Perko, Tanja
2016-10-01
Risk communication about the Fukushima Daiichi nuclear power plant accident in 2011 was often not transparent, timely, clear, nor factually correct. However, lessons related to risk communication have been identified and some of them are already addressed in national and international communication programmes and strategies. The Fukushima accident may be seen as a practice scenario for risk communication with important lessons to be learned. As a result of risk communication failures during the accident, the world is now better prepared for communication related to nuclear emergencies than it was 5 years ago The present study discusses the impact of communication, as applied during the Fukushima accident, and the main lessons learned. It then identifies pathways for transparent, timely, clear and factually correct communication to be developed, practiced and applied in nuclear emergency communication before, during, and after nuclear accidents. Integr Environ Assess Manag 2016;12:683-686. © 2016 SETAC. © 2016 SETAC.
Bevelacqua, J J
2012-02-01
The TMI-2 and Fukushima Daiichi accidents appear to be dissimilar because they involve different reactor types. However, the health physics related lessons learned from TMI-2 are applicable, and can enhance the Fukushima Daiichi recovery effort. Copyright © 2011 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Mitsui, Masami; Takeuchi, Nobuo; Kawada, Yasuhiro; Kobayashi, Royoji; Nogami, Manami; Miki, Masami
2013-09-01
When records of success are accumulating, we should be most alert to maintain the safety culture we labored to establish and nurture.Space Shuttle Columbia Accident in 2002 and Fukushima Nuclear Power Station Accident in 2011 are seemingly unrelated. But, by studying the accident reports issued after these accidents, the authors found that the organizational causes that led to the accidents were surprisingly similar. The causes of these accidents were rooted in the history and culture of the respective organizations.In this paper, the authors will discuss differences and similarities in these two accidents based on the reports submitted by the accident investigation boards of these two accidents. This will be followed by the lessons learned the authors derived.
Accident at the Fukushima Dai-ichi nuclear power stations of TEPCO--outline & lessons learned.
Tanaka, Shun-ichi
2012-01-01
The severe accident that broke out at Fukushima Dai-ichi nuclear power stations on March 11, 2011, caused seemingly infinite damage to the daily life of residents. Serious and wide-spread contamination of the environment occurred due to radioactive materials discharged from nuclear power stations (NPSs). At the same time, many issues were highlighted concerning countermeasures to severe nuclear accidents. The accident is outlined, and lessons learned are extracted with respect to the safety of NPSs, as well as radiation protection of residents under the emergency involving the accident. The materials of the current paper are those released by governmental agencies, academic societies, interim reports of committees under the government, and others.
NASA Technical Reports Server (NTRS)
Chandler, Michael
2010-01-01
As the Space Shuttle Program comes to an end, it is important that the lessons learned from the Columbia accident be captured and understood by those who will be developing future aerospace programs and supporting current programs. Aeromedical lessons learned from the Accident were presented at AsMA in 2005. This Panel will update that information, closeout the lessons learned, provide additional information on the accident and provide suggestions for the future. To set the stage, an overview of the accident is required. The Space Shuttle Columbia was returning to Earth with a crew of seven astronauts on 1Feb, 2003. It disintegrated along a track extending from California to Louisiana and observers along part of the track filmed the breakup of Columbia. Debris was recovered from Littlefield, Texas to Fort Polk, Louisiana, along a 567 statute mile track; the largest ever recorded debris field. The Columbia Accident Investigation Board (CAIB) concluded its investigation in August 2003, and released their findings in a report published in February 2004. NASA recognized the importance of capturing the lessons learned from the loss of Columbia and her crew and the Space Shuttle Program managers commissioned the Spacecraft Crew Survival Integrated Investigation Team (SCSIIT) to accomplish this. Their task was to perform a comprehensive analysis of the accident, focusing on factors and events affecting crew survival, and to develop recommendations for improving crew survival, including the design features, equipment, training and procedures intended to protect the crew. NASA released the Columbia Crew Survival Investigation Report in December 2008. Key personnel have been assembled to give you an overview of the Space Shuttle Columbia accident, the medical response, the medico-legal issues, the SCSIIT findings and recommendations and future NASA flight surgeon spacecraft accident response training. Educational Objectives: Set the stage for the Panel to address the investigation, medico-legal issues, the Spacecraft Crew Survival Integrated Investigation Team report and training for accident response.
Learning lessons from Natech accidents - the eNATECH accident database
NASA Astrophysics Data System (ADS)
Krausmann, Elisabeth; Girgin, Serkan
2016-04-01
When natural hazards impact industrial facilities that house or process hazardous materials, fires, explosions and toxic releases can occur. This type of accident is commonly referred to as Natech accident. In order to prevent the recurrence of accidents or to better mitigate their consequences, lessons-learned type studies using available accident data are usually carried out. Through post-accident analysis, conclusions can be drawn on the most common damage and failure modes and hazmat release paths, particularly vulnerable storage and process equipment, and the hazardous materials most commonly involved in these types of accidents. These analyses also lend themselves to identifying technical and organisational risk-reduction measures that require improvement or are missing. Industrial accident databases are commonly used for retrieving sets of Natech accident case histories for further analysis. These databases contain accident data from the open literature, government authorities or in-company sources. The quality of reported information is not uniform and exhibits different levels of detail and accuracy. This is due to the difficulty of finding qualified information sources, especially in situations where accident reporting by the industry or by authorities is not compulsory, e.g. when spill quantities are below the reporting threshold. Data collection has then to rely on voluntary record keeping often by non-experts. The level of detail is particularly non-uniform for Natech accident data depending on whether the consequences of the Natech event were major or minor, and whether comprehensive information was available for reporting. In addition to the reporting bias towards high-consequence events, industrial accident databases frequently lack information on the severity of the triggering natural hazard, as well as on failure modes that led to the hazmat release. This makes it difficult to reconstruct the dynamics of the accident and renders the development of equipment vulnerability models linking the natural-hazard severity to the observed damage almost impossible. As a consequence, the European Commission has set up the eNATECH database for the systematic collection of Natech accident data and near misses. The database exhibits the more sophisticated accident representation required to capture the characteristics of Natech events and is publicly accessible at http://enatech.jrc.ec.europa.eu. This presentation outlines the general lessons-learning process, introduces the eNATECH database and its specific structure, and discusses natural-hazard specific lessons learned and features common to Natech accidents triggered by different natural hazards.
NASA Technical Reports Server (NTRS)
Rocha, Rodney
2011-01-01
This report has been developed by the National Aeronautics and Space Administration (NASA) ESMD Risk and Knowledge Management team. This document provides a point-in-time, cumulative, summary of key lessons learned derived from the official Columbia Accident Investigation Board (CAIB). Lessons learned invariably address challenges and risks and the way in which these areas have been addressed. Accordingly the risk management thread is woven throughout the document. This report is accompanied by a video that will be sent at request
Apollo Lesson Sampler: Apollo 13 Lessons Learned
NASA Technical Reports Server (NTRS)
Interbartolo, Michael A.
2008-01-01
This CD-ROM contains a two-part case study of the Apollo 13 accident. The first lesson contains an overview of the electrical system hardware on the Apollo spacecraft, providing a context for the details of the oxygen tank explosion, and the failure chain reconstruction that led to the conditions present at the time of the accident. Given this background, the lesson then covers the tank explosion and immediate damage to the spacecraft, and the immediate response of Mission Control to what they saw. Part 2 of the lesson picks up shortly after the explosion of the oxygen tank on Apollo 13, and discusses how Mission Control gained insight to and understanding of the damage in the aftermath. Impacts to various spacecraft systems are presented, along with Mission Control's reactions and plans for in-flight recovery leading to a successful entry. Finally, post-flight vehicle changes are presented along with the lessons learned.
Aeromedical Lessons from the Space Shuttle Columbia Accident Investigation
NASA Technical Reports Server (NTRS)
Pool, Sam L.
2005-01-01
This paper presents the aeromedical lessons learned from the Space Shuttle Columbia Accident Investigation. The contents include: 1) Introduction and Mission Response Team (MRT); 2) Primary Disaster Field Office (DFO); 3) Mishap Investigation Team (MIT); 4) Kennedy Space Center (KSC) Mishap Response Plan; 5) Armed Forces Institute of Pathology (AFIP); and 6) STS-107 Crew Surgeon.
Sadeghi, Samira; Sadeghi, Leyla; Tricot, Nicolas; Mathieu, Luc
2017-12-01
Accident reports are published in order to communicate the information and lessons learned from accidents. An efficient accident recording and analysis system is a necessary step towards improvement of safety. However, currently there is a shortage of efficient tools to support such recording and analysis. In this study we introduce a flexible and customizable tool that allows structuring and analysis of this information. This tool has been implemented under TEEXMA®. We named our prototype TEEXMA®SAFETY. This tool provides an information management system to facilitate data collection, organization, query, analysis and reporting of accidents. A predefined information retrieval module provides ready access to data which allows the user to quickly identify the possible hazards for specific machines and provides information on the source of hazards. The main target audience for this tool includes safety personnel, accident reporters and designers. The proposed data model has been developed by analyzing different accident reports.
Hydrogen Peroxide Accidents and Incidents: What We Can Learn From History
NASA Technical Reports Server (NTRS)
Greene, Ben; Baker, David L.; Frazier, Wayne
2005-01-01
Historical accidents and incidents involving hydrogen peroxide are reviewed and presented. These hydrogen peroxide events are associated with storage, transportation, handling, and disposal and they include exposures, fires, and explosions. Understanding the causes and effects of these accident and incident examples may aid personnel currently working with hydrogen peroxide to mitigate and perhaps avoid similar situations. Lessons learned, best practices, and regulatory compliance information related to the cited accidents and incidents are also discussed.
Lessons Learned from the Fukushima Nuclear Accident due to Tohoku Region Pacific Coast Earthquake
NASA Astrophysics Data System (ADS)
Miki, M.; Wada, M.; Takeuchi, N.
2012-01-01
On March 11 2011, Great Eastern Japan Earthquake hit Japan and caused the devastating damage. Fukushima Nuclear Power Station (NPS) also suffered damages and provided the environmental effect with radioactive products. The situation has been settled to some extent about two months after the accidents, and currently, the cooling of reactor is continuing towards settling the situation. Japanese NPSs are designed based on safety requirements and have multiple-folds of hazard controls. However, according to publicly available information, due to the lager-than-anticipated Tsunami, all the power supply were lost, which resulted in loss of hazard controls. Also, although nuclear power plants are equipped with system/procedure in case of loss of all controls, recovery was not made as planned in Fukushima NPSs because assumptions for hazard controls became impractical or found insufficient. In consequence, a state of emergency was declared. Through this accident, many lessons learned have been obtained from the several perspectives. There are many commonality between nuclear safety and space safety. Both industries perform thorough hazard assessments because hazards in both industries can result in loss of life. Therefore, space industry must learn from this accident and reconsider more robust space safety. This paper will introduce lessons learned from Fukushima nuclear accident described in the "Report of the Japanese Government to the IAEA Ministerial Conference on Nuclear Safety" [1], and discuss the considerations to establish more robust safety in the space systems. Detailed information of Fukushima Dai-ichi NPS are referred to this report.
Accident at the Fukushima Dai-ichi Nuclear Power Stations of TEPCO —Outline & lessons learned—
TANAKA, Shun-ichi
2012-01-01
The severe accident that broke out at Fukushima Dai-ichi nuclear power stations on March 11, 2011, caused seemingly infinite damage to the daily life of residents. Serious and wide-spread contamination of the environment occurred due to radioactive materials discharged from nuclear power stations (NPSs). At the same time, many issues were highlighted concerning countermeasures to severe nuclear accidents. The accident is outlined, and lessons learned are extracted with respect to the safety of NPSs, as well as radiation protection of residents under the emergency involving the accident. The materials of the current paper are those released by governmental agencies, academic societies, interim reports of committees under the government, and others. PMID:23138450
Lessons Learned Study Final Report for the Exploration Systems Mission Directorate
NASA Technical Reports Server (NTRS)
Van Laak, Jim; Brumfield, M. Larry; Moore, Arlene A.; Anderson, Brooke; Dempsey, Jim; Gifford, Bob; Holloway, Chip; Johnson, Keith
2004-01-01
This report is the final product of a 90-day study performed for the Exploration Systems Mission Directorate. The study was to assemble lessons NASA has learned from previous programs that could help the Exploration Systems Mission Directorate pursue the Exploration vision. It focuses on those lessons that should have the greatest significance to the Directorate during the formulation of program and mission plans. The study team reviewed a large number of lessons learned reports and data bases, including the Columbia Accident Investigation Board and Rogers Commission reports on the Shuttle accidents, accident reports from robotic space flight systems, and a number of management reviews by the Defense Sciences Board, Government Accountability Office, and others. The consistency of the lessons, findings, and recommendations validate the adequacy of the data set. In addition to reviewing existing databases, a series of workshops was held at each of the NASA centers and headquarters that included senior managers from the current workforce as well as retirees. The full text of the workshop reports is included in Appendix A. A lessons learned website was opened up to permit current and retired NASA personnel and on-site contractors to input additional lessons as they arise. These new lessons, when of appropriate quality and relevance, will be brought to the attention of managers. The report consists of four parts: Part 1 provides a small set of lessons, called the Executive Lessons Learned, that represent critical lessons that the Exploration Systems Mission Directorate should act on immediately. This set of Executive Lessons and their supporting rationale have been reviewed at length and fully endorsed by a team of distinguished NASA alumni; Part 2 contains a larger set of lessons, called the Selected Lessons Learned, which have been chosen from the lessons database and center workshop reports on the basis of their specific significance and relevance to the near-term work of the Exploration Directorate. These lessons frequently support the Executive lessons but are more general in nature; Part 3 consists of the reports of the center workshops that were conducted as part of this activity. These reports are included in their entirety (approximately 200 pages) in Appendix G and have significance for specific managers; Part 4 consists of the remainder of the lessons that have been selected by this effort and assembled into a database for the use of the Explorations Directorate. The database is archived and hosted in the Lessons Learned Knowledge Network, which provides a flexible search capability using a wide variety of search terms. Finally, a spreadsheet lists databases searched and a bibliography identifies reports that have been reviewed as sources of lessons for this task. NASA has been presented with many learning opportunities. We have conducted numerous programs, some extremely successful and others total failures. Most have been documented with a formal lessons learned activity, but we have not always incorporated these learning opportunities into our normal modes of business. For example, the Robbins Report of 2001 clearly indicates that many project failures of the past two decades were the result of violating well documented best practices, often in direct violation of management instructions and directives. An overarching lesson emerges: that disciplined execution in accordance with proven best practices is the greatest single contributor to a successful program. The Lessons Learned task team offers a sincere hope that the lessons presented herein will be helpful to the Exploration Systems Directorate in charting and executing their course. The success of the Directorate and of NASA in general depends on our collective ability to move forward without having to relearn the lessons of those who have gone before.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Jalil, A.; Rabbani, G.; Hossain, M. K.
2003-02-24
An industrial radiographer was accidentally over-exposed while taking the radiograph of weld-joints of gas pipe-lines in 1985 in Bangladesh. Symptoms of high radiation exposure occurred immediately after the accident and skin erythema developed leading to progressive tissue deterioration. The consequences of this over-exposure is being followed up to assess the long-term effects of ionizing radiation on the victim. Progressive tissue deteriorations have already led to multiple surgeries and successive amputations of the finger-tips so far. Lessons learned from this accident are also reported in this paper.
Svendsen, Erik R; Yamaguchi, Ichiro; Tsuda, Toshihide; Guimaraes, Jean Remy Davee; Tondel, Martin
2016-12-01
It has been difficult to both mitigate the health consequences and effectively provide health risk information to the public affected by the Fukushima radiological disaster. Often, there are contrasting public health ethics within these activities which complicate risk communication. Although no risk communication strategy is perfect in such disasters, the ethical principles of risk communication provide good practical guidance. These discussions will be made in the context of similar lessons learned after radiation exposures in Goiania, Brazil, in 1987; the Chernobyl nuclear power plant accident, Ukraine, in 1986; and the attack at the World Trade Center, New York, USA, in 2001. Neither of the two strategies is perfect nor fatally flawed. Yet, this discussion and lessons from prior events should assist decision makers with navigating difficult risk communication strategies in similar environmental health disasters.
Aeromedical Lessons Learned from the Space Shuttle Columbia Accident Investigation
NASA Technical Reports Server (NTRS)
Chandler, Mike
2011-01-01
This slide presentation provides an update on the Columbia accident response presented in 2005 with additional information that was not available at that time. It will provide information on the following topics: (1) medical response and Search and Rescue, (2) medico-legal issues associated with the accident, (3) the Spacecraft Crew Survival Integrated Investigation Team Report published in 2008, and (4) future NASA flight surgeon spacecraft accident response training.
Federal Register 2010, 2011, 2012, 2013, 2014
2012-11-28
... Insights from the Fukushima Dai-ichi Accident,'' dated March 12, 2012 (ADAMS Accession No. ML12053A340... resulting nuclear accident, at the Fukushima Dai-ichi nuclear power plant in March 2011. Enclosure 1 to the...
Lessons Learned From The EMU Fire and How It Impacts CxP Suit Element Development and Testing
NASA Technical Reports Server (NTRS)
Metts, Jonathan; Hill, Terry
2008-01-01
During testing a Space Shuttle Extravehicular Mobility Unit (EMU) pressure garment and life-support backpack was destroyed in a flash fire in the Johnson Space Center's Crew systems laboratory. This slide presentation reviews the accident, probable causes, the lessons learned and the effect this has on the testing and the environment for testing of the Space Suit for the Constellation Program.
NASA Technical Reports Server (NTRS)
Safie, Fayssal M.; Messer, Bradley P.
2006-01-01
This paper presents lessons learned from the Space Shuttle return to flight experience and the importance of these lessons learned in the development of new the NASA Crew Launch Vehicle (CLV). Specifically, the paper discusses the relationship between process control and system risk, and the importance of process control in improving space vehicle flight safety. It uses the External Tank (ET) Thermal Protection System (TPS) experience and lessons learned from the redesign and process enhancement activities performed in preparation for Return to Flight after the Columbia accident. The paper also, discusses in some details, the Probabilistic engineering physics based risk assessment performed by the Shuttle program to evaluate the impact of TPS failure on system risk and the application of the methodology to the CLV.
The elements of a commercial human spaceflight safety reporting system
NASA Astrophysics Data System (ADS)
Christensen, Ian
2017-10-01
In its report on the SpaceShipTwo accident the National Transportation Safety Board (NTSB) included in its recommendations that the Federal Aviation Administration (FAA) ;in collaboration with the commercial spaceflight industry, continue work to implement a database of lessons learned from commercial space mishap investigations and encourage commercial space industry members to voluntarily submit lessons learned.; In its official response to the NTSB the FAA supported this recommendation and indicated it has initiated an iterative process to put into place a framework for a cooperative safety data sharing process including the sharing of lessons learned, and trends analysis. Such a framework is an important element of an overall commercial human spaceflight safety system.
Loss of Signal, Aeromedical Lessons Learned for the STS-I07 Columbia Space Shuttle Mishap
NASA Technical Reports Server (NTRS)
Patlach, Robert; Stepaniak, Philip C.; Lane, Helen W.
2014-01-01
Loss of Signal, a NASA publication to be available in May 2014, presents the aeromedical lessons learned from the Columbia accident that will enhance crew safety and survival on human space flight missions. These lessons were presented to limited audiences at three separate Aerospace Medical Association (AsMA) conferences: in 2004 in Anchorage, Alaska, on the causes of the accident; in 2005 in Kansas City, Missouri, on the response, recovery, and identification aspects of the investigation; and in 2011, again in Anchorage, Alaska, on future implications for human space flight. As we embark on the development of new spacefaring vehicles through both government and commercial efforts, the NASA Johnson Space Center Human Health and Performance Directorate is continuing to make this information available to a wider audience engaged in the design and development of future space vehicles. Loss of Signal summarizes and consolidates the aeromedical impacts of the Columbia mishap process-the response, recovery, identification, investigative studies, medical and legal forensic analysis, and future preparation that are needed to respond to spacecraft mishaps. The goals of this book are to provide an account of the aeromedical aspects of the Columbia accident and the investigation that followed, and to encourage aerospace medical specialists to continue to capture information, learn from it, and improve procedures and spacecraft designs for the safety of future crews.
Uyba, Vladimir; Samoylov, Alexander; Shinkarev, Sergey
2018-04-01
In the case of a severe radiation accident at a nuclear power station, the most important radiation hazard for the public is internal exposure of the thyroid to radioiodine. The purposes of this paper were (i) to compare countermeasures conducted (following the Chernobyl and Fukushima accidents) aimed at mitigation of exposure to the thyroid for the public, (ii) to present comparative estimates of doses to the thyroid and (iii) to derive lessons from the two accidents. The scale and time of countermeasures applied in the early phase of the accidents (sheltering, evacuation, and intake of stable iodine to block the thyroid) and at a later time (control of 131I concentration in foodstuffs) have been described. After the Chernobyl accident, the estimation of the thyroid doses for the public was mainly based on direct thyroid measurements of ~400 000 residents carried out within the first 2 months. The highest estimates of thyroid doses to children reached 50 Gy. After the Fukushima accident, the estimation of thyroid doses was based on radioecological models due to a lack of direct thyroid measurements (only slightly more than 1000 residents were measured). The highest estimates of thyroid doses to children were a few hundred mGy. Following the Chernobyl accident, ingestion of 131I through cows' milk was the dominant pathway. Following the Fukushima accident, it appears that inhalation of contaminated air was the dominant pathway. Some lessons learned following the Chernobyl and Fukushima accidents have been presented in this paper.
Uyba, Vladimir; Samoylov, Alexander; Shinkarev, Sergey
2018-01-01
Abstract In the case of a severe radiation accident at a nuclear power station, the most important radiation hazard for the public is internal exposure of the thyroid to radioiodine. The purposes of this paper were (i) to compare countermeasures conducted (following the Chernobyl and Fukushima accidents) aimed at mitigation of exposure to the thyroid for the public, (ii) to present comparative estimates of doses to the thyroid and (iii) to derive lessons from the two accidents. The scale and time of countermeasures applied in the early phase of the accidents (sheltering, evacuation, and intake of stable iodine to block the thyroid) and at a later time (control of 131I concentration in foodstuffs) have been described. After the Chernobyl accident, the estimation of the thyroid doses for the public was mainly based on direct thyroid measurements of ~400 000 residents carried out within the first 2 months. The highest estimates of thyroid doses to children reached 50 Gy. After the Fukushima accident, the estimation of thyroid doses was based on radioecological models due to a lack of direct thyroid measurements (only slightly more than 1000 residents were measured). The highest estimates of thyroid doses to children were a few hundred mGy. Following the Chernobyl accident, ingestion of 131I through cows’ milk was the dominant pathway. Following the Fukushima accident, it appears that inhalation of contaminated air was the dominant pathway. Some lessons learned following the Chernobyl and Fukushima accidents have been presented in this paper. PMID:29415268
77 FR 40385 - Sunshine Act Meetings
Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-09
.... Briefing on the Status of Lessons Learned from the Fukushima Dai-ichi Accident (Public Meeting) (Contact... individuals with disabilities where appropriate. If you need a reasonable accommodation to participate in...
78 FR 18376 - Sunshine Act Meetings
Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-26
... of Radiation Control Program Directors (CRCPD) (Public Meeting) (Contact: Cindy Flannery, 301-415...:00 a.m. Briefing on the Status of Lessons Learned from the Fukushima Dai'ichi Accident (Public...
78 FR 44035 - Station Blackout Mitigation Strategies
Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-23
... the actions stemming from the NRC's lessons- learned efforts associated with the March 2011 Fukushima..., 2011, Fukushima Dai-ichi accident in Japan. By making these documents publicly available, the NRC seeks...
78 FR 1154 - Onsite Emergency Response Capabilities
Federal Register 2010, 2011, 2012, 2013, 2014
2013-01-08
... the actions stemming from the NRC's lessons-learned efforts associated with the March 2011 Fukushima Dai-ichi Nuclear Power Plant accident in Japan. DATES: Submit comments by February 22, 2013. Comments...
Chung, Eun-Soon; Jeong, Ihn-Sook; Song, Mi-Gyoung
2004-06-01
This study was aimed to develop a WBI(Web Based Instruction) program on safety for 3rd grade elementary school students and to test the effects of it. The WBI program was developed using Macromedia flash MX, Adobe Illustrator 10.0 and Adobe Photoshop 7.0. The web site was http://www.safeschool.co.kr. The effect of it was tested from Mar 24, to Apr 30, 2003. The subjects were 144 students enrolled in the 3rd grade of an elementary school in Gyungju. The experimental group received the WBI program lessons while each control group received textbook-based lessons with visual presenters and maps, 3 times. Data was analyzed with descriptive statistics, and chi2 test, t-test, and repeated measure ANOVA. First, the WBI group reported a longer effect on knowledge and practice of accident prevention than the textbook-based lessons, indicating that the WBI is more effective. Second, the WBI group was better motivated to learn the accident prevention lessons, showing that the WBI is effective. As a result, the WBI group had total longer effects on knowledge, practice and motivation of accident prevention than the textbook-based instruction. We recommend that this WBI program be used in each class to provide more effective safety instruction in elementary schools.
77 FR 39528 - Sunshine Act Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-03
.... Briefing on the Status of Lessons Learned from the Fukushima, Dai-Ichi Accident (Public Meeting), (Contact...- 1651. * * * * * The NRC Commission Meeting Schedule can be found on the Internet at: http://www.nrc.gov...
Lessons Learned for Space Safety from the Fukushima Nuclear Power Plant Accident
NASA Astrophysics Data System (ADS)
Nogami, Manami; Miki, Masami; Mitsui, Masami; Kawada, Ysuhiro; Takeuchi, Nobuo
2013-09-01
On March 11 2011, Tohoku Region Pacific Coast Earthquake hit Japan and caused the devastating damage. The Fukushima Nuclear Power Station (NPS) was also severely damaged.The Japanese NPSs are designed based on the detailed safety requirements and have multiple-folds of hazard controls to the catastrophic hazards as in space system. However, according to the initial information from the Tokyo Electric Power Company (TEPCO) and the Japanese government, the larger-than-expected tsunami and subsequent events lost the all hazard controls to the release of radioactive materials.At the 5th IAASS, Lessons Learned from this disaster was reported [1] mainly based on the "Report of the Japanese Government to the IAEA Ministerial Conference on Nuclear Safety" [2] published by Nuclear Emergency Response Headquarters in June 2011, three months after the earthquake.Up to 2012 summer, the major investigation boards, including the Japanese Diet, the Japanese Cabinet and TEPCO, published their final reports, in which detailed causes of this accident and several recommendations are assessed from each perspective.In this paper, the authors examine to introduce the lessons learned to be applied to the space safety as findings from these reports.
78 FR 21275 - Station Blackout Mitigation Strategies
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-10
... stemming from the NRC's lessons-learned efforts associated with the March 2011 Fukushima Dai-ichi Nuclear Power Plant accident in Japan. DATES: Submit comments by May 28, 2013. Comments received after this date...
Svendsen, Erik R; Runkle, Jennifer R; Dhara, Venkata Ramana; Lin, Shao; Naboka, Marina; Mousseau, Timothy A; Bennett, Charles
2012-08-01
Environmental public health disasters involving hazardous contaminants may have devastating effects. While much is known about their immediate devastation, far less is known about long-term impacts of these disasters. Extensive latent and chronic long-term public health effects may occur. Careful evaluation of contaminant exposures and long-term health outcomes within the constraints imposed by limited financial resources is essential. Here, we review epidemiologic methods lessons learned from conducting long-term evaluations of four environmental public health disasters involving hazardous contaminants at Chernobyl, the World Trade Center, Bhopal, and Graniteville (South Carolina, USA). We found several lessons learned which have direct implications for the on-going disaster recovery work following the Fukushima radiation disaster or for future disasters. These lessons should prove useful in understanding and mitigating latent health effects that may result from the nuclear reactor accident in Japan or future environmental public health disasters.
78 FR 22580 - Sunshine Act Meetings
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-16
... April 23, 2013 9:00 a.m. Briefing on the Status of Lessons Learned from the Fukushima Dai'ichi Accident... Meeting Schedule can be found on the Internet at: http://www.nrc.gov/public-involve/public-meetings...
78 FR 21171 - Sunshine Act Meetings
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-09
..., 2013 9:00 a.m. Briefing on the Status of Lessons Learned from the Fukushima Dai'ichi Accident (Public...- 1651. * * * * * The NRC Commission Meeting Schedule can be found on the Internet at: http://www.nrc.gov...
A review of human-automation interaction and lessons learned
DOT National Transportation Integrated Search
2006-10-01
This report reviews 37 accidents in aviation, other vehicles, process control and other complex systems where human-automation interaction is involved. Implications about causality with respect to design, procedures, management and training are drawn...
Radiation exposure and breast cancer: lessons from Chernobyl.
Ogrodnik, Aleksandra; Hudon, Tyler W; Nadkarni, Prakash M; Chandawarkar, Rajiv Y
2013-04-01
The lessons learned from the Chernobyl disaster have become increasingly important after the second anniversary of the Fukushima, Japan nuclear accident. Historically, data from the Chernobyl reactor accident 27 years ago demonstrated a strong correlation with thyroid cancer, but data on the radiation effects of Chernobyl on breast cancer incidence have remained inconclusive. We reviewed the published literature on the effects of the Chernobyl disaster on breast cancer incidence, using Medline and Scopus from the time of the accident to December of 2010. Our findings indicate limited data and statistical flaws. Other confounding factors, such as discrepancies in data collection, make interpretation of the results from the published literature difficult. Re-analyzing the data reveals that the incidence of breast cancer in Chernobyl-disaster-exposed women could be higher than previously thought. We have learned little of the consequences of radiation exposure at Chernobyl except for its effects on thyroid cancer incidence. Marking the 27th year after the Chernobyl event, this report sheds light on a specific, crucial and understudied aspect of the results of radiation from a gruesome nuclear power plant disaster.
NASA Astrophysics Data System (ADS)
Omoto, Akira
2012-02-01
Tsunami that followed M9.0 earthquake on March 11^th left the Fukushima-Daiichi Nuclear Power Plants without power and heat sink. While water makeup continued by AC-independent systems to keep the fuel core covered by coolant, operating team tried to depressurize and enable low pressure injection to the reactor to avoid overheating but was not successful enough primarily due to limited available resources. This resulted in core melt, hydrogen explosion and release of radioactivity to the environment. Key lessons learned are; 1) safety regulation and safety culture, 2) workable/executable severe accident management procedure, 3) crisis management and 4) design. Implications on security include revealed vulnerability and the nexus of safety and security. Given the scale of damage to the environmental, attention must be paid to defense against it and to societal safety goal of nuclear power by considering offsite remedial costs, compensation to damage, energy replacement cost etc. A sort of root cause analysis first by asking ``Why nuclear community failed to prevent this accident?'' was initiated by the University of Tokyo.
Laboratory biological safety cabinet (BSC) explosion
DOE Office of Scientific and Technical Information (OSTI.GOV)
Al-Dahhan, Wedad H.; Al-Zuhairi, Ali Jasim; Hussein, Falah H.
Scientists at universities across Iraq are actively working to report actual incidents and accidents occurring in their laboratories in order to raise awareness and encourage openness, leading to widespread adoption of robust Chemical Safety and Security (CSS) practices. This manuscript is the first in a series of five case studies describing laboratory incidents and accidents in Iraqi university laboratories in order to share lessons learned and minimize the possibility of similar incidents in the future. In this study, we describe a serious event that resulted in a postgraduate student sustaining serious injuries when the biological safety cabinet (BSC) she wasmore » using exploded. Of particular note, the paper highlights how a combination of failures and deficiencies at many levels within an organization and its technical community (rather than a single piece of faulty equipment or the careless behavior of one person) can lead to a dangerous, potentially life-threatening incident. By openly sharing what happened along with the lessons learned from the accident, we hope to minimize the possibility of another researcher being injured in a similar incident in the future.« less
Societal and ethical aspects of the Fukushima accident.
Oughton, Deborah
2016-10-01
The Fukushima Nuclear Power Station accident in Japan in 2011 was a poignant reminder that radioactive contamination of the environment has consequences that encompass far more than health risks from exposure to radiation. Both the accident and remediation measures have resulted in serious societal impacts and raise questions about the ethical aspects of risk management. This article presents a brief review of some of these issues and compares similarities and differences with the lessons learned from the 1986 Chernobyl Nuclear Power Plant accident in Ukraine. Integr Environ Assess Manag 2016;12:651-653. © 2016 SETAC. © 2016 SETAC.
Outline of the Fukushima Daiichi Accident. Lessons Learned and Safety Enhancements
NASA Astrophysics Data System (ADS)
Hirano, Masashi
2017-09-01
Abstract. On March 11, 2011, an earthquake and subsequent tsunamis off the Pacific coastline of Japan's Tohoku region caused widespread devastation in Japan. As of June 10, 2016, it is reported that a total of 15,894 people lost their lives and 2,558 people are still unaccounted for. In Fukushima Prefecture, approximately 100,000 people are still obliged to live away from their homes due to the earthquake and tsunami as well as the Fukushima Daiichi accident. On the day, the earthquake and tsunami caused severe damages to the Tokyo Electric Power Company (TEPCO)'s Fukushima Daiichi Nuclear Power Station (NPS). All the units in operation, namely Units 1 to 3, were automatically shut down on seismic reactor protection system trips but the earthquake led to the loss of all off-site electrical power supplies to that site. The subsequent tsunami inundated the site up to 4 to 5 m above its ground level and caused, in the end, the loss of core cooling function in Units 1 to 3, resulting in severe core damages and containment vessel failures in these three units. Hydrogen was released from the containment vessels, leading to explosions in the reactor buildings of Units 1, 3 and 4. Radioactive materials were released to the atmosphere and were deposited on the land and in the ocean. One of the most important lessons learned is an importance to prevent such large scale common cause failures due to extreme natural events. This leads to a conclusion that application of the defense-in-depth philosophy be enhanced because the defense-in-depth philosophy has been and continues to be an effective way to account for uncertainties associated with risks. From the human and organizational viewpoints, the final report from the Investigation Committee of the Government pointed out so-called "safety myth" that existed among nuclear operators including TEPCO as well as the government, that serious severe accidents could never occur in nuclear power plants in Japan. After the accident, the Nuclear Regulation Authority (NRA) was established on September 19, 2012. The NRA very urgently developed and issued the new regulatory requirements on July 8, 2014, taking into the account the lessons learned from the accident. It is noted that the NRA issued the Statement of Nuclear Safety Culture on May 27, 2015 which clearly expressed the NRA's commitment to break with the safety myth. This paper briefly presents the outline of the Fukushima Daiichi accident and summarizes the major lessons learned having been drawn and safety enhancements having been done in Japan for the purpose of giving inputs to the discussions to be taken place in the Special Invited Session "Fukushima, 5 years after".
Human Factors in Accidents Involving Remotely Piloted Aircraft
NASA Technical Reports Server (NTRS)
Merlin, Peter William
2013-01-01
This presentation examines human factors that contribute to RPA mishaps and provides analysis of lessons learned. RPA accident data from U.S. military and government agencies were reviewed and analyzed to identify human factors issues. Common contributors to RPA mishaps fell into several major categories: cognitive factors (pilot workload), physiological factors (fatigue and stress), environmental factors (situational awareness), staffing factors (training and crew coordination), and design factors (human machine interface).
Loss of Signal, Aeromedical Lessons Learned from the STS-107 Columbia Space Shuttle Mishap
NASA Technical Reports Server (NTRS)
Stepaniak, Phillip C.; Patlach, Robert
2014-01-01
Loss of Signal, a NASA publication to be available in May 2014 presents the aeromedical lessons learned from the Columbia accident that will enhance crew safety and survival on human space flight missions. These lessons were presented to limited audiences at three separate Aerospace Medical Association (AsMA) conferences: in 2004 in Anchorage, Alaska, on the causes of the accident; in 2005 in Kansas City, Missouri, on the response, recovery, and identification aspects of the investigation; and in 2011, again in Anchorage, Alaska, on future implications for human space flight. As we embark on the development of new spacefaring vehicles through both government and commercial efforts, the NASA Johnson Space Center Human Health and Performance Directorate is continuing to make this information available to a wider audience engaged in the design and development of future space vehicles. Loss of Signal summarizes and consolidates the aeromedical impacts of the Columbia mishap process-the response, recovery, identification, investigative studies, medical and legal forensic analysis, and future preparation that are needed to respond to spacecraft mishaps. The goal of this book is to provide an account of the aeromedical aspects of the Columbia accident and the investigation that followed, and to encourage aerospace medical specialists to continue to capture information, learn from it, and improve procedures and spacecraft designs for the safety of future crews. This poster presents an outline of Loss of Signal contents and highlights from each of five sections - the mission and mishap, the response, the investigation, the analysis and the future.
Scientific aspects of the Tohoku earthquake and Fukushima nuclear accident
NASA Astrophysics Data System (ADS)
Koketsu, Kazuki
2016-04-01
We investigated the 2011 Tohoku earthquake, the accident of the Fukushima Daiichi nuclear power plant, and assessments conducted beforehand for earthquake and tsunami potential in the Pacific offshore region of the Tohoku District. The results of our investigation show that all the assessments failed to foresee the earthquake and its related tsunami, which was the main cause of the accident. Therefore, the disaster caused by the earthquake, and the accident were scientifically unforeseeable at the time. However, for a zone neighboring the reactors, a 2008 assessment showed tsunamis higher than the plant height. As a lesson learned from the accident, companies operating nuclear power plants should be prepared using even such assessment results for neighboring zones.
Lessons learned from trend analysis of Shuttle Payload Processing problem reports
NASA Technical Reports Server (NTRS)
Heuser, Robert E.; Pepper, Richard E., Jr.; Smith, Anthony M.
1989-01-01
In the wake of the Challenger accident, NASA has placed an increasing emphasis on trend analysis techniques. These analyses provide meaningful insights into system and hardware status, and also develop additional lessons learned from historical data to aid in the design and operation of future space systems. This paper presents selected results from such a trend analysis study that was conducted on the problem report data files for the Shuttle Payload Processing activities. Specifically, the results shown are for the payload canister system which interfaces with and transfers payloads from their processing facilities to the orbiter.
The Fukushima radiation accident: consequences for radiation accident medical management.
Meineke, Viktor; Dörr, Harald
2012-08-01
The March 2011 radiation accident in Fukushima, Japan, is a textbook example of a radiation accident of global significance. In view of the global dimensions of the accident, it is important to consider the lessons learned. In this context, emphasis must be placed on consequences for planning appropriate medical management for radiation accidents including, for example, estimates of necessary human and material resources. The specific characteristics of the radiation accident in Fukushima are thematically divided into five groups: the exceptional environmental influences on the Fukushima radiation accident, particular circumstances of the accident, differences in risk perception, changed psychosocial factors in the age of the Internet and globalization, and the ignorance of the effects of ionizing radiation both among the general public and health care professionals. Conclusions like the need for reviewing international communication, interfacing, and interface definitions will be drawn from the Fukushima radiation accident.
Svendsen, Erik R.; Runkle, Jennifer R.; Dhara, Venkata Ramana; Lin, Shao; Naboka, Marina; Mousseau, Timothy A.; Bennett, Charles
2012-01-01
Background: Environmental public health disasters involving hazardous contaminants may have devastating effects. While much is known about their immediate devastation, far less is known about long-term impacts of these disasters. Extensive latent and chronic long-term public health effects may occur. Careful evaluation of contaminant exposures and long-term health outcomes within the constraints imposed by limited financial resources is essential. Methods: Here, we review epidemiologic methods lessons learned from conducting long-term evaluations of four environmental public health disasters involving hazardous contaminants at Chernobyl, the World Trade Center, Bhopal, and Graniteville (South Carolina, USA). Findings: We found several lessons learned which have direct implications for the on-going disaster recovery work following the Fukushima radiation disaster or for future disasters. Interpretation: These lessons should prove useful in understanding and mitigating latent health effects that may result from the nuclear reactor accident in Japan or future environmental public health disasters. PMID:23066404
Roller skating accidents and injuries.
Sedlin, E D; Zitner, D T; McGinniss, G
1984-02-01
A consecutive series of 65 fractures, dislocations, and ligament tears produced by roller skating accidents treated by the Orthopaedic Department of the Mt. Sinai Services at City Hospital Center of Elmhurst, New York, is reviewed. It was learned that the injuries resulting from collisions occurring in a skating rink were more serious than those resulting from street accidents. Data indicated that lack of expertise is a prominent factor in the production of serious injury. However, the sport has inherent risk which is not eliminated by expertise. It was concluded that roller skating can and does produce disabling injuries. In order to reduce the number of injuries it will be required to reduce crowding in rinks, designate separate beginners' areas, use training wheels or clampon-type of skates when learning, encourage lessons, and separate beginners in the rinks.
Becker, Steven M
2013-11-01
In response to the March 2011 earthquake-tsunami disaster and the Fukushima Dai-ichi nuclear accident, a special nongovernmental Radiological Emergency Assistance Mission flew to Japan from the United States. Invited by one of Japan's largest hospital and healthcare groups and facilitated by a New York-based international disaster relief organization, the mission included an emergency physician, a health physicist, and a disaster management specialist. During the 10 d mission, team members conducted fieldwork in areas affected by the earthquake, tsunami, and nuclear accident; went to cities and towns in the 20-30 km Emergency Evacuation Preparation Zone around the damaged nuclear plant; visited other communities affected by the nuclear accident; went to evacuation shelters; met with mayors and other local officials; met with central government officials; exchanged observations, experiences, and information with Japanese medical, emergency response, and disaster management colleagues; and provided radiological information and training to more than 1,100 Japanese hospital and healthcare personnel and first responders. The mission produced many insights with potential relevance for radiological/nuclear emergency preparedness and response. The first "lessons learned" were published in December 2011. Since that time, additional broad insights from the mission and mission followup have been identified. Five of these new lessons, which focus primarily on community impacts and responses and public communication issues, are presented and discussed in this article.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Genn Saji
2006-07-01
The term 'ultimate risk' is used here to describe the probabilities and radiological consequences that should be incorporated in siting, containment design and accident management of nuclear power plants for hypothetical accidents. It is closely related with the source terms specified in siting criteria which assures an adequate separation of radioactive inventories of the plants from the public, in the event of a hypothetical and severe accident situation. The author would like to point out that current source terms which are based on the information from the Windscale accident (1957) through TID-14844 are very outdated and do not incorporate lessonsmore » learned from either the Three Miles Island (TMI, 1979) nor Chernobyl accident (1986), two of the most severe accidents ever experienced. As a result of the observations of benign radionuclides released at TMI, the technical community in the US felt that a more realistic evaluation of severe reactor accident source terms was necessary. In this background, the 'source term research project' was organized in 1984 to respond to these challenges. Unfortunately, soon after the time of the final report from this project was released, the Chernobyl accident occurred. Due to the enormous consequences induced by then accident, the one time optimistic perspectives in establishing a more realistic source term were completely shattered. The Chernobyl accident, with its human death toll and dispersion of a large part of the fission fragments inventories into the environment, created a significant degradation in the public's acceptance of nuclear energy throughout the world. In spite of this, nuclear communities have been prudent in responding to the public's anxiety towards the ultimate safety of nuclear plants, since there still remained many unknown points revolving around the mechanism of the Chernobyl accident. In order to resolve some of these mysteries, the author has performed a scoping study of the dispersion and deposition mechanisms of fuel particles and fission fragments during the initial phase of the Chernobyl accident. Through this study, it is now possible to generally reconstruct the radiological consequences by using a dispersion calculation technique, combined with the meteorological data at the time of the accident and land contamination densities of {sup 137}Cs measured and reported around the Chernobyl area. Although it is challenging to incorporate lessons learned from the Chernobyl accident into the source term issues, the author has already developed an example of safety goals by incorporating the radiological consequences of the accident. The example provides safety goals by specifying source term releases in a graded approach in combination with probabilities, i.e. risks. The author believes that the future source term specification should be directly linked with safety goals. (author)« less
Improving Lethal Action: Learning and Adapting in U.S. Counterterrorism Operations
2014-09-01
rather than being proactive and establishing the facts quickly to avoid misunderstandings. Lessons from the Uruzgan Incident The “ Swiss cheese model...of accident causation describes how problems (holes in the Swiss cheese ) can arise relatively frequently with no impact; however, when the holes all
78 FR 68774 - Onsite Emergency Response Capabilities
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-15
[email protected] . SUPPLEMENTARY INFORMATION: I. Background As a result of the events at the Fukushima Dai-ichi... Force Review of Insights from the Fukushima Dai-ichi Accident'' (ADAMS Accession No. ML111861807), the... in Response to Fukushima Lessons Learned'' (ADAMS Accession No. ML11269A204). The NRC staff...
A Review of Criticality Accidents 2000 Revision
DOE Office of Scientific and Technical Information (OSTI.GOV)
Thomas P. McLaughlin; Shean P. Monahan; Norman L. Pruvost
Criticality accidents and the characteristics of prompt power excursions are discussed. Sixty accidental power excursions are reviewed. Sufficient detail is provided to enable the reader to understand the physical situation, the chemistry and material flow, and when available the administrative setting leading up to the time of the accident. Information on the power history, energy release, consequences, and causes are also included when available. For those accidents that occurred in process plants, two new sections have been included in this revision. The first is an analysis and summary of the physical and neutronic features of the chain reacting systems. Themore » second is a compilation of observations and lessons learned. Excursions associated with large power reactors are not included in this report.« less
Yamashita, Shunichi
2014-06-01
The Great East Japan Earthquake on March 11, 2011, besides further studying the appropriateness of the initial response and post-countermeasures against the severe Fukushima nuclear accident, has now increased the importance of the epidemiological study in comprehensive health risk management and radiation protection; lessons learnt from the Chernobyl accident should be also implemented. Therefore, since May 2011, Fukushima Prefecture has started the "Fukushima Health Management Survey Project" for the purpose of long-term health care administration and early diagnosis/treatment for the prefectural residents. Basic survey is under investigation on a retrospective estimation of external exposure of the first four months. As one of the four detailed surveys, the thyroid ultrasound examination has clarified the increased detection rate of childhood thyroid cancers as a screening effect in the past three years and so thyroid cancer occurrence by Fukushima nuclear power plant accident, especially due to radioactive iodine will be discussed despite of difficult challenge of accurate estimation of low dose and low-dose rate radiation exposures. Through the on-site valuable experience and a difficult challenge for recovery, we should learn the lessons from this severe and large-scale nuclear accident, especially how to countermeasure against public health emergency at the standpoint of health risk and also social risk management.
2014-01-01
The Great East Japan Earthquake on March 11, 2011, besides further studying the appropriateness of the initial response and post-countermeasures against the severe Fukushima nuclear accident, has now increased the importance of the epidemiological study in comprehensive health risk management and radiation protection; lessons learnt from the Chernobyl accident should be also implemented. Therefore, since May 2011, Fukushima Prefecture has started the “Fukushima Health Management Survey Project” for the purpose of long-term health care administration and early diagnosis/treatment for the prefectural residents. Basic survey is under investigation on a retrospective estimation of external exposure of the first four months. As one of the four detailed surveys, the thyroid ultrasound examination has clarified the increased detection rate of childhood thyroid cancers as a screening effect in the past three years and so thyroid cancer occurrence by Fukushima nuclear power plant accident, especially due to radioactive iodine will be discussed despite of difficult challenge of accurate estimation of low dose and low-dose rate radiation exposures. Through the on-site valuable experience and a difficult challenge for recovery, we should learn the lessons from this severe and large-scale nuclear accident, especially how to countermeasure against public health emergency at the standpoint of health risk and also social risk management. PMID:25425958
Classroom Activities in School Bus and Pedestrian Safety Education. Bulletin No. 93138.
ERIC Educational Resources Information Center
Wisconsin State Dept. of Transportation, Madison.
School bus and related pedestrian safety education is prevention-oriented so that students will learn how to avoid bus-related accidents. This manual provides lesson plans emphasizing the school bus stop, loading and unloading zones, emergency evacuation drills, and appropriate behavior on the school bus. The guide also recognizes demographic…
Radiological protection issues arising during and after the Fukushima nuclear reactor accident.
González, Abel J; Akashi, Makoto; Boice, John D; Chino, Masamichi; Homma, Toshimitsu; Ishigure, Nobuhito; Kai, Michiaki; Kusumi, Shizuyo; Lee, Jai-Ki; Menzel, Hans-Georg; Niwa, Ohtsura; Sakai, Kazuo; Weiss, Wolfgang; Yamashita, Shunichi; Yonekura, Yoshiharu
2013-09-01
Following the Fukushima accident, the International Commission on Radiological Protection (ICRP) convened a task group to compile lessons learned from the nuclear reactor accident at the Fukushima Daiichi nuclear power plant in Japan, with respect to the ICRP system of radiological protection. In this memorandum the members of the task group express their personal views on issues arising during and after the accident, without explicit endorsement of or approval by the ICRP. While the affected people were largely protected against radiation exposure and no one incurred a lethal dose of radiation (or a dose sufficiently large to cause radiation sickness), many radiological protection questions were raised. The following issues were identified: inferring radiation risks (and the misunderstanding of nominal risk coefficients); attributing radiation effects from low dose exposures; quantifying radiation exposure; assessing the importance of internal exposures; managing emergency crises; protecting rescuers and volunteers; responding with medical aid; justifying necessary but disruptive protective actions; transiting from an emergency to an existing situation; rehabilitating evacuated areas; restricting individual doses of members of the public; caring for infants and children; categorising public exposures due to an accident; considering pregnant women and their foetuses and embryos; monitoring public protection; dealing with 'contamination' of territories, rubble and residues and consumer products; recognising the importance of psychological consequences; and fostering the sharing of information. Relevant ICRP Recommendations were scrutinised, lessons were collected and suggestions were compiled. It was concluded that the radiological protection community has an ethical duty to learn from the lessons of Fukushima and resolve any identified challenges. Before another large accident occurs, it should be ensured that inter alia: radiation risk coefficients of potential health effects are properly interpreted; the limitations of epidemiological studies for attributing radiation effects following low exposures are understood; any confusion on protection quantities and units is resolved; the potential hazard from the intake of radionuclides into the body is elucidated; rescuers and volunteers are protected with an ad hoc system; clear recommendations on crisis management and medical care and on recovery and rehabilitation are available; recommendations on public protection levels (including infant, children and pregnant women and their expected offspring) and associated issues are consistent and understandable; updated recommendations on public monitoring policy are available; acceptable (or tolerable) 'contamination' levels are clearly stated and defined; strategies for mitigating the serious psychological consequences arising from radiological accidents are sought; and, last but not least, failures in fostering information sharing on radiological protection policy after an accident need to be addressed with recommendations to minimise such lapses in communication.
NASA Technical Reports Server (NTRS)
Barr, Stephanie
2010-01-01
Studies done in the past have drawn on lessons learned with regard to human loss-of-life events. However, an examination of near-fatal accidents can be equally useful, not only in detecting causes, both proximate and systemic, but also for determining what factors averted disaster, what design decisions and/or operator actions prevented catastrophe. Binary pass/fail launch history is often used for risk, but this also has limitations. A program with a number of near misses can look more reliable than a consistently healthy program with a single out-of-family failure. Augmenting reliability evaluations with this near miss data can provide insight and expand on the limitations of a strictly pass/fail evaluation. This paper intends to show how near-miss lessons learned can provide crucial data for any new human spaceflight programs that are interested in sending man into space
NASA Astrophysics Data System (ADS)
Barr, Stephanie
2010-09-01
Studies done in the past have drawn on lessons learned with regard to human loss-of-life events. However, an examination of near-fatal accidents can be equally useful, not only in detecting causes, both proximate and systemic, but also for determining what factors averted disaster, what design decisions and/or operator actions prevented catastrophe. Binary pass/fail launch history is often used for risk, but this also has limitations. A program with a number of near misses can look more reliable than a consistently healthy program with a single out-of-family failure. Augmenting reliability evaluations with this near miss data can provide insight and expand on the limitations of a strictly pass/fail evaluation. This paper intends to show how near-miss lessons learned can provide crucial data for any new human spaceflight programs that are interested in sending man into space.
Manned Space Programs Accident/Incident Summaries (1970 - 1971)
NASA Technical Reports Server (NTRS)
1972-01-01
A compilation of 223 mishaps assembled from company and NASA records covering the Accident/Incident experience in 1970-1971 in the Manned Space Flight Programs is presented. It is the companion volume to NASA-CR-120998 which covered the years 1963-1969. The objectives of this summary is to make available to Government agencies and industrial firms the lessons learned from these mishaps. Each accident/incident summary has been reviewed by description, cause and recommended preventive action. The summaries have been categorized by the following ten systems: (1) Cryogenic; (2) Electrical; (3) Facility/GSE; (4) Fuel and Propellant; (5) Life Support; (6) Ordnance; (7) Pressure; (8) Propulsion; (9) Structural; and (10) Transport/Handling.
NASA Astrophysics Data System (ADS)
Omoto, Akira
2013-12-01
After a short summary of the nuclear accident at the Fukushima Daiichi Nuclear Power Station, this paper discusses “what went wrong” by illustrating the problems of the specific layers of defense-in-depth (basic strategy for assuring nuclear safety) and “what lessons are universal.” Breaches in the multiple layers of defense were particularly significant in respective protection (a) against natural disasters (first layer of defense) as well as (b) against severe conditions, specifically in this case, a complete loss of AC/DC power and isolation from the primary heat sink (fourth layer of defense). Confusion in crisis management by the government and insufficient implementation of offsite emergency plans revealed problems in the fifth layer of defense. By taking into consideration managerial and safety culture that might have relevance to this accident, in the author's view, universal lessons are as follows: Resilience: the need to enhance organizational capabilities to respond, monitor, anticipate, and learn in changing conditions, especially to prepare for the unexpected. This includes increasing distance to cliff edge by knowing where it exists and how to increase safety margin. Responsibility: the operator is primarily responsible for safety, and the government is responsible for protecting public health and environment. For both, their right decisions are supported by competence, knowledge, and an understanding of the technology, as well as humble attitudes toward the limitations of what we know and what we can learn from others. Social license to operate: the need to avoid, as much as possible regardless of its probability of occurrence, the reasonably anticipated environmental impact (such as land contamination), as well as to build public confidence/trust and a renewed liability scheme.
Local Coverage of Three Mile Island during 1981-82.
ERIC Educational Resources Information Center
Friedman, Sharon M.
Local newspaper coverage of the Three Mile Island (TMI) nuclear power plant accident was examined in a study to determine what changes, if any, were made by local media and what lessons they had learned from it. Data were collected through interviews with 21 media representatives. TMI coverage in the six newspapers was examined using each…
DOE Office of Scientific and Technical Information (OSTI.GOV)
DeVine Jr, J.C.
The Three Mile Island Unit 2 (TMI-2) accident in March 1979 had a profound effect on the course of commercial nuclear generation in the United States and around the world. And while the central elements of the accident were matters of nuclear engineering, design and operations, its consequences were compounded, and in some respects superseded, by extraordinarily ineffective communications by all parties at all levels. Communications failures during the accident and its aftermath caused misunderstanding, distrust, and incorrect emergency response - and seeded or reinforced public opposition to nuclear power that persists to this day. There are communications lessons frommore » TMI that have not yet been fully learned, and some that once were learned but are now gradually being forgotten. The more glaring TMI communications problems were in the arena of external interactions and communications among the plant owner, the Nuclear Regulatory Commission (NRC), the media, and the public. Confusing, fragmented, and contradictory public statements early in the accident, regardless of cause, undermined all possibility for reasonable discourse thereafter. And because the TMI accident was playing out on a world stage, the breakdown in public trust had long term and widespread implications. At the plant site, both TMI-2 cleanup and restart of the undamaged TMI-1 unit met with years of public and political criticism, and attendant regulatory pressure. Across the nation, public trust in nuclear power and those who operate it plummeted, unquestionably contributing to the 25+ year hiatus in new plant orders. There were other, less visible but equally important, consequences of ineffective communications at TMI. The unplanned 'precautionary' evacuation urged by the governor two days after the accident - a life changing, traumatic event for thousands of residents - was prompted primarily by misunderstandings and miscommunications regarding the condition of the plant. And today, nearly 30 years after the event, many in our nuclear industry have insufficient knowledge or regard for the underlying nuclear safety vulnerabilities revealed by the accident, in part because these have not been well explained. From this single, compelling experience, many lessons can be drawn. Some of these were recognized early and taken to heart by those who own and operate nuclear plants - but over time, respect for their importance has given way somewhat to the seemingly more urgent practicalities of plant cost, schedule and production goals. In other cases, the lessons have remained largely obscure. This paper will describe in greater detail the communications aspects of the TMI accident, lessons that can be drawn from them, and their implications on current and future nuclear facility operation. The paper reflects the author's personal, direct experience as part of the accident response team and subsequent cleanup operations at TMI. In summary: The Three Mile Accident was the most severe nuclear accident in U.S. history. It also is perhaps the most studied industrial accident of any kind in U.S. history. Exhaustive examinations of the public health consequences of the accident show convincingly that the effects of radioactivity releases, if any, were imperceptibly low. It is generally agreed, however, that there have been perceptible health consequences from the TMI-2 accident - those linked to stress. Stress to members of the public, particularly those living near the plant, was unquestionably high. And for some the combination of rumor, confusion, contradictory reports and uncertainty, all leading to an evacuation recommendation from the governor, took a toll. It could be argued that the ineffective internal and external communications during the course of the event were as influential to the outcome as the equipment and operational breakdowns that are now so well understood. And for that reason alone, this accident points out that communications capabilities - staffing, systems, facilities, training - can be as important to protection of the public, the plant and the environment as are the plant material and technical issues that receive constant attention. (authors)« less
Space Nuclear Power Public and Stakeholder Risk Communication
NASA Technical Reports Server (NTRS)
Dawson, Sandra M.; Sklar, Maria
2005-01-01
The 1986 Challenger accident coupled with the Chernobyl nuclear reactor accident increased public concern about the safety of spacecraft using nuclear technology. While three nuclear powered spacecraft had been launched before 1986 with little public interest, future nuclear powered missions would see significantly more public concern and require NASA to increase its efforts to communicate mission risks to the public. In 1987 a separate risk communication area within the Launch Approval Planning Group of the Jet Propulsion Laboratory was created to address public concern about the health, environmental, and safety risks of NASA missions. The lessons learned from the risk communication strategies developed for the nuclear powered Galileo, Ulysses, and Cassini missions are reviewed in this paper and recommendations are given as to how these lessons can be applied to future NASA missions that may use nuclear power systems and other potentially controversial NASA missions.
Uth, Hans-Joachim; Wiese, Norbert
2004-07-26
Lessons learnt from accidents are essential sources for updating state of the art requirements in process safety. To improve this input by a systematic way in the FRG, a central body for collecting and evaluating major accident (ZEMA) was established in 1993. ZEMA is part of the Federal Environmental Agency. All events which are to be notified due to the German Regulation on Major Accidents (Störfall-Verordnung) are centrally collected, analysed (deducing lessons learnt) and documented by ZEMA. The bureau is also responsible for the dissemination of the lessons learnt to all stake holders. This work is done in co-operation with the German Major-Accident Hazard Commission (Störfallkommission) and other international bodies like European MAHB. At the time being, over 375 events from 1980 to 2002 are registered in Germany. For each event, a separate data sheet is published in annual reports, first started in 1993. All information is also available at. A summary evaluation on the events from 1993 to 1999 is presented and some basic lessons learnt are shown. The results from root cause analysis underline the importance of maintenance, detailed knowledge of chemical properties, human factor issues and the role of safety organisation especially connected with subcontractors. The German notification system is described in detail and some experience with the system is reported. Keeping in mind that collecting reports from notified major accidents is only a small amount compared with all the events which might be interesting to learn from, the German Major-Accident Hazard Commission has established a separate body, the subcommittee "Incident Evaluation", which is in charge with collecting and evaluating of minor and near-miss events. Since 1994, a concept for the registration and evaluation of those non-notifiable events was developed. From 2000 on, the concept has been put into operation. Its main elements are; 1. reporting of the incident by the plant operator to an information collecting point of its trust, 2. passing the anonymous report to the "Incident Evaluation" subcommittee, 3. evaluation and classification whether the incident is safety relevant or not and, 4. publishing the relevant information to all interested stake holders, preparing of summary evaluation results in certain areas. Up to now, two brochures on "waste gas pipes" and "obstructions of pipes" were published.
WHO's public health agenda in response to the Fukushima Daiichi nuclear accident.
van Deventer, Emilie; Del Rosario Perez, Maria; Tritscher, Angelika; Fukushima, Kazuko; Carr, Zhanat
2012-03-01
The World Health Organization (WHO) has responded to the 2011 East-Japan earthquake and tsunami through the three levels of its decentralised structure. It has provided public health advice regarding a number of issues relating to protective measures, potassium iodide use, as well as safety of food and drinking water, mental health, travel, tourism, and trade. WHO is currently developing an initial health risk assessment linked to a preliminary evaluation of radiation exposure around the world from the Fukushima Daiichi nuclear accident. Lessons learned from this disaster are likely to help future emergency response to multi-faceted disasters.
Callen, Jessica; Homma, Toshimitsu
2017-06-01
What insights can the accident at the Fukushima Daiichi nuclear power plant provide in the reality of decision making on actions to protect the public during a severe reactor and spent fuel pool emergency? In order to answer this question, and with the goal of limiting the consequences of any future emergencies at a nuclear power plant due to severe conditions, this paper presents the main actions taken in response to the emergency in the form of a timeline. The focus of this paper is those insights concerning the progression of an accident due to severe conditions at a light water reactor nuclear power plant that must be understood in order to protect the public.
INL Director Discusses Lessons Learned from TMI, Fukushima
Grossenbacher, John
2017-12-22
Idaho National Laboratory's Director John Grossenbacher explains how the U.S. nuclear industry has boosted its safety procedures as a result of the Three Mile Island (TMI) accident in 1979 and how the industry plans to use current events at Japan's Fukushima nuclear plants to further enhance safety. For more information about INL's nuclear energy research, visit http://www.facebook.com/idahonationallaboratory.
NASA Medical Response to Human Spacecraft Accidents
NASA Technical Reports Server (NTRS)
Patlach, Robert
2010-01-01
Manned space flight is risky business. Accidents have occurred and may occur in the future. NASA's manned space flight programs, with all their successes, have had three fatal accidents, one at the launch pad and two in flight. The Apollo fire and the Challenger and Columbia accidents resulted in a loss of seventeen crewmembers. Russia's manned space flight programs have had three fatal accidents, one ground-based and two in flight. These accidents resulted in the loss of five crewmembers. Additionally, manned spacecraft have encountered numerous close calls with potential for disaster. The NASA Johnson Space Center Flight Safety Office has documented more than 70 spacecraft incidents, many of which could have become serious accidents. At the Johnson Space Center (JSC), medical contingency personnel are assigned to a Mishap Investigation Team. The team deploys to the accident site to gather and preserve evidence for the Accident Investigation Board. The JSC Medical Operations Branch has developed a flight surgeon accident response training class to capture the lessons learned from the Columbia accident. This presentation will address the NASA Mishap Investigation Team's medical objectives, planned response, and potential issues that could arise subsequent to a manned spacecraft accident. Educational Objectives are to understand the medical objectives and issues confronting the Mishap Investigation Team medical personnel subsequent to a human space flight accident.
NASA Astrophysics Data System (ADS)
Repussard, Jacques; Schwarz, Michel
2012-05-01
After the Three Mile Island accident in 1979 and the Chernobyl accident in 1986, the Fukushima accident shows that the probability of a core meltdown accident in an LWR (Light Water Reactor) has been largely underestimated. The consequences of such an accident are unacceptable: except in the case of TMI2 (Three Mile Island 2) large areas around the damaged plants are contaminated for decades and populations have to be relocated for long periods. This article presents the French approach which consists in improving continuously the safety of the Nuclear Power Plants (NPP) on the basis of lessons learned from operating experience and from the progress in R&D (Research and Development). It details the key role played by IRSN (Institut de radioprotection et de sûreté nucléaire), the French TSO (Technical and scientific Safety Organization), and shows how the Fukushima accident contributes to this approach in improving NPP robustness. It concludes on the necessity to keep on networking TSOs, to share knowledge as well as R&D resources, with the ultimate goal of enhancing and harmonizing nuclear safety worldwide.
Biomedical Lessons from the Chernobyl Nuclear Power Plant Accident
1990-10-01
Lessons From the Lt Col Doris Browne, MC Chernobyl Nuclear Power Plant Accident The Chernobyl nuclear accident afforded the treating physicians a...radiation accident posited on the skin and mucous mem- A Lt Col Dori Browne, MC, is Chief, Medicaloccurred at the Chernobyl nuclear branes from the molten...Conclusion ulcers of oral mucosa, which required irradiation. He also had persistent The consequences ot the Chernobyl sterile saline irrigation and
Development of Northeast Asia Nuclear Power Plant Accident Simulator.
Kim, Juyub; Kim, Juyoul; Po, Li-Chi Cliff
2017-06-15
A conclusion from the lessons learned after the March 2011 Fukushima Daiichi accident was that Korea needs a tool to estimate consequences from a major accident that could occur at a nuclear power plant located in a neighboring country. This paper describes a suite of computer-based codes to be used by Korea's nuclear emergency response staff for training and potentially operational support in Korea's national emergency preparedness and response program. The systems of codes, Northeast Asia Nuclear Accident Simulator (NANAS), consist of three modules: source-term estimation, atmospheric dispersion prediction and dose assessment. To quickly assess potential doses to the public in Korea, NANAS includes specific reactor data from the nuclear power plants in China, Japan and Taiwan. The completed simulator is demonstrated using data for a hypothetical release. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
System safety management lessons learned from the US Army acquisition process
DOE Office of Scientific and Technical Information (OSTI.GOV)
Piatt, J.A.
1989-05-01
The Assistant Secretary of the Army for Research, Development and Acquisition directed the Army Safety Center to provide an audit of the causes of accidents and safety of use restrictions on recently fielded systems by tracking residual hazards back through the acquisition process. The objective was to develop lessons learned'' that could be applied to the acquisition process to minimize mishaps in fielded systems. System safety management lessons learned are defined as Army practices or policies, derived from past successes and failures, that are expected to be effective in eliminating or reducing specific systemic causes of residual hazards. They aremore » broadly applicable and supportive of the Army structure and acquisition objectives. Pacific Northwest Laboratory (PNL) was given the task of conducting an independent, objective appraisal of the Army's system safety program in the context of the Army materiel acquisition process by focusing on four fielded systems which are products of that process. These systems included the Apache helicopter, the Bradley Fighting Vehicle (BFV), the Tube Launched, Optically Tracked, Wire Guided (TOW) Missile and the High Mobility Multipurpose Wheeled Vehicle (HMMWV). The objective of this study was to develop system safety management lessons learned associated with the acquisition process. The first step was to identify residual hazards associated with the selected systems. Since it was impossible to track all residual hazards through the acquisition process, certain well-known, high visibility hazards were selected for detailed tracking. These residual hazards illustrate a variety of systemic problems. Systemic or process causes were identified for each residual hazard and analyzed to determine why they exist. System safety management lessons learned were developed to address related systemic causal factors. 29 refs., 5 figs.« less
Industrial Safety and Utopia: Insights from the Fukushima Daiichi Accident.
Travadel, Sébastien; Guarnieri, Franck; Portelli, Aurélien
2018-01-01
Feedback from industrial accidents is provided by various state or even international, institutions, and lessons learned can be controversial. However, there has been little research into organizational learning at the international level. This article helps to fill the gap through an in-depth review of official reports of the Fukushima Daiichi accident published shortly after the event. We present a new method to analyze the arguments contained in these voluminous documents. Taking an intertextual perspective, the method focuses on the accident narratives, their rationale, and links between "facts," "causes," and "recommendations." The aim is to evaluate how the findings of the various reports are consistent with (or contradict) "institutionalized knowledge," and identify the social representations that underpin them. We find that although the scientific controversy surrounding the results of the various inquiries reflects different ethical perspectives, they are integrated into the same utopian ideal. The involvement of multiple actors in this controversy raises questions about the public construction of epistemic authority, and we highlight the special status given to the International Atomic Energy Agency in this regard. © 2017 The Authors Risk Analysis published by Wiley Periodicals, Inc. on behalf of Society for Risk Analysis.
ERIC Educational Resources Information Center
Ricles, Shannon
This teacher's guide, with accompanying videotape, presents an episode of the NASA SCI Files. In this episode, one of the tree house detectives has had an accident and cannot get into the tree house. Using problem-based learning, the rest of the gang investigates the world of simple machines and physical science and "pull" together to…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1991-07-01
On August 28 and September 18, 1990, Gulf States Utilities, the States of Louisiana and Mississippi, five local parishes, six Federal agencies, and the American Nuclear Insurers participated in a post-emergency TABLETOP exercise in Baton Rouge, Louisiana. The purpose of the exercise was to examine the post-emergency roles, responsibilities, and resources of utility, State, local, Federal and insurance organizations in response to a hypothetical accident at the River Bend Station in Louisiana resulting in a significant release of radiation to the environment. In pursuit of this goal, five major focus areas were addressed: (1) ingestion pathway response; (2) reentry, relocationmore » and return; (3) decontamination of recovery; (4) indemnification of financial losses; and (5) deactivation of the emergency response. This report documents the lessons learned from that exercise.« less
Ontology Development and Evolution in the Accident Investigation Domain
NASA Technical Reports Server (NTRS)
Carvalho, Robert; Berrios, Dan; Williams, James
2004-01-01
InvestiigationOrganizer (IO) is a collaborative semantic web system designed to support the conduct of mishap investigations. IO provides a common repository for a wide range of mishap related information, allowing investigators to integrate evidence, causal models, and investigation results. IO has been used to support investigations ranging from a small property damage case to the loss of the Space Shuttle Columbia. Through IO'S use in these investigations, we have learned significant lessons? about the application of ontologies and semantic systems to solving real-world problems. This paper will describe the development of the ontology within IO, from the initial development, its growth in response to user requests during use in investigations, and the recent work that was done to control the results of that growth. This paper will also describe the lessons learned from this experience and how they may apply to the implementaton of future ontologies and semantic systems.
Lessons Learned from the Wide Field Camera 3 TV1 Test Campaign and Correlation Effort
NASA Technical Reports Server (NTRS)
Peabody, Hume; Stavley, Richard; Bast, William
2007-01-01
In January 2004, shortly after the Columbia accident, future servicing missions to the Hubble Space Telescope (HST) were cancelled. In response to this, further work on the Wide Field Camera 3 instrument was ceased. Given the maturity level of the design, a characterization thermal test (TV1) was completed in case the mission was re-instated or an alternate mission found on which to fly the instrument. This thermal test yielded some valuable lessons learned with respect to testing configurations and modeling/correlation practices, including: 1. Ensure that the thermal design can be tested 2. Ensure that the model has sufficient detail for accurate predictions 3. Ensure that the power associated with all active control devices is predicted 4. Avoid unit changes for existing models. This paper documents the difficulties presented when these recommendations were not followed.
Dynamics Modeling and Simulation of Large Transport Airplanes in Upset Conditions
NASA Technical Reports Server (NTRS)
Foster, John V.; Cunningham, Kevin; Fremaux, Charles M.; Shah, Gautam H.; Stewart, Eric C.; Rivers, Robert A.; Wilborn, James E.; Gato, William
2005-01-01
As part of NASA's Aviation Safety and Security Program, research has been in progress to develop aerodynamic modeling methods for simulations that accurately predict the flight dynamics characteristics of large transport airplanes in upset conditions. The motivation for this research stems from the recognition that simulation is a vital tool for addressing loss-of-control accidents, including applications to pilot training, accident reconstruction, and advanced control system analysis. The ultimate goal of this effort is to contribute to the reduction of the fatal accident rate due to loss-of-control. Research activities have involved accident analyses, wind tunnel testing, and piloted simulation. Results have shown that significant improvements in simulation fidelity for upset conditions, compared to current training simulations, can be achieved using state-of-the-art wind tunnel testing and aerodynamic modeling methods. This paper provides a summary of research completed to date and includes discussion on key technical results, lessons learned, and future research needs.
[Medical protection during radiation accidents: some results and lessons of the Chernobyl accident].
Legeza, V I; Grebeniuk, A N; Zatsepin, V V
2011-01-01
Actions of medical radiation protection of liquidators of consequences of on Chernobyl atomic power station accident are analysed. It is shown, that during the early period of the accident medical protection of liquidators was provided by administration of radioprotectors, means of prophylaxis: of radioactive iodine incorporation and agent for preventing psychological and emotional stress. When carrying out decontamination and regenerative works, preparations which action is caused by increase of nonspecific resistance of an organism were applied. The lessons taken from the results of the Chernobyl accident, have allowed one to improve the system of medical protection and to introduce in practice new highly effective radioprotective agents.
Consequences and countermeasures in a nuclear power accident: Chernobyl experience.
Kirichenko, Vladimir A; Kirichenko, Alexander V; Werts, Day E
2012-09-01
Despite the tragic accidents in Fukushima and Chernobyl, the nuclear power industry will continue to contribute to the production of electric energy worldwide until there are efficient and sustainable alternative sources of energy. The Chernobyl nuclear accident, which occurred 26 years ago in the former Soviet Union, released an immense amount of radioactivity over vast territories of Belarus, Ukraine, and the Russian Federation, extending into northern Europe, and became the most severe accident in the history of the nuclear industry. This disaster was a result of numerous factors including inadequate nuclear power plant design, human errors, and violation of safety measures. The lessons learned from nuclear accidents will continue to strengthen the safety design of new reactor installations, but with more than 400 active nuclear power stations worldwide and 104 reactors in the Unites States, it is essential to reassess fundamental issues related to the Chernobyl experience as it continues to evolve. This article summarizes early and late events of the incident, the impact on thyroid health, and attempts to reduce agricultural radioactive contamination.
Lessons from Fukushima for Improving the Safety of Nuclear Reactors
NASA Astrophysics Data System (ADS)
Lyman, Edwin
2012-02-01
The March 2011 accident at the Fukushima Daiichi nuclear power plant has revealed serious vulnerabilities in the design, operation and regulation of nuclear power plants. While some aspects of the accident were plant- and site-specific, others have implications that are broadly applicable to the current generation of nuclear plants in operation around the world. Although many of the details of the accident progression and public health consequences are still unclear, there are a number of lessons that can already be drawn. The accident demonstrated the need at nuclear plants for robust, highly reliable backup power sources capable of functioning for many days in the event of a complete loss of primary off-site and on-site electrical power. It highlighted the importance of detailed planning for severe accident management that realistically evaluates the capabilities of personnel to carry out mitigation operations under extremely hazardous conditions. It showed how emergency plans rooted in the assumption that only one reactor at a multi-unit site would be likely to experience a crisis fail miserably in the event of an accident affecting multiple reactor units simultaneously. It revealed that alternate water injection following a severe accident could be needed for weeks or months, generating large volumes of contaminated water that must be contained. And it reinforced the grim lesson of Chernobyl: that a nuclear reactor accident could lead to widespread radioactive contamination with profound implications for public health, the economy and the environment. While many nations have re-examined their policies regarding nuclear power safety in the months following the accident, it remains to be seen to what extent the world will take the lessons of Fukushima seriously and make meaningful changes in time to avert another, and potentially even worse, nuclear catastrophe.
Fukushima Daiichi Information Repository FY13 Status
DOE Office of Scientific and Technical Information (OSTI.GOV)
Smith, Curtis; Phelan, Cherie; Schwieder, Dave
The accident at the Fukushima Daiichi nuclear power station in Japan is one of the most serious in commercial nuclear power plant operating history. Much will be learned that may be applicable to the U.S. reactor fleet, nuclear fuel cycle facilities, and supporting systems, and the international reactor fleet. For example, lessons from Fukushima Daiichi may be applied to emergency response planning, reactor operator training, accident scenario modeling, human factors engineering, radiation protection, and accident mitigation; as well as influence U.S. policies towards the nuclear fuel cycle including power generation, and spent fuel storage, reprocessing, and disposal. This document describesmore » the database used to establish a centralized information repository to store and manage the Fukushima data that has been gathered. The data is stored in a secured (password protected and encrypted) repository that is searchable and available to researchers at diverse locations.« less
Aviation Safety Risk Modeling: Lessons Learned From Multiple Knowledge Elicitation Sessions
NASA Technical Reports Server (NTRS)
Luxhoj, J. T.; Ancel, E.; Green, L. L.; Shih, A. T.; Jones, S. M.; Reveley, M. S.
2014-01-01
Aviation safety risk modeling has elements of both art and science. In a complex domain, such as the National Airspace System (NAS), it is essential that knowledge elicitation (KE) sessions with domain experts be performed to facilitate the making of plausible inferences about the possible impacts of future technologies and procedures. This study discusses lessons learned throughout the multiple KE sessions held with domain experts to construct probabilistic safety risk models for a Loss of Control Accident Framework (LOCAF), FLightdeck Automation Problems (FLAP), and Runway Incursion (RI) mishap scenarios. The intent of these safety risk models is to support a portfolio analysis of NASA's Aviation Safety Program (AvSP). These models use the flexible, probabilistic approach of Bayesian Belief Networks (BBNs) and influence diagrams to model the complex interactions of aviation system risk factors. Each KE session had a different set of experts with diverse expertise, such as pilot, air traffic controller, certification, and/or human factors knowledge that was elicited to construct a composite, systems-level risk model. There were numerous "lessons learned" from these KE sessions that deal with behavioral aggregation, conditional probability modeling, object-oriented construction, interpretation of the safety risk results, and model verification/validation that are presented in this paper.
History of nuclear technology development in Japan
NASA Astrophysics Data System (ADS)
Yamashita, Kiyonobu
2015-04-01
Nuclear technology development in Japan has been carried out based on the Atomic Energy Basic Act brought into effect in 1955. The nuclear technology development is limited to peaceful purposes and made in a principle to assure their safety. Now, the technologies for research reactors radiation application and nuclear power plants are delivered to developing countries. First of all, safety measures of nuclear power plants (NPPs) will be enhanced based on lesson learned from TEPCO Fukushima Daiichi NPS accident.
NASA Technical Reports Server (NTRS)
Maxwell, Theresa G.; Bihner, William J.
2010-01-01
This paper discusses the NASA Headquarters mishap response process for the Space Shuttle and International Space Station programs, and how the process has evolved based on lessons learned from the Space Shuttle Challenger and Columbia accidents. It also describes the NASA Headquarters Space Operations Center (SOC) and its special role in facilitating senior management's overall situational awareness of critical spaceflight operations, before, during, and after a mishap, to ensure a timely and effective contingency response.
History of nuclear technology development in Japan
DOE Office of Scientific and Technical Information (OSTI.GOV)
Yamashita, Kiyonobu, E-mail: yamashita.kiyonobu@jaea.go.jp; General Advisor Nuclear HRD Centre, Japan Atomic Energy Agency, TOKAI-mura, NAKA-gun, IBARAKI-ken, 319-1195
2015-04-29
Nuclear technology development in Japan has been carried out based on the Atomic Energy Basic Act brought into effect in 1955. The nuclear technology development is limited to peaceful purposes and made in a principle to assure their safety. Now, the technologies for research reactors radiation application and nuclear power plants are delivered to developing countries. First of all, safety measures of nuclear power plants (NPPs) will be enhanced based on lesson learned from TEPCO Fukushima Daiichi NPS accident.
Impact Testing of Orbiter Thermal Protection System Materials
NASA Technical Reports Server (NTRS)
Kerr, Justin
2006-01-01
This viewgraph presentation reviews the impact testing of the materials used in designing the shuttle orbiter thermal protection system (TPS). Pursuant to the Columbia Accident Investigation Board recommendations a testing program of the TPS system was instituted. This involved using various types of impactors in different sizes shot from various sizes and strengths guns to impact the TPS tiles and the Leading Edge Structural Subsystem (LESS). The observed damage is shown, and the resultant lessons learned are reviewed.
Hiraoka, Koh; Tateishi, Seiichiro; Mori, Koji
2015-01-01
The aim of this review was to summarize the lessons learned from the experience in protecting the health of workers engaged in operations following the accident at the Fukushima Daiichi Nuclear Power Plant (NPP). We reviewed all types of scientific papers examining workers' health found in Medline and Web of Sciences as well as some official reports published by the Ministry of Health, Labour and Welfare of Japan and other governmental institutes. The papers and reports were classified into those investigating workers at the Fukushima Daiichi and Daini NPPs, workers engaged in decontamination operations in designated areas, and other workers. Regarding workers at the NPPs, many efforts were made to establish an emergency-care and occupational health system. Risk management efforts were undertaken for radiation exposure, heat stress, psychological stress, outbreak of infectious diseases, and fitness for work. Only a few reports dealt with decontamination workers and others; however, the health management of these workers was clearly weaker than that for workers at the NPPs. Many lessons can be learned from what occurred. That knowledge can be applied to ongoing decommissioning work and to future disasters. In addition, it is necessary to study the long-term health effects of radiation exposure and to accumulate data about the health of workers engaged in decontamination work and other areas.
Drupsteen, Linda; Groeneweg, Jop; Zwetsloot, Gerard I J M
2013-01-01
Many incidents have occurred because organisations have failed to learn from lessons of the past. This means that there is room for improvement in the way organisations analyse incidents, generate measures to remedy identified weaknesses and prevent reoccurrence: the learning from incidents process. To improve that process, it is necessary to gain insight into the steps of this process and to identify factors that hinder learning (bottlenecks). This paper presents a model that enables organisations to analyse the steps in a learning from incidents process and to identify the bottlenecks. The study describes how this model is used in a survey and in 3 exploratory case studies in The Netherlands. The results show that there is limited use of learning potential, especially in the evaluation stage. To improve learning, an approach that considers all steps is necessary.
Recovery of the Space Shuttle Columbia Avionics
NASA Technical Reports Server (NTRS)
Hames, Kevin L.
2003-01-01
Lessons Learned: a) Avionics data can playa critical role in the investigation of a "close call" or accident. b) Avionics designers should think about the role their systems might play in an investigation. c) Know your data, down to the bit level. d) Know your spacecraft - follow the data. e) Internal placement of circuit cards can affect their survivability. f) Think about how to reconstruct nonvolatile memory (e.g. serialize IC's, etc.) g) Use of external assets can aid in extracting data from avionics.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Mansfield, N.J.
1992-01-01
The increasing number of hazardous materials accidents in the United States has resulted in new federal regulations addressing the emergency response activities associated with chemical releases. A significant part of these new federal standards (29 CFR 1910.120 and 40 CFR Part 311) requires compliance with specific criteria by all personnel involved in a hazardous material emergency. This study investigated alternative lesson design models applicable to instruction for hazardous material emergencies. A specialized design checklist was created based on the work of Gagne, Briggs, and Wager (1988), Merrill (1987), and Clark (1989). This checklist was used in the development of lessonmore » plan templates for the hazardous materials incident commander course. Qualitative data for establishing learning objectives was collected by conducting a needs assessment and a job analysis of the incident commander position. Incident commanders from 14 public and private organizations participated in the needs assessment process. Technical information for the lessons was collected from appropriate governmental agencies. The implementation of the checklist and lesson plans can contribute to assuring quality training for incident commanders throughout the United States.« less
Aircraft-Assisted Pilot Suicides: Lessons to be Learned.
Vuorio, Alpo; Laukkala, Tanja; Navathe, Pooshan; Budowle, Bruce; Eyre, Anne; Sajantila, Antti
2014-08-01
Aircraft assisted suicides were studied in the United States, United Kingdom, Germany, and Finland during 1956-2012 by means of literature search and accident case analysis. According to our study the frequency varied slightly between the studies. Overall, the new estimate of aircraft assisted suicides in the United States in a 20-yr period (1993-2012) is 0.33% (95% CI 0.21-0.49) (24/7244). In the detailed accident case analysis, it was found that in five out of the eight cases from the United States, someone knew of prior suicidal ideation before the aircraft assisted fatality. The caveats of standard medico-legal autopsy and accident investigation methods in investigation of suspected aircraft assisted suicides are discussed. It is suggested that a psychological autopsy should be performed in all such cases. Also the social context and possibilities of the prevention of aviation-related suicides were analyzed. In addition, some recent aircraft assisted suicides carried out using commercial aircraft during scheduled services and causing many casualties are discussed.
Analysis on the Role of RSG-GAS Pool Cooling System during Partial Loss of Heat Sink Accident
NASA Astrophysics Data System (ADS)
Susyadi; Endiah, P. H.; Sukmanto, D.; Andi, S. E.; Syaiful, B.; Hendro, T.; Geni, R. S.
2018-02-01
RSG-GAS is a 30 MW reactor that is mostly used for radioisotope production and experimental activities. Recently, it is regularly operated at half of its capacity for efficiency reason. During an accident, especially loss of heat sink, the role of its pool cooling system is very important to dump decay heat. An analysis using single failure approach and partial modeling of RELAP5 performed by S. Dibyo, 2010 shows that there is no significant increase in the coolant temperature if this system is properly functioned. However lessons learned from the Fukushima accident revealed that an accident can happen due to multiple failures. Considering ageing of the reactor, in this research the role of pool cooling system is to be investigated for a partial loss of heat sink accident which is at the same time the protection system fails to scram the reactor when being operated at 15 MW. The purpose is to clarify the transient characteristics and the final state of the coolant temperature. The method used is by simulating the system in RELAP5 code. Calculation results shows the pool cooling systems reduce coolant temperature for about 1 K as compared without activating them. The result alsoreveals that when the reactor is being operated at half of its rated power, it is still in safe condition for a partial loss of heat sink accident without scram.
Short-Term Medical Consequences of the Chernobyl Nuclear Accident: Lessons for the Future
Gale, Robert Peter
1988-01-01
The author of this article discusses the world's most serious nuclear accident to date: the Chernobyl nuclear accident of April 1986. His major focus is on the short-term medical consequences of the accident, including reduction of exposure to persons at risk, evaluation of persons potentially affected, dosimetry, and specific medical interventions. PMID:21253129
Crew/Automation Interaction in Space Transportation Systems: Lessons Learned from the Glass Cockpit
NASA Technical Reports Server (NTRS)
Rudisill, Marianne
2000-01-01
The progressive integration of automation technologies in commercial transport aircraft flight decks - the 'glass cockpit' - has had a major, and generally positive, impact on flight crew operations. Flight deck automation has provided significant benefits, such as economic efficiency, increased precision and safety, and enhanced functionality within the crew interface. These enhancements, however, may have been accrued at a price, such as complexity added to crew/automation interaction that has been implicated in a number of aircraft incidents and accidents. This report briefly describes 'glass cockpit' evolution. Some relevant aircraft accidents and incidents are described, followed by a more detailed description of human/automation issues and problems (e.g., crew error, monitoring, modes, command authority, crew coordination, workload, and training). This paper concludes with example principles and guidelines for considering 'glass cockpit' human/automation integration within space transportation systems.
Fire and Explosion Hazards Expected in a Laboratory
DOE Office of Scientific and Technical Information (OSTI.GOV)
Rasool, Shireen R.; Al-Dahhan, Wedad; Al-Zuhairi, Ali Jassim
Scientists at universities across Iraq are actively working to report actual incidents and accidents occurring in their laboratories, as well as structural improvements made to improve safety and security, to raise awareness and encourage openness, leading to widespread adoption of robust Chemical Safety and Security (CSS) practices. This manuscript is the fifth in a series of five case studies describing laboratory incidents, accidents, and laboratory improvements. In this study, we summarize unsafe practices involving the improper installation of a Gas Chromatograph (GC) at an Iraqi university which, if not corrected, could have resulted in a dangerous fire and explosion. Wemore » summarize the identified infractions and highlight lessons learned. By openly sharing the experiences at the university involved, we hope to minimize the possibility of another researcher being injured due to similarly unsafe practices in the future.« less
Population evacuations in industrial accidents: a review of the literature about four major events.
Soffer, Yechiel; Schwartz, Dagan; Goldberg, Avishay; Henenfeld, Maxim; Bar-Dayan, Yaron
2008-01-01
This article reviews the literature describing four chemical and nuclear accidents and the lessons learned from each regarding the evacuation of civilian populations. Evacuation may save lives however, if poorly orchestrated, it may cause serious problems. For example, an inaccurate assessment of danger may lead to the evacuation of the same population twice, as the area requiring evacuation becomes larger than originally expected. Evacuation programs should focus on the vulnerable components of the populations, such as the elderly, children, and the disabled, and also should include plans for the care of pets and other animals. Training programs for civilians living near industrial centers and other high-risk areas should be considered. Finally, pre-event planning and preparation can improve the evacuation process and prevent panic behavior, and thus result in fewer casualties.
Roed-Larsen, Sverre; Valvisto, T; Harms-Ringdahl, L; Kirchsteiger, C
2004-07-26
Europe has during recent years been shocked by disasters from natural events and technical breakdowns. The consequences have been comprehensive, measured by lost lives, injuries, and material and environmental damage. ESReDA wanted in 2000--by setting up a special expert group on accident investigation--to clarify the state of art of accident investigation practices and to map the use of thoroughly accident investigation in order to learn lessons from past disasters and prevent new ones. The scope was to cover three sectors in the society: transport, production processes and storage of hazardous materials, and energy production. The main method used was a questionnaire, which was sent in 2001 to about 150 organisations. About 50 replies were analysed. The replies showed great variations but also similarities, among others in definition of accident and incident, the objectives of the investigation team, criteria used to start an investigation, the status of the investigation organisation, the flow of information, the composition of the investigation team, and the use of internal or international procedures or rules. Several methods (in total 14 different methods were mentioned) were used for carrying out accident /incident investigations. Most of the respondents were willing to co-operate in one or another way with ESReDA. Although there are important biases in the material, the results from questionnaire are important inputs to the future work of ESReDA Expert group in this field. 3 safety approaches have been identified.
NASA Technical Reports Server (NTRS)
Dittermore, Gary; Bertels, Christie
2011-01-01
Operations of human spaceflight systems is extremely complex; therefore, the training and certification of operations personnel is a critical piece of ensuring mission success. Mission Control Center (MCC-H), at the Lyndon B. Johnson Space Center in Houston, Texas, manages mission operations for the Space Shuttle Program, including the training and certification of the astronauts and flight control teams. An overview of a flight control team s makeup and responsibilities during a flight, and details on how those teams are trained and certified, reveals that while the training methodology for developing flight controllers has evolved significantly over the last thirty years the core goals and competencies have remained the same. In addition, the facilities and tools used in the control center have evolved. Changes in methodology and tools have been driven by many factors, including lessons learned, technology, shuttle accidents, shifts in risk posture, and generational differences. Flight controllers share their experiences in training and operating the space shuttle. The primary training method throughout the program has been mission simulations of the orbit, ascent, and entry phases, to truly train like you fly. A review of lessons learned from flight controller training suggests how they could be applied to future human spaceflight endeavors, including missions to the moon or to Mars. The lessons learned from operating the space shuttle for over thirty years will help the space industry build the next human transport space vehicle.
Coe, Laura J; St John, Julie Ann; Hariprasad, Santhi; Shankar, Kalpana N; MacCulloch, Patricia A; Bettano, Amy L; Zotter, Jean
2017-01-01
Older adult falls continue to be a public health priority across the United States-Massachusetts (MA) being no exception. The MA Prevention and Wellness Trust Fund (PWTF) program within the MA Department of Public Health aims to reduce the physical and economic burdens of chronic health conditions by linking evidence-based clinical care with community intervention programs. The PWTF partnerships that focused on older adult falls prevention integrated the Centers for Disease Control and Prevention's Stopping Elderly Accidents, Death and Injuries toolkit into clinical settings. Partnerships also offer referrals for home safety assessments, Tai Chi, and Matter of Balance programs. This paper describes the PWTF program implementation process involving 49 MA organizations, while highlighting the successes achieved and lessons learned. With the unprecedented expansion of the U.S. Medicare beneficiary population, and the escalating incidence of falls, widespread adoption of effective prevention strategies will become increasingly important for both public health and for controlling healthcare costs. The lessons learned from this PWTF initiative offer insights and recommendations for future falls prevention program development and implementation.
ESOL Workplace Photos and Lesson Plans.
ERIC Educational Resources Information Center
Zavez, Joan; And Others
This teaching guide contains nine lesson plans for teaching job-related English for speakers of other languages (ESOL) to employees at Barber Foods in Maine. The lessons cover the following topics: (1) rotation directions; (2) protective clothing (level 2 and level 2/3); (3) talking to supervisors; (4) accident prevention; (5) machinery…
Maintenance and Testing of Fume Cupboard
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hussein, Falah H.; Al-Dahhan, Wedad H.; Al-Zuhairi, Ali Jassim
Scientists at universities across Iraq are actively working to report actual incidents and accidents occurring in their laboratories, as well as structural improvements made to improve safety and security, to raise awareness and encourage openness, leading to widespread adoption of robust Chemical Safety and Security (CSS) practices. This manuscript highlights the importance of periodic maintenance on fume cupboards, and is the fourth in a series of five case studies describing laboratory incidents, accidents, and laboratory improvements. In this study, we describe a situation in which the ventilation capacity of the fume cupboard in the undergraduate chemistry laboratories at Al-Nahrain Universitymore » had decreased to an unacceptable level. The CSS Committee investigated and found the ducting system had been blocked by plastic sheets and dead birds. All the ducts have since been cleaned, and four extra ventilation fans have been installed to further increase ventilation capacity. By openly sharing what happened along with the lessons learned from the accident, we hope to minimize the possibility of another researcher being injured in a similar incident in the future.« less
Engineering thinking in emergency situations: A new nuclear safety concept
Guarnieri, Franck; Travadel, Sébastien
2014-01-01
The lessons learned from the Fukushima Daiichi accident have focused on preventive measures designed to protect nuclear reactors, and crisis management plans. Although there is still no end in sight to the accident that occurred on March 11, 2011, how engineers have handled the aftermath offers new insight into the capacity of organizations to adapt in situations that far exceed the scope of safety standards based on probabilistic risk assessment and on the comprehensive identification of disaster scenarios. Ongoing crises in which conventional resources are lacking, but societal expectations are high, call for “engineering thinking in emergency situations.” This is a new concept that emphasizes adaptability and resilience within organizations—such as the ability to create temporary new organizational structures; to quickly switch from a normal state to an innovative mode; and to integrate a social dimension into engineering activities. In the future, nuclear safety oversight authorities should assess the ability of plant operators to create and implement effective engineering strategies on the fly, and should require that operators demonstrate the capability for resilience in the aftermath of an accident. PMID:25419015
Engineering thinking in emergency situations: A new nuclear safety concept.
Guarnieri, Franck; Travadel, Sébastien
2014-11-01
The lessons learned from the Fukushima Daiichi accident have focused on preventive measures designed to protect nuclear reactors, and crisis management plans. Although there is still no end in sight to the accident that occurred on March 11, 2011, how engineers have handled the aftermath offers new insight into the capacity of organizations to adapt in situations that far exceed the scope of safety standards based on probabilistic risk assessment and on the comprehensive identification of disaster scenarios. Ongoing crises in which conventional resources are lacking, but societal expectations are high, call for "engineering thinking in emergency situations." This is a new concept that emphasizes adaptability and resilience within organizations-such as the ability to create temporary new organizational structures; to quickly switch from a normal state to an innovative mode; and to integrate a social dimension into engineering activities. In the future, nuclear safety oversight authorities should assess the ability of plant operators to create and implement effective engineering strategies on the fly, and should require that operators demonstrate the capability for resilience in the aftermath of an accident.
Chernobyl and Goiânia lessons for responding to radiological terrorism.
Steinhausler, Friedrich
2005-11-01
The deployment of a radiological dispersal device (RDD) is likely to result in relatively low radiation exposure of the targeted population, insufficient to cause a severe radiation detriment. Nevertheless, due to atmospheric dispersion of the radioactive material, an urban area equaling several city blocks could be affected. The current knowledge base concerning the response to radiological terrorism, focusing mainly on environmental cleanup and site recovery (CSR) of areas with radioactive contamination due to the deployment of an RDD, is largely derived from military scientific tests or exercises assembled over the past 50 y with only limited applicability to the consequences of an RDD detonating in a city. This paper focuses on the extensive experience in CSR gained in the management of the radiological accident contaminating the Brazilian city of Goiânia in 1987, and managing the aftermath of the Chernobyl reactor accident in 1986. The incident in Goiânia demonstrated the numerous practical difficulties of implementing a sound CSR, based on a balanced judgment of all relevant factors, such as radiation safety, environmental issues, economic consequences, and public fear. A review of the different stages of the intervention policy in the former Soviet Union reveals that risk-benefit cost analysis was not used for the decision-making process during the later stages of the post-accident situation. Instead, a CSR policy was adopted that resulted in continuously escalating costs. The results of this analysis are used to develop an Integrated Cleanup and Site Restoration Concept and recommend practically applicable solutions from Lessons Learned.
Shimura, Tsutomu; Yamaguchi, Ichiro; Terada, Hiroshi; Robert Svendsen, Erik; Kunugita, Naoki
2015-01-01
Herein we summarize the public health actions taken to mitigate exposure of the public to radiation after the Fukushima accident that occurred on 11 March 2011 in order to record valuable lessons learned for disaster preparedness. Evacuations from the radiation-affected areas and control of the distribution of various food products contributed to the reduction of external and internal radiation exposure resulting from the Fukushima incident. However, risk communication is also an important issue during the emergency response effort and subsequent phases of dealiing with a nuclear disaster. To assist with their healing process, sound, reliable scientific information should continue to be disseminated to the radiation-affected communities via two-way communication. We will describe the essential public health actions following a nuclear disaster for the early, intermediate and late phases that will be useful for radiological preparedness planning in response to other nuclear or radiological disasters. PMID:25862700
NASA Post-Columbia Safety & Mission Assurance, Review and Assessment Initiatives
NASA Astrophysics Data System (ADS)
Newman, J. Steven; Wander, Stephen M.; Vecellio, Don; Miller, Andrew J.
2005-12-01
On February 1, 2003, NASA again experienced a tragic accident as the Space Shuttle Columbia broke apart upon reentry, resulting in the loss of seven astronauts. Several of the findings and observations of the Columbia Accident Investigation Board addressed the need to strengthen the safety and mission assurance function at NASA. This paper highlights key steps undertaken by the NASA Office of Safety and Mission Assurance (OSMA) to establish a stronger and more- robust safety and mission assurance function for NASA programs, projects, facilities and operations. This paper provides an overview of the interlocking OSMA Review and Assessment Division (RAD) institutional and programmatic processes designed to 1) educate, inform, and prepare for audits, 2) verify requirements flow-down, 3) verify process capability, 4) verify compliance with requirements, 5) support risk management decision making, 6) facilitate secure web- based collaboration, and 7) foster continual improvement and the use of lessons learned.
SemanticOrganizer: A Customizable Semantic Repository for Distributed NASA Project Teams
NASA Technical Reports Server (NTRS)
Keller, Richard M.; Berrios, Daniel C.; Carvalho, Robert E.; Hall, David R.; Rich, Stephen J.; Sturken, Ian B.; Swanson, Keith J.; Wolfe, Shawn R.
2004-01-01
SemanticOrganizer is a collaborative knowledge management system designed to support distributed NASA projects, including diverse teams of scientists, engineers, and accident investigators. The system provides a customizable, semantically structured information repository that stores work products relevant to multiple projects of differing types. SemanticOrganizer is one of the earliest and largest semantic web applications deployed at NASA to date, and has been used in diverse contexts ranging from the investigation of Space Shuttle Columbia's accident to the search for life on other planets. Although the underlying repository employs a single unified ontology, access control and ontology customization mechanisms make the repository contents appear different for each project team. This paper describes SemanticOrganizer, its customization facilities, and a sampling of its applications. The paper also summarizes some key lessons learned from building and fielding a successful semantic web application across a wide-ranging set of domains with diverse users.
Herrera, Ivonne A; Nordskag, Arve O; Myhre, Grete; Halvorsen, Kåre
2009-11-01
The objective of this paper is to discuss the following questions: Do concurrent organizational changes have a direct impact on aviation maintenance and safety, if so, how can this be measured? These questions were part of the investigation carried out by the Accident Investigation Board, Norway (AIBN). The AIBN investigated whether Norwegian aviation safety had been affected due to major organizational changes between 2000 and 2004. The main concern was the reduction in safety margins and its consequences. This paper presents a summary of the techniques used and explains how they were applied in three airlines and by two offshore helicopter operators. The paper also discusses the development of safety related indicators in the aviation industry. In addition, there is a summary of the lessons learned and safety recommendations. The Norwegian Ministry of Transport has required all players in the aviation industry to follow up the findings and recommendations of the AIBN study.
NASA Technical Reports Server (NTRS)
Dittemore, Gary D.
2011-01-01
Operations of human spaceflight systems is extremely complex, therefore the training and certification of operations personnel is a critical piece of ensuring mission success. Mission Control Center (MCC-H), at the Lyndon B. Johnson Space Center, in Houston, Texas manages mission operations for the Space Shuttle Program, including the training and certification of the astronauts and flight control teams. This paper will give an overview of a flight control team s makeup and responsibilities during a flight, and details on how those teams are trained and certified. The training methodology for developing flight controllers has evolved significantly over the last thirty years, while the core goals and competencies have remained the same. In addition, the facilities and tools used in the control center have evolved. These changes have been driven by many factors including lessons learned, technology, shuttle accidents, shifts in risk posture, and generational differences. Flight controllers will share their experiences in training and operating the Space Shuttle throughout the Program s history. A primary method used for training Space Shuttle flight control teams is by running mission simulations of the orbit, ascent, and entry phases, to truly "train like you fly." The reader will learn what it is like to perform a simulation as a shuttle flight controller. Finally, the paper will reflect on the lessons learned in training for the shuttle program, and how those could be applied to future human spaceflight endeavors. These endeavors could range from going to the moon or to Mars. The lessons learned from operating the space shuttle for over thirty years will help the space industry build the next human transport space vehicle and inspire the next generation of space explorers.
Yamashita, S; Takamura, N; Ohtsuru, A; Suzuki, S
2016-09-01
The actual implementation of the epidemiological study on human health risk from low dose and low-dose rate radiation exposure and the comprehensive long-term radiation health effects survey are important especially after radiological and nuclear accidents because of public fear and concern about the long-term health effects of low-dose radiation exposure have increased considerably. Since the Great East Japan earthquake and the Fukushima Daiichi Nuclear Power Plant accident in Japan, Fukushima Prefecture has started the Fukushima Health Management Survey Project for the purpose of long-term health care administration and medical early diagnosis/treatment for the prefectural residents. Especially on a basis of the lessons learned from the Chernobyl accident, both thyroid examination and mental health care are critically important irrespective of the level of radiation exposure. There are considerable differences between Chernobyl and Fukushima regarding radiation dose to the public, and it is very difficult to estimate retrospectively internal exposure dose from the short-lived radioactive iodines. Therefore, the necessity of thyroid ultrasound examination in Fukushima and the intermediate results of this survey targeting children will be reviewed and discussed in order to avoid any misunderstanding or misinterpretation of the high detection rate of childhood thyroid cancer. © World Health Organisation 2016. All rights reserved. The World Health Organization has granted Oxford University Press permission for the reproduction of this article.
Coe, Laura J.; St. John, Julie Ann; Hariprasad, Santhi; Shankar, Kalpana N.; MacCulloch, Patricia A.; Bettano, Amy L.; Zotter, Jean
2017-01-01
Older adult falls continue to be a public health priority across the United States—Massachusetts (MA) being no exception. The MA Prevention and Wellness Trust Fund (PWTF) program within the MA Department of Public Health aims to reduce the physical and economic burdens of chronic health conditions by linking evidence-based clinical care with community intervention programs. The PWTF partnerships that focused on older adult falls prevention integrated the Centers for Disease Control and Prevention’s Stopping Elderly Accidents, Death and Injuries toolkit into clinical settings. Partnerships also offer referrals for home safety assessments, Tai Chi, and Matter of Balance programs. This paper describes the PWTF program implementation process involving 49 MA organizations, while highlighting the successes achieved and lessons learned. With the unprecedented expansion of the U.S. Medicare beneficiary population, and the escalating incidence of falls, widespread adoption of effective prevention strategies will become increasingly important for both public health and for controlling healthcare costs. The lessons learned from this PWTF initiative offer insights and recommendations for future falls prevention program development and implementation. PMID:28321393
The natech events during the 17 August 1999 Kocaeli earthquake: aftermath and lessons learned
NASA Astrophysics Data System (ADS)
Girgin, S.
2011-04-01
Natural-hazard triggered technological accidents (natechs) at industrial facilities have been recognized as an emerging risk. Adequate preparedness, proper emergency planning, and effective response are crucial for the prevention of natechs and mitigation of the consequences. Under the conditions of a natural disaster, the limited resources, the possible unavailability of mitigation measures, and the lack of adequate communication complicate the management of natechs. The analysis of past natechs is crucial for learning lessons and for preventing or preparing for future natechs. The 17 August 1999, Kocaeli earthquake, which was a devastating disaster hitting one of the most industrialized regions of Turkey, offers opportunities in this respect. Among many natechs that occurred due to the earthquake, the massive fire at the TUPRAS Izmit refinery and the acrylonitrile spill at the AKSA acrylic fiber production plant were especially important and highlight problems in the consideration of natechs in emergency planning, response to industrial emergencies during natural hazards, and information to the public during and following the incidents. The analysis of these events shows that even the largest and seemingly well-prepared facilities can be vulnerable to natechs if risks are not considered adequately.
Another Approach to Enhance Airline Safety: Using Management Safety Tools
NASA Technical Reports Server (NTRS)
Lu, Chien-tsug; Wetmore, Michael; Przetak, Robert
2006-01-01
The ultimate goal of conducting an accident investigation is to prevent similar accidents from happening again and to make operations safer system-wide. Based on the findings extracted from the investigation, the "lesson learned" becomes a genuine part of the safety database making risk management available to safety analysts. The airline industry is no exception. In the US, the FAA has advocated the usage of the System Safety concept in enhancing safety since 2000. Yet, in today s usage of System Safety, the airline industry mainly focuses on risk management, which is a reactive process of the System Safety discipline. In order to extend the merit of System Safety and to prevent accidents beforehand, a specific System Safety tool needs to be applied; so a model of hazard prediction can be formed. To do so, the authors initiated this study by reviewing 189 final accident reports from the National Transportation Safety Board (NTSB) covering FAR Part 121 scheduled operations. The discovered accident causes (direct hazards) were categorized into 10 groups Flight Operations, Ground Crew, Turbulence, Maintenance, Foreign Object Damage (FOD), Flight Attendant, Air Traffic Control, Manufacturer, Passenger, and Federal Aviation Administration. These direct hazards were associated with 36 root factors prepared for an error-elimination model using Fault Tree Analysis (FTA), a leading tool for System Safety experts. An FTA block-diagram model was created, followed by a probability simulation of accidents. Five case studies and reports were provided in order to fully demonstrate the usefulness of System Safety tools in promoting airline safety.
Tuberculosis in Newborns: The Lessons of the “Lübeck Disaster” (1929–1933)
Fox, Gregory J.; Orlova, Marianna; Schurr, Erwin
2016-01-01
In an accident later known as the Lübeck disaster, 251 neonates were orally given three doses of the new Bacille Calmette–Guérin (BCG) antituberculosis (TB) vaccine contaminated with Mycobacterium tuberculosis. A total of 173 infants developed clinical or radiological signs of TB but survived the infection, while 72 died from TB. While some blamed the accident on BCG itself by postulating reversion to full virulence, such a possibility was conclusively disproven. Rather, by combining clinical, microbiological, and epidemiological data, the chief public health investigator Dr. A. Moegling concluded that the BCG vaccine had been contaminated with variable amounts of fully virulent M. tuberculosis. Here, we summarize the conclusions drawn by Moegling and point out three lessons that can be learned. First, while mortality was high (approximately 29%), the majority of neonates inoculated with M. tuberculosis eventually overcame TB disease. This shows the high constitutional resistance of humans to the bacillus. Second, four semiquantitative levels of contamination were deduced by Moegling from the available data. While at low levels of M. tuberculosis there was a large spread of clinical phenotypes reflecting a good degree of innate resistance to TB, at the highest dose, the majority of neonates were highly susceptible to TB. This shows the dominating role of dose for innate resistance to TB. Third, two infants inoculated with the lowest dose nevertheless died of TB, and their median time from inoculation to death was substantially shorter than for those who died after inoculation with higher doses. This suggests that infants who developed disease after low dose inoculation are those who are most susceptible to the disease. We discuss some implications of these lessons for current study of genetic susceptibility to TB. PMID:26794678
Lessons learned from case studies of inhalation exposures of workers to radioactive aerosols
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hoover, M.D.; Fencl, A.F.; Newton, G.J.
1995-12-01
Various Department of Energy requirements, rules, and orders mandate that lessons learned be identified, evaluated, shared, and incorporated into current practices. The recently issued, nonmandatory DOE standard for Development of DOE Lessons Learned Program states that a DOE-wide lessons learned program will {open_quotes}help to prevent recurrences of negative experiences, highlight best practices, and spotlight innovative ways to solve problems or perform work more safely, efficiently, and cost effectively.{close_quotes} Additional information about the lessons learned program is contained in the recently issued DOE handbook on Implementing U.S. Department of Energy Lessons Learned Programs and in October 1995 DOE SAfety Notice onmore » Lessons Learned Programs. This report summarizes work in progress at ITRI to identify lessons learned for worker exposures to radioactive aerosols, and describes how this work will be incorporated into the DOE lessons learned program, including a new technical guide for measuring, modeling, and mitigating airborne radioactive particles. Follow-on work is focusing on preparation of {open_quotes}lessons learned{close_quotes} training materials for facility designers, managers, health protection professionals, line supervisors, and workers.« less
Summary of Planned Implementation for the HTGR Lessons Learned Applicable to the NGNP
DOE Office of Scientific and Technical Information (OSTI.GOV)
Ian Mckirdy
2011-09-01
This document presents a reconciliation of the lessons learned during a 2010 comprehensive evaluation of pertinent lessons learned from past and present high temperature gas-cooled reactors that apply to the Next Generation Nuclear Plant Project along with current and planned activities. The data used are from the latest Idaho National Laboratory research and development plans, the conceptual design report from General Atomics, and the pebble bed reactor technology readiness study from AREVA. Only those lessons related to the structures, systems, and components of the Next Generation Nuclear Plant (NGNP), as documented in the recently updated lessons learned report are addressed.more » These reconciliations are ordered according to plant area, followed by the affected system, subsystem, or component; lesson learned; and finally an NGNP implementation statement. This report (1) provides cross references to the original lessons learned document, (2) describes the lesson learned, (3) provides the current NGNP implementation status with design data needs associated with the lesson learned, (4) identifies the research and development being performed related to the lesson learned, and (5) summarizes with a status of how the lesson learned has been addressed by the NGNP Project.« less
2016-09-01
10 –3 cubic meter (m 3 ) cubic foot (ft 3 ) 2.831 685 × 10 –2 cubic meter (m 3 ) Mass /Density pound (lb) 4.535 924 × 10 –1 kilogram (kg...unified atomic mass unit (amu) 1.660 539 × 10 –27 kilogram (kg) pound- mass per cubic foot (lb ft –3 ) 1.601 846 × 10 1 kilogram per cubic meter (kg m...have a controlling infleunce on the solubility of actinides and fission products, and can be harnessed for non-invasive bioremediation. In the “far
Suva, Domizio; Poizat, Germain
2015-02-04
For many years hospitals have been implementing crew resource management (CRM) programs, inspired by the aviation industry, in order to improve patient safety. However, while contributing to improved patient care, CRM programs are controversial because of their limited impact, a decrease in effectiveness over time, and the underinvestment by some caregivers. By analyzing the space shuttle Challenger accident, the objective of this article is to show the potential impact of the professional culture in decision-making processes. In addition, to present an approach by cultural factors which are an essential complement to current CRM programs in order to enhance the safety of care.
Historical problem areas: Lessons learned for expendable and reusable vehicle propulsion systems
NASA Technical Reports Server (NTRS)
Fester, Dale A.
1991-01-01
The following subject areas are covered: expendable launch vehicle lessons learned, upper stage/transfer vehicle lessons learned, shuttle systems - reuse, and reusable system issues and lessons learned.
Accident Prevention: A Workers' Education Manual.
ERIC Educational Resources Information Center
International Labour Office, Geneva (Switzerland).
Devoted to providing industrial workers with a greater knowledge of precautionary measures undertaken and enforced by industries for the protection of workers, this safety education manual contains 14 lessons ranging from "The Problems of Accidents during Work" to "Trade Unions and Workers and Industrial Safety." Fire protection, safety equipment…
Teaching Laboratory Renovation
DOE Office of Scientific and Technical Information (OSTI.GOV)
Al-Zuhairi, Ali Jassim; Al-Dahhan, Wedad; Hussein, Falah
Scientists at universities across Iraq are actively working to report actual incidents and accidents occurring in their laboratories, as well as structural improvements made to improve safety and security, to raise awareness and encourage openness, leading to widespread adoption of robust Chemical Safety and Security (CSS) practices. The improvement of students’ understanding of concepts in science and its applications, practical scientific skills and understanding of how science and scientists work in laboratory experiences have been considered key aspects of education in science for over 100 years. Facility requirements for the necessary level of safety and security combined with specific requirementsmore » relevant to the course to be conducted dictate the structural design of a particular laboratory, and the design process must address both. This manuscript is the second in a series of five case studies describing laboratory incidents, accidents, and laboratory improvements. We summarize the process used to guide a major renovation of the chemistry instructional laboratory facilities at Al-Nahrain University and discuss lessons learned from the project.« less
Communicating With Residents About Risks Following the Fukushima Nuclear Accident.
Murakami, Michio; Sato, Akiko; Matsui, Shiro; Goto, Aya; Kumagai, Atsushi; Tsubokura, Masaharu; Orita, Makiko; Takamura, Noboru; Kuroda, Yujiro; Ochi, Sae
2017-03-01
The Fukushima nuclear accident in March 2011 posed major threats to public health. In response, medical professionals have tried to communicate the risks to residents. To investigate forms of risk communication and to share lessons learned, we reviewed medical professionals' activities in Fukushima Prefecture from the prefectural level to the individual level: public communication through Fukushima Health Management Surveys, a Yorozu ("general") health consultation project, communications of radiological conditions and health promotion in Iitate and Kawauchi villages, dialogues based on whole-body counter, and science communications through online media. The activities generally started with radiation risks, mainly through group-based discussions, but gradually shifted to face-to-face communications to address comprehensive health risks to individuals and well-being. The activities were intended to support residents' decisions and to promote public health in a participatory manner. This article highlights the need for a systematic evaluation of ongoing risk communication practices, and a wider application of successful approaches for Fukushima recovery and for better preparedness for future disasters.
NASA Technical Reports Server (NTRS)
Dennehy, Cornelius J.; Labbe, Steve; Lebsock, Kenneth L.
2010-01-01
Within the broad aerospace community the importance of identifying, documenting and widely sharing lessons learned during system development, flight test, operational or research programs/projects is broadly acknowledged. Documenting and sharing lessons learned helps managers and engineers to minimize project risk and improve performance of their systems. Often significant lessons learned on a project fail to get captured even though they are well known 'tribal knowledge' amongst the project team members. The physical act of actually writing down and documenting these lessons learned for the next generation of NASA GN&C engineers fails to happen on some projects for various reasons. In this paper we will first review the importance of capturing lessons learned and then will discuss reasons why some lessons are not documented. A simple proven approach called 'Pause and Learn' will be highlighted as a proven low-impact method of organizational learning that could foster the timely capture of critical lessons learned. Lastly some examples of 'lost' GN&C lessons learned from the aeronautics, spacecraft and launch vehicle domains are briefly highlighted. In the context of this paper 'lost' refers to lessons that have not achieved broad visibility within the NASA-wide GN&C CoP because they are either undocumented, masked or poorly documented in the NASA Lessons Learned Information System (LLIS).
Los Alamos Laser Eye Investigation.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Odom, C. R.
2005-01-01
A student working in a laser laboratory at Los Alamos National Laboratory sustained a serious retinal injury to her left eye when she attempted to view suspended particles in a partially evacuated target chamber. The principle investigator was using the white light from the flash lamp of a Class 4 Nd:YAG laser to illuminate the particles. Since the Q-switch was thought to be disabled at the time of the accident, the principal investigator assumed it would be safe to view the particles without wearing laser eye protection. The Laboratory Director appointed a team to investigate the accident and to reportmore » back to him the events and conditions leading up to the accident, equipment malfunctions, safety management causal factors, supervisory and management action/inaction, adequacy of institutional processes and procedures, emergency and notification response, effectiveness of corrective actions and lessons learned from previous similar events, and recommendations for human and institutional safety improvements. The team interviewed personnel, reviewed documents, and characterized systems and conditions in the laser laboratory during an intense six week investigation. The team determined that the direct and primary failures leading to this accident were, respectively, the principle investigator's unsafe work practices and the institution's inadequate monitoring of worker performance. This paper describes the details of the investigation, the human and institutional failures, and the recommendations for improving the laser safety program.« less
NASA Astrophysics Data System (ADS)
Wallace, Phillip Scott
2010-09-01
Lessons useful for manned space flight can be gained by looking at exploring expeditions of the past. An aviation-accident style investigation was conducted on two fatalities that occurred on an Antarctic expedition in 1912-13. The causal factors of the accidents were determined; and lessons for future missions beyond LEO gleaned from both the causal factors and from looking at the expedition as a whole. The investigation highlighted, among other things, that probabilistic hazards can eventually take a life and that factors of terrain can and will damage equipment and kill men; that consumables should be segregated such that one mishap does not reduce margins to below those needed for survival, and that manned missions need to be able to jury-rig equipment in the field.
Teaching Strategy. Tort Law and the Civil Jury.
ERIC Educational Resources Information Center
Pittman, Keith A.
1997-01-01
Presents a lesson plan that introduces students to the tort system of law and the responsibilities of the civil jury. The lesson involves student research and a mock jury trial establishing legal responsibility for a fatal automobile accident. Includes a list of objectives, classroom procedures, and handouts on jury deliberations. (MJP)
Continuing Environmental Health Education: A Course for Environmental Health Personnel.
ERIC Educational Resources Information Center
Mill, Raymond A.; Walter, William G.
1979-01-01
This lesson is the third of a series of six lessons on general environmental health. The series of multiple choice tests covers administration, food sanitation, vector control, housing, radiation, accident prevention, water supplies, waste disposal, air pollution, noise pollution, occupational health, recreation facilities, and water pollution.…
Lessons Learned for Improving Spacecraft Ground Operations
NASA Technical Reports Server (NTRS)
Bell, Michael; Henderson, Gena; Stambolian, Damon
2013-01-01
NASA policy requires each Program or Project to develop a plan for how they will address Lessons Learned. Projects have the flexibility to determine how best to promote and implement lessons learned. A large project might budget for a lessons learned position to coordinate elicitation, documentation and archival of the project lessons. The lessons learned process crosses all NASA Centers and includes the contactor community. o The Office of The Chief Engineer at NASA Headquarters in Washington D.C., is the overall process owner, and field locations manage the local implementation. One tool used to transfer knowledge between program and projects is the Lessons Learned Information System (LLIS). Most lessons come from NASA in partnership with support contractors. A search for lessons that might impact a new design is often performed by a contractor team member. Knowledge is not found with only one person, one project team, or one organization. Sometimes, another project team, or person, knows something that can help your project or your task. Knowledge sharing is an everyday activity at the Kennedy Space Center through storytelling, Kennedy Engineering Academy presentations and through searching the Lessons Learned Information system. o Project teams search the lessons repository to ensure the best possible results are delivered. o The ideas from the past are not always directly applicable but usually spark new ideas and innovations. Teams have a great responsibility to collect and disseminate these lessons so that they are shared with future generations of space systems designers. o Leaders should set a goal for themselves to host a set numbers of lesson learned events each year and do more to promote multiple methods of lessons learned activities. o High performing employees are expected to share their lessons, however formal knowledge sharing presentation are not the norm for many employees.
NASA Astrophysics Data System (ADS)
Wood, M.
2009-04-01
The increased focus on the possibility of technological accidents caused by natural events (Natech) is foreseen to continue for years to come. In this case, experts in prevention, mitigation and preparation activities associated with natural events will increasingly need to borrow data and expertise traditionally associated with the technological fields to carry out the work. An important question is how useful is the data for understanding consequences from such natech events. Data and case studies provided on major industrial accidents tend to focus on lessons learned for re-engineering the process. While consequence data are reported at least nominally in most reports, their precision, quality and completeness is often lacking. Consequences that are often or sometimes available but not provided can include severity and type of injuries, distance of victims from the source, exposure measurements, volume of the release, population in potentially affected zones, and weather conditions. Yet these are precisely the type of data that will aid natural hazard experts in land-use planning and emergency response activities when a Natech event may be foreseen. This work discusses the results of a study of consequence data from accidents involving toxic releases reported in the EU's MARS accident database. The study analysed the precision, quality and completeness of three categories of consequence data reported: the description of health effects, consequence assessment and chemical risk assessment factors, and emergency response information. This work reports on the findings from this study and discusses how natural hazards experts might interact with industrial accident experts to promote more consistent and accurate reporting of the data that will be useful in consequence-based activities.
Engineering Lessons Learned and Systems Engineering Applications
NASA Technical Reports Server (NTRS)
Gill, Paul S.; Garcia, Danny; Vaughan, William W.
2005-01-01
Systems Engineering is fundamental to good engineering, which in turn depends on the integration and application of engineering lessons learned. Thus, good Systems Engineering also depends on systems engineering lessons learned from within the aerospace industry being documented and applied. About ten percent of the engineering lessons learned documented in the NASA Lessons Learned Information System are directly related to Systems Engineering. A key issue associated with lessons learned datasets is the communication and incorporation of this information into engineering processes. As part of the NASA Technical Standards Program activities, engineering lessons learned datasets have been identified from a number of sources. These are being searched and screened for those having a relation to Technical Standards. This paper will address some of these Systems Engineering Lessons Learned and how they are being related to Technical Standards within the NASA Technical Standards Program, including linking to the Agency's Interactive Engineering Discipline Training Courses and the life cycle for a flight vehicle development program.
Engineering Lessons Learned and Systems Engineering Applications
NASA Technical Reports Server (NTRS)
Gill, Paul S.; Garcia, Danny; Vaughan, William W.
2005-01-01
Systems Engineering is fundamental to good engineering, which in turn depends on the integration and application of engineering lessons learned and technical standards. Thus, good Systems Engineering also depends on systems engineering lessons learned from within the aerospace industry being documented and applied. About ten percent of the engineering lessons learned documented in the NASA Lessons Learned Information System are directly related to Systems Engineering. A key issue associated with lessons learned datasets is the communication and incorporation of this information into engineering processes. Systems Engineering has been defined (EINIS-632) as "an interdisciplinary approach encompassing the entire technical effort to evolve and verify an integrated and life-cycle balanced set of system people, product, and process solutions that satisfy customer needs". Designing reliable space-based systems has always been a goal for NASA, and many painful lessons have been learned along the way. One of the continuing functions of a system engineer is to compile development and operations "lessons learned" documents and ensure their integration into future systems development activities. They can produce insights and information for risk identification identification and characterization. on a new project. Lessons learned files from previous projects are especially valuable in risk
Lessons Learned and Technical Standards: A Logical Marriage
NASA Technical Reports Server (NTRS)
Gill, Paul; Vaughan, William W.; Garcia, Danny; Gill, Maninderpal S. (Technical Monitor)
2001-01-01
A comprehensive database of lessons learned that corresponds with relevant technical standards would be a boon to technical personnel and standards developers. The authors discuss the emergence of one such database within NASA, and show how and why the incorporation of lessons learned into technical standards databases can be an indispensable tool for government and industry. Passed down from parent to child, teacher to pupil, and from senior to junior employees, lessons learned have been the basis for our accomplishments throughout the ages. Government and industry, too, have long recognized the need to systematically document And utilize the knowledge gained from past experiences in order to avoid the repetition of failures and mishaps. The use of lessons learned is a principle component of any organizational culture committed to continuous improvement. They have formed the foundation for discoveries, inventions, improvements, textbooks, and technical standards. Technical standards are a very logical way to communicate these lessons. Using the time-honored tradition of passing on lessons learned while utilizing the newest in information technology, the National Aeronautics and Space Administration (NASA) has launched an intensive effort to link lessons learned with specific technical standards through various Internet databases. This article will discuss the importance of lessons learned to engineers, the difficulty in finding relevant lessons learned while engaged in an engineering project, and the new NASA project that can help alleviate this difficulty. The article will conclude with recommendations for more expanded cross-sectoral uses of lessons learned with reference to technical standards.
Lessons Learned in Engineering
NASA Technical Reports Server (NTRS)
Blair, J. C.; Ryan, R. S.; Schutzenhofer, L. A.
2011-01-01
This Contractor Report (CR) is a compilation of Lessons Learned in approximately 55 years of engineering experience by each James C. Blair, Robert S. Ryan, and Luke A. Schutzenhofer. The lessons are the basis of a course on Lessons Learned that has been taught at Marshall Space Flight Center. The lessons are drawn from NASA space projects and are characterized in terms of generic lessons learned from the project experience, which are further distilled into overarching principles that can be applied to future projects. Included are discussions of the overarching principles followed by a listing of the lessons associated with that principle. The lesson with sub-lessons are stated along with a listing of the project problems the lesson is drawn from, then each problem is illustrated and discussed, with conclusions drawn in terms of Lessons Learned. The purpose of this CR is to provide principles learned from past aerospace experience to help achieve greater success in future programs, and identify application of these principles to space systems design. The problems experienced provide insight into the engineering process and are examples of the subtleties one experiences performing engineering design, manufacturing, and operations.
Lessons Learnt from Past Incidents and Accidents in Radiation Oncology.
Knöös, T
2017-09-01
The purpose of this report is to review and compile what have been and can be learnt from incidents and accidents in radiation oncology, especially in external beam and brachytherapy. Some major accidents from the last 20 years will be discussed. The relationship between major events and minor or so-called near misses is mentioned, leading to the next topic of exploring the knowledge hidden among them. The main lessons learnt from the discussion here and elsewhere are that a well-functioning and safe radiotherapy department should help staff to work with awareness and alertness and that documentation and procedures should be in place and known by everyone. It also requires that trained and educated staff with the required competences are in place and, finally, functions and responsibilities are defined and well known. Copyright © 2017 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
ERIC Educational Resources Information Center
Davoine, Jean-Pierre
1978-01-01
A discussion of the use of an accident report form, especially for practice in past tense usage. A lesson plan is outlined as follows: introduction using slides, a question-answer session between two sets of students and the actual writing of the report. (Text is in French.) (AMH)
Risk management in mental health: applying lessons from commercial aviation.
Hatcher, Simon
2010-02-01
Risk management in mental health focuses on risks in patients and fails to predict rare but catastrophic events such as suicide. Commercial aviation has a similar task in preventing rare but catastrophic accidents. This article describes the systems in place in commercial aviation that allows that industry to prevent disasters and contrasts this with the situation in mental health. In mental health we should learn from commercial aviation by having: national policies to promote patient safety; a national body responsible for implementing this policy which maintains a database of safety occurrences, sets targets and investigates adverse outcomes; legislation in place which encourages clinicians to report safety occurrences; and a common method and language for investigating safety occurrences.
Raemer, Daniel B
2014-06-01
The story of Ignaz Semmelweis suggests a lesson to beware of unintended consequences, especially with in situ simulation. In situ simulation offers many important advantages over center-based simulation such as learning about the real setting, putting participants at ease, saving travel time, minimizing space requirements, involving patients and families. Some substantial disadvantages include frequent distractions, lack of privacy, logistics of setup, availability of technology, and supply costs. Importantly, in situ simulation amplifies some of the safety hazards of simulation itself including maintaining control of simulated medications and equipment, limiting the use of valuable hospital resources, preventing incorrect learning from simulation shortcuts, and profoundly upsetting patients and their families. Mitigating these hazards by labeling effectively, publishing policies and procedures, securing simulation supplies and equipment, educating simulation staff, and informing participants of the risks are all methods that may lessen the potential for an accident. Each requires a serious effort of analysis, design, and implementation.
Failure Analysis at the Kennedy Space Center
NASA Technical Reports Server (NTRS)
Salazar, Victoria L.; Wright, M. Clara
2010-01-01
History has shown that failures occur in every engineering endeavor, and what we learn from those failures contributes to the knowledge base to safely complete future missions. The necessity of failure analysis is at its apex at the end of one aged program and at the beginning of a new and untested program. The information that we gain through failure analysis corrects the deficiencies in the current vehicle to make the next generation of vehicles more efficient and safe. The Failure Analysis and Materials Evaluation Branch in the Materials Science Division at the Kennedy Space Center performs metallurgical, mechanical, electrical, and non-metallic materials failure analyses and accident investigations on both flight hardware and ground support equipment for the Space Shuttle, International Space Station, Constellation, and Launch Services Programs. This paper will explore a variety of failure case studies at the Kennedy Space Center and the lessons learned that can be applied in future programs.
Learning lessons from natural disasters - sectorial or holistic perspectives?
NASA Astrophysics Data System (ADS)
Johansson, M.; Blumenthal, B.; Nyberg, L.
2009-04-01
Lessons learning from systematic analyses of past natural disasters is of great importance for future risk reduction and vulnerability management. It is one crucial piece of a puzzle towards disaster resilient societies, together with e.g. models of future emerging climate-related risks, globalization or demographic changes. Systematic analyses of impact and management of past events have commonly been produced in many sectors, but the knowledge is seldom shared outside the own organization or produced for other actors. To increase the availability of reports and documents, the Swedish Rescue Services Agency has created the Swedish Natural Hazards Information System, in accordance with a government commission from 2005. The system gathers accident reports, investigations and in-depth analyses, together with societal additional costs and mappings of consequences from central and local governments, NGO's and private actors. Evaluation of the collection reveals large differences in quality, systematic approach, depth and extent, clearly consistent with the lack of coherent harmonization of investigation and reporting approaches. Type of hazard, degree of impact and time elapsed since present are decisive for the collected volume. LPHC (low probability high consequences) disasters usually comprise most data and analytical activities, since they often are met with surprise and highlight the failure to integrate resilience into normal societal planning. During the last 50 years, several LPHC events in Sweden have functioned as alarm clocks and entailed major changes and improvements in government policies or legislations, safety management systems, risk assessments, response training, stakeholder communication, etc. Such an event occurred in January 2005 when Northern Europe was confronted with one of the most severe storms in modern history. Accidents that caused 24 fatalities occurred (17 in Sweden), several regions in UK and Germany were flooded and extensive areas of storm-felled forests left nearly one million households in Scandinavia without electricity. In Sweden the quantity of storm-felled trees was equivalent to the combined volume felled by other storms during the whole of the 20th century, which caused exceptional damage to forests, roads, railways and electricity and telecommunications networks, including cell-phones. Follow-ups and evaluations at local level, as regulated by law, together with government commissions to central authorities and interest from research communities, have resulted in an extensive production of documented lessons learning. Our case study describes their thematic extent, identifies different perspectives in relation to their basis for analyses, emphasizes the complementary need of a holistic perspective and puts the Swedish systematic procedure into an international comparison.
Unmanned Ground Vehicle (UGV) Lessons Learned
2001-11-01
iii 1. INTRODUCTION ....................................................................................................... 1 1.1... INTRODUCTION 1.1 PURPOSE The purpose of this effort is to compile Lessons Learned from the unmanned ground vehicle (UGV) programs that could be relevant to... introduction of gunpowder, this lesson was no longer valid. Castles crumbled and new lessons had to be learned. One such lesson was that the faster
NASA Technical Reports Server (NTRS)
Oberhettinger, David
2011-01-01
A lessons learned system is a hallmark of a mature engineering organization A formal lessons learned process can help assure that valuable lessons get written and published, that they are well-written, and that the essential information is "infused" into institutional practice. Requires high-level institutional commitment, and everyone's participation in gathering, disseminating, and using the lessons
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-22
... NUCLEAR REGULATORY COMMISSION [NRC-2012-0249] Solicitation of Feedback and Lessons-Learned from... or the Commission) is soliciting feedback and lessons-learned from members of the public, licensees... constructed in accordance with the licensing basis. The NRC has applied lessons- learned from the prior plants...
Lessons Learned in Engineering. Supplement
NASA Technical Reports Server (NTRS)
Blair, James C.; Ryan, Robert S.; Schultzenhofer, Luke A.
2011-01-01
This Contractor Report (CR) is a compilation of Lessons Learned in approximately 55 years of engineering experience by each James C. Blair, Robert S. Ryan, and Luke A. Schutzenhofer. The lessons are the basis of a course on Lessons Learned that has been taught at Marshall Space Flight Center. The lessons are drawn from NASA space projects and are characterized in terms of generic lessons learned from the project experience, which are further distilled into overarching principles that can be applied to future projects. Included are discussions of the overarching principles followed by a listing of the lessons associated with that principle. The lesson with sub-lessons are stated along with a listing of the project problems the lesson is drawn from, then each problem is illustrated and discussed, with conclusions drawn in terms of Lessons Learned. The purpose of this CR is to provide principles learned from past aerospace experience to help achieve greater success in future programs, and identify application of these principles to space systems design. The problems experienced provide insight into the engineering process and are examples of the subtleties one experiences performing engineering design, manufacturing, and operations. The supplemental CD contains accompanying PowerPoint presentations.
Lessons learned from facilitating the state and tribal government working group
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kurstedt, H.A. Jr.
1994-12-31
Thirteen lessons learned from my experience in facilitating the State and Tribal Government Working Group for the U.S. Department of Energy have been identified. The conceptual base for supporting the veracity of each lesson has been developed and the lessons are believed to be transferable to any stakeholder group. The crux of stakeholder group success if the two-directional, two-mode empowerment required in this case. Most of the lessons learned deal with the scope of that empowerment. A few of the lessons learned deal with the operations of the group.
Secrecy vs. the need for ecological information: challenges to environmental activism in Russia.
Jandl, T
1998-01-01
This article identifies the lessons learned from the Nikitin case study in Russia. The Nikitin case involves the analysis of sources of radioactive contamination in several Russian counties and in the Russian Northern Fleet. Norway was interested in the issue due to proximity to the storage sites. The issue involved national security and environmental protection. It was learned that mixing national security issues with environmental issues offers dangerous and multiple challenges. Environmental groups must build relationships with a wide audience. International security policy must include the issues of globalization of trade and the spread of environmental problems into the global commons (oceans and atmosphere). The risk of an environmentally dangerous accident as a consequence of Cold War activities is greater than the risk of nuclear war. Secrecy in military affairs is not justified when there is inadequate storage of nuclear weapons and contaminated materials. In Russia, the concern is great due to their economic transition and shortages of funds for even the most basic needs, which excludes nuclear waste clean up. The Bellona Foundation studied the extent of nuclear pollution from military nuclear reactors in the Kola peninsula of northwest Russia, in 1994 and 1996. Russian security police arrested one of the report authors for alleged national security violations. A valuable lesson learned was that local Russian environmental groups needed international support. The military nuclear complex poses an enormous hazard. Limiting inspections is an unacceptable national security risk. The new Russian law on state secrets is too broad.
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2012-03-09
... NUCLEAR REGULATORY COMMISSION [NRC-2012-0055] Changes to the Generic Aging Lessons Learned (GALL... Aging Lessons Learned (GALL) Report,'' and the NRC staff's aging management review procedure and... into ADAMS. II. Background The NRC issues LR-ISGs to communicate insights and lessons learned and to...
ERIC Educational Resources Information Center
Roche, Anne; Clarke, Doug; Clarke, David; Chan, Man Ching Esther
2016-01-01
A central premise of this project is that teachers learn from the act of teaching a lesson and that this learning is evident in the planning and teaching of a subsequent lesson. We are studying the knowledge construction of mathematics teachers utilising multi-camera research techniques during lesson planning, classroom interactions and…
Agricultural vehicles and rural road safety: tackling a persistent problem.
Jaarsma, Catharinus F; De Vries, Jasper R
2014-01-01
Crashes involving agricultural vehicles (AVs) on public roads are an increasing road safety problem. We aim to analyze developments in the appearance and severity of these accidents, identify influencing factors, and draw lessons for possible interventions for accident prevention within the context of modern mechanized agriculture. To analyze developments in the appearance of accidents we use a subset of accidents with AVs involved on public roads in The Netherlands aggregated per year for 1987-2010. To identify and explore preventive measures we use an in-depth study of the Dutch Safety Board. With a study of international literature we put our findings in a wider context. During this time span, Dutch annual averages show 15 registered fatal accidents involving AVs, 93 with hospitalization and 137 with slight injuries. For nonfatal accidents, the numbers are decreasing over time. This decrease is proportionate to the reduction in the total number of traffic victims. For fatalities, however, the number is stable, increasing its proportion in all traffic fatalities from 1 in 1987 to 2 percent in 2010. Related to the number of inhabitants, this number is 2 times the value in the UK and 3 times the value in the United States. Influencing factors can be related to the 3 road system components (AV, driver, and infrastructure). Weak points for AVs are the view from the driver's seat, visibility at night, permitted vehicle width, and crash aggressivity (large kinetic energy of the AV) that is transferred to other road users in case of a collision. Important factors identified for the driver are poor risk perception and high risk acceptance, in combination with speeding, dysfunctional use such as the use of AVs as modes of transport to and from school, and driving on public roads without protecting or removing protruding and sharp components. For infrastructure, the focus is on road design and separation of AVs from other motor vehicles. Lessons to be learned follow from these accident factors. For AV drivers, a driver's training focusing on driving behavior in the presence of vulnerable road users and concluding with an examination is advised. For vehicle safety, actual practice in The Netherlands is inadequate for control of proper maintenance. Some permanent requirements for the AV are insufficiently specific (view) or effective (lighting) and too generous (width). For infrastructure, a wide range of measures is available. A targeted approach to all road system components is urgently needed to avoid a further worsening of existing problems and to reduce the above proportional role of AVs in road danger. Supplemental materials are available for this article. Go to the publisher's online edition of Traffic Injury Prevention to view the supplemental file.
Okumura, Tetsu; Tokuno, Shinichi
2015-01-01
In Japan, participants in the disaster-specific medical transportation system have received ongoing training since 2002, incorporating lessons learned from the Great Hanshin Earthquake. The Great East Japan Earthquake occurred on March 11, 2011, and the very first disaster-specific medical transport was performed. This article reviews in detail the central government's control and coordination of the disaster medical transportation process following the Great East Japan Earthquake and the Fukushima Daiichi Nuclear Power Plant Accident. In total, 124 patients were air transported under the coordination of the C5 team in the emergency response headquarter of the Japanese Government. C5 includes experts from the Cabinet Office, Cabinet Secretariat, Fire Defense Agency, Ministry of Health, Labour and Welfare, and Ministry of Defense. In the 20-30 km evacuation zone around the Fukushima Daiichi nuclear power plant, 509 bedridden patients were successfully evacuated without any fatalities during transportation. Many lessons have been learned in disaster-specific medical transportation. The national government, local government, police, and fire agencies have made significant progress in their mutual communication and collaboration. Fortunately, hospital evacuation from the 20-30 km area was successfully performed with the aid of local emergency physicians and Disaster Medical Assistance Teams (DMATs) who have vast experience in patient transport in the course of day-to-day activities. The emergency procedures that are required during crises are an extension of basic daily procedures that are performed by emergency medical staff and first responders, such as fire fighters, emergency medical technicians, or police officers. Medical facilities including nursing homes should have a plan for long-distance (over 100 km) evacuation, and the plan should be routinely reevaluated with full-scale exercises. In addition, hospital evacuation in disaster settings should be supervised by emergency physicians and be handled by disaster specialists who are accustomed to patient transportation on a daily basis.
ERIC Educational Resources Information Center
Clarke, Doug; Clarke, David; Roche, Anne; Chan, Man Ching Esther
2015-01-01
A central premise of this project is that teachers learn from the act of teaching a lesson and that this learning is evident in the planning and teaching of a subsequent lesson. In this project, the knowledge construction of mathematics teachers was examined utilising multi-camera research techniques during lesson planning, classroom interactions…
Brownfields City of Cleveland: Deconstruction Lessons Learned Report
This technical memorandum presents an overview of Cleveland’s current deconstruction initiative goals and lessons learned (in the Cleveland area) and potential strategies for addressing lessons learned.
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2012-08-02
... Aging Lessons Learned (GALL) Report Revision 2 AMP XI.M41, ``Buried and Underground Piping and Tanks... AMPs in NUREG-1801, Revision 2, ``Generic Aging Lessons Learned (GALL) Report,'' and the NRC staff's... issues LR-ISG to communicate insights and lessons learned and to address emergent issues not covered in...
How to learn and develop from both good and bad lessons- the 2011Tohoku tsunami case -
NASA Astrophysics Data System (ADS)
Sugimoto, Megumi; Okazumi, Toshio
2013-04-01
The 2011 Tohoku tsunami revealed Japan has repeated same mistakes in a long tsunami disaster history. After the disaster Japanese remember many old lessons and materials: an oral traditional evacuation method 'Tsunami TENDENKO' which is individual independent quick evacuation, a tsunami historical memorial stone "Don't construct houses below this stone to seaside" in Aneyoshi town Iwate prefecture, Namiwake-shrine naming from the story of protect people from tsunami in Sendai city, and so on. Tohoku area has created various tsunami historical cultures to descendent. Tohoku area had not had a tsunami disaster for 50 years after the 1960 Chilean tsunami. The 2010 Chilean tsunami damaged little fish industry. People gradually lost tsunami disaster awareness. At just the bad time the magnitude (M) 9 scale earthquake attacked Tohoku. It was for our generations an inexperienced scale disaster. People did not make use of the ancestor's lessons to survive. The 2004 Sumatra tsunami attacked just before 7 years ago. The magnitude scale is almost same as M 9 scale. Why didn't Tohoku people and Japanese tsunami experts make use of the lessons? Japanese has a character outside Japan. This lesson shows it is difficult for human being to learn from other countries. As for Three mile island accident case in US, it was same for Japan. To addition to this, there are similar types of living lessons among different hazards. For examples, nuclear power plantations problem occurred both the 2012 Hurricane Sandy in US and the 2011 Tohoku tsunami. Both local people were not informed about the troubles though Oyster creek nuclear power station case in US did not proceed seriously all. Tsunami and Hurricane are different hazard. Each exparts stick to their last. 1. It is difficult for human being to transfer living lessons through next generation over decades. 2. It is difficult for human being to forecast inexperienced events. 3. It is usually underestimated the danger because human being have a tendency to judge based on own experience. 4. It is difficult for human being to make use of lessons from different countries because human being would not like to think own self suffer victim for a self-preservation mind. 5. It is usual for experts not to pay attention to other fields even if similar case occurs in different fields. We started collecting 18 hazards of such historical living lessons all over the world before the 2011 Tohoku tsunami. We adapted to this project collecting lessons from Tohoku tsunami and will publish for small children in developing countries in March 2013. This will be translated in at least 10 languages. This disaster lessons guide books are free. We will introduce some lessons in the presentations. We believe education is one of useful countermeasures to prevent from repeating same mistakes and transfer directly living lessons to new generations.
Teacher Responses to Learning Cycle Science Lessons for Early Childhood Education
NASA Astrophysics Data System (ADS)
Kraemer, Emily N.
Three learning cycle science lessons were developed for preschoolers in an early childhood children's center in Costa Mesa, California. The lessons were field tested by both novice and experienced teachers with children ranging from three to five years old. Teachers were then interviewed informally to collect feedback on the structure and flow the lessons. The feedback was encouraging remarks towards the use of learning cycle science lessons for early childhood educators. Adjustments were made to the lessons based on teacher feedback. The lessons and their implications for preschool education are discussed.
ERIC Educational Resources Information Center
US Department of Education, 2007
2007-01-01
"Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. This issue of "Lessons Learned" addresses after-action reports, which are an integral part of the emergency preparedness planning continuum and support effective crisis response. After-action reports have a threefold purpose. They…
Shimura, Tsutomu; Yamaguchi, Ichiro; Terada, Hiroshi; Robert Svendsen, Erik; Kunugita, Naoki
2015-05-01
Herein we summarize the public health actions taken to mitigate exposure of the public to radiation after the Fukushima accident that occurred on 11 March 2011 in order to record valuable lessons learned for disaster preparedness. Evacuations from the radiation-affected areas and control of the distribution of various food products contributed to the reduction of external and internal radiation exposure resulting from the Fukushima incident. However, risk communication is also an important issue during the emergency response effort and subsequent phases of dealiing with a nuclear disaster. To assist with their healing process, sound, reliable scientific information should continue to be disseminated to the radiation-affected communities via two-way communication. We will describe the essential public health actions following a nuclear disaster for the early, intermediate and late phases that will be useful for radiological preparedness planning in response to other nuclear or radiological disasters. © The Author 2015. Published by Oxford University Press on behalf of The Japan Radiation Research Society and Japanese Society for Radiation Oncology.
Lessons from 30 Years of Flight Software
NASA Technical Reports Server (NTRS)
McComas, David C.
2015-01-01
This presentation takes a brief historical look at flight software over the past 30 years, extracts lessons learned and shows how many of the lessons learned are embodied in the Flight Software product line called the core Flight System (cFS). It also captures the lessons learned from developing and applying the cFS.
ERIC Educational Resources Information Center
US Department of Education, 2008
2008-01-01
"Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. This "Lessons Learned" issue focuses on the response and recovery efforts to wildfires by the San Diego County Office of Education (SDCOE) and its school and community partners. Natural disasters such as floods,…
Socio/psychological issues for a Mars mission
NASA Technical Reports Server (NTRS)
Bluth, B. J.
1986-01-01
Some of the socio/psychological problems expected to accompany such a long duration mission as the trip to Mars are addressed. The emphasis is on those issues which are expected to have a bearing on crew performance. Results from research into aircraft accidents, particularly those related to pilot performance, are discussed briefly, as a limited analog to space flight. Significant comparisons are also made to some aspects of long duration Antarctic stays, submarine missions, and oceanographic vessel voyages. Appropriate lessons learned from U.S. and Russian space flight experiences are provided. Design of space missions and systems to enhance crew performance is discussed at length, considering factors external and internal to the crew. The importance of incorporating such design factors early in the design process is stressed.
NASA Hydrogen Peroxide Propellant Hazards Technical Manual
NASA Technical Reports Server (NTRS)
Baker, David L.; Greene, Ben; Frazier, Wayne
2005-01-01
The Fire, Explosion, Compatibility and Safety Hazards of Hydrogen Peroxide NASA technical manual was developed at the NASA Johnson Space Center White Sands Test Facility. NASA Technical Memorandum TM-2004-213151 covers topics concerning high concentration hydrogen peroxide including fire and explosion hazards, material and fluid reactivity, materials selection information, personnel and environmental hazards, physical and chemical properties, analytical spectroscopy, specifications, analytical methods, and material compatibility data. A summary of hydrogen peroxide-related accidents, incidents, dose calls, mishaps and lessons learned is included. The manual draws from art extensive literature base and includes recent applicable regulatory compliance documentation. The manual may be obtained by United States government agencies from NASA Johnson Space Center and used as a reference source for hazards and safe handling of hydrogen peroxide.
Hosono, Naotsune; Inoue, Hiromitsu; Tomita, Yutaka
2017-01-01
This paper discusses co-creation learning procedures of second language lessons for deaf students, and sign language lessons by a deaf lecturer. The analyses focus on the learning procedure and resulting assessment, considering the disability. Through questionnaires ICT-based co-creative learning technologies are effective and efficient and promote spontaneous learning motivation goals.
Unintended knowledge learnt in primary science practical lessons
NASA Astrophysics Data System (ADS)
Park, Jisun; Abrahams, Ian; Song, Jinwoong
2016-11-01
This study explored the different kinds of unintended learning in primary school practical science lessons. In this study, unintended learning has been defined as student learning that was found to occur that was not included in the teachers learning objectives for that specific lesson. A total of 22 lessons, taught by five teachers in Korean primary schools with 10- to 12-year-old students, were audio-and video recorded. Pre-lesson interviews with the teachers were conducted to ascertain their intended learning objectives. Students were asked to write short memos after the lesson about what they learnt. Post-lesson interviews with students and teachers were undertaken. What emerged was that there were three types of knowledge that students learnt unintentionally: factual knowledge gained by phenomenon-based reasoning, conceptual knowledge gained by relation- or model-based reasoning, and procedural knowledge acquired by practice. Most unintended learning found in this study fell into the factual knowledge and only a few cases of conceptual knowledge were found. Cases of both explicit procedural knowledge and implicit procedural knowledge were found. This study is significant in that it suggests how unintended learning in practical work can be facilitated as an educative opportunity for meaningful learning by exploring what and how students learnt.
Lessons learned from first year cistern monitoring in Camden ...
Invited panelist for Webinar 08/16/2016 by Office of Water : Lessons Learned from Past Green Infrastructure Projects Invited panelist for Webinar 08/16/2016 by Office of Water : Lessons Learned from Past Green Infrastructure Projects
Launch Vehicle Propulsion Life Cycle Cost Lessons Learned
NASA Technical Reports Server (NTRS)
Zapata, Edgar; Rhodes, Russell E.; Robinson, John W.
2010-01-01
This paper will review lessons learned for space transportation systems from the viewpoint of the NASA, Industry and academia Space Propulsion Synergy Team (SPST). The paper provides the basic idea and history of "lessons learned". Recommendations that are extremely relevant to NASA's future investments in research, program development and operations are"'provided. Lastly, a novel and useful approach to documenting lessons learned is recommended, so as to most effectively guide future NASA investments. Applying lessons learned can significantly improve access to space for cargo or people by focusing limited funds on the right areas and needs for improvement. Many NASA human space flight initiatives have faltered, been re-directed or been outright canceled since the birth of the Space Shuttle program. The reasons given at the time have been seemingly unique. It will be shown that there are common threads as lessons learned in many a past initiative.
Lessons Learned and Technical Standards: A Logical Marriage for Future Space Systems Design
NASA Technical Reports Server (NTRS)
Gill, Paul S.; Garcia, Danny; Vaughan, William W.; Parker, Nelson C. (Technical Monitor)
2002-01-01
A comprehensive database of engineering lessons learned that corresponds with relevant technical standards will be a valuable asset to those engaged in studies on future space vehicle developments, especially for structures, materials, propulsion, control, operations and associated elements. In addition, this will enable the capturing of technology developments applicable to the design, development, and operation of future space vehicles as planned in the Space Launch Initiative. Using the time-honored tradition of passing on lessons learned while utilizing the newest information technology, NASA has launched an intensive effort to link lessons learned acquired through various Internet databases with applicable technical standards. This paper will discuss the importance of lessons learned, the difficulty in finding relevant lessons learned while engaged in a space vehicle development, and the new NASA effort to relate them to technical standards that can help alleviate this difficulty.
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DT&E Forum for Best Practices and Lessons Learned
2013-05-01
E A N A L Y S E S IDA Paper P-4975 DT&E Forum for Best Practices and Lessons Learned L. B. Scheiber, Project Leader...and accessing from the DT&E Forum website. A. Collection of Lessons Learned and Best Practices We began the effort by reviewing approximately 30...Forum’s Home Page 1. Searching for BPLL Documents The DT&E Forum website contains DT&E Best Practice and Lessons Learned (BPLL) documents along with the
Papermaking and Poetry. ArtsEdge Curricula, Lessons and Activities.
ERIC Educational Resources Information Center
Withroe, J.
In this lesson, designed to be taught within a unit on China, primary-grade students will learn about the history of papermaking and its origins in China and even learn how to make their own paper. After learning about Chinese art and culture in the lesson, students will write their own "cinquain" poem about China. The lesson presents an…
ERIC Educational Resources Information Center
Stiler, Gary
2009-01-01
The author describes how the Understanding by Design (backwards planning) lesson plan format was used by his preservice K-12 students to develop service-learning lesson plans. Preservice teachers in a multicultural education course were given an assignment to develop service-learning lesson plans using the Understanding by Design planning process.…
NASA Astrophysics Data System (ADS)
Chan, Man Ching Esther; Clarke, David J.; Clarke, Doug M.; Roche, Anne; Cao, Yiming; Peter-Koop, Andrea
2018-03-01
The major premise of this project is that teachers learn from the act of teaching a lesson. Rather than asking "What must a teacher already know in order to practice effectively?", this project asks "What might a teacher learn through their activities in the classroom and how might this learning be optimised?" In this project, controlled conditions are created utilising purposefully designed and trialled lesson plans to investigate the process of teacher knowledge construction, with teacher selective attention proposed as a key mediating variable. In order to investigate teacher learning through classroom practice, the project addresses the following questions: To what classroom objects, actions and events do teachers attend and with what consequence for their learning? Do teachers in different countries attend to different classroom events and consequently derive different learning benefits from teaching a lesson? This international project combines focused case studies with an online survey of mathematics teachers' selective attention and consequent learning in Australia, China and Germany. Data include the teacher's adaptation of a pre-designed lesson, the teacher's actions during the lesson, the teacher's reflective thoughts about the lesson and, most importantly, the consequences for the planning and delivery of a second lesson. The combination of fine-grained, culturally situated case studies and large-scale online survey provides mutually informing benefits from each research approach. The research design, so constituted, offers the means to a new and scalable vision of teacher learning and its promotion.
Considerations for implementing an organizational lessons learned process.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Fosshage, Erik D
2013-05-01
This report examines the lessons learned process by a review of the literature in a variety of disciplines, and is intended as a guidepost for organizations that are considering the implementation of their own closed-loop learning process. Lessons learned definitions are provided within the broader context of knowledge management and the framework of a learning organization. Shortcomings of existing practices are summarized in an attempt to identify common pitfalls that can be avoided by organizations with fledgling experiences of their own. Lessons learned are then examined through a dual construct of both process and mechanism, with emphasis on integrating intomore » organizational processes and promoting lesson reuse through data attributes that contribute toward changed behaviors. The report concludes with recommended steps for follow-on efforts.« less
Fukushima Accident: Sequence of Events and Lessons Learned
NASA Astrophysics Data System (ADS)
Morse, Edward C.
2011-10-01
The Fukushima Dai-Ichi nuclear power station suffered a devastating Richter 9.0 earthquake followed by a 14.0 m tsunami on 11 March 2011. The subsequent loss of power for emergency core cooling systems resulted in damage to the fuel in the cores of three reactors. The relief of pressure from the containment in these three reactors led to sufficient hydrogen gas release to cause explosions in the buildings housing the reactors. There was probably subsequent damage to a spent fuel pool of a fourth reactor caused by debris from one of these explosions. Resultant releases of fission product isotopes in air were significant and have been estimated to be in the 3 . 7 --> 6 . 3 ×1017 Bq range (~10 MCi) for 131I and 137Cs combined, or approximately one tenth that of the Chernobyl accident. A synopsis of the sequence of events leading up to this large release of radioactivity will be presented, along with likely scenarios for stabilization and site cleanup in the future. Some aspects of the isotope monitoring programs, both locally and at large, will also be discussed. An assessment of radiological health risk for the plant workers as well as the general public will also be presented. Finally, the impact of this accident on design and deployment of nuclear generating stations in the future will be discussed.
Multi-Unit Considerations for Human Reliability Analysis
DOE Office of Scientific and Technical Information (OSTI.GOV)
St. Germain, S.; Boring, R.; Banaseanu, G.
This paper uses the insights from the Standardized Plant Analysis Risk-Human Reliability Analysis (SPAR-H) methodology to help identify human actions currently modeled in the single unit PSA that may need to be modified to account for additional challenges imposed by a multi-unit accident as well as identify possible new human actions that might be modeled to more accurately characterize multi-unit risk. In identifying these potential human action impacts, the use of the SPAR-H strategy to include both errors in diagnosis and errors in action is considered as well as identifying characteristics of a multi-unit accident scenario that may impact themore » selection of the performance shaping factors (PSFs) used in SPAR-H. The lessons learned from the Fukushima Daiichi reactor accident will be addressed to further help identify areas where improved modeling may be required. While these multi-unit impacts may require modifications to a Level 1 PSA model, it is expected to have much more importance for Level 2 modeling. There is little currently written specifically about multi-unit HRA issues. A review of related published research will be presented. While this paper cannot answer all issues related to multi-unit HRA, it will hopefully serve as a starting point to generate discussion and spark additional ideas towards the proper treatment of HRA in a multi-unit PSA.« less
ERIC Educational Resources Information Center
Lewis, Catherine; Perry, Rebecca; Murata, Aki
During "lesson study" teachers formulate long-term goals for student learning and development, collaboratively work on "research lessons" to bring these goals to life, document and discuss student responses to these lessons, and revise the lessons in response to student learning. This document summarizes the content of a…
A Checklist of Artillery Organizational Histories; A Compilation.
1982-03-08
Artillery. 3d Battalion. Ab Operational reports - Lessons learned. ( 3d ) 1966- . (Vietnam n.p.) APO 96318. 1. Vietnamese Conflict, 1961- I. Title. 11...1973. A631 U.S. Army. 18th Artillery. 3d Bn. A18 Operational report(s) - Lessons learned. ( 3d ) (Vietnam, n.p.) 1966- nos. 1. Vietnamese Conflict, 1961...1973. I. Title. II. T: Lessons learned. *DS557 Vietnamese Conflict, 1961-1973 A63A]8 ’U.S. Army. 18th Artillery. 3d Bn. Lessons learned. (Vietnam, n.p
Improving the primary school science learning unit about force and motion through lesson study
NASA Astrophysics Data System (ADS)
Phaikhumnam, Wuttichai; Yuenyong, Chokchai
2018-01-01
The study aimed to develop primary school science lesson plan based on inquiry cycle (5Es) through lesson study. The study focused on the development of 4 primary school science lesson plans of force and motion for Grade 3 students in KKU Demonstration Primary School (Suksasart), first semester of 2015 academic year. The methodology is mixed method. The Inthaprasitha (2010) lesson study cycle was implemented in group of KKU Demonstration Primary School. Instruments of reflection of lesson plan developing included participant observation, meeting and reflection report, lesson plan and other document. The instruments of examining students' learning include classroom observation and achievement test. Data was categorized from these instruments to find the issues of changing and improving the good lesson plan of Thai primary school science learning. The findings revealed that teachers could develop the lesson plans through lesson study. The issues of changing and improving were disused by considering on engaging students related to societal issues, students' prior knowledge, scientific concepts for primary school students, and what they learned from their changing. It indicated that the Lesson Study allowed primary school science teachers to share ideas and develop ideas to improve the lesson. The study may have implications for Thai science teacher education through Lesson Study.
Learning to Lead, Leading to Learn: How Facilitators Learn to Lead Lesson Study
ERIC Educational Resources Information Center
Lewis, Jennifer M.
2016-01-01
This article presents research on how teacher developers in the United States learn to conduct lesson study. Although the practice of lesson study is expanding rapidly in the US, high-quality implementation requires skilled facilitation. In contexts such as the United States where this form of professional development is relatively novel, few…
Solid-State Lighting: Early Lessons Learned on the Way to Market
DOE Office of Scientific and Technical Information (OSTI.GOV)
Sandahl, Linda J.; Cort, Katherine A.; Gordon, Kelly L.
2013-12-31
The purpose of this report is to document early challenges and lessons learned in the solid-state lighting (SSL) market development as part of the DOE’s SSL Program efforts to continually evaluate market progress in this area. This report summarizes early actions taken by DOE and others to avoid potential problems anticipated based on lessons learned from the market introduction of compact fluorescent lamps and identifies issues, challenges, and new lessons that have been learned in the early stages of the SSL market introduction. This study identifies and characterizes12 key lessons that have been distilled from DOE SSL program results.
NASA Astrophysics Data System (ADS)
Edyani, E. A.; Supriatna, A.; Kurnia; Komalasari, L.
2017-02-01
The research is aimed to investigate how lesson analysis as teacher’s self-reflection changes the teacher’s lesson design on chemical equation topic. Lesson Analysis has been used as part of teacher training programs to improve teacher’s ability in analyzing their own lesson. The method used in this research is a qualitative method. The research starts from build lesson design, implementation lesson design to senior high school student, utilize lesson analysis to get information about the lesson, and revise lesson design. The revised lesson design from the first implementation applied to the second implementation, resulting in better design. This research use lesson analysis Hendayana&Hidayat framework. Video tapped and transcript are employed on each lesson. After first implementation, lesson analysis result shows that teacher-centered still dominating the learning because students are less active in discussion, so the part of lesson design must be revised. After second implementation, lesson analysis result shows that the learning already student-centered. Students are very active in discussion. But some part of learning design still must be revised. In general, lesson analysis was effective for teacher to reflect the lessons. Teacher can utilize lesson analysis any time to improve the next lesson design.
Lesson Study: Evaluation Report and Executive Summary
ERIC Educational Resources Information Center
Murphy, Richard; Weinhardt, Felix; Wyness, Gill; Rolfe, Heather
2017-01-01
Lesson Study is a popular approach to teacher professional development used widely in Japan. It involves a small group of teachers co-planning a series of lessons based on a shared learning goal for the pupils, with one teacher leading the co-constructed lesson and their colleagues invited to observe pupil learning in the lesson. The team then…
Solid-State Lighting. Early Lessons Learned on the Way to Market
DOE Office of Scientific and Technical Information (OSTI.GOV)
Sandahl, L. J.; Cort, K. A.; Gordon, K. L.
2014-01-01
Analysis of issues and lessons learned during the early stages of solid-state lighting market introduction in the U.S., which also summarizes early actions taken to avoid potential problems anticipated based on lessons learned from the market introduction of compact fluorescent lamps.
Lesson Closure: An Important Piece of the Student Learning Puzzle
ERIC Educational Resources Information Center
Ganske, Kathy
2017-01-01
As we seek ways to improve literacy teaching and learning, we need to be careful not to overlook lesson closure as an opportunity to solidify student learning. This Teaching Tip describes the importance of taking time at the ends of lessons, days, and weeks to revisit what students have learned as a means for helping them synthesize and assimilate…
NASA Technical Reports Server (NTRS)
Holloway, C. M.; Johnson, C. W.
2007-01-01
In the early years of powered flight, the National Advisory Committee on Aeronautics in the United States produced three reports describing a method of analysis of aircraft accidents. The first report was published in 1928; the second, which was a revision of the first, was published in 1930; and the third, which was a revision and update of the second, was published in 1936. This paper describes the contents of these reports, and compares the method of analysis proposed therein to the methods used today.
Implementation of Programmatic Quality and the Impact on Safety
NASA Astrophysics Data System (ADS)
Huls, Dale T.; Meehan, Kevin M.
2005-12-01
The implementation of an inadequate programmatic quality assurance discipline has the potential to adversely affect safety and mission success. This is best demonstrated in the lessons provided by the Apollo 1 Apollo 13 Challenger, and Columbia accidents; NASA Safety and Mission Assurance (S&MA) benchmarking exchanges; and conclusions reached by the Shuttle Return-to-Flight Task Group established following the Columbia Shuttle accident. Examples from the ISS Program demonstrate continuing issues with programmatic quality. Failure to adequately address programmatic quality assurance issues has a real potential to lead to continued inefficiency, increases in program costs, and additional catastrophic accidents.
NASA Astrophysics Data System (ADS)
Collins, Tonya Monique Nicki
Two Professional Learning Communities of physics teachers from different high schools voluntarily participated in Lesson Study as a means of professional development. The five teacher-participants and one participant-researcher partook of two Lesson Study cycles, each of which focused on student physics misconceptions. The Lesson Study resulted in two topics of physics: projectiles and gravitation. The researcher aimed to determine what happens to secondary physics teachers who undergo Lesson Study through this phenomenological case study. Specifically, (1) What is the process of Lesson Study with secondary physics teachers? and (2) What are the teacher-reported outcomes of Lesson Study with secondary physics teachers? Overall, Lesson Study provided an avenue for secondary physics teachers to conduct inquiry on their students in an attempt to better understand student thinking and learning. As a result, teachers collaborated to learn how to better meet the needs of their students and self-reported growth in many areas of teaching and teacher knowledge. The study resulted in twelve hypotheses to be tested in later research centering on idealizing the process of Lesson Study and maximizing secondary physics teacher growth.
Integrating Instruments of Power and Influence: Lessons Learned and Best Practices
2008-01-01
practices developed by ACT’s Joint Analysis and Lessons Learned Centre in Monsanto , Portugal. Summary xix European Union An increasing European role in...oversees the Joint Analysis and Lessons Learned Centre in Monsanto , Por- tugal, the mission of which is critical for the purposes of this report. These
Human Spaceflight Conjunction Assessment: Lessons Learned
NASA Technical Reports Server (NTRS)
Smith, Jason T.
2011-01-01
This viewgraph presentation reviews the process of a human space flight conjunction assessment and lessons learned from the more than twelve years of International Space Station (ISS) operations. Also, the application of these lessons learned to a recent ISS conjunction assessment with object 84180 on July 16, 2009 is also presented.
NASA's Lessons Learned and Technical Standards: A Logical Marriage
NASA Technical Reports Server (NTRS)
Gill, Paul; Vaughan, William W.; Garcia, Danny; Weinstein, Richard
2001-01-01
Lessons Learned have been the basis for our accomplishments throughout the ages. They have been passed down from father to son, mother to daughter, teacher to pupil, and older to younger worker. Lessons Learned have also been the basis for NASA's accomplishments for more than forty years. Both government and industry have long recognized the need to systematically document and utilize the knowledge gained from past experiences in order to avoid the repetition of failures and mishaps. Lessons Learned have formed the foundation for discoveries, inventions, improvements, textbooks, and Technical Standards.
jsc2017m001162_AstroMoment_RickyArnold_MP4
2018-03-21
Astronaut Moments with NASA astronaut Ricky Arnold----------------------------------- Ricky Arnold was selected to be an astronaut 2004. Before his NASA career, he worked in the marine sciences and as a teacher in places like Morocco, Saudi Arabia, and Indonesia. He recalls watching the Challenger accident with Christa McAuliffe, NASA’s first “Teacher in Space”. During his mission to the International Space Station launching on March 21, 2018, Ricky will conduct some of the lost lessons that Christa had planned to film during her mission. Learn more: https://www.nasa.gov/feature/nasa-challenger-center-collaborate-to-perform-christa-mcauliffe-s-legacy-experiments https://www.nasa.gov/astronauts/biographies/richard-r-arnold https://www.nasa.gov/press-release/nasa-television-coverage-set-for-space-station-crew-launch-docking
TYPE A FISSILE PACKAGING FOR AIR TRANSPORT PROJECT OVERVIEW
DOE Office of Scientific and Technical Information (OSTI.GOV)
Eberl, K.; Blanton, P.
2013-10-11
This paper presents the project status of the Model 9980, a new Type A fissile packaging for use in air transport. The Savannah River National Laboratory (SRNL) developed this new packaging to be a light weight (<150-lb), drum-style package and prepared a Safety Analysis for Packaging (SARP) for submission to the DOE/EM. The package design incorporates unique features and engineered materials specifically designed to minimize packaging weight and to be in compliance with 10CFR71 requirements. Prototypes were fabricated and tested to evaluate the design when subjected to Normal Conditions of Transport (NCT) and Hypothetical Accident Conditions (HAC). An overview ofmore » the design details, results of the regulatory testing, and lessons learned from the prototype fabrication for the 9980 will be presented.« less
Integral Inherently Safe Light Water Reactor (I 2S-LWR)
DOE Office of Scientific and Technical Information (OSTI.GOV)
Petrovic, Bojan; Memmott, Matthew; Boy, Guy
This final report summarizes results of the multi-year effort performed during the period 2/2013- 12/2016 under the DOE NEUP IRP Project “Integral Inherently Safe Light Water Reactors (I 2S-LWR)”. The goal of the project was to develop a concept of a 1 GWe PWR with integral configuration and inherent safety features, at the same time accounting for lessons learned from the Fukushima accident, and keeping in mind the economic viability of the new concept. Essentially (see Figure 1-1) the project aimed to implement attractive safety features, typically found only in SMRs, to a larger power (1 GWe) reactor, to addressmore » the preference of some utilities in the US power market for unit power level on the order of 1 GWe.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
R. Camp
Over the past four years, the Electrical Safety Program at PPPL has evolved in addressing changing regulatory requirements and lessons learned from accident events, particularly in regards to arc flash hazards and implementing NFPA 70E requirements. This presentation will discuss PPPL's approaches to the areas of electrical hazards evaluation, both shock and arc flash; engineered solutions for hazards mitigation such as remote racking of medium voltage breakers, operational changes for hazards avoidance, targeted personnel training and hazard appropriate personal protective equipment. Practical solutions for nominal voltage identification and zero voltage checks for lockout/tagout will also be covered. Finally, we willmore » review the value of a comprehensive electrical drawing program, employee attitudes expressed as a personal safety work ethic, integrated safety management, and sustained management support for continuous safety improvement.« less
Selected Lessons Learned in Space Shuttle Orbiter Propulsion and Power Subsystems
NASA Technical Reports Server (NTRS)
Hernandez, Francisco J.; Martinez, Hugo; Ryan, Abigail; Westover, Shayne; Davies, Frank
2011-01-01
Over its 30 years of space flight history, plus the nearly 10 years of design, development test and evaluation, the Space Shuttle Orbiter is full of lessons learned in all of its numerous and complex subsystems. In the current paper, only selected lessons learned in the areas of the Orbiter propulsion and power subsystems will be described. The particular Orbiter subsystems include: Auxiliary Power Unit (APU), Hydraulics and Water Spray Boiler (WSB), Mechanical Flight Controls, Main Propulsion System (MPS), Fuel Cells and Power Reactant and Storage Devices (PRSD), Orbital Maneuvering System (OMS), Reaction Control System (RCS), Electrical Power Distribution (EPDC), electrical wiring and pyrotechnics. Given the complexity and extensive history of each of these subsystems, and the limited scope of this paper, it is impossible to include most of the lessons learned; instead the attempt will be to present a selected few or key lessons, in the judgment of the authors. Each subsystem is presented separate, beginning with an overview of the hardware and their function, a short description of a few historical problems and their lessons, followed by a more comprehensive table listing of the major subsystem problems and lessons. These tables serve as a quick reference for lessons learned in each subsystem. In addition, this paper will establish common lessons across subsystems as well as concentrate on those lessons which are deemed to have the highest applicability to future space flight programs.
Zablotska, Lydia B
2016-06-01
It has been 30 years since the worst accident in the history of the nuclear era occurred at the Chernobyl power plant in Ukraine close to densely populated urban areas. To date, epidemiological studies reported increased long-term risks of leukemia, cardiovascular diseases, and cataracts among cleanup workers and of thyroid cancer and non-malignant diseases in those exposed as children and adolescents. Mental health effects were the most significant public health consequence of the accident in the three most contaminated countries of Ukraine, Belarus, and the Russian Federation. Timely and clear communication with affected populations emerged as one of the main lessons in the aftermath of the Chernobyl nuclear accident.
Key Events in Student Leaders' Lives and Lessons Learned from Them
ERIC Educational Resources Information Center
Sessa, Valerie I.; Morgan, Brett V.; Kalenderli, Selin; Hammond, Fanny E.
2014-01-01
This descriptive study used an interview protocol developed by the Center for Creative Leadership with 50 college student leaders to determine what key developmental events young college leaders experience and the leadership lessons learned from these events. Students discussed 180 events and 734 lessons learned from them. Most events defined by…
Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-23
..., Revision 2; ``Generic Aging Lessons Learned (GALL) Report'' AGENCY: Nuclear Regulatory Commission (NRC... Nuclear Power Plants'' and NUREG-1801, Revision 2; ``Generic Aging Lessons Learned (GALL) Report... Lessons Learned (GALL) Report.'' These revised documents describe methods acceptable to the NRC staff for...
ERIC Educational Resources Information Center
Lieberman, Joanne
2009-01-01
The present article addresses how lesson study can facilitate changing traditional norms of individualism, conservatism and presentism that constrain American teachers from learning from one another. The article investigates how lesson study can serve as a vehicle for developing teacher learning communities by developing or redeveloping teachers'…
Leveraging Lesson Learning in Tactical Units
1997-01-01
then it may be a lesson, but as Vetock points out, determining useful lessons requires analysis. Discovery of the wrong lesson can be as bad as not...34lesson learning is a very dangerous business.൘ Distinguishing a good" lesson from a " bad " one requires experience, a good grasp of doctrine, and...section - - boasted 3 cigarette lighters, 1 bar of soap, 2 wallets, 40 bottles, 1 suspender, and 11 French toothpaste .55 49 As Vetock points out, the
NASA Astrophysics Data System (ADS)
Setyaningsih, S.
2018-03-01
Lesson Study for Learning Community is one of lecturer profession building system through collaborative and continuous learning study based on the principles of openness, collegiality, and mutual learning to build learning community in order to form professional learning community. To achieve the above, we need a strategy and learning method with specific subscription technique. This paper provides a description of how the quality of learning in the field of science can be improved by implementing strategies and methods accordingly, namely by applying lesson study for learning community optimally. Initially this research was focused on the study of instructional techniques. Learning method used is learning model Contextual teaching and Learning (CTL) and model of Problem Based Learning (PBL). The results showed that there was a significant increase in competence, attitudes, and psychomotor in the four study programs that were modelled. Therefore, it can be concluded that the implementation of learning strategies in Lesson study for Learning Community is needed to be used to improve the competence, attitude and psychomotor of science students.
2017-01-27
Mike Ciannilli, the Apollo, Challenger, Columbia Lessons Learned Program manager, far right, is pictured with panelists from the Apollo 1 Lessons Learned event in the Training Auditorium at NASA's Kennedy Space Center in Florida. In the center, are Ernie Reyes, retired, former Apollo 1 senior operations manager; and John Tribe, retired, former Apollo 1 Reaction and Control System lead engineer. At far left is Zulie Cipo, the Apollo, Challenger, Columbia Lessons Learned Program event support team lead. The theme of the program was "To there and Back Again." The event helped pay tribute to the Apollo 1 crew, Gus Grissom, Ed White II, and Roger Chaffee.
ERIC Educational Resources Information Center
US Department of Education, 2008
2008-01-01
"Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. This "Lessons Learned" issue examines the incidence of student walkout demonstrations and the various ways in which administrators, school staff, law enforcement, and the community at large can help keep youths…
Lessons Learned from School Crises and Emergencies, Vol. 1, Issue 2, Fall 2006
ERIC Educational Resources Information Center
US Department of Education, 2006
2006-01-01
"Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. School and student names have been changed to protect identities. Information for this publication was gathered through a series of interviews with school stakeholders involved in the actual incident. This "Lessons Learned" issue…
Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-18
... Draft NUREG-1801, Revision 2; ``Generic Aging Lessons Learned (GALL) Report'' AGENCY: Nuclear Regulatory... Applications for Nuclear Power Plants ''and draft NUREG-1801, ``Generic Aging Lessons Learned (GALL) Report... Power Plants'' (SRP-LR); and the revised NUREG-1801, ``Generic Aging Lessons Learned (GALL) Report'' for...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-11
... NUCLEAR REGULATORY COMMISSION [NRC-2012-0055] Changes to the Generic Aging Lessons Learned (GALL) Report Revision 2 AMP XI.M41, ``Buried and Underground Piping and Tanks'' AGENCY: Nuclear Regulatory... NUREG-1801, Revision 2, ``Generic Aging Lessons Learned (GALL) Report,'' and the NRC staff's aging...
ERIC Educational Resources Information Center
Smigielski, Alan
The three lesson plans in this issue feature the Eskimos of the Bering Sea and their culture. The lesson plans are: (1) "Learning about a Culture from Its Objects"; (2) "Learning about a Culture from a Story"; and (3) "Everyday Objects." Each lesson cites student objectives; lists materials needed; gives subjects…
Value pricing pilot program : lessons learned
DOT National Transportation Integrated Search
2008-08-01
This "Lessons Learned Report" provides a summary of projects sponsored by the Federal Highway Administration's (FHWA's) Congestion and Value Pricing Pilot Programs from 1991 through 2006 and draws lessons from a sample of projects with the richest an...
DISPELLING MYTHS AND MISCONCEPTIONS TO IMPLEMENT A SAFETY CULTURE
DOE Office of Scientific and Technical Information (OSTI.GOV)
Potts, T. Todd; Smith, Ken; Hylko, James M.
2003-02-27
Industrial accidents are typically reported in terms of technological malfunctions, ignoring the human element in accident causation. However, over two-thirds of all accidents are attributable to human and organizational factors (e.g., planning, written procedures, job factors, training, communication, and teamwork), thereby affecting risk perception, behavior and attitudes. This paper reviews the development of WESKEM, LLC's Environmental, Safety, and Health (ES&H) Program that addresses human and organizational factors from a top-down, bottom-up approach. This approach is derived from the Department of Energy's Integrated Safety Management System. As a result, dispelling common myths and misconceptions about safety, while empowering employees to ''STOPmore » work'' if necessary, have contributed to reducing an unusually high number of vehicle, ergonomic and slip/trip/fall incidents successfully. Furthermore, the safety culture that has developed within WESKEM, LLC's workforce consists of three common characteristics: (1) all employees hold safety as a value; (2) each individual feels responsible for the safety of their co-workers as well as themselves; and (3) each individual is willing and able to ''go beyond the call of duty'' on behalf of the safety of others. WESKEM, LLC as a company, upholds the safety culture and continues to enhance its existing ES&H program by incorporating employee feedback and lessons learned collected from other high-stress industries, thereby protecting its most vital resource - the employees. The success of this program is evident by reduced accident and injury rates, as well as the number of safe work hours accrued while performing hands-on field activities. WESKEM, LLC (Paducah + Oak Ridge) achieved over 800,000 safe work hours through August 2002. WESKEM-Paducah has achieved over 665,000 safe work hours without a recordable injury or lost workday case since it started operations on February 28, 2000.« less
NASA Technical Reports Server (NTRS)
Dittemore, Gary D.; Bertels, Christie
2010-01-01
This paper will summarize the thirty-year history of Space Shuttle operations from the perspective of training in NASA Johnson Space Center's Mission Control Center. It will focus on training and development of flight controllers and instructors, and how training practices have evolved over the years as flight experience was gained, new technologies developed, and programmatic needs changed. Operations of human spaceflight systems is extremely complex, therefore the training and certification of operations personnel is a critical piece of ensuring mission success. Mission Control Center (MCC-H), at the Lyndon B. Johnson Space Center, in Houston, Texas manages mission operations for the Space Shuttle Program, including the training and certification of the astronauts and flight control teams. This paper will give an overview of a flight control team s makeup and responsibilities during a flight, and details on how those teams are trained and certified. The training methodology for developing flight controllers has evolved significantly over the last thirty years, while the core goals and competencies have remained the same. In addition, the facilities and tools used in the control center have evolved. These changes have been driven by many factors including lessons learned, technology, shuttle accidents, shifts in risk posture, and generational differences. Flight controllers will share their experiences in training and operating the Space Shuttle throughout the Program s history. A primary method used for training Space Shuttle flight control teams is by running mission simulations of the orbit, ascent, and entry phases, to truly "train like you fly." The audience will learn what it is like to perform a simulation as a shuttle flight controller. Finally, we will reflect on the lessons learned in training for the shuttle program, and how those could be applied to future human spaceflight endeavors.
NASA Technical Reports Server (NTRS)
Dittemore, Gary D.; Bertels, Christie
2011-01-01
Operations of human spaceflight systems is extremely complex, therefore the training and certification of operations personnel is a critical piece of ensuring mission success. Mission Control Center (MCC-H), at the Lyndon B. Johnson Space Center, in Houston, Texas manages mission operations for the Space Shuttle Program, including the training and certification of the astronauts and flight control teams. As the space shuttle program ends in 2011, a review of how training for STS-1 was conducted compared to STS-134 will show multiple changes in training of shuttle flight controller over a thirty year period. This paper will additionally give an overview of a flight control team s makeup and responsibilities during a flight, and details on how those teams have been trained certified over the life span of the space shuttle. The training methods for developing flight controllers have evolved significantly over the last thirty years, while the core goals and competencies have remained the same. In addition, the facilities and tools used in the control center have evolved. These changes have been driven by many factors including lessons learned, technology, shuttle accidents, shifts in risk posture, and generational differences. A primary method used for training Space Shuttle flight control teams is by running mission simulations of the orbit, ascent, and entry phases, to truly "train like you fly." The reader will learn what it is like to perform a simulation as a shuttle flight controller. Finally, the paper will reflect on the lessons learned in training for the shuttle program, and how those could be applied to future human spaceflight endeavors.
Lessons Learned from the Node 1 Temperature and Humidity Control Subsystem Design
NASA Technical Reports Server (NTRS)
Williams, David E.
2010-01-01
Node 1 flew to the International Space Station (ISS) on Flight 2A during December 1998. To date the National Aeronautics and Space Administration (NASA) has learned a lot of lessons from this module based on its history of approximately two years of acceptance testing on the ground and currently its twelve years on-orbit. This paper will provide an overview of the ISS Environmental Control and Life Support (ECLS) design of the Node 1 Temperature and Humidity Control (THC) subsystem and it will document some of the lessons that have been learned to date for this subsystem and it will document some of the lessons that have been learned to date for these subsystems based on problems prelaunch, problems encountered on-orbit, and operational problems/concerns. It is hoped that documenting these lessons learned from ISS will help in preventing them in future Programs. 1
Lessons Learned from Ares I Upper Stage Structures and Thermal Design
NASA Technical Reports Server (NTRS)
Ahmed, Rafiq
2012-01-01
The Ares 1 Upper Stage was part of the vehicle intended to succeed the Space Shuttle as the United States manned spaceflight vehicle. Although the Upper Stage project was cancelled, there were many lessons learned that are applicable to future vehicle design. Lessons learned that are briefly detailed in this Technical Memorandum are for specific technical areas such as tank design, common bulkhead design, thrust oscillation, control of flight and slosh loads, purge and hazardous gas system. In addition, lessons learned from a systems engineering and vehicle integration perspective are also included, such as computer aided design and engineering, scheduling, and data management. The need for detailed systems engineering in the early stages of a project is emphasized throughout this report. The intent is that future projects will be able to apply these lessons learned to keep costs down, schedules brief, and deliver products that perform to the expectations of their customers.
ERIC Educational Resources Information Center
Castro, Edgar Oscar
2013-01-01
A 30-year contribution of the Space Shuttle Program is the evolution of NASA's social actions through organizational learning. This study investigated how NASA learned over time following two catastrophic accidents. Schwandt's (1997) organizational Learning System Model (OLSM) characterized the learning in this High Reliability…
Infection as a Background to Safety: Source Material for Teaching.
ERIC Educational Resources Information Center
Wyatt, H. V.
1986-01-01
Offers selections from papers which illustrate accidents, epidemics, and bad practices which could be used as background material for lessons on laboratory safety. Advocates the need for instruction on pathogenicity and infectivity. (ML)
Welcome to Lotus 1-2-3 Advanced. Learning Activity Packets.
ERIC Educational Resources Information Center
Mills, Steven; And Others
This learning activity packet (LAP) contains five self-paced study lessons that allow students to study advanced concepts of Lotus 1-2-3 at their own pace. The lessons used in the LAP are organized in the following way: lesson name, lesson number, objectives, completion standard, performance standard, required materials, unit test, and exercises.…
NASA Technical Reports Server (NTRS)
Schneider, W. C.
1976-01-01
This report records some of the lessons learned during Skylab development. The approach taken is to list lessons which could have wide application in the development of a large space station. The lessons are amplified and explained in light of the background and experiences of the Skylab development.
NASA Technical Reports Server (NTRS)
Studor, George
2007-01-01
A viewgraph presentation on lessons learned from NASA Johnson Space Center's micro-wireless instrumentation is shown. The topics include: 1) Background, Rationale and Vision; 2) NASA JSC/Structural Engineering Approach & History; 3) Orbiter Wing Leading Edge Impact Detection System; 4) WLEIDS Confidence and Micro-WIS Lessons Learned; and 5) Current Projects and Recommendations.
Orbiter Water Dump Nozzles Redesign Lessons Learned
NASA Technical Reports Server (NTRS)
Rotter, Hank
2017-01-01
Hank Rotter, NASA Technical Fellow for Environmental Control and Life Support System, will provide the causes and lessons learned for the two Space Shuttle Orbiter water dump icicles that formed on the side of the Orbiter. He will present the root causes and the criticality of these icicles, along with the redesign of the water dump nozzles and lessons learned during the redesign phase.
2001-01-01
Management System (JTIMS) followed, and generated spirited discussion regarding the respective roles of JTIMS and the JLLP. The discussion concluded...waiting for the Director, Joint Staff�s signature and should be in official distribution by January 2001. An update on the Joint Training Information
Developing Noticing of Reasoning through Demonstration Lessons
ERIC Educational Resources Information Center
Bragg, Leicha A.; Vale, Colleen
2014-01-01
Observation of fellow educators conducting demonstration lessons is one avenue for teachers to develop sensitivity to noticing students' reasoning. We examined teachers' noticing of children's learning behaviours in one demonstration lesson of the "Mathematical Reasoning Professional Learning Research Program" (MRPLRP). The observations…
Lessons Learned from the NASA Plum Brook Reactor Facility Decommissioning
NASA Technical Reports Server (NTRS)
2010-01-01
NASA has been conducting decommissioning activities at its PBRF for the last decade. As a result of all this work there have been several lessons learned both good and bad. This paper presents some of the more exportable lessons.
Jonetta T. Holt; David Christenson; Anne Black; Brett Fay; Kim Round
2009-01-01
This event in NorCal is another of the major events we have experienced in fire management. In line with our desire to learn, we ought to line up a team to help us capture lessons learned from this event." This statement, and a regional delegation, was the impetus for an information collection team from the Wildland Fire Lessons Learned Center to visit with...
ERIC Educational Resources Information Center
2003
This collection of papers includes lessons learned from a 3-year collaboration among faculty who had pursued a scholarly inquiry of service-learning, integrated service-learning into their curricula, altered their teaching, forged partnerships with community based organizations, and developed measures and methodologies for assessing results. The…
Defining a risk-informed framework for whole-of-government lessons learned: A Canadian perspective.
Friesen, Shaye K; Kelsey, Shelley; Legere, J A Jim
Lessons learned play an important role in emergency management (EM) and organizational agility. Virtually all aspects of EM can derive benefit from a lessons learned program. From major security events to exercises, exploiting and applying lessons learned and "best practices" is critical to organizational resilience and adaptiveness. A robust lessons learned process and methodology provides an evidence base with which to inform decisions, guide plans, strengthen mitigation strategies, and assist in developing tools for operations. The Canadian Safety and Security Program recently supported a project to define a comprehensive framework that would allow public safety and security partners to regularly share event response best practices, and prioritize recommendations originating from after action reviews. This framework consists of several inter-locking elements: a comprehensive literature review/environmental scan of international programs; a survey to collect data from end users and management; the development of a taxonomy for organizing and structuring information; a risk-informed methodology for selecting, prioritizing, and following through on recommendations; and standardized templates and tools for tracking recommendations and ensuring implementation. This article discusses the efforts of the project team, which provided "best practice" advice and analytical support to ensure that a systematic approach to lessons learned was taken by the federal community to improve prevention, preparedness, and response activities. It posits an approach by which one might design a systematic process for information sharing and event response coordination-an approach that will assist federal departments to institutionalize a cross-government lessons learned program.
ERIC Educational Resources Information Center
Park, Jisun; Song, Jinwoong; Abrahams, Ian
2016-01-01
This study explored, from the perspective of intellectual passion developed by Michael Polanyi, the unintended learning that occurred in primary practical science lessons. We use the term "unintended" learning to distinguish it from "intended" learning that appears in teachers' learning objectives. Data were collected using…
Seizing the Moment: State Lessons for Transforming Professional Learning
ERIC Educational Resources Information Center
Learning Forward, 2013
2013-01-01
Explore this first look at lessons learned through Learning Forward's ongoing initiative to develop a comprehensive system of professional learning that spans the distance from the statehouse to the classroom. This policy brief underscores the importance of a coordinated state professional learning strategy, the adoption of professional learning…
What ails the Bhopal disaster investigations? (And is there a cure?).
Dhara, V Ramana
2002-01-01
A review of the health effects of the 1984 disaster in Bhopal, India, shows continuing morbidity of a multi-systemic nature in the exposed population. Scientific questions about epidemiologic issues are discussed with a view to understanding appropriate methods of investigation into the disaster. Other major chemical incidents were reviewed to note some of the common problems associated with public health investigations of disasters, which have included the lack of accident-related and toxicologic information, expertise, and funds. The complexity of the Bhopal crisis was underscored by the severe mortality and morbidity it entailed as well as its occurrence in a developing nation that had little experience in dealing with chemical disasters. Lessons learned from the disaster are discussed, with recommendations for disaster preparedness, long-term monitoring, rehabilitation, and treatment of the gas victims.
[Learning from aviation - how to increase patient safety in surgery].
Renz, B; Angele, M K; Jauch, K-W; Kasparek, M S; Kreis, M; Müller, M H
2012-04-01
During the last years attempts have been made to draw lessons from aviation to increase patient safety in medicine. In particular similar conditions are present in surgery as pilots and surgeons may have to support high physical and mental pressure. The use of a few safety instruments from aviation is feasible in an attempt to increase safety in surgery. First a "root caused" accident research may be established. This is achievable by morbidity and mortality conferences and critical incident reporting systems (CIRS). Second, standard operating procedures may assure a uniform mental model of team members. Furthermore, crew resource management illustrates a strategy and attitude concept, which is applicable in all situations. Safety instruments from aviation, therefore, seem to have a high potential to increase safety in surgery when properly employed. © Georg Thieme Verlag KG Stuttgart ˙ New York.
Runway Safety Monitor Algorithm for Single and Crossing Runway Incursion Detection and Alerting
NASA Technical Reports Server (NTRS)
Green, David F., Jr.
2006-01-01
The Runway Safety Monitor (RSM) is an aircraft based algorithm for runway incursion detection and alerting that was developed in support of NASA's Runway Incursion Prevention System (RIPS) research conducted under the NASA Aviation Safety and Security Program's Synthetic Vision System project. The RSM algorithm provides warnings of runway incursions in sufficient time for pilots to take evasive action and avoid accidents during landings, takeoffs or when taxiing on the runway. The report documents the RSM software and describes in detail how RSM performs runway incursion detection and alerting functions for NASA RIPS. The report also describes the RIPS flight tests conducted at the Reno/Tahoe International Airport (RNO) and the Wallops Flight Facility (WAL) during July and August of 2004, and the RSM performance results and lessons learned from those flight tests.
NASA Technical Reports Server (NTRS)
Carvalho, Robert F.; Williams, James; Keller, Richard; Sturken, Ian; Panontin, Tina
2004-01-01
InvestigationOrganizer (IO) is a collaborative web-based system designed to support the conduct of mishap investigations. IO provides a common repository for a wide range of mishap related information, and allows investigators to make explicit, shared, and meaningful links between evidence, causal models, findings and recommendations. It integrates the functionality of a database, a common document repository, a semantic knowledge network, a rule-based inference engine, and causal modeling and visualization. Thus far, IO has been used to support four mishap investigations within NASA, ranging from a small property damage case to the loss of the Space Shuttle Columbia. This paper describes how the functionality of IO supports mishap investigations and the lessons learned from the experience of supporting two of the NASA mishap investigations: the Columbia Accident Investigation and the CONTOUR Loss Investigation.
Increase in disaster-related deaths: risks and social impacts of evacuation.
Hayakawa, M
2016-12-01
In Fukushima Prefecture, disaster-related death is a social problem for individuals who were forced to leave their hometowns as a result of the Great East Japan Earthquake and the accident at Fukushima Daiichi nuclear power plant. Disaster-related death is caused by stress, exhaustion, and worsening of pre-existing illnesses due to evacuation. The number of disaster-related deaths has reached almost 2000, and continues to rise. Prolonged uncertainty and deteriorating living conditions suggest no end to such deaths, although response measures have been taken to improve the situation. It is said that insufficient response measures were taken, in particular, during the transitional period between the emergency phase and the reconstruction phase. There is a need to apply the lessons learned in planning for evacuation after a nuclear hazard, considering radiological protection as well as risks associated with evacuation.
Planning and scheduling lessons learned study, executive summary
NASA Technical Reports Server (NTRS)
Robinson, Toni
1990-01-01
The study was performed to document the lessons on planning and scheduling activities for a number of missions and institutional facilities in such a way that they can be applied to future missions; to provide recommendations to both projects and Code 500 that will improve the end-to-end planning and scheduling process; and to identify what, if any, mission characteristics might be related to certain lessons learned. The results are a series of recommendations of both a managerial and technical nature related to the underlying lessons learned.
Modeling the Dispersal and Deposition of Radionuclides: Lessons from Chernobyl.
ERIC Educational Resources Information Center
ApSimon, H. M.; And Others
1988-01-01
Described are theoretical models that simulate the dispersion of radionuclides on local and global scales following the accident at the Chernobyl nuclear power plant. Discusses the application of these results to nuclear weapons fallout. (CW)
Providing Community Education: Lessons Learned from Native Patient Navigators
Burhansstipanov, Linda; Krebs, Linda U.; Harjo, Lisa; Watanabe-Galloway, Shinobu; Pingatore, Noel; Isham, Debra; Duran, Florence Tinka; Denny, Loretta; Lindstrom, Denise; Crawford, Kim
2014-01-01
Native Navigators and the Cancer Continuum (NNACC) was a community-based participatory research study among five American Indian organizations. The intervention required lay Native Patient Navigators (NPNs) to implement and evaluate community education workshops in their local settings. Community education was a new role for the NPNs and resulted in many lessons learned. NPNs met quarterly from 2008 through 2013 and shared lessons learned with one another and with the administrative team. In July 2012, the NPNs prioritized lessons learned throughout the study that were specific to implementing the education intervention. These were shared to help other navigators who may be including community education within their scope of work. The NPNs identified eight lessons learned that can be divided into three categories: NPN education and training, workshop content and presentation, and workshop logistics and problem-solving. A ninth overarching lesson for the entire NNACC study identified meeting community needs as an avenue for success. This project was successful due to the diligence of the NPNs in understanding their communities’ needs and striving to meet them through education workshops. Nine lessons were identified by the NPNs who provided community education through the NNACC project. Most are relevant to all patient navigators, regardless of patient population, who are incorporating public education into navigation services. Due to their intervention and budget implications, many of these lessons also are relevant to those who are developing navigation research. PMID:25087698
ERIC Educational Resources Information Center
US Department of Education, 2007
2007-01-01
"Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. This "Lessons Learned" issue addresses the experience of a school district where three middle school students hung themselves within a three-week timeframe. Although deaths were apparently unconnected, the school district is part of a…
ERIC Educational Resources Information Center
US Department of Education, 2007
2007-01-01
"Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. This "Lessons Learned" issue focuses on an infectious disease incident, which resulted in the death of a student, closure of area schools and the operation of an on-site school vaccine clinic. The report highlights the critical need…
ERIC Educational Resources Information Center
Belova, Nadja; Eilks, Ingo
2015-01-01
This paper describes a case study on the chemistry behind natural cosmetics in five chemistry learning groups (grades 7-11, age range 13-17) in a German comprehensive school. The lesson plan intends to promote critical media literacy in the chemistry classroom and specifically emphasizes learning with and about advertising. The lessons of four…
Real-Time Meteorological Battlespace Characterization in Support of Sea Power 21
2011-02-04
32 5.3 LESSONS LEARNED ....................................................................................... 44 6. FUTURE WORK...problem with the SWR alignment, which is sometimes re- set during SWR maintenance (see Section 6 ‘Lessons Learned ’ for a case in point). Fig...ground clutter present (discussed in Section 6 ‘Lessons Learned ’), along with the lowest-tilt, quality controlled velocity. Bottom panel shows the
ERIC Educational Resources Information Center
Shin, Tae Seob
2010-01-01
This study examined whether providing a rationale for learning a particular lesson influences students' motivation and learning in online learning environments. A mixed-method design was used to investigate the effects of two types of rationales (former student vs. instructor rationales) presented in an online introductory educational psychology…
University Educators' Instructional Choices and Their Learning Styles within a Lesson Framework
ERIC Educational Resources Information Center
Mazo, Lucille B.
2017-01-01
Research on learning styles often focuses on the learning style of the student; however, the learning style of the educator may affect instructional choices and student learning. Few studies have addressed the lack of knowledge that exists in universities with respect to educators' learning styles and a lesson framework (development, delivery, and…
Savoia, Elena; Agboola, Foluso; Biddinger, Paul D
2012-08-01
Many public health and healthcare organizations use formal knowledge management practices to identify and disseminate the experiences gained over time. The "lessons-learned" approach is one such example of knowledge management practice applied to the wider concept of organizational learning. In the field of emergency preparedness, the lessons-learned approach stands on the assumption that learning from experience improves practice and minimizes avoidable deaths and negative economic and social consequences of disasters. In this project, we performed a structured review of AARs to analyze how lessons learned from the response to real-incidents may be used to maximize knowledge management and quality improvement practices such as the design of public health emergency preparedness (PHEP) exercises. We chose as a source of data the "Lessons Learned Information Sharing (LLIS.gov)" system, a joined program of the U.S. Department of Homeland Security DHS and FEMA that serves as the national, online repository of lessons learned, best practices, and innovative ideas. We identified recurring challenges reported by various states and local public health agencies in the response to different types of incidents. We also strove to identify the limitations of systematic learning that can be achieved due to existing weaknesses in the way AARs are developed.
Multimedia Principle in Teaching Lessons
ERIC Educational Resources Information Center
Kari Jabbour, Khayrazad
2012-01-01
Multimedia learning principle occurs when we create mental representations from combining text and relevant graphics into lessons. This article discusses the learning advantages that result from adding multimedia learning principle into instructions; and how to select graphics that support learning. There is a balance that instructional designers…
Lessons learned and their application to program development and cultural issues
NASA Technical Reports Server (NTRS)
Roth, Gilbert L.
1991-01-01
The main objectives of space product assurance are, in effect, the same as those of Total Quality Management (TQM) or its many variants. The most significant ingredients are the lessons learned and their application to ongoing and future programs as they are affected by changes in the cultural environment. The cultural issues which affect almost everything done in technical programs and projects are considered. Understanding the lessons learned and the synergism which results from this combination of knowledge, culture, and lessons learned is identified as crucial. A brief discussion of the closed loop linkage that should exist between the world of hands on activities and that of educational institutions is presented.
Lessons learned from the Space Flyer Unit (SFU) mission.
Kuriki, Kyoichi; Ninomiya, Keiken; Takei, Mitsuru; Matsuoka, Shinobu
2002-11-01
The Space Flyer Unit (SFU) system and mission chronology are briefly introduced. Lessons learned from the SFU mission are categorized as programmatic and engineering lessons. In the programmatic category are dealt with both international and domestic collaborations. As for the engineering lessons safety design, orbital operation, in-flight anomaly, and post flight analyses are the major topics reviewed. c2002 Elsevier Science Ltd. All rights reserved.
Workplace Wisdom: What Educators Can Learn from the Business World
ERIC Educational Resources Information Center
Williams, Sheri S.; Williams, John W.
2014-01-01
In many schools and businesses today, the pressure to produce results is far greater than attention to employee learning. If continued learning impacts service for business customers and their communities, then what lessons can be learned from business to support and advocate for educator learning? This article is a collection of lessons learned…
Logistics Lessons Learned in NASA Space Flight
NASA Technical Reports Server (NTRS)
Evans, William A.; DeWeck, Olivier; Laufer, Deanna; Shull, Sarah
2006-01-01
The Vision for Space Exploration sets out a number of goals, involving both strategic and tactical objectives. These include returning the Space Shuttle to flight, completing the International Space Station, and conducting human expeditions to the Moon by 2020. Each of these goals has profound logistics implications. In the consideration of these objectives,a need for a study on NASA logistics lessons learned was recognized. The study endeavors to identify both needs for space exploration and challenges in the development of past logistics architectures, as well as in the design of space systems. This study may also be appropriately applied as guidance in the development of an integrated logistics architecture for future human missions to the Moon and Mars. This report first summarizes current logistics practices for the Space Shuttle Program (SSP) and the International Space Station (ISS) and examines the practices of manifesting, stowage, inventory tracking, waste disposal, and return logistics. The key findings of this examination are that while the current practices do have many positive aspects, there are also several shortcomings. These shortcomings include a high-level of excess complexity, redundancy of information/lack of a common database, and a large human-in-the-loop component. Later sections of this report describe the methodology and results of our work to systematically gather logistics lessons learned from past and current human spaceflight programs as well as validating these lessons through a survey of the opinions of current space logisticians. To consider the perspectives on logistics lessons, we searched several sources within NASA, including organizations with direct and indirect connections with the system flow in mission planning. We utilized crew debriefs, the John Commonsense lessons repository for the JSC Mission Operations Directorate, and the Skylab Lessons Learned. Additionally, we searched the public version of the Lessons Learned Information System (LLIS) and verified that we received the same result using the internal version of LLIS for our logistics lesson searches. In conducting the research, information from multiple databases was consolidated into a single spreadsheet of 300 lessons learned. Keywords were applied for the purpose of sorting and evaluation. Once the lessons had been compiled, an analysis of the resulting data was performed, first sorting it by keyword, then finding duplication and root cause, and finally sorting by root cause. The data was then distilled into the top 7 lessons learned across programs, centers, and activities.
NASA Technical Reports Server (NTRS)
Vaughan, William W.; Anderson, B. Jeffrey
2005-01-01
In modern government and aerospace industry institutions the necessity of controlling current year costs often leads to high mobility in the technical workforce, "one-deep" technical capabilities, and minimal mentoring for young engineers. Thus, formal recording, use, and teaching of lessons learned are especially important in the maintenance and improvement of current knowledge and development of new technologies, regardless of the discipline area. Within the NASA Technical Standards Program Website http://standards.nasa.gov there is a menu item entitled "Lessons Learned/Best Practices". It contains links to a large number of engineering and technical disciplines related data sets that contain a wealth of lessons learned information based on past experiences. This paper has provided a small sample of lessons learned relative to the atmospheric and space environment. There are many more whose subsequent applications have improved our knowledge of the atmosphere and space environment, and the application of this knowledge to the engineering and operations for a variety of aerospace programs.
2017-01-27
Mike Ciannilli, at left, the Apollo, Challenger, Columbia Lessons Learned Program manager, presents a certificate to John Tribe, retired, Apollo 1 Reaction and Control System lead engineer, during the Apollo 1 Lessons Learned presentation in the Training Auditorium at NASA's Kennedy Space Center in Florida. The theme of the program was "To there and Back Again." The event helped pay tribute to the Apollo 1 crew, Gus Grissom, Ed White II, and Roger Chaffee.
2017-01-27
Mike Ciannilli, the Apollo, Challenger, Columbia Lessons Learned program manager, at left, presents a certificate to Ernie Reyes, retired, former Apollo 1 senior operations manager, during the Apollo 1 Lessons Learned presentation in the Training Auditorium at NASA's Kennedy Space Center in Florida. The theme of the program was "To there and Back Again." The event helped pay tribute to the Apollo 1 crew, Gus Grissom, Ed White II, and Roger Chaffee.
ERIC Educational Resources Information Center
US Department of Education, 2007
2007-01-01
"Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. This "Lessons Learned" issue focuses on an active shooter situation that escalated to a hostage situation that required multiple law enforcement agencies and other first responders and agencies to coordinate response and recovery…
ERIC Educational Resources Information Center
US Department of Education, 2008
2008-01-01
"Lessons Learned" is a series of publications that are a brief recounting of actual school emergencies and crises. This "Lessons Learned" issue focuses on an incident involving several cases of Methicillin-resistant Staphylococcus aureus (MRSA) at a rural high school. MRSA is a specific strain of Staphylococcus aureus bacteria (often called staph)…
Safety and Mission Assurance for In-House Design Lessons Learned from Ares I Upper Stage
NASA Technical Reports Server (NTRS)
Anderson, Joel M.
2011-01-01
This viewgraph presentation identifies lessons learned in the course of the Ares I Upper Stage design and in-house development effort. The contents include: 1) Constellation Organization; 2) Upper Stage Organization; 3) Presentation Structure; 4) Lesson-Importance of Systems Engineering/Integration; 5) Lesson-Importance of Early S&MA Involvement; 6) Lesson-Importance of Appropriate Staffing Levels; 7) Lesson-Importance S&MA Team Deployment; 8) Lesson-Understanding of S&MA In-Line Engineering versus Assurance; 9) Lesson-Importance of Close Coordination between Supportability and Reliability/Maintainability; 10) Lesson-Importance of Engineering Data Systems; 11) Lesson-Importance of Early Development of Supporting Databases; 12) Lesson-Importance of Coordination with Safety Assessment/Review Panels; 13) Lesson-Implementation of Software Reliability; 14) Lesson-Implementation of S&MA Technical Authority/Chief S&MA Officer; 15) Lesson-Importance of S&MA Evaluation of Project Risks; 16) Lesson-Implementation of Critical Items List and Government Mandatory Inspections; 17) Lesson-Implementation of Critical Items List Mandatory Inspections; 18) Lesson-Implementation of Test Article Safety Analysis; and 19) Lesson-Importance of Procurement Quality.
Kinesthetic Astronomy: Significant Upgrades to the Sky Time Lesson that Support Student Learning
NASA Astrophysics Data System (ADS)
Morrow, C. A.; Zawaski, M.
2004-12-01
This paper will report on a significant upgrade to the first in a series of innovative, experiential lessons we call Kinesthetic Astronomy. The Sky Time lesson reconnects students with the astronomical meaning of the day, year, and seasons. Like all Kinesthetic Astronomy lessons, it teaches basic astronomical concepts through choreographed bodily movements and positions that provide educational sensory experiences. They are intended for sixth graders up through adult learners in both formal and informal educational settings. They emphasize astronomical concepts and phenomenon that people can readily encounter in their "everyday" lives such as time, seasons, and sky motions of the Sun, Moon, stars, and planets. Kinesthetic Astronomy lesson plans are fully aligned with national science education standards, both in content and instructional practice. Our lessons offer a complete learning cycle with written assessment opportunities now embedded throughout the lesson. We have substantially strengthened the written assessment options for the Sky Time lesson to help students translate their kinesthetic and visual learning into the verbal-linguistic and mathematical-logical realms of expression. Field testing with non-science undergraduates, middle school science teachers and students, Junior Girl Scouts, museum education staff, and outdoor educators has been providing evidence that Kinesthetic Astronomy techniques allow learners to achieve a good grasp of concepts that are much more difficult to learn in more conventional ways such as via textbooks or even computer animation. Field testing of the Sky Time lesson has also led us to significant changes from the previous version to support student learning. We will report on the nature of these changes.
Cochran, Gerald
2010-01-01
The Uniform Accident and Sickness Policy Provision Law (UPPL) is a state statute that allows insurance companies in 26 states to deny claims for accidents and injuries incurred by persons under the influence of drugs or alcohol. Serious repercussions can result for patients and health care professionals as states enforce this law. To examine differences within the laws that might facilitate amendments or reduce insurance companies' ability to deny claims, a content analysis was carried out of each state's UPPL law. Results showed no meaningful differences between each state's laws. These results indicate patients and health professionals share similar risk related to the UPPL regardless of state.
Lessons Learned from the Advanced Topographic Laser Altimeter System
NASA Technical Reports Server (NTRS)
Garrison, Matt; Patel, Deepak; Bradshaw, Heather; Robinson, Frank; Neuberger, Dave
2016-01-01
The ICESat-2 Advanced Topographic Laser Altimeter System (ATLAS) instrument is an upcoming Earth Science mission focusing on the effects of climate change. The flight instrument passed all environmental testing at GSFC (Goddard Space Flight Center) and is now ready to be shipped to the spacecraft vendor for integration and testing. This presentation walks through the lessons learned from design, hardware, analysis and testing perspective. ATLAS lessons learned include general thermal design, analysis, hardware, and testing issues as well as lessons specific to laser systems, two-phase thermal control, and optical assemblies with precision alignment requirements.
Japanese Lesson Study Comes to California
ERIC Educational Resources Information Center
Jetter, Madeleine; Hancock, Gwen
2012-01-01
Japanese lesson study--Jugyou kenkyuu--which is a cornerstone of Project DELTA (Developing Educators Learning to Teach Algebraically), adds a new twist: the teachers take turns publicly teaching the collaboratively planned lessons with their own students for the rest of the team to observe and then analyze, based on the students' learning. Lesson…
ERIC Educational Resources Information Center
Clanton, Brandolyn; And Others
Intended for teachers of secondary school students, five lessons on consumer credit are presented. In the first lesson students identify and evaluate sources of credit, compare some of the costs and benefits of credit, and learn to apply criteria used in evaluating applications for credit. In the second lesson, students learn about two basic types…
More Lessons from Bhutan: 6 Years Later, Change Takes Root and Flourishes
ERIC Educational Resources Information Center
Telsey, Alison; Levine, Laurie
2015-01-01
In April 2011, the Journal of Staff Development (JSD) published "Lessons from Bhutan: Embrace cultural differences to effect change" (Levine, Telsey, & McCormack, 2011), which described the experiences of several U.S. educators who learned their own transformative lessons while leading professional learning in special education…
New Horizons Risk Communication Strategy, Planning, Implementation, and Lessons Learned
NASA Technical Reports Server (NTRS)
Dawson, Sandra A.
2006-01-01
This paper discusses the risk communication goals, strategy, planning process and product development for the New Horizons mission, including lessons from the Cassini mission that were applied in that effort, and presents lessons learned from the New Horizons effort that could be applicable to future missions.
Comment Data Mining to Estimate Student Performance Considering Consecutive Lessons
ERIC Educational Resources Information Center
Sorour, Shaymaa E.; Goda, Kazumasa; Mine, Tsunenori
2017-01-01
The purpose of this study is to examine different formats of comment data to predict student performance. Having students write comment data after every lesson can reflect students' learning attitudes, tendencies and learning activities involved with the lesson. In this research, Latent Dirichlet Allocation (LDA) and Probabilistic Latent Semantic…
Savoia, Elena; Agboola, Foluso; Biddinger, Paul D.
2012-01-01
Many public health and healthcare organizations use formal knowledge management practices to identify and disseminate the experiences gained over time. The “lessons-learned” approach is one such example of knowledge management practice applied to the wider concept of organizational learning. In the field of emergency preparedness, the lessons-learned approach stands on the assumption that learning from experience improves practice and minimizes avoidable deaths and negative economic and social consequences of disasters. In this project, we performed a structured review of AARs to analyze how lessons learned from the response to real-incidents may be used to maximize knowledge management and quality improvement practices such as the design of public health emergency preparedness (PHEP) exercises. We chose as a source of data the “Lessons Learned Information Sharing (LLIS.gov)” system, a joined program of the U.S. Department of Homeland Security DHS and FEMA that serves as the national, online repository of lessons learned, best practices, and innovative ideas. We identified recurring challenges reported by various states and local public health agencies in the response to different types of incidents. We also strived to identify the limitations of systematic learning that can be achieved due to existing weaknesses in the way AARs are developed. PMID:23066408
Using Cooperative Learning To Improve Reading and Writing in Science.
ERIC Educational Resources Information Center
Nesbit, Catherine R.; Rogers, Cynthia A.
1997-01-01
Presents several cooperative learning lessons that integrate science, reading and writing. Notes that sample lessons involve six methods of cooperative learning drawn from four prominent developers and researchers, David Johnson, Roger Johnson, Robert Slavin, and Spencer Kagan. Describes the cooperative learning method to illustrate how to use it…
Teachers' Self-Regulated Learning Lesson Design: Integrating Learning from Problems and Successes
ERIC Educational Resources Information Center
Michalsky, Tova; Schechter, Chen
2018-01-01
Teachers' design of a lesson is critical for helping their students develop academically effective forms of self-regulating learning (SRL) in classrooms. Using a quasi-experimental design, the researchers integrated systematic collaborative learning from problematic and successful experiences into teachers' preparatory programs and examined how…
Hachiya, Misao; Akashi, Makoto
2016-09-01
A huge earthquake struck the northeast coast of the main island of Japan on 11 March 2011 triggering an extremely large tsunami to hit the area. The earthquake and tsunami caused serious damage to the Fukushima nuclear power plants (NPPs) of Tokyo Electric Power Company (TEPCO), resulting in large amounts of radioactive materials being released into the environment. The major nuclides released were (131)I, (134)Cs and (137)Cs. The deposition of these radioactive materials on land resulted in a high ambient dose of radiation around the NPPs, especially within a 20-km radius. Dose assessments based on behavior survey and ambient dose rates revealed that external doses to most residents were lower than 5 mSv, with the maximum dose being 25 mSv. It was fortunate that no workers from the NPPs required treatment from the viewpoint of deterministic effects of radiation. However, a lack of exact knowledge of radiation and its effects prevented the system for medical care and transportation of contaminated personnel from functioning. After the accident, demands or requests for training courses have been increasing. We have learned from the response to this disaster that basic knowledge of radiation and its effects is extremely important for not only professionals such as health care providers but also for other professionals including teachers. © World Health Organisation 2016. All rights reserved. The World Health Organization has granted Oxford University Press permission for the reproduction of this article.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Corradini, M. L.; Peko, D.; Farmer, M.
In the aftermath of the March 2011 multi-unit accident at the Fukushima Daiichi nuclear power plant (Fukushima), the nuclear community has been reassessing certain safety assumptions about nuclear reactor plant design, operations and emergency actions, particularly with respect to extreme events that might occur and that are beyond each plant’s current design basis. Because of our significant domestic investment in nuclear reactor technology (99 operating reactors in the fleet of commercial LWRs with five under construction), the United States has been a major leader internationally in these activities. The U.S. nuclear industry is voluntarily pursuing a number of additional safetymore » initiatives. The NRC continues to evaluate and, where deemed appropriate, establish new requirements for ensuring adequate protection of public health and safety in the occurrence of low probability events at nuclear plants; (e.g., mitigation strategies for beyond design basis events initiated by external events like seismic or flooding initiators). The DOE has also played a major role in the U.S. response to the Fukushima accident. Initially, DOE worked with the Japanese and the international community to help develop a more complete understanding of the Fukushima accident progression and its consequences, and to respond to various safety concerns emerging from uncertainties about the nature of and the effects from the accident. DOE R&D activities are focused on providing scientific and technical insights, data, analyses methods that ultimately support industry efforts to enhance safety. These activities are expected to further enhance the safety performance of currently operating U.S. nuclear power plants as well as better characterize the safety performance of future U.S. plants. In pursuing this area of R&D, DOE recognizes that the commercial nuclear industry is ultimately responsible for the safe operation of licensed nuclear facilities. As such, industry is considered the primary “end user” of the results from this DOE-sponsored work. The response to the Fukushima accident has been global, and there is a continuing multinational interest in collaborations to better quantify accident consequences and to incorporate lessons learned from the accident. DOE will continue to seek opportunities to facilitate collaborations that are of value to the U.S. industry, particularly where the collaboration provides access to vital data from the accident or otherwise supports or leverages other important R&D work. The purpose of the Reactor Safety Technology R&D is to improve understanding of beyond design basis events and reduce uncertainty in severe accident progression, phenomenology, and outcomes using existing analytical codes and information gleaned from severe accidents, in particular the Fukushima Daiichi events. This information will be used to aid in developing mitigating strategies and improving severe accident management guidelines for the current light water reactor fleet.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Corradini, M. L.
In the aftermath of the March 2011 multi-unit accident at the Fukushima Daiichi nuclear power plant (Fukushima), the nuclear community has been reassessing certain safety assumptions about nuclear reactor plant design, operations and emergency actions, particularly with respect to extreme events that might occur and that are beyond each plant’s current design basis. Because of our significant domestic investment in nuclear reactor technology (99 operating reactors in the fleet of commercial LWRs with five under construction), the United States has been a major leader internationally in these activities. The U.S. nuclear industry is voluntarily pursuing a number of additional safetymore » initiatives. The NRC continues to evaluate and, where deemed appropriate, establish new requirements for ensuring adequate protection of public health and safety in the occurrence of low probability events at nuclear plants; (e.g., mitigation strategies for beyond design basis events initiated by external events like seismic or flooding initiators). The DOE has also played a major role in the U.S. response to the Fukushima accident. Initially, DOE worked with the Japanese and the international community to help develop a more complete understanding of the Fukushima accident progression and its consequences, and to respond to various safety concerns emerging from uncertainties about the nature of and the effects from the accident. DOE R&D activities are focused on providing scientific and technical insights, data, analyses methods that ultimately support industry efforts to enhance safety. These activities are expected to further enhance the safety performance of currently operating U.S. nuclear power plants as well as better characterize the safety performance of future U.S. plants. In pursuing this area of R&D, DOE recognizes that the commercial nuclear industry is ultimately responsible for the safe operation of licensed nuclear facilities. As such, industry is considered the primary “end user” of the results from this DOE-sponsored work. The response to the Fukushima accident has been global, and there is a continuing multinational interest in collaborations to better quantify accident consequences and to incorporate lessons learned from the accident. DOE will continue to seek opportunities to facilitate collaborations that are of value to the U.S. industry, particularly where the collaboration provides access to vital data from the accident or otherwise supports or leverages other important R&D work. The purpose of the Reactor Safety Technology R&D is to improve understanding of beyond design basis events and reduce uncertainty in severe accident progression, phenomenology, and outcomes using existing analytical codes and information gleaned from severe accidents, in particular the Fukushima Daiichi events. This information will be used to aid in developing mitigating strategies and improving severe accident management guidelines for the current light water reactor fleet.« less
Mobile Learning vs. Traditional Classroom Lessons: A Comparative Study
ERIC Educational Resources Information Center
Furió, D.; Juan, M.-C.; Seguí, I.; Vivó, R.
2015-01-01
Different methods can be used for learning, and they can be compared in several aspects, especially those related to learning outcomes. In this paper, we present a study in order to compare the learning effectiveness and satisfaction of children using an iPhone game for learning the water cycle vs. the traditional classroom lesson. The iPhone game…
Rescuing Joint Personnel Recovery: Using Air Force Capability to Address Joint Shortfalls
2011-06-01
of an IP, the IP is not successfully reintegrated or the lessons learned are not incorporated into other operations. Adversaries will benefit from...Washington, D.C.: Office of Air Force History , United States Air Force, 1980, 117. 47 Durant , Michael J. In the Company of Heroes, Penguin Group... Lessons Learned, 22 September 2005, 3. 2 US Joint Task Force Katrina. The Federal Response to Hurricane Katrina Lessons Learned, February 2006, 54
Implementing a lessons learned process at Sandia National Laboratories
DOE Office of Scientific and Technical Information (OSTI.GOV)
Fosshage, Erik D.; Drewien, Celeste A.; Eras, Kenneth
2016-01-01
The Lessons Learned Process Improvement Team was tasked to gain an understanding of the existing lessons learned environment within the major programs at Sandia National Laboratories, identify opportunities for improvement in that environment as compared to desired attributes, propose alternative implementations to address existing inefficiencies, perform qualitative evaluations of alternative implementations, and recommend one or more near-term activities for prototyping and/or implementation. This report documents the work and findings of the team.
2017-01-27
Mike Ciannilli, at left, the Apollo, Challenger, Columbia Lessons Learned Program manager, presents a certificate to Charlie Duke, former Apollo 16 astronaut and member of the Apollo 1 Emergency Egress Investigation Team, during the Apollo 1 Lessons Learned presentation in the Training Auditorium at NASA's Kennedy Space Center in Florida. The program's theme was "To There and Back Again." The event helped pay tribute to the Apollo 1 crew, Gus Grissom, Ed White II, and Roger Chaffee.
Lessons learned applying CASE methods/tools to Ada software development projects
NASA Technical Reports Server (NTRS)
Blumberg, Maurice H.; Randall, Richard L.
1993-01-01
This paper describes the lessons learned from introducing CASE methods/tools into organizations and applying them to actual Ada software development projects. This paper will be useful to any organization planning to introduce a software engineering environment (SEE) or evolving an existing one. It contains management level lessons learned, as well as lessons learned in using specific SEE tools/methods. The experiences presented are from Alpha Test projects established under the STARS (Software Technology for Adaptable and Reliable Systems) project. They reflect the front end efforts by those projects to understand the tools/methods, initial experiences in their introduction and use, and later experiences in the use of specific tools/methods and the introduction of new ones.
Inline skating injuries: medical and sociological aspects.
Kelm, J; Bambach, S; Seil, R; Anagnostakos, K; Pitsch, W
2007-09-01
Inline skating is becoming more and more popular all over the world. This results in a rapid increase in sports injuries. The aim of our study was to analyse injury patterns and injury causes as well as the influence of the social status on possessing and using protective equipment. We recorded and evaluated 76 accidents in our outpatient department by means of standardised questionnaires over a period of 18 months. We checked the direct circumstances of the accident, social situation and aspects of the family's social status. The average age of the injured person was 12.5 years. The most common injury localisations were the distal forearm (39.5 %) and the wrist (9.2 %), the most common types of injuries were fractures (51.9 %, especially upper extremity) and distortions (17.6 %). Most injuries happened in easy driving situations, like gliding, turning and braking. The injured children did not differ significantly from the general population. The willingness of children to wear special safety gear increased with the social status of their family. Learning the fundamental techniques can improve driving skills and reduce the number of injuries. Integration of skating lessons in physical education at school is desirable, especially regarding the injured person's age and would improve their willingness to wear protectors, independent of the social status.
McKee, Michael; Thew, Denise; Starr, Matthew; Kushalnagar, Poorna; Reid, John T; Graybill, Patrick; Velasquez, Julia; Pearson, Thomas
2012-01-01
Numerous publications demonstrate the importance of community-based participatory research (CBPR) in community health research, but few target the Deaf community. The Deaf community is understudied and underrepresented in health research despite suspected health disparities and communication barriers. The goal of this paper is to share the lessons learned from the implementation of CBPR in an understudied community of Deaf American Sign Language (ASL) users in the greater Rochester, New York, area. We review the process of CBPR in a Deaf ASL community and identify the lessons learned. Key CBPR lessons include the importance of engaging and educating the community about research, ensuring that research benefits the community, using peer-based recruitment strategies, and sustaining community partnerships. These lessons informed subsequent research activities. This report focuses on the use of CBPR principles in a Deaf ASL population; lessons learned can be applied to research with other challenging-to-reach populations.
Professional Learning through the Collaborative Design of Problem-Solving Lessons
ERIC Educational Resources Information Center
Wake, Geoff; Swan, Malcolm; Foster, Colin
2016-01-01
This article analyses lesson study as a mode of professional learning, focused on the development of mathematical problem solving processes, using the lens of cultural-historical activity theory. In particular, we draw attention to two activity systems, the classroom system and the lesson-study system, and the importance of making artefacts…
Marine Hydrokinetic Energy Regulators Workshop: Lessons from Wind
DOE Office of Scientific and Technical Information (OSTI.GOV)
Baring-Gould, E. Ian
2015-09-03
Ian Baring-Gould presented these lessons learned from wind energy to an audience of marine hydrokinetic regulators. Lessons learned spanned the areas of technology advances, using collaborative approaches to involve key stakeholders; using baseline studies to measure and prioritize wildlife impacts, and look at avoidance and mitigation options early in the process.
Does the Modality Principle for Multimedia Learning Apply to Science Classrooms?
ERIC Educational Resources Information Center
Harskamp, Egbert G.; Mayer, Richard E.; Suhre, Cor
2007-01-01
This study demonstrated that the modality principle applies to multimedia learning of regular science lessons in school settings. In the first field experiment, 27 Dutch secondary school students (age 16-17) received a self-paced, web-based multimedia lesson in biology. Students who received lessons containing illustrations and narration performed…
Automatic Dance Lesson Generation
ERIC Educational Resources Information Center
Yang, Yang; Leung, H.; Yue, Lihua; Deng, LiQun
2012-01-01
In this paper, an automatic lesson generation system is presented which is suitable in a learning-by-mimicking scenario where the learning objects can be represented as multiattribute time series data. The dance is used as an example in this paper to illustrate the idea. Given a dance motion sequence as the input, the proposed lesson generation…
Mining Mathematics in Textbook Lessons
ERIC Educational Resources Information Center
Ronda, Erlina; Adler, Jill
2017-01-01
In this paper, we propose an analytic tool for describing the mathematics made available to learn in a "textbook lesson". The tool is an adaptation of the Mathematics Discourse in Instruction (MDI) analytic tool that we developed to analyze what is made available to learn in teachers' lessons. Our motivation to adapt the use of the MDI…
Challenge Activities for the Physical Education Classroom: Affective Learning Outcomes
ERIC Educational Resources Information Center
McKenzie, Emily; Symonds, Matthew L.; Fink, Kevin; Tapps, Tyler
2017-01-01
The purpose of this article is to share three challenge-based lesson plans that can be implemented by physical educators in their classroom. Each of the lesson examples addresses the three learning domains: psychomotor, cognitive and affective. Additionally, each lesson is aligned with SHAPE America's National Standards for K-12 Physical…
Japanese Lesson Study Sustaining Teacher Learning in the Classroom Context
ERIC Educational Resources Information Center
Loose, Crystal Corle
2014-01-01
The purposes of this action research study were first to explore teacher perceptions of Japanese lesson study as a method of professional development, and second to take teachers through an action research process as they observed the implementation of a literacy lesson in the classroom. Situated Learning Theory, particularly related to teacher…
Teachers' Professional Growth through Engagement with Lesson Study
ERIC Educational Resources Information Center
Widjaja, Wanty; Vale, Colleen; Groves, Susie; Doig, Brian
2017-01-01
Lesson study is highly regarded as a model for professional learning, yet remains under-theorised. This article examines the professional learning experiences of teachers and numeracy coaches from three schools in a local network of schools, participating in a lesson study project over two research cycles in 2012. It maps the interconnections…
Implementation of lesson study in physics teaching by group of teachers in Solok West Sumatera
NASA Astrophysics Data System (ADS)
Yurnetti, Y.
2018-04-01
This article based of collaborative classroom action research with science teachers group or MGMP at Solok West Sumatera; based on their willingness to implementation of lesson study by this group. The study started by discussing some problems according to the implementation of the lesson study, establishing the teaching materials, developing learning tools, defining the model teachers, conducting classroom activities, and reflecting by discussions. The preparation of this study includes some learning material according to temperature and heat; the observation form that led by observer teachers; teachers’s model impression and open questionnaire implementation of lesson study that applied to the students and teachers. This research got some information about the strengths and weaknesses of learning using lesson study from the students involved. To conclude, the implementation of lesson study should be able to support the principle of collaborative in learning. The challenge of this study is how to make a condition to gather some teachers in one school at a certain time because they have the schedule at their own school.
ERIC Educational Resources Information Center
Farley, Helen; Murphy, Angela; Bedford, Tasman
2014-01-01
This article reports on the preliminary findings, design criteria and lessons learned while developing and piloting an alternative to traditional print-based education delivery within a prison environment. PLEIADES (Portable Learning Environments for Incarcerated Distance Education Students), was designed to provide incarcerated students with…
ERIC Educational Resources Information Center
Korkmaz Toklucu, Selma; Tay, Bayram
2016-01-01
Problem Statement: Many effective instructional strategies, methods, and techniques, which were developed in accordance with constructivist approach, can be used together in social studies lessons. Constructivist education comprises active learning processes. Two active learning approaches are cooperative learning and systematic teaching. Purpose…
Experiential Learning: Lessons Learned from the UND Business and Government Symposium
ERIC Educational Resources Information Center
Harsell, Dana Michael; O'Neill, Patrick B.
2010-01-01
The authors describe lessons learned from a limited-duration experiential learning component of a Master's level course. The course is open to Master's in Business and Master's in Public Administration students and explores the relationships between government and business. A complete discussion of the Master's in Business and Master's in Public…
Reflections on Designing a MPA Service-Learning Component: Lessons Learned
ERIC Educational Resources Information Center
Roman, Alexandru V.
2015-01-01
This article provides the "lessons learned" from the experience of redesigning two sections (face-to-face and online) of a core master of public administration class as a service-learning course. The suggestions made here can be traced to the entire process of the project, from the "seed idea" through its conceptualization and…
Sustaining Student Engagement in Learning Science
ERIC Educational Resources Information Center
Ateh, Comfort M.; Charpentier, Alicia
2014-01-01
Many students perceive science to be a difficult subject and are minimally engaged in learning it. This article describes a lesson that embedded an activity to engage students in learning science. It also identifies features of a science lesson that are likely to enhance students' engagement and learning of science and possibly reverse students'…
Desai, Vinit M; Roberts, Karlene H; Ciavarelli, Anthony P
2006-01-01
The association between accidents and subsequent work unit safety perceptions was assessed to address cognitive and behavioral changes following accidents. Many studies attempt to predict accident rates using measures of work unit safety, but effects vary considerably. Conversely, this study examined whether recent accidents may be positively associated with work unit safety perceptions, as suggested by behavioral learning mechanisms (increases in safety investments following accidents) or cognitive mechanisms (defensive attributions regarding accident causality). Lagged squadron-level accident experience was correlated with work unit safety perceptions obtained through a 61-question safety climate survey administered to 6,361 individuals in U.S. Navy flight squadrons. Positive associations between minor or intermediately severe accidents and future safety climate scores were found, although no effect was found for major accidents. We suggest that accident history should be considered when examining work unit safety perceptions because recent accidents may be associated with higher safety climate scores. We did not find that this varies systematically with accident severity, and longitudinal research on additional samples is needed to further test this possibility. This research may be used to refine measurement of work unit safety and to examine impacts of accidents or safety violations on workers' cognitive processes and group behavioral changes.
Applying ergonomics to systems: some documented "lessons learned".
Hendrick, Hal W
2008-07-01
Based on evidence accumulated during the author's 45 years of professional experience, the author presents 23 important "lessons learned" regarding applying ergonomics to systems. Documented results from reported cases or other evidence are presented to validate each of these practical learning points.
Extension Learning Exchange: Lessons from Nicaragua
ERIC Educational Resources Information Center
Treadwell, Paul; Lachapelle, Paul; Howe, Rod
2013-01-01
There is a clear need to support global professional development, international education, and collaborative learning opportunities in Extension. The program described here established an international learning exchange in Nicaragua to lead to global professional development and future international collaboration. The primary lessons and outcomes…
Planning Mars Memory: Learning from the MER Mission
NASA Technical Reports Server (NTRS)
Charlotte, Linde
2004-01-01
This viewgraph presentation discusses ways in which the lessons learned from a mission can be systematically remembered, retained, and applied by individuals and by an organization as a whole. The presentation cites lessons learned from the Mars Exploration Rover (MER) Mission as examples.
Commercial Orbital Transportation Services (COTS) Program Lessons Learned
NASA Technical Reports Server (NTRS)
Lindenmoyer, Alan; Horkachuck, Mike; Shotwell, Gwynne; Manners, Bruce; Culbertson, Frank
2015-01-01
This report has been developed by the National Aeronautics and Space Administration (NASA) Human Exploration and Operations Mission Directorate (HEOMD) Risk Management team in close coordination with the COTS Program. This document provides a point-in-time, cumulative, summary of actionable key lessons learned derived from the design project. Lessons learned invariably address challenges and risks and the way in which these areas have been addressed. Accordingly the risk management thread is woven throughout the document.
The Impact of Toxic Agent Training on Combat Readiness
1992-03-24
Desert Storm veterans, as well as Lessons Learned from the use of toxic chemicals in World War I. Conclusions reached arei (1) Live agent training is...Department of the Army staff. The report of our findings and conclusions is attached. After reviewing this report and the lessons learned from Desert Storm...analysis of feedback from soldiers in the grades of PVl to General, input from Desert Storm veterans, as well as lessons learned from the use of toxic
Lessons to be learned: a retrospective analysis of physiotherapy injury claims.
Johnson, Gillian M; Skinner, Margot A; Stephen, Rachel E
2012-08-01
Retrospective, descriptive analysis. To describe the prevalence and nature of insurance claims for injuries attributed to physiotherapy care. In New Zealand, a national insurance scheme, the Accident Compensation Corporation, provides comprehensive, no-fault personal injury coverage. The patterns of injury sustained during physiotherapy care have not previously been described. De-identified data for all injuries registered with the Accident Compensation Corporation from 2005 to 2010 and attributed to physiotherapy were accessed. Prevalence patterns (percentages) of new-claim data were determined for physiotherapy intervention category, injury site, nature of injury, age, and sex. A subcategory, exercise-related injuries, was analyzed according to injury site and whether the injury was related (primary) or unrelated (secondary) to the intended therapeutic goal. There were 279 claims related to physiotherapy care filed with the Accident Compensation Corporation during the studied reporting period. Injury was attributed predominantly to exercise (n = 88, 31.5% of cases) and manual therapy (n = 74, 26.5% of cases). The prevalence of events categorized as exercise related was greatest in those who were 55 to 59 years of age (n = 14, 16.3%) and greater in females (n = 47, 54.7%). Of the exercise-related injuries, 39.8% were in the lower-limb region and 35.2% were categorized as sprains/strains. Injuries attributed to exercise exceeded those linked to other therapies provided by physiotherapists, yet exercise therapy rarely features as a cause of adverse events reported to the physiotherapy profession. The proportion of exercise-related injury events underlines the need for ensuring safe and careful consideration of exercise prescription. Harm, level 4.
Constellation Program: Lessons Learned. Volume 1; Executive Summary
NASA Technical Reports Server (NTRS)
Rhatigan, Jennifer L. (Editor)
2011-01-01
This document (Volume I) provides an executive summary of the lessons learned from the Constellation Program. A companion Volume II provides more detailed analyses for those seeking further insight and information. In this volume, Section 1.0 introduces the approach in preparing and organizing the content to enable rapid assimilation of the lessons. Section 2.0 describes the contextual framework in which the Constellation Program was formulated and functioned that is necessary to understand most of the lessons. Context of a former program may seem irrelevant in the heady days of new program formulation. However, readers should take some time to understand the context. Many of the lessons would be different in a different context, so the reader should reflect on the similarities and differences in his or her current circumstances. Section 3.0 summarizes key findings developed from the significant lessons learned at the program level that appear in Section 4.0. Readers can use the key findings in Section 3.0 to peruse for particular topics, and will find more supporting detail and analyses in Section 4.0 in a topical format. Appendix A contains a white paper describing the Constellation Program formulation that may be of use to readers wanting more context or background information. The reader will no doubt recognize some very similar themes from previous lessons learned, blue-ribbon committee reviews, National Academy reviews, and advisory panel reviews for this and other large-scale human spaceflight programs; including Apollo, Space Shuttle, Shuttle/Mir, and the ISS. This could represent an inability to learn lessons from previous generations; however, it is more likely that similar challenges persist in the Agency structure and approach to program formulation, budget advocacy, and management. Perhaps the greatest value of these Constellation lessons learned can be found in viewing them in context with these previous efforts to guide and advise the Agency and its stakeholders.
Designing an Experimental "Accident"
ERIC Educational Resources Information Center
Picker, Lester
1974-01-01
Describes an experimental "accident" that resulted in much student learning, seeks help in the identification of nematodes, and suggests biology teachers introduce similar accidents into their teaching to stimulate student interest. (PEB)
Constellation Program Lessons Learned. Volume 2; Detailed Lessons Learned
NASA Technical Reports Server (NTRS)
Rhatigan, Jennifer; Neubek, Deborah J.; Thomas, L. Dale
2011-01-01
These lessons learned are part of a suite of hardware, software, test results, designs, knowledge base, and documentation that comprises the legacy of the Constellation Program. The context, summary information, and lessons learned are presented in a factual format, as known and described at the time. While our opinions might be discernable in the context, we have avoided all but factually sustainable statements. Statements should not be viewed as being either positive or negative; their value lies in what we did and what we learned that is worthy of passing on. The lessons include both "dos" and "don ts." In many cases, one person s "do" can be viewed as another person s "don t"; therefore, we have attempted to capture both perspectives when applicable and useful. While Volume I summarizes the views of those who managed the program, this Volume II encompasses the views at the working level, describing how the program challenges manifested in day-to-day activities. Here we see themes that were perhaps hinted at, but not completely addressed, in Volume I: unintended consequences of policies that worked well at higher levels but lacked proper implementation at the working level; long-term effects of the "generation gap" in human space flight development, the need to demonstrate early successes at the expense of thorough planning, and the consequences of problems and challenges not yet addressed because other problems and challenges were more immediate or manifest. Not all lessons learned have the benefit of being operationally vetted, since the program was cancelled shortly after Preliminary Design Review. We avoid making statements about operational consequences (with the exception of testing and test flights that did occur), but we do attempt to provide insight into how operational thinking influenced design and testing. The lessons have been formatted with a description, along with supporting information, a succinct statement of the lesson learned, and recommendations for future programs and projects that may be placed in similar circumstances.
Why undertake a pilot in a qualitative PhD study? Lessons learned to promote success.
Wray, Jane; Archibong, Uduak; Walton, Sean
2017-01-23
Background Pilot studies can play an important role in qualitative studies. Methodological and practical issues can be shaped and refined by undertaking pilots. Personal development and researchers' competence are enhanced and lessons learned can inform the development and quality of the main study. However, pilot studies are rarely published, despite their potential to improve knowledge and understanding of the research. Aim To present the main lessons learned from undertaking a pilot in a qualitative PhD study. Discussion This paper draws together lessons learned when undertaking a pilot as part of a qualitative research project. Important methodological and practical issues identified during the pilot study are discussed including access, recruitment, data collection and the personal development of the researcher. The resulting changes to the final study are also highlighted. Conclusion Sharing experiences of and lessons learned in a pilot study enhances personal development, improves researchers' confidence and competence, and contributes to the understanding of research. Implications for practice Pilots can be used effectively in qualitative studies to refine the final design, and provide the researcher with practical experience to enhance confidence and competence.
Reduction and mitigation of thermal injuries: what can be done?
Voisine, J J; Albano, J P
1996-01-01
Soon after the introduction of the crashworthy fuel system and Nomex flight apparel, morbidity and mortality rates from thermal injuries in aviation were reduced to zero. Although the incidence of aircraft mishaps involving postcrash fires have remained the same, there has been a recent increase in thermal injury morbidity. These case reports describe three different aircraft accidents in which fire was caused by factors other than the crashworthy fuel system. They also describe sustained thermal injuries and compare them to personal protection equipment. We found that the condition of the personal protective equipment and unauthorized use of unapproved apparel were responsible for the sustained injuries. We maintain that personal protection equipment is effective if worn in the manner for which it was designed. We believe that the lessons learned apply to all military operations where the risk of fire is high, not solely aviation. A proactive program focused on education would reduce the thermal injury morbidity.
Genesis Reentry Observations and Data Analysis
NASA Technical Reports Server (NTRS)
Suggs, R. M.; Swift, W. R.
2005-01-01
The Genesis spacecraft reentry represented a unique opportunity to observe a "calibrated meteor" from northern Nevada. Knowing its speed, mass, composition, and precise trajectory made it a good subject to test some of the algorithms used to determine meteoroid mass from observed brightness. It was also a good test of an inexpensive set of cameras that could be deployed to observe future shuttle reentries. The utility of consumer-grade video cameras was evident during the STS-107 accident investigation, and the Genesis reentry gave us the opportunity to specify and test commercially available cameras that could be used during future reentries. This Technical Memorandum describes the video observations and their analysis, compares the results with a simple photometric model, describes the forward scatter radar experiment, and lists lessons learned from the expedition and implications for the Stardust reentry in January 2006 as well as future shuttle reentries.
Lessons learned from the 2011 debacle of the Fukushima nuclear power plant.
Sugiman, Toshio
2014-04-01
The history of nuclear power generation in Japan is analyzed with respect to how the organizational structure of the "nuclear villages," composed of government, private companies and the academic world, negotiated with the growing technology before the Fukushima accident took place. Although nuclear specialists were aware of the potential for a disaster, that did not prevent the enthusiasm for nuclear. The majority of people trusted that new technology would make life easier. The organizational structure of the village consisted of a triangle in which each of the three groups and sub-groups maintained relationships with each other and with the village as a whole to secure its own share of the economic benefits. Based on the sociological theory of norm, we demonstrate that the structure and nature of the relationships in the village facilitated the acceptance of nuclear power despite the element of threat.
Counter Action Procedure Generation in an Emergency Situation of Nuclear Power Plants
NASA Astrophysics Data System (ADS)
Gofuku, A.
2018-02-01
Lessons learned from the Fukushima Daiichi accident revealed various weak points in the design and operation of nuclear power plants at the time although there were many resilient activities made by the plant staff under difficult work environment. In order to reinforce the measures to make nuclear power plants more resilient, improvement of hardware and improvement of education and training of nuclear personnel are considered. In addition, considering the advancement of computer technology and artificial intelligence, it is a promising way to develop software tools to support the activities of plant staff.This paper focuses on the software tools to support the operations by human operators and introduces a concept of an intelligent operator support system that is called as co-operator. This paper also describes a counter operation generation technique the authors are studying as a core component of the co-operator.
Relating design and environmental variables to reliability
NASA Astrophysics Data System (ADS)
Kolarik, William J.; Landers, Thomas L.
The combination of space application and nuclear power source demands high reliability hardware. The possibilities of failure, either an inability to provide power or a catastrophic accident, must be minimized. Nuclear power experiences on the ground have led to highly sophisticated probabilistic risk assessment procedures, most of which require quantitative information to adequately assess such risks. In the area of hardware risk analysis, reliability information plays a key role. One of the lessons learned from the Three Mile Island experience is that thorough analyses of critical components are essential. Nuclear grade equipment shows some reliability advantages over commercial. However, no statistically significant difference has been found. A recent study pertaining to spacecraft electronics reliability, examined some 2500 malfunctions on more than 300 aircraft. The study classified the equipment failures into seven general categories. Design deficiencies and lack of environmental protection accounted for about half of all failures. Within each class, limited reliability modeling was performed using a Weibull failure model.
Emergency Response Health Physics
DOE Office of Scientific and Technical Information (OSTI.GOV)
Mena, RaJah; Pemberton, Wendy; Beal, William
2012-05-01
Health physics is an important discipline with regard to understanding the effects of radiation on human health; however, there are major differences between health physics for research or occupational safety and health physics during a large-scale radiological emergency. The deployment of a U.S. Department of Energy/National Nuclear Security Administration (DOE/NNSA) monitoring and assessment team to Japan in the wake of the March 2011 accident at Fukushima Daiichi Nuclear Power Plant yielded a wealth of lessons on these difference. Critical teams (CMOC (Consequence Management Outside the Continental U.S.) and CMHT (Consequence Management Home Team) ) worked together to collect, compile, review,more » and analyze radiological data from Japan to support the response needs of and answer questions from the Government of Japan, the U.S. military in Japan, the U.S. Embassy and U.S. citizens in Japan, and U.S. citizens in America. This paper addresses the unique challenges presented to the health physicist or analyst of radiological data in a large-scale emergency. A key lesson learned was that public perception and the availability of technology with social media requires a diligent effort to keep the public informed of the science behind the decisions in a manner that is meaningful to them.« less
Reconstructing High School Chemical Reaction Lessons to Motivate and Support Conceptual Learning
NASA Astrophysics Data System (ADS)
Ndiforamang, Nathan Moma
The primary focus of this education leadership portfolio is to reconstruct lessons on chemical reaction concepts for teachers to use and reach all learners of chemistry in Cecil County Public Schools. As a high school chemistry teacher, I have observed that student enrollment in chemistry is relatively low, and students show little enthusiasm about being successful in chemistry compared to other science subjects. To understand these issues, I researched conceptual learning, misconceptions, and best practices; prepared open-ended questions in a survey for chemistry teachers in my district; distributed the survey; received their responses; and processed the information received. I analyzed the data using qualitative techniques, and the results revealed that many of the tools provided in the district's curriculum guide for chemistry were not effective in class. I used the data to search for learning tools and classroom resources that could improve students understanding of chemistry concepts. I then reconstructed eight lessons on chemical reaction concepts utilizing those tools and resources. I redistributed the reconstructed lessons to teachers who had volunteered to review the lessons and provide professional feedback. The teachers' feedback revealed that the tools and resources incorporated in the reconstructed lessons included interactive activities that would excite students. The teachers indicated that the lessons were technology rich and included a variety of learning strategies. They also noted that the lessons included too many activities to cover within a day's lesson, and some of the recommended weblinks had technical issues. Most of the suggestions received were used to improve the quality of the reconstructed lessons and will serve as a resource for future fine-tuning of the lessons.
MC-1 Engine Valves, Lessons Learned
NASA Technical Reports Server (NTRS)
Laszar, John
2003-01-01
Many lessons were learned during the development of the valves for the MC-1 engine. The purpose of this report is to focus on a variety of issues related to the engine valves and convey the lessons learned. This paper will not delve into detailed technical analysis of the components. None of the lessons learned are new or surprising, but simply reinforce the importance of addressing the details of the design early, at the component level. The Marshall Space Flight Center (MSFC), Huntsville, Alabama developed the MC-1 engine, a LOX / FW-1, 60,000 pound thrust engine. This engine was developed under the Low Cost Boost Technology office at MSFC and proved to be a very successful project for the MSFC Propulsion team and the various subcontractors working the development of the engine and its components.
NASA Technical Reports Server (NTRS)
Barr, Stephanie
2009-01-01
There have been a number of studies done in the past drawn on lessons learned with regard to human loss-of-life events. Generally, the systemic causes and proximate causes for fatal events have both been examined in considerable detail. However, an examination of near-fatal accidents and failures that narrowly missed being fatal could be equally useful, not only in detecting causes, both proximate and systemic, but also for determining what factors averted disaster, what design decisions and/or operator actions prevented catastrophe. Additionally, review of risk factors for upcoming or future programs will often look at trending statistics, generally focusing on failure/success statistics. Unfortunately, doing so can give a skewed or misleading view of past reliability or a reliability that cannot be presumed to apply to a new program. One reason for this might be that failure/success criteria aren't the same across programs, but also that apparent success can hide systemic faults that, under other circumstances, can be fatal to a program with different parameters. A program with a number of near misses can look more reliable than a consistently healthy program with a single out-of-family failure and provide very misleading data if it is not examined in detail. This is particularly true for a manned space program where failure/success includes more than making a particular orbit. Augmenting reliability evaluations with this near miss data can provide insight and expand on the limitations of a strictly pass/fail evaluation. Even more importantly, a thorough understanding of these near miss events can identify conditions that prevented fatalities. Those conditions may be key to a programs reliability, but, without insight to the repercussions if such conditions were not in place, their importance may not be readily clear. As programs mature and political and fiscal responsibilities come to the fore, often there is considerable incentive to eliminate unnecessary conservatism, design margin, redundancy, operational support, testing, training, or safety oversight. An evaluation that demonstrates how these features and capabilities averted disaster can ensure processes that saved lives or missions are not discarded without appropriate review and understanding. Close examination of accidents that almost were can also highlight differences in design from one program to another, either justifying reliability comparisons or negating them. It can also provide considerable insight into how those saving factors were developed and implemented so that similar methods can be used to ensure appropriate life-saving and mission saving factors can be developed, even for a dissimilar space program. The lessons are appropriate for seasoned manned space programs and agencies, but crucial for untried agencies and organizations that are interested in sending man into space. The large body of publicly available near miss and accident data available provide invaluable insight into programmatic, technical, and even political issues that can be addressed before they impact safety. In this paper, we examine a number of these near misses and accidents and steps a program, agency, or potential spacefaring company might take to improve their chances of success and avoid mission or safety disasters using this data.
NASA Astrophysics Data System (ADS)
Misnasanti; Dien, C. A.; Azizah, F.
2018-03-01
This study is aimed to describe Lesson Study (LS) activity and its roles in the development of mathematics learning instruments based on Learning Trajectory (LT). This study is a narrative study of teacher’s experiences in joining LS activity. Data collecting in this study will use three methods such as observation, documentations, and deep interview. The collected data will be analyzed with Milles and Huberman’s model that consists of reduction, display, and verification. The study result shows that through LS activity, teachers know more about how students think. Teachers also can revise their mathematics learning instrument in the form of lesson plan. It means that LS activity is important to make a better learning instruments and focus on how student learn not on how teacher teach.
Active Learning Institute: Energizing Science and Math Education. A Compilation of Lesson Plans.
ERIC Educational Resources Information Center
Cuyahoga Community Coll. - East, Cleveland, OH.
The middle school and high school lessons featured in this collection were crafted by science and math teachers who participated in a week-long seminar sponsored by the Eisenhower Professional Development Program administered by the Ohio Board of Regents. The lessons showcase a variety of active learning strategies from using hands-on, low-tech…
ERIC Educational Resources Information Center
Cajkler, Wasyl; Wood, Phil; Norton, Julie; Pedder, David; Xu, Haiyan
2015-01-01
Two departments in a secondary school in England participated in "lesson study" projects over a five-month period to explore its usefulness as a vehicle for professional development. Through a cycle of two research lessons, conducted separately in each department, teachers identified challenges that inhibited the learning of their…
Data storage: Retrospective and prospective
NASA Technical Reports Server (NTRS)
Speliotis, Dennis E.
1993-01-01
We study history to learn from its lessons so we don't repeat the mistakes. Ironically, however, sometimes it seems that the lessons we learn from history is how to repeat the mistakes more precisely. A brief discussion about the history of magnetic recording is presented, and the lessons of the past are used to look into the future.
Deaf Children's Science Content Learning in Direct Instruction Versus Interpreted Instruction
ERIC Educational Resources Information Center
Kurz, Kim B.; Schick, Brenda; Hauser, Peter C.
2015-01-01
This research study compared learning of 6-9th grade deaf students under two modes of educational delivery--interpreted vs. direct instruction using science lessons. Nineteen deaf students participated in the study in which they were taught six science lessons in American Sign Language. In one condition, the lessons were taught by a hearing…
Five Important Lessons I Learned during the Process of Creating New Child Care Centers
ERIC Educational Resources Information Center
Whitehead, R. Ann
2005-01-01
In this article, the author describes her experiences of developing new child care sites and offers five important lessons that she learned through her experiences which helped her to create successful child care centers. These lessons include: (1) Finding an appropriate area and location; (2) Creating realistic financial projections based on real…
Conceptualizing and Describing Teachers' Learning of Pedagogical Concepts
ERIC Educational Resources Information Center
González, María José; Gómez, Pedro
2014-01-01
In this paper, we propose a model to explore how teachers learn pedagogical concepts in teacher education programs that expect them to become competent in lesson planning. In this context, we view pedagogical concepts as conceptual and methodological tools that help teachers to design a lesson plan on a topic, implement this lesson plan and assess…
Lessons Learned and Lessons To Be Learned: An Overview of Innovative Network Learning Environments.
ERIC Educational Resources Information Center
Jacobson, Michael J.; Jacobson, Phoebe Chen
This paper provides an overview of five innovative projects involving network learning technologies in the United States: (1) the MicroObservatory Internet Telescope is a collection of small, high-quality, and low-maintenance telescopes operated by the Harvard-Smithsonian Center for Astrophysics (Massachusetts), which may be used remotely via the…
From the Games Industry: Ten Lessons for Game-Based Learning
ERIC Educational Resources Information Center
Hollins, Paul; Whitton, Nicola
2011-01-01
This paper draws on lessons learned from the development process of the entertainment games industry and discusses how they can be applied to the field of game-based learning. This paper examines policy makers and those wishing to commission or develop games for learning and highlights potential opportunities as well as pitfalls. The paper focuses…
Systems Engineering Lessons Learned from Solar Array Structures and Mechanisms Deployment
NASA Technical Reports Server (NTRS)
Vipavetz, Kevin; Kraft, Thomas
2013-01-01
This report has been developed by the National Aeronautics and Space Administration (NASA) Human Exploration and Operations Mission Directorate (HEOMD) Risk Management team in close coordination with the Engineering Directorate at LaRC. This document provides a point-in-time, cumulative, summary of actionable key lessons learned derived from the design project. Lessons learned invariably address challenges and risks and the way in which these areas have been addressed. Accordingly the risk management thread is woven throughout the document.
ERIC Educational Resources Information Center
Nakamoto, Jonathan; Sobolew-Shubin, Sandy; Orland, Martin
2015-01-01
The purpose of this study was to assess the impact of the Arts for Learning (A4L) Lessons Project on the literacy and life skills of students in grades 3, 4, and 5. A4L Lessons is a supplementary literacy curriculum designed to blend the creativity and discipline of the arts with learning science to raise student achievement in reading and…
Heritage Adoption Lessons Learned: Cover Deployment and Latch Mechanism
NASA Technical Reports Server (NTRS)
Wincentsen, James
2006-01-01
Within JPL, there is a technology thrust need to develop a larger Cover Deployment and Latch Mechanism (CDLM) for future missions. The approach taken was to adopt and scale the CDLM design as used on the Galaxy Evolution Explorer (GALEX) project. The three separate mechanisms that comprise the CDLM will be discussed in this paper in addition to a focus on heritage adoption lessons learned and specific examples. These lessons learned will be valuable to any project considering the use of heritage designs.
1982-05-14
Attachment 2 contains the reports and lessons learned which resulted from the Level II Weapon System Management activities. Attachment 3 contains the reports...and lessons learned which resulted from the Level III Weapon System Management activities. _____ r. Air Force Logistics Command Attn: Col. McConnell 2...May 14, 1982 Attachment 4 contains the plans and lessons learned which resulted from the RCC Evaluation activities. I am pleased to deliver these
NASA Technical Reports Server (NTRS)
McMann, Joe
2011-01-01
Pica Kahn conducted "An Interview with Joe McMann: Lessons Learned in Human and Hardware Behavior" on August 16, 2011. With more than 40 years of experience in the aerospace industry, McMann has gained a wealth of knowledge. This presentation focused on lessons learned in human and hardware behavior. During his many years in the industry, McMann observed that the hardware development process was intertwined with human influences, which impacted the outcome of the product.
The lift-fan powered-lift aircraft concept: Lessons learned
NASA Technical Reports Server (NTRS)
Deckert, Wallace H.
1993-01-01
This is one of a series of reports on the lessons learned from past research related to lift-fan aircraft concepts. An extensive review is presented of the many lift-fan aircraft design studies conducted by both government and industry over the past 45 years. Mission applications and design integration including discussions on manifolding hot gas generators, hot gas dusting, and energy transfer control are addressed. Past lift-fan evaluations of the Avrocar are discussed. Lessons learned from these past efforts are identified.
Space Shuttle Reusable Solid Rocket Motor Program Overview and Lessons Learned
NASA Technical Reports Server (NTRS)
Graves, Stan R.; McCool, Alex (Technical Monitor)
2001-01-01
An overview of the Space Shuttle Reusable Solid Rocket Motor (RSRM) program is provided with a summary of lessons learned since the first test firing in 1977. Fifteen different lessons learned are discussed that fundamentally changed the motor's design, processing, and RSRM program risk management systems. The evolution of the rocket motor design is presented including the baseline or High Performance Solid Rocket Motor (HPM), the Filament Wound Case (FWC), the RSRM, and the proposed Five-Segment Booster (FSB).
Lessons Learned: The Pale Horse Bioterrorism Response Exercise
2003-12-01
to define what the professional and personal liability of private health care providers is for Table 1. Participants in Pale Horse Tabletop Planning...Lessons Learned Lessons Learned: The “Pale Horse ” Bioterrorism Response Exercise Col. David Jarrett, MD, FACEP The city of San Antonio, Texas, and...Editorial, see p. 98 And I looked, and behold, a pale horse : and his name that sat on him was Death, and Hell followed with him. Book of Revelation 6:8 I n
ERIC Educational Resources Information Center
Hellmann, Margaret A.; And Others
1986-01-01
Reports on a chemistry laboratory accident intervention study conducted throughout the state of Colorado. Addresses the results of an initial survey of institutions of higher learning. Discusses some legal aspects concerning academic chemistry accidents. Provides some observations about academic chemistry laboratory accidents on the whole. (TW)
Higher Education ERP: Lessons Learned.
ERIC Educational Resources Information Center
Swartz, Dave; Orgill, Ken
2001-01-01
Shares experiences and lessons learned by chief information officers of large universities about enterprise resource planning (ERP). Specifically, provides a framework for approaching an ERP that could save universities millions of dollars. (EV)
A study: Effect of Students Peer Assisted Learning on Magnetic Field Achievement
NASA Astrophysics Data System (ADS)
Mueanploy, Wannapa
2016-04-01
This study is the case study of Physic II Course for students of Pathumwan Institute of Technology. The purpose of this study is: 1) to develop cooperative learning method of peer assisted learning (PAL), 2) to compare the learning achievement before and after studied magnetic field lesson by cooperative learning method of peer assisted learning. The population was engineering students of Pathumwan Institute of Technology (PIT’s students) who registered Physic II Course during year 2014. The sample used in this study was selected from the 72 students who passed in Physic I Course. The control groups learning magnetic fields by Traditional Method (TM) and experimental groups learning magnetic field by method of peers assisted learning. The students do pretest before the lesson and do post-test after the lesson by 20 items achievement tests of magnetic field. The post-test higher than pretest achievement significantly at 0.01 level.
Development of short Indonesian lesson plan to improve teacher performance
NASA Astrophysics Data System (ADS)
Yulianto, B.; Kamidjan; Ahmadi, A.; Asteria, P. V.
2018-01-01
The developmental research was motivated by the results of preliminary study through interviews, which revealed almost all of the teachers did not create lesson plan themselves. As a result of this load, the performance of the real learning in the classroom becomes inadequate. Moreover, when lesson plan was not made by teachers themselves, the learning process becomes ineffective. Therefore, this study designed to develop a prototype of the short lesson plan, in particular, Indonesian language teaching, and to investigate its effectiveness. The participants in the study were teachers who were trained through lesson study group to design short model’s lesson plan. Questionnaires and open-ended questions were used, and the quantitative and qualitative data obtained were analyzed accordingly. The analysis of the quantitative data, aided with SPSS, were frequency, percentage, and means, whereas the qualitative data were analyzed descriptively. The results showed that the teachers liked the model, and they were willing to design their own lesson plan. The observation data revealed that the classroom learning process became more interactive, and classroom atmosphere was more engaging and natural because the teachers did not stick to the lesson plan made by other teachers.
ERIC Educational Resources Information Center
de Bruin, Leon Rene
2018-01-01
Music institutions predominantly utilize the one-to-one lesson in developing and supporting music students' learning of skill and knowledge. This article explores the effect that interpersonal interaction plays in shaping pedagogical applications between teacher and student. Observing the learning of improvisation within this individualized social…
Applying Universal Design for Learning to Instructional Lesson Planning
ERIC Educational Resources Information Center
McGhie-Richmond, Donna; Sung, Andrew N.
2013-01-01
Universal Design for Learning is a framework for developing inclusive instructional lesson plans. The effects of introducing Universal Design for Learning Principles and Guidelines in a university teacher education program with pre-service and practicing teachers were explored in a mixed methods approach. The results indicate that the study…
Lessons Learned from Introducing Social Media Use in Undergraduate Economics Research
ERIC Educational Resources Information Center
O'Brien, Martin; Freund, Katarina
2018-01-01
The research process and associated literacy requirements are often unfamiliar and daunting obstacles for undergraduate students. The use of social media has the potential to assist research training and encourage active learning, social inclusion and student engagement. This paper documents the lessons learned from developing a blended learning…
"Periscope": Looking into Learning in Best-Practices Physics Classrooms
ERIC Educational Resources Information Center
Scherr, Rachel E.; Goertzen, Renee Michelle
2018-01-01
"Periscope" is a set of lessons to support learning assistants, teaching assistants, and faculty in learning to notice and interpret classroom events the way an accomplished teacher does. "Periscope" lessons are centered on video episodes from a variety of best-practices university physics classrooms. By observing, discussing,…
Blended Learning of Programming in the Internet Age
ERIC Educational Resources Information Center
Djenic, S.; Krneta, R.; Mitic, J.
2011-01-01
This paper presents an advanced variant of learning programming by the use of the Internet and multimedia. It describes the development of a blended learning environment, which, in addition to classroom (face-to-face) lessons, introduces lessons delivered over the Internet: the use of multimedia teaching material with completely dynamic…
Integrating the Core Curriculum through Cooperative Learning. Lesson Plans for Teachers.
ERIC Educational Resources Information Center
Winget, Patricia L., Ed.
Cooperative learning strategies are used to facilitate the integration of multicultural and multi-ability level students into California regular education classrooms. This handbook is a sampling of innovative lesson plans using cooperative learning activities developed by teachers to incorporate the core curriculum into their instruction. Three…
Webinar Presentation: Phthalates Exposures through Diet: Lessons Learned
This presentation, Phthalates Exposures through Diet: Lessons Learned, was given at the NIEHS/EPA Children's Centers 2015 Webinar Series: Phthalates in the Diet and in our Homes held on June 10, 2015.
Web Cast on Arsenic Demonstration Program: Lessons Learned
Web cast presentation covered 10 Lessons Learned items selected from the Arsenic Demonstration Program with supporting information. The major items discussed include system design and performance items and the cost of the technologies.
Best Practices and Lessons Learned In LANL Approaches to Transportation Security
DOE Office of Scientific and Technical Information (OSTI.GOV)
Drypolcher, Katherine Carr
Presentation includes slides on Physical Protection of Material in Transit; Graded Approach for Implementation Controls; Security Requirements; LANL Lessons Learned; Shipping Violation; Unmonitored Shipment; Foreign shipment; and the Conclusion.
NASA Technical Reports Server (NTRS)
Williams, David E.
2010-01-01
Node 1 flew to the International Space Station (ISS) on Flight 2A during December 1998. To date the National Aeronautics and Space Administration (NASA) has learned a lot of lessons from this module based on its history of approximately two years of acceptance testing on the ground and currently its twelve years on-orbit. This paper will provide an overview of the ISS Environmental Control and Life Support (ECLS) design of the Node 1 Atmosphere Control and Storage (ACS) and Water Recovery and Management (WRM) subsystems and it will document some of the lessons that have been learned to date for these subsystems based on problems prelaunch, problems encountered on-orbit, and operational problems/concerns. It is hoped that documenting these lessons learned from ISS will help in preventing them in future Programs.
NASA Technical Reports Server (NTRS)
Williams, David E.
2011-01-01
Node 1 flew to the International Space Station (ISS) on Flight 2A during December 1998. To date the National Aeronautics and Space Administration (NASA) has learned a lot of lessons from this module based on its history of approximately two years of acceptance testing on the ground and currently its twelve years on-orbit. This paper will provide an overview of the ISS Environmental Control and Life Support (ECLS) design of the Node 1 Atmosphere Control and Storage (ACS) and Water Recovery and Management (WRM) subsystems and it will document some of the lessons that have been learned to date for these subsystems based on problems prelaunch, problems encountered on-orbit, and operational problems/concerns. It is hoped that documenting these lessons learned from ISS will help in preventing them in future Programs.
Iterating between lessons on concepts and procedures can improve mathematics knowledge.
Rittle-Johnson, Bethany; Koedinger, Kenneth
2009-09-01
Knowledge of concepts and procedures seems to develop in an iterative fashion, with increases in one type of knowledge leading to increases in the other type of knowledge. This suggests that iterating between lessons on concepts and procedures may improve learning. The purpose of the current study was to evaluate the instructional benefits of an iterative lesson sequence compared to a concepts-before-procedures sequence for students learning decimal place-value concepts and arithmetic procedures. In two classroom experiments, sixth-grade students from two schools participated (N=77 and 26). Students completed six decimal lessons on an intelligent-tutoring systems. In the iterative condition, lessons cycled between concept and procedure lessons. In the concepts-first condition, all concept lessons were presented before introducing the procedure lessons. In both experiments, students in the iterative condition gained more knowledge of arithmetic procedures, including ability to transfer the procedures to problems with novel features. Knowledge of concepts was fairly comparable across conditions. Finally, pre-test knowledge of one type predicted gains in knowledge of the other type across experiments. An iterative sequencing of lessons seems to facilitate learning and transfer, particularly of mathematical procedures. The findings support an iterative perspective for the development of knowledge of concepts and procedures.
Encouraging Problem-Solving Disposition in a Singapore Classroom
ERIC Educational Resources Information Center
Leong, Yew Hoong; Yap, Sook Fwe; Quek, Khiok Seng; Tay, Eng Guan; Tong, Cherng Luen; Ong, Yao Teck; Chia, Alexander Stanley Foh Soon; Zaini, Irni Karen Mohd; Khong, Wee Choo; Lock, Oi Leng; Zhang, Qiao Tian Beatrice; Tham, Yi Hui; Noorhazman, Nur-Illya Nafiza Mohamed
2013-01-01
In this article, we share our learning experience as a Lesson Study team. The Research Lesson was on Figural Patterns taught in Year 7. In addition to helping students learn the skills of the topic, we wanted them to develop a problem-solving disposition. The management of these two objectives was a challenge to us. From the lesson observation and…
ERIC Educational Resources Information Center
Pang, Ming Fai; Ling, Lo Mun
2012-01-01
The lesson study approach is a systematic process for producing professional knowledge about teaching by teachers, and has spread rapidly and extensively in the United States. The learning study approach is essentially a kind of lesson study with an explicit learning theory--the variation theory of learning. In this paper, we argue that having an…
Dang, Yen H; Nice, Frank J; Truong, Hoai-An
2017-01-01
To facilitate an academic-community partnership for sustainable medical mis-sions, a 12-step process was created for an interprofessional, global health educational, and service-learning experience for students and faculty in a school of pharmacy and health professions. Lessons learned and practical guidance are provided to implement similar global health opportunities.
Community Learning Campus: It Takes a Simple Message to Build a Complex Project
ERIC Educational Resources Information Center
Pearson, George
2012-01-01
Education Canada asked Tom Thompson, president of Olds College and a prime mover behind the Community Learning Campus (CLC): What were the lessons learned from this unusually ambitious education project? Thompson mentions six lessons he learned from this complex project which include: (1) Dream big, build small, act now; (2) Keep a low profile at…
ERIC Educational Resources Information Center
de Jager, Thelma
2017-01-01
Research shows that three-dimensional (3D)-animated lessons can contribute to student teachers' effective learning and comprehension, regardless of the learning barriers they experience. Student teachers majoring in the subject Life Sciences in General Subject Didactics viewed 3D images of the heart during lectures. The 3D images employed in the…
Reliability and Maintainability Engineering - A Major Driver for Safety and Affordability
NASA Technical Reports Server (NTRS)
Safie, Fayssal M.
2011-01-01
The United States National Aeronautics and Space Administration (NASA) is in the midst of an effort to design and build a safe and affordable heavy lift vehicle to go to the moon and beyond. To achieve that, NASA is seeking more innovative and efficient approaches to reduce cost while maintaining an acceptable level of safety and mission success. One area that has the potential to contribute significantly to achieving NASA safety and affordability goals is Reliability and Maintainability (R&M) engineering. Inadequate reliability or failure of critical safety items may directly jeopardize the safety of the user(s) and result in a loss of life. Inadequate reliability of equipment may directly jeopardize mission success. Systems designed to be more reliable (fewer failures) and maintainable (fewer resources needed) can lower the total life cycle cost. The Department of Defense (DOD) and industry experience has shown that optimized and adequate levels of R&M are critical for achieving a high level of safety and mission success, and low sustainment cost. Also, lessons learned from the Space Shuttle program clearly demonstrated the importance of R&M engineering in designing and operating safe and affordable launch systems. The Challenger and Columbia accidents are examples of the severe impact of design unreliability and process induced failures on system safety and mission success. These accidents demonstrated the criticality of reliability engineering in understanding component failure mechanisms and integrated system failures across the system elements interfaces. Experience from the shuttle program also shows that insufficient Reliability, Maintainability, and Supportability (RMS) engineering analyses upfront in the design phase can significantly increase the sustainment cost and, thereby, the total life cycle cost. Emphasis on RMS during the design phase is critical for identifying the design features and characteristics needed for time efficient processing, improved operational availability, and optimized maintenance and logistic support infrastructure. This paper discusses the role of R&M in a program acquisition phase and the potential impact of R&M on safety, mission success, operational availability, and affordability. This includes discussion of the R&M elements that need to be addressed and the R&M analyses that need to be performed in order to support a safe and affordable system design. The paper also provides some lessons learned from the Space Shuttle program on the impact of R&M on safety and affordability.
McKee, Michael; Thew, Denise; Starr, Matthew; Kushalnagar, Poorna; Reid, John T.; Graybill, Patrick; Velasquez, Julia; Pearson, Thomas
2013-01-01
Background Numerous publications demonstrate the importance of community-based participatory research (CBPR) in community health research, but few target the Deaf community. The Deaf community is understudied and underrepresented in health research despite suspected health disparities and communication barriers. Objectives The goal of this paper is to share the lessons learned from the implementation of CBPR in an understudied community of Deaf American Sign Language (ASL) users in the greater Rochester, New York, area. Methods We review the process of CBPR in a Deaf ASL community and identify the lessons learned. Results Key CBPR lessons include the importance of engaging and educating the community about research, ensuring that research benefits the community, using peer-based recruitment strategies, and sustaining community partnerships. These lessons informed subsequent research activities. Conclusions This report focuses on the use of CBPR principles in a Deaf ASL population; lessons learned can be applied to research with other challenging-to-reach populations. PMID:22982845
Lesson Plans: Road Maps for the Active Learning Classroom.
Moore-Cox, Annie
2017-11-01
Lesson planning is a documentation process used extensively in education from kindergarten through 12th grade, but rarely in higher education, including undergraduate, prelicensure nursing education. Lesson plans help teachers plan what will happen during a class period from moment to moment. Trends in nursing education, such as the incorporation of active learning strategies in the classroom, make lesson plans a timely addition to the nurse educator's toolkit. This article describes the components of a lesson plan and offers an author-developed template for use in nursing education. Using the template helps nurse educators map out activities for all class participants, such as students, student pairs and teams, and faculty. The lesson plan enables faculty to plot out the many dynamic components of an active learning class period. It also serves as a road map for subsequent faculty, which is an important feature as the profession faces a wave of retirements in the coming decade. [J Nurs Educ. 2017;56(11):697-700.]. Copyright 2017, SLACK Incorporated.
Bee SAFE, a Skill-Building Intervention to Enhance CAM Health Literacy: Lessons Learned.
Shreffler-Grant, Jean; Nichols, Elizabeth G; Weinert, Clarann
2018-05-01
The purpose is to describe a feasibility study of a skill-building intervention to enhance health literacy about complementary and alternative (CAM) therapies among older rural adults and share lessons learned. A study was designed to examine the feasibility of an intervention to enhance CAM health literacy. The theme was "Bee SAFE" for Be a wise user of CAM, Safety, Amount, From where, and Effect. Modules were presented face to face and by webinar with older adults at a senior center in one small rural community. The team achieved its purpose of designing, implementing, and evaluating the intervention and assessing if it could be implemented in a rural community. The implementation challenges encountered and lessons learn are discussed. By improving CAM health literacy, older rural adults with chronic health conditions can make well-reasoned decisions about using CAM for health promotion and illness management. The goal is to implement the Bee SAFE intervention in other rural communities; thus team members were attentive to lessons to be learned before investing time, effort, and expense in the larger intervention. It is hoped that the lessons learned can be instructive to others planning projects in rural communities.
University Hospital Struck Deaf and Silent by Lightning: Lessons to Learn.
Dami, Fabrice; Carron, Pierre-Nicolas; Yersin, Bertrand; Hugli, Olivier
2015-08-01
We describe how an electromagnetic wave after a lightning strike affected a university hospital, including the communication shutdown that followed, the way it was handled, and the lessons learned from this incident.
Retrieval Lesson Learned from NAST-I Hyperspectral Data
NASA Technical Reports Server (NTRS)
Zhou, Daniel K.; Smith, William L.; Liu, Xu; Larar, Allen M.; Mango, Stephen A.
2007-01-01
The retrieval lesson learned is important to many current and future hyperspectral remote sensors. Validated retrieval algorithms demonstrate the advancement of hyperspectral remote sensing capabilities to be achieved with current and future satellite instruments.
Lesson Study-Building Communities of Learning Among Pre-Service Science Teachers
NASA Astrophysics Data System (ADS)
Hamzeh, Fouada
Lesson Study is a widely used pedagogical approach that has been used for decades in its country of origin, Japan. It is a teacher-led form of professional development that involves the collaborative efforts of teachers in co-planning and observing the teaching of a lesson within a unit for evidence that the teaching practices used help the learning process (Lewis, 2002a). The purpose of this research was to investigate if Lesson Study enables pre-service teachers to improve their own teaching in the area of science inquiry-based approaches. Also explored are the self-efficacy beliefs of one group of science pre-service teachers related to their experiences in Lesson Study. The research investigated four questions: 1) Does Lesson Study influence teacher preparation for inquiry-based instruction? 2) Does Lesson Study improve teacher efficacy? 3) Does Lesson Study impact teachers' aspiration to collaborate with colleagues? 4) What are the attitudes and perceptions of pre-service teachers to the Lesson Study idea in Science? The 12 participants completed two pre- and post-study surveys: STEBI- B, Science Teaching Efficacy Belief Instrument (Enochs & Riggs, 1990) and ASTQ, Attitude towards Science Teaching. Data sources included student teaching lesson observations, lesson debriefing notes and focus group interviews. Results from the STEBI-B show that all participants measured an increase in efficacy throughout the study. This study added to the body of research on teaching learning communities, professional development programs and teacher empowerment.
The Sign Told Me how to Play--A Lesson in Risk Reduction.
ERIC Educational Resources Information Center
Wallach, Frances
1988-01-01
Two constantly appearing claims in most playground accident suits are improper supervision and lack of warning to the users. This article discusses legal implications of improper signage, explains use of symbols, and presents general sign guidelines to ensure proper safety measures. (MLH)
Lessons Learned from Optical Payload for Lasercomm Science (OPALS) Mission Operations
NASA Technical Reports Server (NTRS)
Sindiy, Oleg V.; Abrahamson, Matthew J.; Biswas, Abhijit; Wright, Malcolm W.; Padams, Jordan H.; Konyha, Alexander L.
2015-01-01
This paper provides an overview of Optical Payload for Lasercomm Science (OPALS) activities and lessons learned during mission operations. Activities described cover the periods of commissioning, prime, and extended mission operations, during which primary and secondary mission objectives were achieved for demonstrating space-to-ground optical communications. Lessons learned cover Mission Operations System topics in areas of: architecture verification and validation, staffing, mission support area, workstations, workstation tools, interfaces with support services, supporting ground stations, team training, procedures, flight software upgrades, post-processing tools, and public outreach.
2017-01-27
Mike Ciannilli, the Apollo, Challenger, Columbia Lessons Learned Program manager, welcomes participants to the Apollo 1 Lessons Learned presentation in the Training Auditorium at NASA’s Kennedy Space Center in Florida. The program's theme was "To There and Back Again." Guest panelists included Charlie Duke, former Apollo 16 astronaut and member of the Apollo 1 Emergency Egress Investigation Team; Ernie Reyes, retired, Apollo 1 senior operations engineer; and John Tribe, retired, Apollo 1 Reaction and Control System lead engineer. The event helped pay tribute to the Apollo 1 crew, Gus Grissom, Ed White II, and Roger Chaffee.
Biomimicry as a route to new materials: what kinds of lessons are useful?
Reed, Emily J; Klumb, Lisa; Koobatian, Maxwell; Viney, Christopher
2009-04-28
We consider the attributes of a successful engineered material, acknowledging the contributions of composition and processing to properties and performance. We recognize the potential for relevant lessons to be learned from nature, at the same time conceding both the limitations of such lessons and our need to be selective. We then give some detailed attention to the molecular biomimicry of filamentous phage, the process biomimicry of silk and the structure biomimicry of hippopotamus 'sweat', in each case noting that the type of lesson now being learned is not the same as the potential lesson that originally motivated the study.
E-Learning and Development: Lessons from Multi-Disciplinary Capacity Strengthening
ERIC Educational Resources Information Center
Babu, Suresh Chandra
2014-01-01
This paper documents the experience and lessons from implementing an e-learning program aimed at creating multidisciplinary research capacity. It presents a case study of bringing together a multidisciplinary group of professionals on-line to learn the skills needed to be a successful researcher in the context of HIV/AIDS and food security…
Effects of Detailed Illustrations on Science Learning: An Eye-Tracking Study
ERIC Educational Resources Information Center
Lin, Yu Ying; Holmqvist, Kenneth; Miyoshi, Kiyofumi; Ashida, Hiroshi
2017-01-01
The eye-tracking method was used to assess the influence of detailed, colorful illustrations on reading behaviors and learning outcomes. Based on participants' subjective ratings in a pre-study, we selected eight one-page human anatomy lessons. In the main study, participants learned these eight human anatomy lessons; four were accompanied by…
Assessment and Program Accountability in Early Childhood Education: Lessons Learned in Ohio
ERIC Educational Resources Information Center
Boat, Mary; Zorn, Debbie; Austin, James T.
2005-01-01
Ensuring that children, especially those from disadvantaged backgrounds, start school ready to learn is an important goal. This paper presents lessons learned from the state of Ohio's multi-year program to develop a standards-based assessment system for programs delivering state-funded early childhood education (ECE) through programs receiving…
The Cispus Experience: A Curriculum Guide for the Cispus Learning Center.
ERIC Educational Resources Information Center
Association of Washington School Principals, Olympia.
This curriculum guide presents lesson plans for outdoor and environmental education at the Cispus Learning Center, a camp in Randle, Washington. Objectives for the Cispus experience cover student learning of content, socialization as a team member, development of aesthetic awareness of nature and art, and increased physical wellness. Lesson plans…
Creating Teacher Communities of Inquiry through Lesson Study
ERIC Educational Resources Information Center
Widjaja, Wanty
2013-01-01
Opportunities for teachers to engage in collaborative learning to examine and reflect on their practice are vital for sustained professional learning. Lesson Study centres on teachers coming together with colleagues to plan, observe, and reflect on classroom teaching and learning as a Community of Inquiry. In this project, six teachers from three…
ERIC Educational Resources Information Center
Troyan, Francis John; Peercy, Megan Madigan
2016-01-01
Although scholars working in core practices have put forth lesson rehearsals as central to novice teachers' learning and development, there is little work on how novice teachers experience rehearsals. This qualitative research investigated learning opportunities for novice teachers of language learners during rehearsals. The analysis examines two…
The Effects of Variations in Lesson Control and Practice on Learning from Interactive Video.
ERIC Educational Resources Information Center
Hannafin, Michael J.; Colamaio, MaryAnne E.
1987-01-01
Discussion of the effects of variations in lesson control and practice on the learning of facts, procedures, and problem-solving skills during interactive video instruction focuses on a study of graduates and advanced level undergraduates learning cardiopulmonary resuscitation (CPR). Embedded questioning methods and posttests used are described.…
What Positive Lessons Have You Learned from English Class about Working with Other People?
ERIC Educational Resources Information Center
Cook, Bailey; Keefe, Bailey; Gray, Angela; Li, Justin; Miller, Kevin
2010-01-01
This article provides a forum for students to share their experiences and lessons learned from English class about working with other people. The first author thinks it is a good idea to have split-level classes because it opens up new opportunities to meet people and teaches one many good lessons about working with other people. The second author…
E-Learning and the iNtegrating Technology for InQuiry (NTeQ) Model Lesson Design
ERIC Educational Resources Information Center
Flake, Lee Hatch
2017-01-01
The author reflects on the history of technology in education and e-learning and introduces the iNtegrating Technology for inQuiry (NTeQ) model of lesson design authored by Morrison and Lowther (2005). The NTeQ model lesson design is a new pedagogy for academic instruction in response to the growth of the Internet and technological advancements in…
NASA Astrophysics Data System (ADS)
Chamrat, Suthida; Apichatyotin, Nattaya; Puakanokhirun, Kittaporn
2018-01-01
The quality of lesson design is essential to learning effectiveness. Research shows some characteristics of lessons have strong effect on learning which were grouped into "High Impact Practices or HIPs. This research aims to examine the use of HIPs on chemistry lesson design as a part of Teaching Science Strand in Chemistry Concepts course. At the first round of lesson design and implementing in classroom, 14 chemistry pre-services teachers freely selected topics, designed and implemented on their own ideas. The lessons have been reflected by instructors and their peers. High Impact Practices were overtly used as the conceptual framework along with the After-Action Review and Reflection (AARR). The selected High Impact practice in this study consisted of 6 elements: well-designed lesson, vary cognitive demand/academic challenge, students center approach, opportunity of students to reflect by discussion or writing, the assignment of project based learning or task, and the lesson reflects pre-service teachers' Technological Pedagogical Content Knowledge (TPACK). The second round, pre-service teachers were encouraged to explicitly used 6 High Impact Practices in cooperated with literature review specified on focused concepts for bettering designed and implemented lessons. The data were collected from 28 lesson plans and 28 classroom observations to compare and discuss between the first and second lesson and implementation. The results indicated that High Impact Practices effect on the quality of delivered lesson. However, there are some elements that vary on changes which were detailed and discussed in this research article.
ERIC Educational Resources Information Center
Chan, Man Ching Esther; Clarke, David J.; Clarke, Doug M.; Roche, Anne; Cao, Yiming; Peter-Koop, Andrea
2018-01-01
The major premise of this project is that teachers learn from the act of teaching a lesson. Rather than asking "What must a teacher already know in order to practice effectively?", this project asks "What might a teacher learn through their activities in the classroom and how might this learning be optimised?" In this project,…
ERIC Educational Resources Information Center
Jewpanich, Chaiwat; Piriyasurawong, Pallop
2015-01-01
This research aims to 1) develop the project-based learning using discussion and lesson-learned methods via social media model (PBL-DLL SoMe Model) used for enhancing problem solving skills of undergraduate in education student, and 2) evaluate the PBL-DLL SoMe Model used for enhancing problem solving skills of undergraduate in education student.…
ERIC Educational Resources Information Center
Towaf, Siti Malikhah
2016-01-01
Learning can be observed from three-dimensions called: effectiveness, efficiency, and attractiveness of learning. Careful study carried out by analyzing the learning elements of the system are: input, process, and output. Lesson study is an activity designed and implemented as an effort to improve learning in a variety of dimensions. "Lesson…
He, Ying; Johnson, Chris
2015-11-01
The recurrence of past security breaches in healthcare showed that lessons had not been effectively learned across different healthcare organisations. Recent studies have identified the need to improve learning from incidents and to share security knowledge to prevent future attacks. Generic Security Templates (GSTs) have been proposed to facilitate this knowledge transfer. The objective of this paper is to evaluate whether potential users in healthcare organisations can exploit the GST technique to share lessons learned from security incidents. We conducted a series of case studies to evaluate GSTs. In particular, we used a GST for a security incident in the US Veterans' Affairs Administration to explore whether security lessons could be applied in a very different Chinese healthcare organisation. The results showed that Chinese security professional accepted the use of GSTs and that cyber security lessons could be transferred to a Chinese healthcare organisation using this approach. The users also identified the weaknesses and strengths of GSTs, providing suggestions for future improvements. Generic Security Templates can be used to redistribute lessons learned from security incidents. Sharing cyber security lessons helps organisations consider their own practices and assess whether applicable security standards address concerns raised in previous breaches in other countries. The experience gained from this study provides the basis for future work in conducting similar studies in other healthcare organisations. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
Implementing the Japanese Problem-Solving Lesson Structure
ERIC Educational Resources Information Center
Groves, Susie
2013-01-01
While there has been worldwide interest in Japanese Lesson Study as a model for teacher professional learning, there has been less research into authentic implementation of the problem-solving lesson structure that underpins mathematics research lessons in Japan. Findings from a Lesson Study project involving teachers from three Victorian primary…
Development of concept-based physiology lessons for biomedical engineering undergraduate students.
Nelson, Regina K; Chesler, Naomi C; Strang, Kevin T
2013-06-01
Physiology is a core requirement in the undergraduate biomedical engineering curriculum. In one or two introductory physiology courses, engineering students must learn physiology sufficiently to support learning in their subsequent engineering courses and careers. As preparation for future learning, physiology instruction centered on concepts may help engineering students to further develop their physiology and biomedical engineering knowledge. Following the Backward Design instructional model, a series of seven concept-based lessons was developed for undergraduate engineering students. These online lessons were created as prerequisite physiology training to prepare students to engage in a collaborative engineering challenge activity. This work is presented as an example of how to convert standard, organ system-based physiology content into concept-based content lessons.
Lessons Learned and Flight Results from the F15 Intelligent Flight Control System Project
NASA Technical Reports Server (NTRS)
Bosworth, John
2006-01-01
A viewgraph presentation on the lessons learned and flight results from the F15 Intelligent Flight Control System (IFCS) project is shown. The topics include: 1) F-15 IFCS Project Goals; 2) Motivation; 3) IFCS Approach; 4) NASA F-15 #837 Aircraft Description; 5) Flight Envelope; 6) Limited Authority System; 7) NN Floating Limiter; 8) Flight Experiment; 9) Adaptation Goals; 10) Handling Qualities Performance Metric; 11) Project Phases; 12) Indirect Adaptive Control Architecture; 13) Indirect Adaptive Experience and Lessons Learned; 14) Gen II Direct Adaptive Control Architecture; 15) Current Status; 16) Effect of Canard Multiplier; 17) Simulated Canard Failure Stab Open Loop; 18) Canard Multiplier Effect Closed Loop Freq. Resp.; 19) Simulated Canard Failure Stab Open Loop with Adaptation; 20) Canard Multiplier Effect Closed Loop with Adaptation; 21) Gen 2 NN Wts from Simulation; 22) Direct Adaptive Experience and Lessons Learned; and 23) Conclusions
Lessons learned for improving spacecraft ground operations
NASA Astrophysics Data System (ADS)
Bell, Michael; Stambolian, Damon; Henderson, Gena
NASA has a unique history in processing the Space Shuttle fleet for launches. Some of this experience has been captured in the NASA Lessons Learned Information System (LLIS). This tool provides a convenient way for design engineers to review lessons from the past to prevent problems from reoccurring and incorporate positive lessons in new designs. At the Kennedy Space Center, the LLIS is being used to design ground support equipment for the next generation of launch and crewed vehicles. This paper describes the LLIS process and offers some examples.
Lessons Learned for Improving Spacecraft Ground Operations
NASA Technical Reports Server (NTRS)
Bell, Michael A.; Stambolian, Damon B.; Henderson, Gena M.
2012-01-01
NASA has a unique history in processing the Space Shuttle fleet for launches. Some of this experience has been captured in the NASA Lessons Learned Information System (LLIS). This tool provides a convenient way for design engineers to review lessons from the past to prevent problems from reoccurring and incorporate positive lessons in new designs. At the Kennedy Space Center, the LLIS is being used to design ground support equipment for the next generation of launch and crewed vehicles. This paper describes the LLIS process and offers some examples.
ERIC Educational Resources Information Center
Congress of the U.S., Washington, DC. Senate Committee on Governmental Affairs.
The focus of this hearing was on lessons learned in the District of Columbia public schools in the year preceding the hearing. In his opening remarks, Senator Brownback (Kansas) remarked that one of the first lessons is that the academic quality of the schools is not good enough and is in dire need of improvement. A second set of lessons focuses…
A theory-based approach to teaching young children about health: A recipe for understanding
Nguyen, Simone P.; McCullough, Mary Beth; Noble, Ashley
2011-01-01
The theory-theory account of conceptual development posits that children’s concepts are integrated into theories. Concept learning studies have documented the central role that theories play in children’s learning of experimenter-defined categories, but have yet to extensively examine complex, real-world concepts such as health. The present study examined whether providing young children with coherent and causally-related information in a theory-based lesson would facilitate their learning about the concept of health. This study used a pre-test/lesson/post-test design, plus a five month follow-up. Children were randomly assigned to one of three conditions: theory (i.e., 20 children received a theory-based lesson); nontheory (i.e., 20 children received a nontheory-based lesson); and control (i.e., 20 children received no lesson). Overall, the results showed that children in the theory condition had a more accurate conception of health than children in the nontheory and control conditions, suggesting the importance of theories in children’s learning of complex, real-world concepts. PMID:21894237
Thirty years after the Chernobyl accident: What lessons have we learnt?
Beresford, N A; Fesenko, S; Konoplev, A; Skuterud, L; Smith, J T; Voigt, G
2016-06-01
April 2016 sees the 30(th) anniversary of the accident at the Chernobyl nuclear power plant. As a consequence of the accident populations were relocated in Belarus, Russia and Ukraine and remedial measures were put in place to reduce the entry of contaminants (primarily (134+137)Cs) into the human food chain in a number of countries throughout Europe. Remedial measures are still today in place in a number of countries, and areas of the former Soviet Union remain abandoned. The Chernobyl accident led to a large resurgence in radioecological studies both to aid remediation and to be able to make future predictions on the post-accident situation, but, also in recognition that more knowledge was required to cope with future accidents. In this paper we discuss, what in the authors' opinions, were the advances made in radioecology as a consequence of the Chernobyl accident. The areas we identified as being significantly advanced following Chernobyl were: the importance of semi-natural ecosystems in human dose formation; the characterisation and environmental behaviour of 'hot particles'; the development and application of countermeasures; the "fixation" and long term bioavailability of radiocaesium and; the effects of radiation on plants and animals. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.
Social and ethical issues in environmental risk management.
Oughton, Deborah H
2011-07-01
The recognition of the social and ethical aspects of radiation risk management has been an important part of international projects following the Chernobyl accident of 1986. This study comments on the science and policy issues in environmental risk assessment, including the social and ethical dimensions of emergency preparedness and remediation experiences gained from the Chernobyl accident. While the unique situation of Fukushima, combined with an earthquake and tsunami, raises its own social and political challenges, it is hoped that some of the lessons learnt from Chernobyl will be relevant to long-term management of the Fukushima site. Copyright © 2011 SETAC.
Reducing health care hazards: lessons from the commercial aviation safety team.
Pronovost, Peter J; Goeschel, Christine A; Olsen, Kyle L; Pham, Julius C; Miller, Marlene R; Berenholtz, Sean M; Sexton, J Bryan; Marsteller, Jill A; Morlock, Laura L; Wu, Albert W; Loeb, Jerod M; Clancy, Carolyn M
2009-01-01
The movement to improve quality of care and patient safety has grown, but examples of measurable and sustained progress are rare. The slow progress made in health care contrasts with the success of aviation safety. After a tragic 1995 plane crash, the aviation industry and government created the Commercial Aviation Safety Team to reduce fatal accidents. This public-private partnership of safety officials and technical experts is responsible for the decreased average rate of fatal aviation accidents. We propose a similar partnership in the health care community to coordinate national efforts and move patient safety and quality forward.
CYGNSS: Lessons We are Learning from a Class D Mission
NASA Technical Reports Server (NTRS)
Tumlinson, Jessica
2015-01-01
CYGNSS: Lessons Learned from NASA Class D Mission and how they selected their parts for the program to include balance between cost, risk, schedule and technology available as well as balancing cost restraints with mission risk profile.
Project #OA-FY12-0360, March 5, 2012. The Recovery Funds Working Group of the Recovery Accountability and Transparency Board has initiated a project to capture lessons learned from Recovery Act implementation.
IVHS Institutional Issues and Case Studies, Analysis and Lessons Learned, Final Report
DOT National Transportation Integrated Search
1994-04-01
This 'Analysis and Lessons Learned' report contains observations, conclusions, and recommendations based on the performance of six case studies of Intelligent Vehicle-Highway Systems (IVHS) projects. Information to support the development of the case...
Multi-Modal Traveler Information System - Lessons Learned
DOT National Transportation Integrated Search
1997-05-19
The purpose of this working paper is to provide an information base of lessons learned from activities similar to the design of the Gary Chicago Milwaukee (GCM) Corridor Architecture and the Gateway Traveler Information System (TIS). Many similar act...
DOT National Transportation Integrated Search
2002-06-01
The purpose of this lessons learned is to document the experience with Intelligent Transportation Systems (ITS) : implementation at the Santee Wateree Regional Transportation authority (SWRTA). SWRTA is a public : transportation provider servin...
Lessons learned on the Skylab program
NASA Technical Reports Server (NTRS)
1974-01-01
Lessons learned in the Skylab program and their application and adaptation to other space programs are summarized. Recommendations and action taken on particular problems are described. The use of Skylab recommendations to identify potential problems of future space programs is discussed.
NASA Astrophysics Data System (ADS)
Yao, Hong; Zhang, Tongzhu; Liu, Bo; Lu, Feng; Fang, Shurong; You, Zhen
2016-04-01
Understanding historical accidents is important for accident prevention and risk mitigation; however, there are no public databases of pollution accidents in China, and no detailed information regarding such incidents is readily available. Thus, 653 representative cases of surface water pollution accidents in China were identified and described as a function of time, location, materials involved, origin, and causes. The severity and other features of the accidents, frequency and quantities of chemicals involved, frequency and number of people poisoned, frequency and number of people affected, frequency and time for which pollution lasted, and frequency and length of pollution zone were effectively used to value and estimate the accumulated probabilities. The probabilities of occurrences of various types based on origin and causes were also summarized based on these observations. The following conclusions can be drawn from these analyses: (1) There was a high proportion of accidents involving multi-district boundary regions and drinking water crises, indicating that more attention should be paid to environmental risk prevention and the mitigation of such incidents. (2) A high proportion of accidents originated from small-sized chemical plants, indicating that these types of enterprises should be considered during policy making. (3) The most common cause (49.8 % of the total) was intentional acts (illegal discharge); accordingly, efforts to increase environmental consciousness in China should be enhanced.
Yao, Hong; Zhang, Tongzhu; Liu, Bo; Lu, Feng; Fang, Shurong; You, Zhen
2016-04-01
Understanding historical accidents is important for accident prevention and risk mitigation; however, there are no public databases of pollution accidents in China, and no detailed information regarding such incidents is readily available. Thus, 653 representative cases of surface water pollution accidents in China were identified and described as a function of time, location, materials involved, origin, and causes. The severity and other features of the accidents, frequency and quantities of chemicals involved, frequency and number of people poisoned, frequency and number of people affected, frequency and time for which pollution lasted, and frequency and length of pollution zone were effectively used to value and estimate the accumulated probabilities. The probabilities of occurrences of various types based on origin and causes were also summarized based on these observations. The following conclusions can be drawn from these analyses: (1) There was a high proportion of accidents involving multi-district boundary regions and drinking water crises, indicating that more attention should be paid to environmental risk prevention and the mitigation of such incidents. (2) A high proportion of accidents originated from small-sized chemical plants, indicating that these types of enterprises should be considered during policy making. (3) The most common cause (49.8% of the total) was intentional acts (illegal discharge); accordingly, efforts to increase environmental consciousness in China should be enhanced.
Gemini Observatory base facility operations: systems engineering process and lessons learned
NASA Astrophysics Data System (ADS)
Serio, Andrew; Cordova, Martin; Arriagada, Gustavo; Adamson, Andy; Close, Madeline; Coulson, Dolores; Nitta, Atsuko; Nunez, Arturo
2016-08-01
Gemini North Observatory successfully began nighttime remote operations from the Hilo Base Facility control room in November 2015. The implementation of the Gemini North Base Facility Operations (BFO) products was a great learning experience for many of our employees, including the author of this paper, the BFO Systems Engineer. In this paper we focus on the tailored Systems Engineering processes used for the project, the various software tools used in project support, and finally discuss the lessons learned from the Gemini North implementation. This experience and the lessons learned will be used both to aid our implementation of the Gemini South BFO in 2016, and in future technical projects at Gemini Observatory.
Periscope: Looking into Learning in Best-Practices Physics Classrooms
NASA Astrophysics Data System (ADS)
Scherr, Rachel E.; Goertzen, Renee Michelle
2018-02-01
Periscope is a set of lessons to support learning assistants, teaching assistants, and faculty in learning to notice and interpret classroom events the way an accomplished teacher does. Periscope lessons are centered on video episodes from a variety of best-practices university physics classrooms. By observing, discussing, and reflecting on teaching situations similar to their own, instructors practice applying lessons learned about teaching to actual teaching situations and develop their pedagogical content knowledge. Instructors also get a view of other institutions' transformed courses, which can support and expand the vision of their own instructional improvement and support the transfer of course developments among faculty. Periscope is available for free to educators at http://physport.org/periscope.
Applying lessons learned in communities to programs and policies at the federal level.
Chang, Debbie I
2006-01-01
As solutions to the problems of the uninsured are debated, there are lessons to be learned from community-based initiatives. Such efforts can provide information on different models as well as key political lessons. Defining the specific role that community efforts play is also critical. Actively involving community stakeholders of such community initiatives in health care policy debates will result in more workable policies.
ERIC Educational Resources Information Center
Santagata, Rossella; Zannoni, Claudia; Stigler, James W.
2007-01-01
A video-based program on lesson analysis for pre-service mathematics teachers was implemented for two consecutive years as part of a teacher education program at the University of Lazio, Italy. Two questions were addressed: What can preservice teachers learn from the analysis of videotaped lessons? How can preservice teachers' analysis ability,…
ERIC Educational Resources Information Center
Berkant, Hasan Güner; Baysal, Seda
2017-01-01
The changes which occur during the learning process have been explained by many teaching-learning models and theories. One of these models is allosteric learning model (ALM) which was developed by André Giordan in 1989. This model was derived from a biological metaphor related to proteins. The interaction between individual and environment in a…
ERIC Educational Resources Information Center
Conole, Grainne; Carusi, Annamaria; de Laat, Maarten; Wilcox, Pauline; Darby, Jonathan
2006-01-01
This paper presents some of the initial findings of a series of studies documenting the UK eUniversity (UKeU) approach to and experience of e-learning. It will focus on the experiences and lessons learned of members of the learning technology team within the UKeU or people working closely with them. Our particular interest is to describe the…
2008-01-01
cases on human cognition and performance. For instance, when you learn to fly an airplane, you will be instructed to use a simple rule to avoid...Existing Training Technologies; First Responders; Katrina; Lesson Learned 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER... student . Based in Maryland, the training institute prepares first responders using online learning courses or training exercises. Such topics
ERIC Educational Resources Information Center
Suh, Jennifer; Seshaiyer, Padmanabhan
2015-01-01
This study examines elementary- and middle-grade teachers' understanding of the mathematical learning progression as they participated in a 6-month professional learning project. Teachers participated in a professional development project that consisted of a 1-week summer content-focused institute with school-based follow-up Lesson Study cycles in…
From Lessons Learned the Hard Way to Lessons Learned the Harder Way
ERIC Educational Resources Information Center
Schwegler, Andria Foote
2013-01-01
My departure from traditional methods of teaching and assessment (i.e., lecture and close-ended exams) was prompted years ago by a "gut feeling" that has morphed into an explicit examination of my teaching practice and students' reactions to it. The scholarly approach and empirical evidence in "Teachers and Learning"…
ERIC Educational Resources Information Center
Yilmaz, Rezan
2014-01-01
This study aims to present the cognitive competences of the pre-service teacher about discovery learning approach in mathematical education. The study was conducted with 37 mathematics pre-service teachers who study Special Teaching Methods lesson in a state university in Turkey. Throughout the lesson, the approaches used in learning were examined…
Let's Cooperate! Integrating Cooperative Learning Into a Lesson on Ethics.
Reineke, Patricia R
2017-04-01
Cooperative learning is an effective teaching strategy that promotes active participation in learning and can be used in academic, clinical practice, and professional development settings. This article describes that strategy and provides an example of its use in a lesson about ethics. J Contin Nurs Educ. 2017;48(4):154-156. Copyright 2017, SLACK Incorporated.
Early Warning: Development of Confidential Incident Reporting Systems
NASA Technical Reports Server (NTRS)
OLeary, Mike J.; Chappell, Sheryl L.; Connell, Linda (Technical Monitor)
1996-01-01
Accidents hardly ever happen without warning. The combination, or sequence, of failures and mistakes that cause an accident may indeed be unique but the individual failures and mistakes rarely are. In the USA in 1974 the crews on two different aircraft misunderstood the same aeronautical chart and descended towards their destination dangerously early towards a mountain. The first crew were in good weather conditions and could see the mountain and resolved their misinterpretation of the chart. The second crew six weeks later were not so lucky. In cloud they had no clues to point out their mistake nor the presence of the mountain. The resulting crash and the ensuing inquiry, which brought to light the previous incident, shocked the country but gave it the impetus to instigate a safety reporting system. This system eventually became the NASA's Aviation Safety Reporting System (ASRS). The programme collects incident reports from pilots, controllers, mechanics, cabin attendants and many others involved in aviation operations. By disseminating this safety information the ASRS has helped enormously to give US airlines and airspace the highest safety standards. Accident prevention is a goal sought by everyone in the aviation industry and establishing effective incident reporting programmes can go a long way toward achieving that goal. This article will describe the steps and issues required to establish an incident reporting system. The authors summarize the lessons learned from the ASRS, now in its twentieth year of operation and from the Confidential Human Factors Reporting (HER) Programme run by British Airways, an airline that is a recognized world leader in safety reporting and analysis. The differences between government and airline operation of confidential safety reporting systems will be addressed.
NASA Astrophysics Data System (ADS)
Sugimoto, M.
2015-12-01
The 2004 Indian Ocean tsunami killed around 220,000 people and startled the world. North of Chennai (Madras), the Indian plant nearly affected by tsunami in 2004. The local residents really did not get any warning in India. "On December 26, the Madras Atomic Power Station looked like a desolate place with no power, no phones, no water, no security arrangement and no hindrance whatsoever for outsiders to enter any part of the plant," said S.P. Udaykumar of SACCER. Nuclear issues hide behind such big tsunami damaged. Few media reported outside India. As for US, San Francisco Chronicle reported scientists had to rethink about nuclear power plants by the 2004 tsunami in 11th July 2005. Few tsunami scientsts did not pay attention to nucler power plants nearly affected by tsunami in US. On the other hand, US government noticed the Indian plant nearly affected in 2004. US Goverment supported nucler disaster management in several countries. As for Japan, Japanese goverment mainly concentrated reconstrucation in affected areas and tsunami early warning system. I worked in Japanese embassy in Jakarta Indonesia at that time. I did not receive the information about the Indian plant nearly affected by tsunami and US supported nucler safety to the other coutries. The 2011 Tohoku earthquake and tsunami damaged society and nuclear power stations. The Fukushima Dai-ichi Nuclear Power Plant (FDNPP) accident resulted in the largest release of radioactive material since the 1986 Chernobyl accident. Why did not Japanese tsunami scientists learn from warning signs from the nuclear plant in India by the 2004 Indian Ocean tsunami to the 2011 Fukushima accident? I would like to clarify the reason few tsunami scientist notice this point in my presentation.
Columbia Crew Survival Investigation Report
NASA Technical Reports Server (NTRS)
2009-01-01
NASA commissioned the Columbia Accident Investigation Board (CAIB) to conduct a thorough review of both the technical and the organizational causes of the loss of the Space Shuttle Columbia and her crew on February 1, 2003. The accident investigation that followed determined that a large piece of insulating foam from Columbia s external tank (ET) had come off during ascent and struck the leading edge of the left wing, causing critical damage. The damage was undetected during the mission. The CAIB's findings and recommendations were published in 2003 and are available on the web at http://caib.nasa.gov/. NASA responded to the CAIB findings and recommendations with the Space Shuttle Return to Flight Implementation Plan. Significant enhancements were made to NASA's organizational structure, technical rigor, and understanding of the flight environment. The ET was redesigned to reduce foam shedding and eliminate critical debris. In 2005, NASA succeeded in returning the space shuttle to flight. In 2010, the space shuttle will complete its mission of assembling the International Space Station and will be retired to make way for the next generation of human space flight vehicles: the Constellation Program. The Space Shuttle Program recognized the importance of capturing the lessons learned from the loss of Columbia and her crew to benefit future human exploration, particularly future vehicle design. The program commissioned the Spacecraft Crew Survival Integrated Investigation Team (SCSIIT). The SCSIIT was asked to perform a comprehensive analysis of the accident, focusing on factors and events affecting crew survival, and to develop recommendations for improving crew survival for all future human space flight vehicles. To do this, the SCSIIT investigated all elements of crew survival, including the design features, equipment, training, and procedures intended to protect the crew. This report documents the SCSIIT findings, conclusions, and recommendations.
Commissioning MMS: Challenges and Lessons Learned
NASA Technical Reports Server (NTRS)
Wood, Paul; Gramling, Cheryl; Reiter, Jennifer; Smith, Patrick; Stone, John
2016-01-01
This paper discusses commissioning of NASA's Magnetospheric MultiScale (MMS) Mission. The mission includes four identical spacecraft with a large, complex set of instrumentation. The planning for and execution of commissioning for this mission is described. The paper concludes by discussing lessons learned.
The lift-fan aircraft: Lessons learned
NASA Technical Reports Server (NTRS)
Deckert, Wallace H.
1995-01-01
This report summarizes the highlights and results of a workshop held at NASA Ames Research Center in October 1992. The objective of the workshop was a thorough review of the lessons learned from past research on lift fans, and lift-fan aircraft, models, designs, and components. The scope included conceptual design studies, wind tunnel investigations, propulsion systems components, piloted simulation, flight of aircraft such as the SV-5A and SV-5B and a recent lift-fan aircraft development project. The report includes a brief summary of five technical presentations that addressed the subject The Lift-Fan Aircraft: Lessons Learned.
Report from the School of Experience: Lessons-Learned on NASA's EOS/ICESat Mission
NASA Technical Reports Server (NTRS)
Anselm, William
2003-01-01
Abstract-NASA s Earth Observing System EOS) Ice, Cloud, and Land Elevation Satellite (ICESat) mission was one of the first missions under Goddard Space Flight Center s (then-) new Rapid Spacecraft Development Office. This paper explores the lessons-learned under the ICESat successful implementation and launch, focusing on four areas: Procurement., Management, Technical, and Launch and Early Operations. Each of these areas is explored in a practical perspective of communication, the viewpoint of the players, and the interactions among the organizations. Conclusions and lessons-learned are summarized in the final section.
Hodgetts, Darrin; Chamberlain, Kerry; Tankel, Yadena; Groot, Shiloh
2014-01-01
Urban poverty and health inequalities are inextricably intertwined. By working in partnership with service providers and communities to address urban poverty, we can enhance the wellness of people in need. This article reflects on lessons learned from the Family100 project that explores the everyday lives, frustrations and dilemmas faced by 100 families living in poverty in Auckland. Lessons learned support the need to bring the experiences and lived realities of families to the fore in public deliberations about community and societal responses to urban poverty and health inequality.
NASA Astrophysics Data System (ADS)
Limatahu, I.; Sutoyo, S.; Wasis; Prahani, B. K.
2018-03-01
In the previous research, CCDSR (Condition, Construction, Development, Simulation, and Reflection) learning model has been developed to improve science process skills for pre-service physics teacher. This research is aimed to analyze the effectiveness of CCDSR learning model towards the improvement skills of creating lesson plan and worksheet of Science Process Skill (SPS) for pre-service physics teacher in academic year 2016/2017. This research used one group pre-test and post-test design on 12 pre-service physics teacher at Physics Education, University of Khairun. Data collection was conducted through test and observation. Creating lesson plan and worksheet SPS skills of pre-service physics teacher measurement were conducted through Science Process Skill Evaluation Sheet (SPSES). The data analysis technique was done by Wilcoxon t-test and n-gain. The CCDSR learning model consists of 5 phases, including (1) Condition, (2) Construction, (3) Development, (4) Simulation, and (5) Reflection. The results showed that there was a significant increase in creating lesson plan and worksheet SPS skills of pre-service physics teacher at α = 5% and n-gain average of moderate category. Thus, the CCDSR learning model is effective for improving skills of creating lesson plan and worksheet SPS for pre-service physics teacher.
Lessons Learned from Developing a Patient Engagement Panel: An OCHIN Report.
Arkind, Jill; Likumahuwa-Ackman, Sonja; Warren, Nate; Dickerson, Kay; Robbins, Lynn; Norman, Kathy; DeVoe, Jennifer E
2015-01-01
There is renewed interest in patient engagement in clinical and research settings, creating a need for documenting and publishing lessons learned from efforts to meaningfully engage patients. This article describes early lessons learned from the development of OCHIN's Patient Engagement Panel (PEP). OCHIN supports a national network of more than 300 community health centers (CHCs) and other primary care settings that serve over 1.5 million patients annually across nearly 20 states. The PEP was conceived in 2009 to harness the CHC tradition of patient engagement in this new era of patient-centered outcomes research and to ensure that patients were engaged throughout the life cycle of our research projects, from conception to dissemination. Developed by clinicians and researchers within our practice-based research network, recruitment of patients to serve as PEP members began in early 2012. The PEP currently has a membership of 18 patients from 3 states. Over the past 24 months, the PEP has been involved with 12 projects. We describe developing the PEP and challenges and lessons learned (eg, recruitment, funding model, creating value for patient partners, compensation). These lessons learned are relevant not only for research but also for patient engagement in quality improvement efforts and other clinical initiatives. © Copyright 2015 by the American Board of Family Medicine.
Lessons Learned from the Wide Field Camera 3 TV1 and TV2 Thermal Vacuum Test Campaigns
NASA Technical Reports Server (NTRS)
Peabody, Hume; Stavely, Richard; Bast, William
2008-01-01
The Wide Field Camera 3 (WFC3) instrument has undergone two complete thermal vacuum tests (TV1 and TV2), during which valuable lessons were learned regarding test configuration, test execution, model capabilities, and modeling practices. The very complex thermal design of WFC3 produced a number of challenging aspects to ground testing with numerous ThermoElectric Coolers and heat pipes, not all of which were functional. Lessons learned during TV1 resulted in significant upgrades to the model capabilities and a change in the test environment approach for TV2. These upgrades proved invaluable during TV2 when pretest modeling assumptions proved to be false. Each of the lessons learned relate to one of two following broad statements: 1. Ensure the design can be tested and that the effect of non-flight like conditions is well understood, particularly with respect to non passive devices (TECs, Heat Pipes, etc) 2. Ensure that the model is sufficiently detailed and is capable of predicting off-nominal behavior and the power dissipation of any thermal devices, especially TECs This paper outlines a number of the lessons learned over these two test campaigns with respect to the thermal design, model, and test configuration and presents recommendations for future tests.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Miller, Charles Frederick
Lessons learned are more in vogue today than at any time in our history. You can’t tune into a news broadcast without hearing a reference to the concept – and for good reason. People are finally accepting the idea that they may be able to benefit from the experiences of others. Corporations, government departments, and even the military are actively using lessons learned information to help them to achieve their varied goals. The Department of Energy is one of the government departments that has a Lessons Learned Program and requires its contractors to develop a program of their own. Unfortunately,more » adequate guidance is not available to enable contractors to design a fully mature program (i.e., a program that will immediately meet their every need) and to ensure that it is implemented such that it will be deemed acceptable during subsequent assessments. The purpose of this paper is to present the reader with information that might help him or her better plan and develop a new or upgraded Lessons Learned Program. The information is based on the actual development and implementation of a “second generation” lessons learned program and is presented as a chronicle of the steps taken to build the rudimentary system and the subsequent events and problems that led to the programs present-day configuration.« less
NASA Astrophysics Data System (ADS)
Park, Jisun; Song, Jinwoong; Abrahams, Ian
2016-03-01
This study explored, from the perspective of intellectual passion developed by Michael Polanyi, the unintended learning that occurred in primary practical science lessons. We use the term `unintended' learning to distinguish it from `intended' learning that appears in teachers' learning objectives. Data were collected using video and audio recordings of a sample of twenty-four whole class practical science lessons, taught by five teachers, in Korean primary schools with 10- to 12-year-old students. In addition, video and audio recordings were made for each small group of students working together in order to capture their activities and intra-group discourse. Pre-lesson interviews with the teachers were undertaken and audio-recorded to ascertain their intended learning objectives. Selected key vignettes, including unintended learning, were analysed from the perspective of intellectual passion developed by Polanyi. What we found in this study is that unintended learning could occur when students got interested in something in the first place and could maintain their interest. In addition, students could get conceptual knowledge when they tried to connect their experience to their related prior knowledge. It was also found that the processes of intended learning and of unintended learning were different. Intended learning was characterized by having been planned by the teacher who then sought to generate students' interest in it. In contrast, unintended learning originated from students' spontaneous interest and curiosity as a result of unplanned opportunities. Whilst teachers' persuasive passion comes first in the process of intended learning, students' heuristic passion comes first in the process of unintended learning. Based on these findings, we argue that teachers need to be more aware that unintended learning, on the part of individual students, can occur during their lesson and to be able to better use this opportunity so that this unintended learning can be shared by the whole class. Furthermore, we argue that teachers' deliberate action and a more interactive classroom culture are necessary in order to allow students to develop, in addition to heuristic passion, persuasive passion towards their unintended learning.
Lotrecchiano, G R; McDonald, P L; Lyons, L; Long, T; Zajicek-Farber, M
2013-11-01
This field report outlines the goals of providing a blended learning model for an interdisciplinary training program for healthcare professionals who care for children with disabilities. The curriculum blended traditional face-to-face or on-site learning with integrated online interactive instruction. Credit earning and audited graduate level online coursework, community engagement experiences, and on-site training with maternal and child health community engagement opportunities were blended into a cohesive program. The training approach emphasized adult learning principles in different environmental contexts integrating multiple components of the Leadership Education in Neurodevelopmental and Related Disabilities Program. This paper describes the key principles adopted for this blended approach and the accomplishments, challenges, and lessons learned. The discussion offers examples from training content, material gathered through yearly program evaluation, as well as university course evaluations. The lessons learned consider the process and the implications for the role of blended learning in this type of training program with suggestions for future development and adoption by other programs.
Chinese Lessons from Other Peoples’ Wars
2011-11-01
have a unified center for lessons learned (key U.S. examples are the Joint Center for Operational Analy- 8 sis, the Center for Army Lessons Learned...complete publicly available docu- mentary and analytical record in Chinese on the wars might present. Readers are advised to bear these chal- lenges...guided missiles (PGM). Indeed, there are 14 many PLA studies about the PGM and its employment in the U.S. joint and integrated operations in the
ERIC Educational Resources Information Center
Marsick, Victoria J.; Volpe, F. Marie; Brooks, Ann; Cseh, Maria; Lovin, Barbara Keelor; Vernon, Sally; Watkins, Karen E.; Ziegler, Mary
The concept of the free agent learner, which has roots in self-directed and informal learning theory, has recently emerged as a factor important to attracting, developing, and keeping knowledge workers. The literature on free agent learning holds important lessons for today's free agent learners, human resource developers, and work organizations.…
76 FR 81516 - Homeland Security Advisory Council
Federal Register 2010, 2011, 2012, 2013, 2014
2011-12-28
... security; and provide information on the threat of an electromagnetic pulse attack and its associated... Operational Update. Electromagnetic Pulse (EMP) Threat--Lessons Learned and Areas of Vulnerability, and... and the potential threat of an electromagnetic pulse attack. Both will include lessons learned and...
The Status of Ubiquitous Computing.
ERIC Educational Resources Information Center
Brown, David G.; Petitto, Karen R.
2003-01-01
Explains the prevalence and rationale of ubiquitous computing on college campuses--teaching with the assumption or expectation that all faculty and students have access to the Internet--and offers lessons learned by pioneering institutions. Lessons learned involve planning, technology, implementation and management, adoption of computer-enhanced…
NASA Technical Reports Server (NTRS)
Ferell, Bob; Lewis, Mark; Perotti, Jose; Oostdyk, Rebecca; Goerz, Jesse; Brown, Barbara
2010-01-01
This paper's main purpose is to detail issues and lessons learned regarding designing, integrating, and implementing Fault Detection Isolation and Recovery (FDIR) for Constellation Exploration Program (CxP) Ground Operations at Kennedy Space Center (KSC).
ERIC Educational Resources Information Center
Scholz, Markus; Niesch, Harald; Steffen, Olaf; Ernst, Baerbel; Loeffler, Markus; Witruk, Evelin; Schwarz, Hans
2008-01-01
The aim of this study is to evaluate the benefit of chess in mathematics lessons for children with learning disabilities based on lower intelligence (IQ 70-85). School classes of four German schools for children with learning disabilities were randomly assigned to receive one hour of chess lesson instead of one hour of regular mathematics lessons…
Evaluating Primary School Student's Deep Learning Approach to Science Lessons
ERIC Educational Resources Information Center
Ilkörücü Göçmençelebi, Sirin; Özkan, Muhlis; Bayram, Nuran
2012-01-01
This study examines the variables which help direct students to a deep learning approach to science lessons, with the aim of guiding programmers and teachers in primary education. The sample was composed of a total of 164 primary school students. The Learning Approaches to Science Scale developed by Ünal (2005) for Science and Technology lessons…
Lessons that Last: Former Youth Organizers' Reflections on What and How They Learned
ERIC Educational Resources Information Center
Conner, Jerusha
2014-01-01
This study examines the learning outcomes and learning environment of a youth organizing program that has been effective in promoting individual as well as social change. Drawing on interviews with 25 former youth organizers from the program, this study explores the lessons that stay with them as they transition to young adulthood and the factors…
Dynamic Lesson Planning in EFL Reading Classes through a New e-Learning System
ERIC Educational Resources Information Center
Okada, Takeshi; Sakamoto, Yasunobu
2015-01-01
This paper illustrates how lesson plans, teaching styles and assessment can be dynamically adapted on a real-time basis during an English as a Foreign Language (EFL) reading classroom session by using a new e-learning system named iBELLEs (interactive Blended English Language Learning Enhancement system). iBELLEs plays a crucial role in filling…
ERIC Educational Resources Information Center
Lovvorn, Al S.; Barth, Michael M.; Morris, R. Franklin, Jr.; Timmerman, John E.
2009-01-01
Schools of all types and sizes are exploring the merits and facets of online learning approaches; but, the online delivery literature has focused on "best practices" generated primarily through the experiences of larger schools that are on the leading edge of this innovation. Small public schools, on the other hand, are faced with unique…
1984-05-01
Satisfaction Measures Between Clinics.... 39 Lessons Learned From the Pilot Studies ...................... 42 Telephonic Versus Clinic Survey...Between Clinics. 63 Comments from Survey Participants ....................... 64 Lessons Learned from the Study ............................. 67...attempted to apply principles learned from a review of the multitude of studies conducted in the area of patient satisfaction. Validated dimensions of
ERIC Educational Resources Information Center
Denbel, Dejene Girma
2015-01-01
Students learning experiences were investigated in geometry lesson when using Dynamic Geometry Software (DGS) tool in geometry learning in 25 Ethiopian secondary students. The research data were drawn from the used worksheets, classroom observations, results of pre- and post-test, a questionnaire and interview responses. I used GeoGebra as a DGS…
How Is the Learning Environment in Physics Lesson with Using 7E Model Teaching Activities
ERIC Educational Resources Information Center
Turgut, Umit; Colak, Alp; Salar, Riza
2017-01-01
The aim of this research is to reveal the results in the planning, implementation and evaluation of the process for learning environments to be designed in compliance with 7E learning cycle model in physics lesson. "Action research", which is a qualitative research pattern, is employed in this research in accordance with the aim of the…
ERIC Educational Resources Information Center
Babu, Suresh Chandra; Ferguson, Jenna; Parsai, Nilam; Almoguera, Rose
2013-01-01
This paper documents the experience and lessons from implementing an e-learning program aimed at creating research capacity for gender, crisis prevention, and recovery. It presents a case study of bringing together a multidisciplinary group of women professionals through both online and face-to-face interactions to learn the skills needed to be a…
NASA Technical Reports Server (NTRS)
Taylor, Gary O.
2001-01-01
John C. Stennis Space Center continues to support the Propulsion community in an effort to validate High-Test Peroxide as an alternative to existing/future oxidizers. This continued volume of peroxide test/handling activity at Stennis Space Center (SSC) provides numerous opportunities for the SSC team to build upon previously documented 'lessons learned'. SSC shall continue to strive to document their experience and findings as H2O2 issues surface. This paper is intended to capture all significant peroxide issues that we have learned over the last three years. This data (lessons learned) has been formulated from practical handling, usage, storage, operations, and initial development/design of our systems/facility viewpoint. The paper is intended to be an information type tool and limited in technical rational; therefore, presenting the peroxide community with some issues to think about as the continued interest in peroxide evolves and more facilities/hardware are built. These lessons learned are intended to assist industry in mitigating problems and identifying potential pitfalls when dealing with the requirements for handling high-test peroxide.
Thisgaard, Malene; Makransky, Guido
2017-01-01
The present study compared the value of using a virtual learning simulation compared to traditional lessons on the topic of evolution, and investigated if the virtual learning simulation could serve as a catalyst for STEM academic and career development, based on social cognitive career theory. The investigation was conducted using a crossover repeated measures design based on a sample of 128 high school biology/biotech students. The results showed that the virtual learning simulation increased knowledge of evolution significantly, compared to the traditional lesson. No significant differences between the simulation and lesson were found in their ability to increase the non-cognitive measures. Both interventions increased self-efficacy significantly, and none of them had a significant effect on motivation. In addition, the results showed that the simulation increased interest in biology related tasks, but not outcome expectations. The findings suggest that virtual learning simulations are at least as efficient in enhancing learning and self-efficacy as traditional lessons, and high schools can thus use them as supplementary educational methods. In addition, the findings indicate that virtual learning simulations may be a useful tool in enhancing student's interest in and goals toward STEM related careers.
Teachers' learning on the workshop of STS approach as a way of enhancing inventive thinking skills
NASA Astrophysics Data System (ADS)
Ngaewkoodrua, Nophakun; Yuenyong, Chokchai
2018-01-01
To improve science teachers to develop the STS lesson plans for enhancing the students' inventive thinking skills, the workshop of improving science teachers to develop the STS lesson plans for enhancing the Inventive thinking skills were organized. The paper aimed to clarify what teachers learn from the workshop. The goal of the activity of the workshop aimed to: 1) improve participants a better understanding of the relationship between the Inquiry based learning with STS approach, 2) understand the meaning and importance of the STS approach and identify the various stages of Yuenyong (2006) STS learning process, 3) discuss what they learned from the examples of Yuenyong (2006) lesson plan, 4) develop some activities for each stage of Yuenyong (2006) STS approach, and 5) ideas of providing STS approach activities for enhancing inventive thinking skills. Participants included 3 science teachers who work in Khon Kaen, Thailand. Methodology regarded interpretive paradigm. Teachers' learning about pedagogy of enhancing the students' inventive thinking skills will be interpreted through participant observation, teachers' tasks, and interview. The finding revealed that all participants could demonstrate their ideas how to generate the STS lesson plans as a way of enhancing inventive thinking skills. Teachers could mention some element of inventive thinking skills which could be generated on their STS learning activities.
Thisgaard, Malene; Makransky, Guido
2017-01-01
The present study compared the value of using a virtual learning simulation compared to traditional lessons on the topic of evolution, and investigated if the virtual learning simulation could serve as a catalyst for STEM academic and career development, based on social cognitive career theory. The investigation was conducted using a crossover repeated measures design based on a sample of 128 high school biology/biotech students. The results showed that the virtual learning simulation increased knowledge of evolution significantly, compared to the traditional lesson. No significant differences between the simulation and lesson were found in their ability to increase the non-cognitive measures. Both interventions increased self-efficacy significantly, and none of them had a significant effect on motivation. In addition, the results showed that the simulation increased interest in biology related tasks, but not outcome expectations. The findings suggest that virtual learning simulations are at least as efficient in enhancing learning and self-efficacy as traditional lessons, and high schools can thus use them as supplementary educational methods. In addition, the findings indicate that virtual learning simulations may be a useful tool in enhancing student’s interest in and goals toward STEM related careers. PMID:28611701
Novice High School Science Teachers: Lesson Plan Adaptations
ERIC Educational Resources Information Center
Scharon, Aracelis Janelle
2013-01-01
The Next Generation Science Standards (NRC, 2013) positions teachers as responsible for necessary decision making about how their intended science lesson plan content supports continuous student science learning. Teachers interact with their instructional lesson plans in dynamic and constructive ways. Adapting lesson plans is complex. This process…
ERIC Educational Resources Information Center
Bauml, Michelle
2016-01-01
Whether a teacher loves it or dreads it, lesson planning is a crucial step in the teaching process. Done effectively, collaborative lesson planning--in which teachers work together to design lessons--leads to increased professional learning, higher job satisfaction for teachers, and better lesson plans. The process poses challenges for both…
Life After Being a Pathology Department Chair II: Lessons Learned.
Bailey, David N; Lipscomb, Mary F; Gorstein, Fred; Wilkinson, David; Sanfilippo, Fred
2017-01-01
The 2016 Association of Pathology Chairs annual meeting featured a discussion group of Association of Pathology Chairs senior fellows (former chairs of academic departments of pathology who have remained active in Association of Pathology Chairs) that focused on how they decided to transition from the chair, how they prepared for such transition, and what they did after the transition. At the 2017 annual meeting, the senior fellows (encompassing 481 years of chair service) discussed lessons they learned from service as chair. These lessons included preparation for the chairship, what they would have done differently as chair, critical factors for success as chair, factors associated with failures, stress reduction techniques for themselves and for their faculty and staff, mechanisms for dealing with and avoiding problems, and the satisfaction they derived from their service as chair. It is reasonable to assume that these lessons may be representative of those learned by chairs of other specialties as well as by higher-level academic administrators such as deans, vice presidents, and chief executive officers. Although the environment for serving as a department chair has been changing dramatically, many of the lessons learned by former chairs are still valuable for current chairs of any length of tenure.
NASA Astrophysics Data System (ADS)
Ellis, T. D.; TeBockhorst, D.
2013-12-01
Teaching Inquiry using NASA Earth-System Science (TINES) is a NASA EPOESS funded program exploring blended professional development for pre- and in-service educators to learn how to conduct meaningful inquiry lessons and projects in the K-12 classroom. This project combines trainings in GLOBE observational protocols and training in the use of NASA Earth Science mission data in a backward-faded scaffolding approach to teaching and learning about scientific inquiry. It also features a unique partnership with the National Science Teachers Association Learning Center to promote cohort building and blended professional development with access to NSTA's collection of resources. In this presentation, we will discuss lessons learned in year one and two of this program and how we plan to further develop this program over the next two years.
ERIC Educational Resources Information Center
Aydogdu, Cemil
2017-01-01
Chemistry lesson should be supported with experiments to understand the lecture effectively. For safety laboratory environment and to prevent laboratory accidents; chemical substances' properties, working principles for chemical substances' usage should be learnt. Aim of the present study was to analyze the effect of experiments which depend on…
CEMENT. "A Concrete Experience." A Curriculum Developed for the Cement Industry.
ERIC Educational Resources Information Center
Taylor, Mary Lou
This instructor's guide contains 11 lesson plans for inplant classes on workplace skills for employees in a cement plant. The 11 units cover the following topics: goals; interpreting memoranda; applying a standard set of work procedures; qualities of a safe worker; accident prevention; insurance forms; vocabulary development; inventory control…
Safety Matters! Safety for Primary Science and Technology
ERIC Educational Resources Information Center
Education in Science, 2011
2011-01-01
This article discusses where teachers stand from a legal point of view when pupils, who have been told to wear eye protection, take it off during the practical lesson, and an accident happens. It also discusses the disposal of dissection and other waste from animal parts used in school science. (Contains 1 footnote.)
Online Conferencing: Lessons Learned.
ERIC Educational Resources Information Center
Green, Lyndsay
This guide summarizes lessons learned from the author's experience of organizing and moderating five non-pedagogical online conferences that use World Wide Web-based conferencing software, whether synchronous or asynchronous. Seven sections cover the following topics: (1) the pros and cons of online conferencing; (2) setting objectives; (3)…
The Virginia Generalist Initiative: Lessons Learned in a Statewide Consortium.
ERIC Educational Resources Information Center
Morse, R. Michael; Plungas, Gay S.; Duke, Debra; Rollins, Lisa K.; Barnes, H. Verdain; Brinson, Betsy K.; Martindale, James R.; Marsland, David W.
1999-01-01
To increase supply of generalist physicians, three state-supported Virginia medical schools formed a partnership with governmental stakeholders in the Generalist Physician Initiative. Lessons learned concerning stakeholder participation in planning, shared philosophical commitment, support for risk-taking, attitudes toward change, and trust are…
MINE WASTE TECHNOLOGY PROGRAM: RECENT RESULTS: LESSONS LEARNED AND FUTURE OPPORTUNITIES
In the EPA sponsored AML workshop, a number of Mine Waste Technology Program (MWTP) projects will be presented in order to highlight the most successful technology demonstrations. Recent results, lesson learned and future opportunities will be presented. The MWTP projects includ...
Research Administration: Lessons Learned.
ERIC Educational Resources Information Center
Dummer, George H.
1995-01-01
The ways in which accountability issues have affected federal-university relationships, particularly in the area of academic research, are examined. Lessons university administrators have learned since issuance of Office of Management and Budget Circular A-21 in 1958, Congressional hearings on the operations of the National Institutes of Health…
Two Approaches to Distance Education: Lessons Learned.
ERIC Educational Resources Information Center
Sedlak, Robert A.; Cartwright, G. Phillip
1997-01-01
Outlines lessons learned by the University of Wisconsin-Stout in implementing two distance education programs, a technology program using interactive television and a hospitality program using Lotus Notes to deliver courses. Topics discussed include program concept vs. technology as stimulus for innovation, program planning/administration,…
Process Improvement for Next Generation Space Flight Vehicles: MSFC Lessons Learned
NASA Technical Reports Server (NTRS)
Housch, Helen
2008-01-01
This viewgraph presentation reviews the lessons learned from process improvement for Next Generation Space Flight Vehicles. The contents include: 1) Organizational profile; 2) Process Improvement History; 3) Appraisal Preparation; 4) The Appraisal Experience; 5) Useful Tools; and 6) Is CMMI working?
Whitmore, Corrie B; Sarche, Michelle; Ferron, Cathy; Moritsugu, John; Sanchez, Jenae G
2018-05-16
Authors in this Special Issue of the Infant Mental Health Journal shared the work of the first three cohorts of Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) grantees funded by the Administration for Children and Families. Since 2010, Tribal MIECHV grantees have served families and children prenatally to kindergarten entry in American Indian and Alaska Native (AI/AN) communities across the lower 48 United States and Alaska. Articles highlighted challenges and opportunities that arose as grantees adapted, enhanced, implemented, and evaluated their home-visiting models. This article summarizes nine lessons learned across the articles in this Special Issue. Lessons learned address the importance of strengths-based approaches, relationship-building, tribal community stakeholder involvement, capacity-building, alignment of resources and expectations, tribal values, adaptation to increase cultural and contextual attunement, indigenous ways of knowing, community voice, and sustainability. Next steps in Tribal MIECHV are discussed in light of these lessons learned. © 2018 Michigan Association for Infant Mental Health.
The role of failure/problems in engineering: A commentary of failures experienced - lessons learned
NASA Technical Reports Server (NTRS)
Ryan, R. S.
1992-01-01
The written version of a series of seminars given to several aerospace companies and three NASA centers are presented. The results are lessons learned through a study of the problems experienced in 35 years of engineering. The basic conclusion is that the primary cause of problems has not been mission technologies, as important as technology is, but the neglect of basic principles. Undergirding this is the lack of a systems focus from determining requirements through design, verification, and operations phases. Many of the concepts discussed are fundamental to total quality management (TQM) and can be used to augment this product enhanced philosophy. Fourteen principles are addressed with problems experienced and are used as examples. Included is a discussion of the implication of constraints, poorly defined requirements, and schedules. Design guidelines, lessons learned, and future tasks are listed. Two additional sections are included that deal with personal lessons learned and thoughts on future thrusts (TQM).
Lessons learned in the development of the STOL intelligent tutoring system
NASA Technical Reports Server (NTRS)
Seamster, Thomas; Baker, Clifford; Ames, Troy
1991-01-01
Lessons learned during the development of the NASA Systems Test and Operations Language (STOL) Intelligent Tutoring System (ITS), being developed at NASA Goddard Space Flight Center are presented. The purpose of the intelligent tutor is to train STOL users by adapting tutoring based on inferred student strengths and weaknesses. This system has been under development for over one year and numerous lessons learned have emerged. These observations are presented in three sections, as follows. The first section addresses the methodology employed in the development of the STOL ITS and briefly presents the ITS architecture. The second presents lessons learned, in the areas of: intelligent tutor development; documentation and reporting; cost and schedule control; and tools and shells effectiveness. The third section presents recommendations which may be considered by other ITS developers, addressing: access, use and selection of subject matter experts; steps involved in ITS development; use of ITS interface design prototypes as part of knowledge engineering; and tools and shells effectiveness.
Webb, Travis P; Merkley, Taylor R
2011-03-01
The Accreditation Council for Graduate Medical Education (ACGME) Learning Portfolio is recommended as a tool to develop and document reflective, practice-based learning and improvement. There is no consensus regarding the appropriate content of a learning portfolio in medical education. Studying lessons selected for inclusion in their learning portfolios by surgical trainees could help identify useful subject matter for this purpose. Each month, all residents in our surgery residency program submit entries into their individual Surgical Learning and Instructional Portfolio (SLIP). The SLIP entries from July 2008 to 2009 (n = 420) were deidentified and randomized using a random number generator. We conducted a thematic content analysis of 50 random portfolio entries to identify lessons learned. Two independent raters analyzed the "3 lessons learned" portion of the portfolio entries and identified themes and subthemes using the constant comparative method used in grounded theory. The collaborative coding process resulted in theme saturation after the identification of 7 themes and their subthemes. Themes in decreasing order of frequency included complications, disease epidemiology, disease presentation, surgical management of disease, medical management of disease, operative techniques, and pathophysiology. Junior residents chose to focus on a broad array of foundational topics including disease presentation, epidemiology, and overall management of diseases, whereas postgraduate year-4 (PGY-4) and PGY-5 residents most frequently chose to focus on complications as learning points. Lessons learned reflect perceived needs of the trainees based on training year. When given a template to follow, junior and senior residents choose to reflect on different subject matter to meet their learning goals.
Deterrence & Influence in Counterterrorism. A Component in the War on al Qaeda
2002-02-01
13, 2001). Summary xv There is a lesson to learn from this for he who wishes to learn . . . . The Soviet Union entered Afghanistan in the last week of...subject needs urgent attention. Placing at Risk What the Terrorists Hold Dear: Convincing Regional Allies to Act One of the lessons learned from...formal reviews of the draft manuscript by Jerrold Green and Ambassador L. Paul Bremer. Although we learned a great deal from interactions with our
Government Accountability Office Bid Protests in Air Force Source Selections: Evidence and Options
2012-01-01
chapter, we focus on the sustained protests and lessons that can be learned from them. Th is chapter does not off er complete case histories of these...resulting research project, “Air Force Source Selections: Lessons Learned and Best Practices,” which was conducted within the Resource Management...Program of PAF in fiscal year (FY) 2009. This project studied the Air Force’s recent experience with bid protests before GAO and documented lessons that
Music: Comprehensive Musicianship Program. Grade 6.
ERIC Educational Resources Information Center
Burton, Leon H., Ed.; Thomson, William, Ed.
Forty-nine music lessons for use in sixth grade classes are presented. A number of these lessons feature songs and musical instruments from or about Hawaii, and lessons stress learning about tempos, accents, meters, notes, and rhythm patterns. The lessons introduce the history of instruments such as the ukulele, recorder, rhythm instruments, and…
ERIC Educational Resources Information Center
Al-Kuwari, Najat Saad
2007-01-01
"Animals" is a three-part lesson plan for young learners with a zoo animal theme. The first lesson is full of activities to describe animals, with Simon Says, guessing games, and learning stations. The second lesson is about desert animals, but other types of animals could be chosen depending on student interest. This lesson teaches…
Inductive & Deductive Science Thinking: A Model for Lesson Development
ERIC Educational Resources Information Center
Bilica, Kim; Flores, Margaret
2009-01-01
Middle school students make great learning gains when they participate in lessons that invite them to practice their developing scientific reasoning skills; however, designing developmentally appropriate, clear, and structured lessons about scientific thinking and reasoning can be difficult. This challenge can be met through lessons that teach…
SOCAP: Lessons learned in applying SIPE-2 to the military operations crisis action planning domain
NASA Technical Reports Server (NTRS)
Desimone, Roberto
1992-01-01
This report describes work funded under the DARPA Planning and Scheduling Initiative that led to the development of SOCAP (System for Operations Crisis Action Planning). In particular, it describes lessons learned in applying SIPE-2, the underlying AI planning technology within SOCAP, to the domain of military operations deliberate and crisis action planning. SOCAP was demonstrated at the U.S. Central Command and at the Pentagon in early 1992. A more detailed report about the lessons learned is currently being prepared. This report was presented during one of the panel discussions on 'The Relevance of Scheduling to AI Planning Systems.'
ERIC Educational Resources Information Center
Libby, Amanda
This document presents eight lesson plans designed to teach self-determination and Arizona academic standards to students with disabilities in grades K-12. The lesson plans include: (1) an oral language lesson plan for students with learning disabilities in grades 1-2; (2) a reading acquisition lesson that teaches color words to students with…
Hunter-Killer Teams: Attacking Enemy Safe Havens
2010-01-01
previous practitioners through the venue of lessons learned passed on generationally. U.S. Army operations against the Southwest Indians, the Texas...much had been learned by the Office of Strategic Services (OSS) conducting guerrilla warfare activities. Prior to the Vietnam War, it was the...type formations throughout U.S. history to derive the advantages and disadvantages of their use, to capture key lessons learned about their
ERIC Educational Resources Information Center
Ciampa, Katia
2017-01-01
This single-site case study describes the outcomes and lessons learned from the implementation of a technology professional development initiative aimed at helping three special education teachers from an urban elementary school learn how to infuse technology in their content literacy instruction. Three types of qualitative data were collected:…
Lift-fan aircraft: Lessons learned-the pilot's perspective
NASA Technical Reports Server (NTRS)
Gerdes, Ronald M.
1993-01-01
This paper is written from an engineering test pilot's point of view. Its purpose is to present lift-fan 'lessons learned' from the perspective of first-hand experience accumulated during the period 1962 through 1988 while flight testing vertical/short take-off and landing (V/STOL) experimental aircraft and evaluating piloted engineering simulations of promising V/STOL concepts. Specifically, the scope of the discussions to follow is primarily based upon a critical review of the writer's personal accounts of 30 hours of XV-5A/B and 2 hours of X-14A flight testing as well as a limited simulator evaluation of the Grumman Design 755 lift-fan aircraft. Opinions of other test pilots who flew these aircraft and the aircraft simulator are also included and supplement the writer's comments. Furthermore, the lessons learned are presented from the perspective of the writer's flying experience: 10,000 hours in 100 fixed- and rotary-wing aircraft including 330 hours in 5 experimental V/STOL research aircraft. The paper is organized to present to the reader a clear picture of lift-fan lessons learned from three distinct points of view in order to facilitate application of the lesson principles to future designs. Lessons learned are first discussed with respect to case histories of specific flight and simulator investigations. These principles are then organized and restated with respect to four selected design criteria categories in Appendix I. Lastly, Appendix Il is a discussion of the design of a hypothetical supersonic short take-off vertical landing (STOVL) fighter/attack aircraft.
[Looking back but facing ahead: implementing lessons learned from the 2nd Lebanon War].
Adini, Bruria; Laor, Danny; Lev, Boaz; Israeli, Avi
2010-07-01
The medical system utilizes a structured culture for learning lessons in order to improve the supply of services. Various tools are utilized to evaluate performance. The aim of the article is to describe the processes for learning lessons which were carried out following the Second Lebanon War and the major lessons that were identified and implemented. Three processes were performed: a process of learning Lessons of the heaLthcare system, initiated and led by the Supreme HeaLth Authority (SHA); After action review (AAR), initiated and led by the military Medical Corps and; at a later stage, a critique, initiated and led by the State Comptroller, that examined the performance of the medical system, as part of a critique on the preparedness of the home front. The following elements were defined as highly prioritized for improvement to elevate the preparedness for a future war: (1) deployment of unified clinics in conflict areas; (2) supply of medical services to the population in shelters; (3) deploying emergency medicine services, including the relationship between the Ministry of Health (MOH) and the Home Front Command (HFC); (4) defining the relationships between the MOH and HFC in deploying the community health services in emergencies; (5) protecting medical facilities and personal protection equipment for medical teams and; (6) treating acute stress reactions. The AAR, critique and learning lessons signify three different processes that can sometimes be contradictory. Nevertheless, it is possible to achieve organizational improvement white integrating between these three processes, as was displayed by the SHA.
Lessons learned from public health campaigns and applied to anti-DWI norms development
DOT National Transportation Integrated Search
1995-05-01
The purpose of this study was to examine norms development in past public health campaigns to direct lessons learned from those efforts to future anti-DNN'l programming. Three campaigns were selected for a multiple case study. The anti-smoking, anti-...
The CanMars Analogue Mission: Lessons Learned for Mars Sample Return
NASA Astrophysics Data System (ADS)
Osinski, G. R.; Beaty, D.; Battler, M.; Caudill, C.; Francis, R.; Haltigin, T.; Hipkin, V.; Pilles, E.
2018-04-01
We present an overview and lessons learned for Mars Sample Return from CanMars — an analogue mission that simulated a Mars 2020-like cache mission. Data from 39 sols of operations conducted in the Utah desert in 2015 and 2016 are presented.
ERIC Educational Resources Information Center
O'Neal, Colleen R.; Gosnell, Nicole M.; Ng, Wai Sheng; Clement, Jennifer; Ong, Edward
2018-01-01
The process of global consultation has received little attention despite its potential for promoting international mutual understanding with marginalized communities. This article details theory, entry, implementation, and evaluation processes for global consultation research, including lessons learned from our refugee teacher intervention. The…
Beyond the Comfort Zone: Lessons of Intercultural Service
ERIC Educational Resources Information Center
Urraca, Beatriz; Ledoux, Michael; Harris, James T., III
2009-01-01
This article describes an international service-learning project in Bolivia undertaken by faculty and students from Widener University. The authors examine characteristics of the student group, trip preparation, and lessons learned from the experience. The article discusses the American cultural biases that emphasize personal comfort and…
DOT National Transportation Integrated Search
2000-10-01
This report demonstrates the benefits and potential pitfalls of deploying and operating an integrated freeway and arterial management system. In particular, it discusses the lessons learned about the Medical Center Corridor (MCC) Project deployed in ...
1992-10-01
Prototyping with Application Generators: Lessons Learned from the Naval Aviation Logistics Command Management Information System Case. This study... management information system to automate manual Naval aviation maintenance tasks-NALCOMIS. With the use of a fourth-generation programming language
Movement and Learning in Elementary School
ERIC Educational Resources Information Center
Lindt, Suzanne F.; Miller, Stacia C.
2017-01-01
Incorporating movement into elementary school lessons in reading, math, and other subjects can boost students' interest and academic learning while also helping them meet recommendations for daily involvement in physical activity. In a recent study, researchers found that students in classrooms where movement was integrated into regular lessons,…
Observation Skills - Tuning Up the Five Senses.
ERIC Educational Resources Information Center
Mason, Fred J.
Lesson plans designed to increase the observation skills for intermediate elementary students and provide them with a variety of sensory experiences in learning situations are presented in this document. Lesson plans include objectives, outlines for both indoor and outdoor learning experiences, materials and equipment needed, and evaluation…
NASA Technical Reports Server (NTRS)
Szabo, Carl M., Jr.; Duncan, Adam R.; Label, Kenneth A.
2017-01-01
Testing of an Intel 14nm desktop processor was conducted under proton irradiation. We share lessons learned, demonstrating that complex devices beget further complex challenges requiring practical and theoretical investigative expertise to solve.
NASA Technical Reports Server (NTRS)
Jenkins, Jon M.
2017-01-01
The experience acquired through development, implementation and operation of the KeplerK2 science pipelines can provide lessons learned for the development of science pipelines for other missions such as NASA's Transiting Exoplanet Survey Satellite, and ESA's PLATO mission.
Lessons Learned: Reflections of a University President
ERIC Educational Resources Information Center
Bowen, William G.
2010-01-01
"Lessons Learned" gives unprecedented access to the university president's office, providing a unique set of reflections on the challenges involved in leading both research universities and liberal arts colleges. In this landmark book, William Bowen, former president of Princeton University and of the Andrew W. Mellon Foundation, and…
Hydrogen Fuel Cell Analysis: Lessons Learned from Stationary Power Generation Final Report
DOE Office of Scientific and Technical Information (OSTI.GOV)
Scott E. Grasman; John W. Sheffield; Fatih Dogan
2010-04-30
This study considered opportunities for hydrogen in stationary applications in order to make recommendations related to RD&D strategies that incorporate lessons learned and best practices from relevant national and international stationary power efforts, as well as cost and environmental modeling of pathways. The study analyzed the different strategies utilized in power generation systems and identified the different challenges and opportunities for producing and using hydrogen as an energy carrier. Specific objectives included both a synopsis/critical analysis of lessons learned from previous stationary power programs and recommendations for a strategy for hydrogen infrastructure deployment. This strategy incorporates all hydrogen pathways andmore » a combination of distributed power generating stations, and provides an overview of stationary power markets, benefits of hydrogen-based stationary power systems, and competitive and technological challenges. The motivation for this project was to identify the lessons learned from prior stationary power programs, including the most significant obstacles, how these obstacles have been approached, outcomes of the programs, and how this information can be used by the Hydrogen, Fuel Cells & Infrastructure Technologies Program to meet program objectives primarily related to hydrogen pathway technologies (production, storage, and delivery) and implementation of fuel cell technologies for distributed stationary power. In addition, the lessons learned address environmental and safety concerns, including codes and standards, and education of key stakeholders.« less
Nang, Roberto N; Monahan, Felicia; Diehl, Glendon B; French, Daniel
2015-04-01
Many institutions collect reports in databases to make important lessons-learned available to their members. The Uniformed Services University of the Health Sciences collaborated with the Peacekeeping and Stability Operations Institute to conduct a descriptive and qualitative analysis of global health engagements (GHEs) contained in the Stability Operations Lessons Learned and Information Management System (SOLLIMS). This study used a summative qualitative content analysis approach involving six steps: (1) a comprehensive search; (2) two-stage reading and screening process to identify first-hand, health-related records; (3) qualitative and quantitative data analysis using MAXQDA, a software program; (4) a word cloud to illustrate word frequencies and interrelationships; (5) coding of individual themes and validation of the coding scheme; and (6) identification of relationships in the data and overarching lessons-learned. The individual codes with the most number of text segments coded included: planning, personnel, interorganizational coordination, communication/information sharing, and resources/supplies. When compared to the Department of Defense's (DoD's) evolving GHE principles and capabilities, the SOLLIMS coding scheme appeared to align well with the list of GHE capabilities developed by the Department of Defense Global Health Working Group. The results of this study will inform practitioners of global health and encourage additional qualitative analysis of other lessons-learned databases. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.
Pan, Hui-Ching; Hsieh, Suh-Ing; Hsu, Li-Ling
2015-12-01
The multiple levels of knowledge related to the neurological system deter many students from pursuing studies on this topic. Thus, in facing complicated and uncertain medical circumstances, nursing students have diffi-culty adjusting and using basic neurological-nursing knowledge and skills. Scenario-based concept-mapping teaching has been shown to promote the integration of complicated data, clarify related concepts, and increase the effectiveness of cognitive learning. To investigate the effect on the neurological-nursing cognition and learning attitude of nursing students of a scenario-based concept-mapping strategy that was integrated into the neurological nursing unit of a medical and surgical nursing course. This quasi-experimental study used experimental and control groups and a pre-test / post-test design. Sopho-more (2nd year) students in a four-year program at a university of science and technology in Taiwan were convenience sampled using cluster randomization that was run under SPSS 17.0. Concept-mapping lessons were used as the intervention for the experimental group. The control group followed traditional lesson plans only. The cognitive learning outcome was measured using the neurological nursing-learning examination. Both concept-mapping and traditional lessons significantly improved post-test neurological nursing learning scores (p < .001), with no significant difference between the two groups (p = .51). The post-test feedback from the control group mentioned that too much content was taught and that difficulties were experienced in understanding mechanisms and in absorbing knowledge. In contrast, the experimental group held a significantly more positive perspective and learning attitude with regard to the teaching material. Furthermore, a significant number in the experimental group expressed the desire to add more lessons on anatomy, physiology, and pathology. These results indicate that this intervention strategy may help change the widespread fear and refusal of nursing students with regard to neurological lessons and may facilitate interest and positively affect learning in this important subject area. Integrating the concept-mapping strategy and traditional clinical-case lessons into neurological nursing lessons holds the potential to increase post-test scores significantly. Concept mapping helped those in the experimental group adopt views and attitudes toward learning the teaching material that were more positive than those held by their control-group peers. In addition, while 59% of the experimental group and 49% of the control group submitted opinions related to learning attitude in the open-ended questions, positive feedback was greater in the experimental group than in the control group.
Walmsley, Jan
2004-03-01
In this paper the author considers the lessons to be drawn from what is termed "inclusive" learning disability research for user involvement around health improvement. Inclusive learning disability research refers to research where people with learning difficulties (intellectual disability) are involved as active participants, as opposed to passive subjects. There is by now a considerable body of such research, developed over the past 25 years. From the review, the author draws attention to areas which can inform practice in involvement of users in a way that adds value.
Webb, Travis P; Merkley, Taylor R
2011-01-01
Background The Accreditation Council for Graduate Medical Education (ACGME) Learning Portfolio is recommended as a tool to develop and document reflective, practice-based learning and improvement. There is no consensus regarding the appropriate content of a learning portfolio in medical education. Studying lessons selected for inclusion in their learning portfolios by surgical trainees could help identify useful subject matter for this purpose. Methods Each month, all residents in our surgery residency program submit entries into their individual Surgical Learning and Instructional Portfolio (SLIP). The SLIP entries from July 2008 to 2009 (n = 420) were deidentified and randomized using a random number generator. We conducted a thematic content analysis of 50 random portfolio entries to identify lessons learned. Two independent raters analyzed the “3 lessons learned” portion of the portfolio entries and identified themes and subthemes using the constant comparative method used in grounded theory. Results The collaborative coding process resulted in theme saturation after the identification of 7 themes and their subthemes. Themes in decreasing order of frequency included complications, disease epidemiology, disease presentation, surgical management of disease, medical management of disease, operative techniques, and pathophysiology. Junior residents chose to focus on a broad array of foundational topics including disease presentation, epidemiology, and overall management of diseases, whereas postgraduate year-4 (PGY-4) and PGY-5 residents most frequently chose to focus on complications as learning points. Conclusions Lessons learned reflect perceived needs of the trainees based on training year. When given a template to follow, junior and senior residents choose to reflect on different subject matter to meet their learning goals. PMID:22379531
Lessons learned after three years of legalized, recreational marijuana: The Colorado experience.
Ghosh, Tista S; Vigil, Daniel I; Maffey, Ali; Tolliver, Rickey; Van Dyke, Mike; Kattari, Leonardo; Krug, Heather; Reed, Jack K; Wolk, Larry
2017-11-01
In November 2012 Colorado voters approved legalized recreational marijuana. On January 1, 2014 Colorado became the first state to allow legal sales of non-medical marijuana for adults over the age of 21. Since that time, the state has been monitoring potential impacts on population health. In this paper we present lessons learned in the first three years following legal sales of recreational marijuana. These lessons pertain to health behaviors and health outcomes, as well as to health policy issues. Our intent is to share these lessons with other states as they face the prospect of recreational marijuana legalization. Copyright © 2017 Elsevier Inc. All rights reserved.
Learning from Trending, Precursor Analysis, and System Failures
DOE Office of Scientific and Technical Information (OSTI.GOV)
Youngblood, R. W.; Duffey, R. B.
2015-11-01
Models of reliability growth relate current system unreliability to currently accumulated experience. But “experience” comes in different forms. Looking back after a major accident, one is sometimes able to identify previous events or measurable performance trends that were, in some sense, signaling the potential for that major accident: potential that could have been recognized and acted upon, but was not recognized until the accident occurred. This could be a previously unrecognized cause of accidents, or underestimation of the likelihood that a recognized potential cause would actually operate. Despite improvements in the state of practice of modeling of risk and reliability,more » operational experience still has a great deal to teach us, and work has been going on in several industries to try to do a better job of learning from experience before major accidents occur. It is not enough to say that we should review operating experience; there is too much “experience” for such general advice to be considered practical. The paper discusses the following: 1. The challenge of deciding what to focus on in analysis of operating experience. 2. Comparing what different models of learning and reliability growth imply about trending and precursor analysis.« less
Refining the Ares V Design to Carry Out NASA's Exploration Initiative
NASA Technical Reports Server (NTRS)
Creech, Steve
2008-01-01
NASA's Ares V cargo launch vehicle is part of an overall architecture for u.S. space exploration that will span decades. The Ares V, together with the Ares I crew launch vehicle, Orion crew exploration vehicle and Altair lunar lander, will carry out the national policy goals of retiring the Space Shuttle, completing the International Space Station program, and expanding exploration of the Moon as a steps toward eventual human exploration of Mars. The Ares fleet (Figure 1) is the product of the Exploration Systems Architecture study which, in the wake of the Columbia accident, recommended separating crew from cargo transportation. Both vehicles are undergoing rigorous systems design to maximize safety, reliability, and operability. They take advantage of the best technical and operational lessons learned from the Apollo, Space Shuttle and more recent programs. NASA also seeks to maximize commonality between the crew and cargo vehicles in an effort to simplify and reduce operational costs for sustainable, long-term exploration.
The 1976 Hanford Americium Accident: Then and Now
DOE Office of Scientific and Technical Information (OSTI.GOV)
Carbaugh, Eugene H.
2013-10-02
The 1976 chemical explosion of an 241Am ion exchange column at a Hanford Site waste management facility resulted in the extreme contamination of a worker with 241Am, nitric acid and debris. The worker underwent medical treatment for acid burns, as well as wound debridement, extensive personal skin decontamination and long-term DTPA chelation therapy for decorporation of americium-241. Because of the contamination levels and prolonged decontamination efforts, care was provided for the first three months at the unique Emergency Decontamination Facility with gradual transition to the patient’s home occurring over another two months. The medical treatment, management, and dosimetry of themore » patient have been well documented in numerous reports and journal articles. The lessons learned with regard to patient treatment and effectiveness of therapy still form the underlying philosophy of treatment for contaminated injuries. Changes in infrastructure and facilities as well as societal expectations make for interesting speculation as to how responses might differ today.« less
NASA Astrophysics Data System (ADS)
Jin, S.; Lee, Y. M.; Jeong, S. Y.; Hong, S. J.
2016-12-01
The considerable casualties were resulted at the tsunami shelters during the Great East Japan Tsunami on 11 March 2011. The one of the important lessons learned from the Great East Japan Tsunami and the Fukushima NPP accidents provided the nuclear power plant emergency plan should consider the natural disaster. However, most of cases, the nuclear emergency preparedness strategies have not incorporated the natural disaster management plan. In this study, we reviewed the safety of the assembly areas, evacuation routes, and shelters of some nuclear emergency planning zone using the new tsunami hazard mapping results through the characteristic inundation analysis. As the result of this study, the improvements can be achieved by considering both natural and nuclear disaster to set up the assembly areas, evacuation routes, and shelters against the multiple disasters. Also, The most important protective measures can be achieved by integrating and linking the emergency preparedness strategy both natural disasters and nuclear disaster in the future.
Runway Safety Monitor Algorithm for Runway Incursion Detection and Alerting
NASA Technical Reports Server (NTRS)
Green, David F., Jr.; Jones, Denise R. (Technical Monitor)
2002-01-01
The Runway Safety Monitor (RSM) is an algorithm for runway incursion detection and alerting that was developed in support of NASA's Runway Incursion Prevention System (RIPS) research conducted under the NASA Aviation Safety Program's Synthetic Vision System element. The RSM algorithm provides pilots with enhanced situational awareness and warnings of runway incursions in sufficient time to take evasive action and avoid accidents during landings, takeoffs, or taxiing on the runway. The RSM currently runs as a component of the NASA Integrated Display System, an experimental avionics software system for terminal area and surface operations. However, the RSM algorithm can be implemented as a separate program to run on any aircraft with traffic data link capability. The report documents the RSM software and describes in detail how RSM performs runway incursion detection and alerting functions for NASA RIPS. The report also describes the RIPS flight tests conducted at the Dallas-Ft Worth International Airport (DFW) during September and October of 2000, and the RSM performance results and lessons learned from those flight tests.
Post-Challenger evaluation of space shuttle risk assessment and management
NASA Technical Reports Server (NTRS)
1988-01-01
As the shock of the Space Shuttle Challenger accident began to subside, NASA initiated a wide range of actions designed to ensure greater safety in various aspects of the Shuttle system and an improved focus on safety throughout the National Space Transportation System (NSTS) Program. Certain specific features of the NASA safety process are examined: the Critical Items List (CIL) and the NASA review of the Shuttle primary and backup units whose failure might result in the loss of life, the Shuttle vehicle, or the mission; the failure modes and effects analyses (FMEA); and the hazard analysis and their review. The conception of modern risk management, including the essential element of objective risk assessment is described and it is contrasted with NASA's safety process in general terms. The discussion, findings, and recommendations regarding particular aspects of the NASA STS safety assurance process are reported. The 11 subsections each deal with a different aspect of the process. The main lessons learned by SCRHAAC in the course of the audit are summarized.
ERIC Educational Resources Information Center
Rodríguez-Bonces, Mónica; Rodríguez-Bonces, Jeisson
2010-01-01
This paper provides an overview of Task-Based Language Learning (TBL) and its use in the teaching and learning of foreign languages. It begins by defining the concept of TBL, followed by a presentation of its framework and implications, and finally, a lesson plan based on TBL. The article presents an additional stage to be considered when planning…
The Effect of Lesson Structures on Predication and Inference.
ERIC Educational Resources Information Center
Li, Tiancheng; Jonassen, David H.
Theories of situated learning attempt to overcome the ill-structured nature of some domains of learning, and to use students' tendencies to construct knowledge representation on context and prior experience. Success comes when students apply abstract principles to real life. This study compares the effectiveness of two different lesson structures…
Developing Coherent Conceptual Storylines: Two Elementary Challenges
ERIC Educational Resources Information Center
Hanuscin, Deborah; Lipsitz, Kelsey; Cisterna-Alburquerque, Dante; Arnone, Kathryn A.; van Garderen, Delinda; de Araujo, Zandra; Lee, Eun Ju
2016-01-01
The "conceptual storyline" of a lesson refers to the flow and sequencing of learning activities such that science concepts align and progress in ways that are instructionally meaningful to student learning of the concepts. Research demonstrates that when teachers apply lesson design strategies to create a coherent science content…
DSCOVR Contamination Lessons Learned
NASA Technical Reports Server (NTRS)
Graziani, Larissa
2015-01-01
The Triana observatory was built at NASA GSFC in the late 1990's, then placed into storage. After approximately ten years it was removed from storage and repurposed as the Deep Space Climate Observatory (DSCOVR). This presentation outlines the contamination control program lessons learned during the integration, test and launch of DSCOVR.
Stifling Student Expression: A Lesson Taught, A Lesson Learned.
ERIC Educational Resources Information Center
Eveslage, Thomas E.
1995-01-01
Substantive student publications can bring the democratic process to life in high schools. The article presents examples of student censorship by high school teachers and advisors, noting that the attempt to inhibit students' written expression may short-circuit a useful learning tool that can prepare students for productive citizenship. (SM)
Campbell, Catherine
2018-01-22
Catherine Campbell on "Finishing and Special Motifs: Lessons learned from CRISPR analysis using next-generation draft sequences" at the 2012 Sequencing, Finishing, Analysis in the Future Meeting held June 5-7, 2012 in Santa Fe, New Mexico.
Learning about Posterior Probability: Do Diagrams and Elaborative Interrogation Help?
ERIC Educational Resources Information Center
Clinton, Virginia; Alibali, Martha Wagner; Nathan, Mitchel J.
2016-01-01
To learn from a text, students must make meaningful connections among related ideas in that text. This study examined the effectiveness of two methods of improving connections--elaborative interrogation and diagrams--in written lessons about posterior probability. Undergraduate students (N = 198) read a lesson in one of three questioning…
Plastics in Our Environment: A Jigsaw Learning Activity
ERIC Educational Resources Information Center
Hampton, Elaine; Wallace, Mary Ann; Lee, Wen-Yee
2009-01-01
In this lesson, a ready-to-teach cooperative reading activity, students learn about the effects of plastics in our environment, specifically that certain petrochemicals act as artificial estrogens and impact hormonal activities. Much of the content in this lesson was synthesized from recent medical research about the impact of xenoestrogens and…
DOT National Transportation Integrated Search
2014-04-01
This paper presents lessons learned from household traveler surveys administered in Seattle and Atlanta as part of the evaluation of the Urban Partnership Agreement and Congestion Reduction Demonstration Programs. The surveys use a two-stage panel su...
Art & Music Appreciation. A to Z Active Learning Series.
ERIC Educational Resources Information Center
Forte, Imogene; Schurr, Sandra
This workbook includes high-interest activities, lessons, and projects to further students' interest in and understanding of important exploratory and enrichment topics essential to a balanced middle grades program. The workbook includes lessons and activities that encourage students to learn more about the arts. Instructional strategies are…
Lessons from the Past Look to the Future.
ERIC Educational Resources Information Center
Howden, Hilde
2000-01-01
Technological advances and many other changes in society change how and what students learn. Indicates the need to learn lessons from the past in order to be more mathematically literate and broaden the mathematics curriculum to a mathematical sciences curriculum that incorporates 21st century mathematics. (Contains 14 references.) (ASK)
DOT National Transportation Integrated Search
This report demonstrates the benefits of deploying and operating an integrated highway/rail system, along with the potential barriers to implementation. In particular, it discusses the lessons learned associated with the Advanced Warning to Avoid Rai...
Wilson and the United States Entry into the Great War.
ERIC Educational Resources Information Center
Stark, Matthew J.
2002-01-01
Presents a lesson plan that enables students to learn how to analyze primary sources, while they also learn why the United States entered into World War I. States that this lesson can be used as an introduction to World War I. Includes handouts that feature primary materials. (CMK)
Implementation of the Generic Safety Analysis Report - Lessons Learned
DOE Office of Scientific and Technical Information (OSTI.GOV)
Blanchard, A.
1999-06-02
The Savannah River Site has completed the development, review and approval process for the Generic Safety Analysis Report (GSAR) and implemented this information in facility SARs and BIOs. This includes the yearly revision of the GSAR and the facility-specific SARs. The process has provided us with several lessons learned.
Selected Distance Education Disaster Planning Lessons Learned from Hurricane Katrina
ERIC Educational Resources Information Center
McLennan, Kay L.
2006-01-01
This paper details one institution's experience developing post disaster online instructional capability without access to the institution's courseware platform and help desk services. In turn, the post disaster distance education lessons learned include the possible need for all institutions to: prearrange an interruption of service agreement…
Achieving Balance: Lessons Learned from University and College Presidents
ERIC Educational Resources Information Center
Havice, Pamela A.; Williams, Frankie K.
2005-01-01
This study investigated strategies used by college and university presidents in balancing their professional and personal lives. The conceptual framework for this study comes from the work of Schein (1985, 1992). Lessons learned and words of wisdom from these presidents can enhance leadership effectiveness at all levels in higher education.