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Sample records for future foodservice management

  1. Assessment of a Foodservice Management Sanitation Course.

    ERIC Educational Resources Information Center

    Cook, Charlotte C.; Casey, Ralph

    1979-01-01

    This study determined the extent to which a course in foodservice sanitation using National Institute for the Foodservice Industry materials affected the postcourse sanitation inspection scores in selected establishments. Both experimental and control establishments had significantly higher inspection scores after the course than they had prior to…

  2. Comparison of foodservice management performance level between dietitians and non-dietitians in senior centers using IPA

    PubMed Central

    Lee, Yun-Kyoung

    2009-01-01

    This study investigated the management importance and performance level of foodservice managers at senior centers. Using the survey, perceived importance and performance levels of seven foodservice management areas were evaluated and analyzed. Data showed the foodservice facilities were being managed by dietitians (61.6%) or non-dietitians (38.9%). The result indicated that overall importance level (3.43) was higher than performance level (3.02) (p<.01). As of the IPA result, dietitians and non-dietitians had different perspectives in terms of managing the eight categories of foodservice areas. The differences in the IPA results between the two groups may reflect bias attributable to the respondents' degrees of knowledge and professional preparation. The research findings could enhance our understanding of importance of hiring professional dietitians to operate foodservice at senior centers and find out which management area should be concentrated for more effective foodservice management. PMID:20016702

  3. Technology in School Foodservice Operations.

    ERIC Educational Resources Information Center

    Callahan, Tom; Sharma, Vijay K.

    2002-01-01

    Describes the current state of technology to manage school food-service operations, including, for example, the use of automation to identify and feed needy students and the use of the Internet. Describes challenges of implementing an automated system. (PKP)

  4. Consumer perceptions on sustainable practices implemented in foodservice organizations in Korea

    PubMed Central

    Ju, Seyoung

    2016-01-01

    BACKGROUND/OBJECTIVES Sustainable practices in foodservice organizations including commercial and noncommercial ones are critical to ensure the protection of the environment for the future. With the rapid growth of the foodservice industry, wiser usage of input sources such as food, utilities, and single use packaging should be reconsidered for future generations. Therefore, this study aims to investigate the customer's perceptions on sustainable practices and to identify the relationship among sustainable practices, social contribution and purchase intention. SUBJECTS/METHODS The study was conducted using content analyses by reviewing articles on sustainable food service practices published domestically and abroad. Thereafter, data were collected with a face-to-face survey using a questionnaire and analyzed with factor analyses and multiple regressions. RESULTS Sustainable practices classified with factor analysis consisted of 6 dimensions of green food material procurement, sustainable food preparation, green packaging, preservation of energy, waste management, and public relations on green activity, with a total of 25 green activities in foodservice operations. Consumers were not very familiar with the green activities implemented in the foodservice unit, with the lowest awareness of "green food material procurement (2.46 out of 5 points)", and the highest awareness of "green packaging (3.74)" and "waste management (3.28). The factors influencing the perception of social contribution by foodservice organizations among 6 sustainable practice dimensions were found to be public relations on green activity (β = 0.154), waste management (β = 0.204) and sustainable food preparation (β = 0.183). Green packaging (β = 0.107) and the social contribution of the foodservice organization (β = 0.761) had strong relationships with the image of the organization. The purchase intentions of customers was affected only by the foodservice image (β = 0.775). CONCLUSIONS The

  5. Assessment of foodservice quality and identification of improvement strategies using hospital foodservice quality model

    PubMed Central

    Kim, Kyungjoo; Kim, Minyoung

    2010-01-01

    The purposes of this study were to assess hospital foodservice quality and to identify causes of quality problems and improvement strategies. Based on the review of literature, hospital foodservice quality was defined and the Hospital Foodservice Quality model was presented. The study was conducted in two steps. In Step 1, nutritional standards specified on diet manuals and nutrients of planned menus, served meals, and consumed meals for regular, diabetic, and low-sodium diets were assessed in three general hospitals. Quality problems were found in all three hospitals since patients consumed less than their nutritional requirements. Considering the effects of four gaps in the Hospital Foodservice Quality model, Gaps 3 and 4 were selected as critical control points (CCPs) for hospital foodservice quality management. In Step 2, the causes of the gaps and improvement strategies at CCPs were labeled as "quality hazards" and "corrective actions", respectively and were identified using a case study. At Gap 3, inaccurate forecasting and a lack of control during production were identified as quality hazards and corrective actions proposed were establishing an accurate forecasting system, improving standardized recipes, emphasizing the use of standardized recipes, and conducting employee training. At Gap 4, quality hazards were menus of low preferences, inconsistency of menu quality, a lack of menu variety, improper food temperatures, and patients' lack of understanding of their nutritional requirements. To reduce Gap 4, the dietary departments should conduct patient surveys on menu preferences on a regular basis, develop new menus, especially for therapeutic diets, maintain food temperatures during distribution, provide more choices, conduct meal rounds, and provide nutrition education and counseling. The Hospital Foodservice Quality Model was a useful tool for identifying causes of the foodservice quality problems and improvement strategies from a holistic point of view

  6. Importance of relationship quality and communication on foodservice for the elderly

    PubMed Central

    Back, Ki Joon; Shanklin, Carol W.

    2011-01-01

    In order to promote foodservice for the elderly, foodservice managers in Continuing Care Retirement Communities (CCRCs) must identify the main factors to enhance the satisfaction and behavioral intentions with food service. The purpose of this study was to investigate the relationships between relationship quality (consisting of trust, commitment, and satisfaction) and communication in the formation of elderly's behavioral intentions with food services at CCRCs. A survey was administered to residents in two CCRCs and a total of 327 residents participated. A tested structural equation model exhibited good model fit and explanatory power of the study construct. Satisfaction directly influenced word-of-mouth and service quality has an influence on commitment. Commitment was a significant determinant of behavioral intentions to eat more often in the dining room. Also, communication showed positive association with trust. The results provided strong evidence for the importance of satisfaction and communication as a consequence of relationship marketing efforts. Suggestions for future research to better understand the elderly' behavioral intention judgments were given. PMID:21487500

  7. Getting a taste for food waste: a mixed methods ethnographic study into hospital food waste before patient consumption conducted at three New Zealand foodservice facilities.

    PubMed

    Goonan, Sarah; Mirosa, Miranda; Spence, Heather

    2014-01-01

    Foodservice organizations, particularly those in hospitals, are large producers of food waste. To date, research on waste in hospitals has focused primarily on plate waste and the affect of food waste on patient nutrition outcomes. Less focus has been placed on waste generation at the kitchen end of the hospital food system. We used a novel approach to understand reasons for hospital food waste before consumption and offer recommendations on waste minimization within foodservices. A mixed methods ethnographic research approach was adopted. Three New Zealand hospital foodservices were selected as research sites, all of which were contracted to an external foodservice provider. Data collection techniques included document analyses, observations, focus groups with kitchen staff, and one-on-one interviews with managers. Thematic analysis was conducted to generate common themes. Most food waste occurred during service and as a result of overproduction. Attitudes and habits of foodservice personnel were considered influential factors of waste generation. Implications of food waste were perceived differently by different levels of staff. Whereas managers raised discussion from a financial perspective, kitchen staff drew upon social implications. Organizational plans, controls, and use of pre-prepared ingredients assisted in waste minimization. An array of factors influenced waste generation in hospital foodservices. Exploring attitudes and practices of foodservice personnel allowed an understanding of reasons behind hospital food waste and ways in which it could be minimized. This study provides a foundation for further research on sustainable behavior within the wider foodservice sector and dietetics practice.

  8. Associations among School Characteristics and Foodservice Practices in a Nationally Representative Sample of U.S. Schools

    PubMed Central

    Thomson, Jessica L.; Tussing-Humphreys, Lisa M.; Martin, Corby K.; LeBlanc, Monique M.; Onufrak, Stephen J.

    2012-01-01

    Objective Determine school characteristics associated with healthy/unhealthy foodservice offerings or healthy food preparation practices. Design Retrospective analysis of cross-sectional data. Setting Nationally representative sample of public and private elementary, middle and high schools. Participants 526 and 520 schools with valid data from the 2006 School Health Policies and Practices Study (SHPPS) Food Service School Questionnaire. Main Outcome Measure(s) Scores for healthy/unhealthy foodservice offerings and healthy food preparation practices. Analysis Multivariable regression to determine significant associations among school characteristics and offerings/preparation practices. Results Public schools and schools participating in USDA Team Nutrition reported more healthy offerings and preparation than private or non-participating schools, respectively. Elementary schools reported less unhealthy offerings than middle or high schools; middle schools reported less unhealthy offerings than high schools. Schools requiring foodservice managers to have a college education reported more healthy preparation while those requiring completion of a foodservice training program reported less unhealthy offerings and more healthy preparation than schools without these requirements. Conclusions and Implications Results suggest the school nutrition environment may be improved by requiring foodservice managers to hold a nutrition-related college degree and/or successfully pass a foodservice training program, and by participating in a school-based nutrition program, such as USDA Team Nutrition. PMID:22963956

  9. Development of Career Progression Systems for Employees in the Foodservice Industry. Final Report.

    ERIC Educational Resources Information Center

    National Restaurant Association, Chicago, IL.

    Firms representing four segments of the foodservice industry (institutional foodservice (9 jobs), commercial restaurants (19 jobs), hotel foodservice (100 jobs), and airline foodservice (10 jobs), participated in a career and training study to test the feasibility of designing and implementing career progression (c.p.) systems within these…

  10. Labor Productivity Standards in Texas School Foodservice Operations

    ERIC Educational Resources Information Center

    Sherrin, A. Rachelle; Bednar, Carolyn; Kwon, Junehee

    2009-01-01

    Purpose: Purpose of this research was to investigate utilization of labor productivity standards and variables that affect productivity in Texas school foodservice operations. Methods: A questionnaire was developed, validated, and pilot tested, then mailed to 200 randomly selected Texas school foodservice directors. Descriptive statistics for…

  11. Utilizing On-Campus Foodservice Facilities as a Laboratory

    ERIC Educational Resources Information Center

    Dallmeyer, Martha A.

    2012-01-01

    In 2008, the Family and Consumer Sciences Department at Bradley University recognized the need to improve the quality of the laboratory experience in foodservice classes. A hands-on, real-world, learning experience was desired. Simultaneously, the university administration wanted to provide an on-campus foodservice for students from 8:00 p.m. to…

  12. Managing our urban future

    NASA Astrophysics Data System (ADS)

    Masser, Ian

    Urban growth is inevitable over the next two decades. The bulk of this growth will take place in less developed countries. This presents a formidable challenge for urban planers and managers. With this in mind this paper considers some of the ways urban planners can respond to this challenge. The discussion is divided into four sections. The first of these considers the nature of the tasks involved. The second examines the potential of remote sensing and geographic information systems to assist in these tasks in general terms. The third section presents some of the findings of three case studies which give some insights as to how these tools can be used to respond to this challenge while the final section sets out a vision of sustainable urban development and its implementation at the local level.

  13. Available Equipment in School Foodservice.

    ERIC Educational Resources Information Center

    Meyer, Mary Kay

    This report provides data on the National Food Service Management Institute's multi-year research project that identified type, style, age, and condition of available food service equipment in K-12 schools nationwide. The study found that smaller schools, serving less than 400 lunches per day, had kitchens equipped with ranges, small…

  14. Progress Toward Future Runway Management

    NASA Technical Reports Server (NTRS)

    Lohr, Gary W.; Brown, Sherilyn A.; Atkins, Stephen; Eisenhawer, Stephen W.; Bott, Terrance F.; Long, Dou; Hasan, Shahab

    2011-01-01

    The runway is universally acknowledged as a constraining factor to capacity in the National Airspace System (NAS). It follows that investigation of the effective use of runways, both in terms of selection and assignment, is paramount to the efficiency of future NAS operations. The need to address runway management is not a new idea; however, as the complexities of factors affecting runway selection and usage increase, the need for effective research in this area correspondingly increases. Under the National Aeronautics and Space Administration s Airspace Systems Program, runway management is a key research area. To address a future NAS which promises to be a complex landscape of factors and competing interests among users and operators, effective runway management strategies and capabilities are required. This effort has evolved from an assessment of current practices, an understanding of research activities addressing surface and airspace operations, traffic flow management enhancements, among others. This work has yielded significant progress. Systems analysis work indicates that the value of System Oriented Runway Management tools is significantly increased in the metroplex environment over that of the single airport case. Algorithms have been developed to provide runway configuration recommendations for a single airport with multiple runways. A benefits analysis has been conducted that indicates the SORM benefits include supporting traffic growth, cost reduction as a result of system efficiency, NAS optimization from metroplex operations, fairness in aircraft operations, and rational decision making.

  15. Comparison of students' foodservice satisfaction between Korea and US

    PubMed Central

    Jeong, Eunkyung; Chun, Youngah; Joo, Nami

    2013-01-01

    This study analyzes important factors of foodservice in school through comparison of students' satisfaction of using foodservice in Korea and US in order to meet students' expectations. The survey was composed of 4 categories including menu, service, hygiene, and facility and it was carried out in both countries to evaluate satisfaction. First, comparison of satisfaction between two countries was made using t-test. Secondly, multiple regression was performed to identify factors affecting satisfaction. As a result Korean students were more satisfied than American students in all aspects. However, regardless of nationality, the top three factors affecting the students' satisfaction were the same. The predictors were food taste (Korean 0.375 and American 0.350), menu variety (Korean 0.305 and American 0.278), and service line (Korean 0.226 and American 0.192). Despite the similarity of the predicators, it can be concluded that the difference in satisfaction level between the two nationscan be explained by the approaches to create comfortable and acceptable changes in schools' foodservice. Korea has been increasing the foodservice quality based on their objectives to provide students comfortable and positive environment when eating nutritious meals. However, US have made their main objectives on making changes to decrease youth obesity. Foodservice improvements according to continuous evaluations and surveys are necessary in order to increase students' satisfaction. PMID:23422683

  16. Workplace foodservice; perception of quality and trust.

    PubMed

    Price, Sarah; Hartwell, Heather; Hemingway, Ann; Chapleo, Chris

    2016-02-01

    In settings such as workplaces there is a growing acceptance that the food provided has a significant impact on health and wellbeing. This is a captive environment where the overall contribution of the meal served could be an important element of the overall diet and represents an under researched area. Despite growing demand, little information is available; time pressure when making food choice alongside the challenge of understanding information provided can act as barriers for healthy selection and can also decrease confidence in the food system. We would also argue that the fundamental human right of informing consumers what they are eating is not currently being addressed and is underscored. This study used focus groups to explore criteria that motivate peoples' food choice in a workplace foodservice setting. Thematic analysis was applied to categorise data according to frequently occurring responses. Data were collected from four focus groups in Germany and the UK with a total of 23 participants. Although there is little expectation in the quality of food served in the workplace, respondents valued any transparency of information and the opportunity to socialise with other work colleagues. Criteria of importance were identified as: Value for money, Variety, Naturalness, Nutrition, Portion Size, Taste, Visual Appearance, Origin, Animal welfare, Environmental impact, Fair Trade and Organic. Gaining insight into these criteria can enable operators to meet the needs and expectations of their customers in order to increase confidence in the food provided and in addition signpost a healthier selection.

  17. RNAi: future in insect management.

    PubMed

    Burand, John P; Hunter, Wayne B

    2013-03-01

    RNA interference is a post- transcriptional, gene regulation mechanism found in virtually all plants and animals including insects. The demonstration of RNAi in insects and its successful use as a tool in the study of functional genomics opened the door to the development of a variety of novel, environmentally sound approaches for insect pest management. Here the current understanding of the biogenesis of the two RNAi classes in insects is reviewed. These are microRNAs (miRNAs) and short interfering RNAs (siRNAs). Several other key approaches in RNAi -based for insect control, as well as for the prevention of diseases in insects are also reviewed. The problems and prospects for the future use of RNAi in insects are presented.

  18. Eldercare foodservice: responding to the age of maturity.

    PubMed

    Sherer, M

    1992-12-01

    America is rapidly aging. In response, foodservice professionals are breaking all precedents as they expand & market meal programs to accommodate the growing number of seniors in need of nutrition services. Five case studies illustrate how directors & dietitians are improving the quality of life for this nation's elders.

  19. Measuring School Foodservice Workers’ Perceptions of Organizational Culture

    Technology Transfer Automated Retrieval System (TEKTRAN)

    School foodservice workers (SFW) are a direct link to children eating school meals. SFW who perceive positive and supportive organizational culture at their school nutrition departments also may perceive that such environments foster their own promotion of healthful food choices by students. To date...

  20. School Foodservice Costs: Location Matters. ERS Report Summary

    ERIC Educational Resources Information Center

    Ollinger, Michael; Ralston, Katherine; Guthrie, Joanne

    2011-01-01

    This study examines the extent to which location influences school foodservice costs per meal. It does not examine the effects of cost variation on financial solvency of an school food authority (SFA) or the adequacy of the US Department of Agriculture (USDA) meal reimbursements. Higher per meal costs do not necessarily indicate that an SFA is…

  1. HB 1347 and Its Relationship to Foodservice Outsourcing in Illinois Public Schools

    ERIC Educational Resources Information Center

    Brashear, Gary L.

    2012-01-01

    This study examined foodservice outsourcing in the State of Illinois. School administrators currently outsourcing foodservice were surveyed about their perceptions of HB1347 and its components. This study looked at HB1347 in Illinois, and its effects on outsourcing in school districts. Data for this study was collected from a survey sent to 100%…

  2. How do the work environment and work safety differ between the dry and wet kitchen foodservice facilities?

    PubMed Central

    Kim, Jeong-Won; Ju, Se-Young; Go, Eun-Sun

    2012-01-01

    In order to create a worker-friendly environment for institutional foodservice, facilities operating with a dry kitchen system have been recommended. This study was designed to compare the work safety and work environment of foodservice between wet and dry kitchen systems. Data were obtained using questionnaires with a target group of 303 staff at 57 foodservice operations. Dry kitchen facilities were constructed after 2006, which had a higher construction cost and more finishing floors with anti-slip tiles, and in which employees more wore non-slip footwear than wet kitchen (76.7%). The kitchen temperature and muscular pain were the most frequently reported employees' discomfort factors in the two systems, and, in the wet kitchen, "noise of kitchen" was also frequently reported as a discomfort. Dietitian and employees rated the less slippery and slip related incidents in dry kitchens than those of wet kitchen. Fryer area, ware-washing area, and plate waste table were the slippery areas and the causes were different between the functional areas. The risk for current leakage was rated significantly higher in wet kitchens by dietitians. In addition, the ware-washing area was found to be where employees felt the highest risk of electrical shock. Muscular pain (72.2%), arthritis (39.1%), hard-of-hearing (46.6%) and psychological stress (47.0%) were experienced by employees more than once a month, particularly in the wet kitchen. In conclusion, the dry kitchen system was found to be more efficient for food and work safety because of its superior design and well managed practices. PMID:22977692

  3. How do the work environment and work safety differ between the dry and wet kitchen foodservice facilities?

    PubMed

    Chang, Hye-Ja; Kim, Jeong-Won; Ju, Se-Young; Go, Eun-Sun

    2012-08-01

    In order to create a worker-friendly environment for institutional foodservice, facilities operating with a dry kitchen system have been recommended. This study was designed to compare the work safety and work environment of foodservice between wet and dry kitchen systems. Data were obtained using questionnaires with a target group of 303 staff at 57 foodservice operations. Dry kitchen facilities were constructed after 2006, which had a higher construction cost and more finishing floors with anti-slip tiles, and in which employees more wore non-slip footwear than wet kitchen (76.7%). The kitchen temperature and muscular pain were the most frequently reported employees' discomfort factors in the two systems, and, in the wet kitchen, "noise of kitchen" was also frequently reported as a discomfort. Dietitian and employees rated the less slippery and slip related incidents in dry kitchens than those of wet kitchen. Fryer area, ware-washing area, and plate waste table were the slippery areas and the causes were different between the functional areas. The risk for current leakage was rated significantly higher in wet kitchens by dietitians. In addition, the ware-washing area was found to be where employees felt the highest risk of electrical shock. Muscular pain (72.2%), arthritis (39.1%), hard-of-hearing (46.6%) and psychological stress (47.0%) were experienced by employees more than once a month, particularly in the wet kitchen. In conclusion, the dry kitchen system was found to be more efficient for food and work safety because of its superior design and well managed practices.

  4. Moderating effects of leader-member exchange (LMX) on job burnout in dietitians and chefs of institutional foodservice

    PubMed Central

    2011-01-01

    The objectives of the study were to investigate job burnout and leader-member exchange (LMX) levels as well as to evaluate buffering effects of LMX on burnout among dietitians and chefs at institutional foodservices. Hypotheses were proposed based on the Job Demands-Resources model and LMX theory. The study population consisted of dietitians and chefs who were in charge of managing unit operations in a nationwide contract management company. Positive/negative affectivity, workload, job burnout, and LMX scales that had been validated in previous research were adopted. A total of 552 questionnaires were distributed and 154 responses were returned. Results indicated that respondents' burnout levels were moderate and emotional exhaustion was greater than cynicism. In terms of LMX, the surveyed dietitians and chefs showed higher respect toward their supervisors than loyalty. When positive affectivity and negative affectivity were controlled, workload influenced emotional exhaustion and professional efficacy significantly. With affectivity and workload controlled, however, LMX did not influence any dimensions of burnout. The moderating effect of LMX on the relationship between workload and cynicism was significant. That is, the effect of workload on cynicism was weak if the dietitians and chefs perceived the relationship with their supervisor positively. Based on the findings and literature reviewed, how to mitigate job burnout among foodservice managers is discussed. PMID:21487501

  5. Microbial assessment in school foodservices and recommendations for food safety improvement.

    PubMed

    Yoon, Y; Kim, S R; Kang, D H; Shim, W B; Seo, E; Chung, D H

    2008-08-01

    This study evaluated microbial food safety in school foodservices. Five school foodservices were randomly selected, and samples from water, cooking utensils, tableware, foodservice surroundings, and linen were collected in summer and winter (N=420). Tap and drinking water samples were collected, samples of food contact surfaces were collected by swab-kit, and samples for foodservice workers' hands and gloves were prepared by glove juice method. Aerobic plate count (APC) and coliform bacterial populations were enumerated on plate count agar (PCA) and desoxycholate lactose agar, respectively. The presence of Escherichia coli, Salmonella, Listeria monocytogenes, and Staphylococcus aureus was also examined by biochemical identification tests. In addition, PCA agar for APCs and Baird-Parker agar for S. aureus were used to enumerate airborne microorganisms. Higher APCs (< 0 to 5.1 log CFU/mL) than acceptable level were generally observed in water samples, while low coliform counts were found in the samples. High APCs were enumerated in cooking utensils, foodservice workers, tableware, and food-service surroundings, and coliforms were also found in the samples for both seasons. The presence of Salmonella was found from only 10% of plastic glove samples (summer), and the presence of L. monocytogenes was not observed in all samples. S. aureus was detected in some of water, cooking utensils, tableware, employees, and foodservice surroundings, and E. coli was observed in cooking utensils (10% to 20%; summer). No obvious airborne bacteria were detected. These results showed that sanitation practice in school foodservices should be improved, and the results may be useful in microbial assessment of school foodservices.

  6. Determinants of foodservice satisfaction for patients in geriatrics/rehabilitation and residents in residential aged care

    PubMed Central

    Wright, Olivia R. L.; Connelly, Luke B.; Capra, Sandra; Hendrikz, Joan

    2011-01-01

    Abstract Background  Poor satisfaction with institutional food is a significant moderator of food intake in geriatrics/rehabilitation and residential aged care. Purpose  To quantify the relationship between foodservice satisfaction, foodservice characteristics, demographic and contextual variables in geriatrics/rehabilitation and residential aged care. Methods  The Resident Foodservice Satisfaction Questionnaire was administered to 103 patients of 2 geriatrics/rehabilitation units and 210 residents of nine residential aged care facilities in Brisbane, Australia. Ordered probit regression analysis measured the association of age, gender, ethnicity and appetite, timing and amount of meal choice, menu selectivity, menu cycle, production system, meal delivery system and therapeutic diets with foodservice satisfaction. Results  Patient and resident appetite (P < 0.01), the amount and timing of meal choice (P < 0.01), self‐rated health (P < 0.01), accommodation style (P < 0.05) and age (P < 0.10) significantly moderated foodservice satisfaction. High protein/high energy therapeutic diets (P < 0.01), foodservice production (P < 0.01) and delivery systems (P > 0.01) were significant moderators for those with ‘fair’ self‐rated health. Conclusions  Patient and resident characteristics and structural and systems‐related foodservice variables were more important for influencing foodservice satisfaction than characteristics of food quality. The results suggest modifications to current menu planning and foodservice delivery methods: reducing the time‐lapse between meal choice and consumption, augmenting the number of meals at which choice is offered, and revising food production and delivery systems.It is important that residents in poorer health who are a high risk of under‐nutrition are provided with sufficient high protein/high energy therapeutic diets. Diets that restrict macro‐ and micro‐nutrients should be

  7. Corporate Philanthropy: Philosophy, Management, Trends, Future, Background.

    ERIC Educational Resources Information Center

    Council on Foundations, Inc., Washington, DC.

    Major policy considerations and the management of corporate philanthropy, along with new directions and future prospects of corporate philanthropy, are addressed in 40 articles written by chief executive officers, lawyers, economists, and other leading analysts. In addition, a list of resource materials, a glossary, and a list of organizations…

  8. The Future of Copyright Management: European Perspectives.

    ERIC Educational Resources Information Center

    Battisti, Michele

    This paper presents European perspectives on the future of copyright management. The first section is an overview of intellectual property rights in Europe, including differences between copyright countries and "droit d'auteur" countries. The second section addresses European Community legal policy, including examples related to the…

  9. Audit to Target Food-Service Corporations

    ERIC Educational Resources Information Center

    Shah, Nirvi

    2011-01-01

    The author reports on the U.S. Department of Agriculture's plan to look closely at whether the food-service-management companies running many school cafeterias are passing along all the discounts and rebates they receive from their suppliers to the districts that hire them. The plan to probe companies will begin in August, said Alison Decker, a…

  10. The future of management: The NASA paradigm

    NASA Technical Reports Server (NTRS)

    Harris, Philip R.

    1992-01-01

    Prototypes of 21st century management, especially for large scale enterprises, may well be found within the aerospace industry. The space era inaugurated a number of projects of such scope and magnitude that another type of management had to be created to ensure successful achievement. The challenges will be not just in terms of technology and its management, but also human and cultural in dimension. Futurists, students of management, and those concerned with technological administration would do well to review the literature of emerging space management for its wider implications. NASA offers a paradigm, or demonstrated model, of future trends in the field of management at large. More research is needed on issues of leadership for Earth based project in space and space based programs with managers there. It is needed to realize that large scale technical enterprises, such as are undertaken in space, require a new form of management. NASA and other responsible agencies are urged to study excellence in space macromanagement, including the necessary multidisciplinary skills. Two recommended targets are the application of general living systems theory and macromanagement concepts for space stations in the 1990s.

  11. Current and Future Parts Management at NASA

    NASA Technical Reports Server (NTRS)

    Sampson, Michael J.

    2011-01-01

    This presentation provides a high level view of current and future electronic parts management at NASA. It describes a current perspective of the new human space flight direction that NASA is beginning to take and how that could influence parts management in the future. It provides an overview of current NASA electronic parts policy and how that is implemented at the NASA flight Centers. It also describes some of the technical challenges that lie ahead and suggests approaches for their mitigation. These challenges include: advanced packaging, obsolescence and counterfeits, the global supply chain and Commercial Crew, a new direction by which NASA will utilize commercial launch vehicles to get astronauts to the International Space Station.

  12. Charge Management Optimization for Future TOU Rates

    SciTech Connect

    Zhang, Jiucai; Markel, Tony

    2016-06-22

    The effectiveness of future time of use (TOU) rates to enable managed charging for providing demand response depends on the vehicle's flexibility and the benefits to owners. This paper adopts opportunity, delayed, and smart charging methods to quantify these impacts, flexibilities, and benefits. Simulation results show that delayed and smart charging methods can shift most charging events to lower TOU rate periods without compromising the charged energy and individual driver mobility needs.

  13. Structural Health Management for Future Aerospace Vehicles

    NASA Technical Reports Server (NTRS)

    Prosser, W. H.; Allison, S. G.; Woodard, S. E.; Wincheski, R. A.; Cooper, E. G.; Price, D. C.; Hedley, M.; Prokopenko, M.; Scott, D. A.; Tessler, A.

    2004-01-01

    Structural Health Management (SHM) will be of critical importance to provide the safety, reliability and affordability necessary for the future long duration space missions described in America's Vision for Space Exploration. Long duration missions to the Moon, Mars and beyond cannot be accomplished with the current paradigm of periodic, ground based structural integrity inspections. As evidenced by the Columbia tragedy, this approach is also inadequate for the current Shuttle fleet, thus leading to its initial implementation of on-board SHM sensing for impact detection as part of the return to flight effort. However, future space systems, to include both vehicles as well as structures such as habitation modules, will require an integrated array of onboard in-situ sensing systems. In addition, advanced data systems architectures will be necessary to communicate, store and process massive amounts of SHM data from large numbers of diverse sensors. Further, improved structural analysis and design algorithms will be necessary to incorporate SHM sensing into the design and construction of aerospace structures, as well as to fully utilize these sensing systems to provide both diagnosis and prognosis of structural integrity. Ultimately, structural integrity information will feed into an Integrated Vehicle Health Management (IVHM) system that will provide real-time knowledge of structural, propulsion, thermal protection and other critical systems for optimal vehicle management and mission control. This paper will provide an overview of NASA research and development in the area of SHM as well as to highlight areas of technology improvement necessary to meet these future mission requirements.

  14. Waste Management System overview for future spacecraft.

    NASA Technical Reports Server (NTRS)

    Ingelfinger, A. L.; Murray, R. W.

    1973-01-01

    Waste Management Systems (WMS) for post Apollo spacecraft will be significantly more sophisticated and earthlike in user procedures. Some of the features of the advanced WMS will be accommodation of both males and females, automatic operation, either tissue wipe or anal wash, measurement and sampling of urine, feces and vomitus for medical analysis, water recovery, and solids disposal. This paper presents an overview of the major problems of and approaches to waste management for future spacecraft. Some of the processes discussed are liquid/gas separation, the Dry-John, the Hydro-John, automated sampling, vapor compression distillation, vacuum distillation-catalytic oxidation, incineration, and the integration of the above into complete systems.

  15. Emerging information management technologies and the future of disease management.

    PubMed

    Nobel, Jeremy J; Norman, Gordon K

    2003-01-01

    to DM and are likely to become heavily embedded in care management strategies in the future.

  16. Work/Life Practices and the Recruitment and Retention of Large School Districts' Foodservice Professionals

    ERIC Educational Resources Information Center

    Harrison, Mary Kate

    2010-01-01

    With the forthcoming retirement of school foodservice directors, the increasing pressures faced by employees at home and work, and the financial constraints of school districts, recruiting and retaining skilled and diverse employees will be challenging. Marketing work/life benefits to potential employees and supporting these policies to current…

  17. Attitudes of School Foodservice Directors about the Potential Benefits of School Wellness Policies

    ERIC Educational Resources Information Center

    Longley, Carol; Sneed, Jeannie

    2009-01-01

    Purpose/Objectives: The Reauthorization Act of 2004 requires schools participating in the National School Lunch and School Breakfast Programs to establish a wellness policy. The purpose of this study was to examine school foodservice directors' attitudes about the potential benefits of the wellness policy. Methods: A survey research design was…

  18. School Foodservice Employees' Perceptions of Practice: Differences by Generational Age and Hours Worked

    ERIC Educational Resources Information Center

    Strohbehn, Catherine; Jun, Jinhyun; Arendt, Susan

    2014-01-01

    Purpose/Objectives: This study investigated the influences of school foodservice employees' age and average number of hours worked per week on perceived safe food handling practices, barriers, and motivators. Methods: A bilingual survey (English and Spanish) was developed to assess reported food safety practices, barriers, and motivators to…

  19. Educating Immigrant Hispanic Foodservice Workers about Food Safety Using Visual-Based Training

    ERIC Educational Resources Information Center

    Rajagopal, Lakshman

    2013-01-01

    Providing food safety training to a diverse workforce brings with it opportunities and challenges that must be addressed. The study reported here provides evidence for benefits of using visual-based tools for food safety training when educating immigrant, Hispanic foodservice workers with no or minimal English language skills. Using visual tools…

  20. Diabetes Preparedness in Schools: What Do Foodservice Personnel Need to Know to Respond?

    ERIC Educational Resources Information Center

    Grenci, Alexandra

    2009-01-01

    Diabetes is increasing in youth, presenting a serious public health threat. Although type 1 diabetes has historically been more common in children, type 2 diabetes is on the rise, linked to increases in overweight and obesity among American youth, particularly those of high risk racial and ethnic groups. Foodservice personnel, along with other…

  1. School Foodservice Personnel's Struggle with Using Labels to Identify Whole-Grain Foods

    ERIC Educational Resources Information Center

    Chu, Yen Li; Orsted, Mary; Marquart, Len; Reicks, Marla

    2012-01-01

    Objective: To describe how school foodservice personnel use current labeling methods to identify whole-grain products and the influence on purchasing for school meals. Methods: Focus groups explored labeling methods to identify whole-grain products and barriers to incorporating whole-grain foods in school meals. Qualitative analysis procedures and…

  2. Whole-Grain Continuing Education for School Foodservice Personnel: Keeping Kids from Falling Short

    ERIC Educational Resources Information Center

    Roth-Yousey, Lori; Barno, Trina; Caskey, Mary; Asche, Kimberly; Reicks, Marla

    2009-01-01

    Objective: The purpose of this project was to develop and test whole-grain continuing education for school foodservice personnel. Methods: A continuing education program was developed to address planning, purchasing, preparing, and serving whole-grain food in schools. Participants completed a pre-post questionnaire to assess changes in knowledge,…

  3. Barriers and Opportunities Related to Whole Grain Foods in Minnesota School Foodservice

    ERIC Educational Resources Information Center

    Hesse, David; Braun, Curtis; Dostal, Allison; Jeffery, Robert; Marquart, Len

    2009-01-01

    Purpose/Objectives: The purpose of this research was to identify barriers and opportunities associated with the introduction of whole grain foods into school cafeterias. The primary objective was to elicit input from school foodservice personnel (SFP) regarding their experiences in ordering, purchasing, preparing, and serving whole grain foods in…

  4. Disease management: definitions, difficulties and future directions.

    PubMed Central

    Pilnick, A.; Dingwall, R.; Starkey, K.

    2001-01-01

    The last decade has seen a wide range of experiments in health care reform intended to contain costs and promote effectiveness. In the USA, managed care and disease management have been major strategies in this endeavour. It has been argued that their apparent success has strong implications for reform in other countries. However, in this paper we ask whether they are so easily exportable. We explain the concepts involved and set the development of managed care and disease management programmes in the context of the USA. The constituent elements of disease management are identified and discussed. Disease management is considered from the perspectives of the major stakeholders in the United Kingdom, and the differences between the models of health care in the United Kingdom's National Health Service and the USA are noted. A review is presented of evaluations of disease management programmes and of the weaknesses they highlight. The prospects for disease management in Europe are also discussed. PMID:11545333

  5. Future Newspaper Managers Learn Basics at Oregon.

    ERIC Educational Resources Information Center

    Halverson, Roy

    1978-01-01

    Describes an experimental program that prepares students for careers in newspaper management with a sequence of courses in journalism, accounting, marketing, management, finance, and statistics, ending with an internship in the business office of a daily or weekly newspaper. (RL)

  6. Adaptive Management for a Turbulent Future

    USGS Publications Warehouse

    Allen, Craig R.; Fontaine, Joseph J.; Pope, Kevin L.; Garmestani, Ahjond S.

    2011-01-01

    The challenges that face humanity today differ from the past because as the scale of human influence has increased, our biggest challenges have become global in nature, and formerly local problems that could be addressed by shifting populations or switching resources, now aggregate (i.e., "scale up") limiting potential management options. Adaptive management is an approach to natural resource management that emphasizes learning through management based on the philosophy that knowledge is incomplete and much of what we think we know is actually wrong. Adaptive management has explicit structure, including careful elucidation of goals, identification of alternative management objectives and hypotheses of causation, and procedures for the collection of data followed by evaluation and reiteration. It is evident that adaptive management has matured, but it has also reached a crossroads. Practitioners and scientists have developed adaptive management and structured decision making techniques, and mathematicians have developed methods to reduce the uncertainties encountered in resource management, yet there continues to be misapplication of the method and misunderstanding of its purpose. Ironically, the confusion over the term "adaptive management" may stem from the flexibility inherent in the approach, which has resulted in multiple interpretations of "adaptive management" that fall along a continuum of complexity and a priori design. Adaptive management is not a panacea for the navigation of 'wicked problems' as it does not produce easy answers, and is only appropriate in a subset of natural resource management problems where both uncertainty and controllability are high. Nonetheless, the conceptual underpinnings of adaptive management are simple; there will always be inherent uncertainty and unpredictability in the dynamics and behavior of complex social-ecological systems, but management decisions must still be made, and whenever possible, we should incorporate

  7. Adaptive management for a turbulent future

    USGS Publications Warehouse

    Allen, C.R.; Fontaine, J.J.; Pope, K.L.; Garmestani, A.S.

    2011-01-01

    The challenges that face humanity today differ from the past because as the scale of human influence has increased, our biggest challenges have become global in nature, and formerly local problems that could be addressed by shifting populations or switching resources, now aggregate (i.e., "scale up") limiting potential management options. Adaptive management is an approach to natural resource management that emphasizes learning through management based on the philosophy that knowledge is incomplete and much of what we think we know is actually wrong. Adaptive management has explicit structure, including careful elucidation of goals, identification of alternative management objectives and hypotheses of causation, and procedures for the collection of data followed by evaluation and reiteration. It is evident that adaptive management has matured, but it has also reached a crossroads. Practitioners and scientists have developed adaptive management and structured decision making techniques, and mathematicians have developed methods to reduce the uncertainties encountered in resource management, yet there continues to be misapplication of the method and misunderstanding of its purpose. Ironically, the confusion over the term "adaptive management" may stem from the flexibility inherent in the approach, which has resulted in multiple interpretations of "adaptive management" that fall along a continuum of complexity and a priori design. Adaptive management is not a panacea for the navigation of 'wicked problems' as it does not produce easy answers, and is only appropriate in a subset of natural resource management problems where both uncertainty and controllability are high. Nonetheless, the conceptual underpinnings of adaptive management are simple; there will always be inherent uncertainty and unpredictability in the dynamics and behavior of complex social-ecological systems, but management decisions must still be made, and whenever possible, we should incorporate

  8. Ocular onchocerciasis: current management and future prospects

    PubMed Central

    Babalola, Olufemi Emmanuel

    2011-01-01

    This paper reviews the current management of onchocerciasis and its future prospects. Onchocerciasis is a disease affecting millions of people in Africa, South and Central America, and Yemen. It is spread by the blackfly as a vector and caused by the filarial nematode, Onchocerca volvulus. A serious attempt was made by the Onchocerciasis Control Program between 1975 and 2002 to eliminate the vector in eleven of the endemic countries in West Africa, and with remarkable success. Formerly, the treatment was with diethyl carbamazine for the microfilaria and suramin for the adult worm. These drugs are now known to be toxic and unsuitable for mass distribution. In particular, they precipitate optic nerve disease. With the discovery of ivermectin, a much safer microfilaricide, and the decision of Merck to distribute the drug free of charge for as long as needed, the strategy of control switched to mass drug administration through community-directed treatment with ivermectin. So far, millions have received this annual or biannual treatment through the African Program for Onchocerciasis Control and the Onchocerciasis Elimination Program for the Americas. However, the problem with ivermectin is that it is a monotherapy microfilaricide which has limited effect on the adult worm, and thus will need to be continued for the life span of the adult worm, which may last up to 15 years. There are also early reports of resistance. Serious encephalopathy and death may occur when ivermectin is used in subjects heavily infested with loiasis. It seems unlikely that a break in transmission will occur with community-directed treatment with ivermectin in Africa because of population migrations and the highly efficient vector, but in the Americas some countries such as Columbia and the Oaxaca focus in Mexico have reported eradication. Vector control is only now applicable in selected situations, and particularly to control the nuisance value of the blackfly. Trials are ongoing for

  9. Merging Two Futures Concepts: Issues Management and Policy Impact Analysis.

    ERIC Educational Resources Information Center

    Renfro, William L.; Morrison, James L.

    1982-01-01

    Describes a workshop held during the 1982 World Future Society's Fourth General Assembly on the combined application of issues management and policy impact analysis. The workshop participants applied futures research, forecasting, goal-setting, and policy development techniques to future problems in educational policy. (AM)

  10. Future developments in health care performance management

    PubMed Central

    Crema, Maria; Verbano, Chiara

    2013-01-01

    This paper highlights the challenges of performance management in health care, wherein multiple different objectives have to be pursued. The literature suggests starting with quality performance, following the sand cone theory, but considering a multidimensional concept of health care quality. Moreover, new managerial approaches coming from an industrial context and adapted to health care, such as lean management and risk management, can contribute to improving quality performance. Therefore, the opportunity to analyze them arises from studying their overlaps and links in order to identify possible synergies and to investigate the opportunity to develop an integrated methodology enabling improved performance. PMID:24255600

  11. Computer forecasting: The future of hydro management

    SciTech Connect

    Miller, D.E.; Stover, C.M.

    1994-06-01

    Hydro managers must consider the demands of power production, flood control, environmental mitigation, and downstream water use when making decisions about operating their facilities. Alabama Power Company uses a computer-based real-time decision support system to achieve the best balance possible among the competing uses.

  12. Training Our Future Teachers: Classroom Management. Revised

    ERIC Educational Resources Information Center

    Greenberg, Julie; Putman, Hannah; Walsh, Kate

    2014-01-01

    This report examines traditional teacher preparation in classroom management, which is a struggle for many teachers, especially new ones. 122 teacher preparation programs--both elementary and secondary, graduate and undergraduate--were examined to review the full breadth of the professional sequence. The following conclusions are made as a result…

  13. Managing Complex and Dynamic Systems For The Future

    SciTech Connect

    Jones, E J

    2003-11-11

    The challenges of modern complicated systems regarding their design, analysis, and management are put in a historical context to better propose a framework for the future involving complementary uses of testing, modeling, and performance functions.

  14. Imagining flood futures: risk assessment and management in practice.

    PubMed

    Lane, Stuart N; Landström, Catharina; Whatmore, Sarah J

    2011-05-13

    The mantra that policy and management should be 'evidence-based' is well established. Less so are the implications that follow from 'evidence' being predictions of the future (forecasts, scenarios, horizons) even though such futures define the actions taken today to make the future sustainable. Here, we consider the tension between 'evidence', reliable because it is observed, and predictions of the future, unobservable in conventional terms. For flood risk management in England and Wales, we show that futures are actively constituted, and so imagined, through 'suites of practices' entwining policy, management and scientific analysis. Management has to constrain analysis because of the many ways in which flood futures can be constructed, but also because of commitment to an accounting calculus, which requires risk to be expressed in monetary terms. It is grounded in numerical simulation, undertaken by scientific consultants who follow policy/management guidelines that define the futures to be considered. Historical evidence is needed to deal with process and parameter uncertainties and the futures imagined are tied to pasts experienced. Reliance on past events is a challenge for prediction, given changing probability (e.g. climate change) and consequence (e.g. development on floodplains). So, risk management allows some elements of risk analysis to become unstable (notably in relation to climate change) but forces others to remain stable (e.g. invoking regulation to prevent inappropriate floodplain development). We conclude that the assumed separation of risk assessment and management is false because the risk calculation has to be defined by management. Making this process accountable requires openness about the procedures that make flood risk analysis more (or less) reliable to those we entrust to produce and act upon them such that, unlike the 'pseudosciences', they can be put to the test of public interrogation by those who have to live with their consequences.

  15. Future issues in haz waste management

    SciTech Connect

    Maxwell, S. )

    1994-10-15

    The hazardous waste management market has experienced a roller-coaster ride during the past few years. The business exploded during the 1980s as public concerns led to a vast new range of regulatory controls, and siting/permitting difficulties caused demand to quickly outstrip capacity. Prices for hazardous waste management went through the roof, attracting many technology developers to the industry. But the forces of supply and demand, coupled with ongoing regulatory changes, soon adjusted market conditions. First, high profitability and growth attracted droves of new participants to the industry, eventually bringing new capacity on line. Second, and more significantly, high prices forced industrial America to closely re-examine its manufacturing practices and waste generation habits. It soon became clear there were broad opportunities to minimize hazardous waste generation through improved housekeeping practices, alternative manufacturing processes, and substitution of toxic materials in manufacturing.

  16. The Future of Air Traffic Management

    NASA Technical Reports Server (NTRS)

    Denery, Dallas G.; Erzberger, Heinz; Edwards, Thomas A. (Technical Monitor)

    1998-01-01

    A system for the control of terminal area traffic to improve productivity, referred to as the Center-TRACON Automation System (CTAS), is being developed at NASA's Ames Research Center under a joint program with the FAA. CTAS consists of a set of integrated tools that provide computer-generated advisories for en-route and terminal area controllers. The premise behind the design of CTAS has been that successful planning of traffic requires accurate trajectory prediction. Data bases consisting of representative aircraft performance models, airline preferred operational procedures and a three dimensional wind model support the trajectory prediction. The research effort has been the design of a set of automation tools that make use of this trajectory prediction capability to assist controllers in overall management of traffic. The first tool, the Traffic Management Advisor (TMA), provides the overall flow management between the en route and terminal areas. A second tool, the Final Approach Spacing Tool (FAST) provides terminal area controllers with sequence and runway advisories to allow optimal use of the runways. The TMA and FAST are now being used in daily operations at Dallas/Ft. Worth airport. Additional activities include the development of several other tools. These include: 1) the En Route Descent Advisor that assist the en route controller in issuing conflict free descents and ascents; 2) the extension of FAST to include speed and heading advisories and the Expedite Departure Path (EDP) that assists the terminal controller in management of departures; and 3) the Collaborative Arrival Planner (CAP) that will assist the airlines in operational decision making. The purpose of this presentation is to review the CTAS concept and to present the results of recent field tests. The paper will first discuss the overall concept and then discuss the status of the individual tools.

  17. Corporate social responsibility and the future health care manager.

    PubMed

    Collins, Sandra K

    2010-01-01

    The decisions and actions of health care managers are oftentimes heavily scrutinized by the public. Given the current economic climate, managers may feel intense pressure to produce higher results with fewer resources. This could inadvertently test their moral fortitude and their social consciousness. A study was conducted to determine what corporate social responsibility orientation and viewpoint future health care managers may hold. The results of the study indicate that future health care managers may hold patient care in high regard as opposed to profit maximization. However, the results of the study also show that future managers within the industry may continue to need rules, laws, regulations, and legal sanctions to guide their actions and behavior.

  18. Thermal Management Architecture for Future Responsive Spacecraft

    NASA Astrophysics Data System (ADS)

    Bugby, D.; Zimbeck, W.; Kroliczek, E.

    2009-03-01

    This paper describes a novel thermal design architecture that enables satellites to be conceived, configured, launched, and operationally deployed very quickly. The architecture has been given the acronym SMARTS for Satellite Modular and Reconfigurable Thermal System and it involves four basic design rules: modest radiator oversizing, maximum external insulation, internal isothermalization and radiator heat flow modulation. The SMARTS philosophy is being developed in support of the DoD Operationally Responsive Space (ORS) initiative which seeks to drastically improve small satellite adaptability, deployability, and design flexibility. To illustrate the benefits of the philosophy for a prototypical multi-paneled small satellite, the paper describes a SMARTS thermal control system implementation that uses: panel-to-panel heat conduction, intra-panel heat pipe isothermalization, radiator heat flow modulation via a thermoelectric cooler (TEC) cold-biased loop heat pipe (LHP) and maximum external multi-layer insulation (MLI). Analyses are presented that compare the traditional "cold-biasing plus heater power" passive thermal design approach to the SMARTS approach. Plans for a 3-panel SMARTS thermal test bed are described. Ultimately, the goal is to incorporate SMARTS into the design of future ORS satellites, but it is also possible that some aspects of SMARTS technology could be used to improve the responsiveness of future NASA spacecraft. [22 CFR 125.4(b)(13) applicable

  19. Difficult childhood asthma: management and future.

    PubMed

    Tillie-Leblond, Isabelle; Deschildre, Antoine; Gosset, Philippe; de Blic, Jacques

    2012-09-01

    Diagnosis and management of severe asthma implies the definition of different entities, that is, difficult asthma and refractory severe asthma, but also the different phenotypes included in the term refractory severe asthma. A complete evaluation by a physician expert in asthma is necessary, adapted for each child. Identification of mechanisms involved in different phenotypes in refractory severe asthma may improve the therapeutic approach. The quality of care and monitoring of children with severe asthma is as important as the prescription drug, and is also crucial for differentiating between severe asthma and difficult asthma, whereby expertise is required.

  20. Content Management and the Future of Academic Libraries.

    ERIC Educational Resources Information Center

    Wu, Yuhfen Diana; Liu, Mengxiong

    2001-01-01

    Discusses Internet-based electronic content management in digital libraries and considers the future of academic libraries. Topics include digital technologies; content management systems; standards; bandwidth; security and privacy concerns; legal matters, including copyrights and ownership; lifecycle; and multilingual access and interface. (LRW)

  1. Financial Management of Libraries: Past Trends and Future Prospects.

    ERIC Educational Resources Information Center

    Roberts, Stephen A.

    2003-01-01

    The financial environment within library and information services is reviewed and a structure for financial management is presented based on funding source and level of commercial activity. Objectives for financial management of library and information services is developed and reviewed in light of future trends and stakeholder perspectives.…

  2. Peripartum cardiomyopathy: current management and future perspectives

    PubMed Central

    Hilfiker-Kleiner, Denise; Haghikia, Arash; Nonhoff, Justus; Bauersachs, Johann

    2015-01-01

    Pregnancy is associated with marked physiological changes challenging the cardiovascular system. Among the more severe pregnancy associated cardiovascular complications, peripartum cardiomyopathy (PPCM) is a potentially life-threatening heart disease emerging towards the end of pregnancy or in the first postpartal months in previously healthy women. A major challenge is to distinguish the peripartum discomforts in healthy women (fatigue, shortness of breath, and oedema) from the pathological symptoms of PPCM. Moreover, pregnancy-related pathologies such as preeclampsia, myocarditis, or underlying genetic disease show overlapping symptoms with PPCM. Difficulties in diagnosis and the discrimination from other pathological conditions in pregnancy may explain why PPCM is still underestimated. Additionally, underlying pathophysiologies are poorly understood, biomarkers are scarce and treatment options in general limited. Experience in long-term prognosis and management including subsequent pregnancies is just beginning to emerge. This review focuses on novel aspects of physiological and pathophysiological changes of the maternal cardiovascular system by comparing normal conditions, hypertensive complications, genetic aspects, and infectious disease in PPCM-pregnancies. It also presents clinical and basic science data on the current state of knowledge on PPCM and brings them in context thereby highlighting promising new insights in diagnostic tools and therapeutic approaches and management. PMID:25636745

  3. Future of chronic obstructive pulmonary disease management.

    PubMed

    D'Urzo, Anthony; Vogelmeier, Claus

    2012-06-01

    Bronchodilators play a pivotal role in the management of symptomatic chronic obstructive pulmonary disease. Inhaled short-acting bronchodilators are used for all stages of chronic obstructive pulmonary disease, primarily for the immediate relief of symptoms; inhaled long-acting bronchodilators are recommended for maintenance therapy in patients with moderate-to-very severe disease and those with daily symptoms. When symptoms are not adequately controlled by a single bronchodilator, combining bronchodilators of different classes may prove effective. Several long-acting β(2)-agonists and long-acting muscarinic antagonists with 24-h duration of action and inhalers combining different classes of long-acting, once-daily bronchodilators are in development. The place of these agents in the treatment algorithm will be determined by their efficacy and safety profiles and their long-term impact on relevant clinical outcomes.

  4. Chordoma: current concepts, management, and future directions.

    PubMed

    Walcott, Brian P; Nahed, Brian V; Mohyeldin, Ahmed; Coumans, Jean-Valery; Kahle, Kristopher T; Ferreira, Manuel J

    2012-02-01

    Chordoma is a rare bone cancer that is aggressive, locally invasive, and has a poor prognosis. Chordomas are thought to arise from transformed remnants of notochord and have a predilection for the axial skeleton, with the most common sites being the sacrum, skull base, and spine. The gold standard treatment for chordomas of the mobile spine and sacrum is en-bloc excision with wide margins and postoperative external-beam radiation therapy. Treatment of clival chordomas is unique from other locations with an enhanced emphasis on preservation of neurological function, typified by a general paradigm of maximally safe cytoreductive surgery and advanced radiation delivery techniques. In this Review, we highlight current standards in diagnosis, clinical management, and molecular characterisation of chordomas, and discuss current research.

  5. Psychiatric nursing case management: past, present, and future.

    PubMed

    Herrick, Charlotte A; Bartlett, Robin

    2004-09-01

    This literature review examines the evolution of psychiatric nursing case management in the United States. Various models, both inpatient and outpatient, are described, along with the roles of the case manager in each setting. The development of clinical pathways to monitor and document outcomes in acute settings is examined, along with the difficulties in adapting them specifically to psychiatric nursing case management. The types of data collected and the use of outcomes to support programs for the mentally ill are reviewed. Finally, recommendations for psychiatric nursing case management are made to provide guidelines for the future.

  6. Physicians in health care management: 1. Physicians as managers: roles and future challenges.

    PubMed Central

    Leatt, P

    1994-01-01

    Physicians are increasingly expected to assume responsibility for the management of human and financial resources in health care, particularly in hospitals. Juggling their new management responsibilities with clinical care, teaching and research can lead to conflicting roles. However, their presence in management is crucial to shaping the future health care system. They bring to management positions important skills and values such as observation, problem-solving, analysis and ethical judgement. To improve their management skills physicians can benefit from management education programs such as those offered by the Physician-Manager Institute and several Canadian universities. To manage in the future environment they must increase their knowledge and skills in policy and political processes, financial strategies and management, human resources management, systems and program quality improvement and organizational design. PMID:8287339

  7. Menu label accuracy at a university's foodservices. An exploratory recipe nutrition analysis.

    PubMed

    Feldman, Charles; Murray, Douglas; Chavarria, Stephanie; Zhao, Hang

    2015-09-01

    The increase in the weight of American adults and children has been positively associated with the prevalence of the consumption of food-away-from-home. The objective was to assess the accuracy of claimed nutritional information of foods purchased in contracted foodservices located on the campus of an institution of higher education. Fifty popular food items were randomly collected from five main dining outlets located on a selected campus in the northeastern United States. The sampling was repeated three times on separate occasions for an aggregate total of 150 food samples. The samples were then weighed and assessed for nutrient composition (protein, cholesterol, fiber, carbohydrates, total fat, calories, sugar, and sodium) using nutrient analysis software. Results were compared with foodservices' published nutrition information. Two group comparisons, claimed and measured, were performed using the paired-sample t-test. Descriptive statistics were used as well. Among the nine nutritional values, six nutrients (total fat, sodium, protein, fiber, cholesterol, and weight) had more than 10% positive average discrepancies between measured and claimed values. Statistical significance of the variance was obtained in four of the eight categories of nutrient content: total fat, sodium, protein, and cholesterol (P < .05). Significance was also reached in the variance of actual portion weight compared to the published claims (P < .001). Significant differences of portion size (weight), total fat, sodium, protein, and cholesterol were found among the sampled values and the foodservices' published claims. The findings from this study raise the concern that if the actual nutritional information does not accurately reflect the declared values on menus, conclusions, decisions and actions based on posted information may not be valid.

  8. Management of asthma in adults: current therapy and future directions

    PubMed Central

    Green, R; Brightling, C; Pavord, I; Wardlaw, A

    2003-01-01

    Asthma is increasing in prevalence worldwide and results in significant use of healthcare resources. Although most patients with asthma can be adequately treated with inhaled corticosteroids, an important number of patients require additional therapy and an increasing number of options are available. A further minority of patients develop severe persistent asthma which remains difficult to manage despite current pharmacological therapies. This review discusses the various treatment options currently available for each stage of asthma severity, highlights some of the limitations of current management, and outlines directions which may improve the management of asthma in the future. PMID:12782771

  9. Future Directions of Management Science and Operations Management in Business School Curricula

    ERIC Educational Resources Information Center

    Fuller, Jack A.; Denton, James W.

    2006-01-01

    The fields of Management Science (MS) and Operations Management (OM) have co-existed in business school curricula for over a half century. This paper examines five trends that point toward a bright future for Operations Management in the business curriculum. These trends include an increasing emphasis on global competition, the growth of the…

  10. Development of a risk-based methodology for estimating survival and growth of enteropathogenic Escherichia coli on iceberg-lettuce exposed at short-term storage in foodservice centers.

    PubMed

    Rodríguez-Caturla, M Y; Valero, A; García-Gimeno, R M; Zurera, G

    2012-09-01

    Ready-to-eat lettuce is a food commodity prone to contamination by pathogenic microorganisms if processing and distribution conditions as well as handling practices are not effective. A challenge testing protocol was applied to ready-to-eat iceberg-lettuce samples by inoculating different initial contamination levels (4.5, 3.5 and 2.5 log cfu/g) of Escherichia coli strain (serotype O158:H23) subsequently stored at 8, 12, 16, 20 and 24°C for 6h. A polynomial regression model for log difference (log(diff)) was developed at each inoculum level studied through the calculation of the effective static temperature (T(eff)). Furthermore, the developed model was integrated within a risk-based approach with real time/Temperature (t/T) data collected in three Spanish foodservice centers: school canteens, long-term care facilities (LTCF) and hospitals. Statistical distributions were fitted to t/T data and estimated log(diff) values were obtained as model outputs through a Monte Carlo simulation (10,000 iterations). The results obtained at static conditions indicated that the maintenance of the lettuce at 8°C slightly reduced the E. coli population from -0.4 to -0.5 log cfu/g. However, if chill chain is not maintained, E. coli can grow up to 1.1 log cfu/g at temperatures above 16°C, even at low contamination levels. Regarding log(diff) estimated in foodservice centers, very low risk was obtained (log(diff)<1.0 log cfu in all cases). Mean T(eff) values obtained in hospitals were the lowest ones (11.1°C) and no growth of E. coli was predicted in >92% of simulated cases. The results presented in this study could serve food operators to set time/Temperature requirements for ready-to-eat foods in foodservice centers, providing a scientific basis through the use of predictive modeling. These findings may also serve to food safety managers to better define the control measures to be adopted in foodservice centers in order to prevent food-borne infections.

  11. Utilization management in radiology, part 2: perspectives and future directions.

    PubMed

    Duszak, Richard; Berlin, Jonathan W

    2012-10-01

    Increased utilization of medical imaging in the early part of the last decade has resulted in numerous efforts to reduce associated spending. Recent initiatives have focused on managing utilization with radiology benefits managers and real-time order entry decision support systems. Although these approaches might seem mutually exclusive and their application to radiology appears unique, the historical convergence and broad acceptance of both programs within the pharmacy sector may offer parallels for their potential future in medical imaging. In this second installment of a two-part series, anticipated trends in radiology utilization management are reviewed. Perspectives on current and future potential roles of radiologists in such initiatives are discussed, particularly in light of emerging physician payment models.

  12. Use of Visuals for Food Safety Education of Spanish-Speaking Foodservice Workers: A Case Study in Iowa

    ERIC Educational Resources Information Center

    Rajagopal, Lakshman

    2012-01-01

    Providing food safety training to an audience whose native language is not English is always a challenge. In the study reported here, minimal-text visuals in Spanish were used to train Hispanic foodservice workers about proper handwashing technique and glove use based on the 2005 Food Code requirements. Overall, results indicated that visuals…

  13. Using student opinion and design inputs to develop an informed university foodservice menu.

    PubMed

    Feldman, Charles; Harwell, Heather; Brusca, Joseph

    2013-10-01

    The potential for Universities and Colleges to be settings that promote health and wellbeing has become the subject for debate where the role of foodservice has been acknowledged as influential. The aim of this research was to evaluate an effective design to promote healthy selections from university foodservice menus. The research was designed around a grounded theory approach utilizing semiological prompts based on different existing nutrition labeling schemes. A total of 39 students (17 male, 22 female) participated in seven focus groups at Montclair State University, US. The participants of this study clearly called for nutrition labeling on college menus and a prototype design had been agreed. The students also itemized five nutrients they wanted listed in a Traffic Light system of colors and then quantified on the menu: calories, sodium, sugar, fat and carbohydrates, plus beneficial ingredients or nutrients for display in menu icons. The nutrients and display order varies somewhat from industry and government standards, though the student recommendations are suggestive of common understandings of published nutrient guidelines. Students have a stake in how menu information is presented on campus and their opinions could positively impact the general selection of healthy foods.

  14. Resolving future fire management conflicts using multicriteria decision making.

    PubMed

    Driscoll, Don A; Bode, Michael; Bradstock, Ross A; Keith, David A; Penman, Trent D; Price, Owen F

    2016-02-01

    Management strategies to reduce the risks to human life and property from wildfire commonly involve burning native vegetation. However, planned burning can conflict with other societal objectives such as human health and biodiversity conservation. These conflicts are likely to intensify as fire regimes change under future climates and as growing human populations encroach farther into fire-prone ecosystems. Decisions about managing fire risks are therefore complex and warrant more sophisticated approaches than are typically used. We applied a multicriteria decision making approach (MCDA) with the potential to improve fire management outcomes to the case of a highly populated, biodiverse, and flammable wildland-urban interface. We considered the effects of 22 planned burning options on 8 objectives: house protection, maximizing water quality, minimizing carbon emissions and impacts on human health, and minimizing declines of 5 distinct species types. The MCDA identified a small number of management options (burning forest adjacent to houses) that performed well for most objectives, but not for one species type (arboreal mammal) or for water quality. Although MCDA made the conflict between objectives explicit, resolution of the problem depended on the weighting assigned to each objective. Additive weighting of criteria traded off the arboreal mammal and water quality objectives for other objectives. Multiplicative weighting identified scenarios that avoided poor outcomes for any objective, which is important for avoiding potentially irreversible biodiversity losses. To distinguish reliably among management options, future work should focus on reducing uncertainty in outcomes across a range of objectives. Considering management actions that have more predictable outcomes than landscape fuel management will be important. We found that, where data were adequate, an MCDA can support decision making in the complex and often conflicted area of fire management.

  15. Social Networks and Welfare in Future Animal Management.

    PubMed

    Koene, Paul; Ipema, Bert

    2014-03-17

    It may become advantageous to keep human-managed animals in the social network groups to which they have adapted. Data concerning the social networks of farm animal species and their ancestors are scarce but essential to establishing the importance of a natural social network for farmed animal species. Social Network Analysis (SNA) facilitates the characterization of social networking at group, subgroup and individual levels. SNA is currently used for modeling the social behavior and management of wild animals and social welfare of zoo animals. It has been recognized for use with farm animals but has yet to be applied for management purposes. Currently, the main focus is on cattle, because in large groups (poultry), recording of individuals is expensive and the existence of social networks is uncertain due to on-farm restrictions. However, in many cases, a stable social network might be important to individual animal fitness, survival and welfare. For instance, when laying hens are not too densely housed, simple networks may be established. We describe here small social networks in horses, brown bears, laying hens and veal calves to illustrate the importance of measuring social networks among animals managed by humans. Emphasis is placed on the automatic measurement of identity, location, nearest neighbors and nearest neighbor distance for management purposes. It is concluded that social networks are important to the welfare of human-managed animal species and that welfare management based on automatic recordings will become available in the near future.

  16. Charge Management Optimization for Future TOU Rates: Preprint

    SciTech Connect

    Zhang, Jiucai; Markel, Tony

    2016-07-01

    The effectiveness of future time of use (TOU) rates to enable managed charging for providing demand response depends on the vehicle's flexibility and the benefits to owners. This paper adopts opportunity, delayed, and smart charging methods to quantify these impacts, flexibilities, and benefits. Simulation results show that delayed and smart charging methods can shift most charging events to lower TOU rate periods without compromising the charged energy and individual driver mobility needs.

  17. Water management: Current and future challenges and research directions

    NASA Astrophysics Data System (ADS)

    Cosgrove, William J.; Loucks, Daniel P.

    2015-06-01

    Water distinguishes our planet compared to all the others we know about. While the global supply of available freshwater is more than adequate to meet all current and foreseeable water demands, its spatial and temporal distributions are not. There are many regions where our freshwater resources are inadequate to meet domestic, economic development and environmental needs. In such regions, the lack of adequate clean water to meet human drinking water and sanitation needs is indeed a constraint on human health and productivity and hence on economic development as well as on the maintenance of a clean environment and healthy ecosystems. All of us involved in research must find ways to remove these constraints. We face multiple challenges in doing that, especially given a changing and uncertain future climate, and a rapidly growing population that is driving increased social and economic development, globalization, and urbanization. How best to meet these challenges requires research in all aspects of water management. Since 1965, the journal Water Resources Research has played an important role in reporting and disseminating current research related to managing the quantity and quality and cost of this resource. This paper identifies the issues facing water managers today and future research needed to better inform those who strive to create a more sustainable and desirable future.

  18. Bidding: Getting the Best Price for School Foodservice.

    ERIC Educational Resources Information Center

    DiBella, Cecilia M.

    1998-01-01

    Sharon (Massachusetts) Public Schools developed an alternative procurement process for school food services that complies with state public bidding laws while evading "low-bid" constraints. The new process features evaluative criteria covering nutrition education, community outreach, management expertise, site visits, and price…

  19. JPL Project Information Management: A Continuum Back to the Future

    NASA Technical Reports Server (NTRS)

    Reiz, Julie M.

    2009-01-01

    This slide presentation reviews the practices and architecture that support information management at JPL. This practice has allowed concurrent use and reuse of information by primary and secondary users. The use of this practice is illustrated in the evolution of the Mars Rovers from the Mars Pathfinder to the development of the Mars Science Laboratory. The recognition of the importance of information management during all phases of a project life cycle has resulted in the design of an information system that includes metadata, has reduced the risk of information loss through the use of an in-process appraisal, shaping of project's appreciation for capturing and managing the information on one project for re-use by future projects as a natural outgrowth of the process. This process has also assisted in connection of geographically disbursed partners into a team through sharing information, common tools and collaboration.

  20. Urban water management in cities: historical, current and future regimes.

    PubMed

    Brown, R R; Keath, N; Wong, T H F

    2009-01-01

    Drawing from three phases of a social research programme between 2002 and 2008, this paper proposes a framework for underpinning the development of urban water transitions policy and city-scale benchmarking at the macro scale. Through detailed historical, contemporary and futures research involving Australian cities, a transitions framework is proposed, presenting a typology of six city states, namely the 'Water Supply City', the 'Sewered City', the 'Drained City', the 'Waterways City', the 'Water Cycle City', and the 'Water Sensitive City'. This framework recognises the temporal, ideological and technological contexts that cities transition through when moving towards sustainable urban water conditions. The aim of this research is to assist urban water managers with understanding the scope of the hydro-social contracts currently operating across cities in order to determine the capacity development and cultural reform initiatives needed to effectively expedite the transition to more sustainable water management and ultimately to Water Sensitive Cities. One of the values of this framework is that it can be used by strategists and policy makers as a heuristic device and/or the basis for a future city state benchmarking tool. From a research perspective it can be an underpinning framework for future work on transitions policy research.

  1. Sustainable WEE management in Malaysia: present scenarios and future perspectives

    NASA Astrophysics Data System (ADS)

    Rezaul Hasan Shumon, Md; Ahmed, S.

    2013-12-01

    Technological advances have resulted development of a lot of electronic products for continuously increasing number of customers. As the customer taste and features of these products change rapidly, the life cycles have come down tremendously. Therefore, a large volume of e-wastes are now emanated every year. This scenario is very much predominant in Malaysia. On one hand e-wastes are becoming environmental hazards and affecting the ecological imbalance. On the other, these wastes are remaining still economically valuable. In Malaysia, e-waste management system is still in its nascent state. This paper describes the current status of e-waste generation and recycling and explores issues for future e-waste management system in Malaysia from sustainable point of view. As to draw some factual comparisons, this paper reviews the e-waste management system in European Union, USA, Japan, as a benchmark. Then it focuses on understanding the Malaysian culture, consumer discarding behavior, flow of the materials in recycling, e-waste management system, and presents a comparative view with the Swiss e-waste system. Sustainable issues for e-waste management in Malaysia are also presented. The response adopted so far in collection and recovery activities are covered in later phases. Finally, it investigates the barriers and challenges of e-waste system in Malaysia.

  2. Increasing Awareness of Sustainable Water Management for Future Civil Engineers

    NASA Astrophysics Data System (ADS)

    Ilic, Suzana; Karleusa, Barbara; Deluka-Tibljas, Aleksandra

    2010-05-01

    There are more than 1.2 billion people around the world that do not have access to drinking water. While there are plans under the United Nations Millennium Development Goals to halve this number by 2015, there are a number of regions that will be exposed to water scarcity in the coming future. Providing sufficient water for future development is a great challenge for planners and designers of water supply systems. In order to design sustainable water supplies for the future, it is important to learn how people consume water and how water consumption can be reduced. The education of future civil engineers should take into account not only technical aspects of the water supply but also the accompanying social and economical issues, and appreciated the strengths and weaknesses of traditional solutions. The Faculty of Civil Engineering, at the University of Rijeka, has begun incorporating a series of activities that engage undergraduate students and the local community to develop a mutual understanding of the future needs for sustainable management. We present one of the activities, collaboration with the Lancaster Environment Centre at Lancaster University in the UK through the field course Water and environmental management in Mediterranean context. The course, which is designed for the Lancaster University geography students, features a combination of field trips and visits to provide an understanding of the socio-economic and environmental context of water management in two counties (Istra and Primorsko-Goranska). Students from Lancaster visit the Croatian water authority and a regional water company, where they learn about current management practices and problems in managing water supplies and demand through the year. They make their own observations of current management practices in the field and learn about water consumption from the end users. One day field visit to a village in the area that is still not connected to the main water supply system is

  3. Multiple system atrophy: current and future approaches to management

    PubMed Central

    Flabeau, Olivier; Meissner, Wassilios G.; Tison, François

    2010-01-01

    Multiple system atrophy (MSA) is a rare neurodegenerative disorder without any effective treatment in slowing or stopping disease progression. It is characterized by poor levodopa responsive Parkinsonism, cerebellar ataxia, pyramidal signs and autonomic failure in any combination. Current therapeutic strategies are primarily based on dopamine replacement and improvement of autonomic failure. However, symptomatic management remains disappointing and no curative treatment is yet available. Recent experimental evidence has confirmed the key role of alpha-synuclein aggregation in the pathogenesis of MSA. Referring to this hypothesis, transgenic and toxic animal models have been developed to assess candidate drugs for MSA. The standardization of diagnosis criteria and assessment procedures will allow large multicentre clinical trials to be conducted. In this article we review the available symptomatic treatment, recent results of studies investigating potential neuroprotective drugs, and future approaches for the management in MSA. PMID:21179616

  4. The relationship between emotions and food consumption (macronutrient) in a foodservice college setting - a preliminary study.

    PubMed

    Hartwell, Heather J; Edwards, John S A; Brown, Lorraine

    2013-05-01

    Many aspects of eating out have been studied, yet emotions remain an under-researched area, despite having been shown to play a significant role in food consumption. The aim of this research is to critically evaluate the relationship between emotions and food consumption (macronutrient) in a realistic eating environment, a college cafeteria. Subjects (n = 408), diners using a cafeteria, completed an emotions questionnaire before and after freely choosing, paying for and consuming a hot main meal. The results demonstrated a greater feeling of contentment with a high fat, high energy meal, whereas with a low carbohydrate meal, participants felt unfulfilled. In addition, a high protein meal also leads to a feeling of contentment. These results are rather counter-intuitive to public health nutrition policy but indicate the importance of inclusion of a protein or high carbohydrate item in any dish design in a foodservice setting.

  5. The costs of future polio risk management policies.

    PubMed

    Tebbens, Radboud J Duintjer; Sangrujee, Nalinee; Thompson, Kimberly M

    2006-12-01

    Decisionmakers need information about the anticipated future costs of maintaining polio eradication as a function of the policy options under consideration. Given the large portfolio of options, we reviewed and synthesized the existing cost data relevant to current policies to provide context for future policies. We model the expected future costs of different strategies for continued vaccination, surveillance, and other costs that require significant potential resource commitments. We estimate the costs of different potential policy portfolios for low-, middle-, and high-income countries to demonstrate the variability in these costs. We estimate that a global transition from routine immunization with oral poliovirus vaccine (OPV) to inactivated poliovirus vaccine (IPV) would increase the costs of managing polio globally, although routine IPV use remains less costly than routine OPV use with supplemental immunization activities. The costs of surveillance and a stockpile, while small compared to routine vaccination costs, represent important expenditures to ensure adequate response to potential outbreaks. The uncertainty and sensitivity analyses highlight important uncertainty in the aggregated costs and demonstrates that the discount rate and uncertainty in price and administration cost of IPV drives the expected incremental cost of routine IPV vs. OPV immunization.

  6. Time and Temperature Conditions during Product Flow and Sensory Quality of Potato Salad Prepared in a Conventional Foodservice System.

    DTIC Science & Technology

    1983-01-01

    studied the variability in temperature of scrambled eggs prepared in a cook-chill hospital foodservice system where the scrambled eggs were cooked...avail- able for comparison. In Commissary and Ready-Prepared Systems Cremer and Chipley (1980b) reported on the sensory evaluation of scrambled eggs ... scrambled eggs and beef patties reheated in microwave and convec- tion ovens. The data showed that eggs reheated in a microwave oven were scored

  7. Selective breeding: the future of TB management in African buffalo?

    PubMed

    le Roex, N; Berrington, C M; Hoal, E G; van Helden, P D

    2015-09-01

    The high prevalence of bovine tuberculosis (BTB) in African buffalo (Syncerus caffer) in regions of southern African has a negative economic impact on the trade of animals and animal products, represents an ecological threat to biodiversity, and poses a health risk to local communities through the wildlife-cattle-human interface. Test and cull methods may not be logistically feasible in many free-range wildlife systems, and with the presence of co-existing BTB hosts and the limited effectiveness of the BCG vaccine in buffalo, there is a need for alternative methods of BTB management. Selective breeding for increased resistance to BTB in buffalo may be a viable method of BTB management in the future, particularly if genetic information can be incorporated into these schemes. To explore this possibility, we discuss the different strategies that can be employed in selective breeding programmes, and consider the implementation of genetic improvement schemes. We reflect on the suitability of applying this strategy for enhanced BTB resistance in African buffalo, and address the challenges of this approach that must be taken into account. Conclusions and the implications for management are presented.

  8. Innovative requirements and technologies for future RLVs health management system

    NASA Astrophysics Data System (ADS)

    Maltecca, L.; Miccichè, L.; Russo, G.; Sellitto, M.

    2002-07-01

    The Italian aerospace research program PRORA (PROgramma nazionale di Ricerche Aerospaziali), which has been conceived and managed by CIRA (Italian Aerospace Research Center), is focused on the development of innovative technologies, also based on experience from flying test beds. One family of these test beds, designated USV (Unmanned Space Vehicle) will be dedicated to acquire the knowledge about future RLV (Reusable Launch Vehicle) technologies. Major strategic technologies identified are reusability, hypersonic flight and atmospheric re-entry. The Phase-A study has been concluded and recently approved. Laben (a Finmeccanica Company) has contributed to identify requirements for the next generations of on board Vehicle Health Management System (VHMS) and to investigate possible innovative architectures. This new generation VHMS will be able to manage in a real-time mode the health of the vehicle (structure, propulsion, avionics, etc.). The proposed approach is based on a set of decentralised computers linked via an advanced high-speed interconnect system. This paper will describe preliminary requirements analysis and trade-off's mainly in terms of HW (e.g. use of general purpose CPUs versus DSPs, interconnects and topologies).

  9. Planning and managing future space facility projects. [management by objectives and group dynamics

    NASA Technical Reports Server (NTRS)

    Sieber, J. E.; Wilhelm, J. A.; Tanner, T. A.; Helmreich, R. L.; Burgenbauch, S. F.

    1979-01-01

    To learn how ground-based personnel of a space project plan and organize their work and how such planning and organizing relate to work outcomes, longitudinal study of the management and execution of the Space Lab Mission Development Test 3 (SMD 3) was performed at NASA Ames Research Center. A view of the problems likely to arise in organizations and some methods of coping with these problems are presented as well as the conclusions and recommendations that pertain strictly to SMD 3 management. Emphasis is placed on the broader context of future space facility projects and additional problems that may be anticipated. A model of management that may be used to facilitate problem solving and communication - management by objectives (MBO) is presented. Some problems of communication and emotion management that MBO does not address directly are considered. Models for promoting mature, constructive and satisfying emotional relationships among group members are discussed.

  10. Projected future climate change and Baltic Sea ecosystem management

    NASA Astrophysics Data System (ADS)

    Andersson, Agneta

    2015-04-01

    Climate change is likely to have large effects on the Baltic Sea ecosystem. Simulations indicate 2-4oC warming and 50-80% decreasing ice cover by 2100. Precipitation may increase ~30% in the north, causing increased land runoff of allochthonous organic matter (AOM) and organic pollutants. Salinity will decrease by about 2 units. Coupled physical-biogeochemical models indicate that in the south, bottom-water anoxia may spread, reducing cod recruitment and increasing sediment phosphorus release, promoting cyanobacterial blooms. In the north, heterotrophic bacteria will be favoured by AOM while phytoplankton may become hampered. More trophic levels in the food web will increase energy losses and consequently reduce fish production. Future management of the Baltic Sea must consider effects of climate change on the ecosystem dynamics and functions, as well as effects of anthrophogenic nutrient and pollutant load. Monitoring should have a holistic approach and encompass both autotrophic (phytoplankton) and heterotrophic (e.g. bacterial) processes.

  11. Chronic Pancreatitis: Landmark Papers, Management Decisions, and Future.

    PubMed

    DiMagno, Eugene P; DiMagno, Matthew J

    2016-01-01

    On May 16, 2015 at the invitation of the American Gastroenterological Association Institute Council E.P.D. presented a state-of-the-art lecture at Digestive Disease Week 2015. The aims were to discuss a selection of landmark papers in chronic pancreatitis (CP) that influence modern management and to conclude by suggesting some future directions. This is based on that presentation. We will specifically review the following: duct anatomy and pancreas divisum, description of chronic relapsing pancreatitis and its differentiation from recurrent acute pancreatitis and established CP (ECP), natural histories and gene discoveries of alcoholic, idiopathic and hereditary pancreatitis, development of pancreatic cancer in CP, exocrine pancreatic insufficiency and calculation of dose and delivery of enzymes, endoscopic ultrasonography, and autoimmune pancreatitis. With some exceptions, we exclude basic science and surgery.

  12. Evaluating stakeholder participation in water management: intermediary outcomes as potential indicators for future resource management outcomes

    NASA Astrophysics Data System (ADS)

    Carr, Gemma; Bloeschl, Guenter; Loucks, Daniel Pete

    2013-04-01

    . Furthermore, failure to achieve intermediary outcomes correlates to failure to achieve resource management outcomes. Evaluating intermediary outcomes leads to both a broader assessment of a programme's achievements at the time of evaluation, and can indicate whether a programme will go on to achieve resource management objectives in the future.

  13. The future of male infertility management and assisted reproduction technology.

    PubMed

    Mortimer, D

    2000-12-01

    Intracytoplasmic sperm injection (ICSI) is undoubtedly a powerful, and sometimes the only effective, form of infertility treatment. Nonetheless, it is a non-specific treatment that, combined with increasingly heroic techniques to recover male germinal cells, has led to perceptions of men as just providers of gametes in the infertility equation. In response to this nihilist attitude, where women are investigated extensively and scant attention is paid to men, there is a re-emerging awareness of andrology--particularly in countries with limited healthcare resources. Structured management strategies, using diagnostic information to recognize causative factors amenable to simpler, even systemic, therapies with reasonable chances of pregnancy rather than resorting prematurely to assisted reproduction technology, represent rational, cost-effective approaches to infertility management. Furthermore, genetic testing (particularly cystic fibrosis gene defects and Y-chromosome microdeletions) is essential for couples to make fully informed decisions on their options. Recognition that free radical-induced damage to the sperm genome (e.g. from smoking or in-vitro sperm manipulation) underlies deleterious paternal effects on preimplantation development promotes further synergy between andrology and embryology. Although societies strike different balances between considerations of affordability and cost-effectiveness of assisted reproduction technology, ICSI represents a last resort, to be used when less-invasive, lower-cost treatments have been deemed inappropriate or have failed. Consequently, rather than assisted reproduction technology eliminating the need for andrology, the future will see increasingly tighter integration of multidisciplinary infertility care, embracing careful diagnosis and patient education before obtaining truly informed consent and embarking upon cost-effective treatment.

  14. Current management of diabetes mellitus and future directions in care.

    PubMed

    Chatterjee, Sudesna; Davies, Melanie J

    2015-11-01

    The last 90 years have seen considerable advances in the management of type 1 and type 2 diabetes. Prof MacLean of Guy's Hospital wrote in the Postgraduate Medical Journal in 1926 about the numerous challenges that faced patients and their healthcare professionals in delivering safe and effective diabetes care at that time. The discovery of insulin in 1922 heralded a new age in enabling long-term glycaemic control, which reduced morbidity and mortality. Thirty years later, the first oral agents for diabetes, the biguanides and sulfonylureas, appeared and freed type 2 patients from having to inject insulin following diagnosis. Improvements in insulin formulations over the decades, including rapid-acting and long-acting insulin analogues that more closely mimic physiological insulin secretion, have increased the flexibility and efficacy of type 1 diabetes management. The last two decades have seen major advances in technology, which has manifested in more accurate glucose monitoring systems and insulin delivery devices ('insulin pump'). Increased understanding of the pathophysiological deficits underlying type 2 diabetes has led to the development of targeted therapeutic approaches such as on the small intestine (glucagon-like peptide-1 receptor analogues and dipeptidyl-peptidase IV inhibitors) and kidneys (sodium-glucose cotransporter-2 inhibitors). A patient-centred approach delivered by a multidisciplinary team is now advocated. Glycaemic targets are set according to individual circumstances, taking into account factors such as weight, hypoglycaemia risk and patient preference. Stepwise treatment guidelines devised by international diabetes organisations standardise and rationalise management. Structured education programmes and psychological support are now well-established as essential for improving patient motivation and self-empowerment. Large multicentre randomised trials have confirmed the effectiveness of intensive glycaemic control on microvascular

  15. Oral Cavity Carcinoma: Current Management, Controversies, and Future Directions

    PubMed Central

    Chinn, Steven B.; Myers, Jeffrey N.

    2015-01-01

    Oral cavity carcinoma (OCC) remains a major cause of morbidity and mortality in patients with head and neck cancer. Although the incidence has decreased over the last decade, outcomes remain stagnant with only a 5% improvement in overall survival in the last 20 years. Although surgical resection remains the primary treatment modality, several areas of controversy exist with regard to work-up, management of the primary and neck tumors, and adjuvant therapy. As surgical techniques evolve, so has the delivery of radiotherapy and systemic treatment, which have helped to improve the outcomes for patients with advanced disease. Recently, the addition of cetuximab has shown promise as a way to improve outcomes while minimizing toxicity, and this remains an active area of study in the adjuvant setting. Advances in microvascular free-flap reconstruction have extended the limits of resection and enabled enhanced restoration of function and cosmesis. While these advances have led to limited survival benefit, evaluation of alternative modalities has gained interest on the basis of success in other head and neck subsites. Organ preservation with definitive chemoradiotherapy, though proven in the larynx and pharynx, remains controversial in OCC. Likewise, although the association of human papillomavirus is well established in oropharyngeal carcinoma, it has not been proven in the pathogenesis or survival of OCC. Future study of the molecular biology and pathogenesis of OCC should offer additional insight into screening, treatment selection, and novel therapeutic approaches. PMID:26351335

  16. Water management in Egypt for facing the future challenges.

    PubMed

    Omar, Mohie El Din M; Moussa, Ahmed M A

    2016-05-01

    The current water shortage in Egypt is 13.5 Billion cubic meter per year (BCM/yr) and is expected to continuously increase. Currently, this water shortage is compensated by drainage reuse which consequently deteriorates the water quality. Therefore, this research was commenced with the objective of assessing different scenarios for 2025 using the Water Evaluation and Planning (WEAP) model and by implementing different water sufficiency measures. Field data were assembled and analyzed, and different planning alternatives were proposed and tested in order to design three future scenarios. The findings indicated that water shortage in 2025 would be 26 BCM/yr in case of continuation of current policies. Planning alternatives were proposed to the irrigation canals, land irrigation timing, aquatic weeds in waterways and sugarcane areas in old agricultural lands. Other measures were suggested to pumping rates of deep groundwater, sprinkler and drip irrigation systems in new agricultural lands. Further measures were also suggested to automatic daily surveying for distribution leak and managing the pressure effectively in the domestic and industrial water distribution systems. Finally, extra measures for water supply were proposed including raising the permitted withdrawal limit from deep groundwater and the Nubian aquifer and developing the desalination resource. The proposed planning alternatives would completely eliminate the water shortage in 2025.

  17. Water management in Egypt for facing the future challenges

    PubMed Central

    Omar, Mohie El Din M.; Moussa, Ahmed M.A.

    2016-01-01

    The current water shortage in Egypt is 13.5 Billion cubic meter per year (BCM/yr) and is expected to continuously increase. Currently, this water shortage is compensated by drainage reuse which consequently deteriorates the water quality. Therefore, this research was commenced with the objective of assessing different scenarios for 2025 using the Water Evaluation and Planning (WEAP) model and by implementing different water sufficiency measures. Field data were assembled and analyzed, and different planning alternatives were proposed and tested in order to design three future scenarios. The findings indicated that water shortage in 2025 would be 26 BCM/yr in case of continuation of current policies. Planning alternatives were proposed to the irrigation canals, land irrigation timing, aquatic weeds in waterways and sugarcane areas in old agricultural lands. Other measures were suggested to pumping rates of deep groundwater, sprinkler and drip irrigation systems in new agricultural lands. Further measures were also suggested to automatic daily surveying for distribution leak and managing the pressure effectively in the domestic and industrial water distribution systems. Finally, extra measures for water supply were proposed including raising the permitted withdrawal limit from deep groundwater and the Nubian aquifer and developing the desalination resource. The proposed planning alternatives would completely eliminate the water shortage in 2025. PMID:27222745

  18. Projected future climate change and Baltic Sea ecosystem management.

    PubMed

    Andersson, Agneta; Meier, H E Markus; Ripszam, Matyas; Rowe, Owen; Wikner, Johan; Haglund, Peter; Eilola, Kari; Legrand, Catherine; Figueroa, Daniela; Paczkowska, Joanna; Lindehoff, Elin; Tysklind, Mats; Elmgren, Ragnar

    2015-06-01

    Climate change is likely to have large effects on the Baltic Sea ecosystem. Simulations indicate 2-4 °C warming and 50-80 % decrease in ice cover by 2100. Precipitation may increase ~30 % in the north, causing increased land runoff of allochthonous organic matter (AOM) and organic pollutants and decreased salinity. Coupled physical-biogeochemical models indicate that, in the south, bottom-water anoxia may spread, reducing cod recruitment and increasing sediment phosphorus release, thus promoting cyanobacterial blooms. In the north, heterotrophic bacteria will be favored by AOM, while phytoplankton production may be reduced. Extra trophic levels in the food web may increase energy losses and consequently reduce fish production. Future management of the Baltic Sea must consider the effects of climate change on the ecosystem dynamics and functions, as well as the effects of anthropogenic nutrient and pollutant load. Monitoring should have a holistic approach, encompassing both autotrophic (phytoplankton) and heterotrophic (e.g., bacterial) processes.

  19. The Epidemiology, Genetics and Future Management of Syndactyly

    PubMed Central

    Jordan, D; Hindocha, S; Dhital, M; Saleh, M; Khan, W

    2012-01-01

    Syndactyly is a condition well documented in current literature due to it being the most common congenital hand defect, with a large aesthetic and functional significance. There are currently nine types of phenotypically diverse non-syndromic syndactyly, an increase since the original classification by Temtamy and McKusick(1978). Non-syndromic syndactyly is inherited as an autosomal dominant trait, although the more severe presenting types and sub types appear to have autosomal recessive and in some cases X-linked hereditary. Gene research has found that these phenotypes appear to not only be one gene specific, although having individual localised loci, but dependant on a wide range of genes and subsequent signalling pathways involved in limb formation. The principal genes so far defined to be involved in congenital syndactyly concern mainly the Zone of Polarizing Activity and Shh pathway. Research into the individual phenotypes appears to complicate classification as new genes are found both linked, and not linked, to each malformation. Consequently anatomical, phenotypical and genotypical classifications can be used, but are variable in significance, depending on the audience. Currently, management is surgical, with a technique unchanged for several decades, although future development will hopefully bring alternatives in both earlier diagnosis and gene manipulation for therapy. PMID:22448207

  20. A comparison of food policy and practice reporting between credentialed and noncredentialed Ohio school foodservice directors.

    PubMed

    Mincher, Jeanine L; Symons, Cynthia W; Thompson, Amy

    2012-12-01

    With rising childhood obesity rates and the increasing complexity of the school food environment, practitioners working in school nutrition need adequate preparation for their responsibilities. School foodservice directors (SFSDs) vary widely in their academic preparation, and there are no established standards for individuals in this occupation. Credentialing provides a way in which baseline knowledge of SFSDs can be established; however, little is known about the influence of such credentials on food-related policies and practices in public schools. Our cross-sectional study compared the reported food policies and practices between credentialed and noncredentialed SFSDs within all districts (N=364) of the Ohio public school system during the 2009-2010 school year. Using a Likert-type format, policy and practice scores were measured by asking participants to respond to statements adapted from the School Health Index assessment tool. Differences in the policy and practice scores reported by SFSDs holding a food-related credential and those not holding a credential were determined by t test. Results indicated that respondents with a food-related credential were more likely to report both comprehensive food-related policies (14.51 vs 13.39; range=0 to 21) and practices (33.86 vs 32.50; range=0 to 39). These findings support the value of credentialing SFSDs. However, further research is required to establish which credential provides the optimal match in the provision of high quality nutrition care to schoolchildren.

  1. Current Management of Alcoholic Hepatitis and Future Therapies

    PubMed Central

    Saberi, Behnam; Dadabhai, Alia S.; Jang, Yoon-Young; Gurakar, Ahmet; Mezey, Esteban

    2016-01-01

    Abstract Alcohol is one of the most common etiologies of liver disease, and alcoholic liver disease overall is the second most common indication for liver transplantation in the United States. It encompasses a spectrum of disease, including fatty liver disease, alcoholic hepatitis (AH), and alcoholic cirrhosis. AH can range from mild to severe disease, with severe disease being defined as: Discriminant Function (DF) ≥ 32, or Model for End-stage Liver Disease (MELD) ≥ 21, or presence of hepatic encephalopathy. Management of the mild disease consists mainly of abstinence and supportive care. Severe AH is associated with significant mortality. Currently, there is no ideal medical treatment for this condition. Besides alcohol cessation, corticosteroids have been used with conflicting results and are associated with an inherent risk of infection. Overall steroids have shown short term benefit when compared to placebo, but they have no obvious long term benefits. Pentoxifylline does not improve survival in patients with severe AH and is no longer recommended based on the results of the STOPAH (Steroid Or Pentoxifylline for Alcoholic Hepatitis) trial. Anti-tumor necrosis factor (TNF) agents are associated with increased risk of life threatening infections and death. Currently, early stage trials are underway, mainly targeting novel pathways based on disease pathogenesis, including modulation of innate immune system, inhibition of gut-liver axis and cell death pathways, and activation of transcription factor farnesyl X receptor (FXR). Future treatment may lie in human induced pluripotent stem cell (iPSC) technology, which is currently under investigation for the study of pathogenesis, drug discovery, and stem cell transplantation. Liver transplantation has been reported with good results in highly selected patients but is controversial due to limited organ supply. PMID:27350941

  2. Preparing Future Leaders: Project Management Strategies for Service Learning

    ERIC Educational Resources Information Center

    Munger, Roger; Gutowski, Amanda

    2008-01-01

    This article makes a case for teaching project management strategies in service-learning courses. The authors describe three specific documents students can create to help them manage a service-learning project and then present strategies that can help students manage their project teams. Such skills, the authors argue, provide the tools students…

  3. The Future of Management as Design: A Thought Experiment

    ERIC Educational Resources Information Center

    Bouchard, Veronique; del Forno, Leon

    2012-01-01

    Purpose: Management practices and education are presently in a stage of reappraisal and a growing number of scholars and experts are suggesting that managers should be taught and adopt the approach and methodologies of designers. The purpose of this paper is to imagine the impact of this move and to try and foresee whether "management as design"…

  4. Case Management in Community Corrections: Current Status and Future Directions

    ERIC Educational Resources Information Center

    Day, Andrew; Hardcastle, Lesley; Birgden, Astrid

    2012-01-01

    Case management is commonly regarded as the foundation of effective service provision across a wide range of human service settings. This article considers the case management that is offered to clients of community corrections, identifying the distinctive features of case management in this particular setting, and reviewing the empirical evidence…

  5. An Investigation on the Impact of Training on Employees’ Perceptions of Occupational Status and Self-Esteem in the Foodservice Industry

    DTIC Science & Technology

    2001-12-01

    what impacts or changes the perceptions of its occupational status directly relating to self - esteem . Additionally, previous research on occupational... self - esteem may help to keep quality employees in the foodservice industry. Additionally, it may take on the larger task of helping to change society’s

  6. The ATLAS Distributed Data Management project: Past and Future

    NASA Astrophysics Data System (ADS)

    Garonne, Vincent; Stewart, Graeme A.; Lassnig, Mario; Molfetas, Angelos; Barisits, Martin; Beermann, Thomas; Nairz, Armin; Goossens, Luc; Barreiro Megino, Fernando; Serfon, Cedric; Oleynik, Danila; Petrosyan, Artem

    2012-12-01

    ATLAS has recorded more than 8 petabyte(PB) of RAW data since the LHC started running at the end of 2009. Many more derived data products and complimentary simulation data have also been produced by the collaboration and, in total, 90PB are currently stored in the Worldwide LHC Computing Grid by ATLAS. All these data are managed by the ATLAS Distributed Data Management system, called Don Quijote 2 (DQ2). DQ2 has evolved rapidly to help ATLAS Computing operations manage these large quantities of data across the many grid sites at which ATLAS runs, and to help ATLAS physicists get access to these data. In this paper, we describe new and improved DQ2 services, and the experience of data management operation in ATLAS computing, showing how these services enable the management of PB scale computing operations. We also present the concepts of the new version of the ATLAS Distributed Data Management (DDM) system, Rucio.

  7. Improving financial and patient outcomes: the future of demand management.

    PubMed

    Marosits, M J

    1997-08-01

    Demand management has evolved from early managed care models that sought to curtail rising costs through demand-side utilization controls. The first generation of demand management relied heavily on financial incentives for consumers and physicians to demand fewer and less costly resources. The second generation of demand management complemented financial incentives with clinically focused strategies. Often, these strategies were implemented directly by the payer on through a primary care physician gatekeeper. The current and coming generation of demand management activities emphasizes informed consumer choice and active participation in preventative health care, resource utilization decisions, and customization of healthcare services. This personal health management aligns financial incentives, clinical care protocols, and consumer decision-support systems to balance outcomes and resource consumption.

  8. Meeting future information needs for Great Lakes fisheries management

    USGS Publications Warehouse

    Christie, W.J.; Collins, John J.; Eck, Gary W.; Goddard, Chris I.; Hoenig, John M.; Holey, Mark; Jacobson, Lawrence D.; MacCallum, Wayne; Nepszy, Stephen J.; O'Gorman, Robert; Selgeby, James

    1987-01-01

    Description of information needs for management of Great Lakes fisheries is complicated by recent changes in biology and management of the Great Lakes, development of new analytical methodologies, and a transition in management from a traditional unispecies approach to a multispecies/community approach. A number of general problems with the collection and management of data and information for fisheries management need to be addressed (i.e. spatial resolution, reliability, computerization and accessibility of data, design of sampling programs, standardization and coordination among agencies, and the need for periodic review of procedures). Problems with existing data collection programs include size selectivity and temporal trends in the efficiency of fishing gear, inadequate creel survey programs, bias in age estimation, lack of detailed sea lamprey (Petromyzon marinus) wounding data, and data requirements for analytical techniques that are underutilized by managers of Great Lakes fisheries. The transition to multispecies and community approaches to fisheries management will require policy decisions by the management agencies, adequate funding, and a commitment to develop programs for collection of appropriate data on a long-term basis.

  9. Product line management: its meaning and future promise.

    PubMed

    Salter, V

    1986-05-01

    The concept of product line management has recently drawn much attention in the health care field. The impetus has come from both marketing and accounting professionals as they have sought to find solutions to identified problems. Examined here are the roots of product line management, the reasons for the growth in the application of the concept in health care, and whether it promises to solve the problems faced by health care organizations in the current highly competitive environment.

  10. Managing immune diseases in the smartphone era: how have apps impacted disease management and their future?

    PubMed

    Gallagher, Joe; O'Donoghue, John; Car, Josip

    2015-04-01

    Immunology, similar to other areas of clinical science, is a data-rich discipline that involves a great deal of interaction between healthcare professionals and their patients. The focus of this editorial is to review the challenges and opportunities for mobile healthcare applications within immunology. It is clear that further research is required to fully maximize the potential of mobile apps (e.g., regulations and guidelines, electronic health). However, it is equally clear that mobile healthcare applications have had a positive impact on patient outcomes (better response rates, more efficient usage of time and more accurate diagnosis). Overall, healthcare applications have a fundamental role to play in the future management of diseases as they will help to ensure that we deliver more effective patient care.

  11. Back to the future. [Forestry management in Nepal

    SciTech Connect

    Pardo, R. )

    1993-06-01

    If the forests in the Himalayan mountain kingdom of Nepal were evenly distributed and accessible, they could likely meet the country's needs for forest products including the significant use of wood fuels. However, accelerated forest degradation and deforestation is occurring in Nepal. This article reviews how the 1992 Nepal Forestry Act substantially reallocates the responsibility for management of Nepal's forests between the central government and the local communities, dividing the forests into five different types: community, leasehold, government-managed, protected, and religious. Some of the problems created by the law's community forestry provisions are described. Since no guidelines for management are in the legislation nor are there objectives and standards for administration, changes in these areas could improve implementation and achieve sustainable forest development. 6 refs., 1 fig.

  12. Education and training of future wetland scientists and managers

    USGS Publications Warehouse

    Wilcox, D.A.

    2008-01-01

    Wetland science emerged as a distinct discipline in the 1980s. In response, courses addressing various aspects of wetland science and management were developed by universities, government agencies, and private firms. Professional certification of wetland scientists began in the mid-1990s to provide confirmation of the quality of education and experience of persons involved in regulatory, management, restoration/construction, and research involving wetland resources. The education requirements for certification and the need for persons with specific wetland training to fill an increasing number of wetland-related positions identified a critical need to develop curriculum guidelines for an undergraduate wetland science and management major for potential accreditation by the Society of Wetland Scientists. That proposed major contains options directed toward either wetland science or management. Both options include required basic courses to meet the general education requirements of many universities, required upper-level specialized courses that address critical aspects of physical and biological sciences applicable to wetlands, and a minimum of four additional upper-level specialized courses that can be used to tailor a degree to students' interests. The program would be administered by an independent review board that would develop guidelines and evaluate university applications for accreditation. Students that complete the required coursework will fulfill the education requirements for professional wetland scientist certification and possess qualifications that make them attractive candidates for graduate school or entry-level positions in wetland science or management. Universities that offer this degree program could gain an advantage in recruiting highly qualified students with an interest in natural resources. Alternative means of educating established wetland scientists are likewise important, especially to provide specialized knowledge and experience or

  13. Banking for the future: Prospects for integrated cyclical water management

    NASA Astrophysics Data System (ADS)

    Ross, Andrew

    2014-11-01

    Integrated management of surface water and groundwater can provide efficient and flexible use of water by making the best use of the properties of different types of water resources. Integrated cyclical water management can help adaptation to climate variation and uncertainty by varying the proportion of surface water and groundwater allocations over time in response to changing water availability. Water use entitlements and rules specify conditions for the use, storage and exchange of surface water and groundwater. These entitlements and rules provide certainty for water users, investors and managers. Entitlements and rules also need to be flexible to enable users and managers to respond to changing water availability and knowledge. Arrangements to provide certainty and flexibility can conflict. For example guarantees of specific long-term allocations of water, or shares of allocations can conflict with arrangements to bank water underground during wet periods and then to use an increased amount of groundwater in dry periods. Systems of water entitlements and rules need to achieve a balance between certainty and flexibility. This article explores the effect of water entitlements and rules, and arrangements to provide certainty and flexibility for the integration of surface water and groundwater management over time. The analysis draws on case studies from the Namoi River basin in New South Wales and the South Platte River basin in Colorado. Integrated cyclical water management requires a comprehensive, flexible and balanced system of water entitlements and rules that allow extended water carryover, water banking, aquifer storage and recovery over the wet and dry climate cycle. Opportunities for extended carryover and aquifer storage and recovery over the wet and dry climate cycle merit further consideration in New South Wales, Colorado and other jurisdictions.

  14. Future Urbanization and the Management of Urban Heat Risk

    NASA Astrophysics Data System (ADS)

    Marcotullio, P. J.

    2015-12-01

    We present urbanization scenarios that identify a range of urban population estimates to 2100 on a global spatial grid. We associate these data with model outputs that estimate future temperature using IPCC RCP8.5 scenarios for 2030, 2050, 2070 and 2080 using minimum, maximum and mean urban population per grid cell exposure to average summer temperatures of > 35° C to identify national, regional and global totals. After an examination of urban extreme heat morbidity and mortality trends we review the range of policies (across sectors such as energy, buildings, health and hospitals, water supply, transportation, etc.,) with particular emphasis on knowledge from different sources, technologies and experiences - including indigenous knowledge systems, currently deployed in cities around the world that respond to this threat. Finally, we identify potential synergies, trade-offs and maladaptations in urban adaptation responses to extreme heat given estimated future population exposure.

  15. Plan Your Future! Career Management Skills for Students of Languages

    ERIC Educational Resources Information Center

    Randall, Laurence

    2016-01-01

    At the University of Westminster, the Department of Modern Languages and Cultures has developed a student employability and work-integrated learning project, "Career Management Skills" (CMS), for undergraduate language students. The main objective was to develop a comprehensive employability strategy for all students on all undergraduate…

  16. Detecting biological responses to flow management: Missed opportunities; future directions

    USGS Publications Warehouse

    Souchon, Y.; Sabaton, C.; Deibel, R.; Reiser, D.; Kershner, J.; Gard, M.; Katopodis, C.; Leonard, P.; Poff, N.L.; Miller, W.J.; Lamb, B.L.

    2008-01-01

    The conclusions of numerous stream restoration assessments all around the world are extremely clear and convergent: there has been insufficient appropriate monitoring to improve general knowledge and expertise. In the specialized field of instream flow alterations, we consider that there are several opportunities comparable to full-size experiments. Hundreds of water management decisions related to instream flow releases have been made by government agencies, native peoples, and non-governmental organizations around the world. These decisions are based on different methods and assumptions and many flow regimes have been adopted by formal or informal rules and regulations. Although, there have been significant advances in analytical capabilities, there has been very little validation monitoring of actual outcomes or research related to the response of aquatic dependent species to new flow regimes. In order to be able to detect these kinds of responses and to better guide decision, a general design template is proposed. The main steps of this template are described and discussed, in terms of objectives, hypotheses, variables, time scale, data management, and information, in the spirit of adaptive management. The adoption of such a framework is not always easy, due to differing interests of actors for the results, regarding the duration of monitoring, nature of funding and differential timetables between facilities managers and technicians. Nevertheless, implementation of such a framework could help researchers and practitioners to coordinate and federate their efforts to improve the general knowledge of the links between the habitat dynamics and biological aquatic responses. Copyright ?? 2008 John Wiley & Sons, Ltd.

  17. The Future of Management Education in Australia: Challenges and Innovations

    ERIC Educational Resources Information Center

    Hall, Richard; Agarwal, Renu; Green, Roy

    2013-01-01

    Purpose -- The purpose of this paper is to undertake a survey of the external and internal forces changing the nature of business schools and business education. It aims to investigate how management education responds to increasing productivity, innovation and capability challenges, examine how MBA programs currently meet these demands, and how…

  18. Women in Management: Leadership Theories, Research Results, and Future Directions.

    ERIC Educational Resources Information Center

    Putnam, Linda L.

    This review of the literature about women in management advocates the pursuit of research on women executives as unique components in the organizational setting, with the warning that careful and unremitting attention be paid to the selection of theoretical perspectives. It examines trait and role theory, and discusses such factors as…

  19. Enlisted Force Management: Past Practices and Future Challenges

    DTIC Science & Technology

    1991-01-22

    overlunder POF Page 31 GAO/NSIAD-9148 Eilisted Force Managie ~met Chapter 3 DOD Enlisted Force Management Requirements Figure 3.10: Fiscal Year 1989 Army E...military pay and retirement benefits. A more senior force brings higher current compensation costs, greater "T’rhese result.’ were discussed in a July 30

  20. WATERSHED MANAGEMENT ON THE PAJARITO PLATEAU: PAST, PRESENT, AND FUTURE

    SciTech Connect

    K. MULLEN; K. BITNER

    2001-01-01

    Los Alamos National Laboratory (LANL) developed a draft watershed-management plan that pertains to the 43-mi{sup 2} area within the LANL boundaries. The watershed-management plan was started in 1996 with a number of overall goals: (1) to be a good steward of the natural resources entrusted to the laboratory, (2) to provide long-term evaluation regarding success of the Environmental Restoration Project in acceptably cleaning up sites, (3) compliance with the storm water National Pollution Discharge Elimination System program, and (4) upgrading the LANL environmental surveillance program that has been ongoing since the 1940s. LANL has an extensive network consisting of 53 surface-water-monitoring stations located in every major canyon, upstream and downstream of LANL, and at most confluences. Monitoring of the network has been ongoing for about 20 years. The stations are equipped with ultrasonic transducers that trip automated samplers to collect water samples from every flow event. These data have been reported every year in the report series Environmental Surveillance at Los Alamos, but have not been used to analyze watershed health. The focus of the LANL watershed-management plan is to use water quality data to monitor watershed health and to implement management actions when LANL activities, past or present, adversely impact the health of the watershed.

  1. Capacity Assurance - A Twenty Year Planning Tool for the Future Management of Hazardous Waste

    EPA Pesticide Factsheets

    This page contains information about the assessment of national capacity is intended to reflect the reality of waste flows and needs for future management capacity along with the 2015 report, previous reports, and supporting documents

  2. Disease management: state of the art and future directions.

    PubMed

    Armstrong, E P; Sclar, D A

    1999-03-01

    Disease management (DM) programs have become common in health systems, especially in managed care organizations and hospitals. These programs are designed to improve both the quality of care and the efficiency of health care delivery. However, there may be controversy about the most important outcomes to consider. Furthermore, the effectiveness of DM initiatives is largely undocumented in the literature. The purpose of this paper is to review the issues, methods, and outcomes involved in creating and instituting DM programs. To improve DM efforts within health systems, constructive relationships with practitioners need to be built by involving important individuals early in the process. It is hoped that evidence-based guidelines will further enhance DM efforts. Beneficial DM initiatives require a multidisciplinary focus of cooperation and willingness to share data between distinct professional groups. More thorough analysis of DM programs is needed in many health systems.

  3. Clinical management of dilated cardiomyopathy: current knowledge and future perspectives.

    PubMed

    Merlo, Marco; Cannatá, Antonio; Vitagliano, Alice; Zambon, Elena; Lardieri, Gerardina; Sinagra, Gianfranco

    2016-01-01

    Dilated cardiomyopathy (DCM) is a primary heart muscle disease characterized by a progressive dilation and dysfunction of either the left or both ventricles. The management of DCM is currently challenging for clinicians. The persistent lack of knowledge about the etiology and pathophysiology of this disease continues to determine important fields of uncertainty in managing this condition. Molecular cardiology and genetics currently represent the most crucial horizon of increasing knowledge. Understanding the mechanisms underlying the disease allows clinicians to treat this disease more effectively and to further improve outcomes of DCM patients through advancements in etiologic characterization, prognostic stratification and individualized therapy. Left ventricular reverse remodeling predicts a lower rate of major cardiac adverse events independently from other factors. Optimized medical treatment and device implantation are pivotal in inducing left ventricular reverse remodeling. Newly identified targets, such as angiotensin-neprilysin inhibition, phosphodiesterase inhibition and calcium sensitizing are important in improving prognosis in patients affected by DCM.

  4. Towards "DRONE-BORNE" Disaster Management: Future Application Scenarios

    NASA Astrophysics Data System (ADS)

    Tanzi, Tullio Joseph; Chandra, Madhu; Isnard, Jean; Camara, Daniel; Sebastien, Olivier; Harivelo, Fanilo

    2016-06-01

    Information plays a key role in crisis management and relief efforts for natural disaster scenarios. Given their flight properties, UAVs (Unmanned Aerial Vehicles) provide new and interesting perspectives on the data gathering for disaster management. A new generation of UAVs may help to improve situational awareness and information assessment. Among the advantages UAVs may bring to the disaster management field, we can highlight the gain in terms of time and human resources, as they can free rescue teams from time-consuming data collection tasks and assist research operations with more insightful and precise guidance thanks to advanced sensing capabilities. However, in order to be useful, UAVs need to overcome two main challenges. The first one is to achieve a sufficient autonomy level, both in terms of navigation and interpretation of the data sensed. The second major challenge relates to the reliability of the UAV, with respect to accidental (safety) or malicious (security) risks. This paper first discusses the potential of UAV in assisting in different humanitarian relief scenarios, as well as possible issues in such situations. Based on recent experiments, we discuss the inherent advantages of autonomous flight operations, both lone flights and formation flights. The question of autonomy is then addressed and a secure embedded architecture and its specific hardware capabilities is sketched out. We finally present a typical use case based on the new detection and observation abilities that UAVs can bring to rescue teams. Although this approach still has limits that have to be addressed, technically speaking as well as operationally speaking, it seems to be a very promising one to enhance disaster management efforts activities.

  5. Some thoughts about future perspectives of water and wastewater management.

    PubMed

    Wilderer, P A

    2004-01-01

    The ideals of sustainability have a longer history than is sometimes realised, as they can be traced back to the insights of Von Carlowitz in 1713. However in the intervening centuries early successes in sanitation based on the "flushing sewer" led engineers to focus too much on sewerage-based solutions that are increasingly uneconomic and unequal to the challenges arising from population growth and urbanisation. The future strategy for globally sustainable sanitation will surely involve source separation and recycling and reuse: these are the technologies that environmental scientists and engineers should now be addressing.

  6. Control of Future Air Traffic Systems via Complexity Bound Management

    NASA Technical Reports Server (NTRS)

    Alexandrov, Natalia

    2013-01-01

    The complexity of the present system for managing air traffic has led to "discreteness" in approaches to creating new concepts: new concepts are created as point designs, based on experience, expertise, and creativity of the proposer. Discrete point designs may be highly successful but they are difficult to substantiate in the face of equally strong substantiation of competing concepts, as well as the state of the art in concept evaluation via simulations. Hybrid concepts may present a compromise - the golden middle. Yet a hybrid of sometimes in principle incompatible concepts forms another point design that faces the challenge of substantiation and validation. We are faced with the need to re-design the air transportation system ab initio. This is a daunting task, especially considering the problem of transitioning from the present system to any fundamentally new system. However, design from scratch is also an opportunity to reconsider approaches to new concept development. In this position paper we propose an approach, Optimized Parametric Functional Design, for systematic development of concepts for management and control of airspace systems, based on optimization formulations in terms of required system functions and states. This reasoning framework, realizable in the context of ab initio system design, offers an approach to deriving substantiated airspace management and control concepts. With growing computational power, we hope that the approach will also yield a methodology for actual dynamic control of airspace

  7. Conflict Detection and Resolution for Future Air Transportation Management

    NASA Technical Reports Server (NTRS)

    Krozel, Jimmy; Peters, Mark E.; Hunter, George

    1997-01-01

    With a Free Flight policy, the emphasis for air traffic control is shifting from active control to passive air traffic management with a policy of intervention by exception. Aircraft will be allowed to fly user preferred routes, as long as safety Alert Zones are not violated. If there is a potential conflict, two (or more) aircraft must be able to arrive at a solution for conflict resolution without controller intervention. Thus, decision aid tools are needed in Free Flight to detect and resolve conflicts, and several problems must be solved to develop such tools. In this report, we analyze and solve problems of proximity management, conflict detection, and conflict resolution under a Free Flight policy. For proximity management, we establish a system based on Delaunay Triangulations of aircraft at constant flight levels. Such a system provides a means for analyzing the neighbor relationships between aircraft and the nearby free space around air traffic which can be utilized later in conflict resolution. For conflict detection, we perform both 2-dimensional and 3-dimensional analyses based on the penetration of the Protected Airspace Zone. Both deterministic and non-deterministic analyses are performed. We investigate several types of conflict warnings including tactical warnings prior to penetrating the Protected Airspace Zone, methods based on the reachability overlap of both aircraft, and conflict probability maps to establish strategic Alert Zones around aircraft.

  8. Futurism.

    ERIC Educational Resources Information Center

    Foy, Jane Loring

    The objectives of this research report are to gain insight into the main problems of the future and to ascertain the attitudes that the general population has toward the treatment of these problems. In the first section of this report the future is explored socially, psychologically, and environmentally. The second section describes the techniques…

  9. Leadership succession planning: an evidence-based approach for managing the future.

    PubMed

    Redman, Richard W

    2006-06-01

    Leadership succession planning is a key business strategy to help organizational leaders deal effectively with the future. Evidence from industry provides a variety of best practices that can ensure that a pipeline of leaders will be available when they are needed. The author addresses the essential needs that individuals face when developing a cadre of available leaders prepared for managing an uncertain future.

  10. An Information Management System for CHIKYU Operation and its Future

    NASA Astrophysics Data System (ADS)

    Kuramoto, S.; Matsuda, S.; Ito, H.

    2005-12-01

    The CDEX (Center for Deep Earth Exploration, JAMSTEC) is an implementing organization of a riser drilling vessel, CHIKYU ("Earth"). CHIKYU has a large capability to produce a wide variety of data, core measurement data, logging data, mud logging data, cuttings data and monitoring data in boreholes, etc. Also CDEX conducts site survey for safety drilling and publication before and after cruises. It is critical that these diverse data be managed using a unified, coherent method, and that they be organized and provided to users in an intuitive, clearly understandable way that reflects the aims and underlying philosophies of the IODP and JAMSTEC. It is crucial that these data are accessible to users through an integrated interface in which all data formats, management tools, and procedures are standardized. Meeting these goals will assure total usability for scientists, administrators, and the public, from data creation to uploading and cataloging, to end use and publication. CDEX is developing an integrated information management system, call "SIO7" (Scientific Information from 7 Oceans) for CHIKYU operation, and would like to extend to adopt various information handling systems in geosciences. The SIO7 composed of 2 major systems, J-CORES (JAMSTEC Core Systematics) and DEXIS (Deep Earth Exploration Information System) (see http://sio7.jamstec.go.jp/ for the details). J-CORES is a database system designated to manage all aspects of core data. The system is modeled on the JANUS system developed by and for ODP, but implements an extended, somewhat modified data model. The functions that support onboard and real time data input operations have also been strengthened. A variety of data visualization and visual core description functions have been added, and data loading from those applications has been automated, making the system as a whole both powerful and easy to use. On the other hand, DEXIS is developed based on the combination and integration of existing off

  11. Management of knee osteoarthritis. Current status and future trends.

    PubMed

    Ondrésik, Marta; Azevedo Maia, Fatima R; da Silva Morais, Alain; Gertrudes, Ana C; Dias Bacelar, Ana H; Correia, Cristina; Gonçalves, Cristiana; Radhouani, Hajer; Amandi Sousa, Rui; Oliveira, Joaquim M; Reis, Rui L

    2017-04-01

    Osteoarthritis (OA) affects a large number of the population, and its incidence is showing a growing trend with the increasing life span. OA is the most prevalent joint condition worldwide, and currently, there is no functional cure for it. This review seeks to briefly overview the management of knee OA concerning standardized pharmaceutical and clinical approaches, as well as the new biotechnological horizons of OA treatment. The potential of biomaterials and state of the art of advanced therapeutic approaches, such as cell and gene therapy focused primarily on cartilage regeneration are the main subjects of this review. Biotechnol. Bioeng. 2017;114: 717-739. © 2016 Wiley Periodicals, Inc.

  12. Diversity in engineering: managing the workforce of the future

    SciTech Connect

    Layne, Peggy; Arenberg, Carol

    2002-07-03

    On October 29-30, 2001, the National Academy of Engineering Committee on Diversity in the Engineering Workforce brought together representatives of corporations that have been recognized for their successful diversity programs and members of the NAE Forum on Diversity to participate in a workshop entitled ''Best Practices in Managing Diversity''. The purpose of the workshop was to identify and describe corporate programs that have successfully recruited, retained, and advanced women and minorities in engineering careers and to discuss metrics by which to evaluate diversity programs.

  13. Future directions for the management of pain in osteoarthritis

    PubMed Central

    Sofat, Nidhi; Kuttapitiya, Anasuya

    2014-01-01

    Osteoarthritis (OA) is the predominant form of arthritis worldwide, resulting in a high degree of functional impairment and reduced quality of life owing to chronic pain. To date, there are no treatments that are known to modify disease progression of OA in the long term. Current treatments are largely based on the modulation of pain, including NSAIDs, opiates and, more recently, centrally acting pharmacotherapies to avert pain. This review will focus on the rationale for new avenues in pain modulation, including inhibition with anti-NGF antibodies and centrally acting analgesics. The authors also consider the potential for structure modification in cartilage/bone using growth factors and stem cell therapies. The possible mismatch between structural change and pain perception will also be discussed, introducing recent techniques that may assist in improved patient phenotyping of pain subsets in OA. Such developments could help further stratify subgroups and treatments for people with OA in future. PMID:25018771

  14. Management of Dynamic Biomedical Terminologies: Current Status and Future Challenges

    PubMed Central

    Dos Reis, J. C.; Pruski, C.

    2015-01-01

    Summary Objectives Controlled terminologies and their dependent artefacts provide a consensual understanding of a domain while reducing ambiguities and enabling reasoning. However, the evolution of a domain’s knowledge directly impacts these terminologies and generates inconsistencies in the underlying biomedical information systems. In this article, we review existing work addressing the dynamic aspect of terminologies as well as their effects on mappings and semantic annotations. Methods We investigate approaches related to the identification, characterization and propagation of changes in terminologies, mappings and semantic annotations including techniques to update their content. Results and conclusion Based on the explored issues and existing methods, we outline open research challenges requiring investigation in the near future. PMID:26293859

  15. Management of Hepatocellular Carcinoma: Current Status and Future Directions

    PubMed Central

    Au, Jennifer S.; Frenette, Catherine T.

    2015-01-01

    Hepatocellular carcinoma (HCC) is the second most common cause of cancer death worldwide. This cancer commonly arises against a background of chronic liver disease. As a result, a patient with HCC requires multidisciplinary care. Treatment options vary widely based on tumor burden and metastases. The most widely utilized staging system is the Barcelona Clinic Liver Cancer staging system, which recommends treatments based on tumor size and the underlying liver disease and functional status of the patient. Treatment options range from surgical resection or transplantation to locoregional therapies with modalities such as radiofrequency ablation and transarterial chemoembolization to systemic chemotherapies. Future care involves the development of combination therapies that afford the best tumor response, further clarification of the patients best suited for therapies and the development of new oral chemotherapeutic agents. PMID:26087860

  16. USMC’s Environmental Management Portal for EMS Implementation Service-wide Rollout and Future Plans

    DTIC Science & Technology

    2010-06-16

    app icaJie legislatiJn and regulatio1s. Training Opportunities Environmental learning Management System 1\\’larineNet Internet Based Training and...installations – Will resolve certain access issues • Application Integration Future information exchange Environmental Learning Management System (ELMS) identify

  17. A Critical Appraisal of Recent Advances and Future Directions in Value Management

    ERIC Educational Resources Information Center

    Fong, Patrick Sik-Wah

    2004-01-01

    At present, value management (VM) is struggling to survive amidst other management fads. The problem is that it is still not recognized as a professional or academic discipline. There is no sound academic base and a lack of understanding by the public, owners and corporate organizations. The future survival of VM is therefore always being…

  18. Environmental Quality of the Pensacola Bay System: Retrospective Review for Future Resource Management and Rehabilitation

    EPA Science Inventory

    The objective of this report is to summarize the scattered environmental information for the PBS which is essential for understanding its current environmental condition and trend and needed for future cost-effective and science-based resource management. The management and regul...

  19. Managers' perceptions of radiographers' skills: current and future needs.

    PubMed

    Akroyd, D; Wold, B

    1996-01-01

    As the healthcare delivery system changes, it is imperative to assess the skills of practitioners to ensure consistency between educational preparation and work place needs. The purpose of this study was to examine radiology managers' perception of selected workplace skills and new radiography graduates' ability to perform them. A random sample of 1,932 members of the American Healthcare Radiology Administrators (AHRA) received a questionnaire containing 35 skills categorized as basic, intermediate or advanced. Skills were ranked by the magnitude of the difference between managers' rating of importance of each skill and their rating of graduates' ability to perform that skill satisfactorily. In the basic skill area, the four top-ranked skills represented problem-solving ability or critical thinking. Of the five highest-ranked intermediate skills, the top three were patient care skills: venipuncture, taking vital signs and monitoring patient equipment. In the advanced skill area, six skills exhibited high values for the difference between importance and ability. Two of those related to patient care, three were non-technical and the sixth was the ability to perform CT in addition to basic radiography. Employers and educators should work together to seek educational methods that produce radiographers who are better prepared for the fast-changing workplace.

  20. California Groundwater Management During Drought: Existing and Future Regulatory Approaches

    NASA Astrophysics Data System (ADS)

    Ekdahl, E.; Boland-Brien, S.; Vanderburgh, B.; Landau, K.; Bean, J.; Peltier, T.

    2015-12-01

    Groundwater has served as an effective buffer to California's crippling drought of 2012-2015, allowing continued agricultural production in many areas where surface water deliveries have been curtailed. However, over-reliance on groundwater has caused plummeting groundwater levels in much of the state's heavily agricultural regions, with annual groundwater overdraft state-wide estimated in the millions of acre-feet per year. Prior to 2015, California water law did not allow for the effective monitoring or assessment of groundwater use; passage of new state regulations will require development of locally-managed plans that, for the first time, require comprehensive groundwater management and groundwater basin sustainability. Because these plans are not required to be implemented for another 25 years, groundwater levels will likely continue to decrease. Some communities that are 100-percent reliant on groundwater as a source of municipal supply may face shortages and supply issues, which may exacerbate known water quality concerns. Examination of community water systems that are reliant on groundwater, their existing water quality issues, and their response to the current drought (through existing mandatory conservation requirements imposed by California state regulators) can identify areas that are particularly susceptible to continued groundwater overdraft.

  1. Measuring potential access to food stores and food-service places in rural areas in the U.S.

    PubMed

    Sharkey, Joseph R

    2009-04-01

    Geographic access to healthy food resources remains a major focus of research that examines the contribution of the built environment to healthful eating. Methods used to define and measure spatial accessibility can significantly affect the results. Considering the implications for marketing, policy, and programs, adequate measurement of the food environment is important. Little of the published work on food access has focused on rural areas, where the burden of nutrition-related disease is greater. This article seeks to expand our understanding of the challenges to measurement of potential spatial access to food resources in rural areas in the U.S. Key challenges to the accurate measurement of the food environment in rural areas include: (1) defining the rural food environment while recognizing that market factors may be changing; (2) describing characteristics that may differentiate similar types of food stores and food-service places; and (3) determining location coordinates for food stores and food-service places. In order to enhance measurements in rural areas, "ground-truthed" methodology, which includes on-site observation and collection of GPS data, should become the standard for rural areas. Measurement must also recognize the emergence of new and changing store formats. Efforts should be made to determine accessibility, in terms of both proximity to a single location and variety of multiple locations within a specified buffer, from origins other than the home, and consider multipurpose trips and trip chaining. The measurement of food access will be critical for community-based approaches to meet dietary needs. Researchers must be willing to take the steps necessary for rigorous measurement of a dynamic food environment.

  2. Records Management: Preserving the Past to Make the Future

    NASA Technical Reports Server (NTRS)

    Petro, Kathryn

    2004-01-01

    As an intern in the Records Management Office at NASA, I have learned the importance of records management and teamwork. I work in building 60 with Kevin Coleman, the Records and Forms Manager and History Officer, and Deborah Demaline, the senior records specialist. Prior to my internship, I had never paid attention to records and their role in operating a business. However, after my first assignment of identifying files and filling out a C-277 form, I realized the importance of preserving each file. Since NASA is a government agency, keeping our records in a safe and easily accessible area is a major priority. As the records have accumulated over the years, and the destruction of records has been put on hold due to the fairly recent tobacco litigation; the amount of NASA s records has been quickly accumulating. Currently, our records are stored at Plum Brook in Sandusky, Ohio. Recently, rain has leaked through the bunkers and caused damage to some of our records boxes. Plum Brook has been experiencing difficulty in finding the funds to repair the damage. NASA Glenn is reluctant to give Plum Brook more money because the staff at the Sandusky site has not shown us a detailed summary of what they are doing with the funds we give them annually. Even though storing our records at Plum Brook comes with little cost, there are plenty other companies that offer a records storage area and a special software database for easy record retrieval. My assignment is to do a feasibility study on these companies to see how they compare in providing the appropriate criteria for NASA Glenn's needs. Other research I am doing is on which companies will allow us to convert our physical records into an electronic database for quicker retrieval and to eliminate the cost of storing our records in a facility altogether. The two studies have required me to not only work closely with the Records Management Department, but also the Information Technology staff. It has been important for me to

  3. Contemporary management of prosthetic valve endocarditis: principals and future outlook.

    PubMed

    O'Connor, Cormac T; Kiernan, Thomas J

    2015-05-01

    Infective endocarditis involving prosthetic valves accounts for 20% of all endocarditis cases. Rising in prevalence due to increasing placement of valvular prostheses, prosthetic valve endocarditis (PVE) is more difficult to diagnose by conventional methods, associated with more invasive infection and increased mortality. This report explores the existing literature in identifying a direct approach to the management of PVE; such as adjuncts to establishing a diagnosis (for instance positron emission tomography/computed tomography and radiolabeled leukocyte scintigraphy), the trends in specific pathogens associated with PVE and the recommended antimicrobials for each. The patterns of disease requiring surgical intervention are also highlighted and explored. In addition, a 5-year outlook offers consolidated knowledge on epidemiological trends of both culprit organisms and population subgroups suffering (and projected to suffer) from PVE.

  4. AEM and NMR: Tools for the Future of Groundwater Management

    NASA Astrophysics Data System (ADS)

    Abraham, J. D.; Cannia, J. C.; Lawrie, K.

    2012-12-01

    Within the world, understanding groundwater resources and their management are growing in importance to society as groundwater resources are stressed by drought and continued development. To minimize conflicts, tools and techniques need to be applied to support knowledge-based decisions and management. Airborne electromagnetic (AEM) surveys provide high-quality subsurface data not available from any other source for building the complex hydrogeologic frameworks needed by water-resource managers for effective groundwater management. Traditionally, point data, such as borehole logs, borehole geophysics, surface geophysics, and aquifer tests were interpolated over long distances to create hydrogeologic frameworks. These methods have enjoyed a long history of being the best available technology to inform our understanding of groundwater and how it moves. The AEM techniques proivde pathway for geoscientists to follow to develop more accurate descriptions of the hydrogeological framework. However, the critical and challenging measurements in characterizing aquifers include effective porosity and hydraulic conductivity. These parameters are not reliable derived from AEM. Typically, values for effective porosity and hydraulic conductivity are derived by lithological comparisons with published data; direct measurements of hydraulic conductivity acquired by a few constant head aquifer tests or slug tests; and expensive and time consuming laboratory measurements of cores which can be biased by sampling and the difficulty of making measurements on unconsolidated materials. Aquifer tests are considered to be the best method to gather information on hydraulic conductivity but are rare because of cost and difficult logistics. Also they are unique in design and interpretation from site to site. Nuclear Magnetic Resonance (NMR) can provide a direct measurement of the presence of water in the pore space of aquifer materials. Detection and direct measurement is possible due to the

  5. Ewing Sarcoma: Current Management and Future Approaches Through Collaboration.

    PubMed

    Gaspar, Nathalie; Hawkins, Douglas S; Dirksen, Uta; Lewis, Ian J; Ferrari, Stefano; Le Deley, Marie-Cecile; Kovar, Heinrich; Grimer, Robert; Whelan, Jeremy; Claude, Line; Delattre, Olivier; Paulussen, Michael; Picci, Piero; Sundby Hall, Kirsten; van den Berg, Hendrik; Ladenstein, Ruth; Michon, Jean; Hjorth, Lars; Judson, Ian; Luksch, Roberto; Bernstein, Mark L; Marec-Bérard, Perrine; Brennan, Bernadette; Craft, Alan W; Womer, Richard B; Juergens, Heribert; Oberlin, Odile

    2015-09-20

    Ewing sarcoma (ES) is an aggressive sarcoma of bone and soft tissue occurring at any age with a peak incidence in adolescents and young adults. The treatment of ES relies on a multidisciplinary approach, coupling risk-adapted intensive neoadjuvant and adjuvant chemotherapies with surgery and/or radiotherapy for control of the primary site and possible metastatic disease. The optimization of ES multimodality therapeutic strategies has resulted from the efforts of several national and international groups in Europe and North America and from cooperation between pediatric and medical oncologists. Successive first-line trials addressed the efficacy of various cyclic combinations of drugs incorporating doxorubicin, vincristine, cyclophosphamide, ifosfamide, etoposide, and dactinomycin and identified prognostic factors now used to tailor therapies. The role of high-dose chemotherapy is still debated. Current 5-year overall survival for patients with localized disease is 65% to 75%. Patients with metastases have a 5-year overall survival < 30%, except for those with isolated pulmonary metastasis (approximately 50%). Patients with recurrence have a dismal prognosis. The many insights into the biology of the EWS-FLI1 protein in the initiation and progression of ES remain to be translated into novel therapeutic strategies. Current options and future approaches will be discussed.

  6. The management of erectile dysfunction: innovations and future perspectives.

    PubMed

    Leonardi, Rosario; Alemanni, Matteo

    2011-03-01

    Phosphodiesterase 5 (PDE5) inhibitors are recommended as first line therapy for the treatment of erectile dysfunction (ED). To date, three PDE5 inhibitors are on the market: sildenafil, vardenafil and tadalafil. These compounds are available as oral tablets; they are rapidly absorbed in the gastrointestinal tract and are excreted mainly in the fces and to a lexer extent in the urine. Recently, an orodisnersible formulation of feces and, to a lesser extent, in the urine. Recently, an orodispersible formulation of vardenafil (vardenafil ODT) has been developed, which is able to dissolve in the mouth within seconds, releasing a minty flavor, without the need of being swallowed with water. The clinical studies so far performed showed that vardenafil ODT has a bioavailability superior to the traditional film-coated tablet. Among the other PDE5 inhibitors under development we report mirodenafil, lodenafil carbonate, avalafil and SLx-2101 It is likely that in the future molecules that act on pathways other than the one of NO/cGMP will be available. Such as Rho-kinase inhibitors, which inhibit the mechanism that leads to smooth muscle contraction thus allowing erection and hydrogen sulphide (H2S), an endogenous molecule synthesized from cysteine that can be both a vasodilator and a vasoconstrictor according to its concentration.

  7. Understanding idiopathic intracranial hypertension: mechanisms, management, and future directions.

    PubMed

    Markey, Keira A; Mollan, Susan P; Jensen, Rigmor H; Sinclair, Alexandra J

    2016-01-01

    Idiopathic intracranial hypertension is a disorder characterised by raised intracranial pressure that predominantly affects young, obese women. Pathogenesis has not been fully elucidated, but several causal factors have been proposed. Symptoms can include headaches, visual loss, pulsatile tinnitus, and back and neck pain, but the clinical presentation is highly variable. Although few studies have been done to support evidence-based management, several recent advances have the potential to enhance understanding of the causes of the disease and to guide treatment decisions. Investigators of the Idiopathic Intracranial Hypertension Treatment Trial (IIHTT) reported beneficial effects of acetazolamide in patients with mild visual loss. Studies have also established weight loss as an effective disease-modifying treatment, and further clinical trials to investigate new treatments are underway. The incidence of idiopathic intracranial hypertension is expected to increase as rates of obesity increase; efforts to reduce diagnostic delays and identify new, effective approaches to treatment will be key to meeting the needs of a growing number of patients.

  8. Integrated water and waste management system for future spacecraft

    NASA Technical Reports Server (NTRS)

    Ingelfinger, A. L.; Murray, R. W.

    1974-01-01

    Over 200 days of continuous testing have been completed on an integrated waste management-water recovery system developed by General Electric under a jointly funded AEC/NASA/AF Contract. The 4 man system provides urine, feces, and trash collection; water reclamation; storage, heating and dispensing of the water; storage and disposal of the feces and urine residue and all of other nonmetallic waste material by incineration. The heat required for the 1200 deg F purification processes is provided by a single 420-w radioisotope heater. A second 836-w radioisotope heater supplemented by 720 w of electrical heat provides for distillation and water heating. Significant test results are no pre-or-post treatment, greater than 98 per cent potable water recovery, approximately 95 per cent reduction in solids weight and volume, all outflows are sterile with the water having no bacteria or virus, and the radioisotope capsule radiation level is only 7.9 mrem/hr unshielded at 1 m (neutrons and gamma).

  9. Future project concerning mass disaster management: a forensic odontology prospectus.

    PubMed

    Nuzzolese, Emilio; Di Vella, Giancarlo

    2007-08-01

    The world has experienced a plethora of mass disasters in recent years: acts of terrorism, bombings, earthquakes, hurricanes, typhoons, air crashes and other transportation mishaps, not to mention armed conflicts and migrants drowned in the Mediterranean Sea. In reviewing mass disasters to date, the principal difficulties have not changed: (1) large numbers of humans fragmented, co-mingled, and burned remains; (2) difficulty in determining who was involved in the disaster; (3) acquisition of useful medical and dental records and radiographs; (4) legal, jurisdictional, organisational, and political issues; (5) internal and external documentation and communication problems; (6) application of universal human forensic identification codes. Forensic dentistry plays a major role in victim identification. DNA and dental identification of human remains depends on sufficient availability of ante mortem information, existence of sufficient post mortem material and a comparison or match between ante and post mortem details. Forensic odontology is a specialty with a specific training, and cannot simply be carried out by dentists without such training. Strategies for developing an international forensic odontology capacity and resources are needed for the management of dead bodies following a mass disaster, together with universal guidelines and codes. To this end, Interpol's forms have proved to be a good starting point to meet these requirements.

  10. Groundwater management in Cusco region, Peru Present and future challenges

    NASA Astrophysics Data System (ADS)

    Guttman, Joseph; Berger, Diego; Pumayalli Saloma, Rene

    2013-04-01

    efficiency of such irrigation systems is about 35% (most of the water recharges to the underground or is lost by evaporation). Slightly increasing the efficiency by only 10-20% together with bringing additional water would cause a dramatic change in the farmer's life and in their income. A Pre-feasibility study indicates that there are deeper subsurface groundwater systems that flow from the Andes Mountain downstream to the valleys. The deeper systems are most probably separated from the spring systems. The deeper groundwater systems are flowing from the Andes Mountains downstream via individual paths, in places where both sides of the faults contain permeable layers and through several alluvial fans. Detailed researches are planned in the next few years to identify those individual sites and to locate sites for drilling boreholes (observation and production). Today, an integrated water resources management at the local and regional level is lacking. The feasibility studies will include recommendations to the regional government on how to implement such an integrated management program together with capacity building of the institutional capability of regional governments.

  11. Commercial foodservice considerations in providing consumer-driven nutrition program elements. Part I. Consumer health objectives and associated employee education needs.

    PubMed

    Cummings, L E

    1988-01-01

    Commercial, public foodservices are experiencing an increasing demand for menu selections consumers see as healthful. Demographic, economic and lifestyle forces are resulting in a growing proportion of individuals and families who eat away from home more frequently. Many are seeking prudent food choices not only at home, but also in foodservice operations. To them, nutrition represents one controllable lifestyle element which can influence their personal health. Weight control and preventive nutrition are the nutrition-related objectives of most consumers interested in foodservice nutrition. They look to dietary guidelines, both those which are specific to their particular health concerns, (e.g. weight control), and those intended as eating-style changes to reduce the risk of such diet-related conditions and diseases as obesity, atherosclerosis, high blood pressure, diabetes and certain forms of cancer. Focusing on these health objectives, interested foodservice operators should offer items which allow consumers to avoid certain foods and food preparation methods which add up to too much of the following: total calories; fat; refined carbohydrates; cholesterol; sodium; and certain controversial substances, (e.g., caffeine). They seek to replace some of the 'avoid' items with a variety of choices of minimally-processed plant foods, and with less-fatty animal foods. Employee education to support menuing nutrition should begin with the development of an awareness of specific target market health concerns. Employees can then be made familiar with methods to translate these dietary wants and needs into appealing, well-tuned products and service elements. The success of nutrition program elements relies heavily on this understanding by employees in their roles from recipe development to table service.

  12. The sensitivity of current and future forest managers to climate-induced changes in ecological processes.

    PubMed

    Seidl, Rupert; Aggestam, Filip; Rammer, Werner; Blennow, Kristina; Wolfslehner, Bernhard

    2016-05-01

    Climate vulnerability of managed forest ecosystems is not only determined by ecological processes but also influenced by the adaptive capacity of forest managers. To better understand adaptive behaviour, we conducted a questionnaire study among current and future forest managers (i.e. active managers and forestry students) in Austria. We found widespread belief in climate change (94.7 % of respondents), and no significant difference between current and future managers. Based on intended responses to climate-induced ecosystem changes, we distinguished four groups: highly sensitive managers (27.7 %), those mainly sensitive to changes in growth and regeneration processes (46.7 %), managers primarily sensitive to regeneration changes (11.2 %), and insensitive managers (14.4 %). Experiences and beliefs with regard to disturbance-related tree mortality were found to particularly influence a manager's sensitivity to climate change. Our findings underline the importance of the social dimension of climate change adaptation, and suggest potentially strong adaptive feedbacks between ecosystems and their managers.

  13. Sustainable water management under future uncertainty with eco-engineering decision scaling

    NASA Astrophysics Data System (ADS)

    Poff, N. Leroy; Brown, Casey M.; Grantham, Theodore E.; Matthews, John H.; Palmer, Margaret A.; Spence, Caitlin M.; Wilby, Robert L.; Haasnoot, Marjolijn; Mendoza, Guillermo F.; Dominique, Kathleen C.; Baeza, Andres

    2016-01-01

    Managing freshwater resources sustainably under future climatic and hydrological uncertainty poses novel challenges. Rehabilitation of ageing infrastructure and construction of new dams are widely viewed as solutions to diminish climate risk, but attaining the broad goal of freshwater sustainability will require expansion of the prevailing water resources management paradigm beyond narrow economic criteria to include socially valued ecosystem functions and services. We introduce a new decision framework, eco-engineering decision scaling (EEDS), that explicitly and quantitatively explores trade-offs in stakeholder-defined engineering and ecological performance metrics across a range of possible management actions under unknown future hydrological and climate states. We illustrate its potential application through a hypothetical case study of the Iowa River, USA. EEDS holds promise as a powerful framework for operationalizing freshwater sustainability under future hydrological uncertainty by fostering collaboration across historically conflicting perspectives of water resource engineering and river conservation ecology to design and operate water infrastructure for social and environmental benefits.

  14. Automated management of life cycle for future network experiment based on description language

    NASA Astrophysics Data System (ADS)

    Niu, Hongxia; Liang, Junxue; Lin, Zhaowen; Ma, Yan

    2016-12-01

    Future network is a complex resources pool including multiple physical resources and virtual resources. Establishing experiment on future network is complicate and tedious. That achieving the automated management of future network experiments is so important. This paper brings forward the way for researching and managing the life cycle of experiment based on the description language. The description language uses the framework, which couples with a low hierarchical structure and a complete description of the network experiment. In this way, the experiment description template can be generated by this description framework accurately and completely. In reality, we can also customize and reuse network experiment by modifying the description template. The results show that this method can achieve the aim for managing the life cycle of network experiment effectively and automatically, which greatly saves time, reduces the difficulty, and implements the reusability of services.

  15. Sustainable water management under future uncertainty with eco-engineering decision scaling

    USGS Publications Warehouse

    Poff, N LeRoy; Brown, Casey M; Grantham, Theodore E.; Matthews, John H; Palmer, Margaret A.; Spence, Caitlin M; Wilby, Robert L.; Haasnoot, Marjolijn; Mendoza, Guillermo F; Dominique, Kathleen C; Baeza, Andres

    2015-01-01

    Managing freshwater resources sustainably under future climatic and hydrological uncertainty poses novel challenges. Rehabilitation of ageing infrastructure and construction of new dams are widely viewed as solutions to diminish climate risk, but attaining the broad goal of freshwater sustainability will require expansion of the prevailing water resources management paradigm beyond narrow economic criteria to include socially valued ecosystem functions and services. We introduce a new decision framework, eco-engineering decision scaling (EEDS), that explicitly and quantitatively explores trade-offs in stakeholder-defined engineering and ecological performance metrics across a range of possible management actions under unknown future hydrological and climate states. We illustrate its potential application through a hypothetical case study of the Iowa River, USA. EEDS holds promise as a powerful framework for operationalizing freshwater sustainability under future hydrological uncertainty by fostering collaboration across historically conflicting perspectives of water resource engineering and river conservation ecology to design and operate water infrastructure for social and environmental benefits.

  16. Conjunctive management of surface and groundwater resources under projected future climate change scenarios

    DOE PAGES

    Mani, Amir; Tsai, Frank T. -C.; Kao, Shih-Chieh; ...

    2016-06-16

    Our study introduces a mixed integer linear fractional programming (MILFP) method to optimize conjunctive use of future surface water and groundwater resources under projected climate change scenarios. The conjunctive management model maximizes the ratio of groundwater usage to reservoir water usage. Future inflows to the reservoirs were estimated from the future runoffs projected through hydroclimate modeling considering the Variable Infiltration Capacity model, and 11 sets of downscaled Coupled Model Intercomparison Project phase 5 global climate model projections. Bayesian model averaging was adopted to quantify uncertainty in future runoff projections and reservoir inflow projections due to uncertain future climate projections. Optimizedmore » conjunctive management solutions were investigated for a water supply network in northern Louisiana which includes the Sparta aquifer. Runoff projections under climate change scenarios indicate that runoff will likely decrease in winter and increase in other seasons. Ultimately, results from the developed conjunctive management model with MILFP indicate that the future reservoir water, even at 2.5% low inflow cumulative probability level, could counterbalance groundwater pumping reduction to satisfy demands while improving the Sparta aquifer through conditional groundwater head constraint.« less

  17. Conjunctive management of surface and groundwater resources under projected future climate change scenarios

    NASA Astrophysics Data System (ADS)

    Mani, Amir; Tsai, Frank T.-C.; Kao, Shih-Chieh; Naz, Bibi S.; Ashfaq, Moetasim; Rastogi, Deeksha

    2016-09-01

    This study introduces a mixed integer linear fractional programming (MILFP) method to optimize conjunctive use of future surface water and groundwater resources under projected climate change scenarios. The conjunctive management model maximizes the ratio of groundwater usage to reservoir water usage. Future inflows to the reservoirs were estimated from the future runoffs projected through hydroclimate modeling considering the Variable Infiltration Capacity model, and 11 sets of downscaled Coupled Model Intercomparison Project phase 5 global climate model projections. Bayesian model averaging was adopted to quantify uncertainty in future runoff projections and reservoir inflow projections due to uncertain future climate projections. Optimized conjunctive management solutions were investigated for a water supply network in northern Louisiana which includes the Sparta aquifer. Runoff projections under climate change scenarios indicate that runoff will likely decrease in winter and increase in other seasons. Results from the developed conjunctive management model with MILFP indicate that the future reservoir water, even at 2.5% low inflow cumulative probability level, could counterbalance groundwater pumping reduction to satisfy demands while improving the Sparta aquifer through conditional groundwater head constraints.

  18. Conjunctive management of surface and groundwater resources under projected future climate change scenarios

    SciTech Connect

    Mani, Amir; Tsai, Frank T. -C.; Kao, Shih-Chieh; Naz, Bibi S.; Ashfaq, Moetasim; Rastogi, Deeksha

    2016-06-16

    Our study introduces a mixed integer linear fractional programming (MILFP) method to optimize conjunctive use of future surface water and groundwater resources under projected climate change scenarios. The conjunctive management model maximizes the ratio of groundwater usage to reservoir water usage. Future inflows to the reservoirs were estimated from the future runoffs projected through hydroclimate modeling considering the Variable Infiltration Capacity model, and 11 sets of downscaled Coupled Model Intercomparison Project phase 5 global climate model projections. Bayesian model averaging was adopted to quantify uncertainty in future runoff projections and reservoir inflow projections due to uncertain future climate projections. Optimized conjunctive management solutions were investigated for a water supply network in northern Louisiana which includes the Sparta aquifer. Runoff projections under climate change scenarios indicate that runoff will likely decrease in winter and increase in other seasons. Ultimately, results from the developed conjunctive management model with MILFP indicate that the future reservoir water, even at 2.5% low inflow cumulative probability level, could counterbalance groundwater pumping reduction to satisfy demands while improving the Sparta aquifer through conditional groundwater head constraint.

  19. The History and Future of NDE in the Management of Nuclear Power Plant Materials Degradation

    SciTech Connect

    Doctor, Steven R.

    2009-04-01

    The author has spent more than 25 years conducting engineering and research studies to quantify the performance of nondestructive evaluation (NDE) in nuclear power plant (NPP) applications and identifying improvements to codes and standards for NDE to manage materials degradation. This paper will review this fundamental NDE engineering/research work and then look to the future on how NDE can be optimized for proactively managing materials degradation in NPP components.

  20. Integrated Talent Management Enterprise as a Framework for Future Army Talent Management

    DTIC Science & Technology

    2015-06-12

    technology are best positioned to achieve a sustainable competitive advantage. The 2009 report from talent management consulting firm Development...by Lisa J. Downs, “Integrated Talent Management : Building a Strategy One Block at a Time,” examines how PEMCO Mutual Insurance, a mid- sized company...Complex World.257 Further, ITME addresses the criticisms of the Army’s current system of career and talent management that it is rigid, “one- size fits

  1. Environmental management practices and engineering science: a review and typology for future research.

    PubMed

    Evangelinos, Konstantinos I; Allan, Stuart; Jones, Keith; Nikolaou, Ioannis E

    2014-04-01

    Current literature describes a number of environmental management practices and cleaner production methods that facilitate different industrial sectors to address their various environmental impacts. The high number of present practices makes their use especially difficult and complicated. This paper aims to shed light on this field by providing a typology of those environmental management practices (such as environmental management systems, environmental indicators assessment methodologies, and cleaner productions methods) and their limitations. It also describes the strengths and weaknesses of using such tools and thoughts for future research.

  2. 17 CFR 1.11 - Risk Management Program for futures commission merchants.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ..., group, or personnel of a futures commission merchant or any of its affiliates, whether or not identified... supervisory authority of the performance of the activities described in paragraph (b)(1)(i) or (ii) of this... § 30.7 of this chapter for 30.7 customers. (5) Senior management means, any officer or...

  3. The SEA of the Future: Leveraging Performance Management to Support School Improvement. Volume 1

    ERIC Educational Resources Information Center

    Gross, Betheny, Ed.; Jochim, Ashley, Ed.

    2013-01-01

    "The SEA of the Future" is an education publication series examining how state education agencies can shift from a compliance to a performance-oriented organization through strategic planning and performance management tools to meet growing demands to support education reform while improving productivity. This inaugural edition of…

  4. Using foresight methods to anticipate future threats: the case of disease management.

    PubMed

    Ma, Sai; Seid, Michael

    2006-01-01

    We describe a unique foresight framework for health care managers to use in longer-term planning. This framework uses scenario-building to envision plausible alternate futures of the U.S. health care system and links those broad futures to business-model-specific "load-bearing" assumptions. Because the framework we describe simultaneously addresses very broad and very specific issues, it can be easily applied to a broad range of health care issues by using the broad framework and business-specific assumptions for the particular case at hand. We illustrate this method using the case of disease management, pointing out that although the industry continues to grow rapidly, its future also contains great uncertainties.

  5. Characterizing the Leaching Behavior of Coal Combustion Residues using the Leaching Environmental Assessment Framework (LEAF) to Inform Future Management Decisions

    EPA Science Inventory

    Abstract for presentation on Characterizing the Leaching Behavior of Coal Combustion Residues using the Leaching Environmental Assessment Framework (LEAF) to Inform Future Management Decisions. The abstract is attached.

  6. Stormwater quality management in rail transportation--past, present and future.

    PubMed

    Vo, Phuong Tram; Ngo, Huu Hao; Guo, Wenshan; Zhou, John L; Listowski, Andrzej; Du, Bin; Wei, Qin; Bui, Xuan Thanh

    2015-04-15

    Railways currently play an important role in sustainable transportation systems, owing to their substantial carrying capacity, environmental friendliness and land-saving advantages. Although total pollutant emissions from railway systems are far less than that of automobile vehicles, the pollution from railway operations should not be underestimated. To date, both scientific and practical papers dealing with stormwater management for rail tracks have solely focused on its drainage function. Unlike roadway transport, the potential of stormwater pollution from railway operations is currently mishandled. There have been very few studies into the impact of its operations on water quality. Hence, upon the realisation on the significance of nonpoint source pollution, stormwater management priorities should have been re-evaluated. This paper provides an examination of past and current practices of stormwater management in the railway industry, potential sources of stormwater pollution, obstacles faced in stormwater management and concludes with strategies for future management directions.

  7. Human-Centered Technologies and Procedures for Future Air Traffic Management

    NASA Technical Reports Server (NTRS)

    Smith, Philip; Woods, David; McCoy, Elaine; Billings, Charles; Sarter, Nadine; Denning, Rebecca; Dekker, Sidney

    1997-01-01

    The use of various methodologies to predict the impact of future Air Traffic Management (ATM) concepts and technologies is explored. The emphasis has been on the importance of modeling coordination and cooperation among multiple agents within this system, and on understanding how the interactions among these agents will be influenced as new roles, responsibilities, procedures and technologies are introduced. To accomplish this, we have been collecting data on performance under the current air traffic management system, identifying critical problem areas and looking for examples suggestive of general approaches for solving such problems. Using the results of these field studies, we have developed a set of concrete scenarios centered around future designs, and have studied performance in these scenarios with a set of 40 controllers, dispatchers, pilots and traffic managers.

  8. Greenhouse gas emissions from alternative futures of deforestation and agricultural management in the southern Amazon.

    PubMed

    Galford, Gillian L; Melillo, Jerry M; Kicklighter, David W; Cronin, Timothy W; Cerri, Carlos E P; Mustard, John F; Cerri, Carlos C

    2010-11-16

    The Brazilian Amazon is one of the most rapidly developing agricultural areas in the world and represents a potentially large future source of greenhouse gases from land clearing and subsequent agricultural management. In an integrated approach, we estimate the greenhouse gas dynamics of natural ecosystems and agricultural ecosystems after clearing in the context of a future climate. We examine scenarios of deforestation and postclearing land use to estimate the future (2006-2050) impacts on carbon dioxide (CO(2)), methane (CH(4)), and nitrous oxide (N(2)O) emissions from the agricultural frontier state of Mato Grosso, using a process-based biogeochemistry model, the Terrestrial Ecosystems Model (TEM). We estimate a net emission of greenhouse gases from Mato Grosso, ranging from 2.8 to 15.9 Pg CO(2)-equivalents (CO(2)-e) from 2006 to 2050. Deforestation is the largest source of greenhouse gas emissions over this period, but land uses following clearing account for a substantial portion (24-49%) of the net greenhouse gas budget. Due to land-cover and land-use change, there is a small foregone carbon sequestration of 0.2-0.4 Pg CO(2)-e by natural forests and cerrado between 2006 and 2050. Both deforestation and future land-use management play important roles in the net greenhouse gas emissions of this frontier, suggesting that both should be considered in emissions policies. We find that avoided deforestation remains the best strategy for minimizing future greenhouse gas emissions from Mato Grosso.

  9. Adapting to a Changing Colorado River: Making Future Water Deliveries More Reliable Through Robust Management Strategies

    NASA Astrophysics Data System (ADS)

    Groves, D.; Bloom, E.; Fischbach, J. R.; Knopman, D.

    2013-12-01

    The U.S. Bureau of Reclamation and water management agencies representing the seven Colorado River Basin States initiated the Colorado River Basin Study in January 2010 to evaluate the resiliency of the Colorado River system over the next 50 years and compare different options for ensuring successful management of the river's resources. RAND was asked to join this Basin Study Team in January 2012 to help develop an analytic approach to identify key vulnerabilities in managing the Colorado River basin over the coming decades and to evaluate different options that could reduce this vulnerability. Using a quantitative approach for planning under uncertainty called Robust Decision Making (RDM), the RAND team assisted the Basin Study by: identifying future vulnerable conditions that could lead to imbalances that could cause the basin to be unable to meet its water delivery objectives; developing a computer-based tool to define 'portfolios' of management options reflecting different strategies for reducing basin imbalances; evaluating these portfolios across thousands of future scenarios to determine how much they could improve basin outcomes; and analyzing the results from the system simulations to identify key tradeoffs among the portfolios. This talk will describe RAND's contribution to the Basin Study, focusing on the methodologies used to to identify vulnerabilities for Upper Basin and Lower Basin water supply reliability and to compare portfolios of options. Several key findings emerged from the study. Future Streamflow and Climate Conditions Are Key: - Vulnerable conditions arise in a majority of scenarios where streamflows are lower than historical averages and where drought conditions persist for eight years or more. - Depending where the shortages occur, problems will arise for delivery obligations for the upper river basin and the lower river basin. The lower river basin is vulnerable to a broader range of plausible future conditions. Additional Investments in

  10. Future Deltas Utrecht University research focus area: towards sustainable management of sinking deltas

    NASA Astrophysics Data System (ADS)

    Stouthamer, E.; van Asselen, S.

    2015-11-01

    Deltas are increasingly under pressure from human impact and climate change. To deal with these pressures that threat future delta functioning, we need to understand interactions between physical, biological, chemical and social processes in deltas. This requires an integrated approach, in which knowledge on natural system functioning is combined with knowledge on spatial planning, land and water governance and legislative frameworks. In the research focus area Future Deltas of Utrecht University an interdisciplinary team from different research groups therefore works together. This allows developing integrated sustainable and resilient delta management strategies, which is urgently needed to prevent loss of vital delta services.

  11. Current and future developments in managed care in the United States and implications for Europe

    PubMed Central

    Lagoe, Ronald; Aspling, Deborah L; Westert, Gert P

    2005-01-01

    The paper reviews and evaluates current and future approaches to cost containment in the United States. Managed care was once seen as an effective approach to supporting health care quality while containing costs in the USA. In recent years payors started to look in other directions, since prospects for limiting expenses faded. Nowadays consumer driven health plans seem to be on the rise. The reasons for the decline of managed care, the growing popularity of the consumer driven health plans and the implications for Europe are discussed. PMID:15774017

  12. The past, current and future of diagnosis and management of pleural disease

    PubMed Central

    2015-01-01

    Pleural disease is frequently encountered by the chest physician. Pleural effusions arise as the sequelae of underlying disease processes including pressure/volume imbalances, infection and malignancy. In addition to pleural effusions, persistent air leaks after surgery and bronchopleural fistulae remain a challenge. Our understanding of pleural disease including its diagnosis and management, have made tremendous strides. The introduction of the molecular detection of organism specific infection, risk stratification and improvements in the non-surgical treatment of patients with pleural infection are all within reach and may be the standard of care in the very near future. Malignant pleural effusion management continues to evolve with the introduction of tunneled pleural catheters and procedures combining that and chemical pleurodesis. These advances in the diagnostic and therapeutic evaluation of pleural disease as well as what seems to be an increasing multidisciplinary interest in the space foretell a bright future. PMID:26807281

  13. The current and future role of endomicroscopy in the management of inflammatory bowel disease

    PubMed Central

    Nguyen, Douglas L.; Lee, John G.; Parekh, Nimisha K.; Samarasena, Jason; Bechtold, Matthew L.; Chang, Kenneth

    2015-01-01

    Confocal laser-induced endomicroscopy (CLE), first introduced in 2003, allows the capture of images of “virtual histology” of the gastrointestinal mucosa during endoscopy, providing the opportunity to retrieve real-time visualization of the pathology of the mucosal epithelium with its cellular and subcellular structures. This new endoscopic imaging technique serves as an adjunctive diagnostic tool to the traditional ileocolonoscopy in the management of inflammatory bowel disease (IBD) patients. In multiple clinical trials, CLE has been shown to improve detection of dysplasia, assess disease activity, predict future clinical relapses, and assess potential responsiveness to anti-tumor necrosis factor therapy. This review explores in depth the current and future role of CLE in the management of IBD patients. PMID:26130373

  14. Shaping Future Phosphorus Management Pathways by Understanding the Past and Present

    NASA Astrophysics Data System (ADS)

    Migliavacca, M.; Richardson, A. D.; Cescatti, A.; Cremonese, E.; Keenan, T. F.; Sonnentag, O.

    2014-12-01

    Sustainable phosphorus (P) management in agricultural and urban ecosystems is necessary to ensure global food security and healthy aquatic ecosystems. Researchers and decision-makers alike need to understand how social, economic, political, and biophysical factors interact to create risks and opportunities around future P cycling. For example, P can accumulate in soils and be lost to waterways over a long-time scale. Such lags between application, use, and transport of P could affect our ability to identify sources of P enrichment of surface waters and, consequently, influence the development of strategies to limit water quality degradation. To enhance understanding of the relationship between human activities, P loading to the landscape and P loading to surface waters, we are examining cumulative P additions from 1950 to 2007 at the county level for the major US hydrologic basins. We examine the temporal relationship between net P additions and water quality in order to identify especially important time periods for P management. We also compare the timing of P additions and losses across hydrologic basins. Concurrently, the P-FUTURES project, a partnership between researchers and stakeholders to advance and understand the process of social transformation, focuses on the role of urban ecosystems in future sustainable P management. In this project we are using a cross-city comparison approach and transdisciplinary methods, including participatory workshops and future visioning activities, to determine pathways to more sustainable P management in Phoenix, USA; Sydney, Australia; Hanoi, Vietnam; and Blantyre, Malawi. In Blantyre for example we have identified possible synergies between decreasing nutrient losses and deforestation and existing municipal goals to increase affordable hydroelectric power. Preliminary results from both on-going projects allow us to gain insight into how local context shapes P cycling and locally-appropriate solutions.

  15. Shaping Future Phosphorus Management Pathways by Understanding the Past and Present

    NASA Astrophysics Data System (ADS)

    Metson, G. S.; Compton, J.; Cordell, D.; Harrison, J.; Iwaniec, D.

    2015-12-01

    Sustainable phosphorus (P) management in agricultural and urban ecosystems is necessary to ensure global food security and healthy aquatic ecosystems. Researchers and decision-makers alike need to understand how social, economic, political, and biophysical factors interact to create risks and opportunities around future P cycling. For example, P can accumulate in soils and be lost to waterways over a long-time scale. Such lags between application, use, and transport of P could affect our ability to identify sources of P enrichment of surface waters and, consequently, influence the development of strategies to limit water quality degradation. To enhance understanding of the relationship between human activities, P loading to the landscape and P loading to surface waters, we are examining cumulative P additions from 1950 to 2007 at the county level for the major US hydrologic basins. We examine the temporal relationship between net P additions and water quality in order to identify especially important time periods for P management. We also compare the timing of P additions and losses across hydrologic basins. Concurrently, the P-FUTURES project, a partnership between researchers and stakeholders to advance and understand the process of social transformation, focuses on the role of urban ecosystems in future sustainable P management. In this project we are using a cross-city comparison approach and transdisciplinary methods, including participatory workshops and future visioning activities, to determine pathways to more sustainable P management in Phoenix, USA; Sydney, Australia; Hanoi, Vietnam; and Blantyre, Malawi. In Blantyre for example we have identified possible synergies between decreasing nutrient losses and deforestation and existing municipal goals to increase affordable hydroelectric power. Preliminary results from both on-going projects allow us to gain insight into how local context shapes P cycling and locally-appropriate solutions.

  16. Regional Sea Level Scenarios for Coastal Risk Management: Managing the Uncertainty of Future Sea Level Change and Extreme Water Levels for Department of Defense Coastal Sites Worldwide

    DTIC Science & Technology

    2016-04-01

    SERDP NOAA USACE Ocean MANAGING THE UNCERTAINTY OF FUTURE SEA LEVEL CHANGE AND EXTREME WATER LEVELS FOR DEPARTMENT OF DEFENSE COASTAL SITES...Uncertainty of Future Sea Level Change and Extreme Water Levels for Department of Defense Coastal Sites Worldwide. U.S. Department of Defense...Strategic Environmental Research and Development Program. 224 pp. MANAGING THE UNCERTAINTY OF FUTURE SEA LEVEL CHANGE AND EXTREME WATER LEVELS FOR

  17. Measuring impact of protected area management interventions: current and future use of the Global Database of Protected Area Management Effectiveness.

    PubMed

    Coad, Lauren; Leverington, Fiona; Knights, Kathryn; Geldmann, Jonas; Eassom, April; Kapos, Valerie; Kingston, Naomi; de Lima, Marcelo; Zamora, Camilo; Cuardros, Ivon; Nolte, Christoph; Burgess, Neil D; Hockings, Marc

    2015-11-05

    Protected areas (PAs) are at the forefront of conservation efforts, and yet despite considerable progress towards the global target of having 17% of the world's land area within protected areas by 2020, biodiversity continues to decline. The discrepancy between increasing PA coverage and negative biodiversity trends has resulted in renewed efforts to enhance PA effectiveness. The global conservation community has conducted thousands of assessments of protected area management effectiveness (PAME), and interest in the use of these data to help measure the conservation impact of PA management interventions is high. Here, we summarize the status of PAME assessment, review the published evidence for a link between PAME assessment results and the conservation impacts of PAs, and discuss the limitations and future use of PAME data in measuring the impact of PA management interventions on conservation outcomes. We conclude that PAME data, while designed as a tool for local adaptive management, may also help to provide insights into the impact of PA management interventions from the local-to-global scale. However, the subjective and ordinal characteristics of the data present significant limitations for their application in rigorous scientific impact evaluations, a problem that should be recognized and mitigated where possible.

  18. Measuring impact of protected area management interventions: current and future use of the Global Database of Protected Area Management Effectiveness

    PubMed Central

    Coad, Lauren; Leverington, Fiona; Knights, Kathryn; Geldmann, Jonas; Eassom, April; Kapos, Valerie; Kingston, Naomi; de Lima, Marcelo; Zamora, Camilo; Cuardros, Ivon; Nolte, Christoph; Burgess, Neil D.; Hockings, Marc

    2015-01-01

    Protected areas (PAs) are at the forefront of conservation efforts, and yet despite considerable progress towards the global target of having 17% of the world's land area within protected areas by 2020, biodiversity continues to decline. The discrepancy between increasing PA coverage and negative biodiversity trends has resulted in renewed efforts to enhance PA effectiveness. The global conservation community has conducted thousands of assessments of protected area management effectiveness (PAME), and interest in the use of these data to help measure the conservation impact of PA management interventions is high. Here, we summarize the status of PAME assessment, review the published evidence for a link between PAME assessment results and the conservation impacts of PAs, and discuss the limitations and future use of PAME data in measuring the impact of PA management interventions on conservation outcomes. We conclude that PAME data, while designed as a tool for local adaptive management, may also help to provide insights into the impact of PA management interventions from the local-to-global scale. However, the subjective and ordinal characteristics of the data present significant limitations for their application in rigorous scientific impact evaluations, a problem that should be recognized and mitigated where possible. PMID:26460133

  19. Putting watershed restoration in context: alternative future scenarios influence management outcomes.

    PubMed

    Fullerton, A H; Steel, E A; Caras, Y; Sheer, M; Olson, P; Kaje, J

    2009-01-01

    Predicting effects of habitat restoration is an important step for recovery of imperiled anadromous salmonid populations. Habitat above three major hydropower dams in the Lewis River watershed, southwestern Washington, USA, will soon become accessible to anadromous fish. We used multiple models to estimate habitat conditions above dams and fish population responses. Additionally, we used scenario planning to predict how habitat and fish will respond to potential future trends in land use due to human population growth and riparian conservation policies. Finally, we developed a hypothetical management strategy (i.e., a set of prioritized restoration projects in specific locations within the watershed) as an example of how a fixed amount of restoration funds might be spent to enhance the success of reintroducing fish above dams. We then compared predicted outcomes from this new strategy to those of six previously modeled strategies. We estimated how the choice of the best management strategy might differ among alternative future scenarios. Results suggest that dam passage will provide access to large amounts of high-quality habitat that will benefit fish populations. Moreover, conservation of existing riparian areas, if implemented, has the potential to improve conditions to a much greater extent than restoration strategies examined, despite expected urban growth. We found that the relative performance of management strategies shifted when fish were allowed to migrate above dams, but less so among alternative futures examined. We discuss how predicted outcomes from these seven hypothetical management strategies could be used for developing an on-the-ground strategy to address a real management situation.

  20. Bounded ranges of variation as a framework for future conservation and fire management.

    PubMed

    Moritz, Max A; Hurteau, Matthew D; Suding, Katharine N; D'Antonio, Carla M

    2013-05-01

    Alterations in natural fire patterns have negatively affected fire-prone ecosystems in many ways. The historical range of variability (HRV) concept evolved as a management target for natural vegetation composition and fire regimes in fire-prone ecosystems. HRV-based management inherently assumes that ecosystem resilience is reflected in observed ranges of past vegetation and fire dynamics, typically without knowledge of where thresholds exist beyond these dynamics. Given uncertainty in future conditions, some have argued that HRV may not adequately reflect ecosystem resilience to future fire activity. We suggest a refinement that includes concepts from the thresholds of potential concern (TPC) framework, which emphasizes tipping points at the extremes of ecosystem dynamics and other socially unacceptable outcomes. We propose bounded ranges of variation (BRV), an approach focused on building resilience by using historical information, but also by identifying socio-ecological thresholds to avoid and associated management action triggers. Here, we examine nonnative species and carbon sequestration as examples of how the BRV framework could be used in the context of conservation and fire management.

  1. Baltic Sea ecosystem-based management under climate change: Synthesis and future challenges.

    PubMed

    Blenckner, Thorsten; Österblom, Henrik; Larsson, Per; Andersson, Agneta; Elmgren, Ragnar

    2015-06-01

    Ecosystem-based management (EBM) has emerged as the generally agreed strategy for managing ecosystems, with humans as integral parts of the managed system. Human activities have substantial effects on marine ecosystems, through overfishing, eutrophication, toxic pollution, habitat destruction, and climate change. It is important to advance the scientific knowledge of the cumulative, integrative, and interacting effects of these diverse activities, to support effective implementation of EBM. Based on contributions to this special issue of AMBIO, we synthesize the scientific findings into four components: pollution and legal frameworks, ecosystem processes, scale-dependent effects, and innovative tools and methods. We conclude with challenges for the future, and identify the next steps needed for successful implementation of EBM in general and specifically for the Baltic Sea.

  2. Technology-based interventions for weight management: current randomized controlled trial evidence and future directions.

    PubMed

    Kozak, Andrea T; Buscemi, Joanna; Hawkins, Misty A W; Wang, Monica L; Breland, Jessica Y; Ross, Kathryn M; Kommu, Anupama

    2017-02-01

    Obesity is a prevalent health care issue associated with disability, premature morality, and high costs. Behavioral weight management interventions lead to clinically significant weight losses in overweight and obese individuals; however, many individuals are not able to participate in these face-to-face treatments due to limited access, cost, and/or time constraints. Technological advances such as widespread access to the Internet, increased use of smartphones, and newer behavioral self-monitoring tools have resulted in the development of a variety of eHealth weight management programs. In the present paper, a summary of the most current literature is provided along with potential solutions to methodological challenges (e.g., high attrition, minimal participant racial/ethnic diversity, heterogeneity of technology delivery modes). Dissemination and policy implications will be highlighted as future directions for the field of eHealth weight management.

  3. Energy, water and carbon balance of managed forests: comparing the future to the past

    NASA Astrophysics Data System (ADS)

    Loustau, Denis; Moreaux, Virginie; Moisy, Christophe; Picart, Delphine; Lafont, Sébastien; Benest, Fabienne; Lagouarde, Jean-PIerre; Bosc, Alexandre

    2014-05-01

    Intensification of forest management concerns a growing fraction of temperate and tropical forests. It is thought to affect wider areas in the near future for facing biomass, fiber and wood demands. Intensively managed forests are submitted to increased soil preparation, fertilization, drainage, thinning, clear-cutting, whole tree - harvesting and rotation shortening. They are composed of fast growing stands commonly planted with enhanced tree varieties or clones of eucalypts, pines, poplars, willows among others. Altogether these practices have substantial effects on forest exchanges with atmosphere and groundwater and therefore on local and regional climates and water resources. Using data collected from flux tower sites, MODIS products and forest and soil inventories together with our process based model of forest growth, GO+, we analysed the impacts of intensified management on forest canopy exchanges of heat, short and longwave radiations, water and CO2 and its interaction with soil and climate. Results obtained under present climate conditions evidenced interactions between intensification effects and soil and climate conditions. We show that biophysical impacts on radiative forcing potential, through albedo increase and convective fluxes of heat and water, are in the same order of magnitude than changes in the biogeochemical cycle of carbon. Drought affects dramatically the net carbon and water balances of forest stands independent of management and age. However, the effects of successive management operations (ploughing, vegetation burial, thinning) overtook climate impacts and make the young stands and intensive alternatives more independent and resilient to climate change impacts. The model applications to the analysis of future climate scenarios allowed to attributing the role of management alternatives, soil conditions and climate and their interactions. For intensively managed forests, the frequency of soil preparation operations, the management

  4. Greenhouse gas emissions from alternative futures of deforestation and agricultural management in the southern Amazon

    PubMed Central

    Galford, Gillian L.; Melillo, Jerry M.; Kicklighter, David W.; Cronin, Timothy W.; Cerri, Carlos E. P.; Mustard, John F.; Cerri, Carlos C.

    2010-01-01

    The Brazilian Amazon is one of the most rapidly developing agricultural areas in the world and represents a potentially large future source of greenhouse gases from land clearing and subsequent agricultural management. In an integrated approach, we estimate the greenhouse gas dynamics of natural ecosystems and agricultural ecosystems after clearing in the context of a future climate. We examine scenarios of deforestation and postclearing land use to estimate the future (2006–2050) impacts on carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O) emissions from the agricultural frontier state of Mato Grosso, using a process-based biogeochemistry model, the Terrestrial Ecosystems Model (TEM). We estimate a net emission of greenhouse gases from Mato Grosso, ranging from 2.8 to 15.9 Pg CO2-equivalents (CO2-e) from 2006 to 2050. Deforestation is the largest source of greenhouse gas emissions over this period, but land uses following clearing account for a substantial portion (24–49%) of the net greenhouse gas budget. Due to land-cover and land-use change, there is a small foregone carbon sequestration of 0.2–0.4 Pg CO2-e by natural forests and cerrado between 2006 and 2050. Both deforestation and future land-use management play important roles in the net greenhouse gas emissions of this frontier, suggesting that both should be considered in emissions policies. We find that avoided deforestation remains the best strategy for minimizing future greenhouse gas emissions from Mato Grosso. PMID:20651250

  5. The Indus basin in the framework of current and future water resources management

    NASA Astrophysics Data System (ADS)

    Laghari, A. N.; Vanham, D.; Rauch, W.

    2012-04-01

    The Indus basin is one of the regions in the world that is faced with major challenges for its water sector, due to population growth, rapid urbanisation and industrialisation, environmental degradation, unregulated utilization of the resources, inefficient water use and poverty, all aggravated by climate change. The Indus Basin is shared by 4 countries - Pakistan, India, Afghanistan and China. With a current population of 237 million people which is projected to increase to 319 million in 2025 and 383 million in 2050, already today water resources are abstracted almost entirely (more than 95% for irrigation). Climate change will result in increased water availability in the short term. However in the long term water availability will decrease. Some current aspects in the basin need to be re-evaluated. During the past decades water abstractions - and especially groundwater extractions - have augmented continuously to support a rice-wheat system where rice is grown during the kharif (wet, summer) season (as well as sugar cane, cotton, maize and other crops) and wheat during the rabi (dry, winter) season. However, the sustainability of this system in its current form is questionable. Additional water for domestic and industrial purposes is required for the future and should be made available by a reduction in irrigation requirements. This paper gives a comprehensive listing and description of available options for current and future sustainable water resources management (WRM) within the basin. Sustainable WRM practices include both water supply management and water demand management options. Water supply management options include: (1) reservoir management as the basin is characterised by a strong seasonal behaviour in water availability (monsoon and meltwater) and water demands; (2) water quality conservation and investment in wastewater infrastructure; (3) the use of alternative water resources like the recycling of wastewater and desalination; (4) land use

  6. Climate change and forests of the future: managing in the face of uncertainty.

    PubMed

    Millar, Constance I; Stephenson, Nathan L; Stephens, Scott L

    2007-12-01

    We offer a conceptual framework for managing forested ecosystems under an assumption that future environments will be different from present but that we cannot be certain about the specifics of change. We encourage flexible approaches that promote reversible and incremental steps, and that favor ongoing learning and capacity to modify direction as situations change. We suggest that no single solution fits all future challenges, especially in the context of changing climates, and that the best strategy is to mix different approaches for different situations. Resources managers will be challenged to integrate adaptation strategies (actions that help ecosystems accommodate changes adaptively) and mitigation strategies (actions that enable ecosystems to reduce anthropogenic influences on global climate) into overall plans. Adaptive strategies include resistance options (forestall impacts and protect highly valued resources), resilience options (improve the capacity of ecosystems to return to desired conditions after disturbance), and response options (facilitate transition of ecosystems from current to new conditions). Mitigation strategies include options to sequester carbon and reduce overall greenhouse gas emissions. Priority-setting approaches (e.g., triage), appropriate for rapidly changing conditions and for situations where needs are greater than available capacity to respond, will become increasingly important in the future.

  7. Climate change and forests of the future: Managing in the face of uncertainty

    USGS Publications Warehouse

    Millar, C.I.; Stephenson, N.L.; Stephens, S.L.

    2007-01-01

    We offer a conceptual framework for managing forested ecosystems under an assumption that future environments will be different from present but that we cannot be certain about the specifics of change. We encourage flexible approaches that promote reversible and incremental steps, and that favor ongoing learning and capacity to modify direction as situations change. We suggest that no single solution fits all future challenges, especially in the context of changing climates, and that the best strategy is to mix different approaches for different situations. Resources managers will be challenged to integrate adaptation strategies (actions that help ecosystems accommodate changes adaptively) and mitigation strategies (actions that enable ecosystems to reduce anthropogenic influences on global climate) into overall plans. Adaptive strategies include resistance options (forestall impacts and protect highly valued resources), resilience options (improve the capacity of ecosystems to return to desired conditions after disturbance), and response options (facilitate transition of ecosystems from current to new conditions). Mitigation strategies include options to sequester carbon and reduce overall greenhouse gas emissions. Priority-setting approaches (e.g., triage), appropriate for rapidly changing conditions and for situations where needs are greater than available capacity to respond, will become increasingly important in the future. ?? 2007 by the Ecological Society of America.

  8. Geriatric assessment with management in cancer care: Current evidence and potential mechanisms for future research

    PubMed Central

    Magnuson, Allison; Allore, Heather; Cohen, Harvey Jay; Mohile, Supriya G.; Williams, Grant R.; Chapman, Andrew; Extermann, Martine; Olin, Rebecca L.; Targia, Valerie; Mackenzie, Amy; Holmes, Holly M.; Hurria, Arti

    2016-01-01

    Older adults with cancer represent a complex patient population. Geriatric assessment (GA) is recommended to evaluate the medical and supportive care needs of this group. “GA with management” is a term encompassing the resultant medical decisions and interventions implemented in response to vulnerabilities identified on GA. In older, non-cancer patients, GA with management has been shown to improve a variety of outcomes, such as reducing functional decline and health care utilization. However, the role of GA with management in the older adult with cancer is less well established. Rigorous clinical trials of GA with management are necessary to develop an evidence base and support its use in the routine oncology care of older adults. At the recent U-13 conference, “Design and Implementation of Intervention Studies to Improve or Maintain Quality of Survivorship in Older and/or Frail Adults with Cancer,” a session was dedicated to developing research priorities in GA with management. Here we summarize identified knowledge gaps in GA with management studies for older patients with cancer and propose areas for future research. PMID:27197915

  9. Prognostics and Health Management of Wind Turbines: Current Status and Future Opportunities

    SciTech Connect

    Sheng, Shuangwen

    2015-12-14

    Prognostics and health management is not a new concept. It has been used in relatively mature industries, such as aviation and electronics, to help improve operation and maintenance (O&M) practices. In the wind industry, prognostics and health management is relatively new. The level for both wind industry applications and research and development (R&D) has increased in recent years because of its potential for reducing O&M cost of wind power, especially for turbines installed offshore. The majority of wind industry application efforts has been focused on diagnosis based on various sensing and feature extraction techniques. For R&D, activities are being conducted in almost all areas of a typical prognostics and health management framework (i.e., sensing, data collection, feature extraction, diagnosis, prognosis, and maintenance scheduling). This presentation provides an overview of the current status of wind turbine prognostics and health management that focuses on drivetrain condition monitoring through vibration, oil debris, and oil condition analysis techniques. It also discusses turbine component health diagnosis through data mining and modeling based on supervisory control and data acquisition system data. Finally, it provides a brief survey of R&D activities for wind turbine prognostics and health management, along with future opportunities.

  10. Carbon storage potential of managed mountain grasslands under future conditions - Inverse modelling and uncertainty analysis

    NASA Astrophysics Data System (ADS)

    Hammerle, A.; Williams, M. D.; Schoups, G.; Themessl, M. J.; Gobiet, A.; Calanca, P. S.; Wohlfahrt, G.

    2012-12-01

    Biogeochemical models are often difficult to calibrate due to their complex structure and/or their large number of parameters. To provide reliable results as well as defensible estimations of uncertainty any data-fusion approach has to account for and quantify all errors consisting of input, model structural and parameter estimation errors. Here we present a study of the carbon cycling of managed temperate mountain grasslands in the Austrian Alps and their carbon storage potential under future conditions using a data model fusion approach enabled to handle these uncertainties. Provided multiple data sets of different managed grassland ecosystems (consisting of micrometeorological variables, carbon dioxide fluxes, aboveground biomass and soil water content) the grassland adapted DALEC model, a big-leaf photosynthesis model as well as a soil moisture model were applied to model the carbon balance of these ecosystems. Parameter estimation of these models is done using a Bayesian inversion scheme. A vital part of this study is the correct residual handling and representation in the inverse parameter estimation scheme in order to provide a robust parameter- and predictive uncertainty estimation. This estimation is achieved by using a generalized likelihood function that, in contrast to the formal approach, does not rely on independent and identically distributed errors according to a normal distribution, with zero mean and constant variance, which does not hold in many ecological applications. Once calibrated these models are used to explore the carbon storage potential of managed grassland ecosystems under different future management- and climate-scenarios. Given these model results optimal management strategies can be provided to maximize the carbon storage potential without compromising yield.

  11. Intelligent biomedical clothing for personal health and disease management: state of the art and future vision.

    PubMed

    Lymberis, Andreas; Olsson, Silas

    2003-01-01

    Telemedicine has been introduced to overcome distance in order to get prompt access to medical knowledge and appropriate health care. More recently, work in telemedicine has aimed at developing solutions to support the management of chronic diseases such as diabetes, and lung and heart diseases, as well as to provide support for home care services. Telemedicine is also entering the fields of health promotion/prevention disease, life style management, and well-being. The evolution and broadening of telemedicine gives birth to a nomenclature that includes "e-health," "telehealth," and "telecare." The latest developments in microsystems and nanotechnologies as well as in information processing and communication technologies allow miniaturization and non-invasive smart monitoring of physiological and physical data. Ongoing cutting-edge multidisciplinary research in textile fibers, biomedical sensors, and wireless and mobile telecommunications integrated with telemedicine, aims at developing intelligent biomedical clothing (IBC) that could pave the way to support personalized management of health and diseases at the point of need and at any time. In this study, we aim to describe the current status of multidisciplinary research and development of IBC, based on bibliographic research and reports from seminars, workshops, conferences, and working groups. A further aim is to inform the developers, the decision makers, and users in the health and healthcare sector regarding future solutions to support personalized health care and disease management. Both the textile sector and healthcare sector are looking with great interest at the innovative products and applications that could result from the integration of microsystems, nanotechnologies, biomedical sensors, textiles, and mobile telecommunications. For health monitoring, disease prevention and management, rehabilitation, and sport medicine, IBC may offer, in the mid-term future, a unique, wearable non

  12. [Management qualifications for academic surgeons in the future: what can we learn from business administration?].

    PubMed

    Büchler, Peter; Martin, David; Büchler, Markus W

    2006-05-01

    Health is a fundamental resource for social and economic development. Greater human development implies that people live longer and enjoy good health for a greater number of years. Healthcare systems should adapt to the new challenges posed by health: a sharp increase in population aging, the demand for more appropriate and transparent management, increased patient expectations, rising costs, and the emergence of ever more challenging economic contexts. At the vanguard of surgical development, surgical units in university hospitals play a fundamental role in the future of surgery and are therefore responsible for coping efficiently with these changes. To do this, effective surgical leaders are required. However, this poses the problem of how these future surgical leaders should be trained so that their training can be controlled and proactively influenced in advance. The present article reviews the arguments and need for management training among general surgeons, as well as knowledge of this process and its results. To maintain first-class healthcare and provide the most advanced medical education and biomedical research, modern surgical units in university hospitals will require effective surgical leaders. To train these modern leaders, business management programs are essential, both in undergraduate education and in specialized surgical training.

  13. [Marketing mix in a radiology department: challenges for future radiologists in management].

    PubMed

    Claikens, B

    1998-08-01

    Radiology has gained an enviable position among medial specialities. Developments in new technology expand its horizons and the volume of radiologic imaging techniques and procedures increase far more than the overall growth in health care services. In this position radiology has become a prime target for restrictions, cutbacks, controlled financing in an area of managed care and new national health care policy based on partially fixed budgets. Future health care takers have to choose the best available diagnostic and therapeutic techniques. Evidence based medicine, cost-utility analysis, diagnostic performance analysis, patient outcome analysis, technology assessment and guidelines for practice are means to guide us through our obligatory choice. Our major objective is to use the most performant available imaging technique or intervention to achieve the best possible outcome for our patient at lower possible costs. A strategic response from radiologists is required to meet the imperatives of this new management situation. They must do far more than interpret imaging procedures. They must work as efficient managers of imaging resources, organise their practices and define their marketing-strategies using the different, so-called, marketing-mix elements. The challenges will be great but the rewards are worth our best efforts. In this article we highlight the marketing responsibilities of future radiologists and their clinical practice in this new socio-economic environment and we present different useful marketing tools.

  14. Structural Analysis Methods for Structural Health Management of Future Aerospace Vehicles

    NASA Technical Reports Server (NTRS)

    Tessler, Alexander

    2007-01-01

    Two finite element based computational methods, Smoothing Element Analysis (SEA) and the inverse Finite Element Method (iFEM), are reviewed, and examples of their use for structural health monitoring are discussed. Due to their versatility, robustness, and computational efficiency, the methods are well suited for real-time structural health monitoring of future space vehicles, large space structures, and habitats. The methods may be effectively employed to enable real-time processing of sensing information, specifically for identifying three-dimensional deformed structural shapes as well as the internal loads. In addition, they may be used in conjunction with evolutionary algorithms to design optimally distributed sensors. These computational tools have demonstrated substantial promise for utilization in future Structural Health Management (SHM) systems.

  15. Assessing and managing breast cancer risk: clinicians' current practice and future needs.

    PubMed

    Collins, Ian M; Steel, Emma; Mann, G Bruce; Emery, Jon D; Bickerstaffe, Adrian; Trainer, Alison; Butow, Phyllis; Pirotta, Marie; Antoniou, Antonis C; Cuzick, Jack; Hopper, John; Phillips, Kelly-Anne; Keogh, Louise A

    2014-10-01

    Decision support tools for the assessment and management of breast cancer risk may improve uptake of prevention strategies. End-user input in the design of such tools is critical to increase clinical use. Before developing such a computerized tool, we examined clinicians' practice and future needs. Twelve breast surgeons, 12 primary care physicians and 5 practice nurses participated in 4 focus groups. These were recorded, coded, and analyzed to identify key themes. Participants identified difficulties assessing risk, including a lack of available tools to standardize practice. Most expressed confidence identifying women at potentially high risk, but not moderate risk. Participants felt a tool could especially reassure young women at average risk. Desirable features included: evidence-based, accessible (e.g. web-based), and displaying absolute (not relative) risks in multiple formats. The potential to create anxiety was a concern. Development of future tools should address these issues to optimize translation of knowledge into clinical practice.

  16. Development and Application of Future Climate Scenarios for Natural Resource Management in Southwestern Colorado

    NASA Astrophysics Data System (ADS)

    Rangwala, I.; Rondeau, R.; Wyborn, C.; Clifford, K. R.; Travis, W.

    2015-12-01

    Locally relevant projections of climate change provide critical insights for natural resource managers seeking to adapt their management activities to climate change in the context of uncertainty. To provide such information, we developed climate scenarios, in form of narratives and quantitative information, of future climate change and its impacts in southwestern Colorado. This information was intended to provide detailed insights into the range of changes that natural resource managers may face in the future. The scenarios were developed in an iterative process through interactions among the ecologists, social and climate scientists. In our scenario development process, climate uncertainty is acknowledged by having multiple scenarios, where each scenario is regarded as a storyline with equal likelihood as another scenario. We quantified changes in several decision relevant climate and ecological responses based on our best available understanding and provided a tight storyline for each scenario to facilitate (a) a more augmented use of scientific information in a decision-making process, (b) differential responses from stakeholders across the different scenarios, and (c) identification of strategies that could work across these multiple scenarios. Here, we discuss the process of selecting the scenarios, quantifying climate and ecological responses, and the criteria for building the narrative for each scenario. We also discuss the process by which these scenarios get used, and provide an assessment of their effectiveness and users' feedbacks that could inform the future development of these tools and processes. This research involvement and collaboration occurred, in part, as a result of the PACE Fellowship Program that is associated with NOAA Climate Program Office and the U.S. CLIVAR community.

  17. Integrating Science, Management, and Policy for the Future of Water in California

    NASA Astrophysics Data System (ADS)

    Levy, Michael

    2013-07-01

    Society faces complex, multifaceted problems that call for research that transcends disciplinary boundaries and informs public policy. Water resources management in the face of climate change in California is one such challenge. Understanding responses to future conditions requires integration of climatic, hydrologic, ecological, and social dynamics. To catalyze the development and application of this science, the graduate students of the U.S. National Science Foundation-funded Climate Change, Water, and Society Integrative Graduate Education and Research Traineeship (CCWAS IGERT) at the University of California, Davis organized a "State of the Science" workshop to identify knowledge gaps; promote cross-disciplinary communication, fertilization, and collaboration; and better connect science and policy.

  18. Education for Cultivating Future Factory Managers by Industry-College Cooperation

    NASA Astrophysics Data System (ADS)

    Tennichi, Michio; Yamada, Hirofumi; Matsui, Hiroshi; Furuya, Shigehiko; Ito, Kouhei

    In 2007, Kanazawa Technical College was designated by the Ministry of Education, Culture, Sports, Science and Technology as an institute on a Project to the Cultivation of Practical Engineers by Cooperative Education and is to complete the project. Our project aims at accomplishing “Education Program Development and Practice for Cultivating Future Factory Managers Beginning at Age 16” , with the object of the cooperative project by local businesses, Ishikawa Prefecture and Kanazawa Institute of Technology. This paper reports as follows. (1) Outline of this project (2) Results from the project we have tackled. (3) Safety education in order to begin mechanical hands-on training at the first grade.

  19. Comprehensive management of pressure ulcers in spinal cord injury: Current concepts and future trends

    PubMed Central

    Kruger, Erwin A.; Pires, Marilyn; Ngann, Yvette; Sterling, Michelle; Rubayi, Salah

    2013-01-01

    Pressure ulcers in spinal cord injury represent a challenging problem for patients, their caregivers, and their physicians. They often lead to recurrent hospitalizations, multiple surgeries, and potentially devastating complications. They present a significant cost to the healthcare system, they require a multidisciplinary team approach to manage well, and outcomes directly depend on patients' education, prevention, and compliance with conservative and surgical protocols. With so many factors involved in the successful treatment of pressure ulcers, an update on their comprehensive management in spinal cord injury is warranted. Current concepts of local wound care, surgical options, as well as future trends from the latest wound healing research are reviewed to aid medical professionals in treating patients with this difficult problem. PMID:24090179

  20. Prevalence, Diagnosis and Management of Pancreatic Cystic Neoplasms: Current Status and Future Directions

    PubMed Central

    Farrell, James J.

    2015-01-01

    Cystic neoplasms of the pancreas are found with increasing prevalence, especially in elderly asymptomatic individuals. Although the overall risk of malignancy is very low, the presence of these pancreatic cysts is associated with a large degree of anxiety and further medical investigation due to concerns about malignancy. This review discusses the different cystic neoplasms of the pancreas and reports diagnostic strategies based on clinical features and imaging data. Surgical and nonsurgical management of the most common cystic neoplasms, based on the recently revised Sendai guidelines, is also discussed, with special reference to intraductal papillary mucinous neoplasm (IPMN; particularly the branch duct variant), which is the lesion most frequently identified incidentally. IPMN pathology, its risk for development into pancreatic ductal adenocarcinoma, the pros and cons of current guidelines for management, and the potential role of endoscopic ultrasound in determining cancer risk are discussed. Finally, surgical treatment, strategies for surveillance of pancreatic cysts, and possible future directions are discussed. PMID:26343068

  1. Salmon Futures: Stakeholder-driven salmon management scenarios under changing environmental conditions on Alaska's Kenai Peninsula

    NASA Astrophysics Data System (ADS)

    Trammell, E. J.; Krupa, M.

    2015-12-01

    Understanding the adaptive capacity of individuals within natural resource management agencies is a key component of assessing the vulnerability of salmon to future environmental change. We seek to explore the adaptive capacity of natural resource agencies on Alaska's Kenai Peninsula by exploring the drivers and implications of different salmon allocation scenarios through participatory workshops with managers. We present here the initial results from the first workshop, which explores the various drivers responsible for changes in salmon allocation. Ranging from global to local, and biophysical to socioeconomic, these drivers are also linked to specific actors in the region. These complex interactions comprise the Kenai Peninsula's social-ecological system and determine its ability to react to change. Using a stakeholder-driven scenario framework, we aim to: 1) explore the adaptive capacity of natural resource agencies in the region by exploring and exposing managers to different but logically coherent salmon allocation scenarios; 2) build stakeholder confidence in the science of environmental change on the Kenai Peninsula; and 3) develop a decision support tool that helps regional resource managers better understand their changing environment. We utilize and present the scenario framework as a platform for integrating hydrologic, landscape, and cultural change information into actionable decisions, crafted by the stakeholders, so that landscape change on the Kenai becomes more coordinated.

  2. [Team Approaches for and Future Challenges to Promoting Perioperative Oral Management].

    PubMed

    Aimono, Yuka; Kamoshida, Toshiro; Nakashima, Takafumi; Sato, Wataru; Sakamoto, Risa; Saito, Yoshiko; Kikuchi, Sakiko; Ishii, Hideyuki; Maruyama, Tsunehiko; Aoyama, Yoshifumi

    2016-02-01

    When the medical fee system was revised in 2012, the category of perioperative oral management was newly organized. However, the calculation of additional fees for such management required referral from medical to dental departments. In addition, requests for such management were limited, possibly owing to an increased burden on doctors engaged in outpatient services. This study examined the usefulness of an approach to promote patients' use of dental services by increasing their awareness of the importance of oral management. In this approach, pharmacists explained doctors' instructions to patients at a chemotherapy center within the study facility. Explanations were provided to 114 patients, 75 (65.8%) of whom subsequently used dental services in the facility. For patients using dental services, oral care was performed most frequently (40; 53.3%), followed by invasive procedures (23; 30.7%). Furthermore, the facility's ethics committee approved a survey to measure the satisfaction of patients undergoing chemotherapy at the center. Of the 110 patients invited to participate in the survey, 77(70.0%) did not respond. Researchers concluded the low response rate was associated with patients' belief that dental services were intended primarily for treating oral cavities and their lack of awareness of the importance of preventive dental care. However, in 2014, the number of calculations of additional fees for perioperative oral management markedly increased each month after the above-mentioned approach, from 62 (January) to 162 (December). Both the hospital-to family and family-to-hospital dentist referral rates significantly increased, from 11.2% and 10.7%, respectively (June 2013), to 21.0% and 41.9%, respectively(June 2014). Future evaluations of the outcomes of perioperative oral management and promoting cooperation between medical and dental communities may be necessary.

  3. Sanitary Food Service; Instructor's Guide to Be Used in Training Food-Service Personnel.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Cincinnati, OH.

    Instructors of civilian and/or military food service employees are given suggestions for the flexible use of this guide, then receive more detailed guidelines for grouping trainees, managing classes, planning lessons, and adapting the food service course to various groups and teaching situations. Specific content (principles to be taught) and…

  4. Food Preparation. I: Food Facts for Home. II: Facts about Foodservice.

    ERIC Educational Resources Information Center

    Procter and Gamble Educational Services, Cincinnati, OH.

    This package is intended for use in home economics classes focusing on nutrition and food preparation and service. The teaching guide is divided into two parts. The first centers on selected first-time facts on nutrition, meal planning, and basic food preparation skills. It includes modules on nutrition, meal management, initial steps in food…

  5. Four-Year Turfgrass Management Programs in the United States: I. Structure, Requirements, Needs, and Future Outlook.

    ERIC Educational Resources Information Center

    Karnok, Deith J.; And Others

    1993-01-01

    A survey of 32 land-grant institutions was conducted to determine structure, course requirements, needs, and future directions of 4-year turfgrass management programs in the United States. Results related to course selection, limiting factors to the program's success, and future challenges are reported. (MDH)

  6. Ants in the Hospital Environment: Ecological Parameters as Support for Future Management Strategies.

    PubMed

    de Castro, M M; Almeida, M; Fernandes, E F; Prezoto, F

    2016-06-01

    Urban ants cause many losses to human society, and they represent a potential threat to public health in hospital environments due to their ability to transport pathogenic organisms. We evaluated several ecological parameters (richness, abundance, constancy, and evenness), their fluctuation during the seasons, and identified species that occur outside the natural range of the ant fauna of a hospital environment, as support for future management strategies. Ant sampling was held every 2 months by using attractive bait traps in the morning and evening, leading to the sampling of 10,342 individuals belonging to six subfamilies and 26 species. Myrmicinae showed higher richness (n = 12) and abundance (n = 7336), with Pheidole susannae Forel being the most abundant species. The most constant species (100%) were P. susannae and Tetramorium simillimum (Smith). Among the most abundant species, Monomorium floricola (Jerdon) and Tapinoma melanocephalum (Fabricius) are considered as species that occur outside the natural range. No difference was observed between species richness and abundance. The Shannon (2.247), dominance (0.1395) and evenness indices (0.6897) indicated a stability of the community throughout the year with high diversity and low dominance of species. The sampled data constitute a new series of information on a long-term ecological approach to support future management strategies in hospital environments and allow for more efficient pest control.

  7. CURRENT PROGRESS AND FUTURE PLANS FOR THE DOE OFFICE OF ENVIRONMENTAL MANAGEMENT INTERNATIONAL PROGRAM

    SciTech Connect

    Marra, J; Kurt D Gerdes, K; David Peeler, D; John Harbour, J; Kevin Fox, K

    2007-11-16

    The U.S. Department of Energy's (DOE) Office of Environmental Management (EM) has collaborated with various international institutes for many years on radioactive waste management challenges of mutual concern. Currently, DOE-EM is performing collaborative work with researchers at the Khlopin Radium Institute and the SIA Radon Institute in Russia and the Ukraine's International Radioecology Laboratory to explore issues related to high-level waste and to investigate experience and technologies that could support DOE-EM site cleanup needs. Specific initiatives include: (1) Application of the Cold Crucible Induction Heated Melter to DOE Wastes--SIA Radon and Savannah River National Laboratory; (2) Improved Solubility and Retention of Troublesome Components in SRS and Hanford Waste Glasses--Khlopin Radium Institute, Pacific Northwest National Laboratory and Savannah River National Laboratory; and (3) Long-term Impacts from Radiation/Contamination within the Chernobyl Exclusion Zone--International Radioecology Laboratory and Savannah River National Laboratory. This paper provides an overview of the status of the current International Program task activities. The paper will also provide insight into the future direction for the program. Specific ties to the current DOE-EM technology development multi-year planning effort will be highlighted as well as opportunities for future international collaborations.

  8. Current Progress and Future Plans for the DOE Office of Environmental Management International Program

    SciTech Connect

    Gerdes, K.D.; Marra, J. C.; Peeler, D.K.; Harbour, M.J.J.R.; Fox, K.M.; Vienna, J.D.; Aloy, A.S.; Stefanovsky, S.V.; Bondarkov, M.D.

    2008-07-01

    The U.S. Department of Energy's (DOE) Office of Environmental Management (EM) has collaborated with various international institutes for many years on radioactive waste management challenges of mutual concern. Currently, DOE-EM is performing collaborative work with researchers at the Khlopin Radium Institute and the SIA Radon Institute in Russia and the Ukraine's International Radioecology Laboratory to explore issues related to high-level waste and to investigate experience and technologies that could support DOE-EM site cleanup needs. Specific initiatives include: - Application of the Cold Crucible Induction Heated Melter to DOE Wastes - SIA Radon and Savannah River National Laboratory; - Improved Solubility and Retention of Troublesome Components in SRS and Hanford Waste Glasses - Khlopin Radium Institute, Pacific Northwest National Laboratory and Savannah River National Laboratory; - Long-term Impacts from Radiation/Contamination within the Chernobyl Exclusion Zone, International Radioecology Laboratory and Savannah River National Laboratory. This paper provides an overview of the status of the current International Program task activities. The paper will also provide insight into the future direction for the program. Specific ties to the current DOE-EM technology development multi-year planning effort will be highlighted as well as opportunities for future international collaborations. (authors)

  9. Future Rehabilitation Professionals' Intentions to Use Self-Management Support: Helping Students to Help Patients.

    PubMed

    Figueiredo, Sabrina; Mayo, Nancy E; Thomas, Aliki

    2017-01-01

    Purpose: We evaluated whether education in self-management support (SMS) increases future clinicians' intentions to use a new way of delivering rehabilitation services. Methods: A convenience sample of 10 students took a 5-week theoretical course, followed by 6 weeks spent assessing patients, establishing treatment plans, and monitoring their performance by telephone. Focus groups were held before and after the educational modules, with deductive mapping of themes to the Theory of Planned Behaviour and inductive analysis of additional themes. Results: Five themes and 22 subcategories emerged from the deductive-inductive focus group content analysis. After participating in the educational modules, students reported gaining knowledge about SMS and highlighted the lack of similar preparation during their academic courses. Nonetheless, they were hesitant to adopt SMS. Conclusion: Future clinicians gained knowledge and skills after being exposed to SMS courses, but their intention to adopt SMS in their future daily practice remained low. We also noted a lack of formal training in SMS in the academic setting. The findings from this study support incorporating SMS training into the curriculum, but to increase students' intention to use SMS as part of patient care, training may need to be in more depth than it was in the modules we used.

  10. Bacterial disease management: challenges, experience, innovation and future prospects: Challenges in Bacterial Molecular Plant Pathology.

    PubMed

    Sundin, George W; Castiblanco, Luisa F; Yuan, Xiaochen; Zeng, Quan; Yang, Ching-Hong

    2016-12-01

    Plant diseases caused by bacterial pathogens place major constraints on crop production and cause significant annual losses on a global scale. The attainment of consistent effective management of these diseases can be extremely difficult, and management potential is often affected by grower reliance on highly disease-susceptible cultivars because of consumer preferences, and by environmental conditions favouring pathogen development. New and emerging bacterial disease problems (e.g. zebra chip of potato) and established problems in new geographical regions (e.g. bacterial canker of kiwifruit in New Zealand) grab the headlines, but the list of bacterial disease problems with few effective management options is long. The ever-increasing global human population requires the continued stable production of a safe food supply with greater yields because of the shrinking areas of arable land. One major facet in the maintenance of the sustainability of crop production systems with predictable yields involves the identification and deployment of sustainable disease management solutions for bacterial diseases. In addition, the identification of novel management tactics has also come to the fore because of the increasing evolution of resistance to existing bactericides. A number of central research foci, involving basic research to identify critical pathogen targets for control, novel methodologies and methods of delivery, are emerging that will provide a strong basis for bacterial disease management into the future. Near-term solutions are desperately needed. Are there replacement materials for existing bactericides that can provide effective disease management under field conditions? Experience should inform the future. With prior knowledge of bactericide resistance issues evolving in pathogens, how will this affect the deployment of newer compounds and biological controls? Knowledge is critical. A comprehensive understanding of bacterial pathosystems is required to not

  11. Landfill taxes and Enhanced Waste Management: Combining valuable practices with respect to future waste streams.

    PubMed

    Hoogmartens, Rob; Eyckmans, Johan; Van Passel, Steven

    2016-09-01

    Both landfill taxes and Enhanced Waste Management (EWM) practices can mitigate the scarcity issue of landfill capacity by respectively reducing landfilled waste volumes and valorising future waste streams. However, high landfill taxes might erode incentives for EWM, even though EWM creates value by valorising waste. Concentrating on Flanders (Belgium), the paper applies dynamic optimisation modelling techniques to analyse how landfill taxation and EWM can reinforce each other and how taxation schemes can be adjusted in order to foster sustainable and welfare maximising ways of processing future waste streams. Based on the Flemish simulation results, insights are offered that are generally applicable in international waste and resource management policy. As shown, the optimal Flemish landfill tax that optimises welfare in the no EWM scenario is higher than the one in the EWM scenario (93 against €50/ton). This difference should create incentives for applying EWM and is driven by the positive external effects that are generated by EWM practices. In Flanders, as the current landfill tax is slightly lower than these optimal levels, the choice that can be made is to further increase taxation levels or show complete commitment to EWM. A first generally applicable insight that was found points to the fact that it is not necessarily the case that the higher the landfill tax, the more effective waste management improvements can be realised. Other insights are about providing sufficient incentives for applying EMW practices and formulating appropriate pleas in support of technological development. By these insights, this paper should provide relevant information that can assist in triggering the transition towards a resource-efficient, circular economy in Europe.

  12. Treatment of Thrombotic Antiphospholipid Syndrome: The Rationale of Current Management-An Insight into Future Approaches.

    PubMed

    Chighizola, Cecilia Beatrice; Ubiali, Tania; Meroni, Pier Luigi

    2015-01-01

    Vascular thrombosis and pregnancy morbidity represent the clinical manifestations of antiphospholipid syndrome (APS), which is serologically characterized by the persistent positivity of antiphospholipid antibodies (aPL). Antiplatelet and anticoagulant agents currently provide the mainstay of APS treatment. However, the debate is still open: controversies involve the intensity and the duration of anticoagulation and the treatment of stroke and refractory cases. Unfortunately, the literature cannot provide definite answers to these controversial issues as it is flawed by many limitations, mainly due to the recruitment of patients not fulfilling laboratory and clinical criteria for APS. The recommended therapeutic management of different aPL-related clinical manifestations is hereby presented, with a critical appraisal of the evidence supporting such approaches. Cutting edge therapeutic strategies are also discussed, presenting the pioneer reports about the efficacy of novel pharmacological agents in APS. Thanks to a better understanding of aPL pathogenic mechanisms, new therapeutic targets will soon be explored. Much work is still to be done to unravel the most controversial issues about APS management: future studies are warranted to define the optimal management according to aPL risk profile and to assess the impact of a strict control of cardiovascular risk factors on disease control.

  13. Current and future management of NK/T-cell lymphoma based on clinical trials.

    PubMed

    Yamaguchi, Motoko

    2012-11-01

    Recently reported results of well-designed prospective clinical trials for extranodal NK/T-cell lymphoma, nasal type (ENKL) have rapidly changed the management of ENKL. This review will focus on the evidence obtained from prospective clinical trials for ENKL and discuss the most highly recommended current management and future directions for the better management of ENKL. For patients with nasal NK/T-cell lymphoma of stage IE or contiguous stage IIE with cervical node involvement, concurrent chemoradiotherapy with radiotherapy (RT) and a two-thirds dose of DeVIC chemotherapy is recommended as a first-line treatment. To obtain the expected clinical outcome, performing RT following the same procedure as that reported is important. For the other patients with newly diagnosed ENKL, SMILE chemotherapy is recommended as an induction therapy. The Epstein-Barr virus DNA load in peripheral blood is useful for both prognostication and monitoring during the follow-up after treatment. Other L-asparaginase-containing chemotherapies and chemotherapies containing non-multidrug resistance-related agents and etoposide are good options for elderly patients or patients with impaired organ function. As in the cases of other aggressive lymphomas, prospective clinical trials with adequate statistical considerations should be conducted to improve the prognosis of patients with ENKL.

  14. Modelling coral reef futures to inform management: can reducing local-scale stressors conserve reefs under climate change?

    PubMed

    Gurney, Georgina G; Melbourne-Thomas, Jessica; Geronimo, Rollan C; Aliño, Perry M; Johnson, Craig R

    2013-01-01

    Climate change has emerged as a principal threat to coral reefs, and is expected to exacerbate coral reef degradation caused by more localised stressors. Management of local stressors is widely advocated to bolster coral reef resilience, but the extent to which management of local stressors might affect future trajectories of reef state remains unclear. This is in part because of limited understanding of the cumulative impact of multiple stressors. Models are ideal tools to aid understanding of future reef state under alternative management and climatic scenarios, but to date few have been sufficiently developed to be useful as decision support tools for local management of coral reefs subject to multiple stressors. We used a simulation model of coral reefs to investigate the extent to which the management of local stressors (namely poor water quality and fishing) might influence future reef state under varying climatic scenarios relating to coral bleaching. We parameterised the model for Bolinao, the Philippines, and explored how simulation modelling can be used to provide decision support for local management. We found that management of water quality, and to a lesser extent fishing, can have a significant impact on future reef state, including coral recovery following bleaching-induced mortality. The stressors we examined interacted antagonistically to affect reef state, highlighting the importance of considering the combined impact of multiple stressors rather than considering them individually. Further, by providing explicit guidance for management of Bolinao's reef system, such as which course of management action will most likely to be effective over what time scales and at which sites, we demonstrated the utility of simulation models for supporting management. Aside from providing explicit guidance for management of Bolinao's reef system, our study offers insights which could inform reef management more broadly, as well as general understanding of reef

  15. An approach for the anticipatory and participatory management of current and future flood risks

    NASA Astrophysics Data System (ADS)

    Luther, J.

    2012-04-01

    concepts and the application of respective techniques are thus reviewed and incorporated with regard to their suitability for an integrated management of current and future flood risks. In particular, "hybrid scenarios" with qualitative and quantitative components represented by nested models as well as assumptions across different spatiotemporal scales, respectively, are suggested for dealing with the uncertainties when assessing flood risks throughout a system's possible evolution. The (initially top-down developed) approach and its components will be briefly presented. These "scenario products" could later serve as a stimulus for discussions that bring together different actors and enhance - and eventually legitimise - the scenarios further in a "scenario process": (1) A first step is the conceptualisation of a flood risk system following the SPRC-model. Its physical geographical and anthropogenic factors may either be subject to autonomous trends, target-oriented control, or facultative system behaviour (e.g. dike breaches). With this concept, the integration of different processes and scales is aspired. (2) Secondly, it is conceptually shown how the risk cascade for present and future states of the flood risk system can be calculated based on coupled models ranging from climate change projections to a damage simulation models. (3) Thirdly, ways to develop socioeconomic storylines for the development frameworks and guiding principles for the strategic alternatives are presented and the futures are combined. This involves making plausible and consistent assumptions for many system factors and their drivers and finding ways to harmonise existing data for the same areas and time steps. (4) Fourthly, selected futures can be analysed and evaluated ex ante applying the coupled models of the second step to derive the emerging flood risks. The evaluation addresses, amongst other aspects, the identification of (i) the sensitivity of all scenarios against the current strategic

  16. Weeds in a Changing Climate: Vulnerabilities, Consequences, and Implications for Future Weed Management.

    PubMed

    Ramesh, Kulasekaran; Matloob, Amar; Aslam, Farhena; Florentine, Singarayer K; Chauhan, Bhagirath S

    2017-01-01

    role in developing future management programs for future weed threats. This review has presented a comprehensive discussion of the recent research in this area, and has identified key deficiencies which need further research in crop-weed eco-systems to formulate suitable control measures before the real impacts of climate change set in.

  17. Weeds in a Changing Climate: Vulnerabilities, Consequences, and Implications for Future Weed Management

    PubMed Central

    Ramesh, Kulasekaran; Matloob, Amar; Aslam, Farhena; Florentine, Singarayer K.; Chauhan, Bhagirath S.

    2017-01-01

    role in developing future management programs for future weed threats. This review has presented a comprehensive discussion of the recent research in this area, and has identified key deficiencies which need further research in crop-weed eco-systems to formulate suitable control measures before the real impacts of climate change set in. PMID:28243245

  18. Improving U.S. Navy Foodservice Management Training. Part 2: Recommendations for Improving On-Site Training Ashore and Afloat

    DTIC Science & Technology

    1985-12-01

    NARR: I get the point. CHIEF: Take your basic vegetables: green beans, peas, corn, carrots, broccoli, brussel sprouts, greens, asparagus , beets and...NARR: Do costs natter? CHIEF: Generally speaking, no. Asparagus may be the exception. It’s very expensive. (Enters item.) How do you like buttered

  19. Human decision making in future ATC systems comparative studies in distributed traffic management

    NASA Technical Reports Server (NTRS)

    Kreifeldt, J. G.; Wempe, T. E.

    1974-01-01

    Seven different human-centered alternatives for distributing traffic management responsibility between air and ground in the terminal area were simulated and evaluated at NASA-Ames Research Center in the man-machine integration branch. The alternatives differed in three divisions of decision-making responsibility ranging from completely ground-centered to completely air-centered and in the amount of information presented to the pilots via traffic situation displays (TSD). Objective, verbal and subjective measures of system performance, workloads, preferences, etc., were obtained. Based on the task and corresponding measures, the ground-centered (vectoring) alternative was the least favorable. Best overall performance was achieved and preferred with a moderate division of responsibility in which controllers issued sequence order only and pilots used a TSD with 30 sec path predictors on their own aircraft. Speculations on the use of the results in context of a ground-centralized system failure and for future ATC systems are presented.

  20. Recent Developments in Neurofibromatoses and RASopathies: Management, Diagnosis and Current and Future Therapeutic Avenues

    PubMed Central

    Rauen, Katherine A.; Huson, Susan M.; Burkitt-Wright, Emma; Evans, D Gareth; Farschtschi, Said; Ferner, Rosalie E; Gutmann, David H.; Hanemann, C Oliver; Kerr, Bronwyn; Legius, Eric; Parada, Luis F; Patton, Michael; Peltonen, Juha; Ratner, Nancy; Riccardi, Vincent M.; van der Vaart, Thijs; Vikkula, Miikka; Viskochil, David H.; Zenker, Martin; Upadhyaya, Meena

    2014-01-01

    Neurofibromatosis type 1 was the first RASopathy and is now one of many RASopathies that are caused by germline mutations in genes that encode components of the Ras/mitogen-activated protein kinase (MAPK) pathway. Their common underlying pathogenetic etiology causes significant overlap in phenotypic features which includes craniofacial dysmorphology, cardiac, cutaneous, musculoskeletal, GI and ocular abnormalities, and a predisposition to cancer. The proceedings from the symposium “Recent Developments in Neurofibromatoses and RASopathies: Management, Diagnosis and Current and Future Therapeutic Avenues” chronicle this timely and topical clinical translational research symposium. The overarching goal was to bring together clinicians, basic scientists, physician-scientists, advocate leaders, trainees, students and individuals with Ras pathway syndromes to discuss the most state-of-the-art basic science and clinical issues in an effort to spark collaborations directed towards the best practices and therapies for individuals with RASopathies. PMID:25393061

  1. Recent developments in neurofibromatoses and RASopathies: management, diagnosis and current and future therapeutic avenues.

    PubMed

    Rauen, Katherine A; Huson, Susan M; Burkitt-Wright, Emma; Evans, D Gareth; Farschtschi, Said; Ferner, Rosalie E; Gutmann, David H; Hanemann, C Oliver; Kerr, Bronwyn; Legius, Eric; Parada, Luis F; Patton, Michael; Peltonen, Juha; Ratner, Nancy; Riccardi, Vincent M; van der Vaart, Thijs; Vikkula, Miikka; Viskochil, David H; Zenker, Martin; Upadhyaya, Meena

    2015-01-01

    Neurofibromatosis type 1 (NF1) was the first RASopathy and is now one of many RASopathies that are caused by germline mutations in genes that encode components of the Ras/mitogen-activated protein kinase (MAPK) pathway. Their common underlying pathogenetic etiology causes significant overlap in phenotypic features which includes craniofacial dysmorphology, cardiac, cutaneous, musculoskeletal, GI and ocular abnormalities, and a predisposition to cancer. The proceedings from the symposium "Recent Developments in Neurofibromatoses (NF) and RASopathies: Management, Diagnosis and Current and Future Therapeutic Avenues" chronicle this timely and topical clinical translational research symposium. The overarching goal was to bring together clinicians, basic scientists, physician-scientists, advocate leaders, trainees, students and individuals with Ras pathway syndromes to discuss the most state-of-the-art basic science and clinical issues in an effort to spark collaborations directed towards the best practices and therapies for individuals with RASopathies.

  2. Aggression in Tephritidae Flies: Where, When, Why? Future Directions for Research in Integrated Pest Management.

    PubMed

    Benelli, Giovanni

    2014-12-30

    True fruit flies (Diptera: Tephritidae) include over 4000 species, many of which constitute enormous threats to fruit and vegetable production worldwide. A number of Tephritidae are lekking species, forming aggregations in which males fight to defend a small territory where they court females and mate. Male-male contests also occur in non-lekking species, characterized by resource defense polygyny. Tephritidae females display agonistic behavior to maintain single oviposition sites and reduce larval competition for food. Here, how, where, when and why aggressive interactions occur in Tephritidae flies is reviewed. A number of neglected issues deserving further research are highlighted, with a special focus on diel periodicity of aggression, cues evoking aggressive behavior, the role of previous experience on fighting success and the evolution of behavioral lateralization of aggressive displays. In the final section, future directions to exploit this knowledge in Integrated Pest Management, with particular emphasis on enhancement of Sterile Insect Technique and interspecific competitive displacement in the field are suggested.

  3. Revisiting extreme storms of the past 100 years for future safety of large water management infrastructures

    NASA Astrophysics Data System (ADS)

    Chen, Xiaodong; Hossain, Faisal

    2016-07-01

    Historical extreme storm events are widely used to make Probable Maximum Precipitation (PMP) estimates, which form the cornerstone of large water management infrastructure safety. Past studies suggest that extreme precipitation processes can be sensitive to land surface feedback and the planetary warming trend, which makes the future safety of large infrastructures questionable given the projected changes in land cover and temperature in the coming decades. In this study, a numerical modeling framework was employed to reconstruct 10 extreme storms over CONUS that occurred during the past 100 years, which are used by the engineering profession for PMP estimation for large infrastructures such as dams. Results show that the correlation in daily rainfall for such reconstruction can range between 0.4 and 0.7, while the correlation for maximum 3-day accumulation (a standard period used in infrastructure design) is always above 0.5 for post-1948 storms. This suggests that current numerical modeling and reanalysis data allow us to reconstruct big storms after 1948 with acceptable accuracy. For storms prior to 1948, however, reconstruction of storms shows inconsistency with observations. Our study indicates that numerical modeling and data may not have advanced to a sufficient level to understand how such old storms (pre-1948) may behave in future warming and land cover conditions. However, the infrastructure community can certainly rely on the use of model reconstructed extreme storms of the 1948-present period to reassess safety of our large water infrastructures under assumed changes in temperature and land cover.

  4. Aeronautical Communications Research and Development Needs for Future Air Traffic Management Applications

    NASA Technical Reports Server (NTRS)

    Kerczewski, Robert J.

    2002-01-01

    Continuing growth in regional and global air travel has resulted in increasing traffic congestion in the air and on the ground. In spite of occasional temporary downturns due to economic recessions and catastrophic events, average growth rates of air travel have remained high since the 1960s. The resulting congestion, which constrains expansion of the air transportation industry, inflicts schedule delays and decreases overall system efficiency, creating a pressing need to develop more efficient methods of air traffic management (ATM). New ATM techniques, procedures, air space automation methods, and decision support tools are being researched and developed for deployment in time frames stretching from the next few years to the year 2020 and beyond. As these methods become more advanced and increase in complexity, the requirements for information generation, sharing and transfer among the relevant entities in the ATM system increase dramatically. However, current aeronautical communications systems will be inadequate to meet the future information transfer demands created by these advanced ATM systems. Therefore, the NASA Glenn Research Center is undertaking research programs to develop communication, methods and key technologies that can meet these future requirements. As part of this process, studies, workshops, testing and experimentation, and research and analysis have established a number of research and technology development needs. The purpose of this paper is to outline the critical research and technology needs that have been identified in these activities, and explain how these needs have been determined.

  5. The past, present, and future of U.S. utility demand-side management programs

    SciTech Connect

    Eto, J.

    1996-12-01

    Demand-side management or DSM refers to active efforts by electric and gas utilities to modify customers` energy use patterns. The experience in the US shows that utilities, when provided with appropriate incentives, can provide a powerful stimulus to energy efficiency in the private sector. This paper describes the range and history of DSM programs offered by US electric utilities, with a focus on the political, economic, and regulatory events that have shaped their evolution. It also describes the changes these programs are undergoing as a result of US electricity industry restructuring. DSM programs began modestly in the 1970s in response to growing concerns about dependence on foreign sources of oil and environmental consequences of electricity generation, especially nuclear power. The foundation for the unique US partnership between government and utility interests can be traced first to the private-ownership structure of the vertically integrated electricity industry and second to the monopoly franchise granted by state regulators. Electricity industry restructuring calls into question both of these basic conditions, and thus the future of utility DSM programs for the public interest. Future policies guiding ratepayer-funded energy-efficiency DSM programs will need to pay close attention to the specific market objectives of the programs and to the balance between public and private interests.

  6. Scenarios of Future Water use on Mediterranean Islands based on an Integrated Assessment of Water Management

    NASA Astrophysics Data System (ADS)

    Lange, M. A.

    2006-12-01

    The availability of water in sufficient quantities and adequate quality presents considerable problems on Mediterranean islands. Because of their isolation and thus the impossibility to draw on more distant or more divers aquifers, they rely entirely on precipitation as natural replenishing mechanism. Recent observations indicate decreasing precipitation, increasing evaporation and steadily growing demand for water on the islands. Future climate change will exacerbate this problem, thus increasing the already pertinent vulnerability to droughts. Responsible planning of water management strategies requires scenarios of future supply and demand through an integrated assessment including climate scenarios based on regional climate modeling as well as scenarios on changes in societal and economical determinants of water demand. Constructing such strategies necessitates a thorough understanding about the interdependencies and feedbacks between physical/hydrological and socio-economic determinants of water balances on an island. This has to be based on a solid understanding of past and present developments of these drivers. In the framework of the EU-funded MEDIS project (Towards sustainable water use on Mediterranean Islands: addressing conflicting demands and varying hydrological, social and economic conditions, EVK1-CT-2001-00092), detailed investigations on present vulnerabilities and adaptation strategies to droughts have been carried out on Mallorca, Corsica, Sicily, Crete and Cyprus. This was based on an interdisciplinary study design including hydrological, geophysical, agricultural-, social and political sciences investigations. A central element of the study has been the close interaction with stakeholders on the islands and their contribution to strategy formulation. An important result has been a specification of vulnerability components including: a physical/environmental-, an economical/regulatory- and a social/institutional/political component. Their

  7. Potential Effects of Future Climate Change on the Bioclimatic Habitat of Ecoregions and Managed Lands in Oregon

    NASA Astrophysics Data System (ADS)

    Shafer, S. L.; Saltré, F.; Bartlein, P. J.

    2011-12-01

    Conservation and natural resource managers need information on the potential effects of climate change for the species and ecosystems they manage. We evaluated potential future changes in climate and bioclimatic habitat for ecoregions (as defined by The Nature Conservancy) and managed areas (e.g., national parks) in Oregon, USA. We used future climate simulations for the 21st century from the World Climate Research Programme's Coupled Model Intercomparison Project phase 3 (CMIP3) data set that were produced under the A2 greenhouse gases emissions scenario by three coupled atmosphere-ocean general circulation models (CCSM3, CGCM3.1(T47), UKMO-HadCM3). Projected future climate anomalies were interpolated using geographic-distance-weighted bilinear interpolation to a 30-arc-second (~1-km) grid encompassing the state of Oregon. The interpolated anomalies were applied to 1961-1990 30-year mean climate data (PRISM Climate Group, Oregon State Univ.). Bioclimatic variables (e.g., growing degree days) were calculated using the interpolated climate data and soil data from the CONUS-Soil data set (Miller and White 1998). We chose bioclimatic variables that represent important physiological and environmental limits for Oregon species and habitats of management concern. Maps and multivariate descriptive plots were used to evaluate the direction, magnitude, and spatial patterns of projected future climate and bioclimatic changes. The results indicate which ecoregions and managed areas would experience the largest climate and bioclimatic changes under each of the potential future climate simulations.

  8. The future water environment--using scenarios to explore the significant water management challenges in England and Wales to 2050.

    PubMed

    Henriques, C; Garnett, K; Weatherhead, E K; Lickorish, F A; Forrow, D; Delgado, J

    2015-04-15

    Society gets numerous benefits from the water environment. It is crucial to ensure that water management practices deliver these benefits over the long-term in a sustainable and cost-effective way. Currently, hydromorphological alterations and nutrient enrichment pose the greatest challenges in European water bodies. The rapidly changing climatic and socio-economic boundary conditions pose further challenges to water management decisions and the achievement of policy goals. Scenarios are a strategic tool useful in conducting systematic investigations of future uncertainties pertaining to water management. In this study, the use of scenarios revealed water management challenges for England and Wales to 2050. A set of existing scenarios relevant to river basin management were elaborated through stakeholder workshops and interviews, relying on expert knowledge to identify drivers of change, their interdependencies, and influence on system dynamics. In a set of four plausible alternative futures, the causal chain from driving forces through pressures to states, impacts and responses (DPSIR framework) was explored. The findings suggest that scenarios driven by short-term economic growth and competitiveness undermine current environmental legislative requirements and exacerbate the negative impacts of climate change, producing a general deterioration of water quality and physical habitats, as well as reduced water availability with adverse implications for the environment, society and economy. Conversely, there are substantial environmental improvements under the scenarios characterised by long-term sustainability, though achieving currently desired environmental outcomes still poses challenges. The impacts vary across contrasting generic catchment types that exhibit distinct future water management challenges. The findings suggest the need to address hydromorphological alterations, nutrient enrichment and nitrates in drinking water, which are all likely to be

  9. The SPi chip as an integrated power management device for serial powering of future HEP experiments

    SciTech Connect

    Trimpl, M.; Deptuch, G.; Gingu, C.; Yarema, R.; Holt, R.; Weber, M.; Kierstead, J.; Lynn, D.; /Brookhaven

    2009-01-01

    Serial powering is one viable and very efficient way to distribute power to future high energy physics (HEP) experiments. One promising way to realize serial powering is to have a power management device on the module level that provides the necessary voltage levels and features monitoring functionality. The SPi (Serial Powering Interface) chip is such a power manager and is designed to meet the requirements imposed by current SLHC upgrade plans. It incorporates a programmable shunt regulator, two linear regulators, current mode ADCs to monitor the current distribution on the module, over-current detection, and also provides module power-down capabilities. Compared to serially powered setups that use discrete components, the SPi offers a higher level of functionality in much less real estate and is designed to be radiation tolerant. Bump bonding techniques are used for chip on board assembly providing the most reliable connection at lowest impedance. This paper gives an overview of the SPi and outlines the main building blocks of the chip. First stand alone tests are presented showing that the chip is ready for operation in serially powered setups.

  10. Clinical applications, limitations and future role of transient elastography in the management of liver disease

    PubMed Central

    Chang, Pik Eu; Goh, George Boon-Bee; Ngu, Jing Hieng; Tan, Hiang Keat; Tan, Chee Kiat

    2016-01-01

    Transient elastography (TE) is a reliable tool for the non-invasive assessment of liver fibrosis in routine clinical practice. TE is currently approved for use in Europe, Asia and the United States. The widespread adoption of this technology is certain to increase the use of TE worldwide. Although TE has been well validated in chronic viral hepatitis, its clinical role in other liver diseases remains less clear. The advent of new treatment for chronic hepatitis C and emerging prevalence of non-alcoholic steatohepatitis raises new questions on the role of TE in current clinical practice. This review aims to examine the clinical applications, limitations and future role of TE in current clinical practice in light of the changing epidemiology of liver diseases and new clinical management paradigms. In current clinical practice, TE is the most accurate non-invasive method for diagnosis of liver cirrhosis. TE is useful to rule out fibrosis and cirrhosis but does not have sufficient accuracy to discern between various stages of fibrosis. The clinical role of TE has evolved from cross-sectional point-in-time assessment of fibrosis and cirrhosis to the more relevant role of prediction of vital clinical end-points. This provides clinicians with the ability to modify treatment strategies based on the information provided by TE. TE has evolved over the past decade to become an essential tool to assist the clinician in the management of chronic liver disease. PMID:26855815

  11. Diagnosis and Management of Autoimmune Hepatitis: Current Status and Future Directions

    PubMed Central

    Czaja, Albert J.

    2016-01-01

    Autoimmune hepatitis is characterized by autoantibodies, hypergammaglobulinemia, and interface hepatitis on histological examination. The features lack diagnostic specificity, and other diseases that may resemble autoimmune hepatitis must be excluded. The clinical presentation may be acute, acute severe (fulminant), or asymptomatic; conventional autoantibodies may be absent; centrilobular necrosis and bile duct changes may be present; and the disease may occur after liver transplantation or with features that suggest overlapping disorders. The diagnostic criteria have been codified, and diagnostic scoring systems can support clinical judgment. Nonstandard autoantibodies, including antibodies to actin, α-actinin, soluble liver antigen, perinuclear antineutrophil antigen, asialoglycoprotein receptor, and liver cytosol type 1, are tools that can support the diagnosis, especially in patients with atypical features. Prednisone or prednisolone in combination with azathioprine is the preferred treatment, and strategies using these medications in various doses can ameliorate treatment failure, incomplete response, drug intolerance, and relapse after drug withdrawal. Budesonide, mycophenolate mofetil, and calcineurin inhibitors can be considered in selected patients as frontline or salvage therapies. Molecular (recombinant proteins and monoclonal antibodies), cellular (adoptive transfer and antigenic manipulation), and pharmacological (antioxidants, antifibrotics, and antiapoptotic agents) interventions constitute future directions in management. The evolving knowledge of the pathogenic pathways and the advances in technology promise new management algorithms. PMID:26934884

  12. The future of thiazolidinedione therapy in the management of type 2 diabetes mellitus.

    PubMed

    Yau, Hanford; Rivera, Kathya; Lomonaco, Romina; Cusi, Kenneth

    2013-06-01

    Since their approval, thiazolidinediones (TZDs) have been used extensively as insulin-sensitizers for the management of type 2 diabetes mellitus (T2DM). Activation of peroxisomal proliferator-activated receptor gamma (PPARγ) nuclear receptors by TZDs leads to a vast spectrum of metabolic and antiinflammatory effects. In the past decade, clinicians and scientists across the fields of metabolism, diabetes, liver disease (NAFLD), atherosclerosis, inflammation, infertility, and even cancer have had high hopes about the potential for TZDs to treat many of these diseases. However, an increasing awareness about undesirable "off-target" effects of TZDs have made us rethink their role and be more cautious about the long-term benefits and risks related to their use. This review examines the most relevant work on the benefits and risks associated with TZD treatment, with a focus on the only PPARγ agonist currently available (pioglitazone), aiming to offer the reader a balanced overview about the current and future role of TZDs in the management of insulin-resistant states and T2DM.

  13. Preeclampsia – Aetiology, Current Diagnostics and Clinical Management, New Therapy Options and Future Perspectives

    PubMed Central

    Tallarek, A.-C.; Huppertz, B.; Stepan, H.

    2012-01-01

    Preeclampsia is a multisystem disease for which the exact causes have not yet been sufficiently clarified. However, in the past few years it has become clear that a placental imbalance between angiogenic and anti-angiogenic proteins is the decisive pathogenetic factor for the occurrence of preeclampsia. With the possibility to measure these angiogenic factors (sFlt-1/PlGF ratio) in maternal blood full new diagnostic possibilities have been opened that enable the certain diagnosis or exclusion of the diseases as well as a short-term prognosis to be made. In secondary prevention the current data situation for ASA confirms a moderate but measurable utility. The management concept depends on gestational age. In the case of early clinical manifestations (< 34th week of pregnancy) the clinical management in a perinatal centre remains unchanged with foeto-maternal monitoring and induction of pulmonary maturation, symptomatic therapy under careful blood pressure lowering and determination of the optimal delivery time. A balance must be made here between foetal immaturity and maternal risks upon prolongations. The pathomechanism of anti-angiogenic overload with sFlt-1 provides a starting point for first therapeutic interventions. The present article gives an overview of current diagnostic options and presents possible future therapeutic perspectives for discussion. PMID:26640284

  14. Clinical applications, limitations and future role of transient elastography in the management of liver disease.

    PubMed

    Chang, Pik Eu; Goh, George Boon-Bee; Ngu, Jing Hieng; Tan, Hiang Keat; Tan, Chee Kiat

    2016-02-06

    Transient elastography (TE) is a reliable tool for the non-invasive assessment of liver fibrosis in routine clinical practice. TE is currently approved for use in Europe, Asia and the United States. The widespread adoption of this technology is certain to increase the use of TE worldwide. Although TE has been well validated in chronic viral hepatitis, its clinical role in other liver diseases remains less clear. The advent of new treatment for chronic hepatitis C and emerging prevalence of non-alcoholic steatohepatitis raises new questions on the role of TE in current clinical practice. This review aims to examine the clinical applications, limitations and future role of TE in current clinical practice in light of the changing epidemiology of liver diseases and new clinical management paradigms. In current clinical practice, TE is the most accurate non-invasive method for diagnosis of liver cirrhosis. TE is useful to rule out fibrosis and cirrhosis but does not have sufficient accuracy to discern between various stages of fibrosis. The clinical role of TE has evolved from cross-sectional point-in-time assessment of fibrosis and cirrhosis to the more relevant role of prediction of vital clinical end-points. This provides clinicians with the ability to modify treatment strategies based on the information provided by TE. TE has evolved over the past decade to become an essential tool to assist the clinician in the management of chronic liver disease.

  15. Monitoring and adaptive resistance management in Australia for Bt-cotton: current status and future challenges.

    PubMed

    Downes, Sharon; Mahon, Rod; Olsen, Karen

    2007-07-01

    In the mid-1990 s the Australian Cotton industry adopted an insect-resistant variety of cotton (Ingard) which expresses the Bt toxin Cry1Ac that is specific to a group of insects including the target Helicoverpa armigera. A conservative resistance management plan (RMP), that restricted the area planted to Ingard, was implemented to preserve the efficacy of Cry1Ac until two-gene transgenic cotton was available. In 2004/05 Bollgard II replaced Ingard as the transgenic cotton available in Australia. It improves on Ingard by incorporating an additional insecticidal protein (Cry2Ab). If an appropriate refuge is grown, there is no restriction on the area planted to Bollgard II. In 2004/05 and 2005/06 the Bollgard II acreage represented approximately 80 of the total area planted to cotton in Australia. The sensitivity of field-collected populations of H. armigera to Bt products was assayed before and subsequent to the widespread deployment of Ingard cotton. In 2002 screens against Cry2Ab were developed in preparation for replacement of Ingard with Bollgard II. There have been no reported field failures of Bollgard II due to resistance. However, while alleles that confer resistance to H. armigera in the field are rare for Cry1Ac, they are surprisingly common for Cry2Ab. We present an overview of the current approach adopted in Australia to monitor and adaptively manage resistance to Bt-cotton in field populations of H. armigera and discuss the implications of our findings to date. We also highlight future challenges for resistance management in Australia, many of which extend to other Bt-crop and pest systems.

  16. Management of Neuropsychiatric Systemic Lupus Erythematosus: Current Approaches and Future Perspectives.

    PubMed

    Magro-Checa, César; Zirkzee, Elisabeth J; Huizinga, Tom W; Steup-Beekman, Gerda M

    2016-03-01

    Neuropsychiatric systemic lupus erythematosus (NPSLE) is a generic definition referring to a series of neurological and psychiatric symptoms directly related to systemic lupus erythematosus (SLE). NPSLE includes heterogeneous and rare neuropsychiatric (NP) manifestations involving both the central and peripheral nervous system. Due to the lack of a gold standard, the attribution of NP symptoms to SLE represents a clinical challenge that obligates the strict exclusion of any other potential cause. In the acute setting, management of these patients does not differ from other non-SLE subjects presenting with the same NP manifestation. Afterwards, an individualized therapeutic strategy, depending on the presenting manifestation and severity of symptoms, must be started. Clinical trials in NPSLE are scarce and most of the data are extracted from case series and case reports. High-dose glucocorticoids and intravenous cyclophosphamide remain the cornerstone for patients with severe symptoms that are thought to reflect inflammation or an underlying autoimmune process. Rituximab, intravenous immunoglobulins, or plasmapheresis may be used if response is not achieved. When patients present with mild to moderate NP manifestations, or when maintenance therapy is warranted, azathioprine and mycophenolate may be considered. When symptoms are thought to reflect a thrombotic underlying process, anticoagulation and antiplatelet agents are the mainstay of therapy, especially if antiphospholipid antibodies or antiphospholipid syndrome are present. Recent trials on SLE using new biologicals, based on newly understood SLE mechanisms, have shown promising results. Based on what we currently know about its pathogenesis, it is tempting to speculate how these new therapies may affect the management of NPSLE patients. This article provides a comprehensive and critical review of the literature on the epidemiology, pathophysiology, diagnosis, and management of NPSLE. We describe the most

  17. Precipitation variability and future projections for water resources management in Tunisia Northern Coastal basins

    NASA Astrophysics Data System (ADS)

    Bargaoui, Z.; Tramblay, Y.; Lawin, E.; Servat, E.

    2012-04-01

    Northern Tunisia is the rainiest part of the country. This is the reason why the surface water resources management scheme of Tunisia is principally focused on that area. The strategic situation of the study area, with respect to surface water resources, encourages the investigation of the climate change impacts as projected by climate models. The goal of this study is first to compare the observed precipitation with climate model outputs, and then to evaluate the future changes projected by the models. The study area is subdivided into three regions: the transboundary Medjerda basin, the northern coastal basins (Zouara, Sidi El Barrack, Lake Ichkeul basins) and the eastern coastal basins (Cap-Bon region and wadi Meliane basins). Rainfall data are collected in this area since the late 19th century. A data base provided by the Tunisian hydrological service (DGRE) is including 388 stations with monthly precipitation data over the period 1961-2000. Recent advances in downscaling have provided regional climate model (RCM) simulations at a coarser resolution than Global climate models (GCM). However there is a need to validate RCM outputs with respect to observed precipitation data before using them to make future projections. For that purpose, an ensemble of RCM simulations provided by the European Union-funded project ENSEMBLES (www. ensembles-eu.org) are used. Six RCM models runs (CNR_ARPEGE, DMI_ARPEGE, DMI_BCM, ICT_ECHAM, SMH_BCM, SMH_ECHAM) are tested for a control period (1961-2000) and two projection periods (2011-2050 and 2051-2090).The models efficiency in reproducing seasonal precipitation amounts and variability over the study domain is evaluated. A 1-km monthly precipitation grid is first obtained through the interpolation of rainfall observations during the period 1961-2000 with kriging techniques. Monthly precipitation series averaged over the three great regions are built for comparison for the control period. The RCM outputs are evaluated with respect

  18. Arctic Observing Network Data Management: Current Capabilities and Their Promise for the Future

    NASA Astrophysics Data System (ADS)

    Collins, J.; Fetterer, F.; Moore, J. A.

    2008-12-01

    CADIS (the Cooperative Arctic Data and Information Service) serves as the data management, discovery and delivery component of the Arctic Observing Network (AON). As an International Polar Year (IPY) initiative, AON comprises 34 land, atmosphere and ocean observation sites, and will acquire much of the data coming from the interagency Study of Environmental Arctic Change (SEARCH). CADIS is tasked with ensuring that these observational data are managed for long term use by members of the entire Earth System Science community. Portions of CADIS are either in use by the community or available for testing. We now have an opportunity to evaluate the feedback received from our users, to identify any design shortcomings, and to identify those elements which serve their purpose well and will support future development. This presentation will focus on the nuts-and-bolts of the CADIS development to date, with an eye towards presenting lessons learned and best practices based on our experiences so far. The topics include: - How did we assess our users' needs, and how are those contributions reflected in the end product and its capabilities? - Why did we develop a CADIS metadata profile, and how does it allow CADIS to support preservation and scientific interoperability? - How can we shield the user from metadata complexities (especially those associated with various standards) while still obtaining the metadata needed to support an effective data management system? - How can we bridge the gap between the data storage formats considered convenient by researchers in the field, and those which are necessary to provide data interoperability? - What challenges have been encountered in our efforts to provide access to federated data (data stored outside of the CADIS system)? - What are the data browsing and visualization needs of the AON community, and which tools and technologies are most promising in terms of supporting those needs? A live demonstration of the current

  19. Contingency Contracting and the IT Manager: Today’s Challenges and Future Implications

    DTIC Science & Technology

    2009-03-01

    This qualitative case study examines the relationship between Information Technology management and contractor management within the context of the...the chronological advances made in Information Technology management . Finally, the case study presents a description of the defense contingency along

  20. Aggression in Tephritidae Flies: Where, When, Why? Future Directions for Research in Integrated Pest Management

    PubMed Central

    Benelli, Giovanni

    2014-01-01

    True fruit flies (Diptera: Tephritidae) include over 4000 species, many of which constitute enormous threats to fruit and vegetable production worldwide. A number of Tephritidae are lekking species, forming aggregations in which males fight to defend a small territory where they court females and mate. Male-male contests also occur in non-lekking species, characterized by resource defense polygyny. Tephritidae females display agonistic behavior to maintain single oviposition sites and reduce larval competition for food. Here, how, where, when and why aggressive interactions occur in Tephritidae flies is reviewed. A number of neglected issues deserving further research are highlighted, with a special focus on diel periodicity of aggression, cues evoking aggressive behavior, the role of previous experience on fighting success and the evolution of behavioral lateralization of aggressive displays. In the final section, future directions to exploit this knowledge in Integrated Pest Management, with particular emphasis on enhancement of Sterile Insect Technique and interspecific competitive displacement in the field are suggested. PMID:26463064

  1. Mechanistic Insight and Management of Diabetic Nephropathy: Recent Progress and Future Perspective

    PubMed Central

    Xue, Rui; Gui, Dingkun; Zheng, Liyang; Zhai, Ruonan

    2017-01-01

    Diabetic nephropathy (DN) is the most serious microvascular complication of diabetes and the largest single cause of end-stage renal disease (ESRD) in many developed countries. DN is also associated with an increased cardiovascular mortality. It occurs as a result of interaction between both genetic and environmental factors. Hyperglycemia, hypertension, and genetic predisposition are the major risk factors. However, the exact mechanisms of DN are unclear. Despite the benefits derived from strict control of glucose and blood pressure, as well as inhibition of renin-angiotensin-aldosterone system, many patients continue to enter into ESRD. Thus, there is urgent need for improving mechanistic understanding of DN and then developing new and effective therapeutic approaches to delay the progression of DN. This review focuses on recent progress and future perspective about mechanistic insight and management of DN. Some preclinical relevant studies are highlighted and new perspectives of traditional Chinese medicine (TCM) for delaying DN progression are discussed in detail. These findings strengthen the therapeutic rationale for TCM in the treatment of DN and also provide new insights into the development of novel drugs for the prevention of DN. However, feasibility and safety of these therapeutic approaches and the clinical applicability of TCM in human DN need to be further investigated. PMID:28386567

  2. CO2 evaporative cooling: The future for tracking detector thermal management

    NASA Astrophysics Data System (ADS)

    Tropea, P.; Daguin, J.; Petagna, P.; Postema, H.; Verlaat, B.; Zwalinski, L.

    2016-07-01

    In the last few years, CO2 evaporative cooling has been one of the favourite technologies chosen for the thermal management of tracking detectors at LHC. ATLAS Insertable B-Layer and CMS Pixel phase 1 upgrade have adopted it and their systems are now operational or under commissioning. The CERN PH-DT team is now merging the lessons learnt on these two systems in order to prepare the design and construction of the cooling systems for the new Upstream Tracker and the Velo upgrade in LHCb, due by 2018. Meanwhile, the preliminary design of the ATLAS and CMS full tracker upgrades is started, and both concepts heavily rely on CO2 evaporative cooling. This paper highlights the performances of the systems now in operation and the challenges to overcome in order to scale them up to the requirements of the future generations of trackers. In particular, it focuses on the conceptual design of a new cooling system suited for the large phase 2 upgrade programmes, which will be validated with the construction of a common prototype in the next years.

  3. The DOE Office of Environmental Management International Collaboration Program Overview: Interactions, Agreements, and Future Direction

    SciTech Connect

    Marra, James C.; Fox, Kevin M.; Jannik, Gerald T.; Farfan, Eduardo B.; Kim, Dong-Sang; Vienna, John D.; Roach, Jay; Aloy, A. S.; Stefanovsky, S. V.; Lopukh, D. B.; Bondarkov, M. D.; Gerdes, Kurt D.; Han, Ana M.

    2010-02-10

    As the lead U.S. agency for the environmental cleanup, the Department of Energy (DOE) Office of Environmental Management (EM) carries out international activities in support of U.S. policies and objectives regarding accelerated risk reduction and remediation of the environmental legacy of the nation's nuclear weapons program and government-sponsored nuclear energy research. To achieve this, EM pursues collaborations with foreign government organizations, educational institutions, and private industry to assist in identifying technologies and promote international collaborations that leverage resources and link international experience and expertise. An initiative of the International Program is to link international experience and expertise to the technical needs of the overall EM mission and to foster further collaboration with international partners to promote those needs. This paper will provide an overview of the current international program and how it plans to leverage existing, and when necessary, new international partnerships to support the overall EM cleanup mission. In addition it will examine the future vision of the international program to promote the EM mission through a focus on transformational solutions, science, and technology development.

  4. Knowledge Management - A Necessity For The Training Of Future Specialists Of The Sustainable Entreprises

    NASA Astrophysics Data System (ADS)

    Rotaru, Ionela Magdalena

    2015-09-01

    The world we are living in is shaped by what is a reality for years already: globalisation of economy. The lack of borders makes the impact that technology has on society to be a major one. The virtual world so accessible today is not just about new markets, access to cheaper work force, work online but also fierce competition. The common denominator of most efforts in the area of industry is performance. Limits continuously moving willingness to pay for products that delineate the performance delivered be the same range. Here too we can see the role of the education. For example, Landes shows that both knowledge and know-how are the ones that determine how well off societies are. The education of engineers is therefore critical to every nation to ensure the prosperity of its citizens. This paper here intends to approach the educational process of the engineering specific area of knowledge from the management perspective. The training process becomes sustainable in accordance with the requirements of the future: trained specialists for sustainable enterprises.

  5. Public perceptions of demand-side management and a smarter energy future

    NASA Astrophysics Data System (ADS)

    Spence, Alexa; Demski, Christina; Butler, Catherine; Parkhill, Karen; Pidgeon, Nick

    2015-06-01

    Demand-side management (DSM) is a key aspect of many future energy system scenarios. DSM refers to a range of technologies and interventions designed to create greater efficiency and flexibility on the demand-side of the energy system. Examples include the provision of more information to users to support efficient behaviour and new `smart’ technologies that can be automatically controlled. Key stated outcomes of implementing DSM are benefits for consumers, such as cost savings and greater control over energy use. Here, we use results from an online survey to examine public perceptions and acceptability of a range of current DSM possibilities in a representative sample of the British population (N = 2,441). We show that, although cost is likely to be a significant reason for many people to take up DSM measures, those concerned about energy costs are actually less likely to accept DSM. Notably, individuals concerned about climate change are more likely to be accepting. A significant proportion of people, particularly those concerned about affordability, indicated unwillingness or concerns about sharing energy data, a necessity for many forms of DSM. We conclude substantial public engagement and further policy development is required for widespread DSM implementation.

  6. Adaptive harvest management of North American waterfowl populations: a brief history and future prospects

    USGS Publications Warehouse

    Nichols, J.D.; Runge, M.C.; Johnson, F.A.; Williams, B.K.

    2007-01-01

    Since 1995, the US Fish and Wildlife Service has used an adaptive approach to the management of sport harvest of mid-continent Mallard ducks (Anas platyrhynchos) in North America. This approach differs from many current approaches to conservation and management in requiring close collaboration between managers and scientists. Key elements of this process are objectives, alternative management actions, models permitting prediction of system responses, and a monitoring program. The iterative process produces optimal management decisions and leads to reduction in uncertainty about response of populations to management. This general approach to management has a number of desirable features and is recommended for use in many other programs of management and conservation.

  7. Benchmarking in Foodservice Operations.

    DTIC Science & Technology

    2007-11-02

    51. Lingle JH, Schiemann WA. From balanced scorecard to strategic gauges: Is measurement worth it? Mgt Rev. 1996; 85(3):56-61. 52. Struebing L...studies lasted from nine to twelve months, and could extend beyond that time for numerous reasons (49). Benchmarking was not industrial tourism , a...not simply data comparison, a fad, a means for reducing resources, a quick-fix program, or industrial tourism . Benchmarking was a complete process

  8. Attitudes toward Business Ethics and Degree of Opinion Leadership of Future Managers In the United States, Finland, and China

    ERIC Educational Resources Information Center

    Comegys, Charles; Vaisanen, Jaani; Lupton, Robert A.; Rawlinson, David R.

    2013-01-01

    The purpose of this study was to compare the attitudes towards business ethics of future managers in three countries: the United State, Finland, and China, and determine whether business ethics attitudes differed by the student's major, class year, GPA, gender, age, and the number of ethics and religious studies courses completed. Additionally the…

  9. The 12th I. E. Melhus Graduate Student Symposium: host plant resistance and disease management, current status and future outlook

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The 12th I. E. Melhus Graduate Student Symposium was held on 6 August 2012 during the Annual meeting of the American Phytopathological Society (APS) in Providence, RI. The theme for this symposium was “Host Plant Resistance and Disease Management: Current Status and Future Outlook”. The APS Host R...

  10. Changes in the Management of Information in Audio-Visual Archives following Digitization: Current and Future Outlook

    ERIC Educational Resources Information Center

    Caldera-Serrano, Jorge

    2008-01-01

    This article attempts to offer an overview of the current changes that are being experienced in the management of audio-visual documentation and those that can be forecast in the future as a result of the migration from analogue to digital information. For this purpose the documentary chain will be used as a basis to analyse individually the tasks…

  11. The Skills and Training Needed by Farm Management Researchers in the Future: Discussion. Economics Staff Paper 93-4.

    ERIC Educational Resources Information Center

    Franklin, Douglas R.

    In view of continuing trends in farming and the trend toward increasing farm diversification and specialization, the National Association of State Universities and Land Grant Colleges and individual researchers have proposed their own lists of the skills that will be needed by farm management researchers in the future. Because farm management…

  12. Using ecological forecasting of future vegetation transition and fire frequency change in the Sierra Nevada to assess fire management strategies

    NASA Astrophysics Data System (ADS)

    Thorne, J. H.; Schwartz, M. W.; Holguin, A. J.; Moritz, M.; Batllori, E.; Folger, K.; Nydick, K.

    2013-12-01

    Ecological systems may respond in complex manners as climate change progresses. Among the responses, site-level climate conditions may cause a shift in vegetation due to the physiological tolerances of plant species, and the fire return interval may change. Natural resource managers challenged with maintaining ecosystem health need a way to forecast how these processes may affect every location, in order to determine appropriate management actions and prioritize locations for interventions. We integrated climate change-driven vegetation type transitions with projected change in fire frequency for 45,203 km2 of the southern Sierra Nevada, California, containing over 10 land management agencies as well as private lands. This Magnitude of Change (MOC) approach involves classing vegetation types in current time according to their climate envelopes, and identifying which sites will in the future have climates beyond what that vegetation currently occurs in. Independently, fire models are used to determine the change in fire frequency for each site. We examined 82 vegetation types with >50 grid cell occurrences. We found iconic resources such as the giant sequoia, lower slope oak woodlands, and high elevation conifer forests are projected as highly vulnerable by models that project a warmer drier future, but not as much by models that project a warmer future that is not drier than current conditions. Further, there were strongly divergent vulnerabilities of these forest types across land ownership (National Parks versus US Forest Service lands), and by GCM. For example, of 50 giant sequoia (Sequoiadendron giganteum) groves and complexes, all but 3 (on Sierra National Forest) were in the 2 highest levels of risk of climate and fire under the GFDL A2 projection, while 15 groves with low-to-moderate risk were found on both the National Parks and National Forests 18 in the 2 under PCM A2. Landscape projections of potential MOC suggest that the region is likely to experience

  13. Development and consideration of global policies for managing the future risks of poliovirus outbreaks: insights and lessons learned through modeling.

    PubMed

    Thompson, Kimberly M; Duintjer Tebbens, Radboud J; Pallansch, Mark A; Kew, Olen M; Sutter, Roland W; Aylward, R Bruce; Watkins, Margaret; Gary, Howard; Alexander, James P; Venczel, Linda; Johnson, Denise; Cáceres, Victor M; Sangrujee, Nalinee; Jafari, Hamid; Cochi, Stephen L

    2006-12-01

    The success of the Global Polio Eradication Initiative promises to bring large benefits, including sustained improvements in quality of life (i.e., cases of paralytic disease and deaths avoided) and costs saved from cessation of vaccination. Obtaining and maintaining these benefits requires that policymakers manage the transition from the current massive use of oral poliovirus vaccine (OPV) to a world without OPV and free of the risks of potential future reintroductions of live polioviruses. This article describes the analytical journey that began in 2001 with a retrospective case study on polio risk management and led to development of dynamic integrated risk, economic, and decision analysis tools to inform global policies for managing the risks of polio. This analytical journey has provided several key insights and lessons learned that will be useful to future analysts involved in similar complex decision-making processes.

  14. Methodology To Define Drought Management Scenarios Based On Accumulated Future Projections Of Risk

    NASA Astrophysics Data System (ADS)

    Haro-Monteagudo, David; Solera-Solera, Abel; Andreu-Álvarez, Joaquín

    2014-05-01

    Drought is a serious threat to many water resources systems in the world. Especially to those in which the equilibrium between resources availability and water uses is very fragile, making that deviation below normality compromises the capacity of the system to cope with all the demands and environmental requirements. Since droughts are not isolated events but instead they develop through time in what could be considered a creeping behavior, it is very difficult to determine when an episode starts and how long will it last. Because this is a major concern for water managers and society in general, scientific research has strived to develop indices that allow evaluating the risk of a drought event occurrence. These indices often have as basis previous and current state variables of the system that combined between them supply decision making responsible with an indication of the risk of being in a situation of drought, normally through the definition of a drought scenario situation. While this way of proceeding has found to be effective in many systems, there are cases in which indicators systems fail to define the appropriate on-going drought scenario early enough to start measures that allowed to minimize the possible impacts. This is the case, for example, of systems with high seasonal precipitation variability. The use of risk assessment models to evaluate future possible states of the system becomes handy in cases like the previous one, although they are not limited to such systems. We present a method to refine the drought scenario definition within a water resources system. To implement this methodology, we use a risk assessment model generalized to water resources systems based in the stochastic generation of multiple possible future streamflows generation and the simulation of the system from a Monte-Carlo approach. We do this assessment every month of the year up to the end of the hydrologic year that normally corresponds with the end of the irrigation

  15. The National Electronic Library: A Guide to the Future for Library Managers. The Greenwood Library Management Collection.

    ERIC Educational Resources Information Center

    Pitkin, Gary M., Ed.

    As a reference guide for library professionals, this volume helps librarians prepare for the future in the growing electronic environment by examining the historical and theoretical background of the National Electronic Library and assessing the role of libraries in the past, present, and future. The book is divided in two sections: "The…

  16. The Energy-Water Nexus: Managing the Links between Energy and Water for a Sustainable Future

    NASA Astrophysics Data System (ADS)

    Hussey, Karen; Petit, Carine

    2010-05-01

    Water and energy are both indispensable inputs to modern economies but currently both resources are under threat owing to the impacts of an ever-increasing population and associated demand, unsustainable practices in agriculture and manufacturing, and the implications of a changing climate. However, it is where water and energy rely on each other that pose the most complex challenges for policy-makers. Water is needed for mining coal, drilling oil, refining gasoline, and generating and distributing electricity; and, conversely, vast amounts of energy are needed to pump, transport, treat and distribute water, particularly in the production of potable water through the use of desalination plants and waste water treatment plants. Despite the links, and the urgency in both sectors for security of supply, in existing policy frameworks energy and water policies are developed largely in isolation from one another. Worse still, some policies designed to encourage alternative energy supplies give little thought to the resultant consequences on water resources, and, similarly, policies designed to secure water supplies pay little attention to the resultant consequences on energy use. The development of new technologies presents both opportunities and challenges for managing the energy-water nexus but a better understanding of the links between energy and water is essential in any attempt to formulate policies for more resilient and adaptable societies. The energy-water nexus must be adequately integrated into policy and decision-making or governments run the risk of contradicting their efforts, and therefore failing in their objectives, in both sectors. A series of COST Exploratory Workshops, drawing on on-going research in the energy-water nexus from a number of international teams, identified the implications of the energy-water nexus on the development of (i) energy policies (ii) water resource management policies and (iii) climate adaptation and mitigation policies. A

  17. Emergency management of severe hyperkalemia: Guideline for best practice and opportunities for the future.

    PubMed

    Rossignol, Patrick; Legrand, Matthieu; Kosiborod, Mikhail; Hollenberg, Steven M; Peacock, W Frank; Emmett, Michael; Epstein, Murray; Kovesdy, Csaba P; Yilmaz, Mehmet Birhan; Stough, Wendy Gattis; Gayat, Etienne; Pitt, Bertram; Zannad, Faiez; Mebazaa, Alexandre

    2016-11-01

    Hyperkalemia is a common electrolyte disorder, especially in chronic kidney disease, diabetes mellitus, or heart failure. Hyperkalemia can lead to potentially fatal cardiac dysrhythmias, and it is associated with increased mortality. Determining whether emergency therapy is warranted is largely based on subjective clinical judgment. The Investigator Network Initiative Cardiovascular and Renal Clinical Trialists (INI-CRCT) aimed to evaluate the current knowledge pertaining to the emergency treatment of hyperkalemia. The INI-CRCT developed a treatment algorithm reflecting expert opinion of best practices in the context of current evidence, identified gaps in knowledge, and set priorities for future research. We searched PubMed (to August 4, 2015) for consensus guidelines, reviews, randomized clinical trials, and observational studies, limited to English language but not by publication date. Treatment approaches are based on small studies, anecdotal experience, and traditional practice patterns. The safety and real-world effectiveness of standard therapies remain unproven. Prospective research is needed and should include studies to better characterize the population, define the serum potassium thresholds where life-threatening arrhythmias are imminent, assess the potassium and electrocardiogram response to standard interventions. Randomized, controlled trials are needed to test the safety and efficacy of new potassium binders for the emergency treatment of severe hyperkalemia in hemodynamically stable patients. Existing emergency treatments for severe hyperkalemia are not supported by a compelling body of evidence, and they are used inconsistently across institutions, with potentially significant associated side effects. Further research is needed to fill knowledge gaps, and definitive clinical trials are needed to better define optimal management strategies, and ultimately to improve outcomes in these patients.

  18. Planning the future of JPL's management and administrative support systems around an integrated database

    NASA Technical Reports Server (NTRS)

    Ebersole, M. M.

    1983-01-01

    JPL's management and administrative support systems have been developed piece meal and without consistency in design approach over the past twenty years. These systems are now proving to be inadequate to support effective management of tasks and administration of the Laboratory. New approaches are needed. Modern database management technology has the potential for providing the foundation for more effective administrative tools for JPL managers and administrators. Plans for upgrading JPL's management and administrative systems over a six year period evolving around the development of an integrated management and administrative data base are discussed.

  19. Preparing Los Alamos National Laboratory's Waste Management Program for the Future - 12175

    SciTech Connect

    Jones, Scotty W.; Dorries, Alison M.; Singledecker, Steven; Henckel, George

    2012-07-01

    The waste management program at Los Alamos National Laboratory (LANL) is undergoing significant transition to establish a lean highly functioning waste management program that will succeed the large environmental cleanup waste management program. In the coming years, the environmental cleanup activities will be mostly completed and the effort will change to long-term stewardship. What will remain in waste management is a smaller program focused on direct off-site shipping to cost-effectively enable the enduring mission of the laboratory in support of the national nuclear weapons program and fundamental science and research. It is essential that LANL implement a highly functioning efficient waste management program in support of the core missions of the national weapons program and fundamental science and research - and LANL is well on the way to that goal. As LANL continues the transition process, the following concepts have been validated: - Business drivers including the loss of onsite disposal access and completion of major environmental cleanup activities will drive large changes in waste management strategies and program. - A well conceived organizational structure; formal management systems; a customer service attitude; and enthusiastic managers are core to a successful waste management program. - During times of organizational transition, a project management approach to managing change in a complex work place with numerous complex deliverables is successful strategy. - Early and effective engagement with waste generators, especially Project Managers, is critical to successful waste planning. - A well-trained flexible waste management work force is vital. Training plans should include continuous training as a strategy. - A shared fate approach to managing institutional waste decisions, such as the LANL Waste Management Recharge Board is effective. - An efficient WM program benefits greatly from modern technology and innovation in managing waste data and

  20. Prognostics and Health Management of Wind Turbines: Current Status and Future Opportunities

    SciTech Connect

    Sheng, Shuangwen

    2016-10-04

    This presentation was given at the 2016 Annual Conference of the Prognostics and Health Management Society. It covers the current status and challenges and opportunities of prognostics and health management of wind turbines.

  1. [Case management for school students with chronic disease: the current situation and future direction].

    PubMed

    Huang, Chun-Hsia; Chen, I-Ju; Yu, Shu

    2005-04-01

    This paper aims to investigate the importance of management of chronic illness in schools epidemiological data. By examining the current state of such management, we found that school nurses, family members, mentors and school administrators lack sufficient knowledge to conduct effective case management for students with chronic diseases. This paper seeks to indicate principles for the conduct of case management of chronic disease in Taiwan. Incorporating practices, regulations, information systems, policy, and evaluation systems, recommendations are made with the hope that a well-planned system of case management of chronic disease can be established in schools to further enhance the quality of health care and life generally for school children.

  2. Future Challenges in Managing Human Health and Performance Risks for Space Flight

    NASA Technical Reports Server (NTRS)

    Corbin, Barbara J.; Barratt, Michael

    2013-01-01

    The global economy forces many nations to consider their national investments and make difficult decisions regarding their investment in future exploration. To enable safe, reliable, and productive human space exploration, we must pool global resources to understand and mitigate human health & performance risks prior to embarking on human exploration of deep space destinations. Consensus on the largest risks to humans during exploration is required to develop an integrated approach to mitigating risks. International collaboration in human space flight research will focus research on characterizing the effects of spaceflight on humans and the development of countermeasures or systems. Sharing existing data internationally will facilitate high quality research and sufficient power to make sound recommendations. Efficient utilization of ISS and unique ground-based analog facilities allows greater progress. Finally, a means to share results of human research in time to influence decisions for follow-on research, system design, new countermeasures and medical practices should be developed. Although formidable barriers to overcome, International working groups are working to define the risks, establish international research opportunities, share data among partners, share flight hardware and unique analog facilities, and establish forums for timely exchange of results. Representatives from the ISS partnership research and medical communities developed a list of the top ten human health & performance risks and their impact on exploration missions. They also drafted a multilateral data sharing plan to establish guidelines and principles for sharing human spaceflight data. Other working groups are also developing methods to promote international research solicitations. Collaborative use of analog facilities and shared development of space flight research and medical hardware continues. Establishing a forum for exchange of results between researchers, aerospace physicians

  3. Results of the automated power systems management /APSM/ program and future technology implementation. [of spacecraft power supplies

    NASA Technical Reports Server (NTRS)

    Bridgeforth, A. O.

    1982-01-01

    The APSM program was initiated in 1975. The purpose of this program was to develop and demonstrate the technology and benefits of autonomous operation of planetary spacecraft power systems to meet the projected requirements of future missions. Development of the APSM program was based on implementing a selected set of autonomous functions in a state-of-the-art breadboard power system. A distributed microcomputer system was developed to implement the functions. Several critical programmatic elements were identified as necessary to implement autonomous functions. These elements, including proper skill combination, well defined autonomous functions, and management of the software design and development task, were found to be more significant than hardware management. The incorporation of APSM technology in future space programs is also discussed.

  4. The Perceptions of Non Music Staff and Senior Management of the Impact of the Implementation of the Musical Futures Approach on the Whole School

    ERIC Educational Resources Information Center

    Hallam, Susan; Creech, Andrea; McQueen, Hilary

    2016-01-01

    This research aimed to provide an account of the impact of the Musical Futures approach on the wider school community in Musical Futures "Champion Schools". Questionnaires were completed by 344 non-music teachers. Interviews were undertaken with members of senior management teams. The majority of staff indicated that Musical Futures had…

  5. Sustaining a Mature Risk Management Process: Ensuring the International Space Station for a Vibrant Future

    NASA Technical Reports Server (NTRS)

    Raftery, Michael; Carter-Journet, Katrina

    2013-01-01

    The International Space Station (ISS) risk management methodology is an example of a mature and sustainable process. Risk management is a systematic approach used to proactively identify, analyze, plan, track, control, communicate, and document risks to help management make risk-informed decisions that increase the likelihood of achieving program objectives. The ISS has been operating in space for over 14 years and permanently crewed for over 12 years. It is the longest surviving habitable vehicle in low Earth orbit history. Without a mature and proven risk management plan, it would be increasingly difficult to achieve mission success throughout the life of the ISS Program. A successful risk management process must be able to adapt to a dynamic program. As ISS program-level decision processes have evolved, so too has the ISS risk management process continued to innovate, improve, and adapt. Constant adaptation of risk management tools and an ever-improving process is essential to the continued success of the ISS Program. Above all, sustained support from program management is vital to risk management continued effectiveness. Risk management is valued and stressed as an important process by the ISS Program.

  6. An overview of food waste management in developing countries: Current status and future perspective.

    PubMed

    Thi, Ngoc Bao Dung; Kumar, Gopalakrishnan; Lin, Chiu-Yue

    2015-07-01

    Food waste (FW) related issues in developing countries is currently considered to be a major threatening factor for sustainable development and FW management systems. Due to incomplete FW management systems, many developing countries are facing challenges, such as environmental and sanitary problems that are caused by FW. The difference in FW generation trends between developing countries and developed countries was reviewed in this work, which demonstrated that the effects of income level, population growth, and public participation in FW management are very important. Thus, this work aimed to provide an overview of recycling activities, related regulations, and current FW treatment technology in developing countries by following some case studies. Taiwan, has been suggested as being a successful case in terms of FW management, and is therefore a typical model for developing countries to follow. Finally, an integrative management system as a suitable model for FW management has been suggested for developing countries.

  7. The Future of Asset Management for Human Space Exploration: Supply Classification and an Integrated Database

    NASA Technical Reports Server (NTRS)

    Shull, Sarah A.; Gralla, Erica L.; deWeck, Olivier L.; Shishko, Robert

    2006-01-01

    One of the major logistical challenges in human space exploration is asset management. This paper presents observations on the practice of asset management in support of human space flight to date and discusses a functional-based supply classification and a framework for an integrated database that could be used to improve asset management and logistics for human missions to the Moon, Mars and beyond.

  8. Addressing challenges for future strategic-level emergency management: reframing, networking, and capacity-building.

    PubMed

    Bosomworth, Karyn; Owen, Christine; Curnin, Steven

    2017-04-01

    The mounting frequency and intensity of natural hazards, alongside growing interdependencies between social-technical and ecological systems, are placing increased pressure on emergency management. This is particularly true at the strategic level of emergency management, which involves planning for and managing non-routine, high-consequence events. Drawing on the literature, a survey, and interviews and workshops with Australia's senior emergency managers, this paper presents an analysis of five core challenges that these pressures are creating for strategic-level emergency management. It argues that emphasising 'emergency management' as a primary adaptation strategy is a retrograde step that ignores the importance of addressing socio-political drivers of vulnerabilities. Three key suggestions are presented that could assist the country's strategic-level emergency management in tackling these challenges: (i) reframe emergency management as a component of disaster risk reduction rather than them being one and the same; (ii) adopt a network governance approach; and (iii) further develop the capacities of strategic-level emergency managers.

  9. Stories of management in the future by young adults and young nurses.

    PubMed

    Harmoinen, Merja; Niiranen, Kaisa; Niiranen, Vuokko; Astedt-Kurki, Päivi; Suominen, Tarja

    2014-04-11

    Abstract Aim: The aim of this study was to describe the phenomenon of management by way of the ideas by secondary school students and young nurses. Background: Young adults are changing workplaces more than ever before, yet their work expectations and perspectives of management differ to those of previous generations. Methods: The data was collected from upper secondary school students and professionally educated nurses (n = 68), some of whom were immigrants (n = 41). Framed essays were used as a research method and emergent data was analysed using content analysis. Results: According to the results, good management involves systematic management, equality, appreciation of know-how, and the promotion of wellbeing at work. Conclusion: New perspectives on management were drawn from the study, in particular the multiple dimensions of equality in workplace organization and the manager's role in an employee's professional development process. Implication for nursing management: The interactive skills of the manager are emphasized in promoting wellbeing at work. This is especially so in multi-cultural teams, where the manager is expected to be adept at understanding intercultural communication and the values of young employees.

  10. Future applications of high-resolution MS to meet the demands for pain management drug testing.

    PubMed

    Crews, Bridgit O

    2014-01-01

    Urine specimens submitted for pain management drug testing often contain multiple psychotherapeutic drugs, in addition to opioids. Immunoassay-based screen-and-confirm approaches typically used for clinical drug testing have limited sensitivity to detect therapeutic concentrations of many drugs prescribed in pain management and do not differentiate between drugs in the same class. In addition, screening for all the various illicit and prescription drugs that may be present in the pain management population requires as many as 10-20 individual immunoassays. High-resolution MS approaches have the potential to transform the way clinical drug testing is performed for pain management.

  11. THE FUTURE OF SUSTAINABLE MANAGEMENT APPROACHES AND REVITALIZATION TOOLS-ELECTRONIC (SMARTE): 2006-2010

    EPA Science Inventory

    SMARTe is being developed to give stakeholders information resources, analytical tools, communication strategies, and a decision analysis approach to be able to make better decisions regarding future uses of property. The development of the communication tools and decision analys...

  12. The role of future scenarios to understand deep uncertainty for air quality management.

    EPA Science Inventory

    The environment and its interaction with human systems (economic, social and political) is complex and dynamic. Key drivers may disrupt systemdynamics in unforeseen ways, making it difficult to predict future conditions precisely. This kind of deep uncertainty presents a challeng...

  13. Role of future scenarios in understanding deep uncertainty in long-term air quality management

    EPA Science Inventory

    The environment and its interactions with human systems, whether economic, social or political, are complex. Relevant drivers may disrupt system dynamics in unforeseen ways, making it difficult to predict future conditions. This kind of deep uncertainty presents a challenge to ...

  14. Management by the manager, decisions by the team: Leadership style for the future, or just a hopeless muddle

    SciTech Connect

    Furaus, J.P.; Shirley, C.G.

    1988-01-01

    A characteristic of team implementation of projects is some type of participatory decision-making. Opinions differ on whether this is a valuable tool for project managers or whether it is only a management fad that blurs accountability. This paper recounts experience and offers observations about the effectiveness of participatory decision-making in project management. The basis of the paper is approximately a decade of projects in construction of specialized facilities for research and development (RandD) at Sandia National Laboratories in Albuquerque, New Mexico. Over the time we have developed a participatory style that distributes a balance of authority and accountability. It is a style that has worked well in our environment and is evidence that shared decision-making can be made to work. 4 figs.

  15. Exploring Tensions between Self-Disclosure and Privacy Needs: The Future of Communication Boundary Management Theories.

    ERIC Educational Resources Information Center

    Sargent, Jack; Kirby, Erika; Harter, Lynn M.

    The boundary metaphor has been used successfully over the past two decades to explain and predict how individuals manage the tensions between the need to self-disclose and the need for privacy within interpersonal relationships. This paper explores the history of Communication Boundary Management Theories and presents suggestions for modifying the…

  16. Financial Success for Young Adults and Recent Graduates: Managing Money, Credit, and Your Future

    ERIC Educational Resources Information Center

    Arrowood, Janet C.

    2006-01-01

    There are numerous financial planning and money management handbooks, but few focus on the needs of young adults between 16 and 25 years of age. Colleges and some high schools are increasingly offering courses covering money management, but the materials are more "economics-focused" than "real-world" focused. Young people are huge consumers who…

  17. Women in Business: The View of Future Male and Female Managers.

    ERIC Educational Resources Information Center

    Stevens, George E.

    1984-01-01

    Discusses the integration of women into management positions in business. Found that women and men appear to be shedding the stereotype of traditional female roles and that men are more traditional than women in their attitudes toward women in management. (JOW)

  18. What Might Online Delivery Teach Us about Blended Management Education? Prior Perspectives and Future Directions

    ERIC Educational Resources Information Center

    Arbaugh, J. B.

    2014-01-01

    Although the term has roots in the training and development literature, "blended learning" has only recently begun to be studied in management education. This article examines the literatures of blended and fully online management education to determine whether there are factors that may influence instructional effectiveness that are…

  19. Competencies of Front-Line Managers in Supported Accommodation: Issues for Practice and Future Research

    ERIC Educational Resources Information Center

    Clement, Tim; Bigby, Christine

    2012-01-01

    Background: Front-line managers of supported accommodation for people with intellectual disability are assumed to have a key role in the realisation of outcomes for service users. Yet, their job has been little researched. A job analysis from Minnesota that identified 142 competencies required of effective front-line managers was used to examine…

  20. Mobile phone health apps for diabetes management: current evidence and future developments.

    PubMed

    Goyal, S; Cafazzo, J A

    2013-12-01

    Can an app help manage diabetes? We discuss how the advent of mobile health apps in connecting patients to providers is creating new opportunities for the management of diabetes. Although there are promising outcomes, there is still much to be learned about how such technology could be fully exploited.

  1. Intertidal zone management in the Western Indian Ocean: assessing current status and future possibilities using expert opinions.

    PubMed

    Nordlund, Lina Mtwana; de la Torre-Castro, Maricela; Erlandsson, Johan; Conand, Chantal; Muthiga, Nyawira; Jiddawi, Narriman; Gullström, Martin

    2014-12-01

    This expert opinion study examined the current status of the intertidal zone in the Western Indian Ocean (WIO) and ranked and discussed future management approaches. Information was gathered from scientists, practitioners, and managers active in the WIO region through a questionnaire and a workshop. The experts stated that the productive intertidal environment is highly valuable for reasons such as recreation, erosion protection, and provision of edible invertebrates and fish. Several anthropogenic pressures were identified, including pollution, harbor activities, overexploitation, and climate change. The experts considered the WIO intertidal zone as generally understudied, undermanaged, and with poor or no monitoring. The most important management strategies according to the expert opinions are to develop and involve local people in integrated coastal zone management (ICZM), to increase knowledge on species-environment relationships, and to develop awareness campaigns and education programs. To improve coastal environmental management and conservation, we argue that the intertidal zone should be treated as one organizational management unit within the larger framework of ICZM.

  2. Human-Centered Technologies and Procedures for Future Air Traffic Management: A Preliminary Overview of 1996 Studies and Results

    NASA Technical Reports Server (NTRS)

    Smith, Philip; McCoy, Elaine; Denning, Rebecca; Woods, David; Sarter, Nadine; Dekker, Sidney; Billings, Charles

    1996-01-01

    In this project, we have been exploring the use of a general methodology to predict the impact of future Air Traffic Management (ATM) concepts and technologies. In applying this methodology, our emphasis has been on the importance of modeling coordination and cooperation among the multiple agents within this system, and on understanding how the interactions among these agents will be influenced as new roles, responsibilities, procedures and technologies are introduced. To accomplish this, we have been collecting data on performance under the current air traffic management system, trying to identify critical problem areas and looking for exemplars suggestive of general approaches for solving such problems. Based on the results of these field studies, we have developed a set of scenarios centered around potential future system designs, and have conducted studies using these scenarios involving a total 40 controllers, dispatchers, pilots and traffic managers. The purpose of this report is to provide NASA with an early summary of the major recommendations that have resulted from our research under the AATT Program thus far. Recommendations 1-3 deal with general approaches that our findings suggest should be incorporated in future AATT Program activities, while Recommendations 4-11 identify some specific topics and technologies that merit research and development activities. Detailed technical reports containing supporting data, as well as the results of our still ongoing analyses, will be provided at a later date. The remainder of this report is organized as follows. Section 1 briefly describes the general design philosophy supported by our empirical studies. Section 2 presents the research methods we have used for identifying requirements for future system designs and for evaluating alternative design solutions. Section 3 discusses preliminary results from an initial set of investigations that we have conducted using these research methods. Section 4 then provides an

  3. Flood Risk Management Policy in Scotland: Research Questions Past, Present and Future

    NASA Astrophysics Data System (ADS)

    Wilkinson, Mark; Hastings, Emily; MacDonald, Jannette

    2016-04-01

    Scotland's Centre of Expertise for Waters (CREW) delivers accessible research and expert opinion to support the Scottish Government and its delivery partners in the development and implementation of water policy. It was established in 2011 by the Scottish Government (Rural and Environmental Science and Analytical Services) in recognition of a gap in the provision of short term advice and research to policy (development and implementation). Key policy areas include the Water Framework Directive, Floods Directive, Drinking Water Directive, Habitats Directive and Scotland's Hydro Nation Strategy. CREW is unique in its demand-driven and free service for policy makers and practitioners, managing the engagement between scientists, policy makers and practitioners to work effectively across this interface. The users of CREW are the Scottish Government, Scottish Environment Protection Agency, Scottish Natural Heritage and Scottish Water. CREW has funded around 100 projects relating to water policy since its inception in 2011. Of these, a significant number relate to flood risk management policy. Based on a review of work to date, this poster will give an overview of these projects and a forward look at the challenges that remain. From learning from community led flood risk management to surface water flood forecasting for urban communities, links will be made between sustainable and traditional flood risk management while considering the perceptions of stakeholders to flood risk management. How can we deliver fully integrated flood risk management options? How policy makers, scientists and land managers can better work together will also be explored.

  4. Copeptin in acute coronary syndromes and heart failure management: State of the art and future directions.

    PubMed

    Schurtz, Guillaume; Lamblin, Nicolas; Bauters, Christophe; Goldstein, Patrick; Lemesle, Gilles

    2015-01-01

    Over the past two decades, the use of multiple biomarkers has changed cardiovascular disease management. Recently, several trials have assessed the diagnostic and prognostic performances of copeptin, especially in patients with heart failure or acute coronary syndromes. Primary results are interesting, with copeptin looking promising for: the management of patients who present at emergency departments early after chest pain onset and the risk stratification of patients with heart failure. The purpose of this article is to review the data on the place of copeptin in the management of patients with chest pain or heart failure.

  5. Belowground Ecology of Scarabs Feeding on Grass Roots: Current Knowledge and Future Directions for Management in Australasia

    PubMed Central

    Frew, Adam; Barnett, Kirk; Nielsen, Uffe N.; Riegler, Markus; Johnson, Scott N.

    2016-01-01

    Many scarab beetles spend the majority of their lives belowground as larvae, feeding on grass roots. Many of these larvae are significant pests, causing damage to crops and grasslands. Damage by larvae of the greyback cane beetle (Dermolepida albohirtum), for example, can cause financial losses of up to AU$40 million annually to the Australian sugarcane industry. We review the ecology of some scarab larvae in Australasia, focusing on three subfamilies; Dynastinae, Rutelinae, and Melolonthinae, containing key pest species. Although considerable research on the control of some scarab pests has been carried out in Australasia, for some species, the basic biology and ecology remains largely unexplored. We synthesize what is known about these scarab larvae and outline key knowledge gaps to highlight future research directions with a view to improve pest management. We do this by presenting an overview of the scarab larval host plants and feeding behavior; the impacts of abiotic (temperature, moisture, and fertilization) and biotic (pathogens, natural enemies, and microbial symbionts) factors on scarab larvae and conclude with how abiotic and biotic factors can be applied in agriculture for improved pest management, suggesting future research directions. Several host plant microbial symbionts, such as arbuscular mycorrhizal fungi and endophytes, can improve plant tolerance to scarabs and reduce larval performance, which have shown promise for use in pest management. In addition to this, several microbial scarab pathogens have been isolated for commercial use in pest management with particularly promising results. The entomopathogenic fungus Metarhizium anisopliae caused a 50% reduction in cane beetle larvae while natural enemies such as entomopathogenic nematodes have also shown potential as a biocontrol. Key abiotic factors, such as soil water, play an important role in affecting both scarab larvae and these control agents and should therefore feature in future multi

  6. Shaping Future Phosphorus Management Pathways by Understanding the Past and Present

    EPA Science Inventory

    Sustainable phosphorus (P) management in agricultural and urban ecosystems is necessary to ensure global food security and healthy aquatic ecosystems. Researchers and decision-makers alike need to understand how social, economic, political, and biophysical factors interact to cre...

  7. Value-based leadership. Is your hospital management team prepared for the future?

    PubMed

    Stempniak, Marty

    2013-05-01

    This foldout section looks at the seven steps to a value-structured hospital, 10 must-do strategies for thriving in the new health care era, and what new skills management, physicians and trustees should have.

  8. Fluid management and its role in the future of Space Station

    NASA Technical Reports Server (NTRS)

    Salzman, J.; Vernon, R.; Hill, M.; Peterson, T.

    1986-01-01

    Technological challenges and suggested plans for meeting them pertaining to fluid management in the Space Station are discussed. A short overview is given of the major Space Station systems and operations which employ or rely on fluid management, followed by a description of the general system issues and challenges encountered in managing fluids in space. Examples of some current and near term activities directed toward providing the understanding and technologies necessary to overcome relevant problems are presented. Finally, suggested plans for similar but longer range research and development activities are offered. These plans emphasize the requirements and benefits of expanded in-space experiments, with the ultimate aim of using the Space Station as a facility for fluid management research and technology development efforts.

  9. PREDICTIVE UNCERTAINTY IN HYDROLOGIC AND WATER QUALITY MODELING: APPROACHES, APPLICATION TO ENVIRONMENTAL MANAGEMENT, AND FUTURE CHALLENGES

    EPA Science Inventory

    Extant process-based hydrologic and water quality models are indispensable to water resources planning and environmental management. However, models are only approximations of real systems and often calibrated with incomplete and uncertain data. Reliable estimates, or perhaps f...

  10. [Audits of the quality management system and safety in radiotherapy: Lessons learned and future prospects].

    PubMed

    Leroy, E; Marque, A

    2016-10-01

    The external audit of the management system of quality and safety in radiotherapy by quality managers of the French Association of Quality and Safety in Radiotherapy (AFQSR) is an opportunity to exchange good practices, returns of experience, effectiveness and weaknesses of the quality system, and its perceptions by all the teams. We present the results of the first audits conducted, and the results of a survey on the perception of quality at national level.

  11. Succession Planning and Management: The Backbone of the Radiology Group's Future.

    PubMed

    Donner, E Michael; Gridley, Daniel; Ulreich, Sidney; Bluth, Edward I

    2017-01-01

    The transition of leadership within radiology practices is often not a planned replacement process with formal development of potential future leaders. To ensure their ongoing success, however, practices need to develop comprehensive succession plans that include a robust developmental program for potential leaders consisting of mentoring, coaching, structured socialization, 360-degree feedback, developmental stretch assignments, job rotation, and formal education. Succession planning and leadership development will be necessary in the future for a practice to be successful in its business relationships and to be financially viable.

  12. Hazardous waste, impact on health and environment for development of better waste management strategies in future in India.

    PubMed

    Misra, Virendra; Pandey, S D

    2005-04-01

    Industry has become an essential part of modern society, and waste production is an inevitable outcome of the developmental activities. A material becomes waste when it is discarded without expecting to be compensated for its inherent value. These wastes may pose a potential hazard to the human health or the environment (soil, air, water) when improperly treated, stored, transported or disposed off or managed. Currently in India even though hazardous wastes, emanations and effluents are regulated, solid wastes often are disposed off indiscriminately posing health and environmental risk. In view of this, management of hazardous wastes including their disposal in environment friendly and economically viable way is very important and therefore suggestions are made for developing better strategies. Out of the various categories of the wastes, solid waste contributes a major share towards environmental degradation. The present paper outlines the nature of the wastes, waste generating industries, waste characterization, health and environmental implications of wastes management practices, steps towards planning, design and development of models for effective hazardous waste management, treatment, approaches and regulations for disposal of hazardous waste. Appraisal of the whole situation with reference to Indian scenario is attempted so that a better cost-effective strategies for waste management be evolved in future.

  13. The role of future scenarios to understand deep uncertainty in air quality management

    EPA Science Inventory

    The environment and it’s interaction with human systems (economic, social and political) is complex and dynamic. Key drivers may disrupt system dynamics in unforeseen ways, making it difficult to predict future conditions precisely. This kind of deep uncertainty presents ...

  14. The Database Business: Managing Today--Planning for Tomorrow. Issues and Futures.

    ERIC Educational Resources Information Center

    Aitchison, T. M.; And Others

    1988-01-01

    Current issues and the future of the database business are discussed in five papers. Topics covered include aspects relating to the quality of database production; international ownership in the U.S. information marketplace; an overview of pricing strategies in the electronic information industry; and pricing issues from the viewpoints of online…

  15. Can integrative catchment management mitigate future water quality issues caused by climate change and socio-economic development?

    NASA Astrophysics Data System (ADS)

    Honti, Mark; Schuwirth, Nele; Rieckermann, Jörg; Stamm, Christian

    2017-03-01

    The design and evaluation of solutions for integrated surface water quality management requires an integrated modelling approach. Integrated models have to be comprehensive enough to cover the aspects relevant for management decisions, allowing for mapping of larger-scale processes such as climate change to the regional and local contexts. Besides this, models have to be sufficiently simple and fast to apply proper methods of uncertainty analysis, covering model structure deficits and error propagation through the chain of sub-models. Here, we present a new integrated catchment model satisfying both conditions. The conceptual iWaQa model was developed to support the integrated management of small streams. It can be used to predict traditional water quality parameters, such as nutrients and a wide set of organic micropollutants (plant and material protection products), by considering all major pollutant pathways in urban and agricultural environments. Due to its simplicity, the model allows for a full, propagative analysis of predictive uncertainty, including certain structural and input errors. The usefulness of the model is demonstrated by predicting future surface water quality in a small catchment with mixed land use in the Swiss Plateau. We consider climate change, population growth or decline, socio-economic development, and the implementation of management strategies to tackle urban and agricultural point and non-point sources of pollution. Our results indicate that input and model structure uncertainties are the most influential factors for certain water quality parameters. In these cases model uncertainty is already high for present conditions. Nevertheless, accounting for today's uncertainty makes management fairly robust to the foreseen range of potential changes in the next decades. The assessment of total predictive uncertainty allows for selecting management strategies that show small sensitivity to poorly known boundary conditions. The

  16. Critical education in resource and environmental management: Learning and empowerment for a sustainable future

    SciTech Connect

    Diduck, A.

    1999-10-01

    Changing rom current patterns of resource use to a sustainable and equitable economy is a complex and intractable problem. This paper suggests that critical education may form part of the solution. Critical environmental assessment (EA) education, the model explored in this paper, offers a tool for resource and environmental managers to use in managing public involvement processes. This model challenges current patterns of resource use and addresses criticisms of public involvement processes. Critical EA education, involving both cognitive development and personal empowerment, focuses on critical intelligence, problem solving and social action. The concept is offered as a means to facilitate and improve public involvement and, thereby, empower local communities to take greater control of resource use decisions affecting their lives. Positive implications of critical EA education for change, complexity, uncertainty and conflict, which are four enduring themes in resource and environmental management, are discussed in the paper. The implications include: cognitive development and personal empowerment at the level of local resource communities; simplification of the often complex discourse encountered in resource management; reduction in feelings of powerlessness often experienced by members of the public in environmental assessment scenarios; a reduction of ignorance and indeterminacy regarding resource management issues; conflict resolution at the cognitive level; and, clarification of the opposing values, interests or actions at the heart of a conflict.

  17. Optimal management of lower pole stones: the direction of future travel

    PubMed Central

    Moore, Sacha L.; Bres-Niewada, Ewa; Cook, Paul; Wells, Hannah

    2016-01-01

    Introduction Kidney stone disease is increasing worldwide with its most common location being in the lower pole. A clear strategy for effective management of these stones is essential in the light of ever increasing choice, effectiveness, and complications of different treatment options. Material and methods This review identifies the latest and clinically relevant publications focused on optimal management of lower pole stones. Results We present an up-to-date European Association of Urology and American Urological Association algorithm for lower pole stones, risks and benefits of different treatments, and changing landscape with the miniaturization of percutaneous stone treatments. Conclusions Available literature seems to be deficient on quality of life, patient centered decision making, and cost analysis of optimal management with no defined standard of ‘stone free rate’, all of which are critical in any surgical consultation and outcome analysis. PMID:27729994

  18. Studying the Past for the Future: Managing Modern Biodiversity from Historic and Prehistoric Data

    SciTech Connect

    Foster, Professor Thomas; Olsen, Lisa M; Dale, Virginia H; Chen, Alice

    2010-01-01

    Management of biodiversity and anthropogenic effects on the environment are some of the most difficult challenges facing humans today. In this paper, we describe how archaeological, historical, and ecological data can be combined to identify metrics of ecological change. Archaeological surveys, historic witness tree data, analysis of ancient pollen, and recent satellite imagery are combined to create indicators of change that are useable by modem environmental managers at Fort Benning Military Reservation in Georgia and Alabama in the United States. Archaeological data were collected at 30 meter intervals, historic vegetation data were collected from early nineteenth century survey maps, and ancient pollen and charcoal were collected from soil cores in lakes. We show how data sets collected with disparate goals from anthropology and ecology can be applied to make policy decisions about environmental management.

  19. Contact heterogeneities in feral swine: implications for disease management and future research

    USGS Publications Warehouse

    Pepin, Kim; Davis, Amy J.; Beasley, James; Boughton, Raoul; Campbell, Tyler; Cooper, Susan; Gaston, Wes; Hartley, Stephen B.; Kilgo, John C.; Wisely, Samantha; Wyckoff, Christy; VerCauteren, Kurt

    2016-01-01

    Contact rates vary widely among individuals in socially structured wildlife populations. Understanding the interplay of factors responsible for this variation is essential for planning effective disease management. Feral swine (Sus scrofa) are a socially structured species which pose an increasing threat to livestock and human health, and little is known about contact structure. We analyzed 11 GPS data sets from across the United States to understand the interplay of ecological and demographic factors on variation in co-location rates, a proxy for contact rates. Between-sounder contact rates strongly depended on the distance among home ranges (less contact among sounders separated by >2 km; negligible between sounders separated by >6 km), but other factors causing high clustering between groups of sounders also seemed apparent. Our results provide spatial parameters for targeted management actions, identify data gaps that could lead to improved management and provide insight on experimental design for quantitating contact rates and structure.

  20. Integrated pest management in western flower thrips: past, present and future.

    PubMed

    Mouden, Sanae; Sarmiento, Kryss Facun; Klinkhamer, Peter Gl; Leiss, Kirsten A

    2017-01-27

    Western flower thrips (WFT) is one of the most economically important pest insects of many crops worldwide. Recent EU legislation has caused a dramatic shift in pest management strategies, pushing for tactics that are less reliable on chemicals. The development of alternative strategies is therefore an issue of increasing urgency. This paper reviews the main control tactics in integrated pest management (IPM) of WFT, with the focus on biological control and host plant resistance as areas of major progress. Knowledge gaps are identified and innovative approaches emphasised, highlighting the advances in 'omics' technologies. Successful programmes are most likely generated when preventive and therapeutic strategies with mutually beneficial, cost-effective and environmentally sound foundations are incorporated. © 2017 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

  1. Meeting the future challenges of air quality management in the United States.

    PubMed

    Bradley, Michael J

    2008-01-01

    The U.S. Clean Air Act (CAA, or the Act) and its amendments has achieved substantial progress in cleaning up the nation's air. Over the past 30 years, the CAA reduced emissions of the 6 principal ("criteria") pollutants by over 25%, even while gross domestic product (GDP) has increased over 150% and population and energy consumption rose by nearly 40%. However, despite the tremendous gains the Act has brought, the country's air quality management (AQM) system still faces substantial challenges. In response to a congressional request for an independent evaluation of the overall effectiveness of the CAA, the National Research Council formed the Committee on Air Quality Management. Composed of 25 members with diverse areas of air quality expertise, the committee was charged with developing scientific and technical recommendations for strengthening the nation's AQM system. In 2004, the National Academies published their recommendations in a text entitled Air Quality Management in the United States (National Research Council, 2004).

  2. Field surgery on a future conventional battlefield: strategy and wound management.

    PubMed Central

    Ryan, J. M.; Cooper, G. J.; Haywood, I. R.; Milner, S. M.

    1991-01-01

    Most papers appearing in the surgical literature dealing with wound ballistics concern themselves with wound management in the civilian setting. The pathophysiology of modern war wounds is contrasted with ballistic wounds commonly encountered in peacetime, but it should be noted that even in peacetime the modern terrorist may have access to sophisticated military weaponry, and that patients injured by them may fall within the catchment area of any civilian hospital. Management problems associated with both wound types are highlighted; areas of controversy are discussed. The orthodox military surgical approach to ballistic wounds is expounded and defended. Images Figure 2 Figure Figure 4 PMID:1996857

  3. Future water supply management adaptation measures - case study of Ljubljana field aquifer

    NASA Astrophysics Data System (ADS)

    Čenčur Curk, B.; Zajc Benda, T.; Souvent, P.; Bračič Železnik, B.; Bogardi, I.

    2012-04-01

    The main drinking water supply problems are related to the significant change of groundwater quantity and quality observed in the last decades as an effect of land use practices and very likely also climate change. The latter may affect the ability of drinking water suppliers to provide enough water of sufficient quality to the consumers. These topics were studied in the frame of SEE project CC-WaterS (Climate Change and Impact on Water Supply) with the main goal to develop a water supply management system regarding optimisation of water extraction and land use restrictions under climate change scenarios for water suppliers, since existing management practices are mostly inadequate to reduce impacts of CC on water supply reliability. The main goal was a designation of appropriate measures and risk assessment to adapt water supply to changing climate and land use activities considering socio-economic aspects. This was accomplished by using 'Fuzzy Decimaker', which is a tool for selecting and ranking risk reduction measures or management actions for local waterworks or water authorities under the pressure of climate change. Firstly, management options were selected and ranked. For public water supply of Ljubljana, the capital of Slovenia, several management options were selected. For improvement of water supply and preservation of water resource quantities there is a need for engineering interventions, such as reducing water losses on pipelines. For improving drinking water safety and preserving water resource quality farmers are not allowed to use fertilisers in the first safeguarding zone and they get compensations for income reduction because of lower farming production. Compensations for farming restrictions in the second safeguarding zone were applied as additional management option. On the other hand, drinking water treatment is another management option to be considered. Trends in groundwater level are decreasing, above all recharge areas of waterworks

  4. Future Directions: Advances and Implications of Virtual Environments Designed for Pain Management

    PubMed Central

    Soomro, Ahmad; Riva, Giuseppe; Wiederhold, Mark D.

    2014-01-01

    Abstract Pain symptoms have been addressed with a variety of therapeutic measures in the past, but as we look to the future, we begin encountering new options for patient care and individual health and well-being. Recent studies indicate that computer-generated graphic environments—virtual reality (VR)—can offer effective cognitive distractions for individuals suffering from pain arising from a variety of physical and psychological illnesses. Studies also indicate the effectiveness of VR for both chronic and acute pain conditions. Future possibilities for VR to address pain-related concerns include such diverse groups as military personnel, space exploration teams, the general labor force, and our ever increasing elderly population. VR also shows promise to help in such areas as drug abuse, at-home treatments, and athletic injuries. PMID:24892206

  5. Advances in the management of melanoma: targeted therapy, immunotherapy and future directions.

    PubMed

    Dean, Emma; Lorigan, Paul

    2012-11-01

    Metastatic melanoma is an aggressive, immunogenic and molecularly heterogeneous disease for which most patients require systemic treatment. Recently, significant clinical breakthroughs have revolutionized the treatment of advanced melanoma, leading to the licensing of ipilimumab, a monoclonal antibody targeting cytotoxic T-lymphocyte-associated antigen 4, and vemurafenib, a BRAF inhibitor used in patients whose tumors contain a V600 mutation in the BRAF gene. This recent success has led to optimism and momentum has gathered with updated trial results from these therapies, next-generation compounds that target validated molecular pathways and novel agents that are mechanistically distinct. This review summarizes the recent advances and updated results since the licensing of vemurafenib and ipilimumab, the benefits and limitations of these agents, future strategies to improve upon existing treatments and overcome acquired resistance, in-progress and future clinical trials, as well as novel therapeutic targets, pathways and therapies that hold promise in advancing clinical benefit.

  6. Mental health services for Alzheimer's disease. Current trends in reimbursement and public policy, and the future under managed care.

    PubMed

    Bartels, S J; Colenda, C C

    1998-01-01

    Behavioral or psychiatric symptoms in Alzheimer's disease are strongly related to the use of health care services and result in a significant emotional and financial burden for families. This paper is an overview of major trends in the organization and funding of mental health services for people with Alzheimer's disease, emphasizing specific public policy and reimbursement initiatives that have affected acute and long-term care. Recent trends reflecting increased federal scrutiny of Medicare-reimbursed services and the current and future challenges in providing mental health services to people with Alzheimer's disease within managed care and capitated health plans are also addressed.

  7. The Future of Medical Schools and Teaching Hospitals in the Era of Managed Care.

    ERIC Educational Resources Information Center

    Pardes, Herbert

    1997-01-01

    Academic medical centers, threatened by erosion of infrastructure, declining academic workforce, marketplace forces diminishing quality and access, and shrinking funds, must not rely on managed care, the pharmaceutical industry, or foundations to provide necessary support. They must communicate the dangers they face and persuade government to…

  8. Joint Training Programs: A Union-Management Approach to Preparing Workers for the Future.

    ERIC Educational Resources Information Center

    Ferman, Louis A., Ed.; And Others

    This book documents the range of training programs that are being established by employers and unions; assesses porgram functioning and results; and offers insights for practitioners, scholars, and policy makers. An introduction (Ferman et al.) provides a general framework for thinking about union-management training programs and presents an…

  9. Fact Finding Report. Commission on the Future of Worker-Management Relations.

    ERIC Educational Resources Information Center

    Department of Commerce, Washington, DC.

    This report presents findings of a commission that held hearings and examined quantitative and qualitative evidence on the current state of worker-management relations in the United States. Chapter I identifies those facts about the changing economic and social environment that bear directly on the mission statement of the commission (to ensure…

  10. Changing Our Future: Issues in Leadership and Management Skills and the Information Profession.

    ERIC Educational Resources Information Center

    Mercer, Prue

    This paper explores the issues and opportunities for information providers in a digital environment where the skills of management of change and leadership are necessary to create vital and healthy organizations. The first section discusses challenges of the digital environment and skills for the information profession, including the impact of…

  11. Preparing Future Managers for Effective Use of Technology in Automated Offices.

    ERIC Educational Resources Information Center

    Graves, Charlotte

    1983-01-01

    Reports findings of a recent doctoral research study conducted to determine what changes are needed in collegiate business curricula as a result of office automation. Results were based on responses from office systems consultants, and faculty of office administration, management, marketing, accounting, and finance. Conclusions and recommendations…

  12. Telehealth, disease management, home care and the future--part 2.

    PubMed

    Fazzi, Robert; Ashe, Tim; Doak, Lindsay

    2008-01-01

    In October CARING, Part I of the Phillips Study gave information on the background of the study along with insights into the major technologies studied. Part II will focus on what was clearly the area of greatest interest in the web survey--the impact of telehealth on quality and cost, especially the impact of telehealth on disease management.

  13. Biologically Based Methods for Pest Management in Agriculture under Changing Climates: Challenges and Future Directions

    PubMed Central

    Chidawanyika, Frank; Mudavanhu, Pride; Nyamukondiwa, Casper

    2012-01-01

    The current changes in global climatic regimes present a significant societal challenge, affecting in all likelihood insect physiology, biochemistry, biogeography and population dynamics. With the increasing resistance of many insect pest species to chemical insecticides and an increasing organic food market, pest control strategies are slowly shifting towards more sustainable, ecologically sound and economically viable options. Biologically based pest management strategies present such opportunities through predation or parasitism of pests and plant direct or indirect defense mechanisms that can all be important components of sustainable integrated pest management programs. Inevitably, the efficacy of biological control systems is highly dependent on natural enemy-prey interactions, which will likely be modified by changing climates. Therefore, knowledge of how insect pests and their natural enemies respond to climate variation is of fundamental importance in understanding biological insect pest management under global climate change. Here, we discuss biological control, its challenges under climate change scenarios and how increased global temperatures will require adaptive management strategies to cope with changing status of insects and their natural enemies. PMID:26466733

  14. Managing the University Campus: Exploring Models for the Future and Supporting Today's Decisions

    ERIC Educational Resources Information Center

    den Heijer, Alexandra

    2012-01-01

    Managing contemporary campuses and taking decisions that will impact on those of tomorrow is a complex task for universities worldwide. It involves strategic, financial, functional and physical aspects as well as multiple stakeholders. This article summarises the conclusions of a comprehensive PhD research project which was enriched with lessons…

  15. Pheromone-based pest management in china: past, present and future prospects

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Semiochemical-based pest management technology has been widely used to monitor and control insect pests in agricultural, forestry, and public health sectors in the western world. It became a popular tool in the early 1970s with tremendous efforts in developing environment-friendly control technologi...

  16. Pathways to a Sustainable Future: A Curriculum Guide for Maine Schools Exploring Waste Management Issues.

    ERIC Educational Resources Information Center

    Chewonki Foundation, Wiscasset, ME.

    This action guide is designed to help students and teachers become aware of the concepts and issues of waste management, and to motivate them to action in the classroom, school, home, and community. The guide emphasizes interdisciplinary activities that concentrate on the process of problem solving. Activities are identified by appropriate grade…

  17. Pheromone-Based Pest Management in China: Past, Present, and Future Prospects.

    PubMed

    Cui, Gen Zhong; Zhu, Junwei Jerry

    2016-07-01

    Semiochemical-based pest management technology has been widely used to monitor and control insect pests in agricultural, forestry, and public health sectors in the western world. It became a popular tool in the early 1970s with tremendous efforts in developing environment-friendly control technologies for the integrated pest management. However, in China, similar research lagged 15 to 20 years and was not initiated until the late 1980s. In this review, we present the early history of pheromone research that has led to the current practical applications in China, particularly in the development of pheromone-based pest management products. We also provide information regarding the current status of pheromone-based product manufacturing, marketing, and regulatory issues related to local semiochemical industries, which may be useful to other international companies interested in pursuing business in China. In addition, we share some research topics that represent new directions of the present pheromone research to explore novel tools for advancing semiochemical-based pest management in China.

  18. Biologically Based Methods for Pest Management in Agriculture under Changing Climates: Challenges and Future Directions.

    PubMed

    Chidawanyika, Frank; Mudavanhu, Pride; Nyamukondiwa, Casper

    2012-11-09

    The current changes in global climatic regimes present a significant societal challenge, affecting in all likelihood insect physiology, biochemistry, biogeography and population dynamics. With the increasing resistance of many insect pest species to chemical insecticides and an increasing organic food market, pest control strategies are slowly shifting towards more sustainable, ecologically sound and economically viable options. Biologically based pest management strategies present such opportunities through predation or parasitism of pests and plant direct or indirect defense mechanisms that can all be important components of sustainable integrated pest management programs. Inevitably, the efficacy of biological control systems is highly dependent on natural enemy-prey interactions, which will likely be modified by changing climates. Therefore, knowledge of how insect pests and their natural enemies respond to climate variation is of fundamental importance in understanding biological insect pest management under global climate change. Here, we discuss biological control, its challenges under climate change scenarios and how increased global temperatures will require adaptive management strategies to cope with changing status of insects and their natural enemies.

  19. Optimally managing water resources in large river basins for an uncertain future

    USGS Publications Warehouse

    Roehl, Edwin A.; Conrads, Paul A.

    2014-01-01

    One of the challenges of basin management is the optimization of water use through ongoing regional economic development, droughts, and climate change. This paper describes a model of the Savannah River Basin designed to continuously optimize regulated flow to meet prioritized objectives set by resource managers and stakeholders. The model was developed from historical data by using machine learning, making it more accurate and adaptable to changing conditions than traditional models. The model is coupled to an optimization routine that computes the daily flow needed to most efficiently meet the water-resource management objectives. The model and optimization routine are packaged in a decision support system that makes it easy for managers and stakeholders to use. Simulation results show that flow can be regulated to substantially reduce salinity intrusions in the Savannah National Wildlife Refuge while conserving more water in the reservoirs. A method for using the model to assess the effectiveness of the flow-alteration features after the deepening also is demonstrated.

  20. Multiple stressors threatening the future of the Baltic Sea-Kattegat marine ecosystem: implications for policy and management actions.

    PubMed

    Jutterström, S; Andersson, H C; Omstedt, A; Malmaeus, J M

    2014-09-15

    The paper discusses the combined effects of ocean acidification, eutrophication and climate change on the Baltic Sea and the implications for current management strategies. The scientific basis is built on results gathered in the BONUS+ projects Baltic-C and ECOSUPPORT. Model results indicate that the Baltic Sea is likely to be warmer, more hypoxic and more acidic in the future. At present management strategies are not taking into account temporal trends and potential ecosystem change due to warming and/or acidification, and therefore fulfilling the obligations specified within the Marine Strategy Framework Directive, OSPAR and HELCOM conventions and national environmental objectives may become significantly more difficult. The paper aims to provide a basis for a discussion on the effectiveness of current policy instruments and possible strategies for setting practical environmental objectives in a changing climate and with multiple stressors.

  1. Management of climatic heat stress risk in construction: a review of practices, methodologies, and future research.

    PubMed

    Rowlinson, Steve; Yunyanjia, Andrea; Li, Baizhan; Chuanjingju, Carrie

    2014-05-01

    Climatic heat stress leads to accidents on construction sites brought about by a range of human factors emanating from heat induced illness, and fatigue leading to impaired capability, physical and mental. It is an occupational characteristic of construction work in many climates and the authors take the approach of re-engineering the whole safety management system rather than focusing on incremental improvement, which is current management practice in the construction industry. From a scientific viewpoint, climatic heat stress is determined by six key factors: (1) air temperature, (2) humidity, (3) radiant heat, and (4) wind speed indicating the environment, (5) metabolic heat generated by physical activities, and (6) "clothing effect" that moderates the heat exchange between the body and the environment. By making use of existing heat stress indices and heat stress management processes, heat stress risk on construction sites can be managed in three ways: (1) control of environmental heat stress exposure through use of an action-triggering threshold system, (2) control of continuous work time (CWT, referred by maximum allowable exposure duration) with mandatory work-rest regimens, and (3) enabling self-paced working through empowerment of employees. Existing heat stress practices and methodologies are critically reviewed and the authors propose a three-level methodology for an action-triggering, localized, simplified threshold system to facilitate effective decisions by frontline supervisors. The authors point out the need for "regional based" heat stress management practices that reflect unique climatic conditions, working practices and acclimatization propensity by local workers indifferent geographic regions. The authors set out the case for regional, rather than international, standards that account for this uniqueness and which are derived from site-based rather than laboratory-based research.

  2. Impacts of agricultural management and climate change on future soil organic carbon dynamics in North China Plain.

    PubMed

    Wang, Guocheng; Li, Tingting; Zhang, Wen; Yu, Yongqiang

    2014-01-01

    Dynamics of cropland soil organic carbon (SOC) in response to different management practices and environmental conditions across North China Plain (NCP) were studied using a modeling approach. We identified the key variables driving SOC changes at a high spatial resolution (10 km × 10 km) and long time scale (90 years). The model used future climatic data from the FGOALS model based on four future greenhouse gas (GHG) concentration scenarios. Agricultural practices included different rates of nitrogen (N) fertilization, manure application, and stubble retention. We found that SOC change was significantly influenced by the management practices of stubble retention (linearly positive), manure application (linearly positive) and nitrogen fertilization (nonlinearly positive) - and the edaphic variable of initial SOC content (linearly negative). Temperature had weakly positive effects, while precipitation had negligible impacts on SOC dynamics under current irrigation management. The effects of increased N fertilization on SOC changes were most significant between the rates of 0 and 300 kg ha-1 yr-1. With a moderate rate of manure application (i.e., 2000 kg ha-1 yr-1), stubble retention (i.e., 50%), and an optimal rate of nitrogen fertilization (i.e., 300 kg ha-1 yr-1), more than 60% of the study area showed an increase in SOC, and the average SOC density across NCP was relatively steady during the study period. If the rates of manure application and stubble retention doubled (i.e., manure application rate of 4000 kg ha-1 yr-1 and stubble retention rate of 100%), soils across more than 90% of the study area would act as a net C sink, and the average SOC density kept increasing from 40 Mg ha-1 during 2010s to the current worldwide average of ∼ 55 Mg ha-1 during 2060s. The results can help target agricultural management practices for effectively mitigating climate change through soil C sequestration.

  3. Emissions of methane from northern peatlands: a review of management impacts and future implications

    NASA Astrophysics Data System (ADS)

    Abdalla, Mohamed; Hastings, Astley; Mander, Ulo; Smith, Pete; Nilsson, Mats

    2016-04-01

    Northern peatlands constitute a significant source of atmospheric methane (CH4). However, management of undisturbed peatlands, as well as restoration of disturbed peatlands, will alter the exchange of methane with the atmosphere. The aim of this literature review and meta-analysis was to collate and analyse recent literature to improve our understanding of the impacts of management on CH4 emissions from northern peatlands i.e. latitude 40 to 70o N. Results show that CH4 emissions from natural northern peatlands range from 0 to 154 g C m-2 yr-1 and the overall annual average (mean ± standard deviation) is 11.7 ± 21 g C m-2 yr-1 with the highest emissions from fen ecosystems. Drainage significantly (p<0.05) reduces CH4 emissions to the atmosphere, on average by 84%. However, restoration by rewetting of peatlands and application of N fertilizer both significantly (p<0.05) increase the emissions compared to the original pre-management CH4 fluxes. Methane emissions are mainly controlled by water table (WT) depth, plant community composition and soil pH. Although temperature is not a good predictor of CH4 emissions by itself, the interaction between temperatures, plant community cover, WT depth and soil pH is important. According to short-term forecasts of climate change, these complex interactions will be the main determinant of increased CH4 emissions from northern peatlands. However, to fully evaluate the net effect of management practice on high latitude peatlands both net ecosystem exchange (NEE) and carbon exports needs to be considered.

  4. Whither CRM? Future directions in Crew Resource Management training in the cockpit and elsewhere

    NASA Technical Reports Server (NTRS)

    Helmreich, Robert L.

    1993-01-01

    The past decade has shown worldwide adoption of human factors training in civil aviation, now known as Crew Resource Management (CRM). The shift in name from cockpit to crew reflects a growing trend to extend the training to other components of the aviation system including flight attendants, dispatchers, maintenance personnel, and Air Traffic Controllers. The paper reports findings and new directions in research into human factors.

  5. Evidence base and future research directions in the management of low back pain

    PubMed Central

    Abbott, Allan

    2016-01-01

    Low back pain (LBP) is a prevalent and costly condition. Awareness of valid and reliable patient history taking, physical examination and clinical testing is important for diagnostic accuracy. Stratified care which targets treatment to patient subgroups based on key characteristics is reliant upon accurate diagnostics. Models of stratified care that can potentially improve treatment effects include prognostic risk profiling for persistent LBP, likely response to specific treatment based on clinical prediction models or suspected underlying causal mechanisms. The focus of this editorial is to highlight current research status and future directions for LBP diagnostics and stratified care. PMID:27004162

  6. Breakthroughs in the spasticity management: Are non-pharmacological treatments the future?

    PubMed

    Naro, Antonino; Leo, Antonino; Russo, Margherita; Casella, Carmela; Buda, Antonio; Crespantini, Aurelio; Porcari, Bruno; Carioti, Luigi; Billeri, Luana; Bramanti, Alessia; Bramanti, Placido; Calabrò, Rocco Salvatore

    2017-03-03

    The present paper aims at providing an objective narrative review of the existing non-pharmacological treatments for spasticity. Whereas pharmacologic and conventional physiotherapy approaches result well effective in managing spasticity due to stroke, multiple sclerosis, traumatic brain injury, cerebral palsy and incomplete spinal cord injury, the real usefulness of the non-pharmacological ones is still debated. We performed a narrative literature review of the contribution of non-pharmacological treatments to spasticity management, focusing on the role of non-invasive neurostimulation protocols (NINM). Spasticity therapeutic options available to the physicians include various pharmacological and non-pharmacological approaches (including NINM and vibration therapy), aimed at achieving functional goals for patients and their caregivers. A successful treatment of spasticity depends on a clear comprehension of the underlying pathophysiology, the natural history, and the impact on patient's performances. Even though further studies aimed at validating non-pharmacological treatments for spasticity should be fostered, there is growing evidence supporting the usefulness of non-pharmacologic approaches in significantly helping conventional treatments (physiotherapy and drugs) to reduce spasticity and improving patient's quality of life. Hence, non-pharmacological treatments should be considered as a crucial part of an effective management of spasticity.

  7. Nitrogen dynamics in managed boreal forests: Recent advances and future research directions.

    PubMed

    Sponseller, Ryan A; Gundale, Michael J; Futter, Martyn; Ring, Eva; Nordin, Annika; Näsholm, Torgny; Laudon, Hjalmar

    2016-02-01

    Nitrogen (N) availability plays multiple roles in the boreal landscape, as a limiting nutrient to forest growth, determinant of terrestrial biodiversity, and agent of eutrophication in aquatic ecosystems. We review existing research on forest N dynamics in northern landscapes and address the effects of management and environmental change on internal cycling and export. Current research foci include resolving the nutritional importance of different N forms to trees and establishing how tree-mycorrhizal relationships influence N limitation. In addition, understanding how forest responses to external N inputs are mediated by above- and belowground ecosystem compartments remains an important challenge. Finally, forestry generates a mosaic of successional patches in managed forest landscapes, with differing levels of N input, biological demand, and hydrological loss. The balance among these processes influences the temporal patterns of stream water chemistry and the long-term viability of forest growth. Ultimately, managing forests to keep pace with increasing demands for biomass production, while minimizing environmental degradation, will require multi-scale and interdisciplinary perspectives on landscape N dynamics.

  8. A future Demand Side Management (DSM) opportunity for utility as variable renewable penetrate scale up using agriculture.

    NASA Astrophysics Data System (ADS)

    Ines, A.; Bhattacharjee, A.; Modi, V.; Robertson, A. W.; Lall, U.; Kocaman Ayse, S.; Chaudhary, S.; Kumar, A.; Ganapathy, A.; Kumar, A.; Mishra, V.

    2015-12-01

    Energy demand management, also known as demand side management (DSM), is the modification of consumer demand for energy through various methods such as smart metering, incentive based schemes, payments for turning off loads or rescheduling loads. Usually, the goal of demand side management is to encourage the consumer to use less power during periods of peak demand, or to move the time of energy use to off-peak times. Peak demand management does not necessarily decrease total energy consumption, but could be expected to reduce the need for investments in networks and/or power plants for meeting peak demands. Electricity use can vary dramatically on short and medium time frames, and the pricing system may not reflect the instantaneous cost as additional higher-cost that are brought on-line. In addition, the capacity or willingness of electricity consumers to adjust to prices by altering elasticity of demand may be low, particularly over short time frames. In the scenario of Indian grid setup, the retail customers do not follow real-time pricing and it is difficult to incentivize the utility companies for continuing the peak demand supply. A question for the future is how deeper penetration of renewable will be handled? This is a challenging problem since one has to deal with high variability, while managing loss of load probabilities. In the case of managing the peak demand using agriculture, in the future as smart metering matures with automatic turn on/off for a pump, it will become possible to provide an ensured amount of water or energy to the farmer while keeping the grid energized for 24 hours. Supply scenarios will include the possibility of much larger penetration of solar and wind into the grid. While, in absolute terms these sources are small contributors, their role will inevitably grow but DSM using agriculture could help reduce the capital cost. The other option is of advancing or delaying pump operating cycle even by several hours, will still ensure

  9. Triple-negative breast cancer: future prospects in diagnosis and management.

    PubMed

    Elsamany, Shereef; Abdullah, Sakher

    2014-02-01

    Triple-negative breast cancer (TNBC) is an aggressive subtype comprising about 10-20 % of breast cancer patients with an overall poor prognosis. Recently, it was found to be a heterogeneous disease that has been classified into six subtypes based on molecular signature. In preclinical trials, these subtypes have different active signaling pathways with variable response to chemotherapy. To improve treatment outcome of TNBC, therapy should be tailored according to the active driving signaling aberration. Molecular testing represents the optimal way to stratify patients, but it has some difficulties to be implemented in routine clinical practice. This article provides an assumption for stepped diagnostic algorithm of TNBC based on immunohistochemistry markers in addition to a suggested tailored therapeutic strategy for advanced TNBC based on the driving aberrations. Furthermore, most TNBC patients develop early relapse despite adjuvant chemotherapy. We provide a design for future adjuvant therapy for the disease. This design is based on targeting proposed active pathways in breast cancer stem cells responsible for regenerating the tumor and disease relapse. Finally, we provide a proposed design for future clinical trials in TNBC to allow for investigation of different medications in this heterogeneous disease based on upfront patient stratification and then allocation to the suitable treatment arms.

  10. Lessons learnt from past Flash Floods and Debris Flow events to propose future strategies on risk management

    NASA Astrophysics Data System (ADS)

    Cabello, Angels; Velasco, Marc; Escaler, Isabel

    2010-05-01

    Floods, including flash floods and debris flow events, are one of the most important hazards in Europe regarding both economic and life loss. Moreover, changes in precipitation patterns and intensity are very likely to increase due to the observed and predicted global warming, rising the risk in areas that are already vulnerable to floods. Therefore, it is very important to carry out new strategies to improve flood protection, but it is also crucial to take into account historical data to identify high risk areas. The main objective of this paper is to show a comparative analysis of the flood risk management information compiled in four test-bed basins (Llobregat, Guadalhorce, Gardon d'Anduze and Linth basins) from three different European countries (Spain, France and Switzerland) and to identify which are the lessons learnt from their past experiences in order to propose future strategies on risk management. This work is part of the EU 7th FP project IMPRINTS which aims at reducing loss of life and economic damage through the improvement of the preparedness and the operational risk management of flash flood and debris flow (FF & DF) events. The methodology followed includes the following steps: o Specific survey on the effectivity of the implemented emergency plans and risk management procedures sent to the test-bed basin authorities that participate in the project o Analysis of the answers from the questionnaire and further research on their methodologies for risk evaluation o Compilation of available follow-up studies carried out after major flood events in the four test-bed basins analyzed o Collection of the lessons learnt through a comparative analysis of the previous information o Recommendations for future strategies on risk management based on lessons learnt and management gaps detected through the process As the Floods Directive (FD) already states, the flood risks associated to FF & DF events should be assessed through the elaboration of Flood Risk

  11. PET-Based Personalized Management in Clinical Oncology: An Unavoidable Path for the Foreseeable Future.

    PubMed

    Basu, Sandip; Alavi, Abass

    2016-07-01

    It is imperative that the thrust of clinical practice in the ensuing years would be to develop personalized management model for various disorders. PET-computed tomography (PET-CT) based molecular functional imaging has been increasingly utilized for assessment of tumor and other nonmalignant disorders and has the ability to explore disease phenotype on an individual basis and address critical clinical decision making questions related to practice of personalized medicine. Hence, it is essential to make a concerted systematic effort to explore and define the appropriate place of PET-CT in personalized clinical practice in each of malignancies, which would strengthen the concept further. The potential advantages of PET based disease management can be classified into broad categories: (1) Traditional: which includes assessment of disease extent such as initial disease staging and restaging, treatment response evaluation particularly early in the course and thus PET-CT response adaptive decision for continuing the same regimen or switching to salvage schedules; there has been continuous addition of newer application of PET based disease restaging in oncological parlance (eg, Richter transformation); (2) Recent and emerging developments: this includes exploring tumor biology with FDG and non-FDG PET tracers. The potential of multitracer PET imaging (particularly new and novel tracers, eg, 68Ga-DOTA-TOC/NOC/TATE in NET, 68Ga-PSMA and 18F-fluorocholine in prostate carcinoma, 18F-fluoroestradiol in breast carcinoma) has provided a scientific basis to stratify and select appropriate targeted therapies (both radionuclide and nonradionuclide treatment), a major boost for individualized disease management in clinical oncology. Integrating the molecular level information obtained from PET with structural imaging further individualizing treatment plan in radiation oncology, precision of interventions and biopsies of a particular lesion and forecasting disease prognosis.

  12. Evaluation and Management of Hepatic Encephalopathy: Current Status and Future Directions.

    PubMed

    Suraweera, Duminda; Sundaram, Vinay; Saab, Sammy

    2016-07-15

    Hepatic encephalopathy is a spectrum of neurocognitive manifestations often seen in patients with liver injury or rarely in patients with portosystemic shunting without liver injury. It can be divided into minimal (covert) hepatic encephalopathy and overt hepatic encephalopathy, depending on the severity. Patients with hepatic encephalopathy have compromised clinical outcomes, decreased quality of life, and increased healthcare utilization, often resulting in a heavy financial and personal burden on caregivers. The diagnosis remains largely clinical, with the exclusion of possible other causes for the altered mental status. Current treatment strategies include nonabsorbable disaccharides and antibiotics. This review will focus on the diagnosis, management and clinical impact of hepatic encephalopathy.

  13. Focusing Osteoarthritis Management on Modifiable Risk Factors and Future Therapeutic Prospects

    PubMed Central

    Hunter, David J.

    2009-01-01

    The pathogenesis of osteoarthritis (OA) appears to be the result of a complex interplay between mechanical, cellular, and biochemical forces. Obesity is the strongest risk factor for disease onset and mechanical factors dominate the risk for disease progression. This narrative review focuses on the influence of biomechanics and obesity on the etiology of OA and its symptomatic presentation. We need to revisit the way we currently manage the disease and focus on the modifiable, primarily through nonpharmacologic intervention. Greater therapeutic attention to the important role of mechanical factors and obesity in OA etiopathogenesis is required if we are to find ways of reducing the public health impact of this condition. PMID:22870426

  14. Strategic effects of future environmental policy commitments: climate change, solar radiation management and correlated air pollutants.

    PubMed

    Qu, Jingwen; Silva, Emilson Caputo Delfino

    2015-03-15

    We study the effects of environmental policy commitments in a futuristic world in which solar radiation management (SRM) can be utilized to reduce climate change damages. Carbon and sulfur dioxide emissions (correlated pollutants) can be reduced through tradable permits. We show that if nations simultaneously commit to carbon permit policies, national SRM levels rise with carbon quotas. Alternatively, if they simultaneously commit to SRM policies, the global temperature falls with each unit increase in the global SRM level. A nation always wishes to be a leader in policymaking, but prefers carbon to SRM policymaking. The globe prefers SRM policy commitments.

  15. Evaluation and Management of Hepatic Encephalopathy: Current Status and Future Directions

    PubMed Central

    Suraweera, Duminda; Sundaram, Vinay; Saab, Sammy

    2016-01-01

    Hepatic encephalopathy is a spectrum of neurocognitive manifestations often seen in patients with liver injury or rarely in patients with portosystemic shunting without liver injury. It can be divided into minimal (covert) hepatic encephalopathy and overt hepatic encephalopathy, depending on the severity. Patients with hepatic encephalopathy have compromised clinical outcomes, decreased quality of life, and increased healthcare utilization, often resulting in a heavy financial and personal burden on caregivers. The diagnosis remains largely clinical, with the exclusion of possible other causes for the altered mental status. Current treatment strategies include nonabsorbable disaccharides and antibiotics. This review will focus on the diagnosis, management and clinical impact of hepatic encephalopathy. PMID:27377741

  16. Improved Construction and Project Management for Future Nuclear Power Plants - Westinghouse Perspective

    SciTech Connect

    Matzie, Regis A.

    2002-07-01

    The economic competitiveness of future nuclear power plants is the key issue to the expansion of this vital technology. The challenge is greater today than it has been because of the worldwide trend of deregulation of the power market. Deregulation favors smaller investments with shorter payback times. However, the key economic parameter is the power generation cost and its competitiveness to other sources of electric generation, principally natural gas and coal. The relative competitiveness of these three fuel types today is largely dictated by the availability of domestic sources of both fuel and technology infrastructure. The competitiveness of new nuclear power plants can be improved in any power market environment first by the features of the design itself, second by the approach to construction, and finally by the project structure used to implement the plant, or more importantly, a series of plants. These three aspects form the cornerstone to a successful resurgence of new nuclear power plant construction. (author)

  17. Pharmacotherapy for the management of achalasia: Current status, challenges and future directions

    PubMed Central

    Nassri, Ammar; Ramzan, Zeeshan

    2015-01-01

    This article reviews currently available pharmacological options available for the treatment of achalasia, with a special focus on the role of botulinum toxin (BT) injection due to its superior therapeutic effect and side effect profile. The discussion on BT includes the role of different BT serotypes, better pharmacological formulations, improved BT injection techniques, the use of sprouting inhibitors, designer recombinant BT formulations and alternative substances used in endoscopic injections. The large body of ongoing research into achalasia and BT may provide a stronger role for BT injection as a form of minimally invasive, cost effective and efficacious form of therapy for patients with achalasia. The article also explores current issues and future research avenues that may prove beneficial in improving the efficacy of pharmacological treatment approaches in patients with achalasia. PMID:26558149

  18. Predicting global invasion risks: a management tool to prevent future introductions

    PubMed Central

    Fletcher, D. H.; Gillingham, P. K.; Britton, J. R.; Blanchet, S.; Gozlan, R. E.

    2016-01-01

    Predicting regions at risk from introductions of non-native species and the subsequent invasions is a fundamental aspect of horizon scanning activities that enable the development of more effective preventative actions and planning of management measures. The Asian cyprinid fish topmouth gudgeon Pseudorasbora parva has proved highly invasive across Europe since its introduction in the 1960s. In addition to direct negative impacts on native fish populations, P. parva has potential for further damage through transmission of an emergent infectious disease, known to cause mortality in other species. To quantify its invasion risk, in regions where it has yet to be introduced, we trained 900 ecological niche models and constructed an Ensemble Model predicting suitability, then integrated a proxy for introduction likelihood. This revealed high potential for P. parva to invade regions well beyond its current invasive range. These included areas in all modelled continents, with several hotspots of climatic suitability and risk of introduction. We believe that these methods are easily adapted for a variety of other invasive species and that such risk maps could be used by policy-makers and managers in hotspots to formulate increased surveillance and early-warning systems that aim to prevent introductions and subsequent invasions. PMID:27199300

  19. Discovering Collaboration and Knowledge Management Practices for the Future Digital Factory

    NASA Astrophysics Data System (ADS)

    Flores, Myrna; Vera, Tomas; Tucci, Christopher

    Recently there has been an explosion of new technologies and tools such as wikis, blogs, tags, Facebook, among many others, that are commonly identified under Web 2.0 and which promise a new digital business ecosystem fed by formal/informal and internal/external relationships and interactions. Although Web 2.0 is very promising to enable such collective knowledge creation, technology by itself is not the only ingredient. It is also required to define the right strategy, governance, culture, processes, training, incentives among others, before implementing such innovative open spaces for collaboration and knowledge sharing. Therefore, the objective of this paper is to present a Knowledge Management (KM) Framework and a Maturity Model developed by a CEMEX and EPFL collaborative research project to discover the AS-IS collaboration practices in CEMEX before the implementation of the SMARTBRICKS Web 2.0 prototype for Business Process Management (BPM), currently under development by the Intelligent Manufacturing Systems (IMS) Swiss Digital Factory (DiFac) project.

  20. Impact of peatland drainage and restoration on esker groundwater resources: modeling future scenarios for management

    NASA Astrophysics Data System (ADS)

    Rossi, Pekka M.; Ala-aho, Pertti; Doherty, John; Kløve, Bjørn

    2014-08-01

    Esker aquifers are common groundwater bodies in Europe. Management of these aquifers should take account of the sustainability of groundwater-dependent ecosystems and land use in an integrated way. An unconfined esker aquifer in northern Finland was modelled with MODFLOW to determine how groundwater resources are impacted by the surrounding peatland drainage scheme and to simulate scenarios for possible drainage restoration. The impacts of groundwater abstraction and climate change were also simulated. A calibration-constrained Monte Carlo method was used to provide information on the uncertainties associated with model predictions. The results suggest that peatland drainage in the vicinity of eskers can have a significant role in lowering the water table, even though climate variability may mask these impacts. Drainage restoration by filling the ditches might have positive impacts on the aquifer water levels. Comparison of water-table changes caused by peatland drainage with the changes brought by water abstraction and climate variability helped to quantify impacts of different land-use scenarios and facilitated discussion with the local stakeholders. Based on this study, more attention should be devoted to peatland drainage schemes in integrated groundwater management of esker aquifers.

  1. Pain in Patients with Pancreatic Cancer: Prevalence, Mechanisms, Management and Future Developments.

    PubMed

    Koulouris, Andreas I; Banim, Paul; Hart, Andrew R

    2017-04-01

    Pain affects approximately 80% of patients with pancreatic cancer, with half requiring strong opioid analgesia, namely: morphine-based drugs on step three of the WHO analgesic ladder (as opposed to the weak opioids: codeine and tramadol). The presence of pain is associated with reduced survival. This article reviews the literature regarding pain: prevalence, mechanisms, pharmacological, and endoscopic treatments and identifies areas for research to develop individualized patient pain management pathways. The online literature review was conducted through: PubMed, Clinical Key, Uptodate, and NICE Evidence. There are two principal mechanisms for pain: pancreatic duct obstruction and pancreatic neuropathy which, respectively, activate mechanical and chemical nociceptors. In pancreatic neuropathy, several histological, molecular, and immunological changes occur which correlate with pain including: transient receptor potential cation channel activation and mast cell infiltration. Current pain management is empirical rather etiology-based and is informed by the WHO analgesic ladder for first-line therapies, and then endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) in patients with resistant pain. For EUS-CPN, there is only one clinical trial reporting a benefit, which has limited generalizability. Case series report pancreatic duct stenting gives effective analgesia, but there are no clinical trials. Progress in understanding the mechanisms for pain and when this occurs in the natural history, together with assessing new therapies both pharmacological and endoscopic, will enable individualized care and may improve patients' quality of life and survival.

  2. The Costs of Climate Change: Impact of Future Snow Cover Projections on Valuation of Albedo in Forest Management

    NASA Astrophysics Data System (ADS)

    Burakowski, E. A.; Lutz, D. A.

    2014-12-01

    Surface albedo provides an important climate regulating ecosystem service, particularly in the mid-latitudes where seasonal snow cover influences surface radiation budgets. In the case of substantial seasonal snow cover, the influence of albedo can equal or surpass the climatic benefits of carbon sequestration from forest growth. Climate mitigation platforms should therefore consider albedo in their framework in order to integrate these two climatic services in an economic context for the effective design and implementation of forest management projects. Over the next century, the influence of surface albedo is projected to diminish under higher emissions scenarios due to an overall decrease in snow depth and duration of snow cover in the mid-latitudes. In this study, we focus on the change in economic value of winter albedo in the northeastern United States projected through 2100 using the Special Report on Emissions Scenarios (SRES) a1 and b1 scenarios. Statistically downscaled temperature and precipitation are used as input to the Variable Infiltration Capacity (VIC) model to provide future daily snow depth fields through 2100. Using VIC projections of future snow depth, projected winter albedo fields over deforested lands were generated using an empirical logarithmic relationship between snow depth and albedo derived from a volunteer network of snow observers in New Hampshire over the period Nov 2011 through 2014. Our results show that greater reductions in snow depth and the number of winter days with snow cover in the a1 compared to the b1 scenario reduce wintertime albedo when forested lands are harvested. This result has implications on future trade-offs among albedo, carbon storage, and timber value that should be investigated in greater detail. The impacts of forest harvest on radiative forcing associated with energy redistribution (e.g., latent heat and surface roughness length) should also be considered in future work.

  3. The Great Barrier Reef World Heritage Area seagrasses: Managing this iconic Australian ecosystem resource for the future

    NASA Astrophysics Data System (ADS)

    Coles, Robert G.; Rasheed, Michael A.; McKenzie, Len J.; Grech, Alana; York, Paul H.; Sheaves, Marcus; McKenna, Skye; Bryant, Catherine

    2015-02-01

    The Great Barrier Reef World Heritage Area (GBRWHA) includes one of the world's largest areas of seagrass (35,000 km2) encompassing approximately 20% of the world's species. Mapping and monitoring programs sponsored by the Australian and Queensland Governments and Queensland Port Authorities have tracked a worrying decrease in abundance and area since 2007. This decline has almost certainly been the result of a series of severe tropical storms and associated floods exacerbating existing human induced stressors. A complex variety of marine and terrestrial management actions and plans have been implemented to protect seagrass and other habitats in the GBRWHA. For seagrasses, these actions are inadequate. They provide an impression of effective protection of seagrasses; reduce the sense of urgency needed to trigger action; and waste the valuable and limited supply of "conservation capital". There is a management focus on ports, driven by public concerns about high profile development projects, which exaggerates the importance of these relatively concentrated impacts in comparison to the total range of threats and stressors. For effective management of seagrass at the scale of the GBRWHA, more emphasis needs to be placed on the connectivity between seagrass meadow health, watersheds, and all terrestrial urban and agricultural development associated with human populations. The cumulative impacts to seagrass from coastal and marine processes in the GBRWHA are not evenly distributed, with a mosaic of high and low vulnerability areas. This provides an opportunity to make choices for future coastal development plans that minimise stress on seagrass meadows.

  4. FuturICT: Participatory computing to understand and manage our complex world in a more sustainable and resilient way

    NASA Astrophysics Data System (ADS)

    Helbing, D.; Bishop, S.; Conte, R.; Lukowicz, P.; McCarthy, J. B.

    2012-11-01

    We have built particle accelerators to understand the forces that make up our physical world. Yet, we do not understand the principles underlying our strongly connected, techno-socio-economic systems. We have enabled ubiquitous Internet connectivity and instant, global information access. Yet we do not understand how it impacts our behavior and the evolution of society. To fill the knowledge gaps and keep up with the fast pace at which our world is changing, a Knowledge Accelerator must urgently be created. The financial crisis, international wars, global terror, the spreading of diseases and cyber-crime as well as demographic, technological and environmental change demonstrate that humanity is facing serious challenges. These problems cannot be solved within the traditional paradigms. Moving our attention from a component-oriented view of the world to an interaction-oriented view will allow us to understand the complex systems we have created and the emergent collective phenomena characterising them. This paradigm shift will enable new solutions to long-standing problems, very much as the shift from a geocentric to a heliocentric worldview has facilitated modern physics and the ability to launch satellites. The FuturICT flagship project will develop new science and technology to manage our future in a complex, strongly connected world. For this, it will combine the power of information and communication technology (ICT) with knowledge from the social and complexity sciences. ICT will provide the data to boost the social sciences into a new era. Complexity science will shed new light on the emergent phenomena in socially interactive systems, and the social sciences will provide a better understanding of the opportunities and risks of strongly networked systems, in particular future ICT systems. Hence, the envisaged FuturICT flagship will create new methods and instruments to tackle the challenges of the 21st century. FuturICT could indeed become one of the most

  5. Applied historical ecology: Using the past to manage for the future

    USGS Publications Warehouse

    Swetnam, T.W.; Allen, C.D.; Betancourt, J.L.

    1999-01-01

    Applied historical ecology is the use of historical knowledge in the management of ecosystems. Historical perspectives increase our understanding of the dynamic nature of landscapes and provide a frame of reference for assessing modern patterns and processes. Historical records, however, are often too brief or fragmentary to be useful, or they are not obtainable for the process or structure of interest. Even where long historical time series can be assembled, selection of appropriate reference conditions may be complicated by the past influence of humans and the many potential reference conditions encompassed by nonequilibrium dynamics. These complications, however, do not lessen the value of history; rather they underscore the need for multiple, comparative histories from many locations for evaluating both cultural and natural causes of variability, as well as for characterizing the overall dynamical properties of ecosystems. Historical knowledge may not simplify the task of setting management goals and making decisions, but 20th century trends, such as increasingly severe wildfires, suggest that disregarding history can be perilous. We describe examples from our research in the southwestern United States to illustrate some of the values and limitations of applied historical ecology. Paleoecological data from packrat middens and other natural archives have been useful for defining baseline conditions of vegetation communities, determining histories and rates of species range expansions and contractions, and discriminating between natural and cultural causes of environmental change. We describe a montane grassland restoration project in northern New Mexico that was justified and guided by an historical sequence of aerial photographs showing progressive tree invasion during the 20th century. Likewise, fire scar chronologies have been widely used to justify and guide fuel reduction and natural five reintroduction in forests. A southwestern network of fire histories

  6. Self-Reported Changes in Food Safety Behaviors among Foodservice Employees: Impact of a Retail Food Safety Education Program

    ERIC Educational Resources Information Center

    Anding, Jenna D.; Boleman, Chris; Thompson, Britta

    2007-01-01

    A food safety education program developed for retail food establishments was evaluated to assess the extent to which participants were practicing selected behaviors linked to reducing the risk of foodborne disease both before and after the program. Scores from the state health department's Certified Food Manager (CFM) exam also were examined.…

  7. How risk management can prevent future wildfire disasters in the wildland-urban interface

    PubMed Central

    Calkin, David E.; Cohen, Jack D.; Finney, Mark A.; Thompson, Matthew P.

    2014-01-01

    Recent fire seasons in the western United States are some of the most damaging and costly on record. Wildfires in the wildland-urban interface on the Colorado Front Range, resulting in thousands of homes burned and civilian fatalities, although devastating, are not without historical reference. These fires are consistent with the characteristics of large, damaging, interface fires that threaten communities across much of the western United States. Wildfires are inevitable, but the destruction of homes, ecosystems, and lives is not. We propose the principles of risk analysis to provide land management agencies, first responders, and affected communities who face the inevitability of wildfires the ability to reduce the potential for loss. Overcoming perceptions of wildland-urban interface fire disasters as a wildfire control problem rather than a home ignition problem, determined by home ignition conditions, will reduce home loss. PMID:24344292

  8. Managed behavioral health care carve-outs: past performance and future prospects.

    PubMed

    Frank, Richard G; Garfield, Rachel L

    2007-01-01

    As the managed behavioral health care market has matured, behavioral health carve-outs have solved many problems facing the delivery of behavioral health services; at the same time, they have exacerbated existing difficulties or created new problems. Carve-outs developed to address rising inpatient behavioral health costs and limited insurance coverage. They are based on the economic principles of economies of specialization, economies of scale, price negotiation, and selection. Literature shows that carve-outs have been successful in lowering costs and maintaining or improving access, but results on their impact on quality of care are mixed. In recent years, carve-outs have evolved to take on new roles within the health system, such as coordinating mental and physical health, addressing fragmented public financing systems, and using market power to implement quality improvement. Although not perfect, carve-outs have been instrumental in addressing long-standing challenges in utilization, access, and cost of behavioral health care.

  9. How risk management can prevent future wildfire disasters in the wildland-urban interface.

    PubMed

    Calkin, David E; Cohen, Jack D; Finney, Mark A; Thompson, Matthew P

    2014-01-14

    Recent fire seasons in the western United States are some of the most damaging and costly on record. Wildfires in the wildland-urban interface on the Colorado Front Range, resulting in thousands of homes burned and civilian fatalities, although devastating, are not without historical reference. These fires are consistent with the characteristics of large, damaging, interface fires that threaten communities across much of the western United States. Wildfires are inevitable, but the destruction of homes, ecosystems, and lives is not. We propose the principles of risk analysis to provide land management agencies, first responders, and affected communities who face the inevitability of wildfires the ability to reduce the potential for loss. Overcoming perceptions of wildland-urban interface fire disasters as a wildfire control problem rather than a home ignition problem, determined by home ignition conditions, will reduce home loss.

  10. Lipids in hepatic glycogen storage diseases: pathophysiology, monitoring of dietary management and future directions.

    PubMed

    Derks, Terry G J; van Rijn, Margreet

    2015-05-01

    Hepatic glycogen storage diseases (GSD) underscore the intimate relationship between carbohydrate and lipid metabolism. The hyperlipidemias in hepatic GSD reflect perturbed intracellular metabolism, providing biomarkers in blood to monitor dietary management. In different types of GSD, hyperlipidemias are of a different origin. Hypertriglyceridemia is most prominent in GSD type Ia and associated with long-term outcome morbidity, like pancreatitis and hepatic adenomas. In the ketotic subtypes of GSD, hypertriglyceridemia reflects the age-dependent fasting intolerance, secondary lipolysis and increased mitochondrial fatty acid oxidation. The role of high protein diets is established for ketotic types of GSD, but non-traditional dietary interventions (like medium-chain triglycerides and the ketogenic diet) in hepatic GSD are still controversial and necessitate further studies. Patients with these rare inherited disorders of carbohydrate metabolism meet several criteria of the metabolic syndrome, therefore close monitoring for cardiovascular diseases in ageing GSD patients may be justified.

  11. The Past, Present, and Future in Management of Small Renal Masses

    PubMed Central

    Ha, Sarah C.; Zlomke, Haley A.; Cost, Nicholas; Wilson, Shandra

    2015-01-01

    Management of small renal masses (SRMs) is currently evolving due to the increased incidence given the ubiquity of cross-sectional imaging. Diagnosing a mass in the early stages theoretically allows for high rates of cure but simultaneously risks overtreatment. New consensus guidelines and treatment modalities are changing frequently. The multitude of information currently available shall be summarized in this review. This summary will detail the historic surgical treatment of renal cell carcinoma with current innovations, the feasibility and utility of biopsy, the efficacy of ablative techniques, active surveillance, and use of biomarkers. We evaluate how technology may be used in approaching the small renal mass in order to decrease morbidity, while keeping rates of overtreatment to a minimum. PMID:26491445

  12. The future of water resources systems analysis: Toward a scientific framework for sustainable water management

    NASA Astrophysics Data System (ADS)

    Brown, Casey M.; Lund, Jay R.; Cai, Ximing; Reed, Patrick M.; Zagona, Edith A.; Ostfeld, Avi; Hall, Jim; Characklis, Gregory W.; Yu, Winston; Brekke, Levi

    2015-08-01

    This paper presents a short history of water resources systems analysis from its beginnings in the Harvard Water Program, through its continuing evolution toward a general field of water resources systems science. Current systems analysis practice is widespread and addresses the most challenging water issues of our times, including water scarcity and drought, climate change, providing water for food and energy production, decision making amid competing objectives, and bringing economic incentives to bear on water use. The emergence of public recognition and concern for the state of water resources provides an opportune moment for the field to reorient to meet the complex, interdependent, interdisciplinary, and global nature of today's water challenges. At present, water resources systems analysis is limited by low scientific and academic visibility relative to its influence in practice and bridled by localized findings that are difficult to generalize. The evident success of water resource systems analysis in practice (which is set out in this paper) needs in future to be strengthened by substantiating the field as the science of water resources that seeks to predict the water resources variables and outcomes that are important to governments, industries, and the public the world over. Doing so promotes the scientific credibility of the field, provides understanding of the state of water resources and furnishes the basis for predicting the impacts of our water choices.

  13. Tissue engineering for the management of chronic wounds: current concepts and future perspectives.

    PubMed

    Wong, Victor W; Gurtner, Geoffrey C

    2012-10-01

    Chronic wounds constitute a significant and growing biomedical burden. With the increasing growth of populations prone to dysfunctional wound healing, there is an urgent and unmet need for novel strategies to both prevent and treat these complications. Tissue engineering offers the potential to create functional skin, and the synergistic efforts of biomedical engineers, material scientists, and molecular and cell biologists have yielded promising therapies for non-healing wounds. However, traditional paradigms for wound healing focus largely on the role of inflammatory cells and fail to incorporate more recent research highlighting the importance of stem cells and matrix dynamics in skin repair. Approaches to chronic wound healing centred on inflammation alone are inadequate to guide the development of regenerative medicine-based technologies. As the molecular pathways and biologic defects underlying non-healing wounds are further elucidated, multifaceted bioengineering systems must advance in parallel to exploit this knowledge. In this viewpoint essay, we highlight the current concepts in tissue engineering for chronic wounds and speculate on areas for future research in this increasingly interdisciplinary field.

  14. Recent Progress and Future Issues in the Management of Abusive Head Trauma

    PubMed Central

    NISHIMOTO, Hiroshi

    2015-01-01

    Head trauma is the leading cause of death in child abuse cases and one of the important issues in the care of abused children. Since the Child Abuse Prevention Law was enforced in 2000 in Japan, various measures have been taken to prevent child abuse over the following decade. Accordingly, medical research on abusive head trauma (AHT) has advanced, leading to significant progress in the medical diagnosis of AHT. This progress has been brought about by (1) the widespread establishment of child protection teams (CPTs) at core hospitals, (2) the progress in neuroradiological imaging and ophthalmoscopic technologies, and (3) the introduction of postmortem imaging. However, the pathological condition of patients with AHT, particularly that of the diffuse brain swelling type, still remains poorly understood. As a result, no clear treatment strategies for AHT have been developed and no treatment outcomes have been improved to date. The development of new treatment strategies for AHT and the construction of a comprehensive database that supports clinical studies are required in the future. PMID:25797781

  15. Direct-acting oral anticoagulants: pharmacology, indications, management, and future perspectives.

    PubMed

    Gómez-Outes, Antonio; Suárez-Gea, Ma Luisa; Lecumberri, Ramón; Terleira-Fernández, Ana Isabel; Vargas-Castrillón, Emilio

    2015-11-01

    In recent years, several direct-acting oral anticoagulants (DOAC) have become available for use in Europe and other regions in indications related to prophylaxis and treatment of venous and arterial thromboembolism. They include the oral direct thrombin inhibitor dabigatran etexilate (Pradaxa, Boehringer Ingelheim) and the oral direct FXa inhibitors rivaroxaban (Xarelto, Bayer HealthCare), apixaban (Eliquis, Bristol-Myers Squibb), and edoxaban (Lixiana/Savaysa, Daiichi-Sankyo). The new compounds have a predictable dose response and few drug-drug interactions (unlike vitamin k antagonists), and they do not require parenteral administration (unlike heparins). However, they accumulate in patients with renal impairment, lack widely available monitoring tests for measuring its anticoagulant activity, and no specific antidotes for neutralization in case of overdose and/or severe bleeding are currently available. In this review, we describe the pharmacology of the DOAC, the efficacy, and safety data from pivotal studies that support their currently approved indications and discuss the postmarketing experience available. We also summarize practical recommendations to ensure an appropriate use of the DOAC according to existing data. Finally, we discuss relevant ongoing studies and future perspectives.

  16. Water management in cities of the future using emission control strategies for priority hazardous substances.

    PubMed

    Eriksson, E; Revitt, D M; Ledin, A; Lundy, L; Holten Lützhøft, H C; Wickman, T; Mikkelsen, P S

    2011-01-01

    Cities of the future face challenges with respect to the quantity and quality of water resources, and multiple managerial options need to be considered in order to safeguard urban surface water quality. In a recently completed project on 'Source control options for reducing emissions of Priority Pollutants' (ScorePP), seven emission control strategies (ECSs) were developed and tested within a semi-hypothetical case city (SHCC) to evaluate their potential to reduce the emission of selected European priority hazardous substances (PHSs) to surface waters. The ECSs included (1) business-as-usual, (2) full implementation of relevant European (EU) directives, (3) ECS2 in combination with voluntary options for household, municipalities and industry, (4) ECS2 combined with industrial treatment and best available technologies (BAT), (5) ECS2 in combination with stormwater and combined sewer overflow treatment, (6) ECS2 in combination with advanced wastewater treatment, and (7) combinations of ECS3-6. The SHCC approach was chosen to facilitate transparency, to allow compensating for data gaps and to decrease the level of uncertainty in the results. The selected PHSs: cadmium (Cd), hexachlorobenzene (HCB), nonylphenol (NP) and pentabromodiphenyl ether (PBDE) differ in their uses and environmental fate and therefore accumulate in surface waters to differing extents in response to the application of alternative ECS. To achieve the required reduction in PHS levels in urban waters the full implementation of existing EU regulation is prioritised and feasible combinations of managerial and technological options (source control and treatment) can be highly relevant for mitigating releases.

  17. The present and the future in the diagnosis and management of celiac disease

    PubMed Central

    Castillo, Natalia E.; Theethira, Thimmaiah G.; Leffler, Daniel A.

    2015-01-01

    Celiac disease is an autoimmune enteropathy caused by gluten in genetically predisposed individuals. In celiac disease, adaptive and innate immune activation results in intestinal damage and a wide range of clinical manifestations. In the past, celiac disease was thought to result in signs and symptoms solely related to the gastrointestinal tract. Now, more than half of the adult population presents with extra-intestinal manifestations that can also be expected to improve on a gluten-free diet. For this reason, it is recommended that physicians have a low threshold of suspicion for celiac disease. Current knowledge of the immune pathogenesis of this autoimmune disease has served as a catalyst for the development of novel diagnostic tools and therapeutics. Over the years, highly sensitive and specific serological assays, in addition to genetic markers, have been found to target specific steps in the cascade pathway of celiac disease. Also the advent of the gluten challenge has enabled experts to design diagnostic algorithms and monitor clinical responses in clinical trials. The gluten challenge has provided substantial benefit in the advance of novel therapeutics as an adjuvant treatment to the gluten free diet. Generally, a strict gluten-free diet is highly burdensome to patients and can be limited in its efficacy. Alternative therapies—including gluten modification, modulation of intestinal permeability and immune response—could be central to the future treatment of celiac disease. PMID:25326000

  18. Managing future Gulf War Syndromes: international lessons and new models of care.

    PubMed

    Engel, Charles C; Hyams, Kenneth C; Scott, Ken

    2006-04-29

    After the 1991 Gulf War, veterans of the conflict from the United States, United Kingdom, Canada, Australia and other nations described chronic idiopathic symptoms that became popularly known as 'Gulf War Syndrome'. Nearly 15 years later, some 250 million dollars in United States medical research has failed to confirm a novel war-related syndrome and controversy over the existence and causes of idiopathic physical symptoms has persisted. Wartime exposures implicated as possible causes of subsequent symptoms include oil well fire smoke, infectious diseases, vaccines, chemical and biological warfare agents, depleted uranium munitions and post-traumatic stress disorder. Recent historical analyses have identified controversial idiopathic symptom syndromes associated with nearly every modern war, suggesting that war typically sets into motion interrelated physical, emotional and fiscal consequences for veterans and for society. We anticipate future controversial war syndromes and maintain that a population-based approach to care can mitigate their impact. This paper delineates essential features of the model, describes its public health and scientific underpinnings and details how several countries are trying to implement it. With troops returning from combat in Afghanistan, Iraq and elsewhere, the model is already getting put to the test.

  19. Data management and its role in delivering science at DOE BES user facilities - Past, Present, and Future

    NASA Astrophysics Data System (ADS)

    Miller, Stephen D.; Herwig, Kenneth W.; Ren, Shelly; Vazhkudai, Sudharshan S.; Jemian, Pete R.; Luitz, Steffen; Salnikov, Andrei A.; Gaponenko, Igor; Proffen, Thomas; Lewis, Paul; Green, Mark L.

    2009-07-01

    The primary mission of user facilities operated by Basic Energy Sciences under the Department of Energy is to produce data for users in support of open science and basic research [1]. We trace back almost 30 years of history across selected user facilities illustrating the evolution of facility data management practices and how these practices have related to performing scientific research. The facilities cover multiple techniques such as X-ray and neutron scattering, imaging and tomography sciences. Over time, detector and data acquisition technologies have dramatically increased the ability to produce prolific volumes of data challenging the traditional paradigm of users taking data home upon completion of their experiments to process and publish their results. During this time, computing capacity has also increased dramatically, though the size of the data has grown significantly faster than the capacity of one's laptop to manage and process this new facility produced data. Trends indicate that this will continue to be the case for yet some time. Thus users face a quandary for how to manage today's data complexity and size as these may exceed the computing resources users have available to themselves. This same quandary can also stifle collaboration and sharing. Realizing this, some facilities are already providing web portal access to data and computing thereby providing users access to resources they need [2]. Portal based computing is now driving researchers to think about how to use the data collected at multiple facilities in an integrated way to perform their research, and also how to collaborate and share data. In the future, inter-facility data management systems will enable next tier cross-instrument-cross facility scientific research fuelled by smart applications residing upon user computer resources. We can learn from the medical imaging community that has been working since the early 1990's to integrate data from across multiple modalities to achieve

  20. Advanced simulation capability for environmental management - current status and future applications

    SciTech Connect

    Freshley, Mark; Scheibe, Timothy; Robinson, Bruce; Moulton, J. David; Dixon, Paul; Marble, Justin; Gerdes, Kurt; Stockton, Tom; Seitz, Roger; Black, Paul

    2013-07-01

    The U.S. Department of Energy (US DOE) Office of Environmental Management (EM), Office of Soil and Groundwater (EM-12), is supporting development of the Advanced Simulation Capability for Environmental Management (ASCEM). ASCEM is a state-of-the-art scientific tool and approach that is currently aimed at understanding and predicting contaminant fate and transport in natural and engineered systems. ASCEM is a modular and open source high-performance computing tool. It will be used to facilitate integrated approaches to modeling and site characterization, and provide robust and standardized assessments of performance and risk for EM cleanup and closure activities. The ASCEM project continues to make significant progress in development of capabilities, with current emphasis on integration of capabilities in FY12. Capability development is occurring for both the Platform and Integrated Tool-sets and High-Performance Computing (HPC) multi-process simulator. The Platform capabilities provide the user interface and tools for end-to-end model development, starting with definition of the conceptual model, management of data for model input, model calibration and uncertainty analysis, and processing of model output, including visualization. The HPC capabilities target increased functionality of process model representations, tool-sets for interaction with Platform, and verification and model confidence testing. The integration of the Platform and HPC capabilities were tested and evaluated for EM applications in a set of demonstrations as part of Site Applications Thrust Area activities in 2012. The current maturity of the ASCEM computational and analysis capabilities has afforded the opportunity for collaborative efforts to develop decision analysis tools to support and optimize radioactive waste disposal. Recent advances in computerized decision analysis frameworks provide the perfect opportunity to bring this capability into ASCEM. This will allow radioactive waste

  1. Forecasting the Future Food Service World of Work. Final Report. Volume I. The Future of Food Service 1985-1990. Service Management Reports.

    ERIC Educational Resources Information Center

    Powers, Thomas F.

    Based on a study on the future of the food service industry, volume I of this three-volume report contains a series of scenarios intended to make 10- to 15-year projections into the future of the food service industry and to serve as a basis for replanning the vocational-technical curricula in the food service area. The scenarios are…

  2. Management of pediatric renal tumor: Past and future trials of the Japan Wilms Tumor Study Group.

    PubMed

    Oue, Takaharu; Fukuzawa, Masahiro; Koshinaga, Tsugumichi; Okita, Hajime; Nozaki, Miwako; Chin, Motoki; Kaneko, Yasuhiko; Tanaka, Yukichi; Haruta, Masayuki; Tsuchiya, Kunihiko; Kuwajima, Shigeko; Takimoto, Tetsuya

    2015-10-01

    The Japan Wilms Tumor Study group (JWiTS) was founded in 1996 to improve outcomes for children with renal tumor in Japan, and a nationwide multicenter cooperative study was initiated thereafter. JWiTS-1 (1996-2005) was analyzed, and JWiTS-2 (2005-2014) is now under analysis; the following problems have been identified and used to decide future study protocol: (i) there has been a decline in survival rate for patients with rhabdoid tumor of the kidney (RTK) and new treatment strategies are required; (ii) the survival rate for bilateral Wilms tumors (BWT) has improved, but results for renal preservation are unsatisfactory; (iii) the prognosis of stage IV favorable nephroblastoma is very good, suggesting that the current protocols provide overtreatment, particularly for patients with lung metastasis; and (iv) no effective biological risk factors exist for predicting the outcome of Wilms tumor, and a study of the genetic changes of these tumors is necessary to determine biological markers for use in risk classification. To solve these issues, the development of a new risk classification of pediatric renal tumors is required. In addition, different study protocols should be developed according to the risk-based classification of the patients. Further, a new study protocol for BWT began in 2015, and new study protocols are being prepared for RTK, and for Wilms tumor with lung metastasis. In addition, an analysis of biological markers with regard to risk classification is to be performed. Furthermore, to create new protocols for patients with rare renal tumors, international collaboration with Children's Oncology Group and International Society of Pediatric Oncology is necessary.

  3. Modeling future conservation of Hawaiian Honeycreepers by mosquito management and translocation of disease-tolerant Amakihi

    USGS Publications Warehouse

    Hobbelen, Peter H. F.; Samuel, Michael D.; Lapointe, Dennis; Atkinson, Carter T.

    2012-01-01

    Avian malaria is an important cause of the decline of endemic Hawaiian honeycreepers. Because of the complexity of this disease system we used a computer model of avian malaria in forest birds to evaluate how two proposed conservation strategies: 1) reduction of habitat for mosquito larvae and 2) establishment of a low-elevation, malaria-tolerant honeycreeper (Hawaii Amakihi) to mid-elevation forests would affect native Hawaiian honeycreeper populations. We evaluated these approaches in mid-elevation forests, where malaria transmission is seasonal and control strategies are more likely to work. Our model suggests the potential benefit of larval habitat reduction depends on the level of malaria transmission, abundance of larval cavities, and the ability to substantially reduce these cavities. Permanent reduction in larval habitat of >80% may be needed to control abundance of infectious mosquitoes and benefit bird populations. Establishment of malaria-tolerant Amakihi in mid-elevation forests increases Amakihi abundance, creates a larger disease reservoir, and increases the abundance of infectious mosquitoes which may negatively impact other honeycreepers. For mid-elevation sites where bird populations are severely affected by avian malaria, malaria-tolerant Amakihi had little impact on other honeycreepers. Both management strategies may benefit native Hawaiian honeycreepers, but benefits depend on specific forest characteristics, the amount of reduction in larval habitat that can be achieved, and how malaria transmission is affected by temperature.

  4. Looking to a future of improved diabetes management: interview with Professor Steve Bain

    PubMed Central

    Bain, Steve

    2016-01-01

    Steve Bain talks to Francesca Lake, Managing Editor: Steve is currently a Professor at Swansea University Medical School (Wales), Assistant Medical Director for Research & Development for ABM University Health Board and Clinical Lead for the Diabetes Research Unit, Wales. His clinical training included research into the genetics of Type 1 diabetes, with his current clinical interests surrounding exercise in Type 1 diabetes, new therapies and the provision of diabetes services. His background has led him to be Principal Investigator for several multicenter trials, and to be involved in various ethical committees concerning genetics. He led the UK Human Genetics Commission’s report on DNA testing in 2009, and in 2007 was invited to sit on the National DNA Database Ethics Group, established by the Secretary of State for the Home Department. Steve is also a member of the Wales Diabetes & Endocrine Society executive committee and chairs the Specialist Training Committee for Diabetes & Endocrinology for Wales. He also chairs the Board that oversees the Institute of Life Science Joint Clinical Research Facility, the premier clinical research institute in Wales. PMID:28116136

  5. Medication management policy, practice and research in Australian residential aged care: Current and future directions.

    PubMed

    Sluggett, Janet K; Ilomäki, Jenni; Seaman, Karla L; Corlis, Megan; Bell, J Simon

    2017-02-01

    Eight percent of Australians aged 65 years and over receive residential aged care each year. Residents are increasingly older, frailer and have complex care needs on entry to residential aged care. Up to 63% of Australian residents of aged care facilities take nine or more medications regularly. Together, these factors place residents at high risk of adverse drug events. This paper reviews medication-related policies, practices and research in Australian residential aged care. Complex processes underpin prescribing, supply and administration of medications in aged care facilities. A broad range of policies and resources are available to assist health professionals, aged care facilities and residents to optimise medication management. These include national guiding principles, a standardised national medication chart, clinical medication reviews and facility accreditation standards. Recent Australian interventions have improved medication use in residential aged care facilities. Generating evidence for prescribing and deprescribing that is specific to residential aged care, health workforce reform, medication-related quality indicators and inter-professional education in aged care are important steps toward optimising medication use in this setting.

  6. Could gestational diabetes mellitus be managed through dietary bioactive compounds? Current knowledge and future perspectives.

    PubMed

    Santangelo, Carmela; Zicari, Alessandra; Mandosi, Elisabetta; Scazzocchio, Beatrice; Mari, Emanuela; Morano, Susanna; Masella, Roberta

    2016-04-14

    Gestational diabetes mellitus (GDM) is a serious problem growing worldwide that needs to be addressed with urgency in consideration of the resulting severe complications for both mother and fetus. Growing evidence indicates that a healthy diet rich in fruit, vegetables, nuts, extra-virgin olive oil and fish has beneficial effects in both the prevention and management of several human diseases and metabolic disorders. In this review, we discuss the latest data concerning the effects of dietary bioactive compounds such as polyphenols and PUFA on the molecular mechanisms regulating glucose homoeostasis. Several studies, mostly based on in vitro and animal models, indicate that dietary polyphenols, mainly flavonoids, positively modulate the insulin signalling pathway by attenuating hyperglycaemia and insulin resistance, reducing inflammatory adipokines, and modifying microRNA (miRNA) profiles. Very few data about the influence of dietary exposure on GDM outcomes are available, although this approach deserves careful consideration. Further investigation, which includes exploring the 'omics' world, is needed to better understand the complex interaction between dietary compounds and GDM.

  7. Drug nanocarrier, the future of atopic diseases: Advanced drug delivery systems and smart management of disease.

    PubMed

    Shao, Mei; Hussain, Zahid; Thu, Hnin Ei; Khan, Shahzeb; Katas, Haliza; Ahmed, Tarek A; Tripathy, Minaketan; Leng, Jing; Qin, Hua-Li; Bukhari, Syed Nasir Abbas

    2016-11-01

    Atopic dermatitis (AD) is a chronically relapsing skin inflammatory disorder characterized by perivascular infiltration of immunoglobulin-E (IgE), T-lymphocytes and mast cells. The key pathophysiological factors causing this disease are immunological disorders and the compromised epidermal barrier integrity. Pruritus, intense itching, psychological stress, deprived physical and mental performance and sleep disturbance are the hallmark features of this dermatological complication. Preventive interventions which include educational programs, avoidance of allergens, exclusive care towards skin, and the rational selection of therapeutic regimen play key roles in the treatment of dermatosis. In last two decades, it is evident from a plethora of studies that scientific focus is being driven from conventional therapies to the advanced nanocarrier-based regimen for an effective management of AD. These nanocarriers which include polymeric nanoparticles (NPs), hydrogel NPs, liposomes, ethosomes, solid lipid nanoparticles (SLNs) and nanoemulsion, provide efficient roles for the target specific delivery of the therapeutic payload. The success of these targeted therapies is due to their pharmaceutical versatility, longer retention time at the target site, avoiding off-target effects and preventing premature degradation of the incorporated drugs. The present review was therefore aimed to summarise convincing evidence for the therapeutic superiority of advanced nanocarrier-mediated strategies over the conventional therapies used in the treatment of AD.

  8. [Progress in the clinical management of pure red cell aplasia and future prospects].

    PubMed

    Hirokawa, Makoto

    2016-02-01

    Pure red cell aplasia (PRCA) is a type of bone marrow failure syndrome (stem cell failure) and is characterized by severe normocytic, normochromic anemia associated with reticulocytopenia and the absence of erythroblasts in otherwise normal bone marrow. The acquired form of chronic PRCA may present as a primary hematological disease in the absence of any other diseases or secondary to thymoma, lymphoproliferative disorders, infections and collagen vascular diseases or after exposure to various drugs or chemicals. Thus, identifying the cause of PRCA is crucial for the optimal management of this disorder. Idiopathic PRCA and secondary PRCA refractory to treatment of the underlying diseases are both generally treated as an immune-mediated disorder. Most chronic PRCA patients successfully treated with immunosuppressants require maintenance immunosuppressive therapy. Refractoriness to induction immunosuppressive therapy and relapse of anemia may be risk factors for death in idiopathic, thymoma-associated and large granular lymphocyte leukemia-associated PRCA. The major causes of death are infections and organ failure. Standard treatment options for refractory and relapsed PRCA patients and the immunopathophysiology of acquired chronic PRCA merit further research.

  9. Drawing from past experience to improve the management of future underground projects

    SciTech Connect

    Laughton, Christopher; /Fermilab

    2004-01-01

    The high-energy physics community is currently developing plans to build underground facilities as part of its continuing investigation into the fundamental nature of matter. The tunnels and caverns are being designed to house a new generation of particle accelerators and detectors. For these projects, the cost of constructing the underground facility will constitute a major portion of the told capital cost and project viability can be greatly enhanced by paying careful attention to design and construction practices. A review of recently completed underground physics facilities and related literature has been undertaken to identify some management principles that have proven successful in underground practice. Projects reviewed were constructed in the United States of America and Europe using both Design-Build and more traditional Engineer-Procure-Construct contract formats. Although the physics projects reviewed tend to place relatively strict tolerances on alignment, stability and dryness, their overall requirements are similar to those of other tunnels and it is hoped that some of the principles promoted in this paper will be of value to the owner of any underground project.

  10. Toxic-Metabolic Risk Factors in Pediatric Pancreatitis: Recommendations for Diagnosis, Management and Future Research

    PubMed Central

    Husain, Sohail Z.; Morinville, Veronique; Pohl, John; Abu-El-Haija, Maisam; Bellin, Melena D.; Freedman, Steve; Hegyi, Peter; Heyman, Melvin B; Himes, Ryan; Ooi, Chee Y.; Schwarzenberg, Sarah Jane; Usatin, Danielle; Uc, Aliye

    2016-01-01

    Objectives Pancreatitis in children can result from metabolic and toxic risk factors, but the evidence linking these factors is sparse. We review the evidence for association or causality of these risk factors in pancreatitis, discuss management strategies and their rationale. Methods We conducted a review of the pediatric pancreatitis literature with respect to the following risk factors: (a) hyperlipidemia, (b) hypercalcemia, (c) chronic renal failure, (d) smoking exposure, (e) alcohol, and (f) medications. Areas of additional research were identified. Results Hypertriglyceridemia of 1000 mg/dl or greater poses an absolute risk for pancreatitis; persistent elevations of calcium are predisposing. Further research is necessary to determine whether end stage renal disease leads to increased pancreatitis in children similar to adults. It is unknown whether cigarette smoking exposure, which clearly increases risk in adults, also increases risk in children. The role of alcohol in pediatric pancreatitis, whether direct or modifying, needs to be elucidated. The evidence supporting most cases of medication-induced pancreatitis is poor. Drug structure, improper handling of drug by host, and by-stander status may be implicated. Other pancreatitis risk factors must be sought in all cases. Conclusions The quality of evidence supporting causative role of various toxic and metabolic factors in pediatric pancreatitis is variable. Careful phenotyping is essential, including search for other etiologic risk factors. Directed therapy includes correction/ removal of any agent identified, and general supportive measures. Further research is necessary to improve our understanding of these pancreatitis risk factors in children. PMID:26594832

  11. Admixture Between Historically Isolated Mitochondrial Lineages in Captive Western Gorillas: Recommendations for Future Management

    PubMed Central

    Dew, J. Larry; Bergl, Richard A.; Jensen-Seaman, Michael I.; Anthony, Nicola M.

    2015-01-01

    Although captive populations of western gorilla have been maintained in the United States for over a century, little is known about the geographic origins and genetic composition of the current zoo population. Furthermore, although previous mitochondrial analyses have shown that free-range gorilla populations exhibit substantial regional differentiation, nothing is known of the extent to which this variation has been preserved in captive populations. To address these questions, we combined 379 pedigree records with data from 52 mitochondrial sequences to infer individual haplogroup affiliations, geographical origin of wild founders and instances of inter-breeding between haplogroups in the United States captive gorilla population. We show that the current captive population contains all major mitochondrial lineages found within wild western lowland gorillas. Levels of haplotype diversity are also comparable to those found in wild populations. However, the majority of captive gorilla matings have occurred between individuals with different haplogroup affiliations. Although restricting crosses to individuals within the same haplogroup would preserve the phylogeographic structure present in the wild, careful management of captive populations is required to minimize the risk of drift and inbreeding. However, when captive animals are released back into the wild, we recommend that efforts should be made to preserve natural phylogeographic structure. PMID:25790828

  12. HTLV-1 in solid-organ transplantation: current challenges and future management strategies.

    PubMed

    Armstrong, Matthew J; Corbett, Christopher; Rowe, Ian A; Taylor, Graham P; Neuberger, James M

    2012-12-15

    Human T-cell lymphotrophic virus (HTLV)-1 has been reported after solid-organ transplantation, with a related fatal outcome in less than five cases. The natural history of HTLV-1 transmission from donor to recipient is unknown in this setting, because available screening platforms are suboptimal in low-prevalence areas and there is a lack of long-term follow-up. Minimizing organ wastage due to false-positive screening and avoiding donor-derived HTLV-associated diseases remain the goal. To date, only six HTLV-naive organ recipients from four donors (only one had confirmed HTLV) have developed HTLV-associated disease after transplantation. All of these cases were described in countries or from donors from HTLV-endemic regions. To the best of our knowledge, there have been no reported cases of donor-derived HTLV-1-associated death after organ transplantation in the world. Based on data from low-prevalence countries (Europe and the United States) and the current shortage of donor organs, it appears plausible to authorize the decision to transplant an organ without the prior knowledge of the donor's HTLV-1 status. Currently, it is not possible to exclude such transmission and recipients should be informed of the possible inadvertent transmission of this (and other) infections at the time of consent. In those cases where HTLV-1 transmission does occur, there may be a therapeutic window in which use of antiviral agents (i.e., zidovudine and raltegravir) may be of benefit. The development of national/international registries should allow a greater understanding of the extent and consequences of transmission risk and so allow a more evidence-based approach to management.

  13. Pathobiology and management of prostate cancer-induced bone pain: recent insights and future treatments.

    PubMed

    Muralidharan, Arjun; Smith, Maree T

    2013-10-01

    Prostate cancer (PCa) has a high propensity for metastasis to bone. Despite the availability of multiple treatment options for relief of PCa-induced bone pain (PCIBP), satisfactory relief of intractable pain in patients with advanced bony metastases is challenging for the clinicians because currently available analgesic drugs are often limited by poor efficacy and/or dose-limiting side effects. Rodent models developed in the past decade show that the pathobiology of PCIBP comprises elements of inflammatory, neuropathic and ischemic pain arising from ectopic sprouting and sensitization of sensory nerve fibres within PCa-invaded bones. In addition, at the cellular level, PCIBP is underpinned by dynamic cross talk between metastatic PCa cells, cellular components of the bone matrix, factors associated with the bone microenvironment as well as peripheral components of the somatosensory system. These insights are aligned with the clinical management of PCIBP involving use of a multimodal treatment approach comprising analgesic agents (opioids, NSAIDs), radiotherapy, radioisotopes, cancer chemotherapy agents and bisphosphonates. However, a major drawback of most rodent models of PCIBP is their short-term applicability due to ethical concerns. Thus, it has been difficult to gain insight into the mal(adaptive) neuroplastic changes occurring at multiple levels of the somatosensory system that likely contribute to intractable pain at the advanced stages of metastatic disease. Specifically, the functional responsiveness of noxious circuitry as well as the neurochemical signature of a broad array of pro-hyperalgesic mediators in the dorsal root ganglia and spinal cord of rodent models of PCIBP is relatively poorly characterized. Hence, recent work from our laboratory to develop a protocol for an optimized rat model of PCIBP will enable these knowledge gaps to be addressed as well as identification of novel targets for drug discovery programs aimed at producing new analgesics

  14. Alpha-emitter radium-223 in the management of solid tumors: current status and future directions.

    PubMed

    Nilsson, Sten

    2014-01-01

    Bone metastases, which are commonly seen in patients with advanced cancers, are a major cause of skeletal events, disability, and death. Radium-223 dichloride (radium-223; Xofigo, formerly Alpharadin), a first-in-class, alpha-emitting radiopharmaceutical that selectively targets bone metastases with high-energy short-range alpha-particles, has been approved for the treatment of patients with castration-resistant prostate cancer (CRPC) with symptomatic bone metastases and no known visceral metastases. Approval is based on results of the randomized phase III trial Alpharadin in Symptomatic Prostate Cancer (ALSYMPCA), in which radium-223 prolonged overall survival and time to first symptomatic skeletal event versus placebo among patients with CRPC with symptomatic bone metastases and was generally well tolerated, with low myelosuppression rates and manageable gastrointestinal adverse events. Long-term follow-up of the ALSYMPCA safety population showed that the incidence of myelosuppression remained low among patients treated with radium-223, with no additional safety issues of acute myelogenous leukemia, myelodysplastic syndrome, aplastic anemia, or primary bone cancer within approximately 1.5 years after treatment. The radium-223 overall survival benefit and low toxicity make it an effective, well-tolerated, and novel treatment option for CRPC and symptomatic bone metastases and opens the possibility of exploring radium-223 in the treatment of bone metastases from other cancers. A phase I clinical trial of patients with breast and prostate cancer with skeletal metastases demonstrated that radium-223 was safe and well tolerated at all therapeutically relevant dosages. Moreover, a phase IIa trial of patients with advanced breast cancer and progressive bone-dominant disease demonstrated that radium-223 targeted areas of increased bone metabolism and showed biologic activity.

  15. The SOLUTIONS project: challenges and responses for present and future emerging pollutants in land and water resources management.

    PubMed

    Brack, Werner; Altenburger, Rolf; Schüürmann, Gerrit; Krauss, Martin; López Herráez, David; van Gils, Jos; Slobodnik, Jaroslav; Munthe, John; Gawlik, Bernd Manfred; van Wezel, Annemarie; Schriks, Merijn; Hollender, Juliane; Tollefsen, Knut Erik; Mekenyan, Ovanes; Dimitrov, Saby; Bunke, Dirk; Cousins, Ian; Posthuma, Leo; van den Brink, Paul J; López de Alda, Miren; Barceló, Damià; Faust, Michael; Kortenkamp, Andreas; Scrimshaw, Mark; Ignatova, Svetlana; Engelen, Guy; Massmann, Gudrun; Lemkine, Gregory; Teodorovic, Ivana; Walz, Karl-Heinz; Dulio, Valeria; Jonker, Michiel T O; Jäger, Felix; Chipman, Kevin; Falciani, Francesco; Liska, Igor; Rooke, David; Zhang, Xiaowei; Hollert, Henner; Vrana, Branislav; Hilscherova, Klara; Kramer, Kees; Neumann, Steffen; Hammerbacher, Ruth; Backhaus, Thomas; Mack, Juliane; Segner, Helmut; Escher, Beate; de Aragão Umbuzeiro, Gisela

    2015-01-15

    SOLUTIONS (2013 to 2018) is a European Union Seventh Framework Programme Project (EU-FP7). The project aims to deliver a conceptual framework to support the evidence-based development of environmental policies with regard to water quality. SOLUTIONS will develop the tools for the identification, prioritisation and assessment of those water contaminants that may pose a risk to ecosystems and human health. To this end, a new generation of chemical and effect-based monitoring tools is developed and integrated with a full set of exposure, effect and risk assessment models. SOLUTIONS attempts to address legacy, present and future contamination by integrating monitoring and modelling based approaches with scenarios on future developments in society, economy and technology and thus in contamination. The project follows a solutions-oriented approach by addressing major problems of water and chemicals management and by assessing abatement options. SOLUTIONS takes advantage of the access to the infrastructure necessary to investigate the large basins of the Danube and Rhine as well as relevant Mediterranean basins as case studies, and puts major efforts on stakeholder dialogue and support. Particularly, the EU Water Framework Directive (WFD) Common Implementation Strategy (CIS) working groups, International River Commissions, and water works associations are directly supported with consistent guidance for the early detection, identification, prioritisation, and abatement of chemicals in the water cycle. SOLUTIONS will give a specific emphasis on concepts and tools for the impact and risk assessment of complex mixtures of emerging pollutants, their metabolites and transformation products. Analytical and effect-based screening tools will be applied together with ecological assessment tools for the identification of toxicants and their impacts. The SOLUTIONS approach is expected to provide transparent and evidence-based candidates or River Basin Specific Pollutants in the case

  16. Present-day challenges and future solutions in postoperative pain management: results from PainForum 2014

    PubMed Central

    Kuusniemi, Kristiina; Pöyhiä, Reino

    2016-01-01

    This paper is a summary of presentations on postoperative pain control by the authors at the 2014 PainForum meeting in People’s Republic of China. Postoperative pain is often untreated or undertreated and may lead to subsequent chronic pain syndromes. As more procedures migrate to the outpatient setting, postoperative pain control will become increasingly more challenging. Evidence-based guidelines for postoperative pain control recommend pain assessment using validated tools on a consistent basis. In this regard, consistency may be more important than the specific tool selected. Many hospitals have introduced a multidisciplinary acute pain service (APS), which has been associated with improved patient satisfaction and fewer adverse events. Patient education is an important component of postoperative pain control, which may be most effective when clinicians chose a multimodal approach, such as paracetamol (acetaminophen) and opioids. Opioids are a mainstay of postoperative pain control but require careful monitoring and management of side effects, such as nausea, vomiting, dizziness, and somnolence. Opioids may be administered using patient-controlled analgesia systems. Protocols for postoperative pain control can be very helpful to establish benchmarks for pain management and assure that clinicians adhere to evidence-based standards. The future of postoperative pain control around the world will likely involve more and better established APSs and greater communication between patients and clinicians about postoperative pain. The changes necessary to implement and move forward with APSs is not a single step but rather one of continuous improvement and ongoing change. PMID:26893579

  17. Assessing surface water flood risk and management strategies under future climate change: Insights from an Agent-Based Model.

    PubMed

    Jenkins, K; Surminski, S; Hall, J; Crick, F

    2017-04-03

    Climate change and increasing urbanization are projected to result in an increase in surface water flooding and consequential damages in the future. In this paper, we present insights from a novel Agent Based Model (ABM), applied to a London case study of surface water flood risk, designed to assess the interplay between different adaptation options; how risk reduction could be achieved by homeowners and government; and the role of flood insurance and the new flood insurance pool, Flood Re, in the context of climate change. The analysis highlights that while combined investment in property-level flood protection and sustainable urban drainage systems reduce surface water flood risk, the benefits can be outweighed by continued development in high risk areas and the effects of climate change. In our simulations, Flood Re is beneficial in its function to provide affordable insurance, even under climate change. However, the scheme does face increasing financial pressure due to rising surface water flood damages. If the intended transition to risk-based pricing is to take place then a determined and coordinated strategy will be needed to manage flood risk, which utilises insurance incentives, limits new development, and supports resilience measures. Our modelling approach and findings are highly relevant for the ongoing regulatory and political approval process for Flood Re as well as for wider discussions on the potential of insurance schemes to incentivise flood risk management and climate adaptation in the UK and internationally.

  18. It’s about time: How do sky surveys manage uncertainty about scientific needs many years into the future

    NASA Astrophysics Data System (ADS)

    Darch, Peter T.; Sands, Ashley E.

    2016-06-01

    Sky surveys, such as the Sloan Digital Sky Survey (SDSS) and the Large Synoptic Survey Telescope (LSST), generate data on an unprecedented scale. While many scientific projects span a few years from conception to completion, sky surveys are typically on the scale of decades. This paper focuses on critical challenges arising from long timescales, and how sky surveys address these challenges.We present findings from a study of LSST, comprising interviews (n=58) and observation. Conceived in the 1990s, the LSST Corporation was formed in 2003, and construction began in 2014. LSST will commence data collection operations in 2022 for ten years.One challenge arising from this long timescale is uncertainty about future needs of the astronomers who will use these data many years hence. Sources of uncertainty include scientific questions to be posed, astronomical phenomena to be studied, and tools and practices these astronomers will have at their disposal. These uncertainties are magnified by the rapid technological and scientific developments anticipated between now and the start of LSST operations.LSST is implementing a range of strategies to address these challenges. Some strategies involve delaying resolution of uncertainty, placing this resolution in the hands of future data users. Other strategies aim to reduce uncertainty by shaping astronomers’ data analysis practices so that these practices will integrate well with LSST once operations begin.One approach that exemplifies both types of strategy is the decision to make LSST data management software open source, even now as it is being developed. This policy will enable future data users to adapt this software to evolving needs. In addition, LSST intends for astronomers to start using this software well in advance of 2022, thereby embedding LSST software and data analysis approaches in the practices of astronomers.These findings strengthen arguments for making the software supporting sky surveys available as open

  19. Integrated land use and regional resource management--a cross-disciplinary dialogue on future perspectives for a sustainable development of regional resources.

    PubMed

    Fürst, Christine; Helming, Katharina; Lorz, Carsten; Müller, Felix; Verburg, Peter H

    2013-09-01

    Our paper introduces objectives and ideas of the special issue "Integrated land use and regional resource management - A cross-disciplinary dialogue on future perspectives for a sustainable development of regional resources" and provides an overview on the contributions of the single papers in the special issue to this topic. Furthermore, we discuss and present major challenges and demands on integrated land use and regional resource management and we come up with an analytical framework how to correspond these demands.

  20. Forecasting the Future Food Service World of Work. Final Report. Volume III. Technical Papers on the Future of the Food Service Industry. Service Management Reports.

    ERIC Educational Resources Information Center

    Powers, Thomas F., Ed.; Swinton, John R., Ed.

    This third and final volume of a study on the future of the food service industry contains the technical papers on which the information in the previous two volumes was based. The papers were written by various members of the Pennsylvania State University departments of economics, food science, nutrition, social psychology, and engineering and by…

  1. Synthetic drought event sets: thousands of meteorological drought events for risk-based management under present and future conditions

    NASA Astrophysics Data System (ADS)

    Guillod, Benoit P.; Massey, Neil; Otto, Friederike E. L.; Allen, Myles R.; Jones, Richard; Hall, Jim W.

    2016-04-01

    Droughts and related water scarcity can have large impacts on societies and consist of interactions between a number of natural and human factors. Meteorological conditions are usually the first natural trigger of droughts, and climate change is expected to impact these and thereby the frequency and intensity of the events. However, extreme events such as droughts are, by definition, rare, and accurately quantifying the risk related to such events is therefore difficult. The MaRIUS project (Managing the Risks, Impacts and Uncertainties of drought and water Scarcity) aims at quantifying the risks associated with droughts in the UK under present and future conditions. To do so, a large number of drought events, from climate model simulations downscaled at 25km over Europe, are being fed into hydrological models of various complexity and used for the estimation of drought risk associated with human and natural systems, including impacts on the economy, industry, agriculture, terrestrial and aquatic ecosystems, and socio-cultural aspects. Here, we present the hydro-meteorological drought event set that has been produced by weather@home [1] for MaRIUS. Using idle processor time on volunteers' computers around the world, we have run a very large number (10'000s) of Global Climate Model (GCM) simulations, downscaled at 25km over Europe by a nested Regional Climate Model (RCM). Simulations include the past 100 years as well as two future horizons (2030s and 2080s), and provide a large number of sequences of spatio-temporally consistent weather, which are consistent with the boundary forcing such as the ocean, greenhouse gases and solar forcing. The drought event set for use in impact studies is constructed by extracting sequences of dry conditions from these model runs, leading to several thousand drought events. In addition to describing methodological and validation aspects of the synthetic drought event sets, we provide insights into drought risk in the UK, its

  2. LDL Particle Number and Risk of Future Cardiovascular Disease in the Framingham Offspring Study – Implications for LDL Management

    PubMed Central

    Cromwell, William C.; Otvos, James D.; Keyes, Michelle J.; Pencina, Michael J.; Sullivan, Lisa; Vasan, Ramachandran S.; Wilson, Peter W.F.; D’Agostino, Ralph B.

    2009-01-01

    Background The cholesterol content of LDL particles is variable, causing frequent discrepancies between concentrations of LDL cholesterol and LDL particle number. In managing patients at risk for cardiovascular disease (CVD) to LDL target levels, it is unclear whether LDL cholesterol provides the optimum measure of residual risk and adequacy of LDL lowering treatment. Objective To compare the ability of alternative measures of LDL to provide CVD risk discrimination at relatively low levels consistent with current therapeutic targets. Methods Concentrations of LDL cholesterol (LDL-C) and non-HDL cholesterol (non-HDL-C) were measured chemically and LDL particle number (LDL-P) and VLDL particle number (VLDL-P) were measured by nuclear magnetic resonance (NMR) in 3066 middle-aged white participants (53% women) without CVD in the Framingham Offspring cohort. The main outcome measure was incidence of first CVD event. Results At baseline, the cholesterol content per LDL particle was negatively associated with triglycerides and positively associated with LDL-C. On follow-up (median 14.8 yrs), 265 men and 266 women experienced a CVD event. In multivariable models adjusting for non-lipid CVD risk factors, LDL-P was related more strongly to future CVD in both sexes than LDL-C or non-HDL-C. Subjects with a low level of LDL-P (<25th percentile) had a lower CVD event rate (59 events per 1000 person-years) than those with an equivalently low level of LDL-C or non-HDL-C (81 and 74 events per 1000 person-years, respectively). Conclusions In a large community-based sample, LDL-P was a more sensitive indicator of low CVD risk than either LDL-C or non-HDL-C, suggesting a potential clinical role for LDL-P as a goal of LDL management. PMID:19657464

  3. Massive PCDD/F contamination at the Khimprom organochlorine plant in Ufa--a review and recommendations for future management.

    PubMed

    Amirova, Zarema; Weber, Roland

    2015-10-01

    The Khimprom plant in Ufa was one of the largest organochlorine production facilities in Russia. This paper summarises the residual pollution of the site with polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) and highlights the current and future challenges in relation to remediation of the site. Preliminary assessment of the pollution shows large-scale PCDD/F contamination at the site from half a century production of organochlorine pesticides and solvents. This contamination is affecting the city, and 2500 residents live within 3 km with a further 350,000 living within 7 km of the factory. The current PCDD/F pollution of the site and the continuing releases highlight the urgent need for further investigations, for the site to be secured and for the contamination to be remediated. The production history of the plant means that also other unintentionally POPs, mercury and chlorinated solvents need to be considered. The current regulatory framework for PCDD/F-contaminated soil and for defining hazardous waste in the Russian Federation is not appropriate for the management of PCDD/F-contaminated sites. It is therefore suggested that a science-based regulatory framework should be developed. The Russian Federation recently ratified the Stockholm Convention providing a foundation for the development of appropriate regulations and for further assessment, securing and remediation of the site. The impacts of pollution from the Khimprom plant demonstrate that the assessment and management of the organochlorine production sites should be a priority in the implementation of the Stockholm Convention by the Russian Federation and other countries.

  4. Bill E. Kunkle Interdisciplinary Beef Symposium: Practical developments in managing animal welfare in beef cattle: what does the future hold?

    PubMed

    Lyles, J L; Calvo-Lorenzo, M S

    2014-12-01

    Interest in the welfare of cattle in the beef industry has intensified over time because of ethical concerns and varying societal perceptions that exist about the treatment and living conditions of farm animals. The definition of welfare will vary according to an individual's philosophies (how one defines and prioritizes what is "good"), experiences (societal and cultural influences of animal roles and relationships), and involvement in the livestock industry (knowledge of how livestock operations work and why). Many welfare concerns in the beef industry could be mitigated by enhancing traditional husbandry practices that utilize practical improvements to alleviate or eliminate heat stress, pain from routine husbandry procedures, negative cattle handling, and the transitional effects of weaning, dry feeding, transportation, and comingling of calves. Recent concerns about the potential welfare effects of feeding technologies such as β-adrenergic agonists (BAA) have emerged and led to industry-wide effects, including the removal of a single BAA product from the market and the development of BAA-specific welfare audits. Altogether, the beef industry continues to be challenged by welfare issues that question a large range of practices, from traditional husbandry to newer technological advancements. As welfare awareness increases, efforts to improve livestock care and management must focus on scientific investigations, practical solutions, consumer perceptions, and educational tools that advance knowledge and training in livestock welfare. Furthermore, the future of beef cattle welfare must align welfare concerns with other aspects of sustainable beef production such as environmental quality, profitability, food safety, and nutritional quality.

  5. Situational Methodology as Multifaceted Pedagogical Tool of Influence on the Formation of Socio-Ethical Values of Future Managers-Economists in Higher Schools of Ukraine and Germany

    ERIC Educational Resources Information Center

    Sikaliuk, Anzhela

    2014-01-01

    The role and importance of situational methodology as one of the pedagogical tools of influence on the formation of socio-ethical values of future managers in higher schools of Ukraine and Germany have been theoretically substantiated. The possibilities of situational methodology influence on the formation of socio-ethical values of…

  6. "Chartering" Maryland's Future: Is There an Expanded Role for National Charter Management Organizations in Our Schools? The Abell Report. Volume 28, No. 1

    ERIC Educational Resources Information Center

    Abell Foundation, 2015

    2015-01-01

    Over the past decade, a handful of high performing public charter schools have developed in Baltimore, but the need for high quality educational offerings, particularly for low-income students, remains high. "'Chartering' Maryland's Future: Is There an Expanded Role for National Charter Management Organizations in Our Schools?" considers…

  7. Assessing and Managing the Current and Future Pest Risk from Water Hyacinth, (Eichhornia crassipes), an Invasive Aquatic Plant Threatening the Environment and Water Security

    PubMed Central

    Brunel, Sarah

    2016-01-01

    Understanding and managing the biological invasion threats posed by aquatic plants under current and future climates is a growing challenge for biosecurity and land management agencies worldwide. Eichhornia crassipes is one of the world’s worst aquatic weeds. Presently, it threatens aquatic ecosystems, and hinders the management and delivery of freshwater services in both developed and developing parts of the world. A niche model was fitted using CLIMEX, to estimate the potential distribution of E. crassipes under historical and future climate scenarios. Under two future greenhouse gas emission scenarios for 2080 simulated with three Global Climate Models, the area with a favourable temperature regime appears set to shift polewards. The greatest potential for future range expansion lies in Europe. Elsewhere in the northern hemisphere temperature gradients are too steep for significant geographical range expansion under the climate scenarios explored here. In the Southern Hemisphere, the southern range boundary for E. crassipes is set to expand southwards in Argentina, Australia and New Zealand; under current climate conditions it is already able to invade the southern limits of Africa. The opportunity exists to prevent its spread into the islands of Tasmania in Australia and the South Island of New Zealand, both of which depend upon hydroelectric facilities that would be threatened by the presence of E. crassipes. In Europe, efforts to slow or stop the spread of E. crassipes will face the challenge of limited internal biosecurity capacity. The modelling technique demonstrated here is the first application of niche modelling for an aquatic weed under historical and projected future climates. It provides biosecurity agencies with a spatial tool to foresee and manage the emerging invasion threats in a manner that can be included in the international standard for pest risk assessments. It should also support more detailed local and regional management. PMID:27513336

  8. Assessing and Managing the Current and Future Pest Risk from Water Hyacinth, (Eichhornia crassipes), an Invasive Aquatic Plant Threatening the Environment and Water Security.

    PubMed

    Kriticos, Darren J; Brunel, Sarah

    2016-01-01

    Understanding and managing the biological invasion threats posed by aquatic plants under current and future climates is a growing challenge for biosecurity and land management agencies worldwide. Eichhornia crassipes is one of the world's worst aquatic weeds. Presently, it threatens aquatic ecosystems, and hinders the management and delivery of freshwater services in both developed and developing parts of the world. A niche model was fitted using CLIMEX, to estimate the potential distribution of E. crassipes under historical and future climate scenarios. Under two future greenhouse gas emission scenarios for 2080 simulated with three Global Climate Models, the area with a favourable temperature regime appears set to shift polewards. The greatest potential for future range expansion lies in Europe. Elsewhere in the northern hemisphere temperature gradients are too steep for significant geographical range expansion under the climate scenarios explored here. In the Southern Hemisphere, the southern range boundary for E. crassipes is set to expand southwards in Argentina, Australia and New Zealand; under current climate conditions it is already able to invade the southern limits of Africa. The opportunity exists to prevent its spread into the islands of Tasmania in Australia and the South Island of New Zealand, both of which depend upon hydroelectric facilities that would be threatened by the presence of E. crassipes. In Europe, efforts to slow or stop the spread of E. crassipes will face the challenge of limited internal biosecurity capacity. The modelling technique demonstrated here is the first application of niche modelling for an aquatic weed under historical and projected future climates. It provides biosecurity agencies with a spatial tool to foresee and manage the emerging invasion threats in a manner that can be included in the international standard for pest risk assessments. It should also support more detailed local and regional management.

  9. Exo-organoplasty interventions: A brief review of past, present and future directions for advance heart failure management.

    PubMed

    Nawaz, Waqas; Khan, Farhan Ullah; Khan, Muhammad Zahid; Gang, Wang; Yang, Mengqi; Liao, Xiaoqian; Zhang, Li; Ihsan, Awais Ullah; Khan, Amjad; Han, Lei; Zhou, Xiaohui

    2017-04-01

    Heart failure (HF) is a debilitating disease in which abnormal function of the heart leads to imbalance of blood demand to tissues and organs. The pathogenesis of HF is very complex and various factors can contribute including myocardial infarction, ischemia, hypertension and genetic cardiomyopathies. HF is the leading cause of death and its prevalence is expected to increase in parallel with the population age. Different kind of therapeutic approaches including lifestyle modification, medication and pacemakers are used for HF patients in NYHA I-III functional class. However, for advance stage HF patient's (NYHA IV), ventricle assist devices are clinically use and stem cells are under active investigation. Most of these therapies leads to modest symptoms relief and have no significant role in long-term survival rate. Currently there is no effective treatment for advance HF except heart transplantation, which is still remain clinically insignificant because of donor pool limitation. As HF is a result of multiple etiologies therefore multi-functional therapeutic platform is needed. Exo-organoplasty interventions are studied from almost one century. The major goals of these interventions are to treat various kind of heart disease from outside the heart muscle without having direct contact with blood. Various kind of interventions (devices and techniques) are developed in this arena with the passage of time. The purpose of this review is to describe the theory behind intervention devices, the devices themselves, their clinical results, advantages and limitations. Furthermore, to present a future multi-functional therapeutic platform (ASD) for advance stage HF management.

  10. Risk Assessment for Foodservice Establishments.

    ERIC Educational Resources Information Center

    Collins, Brian

    1995-01-01

    Outlines a method designed to protect the public's health by simply and systematically prioritizing food service operations for inspection and evaluation. Discusses the method, implementation, and results of a program for the city of Plano, Texas. (LZ)

  11. A 2015 Medical Informatics Perspective on Health and Clinical Management: Will Cloud and Prioritization Solutions Be the Future of Health Data Management?

    PubMed Central

    Conchon, E.

    2015-01-01

    Summary Objectives Summarize current excellent research and trends in the field of Health and Clinical management. Methods Synopsis of the articles selected for the IMIA Yearbook 2015 Results Three papers from international peer-reviewed journals have been selected for the Health and Clinical Management section. Conclusion Telemedicine is still very active in Health and clinical management, but the new tendencies on which we focus this year were firstly the introduction of cloud for health data management, with some specific security problems, and secondly an emerging expectation of prioritization tools in health care Management. PMID:26293850

  12. Forecasting the Future Food Service World of Work. Final Report. Volume II. Centralized Food Service Systems. Service Management Reports.

    ERIC Educational Resources Information Center

    Powers, Thomas F., Ed.; Swinton, John R., Ed.

    Volume II of a three-volume study on the future of the food service industry considers the effects that centralized food production will have on the future of food production systems. Based on information from the Fair Acres Project and the Michigan State University Vegetable Processing Center, the authors describe the operations of a centralized…

  13. Industry 4.0: Reality, Future or just Science Fiction? How to Convince Today's Management to Invest in Tomorrow's Future! Successful Strategies for Industry 4.0 and Manufacturing IT.

    PubMed

    Gentner, Stephan

    2016-01-01

    Manufacturing IT and Industry 4.0 is the Fourth Industrial Revolution with a potential of 12 bn Euros in Germany's chemicals industry. But Switzerland is currently the best prepared of all countries in Europe. Many of the ideas are still very vague. This article discusses how to identify what is already reality, which ideas might become reality in the future and which ideas will stay science fiction. As projects in Manufacturing IT and Industry 4.0 are different from classical technical projects other strategies, for example agile project management, are necessary to secure success.

  14. How to manage future groundwater resource of China under climate change and urbanization: An optimal stage investment design from modern portfolio theory.

    PubMed

    Hua, Shanshan; Liang, Jie; Zeng, Guangming; Xu, Min; Zhang, Chang; Yuan, Yujie; Li, Xiaodong; Li, Ping; Liu, Jiayu; Huang, Lu

    2015-11-15

    Groundwater management in China has been facing challenges from both climate change and urbanization and is considered as a national priority nowadays. However, unprecedented uncertainty exists in future scenarios making it difficult to formulate management planning paradigms. In this paper, we apply modern portfolio theory (MPT) to formulate an optimal stage investment of groundwater contamination remediation in China. This approach generates optimal weights of investment to each stage of the groundwater management and helps maximize expected return while minimizing overall risk in the future. We find that the efficient frontier of investment displays an upward-sloping shape in risk-return space. The expected value of groundwater vulnerability index increases from 0.6118 to 0.6230 following with the risk of uncertainty increased from 0.0118 to 0.0297. If management investment is constrained not to exceed certain total cost until 2050 year, the efficient frontier could help decision makers make the most appropriate choice on the trade-off between risk and return.

  15. Different models to mobilize peer support to improve diabetes self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research

    PubMed Central

    2010-01-01

    Much of diabetes care needs to be carried out by patients between office visits with their health care providers. Yet, many patients face difficulties carrying out these tasks. In addition, many adults with diabetes cannot count on effective support from their families and friends to help them with their self-management. Peer support programmes are a promising approach to enhance social and emotional support, assist patients in daily management and living with diabetes and promote linkages to clinical care. This background paper provides a brief overview of different approaches to mobilize peer support for diabetes self-management support, discusses evidence to date on the effectiveness of each of these models, highlights logistical and evaluation issues for each model and concludes with a discussion of directions for future research in this area. PMID:19293400

  16. Habitat overlap between southern bluefin tuna and yellowfin tuna in the east coast longline fishery - implications for present and future spatial management

    NASA Astrophysics Data System (ADS)

    Hartog, Jason R.; Hobday, Alistair J.; Matear, Richard; Feng, Ming

    2011-03-01

    Southern bluefin tuna (SBT) are presently a quota-managed species in the multi-species eastern Australian tuna and billfish longline fishery (ETBF). Capture of SBT is regulated by quota, as is access to regions likely to contain SBT. A habitat prediction model combining data from an ocean model and pop-up satellite archival tags is used to define habitat zones based on the probability of SBT occurrence. These habitat zones are used by fishery managers to restrict access by ETBF fishers to SBT habitat during a May-November management season. The zones display a distinct seasonal cycle driven by the seasonal southward expansion and northward contraction of the East Australia Current (EAC) and as a result access by fishers to particular ocean regions changes seasonally. This species also overlaps with the commercially valuable yellowfin tuna (YFT), thus, we modified the SBT model to generate YFT habitat predictions in order to investigate habitat overlap between SBT and YFT. There is seasonal variation in the overlap of the core habitat between these two species, with overlap early (May-Jul) in the management season and habitat separation occurring towards the end (Aug-Nov). The EAC is one of the fastest warming ocean regions in the southern hemisphere. To consider the future change in distribution of these two species compared to the present and to explore the potential impact on fishers and managers of the future, we use future ocean predictions from the CSIRO Bluelink ocean model for the year 2064 to generate habitat predictions. As the ocean warms on the east coast of Australia and the EAC extends southward, our model predicts the suitable habitat for SBT and YFT will move further south. There was an increase in the overlap of SBT and YFT habitat throughout the management season, due to regional variation of each species' habitat. These results illustrate that a management tradeoff exists between restricting fisher access to SBT habitat and allowing access to YFT

  17. PREDICTIVE UNCERTAINTY IN HYDROLOGIC AND WATER QUALITY MODELING: APPROACHES, APPLICATION TO ENVIRONMENTAL MANAGEMENT, AND FUTURE CHALLENGES (PRESENTATION)

    EPA Science Inventory

    Extant process-based hydrologic and water quality models are indispensable to water resources planning and environmental management. However, models are only approximations of real systems and often calibrated with incomplete and uncertain data. Reliable estimates, or perhaps f...

  18. Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research

    PubMed Central

    2010-01-01

    The diagnosis of a chronic disease such as diabetes generally evokes strong emotions and often brings with it the need to make changes in lifestyle behaviours, such as diet, exercise, medication management and monitoring clinical and metabolic parameters. The diagnosis thus affects not only the person diagnosed but also the family members. Chronic illnesses are largely self-managed with ∼99% of the care becoming the responsibility of patients and their families or others involved in the daily management of their illnesses. While the responsibility for outcomes, such as metabolic control and chronic complications, are shared with the health care team, the daily decisions and behaviours adopted by patients clearly have a strong influence on their future health and well-being. While diabetes self-management education is essential, it is generally not sufficient for patients to sustain behaviours and cope with a lifetime of diabetes. Peers have been proposed as one method for assisting patients to deal with the behavioural and affective components of diabetes and to provide ongoing self-management support. This paper first describes effective behavioural strategies in diabetes, based on multiple studies and/or meta-analyses, and then provides examples of their use by peers or in peer-based programmes in diabetes. A comprehensive search using the MEDLINE® and Cinahl databases was conducted. Key search terms included peer mentors, peer leaders, peer educators, lay health workers and community health workers. Studies that clearly identified behavioural strategies used by peers were included. PMID:19509083

  19. Assessing future scenarios for health care waste management using a multi-criteria decision analysis tool: A case study in the Turkish West Black Sea Region.

    PubMed

    Ciplak, Nesli

    2015-08-01

    The aim of this paper is to identify the best possible health care waste management option in the West Black Sea Region by taking into account economic, social, environmental, and technical aspects in the concept of multi-criteria decision analysis. In the scope of this research, three different health care waste management scenarios that consist of different technology alternatives were developed and compared using a decision-making computer software, called Right Choice, by identifying various criteria, measuring them, and ranking their relative importance from the point of key stakeholders. The results of the study show that the decentralized autoclave technology option coupled with the disposal through land-filling with energy recovery has potential to be an optimum option for health care waste management system, and an efficient health care waste segregation scheme should be given more attention by the authorities in the region. Furthermore, the discussion of the results points out multidisciplinary approach and the equilibrium between social, environmental, economic, and technical criteria. The methodology used in this research was developed in order to enable the decision makers to gain an increased perception of a decision problem. In general, the results and remarks of this study can be used as a basis of future planning and anticipation of needs for investment in the area of health care waste management in the region and also in developing countries that are dealing with the similar waste management problems.

  20. Preserving the Finger Lakes for the Future: A Prototype Decision Support System for Water Resource Management, Open Space, and Agricultural Protection

    NASA Technical Reports Server (NTRS)

    Brower, Robert

    2004-01-01

    This report summarizes the activity conducted under NASA Grant NAG13-02059 entitled "Preserving the Finger Lakes for the Future" A Prototype Decision Support System for Water Resources Management, Open Space and Agricultural Protection, for the period of September 26, 2003 to September 25, 2004. The RACNE continues to utilize the services of its affiliate, the Institute for the Application of Geospatial Technology at Cayuga Community College, Inc. (IAGT), for the purposes of this project under its permanent operating agreement with IAGT. IAGT is a 501(c)(3) not-for-profit Corporation created by the RACNE for the purpose of carrying out its programmatic and administrative mission. The "Preserving the Finger Lakes for the Future" project has progressed and evolved as planned, with the continuation or initiation of a number of program facets at programmatic, technical, and inter-agency levels. The project has grown, starting with the well received core concept of the Virtual Management Operations Center (VMOC), to the functional Watershed Virtual Management Operations Center (W-VMOC) prototype, to the more advanced Finger Lakes Decision Support System (FLDSS) prototype, deployed for evaluation and assessment to a wide variety of agencies and organizations in the Finger Lakes region and beyond. This suite of tools offers the advanced, compelling functionality of interactive 3D visualization interfaced with 2D mapping, all accessed via Internet or virtually any kind of distributed computer network.

  1. Past and future changes in water and carbon fluxes in temperate managed Pine forests from Southern France : attribution to climate, management and biophysical drivers (Invited)

    NASA Astrophysics Data System (ADS)

    Loustau, D.; Moreaux, V.

    2013-12-01

    Intensification of forest management concerns an increasing fraction of temperate and tropical forests. The managed Pine forests in south-western Europe are submitted to increased soil preparation, fertilisation, drainage, thinning, clearcutting, whole tree - harvesting and rotation shortening and therefore provide a good example of such management changes. For the last 15 years, these forests were hit by a series of extreme climate events: two unprecedented storms in 1999 and 2009, severe soil droughts in 2002, 2005 and 2006 and heatwaves in 2003 and 2005. At flux tower sites located in a young stand following clearcut and mature stands respectively, the half-hourly fluxes of CO2, H2O vapour and energy as well as vegetation and soil carbon and water contents have been monitored during this period. Using data collected from flux tower sites and forest and soil inventories together with a process based model of forest growth, GO+, and geographic information, we analysed the impact of these events on the time series of forest canopy exchanges of water and CO2 and its interaction with management. The Bowen ratio of the forest was strongly enhanced and evapotranspiration decreased leading to a dramatic increase in water runoff and peak flows from the watersheds damaged by windstorms. Clearcutting following wind storms reversed the ecosystem from a net sink into a source of C-CO2 and that was not offset ten years later. Soil drought impacted mature forests through stomatal closure and leaf shedding, making their annual carbon balance almost neutral. Tree growth was however not affected to the same extent. Drought affected also dramatically the net carbon and water balances of young forest stands. However, at this stage, the effects of successive management operations (ploughing, vegetation burial, thinning) overtook climate impacts. Independent of stand age, the canopy photosynthesis was more sensitive to climate and management than the ecosystem respiration. A direct

  2. Cost-effectiveness in the management of Dupuytren's contracture. A Canadian cost-utility analysis of current and future management strategies.

    PubMed

    Baltzer, H; Binhammer, P A

    2013-08-01

    In Canada, Dupuytren's contracture is managed with partial fasciectomy or percutaneous needle aponeurotomy (PNA). Injectable collagenase will soon be available. The optimal management of Dupuytren's contracture is controversial and trade-offs exist between the different methods. Using a cost-utility analysis approach, our aim was to identify the most cost-effective form of treatment for managing Dupuytren's contracture it and the threshold at which collagenase is cost-effective. We developed an expected-value decision analysis model for Dupuytren's contracture affecting a single finger, comparing the cost-effectiveness of fasciectomy, aponeurotomy and collagenase from a societal perspective. Cost-effectiveness, one-way sensitivity and variability analyses were performed using standard thresholds for cost effective treatment ($50 000 to $100 000/QALY gained). Percutaneous needle aponeurotomy was the preferred strategy for managing contractures affecting a single finger. The cost-effectiveness of primary aponeurotomy improved when repeated to treat recurrence. Fasciectomy was not cost-effective. Collagenase was cost-effective relative to and preferred over aponeurotomy at $875 and $470 per course of treatment, respectively. In summary, our model supports the trend towards non-surgical interventions for managing Dupuytren's contracture affecting a single finger. Injectable collagenase will only be feasible in our publicly funded healthcare system if it costs significantly less than current United States pricing.

  3. Flood-risk management strategies for an uncertain future: living with Rhine River floods in The Netherlands?

    PubMed

    Klijn, Frans; van Buuren, Michaël; van Rooij, Sabine A M

    2004-05-01

    Social pressure on alluvial plains and deltas is large, both from an economic point of view and from a nature conservation point of view. Gradually, flood risks increase with economic development, because the expected damage increases, and with higher dikes, because the flooding depth increases. Global change, changing social desires, but also changing views, require a revision of flood-risk management strategies for the long term. These should be based on resilience as opposed to the resistence strategy of heightening dikes. Resilience strategies for flood-risk management imply that the river is allowed to temporarily flood large areas, whereas the flood damage is minimized by adapting land use. Such strategies are thus based on risk management and 'living with floods' instead of on hazard control. For The Netherlands, one of the most densely populated deltas in the world, alternative resilience strategies have been elaborated and assessed for their hydraulic functioning and 'sustainability criteria'.

  4. Four Generations of Maintenance Resource Management Programs in the United States: An Analysis of the Past, Present, and Future

    NASA Technical Reports Server (NTRS)

    Taylor, James C.; Patankar, Manoj S.

    2001-01-01

    This paper analyzes four generations of Maintenance Resource Management (MRM) programs implemented by aviation maintenance organizations in the United States. Data collected from over ten years of survey research and field observations are used for this analysis; they are presented in a case-study format. The first three generations of MRM programs were episodic efforts to increase safety through teamwork, focus group discussions, and awareness courses, respectively. Now, the fourth generation programs, characterized by a commitment to long-term communication and behavioral changes in maintenance, are set to build on those earlier generations, toward a culture of mutual trust between mechanics, their managers, and regulators.

  5. Future Water Management in the South Platte River Basin: Impacts of Hydraulic Fracturing, Population, Agriculture, and Climate Change in a Semi-Arid Region.

    NASA Astrophysics Data System (ADS)

    Walker, E. L.; Hogue, T. S.; Anderson, A. M.; Read, L.

    2015-12-01

    In semi-arid basins across the world, the gap between water supply and demand is growing due to climate change, population growth, and shifts in agriculture and unconventional energy development. Water conservation efforts among residential and industrial water users, recycling and reuse techniques and innovative regulatory frameworks for water management strive to mitigate this gap, however, the extent of these strategies are often difficult to quantify and not included in modeling water allocations. Decision support systems (DSS) are purposeful for supporting water managers in making informed decisions when competing demands create the need to optimize water allocation between sectors. One region of particular interest is the semi-arid region of the South Platte River basin in northeastern Colorado, where anthropogenic and climatic effects are expected to increase the gap between water supply and demand in the near future. Specifically, water use in the South Platte is impacted by several high-intensity activities, including unconventional energy development, i.e. hydraulic fracturing, and large withdrawals for agriculture; these demands are in addition to a projected population increase of 100% by 2050. The current work describes the development of a DSS for the South Platte River basin, using the Water Evaluation and Planning system software (WEAP) to explore scenarios of how variation in future water use in the energy, agriculture, and municipal sectors will impact water allocation decisions. Detailed data collected on oil and gas water use in the Niobrara shale play will be utilized to predict future sector use. We also employ downscaled climate projections for the region to quantify the potential range of water availability in the basin under each scenario, and observe whether or not, and to what extent, climate may impact management decisions at the basin level.

  6. Summary of International Waste Management Programs (LLNL Input to SNL L3 MS: System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW)

    SciTech Connect

    Greenberg, Harris R.; Blink, James A.; Halsey, William G.; Sutton, Mark

    2011-08-11

    The Used Fuel Disposition Campaign (UFDC) within the Department of Energy’s Office of Nuclear Energy (DOE-NE) Fuel Cycle Technology (FCT) program has been tasked with investigating the disposal of the nation’s spent nuclear fuel (SNF) and high-level nuclear waste (HLW) for a range of potential waste forms and geologic environments. This Lessons Learned task is part of a multi-laboratory effort, with this LLNL report providing input to a Level 3 SNL milestone (System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW). The work package number is: FTLL11UF0328; the work package title is: Technical Bases / Lessons Learned; the milestone number is: M41UF032802; and the milestone title is: “LLNL Input to SNL L3 MS: System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW”. The system-wide integration effort will integrate all aspects of waste management and disposal, integrating the waste generators, interim storage, transportation, and ultimate disposal at a repository site. The review of international experience in these areas is required to support future studies that address all of these components in an integrated manner. Note that this report is a snapshot of nuclear power infrastructure and international waste management programs that is current as of August 2011, with one notable exception. No attempt has been made to discuss the currently evolving world-wide response to the tragic consequences of the earthquake and tsunami that devastated Japan on March 11, 2011, leaving more than 15,000 people dead and more than 8,000 people missing, and severely damaging the Fukushima Daiichi nuclear power complex. Continuing efforts in FY 2012 will update the data, and summarize it in an Excel spreadsheet for easy comparison and assist in the knowledge management of the study cases.

  7. Preeclampsia and future cardiovascular disease in women: How good are the data and how can we manage our patients?

    PubMed

    Seely, Ellen W; Tsigas, Eleni; Rich-Edwards, Janet W

    2015-06-01

    Women with a history of preeclampsia have double the risk of future heart disease and stroke, and elevated risks of hypertension and diabetes. The American Heart Association (AHA) and the American College of Obstetrics and Gynecology now include preeclampsia as a risk factor for future cardiovascular disease (CVD) with the recommendation of obtaining a history of preeclampsia and improving lifestyle behaviors for women with such a history. Research has progressed from asking whether preeclampsia is associated with CVD to how preeclampsia is associated with CVD, and the implications for prevention of CVD among women with a history of preeclampsia. A history of preeclampsia "unmasks" future CVD risk; research is inconclusive whether it also causes vascular damage that leads to CVD. For women with prior preeclampsia, the AHA recommends CVD risk reduction actions similar to those for other "at risk" groups: cessation of cigarette smoking, physical activity, weight reduction if overweight or obese and counseling to follow a "DASH" like diet. The efficacy of these lifestyle modifications to lower risk of CVD in women with prior preeclampsia remains to be determined. Barriers exist to implementing lifestyle improvement measures in this population, including lack of awareness of both patients and clinicians of this link between preeclampsia and CVD. We review patient, provider, and systems level barriers and solutions to leverage this information to prevent CVD among women with a history of preeclampsia.

  8. The importance of intraspecific variation in tree responses to elevated [CO2]: breeding and management of future forests

    Technology Transfer Automated Retrieval System (TEKTRAN)

    One strategy for managing forests to sustain or increase productivity under global climate change is to initiate breeding programs which maximize responses to elevated [CO2] within species. The basis for any breeding program is intraspecific variation in the traits of interest, and for forests, grow...

  9. Synergistic Interaction of Child Manageability Problems and Parent-Discipline Tactics in Predicting Future Growth in Externalizing Behavior for Boys.

    ERIC Educational Resources Information Center

    Stoolmiller, Mike

    2001-01-01

    Examined interaction of preschoolers' manageability problems and maternal discipline for predicting 10-year-old boys' antisocial behavior. Found that maternal retrospective perceptions of unmanageability predicted observed maternal discipline practices. Level of temper tantrums interacted with maternal discipline in predicting change in teacher…

  10. The future of orthopaedics in the United States: an analysis of the effects of managed care in the face of an excess supply of orthopaedic surgeons.

    PubMed

    Clark, R; Thurston, N K

    2000-03-01

    Recent technological advances in orthopaedic surgery have propelled both the volume of surgical cases and their complexity, resulting in increased costs, which should naturally result in higher incomes for surgeons. However, the transition from a fee-for-service model of physician compensation to a managed care model has resulted in major shifts in economic resource allocation. An economic model of this market based on imperfect competition shows that these changes have shifted market power from surgeons to the managed care organizations. Our model predicts that practicing surgeons will retire earlier, medical students will begin to select other specialties, and innovation will be slowed. Antitrust laws limit surgeons' ability to combat this trend through meaningful collective bargaining, creating the potential for future shortages as the baby boom generation reaches retirement age and the demand for orthopaedic services increases dramatically.

  11. An Australasian perspective on the curative treatment of patients with pancreatic cancer, supportive care, and future directions for management

    PubMed Central

    Muircroft, Wendy

    2016-01-01

    The management of patients with pancreatic cancer requires an individualised approach and the support of a multidisciplinary team to accurately stage patients and determine their suitability for curative treatment. Guidelines have been developed in Australasia to define the operability for patients who have been diagnosed with pancreatic cancer. This is supported by advances in pancreatic cancer genetics, which show potential for developing targeted therapies for pancreatic cancer. Both surgery and targeted therapies aim to extend the overall survival of patients. Patients who are cured of their cancer may live with permanent changes in gut anatomy and physiology leading to distressing symptoms that may not be addressed. Patients who cannot be cured of pancreatic cancer may have supportive care issues that are often complex, and a strategic approach to manage these needs for patients with pancreatic cancer is underdeveloped in Australasia. Supportive care services need to be in a position to adapt patient care as the evidence base develops. PMID:28105071

  12. The combination of umeclidinium bromide and vilanterol in the management of chronic obstructive pulmonary disease: current evidence and future prospects.

    PubMed

    Feldman, Gregory J; Edin, Anton

    2013-12-01

    The defining feature of chronic obstructive pulmonary disease (COPD) is progressive airflow limitation that causes air trapping and hyperinflation. The increasing hyperinflation results in dyspnea along with associated inability to engage in the activities of daily living. The American Thoracic Society (ATS), European Respiratory Society (ERS) and Global Initiative for Chronic Obstructive Lung Disease (GOLD) treatment guidelines all place bronchodilators as the foundation of pharmacological management of COPD. In patients with moderate-to-very-severe respiratory impairment, adding regular treatment with one or more long-acting bronchodilators is recommended [long-acting β2-agonists (LABAs) or long-acting muscarinic antagonists (LAMAs)]. A growing body of evidence shows that LAMA and LABA co-administration is more effective than either drug class alone in managing stable COPD to improve lung function, symptoms and health status. Recently, new drug applications (NDAs) for a fixed-dose combination (FDC) of umeclidinium (UMEC), a LAMA, and vilanterol (VI), a LABA, at UMEC/VI doses of 125/25 and 62.5/25 µg have been submitted by sponsors to the US Food and Drug Administration (FDA) and to the European Medicines Agency (EMA). Thus, UMEC/VI has become the first FDC LAMA/LABA product that has reached a regulatory approval stage. Other LAMA/LABA once-daily combinations coming through development include FDCs of tiotropium and olodaterol, glycopyrronium and indacaterol, and twice-daily aclidinium and formoterol. The aim of this review is to explore currently available data for once-daily UMEC/VI in the context of the evolving standards of COPD management.

  13. Evidence of recent climate change within the historic range of Rio Grande cutthroat trout: implications for management and future persistence

    USGS Publications Warehouse

    Zeigler, Matthew P.; Todd, Andrew S.; Caldwell, Colleen A.

    2012-01-01

    Evidence of anthropogenically influenced climate change has motivated natural resource managers to incorporate adaptive measures to minimize risks to sensitive and threatened species. Detecting trends in climate variables (i.e., air temperature and hydrology) can serve as a valuable management tool for protecting vulnerable species by increasing our understanding of localized conditions and trends. The Rio Grande cutthroat trout Oncorhynchus clarkii virginalis has suffered a severe decline in its historical distribution, with the majority of current populations persisting in isolated headwater streams. To evaluate recent climate change within the subspecies' historical range, we examined trends in average air temperatures, biologically important hydrological variables (timing of snowmelt and seasonal flows), and the April 1 snow water equivalent over the last 45 years (1963–2007). While rates of change in all three metrics were variable across sites, rangewide patterns were evident. Across the subspecies' historical range, average annual air temperatures increased (0.29°C per decade) and the timing of snowmelt shifted 10.6 d earlier in the year (2.3 d/decade). Flows increased during biologically important periods, including winter (January 1–March 31; 6.6% increase per decade), prespawning (April 1–May 14; 6.9% increase per decade), and spawning (May 15–June 15; 4.2% increase per decade) and decreased in summer (June 16–September 15; 1.9% decrease per decade). Evidence of decreasing April 1 snow water equivalent (5.3% per decade) was also observed. While the impacts of these changes at the population level are equivocal, it is likely that negative effects would influence the subspecies by altering its distribution, decreasing available habitat, and altering the timing of important life history components. Continued monitoring and proactive management will be required to increase the resiliency of remaining populations to ensure long-term persistence and

  14. A peek into the possible future of management of articular cartilage injuries: gene therapy and scaffolds for cartilage repair.

    PubMed

    Kim, Hubert T; Zaffagnini, Stefano; Mizuno, Shuichi; Abelow, Stephen; Safran, Marc R

    2006-10-01

    Two rapidly progressing areas of research will likely contribute to cartilage repair procedures in the foreseeable future: gene therapy and synthetic scaffolds. Gene therapy refers to the transfer of new genetic information to cells that contribute to the cartilage repair process. This approach allows for manipulation of cartilage repair at the cellular and molecular level. Scaffolds are the core technology for the next generation of autologous cartilage implantation procedures in which synthetic matrices are used in conjunction with chondrocytes. This approach can be improved further using bioreactor technologies to enhance the production of extracellular matrix proteins by chondrocytes seeded onto a scaffold. The resulting "neo-cartilage implant" matures within the bioreactor, and can then be used to fill cartilage defects.

  15. Identifying Factors Influencing Pancreatic Cancer Management to Inform Quality Improvement Efforts and Future Research: A Scoping Systematic Review.

    PubMed

    Gagliardi, Anna R; Soong, Daniel; Gallinger, Steven

    2016-02-01

    Pancreatic cancer (PC) patients appear to receive suboptimal care. We conducted a systematic review to identify factors that influence PC management which are amenable to quality improvement. MEDLINE, EMBASE, and the references of eligible studies were searched from 1996 to July 2014. Two authors independently selected and reviewed eligible studies. Identified factors were mapped onto a framework of determinants of care delivery and outcomes. Methodological quality of studies was assessed using Downs and Black criteria. Most of the 33 eligible studies were population-based observational studies conducted in the United States. Patient (age, socioeconomic status, race) and institutional (case volume, academic status) factors influence care delivery and outcomes (complications, mortality, readmission, survival). Two studies implemented interventions to improve quality of care (centralization to high-volume hospitals, multidisciplinary care). One study examined system determinants (referral wait times). No studies examined the influence of guideline or provider characteristics. The overall lack of health services research in PC is striking. Factors and interventions identified here can be used to plan PC quality improvement programs. Further research is needed to explore the influence of guideline and provider factors on PC management and evaluate the impact of quality improvement interventions.

  16. Stress in mangrove forests: early detection and preemptive rehabilitation are essential for future successful worldwide mangrove forest management

    USGS Publications Warehouse

    Lewis, Roy R; Milbrandt, Eric C; Brown, Benjamin; Krauss, Ken W.; Rovai, Andre S; Beever, James W.; Flynn, Laura L

    2016-01-01

    Mangrove forest rehabilitation should begin much sooner than at the point of catastrophic loss. We describe the need for “mangrove forest heart attack prevention”, and how that might be accomplished in a general sense by embedding plot and remote sensing monitoring within coastal management plans. The major cause of mangrove stress at many sites globally is often linked to reduced tidal flows and exchanges. Blocked water flows can reduce flushing not only from the seaward side, but also result in higher salinity and reduced sediments when flows are blocked landward. Long-term degradation of function leads to acute mortality prompted by acute events, but created by a systematic propensity for long-term neglect of mangroves. Often, mangroves are lost within a few years; however, vulnerability is re-set decades earlier when seemingly innocuous hydrological modifications are made (e.g., road construction, blocked tidal channels), but which remain undetected without reasonable large-scale monitoring.

  17. The assessment and management of pain among older people in care homes: current status and future directions.

    PubMed

    Cowan, David T; Fitzpatrick, Joanne M; Roberts, Julia D; While, Alison E; Baldwin, Julie

    2003-03-01

    Pain is highlighted as a significant, yet neglected problem among older people, particularly in long-term care settings. The effects of inadequate assessment and treatment of pain among older people may lead to multiple problems. Problems arise due to cognitive impairment of clients and inadequate assessment by healthcare professionals. Analgesics are under-used and there is a need for improved education of both healthcare professionals and older people regarding attitudes to pain and ageing. Research is needed into the prevalence of pain among older people in United Kingdom (UK) care homes, how best to further educate healthcare professionals regarding pain management and how to enable older people to be facilitative partners in this process.

  18. Thrombin generation and whole blood viscoelastic assays in the management of hemophilia: current state of art and future perspectives.

    PubMed

    Young, Guy; Sørensen, Benny; Dargaud, Yesim; Negrier, Claude; Brummel-Ziedins, Kathleen; Key, Nigel S

    2013-03-14

    Hemophilia is a bleeding disorder that afflicts about 1 in 5000 males. Treatment relies upon replacement of the deficient factor, and response to treatment both in clinical research and practice is based upon subjective parameters such as pain and joint mobility. Existing laboratory assays quantify the amount of factor in plasma, which is useful diagnostically and prognostically. However, these assays are limited in their ability to fully evaluate the patient's clot-forming capability. Newer assays, known as global assays, provide a far more detailed view of thrombin generation and clot formation and have been studied in hemophilia for about 10 years. They have the potential to offer a more objective measure of both the hemophilic phenotype as well as the response to treatment. In particular, in patients who develop inhibitors to deficient clotting factors and in whom bypassing agents are required for hemostasis, these assays offer the opportunity to determine the laboratory response to these interventions where traditional coagulation assays cannot. In this article we review the existing literature and discuss several controversial issues surrounding the assays. Last, a vision of future clinical uses of these assays is briefly described.

  19. Targeting the androgen receptor in the management of castration-resistant prostate cancer: rationale, progress, and future directions

    PubMed Central

    Leibowitz–Amit, R.; Joshua, A.M.

    2012-01-01

    Since the year 2000, tremendous progress has been made in the understanding of castration-resistant prostate cancer (crpc), a disease state now recognized to retain androgen receptor (ar)—dependency in most cases. That understanding led to the rational design of novel therapeutic agents targeting hormonal pathways in metastatic crpc. Two new drugs—the CYP17 inhibitor abiraterone acetate and the potent ar antagonist enzalutamide—were recently shown to prolong overall survival after chemotherapy treatment in patients with metastatic disease, with the former agent also demonstrating impressive activity in the pre-chemotherapy setting. Other new drugs targeting the ar—as well as drugs targeting heat shock proteins that protect cytoplasmic ar from degradation—are currently undergoing clinical development. This review briefly describes the molecular mechanisms underlying castration resistance and hormonal dependence in prostate tumours and summarizes the current ongoing and completed clinical trials that are targeting hormonal pathways in metastatic crpc. Potential mechanisms of resistance to these novel hormonal agents are reviewed. Finally, future research directions, including questions about drug sequencing and combination, are discussed. PMID:23355790

  20. Management of mydriasis and pain in cataract and intraocular lens surgery: review of current medications and future directions

    PubMed Central

    Grob, Seanna R; Gonzalez-Gonzalez, Luis A; Daly, Mary K

    2014-01-01

    The maintenance of mydriasis and the control of postoperative pain and inflammation are critical to the safety and success of cataract and intraocular lens replacement surgery. Appropriate mydriasis is usually achieved by topical and/or intracameral administration of anticholinergic agents, sympathomimetic agents, or both, with the most commonly used being cyclopentolate, tropicamide, and phenylephrine. Ocular inflammation is common after cataract surgery. Topical steroids and nonsteroidal anti-inflammatory drugs are widely used because they have been proved effective to control postsurgical inflammation and decrease pain. Topical nonsteroidal anti-inflammatory drugs have also been shown to help maintain dilation. However, use of multiple preoperative drops for pupil dilation, inflammation, and pain control have been shown to be time consuming, resulting in delays to the operating room, and they cause dissatisfaction among perioperative personnel; their use can also be associated with systemic side effects. Therefore, ophthalmologists have been in search of new options to streamline this process. This article will review the current medications commonly used for intraoperative mydriasis, as well as pain and inflammation control. In addition, a new combination of ketorolac, an anti-inflammatory agent, and phenylephrine, a mydriatic agent has recently been designed to maintain intraoperative mydriasis and to reduce postoperative pain and irritation from intraocular lens replacement surgery. Two Phase III clinical trials evaluating this combination have demonstrated statistically significant differences when compared to placebo in maintaining intraoperative mydriasis (P<0.00001) and in reducing pain in the early postoperative period (P=0.0002). This medication may be of benefit for use in cataract and lens replacement surgery in the near future. PMID:25061276

  1. The genetics of Charcot–Marie–Tooth disease: current trends and future implications for diagnosis and management

    PubMed Central

    Hoyle, J Chad; Isfort, Michael C; Roggenbuck, Jennifer; Arnold, W David

    2015-01-01

    Charcot–Marie–Tooth (CMT) disease is the most common hereditary polyneuropathy and is classically associated with an insidious onset of distal predominant motor and sensory loss, muscle wasting, and pes cavus. Other forms of hereditary neuropathy, including sensory predominant or motor predominant forms, are sometimes included in the general classification of CMT, but for the purpose of this review, we will focus primarily on the forms associated with both sensory and motor deficits. CMT has a great deal of genetic heterogeneity, leading to diagnostic considerations that are still rapidly evolving for this disorder. Clinical features, inheritance pattern, gene mutation frequencies, and electrodiagnostic features all are helpful in formulating targeted testing algorithms in practical clinical settings, but these still have shortcomings. Next-generation sequencing (NGS), combined with multigene testing panels, is increasing the sensitivity and efficiency of genetic testing and is quickly overtaking targeted testing strategies. Currently, multigene panel testing and NGS can be considered first-line in many circumstances, although obtaining initial targeted testing for the PMP22 duplication in CMT patients with demyelinating conduction velocities is still a reasonable strategy. As technology improves and cost continues to fall, targeted testing will be completely replaced by multigene NGS panels that can detect the full spectrum of CMT mutations. Nevertheless, clinical acumen is still necessary given the variants of uncertain significance encountered with NGS. Despite the current limitations, the genetic diagnosis of CMT is critical for accurate prognostication, genetic counseling, and in the future, specific targeted therapies. Although whole exome and whole genome sequencing strategies have the power to further elucidate the genetics of CMT, continued technological advances are needed. PMID:26527893

  2. Contemporary Role of the Decipher® Test in Prostate Cancer Management: Current Practice and Future Perspectives

    PubMed Central

    Dalela, Deepansh; Löppenberg, Björn; Sood, Akshay; Sammon, Jesse; Abdollah, Firas

    2016-01-01

    We performed a systematic literature search to identify original articles and editorials about the Decipher® Prostate Cancer Test (GenomeDx Biosciences, San Diego, CA) to provide an overview of the current literature and its present role in urologic clinical practice. The Decipher test, which uses the expression of 22 selected RNA markers (from a total of over 1.4 million), showed a very high discrimination in predicting clinical metastasis (0.75–0.83) and cancer-specific mortality (0.78) in external validation studies, outperforming all routinely available clinicopathologic characteristics. Further, the timing of postoperative radiotherapy (adjuvant vs salvage) may be guided based on Decipher scores. The Decipher test was also the only independent predictor of clinical metastasis in patients with biochemical recurrence after surgery. The Decipher Genomic Resource Information Database (GRID) is a novel research tool that captures 1.4 million marker expressions per patient and may facilitate precision-guided, individualized care to patients with prostate cancer. In this era of precision medicine, Decipher, along with the Decipher GRID platform, is a promising genomic tool that may aid in managing prostate cancer patients throughout the continuum of care and delivering appropriate treatment at an individualized level. PMID:27162506

  3. Achievements and future developments of ALK-TKIs in the management of CNS metastases from ALK-positive NSCLC

    PubMed Central

    Cappuzzo, Federico

    2016-01-01

    Non-small cell lung cancer (NSCLC) represents the paradigm of personalized treatment of human cancer. Several oncogenic druggable alterations have been so far identified, with anaplastic lymphoma kinase (ALK) gene rearrangements being one of the newest and most appealing. Presence of ALK fusions is associated with some particular clinical and pathological features, including a preferential seeding into the central nervous system (CNS). In addition, ALK rearrangements are recognized as the strongest predictor for benefit of anti-ALK therapy. Crizotinib, the first ALK inhibitor (ALK-I) licensed in clinical practice, is the standard of care for newly diagnosed patients. Unfortunately, within the first year of treatment the majority of patients become insensitive to crizotinib, with approximately one third of them developing brain metastases (BMs). Optimal management of BMs is one of the major challenges in treating ALK positive NSCLC. Several novel and highly CNS penetrant ALK-Is are currently under investigation and available data clearly indicated their ability in controlling intracranial disease. PMID:28149753

  4. Ayurveda in changing scenario of diabetes management for developing safe and effective treatment choices for the future.

    PubMed

    Banerjee, Subhadip; Debnath, Parikshit; Rao, Prasanna N; Tripathy, Tapas Brata; Adhikari, Anjan; Debnath, Pratip K

    2015-06-01

    Ayurveda described diabetes mellitus (DM) as Madhumeha. This ancient evidence-based system of medicine enumerated various herbs and formulations for its management, which needs scientific validation. Whereas translational "bedside to bench" approach in biomedical research is an upcoming concept, its application in traditional and complementary medicine can be interesting. The intersecting concepts in the field Ayurveda and translational research needs "omics" approach. The Ayurvedic biology concepts about DM have its close relations with present systems biology approach. Metabolic changes causing tissue damage connected with genetic and immunological irregularities leading to insulin resistance coincide with ancient knowledge. Combinatorial therapy according to Prakriti type as elucidated by Ayurgenomics should be carried on for further research. "Bedside to bench" approaches in research utilizing metabolomics and pharmacogenomics approach can be a major step towards changing the therapeutic strategy towards diabetes. Prameha which is described as the pre-diabetic state is a novel concept in Ayurvedic etiopathogenesis, while metabolomic parameters like lipid level in urine can be a thrust area of research to have a pre-diabetic screening method in high-risk populations. This tradition-guided research paradigm can open up novel opportunities in traditional knowledge-inspired systems biology and drug discovery against diabetes.

  5. Evaluation of current pharmacological treatment options in the management of Rett syndrome: from the present to future therapeutic alternatives.

    PubMed

    Chapleau, Christopher A; Lane, Jane; Pozzo-Miller, Lucas; Percy, Alan K

    2013-11-01

    Neurodevelopmental disorders are a large family of conditions of genetic or environmental origin that are characterized by deficiencies in cognitive and behavioral functions. The therapeutic management of individuals with these disorders is typically complex and is limited to the treatment of specific symptoms that characterize each disorder. The neurodevelopmental disorder Rett syndrome (RTT) is the leading cause of severe intellectual disability in females. Mutations in the gene encoding the transcriptional regulator methyl-CpG-binding protein 2 (MECP2), located on the X chromosome, have been confirmed in more than 95% of individuals meeting diagnostic criteria for classical RTT. RTT is characterized by an uneventful early infancy followed by stagnation and regression of growth, motor, language, and social skills later in development. This review will discuss the genetics, pathology, and symptoms that distinguish RTT from other neurodevelopmental disorders associated with intellectual disability. Because great progress has been made in the basic and clinical science of RTT, the goal of this review is to provide a thorough assessment of current pharmacotherapeutic options to treat the symptoms associated with this disorder. Furthermore, we will highlight recent discoveries made with novel pharmacological interventions in experimental preclinical phases, and which have reversed pathological phenotypes in mouse and cell culture models of RTT and may result in clinical trials.

  6. Evaluation of Current Pharmacological Treatment Options in the Management of Rett Syndrome: From the Present to Future Therapeutic Alternatives

    PubMed Central

    Chapleau, Christopher A.; Lane, Jane; Pozzo-Miller, Lucas; Percy, Alan K.

    2012-01-01

    Neurodevelopmental disorders are a large family of conditions of genetic or environmental origin that are characterized by deficiencies in cognitive and behavioral functions. The therapeutic management of individuals with these disorders is typically complex and is limited to the treatment of specific symptoms that characterize each disorder. The neurodevelopmental disorder Rett syndrome (RTT) is the leading cause of severe intellectual disability in females. Mutations in the gene encoding the transcriptional regulator methyl-CpG-binding protein 2 (MECP2), located on the X chromosome, have been confirmed in more than 95% of individuals meeting diagnostic criteria for classical RTT. RTT is characterized by an uneventful early infancy followed by stagnation and regression of growth, motor, language, and social skills later in development. This review will discuss the genetics, pathology, and symptoms that distinguish RTT from other neurodevelopmental disorders associated with intellectual disability. Because great progress has been made in the basic and clinical science of RTT, the goal of this review is to provide a thorough assessment of current pharmacotherapeutic options to treat the symptoms associated with this disorder. Furthermore, we will highlight recent discoveries made with novel pharmacological interventions in experimental preclinical phases, and which have reversed pathological phenotypes in mouse and cell culture models of RTT and may result in clinical trials. PMID:24050745

  7. Integrated landscape approaches to managing social and environmental issues in the tropics: learning from the past to guide the future.

    PubMed

    Reed, James; Van Vianen, Josh; Deakin, Elizabeth L; Barlow, Jos; Sunderland, Terry

    2016-07-01

    Poverty, food insecurity, climate change and biodiversity loss continue to persist as the primary environmental and social challenges faced by the global community. As such, there is a growing acknowledgement that conventional sectorial approaches to addressing often inter-connected social, environmental, economic and political challenges are proving insufficient. An alternative is to focus on integrated solutions at landscape scales or 'landscape approaches'. The appeal of landscape approaches has resulted in the production of a significant body of literature in recent decades, yet confusion over terminology, application and utility persists. Focusing on the tropics, we systematically reviewed the literature to: (i) disentangle the historical development and theory behind the framework of the landscape approach and how it has progressed into its current iteration, (ii) establish lessons learned from previous land management strategies, (iii) determine the barriers that currently restrict implementation of the landscape approach and (iv) provide recommendations for how the landscape approach can contribute towards the fulfilment of the goals of international policy processes. This review suggests that, despite some barriers to implementation, a landscape approach has considerable potential to meet social and environmental objectives at local scales while aiding national commitments to addressing ongoing global challenges.

  8. Range Analysis and Terrain Preference of Adult Southern White Rhinoceros (Ceratotherium simum) in a South African Private Game Reserve: Insights into Carrying Capacity and Future Management

    PubMed Central

    Thompson, S.; Doughty, L. S.

    2016-01-01

    The Southern white rhinoceros (Ceratotherium simum) is a threatened species, central to the tourism appeal of private game reserves in South Africa. Privately owned reserves in South Africa tend to be smaller than government run reserves such as Kruger National Park. Because of their relatively small size and the often heterogeneous nature of the landscape private game reserve managers benefit from detailed knowledge of white rhinoceros terrain selection preferences, which can be assessed from their ranging behaviours. We collected adult and sub-adult white rhinoceros distribution data over a 15 month period, calculating individual range size using kernel density estimation analysis within a GIS. From this, terrain selectivity was calculated using 50% and 95% kernels to extract terrain composition values. Jacob’s correction of the Ivlev’s selectivity index was subsequently applied to the terrain composition of each individual to identify trends in selectivity. Results reveal that adult males hold exclusive territories considerably smaller than those found in previous work conducted in “open” or large reserves. Similarly, results for the size of male versus female territories were also not in keeping with those from previous field studies, with males, rather than females, having the larger territory requirement. Terrain selection for both genders and age classes (adult and sub-adult) showed a strong preference for open grassland and avoidance of hill slope and riparian terrains. This research reveals white rhinoceros terrain selection preferences and how they influence range requirements in small, closed reserves. We conclude that this knowledge will be valuable in future white rhinoceros conservation management in small private game reserves, particularly in decisions surrounding removal of surplus individuals or augmentation of existing populations, calculation of reserve carrying capacity and future private reserve acquisition. PMID:27622566

  9. SMART DOCS: A New Patient-Centered Outcomes and Coordinated-Care Management Approach for the Future Practice of Sleep Medicine

    PubMed Central

    Kushida, Clete A.; Nichols, Deborah A.; Holmes, Tyson H.; Miller, Ric; Griffin, Kara; Cardell, Chia-Yu; Hyde, Pamela R.; Cohen, Elyse; Manber, Rachel; Walsh, James K.

    2015-01-01

    The practice of medicine is currently undergoing a transformation to become more efficient, cost-effective, and patient centered in its delivery of care. The aim of this article is to stimulate discussion within the sleep medicine community in addressing these needs by our approach as well as other approaches to sleep medicine care. The primary goals of the Sustainable Methods, Algorithms, and Research Tools for Delivering Optimal Care Study (SMART DOCS) are: (1) to introduce a new Patient-Centered Outcomes and Coordinated-Care Management (PCCM) approach for the future practice of sleep medicine, and (2) to test the PCCM approach against a Conventional Diagnostic and Treatment Outpatient Medical Care (CONV) approach in a randomized, two-arm, single-center, long-term, comparative effectiveness trial. The PCCM approach is integrated into a novel outpatient care delivery model for patients with sleep disorders that includes the latest technology, allowing providers to obtain more accurate and rapid diagnoses and to make evidence-based treatment recommendations, while simultaneously enabling patients to have access to personalized medical information and reports regarding their diagnosis and treatment so that they can make more informed health care decisions. Additionally, the PCCM approach facilitates better communication between patients, referring primary care physicians, sleep specialists, and allied health professionals so that providers can better assist patients in achieving their preferred outcomes. A total of 1,506 patients 18 y or older will be randomized to either the PCCM or CONV approach and will be followed for at least 1 y with endpoints of improved health care performance, better health, and cost control. Clinical Trials Registration: ClinicalTrials.gov Identifier: NCT02037438. Citation: Kushida CA, Nichols DA, Holmes TH, Miller R, Griffin K, Cardell CY, Hyde PR, Cohen E, Manber R, Walsh JK. SMART DOCS: a new patient-centered outcomes and coordinated

  10. Establishment of a Wolbachia Superinfection in Aedes aegypti Mosquitoes as a Potential Approach for Future Resistance Management

    PubMed Central

    De Bruyne, Jyotika Taneja; Kien, Duong Hue T.; Hoang, Nhat Le Thanh; Chau, Nguyen Van Vinh; Iturbe-Ormaetxe, Iñaki; Simmons, Cameron P.; O’Neill, Scott L.

    2016-01-01

    Wolbachia pipientis is an endosymbiotic bacterium estimated to chronically infect between 40–75% of all arthropod species. Aedes aegypti, the principle mosquito vector of dengue virus (DENV), is not a natural host of Wolbachia. The transinfection of Wolbachia strains such as wAlbB, wMel and wMelPop-CLA into Ae. aegypti has been shown to significantly reduce the vector competence of this mosquito for a range of human pathogens in the laboratory. This has led to wMel-transinfected Ae. aegypti currently being released in five countries to evaluate its effectiveness to control dengue disease in human populations. Here we describe the generation of a superinfected Ae. aegypti mosquito line simultaneously infected with two avirulent Wolbachia strains, wMel and wAlbB. The line carries a high overall Wolbachia density and tissue localisation of the individual strains is very similar to each respective single infected parental line. The superinfected line induces unidirectional cytoplasmic incompatibility (CI) when crossed to each single infected parental line, suggesting that the superinfection would have the capacity to replace either of the single constituent infections already present in a mosquito population. No significant differences in fitness parameters were observed between the superinfected line and the parental lines under the experimental conditions tested. Finally, the superinfected line blocks DENV replication more efficiently than the single wMel strain when challenged with blood meals from viremic dengue patients. These results suggest that the deployment of superinfections could be used to replace single infections and may represent an effective strategy to help manage potential resistance by DENV to field deployments of single infected strains. PMID:26891349

  11. Proposal for future diagnosis and management of vascular tumors by using automatic software for image processing and statistic prediction

    PubMed Central

    Popescu, MD; Draghici, L; Secheli, I; Secheli, M; Codrescu, M; Draghici, I

    2015-01-01

    Rationale. Infantile Hemangiomas (IH) are the most frequent tumors of vascular origin, and the differential diagnosis from vascular malformations is difficult to establish. Specific types of IH due to the location, dimensions and fast evolution, can determine important functional and esthetic sequels. To avoid these unfortunate consequences it is necessary to establish the exact appropriate moment to begin the treatment and decide which the most adequate therapeutic procedure is. Objective. Based on clinical data collected by a serial clinical observations correlated with imaging data, and processed by a computer-aided diagnosis system (CAD), the study intended to develop a treatment algorithm to accurately predict the best final results, from the esthetical and functional point of view, for a certain type of lesion. Methods and Results. The preliminary database was composed of 75 patients divided into 4 groups according to the treatment management they received: medical therapy, sclerotherapy, surgical excision and no treatment. The serial clinical observation was performed each month and all the data was processed by using CAD. Discussions. The project goal was to create a software that incorporated advanced methods to accurately measure the specific IH lesions, integrated medical information, statistical methods and computational methods to correlate this information with that obtained from the processing of images. Based on these correlations, a prediction mechanism of the evolution of hemangioma, which helped determine the best method of therapeutic intervention to minimize further complications, was established. Abbreviations: Infantile Hemangiomas = IH, Computer Aided Diagnosis = CAD, Society for the Study of Vascular Anomalies = ISSVA, Color-coded duplex sonography = CCDS PMID:25914738

  12. Role of tolvaptan in the management of hyponatremia in patients with lung and other cancers: current data and future perspectives

    PubMed Central

    Thajudeen, Bijin; Salahudeen, Abdulla K

    2016-01-01

    Hyponatremia is the most frequently observed electrolyte abnormality in clinical practice, and its frequency is almost double in hospitalized cancer patients. As a subset of cancer, hyponatremia is quite common in lung cancer patients, and it is often coupled with the diagnosis of syndrome of inappropriate antidiuretic hormone secretion. The presence of hyponatremia is consequential in that its presence adversely affects cancer patients’ prognosis and outcomes. Limited data suggest that correcting hyponatremia in lung cancer patients can increase response to anticancer treatment, may help reduce length of hospital stay and cost, and reduce morbidity and mortality. The type of treatment for hyponatremia depends on several factors; the key factors are the duration and severity of neurological symptoms of hyponatremia and the status of extracellular volume. When hyponatremia is caused by syndrome of inappropriate antidiuretic hormone, hypertonic saline is indicated for acute symptomatic cases, whereas fluid restriction is recommended in chronic asymptomatic hyponatremia. The latter allows a slower rate of correction, thus avoiding the dreaded complication of osmotic demyelination syndrome. Fluid restriction is, however, insufficient or impractical, and often the use of pharmacological therapy such as antidiuretic hormone receptor antagonists becomes necessary. Availability of these antagonists as an effective treatment in the management of hyponatremia has been a major breakthrough, and furthermore, its clinical or investigational use in cancer-related hyponatremia may offer a potential opportunity to gain further insights into the prognostic impact of hyponatremia correction on cancer patients’ outcomes. Tolvaptan is a prototype of ADH receptor antagonists that acts at renal tubular levels to increase free water excretion without inducing major systemic electrolyte abnormalities such as hypokalemia or alkalosis. The aim of this paper is to provide a brief review

  13. Data Management and the National Climate Assessment: Best Practices, Lessons Learned, and Future Applications: A Data Quality Solution

    NASA Astrophysics Data System (ADS)

    Kunkel, K.; Champion, S.

    2015-12-01

    Data Management and the National Climate Assessment: A Data Quality Solution Sarah M. Champion and Kenneth E. Kunkel Cooperative Institute for Climate and Satellites, Asheville, NC The Third National Climate Assessment (NCA), anticipated for its authoritative climate change analysis, was also a vanguard in climate communication. From the cutting-edge website to the organization of information, the Assessment content appealed to, and could be accessed by, many demographics. One such pivotal presentation of information in the NCA was the availability of complex metadata directly connected to graphical products. While the basic metadata requirement is federally mandated through a series of federal guidelines as a part of the Information Quality Act, the NCA is also deemed a Highly Influential Scientific Assessment, which requires demonstration of the transparency and reproducibility of the content. To meet these requirements, the Technical Support Unit (TSU) for the NCA embarked on building a system for collecting and presenting metadata that not only met these requirements, but one that has since been employed in support of additional Assessments. The metadata effort for this NCA proved invaluable for many reasons, one of which being that it showcased that there is a critical need for a culture change within the scientific community to support collection and transparency of data and methods to the level produced with the NCA. Irregardless of being federally mandated, it proves to simply be a good practice in science communication. This presentation will detail the collection system built by the TSU, the improvements employed with additional Assessment products, as well as illustrate examples of successful transparency. Through this presentation, we hope to impel the discussion in support of detailed metadata becoming the cultural norm within the scientific community to support influential and highly policy-relevant documents such as the NCA.

  14. A Brief Review of the Need for Robust Smart Wireless Sensor Systems for Future Propulsion Systems, Distributed Engine Controls, and Propulsion Health Management

    NASA Technical Reports Server (NTRS)

    Hunter, Gary W.; Behbahani, Alireza

    2012-01-01

    Smart Sensor Systems with wireless capability operational in high temperature, harsh environments are a significant component in enabling future propulsion systems to meet a range of increasingly demanding requirements. These propulsion systems must incorporate technology that will monitor engine component conditions, analyze the incoming data, and modify operating parameters to optimize propulsion system operations. This paper discusses the motivation towards the development of high temperature, smart wireless sensor systems that include sensors, electronics, wireless communication, and power. The challenges associated with the use of traditional wired sensor systems will be reviewed and potential advantages of Smart Sensor Systems will be discussed. A brief review of potential applications for wireless smart sensor networks and their potential impact on propulsion system operation, with emphasis on Distributed Engine Control and Propulsion Health Management, will be given. A specific example related to the development of high temperature Smart Sensor Systems based on silicon carbide electronics will be discussed. It is concluded that the development of a range of robust smart wireless sensor systems are a foundation for future development of intelligent propulsion systems with enhanced capabilities.

  15. NIH conference. Future directions in the study and management of congenital adrenal hyperplasia due to 21-hydroxylase deficiency.

    PubMed

    Merke, Deborah P; Bornstein, Stefan R; Avila, Nilo A; Chrousos, George P

    2002-02-19

    to examine disease mechanisms and test new therapeutic interventions in classic disease, including gene therapy. Treatment of this condition is intended to reduce excessive corticotropin secretion and replace both glucocorticoids and mineralocorticoids. However, clinical management is often complicated by inadequately treated hyperandrogenism, iatrogenic hypercortisolism, or both. New treatment approaches currently under investigation include combination therapy to block androgen action and inhibit estrogen production, and bilateral adrenalectomy in the most severely affected patients. Other approaches, which are in a preclinical stage of investigation, include treatment with a corticotropin-releasing hormone antagonist and gene therapy.

  16. Current treatment and future prospects for the management of acute coronary syndromes: consensus recommendations of the 1997 ushuaia conference, tierra del fuego, Argentina.

    PubMed

    Gurfinkel, E

    1998-01-01

    Management of acute coronary syndromes, particularly unstable angina, acute myocardial infarction and non-Q-wave myocardial infarction, is one of the most common and costly problems facing modern medicine. Furthermore, the increasing availability of new research and clinical information relevant to the treatment of these conditions means that continuing reappraisal of management strategies is necessary. Accordingly, the Ushuaia conference, Tierra Del Fuego, Argentina, was convened to discuss current approaches and future treatment prospects for patients with these conditions. The conference was comprised of leading Argentinian cardiologists whose primary aim was to formulate consensus recommendations regarding the management of patients with acute coronary syndromes. The first of the major recommendations for the pharmacological management of acute coronary syndromes arising from the Ushuaia Consensus Conference was that aspirin (200 to 500mg initially, then 100 to 325 mg/day) should be administered to all patients except those for whom aspirin is absolutely (or relatively, depending on the clinician's discretion) contraindicated. In such cases, ticlopidine is a suitable alternative. Intravenous nitrates are indicated for patients with angina pain (24 to 48 hours' duration), ECG changes, recurrence of angina, or signs of heart failure; in other cases, oral, transdermal or sublingual nitrates may be administered. Use of beta-blockers is recommended except when absolutely contraindicated or when there is a strong suspicion of vasospasm as a dominant mechanism in angina. Intravenous administration of these agents is preferred in patients with tachycardia, arterial hypertension or angina. Calcium antagonists are generally not recommended as first choice therapy, but can be indicated (preferably using agents that decrease heart rate) when beta-blockers are contraindicated or when there is a strong suspicion of vasospasm as a dominant mechanism in angina. Calcium

  17. Futures Conditional.

    ERIC Educational Resources Information Center

    Theobald, Robert

    The readings presented here are designed to help the reader perceive the future more vividly. Part one of the book suggests the various ways in which the future can be seen; it includes science fiction and the views of various analysts as to what the future holds. Part two collects printed materials about the future from various sources, including…

  18. Environmental impact assessment and monetary ecosystem service valuation of an ecosystem under different future environmental change and management scenarios; a case study of a Scots pine forest.

    PubMed

    Schaubroeck, Thomas; Deckmyn, Gaby; Giot, Olivier; Campioli, Matteo; Vanpoucke, Charlotte; Verheyen, Kris; Rugani, Benedetto; Achten, Wouter; Verbeeck, Hans; Dewulf, Jo; Muys, Bart

    2016-05-15

    For a sustainable future, we must sustainably manage not only the human/industrial system but also ecosystems. To achieve the latter goal, we need to predict the responses of ecosystems and their provided services to management practices under changing environmental conditions via ecosystem models and use tools to compare the estimated provided services between the different scenarios. However, scientific articles have covered a limited amount of estimated ecosystem services and have used tools to aggregate services that contain a significant amount of subjective aspects and that represent the final result in a non-tangible unit such as 'points'. To resolve these matters, this study quantifies the environmental impact (on human health, natural systems and natural resources) in physical units and uses an ecosystem service valuation based on monetary values (including ecosystem disservices with associated negative monetary values). More specifically, the paper also focuses on the assessment of ecosystem services related to pollutant removal/generation flows, accounting for the inflow of eutrophying nitrogen (N) when assessing the effect of N leached to groundwater. Regarding water use/provisioning, evapotranspiration is alternatively considered a disservice because it implies a loss of (potential) groundwater. These approaches and improvements, relevant to all ecosystems, are demonstrated using a Scots pine stand from 2010 to 2089 for a combination of three environmental change and three management scenarios. The environmental change scenarios considered interannual climate variability trends and included alterations in temperature, precipitation, nitrogen deposition, wind speed, Particulate matter (PM) concentration and CO2 concentration. The addressed flows/ecosystem services, including disservices, are as follows: particulate matter removal, freshwater loss, CO2 sequestration, wood production, NOx emissions, NH3 uptake and nitrogen pollution/removal. The monetary

  19. Modeling the impact of development and management options on future water resource use in the Nyangores sub-catchment of the Mara Basin in Kenya

    NASA Astrophysics Data System (ADS)

    Omonge, Paul; Herrnegger, Mathew; Fürst, Josef; Olang, Luke

    2016-04-01

    Despite the increasing water insecurity consequent of competing uses, the Nyangores sub-catchment of Kenya is yet to develop an inclusive water use and allocation plan for its water resource systems. As a step towards achieving this, this contribution employed the Water Evaluation and Planning (WEAP) system to evaluate selected policy based water development and management options for future planning purposes. Major water resources of the region were mapped and quantified to establish the current demand versus supply status. To define a reference scenario for subsequent model projections, additional data on urban and rural water consumption, water demand for crop types, daily water use for existing factories and industries were also collated through a rigorous fieldwork procedure. The model was calibrated using the parameter estimation tool (PEST) and validated against observed streamflow data, and subsequently used to simulate feasible management options. Due to lack of up-to-date data for the current year, the year 2000 was selected as the base year for the scenario simulations up to the year 2030, which has been set by the country for realizing most flagship development projects. From the results obtained, the current annual water demand within the sub-catchment is estimated to be around 27.2 million m3 of which 24% is being met through improved and protected water sources including springs, wells and boreholes, while 76% is met through informal and unprotected sources which are insufficient to cater for future increases in demand. Under the reference scenario, the WEAP model predicted an annual total inadequate supply of 8.1 million m3 mostly in the dry season by the year 2030. The current annual unmet water demand is 1.3 million m3 and is noteworthy in the dry seasons of December through February at the irrigation demand site. The monthly unmet domestic demand under High Population Growth (HPG) was projected to be 1.06 million m3 by the year 2030. However

  20. RNAI: Future in insect management

    Technology Transfer Automated Retrieval System (TEKTRAN)

    RNA interference is a post-transcriptional, gene regulation mechanism found in virtually all plants and animals including insects. The demonstration of RNAi in insects and its successful use as a tool in the study of functional genomics opened the door to the development of a variety of novel, envir...

  1. Land use efficiency: anticipating future demand for land-sector greenhouse gas emissions abatement and managing trade-offs with agriculture, water, and biodiversity.

    PubMed

    Bryan, Brett A; Crossman, Neville D; Nolan, Martin; Li, Jing; Navarro, Javier; Connor, Jeffery D

    2015-11-01

    Competition for land is increasing, and policy needs to ensure the efficient supply of multiple ecosystem services from land systems. We modelled the spatially explicit potential future supply of ecosystem services in Australia's intensive agricultural land in response to carbon markets under four global outlooks from 2013 to 2050. We assessed the productive efficiency of greenhouse gas emissions abatement, agricultural production, water resources, and biodiversity services and compared these to production possibility frontiers (PPFs). While interacting commodity markets and carbon markets produced efficient outcomes for agricultural production and emissions abatement, more efficient outcomes were possible for water resources and biodiversity services due to weak price signals. However, when only two objectives were considered as per typical efficiency assessments, efficiency improvements involved significant unintended trade-offs for the other objectives and incurred substantial opportunity costs. Considering multiple objectives simultaneously enabled the identification of land use arrangements that were efficient over multiple ecosystem services. Efficient land use arrangements could be selected that meet society's preferences for ecosystem service provision from land by adjusting the metric used to combine multiple services. To effectively manage competition for land via land use efficiency, market incentives are needed that effectively price multiple ecosystem services.

  2. Co-Producing Future Climate Scenarios for Adaptation and Management in the Gunnison Basin: An Integrative Framework for Developing Usable Climate Information

    NASA Astrophysics Data System (ADS)

    Clifford, K. R.; Rangwala, I.; Travis, W.

    2013-12-01

    This research aims to develop usable climate information for decision making at local scales using an integrative framework, involving interactions between scientists and stakeholders, that facilitates a better understanding of the stakeholder's climate needs and sensitivities. We present a study from the Gunnison Basin, located in southwestern Colorado, that uses this framework to understand the climate needs of a diverse group of stakeholders, which includes ranchers, recreationalists, scientists, and public land managers, and how this local knowledge can be effectively utilized in creating usable future climate narratives for community level decision-making. We present an analysis based on detailed interviews of stakeholders which examine how elements of (1) spatial (e.g., region, watershed, slope) and temporal (e.g., seasonal, generational) scales, (2) features (e.g., snowpack, monsoon, avalanches, dust on snow, frost, storms), (3) processes (e.g., precipitation, runoff, evapotranspiration, fire, population dynamics, pest invasions), and (4) outcomes (e.g., harvest, income, user-days) can be incorporated with physical models and scientific understanding to identify the stakeholder's climate needs, and develop effective climate scenarios for decision making.

  3. Future accelerators (?)

    SciTech Connect

    John Womersley

    2003-08-21

    I describe the future accelerator facilities that are currently foreseen for electroweak scale physics, neutrino physics, and nuclear structure. I will explore the physics justification for these machines, and suggest how the case for future accelerators can be made.

  4. Future Contracting for Availability

    DTIC Science & Technology

    2016-04-30

    qÜáêíÉÉåíÜ=^ååì~ä= ^Åèìáëáíáçå=oÉëÉ~êÅÜ= póãéçëáìã= qÜìêëÇ~ó=pÉëëáçåë= sçäìãÉ=ff= = Future Contracting for Availability Lou Kratz, Vice President and Managing ...Alpert, Analyst, Systecon North America Future Contracting for Availability Lou Kratz, Vice President and Managing Director, Logistics...êÉ~íáåÖ=póåÉêÖó=Ñçê=fåÑçêãÉÇ=`Ü~åÖÉ= - 18 - Future Contracting for Availability Lou Kratz—is the Vice President and Managing Director, Logistics

  5. Future of groundwater modeling

    USGS Publications Warehouse

    Langevin, Christian D.; Panday, Sorab

    2012-01-01

    With an increasing need to better manage water resources, the future of groundwater modeling is bright and exciting. However, while the past can be described and the present is known, the future of groundwater modeling, just like a groundwater model result, is highly uncertain and any prediction is probably not going to be entirely representative. Thus we acknowledge this as we present our vision of where groundwater modeling may be headed.

  6. Future land use plan

    SciTech Connect

    1995-08-31

    The US Department of Energy`s (DOE) changing mission, coupled with the need to apply appropriate cleanup standards for current and future environmental restoration, prompted the need for a process to determine preferred Future Land Uses for DOE-owned sites. DOE began the ``Future Land Use`` initiative in 1994 to ensure that its cleanup efforts reflect the surrounding communities` interests in future land use. This plan presents the results of a study of stakeholder-preferred future land uses for the Brookhaven National Laboratory (BNL), located in central Long Island, New York. The plan gives the Laboratory`s view of its future development over the next 20 years, as well as land uses preferred by the community were BNL ever to cease operations as a national laboratory (the post-BNL scenario). The plan provides an overview of the physical features of the site including its history, topography, geology/hydrogeology, biological inventory, floodplains, wetlands, climate, and atmosphere. Utility systems and current environmental operations are described including waste management, waste water treatment, hazardous waste management, refuse disposal and ground water management. To complement the physical descriptions of the site, demographics are discussed, including overviews of the surrounding areas, laboratory population, and economic and non-economic impacts.

  7. Future food.

    PubMed

    Wahlqvist, Mark L

    2016-12-01

    Food systems have changed markedly with human settlement and agriculture, industrialisation, trade, migration and now the digital age. Throughout these transitions, there has been a progressive population explosion and net ecosystem loss and degradation. Climate change now gathers pace, exacerbated by ecological dysfunction. Our health status has been challenged by a developing people-environment mismatch. We have regarded ecological conquest and innovative technology as solutions, but have not understood how ecologically dependent and integrated we are. We are ecological creatures interfaced by our sensoriness, microbiomes, shared regulatory (endocrine) mechanisms, immune system, biorhythms and nutritional pathways. Many of us are 'nature-deprived'. We now suffer what might be termed ecological health disorders (EHD). If there were less of us, nature's resilience might cope, but more than 9 billion people by 2050 is probably an intolerable demand on the planet. Future food must increasingly take into account the pressures on ecosystem-dependent food systems, with foods probably less biodiverse, although eating in this way allows optimal health; energy dysequilibrium with less physical activity and foods inappropriately energy dense; and less socially-conducive food habits. 'Personalised Nutrition', with extensive and resource-demanding nutrigenomic, metabolomic and microbiomic data may provide partial health solutions in clinical settings, but not be justified for ethical, risk management or sustainability reasons in public health. The globally prevalent multidimensional malnutritional problems of food insecurity, quality and equity require local, regional and global action to prevent further ecosystem degradation as well as to educate, provide sustainable livelihoods and encourage respectful social discourse and practice about the role of food.

  8. Sheep farmer opinions on the current and future role of veterinarians in flock health management on sheep farms: A qualitative study

    PubMed Central

    Kaler, Jasmeet; Green, L.E.

    2013-01-01

    A 2009 UK Government report on veterinary expertise in food animal production highlighted that there was insufficient herd health expertise among veterinarians and lack of appropriate business models to deliver veterinary services to the livestock sector. Approximately two thirds of sheep farmers only contact their veterinarian for emergencies and one fifth have all year round contact. The aim of the current study was to understand sheep farmers’ perception, the current and future role of veterinarians in flock health management using qualitative methodology. The eligibility criteria were male farmers with a flock size of at least 200 adult sheep. Seven focus groups of farmers (n = 45) stratified by three regions and two age groups (≤50 and >50) were conducted. Thematic analysis of the discussions indicated that most farmers considered and used their veterinarian as a fire-fighter, whilst other advice was gathered free of charge when the veterinarian was on the farm for other reasons (typically seeing cattle) or by telephone. A small group of farmers were using their veterinarian or a sheep consultant proactively with regular contact and found this financially beneficial. Farmers indicated that the key barriers to using a veterinarian proactively were inconsistent service, high turnover of veterinarians, lack of expertise of sheep farming among veterinarians and concern about independence of advice. Although economics was also mentioned as a key barrier to using veterinarians more proactively, most farmers did not know where they gained and lost income from their flock; there was heavy reliance on the single farm payment scheme (SPS) and very few farmers kept records from which they could investigate where there were inefficiencies in production. Overall sheep farmers considered sheep farming complex and that each farm was unique and that they themselves were the experts to manage their flock. We conclude that there is an impasse: veterinarians might need to

  9. Sheep farmer opinions on the current and future role of veterinarians in flock health management on sheep farms: a qualitative study.

    PubMed

    Kaler, Jasmeet; Green, L E

    2013-11-01

    A 2009 UK Government report on veterinary expertise in food animal production highlighted that there was insufficient herd health expertise among veterinarians and lack of appropriate business models to deliver veterinary services to the livestock sector. Approximately two thirds of sheep farmers only contact their veterinarian for emergencies and one fifth have all year round contact. The aim of the current study was to understand sheep farmers' perception, the current and future role of veterinarians in flock health management using qualitative methodology. The eligibility criteria were male farmers with a flock size of at least 200 adult sheep. Seven focus groups of farmers (n=45) stratified by three regions and two age groups (≤50 and >50) were conducted. Thematic analysis of the discussions indicated that most farmers considered and used their veterinarian as a fire-fighter, whilst other advice was gathered free of charge when the veterinarian was on the farm for other reasons (typically seeing cattle) or by telephone. A small group of farmers were using their veterinarian or a sheep consultant proactively with regular contact and found this financially beneficial. Farmers indicated that the key barriers to using a veterinarian proactively were inconsistent service, high turnover of veterinarians, lack of expertise of sheep farming among veterinarians and concern about independence of advice. Although economics was also mentioned as a key barrier to using veterinarians more proactively, most farmers did not know where they gained and lost income from their flock; there was heavy reliance on the single farm payment scheme (SPS) and very few farmers kept records from which they could investigate where there were inefficiencies in production. Overall sheep farmers considered sheep farming complex and that each farm was unique and that they themselves were the experts to manage their flock. We conclude that there is an impasse: veterinarians might need to

  10. Future integrated design process

    NASA Technical Reports Server (NTRS)

    Meyer, D. D.

    1980-01-01

    The design process is one of the sources used to produce requirements for a computer system to integrate and manage product design data, program management information, and technical computation and engineering data management activities of the aerospace design process. Design activities were grouped chronologically and explored for activity type, activity interface, data quantity, and data flow. The work was based on analysis of the design process of several typical aerospace products, including both conventional and supersonic airplanes and a hydrofoil design. Activities examined included research, preliminary design, detail design, manufacturing interface, product verification, and product support. The design process was then described in an IPAD environment--the future.

  11. Campus Futures

    ERIC Educational Resources Information Center

    Dator, Jim

    2006-01-01

    Most people in the United States, no matter how extensive their education, have never had a course dealing primarily with the future. But they have had at least one course, and probably many courses, dealing with the past. Most also have never questioned why the past is so emphasized in formal education while the future--the only arena over which…

  12. School Foodservice: How Much Staffing Is Enough?

    ERIC Educational Resources Information Center

    VanEgmond-Pannell, Dorothy

    1984-01-01

    This article offers guidelines for estimating necessary labor hours for school meal service. Factors influencing labor hours needed, distribution of labor hours, and other considerations are discussed. (MJL)

  13. Healthy Foodservice Benchmarking and Leading Practices

    DTIC Science & Technology

    2012-07-01

    metabolism (Agus, Swain, Larson, Eckert, & Ludwig, 2000; Ebbeling et al., 2012; Pereira, Swain, Goldfine, Rifai, & Ludwig, 2004). Studies indicate that when...subset of consumers who use the labeled menus to purchase fewer calories. A pair of studies investigating food-purchasing behaviors in New York...Dumanovsky et al., 2011). The latter of these two studies found that more calories were purchased at Subway and fewer calories were purchased at

  14. An Evaluation System for Foodservice Equipment

    DTIC Science & Technology

    1985-10-01

    operation, (3) ease of operation, (4) safety and compliance to health codes, (5) frequency of cleaning and maintenance, (6) amount of cleaning and...11 ■ ■■»»■ fXi Unclassificd 19 Abstract (continued) (4) safety and compliance to health codes, (5) frequency of cleaning and maintenance, (6...Consistency and Quality of Product Ease of Operation Safety and Compliance to Health Codes Cleaning and Maintenance General Frequency of Cleaning

  15. Illinois Occupational Skill Standards: Foodservice Cluster.

    ERIC Educational Resources Information Center

    Illinois Occupational Skill Standards and Credentialing Council, Carbondale.

    This document of skill standards for the food service cluster serves as a guide to workforce preparation program providers in defining content for their programs and to employers to establish the skills and standards necessary for job acquisition. These 41 occupational skill standards describe what people should know and be able to do in an…

  16. Sustainable Futures

    EPA Pesticide Factsheets

    Sustainable Futures is a voluntary program that encourages industry to use predictive models to screen new chemicals early in the development process and offers incentives to companies subject to TSCA section 5.

  17. Technology's Role in NASA's Future

    NASA Video Gallery

    NASA Chief Technologist Bobby Braun talks to NASA managers about the vital role technology research and development will play in NASA's future. Braun discusses how NASA will use new technologies to...

  18. Future Challenges in Library Science.

    ERIC Educational Resources Information Center

    Murgai, Sarla R.

    This paper considers a number of potential developments for the future of library science and the roles of information professionals. Among the projections are: (1) the use of computers and management science operations research methodologies will form the basis of decision making in libraries in the future; (2) a concerted effort will be made to…

  19. Future Climate Analysis

    SciTech Connect

    James Houseworth

    2001-10-12

    This Analysis/Model Report (AMR) documents an analysis that was performed to estimate climatic variables for the next 10,000 years by forecasting the timing and nature of climate change at Yucca Mountain (YM), Nevada (Figure 1), the site of a potential repository for high-level radioactive waste. The future-climate estimates are based on an analysis of past-climate data from analog meteorological stations, and this AMR provides the rationale for the selection of these analog stations. The stations selected provide an upper and a lower climate bound for each future climate, and the data from those sites will provide input to the infiltration model (USGS 2000) and for the total system performance assessment for the Site Recommendation (TSPA-SR) at YM. Forecasting long-term future climates, especially for the next 10,000 years, is highly speculative and rarely attempted. A very limited literature exists concerning the subject, largely from the British radioactive waste disposal effort. The discussion presented here is one method, among many, of establishing upper and lower bounds for future climate estimates. The method used here involves selecting a particular past climate from many past climates, as an analog for future climate. Other studies might develop a different rationale or select other past climates resulting in a different future climate analog. Revision 00 of this AMR was prepared in accordance with the ''Work Direction and Planning Document for Future Climate Analysis'' (Peterman 1999) under Interagency Agreement DE-AI08-97NV12033 with the U.S. Department of Energy (DOE). The planning document for the technical scope, content, and management of ICN 01 of this AMR is the ''Technical Work Plan for Unsaturated Zone (UZ) Flow and Transport Process Model Report'' (BSC 2001a). The scope for the TBV resolution actions in this ICN is described in the ''Technical Work Plan for: Integrated Management of Technical Product Input Department''. (BSC 2001b, Addendum B

  20. Future Fuels

    DTIC Science & Technology

    2005-10-04

    tactical ground mobility and increasing operational reach • Identify, review, and assess – Technologies for reducing fuel consumption, including...T I O N S A C T I O N S TOR Focus - Tactical ground mobility - Operational reach - Not A/C, Ships, or troops Hybrid Electric Vehicle Fuel Management...Fuel Management During Combat Operations Energy Fundamentals • Energy Density • Tactical Mobility • Petroleum Use • Fuel Usage (TWV) • TWV OP TEMPO TOR

  1. University Management, Present and Future: How and by Whom? Report of the International Workshop on University Reform, 2011. RIHE International Seminar Reports. No.18

    ERIC Educational Resources Information Center

    Research Institute for Higher Education, Hiroshima University (NJ3), 2012

    2012-01-01

    The Research Institute for Higher Education (RIHE) at Hiroshima University, through special funding by the Ministry of Education and Science in 2008, has been implementing a research project on the reform of higher education in the knowledge-based society of the 21st century. Research into the design of the future higher education system,…

  2. Early management of patients with acute heart failure: state of the art and future directions. A consensus document from the society for academic emergency medicine/heart failure society of America acute heart failure working group.

    PubMed

    Collins, Sean; Storrow, Alan B; Albert, Nancy M; Butler, Javed; Ezekowitz, Justin; Felker, G Michael; Fermann, Gregory J; Fonarow, Gregg C; Givertz, Michael M; Hiestand, Brian; Hollander, Judd E; Lanfear, David E; Levy, Phillip D; Pang, Peter S; Peacock, W Frank; Sawyer, Douglas B; Teerlink, John R; Lenihan, Daniel J

    2015-01-01

    Heart failure (HF) afflicts nearly 6 million Americans, resulting in one million emergency department (ED) visits and over one million annual hospital discharges. An aging population and improved survival from cardiovascular diseases is expected to further increase HF prevalence. Emergency providers play a significant role in the management of patients with acute heart failure (AHF). It is crucial that emergency physicians and other providers involved in early management understand the latest developments in diagnostic testing, therapeutics and alternatives to hospitalization. Further, clinical trials must be conducted in the ED in order to improve the evidence base and drive optimal initial therapy for AHF. Should ongoing and future studies suggest early phenotype-driven therapy improves in-hospital and post-discharge outcomes, ED treatment decisions will need to evolve accordingly. The potential impact of future studies which incorporate risk-stratification into ED disposition decisions cannot be underestimated. Predictive instruments that identify a cohort of patients safe for ED discharge, while simultaneously addressing barriers to successful outpatient management, have the potential to significantly impact quality of life and resource expenditures.

  3. The future roles of nurses.

    PubMed

    Perla, Lisa

    2002-01-01

    Healthcare delivery in the United States is changing because of managed care and capitation. The future of hospital nursing is being reshaped because of the economic pressures of managed care and market-led health reforms. A variety of new healthcare job opportunities for nurses will now present themselves. Nurse leader roles will evolve to complement the new managed healthcare structure. Because of the organizational redesign of managed care, nurses will need to develop additional skills and education for these roles. This article discusses potential new roles nurses will occupy in a managed care environment.

  4. Modelling nitrogen in the Yeşilirmak River catchment in Northern Turkey: impacts of future climate and environmental change and implications for nutrient management.

    PubMed

    Hadjikakou, Michalis; Whitehead, Paul G; Jin, Li; Futter, Martyn; Hadjinicolaou, Panos; Shahgedanova, Maria

    2011-05-15

    Recent research in catchments of rapidly developing countries such as Brazil and China suggests that many catchments of the developing world are already showing signs of nitrogen pollution reminiscent of past experiences in developed countries. This paper looks at both the individual and combined effects of future climate change and other likely environmental changes on in-stream nitrate concentrations in a catchment in Northern Turkey. A model chain comprised of simulated future temperature and precipitation from a Regional Circulation Model (RCM), a conceptual hydrological model (HBV) and a widely tested integrated catchment nitrogen model (INCA-N) is used to model future changes in nitrate concentrations. Two future periods (2021-2050 and 2069-2098) are compared to the 1961-1990 baseline period in order to assess the effectiveness of several possible interventions available to catchment authorities. The simulations show that in the urbanised part of the catchment, the effects of climate change and other environmental changes act in the same direction, leading to peak nitrate concentrations of 7.5 mg N/l for the 2069-2098 period, which corresponds to a doubling of the baseline values. Testing different available policy options reveals that the installation of wastewater treatment works (WWTWs) in all major settlements of the catchment could ensure nitrate levels are kept at near their baseline values for the 2021-2050 period. Nevertheless, a combination of measures including WWTWs, meadow creation, international agreements to reduce atmospheric N concentrations and controls on agricultural practises will be required for 2069-2098. The approach presented in this article could be employed in order to anticipate future pollution problems and to test appropriate solutions, some of which will necessitate international co-operation, in other catchments around the world.

  5. TUBERCULOSIS AND BRUCELLOSIS IN WOOD BISON (BISON BISON ATHABASCAE) IN NORTHERN CANADA: A RENEWED NEED TO DEVELOP OPTIONS FOR FUTURE MANAGEMENT.

    PubMed

    Shury, Todd K; Nishi, John S; Elkin, Brett T; Wobeser, Gary A

    2015-07-01

    Effective, long-term strategies to manage the threat of bovine tuberculosis and brucellosis spillback from northern, diseased bison to the Canadian cattle herd and adjacent disease-free wood bison (Bison bison athabascae) herds have eluded policy makers in recent decades. A controversial plan to depopulate infected herds and repopulate them with disease-free wood bison was rejected in 1990 because of significant public concern. Since then, technical advances in vaccine technology, genetic salvage, selective culling, and diagnostic test development have occurred. Containment strategies to reduce further spread of these diseases are a necessary first step; recent progress has been made in this area, but challenges remain. This progress has produced more options for management of these herds in northern Canada, and it is time to consider wood bison conservation and long-term disease eradication as equally important goals that must satisfy concerns of conservation groups, agriculture sectors, aboriginal groups, and the general public. Management of wildlife disease reservoirs in other areas, including Yellowstone and Riding Mountain national parks, has demonstrated that effective disease management is possible. Although combinations of different strategies, including vaccination, genetic salvage techniques, and selective culling, that use sensitive and specific diagnostic tests may offer alternatives to depopulation/repopulation, they also have logistic constraints and cost implications that will need consideration in a multistakeholder, collaborative-management framework. We feel the time is right for this discussion, so a long-term solution to this problem can be applied.

  6. Preserving the Finger Lakes for the Future: A Prototype Decision Support System for Water Resource Management, Open Space, and Agricultural Protection

    NASA Technical Reports Server (NTRS)

    Brower, Robert

    2003-01-01

    As described herein, this project has progressed well, with the initiation or completion of a number of program facets at programmatic, technical, and inter-agency levels. The concept of the Virtual Management Operations Center has taken shape, grown, and has been well received by parties from a wide variety of agencies and organizations in the Finger Lakes region and beyond. As it has evolved in design and functionality, and to better illustrate its current focus for this project, it has been given the expanded name of Watershed Virtual Management Operations Center (W-VMOC). It offers the advanced, compelling functionality of interactive 3D visualization interfaced with 2D mapping, all accessed via Internet or virtually any kind of distributed computer network. This strong foundation will allow the development of a Decision Support System (DSS) with anticipated enhanced functionality to be applied to the myriad issues involved in the wise management of the Finger Lakes region.

  7. Alaskan resources, current development. Traditional cultural values, and the role of LANDSAT data in current and future land use management planning

    NASA Technical Reports Server (NTRS)

    Laperriere, A. J.

    1975-01-01

    Past, present, and proposed applications of LANDSAT data for renewable resource assessments in Alaska are described. Specific projects briefly discussed include: a feasibility investigation applying LANDSAT data to caribou habitat mapping in northeast Alaska, analysis of a native corporate region in southwest Alaska, analysis of a game management unit in interior Alaska, and two proposed analyses in northwest Alaska. These analyses principally address range evaluations concerning caribou, moose, and Dall sheep, but results have application to other renewable resource themes. Application of resource assessment results to a statewide land use management plan is discussed.

  8. Prevalence of outsourcing and perception of clinical nutrition managers on performance of health care dietetics services.

    PubMed

    Kwon, Junehee; Yoon, Barbara J H

    2003-08-01

    A nationwide survey of clinical dietitians and clinical nutrition managers was conducted to assess the prevalence of outsourcing in health care dietetics services and to evaluate perceived performance of dietetics services. A questionnaire was developed, validated by an expert panel, and pilot tested prior to data collection. Members of the Clinical Nutrition Management Dietetic Practice Group (N=1,668) were selected as the study sample. Of 431 respondents, 152 (35.3%) indicated that management of both patient and cafeteria foodservices was outsourced. When mean scores of perceived performance ratings were compared using t test, respondents from self-operated facilities rated several items related to patient and cafeteria food quality and material and human resource utilization higher than respondents at contract-managed facilities. No significant differences were found in performance related to decision-making process, buying power, or training programs. Results suggest that careful weighing of advantages and disadvantages of outsourcing is needed before making decisions regarding outsourcing dietetics services.

  9. Study of Current Practice and Future Advancements in Blood Management and Effectiveness of a Multimodality Training Program on Improving Transfusion Knowledge, Practice and Outcomes

    DTIC Science & Technology

    2012-08-01

    bloodless surgery to blood management”, Sao Paulo Brazil 5/4/12 14 Open Medical Institute-MUW Seminar in Severe Bleeding Management “Patient...reliability of multiple choice questions for use in nursing research and education. Collegian. 2005 Jan;12(1):19-24. 26) Wehrli G. The nuts and

  10. [Managed care--an example for future structural developments in health care. Reflections on a informational visit on direction and administration of medical centers in east USA].

    PubMed

    Kraus, T; Weber, W; Funk, H; Klar, E; Herfarth, C

    1998-04-01

    While the different national health systems merge structurally, cost expansion in health care is a global challenge. Structural reforms have been developed during recent years in the USA which can be summarized as "managed care". They are characterized by the evolution of an economically orientated system, in which units of medical therapy are generally handled like conventional economically goods. In managed-care models, patients are deliberately directed to the most economic forms of therapy. The spectrum of medical interventions as well as diagnostic or therapeutic patterns are predefined by a system of contracted guidelines, which lead to a standardization of processes. Financing and medical executive responsibilities fuse. The autonomy of medical decisions is clearly reduced to enforce and integrated and economically oriented steering of the health system. Leadership is no longer primarily confined to doctors or scientists. It is progressively shifting to financing institutions, managing directors or insurance companies. Structural changes currently are expanding rapidly in the U.S. and have meanwhile led to marked regional reductions of medical costs. Nevertheless, the US model is still far more expensive compared to the German system. Historical development, current concepts of US-managed care, its potential influence and general applicability to the German situation are discussed in an overview.

  11. Prepared for the future? Evaluating the costs and benefits of voluntary work for natural disaster management under a changing climate - data on recent flood events, stakeholder needs and policy applications

    NASA Astrophysics Data System (ADS)

    Pfurtscheller, Clemens; Brucker, Anja; Seebauer, Sebastian

    2014-05-01

    Voluntary emergency and relief services, such as fire brigades or rescue organisations, form the backbone of disaster management in most of European countries. In Austria, disaster management relies on the cooperation between governmental and non-governmental institutions: When a disaster occurs, the volunteer organizations act as auxiliaries to the responsible disaster management authority. The assessment of costs and benefits of these emergency services is a crucial component of risk and disaster management strategies, since public means are getting scarcer and these costs can reach critical levels for low-income municipalities. As extreme events and emergency operations are likely to increase due to climate change, the efficient allocation of public budgets for risk and disaster management becomes more important. Hence, both, the costs and the benefits must be known, but voluntary and professional work is hardly documented and assessed comprehensively. Whereas the costs of emergency services can be calculated using market values and an analysis of public and institutional budgets, the benefits of voluntary efforts cannot be assessed easily. We present empirical data on costs of voluntary and professional emergency services during the floods of 2002, 2005 and 2013 in Austria and Germany on different scales, obtained from public authorities, fire brigades and by means of public surveys. From these results, we derive a calculation framework and data requirements for assessing costs of emergency services. To consider the different stakeholders needs of administration, emergency institutions and voluntary members, we carried out workshops, first to identify future challenges in voluntary work for disaster management instigated by climate change and second, to develop approaches how the voluntary system can be uphold when facing increasing adverse impacts of natural hazards. The empirical results as well as the workshop outcome shall be translated into policy

  12. Future Fuels

    DTIC Science & Technology

    2006-04-01

    Storage Devices, Fuel Management, Gasification, Fischer-Tropsch, Syngas , Hubberts’s Peak UNCLAS UNCLAS UNCLAS UU 80 Dr. Sujata Millick (703) 696...traction power – mission payloads – mobile electric power • Improved survivability • Inherent modularity improves maintainability & upgradability ...threatened the output of the Ploesti oil fields and refineries. In the FT process, so-called syngas (a mixture of molecular hydrogen and carbon monoxide

  13. A primer on potential impacts, management priorities, and future directions for Elodea spp. in high latitude systems: learning from the Alaskan experience

    USGS Publications Warehouse

    Carey, Michael P.; Sethi, Suresh A; Larsen, Sabrina J; Rich, Cecil F

    2016-01-01

    Invasive species introductions in Arctic and Subarctic ecosystems are growing as climate change manifests and human activity increases in high latitudes. The aquatic plants of the genus Elodea are potential invaders to Arctic and Subarctic ecosystems circumpolar and at least one species is already established in Alaska, USA. To illustrate the problems of preventing, eradicating, containing, and mitigating aquatic, invasive plants in Arctic and Subarctic ecosystems, we review the invasion dynamics of Elodea and provide recommendations for research and management efforts in Alaska. Foremost, we conclude the remoteness of Arctic and Subarctic systems such as Alaska is no longer a protective attribute against invasions, as transportation pathways now reach throughout these regions. Rather, high costs of operating in remote Arctic and Subarctic systems hinders detection of infestations and limits eradication or mitigation, emphasizing management priorities of prevention and containment of aquatic plant invaders in Alaska and other Arctic and Subarctic systems.

  14. The role of climate and vegetation change in shaping past and future fire regimes in the northwestern US and the implications for ecosystem management

    USGS Publications Warehouse

    Whitlock, C.; Shafer, S.L.; Marlon, J.

    2003-01-01

    Fire is an important part of the disturbance regimes of northwestern US forests and its role in maintaining and altering forest vegetation is evident in the paleoecological record of the region. Long-term reconstructions of Holocene fire regimes, provided by the analysis of charcoal, pollen, and other fire proxies in a network of lake records, indicate that the Pacific Northwest and summer-dry regions of the northern Rocky Mountains experienced their highest fire activity in the early Holocene (11,000-7000 years ago) and during the Medieval Warm Period (ca. 1000 years ago) when drought conditions were more severe than today. In contrast, in summer-wet areas of the northern Rocky Mountains, the period of highest fire activity was registered in the last 7000 years when dry woodland vegetation developed. When synthesized across the entire northwestern US, the paleoecological record reveals that past and present fire regimes are strongly controlled by climate changes occurring on multiple time scales. The scarcity of fires in the 20th century in some northwestern US ecosystems may be the result of successful fire suppression policies, but in wetter forests this absence is consistent with long-term fire regime patterns. In addition, simulations of potential future climate and vegetation indicate that future fire conditions in some parts of the northwestern US could be more severe than they are today. The Holocene record of periods of intensified summer drought is used to assess the nature of future fire-climate-vegetation linkages in the region. ?? 2003 Elsevier Science B.V. All rights reserved.

  15. Future contraceptives.

    PubMed

    Alexander, N J

    1995-09-01

    This article looks at the improvements that may occur in contraceptives in the near future. While no product currently under study would be ideal (highly effective, safe, readily reversible, free of side effects, coitally independent, counteract the spread of sexually transmitted diseases, and inexpensive), several would come closer than those available today. For men, the condom is the only currently available contraception, and a thinner version has recently been introduced in response to the criticism that condoms reduce sexual pleasure. Methods under study for men include manipulating hormones to halt sperm production by the intramuscular injection of an androgen in combination with a progestin or by blocking the activity of gonadotropin-releasing hormone. In the future, long-acting reversible agents should be available to directly halt sperm production or maturation. In men and women, vaccines should become available that would use antibodies to disrupt reproduction. Additional hormonal options in women should include hormone-releasing vaginal rings, a simplified contraceptive implant delivery system, a hormone-releasing IUD, and a monthly pill. Vaginal chemicals could be used to impede some of the necessary changes that sperm undergo after ejaculation. Spermicides will also be available with the ability to prevent STDs. The order of appearance of these new contraceptives will probably be nonlatex condoms, vaginal rings, and new implants, followed by disease-reducing spermicides, hormone-releasing IUDs, new emergency contraceptives, a three-month injectable for men, biodegradable implants for women, and immunocontraceptives (if they receive the backing of the industry).

  16. The development of reproductive management practices in New Zealand: what will the future hold in a consumer-focused, environmentally-conscious, export-driven marketplace?

    PubMed

    Burke, C R; Verkerk, G A

    2010-01-01

    The New Zealand (NZ) economy and its dairy industry are sensitive to global consumer perception of farming practices used to generate milk products because milk exports account for > 25% of national export earnings and > 90% of milk produced is exported as products. Astute management of product image and market risk is, therefore, important for the viability of the industry and country. More than 95% of milk produced in NZ comes from strictly seasonal, pasture-based systems, with associated constraints on reproductive performance. Increasing herd sizes, operational changes and genetic selection priorities have further challenged dairy farmers to achieve optimal levels of herd fertility. Reproductive management practices have developed to address the need to maintain a 365-day inter-calving interval, essentially through maximizing the number of cyclic cows during the breeding period and minimizing the duration of the seasonal calving period. Aspects of the hormonal interventions developed and routinely used to achieve these objectives have been the subject of product quality and market risk concerns forcing the industry to explore alternative ways of achieving reproductive performance goals. One approach has been to exploit the inherently high level of fertility in NZ dairy herds. This approach has seen the inclusion of fertility-related traits in the national genetic evaluation system to prevent further decline in genetic fertility. More recently, a nationally coordinated extension program has been adopted to support farmers and their advisors to identify, prioritize and improve on key management areas for incremental gains in herd reproductive performance. Advances in automation and bio-sensing are yet to make a significant impact, but remain potentially valuable additions in supporting the dairy farmer to manage the areas having the largest effects on reproductive performance.

  17. Towards a sustainable future for Africa. Improved natural resources management under the development fund for Africa, 1987 to 1993. Technical paper

    SciTech Connect

    Not Available

    1993-04-01

    Since 1987. A.I.D.'s Development Fund for Africa (DFA) has provided over $300 million to programs supporting environmentally sound development in Africa. The programs have focused on three priority areas -- sustainable agriculture, tropical forestry, and biodiversity -- and have been directed not, as in the past, at helping individual farmers but at promoting the systemic institutional, technical, economic, and political changes needed to support improved natural resource management. The report outlines and exemplifies experiences and successes to date under the DFA and the Africa Bureau's Plan for Supporting Natural Resources in Sub-Saharan Africa. The programs support the work of PVO's at the community level, provide technical assistance to government agencies and others involved in managing the natural resource base, support host-country initiatives in natural resource planning and management, and provide incentives for changing underlying policies such as land tenure. A major initiative has been support for the National Environmental Action Plan (NEAP) process in Madagascar, Uganda, The Gambia, and Rwanda. The report also notes work underway to support other U.S. concerns such as the protection of elephant habitats and the mitigation of global climate change.

  18. Impacts of the creation, expansion and management of English wetlands on mosquito presence and abundance - developing strategies for future disease mitigation.

    PubMed

    Medlock, Jolyon M; Vaux, Alexander G C

    2015-03-03

    The incidence of mosquito-borne diseases is increasing in Europe, partly due to the incursion of a number of invasive species known to be vectors of dengue and chikungunya viruses, but also due to the involvement of native species in the transmission of West Nile virus and malaria. For some of these pathogens, there is a risk of the re-emergence of vector-borne diseases that were once widespread in Europe, but declined partly due to large-scale land-drainage projects. Some mosquito species exploit container habitats as breeding sites in urban areas; an adaptation to human-made micro-habitats resulting from increased urbanisation. However, many species thrive in natural wetland ecosystems. Owing to the impacts of climate change there is an urgent need for environmental adaptation, such as the creation of new wetlands to mitigate coastal and inland flooding. In some cases, these initiatives can be coupled with environmental change strategies to protect a range of endangered flora and fauna species by enhancing and extending wetland landscapes, which may by driven by European legislation, particularly in urban areas. This paper reviews field studies conducted in England to assess the impact of newly created wetlands on mosquito colonisation in a) coastal, b) urban and c) arable reversion habitats. It also considers the impact of wetland management on mosquito populations and explores the implications of various water and vegetation management options on the range of British mosquito species. Understanding the impact of wetland creation and management strategies on mosquito prevalence and the potential risk of increasing the levels of nuisance or disease vector species will be crucial in informing health and well-being risk assessments, guiding targeted control, and anticipating the social effects of extreme weather and climate change. Although new wetlands will certainly extend aquatic habitats for mosquitoes, not all species will become a major nuisance or a vector

  19. Future Proofing Water Policy and Catchment Management for a Changing Climate: A Case Study of Competing Demands and Water Scarcity in the River Thames and Catchment

    NASA Astrophysics Data System (ADS)

    Whitehead, P. G.; Crossman, J.; Jin, L.

    2011-12-01

    The River Thames Catchment is the major water supply system in Southern England and supplies all of London's water supply from either the River Lee (a tributary of the Thames) or the main river abstraction site at Teddington (see Figure 1) or from groundwater sources in London. There has been a measurable change in rainfall patterns over the past 250 years with reducing summer rainfall and, hence flows, over the past 40 years. In 1976, following 3 dry winters, the London Reservoirs were more or less empty and the river flow direction was reversed to ensure a supply of water for London. Recent climate change studies in the Thames catchments suggest an increasing threat to water supply and also damage to river water quality and ecology. In addition to a changing climate, population levels in London have risen in recent years and the catchment is increasingly vulnerable to land use change. Since the 1920s changes in land use have increased the levels of nitrogen and phosphorus in the catchment and this trend is predicted to be exacerbated as climate change reduces freshwater dilution. Also land use is predicted to change as agriculture becomes more intensive as farmers react to higher grain and food prices. At the same time rising water temperatures has exposed the river to the potential for toxic algal blooms, such as cyanobacteria. This doom and gloom story is being managed however using a range of policy instruments, led by central government and public and private organisations such as Thames Water and the Environment Agency. Measures such as new reservoirs, a water transfer scheme from Wales and water metering to reduce demand are all being actively pursued, as are land management measures to control diffuse pollution. In order to assess the effects of climate change on the Thames catchment a major modelling study has been undertaken. The Integrated Catchment Model (INCA) has been set up for the Thames to model flow, nitrogen, phosphorus and ecology. Climate

  20. The Past, Present, and Future of the Centers for Medicare and Medicaid Services Quality Measure SEP-1: The Early Management Bundle for Severe Sepsis/Septic Shock.

    PubMed

    Faust, Jeremy S; Weingart, Scott D

    2017-02-01

    SEP-1, the new national quality measure on sepsis, resulted from an undertaking to standardize care for severe sepsis and septic shock regardless of the size of the emergency department where the patient is being treated. SEP-1 does not necessarily follow the best current evidence available. Nevertheless, a thorough understanding of SEP-1 is crucial because all hospitals and emergency providers will be accountable for meeting the requirements of this measure. SEP-1 is the first national quality measure on early management of sepsis care. This article provides a review of SEP-1 and all its potential implications on sepsis care in the United States.

  1. Assessment of the current and future water balance of the Ouémé catchment (Benin) for an integrated water resource management by using the WEAP water planning model

    NASA Astrophysics Data System (ADS)

    Giertz, Simone; Diekkrüger, Bernd; Höllermann, Britta

    2010-05-01

    Today, fresh water has already become a critically scarce resource in many regions of the world. In many developing countries insufficient water supply infrastructure aggravates this problem. With the ongoing global change and population growth water security will become one of the major problems in the 21st century. Regarding the annual water balance the West African Country Benin is not suffering from physical water scarcity. Nevertheless, investigations show that water scarcity occurs at the local scale, especially at the end of the dry season. This is caused by reduced water availability in this period and particularly by the inadequate water supply infrastructure. Facing the impacts of climate and socio-economic change, an assessment of the national water resources is an important step to assure a sustainable water resource management and to satisfy the raising water demand of Benin in the future. In the presented study the WEAP water planning model was used to analyse the current and future water balance of Benin's largest catchment Ouémé. To take into account the possible impacts of climate and socio-economic change, two IPCC scenarios (A1B and B1) and three socio-economic scenarios were simulated for the time period 2002-2025. The results show that the pressure on Benin's water resources will increase, due to population growth and changing socio-economic conditions. This leads to a greater competition for surface water especially during the dry season. Improving the access to groundwater is an alternative; however, financial and institutional constraints hinder such a development. Furthermore, declining catchment inflows and groundwater recharge aggravate the situation and require an adapted groundwater management. Beside the scenario results the presentation will also examine the uncertainties of the modelling process with WEAP. Furthermore, the suitability of the model in supporting a sustainable and integrated water resources management in developing

  2. Toward eradication: the effect of Mycobacterium bovis infection in wildlife on the evolution and future direction of bovine tuberculosis management in New Zealand.

    PubMed

    Livingstone, P G; Hancox, N; Nugent, G; de Lisle, G W

    2015-06-01

    New Zealand's bovine tuberculosis (TB) control programme has greatly reduced the burden of tuberculosis on the farming industry, from 11% of mature cattle found with TB at slaughter in 1905 to <0.003% in 2012/13. New Zealand implemented TB control measures in cattle from the mid-twentieth century, and later in farmed deer. Control was based on established methods of tuberculin testing of herds, slaughter of suspect cases, and livestock movement control. Unexplained regional control failures and serious disease outbreaks were eventually linked to wildlife-vectored infection from the introduced Australian brushtail possum (Trichosurus vulpecula), which also triggered a wildlife disease complex involving a range of introduced species. This paper reviews the progressive elucidation of the epidemiology of Mycobacterium bovis in New Zealand's wildlife and farmed livestock, and the parallel development of research-led, multi-faceted TB control strategies required to protect New Zealand's livestock industries from damaging infection levels. The adoption of coordinated national pest management strategies, with increasingly ambitious objectives agreed between government and industry funders, has driven a costly but very successful management regime targeted at controlling TB in the possum maintenance host. This success has led to initiation of a strategy designed to eradicate TB from New Zealand's livestock and wildlife, which is considered a realistic long-term prospect.

  3. Wildfire and invasive species in the west: challenges that hinder current and future management and protection of the sagebrush-steppe ecosystem: a Gap Report

    USGS Publications Warehouse

    Mayer, Kenneth F.; Anderson, Pete; Chambers, Jeanne; Boyd, Chad; Christiansen, Tom; Davis, Dawn; Espinosa, Shawn; Havlina, Doug; Ielmini, Michael; Kemner, Don; Kurth, Laurie; Maestas, Jeremy; Mealor, Brian; Milesneck, Ted; Niell, Lara; Pellant, Mike; Pyke, David A.; Tague, Joe; Vernon, Jason

    2013-01-01

    The WG will continue to meet on a regular basis to further develop and expand this list of gaps. Additionally, the WG will offer specific options to address the identified gaps. However, the WG recommends that the FWS, possibly through the State/Federal (Western Governors Association) Sage Grouse Task Force or the National Sage-grouse Executive Oversight Committee, establish a Subcommittee to specifically review this Gap Report and develop a multi-agency approach on how to address each gap. The WG will continue to endeavor to establish a priority list and identify the “low hanging fruit” that can be addressed in the short-term to affect the listing decision. Additionally, the WG will propose a longer-term strategy. However, to successfully establish such a strategy it will take buy-in and commitment at the highest levels in federal and state governments. In an effort to provide managers an opportunity to address the most important issues this coming fiscal year, we offer the following top 5 gaps. Beyond these top 5, the WG has identified 17 additional gaps that should be evaluated by both federal and state agencies as a means to help better manage the wildfire/invasive threat in the west.

  4. Toward eradication: the effect of Mycobacterium bovis infection in wildlife on the evolution and future direction of bovine tuberculosis management in New Zealand

    PubMed Central

    Livingstone, PG; Hancox, N; Nugent, G; de Lisle, GW

    2015-01-01

    Abstract New Zealand's bovine tuberculosis (TB) control programme has greatly reduced the burden of tuberculosis on the farming industry, from 11% of mature cattle found with TB at slaughter in 1905 to <0.003% in 2012/13. New Zealand implemented TB control measures in cattle from the mid-twentieth century, and later in farmed deer. Control was based on established methods of tuberculin testing of herds, slaughter of suspect cases, and livestock movement control. Unexplained regional control failures and serious disease outbreaks were eventually linked to wildlife-vectored infection from the introduced Australian brushtail possum (Trichosurus vulpecula), which also triggered a wildlife disease complex involving a range of introduced species. This paper reviews the progressive elucidation of the epidemiology of Mycobacterium bovis in New Zealand's wildlife and farmed livestock, and the parallel development of research-led, multi-faceted TB control strategies required to protect New Zealand's livestock industries from damaging infection levels. The adoption of coordinated national pest management strategies, with increasingly ambitious objectives agreed between government and industry funders, has driven a costly but very successful management regime targeted at controlling TB in the possum maintenance host. This success has led to initiation of a strategy designed to eradicate TB from New Zealand's livestock and wildlife, which is considered a realistic long-term prospect. PMID:25273888

  5. Future directions.

    PubMed

    Erickson, David L; Kress, W John

    2012-01-01

    It is a risky task to attempt to predict the direction that DNA barcoding and its applications may take in the future. In a very short time, the endeavor of DNA barcoding has gone from being a tool to facilitate taxonomy in difficult to identify species, to an ambitious, global initiative that seeks to tackle such pertinent and challenging issues as quantifying global biodiversity, revolutionizing the forensic identifications of species, advancing the study of interactions among species, and promoting the reconstruction of evolutionary relationships within communities. The core element of DNA barcoding will always remain the same: the generation of a set of well-identified samples collected and genotyped at one or more genetic barcode markers and assembled into a properly curated database. But the application of this body of data will depend on the creativity and need of the research community in using a "gold standard" of annotated DNA sequence data at the species level. We foresee several areas where the application of DNA barcode data is likely to yield important evolutionary, ecological, and societal insights, and while far from exclusive, provide examples of how DNA barcode data will continue to empower scientists to address hypothesis-driven research. Three areas of immediate and obvious concern are (1) biodiversity inventories, (2) phylogenetic applications, and (3) species interactions.

  6. Symptom management during and after treatment with concurrent chemoradiotherapy for oropharyngeal cancer: A review of the literature and areas for future research

    PubMed Central

    Mason, Heidi; DeRubeis, Mary Beth; Burke, Nancy; Shannon, Melissa; Karsies, Danielle; Wolf, Gregory; Eisbruch, Avi; Worden, Francis

    2016-01-01

    Patients with locally advanced oropharyngeal cancer are at risk for poor outcomes due to the multi-modal nature of treatment and the potential for treatment-related toxicity. Although treatment with concurrent chemotherapy and radiotherapy has drastically reduced the need for a debilitating and disfiguring surgery, treatment related toxicities are often difficult to control. Acute toxicities include mucositis, skin desquamation, depression, cachexia, fatigue and nausea and vomiting. Failure to control these symptoms can adversely affect the patient’s ability to complete their treatment regimen. Although there are many promising new treatments in the area of symptom management for this patient population, a review of the literature reflects the need for more research. PMID:27081644

  7. Multifactor valuation models of energy futures and options on futures

    NASA Astrophysics Data System (ADS)

    Bertus, Mark J.

    The intent of this dissertation is to investigate continuous time pricing models for commodity derivative contracts that consider mean reversion. The motivation for pricing commodity futures and option on futures contracts leads to improved practical risk management techniques in markets where uncertainty is increasing. In the dissertation closed-form solutions to mean reverting one-factor, two-factor, three-factor Brownian motions are developed for futures contracts. These solutions are obtained through risk neutral pricing methods that yield tractable expressions for futures prices, which are linear in the state variables, hence making them attractive for estimation. These functions, however, are expressed in terms of latent variables (i.e. spot prices, convenience yield) which complicate the estimation of the futures pricing equation. To address this complication a discussion on Dynamic factor analysis is given. This procedure documents latent variables using a Kalman filter and illustrations show how this technique may be used for the analysis. In addition, to the futures contracts closed form solutions for two option models are obtained. Solutions to the one- and two-factor models are tailored solutions of the Black-Scholes pricing model. Furthermore, since these contracts are written on the futures contracts, they too are influenced by the same underlying parameters of the state variables used to price the futures contracts. To conclude, the analysis finishes with an investigation of commodity futures options that incorporate random discrete jumps.

  8. Disaster planning: the past, present, and future concepts and principles of managing a surge of burn injured patients for those involved in hospital facility planning and preparedness.

    PubMed

    Kearns, Randy D; Holmes, James H; Alson, Roy L; Cairns, Bruce A

    2014-01-01

    The 9/11 attacks reframed the narrative regarding disaster medicine. Bypass strategies have been replaced with absorption strategies and are more specifically described as "surge capacity." In the succeeding years, a consensus has coalesced around stratifying the surge capacity into three distinct tiers: conventional, contingency, and crisis surge capacities. For the purpose of this work, these three distinct tiers were adapted specifically to burn surge for disaster planning activities at hospitals where burn centers are not located. A review was conducted involving published plans, other related academic works, and findings from actual disasters as well as modeling. The aim was to create burn-specific definitions for surge capacity for hospitals where a burn center is not located. The three-tier consensus description of surge capacity is delineated in their respective stratifications by what will hereinafter be referred to as the three "S's"; staff, space, and supplies (also referred to as supplies, pharmaceuticals, and equipment). This effort also included the creation of a checklist for nonburn center hospitals to assist in their development of a burn surge plan. Patients with serious burn injuries should always be moved to and managed at burn centers, but during a medical disaster with significant numbers of burn injured patients, there may be impediments to meeting this goal. It may be necessary for burn injured patients to remain for hours in an outlying hospital until being moved to a burn center. This work was aimed at aiding local and regional hospitals in developing an extemporizing measure until their burn injured patients can be moved to and managed at a burn center(s).

  9. Probabilistic Projections of Future Sea-Level Change and Their Implications for Flood Risk Management: Insights from the American Climate Prospectus

    NASA Astrophysics Data System (ADS)

    Kopp, R. E., III; Delgado, M.; Horton, R. M.; Houser, T.; Little, C. M.; Muir-Wood, R.; Oppenheimer, M.; Rasmussen, D. M., Jr.; Strauss, B.; Tebaldi, C.

    2014-12-01

    Global mean sea level (GMSL) rise projections are insufficient for adaptation planning; local decisions require local projections that characterize risk over a range of timeframes and tolerances. We present a global set of local sea level (LSL) projections to inform decisions on timescales ranging from the coming decades through the 22nd century. We present complete probability distributions, informed by a combination of expert community assessment, expert elicitation, and process modeling [1]. We illustrate the application of this framework by estimating the joint distribution of future sea-level change and coastal flooding, and associated economic costs [1,2]. In much of the world in the current century, differences in median LSL projections are due primarily to varying levels of non-climatic uplift or subsidence. In the 22nd century and in the high-end tails, larger ice sheet contributions, particularly from the Antarctic ice sheet (AIS), contribute significantly to site-to-site differences. Uncertainty in GMSL and most LSL projections is dominated by the uncertain AIS component. Sea-level rise dramatically reshapes flood risk. For example, at the New York City (Battery) tide gauge, our projections indicate a likely (67% probability) 21st century LSL rise under RCP 8.5 of 65--129 cm (1-in-20 chance of exceeding 154 cm). Convolving the distribution of projected sea-level rise with the extreme value distribution of flood return periods indicates that this rise will cause the current 1.80 m `1-in-100 year' flood event to occur an expected nine times over the 21st century -- equivalent to the expected number of `1-in-11 year' floods in the absence of sea-level change. Projected sea-level rise for 2100 under RCP 8.5 would likely place 80-160 billion of current property in New York below the high tide line, with a 1-in-20 chance of losses >190 billion. Even without accounting for potential changes in storms themselves, it would likely increase average annual storm

  10. The use of adenosine and adenosine triphosphate testing in the diagnosis, risk stratification and management of patients with syncope: current evidence and future perspectives.

    PubMed

    Fragakis, Nikolaos; Antoniadis, Antonios P; Saviano, Massimo; Vassilikos, Vassilios; Pappone, Carlo

    2015-03-15

    Syncope is a significant source of cardiovascular-related morbidity yet the etiology is frequently obscure and the identification of patients at highest risk is challenging. Adenosine (AD) and adenosine triphosphate (ATP) administrations have been suggested as potentially useful non-invasive tools in the diagnostic workup of patients with neurally-mediated or bradycardia-related syncope. It has been postulated that both compounds by modulating the autonomic innervation in the heart and exerting negative chronotropic and dromotropic effects in the conduction system, may unmask the mechanism of syncope. However, the clinical implications derived from the efficacy of both tests in the investigation of syncope remain unclear mainly due to inconclusive and occasionally contradictory results of published studies. This review article summarizes recent and past information in the use of ATP and AD in the investigation of syncope with emphasis on clinical trials. We present the current level of evidence for the use of these agents in clinical practice, identify areas where further research is warranted and highlight the future perspectives of these agents as complements to an accurate risk-stratification of patients with syncope.

  11. The Euratom-Rosatom ERCOSAM-SAMARA projects on containment thermal-hydraulics of current and future LWRs for severe accident management

    SciTech Connect

    Paladino, D.; Guentay, S.; Andreani, M.; Tkatschenko, I.; Brinster, J.; Dabbene, F.; Kelm, S.; Allelein, H. J.; Visser, D. C.; Benz, S.; Jordan, T.; Liang, Z.; Porcheron, E.; Malet, J.; Bentaib, A.; Kiselev, A.; Yudina, T.; Filippov, A.; Khizbullin, A.; Kamnev, M.; Zaytsev, A.; Loukianov, A.

    2012-07-01

    During a postulated severe accident with core degradation, hydrogen would form in the reactor pressure vessel mainly due to high temperatures zirconium-steam reaction and flow together with steam into the containment where it will mix with the containment atmosphere (steam-air). The hydrogen transport into the containment is a safety concern because it can lead to explosive mixtures through the associated phenomena of condensation, mixing and stratification. The ERCOSAM and SAMARA projects, co-financed by the European Union and the Russia, include various experiments addressing accident scenarios scaled down from existing plant calculations to different thermal-hydraulics facilities (TOSQAN, MISTRA, PANDA, SPOT). The tests sequences aim to investigate hydrogen concentration build-up and stratification during a postulated accident and the effect of the activation of Severe Accident Management systems (SAMs), e.g. sprays, coolers and Passive Auto-catalytic Recombiners (PARs). Analytical activities, performed by the project participants, are an essential component of the projects, as they aim to improve and validate various computational methods. They accompany the projects in the various phases; plant calculations, scaling to generic containment and to the different facilities, planning pre-test and post-test simulations are performed. Code benchmark activities on the basis of conceptual near full scale HYMIX facility will finally provide a further opportunity to evaluate the applicability of the various methods to the study of scaling issues. (authors)

  12. Future Aspects

    NASA Astrophysics Data System (ADS)

    Pilato, Louis

    There are some disturbing signs that appear on the horizon as phenolic resins enter their second century of existence. The large area of wood adhesives application (~60% of the total volume of phenolic resins in North America) is under intense pressure due to many factors that are contributing to continuing reduction in the sales volume of wood adhesives. These factors include the known slow cure speed of phenolic resins compared to Urea Formaldehyde (UF), Melamine Formaldehyde (MF), or Methylene Diphenyl Isocyanate (MDI); installation of new machinery/ equipment with fast continuous lines; continued decrease in plywood consumption at the expense of Oriented Strand Board (OSB) where phenolic resin is the preferred adhesive for plywood; further reduction in formaldehyde emissions through California Air Resources Board (CARB) Phase I and Phase II; uncertainty of whether formaldehyde will be identified as a human carcinogen pending the anticipated 2009 study; and the environmental movement to reduce or eliminate formaldehyde-containing resins in wood and thermal insulation consumer products (U.S. Green Building Council and other Environmental groups like the Sierra Club). Consumers are being urged by environmental organizations to purchase composite wood products with lower formaldehyde emission levels or none at all. This is illustrated by examining the news media reports after the Hurricane Katrina in 2005. The home trailers provided by the Federal Emergency Management Agency (FEMA) that were used for Louisiana and Mississippi residents after Katrina hurricane as temporary housing further accelerated concerns over formaldehyde emissions since higher than typical indoor exposure levels of formaldehyde in travel trailers and mobile homes were determined for the FEMA trailers.

  13. Lake Urmia (Iran): can future socio-ecologically motivated river basin management restore lake water levels in an arid region with extensive agricultural development?

    NASA Astrophysics Data System (ADS)

    Fazel, Nasim; Berndtsson, Ronny; Bertacchi Uvo, Cintia; Klove, Bjorn; Madani, Kaveh

    2015-04-01

    Lake Urmia, one of the world's largest hyper saline lakes located in northwest of Iran, is a UNESCO Biosphere Reserve and Ramsar site, protected as a national park and, supports invaluable and unique biodiversity and related ecosystem services for the region's 6.5 million inhabitants. Due to increased development of the region's water resources for agriculture and industry and to a certain extent climate change, the lake has started to shrink dramatically since 1995 and now is holding less than 30 percent of its volume. Rapid development in agricultural sector and land-use changes has resulted in immense construction of dams and water diversions in almost all lake feeding rivers, intensifying lake shrinking, increasing salinity and degrading its ecosystem. Recently, lake's cultural and environmental importance and social pressure has raised concerns and brought government attention to the lake restoration plans. Along with poor management, low yield agriculture as the most water consuming activity in the region with, rapid, insufficient development is one of the most influential drivers in the lake desiccation. Part of the lake restoration plans in agricultural sector is to restrict the agricultural areas in the main feeding river basins flowing mostly in the southern part of the lake and decreasing the agricultural water use in this area. This study assess the efficiency and effectiveness of the proposed plans and its influence on the lake level rise and its impacts on economy in the region using a system dynamics model developed for the Lake consist of hydrological and agro-economical sub-systems. The effect of decrease in agricultural area in the region on GDP and region economy was evaluated and compared with released water contribution in lake level rise for a five year simulation period.

  14. Niche Overlap of Congeneric Invaders Supports a Single-Species Hypothesis and Provides Insight into Future Invasion Risk: Implications for Global Management of the Bactrocera dorsalis Complex

    PubMed Central

    Hill, Matthew P.; Terblanche, John S.

    2014-01-01

    functionally–and global quarantine and management strategies applied equally to these Bactrocera species. PMID:24587234

  15. The future of host cell protein (HCP) identification during process development and manufacturing linked to a risk-based management for their control.

    PubMed

    Bracewell, Daniel G; Francis, Richard; Smales, C Mark

    2015-09-01

    The use of biological systems to synthesize complex therapeutic products has been a remarkable success. However, during product development, great attention must be devoted to defining acceptable levels of impurities that derive from that biological system, heading this list are host cell proteins (HCPs). Recent advances in proteomic analytics have shown how diverse this class of impurities is; as such knowledge and capability grows inevitable questions have arisen about how thorough current approaches to measuring HCPs are. The fundamental issue is how to adequately measure (and in turn monitor and control) such a large number of protein species (potentially thousands of components) to ensure safe and efficacious products. A rather elegant solution is to use an immunoassay (enzyme-linked immunosorbent assay [ELISA]) based on polyclonal antibodies raised to the host cell (biological system) used to synthesize a particular therapeutic product. However, the measurement is entirely dependent on the antibody serum used, which dictates the sensitivity of the assay and the degree of coverage of the HCP spectrum. It provides one summed analog value for HCP amount; a positive if all HCP components can be considered equal, a negative in the more likely event one associates greater risk with certain components of the HCP proteome. In a thorough risk-based approach, one would wish to be able to account for this. These issues have led to the investigation of orthogonal analytical methods; most prominently mass spectrometry. These techniques can potentially both identify and quantify HCPs. The ability to measure and monitor thousands of proteins proportionally increases the amount of data acquired. Significant benefits exist if the information can be used to determine critical HCPs and thereby create an improved basis for risk management. We describe a nascent approach to risk assessment of HCPs based upon such data, drawing attention to timeliness in relation to biosimilar

  16. The future of host cell protein (HCP) identification during process development and manufacturing linked to a risk‐based management for their control

    PubMed Central

    Francis, Richard; Smales, C. Mark

    2015-01-01

    ABSTRACT The use of biological systems to synthesize complex therapeutic products has been a remarkable success. However, during product development, great attention must be devoted to defining acceptable levels of impurities that derive from that biological system, heading this list are host cell proteins (HCPs). Recent advances in proteomic analytics have shown how diverse this class of impurities is; as such knowledge and capability grows inevitable questions have arisen about how thorough current approaches to measuring HCPs are. The fundamental issue is how to adequately measure (and in turn monitor and control) such a large number of protein species (potentially thousands of components) to ensure safe and efficacious products. A rather elegant solution is to use an immunoassay (enzyme‐linked immunosorbent assay [ELISA]) based on polyclonal antibodies raised to the host cell (biological system) used to synthesize a particular therapeutic product. However, the measurement is entirely dependent on the antibody serum used, which dictates the sensitivity of the assay and the degree of coverage of the HCP spectrum. It provides one summed analog value for HCP amount; a positive if all HCP components can be considered equal, a negative in the more likely event one associates greater risk with certain components of the HCP proteome. In a thorough risk‐based approach, one would wish to be able to account for this. These issues have led to the investigation of orthogonal analytical methods; most prominently mass spectrometry. These techniques can potentially both identify and quantify HCPs. The ability to measure and monitor thousands of proteins proportionally increases the amount of data acquired. Significant benefits exist if the information can be used to determine critical HCPs and thereby create an improved basis for risk management. We describe a nascent approach to risk assessment of HCPs based upon such data, drawing attention to timeliness in relation to

  17. Academic Pipeline and Futures Lab

    DTIC Science & Technology

    2016-02-01

    level for summer time programs. The Academic Pipeline will also work with other programs at AFRL and with other universities and organizations to...AFRL-RY-WP-TR-2015-0186 ACADEMIC PIPELINE AND FUTURES LAB Brian D. Rigling Wright State University FEBRUARY 2016...PUBLICATION IN ACCORDANCE WITH ASSIGNED DISTRIBUTION STATEMENT. // Signature// // Signature// KELLY MILLER, Program Manager CHRISTINA

  18. The Enterprise of the Future

    ERIC Educational Resources Information Center

    Murray, Dennis J.

    2009-01-01

    Last year, IBM Corporation conducted a study to determine what the successful enterprise of the future would look like. Its research was based on surveys of 1,130 CEOs, general managers, and senior public sector and business leaders from around the world. A few college and university presidents also were asked to participate. After 30 years as a…

  19. A Guide for Purchasing Food Service Equipment.

    ERIC Educational Resources Information Center

    Berry, Bobbie; Litchford, Mary D.

    This manual provides school foodservice management with information for purchasing conventional foodservice production equipment using a decision-making process and critical pathway approach. Chapters are organized by each phase of the decision-making process, and purchasing tips are highlighted throughout the guide to give suggestions, or alert…

  20. Future Flight Central

    NASA Technical Reports Server (NTRS)

    1999-01-01

    NASA 'Future Flight Central,' the world's first full-scale virtual airport control tower, opened December 13, 1999 at NASA Ames Research Center, Moffett Field, California. Constructed at a cost of $10 million, the two story facility was jointly funded by NASA and the Federal Aviation Administration (FAA). The facility is designed to test ways to solve potential air and ground traffic problems at commercial airports under realistic airport conditions and configurations. The facility provides an opportunity for airlines and airports to mitigate passenger delays by fine tuning airport hub operations, gate management, ramp movement procedures, and various other airport improvements. Twelve rear projection screens provide a seamless 360 degree high- resolution view of the airport or other screens being depicted. The imaging system, powered by supercomputers, provides a realistic view of weather conditions, enviromental and seasonal effects and the movement of up to 200 active aircraft and ground vehicles.