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Sample records for technology infusion case

  1. Methods for studying medical device technology and practitioner cognition : the case of user-interface issues with infusion pumps

    NARCIS (Netherlands)

    Fenne Verhoeven; Jan Maarten Schraagen

    2013-01-01

    Purpose: The aims of this study were to investigate how a variety of research methods is commonly employed to study technology and practitioner cognition. User-interface issues with infusion pumps were selected as a case because of its relevance to patient safety. Methods: Starting from a

  2. Methods for studying medical device technology and practitioner cognition: the case of user-interface issues with infusion pumps

    NARCIS (Netherlands)

    Schraagen, Johannes Martinus Cornelis; Verhoeven, F.

    2013-01-01

    Purpose The aims of this study were to investigate how a variety of research methods is commonly employed to study technology and practitioner cognition. User-interface issues with infusion pumps were selected as a case because of its relevance to patient safety. Methods Starting from a Cognitive

  3. Methods for studying medical device technology and practitioner cognition : The case of user-interface issues with infusion pumps

    NARCIS (Netherlands)

    Schraagen, J.M.C.; Verhoeven, F.

    2013-01-01

    Purpose : The aims of this study were to investigate how a variety of research methods is commonly employed to study technology and practitioner cognition. User-interface issues with infusion pumps were selected as a case because of its relevance to patient safety. Methods : Starting from a

  4. Information technology infusion model for health sector in a developing country: Nigeria as a case.

    Science.gov (United States)

    Idowu, Bayo; Adagunodo, Rotimi; Adedoyin, Rufus

    2006-01-01

    To date, information technology (IT) has not been widely adopted in the health sector in the developing countries. Information Technology may bring an improvement on health care delivery systems. It is one of the prime movers of globalization. Information technology infusion is the degree to which a different information technology tools are integrated into organizational activities. This study aimed to know the degree and the extent of incorporation of Information Technology in the Nigerian health sector and derive an IT infusion models for popular IT indicators that are in use in Nigeria (Personal computers, Mobile phones, and the Internet) and subsequently investigates their impacts on the health care delivery system in Nigerian teaching hospitals. In this study, data were collected through the use of questionnaires. Also, oral interviews were conducted and subsequently, the data gathered were analyzed. The results of the analysis revealed that out of the three IT indicators considered, mobile phones are spreading fastest. It also revealed that computers and mobile phones are in use in all the teaching hospitals. Finally in this research, IT infusion models were developed for health sector in Nigeria from the data gathered through the questionnaire and oral interview.

  5. Methods for studying medical device technology and practitioner cognition: the case of user-interface issues with infusion pumps.

    Science.gov (United States)

    Schraagen, Jan Maarten; Verhoeven, Fenne

    2013-02-01

    The aims of this study were to investigate how a variety of research methods is commonly employed to study technology and practitioner cognition. User-interface issues with infusion pumps were selected as a case because of its relevance to patient safety. Starting from a Cognitive Systems Engineering perspective, we developed an Impact Flow Diagram showing the relationship of computer technology, cognition, practitioner behavior, and system failure in the area of medical infusion devices. We subsequently conducted a systematic literature review on user-interface issues with infusion pumps, categorized the studies in terms of methods employed, and noted the usability problems found with particular methods. Next, we assigned usability problems and related methods to the levels in the Impact Flow Diagram. Most study methods used to find user interface issues with infusion pumps focused on observable behavior rather than on how artifacts shape cognition and collaboration. A concerted and theory-driven application of these methods when testing infusion pumps is lacking in the literature. Detailed analysis of one case study provided an illustration of how to apply the Impact Flow Diagram, as well as how the scope of analysis may be broadened to include organizational and regulatory factors. Research methods to uncover use problems with technology may be used in many ways, with many different foci. We advocate the adoption of an Impact Flow Diagram perspective rather than merely focusing on usability issues in isolation. Truly advancing patient safety requires the systematic adoption of a systems perspective viewing people and technology as an ensemble, also in the design of medical device technology. Copyright © 2012 Elsevier Inc. All rights reserved.

  6. Infusing Technology Driven Design Thinking in Industrial Design Education: A Case Study

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    Mubin, Omar; Novoa, Mauricio; Al Mahmud, Abdullah

    2017-01-01

    Purpose: This paper narrates a case study on design thinking-based education work in an industrial design honours program. Student projects were developed in a multi-disciplinary setting across a Computing and Engineering faculty that allowed promoting technologically and user-driven innovation strategies. Design/methodology/approach: A renewed…

  7. Infusion of innovative technologies for mission operations

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    Donati, Alessandro

    2010-11-01

    The Advanced Mission Concepts and Technologies Office (Mission Technologies Office, MTO for short) at the European Space Operations Centre (ESOC) of ESA is entrusted with research and development of innovative mission operations concepts systems and provides operations support to special projects. Visions of future missions and requests for improvements from currently flying missions are the two major sources of inspiration to conceptualize innovative or improved mission operations processes. They include monitoring and diagnostics, planning and scheduling, resource management and optimization. The newly identified operations concepts are then proved by means of prototypes, built with embedded, enabling technology and deployed as shadow applications in mission operations for an extended validation phase. The technology so far exploited includes informatics, artificial intelligence and operational research branches. Recent outstanding results include artificial intelligence planning and scheduling applications for Mars Express, advanced integrated space weather monitoring system for the Integral space telescope and a suite of growing client applications for MUST (Mission Utilities Support Tools). The research, development and validation activities at the Mission technologies office are performed together with a network of research institutes across Europe. The objective is narrowing the gap between enabling and innovative technology and space mission operations. The paper first addresses samples of technology infusion cases with their lessons learnt. The second part is focused on the process and the methodology used at the Mission technologies office to fulfill its objectives.

  8. Software Engineering Technology Infusion Within NASA

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    Zelkowitz, Marvin V.

    1996-01-01

    Abstract technology transfer is of crucial concern to both government and industry today. In this paper, several software engineering technologies used within NASA are studied, and the mechanisms, schedules, and efforts at transferring these technologies are investigated. The goals of this study are: 1) to understand the difference between technology transfer (the adoption of a new method by large segments of an industry) as an industry-wide phenomenon and the adoption of a new technology by an individual organization (called technology infusion); and 2) to see if software engineering technology transfer differs from other engineering disciplines. While there is great interest today in developing technology transfer models for industry, it is the technology infusion process that actually causes changes in the current state of the practice.

  9. Information Technology Infusion Case Study: Integrating Google Earth(Trademark) into the A-Train Data Depot

    Science.gov (United States)

    Smith, Peter; Kempler, Steven; Leptoukh, Gregory; Chen, Aijun

    2010-01-01

    This poster paper represents the NASA funded project that was to employ the latest three dimensional visualization technology to explore and provide direct data access to heterogeneous A-Train datasets. Google Earth (tm) provides foundation for organizing, visualizing, publishing and synergizing Earth science data .

  10. Infusing Software Engineering Technology into Practice at NASA

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    Pressburger, Thomas; Feather, Martin S.; Hinchey, Michael; Markosia, Lawrence

    2006-01-01

    We present an ongoing effort of the NASA Software Engineering Initiative to encourage the use of advanced software engineering technology on NASA projects. Technology infusion is in general a difficult process yet this effort seems to have found a modest approach that is successful for some types of technologies. We outline the process and describe the experience of the technology infusions that occurred over a two year period. We also present some lessons from the experiences.

  11. Advancing medication infusion safety through the clinical integration of technology.

    Science.gov (United States)

    Gerhart, Donald; O'Shea, Kristen; Muller, Sharon

    2013-01-01

    Adverse drug events resulting from errors in prescribing or administering medications are preventable. Within a hospital system, numerous technologies are employed to address the common sources of medication error, including the use of electronic medical records, physician order entry, smart infusion pumps, and barcode medication administration systems. Infusion safety is inherently risky because of the high-risk medications administered and the lack of integration among the stand-alone systems in most institutions. Intravenous clinical integration (IVCI) is a technology that connects electronic medical records, physician order entry, smart infusion pumps, and barcode medication administration systems. It combines the safety features of an automatically programmed infusion pump (drug, concentration, infusion rate, and patient weight, all auto-programmed into the device) with software that provides visibility to real-time clinical infusion data. Our article describes the characteristics of IVCI at WellSpan Health and its impact on patient safety. The integrated infusion system has the capability of reducing medication errors, improving patient care, reducing in-facility costs, and supporting asset management. It can enhance continuous quality improvement efforts and efficiency of clinical work flow. After implementing IVCI, the institution realized a safer patient environment and a more streamlined work flow for pharmacy and nursing.

  12. Promoting Active Learning in Technology-Infused TILE Classrooms at the University of Iowa

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    Van Horne, Sam; Murniati, Cecilia; Gaffney, Jon D. H.; Jesse, Maggie

    2012-01-01

    In this case study, the authors describe the successful implementation of technology-infused TILE classrooms at the University of Iowa. A successful collaboration among campus units devoted to instructional technologies and teacher development, the TILE Initiative has provided instructors with a new set of tools to support active learning. The…

  13. Promoting Active Learning in Technology-Infused TILE Classrooms at the University of Iowa

    Directory of Open Access Journals (Sweden)

    Sam Van Horne

    2012-06-01

    Full Text Available In this case study, the authors describe the successful implementation of technology-infused TILE classrooms at the University of Iowa. A successful collaboration among campus units devoted to instructional technologies and teacher development, the TILE Initiative has provided instructors with a new set of tools to support active learning. The authors detail the implementation of the TILE classrooms, the process of training instructors to design effective instruction for these classrooms, and an assessment project that helps improve the process of ensuring faculty can successfully facilitate learning activities in a technology-infused learning environment.

  14. Computer Technology-Infused Learning Enhancement

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    Keengwe, Jared; Anyanwu, Longy O.

    2007-01-01

    The purpose of the study was to determine students' perception of instructional integration of computer technology to improve learning. Two key questions were investigated in this study: (a) What is the students' perception of faculty integration of computer technology into classroom instruction? (b) To what extent does the students' perception of…

  15. The Case for Infusing Quantitative Literacy into Introductory Geoscience Courses

    Directory of Open Access Journals (Sweden)

    Jennifer M. Wenner

    2009-01-01

    Full Text Available We present the case for introductory geoscience courses as model venues for increasing the quantitative literacy (QL of large numbers of the college-educated population. The geosciences provide meaningful context for a number of fundamental mathematical concepts that are revisited several times in a single course. Using some best practices from the mathematics education community surrounding problem solving, calculus reform, pre-college mathematics and five geoscience/math workshops, geoscience and mathematics faculty have identified five pedagogical ideas to increase the QL of the students who populate introductory geoscience courses. These five ideas include techniques such as: place mathematical concepts in context, use multiple representations, use technology appropriately, work in groups, and do multiple-day, in-depth problems that place quantitative skills in multiple contexts. We discuss the pedagogical underpinnings of these five ideas and illustrate some ways that the geosciences represent ideal places to use these techniques. However, the inclusion of QL in introductory courses is often met with resistance at all levels. Faculty who wish to include quantitative content must use creative means to break down barriers of public perception of geoscience as qualitative, administrative worry that enrollments will drop and faculty resistance to change. Novel ways to infuse QL into geoscience classrooms include use of web-based resources, shadow courses, setting clear expectations, and promoting quantitative geoscience to the general public. In order to help faculty increase the QL of geoscience students, a community-built faculty-centered web resource (Teaching Quantitative Skills in the Geosciences houses multiple examples that implement the five best practices of QL throughout the geoscience curriculum. We direct faculty to three portions of the web resource: Teaching Quantitative Literacy, QL activities, and the 2006 workshop website

  16. Green Propellant Infusion Mission Program Development and Technology Maturation

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    McLean, Christopher H.; Deininger, William D.; Joniatis, John; Aggarwal, Pravin K.; Spores, Ronald A.; Deans, Matthew; Yim, John T.; Bury, Kristen; Martinez, Jonathan; Cardiff, Eric H.; hide

    2014-01-01

    The NASA Space Technology Mission Directorate's (STMD) Green Propellant Infusion Mission (GPIM) Technology Demonstration Mission (TDM) is comprised of a cross-cutting team of domestic spacecraft propulsion and storable green propellant technology experts. This TDM is led by Ball Aerospace & Technologies Corp. (BATC), who will use their BCP- 100 spacecraft to carry a propulsion system payload consisting of one 22 N thruster for primary divert (DeltaV) maneuvers and four 1 N thrusters for attitude control, in a flight demonstration of the AF-M315E technology. The GPIM project has technology infusion team members from all three major market sectors: Industry, NASA, and the Department of Defense (DoD). The GPIM project team includes BATC, includes Aerojet Rocketdyne (AR), Air Force Research Laboratory, Aerospace Systems Directorate, Edwards AFB (AFRL), NASA Glenn Research Center (GRC), NASA Kennedy Space Center (KSC), and NASA Goddard Space Flight Center (GSFC). STMD programmatic and technology oversight is provided by NASA Marshall Space Flight Center. The GPIM project shall fly an operational AF-M315E green propulsion subsystem on a Ball-built BCP-100 spacecraft.

  17. Technology Transition a Model for Infusion and Commercialization

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    McMillan, Vernotto C.

    2006-01-01

    The National Aeronautics and Space Administration has as part of its charter the mission of transferring technologies developed for the space program into the private sector for the purpose of affording back to the American people the economical and improved quality of life benefits associated with the technologies developed. In recent years considerable effort has been made to use this program for not only transitioning technologies out of the NASA Mission Directorate Programs, but also to transfer technologies into the Mission Directorate Programs and leverage the impact of government and private sector innovation. The objective of this paper is to outline an approach and the creation of a model that brings together industry, government, and commercialization strategies. When these elements are integrated, the probability of successful technology development, technology infusion into the Mission Programs, and commercialization into the private sector is increased. This model primarily addresses technology readiness levels between TRL 3 and TRL 6. This is typically a gap area known as the valley of death. This gap area is too low for commercial entities to invest heavily and not developed enough for major programs to actively pursue. This model has shown promise for increasing the probably of TRL advancement to an acceptable level for NASA programs and/or commercial entities to afford large investments toward either commercialization or infusion.

  18. Infusing photonics to increase enrollment in electronics engineering technology

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    Panayiotou, Chrys A.; Seeber, Fred P.

    2007-06-01

    During the last 15 years most of the electronics engineering technology programs across the nation have experienced a constant decline in enrollment. Today's high school students do not seem to consider a career in electronics engineering appealing enough to commit to a field of study in desperate need of new students. They still associate electronics programs with the electronics section of a department store; televisions, stereo systems, DVD and VCR players, and other disposable electronics. While the downward trend continues across the nation, Indian River Community College (IRCC) has been able not only to stop it but to reverse it by attracting a new generation of students. By introducing high school students to new and emerging technologies, their perception of established degrees has changed and their interest has been stimulated. Photonics is one of those technologies capturing students' attention. IRCC, a partner college in the National Center for Optics and Photonics Education (OP-TEC), with the assistance of other colleges like Camden County College which already offers an Associate in Applied Science degree in Photonics, has created a Photonics specialization under the Electronics Engineering Technology program. The targeted marketing of this new specialization has led to an increase in enrollment of 50% in 2005, 80% in 2006, and for 2007 it is projected it to be over 100%. An interesting comparison can be made concerning enrollment at colleges with a full AAS program in photonics like Camden County College and IRCC which uses photonics as an enabling technology. This analysis could lead to a new approach in restructuring engineering technology degrees with the infusion of photonics throughout many technology fields. This presentation will discuss the plan of action that made possible this initiative at Indian River Community College and new program directions at Camden County College, Blackwood, New Jersey.

  19. Propofol drip infusion anesthesia for MRI scanning: two case reports.

    Science.gov (United States)

    Sasao-Takano, Mami; Misumi, Kan; Suzuki, Masayuki; Kamiya, Yoko; Noguchi, Izumi; Kawahara, Hiroshi

    2013-01-01

    The magnetic resonance imaging (MRI) room is a special environment. The required intense magnetic fields create unique problems with the use of standard anesthesia machines, syringe pumps, and physiologic monitors. We have recently experienced 2 oral maxillofacial surgery cases requiring MRI: a 15-year-old boy with developmental disability and a healthy 5-year-old boy. The patients required complete immobilization during the scanning for obtaining high-quality images for the best diagnosis. Anesthesia was started in the MRI scanning room. An endotracheal intubation was performed after induction with intravenous administration of muscle relaxant. Total intravenous anesthesia via propofol drip infusion (4-7 mg/kg/h) was used during the scanning. Standard physiologic monitors were used during scan pauses, but special monitors were used during scanning. In MRI scanning for oral maxillofacial surgery, general anesthesia, with the added advantage of having a secured airway, is recommended as a safe alternative to sedation especially in cases of patients with disability and precooperative chidren.

  20. Preparing pre-service teachers to integrate technology into K-12 instruction : Evaluation of a technology-infused approach

    NARCIS (Netherlands)

    Admiraal, Wilfried; van Vugt, F.; Kranenburg, F.A.N.; Koster, B.; Smit, Ben; Weijers, Sanne; Lokhorst, Ditte

    2017-01-01

    The quality of how technology is addressed in teacher education programs is conditional for how student teachers apply technology in secondary schools after their graduation. Two technology-infused courses of one teacher education program were evaluated. In line with studies on the development of

  1. Instructors' Growth in TPACK: Teaching Technology-Infused Methods Courses to Preservice Teachers

    Science.gov (United States)

    Foulger, Teresa S.; Buss, Ray R.; Wetzel, Keith; Lindsey, LeeAnn

    2015-01-01

    We were concerned about teaching a stand-alone technology integration course while advocating that teachers employ full integration. Our college moved to a tech-infusion model whereby our educational technology curriculum would be incorporated in methods courses. Using a qualitative approach, we documented experiences of teacher educators who were…

  2. Engineering Student Outcomes for Infusion into Technological Literacy Programs: Grades 9-12

    Science.gov (United States)

    Rhodes, Craig; Childress, Vincent

    2010-01-01

    In 2004, the National Center for Engineering and Technology Education (NCETE) secured funding from the National Science Foundation (NSF) to infuse engineering design into the schools through technology education. In order to reach this goal the researchers, in cooperation with NCETE, conducted a two phase study to identify outcomes for high-school…

  3. Infusing Classrooms with Web 2.0 Technologies

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    Velasco, Richard Carlos L.

    2018-01-01

    The evolution of digital technologies over the past couple of decades has contributed to a paradigm shift in education where the internet and web-based applications have become ubiquitous in primary and secondary classrooms (Glassman & Kang, 2011). With this shift came the digital phenomena known today as Web 2.0 technologies. Web 2.0…

  4. Using Qualitative Research to Assess Teaching and Learning in Technology-Infused TILE Classrooms

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    Van Horne, Sam; Murniati, Cecilia Titiek; Saichaie, Kem; Jesse, Maggie; Florman, Jean C.; Ingram, Beth F.

    2014-01-01

    This chapter describes the results of an assessment project whose purpose was to improve the faculty-development program for instructors who teach in technology-infused TILE (Transform, Interact, Learn, Engage) classrooms at the University of Iowa. Qualitative research methods were critical for (1) learning about how students and instructors…

  5. [A Case of HPN, In Which QOL Improvement Was Achieved by Combining Continuous Infusion with Once-Weekly Intermittent Infusion - Contribution of Pharmacists to Health Promotion among Home Patients Receiving Infusion Therapy].

    Science.gov (United States)

    Takeda, Namihiro; Hamana, Tomoko; Oka, Toyoka; Hirohara, Masayoshi; Kushida, Kazuki

    2016-12-01

    Patients receiving parenteral nutrition at home have the following two options: 24-h continuous or intermittent infusion. To date, for patients with impaired glucose tolerance and/or other metabolic disorders or for those with decreased cardiac/ pulmonary/renal function, it is desirable to opt for continuous infusion to minimize the variance in the body's metabolic rate as much as possible. Furthermore, it should be noted that continuous infusion evokes a stronger feeling among patients of being constrained because it restricts their everyday activities. This case witnesses collaborations among the patient's doctor, dispensary's pharmacy, and patient's family. Because ofthe use ofintermittent infusion more or less once per week in addition to continuous infusion, significant improvement in quality of life was achieved, and the patient was able to enjoy taking a short trip. To assist a home patient receiving infusion therapy, it is essential that the pharmacist be equipped with skills to manage risks associated with infusion therapy and have knowledge about insurance to cover incidents concerning infusion fluids or medical materials. It will certainly depend on the degree ofindependence ofpatients and the level ofcare their families can provide; however, should we manage to use a similar medical procedure in at least a few cases in the future, we may be able to contribute to "joie de vivre" in home patients receiving infusion therapy.

  6. Integration of a blood pressure controller and an infusion toolbox system using client-server technology.

    Science.gov (United States)

    Meijers, R H; Coussaert, E J; Cantraine, F R

    1998-05-01

    This paper shortly describes an Infusion Toolbox and a blood pressure (BP) control application. It explains how we applied an agent model and client-server technology to integrate them. We show that by using this framework and object oriented technologies the necessary changes to the existing applications are reduced. Many elements of the tested original systems could be re-used, which enhances safe development.

  7. Infusion of New Technology into the QML System

    Science.gov (United States)

    Agarwal, Shri

    2012-01-01

    QML stands for the Qualified Manufacturer List. It is maintained by DLA-Land and Maritime (formerly known as the Defense Supply Center Columbus, DSCC). This talk will address how we are bringing new technology products into the QML system. The focus will be on microcircuit parts used in space application. A new effort championed by NASA will be described. NASA EEE Parts Assurance Group (NEPAG) is making every effort to strengthen the MIL system and thereby support the space flight projects

  8. CASING DRILLING TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    Nediljka Gaurina-Međimurec

    2005-12-01

    Full Text Available Casing drilling is an alternative option to conventional drilling and uses standard oilfield casing instead of drillstring. This technology is one of the greatest developments in drilling operations. Casing drilling involves drilling and casing a well simultaneously. In casing driling process, downhole tools can be retrieved, through the casing on wire-line, meaning tool recovery or replacement of tools can take minutes versus hours under conventional methods. This process employs wireline-retrievable tools and a drill-lock assembly, permitting bit and BHA changes, coring, electrical logging and even directional or horizontal drilling. Once the casing point is reached, the casing is cemented in place without tripping pipe.

  9. Development Challenges of Game-Changing Entry System Technologies From Concept to Mission Infusion

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    Venkatapathy, Ethiraj; Beck, Robin; Ellerby, Don; Feldman, Jay; Gage, Peter; Munk, Michelle; Wercinski, Paul

    2016-01-01

    Realization within the US and NASA that future exploration both Human and Robotic will require innovative new technologies led to the creation of the Space Technology Mission Directorate and investment in game changing technologies with high pay-off. Some of these investments will see success and others, due to many of the constraints, will not attain their goal. The co-authors of this proposed presentation have been involved from concept to mission infusion aspects of entry technologies that are game changing. The four example technologies used to describe the challenges experienced along the pathways to success are at different levels of maturity. They are Conformal, 3-D MAT, HEEET and ADEPT. The four examples in many ways capture broad aspects of the challenges of maturation and illustrate what led some to be exceptionally successful and how others had to be altered in order remain viable game changing technologies.

  10. Technology infusion of intellectual 3D printers-based prototyping of products into learning process

    Science.gov (United States)

    Boshhenko, T. V.; Chepur, P. V.

    2018-03-01

    The article considers the prospects for the technologies of intellectual design and prototyping applying 3D printers. It presents basic technologies of 3D printing, currently developed and released for construction. The experience of educational activities in the University to train students for the Academic Competitions on three-dimensional modeling and prototyping is described in the present article. Requirements for the prototyping implementation are given, allowing obtaining a positive effect from the technology infusion released for construction. The results of activities to train students for the Academic Competition are stated. It is established that the proposed approaches to the training of students have led to the highest score in the national contest in Novosibirsk when performing tasks for prototyping a stand for a cell phone and manufacturing the product on a 3D printer at the SLS technology, selective laser sintering. The conclusions about the possibilities and prospects of development of this direction in the industry in the entire country are drawn.

  11. Intravenous Administration Errors Intercepted by Smart Infusion Technology in an Adult Intensive Care Unit.

    Science.gov (United States)

    Ibarra-Pérez, Rebecca; Puértolas-Balint, Fabiola; Lozano-Cruz, Elizabeth; Zamora-Gómez, Sergio E; Castro-Pastrana, Lucila I

    2017-04-01

    The aim of the study was to investigate the efficacy of intravenous (IV) smart pumps with drug libraries and dose error reduction system (DERS) to intercept programming errors entailing high risk for patients in an adult intensive care unit (ICU). A 2-year retrospective study was conducted in the adult ICU of the Hospital Juárez de México in Mexico City to evaluate the impact of IV smart pump/DERS (Hospira MedNet) technology implementation. We conducted a descriptive analysis of the reports generated by the system's software from April 2014 through May 2016. Our study focused on the upper hard limit alerts and used the systems' variance reports and IV Medication Harm Index methodology to determine the severity of the averted overdoses for medications with the highest number of edits. The system monitored 124,229 infusion programs and averted on 36,942 deviations of the preset safe limits. Upper hard limit alerts accounted for 26.4% of pump reprogramming events. One hundred sixty-six significant administration errors were intercepted and prevented, and IV Medication Harm Index analysis identified 83 of them as highest-risk averted overdoses with insulin accounting for 51.8% of those. The rate of compliance with the safety software during the study period was 69.8%. Our study contributes additional evidence of the impact of IV smart pump/DERS technology. These pumps effectively intercepted severe infusion errors and significantly prevented adverse drug events related to dosing. Our results support the implementation of this technology in ICUs as a minimum safety standard and could help drive an IV infusion safety initiative in Mexico.

  12. Solar Electric Propulsion (SEP) Systems for SMD Mission Needs. Technology Infusion Study.

    Science.gov (United States)

    Anderson, David

    2014-01-01

    Two presentations for SBAG and OPAG meetings: 1) Solar Electric Propulsion Systems for SMD Missions, and 2) Technology Infusion Study - Draft Findings Recommendation Small Bodies Assessment Group (SBAG) meeting is January 9th in Washington D.C., and the Outer Planets Assessment Group (OPAG) meeting is January 23-14 in Tucson, AZ. NASA sponsors these assessment groups, through the NRC, for the science community to assess and provide advice. These talks are to provide a status of 2 NASA activities, and to seek feedback from the respective science communities.

  13. Propofol Drip Infusion Anesthesia for MRI Scanning: Two Case Reports

    OpenAIRE

    Sasao-Takano, Mami; Misumi, Kan; Suzuki, Masayuki; Kamiya, Yoko; Noguchi, Izumi; Kawahara, Hiroshi

    2013-01-01

    The magnetic resonance imaging (MRI) room is a special environment. The required intense magnetic fields create unique problems with the use of standard anesthesia machines, syringe pumps, and physiologic monitors. We have recently experienced 2 oral maxillofacial surgery cases requiring MRI: a 15-year-old boy with developmental disability and a healthy 5-year-old boy. The patients required complete immobilization during the scanning for obtaining high-quality images for the best diagnosis. A...

  14. Dexmedetomidine Infusion Associated with Transient Adrenal Insufficiency in a Pediatric Patient: A Case Report

    Directory of Open Access Journals (Sweden)

    Elizabeth W. Tucker

    2013-01-01

    Full Text Available Dexmedetomidine is a highly selective α2-adrenoceptor agonist used for sedation due to its anxiolytic and analgesic properties without respiratory compromise. Due to its structural similarity to etomidate, there has been concern that dexmedetomidine may cause adrenal insufficiency. This concern was initially supported by animal studies, but subsequent human studies demonstrated mixed results. We describe the case of transient adrenal insufficiency in a 1-year-old male who presented with 24% total body surface 2nd degree burns. He required sedation with a prolonged, high-dose dexmedetomidine infusion with a peak infusion dose of 2.7 mcg/kg/hr and duration of 6.5 days. The patient developed lethargy and hypotension four days after discontinuation of his infusion. He had a random cortisol level which was low at 0.4 mcg/dL, and the concern for adrenal suppression was confirmed with an ACTH stimulation test with the baseline cortisol of 0.4 mcg/dL and inappropriate 60 minute post-ACTH stimulation cortisol of 7.8 mcg/dL. While further studies will be needed to clarify the risk of adrenal suppression secondary to dexmedetomidine, this case suggests that caution should be taken when administering dexmedetomidine to pediatric patients and highlights the need for future studies to look at appropriate dosing and duration of dexmedetomidine infusions.

  15. [Incorrect programming of a target controlled infusion pump. Case SENSAR of the trimester].

    Science.gov (United States)

    2014-10-01

    We report the case of a patient who underwent surgical aortic valve replacement. During general anaesthesia maintenance, the patient received a remifentanyl infusion via a target controlled infusion (TCI) system. The infusion pump that was prepared to deliver the infusion showed malfunction at the beginning of the surgery, so it was quickly replaced with a second pump. After a few minutes into the surgery, the patient presented with hypotension refractory to treatment. The remifentanyl syringe also emptied faster than expected. On reviewing the TCI pump, it was found that it was erroneously programmed for propofol instead of remifentanyl, thus the patient had received a very high dose of remifentanyl that was probably the cause of the haemodynamic disturbances. The incident was an error in equipment use, facilitated by hurry, lack of checking of the equipment prior to its use, and the complex and unclear design of the devices' screens. After analysis of this incident, all TCI pumps were reviewed, and all the programs for infrequently used drugs were deleted. Furthermore, 2 pumps were selected for exclusive use in the cardiac surgery theatre, one with propofol-only programming, and the other with remifentanyl-only programming, both clearly marked and situated in fixed places in that theatre. Copyright © 2014 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

  16. Accidental intravenous infusion of a large dose of magnesium sulphate during labor: A case report

    Directory of Open Access Journals (Sweden)

    Kamal Kumar

    2013-01-01

    Full Text Available During labor and child delivery, a wide range of drugs are administered. Most of these medications are high-alert medications, which can cause significant harm to the patient due to its inadvertent use. Errors could be caused due to unfamiliarity with safe dosage ranges, confusion between similar looking drugs, mislabeling of drugs, equipment misuse, or malfunction and communication errors. We report a case of inadvertent infusion of a large dose of magnesium sulphate in a pregnant woman.

  17. Propagations of the AAPT New Faculty Workshop: A case study of the infusion of student-centered technological and pedagogical innovations in the introductory physics program at West Point

    Science.gov (United States)

    Sones, Bryndol

    2009-03-01

    Since 2002, the Department of Physics at West Point has been the fortunate recipient of yearly attendance at the AAPT New Faculty Workshop. This sustained involvement has contributed directly to enhancements in our two-semester introductory physics program. Two aspects of West Point's environment make our involvement with the workshop especially fruitful: our diverse students and our frequent faculty turn-over. We teach to over 1100 students with majors across the entire spectrum. The majority of our faculty is an active duty Army officer here for just three years. At West Point, we rely on the workshop as a wellspring for faculty development, technological innovation, and pedagogical refinement. In the past few years, we have incorporated aspects of peer instruction, activity-based learning, and tutorials for student discovery. On the technological side, we now have TabletPCs for faculty, rf response cards (TurningPoint), high speed video analysis (LoggerPro) projects, and video tutoring capabilities (Camtashia). Student achievement is measured through our traditional course evaluation tools as well as nationally recognized standardize tests. Results will are discussed in the presentation.

  18. Impact of technology-infused interactive learning environments on college professors' instructional decisions and practices

    Science.gov (United States)

    Kuda Malwathumullage, Chamathca Priyanwada

    Recent advancements in instructional technology and interactive learning space designs have transformed how undergraduate classrooms are envisioned and conducted today. Large number of research studies have documented the impact of instructional technology and interactive learning spaces on elevated student learning gains, positive attitudes, and increased student engagement in undergraduate classrooms across nation. These research findings combined with the movement towards student-centered instructional strategies have motivated college professors to explore the unfamiliar territories of instructional technology and interactive learning spaces. Only a limited number of research studies that explored college professors' perspective on instructional technology and interactive learning space use in undergraduate classrooms exist in the education research literature. Since college professors are an essential factor in undergraduate students' academic success, investigating how college professors perceive and utilize instructional technology and interactive learning environments can provide insights into designing effective professional development programs for college professors across undergraduate institutions. Therefore, the purpose of this study was to investigate college professors' pedagogical reasoning behind incorporating different types of instructional technologies and teaching strategies to foster student learning in technology-infused interactive learning environments. Furthermore, this study explored the extent to which college professors' instructional decisions and practices are affected by teaching in an interactive learning space along with their overall perception of instructional technology and interactive learning spaces. Four college professors from a large public Midwestern university who taught undergraduate science courses in a classroom based on the 'SCALE-UP model' participated in this study. Major data sources included classroom

  19. Superselective uterine arterial infusion and embolization in the treatment of ectopic pregnancies of 56 cases

    International Nuclear Information System (INIS)

    Han Chaolin; Li Changfu; Zhang Yanhua; Liu Feng; Guan Yafang; Liu Zhen; Wang Weibo; Niu Haijuan

    2008-01-01

    Objective: To probe a simple, safe, and minimally invasive method to treat ectopic pregnancy with preservation of the organs. Methods: Superselective catheterization of uterine artery through cannulation of right femoral artery was achieved in 56 patients with ectopic pregnancy. Location of the lesions involved, feeding arteries, and active bleeding were observed on angiography. 150 mg of methylamine neopterin diluted in 100 ml of saline water was infused slowly into the target artery. Small gelatin spongy particles with size of 0.5 mm in diameter were used to embolize the uterine artery until its branches were totally obliterated. Follow-up was undertaken to observe the results of the treatment. Results: Superselective uterine arterial infusion and embolization were successfully performed in all 56 patients without any related complications. Active bleeding in the peritoneum in 33 eases ceased soon after embolization. The embryos in 13 patients were confirmed to have died by ultrasound two days after the procedure. Beta-HCG value dropped to below 5 U/L within two to twelve days. Hemorrhage in the peritoneum dissolved after seven days in all cases. Mixed mass disappeared after one month. Histerosalpingography was performed three months after the procedure in 19 patients and patent fallopians were demonstrated in 11 patients. Conclusions: Superselective uterine arterial infusion and embolization is a minimally invasive procedure, which can be used to effectively treat ectopic pregnancy by disabling the ectopic embryo and embolizing leaking arteries with the advantages of preserving the fallopian tubes. (authors)

  20. How to use current practice, risk analysis and standards to define hospital-wide policies on the safe use of infusion technology.

    Science.gov (United States)

    Timmerman, Annemoon M; Oliveira-Martens, Suzanne M; Snijder, Roland A; Nieman, Anders K; Egberts, Toine C

    2015-08-01

    Infusion therapy is widely used in hospitals. It is well known that medication errors constitute one of the highest risks to patient safety, leading to numerous adverse events concerning incorrect application of infusion technology. Both clinical practice and in vitro studies show that infusion of multiple medications via one access point induces unwanted phenomena such as backflow and an incorrect system response to interventions. Within the Metrology for Drug Delivery project, we addressed the role of infusion devices in drug delivery. We surveyed current practices for application in hospitals to provide input to standards and quality norms for the materials used in infusion technology. Furthermore, we organized meetings with clinicians and other relevant stakeholders to set up a risk analysis-based infusion policy, accompanied by easy to access operating procedures on infusion technology. It was found difficult to establish clear-cut infusion safety guidelines based on quantitative data because of the many different application areas and stakeholders. However, both the expert team and the survey indicated the value of multidisciplinary qualitative discussion for defining best practices. We advise to incorporate specific requirements on infusion devices in protocols and standards, adjusted to specific applications, to ensure safe use of infusion technology.

  1. Satellite Sensornet Gateway Technology Infusion Through Rapid Deployments for Environmental Sensing

    Science.gov (United States)

    Benzel, T.; Silva, F.; Deschon, A.; Ye, W.; Cho, Y.

    2008-12-01

    The Satellite Sensornet Gateway (SSG) is an ongoing ESTO Advanced Information Systems Technology project, at the University of Southern California. The major goal of SSG is to develop a turnkey solution for building environmental observation systems based on sensor networks. Our system has been developed through an iterative series of deployment-driven design, build, test, and revise which maximizes technology infusion to the earth scientist. We have designed a robust and flexible sensor network called Sensor Processing and Acquisition Network (SPAN). Our SPAN architecture emphasizes a modular and extensible design, such that core building blocks can be reused to develop different scientific observation systems. To support rapid deployment at remote locations, we employ satellite communications as the backhaul to relay in-situ sensor data to a central database. To easily support various science applications, we have developed a unified sensor integration framework that allows streamlined integration of different sensors to the system. Our system supports heterogeneous sets of sensors, from industry-grade products to research- specific prototypes. To ensure robust operation in harsh environments, we have developed mechanisms to monitor system status and recover from potential failures along with additional remote configuration and QA/QC functions. Here we briefly describe the deployments, the key science missions of the deployments and the role that the SSG technology played in each mission. We first deployed our SSG technology at the James Reserve in February 2007. In a joint deployment with the NEON project, SDSC, and UC Riverside, we set up a meteorological station, using a diverse set of sensors, with the objective of validating our basic technology components in the field. This system is still operational and streaming live sensor data. At Stunt Ranch, a UC Reserve near Malibu, CA, we partnered with UCLA biologist Phillip Rundel in order to study the drought

  2. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients.

    Science.gov (United States)

    Larsen, Gitte Y; Parker, Howard B; Cash, Jared; O'Connell, Mary; Grant, MaryJo C

    2005-07-01

    To determine if combining standard drug concentrations with "smart-pump" technology reduces reported medication-infusion errors. Preintervention and postintervention comparison of reported medication errors related to infusion therapies during the calendar years 2002 and 2003. A 242-bed university-affiliated tertiary pediatric hospital. Change in continuous-medication-infusion process, comprising the adoption of (1) standard drug concentrations, (2) "smart" syringe pumps, and (3) human-engineered medication labels. Comparison of reported continuous-medication-infusion errors before and after the intervention. The number of reported errors dropped by 73% for an absolute risk reduction of 3.1 to 0.8 per 1000 doses. Preparation errors that occurred in the pharmacy decreased from 0.66 to 0.16 per 1000 doses; the number of 10-fold errors in dosage decreased from 0.41 to 0.08 per 1000 doses. The use of standard drug concentrations, smart syringe pumps, and user-friendly labels reduces reported errors associated with continuous medication infusions. Standard drug concentrations can be chosen to allow most neonates to receive needed medications without concerns related to excess fluid administration.

  3. Making GOES Data Available to the GEOSS Community through Technology Infusion

    Science.gov (United States)

    Deng, M.; di, L.; McDonald, K. R.; Yu, G.

    2008-12-01

    The National Oceanic and Atmospheric Administration (NOAA) is operating two types of operational weather satellite systems: geostationary operational environmental satellites (GOES) and polar-orbiting satellites. GOES satellites provide continuous monitoring of Earth's atmosphere necessary for short-range warning and "now-casting" of weather conditions. The GOES imager acquires a multi-spectral image of a full-disc view of the Earth every thirty minutes with spatial resolution of 1 to 8 km at nadir. Because GOES satellites stay above a fixed spot on the surface, they provide a constant vigil for monitoring severe weather conditions such as tornadoes, thunderstorms, and hurricanes. Currently the GOES images are archived in and made available to publics through searching and ordering interfaces of NOAA's Comprehensive Large Array-data Stewardship System (CLASS). On a broader scale, the Group on Earth Observations (GEO) is leading the world-wide efforts on building the Earth Observation System of Systems (GEOSS) for making Earth observation data available to the world-wide user communities for applications in nine areas of societal benefits. GEOSS uses the service oriented architecture (SOA) and adopts specifications developed mainly by the Open Geospatial Consortium (OGC) for the interoperability arrangement. For the data discovery and access, the main specifications adopted by GEOSS are the OGC Catalog Service for Web (CS/W) for the data discovery and Web Coverage Service (WCS) for data access. Currently, CLASS has no WCS and CSW interfaces available. In the past several years with NASA funding support, we have developed OGC WCS and CSW service technology for making remote sensing data discoverable and accessible through such interfaces. During the GEOSS Architecture Implementation Pilot Phase II, we are developing a prototype that could infuse the technology into the CLASS system via the Simple NOAA Archive Access Protocol (SNAAP) to make GOES data accessible

  4. Life-threatening hyperkalemia following zoledronic acid infusion for Paget's disease: a case report

    Directory of Open Access Journals (Sweden)

    Naysmith Morag

    2011-08-01

    Full Text Available Abstract Introduction Zoledronic acid is a highly effective treatment in Paget's disease for persistent bone pain and prevention of further progression of the disease. The commonest electrolyte abnormality is hypocalcemia. To the best of our knowledge this is the first case of hyperkalemia secondary to zoledronic acid to be published in the world literature. The commonest arrhythmia related to zoledronic acid is atrial fibrillation. Case presentation We describe the case of an 80-year-old Caucasian man, with a history of ischemic heart disease, who had an in-hospital cardiac arrest related to hyperkalemia. Increasing potassium levels were noted following his first zoledronic acid infusion for symptomatic control of bone pain secondary to Paget's disease. Our patient suffered a cardiac arrest 10 days following the zoledronic acid infusion. Our patient's biochemistry and electrocardiogram output were monitored until his death 26 days after his cardiac arrest. Our patient developed paroxysmal atrial fibrillation in the post-resuscitation period and there was persistent hyperkalemia that required prolonged treatment with calcium resonium. All other possible causes of hyperkalemia were excluded. Conclusion In our patient's case persistent hyperkalemia and life-threatening arrhythmias were associated with use of zoledronic acid. These side effects have not been reported before and the causative mechanism is far from clear as there are no obvious systemic effects of zoledronic acid. The combination of zoledronic acid with predisposing factors such as structural heart disease might account for the clinical picture we witnessed. As a result, electrolyte monitoring should be adopted early in zoledronic acid use. Further studies are required to elucidate the underlying mechanism of hyperkalemia and identify the target group of patients where zoledronic acid can be safely administered. Great caution is advised in patients with underlying heart conditions.

  5. Catheter Migration After Implantationan Intrathecal Baclofen Infusion Pump for Severe Spasticity: A Case Report

    Directory of Open Access Journals (Sweden)

    Tung-Chou Li

    2008-09-01

    Full Text Available We report a case of intrathecal baclofen infusion pump implantation complicated by migration of the catheter tip. A 55-year-old man required an intrathecal baclofen infusion for severe spasticity 4 years after a cervical spinal cord injury with incomplete tetraparesis. Twelve months after initial implantation of the device, the patient began to experience a recurrence of trunk tightness and spasticity. Subsequent X-ray and computed tomography evaluations of the catheter system revealed pooling of contrast medium outside of the intrathecal distribution in the lumbar subcutaneous region of the back and therefore migration of the pump catheter tip. At surgical revision, emphasis was placed on minimizing the length of catheter outside of the spine and securing the catheter in the supraspinous fascia with a right-angled anchor. The distance between the anchors and the entry point of the catheter into the supraspinous fascia was also reduced to prevent slipping when the patient bends forward. After surgery, the patient's spasticity improved and, 1 year later, he has experienced no further complications during follow-up, requiring an average baclofen dose of 150 mg/day. Here, we describe several surgical methods intended to secure the intrathecal catheter and prevent catheter migration. Other complications related to catheter failure are also highlighted.

  6. A rare case of zolendronate infusion complication leading to glaucoma filtration surgery

    Directory of Open Access Journals (Sweden)

    Khan A

    2011-08-01

    Full Text Available A Khan1, G Lascaratos1, T Rane-Malcolm2, R Sanders21Princess Alexandra Eye Pavilion, Edinburgh, 2Department of Ophthalmology, Queen Margaret Hospital, Dunfermline, Fife, UKAbstract: Zolendronic acid is a nitrogenous biphosphonate commonly used as an intravenous infusion for the management of Paget’s disease, osteoporosis, and hypercalcemia of malignancy. We report a rare and challenging complication of zolendronate infusion: unilateral acute anterior uveitis followed by persistently raised intraocular pressure despite being on four different classes of antiglaucoma medication. The challenge was that the patient required topical steroid to treat her uveitis in the background of known glaucoma with corresponding steroid response. She eventually underwent a left phacotrabeculectomy augmented with 5-fluorouracil. Four weeks postoperatively she developed an encapsulated bleb and underwent needling with 5-fluorouracil. This case highlights the importance of having a high index of suspicion for anterior uveitis in patients with a red and painful eye after initiating biphosphonate therapy. Caution should also be exercised when prescribing biphosponates to glaucoma patients.Keywords: biphosponates, anterior uveitis, intraocular pressure

  7. A New Approach in the Design of High-Risk Infusion Technology

    Directory of Open Access Journals (Sweden)

    Robert Murphy

    2010-01-01

    Full Text Available The syringe infusion pump has been established as the instrument of choice for high-risk infusions, where potent drugs are often delivered at low rates of flow. However, numerous instances of unexpected flow error with consequent patient physiological impact have been reported. These include unwanted bolus delivery on release of line occlusion, dosage fluctuation due to pump height change and fluid reflux within the multiple pump installations now common in the Intensive Care Unit (ICU. This article examines the performance of a typical ICU syringe infusion pump and identifies mechanical compliance, inherent in commercial designs, as a source of flow error that should not be ignored by equipment designers. A prototype low compliance system is described and tested with performance compared to the conventional design, demonstrating advantages in terms of lower flow error.

  8. Case Study: Mini-Case Studies: Small Infusions of Active Learning for Large-Lecture Courses

    Science.gov (United States)

    Carloye, Lisa

    2017-01-01

    In this article, the author introduces the usage of case studies to be an excellent method for engaging students through stories. The author notes she developed a series of mini-case studies that can be implemented, with a little advance preparation, within a 10- to 15-minute window during lecture. What makes them "mini" case studies?…

  9. [Micropump infusion of gonadorelin in the treatment of hypogonadotropic hypogonadism in patients with pituitary stalk interruption syndrome: cases analysis and literature review].

    Science.gov (United States)

    Shao, Wei-min; Bai, Wen-jun; Chen, Yi-min; Liu, Lei; Wang, Yu-jie

    2014-08-18

    Two cases of hypogonadotropic hypogonadism caused by pituitary stalk interruption syndrome treated by pulse infusion of gonadorelin via micropump were reported, and their clinical features and the treatment process of pulse infusion of gonadorelin via micropump summarized. Both of the 2 patients were presented primarily with hypogonadotropic hypogonadism. After the treatment with pulse infusion of gonadorelin via micropump, their syndrome of androgen deficiency improved and the gonadotropin levels promoted at the end of 12 weeks' follow-up. Pulse infusion of gonadorelin via micropump is an alternative to treat hypogonadotropic hypogonadism caused by pituitary stalk interruption syndrome.

  10. A case of central diabetes insipidus after ketamine infusion during an external to internal carotid artery bypass.

    Science.gov (United States)

    Gaffar, Sharib; Eskander, Jonathan P; Beakley, Burton D; McClure, Brian P; Amenta, Peter; Pierre, Nakeisha

    2017-02-01

    We report the first teenage case of ketamine-induced transient central diabetes insipidus. The patient was an 18-year-old woman with moyamoya disease undergoing an external carotid to internal carotid bypass and given a low-dose ketamine infusion. After approximately 2 hours in the supine position, with 0.5 Minimum Alveolar Concentration (MAC) of sevoflurane, a propofol infusion at 50 μg/kg/min, a remifentanil infusion at 0.5 μg/kg/min, and a ketamine infusion at a dose of 10 μg/kg/min, this patient had an excessive urine output. Initially, the Foley catheter contained 50 mL of urine. She was given 1500 mL of crystalloid during the case but produced 2700 mL of urine output. Increasing urine output was noted 1 hour into the procedure around the time that the patient experienced a 2-minute Cushing-like response characterized by bradycardia and hypertension. Several I-Stat samples revealed a worsening hypernatremia. The decision was made to check the urine osmolality and treat the patient with 4 μg of desmopressin (DDAVP). Urine output began to slow down to a normal rate of 2 mg/kg/h, as the patient was transferred from the operating room to the computed tomographic (CT) scanning room for a CT and CT angiogram; both were unremarkable. The neurosurgery team waited until the next day to complete the procedure. The procedure was completed successfully and uneventfully the next day without a ketamine infusion as part of the general anesthetic plan. The Naranjo Adverse Drug Reaction score of 4 suggested a possible relationship between the patient's ketamine infusion and subsequent central diabetes insipidus. The 2 previous cases on this topic have suggested that ketamine, as an N-methyl-d-aspartate receptor antagonist, inhibits vasopressin release in the neurohypophysis. Urine output, urine osmolarity, and serum osmolarity should be monitored in patients given ketamine anesthetic; desmopressin should be present to prevent dangerous long-term sequela. Copyright © 2016

  11. Infusion cisternography

    International Nuclear Information System (INIS)

    Magnaes, B.; Rootwelt, K.; Sjaastad, O.

    1976-01-01

    A source of error in cerebrospinal fluid (CSF) infusion tests is leakage at the dural puncture site. The addition of a bolus of radionuclide to the infusion fluid was helpful in detecting the existence of leakage as shown by increased infusion pressure in six of eight patients studied with and without scintigraphic evidence of leakage. Comparison of CSF dynamics in 26 patients studied by infusion cisternography and conventional cisternography showed similar patterns, suggesting no alteration of CSF dynamics by the artificial CSF infusion. Combining the two tests, therefore, resulted in simple identification of the leakage and saved the patient time and discomfort

  12. Diabetes Technology-Continuous Subcutaneous Insulin Infusion Therapy and Continuous Glucose Monitoring in Adults: An Endocrine Society Clinical Practice Guideline.

    Science.gov (United States)

    Peters, Anne L; Ahmann, Andrew J; Battelino, Tadej; Evert, Alison; Hirsch, Irl B; Murad, M Hassan; Winter, William E; Wolpert, Howard

    2016-11-01

    To formulate clinical practice guidelines for the use of continuous glucose monitoring and continuous subcutaneous insulin infusion in adults with diabetes. The participants include an Endocrine Society-appointed Task Force of seven experts, a methodologist, and a medical writer. The American Association for Clinical Chemistry, the American Association of Diabetes Educators, and the European Society of Endocrinology co-sponsored this guideline. The Task Force developed this evidence-based guideline using the Grading of Recommendations, Assessment, Development, and Evaluation system to describe the strength of recommendations and the quality of evidence. The Task Force commissioned one systematic review and used the best available evidence from other published systematic reviews and individual studies. One group meeting, several conference calls, and e-mail communications enabled consensus. Committees and members of the Endocrine Society, the American Association for Clinical Chemistry, the American Association of Diabetes Educators, and the European Society of Endocrinology reviewed and commented on preliminary drafts of these guidelines. Continuous subcutaneous insulin infusion and continuous glucose monitoring have an important role in the treatment of diabetes. Data from randomized controlled trials are limited on the use of medical devices, but existing studies support the use of diabetes technology for a wide variety of indications. This guideline presents a review of the literature and practice recommendations for appropriate device use.

  13. Case Reports Showing a Long-Term Effect of Subanesthetic Ketamine Infusion in Reducing L-DOPA-Induced Dyskinesias

    Directory of Open Access Journals (Sweden)

    Scott J. Sherman

    2016-02-01

    Full Text Available Ketamine is an FDA-approved drug with a known safety profile. Low-dose subanesthetic intravenous ketamine infusion treatment has led to long-term reduction of treatment-resistant depression and of chronic pain states. We report on low-dose subanesthetic intravenous ketamine infusion treatment in Parkinson's disease (PD patients by 5 case studies and show a long-lasting therapeutic benefit to reduce L-DOPA-induced dyskinesia (LID, improve on time, and reduce depression. Based on the literature we hypothesize that low-dose ketamine may act as a ‘chemical deep brain stimulation', by desynchronizing hypersynchronous oscillatory brain activity, including in the basal ganglia and the motor cortex. The presented PD case reports indicate tolerability, safety and long-term beneficial effects of low-dose ketamine infusion that should be further investigated in a properly controlled prospective clinical trial for treatment of LID, as well as the prevalent nonmotor features pain and depression in PD patients.

  14. Comparing Graduate Courses Taught by the Same Instructor Using Competing Approaches: Traditional vs. Technology-Infused

    Science.gov (United States)

    Kisicki, Todd

    2012-01-01

    The use of educational technologies as a tool to improve academic achievement continues to increase as more technologies becomes available to students. However, teachers are entering the classroom not fully prepared to integrate technology into their daily classroom teaching because they have not been adequately prepared to do so. Teacher…

  15. A Contemporary Simulation Infused in the Business Communication Curriculum: A Case Study

    Science.gov (United States)

    Drury-Grogan, Meghann L.; Russ, Travis L.

    2013-01-01

    This research examines students' reactions to a contemporary simulation infused in the business communication curriculum. Results show that students indicated the experience helped them learn how to work better as a team, how to maintain composure, how the business world works, and how to improve their communication. Students also verified the…

  16. Land Cover Change Community-based Processing and Analysis System (LC-ComPS): Lessons Learned from Technology Infusion

    Science.gov (United States)

    Masek, J.; Rao, A.; Gao, F.; Davis, P.; Jackson, G.; Huang, C.; Weinstein, B.

    2008-12-01

    transfer and remote job execution on the grid network of machines. In addition, science support was needed to vet that the grid technology did not have any adverse affects of the science module outputs. Other open source, unproven technologies, such as a workflow package to manage jobs submitted by the user, were infused into the overall system with successful results. This presentation will discuss the basic capabilities of LC-ComPS, explain how the technology was infused, and provide lessons learned for using and integrating the various technologies while developing and operating the system, and finally outline plans moving forward (maintenance and operations decisions) based on the experience to date.

  17. Nanoparticles in Porous Microparticles Prepared by Supercritical Infusion and Pressure Quench Technology for Sustained Delivery of Bevacizumab

    Science.gov (United States)

    K.Yandrapu, Sarath; Upadhyay, Arun K.; Petrash, J. Mark; Kompella, Uday B.

    2014-01-01

    Nanoparticles in porous microparticles (NPinPMP), a novel delivery system for sustained delivery of protein drugs, was developed using supercritical infusion and pressure quench technology, which does not expose proteins to organic solvents or sonication. The delivery system design is based on the ability of supercritical carbon dioxide (SC CO2) to expand poly(lactic-co-glycolic) acid (PLGA) matrix but not polylactic acid (PLA) matrix. The technology was applied to bevacizumab, a protein drug administered once a month intravitreally to treat wet age related macular degeneration. Bevacizumab coated PLA nanoparticles were encapsulated into porosifying PLGA microparticles by exposing the mixture to SC CO2. After SC CO2 exposure, the size of PLGA microparticles increased by 6.9 fold. Confocal and scanning electron microscopy studies demonstrated the expansion and porosification of PLGA microparticles and infusion of PLA nanoparticles inside PLGA microparticles. In vitro release of bevacizumab from NPinPMP was sustained for 4 months. Size exclusion chromatography, fluorescence spectroscopy, circular dichroism spectroscopy, SDS-PAGE, and ELISA studies indicated that the released bevacizumab maintained its monomeric form, conformation, and activity. Further, in vivo delivery of bevacizumab from NPinPMP was evaluated using noninvasive fluorophotometry after intravitreal administration of Alexa Flour 488 conjugated bevacizumab in either solution or NPinPMP in a rat model. Unlike the vitreal signal from Alexa-bevacizumab solution, which reached baseline at 2 weeks, release of Alexa-bevacizumab from NPinPMP could be detected for 2 months. Thus, NPinPMP is a novel sustained release system for protein drugs to reduce frequency of protein injections in the therapy of back of the eye diseases. PMID:24131101

  18. [Seven cases of parathyroidectomy for secondary hyperparathyroidism using methylene blue: suggestion for the method of methylene blue infusion].

    Science.gov (United States)

    Kadoya, Tatsuo; Kinoshita, Yuki; Shiraishi, Munehiro; Uehara, Hirofumi; Yamamoto, Toshinori; Suetsugu, Keiko

    2014-08-01

    Intraoperative staining of the parathyroid glands with intravenously administered methylene blue is well described and has been demonstrated as an effective and safe method to facilitate parathyroidectomy. However, there have been several literatures of the development of postoperative neurological toxicity in patients who received methylene blue infusion during parathyroidectomy. We report the method of methylene blue infusion during parathyroidectomy at our institution. Seven adult patients who had undergone parathyroidectomy for secondary hyperparathyroidism associated with chronic renal failure were included in this study. Methylene blue was administered at a constant rate of 4 mg x kg(-1) x hr(-1) with a 1% solution just before the start of operation. The infusion was stopped after the first parathyroid gland was identified. The mean dose of methylene blue used was 2.2 +/- 0.8 mg x kg(-1). Consequently, the dose of methylene blue by this method could be decreased to less than half of the previously administered dose (6 mg x kg(-1)) at our institution. The dose of methylene blue used should be kept to the minimum required to identify the parathyroid glands in each case.

  19. Pneumococcal polyarticular septic arthritis after a single infusion of infliximab in a rheumatoid arthritis patient: a case report

    Directory of Open Access Journals (Sweden)

    Hayashi Masatoshi

    2012-03-01

    Full Text Available Abstract Introduction We present a case of Streptococcus pneumoniae polyarticular septic arthritis in a patient with rheumatoid arthritis receiving a single infusion of infliximab. Case presentation A 38-year-old Japanese man with a 5-year history of seronegative rheumatoid arthritis had previously received sulphasalazine and methotrexate therapies and was on regular low-dose prednisolone therapy. Despite these treatments, his disease activity remained high and infliximab was introduced in addition to methotrexate, prednisolone, and folic acid. However, he was admitted to hospital with a fever of 40.6°C, chills, and polyarthralgia eight days after the first infusion of infliximab. His joints were swollen, painful, and warm. Laboratory data showed marked acute inflammation. He was diagnosed with bacterial septic polyarthritis, and emergency surgical joint lavage and drainage was performed at the knees along with needle aspiration and lavage of the ankles and right wrist. He was then given intravenous antibiotic therapy for 31 days. He made a good recovery and was discharged on day 37. Conclusions We believe this is the first reported case of severe pneumococcal septic arthritis requiring hospitalization in a patient treated with infliximab. S. pneumonia is now a well-recognized but uncommon cause of polyarticular septic arthritis that can lead to cessation of therapy, as in our patient's case.

  20. Infusing Creativity and Technology in 21st Century Education: A Systemic View for Change

    Science.gov (United States)

    Henriksen, Danah; Mishra, Punya; Fisser, Petra

    2016-01-01

    In this article, we explore creativity alongside educational technology, as fundamental constructs of 21st century education. Creativity has become increasingly important, as one of the most important and noted skills for success in the 21st century. We offer a definition of creativity; and draw upon a systems model of creativity, to suggest…

  1. Infusing Science, Technology, and Society Into an Elementary Teacher Education Program: The Impact on Preservice Teachers

    Science.gov (United States)

    Henning, Mary Beth; Peterson, Barbara R.; King, Kenneth Paul

    2011-01-01

    In an effort to improve science and social studies instruction, preservice teachers developed original science, technology, and society units to teach in elementary and middle school classrooms during their clinical field experience. Data revealed that the preservice teachers fell into categories of being skeptics, open-minded instructors, or…

  2. Successful treatment of nonocclusive mesenteric ischemia after aortic valve replacement with continuous arterial alprostadil infusion: A case report

    Directory of Open Access Journals (Sweden)

    Kunio Ogi

    2017-01-01

    Conclusions: In a patient with recurrent NOMI despite appropriate treatment including intra-arterial infusion of papaverine, continuous intra-arterial infusion of PGE1 may limit the extent of intestinal resection needed. Continuous intra-arterial infusion of PGE1 may be a useful treatment for patients with refractory NOMI.

  3. Reduction of central neuropathic pain with ketamine infusion in a patient with Ehlers–Danlos syndrome: a case report

    Directory of Open Access Journals (Sweden)

    Lo TC

    2016-09-01

    Full Text Available Tony Chung Tung Lo,1,* Stephen Tung Yeung,2,* Sujin Lee,1 Kira Skavinski,3 Solomon Liao,4 1Department of Physical Medicine and Rehabilitation, University of California Irvine, Orange, CA, 2Department of Immunology, University of Connecticut School of Medicine, Farmington, CT, 3Department of Palliative Medicine, University of California San Diego, La Jolla, 4Department of Palliative Medicine, University of California Irvine, Orange, CA, USA *These authors contributed equally to this work Objective: Ehlers–Danlos syndrome frequently causes acute and chronic pain because of joint subluxations and dislocations secondary to hypermobility. Current treatments for pain related to Ehlers–Danlos syndrome and central pain syndrome are inadequate. This case report discusses the therapeutic use of ketamine intravenous infusion as an alternative. Case report: A 27-year-old Caucasian female with a history of Ehlers–Danlos syndrome and spinal cord ischemic myelopathy resulting in central pain syndrome, presented with severe generalized body pain refractory to multiple pharmacological interventions. After a 7-day course of ketamine intravenous infusion under controlled generalized sedation in the intensive care unit, the patient reported a dramatic reduction in pain levels from 7–8 out of 10 to 0–3 out of 10 on a numeric rating scale and had a significant functional improvement. The patient tolerated a reduction in her pain medication regimen, which originally included opioids, gabapentin, pregabalin, tricyclic antidepressants, and nonsteroidal anti-inflammatory drugs. Conclusion: Ketamine infusion treatment has been used in various pain syndromes, including central neuropathic pain, ischemic pain, and regional pain syndrome. Reports have suggested that ketamine modulates pain by the regression of N-methyl-D-aspartate receptor to a resting state. As such, propagation of nociceptive signal to brain is interrupted allowing for the restoration of

  4. Percutaneous implantation of intra-arterial port system for regional drug infusion: results and complications in 110 cases

    International Nuclear Information System (INIS)

    Won, Je Hwan; Lee, Jong Hyuk; Ko, Kyung Hee; Won, Jong Yoon; Park, Sung Il; Lee, Do Yun; Kang, Byung Chul

    2000-01-01

    To investigate the feasibility and complications of a percutaneously implantable port system for regional drug infusion. For intra-arterial drug infusion, a 5.8 or 5-F pediatric venous port system was implanted in 110 patients with hepatocellular carcinoma (n=79), liver metastasis (n=16), gallbladder cancer (n=4), stomach cancer (n=3), pancreatic cancer (n=3), Burger's diseases mellitus (n=2), or lymphoma (n=1). All intra-arterial port implantations were performed percutaneously in an angiographic ward through the common femoral artery (n=98), left subclavian artery (n=10), or left superficial femoral artery (n=2). Complications were evaluated during the follow-up period, which ranged from 21 to 530 (mean, 163) days. The technical success rate for percutaneous implantation of the system was 97.3% (107 of 110 patients). The tips of the port catheter were located in the common hepatic artery (n=34), proper hepatic artery (n=49), right hepatic artery quick resulthepatic artery (n=1), descending aorta at T9 level (n=10), left popliteal artery (n=2), right external iliac artery (n=1), left external iliac artery (n=1), or left deep femoral artery (n=1). Complications were encountered in 24 patients (22.4%), namely chamber site infection (n=7), catheter dislodgement (n=7), catheter occlusion (n=3), migration of coil (n=2), disconnection between chamber and catheter (n=1), kinking of catheter (n=1), arterial occlusion (n=1), necrosis of overlying skin (n=1), and leakage around port chamber (n=1). Outcomes of complications included removal of port systems or cessation of therapy in 12 cases (11.2%), correction of catheter location using a guide wire in five (4.7%), thrombolysis with urokinase in three (2.8%), and straightening using a snare in one (0.9%). In three patients, the port system was used without reintervention. Percutaneous implantation of an intra-arterial port system showed a high technical success rate and a low rate of serious complications. The method may be

  5. Constructive Technology Assessmentand Technology Dynamics. The Case of Clean Technologies

    NARCIS (Netherlands)

    Schot, Johan

    1992-01-01

    A synthesis of neo-Schumpeterian evolutionary, sociological, and historical coevolution ary models could be used for constructive technology assessment, aimed at the active management of the process of technological change. This article proposes a synthetic quasi-evolutionary model, in which

  6. [External lumbar drainage with volumetric continuing infusion pump in patients with cerebrospinal fluid leak. A case series].

    Science.gov (United States)

    Manso Melgosa, Ana Belén; García Gutiérrez, Helena; Fernández Porras, Mónica; Castrillo Manero, Ana Berta; Pérez Marijuán, Belén

    To describe the incidence and complications arising in a number of cases of patients with cerebrospinal fluid leak treated by external lumbar drainage with infusion pump (IP) volumetric continuous from 2001 to 2014. Quantify cerebrospinal fluid leak closed by lumbar drainage with IP. Retrospective descriptive case series study. patients undergoing transsphenoidal pituitary surgery, Chiari surgery and laminectomy, that developed postoperative cerebrospinal fluid leak treated with continuous external lumbar drainage by IP. age, sex, type of intervention, variables related to the practice of the pump and complications. Average and medians were calculated for quantitative variables, frequencies and percentages for qualitative. Sample: 11 subjects. Incidence in running IP: disconnection, occlusion and acoustic alarm activation. Most frequently complication is headache; a case of pneumocephalus. The small number of subjects and the heterogeneity of these do not allow for comparison or establishing associations between variables. The resolution of the cerebrospinal fluid leak with continuous IP is lower in this study than others, and may be influenced by the small number of subjects. It should be noted the frequent activation of the pump alarm for no apparent cause. Protocol would be developed for preparing the IP team to reduce the acoustic alarm activation, and would make a prospective multicenter study. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  7. Improved Gait Performance in a Patient With Hereditary Spastic Paraplegia After a Continuous Intrathecal Baclofen Test Infusion and Subsequent Pump Implantation : A Case Report

    NARCIS (Netherlands)

    Heetla, Herre W.; Halbertsma, Jan P.; Dekker, Rienk; Staal, Michiel J.; van Laar, Teus

    Objective: To show the benefits of a continuous intrathecal baclofen (ITB) test infusion in a patient with hereditary spastic paraplegia (HSP), with an improved gait performance after ITB pump implantation. Design: Case report. Setting: University hospital. Participant: A 49-year old man with HSP

  8. Intravenous infusion of pituitary adenylate cyclase-activating polypeptide (PACAP) in a patient with multiple myeloma and myeloma kidney: a case study.

    Science.gov (United States)

    Li, Min; Maderdrut, Jerome L; Lertora, Juan J L; Batuman, Vecihi

    2007-09-01

    We have recently shown significant renoprotective effects with the administration of pituitary adenylate cyclase-activating polypeptide (PACAP) in models of myeloma kidney. PACAP markedly inhibited the production of proinflammatory cytokines stimulated by immunoglobulin light chains in human renal proximal tubule epithelial cells and in the kidneys of rats infused with myeloma light chains. PACAP was also shown to suppress the proliferation of human kappa and lambda light chain-secreting multiple myeloma-derived cells. In this case study, an 81-year-old male patient with active multiple myeloma and myeloma kidney was infused intravenously with synthetic human PACAP38 at a rate of 4 pmol/kg/min for 120 min. The continuous infusion increased the level of PACAP38 in blood, with a plateau at about 0.2 nM during the infusion. The level of PACAP in the blood rapidly declined after the cessation of administration with a half-life of about 5-10 min. The continuous infusion did not significantly alter the basal glucose level, blood gases or blood pressure. There was a large reduction in free lambda light chains in urine after the start of the treatment with PACAP. These studies show that PACAP can be safely used in humans and suggest that it could be used as a novel therapeutic agent for the treatment of multiple myeloma and myeloma kidney.

  9. A Rare Case of Prototheca Algaemia in a Patient with Systemic Lupus Erythematosus and Recent Belimumab Infusion

    Directory of Open Access Journals (Sweden)

    Carolina Mejia-Otero

    2012-01-01

    Full Text Available Novel agents for the treatment of immune-mediated diseases such as systemic lupus erythematosus (SLE have been increasingly used as an alternative to or in combination with conventional therapies. Belimumab, a human monoclonal antibody that inhibits B-cell activating factor (BAFF, has demonstrated efficacy in moderate-to-severe SLE with similar adverse effects when compared to other biologic agents and conventional SLE therapies. Here, we describe a woman with SLE and diabetes mellitus (DM on immunosuppressive therapy for five years who was admitted to the hospital for pneumonia but had a complicated hospital course with multiple infections and, most notably, a nosocomial algaemia due to Prototheca wickerhamii, which was treated successfully with amphotericin B. She had recently received three belimumab infusions as an outpatient prior to admission to the hospital. To the best of our knowledge no cases of human protothecosis in patients receiving belimumab have been described in the English literature; however, unusual infections have to be considered in all patients undergoing immunosuppressive therapies who persist with fever despite conventional antimicrobials.

  10. Cases, Simulacra, and Semantic Web Technologies

    Science.gov (United States)

    Carmichael, P.; Tscholl, M.

    2013-01-01

    "Ensemble" is an interdisciplinary research and development project exploring the potential role of emerging Semantic Web technologies in case-based learning across learning environments in higher education. Empirical findings have challenged the claim that cases "bring reality into the classroom" and that this, in turn, might…

  11. Goal-directed diuresis: A case - control study of continuous furosemide infusion in critically ill trauma patients

    Directory of Open Access Journals (Sweden)

    Daniel Dante Yeh

    2015-01-01

    Full Text Available Background: Excessive crystalloid administration is common and associated with negative outcomes in critically ill trauma patients. Continuous furosemide infusion (CFI to remove excessive fluid has not been previously described in this population. We hypothesized that a goal-directed CFI is more effective for fluid removal than intermittent bolus injection (IBI diuresis without excess incidence of hypokalemia or renal failure. Materials and Methods: CFI cases were prospectively enrolled between November 2011 and August 2012, and matched to historic IBI controls by age, gender, Injury Severity Score (ISS, and net fluid balance (NFB at diuresis initiation. Paired and unpaired analyses were performed to compare groups. The primary endpoints were net fluid balance, potassium and creatinine levels. Secondary endpoints included intensive care unit (ICU and hospital length of stay (LOS, ventilator-free days (VFD, and mortality. Results: 55 patients were included, with 19 cases and 36 matched controls. Mean age was 54 years, mean ISS was 32.7, and mean initial NFB was +7.7 L. After one day of diuresis with CFI vs. IBI, net 24 h fluid balance was negative (−0.55 L vs. +0.43 L, P = 0.026 only for the CFI group, and there was no difference in potassium and creatinine levels. Cumulative furosemide dose (59.4mg vs. 25.4mg, P < 0.001 and urine output (4.2 L vs. 2.8 L, P < 0.001 were also significantly increased with CFI vs. IBI. There were no statistically significant differences in ICU LOS, hospital LOS, VFD, or mortality. Conclusions: Compared to IBI, goal-directed diuresis by CFI is more successful in achieving net negative fluid balance in patients with fluid overload with no detrimental side effects on renal function or patient outcome.

  12. Teaching and Learning in Two iPad-Infused Classrooms: A Descriptive Case Study of A Dual Classroom, School-Based Pilot Project

    Science.gov (United States)

    Maich, Kimberly; Hall, Carmen L.; van Rhijn, Tricia Marie; Henning, Megan

    2017-01-01

    This multi-methods, descriptive case study examines attitudes and practices of classroom-based iPad use. The site is one inner-city, urban, publicly funded school, focused on two iPad-infused classrooms (Grade 2/3 and Grade 4/5). Data were collected from 5 educators and 35 students to investigate two research questions: How are iPads being…

  13. Thromboembolism Induced by Umbilical Cord Mesenchymal Stem Cell Infusion: A Report of Two Cases and Literature Review.

    Science.gov (United States)

    Wu, Z; Zhang, S; Zhou, L; Cai, J; Tan, J; Gao, X; Zeng, Z; Li, D

    2017-09-01

    To investigate the thromboembolism induced by blood-mediated inflammatory reactions against infused cells during the clinical application of stem cells. Two patients with renal transplantation and chronic kidney disease, respectively, experienced thromboembolism after umbilical cord mesenchymal stem cell (UCMSC) infusion. The clinical manifestations and the laboratory test results were collected and analyzed. The patients received stem cell infusion through the peripheral veins and presented with a swollen and painful forearm postinfusion. Doppler ultrasound showed venous clots at the proximal end of the puncture site. Urokinase and warfarin were used for thrombolytic therapy. The swelling and pain were relieved and cured. Safety concerns are still a primary hurdle for stem cell therapy, and thromboembolism as a critical complication should be prevented appropriately. Copyright © 2017. Published by Elsevier Inc.

  14. Learning by cases in food technology

    DEFF Research Database (Denmark)

    Løje, Hanne

    2012-01-01

    The purpose of this paper is to evaluate the use of the method learning by cases for teaching food technology students at the technical university of Denmark (DTU) and to clarify if the method can be used to improve the motivation and make the students more active and thereby be more in control...... of their own learning process, to feel more secure and less frustrated. The applying of the learning by cases method at the food technology course can make the students to learn in a significantly way, where they will be more actively involved in the learning process than previous. The work with real life...

  15. Educational Potential of Case-Study Technology

    OpenAIRE

    Fedorinova, Zoya; Vorobeva, Victoria; Malyanova, Marina

    2015-01-01

    This article presents the results of phenomenological and typological analysis of case-study technology educational potential. The definition “educational potential of case-study technology” is given, the main characteristics of which are changed in communication and collaborative activity quality, appearance of educational initiatives, change of participants’ position in learning process, formation of “collective subject” in collaborative activity, increase of learning (subject) results. Dep...

  16. Combining situated Cognitive Engineering with a novel testing method in a case study comparing two infusion pump interfaces

    NARCIS (Netherlands)

    Schnittker, R.; Schmettow, M.; Verhoeven, F.; Schraagen, J.M.C.

    2016-01-01

    We validated the usability of a new infusion pump interface designed with a situated Cognitive Engineering approach by comparing it to a reference interface using a novel testing method employing repeated measurements and process measures, in addition to traditional outcome measures. The sample

  17. The technological innovation case of the KAERI

    International Nuclear Information System (INIS)

    Choi, J. I.; Jang, S. K.; Hong, K. P.; Lee, E. S.

    2008-01-01

    The research aims to investigate what key success factors (KSFs) of technological innovation in KAERI are, and to suggest how these findings are utilized for KAERI. In order to achieve these goals we have employed case study based on in-depth interview and literature review. And there are two fields of research in KAERI: one is nuclear energy-related research, the other is non energy-related research. The former is 'nuclear fuel cladding tube' which is an industrial product and being regarded as catch-up (or imitative) mode of technological innovation: the latter is 'HemoHIM', herbal composition of health functional food, which is consumer goods and regarded as creative (or innovative) mode of technological innovation. We found some KSFs in these two research and development cases in KAERI: firstly, to train researcher to be a 'product champion' who can fill in the gap of 'death valley' between pure research and commercialization: secondly, to build researchers' competency in order to catch up advanced countries' technological competencies. Thirdly, to amend institutional rules and regulations for commercializing processes of R and D outcomes, notably 'R and D joint venture by Government Research Institute (GRI) and private sector' fourthly, to enhance the capabilities of external management for researchers' technological innovation competency. And finally, we recommend using successful R and D cases as educational materials when training young researchers for sharing old generations' experiences and tacit knowledge

  18. A technology-enhanced patient case workshop.

    Science.gov (United States)

    Pai, Vinita B; Kelley, Katherine A; Bellebaum, Katherine L

    2009-08-28

    To assess the impact of technology-based changes on student learning, skill development, and satisfaction in a patient-case workshop. A new workshop format for a course was adopted over a 3-year period. Students received and completed patient cases and obtained immediate performance feedback in class instead of preparing the case prior to class and waiting for instructors to grade and return their cases. The cases were designed and accessed via an online course management system. Student satisfaction was measured using end-of-course surveys. The impact of the technology-based changes on student learning, problem-solving, and critical-thinking skills was measured and compared between the 2 different course formats by assessing changes in examination responses. Three advantages to the new format were reported: real-life format in terms of time constraint for responses, a team learning environment, and expedient grading and feedback. Students overwhelmingly agreed that the new format should be continued. Students' examination scores improved significantly under the new format. The change in delivery of patient-case workshops to an online, real-time system was well accepted and resulted in enhanced learning, critical thinking, and problem-solving skills.

  19. A Case of Malignant Melanoma with In-Transit Metastasis That Responded to Intravenous Infusion of Interferon-β

    Directory of Open Access Journals (Sweden)

    Masaru Arima

    2014-03-01

    Full Text Available A 77-year-old man with a history of surgical resection of malignant melanoma involving the fifth toe of his left foot 14 years ago presented at the Kariya Toyota General Hospital with a 3-month history of skin ulcer at the same site and red nodules on the lower left leg. Malignant melanoma was suspected, and the patient was referred to our department. On examination, a skin ulcer measuring 25 × 20 mm was observed at the amputation site on the left foot. In addition, multiple red nodules were observed on the lower left leg. Skin biopsies of the ulcer and nodules revealed recurrent malignant melanoma with in-transit metastasis. Two weeks later, he developed acute myocardial infarction and was hospitalized at the Kariya Toyota General Hospital. One month later, the myocardial infarction ameliorated, and he was transferred to our department. As the myocardial infarction had decreased the patient's tolerance to surgery, interferon-β was administered by intravenous infusion. The skin ulcer and red nodules on the lower left leg disappeared 26 weeks after infusion had been initiated. The patient's progress has been satisfactory, with no evidence of recurrence or metastasis at 1 year and 9 months after the initiation of intravenous infusion.

  20. Studying the Impact of Technology-Infused Activities among Low-Income Spanish-Speaking Immigrant Families

    Science.gov (United States)

    Rivera, Héctor H.

    2014-01-01

    This study examines the impact of an intervention technology program--Community Learning Centers--designed to assist low-income Spanish-speaking parents in learning and using technology for family advancement. The study is based on a sample of 408 participants who completed pre- and post-surveys. Data collection was conducted across 2 years in…

  1. The technological innovation case of the KAERI

    Energy Technology Data Exchange (ETDEWEB)

    Choi, J. I. [Habat Univ., Daejeon (Korea, Republic of); Jang, S. K. [Sungkonghoe Univ., Seoul (Korea, Republic of); Hong, K. P. [Baekseok Univ., Chunan (Korea, Republic of); Lee, E. S. [National Fusion Research Institue, Daejeon (Korea, Republic of)

    2008-01-15

    The research aims to investigate what key success factors (KSFs) of technological innovation in KAERI are, and to suggest how these findings are utilized for KAERI. In order to achieve these goals we have employed case study based on in-depth interview and literature review. And there are two fields of research in KAERI: one is nuclear energy-related research, the other is non energy-related research. The former is 'nuclear fuel cladding tube' which is an industrial product and being regarded as catch-up (or imitative) mode of technological innovation: the latter is 'HemoHIM', herbal composition of health functional food, which is consumer goods and regarded as creative (or innovative) mode of technological innovation. We found some KSFs in these two research and development cases in KAERI: firstly, to train researcher to be a 'product champion' who can fill in the gap of 'death valley' between pure research and commercialization: secondly, to build researchers' competency in order to catch up advanced countries' technological competencies. Thirdly, to amend institutional rules and regulations for commercializing processes of R and D outcomes, notably 'R and D joint venture by Government Research Institute (GRI) and private sector' fourthly, to enhance the capabilities of external management for researchers' technological innovation competency. And finally, we recommend using successful R and D cases as educational materials when training young researchers for sharing old generations' experiences and tacit knowledge.

  2. Key Factors that Influence the Diffusion and Infusion of Information and Communication Technologies in Kenyan Higher Education

    Science.gov (United States)

    Macharia, Jimmy K. N.; Pelser, Theunis G.

    2014-01-01

    Previous studies have shown that in the higher education sector, information and communication technology (ICT) provides the impetus for change from the traditional concepts of teaching and learning, as well as prime motivation behind the change in scholarly and professional activities. This underscores the importance of ICT in higher education in…

  3. Funding and Strategic Alignment Guidance for Infusing Small Business Innovation Research Technology into Aeronautics Research Mission Directorate Projects for 2016

    Science.gov (United States)

    Nguyen, Hung D.; Steele, Gynelle C.

    2017-01-01

    This report is intended to help NASA program and project managers incorporate Small Business Innovation Research (SBIR) technologies into NASA Aeronautics Research Mission Directorate (ARMD) projects. Other Government and commercial project managers interested in ARMD funding opportunities through NASA's SBIR program will find this report useful as well.

  4. Infusion of Emerging Technologies and New Teaching Methods into the Mechanical Engineering Curriculum at the City College of New York

    Science.gov (United States)

    Delale, Feridun; Liaw, Benjamin M.; Jiji, Latif M.; Voiculescu, Ioana; Yu, Honghui

    2011-01-01

    From October 2003 to April 2008 a systemic reform of the Mechanical Engineering program at The City College of New York was undertaken with the goal of incorporating emerging technologies (such as nanotechnology, biotechnology, Micro-Electro-Mechanical Systems (MEMS), intelligent systems) and new teaching methodologies (such as project based…

  5. Ames Infusion Stories for NASA Annual Technology Report: Nano Entry System for CubeSat-Class Payloads

    Science.gov (United States)

    Smith, Brandon; Jan, Darrell Leslie; Venkatapathy, Etiraj

    2015-01-01

    The Nano Entry System for CubeSat-Class Payloads led to the development of the Nano-Adaptable Deployable Entry and Placement Technology ("Nano-ADEPT"). Nano-ADEPT is a mechanically deployed entry, descent, and landing (EDL) system that stows during launch and cruise (like an umbrella) and serves as both heat shield and primary structure during EDL. It is especially designed for small spacecraft where volume is a limiting constraint.

  6. Funding and Strategic Alignment Guidance for Infusing Small Business Innovation Research Technology Into Human Exploration and Operations Mission Directorate Projects at Glenn Research Center for 2015

    Science.gov (United States)

    Nguyen, Hung D.; Steele, Gynelle C.

    2016-01-01

    This report is intended to help NASA program and project managers incorporate Glenn Research Center Small Business Innovation Research/Small Business Technology Transfer (SBIR)/(STTR) technologies into NASA Human Exploration and Operations Mission Directorate (HEOMD) programs and projects. Other Government and commercial project managers can also find this useful. Introduction Incorporating Small Business Innovation Research (SBIR)-developed technology into NASA projects is important, especially given the Agency's limited resources for technology development. The SBIR program's original intention was for technologies that had completed Phase II to be ready for integration into NASA programs, however, in many cases there is a gap between Technology Readiness Levels (TRLs) 5 and 6 that needs to be closed. After SBIR Phase II projects are completed, the technology is evaluated against various parameters and a TRL rating is assigned. Most programs tend to adopt more mature technologies-at least TRL 6 to reduce the risk to the mission rather than adopt TRLs between 3 and 5 because those technologies are perceived as too risky. The gap between TRLs 5 and 6 is often called the "Valley of Death" (Figure 1), and historically it has been difficult to close because of a lack of funding support from programs. Several papers have already suggested remedies on how to close the gap (Refs. 1 to 4).

  7. Equipping Teachers to Infuse Technology

    Science.gov (United States)

    Schrock, Kathy

    2012-01-01

    On a district-wide professional development day, a consultant presents to an auditorium of 250 teachers and conducts follow-up sessions with smaller groups throughout the day. The event is chock-full of information, and the teachers feel good about the resources and skills they have learned. The consultant departs at the end of the day knowing she…

  8. The effects of technology-enriched school intervention: a multiple case study analysis

    NARCIS (Netherlands)

    Collis, Betty; Carleer, G.J.

    1993-01-01

    Technology-enriched school projects are initiatives in real school settings that infuse extra computer-related resources and teacher support and training into a school and then, over a period of years, stimulate and study the school's response to the technology. Such projects have occurred in many

  9. An audit of hospital based outpatient infusions and a pilot program of community-based monoclonal antibody infusions.

    LENUS (Irish Health Repository)

    Doran, J-P

    2012-02-01

    INTRODUCTION: Infliximab, a chimeric monoclonal antibody to tumour necrosis factor alpha, is administered as an intravenous infusion requiring a costly hospital day case or inpatient admission. METHODS: An audit of all current therapies given by intravenous infusions in an outpatient setting in St Vincent\\'s University Hospital (SVUH) was undertaken. Furthermore, in conjunction with TCP homecare, we established in a general practise health clinic, the first Irish community infusion centre for the administration of infliximab in August 2006. RESULTS: All outpatient departments indicated that they would favour a centralized hospital infusion unit. There were no adverse events and the mean global satisfaction improved in the community infliximab infusion pilot programme of seven patients. CONCLUSION: This study suggests efficiencies in providing centralized infusion facilities, while the community based infusion of infliximab is feasible and safe in this small cohort and identifies the community infusion unit as a viable and cost efficient alternative for administration of infliximab.

  10. Intracisternal ziconotide infusion. Clinical case of an inoperable pharynx cancer patient with severe cervico-facial pain syndrome

    OpenAIRE

    Sergio Mameli; Giovanni Maria Pisanu; Angela Maria Pili; Maura Carboni

    2015-01-01

    The authors describe the clinical case of a patient suffering from severe cervico-facial pain syndrome with great incident component from inoperable pharynx cancer. The patient that was poorly responding to systemic therapy with high doses of opioids, benefi ted from intrathecal administration of ziconotide in combination with morphine and bupivacaine. After a long period of effectiveness (16 months), the patient complained of pain recurrence.The increase of ziconotide dose caused a ser...

  11. Continuous-infusion adriamycin

    International Nuclear Information System (INIS)

    Benjamin, R.S.; Chawla, S.P.; Ewer, M.S.; Hortobagyi, G.N.

    1986-01-01

    This chapter discusses the diminished cardiotoxicity as well as diminished nausea and vomiting with continuous infusions of adriamycin to patients undergoing radiation therapy, particularly with infusions of 48 hours or longer, and best with 96-hour infusions, the longest duration that has been studied systematically. In breast cancer, data show that more adriamycin is better, but only for a selected subgroup of patients: those with complete remission. The diminished cardiotoxicity makes the use of adriamycin more attractive in the adjuvant situation, where increased safety will decrease the chances of long-term complications and make retreatment easy for cured patients who develop second malignancies

  12. The effect of glucagon on infusion cholangiography

    International Nuclear Information System (INIS)

    Evans, A.F.; Whitehouse, G.H.

    1979-01-01

    An assessment has been made of the effects of glucagon on biliary tract opacification during intravenous cholangiography. Two series of infusion cholangiograms were obtained at two investigating centres designated A and B. In series A, 41 patients had ioglycamide infusions at a rate of 0.2833 g min -1 over 1 h. In series B, 31 patients had ioglycamide infusions at a rate of 0.3886 g min -1 over 30 min. Radiographs were taken in both series immediately at the end of the infusion, 10 min later and 30 min after the infusion. Two mg of intravenous glucagon was injected into alternate cases in both series A and B immediately after the first radiograph was taken at the completion of the ioglycamide infusion. Two observers in each series then assessed the radiographic opacification of the biliary system without prior knowledge of which patients had received the glucagon. Delineation of the biliary system was considered better in both series in those patients who received glucagon when compared with the controls. Gallbladder opacification was definitely increased in series A in those receiving glucagon, and a similar tendency was shown in series B. The amount of contrast in the upper intestine was increased in series A in the glucagon group, but not in series B. It is concluded that glucagon improves visualisation of the biliary tract, especially the gallbladder at infusion cholangiography. (author)

  13. CM: Becoming a technology firm (teaching case)

    NARCIS (Netherlands)

    van Burg, J.C.; Reymen, I.M.M.J.; Dolmans, S.A.M.

    2011-01-01

    Founded in 2000 as a Short Message Service (SMS) marketing company for discos (clubs), CM evolved into a technology provider for SMS services. By 2008, CM was market leader in The Netherlands, a position won by offering high quality services at low prices. In 2010, the founders of the company were

  14. Review of casing while drilling technology

    Directory of Open Access Journals (Sweden)

    Pavković Bojan

    2016-01-01

    Full Text Available Conventional drilling methods have been plagued with huge operational and financial challenges, such as cost of purchasing, inspecting, handling, transporting the drill equipment and most importantly, tripping in-and-out of the drill string whenever the Bottom Hole Assembly (BHA needs a replacement, needs of wiper trip or when total depth is reached. The tripping in-and-out of the drill string not only contributes to Non Productive Time (NPT but also leads to well control difficulties including wellbore instability and lost circulation. All this has led Oil and Gas industry, as well as any other engineering industry, to seek for new ways and methods in order to reduce these problems. Thanks to the advances in technical solutions and constant improvements of conventional drilling methods, a new drilling method - casing while drilling has been developed. Casing Drilling encompasses the process of simultaneously drilling and casing a well, using the active casing and thus optimizes the production. This paper presents a review of casing while drilling method (CwD and its practical usage in drilling wells. The comparison of conventional drilling method and casing while drilling is also presented. The CwD method achieves significantly better results than conventional drilling method.

  15. Proof of feasibility of the through casing resistivity technology

    Energy Technology Data Exchange (ETDEWEB)

    Vail, Dr. W. Banning; Momii, Steven T.

    2000-06-21

    This project is to definitely prove that the resistivity of geological formations can be measured from within cased wells and to license the relevant patents and technology to major wireline service companies.

  16. Technology Prompts New Understandings: The Case of Equality

    Science.gov (United States)

    Bardini, Caroline; Oldenburg, Reinhard; Stacey, Kaye; Pierce, Robyn

    2013-01-01

    Changes to students' understanding of mathematical notation may be brought about by using technology within mathematics. Taking equality as a case study, the paper provides brief epistemological, historical, didactical, and computational reviews of its symbolic representation in pen-and-paper and technology-assisted mathematics, most especially in…

  17. A case study of technology transfer: Cardiology

    Science.gov (United States)

    Schafer, G.

    1974-01-01

    Research advancements in cardiology instrumentation and techniques are summarized. Emphasis is placed upon the following techniques: (1) development of electrodes which show good skin compatibility and wearer comfort; (2) contourography - a real time display system for showing the results of EKGs; (3) detection of arteriosclerosis by digital computer processing of X-ray photos; (4) automated, noninvasive systems for blood pressure measurement; (5) ultrasonoscope - a noninvasive device for use in diagnosis of aortic, mitral, and tricuspid valve disease; and (6) rechargable cardiac pacemakers. The formation of a biomedical applications team which is an interdisciplinary team to bridge the gap between the developers and users of technology is described.

  18. THE USE OF CASE TECHNOLOGIES IN TEACHING STUDENTS

    Directory of Open Access Journals (Sweden)

    Yuliya M. Tsarapkina

    2015-01-01

    Full Text Available Аbstract. The aim of the article is to consider the possibilities of use of case technologies in educational process of the university; to prove the efficiency and perspectivity of the given method while training the future expertsprofessionalsMethods. Retrospective and abstract analyses of the scientific-theoretical and practical literature are used while describing the history of development of case-study technology and its didactic possibilities. Test materials are used as the measuring tool of dynamics of informative activity of students, changes of level of their knowledge and abilities in the process of skilled-experimental work.Results and scientific novelty. The way of formation of concept «case technology» is shown; examples of various approaches to understanding of the given method are given; author's experience of research of the given problem is described; stages of work with case technology are allocated. It is experimentally proved that case technologies not only help to fix subject knowledge, to find professional the competence, but also promote development of creative thinking, and form skills of behaviour in a group: abilities to operate in a team, to state and defend the point of view, to listen, to carry on dialogue, to ask questions, to operate with the knowledge, building logic schemes of the problem solution. Besides, during the training period using a case technology students study independent ways of knowledge acquisition which are necessary for the modern professional in constantly ever-changing economic and social realities.The case method reveals creative potential, learns to think and operate differently not only students, but also teachers. This method promotes democratisation of educational process, formation of teachers’ progressive thinking, raises motivation of pedagogical activity.Practical significance. The article provides conclusions and recommendations for the use of case technologies in the

  19. Continuous radioisotope infusion

    International Nuclear Information System (INIS)

    Soederborg, B.; Asaba, H.; Gunnarsson, B.; Jekell, K.; Kiibus, A.; Sandqvist, S.

    1978-01-01

    Continuous infusion of a radioactive marker was used instead of a conventional bolus injection to improve haemodynamic studies. Tc-99m was infused into the blood circulation at a constant rate for 100-300 seconds and the activity in the target structure was measured by a gamma camera with a computer system or by a single detector. The concentration of the marker increased linearly at the same rate throughout the circulating system. Due to variations in transport time from infusion site to different parts of the system the rise of activity occurred at different times. A theory for the calculations was presented and consequently confirmed in a model study. Blood flow patterns in artificial kidneys and alterations in renal blood flow induced by angiotensin were studied. The results are presented as time-function curves or as computer images. This technique can be used to evaluate distributions and alterations of flow in separate parts of a complex circulating system. (author)

  20. Costs of Providing Infusion Therapy for Rheumatoid Arthritis in a Hospital-based Infusion Center Setting.

    Science.gov (United States)

    Schmier, Jordana; Ogden, Kristine; Nickman, Nancy; Halpern, Michael T; Cifaldi, Mary; Ganguli, Arijit; Bao, Yanjun; Garg, Vishvas

    2017-08-01

    Many hospital-based infusion centers treat patients with rheumatoid arthritis (RA) with intravenous biologic agents, yet may have a limited understanding of the overall costs of infusion in this setting. The purposes of this study were to conduct a microcosting analysis from a hospital perspective and to develop a model using an activity-based costing approach for estimating costs associated with the provision of hospital-based infusion services (preparation, administration, and follow-up) in the United States for maintenance treatment of moderate to severe RA. A spreadsheet-based model was developed. Inputs included hourly wages, time spent providing care, supply/overhead costs, laboratory testing, infusion center size, and practice pattern information. Base-case values were derived from data from surveys, published studies, standard cost sources, and expert opinion. Costs are presented in year-2017 US dollars. The base case modeled a hospital infusion center serving patients with RA treated with abatacept, tocilizumab, infliximab, or rituximab. Estimated overall costs of infusions per patient per year were $36,663 (rituximab), $36,821 (tocilizumab), $44,973 (infliximab), and $46,532 (abatacept). Of all therapies, the biologic agents represented the greatest share of overall costs, ranging from 87% to $91% of overall costs per year. Excluding infusion drug costs, labor accounted for 53% to 57% of infusion costs. Biologic agents represented the highest single cost associated with RA infusion care; however, personnel, supplies, and overhead costs also contributed substantially to overall costs (8%-16%). This model may provide a helpful and adaptable framework for use by hospitals in informing decision making about services offered and their associated financial implications. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  1. Hurdling barriers through market uncertainty: Case studies ininnovative technology adoption

    Energy Technology Data Exchange (ETDEWEB)

    Payne, Christopher T.; Radspieler Jr., Anthony; Payne, Jack

    2002-08-18

    The crisis atmosphere surrounding electricity availability in California during the summer of 2001 produced two distinct phenomena in commercial energy consumption decision-making: desires to guarantee energy availability while blackouts were still widely anticipated, and desires to avoid or mitigate significant price increases when higher commercial electricity tariffs took effect. The climate of increased consideration of these factors seems to have led, in some cases, to greater willingness on the part of business decision-makers to consider highly innovative technologies. This paper examines three case studies of innovative technology adoption: retrofit of time-and-temperature signs on an office building; installation of fuel cells to supply power, heating, and cooling to the same building; and installation of a gas-fired heat pump at a microbrewery. We examine the decision process that led to adoption of these technologies. In each case, specific constraints had made more conventional energy-efficient technologies inapplicable. We examine how these barriers to technology adoption developed over time, how the California energy decision-making climate combined with the characteristics of these innovative technologies to overcome the barriers, and what the implications of hurdling these barriers are for future energy decisions within the firms.

  2. [A case report-advanced pancreas cancer with liver and lung metastases well controlled over one year by combination therapy with systemic chemotherapy, radiation and hepatic arterial infusion in an outpatient setting].

    Science.gov (United States)

    Hasuike, Yasunori; Tanigawa, Takahiko; Yamada, Masaharu; Minami, Yukiko; Ezumi, Koji; Kashiwazaki, Masaki; Fujimoto, Takayoshi

    2008-11-01

    We report a case of advanced pancreatic cancer with liver and lung metastases that was well controlled over one year by combination therapy with systemic chemotherapy, radiation and hepatic arterial infusion in an outpatient setting. The patient was a 74-year-old woman. Chief complaints were back pain and anorexia. She was diagnosed with pancreas cancer with liver and lung metastases at the time of first visit. We started systemic chemotherapy with gemcitabine 1 g/body and 5-FU 1 g/body alternately every other week on an outpatient basis. At 1.5 months (M) after initiation of chemotherapy, we started radiation therapy to the main tumor at a total dose of 40 Gy. After radiation, chemotherapy was resumed. As a result, the size of the main tumor decreased but metastatic liver tumors got larger. Then we changed to combination therapy with systemic chemotherapy (gemcitabine and 5-FU) and hepatic arterial infusion (5-FU weekly). Liver metastases almost disappeared after 7.5 M. Despite all these treatments, however, the number of metastatic lung tumors increased. The patient was hospitalized for 15 M and died after 17 M. We focused on and succeeded in the prolongation of lifetime and maintenance of QOL by combination therapy with systemic chemotherapy, radiation and hepatic arterial infusion therapy.

  3. Demonstrating and implementing innovative technologies: Case studies from the USDOE Office of Technology Development

    International Nuclear Information System (INIS)

    Brouns, T.M.; Koegler, K.J.; Mamiya, L.S.

    1995-02-01

    This paper describes elements of success for demonstration, evaluation, and transfer for deployment of innovative technologies for environmental restoration. They have been compiled from lessons learned through the US Department of Energy (DOE) Office of Technology Development's Volatile Organic Compounds in Arid Soil Integrated Demonstration (VOC-Arid ID). The success of the VOC-Arid ID program was determined by the rapid development demonstration, and transfer for deployment of technologies to operational sites that improve on safety, cost, and/or schedule of performance over baseline technologies. The VOC-Arid ID successfully fielded more than 25 innovative technology field demonstrations; several of the technologies demonstrated have been successfully transferred for deployment Field demonstration is a critical element in the successful transfer of innovative technologies into environmental restoration operations. The measures of success for technology demonstrations include conducting the demonstration in a safe and controlled environment and generating the appropriate information by which to evaluate the technology. However, field demonstrations alone do not guarantee successful transfer for deployment There are many key elements throughout the development and demonstration process that have a significant impact on the success of a technology. This paper presents key elements for a successful technology demonstration and transfer for deployment identified through the experiences of the VOC-Arid ID. Also, several case studies are provided as examples

  4. Endothelial Cell Toxicity of Vancomycin Infusion Combined with Other Antibiotics

    Science.gov (United States)

    Drouet, Maryline; Chai, Feng; Barthélémy, Christine; Lebuffe, Gilles; Debaene, Bertrand; Odou, Pascal

    2015-01-01

    French guidelines recommend central intravenous (i.v.) infusion for high concentrations of vancomycin, but peripheral intravenous (p.i.v.) infusion is often preferred in intensive care units. Vancomycin infusion has been implicated in cases of phlebitis, with endothelial toxicity depending on the drug concentration and the duration of the infusion. Vancomycin is frequently infused in combination with other i.v. antibiotics through the same administrative Y site, but the local toxicity of such combinations has been poorly evaluated. Such an assessment could improve vancomycin infusion procedures in hospitals. Human umbilical vein endothelial cells (HUVEC) were challenged with clinical doses of vancomycin over 24 h with or without other i.v. antibiotics. Cell death was measured with the alamarBlue test. We observed an excess cellular death rate without any synergistic effect but dependent on the numbers of combined infusions when vancomycin and erythromycin or gentamicin were infused through the same Y site. Incompatibility between vancomycin and piperacillin-tazobactam was not observed in our study, and rinsing the cells between the two antibiotic infusions did not reduce endothelial toxicity. No endothelial toxicity of imipenem-cilastatin was observed when combined with vancomycin. p.i.v. vancomycin infusion in combination with other medications requires new recommendations to prevent phlebitis, including limiting coinfusion on the same line, reducing the infusion rate, and choosing an intermittent infusion method. Further studies need to be carried out to explore other drug combinations in long-term vancomycin p.i.v. therapy so as to gain insight into the mechanisms of drug incompatibility under multidrug infusion conditions. PMID:26055373

  5. Resin Infusion Rigidized Inflatable Concept Development and Demonstration Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Utilizing resin infusion to rigidize an inflatable structure and form fiber-reinforced composites on-orbit is a novel concept that builds on current NASA technology...

  6. Case-Based Learning, Pedagogical Innovation, and Semantic Web Technologies

    Science.gov (United States)

    Martinez-Garcia, A.; Morris, S.; Tscholl, M.; Tracy, F.; Carmichael, P.

    2012-01-01

    This paper explores the potential of Semantic Web technologies to support teaching and learning in a variety of higher education settings in which some form of case-based learning is the pedagogy of choice. It draws on the empirical work of a major three year research and development project in the United Kingdom: "Ensemble: Semantic…

  7. Integrating Educational Technologies into Teacher Education: A Case Study

    Science.gov (United States)

    Rawlins, Peter; Kehrwald, Benjamin

    2014-01-01

    This article is a case study of an integrated, experiential approach to improving pre-service teachers' understanding and use of educational technologies in one New Zealand teacher education programme. The study examines the context, design and implementation of a learning activity which integrated student-centred approaches, experiential…

  8. Project-Based Learning in Electronic Technology: A Case Study

    Science.gov (United States)

    Li, Li

    2015-01-01

    A case study of project-based learning (PBL) implemented in Tianjin University of Technology and Education is presented. This multidiscipline project is innovated to meet the novel requirements of industry while keeping its traditional effectiveness in driving students to apply knowledge to practice and problem-solving. The implementation of PBL…

  9. You and Technology, A High School Case Study Text.

    Science.gov (United States)

    Damaskos, Nickander J., Ed.; Smyth, Michael P., Ed.

    This second draft of a manuscript for a high school engineering and technology course uses case studies as its format. The principles associated with various engineering problems are presented along with their effects on daily life. Topics include the computer, the automotive power system, satellite communications, the petroleum industry, water…

  10. Case Study – Idling Reduction Technologies for Emergency Service Vehicles

    Energy Technology Data Exchange (ETDEWEB)

    Laughlin, Michael [Argonne National Lab. (ANL), Argonne, IL (United States); Owens, Russell J. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2016-01-01

    This case study explores the use of idle reduction technologies (IRTs) on emergency service vehicles in police, fire, and ambulance applications. Various commercially available IRT systems and approaches can decrease, or ultimately eliminate, engine idling. Fleets will thus save money on fuel, and will also decrease their criteria pollutant emissions, greenhouse gas emissions, and noise.

  11. International energy technology collaboration and climate change mitigation. Case study 1. Concentrating Solar Power Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Philibert, C. [Energy and Environment Division, International Energy Agency IEA, Paris (France)

    2004-07-01

    international collaboration by describing the globalisation of the economy and current efforts of technology collaboration and transfer. Finally, it considers various ways to strengthen international energy technology collaboration. This paper is one of six case-studies designed in an effort to provide practical insights on the role international technology collaboration could play to achieve the objectives of the UNFCCC. They will all consider the past achievements of international technology collaboration, and the role it could play in helping to develop and disseminate new technologies in the future: what worked, what did not work and why, and what lessons might be drawn from past experiences. Most case studies consider energy technologies that could help mitigate greenhouse gas emissions. A few others consider areas not directly related to greenhouse gas emissions but where international technology collaboration has proven particularly successful in the past. This case study reviews past and current experience in international collaboration in the field of concentrating solar technologies in order to identify lessons that may be relevant for more general climate-friendly technology collaboration. It presents concentrating solar technologies in their current status, recent achievements and development prospects. It analyses the present successes and failures of different forms of international collaboration in this field, and draws lessons for further elaboration of international technology collaboration in addressing climate change.

  12. Funding and Strategic Alignment Guidance for Infusing Small Business Innovation Research Technology Into NASA Programs Associated With the Human Exploration and Operations Mission Directorate

    Science.gov (United States)

    Nguyen, Hung D.; Steele, Gynelle C.

    2015-01-01

    This report is intended to help NASA program and project managers incorporate Small Business Innovation Research/Small Business Technology Transfer (SBIR/STTR) technologies that have gone through Phase II of the SBIR program into NASA Human Exploration and Operations Mission Directorate (HEOMD) programs. Other Government and commercial project managers can also find this information useful.

  13. Funding and Strategic Alignment Guidance for Infusing Small Business Innovation Research Technology into NASA Programs Associated with the Aeronautics Research Mission Directorate

    Science.gov (United States)

    Nguyen, Hung D.; Steele, Gynelle C.

    2015-01-01

    This report is intended to help NASA program and project managers incorporate Small Business Innovation Research/Small Business Technology Transfer (SBIR/STTR) technologies that have gone through Phase II of the SBIR program into NASA Aeronautics and Mission Directorate (ARMD) programs. Other Government and commercial program managers can also find this information useful.

  14. Funding and Strategic Alignment Guidance for Infusing Small Business Innovation Research Technology Into Science Mission Directorate Projects at Glenn Research Center for 2015

    Science.gov (United States)

    Nguyen, Hung D.; Steele, Gynelle C.

    2016-01-01

    This report is intended to help NASA program and project managers incorporate Glenn ResearchCenter Small Business Innovation Research/Small Business Technology Transfer (SBIR)/(STTR)technologies into NASA Science Mission Directorate (SMD) programs/projects. Other Government and commercial project managers can also find this useful.

  15. Funding and Strategic Alignment Guidance for Infusing Small Business Innovation Research Technology into NASA Programs Associated with the Science Mission Directorate

    Science.gov (United States)

    Nguyen, Hung D.; Steele, Gynelle C.

    2015-01-01

    This report is intended to help NASA program and project managers incorporate Small Business Innovation Research/Small Business Technology Transfer (SBIR/STTR) technologies that have gone through Phase II of the SBIR program into NASA Science Mission Directorate (SMD) programs. Other Government and commercial project managers can also find this information useful.

  16. Funding and Strategic Alignment Guidance for Infusing Small Business Innovation Research Technology Into Aeronautics Research Mission Directorate Programs and Projects for 2015

    Science.gov (United States)

    Nguyen, Hung D.; Steele, Gynelle C.

    2016-01-01

    This report is intended to help NASA program and project managers incorporate Small Business Innovation Research/Small Business Technology Transfer (SBIR)/(STTR) technologies into NASA Aeronautics Research Mission Directorate (ARMD) projects. Other Government and commercial projects managers can also find this useful.

  17. Intravenous lidocaine infusion.

    Science.gov (United States)

    Soto, G; Naranjo González, M; Calero, F

    2018-02-26

    Systemic lidocaine used in continuous infusion during the peri-operative period has analgesic, anti-hyperalgesic, as well as anti-inflammatory properties. This makes it capable of reducing the use of opioids and inhalational anaesthetics, and the early return of bowel function, and patient hospital stay. The aim of this narrative review was to highlight the pharmacology and indications for clinical application, along with new and interesting research areas. The clinical applications of peri-operative lidocaine infusion have been reviewed in several recent systematic reviews and meta-analyses in patients undergoing open and laparoscopic abdominal procedures, ambulatory procedures, and other types of surgery. Peri-operative lidocaine infusion may be a useful analgesic adjunct in enhanced recovery protocols. Potential benefits of intravenous lidocaine in chronic post-surgical pain, post-operative cognitive dysfunction, and cancer recurrence are under investigation. Due to its immunomodulation properties over surgical stress, current evidence suggests that intravenous lidocaine could be used in the context of multimodal analgesia. Copyright © 2018 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. Funding and Strategic Alignment Guidance for Infusing Small Business Innovation Research Technology Into Aeronautics Research Mission Directorate Projects at NASA Glenn Research Center for 2015

    Science.gov (United States)

    Nguyen, Hung D.; Steele, Gynelle C.; Morris, Jessica R.

    2015-01-01

    This document is intended to enable the more effective transition of NASA Glenn Research Center (GRC) SBIR technologies funded by the Small Business Innovation Research (SBIR) program as well as its companion, the Small Business Technology Transfer (STTR) program into NASA Aeronautics Research Mission Directorate (ARMD) projects. Primarily, it is intended to help NASA program and project managers find useful technologies that have undergone extensive research and development (RRD), through Phase II of the SBIR program; however, it can also assist non-NASA agencies and commercial companies in this process. aviation safety, unmanned aircraft, ground and flight test technique, low emissions, quiet performance, rotorcraft

  19. UK Health and Social Care Case Studies: Iterative Technology Development.

    Science.gov (United States)

    Blanchard, Adie; Gilbert, Laura; Dawson, Tom

    2017-01-01

    As a result of increasing demand in the face of reducing resources, technology has been implemented in many social and health care services to improve service efficiency. This paper outlines the experiences of deploying a 'Software as a Service' application in the UK social and health care sectors. The case studies demonstrate that every implementation is different, and unique to each organisation. Technology design and integration can be facilitated by ongoing engagement and collaboration with all stakeholders, flexible design, and attention to interoperability to suit services and their workflows.

  20. Pilot Project Technology Business Case: Mobile Work Packages

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Ken [Idaho National Lab. (INL), Idaho Falls, ID (United States); Lawrie, Sean [ScottMadden, Inc., Raleigh, NC (United States); Niedermuller, Josef [ScottMadden, Inc., Raleigh, NC (United States)

    2015-05-01

    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 demonstrating actual cost reductions that can be credited to budgets and thereby truly reduce O&M or capital costs. Technology enhancements, while enhancing work methods and making work more efficient, often fail to eliminate workload such that it changes overall staffing and material cost requirements. It is critical to demonstrate cost reductions or impacts on non-cost performance objectives in order for the business case to justify investment by nuclear operators. The Business Case Methodology (BCM) was developed in September of 2015 to frame the benefit side of II&C technologies to address the “benefit” side of the analysis—as opposed to the cost side—and how the organization evaluates discretionary projects (net present value (NPV), accounting effects of taxes, discount rates, etc.). The cost and analysis side is not particularly difficult for the organization and can usually be determined with a fair amount of precision (not withstanding implementation project cost overruns). It is in determining the “benefits” side of the analysis that utilities have more difficulty in technology projects and that is the focus of this methodology. The methodology is presented in the context of the entire process, but the tool provided is limited to determining the organizational benefits only. This report describes a the use of the BCM in building a business case for mobile work packages, which includes computer-based procedures and other automated elements of a work package. Key to those impacts will be identifying where the savings are

  1. Funding and Strategic Alignment Guidance for Infusing Small Business Innovation Research Technology Into Human Exploration and Operations Mission Directorate Projects for 2016

    Science.gov (United States)

    Nguyen, Hung D.; Steele, Gynelle C.

    2017-01-01

    This report is intended to help NASA program and project managers incorporate Small Business Innovation Research Small Business Technology Transfer (SBIR/STTR) technologies into NASA Human Exploration and Operations Mission Directorate (HEOMD) projects. Other Government and commercial projects managers can also find this useful. Space Transportation; Life Support and Habitation Systems; Extra-Vehicular Activity; High EfficiencySpace Power; Human Exploration and Operations Mission,

  2. Wireless Technology Use Case Requirement Analysis for Future Space Applications

    Science.gov (United States)

    Abedi, Ali; Wilkerson, DeLisa

    2016-01-01

    This report presents various use case scenarios for wireless technology -including radio frequency (RF), optical, and acoustic- and studies requirements and boundary conditions in each scenario. The results of this study can be used to prioritize technology evaluation and development and in the long run help in development of a roadmap for future use of wireless technology. The presented scenarios cover the following application areas: (i) Space Vehicles (manned/unmanned), (ii) Satellites and Payloads, (iii) Surface Explorations, (iv) Ground Systems, and (v) Habitats. The requirement analysis covers two parallel set of conditions. The first set includes the environmental conditions such as temperature, radiation, noise/interference, wireless channel characteristics and accessibility. The second set of requirements are dictated by the application and may include parameters such as latency, throughput (effective data rate), error tolerance, and reliability. This report provides a comprehensive overview of all requirements from both perspectives and details their effects on wireless system reliability and network design. Application area examples are based on 2015 NASA Technology roadmap with specific focus on technology areas: TA 2.4, 3.3, 5.2, 5.5, 6.4, 7.4, and 10.4 sections that might benefit from wireless technology.

  3. Cervical Ectopic Pregnancy following Assisted Reproductive Technology: A Case Report

    Directory of Open Access Journals (Sweden)

    Firoozeh Ahmadi

    2012-01-01

    Full Text Available Cervical ectopic pregnancy (EP is an infrequent, life-threatening form of ectopic gestationpregnancy that implants within the endocervical canal. With the increase in use of assistedreproductive technology (ART worldwide and more liberal use of transvaginal sonography (TVSduring early pregnancy, more cases of cervical ectopic pregnancy are being diagnosed. Earlydiagnosis of this condition by using ultrasound imaging allows for prevention of maternal morbiditydue to hemorrhage and leads to conservative management of this condition.We present the case ofa 38-year old woman (gravida 1, para 0 who was found to have acervical ectopic pregnancy at sixweeks of gestation.

  4. Privacy, technology, and norms: the case of Smart Meters.

    Science.gov (United States)

    Horne, Christine; Darras, Brice; Bean, Elyse; Srivastava, Anurag; Frickel, Scott

    2015-05-01

    Norms shift and emerge in response to technological innovation. One such innovation is Smart Meters - components of Smart Grid energy systems capable of minute-to-minute transmission of consumer electricity use information. We integrate theory from sociological research on social norms and privacy to examine how privacy threats affect the demand for and expectations of norms that emerge in response to new technologies, using Smart Meters as a test case. Results from three vignette experiments suggest that increased threats to privacy created by Smart Meters are likely to provoke strong demand for and expectations of norms opposing the technology and that the strength of these normative rules is at least partly conditional on the context. Privacy concerns vary little with actors' demographic characteristics. These findings contribute to theoretical understanding of norm emergence and have practical implications for implementing privacy protections that effectively address concerns of electricity users. Copyright © 2014 Elsevier Inc. All rights reserved.

  5. A business case for Smart Grid technologies: A systemic perspective

    International Nuclear Information System (INIS)

    Giordano, Vincenzo; Fulli, Gianluca

    2012-01-01

    The digitalization of the electricity grid opens the way to bundle value added services to the electricity commodity, and possibly shift business value to electricity services in line with the notions of efficiency, conservation and sustainability. In this context, market forces should be mobilized within the boundaries of energy policy goals to contribute to the massive investments that are required to fulfill the Smart Grid vision. In this paper, we present a systemic perspective aimed at establishing technical and economic synergies that may improve the business cases of individual different Smart Grid technologies and contribute to reverse the consumption-driven paradigm of the electricity sector. Our analysis is supported by evidence from applications in the electric vehicle and smart meter ecosystems. Throughout the paper, an EU (European Union) perspective is primarily considered. - Highlights: ► We show how the analysis of systemic effects can play a fundamental role in offering a business case to Smart Grid technology and in providing some guidance to new policy interventions and initiatives. ► We base our discussion on two case studies: the set-up of business platforms for (1) Electric Vehicles and E-mobility services and (2) Smart Meters and Smart Home Services. ► We highlight how new business arrangements might leverage technological/business synergies, foster investments and shift business value to electricity services. ► We discuss possible downsides and challenges such as privacy concerns, dominant positions in new business platforms, and consumers' resistance.

  6. Intraarterial infusion chemotherapy for the treatment of metastatic liver cancer

    International Nuclear Information System (INIS)

    Arai, Yasuaki; Kido, Choichiro

    1987-01-01

    Some techniques of the most recent interventional radiology are very useful for the treatment of metastatic liver cancer and changing the style of hepatic infusion chemotherapy. This report shows our latest results and methods of hepatic infusion chemotherapy for metastatic liver cancer. 1. For the catheter placement, a new catheterization route via the left subclavian artery into the hepatic artery was developed and performed in 132 cases. Superselective catheterization succeeded in 123 cases (93.2 %). This procedure is less invasive than laparotomy and less troublesome than other percutaneous routes. 2. For useful infusion system, an implantable injection port ''Reservoir'' was developed and it was used in 87 cases. This method makes arterial infusion chemotherapy easy, and imploves their quality of life. 3. To acquire adequate drug delivery, arterial redistribution by steel coils was done, and 109 arteries in 80 cases were occluded. This method is very useful to make multiple hepatic artery single and it is important to avoid gasroduodenal complications. 4. Now, using these techniques, the phase II study of 5FU, ADM, MMC combined hepatic infusion in patients with non-resectable metastatic liver cancer is done. Up to this time, such a phase study on arterial infusion chemotherapy was difficult because of technical problems, but these new techniques make it possible. In conclusion, these new methods change the style and conception of hepatic infusion, and these make much progress on the treatment of patients with metastatic liver cancer. (author)

  7. Running casing on conventional wells with Casing Drilling {sup TM} technology

    Energy Technology Data Exchange (ETDEWEB)

    Warren, T.M.; Schneider, W.P.; Johns, R.P.; Zipse, K.D. [Tesco Corp., Calgary, AB (Canada)

    2004-07-01

    Casing Drilling{sup TM} is a newly developed and efficient well construction method that combines drilling and casing running processes into a single operation. This radical change to the entire well casing running process eliminates standard components and processes that are inefficient and hazardous. The commercialization of this new technology has resulted in the development of custom equipment and procedures designed to efficiently handle casings on a drilling rig, including conventionally drilled wells. The technology offers safer casing running operations and makes it possible to ream casing to the bottom. In addition, less people are needed to operate the portable Casing Drive System (CDS). One of the primary components of the system is the top drive which provides the power for rotation and torque. The CDS supports full axial and torsional load for running the casing. The well can be circulated while running the casing. The casing can be washed and reamed to the bottom whenever a tight hole is encountered. Thirty one operators have successfully used the CDS on more than 150 onshore and offshore wells in 7 countries. 13 refs., 2 tabs., 12 figs.

  8. Teacher Perception of Project-Based Learning in a Technology-Infused Secondary School Culture: A Critical Cine-Ethnographic Study

    Science.gov (United States)

    Gratch, Jonathan

    2012-01-01

    Project-based learning has long been used in the educational realm as it emphasis a student-centered strategy which promotes meaning, enriched learning that enhances inquiry and problem-solving skills in a rich, authentic environment. The relevance and authentic design of projects may further be enhanced by the use of technology in the classroom.…

  9. Peripheral IV Insulin Infusion Infiltration Presenting as "Insulin Resistance".

    Science.gov (United States)

    Kim, Tiffany Y; Woeber, Kenneth A; MacMaster, Heidimarie Windham; Rushakoff, Robert J

    2016-11-01

    We present the case of a 66-year-old woman who developed hypoglycemia following the prolonged infiltration of a high dose continuous peripheral IV insulin infusion. Case report. PubMed was searched for relevant literature on exogenous hyperinsulinemic hypoglycemia. The patient was postlung transplantation and was receiving high doses of glucocorticoids. Despite increasing the peripheral IV insulin rate, hyperglycemia persisted. We discovered that the IV insulin infusion line infiltrated, resulting in a large subcutaneous insulin depot, estimated to be 450 units of regular insulin. She subsequently experienced prolonged hypoglycemia that was managed with concentrated dextrose containing fluids. In our literature search, there were no similar case reports. The literature on insulin overdose, usually from suicide attempts, can help guide the management of iatrogenic hyperinsulinemic hypoglycemia. Important management considerations include anticipated duration of hypoglycemia, supplemental glucose, fluid management, and electrolyte monitoring. Peripheral IV insulin infusion infiltration should be considered when patients do not respond to increasing rates of insulin infusion.

  10. INL - NNL an International Technology Collaboration Case Study - Advanced Fogging Technologies for Decommissioning - 13463

    International Nuclear Information System (INIS)

    Banford, Anthony; Edwards, Jeremy; Demmer, Rick; Rankin, Richard; Hastings, Jeremy

    2013-01-01

    International collaboration and partnerships have become a reality as markets continue to globalize. This is the case in nuclear sector where over recent years partnerships commonly form to bid for capital projects internationally in the increasingly contractorized world and international consortia regularly bid and lead Management and Operations (M and O) / Parent Body Organization (PBO) site management contracts. International collaboration can also benefit research and technology development. The Idaho National Laboratory (INL) and the UK National Nuclear Laboratory (NNL) are internationally recognized organizations delivering leading science and technology development programmes both nationally and internationally. The Laboratories are actively collaborating in several areas with benefits to both the laboratories and their customers. Recent collaborations have focused on fuel cycle separations, systems engineering supporting waste management and decommissioning, the use of misting for decontamination and in-situ waste characterisation. This paper focuses on a case study illustrating how integration of two technologies developed on different sides of the Atlantic are being integrated through international collaboration to address real decommissioning challenges using fogging technology. (authors)

  11. Managing knowledge: a technology transfer case study in IEN

    International Nuclear Information System (INIS)

    Pereira, Ana Gabriella Amorim Abreu

    2009-01-01

    Knowledge management is paramount nowadays. In order to enable the members of an organization to deal with their current situations effectively it is mandatory to know and enhance its intellectual capital. Managing the organization knowledge is important to the extent that it allows and reinforce its mission (what we are trying to accomplish?), and performance (how do we deliver the results?). As a result of a knowledge management effort, the organization can create value for itself and for society as a whole. In this paper, we argue that a technology developed at a research institute and transferred to an industry is knowledge to be managed in order to create value, both for the society and for the Institute. In order to manage such knowledge, it is proposed an approach to enhance the value creation potential of a technology transfer. This paper propose an investigation to expand the understanding on how a public research institute and a private firm could introduce their value creation wishes into a technology transfer agreement in a way to reflect and provide the realization of those wishes. It is proposed that, from the identification of the organizations expectations it is possible to infer which agreement attributes will contribute to that value creation and to establish satisfactory agreement configurations. These configurations have the potential to generate those consequences, given that, through the transfer, each organization seeks to increase potential benefits and to reduce potential sacrifices. Supported by exchange flow and value creation models, by the knowledge management and the means-end theory, an approach to increase the value creation potential of a technology transfer is proposed. Evidences from a case study sustain the proposed approach. The case study unity is the Instituto de Engenharia Nuclear, a public research institute. (author)

  12. Waste disposal in the 21st century and diabetes technology: a little coffee (cup) or beer (can) with that insulin infusion (set).

    Science.gov (United States)

    Krisiunas, Ed

    2011-07-01

    The advent of single-use disposable syringes along with myriad similar products for the health care industry has raised interest in the impact of these devices on the environment. Interest does not stop at impact of the device, but also includes associated pharmaceutical agents. Across the spectrum of health care, providers as well as end users of products are assessing the impact of product design and contents upon land, air, and water. In this issue of Journal of Diabetes Science and Technology, Pfützner and colleagues tackle the issue by focusing on a product for the diabetes patient. As environmental sustainability has become part of the evaluation process of many products, their assessment sheds some interesting light on the impact of a group of devices when compared and contrasted against the ever-popular disposable coffee cup or beer/soda aluminum can. Regional variations in waste disposal practices need to be understood when conducting these types of assessments. © 2011 Diabetes Technology Society.

  13. Anaphylaxis after intravenous infusion of dexketoprofen trometamol

    Directory of Open Access Journals (Sweden)

    Sertac Guler

    2016-09-01

    Full Text Available Dexketoprofen trometamol (DT, a nonsteroidal anti-inflammatory drug, is a highly water-soluble salt and active enantiomer of rac-ketoprofen. Its parenteral form is commonly used for acute pain management in emergency departments of our country. Side effects such as diarrhea, indigestion, nausea, stomach pain, and vomiting may be seen after the use of DT. Anaphylactic shock (AS secondary to infusion of DT is very rare and, to our knowledge, it is the first case report describing this side effect. This case report was presented to emphasize that AS may be seen after the use of DT. Keywords: Anaphylactic shock, Dexketoprofen trometamol, Intravenous infusion (MeSH database

  14. Dynamics of Technological Innovation Systems. The Case of Biomass Energy

    International Nuclear Information System (INIS)

    Negro, S.O.

    2007-01-01

    The starting point is that the current energy system largely depends on fossil fuels. This phenomenon, which is labelled as carbon lock-in, causes a long breakthrough period for renewable energy. The most suitable theoretical approach to analyse the development, diffusion and implementation of emergent technologies, such as renewable energy, is the Technological Innovation Systems' (TIS) perspective. This approach focuses on a particular technology and includes all those factors (institutions, actors, and networks) that influence its development. Recent research has identified several so-called System Functions that need to be fulfilled for a TIS to support successfully the evolution of a technology. In this paper we will use the following set of System Functions: F1: Entrepreneurial Activities, F2: Knowledge Development (learning), F3: Knowledge Diffusion through Networks, F4: Guidance of the Search, F5: Market Formation, F6: Resources Mobilisation, F7: Counteracting Resistance to Change (also Support from Advocacy Coalitions). By focusing on the System Functions the key processes that occur in a system which influence the development, diffusion and implementation of that technology will be identified and insight will be gained in the system dynamics. The System Functions are not independent but interact and influence each other. The nature of interactions whether they are positive or negative will influence the performance of the system respectively. Positive System Function fulfilment can lead to positive, i.e. virtuous cycles of processes that strengthen each other and lead to the building up of momentum that creates a process of creative destruction within the incumbent system. According to the same reasoning, a system in decline is characterised by one or more vicious cycles, where the System Functions interact and reinforce each other in a negative way. The results from the case studies showed that different functional patterns occurred for the Biomass

  15. Infusion MR arteriography during hepatic arterial infusion chemotherapy. Evaluation of clinical usefulness

    International Nuclear Information System (INIS)

    Uchino, Minako; Takizawa, Kenji

    2003-01-01

    We developed a new method of infusion MR arteriography (IMRA) via an implantable port system using an infusion pump for the evaluation of drug distribution during hepatic arterial infusion chemotherapy. The purposes of this study were to optimize the method and evaluate its clinical usefulness. We used 3D-T1 turbo field echo (TFE) as the most suitable sequence for IMRA according to the results of a phantom model experiment. We examined 33 cases of liver cancer that had been treated by arterial infusion chemotherapy via the port system. The following investigations were performed: degree of tumor enhancement, intra- and extra- hepatic perfusion abnormality, and related toxicity. The evaluation of images was performed separately by two radiologists. IMRA provided good images of contrast enhancement, to reveal the perfusion patterns. The treatment response rate in the tumor group with well enhancement was higher than that of the group with poor enhancement (p<0.0001). Extrahepatic perfusion was well visualized and was correlated with toxicity (p<0.0001). IMRA is a useful method to evaluate drug perfusion for the optimization of arterial infusion chemotherapy. (author)

  16. Infusion's greenfield subsidiary in Poland

    NARCIS (Netherlands)

    Williams, C.; van Eerde, W.; The, D.

    2012-01-01

    The president of Infusion Development Corporation was reviewing the progress of the new subsidiary the company had set up 15 months earlier in Krakow, Poland. The purpose of the subsidiary was to work with other Infusion offices around the world to provide innovative software development services to

  17. Infusing Technology Into Perinatal Home Visitation in the United States for Women Experiencing Intimate Partner Violence: Exploring the Interpretive Flexibility of an mHealth Intervention.

    Science.gov (United States)

    Bacchus, Loraine J; Bullock, Linda; Sharps, Phyllis; Burnett, Camille; Schminkey, Donna L; Buller, Ana Maria; Campbell, Jacquelyn

    2016-11-17

    Intimate partner violence (IPV) is common during pregnancy and the postpartum. Perinatal home visitation provides favorable conditions in which to identify and support women affected by IPV. However, the use of mHealth for delivering IPV interventions in perinatal home visiting has not been explored. Our objective was to conduct a nested qualitative interpretive study to explore perinatal home visitors' and women's perceptions and experiences of the Domestic Violence Enhanced Home Visitation Program (DOVE) using mHealth technology (ie, a computer tablet) or a home visitor-administered, paper-based method. We used purposive sampling, using maximum variation, to select women enrolled in a US-based randomized controlled trial of the DOVE intervention for semistructured interviews. Selection criteria were discussed with the trial research team and 32 women were invited to participate. We invited 45 home visitors at the 8 study sites to participate in an interview, along with the 2 DOVE program designers. Nonparticipant observations of home visits with trial participants who chose not to participate in semistructured interviews were undertaken. We conducted 51 interviews with 26 women, 23 home visiting staff at rural and urban sites, and the 2 DOVE program designers. We conducted 4 nonparticipant observations. Among 18 IPV-positive women, 7 used the computer tablet and 11 used the home visitor method. Among 8 IPV-negative women, 7 used the home visitor method. The computer tablet was viewed as a safe and confidential way for abused women to disclose their experiences without fear of being judged. The meanings that the DOVE technology held for home visitors and women led to its construction as either an impersonal artifact that was an impediment to discussion of IPV or a conduit through which interpersonal connection could be deepened, thereby facilitating discussion about IPV. Women's and home visitors' comfort with either method of screening was positively influenced

  18. [CLINICAL CASES-TREATED WITH TECHNOLOGY LIPID COLLOIDAL (TLC)].

    Science.gov (United States)

    Hinojosa Caballero, Dolores; Torres Subires, Antònia; Álvarez Rodríguez, Lorenzo Ramón; Garrigós Sancristóbal, Xènia; Pol Reyes, Maria Antònia; Espejo Arenas, Elena; Viturtia González, Montserrat; Delgado Ballesteros, Sara; Sans Masip, Cristina; Pascual-Malo, Isabel; Zaguirre Medina, Meritxell; Cuenda Macías, Maribel

    2016-04-01

    This study presents clinical cases collecting etiologies that are more frequent in the field of complex wounds. All require a specific approach, as well as the interdisciplinary participation of different members of the team. But in general, established local cure plans may be quite similar. Applies them technology lipid colloidal (TLC) which consists of the combination of particles of hydrocolloid (carboxymethylcellulose) with lipid components. Products with a technology designed for every moment of healing. Show our experience in the use of products with TLC in patients with ulcers of different etiologies. The following products depending on the case have been used to treat: UrgoTul Absorb Border, Urgoclean (rope or plate), UrgoStart, UrgoK2 and UrgoK2 LITE. These products were applied in patients presenting four different etiologies of ulcer: hypertensive, traumatic, venous and ischemic ulcer. The use of Urgoclean rope favored cleaning the bed ulceral and applied Urgoclean plate with reinforced alginate to control the abundant exudates, with coverage of UrgoTul ABsorb Border. Once clean beds pass UrgoStart and at all times UrgoK2 bandage, cases that required compressive therapy. Intolerance to that kind of compression applied to patients presenting bandage UrgoK2 LITE (which tolerated without problem) which significantly reduced edema, favoring the control of exudate. Patients with ulcer of long evolution, at the start were reluctant to the application of new technologies, but after the first cures and sensing a good evolution, we get their confidence and commitment to the resolution. Are displayed clinical cases of different etiologic and personal contexts that an integral and interdisciplinary approach together with the application of products with TLC, managed to solve the problem. The materials used have been satisfactory in all cases, with a direct involvement in the resolution of lesions which carries a long unresolved, and in any of them, even with a

  19. A Balanced Risk-Benefit Analysis to Determine Human Risks Associated with Pyrrolizidine Alkaloids (PA)-The Case of Tea and Herbal Infusions.

    Science.gov (United States)

    Habs, Michael; Binder, Karin; Krauss, Stefan; Müller, Karolina; Ernst, Brigitte; Valentini, Luzia; Koller, Michael

    2017-07-07

    Humans are exposed to pyrrolizidine alkaloids (PA) through different sources, mainly from contaminated foodstuff. Teas and herbal infusions (T&HI) can be contaminated by PA producing weed. PA can possess toxic, mutagenic, genotoxic, and carcinogenic properties. Thus, possible health risks for the general population are under debate. There is a strong safety record for T&HI and additionally epidemiological evidence for the preventive effects of regular tea consumption on cardiovascular events and certain types of cancer. There is no epidemiological evidence, however, for human risks of regular low dose PA exposure. Recommended regulatory PA-threshold values are based on experimental data only, accepting big uncertainties. If a general risk exists through PA contaminated T&HI, it must be small compared to other frequently accepted risks of daily living and the proven health effects of T&HI. Decision making should be based on a balanced riskbenefit analysis. Based on analyses of the scientific data currently available, it is concluded that the benefits of drinking T&HI clearly outweigh the negligible health risk of possible PA contamination. At the same time, manufacturers must continue their efforts to secure good product quality and to be transparent on their measures of quality control and risk communication.

  20. A Balanced Risk–Benefit Analysis to Determine Human Risks Associated with Pyrrolizidine Alkaloids (PA)—The Case of Tea and Herbal Infusions

    Science.gov (United States)

    Habs, Michael; Binder, Karin; Krauss, Stefan; Müller, Karolina; Ernst, Brigitte; Valentini, Luzia; Koller, Michael

    2017-01-01

    Humans are exposed to pyrrolizidine alkaloids (PA) through different sources, mainly from contaminated foodstuff. Teas and herbal infusions (T&HI) can be contaminated by PA producing weed. PA can possess toxic, mutagenic, genotoxic, and carcinogenic properties. Thus, possible health risks for the general population are under debate. There is a strong safety record for T&HI and additionally epidemiological evidence for the preventive effects of regular tea consumption on cardiovascular events and certain types of cancer. There is no epidemiological evidence, however, for human risks of regular low dose PA exposure. Recommended regulatory PA-threshold values are based on experimental data only, accepting big uncertainties. If a general risk exists through PA contaminated T&HI, it must be small compared to other frequently accepted risks of daily living and the proven health effects of T&HI. Decision making should be based on a balanced riskbenefit analysis. Based on analyses of the scientific data currently available, it is concluded that the benefits of drinking T&HI clearly outweigh the negligible health risk of possible PA contamination. At the same time, manufacturers must continue their efforts to secure good product quality and to be transparent on their measures of quality control and risk communication. PMID:28686224

  1. A Balanced Risk–Benefit Analysis to Determine Human Risks Associated with Pyrrolizidine Alkaloids (PA—The Case of Tea and Herbal Infusions

    Directory of Open Access Journals (Sweden)

    Michael Habs

    2017-07-01

    Full Text Available Humans are exposed to pyrrolizidine alkaloids (PA through different sources, mainly from contaminated foodstuff. Teas and herbal infusions (T&HI can be contaminated by PA producing weed. PA can possess toxic, mutagenic, genotoxic, and carcinogenic properties. Thus, possible health risks for the general population are under debate. There is a strong safety record for T&HI and additionally epidemiological evidence for the preventive effects of regular tea consumption on cardiovascular events and certain types of cancer. There is no epidemiological evidence, however, for human risks of regular low dose PA exposure. Recommended regulatory PA-threshold values are based on experimental data only, accepting big uncertainties. If a general risk exists through PA contaminated T&HI, it must be small compared to other frequently accepted risks of daily living and the proven health effects of T&HI. Decision making should be based on a balanced riskbenefit analysis. Based on analyses of the scientific data currently available, it is concluded that the benefits of drinking T&HI clearly outweigh the negligible health risk of possible PA contamination. At the same time, manufacturers must continue their efforts to secure good product quality and to be transparent on their measures of quality control and risk communication.

  2. Promoting the Use of Online Social Technology as a Case-Based Learning Tool

    Science.gov (United States)

    Ractham, Peter; Chen, Charlie

    2013-01-01

    Social technology is proliferating and influencing different aspects of society. However, very few studies have examined the use of such a technology for a case-based learning pedagogy. This preliminary study investigates the use of social technology as a case-based learning tool to improve the effectiveness of case-based learning in the…

  3. Waste Disposal in the 21st Century and Diabetes Technology: A Little Coffee (Cup) or Beer (Can) with That Insulin Infusion (Set)

    Science.gov (United States)

    Krisiunas, Ed

    2011-01-01

    The advent of single-use disposable syringes along with myriad similar products for the health care industry has raised interest in the impact of these devices on the environment. Interest does not stop at impact of the device, but also includes associated pharmaceutical agents. Across the spectrum of health care, providers as well as end users of products are assessing the impact of product design and contents upon land, air, and water. In this issue of Journal of Diabetes Science and Technology, Pfützner and colleagues tackle the issue by focusing on a product for the diabetes patient. As environmental sustainability has become part of the evaluation process of many products, their assessment sheds some interesting light on the impact of a group of devices when compared and contrasted against the ever-popular disposable coffee cup or beer/soda aluminum can. Regional variations in waste disposal practices need to be understood when conducting these types of assessments. PMID:21880225

  4. Development of a Multidisciplinary Middle School Mathematics Infusion Model

    Science.gov (United States)

    Russo, Maria; Hecht, Deborah; Burghardt, M. David; Hacker, Michael; Saxman, Laura

    2011-01-01

    The National Science Foundation (NSF) funded project "Mathematics, Science, and Technology Partnership" (MSTP) developed a multidisciplinary instructional model for connecting mathematics to science, technology and engineering content areas at the middle school level. Specifically, the model infused mathematics into middle school curriculum…

  5. Use of propofol infusion in alcohol withdrawal-induced refractory delirium tremens

    DEFF Research Database (Denmark)

    Lorentzen, Kristian; Lauritsen, Anne Øberg; Bendtsen, Asger Ole

    2014-01-01

    in case reports. We aimed to evaluate the treatment of delirium tremens with propofol infusion for 48 h. MATERIAL AND METHODS: This study was a single-centre retrospective cohort analysis of 15 patient journals covering the period from May 2012 to September 2013. RESULTS: Five women and ten men were...... and mechanically ventilated in the intensive care unit. The mean propofol infusion rate was 4.22 mg/kg/h. Thirteen patients received supplemental infusion of opioids, whereas seven required concomitant vasopressor infusion. Once propofol infusion was discontinued after 48 h, 12 patients had a long awakening...

  6. Casing drilling TM : a viable technology for coal bed methane?

    Energy Technology Data Exchange (ETDEWEB)

    Madell, G.; Muqeem, M. [Tesco Corp., Calgary, AB (Canada)

    2001-07-01

    This paper highlighted the experience that Tesco has gained by drilling more than 30 wells using only casings as the drill stem, suggesting that such technology could be advantageous for Coal Bed Methane (CBM) exploration and development. Tesco has manufactured a mobile and compact hydraulic drilling rig that is ideal to meet the great demand for CBM development in Canada. The Casing Drilling TM system, when used in conjunction with the drilling rig, could be very effective and efficient for exploration and development of CBM reserves which typically require extensive coring. Continuous coring while drilling ahead and wire line retrieval can offer time savings and quick core recovery of large diameter core required for exploration core desorption tests. The proposed system may also have the potential to core or drill typically tight gas sands or coal beds under balanced with air or foam. This would reduce drilling fluid damage while finding gas at the same time. Compared to conventional drill pipes, Casing Drilling TM could also be effective with water production from shallow sands because of the smaller annual clearance which requires less air volumes to lift any produced water. 8 refs., 3 tabs., 9 figs.

  7. Using CASE to Exploit Process Modeling in Technology Transfer

    Science.gov (United States)

    Renz-Olar, Cheryl

    2003-01-01

    A successful business will be one that has processes in place to run that business. Creating processes, reengineering processes, and continually improving processes can be accomplished through extensive modeling. Casewise(R) Corporate Modeler(TM) CASE is a computer aided software engineering tool that will enable the Technology Transfer Department (TT) at NASA Marshall Space Flight Center (MSFC) to capture these abilities. After successful implementation of CASE, it could then go on to be applied in other departments at MSFC and other centers at NASA. The success of a business process is dependent upon the players working as a team and continuously improving the process. A good process fosters customer satisfaction as well as internal satisfaction in the organizational infrastructure. CASE provides a method for business process success through functions consisting of systems and processes business models; specialized diagrams; matrix management; simulation; report generation and publishing; and, linking, importing, and exporting documents and files. The software has an underlying repository or database to support these functions. The Casewise. manual informs us that dynamics modeling is a technique used in business design and analysis. Feedback is used as a tool for the end users and generates different ways of dealing with the process. Feedback on this project resulted from collection of issues through a systems analyst interface approach of interviews with process coordinators and Technical Points of Contact (TPOCs).

  8. New technological localisms: a comparative analysis of two case studies

    Directory of Open Access Journals (Sweden)

    Darren J. Reed

    2014-01-01

    Full Text Available The following paper is concerned with elucidating an account of forms of new localism as they relate to the concept of ‘habitele’, a conceptual framework that helps us understand new forms of relatedness in the digitally mediated world. In doing this it will also reflect back on the concept and draw out as yet unconsidered elements based upon issues of fluidity, mobility, and what we will call ‘distal-locals’. The paper is centred around two case studies: the first is of a smart phone app, vouchercloud and details the way that the offering of money-off vouchers rests on particular notions of the local; while the second is of a environment organization who uses information technology to promote their activities. It is premised upon a history of work in the sociology of science and technology studies (STS and in particular a set of conceptual and methodologicalresources that helps to reveal the complexities of notions such as “the local”.

  9. Anaphylaxis after intravenous infusion of dexketoprofen trometamol.

    Science.gov (United States)

    Guler, Sertac; Ertok, Ilyas; Sahin, Nurdan Yilmaz; Ramadan, Hayri; Katirci, Yavuz

    2016-09-01

    Dexketoprofen trometamol (DT), a nonsteroidal anti-inflammatory drug, is a highly water-soluble salt and active enantiomer of rac-ketoprofen. Its parenteral form is commonly used for acute pain management in emergency departments of our country. Side effects such as diarrhea, indigestion, nausea, stomach pain, and vomiting may be seen after the use of DT. Anaphylactic shock (AS) secondary to infusion of DT is very rare and, to our knowledge, it is the first case report describing this side effect. This case report was presented to emphasize that AS may be seen after the use of DT.

  10. Sustainable Technology Entrepreneurship and Development – the Case of Serbia

    Directory of Open Access Journals (Sweden)

    Maja Levi Jakšić

    2014-06-01

    Full Text Available Technology entrepreneurship is oriented towards competitiveness based on strong relationships between science, new technology, learning and creating new value for the customer in the form of advanced goods and services leading to their commercialization. In this paper special focus is on two crucial issues of sustainable technology entrepreneurship: definition of the cocept of techology entrepreneurship based on sustainable innovation and technology, and specific technology entrepreneurship indicators for Serbia related to vertical and horizontal technology transfer.

  11. Hypoglycaemia secondary to labetalol infusion.

    Science.gov (United States)

    Immanni, Sudhir; Khan, Ehtesham Izhar; Staunton, Michael

    2011-05-01

    A 42-year-old multigravida with severe pre-eclampsia had an emergency caesarean section under spinal anaesthesia. Peri-operatively, her arterial pressure was controlled with oral methyldopa and an intravenous infusion of labetalol. Postoperatively, in the Intensive Care Unit, she had recurrent episodes of hypoglycaemia which required treatment with intravenous glucose. These episodes resolved when the labetalol infusion was stopped. Clinicians should be aware of the potential of labetalol to cause hypoglycaemia.

  12. BICAPA case study of natural hazards that trigger technological disasters

    Science.gov (United States)

    Boca, Gabriela; Ozunu, Alexandru; Nicolae Vlad, Serban

    2010-05-01

    Industrial facilities are vulnerable to natural disasters. Natural disasters and technological accidents are not always singular or isolated events. The example in this paper show that they can occur in complex combinations and/or in rapid succession, known as NaTech disasters, thereby triggering multiple impacts. This analysis indicates that NaTech disasters have the potential to trigger hazmat releases and other types of technological accidents. Climate changes play an important role in prevalence and NATECH triggering mechanisms. Projections under the IPCC IS92 a scenario (similar to SRES A1B; IPCC, 1992) and two GCMs indicate that the risk of floods increases in central and eastern Europe. Increase in intense short-duration precipitation is likely to lead to increased risk of flash floods. (Lehner et al., 2006). It is emergent to develop tools for the assessment of risks due to NATECH events in the industrial processes, in a framework starting with the characterization of frequency and severity of natural disasters and continuing with complex analysis of industrial processes, to risk assessment and residual functionality analysis. The Ponds with dangerous technological residues are the most vulnerable targets of natural hazards. Technological accidents such as those in Baia Mare, (from January to March 2000) had an important international echo. Extreme weather phenomena, like those in the winter of 2000 in Baia Mare, and other natural disasters such as floods or earthquakes, can cause a similar disaster at Târnăveni in Transylvania Depression. During 1972 - 1978 three decanting ponds were built on the Chemical Platform Târnăveni, now SC BICAPA SA, for disposal of the hazardous-wastes resulting from the manufacture of sodium dichromate, inorganic salts, sludge from waste water purification and filtration, wet gas production from carbide. The ponds are located on the right bank of the river Târnava at about 35-50m from the flooding defense dam. The total

  13. Overcoming technology - obsolescence: a case study in Heavy Water Plant

    International Nuclear Information System (INIS)

    Gupta, O.P.; Sonde, R.R.; Wechalekar, A.K.

    2002-01-01

    Ammonia based Heavy Water Plants in India are set up essentially in conjunction with fertiliser plants for the supply of feed synthesis gas. Earlier ammonia was being produced in fertiliser plants using high-pressure technology which was highly energy intensive. However with fast developments in the field of production of ammonia, fertiliser plants are switching over to low pressure technology. Ammonia based heavy water plants have to operate on pressures corresponding to that of fertiliser plants. Due to low pressures in production of ammonia, heavy water plants would also be required to operate at low pressures than the existing operating pressures. This problem was faced at Heavy Water Plant at Baroda where GSFC supplying synthesis gas switched over to low pressure technology making it imperative on the part of Heavy Water Board to carry out modification to the main plant for continued operation of Heavy Water Plant, Baroda. Anticipating similar problems due to production of ammonia at lower pressures in other fertiliser plants linked to existing Heavy Water Plants, it became necessary for HWB to develop water ammonia front end. The feed in such a case would be water instead of synthesis gas. This would enable HWB to dispense with dependence on fertiliser plants especially if grass-root ammonia based heavy water plants are to be set up. Incorporation of water ammonia front end would enable HWB to de link ammonia based heavy water plants with fertiliser plants. This paper discusses the advantage of de linking heavy water plant respective fertiliser plant by incorporating water ammonia front end and technical issues related to front end technology. A novel concept of ammonia absorption refrigeration (AAR) was considered for the process integration with the front end. The incorporation of AAR with water ammonia front-end configuration utilizes liquid ammonia refrigerant to generate refrigeration without additional energy input which otherwise would have been

  14. Risk disparities in the globalisation of assisted reproductive technology: the case of Asia.

    Science.gov (United States)

    Ha, Jung-Ok

    2013-01-01

    This paper analyses the disparities in risks associated with biomedical technology focusing on the results of assisted reproductive technology (ART). ART among biomedical technologies transferred to Asia is a representative case that reveals in its clinical use and related scientific research the global politics of technology. This study notes the global politics at work in the recognition of and reaction to such risks. While many Asian countries aggressively pursue technological development, weak legislative and administrative regulations have created various problems and controversial cases. This study asserts that risks associated with technology are characterised as social facts not natural ones or mere 'side effects', since technological development and risk are closely intertwined.

  15. Superselective arterial infusion and concomitant radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Homma, Akihiro; Suzuki, Fumiyuki; Inuyama, Yukio; Fukuda, Satoshi [Hokkaido Univ., Sapporo (Japan). School of Medicine

    2003-05-01

    Superselective arterial infusion for patients with advanced head and neck cancer has been increasingly applied in Japan. We analyzed our experiences and evaluated the efficacy and safety of this treatment. Through October 1999 to March 2002, 29 patients, ranging in age between 33 and 71 years (median 52 years), received superselective intra-arterial infusion therapy of cisplatin (100-120 mg/m{sup 2}/week) with simultaneous intravenous infusion of thiosulfate for neutralizing cisplatin toxicity, and conventional concomitant extrabeam radiotherapy (65 Gy/26 f/6.5 weeks). Four patients were diagnosed with stage III and 25 with stage IV. Thirteen patients were considered contraindicated for surgery, and the other 16 patients rejected radical surgery. Primary tumor sites included paranasal sinus (11 patients), hypopharynx (7), oropharynx (6), oral cavity (4), and parotid gland (1). During the median follow-up period of 20 months, there was no apparent recurrence in 14 (48.3%) of 29 patients. Eleven (37.9%) patients died of disease, and three (10.3%) were alive with disease. In twenty-one patients (72.4%) the primary lesions were well-controlled. Acute toxic effects were moderate, and severe toxic events occurred in four cases, namely, methicillin-resistant staphylococcus aureus (MRSA) pneumonia, sepsis, tetraplasia, and osteoradionecrosis. We confirmed the effectiveness and safety of superselective arterial infusion and concomitant radiotherapy. Furthermore, we must establish the optimal procedures and schedule, as well as the indications for this treatment. This treatment protocol may improve the prognosis of patients with unresectable disease and patients rejecting surgical treatment. Further study in this particular area is needed. (author)

  16. Superselective arterial infusion and concomitant radiotherapy

    International Nuclear Information System (INIS)

    Homma, Akihiro; Suzuki, Fumiyuki; Inuyama, Yukio; Fukuda, Satoshi

    2003-01-01

    Superselective arterial infusion for patients with advanced head and neck cancer has been increasingly applied in Japan. We analyzed our experiences and evaluated the efficacy and safety of this treatment. Through October 1999 to March 2002, 29 patients, ranging in age between 33 and 71 years (median 52 years), received superselective intra-arterial infusion therapy of cisplatin (100-120 mg/m 2 /week) with simultaneous intravenous infusion of thiosulfate for neutralizing cisplatin toxicity, and conventional concomitant extrabeam radiotherapy (65 Gy/26 f/6.5 weeks). Four patients were diagnosed with stage III and 25 with stage IV. Thirteen patients were considered contraindicated for surgery, and the other 16 patients rejected radical surgery. Primary tumor sites included paranasal sinus (11 patients), hypopharynx (7), oropharynx (6), oral cavity (4), and parotid gland (1). During the median follow-up period of 20 months, there was no apparent recurrence in 14 (48.3%) of 29 patients. Eleven (37.9%) patients died of disease, and three (10.3%) were alive with disease. In twenty-one patients (72.4%) the primary lesions were well-controlled. Acute toxic effects were moderate, and severe toxic events occurred in four cases, namely, methicillin-resistant staphylococcus aureus (MRSA) pneumonia, sepsis, tetraplasia, and osteoradionecrosis. We confirmed the effectiveness and safety of superselective arterial infusion and concomitant radiotherapy. Furthermore, we must establish the optimal procedures and schedule, as well as the indications for this treatment. This treatment protocol may improve the prognosis of patients with unresectable disease and patients rejecting surgical treatment. Further study in this particular area is needed. (author)

  17. The Impact of Sustainable Development Technology on a Small Economy-The Case of Energy-Saving Technology.

    Science.gov (United States)

    Chen, Xiding; Huang, Qinghua; Huang, Weilun; Li, Xue

    2018-02-08

    We investigated the impact of a sustainable development technology on the macroeconomic variables in a small economy utilizing a case study with a stochastically improving energy saving technology and a stochastically increasing energy price. The results show the technological displacement effects of energy saving technology are stronger, but there are more ambiguous instantaneous returns to physical capital. However, the energy saving technology's displacement effects might not affect the conditions under which the Harberger-Laursen-Metzler (HLM) effect holds. The effects of rising energy prices on bonds are stronger, and there are more ambiguous instantaneous returns, but the conditions under which the HLM effect holds are different.

  18. Health information management using optical storage technology: case studies.

    Science.gov (United States)

    Kohn, D

    1992-05-01

    All the health care facilities examined in the case studies addressed several important organizational issues before and during the installation of their systems. All the facilities examined employee commitment. The prudent managers considered how easily their employees adapt to changes in their jobs and work environment. They considered how enthusiastic cooperation can be fostered in the creation of a liberated and reengineered office. This was determined not only by each individual's reaction to change, but also by the health care facility's track record with other system installations. For example, document image, diagnostic image, and coded data processing systems allow the integration of divergent health care information systems within complex institutions. Unfortunately, many institutions are currently struggling with how to create an information management architecture that will integrate their mature systems, such as their patient care and financial systems. Information managers must realize that if optical storage technology-based systems are used in a strategic and planned fashion, these systems can act as focal points for systems integration, not as promises to further confuse the issue. Another issue that needed attention in all the examples was the work environment. The managers considered how the work environment was going to affect the ability to integrate optical image and data systems into the institution. For example, many of these medical centers have created alliances with clinics, HMOs, and large corporate users of medical services. This created a demand for all or part of the health information outside the confines of the original institution. Since the work environment is composed of a handful of factors such as merged medical services, as many work environment factors as possible were addressed before application of the optical storage technology solution in the institutions. And finally, the third critical issue was the organization of work

  19. Supply Chain Management: A Case Study of Using EDI and Bar Code Information Technology

    National Research Council Canada - National Science Library

    Wu, Wei-Ya

    1997-01-01

    ...) technology at Kang Kuo Company in Republic of China (ROC) is presented. This case study of the Kang Kuo Company provides insights into the use of information technologies through the supply chain in a Taiwan company...

  20. Exploring Organisational Stratification and Technological Pedagogical Change: Cases of Technology Integration Specialists in Hong Kong International Schools

    Science.gov (United States)

    Woo, David James

    2015-01-01

    An international school may make organisational choices that divide the school by curriculum, grade-level, language and location. This article explores how a school's organisational stratification impacts how the school supports changing teaching and learning practices through technology. The article draws from case data of technology integration…

  1. III Systems Symposium at Case Institute of Technology

    CERN Document Server

    1968-01-01

    By J OHN A. HRONES Provost, Case Institute 0/ Technology SYSTEMS have been the subject of man's study for many hundreds of years. Thus, the solar system has been the concern of the astronomer. The study of the allocation of material and human resources within the boundaries of an industrial firm or a government has been the concern of the economist. The subject of such studies have been widely known as economic systems. Medieal men have worked with the human body. Thus, man has attempted to deal with a complicated array of interconnected elements since the very earliest of recorded time. In his attcmpt to improve his understanding of physieal systems the need to concentrate on a specific kind of system, e.g., the solar system. the human body, became more imperative. However in recent years there has begun to grow and develop an increasing number of people who are working on thc development of general systems theory and analysis. Such a development is based upon the belief that certain view points, certain kin...

  2. Association between Health Information Technology and Case Mix Index.

    Science.gov (United States)

    Park, Young-Taek; Lee, Junsang; Lee, Jinhyung

    2017-10-01

    Health information technology (IT) can assist healthcare providers in ordering medication and adhering to guidelines while improving communication among providers and the quality of care. However, the relationship between health IT and Case Mix Index (CMI) has not been thoroughly investigated; therefore, this study aimed to clarify this relationship. To examine the effect of health IT on CMI, a generalized estimation equation (GEE) was applied to two years of California hospital data. We found that IT was positively associated with CMI, indicating that increased IT adoption could lead to a higher CMI or billing though DRG up-coding. This implies that hospitals' revenue could increase around $40,000 by increasing IT investment by 10%. The positive association between IT and CMI implies that IT adoption itself could lead to higher patient billings. Generally, a higher CMI in a hospital indicates that the hospital provides expensive services with higher coding and therefore receives more money from patients. Therefore, measures to prevent upcoding through IT systems should be implemented.

  3. Clinical evaluation of preoperative arterial infusion chemotherapy and surgical operation for colorectal carcinoma

    International Nuclear Information System (INIS)

    Yuan Jianhua; Zhao Zhongsheng; Deng Gaoli; Hu Tingyang; Yu Wenqiang; Chen Fanghong; Luo Zuyan; Ru Guoqing; Dong Quanjin; Tu Shiliang

    2003-01-01

    Objective: To investigate the clinical values of preoperative arterial infusion chemotherapy and surgical operation for colorectal carcinoma. Methods: 66 patients with colorectal carcinoma were subjected to percutaneous femoral artery catheterization by Seldinger's technique with infusion of anti-cancer drugs. The resection was performed 5-30 days after the arterial infusion (mean 12 days). In 50 surgical specimens of the 66 cases, histological findings were evaluated including the density and distribution of the apoptosis cells under the observation by DNA nick end labelling technique. Of which 22 specimens before arterial infusion chemotherapy (got from biopsy of preoperation) and 25 normal mucosa (got from normal surgical specimens) were used as controls. Results: The total histological response rate was 100% with grade I in 20 cases, grade II in 21 cases, grade III in 9 cases. The densities of the apoptosis cells were 31.47 ± 5.58 before arterial infusion chemotherapy, 76.69 ± 17.12 after arterial infusion chemotherapy and 8.01 ± 3.39 in normal mucosa. The density of the apoptosis cells after arterial infusion chemotherapy was significantly higher than that before arterial infusion chemotherapy (P 2 =4.696, P>0.30). There were no significant differences in the apoptosis of adenocarcinoma during different pathological stages (F=0.001376, P>0.05). Conclusions: Peroperative transcatheter arterial infusion chemotherapy resulting in apoptosis of adenocarcinoma, can raise the radical operation rate, and prolong survival rate for colorectal carcinoma patients

  4. CENTEV/UFV Technology Incubator : Brazil Case Study

    OpenAIRE

    World Bank

    2014-01-01

    A professor at Brazil's prestigious Federal University of Vicosa saw a need on campus for an incubator to support technologically-oriented businesses, including agribusinesses. This resulted in the CENTEV Technology Incubator, which is partially funded by the university but which also receives state and private grants. Its function is to nurture entrepreneurs to develop viable technology b...

  5. Propofol Infusion Syndrome in Adults: A Clinical Update

    Directory of Open Access Journals (Sweden)

    Aibek E. Mirrakhimov

    2015-01-01

    Full Text Available Propofol infusion syndrome is a rare but extremely dangerous complication of propofol administration. Certain risk factors for the development of propofol infusion syndrome are described, such as appropriate propofol doses and durations of administration, carbohydrate depletion, severe illness, and concomitant administration of catecholamines and glucocorticosteroids. The pathophysiology of this condition includes impairment of mitochondrial beta-oxidation of fatty acids, disruption of the electron transport chain, and blockage of beta-adrenoreceptors and cardiac calcium channels. The disease commonly presents as an otherwise unexplained high anion gap metabolic acidosis, rhabdomyolysis, hyperkalemia, acute kidney injury, elevated liver enzymes, and cardiac dysfunction. Management of overt propofol infusion syndrome requires immediate discontinuation of propofol infusion and supportive management, including hemodialysis, hemodynamic support, and extracorporeal membrane oxygenation in refractory cases. However, we must emphasize that given the high mortality of propofol infusion syndrome, the best management is prevention. Clinicians should consider alternative sedative regimes to prolonged propofol infusions and remain within recommended maximal dose limits.

  6. Is routine replacement of i.v. administration sets required after each change of intermittently administrated antibiotic infusions?

    Directory of Open Access Journals (Sweden)

    von Au, Felix

    2013-04-01

    Full Text Available [english] Aim: Manufacturers’ instructions recommend changing the infusion line together with the infusion bottle after each administration. We investigated if the complete infusion line may be microbiologically contaminated after short-time antibiotic and rinse-solution application.Method: Immediately after the change of an infusion administration set after 72 hours the remaining antibiotic solution was inactivated with yolk and cultured on blood agar for 48 hours at 36°C to detect possible contaminants.Results: Among 87 investigated samples no microbial growth was detected. One sample which hadn’t any contact to antibiotics yielded forming unit (cfu of coagulase-negative staphylococci.These results suggest that in case of consecutive antibiotic-short- and rinse-infusions the infusion line may be in place up to 72 hours without contamination. This, however, may be only the case for infusion sets, which are in contact with antibiotics. If no antibiotic is administered, the infusion bottle and the infusion line must be renewed together for every change. To clarify this question into more detail, a larger consecutive study is required. Conclusion: I.v. administration sets without any contact to antibiotics must be changed together with their infusion bottle after administration. In case of consecutive antibiotic-short- and rinse-infusions our pilot study suggests using the i.v. administration sets for up to 72 hours without renewing it at every infusion-set exchange.

  7. Continuous propofol infusion in 142 critically ill children.

    Science.gov (United States)

    Cornfield, David N; Tegtmeyer, Ken; Nelson, Michael D; Milla, Carlos E; Sweeney, Michael

    2002-12-01

    In recent years, continuous intravenous propofol infusion has been widely used in pediatric intensive care units. Several case reports have raised concerns about its safety. The objective of this study was to report our experience with continuous intravenous propofol in consecutive patients during an 18-month period. The study design was a retrospective review of a case series. Case was defined as a critically ill child who was treated with continuous intravenous propofol. The attending physician staff agreed to prescribe propofol via continuous intravenous infusion at a dose not to exceed 50 microg/kg/min. The protocol allowed for each patient to receive an additional intravenous bolus of propofol at a dose of 1 mg/kg no more than once per hour. The study entailed data collection from consecutive patients who were prescribed a continuous infusion of propofol in either the pediatric intensive care unit or bone marrow transplant unit. Data from 142 patients were analyzed. Each patient enrolled was adequately sedated. Administration of propofol via continuous intravenous infusion was not associated with metabolic acidosis or hemodynamic compromise. No patient in the study group was inadvertently extubated or had a central venous catheter accidentally discontinued. Propofol can be safely and effectively used to provide sedation to critically ill infants and children. We speculate that continuous infusion of propofol for extended periods of time should not exceed 67 microg/kg/min.

  8. Heterogeneous Policies, Heterogeneous Technologies: The Case of Renewable Energy

    International Nuclear Information System (INIS)

    Nicolli, Francesco; Vona, Francesco

    2014-07-01

    This paper investigates empirically the effect of market regulation and renewable energy policies on innovation activity in different renewable energy technologies. For the EU countries and the years 1980 to 2007, we built a unique dataset containing information on patent production in eight different technologies, proxies of market regulation and technology-specific renewable energy policies. Our main findings show that lowering entry barriers is a more significant driver of renewable energy innovation than privatisation and un-bundling, but its effect varies across technologies, being stronger in technologies characterised by the potential entry of small, independent power producers. Additionally, the inducement effect of renewable energy policies is heterogeneous and more pronounced for wind, which is the only technology that is mature and has high technological potential. Finally, the ratification of the Kyoto protocol - determining a more stable and less uncertain policy framework - amplifies the inducement effect of both energy policy and market liberalisation. (authors)

  9. Elementary Teachers' Experiences with Technology Professional Development and Using Technology in the Classroom: A Case Study

    Science.gov (United States)

    Grizzle, Pamela Lavon

    2016-01-01

    In order for educators to prepare students for technology-enhanced learning educators must first be prepared. The digital divide and technology professional development are two factors impacting the depth at which technology is integrated into the classroom. The local problem addressed in this study was that the impact of technology professional…

  10. The Impact of Sustainable Development Technology on a Small Economy—The Case of Energy-Saving Technology

    Directory of Open Access Journals (Sweden)

    Xiding Chen

    2018-02-01

    Full Text Available We investigated the impact of a sustainable development technology on the macroeconomic variables in a small economy utilizing a case study with a stochastically improving energy saving technology and a stochastically increasing energy price. The results show the technological displacement effects of energy saving technology are stronger, but there are more ambiguous instantaneous returns to physical capital. However, the energy saving technology’s displacement effects might not affect the conditions under which the Harberger-Laursen-Metzler (HLM effect holds. The effects of rising energy prices on bonds are stronger, and there are more ambiguous instantaneous returns, but the conditions under which the HLM effect holds are different.

  11. The Impact of Sustainable Development Technology on a Small Economy—The Case of Energy-Saving Technology

    Science.gov (United States)

    Huang, Qinghua; Huang, Weilun; Li, Xue

    2018-01-01

    We investigated the impact of a sustainable development technology on the macroeconomic variables in a small economy utilizing a case study with a stochastically improving energy saving technology and a stochastically increasing energy price. The results show the technological displacement effects of energy saving technology are stronger, but there are more ambiguous instantaneous returns to physical capital. However, the energy saving technology’s displacement effects might not affect the conditions under which the Harberger-Laursen-Metzler (HLM) effect holds. The effects of rising energy prices on bonds are stronger, and there are more ambiguous instantaneous returns, but the conditions under which the HLM effect holds are different. PMID:29419788

  12. Women and Technology: A case study of Famagusta, TRNC

    OpenAIRE

    Özad, Bahire Efe; Arsoy, Aysu

    2011-01-01

    It has been observed that men have always had more access to technology. Currently, increased educational opportunities for the women proved that women can be very successful not only in the use but also in the design of technology. The present study explores the attitude of a variety of forms of feminism to technology and presents the findings of a descriptive study carried out in Famagusta, TRNC about the domestic instruments owned, used, used with all the functions, and repaired by women.

  13. Heterogeneous policies, heterogeneous technologies: The case of renewable energy

    International Nuclear Information System (INIS)

    Nicolli, Francesco; Vona, Francesco

    2016-01-01

    This paper investigates empirically the effect of market regulation and renewable energy policies on innovation activity in different renewable energy technologies. For the EU countries and the years 1980 to 2007, we built a unique dataset containing information on patent production in eight different technologies, proxies of market regulation and technology-specific renewable energy policies. Our main finding is that, compared to privatisation and unbundling, reducing entry barriers is a more significant driver of renewable energy innovation, but that its effect varies across technologies and is stronger in technologies characterised by potential entry of small, independent power producers. In addition, the inducement effect of renewable energy policies is heterogeneous and more pronounced for wind, which is the only technology that is mature and has high technological potential. Finally, ratification of the Kyoto protocol, which determined a more stable and less uncertain policy framework, amplifies the inducement effect of both energy policy and market liberalisation. - Highlights: • We study the effect of market regulation and energy policy on renewable technologies. • Reducing entry barriers is a significant driver of renewable energy innovation. • The Kyoto protocol amplifies the effect of both energy policy and liberalisation. • These effects are heterogeneous across technologies and stronger for wind.

  14. Infusion of radionuclides throughout pregnancy

    International Nuclear Information System (INIS)

    Mountford-Lister, P.G.; Lambert, B.E.; Milner, A.C.; Kang, X.Z.

    1992-01-01

    This work is part of a long-term study to examine the cancer incidence in the offspring of mice exposed to 239 Pu or 147 Pm throughout pregnancy. The need to model the human intake scenario and the possibility of a critical period during uterine development necessitates constant availability of radionuclides throughout pregnancy. Various methods (multiple daily injections, infusion by external cannula and infusion by indwelling osmotic pump) have been examined and osmotic infusion pumps chosen. These pumps result in a near-constant blood concentration for up to 21 days. Part of the study is the estimation of dose to the critical haemopoietic tissues of the pup from a knowledge of the radionuclide distribution and kinetics. At present the distribution has been followed from birth to 180 days. Activity in the suckling pups at 7 days old is around 1 percent of the infused activity, though most of this is accounted for by the contents of the stomach and gastrointestinal tract. The liver and femur account for around 0.025 percent and 0.012 percent respectively per pup. Activity increases in both liver and femur during lactation after which both concentration and activity fall with time. Long-term studies with the pups of dams exposed to a range of 239 Pu concentrations between 0-70 kBq/kg are underway. Correlation of average organ dose with tumour incidence will be determined at completion of the life-span study. (Author) 39 refs., 5 tabs., 6 figs

  15. Focus on Games & Simulations: Trends+Technologies+Case Studies

    Science.gov (United States)

    Weinstein, Margery

    2011-01-01

    A changing mindset combined with changing technology is driving the use of games and simulations. People are becoming more open to using games and simulations for learning, and, at the same time, the technologies are making the development of games and simulations easier and faster than a mere five years ago. Together, the changing mindset and the…

  16. Timing of Technology Upgrades: A Case of Enterprise Systems

    Science.gov (United States)

    Claybaugh, Craig C.

    2010-01-01

    Technology upgrades are an inevitable part of dealing with any man-made invention utilized for productive gain. One key technology used for productive gain within a firm is enterprise software, specifically a firm's Enterprise Resource Planning (ERP) system. After the adoption of an ERP system, an organization is perpetually faced with the…

  17. Applications of a Case Library of Technology Integration Stories for Teachers

    Science.gov (United States)

    Wang, Feng-Kwei; Jonassen, David H.; Strobel, Johannes; Cernusca, Dawn

    2003-01-01

    Stories are the most natural form of communication and learning among humans. In this paper, we describe how we have designed and implemented an case library of technology integration stories to support pre-service and in-service teachers learning how to integrate technologies into their teaching. The case library was built using the artificial…

  18. Strategy Illusion - The Misinterpretation of Case Studies of Technological Change

    DEFF Research Database (Denmark)

    Howells, John

    A review of several classic innovation cases that have been widely misinterpreted. Amongst the reasons for misinterpreation are: lack of immersion in the detail of the cases; the bringing to a case of faulty assumptions about reality that are a product of single disciplinary specialisation....

  19. Investigating Delays in Updates to Infusion Pump Drug Limit Libraries

    Science.gov (United States)

    DeLaurentis, Poching C.; Hsu, Kang-Yu; De la Armenta, Ana Isabel Hoz; Bitan, Yuval

    2016-01-01

    Interoperability is a major challenge in current healthcare systems. It brings big hope for data exchange, but also raises some concern about patient safety. We study the wireless updating of modern infusion pumps and demonstrate the possible flaws in this process. Through analyzing data on drug limit libraries (DLL) versions in one hospital we could identify the delays in distributing DLL updates and the impact these delays might have on patient safety. We found that 31% of all started infusions had used outdated DLL versions, and 22.6% of all alerts were triggered by outdated DLLs. These findings suggest that clinical and operational stakeholders in healthcare systems must address the unreliable interoperability of medical technologies such as seen on infusion pumps. The impact of information inconsistency across healthcare systems might result in use error which would impair patient safety. PMID:28269844

  20. Fatty liver change as a result of hepatic artery infusion chemotherapy.

    Science.gov (United States)

    Zeiss, J; Merrick, H W; Savolaine, E R; Woldenberg, L S; Kim, K; Schlembach, P J

    1990-04-01

    Direct hepatic arterial infusion of floxuridine (FUDR) (Roche Laboratories, Division of Hoffman-LaRoche Inc., Nutley, NJ, U.S.A.) has been used extensively in the treatment of metastases of colorectal tumors to the liver. The effectiveness of infusion and tolerance of the chemotherapy has been improved utilizing a totally implantable infusion pump delivery system. However, unequal distribution of drug infusion may occur to different parts of the liver parenchyma as demonstrated by hepatic arterial infusion scintigraphy (HAPS). We present a case of such unequal perfusion in which fatty metamorphosis of the liver occurred in the overperfused liver segment after FUDR therapy. The liver parenchymal changes were followed by serial computerized tomography scans and proven by biopsy during a minilaparotomy. Serial HAPS examinations show redirection of subsequent infusion to the opposite liver lobe due to parenchymal damage and vascular sclerosis. The importance of uniform liver perfusion and a rare dose-related effect of FUDR on liver parenchyma are thereby demonstrated.

  1. Impact of Collaborative Work on Technology Acceptance: A Case Study from Virtual Computing

    Directory of Open Access Journals (Sweden)

    Abdullah Konak

    2016-12-01

    Findings\tThe findings of the study supported that collaborative work could improve non-technology students’ acceptance of RVCLs. However, no significant effect of collaborative work on technology acceptance was observed in the case of technology students. Recommendations for Practitioners\tEducators should consider the benefits of collaborative work while introducing a new technology to students who may not have background in the technology introduced. Recommendation for Researchers In this study, student technological background was found to be a significant factor for technology acceptance; hence, it is recommended that technological background is included in TAM studies as an external factor. Future Research\tRepeating similar studies with multiple exercises with varying degrees of challenge is required for a better understanding of how collaborative work and student technological background affect technology acceptance.

  2. Adoption and spread of new imaging technology: a case study.

    Science.gov (United States)

    Ladapo, Joseph A; Horwitz, Jill R; Weinstein, Milton C; Gazelle, G Scott; Cutler, David M

    2009-01-01

    Technology is a major driver of health care costs. Hospitals are rapidly acquiring one new technology in particular: 64-slice computed tomography (CT), which can be used to image coronary arteries in search of blockages. We propose that it is more likely to be adopted by hospitals that treat cardiac patients, function in competitive markets, are reimbursed for the procedure, and have favorable operating margins. We find that early adoption is related to cardiac patient volume but also to operating margins. The paucity of evidence informing this technology's role in cardiac care suggests that its adoption by cardiac-oriented hospitals is premature. Further, adoption motivated by operating margins reinforces concerns about haphazard technology acquisition.

  3. Pervasive assistive technology for people with dementia: a UCD case

    DEFF Research Database (Denmark)

    Thorpe, Julia Rosemary; Rønn-Andersen, Kristoffer; Bien, Paulina

    2016-01-01

    a user-centred approach to developing and testing AT based on off-the-shelf pervasive technologies. A prototype is created by combining a smartphone, smartwatch and various applications to offer six support features. This is tested among five end-users (PwD) and their caregivers. Controlled usability...... testing was followed by field testing in a real-world context. Data is gathered from video recordings, interaction logs, system usability scale questionnaires, logbooks, application usage logs and interviews structured on the unified theory of acceptance and use of technology model. The data is analysed......Smart mobile and wearable technology offers exciting opportunities to support people with dementia (PwD). Its ubiquity and popularity could even benefit user adoption – a great challenge for assistive technology (AT) for PwD that calls for user-centred design (UCD) methods. This study describes...

  4. Role of Information Technology on Warehouse Management in Kenya: A Case Study of Jomo Kenyatta University of Agriculture and Technology

    OpenAIRE

    Kellen Karimi; G.S. Namusonge

    2014-01-01

    The general objective was to find out factors affecting warehousing management. The specific objective was; to determine the effect of information technology on warehouse management. The researcher used descriptive research design taking Jomo Kenyatta University of Agriculture and Technology as a case for this study. The target population was 930 and a sample size of 50. The sampling design adopted was stratified random sampling. Data collection was done by use of questionnaires and informal ...

  5. Barriers to Technology Diffusion: The Case of Compact Fluorescent Lamps

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    Despite its considerable potential in household, domestic and industry sectors, the possible contribution of solar heat is often neglected in many academic and institutional energy projections and scenarios. This is best explained by the frequent failure to distinguish heat and work as two different forms of energy transfers. As a result, policy makers in many countries or States have tended to pay lesser attention to solar thermal technologies than to other renewable energy technologies.

  6. Rejecting New Technology: The Case of Genetically Modified Wheat

    OpenAIRE

    Derek Berwald; Colin A. Carter; Guillaume P. Gruère

    2006-01-01

    Canada has stringent regulations covering the release of new wheat varieties, but the United States has virtually no regulations in this area. Monsanto Co. developed genetically modified (GM) spring wheat for North America, and made a commitment to the U.S. industry to release this new technology simultaneously in both Canada and the United States, or not at all. The Canadian regulatory bias against new varieties acted as a veto against GM wheat and caused Monsanto to shelve the technology in...

  7. Technological Unemployment: an approximation to the Latin American Case

    Directory of Open Access Journals (Sweden)

    ANDRÉS AGUILERA

    Full Text Available Recent advancements in Artificial Intelligence (AI, robotics, control systems, software and related technologies have revived the debate on the influence that technology has on labor markets. So far, the focus of the literature has been on advanced economies. This document aims to analyze the following variables: domestic spending in science and technology, GDP per capita, nominal minimum wage, domestic spending in education and their impact on unemployment rate in seven Latin American countries from 1996 to 2011. Panel data was used to measure the relation of these variables with unemployment rates in the region. The results allowed us to conclude that investment in Science and Technology in the region has not reached levels that potentially reduce employment; on the contrary, innovation is regarded as a source of labor productivity gains. The broader implications of technology and automation are yet to be seen, however, both firms and the public sector in the region must prepare for massive technological unemployement, as predicted by recent models.

  8. 21 CFR 880.5725 - Infusion pump.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Infusion pump. 880.5725 Section 880.5725 Food and... Infusion pump. (a) Identification. An infusion pump is a device used in a health care facility to pump fluids into a patient in a controlled manner. The device may use a piston pump, a roller pump, or a...

  9. Prostacyclin infusion may prevent secondary damage in pericontusional brain tissue

    DEFF Research Database (Denmark)

    Reinstrup, Peter; Nordström, Carl-Henrik

    2011-01-01

    Prostacyclin is a potent vasodilator, inhibitor of leukocyte adhesion, and platelet aggregation, and has been suggested as therapy for cerebral ischemia. A case of focal traumatic brain lesion that was monitored using intracerebral microdialysis, and bedside analysis and display is reported here........ When biochemical signs of cerebral ischemia progressed, i.v. infusion of prostacyclin was started....

  10. Anaphylactic shock and cardiac arrest caused by thiamine infusion

    DEFF Research Database (Denmark)

    Juel, Jacob; Pareek, Manan; Langfrits, Christian Sigvald

    2013-01-01

    intoxication and developed cardiac arrest due to anaphylactic shock following intravenous thiamine infusion. The patient was successfully resuscitated after 15 min and repeated epinephrine administrations. He was discharged in good health after 14 days. This case report emphasises both the importance...

  11. Blind Technology Transfer or Technological Knowledge Leakage: a Case Study from the South

    Directory of Open Access Journals (Sweden)

    Dario Codner

    2012-07-01

    Full Text Available Blurring boundaries between science and technology is a new phenomenon especially in fields such as biotechnology. The present work shows the fate of biotech research papers on foreign patents produced during the last decade in Quilmes National University. It aims at recognizing the flow of scientific knowledge developed at a public university towards foreign companies and organizations as well as reflecting on its technological value, the role of technology transfer management, the institutional significance of technology transfer processes and the need to develop innovative public policies for solving structural failures caused by industrial underdevelopment

  12. Science and technology in a developing country: The Brazilian case

    International Nuclear Information System (INIS)

    Vargas, Jose Israel

    2001-01-01

    Full text: This paper treats the development of science and technology in Brazil in a historical perspective within the Brazilian socio-economic context. The development of natural and human resources and the buildup of the Brazilian economy that have taken place over the last few decades are best described against the background of the well known economic cycles involving sugar production, gold mining and coffee cultivation, all largely based on slave labor until late in the 19th century. Brazilian industrialization has often been described as resulting from the adoption of an import substitution model. This paper claims that, alternatively, it may be described as a technology importation model. The implementation of this scheme demanded the rapid development of human capital which, in Brazil, has followed an original approach. In fact, traditional university education only started in the 1930s, higher education having taken root only in previously isolated high quality technical schools, such as mining, electrical engineering, agricultural engineering and, of course, the traditional institutions for teaching medicine and law. By the 1950s, largely under the influence of some outstanding scientists - mostly trained in the frontiers of nuclear sciences - the National Council of Research and the National Post-Graduate Training Programme were created. This has led, until now, to reasonable scientific, and to a lesser extent, technological development. The recent globalization process - the new economy - has broken down barriers to international commerce and required in recent years greater efforts to disseminate basic general education and the fostering of advanced science and technology. To this end, science and technology, along with research and development activities, have reached 1.35% and 0.9% of Brazil's GNP, respectively. Innovation as measured by patent applications has been modest. However, the technology balance has grown since the 1990s at a rate greater

  13. Gender, technology change and globalization: the case of China.

    Science.gov (United States)

    Guo, H; Zhao, M

    1999-01-01

    This paper reviews the experience of women workers in China while the country's economy is changing into a globalized, technologically advanced one. New computer-based technology is increasingly acknowledged as a powerful and pervasive force that can shape or, at least in many ways, affect employment. It is hailed for opening up fresh employment opportunities and reducing the physical stress involved in work. However, the possibilities of redundancies or intensification of workload also exist. By focusing on changes in women's work, the article reveals the contradictions inherent in following a development path based on ever-higher levels of technology in the context of an intensive mode of production, to which productivity is the core value. The economy is bolstered and some workers gain employment in expanding industries. However, workers, who lack access to training and who are reliant on the dwindling state support for their reproductive responsibilities, are marginalized and seek employment in the growing informal economy.

  14. Determination of selected microelements in polish herbs and their infusions

    Energy Technology Data Exchange (ETDEWEB)

    Kalny, Piotr [Medical University of Warsaw, Department of Drugs Analysis, Banacha 1, 02-091 Warsaw (Poland); Fijalek, Zbigniew [Medical University of Warsaw, Department of Drugs Analysis, Banacha 1, 02-091 Warsaw (Poland); National Medicines Institute, Department of Pharmaceutical Chemistry, Chelmska 30/34, 00-725 Warsaw (Poland); Daszczuk, Anna [Medical University of Warsaw, Department of Drugs Analysis, Banacha 1, 02-091 Warsaw (Poland); Ostapczuk, Peter [Research Center of Juelich, Department of Safety and Radiation Protection, Leo-Brand Str. 1, D-52425 Juelich (Germany)]. E-mail: p.ostapczuk@fz-juelich.de

    2007-08-01

    Ba, Cd, Cr, Cu, Fe, Ni, Pb and Zn were determined in birch leaves (Folium Betulae), dandelion roots (Radix Taraxacae), hawthorn blossom (Inflorescentia Crataegi) and their infusions by graphite furnace atomic absorption spectrometry (GFAAS) after microwave digestion of plant samples. Infusions were made from herbs according to prescription for patients, provided by the producer of medicine on the package. The results obtained were compared with daily requirements for each element. Results show high content of cadmium in the medicinal plants analyzed. The highest level in infusions was observed for Ni and Zn (over 90% of the total element concentration for Ni and in most cases over 50% for Zn), and the lowest for Cd and Pb. The calculated daily intake of majority of the analyzed elements was very low (under 1% of daily requirements)

  15. Institutional dynamics and technology legitimacy - A framework and a case study on biogas technology

    NARCIS (Netherlands)

    Markard, Jochen; Wirth, Steffen; Truffer, Bernhard

    2016-01-01

    Legitimacy is central for both novel and established technologies to mobilize the resources necessary for growth and survival. A loss of legitimacy, in turn, can have detrimental effects for an industry. In this paper, we study the rise and fall of technology legitimacy of agricultural biogas in

  16. Practicing Technology Implementation: The Case of an Enterprise System

    Science.gov (United States)

    Awazu, Yukika

    2013-01-01

    Drawing on four theories of practice--Communities of Practice (CoP), Bourdieu's theory of practice, Pickering's mangle of practice, and Actor Network Theory (ANT), the study provides an in-depth understanding about technology implementation practice. Analysis of an Enterprise System implementation project in a software manufacturing…

  17. Information technology and productivity among women: A case ...

    African Journals Online (AJOL)

    Most workers are still cut off the opportunities provided by the advances in information technology. This category of excluded workers is predominantly women in the civil service in Nigeria, most of who have been unable to get to management positions. This paper elucidates the reasons for the limited access of female ...

  18. Indicators of creativity in a technology class: a case study ...

    African Journals Online (AJOL)

    Teachers seem to lack the skills and knowledge needed to recognise when creativity is taking place. In this study we investigated how learners demonstrate creativity whilst engaging in the technological process employing a qualitative research strategy, with observation and focus group interviews as the methods of data ...

  19. Globalization, Technology Transfer and the Knowledge Gap: Case ...

    African Journals Online (AJOL)

    This paper, discusses the impact of oligopolistic research on transfer of global pharmaceutical manufacturing technology to the less developed countries of the South (Nigeria) in post globalism. On the basis of empirical evidence from the advanced industrialized world, it is argued that the growth of oligopolistic research has ...

  20. Technological changes in shea butter production in Ghana: A case ...

    African Journals Online (AJOL)

    This study investigated technological changes in shea butter production in the Yendi District of Ghana and how processing could further be improved. A qualitative research and analysis of six communities and 36 shea butter processors in the Yendi District indicated that shea butter processors have changed from roasting ...

  1. Technology Integration in the Schools of Guyana: A Case Study

    Science.gov (United States)

    MacKinnon, Gregory; MacKinnon, Paula

    2010-01-01

    The following study examines the implementation of learning technologies in Guyana, South America. Specifically, the study addresses the impact of using interactive radio instruction for teaching mathematics and SuccessMaker software for enhancing literacy skills. The research results were based on surveys, interviews, classroom observations, and…

  2. A Case Study of Three Satellite Technology Demonstration School Sites.

    Science.gov (United States)

    Law, Gordon

    The Satellite Technology Demonstration (STD) represented a cooperative and complex effort involving federal, regional, state and local interests and demonstrated the feasibility of media distribution by communication satellite of social services for rural audiences. As part of a comprehensive evaluation plan, the summative data base was augmented…

  3. Time-Valued-Technology: A Light-Emitting Diode Case Study for Determining Replacement Strategy for High Technology Infrastructure Items

    Science.gov (United States)

    2012-03-22

    viii I. Introduction .....................................................................................................................1...DIODE CASE STUDY FOR DETERMINING REPLACEMENT STRATEGY FOR HIGH TECHNOLOGY INFRASTRUCTURE ITEMS I. Introduction In an effort to support cost... MCDM Models, Algorithms, Theory, and Applications. Kluwer Academic Publishers. Norwell, Ma. GE Commercial Lighting Products. Retrieved 11/2/2011

  4. Technological Diversity: A Case Study into Language Learners' Mobile Technology Use Inside and Outside the Classroom

    Science.gov (United States)

    Brick, Billy; Cervi-Wilson, Tiziana

    2015-01-01

    The speed of technological advance in the mobile phone, netbook and tablet markets has meant that learners increasingly have access to digital devices capable of enhancing their learning experience. This case study reports on how language learners, taking Italian as an option on the Institution Wide Languages Programme (IWLP) at Coventry…

  5. Evaluation of efficacy and safety of modified infusion of fluorouracil, leucovorin, oxaliplatin, and irinotecan (mFOLFOXIRI in treatment of metastatic colorectal cancer: a retrospective study of 21 cases

    Directory of Open Access Journals (Sweden)

    Xi-cheng WANG

    2016-04-01

    Full Text Available Objective  To evaluate the safety and preliminary efficacy of mFOLFOXIRI (the combination of irinotecan, oxaliplatin and 5-fluorouracil with reducing dosages in first-line treatment for Chinese patients with unresectable metastatic colorectal cancer (mCRC. Methods  A total of 21 patients received mFOLFOXIRI treatment: irinotecan 150mg/m2 on day 1, oxaliplatin 85mg/m2 on day 1, leucovorin 200mg/m2 on day 1, and 5-fluorouracil (5-FU 2800mg/m2 in a 48-h continuous infusion starting on day 1. The regimen was repeated every 2 weeks. Result  All the 21 patients were evaluated for efficacy of the aforesaid therapeutic regimen, and the incidence of toxic effects. No death occurred in association with the treatment. The total rate of grade 3 to 4 adverse events was 42.9% (9/21 including 38.1% (8 cases with grade 3 neutropenia and 4.8% (1 case suffering from grade 3 anemia. One of 21 patients (4.8% showed grade 4 neutropenia accompanied by fever. The delivered relative dose intensity of irinotecan, oxaliplatin and 5-FU during the entire treatment course were 93.4%, 98.5% and 97.6%, respectively of planned dosage. In the intention-to-treat analysis for treatment activity, 14 patients showed remission, 6 stability, and 1 with progression of the disease. The overall response rate was 66.7%, and the disease control rate was 95.2%. Three patients (15.8% with residual liver metastases were radically resected after mFOLFOXIRI chemotherapy. Conclusions  This mFOLFOXIRI project has manageable toxicity and is well tolerated in Chinese patients. The safety profile appears to be improved compared with standard FOLFOXIRI regimen. In addition, the antitumor activity and preliminary efficacy seem to be maintained. DOI: 10.11855/j.issn.0577-7402.2016.03.15

  6. Wearable technology to help with visual challenges - two case studies.

    Science.gov (United States)

    Kálmán, Viktor; Baczó, Csaba; Livadas, Makis; Csielka, Tamás

    2015-01-01

    Today as embedded computing technology and sensors become cheaper and smaller wearable technologies experience an unprecedented boom. This article presents two wearable systems that aim to help people with low vision and the blind in performing everyday tasks and doing sports. DIGIGLASSES is a project aimed at creating a pair of augmented reality digital glasses that present controlled light and contrast levels and marks selectable features on the field of vision to aid in everyday tasks. BLINDTRACK is guidance system that uses wireless localization and an innovative haptic feedback belt to guide blind runners along the running track. Both systems are briefly presented along with the most relevant technical details and user feedback where applicable. Both projects were funded by the EU FP7. Corresponding author V. Kalman: viktor.kalman@ateknea.com.

  7. Research and technology management in the electricity industry methods, tools and case studies

    CERN Document Server

    Daim, Tugrul; Kim, Jisun

    2013-01-01

    Technologies such as renewable energy alternatives including wind, solar and biomass, storage technologies and electric engines are creating a different landscape for the  electricity industry. Using sources and ideas from technologies such as renewable energy alternatives, Research and Technology Management in the Electricity Industry explores a different landscape for this industry and applies it to the electric industry supported by real industry cases. Divided into three sections, Research and Technology Management in the Electricity Industry introduces a range of  methods and tools includ

  8. Case study of siting technology for underground nuclear power plant

    International Nuclear Information System (INIS)

    Hibino, Satoshi; Komada, Hiroya; Honsho, Shizumitsu; Fujiwara, Yoshikazu; Motojima, Mutsumi; Nakagawa, Kameichiro; Nosaki, Takashi

    1991-01-01

    Underground siting method is one of new feasible siting methods for nuclear power plants. This report presents the results on case studies on underground siting. Two sites of a steeply inclined and plateau like configurations were selected. 'Tunnel type cavern; all underground siting' method was applied for the steeply inclined configuration, and 'shaft type semi-cavern; partial underground siting' method was applied for the plateau like configuration. The following designs were carried out for these two sites as case studies; (1) conceptual designs, (2) geological surveys and rock mechanics tests, (3) stability analysis during cavern excavations, (4) seismic stability analysis of caverns during earthquake, (5) reinforcement designs for caverns, (6) drainage designs. The case studies showed that these two cases were fully feasible, and comparison between two cases revealed that the 'shaft type semi-cavern; partial underground siting' method was more suitable for Japanese islands. As a first step of underground siting, therefore, the authors recommend to construct a nuclear power plant by this method. (author)

  9. Science and technology awareness for preschool children: A case study

    CSIR Research Space (South Africa)

    Van Deventer, A

    2008-11-01

    Full Text Available or failure of such an intervention. Outcomes: Students presented 8 lessons of choice at preschools Positive attitudes of students, parents and teachers towards science and technology Variables between groups identifi ed Logistical issues identifi... to teach them. You need to put certain things in a language that they understand. You also need to use special techniques in order to get their attention or calm them down when they get out of control. Comments from schools and parents feedback 2007...

  10. Non power applications of nuclear technology: The case of Belgium

    International Nuclear Information System (INIS)

    Jaumotte, A.L.

    1998-01-01

    The historical review and oversight of Belgium activities in applications of nuclear technologies has been presented. Especially attention have been paid on industrial applications as sterilization of surgical tools, medical supplies, drugs, food; radiation induced polymerization and composite materials production; nondestructive testing and application of sealed sources in industry. The detailed review has been done on nuclear medicine development in Belgium covering the range of therapeutic applications as well as diagnostic techniques

  11. Photovoltaic Technology: The Case for Thin-Film Solar Cells

    OpenAIRE

    Shah, Arvind; Torres, Pedro; Tscharner, Reto; Wyrsch, Nicolas; Keppner, Herbert

    2013-01-01

    The advantages and limitations of photovoltaic solar modules for energy generation are reviewed with their operation principles and physical efficiency limits. Although the main materials currently used or investigated and the associated fabrication technologies are individually described, emphasis is on silicon-based solar cells. Wafer-based crystalline silicon solar modules dominate in terms of production, but amorphous silicon solar cells have the potential to undercut costs owing, for exa...

  12. Performance Measurement of Information Technology Governance: a Case Study

    OpenAIRE

    Andry, Johanes Fernandes

    2016-01-01

    Established in 2001, XYZ Cargo is a Freight Forwarder Service Company specialized in the logistic transportation located in Jakarta. XYZ Cargo has broad experiences in both ocean freight and air freight service and has more than sixty agents of partnership around the world. XYZ Cargo has implemented Information Technology (IT) that covers all key aspects of business processes of the enterprise. It has an impact on the strategic and competitive advantages of its success. Many organizations hav...

  13. Linking Technology Capabilities to Marketing Requirements: Case of Indonesian Aircraft Industry

    Directory of Open Access Journals (Sweden)

    Yulianto Suharto

    2014-08-01

    Full Text Available Abstract. The relationship between strategic technology planning and the overall business strategy has been one of the growing fields that attract much interest both from academics and industrials point of view. The increasingly important role that technology plays in today’s business success is well established.Strategic technology planning activities--within a corporate level--are often implemented by applying integrated planning instrument, which allow firms to consider both technology-oriented and product-oriented aspects. This paper is an attempt to explore the role of strategic planning in the high tech industry using a specific case of aerospace industry in Indonesia.  In order to compete effectively inthe open global marketplace, the company must learn to integrate technology managementwith strategic planning. In other words, all top managers have to linktheir technology capabilities to marketing requirements.Keywords:  technology planning; business strategy; technology capability; marketing requirement; strategic mix 

  14. Developing Public Policies for New Welfare Technologies – A Case Study of Telemedicine and Telehomecare

    DEFF Research Database (Denmark)

    Tambo, Torben

    2012-01-01

    and communication-based technologies (ICT) for homecare and monitoring (telemedicine, telehomecare). Despite major investments and national commitment, public policies have not yet found a general approach to move from technological and clinical opportunity and into large-scale regular use of the technology...... (normalisation). This article provides two case studies from Denmark; one case with hypertension monitoring at a local level and another case on national policy implementation through funding of selected demonstration projects. Among the findings are that policy-making processes certainly face major challenges...... in capturing research and development for the transition of technologies into working practice. Furthermore, policy approaches of supporting experimentation and demonstration are found inadequate in promoting technology into a level of normalisation in highly cross-organisational operational environments...

  15. Development of a Technology Transfer Score for Evaluating Research Proposals: Case Study of Demand Response Technologies in the Pacific Northwest

    Science.gov (United States)

    Estep, Judith

    researcher and recipient relationship, specific to technology transfer. In this research, the evaluation criteria of several research organizations were assessed to understand the extent to which the success attributes that were identified in literature were considered when reviewing research proposals. While some of the organizations included a few of the success attributes, none of the organizations considered all of the attributes. In addition, none of the organizations quantified the value of the success attributes. The effectiveness of the model relies extensively on expert judgments to complete the model validation and quantification. Subject matter experts ranging from senior executives with extensive experience in technology transfer to principal research investigators from national labs, universities, utilities, and non-profit research organizations were used to ensure a comprehensive and cross-functional validation and quantification of the decision model. The quantified model was validated using a case study involving demand response (DR) technology proposals in the Pacific Northwest. The DR technologies were selected based on their potential to solve some of the region's most prevalent issues. In addition, several sensitivity scenarios were developed to test the model's response to extreme case scenarios, impact of perturbations in expert responses, and if it can be applied to other than demand response technologies. In other words, is the model technology agnostic? In addition, the flexibility of the model to be used as a tool for communicating which success attributes in a research proposal are deficient and need strengthening and how improvements would increase the overall technology transfer score were assessed. The low scoring success attributes in the case study proposals (e.g. project meetings, etc.) were clearly identified as the areas to be improved for increasing the technology transfer score. As a communication tool, the model could help a research

  16. Technology Convergence and Social Work: When Case Management Meets Geographic Information

    Directory of Open Access Journals (Sweden)

    Robert Vernon

    2005-05-01

    Full Text Available Two information management technologies, case management systems and geographic information systems may merge. This will foster better service planning and delivery to people in need. This may also result in continued agency mergers and mission revisions.

  17. Enhancing international technology cooperation for climate change mitigation. Lessons from an electromobility case study

    Energy Technology Data Exchange (ETDEWEB)

    Bhasin, Shikha

    2014-07-01

    As a global agreement on climate mitigation and absolute emissions reductions remains grid-locked, this paper assesses whether the prospects for international technology cooperation in low-carbon sectors can be improved. It analyses the case of international cooperation on electric vehicle technologies to elaborate on the trade-offs that cooperation such as this inherently attempts to balance- national growth objectives of industrial and technology development versus the global goods benefit of reducing greenhouse gas (GHG) emissions. It focuses on bilateral German-Chinese programmes for electric vehicle development, as well as multilateral platforms on low-carbon technology cooperation related to electric vehicles. Based on insights from these cases studies, this paper ultimately provides policy recommendations to address gaps in international technology cooperation at a bilateral level for ongoing German-Chinese engagement on electric vehicles; and at a multilateral level with a focus on the emerging technology cooperation framework of the United Nations Framework Convention on Climate Change (UNFCCC).

  18. The availability of DSA used continuous intraarterial infusion tubes founded various malignancy

    International Nuclear Information System (INIS)

    Minakuchi, Kazuo; Kobayashi, Nobuyuki; Yamada, Tetsuya

    1987-01-01

    DSA was employed using continuous intraarterial infusion tubes for various malignancies (73 cases) which were examined a total of 135 times. In head and neck malignancy (50 cases), the general position of the infusion tube had been determined beforehand by dye infusion, but DSA from the tube showed that the tubes in 24 cases (48 %) were located in the wrong position, especially in tongue cancer (21 cases) where many tubes were discovered to be in an erroreous position (71 %) such as the common carotid artery. We were unable to determine the effect of chemotherapy and radiation using DSA only. In 9 cases of breast cancer for which fixation of the tube was not attempted under X-ray fluoroscopy, 7 (78 %) showed an unusual tube position such as the intraaortic arch. In 5 cases of abdominal malignancy, only the tube position for sigmoid colon cancer was unusual. We were able to observe the effect of chemotherapy by DSA in 2 cases. For DSA in one out of 3 hepatomas using a Port-A-Cath, we observed that infusion of anticancer drug with degradable starch microspheres caused a reduction in tumor size. However, in the two remaining cases, we were unable to observe any effect of infusion of these drugs by DSA for various mechanical reasons. DSA from an infusion tube revealed not only the location of the tube accurately and promptly, but also the effect of chemotherapy. (author)

  19. Technology transfer and knowledge management in cooperation networks: the Airzone case

    International Nuclear Information System (INIS)

    Benavides Velasco, C. A.; Quintana Garcia, C.

    2007-01-01

    This paper highlights the importance of cooperation networks between the public system of R and D and industry to promote technology transfer, knowledge management, and the consolidation and growth of new technology firms. Through the case of Air zone,his paper shows the significance of collaboration agreements between University and industry to enhance technology transfer and the success of entrepreneurial projects. (Author) 28 refs

  20. Evaluating interactive technology for an evolving case study on learning and satisfaction of graduate nursing students.

    Science.gov (United States)

    Vogt, Marjorie A; Schaffner, Barbara H

    2016-07-01

    Nursing education is challenged to prepare students for complex healthcare needs through the integration of teamwork and informatics. Technology has become an important teaching tool in the blended classroom to enhance group based learning experiences. Faculty evaluation of classroom technologies is imperative prior to adoption. Few studies have directly compared various technologies and their impact on student satisfaction and learning. The purpose of this study was to evaluate technology enhanced teaching methods on the learning and satisfaction of graduate students in an advanced pharmacology class using an unfolding case study. After IRB approval, students were randomly assigned to one of three groups: blogging group, wiki group or webinar group. Students completed the evolving case study using the assigned interactive technology. Student names were removed from the case studies. Faculty evaluated the case study using a rubric, while blinded to the assigned technology method used. No significant difference was found on case study grades, the range of grades on the assignment demonstrated little differences between the methods used. Students indicated an overall positive impact related to networking and collaboration on a satisfaction survey. Impact of technology methods needs to be explored in other areas of graduate nursing education. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. Teachers as Participatory Designers: Two Case Studies with Technology-Enhanced Learning Environments

    Science.gov (United States)

    Cober, Rebecca; Tan, Esther; Slotta, Jim; So, Hyo-Jeong; Könings, Karen D.

    2015-01-01

    Teachers are not typically involved as participatory designers in the design of technology-enhanced learning environments. As they have unique and valuable perspectives on the role of technology in education, it is of utmost importance to engage them in a participatory design process. Adopting a case study methodology, we aim to reveal in what…

  2. Social Construction Of Safety In Uas Technology In Concrete Settings : Some Military Cases Studied

    NARCIS (Netherlands)

    J.M. Nyce; G.C.H. Bakx

    2012-01-01

    Unmanned aerial systems (UASs) in general and UAS safety in particular have so far received little attention in the science, technology and society (STS) literature. This paper therefore reports on several (military) cases of this relatively new technology, focusing specifically on issues of safety.

  3. Organizational Influences in Technology Adoption Decisions: A Case Study of Digital Libraries

    Science.gov (United States)

    Oguz, Fatih

    2016-01-01

    The purpose of this study was to understand the organizational level decision factors in technology adoption in the context of digital libraries. A qualitative case study approach was used to investigate the adoption of a specific technology, XML-based Web services, in digital libraries. Rogers' diffusion of innovations and Wenger's communities of…

  4. Interpersonal Consulting Skills for Instructional Technology Consultants: A Multiple Case Study

    Science.gov (United States)

    van Leusen, Peter; Ottenbreit-Lefwich, Anne T.; Brush, Thomas

    2016-01-01

    Building a trust-based relationship with faculty is one of the most important attributes of effective Instructional Technology Consultants (ITC) in order to integrate emerging technologies into higher education. Utilizing a multiple case study research design, four experienced ITCs at a large urban research university located in the Midwest showed…

  5. Technology Roadmapping for Renewable Fuels: Case of Biobutanol in Brazil

    Directory of Open Access Journals (Sweden)

    Julio Cesar Natalense

    2013-12-01

    Interviews have been used in the roadmapping process as an alternative to the workshops on market, product and technology. It allows the participation of companies in a highly competitive environment. The use of interviews allows the information to be collected individually, contributing to the elaboration of a roadmap. The results show that sugar cane has the potential to be used as a feedstock in the biobutanol production process, enabling Brazil to become a key exporter to supply other countries. For the short future, biobutanol has the potential to be produced in Brazil to replace petro-butanol as a solvent in industrial applications and to build the export platform for the fuels market .

  6. Composition of antioxidants and amino acids in Stevia leaf infusions.

    Science.gov (United States)

    Periche, Angela; Koutsidis, Georgios; Escriche, Isabel

    2014-03-01

    Stevia, a non-caloric natural sweetener with beneficial properties and considerable antioxidants and amino acids, is increasingly consumed as an infusion. This work evaluates the influence of the conditions (temperature: 50, 70 or 90 °C and time: 1, 5, 20 or 40 min) applied to obtain Stevia infusions, on antioxidants (total phenols, flavonoids and antioxidant activity) and amino acids. The total concentration of the eleven amino acids found was 11.70 mg/g in dried leaves and from 6.84 to 9.11 mg/g per gram of Stevia in infusions. However, infusions showed higher levels of certain amino acids (alanine, asparagine, leucine and proline), and greater values of the three antioxidant parameters in comparison with dry leaves. Temperature had more influence (minimum values at 50 °C and maximum at 90 °C) than time in the case of antioxidants. At 90 °C there were no important increases in the extraction of antioxidant compounds after 5 min; each gram of Stevia had 117 mg trolox (total antioxidant activity), 90 mg gallic acid (total phenols) and 56 mg catechin equivalents (flavonoids). Varying the temperature and time conditions no notable differences were observed in the concentrations of the majority of amino acids. However, the infusion treatment at 90 °C for 5 min was the best, as it gave the highest yield of 8 of the 11 amino acids. Therefore, with respect to the compounds analyzed in this study, the best way to obtain Stevia leaf infusions is the same as the domestic process, almost boiling water for a short time.

  7. The Science and Technology Case for High-Field Fusion

    Science.gov (United States)

    Whyte, D.

    2017-10-01

    This review will focus on the origin, development and new opportunities of a strategy for fusion energy based on the high-field approach. In this approach confinement devices are designed at the maximum possible value of vacuum magnetic field strength, B. The integrated electrical, mechanical and cooling engineering challenges of high-field on coil (Bcoil) , large-bore electromagnets are examined for both copper and superconductor materials. These engineering challenges are confronted because of the profound science advantages provided by high-B, which are derived and reviewed: high fusion power density, B4, in compact devices, thermonuclear plasmas with significant stability margin, and, in tokamaks, access to higher plasma density. Two distinct high-field strategies emerged in the 1980's. The first was compact, cryogenically-cooled copper devices (BPX, IGNITOR, FIRE) with Bcoil>20 T, while the second was a large-volume, Nb3Sn superconductor device with Bcoil Copper Oxide (REBCO) superconductor-based devices with Bcoil >20 T; a strategy that essentially combines the best components of the two previous strategies. Recent activities examining the technology and science implications of this new strategy are reviewed. On the technology side, REBCO superconductors have now been used to produce Bcoil>40 T in small-bore electromagnets, enabled by rapid progress in manufactured REBCO conductor quality, coil modularity and flexible operating temperature range. Specific tokamak designs, over a range of aspect ratios, have been developed to take scientific advantage of these features in various ways, and will be described.

  8. Mapping the Technological Knowledge Landscape: The Case of Epigenetics.

    Science.gov (United States)

    Song, Chie Hoon; Yoon, Janghyeok; Ko, Namuk; Han, Jeung-Whan

    2016-01-01

    Epigenetics is a biomedical novelty in drug design and disease control whose mechanisms play a significant role in transferring environmental signals to determine patterns of gene expression. Systematic identification of the main trends in epigenetics patenting activity provides insights into fundamental building blocks of this research field and policy guidance to funding agencies. The review aims at providing a comprehensive overview of the research and development trend in epigenetics by mapping the knowledge structure in patent landscape. Citation-based patent network analysis was performed to visualize the technological landscape. We focus on identifying the structure of the knowledge networks to study the technological trajectories. Patents that play an integral part in the dissemination and bridging of the technical knowledge are located and ranked. The latent topics in patent documents are highlighted by means of a topic modeling technique. Visualization of the patent network results in four main clusters. The first two clusters deal with the inhibition of histone deacetylase (HDAC). The third cluster covers inventions related to DNA methylation, which represents an epigenetic signaling tool that cells use to control gene expression. The fourth cluster encompasses computing systems and data mining techniques for identifying combinations of genetic and epigenetic attributes related to health and lifestyle improvements. We are in the growth period of gathering knowledge on various mechanisms of epigenetic regulation. There is enormous potential for improving healthcare through better understanding of the interrelationships between epigenetic control of gene expression and compounds that trigger these modifications.

  9. Functional materials for sustainable energy technologies: four case studies.

    Science.gov (United States)

    Kuznetsov, V L; Edwards, P P

    2010-01-01

    The critical topic of energy and the environment has rarely had such a high profile, nor have the associated materials challenges been more exciting. The subject of functional materials for sustainable energy technologies is demanding and recognized as a top priority in providing many of the key underpinning technological solutions for a sustainable energy future. Energy generation, consumption, storage, and supply security will continue to be major drivers for this subject. There exists, in particular, an urgent need for new functional materials for next-generation energy conversion and storage systems. Many limitations on the performances and costs of these systems are mainly due to the materials' intrinsic performance. We highlight four areas of activity where functional materials are already a significant element of world-wide research efforts. These four areas are transparent conducting oxides, solar energy materials for converting solar radiation into electricity and chemical fuels, materials for thermoelectric energy conversion, and hydrogen storage materials. We outline recent advances in the development of these classes of energy materials, major factors limiting their intrinsic functional performance, and potential ways to overcome these limitations.

  10. Incidence and management of infusion reactions to infliximab in 186 italian patient’s with rheumatoid arthritis: the Padua experience

    Directory of Open Access Journals (Sweden)

    S. Todesco

    2011-09-01

    Full Text Available Objective: We report the incidence and treatment of infusion reactions to infliximab, a chimeric monoclonal IgG1 antibody against tumor necrosis factor a, in a large cohort of patients with rheumatoid arthritis. Patients and methods: One hundred eighty six patients with rheumatoid arthritis treated with infliximab for a total of 216.6 patient years were retrospectively evaluated. Patients received 2160 infliximab infusions at the Division of Rheumatology at the University Hospital of Padua from May, 2000 to April, 2004. Specific treatment protocols for initial and subsequent acute infusion reactions were followed and the outcomes documented. Results: The overall incidence of infusion reactions to infliximab was 0.8% (19 out of 2160 of infusions, affecting 10.2% of patients (19 out of 186. Mild, moderate, or severe acute reactions occurred in 0.1% (3 of 2160, 0.6% (13 of 2160, and 0.04% (1 of 2160 of infliximab infusions, respectively. Delayed infusion reactions occurred in 0.09% (2 of 2160 of infusions. Use of specific treatment protocols resulted in rapid resolution of all acute reactions to infliximab. With a prophylaxis protocol, all patients who experienced an initial mild acute reaction were able to receive additional infusions. Conclusions: Using appropriate treatment protocols, infliximab infusion reactions were effectively treated and prevented in patients with mild acute reactions upon retreatment. In the case of moderate to severe infusion reactions, the risks and the benefits of the continuation of infliximab therapy need to be carefully considered.

  11. Analysis of cervical cancer cells treated with radiotherapy or arterial infusion chemotherapy

    International Nuclear Information System (INIS)

    Izutu, Toshihiko; Nishiya, Iwao

    1995-01-01

    The present study was designed to analyze cervical cancer cells treated with radiotherapy or intraarterial infusion of CDDP using image analysis. Total nuclear extinction (TE), 5 N-exceeding rate (5 NER) and nuclear area (NA) gradually increased following irradiation, in cervical cancer cases. TE and 5 NER increased markedly following radiotherapy in good response cases. TE, 5 NER and NA were not-changed following irradiation in poor response cases. 5 NER, in good prognostic cases was higher than in poor prognostic cases, significantly among cervical cancer cases treated with radiotherapy. 5 NER and NA increased dramatically in good response cases treated with intraarterial infusion of CDDP. (author)

  12. An experimental study on renal artery embolization using absolute ethanol, with special emphasis on infusion rate

    International Nuclear Information System (INIS)

    Han, Joon Koo; Lee, Young Seok; Choi, Byung Ihn; Park, Jae Hyung; Han, Man Chung

    1984-01-01

    Transcatheter embolization using absolute ethanol is a widely used technic in interventional radiology. But its mechanism of action and embolization effect on various infusion speed are poorly understood. Authors performed an experimental study in rabbits to document the effect of absolute ethanol on various infusion rate. The results are as follows: 1. In high speed infusion group (>0.1 ml/sec. n=13), 11 case showed peripheral obstruction and 2 cases showed central obstruction. 2. In low speed infusion group (<0.1 ml/sec. n=12), 4 cases showed peripheral obstruction and 8 cases showed central obstruction (p< 0.02). 3. On follow-up angiography performed 4 weeks later (n=8), no demonstrable significant differences are found between two groups.

  13. Infusion tomography and ultrasonography of the gallbladder in the diagnosis of acute cholecystitis

    International Nuclear Information System (INIS)

    Karp, W.; Owman, T.; Herlin, P.; Holmin, T.

    1979-01-01

    Sixty-three patients with the clinical suspicion of acute cholecystitis were examined with infusion tomography of the gallbladder. Ultrasonography was performed in 51 of these cases. The technique and diagnostic principles of both methods are discussed. The diagnostic value of the two methods when used in combination is stressed. Thus in a case of gangrenous cholecystitis when opacification of the gallbladder wall may not appear at infusion tomography, ultrasonography may demonstrate signs of gallbladder disease. Infusion tomography, on the other hand, may be of great value if ultrasonography is not informative. (orig.) 891 AJ/orig. 892 BRE [de

  14. Development of Ocean Energy Technologies: A Case Study of China

    Directory of Open Access Journals (Sweden)

    Qin Guodong

    2013-01-01

    Full Text Available For the energy shortage in China's coastal areas, which has exerted severe impact on economy development, a growing number of attentions have been paid to ocean energy utilization. In this paper, a review of related researches as well as development of ocean energy in China is given. The main part of this paper is the investigation into ocean energy distribution and technology status of tidal energy, wave energy, and thermal energy, especially that of the tidal energy and wave energy. Finally, some recommendations for the future development of ocean energy in China are also provided. For further research in this field and development of ocean energy utilization in China, this review can be taken as reference.

  15. Technology and the environment: the case for optimism

    International Nuclear Information System (INIS)

    Matt Ridley

    2002-01-01

    The author shows that the introduction of new technologies is not necessarily a threat to the environment; rather it is usually the best hope of environmental improvement. In other words, de-carbonisation of the world economy, accompanied by a shift from dirty to cleaner technologies, is occurring without any political direction. It is driven by human inventiveness. These kinds of ideas are derided by environmentalists as 'technical fixes'. They would much prefer that we cut CO 2 emissions at source. Yet actually it was technical fixes that saved the whales, the woods and the wild game before. I predict that we will survive global warming and that we will do so no thanks to treaties, global energy policies, or consumer restraint. Instead we will de-carbonise our economy with new inventions. Inventions that the environmental movement will mostly oppose. For instance, the shift to natural gas in power generation was almost universally derided by greens as a dangerous move: the notorious 'dash for gas'. Why? Gas does not need men working underground in black tunnels; it does not spill and make slicks; it is the least carbon-rich fossil fuel of all; it can be transported very cheaply in pipes; it can be burned in combined cycle turbines producing 20 or 30% more conversion efficiency than any other fuel. And, above all, it does not require the despoliation of the landscape with forests of hideous, uneconomic, unreliable, unecological, taxpayer-subsidised, concrete-hungry, golden-eagle chopping wind turbines. To replace natural gas with solar, wind, hydro or tidal power, with their insatiable demands on large acreages of our precious landscapes, would not, in my view, be green

  16. Technology Overview Using Case Studies of Alternative Landfill Technologies and Associated Regulatory Topics

    National Research Council Canada - National Science Library

    2003-01-01

    ... alternative landfill cover projects. The purpose of the case studies is to present examples of the flexibility used in the regulatory framework for approving alternative landfill cover designs, current research information about the use...

  17. A cross-case analysis of technology-in-use practices

    DEFF Research Database (Denmark)

    Boulus, Nina; Bjørn, Pernille

    2010-01-01

    and technology use, providing internal actors a space for systematic evaluation of suggested changes. Further we argue that representatives of the affected professions should not only participate, but also have a mandate to make and evaluate decisions of the technology-in-use practices of the particular group.......Purpose: To identify and characterize enabling factors that support a continuous adaptation of technology and work practices in the health care sector. Methods: Cross-case analysis of two longitudinal ethnographic studies of managing the gradual adaptation of electronic patient records, one...... in Canada and one Norway. Results: The cross-case analysis revealed that technology-in-use practices developed more rapidly in one of the cases, and one of the major driving forces was the establishment of a special committee and the associated project meetings. Based on the literature and grounded...

  18. Successful intraosseous infusion in the critically ill patient does not require a medullary cavity.

    LENUS (Irish Health Repository)

    McCarthy, Gerard

    2012-02-03

    OBJECTIVES: To demonstrate that successful intraosseous infusion in critically ill patients does not require bone that contains a medullary cavity. DESIGN: Infusion of methyl green dye via standard intraosseous needles into bones without medullary cavity-in this case calcaneus and radial styloid-in cadaveric specimens. SETTING: University department of anatomy. PARTICIPANTS: Two adult cadaveric specimens. MAIN OUTCOME MEASURES: Observation of methyl green dye in peripheral veins of the limb in which the intraosseous infusion was performed. RESULTS: Methyl green dye was observed in peripheral veins of the chosen limb in five out of eight intraosseous infusions into bones without medullary cavity-calcaneus and radial styloid. CONCLUSIONS: Successful intraosseous infusion does not always require injection into a bone with a medullary cavity. Practitioners attempting intraosseous access on critically ill patients in the emergency department or prehospital setting need not restrict themselves to such bones. Calcaneus and radial styloid are both an acceptable alternative to traditional recommended sites.

  19. Big Data: an exploration of research, technologies and application cases

    Directory of Open Access Journals (Sweden)

    Emilcy J. Hernández-Leal

    2017-05-01

    Full Text Available Big Data has become a worldwide trend and although still lacks a scientific or academic consensual concept, every day it portends greater market growth that surrounds and the associated research areas. This paper reports a systematic review of the literature on Big Data considering a state of the art about techniques and technologies associated with Big Data, which include capture, processing, analysis and data visualization. The characteristics, strengths, weaknesses and opportunities for some applications and Big Data models that include support mainly for modeling, analysis, and data mining are explored. Likewise, some of the future trends for the development of Big Data are introduced by basic aspects, scope, and importance of each one. The methodology used for exploration involves the application of two strategies, the first corresponds to a scientometric analysis and the second corresponds to a categorization of documents through a web tool to support the process of literature review. As results, a summary and conclusions about the subject are generated and possible scenarios arise for research work in the field.

  20. The Scanfin Merger: Technology, Strategy and Change (Case D)

    DEFF Research Database (Denmark)

    Smith, Pernille; Carugati, Andrea; Giangreco, Antonio

    -operation. Aiming to give a strong message on the changing nature of the CIO job, the Scanfin 'UberCIO' fired Olaf during a meeting and demanded quick and relevant changes from the remaining CIOs. The Finnish IT team, headed by Markku, carries out the technical changes in collaboration with the IT functions from...... all Scanfin countries. The project is finished, tested, and operational almost on schedule. During the initial period all seems to be working fine, but as the tourist season begins, the number of complaints begin to mount. At the end of the case, Markku realises that the project has in fact never had...... any impact in changing the working procedures of the non-Finnish business functions....

  1. Planning and roadmapping technological innovations cases and tools

    CERN Document Server

    Pizarro, Melinda; Talla, Rajasree

    2014-01-01

    Across industries, firms vary broadly on how they operate with respect to their Research & Development (R&D) activities.  This volume presents a holistic approach to evaluating the critical elements of R&D management, including planning, organization, portfolio management, project management, and knowledge transfer—by assessing R&D management from different sectors.  Featuring empirical research and in-depth case studies from industries as diverse as medical imaging, electric vehicles, and cyber security, the authors identify common features of successful R&D management, despite fundamental differences, such as company size, number of employees, industry sector, and the R&D budget.  In particular, they consider the implications for decision making with respect to resource allocation and investments, such as site selection, purchasing, and cross-departmental communication.

  2. Feedback to the field: an assessment of sternal intraosseous (IO) infusion.

    Science.gov (United States)

    Harcke, H Theodore; Crawley, Geoffrey; Mazuchowski, Edward

    2011-01-01

    Intraosseous vascular infusion (IO) is a recognized alternative to peripheral intravenous infusion when access is inadequate. The sternum and proximal tibia are the preferred sites. A review of 98 cases at autopsy revealed successful sternal IO placement in 78 cases (80%). Assuming a worst case scenario for placement (pin mark and no tip in bone [17 cases] and tip present and not in the sternum [3 cases]), attempts were unsuccessful in 20 cases (20%). We draw no specific conclusions regarding sternal IO use, but hope that personnel placing these devices and those providing medical training can use the information. 2011.

  3. Analogical reasoning in handling emerging technologies: the case of umbilical cord blood biobanking.

    Science.gov (United States)

    Hofmann, Bjørn; Solbakk, Jan Helge; Holm, Søren

    2006-01-01

    How are we individually and as a society to handle new and emerging technologies? This challenging question underlies much of the bioethical debates of modern times. To address this question we need suitable conceptions of the new technology and ways of identifying its proper management and regulation. To establish conceptions and to find ways to handle emerging technologies we tend to use analogies extensively. The aim of this article is to investigate the role that analogies play or may play in the processes of understanding and managing new technology. More precisely we aim to unveil the role of analogies as analytical devices in exploring the "being" of the new technology as well the normative function of analogies in conceptualizing the characteristics and applications of new technology. Umbilical cord blood biobanking will be used as a case to investigate these roles and functions.

  4. Expanding the classroom with educational technology: A case study of a Cuban polytechnic high school

    Directory of Open Access Journals (Sweden)

    Anne Leftwich

    2014-12-01

    Full Text Available Polytechnic instruction has a common place in the Cuban education system (Gasperini, 2000. In polytechnic institutions, teachers leverage technological tools to prepare students for labor market competences. This case study examined a polytechnic institution in Cuba to consider how teachers defined educational technology. Based on teacher questionnaire responses, site-based teacher interviews, and field observations, technology was primarily viewed as a method for student preparation. In other words, teachers used technology to prepare students for their future careers and the technology they will need to be successful in that career. The study found that teachers highly valued their technical pedagogical training, believed that the growing spaces were an integral part of their technology based instruction, and claimed that the limited resources was their greatest barrier to integrating ICT in the classroom.

  5. The Legitimation of Novel Technologies: The Case of Nanotechnology

    Science.gov (United States)

    Thyroff, Anastasia E.

    Nanotechnology is the control, manipulation, and application of matter on an atomic and molecular level. The technology is complex and confusing to consumers, and its long-term safety and effect on the human body, as well as the environment, are unknown. However, for the past decade, nanotechnology has been used to develop consumer products and food with novel and attractive attributes. Since nanotechnology is still not well known, it is not legitimized; that is, it has not been deemed safe and accepted by society. However, the market for nanotechnology is in the legitimation process. It will take an entire network of key stakeholders playing a specific roles for nanotechnology to legitimize. Specifically, each key stakeholder will align with a certain cultural discourse to frame nanotechnology in a particular way that complements their values. In Essay 1, I follow previous market system dynamic's literature and combine Actor Network Theory (ANT), Foucault's Discourse on Power and Goffman's Frame analysis to theoretically explore what the actor network for nanotechnology looks like. Four dominate frames are identified: 1) Advancement (i.e., government), 2) Management (i.e., industry), 3) Development (i.e., academia/scientists), and 4) Informant (i.e., NGO). Essay 2 empirically explores each actor's perspective on the nanotechnology network through a total of 24 interviews. A hermeneutic approach is used to analyze the 208 page text and themes describing each actor's role from a self and other's perspective are discussed. Additionally, three overarching themes (i.e., contradiction, constance, and cutoff) emerge; these themes describe the degree of similarity in how actors view their role in the nanotechnology network compared to how other actor's view that actor's role. In Essay 3, I bring critical theory into market system's research to better contextualize market formation theories. Specifically, I discuss how critical theory can be used to supplement ANT. I

  6. Infusion pasteurization of skim milk: Effects of different time-temperature combinations

    OpenAIRE

    Hougaard, A.B.; Hammershøj, M.; Ipsen, R.

    2007-01-01

    Infusion pasteurization technology was used in different time-temperature combinations for heat treatment of skim milk and compared to untreated skim milk and a standard pasteurization treatment. Aerobic count of microorganisms and activity of alkaline phosphatase showed that all infusion-pasteurized samples had received proper pasteurization. There were no difference in the size of casein micelles, but differences were seen in activity of the enzyme xanthine oxidase. The results indicate pos...

  7. 99Tcm-MIBI imaging with liposomal prostaglandin E1 infusion to detect viable myocardium in post-myocardial infarction patients

    International Nuclear Information System (INIS)

    Zheng Yong; Cai Hongbin; Miao Weibing; Lin Jun; Pan Runyang; Lin Haoxue

    2007-01-01

    Objective: The pharmacological efficiencies of liposomal prostaglandin E 1 (Lipo-PGE 1 ) infusion and nitrate infusion on 99 Tc m -methoxyisobutylisonitrile (MIBI) imaging detection of viable myocardium in post-myocardial infarction (MI) patients were compared in the current study. Methods: Thirty-two patients with MI underwent 99 Tc m -MIBI imaging at rest, nitrate infusion and Lipo-PGE 1 infusion respectively. The semi-quantitative analysis of 99 Tc m -MIBI imaging was carried out in 16 segments over each left ventricle. Results: Abnormal 99 Tc m -MIBI distribution in 216 segments (42.2%) at rest, 178 segments (34.8%) at nitrate infusion, and 184 segments (35.9%) at Lipo-PGE 1 infusion were identified. Among the 216 abnormal segments at rest, 89 (41.2%) and 81 (37.5%) were found improved after nitrate infusion and Lipo-PGE 1 infusion respectively. Detecting viable myocardium with Lipo-PGE 1 infusion imaging was accordant with that of nitrate infusion imaging in 89.8% of the cases. The mean uptake scores of abnormal segments at rest, nitrate infusion, and Lipo-PGE 1 infusion were 15.3 ± 3.3, 10.5 ± 1.4 (P 1 infusion imaging can be used for detection of viable myocardium in patients with MI. (authors)

  8. General-purpose infusion pumps.

    Science.gov (United States)

    1998-01-01

    General-purpose infusion pumps deliver liquid medications to patients through intravenous or epidural routes at specified flows. They are most often used in hospitals and alternative care settings (e.g., physician' offices, patients' homes) when liquid medications need to be administered with greater accuracy or at higher flows than can be provided through a manually adjusted gravity administration set. In this Update of our February 1997 Evaluation of infusion pumps (Health Devices 26[2]), we tested 3 additional pumps from 3 suppliers. We also rated and ranked them in comparison with the 16 units from the February 1997 study that are still being produced. With a few exceptions, we tested the new pumps against the same criteria and using the same test methods as those in the previous Evaluation. However, for this Update, the focus of our findings has broadened: although we continue to place strong emphasis on the pumps' protection against gravity free-flow, we also give significant weight to their overall safety, performance, and human factors design. As a result, our ratings and rankings scheme has changed, affecting the rankings of some of the previously evaluated units. Of the 19 currently available units that have been evaluated to date, we rated 13 units Acceptable, with 5 of those units ranked above the other 8. A further 5 units were rated Conditionally Acceptable; we consider them Acceptable if they are used with the available free-flow protection. And 1 unit had performance problems that caused us to rate it Unacceptable (this unit has been recalled by its supplier; see the inset on page 162). As always, we caution readers not to base selection and purchasing decisions on our conclusions alone, but on a thorough understanding of the issues behind those conclusions, which can be gained by reading this Evaluation in its entirety and carefully reviewing the February 1997 issue.

  9. The History of Target-Controlled Infusion

    NARCIS (Netherlands)

    Struys, Michel M. R. F.; De Smet, Tom; Glen, John (Iain) B.; Vereecke, Hugo E. M.; Absalom, Anthony R.; Schnider, Thomas W.

    Target-controlled infusion (TCI) is a technique of infusing IV drugs to achieve a user-defined predicted (target) drug concentration in a specific body compartment or tissue of interest. In this review, we describe the pharmacokinetic principles of TCI, the development of TCI systems, and technical

  10. The Infusion Approach to Teacher Development.

    Science.gov (United States)

    Kowalski, Ellen M.

    1995-01-01

    The underlying premise of infusion is that information about individuals with disabilities must be more systematically integrated throughout an entire curriculum. This article describes the infusion approach to teacher development, explaining three central premises, providing sample program applications for each premise, and discussing brain…

  11. Medical student case presentation performance and perception when using mobile learning technology in the emergency department

    OpenAIRE

    Tews, Matthew; Brennan, Kimberly; Begaz, Tomer; Treat, Robert

    2011-01-01

    Background: Hand-held mobile learning technology provides opportunities for clinically relevant selfinstructional modules to augment traditional bedside teaching. Using this technology as a teaching tool has not been well studied. We sought to evaluate medical students’ case presentation performance and perception when viewing short, just-in-time mobile learning videos using the iPod touch prior to patient encounters. Methods: Twenty-two fourth-year medical students were randomized to receive...

  12. Evaluation of free radical scavenging activity of tea infusion of commercial tea products available in uae

    International Nuclear Information System (INIS)

    Nessa, F.; Khan, S.A.

    2014-01-01

    In the present study, twenty four commercial tea samples were assayed to determine their free radical scavenging activity and polyphenolic contents based on the brewing/infusing period. Tea samples were infused/brewed in 200 mL boiled water at 120 degree C for 1, 2 and 5 min, respectively. The radical scavenging activities of tea infusion/brewing were measured using 1,1-diphenyl-2-picrylhydrazyl radical (DPPH) assay method. The results were ranged from 67.81-90.51% for black tea bags, 90.37-94.51% for green tea bags, 24.66-92.25% for black tea powder, 16.08-93.06% for green tea powder and 32.90- 45.54% for Camomile herbal infusion. The results showed that 1 or 2 min black tea bags infusion exhibited highest radical scavenging activity than 5 min infusion. Antioxidant activities of tea powders were variable with the amount of tea powder. It was observed that antioxidant activity increased with increasing boiling time for smaller amount of sample. In contrary, shorter boiling time was better for larger amount of sample. The polyphenol contents of tea infusion were determined and the results were expressed as milligram quercetin equivalent/200 mL of tea infusion. The polyphenol content was increased with increased brewing period. In contrary, brewing for longer time rendered extract less antiradical activity. This study suggests that infusing tea bag for 1 or 2 min is sufficient for getting infusion with maximum radical scavenging activity and in case of tea powder, shorter boiling time is better for larger amount of powder or small amount of powder should be boiled for minimum 5 min for rendering extract with maximum radical scavenging activity. (author)

  13. Intravenous drugs infusion safety through smart pumps

    Directory of Open Access Journals (Sweden)

    C. Gómez-Baraza

    2014-07-01

    Full Text Available Objective: To analyze the role of smart infusion pumps in reducing errors related with the administration of intravenous medications. Method: Retrospective, observational study analyzing the implementation of a system with smart intravenous infusion pumps (Hospira MedNetTM and the role of the safety system for the detection of errors during the administration of drugs, sera, and blood. We included infusions administered at the day-care hospitals of hematology, oncology, rheumatology, and oncopediatrics. We analyzed adherence to the safety system, the number of programming errors detected, the commonly implicated drugs in these errors, and improvement actions. Results: During the study period, 120 smart pumps were implemented and data on 70,028 infusions were gathered. The rate of adherence to the safety program was 62.30% in hematology (6,887 infusions, 60,30% in oncology (28,127 infusions, 46,50% in rheumatology (1,950 infusions and 1.8% in oncopediatrics (139 infusions. 3,481 out of the established limits programming alerts were generated by the pumps: 2,716 of relative limit and 765 of absolute limit. En 807 infusions (2.17%, errors that could have had consequences for the patients could be prevented. These findings allowed implementing a series of strategies aimed at minimizing these errors in the future. Conclusions: The Hospira MedNetTM system detects deviations from the established protocols of intravenous infusion, preventing in this way potential adverse events for the patients. It also allows establishing correction measures and implementing the improvement strategies.

  14. Intravenous labetolol in treating hypertensive crisis following dexmedetomidine infusion for procedural sedation.

    Science.gov (United States)

    Muthiah, Thilaka; Moni, Amarnath; Mathews, Lailu; Balaji, Sudarshan

    2016-03-01

    Dexmedetomidine is widely used for procedural sedation because of its unique combination of sedation, analgesia, and anxiolysis with minimal respiratory depression. Transient hypertension has been reported during the use of dexmedetomidine which is usually benign and is taken over by the hypotensive response on continuing the infusion. We report a case of hypertensive crisis following dexmedetomidine infusion used for procedural sedation, necessitating discontinuation of the infusion and treatment of hypertension. The dilemmas involved in treating hypertension caused by dexmedetomidine are discussed. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. Treatment of hydrofluoric acid burn to the face by carotid artery infusion of calcium gluconate.

    Science.gov (United States)

    Nguyen, Lan T; Mohr, William J; Ahrenholz, David H; Solem, Lynn D

    2004-01-01

    Hydrofluoric acid (HF) is highly corrosive substance often used in industrial processes. HF burns to the skin cause local tissue injury. Systemic hypocalcemia may ensue, with the potential to produce life-threatening arrhythmias. Medical treatment consists of local application of topical calcium gels, subcutaneous injection of calcium gluconate, and intravenous or intra-arterial infusion of calcium gluconate. Calcium gluconate infusions have been used for HF burns on distal extremities and digits. We report a case of HF burn to the face that was treated by the use of calcium gluconate infusion via the external carotid artery.

  16. Modern standardization case studies at the crossroads of technology, economics, and politics

    CERN Document Server

    Schneiderman, R

    2015-01-01

    Modern Standardization -- Case Studies at the Crossroads of Technology, Economics, and Politics covers the development of new technical standards, how these standards are typically triggered, and how they are submitted to standards development organizations (SDOs) for review and evaluation. It fills the gap in the shortage of reference material in the development of real-world standards. The increasing pace of innovation in technology has accelerated the competitive nature of standardization, particularly in emerging markets. Modern Standardization addresses these and other issues through a series of case studies in a format designed for academics and their engineering, business, and law school students.

  17. Technology-facilitated Organized Abuse: An Examination of Law Enforcement Arrest Cases

    Directory of Open Access Journals (Sweden)

    Janis Wolak

    2015-07-01

    Full Text Available This paper looks at cases of organized abuse (that is, two or more offenders working in concert and having two or more victims, not solely familial reported by law enforcement respondents during the three waves of the National Juvenile Online Victimization (NJOV Study (n=29. The NJOV Study collected data from a national US sample of law enforcement agencies about technology-facilitated crimes ending in arrest at three time points: mid-2000 to mid-2001, 2005 and 2009. The paper reports on the prevalence of technology-facilitated organized abuse ending in arrest, contexts of cases and characteristics of offenders and victims. 

  18. Technology Transfers and Knowledge Managementin Developing Economies:Case Study of an Indonesian Manufacturer

    Directory of Open Access Journals (Sweden)

    Wahyudi Wibowo

    2013-01-01

    Full Text Available International technology transfers are crucial for developing economies since they may operate as one of the key drivers in the economies’ development path. Previous studies have acknowleged some channels of technology transfers for developing economies. Nevertheless, the precise mechanisms of how the technology transfers would occur and take effect in each of the recipient economies and their domestic companies are still to be explored. Furthermore, understanding domestic companies knowledge management is important since it would determine the absorptive capacity of the company toward advanced foreign technologies. This study uses a case of technologically intermediate-level Indonesian manufacturer to show evidence of international technology transfers and their impacts on the development of indigenous technological capabilities of the domestic company, as well as to examine the company’s knowledge management. This study confirmed some benefits of international technology transfers for the domestic company, especially through the major mechanisms of technical license assistances, capital goods imports, turnkey projects, technical consultancies, backward-vertical flows of foreign direct investment, and participation in overseas markets. However, the impacts toward the domestic company’s technological capabilities were generally at intermediate level. This implies that the domestic company needs to spend more investments on in-house R&D activities and to improve its knowledge management systems.

  19. Providing Appropriate Technology for Emerging Markets: Case Study on China’s Solar Thermal Industry

    Directory of Open Access Journals (Sweden)

    Jianghua Zhou

    2017-01-01

    Full Text Available Building on a case study of five Chinese solar thermal companies and one association, our study aims to understand how the innovator’s choices regarding the use of technology and organizational practices for new product development enable companies to design and diffuse appropriate technology in emerging markets. The study uncovers two critical factors that enhance the appropriateness of technology: redefining the identity of technology and building a local supply system. Our analysis shows that synergic innovation in both architecture and component leads to the appropriate functionalities desired by emerging markets. Moreover, modular design and the building of a local supply system enhance the process appropriateness of technology. Our study provides an empirical basis for advocating going beyond minor adaptations of existing products to creating appropriate technology for emerging markets, and extends our understandings of the upstream process of designing appropriate technology. Moreover, the emphasis on the local supply system reflects a holistic framework for shaping and delivering appropriate technology, expanding the existing research focus on the perspective of the technology itself. Our research also has managerial implications that may help firms tap into emerging markets.

  20. Assessment of decision making models in sensitive technology: the nuclear energy case

    International Nuclear Information System (INIS)

    Silva, Eduardo Ramos Ferreira da

    2007-01-01

    In this paper a bibliographic review is proceeded on the decision making processes approaching the sensitive technologies (the military and civilian uses as well), and the nuclear technology herself. It is made a correlation among the development of the nuclear technology and the decision making processes, showing that from 70 decade on, such processes are connected to the national security doctrines influenced by the Brazilian War College. So, every time that the national security is altered, so is the master line of the decision making process altered. In the Brazil case, the alteration appeared from the World War II up to the new proposals coming out from the Ministry of Defense are shown related to the nuclear technology. The existent models are analysed with a conclusion that such models are unveiling at the present situation of the moment, concerning to the nuclear technology

  1. Building Resilient Communities through Empowering Women with Information and Communication Technologies: A Pakistan Case Study

    Directory of Open Access Journals (Sweden)

    Arshad Khan Khalafzai

    2011-01-01

    Full Text Available In the contemporary world, a revolution in digital technologies has changed our way of life—for better. The role of women is expanding in socio-economic, political and physical spaces; hence their empowerment will contribute toward resilience and capacity building that contributes to sustainability and disaster risk reduction in the long run. In developing nations, especially in rural regions, women empowered with information and communication technologies can enhance their capacity to cope in diverse situations. This paper addresses the vital role of information and communication technologies intervention and resilient communities with the help of a case study carried out in Pakistan.

  2. Adoption of New Technologies in a Highly Uncertain Environment: The Case of Egyptian Public Banks

    Science.gov (United States)

    Khedr, A.; Borgman, H.

    What is the relation between the process of adopting new technologies, and its impact on business value, in situations of high internal and external uncertainty? Whereas technology adoption is generally fairly well understood, the models do not seem to hold in situations of high uncertainty. The aim of this paper is to investigate the impact of this uncertainty, using a case study on the introduction of a new technology in a large Egyptian public bank. After exploring the most relevant uncertainty factors and their impact on the adoption process, the paper ends with a general discussion and conclusion.

  3. Renewable energy technology portfolio planning with scenario analysis: A case study for Taiwan

    International Nuclear Information System (INIS)

    Chen, T.-Y.; Yu, Oliver S.; Hsu, George Jyh-yih; Hsu, Fang-Ming; Sung, W.-N.

    2009-01-01

    This paper presents the results of a case study of applying a systematic and proven process of technology portfolio planning with the use of scenario analysis to renewable energy developments in Taiwan. The planning process starts with decision values of technology development based on a survey of society leaders. It then generates, based on expert opinions and literature search, a set of major technology alternatives, which in this study include: wind energy, photovoltaic, bio-energy, solar thermal power, ocean energy, and geothermal energy. Through a committee of technical experts with diversified professional backgrounds, the process in this study next constructs three scenarios ('Season in the Sun', 'More Desire than Energy', and 'Castle in the Air') to encompass future uncertainties in the relationships between the technology alternatives and the decision values. Finally, through a second committee of professionals, the process assesses the importance and risks of these alternative technologies and develops a general strategic plan for the renewable energy technology portfolio that is responsive and robust for the future scenarios. The most important contributions of this paper are the clear description of the systematic process of technology portfolio planning and scenario analysis, the detailed demonstration of their application through a case study on the renewable energy development in Taiwan, and the valuable results and insights gained from the application.

  4. Usefulness of the SNP microarray technology to identify rare mutations in the case of perinatal death

    DEFF Research Database (Denmark)

    Hoeffding, L. K.; Kock, K. F.; Johnsen, Iben Birgit Gade

    2015-01-01

    The single nucleotide polymorphism (SNP) microarray technology has emerged as a powerful tool to screen the whole genome for sub-microscopic duplications and deletions that are not detectable by traditional cytogenetic analysis. Case: We report a case of a female twin born at 27th week of gestati...... to maturation of the lungs or the perinatal death of one of the twins. However, disruptions in the biosynthesis of gangliosides have been previously associated with premature death in mice....

  5. Innovative aspects in reconstruction of automotive case details using adhesive technology

    OpenAIRE

    Nikolay Levov

    2010-01-01

    This paper discusses possibility of restoring automotive techniques’ case details and considers the effectiveness of “overlap” type joint in the repair practice. The author argue necessity for developing new adhesive formulations and technologies to restore case parts of automotive techniques and improve thermal deformation and strength characteristics of connections. The calculation of single “overlap” type connection using boundary-layer method is observed.

  6. Strontium-rubidium infusion pump with in-line dosimetry

    International Nuclear Information System (INIS)

    Barker, S.L.; Loberg, M.D.

    1986-01-01

    A strontium-rubidium infusion system is described which consists of: (a) means for generating rubidium 82 in a solution which can be infused into a patient; (b) means for infusing the solution into a patient; (c) means for measuring the radioactivity present in the solution as it is infused into the patient; and (d) means for controlling the means for infusing in response to the amount of radioactivity which has been infused into the patient

  7. Native voice, self-concept and the moral case for personalized voice technology.

    Science.gov (United States)

    Nathanson, Esther

    2017-01-01

    Purpose (1) To explore the role of native voice and effects of voice loss on self-concept and identity, and survey the state of assistive voice technology; (2) to establish the moral case for developing personalized voice technology. Methods This narrative review examines published literature on the human significance of voice, the impact of voice loss on self-concept and identity, and the strengths and limitations of current voice technology. Based on the impact of voice loss on self and identity, and voice technology limitations, the moral case for personalized voice technology is developed. Results Given the richness of information conveyed by voice, loss of voice constrains expression of the self, but the full impact is poorly understood. Augmentative and alternative communication (AAC) devices facilitate communication but, despite advances in this field, voice output cannot yet express the unique nuances of individual voice. The ethical principles of autonomy, beneficence and equality of opportunity establish the moral responsibility to invest in accessible, cost-effective, personalized voice technology. Conclusions Although further research is needed to elucidate the full effects of voice loss on self-concept, identity and social functioning, current understanding of the profoundly negative impact of voice loss establishes the moral case for developing personalized voice technology. Implications for Rehabilitation Rehabilitation of voice-disordered patients should facilitate self-expression, interpersonal connectedness and social/occupational participation. Proactive questioning about the psychological and social experiences of patients with voice loss is a valuable entry point for rehabilitation planning. Personalized voice technology would enhance sense of self, communicative participation and autonomy and promote shared healthcare decision-making. Further research is needed to identify the best strategies to preserve and strengthen identity and sense of

  8. Successful use of continuous vasodilator infusion to treat critical vasospasm threatening a distal bypass

    OpenAIRE

    Gregory A. Magee, MD, MSc; Anastasia Plotkin, MD; Jeniann A. Yi, MD, MS; Kathryn E. Bowser, MD; David P. Kuwayama, MD, MPA

    2018-01-01

    Vasospasm immediately after lower extremity arterial bypass may represent an uncommon cause of early graft failure. We report a successful case of catheter-directed, intra-arterial continuous vasodilator infusion to salvage a bypass graft threatened by severe, refractory vasospasm after incomplete response to nicardipine, verapamil, and nitroglycerin boluses. A continuous nitroglycerin infusion was administered for 24 hours, by which time the vasospasm resolved. At 12 months postoperatively, ...

  9. Pharmacokinetics and toxicology of continuously infused nitroimidazoles

    International Nuclear Information System (INIS)

    Eifel, P.J.; Brown, J.M.

    1984-01-01

    The pharmacokinetics and toxicology of misonidazole (MISO) and SR-2508 given by continuous intraperitoneal infusion were studied in female C 3 H mice. The survival (time to death) of animals receiving continuous infusions of SR-2508 and MISO was compared and related to plasma concentration, rate of infusion and total amount of drug delivered. Brain and plasma concentrations were determined by HPLC. For SR-2508, plasma concentration was directly proportional to the infusion rate. However, as the infusion rate of MISO was doubled, the plasma concentration of MISO increased approximately 6-fold, reflecting a substantial increase in the apparent half-life. The brain/plasma concentration ratio in animals infused for up to 6 days with SR-2508 remained constant, at approximately 0.09. At plasma concentrations of 0.08-1.5 mM, animals receiving SR-2508 survived approximately 3 times as long as animals exposed to a comparable plasma concentration of MISO. Even at the lowest infusion rates employed in this study, the survival of mice receiving SR-2508 was much shorter than would have been predicted if the toxicity of these two drugs were solely related to the integral brain exposure. The low brain/plasma concentration ratio of SR-2508 was maintained throughout long continuous exposures

  10. Infliximab-Related Infusion Reactions: Systematic Review

    Science.gov (United States)

    Ron, Yulia; Kivity, Shmuel; Ben-Horin, Shomron; Israeli, Eran; Fraser, Gerald M.; Dotan, Iris; Chowers, Yehuda; Confino-Cohen, Ronit; Weiss, Batia

    2015-01-01

    Objective: Administration of infliximab is associated with a well-recognised risk of infusion reactions. Lack of a mechanism-based rationale for their prevention, and absence of adequate and well-controlled studies, has led to the use of diverse empirical administration protocols. The aim of this study is to perform a systematic review of the evidence behind the strategies for preventing infusion reactions to infliximab, and for controlling the reactions once they occur. Methods: We conducted extensive search of electronic databases of MEDLINE [PubMed] for reports that communicate various aspects of infusion reactions to infliximab in IBD patients. Results: We examined full texts of 105 potentially eligible articles. No randomised controlled trials that pre-defined infusion reaction as a primary outcome were found. Three RCTs evaluated infusion reactions as a secondary outcome; another four RCTs included infusion reactions in the safety evaluation analysis; and 62 additional studies focused on various aspects of mechanism/s, risk, primary and secondary preventive measures, and management algorithms. Seven studies were added by a manual search of reference lists of the relevant articles. A total of 76 original studies were included in quantitative analysis of the existing strategies. Conclusions: There is still paucity of systematic and controlled data on the risk, prevention, and management of infusion reactions to infliximab. We present working algorithms based on systematic and extensive review of the available data. More randomised controlled trials are needed in order to investigate the efficacy of the proposed preventive and management algorithms. PMID:26092578

  11. Thrombolytic treatment for acute ischemic cerebral stroke: intraarterial urokinase infusion vs. intravenous heparin and urokinase infusion

    International Nuclear Information System (INIS)

    Ko, Gi Young; Suh, Dae Chul; Lee, Jae Hong; Kim, Jun Hyoung; Choi, Choong Gon; Lee, Ho Kyu; Lee, Myoung Chong

    1996-01-01

    To evaluate the efficacy and limitation of intra-arterial urokinase (IAUK) infusion for treatment of acute cerebral stroke. Twenty-seven acute cerebral stroke patients treated with IAUK infusion within six hours of stroke onset were reviewed. All patients showed normal initial brain findings on CT. In 21 patients, urokinase(5-15 x 10 5 IU) was administered through a microcatheter placed into or proximal to occluded segment. Mechanical disruption of thrombus by guidewire was performed in 17 patients. Angiographic and clinical responses and complications after IAUK infusion, were evaluated and the results were compared with those of intravenous heparin(N=19) and urokinase infusion(N=19). Complete or partial angiographic recanalization of occluded segment was found in 18 patients (67%), and neurologic improvement was followed in 14 patients(52%). The degree of improvement on the stroke scale score after IAUK infusion was statistically more significant(p<0.05) than that shown after intravenous heparin and urokinase infusion. Complications after IAUK infusion were large(15%) and small amount intracerebral hemorrhage(15%), contrast leakage into brain parenchyma(11%), and gastrointestinal bleeding(4%). Between the IAVK and the intravenous urokinase infusion group, differences in extent and types of complications were statistically insignificant, but were significantly higher in those two groups than in the intravenous heparin infusion group. IAUK infusion may be effective for the treatment of acute cerebral stroke

  12. Desarrollo tecnológico de sulfato de cinc 5 mg/mL infusión intravenosa Technological development of zinc sulphate 5 mg/mL intravenous infusion

    Directory of Open Access Journals (Sweden)

    Armando Gato del Monte

    2005-08-01

    Full Text Available Se desarrolló una formulación de sulfato de cinc 5 mg/mL para infusión intravenosa que cumplió con las especificaciones de calidad de la USP 26, así como con el estudio de la estabilidad física, química, microbiológica y biológica de la solución, almacenada en envases de vidrio neutro de 5 mL de calidad hidrolítica I. El producto se expuso al calor por 90 días, y al calor y acción de la luz durante un período de 180 días, así como a vida de estante en condiciones normales de temperatura ambiente. Se comprobó la efectividad de los preservativos antimicrobianos presentes en la formulación. De los estudios realizados se determinó que la solución es estable por un período de más de 18 meses, almacenada a temperatura ambiente.A formulation of zinc sulphate 5 mg/mL for intravenous infusion was developed. It met the quality specifications of the USP 26, and it underwent the study of physical, chemical, microbiological and biological stability of the solution stored in neutral glass flasks of 5 ml of hydrolitic quality I. The product was exposed to heat for 90 days and to heat and the action of light for a period of 180 days, as well as to a shelf life under normal conditions of room temperature. It was proved the effectivity of the antimicrobial preservatives present in the formulation. According to the conducted studies, it was determined that the solution is stable for more than 18 months stored at room temperature.

  13. International technology transfer: building theory from a multiple case-study in the aircraft industry

    NARCIS (Netherlands)

    Steenhuis, H.J.; de Bruijn, E.J.

    2005-01-01

    International technology transfer occurs frequently in international operations, for example in cases of foreign direct investment where companies set-up existing manufacturing lines in new locations. It also occurs in situations of international outsourcing where a new supplier receives product

  14. Cognitive radio : Aligning the regulatory environment with the technology, a business case perspective

    NARCIS (Netherlands)

    Anker, P.D.C.; Lemstra, W.

    2012-01-01

    This paper proposes to use the perspective of the business case to deal with the alignment between the introduction of new technology and the regulatory environment. Although this perspective can be used more generally this paper deals with this perspective in the context of the alignment between

  15. Changing Lives: the case for women-only vocational technology training revisited

    NARCIS (Netherlands)

    Rommes, E.W.M.; Faulkner, W.; Slooten, I. van

    2005-01-01

    Women-only vocational courses in technology, which became popular across Western Europe during the 1980s, had fallen from fashion by 2000. Yet the need for such courses remains, at least in certain circumstances. Drawing on case studies of two women-only courses in information and communications

  16. Implementing Change: An Autobiographical Case Study of Introducing a Technology Innovation within a West Midlands HEI

    Science.gov (United States)

    Sembi, Pritpal Singh

    2012-01-01

    This autobiographical case study is concerned with the personal journey of the author as he attempts to implement a technology-based innovation within the HE institution in which he teaches. This study scrutinises the author's role as "change agent" and examines his personal situational power base in the context of the institution's…

  17. Technology-Enhanced Learning Environments to Solve Performance Problems: A Case of a Korean Company

    Science.gov (United States)

    Kim, Min Kyu

    2010-01-01

    This is a case describing how technology enhanced learning environments can be used to improve employees' competence development. For this purpose, specific problematic situations in a Korean insurance company are portrayed. These situations demonstrate that everyday life in a workplace provides opportunities for learning and performance…

  18. Legal Frontiers in the Global Dissemination of Technology and Knowledge: Three Case Studies

    DEFF Research Database (Denmark)

    Tang, Yi Shin

    2008-01-01

    This article explores a few alternatives to the traditional legal and economic theories regarding the problem of global dissemination of knowledge and technology to developing countries. In particular, it examines three cases in which the classical notion of intellectual property rights seems...

  19. Resource Communication Technology and Marketing of Textile Products: A U.S. Textile Industry Case Study

    Science.gov (United States)

    Baah, Anthony

    2010-01-01

    The purpose of the qualitative positivistic case study was to explore whether resource communication technology has helped or would help the marketing of textile products in the U.S. textile industry. The contributions of human capital in the marketing department, the marketing-demand information system function, and the product supply chain…

  20. Incorporating the Philosophical Dimension in Technology Education: A Case Study from Greece

    Science.gov (United States)

    Tsirigotis, Georgios; Papadourakis, George M.; Karasavoglou, Anastasios; Hope, Erica

    2010-01-01

    Science and technology constitute very important parameters in social evolution. The unprecedented rapidity of their development since the last century, in combination with the absence of a philosophical approach and the presence in some cases of criminal usage, poses a danger for humanity and for the planet. In contrast to the classical…

  1. Clinical case in digital technology for nursing students' learning: An integrative review.

    Science.gov (United States)

    Hara, Cristina Yuri Nakata; Aredes, Natália Del Angelo; Fonseca, Luciana Mara Monti; Silveira, Renata Cristina de Campos Pereira; Camargo, Rosangela Andrade Aukar; de Goes, Fernanda Santos Nogueira

    2016-03-01

    This review aimed to analyze the available evidences in literature about clinical case studies inserted in digital technologies for nursing education, characterizing the technology resources and cognitive, procedural and attitudinal learnings. Integrative review of literature with the following steps: development of the research problem, data collection, data extraction and critic evaluation, data analysis and interpretation and presentation of results. The research question was: how does the clinical case study inserted in educational digital technology collaborate for cognitive, attitudinal and procedural learning of nursing students? data bases LILACS, PUBMED, CINAHL and Scopus. the search resulted in 437 studies: 136 from LILACS, 122 from PUBMED, 104 from Scopus and 75 from CINAHL. Of these, 143 did not meet the including criteria, 93 were duplicated and four studies were unavailable. After analyzing all abstracts based on inclusion and exclusion criteria, there were selected 197 studies and after full text analysis the final sample resulted in 21 primary studies. Case study use in educational digital technologies allowed the students to build different types of learning: cognitive learning (n 16 studies), attitudinal learning (n=12 studies) and procedural learning (n=8 studies). It is possible to conclude that case studies can collaborate with the students to develop different learnings which can be built integrate, continuous, informative and formative, aiming integral formation and aligned to policies of formation in nursing, both national and international. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. Organizing for Networked Information Technologies - Cases in Process Integration and Transformation

    DEFF Research Database (Denmark)

    The book provides seven practical examples of how Danish companies implemented new information technology in order to transform their internal and external business processes. The purpose is to share some of the companies' concerns and hopes during this implementation process, with each case...

  3. Case Study on the Impact of Technology on Incivility in Higher Education

    Science.gov (United States)

    Bartlett, Michelle E.; Bartlett, James E.

    2016-01-01

    A qualitative case study research design provided an in-depth perspective of the participants in relation to understanding the holistic impact technology has on the incivility of student-to-student and student-to-faculty interactions in higher education. The conceptual framework by Twale and Deluca (2008), based upon Salin's (2003) proposed model…

  4. Student Teachers of Technology and Design into Industry: A Northern Ireland Case Study

    Science.gov (United States)

    Gibson, Ken

    2013-01-01

    This paper, based in Northern Ireland, is a case study of an innovative programme which places year 3 B.Ed. post-primary student teachers of Technology and Design into industry for a five-day period. The industrial placement programme is set in an international context of evolving pre-service field placements and in a local context defined by the…

  5. Autistic Spectrum Disorder and Assistive Technology: Action Research Case Study of Reading Supports

    Science.gov (United States)

    Lindsey, Pam

    2012-01-01

    This descriptive action research experience with case study procedures examined the use of best practices paired with assistive technologies as interventions to individualize fiction reading instruction for a high-functioning elementary student, JB (pseudonym), diagnosed with autistic spectrum disorder. JB's instructional, reading goals were to…

  6. The Contributions of Digital Communications Technology to Human Rights Education: A Case Study of Amnesty International

    Science.gov (United States)

    Norlander, Rebecca Joy

    2013-01-01

    This dissertation addresses the need for critical assessment and evaluation of human rights education (HRE) programs and activities, especially newer initiatives that incorporate the use of digital information and communications technology (ICT). It provides an in-depth case study of the use of digital ICT in Amnesty International's HRE efforts,…

  7. Propofol Infusion Syndrome: A Retrospective Analysis at a Level 1 Trauma Center

    Directory of Open Access Journals (Sweden)

    James H. Diaz

    2014-01-01

    Full Text Available Objectives. The propofol infusion syndrome (PRIS, a rare, often fatal, condition of unknown etiology, is defined by development of lipemic serum, metabolic acidosis, rhabdomyolysis, hepatomegaly, cardiac arrhythmias, and acute renal failure. Methods. To identify risk factors for and biomarkers of PRIS, a retrospective chart review of all possible PRIS cases during a 1-year period was conducted at a level 1 trauma hospital in ICU patients over 18 years of age receiving continuous propofol infusions for ≥3 days. Additional study inclusion criteria included vasopressor support and monitoring of serum triglycerides and creatinine. Results. Seventy-two patients, 61 males (84.7% and 11 females (15.3%, satisfied study inclusion criteria; and of these, 3 males met the study definition for PRIS, with 1 case fatality. PRIS incidence was 4.1% with a case-fatality rate of 33%. The mean duration of propofol infusion was 6.96 days. A positive linear correlation was observed between increasing triglyceride levels and infusion duration, but no correlation was observed between increasing creatinine levels and infusion duration. Conclusions. Risk factors for PRIS were confirmed as high dose infusions over prolonged periods. Increasing triglyceride levels may serve as reliable biomarkers of impending PRIS, if confirmed in future investigations with larger sample sizes.

  8. The Role of Information Systems and Technology in Case Management: a case study in health and welfare insurance

    Directory of Open Access Journals (Sweden)

    Helen Richardson

    2003-05-01

    Full Text Available This study reports the role of information system and technology (IST in supporting case management at the Accident Compensation Corporation (ACC of New Zealand. Case management is a managerial approach that seeks to gain improved business performance by enhancing both employee and customer satisfaction. Despite millions of dollars spent annually by health, social, and insurance agencies in automating case management, little research has been conducted into the role of IST in this practice. The findings of this study show that for ACC, IST’s most valuable role is enhancing the relationship between client and case manager rather than replacing it for, even after the addition of IST, the most valuable knowledge continues to accrue from the face to face interaction of client and case manager. The findings also show two distinct phases to the development of case managers as knowledge workers. The first phase focuses on control of the processes and the second on the delivery and sharing of information resources.

  9. Research on the development of green chemistry technology assessment techniques: a material reutilization case.

    Science.gov (United States)

    Hong, Seokpyo; Ahn, Kilsoo; Kim, Sungjune; Gong, Sungyong

    2015-01-01

    This study presents a methodology that enables a quantitative assessment of green chemistry technologies. The study carries out a quantitative evaluation of a particular case of material reutilization by calculating the level of "greenness" i.e., the level of compliance with the principles of green chemistry that was achieved by implementing a green chemistry technology. The results indicate that the greenness level was enhanced by 42% compared to the pre-improvement level, thus demonstrating the economic feasibility of green chemistry. The assessment technique established in this study will serve as a useful reference for setting the direction of industry-level and government-level technological R&D and for evaluating newly developed technologies, which can greatly contribute toward gaining a competitive advantage in the global market.

  10. Foresight Study on the Risk Governance of New Technologies: The Case of Nanotechnology.

    Science.gov (United States)

    Read, Sheona A K; Kass, Gary S; Sutcliffe, Hilary R; Hankin, Steven M

    2016-05-01

    Technology-led innovation represents an important driver of European economic and industrial competitiveness and offers solutions to societal challenges. In order to facilitate responsible innovation and public acceptance, a need exists to identify and implement oversight approaches focused on the effective risk governance of emerging technologies. This article describes a foresight study on the governance of new technologies, using nanotechnology as a case example. Following a mapping of the governance landscape, four plausible foresight scenarios were developed, capturing critical uncertainties for nanotechnology governance. Key governance elements were then stress tested within these scenarios to see how well they might perform in a range of possible futures and to inform identification of the strengths, weaknesses, opportunities, and threats for nanotechnology governance in Europe. Based on the study outcomes, recommendations are proposed regarding the development of governance associated with the responsible development of new technologies. © 2015 Society for Risk Analysis.

  11. Understanding enhanced tourist experiences through technology: a brief approach to the Vilnius case

    Directory of Open Access Journals (Sweden)

    Ilona Beliatskaya

    2017-11-01

    Full Text Available The present research investigates the notion of enhanced tourist experiences through technology shedding light on co-creation practices and empowerment of customers. Neuhofer and Buhalis (2013 introduced a novel concept of technology-enhanced tourist experiences by generating a joint comprehension of new era of experiences which conjoin the elements of experiences, co-creation and technology. Being one of rather promoting cities in online environment Vilnius represents an interesting case of successive adoption of smart technologies in order to enhance tourist experiences and facilitate customer empowerment in Vilnius tourism domain. This study aims to determine technology-enhanced tourist experiences in order to measure factors of customer empowerment on the example of international incoming tourists to Vilnius (Lithuania. The mix-methods approach (qualitative online content and functionality analysis and quantitative survey was justified as being the most appropriate for the purpose of this research with intention to find a basis for applying of technology-enhanced tourist experiences in Vilnius tourism marketplace. The paper concludes with the definition of current level of ICTs application to enhance tourist experience co-creation and a discussion of practical implications of technology-enhanced tourist experiences development.

  12. An Orchestrating Evaluation of Complex Educational Technologies: a Case Study of a CSCL System

    Directory of Open Access Journals (Sweden)

    Luis P. Prieto

    2014-06-01

    Full Text Available As digital technologies permeate every aspect of our lives, the complexity of the educational settings, and of the technological support we use within them, unceasingly rises. This increased complexity, along with the need for educational practitioners to apply such technologies within multi-constraint authentic settings, has given rise to the notion of technology-enhanced learning practice as “orchestration of learning”. However, at the same time, the complexity involved in evaluating the benefits of such educational technologies has also increased, prompting questions about the way evaluators can cope with the different places, technologies, informants and issues involved in their evaluation activity. By proposing the notion of “orchestrating evaluation”, this paper tries to reconcile the often disparate “front office accounts” of research publications and the “shop floor practice” of evaluation of educational technology, through the case study of evaluating a system to help teachers in coordinating computer-supported collaborative learning (CSCL scenarios. We reuse an internationally-evaluated conceptual framework of “orchestration aspects” (design, management, adaptation, pragmatism, etc. to structure the case‟s narrative, showing how the original evaluation questions and methods were modulated in the face of the multiple (authentic evaluation setting constraints.

  13. Carbon Nanotube Infused Launch Vehicle Structures

    Data.gov (United States)

    National Aeronautics and Space Administration — For the past 5 years Orbital ATK has been investing in, prototyping, and testing carbon nanotube infused composite structures to evaluate their impact on launch...

  14. Pantoprazole before Endoscopy in Patients with Gastroduodenal Ulcer Bleeding: Does the duration of Infusion and Ulcer Location Influence the Effects?

    Directory of Open Access Journals (Sweden)

    Istvan Rácz

    2012-01-01

    Full Text Available The aim of this study was to investigate the effect of preemptive pantoprazole infusion on early endoscopic findings in patients with acute ulcer bleeding. Records of 333 patients admitted with acute ulcer bleeding were analyzed. Ulcer bleeders were given either 80 mg bolus of pantoprazole followed by continuous infusion of 8 mg per hour or saline infusion until endoscopy. In 93 patients saline infusion whereas in 240 patients bolus plus infusion of pantoprazole was administrated with mean (±SD durations of 5.45±12.9 hours and 6.9±13.2 hours, respectively (P=0.29. Actively bleeding ulcers were detected in 46/240 (19.2% of cases in the pantoprazole group as compared with 23/93 (24.7% in the saline infusion group (P=0.26. Different durations of pantoprazole infusion (0–4 hours, >4 hours, and >6 hours had no significant effect on endoscopic and clinical outcome parameters in duodenal ulcer bleeders. Gastric ulcer bleeders on pantoprazole infusion longer than 4 and 6 hours before endoscopy had actively bleeding ulcers in 4.3% and 5% compared to the 19.5% active bleeding rate in the saline group (P=0.02 and P=0.04. Preemptive infusion of high-dose pantoprazole longer than 4 hours before endoscopy decreased the ratio of active bleeding only in gastric but not in duodenal ulcer patients.

  15. Green Propellant Infusion Mission Program

    Data.gov (United States)

    National Aeronautics and Space Administration — The mission is architected as a collaboration of NASA, Industry, and Air Force partners with the objective to advance the technology for propulsion components using...

  16. The business case: The missing link between information technology benefits and organisational strategies

    Directory of Open Access Journals (Sweden)

    Carl Marnewick

    2014-07-01

    Full Text Available Purpose: Business cases are an integral part of information technology (IT projects, providingthe linkage between the organisational strategies and the promised benefits. Most majorproject management standards and methodologies make reference to the business case andits intended usage. Problem investigated: The success of IT projects is measured based on the benefits they deliver; anecdotal evidence states that IT projects fail at an alarming rate. The benefits are promised in the business case and should be delivered. This study focuses on whether there is a gap between theory and practice with regard to the way that organisations use the business case to approve, manage and track the promised benefits throughout an IT project. Methodology: This article reports on exploratory research that was initiated to establish the current practice of business case application. Four research questions were developed based on an extensive literature review to support or debunk the anecdotal evidence. Semi-structured interviews were used to gather evidence from organisations based on these research questions. Findings: The results suggest that organisations make use of business cases for various reasons and mostly in line with theory. There are, however, aspects that need to be addressed, such as the linkage between the business case and the harvesting of promised benefits. Value of research: This article confirms the theoretical aspects of the business case but highlights some deviations from practice. Organisations need to be more vigilant in the management of the business case to ensure the tracking and realisation of promised benefits.

  17. Patient-Driven Innovation for Mobile Mental Health Technology: Case Report of Symptom Tracking in Schizophrenia.

    Science.gov (United States)

    Torous, John; Roux, Spencer

    2017-07-06

    This patient perspective piece presents an important case at the intersection of mobile health technology, mental health, and innovation. The potential of digital technologies to advance mental health is well known, although the challenges are being increasingly recognized. Making mobile health work for mental health will require broad collaborations. We already know that those who experience mental illness are excited by the potential technology, with many actively engaged in research, fundraising, advocacy, and entrepreneurial ventures. But we don't always hear their voice as often as others. There is a clear advantage for their voice to be heard: so we can all learn from their experiences at the direct intersection of mental health and technology innovation. The case is cowritten with an individual with schizophrenia, who openly shares his name and personal experience with mental health technology in order to educate and inspire others. This paper is the first in JMIR Mental Health's patient perspective series, and we welcome future contributions from those with lived experience. ©John Torous, Spencer Roux. Originally published in JMIR Mental Health (http://mental.jmir.org), 06.07.2017.

  18. Infusion Antihypoxants in Children with Critical Conditions

    Directory of Open Access Journals (Sweden)

    Yu. S. Aleksandrovich

    2014-01-01

    Full Text Available Hypoxia and mitochondrial damage are a key component of the pathogenesis and tanatogenesis of a critical condition, suggesting the need for its prevention and maximally rapid elimination. Objective: to analyze the efficacy and safety of infusion antihypoxants used in critically ill children from the results of researches. Materials and methods. Available investigations dealing with infusion therapy in children and papers on the use of infusion antihypoxants in adults in 2005 to 2013 were sought in the medical databases PubMed and Cochrane Library with their free availability and analyzed. Results. The analysis included 70 trials. The pathophysiology and pathobiochemistry of hypoxia in critically ill children are given; the current principles of its correction by infusion therapy are considered in detail. Particular emphasis is placed on trials evaluating the efficacy and safety of succinic acid solutions in children. Main indications for and contraindications to their use are demonstrated. Conclusion. The use of Krebs cycle substrate-based infusion antihypoxants (malate, succinate is an effective and promising procedure for the intensive therapy and correction of hypoxia in both adults and children with critical conditions. Considering the fact that papers on the use of infusion antihypoxants in children are scanty, there is a need for further investigations. 

  19. Extractability of selected mineral and trace elements in infusions of chamomile.

    Science.gov (United States)

    Chizzola, Remigius; Michitsch, Hanneliese; Mitteregger, Ulrike S

    2008-09-01

    Chamomile flower heads were extracted with boiling water and the elements calcium, potassium, magnesium, zinc and cadmium were recorded in the drug and the resulting infusions. The extractabilities for calcium, magnesium and potassium in the infusions were 19-23%, 47-48% and 65-73%, respectively. Cadmium could be recovered to 15-21% in the infusions and zinc to 23-34%. A longer extraction time gave slightly higher recovery rates for potassium and zinc. The extraction of less plant material gave a slight reduction in the extractability only in the case of cadmium. A single cup of chamomile infusion can only afford a small proportion of the daily requirement of the mineral elements.

  20. The effect of barium infusion rate on the diagnostic value of small bowel enteroclysis

    International Nuclear Information System (INIS)

    Oudkerk, M.; Rijke, A.M.

    1988-01-01

    Although enteroclysis may have many advantages over the conventional methods of small bowel examination, the contrast material is not always infused at a rate appropriate to gain maximum diagnostic information. In this study, 190 patients were examined by small bowell enteroclysis at five contrast infusion rates ranging from 50 to 150 ml/min using a newly designed infusion pump system. The results show that at rates above 75 ml/min, motility disturbances are masked by small bowel dilatation and paralysis, transit times are extended and morphological detail is obscured. At rates below 75 ml/min, incomplete filling of the loops renders optimal diagnostic evaluation impossible. An infusion rate of 75 ml/min was found to be optimal for initiating small bowel studies. This rate can be adjusted for individual cases when pathology or drugs affect the motility of the small bowel. 13 refs.; 5 figs.; 1 table

  1. A randomized trial of automated intermittent ropivacaine administration vs. continuous infusion in an interscalene catheter

    DEFF Research Database (Denmark)

    Oxlund, J; Clausen, A H; Venø, S

    2018-01-01

    BACKGROUND: Ultrasound-guided interscalene nerve block with ropivacaine as local anesthetic agent given as boluses or continuous infusion is the preferred pain management after major shoulder surgery. The use of automated intermittent boluses has been shown to be superior to continuous infusion....... Patients were allocated to either automated intermittent boluses with 16 mg ropivacaine every 2 h combined with patient-controlled administration or to a conventional regimen of continuous infusion of 8 mg/h (4 ml/h) of ropivacaine combined with patient controlled administration (2 ml, lockout time 30 min......). Pain (Visual Analog Scale, VAS) was assessed every 8 h postoperatively. RESULTS: Fifty-seven patients completed the study, 29 in the continuous infusion group and 28 in the automated intermittent bolus group. Shoulder arthroplasty was performed in 49 (86%) of the cases. There were no significant...

  2. Using the Case Study Technology in Developing the Students’ Environmental Competence

    Directory of Open Access Journals (Sweden)

    S. B. Ignatov

    2012-01-01

    Full Text Available The case study technology is considered to be an effective tool for developing the students’ environmental competence. Numerous modern interactive techniques, facilitating the competence approach, can be fitted into its framework. The essence of the case-study is defined as the teaching method of problem-solving. The technology in question makes it possible to use the so called triad of «training – education – development», and provides such teaching opportunities as streaming the students according to their interests, skills, abilities and psychological peculiarities; and, therefore, assigning the relevant and motivating individual tasks.The paper traces the history of the case-study, as well as some theoretical and methodological aspects of its implementation in teaching process; the pedagogic goals fulfilled by means of the given technology are listed along with its advantages compared to other methods. The «case-study» term, its structure and working algorithms are defined. The application examples relating to environmental education at different levels are given. 

  3. Policies of industrial market and science and technology: the case of Brazilian nuclear program

    International Nuclear Information System (INIS)

    Oliveira, R.G. de.

    1981-01-01

    The relationship between policies and the definition of a national program of nuclear energy, is considered. The case under study is the Brazilian one. It is shown that an overall evaluation of market, industry and science and technology is mandatory for the definition of a nuclear energy program, and serious fault and hesitation, leading to contradiction and failure, have their roots in a basic lack of definition in policies. The evolution of the Brazilian Nuclear Energy Program will probably remain at a mediocre level until a definition at the level of policy-making in marketing, industry and science and technology is firmly pursued and maintained. (Author) [pt

  4. Off-site emergency response plans in case of technological catastrophes: the case Angra dos Reis

    International Nuclear Information System (INIS)

    Souza Junior, M.D. de.

    1990-04-01

    In the first part of the thesis a discussion of the technical, operational and methodological features of the current practices for emergency planning in case of a nuclear fallout. Based on this general reference is possible to evaluate the features in the natural and social environment of Angra dos Reis that probably will obstruct the application of the protective countermeasures to the public. These critical points are enhanced to permit the discussion of a methodological approach that is supposed to be suitable to the reality of Angra dos Reis. The approach was developed specifically to this region and was introduced as a part of the general emergency off-site plan to the Central Nuclear Almirante Alvaro Alberto (CNAAA). Starting from this experience will be possible to enlarge this approach in a further research, in order to study this potential hazards of other industrial plants. (author)

  5. Metabolic acidosis, rhabdomyolysis, and cardiovascular collapse after prolonged propofol infusion.

    Science.gov (United States)

    Cannon, M L; Glazier, S S; Bauman, L A

    2001-12-01

    The authors present the hospital course of a 13-year-old girl with a closed head injury who received a prolonged infusion of propofol for sedation and, subsequently, died as a result of severe metabolic acidosis, rhabdomyolysis, and cardiovascular collapse. The patient had been treated for 4 days at a referring hospital for a severe closed head injury sustained in a fall from a bicycle. During treatment for elevations of intracranial pressure, she received a continuous propofol infusion (100 microg/kg/min). The patient began to exhibit severe high anion gap/low lactate metabolic acidosis, and was transferred to the pediatric intensive care unit at the authors' institution. On arrival there, the patient's Glasgow Coma Scale score was 3 and this remained unchanged during her brief stay. The severe metabolic acidosis was unresponsive to maximum therapy. Acute renal failure ensued as a result of rhabdomyolysis, and myocardial dysfunction with bizarre, wide QRS complexes developed without hyperkalemia. The patient died of myocardial collapse with severe metabolic acidosis and multisystem organ failure (involving renal, hepatic, and cardiac systems) approximately 15 hours after admission to the authors' institution. This patient represents another case of severe metabolic acidosis, rhabdomyolysis, and cardiovascular collapse observed after a prolonged propofol infusion in a pediatric patient. The authors suggest selection of other pharmacological agents for long-term sedation in pediatric patients.

  6. [Husk of Venezuelan cocoa as raw material of infusions].

    Science.gov (United States)

    Sangronis, Elba; José Soto, María; Valero, Yolmar; Buscema, Ignacio

    2014-06-01

    In the cocoa bean industry, some by-products go underutilized. Some of these components could provide other innovative products, and such is the case with the husk of the cocoa bean. Previous studies have attributed the husk with a high antioxidant capacity, which added to its relative low cost, makes it an attractive ingredient for the production of infusions. However, prior to promoting it as such, its quality needs to be guaranteed. This study evaluated the chemical composition of the husk of cocoa, its microbiologic quality and other parameters in order to be considered raw material in the preparation of infusions. The cocoa was cultivated in two different states in Venezuela. Moisture, protein, fat, ash, carbohydrates, microbiologic quality and ochratoxin A as well antioxidant properties, content of foreign matter, insoluble ash in HCL and aqueous extract were evaluated in the husk of cocoa seeds. Applied methods were in compliance with national and international norms. Significant differences were determined between the samples through the ANOVA application. A low level in moisture content, but high in ash, along with a microbiologic quality that met the norm, and an absence of ochratoxin A were observed in the totality of the analyzed samples. Low levels of foreign matter, the high value of its aqueous extract and high phenolic compounds content with antioxidant activity allow for the recommendation of the husk of cocoa as raw material for the preparation of infusions.

  7. [Stump pain relieved by continuous intravenous ketamine infusion therapy].

    Science.gov (United States)

    Mizuno, J; Sugimoto, S; Ohmori, T; Itadera, E; Ichikawa, N; Machida, K

    2001-07-01

    We experienced a case of stump pain relieved by continuous intravenous ketamine infusion therapy. A 59-year-old male had his left first through fourth toes amputated because a giant iron plate at work fell on his left foot fifteen years ago. Thereafter he had refractory spontaneous burning pain and night pain on his stump. On examination, we found his left foot skin hard, lustrous, and with sweating disturbance, allodynia and hyperpathia. As intravenous administrations of ketamine 10 mg and thiamylal 50 mg were positive as a drug challenge test, we performed intravenous ketamine infusion at 1 mg.kg-1.hr-1 for 1 hour and a half. After this treatment, his visual analogue scale (VAS) improved dramatically to 0 mm, and night pain, allodynia and hyperpathia disappeared for three days. Thereafter stump pain was relieved to the level of VAS 20 mm. Therefore we diagnosed his stump pain as central pain of neuropathic origin. We suspect that continuous intravenous infusion of ketamine, a noncompetitive blocker of N-methyl-D-aspartic acid receptor, might be an effective and useful alternative treatment in a patient with refractory stump pain.

  8. Affective and Social Factors Influencing the Continuance Intention of Using Social Technology for the Case-based Learning

    Directory of Open Access Journals (Sweden)

    Siriporn Srisawas

    2012-01-01

    Full Text Available The proliferation of social technology poses both a threat and an opportunityfor the delivery of traditional case method learning in business schools.This paper extends the expectation confirmation model (ECM to examine thepossibility of delivering the case method learning via social technology. Ourregression analysis shows that, in addition to affective factors, the socialfactor of information and knowledge sharing can help improve the accuracyof predicting a student’s continuance intention of using social technology incase method learning. The analysis result leads to theoretical and empiricalfindings for business schools to consider adopting social technology as thenext-generation tool for case method teaching.

  9. Space Technology: A study of the significance of recognition for innovators of spinoff technologies. A case study on the impact of the space technology hall of fame award

    Science.gov (United States)

    1993-01-01

    This report represents the preliminary effort in studying the significance of recognition for innovators of spinoff technologies. The purpose of this initial year's effort in this area was to gather preliminary data and define the direction for the remainder of the research. This report focuses on the most recent recipients of the Hall of Fame Award, the developers of liquid-cooled garments. Liquid-cooled garments technology and its spinoffs were used as a case study to define and explore the factors involved in technology transfer and to consider the possible incentives in developing commercial applications including the Hall of Fame Award. Through interviews, views of award recipients were obtained on factors encouraging spinoffs as well as impediments to spinoffs. The researchers observed complex inter-relationships among the significant entities (government, individuals, large and small business), the importance of people, the importance of resource availability, and the significance of intrinsic motivation; drew preliminary conclusions pertaining to the direct and indirect influence of recognition like the Hall of Fame Award; and planned the direction for next year's follow-on research.

  10. A comparative analysis of Photovoltaic Technological Innovation Systems including international dimensions: the cases of Japan and The Netherlands

    NARCIS (Netherlands)

    Vasseur, V.; Kamp, L.M.; Negro, S.O.

    2013-01-01

    This paper investigates the development and diffusion of photovoltaic (PV) technology in Japan and The Netherlands. Both cases are analysed with the Technological Innovation Systems (TIS) framework, which focuses on a particular technology and includes all those factors that influence the

  11. The Convergence of Content, Pedagogy, and Technology in Online Professional Development for Teachers of German: An Intrinsic Case Study

    Science.gov (United States)

    Bustamante, Carolina; Moeller, Aleidine J.

    2013-01-01

    This qualitative case study describes a unique online professional development program utilizing Web 2.0 technologies for teachers of German using the Technological Pedagogical Content Knowledge (TPACK) model as a theoretical framework to promote technology literacy, expand German language proficiency and cultural knowledge, and integrate…

  12. A remote drip infusion monitoring system employing Bluetooth.

    Science.gov (United States)

    Amano, Hikaru; Ogawa, Hidekuni; Maki, Hiromichi; Tsukamoto, Sosuke; Yonezawa, Yoshiharu; Caldwell, W Morton

    2012-01-01

    We have developed a remote drip infusion monitoring system for use in hospitals. The system consists of several infusion monitoring devices and a central monitor. The infusion monitoring device employing a Bluetooth module can detect the drip infusion rate and an empty infusion solution bag, and then these data are sent to the central monitor placed at the nurses' station via the Bluetooth. The central monitor receives the data from several infusion monitoring devices and then displays graphically them. Therefore, the developed system can monitor intensively the drip infusion situation of the several patients at the nurses' station.

  13. Subcutaneous insulin infusion: change in basal infusion rate has no immediate effect on insulin absorption rate

    International Nuclear Information System (INIS)

    Hildebrandt, P.; Birch, K.; Jensen, B.M.; Kuehl, C.

    1986-01-01

    Eight insulin-dependent diabetic patients were simultaneously given subcutaneous infusions (1.12 IU/h each) of 125 I-labeled Actrapid insulin in each side of the abdominal wall. After 24 h of infusion, the size of the infused insulin depots was measured by external counting for 5 h. The basal infusion rate was then doubled in one side and halved in the other for the next 4 h. Finally, 1.12 IU/h of insulin was given in both sides of the abdominal wall for an additional 3 h. The changes in the size of the depots were measured, and the absorption rates for each hour were calculated. During the first 5 h of infusion, the depot size was almost constant (approximately 5 IU) with an absorption rate that equaled the infusion rate. Doubling the infusion rate led to a significant increase in depot size, but the absorption rate remained unchanged for the first 3 h, and only thereafter was a significant increase seen. When the infusion rate was reduced to the initial 1.12 IU/h, the absorption rate remained elevated during the next 3 h. Correspondingly, when the infusion rate was decreased, the depot size also decreased, but the absorption rate remained unchanged for the first 3 h. The results show that a change in the basal insulin infusion rate does not lead to any immediate change in the insulin absorption rate. This should be considered when planning an insulin-infusion program that includes alteration(s) in the basal-rate setting

  14. Single-Case Experimental Designs to Evaluate Novel Technology-Based Health Interventions

    Science.gov (United States)

    Cassidy, Rachel N; Raiff, Bethany R

    2013-01-01

    Technology-based interventions to promote health are expanding rapidly. Assessing the preliminary efficacy of these interventions can be achieved by employing single-case experiments (sometimes referred to as n-of-1 studies). Although single-case experiments are often misunderstood, they offer excellent solutions to address the challenges associated with testing new technology-based interventions. This paper provides an introduction to single-case techniques and highlights advances in developing and evaluating single-case experiments, which help ensure that treatment outcomes are reliable, replicable, and generalizable. These advances include quality control standards, heuristics to guide visual analysis of time-series data, effect size calculations, and statistical analyses. They also include experimental designs to isolate the active elements in a treatment package and to assess the mechanisms of behavior change. The paper concludes with a discussion of issues related to the generality of findings derived from single-case research and how generality can be established through replication and through analysis of behavioral mechanisms. PMID:23399668

  15. Managing burn wounds with SMARTPORE Technology polyurethane foam: two case reports.

    Science.gov (United States)

    Imran, Farrah-Hani; Karim, Rahamah; Maat, Noor Hidayah

    2016-05-12

    Successful wound healing depends on various factors, including exudate control, prevention of microbial contaminants, and moisture balance. We report two cases of managing burn wounds with SMARTPORE Technology polyurethane foam dressing. In Case 1, a 2-year-old Asian girl presented with a delayed (11 days) wound on her right leg. She sustained a thermal injury from a hot iron that was left idle on the floor. Clinical inspection revealed an infected wound with overlying eschar that traversed her knee joint. As her parents refused surgical debridement under general anesthesia, hydrotherapy and wound dressing using SMARTPORE Technology Polyurethane foam were used. Despite the delay in presentation of this linear thermal pediatric burn injury that crossed the knee joint, the patient's response to treatment and its outcome were highly encouraging. She was cooperative and tolerated each dressing change without the need of supplemental analgesia. Her wound was healed by 24 days post-admission. In Case 2, a 25-year-old Asian man presented with a mixed thickness thermal flame burn on his left leg. On examination, the injury was a mix of deep and superficial partial thickness burn, comprising approximately 3% of his total body surface area. SMARTPORE Technology polyurethane foam was used on his wound; his response to the treatment was very encouraging as the dressing facilitated physiotherapy and mobility. The patient rated the pain during dressing change as 2 on a scale of 10 and his pain score remained the same in every subsequent change. His wound showed evidence of epithelialization by day 7 post-burn. There were no adverse events reported. Managing burn wounds with SMARTPORE Technology polyurethane foam resulted in reduced pain during dressing changes and the successful healing of partial and mixed thickness wounds. The use of SMARTPORE Technology polyurethane foam dressings showed encouraging results and requires further research as a desirable management option in

  16. Assisted reproductive technology and severe postpartum haemorrhage: a case-control study.

    Science.gov (United States)

    Nyfløt, L T; Sandven, I; Oldereid, N B; Stray-Pedersen, B; Vangen, S

    2017-07-01

    To investigate the association between assisted reproductive technology and severe postpartum haemorrhage. Case-control study. The study was conducted in Norway; Division of Gynaecology and Obstetrics at Oslo University Hospital and Department of Obstetrics and Gynaecology at Drammen Hospital. A source population including all women admitted for delivery at Oslo University Hospital and Drammen Hospital during the time period 1 January 2008 to 31 December 2011. The study population consisted of all cases of severe postpartum haemorrhage (n = 1064) and a random sample of controls (n = 2059). We used an explanatory strategy in the analysis, with multivariable logistic regression. Severe postpartum haemorrhage; defined as blood loss ≥1500 ml or need for blood transfusion. Assisted reproductive technology was associated with an increased risk of severe postpartum haemorrhage (crude OR = 2.92; 95% CI 2.18-3.92, P single gestation (adjusted OR = 1.58, 95% CI 1.12-2.24, P = 0.010). Our findings warrant an increased awareness of the risk of severe postpartum haemorrhage in women conceiving with assisted reproductive technology. Furthermore, the high risk of severe postpartum haemorrhage in the presence of a twin or triplet pregnancy is an additional argument for single embryo transfer. Assisted reproductive technology is associated with an increased risk of severe postpartum haemorrhage. © 2016 Royal College of Obstetricians and Gynaecologists.

  17. Framework for energy policy and technology assessment in developing countries: a case study of Peru

    Energy Technology Data Exchange (ETDEWEB)

    Mubayi, V.; Palmedo, P.F.; Doernberg, A.B.

    1979-12-01

    The potential of various energy sources and technology options in meeting national economic and social development goals in developing countries is assessed. The resource options that are of interest are the development of indigenous resources. In general, two categories of options can be considered: those which correspond to the accelerated implementation of existing elements of the energy system and those which correspond to the introduction of a new technology, such as solar electricity. The various resource and technology options that must be analyzed with respect to a number of criteria or payoff functions are: total demand and fuel mix; reduction of oil consumption; national social goals; total energy costs; and environmental quality. First, a view is constructed of the energy implications of current national economic development plans. A consistent description of the future energy system of the country, under the assumption of current trends and policies is constructed for certain reference years in the future. The values of the payoff functions selected are then calculated for that reference case. The major resource and technology options are identified and the rates at which they can be implemented are determined. Finally, the impact on the various payoff functions of the implementation of each option is calculated. The basic element of the framework is the Reference Energy System, discussed in Secton 3. The energy policy analysis for Peru is used as a reference case. 11 references, 10 figures, 2 tables.

  18. Combined heat and power in Dutch greenhouses: A case study of technology diffusion

    International Nuclear Information System (INIS)

    Veen, Reinier A.C. van der; Kasmire, Julia

    2015-01-01

    This paper presents a case study of the rapid diffusion of combined heat and power (CHP) units through the Dutch greenhouse horticulture sector between 2003 and 2009 in order to gain new insights regarding technology transitions. We present a sectoral diffusion analysis framework, which we apply to identify and examine developments in technical, economic, institutional, cultural and ecological domains that all contributed to an emergent and thorough CHP diffusion in the Dutch greenhouse sector. Five identified key drivers behind the CHP diffusion are the opening of the energy market in 2002, the high spark spread during the transition period, the compatibility of output of a CHP unit with greenhouse demand, the flexibility provided by heat buffers, and the cooperative and competitive greenhouse sector culture. We conclude that policies to stimulate or steer technology diffusion will benefit from an in-depth analysis of domain interactions and company decision-making processes. Such an in-depth analysis makes for well informed and targeted policies that are better able to steer an industrial sector effectively and in a socially desired direction. - Highlights: • We present a sectoral diffusion analysis framework. • We describe the case of the diffusion of cogeneration (CHP) in Dutch greenhouses. • We extract five key drivers of CHP diffusion in the Dutch greenhouse sector. • The case shows how technology diffusion emerges from co-evolutionary mechanisms. • We conclude that a co-evolutionary sectoral analysis will inform innovation policy.

  19. Clinical study on external carotid artery infusion (trans-femoral) treatment of recurrent nasopharyngeal carcinoma

    International Nuclear Information System (INIS)

    Zhou Zejian; Li Chong; Luo Pengfei; Shao Peijian; Zhang Liangming; Li Weike; Li Yong; Xu Rongde; Zhuang Wenxing; Zhang Hua

    2002-01-01

    Objective: To evaluate the effect and safety of external carotid artery infusion treatment of recurrent nasopharyngeal carcinoma (NPC). Methods: 20 cases of recurrent NPC (13 male and 7 female, age 36-65 years, mean 50 years) diagnosed by clinical examination (including nasopharyngoscope), serology (VCA-IgA) and imaging (CT, MR) and treated by external carotid artery infusion (trans-femoral) with adriamycin (or epi-adriamycin), cisplatin (or carboplatin), Pingyangmycin and 5-Fluorouracil. Results: Of all the patients, 8 cases (40%) had a complete response (CR), 7 cases (35%) had a partial response (PR). The overall response rate (CR + PR) was 75%. Cumulative survival rates at 1, 3 years were 90% (18/20), 50%(10/20) respectively. No severe side-effects and complications found. Conclusion: External carotid artery infusion (trans-femoral) should be effective and safe in the treatment of recurrent NPC

  20. Innovations in fuel cells and related hydrogen technology in Norway – OECD Case Study in the Energy Sector

    OpenAIRE

    Godø, Helge; Nerdrum, Lars; Rapmund, Antje; Nygaard, Stian

    2003-01-01

    This report presents the results of an analysis undertaken by NIFU on innovations in fuel cells and related hydrogen technology in Norway. This country study is part of a larger effort jointly organized by the OECD’s Working Group on Technology and Innovation Policy (TIP) and IEA’s Committee on Energy Research and Technology. Organized as a Focus Group, a number of national case studies have been made on different energy technologies and energy sources, fuel cells and related hydrogen technol...

  1. Co-infusion of autologous adipose tissue derived neuronal differentiated mesenchymal stem cells and bone marrow derived hematopoietic stem cells, a viable therapy for post-traumatic brachial plexus injury: A case report

    Directory of Open Access Journals (Sweden)

    Umang G Thakkar

    2014-08-01

    Full Text Available Stem cell therapy is emerging as a viable approach in regenerative medicine. A 31-year-old male with brachial plexus injury had complete sensory-motor loss since 16 years with right pseudo-meningocele at C5-D1 levels and extra-spinal extension up to C7-D1, with avulsion on magnetic resonance imaging and irreversible damage. We generated adipose tissue derived neuronal differentiated mesenchymal stem cells (N-AD-MSC and bone marrow derived hematopoietic stem cells (HSC-BM. Neuronal stem cells expressed β-3 tubulin and glial fibrillary acid protein which was confirmed on immunofluorescence. On day 14, 2.8 ml stem cell inoculum was infused under local anesthesia in right brachial plexus sheath by brachial block technique under ultrasonography guidance with a 1.5-inch-long 23 gauge needle. Nucleated cell count was 2 × 10 4 /μl, CD34+ was 0.06%, and CD45-/90+ and CD45-/73+ were 41.63% and 20.36%, respectively. No untoward effects were noted. He has sustained recovery with re-innervation over a follow-up of 4 years documented on electromyography-nerve conduction velocity study.

  2. The efficacy of intraperitoneal saline infusion for percutaneous radiofrequency ablation for hepatocellular carcinoma

    International Nuclear Information System (INIS)

    Park, Soo Young; Tak, Won Young; Jeon, Seong Woo; Cho, Chang Min; Kweon, Young Oh; Kim, Sung Kook; Choi, Yong Hwan

    2010-01-01

    Objective: To evaluated the efficacy and safety of radiofrequency ablation (RFA) with intraperitoneal saline infusion. Background: Ultrasound-guided RFA is not always feasible due to the tumor location, possible adjacent tissue damage or poor sonographic identification. Patients and methods: Ultrasound-guided RFA with intraperitoneal saline infusion was performed in 116 patients between June 2001 and March 2008. Results: The overall technical feasibility of the intraperitoneal saline infusions was 90.5% (105 patients). The purposes of the intraperitoneal saline infusion were achieved in 100 patients (86.2%) by visualizing the tumor located in hepatic dome (47 patients), prevent adjacent organ damage (42 patients) and withdrawing overlying omentum (10 patients). Complete ablation of tumor was accomplished in 102 patients (87.9%). Complications associated with the treatment occurred in seven patients (6.0%). There was no case of adverse event directly related to intraperitoneal saline infusion. Conclusions: Intraperitoneal saline infusion is an effective and safe procedure that can be used to overcome the current limitations of ultrasound-guided RFA.

  3. 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

  4. A case for Sandia investment in complex adaptive systems science and technology.

    Energy Technology Data Exchange (ETDEWEB)

    Colbaugh, Richard; Tsao, Jeffrey Yeenien; Johnson, Curtis Martin; Backus, George A.; Brown, Theresa Jean; Jones, Katherine A.

    2012-05-01

    This white paper makes a case for Sandia National Laboratories investments in complex adaptive systems science and technology (S&T) -- investments that could enable higher-value-added and more-robustly-engineered solutions to challenges of importance to Sandia's national security mission and to the nation. Complex adaptive systems are ubiquitous in Sandia's national security mission areas. We often ignore the adaptive complexity of these systems by narrowing our 'aperture of concern' to systems or subsystems with a limited range of function exposed to a limited range of environments over limited periods of time. But by widening our aperture of concern we could increase our impact considerably. To do so, the science and technology of complex adaptive systems must mature considerably. Despite an explosion of interest outside of Sandia, however, that science and technology is still in its youth. What has been missing is contact with real (rather than model) systems and real domain-area detail. With its center-of-gravity as an engineering laboratory, Sandia's has made considerable progress applying existing science and technology to real complex adaptive systems. It has focused much less, however, on advancing the science and technology itself. But its close contact with real systems and real domain-area detail represents a powerful strength with which to help complex adaptive systems science and technology mature. Sandia is thus both a prime beneficiary of, as well as potentially a prime contributor to, complex adaptive systems science and technology. Building a productive program in complex adaptive systems science and technology at Sandia will not be trivial, but a credible path can be envisioned: in the short run, continue to apply existing science and technology to real domain-area complex adaptive systems; in the medium run, jump-start the creation of new science and technology capability through Sandia's Laboratory Directed Research

  5. Promoting community socio-ecological sustainability through technology: A case study from Chile

    Science.gov (United States)

    Aguayo, Claudio; Eames, Chris

    2017-12-01

    The importance of community learning in effecting social change towards ecological sustainability has been recognised for some time. More recently, the use of Information and Communication Technology (ICT) tools to promote socio-ecological sustainability has been shown to have potential in community education for sustainable development (ESD). The effective design and use of technology for community learning implies an understanding of a range of cross-dimensional factors including: socio-cultural characteristics and needs of the target audience; considerations of available and culturally responsive types of technology; and non-formal pedagogical ESD strategies for community empowerment. In addition, both technology itself and social communities are dynamically evolving and complex entities. This article presents a case study which evaluated the potential of ICT for promoting ecological literacy and action competence amongst community members in southern Chile. The case study addressed the ecological deterioration of a lake, which is having deep social, economic, recreational and cultural implications locally. The authors' research involved developing a theoretical framework for the design, implementation and use of ICT for community learning for sustainability. The framework was based on key ideas from ESD, ICT and community education, and was underpinned by a systems thinking approach to account for the dynamism and complexity of such settings. Activity theory provided a frame to address overarching socio-cultural elements when using technology as a mediating tool for community learning. The authors' findings suggest that the use of an ICT tool, such as a website, can enhance ecological literacy in relation to a local socio-ecological issue.

  6. Apoptosis and histological response of preoperative intraarterial chemotherapy infusion for colorectal carcinoma

    International Nuclear Information System (INIS)

    Yuan Jianhua; Hu Tingyang; Yu Wenqiang; Chen Fanghong; Luo Zuyan; Mao Yinmin; Zhao Zhongsheng; Ru Guoqing; Deng Gaoli; Dong Quanjin; Tu Shiliang

    2003-01-01

    Objective: To investigate apoptosis and histological response of preoperative intraarterial chemotherapy infusion for colorectal carcinoma. Methods: Fifty patients with colorectal carcinoma were treated by intraarterial infusion of anti-cancer drugs. Surgical resection of the tumor was performed 5-30 days after the intraarterial infusion (mean 12 days). The histological response was evaluated. The density and distribution of the apoptosis cells were observed by DNA nick end labelling technique. 22 biopsy specimens before the intraarterial chemotherapy and 25 normal mucosa (obtained from surgery specimen) were used as controls. Results: The total histological response rate was 100% with grade I in 20 cases, grade II in 21 cases, and grade III in 9 cases. The density of the apoptosis cells was 31.47±5.58 before and 76.69±17.12 after the intraarterial chemotherapy infusion, and 8.01±3.39 in normal mucosa, respectively. The density of the apoptosis cells after the intraarterial chemotherapy was significantly higher than that before the intraarterial chemotherapy (t=13.701, P 2 =4.696, P>0.30). The apoptosis of adenocarcinoma was significantly different with different histological response (F=7.73, P 0.05) and for adenocarcinoma with different pathological stages (F=0.001376, P>0.05). Conclusion: As an effective and safe procedure, preoperative transcatheter intraarterial chemotherapy infusion achieves a significant histological response and apoptosis in colorectal adenocarcinoma

  7. Home infusion: overcoming the barriers to entry.

    Science.gov (United States)

    Franklin, David M

    2010-01-01

    The field of pharmacy service is evolving rapidly, as is the delivery of healthcare in general. From patients with infectious diseases dying because there was nothing available to fight the infections, to the involvement of an episodic-based model of care with patients traversing inpatient- and outpatient-based delivery systems, to the new frontier of chronic care and with supports such as the one by the Centers for Disease Control that hospital-acquired infections are killing about 100,000 Americans every year, the home infusion business has become a major alternative to in-hospital treatment. This article discusses the barriers to entry into the home infusion business and assists in the evaluation of a home infusion reimbursement organization.

  8. Design of Infusion Schemes for Neuroreceptor Imaging

    DEFF Research Database (Denmark)

    Feng, Ling; Svarer, Claus; Madsen, Karine

    2016-01-01

    for bolus infusion (BI) or programmed infusion (PI) experiments. Steady-state quantitative measurements can be made with one short scan and venous blood samples. The GABAA receptor ligand [(11)C]Flumazenil (FMZ) was chosen for this purpose, as it lacks a suitable reference region. Methods. Five bolus [(11)C...... state was attained within 40 min, which was 8 min earlier than the optimal BI (B/I ratio = 55 min). Conclusions. The system can design both BI and PI schemes to attain steady state rapidly. For example, subjects can be [(11)C]FMZ-PET scanned after 40 min of tracer infusion for 40 min with venous...

  9. Forearm metabolism during infusion of adrenaline

    DEFF Research Database (Denmark)

    Simonsen, L; Stefl, B; Bülow, J

    2000-01-01

    Human skeletal muscle metabolism is often investigated by measurements of substrate fluxes across the forearm. To evaluate whether the two forearms give the same metabolic information, nine healthy subjects were studied in the fasted state and during infusion of adrenaline. Both arms were...... catheterized in a cubital vein in the retrograde direction. A femoral artery was catheterized for blood sampling, and a femoral vein for infusion of adrenaline. Forearm blood flow was measured by venous occlusion strain-gauge plethysmography. Forearm subcutaneous adipose tissue blood flow was measured...... by the local 133Xe washout method. Metabolic fluxes were calculated as the product of forearm blood flow and a-v differences of metabolite concentrations. After baseline measurements, adrenaline was infused at a rate of 0.3 nmol kg-1 min-1. No difference in the metabolic information obtained in the fasting...

  10. Propylene Glycol-Related Delirium After Esmolol Infusion.

    Science.gov (United States)

    Kapitein, Berber S; Biesmans, Renee S C G; van der Sijs, Heleen S I; de Wildt, Saskia S N

    2014-07-01

    Excipients used in oral or intravenous preparations may cause serious adverse events. We present the case of a 15-year-old boy with hypertrophic cardiomyopathy. In the pediatric intensive care unit, he received high doses of continuous intravenous esmolol (range = 20-400 µg/kg/min) for cardiac rhythm control. After a few days he developed a delirium not responding to high doses of antipsychotics or discontinuation of benzodiazepines. We eventually realized that the IV esmolol formulation contained high doses of propylene glycol and ethanol, which may accumulate after prolonged infusion and cause intoxication. Intoxication with propylene glycolcan cause neuropsychiatric symptoms. The boy's propylene glycol plasma concentration was approximately 4 g/L, whereas clinical symptoms arise at concentrations above 1 to 1.44 g/L. Application of the Naranjo adverse drug reaction probability scale suggested a probable relationship (score 6) between the propylene glycol infusion and the delirium. After discontinuation of esmolol, the delirium disappeared spontaneously. This is the first case describing excipient toxicity of esmolol, with an objective causality assessment revealing a probable relationship for the adverse event-namely, delirium-and esmolol. Although excipient toxicity is a well-known adverse drug reaction, this case stresses the importance for easily available information for and education of physicians. © The Author(s) 2014.

  11. Enabling frameworks for low-carbon technology transfer to small emerging economies: Analysis of ten case studies in Chile

    International Nuclear Information System (INIS)

    Pueyo, Ana

    2013-01-01

    Technology transfer is crucial to reduce the carbon intensity of developing countries. Enabling frameworks need to be in place to allow foreign technologies to flow, to be absorbed and to bring about technological change in the recipient country. This paper contributes to identifying these enabling factors by analysing 10 case studies of low-carbon technology transfer processes based in Chile. Our findings show the importance of strong economic and institutional fundamentals, a sound knowledge base, a sizable and stable demand and a functioning local industry. Policy recommendations are derived to improve the penetration of foreign low-carbon technologies in developing countries, focusing on the particularities of small and medium emerging economies. - Highlights: ► We analyse 10 case studies of low carbon technology transfer to Chile. ► We identify enablers of technology transfer to developing countries. ► We provide policy recommendations focusing on small and medium economies.

  12. Big Data technology in traffic: A case study of automatic counters

    Directory of Open Access Journals (Sweden)

    Janković Slađana R.

    2016-01-01

    Full Text Available Modern information and communication technologies together with intelligent devices provide a continuous inflow of large amounts of data that are used by traffic and transport systems. Collecting traffic data does not represent a challenge nowadays, but the issues remains in relation to storing and processing increasing amounts of data. In this paper we have investigated the possibilities of using Big Data technology to store and process data in the transport domain. The term Big Data refers to a large volume of information resource, its velocity and variety, far beyond the capabilities of commonly used software for storing, processing and data management. In our case study, Apache™ Hadoop® Big Data was used for processing data collected from 10 automatic traffic counters set up in Novi Sad and its surroundings. Indicators of traffic load which were calculated using the Big Data platforms were presented using tables and graphs in Microsoft Office Excel tool. The visualization and geolocation of the obtained indicators were performed using the Microsoft Business Intelligence (BI tools such as: Excel Power View and Excel Power Map. This case study showed that Big Data technologies combined with the BI tools can be used as a reliable support in monitoring of the traffic management systems.

  13. Transition Management: Case Study of an Energy Efficiency Technology Roadmap in Turkey

    Directory of Open Access Journals (Sweden)

    Şiir Kilkiş

    2014-12-01

    Full Text Available This paper integrates several streams of literature in transition management and proposes a holistic framework for its application in policy-making. Separate fields of study, such as motors of change and strategic intelligence tools, are unified in a single analytical process. The process involves five steps that may be repeated until a desired policy objective is achieved. The pilot, integrated technology roadmap process that has been launched in Turkey is analyzed as a case study. The Energy Efficiency Technology Roadmap has been completed with the participation of over 160 experts in 5 different stages. It involved the collection of over 349 Delfi statements, their consolidation for a Delfi survey with 16 statements, the analysis of the results, a focal group meeting to develop roadmaps for the 7 selected goals, and the consultation of the roadmaps to the sector. The paper concludes that an integrated technology roadmap process, as described in the pilot case study, provides an advanced version of transition management, which is needed to mobilize research, development, and innovation for sustainable development.

  14. Changing teachers’ practice in the Creative Arts classroom: The case for educational technologies

    Directory of Open Access Journals (Sweden)

    Alethea C. De Villiers

    2017-04-01

    Full Text Available The study described in this essay explores the use of educational technology as a resource in the Creative Arts classroom. Many teachers are not qualified to teach Creative Arts. They then tend to rely on curriculum documents and textbooks to help guide their planning, teaching and assessment. Most of the teachers who participated in this case study were not specialists in any of the arts, and in the education district where this study took place, there was a lack of ongoing professional development for the Creative Arts. To enable the teachers from Grades R to 7 to mediate more meaningful classroom teaching and learning in the Creative Arts, the researchers introduced the teachers to technology as a means to facilitate learning and teaching. This study follows a phenomenological approach to explore the use of educational technology in the teaching of dance, drama and music, which are three of the art forms in the Creative Arts. The researchers describe the teachers’ perceptions and attitudes towards using technology in the classroom. Eight teachers participated in the study (seven female and one male, ranging in age from 22 to 41 years. There were three teachers from the Foundation Phase, three teachers from the Intermediate Phase and two teachers from the Senior Phase. Data were collected from (1 unstructured open-ended conversational interviews, (2 observations of the participants during contact time with learners and (3 audio-visual recordings of the teachers in the classroom. Findings from the study showed that after the 10-month intervention of using educational technology in the classroom, there was divergence in the teachers’ use of technology. The findings also suggest that classroom practice in dance, drama and music improved.

  15. Integrating mobile technology with routine dietetic practice: the case of myPace for weight management.

    Science.gov (United States)

    Harricharan, Michelle; Gemen, Raymond; Celemín, Laura Fernández; Fletcher, David; de Looy, Anne E; Wills, Josephine; Barnett, Julie

    2015-05-01

    The field of Mobile health (mHealth), which includes mobile phone applications (apps), is growing rapidly and has the potential to transform healthcare by increasing its quality and efficiency. The present paper focuses particularly on mobile technology for body weight management, including mobile phone apps for weight loss and the available evidence on their effectiveness. Translation of behaviour change theory into weight management strategies, including integration in mobile technology is also discussed. Moreover, the paper presents and discusses the myPace platform as a case in point. There is little clinical evidence on the effectiveness of currently available mobile phone apps in enabling behaviour change and improving health-related outcomes, including sustained body weight loss. Moreover, it is unclear to what extent these apps have been developed in collaboration with health professionals, such as dietitians, and the extent to which apps draw on and operationalise behaviour change techniques has not been explored. Furthermore, presently weight management apps are not built for use as part of dietetic practice, or indeed healthcare more widely, where face-to-face engagement is fundamental for instituting the building blocks for sustained lifestyle change. myPace is an innovative mobile technology for weight management meant to be embedded into and to enhance dietetic practice. Developed out of systematic, iterative stages of engagement with dietitians and consumers, it is uniquely designed to complement and support the trusted health practitioner-patient relationship. Future mHealth technology would benefit if engagement with health professionals and/or targeted patient groups, and behaviour change theory stood as the basis for technology development. Particularly, integrating technology into routine health care practice, rather than replacing one with the other, could be the way forward.

  16. Using a technological community framework to manage new medical technologies. The case of umbilical cord blood (UCB) banking.

    Science.gov (United States)

    Rusinko, C A; Sesok-Pizzini, D A

    2003-01-01

    A technological community framework can be used to explain and manage new medical technologies. It describes emergence, commercialization, and standardization of an innovation or technology within the context of its whole network (or community) of stakeholders. This framework is used to illustrate the emergence, commercialization, and standardization of a relatively new medical technology--umbilical cord blood (UCB) banking. Umbilical cord blood may prove to be a source of stem cells for bone marrow transplant that is safer, more accessible, and less expensive than current sources of stem cells. The technological community framework can signal potential problems as the technology emerges, and help healthcare delivery systems and providers to effectively assess and manage the technology. The framework can also be applied to other medical technologies and innovations.

  17. Enhancing economic competiveness of dish Stirling technology through production volume and localization: Case study for Morocco

    Science.gov (United States)

    Larchet, Kevin; Guédez, Rafael; Topel, Monika; Gustavsson, Lars; Machirant, Andrew; Hedlund, Maria-Lina; Laumert, Björn

    2017-06-01

    The present study quantifies the reduction in the levelized cost of electricity (LCoE) and capital expenditure (CAPEX) of a dish Stirling power plant (DSPP) through an increase in localization and unit production volume. Furthermore, the localization value of the plant is examined to determine how much investment is brought into the local economy. Ouarzazate, Morocco, was chosen as the location of the study due to the country's favorable regulatory framework with regards to solar power technologies and its established industry in the concentrating solar power (CSP) field. A detailed techno-economic model of a DSPP was developed using KTH's in-house modelling tool DYESOPT, which allows power plant evaluation by means of technical and economic performance indicators. Results on the basis of LCoE and CAPEX were compared between two different cases of production volume, examining both a minimum and maximum level of localization. Thereafter, the DSPP LCoE and localization value were compared against competing solar technologies to evaluate its competitiveness. In addition, a sensitivity analysis was conducted around key design parameters. The study confirms that the LCoE of a DSPP can be reduced to values similar to solar photovoltaic (PV) and lower than other CSP technologies. Furthermore, the investment in the local economy is far greater when compared to PV and of the same magnitude to other CSP technologies. The competiveness of a DSPP has the potential to increase further when coupled with thermal energy storage (TES), which is currently under development.

  18. TECHNOLOGICAL INNOVATION AND FIRM DEVELOPMENT: THE CASE OF INFOVALLEY DIGITAL AUTOPSY SYSTEM COMMERCIALISATION

    Directory of Open Access Journals (Sweden)

    Khairul Akmaliah Adham

    2008-01-01

    Full Text Available Current research emphasises the importance of the successful commercialisation of technology in the development of small firms and the need to address unique contextual dimensions when examining the concept of commercialisation. Guided by product and venture development lifecycle models as well as a structuration perspective, this case study examines how an entrepreneurial venture called Infovalley Life Sciences develops and commercialises the firm's digital human autopsy system despite the fact that the firm operates within an underdeveloped innovation system context. In-depth interviews were conducted with key individuals involved in the innovation and venture development processes. Analysis indicates that the entrepreneur and his or her team co-evolve with their business contexts in creating a favourable nvironment for themselves. This process requires the entrepreneur to integrate his or her broad knowledge of technology applications and the market with his or her team's highly specialised knowledge in the core technology domain; this process results in a successful product launch. This leads to the creation of internal core capability, which supports the commercialisation of new products and thereby contributes to the firm's development and growth. This link between structuration and resource-based perspectives of entrepreneurship augments the conceptualisation of entrepreneurship, technological innovation and firm's development.

  19. Integration of environmental simulation models with satellite remote sensing and geographic information systems technologies: case studies

    Science.gov (United States)

    Steyaert, Louis T.; Loveland, Thomas R.; Brown, Jesslyn F.; Reed, Bradley C.

    1993-01-01

    Environmental modelers are testing and evaluating a prototype land cover characteristics database for the conterminous United States developed by the EROS Data Center of the U.S. Geological Survey and the University of Nebraska Center for Advanced Land Management Information Technologies. This database was developed from multi temporal, 1-kilometer advanced very high resolution radiometer (AVHRR) data for 1990 and various ancillary data sets such as elevation, ecological regions, and selected climatic normals. Several case studies using this database were analyzed to illustrate the integration of satellite remote sensing and geographic information systems technologies with land-atmosphere interactions models at a variety of spatial and temporal scales. The case studies are representative of contemporary environmental simulation modeling at local to regional levels in global change research, land and water resource management, and environmental simulation modeling at local to regional levels in global change research, land and water resource management and environmental risk assessment. The case studies feature land surface parameterizations for atmospheric mesoscale and global climate models; biogenic-hydrocarbons emissions models; distributed parameter watershed and other hydrological models; and various ecological models such as ecosystem, dynamics, biogeochemical cycles, ecotone variability, and equilibrium vegetation models. The case studies demonstrate the important of multi temporal AVHRR data to develop to develop and maintain a flexible, near-realtime land cover characteristics database. Moreover, such a flexible database is needed to derive various vegetation classification schemes, to aggregate data for nested models, to develop remote sensing algorithms, and to provide data on dynamic landscape characteristics. The case studies illustrate how such a database supports research on spatial heterogeneity, land use, sensitivity analysis, and scaling issues

  20. Effect of steel and teflon infusion catheters on subcutaneous adipose tissue blood flow and infusion counter pressure in humans

    DEFF Research Database (Denmark)

    Højbjerre, Lise; Skov-Jensen, Camilla; Kaastrup, Peter

    2009-01-01

    BACKGROUND: Subcutaneous tissue is an important target for drug deposition or infusion. A local trauma may induce alterations in local microcirculation and diffusion barriers with consequences for drug bioavailability. We examined the influence of infusion catheters' wear time on local...... microcirculation and infusion counter pressure. METHODS: One steel catheter and one Teflon (Dupont, Wilmington, DE) catheter were inserted in subcutaneous, abdominal adipose tissue (SCAAT) in 10 healthy, lean men. The catheters were infused with isotonic saline at a rate of 10 microL/h for 48 h. Another steel...... catheter and a Teflon catheter were inserted contralateral to the previous catheters after 48 h. The infusion counter pressure was measured during a basal infusion rate followed by a bolus infusion. The measurements during a basal rate infusion were repeated after the bolus infusion. Adipose tissue blood...

  1. National hydrogen technology competitiveness analysis with an integrated fuzzy AHP and TOPSIS approaches: In case of hydrogen production and storage technologies

    Science.gov (United States)

    Lee, Seongkon; Mogi, Gento

    2017-02-01

    The demand of fossil fuels, including oil, gas, and coal has been increasing with the rapid development of developing countries such as China and India. U.S., Japan, EU, and Korea have been making efforts to transfer to low carbon and green growth economics for sustainable development. And they also have been measuring to cope with climate change and the depletion of conventional fuels. Advanced nations implemented strategic energy technology development plans to lead the future energy market. Strategic energy technology development is crucial alternative to address the energy issues. This paper analyze the relative competitiveness of hydrogen energy technologies in case of hydrogen production and storage technologies from 2006 to 2010. Hydrogen energy technology is environmentally clean technology comparing with the previous conventional energy technologies and will play a key role to solve the greenhouse gas effect. Leading nations have increasingly focused on hydrogen technology R&D. This research is carried out the relative competitiveness of hydrogen energy technologies employed by an integrated fuzzy analytic hierarchy process (Fuzzy AHP) and The Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) approaches. We make four criteria, accounting for technological status, R&D budget, R&D human resource, and hydrogen infra. This research can be used as fundamental data for implementing national hydrogen energy R&D planning for energy policy-makers.

  2. Designed technological systems: the cases of urban transportation in Copenhagen and Bogotá

    DEFF Research Database (Denmark)

    Pineda, Andres Felipe Valderrama

    and Technology Studies might have provided some clues. In the following paper we discuss the most prominent aspects of some theories in STS in order to understand and conceptualize the cases of Bogotá and Copenhagen. The theories at hand include the already classics: sociotechnical systems (Hughes), actor...... network theory (Callon, Latour, Law) and social construction of technology (Bijker, Pinch); but also other less known developments like the grid based system (Summerton) and the arenas of development (Jørgensen). The main idea underlying all this approaches is that cities and their support systems co...... projects modelling them as systems. And yet, the number of technical problems, safety and infrastructure failures, construction delays, cost overruns, start up defects and operation details tend to increase at a higher rate than our capability to solve them. It is as if sophistication in design...

  3. TELECOMMUTING AND HRM: A CASE STUDY OF AN INFORMATION TECHNOLOGY SERVICE PROVIDER

    Directory of Open Access Journals (Sweden)

    André Fernandes Bernardino

    2012-08-01

    Full Text Available With the development in information technology resources, a way of working has been standing out: telecommuting. This manner of working from a distance may offer a competitive advantage in attracting and retaining highly skilled professionals. The purpose of the research presented in this article is to identify guidelines for the implementation and management of telecommuting, as an alternative to overcome the shortage of qualified professionals in Information Technology (IT. The results, based on a case study of a Brazilian subsidiary of a multinational organization that provides IT services, shown that telecommuting (1 contributes to attracting and retaining qualified professionals in IT, (2 should be based on trustworthy relationships, (3 has to be supported by a strategy of decentralization of both structure and organizational assets.

  4. CONTRIBUTIONS OF CAD / CAE TECHNOLOGY IN DEVELOPMENT PROJECTS OF AGRICULTURAL MACHINERY AND IMPLEMENTS: A CASE STUDY

    Directory of Open Access Journals (Sweden)

    Flavio Ricci Martinez

    2017-12-01

    Full Text Available This work aims to understand the contributions of CAD / CAE technology development projects Agricultural Machinery and Implements. The segment of Agricultural Machinery and Implements part of capital goods, which provides items that will be used to produce goods and services in other sectors and that is strategic in many economically and for innovation and technological diffusion in the country sector. To achieve the proposed objective a case study was conducted at a manufacturer of this type of product (combines, planters, tractors, etc. located in the region of Ribeirão Preto. Among the main contributions can excel found to reduce the time and costs of the project, the largest customer interaction, integration with the staff and the increased ability to test alternative solutions for solving problems.

  5. Managing Returnable Containers Logistics - A Case Study Part II - Improving Visibility through Using Automatic Identification Technologies

    Directory of Open Access Journals (Sweden)

    Gretchen Meiser

    2011-05-01

    Full Text Available This case study is the result of a project conducted on behalf of a company that uses its own returnable containers to transport purchased parts from suppliers. The objective of this project was to develop a proposal to enable the company to more effectively track and manage its returnable containers. The research activities in support of this project included (1 the analysis and documentation of the physical flow and the information flow associated with the containers and (2 the investigation of new technologies to improve the automatic identification and tracking of containers. This paper explains the automatic identification technologies and important criteria for selection. A companion paper details the flow of information and containers within the logistics chain, and it identifies areas for improving the management of the containers.

  6. Application of Participatory Learning and Action Methods in Educational Technology Research A Rural Bangladeshi Case

    DEFF Research Database (Denmark)

    Khalid, Md. Saifuddin; Nyvang, Tom

    2013-01-01

    This chapter examines barriers and methods to identify barriers to educational technology in a rural technical vocational education and training institute in Bangladesh. It also examines how the application of participatory learning and action methods can provide information for barrier research...... and stakeholders in and around the school to pave the way for change by building awareness of both educational technology and the complexity of barriers. In this case study, school stakeholders are involved in the research and awareness-building process through three different data-production methods: cultural...... of teachers and computers are significant barriers) and macro (roughly the national level at which the lack of government planning and the lack of training of teachers are significant barriers). Finally, the paper also concludes that applied participatory learning and action-oriented techniques showed...

  7. Ubiquitous Sensor Networks: Efisiensi Sistem Kontrol Cairan Infus Pasien Rawat Inap

    Directory of Open Access Journals (Sweden)

    BUDI RAHMADYA

    2017-07-01

    Full Text Available ABSTRAKPenelitian ini membahas tentang sistem kontrol cairan infus pada pasien dengan memanfaatkan teknologi sensor networks dan mikrokontroler arduino uno.  Sensor yang digunakan adalah sensor Ultrasonik HC-SR04 yang difungsikan untuk mendeteksi sisa cairan infus. Data yang terbaca oleh sensor dikirimkan menggunakan jaringan nirkabel/wireless dari Transmitter (Tx di ruang pasien ke Receiver (Rx di ruang perawat dengan menggunakan modul wireless Xbee S2. Efisiensi dari sistem kontrol yang dibuat yaitu ketika sensor mendeteksi cairan infus mendekati batas habis cairan yang telah ditentukan maka motor yang berada pada selang infus akan berfungsi untuk menutup aliran cairan infus pada selang. Dari simulasi yang dilakukan, didapatkan hasil presentasi error ketinggian cairan infus sebesar 1.96% dan presentasi error volume cairan sebesar 2.16%. Performa dari modul wireless Xbee S2 juga di ujicoba dengan mengirimkan data dari Xbee end device ke Xbee coordinator dalam penelitian ini. Kata kunci: Infus, Sensor Networks, Sensor Ultrasonik HC-SR04, Xbee S2 dan Mikrokontroler Arduino Uno.ABSTRACTThis research discusses about intravenous fluids Control System on Patients, utilizing sensor network technology and Arduino Uno microcontroller. We used  HC-SR04 Ultrasonic sensors to detect the review time intravenous fluids. The sensors data is readable by transmitted using wireless network/wireless from Transmitter (Tx in Patients Into Space Receiver (Rx at nurse room with using XBee wireless device S2. The efficiency of the control system were made, namely when the sensor detects the approaching limits of intravenous fluids discharged liquid that has been determined then the motor that was on the infus line will serve to close the infusion fluid flow in the line. In our simulations we found, the findings obtained Presentation intravenous fluids altitude error is 1.96% and presentations volume Liquid error is 2.16%. The performance of network devices XBee S2

  8. Radiation shielding properties of high performance concrete reinforced with basalt fibers infused with natural and enriched boron

    Energy Technology Data Exchange (ETDEWEB)

    Zorla, Eyüp; Ipbüker, Cagatay [University of Tartu, Institute of Physics (Estonia); Biland, Alex [US Basalt Corp., Houston (United States); Kiisk, Madis [University of Tartu, Institute of Physics (Estonia); Kovaljov, Sergei [OÜ Basaltest, Tartu (Estonia); Tkaczyk, Alan H. [University of Tartu, Institute of Physics (Estonia); Gulik, Volodymyr, E-mail: volodymyr.gulik@gmail.com [Institute for Safety Problems of Nuclear Power Plants, Lysogirska 12, of. 201, 03028 Kyiv (Ukraine)

    2017-03-15

    Highlights: • Basalt fiber infused with natural and enriched boron in varying proportions. • Gamma-ray attenuation remains stable with addition of basalt-boron fiber. • Improvement in neutron shielding for nuclear facilities producing fast fission spectrum. • Basalt-boron fiber could decrease the shielding thickness in thermal spectrum reactors. - Abstract: The importance of radiation shielding is increasing in parallel with the expansion of the application areas of nuclear technologies. This study investigates the radiation shielding properties of two types of high strength concrete reinforced with basalt fibers infused with 12–20% boron oxide, containing varying fractions of natural and enriched boron. The gamma-ray shielding characteristics are analyzed with the help of the WinXCom, whereas the neutron shielding characteristics are modeled and computed by Monte Carlo Serpent code. For gamma-ray shielding, the attenuation coefficients of the studied samples do not display any significant variation due to the addition of basalt-boron fibers at any mixing proportion. For neutron shielding, the addition of basalt-boron fiber has negligible effects in the case of very fast neutrons (14 MeV), but it could considerably improve the neutron shielding of concrete for nuclear facilities producing a fast fission spectrum (e.g. with reactors as BN-800, FBTR) and thermal neutron spectrum (Light Water Reactors (LWR)). It was also found that basalt-boron fiber could decrease the thickness of radiation shielding material in thermal spectrum reactors.

  9. Routine saline infusion sonohysterography prior to assisted ...

    African Journals Online (AJOL)

    53.85%), 8 (30.77%) and 4 (15.38%) respectively. The average duration of the procedure was 6 minutes with a range of 4-9 minutes. Saline infusion sonohysterography is a reliable, cost effective and safe diagnostic tool in the evaluation of the ...

  10. Forearm metabolism during infusion of adrenaline

    DEFF Research Database (Denmark)

    Simonsen, L; Stefl, B; Bülow, J

    2000-01-01

    Human skeletal muscle metabolism is often investigated by measurements of substrate fluxes across the forearm. To evaluate whether the two forearms give the same metabolic information, nine healthy subjects were studied in the fasted state and during infusion of adrenaline. Both arms were cathete...

  11. Comparison of infusion pumps calibration methods

    Science.gov (United States)

    Batista, Elsa; Godinho, Isabel; do Céu Ferreira, Maria; Furtado, Andreia; Lucas, Peter; Silva, Claudia

    2017-12-01

    Nowadays, several types of infusion pump are commonly used for drug delivery, such as syringe pumps and peristaltic pumps. These instruments present different measuring features and capacities according to their use and therapeutic application. In order to ensure the metrological traceability of these flow and volume measuring equipment, it is necessary to use suitable calibration methods and standards. Two different calibration methods can be used to determine the flow error of infusion pumps. One is the gravimetric method, considered as a primary method, commonly used by National Metrology Institutes. The other calibration method, a secondary method, relies on an infusion device analyser (IDA) and is typically used by hospital maintenance offices. The suitability of the IDA calibration method was assessed by testing several infusion instruments at different flow rates using the gravimetric method. In addition, a measurement comparison between Portuguese Accredited Laboratories and hospital maintenance offices was performed under the coordination of the Portuguese Institute for Quality, the National Metrology Institute. The obtained results were directly related to the used calibration method and are presented in this paper. This work has been developed in the framework of the EURAMET projects EMRP MeDD and EMPIR 15SIP03.

  12. Effect of intravenous dexmedetomidine infusion on some ...

    African Journals Online (AJOL)

    Background: This study was designed to evaluate the effect of intravenous dexmedetomidine infusion in patients undergoing major abdominal surgery on stress response markers as plasma interleukin-6, cortisol and blood glucose level. It also assessed its effect on recovery profile and postoperative pain. Methods: Thirty ...

  13. Modeling and processing for next-generation big-data technologies with applications and case studies

    CERN Document Server

    Barolli, Leonard; Barolli, Admir; Papajorgji, Petraq

    2015-01-01

    This book covers the latest advances in Big Data technologies and provides the readers with a comprehensive review of the state-of-the-art in Big Data processing, analysis, analytics, and other related topics. It presents new models, algorithms, software solutions and methodologies, covering the full data cycle, from data gathering to their visualization and interaction, and includes a set of case studies and best practices. New research issues, challenges and opportunities shaping the future agenda in the field of Big Data are also identified and presented throughout the book, which is intended for researchers, scholars, advanced students, software developers and practitioners working at the forefront in their field.

  14. A Case Study of E-tutors' Teaching Practice: Does Technology Drive Pedagogy?

    OpenAIRE

    Chuang, Hsueh-Hua

    2013-01-01

    This article presents a case study of e-tutoring teaching practice during a 20-week e-tutoring program aimed at improving the English proficiency of targeted students. The study revealed what and why certain online tools were used by e-tutors and investigated how different technological proficiency and face-to-face (f2f) teaching experience shaped e-tutors’ teaching practices in cyberspace. Data were collected through transcriptions of each recorded synchronous Skype teaching session, inter...

  15. Approaches and Technologies for Systems Integration: A Case Study at the Federal University of Lavras

    Directory of Open Access Journals (Sweden)

    GARCIA, C. M.

    2015-06-01

    Full Text Available This case study aims to analyze the integration's approaches and technologies among information systems and services in an academic environment. It has been done a study on the integration history in the Federal University of Lavras. The data had been gathered via questionnaires and documentation analysis. In this analysis, 4 distinct phases were specified. Besides, the advantages and disadvantages of each phase were discussed. The main contribution of this work is the analysis of different integration approaches among information systems and other services.

  16. Learning effects and the commercialization of new energy technologies: the case of nuclear power

    International Nuclear Information System (INIS)

    Zimmerman, M.B.

    1982-01-01

    Recently, attention has been focused on government policy toward commercialization of new energy technologies. Arguments are offered that, in the early days of commercialization, significant learning externalities that justify subsidy are present. Using nuclear power as a case study, this article estimates the learning effects actually present. The effect of experience on construction cost and on the accuracy of cost estimation is examined. External learning is separated from internalized learning about both construction cost and cost estimation. Finally, an estimate of the value of both kinds of learning externality is provided. The results suggest learning externalities were present, but had little effect on the rate of commercialization. 19 references, 5 tables

  17. Innovation and adoption of mobile technology in public organizations: the IBGE case

    Directory of Open Access Journals (Sweden)

    Amarolinda Iara da Costa Zanela Saccol

    2011-01-01

    Full Text Available The use of Mobile and Wireless Information Technologies (MWIT for provisioning public services by a government is a relatively recent phenomenon. This paper evaluates the results of MWIT adoption by IBGE (The Brazilian Institute of Geography and Statistics through a case study. In 2007, IBGE applied 82,000 mobile devices (PDAs for data gathering in a census operation in Brazil. A set of challenges for a large scale application of MWIT required intensive work involving innovative working practices and service goals. The case reveals a set of outputs of this process, such as time and cost reductions in service provision, improved information quality, staff training and increased organizational effectiveness and agility.

  18. 16 case studies on the deployment of photovoltaic technologies in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-09-15

    This report for the International Energy Agency (IEA) made by Task 9 of the Photovoltaic Power Systems (PVPS) programme presents 16 Case Studies on the deployment of photovoltaic technologies in developing countries. This guide provides information for all decision-makers in developing countries involved in the process of developing a PV project. These decision-makers can be found in institutions and host governments and also include PV project developers and sponsors, PV producers and suppliers, entrepreneurs, and NGOs. The case studies presented can help such decision-makers learn from past experience gained in the deployment of PV systems. They include experience gained in PV-related projects in various countries, including electrification, water desalination and solar home systems. Financing issues are, of course, also addressed.

  19. A Case Study and Survey-based Assessment of the Management of Innovation and Technology

    Directory of Open Access Journals (Sweden)

    Mukesh Srivastava

    2011-03-01

    Full Text Available This paper provides a case study of a real-world organization and its management of technology and innovation (MTI. The study examines the structure, environment, and resources of the organization as they pertain to the MTI. Specifically, the organization is examined for the alignment of the MTI to the strategy and the competitive advantages. Subjective assessment of the state of MTI is made based on this examination. To support the assessment, the case study is augmented with survey data that examines perceptions of employees to the MTI, the alignment of the MTI as stated above, and several documented antecedents of creative and innovative organizations. The research concludes with recommendations for improvement based on propositions regarding the antecedents and correlation to the state of the MTI.

  20. Monitoring in situ in real time of resin infusion for thermoset composite structures

    Science.gov (United States)

    Faci, A.; Wang, P.; Cochrane, C.; Koncar, V.

    2017-10-01

    The presented work investigates changes in electrical resistance of embedded sensory yarns as a method to monitor the resin flow front position and curing degree of resin during manufacturing of composite structures by vacuum infusion technology. The sensor concept is based on Piezo-resistive sensors integrated to the flax fabric, having almost identical propriety and dimensions as the flax threads used for the production of reinforcements. In the first time sensors have been characterized and first measures of the resin infusion have been realized in order to demonstrate the feasibility of the proposed approach. Then, the measures in real time were realized with fibrous sensors added to the flax fabric (green composites) to monitor the flow front of resin. A large amount of data recorded, filtered, examined, analysed and processed in order to understand and to optimize the infusion and polymerization process.

  1. Bronchial arterial infusion versus bronchial combined pulmonary arterial infusion for pulmonary metastatic tumors

    International Nuclear Information System (INIS)

    Dong Sheng; Dong Weihua; Jia Ningyang; Zhang Dianbo; Xiao Xiangsheng

    2008-01-01

    Objective: To evaluate the pulmonary metastatic tumor response to different ways of transcatheter arterial infusion. Methods: Thirty-five patients with pulmonary metastatic tumors were randomized divided into two groups: 15 patients with 49 lesions treated with bronchial arterial infusion (BAI) and 20 patients with 65 lesions treated with bronchial arterial infusion (BM)combined with pulmonary arterial infusion (PAI). The therapeutic response was assessed by the WHO evaluation criteria. Results: The total effective rate(CR + PR) of BAI was 65.3% (32/49), PAI + BAI was 61.5%(40/65) showing no statistical difference. The median survival time of BAI was 9 mo, BAI + PAI was 11.5 mo, demonstrating no statistical significance. Conclusions: BAI should be the primary treatment for pulmonary metastatic tumor. (authors)

  2. The promise of mobile technologies and single case designs for the study of individuals in their natural environment.

    Science.gov (United States)

    Vilardaga, Roger; Bricker, Jonathan; McDonell, Michael

    2014-04-01

    Mobile technologies are growing rapidly around the world to broad demographics of society. These technologies hold great promise for their integration with Single Case Designs (SCDs) and the study of individuals in their natural environment. This paper discusses the theoretical, methodological and analytic implications of these tools for the advancement of the contextual behavioral etiology of behavioral disorders, and their remediation. We hope this paper will highlight the scientific advantages of combining mobile technologies and SCDs and encourage their adoption among CBS scientists.

  3. A Case Study of Policies and Procedures to Address Cyberbullying at a Technology-Based Middle School

    Science.gov (United States)

    Tate, Bettina Polite

    2017-01-01

    This qualitative case study explored the policies and procedures used to effectively address cyberbullying at a technology-based middle school. The purpose of the study was to gain an in-depth understanding of policies and procedures used to address cyberbullying at a technology-based middle school in the southern United States. The study sought…

  4. Designing for Diverse Learning: Case Study of Place-Based Learning in Design and Technologies Pre-Service Teacher Education

    Science.gov (United States)

    Best, Marnie; MacGregor, Denise; Price, Deborah

    2017-01-01

    Place-based learning experiences in Design and Technologies education connect people and place with design processes and products. Drawing on place-based learning, this case study shares the experiences of eight final year pre-service Design and Technologies education students from the University of South Australia as they collaborated with…

  5. Describing an Environment for a Self-Sustaining Technology Transfer Service in a Small Research Budget University: A Case Study

    Science.gov (United States)

    Nieb, Sharon Lynn

    2014-01-01

    This single-site qualitative study sought to identify the characteristics that contribute to the self sustainability of technology transfer services at universities with small research budgets through a case study analysis of a small research budget university that has been operating a financially self-sustainable technology transfer service for…

  6. Effects of dexmedetomidine infusion during spinal anesthesia on ...

    African Journals Online (AJOL)

    Effects of dexmedetomidine infusion during spinal anesthesia on hemodynamics and sedation. ... Libyan Journal of Medicine ... evaluated the effects of intravenous dexmedetomidine during spinal anesthesia on hemodynamics, respiratory rate, oxygen saturation, sedpain, and compared them with those of saline infusion.

  7. Impact of Computerized Order Entry to Pharmacy Interface on Order-Infusion Pump Discrepancies

    Directory of Open Access Journals (Sweden)

    Rebecca A. Russell

    2015-01-01

    Full Text Available Background. The ability of safety technologies to decrease errors, harm, and risk to patients has yet to be demonstrated consistently. Objective. To compare discrepancies between medication and intravenous fluid (IVF orders and bedside infusion pump settings within a pediatric intensive care unit (PICU before and after implementation of an interface between computerized physician order entry (CPOE and pharmacy systems. Methods. Within a 72-bed PICU, medication and IVF orders in the CPOE system and bedside infusion pump settings were collected. Rates of discrepancy were calculated and categorized by type. Results were compared to a study conducted prior to interface implementation. Expansion of PICU also occurred between study periods. Results. Of 455 observations, discrepancy rate decreased for IVF (p=0.01 compared to previous study. Overall discrepancy rate for medications was unchanged; however, medications infusing without an order decreased (p<0.01, and orders without corresponding infusion increased (p<0.05. Conclusions. Following implementation of an interface between CPOE and pharmacy systems, fewer discrepancies between IVF orders and infusion pump settings were observed. Discrepancies for medications did not change, and some types of discrepancies increased. In addition to interface implementation, changes in healthcare delivery and workflow related to ICU expansion contributed to observed changes.

  8. A case study of data integration for aquatic resources using semantic web technologies

    Science.gov (United States)

    Gordon, Janice M.; Chkhenkeli, Nina; Govoni, David L.; Lightsom, Frances L.; Ostroff, Andrea C.; Schweitzer, Peter N.; Thongsavanh, Phethala; Varanka, Dalia E.; Zednik, Stephan

    2015-01-01

    Use cases, information modeling, and linked data techniques are Semantic Web technologies used to develop a prototype system that integrates scientific observations from four independent USGS and cooperator data systems. The techniques were tested with a use case goal of creating a data set for use in exploring potential relationships among freshwater fish populations and environmental factors. The resulting prototype extracts data from the BioData Retrieval System, the Multistate Aquatic Resource Information System, the National Geochemical Survey, and the National Hydrography Dataset. A prototype user interface allows a scientist to select observations from these data systems and combine them into a single data set in RDF format that includes explicitly defined relationships and data definitions. The project was funded by the USGS Community for Data Integration and undertaken by the Community for Data Integration Semantic Web Working Group in order to demonstrate use of Semantic Web technologies by scientists. This allows scientists to simultaneously explore data that are available in multiple, disparate systems beyond those they traditionally have used.

  9. Problems, policies and politics: making the case for better assistive technology provision in Australia.

    Science.gov (United States)

    Layton, Natasha

    2015-05-01

    Substantial evidence supports assistive technology and environmental adaptations as key enablers to participation. In order to realise the potential of these interventions, they need to be both recognised in policy, and resourced in practice. This paper uses political theory to understand the complexities of assistive technology (AT) policy reform in Australia. AT research will not be influential in improving AT policy without consideration of political drivers. Theories of policy formation are considered, with Kingdon's (2003) theory of multiple streams identified as a useful lens through which to understand government actions. This theory is applied to the case of current AT policy reformulation in Australia. The convergence model of problem identification, policy formulation and political will is found to be an applicable construct with which to evaluate contemporary policy changes. This paper illustrates the cogency of this theory for the field of AT, in the case of Australia's recent disability and aged care reforms. Political theory provides a way of conceptualising the difficulties of consumers and AT practitioners experience in getting therapeutically valid solutions into public policy, and then getting policies prioritised and funded. It is suggested that AT practitioners must comprehend and consider political factors in working towards effective policies to support their practice. AT practitioners generally lack political awareness or an understanding of the drivers of policy. The effectiveness of AT practitioners at a systemic level will remain limited without consideration of policy drivers. AT practitioners must comprehend and consider political factors in working towards effective policies to support their practice.

  10. Training to use a commercial brain-computer interface as access technology: a case study.

    Science.gov (United States)

    Taherian, Sarvnaz; Selitskiy, Dmitry; Pau, James; Davies, T Claire; Owens, R Glynn

    2016-01-01

    This case study describes how an individual with spastic quadriplegic cerebral palsy was trained over a period of four weeks to use a commercial electroencephalography (EEG)-based brain-computer interface (BCI). The participant spent three sessions exploring the system, and seven sessions playing a game focused on EEG feedback training of left and right arm motor imagery and a customised, training game paradigm was employed. The participant showed improvement in the production of two distinct EEG patterns. The participant's performance was influenced by motivation, fatigue and concentration. Six weeks post-training the participant could still control the BCI and used this to type a sentence using an augmentative and alternative communication application on a wirelessly linked device. The results from this case study highlight the importance of creating a dynamic, relevant and engaging training environment for BCIs. Implications for Rehabilitation Customising a training paradigm to suit the users' interests can influence adherence to assistive technology training. Mood, fatigue, physical illness and motivation influence the usability of a brain-computer interface. Commercial brain-computer interfaces, which require little set up time, may be used as access technology for individuals with severe disabilities.

  11. International Development Partnerships and Diffusion of Renewable Energy Technologies in Developing Countries: Cases in Latin America

    Science.gov (United States)

    Platonova, Inna

    Access to energy is vital for sustainable development and poverty alleviation, yet billions of people in developing countries continue to suffer from constant exposure to open fires and dangerous fuels, such as kerosene. Renewable energy technologies are being acknowledged as suitable solutions for remote rural communities in much of the developing world and international development non-governmental organizations (NGOs) increasingly play important roles in the diffusion of these technologies via development partnerships. While these partnerships are widely promoted, many questions related to their functioning and effectiveness remain open. To advance the theory and practice, this interdisciplinary exploratory research provides in-depth insights into the nature of international NGO-driven development partnerships in rural renewable energy and their effectiveness based on the case studies in Talamanca, Costa Rica and Cajamarca, Peru. The analysis of the nature of development partnerships shows that partnerships in the case studies differ in structure, size and diversity of actors due to differentiation in the implementation strategies, technological complexities, institutional and contextual factors. A multi-theoretical approach is presented to explain the multiple drivers of the studied development partnerships. The research highlights partnership constraints related to the provision of rural renewable energy, the organizational type and institutional environments. Based on the case studies this research puts forward theoretical propositions regarding the factors that affect the effectiveness of the partnerships. In terms of the partnership dynamics dimension, several key factors of success are confirmed from the existing literature, namely shared values and goals, complementary expertise and capacities, confidence and trust, clear roles and responsibilities, effective communication. Additional factors identified are personality match and continuity of staff. In

  12. Integration of health technology assessment recommendations into organizational and clinical practice: A case study in Catalonia.

    Science.gov (United States)

    Gagnon, Marie-Pierre; Sánchez, Emília; Pons, Joan M V

    2006-01-01

    Evaluating the impact of recommendations based upon health technology assessment (HTA) represents a challenge for both HTA agencies and healthcare policy makers. This research sought to understand factors affecting the uptake of HTA recommendations to support decision making with respect to the introduction of three health technologies. Using a multidimensional framework, based upon a combination of theoretical models, a case study was conducted. A total of twenty-eight semistructured interviews were done with physicians from fifteen hospitals and other stakeholders in Catalonia. Interview content was analyzed iteratively and classified according to theoretical dimensions and contextual factors. At the sociopolitical level, factors related to the organization and financing of the health system were found to affect the utilization of HTA recommendations. At the healthcare organization level, existing collaborations between the hospital and the HTA agency favored the integration of recommendations into practices. Formalism in the organization also influenced the utilization of HTA recommendations. At the professional level, the high degree of autonomy of specialists, the importance of peers and collegial control, and the definition of professional roles and responsibilities influenced physicians' willingness to integrate HTA recommendations into their practice. This study offers a comprehensive framework to understand the complex dynamics that affect adoption of health technologies in organizational and professional practices. The findings suggest some avenues to promote the integration of HTA recommendations into practices and, thus, increase the utilization of scientific evidence to support decision making in health care.

  13. Information technologies and nursing process records: case study at a neonatal ICU

    Directory of Open Access Journals (Sweden)

    Raphael Brandão Pereira

    2016-03-01

    Full Text Available The objective of this study was to analyze the recording of the nursing process, supported by information and communication technologies in both printed and electronic media in the neonatal intensive care scenario. This case study was exclusive, integrated, and conducted between January and April 2014. The study counted on the participation of seven nurses who worked at a neonatal ICU before and after the deployment of new information and communication technologies, which combined electronic and physical (paper support. Data were collected from medical records and a questionnaire answered by the nurses. Simple and percentage frequency in the levels of the nursing process application were used for analysis, as well as the set of intervening factors related to the work organization structure and process. Positive and negative results were seen, as well as intervening factors. The study concluded that the new information and communication technologies delivered in physical materials accounted for the registration of the higher number of records in the data collection and that the registration of the other stages did not show any substantial improvement.

  14. TECHNOLOGY ASSESSMENT IN ENGINEERING PRACTICE. THE CASE OF BIOLIQ® – FUEL PRODUCTION FROM BIOMASS

    Directory of Open Access Journals (Sweden)

    Armin GRUNWALD

    2013-04-01

    Full Text Available This paper includes a brief overview of the basic motivations and objectives of TA, followed by a description of the three main operating fields of TA: providing scientific advice for decision‐making in the political system, contributing to public debate, and enriching technology development and engineering practice. These issues will then be considered in more detail by referring to various approaches to the relationship between TA and technology development and by presenting a specific case study of an accompanying TA process over various development stages of the bioliq® process for converting dry biomass into fuel (Biomass to Liquid and chemicals. The accompanying TA work on the bioliq® process can, as a result of more than ten years of experience, be considered a successful technology assessment as it has opened up a new research field with a highly precautionary aspect on the one hand, and helped to win over technology‐oriented research institutes to reorienting their research work, on the other. The results of the TA studies allowed to assess e.g. the competitiveness of the bioliq® process at a very early stage. The mutual trust built up in the course of the historical development between the parties involved has always been essential for this ongoing accompanying TA process. TA has been proven, in this way, a useful tool to uncover new chances for engineering research and development, and to accompany the research process.

  15. When should green technology support policies supplement the carbon price? The case of the electricity sector

    International Nuclear Information System (INIS)

    Lecuyer, Oskar

    2013-01-01

    This thesis contributes to the literature on optimal policy choice. It studies the use of policy combinations to mitigate greenhouse gases emissions from electricity production. One finding applies to cases where uncertainty is such that the risk of a nil carbon price cannot be excluded. A cap on emissions alone may then not trigger enough abatements, justifying the addition of e.g. a renewable subsidy. When considering a transition toward a carbon free electricity sector, capital accumulation causes complex dynamic effects to happen. We find that decisions taken by comparing the leveled costs of abatement technologies, even including carbon costs, would favor intermediate technologies (e.g. gas plants) to the detriment of more-expensive but lower-carbon technologies (renewable power), leading to a suboptimal investment schedule. This thesis also studies the effects of marginal policy changes in a mix comprising the main French instruments. We find that surprisingly, adding a tariff for renewables financed by a tax on electricity consumption to a cap on emissions and a subsidy for energy efficiency will reduce the consumer electricity price when the non-renewable production is fixed and does not depend on the carbon price. The assessment of the French climate policies in the electricity sector shows that overlapping policies for mitigation may be justified by multiple carbon price failures, even if the ideal long-term policy mix depends on the carbon price trajectory. (author)

  16. Telemedicine through the use of digital cell phone technology in pediatric neurosurgery: a case series.

    Science.gov (United States)

    Pirris, Stephen M; Monaco, Edward A; Tyler-Kabara, Elizabeth C

    2010-05-01

    Advances in medicine have largely followed advances in technology. Medical strides have been made when physicians and researchers have adapted growing science to target specific problems. A new medical field, telemedicine, has emerged that links physicians with colleagues and patients. Cell phone technology is affordable for almost everyone, and basic models include digital photography. We present a case series exhibiting the utility of digital pictures taken with patients' cell phones. Our patients had wound infections requiring daily intravenous antibiotics and dressing changes. In years past, these patients would have required prolonged hospitalizations. In the era of managed care, patients with these infections are discharged from the hospital, but close outpatient observation is required to monitor the wound. Our patients lived up to 8 hours away from the hospital. Daily appointments for wound checks in the clinic were not practical. Wounds were thus monitored via cell phone images without the inconvenience of travel and the expense of staying in a local hotel, along with leaving appointments in the clinic available for others with new neurosurgical issues. Wound evaluations were conducted with the cameras on patients' cell phones. These images were transmitted to the surgeon via text messaging and emails. This application of cell phone technology has been documented previously in the literature of other specialties and could attain greater stature as a legitimate method for close outpatient observation by neurosurgeons if medicolegal issues are addressed.

  17. DEVELOPMENT OF DOMESTIC INFUSION DRUGS BASED ON PARACETAMOL

    Directory of Open Access Journals (Sweden)

    Almakaeva L.G.

    2016-06-01

    aqueous solution decreases in acidic and alkaline environments where paratse - tamol gradually destroyed to acetic acid or p - aminophenol To prevent oxidation of the drug administered antioxidant - sodium metabisulfite in concentrations generally 1.0 g / l. In order to prevent the negative - tive impact of oxygen on paracetamol solution 10 mg / mL drug preparation was conducted under nitrogen gas protection . It is established that the use of nitrogen gas protection affects the quality of the drug. Prepared sample preparation without nitrogen gas protection did not meet project MKYA in terms of " 4 - aminophenol " and " color ", besides a slight tendency pH change and reducing quantitative content of active ingredient. Therefore, the production of the drug " Paracetamol , infusion solution 10 mg / ml. in bottles of 100 ml " necessary solution prepared bubbling nitrogen for 20 minutes. It is established that the use of nitrogen gas protection affects the quality of the drug. the manufacture of the drug " Paracetamol , infusion solution 10 mg / ml. in bottles of 100 ml " necessary solution prepared bubbling nitrogen for 20 minutes. Calculated theoretical osmolarity of the drug- 299,47 мОsм / l. Solution osmolarity close to osmolarity of blood, which is an important criterion when used in injection therapy. Conclusions. Theoretically grounded and experimentally confirmed rational composition drug infusion composition based on paracetamol. Selected auxiliaries and processing methods in the preparation of the solution , prevents oxidation of the main active ingredient , and also provide the optimum level of osmolarity solution. Results of this development are used during compile of registration dossier of preparation, analytical and technological normative documents on his production and control of quality of intermediate products and prepared products.

  18. Technology adoption and implementation in organisations: comparative case studies of 12 English NHS Trusts.

    Science.gov (United States)

    Kyratsis, Yiannis; Ahmad, Raheelah; Holmes, Alison

    2012-01-01

    To understand organisational technology adoption (initiation, adoption decision, implementation) by looking at the different types of innovation knowledge used during this process. Qualitative, multisite, comparative case study design. One primary care and 11 acute care organisations (trusts) across all health regions in England in the context of infection prevention and control. PARTICIPANTS AND DATA ANALYSIS: 121 semistructured individual and group interviews with 109 informants, involving clinical and non-clinical staff from all organisational levels and various professional groups. Documentary evidence and field notes were also used. 38 technology adoption processes were analysed using an integrated approach combining inductive and deductive reasoning. Those involved in the process variably accessed three types of innovation knowledge: 'awareness' (information that an innovation exists), 'principles' (information about an innovation's functioning principles) and 'how-to' (information required to use an innovation properly at individual and organisational levels). Centralised (national, government-led) and local sources were used to obtain this knowledge. Localised professional networks were preferred sources for all three types of knowledge. Professional backgrounds influenced an asymmetric attention to different types of innovation knowledge. When less attention was given to 'how-to' compared with 'principles' knowledge at the early stages of the process, this contributed to 12 cases of incomplete implementation or discontinuance after initial adoption. Potential adopters and change agents often overlooked or undervalued 'how-to' knowledge. Balancing 'principles' and 'how-to' knowledge early in the innovation process enhanced successful technology adoption and implementation by considering efficacy as well as strategic, structural and cultural fit with the organisation's context. This learning is critical given the policy emphasis for health organisations to

  19. On the Use of MCDM Technique for Identifying Key Technology: A Case of Auto Company

    OpenAIRE

    Aliakbar Mazlomi; Rosnah bt. Mohd. Yusuff

    2011-01-01

    In today’s world, technology strategy development for industries is one of the most important tasks in proposing technology roadmap. Moreover, identifying strategic technology is main part of strategydevelopment. This article tries to apply MCDM methods in finding key strategic technologies from identified technologies from in order to provide appropriate technology strategy. TOPSIS method helps in finding key strategic technologies from identified technologies from in order to provide approp...

  20. 75 FR 21641 - Infusion Pumps; Public Meeting; Request for Comments

    Science.gov (United States)

    2010-04-26

    ...] Infusion Pumps; Public Meeting; Request for Comments AGENCY: Food and Drug Administration, HHS. ACTION... announcing a public meeting regarding external infusion pumps. The purpose of the meeting is to inform the public about current problems associated with external infusion pump use, to help the agency identify...

  1. Continuous infusion of chemotherapy: focus on 5-fluorouracil and fluorodeoxyuridine

    NARCIS (Netherlands)

    Poorter, R. L.; Bakker, P. J.; Veenhof, C. H.

    1998-01-01

    Continuous infusion of chemotherapy is one of the developments to try to improve the treatment of metastatic cancer. There is a sound theoretical rationale to deliver cytotoxic drugs as a continuous infusion. Furthermore, the development of reliable venous access devices and portable infusion pumps

  2. Technology Leadership of Education Administrators and Innovative Technologies in Education: A Case Study of Çorum City

    Science.gov (United States)

    Kör, Hakan; Erbay, Hasan; Engin, Melih

    2016-01-01

    In this global world in which educational technologies have developed at such a great pace, it is possible to say that administrators in the education sector are obliged with serious roles with regard to keeping up with the evolving technology and the management of education in this virtual environment. In the present study utilizing screening…

  3. "It just alienated us": a case study to explore the impact of assisted reproductive technology on family relationships.

    Science.gov (United States)

    Peters, Kathleen; Jackson, Debra; Rudge, Trudy

    2007-01-01

    New reproductive technologies have the capacity to impact on both personal and healthcare relationships. This article utilizes a case study approach to unpack experiences of one couple who encountered immense and unforeseen difficulties as a result of treatment with assisted reproductive technology. Findings of this case reveal both difficulties and breaches in obtaining informed consent and the consequences these breaches have on relationships. Comprehensive information contributes to positive relationships between patients and healthcare providers. Maintaining supportive relationships between all parties concerned with assisted reproductive technology services is essential, as rifts in these relationships can be devastating and long-lasting.

  4. Acute renal failure due to vancomycin toxicity in the setting of unmonitored vancomycin infusion

    OpenAIRE

    Vora, Shagufta

    2016-01-01

    Vancomycin-induced nephrotoxicity is a commonly feared and largely preventable adverse effect of vancomycin therapy. We present the case of a 56-year-old woman who developed acute renal failure requiring hemodialysis as a result of unmonitored vancomycin infusions for the treatment of osteomyelitis.

  5. Crural Amputation of a Newborn as a Consequence of Intraosseous Needle Insertion and Calcium Infusion

    DEFF Research Database (Denmark)

    Oesterlie, Gorm Erlend; Petersen, Klaus Kjaer; Knudsen, Lars

    2014-01-01

    Intraosseous needle insertion and infusion is considered an easy and reliable method of achieving a vascular access in acute circulatory collapse where other methods have not been successful within reasonable time. Complications are considered few but may be serious. We present a case of a newborn...

  6. Crack Cocaine-Induced Cardiac Conduction Abnormalities Are Reversed by Sodium Bicarbonate Infusion

    Directory of Open Access Journals (Sweden)

    Carlos Henrique Miranda

    2013-01-01

    Full Text Available We report a dramatic case of a 19-year-old man with crack cocaine overdose with important clinical complications as cardiac arrest due to ventricular fibrillation and epileptics status. During this intoxication, electrocardiographic abnormalities similar to those found in tricyclic antidepressant poisoning were observed, and they were reversed by intravenous sodium bicarbonate infusion.

  7. A survey on the technologies and cases for the cognitive models of nuclear power plant operators

    International Nuclear Information System (INIS)

    Lee, Yong Hee; Chun, Se Woo; Seo, Sang Moon; Lee, Hyun Chul

    1993-04-01

    To enhance the safety and availability of nuclear power plants, it is necessary to develop the methodologies which can systematically analyze the interrelationships between plant operators and main process systems. Operator congnitive models enable to provide an explicit method to analyze how operator's congitive behavior reacts to the behavior of system changes. However, because no adequate model has been developed up to now, it is difficult to take an effective approach for the review, assessment and improvement of human factors. In this study, we have surveyed the techniques and the cases of operator model development, aiming to develop an operator's model as one of human engineering application methodologies. We have analyzed the cognitive characteristics of decision-making, which is one of the principal factors for modeling, and reviewed the methodologies and implementation thechniques used in the cases of the model development. We investigated the tendencies of the model developments by reviewing ten cases and especially CES, INTEROPS and COSIMO models which have been developed or are under development in nuclear fields. Also, we summarized the cognitive characteristics to be considered in the modeling for the purpose of modeling operator's decision-making. For modeling methodologies, we found a trend of the modeling that is software simulations based on the artificial intelligence technologies, especially focused in knowledge representation methods. Based on the results of our survey, we proposed a development approach and several urgent research subjects. We suggested the development simulation tools which can be applicable to the review, assessment and improvement of human factors, by implementing them as softwares using expert system development tools. The results of this study have been applied to our long-term project named 'The Development of Human Engineering Technologies.' (Author)

  8. Crural Amputation of a Newborn as a Consequence of Intraosseous Needle Insertion and Calcium Infusion

    DEFF Research Database (Denmark)

    Oesterlie, Gorm Erlend; Petersen, Klaus Kjaer; Knudsen, Lars

    2014-01-01

    Intraosseous needle insertion and infusion is considered an easy and reliable method of achieving a vascular access in acute circulatory collapse where other methods have not been successful within reasonable time. Complications are considered few but may be serious. We present a case of a newborn...... girl, where intraosseous cannulation of the tibia was lifesaving. Despite following most standard recommendations, the treatment resulted in transtibial amputation due to necrosis. We suspect that the necrosis was a consequence of extravasation of tissue-toxic calcium infusion....

  9. The Case Study Technologies as the Means of Competency Building Approach Realization in Higher Education of Russia

    Science.gov (United States)

    Abdrafikova, Albina R.; Konopatskaya, Ekaterina A.

    2014-01-01

    The problem of increasing education efficiency in Russian high school under the condition of well-organized educational process with using "Case-study" technology is considered in the article. The article is devoted to the methodology of case study, and especially its implementation in Kazan Federal University, the Institute of Philology…

  10. MRI of acute cerebral infarcts: increased contrast enhancement with continuous infusion of gadolinium

    International Nuclear Information System (INIS)

    Merten, C.L.; Assheuer, J.; Bergmann-Kurz, B.; Bewermeyer, H.; Knitelius, H.O.; Hedde, J.P.

    1999-01-01

    We compared contrast enhancement on T1-weighted MRI of acute cerebral infarcts after conventional bolus administration and continuous infusion of gadolinium. We examined 12 patients with a history of acute stroke with contrast-enhanced MRI once a week for a 1 month. Only ischaemic lesions were investigated after cerebral haemorrhage had been excluded by CT. Each MRI study included T2- and proton density-weighted sequences for determination of the size and site of the infarct, immediate postinjection T1-weighted imaging after bolus administration of 0.1 mmol/kg gadolinium-DPTA and delayed T1-weighted imaging after additional continuous infusion of 0.1 mmol/kg over 2 h. A total of 42 MRI studies was performed. In the first week after the onset of stroke, most infarcts (8 of 10) did not enhance after bolus administration, whereas all showed distinct contrast enhancement after the infusion. In the following weeks all but two infarcts showed contrast enhancement after bolus administration; after continuous infusion contrast enhancement could be seen in all cases. While contrast enhancement after bolus administration showed the typical gyriform pattern, enhanced areas were more extensive after the infusion and usually covered the entire infarcted area shown on T2- and proton density-weighted images. We presume that the disturbed blood-brain barrier in ischaemic areas favours delivery of contrast medium to the infarcted tissue if it is offered continuously so that a steady state can develop. (orig.)

  11. The effects of norepinephrine infusion on oxygen consumption in a patient with septic shock.

    Science.gov (United States)

    Bouffard, Y; Tissot, S; Viale, J P; Delafosse, B; Annat, G; Bachmann, P; Motin, J

    1990-01-01

    A 65-year-old man developed postsurgical septic shock, unresponsive to plasma volume expansion and administration of dopamine and dobutamine. A continuous norepinephrine infusion was then started and the dose increased to 0.62 micrograms.kg-1.min-1 until the mean arterial pressure was 70 mmHg. Prior to and during the norepinephrine infusion, oxygen consumption was continuously measured with a mass spectrometer system. There was a parallel increase in mean arterial pressure and oxygen consumption (+ 35%). There was also an increase in cardiac index and oxygen delivery. Systemic vascular resistance was only transiently increased. In this case with septic shock, norepinephrine infusion improved hemodynamic variables with an associated increase in oxygen consumption.

  12. Informing international UNFCCC technology mechanisms from the ground up: Using biogas technology in South Africa as a case study to evaluate the usefulness of potential elements of an international technology agreement in the UNFCCC negotiations process

    International Nuclear Information System (INIS)

    Boyd, Anya

    2012-01-01

    Transfer of low carbon technologies to developing countries is 1 approach for tackling rising global emissions. An international technology transfer mechanism has been proposed under the UNFCCC; however, it remains unclear how this international mechanism would translate into local level technology implementation. This study uses biogas technology in South Africa to obtain empirical data inductively related to technology transfer. Observations and activities specific to the biogas sector in South Africa are put forward based on site visits and stakeholder discussions in South Africa, the UK, Germany and Sweden. This paper presents empirical findings on technology transfer in the biogas sector in South Africa and analyses the role of an international technology mechanism in supporting the uptake of biogas. Many of the barriers to biogas technology in South Africa are national level constraints such as lack of supportive policy environment, financial incentives and information sharing. This case study supports the argument that it will be unrealistic for international technology mechanisms to capture the necessary specificities of individual technologies at a country level. Therefore, as demonstrated through the example of biogas technology in South Africa, there is a need for both effective national and international engagement to support technology implementation. - Highlights: ► The UNFCCC technology mechanism aims to increase low carbon technology deployment. ► The interface of global technology frameworks and national implementation is unclear. ► Biogas is a widely used technology yet its uptake in South Africa (SA) is minimal. ► Empirical data is gathered from biogas sites in SA, UK, Germany and Sweden. ► Findings show biogas uptake in SA requires national and international support

  13. Triple Helix Model in Developing Technological Innovation: The Case of Computer Based Interlocking

    Directory of Open Access Journals (Sweden)

    Erry Ricardo Nurzal

    2013-01-01

    Full Text Available Computer Based Interlocking (CBI is the most important part of the electric railway signalingsystem which serves as the “brain” that controls the operation of electrical signaling system thatreplaces the role of the electromagnetic relay which has gradually been abandoned. Developmentof CBI is based on the fact that until recently the signaling system in Indonesia is still reliedheavily on the CBI products from foreign vendors. Therefore, the development of domestic CBIproducts is really necessary in order to decrease the dependence on technology from foreignvendors that at the same time is also be able to support the accelerated development of railwayinfrastructure in Indonesia.The CBI development is conducted in the form of a collaboration involving the government,universities, and industry. This paper explores and analyzes the roles and interactions betweendifferent actors in the triple helix perspective, and identifies how the innovation ecosystemfunctioning with support from the government.Based on the data collected through in-depth interview with the actors involved in the CBI casestudy, this paper gives some key findings. First, government role is very important in establishingan innovation ecosystem for CBI development. Second, the leader in the development of CBItechnological innovation should be the industry supported by governmental R & D institutionsand universities. Third, R & D consortium is an effective vehicle for creating an interactionamong industry, academia, and government.Such findings may provide conceptual direction which is important for the development oftechnological innovation in Indonesia. In addition, in providing support for R&D activities, thegovernment needs to direct its R & D incentives to the industry as a business practitioner with itsown technology roadmap. The possible further research may include some research issues. First,is the pattern occurred in the CBI case also applied in the other cases of

  14. Features of Infusion Therapy in Critically Ill Children

    Directory of Open Access Journals (Sweden)

    V.I. Snisar

    2015-04-01

    Full Text Available This review shows that the appointment of infusion therapy on generally accepted recommendations of M.A. Holliday, M.E. Segar often leads to hyponatremia and significant complications. Injected volume of fluid in the critical ill children cannot accurately be determined. It depends on many factors: the diseases severity in child, used methods of intensive care. Critical state, pain, administration of a number of drugs stimulate increased secretion of antidiuretic hormone. This restricts the release of water with urine, especially in a situation when administration of the electrolyte-free liquid results in hyponatremia and a positive water balance. What is the ideal solution during infusion therapy in children: a hypotonic fluid or isotonic one? Until now the debate continues while the use of hypotonic solutions is yet widespread enough. However, this leads to hyponatremia and increases the risk of adverse neurological complications in critically ill children. Therefore, the routine use of hypotonic solutions should be reconsidered. In all cases, a minimum monitoring of water balance and electrolyte levels in the blood plasma should be provided.

  15. Technology acceptance and purchase intention towards 3G technology among millennial smart phone users: A case of Pakistan

    Directory of Open Access Journals (Sweden)

    Muhammad Jasim

    2016-11-01

    Full Text Available This study aims to investigate the technology acceptance and purchase intention for Third Generation (3G technology in Pakistan’s telecom sector. In such respect, Technology Acceptance Model (TAM has been used to find the effects of the independent variables (Perceived Usefulness, Perceived Ease of Use, Perceived Value, Perceived Enjoyment, Personal Innovativeness and Price on dependent variable (purchase intention. The study population consisted of smartphone users among Millennials in district Haripur-a region in transition towards urbanization. 200 respondents provided the useable data. The results of the study show that perceived usefulness, perceived ease of use, perceived value, perceived enjoyment, personal innovativeness, and price have a significant and positive relationship with purchase intention which validates the growing acceptance of advanced technologies in such regions.

  16. Infusing technology into general studies program: The Nnamdi ...

    African Journals Online (AJOL)

    This paper is intended to give a summary of the efforts of school of general studies, Nnamdi Azikiwe University at moving in specified dimensions to realise her present status in blended procedures. It is hoped that the measure will be introductory enough to encourage and motivate other tertiary institutions to get in step.

  17. Scavenged body heat powered infusion pump

    International Nuclear Information System (INIS)

    Bell, Alexander; Ehringer, William D; McNamara, Shamus

    2013-01-01

    An infusion pump powered by body heat is investigated in this paper, with the goal of addressing the needs of dermal wound healing. The infusion pump incorporates a Knudsen gas pump, a type of thermally driven pump, to pneumatic push the pharmaceutical agent from a reservoir. Two designs are considered: an integrated pump and reservoir, and a design with cascaded pump and reservoir. Thermal models are developed for both pumps, and the simulations agree well with the experimental results. The integrated pump and reservoir design uses hydrophobic materials to prevent a flow from occurring unless the infusion pump is placed on a human body. Flow rates in the µL min −1 range for the integrated pump and reservoir, and approximately 70 µL min −1 for the cascaded pump were obtained. The dynamic behavior of the cascaded pump is described based on the thermal models. Multiple copies of the cascaded pump are easily made in series or parallel, to increase either the pressure or the flow rate. The flow rate of multiple pumps in series does not change, and the pressure of multiple pumps in parallel does not change. (paper)

  18. Acute bilateral uveitis and right macular edema induced by a single infusion of zoledronic acid for the treatment of postmenopausal osteoporosis as a substitution for oral alendronate: a case report.

    Science.gov (United States)

    Tian, Yiming; Wang, Rui; Liu, Lianyuan; Ma, Chunming; Lu, Qiang; Yin, Fuzai

    2016-02-11

    Zoledronic acid-induced uveitis (ZAIU) is rare but severe, and has been recently considered part of an acute phase reaction. Only 15 cases have been reported since 2005. Here we describe a case with macular edema, which is the first reported case observed after long-term alendronate tolerance. A 63-year-old Asian woman received her first intravenous zoledronic acid treatment for the management of postmenopausal osteoporosis as a more convenient substitute for oral alendronate. Twenty-four hours later, bilateral eye irritations, periorbital swelling, blurred vision, and diplopia presented. The complete blood count and transaminase levels were normal, but the erythrocytic sedimentation, C-reactive protein, and serum C4 levels were elevated. On detailed ophthalmological examination, a diagnosis of bilateral acute uveitis and macular edema in the right eye was made. The ocular symptoms were not improved until administration of topical and oral steroids. Complete resolution was achieved. There was no rechallenge of bisphosphonates, and no recurrence at 6 months follow-up. Based on an extensive review, abnormal fundus is rarely reported, especially in cases of macular edema. Rechallenge with zoledronic acid in five cases induced no additional uveitis, and changing the medication to pamidronate in another patient was also tolerated. Interestingly, our patient suffered from uveitis soon after intravenous zoledronate exposure after a two-year tolerance to oral alendronate. This is the first report of zoledronic acid induced uveitis with macular edema after long-term alendronate tolerance. Prior oral alendronate may not entirely prevent ZAIU. Steroids are usually necessary in the treatment of ZAIU. Bisphosphonate rechallenge is not fully contraindicated, and prior steroid administration may be a more reasonable treatment choice according to the available evidence.

  19. AlphaCo: A Teaching Case on Information Technology Audit and Security

    Directory of Open Access Journals (Sweden)

    Hüseyin Tanriverdi

    2006-03-01

    Full Text Available Recent regulations in the United States (U.S. such as the Sarbanes-Oxley Act of 2002 require top management of a public firm to provide reasonable assurance that they institute internal controls that minimize risks over the firm’s operations and financial reporting. External auditors are required to attest to the management’s assertions over the effectiveness of those internal controls. As firms rely more on information technology (IT in conducting business, they also become more vulnerable to IT related risks. IT is critical for initiating, recording, processing, summarizing and reporting accurate financial and non-financial data. Thus, understanding IT related risks and instituting internal control mechanisms that minimize them have become important and created an urgent need for professionals who are equipped with IT audit and security skills and knowledge. However, there is severe shortage of teaching cases that can be used in courses aimed at training such professionals. This teaching case begins to address this gap by fostering classroom discussions around IT audit and security issues. It revolves around a hacking incident that compromised online order processing systems of AlphaCo and led to some fraudulent activity. The hacking incident raises a series of questions about IT security vulnerabilities, internal control deficiencies, integrity of financial statements, and independent auditors’ assessment of fraud in the context of the Sarbanes-Oxley Act. The case places students in the roles of executives, IT managers, and auditors and encourages them to discuss several important questions: how and why did the hacking incident happen; what harm did it cause to the firm; how can the firm prevent such hacking incidents in the future; if they do happen, how can the firm detect hacking incidents and fraud sooner; how do auditors assess the impact of such incidents in the context of a financial statement audit; and whether the management

  20. Technology.

    Science.gov (United States)

    Online-Offline, 1998

    1998-01-01

    Focuses on technology, on advances in such areas as aeronautics, electronics, physics, the space sciences, as well as computers and the attendant progress in medicine, robotics, and artificial intelligence. Describes educational resources for elementary and middle school students, including Web sites, CD-ROMs and software, videotapes, books,…

  1. Using information technology for an improved pharmaceutical care delivery in developing countries. Study case: Benin.

    Science.gov (United States)

    Edoh, Thierry Oscar; Teege, Gunnar

    2011-10-01

    One of the problems in health care in developing countries is the bad accessibility of medicine in pharmacies for patients. Since this is mainly due to a lack of organization and information, it should be possible to improve the situation by introducing information and communication technology. However, for several reasons, standard solutions are not applicable here. In this paper, we describe a case study in Benin, a West African developing country. We identify the problem and the existing obstacles for applying standard ECommerce solutions. We develop an adapted system approach and describe a practical test which has shown that the approach has the potential of actually improving the pharmaceutical care delivery. Finally, we consider the security aspects of the system and propose an organizational solution for some specific security problems.

  2. Innovations in technology and the online learning environment: A case study of inter-university collaboration

    Directory of Open Access Journals (Sweden)

    Jansen ZANETTA

    2010-01-01

    Full Text Available This paper presents a case study of online learning. It is based on the researcher’s participation in an inter-university collaborative module at two higher education institutions in South Africa and the United States from August to December 2001. The paper addresses the advantages and disadvantages of the online learning environment and learning in a Virtual Classroom. It provides a critical interpretation of the virtual classroom experienced in this collaboration between institutions. It finds that there are benefits from applying this technology in educational practices and programs particularly in the African context where a large majority of school-leaving learners have little or no access to higher education. However, it also expounds the NEPAD (New Partnership for Africa’s Development initiative to produce ICT in schools throughout Africa to fulfil the Millennium Development Goals on education in developing countries.

  3. Managing Innovation in Small High-Technology Firms: A Case Study in Brazil

    Directory of Open Access Journals (Sweden)

    Mauricio Uriona Maldonado

    2009-07-01

    Full Text Available Evaluating innovation competence and practices is a significant and complex issue for many contemporary organizations and it presents itself as a challenge for forthcoming initiatives. In this article, we present the case study of a small high-technology firm. Cianet Networking is a digital communication solutions manufacturer in Brazil that went through the implementation of an innovation management assessment system. This article reports the challenges the firm faced through the diagnosing/benchmarking and action plan proposal phases as well as the challenges facing the implementation phase. This system helped the firm to understand their strengths and weaknesses as well as to establish action plans in order to achieve higher performance. Since the beginning of the implementation, the results have corroborated the firm´s positive operational outcomes.

  4. Operational Research for Developing Countries - a case of transfer of technology

    DEFF Research Database (Denmark)

    Vidal, Rene Victor Valqui; Ravn, Hans V.

    1986-01-01

    This paper is concerned with some fundamental aspects of the process of transfer of operational research from the industrialized countries to the Third World. Two complementary conceptions of operational research are identified: technical and social operational research. The main contribution of ...... of this paper is to regard the discussion of operational research for developing countries as a case of transfer of technology. Finally, some proposals for action and further research will be briefly outlined.......This paper is concerned with some fundamental aspects of the process of transfer of operational research from the industrialized countries to the Third World. Two complementary conceptions of operational research are identified: technical and social operational research. The main contribution...

  5. Effect of Insulin Infusion on Liver Protein Synthesis during Hemodialysis

    DEFF Research Database (Denmark)

    Reinhard, Mark; Frystyk, Jan; Jespersen, Bente

    2011-01-01

    Background Hemodialysis (HD) is a catabolic procedure that may contribute to the high frequency of protein-energy wasting among patients receiving maintenance HD. The present study investigated the additional effect of glucose and glucose-insulin infusion on liver protein synthesis during HD...... compared with a meal alone. Methods In a randomized cross-over study with three arms, 11 non-diabetic HD patients were assigned to receive a conventional HD session with either: • no treatment (NT) • IV infusion of glucose (G) • IV infusion of glucose-insulin (GI) During infusions blood glucose levels were...... maintained at 8.0-10.0 mmol/L by additional glucose infusion. Glucose and glucose-insulin infusions were commenced 2 h prior to HD and continued throughout the HD session. Fasting blood samples were collected at baseline before infusion and followed by the only meal allowed during the study. Results Blood...

  6. Medical student case presentation performance and perception when using mobile learning technology in the emergency department.

    Science.gov (United States)

    Tews, Matthew; Brennan, Kimberly; Begaz, Tomer; Treat, Robert

    2011-01-01

    Hand-held mobile learning technology provides opportunities for clinically relevant self-instructional modules to augment traditional bedside teaching. Using this technology as a teaching tool has not been well studied. We sought to evaluate medical students' case presentation performance and perception when viewing short, just-in-time mobile learning videos using the iPod touch prior to patient encounters. Twenty-two fourth-year medical students were randomized to receive or not to receive instruction by video, using the iPod Touch, prior to patient encounters. After seeing a patient, they presented the case to their faculty, who completed a standard data collection sheet. Students were surveyed on their perceived confidence and effectiveness after using these videos. Twenty-two students completed a total of 67 patient encounters. There was a statistically significant improvement in presentations when the videos were viewed for the first time (p=0.032). There was no difference when the presentations were summed for the entire rotation (p=0.671). The reliable (alpha=0.97) survey indicated that the videos were a useful teaching tool and gave students more confidence in their presentations. Medical student patient presentations were improved with the use of mobile instructional videos following first time use, suggesting mobile learning videos may be useful in medical student education. Clinical educators should consider whether, in an instance where live bedside or direct interactive teaching is unavailable, using just-in-time educational videos on a handheld device might be useful as a supplemental instructional strategy.

  7. Medical student case presentation performance and perception when using mobile learning technology in the emergency department

    Directory of Open Access Journals (Sweden)

    Matthew Tews

    2011-10-01

    Full Text Available Hand-held mobile learning technology provides opportunities for clinically relevant self-instructional modules to augment traditional bedside teaching. Using this technology as a teaching tool has not been well studied. We sought to evaluate medical students’ case presentation performance and perception when viewing short, just-in-time mobile learning videos using the iPod touch prior to patient encounters.Twenty-two fourth-year medical students were randomized to receive or not to receive instruction by video, using the iPod Touch, prior to patient encounters. After seeing a patient, they presented the case to their faculty, who completed a standard data collection sheet. Students were surveyed on their perceived confidence and effectiveness after using these videos.Twenty-two students completed a total of 67 patient encounters. There was a statistically significant improvement in presentations when the videos were viewed for the first time (p = 0.032. There was no difference when the presentations were summed for the entire rotation (p = 0.671. The reliable (alpha = 0.97 survey indicated that the videos were a useful teaching tool and gave students more confidence in their presentations.Medical student patient presentations were improved with the use of mobile instructional videos following first time use, suggesting mobile learning videos may be useful in medical student education. If direct bedside teaching is unavailable, just-in-time iPod touch videos can be an alternative instructional strategy to improve first-time patient presentations by medical students.

  8. Harnessing Information Technology to Inform Patients Facing Routine Decisions: Cancer Screening as a Test Case.

    Science.gov (United States)

    Krist, Alex H; Woolf, Steven H; Hochheimer, Camille; Sabo, Roy T; Kashiri, Paulette; Jones, Resa M; Lafata, Jennifer Elston; Etz, Rebecca S; Tu, Shin-Ping

    2017-05-01

    Technology could transform routine decision making by anticipating patients' information needs, assessing where patients are with decisions and preferences, personalizing educational experiences, facilitating patient-clinician information exchange, and supporting follow-up. This study evaluated whether patients and clinicians will use such a decision module and its impact on care, using 3 cancer screening decisions as test cases. Twelve practices with 55,453 patients using a patient portal participated in this prospective observational cohort study. Participation was open to patients who might face a cancer screening decision: women aged 40 to 49 who had not had a mammogram in 2 years, men aged 55 to 69 who had not had a prostate-specific antigen test in 2 years, and adults aged 50 to 74 overdue for colorectal cancer screening. Data sources included module responses, electronic health record data, and a postencounter survey. In 1 year, one-fifth of the portal users (11,458 patients) faced a potential cancer screening decision. Among these patients, 20.6% started and 7.9% completed the decision module. Fully 47.2% of module completers shared responses with their clinician. After their next office visit, 57.8% of those surveyed thought their clinician had seen their responses, and many reported the module made their appointment more productive (40.7%), helped engage them in the decision (47.7%), broadened their knowledge (48.1%), and improved communication (37.5%). Many patients face decisions that can be anticipated and proactively facilitated through technology. Although use of technology has the potential to make visits more efficient and effective, cultural, workflow, and technical changes are needed before it could be widely disseminated. © 2017 Annals of Family Medicine, Inc.

  9. The protracted demise of medical technology. The case of intermittent positive pressure breathing.

    Science.gov (United States)

    Duffy, S Q; Farley, D E

    1992-08-01

    In this study, the effects of hospital, staff, and patient characteristics on the rates of use and abandonment of an outmoded medical technology, intermittent positive pressure breathing (IPPB) are analyzed. The study focuses specifically on the use of IPPB to treat inpatients with chronic obstructive pulmonary disease in a national sample of more than 500 community hospitals from 1980 to 1987. Cross-sectionally, hospitals with shorter case-mix-adjusted lengths of stay, private nonprofit or investor-owned hospitals, and hospitals located outside of the north central United States were more likely to abandon IPPB by 1980. Teaching status, location, ownership, volume, and source of payment all appeared to affect rates of IPPB use in 1980. The longitudinal analysis examines both the probability a hospital abandoned IPPB and declines in rates of IPPB use over the study period, conditioned on the availability of IPPB in 1980. The results show that changes in the characteristics of hospitals, patients, and physicians all help to explain variations in the abandonment of IPPB. These findings contrast with previous studies of technological change, which find hospital size to be the most important variable. Size is important in explaining the rate of use in 1980, but it has no effect on the rate of decline in use or abandonment after 1980. In general, the analysis demonstrates that a combination of factors, economic incentives as well as information, contribute to the abandonment of outmoded medical technologies. Given the surprisingly long time periods required for this process to occur, the analysis underscores the need to strengthen financial incentives that encourage appropriate medical decisions and to disseminate information about the efficacy of specific procedures more widely and effectively.

  10. Globalisation of birth markets: a case study of assisted reproductive technologies in India

    Directory of Open Access Journals (Sweden)

    Sarojini Nadimpally

    2011-08-01

    Full Text Available Abstract The escalation of Assisted Reproductive Technologies (ARTs in India into a veritable fertility industry is the result of a multitude of reasons. This paper places the bio-genetic industry within the larger political economy framework of globalisation and privatisation, thus employing a framework that is often omitted from discussions on ARTs, but has direct and significant bearings on the ART industry in India. As markets for human organs, tissues and reproductive body parts experience unprecedented growth, the limits of what can or should be bought and sold continue to be pushed. As such, bodies have emerged as sale-worthy economic capital. Commercial flows of reproductive material create and deploy the division of the body into parts over which ownership is claimed, in the process following 'modern routes of capital' and raising issues of structural inequality. This paper presents a brief picture of India's fertility industry with specific focus on its ground-level operation, nature and growth. It aims to explore the industry dimensions of ARTs, by highlighting the macro picture of health care markets and medical tourism in India, the proliferation of the ART industry, market features such as the social imperative to mother, costs, promotion and marketing, unverified claims, inflated success rates, deals and offers, actors and collaborations in the field, and finally, the absence of standards. This paper presents findings from the research 'Constructing Conceptions: The Mapping of Assisted Reproductive Technologies in India', by Sama, a Delhi-based resource group working on gender, health and rights. This research was conducted from 2008 to 2010 in the three states of Uttar Pradesh, Orissa and Tamil Nadu in India, and is one of the first of its kind, highlighting unethical medical practices and making a case for the regulation of the ART industry. As such, it forms a significant part of Sama's ongoing work on women and technologies

  11. Integrating Information and Communication Technology (ICT into University Teaching and Learning: A Case Study

    Directory of Open Access Journals (Sweden)

    Chan Yuen Fook

    2009-06-01

    Full Text Available Over the past decade the push for academics to develop competencies in the use of information and communication technologies (ICT in teaching and learning has increased. Within the Malaysian context unfortunately, until now there has not been a holistic and conclusive study on the integration of ICT in higher education. This exploratory study examined the integration of ICT among academics for the enhancement of university teaching and learning. A descriptivecorrelational research methodology that employed a survey questionnaire was used in this case study. The data was analyzed using means, standard deviation, t-test, ANOVA, and correlation. The findings indicated that the ICT facilities in the higher instituion left much to be desired and the usage of ICT in teaching among the academics was not at a satisfactory level. Even though a majority of the acdemics are aware of the many benefits of ICT there still exists academics who hold firm to the importance of face-to-face interaction and the didactic role of the instructors. The findings also revealed that the integration of ICT into the classroom focuses mainly on teaching and learning rather than the technical knowhow about computers themselves and how this technology helps support users to participate in the integration of ICT into teaching and learning. However, most of the respondents have shown a keen willingness to adopt ICT in their future teaching and learning processes once proper training and relevant technical support are provided. The findings, in general, can help lecturers, IT staff and university management to manage the integration of ICT in university teaching and learning in a more organized manner. The findings also would enable the faculty to be more responsive to the needs of staff and students to effectively address the critical problems related to the integration of technology into university teaching and learning in ways that are both contextualized and authentic.

  12. Globalisation of birth markets: a case study of assisted reproductive technologies in India.

    Science.gov (United States)

    Sarojini, Nadimpally; Marwah, Vrinda; Shenoi, Anjali

    2011-08-12

    The escalation of Assisted Reproductive Technologies (ARTs) in India into a veritable fertility industry is the result of a multitude of reasons. This paper places the bio-genetic industry within the larger political economy framework of globalisation and privatisation, thus employing a framework that is often omitted from discussions on ARTs, but has direct and significant bearings on the ART industry in India. As markets for human organs, tissues and reproductive body parts experience unprecedented growth, the limits of what can or should be bought and sold continue to be pushed. As such, bodies have emerged as sale-worthy economic capital. Commercial flows of reproductive material create and deploy the division of the body into parts over which ownership is claimed, in the process following 'modern routes of capital' and raising issues of structural inequality.This paper presents a brief picture of India's fertility industry with specific focus on its ground-level operation, nature and growth. It aims to explore the industry dimensions of ARTs, by highlighting the macro picture of health care markets and medical tourism in India, the proliferation of the ART industry, market features such as the social imperative to mother, costs, promotion and marketing, unverified claims, inflated success rates, deals and offers, actors and collaborations in the field, and finally, the absence of standards. This paper presents findings from the research 'Constructing Conceptions: The Mapping of Assisted Reproductive Technologies in India', by Sama, a Delhi-based resource group working on gender, health and rights. This research was conducted from 2008 to 2010 in the three states of Uttar Pradesh, Orissa and Tamil Nadu in India, and is one of the first of its kind, highlighting unethical medical practices and making a case for the regulation of the ART industry. As such, it forms a significant part of Sama's ongoing work on women and technologies, particularly policy

  13. Globalisation of birth markets: a case study of assisted reproductive technologies in India

    Science.gov (United States)

    2011-01-01

    The escalation of Assisted Reproductive Technologies (ARTs) in India into a veritable fertility industry is the result of a multitude of reasons. This paper places the bio-genetic industry within the larger political economy framework of globalisation and privatisation, thus employing a framework that is often omitted from discussions on ARTs, but has direct and significant bearings on the ART industry in India. As markets for human organs, tissues and reproductive body parts experience unprecedented growth, the limits of what can or should be bought and sold continue to be pushed. As such, bodies have emerged as sale-worthy economic capital. Commercial flows of reproductive material create and deploy the division of the body into parts over which ownership is claimed, in the process following 'modern routes of capital' and raising issues of structural inequality. This paper presents a brief picture of India's fertility industry with specific focus on its ground-level operation, nature and growth. It aims to explore the industry dimensions of ARTs, by highlighting the macro picture of health care markets and medical tourism in India, the proliferation of the ART industry, market features such as the social imperative to mother, costs, promotion and marketing, unverified claims, inflated success rates, deals and offers, actors and collaborations in the field, and finally, the absence of standards. This paper presents findings from the research 'Constructing Conceptions: The Mapping of Assisted Reproductive Technologies in India', by Sama, a Delhi-based resource group working on gender, health and rights. This research was conducted from 2008 to 2010 in the three states of Uttar Pradesh, Orissa and Tamil Nadu in India, and is one of the first of its kind, highlighting unethical medical practices and making a case for the regulation of the ART industry. As such, it forms a significant part of Sama's ongoing work on women and technologies, particularly policy

  14. Decision making in Brazil and emerging technologies: the case of 18F-FDG

    International Nuclear Information System (INIS)

    Sousa, Willy Hoppe de

    2013-01-01

    The article recalls the history of the development of Fluor FDG in Brazil. Important facts that impacted this development and how this technology evolved considering a time span of more then ten years, starting from 1996 is presented in this paper. Five decisions, taken between 2004 and 2005, were selected and analyzed from the perspective of knowledge that a key decision maker has developed around the main elements of a decision - problem, objectives, alternatives, consequences, risks approach and linked decisions. Contextual aspects that influenced these decisions, such as the evolution of the technology efficiency, installation of new equipment in hospitals and the consequences associated with these decisions, such as daily production capacity, distance service and numbers of attended clients are part of this study. In conclusion, this case shows that experienced decision makers can make quality decisions when they are equipped with the appropriate information, align the relevant decisions taken over time, know how to use the right tactics at the right time and with all participants in decision making. Experienced decision makers identify opportunities where there seems to be problems, review the current strategies and visualize new strategies, prepare themselves adequately to deal with the uncertainties. (author)

  15. New technologies applied to education: Case study in the agency for administrative modernisation

    Directory of Open Access Journals (Sweden)

    A.P. Sousa

    2015-05-01

    Full Text Available This study focuses on the approach of the new technologies applied to training in the organizational context . As objectives we intend to analyze the importance and effectiveness of b-learning training as a tool for workers’ development in the Citizen Shops, and realize how the new information and communication technologies can be a dominant tool in the continuous training of workers. The method used was the case study – Agency for Administrative Modernisation – in order to verify the impact, between 2008 and 2012, of the training and learning process on the organization and on the individuals. For the collection of information appealed to the semi-structured interview (head of training , trainer, trainees. The results suggest that the implementation of the b-learning training methodology had a positive impact on the learning process and on the performance of the training groups, allowing the organization to support the creation of a training department to respond effectively to its needs.

  16. Adoption of health information technologies by physicians for clinical practice: The Andalusian case.

    Science.gov (United States)

    Villalba-Mora, Elena; Casas, Isabel; Lupiañez-Villanueva, Francisco; Maghiros, Ioannis

    2015-07-01

    We investigated the level of adoption of Health Information Technologies (HIT) services, and the factors that influence this, amongst specialised and primary care physicians; in Andalusia, Spain. We analysed the physicians' responses to an online survey. First, we performed a statistical descriptive analysis of the data; thereafter, a principal component analysis; and finally an order logit model to explain the effect of the use in the adoption and to analyse which are the existing barriers. The principal component analysis revealed three main uses of Health Information Technologies: Electronic Health Records (EHR), ePrescription and patient management and telemedicine services. Results from an ordered logit model showed that the frequency of use of HIT is associated with the physicians' perceived usefulness. Lack of financing appeared as a common barrier to the adoption of the three types of services. For ePrescription and patient management, the physician's lack of skills is still a barrier. In the case of telemedicine services, lack of security and lack of interest amongst professionals are the existing barriers. EHR functionalities are fully adopted, in terms of perceived usefulness. EPrescription and patient management are almost fully adopted, while telemedicine is in an early stage of adoption. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  17. Empowering Personalized Medicine with Big Data and Semantic Web Technology: Promises, Challenges, and Use Cases.

    Science.gov (United States)

    Panahiazar, Maryam; Taslimitehrani, Vahid; Jadhav, Ashutosh; Pathak, Jyotishman

    2014-10-01

    In healthcare, big data tools and technologies have the potential to create significant value by improving outcomes while lowering costs for each individual patient. Diagnostic images, genetic test results and biometric information are increasingly generated and stored in electronic health records presenting us with challenges in data that is by nature high volume, variety and velocity, thereby necessitating novel ways to store, manage and process big data. This presents an urgent need to develop new, scalable and expandable big data infrastructure and analytical methods that can enable healthcare providers access knowledge for the individual patient, yielding better decisions and outcomes. In this paper, we briefly discuss the nature of big data and the role of semantic web and data analysis for generating "smart data" which offer actionable information that supports better decision for personalized medicine. In our view, the biggest challenge is to create a system that makes big data robust and smart for healthcare providers and patients that can lead to more effective clinical decision-making, improved health outcomes, and ultimately, managing the healthcare costs. We highlight some of the challenges in using big data and propose the need for a semantic data-driven environment to address them. We illustrate our vision with practical use cases, and discuss a path for empowering personalized medicine using big data and semantic web technology.

  18. Robotic-Assisted Percutaneous Coronary Intervention: Rationale, Implementation, Case Selection and Limitations of Current Technology

    Directory of Open Access Journals (Sweden)

    Michael Ragosta

    2018-01-01

    Full Text Available Interventional cardiologists have witnessed an explosive growth in the field. A wide array of percutaneous procedures allow us to treat numerous cardiac conditions less invasively. However, the way we work has changed very little over the past decades. We continue to stand at the tableside for prolonged periods of time, exposing ourselves to the very real risks of radiation exposure as well as to the associated orthopedic injuries from radiation protection. The precision of our procedures is limited by the distance from the fluoroscopic images and, furthermore, patients are potentially at risk from operator fatigue caused by a physician standing at the table for prolonged periods while wearing cumbersome radiation protection gear. Robotic-assisted coronary intervention removes the operator from the radiation field and has been shown to markedly reduce operator exposure as well as allow for more precise positioning of balloons and stents. This technology holds great promise for making interventional procedures safer and more comfortable for the operators as well as reducing fatigue, potentially improving patient outcomes. Currently, we are in an ‘early adopter’ phase of this technology and this paper reviews the rationale, methodology, optimal case selection, and limitations of robotic-assisted coronary intervention.

  19. Introducing time delay in the evolution of new technology: the case study of nanotechnology

    Science.gov (United States)

    Georgalis, Evangelos E.; Aifantis, Elias C.

    2013-12-01

    Starting with Feynman's "There's Plenty of Room at the Bottom" prophetic lecture at Caltech in the 1960s, the term "nanotechnology" was first coined in the scientific literature in the 1980s. This was followed by the unprecedented growth in the corresponding scientific field in 2000 due to the financial incentive provided by President Clinton in the US, followed up by similar efforts in Europe, Japan, China and Russia. Today, nanotechnology has become a driving force for economic development, with applications in all fields of engineering, information technology, transport and energy, as well as biology and medicine. Thus, it is important to forecast its future growth and evolution on the basis of two different criteria: (1) the government and private capital invested in related activities, and (2) the number of scientific publications and popular articles dedicated to this field. This article aims to extract forecasts on the evolution of nanotechnology, using the standard logistic equation that result in familiar sigmoid curves, as well as to explore the effect of time delay on its evolution. Time delay is commonly known from previous biological and ecological models, in which time lag is either already known or can be experimentally measured. In contrast, in the case of a new technology, we must first define the method for determining time delay and then interpret its existence and role. Then we describe the implications that time delay may have on the stability of the sigmoidal behavior of nanotechnology evolution and on the related oscillations that may appear.

  20. Improving sustainability by technology assessment and systems analysis: the case of IWRM Indonesia

    Science.gov (United States)

    Nayono, S.; Lehmann, A.; Kopfmüller, J.; Lehn, H.

    2016-09-01

    To support the implementation of the IWRM-Indonesia process in a water scarce and sanitation poor region of Central Java (Indonesia), sustainability assessments of several technology options of water supply and sanitation were carried out based on the conceptual framework of the integrative sustainability concept of the German Helmholtz association. In the case of water supply, the assessment was based on the life-cycle analysis and life-cycle-costing approach. In the sanitation sector, the focus was set on developing an analytical tool to improve planning procedures in the area of investigation, which can be applied in general to developing and newly emerging countries. Because sanitation systems in particular can be regarded as socio-technical systems, their permanent operability is closely related to cultural or religious preferences which influence acceptability. Therefore, the design of the tool and the assessment of sanitation technologies took into account the views of relevant stakeholders. The key results of the analyses are presented in this article.

  1. Commitment to Cybersecurity and Information Technology Governance: A Case Study and Leadership Model

    Science.gov (United States)

    Curtis, Scipiaruth Kendall

    2012-01-01

    The continual emergence of technologies has infiltrated government and industry business infrastructures, requiring reforming organizations and fragile network infrastructures. Emerging technologies necessitates countermeasures, commitment to cybersecurity and information technology governance for organization's survivability and sustainability.…

  2. Early Detection of Infusion Set Failure During Insulin Pump Therapy in Type 1 Diabetes.

    Science.gov (United States)

    Cescon, Marzia; DeSalvo, Daniel J; Ly, Trang T; Maahs, David M; Messer, Laurel H; Buckingham, Bruce A; Doyle, Francis J; Dassau, Eyal

    2016-11-01

    Insulin infusion set failure resulting in prolonged hyperglycemia or diabetic ketoacidosis can occur with pump therapy in type 1 diabetes. Set failures are frequently characterized by variable and unpredictable patterns of increasing glucose values despite increased insulin infusion. Early detection may minimize the risk of prolonged hyperglycemia, an important consideration for automated insulin delivery and closed-loop applications. A novel algorithm designed to alert the patient to the onset of infusion set failure was developed based upon continuous glucose sensor values and insulin delivered from an insulin pump. The method was calibrated on 12 weeks of infusion set wear without failures recorded by 4 patients in ambulatory conditions and prospectively validated on 18 weeks of infusion set wear with and without failures belonging to 9 other subjects in ambulatory conditions. The algorithm, evaluated retrospectively, identified a failure 2.52 ± 1.91 days ahead of the actual event as recorded by the clinical team, corresponding to 50% sensitivity, 66% specificity and 55% accuracy. If set failure alarms had been activated in real time, the average time >180 mg/dl would be reduced from 82.7 ± 40.9 hours/week/subject (without alarm) to 58.8 ± 31.1 hours/week/subject (with alarm), corresponding to a potential 29% reduction in time spent >180mg/dl. The proposed method for early detection of infusion set failure based on glucose sensor and insulin data demonstrated favorable results on retrospective data and may be implemented as an additional safeguard in a future fully automated closed-loop system. © 2016 Diabetes Technology Society.

  3. Methotrexate treatment for ectopic pregnancy after assisted reproductive technology: A case-control study.

    Science.gov (United States)

    Ohannessian, A; Crochet, P; Courbiere, B; Gnisci, A; Agostini, A

    2016-06-01

    Ectopic pregnancy (EP) occurs in 2% to 5.6% of pregnancies achieved by assisted reproductive technology (ART). EP treatment options include medical treatment by uses of methotrexate (MTX) systemic injection. The objective of this study was to compare MTX treatment effectiveness for EP occurring spontaneously or following ART. A case-control study performed in the department of obstetrics and gynecology at a tertiary health care center in France. Twenty EP achieved by ART (ART group) and 60 spontaneous EP (SEP group) received MTX treatment between January 2002 and May 2012. The main outcome measures were MTX treatment failure rates, number of MTX injections administered and recovery time. MTX treatment failure rates observed in ART and SEP groups were similar (3/20 [15%] versus 10/60 [17%]: OR=0.88 [0.22-3.58]). Mean duration of recovery time in patients with successful MTX treatment did not differ between ART and SEP groups (33±14 days versus 28±13 days, P=0.39). A second MTX injection was required more frequently in ART group than in SEP group (10/20 [50%] versus 10/60 [17%]: OR=5 [1.65-15.15]). It is concluded that MTX treatment is equally effective for spontaneous EP and EP achieved by ART, two injections of MTX being more frequently required in case of ART. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  4. Meeting End User Needs in Collaborative Medical Device Technology Development Research Projects: A Qualitative Case Study.

    Science.gov (United States)

    Strisland, Frode; Svagård, Ingrid Storruste; Austad, Hanne Opsahl; Reitan, Jarl

    2017-01-01

    The aim of this case study has been to investigate to what extent user centered design (UCD) methodologies have been applied, how the process and outcomes were perceived by project team members, and what were potential barriers towards meeting end user needs. The case studied was the European Union Framework 7 integrated project d-LIVER (2011-2015), which aimed at developing an integrated care system for chronic liver disease patient management. d-LIVER is an example of a public funded, international, multidisciplinary, collaborative research project where development starts from a low technology readiness level, but where research is motivated by societal needs for better health care solutions. Awareness of central end user needs are therefore crucial. 14 project participants were interviewed. To meet societal and end user needs represent a prominent motivation factor for participants. The project organization with only clinical partners interacting with end users was accepted as a fact of life and not as a project pain point. A summary of observations and recommendations for good practice is given.

  5. The koala (Phascolarctos cinereus): a case study in the development of reproductive technology in a marsupial.

    Science.gov (United States)

    Johnston, Stephen D; Holt, William V

    2014-01-01

    The successful development and application of an assisted breeding program in any animal relies primarily on a thorough understanding of the fundamental reproductive biology (anatomy, physiology and behaviour) of the species in question. Surely, the ultimate goal and greatest hallmark of such a program is the efficacious establishment of a series of reliable techniques that facilitate the reproductive and genetic management of fragmented populations, both in captivity and in the wild. Such an achievement is all the more challenging when the reproductive biology of that species is essentially rudimentary and without adequate reproductive models to compare to. Using the koala (Phascolarctos cinereus) as a case study, this chapter provides some personal insights into the evolution of a concept that began as a small undergraduate student project but that subsequently evolved into the first-ever successful artificial insemination of a marsupial. Apart from this historical perspective, we also provide a brief review of the current reproductive biology of the koala, discuss technical elements of current assisted breeding technology of this species, its potential application to the wombat, and the future role it might play in helping to conserve wild koala populations. There is little doubt that the unique reproductive biology and tractability of the koala has in this case been a benefit rather than a hindrance to the success of artificial breeding in this species.

  6. Capitalizing on technology for developing communication skills in autism spectrum disorder: a single case study.

    Science.gov (United States)

    Mohan, Veena; Kunnath, Suja Kurian; Philip, Vineetha Sara; Mohan, Lakshmi Santha; Thampi, Neethu

    2017-12-15

    In this case study, we discuss the application of a patient-centred clinical approach that led to the use of an assisted communication platform to combat severe communicative deficit in a child with autism spectrum disorder (ASD). Initial assessment at four years of age revealed that the patient had rudimentary communication skills, with significant sensory integration dysfunction manifested as oral, olfactory, and tactile seeking behaviours; self-stimulatory behaviour; and complete dependence on caregiver for activities of daily living. Intensive, multi-disciplinary intervention resulted in minimal improvement in communicative skills and sensory seeking over six months. Subsequently, a tailor-made picture-assisted communication training with the mother as the communication facilitator was adopted. This approach was abandoned due to the patient's poor response and mother's low acceptance of picture-based interaction. A preference for printed material was observed in the patient. Accordingly, further management was focused on employing a computer-based interactive platform that the patient was taught to use over the course of a few months as a part of augmentative and alternative communication (AAC) intervention program. This resulted in a remarkable improvement in the child's skills that now allowed for a better intentional communication of his thoughts and needs. This study highlights the importance of revisiting conventional rehabilitation strategies for communicative deficits and tailoring them according to the patient's needs and preferences. It also emphasises that besides excellent observation skills, clinicians must be willing to consider technology based approaches in patients responding poorly to traditional approaches in order to develop effective interventional programmes. Implication for Rehabilitation The current study highlights the importance of exploring the application of technology based intervention for building communication skills in the early

  7. Cleaner Technology in the Hard Disk Drive Manufacturing Industry: A Case Study

    Science.gov (United States)

    Moolla, Premchai; Chompu-inwai, Rungchat

    2010-10-01

    The objectives of this research are to improve raw material and energy consumption efficiency, as well as reduce defects and the use of chemicals in the arm coil assembly process of hard disk drive manufacturing in the case study company by applying the Cleaner Technology concepts. The four main sequential steps used in this research were: (1) pre-assessment, (2) assessment, (3) feasibility study, and (4) implementation. In the first step, raw data, such as process flows, raw material usage and defects data were collected. In the second step, the loss during production and causes of loss were analyzed. Opportunities to reduce raw material, chemical and energy wastage could then be recommended. The next step was to evaluate the feasibility and potential benefits of a particular Cleaner Technology opportunity. Finally, in the last step, after a thorough evaluation and implementation of the opportunities to apply Cleaner Technology, the results showed that arm coil defects could be reduced by improving the production process using the ECRS technique. ECRS stands for Eliminate, Combine, Rearrange and Simplify. This improvement reduced arm coil defect rates from 0.48% to 0.15%, thus saving approximately 139,638 Thai Baht per month. In addition, production stoppage decision made by workers was used to increase employee involvement in defect detection. Allowing workers to participate in such a decision was an effective way to reduce defect rate and could motivate workers to produce a better quality job. This resulted in arm coil defects reducing from 0.41% to 0.025%, with about 74,562 Thai Baht per month saving. Additionally, an increase in the efficiency of electricity consumption occurred, by increasing the speed of the infrared oven conveyor belt, improving average productivity from 533 pieces/hour to 560 pieces/hour, without adversely affecting product costs and quality, thus producing products of up to the value of 206,242 Thai Baht per month. Furthermore, the new

  8. The role of mobile technologies in health care processes: the case of cancer supportive care.

    Science.gov (United States)

    Nasi, Greta; Cucciniello, Maria; Guerrazzi, Claudia

    2015-02-12

    Health care systems are gradually moving toward new models of care based on integrated care processes shared by different care givers and on an empowered role of the patient. Mobile technologies are assuming an emerging role in this scenario. This is particularly true in care processes where the patient has a particularly enhanced role, as is the case of cancer supportive care. This paper aims to review existing studies on the actual role and use of mobile technology during the different stages of care processes, with particular reference to cancer supportive care. We carried out a review of literature with the aim of identifying studies related to the use of mHealth in cancer care and cancer supportive care. The final sample size consists of 106 records. There is scant literature concerning the use of mHealth in cancer supportive care. Looking more generally at cancer care, we found that mHealth is mainly used for self-management activities carried out by patients. The main tools used are mobile devices like mobile phones and tablets, but remote monitoring devices also play an important role. Text messaging technologies (short message service, SMS) have a minor role, with the exception of middle income countries where text messaging plays a major role. Telehealth technologies are still rarely used in cancer care processes. If we look at the different stages of health care processes, we can see that mHealth is mainly used during the treatment of patients, especially for self-management activities. It is also used for prevention and diagnosis, although to a lesser extent, whereas it appears rarely used for decision-making and follow-up activities. Since mHealth seems to be employed only for limited uses and during limited phases of the care process, it is unlikely that it can really contribute to the creation of new care models. This under-utilization may depend on many issues, including the need for it to be embedded into broader information systems. If the purpose

  9. A case study of technology-enhanced active learning in introductory cellular biology

    Science.gov (United States)

    Chacon Diaz, Lucia Bernardette

    Science teaching and learning in higher education has been evolving over the years to encourage student retention in STEM fields and reduce student attrition. As novel pedagogical practices emerge in the college science classroom, research on the effectiveness of such approaches must be undertaken. The following research applied a case study research design in order to evaluate the experiences of college students in a TEAL classroom. This case study was conducted during the 2017 Summer Cellular and Organismal Biology course at a four-year Hispanic Serving Institution located in the Southwest region of the United States. The main components evaluated were students' exam performance, self-efficacy beliefs, and behaviors and interactions in the Technology-Enhanced Active Learning (TEAL) classroom. The findings suggest that students enrolled in a TEAL classroom are equally capable of answering high and low order thinking questions. Additionally, students are equally confident in answering high and low order thinking items related to cellular biology. In the TEAL classroom, student-student interactions are encouraged and collaborative behaviors are exhibited. Gender and ethnicity do not influence self-efficacy beliefs in students in the TEAL room, and the overall class average of self-efficacy beliefs tended to be higher compared to exam performance. Based on the findings of this case study, TEAL classrooms are greatly encouraged in science higher education in order to facilitate learning and class engagement for all students. Providing students with the opportunity to expand their academic talents in the science classroom accomplishes a crucial goal in STEM higher education.

  10. A Contribution to Guide the Use of Support Tools for Technology Roadmapping: a Case Study in the Clothing Industry

    OpenAIRE

    Cindy Johanna Ibarra González; André Ogliari; Aline França de Abreu

    2013-01-01

    This article presents guidelines regarding the use of tools to support technology roadmapping based on a case study of an exploratory and descriptive nature in a small company in the clothing sector. After introducing a systematic approach to technology roadmapping with their support tools, an empirical analysis is then presented of the application of the tools of the market layer – a questionnaire for consultation with the consumers and bibliographical research – and the business layer – SWO...

  11. Life-Threatening Thrombocytopenia Following Intravenous Contrast Media Infusion.

    Science.gov (United States)

    Park, Mihwa; Kim, Minjeong; Park, Jisun; Cho, Jinhyun

    2018-01-01

    Radiocontrast media-induced acute severe thrombocytopenia is a very rare complication and potentially life-threatening. Here, we report the case of a 63-year-old male patient with severe acute thrombocytopenia following first exposure to intravenous non-ionic contrast media without immediate allergic reactions. His platelet count dropped from 107000/μL to 2000/μL after six hours of radiocontrast infusion. After administration of corticosteroid and transfusion of platelet concentrates, the platelet count returned gradually to normal within 5 days. To the best of our knowledge, non-ionic contrast media-induced isolated acute severe thrombocytopenia following no signs or symptoms of immediate allergic reaction has never been described. © Copyright: Yonsei University College of Medicine 2018.

  12. Intra-arterial infusion of prostaglandin EI in Buerger's disease

    International Nuclear Information System (INIS)

    Kim, Yang Min; Park, Jae Hyung; Kim, Sang Joon

    1990-01-01

    In Buerger's disease, arterial occlusion is so peripheral that reopening procedure such as reconstructive vascular surgery, percutaneous transluminal angioplasty and local fibrinolysis are not feasible, and major amputation is the only alternative. Prostaglandin E1, a potent vasodilator and inhibitor of platelet aggregation, has been used to treat the patients with severe arterial occlusive disease. In three cases of Buerger's disease, who are manifested by resting pain, non-healing ischemic ulcer, or impending gangrene and who were not candidates for direct arterial reconstructive procedure, we infused Prostaglandin El intraarterially at a fixed dosage to evaluate its effectiveness. We report our experience with the use of this drug in relieving the ischemic symptoms, healing the intractable ulcer, or avoiding the major amputation

  13. Technology in Teaching English Language Learners: The Case of Three Middle School Teachers

    Science.gov (United States)

    Andrei, Elena

    2017-01-01

    This study looks at how three middle school teachers of English as a second language (ESL) use technology in the classroom. Technology use in the ESL classroom has the potential of supporting the English and content learning of English language learners, but the availability of technology does not necessarily lead to technology integration that…

  14. Technology assessment in Australia : the case for a formal agency to improve advice to policy makers

    NARCIS (Netherlands)

    Russell, A. Wendy; Vanclay, Frank M.; Salisbury, Janet G.; Aslin, Heather J.

    The pace and reach of technological change has led to calls for better technology policy and governance to improve social outcomes. Technology assessment can provide information and processes to improve technology policy. Having conducted a review of international best practice, we established a set

  15. A Mathematics Teacher's Practice in a Technological Environment: A Case Study Analysis Using Two Complementary Theories

    Science.gov (United States)

    Tabach, Michal

    2011-01-01

    Integrating technology in school mathematics has become more and more common. The teacher is a key person in integrating technology into everyday practice. To understand teacher practice in a technological environment, this study proposes using two theoretical perspectives: the theory of technological pedagogical content knowledge to analyze…

  16. Technology Transfer: A Case Study of Programs and Practices at NASA, DOD, DOC, and Academia

    Science.gov (United States)

    Blood, John R.

    2009-01-01

    Technology transfer is vital to humanity. It spurs innovation, promotes commerce, and provides technology-based goods and services. Technology transfer is also highly complex and interdependent in nature. This interdependence is exemplified principally by the various technology transfer interactions between government, industry, and academia. …

  17. Technology

    Directory of Open Access Journals (Sweden)

    Xu Jing

    2016-01-01

    Full Text Available The traditional answer card reading method using OMR (Optical Mark Reader, most commonly, OMR special card special use, less versatile, high cost, aiming at the existing problems proposed a method based on pattern recognition of the answer card identification method. Using the method based on Line Segment Detector to detect the tilt of the image, the existence of tilt image rotation correction, and eventually achieve positioning and detection of answers to the answer sheet .Pattern recognition technology for automatic reading, high accuracy, detect faster

  18. Grassroots Innovations to Techno-Entrepreneurship through GIAN – Technology Business Incubator in India: A Case Study of Nature Technocrats

    Directory of Open Access Journals (Sweden)

    Hemantkumar P. Bulsara

    2013-12-01

    Full Text Available Entrepreneurship is the solution to solve a problem of unemployment in any economy. Normally, we think of Technology innovations, we think of Engineers from top Technology Institutions. But innovations may also come from Grassroots people. This paper gives the Case study of Nature Technocrats – small business firm of Arvindbhai who has been supported by GIAN (Grassroots Innovations Augmentation Network, Technology Business Incubator for Grassroots Innovations in India. In India, there are many Technology Business Incubation centers but approach of GIAN is unique as it supports Grassroots innovators. This paper has come out of a larger study with Research design: Multiple Embedded Descriptive Case Study. The process of GIAN with unique mechanism of commercializing the Grassroots innovations is described. The problems in this area are also described. This case study may inspire other agencies in India or other countries too for working in the area of Grassroots innovations to Techno-entrepreneurship.   Keywords: Grassroots innovations; Technology innovations; Techno-Entrepreneurship; GIAN; Technology Transfer.

  19. Technological choices and development: the energy conservation case in the Tunisian industry

    International Nuclear Information System (INIS)

    Sellami, H.

    1988-01-01

    The technological choices for an industrial development, especially in a developing country such as Tunisia, may be determined by two opposite principles: the appropriate technologies and the technological short cuts. The methodological approach presented here is based on a comparison of the technological choices for energy conservation in France and in Tunisia. The main energy consuming industrial sectors are analyzed for their technology use and their relative energy consumptions

  20. Health Informatics and Technology for Integrated Elderly Care in the Context of Hong Kong: A Case Study.

    Science.gov (United States)

    Chau, Cheuk Wing; Leung, Eman

    2017-01-01

    The aging population creates tremendous pressure to healthcare. To resolve, scholars recognized the solution to this challenge is integrated care. To facilitate integrated care, health information technologies (HIT) is a critical enabler. This paper will first review how technology enhanced integrated care, and review on the existing literatures in system effective use and the three key external factors that enable HIT implementation. Applying Burton-Jones and Volkoff's contextualized theories of effective use of HIT to understand the role of health informatics and technology in the unique context of Hong Kong, we have conducted a case study research to identify the levers for improving HK integration of care through HIT.

  1. Overcoming the lock-out of renewable energy technologies in Spain: The cases of wind and solar electricity

    Energy Technology Data Exchange (ETDEWEB)

    Rio, Pablo del [Department of Spanish and International Economics, Econometrics and History and Economic Institutions, Facultad de Ciencias Juridicas y Sociales de Toledo, C/Cobertizo de S. Pedro Martir s/n, Universidad de Castilla-La Mancha, Toledo-45071 (Spain); Unruh, Gregory [Alumni Association Chair for Corporate Sustainability, Center for Eco-Intelligent Management, Instituto de Empresa, Serrano, 105 Madrid-28006 (Spain)

    2007-09-15

    This paper applies an evolutionary economics framework to analyse the factors leading to lock-out of renewable energy technologies (RETs). The cases of wind and solar photovoltaics (PV) in Spain are empirically analysed. The paper shows that a wide array of interrelated factors (technoeconomic characteristics of technology components, system-level infrastructure and institutional factors) can create both barriers to the wide diffusion of RETs and can also be drivers that foster an escape from a lock-in situation. Based on this analysis, the paper suggests several policy measures which may help to overcome the lock-out of promising renewable energy technologies. (author)

  2. Measures to restore metallurgical mine wasteland using ecological restoration technologies: A case study at Longnan Rare Earth Mine

    Science.gov (United States)

    Rao, Yunzhang; Gu, Ruizhi; Guo, Ruikai; Zhang, Xueyan

    2017-01-01

    Whereas mining activities produce the raw materials that are crucial to economic growth, such activities leave extensive scarring on the land, contributing to the waste of valuable land resources and upsetting the ecological environment. The aim of this study is therefore to investigate various ecological technologies to restore metallurgical mine wastelands. These technologies include measures such as soil amelioration, vegetation restoration, different vegetation planting patterns, and engineering technologies. The Longnan Rare Earth Mine in the Jiangxi Province of China is used as the case study. The ecological restoration process provides a favourable reference for the restoration of a metallurgical mine wasteland.

  3. Technology Support for Engagement Retention:The Case of BackPack

    Directory of Open Access Journals (Sweden)

    Kai-Pan Mark

    2009-09-01

    Full Text Available Instead of training users to accept and adopt new learning systems, the challenge nowadays is to retain users on a long-term basis. Instructors and students that have grown up in the digital age see IT as part of life which makes initial acceptance and adoption fairly easy but long-term retention more difficult. Therefore, the challenge on utilization is switched from users’ pre-acceptance behaviour (whether they are likely to adopt learning systems to post-acceptance behaviour (whether they will continue to use the learning systems in the long-term. The traditional model of user behaviour suggests that successfully adopted learning systems that were at one time perceived as being useful and easy to use would likely achieve a high rate of user continuance. However, a paradox exists, as user continuance is often not as high as expected. There is also a theoretical gap between technology acceptance and system continuance for which continuance behaviour cannot be explained by traditional technology acceptance models.This study extends a post-adoption model on habit and IS continuance to investigate the effect of personalization (which includes personal content management, personal time management and privacy control on learning system continuance. Empirical results suggest that personalization has a positive influence on perceived usefulness and habit, but does not directly influence continuance intention. The results of the case study indicate consistently that there is a need to archive and re-access past course materials with personalized content, but different constraints (e.g., material format, physical space, etc. prohibit systematic archiving of all past course materials. Both quantitative and qualitative results suggest retaining personalized learning content is perceived as being useful and would enhance continuance intention indirectly.

  4. Vehicle mounted direct push systems, sampling tools and case histories: An overview of an emerging technology

    International Nuclear Information System (INIS)

    Tillman, N.; Leonard, L.

    1993-01-01

    Vehicles designed to perform subsurface sampling and testing without drilling include conventional cone penetrometers (CPTs), hybrid penetrometers,a nd truck or van mounted hydraulic/percussion probes. The reaction weight and corresponding depth of penetration for these vehicles ranges from 20+ tons and 100+ ft depths to less than 1 ton and about 20 ft depths depending on the degree of consolidation and soil type. Each vehicle allows for sampling without generation of drill cuttings and the site disruption of a typical drilling operation. Tools for direct push delivery have been developed for the collection of relatively undisturbed samples of soil, water and soil gas at discrete depths. Emerging technologies promise the continuous monitoring (vertical dynamic profiling) of the subsurface. These integrated penetration/chemical sensing systems include total and spectral gamma probes, fiber optic VOC sensors (for light and hydrocarbons C 1 to C 10 ) and spectral fluorimeters (for the heavy end hydrocarbons -- C 10 to C 20 ). Expert systems will allow for the rapid interpretation of the data. Automated data management systems provide for the continuous monitoring of chemical and physical parameters. Case studies of petroleum contaminated facilities are discussed describing how direct push technologies were used to both streamline and enhance a site investigation. By sampling and analyzing soil and water contamination and at the same time measure remedial parameters such as soil permeability, a greater degree of comprehension and information were obtained in a single site visit. Remedial option selection and remedial design were both based on the results of the direct push investigation

  5. DEVELOPMENT OF COMPOSITION OF INFUSION MEDICATION ON BASIS OF MOXIFLOXACIN

    Directory of Open Access Journals (Sweden)

    Almakaeva L.G.

    2015-05-01

    3,9 – 4,6 . Active substance enters in comparison drug in the concentration of 1,74 mg/ml or 0,174 %. Thus, solubility of it suffices for the receipt of water solution of necessary concentration without fallouts of precipitation or appearance of suspension and opalescence from insufficient solubility. Also, is not the necessity of addition of auxiliary substances - solubilizers for the increase of solubility. For achievement of necessary level of osmolarity and isotonicity in the complement of preparation was entered sodium chloride which is classic used for these aims. Concentration of sodium of chloride as well as in medication analogue Avelox IV® is determined 8 mg/ml. By us the optimum pH range was confirmed for solution of preparation «Moxifloxacin 400 mg, solution for infusion in-bottle 250 ml» within the limits of 4,1-4,6. At preparation of solution it is recommended to correct him pH addition of alkaline and acid agents, indicated in composition, is 1М solution of hydrochloric acid and 2 M sodium hydroxide Conclusions Rational composition of infusion medication on the basis of Moxifloxacin was theoretically grounded on the basis of study of literary information and physical and chemical and technological properties of substance of Moxifloxacin hydrochloride and experimentally confirmed . The optimum the limit of рН solution was defined for the receipt of stable dosage form of solution for infusion on the basis of Moxifloxacin. Results of this development are used during compile of registration dossier of preparation, analytical and technological normative documents on his production and control of quality of intermediate products and prepared products.

  6. Information Technology Framework for Pharmaceutical Supply Chain Demand Management: a Brazilian Case Study

    Directory of Open Access Journals (Sweden)

    Pedro Domingos Antoniolli

    2016-01-01

    Full Text Available The paper aims at proposing an information technology framework for demand management within a dyad on the supply chain pharmaceutical industry. The paper adopts the exploratory study as research method, involving a producer of generic drugs and its main distributor. Data was collected by semi - structured interviews. In pharmaceu tical supply chain, sharing information boosted by information technology translates into greater flexibility and reliability, lower costs, obtained through more reliable forecasting, and lower inventory requirements. There are few initiatives involving In formation Technology (IT applied to demand management in pharmaceutical supply chains available in the literature. It was found that the IT framework proposed in this research is adherent to the demand management of the focused pharmaceutical dyad. Other assumption was that, if partners processes integration exist, better supply chain performance is achieved. It was found that, by means of proposed tools and solutions, such as RFID and involved partners applications integration, this goal could be achieved . Because of the chosen research approach, results may be restricted to these specific dyadic processes. Further application of the proposed IT framework have to be tested. The paper identifies demand management strategic and operational processes that can reach a better performance by using the proposed IT framework. Based on the literature, were identified which IT requirements should be met to demand management processes optimization. Additionally, were applied questionnaires and interviews to the focuse d dyad personnel, to corroborate the data identified in the literature. Answers found in the case study link literature elements with those stated by respondents. Finally, based on this, was conceived an IT framework composed of three elements: 1. One spec ific for infrastructure, to enable data and systems interoperability among SC participants, considering a

  7. Allergy reactions to insulin: effects of continuous subcutaneous insulin infusion and insulin analogues.

    OpenAIRE

    Radermecker, Régis; Scheen, André

    2007-01-01

    The purification of animal insulin preparations and the use of human recombinant insulin have markedly reduced the incidence but not completely suppressed the occurrence of insulin allergy manifestations. Advances in technologies concerning the mode of delivery of insulin, i.e. continuous subcutaneous insulin infusion (CSII), and the use of insulin analogues, resulting from the alteration in the amino acid sequence of the native insulin molecule, may influence the immunogenicity and antigenic...

  8. Continuous Glucose Monitoring Enables the Detection of Losses in Infusion Set Actuation (LISAs

    Directory of Open Access Journals (Sweden)

    Daniel P. Howsmon

    2017-01-01

    Full Text Available Reliable continuous glucose monitoring (CGM enables a variety of advanced technology for the treatment of type 1 diabetes. In addition to artificial pancreas algorithms that use CGM to automate continuous subcutaneous insulin infusion (CSII, CGM can also inform fault detection algorithms that alert patients to problems in CGM or CSII. Losses in infusion set actuation (LISAs can adversely affect clinical outcomes, resulting in hyperglycemia due to impaired insulin delivery. Prolonged hyperglycemia may lead to diabetic ketoacidosis—a serious metabolic complication in type 1 diabetes. Therefore, an algorithm for the detection of LISAs based on CGM and CSII signals was developed to improve patient safety. The LISA detection algorithm is trained retrospectively on data from 62 infusion set insertions from 20 patients. The algorithm collects glucose and insulin data, and computes relevant fault metrics over two different sliding windows; an alarm sounds when these fault metrics are exceeded. With the chosen algorithm parameters, the LISA detection strategy achieved a sensitivity of 71.8% and issued 0.28 false positives per day on the training data. Validation on two independent data sets confirmed that similar performance is seen on data that was not used for training. The developed algorithm is able to effectively alert patients to possible infusion set failures in open-loop scenarios, with limited evidence of its extension to closed-loop scenarios.

  9. Developing a System for Integraded Automatic Control of Mutiple Infusion Pumps : The Multiplex infusion system

    NARCIS (Netherlands)

    Doesburg, Frank

    2013-01-01

    Most errors in ICUs are related to intravenous (IV) therapy. Previous studies suggested that hard to operate infusion pumps and the high cognitive workload for ICU nurses contribute to these errors. Conventional IV therapy requires separate lumens for incompatible IV drugs. This often requires the

  10. Tolerance to continuous intrathecal baclofen infusion can be reversed by pulsatile bolus infusion

    NARCIS (Netherlands)

    Heetla, H. W.; Staal, M. J.; van Laar, T.

    Study design: Pilot study. Objective: To study the effect of pulsatile bolus infusion of intrathecal baclofen (ITB) on daily ITB dose, in patients showing dose increases, probably due to tolerance. Setting: Department of neurology and neurosurgery, University Medical Center Groningen, the

  11. Validation of Align Technology's Treat III digital model superimposition tool and its case application.

    Science.gov (United States)

    Miller, R J; Kuo, E; Choi, W

    2003-01-01

    An assessment of the efficacy and accuracy of three-dimensional computer-based predictive orthodontic systems requires that new methods of treatment analysis be developed and validated. Invisalign is a digitally fabricated, removable orthodontic appliance that has been commercially available since 1999. It is made up of two main components: 1) computerized graphical images of a patient's teeth moving through a series of stages from initial to final position; 2) pressure formed clear plastic appliances made from stereolithography models of the images in the first component. The manufacturer of Invisalign (Align Technology, Inc.) has created a software tool that can be used to superimpose digital models to evaluate treatment outcomes in three dimensions. Using this software, research was conducted to determine if a single operator could repeatedly superimpose two identical digital models using 12 selected points from the palatal rugae over 10 trials. The tool was then applied to one subject's orthodontic treatment. EXPERIMENT VARIABLES: The output from this tool includes rotations, translations and morphological changes. For this study, translations and rotations were chosen. The results showed that the digital superimposition was reproducible, and that after multiple trials, the superimposition error decreased. The average error in x, y, z, Rx, Ry and Rz after 10 trials was determined to approach approximately 0.2 mm in translation and less than 1 degree in rotation, with a standard deviation of 0.15 mm and 0.7 mm, respectively. The treatment outcome from a single Invisalign-treated bicuspid extraction case was also evaluated tooth-by-tooth in x, y, z, Rx, Ry and Rz dimensions. Using the palate, as a stable reference seemed to work well and the evaluation of the single case showed that many, but not all, of the planned movements occurred.

  12. Drag reduction using slippery liquid infused surfaces

    Science.gov (United States)

    Hultmark, Marcus; Stone, Howard; Smits, Alexander; Jacobi, Ian; Samaha, Mohamed; Wexler, Jason; Shang, Jessica; Rosenberg, Brian; Hellström, Leo; Fan, Yuyang

    2013-11-01

    A new method for passive drag reduction is introduced. A surface treatment inspired by the Nepenthes pitcher plant, previously developed by Wong et al. (2011), is utilized and its design parameters are studied for increased drag reduction and durability. Nano- and micro-structured surfaces infused with a lubricant allow for mobility within the lubricant itself when the surface is exposed to flow. The mobility causes slip at the fluid-fluid interface, which drastically reduces the viscous friction. These new surfaces are fundamentally different from the more conventional superhydrophobic surfaces previously used in drag reduction studies, which rely on a gas-liquid interface. The main advantage of the liquid infused surfaces over the conventional surfaces is that the lubricant adheres more strongly to the surface, decreasing the risk of failure when exposed to turbulence and other high-shear flows. We have shown that these surfaces can reduce viscous drag up to 20% in both Taylor-Couette flow and in a parallel plate rheometer. Supported under ONR Grants N00014-12-1-0875 and N00014-12-1-0962 (program manager Ki-Han Kim).

  13. Drop friction on liquid-infused surfaces

    Science.gov (United States)

    Gas, Armelle; Keiser, Ludovic; Clanet, Christophe; Quere, David

    2017-11-01

    Trapping a thin liquid film in the roughness of a textured material creates a surface that is partially solid and partially liquid, referred to as a lubricant-impregnated surface. Those surfaces have recently raised a great interest for their promising industrial applications. Indeed, they proved to drastically reduce adhesion of a broad range of liquids, leading to enhanced mobility, and strong anti-biofouling, anti-icing and anti-fogging properties. In our talk we discuss the nature of the friction generated as a drop glides on a textured material infused by another liquid. Different regimes are observed, depending on the viscosities of both liquids. While a viscous drop is simply opposed by a Stokes-type friction, the force opposing a drop moving on a viscous substrate becomes non-linear in velocity. A liquid on an infused material is surrounded by a meniscus, and this specific feature is proposed to be responsible for the special observed frictions, on both adhesive and nonadhesive substrates.

  14. Climate friendly technology transfer in the energy sector: A case study of Iran

    International Nuclear Information System (INIS)

    Talaei, Alireza; Ahadi, Mohammad Sadegh; Maghsoudy, Soroush

    2014-01-01

    The energy sector is the biggest contributor of anthropogenic emissions of greenhouse gases into the atmosphere in Iran. However, abundant potential for implementing low-carbon technologies offers considerable emissions mitigation potential in this sector, and technology transfer is expected to play an important role in the widespread roll-out of these technologies. In the current work, globally existing low-carbon energy technologies that are compatible with the energy sector of Iran are identified and then prioritised against different criteria (i.e. Multi Criteria Decision Analysis). Results of technology prioritisation and a comprehensive literature review were then applied to conduct a SWOT analysis and develop a policy package aiming at facilitating the transfer of low carbon technologies to the country. Results of technology prioritisation suggest that the transport, oil and gas and electricity sectors are the highest priority sectors from technological needs perspective. In the policy package, while fuel price reform and environmental regulations are categorised as high priority policies, information campaigns and development of human resources are considered to have moderate effects on the process of technology transfer. - Highlights: • We examined the process of technology transfer in the energy sector of Iran. • Multi Criteria Decision Analysis techniques are used to prioritise the technological needs of the country. • Transportation, electricity and oil and gas sectors are found as recipients of new technologies. • A policy package was designed for facilitating technology transfer in the energy sector

  15. When health technology assessment is confidential and experts have no power: the case of Hungary.

    Science.gov (United States)

    Csanádi, Marcell; Löblová, Olga; Ozierański, Piotr; Harsányi, András; Kaló, Zoltán; McKee, Martin; King, Lawrence

    2018-03-26

    Health technology assessment (HTA) is not simply a mechanistic technical exercise as it takes place within a specific institutional context. Yet, we know little about how this context influences the operation of HTA and its ability to influence policy and practice. We seek to demonstrate the importance of considering institutional context, using a case study of Hungary, a country that has pioneered HTA in Central and Eastern Europe. We conducted 26 in-depth, semi-structured interviews with public- and private-sector stakeholders. We found that while the HTA Department, the Hungarian HTA organisation, fulfilled its formal role envisaged in the legislation, its potential for supporting evidence-based decision-making was not fully realised given the low levels of transparency and stakeholder engagement. Further, the Department's practical influence throughout the reimbursement process was perceived as being constrained by the payer and policy-makers, as well as its own limited organisational capacity. There was also scepticism as to whether the current operational form of the HTA process delivered 'good value for money'. Nevertheless, it still had a positive impact on the development of a broader institutional HTA infrastructure in Hungary. Our findings highlight the importance of considering institutional context in analysing the HTA function within health systems.

  16. Developing Use Cases for Evaluation of ADMS Applications to Accelerate Technology Adoption: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Veda, Santosh; Wu, Hongyu; Martin, Maurice; Baggu, Murali

    2017-05-12

    Grid modernization for the distribution systems comprise of the ability to effectively monitor and manage unplanned events while ensuring reliable operations. Integration of Distributed Energy Resources (DERs) and proliferation of autonomous smart controllers like microgrids and smart inverters in the distribution networks challenge the status quo of distribution system operations. Advanced Distribution Management System (ADMS) technologies are being increasingly deployed to manage the complexities of operating distribution systems. The ability to evaluate the ADMS applications in specific utility environments and for future scenarios will accelerate wider adoption of the ADMS and will lower the risks and costs of their implementation. This paper addresses the first step - identify and define the use cases for evaluating these applications. The applications that are selected for this discussion include Volt-VAr Optimization (VVO), Fault Location Isolation and Service Restoration (FLISR), Online Power Flow (OLPF)/Distribution System State Estimation (DSSE) and Market Participation. A technical description and general operational requirements for each of these applications is presented. The test scenarios that are most relevant to the utility challenges are also addressed.

  17. Collaborative technologies, higher order thinking and self-sufficient learning: A case study of adult learners

    Directory of Open Access Journals (Sweden)

    Clare S. Johnson

    2017-07-01

    Full Text Available The inclusion of online elements in learning environments is becoming commonplace in Post Compulsory Education. A variety of research into the value of such elements is available, and this study aims to add further evidence by looking specifically at the use of collaborative technologies such as online discussion forums and wikis to encourage higher order thinking and self-sufficient learning. In particular, the research examines existing pedagogical models including Salmon’s five-stage model, along with other relevant literature. A case study of adult learners in community-based learning centres forms the basis of the research, and as a result of the findings, an arrow model is suggested as a framework for online collaboration that emphasises the learner, mentions pre-course preparation and then includes three main phases of activity: post, interact and critique. This builds on Salmon’s five-stage model and has the benefit of being flexible and responsive, as well as allowing for further development beyond the model, particularly in a blended learning environment.

  18. Electron Beam Melting Manufacturing Technology for Individually Manufactured Jaw Prosthesis: A Case Report.

    Science.gov (United States)

    Suska, Felicia; Kjeller, Göran; Tarnow, Peter; Hryha, Eduard; Nyborg, Lars; Snis, Anders; Palmquist, Anders

    2016-08-01

    In the field of maxillofacial reconstruction, additive manufacturing technologies, specifically electron beam melting (EBM), offer clinicians the potential for patient-customized design of jaw prostheses, which match both load-bearing and esthetic demands. The technique allows an innovative, functional design, combining integrated porous regions for bone ingrowth and secondary biological fixation with solid load-bearing regions ensuring the biomechanical performance. A patient-specific mandibular prosthesis manufactured using EBM was successfully used to reconstruct a patient's mandibular defect after en bloc resection. Over a 9-month follow-up period, the patient had no complications. A short operating time, good esthetic outcome, and high level of patient satisfaction as measured by quality-of-life questionnaires-the European Organisation for Research and Treatment of Cancer QLQ-C30 (30-item quality-of-life core questionnaire) and H&N35 (head and neck cancer module)-were reported for this case. Individually planned and designed EBM-produced prostheses may be suggested as a possible future alternative to fibular grafts or other reconstructive methods. However, the role of porosity, the role of geometry, and the optimal combination of solid and porous parts, as well as surface properties in relation to soft tissues, should be carefully evaluated in long-term clinical trials. Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  19. A combination therapy of selective intraarterial anti-cancer drug infusion and radiation therapy for muscle-invasive bladder cancer

    International Nuclear Information System (INIS)

    Okuno, Yumiko; Zaitsu, Masayoshi; Mikami, Koji; Takeuchi, Takumi; Matsuda, Izuru; Arahira, Satoko

    2017-01-01

    The gold standard for the treatment of muscle-invasive bladder cancer Without metastasis is radical cystectomy. However, there increase patients very elderly and with serious complications. They are not good candidates for invasive surgical operation. Intraarterial infusion of 70 mg/m 2 of cisplatin and 30 mg/m 2 of pirarubicin into bilateral bladder arteries was conducted for 5 patients diagnosed with muscle invasive bladder cancers without distant metastasis. Right and left distribution of anti-cancer drugs was determined based on the location of bladder tumor(s). External beam radiation therapy was commenced immediately following intraarterial infusion. The patients were followed up with clinical and radiographic investigations and bladderbiopsy was performed as needed. Patients were all males who are smoking or with smoking history ranging from 73 to 85 years of age (median 82). The duration between transurethral resection of bladder tumors (TUR-Bt) and intraarterial infusion of anti-cancer drugs was 47.4 days (range 26-68), the median follow-up period after intraarterial infusion was 21.5 months (range 87-547) without death. Total radiation dose was 59.2 ±3.0 Gy. Complete remission was accomplished in all cases. One patient showed intravesical recurrence of non muscle-invasive tumors 45.8 months following intraarterial infusion and underwent TUR-Bt. Two cases underwent bladder biopsies showing no tumors. All patients but one case with bladder recurrence were free of tumor recurrence with radiographic investigation. For adverse events, acute renal failure was in one case and leukocytopenia was in all 5 cases, Grade 2 for one and Grade 3 for 4 cases. Follow-up periods are not long enough, but early results of a combination therapy of selective intraarterial anti-cancer drug infusion and radiation therapy for muscle-invasive bladder cancer were good. (author)

  20. Clinical applications of continuous infusion chemotherapy ahd concomitant radiation therapy

    International Nuclear Information System (INIS)

    Rosenthal, C.J.; Rotman, M.

    1986-01-01

    This book presents information on the following topics: theoretical basis and clinical applications of 5-FU as a radiosensitizer; treatment of hepatic metastases from gastro intestingal primaries with split course radiation therapy; combined modality therapy with 5-FU, Mitomycin-C and radiation therapy for sqamous cell cancers; treatment of bladder carcinoma with concomitant infusion chemotherapy and irradiation; a treatment of invasiv bladder cancer by the XRT/5FU protocol; concomitant radiation therapy and doxorubicin by continuous infusion in advanced malignancies; cis platin by continuous infusion with concurrent radiation therapy in malignant tumors; combination of radiation with concomitant continuous adriamycin infusion in a patient with partially excised pleomorphic soft tissue sarcoma of the lower extremeity; treatment of recurrent carcinoma of the paranasal sinuses using concomitant infusion cis-platinum and radiation therapy; hepatic artery infusion for hepatic metastases in combination with hepatic resection and hepatic radiation; study of simultaneous radiation therapy, continuous infusion, 5FU and bolus mitomycin-C; cancer of the esophagus; continuous infusion VP-16, bolus cis-platinum and simultaneous radiation therapy as salvage therapy in small cell bronchogenic carcinoma; and concomitant radiation, mitomycin-C and 5-FU infusion in gastro intestinal cancer

  1. Pulsatile versus steady infusions for hepatic artery chemotherapy

    International Nuclear Information System (INIS)

    Kim, E.E.; Haynie, T.P.; Wright, K.C.; Chaynsangavej, C.; Gianturco, C.; Lamki, L.; Wallace, S.

    1984-01-01

    Hepatic artery chemotherapy for unresectable liver tumors requires an even distribution of the drugs in the tumor or vascular bed. This cannot be determined angiographically because the drugs are infused at a much lower rate than the contrast media. It is easy, however, to determine the quality of the perfusion by injecting a small volume of Tc-99m MAA in one of the side ports while chemotherapeutic agent is being infused at the same rate. Usually this shows a uniform, satisfactory distribution of isotope. Occasionally, however, some areas fail to receive Tc-99m in spite of what appears to be a good position of the catheter tip. Since ''streaming'' of the infused drugs has been blamed for their uneven distribution, the authors decided to compare the usual steady flow infusions with infusions made pulsatile by the addition of a pulsing device (Gianturco Pump) attached to the infusion tubing. Eighty-three patients were studied with steady as well as pulsatile infusions. In 16 of these patients the perfusion pattern was definitely changed by the pulsatile infusion. In one patient the pulsatile mode resulted in an unwanted gastric perfusion. In 5 patients the distribution was improved in one hepatic lobe and in 10 patients it was improved in both lobes. These results show that hepatic artery perfusions can occasionally be improved by pulsing the infusate. However, pulsing can produce the unwanted perfusion of extra-hepatic areas

  2. Swelling and infusion of tea in tea bags.

    Science.gov (United States)

    Yadav, Geeta U; Joshi, Bhushan S; Patwardhan, Ashwin W; Singh, Gurmeet

    2017-07-01

    The present study deals with swelling and infusion kinetics of tea granules in tea bags. The swelling and infusion kinetics of tea bags differing in tea loading and tea bag shapes were compared with loose tea. Increment in temperature and dipping frequency of tea bag in hot water increased the infusion kinetics of tea bags. Reduction in particle size enhanced the swelling and infusion kinetics of tea in a tea bag. The effects of tea particle size, tea bag dipping rate, loading of tea granules in tea bag and tea bag shapes on infusion kinetics were investigated. Increase in tea loading in tea bags resulted in reduced infusion kinetics. Double chambered tea bag showed the highest swelling (30%) and infusion kinetics (8.30% Gallic acid equivalence) while single chambered tea bags showed the lowest kinetics, amongst the various bags studied. The swelling and infusion kinetics of loose tea was always faster and higher than that of tea bags. It was found that overall effect of percentage filling of tea granules and height of tea bed in a tea bag affects tea infusion kinetics the most. Weibull model was found to be in good agreement with the swelling data.

  3. Cost-efficient demand-pull policies for multi-purpose technologies – The case of stationary electricity storage

    International Nuclear Information System (INIS)

    Battke, Benedikt; Schmidt, Tobias S.

    2015-01-01

    Highlights: • A definition of multi-purpose technologies (MPTs) is proposed. • Opportunities for a cost-efficient demand-pull policy strategy for MPTs are derived. • The multi-purpose character of stationary electricity storage (SES) is shown. • An exemplary profitability assessment of one SES technology supports the argument. - Abstract: Stationary electricity storage technologies (SES) allow to increase the shares of intermittent renewable energy technologies in electricity networks. As SES currently exhibit high costs, policy makers have started introducing demand-pull policies in order to foster their diffusion and drive these technologies further down the learning curve. However, as observed in the case of renewable energy technologies, demand-pull policies for technologies can come at high costs in cases where the profitability gap that needs to be covered by the policy support is large. Yet, SES can create value in multiple distinct applications in the power system – making it a “multi-purpose technology”. We argue that policy makers can make use of the multi-purpose character of SES to limit costs of demand-pull policies. We propose a policy strategy which grants support based on the profitability gap in the different applications, thereby moving down the learning curve efficiently. To support our argumentation, we firstly conduct a comprehensive literature review of SES applications exemplifying the multi-purpose character of these technologies. Second, we assess the profitability of one SES technology (vanadium redox flow battery) in five SES applications, highlighting a strong variation of the profitability gap across these applications

  4. Coconut processing technologies for rural transformation – Case study on coconut water vinegar

    OpenAIRE

    6. Seeja Thomachan, Deepu Mathew and Habeeburrahman P. V.

    2010-01-01

    The role of coconut based technologies in social development of rural India is described based on the influence of coconut vinegar technology in the rural women of Malappuram district, Kerala state, India

  5. Technology Dynamics, Network Dynamics and Partnering. The Case of Dutch Dedicated Life Sciences Firms

    NARCIS (Netherlands)

    Valk, Tessa van der

    2007-01-01

    Organisations active in the life sciences make use of developments in modern biotechnology. Modern biotechnology constitutes a broad field of enabling technologies impacting different industrial sectors. Due to the potentially pervasive character of this set of enabling technologies, their

  6. Integrated technology selection for energy conservation and PAHs control in iron and steel industry: Methodology and case study

    International Nuclear Information System (INIS)

    Li, Li; Lu, Yonglong; Shi, Yajuan; Wang, Tieyu; Luo, Wei; Gosens, Jorrit; Chen, Peng; Li, Haiqian

    2013-01-01

    Energy conservation and PAHs (polycyclic aromatic hydrocarbon) control are two challenges for the iron and steel industry, especially where the industry has developed at high speed. How to select appropriate technologies to improve energy efficiency and control pollution from PAHs simultaneously is encountered by both the researchers and the decision makers. This study sets up a framework on technology selection and combination which integrates technology assessment, multiple objective programming and scenario analysis. It can predict proper technology combination for different emission controls, energy conservation targets and desired levels of production. An iron and steel factory in Southwestern China is cited as a case. It is shown that stricter PAHs control will drive the transformation from process control technology to alternative smelting technology. In low PAHs limit, 25% energy reduction is a threshold. Before inclusion of a restraint on energy consumption at 25% reduction, PAHs emission is the key limiting factor for the technology selection; while after inclusion of this restraint, energy consumption becomes the key limiting factor. The desired level of production will also influence the technology selection. This study can help decision makers to select appropriate technologies to meet the PAHs control objectives and energy conservation strategies in energy-intensive industries. - Highlights: ► We predict technical strategy for energy and PAHs reduction in iron and steel mill. ► With low PAHs control objectives, process control technologies are preferable. ► With medium and high PAHs control goals, alternative smelting technology is dominate. ► In low PAHs control objective, 25% energy reduction is a threshold

  7. Technology alignment in the presence of regulatory changes: The case of meaningful use of information technology in healthcare.

    Science.gov (United States)

    Nair, Anand; Dreyfus, David

    2018-02-01

    Using the context of the healthcare sector, this study examines the impact of regulatory change on technology implementation and use. Hospitals are now federally mandated to showcase meaningful use of information technology (IT). We theorize that IT plan scope structured prior to a regulatory change by means of a long-term planning horizon, top management involvement, and steering committee engagement impacts organizations' ability to fulfill meaningful use requirements three to five years later. Furthermore, we contend that this impact is contingent on the specific IT adoption strategy. Data from the HIMSS and HITECH Act databases were combined to analyze 688 hospitals. Regression analyses were used to test the hypotheses. The results of this longitudinal study show that frequency of steering committee meetings and length of planning horizon broaden IT plan scope. Broader IT plan scope is positively associated with the ability of organizations to meaningfully use IT. The link between IT plan scope and meaningful use metric is particularly significant for organizations that adopt a more integrated approach towards IT adoption. Average reimbursement amount differences are provided and discussed between the different IT adoption strategies. Published by Elsevier B.V.

  8. Design A Situated Learning Environment Using Mixed Reality Technology - A Case Study

    OpenAIRE

    Rasimah Che Mohd Yusoff; Halimah Badioze Zaman; Azlina Ahmad

    2010-01-01

    Mixed Reality (MR) is one of the newest technologies explored in education. It promises the potential to promote teaching and learning and making learners- experience more "engaging". However, there still lack of research on designing a virtual learning environment using MR technology. In this paper, we describe the Mixed Reality technology, the characteristics of situated learning as instructional design for virtual environment using mixed reality technology. We also exp...

  9. Wind energy technology development and diffusion: a case study of Inner Mongolia, China

    International Nuclear Information System (INIS)

    Zhang Xiliang; Liu Wenqiang; Gu Shuhua; Gan Lin

    2001-01-01

    This article reviews the spread of small household wind generators and the development of wind farms in Inner Mongolia, China with emphasis on policy and institutional perspectives. It analyzes the patterns of wind technology dissemination within social, economic, and environmental contexts. It also discusses international investment and technology transfer relating to wind energy technology. The economics of windfarm development are examined and the role of alternative policy instruments analyzed. Major constraints to wind technology development are identified and relevant policy recommendations suggested. (author)

  10. Wind energy technology development and diffusion: a case study of Inner Mongolia, China

    International Nuclear Information System (INIS)

    Xiliang Zhang; Shuhua Gu; Wenqiang Liu; Lin Gan

    2001-01-01

    This article reviews the spread of small household wind generators and the development of wind farms in Inner Mongolia, China with emphasis on policy and institutional perspectives. It analyses the patterns of wind technology dissemination within social, economic, and environmental contexts. It also discusses international investment and technology transfer relating to wind energy technology. The economics of windfarm development are examined and the role of alternative policy instruments analysed. Major constraints to wind technology development are identified and relevant policy recommendations suggested. (Author)

  11. The role of affect in attitude formation toward new technologies: The case of stratospheric aerosol injection

    OpenAIRE

    Merk, Christine; Pönitzsch, Gert

    2016-01-01

    This paper analyzes determinants of technology acceptance and their interdependence. It highlights the role of affect in attitude formation toward new technologies and examines how it mediates the influence of stable psychological variables on technology acceptance. Based on theory and previous empirical evidence, we develop an analytical framework of attitude formation. We test this framework using survey data on the acceptance of stratospheric aerosol injection (SAI), a technology that coul...

  12. Efficacy of innovative technologies in subsidised housing in South Africa: A case study

    CSIR Research Space (South Africa)

    Van Wyk, Llewellyn V

    2010-09-01

    Full Text Available the CSIR developed and tested an alternative house design using innovative technologies to improve the performance of the house. The innovative technology process was aligned with the typical construction processes for easy reference, i.e., sub... for roads, this technology was adapted for use on House 3 (the CSIR experimental design). The technology for continuously reinforced concrete pavement (CRCP) comprises the use of a compacted base course treated with a diluted bitumen emulsion topped with a...

  13. Digital Technology, Diabetes and Culturally and Linguistically Diverse Communities: A Case Study with Elderly Women from the Vietnamese Community

    Science.gov (United States)

    O'Mara, Ben; Gill, Gurjeet K.; Babacan, Hurriyet; Donahoo, Daniel

    2012-01-01

    Objective: To report the processes and outcomes of a case study on digital technology, diabetes and culturally and linguistically diverse (CALD) communities. Design: The qualitative study was based on a literature review, consultations and testing of a framework through workshops and an interactive information session. Setting: Consultations,…

  14. Information Technology and the Training and Career Development of Women: The Case of India. Training Discussion Paper No. 30.

    Science.gov (United States)

    Saldanha, Lynette

    Information technology (IT) is a growing field in India, with many present and future job opportunities. The field offers expanding opportunities for women, especially in the services sector. Case studies of nine companies that employ a fair number of women in IT showed that, in general, women had equal opportunities with men, especially in…

  15. Student Support and Advising in a New Online Ed.D. of Instructional Systems Technology Program: A Design Case

    Science.gov (United States)

    Exter, Marisa; Korkmaz, Nilufer; Boling, Elizabeth

    2014-01-01

    This design case describes an online Ed.D. in Instructional Systems Technology (IST) launched in 2012. We will focus on a key aspect of the design: program advising and students' relationship with their advisors. While the design was responsive in its earliest stages to organizational constraints, legislative requirements and the known…

  16. Innovation in emerging energy technologies: A case study analysis to inform the path forward for algal biofuels

    International Nuclear Information System (INIS)

    Haase, Rachel; Bielicki, Jeffrey; Kuzma, Jennifer

    2013-01-01

    Algal biofuel is an emerging energy source that has the potential to improve upon the environmental benefits realized by conventional biofuels and contribute to the biofuels mandate set by the Renewable Fuel Standard (RFS). While there has been much research into producing fuel from algae, a commercial-scale facility has not yet been built. We examine two case studies of energy technology innovation in the United States, first generation biodiesel and solar photovoltaics (PV), using the technological innovation system (TIS) framework to provide lessons and inform the path forward for commercializing algal biofuel. We identify five event types that have been the most influential to these innovation processes: changing expectations, technology development, demonstration projects, policy targets, and government subsidies. Some algal biofuel demonstration projects have occurred, but despite falling under the mandates set forth in the RFS (a policy target), algal biofuels do not currently receive production subsidies. The main finding from the case study analysis is that government interventions have significantly influenced the innovation processes of first generation biodiesel and solar PV and will likely be key factors in the commercialization of algal biofuel. - Highlights: • Two energy technology case studies were analyzed with a TIS framework. • Major drivers in the innovation process were identified in each case. • Government interventions were key factors for both. • The one identified key driver algal biofuel is lacking is federal subsidies. • All components of the TIS framework deserve attention in promoting innovation

  17. Case Study of Employment Trends across 25 Years of Graduates of a Japanese Science and Technology University

    Science.gov (United States)

    Nakayama, Minoru

    2014-01-01

    Graduates in the areas of Science and Technology are believed to have traditionally been employed in a number of specific industries, but the recent restructuring of some industries may have affected this phenomenon. In order to examine the trends concerning employment issues in more detail, a case study was conducted by surveying employment…

  18. Not Just for Men: A Case Study of the Teaching and Learning of Information Technology in Higher Education.

    Science.gov (United States)

    Clegg, Sue; Trayhurn, Deborah; Johnson, Andrea

    2000-01-01

    Reports findings from a case study of men and women taking information technology courses in one university in the United Kingdom. Observations of the coaching styles of male and female tutors in computer laboratories indicated that there were significant gender differences in coaching styles and student responses to coaching styles. Peer…

  19. Research councils facing new science and technology : the case of nanotechnology in Finland, the Netherlands, Norway and Switzerland

    NARCIS (Netherlands)

    van der Most, F.V.

    2009-01-01

    This thesis investigates how research funding organizations (RFOs) respond to a new emerging field of science and technology. It takes nanoscience and nanotechnology (nanotechnology for short) as its case and compares the responses of RFOs in Finland, the Netherlands, Norway and Finland.

  20. Teacher roles in designing technology-rich learning activities for early literacy: a cross-case analysis

    NARCIS (Netherlands)

    Cviko, A.; McKenney, S.; Voogt, J.

    2014-01-01

    The present study aims to provide insight into the value of different teacher roles in designing and implementing technology-rich learning activities for early literacy. Three cases, each with a different teacher role (executor-only, re-designer, co-designer) were examined. In the executor-only

  1. Teacher roles in designing technology-rich learning activities for early literacy: A cross-case analysis

    NARCIS (Netherlands)

    Cviko, Amina; McKenney, Susan; Voogt, Joke

    2014-01-01

    The present study aims to provide insight into the value of different teacher roles in designing and implementing technology-rich learning activities for early literacy. Three cases, each with a different teacher role (executor-only, re-designer, co-designer) were examined. In the executor-only

  2. Using Information Communication Technologies to Develop Dynamic Curriculum Frameworks for Diverse Cohorts: A Case Study from Event Management

    Science.gov (United States)

    Hadley, Bree Jamila

    2012-01-01

    This article investigates the role of information communication technologies (ICTs) in establishing a well-aligned, authentic learning environment for a diverse cohort of non-cognate and cognate students studying event management in a higher education context. Based on a case study which examined the way ICTs assisted in accommodating diverse…

  3. The Employment Effects of High-Technology: A Case Study of Machine Vision. Research Report No. 86-19.

    Science.gov (United States)

    Chen, Kan; Stafford, Frank P.

    A case study of machine vision was conducted to identify and analyze the employment effects of high technology in general. (Machine vision is the automatic acquisition and analysis of an image to obtain desired information for use in controlling an industrial activity, such as the visual sensor system that gives eyes to a robot.) Machine vision as…

  4. Determination of 24-hour insulin infusion pattern by an artificial endocrine pancreas for intravenous insulin infusion with a miniature pump

    DEFF Research Database (Denmark)

    Kølendorf, K; Christiansen, J S; Bojsen, J

    1981-01-01

    UNLABELLED: Intravenous insulin infusion with a glucose controlled insulin infusion system (GCIIS) is known to restore glucose homeostasis. A simpler approach to improve blood glucose regulation is preprogrammed intravenous insulin infusion with portable pumps without sensor-mediated feedback. We...... report a study designed to evaluate whether the preprogrammed insulin infusion pattern to be used in the miniature insulin infusion pump (MIIP) could be optimized by concomitant employment of the GCIIS for blood glucose control. Six juvenile-onset insulin-dependent diabetics (mean age 31 yrs) were...... studied. Mean blood glucose (MBG) was 6.2 mmol/l +/- 0.5 (SD) during glucose controlled infusion and 5.3 +/- 0.6 during the combined MIIP + GCIIS-day. The insulin requirements calculated from the s.c. regimen (56 U +/- 10 SD) were identical to the GCIIS-measured (51 U +/- 14) and to the amounts delivered...

  5. Assessment of implantable infusion pumps for continuous infusion of human insulin in rats: potential for group housing

    DEFF Research Database (Denmark)

    Jensen, Vivi Flou Hjorth; Molck, Anne-Marie; Martensson, Martin

    2017-01-01

    compound in these studies, and a comparator model of persistent exposure by HI infusion from external pumps has recently been developed to support toxicological evaluation of long-acting insulin analogues. However, this model requires single housing of the animals. Developing an insulin-infusion model...... which allows group housing would therefore greatly improve animal welfare. The aim of the present study was to investigate the suitability of implantable infusion pumps for HI infusion in group-housed rats. Group housing of rats implanted with a battery-driven pump proved to be possible. Intravenous...... infusion of HI lowered blood glucose levels persistently for two weeks, providing a comparator model for use in two-week repeated-dose toxicity studies with new long-acting insulin analogues, which allows group housing, and thereby increasing animal welfare compared with an external infusion model....

  6. The right to dual-use technologies and the case of Iran

    International Nuclear Information System (INIS)

    Fitzpatrick, Mark

    2013-08-01

    ;Inalienable' does not mean that rights cannot be fettered in the event of abuses. Because of Iran's safeguards violations, the Security Council mandated that it suspend all enrichment- related and reprocessing activities. In the Iran case, its negotiating partners have skirted the issue of the right to enrichment. The proposal to Iran by China, France, Germany, Russia, the UK, the US and the EU of 14 June 2008, which remains on the table, stated their readiness 'to treat Iran's nuclear programme in the same manner as that of any non-nuclear Weapon State Party to the NPT once international confidence in the exclusively peaceful nature of Iran's nuclear programme is restored'. Since no other party to the NPT (save for North Korea, whose NPT withdrawal is not universally accepted) is prohibited from developing enrichment and reprocessing, the conditional right to these technologies is implicit in the proposal. At some point in the negotiations, the six powers may wish to make this recognition explicit, and to specify what is required to restore international confidence in the exclusively peaceful nature of Iran's nuclear programme. The most objective criteria would be faithful implementation of the safeguards Additional Protocol that would enable the IAEA to draw conclusions about the absence of undeclared nuclear material and activities. (author)

  7. Industrial Design: A Phoenix Reborn from the Ashes of Technology Education--A Case History

    Science.gov (United States)

    Greenwald, Martin; Feigler, Denis

    2009-01-01

    Like the "phoenix," technology education (TE) can, under the right circumstances, give life to new programs--curricula with different emphases and directions from technology education, yet sharing a common heritage: the belief that applied technology will continue to shape the world. How that shaping process takes place--and the problems that it…

  8. What Factors Predict Undergraduate Students' Use of Technology for Learning? A Case from Hong Kong

    Science.gov (United States)

    Lai, Chun; Wang, Qiu; Lei, Jing

    2012-01-01

    A sound understanding of technology use from the learners' perspective is crucial. This study intends to contribute to our understanding on student technology use by focusing on identifying the factors that influence students' adoption of technology for learning and the relationships between these factors. Students studying at a Hong Kong…

  9. Persistence Factors of Women in Information Technology--A Multiple Case Study Analysis

    Science.gov (United States)

    Hua, David M.

    2010-01-01

    Women have historically been underrepresented in the field of information technology. The literature related to the underrepresentation of women in information technology has focused on developing strategies for attracting more females into the industry. Despite these efforts, the number of women in information technology has been declining. The…

  10. How Children Think and Feel about Design and Technology: Two Case Studies.

    Science.gov (United States)

    Foster, Patrick N.; Wright, Michael D.

    2001-01-01

    Observations of and interviews with 28 second- and fourth-grade students and 2 teachers revealed that elementary technology education activities increased technological capability and knowledge, improved attitudes toward technology, and provided practice in perceptual and psychomotor skills. (Contains 32 references.) (SK)

  11. The case of the bold button: Social shaping of technology and the digital scholarly edition

    NARCIS (Netherlands)

    van Zundert, Joris J.

    2016-01-01

    The role and usage of a certain technology is not imparted wholesale on the intended user community—technology is not deterministic. Rather, a negotiation between users and the designers of the technology will result in its particular form and function. This article considers a side effect of these

  12. Impact of Collaborative Work on Technology Acceptance: A Case Study from Virtual Computing

    Science.gov (United States)

    Konak, Abdullah; Kulturel-Konak, Sadan; Nasereddin, Mahdi; Bartolacci, Michael R.

    2017-01-01

    Aim/Purpose: This paper utilizes the Technology Acceptance Model (TAM) to examine the extent to which acceptance of Remote Virtual Computer Laboratories (RVCLs) is affected by students' technological backgrounds and the role of collaborative work. Background: RVCLs are widely used in information technology and cyber security education to provide…

  13. Understanding technology adoption through individual and context characteristics: the case of HDTV

    NARCIS (Netherlands)

    Baaren, Eva; van de Wijngaert, Lidwien; Huizer, E.

    2011-01-01

    Technology adoption research has a tradition of using and improving Davis' (1989) “Technology Acceptance Model” (TAM) and extended versions of it. This article suggests a break with this tradition by showing that the TAM is limited in its understanding of technology adoption. Two alternative

  14. Agricultural Technology Extension and Adoption in China: A Case from Kaizuo Township, Guizhou Province

    NARCIS (Netherlands)

    Yuan Juanwen,; Niehof, Anke

    2011-01-01

    This article describes agricultural technology extension, access to channels of information and adoption of agricultural technology in rural Guizhou, China. It addresses the questions of whether the agricultural technology extension process matches the needs of the villagers and whether in using

  15. Teaching Sustainable Entrepreneurship to Engineering Students: The Case of Delft University of Technology

    Science.gov (United States)

    Bonnet, Hans; Quist, Jaco; Hoogwater, Daan; Spaans, Johan; Wehrmann, Caroline

    2006-01-01

    Sustainability, enhancement of personal skills, social aspects of technology, management and entrepreneurship are of increasing concern for engineers and therefore for engineering education. In 1996 at Delft University of Technology this led to the introduction of a subject on sustainable entrepreneurship and technology in the course programmes of…

  16. Peace Corps Water/Sanitation Case Studies and Analyses. Appropriate Technologies for Development. Case Study CS-4.

    Science.gov (United States)

    Talbert, Diana E., Comp.

    This document provides an overview of Peace Corps water and sanitation activities, five case studies (Thailand, Yemen, Paraguay, Sierra Leone, and Togo), programming guidelines, and training information. Each case study includes: (1) background information on the country's geography, population, and economics; (2) information on the country's…

  17. The syndrome of irreversible acidosis after prolonged propofol infusion.

    Science.gov (United States)

    Kumar, Monisha A; Urrutia, Victor C; Thomas, Carole E; Abou-Khaled, Karine J; Schwartzman, Robert J

    2005-01-01

    Propofol infusion syndrome is described in the pediatric literature as metabolic acidosis, rhabdomyolysis, and bradycardia that results in death. The pathogenesis of this syndrome is thought to be activation of the systemic inflammatory response, which culminates in acidosis and muscle necrosis. Retrospective chart review of three patients in the Neurological Critical Care Units at Hahnemann and Massachusetts General Hospitals between October 2001 and September 2004. Patient 1: A 27-year-old woman had seizures secondary to hemorrhage from an arteriovenous malformation. Propofol coma was induced for sedation. After initiation of propofol, she developed a metabolic acidosis, hypotension, and bradycardia and expired. Patient 2: A 64-year-old man presented in status epilepticus. After prolonged propofol administration, he developed metabolic acidosis, hypotension, and rhabdomyolysis and expired. Patient 3: A 24-year-old woman presented in status epilepticus secondary to encephalitis. Propofol was added for seizure control. She developed hypotension, metabolic acidosis, and bradyarrhythmias. Despite transvenous pacing, she expired. These data show an association between extended propofol use and metabolic acidosis, rhabdomyolysis, and death in adults, as well as children. Risk factors for propofol infusion syndrome in adults include lean body mass index, high dose, and administration of more than 24-hour duration. Creatine phosphokinase, lactic acid levels, electrolytes, and arterial blood gases should be monitored frequently. Both bacterial and fungal cultures should be obtained. If this syndrome is suspected, hemodialysis should be considered. In fatal cases, autopsy should include electron microscopy of cardiac and skeletal muscle to look for mitochondrial dysfunction. Further study is warranted.

  18. User preference for a portable syringe pump for iloprost infusion.

    Science.gov (United States)

    Laria, Antonella; Lurati, Alfredo Maria; Re, Katia Angela; Marrazza, Maria Grazia; Mazzocchi, Daniela; Farina, Alberto; Scarpellini, Magda

    2015-01-01

    Administration of intravenous iloprost - a first-line European League Against Rheumatism (EULAR)-recommended choice for the treatment of scleroderma (SSc)-related digital vasculopathy - requires repeated treatment cycles of 6 hours per day in a hospital setting. During the infusion, patient mobility is considerably restricted due to the size and fixity of traditional syringe pumps. The aim of this study was to evaluate the satisfaction level of patients and nurses, after the introduction of a new portable syringe pump (Infonde(®), Italfarmaco S.p.A., Milan, Italy) at the Department of Rheumatology, Magenta Hospital, Milan, Italy. Thirty-four consecutive SSc patients receiving stable therapy with iloprost, previously administered with a fixed pump, were treated using the portable Infonde(®) pump. Patients (n=34) and nurses (n=4) were asked to answer a nine- and six-item questionnaire, respectively, to assess the satisfaction of the administration comparing the new device versus the previous one. The health care staff of the ward developed the questionnaire, and the response scores ranged from 0 (fixed device better) to 10 (portable device better); thus a score >5 indicates a preference for Infonde(®). Patients' answers indicated a preference towards the new portable syringe pump, versus the previous fixed pump. Questionnaires administered to patients generated a total of 306 responses, with over 95% of the responses in the range 8-10, of which 89% had a score equal to 10. The responses of nurses showed a score equal to 10 in 100% cases. No significant adverse events were recorded, indicating no change in the tolerability profile of the drug. Iloprost administration with Infonde(®) pump was preferred by both patients and health care professionals, and was well tolerated. The possibility to perform daily activities and the freedom of movement suggest a positive impact of Infonde(®) on the treatment, with a potential favorable effect on the quality of life of

  19. The socio-materiality of learning practices and implications for the field of learning technology

    Directory of Open Access Journals (Sweden)

    Aditya Johri

    2011-12-01

    Full Text Available Although the use of digital information technologies in education has becomecommonplace, there are few, if any, central guiding frameworks or theories thatexplicate the relationship between technology and learning practices. In thispaper, I argue that such a theoretical framework can assist scholars and practitionersalike by working as a conduit to study and design learning technologies.Towards this goal, I propose socio-materiality as a key theoretical construct withvaluable insights and implications for the field of learning technology. Sociomaterialityhelps balance the disproportionate attention given to either the socialimplications of technology use or the material aspects of technology design.Furthermore, I forward ‘socio-material bricolage' as a useful analytical frameworkto examine and design technology-infused learning environments. I illustratethe value of the framework by applying it to three case studies of formaland informal technology-based learning.

  20. Teaching With Educational Technology in the 21st Century: The Case of The Asian-Pasific Region

    Directory of Open Access Journals (Sweden)

    Abdullah KUZU

    2006-04-01

    Full Text Available Teaching With Educational Technology in the 21st Century: The Case of The Asian-Pasific Region Edited by Yukiko Inoue and Suzanne Bell Hersley: PA: Information Science Publishing, 2006 pp. 321, ISBN 1-59140-724-9 Reviewed by Dr. Abdullah KUZU Anadolu University Eskisehir-TURKEY This book was edited by Yukiko Inoue and Suzanne Bell, an educator and a librarian at the University of Guam, and published by Information Science Publishing in 2006. The book describes the opportunities, challenges and strategies of the technology-enhanced learning in the regional base, namely Asia-Pacific. The main goal of the book is to examine educational technology, learning theories, human learning and cognition; to provide successful experiences in higher education and educational technology; to explain the technology integration into teaching in geographically remote regions such as Guam and Micronesia; to support faculty members in technology use and achieve the reluctance, and to discuss the future trends in educational technology. The book can be recommended for students as well as the professionals such as university professors, researchers, learning center directors, librarians, media specialists, supervisors, and software and courseware designers who are interested in theory and practice of the educational technology, distance education and technology-enhanced learning in multicultural context. ORGANIZATION OF THE SESSIONS The book has nine chapters divided into five sections. Section I contain one chapter and provide an introduction to Guam and Micronesia. The selecting of this region as a case study based on their community that reflects diverse ethnic cultures influenced by European, American, Asian, and Micronesian populations. Guam is a regional learning center in western Pacific. Section II consists of two chapters. Chapter II concentrates on advanced technologies and e-learning, and describes an overview of educational technology, educational media in