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Sample records for management institute pmi

  1. NOMINATION FOR THE PROJECT MANAGEMENT INSTITUTE (PMI) PROJECT OF THE YEAR AWARD INTEGRATED DISPOSAL FACILITY (IDF)

    SciTech Connect

    MCLELLAN, G.W.

    2007-02-07

    CH2M HILL Hanford Group, Inc. (CH2M HILL) is pleased to nominate the Integrated Disposal Facility (IDF) project for the Project Management Institute's consideration as 2007 Project of the Year, Built for the U.S, Department of Energy's (DOE) Office of River Protection (ORP) at the Hanford Site, the IDF is the site's first Resource Conservation and Recovery Act (RCRA)-compliant disposal facility. The IDF is important to DOE's waste management strategy for the site. Effective management of the IDF project contributed to the project's success. The project was carefully managed to meet three Tri-Party Agreement (TPA) milestones. The completed facility fully satisfied the needs and expectations of the client, regulators and stakeholders. Ultimately, the project, initially estimated to require 48 months and $33.9 million to build, was completed four months ahead of schedule and $11.1 million under budget. DOE directed construction of the IDF to provide additional capacity for disposing of low-level radioactive and mixed (i.e., radioactive and hazardous) solid waste. The facility needed to comply with federal and Washington State environmental laws and meet TPA milestones. The facility had to accommodate over one million cubic yards of the waste material, including immobilized low-activity waste packages from the Waste Treatment Plant (WTP), low-level and mixed low-level waste from WTP failed melters, and alternative immobilized low-activity waste forms, such as bulk-vitrified waste. CH2M HILL designed and constructed a disposal facility with a redundant system of containment barriers and a sophisticated leak-detection system. Built on a 168-area, the facility's construction met all regulatory requirements. The facility's containment system actually exceeds the state's environmental requirements for a hazardous waste landfill. Effective management of the IDF construction project required working through highly political and legal issues as well as challenges with

  2. Overview of innovative PMI research on NSTX-U and associated PMI facilities at PPPL

    DOE PAGES

    M. Ono; Jaworski, M.; Kaita, R.; ...

    2013-05-01

    Developing a reactor compatible divertor and managing the associated plasma material interaction (PMI) has been identified as a high priority research area for magnetic confinement fusion. Accordingly on NSTX-U, the PMI research has received a strong emphasis. Moreover, with ˜15 MW of auxiliary heating power, NSTX-U will be able to test the PMI physics with the peak divertor plasma facing component (PFC) heat loads of up to 40-60 MW/m2.

  3. Overview of innovative PMI research on NSTX-U and associated PMI facilities at PPPL

    SciTech Connect

    M. Ono; Jaworski, M.; Kaita, R.; Skinner, C. N.; Allain, J. P.; Maingi, R.; Scotti, F.; Soukhanovskii, V. A.

    2013-05-01

    Developing a reactor compatible divertor and managing the associated plasma material interaction (PMI) has been identified as a high priority research area for magnetic confinement fusion. Accordingly on NSTX-U, the PMI research has received a strong emphasis. Moreover, with ˜15 MW of auxiliary heating power, NSTX-U will be able to test the PMI physics with the peak divertor plasma facing component (PFC) heat loads of up to 40-60 MW/m2.

  4. Designing an Academic Project Management Program: A Collaboration between a University and a PMI Chapter

    ERIC Educational Resources Information Center

    Poston, Robin S.; Richardson, Sandra M.

    2011-01-01

    The demand for project management skills in industry is increasing resulting in a higher demand for project management educational programs. Universities are addressing industry demand by developing project management courses, degree offerings and certificate programs that focus on both technical and general project management skills. While…

  5. Personnel Management Institutes, 1975.

    ERIC Educational Resources Information Center

    Hinman, Stanley B., Jr., Comp.

    This publication is a compilation of five papers presented at the 1975 Personnel Management Institutes held by the New York State School Boards Association. Although the meeting was intended to provide useful information about personnel matters specifically for school board members and school administrators from New York, much of the content of…

  6. Personnel Management Institutes 1974.

    ERIC Educational Resources Information Center

    Hinman, Stanley B., Jr.

    This report is a compilation of presentations made at the Personnel Management Institutes held by the New York State School Boards Association in the fall of 1974. Included are the following six presentations: "New Laws Affecting School Boards and School Administration," by Bernard T. McGivern; "How to Prepare for Tenure Hearings,…

  7. Managing Institutional Image.

    ERIC Educational Resources Information Center

    Melchiori, Gerlinda S.

    1990-01-01

    A managerial process for enhancing the image and public reputation of a higher education institution is outlined. It consists of five stages: market research; data analysis and market positioning; communication of results and recommendations to the administration; development of a global image program; and impact evaluation. (MSE)

  8. Managing the Public Service Institution

    ERIC Educational Resources Information Center

    Drucker, Peter F.

    1976-01-01

    Important factors in managing a public service institution include knowing the publics served, phasing out an old program when introducing a new one, defining the roles of administrators and professionals, integrating individuals and the institution, and making the public aware of the value of the service performed. (PF)

  9. Assessing Institutional Effectiveness: Issues, Methods, and Management.

    ERIC Educational Resources Information Center

    Fincher, Cameron, Ed.

    This collection of 12 papers was presented at a 1987 conference at which speakers presented personal perspectives on institutional effectiveness. Papers are organized under three major headings: "Managing Quality: Methods and Outcomes,""Institutional Response," and "Special Issues." Titles include: (1) "Managing the Meaning of Institutional…

  10. Planning, Designing and Managing Higher Education Institutions

    ERIC Educational Resources Information Center

    Daigneau, William A.; Valenti, Mark S.; Ricciarini, Sylvana; Bender, Stephen O.; Alleyne, Nicole; Di Grappa, Michael; Duart, Josep M.; Lupianez, Francisco; Sanchez, Miguel Angel Ehrenzweig

    2005-01-01

    The OECD Programme on Educational Building, together with the Association of Higher Education Facilities Officers (APPA) and the OECD Programme on Institutional Management in Higher Education, organised an international conference on the planning, design and management of facilities for higher education institutions on April 24-27, 2005. The…

  11. Exploration of the R code-based mathematical model for PMI estimation using profiling of RNA degradation in rat brain tissue at different temperatures.

    PubMed

    Ma, Jianlong; Pan, Hui; Zeng, Yan; Lv, Yehui; Zhang, Heng; Xue, Aimin; Jiang, Jieqing; Ma, Kaijun; Chen, Long

    2015-12-01

    Precise estimation of postmortem interval (PMI) is crucial in some criminal cases. This study aims to find some optimal markers for PMI estimation and build a mathematical model that could be used in various temperature conditions. Different mRNA and microRNA markers in rat brain samples were detected using real-time fluorescent quantitative PCR at 12 time points within 144 h postmortem and at temperatures of 4, 15, 25, and 35 °C. Samples from 36 other rats were used to verify the animal mathematical model. Brain-specific mir-9 and mir-125b are effective endogenous control markers that are not affected by PMI up to 144 h postmortem under these temperatures, whereas the commonly used U6 is not a suitable endogenous control in this study. Among all the candidate markers, ΔCt (β-actin) has the best correlation coefficient with PMI and was used to build a new model using R software which can simultaneously manage both PMI and temperature parameters. This animal mathematical model is verified using samples from 36 other rats and shows increased accuracy for higher temperatures and longer PMI. In this study, β-actin was found to be an optimal marker to estimate PMI and some other markers were found to be suitable to act as endogenous controls. Additionally, we have used R code software to build a model of PMI estimation that could be used in various temperature conditions.

  12. The Art Institutes' Default Management Plan.

    ERIC Educational Resources Information Center

    Mazur, William J.; Blackmun, Ellen V.

    1989-01-01

    Describes the student loan default management plan of the Art Institutes. The plan includes a student financial plan worksheet, a student financial planner, and activities for students regarding their loan responsibilities. (JOW)

  13. Institutional Management in Higher Education.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France). Centre for Educational Research and Innovation.

    This is the report of a conference sponsored by the Centre for Educational Research and Innovation. The conference discussed the findings of the Centre's 2-year program which attempted to demonstrate how the resource management of universities may be improved through better decisionmaking in the realms of finance, information, human flows, the use…

  14. Knowledge Management in Academic Institutions

    ERIC Educational Resources Information Center

    Adhikari, Dev Raj

    2010-01-01

    Purpose: The purpose of this paper is to present a concept of knowledge among the campus chiefs and other university leaders to make them aware of how important knowledge management (KM) is to achieve quality education criteria. Design/methodology/approach: The approach of the article is basically conceptual and descriptive. The article was…

  15. [Experimental Study of PMI Foam Composite Properties in Terahertz].

    PubMed

    Xing, Li-yun; Cui, Hong-liang; Shi, Chang-cheng; Han, Xiao-hui; Zhang, Zi-yin; Li, Wei; Ma, Yu-ting; Zheng, Yan; Zhang, Song-nian

    2015-12-01

    Polymethacrylimide (PMI) foam composite has many excellent properties. Currently, PMI is heat-resistant foam, with the highest strength and stiffness. It is suitable as a high-performance sandwich structure core material. It can replace the honeycomb structure. It is widely used in aerospace, aviation, military, marine, automotive and high-speed trains, etc. But as new sandwich materials, PMI performance testing in the THz band is not yet visible. Based on the Terahertz (THz) time-domain spectroscopy technique, we conducted the transmission and reflection experiments, got the time domain waveforms and power density spectrum. And then we analyzed and compared the signals. The MATALB and Origin 8. 0 was used to calculate and obtain the transmittance (transfer function), absorptivity Coefficient, reflectance and the refractive index of the different thickness Degussa PMI (Model: Rohacell WF71), which were based on the application of the time-domain and frequency-domain analysis methods. We used the data to compared with the THz refractive index and absorption spectra of a domestic PMI, Baoding Meiwo Technology Development Co. , Ltd. (Model: SP1D80-P-30). The result shows that the impact of humidity on the measurement results is obvious. The refractive index of PMI is about 1. 05. The attenuation of power spectrum is due to the signal of the test platform is weak, the sample is thick and the internal scattering of PMI foam microstructure. This conclusion provides a theoretical basis for the THz band applications in the composite PMI. It also made a good groundwork for THz NDT (Non-Destructive Testing, NDT) technology in terms of PMI foam composites.

  16. The World of Work of a TAFE Institute Manager.

    ERIC Educational Resources Information Center

    Rice, Ann

    The experiences of 9 of 13 institute managers at 1 technical and further education (TAFE) institute in New South Wales, Australia, were examined to enhance understanding of the experiences of institute managers in open-ended interviews. The interview questions focused on the following aspects of the job of institute manager: main reasons for…

  17. Managing conscientious objection in health care institutions.

    PubMed

    Wicclair, Mark R

    2014-09-01

    It is argued that the primary aim of institutional management is to protect the moral integrity of health professionals without significantly compromising other important values and interests. Institutional policies are recommended as a means to promote fair, consistent, and transparent management of conscience-based refusals. It is further recommended that those policies include the following four requirements: (1) Conscience-based refusals will be accommodated only if a requested accommodation will not impede a patient's/surrogate's timely access to information, counseling, and referral. (2) Conscience-based refusals will be accommodated only if a requested accommodation will not impede a patient's timely access to health care services offered within the institution. (3) Conscience-based refusals will be accommodated only if the accommodation will not impose excessive burdens on colleagues, supervisors, department heads, other administrators, or the institution. (4) Whenever feasible, health professionals should provide advance notification to department heads or supervisors. Formal review may not be required in all cases, but when it is appropriate, several recommendations are offered about standards and the review process. A key recommendation is that when reviewing an objector's reasons, contrary to what some have proposed, it is not appropriate to adopt an adversarial approach modelled on military review boards' assessments of requests for conscientious objector status. According to the approach recommended, the primary function of reviews of objectors' reasons is to engage them in a process of reflecting on the nature and depth of their objections, with the objective of facilitating moral clarity on the part of objectors rather than enabling department heads, supervisors, or ethics committees to determine whether conscientious objections are sufficiently genuine.

  18. Action Guide for Emergency Management at Institutions of Higher Education

    ERIC Educational Resources Information Center

    Office of Safe and Drug-Free Schools, US Department of Education, 2010

    2010-01-01

    This "Action Guide for Emergency Management at Higher Education Institutions" has been developed to give higher education institutions a useful resource in the field of emergency management. It is intended for community colleges, four-year colleges and universities, graduate schools, and research institutions associated with higher education…

  19. Institutional management of core facilities during challenging financial times.

    PubMed

    Haley, Rand

    2011-12-01

    The economic downturn is likely to have lasting effects on institutions of higher education, prioritizing proactive institutional leadership and planning. Although by design, core research facilities are more efficient and effective than supporting individual pieces of research equipment, cores can have significant underlying financial requirements and challenges. This paper explores several possible institutional approaches to managing core facilities during challenging financial times.

  20. Outsourced Investment Management: An Overview for Institutional Decision-Makers

    ERIC Educational Resources Information Center

    Griswold, John S.; Jarvis, William F.

    2013-01-01

    Outsourcing of investment management is a growing trend among institutional investors. With a broad range of institutions using or exploring the outsourced chief investment officer (OCIO) model, portfolio size is no longer the determining factor driving the outsourcing decision. For all but the largest institutional investors--those with deep…

  1. Crime and Crime Management in Nigeria Tertiary Institutions

    ERIC Educational Resources Information Center

    Adebanjo, Margaret Adewunmi

    2014-01-01

    This paper examines crime and its management in Nigerian tertiary institutions. Tertiary institutions today have become arenas for crime activities such as rape, cultism, murder, theft, internet fraud, drug abuse, and examination malpractices. This paper delves into what crime is, and its causes; and the positions of the law on crime management.…

  2. Institutional Research: The Key to Successful Enrollment Management.

    ERIC Educational Resources Information Center

    Clagett, Craig A.

    Enrollment management includes the processes and activities that influence the size, shape, and characteristics of a student body by directing institutional efforts in marketing, recruitment, admissions, pricing, and financial aid. Institutional research plays an essential, if not the key, role in enrollment management. This report discusses the…

  3. Analysis of Management Practices in Lagos State Tertiary Institutions through Total Quality Management Structural Framework

    ERIC Educational Resources Information Center

    AbdulAzeez, Abbas Tunde

    2016-01-01

    This research investigated total quality management practices and quality teacher education in public tertiary institutions in Lagos State. The study was therefore designed to analyse management practices in Lagos state tertiary institutions through total quality management structural framework. The selected public tertiary institutions in Lagos…

  4. Improving Word Similarity by Augmenting PMI with Estimates of Word Polysemy

    DTIC Science & Technology

    2011-12-29

    Improving Word Similarity by Augmenting PMI with Estimates of Word Polysemy Lushan Han1, Tim Finin1,2, Paul McNamee2, Anupam Joshi1 and Yelena Yesha1...Yesha, Improving Word Similarity by Augmenting PMI with Estimates of Word Polysemy , IEEE Transactions on Knowledge and Data Engineering, IEEE Computer...4. TITLE AND SUBTITLE Improving Word Similarity by Augmenting PMI with Estimates of Word Polysemy 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c

  5. Supervisory Curriculum: General Management Training Institute. FY 1976.

    ERIC Educational Resources Information Center

    Civil Service Commission, Chicago, IL. Regional Training Center.

    The document describes the supervisory course offerings of the General Management Training Institute. It contains a general information sheet, a curriculum calendar for 1976, and course descriptions for the following courses: basic management functions, basic management methods and skills, communicating and counseling, increasing (improving)…

  6. Institutional Manager's Guide to Energy Conservation.

    ERIC Educational Resources Information Center

    Department of Energy, Washington, DC. Office of State and Local Programs.

    The information provided in this guidebook is based on a field evaluation of grantees in the Institutional Conservation Program (ICP). The ICP, authorized by the National Energy Conservation Policy Act of 1978 and administered by the Department of Energy, provides energy audits and 50 percent matching grants for detailed energy analyses and for…

  7. Senior Officer Talent Management: Fostering Institutional Adaptability

    DTIC Science & Technology

    2014-02-01

    ample, Army Secretary Francis Harvey and Chief of Staff General Pete Schoomaker instituted the officer Career Satisfaction Program (CSP) in 2006. For...Lance Bacon , “General presents his vision for future war- riors,” October 4, 2011, available from www.army.mil/article/66696. 16. Charles D. Allen

  8. Institutional Data Management in Higher Education. ECAR Key Findings

    ERIC Educational Resources Information Center

    Yanosky, Ronald

    2009-01-01

    This document presents the key findings from the 2009 ECAR (EDUCAUSE Center for Applied Research) study of institutional data management, which examines the policies and practices by which higher education institutions effectively collect, protect, and use digital information assets to meet academic and business needs. Importantly, it also…

  9. Leadership and Strategic Management: Keys to Institutional Priorities and Planning

    ERIC Educational Resources Information Center

    Taylor, James S.; de Lourdes Machado, Maria; Peterson, Marvin W.

    2008-01-01

    Allocating and managing resources have always been important cornerstones of institutional leadership. Institutional resources include financial, physical and human components. Even in the best of times, it is a challenge to do this effectively. In times of diminished and shrinking resources, distributing these precious commodities across the…

  10. Japanese Patterns of Institutional Management in Higher Education.

    ERIC Educational Resources Information Center

    Hiroshima Univ. (Japan). Research Inst. for Higher Education.

    In the fall of 1972, Hiroshima University decided to participate in the OECD/CERI Decentralized Project: Programme on Institutional Management in Higher Education (IMHE). Hiroshima University's Research Institute for Higher Education (RIHE) participated in the program as a representative research coordinator for the Japanese universities and…

  11. Business Management Concept Areas for Two-Year Postsecondary Institutions

    ERIC Educational Resources Information Center

    Gentry, Lee; Gentry, Eileen

    1978-01-01

    A core of educational concepts in business ownership and management for two-year postsecondary institutions is outlined: economic systems, economic decisionmaking, organizational structure, management principles, marketing factors, accounting, legal obligations, financial structure, risk-taking and insurance, taxes, data processing, and social…

  12. Institutional Financial Planning and Debt Management Manual.

    ERIC Educational Resources Information Center

    Belmont, Jean

    Information on managing debt acquired by St. John's University students is provided. After a review of the objectives and services of the university's financial aid office and the application and award process, 1984-1985 budgets and estimated 1985-1986 budgets are proposed for an undergraduate, graduate, and law school student. Each budget…

  13. Risky Business: Why DoD Needs a New Risk Management Paradigm

    DTIC Science & Technology

    2013-08-01

    Institute (PMI) Guide to the Project Management Body of Knowledge (also known as the PMBOK ) includes a much longer chapter on Risk Management (RM...5000.2, particularly in comparison to the commercially focused PMBOK ? Is the commercial PM community more concerned with RM than is the DoD community...July–August 2013 12 documenting the process in a program Risk Management Plan (RMP). The PMBOK explains the purpose of the RMP: “The risk

  14. [Marketing as a tool in the medical institution management].

    PubMed

    Petrova, N G; Balokhina, S A

    2009-01-01

    The contemporary social economic conditions dictate the necessity to change tactics and strategy of functioning of medical institutions of different property forms. Marketing, alongside with management is to become a leading concept of administration of medical institutions. It should be a framework for systematic collection, registration and analysis of data relevant to the medical services market. The issues of the implementation of marketing concept in the practical everyday activities of commercial medical organization providing cosmetology services to population of metropolis.

  15. Forensic Entomology: Evaluating Uncertainty Associated With Postmortem Interval (PMI) Estimates With Ecological Models.

    PubMed

    Faris, A M; Wang, H-H; Tarone, A M; Grant, W E

    2016-05-31

    Estimates of insect age can be informative in death investigations and, when certain assumptions are met, can be useful for estimating the postmortem interval (PMI). Currently, the accuracy and precision of PMI estimates is unknown, as error can arise from sources of variation such as measurement error, environmental variation, or genetic variation. Ecological models are an abstract, mathematical representation of an ecological system that can make predictions about the dynamics of the real system. To quantify the variation associated with the pre-appearance interval (PAI), we developed an ecological model that simulates the colonization of vertebrate remains by Cochliomyia macellaria (Fabricius) (Diptera: Calliphoridae), a primary colonizer in the southern United States. The model is based on a development data set derived from a local population and represents the uncertainty in local temperature variability to address PMI estimates at local sites. After a PMI estimate is calculated for each individual, the model calculates the maximum, minimum, and mean PMI, as well as the range and standard deviation for stadia collected. The model framework presented here is one manner by which errors in PMI estimates can be addressed in court when no empirical data are available for the parameter of interest. We show that PAI is a potential important source of error and that an ecological model is one way to evaluate its impact. Such models can be re-parameterized with any development data set, PAI function, temperature regime, assumption of interest, etc., to estimate PMI and quantify uncertainty that arises from specific prediction systems.

  16. Groundwater management institutions to protect riparian habitat

    NASA Astrophysics Data System (ADS)

    Orr, Patricia; Colby, Bonnie

    2004-12-01

    Groundwater pumping affects riparian habitat when it causes the water table to drop beyond the reach of riparian plants. Riparian habitat provides services that are not directly traded in markets, as is the case with many environmental amenities. There is no direct market where one may buy or sell the mix of services provided by a riparian corridor. The objective of this article is to review groundwater management mechanisms and assess their strengths and weaknesses for preserving the ecological integrity of riparian areas threatened by groundwater pumping. Policy instruments available to those concerned with the effects of groundwater pumping on riparian areas fall into three broad categories: (1) command and control (CAC), (2) incentive-based economic instruments, and (3) cooperative/suasive strategies. The case of the San Pedro River illustrates multiple and overlapping strategies applied in an ongoing attempt to reverse accumulating damage to a riparian ecosystem. Policy makers in the United States can choose among a broad menu of policy options to protect riparian habitat from groundwater pumping. They can capitalize on the clarity of command-and-control strategies, the flexibility and less obtrusive nature of incentive-based economic strategies, and the benefits that collaborative efforts can bring in the form of mutual consideration. While collaborative problem solving and market-based instruments are important policy tools, experience indicates that a well-formulated regulatory structure to limit regional groundwater pumping is an essential component of an effective riparian protection strategy.

  17. Institutional Values of Managed Mental Health Care: Efficiency or Oppression?

    ERIC Educational Resources Information Center

    Wilcoxon, S. Allen; Magnuson, Sandy; Norem, Ken

    2008-01-01

    The authors suggest that many managed mental health care (MMHC) practices have oppressive effects on members of cultural and ethnic minority groups. They examine the dissonance between institutional practices and cultural traditions that reflect insensitivity and forced conformity, particularly regarding time, pace, and intervention uniformity as…

  18. The San Francisco Joint Institutional Transportation Systems Management Program.

    ERIC Educational Resources Information Center

    Fink, Ira; LaPointe, Robert

    1981-01-01

    Transportation systems management (TSM) programs are discussed, particularly the 1977 program of the University of California, San Francisco, which led to traffic reduction and improved vehicle flow. The city's implementation plan for a similar TSM program for 14 educational institutions and hospitals is described. (MLW)

  19. Reviewing Institutional Policies for Electronic Management of Assessment

    ERIC Educational Resources Information Center

    Voce, Julie

    2015-01-01

    Electronic assignment submission (e-submission) tools, such as those within course management systems (e.g. Blackboard), or systems such as Turnitin, which enable students to submit coursework online are now one of the main centrally supported institutional tools in Higher Education (HE) in the United Kingdom (UK), however the development of…

  20. Executive Management Leadership Institute: Research Results, Volume I.

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Community Colleges, Raleigh. Div. of Planning and Research Services.

    The Executive Management Leadership Institute (EMLI) is a comprehensive sequence of modules designed to support development of administrators in the North Carolina Community College System. As part of the EMLI, participants complete a project demonstrating skill in applying research to the tasks of administration. This report presents three…

  1. The Michigan Institute for Educational Management Assessment Center Program.

    ERIC Educational Resources Information Center

    Michigan Inst. for Educational Management, Ann Arbor.

    This paper delineates the organizational structure and operational procedures of the Michigan Institute for Educational Management (MIEM) Assessment Center Program for prospective school principals and assistant principals. The program is part of the Assessment Center Project of the National Association of Secondary School Principals (NASSP). The…

  2. 76 FR 23859 - Financial Management Service Proposed Collection of Information; Financial Institution Agreement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-28

    ... Fiscal Service Financial Management Service Proposed Collection of Information; Financial Institution... the Financial Institution Agreement and Application AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice and request for comments. SUMMARY: The Financial Management Service,...

  3. Estimation of PMI depends on the changes in ATP and its degradation products.

    PubMed

    Mao, Shiwei; Fu, Gaowen; Seese, Ronald R; Wang, Zhen-Yuan

    2013-09-01

    Estimating the time since death, or postmortem interval (PMI), has been one of the biggest difficulties in modern forensic investigation. This study tests if the concentrations of breakdown products of adenosine triphosphate (ATP) correlate with PMI in multiple organs from rat. Brains, spleens, and kidneys of rats were harvested at different time points in carcasses maintained at 4°C or 20°C. High Performance Liquid Chromatography (HPLC) was used to quantify concentrations of metabolites related to ATP degradation. A K value (Kv=100×(Hx+HxR)/(ATP+ADP+AMP+IMP+HxR+Hx)) was calculated and correlated with PMI for each organ and temperature. The results indicate that the K value is a robust index for the estimation of PMI based on highly significant linear correlations between PMI and concentrations of ATP breakdown products. Compared with other current research methods, the changing tendency of ATP and its degradation products may be potentially a better way for the estimation of PMI in medico-legal practice.

  4. The match between institutional elderly care management research and management challenges - a systematic literature review

    PubMed Central

    2012-01-01

    Background Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents. Methods This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents. Results The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents. Conclusions Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers’ and policymakers’ scientific literacy needs to be enhanced. PMID:23137416

  5. Managed competition, governmentality and institutional response in the United Kingdom.

    PubMed

    Light, D W

    2001-04-01

    This article traces the use of managed competition policy to transform the NHS from an administered public service to a set of interlocking markets and contracts. It reviews the overlooked origins of managed competition in the new managerialism and explains the relationship between managed competition and the cost crisis of the NHS by extending Foucault's concept of governmentality to revise the concept of the state. The paper then describes how the government structured health care markets, using managed competition as an instrument of governmentality. It summarises institutional responses by health authorities, hospital trusts, and GP fundholders. The terms "master institution", "dictated competition" and "coercive partnering" are introduced as new concepts for economic sociology and as strategies of governmentality. Implementation, however, led to resistance, opposition and eventual abandonment of managed competition as too disruptive and costly. Yet, this analysis contends, managed competition has left an enduring legacy of accountability to purchasers in economic terms such as efficiency, transaction costs, and cost effectiveness. The policies of the new government are based on coercive partnering and doctor-based "commissioning". This and the Internet imply revolutionary changes for the health professions and the delivery of health care services through networks of moebius-strip organisations interacting in flexible sequences and subject to communitarian pressures.

  6. Institutional disposition and management of end-of-life electronics.

    PubMed

    Babbitt, Callie W; Williams, Eric; Kahhat, Ramzy

    2011-06-15

    Institutions both public and private face a challenge to develop policies to manage purchase, use, and disposal of electronics. Environmental considerations play an increasing role in addition to traditional factors of cost, performance and security. Characterizing current disposition practices for end-of-life electronics is a key step in developing policies that prevent negative environmental and health impacts while maximizing potential for positive social and economic benefits though reuse. To provide a baseline, we develop the first characterization of quantity, value, disposition, and flows of end-of-life electronics at a major U.S. educational institution. Results of the empirical study indicate that most end-of-first-life electronics were resold through public auction to individuals and small companies who refurbish working equipment for resale or sell unusable products for reclamation of scrap metal. Desktop and laptop computers sold for refurbishing and resale averaged U.S. $20-100 per unit, with computers sold directly to individuals for reuse reaching $250-350 per unit. This detailed assessment was coupled with a benchmarking survey of end-of-life electronics management practices at other U.S. universities. Survey results indicate that while auctions are still commonplace, an increasing number of institutions are responding to environmental concerns by creating partnerships with local recycling and resale entities and mandating domestic recycling. We use the analyses of current disposition practices as input to discuss institutional strategies for managing electronics. One key issue is the tension between benefits of used equipment sales, in terms of income for the institution and increased reuse for society, and the environmental risks because of unknown downstream practices.

  7. Greening academia: developing sustainable waste management at Higher Education Institutions.

    PubMed

    Zhang, N; Williams, I D; Kemp, S; Smith, N F

    2011-07-01

    Higher Education Institutions (HEIs) are often the size of small municipalities. Worldwide, the higher education (HE) sector has expanded phenomenally; for example, since the 1960s, the United Kingdom (UK) HE system has expanded sixfold to >2.4 million students. As a consequence, the overall production of waste at HEIs throughout the world is very large and presents significant challenges as the associated legislative, economic and environmental pressures can be difficult to control and manage. This paper critically reviews why sustainable waste management has become a key issue for the worldwide HE sector to address and describes some of the benefits, barriers, practical and logistical problems. As a practical illustration of some of the issues and problems, the four-phase waste management strategy developed over 15 years by one of the largest universities in Southern England--the University of Southampton (UoS)--is outlined as a case study. The UoS is committed to protecting the environment by developing practices that are safe, sustainable and environmentally friendly and has developed a practical, staged approach to manage waste in an increasingly sustainable fashion. At each stage, the approach taken to the development of infrastructure (I), service provision (S) and behavior change (B) is explained, taking into account the Political, Economic, Social, Technological, Legal and Environmental (PESTLE) factors. Signposts to lessons learned, good practice and useful resources that other institutions--both nationally and internationally--can access are provided. As a result of the strategy developed at the UoS, from 2004 to 2008 waste costs fell by around £125k and a recycling rate of 72% was achieved. The holistic approach taken--recognizing the PESTLE factors and the importance of a concerted ISB approach--provides a realistic, successful and practical example for other institutions wishing to effectively and sustainably manage their waste.

  8. Greening academia: Developing sustainable waste management at Higher Education Institutions

    SciTech Connect

    Zhang, N.; Williams, I.D.; Kemp, S.; Smith, N.F.

    2011-07-15

    Higher Education Institutions (HEIs) are often the size of small municipalities. Worldwide, the higher education (HE) sector has expanded phenomenally; for example, since the 1960s, the United Kingdom (UK) HE system has expanded sixfold to >2.4 million students. As a consequence, the overall production of waste at HEIs throughout the world is very large and presents significant challenges as the associated legislative, economic and environmental pressures can be difficult to control and manage. This paper critically reviews why sustainable waste management has become a key issue for the worldwide HE sector to address and describes some of the benefits, barriers, practical and logistical problems. As a practical illustration of some of the issues and problems, the four-phase waste management strategy developed over 15 years by one of the largest universities in Southern England - the University of Southampton (UoS) - is outlined as a case study. The UoS is committed to protecting the environment by developing practices that are safe, sustainable and environmentally friendly and has developed a practical, staged approach to manage waste in an increasingly sustainable fashion. At each stage, the approach taken to the development of infrastructure (I), service provision (S) and behavior change (B) is explained, taking into account the Political, Economic, Social, Technological, Legal and Environmental (PESTLE) factors. Signposts to lessons learned, good practice and useful resources that other institutions - both nationally and internationally - can access are provided. As a result of the strategy developed at the UoS, from 2004 to 2008 waste costs fell by around Pounds 125k and a recycling rate of 72% was achieved. The holistic approach taken - recognizing the PESTLE factors and the importance of a concerted ISB approach - provides a realistic, successful and practical example for other institutions wishing to effectively and sustainably manage their waste.

  9. Comparative institutional response to economic policy managed competition and governmentality.

    PubMed

    Light, D W

    2001-04-01

    This article provides a comparative conceptual framework for understanding why so many governments found economic policies based on managed competition attractive and yet dangerous to implement. The framework conceptualizes governments as a kind of organizational complex and thus governments as an international population of organizations, each embedded in a state that tries to harness and direct behaviour through what Foucault called "governmentality". This nascent concept is made more robust here and joined with Fligstein's historical research on the response of leading organizations when fundamental change threatens a population of organizations, by embracing a new conception of control that allows them to re-establish their control and pre-eminence. Fligstein studied corporations, but his model can be fruitfully extended to governments. Economic sociology has not to date been able to do much comparative research on institutional responses to economic policy; but this set of case studies and conceptual framework provide such an opportunity.

  10. Rural sanitation problems in Uganda--institutional and management aspects.

    PubMed

    Mukungu, D M

    2000-01-01

    Rural Uganda faces a lot of problems caused by poor sanitation facilities such as pollution of water sources, a high rate of waterborne diseases, high expenditures on curative health care, and the threat of reduced educational performance of children through illness, early school drop out, especially of girls. Limited budgets and expenditures for the health sector, lack of staff, lack of accountability and transparency are important factors affecting sanitation status on the national level. Other restrictions can be found at the community level, e.g. taboos, cultural and customary beliefs, ignorance, poverty, or in soil conditions. To address the poor level of sanitation, the Government of Uganda has set up both a whole string of laws and guidelines and an institutional and management framework. One main emphasis was placed on the Participatory Hygiene and Sanitation Transformation Programme (PHAST) introduced in 1994 and since then adopted by several non-governmental organisations (NGO's).

  11. Timing of blunt force injuries in long bones: the effects of the environment, PMI length and human surrogate model.

    PubMed

    Coelho, Luís; Cardoso, Hugo F V

    2013-12-10

    Timing of blunt force trauma in human bone is a critical forensic issue, but there is limited knowledge on how different environmental conditions, the duration of postmortem interval (PMI), different bone types and different animal models influence fracture morphology. This study aims at evaluating the influence of the type of postmortem environment and the duration of the postmortem period on fracture morphology, for distinguishing perimortem from postmortem fractures on different types of long bones from different species. Fresh limb segments from pig and goat were sequentially left to decompose, under 3 different environmental circumstances (surface, buried and submerged), resulting in sets with different PMI lengths (0, 28, 56, 84, 112, 140, 168 and 196 days), which were then fractured. Fractured bones (total=325; pig tibia=110; pig fibula=110; goat metatarsals=105) were classified according to the Fracture Freshness Index (FFI). Climatic data for the experiment location was collected. Statistical analysis included descriptive statistics, correlation analysis between FFI and PMI, Mann-Whitney U tests comparing FFI medians for different PMI's and linear regression analysis using PMI, pluviosity and temperature as predictors for FFI. Surface samples presented increases in FFI with increasing PMI, with positive correlations for all bone types. The same results were observed in submerged samples, except for pig tibia. Median FFI values for surface samples could distinguish bones with PMI=0 days from PMI≥56 days. Buried samples presented no significant correlation between FFI and PMI, and nonsignificant regression models. Regression analysis of surface and submerged samples suggested differences in FFI variation with PMI between bone types, although without statistical significance. Adding climatic data to surface regression models resulted in PMI no longer predicting FFI. When comparing different animal models, linear regressions suggested greater increases in

  12. HLRW management during MR reactor decommissioning in NRC 'Kurchatov Institute'

    SciTech Connect

    Chesnokov, Alexander; Ivanov, Oleg; Kolyadin, Vyacheslav; Lemus, Alexey; Pavlenko, Vitaly; Semenov, Sergey; Stepanov, Vyacheslav; Smirnov, Sergey; Potapov, Victor; Fadin, Sergey; Volkov, Victor; Shisha, Anatoly

    2013-07-01

    A program of decommissioning of MR research reactor in the Kurchatov institute started in 2008. The decommissioning work presumed a preliminary stage, which included: removal of spent fuel from near reactor storage; removal of spent fuel assemble of metal liquid loop channel from a core; identification, sorting and disposal of radioactive objects from gateway of the reactor; identification, sorting and disposal of radioactive objects from cells of HLRW storage of the Kurchatov institute for radwaste creating form the decommissioning of MR. All these works were performed by a remote controlled means with use of a remote identification methods of high radioactive objects. A distribution of activity along high radiated objects was measured by a collimated radiometer installed on the robot Brokk-90, a gamma image of the object was registered by gamma-visor. Spectrum of gamma radiation was measured by a gamma locator and semiconductor detector system. For identification of a presence of uranium isotopes in the HLRW a technique, based on the registration of characteristic radiation of U, was developed. For fragmentation of high radiated objects was used a cold cutting technique and dust suppression system was applied for reduction of volume activity of aerosols in air. The management of HLRW was performed by remote controlled robots Brokk-180 and Brokk-330. They executed sorting, cutting and parking of high radiated part of contaminated equipment. The use of these techniques allowed to reduce individual and collective doses of personal performed the decommissioning. The average individual dose of the personnel was 1,9 mSv/year in 2011, and the collective dose is estimated by 0,0605 man x Sv/year. Use of the remote control machines enables reducing the number of working personal (20 men) and doses. X-ray spectrometric methods enable determination of a presence of the U in high radiated objects and special cans and separation of them for further spent fuel inspection. The

  13. Infectious waste management in Japan: A revised regulation and a management process in medical institutions

    SciTech Connect

    Miyazaki, M. . E-mail: motonobu@cis.fukuoka-u.ac.jp; Une, H.

    2005-07-01

    In Japan, the waste management practice is carried out in accordance with the Waste Disposal Law of 1970. The first rule of infectious waste management was regulated in 1992, and infectious wastes are defined as the waste materials generated in medical institutions as a result of medical care or research which contain pathogens that have the potential to transmit infectious diseases. Revised criteria for infectious waste management were promulgated by the Ministry of Environment in 2004. Infectious waste materials are divided into three categories: the form of waste; the place of waste generation; the kind of infectious diseases. A reduction of infectious waste is expected. We introduce a summary of the revised regulation of infectious waste management in this article.

  14. Fracture of a HTR-PMI cranioplastic implant after severe TBI.

    PubMed

    López González, Antonio; Pérez Borredá, Pedro; Conde Sardón, Rebeca

    2015-02-01

    A 13-year-old girl with a large left fronto-parietal hard-tissue replacement patient-matched implant (HTR®-PMI) cranioplasty-since she suffered from a traumatic brain injury (TBI) 6 years ago-had a new severe TBI that detached and fractured the implant as well as caused a left subdural hematoma and a large frontal contusion. The hematoma and contusion were removed and the implant was substituted by a provisional titanium mesh. To the best of our knowledge, this is the first case reported about an HTR®-PMI fracture. It is theorized that the bone ingrowth into the macroporous implants, like those of hydroxyapatite, gives strength and resistance to the implant. But in the case we describe, no macroscopic bone ingrowth was detected 6 years after implantation and the traumatic force that impacted over the cranioplasty exceeded its properties.

  15. Crystal structures of the free and inhibited forms of plasmepsin I (PMI) from Plasmodium falciparum

    SciTech Connect

    Bhaumik, Prasenjit; Horimoto, Yasumi; Xiao, Huogen; Miura, Takuya; Hidaka, Koushi; Kiso, Yoshiaki; Wlodawer, Alexander; Yada, Rickey Y.; Gustchina, Alla

    2011-09-06

    Plasmepsin I (PMI) is one of the four vacuolar pepsin-like proteases responsible for hemoglobin degradation by the malarial parasite Plasmodium falciparum, and the only one with no crystal structure reported to date. Due to substantial functional redundancy of these enzymes, lack of inhibition of even a single plasmepsin can defeat efforts in creating effective antiparasitic agents. We have now solved crystal structures of the recombinant PMI as apoenzyme and in complex with the potent peptidic inhibitor, KNI-10006, at the resolution of 2.4 and 3.1 {angstrom}, respectively. The apoenzyme crystallized in the orthorhombic space group P2{sub 1}2{sub 1}2{sub 1} with two molecules in the asymmetric unit and the structure has been refined to the final R-factor of 20.7%. The KNI-10006 bound enzyme crystallized in the tetragonal space group P4{sub 3} with four molecules in the asymmetric unit and the structure has been refined to the final R-factor of 21.1%. In the PMI-KNI-10006 complex, the inhibitors were bound identically to all four enzyme molecules, with the opposite directionality of the main chain of KNI-10006 relative to the direction of the enzyme substrates. Such a mode of binding of inhibitors containing an allophenylnorstatine-dimethylthioproline insert in the P1-P1' positions, previously reported in a complex with PMIV, demonstrates the importance of satisfying the requirements for the proper positioning of the functional groups in the mechanism-based inhibitors towards the catalytic machinery of aspartic proteases, as opposed to binding driven solely by the specificity of the individual enzymes. A comparison of the structure of the PMI-KNI-10006 complex with the structures of other vacuolar plasmepsins identified the important differences between them and may help in the design of specific inhibitors targeting the individual enzymes.

  16. Mobile soak pits improve spray team mobility, productivity and safety of PMI malaria control programs.

    PubMed

    Mitchell, David F; Brown, Annie S; Bouare, Sory Ibrahima; Belemvire, Allison; George, Kristen; Fornadel, Christen; Norris, Laura; Longhany, Rebecca; Chandonait, Peter J

    2016-09-15

    In the President's Malaria Initiative (PMI)-funded Africa Indoor Residual Spraying Project (AIRS), end-of-day clean-up operations require the safe disposal of wash water resulting from washing the exterior of spray tanks and spray operators' personal protective equipment. Indoor residual spraying (IRS) programs typically use soak pits - large, in-ground filters - to adsorb, filter and then safely degrade the traces of insecticide found in the wash water. Usually these soak pits are permanent installations serving 30 or more operators, located in a central area that is accessible to multiple spray teams at the end of their workday. However, in remote areas, it is often impractical for teams to return to a central soak pit location for cleanup. To increase operational efficiency and improve environmental compliance, the PMI AIRS Project developed and tested mobile soak pits (MSP) in the laboratory and in field applications in Madagascar, Mali, Senegal, and Ethiopia where the distance between villages can be substantial and the road conditions poor. Laboratory testing confirmed the ability of the easily-assembled MSP to reduce effluent concentrations of two insecticides (Actellic 300-CS and Ficam VC) used by the PMI AIRS Project, and to generate the minimal practicable environmental "footprint" in these remote areas. Field testing in the Mali 2014 IRS campaign demonstrated ease of installation and use, resulted in improved and more consistent standards of clean-up, decreased transportation requirements, improved spray team working conditions, and reduced potential for operator exposure to insecticide.

  17. PmiRExAt: plant miRNA expression atlas database and web applications.

    PubMed

    Gurjar, Anoop Kishor Singh; Panwar, Abhijeet Singh; Gupta, Rajinder; Mantri, Shrikant S

    2016-01-01

    High-throughput small RNA (sRNA) sequencing technology enables an entirely new perspective for plant microRNA (miRNA) research and has immense potential to unravel regulatory networks. Novel insights gained through data mining in publically available rich resource of sRNA data will help in designing biotechnology-based approaches for crop improvement to enhance plant yield and nutritional value. Bioinformatics resources enabling meta-analysis of miRNA expression across multiple plant species are still evolving. Here, we report PmiRExAt, a new online database resource that caters plant miRNA expression atlas. The web-based repository comprises of miRNA expression profile and query tool for 1859 wheat, 2330 rice and 283 maize miRNA. The database interface offers open and easy access to miRNA expression profile and helps in identifying tissue preferential, differential and constitutively expressing miRNAs. A feature enabling expression study of conserved miRNA across multiple species is also implemented. Custom expression analysis feature enables expression analysis of novel miRNA in total 117 datasets. New sRNA dataset can also be uploaded for analysing miRNA expression profiles for 73 plant species. PmiRExAt application program interface, a simple object access protocol web service allows other programmers to remotely invoke the methods written for doing programmatic search operations on PmiRExAt database.Database URL:http://pmirexat.nabi.res.in.

  18. PmiRExAt: plant miRNA expression atlas database and web applications

    PubMed Central

    Gurjar, Anoop Kishor Singh; Panwar, Abhijeet Singh; Gupta, Rajinder; Mantri, Shrikant S.

    2016-01-01

    High-throughput small RNA (sRNA) sequencing technology enables an entirely new perspective for plant microRNA (miRNA) research and has immense potential to unravel regulatory networks. Novel insights gained through data mining in publically available rich resource of sRNA data will help in designing biotechnology-based approaches for crop improvement to enhance plant yield and nutritional value. Bioinformatics resources enabling meta-analysis of miRNA expression across multiple plant species are still evolving. Here, we report PmiRExAt, a new online database resource that caters plant miRNA expression atlas. The web-based repository comprises of miRNA expression profile and query tool for 1859 wheat, 2330 rice and 283 maize miRNA. The database interface offers open and easy access to miRNA expression profile and helps in identifying tissue preferential, differential and constitutively expressing miRNAs. A feature enabling expression study of conserved miRNA across multiple species is also implemented. Custom expression analysis feature enables expression analysis of novel miRNA in total 117 datasets. New sRNA dataset can also be uploaded for analysing miRNA expression profiles for 73 plant species. PmiRExAt application program interface, a simple object access protocol web service allows other programmers to remotely invoke the methods written for doing programmatic search operations on PmiRExAt database. Database URL: http://pmirexat.nabi.res.in. PMID:27081157

  19. Institutional View of Part-Time Faculty Management in Higher Education Institutes in China

    ERIC Educational Resources Information Center

    Li, Zhifeng; Jiang, Xiulan; Li, Hongbo

    2007-01-01

    Part-time faculty has become an important labor force in Chinese colleges and universities. The number of them has risen rapidly and its structure varies in different types of higher education institutes (HEIs), which results from integration of the social motivation and the inner motivation of schools' reform. From the institutional point of…

  20. Two interacting coiled-coil proteins, WEB1 and PMI2, maintain the chloroplast photorelocation movement velocity in Arabidopsis.

    PubMed

    Kodama, Yutaka; Suetsugu, Noriyuki; Kong, Sam-Geun; Wada, Masamitsu

    2010-11-09

    Chloroplasts move toward weak light (accumulation response) and away from strong light (avoidance response). The fast and accurate movement of chloroplasts in response to ambient light conditions is essential for efficient photosynthesis and photodamage prevention in chloroplasts. Here, we report that two Arabidopsis mutants, weak chloroplast movement under blue light 1 (web1) and web2, are defective in both the avoidance and the accumulation responses. Map-based cloning revealed that both genes encode coiled-coil proteins and that WEB2 is identical to the plastid movement impaired 2 (PMI2) gene. The velocities of chloroplast movement in web1 and pmi2 were approximately threefold lower than that in the wild type. Defects in the avoidance response of web1 and pmi2 were suppressed by mutation of the J-domain protein required for chloroplast accumulation response 1 (JAC1) gene, which is essential for the accumulation response; these results indicate that WEB1 and PMI2 play a role in suppressing JAC1 under strong light conditions. A yeast two-hybrid analysis and a nuclear recruitment assay identified a physical interaction between WEB1 and PMI2, and transient expression analysis of CFP-WEB1 and YFP-PMI2 revealed that they colocalized in the cytosol. Bimolecular fluorescence complementation analysis confirmed the interaction of these proteins in the cytosol. Blue light-induced changes in short chloroplast actin filaments (cp-actin filaments) were impaired in both web1 and pmi2. Our findings suggest that a cytosolic WEB1-PMI2 complex maintains the velocity of chloroplast photorelocation movement via cp-actin filament regulation.

  1. Proceedings of Recreation Management Institute (1st, Texas A & M University, September 24 - October 6, 1967).

    ERIC Educational Resources Information Center

    Clarke, Marion L., Ed.; Crysdale, Richard A., Ed.

    An intensive 2-week recreation management institute plan, with proceedings of 20 sessions, is presented in this 1967 document. The primary goal of the institute was to provide systematic methods for (1) upgrading and improving the recreation knowledge of middle management recreation personnel and (2) developing or refining their recreation…

  2. Institutional Researchers as Knowledge Managers in Universities: Envisioning New Roles for the IR Profession

    ERIC Educational Resources Information Center

    Teodorescu, Daniel

    2006-01-01

    Using concepts from Davenport and Prusak's "Working Knowledge" and other recent research on knowledge management, this article discusses the processes through which institutional knowledge is created, managed and transferred throughout the university and ways in which institutional researchers can improve these processes. A special emphasis is…

  3. Managing Both Quality and Access at Higher Educational Institutions in Tobago

    ERIC Educational Resources Information Center

    Julien Sealey, Beverley

    2011-01-01

    This paper will focus on the island of Tobago and indicate what practical solutions are best suited for administrators to manage quality and access at higher educational institutions on the island. The key areas to managing quality identified are the inclusiveness of a quality plan, administrators desire to see quality as an institutional culture…

  4. Importance of Knowledge Management in the Higher Educational Institutes

    ERIC Educational Resources Information Center

    Namdev Dhamdhere, Sangeeta

    2015-01-01

    Every academic institution contributes to knowledge. The generated information and knowledge is to be compiled at a central place and disseminated among the society for further growth. It is observed that the generated knowledge in the academic institute is not stored or captured properly. It is also observed that many a times generated…

  5. Institutional and Managerial Factors Affecting International Student Recruitment Management

    ERIC Educational Resources Information Center

    Ross, Mitchell; Heaney, Joo-Gim; Cooper, Maxine

    2007-01-01

    Purpose: The purpose of this paper is to investigate international student recruitment from an institutional perspective and to consider institutional factors that may affect recruitment. Design/methodology/approach: A qualitative study is undertaken in which education marketing practitioners are interviewed regarding aspects of international…

  6. Inter-Institutional Variation in Management Decisions for Treatment of Four Common Cancers: A Multi-Institutional Cohort Study

    PubMed Central

    Weeks, Jane C.; Uno, Hajime; Taback, Nathan; Ting, Gladys; Cronin, Angel; D’Amico, Thomas A.; Friedberg, Jonathan W.; Schrag, Deborah

    2015-01-01

    Background When clinical practice is governed by evidenced-based guidelines and there is consensus regarding their validity, practice variation should be minimal. Where evidence gaps exist, greater variation is expected. Objective To systematically assess inter-institutional variation in management decisions for 4 common cancers. Design Multi-institutional observational cohort study of cancer patients diagnosed between July 2006 through May 2011 and observed through December 31, 2011. Setting 18 cancer centers participating in the formulation of treatment guidelines and systematic outcomes assessment through the National Comprehensive Cancer Network. Patients 25,589 patients with incident cancer of the breast, colorectum, lung, or non-Hodgkin’s lymphoma (NHL). Measurements Inter-institutional variation for 171 binary management decisions with varying levels of supporting evidence. For each decision, variation was characterized by the median absolute deviation (MAD) of the center-specific proportions. Results Inter-institutional variation was high (MAD >10%) for 35/171 (20%) oncology management decisions. This included: 9/22 (41%) for NHL, 16/76 (21%) for breast, 7/47 (15%) for lung, and 3/26 (12%) for colorectal. Decisions involving imaging and/or diagnostic procedures accounted for 46% and chemotherapy regimen choice for 37% of high variance decisions. The evidence grade underpinning the 35 high variance decisions was level I for 0%, 2A for 49% and 2B/other for 51%. Limitations Physician identifiers were unavailable, and results may not generalize outside of major cancer centers. Conclusions The substantial variation in institutional practice manifest among cancer centers reveals a lack of consensus about optimal management for common clinical scenarios. For clinicians, awareness of management decisions with high variation should prompt attention to patient preferences. For health systems, high variation can be used to prioritize comparative effectiveness

  7. The management of research institutions: A look at government laboratories

    NASA Technical Reports Server (NTRS)

    Mark, H.; Levine, A.

    1984-01-01

    Technology development; project management; employment patterns; research productivity; legal status of support services; functions of senior executives; the role of the sponsoring agency; research diversification; obstacles to technical innovation; organizational structures; and personnel management are addressed.

  8. More "Private" than Private Institutions: Public Institutions of Higher Education and Financial Management

    ERIC Educational Resources Information Center

    Adams, Olin L., III; Robichaux, Rebecca R.; Guarino, A. J.

    2010-01-01

    This research compares the status of managerial accounting practices in public four-year colleges and universities and in private four-year colleges and universities. The investigators surveyed a national sample of chief financial officers (CFOs) at two points in time, 1998-99 and 2003-04. In 1998-99 CFOs representing private institutions reported…

  9. Dental Care Risk Management Provided by Social Protection Institutions of Senegal

    PubMed Central

    Lo, Cheikh Mouhamadou Mbacké; Diop, Mbathio; Kanouté, Aida; Diouf, Massamba; Cissé, Daouda; Faye, Daouda; Baldé, Yandé

    2015-01-01

    Nowadays in Senegal, located in West Africa, social protection institutions are confronted with a substantially increased healthcare expenditure in general, and oral care in particular. The ability of the leadership to use techniques to contain the impact of risks they are facing determine their viability. The aim of our study was to analyze the risk management of dental care coverage by those institutions. The study was descriptive, extensive and focused on all active social protection Institutions in Senegal since 2005, at least. Our results showed that, in spite of the implementation of risk management mechanisms such as patient co-payment (97% of institutions), coverage ceiling (26%) and dentist council (15%), healthcare expenditure still growing. For the containment of oral care expenditure increase, it is important to raise awareness among social protection institutions for a greater use of existing risk management mechanisms. PMID:28299147

  10. Estimating the postmortem interval (PMI) using accumulated degree-days (ADD) in a temperate region of South Africa.

    PubMed

    Myburgh, Jolandie; L'Abbé, Ericka N; Steyn, Maryna; Becker, Piet J

    2013-06-10

    The validity of the method in which total body score (TBS) and accumulated degree-days (ADD) are used to estimate the postmortem interval (PMI) is examined. TBS and ADD were recorded for 232 days in northern South Africa, which has temperatures between 17 and 28 °C in summer and 6 and 20 °C in winter. Winter temperatures rarely go below 0°C. Thirty pig carcasses, which weighed between 38 and 91 kg, were used. TBS was scored using the modified method of Megyesi et al. [1]. Temperature was acquired from an on site data logger and the weather station bureau; differences between these two sources were not statistically significant. Using loglinear random-effects maximum likelihood regression, an r(2) value for ADD (0.6227) was produced and linear regression formulae to estimate PMI from ADD with a 95% prediction interval were developed. The data of 16 additional pigs that were placed a year later were then used to validate the accuracy of this method. The actual PMI and ADD were compared to the estimated PMI and ADD produced by the developed formulae as well as the estimated PMIs within the 95% prediction interval. A validation of the study produced poor results as only one pig of 16 fell within the 95% interval when using the formulae, showing that ADD has limited use in the prediction of PMI in a South African setting.

  11. Evaluation of PMI-5011, an ethanolic extract of Artemisia dracunculus L., on peripheral neuropathy in streptozotocin-diabetic mice

    PubMed Central

    WATCHO, PIERRE; STAVNIICHUK, ROMAN; TANE, PIERRE; SHEVALYE, HANNA; MAKSIMCHYK, YURY; PACHER, PAL; OBROSOVA, IRINA G.

    2011-01-01

    We previously reported that PMI-5011, an ethanolic extract of Artemisia dracunculus L., alleviates peripheral neuropathy in high fat diet-fed mice, a model of prediabetes and obesity developing oxidative stress and pro-inflammatory changes in the peripheral nervous system. This study evaluated PMI-5011 on established functional, structural, and biochemical changes associated with Type I diabetic peripheral neuropathy. C57BL6/J mice with streptozotocin-induced diabetes of a 12-week duration, developed motor and sensory nerve conduction velocity deficits, thermal and mechanical hypoalgesia, tactile allodynia, and intra-epidermal nerve fiber loss. PMI-5011 (500 mg/kg/day for 7 weeks) alleviated diabetes-induced nerve conduction slowing, small sensory nerve fiber dysfunction, and increased intra-epidermal nerve fiber density. PMI-5011 blunted sciatic nerve and spinal cord 12/15-lipoxygenase activation and oxidative-nitrosative stress, without ameliorating hyperglycemia or reducing sciatic nerve sorbitol pathway intermediate accumulation. In conclusion, PMI-5011, a safe and non-toxic botanical extract, may find use in the treatment of diabetic peripheral neuropathy. PMID:21225225

  12. Balanced Scorecards in Managing Higher Education Institutions: An Indian Perspective

    ERIC Educational Resources Information Center

    Umashankar, Venkatesh; Dutta, Kirti

    2007-01-01

    Purpose: The paper aims to look at the balanced scorecard (BSC) concept and discuss in what way it should be applied to higher education programs/institutions in the Indian context. Design/methodology/approach: The paper is based on extant literature on the balanced scorecard concept per se, as well as applications of BSC in higher education as…

  13. College and University Middle Management and Institutional Strategy

    ERIC Educational Resources Information Center

    Fugazzotto, Sam J.

    2009-01-01

    Colleges and universities generally do not allow for the top-down style of leadership that many definitions of strategy assume. Rather, postsecondary institutions are loosely coupled professional bureaucracies composed of individual employees and academic units that can pursue individual strategies with little or no input from management…

  14. Perspectives on Instituting Change Management in Large Organisations

    ERIC Educational Resources Information Center

    Lawler, Alan; Sillitoe, James

    2010-01-01

    Australian universities are currently undergoing significant and deep-seated change to their funding models through their relationship to Federal government social development and research agendas. Consequently, changes are being instituted at all levels of university activity. Such changes are often accompanied by considerable disruption to…

  15. Auditing and Managing Community Service in a Higher Education Institution

    ERIC Educational Resources Information Center

    Smith-Tolken, Antoinette R.

    2004-01-01

    It is common practice for universities across the globe to engage in some form of benevolent interaction with communities beyond the borders of their campuses. Current legislative transformation in higher education in South Africa, for example, urges higher education institutions to become more responsive to civil society through projects that are…

  16. Institutional Factors Affecting Biophysical Outcomes in Forest Management

    ERIC Educational Resources Information Center

    Coleman, Eric A.

    2009-01-01

    Although there is considerable interest in the impact of diverse policies affecting the biophysical outcomes in forests, gaining a substantial sample over time of forests under different institutional arrangements has been difficult. This article analyzes data from 46 forests located in six countries over time. In forests where policies have been…

  17. Enrollment Management, Institutional Resources, and the Private College.

    ERIC Educational Resources Information Center

    Russo, Joseph A.; Coomes, Michael D.

    2000-01-01

    Reviews issues involved in shaping institutional financial aid policy, including tuition discounting, student aid packaging policy, and merit scholarships. States policymakers cannot ignore the trend towards reducing public subsidies. Suggests colleges and policymakers: (1) develop new ways to make college more affordable; (2) give families…

  18. Potential Use of Course Management Systems in Higher Education Institutions in Jordan

    ERIC Educational Resources Information Center

    Al-Shboul, Muhannad

    2011-01-01

    Given the increased adoption of the CMS (course management systems) as an instructional tool, it is important to address the potential use of this technology in Jordanian higher education institutions. This study investigates the potential to use CMS tools in instruction in the academic institutions in Jordan. This study does not seek to evaluate…

  19. Asset Management for Public Institution Foundations. Foundation Relations. Board Basics Series.

    ERIC Educational Resources Information Center

    Bahlmann, David W.

    1999-01-01

    This guide is intended to assist directors and board members of foundations affiliated with public institutions as they manage investments and assets of their institution. Introductory information notes duties of foundation directors and legal criteria for prudent investing under the Uniform Prudent Investor Act. Suggestions for developing…

  20. Barriers and Facilitators in Pain Management in Long-Term Care Institutions: A Qualitative Study

    ERIC Educational Resources Information Center

    Fox, Patricia; Solomon, Patricia; Raina, Parminder; Jadad, Alejandro R.

    2004-01-01

    The purpose of this study was to identify barriers to the management of pain in long-term care institutions. Formal caregivers practising in four long-term care institutions in Hamilton, Ontario participated in eight focus groups. Participants included 6 physicians, 19 registered nurses, 8 registered practical nurses, 13 health care aides and 8…

  1. Integrating Research and Teaching Strategies: Implications for Institutional Management and Leadership. Perspective

    ERIC Educational Resources Information Center

    Lapworth, Susan

    2004-01-01

    This paper discusses the link between teaching and research, with emphasis on how best to manage core business of a higher education institution. The author argues that institutions should seek to integrate these core strategies, and agrees that 'universities need to set as a mission goal the improvement of the nexus between research and teaching'…

  2. Institutional Maintenance Management and Services. Student Activity Book [and] Reference Book.

    ERIC Educational Resources Information Center

    Koukel, Sonja D.

    These publications are two of three that comprise a course that provides occupationally specific training designed to develop knowledge and skills for employment in the area of institutional maintenance management and services. The reference book is a student text that provides information needed by employees in the institutional maintenance…

  3. [Potentials of cooperative quality management initiatives: BQS Institute projects, January 2010 - July 2013].

    PubMed

    Veit, Christof; Bungard, Sven; Hertle, Dagmar; Grothaus, Franz-Josef; Kötting, Joachim; Arnold, Nicolai

    2013-01-01

    Alongside the projects of internal quality management and mandatory quality assurance there is a variety of quality driven projects across institutions initiated and run by various partners to continuously improve the quality of care. The multiplicity and characteristics of these projects are discussed on the basis of projects run by the BQS Institute between 2010 and 2013. In addition, useful interactions and linking with mandatory quality benchmarking and with internal quality management are discussed. (As supplied by publisher).

  4. Defensive Stakeholder Management in European Universities: An Institutional Logics Perspective

    ERIC Educational Resources Information Center

    Mampaey, Jelle; Huisman, Jeroen

    2016-01-01

    Earlier studies on stakeholder management in European universities focused on proactive strategies, that is, substantive organizational practices to establish and maintain mutually beneficial exchanges between universities and their stakeholders. We argue that the literature on stakeholder management has to be extended by theorizing defensive…

  5. ADX: A high Power Density, Advanced RF-Driven Divertor Test Tokamak for PMI studies

    NASA Astrophysics Data System (ADS)

    Whyte, Dennis; ADX Team

    2015-11-01

    The MIT PSFC and collaborators are proposing an advanced divertor experiment, ADX; a divertor test tokamak dedicated to address critical gaps in plasma-material interactions (PMI) science, and the world fusion research program, on the pathway to FNSF/DEMO. Basic ADX design features are motivated and discussed. In order to assess the widest range of advanced divertor concepts, a large fraction (>50%) of the toroidal field volume is purpose-built with innovative magnetic topology control and flexibility for assessing different surfaces, including liquids. ADX features high B-field (>6 Tesla) and high global power density (P/S ~ 1.5 MW/m2) in order to access the full range of parallel heat flux and divertor plasma pressures foreseen for reactors, while simultaneously assessing the effect of highly dissipative divertors on core plasma/pedestal. Various options for efficiently achieving high field are being assessed including the use of Alcator technology (cryogenic cooled copper) and high-temperature superconductors. The experimental platform would also explore advanced lower hybrid current drive and ion-cyclotron range of frequency actuators located at the high-field side; a location which is predicted to greatly reduce the PMI effects on the launcher while minimally perturbing the core plasma. The synergistic effects of high-field launchers with high total B on current and flow drive can thus be studied in reactor-relevant boundary plasmas.

  6. Mixed waste management at the National Institutes of Health

    SciTech Connect

    Walker, W.J.

    1994-12-31

    This article is an overview of the operations of the National Institutes of Health and describes what kind of wastes are generated from its various research programs. Chemical, radioactive, biohazardous, and mixed wastes are generated from seven major processes including: liquid scintillation counting, gel fixing and washing, liquid chromatography, filter and blot washing, protein precipitation, autoradiography, and radioimmunoassay. A description of waste minimization techniques and current waste disposal procedures is included.

  7. Distinctiveness of management in a university psychiatric hospital as a public health institution.

    PubMed

    Koncina, Miroslav

    2008-06-01

    The distinctiveness of management of a university psychiatric hospital which has the status of a public health institution is manifested in the following ways: * Distinctive features and characteristics of managing service provider organizations compared to those whose operational results involve tangible products; * Distinctive features of management which originate from its role as a regional hospital and a tertiary research and educational institution in the field of psychiatry, with special importance for the Republic of Slovenia as a whole; * Distinctive features of management that are defined by the social and legal framework of operation of public health institutions and their special social mission. This paper therefore discusses the specific theoretical and practical findings regarding management of service provider organizations from the viewpoint of their social mission and significance, as well as their legal organization, internal structure and values.

  8. [Managing a health research institute: towards research excellence through continuous improvement].

    PubMed

    Olmedo, Carmen; Buño, Ismael; Plá, Rosa; Lomba, Irene; Bardinet, Thierry; Bañares, Rafael

    2015-01-01

    Health research institutes are a strategic commitment considered the ideal environment to develop excellence in translational research. Achieving quality research requires not only a powerful scientific and research structure but also the quality and integrity of management systems that support it. The essential instruments in our institution were solid strategic planning integrated into and consistent with the system of quality management, systematic evaluation through periodic indicators, measurement of key user satisfaction and internal audits, and implementation of an innovative information management tool. The implemented management tools have provided a strategic thrust to our institute while ensuring a level of quality and efficiency in the development and management of research that allows progress towards excellence in biomedical research.

  9. Institutional Boundaries and Common-Pool Resource Management: A Comparative Analysis of Water Management Programs in California

    ERIC Educational Resources Information Center

    Heikkila, Tanya

    2004-01-01

    Policymakers and academics often identify institutional boundaries as one of the factors that shape the capacity of jurisdictions to manage natural resources such as water, forests, and scenic lands. This article examines two key bodies of literature--common-pool resource management theory and local public economy theory--to explain how the…

  10. Institutional guidelines and ongoing studies in management of liver tumours: the experience of the European Institute of Oncology

    PubMed Central

    Biffi, R; Orsi, F; Zampino, MG; Chiappa, A; Fazio, N; De Braud, F; Bonomo, G; Monfardini, L; Vigna, PD; Luca, F; Bodei, L; Bartolomei, M; Catalano, G; Leonardi, MC; Ferrari, M; Andreoni, B; Goldhirsch, A; Paganelli, G; Orecchia, R

    2008-01-01

    Background: An institutional task force on upper gastrointestinal tumours is active at the European Institute of Oncology (EIO). Members decided to collate the institutional guidelines on management of liver tumours (primary and metastatic) into a document. This article is aimed at presenting the current treatment guidelines as well as ongoing research protocols and trials in this field at the EIO. Methods: A steering committee convened to assign tasks to individual members. Contributions from experts in each treatment area were collated in a single document, in order to produce a draft for subsequent review from the aforementioned committee. Six drafts have been discussed and the final version approved. Results: Surgical, medical oncology, interventional radiology, nuclear medicine and radiation therapy approaches, their roles in management of liver tumours and ongoing research trials are presented and discussed in this article. Conclusions: At the EIO a multi-disciplinary integrated approach to liver tumours is standard and several ongoing research projects are currently active in this field. PMID:22275961

  11. Technical Communications in OSS Content Management Systems: An Academic Institutional Case Study

    ERIC Educational Resources Information Center

    Cripps, Michael J.

    2011-01-01

    Single sourcing through a content management system (CMS) is altering technical communication practices in many organizations, including institutions of higher education. Open source software (OSS) solutions are currently among the most popular content management platforms adopted by colleges and universities in the United States and abroad. The…

  12. Laboratory Management Institute: A Model for the Professional Development of Scientists

    ERIC Educational Resources Information Center

    Galland, John C.; McCutcheon, Jade R.; Chronister, Lynne U.

    2008-01-01

    The Laboratory Management Institute (LMI) at the University of California, Davis (UC Davis) was an experiment designed to enhance the leadership and management skills of researchers and thereby enhance the overall quality of the academic research enterprise. The educational programs that resulted provide examples of how research administrators can…

  13. Managing Change in the Student Affairs Divisions of Higher Education Institutions

    ERIC Educational Resources Information Center

    Lumadi, T. E.; Mampuru, K. C.

    2010-01-01

    In any institution of higher education the student affairs division is an ever-changing environment that necessitates an appropriate management approach. In view of this situation it was deemed necessary to identify a change model that would successfully manage change in student affairs. A literature review was done and an analysis of some…

  14. Study Quality in Higher Education Institution: Philosophy and Praxeology of Management

    ERIC Educational Resources Information Center

    Juodaityte, Audrone

    2004-01-01

    This article defines total quality philosophy, its transformations and significance for study quality in higher education institution. It reveals the concepts, principles and problems of study quality management and provides overview of implementation of study quality management at today's European universities. The experience of two European…

  15. A Generalized Management Information System for Computer Facilities at Educational Institutions.

    ERIC Educational Resources Information Center

    Bowman, Patrick Awalt

    The problem of managing computer facilities at educational institutions is examined. User categories are defined, and the interrelations between user requirements and the goals/objectives of the facility are discussed. Enumerations of the factors that influence computer facility operations is also accomplished. In addition, management information…

  16. The Intellectual Work Management as an Essential Condition for Creativity Development of Higher Education Institution

    ERIC Educational Resources Information Center

    Yerzhanov, Yerlan T.; Adilova, Valentina Kh.; Shakaman, Yrysgul B.; Shaimardanov, Rafis Kh.

    2016-01-01

    The article discusses the methodological basis of creating effective system for intellectual work management at the higher education institution. The study of the intellectual work management is caused by the need of today's complicated socio-economic, organizational and educational systems to obtain reliably reproducible repercussions from future…

  17. The Use of Computers in the Management of Tertiary Institutions.

    ERIC Educational Resources Information Center

    Ugboma, Eghosa

    1999-01-01

    Investigates the awareness and attitudes of administrators and faculty concerning the effects of the use of computers in the management of community-serviced colleges in small independent states of the English-speaking Eastern Caribbean. Concludes that the faculty and administrators generally support the use of computers in college management…

  18. Academic Management and Administration System Reform in Higher Education Institutions

    ERIC Educational Resources Information Center

    Xianming, Xiang

    2006-01-01

    Reforms in colleges and universities should promote the humanistic character of higher education--rather than simply serve for pure economic production--but also observe the sacred mission of transmitting and creating culture and knowledge, with these two possessing momentous differences. These then demand rationality in academic management to…

  19. Management Science in Higher Education Institutions: Case Studies from Greece

    ERIC Educational Resources Information Center

    Saiti, Anna

    2010-01-01

    Regardless of the source of funding, university quality is based on knowledge, teaching, and research, and hence cannot be run like private enterprises as they are expert organisations that provide solely a public service. The purpose of this paper is to investigate, through the analysis of case studies, whether or not management theory,…

  20. Crash Injury Management Instructor Training Institute: Final Report.

    ERIC Educational Resources Information Center

    Cleven, Arlene M.

    The purpose of this study was to expose key individuals to the National Highway Traffic Safety Administration (NHTSA)-developed curriculum materials for crash injury management and to teach them how to teach. The scope of the training effort is described using a detailed discussion and separate conclusions for the following tasks: planning,…

  1. Quality Improvement at the Defense Equal Opportunity Management Institute.

    DTIC Science & Technology

    1997-01-01

    audit which emphasizes management support and involvement in TQM (Imai, 1986). In 1987, the United States followed the Japanese example with the...customer satisfaction. Strategic Plan Goals To be addressed TotalvQuaÜ^ ^ pfe To be addressed. Obj 8: By August 1998, we will have input from

  2. Infrastructure support for a waste management institute. Final project report, September 12, 1994--September 11, 1997

    SciTech Connect

    1997-11-01

    North Carolina A and T State University has completed the development of an infrastructure for the interdisciplinary Waste Management Institute (WMI). The Interdisciplinary Waste Management Institute (WMI) was approved in June, 1994 by the General Administration of the University of North Carolina as an academic support unit with research and public service functions. The mission of the WMI is to enhance awareness and understanding of waste management issues and to provide instructional support including research and outreach. The goals of WMI are as follows: increase the number of minority professionals who will work in waste management fields; develop cooperative and exchange programs involving faculty, students, government, and industry; serve as institutional sponsor of public awareness workshops and lecture series; and support interdisciplinary research programs. The vision of the WMI is to provide continued state-of-the art environmental educational programs, research, and outreach.

  3. Institutional development for sustainable rangeland resource and ecosystem management in mountainous areas of northern Nepal.

    PubMed

    Dong, Shikui; Lassoie, James; Shrestha, K K; Yan, Zhaoli; Sharma, Ekalabya; Pariya, D

    2009-02-01

    Rangelands represent one of the most important natural resources in mountainous regions of northern Nepal. However, a poor understanding of the social dimensions of rangeland use has limited their proper management and sustainable development, which represent major challenges for Nepal's resource managers. Institutional development is thought to be a viable solution to this problem and may ultimately lead to improved rangeland management in Nepal. Based on this hypothesis, a study was conduced in the Rasuwa district of northern Nepal to examine the effectiveness of institutional development at the local and national levels in mitigating the problems facing sustainable rangeland management by using an institutional analysis and development (IAD) framework. The information and data were mainly collected from different stakeholders, farmers, professionals and practitioners using a toolkit of participatory rural appraisal (PRA), workshops and literature review. It can be concluded from this case study that a number of institutional development efforts are needed to promote sustainable rangeland management in this region. First, local herders represent a repository of rich indigenous knowledge essential to sustaining sound rangeland management practices; hence, indigenous practices need to be integrated into modern technologies. Second, public services and technical support are currently unavailable or inaccessible to local herders; hence, research, development and extension interventions need to be initiated for marginalized pastoral communities. Third, rangeland institutions are incomplete and ill-organized, so institutional development of various organizations is necessary for promoting sustainable rangeland management. Fourth, the policies and governance necessary for promoting rangeland management are not well-designed; hence, governance reform and policy development need to be formulated through internal and external agencies and organizations.

  4. Design principles and common pool resource management: an institutional approach to evaluating community management in semi-arid Tanzania.

    PubMed

    Quinn, Claire H; Huby, Meg; Kiwasila, Hilda; Lovett, Jon C

    2007-07-01

    This paper analyses the role of institutions in the management of common pool resources (CPRs) in semi-arid Tanzania. Common property regimes have often been considered inadequate for the management of CPRs because of the problems of excludability, but they are becoming more widely supported as the way forward to overcome the problems of resource use and degradation in developing countries. A series of design principles for long enduring common property institutions have been proposed by Ostrom, but there is concern that they are not applicable to a wide range of real life situations or that they may be specific to certain types of CPR. Here, we compare these principles to the situation prevailing in 12 villages in six districts in semi-arid Tanzania. Data on management institutions were collected through semi-structured interviews and meetings at district and village level. The combined information was used to make a qualitative assessment of the strength with which each design principle appeared to operate in the management of forest, pasture and water resources. Boundaries, conflict and negotiation in CPR management are of key importance in semi-arid regions. However, the need for flexibility in order to deal with ecological uncertainty means that many management institutions would be considered weak or absent according to the design principle approach. This supports the view that the design principles should not be used as a 'blueprint to be imposed on resource management regimes' rather that they provide a framework for investigating common property regimes with the proviso that, certainly for semi-arid regions, they may highlight where management cannot be explained by institutional theory alone.

  5. Recent Improvement Of The Institutional Radioactive Waste Management System In Slovenia

    SciTech Connect

    Sueiae, S.; Fabjan, M.; Hrastar, U.; Mali, T.; Steinkuhler, C.; Lenie, K.

    2008-07-01

    The task of managing institutional radioactive waste was assigned to the Slovenian National Agency for Radwaste Management by the Governmental Decree of May 1999. This task ranges from the collection of waste at users' premises to the storage in the Central Storage Facility in (CSF) and afterwards to the planned Low and Intermediate Level Waste (LILW) repository. By this Decree ARAO also became the operator of the CSF. The CSF has been in operation since 1986. Recent improvements of the institutional radioactive waste management system in Slovenia are presented in this paper. ARAO has been working on the reestablishment of institutional radioactive waste management since 1999. The Agency has managed to prepare the most important documents and carry out the basic activities required by the legislation to assure a safe and environmentally acceptable management of the institutional radioactive waste. With the aim to achieve a better organized operational system, ARAO took the advantage of the European Union Transition Facility (EU TF) financing support and applied for the project named 'Improvement of the management of institutional radioactive waste in Slovenia via the design and implementation of an Information Business System'. Through a public invitation for tenders one of the Slovenian largest software company gained the contract. Two international radwaste experts from Belgium were part of their project team. The optimization of the operational system has been carried out in 2007. The project was executed in ten months and it was divided into two phases. The first phase of the project was related with the detection of weaknesses and implementation of the necessary improvements in the current ARAO operational system. With the evaluation of the existing system, possible improvements were identified. In the second phase of the project the software system Information Business System (IBS) was developed and implemented by the group of IT experts. As a software

  6. The developing management of esthesioneuroblastoma: a single institution experience.

    PubMed

    Bäck, Leif; Oinas, Minna; Pietarinen-Runtti, Petra; Saarilahti, Kauko; Vuola, Jyrki; Saat, Riste; Öhman, Juha; Haglund, Caj; Niemelä, Mika; Leivo, Ilmo; Hagström, Jaana; Mäkitie, Antti A

    2012-01-01

    Esthesioneuroblastoma remains a challenging disease because of its rarity, the complexity of surrounding structures, missing opinions of optimal treatment protocol, and complications associated with necessary surgery. Our objective was to analyse the management and outcome of a cohort of patients with esthesioneuroblastoma from 1990 to 2009 in a tertiary medical centre. There were 17 eligible patients (8 males and 9 females) with the median age of 53 years (range 20-75 years). An obvious inconsistency was noted in the management of the various tumours of the present series during the two decades due to a lack of a uniform treatment protocol. The median follow-up time was 57.5 months (range 3-158 months). Nine patients (seven with curative treatment intent) died of the disease with the median time from diagnosis to death of 60 months (range 3-161 months). Eight patients had no evidence of the disease at last follow-up visit (median 76 months, range 24-119 months). Recurrences were documented in seven of the patients. The median time from end of primary treatment to a recurrence was 57 months (range 6-110 months). The 5-year overall survival and disease-free survival was 68 and 62%, respectively. The management of ENB should be planned by an experienced head and neck surgeon as part of a multidisciplinary team in a tertiary referral setting. Multimodality therapy with long-term follow-up is preferable and should be set based on the available disease-specific classifications for clinical staging and histopathological grading.

  7. Towards a greater understanding of the illicit tobacco trade in Europe: a review of the PMI funded ‘Project Star’ report

    PubMed Central

    Gilmore, Anna B; Rowell, Andy; Gallus, Silvano; Lugo, Alessandra; Joossens, Luk; Sims, Michelle

    2014-01-01

    Background Following a legal agreement with the European Union (EU), Philip Morris International (PMI) commissions a yearly report (‘Project Star’, PS) on the European illicit cigarette trade from KPMG, the global accountancy firm. Methods Review of PS 2010 report. Comparison with data from independent sources including a 2010 pan-European survey (N=18 056). Findings Within PS, data covering all 27 EU countries are entered into a model. While the model itself seems appropriate, concerns are identified with the methodologies underlying the data inputs and thus their quality: there is little transparency over methodologies; interview data underestimate legal non-domestic product partly by failing to account for legal cross-border sales; illicit cigarette estimates rely on tobacco industry empty pack surveys which may overestimate illicit; and there is an over-reliance on data supplied by PMI with inadequate external validation. Thus, PMI sales data are validated using PMI smoking prevalence estimates, yet PMI is unable to provide sales (shipment) data for the Greek islands and its prevalence estimates differ grossly from independent data. Consequently, comparisons with independent data suggest PS will tend to overestimate illicit cigarette levels particularly where cross-border shopping is frequent (Austria, Finland, France) and in Western compared with Eastern European countries. The model also provides data on the nature of the illicit cigarette market independent of seizure data suggesting that almost a quarter of the illicit cigarette market in 2010 comprised PMI's own brands compared with just 5% counterfeited PMI brands; a finding hidden in PMI's public representation of the data. Conclusions PS overestimates illicit cigarette levels in some European countries and suggests PMI's supply chain control is inadequate. Its publication serves the interests of PMI over those of the EU and its member states. PS requires greater transparency, external scrutiny and

  8. Citrate content of bone for time since death estimation: results from burials with different physical characteristics and known PMI.

    PubMed

    Kanz, Fabian; Reiter, Christian; Risser, Daniele U

    2014-05-01

    A recently introduced method to determine the postmortem interval (PMI) based on quantification of the citrate content in bone was applied on the temporal bones and femora of 20 individuals buried in wooden coffins (WO) and body bags (BB), respectively. Concerning known vs. calculated PMI, a significant difference between the temporal and the femur bone samples of the same individuals was observed in the BB group (p = 0.012). In contrast, differences were insignificant for the WO group (p = 0.400). Moreover, similar levels of underestimation of PMIs resulted from the analysis of the femora for both burial groups (p = 0.247). Also, there was consistently less citrate preserved in the flat temporal bones as compared to the femora, indicating that the cortical layer of the long bones should be preferentially employed for citrate-based PMI estimations. The results call for additional research on subsurface-buried and surface-deposited remains to enhance the accuracy of the published PMI equation.

  9. Plasma-Materials Interactions (PMI) and High-Heat-Flux (HHF) component research and development in the US Fusion Program

    SciTech Connect

    Conn, R.W.

    1986-10-01

    Plasma particle and high heat fluxes to in-vessel components such as divertors, limiters, RF launchers, halo plasma scrapers, direct converters, and wall armor, and to the vacuum chamber itself, represent central technical issues for fusion experiments and reactors. This is well recognized and accepted. It is also well recognized that the conditions at the plasma boundary can directly influence core plasma confinement. This has been seen most dramatically, on the positive side, in the discovery of the H-mode using divertors in tokamaks. It is also reflected in the attention devoted worldwide to the problems of impurity control. Nowadays, impurities are controlled by wall conditioning, special discharge cleaning techniques, special coatings such as carbonization, the use of low-Z materials for limiters and armor, a careful tailoring of heat loads, and in some machines, through the use of divertors. All programs, all experiments, and all designers are now keenly aware that PMI and HHF issues are key to the successful performance of their machines. In this brief report we present general issues in Section 2, critical issues in Section 3, existing US PMI/HHF experiments and facilities in Section 4, US International Cooperative PMI/HHF activities in Section 5, and conclude with a discussion on major tasks in PMI/HHF in Section 6.

  10. Institutional barriers and incentives for ecosystem management: A problem analysis. Forest Service general technical report

    SciTech Connect

    Cortner, H.J.; Shannon, M.A.; Wallace, M.G.; Burke, S.; Moote, M.A.

    1996-02-01

    This report identifies five problem areas where social science research can improve the authors` understanding of how ecosystem management can best be implemented. These include (1) the extent to which existing laws, policies, and programs may constrain or aid the implementation of ecosystem management; (2) institutional mechanisms for managing across jurisdictions; (3) internal organizational changes and new arrangements among resource agencies and the public; (4) theoretical principles underlying natural resource management; and (5) methodological approaches for researching instutional questions. Strategies to begin researching these questions are also suggested.

  11. The FEMP Awards Program: Fostering Institutional Change and Energy Management Excellence

    SciTech Connect

    McDermott, Christa; Malone, Elizabeth L.

    2014-05-20

    This report assesses the use of institutional change principles and the institutional impact of award-winning projects through interviews with 22 Department of Energy Federal Energy Management Program (DOE FEMP) award winners. Award winners identified institutional facilitators and barriers in their projects and programs as well as factors in their implementation processes, thus providing information that can guide other efforts. We found that award winners do use strategies based on eight principles of institutional change, most frequently in terms of making changes to infrastructure, engaging leadership, and capitalizing on multiple motivations for making an energy efficiency improvement. The principles drawn on the least often were commitment and social empowerment. Award winners also faced five major types of obstacles that were institutional in nature: lack of resources, constraints of rules, psychological barriers, lack of information, and communication problems. We also used the seven categories of Energy Management Excellence (EME) as a lens to interpret the interview data and assess whether these categories relate to established institutional change principles. We found that the eight principles reflect strategies that have been found to be useful in improving energy efficiency in organizations, whereas the EME categories capture more of a blend of social contextual factors and strategies. The EME categories fill in some of the social context gaps that facilitate institutional change and energy management excellence, for example, personal persistence, a culture that supports creativity and innovation, regular engagement with tenants, contractors, and staff at all levels. Taking together the use of principles, EME criteria, and obstacles faced by interviewees, we make recommendations for how FEMP can better foster institutional change in federal agencies.

  12. Institutional pressures, dynamic capabilities and environmental management systems: investigating the ISO 9000--environmental management system implementation linkage.

    PubMed

    Zhu, Qinghua; Cordeiro, James; Sarkis, Joseph

    2013-01-15

    We hypothesize a model where domestic and international institutional pressures lead to the successful implementation of ISO 9000 and can in turn lead to the successful implementation of environmental management systems such as ISO 14001 environmental certification systems or total quality environmental management (TQEM) systems. Using appropriate tests for mediation with dichotomous mediators and outcomes, we find that the model holds for a sample of 377 Chinese manufacturers in six major industrial groups in Suzhou, Dalian, and Tianjin. Our findings are consistent with the theory linking internal capabilities to heterogeneous external (in this case, institutional) pressures on organizations for environmentally proactive efforts. Our findings suggest that institutions in developing countries with significant environmental concerns such as China as well as foreign suppliers and partners to firms in these countries should encourage and support ISO 9000 implementations by local firms. These findings may influence other developing nations' adoption of quality and environmental process systems.

  13. The Public Manager, the Structure of Public Institution, and Implementation: The 2002-2012 Finnish Senior Bureaucratic Manager Reform

    ERIC Educational Resources Information Center

    Mukhtar, Mohammed Ibn

    2015-01-01

    Public management and administration today is about crafting, structuring and instituting. Structuration is a very integral part of all organisations. Unlike the gradualist approach, structural reform transforms the dominant system touching on main elements. Structural reform had largely come and gone without necessarily touching on some public…

  14. An Investigation into the Costing and Management of University Research Grants and Contracts. Program on Institutional Management in Higher Education.

    ERIC Educational Resources Information Center

    Mawditt, Richard M.; Line, Victor

    The complexity of problems facing university administrators is examined, along with the confusion existing as to the role of research management within universities. Based on literature reviews, and discussions with administrators and researchers at various institutions, it is found that as university faculty move further away from pure or basic…

  15. Management of Postoperative Pain in Medical Institutions in Shandong Province in China

    PubMed Central

    Liu, Donghua; Ma, Jianzhong; Zhang, Zongwang; Yu, Ailan; Chen, Xueli; Feng, Cuicui; Lei, Weifu

    2016-01-01

    Abstract The aim of the study was to investigate current situation of postoperative pain management in medical institutions in Shandong Province.A questionnaire was developed on the basis of guidelines of acute pain and pain quality assessment scale. The questionnaire was used to obtain information regarding the nature and scale of the medical institution, structure of pain management organization, implementation of pain assessment, and analgesic techniques and processes used in clinical practice. A multistage stratified and cluster sampling method was employed to investigate the current situation of postoperative pain management in 168 medical institutions in Shandong Province. For acute pain service (APS), 32% of the hospitals established postoperative pain management organizations similar to APS. For pain evaluation, 57.1% of the hospitals evaluated pain as the fifth vital sign, and 47.0% of the hospitals evaluated pain at rest and during activity. Furthermore, 43.0% of the surveyed hospitals employed patient-controlled analgesia mode, of which hospitals employing brachial plexus block, lumbar plexus block, and femoral nerve block analgesia accounted for 5.0%, 1.0%, and 4.0%, respectively. The survey revealed that 51.0% of the hospitals educated patients about pain and pain management, of which patients were postoperatively educated by ward nurses in 5.0% and patients were educated by APS during ward rounds in 2.0%. There is a lack of standardized postoperative pain management, the involvement of nurses in pain management is scarce, and the pain assessment and education and application of advanced analgesic management techniques were found to be inadequate in medical institutions in Shandong Province. PMID:26871800

  16. Oral Vaccination with Attenuated Salmonella typhimurium-Delivered TsPmy DNA Vaccine Elicits Protective Immunity against Trichinella spiralis in BALB/c Mice

    PubMed Central

    Wang, Lei; Wang, Xiaohuan; Bi, Kuo; Sun, Ximeng; Yang, Jing; Gu, Yuan; Huang, Jingjing; Zhan, Bin; Zhu, Xinping

    2016-01-01

    Background Our previous studies showed that Trichinella spiralis paramyosin (TsPmy) is an immunomodulatory protein that inhibits complement C1q and C8/C9 to evade host complement attack. Vaccination with recombinant TsPmy protein induced protective immunity against T. spiralis larval challenge. Due to the difficulty in producing TsPmy as a soluble recombinant protein, we prepared a DNA vaccine as an alternative approach in order to elicit a robust immunity against Trichinella infection. Methods and Findings The full-length TsPmy coding DNA was cloned into the eukaryotic expression plasmid pVAX1, and the recombinant pVAX1/TsPmy was transformed into attenuated Salmonella typhimurium strain SL7207. Oral vaccination of mice with this attenuated Salmonella-delivered TsPmy DNA vaccine elicited a significant mucosal sIgA response in the intestine and a systemic IgG antibody response with IgG2a as the predominant subclass. Cytokine analysis also showed a significant increase in the Th1 (IFN-γ, IL-2) and Th2 (IL-4, 5, 6, 10) responses in lymphocytes from the spleen and MLNs of immunized mice upon stimulation with TsPmy protein. The expression of the homing receptors CCR9/CCR10 on antibody secreting B cells may be related to the translocation of IgA-secreted B cells to local intestinal mucosa. The mice immunized with Salmonella-delivered TsPmy DNA vaccine produced a significant 44.8% reduction in adult worm and a 46.6% reduction in muscle larvae after challenge with T. spiralis larvae. Conclusion Our results demonstrated that oral vaccination with TsPmy DNA delivered by live attenuated S. typhimurium elicited a significant local IgA response and a mixed Th1/Th2 immune response that elicited a significant protection against T. spiralis infection in mice. PMID:27589591

  17. Using Enablers of the EFQM Model to Manage Institutions of Higher Education

    ERIC Educational Resources Information Center

    Calvo-Mora, Arturo; Leal, Antonio; Roldan, Jose L.

    2006-01-01

    Purpose: To analyse the implicit relationships among enabler agents of the European excellence model to serve as a framework for the management and improvement of the quality in higher education institutions. Design/methodology/approach: The hypotheses set out are based on the structure and meaning of the EFQM model and a review of the TQM…

  18. The Role of Mathematics in Hotel, Catering and Institutional Management HND and FM Courses.

    ERIC Educational Resources Information Center

    Roberts, I. M.; Ineson, Elizabeth M.

    1980-01-01

    Research was conducted from the viewpoints of students, teaching staff, and industry in relation to mathematical abilities of students taking hotel, catering, and institutional management courses, content and structure of Higher National Diploma and Final Membership courses, industrial applications, and learning strategies. (CT)

  19. Evaluation of Hotel, Restaurant, and Institutional Management Graduates: A Ten Year Review.

    ERIC Educational Resources Information Center

    Johnson, Dona, Comp.; And Others

    A study of graduates from the Hotel, Restaurant, and Institutional Management program at St. Louis Community College at Forest Park was conducted, primarily in order to elicit information from graduates regarding potentially effective recruitment methods for minority groups and women. The study also sought to obtain evaluation of course curriculum…

  20. 2015 Global Information Technology Report: Consequences on Knowledge Management in Higher Education Institutions in Nigeria

    ERIC Educational Resources Information Center

    Ololube, Nwachukwu Prince; Agbor, Comfort Nkogho; Major, Nanighe Baldwin; Agabi, Chinyere O.; Wali, Worlu I.

    2016-01-01

    This research is a continuation of a theoretical review that evaluated ICT Policy Outcomes for National Development in relation to Networked Readiness Index (NRI) and the impact it has on knowledge integration and management in higher education institutions in Nigeria. A new dawn in information technology (IT) has initiated new trends in…

  1. An Inquiry into Conflict Management Strategies: Study of Higher Education Institutions in Khyber Pakhtunkhwa, Pakistan

    ERIC Educational Resources Information Center

    Din, Siraj ud; Khan, Bakhtiar; Bibi, Zainab

    2012-01-01

    The purpose of this paper is to gain an insight into the conflict management strategies (CMS) of faculty in the higher education institutions (HEIs) of Khyber Pakhtunkhwa, Pakistan. To achieve the above mentioned purpose, survey method was used with the help of questionnaire. In this research, impact of CMS was assessed on the negative…

  2. Succession Planning for Management Staff at a Western Canadian Postsecondary Technical Institute.

    ERIC Educational Resources Information Center

    Cembrowski, Barbara Joan; da Costa, Jose L.

    This study used naturalistic inquiry to gain an understanding of how managerial personnel perceived career development and succession planning at a postsecondary technical institute in Canada. A total of nine individuals in three different career development stages completed semistructured interviews. It was found that managers perceived the…

  3. Role Ambiguity in Institutional Marketing and Enrollment Management. AIR 1984 Annual Forum Paper.

    ERIC Educational Resources Information Center

    Muston, Ray A.

    Enrollment management and marketing strategies employed by the largest state university users of American College Testing (ACT) program tests were studied. The primary objective was to develop a descriptive profile of institutional practices and role performance factors. The study population was the 54 largest state university users of ACT student…

  4. IMHE-Info. OECD Programme on Institutional Management in Higher Education, July 2005

    ERIC Educational Resources Information Center

    Lafon, Valerie, Ed.

    2005-01-01

    IMHE-Info is the newsletter published by the Institutional Management in Higher Education (IMHE) programme. This issue includes: Spotlight on IMHE and its Environment, including comments from Donald J. Johnston, Barry McGaw, Richard Yelland, and Marijk van de Wende. IMHE News, publications of interest and upcoming events are included.

  5. Succession Planning for Management Staff at a Canadian Post Secondary Technical Institute.

    ERIC Educational Resources Information Center

    da Costa, Jose; Cembrowski, Barbara

    2001-01-01

    Analyzed interviews to explore how nine administrators, at three different career stages, perceived career-development and succession planning at a Canadian postsecondary technical institute. Managers attribute career success to possession of varied personal attributes, diverse work experiences, serendipity, and a fulfilling work environment. Job…

  6. Activity-Based Management System Implementation in Higher Education Institution: Benefits and Challenges

    ERIC Educational Resources Information Center

    Ismail, Noor Azizi

    2010-01-01

    Purpose: The purpose of this paper is to discuss how activity-based costing (ABC) technique can be applied in the context of higher education institutions. It also discusses the obstacles and challenges to the successful implementation of activity-based management (ABM) in the higher education environment. Design/methodology/approach: This paper…

  7. The Role of an Academic Development Unit in Supporting Institutional VET Learning and Teaching Change Management

    ERIC Educational Resources Information Center

    Fotinatos, Nina

    2016-01-01

    The aim of this paper is to examine the role and impact of a central academic development unit (ADU) within an institutional strategic and operational change management project. The primary goal of this project was to improve vocational education and training (VET) learning and teaching practice in an Australian dual-sector regional university.…

  8. Environmental Management Systems for Educational Institutions: A Case Study of Teri University, New Delhi

    ERIC Educational Resources Information Center

    Jain, Suresh; Pant, Pallavi

    2010-01-01

    Purpose: The purpose of this paper is to put forth a model for implementation of an environmental management system (EMS) in institutes of higher education in India. Design/methodology/approach: The authors carried out initial environmental review (IER) and strengths, weaknesses, opportunities and threats (SWOT) analysis to identify the major…

  9. An Investigation of the Development and Management of University Research Institutes

    ERIC Educational Resources Information Center

    Philbin, Simon P.

    2011-01-01

    Multidisciplinary research institutes provide universities with an important vehicle to conduct research across traditional disciplines, and this can be an attractive capability for external funding bodies. However, there can be particular challenges, including managing different reporting lines, the need for effective research coordination, and…

  10. A Proposal for the Integration of Total Quality Management into Institute Curriculum, Research, and Operations.

    ERIC Educational Resources Information Center

    Gilmour, Joseph E.; Ammons, Jane C.

    This proposal contains a plan to alter the curriculum at Georgia Institute of Technology for the following reasons: to educate its students in Total Quality Management (TQM) approaches and practice, to develop a major research initiative designed to understand what TQM approaches work and why, to become a major center for the collection and…

  11. Portuguese Academics' Perceptions of Higher Education Institutions' Governance and Management: A Generational Perspective

    ERIC Educational Resources Information Center

    Santiago, Rui; Carvalho, Teresa; Cardoso, Sónia

    2015-01-01

    This article aims to analyse academics' perceptions on changes in the governance and management of higher education institutions (HEIs) under a generational perspective. It is empirically based on the analysis of national data resulting from the "Changing Academic Profession" international survey. Findings reveal a general tendency for…

  12. The Role of Institutional Research in Data Administration and Management. AIR 1986 Annual Forum Paper.

    ERIC Educational Resources Information Center

    McKinney, Richard L.; And Others

    New roles for college institutional researchers in the area of data administration and management that have resulted from developments in computer technology are reviewed. These developments include easily accessed databases, user-friendly software, and powerful and inexpensive hardware. The growing demand for data, combined with a general lack of…

  13. IMHE-Info. OECD Programme on Institutional Management in Higher Education, July 2007

    ERIC Educational Resources Information Center

    Lafon, Valerie, Ed.

    2007-01-01

    IMHE-Info is the newsletter published by the Institutional Management in Higher Education (IMHE) programme. This issue includes: (1) Giving Knowledge for Free; The Emergence of Open Educational Resources; and (2) Education at a Glance 2007. IMHE News, publications of interest and upcoming events are included. (Contains 1 figure and 1 table.)

  14. Early Onset Ageing and Service Preparation in People with Intellectual Disabilities: Institutional Managers' Perspective

    ERIC Educational Resources Information Center

    Lin, Jin-Ding; Wu, Chia-Ling; Lin, Pei-Ying; Lin, Lan-Ping; Chu, Cordia M.

    2011-01-01

    Although longevity among older adults with intellectual disabilities is increasing, there is limited information on their premature aging related health characteristics and how it may change with increasing age. The present paper provides information of the institutional manager's perception on early onset aging and service preparation for this…

  15. Financial Management and Job Social Skills Training Components in a Summer Business Institute

    ERIC Educational Resources Information Center

    Donohue, Brad; Conway, Debbie; Beisecker, Monica; Murphy, Heather; Farley, Alisha; Waite, Melissa; Gugino, Kristin; Knatz, Danielle; Lopez-Frank, Carolina; Burns, Jack; Madison, Suzanne; Shorty, Carrie

    2005-01-01

    Ninety-two adolescents, predominantly ethnic minority high school students, participated in a structured Summer Business Institute (SBI). Participating youth were randomly assigned to receive either job social skills or financial management skills training components. Students who additionally received the job social skills training component were…

  16. An Analysis of Social Capital and Environmental Management of Higher Education Institutions

    ERIC Educational Resources Information Center

    Evangelinos, Konstantinos I.; Jones, Nikoleta

    2009-01-01

    Purpose: The purpose of this paper is to analyse the importance of the theory of social capital for the challenges presented during environmental management initiatives in higher education institutions (HEIs). In particular, the paper utilises the fundamental components of social capital theory and assesses a hypothesis that higher stocks of…

  17. The Bureaucratic Experience and Post Modern Challenges of Strategic Management in Higher Education Institutions

    ERIC Educational Resources Information Center

    Thomas, Olusola A.

    2014-01-01

    This study examined the nature of bureaucracy in Higher Education Institutions (HEIs), and the need for strategic management considering the propelling forces of academic revolution meaning that HEIs must perform better with fewer resources and provide innovative solutions. Three research questions guided this study which followed a…

  18. Peace Management and Enhanced Academic Performance of Tertiary Institutions in South-South Nigeria

    ERIC Educational Resources Information Center

    Ebuara, Victor Obule; Ekpoh, Uduak Imo

    2011-01-01

    This study was embarked upon with a view to examining the need for peace in the management of tertiary institutions towards enhancing academic performance in south-south Nigeria. Three hypotheses and one research question guided the study. One thousand, two hundred and nineteen (1219) academic and non-academic staff were selected for the study. A…

  19. A Survey of Internship Programs for Management Undergraduates in AACSB-Accredited Institutions

    ERIC Educational Resources Information Center

    Kim, Eyong B.; Kim, Kijoo; Bzullak, Michael

    2012-01-01

    Purpose: The purpose of this paper is to survey the current status of internship programs for Management undergraduate students and to introduce a well-established internship program. Design/methodology/approach: A web page analysis was conducted on 473 institutions that have AACSB (the Association to Advance Collegiate Schools of Business)…

  20. Exploring the link between institutional pressures and environmental management systems effectiveness: An empirical study.

    PubMed

    Daddi, Tiberio; Testa, Francesco; Frey, Marco; Iraldo, Fabio

    2016-12-01

    Institutional theory has been widely debated by scholars. A part of literature examines how institutional pressures act on company choices regarding proactive environmental strategies. However, the institutional perspective has still not completely clarified the influence of these pressures on the effectiveness of environmental management systems (EMSs) in achieving goals in terms of eco-innovation, competitiveness and corporate reputation. This paper analyses the role played by coercive, mimetic and normative forces in stimulating innovative and competitive responses by firms with an environmental certification. Using the results of a survey on 242 European EMAS-registered organisations, the paper highlights the more positive influence of mimetic and normative pressures than coercive ones. The paper contributes to the literature debate on EMSs analysed through the lens of institutional theory.

  1. Hospital acquisitions, parenting styles and management accounting change: An institutional perspective.

    PubMed

    Dossi, Andrea; Lecci, Francesca; Longo, Francesco; Morelli, Marco

    2017-02-01

    Many healthcare scholars have applied institutional theories to the study of management accounting systems (MAS) change. However, little attention has been devoted to MAS change within groups. Kostova et al. highlight the limitations of traditional institutional frameworks in studying groups since they are characterised not only by the existence of external institutional environments but also by intra-organisational (meso-level) ones. Given this background, the research question is: how does the meso-level institutional environment affect MAS change in healthcare groups? We use a longitudinal multiple-case study design to understand the role of headquarters in shaping local MAS change. We would expect companies to adopt similar MAS. However, we argue that the relationship between external institutions and MAS change cannot be wholly understood without taking into consideration the role of headquarters. Our analysis shows how hospitals facing the same external institutional environment implement different MAS as a consequence of different parenting styles. From a scientific perspective, our article contributes to broaden traditional institutional theoretical frameworks.

  2. Overview of the Environmental and Water Resources Institute's "Guidelines For Integrated Water Resources Management" Project

    SciTech Connect

    Gerald Sehlke

    2005-03-01

    Integrated Water Resources Management is a systematic approach to optimizing our understanding, control and management of water resources within a basin to meet multiple objectives. Recognition of the need for integrating water resources within basins is not unique to the Environmental and Water Resources Institute’s Integrated Water Resources Management Task Committee. Many individuals, governments and other organizations have attempted to develop holistic water resources management programs. In some cases, the results have been very effective and in other cases, valiant attempts have fallen far short of their initial goals. The intent of this Task Committee is to provide a set of guidelines that discusses the concepts, methods and tools necessary for integrating and optimizing the management of the physical resources and to optimize and integrate programs, organizations, infrastructure, and socioeconomic institutions into comprehensive water resources management programs.

  3. Postmortem interval (PMI) determined by study sarcophagous biocenoses: three cases from the province of Venice (Italy).

    PubMed

    Turchetto, M; Lafisca, S; Costantini, G

    2001-08-15

    This paper presents and discusses three cases of cadavers found, unburied, in the province of Venice, Northern Italy. In each case, all insect species playing some role in carrion decay processes, both sarcophagous and their predators, found on or in the bodies, were collected and determined. In one case, many larvae of the black soldier fly, Hermetia illucens L. (Diptera: Stratiomyidae) were found and are reported, for the first time in Italy, as necrophagous. Experimental breeding of some fly species was also carried out in controlled temperature and humidity conditions. In particular, it was of interest to know how the Neotropical black soldier fly modified its life-cycle to adapt to a temperate climate. It was thus possible to establish the rate of larval growth and timing of pupation, emergence, oviposition and hatching in various external conditions. The postmortem interval (PMI) established by identifying the life-cycle stages of dipterofauna were later confirmed in all cases through police investigations and the results of forensic analyses.

  4. We're on a Mission Here: Institution Building, Education Reform, and the Rise of a Charter Management Organization

    ERIC Educational Resources Information Center

    Zuckerman, Andrew Michael

    2012-01-01

    This study examined the institution-building efforts of a leading charter school management organization, Achievement First. The study used a conceptual framework derived from institutional theory in sociology that offers two competing policy contexts in which charter schools and charter management organizations operate--a bureaucratic versus…

  5. Calliphora vicina (Diptera: Calliphoridae) pupae: a timeline of external morphological development and a new age and PMI estimation tool.

    PubMed

    Brown, Katherine; Thorne, Alan; Harvey, Michelle

    2015-07-01

    The minimum postmortem interval (PMI(min)) is commonly estimated using calliphorid larvae, for which there are established age estimation methods based on morphological and development data. Despite the increased duration and sedentary nature of the pupal stage of the blowfly, morphological age estimation methods are poorly documented and infrequently used for PMI determination. The aim of this study was to develop a timeline of metamorphosis, focusing on the development of external morphology (within the puparium), to provide a means of age and PMI estimation for Calliphora vicina (Rob-Desvoidy) pupae. Under controlled conditions, 1,494 pupae were reared and sampled at regular time intervals. After puparium removal, observations of 23 external metamorphic developments were correlated to age in accumulated degree hours (ADH). Two age estimation methods were developed based on (1) the combination of possible age ranges observed for each characteristic and (2) regression analyses to generate age estimation equations employing all 23 characteristics observed and a subset of ten characteristics most significantly correlated with age. Blind sample analysis indicated that, using the combination of both methods, pupal age could be estimated to within ±500 ADH with 95% reliability.

  6. Building the institutional capacity for managing commercial high-level radioactive waste

    SciTech Connect

    1982-05-01

    In July 1981, the Office of Nuclear Waste Management of the Department of Energy contracted with the National Academy of Public Administration for a study of institutional issues associated with the commercial radioactive waste management program. The two major sets of issues which the Academy was asked to investigate were (1) intergovernmental relationships, how federal, state, local and Indian tribal council governments relate to each other in the planning and implementation of a waste management program, and (2) interagency relationships, how the federal agencies with major responsibilities in this public policy arena interact with each other. The objective of the study was to apply the perspectives of public administration to a difficult and controversial question - how to devise and execute an effective waste management program workable within the constraints of the federal system. To carry out this task, the Academy appointed a panel composed of individuals whose background and experience would provide the several types of knowledge essential to the effort. The findings of this panel are presented along with the executive summary. The report consists of a discussion of the search for a radioactive waste management strategy, and an analysis of the two major groups of institutional issues: (1) intergovernmental, the relationship between the three major levels of government; and (2) interagency, the relationships between the major federal agencies having responsibility for the waste management program.

  7. Strategic Planning and Management. Report of the Annual Management Institute for College and University Executives (10th, Snowmass, Colorado, July 21-26, 1985).

    ERIC Educational Resources Information Center

    Groff, Warren H.; Cope, Robert G.

    Basic and advanced workshops on strategic planning and management for college personnel were held in 1985. Strategic planning and management includes: (1) assessing an institution's external environment to determine opportunities/threats; (2) auditing an institution's internal environment to determine strengths/weaknesses; (3) using these two sets…

  8. Workshop on establishing institutional credibility for SEAB Task Force on Radioactive Waste Management

    SciTech Connect

    Not Available

    1994-10-01

    At the request of the Secretary of Energy Advisory Board`s Task Force on Civilian Radioactive Waste Management, the National Research Council sponsored a workshop on Establishing Institutional Credibility. The purpose of the workshop was to (1) identify the range of available knowledge regarding the theoretical and conceptual issues of how institutions establish their credibility and legitimacy with key constituents, and (2) to help explore and clarify fundamental concepts in management theory related to these issues. The examination was to include what is known about how organizations establish, maintain, lose, and regain public trust and confidence. There was to be no attempt to develop consensus on these issues or to suggest particular courses of action. The workshop was held on October 24-25, 1991, in Denver, Colorado.

  9. [Features of interpersonal behavior among executives of healthcare institutions with different styles of resolving management decisions].

    PubMed

    Vezhnovets', T A

    2014-01-01

    The aim of this work is to study the influence of the type of interpersonal relationships between executives and subordinates in healthcare institutions on their style of resolving management decision. It was established that indulgent and autonomous style are formed against background of liberal interpersonal relationship by the following criteria, as the absence of dominant traits, expressed benevolence among executives with autonomous style, uncertainty and inexperience among executives with indulgent style. Authoritarian and marginal styles are formed against empowerment and dominance in relationship with subordinates by expressed dominance criteria, as leadership qualities among executives with authoritarian style or as a manifestation of social maladjustment among executives with marginal style. Type of interpersonal relationships determines the style of resolving management decisions, that should be considered at conducting professional selection of candidates for senior positions in healthcare institutions.

  10. Managing water with better institutions: Building flexibility, innovation and lessons of best practices

    NASA Astrophysics Data System (ADS)

    Msangi, S.

    2014-12-01

    Changing socio-economic conditions and global environmental change continue to put pressure on critical natural resources necessary for sustaining ecosystems and human well-being - including water. Increasing variability in water availability, deepening droughts and continuing demands and consumptive use have posed problems for resource managers and policy makers in many regions. While in some regions it is still possible to enhance supply, such as in under-exploited water basins in Africa - the majority of the world's heaviest water users are facing situations that call for more demand-side adjustments. This necessitates a change from engineering-focused solutions to more economic ones, especially where the costs of increasing supply (such as through de-salinization) are prohibitively expensive, or have unacceptable consequences for environmental sustainability. Despite many years and decades of studying water resource management problems, there is still too little guidance as to what institutional best-practices should be followed. Water resources tend to touch on a number of areas managed by different government departments and ministries (agriculture, aquaculture & fisheries, industry, natural resources, etc) - but there is still no common understanding of what the best governance arrangements are that lead to improved sectoral performance (however that is measured). Given the continuing efforts to invest in water resources management and development by major multi-lateral organizations such as the World Bank and the African Development Bank - this kind of institutional guidance is critical, if countries are to make the most of these investments. In this presentation, we review a number of cases in which previously supply-side oriented approaches have to be dealt with from the demand side, and why institutional flexibility and innovation is so important. We draw from examples of community-based groundwater management in India, groundwater overdraft management

  11. Institutional framework for integrated Pharmaceutical Benefits Management: results from a systematic review

    PubMed Central

    Hermanowski, Tomasz Roman; Drozdowska, Aleksandra Krystyna; Kowalczyk, Marta

    2015-01-01

    Objectives In this paper, we emphasised that effective management of health plans beneficiaries access to reimbursed medicines requires proper institutional set-up. The main objective was to identify and recommend an institutional framework of integrated pharmaceutical care providing effective, safe and equitable access to medicines. Method The institutional framework of drug policy was derived on the basis of publications obtained by systematic reviews. A comparative analysis concerning adaptation of coordinated pharmaceutical care services in the USA, the UK, Poland, Italy, Denmark and Germany was performed. Results While most European Union Member States promote the implementation of selected e-Health tools, like e-Prescribing, these efforts do not necessarily implement an integrated package. There is no single agent who would manage an insured patients’ access to medicines and health care in a coordinated manner, thereby increasing the efficiency and safety of drug policy. More attention should be paid by European Union Member States as to how to integrate various e-Health tools to enhance benefits to both individuals and societies. One solution could be to implement an integrated “pharmacy benefit management” model, which is well established in the USA and Canada and provides an integrated package of cost-containment methods, implemented within a transparent institutional framework and powered by strong motivation of the agent. PMID:26528099

  12. Environmental management assessment of the National Institute for Petroleum and Energy Research

    SciTech Connect

    1994-08-01

    This report documents the results of the environmental management assessment of the National Institute for Petroleum and Energy Research (NIPER), located in Bartlesville, Oklahoma. The assessment was conducted August 15-26, 1994, by the DOE Office of Environmental Audit (EH-24), located within the Office of Environment, Safety and Health. The assessment included reviews of documents and reports, as well as inspections and observations of selected facilities and operations. Further, the team conducted interviews with management and staff from the Bartlesville Project Office (BPO), the Office of Fossil Energy (FE), the Pittsburgh Energy Technology Center (PETC), state and local regulatory agencies, and BDM Oklahoma (BDM-OK), which is the management and operating (M&O) contractor for NIPER. Because of the transition from a cooperative agreement to an M&O contract in January 1994, the scope of the assessment was to evaluate (1) the effectiveness of BDM-OK management systems being developed and BPO systems in place and under development to address environmental requirements; (2) the status of compliance with DOE Orders, guidance, and directives; and (3) conformance with accepted industry management practices. An environmental management assessment was deemed appropriate at this time in order to identify any systems modifications that would provide enhanced effectiveness of the management systems currently under development.

  13. [Inclusive education policy: perceptions of managers about the process of changes in Higher Education Institutions].

    PubMed

    Pereira, Francilene Jane Rodrigues; dos Santos, Sérgio Ribeiro; da Silva, Cesar Cavalcanti

    2011-01-01

    This is a qualitative descriptive exploratory study, conducted in Higher Education Institutions (HEI) which offers Nursing course, in Joao Pessoa-PB. The study aimed to understand the concept of managers about the need for organizational changes to attend customers with special needs. Four managers participated in the study. A semi-structured interview with guiding questions was used to collect information and to interpret the data we used the method of discourse analysis based on Fiorin. It was noticed that the managers have a concern to meet the demands of inclusive policies, including the adequacy of physical spaces and the pedagogy adopted to meet the students' needs. However, some of them admitted to have little knowledge on how to deal with students with special needs and also mentioned that the institutions do not have an efficient and logistic work which can meet the current legislation of inclusion. We concluded that the process of structural and pedagogical changes is built in a slow and gradual way and it requires an involvement of qualified managers who are committed to execute the policies of inclusion of customers with special needs in a civil and legal way.

  14. Institutional Control Policies and Implementation for the Area 5 and Area 3 Radioactive Waste Management Sites

    SciTech Connect

    Vefa Yucel, Greg Shott, Denise Wieland, et al.

    2007-11-01

    The U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) has implemented varying institutional control policies in performance assessment/composite analysis (PA/CA) calculations for the Area 5 and Area 3 Radioactive Waste Management Sites (RWMSs) (Shott et al., 1998; 2000; Bechtel Nevada [BN] and Neptune and Company Inc. [Neptune], 2006). The facilities are within the actively maintained boundaries of the Nevada Test Site (NTS) that are enforced by NNSA/NSO. Under current policies, access required for exposure of the member of public (MOP) or the inadvertent human intruder (IHI) is prohibited. Uncertainties affecting institutional control policies are the duration and effectiveness of the controls during the post-closure period. Implementing a uniform set of institutional control policies for the RWMSs that encompasses waste management and environmental restoration programs and is consistent with the end-state vision for the environmental management programs for the NTS (DOE, 2006) is a primary goal of the maintenance program. The NNSA/NSO Performance Management Plan (DOE, 2002) complies with DOE Policy P455.1, 'Use of Risk-Based End States' (DOE, 2003a). Expected future land uses are a driver in selecting acceptable end state conditions and clean-up goals for the NTS. NNSA/NSO Environmental Management's (EM's) land management assumptions and framework for Environmental Management activities are as follows: The NTS will remain under federal control in perpetuity as an NNSA test site, and the large buffer zone surrounding the NTS (the Nevada Test and Training Range) is assumed to remain under the control of the U.S. Air Force. There are no plans for transfer of any NTS lands to other agencies or public entities. Access will continue to be restricted to the NTS and the surrounding areas. For management purposes, NNSA/NV EM activities have been established based on the source of contamination and type of waste

  15. Identification of patient's requirements in quality management system in health care institutions

    PubMed Central

    Kaźmierczak, Daniel; Bogusz-Czerniewicz, Marta

    2011-01-01

    Aim To present the solutions implemented in health care institution in the context of identification of patient's requirements, and evaluation of the level of patients’ satisfaction in accordance with the requirements of ISO norm 9001:2008 based on the experience of GPCC. Background The fundamental mechanisms behind the free market, such as competition, start applying also to the public health sector. Health service providers are gradually realising that patients are actual clients of health care institutions, with physicians, nurses, supporting personnel, registration officers and other staff responding to patients demand for medical and auxiliary services (e.g. exam registration, provision of information). Material and methods PN-EN ISO 9001:2009 “Quality Management Systems. Requirements”, relevant literature and documentation of quality management system from the GPCC. The review of relevant literature and legal requirements; interpretation of provisions in relation to the functioning of health care institutions. Results Model of identification of patient's requirements and satisfaction in accordance with the requirements of ISO 9001:2008 has been elaborated and implemented in the GPCC. Conclusion The identification of patient's requirements is much more complicated than evaluating the same parameters in manufacturing companies. In the context of medical services one should be aware of the subjectivity of patient's feelings, the psycho-social status and the general state of health during his or her treatment. Therefore, the identification of patient's requirements and satisfaction must be carefully thought out, implemented and regularly improved. PMID:24376996

  16. The Management of University-Industry Relations: Five Institutional Case Studies from Africa, Europe, Latin America, and the Pacific Region. Improving the Managerial Effectiveness of Higher Education Institutions.

    ERIC Educational Resources Information Center

    Martin, Michaela, Ed.

    Five case studies were conducted to collect empirical evidence on innovative mechanisms through which universities worldwide manage their relations with industry. Cases were selected from institutions of higher education in Israel, Papua New Guinea, Turkey, Brazil, and Uganda. These studies were selected for their innovative approaches, but also…

  17. Nature of Planning and Its Relation to Management. Programme on Institutional Management in Higher Education.

    ERIC Educational Resources Information Center

    Morris, Alfred C.

    Based on personal experience of a non-university executive, suggestions are offered for management planning within the university. They include the premise that planning is essentially concerned with controlling and influencing the direction of change and that frustration often derives from difficulty in obtaining or influencing the direction of…

  18. A Comparison of Academic Administrators and Enrollment Managers' Perceptions of Undergraduate Enrollment Management Functions at a Subset of Four-Year Public Institutions

    ERIC Educational Resources Information Center

    Cesarini, Lisa McHugh

    2011-01-01

    The purpose of this study was to examine perceptions of various enrollment management functions at a subset of four-year public institutions. Specifically, this study compared perceptions of academic administrators with enrollment managers as they related to the availability, need, and effectiveness of certain enrollment management functions. In…

  19. The Incidence and Management of Conflicts in Secular and Non-Secular Tertiary Institutions in South West Nigeria

    ERIC Educational Resources Information Center

    Ayodele, Joseph Babatola; Adewumi, Joseph Olukayode

    2007-01-01

    This paper compared the incidence and management of conflicts in secular and non-secular tertiary institutions in Nigeria. The sample of this study was made of sixty staff, and two hundred and forty students randomly selected each from two secular and two non-secular tertiary institutions in south western Nigeria. A validated questionnaire was…

  20. [Building and implementation of management system in laboratories of the National Institute of Hygiene].

    PubMed

    Rozbicka, Beata; Brulińska-Ostrowska, Elzbieta

    2008-01-01

    The rules of good laboratory practice have always been observed in the laboratories of National Institute of Hygiene (NIH) and the reliability of the results has been carefully cared after when performing tests for clients. In 2003 the laboratories performing analyses related to food safety were designated as the national reference laboratories. This, added to the necessity of compliance with work standards and requirements of EU legislation and to the need of confirmation of competence by an independent organisation, led to a decision to seek accreditation of Polish Centre of Accreditation (PCA). The following stages of building and implementation of management system were presented: training, modifications of Institute's organisational structure, elaboration of management system's documentation, renovation and refurbishment of laboratory facilities, implementation of measuring and test equipment's supervision, internal audits and management review. The importance of earlier experiences and achievements with regard to validation of analytical methods and guarding of the quality of the results through organisation and participation in proficiency tests was highlighted. Current status of accreditation of testing procedures used in NIH laboratories that perform analyses in the field of chemistry, microbiology, radiobiology and medical diagnostic tests was presented.

  1. Staff and Institutional Factors Associated with Substandard Care in the Management of Postpartum Hemorrhage

    PubMed Central

    Perrodeau, E.; Deneux-Tharaux, C.

    2016-01-01

    Objective to identify staff and institutional factors associated with substandard care by midwives managing postpartum hemorrhage (PPH). Methods A multicenter vignette-based study was e-mailed to a random sample of midwives at 145 French maternity units that belonged to 15 randomly selected perinatal networks. Midwives were asked to describe how they would manage two case-vignettes about PPH and to complete a short questionnaire about their individual (e.g., age, experience, and full- vs. part-time practice) and institutional (private or public status and level of care) characteristics. These previously validated case-vignettes described two different scenarios: vignette 1, a typical immediate, severe PPH, and vignette 2, a severe but gradual hemorrhage. Experts consensually defined 14 criteria to judge adherence to guidelines. The number of errors (possible range: 0 to 14) for the 14 criteria quantified PPH guideline adherence, separately for each vignette. Results 450 midwives from 87 maternity units provided complete responses. Perfect adherence (no error for any of the 14 criteria) was low: 25.1% for vignette 1 and 4.2% for vignette 2. After multivariate analysis, midwives’ age remained significantly associated with a greater risk of error in guideline adherence in both vignettes (IRR 1.19 [1.09; 1.29] for vignette 1, and IRR 1.11 [1.05; 1.18] for vignette 2), and the practice of mortality and morbidity reviews in the unit with a lower risk (IRR 0.80 [0.64; 0.99], IRR 0.78 [0.66; 0.93] respectively). Risk-taking scores (IRR 1.41 [1.19; 1.67]) and full-time practice (IRR 0.83 [0.71; 0.97]) were significantly associated with adherence only in vignette 1. Conclusions Both staff and institutional factors may be associated with substandard care in midwives’ PPH management. PMID:27010407

  2. An appraisal of policies and institutional frameworks impacting on smallholder agricultural water management in Zimbabwe

    NASA Astrophysics Data System (ADS)

    Nyagumbo, I.; Rurinda, J.

    Policies and institutional frameworks associated with and / or impacting on agricultural water management (AWM) in smallholder farming systems in Zimbabwe were analyzed through literature reviews, feedback from stakeholder workshops, key informant interviews and evaluation of policy impacts on implemented case study projects/programmes. The study showed that Zimbabwe has gone a long way towards developing a water management policy addressing both equity and access, through the Water and ZINWA of 1998. However, lack of incentives for improving efficient management and utilization of water resources once water has reached the farm gate was apparent, apart from punitive economic instruments levied on usage of increased volumes of water. For example, the new water reforms of 1998 penalized water savers through loss of any unused water in their permits to other users. In addition, the ability of smallholder farmers to access water for irrigation or other purposes was influenced by macro and micro-economic policies such as Economic Structural and Adjustment Programme (ESAP), Zimbabwe Programme for Economic and Social Transformation (ZIMPREST), prevailing monetary and fiscal policies, as well as the Land and Agrarian Reform policies. For instance, the implementation of ESAP from 1991 to 95 resulted in a decline in government support to management of communal irrigation schemes, and as a result only gravity-fed schemes survived. Also AWM projects/programmes that were in progress were prematurely terminated. While considerable emphasis was placed on rehabilitation of irrigation infrastructure since the fast track land reform in 1998, the policies remained rather silent on strategies for water management in rainfed systems. The piecemeal nature and fragmentation of policies and institutional frameworks scattered across government ministries and sectors were complex and created difficulties for smallholder farmers to access water resources. Poor policy implementation

  3. Improved methods in Agrobacterium-mediated transformation of almond using positive (mannose/pmi) or negative (kanamycin resistance) selection-based protocols.

    PubMed

    Ramesh, Sunita A; Kaiser, Brent N; Franks, Tricia; Collins, Graham; Sedgley, Margaret

    2006-08-01

    A protocol for Agrobacterium-mediated transformation with either kanamycin or mannose selection was developed for leaf explants of the cultivar Prunus dulcis cv. Ne Plus Ultra. Regenerating shoots were selected on medium containing 15 muM kanamycin (negative selection), while in the positive selection strategy, shoots were selected on 2.5 g/l mannose supplemented with 15 g/l sucrose. Transformation efficiencies based on PCR analysis of individual putative transformed shoots from independent lines relative to the initial numbers of leaf explants tested were 5.6% for kanamycin/nptII and 6.8% for mannose/pmi selection, respectively. Southern blot analysis on six randomly chosen PCR-positive shoots confirmed the presence of the nptII transgene in each, and five randomly chosen lines identified to contain the pmi transgene by PCR showed positive hybridisation to a pmi DNA probe. The positive (mannose/pmi) and the negative (kanamycin) selection protocols used in this study have greatly improved transformation efficiency in almond, which were confirmed with PCR and Southern blot. This study also demonstrates that in almond the mannose/pmi selection protocol is appropriate and can result in higher transformation efficiencies over that of kanamycin/nptII selection protocols.

  4. Medical waste management at the Oncology Institute of Vojvodina: possibilities of successful implementation of medical waste regulation in Serbia.

    PubMed

    Gavrancic, Tatjana; Simic, Aleksandar; Gavrancic, Brane

    2012-06-01

    Implementation of National waste management strategy, which included most of Healthcare facilities (HCF) in Serbia, began in 2009. The present study aimed to evaluate the medical waste management strategy protocol at Oncology Institute of Vojvodina, which is the first institution in Vojvodina and one of the first institutions in Serbia which has implemented the recomended medical waste management protocol. Segregation, storage, transportation and treatment were all evaluated and that was all performed according to National strategy. Biohazard generation rate was 0,17 kg/bed/day, which correspods with values in the HCF in Eastern Europe. The results show that the methods for safe management of medical waste are acceptable, affordable, and economically justifable to accomplish the reduction in the financial costs in HCF business, and can serve as representative of proper medical waste management practice for other HCF.

  5. Management of the volcanic crises of Galeras volcano: Social, economic and institutional aspects

    NASA Astrophysics Data System (ADS)

    Cardona, Omar D.

    1997-05-01

    This paper presents a summary of the institutional management of the volcanic hazard and risk in the areas that surround Galeras volcano, Colombia, during its recent activity. The social and economic problems discussed have stemmed from difficulties in forecasting the behavior of the volcano and the inadequate management of the warnings by various government bodies and the media. The Galeras situation had economic, social, and psychological effects that contributed to resistance in implementing mitigation measures. Furthermore, the political authorities were reluctant to accept the volcanic risk. At regional and local levels, certain business organizations and a large part of the population also were inadequately prepared to accept the risk, despite the effort and insistence at the national level to implement a volcano emergency preparedness plan.

  6. Implementing a genomic data management system using iRODS in the Wellcome Trust Sanger Institute

    PubMed Central

    2011-01-01

    Background Increasingly large amounts of DNA sequencing data are being generated within the Wellcome Trust Sanger Institute (WTSI). The traditional file system struggles to handle these increasing amounts of sequence data. A good data management system therefore needs to be implemented and integrated into the current WTSI infrastructure. Such a system enables good management of the IT infrastructure of the sequencing pipeline and allows biologists to track their data. Results We have chosen a data grid system, iRODS (Rule-Oriented Data management systems), to act as the data management system for the WTSI. iRODS provides a rule-based system management approach which makes data replication much easier and provides extra data protection. Unlike the metadata provided by traditional file systems, the metadata system of iRODS is comprehensive and allows users to customize their own application level metadata. Users and IT experts in the WTSI can then query the metadata to find and track data. The aim of this paper is to describe how we designed and used (from both system and user viewpoints) iRODS as a data management system. Details are given about the problems faced and the solutions found when iRODS was implemented. A simple use case describing how users within the WTSI use iRODS is also introduced. Conclusions iRODS has been implemented and works as the production system for the sequencing pipeline of the WTSI. Both biologists and IT experts can now track and manage data, which could not previously be achieved. This novel approach allows biologists to define their own metadata and query the genomic data using those metadata. PMID:21906284

  7. Engineering and management experience at Texas A&M Transportation Institute

    NASA Astrophysics Data System (ADS)

    Chowdhury, Arif Tahjibul

    This manuscript presents the author's engineering and management experience during his internship in the Materials and Pavements (M&P) Division at the Texas A&M Transportation Institute (TTI), and is a record of study for the Doctor of Engineering at Texas A&M University. Through this internship, he met his established internship objectives of gaining technical knowledge as well as knowledge and skills in project management, organizational communication, and quality management of pavement condition data, and of attaining professional development. In meeting these objectives, the author describes the history, mission, and organizational structure of his workplace. He also presents his experience of developing and delivering a two-week training course on pavement design and construction in Kosovo. Participating in a number of professional development training courses and other activities prepared him for working as an engineering manager. These activities include Delta-T leadership training, an instructor development course, a time management and organizational skills course, and the M&P Division lecture series. Leadership and skills learned through the Delta-T program were beneficial for the employee as well as the employer. For the class project, the author and his teammates performed a study dealing with improving TTI's deliverables. The Delta-T team composed a report summarizing their efforts of examining the current state of TTI's project deliverables, the deliverables' shortcomings, and potential enhancements to expand the deliverables' appeal to additional types of potential users outside the traditional research community. The team also developed a prototype web-based model of deliverables and presented some implementation recommendations. Participating in the Texas Department of Transportation's (TxDOT's) pavement surface distress data collection program enabled the author to become familiar with pavement distress data quality management and thus attain the

  8. Prospecting the utility of a PMI/mannose selection system for the recovery of transgenic sugarcane (Saccharum spp. hybrid) plants.

    PubMed

    Jain, Mukesh; Chengalrayan, Kudithipudi; Abouzid, Ahmed; Gallo, Maria

    2007-05-01

    For the first time, the phosphomannose isomerase (PMI, EC 5.3.1.8)/mannose-based "positive" selection system has been used to obtain genetically engineered sugarcane (Saccharum spp. hybrid var. CP72-2086) plants. Transgenic lines of sugarcane were obtained following biolistic transformation of embryogenic callus with an untranslatable sugarcane mosaic virus (SCMV) strain E coat protein (CP) gene and the Escherichia coli PMI gene manA, as the selectable marker gene. Postbombardment, transgenic callus was selectively proliferated on modified MS medium containing 13.6 microM 2,4-D, 20 g l(-1) sucrose and 3 g l(-1) mannose. Plant regeneration was obtained on MS basal medium with 2.5 microM TDZ under similar selection conditions, and the regenerants rooted on MS basal medium with 19.7 microM IBA, 20 g l(-1) sucrose, and 1.5 g l(-1) mannose. An increase in mannose concentration from permissive (1.5 g l(-1)) to selective (3 g l(-1)) conditions after 3 weeks improved the overall transformation efficiency by reducing the number of selection escapes. Thirty-four vigorously growing putative transgenic plants were successfully transplanted into the greenhouse. PCR and Southern blot analyses showed that 19 plants were manA-positive and 15 plants were CP-positive, while 13 independent transgenics contained both transgenes. Expression of manA in the transgenic plants was evaluated using a chlorophenol red assay and enzymatic analysis.

  9. A Perspective on the Intersection of Institutional Identity and Collaborative Research: Toward More Effective Partnering With Historically Black Colleges and Universities (HBCUs)

    NASA Astrophysics Data System (ADS)

    Harkless, John

    2013-03-01

    Science departments at historically black colleges and universities (HBCUs) play important roles in providing quality education in a distinctive environment. The presenter is an HBCU alumnus who earned his doctorate from a primarily majority institution (PMI) and has had experience as both PMI and HBCU faculty. This experience frames and informs the observations shared in this presentation about the unique challenges and opportunities across an array of HBCU departments. Resources available, demographics impacted, current challenges, and the value of the institution to students, external partners, and the community-at-large will be discussed, with a focus on development of dialogue on the cultural and collaborative competencies necessary to working across institutional types.

  10. PMICALC: an R code-based software for estimating post-mortem interval (PMI) compatible with Windows, Mac and Linux operating systems.

    PubMed

    Muñoz-Barús, José I; Rodríguez-Calvo, María Sol; Suárez-Peñaranda, José M; Vieira, Duarte N; Cadarso-Suárez, Carmen; Febrero-Bande, Manuel

    2010-01-30

    In legal medicine the correct determination of the time of death is of utmost importance. Recent advances in estimating post-mortem interval (PMI) have made use of vitreous humour chemistry in conjunction with Linear Regression, but the results are questionable. In this paper we present PMICALC, an R code-based freeware package which estimates PMI in cadavers of recent death by measuring the concentrations of potassium ([K+]), hypoxanthine ([Hx]) and urea ([U]) in the vitreous humor using two different regression models: Additive Models (AM) and Support Vector Machine (SVM), which offer more flexibility than the previously used Linear Regression. The results from both models are better than those published to date and can give numerical expression of PMI with confidence intervals and graphic support within 20 min. The program also takes into account the cause of death.

  11. 17 CFR 240.13f-1 - Reporting by institutional investment managers of information with respect to accounts over which...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... investment managers of information with respect to accounts over which they exercise investment discretion... of information with respect to accounts over which they exercise investment discretion. (a)(1) Every institutional investment manager which exercises investment discretion with respect to accounts holding...

  12. Towards Customer-Driven Management in Hospitality Education: A Case Study of the Higher Hotel Institute, Cyprus.

    ERIC Educational Resources Information Center

    Varnavas, Andreas P.; Soteriou, Andreas C.

    2002-01-01

    Presents and discusses the approach used by the Higher Hotel Institute in Cyprus to incorporate total quality management through establishment of a customer-driven management culture in its hospitality education program. Discusses how it collects and uses service-quality related data from future employers, staff, and students in pursuing this…

  13. 17 CFR 240.13f-1 - Reporting by institutional investment managers of information with respect to accounts over which...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... investment managers of information with respect to accounts over which they exercise investment discretion... of information with respect to accounts over which they exercise investment discretion. (a)(1) Every institutional investment manager which exercises investment discretion with respect to accounts holding...

  14. 17 CFR 240.13f-1 - Reporting by institutional investment managers of information with respect to accounts over which...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... investment managers of information with respect to accounts over which they exercise investment discretion... of information with respect to accounts over which they exercise investment discretion. (a)(1) Every institutional investment manager which exercises investment discretion with respect to accounts holding...

  15. Factors Influencing Attendance and Success on the Institute of Environmental Management and Assessment Associate Membership Certificate Course

    ERIC Educational Resources Information Center

    Draper, Fiona; Oltean-Dumbrava, Crina; Tizaoui, Chedly; Newbury, Brian

    2011-01-01

    The Institute of Environmental Management and Assessment (IEMA) Associate Certificate in Environmental Management course is designed to raise the professional competence of aspiring and existing environmental practitioners. Successful completion entitles the individual to become an associate IEMA member. A dedicated evaluation model was developed…

  16. Local irrigation management institutions mediate changes driven by external policy and market pressures in Nepal and Thailand.

    PubMed

    Bastakoti, Ram C; Shivakoti, Ganesh P; Lebel, Louis

    2010-09-01

    This article assesses the role of local institutions in managing irrigation water use. Fifty irrigation systems in each country were studied in Nepal and Thailand to compare the influence of local institutions on performance of irrigation systems amid changes in external policy and market pressures. Nepal's new irrigation policy after the re-instatement of multiparty democracy in 1990 emphasized participatory irrigation management transferring the management responsibility from state authorities to water users. The water user associations of traditional farmer-managed irrigation systems were formally recognized by requiring registration with related state authorities. In Thailand also government policies encouraged people's participation in irrigation management. Today water users are directly involved in management of even some large irrigation systems at the level of tertiary canals. Traditional communal irrigation systems in northern Thailand received support for system infrastructure improvement but have faced increased interference from government. In Thailand market development supported diversification in farming practices resulting in increased areas under high water-demanding commercial crops in the dry season. In contrast, the command areas of most irrigation systems in Nepal include cereal-based subsistence farming with only one-third having commercial farming. Cropping intensities are higher in Nepal than in Thailand reflecting, in part, differences in availability of land and management. In both countries local institutions play an important role in maintaining the performance of irrigation systems as external drivers and local contexts change. Local institutions have provided alternative options for irrigation water use by mediating external pressures.

  17. Local Irrigation Management Institutions Mediate Changes Driven by External Policy and Market Pressures in Nepal and Thailand

    NASA Astrophysics Data System (ADS)

    Bastakoti, Ram C.; Shivakoti, Ganesh P.; Lebel, Louis

    2010-09-01

    This article assesses the role of local institutions in managing irrigation water use. Fifty irrigation systems in each country were studied in Nepal and Thailand to compare the influence of local institutions on performance of irrigation systems amid changes in external policy and market pressures. Nepal’s new irrigation policy after the re-instatement of multiparty democracy in 1990 emphasized participatory irrigation management transferring the management responsibility from state authorities to water users. The water user associations of traditional farmer-managed irrigation systems were formally recognized by requiring registration with related state authorities. In Thailand also government policies encouraged people’s participation in irrigation management. Today water users are directly involved in management of even some large irrigation systems at the level of tertiary canals. Traditional communal irrigation systems in northern Thailand received support for system infrastructure improvement but have faced increased interference from government. In Thailand market development supported diversification in farming practices resulting in increased areas under high water-demanding commercial crops in the dry season. In contrast, the command areas of most irrigation systems in Nepal include cereal-based subsistence farming with only one-third having commercial farming. Cropping intensities are higher in Nepal than in Thailand reflecting, in part, differences in availability of land and management. In both countries local institutions play an important role in maintaining the performance of irrigation systems as external drivers and local contexts change. Local institutions have provided alternative options for irrigation water use by mediating external pressures.

  18. The Governance of Solar Radiation Management Research: The Need for Innovative Institutions

    NASA Astrophysics Data System (ADS)

    Long, J. C.; Winickoff, D.

    2011-12-01

    Recent policy failures to control reduction of green house gas emissions have spurred interest in the potential of deliberate large-scale intervention in the Earth's climate system, so-called "geoengineering," in order to reduce global warming. However, many of the ideas that have been proposed to date, notably the injection of sulphate aerosols into the stratosphere, a technique often referred to as solar radiation management (SRM), involve significant risks and uncertainties. Because of the potential risks of this research, and its controversial nature, there is broad agreement that it should be conducted, if at all, in accordance with appropriate governance. But what exactly is appropriate governance, and what are the bounds of political accountability? The research, particularly any field experiments, will have to be governed by institutions that are both effective and credible. Institutions might be public bodies, or they might systems of norms. We define "effective" to mean sufficiently protective of human and environmental health, and "credible" to mean trusted by the public and affected parties. Neither effective nor credible governance can be achieved by scientific elites alone. Designing such institutions will be a major challenge given the scope of the problem, the inherited political landscape, and the bars to discussion posed by technical content. Task force on Climate Remediation at the Bipartisan Policy Center in Washington has recently recommended that the US begin research on a wide variety of technologies to see if any hold promise for ameliorating the extreme effects of climate change. As members of that task force, we will present some of its ideas for institutionalizing governance over that research, and add detail to recommendations therein, especially concerning the creation of new kinds of institutions. Past experiences with the governance of controversial technologies -- such as GMOs, pharmaceuticals, and nuclear energy -- provide important

  19. X-PAT: a multiplatform patient referral data management system for small healthcare institution requirements.

    PubMed

    Masseroli, Marco; Marchente, Mario

    2008-07-01

    We present X-PAT, a platform-independent software prototype that is able to manage patient referral multimedia data in an intranet network scenario according to the specific control procedures of a healthcare institution. It is a self-developed storage framework based on a file system, implemented in eXtensible Markup Language (XML) and PHP Hypertext Preprocessor Language, and addressed to the requirements of limited-dimension healthcare entities (small hospitals, private medical centers, outpatient clinics, and laboratories). In X-PAT, healthcare data descriptions, stored in a novel Referral Base Management System (RBMS) according to Health Level 7 Clinical Document Architecture Release 2 (CDA R2) standard, can be easily applied to the specific data and organizational procedures of a particular healthcare working environment thanks also to the use of standard clinical terminology. Managed data, centralized on a server, are structured in the RBMS schema using a flexible patient record and CDA healthcare referral document structures based on XML technology. A novel search engine allows defining and performing queries on stored data, whose rapid execution is ensured by expandable RBMS indexing structures. Healthcare personnel can interface the X-PAT system, according to applied state-of-the-art privacy and security measures, through friendly and intuitive Web pages that facilitate user acceptance.

  20. Pharmaceutical companies and Italian Regional Governments: managing relationships in an increasing institutional complexity.

    PubMed

    Compagni, Amelia; Cavalli, Laura; Jommi, Claudio

    2008-09-01

    In Italy, the process of power decentralization to Regional Governments has particularly affected pharmaceutical care policies. Regions are experimenting with various strategies to govern drugs utilization and expenditure, and differentiating their approaches, leading to an ever-changing and complex institutional scenario. Pharmaceutical companies have created new professional roles, the Regional Affairs Managers (RAM), with the mandate to monitor the different regional contexts and measures, and to establish relationships with the public actors in charge of pharmaceutical policies. This analysis shows how public affairs/lobbying actions at regional level and the creation of a solid political competence within companies are still in an early phase. The activities carried out by RAMs remain limited to an exchange of information and only rarely are perceived by Regional public servants (RRs) as giving support to their work or influence decisions. The interaction with RAMs is often seen as little relevant and still too concentrated on products and a marketing/commercial approach rather than on broader issues of interest to RRs who need to manage the pharmaceutical care system at large. The level of acceptance of this type of activity is also variable and RRs' attitudes alternate between diffidence, polite tolerance, and openness to a constructive dialogue about pharmaceuticals and their management in a regional healthcare system.

  1. Understanding the Effects of Users' Behaviors on Effectiveness of Different Exogenous Regulatory Common Pool Resource Management Institutions

    NASA Astrophysics Data System (ADS)

    Madani, K.; Dinar, A.

    2013-12-01

    Tragedy of the commons is generally recognized as one of the possible destinies for common pool resources (CPRs). To avoid the tragedy of the commons and prolonging the life of CPRs, users may show different behavioral characteristics and use different rationales for CPR planning and management. Furthermore, regulators may adopt different strategies for sustainable management of CPRs. The effectiveness of different regulatory exogenous management institutions cannot be evaluated through conventional CPR models since they assume that either users base their behavior on individual rationality and adopt a selfish behavior (Nash behavior), or that the users seek the system's optimal solution without giving priority to their own interests. Therefore, conventional models fail to reliably predict the outcome of CPR problems in which parties may have a range of behavioral characteristics, putting them somewhere in between the two types of behaviors traditionally considered. This work examines the effectiveness of different regulatory exogenous CPR management institutions through a user-based model (as opposed to a system-based model). The new modeling framework allows for consideration of sensitivity of the results to different behavioral characteristics of interacting CPR users. The suggested modeling approach is applied to a benchmark groundwater management problem. Results indicate that some well-known exogenous management institutions (e.g. taxing) are ineffective in sustainable management of CPRs in most cases. Bankruptcy-based management can be helpful, but determination of the fair level of cutbacks remains challenging under this type of institution. Furthermore, some bankruptcy rules such as the Constrained Equal Award (CEA) method are more beneficial to wealthier users, failing to establish social justice. Quota-based and CPR status-based management perform as the most promising and robust regulatory exogenous institutions in prolonging the CPR's life and

  2. Integrated community case management in Malawi: an analysis of innovation and institutional characteristics for policy adoption.

    PubMed

    Rodríguez, Daniela C; Banda, Hastings; Namakhoma, Ireen

    2015-12-01

    In 2007, Malawi became an early adopter of integrated community case management for childhood illnesses (iCCM), a policy aimed at community-level treatment for malaria, diarrhoea and pneumonia for children below 5 years. Through a retrospective case study, this article explores critical issues in implementation that arose during policy formulation through the lens of the innovation (i.e. iCCM) and of the institutions involved in the policy process. Data analysis is founded on a documentary review and 21 in-depth stakeholder interviews across institutions in Malawi. Findings indicate that the characteristics of iCCM made it a suitable policy to address persistent challenges in child mortality, namely that ill children were not interacting with health workers on a timely basis and consequently were dying in their communities. Further, iCCM was compatible with the Malawian health system due to the ability to build on an existing community health worker cadre of health surveillance assistants (HSAs) and previous experiences with treatment provision at the community level. In terms of institutions, the Ministry of Health (MoH) demonstrated leadership in the overall policy process despite early challenges of co-ordination within the MoH. WHO, United Nations Children's Fund (UNICEF) and implementing organizations played a supportive role in their position as knowledge brokers. Greater challenges were faced in the organizational capacity of the MoH. Regulatory issues around HSA training as well as concerns around supervision and overburdening of HSAs were discussed, though not fully addressed during policy development. Similarly, the financial sustainability of iCCM, including the mechanisms for channelling funding flows, also remains an unresolved issue. This analysis highlights the role of implementation questions during policy development. Despite several outstanding concerns, the compatibility between iCCM as a policy alternative and the local context laid the

  3. Institutional Protocol to Manage Consanguinity Detected by Genetic Testing in Pregnancy in a Minor

    PubMed Central

    Chen, Laura P.; Beck, Anita E.; Tsuchiya, Karen D.; Chow, Penny M.; Mirzaa, Ghayda M.; Wiester, Rebecca T.

    2015-01-01

    Single-nucleotide polymorphism arrays and other types of genetic tests have the potential to detect first-degree consanguinity and uncover parental rape in cases of minor teenage pregnancy. We present 2 cases in which genetic testing identified parental rape of a minor teenager. In case 1, single-nucleotide polymorphism array in a patient with multiple developmental abnormalities demonstrated multiple long stretches of homozygosity, revealing parental rape of a teenage mother. In case 2, a vague maternal sexual assault history and diagnosis of Pompe disease by direct gene sequencing identified parental rape of a minor. Given the medical, legal, and ethical implications of such revelations, a protocol was developed at our institution to manage consanguinity identified via genetic testing. PMID:25687148

  4. State energy office data management: the preliminary energy audit of the institutional buildings grants program

    SciTech Connect

    Blue, J.L.; Zuschneid, P.B.; Carney, J.H.; Hirst, E.

    1980-10-01

    This report reviews state energy office (SEO) activities related to data collection, verification, and analysis for the preliminary energy audit portion of the Institutional Buildings Grant Program (IBGP). A preliminary energy audit (PEA), a collection of basic data on the characteristics of buildings and their energy use, was performed. Individual building energy use data were collected in the PEA program for thousands of institutions in each state. Such detailed data are potentially valuable in a number of ways: program management, program evaluation, policy analysis, and energy model development. However, such data must be consistently collected, carefully verified, and fully documented to fill these needs. Our examination of the SEO data management processes for the PEA showed problems in all these areas. Many SEOs lacked the time and staff to design a form adequately. This, in turn, influenced the clarity of and simplicity of the questionnaire, the ease of question interpretation, and, finally, the quality of responses. Confusion over the meaning of the federal regulations compounded these problems. Once the PEA data were collected, SEOs encountered problems in storing, verifying, and analyzing the data. Almost half the states did not computerize their PEA data and instead attempted manual control of a data set containing hundreds of thousands of data elements. Data verification and analysis in these states have been limited. Even among those SEOs with computerized data files, the computer and staff time necessary for adequate verification and analysis of the PEA data has rarely been available. Cross-comparison among states was facilitated by development of a procedure to rank PEA processes. It appears that the most important determinant of a good PEA process is the presence of a highly motivated, well-trained staff.

  5. Technical assessment of critical Plasma-Materials Interaction (PMI) and High Heat Flux (HHF) issues for alternative fusion concepts (AFCs)

    SciTech Connect

    Downing, J.N.

    1986-03-01

    A number of approaches to fusion energy are being pursued as alternative fusion concepts (AFCs). The goal of these systems is to provide a more desirable method of producing fusion energy than the mainline programs. Some of the AFCs have both a Low Power Density (LPD) option and a High Power Density (HPD) option. A summary of representative AFC programs and their associated PMI and HHF issues is followed by the technical assessment of the critical issues. These requirements are discussed relative to the mainline and/or HPD components. The HPD options are contrasted with a tabulation of the characteristics of components for the Reversed-Field Pinch (RFP), which is representative of the HPD concept.

  6. Capillary zone electrophoresis and artificial neural networks for estimation of the post-mortem interval (PMI) using electrolytes measurements in human vitreous humour.

    PubMed

    Bocaz-Beneventi, G; Tagliaro, F; Bortolotti, F; Manetto, G; Havel, J

    2002-02-01

    Determination of electrolyte concentrations (mainly potassium) in vitreous humour has long been considered an important tool in human death investigations for the estimation of the post-mortem interval (PMI). On the basis of its well known potential in ion analysis, capillary zone electrophoresis (CZE) has recently been applied to achieve a rapid and simultaneous determination of inorganic ions in this extracellular fluid. In the present work, artificial neural networks (ANN) were applied for modelling of the relationship of multicomponent CZE analysis of K+, NH4+, Na+, and Ba2+ ions in vitreous humour with PMI. In a study based on 61 cases with different causes of death and a known PMI ranging from 3 to 144 h, the use of ANNs considering all inorganic ion data from the human vitreous humour, achieved a substantial improvement of post-mortem interval prediction. Good linear correlation was observed (r2 = 0.98) and in comparison to the traditional linear least squares (LLS) method applied only to K+ levels in the vitreous humour, the prediction of PMI with ANN was improved by a factor of 5 from approximately +/- 15 h to less than 3 h.

  7. Transfusion Management and Immunohematologic Complications in Liver Transplantation: Experience of a Single Institution

    PubMed Central

    Solves, Pilar; Carpio, Nelly; Moscardo, Federico; Lancharro, Aima; Cano, Isabel; Moya, Angel; López-Andujar, Rafael; Sanz, Miguel Ángel

    2015-01-01

    Summary Objective Liver transplantation (LT) has traditionally been associated with major blood loss and consequently high blood transfusion requirements. Our objective was to analyze transfusion management and incidence of immunohematologic complications in patients undergoing LT at our institution. Methods A retrospective analysis of immunohematologic events and transfusion outcomes was carried out at La Fe University Hospital in Valencia. Data from 654 patients were reviewed: 654 underwent only one LT while 36 underwent second LT. Results Patients received a median of 3 red blood cell (RBC) concentrates, 2 platelets concentrates (PCs) and 2 fresh frozen plasma units (FFPs). Variables significantly influencing RBC transfusions were: the MELD score, hemoglobin levels, and the platelet counts before LT. 27 patients (4.1%) had a positive antibody screening before transplant. Immunohematologic events occurred in 8% of the patients, mostly in the first month after LT, and involved hemolysis in 13 cases. Mortality was significantly higher in patients developing immunohematologic disorders (42.8 vs. 18.3%; p < 0.001). In the multivariable analysis, only ABO minor incompatibility between donor and recipient significantly increased the appearance of immunohematologic incidences (OR 4.92, 95% CI 2.31–10.50; p < 0.001). Conclusion Transfusion management of patients that underwent LT can be complicated by immunohematologic problems. Blood banks should implement the DAT test in each transfusion to detect them. PMID:25960710

  8. [Institute for clinical management of nephro-urological diseases: the benefits of a quality care programme].

    PubMed

    Santiñá, M; Arrizabalaga, P; Prat, A; Alcaraz, A; Campistol, J M; Trilla, A

    2009-01-01

    The Clinic Institute of Nefro and Urology (ICNU) was formed in Clinic Hospital of Barcelona in 1999. It grouped together services of Nephrology, Urology and Renal Transplant. At the same time, in order to ensure Quality in this process of change, we designed a specific quality program. In this program, we defined objectives to improve the quality of these services in one year and we defined different quality indicators in order to maintain and monitor health quality. The indicators referred to technical quality and perceived quality and we periodically evaluated their evolution. The results of the last five years indicate that the majority of the indicators have improved, except those concerning infections surgery and the response to complaints. This has helped the consolidation and recognition of the work of this innovatory project in the health management of the nephrologic and urinary systems that locate the patient in the center of the organization and recognize the health professionals as the true managers of this model.

  9. Privilege management infrastructure for virtual organizations in healthcare grids.

    PubMed

    Calvillo, Jorge; Román, Isabel; Rivas, Sergio; Roa, Laura M

    2011-03-01

    This paper is focused on the management of virtual organizations (VO) inside healthcare environments where grid technology is used as middleware for a healthcare services-oriented architecture (HSOA). Some of the main tasks considered for the provision of an efficient VO management are management of users, assignation of roles to users, assignation of privileges to roles, and definition of resources access policies. These tasks are extremely close to privilege management infrastructures (PMI), so we face VO management services as part of the PMI supporting access control to healthcare resources inside the HSOA. In order to achieve a completely open and interoperable PMI, we review and apply standards of security and architectural design. Moreover, semantic technologies are introduced in decision points for access control allowing the management of a high degree of descriptors by means of ontologies and infer the decision making through rules and reasoners.

  10. Management of Teacher Scientific-Methodical Work in Vocational Educational Institutions on the Basis of Project-Target Approach

    ERIC Educational Resources Information Center

    Shakuto, Elena A.; Dorozhkin, Evgenij M.; Kozlova, Anastasia A.

    2016-01-01

    The relevance of the subject under analysis is determined by the lack of theoretical development of the problem of management of teacher scientific-methodical work in vocational educational institutions based upon innovative approaches in the framework of project paradigm. The purpose of the article is to develop and test a science-based…

  11. Expanding the Role of Institutional Research at Small Private Universities: A Case Study in Enrollment Management Using Data Mining

    ERIC Educational Resources Information Center

    Antons, Christopher M.; Maltz, Elliot N.

    2006-01-01

    This case study documents a successful application of data-mining techniques in enrollment management through a partnership between the admissions office, a business administration master's-degree program, and the institutional research office at Willamette University (Salem, Oregon). (Contains 1 table and 3 figures.)

  12. 12 CFR 615.5182 - Interest rate risk management by associations and other Farm Credit System institutions other...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Interest rate risk management by associations and other Farm Credit System institutions other than banks. 615.5182 Section 615.5182 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM FUNDING AND FISCAL AFFAIRS, LOAN POLICIES...

  13. Utilizing Social Networks in Times of Crisis: Understanding, Exploring and Analyzing Critical Incident Management at Institutions of Higher Education

    ERIC Educational Resources Information Center

    Asselin, Martha Jo

    2012-01-01

    With the rising number of major crises on college campuses today (Security on Campus Inc., 2009), institutions of higher education can benefit from understanding of how social networks may be used in times of emergency. What is currently known about the usage of social networks is not integral to the current practices of crisis management that are…

  14. Factors Mititating against the Establishment, Development, Management and Utilization of Instructional Television (ITV) in Higher Institutions in Nigeria

    ERIC Educational Resources Information Center

    Sofowora, Olaniyi Alaba

    2007-01-01

    This paper highlights the problems facing the establishment, development, management and utilization of instructional television (ITV) in higher institutions in Nigeria. The paper also discusses chronicle of activities and achievements made at Obafemi Awolowo University, lle-lfe in the effort at revamping the television system. Obafemi Awolowo…

  15. Approaches of Integrated Watershed Management Project: Experiences of the International Crops Research Institute for the Semi-Arid Tropics (ICRISAT)

    ERIC Educational Resources Information Center

    Mula, Rosana P.; Wani, Suhas P.; Dar, William D.

    2008-01-01

    The process of innovation-development to scaling is varied and complex. Various actors are involved in every stage of the process. In scaling the International Crops Research Institute for the Semi-Arid Tropics (ICRISAT)-led integrated watershed management projects in India and South Asia, three drivers were identified--islanding approach,…

  16. Institutional Staff Training and Management: A Review of the Literature and a Model for Geriatric, Long-Term-Care Facilities.

    ERIC Educational Resources Information Center

    Burgio, Louis D.; Burgio, Kathryn L.

    1990-01-01

    Asserts that, if long-term care is to progress from custodial model to therapeutic model of rehabilitation, role of nursing assistants must be redesigned. Reviews current methods of institutional staff training and management and proposes model for geriatric, long-term care facilities. Discusses organizational resistance and offers suggestions for…

  17. Managing an Open Access, Multi-Institutional, International Digital Library: The Digital Library of the Caribbean

    ERIC Educational Resources Information Center

    Wooldridge, Brooke; Taylor, Laurie; Sullivan, Mark

    2009-01-01

    Developing an Open Access, multi-institutional, multilingual, international digital library requires robust technological and institutional infrastructures that support both the needs of individual institutions alongside the needs of the growing partnership and ensure continuous communication and development of the shared vision for the digital…

  18. Managing Resources and Relations in Higher Education Institutions: A Framework for Understanding Performance Improvement

    ERIC Educational Resources Information Center

    Ho, Sophia Shi-Huei; Peng, Michael Yao-Ping

    2016-01-01

    Changes in social systems demonstrate that various structural disadvantages have jointly led to increasing competition among higher education institutions (HEIs) in many countries, especially Taiwan. Institutional administrators must recognize the need to understand how to improve performance and consistently outperform other institutions.…

  19. The enabling institutional context for integrated water management: lessons from Melbourne.

    PubMed

    Ferguson, Briony C; Brown, Rebekah R; Frantzeskaki, Niki; de Haan, Fjalar J; Deletic, Ana

    2013-12-15

    There is widespread international acceptance that climate change, demographic shifts and resource limitations impact on the performance of water servicing in cities. In response to these challenges, many scholars propose that a fundamental move away from traditional centralised infrastructure towards more integrated water management is required. However, there is limited practical or scholarly understanding of how to enable this change in practice and few modern cities have done so successfully. This paper addresses this gap by analysing empirical evidence of Melbourne's recent experience in shifting towards a hybrid of centralised and decentralised infrastructure to draw lessons about the institutional context that enabled this shift. The research was based on a qualitative single-case study, involving interviews and envisioning workshops with urban water practitioners who have been directly involved in Melbourne's water system changes. It was found that significant changes occurred in the cultural-cognitive, normative and regulative dimensions of Melbourne's water system. These included a shift in cultural beliefs for the water profession, new knowledge through evidence and learning, additional water servicing goals and priorities, political leadership, community pressure, better coordinated governance arrangements and strong market mechanisms. The paper synthesises lessons from the case study that, with further development, could form the basis of prescriptive guidance for enabling the shift to new modes of water servicing to support more liveable, sustainable and resilient outcomes for future cities.

  20. Proposal Auto-Categorizer and Manager for Time Allocation Review at Space Telescope Science Institute

    NASA Astrophysics Data System (ADS)

    Porter, Sophia; Strolger, Louis-Gregory; Lagerstrom, Jill; Weissman, Sarah

    2016-01-01

    The Space Telescope Science Institute annually receives more than one thousand formal proposals for Hubble Space Telescope time, exceeding the available time with the observatory by a factor of over four. With JWST, the proposal pressure will only increase, straining our ability to provide rigorous peer review of each proposal's scientific merit. Significant hurdles in this process include the proper categorization of proposals, to ensure Time Allocation Committees (TACs) have the required and desired expertise to fairly and appropriately judge each proposal, and the selection of reviewers themselves, to establish diverse and well-qualified TACs. The Panel Auto-Categorizer and Manager (PACMan; a naive Bayesian classifier) was developed to automatically sort new proposals into their appropriate science categories and, similarly, to appoint panel reviewers with the best qualifications to serve on the corresponding TACs. We will provide an overview of PACMan and present the results of its testing on five previous cycles of proposals. PACMan will be implemented in upcoming cycles to support and eventually replace the process for constructing the time allocation reviews.

  1. Many-Objective Reservoir Policy Identification and Refinement to Reduce Institutional Myopia in Water Management

    NASA Astrophysics Data System (ADS)

    Giuliani, M.; Herman, J. D.; Castelletti, A.; Reed, P. M.

    2013-12-01

    Institutional inertia strongly limits our ability to adapt water reservoir operations to better manage growing water demands as well as their associated uncertainties in a changing climate. Although it has long been recognized that these systems are generally framed in heterogeneous socio-economic contexts involving a myriad of conflicting, non-commensurable operating objectives, our broader understanding of the multiobjective consequences of current operating rules as well as their vulnerability to hydroclimatic uncertainties is severely limited. This study proposes a decision analytic framework to overcome policy inertia and myopia in complex river basin management contexts. The framework combines reservoir policy identification and many-objective optimization under uncertainty to characterize current operations and discover key tradeoffs between alternative policies for balancing evolving demands and system uncertainties. The approach is demonstrated on the Conowingo Dam, located within the Lower Susquehanna River, USA. The Lower Susquehanna River is an interstate water body that has been subject to intensive water management efforts due to the system's competing demands from urban water supply, atomic power plant cooling, hydropower production, and federally regulated environmental flows. Initially our proposed framework uses available streamflow observations to implicitly identify the Conowingo Dam's current but unknown operating policy. This baseline policy is identified by fitting radial basis functions to existing system dynamics. Our assumption in the baseline policy is that the dam operator is represented as a rational agent seeking to maximize primary operational objectives (i.e., guaranteeing the public water supply and maximizing the hydropower revenue). The quality of the identified baseline policy is evaluated by its ability to replicate historical release dynamics. Once identified, the historical baseline policy then provides a means of representing

  2. Many-objective reservoir policy identification and refinement to reduce institutional myopia in water management

    NASA Astrophysics Data System (ADS)

    Giuliani, Matteo; Herman, Jonathan D.; Castelletti, Andrea; Reed, Patrick M.

    2014-05-01

    Current water reservoir operating policies are facing growing water demands as well as increasing uncertainties associated with a changing climate. However, policy inertia and myopia strongly limit the possibility of adapting current water reservoir operations to the undergoing change. Historical agreements and regulatory constraints limit the rate that reservoir operations are innovated and creates policy inertia, where water institutions are unlikely to change their current practices in absence of dramatic failures. Yet, no guarantee exists that historical management policies will not fail in coming years. In reference to policy myopia, although it has long been recognized that water reservoir systems are generally framed in heterogeneous socio-economic contexts involving a myriad of conflicting, non-commensurable operating objectives, the broader understanding of the multi-objective consequences of current operating rules as well as their vulnerability to hydroclimatic uncertainties is severely limited. This study proposes a decision analytic framework to overcome both policy inertia and myopia in complex river basin management contexts. The framework combines reservoir policy identification, many-objective optimization under uncertainty, and visual analytics to characterize current operations and discover key tradeoffs between alternative policies for balancing evolving demands and system uncertainties. The approach is demonstrated on the Conowingo Dam, located within the Lower Susquehanna River, USA. The Lower Susquehanna River is an interstate water body that has been subject to intensive water management efforts due to the system's competing demands from urban water supply, atomic power plant cooling, hydropower production, and federally regulated environmental flows. The proposed framework initially uses available streamflow observations to implicitly identify the current but unknown operating policy of Conowingo Dam. The quality of the identified baseline

  3. Intraoperative blood glucose management: impact of a real-time decision support system on adherence to institutional protocol.

    PubMed

    Nair, Bala G; Grunzweig, Katherine; Peterson, Gene N; Horibe, Mayumi; Neradilek, Moni B; Newman, Shu-Fang; Van Norman, Gail; Schwid, Howard A; Hao, Wei; Hirsch, Irl B; Patchen Dellinger, E

    2016-06-01

    Poor perioperative glycemic management can lead to negative surgical outcome. Improved compliance to glucose control protocol could lead to better glucose management. An Anesthesia Information Management System based decision support system-Smart Anesthesia Manager™ (SAM) was used to generate real-time reminders to the anesthesia providers to closely adhere to our institutional glucose management protocol. Compliance to hourly glucose measurements and correct insulin dose adjustments was compared for the baseline period (12 months) without SAM and the intervention period (12 months) with SAM decision support. Additionally, glucose management parameters were compared for the baseline and intervention periods. A total of 1587 cases during baseline and 1997 cases during intervention met the criteria for glucose management (diabetic patients or non-diabetic patients with glucose level >140 mg/dL). Among the intervention cases anesthesia providers chose to use SAM reminders 48.7 % of the time primarily for patients who had diabetes, higher HbA1C or body mass index, while disabling the system for the remaining cases. Compliance to hourly glucose measurement and correct insulin doses increased significantly during the intervention period when compared with the baseline (from 52.6 to 71.2 % and from 13.5 to 24.4 %, respectively). In spite of improved compliance to institutional protocol, the mean glucose levels and other glycemic management parameters did not show significant improvement with SAM reminders. Real-time electronic reminders improved intraoperative compliance to institutional glucose management protocol though glycemic parameters did not improve even when there was greater compliance to the protocol.

  4. Modeling retrospective attribution of responsibility to hazard-managing institutions: an example involving a food contamination incident.

    PubMed

    Johnson, Branden B; Hallman, William K; Cuite, Cara L

    2015-03-01

    Perceptions of institutions that manage hazards are important because they can affect how the public responds to hazard events. Antecedents of trust judgments have received far more attention than antecedents of attributions of responsibility for hazard events. We build upon a model of retrospective attribution of responsibility to individuals to examine these relationships regarding five classes of institutions that bear responsibility for food safety: producers (e.g., farmers), processors (e.g., packaging firms), watchdogs (e.g., government agencies), sellers (e.g., supermarkets), and preparers (e.g., restaurants). A nationally representative sample of 1,200 American adults completed an Internet-based survey in which a hypothetical scenario involving contamination of diverse foods with Salmonella served as the stimulus event. Perceived competence and good intentions of the institution moderately decreased attributions of responsibility. A stronger factor was whether an institution was deemed (potentially) aware of the contamination and free to act to prevent or mitigate it. Responsibility was rated higher the more aware and free the institution. This initial model for attributions of responsibility to impersonal institutions (as opposed to individual responsibility) merits further development.

  5. Transformation and Institutional Quality Management within a South African University: A Case Study of the University of the Orange Free State. Improving the Managerial Effectiveness of Higher Education Institutions.

    ERIC Educational Resources Information Center

    Strydom, A. H.; Holtzhausen, Somarie

    This case study evaluated the development, partial implementation, and review of an institutional and operational approach to quality management that was developed, during a decade of radical political change, at the University of the Orange Free State, resulting in the rapid transformation of higher education institutions in South African. Phase…

  6. A phased approach to cooperative environmental management R&D projects with Russian institutes

    SciTech Connect

    Matalucci, R.V.; Albert, T.E.

    1994-10-01

    An important aspect of technology exchange between the US and the Former Society Union (FSU) countries is the identification and implementation of cooperative projects that are mutually beneficial. The US Department of Energy (DOE) and its national laboratories have established a four-phase approach to identify and further develop Russian technologies that could contribute to solving DOE environmental management problems. Following an initial screening and identification of potential technologies, the country-to-country interaction is formally initiated in the first phase through a small-scale pilot project study. This phase consists of an evaluation of the specific technology for DOE applications, and provides an opportunity for both US and Russian scientists and engineers to validate the use of the technology for a specific DOE requirement. The successful completion of this phase establishes the basis for continuing the technology development into the second phase, which includes laboratory testing in Russia. In the third phase, the technology is laboratory tested in the US, most likely at those DOE national laboratories having the capability and greatest interest in the particular technology area. The fourth and final phase consist of a commercialization process that establishes a partnership with a US business to finalize development of the technology and to prepare for implementation within the DOE complex. An example of this phased approach is a current high-level waste separation cooperative project between the Khlopin Radium Institute and the DOE through Sandia National Laboratories (SNL) and Science Applications International Corporation (SAIC). This effort has not only enhanced separations technology for the DOE, but has also provided an example of a working process for future cooperative projects.

  7. Wage and Salary Administration for Smaller Institutions of Higher Education. A Basic Guide to Management Practice.

    ERIC Educational Resources Information Center

    National Association of College and University Business Officers, Washington, DC.

    This manual provides a basic guide to wage and salary administration at smaller institutions of higher education--institutions with 400 or fewer full-time nonacademic employees and a relatively uncomplicated administrative organization. Emphasis is placed on definitions and benefits of the process, assigning responsibility and authority, deciding…

  8. Balanced Scorecard--A Strategic Management System of the Higher Education Institution

    ERIC Educational Resources Information Center

    Hladchenko, Myroslava

    2015-01-01

    Purpose: The purpose of this paper is to focus on the comparative analysis of the Balanced Scorecards of four higher education institutions and aims to define the general framework of the Balanced Scorecard for the higher education institution which concerns: the structure and elements of the Balanced Scorecard; development of the Balanced…

  9. Planting Seeds for a Successful Institutional Repository: Role of the Archivist as Manager, Designer, and Policymaker

    ERIC Educational Resources Information Center

    Watterworth, Melissa

    2009-01-01

    Recent surveys indicate that many colleges and universities have reached a pivotal moment in assessing the function and future development of their institutional repositories. Other surveys convey that archivists are participating in the development and implementation of institutional repositories at a variety of levels and have contributed to the…

  10. Managing the Dynamics of the Bologna Reforms: How Institutional Actors Re-Construct the Policy Framework

    ERIC Educational Resources Information Center

    Veiga, Amélia; Neave, Guy

    2015-01-01

    How do the constituencies in higher education re-interpret Bologna's function with regard to the European Higher Education Area? This research examines how institutional actors re-construct the policy framework in the light of their own institutional agendas. Drawing on empirical data from a survey of academics, students and administrative and…

  11. Is There a Role for Research Students in an Institutional Repository? Some Repository Managers' Views

    ERIC Educational Resources Information Center

    Pickton, Margaret; McKnight, Cliff

    2007-01-01

    Although a number of studies have investigated the attitudes of published academic authors with respect to open access (OA) publishing and institutional repositories (IRs), none have considered the views of other institutional stakeholders. Research students, in particular, are a group that could make a major contribution to an IR, both currently…

  12. Accountability and Transparency in the Financial Management of Nigerian Tertiary Educational Institutions: An Overview

    ERIC Educational Resources Information Center

    Adebisi, Ademola

    2013-01-01

    It is a widely acknowledged fact that public tertiary educational institutions in Nigeria are not adequately funded. This has contributed to the slide in the giving and receiving standards of education in the country. However, as paltry as the financial receipts of the institutions are, it has been argued that, if the funds are transparently…

  13. Comparison of slope and height profiles for flat synchrotron x-ray mirrors measured with a long trace profiler and a PMI Fizeau interferometer

    NASA Astrophysics Data System (ADS)

    Qian, Jun; Assoufid, Lahsen; Macrander, Albert

    2007-09-01

    Long trace profilers (LTPs) (1) have been used at many synchrotron radiation laboratories worldwide for over a decade to measure surface slope profiles of long grazing incidence x-ray mirrors. Phase measuring interferometers (PMIs) of the Fizeau type, on the other hand, are being used by most mirror manufacturers to accomplish the same task. However, large mirrors whose dimensions exceed the aperture of the Fizeau interferometer require measurements to be carried out at grazing incidence, and aspheric optics require the use of a null lens. While an LTP provides a direct measurement of 1D slope profiles, PMIs measure area height profiles from which the slope can be obtained by a differentiation algorithm. Measurements of the two types of instruments have been found by us to be in good agreement, but to our knowledge there is no published work directly comparing the two instruments. This paper documents that comparison. We measured two different nominally flat mirrors with both the LTP in operation at the Advanced Photon Source (a type-II LTP) and a Fizeau-type PMI interferometer (Wyko model 6000). One mirror was 500 mm long and made of Zerodur, and the other mirror was 350 mm long and made of silicon. Slope error results with these instruments agree within nearly 100% (3.11+/-0.15 μrad for the LTP, and 3.11+/-0.02μrad for the Fizeau PMI interferometer) for the medium quality Zerodur mirror with 3 μrad rms nominal slope error. A significant difference was observed with the much higher quality silicon mirror. For the Si mirror, slope error data is 0.39+/-0.08Χrad from LTP measurements but it is 0.35 +/- 0.01 μrad from PMI interferometer measurements. The standard deviations show that the Fizeau PMI interferometer has much better measurement repeatability.

  14. [The influence of leadership experience on the style of resolving management decisions by executives of healthcare institutions].

    PubMed

    Vezhnovets', T A

    2013-12-01

    The aim of our study was to examine the influence of age and management experience of executives in healthcare institutions at the style of decision-making. The psychological study of 144 executives was conducted. We found out that the age of executives in healthcare institutions does not affect the style of managerial decision making, while experience in leadership position does. Also it was established that the more experienced leader is, the more often he will make decision in authoritative, autonomous, marginal style and the less management experience is, the more likely is the usage of indulgent and situational style. Moreover, the authoritarian style is typical for younger executives, marginal and autonomous is typical for elder executives.

  15. Managing Strategies for Higher Education Institutions in the UK: An Overview

    ERIC Educational Resources Information Center

    Ahmed, Jashim Uddin; Ahmed, Kamal Uddin; Shimul, Md. Anwar Sadat; Zuñiga, Roy

    2015-01-01

    This article deals with strategic management issues in the higher education sector in the UK. The core idea is presented here with the argument that the principle and practice of strategic management are not only the concerns of senior management, but also an essential requirement at all levels of management of higher education. It shows that…

  16. Managing the Changing Nature of Distance and Open Education at Institutional Level.

    ERIC Educational Resources Information Center

    King, Bruce

    2001-01-01

    Discusses changes that distance and open learning are facing, partly because the context of higher education generally is being transformed. Topics include globalization; massification; increasing government intervention; technological developments; resistance from teachers; individualization; institutional change; and the need for management…

  17. From Management to Negotiation: Technical and Institutional Innovations for Integrated Water Resource Management in the Upper Comoé River Basin, Burkina Faso

    NASA Astrophysics Data System (ADS)

    Roncoli, Carla; Kirshen, Paul; Etkin, Derek; Sanon, Moussa; Somé, Léopold; Dembélé, Youssouf; Sanfo, Bienvenue J.; Zoungrana, Jacqueline; Hoogenboom, Gerrit

    2009-10-01

    This study focuses on the potential role of technical and institutional innovations for improving water management in a multi-user context in Burkina Faso. We focus on a system centered on three reservoirs that capture the waters of the Upper Comoé River Basin and servicing a diversity of users, including a sugar manufacturing company, a urban water supply utility, a farmer cooperative, and other downstream users. Due to variable and declining rainfall and expanding users’ needs, drastic fluctuations in water supply and demand occur during each dry season. A decision support tool was developed through participatory research to enable users to assess the impact of alternative release and diversion schedules on deficits faced by each user. The tool is meant to be applied in the context of consultative planning by a local user committee that has been created by a new national integrated water management policy. We contend that both solid science and good governance are instrumental in realizing efficient and equitable water management and adaptation to climate variability and change. But, while modeling tools and negotiation platforms may assist users in managing climate risk, they also introduce additional uncertainties into the deliberative process. It is therefore imperative to understand how these technological and institutional innovations frame water use issues and decisions to ensure that such framing is consistent with the goals of integrated water resource management.

  18. Proceedings of the twenty-first annual meeting of the Institute of Management Sciences, Southeastern chapter

    SciTech Connect

    Hammesfahr, R.D.J.

    1985-01-01

    These proceedings collect papers on the general subject of management. Topics include: decision analysis, forecasting of electric utility usage for load management systems, finance, marketing, and applications of microcomputer expert systems.

  19. [Nursing management in conflict between ethics and economy: a qualitative study in institutional and semi community care of older people].

    PubMed

    Dibelius, O

    2001-12-01

    The starting point of this explorative study is the current problematic development in institutional and semi community care of older people. The relationship between economy and ethics is a permanent tug of war for nursing managers, who have to fulfil not only the needs of inhabitants and professional standards, but also the restrictive financial framework. This study was based on the following questions: Which are the relevant values for decisions of nursing managers and which are important ethical principles to direct their behaviour? Which dilemmas are significant? The examination group consisted of eleven nursing managers from the field of institutional and semi community care. Qualitative, problem-based interviews were taken with them. The results show the high sensibility of this group in context with ethical questions, which express the following principles: The principle of untouchable dignity, the principle of caring, the principle of assurance of the inhabitants' economic rights and the principle of openness and transparency. The significant dilemmas concern business management, employees, medical service of health insurance companies and doctors. Initial stages of an integrative business-ethical approach could be found in the majority of care centres. By contrast, a classical division into economy and ethics was found in the other care centres.

  20. Applying the institutional review board data repository approach to manage ethical considerations in evaluating and studying medical education

    PubMed Central

    Thayer, Erin K.; Rathkey, Daniel; Miller, Marissa Fuqua; Palmer, Ryan; Mejicano, George C.; Pusic, Martin; Kalet, Adina; Gillespie, Colleen; Carney, Patricia A.

    2016-01-01

    Issue Medical educators and educational researchers continue to improve their processes for managing medical student and program evaluation data using sound ethical principles. This is becoming even more important as curricular innovations are occurring across undergraduate and graduate medical education. Dissemination of findings from this work is critical, and peer-reviewed journals often require an institutional review board (IRB) determination. Approach IRB data repositories, originally designed for the longitudinal study of biological specimens, can be applied to medical education research. The benefits of such an approach include obtaining expedited review for multiple related studies within a single IRB application and allowing for more flexibility when conducting complex longitudinal studies involving large datasets from multiple data sources and/or institutions. In this paper, we inform educators and educational researchers on our analysis of the use of the IRB data repository approach to manage ethical considerations as part of best practices for amassing, pooling, and sharing data for educational research, evaluation, and improvement purposes. Implications Fostering multi-institutional studies while following sound ethical principles in the study of medical education is needed, and the IRB data repository approach has many benefits, especially for longitudinal assessment of complex multi-site data. PMID:27443407

  1. Applying the institutional review board data repository approach to manage ethical considerations in evaluating and studying medical education.

    PubMed

    Thayer, Erin K; Rathkey, Daniel; Miller, Marissa Fuqua; Palmer, Ryan; Mejicano, George C; Pusic, Martin; Kalet, Adina; Gillespie, Colleen; Carney, Patricia A

    2016-01-01

    Issue Medical educators and educational researchers continue to improve their processes for managing medical student and program evaluation data using sound ethical principles. This is becoming even more important as curricular innovations are occurring across undergraduate and graduate medical education. Dissemination of findings from this work is critical, and peer-reviewed journals often require an institutional review board (IRB) determination. Approach IRB data repositories, originally designed for the longitudinal study of biological specimens, can be applied to medical education research. The benefits of such an approach include obtaining expedited review for multiple related studies within a single IRB application and allowing for more flexibility when conducting complex longitudinal studies involving large datasets from multiple data sources and/or institutions. In this paper, we inform educators and educational researchers on our analysis of the use of the IRB data repository approach to manage ethical considerations as part of best practices for amassing, pooling, and sharing data for educational research, evaluation, and improvement purposes. Implications Fostering multi-institutional studies while following sound ethical principles in the study of medical education is needed, and the IRB data repository approach has many benefits, especially for longitudinal assessment of complex multi-site data.

  2. The Historically Black Colleges and Universities/Minority Institutions Environmental Technology and Waste Management Consortium annual report, 1990--1991

    SciTech Connect

    1991-12-31

    The HBCU/MI Environmental Technology and Waste Management Consortium was established in January 1990, through a Memorandum of Understanding (MOU) among the member institutions. This group of research-oriented Historically Black Colleges and Universities and Minority Institutions (HBCU/MI) agreed to work together to initiate research, technology development and education programs to address the nation`s critical environmental problems. As a group the HBCU/MI Consortium is uniquely positioned to reach women and the minority populations of African Americans, Hispanics and American Indians. As part of their initial work, they developed the Research, Education, and Technology Transfer (RETT) Plan to actualize the Consortium`s guiding principles. In addition to developing a comprehensive research agenda, four major programs were begun to meet these goals. This report summarizes the 1990--1991 progress.

  3. From Complex Data to Actionable Information: Institutional Research Supporting Enrollment Management

    ERIC Educational Resources Information Center

    Anderson, Douglas K.; Milner, Bridgett J.; Foley, Chris J.

    2008-01-01

    Producing analyses that are accurate, timely, and simple is a constant challenge for institutional researchers. The stakes are high: when the analysis is incomplete, arrives too late, does not adequately address the question, or is simply too much to comprehend, decision makers fall back on anecdotal thinking or gut-level reactions that can lead…

  4. Grounded Theory: Managing the Challenge for Those Facing Institutional Review Board Oversight

    ERIC Educational Resources Information Center

    O'Connor, Mary Katherine; Netting, F. Ellen; Thomas, M. Lori

    2008-01-01

    The authors examine one of the earliest systematic forms of qualitative inquiry to identify some of the boundaries needed in grounded theory designs to provide a small corner of clarity in the discourse about what is acceptable science from the Institutional Review Board (IRB) perspective. Beginning with an overview of grounded theory research as…

  5. Integrated Water Resource Management: A Platform for Higher Education Institutions to Meet Complex Sustainability Challenges

    ERIC Educational Resources Information Center

    Powell, Neil; Larsen, Rasmus Kløcker

    2013-01-01

    Higher education institutions in Sweden are increasingly exposed to international market conditions and rising competition from a more mobile student body. This increases the need for universities to adapt to their social and economic environment and to their clients, including the political trends and financial opportunities in Sweden and EU, if…

  6. Transnational Education as an Internationalisation Strategy: Meeting the Institutional Management Challenges

    ERIC Educational Resources Information Center

    Stafford, Sally; Taylor, John

    2016-01-01

    The importance of transnational programmes as part of the internationalisation of higher education has grown rapidly in importance in recent years. In this paper, transnational higher education is defined as the delivery of programmes overseas by a parent institution either operating directly or in association with an international partner. Whilst…

  7. Application of Principles of Total Quality Management (TQM) in Teacher Education Institutions

    ERIC Educational Resources Information Center

    Manivannan, M.; Premila, K. S.

    2009-01-01

    The indomitable spirit of higher education paves the way for the growth of a nation in the political, economic, social, intellectual and spiritual dimensions. Teacher education is one of the areas in higher education which trains student-teachers in pedagogy, which in turn helps them to train the young minds of educational institutions. The…

  8. The Role of Student Affairs in Institution-Wide Enrollment Management Strategies. NASPA Monograph Series.

    ERIC Educational Resources Information Center

    Galsky, Alan, Ed.

    Faced with a one-fourth drop in the number of high school graduates between 1979 and 1995, many colleges and universities are responding by making themselves more attractive to students and their parents, instituting procedures to recruit students more effectively and providing a more satisfactory 4 years for the undergraduate experience using an…

  9. Mission and Change. Institutional Mission and Its Application to the Management of Further and Higher Education.

    ERIC Educational Resources Information Center

    Peeke, Graham

    This book examines concepts of institutional mission in the context of British further and higher education (F/HE), especially in incorporated further education and "mixed economy" F/HE establishments previously under local education authority control. It urges adoption of participative methods of mission establishment, procedures for…

  10. Post-Secondary Vocational Education and Training: Pathways and Partnerships. Institutional Management in Higher Education

    ERIC Educational Resources Information Center

    OECD Publishing (NJ3), 2012

    2012-01-01

    Rapid growth of tertiary education is partly due to the expansion of post-secondary vocational education and training (PSV). A well developed post-secondary PSV system and links between universities and VET institutions improve skills and employment opportunities. What is post-secondary PSV and how does it relate to other components of the…

  11. Managing the Bologna Process at the European Level: Institution and Actor Dynamics

    ERIC Educational Resources Information Center

    Lazetic, Predrag

    2010-01-01

    This article analyses the work of the Bologna Follow Up Group as the main institution of the Bologna Process and the perceptions of the policy actors involved concerning the character of the process in terms of its functioning in contrast to similar multi-level multi-actor European processes, its modes of communication and consensus seeking, as…

  12. Monitoring the Opinions of Parents of College Students as a Component of the Institution's In-House Education Quality Management System

    ERIC Educational Resources Information Center

    Briukhanov, V. M.; Kiselev, V. I.; Timchenko, N. S.; Vdovin, V. M.

    2010-01-01

    The intensive process observed in the past few years, in which higher professional education is coming to be included in the system of market relations, is setting new target guidelines of the activity of institutions of higher learning, as well as the management models of educational institutions. The marketing component is becoming more and more…

  13. Administrative Strategies of Departmental Heads as Determinants for the Effective Management of Human Resources in Tertiary Institutions in Delta State, Nigeria

    ERIC Educational Resources Information Center

    Osakwe, Regina N.

    2015-01-01

    This study investigated administrative strategies of departmental heads as determinants of effective management of human resources in tertiary institutions. Four research questions were asked and four hypotheses were formulated to guide the study. As a descriptive survey, the population comprised all the eight tertiary institutions in the state…

  14. The Influence of Neoliberal Consumerist Ideology on the Values and Practices of Private, Non-Profit Liberal Arts Institutions: Senior Enrollment Management Administrators' Perspectives

    ERIC Educational Resources Information Center

    Bennion, Paul

    2013-01-01

    This study focused on the perspectives of senior enrollment management administrators in relation to institutional strategic planning documents in order to gain insight into the extent to which "neoliberalism" is influencing the values and practices of private, nonprofit liberal arts institutions. The researcher focused on senior…

  15. Report on Spring Workshop Management Information Systems and Consortia for Institutional Research.

    ERIC Educational Resources Information Center

    Technical Assistance Consortium To Improve Coll. Services, Washington, DC.

    Collected are eleven presentations made at a workshop designed to expose college and university administrators participating in the Technical Assistance Consortium to Improve College Services (TACTICS) to new management techniques. Presentations addressed the following subjects: the role of planning and management systems in post-secondary…

  16. Greening of a Campus through Waste Management Initiatives: Experience from a Higher Education Institution in Thailand

    ERIC Educational Resources Information Center

    Tangwanichagapong, Siwaporn; Nitivattananon, Vilas; Mohanty, Brahmanand; Visvanathan, Chettiyappan

    2017-01-01

    Purpose: This paper aims to describe the effects of 3R (reduce, reuse and recycle) waste management initiatives on a campus community. It ascertains the environmental attitudes and opinions of the residents and investigates their behavioral responses to waste management initiatives. Practical implications for enhancing sustainable waste management…

  17. Dealing with Data: Science Librarians' Participation in Data Management at Association of Research Libraries Institutions

    ERIC Educational Resources Information Center

    Antell, Karen; Foote, Jody Bales; Turner, Jaymie; Shults, Brian

    2014-01-01

    As long as empirical research has existed, researchers have been doing "data management" in one form or another. However, funding agency mandates for doing formal data management are relatively recent, and academic libraries' involvement has been concentrated mainly in the last few years. The National Science Foundation implemented a new…

  18. Managing Risk in an Uncertain Era. An Analysis for Endowed Institutions.

    ERIC Educational Resources Information Center

    Malkiel, Burton G.; Firstenberg, Paul B.

    This book offers three things to university trustees: (1) a review of scholarly work in capital market theory, (2) a manual for those who must manage managers, and (3) a clear statement of broad injunctions of prudences that scholars and practitioners have long put into jargon. The first section covers policy and strategic issues, including: the…

  19. Mitigating Corruption in Government Security Forces: The Role of Institutions, Incentives, and Personnel Management in Mexico

    DTIC Science & Technology

    2011-01-01

    Preventive Police PJF Policía Judicial Federal, or Federal Judicial Police PRI Partido Revolucionario Institucional , or Institutional Revolutionary...Partido Revolucionario Institucional , or PRI) emerged as the dominating political force in Mexico in the 20th century. The PRI regime was... tradicional /default.aspx Jacob, Brian A., and Steven D. Levitt, “Rotten Apples: An Investigation of the Prevalence and Predictors of Teacher Cheating

  20. The dynamics of ecosystems, biodiversity management and social institutions at high northern latitudes.

    PubMed

    Elmqvist, Thomas; Berkes, Fikret; Folke, Carl; Angelstam, Per; Crépin, Anne-Sophie; Niemelä, Jari

    2004-08-01

    Ecosystems at high latitudes are highly dynamic, influenced by a multitude of large-scale disturbances. Due to global change processes these systems may be expected to be particularly vulnerable, affecting the sustained production of renewable wood resources and abundance of plants and animals on which local cultures depend. In this paper, we assess the implications of new understandings of high northern latitude ecosystems and what must be done to manage systems for resilience. We suggest that the focus of land management should shift from recovery from local disturbance to sustaining ecosystem functions in the face of change and disruption. The role of biodiversity as insurance for allowing a system to reorganize and develop during the disturbance and reorganization phases needs to be addressed in management and policy. We emphasize that the current concepts of ecological reserves and protected areas need to be reconsidered to developp dynamic tools for sustainable management of ecosystems in face of change. Characteristics of what may be considered as customary reserves at high latitudes are often consistent with a more dynamic view of reserves. We suggest new directions for addressing biodiversity management in dynamic landscapes at high latitudes, and provide empirical examples of insights from unconventional perspectives that may help improve the potential for sustainable management of biodiversity and the generation of ecosystem services.

  1. Institute Study Report

    NASA Technical Reports Server (NTRS)

    Whitaker, Ann; Steadman, Jackie; Little, Sally; Underwood, Debra; Blackman, Mack; Simonds, Judy

    1997-01-01

    This report documents a study conducted by the MSFC working group on Institutes in 1995 on the structure, organization and business arrangements of Institutes at a time when the agency was considering establishing science institutes. Thirteen institutes, ten science centers associated with the state of Georgia, Stanford Research Institute (SRI), and IIT Research Institute (IITRI), and general data on failed institutes were utilized to form this report. The report covers the working group's findings on institute mission, structure, director, board of directors/advisors, the working environment, research arrangements, intellectual property rights, business management, institute funding, and metrics.

  2. Reducing energy costs at state agencies and institutions in Texas through the Governor's energy management center

    SciTech Connect

    White, J.A.

    1989-01-01

    The one year internship required for partial fulfillment of the Doctor of Engineering Degree was completed at the Governor's Energy Management Center in Austin, Texas. The intern worked for the State Agencies Department of the Energy Management Center. The intern was involved in a variety of projects, but the primary projects requiring the greatest time were the involvement with the design reviews for energy efficiency of new prisons being constructed in Texas, conducting energy management audits at 18 major state universities, and the technical and administrative assistance to the State Cogeneration Council. Other project involvement included managing the preliminary engineering design of the cogeneration facility at Austin State Hospital, responsibility for applying for a $1.4 million dollar crude oil refund on the behalf of all state agencies in Texas, and assisting in the planning and coordination of the $48 million Revolving Loan Program for the state of Texas. The internship taught many things about management and communications. The experience also provided a better understanding of how the state and federal government operate. The greatest contribution of the internship experience was the improvement of the intern's written and oral communication skills.

  3. The comprehensiveness of environmental management systems: The influence of institutional pressures and the impact on environmental performance.

    PubMed

    Phan, Thanh Nguyet; Baird, Kevin

    2015-09-01

    This study contributes to the EMS literature by providing a more detailed insight into the comprehensiveness of environmental management systems (EMSs) by focusing on the intensity of use of environmental management practices. In addition, the study examines the influence of institutional pressures (coercive, mimetic and normative) on the comprehensiveness of environmental management systems (EMSs), and the impact of EMS comprehensiveness on environmental performance. A mail survey questionnaire was used to collect data from a random sample of Australian senior managers across various industries. Both coercive and normative pressures were found to influence the comprehensiveness of EMSs. Specifically, the pressure exerted by the government, through the creation of appropriate regulatory pressures and public incentives, and by employees, customers, professional groups, the media, and community, influenced the comprehensiveness of the EMS. In addition, organisations with more comprehensive EMSs were found to experience higher levels of environmental performance. With more than 300,000 organisations worldwide adopting EMSs (ISO, 2013), the findings provide an important insight into the relevance of EMSs. In particular, it is suggested that organisations should endeavour to implement a more comprehensive EMS and be conscious of the role that coercive and normative pressures play in influencing the comprehensiveness of their EMSs.

  4. Management Innovations in Higher Education: A Descriptive Study of Information Technology Managers' Perceptions Regarding the Use and Value of Project Management in Institutions of Higher Education

    ERIC Educational Resources Information Center

    Durbin, Michael P.

    2013-01-01

    This study examined the perspectives of IT managers working in colleges and universities regarding their use of and value for project management. Descriptive and inferential analyses were used to understand individual innovativeness, innovation characteristics of project management, and the perceived use of and value for project management best…

  5. The Outcomes of Management for Colonoscopic Perforation: A 12-Year Experience at a Single Institute

    PubMed Central

    Park, Jung Yun; Jung, Sung Min; Kim, Nam-Hoon

    2016-01-01

    Purpose Optimal management of colonoscopic perforation (CP) is controversial because early diagnosis and prompt management play critical roles in morbidity and mortality. Herein, we evaluate the outcomes and clinical characteristics of patients with CP according to treatment modality to help establish guidelines for managing CP. Methods Our retrospective analysis included 40 CP patients from January 1, 2003, to December 31, 2014. Patients with CP were categorized into 2 groups according to therapeutic modality: operation (surgery) and nonoperation (endo-luminal clip application or conservative treatment) groups. Results The postoperative morbidity rate was 40%, and no mortalities were noted. The incidence of abdominal pain and tenderness in patients who received only conservative management was significantly lower than in those who underwent surgery (P < 0.001 and P = 0.004, respectively). Patients tended to undergo surgery more often for diagnosis times longer than 24 hours and for diagnostic CPs. The mean hospital stays for the operation and nonoperation groups were 14.6 ± 7.77 and 5.9 ± 1.62 days, respectively (P < 0.001). Compared to the operation group, the nonoperation group began intake of liquid diets significantly earlier after perforation (3.8 ± 1.32 days vs. 5.6 ± 1.25 days, P < 0.001) and used antibiotics for a shorter duration (4.7 ± 1.29 days vs. 8.7 ± 2.23 days, P < 0.001). Conclusion The time of diagnosis and the injury mechanism may be useful indications for conservative management. Nonoperative management, such as endo-luminal clip application, might be beneficial, when feasible, for the treatment of patients with CP. PMID:27847788

  6. Infrastructure support for the Waste Management Institute at North Carolina A&T State University. Progress report, September 1994--January 1995

    SciTech Connect

    Uzochukwu, G.A.

    1995-01-25

    The mission of the Waste Management Institute is two-fold: (1) to enhance awareness and understanding of waste problems and their management in our society and, (2) to provide leadership in research, instruction and outreach to improve the quality of life on a global scale and protect the environment.

  7. Financial Management in Higher Education: An Approach to Improvement. Advanced Institutional Development Program (AIDP) Two-year College Consortium, Vol. II, No. 3.

    ERIC Educational Resources Information Center

    Listou, Robert E.

    Defining financial management as the provision of financial data for, and the use of that data in, the planning, management, and evaluation functions of an institution, this document suggests an approach to improvement in the provision of financial data. A series of five cost sheets are presented which allow for cost calculations at differing…

  8. Comparison of the Content of Web Sites of Higher Education Institutions Providing for Sports Management Education: The Case of Turkish and English Universities

    ERIC Educational Resources Information Center

    Katirci, Hakan

    2016-01-01

    Considering various themes, this study aims to examine the content of web sites of universities that provide sports management education in higher education level in Turkey and in England. Within this framework, the websites of the higher education institutions that provide sports management education are analyzed by using the content analysis…

  9. Stakeholders and public involvement in river management: heterogeneous acceptance of participatory processes among Swiss institutions.

    NASA Astrophysics Data System (ADS)

    Buletti, Nora; Utz, Stephan; Ejderyan, Olivier; Graefe, Olivier; Lane, Stuart; Reynard, Emmanuel

    2014-05-01

    This research explores participatory processes in the domain of river management in Switzerland. The main objective is to better understand how participatory processes are incorporated into river management practice. Switzerland being a federal state, river management is a cantonal (regional) responsibility, under the supervision (and co-funding) of the State (a Confederation). The federal funding includes the opportunity to fund additional participatory activities to aid river management, not least because the federal authorities consider the involvement of wider stakeholders and the public in decision-making as a means of aiding the progression of projects. This is a particularly important goal in a Swiss setting where direct democracy (the possibility of calling the decision of any level of government into question through a popular vote) means that a reasonable level of project acceptance is a necessary element of project progression. River management in Switzerland now includes both flood protection and river restoration objectives, which has served to increase its controversy: river corridors contain competing interests with different objectives (e.g. ecological enhancement, protection of agricultural land, flood risk reduction). We were asked by the Confederation to evaluate participatory processes it sponsored and one element of this evaluation aimed to develop a typology of stakeholder participation. We conducted interviews with the 26 cantonal officers in charge of river management. These interviews were based upon thematically structured open ended questions, with the responses analyzed qualitatively. We have identified significant divergence in the implementation of participatory processes between the cantons. These appear to be related to two factors: (1) the canton's historical experience of river management; and (2) the methods used to select stakeholders for inclusion in the decisional process. Cantons that refer to guidelines or pre

  10. Energy management action plan: Developing a strategy for overcoming institutional barriers to municipal energy conservation

    SciTech Connect

    Not Available

    1992-12-31

    Energy offices working to improve efficiency of local government facilities face not only technical tasks, but institutional barriers, such as budget structures that do not reward efficiency, a low awareness of energy issues, and purchasing procedures based only on minimizing initial cost. The bureau, in working to remove such barriers in San Francisco, has identified 37 institutional barriers in areas such as operations & maintenance, purchasing, and facility design; these barriers were then reorganized into three groupings-- policy & attitudes, budget & incentives, and awareness & information-- and mapped. This map shows that the barriers mutually reinforce each other, and that a holistic approach is required for permanent change. The city`s recreation & parks department was used as a model department, and information about facility energy use was compiled into a departmental energy review. Staff interviews showed how barriers affect conservation. The bureau then generated ideas for projects to remove specific barriers and rated them according to potential impact and the resources required to implement them. Four of the six projects selected focused on maintenance staff: a cost- sharing lighting retrofit program, a boiler efficiency program, a departmental energy tracking system, and a budgetary incentive program for conservation. The other two projects are city-wide: promotion of a new term contract supplying energy-efficient light materials, and publication/distribution of ENERGY NEWS newsletter. A general methodology, the EMAP Strategy Guide, has been created to assist other energy offices in developing EMAPs.

  11. Leadership Orientations and Conflict Management Styles of Academic Deans in Masters Degree Institutions

    ERIC Educational Resources Information Center

    Kimencu, Linda

    2011-01-01

    Previous research suggests that academic deans follow the human relations and structural perspectives in conflict management (Feltner & Goodsell, 1972). However, the position of an academic dean has been described to have undertones that are more political and social than hierarchical and technical. Hence, the current study evaluated the role of…

  12. Faculty Technology Usage Resulting from Institutional Migration to a New Learning Management System

    ERIC Educational Resources Information Center

    Rucker, Ryan; Downey, Steve

    2016-01-01

    Research literature is flush with articles discussing how teachers use individual learning management systems. However, very few studies examine how faculty are affected as they move from one platform to another. This study addresses that gap and examines how faculty adapt their online teaching practices as they migrate systems. In doing so,…

  13. Institutional and Program Level Guidelines for Conflict Management in Higher Education

    ERIC Educational Resources Information Center

    Warters, Bill; Wendy, Smith J.

    2003-01-01

    These guidelines were developed by a national working group seminar hosted by the FIPSE-funded Conflict Management in Higher Education Resource Center. They provide a set of best-practices related to the establishment of conflict-handling services for colleges and universities. Seminar participants were carefully chose to represent faculty,…

  14. Factors Affecting Selection of Learning Management Systems in Higher Education Institutions

    ERIC Educational Resources Information Center

    Spelke, Kenneth A.

    2011-01-01

    Learning Management Systems, or LMSs, are widely used throughout higher education to deliver a range of instructional services including content delivery, discussion boards and collaborative work space, testing tools, and gradebook functions. LMSs can be used asynchronously or synchronously in support of online learning, classroom-based learning,…

  15. 77 FR 36485 - Alternative Personnel Management System (APMS) at the National Institute of Standards and Technology

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-19

    ... Alternative Personnel Management System, for employees in the Scientific and Engineering career path hired... authority to make decisions concerning employee pay. This amendment seeks to better ensure fiscal... salary for each pay band in a career path and linked directly to the top four performance ratings. One...

  16. Lecturers' Perception of Classroom Management: An Empirical Study of Higher Learning Institutions in Malaysia

    ERIC Educational Resources Information Center

    Grapragasem, Selvaraj; Krishnan, Anbalagan; Joshi, Prem Lal; Krishnan, Shubashini; Azlin, Azlin

    2015-01-01

    The classroom is a learning environment where active interactions and meaningful learning occur between learners and knowledge providers. The teachers and the learners have a unique relationship and this relationship is highly determined by their backgrounds and experiences. Teachers have the responsibility to manage the classroom with the aim of…

  17. Management by Objectives; Measurable and Currently Unmeasurable Institutional Objectives and Achievements 1975-76.

    ERIC Educational Resources Information Center

    Mount San Jacinto Coll., San Jacinto, CA.

    This document presents the annual Management by Objectives report of Mt. San Jacinto College. The first section, describing the college's long-range plan, provides for the college as a whole and for each administrative and instructional area an historical perspective, projected futures, and recommendations designed to meet future contingencies.…

  18. Introducing the Human Side of Total Quality Management into Educational Institutions.

    ERIC Educational Resources Information Center

    Thor, Linda M.

    1994-01-01

    Drawing from the experiences of Rio Salado Community College (Arizona) in implementing Total Quality Management, discusses common barriers to change (e.g., time, aversion to change, and pitfalls of change); leadership failure as a cause of failure in TQM implementation; and the importance of constancy of purpose, employee empowerment, and…

  19. Developing an Environment for Institutional Planning and Management: Setting the Temporal Perspective.

    ERIC Educational Resources Information Center

    Ringle, Philip M.; Savickas, Mark L.

    The success of planning in the community college is linked less to the ability to develop new planning schema than to the development of an orientation toward planning and the time perspective required to analyze the past, supervise the present, and manage the future. Successful planning requires that the college administrator be able to…

  20. Financial Management and Institutional Relationships with Civil Society. Papers on Higher Education.

    ERIC Educational Resources Information Center

    Dinca, George

    This volume is the third in a series of four publications on aspects of governance in higher education produced by a project to create a Regional University Network on Governance and Management of Higher Education in South East Europe. This handbook gives a general overview of the ways in which higher education is funded in selected countries in…

  1. Using Buttons to Better Manage Online Presence: How One Academic Institution Harnessed the Power of Flair

    ERIC Educational Resources Information Center

    Dority Baker, Marcia L.

    2013-01-01

    This article provides a case study of how the University of Nebraska College of Law and Schmid Law Library use "buttons" to manage Law College faculty members' and librarians' online presence. Since Google is the primary search engine used to find information, it is important that librarians and libraries assist Web site visitors in…

  2. Drivers of Learning Management System Use in a South African Open and Distance Learning Institution

    ERIC Educational Resources Information Center

    Venter, Peet; van Rensburg, Mari Jansen; Davis, Annemarie

    2012-01-01

    The study on which this article reports examined the determinants of usage of an online learning management system (LMS) by fourth level business students at a South African open and distance learning university using an extension of the widely used technology acceptance model (TAM) as a theoretical basis. A survey was conducted among students at…

  3. Prognostic Variables and Surgical Management of Foot Melanoma: Review of a 25-Year Institutional Experience

    PubMed Central

    Rashid, Omar M.; Schaum, Julia C.; Wolfe, Luke G.; Brinster, Nooshin K.; Neifeld, James P.

    2011-01-01

    Introduction. Cutaneous foot melanoma is rare, challenging to manage, and not adequately examined in the literature. This study evaluated the prognostic variables and surgical management of foot melanoma. Materials and Methods. Foot melanoma cases managed at an academic center from 1985 to 2010 were retrospectively reviewed. Results. 46 patients were identified with a broad range of demographic characteristics. Overall recurrence was 32.6%: 19% acral lentiginous, 57% nodular, 66% superficial spreading, 30% melanoma unspecified, 50% severely atypical; 53% ulcerated, 23% nonulcerated; 29% on the dorsum of the foot, 17% heel, 60% ankle, 22% toe, 50% plantar; 0% <1 mm thick, 47% 1–4 mm, 33% >4 mm. 13 had positive nodes, 4 (31%) of whom recurred. Prognostic factors and recurrence did not correlate, and survival was 96% with a median followup of 91 months. Conclusions. Aggressive management of foot melanoma may result in excellent long-term survival even following disease recurrence. PMID:22363851

  4. The Role of Multi-Institutional Partnerships in Supply Chain Management Course Design and Improvement

    ERIC Educational Resources Information Center

    Long, Suzanna; Moos, J. Chris; Radic, Anne Bartel

    2012-01-01

    The authors examined the skills achieved through a multicultural, virtual student project environment among 3 supply chain management courses. The partnership included 2 universities in the United States and 1 in France and created virtual teams of students across university lines and is presented as a case study. The case includes detailed…

  5. Information Management and Governance in UK Higher Education Institutions: Bringing IT in from the Cold

    ERIC Educational Resources Information Center

    Coen, Michael; Kelly, Ursula

    2007-01-01

    In the 21st Century, IT Governance is, within the broader corporate governance context, critical for all organisations. Those without an IT governance strategy face significant risks; those with one perform measurably better (Calder 2005). There has been little field based research on IT governance, and few publications help managers understand…

  6. 77 FR 48128 - Alternative Personnel Management System (APMS) at the National Institute of Standards and Technology

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-13

    ... Management System (APMS) published October 21, 1997. NIST is implementing direct-hire authority on a..., 2210 series; the General Engineering, 801 series; and the General Physical Science, 1301 series. DATES... Commerce approved NIST's request to pilot direct-hire under 5 U.S.C. 3304(a)(3) for a period of one...

  7. 78 FR 53487 - Equinox Funds Trust and Equinox Institutional Asset Management LP; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-29

    ... 80203. FOR FURTHER INFORMATION CONTACT: Kay-Mario Vobis, Senior Counsel, at (202) 551-6728, or Dalia... Applications Office). SUPPLEMENTARY INFORMATION: The following is a summary of the application. The complete..., L.P.; and (vi) Quantum Capital Management. 3. Applicants request an order to permit the...

  8. The comparative performance of PMI estimation in skeletal remains by three methods (C-14, luminol test and OHI): analysis of 20 cases.

    PubMed

    Cappella, Annalisa; Gibelli, Daniele; Muccino, Enrico; Scarpulla, Valentina; Cerutti, Elisa; Caruso, Valentina; Sguazza, Emanuela; Mazzarelli, Debora; Cattaneo, Cristina

    2015-01-27

    When estimating post-mortem interval (PMI) in forensic anthropology, the only method able to give an unambiguous result is the analysis of C-14, although the procedure is expensive. Other methods, such as luminol tests and histological analysis, can be performed as preliminary investigations and may allow the operators to gain a preliminary indication concerning PMI, but they lack scientific verification, although luminol testing has been somewhat more accredited in the past few years. Such methods in fact may provide some help as they are inexpensive and can give a fast response, especially in the phase of preliminary investigations. In this study, 20 court cases of human skeletonized remains were dated by the C-14 method. For two cases, results were chronologically set after the 1950s; for one case, the analysis was not possible technically. The remaining 17 cases showed an archaeological or historical collocation. The same bone samples were also screened with histological examination and with the luminol test. Results showed that only four cases gave a positivity to luminol and a high Oxford Histology Index (OHI) score at the same time: among these, two cases were dated as recent by the radiocarbon analysis. Thus, only two false-positive results were given by the combination of these methods and no false negatives. Thus, the combination of two qualitative methods (luminol test and microscopic analysis) may represent a promising solution to cases where many fragments need to be quickly tested.

  9. Social, political, and institutional setting: Water management problems of the Rio Grande

    USGS Publications Warehouse

    Douglas, A.J.

    2009-01-01

    This paper discusses various water management issues facing federal, state, and local agencies charged with managing the water resources of the Rio Grande River Basin and its major tributaries. The Rio Grande - 3,058 km (=1,900 mi) long - is the fourth longest river in the United States. The river's basin is 870,236 km2 (=336,000 mi2) and for roughly two-thirds of its length it forms the United States-Mexican border. It is a major recreational resource providing world class trout fishing near its headwaters in Colorado's San Juan Mountains and shoreline, angling, and boating opportunities near the Colorado-New Mexico border. The Rio Grande is the principal tourist attraction of Big Bend National Park and flows through downtown Albuquerque and El Paso. Many reaches are wide and broad, but almost all are relatively shallow and not navigable by commercial ships. Nevertheless, it is one of the most important renewable water resources of the southwestern United States and North America. The issue of the "manageability" of the river in the face of social forces and disparate administrative jurisdictions that adversely impact Rio Grande flows is a thread linking various sections of the paper together. The length of the river; the fact that major reaches lie in Colorado, New Mexico, and Texas; and its unique role as an international boundary pose complex management problems. The allocation status quo formed by the complex nexus of existing river laws make it difficult to reshape Rio Grande management. ?? 2009 ASCE.

  10. Study of Program Management Procedures in the Basic Grant and Campus Based Programs: Analysis of the Institutional Administration of Student Financial Aid Programs Using Data Collected in the Institutional Mail Survey.

    ERIC Educational Resources Information Center

    Felder, Joseph; Ring, David

    The effectiveness and efficiency of procedures employed by the federal government and participating education institutions to operate and manage the campus based and Basic Educational Opportunity Grant assistance programs are evaluated. Information was obtained by mail surveys of 756 colleges and universities. An overview is presented of the…

  11. Implementing Institutional Research Findings.

    ERIC Educational Resources Information Center

    Blai, Boris, Jr.

    Although many agree that institutional research in higher education has come of age and is accepted as a part of institutional management, great variations exist in the extent to which institutional research findings are synthesized and utilized in management decision-making. A number of reasons can be identified as accounting for this phenomenon,…

  12. An ontology based information system for the management of institutional repository's collections

    NASA Astrophysics Data System (ADS)

    Tsolakidis, A.; Kakoulidis, P.; Skourlas, C.

    2015-02-01

    In this paper we discuss a simple methodological approach to create, and customize institutional repositories for the domain of the technological education. The use of the open source software platform of DSpace is proposed to build up the repository application and provide access to digital resources including research papers, dissertations, administrative documents, educational material, etc. Also the use of owl ontologies is proposed for indexing and accessing the various, heterogeneous items stored in the repository. Customization and operation of a platform for the selection and use of terms or parts of similar existing owl ontologies is also described. This platform could be based on the open source software Protégé that supports owl, is widely used, and also supports visualization, SPARQL etc. The combined use of the owl platform and the DSpace repository form a basis for creating customized ontologies, accommodating the semantic metadata of items and facilitating searching.

  13. [Assessment of malaria screening management in blood donation control in the French Military Blood Institute].

    PubMed

    Pouget, T; Garcia-Hejl, C; Bouzard, S; Roche, C; Sailliol, A; Martinaud, C

    2014-06-01

    The French Military Blood Institute is responsible for the entire blood supply chain in the French Armed Forces. Considering, the high exposition rate of military to malaria risk, blood donation screening of plasmodium infection must be as efficient as possible. The main aim of our study was to assess our malaria testing strategy based on a single Elisa test compared with a two-step strategy implying immunofluorescence testing as confirmation test. The second goal was to describe characteristic of malaria Elisa positive donors. We conducted a prospective study: every malaria Elisa positive test was implemented by immunofluorescence testing and demographical data were recorded as usual by our medical software. We showed a significant risk of malaria ELISA positive tests among donor born in endemic area and we estimate the number of abusively 3-year rejected donors. However, based on our estimations, the two-step strategy is not relevant since the number of additionally collected blood products will be low.

  14. Using Data Mining and Natural Language Processing to Reveal Institutional Water Management Structures in Four Urban Areas in the US Southwest

    NASA Astrophysics Data System (ADS)

    Murphy, J.; Ozik, J.; Altaweel, M.; Lammers, R. B.; Collier, N. T.; Kliskey, A.; Alessa, L.; Williams, P.; Cason, D.

    2013-12-01

    Water management in urban settings is often under the control of multiple entities and institutions that may exist at different scales, have varying aims and capabilities, and serve different ends. The impact of water management structure on a given area's ability to respond to short- and long-term water challenges is an open question. Public perception is an important aspect of this response: public knowledge of both water management structure and water issues is key to motivating and shaping individual and institutional adaptive responses to challenges of water supply or shortage, water quality, and other problems. Our study asks how public perception and discourse captures and reflects local water management institutional structure. We examine four study areas in the Colorado Basin for which several years of newspaper articles (100,000+ documents) are available for data mining and where water management is an important issue: Las Vegas, NV; Tucson, AZ; Flagstaff, AZ; and the cities in the Grand Valley, CO. These four areas experienced different historical trajectories that have influenced different water management structures, both in terms of physical infrastructure and social and institutional arrangements. We present a method and software for performing Natural Language Processing to extract the names of water management entities from readily available sources. Standard techniques for discovering proper nouns are used, then specific internal and contextual criteria are applied that identify likely names of institutions. Documents in the corpus are scored based on the frequency of occurrence of water keywords. Institutions are then scored according to their association with water-related documents. The result is a list of highly-water related regional and local institutions. The resulting list is used to create a network, with edges between any two institutions established and weighted by the count of the documents in which both institutions are discussed

  15. A Compendium of Air Force Institute of Technology Thesis Abstracts Related to Acquisition Management

    DTIC Science & Technology

    1990-09-01

    122 WEIGHTED GUIDELINES: AN EMPIRICAL INVESTIGATION OF RESEARCH AND DEVELOPMENT ACQUISITION. Craig, Michael R.;Pousardien, Henri J . Sep 82 AD-Al23...PARADIGM AND Q-GERT. Bryson, Gary C.;Husby, David J .;Webb, Michael E. Sep 82 AD-A123 051 ABSTRACT: Acquisition of support equipment is an integral part...Systems Management IMPORTANCE AND UTILIZATION OF SPECIALIZED COMPETENCE WITHIN A MATRIX ORGANIZATIONAL ENVIRONMENT. Thorn, Mack J Sep 89 AD-A215 625

  16. Systematic Evaluation of Industrial, Commercial, and Institutional Food Waste Management Strategies in the United States.

    PubMed

    Hodge, Keith L; Levis, James W; DeCarolis, Joseph F; Barlaz, Morton A

    2016-08-16

    New regulations and targets limiting the disposal of food waste have been recently enacted in numerous jurisdictions. This analysis evaluated selected environmental implications of food waste management policies using life-cycle assessment. Scenarios were developed to evaluate management alternatives applicable to the waste discarded at facilities where food waste is a large component of the waste (e.g., restaurants, grocery stores, and food processors). Options considered include anaerobic digestion (AD), aerobic composting, waste-to-energy combustion (WTE), and landfilling, and multiple performance levels were considered for each option. The global warming impact ranged from approximately -350 to -45 kg CO2e Mg(-1) of waste for scenarios using AD, -190 to 62 kg CO2e Mg(-1) for those using composting, -350 to -28 kg CO2e Mg(-1) when all waste was managed by WTE, and -260 to 260 kg CO2e Mg(-1) when all waste was landfilled. Landfill diversion was found to reduce emissions, and diverting food waste from WTE generally increased emissions. The analysis further found that when a 20 year GWP was used instead of a 100 year GWP, every scenario including WTE was preferable to every scenario including landfill. Jurisdictions seeking to enact food waste disposal regulations should consider regional factors and material properties before duplicating existing statutes.

  17. Institutional Policy and Its Abuses

    ERIC Educational Resources Information Center

    Bogue, E. G.; Riggs, R. O.

    1974-01-01

    Reviews the role of institutional policy, cites frequent abuses of institutional policy, and delineates several principles of policy management (development, communication, execution and evaluation). (Author/PG)

  18. A Code Of Ethics And Professional Conduct For NSA Intelligence Professionals

    DTIC Science & Technology

    2015-02-17

    113. 43 Project Management Institute, “Code of Ethics and Professional Conduct,” http://www.pmi.org/~/ media /PDF/ Ethics /ap_pmicodeofethics.ashx... Ethics and Professional Conduct." PMI Project Management Institute. Accessed December 13, 2014. http://www.pmi.org/~/ media /PDF/ Ethics ...7 AIR WAR COLLEGE AIR UNIVERSITY A CODE OF ETHICS AND PROFESSIONAL CONDUCT FOR NSA INTELLIGENCE PROFESSIONALS By Katherine A. Anderson/GS15

  19. A contemporary, single-institutional experience of surgical versus expectant management of congenital heart disease in trisomy 13 and 18 patients.

    PubMed

    Costello, John P; Weiderhold, Allison; Louis, Clauden; Shaughnessy, Conner; Peer, Syed M; Zurakowski, David; Jonas, Richard A; Nath, Dilip S

    2015-06-01

    The objective of this study was to examine a large institutional experience of patients with trisomy 13 and trisomy 18 in the setting of comorbid congenital heart disease and present the outcomes of surgical versus expectant management. It is a retrospective single-institution cohort study. Institutional review board approved this study. Thirteen consecutive trisomy 18 patients and three consecutive trisomy 13 patients (sixteen patients in total) with comorbid congenital heart disease who were evaluated by our institution's Division of Cardiovascular Surgery between January 2008 and December 2013 were included in the study. The primary outcome measures evaluated were operative mortality (for patients who received surgical management), overall mortality (for patients who received expectant management), and total length of survival during follow-up. Of the thirteen trisomy 18 patients, seven underwent surgical management and six received expectant management. With surgical management, operative mortality was 29 %, and 80 % of patients were alive after a median follow-up of 116 days. With expectant management, 50 % of patients died before hospital discharge. Of the three patients with trisomy 13, one patient underwent surgical management and two received expectant management. The patient who received surgical management with complete repair was alive at last follow-up over 2 years after surgery; both patients managed expectantly died before hospital discharge. Trisomy 13 and trisomy 18 patients with comorbid congenital heart disease can undergo successful cardiac surgical intervention. In this population, we advocate that nearly all patients with cardiovascular indications for operative congenital heart disease intervention should be offered complete surgical repair over palliative approaches for moderately complex congenital cardiac anomalies.

  20. Revenue cycle optimization in health care institutions. A conceptual framework for change management.

    PubMed

    Mugdh, Mrinal; Pilla, Satya

    2012-01-01

    Health care providers in the United States are constantly faced with the enormous challenge of optimizing their revenue cycle to improve their overall financial performance. These challenges keep evolving in both scope and complexity owing to a host of internal and external factors. Furthermore, given the lack of control that health care providers have over external factors, any attempt to successfully optimize the revenue cycle hinges on several critical improvements aimed at realigning the internal factors. This study provides an integrated change management model that aims to reengineer and realign the people-process-technology framework by using the principles of lean and Six Sigma for revenue cycle optimization.

  1. [The management of errors and scientific fraud by biomedical journals: They cannot replace Institutions].

    PubMed

    Maisonneuve, Hervé

    2012-09-01

    Research integrity is not negotiable, but we regularly observe research misconduct, and journals are victims or guilty. Journals do not have the objective to assess research integrity: that's the Institutions' roles. Journals discover research misconduct when articles are reviewed (an editor or a reviewer detect signals), or after the article's publication when a reader or a whistleblower call the journal. The editors and reviewers' research misconduct are less described and not publicized in the medias. The peer-review system is criticised. If authors were fair-play, and reviews well done, the journals should not publish articles containing false data. The opponents to the peer-review system propose no alternatives to replace it. The anonymous peer reviews are questioned: it has never been proved that quality of anonymous reading was better than quality of open reading. The Open Access facilitated the creation of many journals. Some journals are excellent and got an impact factor; most journals have a poor quality and don't follow the publications ethics standards. When errors and fraud are identified, journals can publish 3 statements: erratum for errors, expression of concern for errors or fraud when evidence is not established, and retraction when evidence is obvious.

  2. A review of reception order in the management of mentally ill persons in a psychiatric institute

    PubMed Central

    Subramanian, Nakkeerar; Ramanathan, Rajkumar; Kumar, Venkatesh Madhan; Chellappan, Dhanabalan Kalingarayan Palayam; Ramasamy, Jeyaprakash

    2016-01-01

    Background: Mentally ill prisoners, when requiring admission in a psychiatric facility, have to be admitted only by a reception order of a judicial magistrate and convicts by warrants issued by the Government to jail superintendents and the superintendent of the hospital. Both can be only under Section 27 of The Mental Health Act, 1987. Materials and Methods: A study of the contents of reception order and warrants regarding the acts and section under which they were issued over 1 year period for the admission of the patients in the criminal ward of the Institute of Mental Health was carried out. Results: Only three reception orders quoted Section 27 out of 54 patients admitted under a reception order. Nineteen patients were admitted by the jail superintendents. Discussion: Various issues that were found in the reception order and their consequences are discussed, and a possible response to these issues is mooted. Conclusion: Almost none of the reception orders were found to be proper. This deficit needs to be rectified by sensitizing the various authorities. PMID:27385850

  3. [Management of breast cancers diagnosed at the Pasteur Institute of Madagascar from 1995 to 2001].

    PubMed

    Raharisolo Vololonantenaina, C R; Rabarijaona, L P; Rajemiarimoelisoa, C; Rasendramino, M; Migliani, R

    2002-01-01

    Breast cancer is a great problem of public health all over the world. In developed countries, breast cancer represents the most common cancer in females. Its incidence is also increasing in developing country. In Madagascar, no data is available to estimate the real incidence and prevalence rates of breast cancer. However, the data at the Institut Pasteur de Madagascar can confirm the extent of the problem even if it is not at a national scale. The authors report the results of a retrospective study from histological examination at the Laboratory of pathological anatomy of the IPM, during 7 years. Among 2,337 cases of cancer, 16% (373) were breast cancer. Most of them were a female breast cancer (356 cases). The average age is 48 years old. 30% of the tumors were more than 2 cm in size, corresponding at least to the T2 stade from the International Union Against Cancer anatomoclinical classification. The current histological type is the infiltrating ductal carcinoma (80%), about 2/3 belong to the grade 3 of the Scarff-Bloom-Richardson histopronostical classification. Early diagnosis of the cancer is difficult because of the insufficiency of the sanitary infrastructure, particularly for cervical and breast cancers. A national policy for screening must be set up in order to decrease the rate of these invasive carcinomas. In the meantime, informing women and training all the medical staff is a priority. Recording all the data in Madagascar would be desirable.

  4. [Implementation of the quality management system ISO/CD2 9001-2000 in a radiology institute].

    PubMed

    Fleisch, M; Hergan, K; Oser, W

    2000-02-01

    Quality assurance in health care, a relatively new discipline, has developed rapidly over the last years and is now required by law. The Quality Management System (QMS) ISO 9001 aims at the definition of requirements necessary in order to achieve perfect products and continuous quality improvement. Implementation of this QMS necessitates the analysis and written documentation of all working processes and modes of operation. Furthermore, potential improvement possibilities are defined to guarantee highly qualified, generally applicable and standardised procedures. Time-consuming data assessment is an instrument to enable disclosure and analysis of existing errors as well as to show possibilities of optimization, thus forming the basis for continuous improvement. The new ISO NORM 9001-2000 is process-orientated with an organisational structure strongly recommendable for service institutions and therefore also for a department of radiology.

  5. Improved mortality rate for congenital diaphragmatic hernia in the modern era of management: 15 year experience in a single institution

    PubMed Central

    Zalla, Jennifer M.; Stoddard, Gregory J.; Yoder, Bradley A.

    2014-01-01

    Background/Purpose Mortality rates with congenital diaphragmatic hernia (CDH) have remained at approximately 30% for the last 2 decades. Therapies targeting pulmonary hypertension (PHTN) have not been systematically studied in this population, but are increasingly used. We hypothesized that incremental changes in treatments for PHTN have improved mortality for CDH infants. Methods Prospective data from 1998–2013 on all liveborn CDH patients treated at our institution were retrospectively analyzed. Based on management of PHTN, 4 Eras were identified for comparison. Logistic and linear regression were used to compare characteristics. The primary outcome of death prior to discharge was analyzed by multivariable Cox regression modeling. Results The study included 192 infants who met inclusion criteria. Length of stay increased, while rates of primary repair decreased, suggesting a sicker cohort in the most recent Eras. Analysis of mortality across 4 Era’s showed no difference. By post-hoc analysis, ECMO availability was associated with mortality reduction for Era’s 3–4 versus 1–2 (HR=0.27, p < 0.001). Conclusions Improved survival at our institution may be related to recent introduction of ECMO and more aggressive approaches to pulmonary hypertension. Further systematic studies of these PHTN therapies in this specific population are warranted. PMID:25840055

  6. The evaluation of hospital laboratory information management systems based on the standards of the American National Standard Institute

    PubMed Central

    Isfahani, Sakineh Saghaeiannejad; Khajouei, Reza; Jahanbakhsh, Maryan; Mirmohamadi, Mahboubeh

    2014-01-01

    Introduction: Nowadays, modern laboratories are faced with a huge volume of information. One of the goals of the Laboratory Information Management System (LIMS) is to assist in the management of the information generated in the laboratory. This study intends to evaluate the LIMS based on the standards of the American National Standard Institute (ANSI). Materials and Methods: This research is a descriptive–analytical study, which had been conducted in 2011, on the LIMSs in use, in the teaching and private hospitals in Isfahan. The data collecting instrument was a checklist, which was made by evaluating three groups of information components namely: ‘System capabilities’, ‘work list functions,’ and ‘reporting’ based on LIS8-A. Data were analyzed using the SPSS 20. Data were analyzed using (relative) frequency, percentage. To compare the data the following statistical tests were used: Leven test, t-test, and Analysis of Variance (ANOVA). Results: The results of the study indicated that the LIMS had a low conformity (30%) with LIS8-A (P = 0.001), with no difference between teaching and private hospitals (P = 0.806). The ANOVA revealed that in terms of conformity with the LIS8-A standard, there was a significant difference between the systems produced by different vendors (P = 0.023). According to the results, a Kowsar system with more than %57 conformity in the three groups of information components had a better conformity to the standard, compared to the other systems. Conclusions: This study indicated that none of the LIMSs had a good conformity to the standard. It seems that system providers did not pay sufficient attention to many of the information components required by the standards when designing and developing their systems. It was suggested that standards from certified organizations and institutions be followed in the design and development process of health information systems. PMID:25077154

  7. 76 FR 23583 - Application of the Energy Planning and Management Program Power Marketing Initiative to the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-27

    ... Area Power Administration Application of the Energy Planning and Management Program Power Marketing... (Western), a Federal power marketing agency of the Department of Energy (DOE), will apply the Energy Planning and Management Program (Program) Power Marketing Initiative (PMI), as modified in this notice,...

  8. Surgical management of Wilms tumor with intravascular extension: a single-institution experience.

    PubMed

    Aspiazu, Diego; Fernandez-Pineda, Israel; Cabello, Rosa; Ramirez, Gema; Alvarez-Madrid, Antonio; De Agustin, Juan Carlos

    2012-02-01

    The purpose of this study was to retrospectively analyze the clinical presentation, treatment, and outcomes of children with Wilms tumor (WT) and intravascular extension who were treated at a single institution. A retrospective review was conducted of medical records of all children with Wilms tumor and intravascular extension treated at Virgen del Rocio Children's Hospital between 1992 and 2010. Seven patients (median age 3.4 years, range 2-8.1 years) were identified. At diagnosis, 6 of the 7 patients (85.7%) presented with tumor thrombus that reached the right atrium (RA) and 1 patient with infrahepatic inferior vena cava (IVC) thrombus. All patients received neoadjuvant chemotherapy (SIOP 2001 protocol) with vincristine, doxorubicin, and actinomycin D. Regression of the intravascular extension of the tumor was documented in all patients. Postchemotherapy level of extension was suprahepatic IVC in 1 patient, infrahepatic IVC in 2 patients, renal vein (RV) in 1 patient, and RA in 3 patients. Nephrectomy and thrombectomy were performed in all cases, requiring cardiopulmonary bypass for the 4 patients who presented with suprahepatic IVC and RA thrombus. The other 3 patients with infrahepatic IVC and RV involvement underwent cavotomy and thrombus extraction. Computed tomography, ultrasonography, and echocardiography were used for diagnosis and follow-up. All patients remain disease-free with a median follow-up of 6.3 years (range, 2-19 years). Neoadjuvant chemotherapy for WT with intravascular extension may facilitate the resection by decreasing the extent of the tumor thrombus. Cardiopulmonary bypass is indicated for suprahepatic IVC and RA involvement. Accurate diagnostic imaging is necessary.

  9. Surgical management of very late paravalvular leaks after mitral valve replacement: a single institutional experience

    PubMed Central

    Zhu, Jiasi; Sin, Yoong Kong; Chua, Yeow Leng

    2016-01-01

    Most mitral paravalvular leaks (PVLs) occur during the first year after mitral valve replacement (MVR). This report describes the surgical management of 6 patients who developed very late mitral PVLs. The median interval between MVR and initial diagnosis of PVL was 16.5 years. All patients presented with congestive cardiac failure and haemolytic anaemia. The median EuroSCORE II was 9.5%. Two patients (33%) had failed attempts at transcatheter closure. Five patients underwent suture repair of the PVL. One patient underwent MVR after removal of the previous prosthesis. No in-hospital mortalities occurred. At latest follow-up (median 3.3 years), 5 patients (83%) were asymptomatic with no residual PVL. Haemolytic anaemia persisted in 1 patient with a mild residual PVL. PVL occurring decades after MVR is a rare but serious complication. Reoperative surgery can be performed in these high-risk patients with satisfactory early and midterm outcomes. PMID:27747034

  10. Staged surgical management of hypoplastic left heart syndrome: a single institution 12 year experience

    PubMed Central

    McGuirk, S P; Griselli, M; Stumper, O F; Rumball, E M; Miller, P; Dhillon, R; de Giovanni, J V; Wright, J G; Barron, D J; Brawn, W J

    2006-01-01

    Objective To describe a 12 year experience with staged surgical management of the hypoplastic left heart syndrome (HLHS) and to identify the factors that influenced outcome. Methods Between December 1992 and June 2004, 333 patients with HLHS underwent a Norwood procedure (median age 4 days, range 0–217 days). Subsequently 203 patients underwent a bidirectional Glenn procedure (stage II) and 81 patients underwent a modified Fontan procedure (stage III). Follow up was complete (median interval 3.7 years, range 32 days to 11.3 years). Results Early mortality after the Norwood procedure was 29% (n  =  95); this decreased from 46% (first year) to 16% (last year; p < 0.05). Between stages, 49 patients died, 27 before stage II and 22 between stages II and III. There were one early and three late deaths after stage III. Actuarial survival (SEM) was 58% (3%) at one year and 50% (3%) at five and 10 years. On multivariable analysis, five factors influenced early mortality after the Norwood procedure (p < 0.05). Pulmonary blood flow supplied by a right ventricle to pulmonary artery (RV‐PA) conduit, arch reconstruction with pulmonary homograft patch, and increased operative weight improved early mortality. Increased periods of cardiopulmonary bypass and deep hypothermic circulatory arrest increased early mortality. Similar factors also influenced actuarial survival after the Norwood procedure. Conclusion This study identified an improvement in outcome after staged surgical management of HLHS, which was primarily attributable to changes in surgical technique. The RV‐PA conduit, in particular, was associated with a notable and independent improvement in early and actuarial survival. PMID:15939721

  11. Surgical management of medulla oblongata hemangioblastomas in one institution: an analysis of 62 cases

    PubMed Central

    Liu, Xuesong; Zhang, Yuekang; Hui, Xuhui; You, Chao; Yuan, Fang; Chen, Wenjing; Zhang, Si

    2015-01-01

    Object: Hemangioblastomas of the central nervous system are highly vascularized benign tumors. When the tumors are located in the medulla oblongata, intraoperative bleeding can make the surgical procedure very difficult. Preoperative embolism has been performed in cases of hemangioblastoma in recent decades. However, the complications of the embolization can result in fatal consequences, especially when the lesions are located in the brainstem. In recent years, selectively blocking the suspicious feeding arteries of the tumors during operation in conjunction with intraoperative neurophysiological monitoring has been performed in the Department of Neurosurgery at the West China Hospital. The purpose of this study is to review all cases that underwent this surgical management and to evaluate their outcomes. Method: Between 2003 and 2014, 62 patients (36 female and 26 male, mean age 35.6 years) underwent microsurgery resection of 67 medulla oblongata hemangioblastomas. The suspicious feeding arteries were identified preoperatively by CTA or DSA. During the operation, the suspicious feeding arteries were blocked selectively by motor evoked potential (MEP) and somatosensory evoked potential monitoring (SEP). Based on the retrospectively review of the clinical records and outpatient long-term follow-up visits, their clinical courses were analyzed. Functional outcomes were evaluated according to the classification of McCormick and the Karnofsky Performance Scale. Result: The maximum tumor diameter ranged from 0.8 to 5.1 cm (mean, 2.9 cm). Total tumor resection was achieved in 60 patients. Sixty-one tumors were removed en bloc, and the other six were resected in a piecemeal fashion. The mean follow-up period was 47 months. During the follow-up period, 34 patients remained neurologically stable, 27 patients recovered to a better status and 16 patients developed new transient neurological dysfunction. One patient died. Karnofsky performance scale scores were 100 in 14

  12. Management of traumatic hemipelvectomy: an institutional experience on four consecutive cases

    PubMed Central

    2013-01-01

    Background and objective The incidence of traumatic hemipelvectomy is rare, but it is a devastating injury. Recently, an increasing number of patients with traumatic hemipelvectomy are admitted to trauma centers alive due to improvements of the pre-hospital care. Successful management requires prompt recognition of the nature of this injury and meticulous surgical technique. We present our successful experiences on four cases of traumatic hemipelvectomy in the past nine years. Patients and methods Four cases with traumatic hemipelvectomy were admited to our hospital from June 21, 2002 to September 3, 2011. All injuries occurred due to vehicle accident and all patients were in a state of severe hypotension, with two of them having anal lacerations. These four cases were treated immediately with resuscitation, control of hemorrhage, early amputation, repeated debridement and closure of the wounds. An angiographic embolization was given to control hemorrhage in two of the cases preoperatively. One case underwent fecal diversion. Wound infection occurred in all of cases which was successfully controlled by repeated debridements, effective anti-biotic regimen, split-thickness skin grafts. Results All four cases were saved successfully with well-healed wounds during follow up from 1 to 7 years. They were able to walk by themself using crutches. Conclusion Adhering to the surgery principles of damage control including appropriate resuscitation, hemorrhage control, coagulopathy correction and multiple debridements and closure of the wounds in reasonable period of time can save the life of cases suffering from severe pelvic ring injury. PMID:23953033

  13. Business Planning for Cultural Heritage Institutions. A Framework and Resource Guide to Assist Cultural Heritage Institutions with Business Planning for Sustainability of Digital Asset Management Programs

    ERIC Educational Resources Information Center

    Bishoff, Liz; Allen, Nancy

    2004-01-01

    The purpose of this document is to present a framework and resource guide to help cultural heritage institutions plan sustainable access to their digital cultural assets and to do so by means that link their missions to planning modes and models. To aid cultural heritage organizations in the business-planning process, this resource will do the…

  14. Homogenisation in project management for large German research projects in the Earth system sciences: overcoming the institutional coordination bias

    NASA Astrophysics Data System (ADS)

    Rauser, Florian; Vamborg, Freja

    2016-04-01

    The interdisciplinary project on High Definition Clouds and Precipitation for advancing climate prediction HD(CP)2 (hdcp2.eu) is an example for the trend in fundamental research in Europe to increasingly focus on large national and international research programs that require strong scientific coordination. The current system has traditionally been host-based: project coordination activities and funding is placed at the host institute of the central lead PI of the project. This approach is simple and has the advantage of strong collaboration between project coordinator and lead PI, while exhibiting a list of strong, inherent disadvantages that are also mentioned in this session's description: no community best practice development, lack of integration between similar projects, inefficient methodology development and usage, and finally poor career development opportunities for the coordinators. Project coordinators often leave the project before it is finalized, leaving some of the fundamentally important closing processes to the PIs. This systematically prevents the creation of professional science management expertise within academia, which leads to an automatic imbalance that hinders the outcome of large research programs to help future funding decisions. Project coordinators in academia often do not work in a professional project office environment that could distribute activities and use professional tools and methods between different projects. Instead, every new project manager has to focus on methodological work anew (communication infrastructure, meetings, reporting), even though the technological needs of large research projects are similar. This decreases the efficiency of the coordination and leads to funding that is effectively misallocated. We propose to challenge this system by creating a permanent, virtual "Centre for Earth System Science Management CESSMA" (cessma.com), and changing the approach from host- based to centre-based. This should

  15. Promoting and Disseminating Good Practice in the Planning and Management of Educational Facilities: Capital Investment Strategic Planning - A Case Study, Gold Coast Institute of TAFE, Queensland, Australia.

    ERIC Educational Resources Information Center

    Crump, Kelvin

    This paper presents a case study of the process of capital investment strategic planning at the Gold Coast Institute of Technical and Further Education (TAFE), Queensland, Australia. Capital investment strategic planning is a means of contributing to success by providing strategies to ensure that assets are managed efficiently, effectively, and…

  16. The Use of Public Enlightenment Campaign Strategy and School Disciplinary Measures in the Management of Cultism in Tertiary Institutions in Nigeria

    ERIC Educational Resources Information Center

    Omemu, Felix

    2015-01-01

    The study investigated the perceptions of staff and students on the use of school disciplinary measures and public awareness campaign strategy in the management of cultism in tertiary institutions in Nigeria. The study is guided by two hypotheses tested using the t-test statistics. An instrument containing 10 items properly validated was used in…

  17. An Investigation of Burn-Out Levels of Teachers Working in Elementary and Secondary Educational Institutions and Their Attitudes to Classroom Management

    ERIC Educational Resources Information Center

    Yavuz, Mustafa

    2009-01-01

    In the present study, the burn-out levels of teachers working in elementary and secondary educational institutions and their attitudes and beliefs regarding classroom management are investigated with respect to gender, job seniority, class size and the types of schools they have been working in. This is a survey method research and quantitative…

  18. Public Progress, Data Management and the Land Grant Mission: A Survey of Agriculture Researchers' Practices and Attitudes at Two Land-Grant Institutions

    ERIC Educational Resources Information Center

    Fernandez, Peter; Eaker, Christopher; Swauger, Shea; Davis, Miriam L. E. Steiner

    2016-01-01

    This article reports results from a survey about data management practices and attitudes sent to agriculture researchers and extension personnel at the University of Tennessee Institute of Agriculture (UTIA) and the College of Agricultural Sciences and Warner College of Natural Resources at Colorado State University. Results confirm agriculture…

  19. Evaluating Higher Education. Papers from the International Journal of Institutional Management in Higher Education, Centre for Educational Research and Innovation, Organisation for Economic Co-operation and Development.

    ERIC Educational Resources Information Center

    Kogan, Maurice, Ed.

    This book contains 24 essays addressing higher education evaluation and published in the International Journal of Institutional Management in Higher Education between 1979 and 1986. They are as follows: "The Evaluation of Higher Education: An Introductory Note" (Maurice Kogan); "Allocation of Public Funds on Instructional Performance/Quality…

  20. The Contribution of Information Acquisition and Management Capacity to Administrators' Decision-Making Effectiveness in Tertiary Institutions in South-Western Nigeria

    ERIC Educational Resources Information Center

    Fabunmi, Martins; Erwat, Eseza Akiror

    2008-01-01

    This study investigated through empirical methods the extent to which information acquisition and information management capacity of administrators in tertiary institutions in South-Western Nigeria contributed to their decision-making effectiveness. It adopted the ex post facto survey research design, using the random sampling technique to select…

  1. Financial management and job social skills training components in a summer business institute: a controlled evaluation in high achieving predominantly ethnic minority youth.

    PubMed

    Donohue, Brad; Conway, Debbie; Beisecker, Monica; Murphy, Heather; Farley, Alisha; Waite, Melissa; Gugino, Kristin; Knatz, Danielle; Lopez-Frank, Carolina; Burns, Jack; Madison, Suzanne; Shorty, Carrie

    2005-07-01

    Ninety-two adolescents, predominantly ethnic minority high school students, participated in a structured Summer Business Institute (SBI). Participating youth were randomly assigned to receive either job social skills or financial management skills training components. Students who additionally received the job social skills training component were more likely to recommend their employment agency to others than were youth who received the financial management component, rated their overall on-the-job work experience more favorably, and demonstrated higher scores in areas that were relevant to the skills that were taught in the job social skills workshops. The financial management component also appeared to be relatively effective, as youth who received this intervention improved their knowledge of financial management issues more than youth who received job social skills, and rated their workshops as more helpful in financial management, as well as insurance management. Future directions are discussed in light of these results.

  2. Managing Conflicts of Interest in the UK National Institute for Health and Care Excellence (NICE) Clinical Guidelines Programme: Qualitative Study

    PubMed Central

    Graham, Tanya; Alderson, Phil; Stokes, Tim

    2015-01-01

    Background There is international concern that conflicts of interest (COI) may bias clinical guideline development and render it untrustworthy. Guideline COI policies exist with the aim of reducing this bias but it is not known how such policies are interpreted and used by guideline producing organisations. This study sought to determine how conflicts of interest (COIs) are disclosed and managed by a national clinical guideline developer (NICE: the UK National Institute for Health and Care Excellence). Methods Qualitative study using semi-structured telephone interviews with 14 key informants: 8 senior staff of NICE’s guideline development centres and 6 chairs of guideline development groups (GDGs). We conducted a thematic analysis. Results Participants regard the NICE COI policy as comprehensive leading to transparent and independent guidance. The application of the NICE COI policy is, however, not straightforward and clarity could be improved. Disclosure of COI relies on self reporting and guideline developers have to take “on trust” the information they receive, certain types of COI (non-financial) are difficult to categorise and manage and disclosed COI can impact on the ability to recruit clinical experts to GDGs. Participants considered it both disruptive and stressful to exclude members from GDG meetings when required by the COI policy. Nonetheless the impact of this disruption can be minimised with good group chairing skills. Conclusions We consider that the successful implementation of a COI policy in clinical guideline development requires clear policies and procedures, appropriate training of GDG chairs and an evaluation of how the policy is used in practice. PMID:25811754

  3. The Proposal Auto-Categorizer and Manager for Time Allocation Review at the Space Telescope Science Institute

    NASA Astrophysics Data System (ADS)

    Strolger, Louis-Gregory; Porter, Sophia; Lagerstrom, Jill; Weissman, Sarah; Reid, I. Neill; Garcia, Michael

    2017-04-01

    The Proposal Auto-Categorizer and Manager (PACMan) tool was written to respond to concerns about subjective flaws and potential biases in some aspects of the proposal review process for time allocation for the Hubble Space Telescope (HST), and to partially alleviate some of the anticipated additional workload from the James Webb Space Telescope (JWST) proposal review. PACMan is essentially a mixed-method Naive Bayesian spam filtering routine, with multiple pools representing scientific categories, that utilizes the Robinson method for combining token (or word) probabilities. PACMan was trained to make similar programmatic decisions in science category sorting, panelist selection, and proposal-to-panelists assignments to those made by individuals and committees in the Science Policies Group (SPG) at the Space Telescope Science Institute. Based on training from the previous cycle’s proposals, at an average of 87%, PACMan made the same science category assignments for proposals in Cycle 24 as the SPG. Tests for similar science categorizations, based on training using proposals from additional cycles, show that this accuracy can be further improved, to the > 95 % level. This tool will be used to augment or replace key functions in the Time Allocation Committee review processes in future HST and JWST cycles.

  4. Bioinformatics training: selecting an appropriate learning content management system--an example from the European Bioinformatics Institute.

    PubMed

    Wright, Victoria Ann; Vaughan, Brendan W; Laurent, Thomas; Lopez, Rodrigo; Brooksbank, Cath; Schneider, Maria Victoria

    2010-11-01

    Today's molecular life scientists are well educated in the emerging experimental tools of their trade, but when it comes to training on the myriad of resources and tools for dealing with biological data, a less ideal situation emerges. Often bioinformatics users receive no formal training on how to make the most of the bioinformatics resources and tools available in the public domain. The European Bioinformatics Institute, which is part of the European Molecular Biology Laboratory (EMBL-EBI), holds the world's most comprehensive collection of molecular data, and training the research community to exploit this information is embedded in the EBI's mission. We have evaluated eLearning, in parallel with face-to-face courses, as a means of training users of our data resources and tools. We anticipate that eLearning will become an increasingly important vehicle for delivering training to our growing user base, so we have undertaken an extensive review of Learning Content Management Systems (LCMSs). Here, we describe the process that we used, which considered the requirements of trainees, trainers and systems administrators, as well as taking into account our organizational values and needs. This review describes the literature survey, user discussions and scripted platform testing that we performed to narrow down our choice of platform from 36 to a single platform. We hope that it will serve as guidance for others who are seeking to incorporate eLearning into their bioinformatics training programmes.

  5. The pattern of performance management of community service learning empowerment in improving the entrepreneurship on the graduation candidate of Vocational Technology Education Institution

    NASA Astrophysics Data System (ADS)

    Hadromi

    2017-03-01

    The purpose of this research is to evaluate the pattern of performance management of Community Service Empowerment Learning-Universitas Negeri Semarang in improving the entrepreneurship of the graduate candidate of Vocational Technology Education Institution. This evaluation research uses Context Evaluation, Input evaluation, Process evaluation and Product evaluation method (CIPP) to evaluate the performance management of Community Service of Empowerment Learning-Universitas Negeri Semarang. The location of research was in Kandri Subdistrict-Indonesia. The subject of research is the Kandri Subdistrict community, especially the groups of the youth, students, subdistrict organizers, community organization, and culinery and handicraft industry, as well as the students who join the program of Community Service of Empowerment Learning-Universitas Negeri Semarang. The object of research is the pattern of perfomance management of Community Service Empowerment Learning-Universitas Negeri Semarang in improving the entrepreneurship of the graduation candidate of Vocational Technology Education Institution. The research result shows the pattern of Community Service Empowerment Learning-Universitas Negeri Semarang is able to improve the enterpreneurship of graduate candidate of Vocational Technology Education Institution. The pattern of Community Service Empowerment Community-Universitas Negeri Semarang which is Education for Sustainable Development (ESD)in the field of education, training, and assistance continuously can grasp and develop competency and balance mindset of students including triple bottom line which mutually connectedamong the sectors of social, economic, cultural, and environment so that it can increase the entrerpreneurship on the graduates candidate of Vocational Technology Education Institution

  6. Role of Palliative Radiotherapy in the Management of Metastatic Pediatric Neuroblastoma: A Retrospective Single-Institution Study

    SciTech Connect

    Caussa, Lucas; Hijal, Tarek; Michon, Jean; Helfre, Sylvie

    2011-01-01

    Purpose: Neuroblastoma is the most common extracranial solid tumor of childhood, and metastatic disease occurs in a majority of patients. Although radiotherapy (RT) plays an important role in the management of metastatic disease, data on the effectiveness of palliative RT, in this setting, is scarce. Methods and Materials: A retrospective review of the outcome of palliative RT in children with metastatic neuroblastoma was conducted at the Institut Curie. Results: Thirty-four children with 69 metastatic sites received palliative RT between 2000 and 2009. Sites of disease were grouped according to location, and there were 19 soft tissue, 38 bone, 9 central nervous system (CNS), and 3 hepatic metastases. Mean RT doses for the four groups were 19.6 Gy, 17.6 Gy, 17 Gy, and 5 Gy, respectively. Median survivals after RT were 27 days, 43 days, 29 days, and 27 days, respectively, for an overall median survival of 29.5 days. For the soft tissue metastases, good response was defined as a decrease >25% in the tumor mass or any decrease in pain; the response rate was 84.2%. Furthermore, a dose 15 Gy or more significantly increased response rate (100% vs. 57%; p = 0.038), compared with a dose smaller than 15 Gy. For the bone group and CNS metastases group, the overall response rates were 63.2% and 44%, respectively. A trend toward dose-response relationship was seen for the bone but not the CNS group. Conclusion: Good response rates are achieved with palliative RT for symptomatic metastatic pediatric neuroblastoma, but survival is dismal.

  7. Luminol testing in detecting modern human skeletal remains: a test on different types of bone tissue and a caveat for PMI interpretation.

    PubMed

    Caudullo, Giorgio; Caruso, Valentina; Cappella, Annalisa; Sguazza, Emanuela; Mazzarelli, Debora; Amadasi, Alberto; Cattaneo, Cristina

    2017-01-01

    When forensic pathologists and anthropologists have to deal with the evaluation of the post-mortem interval (PMI) in skeletal remains, luminol testing is frequently performed as a preliminary screening method. However, the repeatability of this test on the same bone, as well as comparative studies on different bones of the same individual, has never been performed. Therefore, with the aim of investigating the influence that different types of bones may exert on the response to the luminol test, the present study analysed three different skeletal elements (femoral diaphysis, vertebra and cranial vault), gathered from ten recent exhumed skeletons (all with a 20-year PMI). The analysis was performed twice on the same bone after 2 months: the analysis at time 0 concerned the whole bone, whereas the second concerned only a part of the same bone taken during the first test (which already had been broken). The overall results showed different responses, depending on the type of bone and on the integrity of the samples. Negative results at the first analysis (6.6% out of the total of samples) are consistent with what is reported in the literature, whilst at the second analysis, the increase of about 20% of false-negative results highlights that the luminol test ought to be performed with caution in case of broken bones or elements which are taphonomically altered. Results have thus proven that the exposition to environmental agents might result in haemoglobin (Hb) loss, as detected even after only 2 months. The study also focused on the crucial issue of the type of bone subjected to testing, remarking the suitability of the femoral diaphysis (100% of positive responses at the first analysis vs only 18% of false-negative results at the second test, corresponding to 5% of total false-negative results) as opposed to other bone elements that showed a low yield. In particular, the cranial vault gave poor results, with 40% of discrepancy between results from the two analyses

  8. Examination Management as a Way of Achieving Quality Assurance in ODL Institutions: The Case of Zimbabwe Open University

    ERIC Educational Resources Information Center

    Mafa, Onias; Gudhlanga, Enna Sukutai

    2012-01-01

    An examination is an important component of any institution that educates people. It is a form of assessment used to measure the students' understanding of the concepts and principles they would have learnt. Zimbabwe Open University, an Open and Distance Learning institution has been setting its own examinations for the academic programmes…

  9. Impact of Managerial Skills Learnt through MA Educational Planning Management Programme of AIOU on the Performance of Institutional Heads

    ERIC Educational Resources Information Center

    Chuadhry, Muhammad Asif; Shah, Syed Manzoor Hussain

    2012-01-01

    Management provides formal coordination in an organization for achieving pre-determined goals. The educational manager particulary performs his duties by using different planning and management techniques. These techniques are equally important for the manager of other sectors. The present study was focused on the impact of managerial skills…

  10. A mathematical model applied for assisting the estimation of PMI in a case of forensic importance. First record of Conicera similis (Diptera: Phoridae) in a corpse.

    PubMed

    García-Rojo, A M; Martínez-Sánchez, A; López, R; García de la Vega, J M; Rica, M; González, M; Disney, R H L

    2013-09-10

    We present a forensic case associated with skeletonized human remains found inside a cistern in a coastal town located in the eastern Iberian Peninsula (Valencian Regional Government, Spain). In order to analyse the particular environmental conditions that occurred during oviposition and development of the collected insects, estimated temperatures at the crime scene were calculated by a predictive mathematical model. This model analyses the correlation between the variability of the internal temperature depending on the variability of the external ones. The amplitude of the temperature oscillations inside the tank and the containment of the enclosure is reduced by the presence of water. Such variation occurred within about 2h due to the time required for heat exchange. The differential equations employed to model differences between outdoor and indoor temperatures were an essential tool which let us estimate the post-mortem interval (PMI) that was carried out by the study of the insect succession and the development time of the collected Diptera specimens under the adjusted temperatures. The presence of live larvae and pupae of Sarcophagidae and empty pupae of Calliphoridae, Sarcophagidae, Fanniidae, Muscidae, Phoridae and Piophilidae and the decomposition stage suggested the possibility that the remains were in the tank at least a year. We highlight the absence of Calliphora and Lucilia spp., and the first occurrence of the phorid Conicera similis in a human cadaver among the entomological evidence.

  11. The benefits of integrated systems for managing both samples and experimental data: An opportunity for labs in universities and government research institutions to lead the way.

    PubMed

    Macneil, Rory

    2011-06-27

    Currently most biomedical labs in universities and government funded research institutions use paper lab notebooks for recording experimental data and spreadsheets for managing sample data. One consequence is that sample management and documenting experiments are viewed as separate and distinct activities, notwithstanding that samples and aliquots are an integral part of a majority of the experiments carried out by these labs.Various drivers are pushing labs towards integrated management of sample data and experimental data. These include the ever increasing amounts of both kinds of data, the increasing adoption of online collaborative tools, changing expectations about online communication, and the increasing affordability of electronic lab notebooks and sample management software. There is now an opportunity for smaller labs, which have been slow to move from paper to electronic record keeping, to leapfrog better resourced commercial labs and lead the way in adopting the new generation of tools which permit integrated management of samples and experimental data and a range of tangible benefits to conducting research, including:1. Fewer lost and mislabelled samples2. Clearer visualization of relationships between samples and experiments3. Reduction of experimental error4. More effective search5. Productivity gains6. More efficient use of freezers, leading to cost reduction and enhanced sustainability7. Improved archiving and enhanced memory at the lab and institutional levels.

  12. The benefits of integrated systems for managing both samples and experimental data: An opportunity for labs in universities and government research institutions to lead the way

    PubMed Central

    2011-01-01

    Currently most biomedical labs in universities and government funded research institutions use paper lab notebooks for recording experimental data and spreadsheets for managing sample data. One consequence is that sample management and documenting experiments are viewed as separate and distinct activities, notwithstanding that samples and aliquots are an integral part of a majority of the experiments carried out by these labs. Various drivers are pushing labs towards integrated management of sample data and experimental data. These include the ever increasing amounts of both kinds of data, the increasing adoption of online collaborative tools, changing expectations about online communication, and the increasing affordability of electronic lab notebooks and sample management software. There is now an opportunity for smaller labs, which have been slow to move from paper to electronic record keeping, to leapfrog better resourced commercial labs and lead the way in adopting the new generation of tools which permit integrated management of samples and experimental data and a range of tangible benefits to conducting research, including: 1. Fewer lost and mislabelled samples 2. Clearer visualization of relationships between samples and experiments 3. Reduction of experimental error 4. More effective search 5. Productivity gains 6. More efficient use of freezers, leading to cost reduction and enhanced sustainability 7. Improved archiving and enhanced memory at the lab and institutional levels PMID:21707999

  13. Forensic use of a subtropical blowfly: the first case indicating minimum postmortem interval (mPMI) in southern Brazil and first record of Sarconesia chlorogaster from a human corpse.

    PubMed

    Vairo, Karine P; Corrêa, Rodrigo C; Lecheta, Melise C; Caneparo, Maria F; Mise, Kleber M; Preti, Daniel; de Carvalho, Claudio J B; Almeida, Lucia M; Moura, Mauricio O

    2015-01-01

    Southern Brazil is unique due to its subtropical climate. Here, we report on the first forensic entomology case and the first record of Sarconesia chlorogaster (Wiedemann) in a human corpse in this region. Flies' samples were collected from a body indoors at 20°C. Four species were found, but only Chrysomya albiceps (Wiedemann) and S. chlorogaster were used to estimate the minimum postmortem interval (mPMI). The mPMI was calculated using accumulated degree hour (ADH) and developmental time. The S. chlorogaster puparium collected was light in color, so we used an experiment to establish a more accurate estimate for time since initiation of pupation where we found full tanning after 3 h. Development of C. albiceps at 20°C to the end of the third instar is 7.4 days. The mPMI based on S. chlorogaster (developmental time until the third instar with no more than 3 h of pupae development) was 7.6 days.

  14. Institutional evolution of a community-based programme for malaria control through larval source management in Dar es Salaam, United Republic of Tanzania

    PubMed Central

    2014-01-01

    Background Community-based service delivery is vital to the effectiveness, affordability and sustainability of vector control generally, and to labour-intensive larval source management (LSM) programmes in particular. Case description The institutional evolution of a city-level, community-based LSM programme over 14 years in urban Dar es Salaam, Tanzania, illustrates how operational research projects can contribute to public health governance and to the establishment of sustainable service delivery programmes. Implementation, management and governance of this LSM programme is framed within a nested set of spatially-defined relationships between mosquitoes, residents, government and research institutions that build upward from neighbourhood to city and national scales. Discussion and evaluation The clear hierarchical structure associated with vertical, centralized management of decentralized, community-based service delivery, as well as increasingly clear differentiation of partner roles and responsibilities across several spatial scales, contributed to the evolution and subsequent growth of the programme. Conclusions The UMCP was based on the principle of an integrated operational research project that evolved over time as the City Council gradually took more responsibility for management. The central role of Dar es Salaam’s City Council in coordinating LSM implementation enabled that flexibility; the institutionalization of management and planning in local administrative structures enhanced community-mobilization and funding possibilities at national and international levels. Ultimately, the high degree of program ownership by the City Council and three municipalities, coupled with catalytic donor funding and technical support from expert overseas partners have enabled establishment of a sustainable, internally-funded programme implemented by the National Ministry of Health and Social Welfare and supported by national research and training institutes. PMID

  15. 75 FR 19966 - Boulder Canyon Project-Post-2017 Application of the Energy Planning and Management Program Power...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-16

    ... Management Program Power Marketing Initiative AGENCY: Western Area Power Administration, DOE. ACTION: Notice... Southwest Region, a Federal power marketing agency of the Department of Energy (DOE), is extending the... Marketing Initiative (PMI) (10 CFR part 905) to the Boulder Canyon Project (BCP). This Federal...

  16. 12 CFR 615.5182 - Interest rate risk management by associations and other Farm Credit System institutions other...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... OPERATIONS, AND FUNDING OPERATIONS Risk Assessment and Management § 615.5182 Interest rate risk management by... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Interest rate risk management by associations..., with interest rate risk that could lead to significant declines in net income or in the market value...

  17. 12 CFR 615.5182 - Interest rate risk management by associations and other Farm Credit System institutions other...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... OPERATIONS, AND FUNDING OPERATIONS Risk Assessment and Management § 615.5182 Interest rate risk management by... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Interest rate risk management by associations... interest rate risk that could lead to significant declines in net income or in the market value of...

  18. 12 CFR 615.5182 - Interest rate risk management by associations and other Farm Credit System institutions other...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... OPERATIONS, AND FUNDING OPERATIONS Risk Assessment and Management § 615.5182 Interest rate risk management by... 12 Banks and Banking 7 2013-01-01 2013-01-01 false Interest rate risk management by associations... interest rate risk that could lead to significant declines in net income or in the market value of...

  19. 12 CFR 615.5182 - Interest rate risk management by associations and other Farm Credit System institutions other...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... OPERATIONS, AND FUNDING OPERATIONS Risk Assessment and Management § 615.5182 Interest rate risk management by... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Interest rate risk management by associations... interest rate risk that could lead to significant declines in net income or in the market value of...

  20. How can we learn to live with rivers? The findings of the Institution of Civil Engineers Presidential Commission on flood-risk management.

    PubMed

    Fleming, George

    2002-07-15

    In the wake of the floods of 1998 and 2000 the Government invited the Institution of Civil Engineers (ICE) to carry out a technical review of flood-risk management in England and Wales and to consider the most appropriate approaches to flood-risk management for the 21st century. The findings of this Commission are published in the ICE report Learning to live with rivers. Further information on the Commission and its work is available at www.icenet.org.uk/presidential.htm. This paper provides an introduction to the need for such a review and the scope of the Commission's work. A summary of the findings of the Commission are presented along with key recommendations for improved flood-risk management in the future.

  1. The use of fund accounting and the need for single fund reporting by institutional healthcare providers. Principles and Practices Board Statement No. 8. Healthcare Financial Management Association.

    PubMed

    1986-06-01

    For many years, hospitals and other institutional healthcare providers used fund accounting as a basis for presenting their financial statements. Recently, authoritative literature has placed less emphasis on separate fund reporting. This is evidenced by the reduction of fund classifications specified in the literature. This trend seems to follow the recognition that institutional healthcare activities should be reported in a manner comparable to other businesses. The Principles and Practices Board (P&P Board) of the Healthcare Financial management Association believes that general purpose financial statements of institutional healthcare providers should be comparable to reporting by other businesses. That is, all assets, liabilities, and equity are presented in a single aggregated balance sheet without differentiation by fund. This form of presentation, referred to in this statement as single fund reporting, should be used by all institutional healthcare providers including those that are part of HMOs, universities, municipalities, and other larger entities when separate reports of the provider are issued. The P&P Board is studying other significant issues concerning the reporting of revenues and components of equity and changes therein. The conclusion in this statement can be implemented even though conclusions on these related subjects are not yet complete. The P&P Board recognizes that certain circumstances may require detailed records and reports for special purposes. This statement deals only with those general purpose financial statements on which an independent accountant's opinion is expressed.

  2. Managing Transitions: Examining the Institutional Army’s Transformation Following the Vietnam War and Operation Iraqi Freedom

    DTIC Science & Technology

    2015-05-23

    Act: (BCA) Potential Impact of Sequestration on Health Reform Spending”, Congressional Research Service (Washington DC: GPO, 2013), 2. The FY2013...leaders who managed the post-Vietnam transformation were more effective in managing the reform efforts than the leaders who managed the defense...transformation efforts in the early part of the Twenty-first Century. The post-Vietnam reform was developed with a solid doctrinal underpinning that informed

  3. Total Quality Management (TQM) in Self-Financed Technical Institutions: A Quality Function Deployment (QFD) and Force Field Analysis Approach

    ERIC Educational Resources Information Center

    Thakkar, Jitesh; Deshmukh, S. G.; Shastree, Anil

    2006-01-01

    Purpose: To explore the potential for adoption of TQM in self-financed technical institutions in the light of new demands and challenges posed by customers/students and society. Design/methodology/approach: The paper presents use of quality function deployment (QFD) which prioritizes technical requirements and correlates them with various…

  4. Police, Design, Plan and Manage: Developing a Framework for Integrating Staff Roles and Institutional Policies into a Plagiarism Prevention Strategy

    ERIC Educational Resources Information Center

    Walker, Christopher; White, Melanie

    2014-01-01

    When student plagiarism occurs, academic interest and institutional policy generally assume the fault rests with the student. This paper questions this assumption. We claim that plagiarism is a shared responsibility and a complex phenomenon that requires an ongoing calibration of the relative skills and experiences of students and staff in…

  5. Managing Information Technology as a Catalyst of Change. Track VI: Information Delivery To Support the Institutional Mission.

    ERIC Educational Resources Information Center

    CAUSE, Boulder, CO.

    The 1993 CAUSE Conference presented eight papers on the use of information technology to support the mission of colleges and universities. Papers include: (1) "Institutional Imaging: Sharing the Campus Image" (Carl Jacobson), which describes the University of Delaware's campus-wide information system; (2) "Electronic Paper…

  6. Actualizing panarchy within environmental policy: mechanisms for tweaking institutional hierarchies to mimic the social-ecological systems they manage

    EPA Science Inventory

    Environmental law plays a key role in shaping approaches to sustainability. In particular, the role of legal instruments, institutions, and the relationship of law to the inherent variability in social-ecological systems is critical. Sustainability likely must occur via the insti...

  7. Disaster Preparedness in the American Academy: A Study of Institutional Context Factors for Compliance with the National Incident Management System

    ERIC Educational Resources Information Center

    Wilder, Paul Joseph

    2012-01-01

    Recent major disaster events at colleges and universities around the nation have demonstrated that change is needed in the way that higher education institutions (HEIs) approach disaster preparation. The comforting notion that HEIs are immune to natural and manmade hazards has been shattered by events such as the Virginia Tech massacre and…

  8. From Data to Knowledge: The Interaction between Data Management Systems in Educational Institutions and the Delivery of Quality Education

    ERIC Educational Resources Information Center

    Tolley, Hilary; Shulruf, Boaz

    2009-01-01

    No school is an island; it is a part of a continuum or a pipeline of institutions which together form an educational pipeline through which groups of students pass. To turn a body of data into useful information for knowledge-based decision-making at any level, data must be collected, organised, analysed and reflected upon. The purpose of this…

  9. Diffusion of Innovations Approach to the Evaluation of Learning Management System Usage in an Open Distance Learning Institution

    ERIC Educational Resources Information Center

    Mkhize, Peter; Mtsweni, Samuel; Buthelezi, Portia

    2016-01-01

    Academic institutions such as the University of South Africa (Unisa) are using information and communication technology (ICT) in order to conduct their daily primary operations, which are teaching and learning. Unisa is the only distance learning university in South Africa and also in Africa. Unisa currently has the highest number of students on…

  10. Development and Pilot Testing of a Food Safety Curriculum for Managers and Staff of Residential Childcare Institutions (RCCIs)

    ERIC Educational Resources Information Center

    Pivarnik, Lori F.; Patnoad, Martha S.; Nyachuba, David; McLandsborough, Lynne; Couto, Stephen; Hagan, Elsina E.; Breau, Marti

    2013-01-01

    Food safety training materials, targeted for residential childcare institution (RCCI) staff of facilities of 20 residents or less, were developed, piloted, and evaluated. The goal was to assist in the implementation of a Hazard Analysis Critical Control Points (HACCP)-based food safety plan as required by Food and Nutrition Service/United States…

  11. The Impact of the Australian Government's Quality Assurance Program on Institutional Roles and Management Processes. AIR 1994 Annual Forum Paper.

    ERIC Educational Resources Information Center

    Lindsay, Alan

    In Australia the Federal Government plays a dominant role in higher education funding. Changes to the role and structure of the higher education system in 1988 aligned the universities more closely with national economic goals and sent the message to institutions that they were expected to adopt a more managerial mode of operation in order to…

  12. Examination of Student, Program, and Institutional Support Characteristics That Relate to PGA Golf Management Students' Intent to Persist

    ERIC Educational Resources Information Center

    Cain, Christopher

    2013-01-01

    The examination of student (entry characteristics, academic performance, career goals, and interaction with peers and faculty), program (programmatic interventions, academic major, and learning communities), and institutional support characteristics (financial aid and residence) that relate to cohort intent to persist are studied among 490 PGA…

  13. Internationalization of Higher Education Institutions in Latvia and Turkey: Its Management and Development during the Last Decade

    ERIC Educational Resources Information Center

    Burçer, Sibel; Kangro, Ilze

    2016-01-01

    This paper aims at examining internationalization in higher education in two countries: Latvia and Turkey. The analysis is based on three dimensions of internationalization: institutional, organizational, and educational. Recently, under the influence of global processes, the internationalization takes form through the perspectives of three…

  14. Fostering the Development and Implementation of Principles for Managing Ethics in Higher Education Institutions: An International Comparative Perspective

    ERIC Educational Resources Information Center

    Marmolejo, Francisco

    2006-01-01

    In today's world, higher education faces important opportunities and challenges, many of which are new and unexpected. The increased complexity of higher education institutions themselves is reflected in the expansion of their roles and responsibilities. These roles and responsibilities include: greater demands for regional engagement and other…

  15. Negotiating Worlds, Managing Subjectivities, and Redefining Selves: The Lived Experiences of African American Undergraduate Females at Predominately White Institutions

    ERIC Educational Resources Information Center

    Allen, Ayana Ma-el

    2010-01-01

    A narrative analysis of the lived experiences of seven undergraduate African American females at Predominately White Institutions (PWIs) is presented in this study. The purpose of the study was to explore the ways the seven women constructed their identity and self-concept in the context of their PWI environment. Other key purposes of the study…

  16. A Graduate Program in Institutional Pharmacy Management Leading to an MS in Hospital Pharmacy, MBA and Residency.

    ERIC Educational Resources Information Center

    Blair, Jan N.; Lipman, Arthur G.

    1981-01-01

    A combined program leading to the MS in Hospital Pharmacy, MBA, and Certificate of Residency in Hospital Pharmacy established at the University of Utah in 1978 is described. The program provides coursework in both hospital pharmacy and management plus practical experience in hospital pharmacy practice management. (Author/MLW)

  17. An Analysis of the Perceived Usefulness of AFIT’s (Air Force Institute of Technology) Graduate Engineering Management Program.

    DTIC Science & Technology

    1983-09-01

    AFB OH. 2. Babcock, David L. "Engineering Management: Origins & Growth," Engineering Education, January 1980, p. 349. 3. Badawy , M. K. Developing...Management Program." Unpublished pamphlet, AFIT/LSM, Wright- Patterson AFB OH, 1980. 20. Meri-Akri, Major Alexander , USAF, and Major Gail H. Walton, USAF

  18. Disability Management in the Workplace: Report from the Study Group. Institute on Rehabilitation Issues (16th, Savannah, Georgia, October 1989).

    ERIC Educational Resources Information Center

    Hooser, Jack Van; Rice, B. Douglas

    This guide is intended to aid rehabilitation agencies to plan, develop, and implement disability management programs. The study group which developed the guide looked at the impact of such programs on employers as well as on employees who become disabled. Chapter 1 provides a historical overview of disability management including motivating…

  19. Multi-Institutional Evaluation of Digital Tomosynthesis, Dual-Energy Radiography, and Conventional Chest Radiography for the Detection and Management of Pulmonary Nodules.

    PubMed

    Dobbins, James T; McAdams, H Page; Sabol, John M; Chakraborty, Dev P; Kazerooni, Ella A; Reddy, Gautham P; Vikgren, Jenny; Båth, Magnus

    2017-01-01

    Purpose To conduct a multi-institutional, multireader study to compare the performance of digital tomosynthesis, dual-energy (DE) imaging, and conventional chest radiography for pulmonary nodule detection and management. Materials and Methods In this binational, institutional review board-approved, HIPAA-compliant prospective study, 158 subjects (43 subjects with normal findings) were enrolled at four institutions. Informed consent was obtained prior to enrollment. Subjects underwent chest computed tomography (CT) and imaging with conventional chest radiography (posteroanterior and lateral), DE imaging, and tomosynthesis with a flat-panel imaging device. Three experienced thoracic radiologists identified true locations of nodules (n = 516, 3-20-mm diameters) with CT and recommended case management by using Fleischner Society guidelines. Five other radiologists marked nodules and indicated case management by using images from conventional chest radiography, conventional chest radiography plus DE imaging, tomosynthesis, and tomosynthesis plus DE imaging. Sensitivity, specificity, and overall accuracy were measured by using the free-response receiver operating characteristic method and the receiver operating characteristic method for nodule detection and case management, respectively. Results were further analyzed according to nodule diameter categories (3-4 mm, >4 mm to 6 mm, >6 mm to 8 mm, and >8 mm to 20 mm). Results Maximum lesion localization fraction was higher for tomosynthesis than for conventional chest radiography in all nodule size categories (3.55-fold for all nodules, P < .001; 95% confidence interval [CI]: 2.96, 4.15). Case-level sensitivity was higher with tomosynthesis than with conventional chest radiography for all nodules (1.49-fold, P < .001; 95% CI: 1.25, 1.73). Case management decisions showed better overall accuracy with tomosynthesis than with conventional chest radiography, as given by the area under the receiver operating characteristic curve

  20. A mini-midwifery business institute in a midwifery professional roles course: an innovative teaching strategy for successful career planning and business management of practice.

    PubMed

    Jesse, D Elizabeth; Dewees, Connie; McDowell, William C

    2015-01-01

    It is essential to include teaching strategies in midwifery education that address career planning and the business aspects of practice. This article presents the Mini-Midwifery Business Institute (M-MBI), an innovative teaching strategy for midwives that can also be applied to other advanced practice professions. The M-MBI can be integrated into a professional roles course. Before and after graduation, midwifery students and other advanced practice professionals can use the information to gain confidence and skills for successful career planning and the business management of practice.

  1. Seasonal influenza in adults and children--diagnosis, treatment, chemoprophylaxis, and institutional outbreak management: clinical practice guidelines of the Infectious Diseases Society of America.

    PubMed

    Harper, Scott A; Bradley, John S; Englund, Janet A; File, Thomas M; Gravenstein, Stefan; Hayden, Frederick G; McGeer, Allison J; Neuzil, Kathleen M; Pavia, Andrew T; Tapper, Michael L; Uyeki, Timothy M; Zimmerman, Richard K

    2009-04-15

    Guidelines for the treatment of persons with influenza virus infection were prepared by an Expert Panel of the Infectious Diseases Society of America. The evidence-based guidelines encompass diagnostic issues, treatment and chemoprophylaxis with antiviral medications, and issues related to institutional outbreak management for seasonal (interpandemic) influenza. They are intended for use by physicians in all medical specialties with direct patient care, because influenza virus infection is common in communities during influenza season and may be encountered by practitioners caring for a wide variety of patients.

  2. Contextual and interdependent causes of climate change adaptation barriers: Insights from water management institutions in Himachal Pradesh, India.

    PubMed

    Azhoni, Adani; Holman, Ian; Jude, Simon

    2017-01-15

    Research on adaptation barriers is increasing as the need for climate change adaptation becomes evident. However, empirical studies regarding the emergence, causes and sustenance of adaptation barriers remain limited. This research identifies key contextual causes of adaptation barriers in water institutions in the mountainous Himalayan state of Himachal Pradesh in northern India. Semi-structured interviews were carried out with representatives from twenty-six key governmental, non-governmental, academic and research institutions in the State with responsibilities spanning domestic water supply, irrigation and hydropower generation, environmental monitoring and research. It identified low knowledge capacity and resources, policy implementation gaps, normative attitudes, and unavailability and inaccessibility of data and information compounded with weak interinstitutional networks as key adaptation barriers. Although these barriers are similar to those reported elsewhere, they have important locally-contextual root causes. For instance, inadequate resources result from fragmented resources allocation due to competing developmental priorities and the desire of the political leadership to please diverse electors, rather than climate scepticism. The identified individual barriers are found to be highly inter-dependent and closely intertwined which enables the identification of leverage points for interventions to maximise barrier removal. For instance, breaking down key barriers hindering accessibility to data and information, which are shaped by systemic bureaucracies and cultural attitudes, will involve attitudinal change through sensitisation to the importance of accurate and accessible data and information and the building trust between different actors, in addition to institutional structural changes through legislation and inter-institutional agreements. Approaching barriers as a system of contextually interconnected cultural, systemic, geographical and political

  3. Institutional and legal arrangements in the Nile river basin: suggestions to improve the current situation toward adaptive integrated water resources management.

    PubMed

    Abdalla, Khalid Mohamed El Hassan

    2008-01-01

    A comparative study was conducted in this work in order to investigate the current situation in the Nile river basin (NRB) regarding the institutional and legal arrangements needed to support the adaptive integrated water resources management (AIWRM) strategy. Two similar river basins were selected to achieve this comparison and to introduce suggestions to reform the current situation in the basin. Before that, the ideal situation is investigated to be as a yardstick for the desired situation. The study indicated that the necessary AIWRM criteria may include regulatory as well as implementation organizations that support shared-vision reaching with its all necessary features (cooperation, stakeholders' participation, subsidiarity, and information and knowledge exchange). Thus the main features of the desired situations regarding AIWRM in river basins are stakeholders' participation, learning-driven ability, quick response to risks and uncertainties, and finally a legal framework that could support these criteria. Although the AIWRM criteria seem to be satisfied in NRB, the basin lacks the necessary regulatory institutions as well as the legal framework. According to this, this study recommends to reform the current situation in NRB by creating regulator institutions (policy and decision making level) as well a legal framework to legitimate them.

  4. Future Directions for Pain Management: Lessons from the Institute of Medicine Pain Report and the National Pain Strategy.

    PubMed

    Mackey, Sean

    2016-02-01

    According to the Institute of Medicine Relieving Pain in America Report and the soon to be released National Pain Strategy, pain affects over 100 million Americans and costs our country in over $500 billion per year. We have a greater appreciation for the complex nature of pain and that it can develop into a disease in itself. As such, we need more efforts on prevention of chronic pain and for interdisciplinary approaches. For precision pain medicine to be successful, we need to link learning health systems with pain biomarkers (eg, genomics, proteomics, patient reported outcomes, brain markers) and its treatment.

  5. Knowledge, Awareness and Attitude towards Emergency Management of Dental Trauma among the Parents of Kolkata-An Institutional Study

    PubMed Central

    Jain, Parul; Angrish, Paras; Saha, Subrata; Patra, Tamal Kanti; Saha, Nilanjana; Mitra, Malay

    2016-01-01

    Introduction Traumatic dental injuries are one of the commonly encountered dental emergencies. Missing anterior tooth in children due to any injury can be a source of considerable physical and psychological discomfort for the child. The prognosis of some dental injuries depends to a great extent on parents’ knowledge of correct and prompt emergency measures. Aim The purpose of this cross-sectional study was to assess the knowledge, attitude and awareness level of parents regarding the emergency management of dental trauma and to find out the relation of the responses to social variables. Materials and Methods A total of 2000 parents were surveyed over a period of three months using a pretested close ended questionnaire prepared in English, Hindi as well as in the regional language which was divided into three parts: Part 1 contained questions on personal information, Part 2 on an imaginary case of trauma to assess their knowledge regarding trauma management and Part 3 related to their attitude towards dental trauma management education. The data was statistically analysed using descriptive and chi-square statistics. Results The overall knowledge of parents regarding emergency management of trauma was not satisfactory. Although most of the people were in favour of taking professional consultation for emergency management of trauma but most of them were unaware of the steps that need to be taken on their part so as to minimize complications and improve prognosis. Conclusion Educational campaigns are the need of the day to increase the knowledge of parents regarding emergency management of dental trauma. PMID:27630963

  6. AQUATIC ECOSYSTEM PROTECTION AND FISHERIES MANAGEMENT IN THE MID-ATLANTIC HIGHLANDS (USA) USING WHAT IF: A COLLABORATION OF THE CANAAN VALLEY INSTITUTE, THE OFFICE OF RESEARCH AND DEVELOPMENT AND REGION III

    EPA Science Inventory

    As described in its Highlands Action Program, the Canaan Valley Institute (CVI) partnered with the US EPA to develop a watershed assessment and management tool that allows managers to evaluate riparian restoration actions to improve instream habitat quality and aquatic community ...

  7. An institutional approach to the management of the 'Can't Intubate, Can't Oxygenate' emergency in children.

    PubMed

    Sabato, Stefano C; Long, Elliot

    2016-08-01

    The 'Can't Intubate Can't Oxygenate' emergency is rare in children. Nevertheless, airway clinicians involved in pediatric airway management must be able to rescue the airway percutaneously through the front of the neck should this situation be encountered. Little evidence exists in children to guide rescue techniques, and extrapolation of adult evidence may be problematic due to anatomical differences. This document reviews the currently available evidence, and presents a practical approach to standardizing equipment, techniques, and training for managing the 'Can't Intubate Can't Oxygenate' emergency in children.

  8. Nature's medicines: traditional knowledge and intellectual property management. Case studies from the National Institutes of Health (NIH), USA.

    PubMed

    Gupta, Ranjan; Gabrielsen, Bjarne; Ferguson, Steven M

    2005-12-01

    With the emergence and re-emergence of infectious diseases and development of multi-drug resistance, there is a dire need to find newer cures and to produce more drugs and vaccines in the pipeline. To meet these increasing demands biomedical researchers and pharmaceutical companies are combining advanced methods of drug discovery, such as combinatorial chemistry, high-throughput screening and genomics, with conventional approaches using natural products and traditional knowledge. However, such approaches require much international cooperation and understanding of international laws and conventions as well as local customs and traditions. This article reviews the forty years of cumulative experience at the National Institutes of Health (initiated by the National Cancer Institute) in natural products drug discovery. It presents (1) three major cooperative programs (2) the legal mechanisms for cooperation and (3) illustrative case studies from these programs. We hope that these discussions and our lessons learned would be helpful to others seeking to develop their own models of cooperation for the benefit of global health.

  9. Nature's Medicines: Traditional Knowledge and Intellectual Property Management. Case Studies from the National Institutes of Health (NIH), USA

    PubMed Central

    Gupta, Ranjan; Gabrielsen, Bjarne; Ferguson, Steven M.

    2009-01-01

    With the emergence and re-emergence of infectious diseases and development of multi-drug resistance, there is a dire need to find newer cures and to produce more drugs and vaccines in the pipeline. To meet these increasing demands biomedical researchers and pharmaceutical companies are combining advanced methods of drug discovery, such as combinatorial chemistry, high-throughput screening and genomics, with conventional approaches using natural products and traditional knowledge. However, such approaches require much international cooperation and understanding of international laws and conventions as well as local customs and traditions. This article reviews the forty years of cumulative experience at the National Institutes of Health (initiated by the National Cancer Institute) in natural products drug discovery. It presents (1) three major cooperative programs (2) the legal mechanisms for cooperation and (3) illustrative case studies from these programs. We hope that these discussions and our lessons learned would be helpful to others seeking to develop their own models of cooperation for the benefit of global health. PMID:16475917

  10. 2008 Mississippi Curriculum Framework: Postsecondary Food Production and Management Technology. (Program CIP: 12.0508 - Institutional Food Workers)

    ERIC Educational Resources Information Center

    Carver, Matthew; Hoff, Jody; Little, Lisa; Samuel, Carolyn

    2008-01-01

    As the world economy continues to evolve, businesses and industries must adopt new practices and processes in order to survive. Quality and cost control, work teams and participatory management, and an infusion of technology are transforming the way people work and do business. Employees are now expected to read, write, and communicate…

  11. Evaluation of the Effectiveness of Management Development Institutions of Higher Education on the Basis of the Factor and Criterion Model

    ERIC Educational Resources Information Center

    Badrtdinov, Nail N.; Gorobets, Daniil V.

    2016-01-01

    The relevance of the investigated problem is conditioned by absence of the single approach to the common criteria and mechanisms of a pedagogical educational establishment's assessment; the current assessment principles of planning and management are out-of-date. The aim of this article is to analyze theoretical approaches and concepts of…

  12. Noise Management in Twenty-First Century Libraries: Case Studies of Four U.S. Academic Institutions

    ERIC Educational Resources Information Center

    Franks, Janet E.; Asher, Darla C.

    2014-01-01

    University libraries have had to provide acceptable noise levels for many years and this pressure has not diminished in the twenty-first century. Library space has to be utilized to ensure noise levels are best managed. A study was undertaken across four university libraries in South Florida to determine how universities utilized their limited…

  13. Meeting the Growing Demand for Sustainability-Focused Management Education: A Case Study of a PRME Academic Institution

    ERIC Educational Resources Information Center

    Young, Suzanne; Nagpal, Swati

    2013-01-01

    The current business landscape has created the impetus to develop management graduates with capabilities that foster responsible leadership and sustainability. Through the lens of Gitsham's 3C Model (Complexity, Context and Connection) of graduate capabilities, this paper discusses the experience of implementing the United Nations Principles for…

  14. Managing the Tensions between Maintaining Academic Standards and the Commercial Imperative in a UK Private Sector Higher Education Institution

    ERIC Educational Resources Information Center

    Pitcher, Graham Simons

    2013-01-01

    In a changing landscape of higher education, universities have been moving towards a market-led approach to strategic management. This paper examines the case of a UK private sector education provider that gained degree-awarding powers following changes made in 2004 by the UK Government to the accreditation criteria for recognised degree-awarding…

  15. Management Research Center Report To The External Degree Planning Consortium Of The Policy Institute, SURC On Identification Of Learning Materials.

    ERIC Educational Resources Information Center

    Fisk, George; Nehmadi, David

    A system has been developed to identify, locate and evaluate learning materials for use in an external degree program in management at Syracuse University. It consists of five elements, each of which is a set of physical objects or documents: the interaction of these sets transforms the demand for learning materials into an output of retrieved…

  16. Managing Transitions: Examining the Institutional Army’s Transformation Following the Vietnam War and Operation Iraqi Freedom

    DTIC Science & Technology

    2015-05-23

    for Battlefield Management Systems now identified as “Digitization” Force XXI Battle Command, Brigade and below (FBCB2) and led Vetronics -applying...to Development of AirLand Battle (ALB) .................................................................. 31 Part III: Case Study 2: From OIF to RAF...particular wars, campaigns, battles , generals and armies. Yet historians have largely neglected the course of events leading to given wars

  17. Planning, Management and Evaluation. Advanced Institutional Development Program (AIDP) Two-year College Consortium, Vol. 1, No. 1.

    ERIC Educational Resources Information Center

    McManis, Gerald L.

    The purpose of this manual is to offer assistance to colleges and universities involved with, or interested in, improvement in their fundamental administrative process in a manner compatible with the Planning, Management and Evaluation System (PME) approach articulated by the United States Office of Education. Planning is defined as that…

  18. The Construction of an Environmental Management Model Based on Sustainability Indicators on a Higher Education Institution in Mexico

    ERIC Educational Resources Information Center

    Nieblas-Ortiz, Efrain C.; Arcos-Vega, José L.; Sevilla-García, Juan J.

    2017-01-01

    Without depreciating the importance of environmental regulations directed to university environmental managements systems in this country, nowadays, the instruments of international importance like the Sustainable Development Goals or ONU's 2030 Agenda; as well as those of domestic nature, like sustainability indicators proposed by the Mexican…

  19. An Example of Continuous Information on the Basic Activities of a University. Programme on Institutional Management in Higher Education.

    ERIC Educational Resources Information Center

    Jadot, Jean

    The dangers in abstract management within the university setting are described and considered in terms of the development of techniques that would enable the university to fully comprehend the content of its activities. The "Report on Unit Activities" at the Catholic University of Louvain is reviewed, dealing with the two-yearly…

  20. Experience in the management of disused lightning rods containing 241Am in a research institute in Brazil.

    PubMed

    Vicente, Roberto; Potiens, Ademar; Sakata, Solange; Dellamano, José

    2013-11-01

    Radioactive lightning rods (RLR) were manufactured and installed in Brazil for almost two decades, before they were prohibited in 1989. Structures protected by this type of lightning preventers included residential buildings, schools, commercial and industrial facilities, among others. It is estimated that about 3.4 TBq of 241Am were used by manufacturers, and a total of 75,000 pieces with a mean activity of about 46 MBq were in the market. While only a fraction of the total has been recovered, the almost twenty thousand pieces already collected at the Nuclear and Energy Research Institute (IPEN) had their sources successfully separated from the remaining recyclable metal scrap and are now encapsulated in lead containers for final disposal.

  1. Future Directions for Pain Management: Lessons from the Institute of Medicine Pain Report and the National Pain Strategy

    PubMed Central

    Mackey, Sean

    2016-01-01

    Synopsis According to the Institute of Medicine Relieving Pain in America Report and the subsequently released National Pain Strategy, pain affects over 100 million Americans and costs our country in excess of half a trillion dollars per year. We are having a greater appreciation for the complex nature of pain and that it can develop into a disease in itself. As such, we need to focus more efforts on prevention of chronic pain and the need for interdisciplinary approaches particularly for the most persistent pain problems. For the goal of precision pain medicine to be successful, we need to link learning health systems with biomarkers (e.g. genomics, proteomics, patient reported outcomes, brain markers) of chronic pain and its treatment. PMID:26611393

  2. Institution Closures.

    ERIC Educational Resources Information Center

    Hayden, Mary F., Ed.; And Others

    1995-01-01

    This newsletter theme issue focuses on the need to accelerate the closing of institutions for people with mental retardation. Articles are by both current and former residents of institutions and by professionals, and include: "The Realities of Institutions" (Tia Nelis); "I Cry Out So That I Won't Go Insane" (Mary F. Hayden); "Trends in…

  3. Error management in blood establishments: results of eight years of experience (2003–2010) at the Croatian Institute of Transfusion Medicine

    PubMed Central

    Vuk, Tomislav; Barišić, Marijan; Očić, Tihomir; Mihaljević, Ivanka; Šarlija, Dorotea; Jukić, Irena

    2012-01-01

    Background. Continuous and efficient error management, including procedures from error detection to their resolution and prevention, is an important part of quality management in blood establishments. At the Croatian Institute of Transfusion Medicine (CITM), error management has been systematically performed since 2003. Materials and methods. Data derived from error management at the CITM during an 8-year period (2003–2010) formed the basis of this study. Throughout the study period, errors were reported to the Department of Quality Assurance. In addition to surveys and the necessary corrective activities, errors were analysed and classified according to the Medical Event Reporting System for Transfusion Medicine (MERS-TM). Results. During the study period, a total of 2,068 errors were recorded, including 1,778 (86.0%) in blood bank activities and 290 (14.0%) in blood transfusion services. As many as 1,744 (84.3%) errors were detected before issue of the product or service. Among the 324 errors identified upon release from the CITM, 163 (50.3%) errors were detected by customers and reported as complaints. In only five cases was an error detected after blood product transfusion however without any harmful consequences for the patients. All errors were, therefore, evaluated as “near miss” and “no harm” events. Fifty-two (2.5%) errors were evaluated as high-risk events. With regards to blood bank activities, the highest proportion of errors occurred in the processes of labelling (27.1%) and blood collection (23.7%). With regards to blood transfusion services, errors related to blood product issuing prevailed (24.5%). Conclusion. This study shows that comprehensive management of errors, including near miss errors, can generate data on the functioning of transfusion services, which is a precondition for implementation of efficient corrective and preventive actions that will ensure further improvement of the quality and safety of transfusion treatment. PMID

  4. New Water Management Institutions in Mexico’s ‘New Culture of Water’: Emerging Opportunities and Challenges for Effective Use of Climate Knowledge and Climate Science

    NASA Astrophysics Data System (ADS)

    Wilder, M.; Varady, R. G.; Pineda Pablos, N.; Browning-Aiken, A.; Diaz Caravantes, R.; Garfin, G.

    2007-05-01

    Since 1992, Mexico has developed a new set of water management institutions to usher in a ‘new culture of water’ that focuses on decentralized governance and formalized participation of local water users. Reforms to the national water legislation in April 2004 regionalized the governance of water and highlighted the importance of river basin councils as a mechanism for integrated management of major watersheds across Mexico. As a result of the dramatic national water policy reforms, water service delivery in Mexico has been decentralized to the state and municipal level, resulting in a critical new role for municipal governments charged with this important function. A network of river basin councils accompanied and sub-basin councils has been developed to undertake watershed planning. Decentralization and local participation policies embody numerous significant goals and promises, including greater efficiency, more financial accountability, fostering the beginnings of a sense of local stewardship of precious resources, and enhanced environmental sustainability. This paper examines the implications of municipalized water services and emerging river basin councils for utilization of climate knowledge and climate science. We analyze whether these changes open new windows of opportunity for meaningful use of climate science (e.g., forecasts; models). How effectively are municipal water managers and river basin councils utilizing climate knowledge and climate science, and for what purposes? Are there ways to improve the fit between the needs of water managers and river basin councils and the science that is currently available? What is the role of local participation in water policy making in urban settings and river basin councils? The study found overall that the promises and potential for effective utilization of climate science/knowledge to enhance sustainability exists, but is not yet being adequately realized. Binational efforts to develop climate science and

  5. Contextual and interdependent causes of climate change adaptation barriers for water management: responses from regional and local institutions in Himachal Pradesh, India

    NASA Astrophysics Data System (ADS)

    Azhoni, Adani; Holman, Ian; Jude, Simon

    2016-04-01

    Research on adaptation barriers is gaining increasing prominence as the need for climate change adaptation becomes evident. This research seeks to identify and understand the reasons for key barriers preventing water institutions in the mountainous Himalayan state of Himachal Pradesh in northern India from adapting to climate change. Semi-structured interviews were carried out in January & February 2015 with representatives from twenty-seven key governmental, academic, NGO and commercial institutions in the State, with responsibilities spanning from municipal water supply to irrigation and hydropower generation in addition to environmental conservation. Empirical analysis of the transcripts found that inadequate knowledge capacity, poor implementation of policies, inadequate resources, normative work culture, weak governance, unavailability and inaccessibility of data & information and limited inter-institutional networks are key barriers for adaptation. Although these generic barriers are similar to those reported elsewhere in literature, they are identified as having locally-contextual root causes. For example, the inadequate resources are identified to be occurring as a consequence of the fragmentation of resources allocation among others. This is due to competing developmental priorities and the desire of the political leadership to please the maximum number of electors rather than the more-usual inadequate budgetary allocation and climate scepticism. The identified individual barriers are found to be highly inter-dependent and closely intertwined which enables the identification of leverage points of interventions that can maximise removal of barriers. For example, breaking down key barriers for data and information accessibility will have to involve normative attitudinal change, through sensitisation of the larger picture of the role of accurate and accessible data; changes in working style involving moving from paper-based data management to digital; and

  6. Institutional Transformation Model

    SciTech Connect

    2015-10-19

    Reducing the energy consumption of large institutions with dozens to hundreds of existing buildings while maintaining and improving existing infrastructure is a critical economic and environmental challenge. SNL's Institutional Transformation (IX) work integrates facilities and infrastructure sustainability technology capabilities and collaborative decision support modeling approaches to help facilities managers at Sandia National Laboratories (SNL) simulate different future energy reduction strategies and meet long term energy conservation goals.

  7. Great Lakes Energy Institute

    SciTech Connect

    Alexander, J. Iwan

    2012-11-18

    The vision of the Great Lakes Energy Institute is to enable the transition to advanced, sustainable energy generation, storage, distribution and utilization through coordinated research, development, and education. The Institute will place emphasis on translating leading edge research into next generation energy technology. The Institute’s research thrusts focus on coordinated research in decentralized power generation devices (e.g. fuel cells, wind turbines, solar photovoltaic devices), management of electrical power transmission and distribution, energy storage, and energy efficiency.

  8. International Project Management Committee: Overview and Activities

    NASA Technical Reports Server (NTRS)

    Hoffman, Edward

    2010-01-01

    This slide presentation discusses the purpose and composition of the International Project Management Committee (IMPC). The IMPC was established by members of 15 space agencies, companies and professional organizations. The goal of the committee is to establish a means to share experiences and best practices with space project/program management practitioners at the global level. The space agencies that are involved are: AEB, DLR, ESA, ISRO, JAXA, KARI, and NASA. The industrial and professional organizational members are Comau, COSPAR, PMI, and Thales Alenia Space.

  9. Health Utility Outcomes in Patients Undergoing Medical Management for Chronic Rhinosinusitis – A Prospective Multi-Institutional Study

    PubMed Central

    Luk, Lauren J.; Steele, Toby O.; Mace, Jess C.; Soler, Zachary M.; Rudmik, Luke; Smith, Timothy L.

    2015-01-01

    Background A health utility value represents an individual’s preference for living in a specific health state and is used in cost-utility analyses. This study investigates the impact of continuing medical therapy on health utility outcomes in patients with chronic rhinosinusitis (CRS). Methods The Medical Outcomes Study Short Form-6D (SF-6D) was administered to patients prospectively enrolled in a longitudinal study examining treatment outcomes for CRS. Patients were prescribed robust, initial medical therapy and then elected to continue with medical therapy (n=40) or undergo endoscopic sinus surgery (ESS), followed by medical therapy (n=152). Patients observed through treatment crossover to ESS were also evaluated (n=20). Health utility values (SF-6D) were generated at baseline, 6-months, and 12-months follow-up for both cohorts and evaluated using repeated measures ANOVA. Results Treatment crossover patients were found to have a significantly higher prevalence of previous sinus surgery compared to medical management (χ2=6.91; p=0.009) and surgical intervention (χ2=8.11; p=0.004) subgroups. Mean baseline utility value for the medical therapy cohort was significantly better compared to the ESS cohort (0.76[0.12] versus 0.70[0.15]; p=0.023). Significant improvement in health utility was reported in the ESS cohort (F(2)=37.69; p<0.001), while values remained stable, without significant improvement, in both the medical therapy cohort (F(2)=0.03; p=0.967) and treatment crossover cohort (F(2)=2.36; p=0.115). Conclusions Patients electing continued medical management report better baseline health utility compared to patients electing ESS. Patients electing ESS demonstrate significant improvement in health utility while those electing continued medical management demonstrate stable health utility over 12 months. PMID:26140502

  10. Practice parameter for the prevention and management of aggressive behavior in child and adolescent psychiatric institutions, with special reference to seclusion and restraint.

    PubMed

    Masters, Kim J; Bellonci, Christopher; Bernet, William; Arnold, Valerie; Beitchman, Joseph; Benson, R Scott; Bukstein, Oscar; Kinlan, Joan; McClellan, Jon; Rue, David; Shaw, Jon A; Stock, Saundra

    2002-02-01

    This parameter reviews the current state of the prevention and management of child and adolescent aggressive behavior in psychiatric institutions, with particular reference to the indications and use of seclusion and restraint. It also presents guidelines that have been developed in response to professional, regulatory, and public concern about the use of restrictive interventions with aggressive patients with regard to personal safety and patient rights. The literature on the use of seclusion, physical restraint, mechanical restraint, and chemical restraint is reviewed, and procedures for carrying out each of these interventions are described. Clinical and regulatory agency perspectives on these interventions are presented. Effectiveness, indications, contraindications, complications, and adverse effects of seclusion and restraint procedures are addressed. Interventions are presented to provide more opportunities to promote patient independence and satisfaction with treatment while diminishing the necessity of using restrictive procedures.

  11. Summary of the practice parameter for the prevention and management of aggressive behavior in child and adolescent psychiatric institutions with special reference to seclusion and restraint.

    PubMed

    Masters, K J; Bellonci, C; Bernet, W; Arnold, V; Beitchman, J; Benson, S; Bukstein, O; Kinlan, J; McClellan, J; Rue, D; Shaw, J A; Stock, S; Kroeger, K

    2001-11-01

    This parameter reviews the current state of the prevention and management of child and adolescent aggressive behavior in psychiatric institutions, with particular reference to the indications and use of seclusion and restraint. It also presents guidelines that have been developed in response to professional, regulatory, and public concern about the use of restrictive interventions with aggressive patients with regard to personal safety and patient rights. The literature on the use of seclusion, physical restraint, mechanical restraint, and chemical restraint is reviewed, and procedures for carrying out each of these interventions are described. Clinical and regulatory agency perspectives on these interventions are presented. Effectiveness, indications, contraindications, complications, and adverse effects of seclusion and restraint procedures are addressed. Interventions are presented to provide more opportunities to promote patient independence and satisfaction with treatment while diminishing the necessity of using restrictive procedures.

  12. A qualitative content analysis of global health engagements in Peacekeeping and Stability Operations Institute's stability operations lessons learned and information management system.

    PubMed

    Nang, Roberto N; Monahan, Felicia; Diehl, Glendon B; French, Daniel

    2015-04-01

    Many institutions collect reports in databases to make important lessons-learned available to their members. The Uniformed Services University of the Health Sciences collaborated with the Peacekeeping and Stability Operations Institute to conduct a descriptive and qualitative analysis of global health engagements (GHEs) contained in the Stability Operations Lessons Learned and Information Management System (SOLLIMS). This study used a summative qualitative content analysis approach involving six steps: (1) a comprehensive search; (2) two-stage reading and screening process to identify first-hand, health-related records; (3) qualitative and quantitative data analysis using MAXQDA, a software program; (4) a word cloud to illustrate word frequencies and interrelationships; (5) coding of individual themes and validation of the coding scheme; and (6) identification of relationships in the data and overarching lessons-learned. The individual codes with the most number of text segments coded included: planning, personnel, interorganizational coordination, communication/information sharing, and resources/supplies. When compared to the Department of Defense's (DoD's) evolving GHE principles and capabilities, the SOLLIMS coding scheme appeared to align well with the list of GHE capabilities developed by the Department of Defense Global Health Working Group. The results of this study will inform practitioners of global health and encourage additional qualitative analysis of other lessons-learned databases.

  13. Introducing operations research into management and policy practices of a non-governmental organization (NGO): a partnership between an Indian leprosy NGO and an international academic institution.

    PubMed

    Porter, J D H; Ogden, J A; Rao, P V Ranganadha; Rao, V Prabhakar; Rajesh, D; Buskade, R A; Soutar, D

    2004-03-01

    This paper reports on a partnership between LEPRA, a non-governmental organization (NGO), and the London School of Hygiene and Tropical Medicine (LSHTM) to explore the feasibility and appropriateness of incorporating operations research into the management and decision-making of a leprosy NGO. A pilot study in Orissa was used to determine the advantages and disadvantages of introducing operations research to assist in decision-making and programme implementation within the organization. The results highlight the difficulty and complexity of the process, but point to several important themes: partnership, changing perspectives, use of time and priority-setting, identification of gaps in systems, and building institutional and personal capabilities. The results of the study provide support to encourage NGOs to become actively involved in research. Because of their work and service to local communities, NGOs have the opportunity to collect information about the perceptions, resources and constraints of individuals, families and the communities themselves in accessing appropriate care. Their proximity to communities gives them a feeling of responsibility for ensuring that this information is translated to the district, national and ultimately international level. This will help to ensure the creation of appropriate infectious disease control policies that support the needs of patients. 'Outside' academic institutions can help NGOs to facilitate this up-stream flow of information from the local to the national and international level, to help to ensure that international disease control policies are appropriately serving local communities.

  14. Ebola virus disease: Case management in the Institute of Infectious Diseases, University Hospital of Sassari, Sardinia, Italy.

    PubMed

    Bertoli, Giulia; Mannazzu, Marco; Madeddu, Giordano; Are, Riccardo; Muredda, Alberto; Babudieri, Sergio; Calia, Giovanna; Lovigu, Carla; Maida, Ivana; Contini, Luciana; Miscali, Anna; Rubino, Salvatore; Delogu, Fiorenzo; Mura, Maria Stella

    2016-05-31

    Since the onset of the worst epidemic of Ebola virus disease in December 2013, 28,637 cases were reported as confirmed, probable, or suspected. Since the week of 3 January 2016, no more cases have been reported. The total number of deaths have amounted to 11,315 (39.5%). In developed countries, seven cases have been diagnosed: four in the United States, one in Spain, one in the United Kingdom, and one in Italy. On 20 July 2015, Italy was declared Ebola-free. On 9 May 2015, an Italian health worker came back to Italy after a long stay in Sierra Leone working for a non-governmental organization. Forty-eight hours after his arrival, he noticed headache, weakness, muscle pains, and slight fever. The following day, he was safely transported to the Infectious Diseases Unit of University Hospital of Sassari. The patient was hospitalized for 19 hours until an Italian Air Force medical division transferred him to Rome, to the Lazzaro Spallanzani Institute. Nineteen people who had contacts with the patient were monitored daily for 21 days by the Public Health Office of Sassari and none presented any symptoms. So far, neither vaccine nor treatment is available to be proposed on an international scale. Ebola is considered a re-emerging infectious disease which, unlike in the past, has been a worldwide emergency. This case study aimed to establish a discussion about the operative and logistic difficulties to be faced and about the discrepancy arising when protocols clash with the reality of facts.

  15. Major Events Coordinated Security Solutions: The Application of the Project Management Body of Knowledge for Managing a Science and Technology Project

    DTIC Science & Technology

    2011-02-01

    scientifiques, technologues et autres professionnels de RDDC ainsi que d’autres ministères et organismes fédéraux. La gestion de ces données aurait été...commitment to professionalism, competency and continuous learning. The Project Management Body of Knowledge (PMBOK), one of the standards established by PMI...vendor without sufficient justification. A detailed specification was developed and the requirement was competed . A total of five bids were received

  16. Management of neuroblastoma: a study of first- and second-line chemotherapy responses, a single institution experience

    PubMed Central

    Habib, Emmad E.; El-Kashef, Amr T.; Fahmy, Ezzat S.

    2012-01-01

    Neuroblastoma is a high-grade malignancy of childhood. It is chemo- and radio-sensitive but prone to relapse after initial remission. The aim of the current study was to study the results of the first- and second-line chemotherapy on the short-term response and long-term survival of children, and to further describe the side effects of treatment. Ninety-five children with advanced neuroblastoma were included in the study, divided into two groups according to the treatment strategy: 65 were treated by first-line chemotherapy alone, and 30 children who were not responding or relapsed after first-line chemotherapy were treated by second-line chemotherapy. External beam radiotherapy was given to bone and brain secondary cancers when detected. Staging workup was performed before, during and after management. Response was documented after surgery for the primary tumor. Median follow up was 32 months (range 24–60 months). Chemothe rapy was continued until toxicity or disease progression occurred, indicating interruption of chemotherapy. Patients received a maximum of 8 cycles. Toxicity was mainly myelo-suppression, with grade II-III severity in 60% of the firstline and 70% of the second-line chemotherapy patients. Median total actuarial survival was nearly 51 months for the first-line chemotherapy group and 30 months for the second-line line group, with a statistically significant difference between the two groups (P<0.01). PMID:25992205

  17. Diverticulectomy in the Management of Intradiverticular Bladder Tumors: A Twelve-Year Experience at a Single Institution.

    PubMed

    Bourgi, Ali; Ayoub, Elias; Merhej, Sleiman

    2016-01-01

    Purpose. In this retrospective case review we analyze the outcomes of patients treated for intradiverticular bladder tumors (IDT). Materials and Methods. A retrospective case review was done between January 2002 and May 2014 in Hotel-Dieu de France hospital. The series included 17 patients diagnosed with IDT, all males with a mean age of 49.8 years. Results. One patient was treated with tumor resection and adjuvant BCG instillation with no recurrence on follow-up cystoscopies and urine cytologies. 64% of patients were treated by diverticulectomy. Mean follow-up time was 38.7 months. At the end of the follow-up, 81% were disease-free. One patient had a radical cystectomy 6 months after diverticulectomy for recurrent high grade tumor; another one had a nodal metastasis 10 months after diverticulectomy and was managed with chemotherapy. 29% of patients were treated with radical cystectomy. Mean follow-up time was 28.4 months. No recurrence was documented on annual CT scans. Conclusions. Our data support a conservative approach for tumors confined to the bladder diverticulum, even in high grade or in the presence of CIS provided complete removal is feasible and close follow-up is ensured.

  18. Submandibular intubation as an alternative for intra-operative airway management in maxillofacial fractures - our institutional experience

    PubMed Central

    Banerjee, Praveer K; Jain, Abhineet; Behera, Bikram

    2016-01-01

    Background and Aims: Airway management in anaesthesia for maxillofacial surgical procedures is tricky at times when the nasal/oral routes are contraindicated or are impossible. Tracheostomy as an alternative inherits its own complications. We present a case series of the submandibular route for tracheal intubation as an alternative. Methods: The procedure was performed in ten selected adult patients with maxillofacial/mandibular fractures associated with a fracture of skull base or nasal bone. All of them were medically stable with no need of intensive care or mechanical ventilation in post-operative period. Results: Submandibular intubation in all ten patients of panfacial fractures allowed uninterrupted surgical techniques with a secured airway. All patients were reverted to oro-tracheal tube at the end of surgery as immediate maxillomandibular fixation was not necessary. The patients were extubated after recovery from anaesthesia before they left the operating theatre. One patient in the post-operative period had a superficial infection of incision site that responded well to local treatment. No other complications were encountered in the intra-operative or post-operative period. Conclusion: In complex maxillofacial injuries, when oral or nasal intubation hampers surgeon's field of view, submandibular intubation offers an effective alternative to short-term tracheostomy along with small risk potential. There is a need to emphasise its regular application in such cases so that technique can be mastered by both surgeons and anaesthesiologist. PMID:27601740

  19. Changes in the management and survival rates of patients with oral cancer: a 30-year single-institution study

    PubMed Central

    2016-01-01

    Objectives The aim of the present study was to evaluate changes in the management and 5-year survival rates of patients with oral cancer in our department over a 30-year period. Materials and Methods We investigated the patient distributions, treatment methods, method of neck dissection according to cancer stage, and 5-year survival rates for 700 oral cancer patients over the periods of 1982–1996 (256 patients), 1999–2006 (248 patients), and 2007–2011 (196 patients). Results Stage IV patients were the largest group in all of the time periods evaluated. Although surgery and radiotherapy were the most common methods in all periods (over 50%), the prevalence of patients who underwent concomitant chemoradiotherapy increased from 7.0% to 16.2%. The use of radical neck dissection decreased from 43.0% to 5.3%, while conservative surgical methods increased from 24.1% to 76.3%. Lastly, the overall 5-year survival rate increased from 31.6% to 63.5% during the study period. Conclusion Although the 5-year survival rate reached the same level as that of other developed countries during the course of our study, most patients continue to come to the hospital with stage IV disease. In order to increase the 5-year survival rate of oral carcinoma, it may be necessary to improve public education and social efforts relevant to early diagnosis. PMID:26904492

  20. Hospital preparedness and management of patients affected by viral haemorrhagic fever or smallpox at the Lazzaro Spallanzani Institute, Italy.

    PubMed

    Ippolito, G; Nicastri, E; Capobianchi, M; Di Caro, A; Petrosillo, N; Puro, V

    2005-03-01

    The US cases of anthrax in 2001 and the recent severe acute respiratory syndrome outbreak have heightened the need for preparedness and response to naturally emerging and re-emerging infections or deliberately released biological agents. This report describes the response model of the Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani (INMI), Rome, Italy for managing patients suspected of or affected by smallpox or viral haemorrhagic fever (VHF) either in the context of an intentional release or natural occurrence. The INMI is Italy's leading hospital in its preparedness and response plan to bioterrorism-related infectious agents. All single and double rooms of INMI are equipped with negative air pressure, sealed doors, high efficiency particulate air (HEPA) filters and a fully-equipped anteroom; moreover, a dedicated high isolation unit with a laboratory next door for the initial diagnostic assays is available for admission of sporadic patients requiring high isolation. For patient transportation, two fully equipped ambulances and two stretcher isolators with a negative pressure section are available. Biomolecular and traditional diagnostic assays are currently performed in the biosafety level 3/4 (BSL 3/4) laboratories. Continuing education and training of hospital staff, consistent application of infection control practices, and availability of adequate personnel protective equipment are additional resources implemented for the care of highly infectious patients and to maintain the readiness of an appropriately trained workforce to handle large scale outbreaks.

  1. Management of Spent Nuclear Fuel of Nuclear Research Reactor VVR-S at the National Institute of Physics and Nuclear Engineering, Bucharest, Romania

    NASA Astrophysics Data System (ADS)

    Biro, Lucian

    2009-05-01

    The Nuclear Research Reactor VVR-S (RR-VVR-S) located in Magurele-Bucharest, Romania, was designed for research and radioisotope production. It was commissioned in 1957 and operated without any event or accident for forty years until shut down in 1997. In 2002, by government decree, it was permanently shutdown for decommissioning. The National Institute of Physics and Nuclear Engineering (IFIN-HH) is responsible for decommissioning the RR-VVR-S, the first nuclear decommissioning project in Romania. In this context, IFIN-HH prepared and obtained approval from the Romanian Nuclear Regulatory Body for the Decommissioning Plan. One of the most important aspects for decommissioning the RR-VVR-S is solving the issue of the fresh and spent nuclear fuel (SNF) stored on site in wet storage pools. In the framework of the Russian Research Reactor Fuel Return Program (RRRFR), managed by the U.S. Department of Energy and in cooperation with the International Atomic Energy Agency and the Rosatom State Corporation, Romania repatriated all fresh HEU fuel to the Russian Federation in 2003 and the HEU SNF will be repatriated to Russia in 2009. With the experience and lessons learned from this action and with the financial support of the Romanian Government it will be possible for Romania to also repatriate the LEU SNF to the Russian Federation before starting the dismantling and decontamination of the nuclear facility. [4pt] In collaboration with K. Allen, Idaho National Laboratory, USA; L. Biro, National Commission for Nuclear Activities Control, Romania; and M. Dragusin, National Institute of Physics and Nuclear Engineering, Bucharest-Magurele, Romania.

  2. Institute Born of Gratitude.

    ERIC Educational Resources Information Center

    McLellan, Vin

    1980-01-01

    The Wang Institute of Graduate Studies plans to offer a master's degree in software engineering. The development of an academic program to produce superior, technically qualified managers for the computer industry's software production is discussed. (Journal availability: Datamation, 666 Fifth Ave., New York, NY 10103.) (MLW)

  3. Leadership in Educational Institutions

    ERIC Educational Resources Information Center

    Sunko, Esmeralda

    2012-01-01

    Many questions concerning quality of functioning and effectiveness are connected with the management of education as a professional field in educational organizations. The role of educational leadership in an educational organization raises many questions related to legislative regulations of activities, issues of institutional placement,…

  4. Tribal Resource Institute in Business, Engineering, and Science (T.R.I.B.E.S.). Part I, TRIBES Energy and Resource Management Simulation. Part II, Creative Writing--Essays submitted by the T.R.I.B.E.S. Students.

    ERIC Educational Resources Information Center

    Veirs, Val; And Others

    The expository and creaive writing of Native American high school students enrolled in a summer program at Colorado College sponsored by TRIBES (Tribal Resource Institute in Business, Engineering, and Science) is featured in this document. Part 1 presents a simulation problem in energy and resource management followed by reports submitted by 28…

  5. Community Involvement as an Effective Institutional Control at the Weldon Spring Site, a U.S. Department of Energy Office of Legacy Management Site

    SciTech Connect

    Deyo, Y.E.; Pauling, T.

    2006-07-01

    The U.S. Department of Energy (DOE) Weldon Spring Site Remedial Action Project (WSSRAP) was conducted for the purpose of remediating a portion of a former trinitrotoluene and dinitrotoluene production plant that was operational from 1941 to 1945 and a former uranium refinery that was operational from 1957 to 1966. Surface remediation activities concluded in 2001 with the completion of a 45-acre (.18 square kilometer) on-site engineered disposal facility. Long-term surveillance and maintenance activities at the site were officially transferred to the DOE Office of Legacy Management in 2003. The Weldon Spring Site is located within the St. Louis, Missouri, metropolitan area (population 3 million). DOE's close relationship with surrounding land owners created a need for innovative solutions to long-term surveillance and maintenance issues at the site. Through a Secretarial proclamation, a plan was established for development of a comprehensive public involvement and education program. This program would act as an institutional control to communicate the historical legacy of the site and would make information available about contamination present at the site to guide people in making decisions about appropriate site activities. In August 2002, the Weldon Spring Site Interpretive Center opened to the public with exhibits about the history of the area, the remediation work that was completed, and a site information repository that is available to visitors. In addition, the Hamburg Trail for hiking and biking was constructed as a joint DOE/MDC effort. The 8-mile trail travels through both DOE and MDC property; a series of historical markers posted along its length to communicate the history of the area and the remediation work that was done as part of WSSRAP activities. A ramp and viewing platform with informational plaques were constructed on the disposal cell to provide an additional mechanism for public education. With a basic marketing program, site visitor-ship has

  6. Commercial and Institutional Case Studies

    EPA Pesticide Factsheets

    Throughout the country, commercial and institutional (CI) building owners and facility managers are taking actions to reduce their water use, implementing many of the operations and maintenance, retrofit, and replacement projects.

  7. Understanding the response of commercial and institutional organizations to the California energy crisis. A report to the California Energy Commission - Sylvia Bender, Project Manager

    SciTech Connect

    Lutzenhiser, Loren; Janda, Kathryn; Kunkle, Rick; Payne, Christopher

    2002-07-24

    -structured inter views with members of commercial and institutional organizations (many of which participated in three different California Energy Commission Programs) and with 21 key informants representing program managers, administrators, and aggregators as well as a small number of energy service providers and utilities. Separate reports examine the consumer response in the residential and agricultural sectors.

  8. Institutional Censorship

    ERIC Educational Resources Information Center

    Burke, John Gordon; Bowers, H. Paxton

    1970-01-01

    The difficulty an individual who has been denied access to library material faces in obtaining a remedy in the courts dictates that the library profession go on record against all forms of institutional censorship or unreasonable restrictions on use of library materials. (Author/JS)

  9. Institutional betrayal.

    PubMed

    Smith, Carly Parnitzke; Freyd, Jennifer J

    2014-09-01

    A college freshman reports a sexual assault and is met with harassment and insensitive investigative practices leading to her suicide. Former grade school students, now grown, come forward to report childhood abuse perpetrated by clergy, coaches, and teachers--first in trickles and then in waves, exposing multiple perpetrators with decades of unfettered access to victims. Members of the armed services elect to stay quiet about sexual harassment and assault during their military service or risk their careers by speaking up. A Jewish academic struggles to find a name for the systematic destruction of his people in Nazi Germany during the Holocaust. These seemingly disparate experiences have in common trusted and powerful institutions (schools, churches, military, government) acting in ways that visit harm upon those dependent on them for safety and well-being. This is institutional betrayal. The purpose of this article is to describe psychological research that examines the role of institutions in traumatic experiences and psychological distress following these experiences. We demonstrate the ways in which institutional betrayal has been left unseen by both the individuals being betrayed as well as the field of psychology and introduce means by which to identify and address this betrayal.

  10. Institution Morphisms

    NASA Technical Reports Server (NTRS)

    Goguen, Joseph; Rosu, Grigore; Norvig, Peter (Technical Monitor)

    2001-01-01

    Institutions formalize the intuitive notion of logical system, including both syntax and semantics. A surprising number of different notions of morphisim have been suggested for forming categories with institutions as objects, and a surprising variety of names have been proposed for them. One goal of this paper is to suggest a terminology that is both uniform and informative to replace the current rather chaotic nomenclature. Another goal is to investigate the properties and interrelations of these notions. Following brief expositions of indexed categories, twisted relations, and Kan extensions, we demonstrate and then exploit the duality between institution morphisms in the original sense of Goguen and Burstall, and the 'plain maps' of Meseguer, obtaining simple uniform proofs of completeness and cocompleteness for both resulting categories; because of this duality, we prefer the name 'comorphism' over 'plain map.' We next consider 'theoroidal' morphisms and comorphisims, which generalize signatures to theories, finding that the 'maps' of Meseguer are theoroidal comorphisms, while theoroidal morphisms are a new concept. We then introduce 'forward' and 'semi-natural' morphisms, and appendices discuss institutions for hidden algebra, universal algebra, partial equational logic, and a variant of order sorted algebra supporting partiality.

  11. A review of sub acute subdural hematoma (SASDH) with our institutional experience and its management by double barrel technique (DbT): A novel technique

    PubMed Central

    Tripathy, Soubhagya R.; Swarnakar, Pankaj K.; Mishra, Sanjib; Mishra, Sudhanshu S.; Dhir, Manmath K.; Behera, Sanjay K.; Nath, Pratap C.; Jena, Somnath P.; Mohanta, Itibrata; Das, Deepak; Satapathy, Mani C.; Rout, Sitansu K.; Behera, Bikash R.; Parida, Deepak K.; Rath, Tanushree S.

    2016-01-01

    Background: Subacute subdural hematoma (SASDH) is an entity which is yet to capture the popular imagination among the neurosurgeons. Its management is often equated clinically to that of the chronic subdural hematoma (CSDH). However, their neurological deterioration is usually rapid, which seems to align them with acute subdural hematoma (ASDH). We proceed for their epidemiological evaluation. The advantages of a novel “double barrel technique (DbT)” over the conventional burrhole drainage are also presented. Methods: This retrospective study was conducted on all the patients having clinical and radiological evidence of SASDH, admitted to a tertiary care referral institute, during the period August 2013 to December 2015. Postoperatively, patients were followed-up for 3–24 months. Results: 46.87% of the patients belonged to the 35–54 year age group with a male predominance (3.6:1); 68.7% had a history of alcohol abuse, whereas aspirin users were 25%. 87.5% cases were unilateral, 18.75% were hemispheric, and 46.87% were present on the left side. Altered consciousness (100%) followed by headache (37.5%) were the most common presenting clinical features. Conclusion: SASDH is an uncommon neurosurgical entity (0.89% of traumatic brain injury cases in our study) and mimics both CSDH as well as ASDH. The true incidence of SASDH may have been underestimated due to its clinical imitation with CSDH. This study in a South Asian nation also provides the epidemiological data of this rare neurosurgical entity. Outcome of surgery is good; our retrospective study confirms that “DbT” is an adequate and safe treatment. However, a better designed, randomized control trial will be needed to reinforce our findings. PMID:27904759

  12. Is interval appendectomy indicated after non-operative management of acute appendicitis in patients with cancer? A retrospective review from a single institution.

    PubMed

    Samdani, Tushar; Fancher, Tiffany T; Pieracci, Frederic M; Eachempati, Soumitra; Rashidi, Laila; Nash, Garrett M

    2015-05-01

    Interval appendectomy (IA) is a controversial subject, with little consensus on its use in patients undergoing treatment for malignancy. We sought to determine the frequency of recurrent appendicitis in cancer patients managed nonoperatively (NOM) during index hospitalization (IHA) for acute appendicitis (AA). Clinical presentation, cancer treatment, and follow-up were collected from electronic medical records of patients with CT scan-confirmed AA treated at a single institution between August 1999 and August 2009. Seventy-two of 109 AA patients underwent appendectomy during IHA; 34 of these 109 were NOM during IHA. Median index length of NOM patients' stay was six days (0-55), median age was 59 (18-80) years. Indications for NOM were presence of abscess or phlegmon (14), mild symptoms (13), high surgical risk (3), end-stage cancer (3), and patient declining surgery (1). Eight NOM patients underwent percutaneous drainage of abdominal abscess (median total duration of intravenous + oral antibiotics = 12 days [0-55]). There were six deaths (1 IHA, 5 NOM): four sepsis and two cancer progression. At a median of 19-month follow-up (range 1-103), four NOM patients surviving IHA had recurrent AA (11.7%) at two (n = 2) and three months (n = 2) after the first episode. Overall, six had IA (17.6%) one to seven months post AA; 25 remained asymptomatic, without IA. In conclusion, among NOM patients at a cancer center at IHA for AA, recurrent AA was early (<4 months) but uncommon. IA should be offered to those with recurrent symptoms, but appears to have a very limited role after several months of asymptomatic follow-up.

  13. Institutional Conflicts of Interest in Academic Research.

    PubMed

    Resnik, David B

    2015-10-07

    Financial relationships in academic research can create institutional conflicts of interest (COIs) because the financial interests of the institution or institutional officials may inappropriately influence decision-making. Strategies for dealing with institutional COIs include establishing institutional COI committees that involve the board of trustees in conflict review and management, developing policies that shield institutional decisions from inappropriate influences, and establishing private foundations that are independent of the institution to own stock and intellectual property and to provide capital to start-up companies.

  14. From Vision to Reality: Managing Tensions in the Development and Implementation of an International Collaborative Partnership Programme for Institutional Change and Sustainable Development in Inclusive Education

    ERIC Educational Resources Information Center

    Siska, Jan; van Swet, Jacqueline; Pather, Sulochini; Rose, David

    2013-01-01

    The aim of this article is to consider the practical implications of international collaborative partnerships between and within higher education institutions (HEIs) in terms of the development of an international programme in Special Needs Education as well as its implementation. We first look at the heavy institutional demands set within…

  15. International Water Management Institute's Data Storehouse Pathway (IWMIDSP): a unique data and knowledge gateway of spatial data with emphasis on river basins

    NASA Astrophysics Data System (ADS)

    Thenkabail, Prasad S.; Biradar, Chandrashekhar; Noojipady, Praveen; Islam, Aminul; Vithanage, Jagath; Velpuri, Manohar; Dheeravath, Venkateswarlu; Kulawardhana, Wasantha; Li, Yuan Jie; Gunasinghe, Sarath; Alankara, Ranjith

    2006-10-01

    The International Water Management Institute's Data and Knowledge Storehouse Pathway (IWMIDSP) was launched in June 2004 meeting the need identified in the IWMI 2002-2004 MTP Project 1: "Improved tools for assessment, accounting, planning and use of water resources for agriculture and food production." Since then to now, IWMIDSP (http://www.iwmidsp.org) has evolved as a pathfinder in providing over 3 terabyte of state-of-art value added remote sensing and GIS (RS/GIS) data and products of high scientific quality that are made available through online access for the global benchmark river basins, Nations, regions, and the entire World. The IWMIDSP has about 5 new registrations every day and currently (as on February 16, 2006) reaching a total permanent registrations of 1964 from over 50 Countries. Over last 1-year there has been, on an average, a constant stream of at least 2000 visitors from 70 Countries every month. To date, about 1.4 million hits have been recorded, 270,000 pages visited, and on an average 130 gigabytes of data downloaded every month. All data in IWMIDSP have accompanied by Meta data at international standard (FGDC). Our data users include students from leading Universities of the World, researchers from UN organizations, USGS, NASA, and National Institutions. Further the IWMIDSP link has been provided by over 50 web portals. The site has also been profiled by the World Health Organization, UN Human Settlement Program (UN HABITAT), and UN Economic Commission for Africa (UNECA). The IWMIDSP generated maps were widely used to understand and inform Tsunami damage and rehabilitation immediately after Tsunami by the coordinating National Office (CNO)-a Sri Lankan Presidential initiative (http://www.iwmidsp.org/iwmi/info/tsunami.asp). IWMIDSP hosted and disseminated real time Tsunami Response maps of Sri Lanka (an effort of IWMI and MapAction UK) to the world. These maps were not only popular with the non-Governmental Organizations (NGO's) working in

  16. Expanding the Role of Institutional Research.

    ERIC Educational Resources Information Center

    Matlock, John; Hogg, Richard

    The merger of the Tennessee State University's institutional research office and the planning, management, and evaluation offices is described. The roles of the institutional research office before the merger were the collection and dissemination of institutional data, storing of data collected from other sources, and conducting special studies.…

  17. 28 CFR 540.62 - Institutional visits.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Institutional visits. 540.62 Section 540.62 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT CONTACT WITH PERSONS IN THE COMMUNITY Contact With News Media § 540.62 Institutional visits. (a) A...

  18. 28 CFR 540.62 - Institutional visits.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Institutional visits. 540.62 Section 540.62 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT CONTACT WITH PERSONS IN THE COMMUNITY Contact With News Media § 540.62 Institutional visits. (a) A...

  19. 28 CFR 540.62 - Institutional visits.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Institutional visits. 540.62 Section 540.62 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT CONTACT WITH PERSONS IN THE COMMUNITY Contact With News Media § 540.62 Institutional visits. (a) A...

  20. 28 CFR 540.62 - Institutional visits.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Institutional visits. 540.62 Section 540.62 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT CONTACT WITH PERSONS IN THE COMMUNITY Contact With News Media § 540.62 Institutional visits. (a) A...

  1. 28 CFR 540.62 - Institutional visits.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Institutional visits. 540.62 Section 540.62 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT CONTACT WITH PERSONS IN THE COMMUNITY Contact With News Media § 540.62 Institutional visits. (a) A...

  2. Surgical Management of Wild-Type Gastrointestinal Stromal Tumors: A Report From the National Institutes of Health Pediatric and Wildtype GIST Clinic.

    PubMed

    Weldon, Christopher B; Madenci, Arin L; Boikos, Sosipatros A; Janeway, Katherine A; George, Suzanne; von Mehren, Margaret; Pappo, Alberto S; Schiffman, Joshua D; Wright, Jennifer; Trent, Jonathan C; Pacak, Karel; Stratakis, Constantine A; Helman, Lee J; La Quaglia, Michael P

    2016-12-28

    Purpose Wild-type gastrointestinal stromal tumors (WT-GISTs) that lack KIT or PDGFRA mutations represent a unique subtype of GIST that predominantly affects children. We sought to determine the effect on event-free survival (EFS) of staging variables, extent of resection, and repeat resection of tumors. Methods In 2008, a WT-GIST clinic was established at the National Cancer Institute, allowing the development of a large clinical database. We included participants who underwent resection of WT-GIST. Associations with EFS (ie, freedom from disease progression or recurrence) were evaluated using the Kaplan-Meier method and Cox proportional hazards modeling. Results Among 76 participants with WT-GISTs, the median follow-up was 4.1 years. Overall EFS (± SE) was 72.6 ± 5.4% at 1 year, 57.6 ± 6.2% at 2 years, 23.7 ± 6.0% at 5 years, and 16.3 ± 5.5% at 10 years postoperatively. Hazard of disease progression or recurrence was significantly increased for patients with metastatic disease (adjusted hazard ratio [AHR], 2.3; 95% CI, 1.0 to 5.1; P = .04) and > 5 mitoses per 50 high-power fields (AHR, 2.5; 95% CI, 1.1 to 6.0; P = .03), whereas there was no significant effect of negative microscopic resection margins (AHR, 0.9; 95% CI, 0.4 to 2.2; P = 0.86). There was no association between type of gastric resection (ie, anatomic v partial/wedge) and EFS ( P = .67). Repeated resection after the initial resection was significantly associated with decreasing postoperative EFS ( P < .01). Five patients (6%) died after initial enrollment in 2008. Conclusion WT-GIST is an indolent disease, and most patients survive with disease progression. We found no improvement in EFS with more extensive or serial resections. Disease progression or recurrence may be more closely related to tumor biology than surgical management. These data suggest that resections for WT-GISTs be restricted to the initial procedure and that subsequent resections be performed only to address symptoms such as

  3. Institute news

    NASA Astrophysics Data System (ADS)

    1999-11-01

    Joining the team A new member of staff has recently joined the Institute of Physics Education Department (Schools and Colleges) team. (Dr) Steven Chapman will have managerial responsibility for physics education issues in the 11 - 16 age range, particularly on the policy side. He will work closely with Mary Wood, who spends much of her time out and about doing the practical things to support physics education pre-16. Catherine Wilson will be spending more of her time working to support the Post-16 Physics Initiative but retains overall responsibility for the department. Steven graduated in Physics and Astronomy and then went on to do his doctorate at Sussex University. He stayed in the research field for a while, including a period at NPL. Then, having decided to train as a teacher, he taught for the last five years, most recently at a brand new school in Sutton where he was Head of Physics. Physics update Dates for `Physics Update' courses in 2000, intended for practising science teachers, are as follows: 1 - 3 April: Malvern College 9 - 10 June: Stirling University 8 - 10 July: York University 8 - 10 December: Oxford University The deadline for applications for the course to be held on 11 - 13 December 1999 at the School of Physics, Exeter University, is 12 November, so any late enquiries should be sent to Leila Solomon at The Institute of Physics, 76 Portland Place, London W1N 3DH (tel: 020 7470 4821) right away. Name that teacher! Late nominations are still welcome for the Teachers of Physics/Teachers of Primary Science awards for the year 2000. Closing date for nominations is `the last week in November'. Further details can be obtained from Catherine Wilson or Barbara Hill in the Institute's Education Department. Forward and back! The Education Group's one-day meeting on 13 November is accepting bookings until almost the last minute, so don't delay your application! The day is entitled `Post-16 physics: Looking forward, learning from the past' and it aims to

  4. 77 FR 33752 - National Institute of Nursing Research; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-07

    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel Assessing and Managing... . Name of Committee: National Institute of Nursing Research Special Emphasis Panel Centers of...

  5. Implications of full compliance with the computed tomography scanning recommendations of the National Institute for Clinical Excellence and Scottish Intercollegiate Guidelines Network guidelines for the management of head injury.

    PubMed

    Kerr, Jacques; Beard, Diana; Smith, Richard; Gray, Sarah; Robertson, Colin E; Dunn, Laurence T

    2007-06-01

    A prospective study was conducted to examine clinical practices in the management of head-injured patients preinception and postinception of the Scottish Intercollegiate Guidelines Network guidelines. Comparison was made between the Scottish Intercollegiate Guidelines Network and National Institute for Clinical Excellence guidelines on their indications for computed tomography scanning. Information was available on 2827 adult patients. Two hundred and thirty-two patients satisfied one or more Scottish Intercollegiate Guidelines Network criteria for computed tomography scanning. Four hundred and seventy-eight patients fulfilled one or more National Institute for Clinical Excellence criteria for scanning. No patient with Scottish Intercollegiate Guidelines Network or National Institute for Clinical Excellence indications for computed tomography scanning and who was not scanned, subsequently required neurosurgical treatment for a complication related to their injury. Full compliance with the scanning recommendations in the Scottish Intercollegiate Guidelines Network and National Institute for Clinical Excellence guidelines will require a significant increase in scanning resource and is unlikely to lead to the identification of a significant additional number of patients with intracranial lesions requiring neurosurgical intervention.

  6. Transportation Institutional Plan

    SciTech Connect

    Not Available

    1986-08-01

    This Institutional Plan is divided into three chapters. Chapter 1 provides background information, discusses the purposes of the Plan and the policy guidance for establishing the transportation system, and describes the projected system and the plans for its integrated development. Chapter 2 discusses the major participants who must interact to build the system. Chapter 3 suggests mechanisms for interaction that will foster wide participation in program planning and implementation and provides a framework for managing and resolving the issues related to development and operation of the transportation system. A list of acronyms and a glossary are included for the reader's convenience. Also included in this Plan are four appendices. Of particular importance is Appendix A, which includes detailed discussion of specific transportation issues. Appendices B, C, and D provide supporting material to assist the reader in understanding the roles of the involved institutions.

  7. Draft Transportation Institutional Plan

    SciTech Connect

    Not Available

    1985-09-01

    The Department of Energy recognizes that the success of its program to develop and implement a national system for nuclear waste management and disposal depends on broad-based public understanding and acceptance. While each program element has its particular sensitivity, the transportation of the waste may potentially affect the greatest number of people, and accordingly is highly visible and potentially issue-laden. Therefore, the Office of Civilian Radioactive Waste Management has developed this Transportation Institutional Plan to lay the foundation for interaction among all interested parties for the purpose of identifying and resolving issues of concern. The Plan is divided into four chapters. Chapter 1 provides bachground information and discusses the purpose of the Plan and the policy guidance for establishing the transportation system. Chapter 2 introduces the major participants who must interact to build both the system itself and the consensus philosophy that is essential for effective operations. Chapter 3 suggests mechanisms for interaction that will ensure wide participation in program planning and implementation. And, finally, Chapter 4 suggests a framework for managing and resolving the issues related to development and operation of the transportation system. A list of acronyms and a glossary are included for the reader's convenience. The Plan's appendices provide supporting material to assist the reader in understanding the roles of the involved institutions. 4 figs., 1 tab.

  8. The Politics of Education Reform: Bolstering the Supply and Demand; Overcoming Institutional Blocks. Country Studies: Education Reform and Management Publication Series.

    ERIC Educational Resources Information Center

    Corrales, Javier

    There is widespread consensus worldwide that improving the performance of education systems is necessary to advance socioeconomic development, reduce inequality, enhance economic competitiveness of nations, and possibly fortify governmental institutions. This paper explores the political conditions that may enhance or hinder the adoption of…

  9. The Planning and Management of Audio-Visual Media in Distance Learning Institutions. Final Report of an IIEP Workshop (Paris, France, September 30-October 3, 1980).

    ERIC Educational Resources Information Center

    Bates, A. W.

    Resulting from a 1980 workshop and a survey of 12 selected distance learning systems (or correspondence study programs), this paper had four aims: (1) to provide a framework to describe distance learning systems using audiovisual media and to locate the 12 surveyed institutions within that framework, (2) to identify common problem areas in the…

  10. Developing a Professional Competence Model for Management Education. Final Report to the National Institute of Education, Research Report Number Ten. [Revised.

    ERIC Educational Resources Information Center

    Mentkowski, Marcia; And Others

    Abilities needed for effective managerial performance were identified and sequenced to improve the management curriculum at Alverno College. Performance, perceptions, and careering and professional development of 103 women managers and executives from 53 Milwaukee private corporations were evaluated using a performance measurement system. A…

  11. Identification of Management Information System (MIS) Strategies Barriers in Higher Education Institutions through Multi-Criteria Decision Making (MCDM) Approach: Case Study of Ferdowsi University of Mashhad

    ERIC Educational Resources Information Center

    Hosseini, Mirza Hasan; Karimzadegan, Davood; Sazvar, Azam

    2012-01-01

    Each organization or company, regardless to its restrictions, purposes, and type of the activity, in order to fulfill and manage the duties is in need of various data and pieces of information. The aforesaid cases are generated by managers and employees and used by all the staffs. The manifest issue of current days is that organizations and…

  12. Managing Electronic Serials: Essays Based on the ALCTS Electronic Serials Institutes 1997-1999. ALCTS Papers on Library Technical Services & Collections, No. 9.

    ERIC Educational Resources Information Center

    Bluh, Pamela M., Ed.

    If managed well, electronic journals (e-journals) can be extremely efficient, saving money and space while improving access and speeding information delivery. With the help of the Internet, e-journals can also make library collections more accessible to both users and staff. Covering the process of managing electronic serials from licensing,…

  13. Innovations in Higher Education Management: Coping with the 80s. Contributed Papers for an NCHEMS Competition on State and Institutional Financing.

    ERIC Educational Resources Information Center

    Collier, Douglas J., Ed.

    Papers concerning higher education planning and management in the 1980s that were contributed to the National Center for Higher Education Management Systems competition for the Planning and Financing Program are presented. The papers, submitted by administrators, researchers, and a student, are as follows: "Faculty Reallocation: Plattsburgh…

  14. An Exploratory Study to Develop an Alternative Model of Public Library Management Using the Institute of Museum and Library Services' Public Library Statistics

    ERIC Educational Resources Information Center

    Kim, Giyeong; Yu, So Young

    2011-01-01

    In this explorative study, we first investigate current use of public library statistics in public library management to identify a governing framework and then carefully suggest an alternative framework with income as a goal for sustainability. The meaning of income in terms of management is also discussed. Within this framework, we conduct a…

  15. [The experience of implementation of system of quality management in the Department of Laboratory Diagnostic of the N.V. Sklifosofskiy Research Institute of Emergency Care of Moscow Health Department: a lecture].

    PubMed

    Zenina, L P; Godkov, M A

    2013-08-01

    The article presents the experience of implementation of system of quality management into the practice of multi-field laboratory of emergency medical care hospital. The analysis of laboratory errors is applied and the modes of their prevention are demonstrated. The ratings of department of laboratory diagnostic of the N. V. Sklifosofskiy research institute of emergency care in the program EQAS (USA) Monthly Clinical Chemistry from 2007 are presented. The implementation of the system of quality management of laboratory analysis into department of laboratory diagnostic made it possible to support physicians of clinical departments with reliable information. The confidence of clinicians to received results increased. The effectiveness of laboratory diagnostic increased due to lowering costs of analysis without negative impact to quality of curative process.

  16. Quality Assessment and Institutional Change: Experiences from 14 Countries.

    ERIC Educational Resources Information Center

    Brennan, John; Shah, Tarla

    2000-01-01

    Studied the effects of national and institutional quality management systems on higher education institutions in 14 countries by drawing on 29 cases studies. Developed a conceptual model of the relationships between quality management and institutional change. Emphasizes the importance of power and values in the establishment of quality…

  17. [Survey and analysis of radiation safety management systems at medical institutions--second report: radiation measurement, calibration of radiation survey meters, and periodic check of installations, equipment, and protection instruments].

    PubMed

    Ohba, Hisateru; Ogasawara, Katsuhiko; Aburano, Tamio

    2006-01-20

    We carried out a questionnaire survey to determine the actual situation of radiation safety management measures in all medical institutions in Japan that had nuclear medicine facilities. The questionnaire consisted of questions concerning the evaluation of shielding capacity; radiation measurement; periodic checks of installations, equipment, and protection instruments; and the calibration of radiation survey meters. The analysis was undertaken according to region, type of establishment, and number of beds. The overall response rate was 60 percent. For the evaluation of shielding capacity, the outsourcing rate was 53 percent of the total. For the radiation measurements of "leakage radiation dose and radioactive contamination" and "contamination of radioactive substances in the air," the outsourcing rates were 28 percent and 35 percent of the total, respectively (p<0.001, according to region and establishment). For the periodic check of radiation protection instruments, the implementation rate was 98 percent, and the outsourcing rate was 32 percent for radiation survey meters and 47 percent for lead aprons. The non-implemented rate for calibration of radiation survey meters was 25 percent of the total (p<0.001, according to region and establishment). The outsourcing rate for calibration of radiation survey meters accounted for 87 percent of the total, and of these medical institutions, 72 percent undertook annual calibration. The implementation rate for patient exposure measurement was 20 percent of the total (p<0.001, according to number of beds), and of these medical institutions 46 percent recorded measurement outcome.

  18. Managing Fault Management Development

    NASA Technical Reports Server (NTRS)

    McDougal, John M.

    2010-01-01

    As the complexity of space missions grows, development of Fault Management (FM) capabilities is an increasingly common driver for significant cost overruns late in the development cycle. FM issues and the resulting cost overruns are rarely caused by a lack of technology, but rather by a lack of planning and emphasis by project management. A recent NASA FM Workshop brought together FM practitioners from a broad spectrum of institutions, mission types, and functional roles to identify the drivers underlying FM overruns and recommend solutions. They identified a number of areas in which increased program and project management focus can be used to control FM development cost growth. These include up-front planning for FM as a distinct engineering discipline; managing different, conflicting, and changing institutional goals and risk postures; ensuring the necessary resources for a disciplined, coordinated approach to end-to-end fault management engineering; and monitoring FM coordination across all mission systems.

  19. Results and Lessons Learned from a Coupled Social and Physical Hydrology Model: Testing Alternative Water Management Policies and Institutional Structures Using Agent-Based Modeling and Regional Hydrology

    NASA Astrophysics Data System (ADS)

    Murphy, J.; Lammers, R. B.; Prousevitch, A.; Ozik, J.; Altaweel, M.; Collier, N. T.; Kliskey, A. D.; Alessa, L.

    2015-12-01

    Water Management in the U.S. Southwest is under increasing scrutiny as many areas endure persistent drought. The impact of these prolonged dry conditions is a product of regional climate and hydrological conditions, but also of a highly engineered water management infrastructure and a complex web of social arrangements whereby water is allocated, shared, exchanged, used, re-used, and finally consumed. We coupled an agent-based model with a regional hydrological model to understand the dynamics in one richly studied and highly populous area: southern Arizona, U.S.A., including metropolitan Phoenix and Tucson. There, multiple management entities representing an array of municipalities and other water providers and customers, including private companies and Native American tribes are enmeshed in a complex legal and economic context in which water is bought, leased, banked, and exchanged in a variety of ways and on multiple temporal and physical scales. A recurrent question in the literature of adaptive management is the impact of management structure on overall system performance. To explore this, we constructed an agent-based model to capture this social complexity, and coupled this with a physical hydrological model that we used to drive the system under a variety of water stress scenarios and to assess the regional impact of the social system's performance. We report the outcomes of ensembles of runs in which varieties of alternative policy constraints and management strategies are considered. We hope to contribute to policy discussions in this area and connected and legislatively similar areas (such as California) as current conditions change and existing legal and policy structures are revised. Additionally, we comment on the challenges of integrating models that ostensibly are in different domains (physical and social) but that independently represent a system in which physical processes and human actions are closely intertwined and difficult to disentangle.

  20. Critical Issues in Library Management: Organizing for Leadership and Decision-Making. Papers from the Thirty-Fifth Allerton Institute. Occasional Papers, Nos. 198/199.

    ERIC Educational Resources Information Center

    Allen, Bryce L., Ed.; Weech, Terry L., Ed.

    This is a collection of six papers on critical issues in library management presented at the annual Allerton Park Conference (35th, October 24-26, 1993) sponsored by the University of Illinois at Urbana-Champaign, Graduate School of Library and Information Science. The first paper, "Learning about Leadership: What Works in Modern Organizations"…

  1. Quality on Campus: Three Institutions, Three Beginnings.

    ERIC Educational Resources Information Center

    Seymour, Daniel

    1993-01-01

    Three university programs of continuous quality improvement, based on the Total Quality Management approach, are described. The institutions are the Georgia Institute of Technology; Pennsylvania State University; and University of Maryland at College Park. The report attempts to look beyond the mechanics of the programs to discover what is being…

  2. Identifying Peer Institutions Using Cluster Analysis

    ERIC Educational Resources Information Center

    Boronico, Jess; Choksi, Shail S.

    2012-01-01

    The New York Institute of Technology's (NYIT) School of Management (SOM) wishes to develop a list of peer institutions for the purpose of benchmarking and monitoring/improving performance against other business schools. The procedure utilizes relevant criteria for the purpose of establishing this peer group by way of a cluster analysis. The…

  3. How to Calculate Your Institution's Nitrogen Footprint

    EPA Science Inventory

    The Nitrogen Footprint Tool (NFT) allows institutions to estimate and manage their nitrogen footprint, and EPA’s Sustainable and Healthy Communities program is supporting an effort to test and expand this approach at multiple colleges, universities and institutions across t...

  4. 31 CFR 210.8 - Financial institutions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 2 2012-07-01 2012-07-01 false Financial institutions. 210.8 Section..., DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL GOVERNMENT PARTICIPATION IN THE AUTOMATED CLEARING HOUSE General § 210.8 Financial institutions. (a) Status as a Treasury depositary. The...

  5. 31 CFR 210.8 - Financial institutions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Financial institutions. 210.8 Section..., DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL GOVERNMENT PARTICIPATION IN THE AUTOMATED CLEARING HOUSE General § 210.8 Financial institutions. (a) Status as a Treasury depositary. The...

  6. 31 CFR 210.8 - Financial institutions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 2 2013-07-01 2013-07-01 false Financial institutions. 210.8 Section..., DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL GOVERNMENT PARTICIPATION IN THE AUTOMATED CLEARING HOUSE General § 210.8 Financial institutions. (a) Status as a Treasury depositary. The...

  7. 31 CFR 210.8 - Financial institutions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 2 2011-07-01 2011-07-01 false Financial institutions. 210.8 Section..., DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FEDERAL GOVERNMENT PARTICIPATION IN THE AUTOMATED CLEARING HOUSE General § 210.8 Financial institutions. (a) Status as a Treasury depositary. The...

  8. The Petascale Data Storage Institute

    SciTech Connect

    Gibson, Garth; Long, Darrell; Honeyman, Peter; Grider, Gary; Kramer, William; Shalf, John; Roth, Philip; Felix, Evan; Ward, Lee

    2013-07-01

    Petascale computing infrastructures for scientific discovery make petascale demands on information storage capacity, performance, concurrency, reliability, availability, and manageability.The Petascale Data Storage Institute focuses on the data storage problems found in petascale scientific computing environments, with special attention to community issues such as interoperability, community buy-in, and shared tools.The Petascale Data Storage Institute is a collaboration between researchers at Carnegie Mellon University, National Energy Research Scientific Computing Center, Pacific Northwest National Laboratory, Oak Ridge National Laboratory, Sandia National Laboratory, Los Alamos National Laboratory, University of Michigan, and the University of California at Santa Cruz.

  9. Residential Energy Management Education.

    ERIC Educational Resources Information Center

    Mecca, Stephen J.; Robertshaw, Joseph E.

    1980-01-01

    Describes two formal programs in the area of energy management education: a Residential Energy Management Summer Institute (part of a faculty development program funded by the Department of Energy), and a Residential Energy Management curriculum for Energy Auditors. (CS)

  10. [A quantitative study of the consumption of antihypertensives in Management Area 5 of the ICS (Costa de Ponent). Institut Català de la Salut].

    PubMed

    Font, M; Catalán, A; Madridejos, R

    1989-04-01

    The use of antihypertensive drugs (AHD) in the area n degrees 5 of the Institut Català de la Salut was evaluated for the period October 1986-December 1987. The unit of measure was the DDD (daily defined dose) per 1,000 population individuals per day. The overall use of AHD in 1987 was 49.31 DDDs/1,000 individuals/day; it was distributed among diuretics (53.5% of all AHD), beta-blockers (11.3%), and other AHD (35.2%). The most commonly prescribed drugs, by decreasing frequency order, were combinations of low ceiling diuretics with potassium sparing drugs, and of rauwolfia alkaloids with diuretics, followed by nifedipine, chlortalidone and furosemide. The interannual evaluation disclosed an increase of 18.6% in 1987 as compared with the preceding year, mostly at the expense of beta-blockers. On the other hand, there was a tendency to refrain from the use of fixed dose drug associations. This is a criterion of better use of antihypertensive therapy.

  11. The Good Pain Management (GPM) Ward Program in China and its impact on Chinese cancer patients: the SYSUCC experience

    PubMed Central

    Yang, Yun-Peng; Ma, Yu-Xiang; Huang, Yan; Zhao, Yuan-Yuan; Xu, Fei; Tian, Ying; Zou, Ben-Yan; Gao, Rui-Zhen; Zhang, Li

    2014-01-01

    To improve cancer pain management, the Medical Oncology Department of Sun Yat-sen University Cancer Center (SYSUCC) launched the Good Pain Management (GPM) Ward Program, which has been recognized by the Chinese Ministry of Health and promoted throughout the nation. This retrospective case-control study was designed to evaluate the effectiveness of the program. Patients diagnosed with malignant solid tumors with bone metastasis were eligible. Patients who were admitted 6 months before the initiation of the GPM program were used as the control group, and patients admitted 6 months after the initiation of the program were used as the GPM group. The pain-reporting rate and pain management index (PMI) were calculated. The pain levels before and after pain management were compared. A total of 475 patients (244 in the control group and 231 in the GPM group) were analyzed. The pain-reporting rate of the GPM group was significantly higher than that of the control group (62.8% vs. 37.7%, P < 0.001). The PMI of the GPM group was significantly higher than that of the control group (0.083 vs. -0.261, P < 0.001). Therefore, the GPM Ward Program improved the pain management of cancer patients and provided experience for improving cancer pain management in the future. PMID:24874643

  12. Prevalence of acute post-operative pain in patients in adult age-group undergoing inpatient abdominal surgery and correlation of intensity of pain and satisfaction with analgesic management: A cross-sectional single institute-based study

    PubMed Central

    Singh, Prashant Kumar; Saikia, Priyam; Lahakar, Mangala

    2016-01-01

    Background and Aims: Considering the paucity of regional data, this study was designed to investigate the prevalence of post-operative pain and determine if there exists any correlation between the intensity of post-operative pain and patient's level of satisfaction with their pain management after inpatient abdominal surgery at an academic tertiary care government centre. Methods: Pain intensity was measured in 120 patients with numeric rating scale at the fifth post-operative hour, second and third post-operative day. A questionnaire was used to measure the level of satisfaction with nurse's and doctor's response to their pain and overall pain management. Results: The prevalence of post-operative pain was 84.17%, 92.5% and 96.66% at the fifth post-operative hour, second and third post-operative day, respectively. Less number of patients experienced severe intensity pain on the third post-operative day (P = 0.00046), whereas the number of patients experiencing mild pain increased (P < 0.000) compared to the fifth post-operative hour. The number of patients with complete analgesia decreased on the third post-operative day (P = 0.001 compared to fifth post-operative day). The Spearman correlation coefficient between pain score on the third post-operative day and level of satisfaction with nurse's response, doctor's response to pain and the overall pain management was − 0.0218 (P = 0.8107), 0.1307 (P = 0.1553) and 0.0743 (P = 0.4195), respectively. Conclusion: There is a high prevalence of acute post-operative pain in patients undergoing inpatient abdominal surgery at our institute. There is a weak correlation between the intensity of pain and level of satisfaction with pain management. PMID:27761037

  13. Recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, Computer-based Patient Record Institute, Medical Library Association, Association of Academic Health Science Libraries, American Health Information Management Association, American Nurses Association.

    PubMed

    Miller, R A; Gardner, R M

    1997-01-01

    In mid-1996, the FDA called for discussions on regulation of clinical software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology has developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. Organizations assisting in development of recommendations, or endorsing the consortium position include the American Medical Informatics Association, the Computer-based Patient Record Institute, the Medical Library Association, the Association of Academic Health Sciences Libraries, the American Health Information Management Association, the American Nurses Association, the Center for Healthcare Information Management, and the American College of Physicians. The consortium proposes four categories of clinical system risks and four classes of measured monitoring and regulatory actions that can be applied strategically based on the level of risk in a given setting. The consortium recommends local oversight of clinical software systems, and adoption by healthcare information system developers of a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively. FDA regulation should exempt most clinical software systems and focus on those systems posing highest clinical risk, with limited opportunities for competent human intervention.

  14. Assessment of Assistance in Smoking Cessation Therapy by Pharmacies in Collaboration with Medical Institutions- Implementation of a Collaborative Drug Therapy Management Protocol Based on a Written Agreement between Physicians and Pharmacists.

    PubMed

    Watanabe, Fumiyuki; Shinohara, Kuniko; Dobashi, Akira; Amagai, Kenji; Hara, Kazuo; Kurata, Kaori; Iizima, Hideo; Shimakawa, Kiyoshi; Shimada, Masahiko; Abe, Sakurako; Takei, Keiji; Kamei, Miwako

    2016-01-01

    This study built a protocol for drug therapy management (hereinafter "the protocol") that would enable continuous support from the decision making of smoking cessation therapy to the completion of therapy through the collaboration of physicians and community pharmacists, after which we evaluated whether the use of this protocol would be helpful to smoking cessation therapy. This study utilized the "On the Promotion of Team-Based Medical Care", a Notification by the Health Policy Bureau as one of the resources for judgment, and referred to collaborative drug therapy management (CDTM) in the United States. After the implementation of this protocol, the success rate of smoking cessation at the participating medical institutions rose to approximately 70%, approximately 28-point improvement compared to the rate before the implementation. In addition to the benefits of the standard smoking cessation program, this result may have been affected by the intervention of pharmacists, who assisted in continuing cessation by advising to reduce drug dosage as necessary approximately one week after the smoking cessation, when side effects and the urge to smoke tend to occur. Additionally, the awareness survey for the intervention group revealed that all respondents, including patients who failed to quit smoking, answered that they were satisfied to the question on general satisfaction. The question about the reason for successful cessation revealed that the support by pharmacists was as important as, or more important than, that by physicians and nurses. This infers that the pharmacists' active engagement in drug therapy for individual patients was favorably acknowledged.

  15. Management of Guillain-Barré syndrome with plasmapheresis or immunoglobulin: our experience from a tertiary care institute in South India.

    PubMed

    Kishore, C Krishna; Vijayabhaskar, J; Vishnu Vardhan, R; Sainaresh, V V; Sriramnaveen, P; Sridhar, A V S S N; Varalaxmi, B; Sandeep, P; Ram, R; Vengamma, B; Siva Kumar, V

    2014-06-01

    Guillain-Barré syndrome (GBS), an acute inflammatory demyelinating polyneuropathy is the most common generalized paralytic disorder. The objective was to study the outcome of disability grade in two groups of GBS treated with plasmapheresis alone and treated with IVIg alone. A retrospective analysis of all consecutive patients with GBS, admitted in our intensive care unit during the period of 3 years, 2009-2012 were included in the study. All patients of GBS who were to be treated with plasmapheresis or IVIg, the modality of management were always decided at their preference and consent after explaining the modalities to patient/family. The plasma exchange done was ∼200-250 mL of plasma per kilogram weight in five sessions (40-50 mL/kg per session) within 7-14 days. The replacement fluid contained 100 mL of 20% albumin diluted in 1000 mL of normal saline and 1000 mL of fresh frozen plasma. IVIg was administered as 0.4 g/kg body weight daily for 5 days. Our observations brought out the following, both the plasmapheresis and IVIg treatments were effective in reducing the disability grade amongst all time points, i.e., at presentation, immediate post-therapy and after 4 weeks. There was a marginal superiority in plasmapheresis over IVIg effect. However, whether the delay in presentation as noted in our study probably would have contributed to this effect was conjectural.

  16. Public relations effectiveness in public health institutions.

    PubMed

    Springston, Jeffrey K; Weaver Lariscy, Ruth Ann

    2005-01-01

    This article explores public relations effectiveness in public health institutions. First, the two major elements that comprise public relations effectiveness are discussed: reputation management and stakeholder relations. The factors that define effective reputation management are examined, as are the roles of issues and crisis management in building and maintaining reputation. The article also examines the major facets of stakeholder relations, including an inventory of stakeholder linkages and key audiences, such as the media. Finally, methods of evaluating public relations effectiveness at both the program level and the institutional level are explored.

  17. Managing and delivering of 3D geo data across institutions has a web based solution - intermediate results of the project GeoMol.

    NASA Astrophysics Data System (ADS)

    Gietzel, Jan; Schaeben, Helmut; Gabriel, Paul

    2014-05-01

    The increasing relevance of geological information for policy and economy at transnational level has recently been recognized by the European Commission, who has called for harmonized information related to reserves and resources in the EU Member States. GeoMol's transnational approach responds to that, providing consistent and seamless 3D geological information of the Alpine Foreland Basins based on harmonized data and agreed methodologies. However, until recently no adequate tool existed to ensure full interoperability among the involved GSOs and to distribute the multi-dimensional information of a transnational project facing diverse data policy, data base systems and software solutions. In recent years (open) standards describing 2D spatial data have been developed and implemented in different software systems including production environments for 2D spatial data (like regular 2D-GI-Systems). Easy yet secured access to the data is of upmost importance and thus priority for any spatial data infrastructure. To overcome limitations conditioned by highly sophisticated and platform dependent geo modeling software packages functionalities of a web portals can be utilized. Thus, combining a web portal with a "check-in-check-out" system allows distributed organized editing of data and models but requires standards for the exchange of 3D geological information to ensure interoperability. Another major concern is the management of large models and the ability of 3D tiling into spatially restricted models with refined resolution, especially when creating countrywide models . Using GST ("Geosciences in Space and Time") developed initially at TU Bergakademie Freiberg and continuously extended by the company GiGa infosystems, incorporating these key issues and based on an object-relational data model, it is possible to check out parts or whole models for edits and check in again after modification. GST is the core of GeoMol's web-based collaborative environment designed to

  18. The Foundation-Institution Partnership: The Role of Institutionally Related Foundations in Public Higher Education

    ERIC Educational Resources Information Center

    Bass, David

    2010-01-01

    Institutionally related foundations have played a vital role in raising and managing private resources in support of public institutions of higher education. Unlike private grant-making foundations, college and university foundations are typically incorporated as public charities under section 501(c)(3) of the Internal Revenue Code. Although they…

  19. 28 CFR 551.16 - Marriage ceremony in the institution.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Marriage ceremony in the institution. 551... MANAGEMENT MISCELLANEOUS Marriages of Inmates § 551.16 Marriage ceremony in the institution. (a) The Warden may approve the use of institution facilities for an inmate's marriage ceremony. If a...

  20. 28 CFR 551.16 - Marriage ceremony in the institution.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Marriage ceremony in the institution. 551... MANAGEMENT MISCELLANEOUS Marriages of Inmates § 551.16 Marriage ceremony in the institution. (a) The Warden may approve the use of institution facilities for an inmate's marriage ceremony. If a...

  1. 28 CFR 551.16 - Marriage ceremony in the institution.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Marriage ceremony in the institution. 551... MANAGEMENT MISCELLANEOUS Marriages of Inmates § 551.16 Marriage ceremony in the institution. (a) The Warden may approve the use of institution facilities for an inmate's marriage ceremony. If a...

  2. 28 CFR 551.16 - Marriage ceremony in the institution.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Marriage ceremony in the institution. 551... MANAGEMENT MISCELLANEOUS Marriages of Inmates § 551.16 Marriage ceremony in the institution. (a) The Warden may approve the use of institution facilities for an inmate's marriage ceremony. If a...

  3. 28 CFR 551.16 - Marriage ceremony in the institution.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Marriage ceremony in the institution. 551... MANAGEMENT MISCELLANEOUS Marriages of Inmates § 551.16 Marriage ceremony in the institution. (a) The Warden may approve the use of institution facilities for an inmate's marriage ceremony. If a...

  4. The Importance of Institutional Culture at a Technical College

    ERIC Educational Resources Information Center

    Adams, Sarah Y.

    2014-01-01

    This is a qualitative study about the importance of institutional culture at a particular technical college in Wisconsin. It examines the administrators' understanding of their institution's culture, the importance they attach to the culture, and how they perceive they both manage and influence their institution's culture. Bergquist and Pawlak's…

  5. New Challenges for Strategy Development in Irish Higher Education Institutions

    ERIC Educational Resources Information Center

    Lillis, Deirdre; Lynch, Marion

    2014-01-01

    Strategic planning has become an integral part of the management of higher education institutions worldwide. The experiences of all but one of the Republic of Ireland's 21 universities and institutes of technology with strategic planning are explored from 2000 to 2010. At the starting point in 2000, only two institutions had a documented strategic…

  6. 48 CFR 942.705-3 - Educational institutions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Educational institutions... MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT SERVICES Indirect Cost Rates 942.705-3 Educational institutions. (a)(2) The negotiated rates established for the institutions cited in OMB Circular No. A-88...

  7. 48 CFR 942.705-3 - Educational institutions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Educational institutions... MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT SERVICES Indirect Cost Rates 942.705-3 Educational institutions. (a)(2) The negotiated rates established for the institutions cited in OMB Circular No. A-88...

  8. 48 CFR 942.705-3 - Educational institutions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Educational institutions... MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT SERVICES Indirect Cost Rates 942.705-3 Educational institutions. (a)(2) The negotiated rates established for the institutions cited in OMB Circular No. A-88...

  9. 48 CFR 942.705-3 - Educational institutions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Educational institutions... MANAGEMENT CONTRACT ADMINISTRATION AND AUDIT SERVICES Indirect Cost Rates 942.705-3 Educational institutions. (a)(2) The negotiated rates established for the institutions cited in OMB Circular No. A-88...

  10. The California Hazards Institute

    NASA Astrophysics Data System (ADS)

    Rundle, J. B.; Kellogg, L. H.; Turcotte, D. L.

    2006-12-01

    California's abundant resources are linked with its natural hazards. Earthquakes, landslides, wildfires, floods, tsunamis, volcanic eruptions, severe storms, fires, and droughts afflict the state regularly. These events have the potential to become great disasters, like the San Francisco earthquake and fire of 1906, that overwhelm the capacity of society to respond. At such times, the fabric of civic life is frayed, political leadership is tested, economic losses can dwarf available resources, and full recovery can take decades. A patchwork of Federal, state and local programs are in place to address individual hazards, but California lacks effective coordination to forecast, prevent, prepare for, mitigate, respond to, and recover from, the harmful effects of natural disasters. Moreover, we do not know enough about the frequency, size, time, or locations where they may strike, nor about how the natural environment and man-made structures would respond. As California's population grows and becomes more interdependent, even moderate events have the potential to trigger catastrophes. Natural hazards need not become natural disasters if they are addressed proactively and effectively, rather than reactively. The University of California, with 10 campuses distributed across the state, has world-class faculty and students engaged in research and education in all fields of direct relevance to hazards. For that reason, the UC can become a world leader in anticipating and managing natural hazards in order to prevent loss of life and property and degradation of environmental quality. The University of California, Office of the President, has therefore established a new system-wide Multicampus Research Project, the California Hazards Institute (CHI), as a mechanism to research innovative, effective solutions for California. The CHI will build on the rich intellectual capital and expertise of the Golden State to provide the best available science, knowledge and tools for

  11. Swimmer-Training Institutions

    ERIC Educational Resources Information Center

    O'Donnell, R. W.

    1972-01-01

    This satirical essay proposes an institution of higher learning that would prepare students to become swimmers" and swimming instructors. Curriculum, teaching methods, student selection and evaluation are modelled on certain contemporary teacher-training institutes. (PD)

  12. Canadian institute honours Hawking

    NASA Astrophysics Data System (ADS)

    Durrani, Matin

    2009-11-01

    The Perimeter Institute for Theoretical Physics in Waterloo, Canada, has announced that a major new extension to its campus will be known as the Stephen Hawking Centre. The extension, which is currently being built, is due to open in 2011 and will double the size of the institute. It will also provide a home for the institute's Masters students, the first of whom joined the Perimeter Institute this autumn as part of its Perimeter Scholars international programme.

  13. Astronomical Institute of Athens

    NASA Astrophysics Data System (ADS)

    Murdin, P.

    2000-11-01

    The Astronomical Institute of Athens is the oldest research institute of modern Greece (it faces the Parthenon). The Astronomical Institute (AI) of the National Observatory of Athens (NOA) started its observational projects in 1847. The modern computer and research center are housed at the Penteli Astronomical Station with major projects and international collaborations focused on extragalactic ...

  14. Herzberg Institute of Astrophysics

    NASA Astrophysics Data System (ADS)

    Murdin, P.

    2000-11-01

    The Herzberg Institute of Astrophysics (HIA) is the Institute within the NATIONAL RESEARCH COUNCIL of Canada responsible for providing astronomical facilities, and developing related instrumentation and software for Canadian researchers. The Institute was established in 1975, and now operates 1.8 m and 1.2 m optical telescopes at the DOMINION ASTROPHYSICAL OBSERVATORY close to Victoria, BC, as we...

  15. The impact of comparative effectiveness research on interventional pain management: evolution from Medicare Modernization Act to Patient Protection and Affordable Care Act and the Patient-Centered Outcomes Research Institute.

    PubMed

    Manchikanti, Laxmaiah; Falco, Frank J E; Benyamin, Ramsin M; Helm, Standiford; Parr, Allan T; Hirsch, Joshua A

    2011-01-01

    The Patient-Centered Outcomes Research Institute (PCORI) was established by the Affordable Care Act of 2010 to promote comparative effectiveness research (CER) to assist patients, clinicians, purchasers, and policy-makers in making informed health decisions by advancing the quality and relevance of evidence concerning the manner in which diseases, disorders, and other health conditions can effectively and appropriately be prevented, diagnosed, treated, monitored, and managed through research and evidence synthesis. The development of PCORI is vested in the Medicare Modernization Act (MMA) and the American Recovery and Reinvestment Act (ARRA). The framework of CER and PCORI describes multiple elements which are vested in all 3 regulations including stakeholder involvement, public participation, and open transparent decision-making process. Overall, PCORI is much more elaborate with significant involvement of stakeholders, transparency, public participation, and open decision-making. However, there are multiple issues concerning the operation of such agencies in the United States including the predecessor of Agency for Healthcare Research and Quality (AHRQ), the Agency for Healthcare Policy and Research (AHCPR), AHRQ Effectiveness Health Care programs, and others. The CER in the United States may be described at cross-roads or at the beginnings of a scientific era of CER and evidence-based medicine (EBM). However the United States suffers as other countries, including the United Kingdom with its National Health Services (NHS) and National Institute for Health and Clinical Excellence (NICE), with major misunderstandings of methodology, an inordinate focus on methodological assessment, lack of understanding of the study design (placebo versus active control), lack of involvement of clinicians, and misinterpretation of the evidence which continues to be disseminated. Consequently, PCORI and CER have been described as government-driven solutions without following the

  16. Coburning in institutional incinerators

    SciTech Connect

    Green, A.; Prine, G.; Yost, R.; Green, B.; Williams, D.; Schwartz, J.; Wagner, J.; Clauson, D.; Proctor, B.; Feinberg, A.

    1987-01-01

    Our program, initiated in 1980, originally sought to replace imported oil by coburning coal and natural gas in oil designed boilers. Success came in 1986 with the co-combustion of coal water slurries (CWS) and natural gas (G) in a 20 MMBtu/hr watertube oil designed boiler. We achieved stable flames over broad load levels, good boiler efficiencies, low emissions, benign ash and--by increasing the G/CWS ratio--full power rating. Our biomass-waste co-combustion experiments will utilize a two chamber ram fed incinerator. Advanced analytical techniques will be used to measure available energy and stack emissions from various waste-biomass-fossil fuel combinations. Heating values, H/C ratios, percent moisture, emissions, prices and tipping fees are discussed. Locally grown annual dry biomass yields of napiergrass and leucaena, energetically equivalent to 30-50 barrels of oil per acre, are reported. Abundant local sources of waste biomass are identified. Together community waste and cultivated and waste biomass constitute a substantial source of renewable energy of use in forested and agricultural regions. Modular waste to energy systems are available in the 10-100 ton per day range. With aggressive recycling and hazardous waste reduction measures and good combustion management and emission controls, emissions should be maintained at low levels. The results from our system, a small modular waste-biomass to energy system, should be applicable to many institutions and small communities. 41 refs., 8 figs., 4 tabs.

  17. National Institute for Global Environmental Change

    SciTech Connect

    Werth, G.C.

    1992-04-01

    This document is the Semi-Annual Report of the National Institute for Global Environmental Change for the reporting period July 1 to December 31, 1991. The report is in two parts. Part I presents the mission of the Institute, examples of progress toward that mission, a brief description of the revised management plan, and the financial report. Part II presents the statements of the Regional Center Directors along with progress reports of the projects written by the researchers themselves.

  18. Comparison between National Institute for Health and Care Excellence (NICE) and European Society of Cardiology (ESC) guidelines for the diagnosis and management of stable angina: implications for clinical practice

    PubMed Central

    Archbold, R Andrew

    2016-01-01

    Cardiologists in the UK use clinical practice guidelines from the National Institute for Health and Care Excellence (NICE) and from the European Society of Cardiology (ESC) to aid clinical decision-making. This review compares their recommendations regarding stable angina. NICE's diagnostic algorithm changed clinical practice in the UK, with most cardiologists moving from the exercise ECG towards newer, more accurate imaging modalities such as CT and MRI for diagnostic testing in patients with a low or medium probability of coronary artery disease (CAD), and directly to invasive coronary angiography in patients with a high probability of CAD. ESC guidelines are based around stress imaging for most patient groups. Both guidelines stress the importance of optimal medical therapy for patients with stable angina. NICE recommends coronary artery bypass graft surgery to improve prognosis for patients with left main stem and/or proximal 3-vessel disease, whereas the ESC also includes proximal left anterior descending artery disease among its indications for revascularisation to improve prognosis, particularly if there is evidence of myocardial ischaemia. The relation between disease complexity and 5-year clinical outcomes after revascularisation in patients with left main stem and/or 3-vessel CAD has been integrated into ESC guidance through the use of the SYNTAX score to aid treatment selection in this group of patients. Patients with stable angina who have disease involving the proximal left anterior descending artery are less likely to undergo myocardial revascularisation if they are managed according to NICE's guidance compared with the ESC's guidance. PMID:27335655

  19. [The institutional risk analyst nurse].

    PubMed

    Feldman, Liliane Bauer

    2004-01-01

    The study reports the experience developed by the risk analysis nurse by a process of identification, evaluation and treatment of the professional and institutional risks, to which each hospital is exposed. Besides the liability related to quality, there is another regarding the Professional Liability, related to the work of the professionals within the institution. The data collection is done with the filling up of a form, formal and informal interview with the responsible for the services rendered. The result obtained identifies the potential risk factors, which can generate hospital and professional damages. The nurse elaborates the report, and, as a preventive strategy, lists recommendations. By carefully analyzing each risk, is possible to recommend the best way of managing it.

  20. Institutional plan. Fiscal year, 1997--2002

    SciTech Connect

    1996-10-01

    The Institutional Plan is the culmination of Argonne`s annual planning cycle. The document outlines what Argonne National Laboratory (ANL) regards as the optimal development of programs and resources in the context of national research and development needs, the missions of the Department of Energy and Argonne National Laboratory, and pertinent resource constraints. It is the product of ANL`s internal planning process and extensive discussions with DOE managers. Strategic planning is important for all of Argonne`s programs, and coordination of planning for the entire institution is crucial. This Institutional Plan will increasingly reflect the planning initiatives that have recently been implemented.

  1. Federal Emergency Management Agency

    MedlinePlus

    ... Updates Emergency Management Agencies Emergency Management Institute El Niño Environmental Planning and Historic Preservation Program Exercise Fact ... Local, State, Tribal and Non-Profit Recovery Resources Region I Region II Region III Region IV Region ...

  2. Institutional and Individual Autonomy: Investigating Predictors of Attitudes toward Institutional Care in China

    ERIC Educational Resources Information Center

    Guan, Xinping; Zhan, Heying Jenny; Liu, Guangya

    2007-01-01

    This study examines the institutional and attitudinal changes in elder care homes in Tianjin, China. Based on a survey conducted in 2001 with 61 elder home managers and 265 elder residents, this study examines 1) factors that influence elder home managers' views about elder home development and 2) elders' evaluation of elder home quality and their…

  3. Contingency Management in a Correctional Institution.

    ERIC Educational Resources Information Center

    McKee, John M.

    1971-01-01

    The individually prescribed instruction (IPI) system in use at Draper Correctional Center was studied. The IPI system for basic education involves five operations: (1) establishing the learning objectives--basic literacy, educational skills prerequisite for occupational training, preparation for the GED high school equivalency examination, etc.,…

  4. Managing Mergers--Governancing Institutional Integration

    ERIC Educational Resources Information Center

    Frølich, Nicoline; Trondal, Jarle; Caspersen, Joakim; Reymert, Ingvild

    2016-01-01

    Despite striking similarities, the adoption and implementation of policy shifts regarding higher education governance vary considerably across the globe, suggesting a mixed picture of diversification and isomorphism both within and across national higher education systems. By unpacking one particular structural reform process, this paper focuses…

  5. [Dialogical leadership in hospitals institutions].

    PubMed

    Amestoy, Simone Coelho; Trindade, Letícia de Lima; Waterkemper, Roberta; Heidman, Ivonete Teresinha Schülter; Boehs, Astrid Egged; Backes, Vânia Marli Schubert

    2010-01-01

    The aim of this study is make a theorical-reflection about the importance of using dialogical leadership in hospital institutions through Freirean referencial. The dialogical leadership pattern differs from the coercive and autocratic methods, for being reasoned on the establishment of an efficient communicational process, able to stimulate autonomy, co-responsibility and appreciation of each member from nurse team. The dialogical leadership, unlike the directive one, is a management instrument, that pursuits to minimize the conflicts and stimulate the formation of healthy interpersonal relationships, which can contribute to the improvement of organizational atmosphere and quality care provided to health services users.

  6. Texas Heart Institute

    MedlinePlus

    ... Texas Heart Institute, The University of Texas Health Science Center at Houston, MD Anderson Cancer Center, and The University of Houston. Held most ... for Physicians Fellowships & Residencies School ...

  7. [Situation analysis for drug clinical trial institutions].

    PubMed

    Chen, Yin-Ying; Wu, Ping; Wang, Jie

    2014-08-01

    Drug clinical trial is an important link in the chain of new drug research and development. The results of drug discovery and development directly depend on the extent of standardization of clinical trials. Therefore, improving the quality of drug clinical trials is of great importance, and drug clinical trial institutions play a crucial role in the quality management of drug clinical trials. After years of development, the overall level of drug clinical trials has advanced rapidly in China, and a large number of clinical trials of traditional Chinese medicine have also been carried out. However, there is still a big gap between our country and developed countries. Therefore, for the construction and management of Chinese drug clinical trial institutions, there is still a long way to go. This study aims to analyze the current development of drug clinical trial institutions in China and explore the existing problems from three aspects, including current situations of institutional organization and management, regional and professional distributions, and quality control. And some suggestions are put forward finally, including support of traditional Chinese medicine, introduction of drug-risk management system, and construction of information management.

  8. Institutional Plan FY 2003 - 2007

    SciTech Connect

    Chartock, Michael; Hansen, Todd

    2003-01-27

    The Fiscal Year (FY) 2003-2007 Institutional Plan describes the strategic directions and key issues that Lawrence Berkeley National Laboratory management must address with the Department of Energy (DOE) in charting its future as a multiprogram national laboratory. The Plan provides an overview of the Laboratory's mission, strategic plan, initiatives, and the resources required to fulfill its role in support of national needs in fundamental science and technology, energy resources, and environmental quality. The Plan facilitates the Department of Energy's ongoing efforts to strengthen the Integrated Laboratory System. Preparation and review of the Institutional Plan is one element of the Department of Energy's strategic management planning activities, implemented through an annual planning process. The Plan supports the President's Management Agenda and the Government Performance and Results Act of 1993. The Plan complements the current performance-based contract between the Department of Energy and the Regents of the University of California, and summarizes Best Management Practices for a potential future results-based contract as a basis for achieving DOE goals and the Laboratory's scientific and operations objectives. It identifies technical and administrative directions in the context of national energy policy and research needs and the Department of Energy's program planning initiatives. Preparation of the Plan is coordinated by the Planning and Strategic Development Office from information contributed by Berkeley Lab's scientific and support divisions and DOE comments on prior years' plans. The Laboratory Mission section identifies the specific strengths of Berkeley Lab that contribute to the mission in general and the Integrated Laboratory System in particular. The Laboratory Strategic Plan section identifies the existing activities in support of DOE Office of Science and other sponsors; support for DOE goals; and the Laboratory Scientific Vision and

  9. Institutional Inbreeding Reexamined.

    ERIC Educational Resources Information Center

    Wyer, Jean C.; Conrad, Clifton F.

    1984-01-01

    Data from the 1977 Survey of the American Professoriate were used to examine the relationship among institutional origin, productivity, and institutional rewards. When an adjustment was made for time allocation, inbred faculty were found to be more productive but are paid significantly less than noninbred faculty. (Author/BW)

  10. What Is Institutional Research?

    ERIC Educational Resources Information Center

    Lyons, Paul R.

    Institutional research (IR), defined as inquiry "directed toward data useful or necessary [for] intelligent decisions and/or for the successful maintenance, operation and/or improvement of a given collegiate institution," can be directly applied to soaring enrollment, greater administrative complexity, rising costs. The junior college…

  11. Engagement and Institutional Advancement

    ERIC Educational Resources Information Center

    Weerts, David; Hudson, Elizabeth

    2009-01-01

    Research suggests that institutional commitment to community engagement can be understood by examining levels of student, faculty, and community involvement in engagement; organizational structure, rewards, and campus publications supporting engagement; and compatibility of an institution's mission with this work (Holland, 1997). Underlying all of…

  12. Educational Institutions: Terminology. Turkey.

    ERIC Educational Resources Information Center

    Council for Cultural Cooperation, Strasbourg (France).

    Prepared from interviews with personnel of the Turkish Ministry of National Education, and other educational administrators in that country, this publication provides a guide to the terminology used to name the types of public educational institutions found in Turkey. Private educational institutions, military schools, higher schools attached to…

  13. Guiding Institutional Change.

    ERIC Educational Resources Information Center

    Adams, Frank G.

    1997-01-01

    Looks at several ways that change comes about over which the institution has little or no control: by mandate, through legislation, or through the accreditation process. Offers the CAP method (Communication, Alternatives selection, and Participation) to guide the institution through the change process. (JOW)

  14. Drivers of Environmental Institutional Dynamics in Decentralized African Countries.

    PubMed

    Hassenforder, Emeline; Barreteau, Olivier; Daniell, Katherine Anne; Pittock, Jamie; Ferrand, Nils

    2015-12-01

    This paper builds on the assumption that an effective approach to support the sustainability of natural resource management initiatives is institutional "bricolage." We argue that participatory planning processes can foster institutional bricolage by encouraging stakeholders to make their own arrangements based on the hybridization of old and new institutions. This papers aims at identifying how participatory process facilitators can encourage institutional bricolage. Specifically the paper investigates the specific contextual and procedural drivers of institutional dynamics in two case studies: the Rwenzori region in Uganda and the Fogera woreda in Ethiopia. In both cases, participatory planning processes were implemented. This research has three innovative aspects. First, it establishes a clear distinction between six terms which are useful for identifying, describing, and analyzing institutional dynamics: formal and informal; institutions and organizations; and emergence and change. Secondly, it compares the contrasting institutional dynamics in the two case studies. Thirdly, process-tracing is used to identify contextual and procedural drivers to institutional dynamics. We assume that procedural drivers can be used as "levers" by facilitators to trigger institutional bricolage. We found that facilitators need to pay particular attention to the institutional context in which the participatory planning process takes place, and especially at existing institutional gaps or failures. We identified three clusters of procedural levers: the selection and engagement of participants; the legitimacy, knowledge, and ideas of facilitators; and the design of the process, including the scale at which it is developed, the participatory tools used and the management of the diversity of frames.

  15. Drivers of Environmental Institutional Dynamics in Decentralized African Countries

    NASA Astrophysics Data System (ADS)

    Hassenforder, Emeline; Barreteau, Olivier; Daniell, Katherine Anne; Pittock, Jamie; Ferrand, Nils

    2015-12-01

    This paper builds on the assumption that an effective approach to support the sustainability of natural resource management initiatives is institutional "bricolage." We argue that participatory planning processes can foster institutional bricolage by encouraging stakeholders to make their own arrangements based on the hybridization of old and new institutions. This papers aims at identifying how participatory process facilitators can encourage institutional bricolage. Specifically the paper investigates the specific contextual and procedural drivers of institutional dynamics in two case studies: the Rwenzori region in Uganda and the Fogera woreda in Ethiopia. In both cases, participatory planning processes were implemented. This research has three innovative aspects. First, it establishes a clear distinction between six terms which are useful for identifying, describing, and analyzing institutional dynamics: formal and informal; institutions and organizations; and emergence and change. Secondly, it compares the contrasting institutional dynamics in the two case studies. Thirdly, process-tracing is used to identify contextual and procedural drivers to institutional dynamics. We assume that procedural drivers can be used as "levers" by facilitators to trigger institutional bricolage. We found that facilitators need to pay particular attention to the institutional context in which the participatory planning process takes place, and especially at existing institutional gaps or failures. We identified three clusters of procedural levers: the selection and engagement of participants; the legitimacy, knowledge, and ideas of facilitators; and the design of the process, including the scale at which it is developed, the participatory tools used and the management of the diversity of frames.

  16. Organizing for Institutional Research. The AIR Professional File. No. 1, Fall 1978.

    ERIC Educational Resources Information Center

    Ridge, John William

    Suggested are concepts and ideas for organizing for institutional research so that it might become a legitimate and separate entity within higher education administration. The following three-way categorization of institutional research is advocated: institutional studies; management analyses; and periodic management reporting. The role of the…

  17. [Certification of pathology institutions --a new direction? The view of a certification institute].

    PubMed

    Kohl, Herfried

    2004-12-01

    A variety of standards for quality-management systems is presently applied in German healthcare institutions, ranging from the international standard ISO 9001:2000 to specific national models like KTQ for hospitals. Pathology institutes currently apply the ISO 9001 in the context of a certification, or alternatively the ISO 17020 as a basis for accreditation. The present article illustrates the different quality-management systems in view of their application in pathology. The focus is placed on the ISO 9001, since this broader system serves the needs of smaller private institutions as well as those of university institutes. For the latter, in addition, ISO 9001 provides the opportunity to include research and teaching activities. Examples of how to conform with the ISO 9001 standard are discussed.

  18. Organizing Schools and Institutes of Administration.

    ERIC Educational Resources Information Center

    Pittsburgh Univ., PA. Graduate School of Public and International Affairs.

    This handbook is designed as a guide for persons engaged in planning, improving or managing programs and operations of schools and institutes of administration which offer academic degree and nondegree programs, research, and advisory services. It focuses on public, development, municipal and business administration. Although the handbook is…

  19. Information Environment of Preschool Educational Institutions

    ERIC Educational Resources Information Center

    Shmakova, Anna Pavlovna

    2016-01-01

    The paper considers the elements of the information environment of preschool educational institutions by the example of the Ulyanovsk region. The article describes the interconnected system of factors that includes qualified personnel, logistics support, methodological basis, and management structures that affect the development of the information…

  20. The Financial Security of UK HE Institutions

    ERIC Educational Resources Information Center

    Wellington, Sean

    2007-01-01

    Sound financial management and financial stability are crucially important for universities operating in today's increasingly competitive and turbulent environment. Freedom of action is greatly enhanced if an institution is able to act opportunistically and invest in new initiatives, while healthy financial reserves help buffer the institution…

  1. The Florida Institute of Technology Story.

    ERIC Educational Resources Information Center

    Aviation/Space, 1980

    1980-01-01

    Described is the history of the Florida Institute of Technology (FIT), Melborne, Florida. FIT offers 45 undergraduate degree programs, 16 masters degree programs and seven doctoral degree programs in the areas of science and engineering, management, humanities, psychology, aeronautics, applied technology, marine technology, and medical research.…

  2. ASBO Eagle Institute: A Leadership Opportunity

    ERIC Educational Resources Information Center

    Scharff, James

    2012-01-01

    Each summer, ASBO International conducts an Eagle Institute leadership session in the Washington, D.C., area that provides a group of about 25 participants, including Eagle Award recipients, an opportunity to network with and learn from exemplary leaders inside and outside the field of school business management. Each year, the focus of the…

  3. Measuring Institutional Performance in Higher Education.

    ERIC Educational Resources Information Center

    Meyerson, Joel W., Ed.; Massy, William F., Ed.

    This collection of seven essays from the Stanford Forum for Higher Education Futures focuses on how downsizing, quality management, and reengineering have are affecting higher education. An introductory paper, "Introduction: Change in Higher Education: Its Effect on Institutional Performance," (Joel W. Meyerson and Sandra L. Johnson)…

  4. Independent Ratings of Institutions of Higher Learning

    ERIC Educational Resources Information Center

    Russian Education and Society, 2007

    2007-01-01

    The ReitOR Agency has for the first time posted its ratings of colleges and universities in the Volga Federal District of Russia based on criteria of public assessment, having designated institutions in the following priority areas of training: machine building, energy, communications and telecommunications, management and economics, and gas and…

  5. Accreditation's Benefits for Individuals and Institutions

    ERIC Educational Resources Information Center

    McGuire, Patricia A.

    2009-01-01

    Participation in accreditation processes, on visiting teams as well as through institutional self-study, is an excellent opportunity for individual academics to augment their professional expertise in a range of higher education issues: strategic planning and assessment, resource management and capital investments, curriculum planning and program…

  6. Governance in Educational Institutions in Portugal

    ERIC Educational Resources Information Center

    García Redondo, Eva

    2016-01-01

    The present study addresses the governance processes governing the organization and management of educational institutions in Portugal, in a context of analysis in which the educational reforms carried out in this country, from the early nineteenth century (when school responsibility is assumed exclusively by the State) to the present, play what…

  7. 78 FR 20669 - National Institute on Aging; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-05

    ... HUMAN SERVICES National Institutes of Health National Institute on Aging; Notice of Closed Meeting... Committee: National Institute on Aging Special Emphasis Panel; Management of the Primate Aging Database Date...: National Institute on Aging, Gateway Building, 7201 Wisconsin Avenue, Suite 2C212, Bethesda, MD...

  8. Energy and institution size

    PubMed Central

    2017-01-01

    Why do institutions grow? Despite nearly a century of scientific effort, there remains little consensus on this topic. This paper offers a new approach that focuses on energy consumption. A systematic relation exists between institution size and energy consumption per capita: as energy consumption increases, institutions become larger. I hypothesize that this relation results from the interplay between technological scale and human biological limitations. I also show how a simple stochastic model can be used to link energy consumption with firm dynamics. PMID:28178339

  9. FPG Child Development Institute

    MedlinePlus

    ... and 'alternative facts,' science can reliably inform policy. Child development research advises that a sense of security provided ... Development, Teaching, and Learning The Frank Porter Graham Child Development Institute will partner with Zero to Three to ...

  10. National Cancer Institute News

    MedlinePlus

    ... events from NCI-funded research and programs News & Events Featured News Studies Identify Potential Treatments for DIPG ... the National Cancer Institute. Latest blog posts Subscribe Events Scientific Meetings and Lectures Conferences Social Media Events ...

  11. Minority Innovation Challenges Institute

    NASA Video Gallery

    Do you want to learn more about how to compete in NASA’s technical challenges for both prestige and significant cash prizes? NASA’s Minority Innovation Challenges Institute trains and mentors mino...

  12. Critical Materials Institute

    ScienceCinema

    Alex King

    2016-07-12

    Ames Laboratory Director Alex King talks about the goals of the Critical Materials Institute in diversifying the supply of critical materials, developing substitute materials, developing tools and techniques for recycling critical materials, and forecasting materials needs to avoid future shortages.

  13. Critical Materials Institute

    SciTech Connect

    Alex King

    2013-01-09

    Ames Laboratory Director Alex King talks about the goals of the Critical Materials Institute in diversifying the supply of critical materials, developing substitute materials, developing tools and techniques for recycling critical materials, and forecasting materials needs to avoid future shortages.

  14. National Cancer Institute Perspectives

    SciTech Connect

    Wong, Rosemary S.L. . E-mail: rw26f@nih.gov; Brechbiel, Martin W.

    2006-10-01

    The National Cancer Institute (NCI) Perspectives this year presented information on the systemic targeted radionuclide therapy (STaRT) research projects: (1) being investigated at the NCI's Intramural Center for Cancer Research; (2) funded by NCI's Radiation Research Program and other extramural programs; and (3) the appropriate National Institutes of Health/NCI funding mechanisms applicable to researchers for obtaining funds for STaRT projects.

  15. Race Making in a Penal Institution.

    PubMed

    Walker, Michael L

    2016-01-01

    This article provides a ground-level investigation into the lives of penal inmates, linking the literature on race making and penal management to provide an understanding of racial formation processes in a modern penal institution. Drawing on 135 days of ethnographic data collected as an inmate in a Southern California county jail system, the author argues that inmates are subjected to two mutually constitutive racial projects--one institutional and the other microinteractional. Operating in symbiosis within a narrative of risk management, these racial projects increase (rather than decrease) incidents of intraracial violence and the potential for interracial violence. These findings have implications for understanding the process of racialization and evaluating the effectiveness of penal management strategies.

  16. 44 CFR 19.210 - Military and merchant marine educational institutions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Military and merchant marine... marine educational institutions. These Title IX regulations do not apply to an educational institution... the merchant marine....

  17. 44 CFR 19.210 - Military and merchant marine educational institutions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Military and merchant marine... marine educational institutions. These Title IX regulations do not apply to an educational institution... the merchant marine....

  18. 44 CFR 19.210 - Military and merchant marine educational institutions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Military and merchant marine... marine educational institutions. These Title IX regulations do not apply to an educational institution... the merchant marine....

  19. 44 CFR 19.210 - Military and merchant marine educational institutions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Military and merchant marine... marine educational institutions. These Title IX regulations do not apply to an educational institution... the merchant marine....

  20. Validation of STA-Liatest D-Di assay for exclusion of pulmonary embolism according to the latest Clinical and Laboratory Standard Institute/Food and Drug Administration guideline. Results of a multicenter management study.

    PubMed

    Pernod, Gilles; Wu, Haifeng; de Maistre, Emmanuel; Lazarchick, John; Kassis, Jeannine; Aguilar, Carlos; Vera, Pascual M; Palareti, Gualtiero; D'Angelo, Armando

    2016-11-29

    Combined clinical pretest probability (PTP) and D-dimer testing have great diagnostic value for pulmonary embolism exclusion. To harmonize performance levels of D-dimer assays available on the market, the Clinical and Laboratory Standard Institute (CLSI) has published a guideline, endorsed by the US Food and Drug Administration (FDA). Such guideline specifies the ideal D-dimer assay characteristic and target population. This study was conducted following the CLSI guideline to upgrade the assay-intended use and obtain FDA clearance of STA-Liatest D-Di assay for pulmonary embolism exclusion in patient with low/moderate PTP. This was an international, multicenter, prospective nonrandomized, noninterventional clinical outcome management study conducted in a standard of care setting. D-dimer assay was performed in consecutive, ambulatory outpatients suspected of pulmonary embolism, with low/moderate PTP, and without medical conditions or in clinical settings known to alter default D-dimer values regardless of the presence of thrombosis using a threshold of 0.5 μg/ml (fibrinogen equivalent units) for venous thromboembolism exclusion. Results were used to determine test performance. Of 1141 patients who underwent D-dimer testing, 1060 had valid results and completed study as planned. STA-Liatest D-Di assay performance has exceeded the CLSI/FDA guidance requirements, with a sensitivity of 97.6% (95% confidence interval: 91.7-99.7%) and a negative predictive value of 99.7% (95% confidence interval: 99.0-100%). STA-Liatest D-Di assay has an excellent performance when used in combination with a PTP score in relevant patients and has the potential to minimize the economic healthcare burden avoiding unnecessary and expensive imaging tests.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The