Sample records for maintenance practices

  1. Survey points to practices that reduce refinery maintenance spending

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ricketts, R.

    During the past decade, Solomon Associates Inc., Dallas, has conducted several comparative analyses of maintenance costs in the refining industry. These investigations have brought to light maintenance practices and reliability improvement activities that are responsible for the wide range of maintenance costs recorded by refineries. Some of the practices are of an organizational nature and thus are of interest to managers reviewing their operations. The paper discusses maintenance costs; profitability; cost trends; equipment availability; funds application; two basic organizational approached to maintenance (repair-focused organization and reliability-focused organization); low-cost practices; and organizational style.

  2. Rail Transit System Maintenance Practices for Automatic Fare Collection Equipment

    DOT National Transportation Integrated Search

    1984-05-01

    A review of rail transit system maintenance practices for automatic fare collection (AFC) equipment was performed. This study supports an UMTA sponsored program to improve the reliability of AFC equipment. The maintenance practices of the transit sys...

  3. The present status and future growth of maintenance in US manufacturing: results from a pilot survey.

    PubMed

    Jin, Xiaoning; Siegel, David; Weiss, Brian A; Gamel, Ellen; Wang, Wei; Lee, Jay; Ni, Jun

    A research study was conducted (1) to examine the practices employed by US manufacturers to achieve productivity goals and (2) to understand what level of intelligent maintenance technologies and strategies are being incorporated into these practices. This study found that the effectiveness and choice of maintenance strategy were strongly correlated to the size of the manufacturing enterprise; there were large differences in adoption of advanced maintenance practices and diagnostics and prognostics technologies between small and medium-sized enterprises (SMEs). Despite their greater adoption of maintenance practices and technologies, large manufacturing organizations have had only modest success with respect to diagnostics and prognostics and preventive maintenance projects. The varying degrees of success with respect to preventative maintenance programs highlight the opportunity for larger manufacturers to improve their maintenance practices and use of advanced prognostics and health management (PHM) technology. The future outlook for manufacturing PHM technology among the manufacturing organizations considered in this study was overwhelmingly positive; many manufacturing organizations have current and planned projects in this area. Given the current modest state of implementation and positive outlook for this technology, gaps, future trends, and roadmaps for manufacturing PHM and maintenance strategy are presented.

  4. The present status and future growth of maintenance in US manufacturing: results from a pilot survey

    PubMed Central

    Jin, Xiaoning; Siegel, David; Weiss, Brian A.; Gamel, Ellen; Wang, Wei; Lee, Jay; Ni, Jun

    2016-01-01

    A research study was conducted (1) to examine the practices employed by US manufacturers to achieve productivity goals and (2) to understand what level of intelligent maintenance technologies and strategies are being incorporated into these practices. This study found that the effectiveness and choice of maintenance strategy were strongly correlated to the size of the manufacturing enterprise; there were large differences in adoption of advanced maintenance practices and diagnostics and prognostics technologies between small and medium-sized enterprises (SMEs). Despite their greater adoption of maintenance practices and technologies, large manufacturing organizations have had only modest success with respect to diagnostics and prognostics and preventive maintenance projects. The varying degrees of success with respect to preventative maintenance programs highlight the opportunity for larger manufacturers to improve their maintenance practices and use of advanced prognostics and health management (PHM) technology. The future outlook for manufacturing PHM technology among the manufacturing organizations considered in this study was overwhelmingly positive; many manufacturing organizations have current and planned projects in this area. Given the current modest state of implementation and positive outlook for this technology, gaps, future trends, and roadmaps for manufacturing PHM and maintenance strategy are presented. PMID:27525253

  5. Maintenance and Safety Practices of Escalator in Commercial Buildings

    NASA Astrophysics Data System (ADS)

    Afida Isnaini Janipha, Nurul; Nur Aina Syed Alwee, Sharifah; Ariff, Raihan Mohd; Ismail, Faridah

    2018-02-01

    The escalator is very crucial to transport a person from one place to another. Nevertheless, there are many cases recorded the accidents in relation to escalator. These may occur due to lack of maintenance which leads to systems breakdown, poor safety practices, wear and tear, users’ negligence and others. Thus, proper maintenance systems need to be improvised to prevent and reduce escalator accident in future. This research was aimed to determine the escalator maintenance activities and safety practices in a commercial building. Three case studies were selected within Selangor area. Semi-structured interviews were conducted for collecting data from these three case studies. To achieve the aim of this research, the study was carried out on the maintenance activities, safety practices and cost related to escalator maintenance. As one of the important means of access in building, it is very crucial to increase effectiveness of escalator particularly in commercial building. It is expected that readers will get clear information on the maintenance activities and safety practices of escalator in commercial building.

  6. Improving software maintenance through measurement

    NASA Technical Reports Server (NTRS)

    Rombach, H. Dieter; Ulery, Bradford T.

    1989-01-01

    A practical approach to improving software maintenance through measurements is presented. This approach is based on general models for measurement and improvement. Both models, their integration, and practical guidelines for transferring them into industrial maintenance settings are presented. Several examples of applications of the approach to real-world maintenance environments are discussed.

  7. Research and recommendations for a statewide sign retroreflectivity maintenance program.

    DOT National Transportation Integrated Search

    2012-04-01

    This study evaluated TxDOT's current sign retroreflectivity maintenance practices, assessed their : effectiveness, and recommended statewide sign retroreflectivity maintenance practices that could be easily : and effectively implemented to ensure tha...

  8. Remote Education Using Web Conference System in a Company of Coin Parking Business

    NASA Astrophysics Data System (ADS)

    Yoshioka, Yoshio; Mito, Hiroyuki; Azuma, Kouji

    Maintenance jobs at coin parking places (CP) are very important for keeping trouble free operation. Such maintenance jobs include special inspection at the initiation of new CP and ordinal maintenance works. In order to level up the skill of maintenance people in the company, education of the basic knowlege of electricity, facility and maintenance skills are required. We made an original text for maintenance people, and practiced education by use of web conference system, because they are distributed in whole country, This paper describes a content of text on fundamental knowledge of electricity, facility of coin parking system and trouble experiences, and also a practice of remote education using web conference system. Problems of remote education which were found by practice and the future education plan of practical skill are also described.

  9. Health maintenance organization penetration and the practice location choices of new physicians: a study of large metropolitan areas in the United States.

    PubMed

    Escarce, J J; Polsky, D; Wozniak, G D; Pauly, M V; Kletke, P R

    1998-11-01

    The rapid growth of health maintenance organizations is reshaping the practice opportunities available to physicians. The practice location decisions of new physicians provide a sensitive bellwether of these changes. This study assessed the effect of health maintenance organization penetration on practice location for physicians completing graduate medical education (GME). Conditional logit regression analysis was used to determine the effect of health maintenance organization penetration on practice location, controlling for other market characteristics. Subjects were physicians who finished GME between 1989 and 1994 and who located in one of the 98 US metropolitan areas with more than 500,000 population. The outcome measure was the particular metropolitan area chosen by each new physician. Early in the study period, new generalists were significantly more likely to locate in metropolitan areas with high health maintenance organization penetration than in low penetration areas, whereas new specialists' practice location choices were not associated with health maintenance organization penetration. The likelihood of choosing a high penetration relative to a low penetration area declined with time, however, for both generalists and specialists. Consequently, by the end of the study period, health maintenance organization penetration had a weak but significant negative effect on practice location for generalists and a strong negative influence on practice location for specialists. New generalists who completed graduate medical education between 1989 and 1994 were more likely than new specialists to locate in market areas with high health maintenance organization penetration; however, the proportions of both generalists and specialists who chose high penetration areas decreased during the study period. This finding may reflect reduced practice opportunities in high penetration areas relative to low penetration areas as health maintenance organizations' systems for controlling utilization began to yield results. Alternatively, new physicians may have become more hesitant to accept available positions in high penetration areas.

  10. Air Vehicle Integration and Technology Research (AVIATR). Task Order 0003: Condition-Based Maintenance Plus Structural Integrity (CBM+SI) Demonstration (April 2011 to August 2011)

    DTIC Science & Technology

    2011-08-01

    investigated. Implementation of this technology into the maintenance framework depends on several factors, including safety of the structural system, cost... Maintenance Parameters The F-15 Program has indicated that, in practice , maintenance actions are generally performed on flight hour multiples of 200...Risk Analysis or the Perform Cost Benefit Analysis sections of the flowchart. 4.6. Determine System Configurations The current maintenance practice

  11. 7 CFR 1730.24 - RUS review and evaluation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... independent summary of the operations and maintenance practices of the borrower. The borrower's management... and maintenance practices of each borrower for the purpose of assessing loan security and determining..., and records related to the operations and maintenance of its complete system. Reports made by other...

  12. Managing railcar maintenance : a primer on practices and improvement opportunities for the U.S. transit industry.

    DOT National Transportation Integrated Search

    2013-09-01

    This report surveys the state-of-practice of transit railcar maintenance management and fleet management practices. It emphasizes a lifecycle management approach to fleet management. It also emphasizes the role of performance improvement programs and...

  13. 7 CFR 1730.2 - RUS policy.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... whose operations and maintenance practices and records are satisfactory or to those who are taking corrective actions expected to make their operations and maintenance practices and records satisfactory to...

  14. Development of the salt-reduction and efficacy-maintenance program in Indonesia.

    PubMed

    Irwan, Andi Masyitha; Kato, Mayumi; Kitaoka, Kazuyo; Ueno, Eiichi; Tsujiguchi, Hiromasa; Shogenji, Miho

    2016-12-01

    We conducted a randomized, controlled trial to examine the effects of a salt-reduction and efficacy-maintenance program on the improvement and maintenance of self-care and self-efficacy in reducing the salt intake of older people with high blood pressure. A total of 51 participants with hypertension/prehypertension in Indonesia were randomly assigned to a control group or one of two intervention groups: salt-reduction training or salt-reduction and efficacy-maintenance. The salt-reduction and efficacy-maintenance group received educational training and a maintenance meeting; the participants' knowledge, attitudes, self-care practices, and self-efficacy significantly improved after training and were maintained after the maintenance meeting. Participants in the salt-reduction training group showed significant effects for the same variables; however, their food salt concentrations rebounded after the maintenance meeting. No significant improvement was found in the control group. The salt-reduction and efficacy-maintenance group participants reported positive effects of salt reduction and different practices based on who prepared their meals. The salt-reduction and efficacy-maintenance group program was effective in improving and maintaining knowledge, attitudes, and self-efficacy of salt-reduction practices and could be applied with community-dwelling older people with high blood pressure. © 2016 John Wiley & Sons Australia, Ltd.

  15. Genes and Hearing Loss

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  16. Best practices and performance assessment for preventive maintenance treatments for Virginia pavements.

    DOT National Transportation Integrated Search

    2015-08-01

    Preventive maintenance has the potential to improve network condition by retarding future pavement deterioration. This : report outlines guidelines for implementing a preventive maintenance policy for bituminous pavements. : Preventive maintenance tr...

  17. Survey of transit bus maintenance programs in Virginia.

    DOT National Transportation Integrated Search

    1981-01-01

    Transit bus maintenance practices as used by thirteen small and medium-sized transit systems in Virginia were cataloged. Different approaches to maintenance were investigated and the current condition of transit bus maintenance was determined. Factor...

  18. The Design of Management Practices To Improve the Physical Plant Maintenance of Southwest Texas Junior College.

    ERIC Educational Resources Information Center

    Box, Wilford Winston

    A study was conducted of the physical plant maintenance department (PPMD) of Southwest Texas Junior College (SWTJC), in order to determine if the department was structured as a functional organization, if maintenance control procedures were in place, and if efficient management practices were being used. Consultations with the director of the PPMD…

  19. 49 CFR 195.573 - What must I do to monitor external corrosion control?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... operation and maintenance of the system are in accordance with API Recommended Practice 651. However, this...) why compliance with all or certain operation and maintenance provisions of API Recommended Practice...

  20. 49 CFR 195.573 - What must I do to monitor external corrosion control?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... operation and maintenance of the system are in accordance with API Recommended Practice 651. However, this...) why compliance with all or certain operation and maintenance provisions of API Recommended Practice...

  1. Technical Report: Guide Details Best Practices in Photovoltaic System

    Science.gov Websites

    Operations and Maintenance | Solar Research | NREL Guide Details Best Practices in Photovoltaic A best-practices report on photovoltaic (PV) operations and maintenance (O&M) released by NREL and the PV O&M Working Group provides valuable insights on improving the performance of PV systems

  2. 7 CFR 1468.22 - Conservation practice operation and maintenance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... operation and maintenance is occurring. (b) For those persons who are signatories to existing CRP or EQIP contracts, or WRP cost-share agreements, practices will be transferred from EQIP and CRP contracts or WRP... rights and obligations under CRP, EQIP, or WRP will be incorporated into the new CFO contract. Practices...

  3. Managing Highway Maintenance: Instructor's Guide: For Training in Managing Highway Maintenance.

    ERIC Educational Resources Information Center

    Federal Highway Administration (DOT), Washington, DC. Offices of Research and Development.

    The guide, intended for use by training officers and field instructors in highway maintenance management, contains five courses with a combined total of 17 units of instruction for maintenance engineers and supervisors. The curriculum incorporates management concepts and practices of State, county, and city maintenance agencies which have…

  4. Best Practices in Photovoltaic System Operations and Maintenance: 2nd Edition

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Whaley, Cass

    This best practices guide encourages high-quality system deployment and operation that improves lifetime project performance and energy production while reducing, or at least optimizing, costs to deliver an operation and maintenance program.

  5. Road weather information systems : enabling proactive maintenance practices in Washington state

    DOT National Transportation Integrated Search

    2002-03-01

    Washington State Department of Transportation's (WSDOT) rWeather program has significantly integrated and expanded the capabilities of road weather information systems (RWIS) in the state, enabling proactive winter maintenance practices and better-in...

  6. Translational research: bridging the gap between long-term weight loss maintenance research and practice.

    PubMed

    Akers, Jeremy D; Estabrooks, Paul A; Davy, Brenda M

    2010-10-01

    The number of US adults classified as overweight or obese has dramatically increased in the past 25 years, resulting in a significant body of research addressing weight loss and weight loss maintenance. However, little is known about the potential of weight loss maintenance interventions to be translated into actual practice settings. Thus, the purpose of this article is to determine the translation potential of published weight loss maintenance intervention studies by determining the extent to which they report information across the reach, efficacy/effectiveness, adoption, implementation, and maintenance (RE-AIM) framework. A secondary purpose is to provide recommendations for research based on these findings. To identify relevant research articles, a literature search was conducted using four databases; 19 weight loss maintenance intervention studies were identified for inclusion. Each article was evaluated using the RE-AIM Coding Sheet for Publications to determine the extent to which dimensions related to internal and external validity were reported. Approximately half of the articles provided information addressing three RE-AIM dimensions, yet only a quarter provided information addressing adoption and maintenance. Significant gaps were identified in understanding external validity, and metrics that could facilitate the translation of these interventions from research to practice are presented. Based upon this review, it is unknown how effective weight loss maintenance interventions could be in real-world situations, such as clinical or community practice settings. Future studies should be planned to address how weight loss maintenance intervention programs will be adopted and maintained, with special attention to costs for participants and for program implementation. Copyright © 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.

  7. Present Status and Future Growth of Advanced Maintenance Technology and Strategy in US Manufacturing.

    PubMed

    Jin, Xiaoning; Weiss, Brian A; Siegel, David; Lee, Jay

    2016-01-01

    The goals of this paper are to 1) examine the current practices of diagnostics, prognostics, and maintenance employed by United States (U.S.) manufacturers to achieve productivity and quality targets and 2) to understand the present level of maintenance technologies and strategies that are being incorporated into these practices. A study is performed to contrast the impact of various industry-specific factors on the effectiveness and profitability of the implementation of prognostics and health management technologies, and maintenance strategies using both surveys and case studies on a sample of U.S. manufacturing firms ranging from small to mid-sized enterprises (SMEs) to large-sized manufacturing enterprises in various industries. The results obtained provide important insights on the different impacts of specific factors on the successful adoption of these technologies between SMEs and large manufacturing enterprises. The varying degrees of success with respect to current maintenance programs highlight the opportunity for larger manufacturers to improve maintenance practices and consider the use of advanced prognostics and health management (PHM) technology. This paper also provides the existing gaps, barriers, future trends, and roadmaps for manufacturing PHM technology and maintenance strategy.

  8. Present Status and Future Growth of Advanced Maintenance Technology and Strategy in US Manufacturing

    PubMed Central

    Jin, Xiaoning; Weiss, Brian A.; Siegel, David; Lee, Jay

    2016-01-01

    The goals of this paper are to 1) examine the current practices of diagnostics, prognostics, and maintenance employed by United States (U.S.) manufacturers to achieve productivity and quality targets and 2) to understand the present level of maintenance technologies and strategies that are being incorporated into these practices. A study is performed to contrast the impact of various industry-specific factors on the effectiveness and profitability of the implementation of prognostics and health management technologies, and maintenance strategies using both surveys and case studies on a sample of U.S. manufacturing firms ranging from small to mid-sized enterprises (SMEs) to large-sized manufacturing enterprises in various industries. The results obtained provide important insights on the different impacts of specific factors on the successful adoption of these technologies between SMEs and large manufacturing enterprises. The varying degrees of success with respect to current maintenance programs highlight the opportunity for larger manufacturers to improve maintenance practices and consider the use of advanced prognostics and health management (PHM) technology. This paper also provides the existing gaps, barriers, future trends, and roadmaps for manufacturing PHM technology and maintenance strategy. PMID:28058173

  9. Routine road maintenance water quality and habitat guide : best management practices

    DOT National Transportation Integrated Search

    2009-01-01

    Since June 9, 1999 the Oregon Department of Transportation (ODOT) has implemented the Routine Road Maintenance: Water Quality and Habitat Guide Best Management Practices (the Guide), and is considered the cornerstone of the ODOT'd Office of Maintenan...

  10. Operations & Maintenance Best Practices - A Guide to Achieving Operational Efficiency Release 3.0

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    None

    This Operations and Maintenance (O&M) Best Practices Guide was developed under the direction of the U.S. Department of Energy’s Federal Energy Management Program (FEMP). The mission of FEMP is to facilitate the Federal Government’s implementation of sound, cost effective energy management and investment practices to enhance the nation’s energy security and environmental stewardship.

  11. Parental Perceptions toward and Practices of Heritage Language Maintenance: Focusing on the United States and Canada

    ERIC Educational Resources Information Center

    Liang, Feng

    2018-01-01

    This study reviews 17 studies since the year of 2000 on the perceptions and practices of immigrant parents who reside in the United States or Canada with respect to their children's heritage language maintenance (HLM). The findings suggest that parental perceptions may change due to practical considerations and vary with different degrees of…

  12. Finding the Written in Unexpected Places: Literacy in the Maintenance and Practice of Lukumí Rituals and Traditions

    ERIC Educational Resources Information Center

    Pogue, Tiffany D.

    2015-01-01

    This study describes the use of literacy--including the written word--in the maintenance and practice of Lukumí, a Diasporic African spiritual tradition. While Lukumí is decidedly orally transmitted, the written word is still a critical part of its contemporary practice. Relying on data collected during participant observation of ceremonies and…

  13. Effects of Computer-Based Practice on the Acquisition and Maintenance of Basic Academic Skills for Children with Moderate to Intensive Educational Needs

    ERIC Educational Resources Information Center

    Everhart, Julie M.; Alber-Morgan, Sheila R.; Park, Ju Hee

    2011-01-01

    This study investigated the effects of computer-based practice on the acquisition and maintenance of basic academic skills for two children with moderate to intensive disabilities. The special education teacher created individualized computer games that enabled the participants to independently practice academic skills that corresponded with their…

  14. Management Tools for Bus Maintenance: Current Practices and New Methods. Final Report.

    ERIC Educational Resources Information Center

    Foerster, James; And Others

    Management of bus fleet maintenance requires systematic recordkeeping, management reporting, and work scheduling procedures. Tools for controlling and monitoring routine maintenance activities are in common use. These include defect and fluid consumption reports, work order systems, historical maintenance records, and performance and cost…

  15. Developing mobile- and BIM-based integrated visual facility maintenance management system.

    PubMed

    Lin, Yu-Cheng; Su, Yu-Chih

    2013-01-01

    Facility maintenance management (FMM) has become an important topic for research on the operation phase of the construction life cycle. Managing FMM effectively is extremely difficult owing to various factors and environments. One of the difficulties is the performance of 2D graphics when depicting maintenance service. Building information modeling (BIM) uses precise geometry and relevant data to support the maintenance service of facilities depicted in 3D object-oriented CAD. This paper proposes a new and practical methodology with application to FMM using BIM technology. Using BIM technology, this study proposes a BIM-based facility maintenance management (BIMFMM) system for maintenance staff in the operation and maintenance phase. The BIMFMM system is then applied in selected case study of a commercial building project in Taiwan to verify the proposed methodology and demonstrate its effectiveness in FMM practice. Using the BIMFMM system, maintenance staff can access and review 3D BIM models for updating related maintenance records in a digital format. Moreover, this study presents a generic system architecture and its implementation. The combined results demonstrate that a BIMFMM-like system can be an effective visual FMM tool.

  16. Winter maintenance performance measure.

    DOT National Transportation Integrated Search

    2016-01-01

    The Winter Performance Index is a method of quantifying winter storm events and the DOTs response to them. : It is a valuable tool for evaluating the States maintenance practices, performing post-storm analysis, training : maintenance personnel...

  17. Maintenance practices for stormwater runoff - phase 2.

    DOT National Transportation Integrated Search

    2015-04-01

    Seven wet detention ponds possessing severe maintenance issues were selected from disparate FDOT : districts. The maintenance problems ranged from excess littoral zone growth and intense algal blooms : to bank erosion and sediment accumulation. Inten...

  18. Maintenance manager's manual for small transit agencies. Special report 1985-1986

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fowler, W.

    1988-03-01

    This publication contains information to assist operators of transit agencies providing public transportation in rural and smaller urban areas to better manage their vehicle maintenance programs. The report includes discussions of maintenance management, maintenance programs preventive maintenance, recordkeeping, selection of type of maintenance operation, in-house maintenance, and maintenance practices. Also included are appendixes giving supplementary information about tire loads; lubrication oil; mechanic hand tools; shop tools; mechanic aptitude tests; technical training resources; maintenance management training resources; and lists of manufacturers of air-conditioning systems, wheelchair lifts and wheelchair ramps.

  19. 40 CFR 61.12 - Compliance with standards and maintenance requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Provisions § 61.12 Compliance with standards and maintenance requirements. (a) Compliance with numerical... otherwise specified in an individual subpart. (b) Compliance with design, equipment, work practice or... pollution control, in a manner consistent with good air pollution control practice for minimizing emissions...

  20. 40 CFR 63.11085 - What are my general duties to minimize emissions?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Distribution Bulk Terminals, Bulk Plants, and Pipeline Facilities Emission Limitations and Management Practices... control practices for minimizing emissions. Determination of whether such operation and maintenance... operation and maintenance records, and inspection of the source. (b) You must keep applicable records and...

  1. 40 CFR 63.11085 - What are my general duties to minimize emissions?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Distribution Bulk Terminals, Bulk Plants, and Pipeline Facilities Emission Limitations and Management Practices... control practices for minimizing emissions. Determination of whether such operation and maintenance... operation and maintenance records, and inspection of the source. (b) You must keep applicable records and...

  2. 40 CFR 63.11085 - What are my general duties to minimize emissions?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Distribution Bulk Terminals, Bulk Plants, and Pipeline Facilities Emission Limitations and Management Practices... control practices for minimizing emissions. Determination of whether such operation and maintenance... operation and maintenance records, and inspection of the source. (b) You must keep applicable records and...

  3. State-of-the-practice : evaluation of sediment basin design, construction, maintenance, and inspection procedures.

    DOT National Transportation Integrated Search

    2012-08-01

    The following document is the summary of results from a survey that was conducted to evaluate the state-of-the-practice for sediment basin design, construction, maintenance, and inspection procedures by State Highway Agencies (SHAs) across the nation...

  4. State-of-the-practice : evaluation of sediment basin design, construction, maintenance, and inspection procedures.

    DOT National Transportation Integrated Search

    2012-08-01

    The following document is the summary of results from a survey that was conducted to evaluate : the state-of-the-practice for sediment basin design, construction, maintenance, and inspection : procedures by State Highway Agencies (SHAs) across the na...

  5. 77 FR 73769 - Endangered and Threatened Wildlife and Plants; Listing Four Subspecies of Mazama Pocket Gopher...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-11

    ... conversion and degradation of habitat, particularly from agricultural and urban development, successional... take prohibitions (at section 9), existing maintenance activities and agricultural practices located on... prohibitions existing maintenance activities and agricultural practices on private lands, including airports...

  6. Power plant maintenance scheduling using ant colony optimization: an improved formulation

    NASA Astrophysics Data System (ADS)

    Foong, Wai Kuan; Maier, Holger; Simpson, Angus

    2008-04-01

    It is common practice in the hydropower industry to either shorten the maintenance duration or to postpone maintenance tasks in a hydropower system when there is expected unserved energy based on current water storage levels and forecast storage inflows. It is therefore essential that a maintenance scheduling optimizer can incorporate the options of shortening the maintenance duration and/or deferring maintenance tasks in the search for practical maintenance schedules. In this article, an improved ant colony optimization-power plant maintenance scheduling optimization (ACO-PPMSO) formulation that considers such options in the optimization process is introduced. As a result, both the optimum commencement time and the optimum outage duration are determined for each of the maintenance tasks that need to be scheduled. In addition, a local search strategy is presented in this article to boost the robustness of the algorithm. When tested on a five-station hydropower system problem, the improved formulation is shown to be capable of allowing shortening of maintenance duration in the event of expected demand shortfalls. In addition, the new local search strategy is also shown to have significantly improved the optimization ability of the ACO-PPMSO algorithm.

  7. Best practices handbook on asphalt pavement maintenance

    DOT National Transportation Integrated Search

    2000-02-01

    The purpose of this handbook is to provide background information about the importance of pavement preservation and preventive maintenance, as well as present maintenance techniques for a variety of distresses and conditions. The major focus of this ...

  8. Exploring Virtual Mental Practice in Maintenance Task Training

    ERIC Educational Resources Information Center

    Bauerle, Tim; Brnich, Michael J.; Navoyski, Jason

    2016-01-01

    Purpose: This paper aims to contribute to a general understanding of mental practice by investigating the utility of and participant reaction to a virtual reality maintenance training among underground coal mine first responders. Design/Methodology/Approach: Researchers at the National Institute for Occupational Safety and Health's Office of Mine…

  9. 40 CFR 63.11115 - What are my general duties to minimize emissions?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Dispensing Facilities Emission Limitations and Management Practices § 63.11115 What are my general duties to... consistent with safety and good air pollution control practices for minimizing emissions. Determination of... and maintenance procedures, review of operation and maintenance records, and inspection of the source...

  10. 40 CFR 63.11115 - What are my general duties to minimize emissions?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Dispensing Facilities Emission Limitations and Management Practices § 63.11115 What are my general duties to... consistent with safety and good air pollution control practices for minimizing emissions. Determination of... and maintenance procedures, review of operation and maintenance records, and inspection of the source...

  11. 40 CFR 63.11115 - What are my general duties to minimize emissions?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Dispensing Facilities Emission Limitations and Management Practices § 63.11115 What are my general duties to... consistent with safety and good air pollution control practices for minimizing emissions. Determination of... and maintenance procedures, review of operation and maintenance records, and inspection of the source...

  12. 40 CFR 63.1451 - How do I demonstrate initial compliance with the emission limitations, work practice standards...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... written operation and maintenance plan required under § 63.1447(b) detailed descriptions of the procedures... with the emission limitations, work practice standards, and operation and maintenance requirements that... (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

  13. 40 CFR 63.1451 - How do I demonstrate initial compliance with the emission limitations, work practice standards...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... written operation and maintenance plan required under § 63.1447(b) detailed descriptions of the procedures... with the emission limitations, work practice standards, and operation and maintenance requirements that... (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

  14. 40 CFR 63.1451 - How do I demonstrate initial compliance with the emission limitations, work practice standards...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... written operation and maintenance plan required under § 63.1447(b) detailed descriptions of the procedures... with the emission limitations, work practice standards, and operation and maintenance requirements that... (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

  15. 40 CFR 63.1451 - How do I demonstrate initial compliance with the emission limitations, work practice standards...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... written operation and maintenance plan required under § 63.1447(b) detailed descriptions of the procedures... compliance with the emission limitations, work practice standards, and operation and maintenance requirements... (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

  16. 40 CFR 63.1451 - How do I demonstrate initial compliance with the emission limitations, work practice standards...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... written operation and maintenance plan required under § 63.1447(b) detailed descriptions of the procedures... compliance with the emission limitations, work practice standards, and operation and maintenance requirements... (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

  17. Healthier Cleaning & Maintenance: Practices and Products for Schools.

    ERIC Educational Resources Information Center

    New York State Association for Superintendents of School Buildings and Grounds, Albany.

    This paper helps all those concerned with keeping schools clean and properly maintained in adopting healthier cleaning and maintenance practices and promoting the purchase and use of environmentally preferable products which perform well and are cost effective. It explains how children are exposed to toxic chemicals in school cleaning and…

  18. Developing Mobile- and BIM-Based Integrated Visual Facility Maintenance Management System

    PubMed Central

    Su, Yu-Chih

    2013-01-01

    Facility maintenance management (FMM) has become an important topic for research on the operation phase of the construction life cycle. Managing FMM effectively is extremely difficult owing to various factors and environments. One of the difficulties is the performance of 2D graphics when depicting maintenance service. Building information modeling (BIM) uses precise geometry and relevant data to support the maintenance service of facilities depicted in 3D object-oriented CAD. This paper proposes a new and practical methodology with application to FMM using BIM technology. Using BIM technology, this study proposes a BIM-based facility maintenance management (BIMFMM) system for maintenance staff in the operation and maintenance phase. The BIMFMM system is then applied in selected case study of a commercial building project in Taiwan to verify the proposed methodology and demonstrate its effectiveness in FMM practice. Using the BIMFMM system, maintenance staff can access and review 3D BIM models for updating related maintenance records in a digital format. Moreover, this study presents a generic system architecture and its implementation. The combined results demonstrate that a BIMFMM-like system can be an effective visual FMM tool. PMID:24227995

  19. An Evaluation of Facility Maintenance and Repair Strategies of Select Companies

    DTIC Science & Technology

    2002-09-01

    challenge for facility maintenance professionals is balancing the cost of facility Maintenance and Repair (M&R) with the benefits derived from those...maintenance professionals is balancing the cost of facility Maintenance and Repair (M&R) with the benefits derived from those facilities. This thesis...private organizations may also benefit from an analysis of the practices in use by successful corporations. The second group to benefit from this

  20. The lifetime direct cost of periodontal treatment: a case study from a Norwegian specialist practice.

    PubMed

    Fardal, Øystein; O'Neill, Ciaran; Gjermo, Per; Fardal, Elizabeth; Sandvik, Leiv; Hansen, B Frode; Linden, Gerard J

    2012-12-01

    Successful periodontal treatment requires a commitment to regular lifelong maintenance and may be perceived by patients to be costly. This study calculates the total lifetime cost of periodontal treatment in the setting of a specialist periodontal practice and investigates the cost implications of choosing not to proceed with such treatment. Data from patients treated in a specialist practice in Norway were used to calculate the total lifetime cost of periodontal treatment that included baseline periodontal treatment, regular maintenance, retreatment, and replacing teeth lost during maintenance. Incremental costs for alternative strategies based on opting to forego periodontal treatment or maintenance and to replace any teeth lost with either bridgework or implants were calculated. Patients who completed baseline periodontal treatment but did not have any additional maintenance or retreatment could replace only three teeth with bridgework or two teeth with implants before the cost of replacing additional teeth would exceed the cost of lifetime periodontal treatment. Patients who did not have any periodontal treatment could replace ≤ 4 teeth with bridgework or implants before a replacement strategy became more expensive. Within the limits of the assumptions made, periodontal treatment in a Norwegian specialist periodontal practice is cost-effective when compared to an approach that relies on opting to replace teeth lost as a result of progressive periodontitis with fixed restorations. In particular, patients who have initial comprehensive periodontal treatment but do not subsequently comply with maintenance could, on average, replace ≤ 3 teeth with bridgework or two teeth with implants before this approach would exceed the direct cost of lifetime periodontal treatment in the setting of the specialist practice studied.

  1. Fatigue risk management in aviation maintenance : current best practices and potential future countermeasures.

    DOT National Transportation Integrated Search

    2011-06-01

    The unregulated hours and frequent night work characteristic of maintenance can produce significant levels of : employee fatigue, with a resultant risk of maintenance error. Fatigue Risk Management Systems (FRMS) are : widely used to manage fatigue a...

  2. A probabilistic maintenance model for diesel engines

    NASA Astrophysics Data System (ADS)

    Pathirana, Shan; Abeygunawardane, Saranga Kumudu

    2018-02-01

    In this paper, a probabilistic maintenance model is developed for inspection based preventive maintenance of diesel engines based on the practical model concepts discussed in the literature. Developed model is solved using real data obtained from inspection and maintenance histories of diesel engines and experts' views. Reliability indices and costs were calculated for the present maintenance policy of diesel engines. A sensitivity analysis is conducted to observe the effect of inspection based preventive maintenance on the life cycle cost of diesel engines.

  3. [Hospital maintenance: management, risks, and responsibilities].

    PubMed

    Rabino, F

    2002-01-01

    Principal activities of maintenance carried out in hospital, staff required, various type of organization (inside team or global service), management aspects are described. Subjects responsible of maintenance are characterized and the relationships between Service of Maintenance and Service of Prevention and Protection in hospital are specified. Responsibility aspects concerning safety of maintenance workers and main risks which are exposed are defined. The importance of disponibility of a good maintenance handbook and of projects and programs of practice for new hospitals are emphasized.

  4. Research requirements to reduce maintenance costs of civil helicopters

    NASA Technical Reports Server (NTRS)

    Million, D. J.; Waters, K. T.

    1978-01-01

    The maintenance problems faced by the operators of civil helicopters that result in high costs are documented. Existing technology that can be applied to reduce maintenance costs and research that should be carried out were identified. Good design practice and application of existing technology were described as having a significant impact on reducing maintenance costs immediately. The research and development that have potential for long range reduction of maintenance costs are presented.

  5. Detection of structural deterioration and associated airline maintenance problems

    NASA Technical Reports Server (NTRS)

    Henniker, H. D.; Mitchell, R. G.

    1972-01-01

    Airline operations involving the detection of structural deterioration and associated maintenance problems are discussed. The standard approach to the maintenance and inspection of aircraft components and systems is described. The frequency of inspections and the application of preventive maintenance practices are examined. The types of failure which airline transport aircraft encounter and the steps taken to prevent catastrophic failure are reported.

  6. 77 FR 67584 - Air Carrier Contract Maintenance Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-13

    ...-certificated repair facilities, and the air carriers' outsourcing of maintenance. In each of those reports... maintenance outsourcing practices (Recommendation 2). \\3\\ Review of Air Carriers' Use of Aircraft Repair... (Recommendation 7). \\4\\ Air Carrier's Outsourcing Use of Non-Certificated Repair Facilities, Report No. AV-2006...

  7. Modeling and Simulation of HVAC Faulty Operations and Performance Degradation due to Maintenance Issues

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wang, Liping; Hong, Tianzhen

    Almost half of the total energy used in the U.S. buildings is consumed by heating, ventilation and air conditionings (HVAC) according to EIA statistics. Among various driving factors to energy performance of building, operations and maintenance play a significant role. Many researches have been done to look at design efficiencies and operational controls for improving energy performance of buildings, but very few study the impacts of HVAC systems maintenance. Different practices of HVAC system maintenance can result in substantial differences in building energy use. If a piece of HVAC equipment is not well maintained, its performance will degrade. If sensorsmore » used for control purpose are not calibrated, not only building energy usage could be dramatically increased, but also mechanical systems may not be able to satisfy indoor thermal comfort. Properly maintained HVAC systems can operate efficiently, improve occupant comfort, and prolong equipment service life. In the paper, maintenance practices for HVAC systems are presented based on literature reviews and discussions with HVAC engineers, building operators, facility managers, and commissioning agents. We categorize the maintenance practices into three levels depending on the maintenance effort and coverage: 1) proactive, performance-monitored maintenance; 2) preventive, scheduled maintenance; and 3) reactive, unplanned or no maintenance. A sampled list of maintenance issues, including cooling tower fouling, boiler/chiller fouling, refrigerant over or under charge, temperature sensor offset, outdoor air damper leakage, outdoor air screen blockage, outdoor air damper stuck at fully open position, and dirty filters are investigated in this study using field survey data and detailed simulation models. The energy impacts of both individual maintenance issue and combined scenarios for an office building with central VAV systems and central plant were evaluated by EnergyPlus simulations using three approaches: 1) direct modeling with EnergyPlus, 2) using the energy management system feature of EnergyPlus, and 3) modifying EnergyPlus source code. The results demonstrated the importance of maintenance for HVAC systems on energy performance of buildings. The research is intended to provide a guideline to help practitioners and building operators to gain the knowledge of maintaining HVAC systems in efficient operations, and prioritize HVAC maintenance work plan. The paper also discusses challenges of modeling building maintenance issues using energy simulation programs.« less

  8. Implementing a Reliability Centered Maintenance Program at NASA's Kennedy Space Center

    NASA Technical Reports Server (NTRS)

    Tuttle, Raymond E.; Pete, Robert R.

    1998-01-01

    Maintenance practices have long focused on time based "preventive maintenance" techniques. Components were changed out and parts replaced based on how long they had been in place instead of what condition they were in. A reliability centered maintenance (RCM) program seeks to offer equal or greater reliability at decreased cost by insuring only applicable, effective maintenance is performed and by in large part replacing time based maintenance with condition based maintenance. A significant portion of this program involved introducing non-intrusive technologies, such as vibration analysis, oil analysis and I/R cameras, to an existing labor force and management team.

  9. [Family practices related to breast-feeding maintenance: literature review and meta-synthesis].

    PubMed

    de Sousa, Alder Mourão; Fracolli, Lislaine Aparecida; Zoboli, Elma Lourdes Campos Pavone

    2013-08-01

    To identify and summarize family practices related to the maintenance of breast-feeding. We conducted a literature review and meta-synthesis of the findings of selected articles. Fourteen articles published in English, Portuguese, and Spanish between 1989 and 2009 were selected. The synthesis revealed five categories concerning family practices related to the maintenance of breast-feeding: 1) emotional support, which involves welcoming the mother and the baby, valuing and encouraging breast-feeding, and emphasizing the value of breast-feeding; 2) instrumental support, which covers attending prenatal consultations and home visits, participating in baby care, and providing help in everyday tasks beyond the first few weeks postpartum; 3) informational support, which involves stating the wish to be involved in breast-feeding and encouraging the mother, but not forcing her to share experiences; 4) presence support, which involves being close to the mother and taking the time to listen to her; and 5) self-support, which involves maintaining positive expectations about breast-feeding. The results show that practices defined as support contribute to the maintenance of breast-feeding for longer periods. These findings underscore the need for expansion of the care provided to women, children, and families to include issues related to interpersonal interactions.

  10. A reliability-based maintenance technicians' workloads optimisation model with stochastic consideration

    NASA Astrophysics Data System (ADS)

    Ighravwe, D. E.; Oke, S. A.; Adebiyi, K. A.

    2016-06-01

    The growing interest in technicians' workloads research is probably associated with the recent surge in competition. This was prompted by unprecedented technological development that triggers changes in customer tastes and preferences for industrial goods. In a quest for business improvement, this worldwide intense competition in industries has stimulated theories and practical frameworks that seek to optimise performance in workplaces. In line with this drive, the present paper proposes an optimisation model which considers technicians' reliability that complements factory information obtained. The information used emerged from technicians' productivity and earned-values using the concept of multi-objective modelling approach. Since technicians are expected to carry out routine and stochastic maintenance work, we consider these workloads as constraints. The influence of training, fatigue and experiential knowledge of technicians on workload management was considered. These workloads were combined with maintenance policy in optimising reliability, productivity and earned-values using the goal programming approach. Practical datasets were utilised in studying the applicability of the proposed model in practice. It was observed that our model was able to generate information that practicing maintenance engineers can apply in making more informed decisions on technicians' management.

  11. 100 Successful Years of Vertical Lift Gates of Bhatghar Dam—Design, Manufacturing, Erection, and Maintenance: A Case Study

    NASA Astrophysics Data System (ADS)

    Mahajan, Dinakar Rajaram

    2017-09-01

    The Bhatghar dam is having 81 vertical lift gates (fixed wheel type) on waste ways. The design of these gates is so beautiful and based on simple principles of science and engineering that these gates outlast for 100 years without failure, performing their intended purpose satisfactorily. It is achieved by meticulous design, manufacturing, erection, subsequent use and maintenance practices. It has become guiding and inspiration for further practices in design, manufacturing, erection, and maintenance for dam gates as well as all other disciplines of engineering today.

  12. Working memory plasticity in old age: practice gain, transfer, and maintenance.

    PubMed

    Li, Shu-Chen; Schmiedek, Florian; Huxhold, Oliver; Röcke, Christina; Smith, Jacqui; Lindenberger, Ulman

    2008-12-01

    Adult age differences in cognitive plasticity have been studied less often in working memory than in episodic memory. The authors investigated the effects of extensive working memory practice on performance improvement, transfer, and short-term maintenance of practice gains and transfer effects. Adults age 20-30 years and 70-80 years practiced a spatial working memory task with 2 levels of processing demands across 45 days for about 15 min per day. In both age groups and relative to age-matched, no-contact control groups, we found (a) substantial performance gains on the practiced task, (b) near transfer to a more demanding spatial n-back task and to numerical n-back tasks, and (c) 3-month maintenance of practice gains and near transfer effects, with decrements relative to postpractice performance among older but not younger adults. No evidence was found for far transfer to complex span tasks. The authors discuss neuronal mechanisms underlying adult age differences and similarities in patterns of plasticity and conclude that the potential of deliberate working memory practice as a tool for improving cognition in old age merits further exploration. Copyright (c) 2009 APA, all rights reserved.

  13. General aviation avionics equipment maintenance

    NASA Technical Reports Server (NTRS)

    Parker, C. D.; Tommerdahl, J. B.

    1978-01-01

    Maintenance of general aviation avionics equipment was investigated with emphasis on single engine and light twin engine general aviation aircraft. Factors considered include the regulatory agencies, avionics manufacturers, avionics repair stations, the statistical character of the general aviation community, and owners and operators. The maintenance, environment, and performance, repair costs, and reliability of avionics were defined. It is concluded that a significant economic stratification is reflected in the maintenance problems encountered, that careful attention to installations and use practices can have a very positive impact on maintenance problems, and that new technologies and a general growth in general aviation will impact maintenance.

  14. School Operations and Maintenance: Best Practices For Controlling Energy Costs. A Guidebook for K-12 School System Business Officers and Facilities Managers

    ERIC Educational Resources Information Center

    US Department of Energy, 2004

    2004-01-01

    Operations and maintenance (O&M) offers not only strategies for maintaining facilities, but also opportunities for reducing energy costs and increasing energy efficiency at existing schools, regardless of age. This Guidebook provides detailed and practical guidance on how K-12 school districts can plan and implement enhancements to their current…

  15. Studies in Ambulatory Care Quality Assessment in the Indian Health Service. Volume III: Comparison of Rural Private Practice, Health Maintenance Organizations, and the Indian Health Service.

    ERIC Educational Resources Information Center

    Nutting, Paul A.; And Others

    Utilizing a quality assessment methodology for ambulatory patient care currently under development by the Indian Health Service's (IHS) Office of Research and Development, comparisons were made between results derived from a pilot test in IHS service units, 2 metropolitan Health Maintenance Organizations (HMO), and 3 rural private practices.…

  16. Evaluation of vaccine cold chain in urban health centers of municipal corporation of surat city, Western India.

    PubMed

    Naik, Ashish K; Rupani, Mihir P; Bansal, R K

    2013-12-01

    The success of immunization depends highly on the level of cold chain maintenance. The aim of the study was to assess the condition of cold chain equipment, practices adopted for cold chain maintenance and knowledge of the vaccinators. It was a cross-sectional study conducted in 20 UHCs of Surat Municipal Corporation (SMC). Cold chain equipment were observed with regards to their condition, along with the practices adopted by vaccinators for cold chain maintenance. A pre-designed and pre-tested questionnaire was used to interview the vaccinators regarding their knowledge and awareness regarding cold chain practices, management and handling. Data were entered and analyzed using Epi Info v 3.5.1. Simple proportions were calculated. Absence of separate stabilizer for deep freezers and ILRs (85%), ill-maintained temperature-record register, lack of criss-cross pattern of ice packs in deep freezer (65%), presence of things other than ice packs in deep freezer (10%) and things other than vaccines in ILR (10%) indicate poor cold chain maintenance. In addition to this, expired vaccines in ILR (5%), vaccines in the "unusable" stages of VVM (15%), lack of emergency contact number nearby in case of cold chain failure (85%), lack of inverter (85%), lack of generator (85%) and failure to note time of reconstitution on the vaccine vial at the time of vaccination (25%) indicate poor cold chain practices. Lack of knowledge of defrosting of ILR and deep freezer (45%), lack of knowledge about Shake test (40%), lack of knowledge of temperature range to be maintained in deep freezer (70%) and in ILR (15%) indicate poor knowledge of vaccinators. Cold chain maintenance and practices need improvement. Knowledge of vaccinators was overall unsatisfactory.

  17. Can methadone maintenance for heroin-dependent patients retained in general practice reduce criminal conviction rates and time spent in prison?

    PubMed Central

    Keen, J; Rowse, G; Mathers, N; Campbell, M; Seivewright, N

    2000-01-01

    A retrospective analysis was made of the criminal records of 57 patients successfully retained in methadone maintenance at two general practices in Sheffield. Their criminal conviction rates and time spent in prison per year were compared for the periods before and after the start of their methadone programme. Overall, patients retained on methadone programmes in the general practices studied had significantly fewer convictions and cautions, and spent significantly less time in prison than they had before the start of treatment. PMID:10695069

  18. Air Vehicle Integration and Technology Research (AVIATR). Task Order 0003: Condition-Based Maintenance Plus Structural Integrity (CBM+SI) Demonstration (September 2011 to March 2012)

    DTIC Science & Technology

    2012-03-01

    the potential maintenance plans are compared via the TPMs , which are related to the cost of ownership of the fleet and to aircraft availability. 7...due to maintenance of the wing system is reported because this measure has a straightforward interpretation. This TPM is referred to as Fleet DT...3.2.2. Maintenance Parameters The F-15 Program has indicated that, in practice , maintenance actions are generally performed on multiples of 200 FH. For

  19. Elements of an Asbestos Operations and Maintenance (O&M) Program

    EPA Pesticide Factsheets

    Links to descriptions of Elements of an Operations and Maintenance (O&M) Program: Training, Occupant Notification, Monitoring ACM, Job-Site Controls for Work Involving ACM, Safe Work Practices, Recordkeeping, Worker Protection.

  20. 7 CFR 1465.22 - Conservation practice operation and maintenance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) during the contract duration to ensure that operation and maintenance requirements are being carried out... established in accordance with § 1465.23, provided such payments do not exceed the payment limitation...

  1. Operational Interventions to Maintenance Error

    NASA Technical Reports Server (NTRS)

    Kanki, Barbara G.; Walter, Diane; Dulchinos, VIcki

    1997-01-01

    A significant proportion of aviation accidents and incidents are known to be tied to human error. However, research of flight operational errors has shown that so-called pilot error often involves a variety of human factors issues and not a simple lack of individual technical skills. In aircraft maintenance operations, there is similar concern that maintenance errors which may lead to incidents and accidents are related to a large variety of human factors issues. Although maintenance error data and research are limited, industry initiatives involving human factors training in maintenance have become increasingly accepted as one type of maintenance error intervention. Conscientious efforts have been made in re-inventing the team7 concept for maintenance operations and in tailoring programs to fit the needs of technical opeRAtions. Nevertheless, there remains a dual challenge: 1) to develop human factors interventions which are directly supported by reliable human error data, and 2) to integrate human factors concepts into the procedures and practices of everyday technical tasks. In this paper, we describe several varieties of human factors interventions and focus on two specific alternatives which target problems related to procedures and practices; namely, 1) structured on-the-job training and 2) procedure re-design. We hope to demonstrate that the key to leveraging the impact of these solutions comes from focused interventions; that is, interventions which are derived from a clear understanding of specific maintenance errors, their operational context and human factors components.

  2. Reduction of Maintenance Error Through Focused Interventions

    NASA Technical Reports Server (NTRS)

    Kanki, Barbara G.; Walter, Diane; Rosekind, Mark R. (Technical Monitor)

    1997-01-01

    It is well known that a significant proportion of aviation accidents and incidents are tied to human error. In flight operations, research of operational errors has shown that so-called "pilot error" often involves a variety of human factors issues and not a simple lack of individual technical skills. In aircraft maintenance operations, there is similar concern that maintenance errors which may lead to incidents and accidents are related to a large variety of human factors issues. Although maintenance error data and research are limited, industry initiatives involving human factors training in maintenance have become increasingly accepted as one type of maintenance error intervention. Conscientious efforts have been made in re-inventing the "team" concept for maintenance operations and in tailoring programs to fit the needs of technical operations. Nevertheless, there remains a dual challenge: to develop human factors interventions which are directly supported by reliable human error data, and to integrate human factors concepts into the procedures and practices of everyday technical tasks. In this paper, we describe several varieties of human factors interventions and focus on two specific alternatives which target problems related to procedures and practices; namely, 1) structured on-the-job training and 2) procedure re-design. We hope to demonstrate that the key to leveraging the impact of these solutions comes from focused interventions; that is, interventions which are derived from a clear understanding of specific maintenance errors, their operational context and human factors components.

  3. Continuing Medical Education, Maintenance of Certification, and Physician Reentry

    PubMed Central

    Luchtefeld, Martin; Kerwel, Therese G.

    2012-01-01

    Continuing medical education serves a central role in the licensure and certification for practicing physicians. This chapter explores the different modalities that constitute CME along with their effectiveness, including simulation and best education practices. The evolution to maintenance of certification and the requirements for both the American Board of Surgery and the American Board of Colon and Rectal Surgery are delineated. Further progress in the education of practicing surgeons is evidenced through the introduction of laparoscopic colectomy and the improvements made from the introduction of laparoscopic cholecystectomy. Finally, reentry of physicians into practice following a voluntary leave of absence, a new and challenging issue for surgeons, is also discussed. PMID:23997673

  4. Maintenance and Monitoring of BMPS

    EPA Science Inventory

    Two best management practice (BMP) sites in the Staten Island Bluebelt in Richmond Creek Watershed are Richmond Creek 5 (RC-5) and Richmond Creek 4 (RC-4). This presentation includes site description, briefing of initial monitoring activity, representative maintenance activity, ...

  5. Context sensitive solutions for construction and maintenance.

    DOT National Transportation Integrated Search

    2007-07-01

    The objective of this research was to conduct a survey to assess the state of practice related to state highway agencies (SHAs) implementing context sensitive solutions including its application in Construction and Maintenance and to prepare a worksh...

  6. Research notes : improving maintenance practices.

    DOT National Transportation Integrated Search

    2001-03-01

    Last summer, the ODOT Research Group and Technology Transfer (T2) Center funded a four-month trial of a piece of shoulder maintenance equipment called The Retriever. Research staff also inspected a berm shaper developed by District 3 crews. : T...

  7. Positive guidance and older motorists : guidelines for maintenance supervisors

    DOT National Transportation Integrated Search

    1996-12-01

    This is a field manual designed for maintenance supervisors and resident : engineers responsible for repair and replacement of traffic control devices on : highways and streets. Standards and practices have not always taken in account : the realities...

  8. Sustaining "meaningful use" of health information technology in low-resource practices.

    PubMed

    Green, Lee A; Potworowski, Georges; Day, Anya; May-Gentile, Rachelle; Vibbert, Danielle; Maki, Bruce; Kiesel, Leslie

    2015-01-01

    The implementation of electronic health records (EHRs) has been extensively studied, but their maintenance once implemented has not. The Regional Extension Center (REC) program provides implementation assistance to priority practices-those with limited financial, technical, and organizational resources-but the assistance is time limited. Our objective was to identify potential barriers to maintenance of meaningful use of EHRs in priority primary care practices using a qualitative observational study for federally qualified health centers (FQHCs) and priority practices in Michigan. We conducted cognitive task analysis (CTA) interviews and direct observations of health information technology implementation in FQHCs. In addition, we conducted semistructured interviews with implementation specialists serving priority practices to detect emergent themes relevant to maintenance. Maintaining EHR technology will require ongoing expert technical support indefinitely beyond implementation to address upgrades and security needs. Maintaining meaningful use for quality improvement will require ongoing support for leadership and change management. Priority practices not associated with larger systems lack access to the necessary technical expertise, financial resources, and leverage with vendors to continue alone. Rural priority practices are particularly challenged, because expertise is often not available locally. Priority practices, especially in rural areas, are at high risk for falling on the wrong side of a "digital divide" as payers and regulators enact increasing expectations for EHR use and information management. For those without affiliation to maintain the necessary expert staff, ongoing support will be needed for those practices to remain viable. © 2015 Annals of Family Medicine, Inc.

  9. 36 CFR 230.40 - Eligible practices for cost-share assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., silvopasture, alley cropping, or other agroforestry practices, including purposes for energy conservation and... Improvement and Watershed Protection—Establishment, maintenance, renovation, and restoration practices... restoration practices to create, protect, or improve fish and wildlife habitat, including any necessary design...

  10. Implementation of sustainability in bridge design, construction and maintenance.

    DOT National Transportation Integrated Search

    2012-12-01

    The focus of this research is to develop a framework for more sustainable design and construction : processes for new bridges, and sustainable maintenance practices for existing bridges. The framework : includes a green rating system for bridges. The...

  11. Cognitive ergonomics: the use of mind mapping tool in maintaining productive sector of a Brazilian paper company.

    PubMed

    Mattos, Diego; Mateus, José Roberto; Merino, Eugenio

    2012-01-01

    The use of mind maps as a method of building knowledge, planning, organizing activities and ideas can be seen in the literature related to ergonomics. The results of such use are relevant and its use in academic area found. However, regarding to its use in industrial environments, studies can't not be found. With this scenario, and based on the perception of the ergonomist about the importance of using methods such as mind maps in support of human cognition, it seems pertinent to its use in industry sectors whose cognitive demand requires. Given these assumptions, this study aimed to apply the method of Mind Maps in Productive Maintenance sector of a Brazilian paper. The Productive Maintenance sector in the Paper Industry has an important contribution to operational performance. With practical Predictive Maintenance, Preventive Maintenance and Corrective Maintenance, the industry advocates to make the machines to produce paper is not to stop producing when they are programmed to do so. Among the practices cited, the Preventive Maintenance is one that leads to pre-determined intervals in order to reduce the possibility of placing the equipment in a condition below the required level of acceptance. Therefore, this article aims to propose using the tool "mental maps" in order to collaborate in planning and implementation of preventive maintenance activities in the sector of mechanical maintenance of a pulp and paper industry in southern Brazil. The study investigated the maintenance sector through its employees, who went through training about the tool and then use it and ergonomists company.

  12. The effect of caregiver-delivered social-communication interventions on skill generalization and maintenance in ASD.

    PubMed

    Hong, Ee Rea; Neely, Leslie; Gerow, Stephanie; Gann, Candace

    2018-03-01

    Although caregiver-delivered social communication interventions have been considered scientifically proven practices for individuals with autism spectrum disorders, it is not well examined if these types of intervention modes are truly effective in promoting skill generalization and maintenance within those individuals with autism spectrum disorders. The purpose of this meta-analysis was to evaluate the status of the extant literature regarding the measures on generalization and/or maintenance of effects of caregiver-delivered communication interventions for children with autism spectrum disorders. This systematic literature review and meta-analysis evaluated peer-reviewed research regarding the effects of caregiver-implemented interventions on the maintenance and generalization of the social-communication skills for children with autism spectrum disorders. A total of 34 articles were included following a systematic search. Articles were summarized according to the following categories: (a) generalization dimension, (b) generalization assessment design, (c) maintenance assessment design, (d) generalization/maintenance teaching strategy, and (e) latency to maintenance probes. After application of design standards, aggregate Tau-U and non-overlap of pairs effect sizes were calculated with a total of 67 separate contrasts across seven studies. Overall, effect size scores ranged from small to large effects across all comparisons. On average, most of the baseline to maintenance and generalization comparisons produced moderate to large effects. Whereas, small to moderate or even deteriorate effects were found in most of the intervention to maintenance and generalization comparisons. The findings in this review suggest that caregiver-delivered social-communication interventions are likely to result in mixed effects on skill generalization and maintenance within children with autism spectrum disorders. Implications for future research and practice are discussed. Copyright © 2018 Elsevier Ltd. All rights reserved.

  13. A Between-Squadron Analysis of Cannibalization on the MV-22

    DTIC Science & Technology

    2015-12-01

    queens” or “ wind chimes” among maintainers and often become the lowest priority on a maintenance department’s workload (General Accounting Office, 2001...12b. DISTRIBUTION CODE 13. ABSTRACT (maximum 200 words) The Naval Aviation Maintenance Program recognizes cannibalization as a viable...and maintenance support systems. This thesis analyzed cannibalizations on the MV-22 aircraft platform to examine how the practice varied between

  14. An enhanced reliability-oriented workforce planning model for process industry using combined fuzzy goal programming and differential evolution approach

    NASA Astrophysics Data System (ADS)

    Ighravwe, D. E.; Oke, S. A.; Adebiyi, K. A.

    2018-03-01

    This paper draws on the "human reliability" concept as a structure for gaining insight into the maintenance workforce assessment in a process industry. Human reliability hinges on developing the reliability of humans to a threshold that guides the maintenance workforce to execute accurate decisions within the limits of resources and time allocations. This concept offers a worthwhile point of deviation to encompass three elegant adjustments to literature model in terms of maintenance time, workforce performance and return-on-workforce investments. These fully explain the results of our influence. The presented structure breaks new grounds in maintenance workforce theory and practice from a number of perspectives. First, we have successfully implemented fuzzy goal programming (FGP) and differential evolution (DE) techniques for the solution of optimisation problem in maintenance of a process plant for the first time. The results obtained in this work showed better quality of solution from the DE algorithm compared with those of genetic algorithm and particle swarm optimisation algorithm, thus expressing superiority of the proposed procedure over them. Second, the analytical discourse, which was framed on stochastic theory, focusing on specific application to a process plant in Nigeria is a novelty. The work provides more insights into maintenance workforce planning during overhaul rework and overtime maintenance activities in manufacturing systems and demonstrated capacity in generating substantially helpful information for practice.

  15. 7 CFR 1437.402 - Carrying capacity.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... management and maintenance practices are improvements over those practices generally associated with the... practice was completed at least 1 time in the previous 5 crop years and such practice can be expected to...; (2) Five percent when 2 or more practices were completed at least 1 time in the previous 5 crop years...

  16. 7 CFR 1437.402 - Carrying capacity.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... management and maintenance practices are improvements over those practices generally associated with the... practice was completed at least 1 time in the previous 5 crop years and such practice can be expected to...; (2) Five percent when 2 or more practices were completed at least 1 time in the previous 5 crop years...

  17. 7 CFR 1730.20 - General.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... and maintaining an Emergency Restoration Plan (ERP), maintaining records of the physical, cyber and... ELECTRIC SYSTEM OPERATIONS AND MAINTENANCE Operations and Maintenance Requirements § 1730.20 General. Each... and maintain its system in compliance with prudent utility practice, in compliance with its loan...

  18. 7 CFR 1730.20 - General.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... and maintaining an Emergency Restoration Plan (ERP), maintaining records of the physical, cyber and... ELECTRIC SYSTEM OPERATIONS AND MAINTENANCE Operations and Maintenance Requirements § 1730.20 General. Each... and maintain its system in compliance with prudent utility practice, in compliance with its loan...

  19. 7 CFR 1730.20 - General.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... and maintaining an Emergency Restoration Plan (ERP), maintaining records of the physical, cyber and... ELECTRIC SYSTEM OPERATIONS AND MAINTENANCE Operations and Maintenance Requirements § 1730.20 General. Each... and maintain its system in compliance with prudent utility practice, in compliance with its loan...

  20. 7 CFR 1730.20 - General.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... and maintaining an Emergency Restoration Plan (ERP), maintaining records of the physical, cyber and... ELECTRIC SYSTEM OPERATIONS AND MAINTENANCE Operations and Maintenance Requirements § 1730.20 General. Each... and maintain its system in compliance with prudent utility practice, in compliance with its loan...

  1. Safer construction and maintenance practices to minimize potential liability by counties from accidents.

    DOT National Transportation Integrated Search

    1979-09-01

    Tort claims resulting from alleged highway defects have introduced : an additional element in the planning, design, construction, and maintenance : of highways. A survey of county governments in Iowa was undertaken : in order to quantify the magnitud...

  2. 40 CFR 63.1108 - Compliance with standards and operation and maintenance requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... operation and maintenance requirements. 63.1108 Section 63.1108 Protection of Environment ENVIRONMENTAL... Source Categories: Generic Maximum Achievable Control Technology Standards § 63.1108 Compliance with..., air pollution control technologies, recovery technologies, work practices, pollution prevention...

  3. Sustaining “Meaningful Use” of Health Information Technology in Low-Resource Practices

    PubMed Central

    Green, Lee A.; Potworowski, Georges; Day, Anya; May-Gentile, Rachelle; Vibbert, Danielle; Maki, Bruce; Kiesel, Leslie

    2015-01-01

    PURPOSE The implementation of electronic health records (EHRs) has been extensively studied, but their maintenance once implemented has not. The Regional Extension Center (REC) program provides implementation assistance to priority practices—those with limited financial, technical, and organizational resources—but the assistance is time limited. Our objective was to identify potential barriers to maintenance of meaningful use of EHRs in priority primary care practices using a qualitative observational study for federally qualified health centers (FQHCs) and priority practices in Michigan. METHODS We conducted cognitive task analysis (CTA) interviews and direct observations of health information technology implementation in FQHCs. In addition, we conducted semistructured interviews with implementation specialists serving priority practices to detect emergent themes relevant to maintenance. RESULTS Maintaining EHR technology will require ongoing expert technical support indefinitely beyond implementation to address upgrades and security needs. Maintaining meaningful use for quality improvement will require ongoing support for leadership and change management. Priority practices not associated with larger systems lack access to the necessary technical expertise, financial resources, and leverage with vendors to continue alone. Rural priority practices are particularly challenged, because expertise is often not available locally. CONCLUSIONS Priority practices, especially in rural areas, are at high risk for falling on the wrong side of a “digital divide” as payers and regulators enact increasing expectations for EHR use and information management. For those without affiliation to maintain the necessary expert staff, ongoing support will be needed for those practices to remain viable. PMID:25583887

  4. A blended learning approach to teaching CVAD care and maintenance.

    PubMed

    Hainey, Karen; Kelly, Linda J; Green, Audrey

    2017-01-26

    Nurses working within both acute and primary care settings are required to care for and maintain central venous access devices (CVADs). To support these nurses in practice, a higher education institution and local health board developed and delivered CVAD workshops, which were supported by a workbook and competency portfolio. Following positive evaluation of the workshops, an electronic learning (e-learning) package was also introduced to further support this clinical skill in practice. To ascertain whether this blended learning approach to teaching CVAD care and maintenance prepared nurses for practice, the learning package was evaluated through the use of electronic questionnaires. Results highlighted that the introduction of the e-learning package supported nurses' practice, and increased their confidence around correct clinical procedures.

  5. Materials and Procedures for Sealing and Filling Cracks in Asphalt-Surfaced Pavements : Manual of Practice (Update)

    DOT National Transportation Integrated Search

    1999-06-01

    The Strategic Highway Research Program (SHRP) H-106 maintenance experiment and the Federal Highway Administration (FHWA) Long-Term Monitoring (LTM) of Pavement Maintenance Materials Test Sites project studied the treatment (sealing and filling) of cr...

  6. Computerized Fleet Maintenance.

    ERIC Educational Resources Information Center

    Cataldo, John J.

    The computerization of school bus maintenance records by the Niskayuna (New York) Central School District enabled the district's transportation department to engage in management practices resulting in significant savings. The district obtains computer analyses of the work performed on all vehicles, including time spent, parts, labor, costs,…

  7. Bridge maintenance program for the City of Columbia, Missouri : tech transfer summary.

    DOT National Transportation Integrated Search

    2017-09-01

    The primary goal of this research was to extend the service lives of bridges in Columbia, Missouri. The overarching objective of the project was to develop bridge maintenance and preservation guidelines that focus on practical and implementable techn...

  8. Review of best practices for the selection of rehab and preventive maintenance projects : technical report.

    DOT National Transportation Integrated Search

    2011-04-01

    With finite resources and an extensive road network to maintain, Texas Department of Transportation : (TxDOT) personnel must select the roadways to receive rehabilitation and preventive maintenance : treatments as well as select rehabilitation and pr...

  9. Bridge maintenance Program for the City of Columbia, Missouri : final report.

    DOT National Transportation Integrated Search

    2017-09-22

    The goal of this project was to extend the service lives of bridges located in Columbia, Missouri. The objective of the project was to develop guidelines for bridge maintenance and preservation. The guidelines developed are focused on practical and i...

  10. 48 CFR 208.7400 - Scope of subpart.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... OF DEFENSE ACQUISITION PLANNING REQUIRED SOURCES OF SUPPLIES AND SERVICES Enterprise Software... commercial software and software maintenance, including software and software maintenance that is acquired— (a) As part of a system or system upgrade, where practicable; (b) Under a service contract; (c) Under...

  11. Materials and Procedures for Repair of Potholes in Asphalt-Surfaced Pavements : Manual of Practice (Updated)

    DOT National Transportation Integrated Search

    1999-12-01

    The Strategic Highway Research Program (SHRP) H-106 maintenance experiment and the Federal Highway Administration (FHWA) Long-Term Monitoring (LTM) of Pavement Maintenance Materials Test Sites project studied the repair of potholes in asphalt-surface...

  12. 7 CFR 1437.402 - Carrying capacity.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... factors, such as soil type, elevation, and topography, result in a significant difference of carrying... management and maintenance practices are improvements over those practices generally associated with the...

  13. 7 CFR 1437.402 - Carrying capacity.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... factors, such as soil type, elevation, and topography, result in a significant difference of carrying... management and maintenance practices are improvements over those practices generally associated with the...

  14. Transformative Graduate Education through the Use of Restorative Practices

    ERIC Educational Resources Information Center

    Bailie, John W.; Adamson, Craig W.

    2016-01-01

    This chapter discusses key findings from two recent studies that examine transformative learning experiences in a restorative practices-based graduate program at the International Institute for Restorative Practices (IIRP). Restorative practices is a new interdisciplinary social science that studies the development and maintenance of relationships…

  15. Failure: A Source of Progress in Maintenance and Design

    NASA Astrophysics Data System (ADS)

    Chaïb, R.; Taleb, M.; Benidir, M.; Verzea, I.; Bellaouar, A.

    This approach, allows using the failure as a source of progress in maintenance and design to detect the most critical components in equipment, to determine the priority order maintenance actions to lead and direct the exploitation procedure towards the most penalizing links in this equipment, even define the necessary changes and recommendations for future improvement. Thus, appreciate the pathological behaviour of the material and increase its availability, even increase its lifespan and improve its future design. In this context and in the light of these points, the failures are important in managing the maintenance function. Indeed, it has become important to understand the phenomena of failure and degradation of equipments in order to establish an appropriate maintenance policy for the rational use of mechanical components and move to the practice of proactive maintenance [1], do maintenance at the design [2].

  16. How are scientific thinking skills best developed? Direct instruction vs. inquiry practice

    NASA Astrophysics Data System (ADS)

    Dean, David Worth, Jr.

    Despite its support and adoption by most major scientific and educational organizations, some researchers have questioned whether inquiry learning is indeed the best method for acquiring the skills of inquiry. Klahr and colleagues have investigated the development of the control of variables strategy, or controlled comparison (CC), and claim that a brief session of direct instruction, characterized by explicit training of CC, as opposed to allowing children to discover CC through inquiry learning, is sufficient for acquisition, maintenance, and transfer of this core aspect of inquiry. Kuhn and colleagues, however, argue that direct instruction may be insufficient for development of the metastrategic level of understanding necessary to adequately maintain and transfer inquiry skills. In the present study, I attempt to identify the intervention most effective in supporting acquisition, maintenance, and transfer of these skills. Three groups of students received either a direct instruction session followed by standard classroom instruction (DI-only), an introductory session (without direct instruction) followed by practice sessions only (PR-only), or a direct instruction session followed by practice sessions (DI+PR). Practice sessions involved the use of a computer-based inquiry task requiring students to investigate the effects of five potential causal variables on an outcome. The two practice groups worked with this program during 12 sessions over nine weeks. They worked with structurally identical software programs during five weekly maintenance sessions. During this time, the DI-only group received standard classroom instruction. All groups were assessed on familiar and unfamiliar computer-based inquiry tasks at the conclusion of intervention (immediate assessment) and maintenance sessions (delayed assessment). Students in the two practice groups demonstrated improvement in an integrative measure of inquiry skill (valid intent, valid strategy, valid inference, and valid explanation, in combination) as well as most component measures of this skill. Performance of the two practice groups was superior to that of the DI-only group. Direct instruction conferred no additional benefit to the group receiving both direct instruction and practice compared to the practice-only group. Examined over an extended time interval, the merits of brief direct instruction are thus brought into question.

  17. A Survey Report of School Plant Management for Escambia County, Florida.

    ERIC Educational Resources Information Center

    Florida State Dept. of Education, Tallahassee.

    This report analyzes data collected by survey teams concerned with maintenance and operation of school plants in relation to organization, administration, budgeting, expenditures, purchasing, staffing, warehousing and distribution, maintenance shops, administrative practices, performance standards, and efficiency. The basic purposes of a…

  18. Materials and Procedures for Rapid Repair of Partial-Depth Spalls in Concrete Pavements : Manual of Practice (Update)

    DOT National Transportation Integrated Search

    1999-12-01

    The Strategic Highway Research Program (SHRP) H-106 maintenance experiment and the Federal Highway Administration (FHWA) Long-Term Monitoring (LTM) of Pavement Maintenance Materials Test Sites project studied the repair of partial depth spalls in con...

  19. 7 CFR 201.4 - Maintenance and accessibility.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 3 2013-01-01 2013-01-01 false Maintenance and accessibility. 201.4 Section 201.4 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT REGULATIONS Records for...

  20. 7 CFR 201.4 - Maintenance and accessibility.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 3 2014-01-01 2014-01-01 false Maintenance and accessibility. 201.4 Section 201.4 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT REGULATIONS Records for...

  1. 7 CFR 201.4 - Maintenance and accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Maintenance and accessibility. 201.4 Section 201.4 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT REGULATIONS Records for...

  2. 7 CFR 201.4 - Maintenance and accessibility.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 3 2011-01-01 2011-01-01 false Maintenance and accessibility. 201.4 Section 201.4 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT REGULATIONS Records for...

  3. 7 CFR 201.4 - Maintenance and accessibility.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 3 2012-01-01 2012-01-01 false Maintenance and accessibility. 201.4 Section 201.4 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT REGULATIONS Records for...

  4. Literature and best practices scan : Vehicle Inspection and Maintenance (I/M) Programs

    DOT National Transportation Integrated Search

    2002-06-01

    The state of Wisconsin operates one of the nation's most effective inspection/maintenance (I/M) programs. In Wisconsin's I/M program, vehicles registered in the Milwaukee metropolitan area are subjected to a transient emission test using the IM240 te...

  5. DOE handbook: Guide to good practices for training and qualification of maintenance personnel

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1996-03-01

    The purpose of this Handbook is to provide contractor training organizations with information that can be used to verify the adequacy of and/or modify existing maintenance training programs, or to develop new training programs. This guide, used in conjunction with facility-specific job analyses, provides a framework for training and qualification programs for maintenance personnel at DOE reactor and nonreactor nuclear facilities. Recommendations for qualification are made in four areas: education, experience, physical attributes, and training. The functional positions of maintenance mechanic, electrician, and instrumentation and control technician are covered by this guide. Sufficient common knowledge and skills were found tomore » include the three disciplines in one guide to good practices. Contents include: qualifications; on-the-job training; trainee evaluation; continuing training; training effectiveness evaluation; and program records. Appendices are included which relate to: administrative training; industrial safety training; fundamentals training; tools and equipment training; facility systems and component knowledge training; facility systems and component skills training; and specialized skills training.« less

  6. The impact of preventive maintenance practices on manufacturing performance: A proposed model for SMEs in Malaysia

    NASA Astrophysics Data System (ADS)

    Lazim, Halim Mad; Taib, Che Azlan; Lamsali, Hendrik; Saleh, Mohamed Najib; Subramaniam, Chandrakantan

    2016-08-01

    Preventive maintenance (PM) plays important role to avoid or mitigate potential stoppages and disruptions of equipment or machinery from occurring in daily operations. PM emphasized total employee involvement and it is important for companies as well as Small and Medium Sized Enterprises (SMEs). SME sectors contribution to the Malaysian economy makes up 95% of the total manufacturers, however PM remain relatively lacking. The ability, reliability and effective maintenance management is highly important in order to achieve desired manufacturing performance. Therefore, organizational capability in planning, controlling, implementing and monitoring PM activities is important. Furthermore, empirical evidence on the potential impact of PM practices towards manufacturing performance with organizational capability as a moderating effect is still limited and indecisive. Henceforth, this paper aims to explore and investigate potential relationships between PM practices and manufacturing performance moderated by organizational capability in the contact of Malaysian SMEs in the manufacturing sector. Correspondently, the study intends to propose a new research framework and hypotheses to examine the abovementioned relationships. The proposed framework includes PM team, PM strategy and planned maintenance as the determinants, while organizational capability serves as the moderating variable. Manufacturing performance will be viewed in terms of innovation and financial factors. Proposed research direction and conclusion are discussed at the end of the study.

  7. 36 CFR 1237.20 - What are special considerations in the maintenance of audiovisual records?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.20 What are special considerations in the maintenance of audiovisual... practices. (b) Protect audiovisual records, including those recorded on digital media or magnetic sound or...

  8. 36 CFR 1237.20 - What are special considerations in the maintenance of audiovisual records?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.20 What are special considerations in the maintenance of audiovisual... practices. (b) Protect audiovisual records, including those recorded on digital media or magnetic sound or...

  9. 76 FR 18294 - Proposed Agency Information Collection Activities; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-01

    ... learns the condition of operating rules and practices with respect to trains and instructions provided by... Existing On-Track Roadway Maintenance Machines Conforming with Paragraph (a) of This Section. 214.507... stencils. Maintenance Machine (RMM). 214.511--Clearly Identifiable 644 railroads...... 3,700 identified 5...

  10. 47 CFR 17.56 - Maintenance of lighting equipment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... § 17.56 Maintenance of lighting equipment. (a) Replacing or repairing of lights, automatic indicators or automatic control or alarm systems shall be accomplished as soon as practicable. (b) The flash tubes in a high intensity obstruction lighting system shall be replaced whenever the peak effective...

  11. The School Facilities Children Are Forced to Attend.

    ERIC Educational Resources Information Center

    Hansen, Shirley J.

    1993-01-01

    As many as 25% of American school buildings are inadequate. However, many districts have reduced maintenance to pay utility bills. An active energy-management program can lower utility costs through efficient operation and maintenance practices and retrofits that pay back in less than three years. (MLF)

  12. THE PLANTER--SELECTION, ADJUSTMENT, MAINTENANCE, AND USE.

    ERIC Educational Resources Information Center

    Illinois Univ., Urbana. Coll. of Agriculture.

    RESOURCE MATERIAL ON CORN PLANTERS FOR USE IN HIGH SCHOOL VOCATIONAL AGRICULTURE AND ADULT FARMER CLASSES WAS DESIGNED BY SUBJECT MATTER SPECIALISTS, TEACHER EDUCATORS, SUPERVISORS, AND TEACHERS TO PROVIDE TEXTUAL MATERIAL FOR STUDENTS ON THE SELECTION, OPERATION, ADJUSTMENT, USE, MAINTENANCE, AND PRACTICAL APPLICATION OF CORN PLANTERS. THE…

  13. Use of natural products for oral hygiene maintenance: revisiting traditional medicine.

    PubMed

    Gupta, Pankaj; Shetty, Heeresh

    2018-03-27

    The use of traditional means of oral hygiene maintenance has a long-recorded history, with widespread usage in rural areas of Africa, South America and the Indian subcontinent till date. Though dental healthcare professionals and the general population, especially in the urban areas can have the temptation of out-rightly rejecting them as ineffective, the usage of these natural products is based on time-tested scientific principles. The present article provides an overview of the major traditional practices of oral hygiene maintenance and how they compare against the modern-day armamentarium of oral hygiene maintenance.

  14. 25 CFR 166.315 - Who is responsible for the completion and maintenance of a conservation practice if the permit...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... a conservation practice if the permit expires or is canceled before the completion of the... expires or is canceled before the completion of the conservation practice? Prior to undertaking a... conservation practice if the permit expires or is canceled before the conservation practice is completed. That...

  15. 7 CFR 631.11 - Conservation practice maintenance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... resource management systems or conservation practices applied under the contract for the duration of the... contract. (b) If the life span of the practices or resource management systems extends beyond the period of....11 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES...

  16. 36 CFR 230.40 - Eligible practices for cost-share assistance.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., diseases, and animal damage to established stands. (8) Invasive Species Control—Establishment, maintenance and restoration practices primarily to detect, monitor, eradicate, or control the spread of invasive species. (9) Wildfire and Catastrophic Risk Reduction—Establishment of practices primarily to reduce the...

  17. 36 CFR 230.40 - Eligible practices for cost-share assistance.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., diseases, and animal damage to established stands. (8) Invasive Species Control—Establishment, maintenance and restoration practices primarily to detect, monitor, eradicate, or control the spread of invasive species. (9) Wildfire and Catastrophic Risk Reduction—Establishment of practices primarily to reduce the...

  18. 36 CFR 230.40 - Eligible practices for cost-share assistance.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., diseases, and animal damage to established stands. (8) Invasive Species Control—Establishment, maintenance and restoration practices primarily to detect, monitor, eradicate, or control the spread of invasive species. (9) Wildfire and Catastrophic Risk Reduction—Establishment of practices primarily to reduce the...

  19. Development of maintenance composite priority index for buildings in Palestine: A pilot case study

    NASA Astrophysics Data System (ADS)

    Issa, Amjad; Awad, Riyad

    2017-11-01

    The current building maintenance practices in Palestine are not based on scientific systematic methods. Most of the municipalities use one criterion to define the maintenance priorities, which is the "worst-first" criterion. Therefore, the current practices in defining buildings maintenance plans are not dealing with the known phases that are generally followed, including those in establishing building inventories, building condition survey, detailed visual inspection, identification of the proper maintenance and rehabilitation measures, and setting priorities. Accordingly, the recent preparation of the Operation and Maintenance (O&M) Manual for Palestinian municipalities is an important step to guide them towards preparing and implementing their O&M priority-based plans, considering scare resources. During the course of preparation of the Manual, the proposed procedures were applied at ten pilot municipalities. This study aims to explore the outcome of the implementation of the 2014/2015 O&M buildings maintenance priorities at these municipalities through the development of maintenance composite priority index (PI). The new proposed priority index is a scientific tool that will identify the priority of maintenance buildings through using a systematic procedure instead of first worst one. To achieve this, analyses of the outcome of a questionnaire designed to collect relevant information from these municipalities was conducted. The maintenance priority index for buildings is calculated considering different indicators among them building status (condition), classification and importance of the building, number of beneficiaries (users), safety aspects (severity level in the building), and people complaints. The main component of the PI is the building condition index (BCI) which forms about 40% of the total weight. The physical inspection, which is the main input for calculating the BCI, is conducted on two levels; the primary level, and the secondary level. The buildings are ranked in descending order based on the PI values for each public building. The buildings that have the highest values of PI take the most priority till the specified asset maintenance budget for the targeted year is achieved. Finally, the results indicate that most of the maintenance works are funded by municipalities own budgets and not by the government.

  20. 21 CFR 211.67 - Equipment cleaning and maintenance.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Equipment cleaning and maintenance. 211.67 Section 211.67 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Equipment § 211.67...

  1. 21 CFR 211.67 - Equipment cleaning and maintenance.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Equipment cleaning and maintenance. 211.67 Section 211.67 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Equipment § 211.67...

  2. 21 CFR 211.67 - Equipment cleaning and maintenance.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Equipment cleaning and maintenance. 211.67 Section 211.67 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Equipment § 211.67...

  3. 21 CFR 211.67 - Equipment cleaning and maintenance.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Equipment cleaning and maintenance. 211.67 Section 211.67 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Equipment § 211.67...

  4. Trace Metal Accumulation in Sediments and Benthic Macroinvertebrates before and after Maintenance of a Constructed Wetland

    EPA Science Inventory

    Periodic maintenance of stormwater best management practices (BMP) includes the removal of accumulated sediment. The resulting impact on trace metal concentrations of copper (Cu), lead (Pb), and zinc (Zn) in a constructed stormwater wetland BMP on Staten Island, NY was investiga...

  5. 36 CFR § 1237.20 - What are special considerations in the maintenance of audiovisual records?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT AUDIOVISUAL, CARTOGRAPHIC, AND RELATED RECORDS MANAGEMENT § 1237.20 What are special considerations in the maintenance of... industry practices. (b) Protect audiovisual records, including those recorded on digital media or magnetic...

  6. Guidance Manual: Asbestos Operations & Maintenance Work Practices. Second Edition.

    ERIC Educational Resources Information Center

    National Inst. of Building Sciences, Washington, DC.

    This technical manual provides detailed guidance to building owners, asbestos program managers, and operations and maintenance (O&M) workers for managing asbestos-containing materials (ACM) in buildings. The manual addresses four different types of ACM found in buildings and three different levels of precaution which may be warranted by…

  7. Masonry Procedures. Building Maintenance. Module V. Instructor's Guide.

    ERIC Educational Resources Information Center

    Eck, Francis

    This curriculum guide, one of six modules keyed to the building maintenance competency profile developed by industry and education professionals, provides materials for a masonry procedures unit containing eight lessons. Lesson topics are masonry safety practices; set forms; mix concrete; patch and/or repair concrete; pour and finish concrete; mix…

  8. 75 FR 39707 - STP Nuclear Operating Company, South Texas Project, Units 1 and 2; Exemption

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-12

    ... consistent with the expected practice of fatigue management. Maintenance The NRC staff does not consider... September 21, 2009 (Agencywide Documents Access and Management System (ADAMS) Accession No. ML092720178... understanding the effects of fire and fire suppressants on safe shutdown capability; (4) performing maintenance...

  9. Effects of silvicultural treatments on forest birds in the Rocky Mountains: implications and management recommendations

    Treesearch

    Richard L. Hutto; Sallie J. Hejl; Charles R. Preston; Deborah M. Finch

    1993-01-01

    The short-term effects of timber harvesting practices on landbird species vary widely among species. Thus, the maintenance of populations of all species will require a long-term management strategy that involves maintenance of a variety of habitats over a broad landscape.

  10. 40 CFR Table 3 to Subpart Bbbbbb... - Applicability of General Provisions

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Maintain monitoring system in a manner consistent with good air pollution control practices Yes. § 63.8(c...) Maintenance records Recordkeeping of maintenance on air pollution control and monitoring equipment Yes. § 63... (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

  11. 40 CFR Table 3 to Subpart Bbbbbb... - Applicability of General Provisions

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Maintain monitoring system in a manner consistent with good air pollution control practices Yes. § 63.8(c...) Maintenance records Recordkeeping of maintenance on air pollution control and monitoring equipment Yes. § 63... (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

  12. 40 CFR Table 3 to Subpart Bbbbbb... - Applicability of General Provisions

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Maintain monitoring system in a manner consistent with good air pollution control practices Yes. § 63.8(c...) Maintenance records Recordkeeping of maintenance on air pollution control and monitoring equipment Yes. § 63... (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

  13. Review of Procurement Practices in the Montgomery County Public Schools. Final Report.

    ERIC Educational Resources Information Center

    Touche Ross and Co., Washington, DC.

    Following a management summary and introduction, chapters 3 and 4 of this report present findings and recommendations related to the Montgomery County, Maryland, Public Schools process of procuring supplies and equipment (food supplies, fuel oil, warehouse supplies, and maintenance parts) and contractual services (data processing maintenance,…

  14. 16 CFR 300.31 - Maintenance of records.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Maintenance of records. 300.31 Section 300... AND REGULATIONS UNDER THE WOOL PRODUCTS LABELING ACT OF 1939 Manufacturers' Records § 300.31... was processed or manufactured as prescribed by sections 300.25a and/or .25b. (b) Any person...

  15. 40 CFR 205.162-3 - Instructions for maintenance, use, and repair.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) NOISE ABATEMENT PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Motorcycles § 205.162-3... this purpose in mind. The instructions shall be clear and, to the extent practicable, written in non... contain a schedule for the performance of all required noise emission control maintenance. Space must be...

  16. 40 CFR 205.162-3 - Instructions for maintenance, use, and repair.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) NOISE ABATEMENT PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Motorcycles § 205.162-3... this purpose in mind. The instructions shall be clear and, to the extent practicable, written in non... contain a schedule for the performance of all required noise emission control maintenance. Space must be...

  17. 40 CFR 205.162-3 - Instructions for maintenance, use, and repair.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) NOISE ABATEMENT PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Motorcycles § 205.162-3... this purpose in mind. The instructions shall be clear and, to the extent practicable, written in non... contain a schedule for the performance of all required noise emission control maintenance. Space must be...

  18. 40 CFR 205.162-3 - Instructions for maintenance, use, and repair.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) NOISE ABATEMENT PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Motorcycles § 205.162-3... this purpose in mind. The instructions shall be clear and, to the extent practicable, written in non... contain a schedule for the performance of all required noise emission control maintenance. Space must be...

  19. Selection of a Health Maintenance Organization

    ERIC Educational Resources Information Center

    Gumbiner, Robert

    1978-01-01

    The president of a group practice prepayment program describes the health maintenance organization (HMO), an alternative health care delivery system for employee groups. An HMO differs from indemnity insurance in providing total medical and health care for a monthly fee, instead of paying only in cases of illness or accident. (MF)

  20. Quechua Language Attitudes and Maintenance in Cuzco, Peru

    ERIC Educational Resources Information Center

    Manley, Marilyn S.

    2008-01-01

    This article qualitatively and quantitatively investigates the Quechua language attitudes and maintenance practices of the members of two non-profit, non-governmental agencies in Cuzco, Peru. Within their respective agency/community contexts, the members of both groups claim to have significantly more positive attitudes toward Quechua and exhibit…

  1. 21 CFR 211.67 - Equipment cleaning and maintenance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Equipment cleaning and maintenance. 211.67 Section 211.67 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Equipment § 211.67...

  2. Self-Assessment of Practice Performance: Development of the ABIM Practice Improvement Module (PIM[superscript SM])

    ERIC Educational Resources Information Center

    Duffy, F. Daniel; Lynn, Lorna A.; Didura, Halyna; Hess, Brian; Caverzagie, Kelly; Grosso, Louis; Lipner, Rebecca A.; Holmboe, Eric S.

    2008-01-01

    Background: Quality measurement and improvement in practice are requirements for Maintenance of Certification by the American Board of Medical Specialties boards and a component of many pay for performance programs. Objective: To describe the development of the American Board of Internal Medicine (ABIM) Practice Improvement Module (PIM[superscript…

  3. Evaluating the effects of massed and distributed practice on acquisition and maintenance of tacts and textual behavior with typically developing children.

    PubMed

    Haq, Shaji S; Kodak, Tiffany

    2015-01-01

    This study evaluated the effects of massed and distributed practice on the acquisition of tacts and textual behavior in typically developing children. We compared the effects of massed practice (i.e., consolidating all practice opportunities during the week into a single session) and distributed practice (i.e., distributing all practice opportunities across 4 sessions during the week) on the acquisition of textual behavior in English, tacting pictures of common nouns in Spanish, and textual behavior in Spanish using an adapted alternating treatments design embedded within a multiple probe design. We also examined correct responding during probes that (a) excluded prompts and reinforcement and (b) occurred 48 hr after training each week. The results indicated that distributed practice was the more efficient training format. Maintenance data collected up to 4 weeks after training also indicated that the participants consistently displayed higher levels of correct responding to targets that had been trained in distributed format. We discuss implications for practice and potential areas for future research. © Society for the Experimental Analysis of Behavior.

  4. Developmental changes in using verbal self-cueing in task-switching situations: the impact of task practice and task-sequencing demands.

    PubMed

    Kray, Jutta; Gaspard, Hanna; Karbach, Julia; Blaye, Agnès

    2013-01-01

    In this study we examined whether developmental changes in using verbal self-cueing for task-goal maintenance are dependent on the amount of task practice and task-sequencing demands. To measure task-goal maintenance we applied a switching paradigm in which children either performed only task A or B in single-task blocks or switched between them on every second trial in mixed-task blocks. Task-goal maintenance was determined by comparing the performance between both blocks (mixing costs). The influence of verbal self-cueing was measured by instructing children to either name the next task aloud or not to verbalize during task preparation. Task-sequencing demands were varied between groups whereas one group received spatial task cues to support keeping track of the task sequence, while the other group did not. We also varied by the amount of prior practice in task switching while one group of participants practiced task switching first, before performing the task naming in addition, and the other group did it vice versa. Results of our study investigating younger (8-10 years) and older children (11-13 years) revealed no age differences in beneficial effects of verbal self-cueing. In line with previous findings, children showed reduced mixing costs under task-naming instructions and under conditions of low task-sequence demands (with the presence of spatial task cues). Our results also indicated that these benefits were only obtained for those groups of children that first received practice in task switching alone with no additional verbalization instruction. These findings suggest that internal task-cueing strategies can be efficiently used in children but only if they received prior practice in the underlying task so that demands on keeping and coordinating various instructions are reduced. Moreover, children benefitted from spatial task cues for better task-goal maintenance only if no verbal task-cueing strategy was introduced first.

  5. Evaluation System and Implementation Countermeasure of Automobile Green Maintenance

    NASA Astrophysics Data System (ADS)

    Zhang, Fei; Xie, Xinxin; Yan, Chaoyong

    2018-01-01

    Green maintenance research is in the beginning of our country, the work is being explored. Based on the existing research results at home and abroad, this paper learns and draws lessons from the experiences and lessons of foreign advanced countries and domestic advanced enterprises. In the face of the challenges brought by economic development and energy saving and emission reduction, this paper discusses the green maintenance theory and security system, And the research status of green maintenance content and system at home and abroad, through the deletion and selection of green maintenance index, through the AHP method to determine the green evaluation criteria, and the introduction of C equivalent evaluation system, the use of fuzzy synthesis Evaluation method to build a green maintenance evaluation model, and the actual validation, put forward the implementation of green maintenance feasibility programs and related security recommendations, vehicle maintenance enterprises to carry out green maintenance, improve business efficiency and reduce environmental management costs to provide theoretical basis. And to achieve effective reduction of environmental pollution, reduce maintenance costs of the target, a reasonable promotion of maintenance and environmental protection and sustainable development. Promote green maintenance from research to practice, from the laboratory to the maintenance of enterprises, from the pilot to the overall development and transformation.

  6. THE EFFECTS OF MAINTENANCE ACTIONS ON THE PFDavg OF SPRING OPERATED PRESSURE RELIEF VALVES

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Harris, S.; Gross, R.

    2014-04-01

    The safety integrity level (SIL) of equipment used in safety instrumented functions is determined by the average probability of failure on demand (PFDavg) computed at the time of periodic inspection and maintenance, i.e., the time of proof testing. The computation of PFDavg is generally based solely on predictions or estimates of the assumed constant failure rate of the equipment. However, PFDavg is also affected by maintenance actions (or lack thereof) taken by the end user. This paper shows how maintenance actions can affect the PFDavg of spring operated pressure relief valves (SOPRV) and how these maintenance actions may be accountedmore » for in the computation of the PFDavg metric. The method provides a means for quantifying the effects of changes in maintenance practices and shows how these changes impact plant safety.« less

  7. The Effects of Maintenance Actions on the PFDavg of Spring Operated Pressure Relief Valves

    DOE PAGES

    Harris, S.; Gross, R.; Goble, W; ...

    2015-12-01

    The safety integrity level (SIL) of equipment used in safety instrumented functions is determined by the average probability of failure on demand (PFDavg) computed at the time of periodic inspection and maintenance, i.e., the time of proof testing. The computation of PFDavg is generally based solely on predictions or estimates of the assumed constant failure rate of the equipment. However, PFDavg is also affected by maintenance actions (or lack thereof) taken by the end user. This paper shows how maintenance actions can affect the PFDavg of spring operated pressure relief valves (SOPRV) and how these maintenance actions may be accountedmore » for in the computation of the PFDavg metric. The method provides a means for quantifying the effects of changes in maintenance practices and shows how these changes impact plant safety.« less

  8. Sustainable Rest Area Design and Operations

    DOT National Transportation Integrated Search

    2017-10-01

    One way in which State Departments of Transportation (DOTs) can modernize their rest areas while reducing operations and maintenance costs is by incorporating sustainable practices into rest area design and operations. Sustainability practices that D...

  9. Concrete slurry, wash and loss water mitigation.

    DOT National Transportation Integrated Search

    2012-08-01

    This report presents an evaluation of wastewaters derived from concrete placement and maintenance and the : preparation of best management practices (BMPs). Investigation and documentation of existing practices was done : to ensure application to rea...

  10. 40 CFR 68.56 - Maintenance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) CHEMICAL... testing procedures shall follow recognized and generally accepted good engineering practices. The...' recommendations, industry standards or codes, good engineering practices, and prior operating experience. ...

  11. 40 CFR 68.56 - Maintenance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) CHEMICAL... testing procedures shall follow recognized and generally accepted good engineering practices. The...' recommendations, industry standards or codes, good engineering practices, and prior operating experience. ...

  12. 40 CFR 68.56 - Maintenance.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) CHEMICAL... testing procedures shall follow recognized and generally accepted good engineering practices. The...' recommendations, industry standards or codes, good engineering practices, and prior operating experience. ...

  13. 40 CFR 68.56 - Maintenance.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) CHEMICAL... testing procedures shall follow recognized and generally accepted good engineering practices. The...' recommendations, industry standards or codes, good engineering practices, and prior operating experience. ...

  14. 40 CFR 68.56 - Maintenance.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) CHEMICAL... testing procedures shall follow recognized and generally accepted good engineering practices. The...' recommendations, industry standards or codes, good engineering practices, and prior operating experience. ...

  15. Evaluating the Effects of Massed and Distributed Practice on Acquisition and Maintenance of Tacts and Textual Behavior with Typically Developing Children

    ERIC Educational Resources Information Center

    Haq, Shaji S.; Kodak, Tiffany

    2015-01-01

    This study evaluated the effects of massed and distributed practice on the acquisition of tacts and textual behavior in typically developing children. We compared the effects of massed practice (i.e., consolidating all practice opportunities during the week into a single session) and distributed practice (i.e., distributing all practice…

  16. Maintenance of Certification®, Maintenance of Public Trust

    PubMed Central

    Chung, Kevin C.; Clapham, Philip J.; Lalonde, Donald H.

    2010-01-01

    The Maintenance of Certification® (MOC) program has been well received by many physicians, but faced significant opposition from others, who complain that it is overly tedious, costly, and irrelevant to their practice. This article offers a consolidated and concise history of the MOC program and a summary of what plastic surgeons need to know to successfully complete the American Board of Plastic Surgery’s (ABPS) own MOC requirements. The authors have justified each step of the ABPS’s MOC process in terms of how it improves the quality of care delivered to Plastic Surgery patients. Finally, a summary of research is presented that demonstrates both that the public supports the MOC process for all physicians and that continuing education and formal assessment and improvement initiatives have been linked in multiple studies to a better and more evidence-based medical practice. PMID:21285803

  17. Examining the maintenance and generalization effects of repeated practice: A comparison of three interventions.

    PubMed

    Ardoin, Scott P; Binder, Katherine S; Zawoyski, Andrea M; Foster, Tori E

    2018-06-01

    Repeated reading (RR) procedures are consistent with the procedures recommended by Haring and Eaton's (1978) Instructional Hierarchy (IH) for promoting students' fluent responding to newly learned stimuli. It is therefore not surprising that an extensive body of literature exists, which supports RR as an effective practice for promoting students' reading fluency of practiced passages. Less clear, however, is the extent to which RR helps students read the words practiced in an intervention passage when those same words are presented in a new passage. The current study employed randomized control design procedures to examine the maintenance and generalization effects of three interventions that were designed based upon Haring and Eaton's (1978) IH. Across four days, students either practiced reading (a) the same passage seven times (RR+RR), (b) one passage four times and three passages each once (RR+Guided Wide Reading [GWR]), or (c) seven passages each once (GWR+GWR). Students participated in the study across 2weeks, with intervention being provided on a different passage set each week. All passages practiced within a week, regardless of condition, contained four target low frequency and four high frequency words. Across the 130 students for whom data were analyzed, results indicated that increased opportunities to practice words led to greater maintenance effects when passages were read seven days later but revealed minimal differences across conditions in students' reading of target words presented within a generalization passage. Copyright © 2018 Society for the Study of School Psychology. Published by Elsevier Ltd. All rights reserved.

  18. Toward full life cycle control: Adding maintenance measurement to the SEL

    NASA Technical Reports Server (NTRS)

    Rombach, H. Dieter; Ulery, Bradford T.; Valett, Jon D.

    1992-01-01

    Organization-wide measurement of software products and processes is needed to establish full life cycle control over software products. The Software Engineering Laboratory (SEL)--a joint venture between NASA GSFC, the University of Maryland, and Computer Sciences Corporation--started measurement of software development more than 15 years ago. Recently, the measurement of maintenance was added to the scope of the SEL. In this article, the maintenance measurement program is presented as an addition to the already existing and well-established SEL development measurement program and evaluated in terms of its immediate benefits and long-term improvement potential. Immediate benefits of this program for the SEL include an increased understanding of the maintenance domain, the differences and commonalities between development and maintenance, and the cause-effect relationships between development and maintenance. Initial results from a sample maintenance study are presented to substantiate these benefits. The long-term potential of this program includes the use of maintenance baselines to better plan and manage future projects and to improve development and maintenance practices for future projects wherever warranted.

  19. Trace metal accumulation in sediments and benthic macroinvertebrates before and after maintenance of a constructed wetland.

    PubMed

    O'Connor, Thomas P; Muthukrishnan, Swarna; Barshatzky, Kristen; Wallace, William

    2012-04-01

    Stormwater best management practices (BMPs) require regular maintenance. The impact on trace metal concentrations in a constructed stormwater wetland BMP on Staten Island, New York, was investigated by analyzing sediment concentrations and tissue residues of the dominant macroinvertebrates (Tubifex tubifex) prior and subsequent to maintenance. Trace metal concentrations were assessed using standard serial extraction (for sediment) and acid digestion (for tissue burdens) techniques, followed by quantitative determination using graphite furnace atomic absorption spectrometry and inductively coupled plasma optical emission spectrometry, respectively. The results suggest that disturbance of sediment during maintenance of the BMP resulted in an increase in the most mobile fraction of trace metals, especially those associated with finer grained sediments (< 63 tm), and as a consequence, measured metal concentrations in macroinvertebrates increased. Regressions of a subset of metal concentrations (copper, lead, and zinc) in sediment and the macroinvertebrate tissue burden samples generally increased as a result of maintenance. A follow-up sampling event 9 months after maintenance demonstrated that the most readily available form of trace metal in the BMP was reduced, which supports (1) long-term sequestration of metals in the BMP and (2) that elevated bioavailability following maintenance was potentially a transient feature of the disturbance. This study suggests that in the long-term, performing sediment removal might help reduce bioavailability of trace metal concentrations in both the BMP and the receiving water to which a BMP discharges. However, alternative practices might need to be implemented to reduce trace metal bioavailability in the short-term.

  20. Portable oil bath for high-accuracy resistance transfer and maintenance

    NASA Astrophysics Data System (ADS)

    Shiota, Fuyuhiko

    1999-10-01

    A portable oil bath containing one standard resistor for high-accuracy resistance transfer and maintenance was developed and operated for seven years in the National Research Laboratory of Metrology. The aim of the bath is to save labor and apparatus for high-accuracy resistance transfer and maintenance by consistently keeping the standard resistor in an optimum environmental condition. The details of the prototype system, including its performance, are described together with some suggestions for a more practical bath design, which adopts the same concept.

  1. Applying Best Practices to Military Commercial-Derivative Aircraft Engine Sustainment: Assessment of Using Parts Manufacturer Approval (PMA) Parts and Designated Engineering Representative (DER) Repairs

    DTIC Science & Technology

    2016-01-01

    Company HPT high-pressure turbine LPT low-pressure turbine MARPA Modification and Replacement Parts Association MRO maintenance , repair, and overhaul...Corporation R® is a registered trademark. Cover image: A KC-10 F103 (CF6-50) engine at the MTU Vancouver facility (courtesy of MTU Maintenance Canada Ltd...representative (DER) repairs to decrease the cost of their aircraft engine maintenance . These parts and repairs are provided by third-party companies and

  2. 41 CFR 109-38.5102 - Utilization controls and practices.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Utilization controls and....5102 Utilization controls and practices. Controls and practices to be used by DOE organizations and..., or specific organizational components; (c) The maintenance of individual motor equipment use records...

  3. Yoga practice is associated with attenuated weight gain in healthy, middle-aged men and women.

    PubMed

    Kristal, Alan R; Littman, Alyson J; Benitez, Denise; White, Emily

    2005-01-01

    Yoga is promoted or weight maintenance, but there is little evidence of its efficacy. To examine whether yoga practice is associated with lower mean 10-year weight gain after age 45. Participants included 15,550 adults, aged 53 to 57 years, recruited to the Vitamin and Lifestyle (VITAL) cohort study between 2000 and 2002. Physical activity (including yoga) during the past 10 years, diet, height, and weight at recruitment and at ages 30 and 45. All measures were based on self-reporting, and past weight was retrospectively ascertained. Multiple regression analyses were used to examined covariate-adjusted associations between yoga practice and weight change from age 45 to recruitment, and polychotomous logistic regression was used to examine associations of yoga practice with the relative odds of weight maintenance (within 5%) and weight loss (> 5%) compared to weight gain. Yoga practice for four or more years was associated with a 3.1-lb lower weight gain among normal weight (BMI < 25) participants [9.5 lbs versus 12.6 Ibs] and an 18.5-lb lower weight gain among overweight participants [-5.0 lbs versus 13.5 Ibs] (both P for trend <.001). Among overweight individuals, 4+ years of yoga practice was associated with a relative odds of 1.85 (95% confidence interval [CI] 0.63-5.42) for weight maintenance (within 5%) and 3.88 (95% Cl 1.30-9.88) for weight loss (> 5%) compared to weight gain (P for trend .026 and .003, respectively). Regular yoga practice was associated with attenuated weight gain, most strongly among individuals who were overweight. Although causal inference from this observational study is not possible, results are consistent with the hypothesis that regular yoga practice can benefit individuals who wish to maintain or lose weight.

  4. New Best-Practices Guide for Photovoltaic System Operations and Maintenance

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fact sheet summarizing technical report TP-7A40-67553. As solar photovoltaic (PV) systems have continued their transition from niche applications into large, mature markets in the United States, their potential as financial investments has risen accordingly. Mainstream investors, however, need to feel confident about the risk and return of solar photovoltaic (PV) systems before committing funds. A major influence on risk and return for PV is operations and maintenance (O&M) - but O&M practices and costs vary widely across the United States, making these variables difficult for investors to predict. To address this barrier to continued PV investment, the PV O&M Workingmore » Group has developed a new best-practices guide for PV O&M.« less

  5. A multicriteria decision making approach applied to improving maintenance policies in healthcare organizations.

    PubMed

    Carnero, María Carmen; Gómez, Andrés

    2016-04-23

    Healthcare organizations have far greater maintenance needs for their medical equipment than other organization, as many are used directly with patients. However, the literature on asset management in healthcare organizations is very limited. The aim of this research is to provide more rational application of maintenance policies, leading to an increase in quality of care. This article describes a multicriteria decision-making approach which integrates Markov chains with the multicriteria Measuring Attractiveness by a Categorical Based Evaluation Technique (MACBETH), to facilitate the best choice of combination of maintenance policies by using the judgements of a multi-disciplinary decision group. The proposed approach takes into account the level of acceptance that a given alternative would have among professionals. It also takes into account criteria related to cost, quality of care and impact of care cover. This multicriteria approach is applied to four dialysis subsystems: patients infected with hepatitis C, infected with hepatitis B, acute and chronic; in all cases, the maintenance strategy obtained consists of applying corrective and preventive maintenance plus two reserve machines. The added value in decision-making practices from this research comes from: (i) integrating the use of Markov chains to obtain the alternatives to be assessed by a multicriteria methodology; (ii) proposing the use of MACBETH to make rational decisions on asset management in healthcare organizations; (iii) applying the multicriteria approach to select a set or combination of maintenance policies in four dialysis subsystems of a health care organization. In the multicriteria decision making approach proposed, economic criteria have been used, related to the quality of care which is desired for patients (availability), and the acceptance that each alternative would have considering the maintenance and healthcare resources which exist in the organization, with the inclusion of a decision-making group. This approach is better suited to actual health care organization practice and depending on the subsystem analysed, improvements are introduced that are not included in normal maintenance policies; in this way, not only have different maintenance policies been suggested, but also alternatives that, in each case and according to viability, provide a more complete decision tool for the maintenance manager.

  6. Highway Safety Program Manual: Volume 12: Highway Design, Construction and Maintenance.

    ERIC Educational Resources Information Center

    National Highway Traffic Safety Administration (DOT), Washington, DC.

    Volume 12 of the 19-volume Highway Safety Program Manual (which provides guidance to State and local governments on preferred highway safety practices) focuses on highway design, construction and maintenance. The purpose and specific objectives of such a program are described. Federal authority in the area of highway safety and policies regarding…

  7. 40 CFR 63.9000 - What emission limitations and work practice standards must I meet?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of Hazardous Waste in Boilers and Industrial Furnaces. (d) The emission limits for HCl storage tanks in table 1 to this subpart do not apply during periods of planned routine maintenance of HCl storage tank control devices. Periods of planned routine maintenance of each HCl storage tank control device...

  8. Attitude toward the out-patient cardiac rehabilitation program and facilitators for maintenance of exercise behavior.

    PubMed

    Wong, Eliza M L; Zhong, Xue Bing; Sit, Janet W H; Chair, Sek Ying; Leung, Doris Y P; Leung, Carmen; Leung, K C

    2016-09-01

    This study examined the attitudes of Chinese patients with coronary heart disease (CHD) toward the outpatient cardiac rehabilitation program (OCRP), as well as their exercise behavior, intention, maintenance and related factors. A qualitative descriptive study design was used, and 22 CHD patients were recruited in Hong Kong in 2014. In-depth interviews and content analyses were conducted. The tripartite model of attitudes was adopted as research framework. Two themes were identified: (1) informant attitude (perception, affection, and practice) toward the OCRP and (2) Exercise Behavior - intention, maintenance and its related factors. Most informants showed positive perception and affection regarding the outpatient rehabilitation program, leading to regular practice of exercise in the program and at home. Peer, group dynamic, social support and Chinese culture influences on exercise behavior may serve as major facilitators to maintain exercise behavior. Positive attitude toward the OCRP enhanced the participation rate, whereas peer and social support from the family and workplace were useful to improve the maintenance of exercise behavior. Overall, this study provides insights into strategic planning for the OCRP and continual support for CHD patients in the community.

  9. A yoga program for cognitive enhancement.

    PubMed

    Brunner, Devon; Abramovitch, Amitai; Etherton, Joseph

    2017-01-01

    Recent studies suggest that yoga practice may improve cognitive functioning. Although preliminary data indicate that yoga improves working memory (WM), high-resolution information about the type of WM subconstructs, namely maintenance and manipulation, is not available. Furthermore, the association between cognitive enhancement and improved mindfulness as a result of yoga practice requires empirical examination. The aim of the present study is to assess the impact of a brief yoga program on WM maintenance, WM manipulation and attentive mindfulness. Measures of WM (Digit Span Forward, Backward, and Sequencing, and Letter-Number Sequencing) were administered prior to and following 6 sessions of yoga (N = 43). Additionally, the Mindfulness Attention Awareness Scale was administered to examine the potential impact of yoga practice on mindfulness, as well as the relationships among changes in WM and mindfulness. Analyses revealed significant improvement from pre- to post- training assessment on both maintenance WM (Digit Span Forward) and manipulation WM (Digit Span Backward and Letter-Number Sequencing). No change was found on Digit Span Sequencing. Improvement was also found on mindfulness scores. However, no correlation was observed between mindfulness and WM measures. A 6-session yoga program was associated with improvement on manipulation and maintenance WM measures as well as enhanced mindfulness scores. Additional research is needed to understand the extent of yoga-related cognitive enhancement and mechanisms by which yoga may enhance cognition, ideally by utilizing randomized controlled trials and more comprehensive neuropsychological batteries.

  10. 40 CFR Table 2 to Subpart Jjjjjj... - Work Practice Standards, Emission Reduction Measures, and Management Practices

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Hazardous Air Pollutants for Industrial, Commercial, and Institutional Boilers Area Sources Pt. 63, Subpt... of available architectural and engineering plans, facility operation and maintenance procedures and...

  11. 40 CFR Table 2 to Subpart Jjjjjj... - Work Practice Standards, Emission Reduction Measures, and Management Practices

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Hazardous Air Pollutants for Industrial, Commercial, and Institutional Boilers Area Sources Pt. 63, Subpt... of available architectural and engineering plans, facility operation and maintenance procedures and...

  12. Developing a general practice library: a collaborative project between a GP and librarian.

    PubMed

    Pearson, D; Rossall, H

    2001-12-01

    The authors report on a self-completed questionnaire study from a North Yorkshire based general practice regarding the information needs of its clinicians. The work was carried out with a particular focus on the practice library, and the findings identified that a new approach to maintaining and developing the library was needed. The literature regarding the information needs of primary care clinicians and the role of practice libraries is considered, and compared to those of the clinicians at the practice. Discussion follows on how a collaborative project was set up between the practice and a librarian based at the local NHS Trust library in order to improve the existing practice library. Difficulties encountered and issues unique to the project are explored, including training implications presented by the implementation of electronic resources. Marketing activities implemented are discussed, how the library will operate in its new capacity, and how ongoing support and maintenance of the library will be carried out. It is concluded that although scepticism still exists regarding librarian involvement in practice libraries, collaboration between clinicians and librarians is an effective approach to the successful development and maintenance of a practice library, and recommendations are therefore made for similar collaborative work.

  13. Identification and laboratory assessment of best practices to protect DOT equipment from the corrosive effect of chemical deicers.

    DOT National Transportation Integrated Search

    2012-12-01

    The objective of this project is to identify, evaluate and synthesize best practices that can be implemented to minimize the effects of deicer corrosion on DOT winter : vehicles and equipment, such as design improvements, maintenance practices, and t...

  14. The Changing Character of Dental Practice and Its Impact on Dental Education.

    ERIC Educational Resources Information Center

    Kerr, I. Lawrence

    1981-01-01

    The "practice" aspect of the dental profession is reviewed. It is suggested that there is no way to separate education, practice, research, financing, government, science, business, management, motivation, and the public from one another. Retail dentistry, health maintenance organizations, franchising, advertising, and denturism are…

  15. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Harris, S.; Gross, R.; Goble, W

    The safety integrity level (SIL) of equipment used in safety instrumented functions is determined by the average probability of failure on demand (PFDavg) computed at the time of periodic inspection and maintenance, i.e., the time of proof testing. The computation of PFDavg is generally based solely on predictions or estimates of the assumed constant failure rate of the equipment. However, PFDavg is also affected by maintenance actions (or lack thereof) taken by the end user. This paper shows how maintenance actions can affect the PFDavg of spring operated pressure relief valves (SOPRV) and how these maintenance actions may be accountedmore » for in the computation of the PFDavg metric. The method provides a means for quantifying the effects of changes in maintenance practices and shows how these changes impact plant safety.« less

  16. 7 CFR 1469.22 - Conservation practice operation and maintenance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... life span of the conservation treatment, as identified in the contract or conservation stewardship plan... procedures as specified in § 1469.25. If an existing practice is part of a system that meets the quality...

  17. 7 CFR 1469.22 - Conservation practice operation and maintenance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... life span of the conservation treatment, as identified in the contract or conservation stewardship plan... procedures as specified in § 1469.25. If an existing practice is part of a system that meets the quality...

  18. Practical solution concepts for planning and designing roadways in Kentucky.

    DOT National Transportation Integrated Search

    2008-10-01

    Kentucky's highway agency has embarked upon an initiative tagged "Practical Solutions" which sets its goal toward reducing costs throughout the project development process extended into operations and maintenance of all highway facilities. This study...

  19. Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories.

    PubMed

    Kwasnicka, Dominika; Dombrowski, Stephan U; White, Martin; Sniehotta, Falko

    2016-09-01

    Behaviour change interventions are effective in supporting individuals in achieving temporary behaviour change. Behaviour change maintenance, however, is rarely attained. The aim of this review was to identify and synthesise current theoretical explanations for behaviour change maintenance to inform future research and practice. Potentially relevant theories were identified through systematic searches of electronic databases (Ovid MEDLINE, Embase, PsycINFO). In addition, an existing database of 80 theories was searched, and 25 theory experts were consulted. Theories were included if they formulated hypotheses about behaviour change maintenance. Included theories were synthesised thematically to ascertain overarching explanations for behaviour change maintenance. Initial theoretical themes were cross-validated. One hundred and seventeen behaviour theories were identified, of which 100 met the inclusion criteria. Five overarching, interconnected themes representing theoretical explanations for behaviour change maintenance emerged. Theoretical explanations of behaviour change maintenance focus on the differential nature and role of motives, self-regulation, resources (psychological and physical), habits, and environmental and social influences from initiation to maintenance. There are distinct patterns of theoretical explanations for behaviour change and for behaviour change maintenance. The findings from this review can guide the development and evaluation of interventions promoting maintenance of health behaviours and help in the development of an integrated theory of behaviour change maintenance.

  20. Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories

    PubMed Central

    Kwasnicka, Dominika; Dombrowski, Stephan U; White, Martin; Sniehotta, Falko

    2016-01-01

    ABSTRACT Background: Behaviour change interventions are effective in supporting individuals in achieving temporary behaviour change. Behaviour change maintenance, however, is rarely attained. The aim of this review was to identify and synthesise current theoretical explanations for behaviour change maintenance to inform future research and practice. Methods: Potentially relevant theories were identified through systematic searches of electronic databases (Ovid MEDLINE, Embase, PsycINFO). In addition, an existing database of 80 theories was searched, and 25 theory experts were consulted. Theories were included if they formulated hypotheses about behaviour change maintenance. Included theories were synthesised thematically to ascertain overarching explanations for behaviour change maintenance. Initial theoretical themes were cross-validated. Findings: One hundred and seventeen behaviour theories were identified, of which 100 met the inclusion criteria. Five overarching, interconnected themes representing theoretical explanations for behaviour change maintenance emerged. Theoretical explanations of behaviour change maintenance focus on the differential nature and role of motives, self-regulation, resources (psychological and physical), habits, and environmental and social influences from initiation to maintenance. Discussion: There are distinct patterns of theoretical explanations for behaviour change and for behaviour change maintenance. The findings from this review can guide the development and evaluation of interventions promoting maintenance of health behaviours and help in the development of an integrated theory of behaviour change maintenance. PMID:26854092

  1. Maintenance therapy in colon cancer.

    PubMed

    Giuliani, F; De Vita, F; Colucci, G; Pisconti, S

    2010-11-01

    In the last decade dramatic improvements have been obtained in the treatment of metastatic colorectal cancer. Thanks to the introduction in the clinical practice of new drugs such as Irinotecan and Oxaliplatin, and modern biological drugs such as Bevacizumab and Cetuximab, the response rate, progression-free and overall survival are about 50-60%, 9-11 and 20-24 months respectively. Despite this progress, many questions remain unsolved especially those related to the optimal duration of treatment and the role of maintenance therapy. To treat until progression (or unacceptable toxicity) is the classical way but in the common clinical practice is frequent to perform an induction therapy (until the maximum response is obtained) followed by a complete stop and restart on progression, or by a maintenance without the drug/s responsible of the major cumulative toxicities. The following report focus on the role of different strategies respect to the classic "treatment until progression". Copyright © 2010 Elsevier Ltd. All rights reserved.

  2. Habitat Maintenance and Local Economic Ethics in Rural Atlantic Canada.

    PubMed

    Foster, Karen

    2018-02-01

    Inspired by Jane Jacobs's writing on "habitat maintenance," this paper seeks to identify the ethics that sometimes compel rural residents to act in ways that preserve their communities in the long run, despite short-term incentives to do otherwise. Data from focus groups in four rural Atlantic Canadian communities suggest shared ethics around entrepreneurship, market competition, buying local, and subsistence, some of which underlie the rural practices and perspectives that appear, to some outsiders, as irrational and "backwards." Understanding these ethics and the practices they incite as components of habitat maintenance-and judging them by their situated pragmatism rather than their fit with the placeless ideologies of growth-centric global capitalism and competitiveness-highlights their rationality and utility. Findings could help direct discussions of rural economic development toward notions of prosperity, sustainability, and economy that fit better with rural realities. © 2018 Canadian Sociological Association/La Société canadienne de sociologie.

  3. Providing Our Fellows in Training with Education on Inflammatory Bowel Disease Health Maintenance to Improve the Quality of Care in Our Health Care System.

    PubMed

    Lee, Ann Joo; Kraemer, Dale F; Smotherman, Carmen; Eid, Emely

    2016-01-01

    Inflammatory bowel disease (IBD) quality measures were established in an effort to standardize IBD health care. Despite effort to improve clinical performance, considerable variations in practice still exist. To further improve IBD health care, we propose incorporating an in-service educational session on IBD health maintenance to provide trainees with increasing awareness and knowledge on IBD management. Fifty electronic medical charts were randomly selected, and the level of quality documentation was assessed for 15 core IBD quality measures. Data were reported as the percentage of charts meeting audit criteria (compliance score). Fellows then attended an in-service educational session to review IBD quality measures and reinforce practice expectations. A second audit was then performed on an additional 50 patient charts to determine whether documentation practices improved after the educational session. We found a positive correlation between an in-service educational session and fellows' compliance with IBD health maintenance. Overall, the fellows' compliance score increased by 18% (before intervention, 65%; after intervention, 83%; P < 0.0001). The intervention was equally beneficial irrespective of training level. Although the magnitude of improvement was comparable, the mean compliance score was highest in year 2 at 81% (year 1: 72% [P = 0.019] and year 3: 70% [P = 0.002]). Fellows expressed a high degree of satisfaction with the educational intervention and emphasized the value in reviewing the conceptual bases for IBD health maintenance. Incorporating a standard curriculum on IBD health maintenance provides fellows in training with increased awareness and guidance on managing the unique preventive care needs of patients with IBD.

  4. 37 CFR 1.378 - Acceptance of delayed payment of maintenance fee in expired patent to reinstate patent.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... attorney or agent registered to practice before the Patent and Trademark Office, or by the patentee, the... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Acceptance of delayed payment of maintenance fee in expired patent to reinstate patent. 1.378 Section 1.378 Patents, Trademarks...

  5. 40 CFR 63.7500 - What emission limitations, work practice standards, and operating limits must I meet?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... pounds per million Btu of steam output, in Tables 1 or 2 to this subpart are an alternative applicable only to boilers and process heaters that generate steam. The output-based emission limits, in units of..., monitoring results, review of operation and maintenance procedures, review of operation and maintenance...

  6. 40 CFR 63.7500 - What emission limitations, work practice standards, and operating limits must I meet?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... pounds per million Btu of steam output, in Tables 1 or 2 to this subpart are an alternative applicable only to boilers and process heaters that generate steam. The output-based emission limits, in units of..., monitoring results, review of operation and maintenance procedures, review of operation and maintenance...

  7. Coding "Corrective Recasts": The Maintenance of Meaning and More Fundamental Problems

    ERIC Educational Resources Information Center

    Hauser, Eric

    2005-01-01

    A fair amount of descriptive research in the field of second language acquisition has looked at the presence of what have been labeled corrective recasts. This research has relied on the methodological practice of coding to identify particular turns as "corrective recasts." Often, the coding criteria make use of the notion of the maintenance of…

  8. Korean Families in America: Their Family Language Policies and Home-Language Maintenance

    ERIC Educational Resources Information Center

    Kang, Hyun-Sook

    2015-01-01

    This study examined the family language policies (FLP) of Korean American parents and how the language practice, management, and ideology components of their FLP and demographic variables predict maintenance of the home language. Results of a large-scale (N = 480) survey show that different sets of FLP and demographic variables contributed to a…

  9. The Effect of a Multiple Treatment Program and Maintenance Procedures on Smoking Cessation.

    ERIC Educational Resources Information Center

    Powell, Don R.

    The efficacy of a multiple treatment smoking cessation program and three maintenance strategies was evaluated. Phases I and II of the study involved 51 subjects who participated in a five-day smoking cessation project consisting of lectures, demonstrations, practice exercises, negative smoking, and the teaching of self-control procedures. At the…

  10. Awareness of and Participation in Maintenance of Professional Certification: A Prospective Study

    ERIC Educational Resources Information Center

    Bower, Elizabeth A.; Choi, Dongseok; Becker, Thomas M.; Girard, Donald E.

    2007-01-01

    Introduction: National health care concerns have led to the emergence of maintenance of certification (MOC) as a means to ensure the competence of practicing physicians. Little is known about physician perceptions of the barriers and/or benefits of MOC or proportions of physicians who participate in MOC programs. The purposes of this study were to…

  11. Field Evaluation of the Generalized Maintenance Trainer-Simulator: I. Fleet Communications System. ; Technical Report No. 89.

    ERIC Educational Resources Information Center

    Rigney, J. W.; And Others

    This report describes the Generalized Maintenance Trainer-Simulator (GMTS), an instructional system designed to give electronics students intensive troubleshooting practice in a simulated hands-on training environment, and reports on a field evaluation of the GMTS applied to systems level troubleshooting in radio communications. The GMTS can be…

  12. Satisfaction of physician assistants and other nonphysician providers in a managed care setting.

    PubMed Central

    Freeborn, D K; Hooker, R S

    1995-01-01

    Health maintenance organizations have employed physician assistants, nurse practitioners, and other nonphysician providers for decades, yet there is little information on how satisfied these providers are with this form of practice. This paper examines how physician assistants evaluate their experience practicing in a large group model health maintenance organization and compares their attitudes and satisfaction levels with those of other nonphysician providers-nurse practitioners, optometrists, mental health therapists, and chemical dependency counselors. The data source is a 1992 survey of 5,000 nonphysician employees of a health maintenance organization. The survey instrument was a self-administrated questionnaire that included both structured and open-ended questions. The response rate averaged 88 percent for physician assistants and the other non-physician providers. Physician assistants expressed the most satisfaction with the amount of responsibility, support from coworkers, job security, working hours, supervision, and task variety. They were less satisfied with workload, control over the pace of work, and opportunities for advancement. Most physician assistants were also satisfied with pay and fringe benefits. Compared with other nonphysician providers, chemical dependency counselors expressed the highest levels of satisfaction across the various dimensions of work and optometrists the lowest. Nurse practitioners, chemical dependency counselors, and mental health professionals also tended to be satisfied with most aspects of practice in this setting. In a number of instances, they were more satisfied than the physician assistants. The findings are consistent with other studies that found health maintenance organizations to be favorable practice settings for physician assistants. The limits of physician assistant involvement and their role satisfaction and efficient use in HMOs are more likely to relate to physician attitudes and acceptance than to lack of support by coworkers and other attributes of the work environment. PMID:8570825

  13. Summary of Tiger Team Assessment and Technical Safety Appraisal recurring concerns in the Maintenance Area

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1993-01-01

    Tiger Team Assessments and Technical Safety Appraisals (TSA) were reviewed and evaluated for concerns in the Maintenance Area (MA). Two hundred and thirty one (231) maintenance concerns were identified by the Tiger Team Assessments and TSA reports. These recurring concerns appear below. A summary of the Noteworthy Practices that were identified and a compilation of the maintenance concerns for each performance objective that were not considered as recurring are also included. Where the Tiger Team Assessment and TSA identified the operating contractor or facility by name, the concern has been modified to remove the name while retaining the intent ofmore » the comment.« less

  14. Idaho forestry best management practices: Compilation of research on their effectiveness

    Treesearch

    Kathleen A. Seyedbagheri

    1996-01-01

    A search was conducted for quantitative Idaho research results on the effectiveness of the Idaho Forest Practices Act rules and regulations pertaining to timber harvest and forest road construction and maintenance. These rules and regulations are designated as the "best management practices" for the prevention of nonpoint source pollution from silviculture...

  15. Identifying Best Practices in Pavement Design, Materials, Construction, and Maintenance in Wet-Freeze Climates Similar to Michigan

    DOT National Transportation Integrated Search

    2018-02-28

    The intent of this research is to identify best practices for pavements in wet-freeze climates. For the purposes of this report, a best practice is a procedure that has been shown by research or experience to produce improved results and that is esta...

  16. Variations in resource utilization among medical specialties and systems of care. Results from the medical outcomes study.

    PubMed

    Greenfield, S; Nelson, E C; Zubkoff, M; Manning, W; Rogers, W; Kravitz, R L; Keller, A; Tarlov, A R; Ware, J E

    1992-03-25

    To examine whether specialty and system of care exert independent effects on resource utilization. Cross-sectional analysis of just over 20,000 patients (greater than or equal to 18 years of age) who visited providers' offices during 9-day periods in 1986. Patient- and physician-provided information was obtained by self-administered questionnaires. Offices of 349 physicians practicing family medicine, internal medicine, endocrinology, and cardiology within health maintenance organizations, large multispecialty groups, and solo practices or small single-specialty group practices in three major US cities. Indicators of the intensity of resource utilization were examined among four medical specialties (family practice, general internal medicine, cardiology, and endocrinology) and five systems of care (health maintenance organization, multispecialty group-fee-for-service, multispecialty group-prepaid; solo practice and single-specialty group-fee-for-service, and solo practice and single-specialty group-prepaid) before and after controlling for the mix of patients seen in these offices. The indicators of resource utilization were hospitalizations, annual office visits, prescription drugs, and common tests and procedures, with rates estimated on both a per-visit and per-year basis. Variation in patient mix was a major determinant of the large variations in resource use. However, increased utilization was also independently related to specialty (cardiology and endocrinology), fee-for-service payment plan, and solo and single-specialty group practice arrangements. After adjusting for patient mix, solo practice/single-specialty groups-fee-for-service had 41% more hospitalizations than health maintenance organizations. General internists had utilization rates somewhat greater than family physicians on some indicators. Although variations in patient mix should be a major determinant of variations in resource use, the independent effects of specialty training, payment system, and practice organization on utilization rates need further explication. The 2- and 4-year outcomes now being analyzed will provide information critical to interpretation of the variations reported herein.

  17. Maintenance of buildings: Italian examples of deviations between planned and incurred costs

    NASA Astrophysics Data System (ADS)

    Rebaudengo, Manuela; Piantanida, Paolo

    2018-05-01

    In recent years, drawing up the maintenance plan for a building has proved to be a theoretical practice, which has been expressed in the indication of a multiplicity of interventions more for caution reasons than for real needs. In this way, the document (mandatory by the Italian law both for public and private works) has been interpreted as a formal requirement: it must be part of the project, without any particular operational interest. So, the maintenance plans are more often "standard plans", not directing the user towards a specific maintenance strategy and thus consolidating the common thesis that reality is different. The paper compares, with reference to two xxx of study (offices and residence), the planned maintenance actions and those carried out, with an indication of the difference between expected and incurred costs.

  18. Implementation of sustainable and green design and construction practices for bridges.

    DOT National Transportation Integrated Search

    2012-12-01

    The focus of this research is to develop a framework for more sustainable design and construction : processes for new bridges, and sustainable maintenance practices for existing bridges. The framework : includes a green rating system for bridges. The...

  19. 75 FR 6160 - Airworthiness Directives; McDonnell Douglas Corporation Model DC-10-10, DC-10-10F, DC-10-15, DC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-08

    ... proposed AD results from fuel system reviews conducted by the manufacturer. We are proposing this AD to... existing maintenance practices for fuel tank systems. As a result of those findings, we issued a regulation titled ``Transport Airplane Fuel Tank System Design Review, Flammability Reduction and Maintenance and...

  20. 75 FR 36579 - Airworthiness Directives; McDonnell Douglas Corporation Model DC-10-30, DC-10-30F, DC-10-30F (KC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-28

    ... channels. This proposed AD results from fuel system reviews conducted by the manufacturer. We are proposing... existing maintenance practices for fuel tank systems. As a result of those findings, we issued a regulation titled ``Transport Airplane Fuel Tank System Design Review, Flammability Reduction and Maintenance and...

  1. Learner-Centered Instruction (LCI): Volume IV, The Simulated Maintenance Task Environment (SMTE): A Job Specific Simulator.

    ERIC Educational Resources Information Center

    Rifkin, Kenneth I.; And Others

    The purpose of the simulated maintenance task environment is to provide a means for training and job performance testing of the flight line weapon control systems mechanic/technician for the F-111A aircraft. It provides practice in flight line equipment checkout, troubleshooting, and removal and replacement of line replaceable units in the…

  2. Maintenance of the Language Laboratory. ERIC Focus Reports on the Teaching of Foreign Languages, Number 28.

    ERIC Educational Resources Information Center

    Medley, Frank W.

    The purpose of this report is to identify the various aspects of language laboratory operation and maintenance as they relate to the teacher and the administrator, and to suggest certain practices which will result in more effective utilization of the installation. Discussion of the language laboratory includes: (1) selection of personnel, (2)…

  3. A Decision Tool to Evaluate Budgeting Methodologies for Estimating Facility Recapitalization Requirements

    DTIC Science & Technology

    2008-03-01

    1 . Maintenance Practices Influence Service Life .......................................................... 11 2 . Expectations or Standards May...BRB, 1991, p. 1 - 2 ) Additionally, public sector organizations typically have a larger inventory of facilities to maintain, making asset management...questions were answered. 1 . What are the long term causes and effects of under-funding the maintenance of facilities? 2 . What methods currently

  4. Staff training and outreach support for Cognitive Stimulation Therapy and its implementation in practice: a cluster randomised trial.

    PubMed

    Streater, Amy; Spector, Aimee; Hoare, Zoe; Aguirre, Elisa; Russell, Ian; Orrell, Martin

    2017-12-01

    There is evidence that Cognitive Stimulation Therapy and maintenance Cognitive Stimulation Therapy are effective in mild to moderate dementia. There is, however, little evidence available for its implementation in practice and the impact of outreach support on the sustainability of the programme. Two hundred and forty-one staff members were randomised from 63 dementia care settings between outreach support including an online forum, email, and telephone support, compared to usual Cognitive Stimulation Therapy control group. The primary outcome was average number of attendees to the Cognitive Stimulation Therapy and maintenance Cognitive Stimulation Therapy programmes. There was no difference in average number of attendees between the intervention and usual Cognitive Stimulation Therapy control groups for the Cognitive Stimulation Therapy (p = 0.82) or the maintenance Cognitive Stimulation Therapy programme (p = 0.97). Outreach support does not affect the average number of people with dementia attending the Cognitive Stimulation Therapy or maintenance Cognitive Stimulation Therapy programme. Irrespective of outreach support, the programmes remain widely implemented and yield perceived benefits for people with dementia. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

  5. Lead particle size and its association with firing conditions and range maintenance: implications for treatment.

    PubMed

    Dermatas, Dimitris; Chrysochoou, Maria

    2007-08-01

    Six firing range soils were analyzed, representing different environments, firing conditions, and maintenance practices. The particle size distribution and lead (Pb) concentration in each soil fraction were determined for samples obtained from the backstop berms. The main factors that were found to influence Pb fragment size were the type of soil used to construct the berms and the type of weapon fired. The firing of high velocity weapons, i.e., rifles, onto highly angular soils induced significant fragmentation of the bullets and/or pulverization of the soil itself. This resulted in the accumulation of Pb in the finer soil fractions and the spread of Pb contamination beyond the vicinity of the backstop berm. Conversely, the use of clay as backstop and the use of low velocity pistols proved to be favorable for soil clean-up and range maintenance, since Pb was mainly present as large metallic fragments that can be recovered by a simple screening process. Other factors that played important roles in Pb particle size distribution were soil chemistry, firing distance, and maintenance practices, such as the use of water spray for dust suppression and deflectors prior to impact. Overall, coarse Pb particles provide much easier and more cost-effective maintenance, soil clean-up, and remediation via physical separation. Fine Pb particles release Pb more easily, pose an airborne Pb hazard, and require the application of stabilization/solidification treatment methods. Thus, to ensure sustainable firing range operations by means of cost-effective design, maintenance, and clean-up, especially when high velocity weapons are used, the above mentioned factors should be carefully considered.

  6. Tonsillitis

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  7. Hoarseness

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  8. Sinusitis

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  9. Cholesteatoma

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  10. 7 CFR 636.9 - Cost-share agreements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES CONSERVATION SERVICE, DEPARTMENT OF... of one year after the completion of conservation practices identified in the WPO and a maximum of 10... and maintenance for each conservation practice and the Agency expectation that WHIP-funded...

  11. Tools to support maintenance strategies under soft soil conditions

    NASA Astrophysics Data System (ADS)

    Lambert, J. W. M.; van Meerten, J. J.; Woning, M. P.; Eijbersen, M. J.; Huber, M.

    2015-11-01

    Costs for maintenance of infrastructure in municipalities with soft soil underground conditions, are estimated to be almost 40 % higher than in others. As a result, these municipalities meet financial problems that cause overdue maintenance. In some cases municipalities are even afraid to be unable to offer a minimum service level in future. In common, traditional practice, roads and sewerage systems have been constructed in trenches that consist of sandy material that replaces the upper meters of the soft soil. Under influence of its weight, this causes accelerated settlements of the construction. A number of alternative constructions have been developed, e.g. using light-weight materials to limit settlement velocity. In order to limit future maintenance costs, improvement of maintenance strategies is desired. Tools have been and will be developed to support municipalities in improving their maintenance strategies and save money by doing that. A model (BALANS) that weighs the attractiveness of alternative solutions under different soil, environmental and economic circumstances, will be presented.

  12. [STRATEGY OF USE AND MAINTENANCE OF CLINICAL HOSPITAL CENTER RIJEKA IN ACCORDANCE WITH KEY PERFORMANCE INDICATORS FOR STRATEGIC HEALTHCARE FACILITIES MAINTENANCE].

    PubMed

    Sjekavica, Mariela; Haller, Herman; Cerić, Anita

    2015-01-01

    Building usage is the phase in the building life cycle that is most time-consuming, most functional, most significant due to building purpose and often systematically ignored. Maintenance is the set of activities that ensure the planned duration of facility exploitation phase in accordance with the requirements for quality maintenance of a large number of important building features as well as other elements immanent to the nature of facilities' life. The aim of the study is to show the analysis of the current state of organized, planned and comprehensive managerial approach in hospital utilization and maintenance in the Republic of Croatia, given on the case study of Clinical hospital center in Rijeka. The methodology used consists of relevant literature section of theory of facility utilization, maintenance and management in general, hospital buildings especially, display of practice on case study, and comparison of key performance indicators values obtained through interview with those that author Igal M. Shohet defined in his study by field surveys and statistical analyses. Despite many positive indicators of Clinical hospital center Rijeka maintenance, an additional research is needed in order to define a more complete national hospital maintenance strategy.

  13. Maintenance Process Strategic Analysis

    NASA Astrophysics Data System (ADS)

    Jasiulewicz-Kaczmarek, M.; Stachowiak, A.

    2016-08-01

    The performance and competitiveness of manufacturing companies is dependent on the availability, reliability and productivity of their production facilities. Low productivity, downtime, and poor machine performance is often linked to inadequate plant maintenance, which in turn can lead to reduced production levels, increasing costs, lost market opportunities, and lower profits. These pressures have given firms worldwide the motivation to explore and embrace proactive maintenance strategies over the traditional reactive firefighting methods. The traditional view of maintenance has shifted into one of an overall view that encompasses Overall Equipment Efficiency, Stakeholders Management and Life Cycle assessment. From practical point of view it requires changes in approach to maintenance represented by managers and changes in actions performed within maintenance area. Managers have to understand that maintenance is not only about repairs and conservations of machines and devices, but also actions striving for more efficient resources management and care for safety and health of employees. The purpose of the work is to present strategic analysis based on SWOT analysis to identify the opportunities and strengths of maintenance process, to benefit from them as much as possible, as well as to identify weaknesses and threats, so that they could be eliminated or minimized.

  14. Swallowing Trouble

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  15. Pediatric Sinusitis

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  16. Deviated Septum

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  17. Sinus Surgery

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  18. Mouth Sores

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  19. Nose Surgery

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  20. Stuffy Nose

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  1. Fluid therapy for children: facts, fashions and questions

    PubMed Central

    Holliday, Malcolm A; Ray, Patricio E; Friedman, Aaron L

    2007-01-01

    Fluid therapy restores circulation by expanding extracellular fluid. However, a dispute has arisen regarding the nature of intravenous therapy for acutely ill children following the development of acute hyponatraemia from overuse of hypotonic saline. The foundation on which correct maintenance fluid therapy is built is examined and the difference between maintenance fluid therapy and restoration or replenishment fluid therapy for reduction in extracellular fluid volume is delineated. Changing practices and the basic physiology of extracellular fluid are discussed. Some propose changing the definition of “maintenance therapy” and recommend isotonic saline be used as maintenance and restoration therapy in undefined amounts leading to excess intravenous sodium chloride intake. Intravenous fluid therapy for children with volume depletion should first restore extracellular volume with measured infusions of isotonic saline followed by defined, appropriate maintenance therapy to replace physiological losses according to principles established 50 years ago. PMID:17175577

  2. Study of the impact of automation on productivity in bus-maintenance facilities. Final report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sumanth, D.J.; Weiss, H.J.; Adya, B.

    1988-12-01

    Whether or not the various types of automation and new technologies introduced in a bus-transit system really have an impact on productivity is the question addressed in the study. The report describes a new procedure of productivity measurement and evaluation for a county-transit system and provides an objective perspective on the impact of automation on productivity in bus maintenance facilities. The research objectives were: to study the impact of automation on total productivity in transit maintenance facilities; to develop and apply a methodology for measuring the total productivity of a Floridian transit maintenance facility (Bradenton-Manatee County bus maintenance facility whichmore » has been introducing automation since 1983); and to develop a practical step-by-step implementation scheme for the total productivity-based productivity measurement system that any bus manager can use. All 3 objectives were successfully accomplished.« less

  3. New Literacies Practices of Teenage "Twitter" Users

    ERIC Educational Resources Information Center

    Gleason, Benjamin

    2016-01-01

    This study is an empirical study into the new literacy practices of five teenage "Twitter" users on Twitter. Qualitative methods were used to describe the most prominent ways of participating on "Twitter." Results indicate that teenagers used "Twitter" for self-expression, communication, friendship maintenance, and…

  4. Task Management for Firefighters: A Practical Approach to Task Management.

    ERIC Educational Resources Information Center

    Roberts, Stephen S.

    1979-01-01

    A project management system for organizing requests from multiple departments and controlling the workload of the development/maintenance computer staff is described. Practical solutions to deciding project priorities, determining time estimates, creating positive peer pressure among programing staff, and formalizing information requests are…

  5. Benchmarking the FCI at Illinois State's Residential Life.

    ERIC Educational Resources Information Center

    Cain, David A.

    1998-01-01

    Describes how Office of Residential Life at one university met maintenance challenges facing its residential and food-service facilities. Discusses study conducted in 1992 to evaluate widespread management practices and addresses its findings, including six recommended practices. Examines development and implementation of facilities audit,…

  6. Maintenance of antemortem dental records in private dental clinics: Knowledge, attitude, and practice among the practitioners of Mangalore and surrounding areas

    PubMed Central

    Wadhwani, Surbhi; Shetty, Pushparaja; Sreelatha, S. V.

    2017-01-01

    Introduction: With time, an increase in the number of crimes, mass disasters, and wars, has led to the identification of the deceased or assailant critical. In such circumstances, antemortem dental records play a crucial role. Materials and Methods: A cross-sectional survey involved 95 dentists practicing in and around Mangalore. The structured questionnaire comprised 24 questions regarding the practice of maintenance of dental records. The questionnaire was given either personally or sent by post. The data obtained was subjected to descriptive analysis. Results: With 87% of the dentists maintaining records, only 31% of them recorded all the details required to be present in a dental record. Of these 18% of them maintained the records for >5 years. Conclusion: The results suggest that most of the practicing dentists in this area either do not maintain or maintain inadequate records, which is alarming. Thus, there is a need to set protocols to increase the awareness for maintaining good dental records. PMID:29263612

  7. Cochlear-Meningitis Vaccination

    MedlinePlus

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  8. Find an ENT

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  9. Smell and Taste

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  10. Voice and Aging

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  11. Tongue-Tie (Ankyloglossia)

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  12. Tonsils and Adenoids

    MedlinePlus

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  13. Pediatric Thyroid Cancer

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  14. Fine Needle Aspiration

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  15. Ear Plastic Surgery

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  16. Ears and Altitude

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  17. About Your Voice

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  18. Find an ENT

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Improvement Clinical Data Registry Research ...

  19. Examining maintenance responsibilities.

    PubMed

    Lam, K C

    2001-06-01

    This paper has examined the important responsibilities of the two organisations involved in the provision of maintenance service for the vital building services in many of our highly serviced buildings. The issues raised could be put to beneficial use in both clients and maintenance providers. All in all, the clients should work closely with their maintenance providers. Engineering services in buildings will not perform satisfactorily and efficiently if both parties do not work together and understand the maintenance tasks based on a business partnering mode. Put forward is the view that the management of the activities involved in the operation and maintenance process is a "shared commitment/involvement" between the client and the maintenance provider. It is obvious that many factors can influence the continued effectiveness of a quality maintenance scheme set up by client and provider. Some of these factors are: Change in key personnel Updates in technology Amendments to engineering practice Implementation of legislative requirements Changes in operation by client or provider Change of use of building Passage of time These factors must be fully reviewed by both parties from time to time, and necessary actions taken. A cooperative team working relationship and improved communication should be fostered by the client and his provider for the best management of services maintenance. This arrangement will contribute to better building services systems with continuous improvement; improved value for clients and higher return for the maintenance provider.

  20. Human resources management and firm performance: The differential role of managerial affective and continuance commitment.

    PubMed

    Gong, Yaping; Law, Kenneth S; Chang, Song; Xin, Katherine R

    2009-01-01

    In this study, the authors developed a dual-concern (i.e., maintenance and performance) model of human resources (HR) management. The authors identified commonly examined HR practices that apply to the middle manager level and classified them into the maintenance- and performance-oriented HR subsystems. The authors found support for the 2-factor model on the basis of responses from 2,148 managers from 463 firms operating in China. Regression results indicate that the performance-oriented HR subsystems had a positive relationship with firm performance and that the relationship was mediated by middle managers' affective commitment to the firm. The maintenance-oriented HR subsystems had a positive relationship with middle managers' continuance commitment but not with their affective commitment and firm performance. This study contributes to the understanding of how HR practices relate to firm performance and offers an improved test of the argument that valuable and firm-specific HR provide a source of competitive advantage. (PsycINFO Database Record (c) 2009 APA, all rights reserved).

  1. An assessment of workplace programmes designed to control inhalation risks using respiratory protective equipment.

    PubMed

    Bell, Nikki; Vaughan, Nicholas P; Morris, Len; Griffin, Peter

    2012-04-01

    Few studies have assessed respiratory protective equipment (RPE) failures at the organizational level despite evidence to suggest that compliance with good practice may be low. The aim of this study was to develop an understanding of what current RPE programmes look like across industry and how this compares with good practice. Twenty cross-industry site visits were conducted with companies that had RPE programmes in place. Visits involved management interviews to explore current RPE systems and procedures and the decision making underpinning these. Observations of RPE operatives were included followed by short interviews to discuss the behaviours observed. Post-site assessments jointly undertaken by an RPE scientist and psychologist produced ratings for each site on six critical aspects of RPE programmes (knowledge/awareness, selection, use, training/information, supervision, and storage/cleaning/maintenance). Overall ratings for theoretical competence (i.e. management knowledge of RPE) and practical control (i.e. actual RPE practice on the shop floor) were also given. Qualitative analysis was performed on all interview data. The performance of RPE programmes varied across industry. Fewer than half the companies visited were considered to have an acceptable level of theoretical competence and practical control. Four distinct groups emerged from the 20 sites studied, ranging from Learners (low theoretical competence and practical control--four sites), Developers (acceptable theoretical competence and low practical control--five sites), and Fortuitous (low theoretical competence and acceptable practical control--two sites), to Proficient (acceptable theoretical competence and practical control--nine sites). None of the companies visited were achieving optimal control through the use of RPE. Widespread inadequacies were found with programme implementation, particularly training, supervision, and maintenance. Our taxonomy based on the four groups (Learners, Developers, Fortuitous, and Proficient) provided a useful expert-informed tool for explaining the variation in performance of RPE programmes across industry. Although further research and development are required, this taxonomy offers a useful starting point for the development of practical tools that may assist managers in making the much-needed improvements to all facets of programme implementation, particularly training, supervision, and maintenance.

  2. Practice makes perfect: self-reported adherence a positive marker of inhaler technique maintenance.

    PubMed

    Azzi, Elizabeth; Srour, Pamela; Armour, Carol; Rand, Cynthia; Bosnic-Anticevich, Sinthia

    2017-04-24

    Poor inhaler technique and non-adherence to treatment are major problems in the management of asthma. Patients can be taught how to achieve good inhaler technique, however maintenance remains problematic, with 50% of patients unable to demonstrate correct technique. The aim of this study was to determine the clinical, patient-related and/or device-related factors that predict inhaler technique maintenance. Data from a quality-controlled longitudinal community care dataset was utilized. 238 patients using preventer medications where included. Data consisted of patient demographics, clinical data, medication-related factors and patient-reported outcomes. Mixed effects logistic regression was used to identify predictors of inhaler technique maintenance at 1 month. The variables found to be independently associated with inhaler technique maintenance using logistic regression (Χ 2 (3,n = 238) = 33.24, p < 0.000) were inhaler technique at Visit 1 (OR 7.1), device type (metered dose inhaler and dry powder inhalers) (OR 2.2) and self-reported adherent behavior in the prior 7 days (OR 1.3). This research is the first to unequivocally establish a predictive relationship between inhaler technique maintenance and actual patient adherence, reinforcing the notion that inhaler technique maintenance is more than just a physical skill. Inhaler technique maintenance has an underlying behavioral component, which future studies need to investigate. BEHAVIORAL ELEMENT TO CORRECT LONG-TERM INHALER TECHNIQUES: Patients who consciously make an effort to perfect asthma inhaler technique will maintain their skills long-term. Elizabeth Azzi at the University of Sydney, Australia, and co-workers further add evidence that there is a strong behavioral component to patients retaining correct inhaler technique over time. Poor inhaler technique can limit asthma control, affecting quality of life and increasing the chances of severe exacerbations. Azzi's team followed 238 patients to determine the key predictors of inhaler technique maintenance from factors including age, asthma knowledge and perceived future risks. Correct inhaler technique at initial assessment was the strongest predictor of long-term success, but this was strengthened further when patients reported good adherence to their own medication regimen. This suggests that maintaining correct inhaler technique is more than just a physical skill. Careful guidance towards this 'practice makes perfect' approach may improve patients' long-term technique maintenance.

  3. Tonsillitis

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  4. Hoarseness

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  5. TMJ

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  6. Cholesteatoma

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  7. Sinusitis

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  8. Ear Infection and Vaccines

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  9. Laryngeal (Voice Box) Cancer

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  10. Laryngopharyngeal Reflux and Children

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  11. Keeping Your Voice Healthy

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  12. Snoring and Sleep Apnea

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  13. How the Ear Works

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  14. Tips for Healthy Voices

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  15. Autoimmune Inner Ear Disease

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  16. Secondhand Smoke and Children

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  17. Buying a Hearing Aid

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  18. Diet and Exercise Tips

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  19. A Grounded Theory Study of Aircraft Maintenance Technician Decision-Making

    NASA Astrophysics Data System (ADS)

    Norcross, Robert

    Aircraft maintenance technician decision-making and actions have resulted in aircraft system errors causing aircraft incidents and accidents. Aircraft accident investigators and researchers examined the factors that influence aircraft maintenance technician errors and categorized the types of errors in an attempt to prevent similar occurrences. New aircraft technology introduced to improve aviation safety and efficiency incur failures that have no information contained in the aircraft maintenance manuals. According to the Federal Aviation Administration, aircraft maintenance technicians must use only approved aircraft maintenance documents to repair, modify, and service aircraft. This qualitative research used a grounded theory approach to explore the decision-making processes and actions taken by aircraft maintenance technicians when confronted with an aircraft problem not contained in the aircraft maintenance manuals. The target population for the research was Federal Aviation Administration licensed aircraft and power plant mechanics from across the United States. Nonprobability purposeful sampling was used to obtain aircraft maintenance technicians with the experience sought in the study problem. The sample population recruitment yielded 19 participants for eight focus group sessions to obtain opinions, perceptions, and experiences related to the study problem. All data collected was entered into the Atlas ti qualitative analysis software. The emergence of Aircraft Maintenance Technician decision-making themes regarding Aircraft Maintenance Manual content, Aircraft Maintenance Technician experience, and legal implications of not following Aircraft Maintenance Manuals surfaced. Conclusions from this study suggest Aircraft Maintenance Technician decision-making were influenced by experience, gaps in the Aircraft Maintenance Manuals, reliance on others, realizing the impact of decisions concerning aircraft airworthiness, management pressures, and legal concerns related to decision-making. Recommendations included an in-depth systematic review of the Aircraft Maintenance Manuals, development of a Federal Aviation Administration approved standardized Aircraft Maintenance Technician decision-making flow diagram, and implementation of risk based decision-making training. The benefit of this study is to save the airline industry revenue by preventing poor decision-making practices that result in inefficient maintenance actions and aircraft incidents and accidents.

  20. The Second Joint NASA/FAA/DOD Conference on Aging Aircraft. Pt. 1

    NASA Technical Reports Server (NTRS)

    Harris, Charles E. (Editor)

    1999-01-01

    The purpose of the Conference was to bring together world leaders in aviation safety research, aircraft design and manufacturing, fleet operation and aviation maintenance to disseminate information on current practices and advanced technologies that will assure the continued airworthiness of the aging aircraft in the military and commercial fleets. The Conference included reviews of current industry practices, assessments of future technology requirements, and status of aviation safety research. The Conference provided an opportunity for interactions among the key personnel in the research and technology development community, the original equipment manufacturers, commercial airline operators, military fleet operators, aviation maintenance, and aircraft certification and regulatory authorities. Conference participation was unrestricted and open to the international aviation community.

  1. Evaluation of dose reduction versus standard dosing for maintenance of remission in patients with spondyloarthritis and clinical remission with anti-TNF (REDES-TNF): study protocol for a randomized controlled trial.

    PubMed

    Pontes, Caridad; Gratacós, Jordi; Torres, Ferran; Avendaño, Cristina; Sanz, Jesús; Vallano, Antoni; Juanola, Xavier; de Miguel, Eugenio; Sanmartí, Raimon; Calvo, Gonzalo

    2015-08-20

    Dose reduction schedules of tumor necrosis factor antagonists (anti-TNF) as maintenance therapy in patients with spondyloarthritis are used empirically in clinical practice, despite the lack of clinical trials providing evidence for this practice. To address this issue the Spanish Society of Rheumatology (SER) and Spanish Society of Clinical Pharmacology (SEFC) designed a 3-year multicenter, randomized, open-label, controlled clinical trial (2 years for inclusion and 1 year of follow-up). The study is expected to include 190 patients with axial spondyloarthritis on stable maintenance treatment (≥4 months) with any anti-TNF agent at doses recommended in the summary of product characteristics. Patients will be randomized to either a dose reduction arm or maintenance of the dosing regimen as per the official labelling recommendations. Randomization will be stratified according to the anti-TNF agent received before study inclusion. Patient follow-up, visit schedule, and examinations will be maintained as per normal clinical practice recommendations according to SER guidelines. The study aims to test the hypothesis of noninferiority of the dose reduction strategy compared with standard treatment. The first patients were recruited in July 2012, and study completion is scheduled for the end of April 2015. The REDES-TNF study is a pragmatic clinical trial that aims to provide evidence to support a medical decision now made empirically. The study results may help inform clinical decisions relevant to both patients and healthcare decision makers. EudraCT 2011-005871-18 (21 December 2011).

  2. First step to reducing infection risk as a system: evaluation of infection prevention processes for 71 hospitals.

    PubMed

    Fakih, Mohamad G; Heavens, Michelle; Ratcliffe, Carol J; Hendrich, Ann

    2013-11-01

    Hospitals can better focus their efforts to prevent health care-associated infections (HAIs) if they identify specific areas for improvement. We administered a 96-question survey to infection preventionists at 71 Ascension Health hospitals to evaluate opportunities for the prevention of catheter-associated urinary tract infection, central line-associated bloodstream infection, ventilator-associated pneumonia, and surgical site infection. Seventy-one (100%) infection preventionists completed the survey. The majority of hospitals had established policies for urinary catheter placement and maintenance (55/70, 78.6%), central venous catheter maintenance (68/71, 95.8%), and care for the mechanically ventilated patient (62/66, 93.9%). However, there was variation in health care worker practice and evaluation of competencies and outcomes. When addressing device need, 55 of 71 (77.5%) hospitals used a nurse-driven evaluation of urinary catheter need, 26 of 71 (36.6%) had a team evaluation for central venous catheters on transfer out of intensive care, and 53 of 57 (93%) assessed daily ventilator support for continued need. Only 19 of 71 (26.8%) hospitals had annual nursing competencies for urinary catheter placement and maintenance, 29 of 71 (40.8%) for nursing venous catheter maintenance, and 38 of 66 (57.6%) for appropriate health care worker surgical scrubbing. We suggest evaluating infection prevention policies and practices as a first step to improvement efforts. The next steps include implementing spread of evidence-based practices, with focus on competencies and feedback on performance. Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.

  3. Differentiated Staffing and Practice

    ERIC Educational Resources Information Center

    Christie, Kathy

    2005-01-01

    The development of the positions of nurse practitioner and physician assistant is a good example of differentiating staffing and practice to meet individual needs in an effective and cost-efficient way. This type of differentiation has been confined to the healthcare industry, principally to health maintenance organizations, but perhaps those in…

  4. Monitoring of a Best Management Practice Wetland Before and After Maintenance

    EPA Science Inventory

    The USEPA’s Urban Watershed Management Branch has monitored stormwater drainage and best management practices (BMP) as part of its overall research program. One such project monitored a retention pond with wetland plantings in the Richmond Creek (RC) watershed; one of several in...

  5. 12 CFR 325.205 - Methodologies and practices.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... procedures, that are designed to ensure that its stress test processes satisfy the requirements in this... POLICY CAPITAL MAINTENANCE Annual Stress Test § 325.205 Methodologies and practices. (a) Potential impact on capital. In conducting a stress test under this subpart, during each quarter of the planning...

  6. 12 CFR 325.205 - Methodologies and practices.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... procedures, that are designed to ensure that its stress test processes satisfy the requirements in this... POLICY CAPITAL MAINTENANCE Annual Stress Test § 325.205 Methodologies and practices. (a) Potential impact on capital. In conducting a stress test under this subpart, during each quarter of the planning...

  7. Pavement condition assessment to forecast maintenance program on JKR state roads in Petaling district

    NASA Astrophysics Data System (ADS)

    Hamsan, R.; Hafiz, H.; Azlan, A.; Keprawi, M. F.; Malik, A. K. A.; Adamuddin, A.; Abdullah, A. H.; Shafie, A. M.

    2018-02-01

    This research allows local authorities to project road maintenance in term of activities and financial expenditure through pavement condition assessment and then Highway Development and Management (HDM-4) analysis. Current form of road maintenance carried out by local authority is on reactive manner where corrective actions were taken based on reports recorded. Some went unrecorded hence causing prolonged damages. This causes the local authority unable to project the required cost to maintain the roads. This affects the socio-economy of the surrounding routes. Hence, it is seen, as preventive maintenance of the roads will provide more feasible option in term of work force and finance to the local authority. To overcome this issue, a preventive model was introduced. This was done through pavement condition assessment (PCA) where analysis was done through HDM-4. Nondestructive test and destructive test were conducted in order to provide an indicator to the road's health. This were then analyzed in HDM-4 where the result was benchmarked with maintenance standard. The scope of this research is set to PCA where DT and NDT were performed on the routes of Petaling and the output is analyzed in HDM-4. The result of this research provides a 10 years forecast maintenance budget in maintaining the roads in Petaling. This allows the local authority to perform good practice in term of maintaining the roads while at the same time helps them in forecasting their budget for the upcoming years. This research will have a strong impact on the local socio-economy as well as local road user confidence towards the authority over good practices. This research can be further expanded to other type of roads as well as highway bridges.

  8. Physician opportunity costs for performing practice-based research.

    PubMed

    Hahn, D L

    2000-11-01

    An inverse association has been documented between the magnitude of patient care responsibilities (health maintenance organization penetration) and the amount of clinical research produced by academic medical centers. The output of academic family practice research is affected by this calculus. This article presents evidence that current market-place demands to increase patient care services may have an even greater impact on nonacademic family practice clinician researchers involved in practice-based research (PBR).

  9. PERFORMANCE-BASED CONTRACTING IN CONSTRUCTION PHASE AND MAINTENANCE PHASE OF PAVEMENT

    NASA Astrophysics Data System (ADS)

    Yoshida, Takeshi

    Performance-based contracting for pavement in Japan started as performance warranties in construction phase, in 1999. Recently, road agencies have recognized the applicability of this type of contracting in outsourcing of maintenance activities. The objectives of this study are to clarify the issues of performance specifying in construction phase and maintenance phase of pavement, and to propose measures to be taken. This paper, with the recognition that the life of each pavement depends on performance standards for various attributes, reviews domestic and foreign examples of performance-based contracting. A performance standard based on the average of current practices can enhance product quality and service life with a warranty contract. Repair thresholds and response time for each deficiency should be considered as performance standards in maintenance phase.

  10. Perforated Eardrum

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  11. Pediatric Sinusitis

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  12. Deviated Septum

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  13. Swallowing Trouble

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  14. Sore Throats

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  15. Sinus Surgery

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  16. Tonsillectomy and Adenoids PostOp

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  17. Cleft Lip and Cleft Palate

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  18. Continuous Positive Airway Pressure (CPAP)

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  19. Effects of Medications on Voice

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  20. Antihistamines, Decongestants, and Cold Remedies

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  1. What is LPR (Laryngopharyngeal Reflux)

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  2. Practical Applications for Maintenance of Certification Products in Child and Adolescent Residency Training.

    PubMed

    Williams, Laurel L; Sexson, Sandra; Dingle, Arden D; Young-Walker, Laine; John, Nadyah; Hunt, Jeffrey

    2016-04-01

    The authors evaluated whether Maintenance of Certification (MOC) Performance-in-Practice products in training increases trainee knowledge of MOC processes and is viewed by trainees as a useful activity. Six child and adolescent psychiatry fellowships used MOC products in continuity clinics to assess their usefulness as training tools. Two surveys assessed initial knowledge of MOC and usefulness of the activity. Forty-one fellows completed the initial survey. A majority of first-year fellows indicated lack of awareness of MOC in contrast to a majority of second-year fellows who indicated some awareness. Thirty-five fellows completed the second survey. A majority of first- and second-year fellows found the activity easy to execute and would change something about their practice as a result. Using MOC products in training appears to be a useful activity that may assist training programs in teaching the principles of self- and peer-learning.

  3. A Measurement of Vocational Education’s Student Satisfaction in Learning Electronic Appliance Repair and Maintenance Course with CCTV Trainer Kit

    NASA Astrophysics Data System (ADS)

    Rakhmawati, Lusia; Irwansyah Febriyanto, Fariz

    2018-04-01

    This study aimed to investigate satisfaction levels, among of the eleventh-grade students majoring in audio-video technique, towards the instructional media CCTV trainer kit: The CCTV Prototype and job sheet on to and analyzed perspectives of the practical approach to learning using CCTV prototype to improve installation skills in the electronic appliance repair and maintenance class. Survey questionnaires and instructional media were applied to data collection. The students’ satisfaction towards the instructional media in teaching and learning process was presented in positive responses, 91.94 % satisfied. The finding reveals that the instructional media using trainer could better to overcome the need a practical approach to learning. Furthermore, using trainer kit media creates an environment where students can support each other and receive feedback from their peers. They performed practice activities that help them apply the new information from the steps on the job sheet.

  4. Family History Collection Practices: National Survey of Pediatric Primary Care Providers.

    PubMed

    Tarini, Beth A; Gornick, Michele C; Zikmund-Fisher, Brian J; Saal, Howard M; Edmondson, Laurie; Uhlmann, Wendy R

    2018-05-01

    While family history (FH) collection is a core responsibility of pediatric primary care providers (PCPs), few details about this practice are known. We surveyed a random national sample of 1200 pediatricians and family medicine physicians about FH collection practices. A total of 86% of respondents (n = 289 pediatricians; n = 152 family medicine physicians) indicated that they collect a FH "always" or "most of the time" with 77% reporting collection at the first visit, regardless of whether it is a health maintenance or problem-focused visit. Less than half ask about relatives other than parents, siblings, or grandparents (36.3%). Among respondents, 42% routinely update the FH at every health maintenance visit while 6% updated FH at every visit. Pediatric PCPs use a variety of methods to collect a FH that is limited in scope and variably updated. Our results suggest that interventions are needed to help pediatric PCPs collect a systematic, efficient, and updated FH.

  5. CLABSI Conversations: Lessons From Peer-to-Peer Assessments to Reduce Central Line-Associated Bloodstream Infections.

    PubMed

    Pham, Julius Cuong; Goeschel, Christine A; Berenholtz, Sean M; Demski, Renee; Lubomski, Lisa H; Rosen, Michael A; Sawyer, Melinda D; Thompson, David A; Trexler, Polly; Weaver, Sallie J; Weeks, Kristina R; Pronovost, Peter J

    2016-01-01

    A national collaborative helped many hospitals dramatically reduce central line-associated bloodstream infections (CLABSIs), but some hospitals struggled to reduce infection rates. This article describes the development of a peer-to-peer assessment process (CLABSI Conversations) and the practical, actionable practices we discovered that helped intensive care unit teams achieve a CLABSI rate of less than 1 infection per 1000 catheter-days for at least 1 year. CLABSI Conversations was designed as a learning-oriented process, in which a team of peers visited hospitals to surface barriers to infection prevention and to share best practices and insights from successful intensive care units. Common practices led to 10 recommendations: executive and board leaders communicate the goal of zero CLABSI throughout the hospital; senior and unit-level leaders hold themselves accountable for CLABSI rates; unit physicians and nurse leaders own the problem; clinical leaders and infection preventionists build infection prevention training and simulation programs; infection preventionists participate in unit-based CLABSI reduction efforts; hospital managers make compliance with best practices easy; clinical leaders standardize the hospital's catheter insertion and maintenance practices and empower nurses to stop any potentially harmful acts; unit leaders and infection preventionists investigate CLABSIs to identify root causes; and unit nurses and staff audit catheter maintenance policies and practices.

  6. Maintenance of Certification for Radiation Oncology

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kun, Larry E.; Ang, Kian; Erickson, Beth

    2005-06-01

    Maintenance of Certification (MOC) recognizes that in addition to medical knowledge, several essential elements involved in delivering quality care must be developed and maintained throughout one's career. The MOC process is designed to facilitate and document professional development of American Board of Radiology (ABR) diplomates in the essential elements of quality care in Radiation Oncology and Radiologic Physics. ABR MOC has been developed in accord with guidelines of the American Board of Medical Specialties. All Radiation Oncology certificates issued since 1995 are 10-year, time-limited certificates; diplomates with time-limited certificates who wish to maintain specialty certification must complete specific requirements ofmore » the American Board of Radiology MOC program. Diplomates with lifelong certificates are not required to participate but are strongly encouraged to do so. Maintenance of Certification is based on documentation of participation in the four components of MOC: (1) professional standing, (2) lifelong learning and self-assessment, (3) cognitive expertise, and (4) performance in practice. Through these components, MOC addresses six competencies-medical knowledge, patient care, interpersonal and communication skills, professionalism, practice-based learning and improvement, and systems-based practice. Details of requirements for components 1, 2, and 3 of MOC are outlined along with aspects of the fourth component currently under development.« less

  7. Parents' Attitudes toward Heritage Language Maintenance for Their Children and Their Efforts to Help Their Children Maintain the Heritage Language: A Case Study of Korean-Canadian Immigrants

    ERIC Educational Resources Information Center

    Park, Seong Man; Sarkar, Mela

    2007-01-01

    In this study we explore Korean immigrant parents' attitudes toward heritage language maintenance for their children and their efforts to help their children maintain Korean as their heritage language in Montreal. Some implications for mainstream school policies and classroom practices are touched on briefly. Data were collected from nine Korean…

  8. Collegiate Aviation Research and Education Solutions to Critical Safety Issues

    NASA Technical Reports Server (NTRS)

    Bowen, Brent (Editor)

    2002-01-01

    This Conference Proceedings is a collection of 6 abstracts and 3 papers presented April 19-20, 2001 in Denver, CO. The conference focus was "Best Practices and Benchmarking in Collegiate and Industry Programs". Topics covered include: satellite-based aviation navigation; weather safety training; human-behavior and aircraft maintenance issues; disaster preparedness; the collegiate aviation emergency response checklist; aviation safety research; and regulatory status of maintenance resource management.

  9. Sewer Maintenance Manual.

    ERIC Educational Resources Information Center

    Ontario Ministry of the Environment, Toronto.

    Outlined are practices and procedures that should be followed in order to protect and fully realize the benefits of sewer systems and also to maximize service and minimize inconveniences to the public. Written in practical terms, the manual is designed to be of immediate use to municipal employees and others involved in sewer maintenance…

  10. Smoking Attitudes and Practices among Low-Income African Americans: Qualitative Assessment of Contributing Factors.

    ERIC Educational Resources Information Center

    Beech, Bettina M.; Scarinci, Isabel C.

    2003-01-01

    Qualitatively examined sociocultural factors associated with smoking attitudes and practices among low-income, African American young adults smokers and nonsmokers. Focus group data indicated that specific contextual and familial factors contributed to smoking initiation, maintenance, and cessation (e.g., strong parental discipline, limited…

  11. Data-Driven Decision Making in Practice: The NCAA Injury Surveillance System

    ERIC Educational Resources Information Center

    Klossner, David; Corlette, Jill; Agel, Julie; Marshall, Stephen W.

    2009-01-01

    Putting data-driven decision making into practice requires the use of consistent and reliable data that are easily accessible. The systematic collection and maintenance of accurate information is an important component in developing policy and evaluating outcomes. Since 1982, the National Collegiate Athletic Association (NCAA) has been collecting…

  12. Comprehensive field evaluation of asphalt patching methods and development of simple decision trees and a best practices manual.

    DOT National Transportation Integrated Search

    2017-06-01

    The long-term performance of pothole patches largely depends on the selection of the patching method. A number of pothole patching methods are in practice in Minnesota and other nearby states. However, pavement maintenance crews often encounter probl...

  13. A Cross-Cultural Comparison of Managerial Practices and Their Relationship to Organizational Outcome Variables.

    ERIC Educational Resources Information Center

    Young, Leanne E.; And Others

    The rapid growth of multinational corporations has necessitated theoretical and practical concerns for operating and managing organizations in varying cultural environments. The Navy Public Works Centers (PWCs) provide engineering, maintenance, rehabilitation construction, transportation and housing to U.S. Navy customers around the world.…

  14. 14 CFR 65.101 - Eligibility requirements: General.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... months of practical experience in the procedures, practices, inspection methods, materials, tools, machine tools, and equipment generally used in the maintenance duties of the specific job for which the... employed; and (6) Be able to read, write, speak, and understand the English language, or, in the case of an...

  15. 40 CFR 63.1453 - How do I demonstrate continuous compliance with the emission limitations, work practice standards...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... compliance with the emission limitations, work practice standards, and operation and maintenance requirements... (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES National Emission Standards for Hazardous Air Pollutants for Primary Copper Smelting Continuous...

  16. 40 CFR 63.1453 - How do I demonstrate continuous compliance with the emission limitations, work practice standards...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... compliance with the emission limitations, work practice standards, and operation and maintenance requirements... (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES (CONTINUED) National Emission Standards for Hazardous Air Pollutants for Primary Copper Smelting...

  17. Career Development: Theory and Practice.

    ERIC Educational Resources Information Center

    Montross, David H., Ed.; Shinkman, Christopher J., Ed.

    This book explores the latest developments in the theory and practice of career development, as seen by 21 professionals in the field. The study is organized in four parts that cover the following areas: the latest thinking about career theory; the career stages of exploration, establishment, maintenance, and decline; current thinking about the…

  18. New Zealand health reforms: effect on ophthalmic practice.

    PubMed

    Raynel, S; Reynolds, H

    1999-01-01

    Are specialized ophthalmic units with inpatient facilities going to disappear in the New Zealand public health system? We have entered the era of cost containment, business methodologies, bench marking, day case surgery, and technologic advances. The dilemma for nursing is maintenance of a skill base with dwindling clinical practice areas.

  19. Testing Selected Behaviors to Reduce Indoor Air Pollution Exposure in Young Children

    ERIC Educational Resources Information Center

    Barnes, B. R.; Mathee, A.; Krieger, L.; Shafritz, L.; Favin, M.; Sherburne, L.

    2004-01-01

    Indoor air pollution is responsible for the deaths and illness of millions of young children in developing countries. This study investigated the acceptability (willingness to try) and feasibility (ability to perform) of four indoor air pollution reduction behaviors (improve stove maintenance practices, child location practices, ventilation…

  20. Preparing Pre-Service Teachers for the Profession: Creating Spaces for Transformative Practice

    ERIC Educational Resources Information Center

    Auhl, Greg; Daniel, Graham R.

    2014-01-01

    Within professional learning communities, the processes of shared reflection and critique, or critical transformative dialogues are considered crucial for the maintenance and improvement of professional practice. This paper focuses on the development of the processes of critical transformative dialogues and their application in the professional…

  1. Fine Needle Aspiration

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  2. Ear Plastic Surgery

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  3. Cochlear-Meningitis Vaccination

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  4. Earwax and Care

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  5. Post-Nasal Drip

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  6. About Your Voice

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  7. Smell and Taste

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  8. Better Ear Health

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  9. Treatment Options for Adults with Snoring

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  10. Pediatric GERD (Gastro-Esophageal Reflux Disease)

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  11. Vocal Cord Nodules, Polyps, and Cysts

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  12. Sinusitis: Special Considerations for Aging Patients

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  13. Optimal maintenance policy incorporating system level and unit level for mechanical systems

    NASA Astrophysics Data System (ADS)

    Duan, Chaoqun; Deng, Chao; Wang, Bingran

    2018-04-01

    The study works on a multi-level maintenance policy combining system level and unit level under soft and hard failure modes. The system experiences system-level preventive maintenance (SLPM) when the conditional reliability of entire system exceeds SLPM threshold, and also undergoes a two-level maintenance for each single unit, which is initiated when a single unit exceeds its preventive maintenance (PM) threshold, and the other is performed simultaneously the moment when any unit is going for maintenance. The units experience both periodic inspections and aperiodic inspections provided by failures of hard-type units. To model the practical situations, two types of economic dependence have been taken into account, which are set-up cost dependence and maintenance expertise dependence due to the same technology and tool/equipment can be utilised. The optimisation problem is formulated and solved in a semi-Markov decision process framework. The objective is to find the optimal system-level threshold and unit-level thresholds by minimising the long-run expected average cost per unit time. A formula for the mean residual life is derived for the proposed multi-level maintenance policy. The method is illustrated by a real case study of feed subsystem from a boring machine, and a comparison with other policies demonstrates the effectiveness of our approach.

  14. Psychological factors associated with weight loss maintenance: theory-driven practice for nurse practitioners.

    PubMed

    Valek, Rebecca M; Greenwald, Beverly J; Lewis, Carolyn C

    2015-04-01

    The authors discuss the psychological factors associated with weight loss maintenance and the use of Pender's health promotion model as a guide for the construction of clinical interventions to address these factors. The psychological factors include internal drive for weight maintenance, ongoing self-monitoring, long-term flexibility, positive mood and emotions, appropriate goals, and management of external stimuli. Nurse practitioners can help combat obesity trends through caring for patients in a holistic manner. Periodic psychological needs-assessments for patients who desire to maintain weight loss may further promote long-term success in weight management. © The Author(s) 2015.

  15. The Coming Paradigm-Shift in Maintenance: From Metals to Composites

    NASA Technical Reports Server (NTRS)

    Hobbs, Alan; Brasil, Connie; Kanki, Barbara

    2009-01-01

    The purpose of this study is to examine the current maintenance practices of airline operators in the detection and repair of damage to composite structures, with the aim of learning lessons that will be applicable to the maintenance of future advanced composite airplanes. A process map was created to capture the events and activities that occur from the moment a damage event occurs, through damage detection, assessment and repair. The study is identifying areas where operational risks may negatively impact the process, where personnel are required to make judgments in the absence of procedural guidance, and areas where future tools or techniques may be of assistance.

  16. Implementing a Daily Maintenance Care Bundle to Prevent Central Line-Associated Bloodstream Infections in Pediatric Oncology Patients.

    PubMed

    Duffy, Elizabeth A; Rodgers, Cheryl C; Shever, Leah L; Hockenberry, Marilyn J

    2015-01-01

    Eliminating central line-associated bloodstream infection (CLABSI) is a national priority. Central venous catheter (CVC) care bundles are composed of a series of interventions that, when used together, are effective in preventing CLABSI. A CVC daily maintenance care bundle includes procedural guidelines for hygiene, dressing changes, and access as well as specific timeframes. Failure to complete one of the components of the care bundle predisposes the patient to a bloodstream infection. A nurse-led multidisciplinary team implemented and, for six months, sustained a daily maintenance care bundle for pediatric oncology patients. This quality improvement project focused on nursing staffs' implementation of the daily maintenance care bundle and the sustainment of the intervention. The project used a pre-post program design to evaluate outcomes of CVC daily maintenance care bundle compliancy and CLABSI. A statistically significant increase between the pre- and post-assessments of the compliance was noted with the CVC daily maintenance care bundle. CLABSI infection rates decreased during the intervention. Strategies to implement practice change and promote sustainability are discussed. © 2015 by Association of Pediatric Hematology/Oncology Nurses.

  17. Snoring and Sleep Apnea

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  18. Ear Infection and Vaccines

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  19. Secondhand Smoke and Children

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  20. How the Ear Works

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  1. Diet and Exercise Tips

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  2. Allergies and Hay Fever

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  3. Genes and Hearing Loss

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  4. Autoimmune Inner Ear Disease

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  5. Dizziness and Motion Sickness

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  6. Children and Facial Trauma

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  7. Common Problems That Can Affect Your Voice

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  8. Your Nose, the Guardian of Your Lungs

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  9. Hyperacusis: An Increased Sensitivity to Everyday Sounds

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  10. Rapid reduction of central line infections in hospitalized pediatric oncology patients through simple quality improvement methods.

    PubMed

    Choi, Sung W; Chang, Lawrence; Hanauer, David A; Shaffer-Hartman, Jacqueline; Teitelbaum, Daniel; Lewis, Ian; Blackwood, Alex; Akcasu, Nur; Steel, Janell; Christensen, Joy; Niedner, Matthew F

    2013-02-01

    Pediatric hematology-oncology (PHO) patients are at significant risk for developing central line-associated bloodstream infections (CLA-BSIs) due to their prolonged dependence on such catheters. Effective strategies to eliminate these preventable infections are urgently needed. In this study, we investigated the implementation of bundled central line maintenance practices and their effect on hospital-acquired CLA-BSIs. CLA-BSI rates were analyzed within a single-institution's PHO unit between January 2005 and June 2011. In May 2008, a multidisciplinary quality improvement team developed techniques to improve the PHO unit's safety culture and implemented the use of catheter maintenance practices tailored to PHO patients. Data analysis was performed using time-series methods to evaluate the pre- and post-intervention effect of the practice changes. The pre-intervention CLA-BSI incidence was 2.92 per 1,000-patient days (PD) and coagulase-negative Staphylococcus was the most prevalent pathogen (29%). In the post-intervention period, the CLA-BSI rate decreased substantially (45%) to 1.61 per 1,000-PD (P < 0.004). Early on, blood and marrow transplant (BMT) patients had a threefold higher CLA-BSI rate compared to non-BMT patients (P < 0.033). With additional infection control countermeasures added to the bundled practices, BMT patients experienced a larger CLA-BSI rate reduction such that BMT and non-BMT CLA-BSI rates were not significantly different post-intervention. By adopting and effectively implementing uniform maintenance catheter care practices, learning multidisciplinary teamwork, and promoting a culture of patient safety, the CLA-BSI incidence in our study population was significantly reduced and maintained. Copyright © 2012 Wiley Periodicals, Inc.

  11. e-Learning Content Design for Corrective Maintenance of Toshiba BMC 80.5 based on Knowledge Conversion using SECI Method: A Case Study in Aerospace Company

    NASA Astrophysics Data System (ADS)

    Permata Shabrina, Ayu; Pramuditya Soesanto, Rayinda; Kurniawati, Amelia; Teguh Kurniawan, Mochamad; Andrawina, Luciana

    2018-03-01

    Knowledge is a combination of experience, value, and information that is based on the intuition that allows an organization to evaluate and combine new information. In an organization, knowledge is not only attached to document but also in routine value creating activities, therefore knowledge is an important asset for the organization. X Corp is a company that focused on manufacturing aerospace components. In carrying out the production process, the company is supported by various machines, one of the machines is Toshiba BMC 80.5. The machine is used occasionally and therefore maintenance activity is needed, especially corrective maintenance. Corrective maintenance is done to make a breakdown machine back to work. Corrective maintenance is done by maintenance operator whose retirement year is close. The long term experience of the maintenance operator needs to be captured by the organization and shared across maintenance division. E-learning is one type of media that can support and assist knowledge sharing. This research purpose is to create the e-learning content for best practice of corrective maintenance activity for Toshiba BMC 80.5 by extracting the knowledge and experience from the operator based on knowledge conversion using SECI method. The knowledge source in this research is a maintenance supervisor and a senior maintenance engineer. From the evaluation of the e-learning content, it is known that the average test score of the respondents who use the e-learning increases from 77.5 to 87.5.

  12. Tonsillectomy and Adenoids PostOp

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  13. Continuous Positive Airway Pressure (CPAP)

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  14. Otolaryngologist: What Is an Otolaryngologist?

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  15. When Your Child Has Tinnitus

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  16. Effects of Medications on Voice

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  17. Antihistamines, Decongestants, and Cold Remedies

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  18. 33 CFR 335.4 - Policy.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... AND MAINTENANCE OF ARMY CORPS OF ENGINEERS CIVIL WORKS PROJECTS INVOLVING THE DISCHARGE OF DREDGED OR... and most practicable location, and consistent with engineering and environmental requirements. ...

  19. 33 CFR 335.4 - Policy.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... AND MAINTENANCE OF ARMY CORPS OF ENGINEERS CIVIL WORKS PROJECTS INVOLVING THE DISCHARGE OF DREDGED OR... and most practicable location, and consistent with engineering and environmental requirements. ...

  20. 33 CFR 335.4 - Policy.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... AND MAINTENANCE OF ARMY CORPS OF ENGINEERS CIVIL WORKS PROJECTS INVOLVING THE DISCHARGE OF DREDGED OR... and most practicable location, and consistent with engineering and environmental requirements. ...

  1. 33 CFR 335.4 - Policy.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... AND MAINTENANCE OF ARMY CORPS OF ENGINEERS CIVIL WORKS PROJECTS INVOLVING THE DISCHARGE OF DREDGED OR... and most practicable location, and consistent with engineering and environmental requirements. ...

  2. 50 Facts about Oral, Head and Neck Cancer

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  3. Sinus Pain: Can Over-the-Counter Medications Help?

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  4. American Academy of Otolaryngology--Head and Neck Surgery

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Improvement Clinical Data Registry Research ...

  5. 33 CFR 335.4 - Policy.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AND MAINTENANCE OF ARMY CORPS OF ENGINEERS CIVIL WORKS PROJECTS INVOLVING THE DISCHARGE OF DREDGED OR... and most practicable location, and consistent with engineering and environmental requirements. ...

  6. Using project performance to measure effectiveness of quality management system maintenance and practices in construction industry.

    PubMed

    Leong, Tiong Kung; Zakuan, Norhayati; Mat Saman, Muhamad Zameri; Ariff, Mohd Shoki Md; Tan, Choy Soon

    2014-01-01

    This paper proposed seven existing and new performance indicators to measure the effectiveness of quality management system (QMS) maintenance and practices in construction industry. This research is carried out with a questionnaire based on QMS variables which are extracted from literature review and project performance indicators which are established from project management's theory. Data collected was analyzed using correlation and regression analysis. The findings indicate that client satisfaction and time variance have positive and significant relationship with QMS while other project performance indicators do not show significant results. Further studies can use the same project performance indicators to study the effectiveness of QMS in different sampling area to improve the generalizability of the findings.

  7. Using Project Performance to Measure Effectiveness of Quality Management System Maintenance and Practices in Construction Industry

    PubMed Central

    Leong, Tiong Kung; Ariff, Mohd. Shoki Md.

    2014-01-01

    This paper proposed seven existing and new performance indicators to measure the effectiveness of quality management system (QMS) maintenance and practices in construction industry. This research is carried out with a questionnaire based on QMS variables which are extracted from literature review and project performance indicators which are established from project management's theory. Data collected was analyzed using correlation and regression analysis. The findings indicate that client satisfaction and time variance have positive and significant relationship with QMS while other project performance indicators do not show significant results. Further studies can use the same project performance indicators to study the effectiveness of QMS in different sampling area to improve the generalizability of the findings. PMID:24701182

  8. Smart aircraft fastener evaluation (SAFE) system: a condition-based corrosion detection system for aging aircraft

    NASA Astrophysics Data System (ADS)

    Schoess, Jeffrey N.; Seifert, Greg; Paul, Clare A.

    1996-05-01

    The smart aircraft fastener evaluation (SAFE) system is an advanced structural health monitoring effort to detect and characterize corrosion in hidden and inaccessible locations of aircraft structures. Hidden corrosion is the number one logistics problem for the U.S. Air Force, with an estimated maintenance cost of $700M per year in 1990 dollars. The SAFE system incorporates a solid-state electrochemical microsensor and smart sensor electronics in the body of a Hi-Lok aircraft fastener to process and autonomously report corrosion status to aircraft maintenance personnel. The long-term payoff for using SAFE technology will be in predictive maintenance for aging aircraft and rotorcraft systems, fugitive emissions applications such as control valves, chemical pipeline vessels, and industrial boilers. Predictive maintenance capability, service, and repair will replace the current practice of scheduled maintenance to substantially reduce operational costs. A summary of the SAFE concept, laboratory test results, and future field test plans is presented.

  9. A case study of machinery maintenance protocols and procedures within the UK utilities sector.

    PubMed

    Edwards, David J; Love, Peter E D

    2016-08-01

    Failure to conduct periodic fixed-time-to (or scheduled) maintenance on off-highway plant and equipment represents a significant health and safety hazard and major litigation risk for utility contractors completing service excavation and reinstatement works on public highways. Mini-excavators are a ubiquitous mobile plant item used for such tasks and have recently been responsible for several major injuries and fatalities involving workers and members of the public in the United Kingdom (UK). The research utilises the method of triangulation to examine the maintenance practices of utility contractors in the UK. Findings from the research reveal that a combination of prevailing market forces and internal 'company' pressures have inadvertently removed knowledgeable and trained operators, site foremen and managerial supervisors from hands-on maintenance inspections. Rather, 'virtual' maintenance protocols and procedures are adopted by head office but rarely fully implemented on-site. The research concludes with pragmatic recommendations and direction for future research. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. [Maintenance treatment in opioid-dependent patients with migration background].

    PubMed

    Bald, L K; Schouler-Ocak, M; Penka, S; Schoofs, N; Häbel, T; Bermpohl, F; Gutwinski, S

    2016-05-01

    No regional analyses regarding opioid-dependent patients in maintenance treatment with a migration background have so far been performed in German-speaking countries. This study examined patients with and without a migration background regarding socioeconomic parameters, characteristics of dependency and attitude towards opiate maintenance treatment (OMT). From May to October 2011 patients in OMT from all of the 20 psychiatry clinics and 110 physician practices in Berlin with a licence to provide OMT were included in this analysis. Out of the 986 participating patients, 956 gave information on migration background and of these, 204 (21.3 %) originated from a country other than Germany. Compared to patients without a migration background, their participation in a maintenance program was significantly shorter and they more often expressed a desire to end OMT and wanted a limited duration of OMT. The differences regarding duration of OMT and the wish to end OMT can reflect a stronger desire for abstinence and a different attitude towards maintenance treatment of patients with a migration background.

  11. The ABPN Maintenance of Certification Program for psychiatrists: past history, current status, and future directions.

    PubMed

    Faulkner, Larry R; Tivnan, Patricia W; Winstead, Daniel K; Reus, Victor I; Andrade, Naleen N; Brooks, Beth Ann; Colenda, Christopher C; Mrazek, David A; Reifler, Burton V; Schneidman, Barbara

    2008-01-01

    To describe the American Board of Psychiatry and Neurology (ABPN) Maintenance of Certification Program, its underlying rationale, how it will be implemented now, and what it might look like in the future. The authors describe the philosophical foundation, specific components, and the implementation timeline of the ABPN Maintenance of Certification Program; the development of specific products that might be used by ABPN diplomates to meet its requirements; and several unanswered questions about its current status and future development. The ABPN Maintenance of Certification Program consists of specific requirements pertaining to professional standing, self-assessment and lifelong learning, performance in practice, and cognitive expertise that will be implemented incrementally over the next decade. The ABPN Maintenance of Certification Program has been implemented in a manner that is as consistent as possible with its underlying philosophical beliefs as well as the current and expected public and political concerns, diplomate needs, and the requirements of organizations responsible for licensure, credentialing, privileging, accreditation, professional development, and physician reimbursement.

  12. [Subcutaneous bortezomib as a new promising way to successful maintenance therapy in multiple myeloma].

    PubMed

    Grosicki, Sebastian

    2012-01-01

    Multiple myeloma (MM) despite the introduction to clinical practice of a new drugs in the last years, and still searching of new points of the handle for targeting treatment, remaining incurable disease. Even most intensive and most modern induction-consolidation regimens is not in the state to eradicate of the clone of myeloma, and even complete remission in immunofixation the most often after some time ends progression. Optimal way of maintenance treatment is still searching, which would be maximally effective near acceptable toxicity. Now hypothesis about possible successful maintenance therapy, which may prolong survival of MM patients became more actual in the face of the introduction to the studies with maintenance of a new drugs as: thalidomide, lenalidomide and bortesomib. The expectations on the essential progress to establish the optimal bortesomib-based regimen of the maintenance treatment in MM cause the results of the studies with its subcutaneous administration, which proved comparable efficacy with advantage in toxicity profile, especially neurological in comparison to classic intravenous way.

  13. Integrating Safety in the Aviation System: Interdepartmental Training for Pilots and Maintenance Technicians

    NASA Technical Reports Server (NTRS)

    Mattson, Marifran; Petrin, Donald A.; Young, John P.

    2001-01-01

    The study of human factors has had a decisive impact on the aviation industry. However, the entire aviation system often is not considered in researching, training, and evaluating human factors issues especially with regard to safety. In both conceptual and practical terms, we argue for the proactive management of human error from both an individual and organizational systems perspective. The results of a multidisciplinary research project incorporating survey data from professional pilots and maintenance technicians and an exploratory study integrating students from relevant disciplines are reported. Survey findings suggest that latent safety errors may occur during the maintenance discrepancy reporting process because pilots and maintenance technicians do not effectively interact with one another. The importance of interdepartmental or cross-disciplinary training for decreasing these errors and increasing safety is discussed as a primary implication.

  14. The Science of Sustaining Health Behavior Change: The Health Maintenance Consortium

    PubMed Central

    Ory, Marcia G.; Smith, Matthew Lee; Mier, Nelda; Wernicke, Meghan M.

    2013-01-01

    Objective The Health Maintenance Consortium (HMC) is a multisite Grantee Consortium funded by the National Institutes of Health from 2004–2009. The goal of HMC is to enhance understanding of the long-term maintenance of behavior change, as well as effective strategies for achieving sustainable health promotion and disease prevention. Methods This introductory research synthesis prepared by the Resource Center gives context to this theme issue by providing an overview of the HMC and the articles in this journal. Results It explores the contributions to our conceptualization of behavior change processes and intervention strategies, the trajectory of effectiveness of behavioral and social interventions, and factors influencing the long-term maintenance of behavioral and social interventions. Conclusions Future directions for furthering the science of maintaining behavior change and reducing the gaps between research and practice are recommended. PMID:20604691

  15. Marketing your practice on the Internet.

    PubMed

    Rothschild, Michael A

    2002-12-01

    The Internet provides a unique opportunity for marketing a medical practice. By demonstrating a commitment to good doctor-patient communication, by providing helpful background information, and by facilitating office workflow, a Web site can be a cost-effective way to enhance any practice. This chapter examines the basics of implementing an Internet presence; the issues related to online communication with patients; and the ongoing utilization, promotion, and maintenance of a Web site.

  16. Sinusitis: Special Considerations for Aging Patients

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  17. Vocal Cord Nodules, Polyps, and Cysts

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  18. Pediatric GERD (Gastro-Esophageal Reflux Disease)

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  19. Middle Ear Infection (Chronic Otitis Media) and Hearing Loss

    MedlinePlus

    ... Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources Quality Clinical Data Registry Research Reimbursement ...

  20. Understanding School Climate, Aggression, Peer Victimization, and Bully Perpetration: Contemporary Science, Practice, and Policy

    ERIC Educational Resources Information Center

    Espelage, Dorothy L.; Low, Sabina K.; Jimerson, Shane R.

    2014-01-01

    Existing scholarship suggests that classroom practices, teacher attitudes, and the broader school environment play a critical role in understanding the rates of student reports of aggression, bullying, and victimization as well as correlated behaviors. A more accurate understanding of the nature, origins, maintenance, and prevalence of bullying…

  1. Feeding Students in School: Providing Guidelines and Information on Safe Feeding Practices for Special Students.

    ERIC Educational Resources Information Center

    Hall, Sandra; And Others

    This manual provides guidelines for safe feeding practices for students with disabilities in Oregon schools. Stressed is the importance of distinguishing between feeding for the maintenance of health and feeding for the acquisition of skills. Individual sections cover: definitions of feeding programs; the school district responsibility; risks;…

  2. 9 CFR 354.248 - Scope and applicability of rules of practice.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Scope and applicability of rules of practice. 354.248 Section 354.248 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE... Maintenance of Sanitary Conditions and Precautions Against Contamination of Products § 354.248 Scope and...

  3. Health Care Practices for Medical Textiles in Government Hospitals

    ERIC Educational Resources Information Center

    Akubue, B. N.; Anikweze, G. U.

    2015-01-01

    The purpose of this study was to investigate the health care practices for medical textiles in government hospitals Enugu State, Nigeria. Specifically, the study determined the availability and maintenance of medical textiles in government hospitals in Enugu State, Nigeria. A sample of 1200 hospital personnel were studied. One thousand two hundred…

  4. Health and Safety Guide for K-12 Schools in Washington.

    ERIC Educational Resources Information Center

    Kerns, James T.; Ellis, Richard E.

    This guide's primary focus is to recommend good health and safety practices to helpensure safer schools in Washington state. Some of the safety practices that are recommended affect school operationand maintenance, repairs and minor construction, as well as the school's administrative organization and lines of communication. The guide also focuses…

  5. 10 CFR 50.65 - Requirements for monitoring the effectiveness of maintenance at nuclear power plants.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... with safety and, where practical, take into account industry-wide operating experience. When the...) of this section is not required where it has been demonstrated that the performance or condition of a... evaluations does not exceed 24 months. The evaluations shall take into account, where practical, industry-wide...

  6. Cultural Safety Circles and Indigenous Peoples' Perspectives: Inclusive Practices for Participation in Higher Education

    ERIC Educational Resources Information Center

    Aseron, Johnnie; Greymorning, S. Neyooxet; Miller, Adrian; Wilde, Simon

    2013-01-01

    Indigenous experiences, as found within traditional ways and cultural practices, are an acknowledgement of traditional methods for sharing, learning, and collective knowledge development and maintenance. The application of Cultural Safety Circles can help provide a collective space where definitions for cultural and educational exchange can take…

  7. Development of a traffic control devices and pavement markings manual for Iowa's cities and counties with a survey of common practices

    DOT National Transportation Integrated Search

    2001-04-01

    The purpose of this project was to develop and distribute a manual that would provide local agencies in Iowa with practical advice and guidance for traffic control devices and pavement markings installation and maintenance. The project included the f...

  8. Snow and Ice Control Materials for Texas Roads; VOLUME 1: Literature and Best Practices Review; VOLUME 2: Field Trials and Laboratory Study

    DOT National Transportation Integrated Search

    2017-03-01

    This report provides findings from a four-year research study of snow and ice control materials for winter weather roadway maintenance applications in Texas. The report is presented in two volumes. Volume 1 is a literature review and best practices r...

  9. Energy Conservation in Our Schools--A Practical Approach.

    ERIC Educational Resources Information Center

    Brewin, C. Edwin; Racich, Matthew J.

    A practical approach designed to reduce energy waste by schools is to improve the knowledge and upgrade the skills of school building custodians. This paper discusses an operation and maintenance training program for custodians developed by the Will County (Illinois) educational service region. The major parts of the program consist of skill…

  10. 40 CFR 65.3 - Compliance with standards and operation and maintenance requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...)(4)(i) and (ii) do not apply to Group 2A or Group 2B process vents. Compliance with design, equipment, work practice, and operational standards, including those for equipment leaks, shall be determined... this part. (5) Design, equipment, work practice, or operational standards. Paragraphs (b)(5)(i) and (ii...

  11. Maintenance of Certification: How Performance in Practice Changes Improve Tobacco Cessation in Addiction Psychiatrists’ Practice

    PubMed Central

    Ford, James H.; Oliver, Karen A.; Giles, Miriam; Cates-Wessel, Kathryn; Krahn, Dean; Levin, Frances R.

    2017-01-01

    Background and Objectives In 2000, the American Board of Medical Specialties implemented the Maintenance of Certification (MOC), a structured process to help physicians identify and implement a quality improvement project to improve patient care. This study reports on findings from an MOC Performance in Practice (PIP) module designed and evaluated by addiction psychiatrists who are members of the American Academy of Addiction Psychiatry (AAAP). Method A 3-phase process was utilized to recruit AAAP members to participate in the study. The current study utilized data from 154 self-selected AAAP members who evaluated the effectiveness of the MOC Tobacco Cessation PIP. Results Of the physicians participating, 76% (n 120) completed the Tobacco PIP. A paired t-test analysis revealed that reported changes in clinical measure documentation were significant across all six measures. Targeted improvement efforts focused on a single clinical measure. Results found that simple change projects designed to improve clinical practice led to substantial changes in self-reported chart documentation for the selected measure. Conclusions The current findings suggest that addiction psychiatrists can leverage the MOC process to improve clinical care. PMID:27973746

  12. PACS: acceptance test, quality control, warranty, and maintenance continuum

    NASA Astrophysics Data System (ADS)

    Romlein, John R.; Norton, Gary S.; Lyche, David K.; Richardson, Ronald R., Jr.

    1999-07-01

    As PACS gain greater acceptance and use in medical facilities the question of life cycle management must be addressed in terms that relate to the common business practices for medical information system and medical devices. The issues in life cycle management of such a system are relatively new to the industry. Increased use of PACS within the medical community requires that standardized life cycle management practices by developed and implemented. This paper develops a new of life cycle issues as cyclic and related events that are not only manageable, but also predictable in terms, of, frequency, duration data content, data exchange, potential outcomes, staffing requirement, documentation, and staff interaction. This view is presented as a continuum that begins at the acceptance testing of a PACS and continues throughout its life cycle. The continuum incorporates the required relationship between quality control testing and maintenance actions during warranty period and the maintenance years. Interrelated cyclic events are described that bind these processes together and provide a basis for long-term proactive management of PACS in a medical environment.

  13. Hyperacusis: An Increased Sensitivity to Everyday Sounds

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  14. Common Problems That Can Affect Your Voice

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  15. Optimisation of maintenance concept choice using risk-decision factor - a case study

    NASA Astrophysics Data System (ADS)

    Popovic, Vladimir M.; Vasic, Branko M.; Rakicevic, Branislav B.; Vorotovic, Goran S.

    2012-10-01

    The design of maintenance system and the corresponding logistic support is a very complex process, during which the aim is to find the compromise solutions regarding the relations among different maintenance procedures and the ways of their implementation. As a result of this, various solutions can be adopted, since this is conditioned by a series of important factors and criteria, which can be contradictory sometimes. There are different perspectives on ways of solving practical maintenance problems, that is dilemmas when it comes to the choice of maintenance concept. The principal dilemma is how and when to decide on carrying out maintenance procedures. Should the decision be based on theoretical grounds or experience, how does one reconcile those two extremes, who is to decide upon this? In this article we have offered one, basically new solution as a possibility for maintenance concept choice, based on a significant modification of the widely used failure modes and effects analysis (FMEA) method. This solution is risk-decision factor (RDF). This is a result of seven parameters (of different importance and weight) that have the key impact on the process of production and logistic support. The application of this factor is illustrated by the example of planning, organisation and functioning of the maintenance system applied in The Institute for Manufacturing Banknotes and Coins (ZIN) in Belgrade.

  16. Using the intervention mapping protocol to develop a maintenance programme for the SLIMMER diabetes prevention intervention.

    PubMed

    Elsman, Ellen B M; Leerlooijer, Joanne N; Ter Beek, Josien; Duijzer, Geerke; Jansen, Sophia C; Hiddink, Gerrit J; Feskens, Edith J M; Haveman-Nies, Annemien

    2014-10-27

    Although lifestyle interventions have shown to be effective in reducing the risk for type 2 diabetes mellitus, maintenance of achieved results is difficult, as participants often experience relapse after the intervention has ended. This paper describes the systematic development of a maintenance programme for the extensive SLIMMER intervention, an existing diabetes prevention intervention for high-risk individuals, implemented in a real-life setting in the Netherlands. The maintenance programme was developed using the Intervention Mapping protocol. Programme development was informed by a literature study supplemented by various focus group discussions and feedback from implementers of the extensive SLIMMER intervention. The maintenance programme was designed to sustain a healthy diet and physical activity pattern by targeting knowledge, attitudes, subjective norms and perceived behavioural control of the SLIMMER participants. Practical applications were clustered into nine programme components, including sports clinics at local sports clubs, a concluding meeting with the physiotherapist and dietician, and a return session with the physiotherapist, dietician and physical activity group. Manuals were developed for the implementers and included a detailed time table and step-by-step instructions on how to implement the maintenance programme. The Intervention Mapping protocol provided a useful framework to systematically plan a maintenance programme for the extensive SLIMMER intervention. The study showed that planning a maintenance programme can build on existing implementation structures of the extensive programme. Future research is needed to determine to what extent the maintenance programme contributes to sustained effects in participants of lifestyle interventions.

  17. Personal hygiene among primary school children living in a slum of Kolkata, India.

    PubMed

    Sarkar, M

    2013-09-01

    For children, maintenance of personal hygiene helps to improve the quality of life and longevity. This is of particular importance in a slum community with compromised living situation. This study was undertaken to find out the knowledge and practice of personal hygiene among the primary school children living in a slum area, to identify any misconception among them regarding the maintenance of personal hygiene, to find out their morbidity pattern, and also to elicit the relationship between practice of personal hygiene among the children and the literacy status of their mother. A cross-sectional observational study was conducted among 104 primary school children of a primary school situated in the slum area of Chetla, Kolkata, India with the help of a predesigned, pre-tested and structured questionnaire. Data were analyzed statistically by simple proportions and tests of significance. It was found that the female students were more knowledgeable than the male students regarding the maintenance of personal hygiene. There was a wide gap between practice and knowledge of personal hygiene among the primary school children living in the slum area. Even, misconceptions do exist on certain indicators of personal hygiene among the students. Statistically significant association was observed between practices of personal hygiene among the primary school children and the literacy status of their mother. Future of a society depends considerably on the health of its children. The parents and the school teachers, as constructive shapers of children's health behaviors, should play a responsible role in early education of children on personal hygiene.

  18. PubMed Central

    2013-01-01

    Summary Introduction and objectives. For children, maintenance of personal hygiene helps to improve the quality of life and longevity. This is of particular importance in a slum community with compromised living situation. This study was undertaken to find out the knowledge and practice of personal hygiene among the primary school children living in a slum area, to identify any misconception among them regarding the maintenance of personal hygiene, to find out their morbidity pattern, and also to elicit the relationship between practice of personal hygiene among the children and the literacy status of their mother. Methods. A cross-sectional observational study was conducted among 104 primary school children of a primary school situated in the slum area of Chetla, Kolkata, India with the help of a predesigned, pre-tested and structured questionnaire. Data were analyzed statistically by simple proportions and tests of significance. Results. It was found that the female students were more knowledgeable than the male students regarding the maintenance of personal hygiene. There was a wide gap between practice and knowledge of personal hygiene among the primary school children living in the slum area. Even, misconceptions do exist on certain indicators of personal hygiene among the students. Statistically significant association was observed between practices of personal hygiene among the primary school children and the literacy status of their mother. Discussion and conclusions. Future of a society depends considerably on the health of its children. The parents and the school teachers, as constructive shapers of children's health behaviors, should play a responsible role in early education of children on personal hygiene. PMID:24783893

  19. Orbital assembly and maintenance study. Executive summary. [space erectable structures/structural design criteria

    NASA Technical Reports Server (NTRS)

    Gorman, D.; Grant, C.; Kyrias, G.; Lord, C.; Rombach, J. P.; Salis, M.; Skidmore, R.; Thomas, R.

    1975-01-01

    A sound, practical approach for the assembly and maintenance of very large structures in space is presented. The methods and approaches for assembling two large structures are examined. The maintenance objectives include the investigation of methods to maintain five geosynchronous satellites. The two assembly examples are a 200-meter-diameter radio astronomy telescope and a 1,000-meter-diameter microwave power transmission system. The radio astronomy telescope operates at an 8,000-mile altitude and receives RF signals from space. The microwave power transmission system is part of a solar power satellite that will be used to transmit converted solar energy to microwave ground receivers. Illustrations are included.

  20. [The Application of the Fault Tree Analysis Method in Medical Equipment Maintenance].

    PubMed

    Liu, Hongbin

    2015-11-01

    In this paper, the traditional fault tree analysis method is presented, detailed instructions for its application characteristics in medical instrument maintenance is made. It is made significant changes when the traditional fault tree analysis method is introduced into the medical instrument maintenance: gave up the logic symbolic, logic analysis and calculation, gave up its complicated programs, and only keep its image and practical fault tree diagram, and the fault tree diagram there are also differences: the fault tree is no longer a logical tree but the thinking tree in troubleshooting, the definition of the fault tree's nodes is different, the composition of the fault tree's branches is also different.

  1. Weight maintenance, behaviors and barriers among previous participants of a university-based weight control program.

    PubMed

    Befort, C A; Stewart, E E; Smith, B K; Gibson, C A; Sullivan, D K; Donnelly, J E

    2008-03-01

    To examine weight loss maintenance among previous participants of a university-based behavioral weight management program and to compare behavioral strategies and perceived barriers between successful and unsuccessful maintainers. Previous program participants (n=179) completed mailed surveys assessing current weight, weight control behaviors and perceived barriers to weight loss maintenance. At 14.1+/-10.8 months following completion of treatment, survey respondents were on average 12.6+/-12.6 kg, or 11.3+/-10.7%, below baseline weight; 76.5% of respondents had successfully maintained weight, defined as maintaining a weight loss of at least 5% below baseline. Compared to unsuccessful maintainers, successful maintainers reported practicing four dietary and three physical activity weight control strategies more often and experiencing five barriers to healthy eating and exercise less often. After accounting for time since treatment and maximum weight loss while in treatment, the strongest correlates of successful weight loss maintenance were frequent exercise and perceived difficulty of weight management. Clinically meaningful weight loss maintenance was achieved by the majority of participants. Findings support the literature indicating that physical activity is one of the strongest predictors of successful weight loss maintenance. Findings also suggest that strategies to reduce the level of perceived effort required for long-term weight control may improve maintenance outcomes.

  2. Performance of Michigan's concrete barriers.

    DOT National Transportation Integrated Search

    2007-08-01

    Modifications to design standards, material specifications, construction methods, and roadway : maintenance practices are believed to be major contributing causes for the observed premature : deterioration of Michigans Portland cement concrete bri...

  3. Sinus Pain: Can Over-the-Counter Medications Help?

    MedlinePlus

    ... Humanitarian Efforts International Outreach Advocacy Board of Governors Industry Programs Professional Development Home AcademyU Home Study Course Maintenance of Certification Conferences & Events Practice Management Home Resources ...

  4. Development and Application of a Structural Health Monitoring System Based on Wireless Smart Aggregates

    PubMed Central

    Ma, Haoyan; Li, Peng; Song, Gangbing; Wu, Jianxin

    2017-01-01

    Structural health monitoring (SHM) systems can improve the safety and reliability of structures, reduce maintenance costs, and extend service life. Research on concrete SHMs using piezoelectric-based smart aggregates have reached great achievements. However, the newly developed techniques have not been widely applied in practical engineering, largely due to the wiring problems associated with large-scale structural health monitoring. The cumbersome wiring requires much material and labor work, and more importantly, the associated maintenance work is also very heavy. Targeting a practical large scale concrete crack detection (CCD) application, a smart aggregates-based wireless sensor network system is proposed for the CCD application. The developed CCD system uses Zigbee 802.15.4 protocols, and is able to perform dynamic stress monitoring, structural impact capturing, and internal crack detection. The system has been experimentally validated, and the experimental results demonstrated the effectiveness of the proposed system. This work provides important support for practical CCD applications using wireless smart aggregates. PMID:28714927

  5. Development and Application of a Structural Health Monitoring System Based on Wireless Smart Aggregates.

    PubMed

    Yan, Shi; Ma, Haoyan; Li, Peng; Song, Gangbing; Wu, Jianxin

    2017-07-17

    Structural health monitoring (SHM) systems can improve the safety and reliability of structures, reduce maintenance costs, and extend service life. Research on concrete SHMs using piezoelectric-based smart aggregates have reached great achievements. However, the newly developed techniques have not been widely applied in practical engineering, largely due to the wiring problems associated with large-scale structural health monitoring. The cumbersome wiring requires much material and labor work, and more importantly, the associated maintenance work is also very heavy. Targeting a practical large scale concrete crack detection (CCD) application, a smart aggregates-based wireless sensor network system is proposed for the CCD application. The developed CCD system uses Zigbee 802.15.4 protocols, and is able to perform dynamic stress monitoring, structural impact capturing, and internal crack detection. The system has been experimentally validated, and the experimental results demonstrated the effectiveness of the proposed system. This work provides important support for practical CCD applications using wireless smart aggregates.

  6. 33 CFR 335.7 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... AND MAINTENANCE OF ARMY CORPS OF ENGINEERS CIVIL WORKS PROJECTS INVOLVING THE DISCHARGE OF DREDGED OR... engineering practices and meeting the environmental standards established by the 404(b)(1) evaluation process...

  7. 33 CFR 335.7 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... AND MAINTENANCE OF ARMY CORPS OF ENGINEERS CIVIL WORKS PROJECTS INVOLVING THE DISCHARGE OF DREDGED OR... engineering practices and meeting the environmental standards established by the 404(b)(1) evaluation process...

  8. 33 CFR 335.7 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... AND MAINTENANCE OF ARMY CORPS OF ENGINEERS CIVIL WORKS PROJECTS INVOLVING THE DISCHARGE OF DREDGED OR... engineering practices and meeting the environmental standards established by the 404(b)(1) evaluation process...

  9. 33 CFR 335.7 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... AND MAINTENANCE OF ARMY CORPS OF ENGINEERS CIVIL WORKS PROJECTS INVOLVING THE DISCHARGE OF DREDGED OR... engineering practices and meeting the environmental standards established by the 404(b)(1) evaluation process...

  10. 33 CFR 335.7 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AND MAINTENANCE OF ARMY CORPS OF ENGINEERS CIVIL WORKS PROJECTS INVOLVING THE DISCHARGE OF DREDGED OR... engineering practices and meeting the environmental standards established by the 404(b)(1) evaluation process...

  11. Prognostics and Health Management of Wind Turbines -- Current Status and Future Opportunities

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sheng, Shuangwen

    The global wind industry has seen tremendous growth during the past two decades. However, the industry is challenged by premature component failures, which lead to increased turbine downtime and subsequently, cost of energy for wind power. To mitigate the impacts from these failures, the wind industry has been exploring various areas for improvements ranging from product design, new materials or lubricants, to operation and maintenance (O&M) practices. Condition-based maintenance or prognostics and health management (PHM) has been explored as one enabling technology for improving O&M practices. This chapter provides a brief overview of wind turbine PHM with a focus onmore » operational data mining and condition monitoring of drivetrains. Some future research and development opportunities in wind turbine PHM are also briefly discussed.« less

  12. The Second Joint NASA/FAA/DoD Conference on Aging Aircraft. Part 2

    NASA Technical Reports Server (NTRS)

    Harris, Charles E. (Editor)

    1999-01-01

    The purpose of the Conference was to bring together world leaders in aviation safety research, aircraft design and manufacturing, fleet operation and aviation maintenance to disseminate information on current practices and advanced technologies that will assure the continued airworthiness of the aging aircraft in the military and commercial fleets. The Conference included reviews of current industry practices, assessments of future technology requirements, and status of aviation safety research. The Conference provided an opportunity for interactions among the key personnel in the research and technology development community, the original equipment manufacturers, commercial airline operators, military fleet operators, aviation maintenance, and aircraft certification and regulatory authorities. Conference participation was unrestricted and open to the international aviation community. Appendix B contains the name and addresses of the 623 participants in the Conference.

  13. Wildlife habitats in managed rangelands—the Great Basin of southeastern Oregon: management practices and options.

    Treesearch

    Frederick C. Hall

    1985-01-01

    Management practices and options to provide habitat for wildlife in the Great Basin of southeastern Oregon deal with both vegetation treatment and protection, livestock management, maintenance or distribution of water developments, protection of wildlife areas through road closures or fencing, and direct manipulation of wildlife through hunting, trapping, or other...

  14. Health and Safety Guide for K-12 Schools in Washington.

    ERIC Educational Resources Information Center

    Ellis, Richard E.; Kerns, James T.; Currie, Michael

    This guide, which can be used as a school self-inspection tool, is designed to help Washington's K-12 public schools prevent and reduce injuries and illnesses by focusing on good health and safety practices. The guide also focuses on practices that can be undertaken during the design, construction, renovation, operation, maintenance, or inspection…

  15. A Theoretic and Research Basis for Reconceptualizing the Role of Professional Laboratory Experiences in Teacher Education.

    ERIC Educational Resources Information Center

    Haberman, Martin

    A major problem in teacher education is the maintenance of beginning teachers' idealism in the face of practicing professionals' pragmatism. Teacher education programs train students in theories, concepts, and practices only to assign them to public schools, where the antithesis of everything the program attempted to teach is an accepted,…

  16. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline

    PubMed Central

    Sateia, Michael J.; Buysse, Daniel J.; Krystal, Andrew D.; Neubauer, David N.; Heald, Jonathan L.

    2017-01-01

    Introduction: The purpose of this guideline is to establish clinical practice recommendations for the pharmacologic treatment of chronic insomnia in adults, when such treatment is clinically indicated. Unlike previous meta-analyses, which focused on broad classes of drugs, this guideline focuses on individual drugs commonly used to treat insomnia. It includes drugs that are FDA-approved for the treatment of insomnia, as well as several drugs commonly used to treat insomnia without an FDA indication for this condition. This guideline should be used in conjunction with other AASM guidelines on the evaluation and treatment of chronic insomnia in adults. Methods: The American Academy of Sleep Medicine commissioned a task force of four experts in sleep medicine. A systematic review was conducted to identify randomized controlled trials, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) process was used to assess the evidence. The task force developed recommendations and assigned strengths based on the quality of evidence, the balance of benefits and harms, and patient values and preferences. Literature reviews are provided for those pharmacologic agents for which sufficient evidence was available to establish recommendations. The AASM Board of Directors approved the final recommendations. Recommendations: The following recommendations are intended as a guideline for clinicians in choosing a specific pharmacological agent for treatment of chronic insomnia in adults, when such treatment is indicated. Under GRADE, a STRONG recommendation is one that clinicians should, under most circumstances, follow. A WEAK recommendation reflects a lower degree of certainty in the outcome and appropriateness of the patient-care strategy for all patients, but should not be construed as an indication of ineffectiveness. GRADE recommendation strengths do not refer to the magnitude of treatment effects in a particular patient, but rather, to the strength of evidence in published data. Downgrading the quality of evidence for these treatments is predictable in GRADE, due to the funding source for most pharmacological clinical trials and the attendant risk of publication bias; the relatively small number of eligible trials for each individual agent; and the observed heterogeneity in the data. The ultimate judgment regarding propriety of any specific care must be made by the clinician in light of the individual circumstances presented by the patient, available diagnostic tools, accessible treatment options, and resources. We suggest that clinicians use suvorexant as a treatment for sleep maintenance insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians use eszopiclone as a treatment for sleep onset and sleep maintenance insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians use zaleplon as a treatment for sleep onset insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians use zolpidem as a treatment for sleep onset and sleep maintenance insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians use triazolam as a treatment for sleep onset insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians use temazepam as a treatment for sleep onset and sleep maintenance insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians use ramelteon as a treatment for sleep onset insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians use doxepin as a treatment for sleep maintenance insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians not use trazodone as a treatment for sleep onset or sleep maintenance insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians not use tiagabine as a treatment for sleep onset or sleep maintenance insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians not use diphenhydramine as a treatment for sleep onset and sleep maintenance insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians not use melatonin as a treatment for sleep onset or sleep maintenance insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians not use tryptophan as a treatment for sleep onset or sleep maintenance insomnia (versus no treatment) in adults. (WEAK) We suggest that clinicians not use valerian as a treatment for sleep onset or sleep maintenance insomnia (versus no treatment) in adults. (WEAK) Citation: Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med. 2017;13(2):307–349. PMID:27998379

  17. Purchasing and Selecting School Lighting.

    ERIC Educational Resources Information Center

    Berman, Tim

    2003-01-01

    Discusses factors for schools to consider when deciding on a lighting system: purchase price, installation charges, maintenance costs, energy costs, and ensuring optimal educational environment. Presents best practices in these areas. (EV)

  18. Make a Nature Trail

    ERIC Educational Resources Information Center

    Johnson, Janice K.

    1973-01-01

    Discusses the planning, construction, use, and maintenance of a nature trail. Ideal for demonstrating interrelationships between plants and animals, conservation practices, wildlife management, plant succession, forestry, geologic features and other scientific phenomena. (JR)

  19. 14 CFR 171.323 - Fabrication and installation requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... must be located, constructed, and installed in accordance with best commercial engineering practices... software and/or hardware in space provided in the original equipment. (d) The mean corrective maintenance...

  20. 14 CFR 171.323 - Fabrication and installation requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... must be located, constructed, and installed in accordance with best commercial engineering practices... software and/or hardware in space provided in the original equipment. (d) The mean corrective maintenance...

  1. 14 CFR 171.323 - Fabrication and installation requirements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... must be located, constructed, and installed in accordance with best commercial engineering practices... software and/or hardware in space provided in the original equipment. (d) The mean corrective maintenance...

  2. 14 CFR 171.323 - Fabrication and installation requirements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... must be located, constructed, and installed in accordance with best commercial engineering practices... software and/or hardware in space provided in the original equipment. (d) The mean corrective maintenance...

  3. Pricing and performance in health maintenance organizations: a strategic management perspective.

    PubMed

    Conant, J S; Mokwa, M P; Burnett, J J

    1989-03-01

    Innovative, consumer-oriented pricing strategies have contributed to the impressive growth of health maintenance organizations (HMOs). In a national study of HMO marketing directors, the relationships between strategic management style and (1) the relative importance of pricing in competitive marketing strategy, (2) the effectiveness of price strategy planning, and (3) financial performance are examined. The findings indicate that HMOs practicing effective price planning also perform well on an overall basis. Insight into the content and substance of HMO pricing strategies is also provided.

  4. Who is Using Telehealth in Primary Care? Safety Net Clinics and Health Maintenance Organizations (HMOs).

    PubMed

    Coffman, Megan; Moore, Miranda; Jetty, Anuradha; Klink, Kathleen; Bazemore, Andrew

    2016-01-01

    Despite rapid advancements in telehealth services, only 15% of family physicians in a 2014 survey reported using telehealth; use varied widely according to the physician's practice setting or designation. Users were significantly more likely than nonusers to work in federally designated "safety net" clinics and health maintenance organizations (HMOs) but not more likely than nonusers to report working in a patient-centered medical home (PCMH) or accountable care organization. © Copyright 2016 by the American Board of Family Medicine.

  5. Small Scale Irrigation Systems: A Training Manual. Planning--Construction--Operation and Maintenance of Small Scale Irrigation Systems. A Two-Week In-Service Training Program for Peace Corps Volunteers. Training for Development. Peace Corps Information Collection & Exchange Training Manual No. T-13.

    ERIC Educational Resources Information Center

    Development Planning and Research Associates, Inc., Manhattan, KS.

    This manual provides materials for a two-week inservice training program for Peace Corps volunteers on the planning, construction, and operation and maintenance of small-scale irrigation systems. The workshop is designed to be given by two experienced professionals: one with practical knowledge of irrigation system design, operation, and…

  6. Human-Technology Centric In Cyber Security Maintenance For Digital Transformation Era

    NASA Astrophysics Data System (ADS)

    Ali, Firkhan Ali Bin Hamid; Zalisham Jali, Mohd, Dr

    2018-05-01

    The development of the digital transformation in the organizations has become more expanding in these present and future years. This is because of the active demand to use the ICT services among all the organizations whether in the government agencies or private sectors. While digital transformation has led manufacturers to incorporate sensors and software analytics into their offerings, the same innovation has also brought pressure to offer clients more accommodating appliance deployment options. So, their needs a well plan to implement the cyber infrastructures and equipment. The cyber security play important role to ensure that the ICT components or infrastructures execute well along the organization’s business successful. This paper will present a study of security management models to guideline the security maintenance on existing cyber infrastructures. In order to perform security model for the currently existing cyber infrastructures, combination of the some security workforces and security process of extracting the security maintenance in cyber infrastructures. In the assessment, the focused on the cyber security maintenance within security models in cyber infrastructures and presented a way for the theoretical and practical analysis based on the selected security management models. Then, the proposed model does evaluation for the analysis which can be used to obtain insights into the configuration and to specify desired and undesired configurations. The implemented cyber security maintenance within security management model in a prototype and evaluated it for practical and theoretical scenarios. Furthermore, a framework model is presented which allows the evaluation of configuration changes in the agile and dynamic cyber infrastructure environments with regard to properties like vulnerabilities or expected availability. In case of a security perspective, this evaluation can be used to monitor the security levels of the configuration over its lifetime and to indicate degradations.

  7. [Effectiveness, therapeutic maintenance and reasons for stopping tocilizumab (TCZ): A retrospective and monocentric study in 88 patients followed for rheumatoid arthritis (RA) at the Reims university hospital].

    PubMed

    Chopin, Clément; Pauvele, Loïc; Jaulerry, Sarah; Brochot, Pascal; Eschard, Jean-Paul; Salmon, Jean-Hugues

    Study the therapeutic maintenance, efficacy and reasons for tocilizumab stop in daily practice. A monocentric, retrospective study of patients treated for rheumatoid arthritis who received at least one TCZ infusion between January 2009 and December 2015. Therapeutic maintenance was evaluated using the Kaplan-Meier method. The efficacy of TCZ was measured by DAS28 and the EULAR response. Reasons for stopping and new treatment lines were also collected. Of the 88 patients (83% women and 17% men) who were included, the mean age was 54±12.5 years. There were 75% positive rheumatoid factors and 76% positive anti-CCP. The mean duration of the follow-up was 31 months. TCZ was used as monotherapy in 24 patients (27%). Before the introduction of TCZ, the mean DAS28 was 5.07±1.32. The EULAR response at 1 year in patients still under treatment (n=63) was obtained in 59 (93.7%) patients, 46 good responders and 13 moderate responders. Therapeutic maintenance was 82.9%, 72.5%, 68.7% and 57.2%, respectively, at 12, 24, 36 and 54 months. Twenty-eight patients (32%) followed TCZ, 10 for adverse events and 14 for ineffectiveness. Abatacept was the main new therapeutic line. The therapeutic maintenance of TCZ in common practice over a long period of follow-up is similar to pivotal studies. Efficacy data are reassuring in the long-term. Copyright © 2017 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.

  8. Data-Mining Toolset Developed for Determining Turbine Engine Part Life Consumption

    NASA Technical Reports Server (NTRS)

    Litt, Jonathan S.

    2003-01-01

    The current practice in aerospace turbine engine maintenance is to remove components defined as life-limited parts after a fixed time, on the basis of a predetermined number of flight cycles. Under this schedule-based maintenance practice, the worst-case usage scenario is used to determine the usable life of the component. As shown, this practice often requires removing a part before its useful life is fully consumed, thus leading to higher maintenance cost. To address this issue, the NASA Glenn Research Center, in a collaborative effort with Pratt & Whitney, has developed a generic modular toolset that uses data-mining technology to parameterize life usage models for maintenance purposes. The toolset enables a "condition-based" maintenance approach, where parts are removed on the basis of the cumulative history of the severity of operation they have experienced. The toolset uses data-mining technology to tune life-consumption models on the basis of operating and maintenance histories. The flight operating conditions, represented by measured variables within the engine, are correlated with repair records for the engines, generating a relationship between the operating condition of the part and its service life. As shown, with the condition-based maintenance approach, the lifelimited part is in service until its usable life is fully consumed. This approach will lower maintenance costs while maintaining the safety of the propulsion system. The toolset is a modular program that is easily customizable by users. First, appropriate parametric damage accumulation models, which will be functions of engine variables, must be defined. The tool then optimizes the models to match the historical data by computing an effective-cycle metric that reduces the unexplained variability in component life due to each damage mode by accounting for the variability in operational severity. The damage increment due to operating conditions experienced during each flight is used to compute the effective cycles and ultimately the replacement time. Utilities to handle data problems, such as gaps in the flight data records, are included in the toolset. The tool was demonstrated using the first stage, high-pressure turbine blade of the PW4077 engine (Pratt & Whitney, East Hartford, CT). The damage modes considered were thermomechanical fatigue and oxidation/erosion. Each PW4077 engine contains 82 first-stage, high-pressure turbine blades, and data from a fleet of engines were used to tune the life-consumption models. The models took into account not only measured variables within the engine, but also unmeasured variables such as engine health parameters that are affected by degradation of the engine due to aging. The tool proved effective at predicting the average number of blades scrapped over time due to each damage mode, per engine, given the operating history of the engine. The customizable tools are available to interested parties within the aerospace community.

  9. Balancing the Ecological Function of Residential Stormwater Ponds with Homeowner Landscaping Practices.

    PubMed

    Monaghan, Paul; Hu, Shangchun; Hansen, Gail; Ott, Emily; Nealis, Charles; Morera, Maria

    2016-11-01

    Stormwater ponds are installed in urban developments to provide the ecosystem services of flood control and water treatment. In coastal areas, these ponds are connected to watersheds that can drain directly into protected estuaries, making their design, function, and maintenance critical to environmental protection. However, stormwater ponds in residential areas are increasingly managed as aesthetic amenities that add value to real estate rather than as engineered devices with special maintenance requirements. To help extend the life of neighborhood stormwater systems and improve ecosystem services, homeowners should follow best management practices for nutrient management and add shoreline plantings and non-invasive, beneficial aquatic plants to their ponds. This study used focus group and survey research to document the knowledge, behaviors, and attitudes of homeowners living near stormwater ponds in a master-planned community in Florida. The study was designed to use a social marketing research approach to promote Extension best practices. Findings indicate that many residents were aware of the functional components of stormwater systems and respondents' receptivity to best management practices was mediated by age, their attitudes about water quality and whether their home was adjacent to a pond. These findings can be used to target Extension audiences and improve adoption of stormwater pond best management practices for increased protection of water quality.

  10. Balancing the Ecological Function of Residential Stormwater Ponds with Homeowner Landscaping Practices

    NASA Astrophysics Data System (ADS)

    Monaghan, Paul; Hu, Shangchun; Hansen, Gail; Ott, Emily; Nealis, Charles; Morera, Maria

    2016-11-01

    Stormwater ponds are installed in urban developments to provide the ecosystem services of flood control and water treatment. In coastal areas, these ponds are connected to watersheds that can drain directly into protected estuaries, making their design, function, and maintenance critical to environmental protection. However, stormwater ponds in residential areas are increasingly managed as aesthetic amenities that add value to real estate rather than as engineered devices with special maintenance requirements. To help extend the life of neighborhood stormwater systems and improve ecosystem services, homeowners should follow best management practices for nutrient management and add shoreline plantings and non-invasive, beneficial aquatic plants to their ponds. This study used focus group and survey research to document the knowledge, behaviors, and attitudes of homeowners living near stormwater ponds in a master-planned community in Florida. The study was designed to use a social marketing research approach to promote Extension best practices. Findings indicate that many residents were aware of the functional components of stormwater systems and respondents' receptivity to best management practices was mediated by age, their attitudes about water quality and whether their home was adjacent to a pond. These findings can be used to target Extension audiences and improve adoption of stormwater pond best management practices for increased protection of water quality.

  11. Using Soil and Water Conservation Contests for Extension: Experiences from the Bolivian Mountain Valleys

    PubMed Central

    de Graaff, Jan

    2007-01-01

    Soil and water conservation (SWC) contests among farmer groups were organized in five rural villages in the Bolivian mountain valleys. The contests were aimed at quickly achieving widespread sustainable results. This article analyzes the effectiveness of these contests as an extension tool. Mixed results were obtained. In three villages, participation rates in the SWC activities introduced in the contests were still high even 2 years after project withdrawal. These were all villages where a solid foundation for sustainable development had been laid before the contests were held. Two years later, most families were still involved in maintenance of the SWC practices introduced in the contests, and many farmers had started to experiment with different soil management practices. However, replications of these SWC practices were not widespread, Conservation Leaders did not continue with their training activities, and the quality of maintenance of the practices was often not satisfactory. In order to become a more effective extension tool and achieve widespread impact, SWC contests must receive continued support by a catalyst agency. Moreover, other SWC contests should also be organized in which practices are not predefined. Given that SWC contests are a low-budget extension tool, local municipalities could become more actively involved. PMID:17846829

  12. Maintenance pharmacotherapy for recurrent major depressive disorder in primary care: A 5-year follow-up study.

    PubMed

    Riihimäki, K; Vuorilehto, M; Isometsä, E

    2017-03-01

    Most practice guidelines recommend maintenance antidepressant treatment for recurrent major depressive disorder. However, the degree to which such guidance is actually followed in primary health care has remained obscure. We investigated the provision of maintenance antidepressant treatment within a representative primary care five-year cohort study. In the Vantaa Primary Care Depression Study, a stratified random sample of 1119 adult patients was screened for depression using the Prime-MD. Depressive and comorbid psychiatric disorders were diagnosed using SCID-I/P and SCID-II interviews. Of the 137 patients with depressive disorders, 82% completed the prospective five-year follow-up. A graphic life chart enabling evaluation of the longitudinal course of episodes plus duration of pharmacotherapies was used. In accordance with national guidelines, an indication for maintenance treatment was defined to exist after three or more lifetime major depressive episodes (MDEs); maintenance treatment was to commence four months after onset of full remission. Of the cohort patients, 34% (46/137) had three or more lifetime MDEs, thus indicating the requirement for maintenance pharmacotherapy. Of these, half (54%, 25/46) received maintenance treatment, for only 29% (489/1670) of the months indicated. In this cohort of depressed primary care patients, half of patients with indications for maintenance treatment actually received it, and only for a fraction of the time indicated. Antidepressant maintenance treatment for the prevention of recurrences is unlikely to be subject to large-scale actualization as recommended, which may significantly undermine the potential public health benefits of treatment. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  13. Determinants of HMO success: the case of Complete Health.

    PubMed

    Widra, L S; Fottler, M D

    1992-01-01

    The health maintenance organization (HMO) industry has experienced a variety of difficulties and criticisms in recent years. Various hybrid models have been proposed to alleviate these problems. This article presents an in-depth case study of factors associated with the success of one such hybrid: an individual practice association (IPA)-model HMO affiliated with an academic health center. The major success factors identified include the plan design/structure, the strategic orientation/practices, and the stakeholder management orientation practices.

  14. Reverse osmosis plant maintenance and efficacy in chronic kidney disease endemic region in Sri Lanka.

    PubMed

    Jayasumana, Channa; Ranasinghe, Omesh; Ranasinghe, Sachini; Siriwardhana, Imalka; Gunatilake, Sarath; Siribaddana, Sisira

    2016-11-01

    Chronic Interstitial Nephritis in Agricultural Communities (CINAC) causes major morbidity and mortality for farmers in North-Central province (NCP) of Sri Lanka. To prevent the CINAC, reverse osmosis (RO) plants are established to purify the water and reduce the exposure to possible nephrotoxins through drinking water. We assessed RO plant maintenance and efficacy in NCP. We have interviewed 10 RO plant operators on plant establishment, maintenance, usage and funding. We also measured total dissolved solids (TDS in ppm) to assess the efficacy of the RO process. Most RO plants were operated by community-based organizations. They provide clean and sustainable water source for many in the NCP for a nominal fee, which tends to be variable. The RO plant operators carry out RO plant maintenance. However, maintenance procedures and quality management practices tend to vary from an operator to another. RO process itself has the ability to lower the TDS of the water. On average, RO process reduces the TDS to 29 ppm. The RO process reduces the impurities in water available to many individuals within CINAC endemic regions. However, there variation in maintenance, quality management, and day-to-day care between operators can be a cause for concern. This variability can affect the quality of water produced by RO plant, its maintenance cost and lifespan. Thus, uniform regulation and training is needed to reduce cost of maintenance and increase the efficacy of RO plants.

  15. 77 FR 52060 - Notice of Lodging of Consent Decree Pursuant to the Clean Water Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-28

    ... through best management practices, (c) capacity, management, operation and maintenance corrective action, (d) construction site inspection and enforcement, and (e) industrial facility stormwater pollution...

  16. Alternative Fuels Data Center: CNG Fuel System and Tank Maintenance

    Science.gov Websites

    in this section... Natural Gas Basics Benefits & Considerations Stations Vehicles Availability fuel containers best practices document for more information. CNG Tank Inspection Performing a regular

  17. Development, Implementation, and Evaluation of a Strategic Plan for Improving Physical Plant Management at Southwest Texas Junior College.

    ERIC Educational Resources Information Center

    Box, Wilford Winston

    A study was conducted at Southwest Texas Junior College (STJC) to assess current management practices used by the physical plant maintenance department (PPMD) and to develop a strategic plan for physical plant management. Procedures included an analysis of current management practices and systems that affect physical resources, and periodic and…

  18. The Quality of Questions and Use of Resources in Self-Directed Learning: Personal Learning Projects in the Maintenance of Certification

    ERIC Educational Resources Information Center

    Horsley, T.; O'Neill, J.; Campbell, C.

    2009-01-01

    Introduction: To engage effectively and efficiently in self-directed learning and knowledge-seeking practices, it is important that physicians construct well-formulated questions; yet, little is known about the quality of good questions and their relationship to self-directed learning or to change in practice behavior. Methods: Personal learning…

  19. Meat Safety: An Evaluation of Portuguese Butcher Shops.

    PubMed

    Santos, Ana; Cardoso, Margarida Fonseca; Costa, José M Correia da; Gomes-Neves, Eduarda

    2017-07-01

    Butcher shops are end points in the meat chain, and they can have a determinant role in cross-contamination control. This study aims to determine whether Portuguese butcher shops comply with European and Portuguese law regarding the sale of fresh meat and meat products. Butcher shops (n = 73) were assessed for meat handler and facility hygiene and for maintenance of the premises. Handlers (n = 88) were given a questionnaire composed of questions about knowledge and practice, including hazard analysis and critical control point (HACCP) and good practice in food industry, to assess their knowledge of and compliance with food safety practices. A checklist of 27 items was used to evaluate facility and meat handler hygiene and butcher shop maintenance. Our results revealed some lack of compliance in all the areas evaluated. The mean knowledge and practice score among the operators was 68.0%, and the mean "visual inspection" score for the butcher shops was 64.0%. Severe deficiencies were observed in the mandatory implementation of HACCP principles in this type of small food business. These findings indicate a need to modify training to enhance compliance with European food safety regulations at this step of the meat chain.

  20. 198 AAAAI Survey on Immunotherapy Practice Patterns Concerning Dosing, Dose-Adjustment after Missed Doses and Duration of Immunotherapy

    PubMed Central

    Linnemann, Désirée Larenas; Gupta, Payel; Mithani, Sima; Ponda, Punita

    2012-01-01

    Background Several practical issues dealing with the exact application of allergen immunotherapy (AIT) among European and US allergists are not well known. Guidelines on AIT give recommendations and suggestions for only some of them. We present this unique survey with worldwide response. Methods The AAAAI immunotherapy committee conducted a web-based practice patterns survey (program: Survey Monkey) among all members in&outside US on dosing, dose-adjustment after missed doses and duration of AIT. Results 1201 Returned questionnaires (almost 25% response rate). 21% were non-US-Canada members. Maintenance doses in USCan are (mean/median): Dermatophagoides farinae (Df) combined with Dermatophagoides pteronyssinus (Dpt): 2155/1000AU; Df solo 2484/1000AU. Dpt when combined with Df 1937/1000AU; Dpt solo: 2183/1000AU.Cat 3224/2000BAU. Grass 11,410/4000BAU. 57-65% of the dosing falls within the recommended Practice Parameters recommended ranges. Non-USCan allergists expressed maintenance doses in many different units making analysis impossible. Dose-adjustment after missed doses is based on ‘time elapsed since the last applied dose’ by 77% of USCan and 58% of non-USCan allergists and on ‘time since missed scheduled dose’ by the rest. Doses are adjusted when a patient comes in more than 14 d/5 wk after the last administration at build-up/maintenance by both USCan and non-USCan colleagues. The mostly followed dose-adjustment schedules after 1, 2, 3 missed doses are: Build-up: repeat last dose, reduce by one dose, reduce by 2 doses; maintenance: reduce by one dose, reduce by 2 doses, reduce by 3 doses. 26% uses a different approach reducing doses by a certain percentage or volume. AIT is restarted after a gap in build-up of >30 days and of >12 weeks during maintenance in both groups (median). Outside USCan AIT is prescribed for 3 years (Median). However, 75% of USCan allergists prescribes AIT for 5 years. Main reasons why to continue AIT beyond 5 years: ‘symptoms came back after stopping’ or “patient afraid to relapse.” Conclusions These results show regional differences on some points (especially AIT duration) and they suggest in which direction to plan further research in 2 areas to establish universal dose-adjustment plans for missed applications and define the usefulness (or lack of) of long-term AIT. Moreover, there is still room for improvement in the way AIT is dosed.

  1. Exploring virtual mental practice in maintenance task training.

    PubMed

    Bauerle, Tim; Brnich, Michael J; Navoyski, Jason

    - This paper aims to contribute to a general understanding of mental practice by investigating the utility of and participant reaction to a virtual reality maintenance training among underground coal mine first responders. - Researchers at the National Institute for Occupational Safety and Health's Office of Mine Safety and Health Research (OMSHR) developed software to provide opportunities for mine rescue team members to learn to inspect, assemble and test their closed-circuit breathing apparatus and to practice those skills. In total, 31 mine rescue team members utilized OMSHR's BG 4 Benching Trainer software and provided feedback to the development team. After training, participants completed a brief post-training questionnaire, which included demographics, perceived training climate and general training evaluation items. - The results overall indicate a generally positive reaction to and high perceived utility of the BG 4 benching software. In addition, the perceived training climate appears to have an effect on the perceived utility of the mental practice virtual reality game, with benchmen from mines with more positive training climates reporting greater perceived efficacy in the training's ability to prepare trainees for real emergencies. - This paper helps to broaden current applications of mental practice and is one of the few empirical investigations into a non-rehabilitation virtual reality extension of mental practice. This paper also contributes to the growing literature advocating for greater usage of accurate and well-informed mental practice techniques, tools and methodologies, especially for occupational populations with limitations on exposure to hands-on training.

  2. Cognitive Reserve and Brain Maintenance: Orthogonal Concepts in Theory and Practice.

    PubMed

    Habeck, C; Razlighi, Q; Gazes, Y; Barulli, D; Steffener, J; Stern, Y

    2017-08-01

    Cognitive Reserve and Brain Maintenance have traditionally been understood as complementary concepts: Brain Maintenance captures the processes underlying the structural preservation of the brain with age, and might be assessed relative to age-matched peers. Cognitive Reserve, on the other hand, refers to how cognitive processing can be performed regardless of how well brain structure has been maintained. Thus, Brain Maintenance concerns the "hardware," whereas Cognitive Reserve concerns "software," that is, brain functioning explained by factors beyond mere brain structure. We used structural brain data from 368 community-dwelling adults, age 20-80, to derive measures of Brain Maintenance and Cognitive Reserve. We found that Brain Maintenance and Cognitive were uncorrelated such that values on one measure did not imply anything about the other measure. Further, both measures were positively correlated with verbal intelligence and education, hinting at formative influences of the latter to both measures. We performed extensive split-half simulations to check our derived measures' statistical robustness. Our approach enables the out-of-sample quantification of Brain Maintenance and Cognitive Reserve for single subjects on the basis of chronological age, neuropsychological performance and structural brain measures. Future work will investigate the prognostic power of these measures with regard to future cognitive status. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  3. Effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse or recurrence (PREVENT): a randomised controlled trial.

    PubMed

    Kuyken, Willem; Hayes, Rachel; Barrett, Barbara; Byng, Richard; Dalgleish, Tim; Kessler, David; Lewis, Glyn; Watkins, Edward; Brejcha, Claire; Cardy, Jessica; Causley, Aaron; Cowderoy, Suzanne; Evans, Alison; Gradinger, Felix; Kaur, Surinder; Lanham, Paul; Morant, Nicola; Richards, Jonathan; Shah, Pooja; Sutton, Harry; Vicary, Rachael; Weaver, Alice; Wilks, Jenny; Williams, Matthew; Taylor, Rod S; Byford, Sarah

    2015-07-04

    Individuals with a history of recurrent depression have a high risk of repeated depressive relapse or recurrence. Maintenance antidepressants for at least 2 years is the current recommended treatment, but many individuals are interested in alternatives to medication. Mindfulness-based cognitive therapy (MBCT) has been shown to reduce risk of relapse or recurrence compared with usual care, but has not yet been compared with maintenance antidepressant treatment in a definitive trial. We aimed to see whether MBCT with support to taper or discontinue antidepressant treatment (MBCT-TS) was superior to maintenance antidepressants for prevention of depressive relapse or recurrence over 24 months. In this single-blind, parallel, group randomised controlled trial (PREVENT), we recruited adult patients with three or more previous major depressive episodes and on a therapeutic dose of maintenance antidepressants, from primary care general practices in urban and rural settings in the UK. Participants were randomly assigned to either MBCT-TS or maintenance antidepressants (in a 1:1 ratio) with a computer-generated random number sequence with stratification by centre and symptomatic status. Participants were aware of treatment allocation and research assessors were masked to treatment allocation. The primary outcome was time to relapse or recurrence of depression, with patients followed up at five separate intervals during the 24-month study period. The primary analysis was based on the principle of intention to treat. The trial is registered with Current Controlled Trials, ISRCTN26666654. Between March 23, 2010, and Oct 21, 2011, we assessed 2188 participants for eligibility and recruited 424 patients from 95 general practices. 212 patients were randomly assigned to MBCT-TS and 212 to maintenance antidepressants. The time to relapse or recurrence of depression did not differ between MBCT-TS and maintenance antidepressants over 24 months (hazard ratio 0·89, 95% CI 0·67-1·18; p=0·43), nor did the number of serious adverse events. Five adverse events were reported, including two deaths, in each of the MBCT-TS and maintenance antidepressants groups. No adverse events were attributable to the interventions or the trial. We found no evidence that MBCT-TS is superior to maintenance antidepressant treatment for the prevention of depressive relapse in individuals at risk for depressive relapse or recurrence. Both treatments were associated with enduring positive outcomes in terms of relapse or recurrence, residual depressive symptoms, and quality of life. National Institute for Health Research (NIHR) Health Technology Assessment (HTA) programme, and NIHR Collaboration for Leadership in Applied Health Research and Care South West Peninsula. Copyright © 2015 Kuyken et al. Open Access article distributed under the terms of CC BY. Published by Elsevier Ltd.. All rights reserved.

  4. Maintenance of Certification Part 4 Credit and recruitment for practice-based research.

    PubMed

    Gorzkowski, Julie A; Klein, Jonathan D; Harris, Donna L; Kaseeska, Kristen R; Whitmore Shaefer, Regina M; Bocian, Alison B; Davis, James B; Gotlieb, Edward M; Wasserman, Richard C

    2014-10-01

    Competing priorities in pediatric practice have created challenges for practice-based research. To increase recruitment success, researchers must design studies that provide added value to participants. This study evaluates recruitment of pediatricians into a study, before and after the development and addition of a quality improvement (QI) curriculum approved for American Board of Pediatrics Maintenance of Certification (MOC) Part 4 Credit as an enrollment incentive. Researchers implemented multiple outreach methods to enroll pediatric practices over 28 months. Field note review revealed that many physicians declined enrollment, stating that they prioritized MOC Part 4 projects over research studies. A QI curriculum meeting standards for MOC Part 4 Credit was developed and added to the study protocol as an enrollment incentive. Enrollment rates and characteristics of practitioners enrolled pre- and post-MOC were compared. Pre-MOC enrollment contributed 48% of practices in 22 months; post-MOC enrollment contributed 49% of practices in 6 months. An average of 3.5 practices enrolled per month pre-MOC, compared with 13.1 per month post-MOC (P < .001). Clinicians in pre- and post-MOC groups were similar in age, gender, race, and time spent on patient care; practices enrolled post-MOC were more likely to be located in federally designated Medically Underserved Areas than those enrolled pre-MOC (28.6% vs 12%, P = .03). Addition of MOC Part 4 Credit increased recruitment success and increased enrollment of pediatricians working in underserved areas. Including QI initiatives meeting MOC Part 4 criteria in practice-based research protocols may enhance participation and aid in recruiting diverse practice and patient populations. Copyright © 2014 by the American Academy of Pediatrics.

  5. 36 CFR 230.37 - State priority plan-educational assistance.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... sessions; (8) Web site construction and maintenance; or (9) Similar activities designed to bring landowners to an informed decision point and accelerate adoption of sustainable forest practices in a State. (b...

  6. 36 CFR 230.37 - State priority plan-educational assistance.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... sessions; (8) Web site construction and maintenance; or (9) Similar activities designed to bring landowners to an informed decision point and accelerate adoption of sustainable forest practices in a State. (b...

  7. 36 CFR 230.37 - State priority plan-educational assistance.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... sessions; (8) Web site construction and maintenance; or (9) Similar activities designed to bring landowners to an informed decision point and accelerate adoption of sustainable forest practices in a State. (b...

  8. Storm Water Control Management & Monitoring

    DOT National Transportation Integrated Search

    2017-11-30

    Temple and Villanova universities collected monitoring and assessment data along the I-95 corridor to evaluate the performance of current stormwater control design and maintenance practices. An extensive inventory was developed that ranks plants in t...

  9. 29 CFR 780.158 - Examples of other practices within section 3(f) if requirements are met.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., for example, secretaries, clerks, bookkeepers, night watchmen, maintenance workers, engineers, and...), however; employees repairing equipment used by the employer in industrial or other nonfarming activities...

  10. 29 CFR 780.158 - Examples of other practices within section 3(f) if requirements are met.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., for example, secretaries, clerks, bookkeepers, night watchmen, maintenance workers, engineers, and...), however; employees repairing equipment used by the employer in industrial or other nonfarming activities...

  11. General RMP Guidance - Chapter 6: Prevention Program (Program 2)

    EPA Pesticide Factsheets

    Sound prevention practices are founded on safety information, hazard review, operating procedures, training, maintenance, compliance audits, and accident investigation. These must be integrated into a risk management system that you implement consistently.

  12. Safety in the Chemical Laboratory: Fire Safety and Fire Control in the Chemistry Laboratory.

    ERIC Educational Resources Information Center

    Wilbraham, A. C.

    1979-01-01

    Discusses fire safety and fire control in the chemistry laboratory. The combustion process, extinguishing equipment, extinguisher maintenance and location, and fire safety and practices are included. (HM)

  13. A Blueprint for IAQ.

    ERIC Educational Resources Information Center

    Quraishi, Arif; Kapfer, Tom

    1999-01-01

    Presents practical solutions to school indoor-air-quality problems. Areas where school administrators should set IAQ goals and provide resources are listed, and tips for HVAC maintenance and cleaning to reduce air pollutants are provided. (GR)

  14. Energy management study: A proposed case of government building

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Tahir, Mohamad Zamhari; Nawi, Mohd Nasrun Mohd; Baharum, Mohd Faizal

    Align with the current needs of the sustainable and green technology in Malaysian construction industry, this research is conducted to seek and identify opportunities to better manage energy use including the process of understand when, where, and how energy is used in a building. The purpose of this research is to provide a best practice guideline as a practical tool to assist construction industry in Malaysia to improve the energy efficiency of the office building during the post-production by reviewing the current practice of the building operation and maintenance in order to optimum the usage and reduce the amount ofmore » energy input into the building. Therefore, this paper will review the concept of maintenance management, current issue in energy management, and on how the research process will be conducted. There are several process involves and focuses on technical and management techniques such as energy metering, tracing, harvesting, and auditing based on the case study that will be accomplish soon. Accordingly, a case study is appropriate to be selected as a strategic research approach in which involves an empirical investigation of a particular contemporary phenomenon within its real life context using multiple sources of evidence for the data collection process. A Government office building will be selected as an appropriate case study for this research. In the end of this research, it will recommend a strategic approach or model in a specific guideline for enabling energy-efficient operation and maintenance in the office building.« less

  15. Energy management study: A proposed case of government building

    NASA Astrophysics Data System (ADS)

    Tahir, Mohamad Zamhari; Nawi, Mohd Nasrun Mohd; Baharum, Mohd Faizal

    2015-05-01

    Align with the current needs of the sustainable and green technology in Malaysian construction industry, this research is conducted to seek and identify opportunities to better manage energy use including the process of understand when, where, and how energy is used in a building. The purpose of this research is to provide a best practice guideline as a practical tool to assist construction industry in Malaysia to improve the energy efficiency of the office building during the post-production by reviewing the current practice of the building operation and maintenance in order to optimum the usage and reduce the amount of energy input into the building. Therefore, this paper will review the concept of maintenance management, current issue in energy management, and on how the research process will be conducted. There are several process involves and focuses on technical and management techniques such as energy metering, tracing, harvesting, and auditing based on the case study that will be accomplish soon. Accordingly, a case study is appropriate to be selected as a strategic research approach in which involves an empirical investigation of a particular contemporary phenomenon within its real life context using multiple sources of evidence for the data collection process. A Government office building will be selected as an appropriate case study for this research. In the end of this research, it will recommend a strategic approach or model in a specific guideline for enabling energy-efficient operation and maintenance in the office building.

  16. A review on effectiveness of best management practices in improving hydrology and water quality: Needs and opportunities.

    PubMed

    Liu, Yaoze; Engel, Bernard A; Flanagan, Dennis C; Gitau, Margaret W; McMillan, Sara K; Chaubey, Indrajeet

    2017-12-01

    Best management practices (BMPs) have been widely used to address hydrology and water quality issues in both agricultural and urban areas. Increasing numbers of BMPs have been studied in research projects and implemented in watershed management projects, but a gap remains in quantifying their effectiveness through time. In this paper, we review the current knowledge about BMP efficiencies, which indicates that most empirical studies have focused on short-term efficiencies, while few have explored long-term efficiencies. Most simulation efforts that consider BMPs assume constant performance irrespective of ages of the practices, generally based on anticipated maintenance activities or the expected performance over the life of the BMP(s). However, efficiencies of BMPs likely change over time irrespective of maintenance due to factors such as degradation of structures and accumulation of pollutants. Generally, the impacts of BMPs implemented in water quality protection programs at watershed levels have not been as rapid or large as expected, possibly due to overly high expectations for practice long-term efficiency, with BMPs even being sources of pollutants under some conditions and during some time periods. The review of available datasets reveals that current data are limited regarding both short-term and long-term BMP efficiency. Based on this review, this paper provides suggestions regarding needs and opportunities. Existing practice efficiency data need to be compiled. New data on BMP efficiencies that consider important factors, such as maintenance activities, also need to be collected. Then, the existing and new data need to be analyzed. Further research is needed to create a framework, as well as modeling approaches built on the framework, to simulate changes in BMP efficiencies with time. The research community needs to work together in addressing these needs and opportunities, which will assist decision makers in formulating better decisions regarding BMP implementation in watershed management projects. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Patient Comprehension and Attitudes toward Maintenance Chemotherapy for Lung Cancer

    PubMed Central

    Gerber, David E.; Hamann, Heidi A.; Rasco, Drew W.; Woodruff, Sharon; Craddock Lee, Simon J.

    2012-01-01

    Objective Maintenance chemotherapy is a recently approved approach to the treatment of advanced non-small cell lung cancer (NSCLC). We sought to gain insight into patients’ perceptions of maintenance chemotherapy using qualitative methods. Methods We conducted thematic content analysis of focus groups at a freestanding cancer center and at an associated safety-net county hospital. Patients with advanced NSCLC who had started but not yet completed first-line platinum doublet chemotherapy were provided visual and written explanations of maintenance chemotherapy before being guided in group discussion. Results Key themes to emerge for consideration of maintenance chemotherapy included (1) survival benefits, disease control, and “buying time”; (2) the importance of “doing something”; (3) quality of life concerns; (4) the role of provider opinion/preference; and (5) the importance of logistics. Conclusions Patients undergoing first-line chemotherapy for advanced NSCLC were able to understand the concept of maintenance chemotherapy, distinguish it from traditional treatment paradigms, identify pros and cons of this approach, and convey reasons for considering it. Practice Implications Advances in oncology care that alter therapy modalities and delivery may significantly impact patient perceptions and treatment experiences. Clinical team members may wish to elicit treatment preferences of first-line patients through clinical discussions that anticipate these considerations. PMID:22632736

  18. Value centric approaches to the design, operations and maintenance of wind turbines

    NASA Astrophysics Data System (ADS)

    Khadabadi, Madhur Aravind

    Wind turbine maintenance is emerging as an unexpectedly high component of turbine operating cost, and there is an increasing interest in managing this cost. This thesis presents an alternative view of maintenance as a value-driver, and develops an optimization algorithm to evaluate the value delivered by different maintenance techniques. I view maintenance as an operation that moves the turbine to an improved state in which it can generate more power and, thus, earn more revenue. To implement this approach, I model the stochastic deterioration of the turbine in two dimensions: the deterioration rate, and the extent of deterioration, and then use maintenance to improve the state of the turbine. The value of the turbine is the difference between the revenue from to the power generation and the costs incurred in operation and maintenance. With a focus on blade deterioration, I evaluate the value delivered by implementing two different maintenance schemes, predictive maintenance and scheduled maintenance. An example of predictive maintenance technique is the use of Condition Monitoring Systems to precisely detect deterioration. I model Condition Monitoring System (CMS) of different degrees of fidelity, where a higher fidelity CMS would allow the blade state to be determined with a higher precision. The same model is then applied for the scheduled maintenance technique. The improved state information obtained from these techniques is then used to derive an optimal maintenance strategy. The difference between the value of the turbine with and without the inspection type can be interpreted as the value of the inspection. The results indicate that a higher fidelity (and more expensive) inspection method does not necessarily yield the highest value, and, that there is an optimal level of fidelity that results in maximum value. The results also aim to inform the operator of the impact of regional parameters such as wind speed, variance and maintenance costs to the optimal maintenance strategy. The contributions of this work are twofold. First, I present a practical approach to wind turbine valuation that takes operating and market conditions into account. This work should therefore be useful to wind farm operators, investors and decision makers. Second, I show how the value of a maintenance scheme can be explicitly assessed for different conditions.

  19. Examining the Relationship Between Passenger Airline Aircraft Maintenance Outsourcing and Aircraft Safety

    NASA Astrophysics Data System (ADS)

    Monaghan, Kari L.

    The problem addressed was the concern for aircraft safety rates as they relate to the rate of maintenance outsourcing. Data gathered from 14 passenger airlines: AirTran, Alaska, America West, American, Continental, Delta, Frontier, Hawaiian, JetBlue, Midwest, Northwest, Southwest, United, and USAir covered the years 1996 through 2008. A quantitative correlational design, utilizing Pearson's correlation coefficient, and the coefficient of determination were used in the present study to measure the correlation between variables. Elements of passenger airline aircraft maintenance outsourcing and aircraft accidents, incidents, and pilot deviations within domestic passenger airline operations were analyzed, examined, and evaluated. Rates of maintenance outsourcing were analyzed to determine the association with accident, incident, and pilot deviation rates. Maintenance outsourcing rates used in the evaluation were the yearly dollar expenditure of passenger airlines for aircraft maintenance outsourcing as they relate to the total airline aircraft maintenance expenditures. Aircraft accident, incident, and pilot deviation rates used in the evaluation were the yearly number of accidents, incidents, and pilot deviations per miles flown. The Pearson r-values were calculated to measure the linear relationship strength between the variables. There were no statistically significant correlation findings for accidents, r(174)=0.065, p=0.393, and incidents, r(174)=0.020, p=0.793. However, there was a statistically significant correlation for pilot deviation rates, r(174)=0.204, p=0.007 thus indicating a statistically significant correlation between maintenance outsourcing rates and pilot deviation rates. The calculated R square value of 0.042 represents the variance that can be accounted for in aircraft pilot deviation rates by examining the variance in aircraft maintenance outsourcing rates; accordingly, 95.8% of the variance is unexplained. Suggestions for future research include replication of the present study with the inclusion of maintenance outsourcing rate data for all airlines differentiated between domestic and foreign repair station utilization. Replication of the present study every five years is also encouraged to continue evaluating the impact of maintenance outsourcing practices on passenger airline safety.

  20. 75 FR 60093 - Record of Decision for the United States Marine Corps Basewide Utilities Infrastructure Project...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-29

    ... construction, operation, and maintenance of utility infrastructure upgrades, expansions, and improvements... and wastewater facilities and road improvements to Range 130. All practical means to avoid or minimize...

  1. Chemical Safety Alert: Catastrophic Failure of Storage Tanks

    EPA Pesticide Factsheets

    Aboveground, atmospheric storage tanks can fail when flammable vapors in the tank explode and break either the shell-to-bottom or side seam, resulting in hazardous release accidents. Proper maintenance practices can help prevent accidents.

  2. Safety Concerns of Startup Airlines

    DOT National Transportation Integrated Search

    1997-01-01

    Startup airlines that do not have sufficient capital are forced to acquire older aircraft and contract out maintenance, crew training, and operation management. These factors can contribute to the poorly supervised practices as illustrated in this ca...

  3. Liquid and gaseous oxygen safety review, volume 3

    NASA Technical Reports Server (NTRS)

    Lapin, A.

    1972-01-01

    Practices employed in the oxygen systems maintenance programs to minimize both accident probabilities and consequences of accidents and/or incidents are described. Appropriate sections of the operations department and industrial gas operating manuals are discussed.

  4. OPTIONS FOR REDUCING REFRIGERANT EMISSIONS FROM SUPERMARKET SYSTEMS

    EPA Science Inventory

    The report was prepared to assist personnel responsible for the design, construction, and maintenance of retail food refrigeration equipment in making knowledgeable decisions regarding the implementation of refrigerant-emissions-reducing practices and technologies. It characteriz...

  5. 29 CFR 1910.336-1910.360 - [Reserved

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Electrical Safety-Related Work Practices §§ 1910.336-1910.360 [Reserved] Safety-Related Maintenance Requirements ...

  6. 29 CFR 1910.336-1910.360 - [Reserved

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Electrical Safety-Related Work Practices §§ 1910.336-1910.360 [Reserved] Safety-Related Maintenance Requirements ...

  7. 40 CFR 204.58-3 - Instructions for maintenance, use, and repair.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... degradation of noise emission levels is eliminated or minimized during the life of the compressor..., to the extent practicable, written in non-technical language. (3) The instructions must not be used...

  8. 33 CFR 164.82 - Maintenance, failure, and reporting.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... vessel shall exercise due diligence to repair it at the earliest practicable time. He or she shall enter... board the vessel likely to impair navigation, such as shortage of personnel or lack of current nautical...

  9. An Approach for Measuring Reductions in Operations, Maintenance, and Energy Costs: Baseline Measures of Construction Industry Practices for the National Construction Goals.

    ERIC Educational Resources Information Center

    Chapman, Robert E.; Rennison, Roderick

    The Construction and Building Subcommittee of the National Science and Technology Council (NSTC) has established seven National Construction Goals for the construction industry and is developing baseline measures for current practices and progress with respect to each goal. This document provides a detailed set of baseline measures for the NSTC…

  10. Effects of intensive management practices on 10-year Douglas-fir growth, soil nutrient pools, and vegetation communities in the Pacific Northwest, USA

    Treesearch

    Robert A. Slesak; Timothy B. Harrington; Dave Peter; Daniel G. DeBruler; Stephen H. Schoenholtz; Brian D. Strahm

    2016-01-01

    Intensive management practices are commonly used to increase fiber production from forests, but potential tradeoffs with maintenance of long-term productivity and early successional biodiversity have yet to be quantified. We assessed soil and vegetation responses in replicated manipulations of logging debris (LD; either retained or removed) and competing vegetation...

  11. The clinical obesity maintenance model: an integration of psychological constructs including mood, emotional regulation, disordered overeating, habitual cluster behaviours, health literacy and cognitive function.

    PubMed

    Raman, Jayanthi; Smith, Evelyn; Hay, Phillipa

    2013-01-01

    Psychological distress and deficits in executive functioning are likely to be important barriers to effective weight loss maintenance. The purpose of this paper is twofold. First, in the light of recent evidence in the fields of neuropsychology and obesity, particularly on the deficits in the executive function in overweight and obese individuals, a conceptual and theoretical framework of obesity maintenance is introduced by way of a clinical obesity maintenance model (COMM). It is argued that psychological variables, that of habitual cluster Behaviors, emotional dysregulation, mood, and health literacy, interact with executive functioning and impact on the overeating/binge eating behaviors of obese individuals. Second, cognizant of this model, it is argued that the focus of obesity management should be extended to include a broader range of maintaining mechanisms, including but not limited to cognitive deficits. Finally, a discussion on potential future directions in research and practice using the COMM is provided.

  12. Engagement of groups in family medicine board maintenance of certification.

    PubMed

    Fisher, Dena M; Brenner, Christopher J; Cheren, Mark; Stange, Kurt C

    2013-01-01

    The American Board of Medical Specialties' Performance in Practice ("Part IV") portion of Maintenance of Certification (MOC) requirement provides an opportunity for practicing physicians to demonstrate quality improvement (QI) competence. However, specialty boards' certification of one physician at a time does not tap into the potential of collective effort. This article shares learning from a project to help family physicians work in groups to meet their Part IV MOC requirement. A year-long implementation and evaluation project was conducted. Initially, 348 members of a regional family physician organization were invited to participate. A second path was established through 3 health care systems and a county-wide learning collaborative. Participants were offered (1) a basic introduction to QI methods, (2) the option of an alternative Part IV MOC module using a patient experience survey to guide QI efforts, (3) practice-level improvement coaching, (4) support for collaboration and co-learning, and (5) provision of QI resources. More physicians participated through group (66) than individual (12) recruitment, for a total of 78 physicians in 20 practices. Participation occurred at 3 levels: individual, intrapractice, and interpractice. Within the 1-year time frame, intrapractice collaboration occurred most frequently. Interpractice and system-level collaboration has begun and continues to evolve. Physicians felt that they benefited from access to a practice coach and group process. Practice-level collaboration, access to a practice coach, flexibility in choosing and focusing improvement projects, tailored support, and involvement with professional affiliations can enhance the Part IV MOC process. Specialty boards are likely to discover productive opportunities from working with practices, professional organizations, and health care systems to support intra- and interpractice collaborative QI work that uses Part IV MOC requirements to motivate practice improvement.

  13. Total quality assurance

    NASA Astrophysics Data System (ADS)

    Louzon, E.

    1989-12-01

    Quality, cost, and schedule are three factors affecting the competitiveness of a company; they require balancing so that products of acceptable quality are delivered, on time and at a competitive cost. Quality costs comprise investment in quality maintenance and failure costs which arise from failure to maintain standards. The basic principle for achieving the required quality at minimum cost is that of prevention of failures, etc., through production control, attention to manufacturing practices, and appropriate management and training. Total quality control involves attention to the product throughout its life cycle, including in-service performance evaluation, servicing, and maintenance.

  14. Progress toward an advanced condition monitoring system for reusable rocket engines

    NASA Technical Reports Server (NTRS)

    Maram, J.; Barkhoudarian, S.

    1987-01-01

    A new generation of advanced sensor technologies will allow the direct measurement of critical/degradable rocket engine components' health and the detection of degraded conditions before component deterioration affects engine performance, leading to substantial improvements in reusable engines' operation and maintenance. When combined with a computer-based engine condition-monitoring system, these sensors can furnish a continuously updated data base for the prediction of engine availability and advanced warning of emergent maintenance requirements. Attention is given to the case of a practical turbopump and combustion device diagnostic/prognostic health-monitoring system.

  15. Empirical and Face Validity of Software Maintenance Defect Models Used at the Jet Propulsion Laboratory

    NASA Technical Reports Server (NTRS)

    Taber, William; Port, Dan

    2014-01-01

    At the Mission Design and Navigation Software Group at the Jet Propulsion Laboratory we make use of finite exponential based defect models to aid in maintenance planning and management for our widely used critical systems. However a number of pragmatic issues arise when applying defect models for a post-release system in continuous use. These include: how to utilize information from problem reports rather than testing to drive defect discovery and removal effort, practical model calibration, and alignment of model assumptions with our environment.

  16. Ballast Water Treatment, U.S. Great Lakes Bulk Carrier Engineering and Cost Study. Volume 2: Analysis of On-Board Treatment Methods, Alternative Ballast Water Management Practices, and Implementation Costs

    DTIC Science & Technology

    2013-11-01

    flushing filter, disinfection with injected chlorine dioxide (chlorine dioxide is generated onboard from two component chemicals, sulfuric acid...Management System 400 80 250-8000 (10000) Sulfuric Acid and Purate for ClO2 generation Yes 0.005-0.028 8-18 Decreased sediment, potential corrosion...feed chemicals, Purate and sulfuric acid. 5. Operational and Maintenance Cost: Estimated operating and maintenance cost is $80/1000 m3 of ballast

  17. The Development and Deployment of a Maintenance Operations Safety Survey.

    PubMed

    Langer, Marie; Braithwaite, Graham R

    2016-11-01

    Based on the line operations safety audit (LOSA), two studies were conducted to develop and deploy an equivalent tool for aircraft maintenance: the maintenance operations safety survey (MOSS). Safety in aircraft maintenance is currently measured reactively, based on the number of audit findings, reportable events, incidents, or accidents. Proactive safety tools designed for monitoring routine operations, such as flight data monitoring and LOSA, have been developed predominantly for flight operations. In Study 1, development of MOSS, 12 test peer-to-peer observations were collected to investigate the practicalities of this approach. In Study 2, deployment of MOSS, seven expert observers collected 56 peer-to-peer observations of line maintenance checks at four stations. Narrative data were coded and analyzed according to the threat and error management (TEM) framework. In Study 1, a line check was identified as a suitable unit of observation. Communication and third-party data management were the key factors in gaining maintainer trust. Study 2 identified that on average, maintainers experienced 7.8 threats (operational complexities) and committed 2.5 errors per observation. The majority of threats and errors were inconsequential. Links between specific threats and errors leading to 36 undesired states were established. This research demonstrates that observations of routine maintenance operations are feasible. TEM-based results highlight successful management strategies that maintainers employ on a day-to-day basis. MOSS is a novel approach for safety data collection and analysis. It helps practitioners understand the nature of maintenance errors, promote an informed culture, and support safety management systems in the maintenance domain. © 2016, Human Factors and Ergonomics Society.

  18. The Development and Deployment of a Maintenance Operations Safety Survey

    PubMed Central

    Langer, Marie; Braithwaite, Graham R.

    2016-01-01

    Objective: Based on the line operations safety audit (LOSA), two studies were conducted to develop and deploy an equivalent tool for aircraft maintenance: the maintenance operations safety survey (MOSS). Background: Safety in aircraft maintenance is currently measured reactively, based on the number of audit findings, reportable events, incidents, or accidents. Proactive safety tools designed for monitoring routine operations, such as flight data monitoring and LOSA, have been developed predominantly for flight operations. Method: In Study 1, development of MOSS, 12 test peer-to-peer observations were collected to investigate the practicalities of this approach. In Study 2, deployment of MOSS, seven expert observers collected 56 peer-to-peer observations of line maintenance checks at four stations. Narrative data were coded and analyzed according to the threat and error management (TEM) framework. Results: In Study 1, a line check was identified as a suitable unit of observation. Communication and third-party data management were the key factors in gaining maintainer trust. Study 2 identified that on average, maintainers experienced 7.8 threats (operational complexities) and committed 2.5 errors per observation. The majority of threats and errors were inconsequential. Links between specific threats and errors leading to 36 undesired states were established. Conclusion: This research demonstrates that observations of routine maintenance operations are feasible. TEM-based results highlight successful management strategies that maintainers employ on a day-to-day basis. Application: MOSS is a novel approach for safety data collection and analysis. It helps practitioners understand the nature of maintenance errors, promote an informed culture, and support safety management systems in the maintenance domain. PMID:27411354

  19. Practice of Acute and Maintenance Electroconvulsive Therapy in the Psychiatric Clinic of a University Hospital from Turkey: between 2007 and 2013

    PubMed Central

    Sengul, Melike Ceyhan Balci; Kenar, Ayse Nur Inci; Hanci, Ezgi; Sendur, İbrahim; Sengul, Cem; Herken, Hasan

    2016-01-01

    Objective Electroconvulsive therapy (ECT) can be given as the form of acute, continuation or maintenance ECT according to the process of administration. We report our 7 years’ observation with acute and maintenance ECT in a university hospital in Turkey. Methods The medical records of the hospitalized patients treated with acute or maintenance ECT between the years 2007 and 2013 was retrospectively analyzed. The sociodemographic characteristics, diagnosis, data of ECT and the co-administered psychotropic drugs were recorded. The frequency of ECT was calculated by identifying the total number of the hospitalized patients during the study period from the hospital records. Results A total number of 1,432 female and 1,141 male patients hospitalized in a period of 7 years, with a total number of 111 patients treated with ECT. The ratio of ECT was 4%, maintenance/acute ECT 11%. For acute ECT, affective disorders (65.3%) and psychotic disorders (21.6%) were among the leading diagnoses. Maintenance ECT, the diagnosis was; 6 affective disorders, 4 psychotic disorders and 1 obsessive compulsive disorder. There was a significant difference between the patients receiving acute and maintenance ECT in terms of age, duration of illness, and number of previous hospitalizations and ECTs. Conclusion The percentage of patients treated with acute ECT is lower in our institution than that in many other institutions from our country. Acute and maintenance ECT should be considered as an important treatment option particularly for patients with long disease duration, a high number of hospitalizations and a history of benefiting from previous ECTs. PMID:26792041

  20. Development of Rust Stripping System using High Power Laser

    NASA Astrophysics Data System (ADS)

    Shirakawa, Kazuomi; Ohashi, Katsuaki; Ashidate, Shuichi; Kurosawa, Kiyoshi; Nakayama, Michio; Uchida, Yutaka; Nobusada, Yuuji

    The repainting cycle depends on removal of rust in maintenance of outdoor steel-frame structural facilities. However existing stripping process, which is usually made by hands with brushes, cannot strip the rust completely in maintenance of power transmission towers, for example. To solve this problem, we investigated laser fluence and pulse width for removal of rust using DPSSL (Diode Pumped Solid State Laser), and selected optimum laser supply. Then we checked the effect of laser stripping on prolongation of the repainting cycle compared with the conventional stripping process. Utilizing results of the research, we developed rust stripping system using DPSSL. From the results of field trial of rust removal operation using this system at high places of a power transmission tower, possibility of practical use of the system for the maintenance was confirmed.

  1. Practical Efficiency of Photovoltaic Panel Used for Solar Vehicles

    NASA Astrophysics Data System (ADS)

    Koyuncu, T.

    2017-08-01

    In this experimental investigation, practical efficiency of semi-flexible monocrystalline silicon solar panel used for a solar powered car called “Firat Force” and a solar powered minibus called “Commagene” was determined. Firat Force has 6 solar PV modules, a maintenance free long life gel battery pack, a regenerative brushless DC electric motor and Commagene has 12 solar PV modules, a maintenance free long life gel battery pack, a regenerative brushless DC electric motor. In addition, both solar vehicles have MPPT (Maximum power point tracker), ECU (Electronic control unit), differential, instrument panel, steering system, brake system, brake and gas pedals, mechanical equipments, chassis and frame. These two solar vehicles were used for people transportation in Adiyaman city, Turkey, during one year (June 2010-May 2011) of test. As a result, the practical efficiency of semi-flexible monocrystalline silicon solar panel used for Firat Force and Commagene was determined as 13 % in despite of efficiency value of 18% (at 1000 W/m2 and 25 °C ) given by the producer company. Besides, the total efficiency (from PV panels to vehicle wheel) of the system was also defined as 9%.

  2. Epidemiology, surveillance, and prevention of hepatitis C virus infections in hemodialysis patients.

    PubMed

    Patel, Priti R; Thompson, Nicola D; Kallen, Alexander J; Arduino, Matthew J

    2010-08-01

    Hepatitis C virus (HCV) infection is the most common chronic blood-borne infection in the United States; the prevalence in maintenance hemodialysis patients substantially exceeds that in the general population. In hemodialysis patients, HCV infection has been associated with increased occurrence of cirrhosis and hepatocellular carcinoma and increased mortality. Injection drug use and receipt of blood transfusions before 1992 has accounted for most prevalent HCV infections in the United States. However, HCV transmission among patients undergoing hemodialysis has been documented frequently. Outbreak investigations have implicated lapses in infection control practices as the cause of HCV infections. Preventing these infections is an emerging priority for renal care providers, public health agencies, and regulators. Adherence to recommended infection control practices is effective in preventing HCV transmission in hemodialysis facilities. In addition, adoption of routine screening to facilitate the detection of incident HCV infections and hemodialysis-related transmission is an essential component of patient safety and infection prevention efforts. This article describes the current epidemiology of HCV infection in US maintenance hemodialysis patients and prevention practices to decrease its incidence and transmission. Published by Elsevier Inc.

  3. Circuit board accident--organizational dimension hidden by prescribed safety.

    PubMed

    de Almeida, Ildeberto Muniz; Buoso, Eduardo; do Amaral Dias, Maria Dionísia; Vilela, Rodolfo Andrade Gouveia

    2012-01-01

    This study analyzes an accident in which two maintenance workers suffered severe burns while replacing a circuit breaker panel in a steel mill, following model of analysis and prevention of accidents (MAPA) developed with the objective of enlarging the perimeter of interventions and contributing to deconstruction of blame attribution practices. The study was based on materials produced by a health service team in an in-depth analysis of the accident. The analysis shows that decisions related to system modernization were taken without considering their implications in maintenance scheduling and creating conflicts of priorities and of interests between production and safety; and also reveals that the lack of a systemic perspective in safety management was its principal failure. To explain the accident as merely non-fulfillment of idealized formal safety rules feeds practices of blame attribution supported by alibi norms and inhibits possible prevention. In contrast, accident analyses undertaken in worker health surveillance services show potential to reveal origins of these events incubated in the history of the system ignored in practices guided by the traditional paradigm.

  4. What features of educational interventions lead to competence in aseptic insertion and maintenance of CV catheters in acute care? BEME Guide No. 15.

    PubMed

    Cherry, M Gemma; Brown, Jeremy M; Neal, Timothy; Ben Shaw, Nigel

    2010-01-01

    Up to 6000 patients per year in England acquire a central venous catheter (CVC)-related bloodstream infection (Shapey et al. 2008 ). Implementation of Department of Health guidelines through educational interventions has resulted in significant and sustained reductions in CVC-related blood stream infections (Pronovost et al. 2002), and cost (Hu et al. 2004 ). This review aimed to determine the features of structured educational interventions that impact on competence in aseptic insertion technique and maintenance of CV catheters by healthcare workers. We looked at changes in infection control behaviour of healthcare workers, and considered changes in service delivery and the clinical welfare of patients involved, provided they were related directly to the delivery method of the educational intervention. A total of 9968 articles were reviewed, of which 47 articles met the inclusion criteria. Findings suggest implications for practice: First, educational interventions appear to have the most prolonged and profound effect when used in conjunction with audit, feedback, and availability of new clinical supplies consistent with the content of the education provided. Second, educational interventions will have a greater impact if baseline compliance to best practice is low. Third, repeated sessions, fed into daily practice, using practical participation appear to have a small, additional effect on practice change when compared to education alone. Active involvement from healthcare staff, in conjunction with the provision of formal responsibilities and motivation for change, may change healthcare worker practice.

  5. Quality improvement in childhood obesity management through the maintenance of certification process.

    PubMed

    Huang, Jeannie S; Chun, Stanford; Sandhu, Amanpreet; Terrones, Laura

    2013-11-01

    To assess the Health and Obesity: Prevention and Education (HOPE) Curriculum Project, a web-based clinician education program that promotes appropriate screening, prevention, and management of weight among youth by pediatric practitioners, based on the 2007 Expert Committee recommendations. The project currently provides Maintenance of Certification (MOC) Part 4 credit through the American Board of Pediatrics. Participants identified themselves to the HOPE MOC Part 4 program. Enrollees were required to complete all continuing medical education modules (10.5 hours). Knowledge acquisition and self-reported confidence levels related to screening, prevention, and management practices of pediatric obesity were measured using preknowledge and postknowledge questionnaires. Participants were also required to perform a quality improvement project and submit practice performance data from repeated medical chart reviews over time. Knowledge acquisition, self-efficacy, and practice performance data were analyzed using repeated-measures analyses. The 51 participants demonstrated significant improvements in knowledge acquisition and self-efficacy scores after viewing individual modules. In addition, participants demonstrated significant improvements in measured clinical compliance with recommended practices over time. Participation in the HOPE MOC Part 4 program appeared to improve knowledge acquisition, self-efficacy, and physician compliance with recommended practice recommendations for the screening, prevention, and management of pediatric obesity. Further data are required to determine whether such practice-based improvements translate into actual reduction in patient weight and/or reduction in health-related costs related to overweight and obesity in youth. Copyright © 2013 Mosby, Inc. All rights reserved.

  6. Maintenance as a safety issue.

    PubMed

    White, Jim

    2008-11-01

    Because safety is related to electrical power systems maintenance, it seems reasonable to assume there could be legal issues if maintenance is not performed. OSHA has not yet taken the stand that not performing maintenance as required by the manufacturer, NFPA 70B, or ANSI/NETA MTS-07 constitutes a willful violation. OSHA defines a willful citation as one where: "the employer knowingly commits with plain indifference to the law. The employer either knows that what he or she is doing constitutes a violation, or is aware that a hazardous condition existed and made no reasonable effort to eliminate it". However, NFPA 70E 2009 requires this maintenance, and OSHA has stated on its Web site that NFPA 70E is "a guide for meeting the requirements of the OSHA electrical regulations". In addition, federal courts have found that NFPA 70E is "standard industry practice." Once a company receives and accepts a willful citation, especially if received as the result of an accident investigation, its worker's compensation protection no longer shields it. One definition given by a trial attorney for a willful citation was that it is equal to negligent behavior. Be smart: Maintain that equipment and save yourself major problems, including unscheduled shutdowns and possible litigation.

  7. Evaluation of deicer applications on open graded pavements : final report.

    DOT National Transportation Integrated Search

    2006-04-01

    The Oregon Department of Transportation (ODOT) winter maintenance practices include plowing, sanding, and applying winter anti-icing/deicing liquids. These activities are performed on dense-graded as well as open-graded pavements. During the winters ...

  8. Investigation of best practices for maintenance of concrete bridge railings.

    DOT National Transportation Integrated Search

    2015-01-01

    Biodeterioration on concrete surfaces of vertical elements of bridges represents a serious challenge to : the highway infrastructure in Louisiana. This report aims to document the causes of biodeterioration of : concrete surfaces and to document curr...

  9. Planning Design and Maintenance of Pedestrian Facilities

    DOT National Transportation Integrated Search

    1989-03-01

    Pedestrian safety and accessibility has long been a concern to Federal, State, and local agencies. The result has been a wide diversity of published reports, recommended practices and changes in accessibility standards for the planning, design and ma...

  10. Safety and mobility impacts of winter weather : phase I.

    DOT National Transportation Integrated Search

    2011-08-01

    Highway agencies spend millions of dollars to ensure safe and efficient winter travel. However, the effectiveness of winter weather maintenance practices on safety and mobility are somewhat difficult to quantify. : Phase I of this project investigate...

  11. Safety and mobility impacts of winter weather - phase 3.

    DOT National Transportation Integrated Search

    2014-09-01

    Highway agencies spend millions of dollars to ensure safe and efficient winter travel. However, the effectiveness of winter-weather : maintenance practices on safety and mobility are somewhat difficult to quantify. Safety and Mobility Impacts of Wint...

  12. Simulation For Task Practice in Technical Training.

    ERIC Educational Resources Information Center

    Mallory, W. J.

    1981-01-01

    Describes two programs used by the Ford Motor Company to train manufacturing skilled trades personnel. Programmable Controller Maintenance Training Program for Industrial Technicians and Troubleshooting Strategy Program use simulation and provide improved task performance after training. (JOW)

  13. Characterization of Residuals Collected from Street Sweeping Operations

    DOT National Transportation Integrated Search

    2018-02-01

    Street sweeping is a routine roadway maintenance activity conducted by the Virginia Department of Transportation (VDOT). It also provides an added benefit as a non-structural stormwater best management practice implemented by VDOT to meet total maxim...

  14. 16 CFR 1209.38 - Records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS INTERIM SAFETY STANDARD FOR CELLULOSE INSULATION Certification § 1209.38 Records. (a) Establishment and maintenance. Each... product specification containing all information required by § 1209.35. (This includes information...

  15. Weigh-in-Motion systems evaluation : final report.

    DOT National Transportation Integrated Search

    1976-04-01

    This relatively short-term project was initiated in order to perfect installation, operation, and maintenance practices necessary for continued accurate and reliable operation of a computerized Weigh-in-Motion system which will be used to gather truc...

  16. Socio-dramatic affective-relational intervention for adolescents with asperger syndrome & high functioning autism: pilot study.

    PubMed

    Lerner, Matthew D; Mikami, Amori Yee; Levine, Karen

    2011-01-01

    This study examined the effectiveness of a novel intervention called 'socio-dramatic affective-relational intervention' (SDARI), intended to improve social skills among adolescents with Asperger syndrome and high functioning autism diagnoses. SDARI adapts dramatic training activities to focus on in vivo practice of areas of social skill deficit among this population. SDARI was administered as a six-week summer program in a community human service agency. Nine SDARI participants and eight age- and diagnosis-group matched adolescents not receiving SDARI were compared on child- and parent-report of social functioning at three week intervals beginning six weeks prior to intervention and ending six weeks post-intervention. Hierarchical Linear Modeling (HLM) was used to estimate growth trends between groups to assess treatment outcomes and post-treatment maintenance. Results indicated significant improvement and post-treatment maintenance among SDARI participants on several measures of child social functioning. Implications for practice and research are discussed.

  17. Machine safety: proper safeguarding techniques.

    PubMed

    Martin, K J

    1992-06-01

    1. OSHA mandates certain safeguarding of machinery to prevent accidents and protect machine operators. OSHA specifies moving parts that must be guarded and sets criteria for the guards. 2. A 1989 OSHA standard for lockout/tagout requires locking the energy source during maintenance, periodically inspecting for power transmission, and training maintenance workers. 3. In an amputation emergency, first aid for cardiopulmonary resuscitation, shock, and bleeding are the first considerations. The amputated part should be wrapped in moist gauze, placed in a sealed plastic bag, and placed in a container of 50% water and 50% ice for transport. 4. The role of the occupational health nurse in machine safety is to conduct worksite analyses to identify proper safeguarding and to communicate deficiencies to appropriate personnel; to train workers in safe work practices and observe compliance in the use of machine guards; to provide care to workers injured by machines; and to reinforce safe work practices among machine operators.

  18. Budgeting for Solar PV Plant Operations & Maintenance: Practices and Pricing.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Enbar, Nadav; Weng, Dean; Klise, Geoffrey Taylor

    2016-01-01

    With rising grid interconnections of solar photovoltaic (PV) systems, greater attention is being trained on lifecycle performance, reliability, and project economics. Expected to meet production thresholds over a 20-30 year timeframe, PV plants require a steady diet of operations and maintenance (O&M) oversight to meet contractual terms. However, industry best practices are only just beginning to emerge, and O&M budgets—given the arrangement of the solar project value chain—appear to vary widely. Based on insights from in-depth interviews and survey research, this paper presents an overview of the utility-scale PV O&M budgeting process along with guiding rationales, before detailing perspectives onmore » current plant upkeep activities and price points largely in the U.S. It concludes by pondering potential opportunities for improving upon existing O&M budgeting approaches in ways that can benefit the industry at-large.« less

  19. Budgeting for Solar PV Plant Operations & Maintenance: Practices and Pricing.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Enbar, Nadav; Weng, Dean; Klise, Geoffrey Taylor

    2015-12-01

    With rising grid interconnections of solar photovoltaic (PV) systems, greater attention is being trained on lifecycle performance, reliability, and project economics. Expected to meet production thresholds over a 20-30 year timeframe, PV plants require a steady diet of operations and maintenance (O&M) oversight to meet contractual terms. However, industry best practices are only just beginning to emerge, and O&M budgets—given the arrangement of the solar project value chain—appear to vary widely. Based on insights from in-depth interviews and survey research, this paper presents an overview of the utility-scale PV O&M budgeting process along with guiding rationales, before detailing perspectives onmore » current plant upkeep activities and price points largely in the U.S. It concludes by pondering potential opportunities for improving upon existing O&M budgeting approaches in ways that can benefi t the industry at-large.« less

  20. Outcomes From Pediatric Gastroenterology Maintenance of Certification Using Web-based Modules.

    PubMed

    Sheu, Josephine; Chun, Stanford; O'Day, Emily; Cheung, Sara; Cruz, Rusvelda; Lightdale, Jenifer R; Fishman, Douglas S; Bousvaros, Athos; Huang, Jeannie S

    2017-05-01

    Beginning in 2013, the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) sponsored and developed subspecialty field-specific quality improvement (QI) activities to provide Part 4 Maintenance of Certification (MOC) credit for ongoing certification of pediatric gastroenterologists by the American Board of Pediatrics. Each activity was a Web-based module that measured clinical practice data repeatedly over at least 3 months as participants implemented rapid cycle change. Here, we examine existing variations in clinical practice among participating pediatric gastroenterologists and determine whether completion of Web-based MOC activities improves patient care processes and outcomes. We performed a cross-sectional and prospective analysis of physician and parent-reported clinical practice data abstracted from Web-based MOC modules on the topics of upper endoscopy, colonoscopy, and informed consent collected from pediatric gastroenterologists from North America from 2013 to 2016. Among 134 participating pediatric gastroenterologists, 56% practitioners practiced at an academic institution and most (94%) were NASPGHAN members. Participating physicians reported data from 6300 procedures. At baseline, notable practice variation across measured activities was demonstrated. Much of the rapid cycle changes implemented by participants involved individual behaviors, rather than system/team-based improvement activities. Participants demonstrated significant improvements on most targeted process and quality care outcomes. Pediatric gastroenterologists and parents reported baseline practice variation, and improvement in care processes and outcomes measured during NASPGHAN-sponsored Web-based MOC QI activities. Subspecialty-oriented Web-based MOC QI activities can reveal targets for reducing unwarranted variation in clinical pediatric practice, and can effectively improve care and patient outcomes.

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