintains wastepickers in precarious work conditions? This article approaches issues based on the analysis of the wastepickers' work process, highlighting the difficulties and interpersonal conflicts, the strong social bonds and creativity that reveal the potential of efficiency and solidarity of this social technology. The analyses are founded on empirical descriptions of work situations and organizational arrangements that the wastepickers themselves have developed. The observations were made during the work, followed by interviews focused on significant events and behaviors. The contradiction between efficiency and solidarity, which excludes workers from the formal labor market, finds in the associations a solution for people with different capacities. This social technology offers much more than simple survival or exoticism. The wastepickers create a sustainable mode of production, putting together economic, social and environmental criteria in an innovative and fair production technology.

  20. A program for sustained improvement in preventing ventilator associated pneumonia in an intensive care setting

    Directory of Open Access Journals (Sweden)

    Caserta Raquel A

    2012-09-01

    Full Text Available Abstract Background Ventilator-associated pneumonia (VAP is a common infection in the intensive care unit (ICU and associated with a high mortality. Methods A quasi-experimental study was conducted in a medical-surgical ICU. Multiple interventions to optimize VAP prevention were performed from October 2008 to December 2010. All of these processes, including the Institute for Healthcare Improvement’s (IHI ventilator bundle plus oral decontamination with chlorhexidine and continuous aspiration of subglottic secretions (CASS, were adopted for patients undergoing mechanical ventilation. Results We evaluated a total of 21,984 patient-days, and a total of 6,052 ventilator-days (ventilator utilization rate of 0.27. We found VAP rates of 1.3 and 2.0 per 1,000 ventilator days respectively in 2009 and 2010, achieving zero incidence of VAP several times during 12 months, whenever VAP bundle compliance was over 90%. Conclusion These results suggest that it is possible to reduce VAP rates to near zero and sustain these rates, but it requires a complex process involving multiple performance measures and interventions that must be permanently monitored.

  1. Sustainable urban stormwater management in the tropics: An evaluation of Singapore's ABC Waters Program

    Science.gov (United States)

    Lim, H. S.; Lu, X. X.

    2016-07-01

    The Active Beautiful Clean (ABC) Waters Program was implemented in 2006 as part of Singapore's stormwater management strategy and reflects the country's move towards Water Sensitive Urbanism through the adoption of Low-Impact Development (LID) ideology and practices. It is the first holistic and comprehensive LID program in the tropics and holds promise for extension to other tropical cities. This paper presents a comprehensive summary of the goals, LID practices (ABC design features) and design considerations as well as results of several monitored sites, including a constructed wetland, two rain gardens, green roofs and three canal restoration projects. We evaluate the ABC Waters Program based on these initial results and consider the challenges, issues and the research needs for it to meet its hydrological and water quality remediation goals. So far, the ABC design features evaluated perform well in removing particulates. Performance in nutrient removal is poor. With over 60 projects completed within 10 years, post-project monitoring and evaluation is necessary and complements on-going laboratory and modelling research projects conducted by local academic institutions.

  2. Developing effective cancer pain education programs.

    Science.gov (United States)

    Martin, Michelle Y; Pisu, Maria; Kvale, Elizabeth A; Johns, Shelley A

    2012-08-01

    Pain is prevalent, burdensome, and undertreated in individuals with cancer across the disease trajectory. Providing patients and family caregivers with psychosocial support and education to manage cancer pain is a core component of quality care that can result in significant clinical benefit. In this review, we: (1) outline an approach for developing and assessing the effectiveness of education programs for adults with cancer pain; (2) discuss considerations for tailoring programs to the needs of diverse populations and those with limited health literacy skills; (3) describe the resource needs and costs of developing a program; (4) highlight innovative approaches to cancer pain education. We conclude with recommendations for future research and the next generation of educational interventions.

  3. The Triple P Implementation Framework: the Role of Purveyors in the Implementation and Sustainability of Evidence-Based Programs.

    Science.gov (United States)

    McWilliam, Jenna; Brown, Jacquie; Sanders, Matthew R; Jones, Liz

    2016-07-01

    Evidence-based programs are considered critical in the human services field if major social and health problems are to be addressed. Despite the large number of programs that have been developed and implemented, there is much to learn about how to effectively implement these programs in community settings. One perspective that is rarely represented in the literature is that of the purveyor organization (an organization that actively works to disseminate and support the implementation of a program or practice). This paper introduces the Triple P Implementation Framework, developed by the program's purveyor organization, and discusses principles underlying the design and implementation of the Framework. The Framework incorporates two key underlying principles of the Triple P system: minimal sufficiency and self-regulation. Lessons learned from the application of these principles and the implementation process are discussed, along with directions for future research.

  4. Examining sustainability in a hospital setting: case of smoking cessation.

    Science.gov (United States)

    Campbell, Sharon; Pieters, Karen; Mullen, Kerri-Anne; Reece, Robin; Reid, Robert D

    2011-09-14

    The Ottawa Model of Smoking Cessation (OMSC) is a hospital-based smoking cessation program that is expanding across Canada. While the short-term effectiveness of hospital cessation programs has been documented, less is known about long-term sustainability. The purpose of this exploratory study was to understand how hospitals using the OMSC were addressing sustainability and determine if there were critical factors or issues that should be addressed as the program expanded. Six hospitals that differed on OMSC program activities (identify and document smokers, advise quitting, provide medication, and offer follow-up) were intentionally selected, and two key informants per hospital were interviewed using a semi-structured interview guide. Key informants were asked to reflect on the initial decision to implement the OMSC, the current implementation process, and perceived sustainability of the program. Qualitative analysis of the interview transcripts was conducted and themes related to problem definition, stakeholder influence, and program features emerged. Sustainability was operationalized as higher performance of OMSC activities than at baseline. Factors identified in the literature as important for sustainability, such as program design, differences in implementation, organizational characteristics, and the community environment did not explain differences in program sustainability. Instead, key informants identified factors that reflected the interaction between how the health problem was defined by stakeholders, how priorities and concerns were addressed, features of the program itself, and fit within the hospital context and resources as being influential to the sustainability of the program. Applying a sustainability model to a hospital smoking cessation program allowed for an examination of how decisions made during implementation may impact sustainability. Examining these factors during implementation may provide insight into issues affecting program

  5. The effects of asset securitization on sustainability & profitability of microfinance institutions in Ghana

    Directory of Open Access Journals (Sweden)

    Daniel Quacoe

    2015-08-01

    Full Text Available Asset Securitization is a process that involves repackaging portfolios of cash-flow-producing financial instruments into securities or tradable capital market instruments for transfer to investors. There have been a number of studies on asset securitization and microfinance but most of these studies did not focus on the effects of asset securitization on sustainability and profitability of microfinance institutions. These studies were conducted in developed economies and little has been done in Africa and for that matter Ghana. This study therefore sought to explore the effects of asset securitization on sustainability and profitability of MFIs in Ghana knowing the important role they play in the Ghanaian economy. The objectives were to determine whether asset securitization is being practiced in Ghana, to determine whether asset securitization will improve the sustainability and profitability of microfinance institutions (MFI’s as well as challenges that may arise. As a qualitative research, the case study approach was employed in the research design. Questionnaires were administered to a sample size of 200 respondents from a population of 517 who were drawn from the management and staff of five microfinance companies selected through convenience and purposeful sampling techniques. The findings are that asset securitization in microfinance is currently not being practiced in Ghana but if implemented, it will have a positive effect on the sustainability and profitability of microfinance companies in Ghana. The study identified some challenges that microfinance institutions may face in the introduction of asset securitization in Ghana.

  6. Sustainability of Smallholder Agriculture in Semi-Arid Areas under Land Set-aside Programs: A Case Study from China’s Loess Plateau

    Directory of Open Access Journals (Sweden)

    Qirui Li

    2016-04-01

    Full Text Available This article analyzes agricultural sustainability in the context of land degradation, rural poverty and social inequality, taking China’s Loess Hills as an example. The analysis attempts to understand the multi-dimensionality of sustainability at the farm level and its relationship with physical-socio-economic-infrastructural-technological framework conditions in the context of the land set-aside program viz. the Grain for Green Project (GGP. We developed composite indices of sustainability and its environmental, economic and social dimensions using a principal component analysis (PCA-based weighting scheme. Regression analyses were conducted to examine the relationship between the estimated sustainability indicators and the variables representing framework conditions of knowledge, demographics, resource endowment and production techniques. The stated analysis was conducted on a dataset collected by means of household surveys in 2014 in valleys and flood plain areas in Yanhe Township. Findings reveal hidden correlations among the indicators of environmental, economic, and social pillars of sustainability. The ratio of land under the conservation program to actual farmland emerged as a key determinant of overall agricultural sustainability and its social dimension, which reaches the maximum when the ratio is around 0.56 and 0.64, respectively. The results also show that there is need to balance off-farm and on-farm income diversification as well as highlight the role of women in ensuring the sustainability of farming households. The core achievement of the article is the definition of the thresholds for the land set-aside program and the identification of major determinants of agricultural sustainability in the rural Chinese context in particular and in rural farming communities in general.

  7. The Effects of Environmental and Social Dimensions of Sustainability in Response to the Economic Crisis of European Cities

    Directory of Open Access Journals (Sweden)

    Domingo Nevado-Peña

    2015-06-01

    Full Text Available The concept of sustainable development, which has emerged over the last few decades, has moved away from the global to the local level. The sustainability measurements at the global level use the triple bottom line, considering environmental, economic and social dimensions; however, the limited data available at the local level has driven what little research there is to use these optics when considering cities sustainability. In this paper, we use a sustainability city index based on the intellectual capital approach, which considers the three dimensions for European cities. Concretely, we use the environmental and social dimensions of this city index to analyze the effect of different levels of development in terms of sustainability over the main economic variables with available information. The results highlight the importance of the social and environmental dimensions of sustainability in cities economic recovery and show that cities with best positions in sustainability have better performance in economic terms.

  8. Biofuels and sustainability.

    Science.gov (United States)

    Solomon, Barry D

    2010-01-01

    Interest in liquid biofuels production and use has increased worldwide as part of government policies to address the growing scarcity and riskiness of petroleum use, and, at least in theory, to help mitigate adverse global climate change. The existing biofuels markets are dominated by U.S. ethanol production based on cornstarch, Brazilian ethanol production based on sugarcane, and European biodiesel production based on rapeseed oil. Other promising efforts have included programs to shift toward the production and use of biofuels based on residues and waste materials from the agricultural and forestry sectors, and perennial grasses, such as switchgrass and miscanthus--so-called cellulosic ethanol. This article reviews these efforts and the recent literature in the context of ecological economics and sustainability science. Several common dimensions for sustainable biofuels are discussed: scale (resource assessment, land availability, and land use practices); efficiency (economic and energy); equity (geographic distribution of resources and the "food versus fuel" debate); socio-economic issues; and environmental effects and emissions. Recent proposals have been made for the development of sustainable biofuels criteria, culminating in standards released in Sweden in 2008 and a draft report from the international Roundtable on Sustainable Biofuels. These criteria hold promise for accelerating a shift away from unsustainable biofuels based on grain, such as corn, and toward possible sustainable feedstock and production practices that may be able to meet a variety of social, economic, and environmental sustainability criteria.

  9. Light Water Reactor Sustainability Program: Computer-Based Procedures for Field Activities: Results from Three Evaluations at Nuclear Power Plants

    Energy Technology Data Exchange (ETDEWEB)

    Oxstrand, Johanna [Idaho National Lab. (INL), Idaho Falls, ID (United States); Le Blanc, Katya [Idaho National Lab. (INL), Idaho Falls, ID (United States); Bly, Aaron [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-09-01

    The Computer-Based Procedure (CBP) research effort is a part of the Light-Water Reactor Sustainability (LWRS) Program, which is a research and development (R&D) program sponsored by Department of Energy (DOE) and performed in close collaboration with industry R&D programs that provides the technical foundations for licensing and managing the long-term, safe, and economical operation of current nuclear power plants. One of the primary missions of the LWRS program is to help the U.S. nuclear industry adopt new technologies and engineering solutions that facilitate the continued safe operation of the plants and extension of the current operating licenses. One area that could yield tremendous savings in increased efficiency and safety is in improving procedure use. Nearly all activities in the nuclear power industry are guided by procedures, which today are printed and executed on paper. This paper-based procedure process has proven to ensure safety; however, there are improvements to be gained. Due to its inherent dynamic nature, a CBP provides the opportunity to incorporate context driven job aids, such as drawings, photos, and just-in-time training. Compared to the static state of paper-based procedures (PBPs), the presentation of information in CBPs can be much more flexible and tailored to the task, actual plant condition, and operation mode. The dynamic presentation of the procedure will guide the user down the path of relevant steps, thus minimizing time spent by the field worker to evaluate plant conditions and decisions related to the applicability of each step. This dynamic presentation of the procedure also minimizes the risk of conducting steps out of order and/or incorrectly assessed applicability of steps.

  10. Soil Tillage Conservation and its Effect on Soil Properties Bioremediation and Sustained Production of Crops

    Science.gov (United States)

    Rusu, Teodor; Ioana Moraru, Paula; Muresan, Liliana; Andriuca, Valentina; Cojocaru, Olesea

    2017-04-01

    Soil Tillage Conservation (STC) is considered major components of agricultural technology for soil conservation strategies and part of Sustainable Agriculture (SA). Human action upon soil by tillage determines important morphological, physical-chemical and biological changes, with different intensities and evaluative directions. Nowadays, internationally is unanimous accepted the fact that global climatic changes are the results of human intervention in the bio-geo-chemical water and material cycle, and the sequestration of carbon in soil is considered an important intervention to limit these changes. STC involves reducing the number of tillage's (minimum tillage) to direct sowing (no-tillage) and plant debris remains at the soil surface in the ratio of at least 30%. Plant debris left on the soil surface or superficial incorporated contributes to increased biological activity and is an important source of carbon sequestration. STC restore soil structure and improve overall soil drainage, allowing more rapid infiltration of water into soil. The result is a soil bioremediation, more productive, better protected against wind and water erosion and requires less fuel for preparing the germinative bed. Carbon sequestration in soil is net advantageous, improving the productivity and sustainability. We present the influence of conventional plough tillage system on soil, water and organic matter conservation in comparison with an alternative minimum tillage (paraplow, chisel plow and rotary harrow) and no-tillage system. The application of STC increased the organic matter content 0.8 to 22.1% and water stabile aggregate content from 1.3 to 13.6%, in the 0-30 cm depth, as compared to the conventional system. For the organic matter content and the wet aggregate stability, the statistical analysis of the data showed, increasing positive significance of STC. While the soil fertility and the wet aggregate stability were initially low, the effect of conservation practices on the

  11. TOWARDS DEVELOPING A SUSTAINABLE FACULTY DEVELOPMENT PROGRAM: An Initiative of an American Medical School in Lebanon.

    Science.gov (United States)

    Rahal, Boushra; Mansour, Nabil; Zaatari, Ghazi

    2015-01-01

    The American University of Beirut Faculty of Medicine (AUB-FM) strategy is to develop faculty members (fm) skills by sponsoring local and international scientific activities has been in place for over three decades, and remains dependent on individuals' efforts. In 2011-2012, Faculty Development Program (FDP) was introduced to develop faculty leadership, business skills in medicine, fulfill personal and professional goals, followed by a five-year plan to cover five themes: Management/Leadership, Marketing, Finance, Strategic Planning and Communications with the purpose of integrating these themes in medical practice. A survey was sent to all departments at AUB-FM in 2011 to assess needs and determine themes. Nine workshops were conducted, followed by post-workshop evaluation. 117 fm responded to needs assessment surveys. Respondents had on average 15 years in clinical practice, 50% with extensive to moderate administrative experience; 71% assumed administrative responsibilities at least once, 56% in leadership positions. Faculty attendance dropped midway from 69 to 19, although workshops were rated very good to excellent. Although faculty were interested in FDP, the drop in attendance might be attributed to: challenges to achieve personal and professional goals while struggling to fulfill their roles, satisfy promotion requirements and generate their income. FDP has to be aligned with FM strategic goals and faculty objectives, be complimentary to a faculty mentoring program, provide rewards, and be supported by a faculty progression tool.

  12. Program Evaluation for Sexually Transmitted Disease Programs: In Support of Effective Interventions.

    Science.gov (United States)

    Carter, Marion W

    2016-02-01

    Program evaluation is a key tool for gathering evidence about the value and effectiveness of sexually transmitted disease (STD) prevention programs and interventions. Drawing from published literature, the Centers for Disease Control and Prevention evaluation framework, and program examples, this article lays out some of the key principles of program evaluation for STD program staff. The purpose is to offer STD program staff a stronger basis for talking about, planning, conducting, and advocating for evaluation within their respective program contexts.

  13. Bootstrapping a Sustainable North American PEM Fuel Cell Industry: Could a Federal Acquisition Program Make a Difference?

    Energy Technology Data Exchange (ETDEWEB)

    Greene, David L [ORNL; Duleep, Dr. K. G. [Energy and Environmental Analysis, Inc., an ICF Company

    2008-10-01

    The North American Proton Exchange Membrane (PEM) fuel cell industry may be at a critical juncture. A large-scale market for automotive fuel cells appears to be several years away and in any case will require a long-term, coordinated commitment by government and industry to insure the co-evolution of hydrogen infrastructure and fuel cell vehicles (Greene et al., 2008). The market for non-automotive PEM fuel cells, on the other hand, may be much closer to commercial viability (Stone, 2006). Cost targets are less demanding and manufacturers appear to be close, perhaps within a factor of two, of meeting them. Hydrogen supply is a significant obstacle to market acceptance but may not be as great a barrier as it is for hydrogen-powered vehicles due to the smaller quantities of hydrogen required. PEM fuel cells appear to be potentially competitive in two markets: (1) Backup power (BuP) supply, and (2) electrically-powered MHE (Mahadevan et al., 2007a, 2007b). There are several Original Equipment Manufacturers (OEMs) of PEM fuel cell systems for these applications but production levels have been quite low (on the order of 100-200 per year) and cumulative production experience is also limited (on the order of 1,000 units to date). As a consequence, costs remain above target levels and PEM fuel cell OEMs are not yet competitive in these markets. If cost targets can be reached and acceptable solutions to hydrogen supply found, a sustainable North American PEM fuel cell industry could be established. If not, the industry and its North American supply chain could disappear within a year or two. The Hydrogen Fuel Cell and Infrastructure Technologies (HFCIT) program of the U.S. Department of Energy (DOE) requested a rapid assessment of the potential for a government acquisition program to bootstrap the market for non-automotive PEM fuel cells by driving down costs via economies of scale and learning-by-doing. The six week study included in-depth interviews of three manufacturers

  14. The fourth scientific conference 'Higher education and effective business management - challenges of sustainable regional development'

    Directory of Open Access Journals (Sweden)

    Srećko R. Stopić

    2012-10-01

    Full Text Available The First Scientific Conference 'Higher Education and effective business management- challenges of sustainable regional development' was held on 20-21 December, 2006, in Užice, Republic of Serbia. More than 90 papers were presented. The number of authors and coauthors was 150. The Second Scientific Conference 'Economy development and effective business management - challenges of sustainable regional development' - was held upon the initiative of the management of the High Business Technical School of Užice on the occasion of its 30th anniversary It was held on 21-22 January 2007, in Užice, Republic of Serbia. Eighty papers were presented at the Conference. The number of authors and coauthors was 140. After that, the management of the High Business Technical School of Užice decided, for the first time, to organize an International Conference. The first International Conference 'Science and Higher Education in Function of Sustainable Development'. SED 2008 was held on 17-18 September, 2008, in Užice, Serbia. Ninety papers were presented on the Conference. The number of authors and coauthors was 150. The second International Conference 'Science and Higher Education in Function of Sustainable Development'. SED 2009 was held on 14-15 September 2009, in Užice, Serbia. More than 80 papers were presented. The number of authors and co-authors exceeded 100.

  15. Essential Resources for Implementation and Sustainability of Evidence-Based Health Promotion Programs: A Mixed Methods Multi-Site Case Study.

    Science.gov (United States)

    Dattalo, M; Wise, M; Ford Ii, J H; Abramson, B; Mahoney, J

    2017-04-01

    As of October 2016, use of federal Older Americans Act funds for health promotion and disease prevention will be restricted to the Administration on Aging's criteria for high-level evidence-based health promotion programs. Dissemination of these programs to rural communities remains limited. Therefore a strong need exists to identify strategies that facilitate program implementation and sustainability. The objective of this study was to compare organizational readiness and implementation strategies used by rural communities that achieved varying levels of success in sustaining evidence-based health promotion programs for older adults. We utilized a qualitative multi-site case study design to analyze the longitudinal experiences of eight rural sites working to implement evidence-based health promotion program over 3 years (8/2012-7/2015). Multiple sources of data (interviews, documents, reports, surveys) from each site informed the analysis. We used conventional content analysis to conduct a cross-case comparison to identify common features of rural counties that successfully implemented and sustained their target evidence-based health promotion program. Readiness to implement evidence-based programs as low at baseline as all site leaders described needing to secure additional resources for program implementation. Sites that successfully utilized six essential resources implemented and sustained greater numbers of workshops: (1) External Partnerships, (2) Agency Leadership Commitment, (3) Ongoing Source of Workshop Leaders, (4) Health Promotion Coordination Tasks Assigned to Specific Staff, (5) Organizational Stability, and (6) Change Team Engagement. The six essential resources described in this study can help rural communities assess their readiness to implement health promotion programs and work secure the resources necessary for successful implementation.

  16. Post-GAVI sustainability of the Haemophilus influenzae type b vaccine program: The potential role of economic evaluation.

    Science.gov (United States)

    Le, Phuc; Nghiem, Van T; Swint, J Michael

    2016-09-01

    Haemophilus influenzae type b (Hib) can cause severe invasive diseases which are, however, preventable by vaccination. To increase access to Hib vaccine, GAVI - the Vaccine Alliance - has provided financial support for 73 lower income countries worldwide. At the same time, GAVI has been implementing its co-financing policy, requiring recipient countries to pay a portion of vaccine costs and to increase this amount over time. Starting in 2016, 5 countries will stop receiving GAVI funding and procure the vaccine themselves. Although the graduating countries have access to the UNICEF/GAVI tendered vaccine price for 5 more years, the uncertainty in market vaccine price may hamper the post-GAVI program sustainability. A possible increase in vaccine price would cause a significant burden on governmental budgets, discouraging countries to continue the program. As a special tool, economic evaluation (EE) can assist decision makers by identifying the maximum affordable vaccine price for countries to pay. Given that only 6 GAVI-eligible countries have such analyses published, more EEs are necessary to strengthen countries' commitment during this transition period. The information will also be useful for manufacturers to determine their pricing policy.

  17. Sustained effects of integrated COPD management on health status and exercise capacity in primary care patients

    Directory of Open Access Journals (Sweden)

    Annemarije L Kruis

    2010-11-01

    Full Text Available Annemarije L Kruis1, Joan van Adrichem2, Magda R Erkelens2, Huub Scheepers3, Hans in ’t Veen4, Jean WM Muris5, Niels H Chavannes11Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, 2Physiotherapy Center De Beweging, Rotterdam, 3Well-being Medical Center, Bocholtz-Simpelveld, 4Department of Pulmonary Diseases, Sint Franciscus Gasthuis, Rotterdam, 5Department of General Practice, Maastricht University Medical Center, The NetherlandsBackground: Chronic obstructive pulmonary disease (COPD constitutes a growing health care problem worldwide. Integrated disease management (IDM of mild to moderate COPD patients has been demonstrated to improve exercise capacity and health status after one year, but long-term results are currently lacking in primary care.Methods: Long-term data from the Bocholtz study, a controlled clinical trial comparing the effects of IDM versus usual care on health status in 106 primary care COPD patients during 24 months of follow-up, were analyzed using the Clinical COPD Questionnaire (CCQ. In addition, the Kroonluchter IDM implementation program has treated 216 primary care patients with mild to moderate COPD since 2006. Longitudinal six-minute walking distance (6MWD results for patients reaching 24 months of follow-up were analyzed using paired-sample t-tests. In prespecified subgroup analyses, the differential effects of baseline CCQ score, Medical Research Council (MRC dyspnea score, and 6MWD were investigated.Results: In the Bocholtz study, subjects were of mean age 64 years, with an average postbronchodilator forced expiratory volume in one second (FEV1 of 63% predicted and an FEV1/forced vital capacity (FVC ratio of 0.56. No significant differences existed between groups at baseline. CCQ improved significantly and in a clinically relevant manner by 0.4 points over 24 months; effect sizes were doubled in patients with CCQ > 1 at baseline and tripled in patients with MRC dyspnea score

  18. Capacity Development and Strengthening for Energy Policy formulation and implementation of Sustainable Energy Projects in Indonesia CASINDO. Deliverable No. 17. Development of Education Programs at Indonesian Universities

    Energy Technology Data Exchange (ETDEWEB)

    Wijnker, M. [Eindhoven University of Technology TUE, Eindhoven (Netherlands)

    2011-08-15

    The overall objective of the CASINDO programme is to establish a self-sustaining and self-developing structure at both the national and regional level to build and strengthen human capacity to enable the provinces of North Sumatra, Yogyakarta, Central Java, West Nusa Tenggara and Papua to formulate sound policies for renewable energy and energy efficiency and to develop and implement sustainable energy projects. All five Indonesian partner universities managed to develop and implement an education program within the timeline of the CASINDO project. UMY (Muhammadiyah University of Yogyakarta, Indonesia), UNRAM (University of Mataram, Mataram, Indonesia) and UNCEN (Cenderawasih University, Jayapura, Papua, Indonesia) have chosen to develop a certificate program. UNDIP (Diponegoro University in Semarang, Java, Indonesia) and USU (University of Sumatra Utara, Medan, Indonesia) have both developed a master program in sustainable energy. UNDIP has already discussed the proposal of their master program with the Ministry of Education and will have to make some improvements. USU will first start the program as a specialisation within the Mechanical Engineering department and in some time continues to make it an independent master program. At all universities both contact persons and lecturers have put a lot of effort in developing the programs and succeeded. Additionally, through CASINDO a network of lecturers between the universities has developed, which will ease future cooperation, after the CASINDO project will have finished.

  19. A Study of Effects of Open Ceremony on e-learning Account Sustainability

    Directory of Open Access Journals (Sweden)

    Kuo L.H.

    2016-01-01

    Full Text Available The purpose of this study was to identify whether an open ceremony affects on-line learning platform account keeping behavior. This is a longitudinal non-experimental study. Total 9959 user accounts on a e-learning server since 2009 were reviewed. The server provides on-line learning courses to the publics. There are two types of courses, one with open ceremony for learners in classroom and the other is not. A survival analysis was performed to assess the effectiveness of the ceremony for user account sustainability. It was found that after five years, the survival rate of ceremony group is 0.53 and non-ceremony group is 0.01. Based upon the statistically significant effect, it was concluded that open ceremony had shown effects on user account sustainability.

  20. Assessing sustainability using data from the Forest Inventory and Analysis Program of the United States Forest Service

    Science.gov (United States)

    Ronald E. McRoberts; William H. McWilliams; Gregory A. Reams; Thomas L. Schmidt; Jennifer C. Jenkins; Katherine P. O' Neill; Patrick D. Miles; Gary J. Brand

    2004-01-01

    Forest sustainability has emerged as a crucial component of all current issues related to forest management. The seven Montreal Process Criteria are well accepted as categories of processes for evaluating forest management with respect to sustainability, and data collected.

  1. Transformations? Skilled Change Agents Influencing Organisational Sustainability Culture

    Science.gov (United States)

    Davis, Keith; Boulet, Mark

    2016-01-01

    Training employees in sustainability knowledge and skills is considered a vital element in creating a sustainability culture within an organisation. Yet, the particular types of training programs that are effective for this task are still relatively unknown. This case study describes an innovative workplace training program using a "head,…

  2. Selection Effects and Prevention Program Outcomes

    Science.gov (United States)

    Hill, Laura G.; Rosenman, Robert; Tennekoon, Vidhura; Mandal, Bidisha

    2013-01-01

    A primary goal of the paper is to provide an example of an evaluation design and analytic method that can be used to strengthen causal inference in nonexperimental prevention research. We used this method in a nonexperimental multisite study to evaluate short-term outcomes of a preventive intervention, and we accounted for effects of two types of selection bias: self-selection into the program and differential dropout. To provide context for our analytic approach, we present an overview of the counterfactual model (also known as Rubin’s causal model or the potential outcomes model) and several methods derived from that model, including propensity score matching, the Heckman two-step approach, and full information maximum likelihood based on a bivariate probit model and its trivariate generalization. We provide an example using evaluation data from a community-based family intervention and a nonexperimental control group constructed from the Washington state biennial Healthy Youth risk behavior survey data (HYS) (HYS n = 68,846; intervention n = 1502). We identified significant effects of participant, program, and community attributes in self-selection into the program and program completion. Identification of specific selection effects is useful for developing recruitment and retention strategies, and failure to identify selection may lead to inaccurate estimation of outcomes and their public health impact. Counterfactual models allow us to evaluate interventions in uncontrolled settings and still maintain some confidence in the internal validity of our inferences; their application holds great promise for the field of prevention science as we scale up to community dissemination of preventive interventions. PMID:23417667

  3. 77 FR 14568 - Earned Import Allowance Program: Evaluation of the Effectiveness of the Program for Certain...

    Science.gov (United States)

    2012-03-12

    ... COMMISSION Earned Import Allowance Program: Evaluation of the Effectiveness of the Program for Certain... review in investigation No. 332-503, Earned Import Allowance Program: Evaluation of the Effectiveness of... Commerce to establish an Earned Import Allowance Program (EIAP) and directed the Commission to conduct...

  4. Effect of a package of health and nutrition services on sustained recovery in children after moderate acute malnutrition and factors related to sustaining recovery: a cluster-randomized trial.

    Science.gov (United States)

    Stobaugh, Heather C; Bollinger, Lucy B; Adams, Sara E; Crocker, Audrey H; Grise, Jennifer B; Kennedy, Julie A; Thakwalakwa, Chrissie; Maleta, Kenneth M; Dietzen, Dennis J; Manary, Mark J; Trehan, Indi

    2017-08-01

    Background: Children who recover from moderate acute malnutrition (MAM) have high rates of relapse in the year after nutritional recovery. Interventions to decrease these adverse outcomes are needed to maximize the overall effectiveness of supplemental feeding programs (SFPs).Objective: We evaluated the effectiveness of a package of health and nutrition interventions on improving the proportion of children who sustained recovery for 1 y after MAM treatment. We further explored factors related to sustained recovery.Design: We conducted a cluster-randomized clinical effectiveness trial involving rural Malawian children aged 6-62 mo who were enrolled on discharge from an SFP for MAM. We enrolled 718 children at 10 control sites and 769 children at 11 intervention sites. In addition to routine health and nutrition counseling, the intervention group received a package of health and nutrition interventions that consisted of a lipid nutrient supplement, deworming medication, zinc supplementation, a bed net, and malaria chemoprophylaxis. A survival analysis was used to determine the effectiveness of the intervention as well as to identify factors associated with sustained recovery.Results: Of 1383 children who returned for the full 12-mo follow-up period, 407 children (56%) and 347 children (53%) sustained recovery in the intervention and control groups, respectively. There was no significant difference in relapse-free survival curves between the treatment and control groups (P = 0.380; log-rank test). The risk factors for relapse or death after initial recovery were a smaller midupper arm circumference on SFP admission (P = 0.01) and discharge (P children after treatment of MAM. This trial was registered at clinicaltrials.gov as NCT02351687. © 2017 American Society for Nutrition.

  5. Student Services and Special Programs: A Report on Program Effectiveness.

    Science.gov (United States)

    Scott-Skillman, Thelma; And Others

    Student services and special programs within the California Community Colleges (CCC) are designed to enhance student equity, access, retention, persistence toward goal completion, and successful educational outcomes. The special programs and services within the CCC which serve targeted and diverse student populations are Extended Opportunity…

  6. Teens, Power Tools, and Green Schools: Education for Sustainability through a University Environmental Design Program and Middle School Partnership

    Science.gov (United States)

    Derr, Victoria

    2017-01-01

    This article explores the role of green schools in promoting education for sustainability by reflecting on a university-middle school partnership focused on sustainable design. Undergraduates and middle school students met weekly for a semester to learn about sustainability through simple design projects and activities that focused on…

  7. Automated Work Packages Prototype: Initial Design, Development, and Evaluation. Light Water Reactor Sustainability Program

    Energy Technology Data Exchange (ETDEWEB)

    Oxstrand, Johanna Helene [Idaho National Lab. (INL), Idaho Falls, ID (United States); Al Rashdan, Ahmad [Idaho National Lab. (INL), Idaho Falls, ID (United States); Le Blanc, Katya Lee [Idaho National Lab. (INL), Idaho Falls, ID (United States); Bly, Aaron Douglas [Idaho National Lab. (INL), Idaho Falls, ID (United States); Agarwal, Vivek [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-07-01

    The goal of the Automated Work Packages (AWP) project is to demonstrate how to enhance work quality, cost management, and nuclear safety through the use of advanced technology. The work described in this report is part of the digital architecture for a highly automated plant project of the technical program plan for advanced instrumentation, information, and control (II&C) systems technologies. This report addresses the DOE Milestone M2LW-15IN0603112: Describe the outcomes of field evaluations/demonstrations of the AWP prototype system and plant surveillance and communication framework requirements at host utilities. A brief background to the need for AWP research is provided, then two human factors field evaluation studies are described. These studies focus on the user experience of conducting a task (in this case a preventive maintenance and a surveillance test) while using an AWP system. The remaining part of the report describes an II&C effort to provide real time status updates to the technician by wireless transfer of equipment indications and a dynamic user interface.

  8. The OceanSITES program of fixed open-ocean sustained timeseries

    Science.gov (United States)

    Send, Uwe

    2015-04-01

    Time series at critical or representative locations are an essential element of the global ocean observing system. They can provide a unique view of the full temporal behavior of a system; accurate reference and long-time baseline data; and the maximum possible range of interlinked variables from the seafloor to the atmosphere while enabling shared resources. The mission of the international OceanSITES program is to collect, deliver and promote the use of high-quality data from long-term, high-frequency observations at fixed locations in the open ocean. OceanSITES typically aim to collect multidisciplinary data worldwide from the full-depth water column as well as the overlying atmosphere. The presentation will cover the status, benefits, and structure of OceanSITES, some prominent examples of long fixed timeseries in the system, and plans for the future including the OceanSITES contribution to the Deep Ocean Observing System. Some emphasis will also be placed on the data management system, delivering homogeneous data sets in a unified format from single data portals.

  9. Overall Bike Effectiveness as a Sustainability Metric for Bike Sharing Systems

    Directory of Open Access Journals (Sweden)

    Bernardo Nugroho Yahya

    2017-11-01

    Full Text Available Bike sharing systems (BSS have been widely accepted as an urban transport scheme in many cities around the world. The concept is recently expanded and followed by many cities to offer citizen a “green” and flexible transportation scheme in urban areas. Many works focus on the issues of bike availability while the bike performance, i.e., life cycle issues and its sustainability, for better management has been abandoned. As a consequence, mismanagement of BSS would lead to cost inefficiency and, the worst case, end with operation termination. This study proposes a design science approach by developing an Overall Bike Effectiveness (OBE framework. By incorporating the concept of overall equipment analysis (OEE, the proposed framework is used to measure the bike utilization. Accordingly, the OBE is extended into Theoretical OBE to measure the sustainability of the early-stage of BSS. The framework has been verified and evaluated using a real dataset of BSS. The proposed method provides valuable results for benchmarking, life cycle analysis, system expansion and strategy planning toward sustainability. The paper concludes with a discussion to show the impact of the proposed approach into the real practices of BSS including an outlook toward sustainability of BSS.

  10. The Influence of Local Governance: Effects on the Sustainability of Bioenergy Innovation

    Directory of Open Access Journals (Sweden)

    Bianca Cavicchi

    2017-03-01

    Full Text Available This paper deals with processes and outcomes of sustainable bioenergy development in Emilia Romagna. It draws on an on-going research project concerning inclusive innovation in forest-based bioenergy and biogas in Norway, Sweden, Finland and Italy. The goal is to explore how local governance impacts on inclusive innovation processes and triple bottom sustainability of bioenergy development in Emilia Romagna and, ultimately, to contribute to the debate on the bioeconomy. It thus compares the case of biogas and forest-based bioenergy production. The study adopts an analytical framework called Grounded Innovation (GRIP and the local governance approach. The study uses qualitative methods and particularly semi-structured interviews and governance analysis. The key results show different outcomes on both inclusive innovation and triple bottom-line dimensions. Biogas has not fostered inclusiveness and triple bottom line sustainability benefits, contrary to forest-based bioenergy. The findings indicate that the minor role of local actors, particularly municipalities, in favour of industrial and national interests may jeopardise the sustainability of biobased industries. Besides, policies limited to financial incentives may lead to a land-acquisition rush, unforeseen local environmental effects and exacerbate conflicts.

  11. Glucose and caffeine effects on sustained attention: an exploratory fMRI study.

    Science.gov (United States)

    Serra-Grabulosa, Josep M; Adan, Ana; Falcón, Carles; Bargalló, Núria

    2010-11-01

    Caffeine and glucose can have beneficial effects on cognitive performance. However, neural basis of these effects remain unknown. Our objective was to evaluate the effects of caffeine and glucose on sustained attention, using functional magnetic resonance imaging (fMRI). Forty young right-handed, healthy, low caffeine-consuming subjects participated in the study. In a double-blind, randomised design, subjects received one of the following beverages: vehicle (water, 150 ml); vehicle plus 75 g of glucose; vehicle plus 75 mg of caffeine; vehicle plus 75 g of glucose and 75 mg of caffeine. Participants underwent two scanning fMRI sessions (before and 30 min after of the administration of the beverage). A continuous performance test was used to assess sustained attention. Participants who received combined caffeine and glucose had similar performance to the others but had a decrease in activation in the bilateral parietal and left prefrontal cortex. Since these areas have been related to the sustained attention and working memory processes, results would suggest that combined caffeine and glucose could increase the efficiency of the attentional system. However, more studies using larger samples and different levels of caffeine and glucose are necessary to better understand the combined effects of both substances. Copyright © 2010 John Wiley & Sons, Ltd.

  12. The Hepatitis C Self-Management Program: Sustainability of Primary Outcomes at 1 Year

    Science.gov (United States)

    Groessl, Erik J.; Ho, Samuel B.; Asch, Steven M.; Stepnowsky, Carl J.; Laurent, Diana; Gifford, Allen L.

    2013-01-01

    Objective: Chronic hepatitis C infection afflicts millions of people worldwide. Although antiviral treatments are increasingly effective, many hepatitis C virus (HCV) patients avoid treatment, do not complete or respond to treatment, or have contraindications. Self-management interventions are one option for promoting behavioral changes leading to…

  13. An Examination of the Leadership Practices That Support and Sustain School Based Mental Health Programs

    Science.gov (United States)

    Perreault, Amy

    2013-01-01

    Extensive research has shown that children in the United States present with a myriad of mental health concerns, and that those concerns can develop into mental illness if not treated. The consequences of mental illness on students' life both in an out of school is well documented. The need to provide effective treatment to children is also…

  14. Implementation of a Safe Patient Handling Program in a Multihospital Health System From Inception to Sustainability: Successes Over 8 Years and Ongoing Challenges.

    Science.gov (United States)

    Olinski, Christine; Norton, Christine E

    2017-11-01

    Musculoskeletal injuries, especially back injuries, are among the most frequent injuries sustained by direct caregivers who lift, transfer, and reposition patients. These injuries can be debilitating and, for some caregivers, career ending. In the first year following implementation of the safe patient handling program in a multihospital health care system, an 82% reduction in Occupational Health and Safety Administration (OSHA) recordable patient handling injuries was realized, a 94% decrease in days away from work, an 85% reduction in restricted duty days, and an 82% reduction in incurred workers' compensation costs. These reductions have been sustained for an 8-year period since the program's implementation in 2008. The primary focus of the program's first year was training and education. Compliance and retraining efforts began in the second year, followed by a gradual transition to the present emphasis on sustainability. This article describes the development and implementation of a safe patient handling program in a multihospital health system and the impact on caregiver injuries over 8 years. Also presented are key strategies that were used to achieve sustainability.

  15. Sustainability of the good behaviour game in Dutch primary schools.

    Science.gov (United States)

    Dijkman, Marieke A M; Harting, Janneke; van Tol, Lenneke; van der Wal, Marcel F

    2017-02-01

    Sustainability of health promotion programs is essential to maintain their positive effects. However, few studies have examined the extent of program sustainability and the factors influencing it. We examined these issues through the Good Behaviour Game (GBG), a classroom-based program in primary schools with beneficial behavioural and health-related effects that was implemented in 2008. GBG coordinators of 17 participating schools were invited in the study 2 years after the initial program implementation. Sustainability was measured using a 20-item checklist comprised of four dimensions of routinization including: memory, adaptation, values and rules. A semi-structured interview was then completed with 16 of the GBG coordinators to discuss the checklist scores and to probe in more depth the current level of sustainability. Based on the checklist scores, sustainability of the GBG was considered ‘high’ in five schools, ‘medium’ in another five and ‘weak’ in six. Factors influencing sustainability identified by GBG coordinators were organizational strength, strong leadership, program championship and the perceived modifiability and effectiveness of the GBG. Also, different factors were related to different dimensions of routinization. The combination of a sustainability checklist and an interview about influential factors may help to further clarify the sustainability construct and reveal which implementation sites, routinization dimensions and influential factors should be explored to further facilitate the sustaining of programs with proven effectiveness.

  16. Parent and Clinician Perspectives on Sustained Behavior Change after a Prenatal Obesity Program: A Qualitative Study.

    Science.gov (United States)

    Gregory, Emily F; Goldshore, Matthew A; Showell, Nakiya N; Genies, Marquita C; Harding, Mariel E; Henderson, Janice L

    2017-04-01

    Infants of obese women are at a high risk for development of obesity. Prenatal interventions targeting gestational weight gain among obese women have not demonstrated consistent benefits for infant growth trajectories. To better understand why such programs may not influence infant growth, qualitative semi-structured interviews were conducted with 19 mothers who participated in a prenatal nutrition intervention for women with BMI 30 kg/m2 or greater, and with 19 clinicians (13 pediatric, 6 obstetrical). Interviews were transcribed and coded with themes emerging inductively from the data, using a grounded theory approach. Mothers were interviewed a mean of 18 months postpartum and reported successful postnatal maintenance of behaviors that were relevant to the family food environment (Theme 1). Ambivalence around the importance of postnatal behavior maintenance (Theme 2) and enhanced postnatal healthcare (Theme 3) emerged as explanations for the failure of prenatal interventions to influence child growth. Mothers acknowledged their importance as role models for their children's behavior, but they often believed that body habitus was beyond their control. Though mothers attributed prenatal behavior change, in part, to additional support during pregnancy, clinicians had hesitations about providing children of obese parents with additional services postnatally. Both mothers and clinicians perceived a lack of interest or concern about infant growth during pediatric visits (Theme 4). Prenatal interventions may better influence childhood growth if paired with improved communication regarding long-term modifiable risks for children. The healthcare community should clarify a package of enhanced preventive services for children with increased risk of developing obesity.

  17. Is the emotional Stroop task a special case of mood induction? Evidence from sustained effects of attention under emotion

    National Research Council Canada - National Science Library

    Ben-Haim, Moshe Shay; Mama, Yaniv; Icht, Michal; Algom, Daniel

    Sustained effects of emotion are well known in everyday experience. Surprisingly, such effects are seldom recorded in laboratory studies of the emotional Stroop task, in which participants name the color of emotion and neutral words...

  18. Angiotensin II Type 2 Receptor Agonist Experts Sustained Neuroprotective Effects In Aged Rats

    DEFF Research Database (Denmark)

    Sumners, Colin; Isenberg, Jacob; Harmel, Allison

    2016-01-01

    in preclinical studies, effects that likely involve neurotropic actions. However, these beneficial actions of C21 have not been demonstrated to occur beyond 1 week post stroke. The objective of this study was to determine if systemic administration of C21 would exert sustained neuroprotective effects in aged...... rats. DESIGN AND METHOD: Aged adult male Sprague Dawley rats (18-20 months) underwent ischemic stroke by monofilament middle cerebral artery occlusion (MCAO) and were randomly divided into two groups that received intraperitoneal (IP) injections of either 0.9% NaCl or 0.03 mg/kg C21 at reperfusion (90...... adhesive. Infarct volume tended to be non-significantly decreased by C21 treatment at 21d post-stroke. CONCLUSIONS: These findings indicate that targeting the renin-angiotensin system, by stimulation of AT2Rs with C21, improves neurological function in aged rats with stroke over a sustained period of 21...

  19. Elaboration of Marketing Strategies and Programs Through the Integration of the Sustainable Development’s Objectives

    Directory of Open Access Journals (Sweden)

    Adrian MICU

    2009-01-01

    Full Text Available Simultaneously with the manifestation of the availability of thecompany/organization to include in its activities and politics objectives ofsustainable development and social responsibility, concrete marketing steps arerequired, in form of a number of activities that contribute effectively toachieving such objectives. Therefore, series of steps of the complex process ofreflection and strategic planning should be taken in a logical and consistentmanner, thus these steps that can adapt and "tone" according to the specificactivities that the company operates.

  20. 2016 Billion-Ton Report: Environmental Sustainability Effects of Select Scenarios from Volume 1 (Volume 2)

    Energy Technology Data Exchange (ETDEWEB)

    Efroymson, R. A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Langholtz, M. H. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Johnson, K. E. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Stokes, B. J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2017-01-13

    On behalf of all the authors and contributors, it is a great privilege to present the 2016 Billion-Ton Report (BT16), volume 2: Environmental Sustainability Effects of Select Scenarios from volume 1. This report represents the culmination of several years of collaborative effort among national laboratories, government agencies, academic institutions, and industry. BT16 was developed to support the U.S. Department of Energy’s efforts towards national goals of energy security and associated quality of life.

  1. The Effects of Storytelling on Worldview and Attitudes toward Sustainable Agriculture

    OpenAIRE

    Grace, Patricia Elizabeth

    2011-01-01

    The Effects of Storytelling on Worldview and Attitudes toward Sustainable Agriculture Patricia E. Grace ABSTRACT There is evidence that the American agrifood system is a significant contributor to environmental, economic, social, and ethical-animal welfare damage to the earth and to society and is unsustainable, yet the worldview of a substantial percentage of the population conflicts with this assessment. A significant number of researchers, non-governmental organizations, and gove...

  2. Competitiveness and Sustainability Effects of Cars and their Business Models in Swedish Small Town Regions

    OpenAIRE

    Nurhadi, Lisiana; Borén, Sven; Ny, Henrik; Larsson, Tobias

    2016-01-01

    This article aims to develop and test a new approach for comparing sustainability effects (mainly approximated through CO2 emissions) and the total cost of ownership of various business models (Regular Purchasing, Car Pooling, Car Leasing, and Taxiing) applied to private cars with different energy carriers (Biogas, Ethanol, Gasoline, Plug-in Hybrid, and Electric). The results indicate that, out of all of the vehicles, electric vehicles are the most competitive—from both an ecological and econ...

  3. Nanoscale triboelectric-effect-enabled energy conversion for sustainably powering portable electronics.

    Science.gov (United States)

    Wang, Sihong; Lin, Long; Wang, Zhong Lin

    2012-12-12

    Harvesting energy from our living environment is an effective approach for sustainable, maintenance-free, and green power source for wireless, portable, or implanted electronics. Mechanical energy scavenging based on triboelectric effect has been proven to be simple, cost-effective, and robust. However, its output is still insufficient for sustainably driving electronic devices/systems. Here, we demonstrated a rationally designed arch-shaped triboelectric nanogenerator (TENG) by utilizing the contact electrification between a polymer thin film and a metal thin foil. The working mechanism of the TENG was studied by finite element simulation. The output voltage, current density, and energy volume density reached 230 V, 15.5 μA/cm(2), and 128 mW/cm(3), respectively, and an energy conversion efficiency as high as 10-39% has been demonstrated. The TENG was systematically studied and demonstrated as a sustainable power source that can not only drive instantaneous operation of light-emitting diodes (LEDs) but also charge a lithium ion battery as a regulated power module for powering a wireless sensor system and a commercial cell phone, which is the first demonstration of the nanogenerator for driving personal mobile electronics, opening the chapter of impacting general people's life by nanogenerators.

  4. Enhanced acute anti-inflammatory effects of CORM-2-loaded nanoparticles via sustained carbon monoxide delivery.

    Science.gov (United States)

    Qureshi, Omer Salman; Zeb, Alam; Akram, Muhammad; Kim, Myung-Sic; Kang, Jong-Ho; Kim, Hoo-Seong; Majid, Arshad; Han, Inbo; Chang, Sun-Young; Bae, Ok-Nam; Kim, Jin-Ki

    2016-11-01

    The aim of this study was to enhance the anti-inflammatory effects of carbon monoxide (CO) via sustained release of CO from carbon monoxide-releasing molecule-2-loaded lipid nanoparticles (CORM-2-NPs). CORM-2-NPs were prepared by hot high pressure homogenization method using trilaurin as a solid lipid core and Tween 20/Span 20/Myrj S40 as surfactant mixture. The physicochemical properties of CORM-2-NPs were characterized and CO release from CORM-2-NPs was assessed by myoglobin assay. In vitro anti-inflammatory effects were evaluated by nitric oxide assay in lipopolysaccharide-stimulated RAW 264.7 macrophages. In vivo anti-inflammatory activity was investigated by measuring paw volumes and histological examination in carrageenan-induced rat paw edema. Spherical CORM-2-NPs were around 100nm with narrow particle size distribution. The sustained CO release from CORM-2-NPs was observed and the half-life of CO release increased up to 10 times compared with CORM-2 solution. CORM-2-NPs showed enhanced in vitro anti-inflammatory effects by inhibition of nitric oxide production. Edema volume in rat paw was significantly reduced after treatment with CORM-2-NPs. Taken together, CORM-2-NPs have a great potential for CO therapeutics against inflammation via sustained release of CO. Copyright © 2016 Elsevier B.V. All rights reserved.

  5. Development of an effective valve packing program

    Energy Technology Data Exchange (ETDEWEB)

    Hart, K.A.

    1996-12-01

    Current data now shows that graphite valve packing installed within the guidance of a controlled program produces not only reliable stem sealing but predictable running loads. By utilizing recent technological developments in valve performance monitoring for both MOV`s and AOV`s, valve packing performance can be enhanced while reducing maintenance costs. Once known, values are established for acceptable valve packing loads, the measurement of actual valve running loads via the current MOV/AOV diagnostic techniques can provide indication of future valve stem sealing problems, improper valve packing installation or identify the opportunity for valve packing program improvements. At times the full benefit of these advances in material and predictive technology remain under utilized due to simple past misconceptions associated with valve packing. This paper will explore the basis for these misconceptions, provide general insight into the current understanding of valve packing and demonstrate how with this new understanding and current valve diagnostic equipment the key aspects required to develop an effective, quality valve packing program fit together. The cost and operational benefits provided by this approach can be significant impact by the: elimination of periodic valve repacking, reduction of maintenance costs, benefits of leak-free valve operation, justification for reduced Post Maintenance Test Requirements, reduced radiation exposure, improved plant appearance.

  6. Home point-of-care international normalised ratio monitoring sustained by a non-selective educational program in children.

    Science.gov (United States)

    Bajolle, Fanny; Lasne, Dominique; Elie, Caroline; Cheurfi, Radhia; Grazioli, Aurélie; Traore, Maladon; Souillard, Patrick; Boudjemline, Younes; Jourdain, Patrick; Bonnet, Damien

    2012-10-01

    Adverse events related to vitamin K antagonist (VKA) therapy might be reduced by point-of-care international normalised ratio (POC INR) monitoring supported by an education program (EP). Our aim was to evaluate the efficacy of a non-selective VKA paediatric EP (regardless of the social, economic, educational or linguistic levels) by analysing the time spent in the therapeutic range (TTR), VKA adverse events and compliance to treatment, and INR control prescriptions. The EP was modified from the pediatric EP previously described but improved by a specifically devised child-focused game. One hundred four consecutive children (median age 8 years) receiving VKA were included in a standardised EP. Patients were in self-testing, and dose adjustments were made by a single physician for three tolerance ranges according to the underlying disease: [2.5-4], [1.8-3.2], and [1.5-2.5]. The median follow-up was 481 days [70-1,001]. The overall TTR was 81.4% [36-100]. The TTR were 74%, 85.6% and 89% for the ranges [2.5-4], [1.8-3.2], and [1.5-2.5], respectively. These results were sustainable during the study period. Only one serious VKA adverse event was recorded. The median number of POC INR tests was 2.5 [1.6-5.7] INR per patient and month. Patients/families performed POC INR when requested in 86.9% of the cases. More than 90% of the families found the EP supportive and wished to follow a long-term reinforcement program. In conclusion, this non-selective child-focused EP for VKA therapy, strongly supported by our dedicated game, is useful in maintaining efficacy, safety and compliance to anticoagulation and its monitoring.

  7. Light Water Reactor Sustainability Program: Survey of Models for Concrete Degradation

    Energy Technology Data Exchange (ETDEWEB)

    Spencer, Benjamin W. [Idaho National Lab. (INL), Idaho Falls, ID (United States). Fuel Modeling and Simulation; Huang, Hai [Idaho National Lab. (INL), Idaho Falls, ID (United States). Energy and Environment Science and Technology

    2014-08-01

    Concrete is widely used in the construction of nuclear facilities because of its structural strength and its ability to shield radiation. The use of concrete in nuclear facilities for containment and shielding of radiation and radioactive materials has made its performance crucial for the safe operation of the facility. As such, when life extension is considered for nuclear power plants, it is critical to have predictive tools to address concerns related to aging processes of concrete structures and the capacity of structures subjected to age-related degradation. The goal of this report is to review and document the main aging mechanisms of concern for concrete structures in nuclear power plants (NPPs) and the models used in simulations of concrete aging and structural response of degraded concrete structures. This is in preparation for future work to develop and apply models for aging processes and response of aged NPP concrete structures in the Grizzly code. To that end, this report also provides recommendations for developing more robust predictive models for aging effects of performance of concrete.

  8. Sustainability in School Building Design

    Directory of Open Access Journals (Sweden)

    B. Ece ŞAHİN

    2015-03-01

    Full Text Available Sustainable construction is important for the continuation of life in a healthy world for futuregenerations; many issues affecting the quality of life such as effective use of resources, take advantage ofrenewable energy, the choice of recyclable materials that do not harm the environment and waterconservation are considered in the context of sustainable design. Implementations carried out in thisframework are regarded as valuable due to providing the consciousness of sustainability to the society.Creating the awareness of sustainability is given a great importance by educators; thus, “education forsustainability” are included from the preschool program so that children can learn the gainings of suchperspective in their early ages. In support of this concept, it is believed that education structures should bea laboratory where children can practice theoretical knowledge learned at school. In that respect, studiesneed to be considered in the context of sustainable construction are studied in this research. In the study,after a description of the importance of sustainable design as a learning mean, significant subjects such asusing natural light, heating, cooling and air-conditioning methods, wind energy, water protection andmaterial selection are analyzed in terms of designing sustainable schools. It is criticized worldwide thatstructures ground on sustainable design principles are relatively few in numbers. Despite, there is anincreasing interest to the subject in Turkey later years; a lot more steps are required in terms ofimplementation and research of the issue. Thus, the purpose of the study is to provide a supplementaryreference for school designs.

  9. Predicting effectiveness of the Home-Start parenting support program

    NARCIS (Netherlands)

    Asscher, J.J.; Hermanns, J.M.A.; Dekovic, M.; Reitz, E.

    2007-01-01

    The current study examines predictive effects of participant's characteristics, program characteristics, and their interaction, on changes in parenting behavior of mothers who participated in the Home-Start parenting support program. The results confirm previous findings that effects of

  10. Sustainability: An Overview.

    Science.gov (United States)

    Wormsley, W. E.

    1990-01-01

    This article introduces a group of six papers on sustainability of programs for visually handicapped persons in developing countries. Sustainability is discussed from an anthropological perspective, noting the importance of a social soundness analysis and a social impact assessment, enemies of sustainability, and the need for broad local input in…

  11. Political Will for Effective Reform Management and Sustainable Development Goals Achievement in Nigeria

    Directory of Open Access Journals (Sweden)

    John N. N. Ugoani

    2017-09-01

    Full Text Available Political will is important for effective and sustainable reform management because anticorruption reforms must focus on the internal management of public sector resources to reduce incentives and opportunities for corruption and mismanagement. It is the driver of a robust private sector, resilient media, vibrant civil society, transparent judiciary and good administrative reforms that lead to national integrity and sustainable development. The absence of political will is responsible for a situation where it is estimated that one out of every six out-of-school children worldwide is a Nigerian, and which brings to more than 10 million, the number of Nigerian children that are out-of-school. Consequently, the ranking of Nigeria as 39th out of 54 African countries in overall governance is a reflection of lack of political will, weak leadership and overall governance. This must be overcome as the world heads towards the UN Sustainable Development Goals 2030 Agenda. The sample comprised of 494 participants generated from a cross section of the population in Nigeria. Data were analyzed through descriptive and Chi-Square statistical methods. It was found that effective reform management in Nigeria requires political will.

  12. Sustainability of treatment effect of a 3-year early intervention programme for first-episode psychosis.

    Science.gov (United States)

    Chang, Wing Chung; Kwong, Vivian Wing Yan; Lau, Emily Sin Kei; So, Hon Cheong; Wong, Corine Sau Man; Chan, Gloria Hoi Kei; Jim, Olivia Tsz Ting; Hui, Christy Lai Ming; Chan, Sherry Kit Wa; Lee, Edwin Ho Ming; Chen, Eric Yu Hai

    2017-07-01

    BackgroundEvidence indicates that the positive effects of 2-year early intervention services for psychosis are not maintained after service withdrawal. Optimal duration of early intervention in sustaining initial improved outcomes remains to be determined.AimsTo examine the sustainability of the positive effects of an extended, 3-year, early intervention programme for patients with first-episode psychosis (FEP) after transition to standard care.MethodA total of 160 patients, who had received a 2-year early intervention programme for FEP, were enrolled to a 12-month randomised-controlled trial (ClinicalTrials.gov: NCT01202357) comparing a 1-year extension of the early intervention (3-year specialised treatment) with step-down care (2-year specialised treatment). Participants were followed up and reassessed 2 and 3 years after inclusion to the trial.ResultsThere were no significant differences between the treatment groups in outcomes on functioning, symptom severity and service use during the post-trial follow-up period.ConclusionsThe therapeutic benefits achieved by the extended, 3-year early intervention were not sustainable after termination of the specialised service. © The Royal College of Psychiatrists 2017.

  13. Naproxen release from sustained release matrix system and effect of cellulose derivatives.

    Science.gov (United States)

    Sarfraz, Muhammad Khan; Rehman, Nisar Ur; Mohsin, Sabeeh

    2006-07-01

    The present study was conducted to investigate the low viscosity grades of hydroxypropylmethyl cellulose (HPMC) and ethyl cellulose (EC) in sustaining the release of water insoluble drug, naproxen from the matrix tablets. Both HPMC and EC were incorporated in the matrix system separately or in combinations by wet granulation technique. In vitro dissolution studies indicated that EC significantly reduced the rate of drug release compared to HPMC in 12 hour testing time. But, no significant difference was observed in the release profiles of matrix tablets made by higher percentages of EC. The tablets prepared with various combinations of HPMC and EC also failed to produce produce the desired release profiles. However, comparatively linear and desirable sustained release was obtained from EC-based matrix tablets prepared by slightly modifying the granulation method. Moreover, two different compression forces used in tableting had no remarkable effect on the release profile of naproxen.

  14. Considering Background Condition Effects in Tailoring Tropical Forest Management Systems for Sustainability

    Directory of Open Access Journals (Sweden)

    David S. Hammond

    2006-06-01

    Full Text Available Systems devised for managing tropical forests sustainably have yet to prove successful. In many instances, they have fallen short of initial prospects, but the reasons for these shortfalls are often not apparent. Here, we explore factors that can shape the likelihood of success, collectively referred to as background conditions, which are not always adequately considered prior to selecting a suitable management system. We examine the ability of one background condition, geologic terrane, to explain crude spatial variation in a number of trailing indicators of varying forest land use. Forest areas on Precambrian and Phanerozoic terranes show significant differences in production of fossil hydrocarbons, gold, and tropical roundwood, among other indicators, even after considering regional effects. Background conditions are considered to be factors capable of quantifying spatial variation in the likelihood of achieving management success given predefined benchmarks of sustainability. A number of avenues for further exploring and discriminating spatial variation of background conditions are discussed.

  15. Effects of Population Growth and Climate Variability on Sustainable Groundwater in Mali, West Africa

    Directory of Open Access Journals (Sweden)

    Alexandra Lutz

    2010-12-01

    Full Text Available Groundwater is increasingly relied on as a source of potable water in developing countries, but factors such as population growth, development, and climate variability, pose potential challenges for ongoing sustainable supply. The effect of these factors on the groundwater system was considered in four scenarios using a numerical model to represent the Bani area of Mali, West Africa. By 2040, population growth, climate variability, and development as urbanization, agriculture, and industry creates scenarios in which groundwater extraction is an increasingly larger percentage of the groundwater system. Consumption from agriculture and industry increases extraction rates from less than 1 to 3.8% of mean annual precipitation, which will likely affect the groundwater system. For instance, concentrated pumping in local areas may result in water level declines. The results of this study contribute to an ongoing evaluation of sustainable groundwater resources in West Africa.

  16. Effect of mixing proportion on the properties of seaweed modified sustainable concrete

    Science.gov (United States)

    Siddique, Md Nurul Islam; Wahid, Zularisam bin Abd

    2017-10-01

    Although the application of organic polymer has already been reported in the development of polymer modification process the use of carbohydrate polymer hasn't been reported till date. The effect of mixing ratio of seaweed modified mortar on the properties of sustainable concrete was investigated. A number of mixing ratios of seaweed (gel) with cement, sand and water (such as 0.1; 0.6; 1.1; 6) was studied in this work. In addition, a range of mixing ratios of seaweed (powder) with cement, sand and water (such as 0.1; 0.3; 0.6; 1.1; 2.1, 5.1) was examined. The performance of the seaweed modified sustainable concrete was evaluated by compressive and splitting strength. Results revealed that seaweed modified concrete with mixing ratio (0.6) was optimum. This ratio produced significant compressive and splitting strength of 30 MPa and 5 MPa for 28 days, respectively.

  17. Health education programs to encourage healthy lifestyles and prevent obesity in children and adolescents.The development, evaluation and implementation process of interventions to improve effectiveness

    OpenAIRE

    Llauradó Ribé, Elisabet

    2015-01-01

    The objective is to evaluate the effectiveness, using different methodologies, of health education programs to encourage healthy lifestyles and reduce obesity (OB) in children and adolescents. The program effectiveness includes the effects analysis when it is implemented in other localities, and the post-cessation intervention assessment of the results that were sustained at long-term. The EdAl-2 program (Educació en Alimentació) reproducibility, that was performed in Terres de l’Ebre schools...

  18. 78 FR 16297 - Earned Import Allowance Program: Evaluation of the Effectiveness of the Program for Certain...

    Science.gov (United States)

    2013-03-14

    ... COMMISSION Earned Import Allowance Program: Evaluation of the Effectiveness of the Program for Certain... fourth annual review in investigation No. 332-503, Earned Import Allowance Program: Evaluation of the... an Earned Import Allowance Program (EIAP) and directed the Commission to conduct annual reviews of...

  19. SUSTAINABLE TRANSPORTATION

    Directory of Open Access Journals (Sweden)

    Linda STEG

    2007-01-01

    Full Text Available This paper discusses possible contributions of psychologists to sustainable transportation. It is argued that in order to reach sustainable transportation, among others, behaviour changes of individual car users are needed. As transport policies will be more effective if they target important antecedents of travel behaviour, first, factors influencing such behaviour are discussed. It is argued that car use is very attractive and sometimes even necessary for many different reasons. This implies that a combination of policies is called for, each targeting different factors that support car use and hinder the use of more sustainable modes of transport. Next, the paper elaborates on policy strategies that may be employed to achieve sustainable transportation by changing car use. Increasing the attractiveness of sustainable transport modes by means of pull measures seems not sufficient to reduce the level of car use. Besides, car use should be made less attractive by means of push measures to force drivers to reconsider their travel behaviour. The acceptability of such policies may be increased by clearly communicating the aim of these policies, and the expected positive consequences (e.g., less congestion, improved environmental quality. Moreover, possible negative effects for individual freedom may be compensated by implementing additional policies aimed at facilitating the use of sustainable transport modes.

  20. Alkali-Activated Mortars for Sustainable Building Solutions: Effect of Binder Composition on Technical Performance

    Directory of Open Access Journals (Sweden)

    Agnese Attanasio

    2018-02-01

    Full Text Available There is a growing interest in the construction sector in the use of sustainable binders as an alternative to ordinary Portland cement, the production of which is highly impacting on the environment, due to high carbon dioxide emissions and energy consumption. Alkali-activated binders, especially those resulting from low-cost industrial by-products, such as coal fly ash or metallurgical slag, represent a sustainable option for cement replacement, though their use is more challenging, due to some technological issues related to workability or curing conditions. This paper presents sustainable alkali-activated mortars cured in room conditions and based on metakaolin, fly ash, and furnace slag (both by-products resulting from local sources and relevant blends, aiming at their real scale application in the building sector. The effect of binder composition—gradually adjusted taking into consideration technical and environmental aspects (use of industrial by-products in place of natural materials in the view of resources saving—on the performance (workability, compressive strength of different mortar formulations, is discussed in detail. Some guidelines for the design of cement-free binders are given, taking into consideration the effect of each investigated alumino-silicate component. The technical feasibility to produce the mortars with standard procedures and equipment, the curing in room conditions, the promising results achieved in terms of workability and mechanical performance (from 20.0 MPa up to 52.0 MPa, confirm the potential of such materials for practical applications (masonry mortars of class M20 and Md. The cement-free binders resulting from this study can be used as reference for the development of mortars and concrete formulations for sustainable building materials production.

  1. Y-12 Site Sustainability Plan

    Energy Technology Data Exchange (ETDEWEB)

    Sherry, T D; Kohlhorst, D P; Little, S K

    2011-12-01

    The accomplishments to date and the long-range planning of the Y-12 Energy Management and Sustainability and Stewardship programs support the DOE and the National Nuclear Security Administration (NNSA) vision for a commitment to energy efficiency and sustainability and to achievement of the Guiding Principles. Specifically, the Y-12 vision is to support the Environment, Safety and Health Policy and the DOE Strategic Sustainability Performance Plan (SSPP) while promoting overall sustainability and reduction of greenhouse gas (GHG) emissions. Table ES.2 gives a comprehensive overview of Y-12's performance status and planned actions. B&W Y-12's Energy Management mission is to incorporate renewable energy and energy efficient technologies site-wide and to position Y-12 to meet NNSA energy requirement needs through 2025 and beyond. During FY 2011, the site formed a sustainability team (Fig. ES.1). The sustainability team provides a coordinated approach to meeting the various sustainability requirements and serves as a forum for increased communication and consistent implementation of sustainability activities at Y-12. The sustainability team serves as an information exchange mechanism to promote general awareness of sustainability information, while providing a system to document progress and to identify resources. These resources are necessary to implement activities that support the overall goals of sustainability, including reducing the use of resources and conserving energy. Additionally, the team's objectives include: (1) Foster a Y-12-wide philosophy to conserve resources; (2) Reduce the impacts of production operations in a cost-effective manner; (3) Increase materials recycling; (4) Use a minimum amount of energy and fuel; (5) Create a minimum of waste and pollution in achieving Y-12-strategic objectives; (6) Develop and implement techniques, technologies, process modifications, and programs that support sustainable acquisition; (7) Minimize the

  2. The role of international sustainable development law principles in enabling effective renewable energy policy – a South African perspective.

    Directory of Open Access Journals (Sweden)

    Michelle Barnard

    2012-08-01

    Full Text Available It is universally accepted that renewable energy is an important contributing factor towards the promotion of sustainable development. The implementation of renewable energy needs to be regulated in an effective manner which in turn necessitates the formulation of law and policy geared towards sustainable development. Recent policy developments in South Africa propose to facilitate the promotion of sustainable development through the implementation of renewable energy, among others. In terms of existing energy policy in South-Africa, the interconnectivity of renewable energy and sustainable development is evident. Most notably, the White Paper on Renewable Energy of 2003 promotes increased access to affordable renewable energy in order to contribute to sustainable development. Moreover, the 2008 first review of the National Energy Efficiency Strategy of the Republic of South-Africa of 2005 states that in order for the country’s renewable energy policy to be considered sustainable, it needs to facilitate development in the social, economic and environmental spheres. Notwithstanding, attaining the goal of sustainable development depends on whether all its effecting principles are catered for in the policy developments. Accordingly, in order to ascertain whether South-African law and policy can successfully facilitate/enable sustainable development via the implementation of renewable energy, a specific methodology is proposed. In terms of the New Delhi Declaration of 2002 there are 7 principles of international law effecting sustainable development. These principles will be used as criteria in a principled assessment of South-African renewable energy law and policy in order to establish whether the goal of promoting sustainable development would be effected through the national policy developments.

  3. Experts’ Perceptions of the Effects of Forest Biomass Harvesting on Sustainability in the Alpine Region

    Directory of Open Access Journals (Sweden)

    Gianluca Grilli

    2015-06-01

    Full Text Available Background and Purpose: In the EU political agenda, the use of forest biomass for energy has grown rapidly and significantly, in order to mitigate carbon dioxide emissions and reduce the energy dependence on fossil fuels of European member countries. The target of the EU climate and energy package is to raise the share of renewable energy consumption produced from renewable resources to 20% in 2020 (Directive 2009/28/EC. With regards to biomass energy, the supply of forest wood biomass is expected to rise by 45% (reference period: 2006-2020, in response to increasing demand for renewable sources. The increase of forest biomass supply could have both positive and negative effects on several forest ecosystem services (ESs and local development. These effects should be assessed in a proper manner and taken into account when formulating management strategies. The aim of the paper is to assess the environmental, economic and social sustainability of forest biomass harvesting for energy, using the Figure of Merit (FoM approach. Materials and Methods: Sustainability was assessed through a set of four indicators: two focused on experts’ opinions regarding the effects of forest biomass harvesting and the other two focused on the cost-benefit analysis (potential energy obtained and costs for wood chips. The research was developed through four case studies located in the Alpine Region. A semi-structured questionnaire was administered face-to-face to 32 selected experts. The perceived effects of forest biomass harvesting for energy on ESs and local development were evaluated by experts using a 5-point Likert scale (from “quite negative effect” to “quite positive effect”. Results: All experts agree that forest biomass harvesting has a positive effect on forest products provision and local economic development (employment of local workforce, local entrepreneurship and market diversification, while the effects on other ESs are controversial (e

  4. Do Loyalty Programs Enhance Behavioral Loyalty : An Empirical Analysis Accounting for Program Design and Competitive Effects

    NARCIS (Netherlands)

    Leenheer, J.; Bijmolt, T.H.A.; van Heerde, H.J.; Smidts, A.

    2002-01-01

    This paper studies the effects of loyalty programs on share-of-wallet using market-wide household panel data on supermarket purchases.We find that loyalty programs relate positively to share-of-wallet, but the programs differ in effectiveness and some are ineffective.Both a saving component and a

  5. Effect of sustained maternal responsivity on later vocabulary development in children with fragile X syndrome.

    Science.gov (United States)

    Brady, Nancy; Warren, Steven F; Fleming, Kandace; Keller, Juliana; Sterling, Audra

    2014-02-01

    This research explored whether sustained maternal responsivity (a parent–child interaction style characterized by warmth, nurturance, and stability as well as specific behaviors, such as contingent positive responses to child initiations) was a significant variable predicting vocabulary development of children with fragile X syndrome through age 9 years. Fifty-five mother–child dyads were followed longitudinally when children were between 2 and 10 years of age. Measures of maternal responsivity and child vocabulary were obtained at regular intervals starting at age 2.9 years. Sustained responsivity was indicated by the average responsivity measured over Observations 2–5. Responsivity at the 1st time period, autism symptoms, and cognitive development were used as control variables. After controlling for development and autism symptoms, the authors found significant effects for sustained responsivity on receptive vocabulary, expressive vocabulary, and the rate of different words children produced through age 9. Maternal responsivity, which is typically a variable of interest during early childhood, continues to be a significant variable, predicting vocabulary development through the middle childhood period. Thus, responsivity is a potential target for language interventions through this age period.

  6. The effect of sustained maternal responsivity on later vocabulary development in children with Fragile X Syndrome

    Science.gov (United States)

    Brady, Nancy; Warren, Steven F.; Fleming, Kandace; Keller, Juliana; Sterling, Audra

    2013-01-01

    Purpose The research question addressed was whether sustained maternal responsivity (a parent-child interaction style characterized by warmth, nurturance and stability as well as specific behaviors such as contingent positive responses to child initiations) was a significant variable predicting vocabulary development of children with FXS through age 9 years. Method Fifty-five mother-child dyads were followed longitudinally when children were between 2 and 10 years of age. Measures of maternal responsivity and child vocabulary were obtained at regular intervals starting at age 2.9 years. Sustained responsivity was indicated by the average responsivity measured over observations 2–5. Responsivity at the first time period, autism symptoms, and cognitive development were used as control variables. Results After controlling for development and autism symptoms, we found significant effects for sustained responsivity on receptive vocabulary, expressive vocabulary, and the rate of different words children produced through age 9. Conclusions Maternal responsivity, which is typically a variable of interest during early childhood, continues to be a significant variable, predicting vocabulary development through the middle childhood period. Thus, responsivity is a potential target for language interventions through this age period. PMID:24023370

  7. Hawaii Energy Sustainable Program

    Energy Technology Data Exchange (ETDEWEB)

    Rocheleau, Richard [Univ. of Hawaii, Honolulu, HI (United States); Turn, Scott [Univ. of Hawaii, Honolulu, HI (United States); Griffin, James [Univ. of Hawaii, Honolulu, HI (United States); Maskrey, Arthur [Univ. of Hawaii, Honolulu, HI (United States); Antal, Jr., Michael [Univ. of Hawaii, Honolulu, HI (United States); Busquet, Severine [Univ. of Hawaii, Honolulu, HI (United States); Cooney, Michael [Univ. of Hawaii, Honolulu, HI (United States); Cole, John [Univ. of Hawaii, Honolulu, HI (United States); Dubarry, Matthieu [Univ. of Hawaii, Honolulu, HI (United States); Ewan, James [Univ. of Hawaii, Honolulu, HI (United States); Liaw, Bor Yann [Univ. of Hawaii, Honolulu, HI (United States); Matthews, Dax [Univ. of Hawaii, Honolulu, HI (United States); Coffman, Makena [Univ. of Hawaii, Honolulu, HI (United States)

    2016-12-31

    The objective of HESP was to support the development and deployment of distributed energy resource (DER) technologies to facilitate increased penetration of renewable energy resources and reduced use of fossil fuels in Hawaii’s power grids. All deliverables, publications and other public releases have been submitted to the DOE in accordance with the award and subsequent award modifications.

  8. Systems Sustainability: Implementation of Enhanced Maintenance Programs at the Kurchatov Institute, the All-Russian Research Institute of Experimental physics and the All-Russian Scientific Institute for Technical Physics

    Energy Technology Data Exchange (ETDEWEB)

    Coppinger, M.; Pikula, M.; Randolph, J.D.; Windham, M.

    1999-09-20

    Implementation of quality maintenance programs is essential to enhancing sustainable continuous operations of United States funded Materials Protection, Control and Accountability (MPC and A) equipment/systems upgrades at various Russian nuclear facilities. An effective maintenance program is expected to provide assurances to both parties for achieving maximum continuous systems operations with minimum down time. To be effective, the program developed must focus on minimum down time for any part of a system. Minimum down time is realized through the implementation of a quality maintenance program that includes preventative maintenance, necessary diagnostic tools, properly trained technical staff, and an in-house inventory of required spare parts for repairing the impacted component of the system. A centralized maintenance management program is logistically essential for the success of this effort because of the large volume of MPC and A equipment/systems installed at those sites. This paper will discuss current programs and conditions at the Russian Research Center-Kurchatov Institute, the All-Russian Scientific Institute for Technical Physics and the All-Russian Research Institute of Experimental Physics and will address those steps necessary to implement an upgraded program at those sites.

  9. Beneficial Effects of a Dietary Weight Loss Intervention on Human Gut Microbiome Diversity and Metabolism Are Not Sustained during Weight Maintenance.

    Science.gov (United States)

    Heinsen, Femke-Anouska; Fangmann, Daniela; Müller, Nike; Schulte, Dominik M; Rühlemann, Malte C; Türk, Kathrin; Settgast, Ute; Lieb, Wolfgang; Baines, John F; Schreiber, Stefan; Franke, Andre; Laudes, Matthias

    2016-01-01

    In the present study, we examined the effect of a very low-calorie diet(VLCD)-based obesity program on human gut microbiome diversity and metabolism during weight loss and weight maintenance. Obese subjects underwent 3 months of VLCD followed by 3 months of weight maintenance. A lean and an obese control group were included. The microbiome was characterized by performing high-throughput dual-indexed 16S rDNA amplicon sequencing. At baseline, a significant difference in the Firmicutes/Bacteroidetes ratio between the lean and obese individuals was observed (p = 0.047). The VLCD resulted in significant alterations in gut microbiome diversity from baseline to 3 months (p = 0.0053). Acinetobacter represented an indicator species for the observed effect (indicator value = 0.998, p = 0.006). Metabolic analyses revealed alterations of the bacterial riboflavin pathway from baseline to 3 months (pnom = 0.0078). These changes in diversity and bacterial metabolism induced by VLCD diminished during the weight maintenance phase, despite sustained reductions in body weight and sustained improvements of insulin sensitivity. The present data show that a VLCD is able to beneficially alter both gut microbiome diversity and metabolism in obese humans, but that these changes are not sustained during weight maintenance. This finding might suggest that the microbiome should be targeted during obesity programs. © 2016 The Author(s) Published by S. Karger GmbH, Freiburg.

  10. Effectiveness of a Dental Students Stress Management Program

    OpenAIRE

    Alzahem, Abdullah M; Van Der Molen, Henk T.; De Boer, Benjamin J

    2015-01-01

    The dental education stress effects and sources were explored thoroughly in the literature, but the effectiveness of stress management programs received less attention. This study introduced a new stress management program, named Dental Education Stress Management (DESM) program. It showed its effectiveness in a quasi-experimental pretest-posttest-follow-up-control group design. The new program was based on the principle of psychoeducation and consisted of three 90-min sessions, to teach dent...

  11. Safety and effectiveness of pharmacotherapy for depression in adults who have sustained a traumatic brain injury: a systematic review protocol.

    Science.gov (United States)

    Clay, Fiona J; Perry, Luke A; Hicks, Amelia J; Batty, Rachel; Tufanaru, Catalin; Jayaram, Mahesh; Ponsford, Jennie; Hopwood, Malcolm

    2017-09-01

    The objective of this systematic review is to synthesize the current evidence on the effectiveness and harms of pharmacotherapy in the management of depression in adults who have sustained a traumatic brain injury.

  12. Human reliability program: Components and effects

    Energy Technology Data Exchange (ETDEWEB)

    Baley-Downes, S.

    1986-01-01

    The term ''Human Reliability Program'' (HRP) is defined as a series of selective controls which are implemented and integrated to identify the ''insider threat'' from current and prospective employees who are dishonest, disloyal and unreliable. The HRP, although not a prediction of human behaviour, is an excellent tool for decision making and should compliment security and improve employee quality. The HRP consists of several component applications such as management evaluation; appropriate background investigative requirements; occupational health examination and laboratory testing; drug/alcohol screening; psychological testing and interviews; polygraph examination; job related aberrant behaviour recognition; on-going education and training; document control; drug/alcohol rehabilitation; periodic HRP audit; and implementation of an onsite central clearing house. The components and effects of HRP are discussed in further detail in this paper.

  13. Identifying Effective Policy and Technologic Reforms for Sustainable Groundwater Management in Oman

    Science.gov (United States)

    Madani, K.; Zekri, S.; Karimi, A.

    2014-12-01

    Oman has gone through three decades of efforts aimed at addressing groundwater over-pumping and the consequent seawater intrusion. Example of measures adopted by the government since the 1990's include a vast subsidy program of irrigation modernization, a freeze on drilling new wells, delimitation of several no-drill zones, a crop substitution program, re-use of treated wastewater and construction of recharge dams. With no major success through these measures, the government laid the ground for water quotas by creating a new regulation in 1995. Nevertheless, groundwater quotas have not been enforced to date due to the high implementation and monitoring costs of traditional flow meters. This presentation discusses how sustainable groundwater management can be secured in Oman using a suit of policy and technologic reforms at a reasonable economic, political and practical cost. Data collected from farms with smart meters and low-cost wireless smart irrigation systems have been used to propose sustainable groundwater withdrawal strategies for Oman using a detailed hydro-economic model that couples a MODFLOW-SEAWAT model of the coastal aquifers with a dynamic profit maximization model. The hydro-economic optimization model was flexible to be run both as a social planner model to maximize the social welfare in the region, and as an agent-based model to capture the behavior of farmers interested in maximizing their profits independently. This flexibility helped capturing the trade-off between the optimality of the social planner solution developed at the system's level and its practicality (stability) with respect to the concerns and behaviors of the profit-maximizing farmers. The idetified promising policy and technolgical reforms for Oman include strict enforcement of groundwater quotas, smart metering, changing crop mixes, improving irrigation technologies, and revising geographical distribution of the farming activities. The presentation will discuss how different

  14. Health effects of unemployment benefit program generosity.

    Science.gov (United States)

    Cylus, Jonathan; Glymour, M Maria; Avendano, Mauricio

    2015-02-01

    We assessed the impact of unemployment benefit programs on the health of the unemployed. We linked US state law data on maximum allowable unemployment benefit levels between 1985 and 2008 to individual self-rated health for heads of households in the Panel Study of Income Dynamics and implemented state and year fixed-effect models. Unemployment was associated with increased risk of reporting poor health among men in both linear probability (b=0.0794; 95% confidence interval [CI]=0.0623, 0.0965) and logistic models (odds ratio=2.777; 95% CI=2.294, 3.362), but this effect is lower when the generosity of state unemployment benefits is high (b for interaction between unemployment and benefits=-0.124; 95% CI=-0.197, -0.0523). A 63% increase in benefits completely offsets the impact of unemployment on self-reported health. Results suggest that unemployment benefits may significantly alleviate the adverse health effects of unemployment among men.

  15. Are effects from a brief multiple behavior intervention for college students sustained over time?

    Science.gov (United States)

    Werch, Chudley E Chad; Moore, Michele J; Bian, Hui; DiClemente, Carlo C; Huang, I-Chan; Ames, Steven C; Thombs, Dennis; Weiler, Robert M; Pokorny, Steven B

    2010-01-01

    This study examined whether 3-month outcomes of a brief image-based multiple behavior intervention on health habits and health-related quality of life of college students were sustained at 12-month follow-up without further intervention. A randomized control trial was conducted with 303 undergraduates attending a public university in southeastern US. Participants were randomized to receive either a brief intervention or usual care control, with baseline, 3-month, and 12-month data collected during fall of 2007. A significant omnibus MANOVA interaction effect was found for health-related quality of life, p=0.01, with univariate interaction effects showing fewer days of poor spiritual health, social health, and restricted recent activity, p'sdrinking, p=0.04, and moderate exercise, p=0.04, in favor of the brief intervention. Effect sizes typically increased over time and were small except for moderate size effects for social health-related quality of life. This study found that 3-month outcomes from a brief image-based multiple behavior intervention for college students were partially sustained at 12-month follow-up. Published by Elsevier Inc.

  16. Learning for the Future? Effects of Education for Sustainable Development (ESD on Teacher Education Students

    Directory of Open Access Journals (Sweden)

    Klas Andersson

    2013-12-01

    Full Text Available Currently, politicians, university representatives, scholars and leading NGOs share a strong belief in the ability of educational systems to generate positive attitudes to sustainable development (SD among citizens, with the idea of Education for Sustainable Development (ESD as perhaps the most apparent expression of this conviction. The aim of this paper is to investigate whether ESD might have the intended effects on teacher education students. More specifically, we account for the results from a panel study on the effects of a course on SD held in autumn 2010 at the University of Gothenburg (n = 323 on teacher education students. The surveys consisted of questions about the students’ concerns about various issues, including issues related to SD, and their attitudes towards SD and views of moral obligations to contributing to SD. The study included a control group (n = 97 consisting of students from the teacher-training programme at University West, which had not and did not include ESD. We find positive effects of ESD on almost all attitudes and perceptions, including e.g., personal responsibility in relation to SD and willingness to contribute to SD, while there is no noticeable effect in the control group. We conclude the paper by discussing the implications of our results for the idea of ESD in teacher training programmes at Swedish higher education institutions.

  17. R-ketamine: a rapid-onset and sustained antidepressant without psychotomimetic side effects

    Science.gov (United States)

    Yang, C; Shirayama, Y; Zhang, J-c; Ren, Q; Yao, W; Ma, M; Dong, C; Hashimoto, K

    2015-01-01

    Although the efficacy of racemate ketamine, a rapid onset and sustained antidepressant, for patients with treatment-resistant depression was a serendipitous finding, clinical use of ketamine is limited, due to psychotomimetic side effects and abuse liability. Behavioral and side-effect evaluation tests were applied to compare the two stereoisomers of ketamine. To elucidate their potential therapeutic mechanisms, we examined the effects of these stereoisomers on brain-derived neurotrophic factor (BDNF)–TrkB signaling, and synaptogenesis in selected brain regions. In the social defeat stress and learned helplessness models of depression, R-ketamine showed a greater potency and longer-lasting antidepressant effect than S-ketamine (esketamine). Furthermore, R-ketamine induced a more potent beneficial effect on decreased dendritic spine density, BDNF–TrkB signaling and synaptogenesis in the prefrontal cortex (PFC), CA3 and dentate gyrus (DG) of the hippocampus from depressed mice compared with S-ketamine. However, neither stereoisomer affected these alterations in the nucleus accumbens of depressed mice. In behavioral tests for side effects, S-ketamine, but not R-ketamine, precipitated behavioral abnormalities, such as hyperlocomotion, prepulse inhibition deficits and rewarding effects. In addition, a single dose of S-ketamine, but not R-ketamine, caused a loss of parvalbumin (PV)-positive cells in the prelimbic region of the medial PFC and DG. These findings suggest that, unlike S-ketamine, R-ketamine can elicit a sustained antidepressant effect, mediated by increased BDNF–TrkB signaling and synaptogenesis in the PFC, DG and CA3. R-ketamine appears to be a potent, long-lasting and safe antidepressant, relative to S-ketamine, as R-ketamine appears to be free of psychotomimetic side effects and abuse liability. PMID:26327690

  18. Effective Preparation Program Features: A Literature Review

    Science.gov (United States)

    Crow, Gary M.; Whiteman, Rodney S.

    2016-01-01

    This article is a summary of a report prepared for the University Council for Educational Administration Program Improvement Project for the Wallace Foundation. This explores the research base for educational leadership preparation programs, specifically examining literature on program features. The review covers context, candidates, faculty,…

  19. Immediate and Sustained Effects of 5-Day Transcranial Direct Current Stimulation of the Motor Cortex in Phantom Limb Pain.

    Science.gov (United States)

    Bolognini, Nadia; Spandri, Viviana; Ferraro, Francesco; Salmaggi, Andrea; Molinari, Alessandro C L; Fregni, Felipe; Maravita, Angelo

    2015-07-01

    The study explored the analgesic effects of transcranial direct current stimulation (tDCS) over the motor cortex on postamputation phantom limb pain (PLP). Eight subjects with unilateral lower or upper limb amputation and chronic PLP were enrolled in a crossover, double-blind, sham-controlled treatment program. For 5 consecutive days, anodal (active or sham) tDCS was applied over the motor cortex for 15 minutes at an intensity of 1.5 mA. The 5-day treatment with active, but not sham, tDCS induced a sustained decrease in background PLP and in the frequency of PLP paroxysms, which lasted for 1 week after the end of treatment. Moreover, on each day of active tDCS, patients reported an immediate PLP relief, along with an increased ability to move their phantom limb. Patients' immediate responses to sham tDCS, on the contrary, were variable, marked by an increase or decrease of PLP levels from baseline. These results show that a 5-day treatment of motor cortex stimulation with tDCS can induce stable relief from PLP in amputees. Neuromodulation targeting the motor cortex appears to be a promising option for the management of this debilitating neuropathic pain condition, which is often refractory to classic pharmacologic and surgical treatments. The study describes sustained and immediate effects of motor cortex stimulation by tDCS on postamputation PLP, whose analgesic action seems linked to the motor reactivation of the phantom limb. These results are helpful for the exploitation of tDCS as a therapeutic tool for the management of neuropathic pain. Copyright © 2015 American Pain Society. Published by Elsevier Inc. All rights reserved.

  20. Designing Sustainable Cold Chains for Long-Range Food Distribution: Energy-Effective Corridors on the Silk Road Belt

    Directory of Open Access Journals (Sweden)

    Andrea Gallo

    2017-11-01

    Full Text Available Modern food production-distribution processes represent a critical stressor for the environment and for natural ecosystems. The rising flows of food across growing and consumption areas couple with the higher expectations of consumers for the quality of products and compel the intensive use of refrigerated rooms and transport means throughout the food supply chain. In order to aid the design of sustainable cold chains that incorporate such aspects, this paper proposes a mixed integer linear programming model to minimize the total energy consumption associated with the cold operations experienced by perishable products. This model is intended for food traders, logistics practitioners, retail managers, and importers collaboratively called to design and plan a cost and environmentally effective supply strategy, physical channels, and infrastructures for cold chains. The proposed model is validated with a case study inspired by the distribution of two example food products, namely fresh apples and ice cream, along the New Silk Road connecting Europe and China. The illustrated analysis investigates the effect of alternative routes and transport modes on the sustainability of the cold chain. It is found that the most energy-efficient route for ice cream is via rail over a northern route and, for apples, is via a southern maritime route, and, for these two routes, the ratios of the total energy consumed to the energy content of the food are 760 and 913, respectively. By incorporating the energy lost due to the food quality decay, the model identifies the optimal route to adopt in accordance with the shelf life and the conservation temperature of each product.

  1. The adaptation of sustainable biojet fuels and its effect on aircraft engine maintenance

    Science.gov (United States)

    Mohd Noh, H.; Rodrigo, G. A.; Rahman, N. A. Abdul

    2016-10-01

    Aviation industries are looking into several resources for renewable and sustainable energy. Among those attention is focused in biojet fuel. This paper engages the issue of biojet fuel emissions that increase the environmental concern in the air transport sector. The paper presents the use of biojet fuel and its effect on aircraft engine maintenance through preliminary data collections, and a review of its development process in operations for time and goal. As conclusion, airlines management needs to adapt and adopt the transition to alternative fuels, especially given the global biofuel trend emerging due to the authority approval.

  2. Methoxetamine produces rapid and sustained antidepressant effects probably via glutamatergic and serotonergic mechanisms.

    Science.gov (United States)

    Botanas, Chrislean Jun; Bryan de la Peña, June; Custodio, Raly James; Joy Dela Peña, Irene; Kim, Mikyung; Woo, Taeseon; Kim, Hee Jin; Kim, Hye In; Chang Cho, Min; Lee, Yong Sup; Cheong, Jae Hoon

    2017-11-01

    Depression afflicts around 16% of the world's population, making it one of the leading causes of disease burden worldwide. Despite a number of antidepressants available today, the delayed onset time and low remission rate of these treatments are still a major challenge. The N-methyl-D-aspartate (NMDA) receptor antagonist ketamine has shown to produce rapid and sustained antidepressant effects and has paved the way for a new generation of glutamate-based antidepressants. Methoxetamine (MXE) is a ketamine analogue that acts as an NMDA receptor antagonist and a serotonin reuptake inhibitor. However, no studies have evaluated the antidepressant effects of MXE. Here, we assessed whether MXE produces antidepressant effects and explored possible mechanisms underlying its effects. Mice were treated with MXE (2.5, 5, or 10 mg/kg) and their behavior was evaluated 30 min and 24 h later in an array of behavioral experiments used for screening antidepressant drugs. A separate group of mice were treated with NBQX, an α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptor antagonist, or ketanserin, a 5HT2 receptor antagonist, before MXE (5 mg/kg) administration in the forced swimming test (FST). We also investigated the effect of MXE on glutamatergic- and serotonergic-related genes in the mouse hippocampus using quantitative real-time PCR. MXE produced antidepressant effects 30 min after treatment that persisted for 24 h. Both NBQX and ketanserin blocked the antidepressant effects of MXE in the FST. MXE also altered hippocampal glutamatergic- and serotonergic gene expressions. These results suggest that MXE has rapid and sustained antidepressant effects, possibly mediated by the glutamatergic and serotonergic system. Copyright © 2017 Elsevier Ltd. All rights reserved.

  3. Double Up Food Bucks program effects on SNAP recipients' fruit and vegetable purchases.

    Science.gov (United States)

    Steele-Adjognon, Marie; Weatherspoon, Dave

    2017-12-12

    To encourage the consumption of more fresh fruits and vegetables, the 2014 United Sates Farm Bill allocated funds to the Double Up Food Bucks Program. This program provided Supplemental Nutrition Assistance Program beneficiaries who spent $10 on fresh fruits and vegetables, in one transaction, with a $10 gift card exclusively for Michigan grown fresh fruits and vegetables. This study analyzes how fruit and vegetable expenditures, expenditure shares, variety and purchase decisions were affected by the initiation and conclusion, as well as any persistent effects of the program. Changes in fruit and vegetable purchase behaviors due to Double Up Food Bucks in a supermarket serving a low-income, predominantly Hispanic community in Detroit, Michigan were evaluated using a difference in difference fixed effects estimation strategy. We find that the Double Up Food Bucks program increased vegetable expenditures, fruit and vegetable expenditure shares, and variety of fruits and vegetables purchased but the effects were modest and not sustainable without the financial incentive. Fruit expenditures and the fruit and vegetable purchase decision were unaffected by the program. This study provides valuable insight on how a nutrition program influences a low-income, urban, Hispanic community's fruit and vegetable purchase behavior. Policy recommendations include either removing or lowering the purchase hurdle for incentive eligibility and dropping the Michigan grown requirement to better align with the customers' preferences for fresh fruits and vegetables.

  4. Preparation and characterization of anti-algal sustained-release granules and their inhibitory effects on algae.

    Science.gov (United States)

    Ni, Lixiao; Acharya, Kumud; Ren, Gaoxiang; Li, Shiyin; Li, Yiping; Li, Yong

    2013-04-01

    The objectives of this work were to prepare and characterize an anti-algal sustained-release granule, then study its mode of action on Microcystis aeruginosa. The anti-algal sustained-release granule was prepared with artemisinin using alginate-chitosan microcapsule technology and characterized by a high performance liquid chromatography with an evaporative light-scattering detector, Fourier transform infrared spectral analysis, and a scanning electron microscope. The optimum preparation (in %, w/v) using the orthogonal method was: 2.5 sodium alginate; 0.25 chloride; 0.6 artemisinin; 2 calcium chloride; and 1.5 mL of the cross-linking agent, glutaraldehyde. These artemisinin sustained-release granules had a high encapsulation efficiency (up to 68%) and good release properties (release time of more than 40 d). Artemisinin sustained-release granules released cumulatively in a solution containing M. aeruginosa, and the stress on algae increased gradually within 30 d. Artemisinin sustained-release granules decreased the content of the soluble protein, Chlorophyll a in 30 d, increased the superoxide dismutase activity of M. aeruginosa, but exerted no effect on the soluble sugar content. Compared to direct dosing of artemisinin, algae can be inhibited longer and more effectively by the artemisinin sustained-release granules. The results of our research can aid in the development of new anti-algal sustained-release granules and lead to further study of their application in the field. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Coupling the Leidenfrost effect and elastic deformations to power sustained bouncing

    Science.gov (United States)

    Waitukaitis, Scott R.; Zuiderwijk, Antal; Souslov, Anton; Coulais, Corentin; van Hecke, Martin

    2017-11-01

    The Leidenfrost effect occurs when an object near a hot surface vaporizes rapidly enough to lift itself up and hover. Although well understood for liquids and stiff sublimable solids, nothing is known about the effect with materials whose stiffness lies between these extremes. Here we introduce a new phenomenon that occurs with vaporizable soft solids--the elastic Leidenfrost effect. By dropping hydrogel spheres onto hot surfaces we find that, rather than hovering, they energetically bounce several times their diameter for minutes at a time. With high-speed video during a single impact, we uncover high-frequency microscopic gap dynamics at the sphere/substrate interface. We show how these otherwise-hidden agitations constitute work cycles that harvest mechanical energy from the vapour and sustain the bouncing. Our findings suggest a new strategy for injecting mechanical energy into a widely used class of soft materials, with potential relevance to fields such as active matter, soft robotics and microfluidics.

  6. Plant Species Restoration: Effects of Different Founding Patterns on Sustaining Future Population Size and Genetic Diversity

    Directory of Open Access Journals (Sweden)

    Stephan Pelikan

    2013-03-01

    Full Text Available Efforts to sustain the earth’s biodiversity will include the establishment and manipulation of isolated rescue populations, derived either via in situ fragmentation, or under ex situ circumstances. For target species, especially those with limited propagation resources, major goals of such projects include both the optimization of population size and the preservation of genetic diversity. Such rescue populations will be founded in a variety of ways, but little is known about how the geometric patterning of founders can affect population growth and genetic diversity retention. We have developed a computer program, NEWGARDEN, to investigate this issue for plant species that vary in life history characteristics. To use NEWGARDEN, input files are created that specify the size and structure of the preserve, the positioning and genetic diversity of the founders, and life history characteristics of the species (e.g., age-specific reproduction and mortality; gene dispersal distances; rates of selfing, etc.. The program conducts matings with consequent offspring establishment such that the virtual population develops through generations as constrained by the input. Output statistics allow comparisons of population development for populations that differ in one or more input conditions. Here, with NEWGARDEN analyses modeling a triennial species, we show that rescue population project managers will often have to carefully consider the geometric placement of founders to minimize effort expended while maximizing population growth and conservation of genetic diversity, such considerations being heavily dependent on the life history characteristics of particular species.

  7. Strategies of Building a Stronger Sense of Community for Sustainable Neighborhoods: Comparing Neighborhood Accessibility with Community Empowerment Programs

    Directory of Open Access Journals (Sweden)

    Te-I Albert Tsai

    2014-05-01

    Full Text Available New Urbanist development in the U.S. aims at enhancing a sense of community and seeks to return to the design of early transitional neighborhoods which have pedestrian-oriented environments with retail shops and services within walking distances of housing. Meanwhile, 6000 of Taiwan’s community associations have been running community empowerment programs supported by the Council for Cultural Affairs that have helped many neighborhoods to rebuild so-called community cohesion. This research attempts to evaluate whether neighborhoods with facilities near housing and shorter travel distances within a neighborhood would promote stronger social interactions and form a better community attachment than neighborhoods that have various opportunities for residents to participate in either formal or informal social gatherings. After interviewing and surveying residents from 19 neighborhoods in Taipei’s Beitou District, and correlating the psychological sense of community with inner neighborhood’s daily travel distances and numbers of participatory activities held by community organizations under empowerment programs together with frequencies of regular individual visits and casual meetings, statistical evidence yielded that placing public facilities near residential locations is more effective than providing various programs for elevating a sense of community.

  8. Assessing the Sustainability of Small Farmer Natural Resource Management Systems. A Critical Analysis of the MESMIS Program (1995-2010)

    National Research Council Canada - National Science Library

    Marta Astier; Luis García-Barrios; Yankuic Galván-Miyoshi; Carlos E González-Esquivel; Omar R Masera

    2012-01-01

    ...). Unfortunately, social-ecological systems (SES) theory, sustainability evaluation frameworks, and assessment methods are still foreign not only to farmers but to many researchers, students, NGOs, policy makers/operators, and other interested groups...

  9. Evaluating Effectiveness of Pair Programming as a Teaching Tool in Programming Courses

    Science.gov (United States)

    Faja, Silvana

    2014-01-01

    This study investigates the effectiveness of pair programming on student learning and satisfaction in introductory programming courses. Pair programming, used in the industry as a practice of an agile development method, can be adopted in classroom settings to encourage peer learning, increase students' social skills, and enhance student…

  10. Sustainability in Health care by Allocating Resources Effectively (SHARE) 10: operationalising disinvestment in a conceptual framework for resource allocation.

    Science.gov (United States)

    Harris, Claire; Green, Sally; Elshaug, Adam G

    2017-09-08

    This is the tenth in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. After more than a decade of research, there is little published evidence of active and successful disinvestment. The paucity of frameworks, methods and tools is reported to be a factor in the lack of success. However there are clear and consistent messages in the literature that can be used to inform development of a framework for operationalising disinvestment. This paper, along with the conceptual review of disinvestment in Paper 9 of this series, aims to integrate the findings of the SHARE Program with the existing disinvestment literature to address the lack of information regarding systematic organisation-wide approaches to disinvestment at the local health service level. A framework for disinvestment in a local healthcare setting is proposed. Definitions for essential terms and key concepts underpinning the framework have been made explicit to address the lack of consistent terminology. Given the negative connotations of the word 'disinvestment' and the problems inherent in considering disinvestment in isolation, the basis for the proposed framework is 'resource allocation' to address the spectrum of decision-making from investment to disinvestment. The focus is positive: optimising healthcare, improving health outcomes, using resources effectively. The framework is based on three components: a program for decision-making, projects to implement decisions and evaluate outcomes, and research to understand and improve the program and project activities. The program consists of principles for decision-making and settings that provide opportunities to introduce systematic prompts and triggers to initiate disinvestment. The projects follow the steps in the disinvestment process. Potential methods and tools are presented, however the framework does not stipulate project design or conduct; allowing

  11. Growth-promoting effects of sustained swimming in fingerlings of gilthead sea bream (Sparus aurata L.).

    Science.gov (United States)

    Blasco, Josefina; Moya, A; Millán-Cubillo, A; Vélez, E J; Capilla, E; Pérez-Sánchez, J; Gutiérrez, J; Fernández-Borrás, J

    2015-12-01

    Fish growth is strongly influenced by environmental and nutritional factors and changing culture conditions can help optimize it. The importance of early-life experience on the muscle phenotype later in life is well known. Here, we study the effects of 5 weeks of moderate and sustained swimming activity (5 BL s(-1)) in gilthead sea bream during early development. We analysed growth and body indexes, plasma IGF-I and GH levels, feed conversion, composition [proximate and isotopic ((15)N/(13)C)] and metabolic key enzymes (COX, CS, LDH, HOAD, HK, ALAT, ASAT) of white muscle. Moderate and continuous exercise in fingerlings of gilthead sea bream increased plasma IGF-I, whereas it reduced plasma GH. Under these conditions, growth rate improved without any modification to feed intake through an increase in muscle mass and a reduction in mesenteric fat deposits. There were no changes in the content and turnover of muscle proteins and lipid reserves. Glycogen stores were maintained, but glycogen turnover was higher in white muscle of exercised fish. A lower LDH/CS ratio demonstrated an improvement in the aerobic capacity of white muscle, while a reduction in the COX/CS ratio possibly indicated a functional adaptation of mitochondria to adjust to the tissue-specific energy demand and metabolic fuel availability in exercised fish. We discuss the synergistic effects of dietary nutrients and sustained exercise on the different mitochondrial responses.

  12. Electrophysiological and haemodynamic effects of lidocaine and ajmaline in the management of sustained ventricular tachycardia.

    Science.gov (United States)

    Manz, M; Mletzko, R; Jung, W; Lüderitz, B

    1992-08-01

    The electrophysiological and haemodynamic effects of lidocaine (100 mg) and ajmaline (50 mg) were evaluated while attempting to interrupt sustained ventricular tachycardia. The study was performed as a prospective, non-blinded, randomized investigation in 61 patients. Lidocaine terminated ventricular tachycardia in four of 31 patients, ajmaline in 19 of 30 patients (P less than 0.001). QRS and RR intervals during ventricular tachycardia were prolonged by ajmaline from 164 +/- 28 ms to 214 +/- 49 ms and from 371 +/- 86 ms to 479 +/- 137 ms (P less than 0.001), respectively; lidocaine did not influence these parameters. The duration of the return cycles after termination of ventricular tachycardia did not differ between the two groups. Lidocaine did not change cardiac output during ventricular tachycardia whereas cardiac output increased significantly under ajmaline from 3.5 +/- 1.21.min-1 to 5.5 +/- 1.91.min-1 (P less than 0.001). It is concluded that anti-arrhythmic agents such as ajmaline, which slow conduction velocity and prolong refractoriness, are more effective than lidocaine in the medical treatment of haemodynamically stable, sustained ventricular tachycardia.

  13. The Essence of Conscious Conflict: Subjective Effects of Sustaining Incompatible Intentions

    Science.gov (United States)

    Morsella, Ezequiel; Gray, Jeremy R.; Krieger, Stephen C.; Bargh, John A.

    2009-01-01

    Conflict constitutes one of the fundamental ‘tuggings and pullings’ of the human experience. Yet, the link between the various kinds of conflict in the nervous system and subjective experience remains unexplained. We tested a hypothesis that predicts why both the ‘hot’ conflicts involving self-control and motivation, and the ‘cooler’ response conflicts of the laboratory, lead to changes in subjective experience. From this standpoint, these changes arise automatically from the activation of incompatible skeletomotor intentions, because the primary function of consciousness is to integrate such intentions for adaptive skeletal muscle output. Accordingly, we demonstrated for the first time that merely sustaining incompatible intentions (to move right and left) in a motionless state produces stronger subjective effects than sustaining compatible intentions. The results held equally strongly for two different effector systems involving skeletal muscle: arm movements and finger movements. In contrast, no such effects were found with conflict in a smooth muscle effector system. Together, these findings illuminate aspects of the nature of subjective experience and the role of incompatible intentions in affect and failures of self-control. PMID:19803593

  14. [Territory, intersectoriality and stages: requirements for the effectiveness of the sustainable development goals].

    Science.gov (United States)

    Gallo, Edmundo; Setti, Andréia Faraoni Freitas

    2014-11-01

    The post-2015 development agenda highlights the incorporation of sustainability in approaches developed and/or applied to distinct fields of knowledge and action and the demonstration of the effectiveness of experiences of sustainable and healthy territories. This process results from the confrontation of different viewpoints which seek to address social production vis-à-vis their project, with the possibility of updating the hegemonic mode of production and consumption or the emergence of counter-hegemonic rationales. Health, as one of the SDGs, has the challenge of imposing an intersectorial agenda that addresses its social determinants, in a process of participative governance able to build a hierarchy of priorities based on the needs of the territory and build techno-political solutions based on the ecology of knowledge, constituting a strategic-situational and communicative management process. The consistency in formulation of the agenda and potential challenges to its implementation are analyzed, considering its intersectoriality, its strategic governance and management, and especially an assessment of its effectiveness. Moreover, it tests the evaluative tools used and their ability to analyze the consistency in the formulation of the agenda.

  15. The effect of marketing knowledge management on sustainable competitive advantage: Evidence from banking industry

    Directory of Open Access Journals (Sweden)

    Fatemeh Rezaee

    2017-11-01

    Full Text Available Nowadays, the importance of achieving sustainable organization with competitive advantage in complex environments has many researchers’ interest. So, in this study, we evaluate different views of MKM and its role to reach SCA within banking industry. This research is relatively the scarce empirical study and adds to its originality. The findings offer valuable insights on the generalizability of MKM in a research setting. In fact, the purpose of this study is to empirically test the effect of the marketing knowledge management (MKM on sustainable competitive advantage (SCA within banking industry of Iran. A valid research instrument was utilized to conduct a survey of 150 top- and middle-level managers from Mellat bank of Iran (MBI. With a response rate of 81.3 percent, 122 questionnaires were returned; the number of valid and usable questionnaires was 101. Using exploratory and confirmatory factor analyses, MKM were classified into organizational strategies, culture and performance of senior manager, information technology (IT, research and development (R & D, internal customer (personnel, and external customer (client. Moreover, MBI’ SCA was classified into three dimensions: market, customer, finance. Structural equation modelling was utilized to test the stated hypotheses and model. Statistical support was found for the hypothesized relationships. Moreover it has been shown that MKM maintained the greatest effect on the market centered SCA, while it had the least influence on the customer centered.

  16. Assessing the Sustainability of Small Farmer Natural Resource Management Systems. A Critical Analysis of the MESMIS Program (1995-2010)

    OpenAIRE

    Marta Astier; Luis García-Barrios; Yankuic Galván-Miyoshi; Carlos E. González-Esquivel; Omar R. Masera

    2012-01-01

    Sustainability assessment oriented to improve current systems and practices is urgently needed, particularly in the context of small farmer natural resource management systems (NRMS). Unfortunately, social-ecological systems (SES) theory, sustainability evaluation frameworks, and assessment methods are still foreign not only to farmers but to many researchers, students, NGOs, policy makers/operators, and other interested groups. In this paper we examine the main achievements and challenges of...

  17. Is the emotional Stroop task a special case of mood induction? Evidence from sustained effects of attention under emotion.

    Science.gov (United States)

    Ben-Haim, Moshe Shay; Mama, Yaniv; Icht, Michal; Algom, Daniel

    2014-01-01

    Sustained effects of emotion are well known in everyday experience. Surprisingly, such effects are seldom recorded in laboratory studies of the emotional Stroop task, in which participants name the color of emotion and neutral words. Color performance is more sluggish with emotion words than with neutral words, the emotional Stroop effect (ESE). The ESE is not sensitive to the order in which the two groups of words are presented, so the effect of exposure to emotion words does not extend to disrupting performance in a subsequent block with neutral words. We attribute this absence of a sustained effect to habituation engendered by excessive repetition of the experimental stimuli. In a series of four experiments, we showed that sustained effects do occur when habituation is removed, and we also showed that the massive exposure to negative stimuli within the ESE paradigm induces a commensurately negative mood. A novel perspective is offered, in which the ESE is considered a special case of mood induction.

  18. Effect of oil palm sustainability certification on deforestation and fire in Indonesia.

    Science.gov (United States)

    Carlson, Kimberly M; Heilmayr, Robert; Gibbs, Holly K; Noojipady, Praveen; Burns, David N; Morton, Douglas C; Walker, Nathalie F; Paoli, Gary D; Kremen, Claire

    2018-01-02

    Many major corporations and countries have made commitments to purchase or produce only "sustainable" palm oil, a commodity responsible for substantial tropical forest loss. Sustainability certification is the tool most used to fulfill these procurement policies, and around 20% of global palm oil production was certified by the Roundtable on Sustainable Palm Oil (RSPO) in 2017. However, the effect of certification on deforestation in oil palm plantations remains unclear. Here, we use a comprehensive dataset of RSPO-certified and noncertified oil palm plantations (∼188,000 km2) in Indonesia, the leading producer of palm oil, as well as annual remotely sensed metrics of tree cover loss and fire occurrence, to evaluate the impact of certification on deforestation and fire from 2001 to 2015. While forest loss and fire continued after RSPO certification, certified palm oil was associated with reduced deforestation. Certification lowered deforestation by 33% from a counterfactual of 9.8 to 6.6% y-1 Nevertheless, most plantations contained little residual forest when they received certification. As a result, by 2015, certified areas held less than 1% of forests remaining within Indonesian oil palm plantations. Moreover, certification had no causal impact on forest loss in peatlands or active fire detection rates. Broader adoption of certification in forested regions, strict requirements to avoid all peat, and routine monitoring of clearly defined forest cover loss in certified and RSPO member-held plantations appear necessary if the RSPO is to yield conservation and climate benefits from reductions in tropical deforestation. Copyright © 2017 the Author(s). Published by PNAS.

  19. A comparison between effectiveness of three types of music on memory activity and sustained attention in schizophrenic patients

    OpenAIRE

    Narges bahmany; Karamatollah Zandi ghashghaee; Sadrollah Khosravi

    2014-01-01

    Background: schizophrenia is a psychiatric disorder in which a lot of cognitive functions including memory, attention, motor skills, executive functions and intelligence are compromised. Numerous empirical studies showed that schizophrenic patients have problem in sustain retention and memory activity. The objective of this study was a comparison between effectiveness of three types of music on memory activity and sustain retention in schizophrenic patients. Material and Methods: A total of 6...

  20. Predictors of activity level and retention among African American lay health advisors (LHAs) from The National Witness Project: Implications for the implementation and sustainability of community-based LHA programs from a longitudinal study.

    Science.gov (United States)

    Shelton, Rachel C; Dunston, Sheba King; Leoce, Nicole; Jandorf, Lina; Thompson, Hayley S; Crookes, Danielle M; Erwin, Deborah O

    2016-03-22

    Lay health advisor (LHA) programs are increasingly being implemented in the USA and globally in the context of health promotion and disease prevention. LHAs are effective in addressing health disparities when used to reach medically underserved populations, with strong evidence among African American and Hispanic women. Despite their success and the evidence supporting implementation of LHA programs in community settings, there are tremendous barriers to sustaining LHA programs and little is understood about their implementation and sustainability in "real-world" settings. The purpose of this study was to (1) propose a conceptual framework to investigate factors at individual, social, and organizational levels that impact LHA activity and retention; and (2) use prospective data to investigate the individual, social, and organizational factors that predict activity level and retention among a community-based sample of African American LHAs participating in an effective, evidence-based LHA program (National Witness Project; NWP). Seventy-six LHAs were recruited from eight NWP sites across the USA. Baseline predictor data was collected from LHAs during a telephone questionnai