Clinical management issues vary by specialty in the Victorian Audit of Surgical Mortality: a retrospective observational study

PubMed Central

Vinluan, Jessele; Retegan, Claudia; Chen, Andrew; Beiles, Charles Barry

2014-01-01

Objective Clinical management issues are contributory factors to mortality. The aim of this study was to use data from the Victorian Audit of Surgical Mortality (VASM), an educational peer-review process for surgeons, to discover differences in the incidence of these issues between surgical specialties in order to focus attention to areas of care that might be improved. Design This study used retrospectively analysed observational data from VASM. Clinical management issues between eight specialties were assessed using χ2 analysis. Data sources VASM data were reported by participating public and private health services, the Coroner and self-reporting surgeons across Victoria. Results A total of 2946 specific clinical issues as deficiencies of care were reported. 15% of cases had significant issues of care. The most common clinical management issue was the delay in delivery of treatment. Other clinical issues included the quality of communication and documentation, preoperative and postoperative care, adverse events and protocol issues. There were significant differences in issues between specialties. Conclusions The clinical management issues presented across surgical specialties were similar; however, five issues of clinical care differed significantly in frequency across surgical specialties. The three main issues varying among specialties were complications after operation, communication and postoperative care. Addressing these clinical management issues via the peer-review process may impact positively on patient care. PMID:24980043

Managing Information Technology: Facing the Issues. Track VI: Academic Computing Issues.

ERIC Educational Resources Information Center

CAUSE, Boulder, CO.

Eight papers making up Track VI of the 1989 conference of the Professional Association for the Management of Information Technology in Higher Education (known as CAUSE, an acronym of the association's former name) are presented in this document. The focus of Track VI is on academic computing issues, and the papers include: "Loan-a-Mac: A…

Managing Information Technology: Facing the Issues. Track II: Funding and Accountability Issues.

ERIC Educational Resources Information Center

CAUSE, Boulder, CO.

Eight papers making up Track II of the 1989 conference of the Professional Association for the Management of Information Technology in Higher Education (known as CAUSE, an acronym for the association's former name) are presented in this document. The focus of Track II is on funding and accountability issues, and the papers include: "A…

Managing Information Technology: Facing the Issues. Track III: Organization and Personnel Issues.

ERIC Educational Resources Information Center

CAUSE, Boulder, CO.

Seven papers making up Track III of the 1989 conference of the Professional Association for the Management of Information Technology in Higher Education (known as CAUSE, an acronym of the association's former name) are presented in this document. The focus of Track III is on organization and personnel issues, and the papers include: "How to…

Managing Information Technology: Facing the Issues. Track IV: Policy and Standards Issues.

ERIC Educational Resources Information Center

CAUSE, Boulder, CO.

Seven papers making up Track IV of the 1989 conference of the Professional Association for the Management of Information Technology in Higher Education (known as CAUSE; an acronym of the association's former name) are presented in this document. The focus of Track IV is on policy and standards issues and the papers include: "Developing…

Managing Information Technology: Facing the Issues. Track VII: Applications and Technology Issues.

ERIC Educational Resources Information Center

CAUSE, Boulder, CO.

Eight papers making up Track VII of the 1989 conference of the Professional Association for the Management of Information Technology in Higher Education (known as CAUSE, an acronym of the association's former name) are presented in this document. The focus of Track VII is on applications and technology issues, and the papers include: "The…

Nurse managers' experience with ethical issues in six government hospitals in Malaysia: a cross-sectional study.

PubMed

Musa, Maizura binti; Harun-Or-Rashid, M D; Sakamoto, Junichi

2011-11-16

Nurse managers have the burden of experiencing frequent ethical issues related to both their managerial and nursing care duties, according to previous international studies. However, no such study was published in Malaysia. The purpose of this study was to explore nurse managers' experience with ethical issues in six government hospitals in Malaysia including learning about the way they dealt with the issues. A cross-sectional study was conducted in August-September, 2010 involving 417 (69.2%) of total 603 nurse managers in the six Malaysian government hospitals. Data were collected using three-part self-administered questionnaire. Part I was regarding participants' demographics. Part II was about the frequency and areas of management where ethical issues were experienced, and scoring of the importance of 11 pre-identified ethical issues. Part III asked how they dealt with ethical issues in general; ways to deal with the 11 pre-identified ethical issues, and perceived stress level. Data were analyzed using descriptive statistics, cross-tabulations and Pearson's Chi-square. A total of 397 (95.2%) participants experienced ethical issues and 47.2% experienced them on weekly to daily basis. Experiencing ethical issues were not associated with areas of practice. Top area of management where ethical issues were encountered was "staff management", but "patient care" related ethical issues were rated as most important. Majority would "discuss with other nurses" in dealing generally with the issues. For pre-identified ethical issues regarding "patient care", "discuss with doctors" was preferred. Only 18.1% referred issues to "ethics committees" and 53.0% to the code of ethics. Nurse managers, regardless of their areas of practice, frequently experienced ethical issues. For dealing with these, team-approach needs to be emphasized. Proper understanding of the code of ethics is needed to provide basis for reasoning.

Combating Terrorism: Issues in Managing Counterterrorist Programs

DTIC Science & Technology

2000-04-06

major effort to develop a national strategy, to date the strategy does not include a clear desired outcome to be achieved. Resources to combat...Federal exercises, in contrast to earlier years, are now practicing crisis and consequence management simultaneously and including state and local...categories—crisis management and consequence management. Crisis management includes efforts to stop a terrorist attack, arrest terrorists, and gather

Issues in NASA Program and Project Management. Special Report: 1997 Conference. Project Management Now and in the New Millennium

NASA Technical Reports Server (NTRS)

Hoffman, Edward J. (Editor); Lawbaugh, William M. (Editor)

1997-01-01

Topics Considered Include: NASA's Shared Experiences Program; Core Issues for the Future of the Agency; National Space Policy Strategic Management; ISO 9000 and NASA; New Acquisition Initiatives; Full Cost Initiative; PM Career Development; PM Project Database; NASA Fast Track Studies; Fast Track Projects; Earned Value Concept; Value-Added Metrics; Saturn Corporation Lessons Learned; Project Manager Credibility.

Managing Quality, Identity and Adversaries in Public Discourse with Machine Learning

ERIC Educational Resources Information Center

Brennan, Michael

2012-01-01

Automation can mitigate issues when scaling and managing quality and identity in public discourse on the web. Discourse needs to be curated and filtered. Anonymous speech has to be supported while handling adversaries. Reliance on human curators or analysts does not scale and content can be missed. These scaling and management issues include the…

Special Issue: Competencies from the Individual's Viewpoint.

ERIC Educational Resources Information Center

Career Planning and Adult Development Journal, 2003

2003-01-01

Ten articles in this special issue deal with competencies and how their use is revolutionizing human resource management and the work of career practitioners. Topics include competency technology, models, and mapping; behavioral interviewing; talent management; emotional intelligence; succession planning; and lifelong learning. (JOW)

Current Issues for Higher Education Information Resources Management.

ERIC Educational Resources Information Center

CAUSE/EFFECT, 1996

1996-01-01

Issues identified as important to the future of information resources management and use in higher education include information policy in a networked environment, distributed computing, integrating information resources and college planning, benchmarking information technology, integrated digital libraries, technology integration in teaching,…

A Future-Oriented, Globally Based Curriculum Model for Industrial Technology.

ERIC Educational Resources Information Center

Hacker, Michael

1982-01-01

Presents a future-oriented curriculum approach for industrial technology programs. Major global issues provide the basic structure for curriculum development. These issues include energy management, resource management, technological advancement, and international relations. Rationales for industrial technology are discussed and a curriculum…

Management Issues & Innovation. Chapter 10.

ERIC Educational Resources Information Center

Acampora, Alfonso P., Ed.; Nebelkopf, Ethan, Ed.

This document contains 11 papers from the ninth World Conference of Therapeutic Communities (TCs) that deal with management issues and innovations within TCs. Papers include: (1) "Support or Restriction of TCs: Governmental Interation vs. Self-Reliance" (Richard Pruss); (2) "Governmental Support: A Swedish Perspective" (Lars…

Diabetes and end of life: ethical and methodological issues in gathering evidence to guide care.

PubMed

Dunning, Trisha; Duggan, Nicole; Savage, Sally; Martin, Peter

2013-03-01

Providing palliative care for people with diabetes at the end of life is part of the chronic disease care trajectory, but end of life care is complex and the presence of diabetes further complicates management. The aim of the paper is to discuss the ethical and methodological issues encountered when undertaking research to develop guidelines for managing diabetes at the end of life and the strategies used to address the issues. The issues emerged as we developed guidelines for managing diabetes at the end of life, which included conducting individual interviews with 14 people with diabetes requiring palliative care and 10 family members. A reflexive researcher journal was maintained throughout the guideline development process. The interview transcripts and researcher's journal were analysed to determine key methodological, ethical and researcher-related issues. Key themes were vulnerability of the sampling population, methodological issues included recruiting participants and ensuring rigor, ethical issues concerned benefit and risk, justice, autonomy, privacy, professional boundaries and informed consent. Researcher-related issues were identified such as managing participant distress and their own emotional distress. People were willing to discuss end of life diabetes management preferences. Undertaking research with people at the end of life is complex because of their vulnerability and the ethical issues involved. However, the ethical principles of autonomy and justice apply and people should be given the relevant information and opportunity to decide whether to participate or not. © 2012 The Authors. Scandinavian Journal of Caring Sciences © 2012 Nordic College of Caring Science.

Management Development from a Dutch Perspective.

ERIC Educational Resources Information Center

Paauwe, Jaap, Ed.; Williams, Roger, Ed.

2001-01-01

Includes "Seven Key Issues for Management Development" (Paauwe, Williams); "Typology of Management Development" (Jansen, van der Velde, Mul); "Management Development at Royal Dutch/Shell" (Mahieu); "Management Development in Unilever" (Reitsma); "International Co-ordination and Management…

Telemental Health for Children and Adolescents: An Overview of Legal, Regulatory, and Risk Management Issues.

PubMed

Kramer, Gregory M; Luxton, David D

2016-04-01

The use of technology to provide telemental healthcare continues to increase; however, little has been written about the legal and regulatory issues involved in providing this form of care to children and adolescents. This article reviews existing laws and regulations to summarize the risk management issues relevant to providing telemental healthcare to children and adolescents. There are several legal and regulatory areas in which telemental health clinicians need to have awareness. These areas include: 1) Licensure, 2) malpractice liability, 3) credentialing and privileging, 4) informed consent, 5) security and privacy, and 6) emergency management. Although legal and regulatory challenges remain in providing telemental healthcare to children and adolescents, it is possible to overcome these challenges with knowledge of the issues and appropriate risk management strategies. We provide general knowledge of these key legal and regulatory issues, along with some risk management recommendations.

Special Issue: Book Reviews. Resources for Career Management, Counseling, Training and Development.

ERIC Educational Resources Information Center

Horvath, Clara, Ed.; And Others

1995-01-01

This special issue includes reviews of 32 books on the following topics: management, human resources, and organizational development; career counseling, guidance, and assessment; job search; resumes; careers in specific fields; careers for special populations; career transitions; and finding balance. (SK)

Current issues and challenges in the management of bariatric patients.

PubMed

Bell, Sue Ellen

2005-01-01

Morbid obesity is an increasingly common healthcare problem, and providers and patients currently face numerous challenges in dealing with this problem effectively. Issues addressed in this article include the effect of stigma, the need for more evidence regarding effective management options, and the declining insurance coverage for bariatric surgery. The role of bariatric surgery in effective management of morbid obesity is discussed, along with the effect on and possible reasons for declining coverage. A comparison between benefits and coverage for bariatric surgery and angioplasty/stent placement is included.

Organizing and delivering case management services: lessons from the National Long Term Care Channeling Demonstration.

PubMed

Christianson, J B; Applebaum, R; Carcagno, G; Phillips, B

1988-01-01

This article discusses issues relating to the design and internal administration of a case-management agency for community based home care for the elderly. Included in the article are issues relating to screening procedures, assessment and case management activities, cost controls, automated management information systems, and personnel matters. The analysis is based on the experience of the National Long Term Care Demonstration ("Channeling") which established and evaluated ten case management projects nationwide under federal funding.

Designing and Managing Your Digital Library.

ERIC Educational Resources Information Center

Guenther, Kim

2000-01-01

Discusses digital libraries and Web site design issues. Highlights include accessibility issues, including standards, markup languages like HTML and XML, and metadata; building virtual communities; the use of Web portals for customized delivery of information; quality assurance tools, including data mining; and determining user needs, including…

Nurse managers' experience with ethical issues in six government hospitals in Malaysia: A cross-sectional study

PubMed Central

2011-01-01

Background Nurse managers have the burden of experiencing frequent ethical issues related to both their managerial and nursing care duties, according to previous international studies. However, no such study was published in Malaysia. The purpose of this study was to explore nurse managers' experience with ethical issues in six government hospitals in Malaysia including learning about the way they dealt with the issues. Methods A cross-sectional study was conducted in August-September, 2010 involving 417 (69.2%) of total 603 nurse managers in the six Malaysian government hospitals. Data were collected using three-part self-administered questionnaire. Part I was regarding participants' demographics. Part II was about the frequency and areas of management where ethical issues were experienced, and scoring of the importance of 11 pre-identified ethical issues. Part III asked how they dealt with ethical issues in general; ways to deal with the 11 pre-identified ethical issues, and perceived stress level. Data were analyzed using descriptive statistics, cross-tabulations and Pearson's Chi-square. Results A total of 397 (95.2%) participants experienced ethical issues and 47.2% experienced them on weekly to daily basis. Experiencing ethical issues were not associated with areas of practice. Top area of management where ethical issues were encountered was "staff management", but "patient care" related ethical issues were rated as most important. Majority would "discuss with other nurses" in dealing generally with the issues. For pre-identified ethical issues regarding "patient care", "discuss with doctors" was preferred. Only 18.1% referred issues to "ethics committees" and 53.0% to the code of ethics. Conclusions Nurse managers, regardless of their areas of practice, frequently experienced ethical issues. For dealing with these, team-approach needs to be emphasized. Proper understanding of the code of ethics is needed to provide basis for reasoning. PMID:22085735

New Horizons in Education, No. 39.

ERIC Educational Resources Information Center

Ho, Kwok Keung, Ed.

1998-01-01

The annual issue of the journal of the Hong Kong Teachers Association includes these articles: "The Time Management Issue of Tertiary Students: An Investigation of Tuition Conductors in Singapore" (Tai Chee Wong, Jessie Yuk Yong Wong); "The Analysis of the Phenomena of Parkinson in Course of School Management" (Ying Xiu Yang)…

The provision of neuropsychological services in rural/regional settings: professional and ethical issues.

PubMed

Allott, Kelly; Lloyd, Susan

2009-07-01

Despite rapid growth of the discipline of clinical neuropsychology during recent times, there is limited information regarding the identification and management of professional and ethical issues associated with the practice of neuropsychology within rural settings. The aim of this article is to outline the characteristics unique to practicing neuropsychology in rural communities and to describe the potential professional and ethical dilemmas that might arise. Issues are illustrated using examples from neuropsychological practice in a rural/regional setting in Victoria, Australia. Relative to urban regions, there is an inequality in the distribution of psychologists, including neuropsychologists, in rural areas. The unique characteristics of rural and regional communities that impact on neuropsychological practice are: 1) limited resources in expertise, technology, and community services, 2) greater travel distances and costs, 3) professional isolation, and 4) beliefs about psychological services. These characteristics lower the threshold for particular ethical issues. The ethical issues that require anticipation and careful management include: 1) professional competence, 2) multiple relationships, and 3) confidentiality. Through increased awareness and management of rural-specific professional and ethical issues, rural neuropsychologists can experience their work as rewarding and enjoyable. Specific guidelines for identifying, managing, and resolving ethically and professionally challenging situations that may arise during rural practice are provided.

Management Development in Hospitality and Tourism.

ERIC Educational Resources Information Center

Teare, Richard, Ed.; And Others

1990-01-01

A theme issue devoted to management development in hospitality and tourism includes nine articles on assessing human resource needs and priorities, management development and training, preparing managers, curriculum design, supervised work experience, manager role, and the current business environment. (JOW)

'I'm more sick than my doctors think': ethical issues in managing somatization in developing countries.

PubMed

Chandra, Prabha S; Satyanarayana, Veena A

2013-02-01

Several ethical issues confront the healthcare professional who is managing somatization in developing countries where cost constraints, low literacy, poverty, poor nutrition and infections and inadequate access to healthcare are common. The paper discusses these in the context of the ethical principles of autonomy, beneficence, non-maleficence and justice. Some of the ethical issues in managing somatization include being influenced by patient distress rather than rational medical decision-making, inadequate attention to the cultural meaning of symptoms, psychologizing versus medicalizing, the ethics of nomenclature and labels, communicating ethically with patients, and managing them adequately given lack of evidence and training. An ethical approach to managing somatization in this context would include using an integrated and simultaneous medical and psychiatric approach. To ensure patient beneficence, the medical, psychological and social assessment should be undertaken side-by-side as much as possible and should be cost effective. Respecting patient autonomy by using adequate communication methods and the patient's cultural model of the illness as part of management is also integral to ethical practice. In the developing world, issues of equity are also an important ethical concern. When more serious illnesses are the health priority, functional syndromes may not get equal importance or resources.

Psychosocial issues and mental health treatment recommendations for patients with hepatitis C.

PubMed

Silberbogen, Amy K; Ulloa, Erin W; Janke, E Amy; Mori, DeAnna L

2009-01-01

Mental health needs of patients with HCV are increasingly being addressed in medical contexts. The authors review the psychosocial issues relevant to patients with hepatitis C and provide mental health treatment recommendations. Patients with HCV are faced with a number of challenges, including adjustment to a chronic medical illness, management of symptoms and treatment side effects, and making and maintaining lifestyle changes. Given these issues, mental health clinicians have the opportunity to make a significant contribution to patient care. After reviewing the relevant research on these psychosocial issues, the authors have identified areas in which clinicians can intervene; these include adjustment to having a chronic medical illness, coping with stigma and relationship changes, management of side effects, and implementing healthy lifestyle changes.

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

ERIC Educational Resources Information Center

Mercer, Prue

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

IMHE-Info. OECD Programme on Institutional Management in Higher Education, December 2006

ERIC Educational Resources Information Center

OECD Publishing (NJ1), 2006

2006-01-01

IMHE-Info is the newsletter published by the Institutional Management in Higher Education (IMHE) programme. This issue includes: Governance on the Agenda. IMHE News, publications of interest and upcoming events are included.

Substance Abuse and Counseling: An Epilogue.

ERIC Educational Resources Information Center

Sales, Amos

This chapter discusses current issues and future perspectives in relation to substance abuse counseling. Current issues include: abstinence versus controlled use; coercive versus voluntary treatment; and career development and counseling with clients with substance abuse problems. Future perspectives include: the impact of managed care; the…

Leadership, governance and management in dental education - new societal challenges.

PubMed

Townsend, G; Thomas, R; Skinner, V; Bissell, V; Cohen, L; Cowpe, J; Giuliani, M; Gomez-Roman, G; Hovland, E; Imtiaz, A; Kalkwarf, K; Kim, K-K; Lamster, I; Marley, J; Mattsson, L; Paganelli, C; Quintao, C; Swift, J; Thirawat, J; Williams, J; Soekanto, S; Jones, M

2008-02-01

Dental schools around the world face new challenges that raise issues with regard to how they are governed, led and managed. With rapid societal changes, including globalization and consumerism, the roles of universities and their funding have become intensely debated topics. When financial burdens on universities increase, so does the pressure on dental schools. This is exacerbated by the relative expense of running dental schools and also by the limited understanding of both university managers and the public of the nature and scope of dentistry as a profession. In these circumstances, it is essential for dental schools to have good systems of leadership and management in place so that they can not only survive in difficult times, but flourish in the longer term. This paper discusses the concept of governance and how it relates to leadership, management and administration in dental schools and hospitals. Various approaches to governance and management in dental schools on different continents and regions are summarized and contrasted. A number of general governance and leadership issues are addressed. For example, a basic principle supported by the Working Group is that an effective governance structure must link authority and responsibility to performance and review, i.e. accountability, and that the mechanism for achieving this should be transparent. The paper also addresses issues specific to governing, leading and managing dental schools. Being a dean of a modern dental school is a very demanding role and some issues relating to this role are raised, including: dilemmas facing deans, preparing to be dean and succession planning. The importance of establishing a shared vision and mission, and creating the right culture and climate within a dental school, are emphasized. The Working Group advocates establishing a culture of scholarship in dental schools for both teaching and research. The paper addresses the need for effective staff management, motivation and development, and highlights the salience of good communication. The Working Group suggests establishing an advisory board to the dean and school, including lay persons and other external stakeholders, as one way of separating governance and management to some extent and providing some checks and balances within a dental school. Several other suggestions and recommendations are made about governance, management and leadership issues, including the need for schools to promote an awareness of their roles by good communication and thereby influence perceptions of others about their roles and values.

International trade and waste and fuel managment issue, 2006

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

Agnihotri, Newal

The focus of the January-February issue is on international trade and waste and fuel managment. Major articles/reports in this issue include: HLW management in France, by Michel Debes, EDF, France; Breakthroughs from future reactors, by Jacques Bouchard, CEA, France; 'MOX for peace' a reality, by Jean-Pierre Bariteau, AREVA Group, France; Swedish spent fuel and radwaste, by Per H. Grahn and Marie Skogsberg, SKB, Sweden; ENC2005 concluding remarks, by Larry Foulke, 'Nuclear Technology Matters'; Fuel crud formation and behavior, by Charles Turk, Entergy; and, Plant profile: major vote of confidence for NP, by Martti Katka, TVO, Finland.

Current Status of On-Site Wastewater Management

ERIC Educational Resources Information Center

Senn, Charles L.

1978-01-01

Wastewater management is becoming an important environmental issue nationally. This article reports the history and current status of wastewater management. Regulatory programs are discussed with specific state examples. Needs assessment is also included. (MA)

IMHE-Info. OECD Programme on Institutional Management in Higher Education, July 2006

ERIC Educational Resources Information Center

Lafon, Valerie, Ed.

2006-01-01

IMHE-Info is the newsletter published by the Institutional Management in Higher Education (IMHE) programme. This issue includes: Higher Education: Quality, Equity and Efficiency. IMHE News, publications of interest and upcoming events are included.

42 CFR 460.62 - Governing body.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Management and provision of all services, including the management of contractors. (4) Establishment of... participants. (7) Quality assessment and performance improvement program. (b) Participant advisory committee... provide the liaison to the governing body with meeting minutes that include participant issues. (c...

Strategies of Educational Decentralization: Key Questions and Core Issues.

ERIC Educational Resources Information Center

Hanson, E. Mark

1998-01-01

Explains key issues and forces that shape organization and management strategies of educational decentralization, using examples from Colombia, Venezuela, Argentina, Nicaragua, and Spain. Core decentralization issues include national and regional goals, planning, political stress, resource distribution, infrastructure development, and job…

Workshop on Aeronautical Decision Making (ADM). Volume 2. Plenary Session with Presentations and Proposed Action Plan

DTIC Science & Technology

1992-08-01

programs have several common functional components dealing with: attention , crew, stress, mental attitude, and risk issues. The role which the five...five interrelated concept areas furnish "rules and tools" to help prevent common errors. For instance: 1. Attention management issues include...pilots must manage his/her attention in a timely manor and sequentially employ the other cockpit management tools (for controlling stress etc.). The text

Editorial: Welcome to the new Journal of Wildlife Management

Treesearch

William M. Block; Michael L. Morrison

2006-01-01

Although the name was not changed, you are reading the first issue of a new journal. As you should all know by now, this issue represents the combination of The Journal of Wildlife Management (JWM) with the former Wildlife Society Bulletin (WSB). We want to emphasize a point: the content of WSB is included in the "new" JWM.

Using positive youth development constructs to design a money management curriculum for junior secondary school students in Hong Kong.

PubMed

Lau, Patrick S Y; Lam, C M; Law, Ben M F; Poon, Y H

2011-01-01

This paper aims to discuss the relationships between the selected positive youth development constructs and the enhancement of Hong Kong junior secondary school students' money management skills, values, and attitudes. Various issues of money management of adolescents are reviewed. These issues include the need for money management programs for adolescents, the content and coverage of an appropriate money management program, and its relationships with the selected positive youth development constructs. The curriculum units for secondary 3 students are taken as examples to illustrate the design of the program. It is believed that promoting cognitive competence, self-efficacy, and spirituality could be an effective way to enhance students' money management skills, values, and attitudes, thus preparing them better for facing the finance-related issues in life.

Using Positive Youth Development Constructs to Design a Money Management Curriculum for Junior Secondary School Students in Hong Kong

PubMed Central

Lau, Patrick S. Y.; Lam, C. M.; Law, Ben M. F.; Poon, Y. H.

2011-01-01

This paper aims to discuss the relationships between the selected positive youth development constructs and the enhancement of Hong Kong junior secondary school students' money management skills, values, and attitudes. Various issues of money management of adolescents are reviewed. These issues include the need for money management programs for adolescents, the content and coverage of an appropriate money management program, and its relationships with the selected positive youth development constructs. The curriculum units for secondary 3 students are taken as examples to illustrate the design of the program. It is believed that promoting cognitive competence, self-efficacy, and spirituality could be an effective way to enhance students' money management skills, values, and attitudes, thus preparing them better for facing the finance-related issues in life. PMID:22125469

When Violence Threatens the Workplace: Personnel Issues.

ERIC Educational Resources Information Center

Willits, Robert L.

1997-01-01

Discusses violence in the workplace and suggests a three-tier approach to dealing with violence in libraries that focuses on personnel issues: (1) preventive measures, including applicant screening, supervisory training, and employee assistance programs; (2) threat management, including policy formation and legal action; and (3) crisis/post-trauma…

ARL: A Bimonthly Newsletter of Research Library Issues and Actions, 2001.

ERIC Educational Resources Information Center

Barrett, G. Jaia, Ed.

2001-01-01

This document consists of six issues of the ARL (Association of Research Libraries) Newsletter, covering the year 2001. Each issue of the newsletter includes some or all of the following sections: "Current Issues," reports from the Office of Scholarly Communication, Office for Management Services, and Coalition for Networked Information,…

"Must-know" legal issues for healthcare CFOS.

PubMed

Peregrine, Michael W; Schwartz, James R

2002-03-01

Healthcare financial managers are finding that regulatory agencies' customary focus on Medicare and tax-exemption concerns is shifting to other issues directly related to financial management. Regulatory agencies, such as the Securities and Exchange Commission, are scrutinizing not-for-profit and charitable trust law matters. Because of this renewed attention to existing regulations, healthcare financial managers need to increase their diligence in ensuring their organizations' compliance with those laws governing areas for which they traditionally have been accountable, including auditor relationships, restricted gifts, consulting arrangements, investment management, and financial reporting.

Conflict Management.

ERIC Educational Resources Information Center

Fisher, William; Koue, Glen

1991-01-01

Discusses general issues involved in conflict management and provides more specific examples of conflict management in libraries. Causes of conflict are considered, including organizational structure, departmentalization, performance appraisal, poor communication, and technological change; and methods of dealing with conflict are described,…

Managing Criminal Investigations.

ERIC Educational Resources Information Center

Bloch, Peter B.; Weidman, Donald R.

The report discusses many ways for police managers to improve the success of their departments' criminal investigation efforts. Management issues addressed include budgeting and allocating resources; improving relationships with the prosecutor; interacting with the public, especially victims and witnesses; improving relationships between…

Women in Management.

ERIC Educational Resources Information Center

Crampton, Suzanne M.; Mishra, Jitendra M.

1999-01-01

Major issues surrounding women in management include the glass ceiling and prevalence of myths and stereotypes. Organizational and individual responses to improve use of the diversity of their skills and talents include mentors, sponsors, role models, networks, alternative schedules, family leave, employee assistance, and child care. (JOW)

Implementation of a Contingency Management-Based Intervention in a Community Supervision Setting: Clinical Issues and Recommendations

ERIC Educational Resources Information Center

Trotman, Adria J.; Taxman, Faye S.

2011-01-01

A cognitive-behaviorally based substance abuse treatment program was implemented within a community supervision setting. This program included a goals group that used a contingency management component and included the probation agent as a part of the treatment. In this article, the authors describe the contingency management component of the…

The impact and control of major southern forest diseases

Treesearch

A. Dan Wilson; Theodor D. Leininger; William J. Otrosina; L. David Dwinell; Nathan M. Schiff

2004-01-01

A variety of forest health issues, concerns, and events have rapidly changed southern forests and plantations in the past two decades. These factors have strongly impacted the ways we manage forest pests in the Southern United States. This trend will no doubt continue to shape forest pest management in the future. The major issues and events of concern include changing...

Philippines: Environment and natural resource management study. World Bank country study

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

Not Available

1989-01-01

This study addresses the most significant issues of natural-resource management in the Philippines. These include the disappearence or degradation of forests; erosion and changes in hydrological regimes; the conversion of mangrove swamps to fishponds; degradation of coral reefs; and depletion of nearshore fisheries through overfishing and destructive techniques. The issues addressed concern the extent and rate of degradation of these resource stocks, the impact thereof on the national economy, and the scope for ameliorative measures through policy responses, management changes, and investments. The Government is responsible for management of public resources, which include over half of the land area ofmore » the Philippines as well as the coastal waters. Historically, public management has been less than optimal, as evidenced by an unsustainable rate of deforestation and the recent stagnation or decline in extractive fisheries.« less

Treatment of Opioid Dependent Pregnant Women: Clinical and Research Issues

PubMed Central

Jones, H.E.; Martin, P.R.; Heil, S.H.; Stine, S.M.; Kaltenbach, K.; Selby, P.; Coyle, M.G.; O’Grady, K.E.; Arria, A.M.; Fischer, G.

2008-01-01

This paper addresses common questions that clinicians face when treating pregnant women with opioid dependence. Guidance is provided to aid clinical decision-making, based on both research evidence and the collective clinical experience of the authors which include investigators in the Maternal Opioid Treatment: Human Experimental Research (MOTHER) project. MOTHER is a double-blind, double-dummy, flexible–dosing, parallel-group clinical trial examining the comparative safety and efficacy of methadone and buprenorphine for the opioid dependence treatment among pregnant women and their neonates. The paper begins with a discussion of appropriate assessment during pregnancy, and then addresses clinical management stages, including maintenance medication selection, induction and stabilization, opioid agonist medication management before, during and after delivery, pain management, breast-feeding, and transfer to aftercare. Lastly, other important clinical issues including managing co-occurring psychiatric disorders and medication interactions are discussed. PMID:18248941

Managing Tomorrow's University.

ERIC Educational Resources Information Center

Michalak, Craig L., Ed.

The issues addressed in this conference report concern budgeting, the resourceful manager, extramural funding, employer-employee interaction, management information systems, and management of the university in the future. Contents include: the keynote address by F. E. Balderston; "University Budgeting in an Era of Scarce Resources," by F. M. Bowen…

Emerging issues in biodiversity & conservation management: The need for a palaeoecological perspective

NASA Astrophysics Data System (ADS)

Froyd, C. A.; Willis, K. J.

2008-09-01

The study of Quaternary environmental change is directly applicable to on-going issues of global conservation. Palaeoecological research techniques provide the tools to address some of the key questions presently being asked by conservation ecologists and land management organizations. But is this type of analysis currently being utilized to its full potential? Are the results of palaeoenvironmental analyses routinely applied to practical issues of natural resource management, and if not what can be done to expand the application of this research within the conservation community? This paper reviews recent developments in the application of the analysis of late Quaternary environmental change to key environmental issues of biodiversity and conservation management and examines areas which could be strengthened in the future including: (i) determination of baselines and natural ecosystem variability; (ii) understanding ecological thresholds and resilience; (iii) climate change conservation strategies; (iv) biological invasions; and (v) conservation and culture.

Management: A bibliography for NASA managers

NASA Technical Reports Server (NTRS)

1985-01-01

This bibliography lists 706 reports, articles, and other documents introduced into the NASA scientific and technical information system in 1984. Entries, which include abstracts, are arranged in the following categories: human factors and personnel issues; management theory and techniques; industrial management and manufacturing; robotics and expert systems; computers and information management; research and development; economics, costs, and markets; logistics and operations management; reliability and quality control; and legality, legislation, and policy. Subject, personal author, corporate source, contract number, report number, and accession number indexes are included.

Knowledge Management: An Introduction.

ERIC Educational Resources Information Center

Mac Morrow, Noreen

2001-01-01

Discusses issues related to knowledge management and organizational knowledge. Highlights include types of knowledge; the knowledge economy; intellectual capital; knowledge and learning organizations; knowledge management strategies and processes; organizational culture; the role of technology; measuring knowledge; and the role of the information…

IMHE-Info. OECD Programme on Institutional Management in Higher Education, April 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) Regional Engagement: The Future for Higher Education?; and (2) Notes from Australia. IMHE News, publications of interest and upcoming events are included.

Making Our Buildings Safer: Security Management and Equipment Issues.

ERIC Educational Resources Information Center

Clark, James H.

1997-01-01

Discusses three major components of library security: physical security of the environment; operating procedures for library staff, the public, and security personnel; and a contract security force (or campus security in academic institutions.) Topics include risk management; maintenance; appropriate technology, including security systems and…

Higher Education in TAFE: An Issues Paper

ERIC Educational Resources Information Center

Moodie, Gavin; Wheelahan, Leesa; Billett, Stephen; Kelly, Ann

2009-01-01

Growth in mixed-sector institutions offering both vocational and higher education qualifications is expected to increase given recent and predicted policy changes. This issues paper focuses on the provision and management of higher education in technical and further education (TAFE) institutes. Issues raised for discussion include the governance…

Media in Higher Education; The Critical Issues: Ideas, Analysis, Confrontation.

ERIC Educational Resources Information Center

1976

Nine issues papers were presented at the February 1976 Critical Issues Conference, the goal of which was to expose and define issues critical to the media field in higher education. Topics included definition and management of media programs, the role of media in the future of higher education, library media programs and instructional technology,…

ARL: A Bimonthly Newsletter of Research Library Issues and Actions, Nos. 190-195. February-December 1997.

ERIC Educational Resources Information Center

Barrett, G. Jaia, Ed.

This document consists of six issues of the ARL (Association of Research Libraries) Newsletter, covering the year 1997. Each issue of the newsletter includes some or all of the following sections: "Current Issues," reports from the Office of Scholarly Communication, Office for Management Services, and Coalition for Networked Information,…

Rotorcraft Health Management Issues and Challenges

NASA Technical Reports Server (NTRS)

Zakrajsek, James J.; Dempsey, Paula J.; Huff, Edward M.; Augustin, Michael; Safa-Bakhsh, Robab; Ephraim, Piet; Grabil, Paul; Decker, Harry J.

2006-01-01

This paper presents an overview of health management issues and challenges that are specific to rotorcraft. Rotorcraft form a unique subset of air vehicles in that their propulsion system is used not only for propulsion, but also serves as the primary source of lift and maneuvering of the vehicle. No other air vehicle relies on the propulsion system to provide these functions through a transmission system with single critical load paths without duplication or redundancy. As such, health management of the power train is a critical and unique part of any rotorcraft health management system. This paper focuses specifically on the issues and challenges related to the dynamic mechanical components in the main power train. This includes the transmission and main rotor mechanisms. This paper will review standard practices used for rotorcraft health management, lessons learned from fielded trials, and future challenges.

A guide to wound managment in palliative care.

PubMed

Naylor, Wayne A

2005-11-01

Wound management in palliative patients is often a very challenging area of care. There are many unique issues that can combine to produce complicated wound management scenarios, including the types of wounds and wound symptoms most commonly affecting palliative care patients, as well as the presence of concurrent disease and associated treatment. Problems exist with the availability of suitable dressings and balancing life expectancy with the goals of wound care. A significant, and possibly under-recognized, issue is the emotional and social distress experienced by these patients, which can be directly attributed to their wound. These problems must all be recognized and addressed in order to manage wounds effectively in this patient population. This article aims to explore these issues and offer advice on the management of wound-related symptoms, with the ultimate goal of improving patients' quality of life.

Workplace violence: managing a culture of acceptance.

PubMed

Fredrick, Marie

2014-01-01

The cultural acceptance of workplace violence is changing. Management has become more educated on regulatory issues around its tolerance of workplace violence. Events around the country in a variety of settings have aided in raising awareness of this issue. Healthcare professionals are not immune to workplace violence, including those working in the imaging profession. Healthcare workers, historically, have given care despite the demeanor of patients, often putting up with aggressive behavior including sexual harassment and physical assault. Management needs to take all possible measures to ensure employees feel safe at work. It is essential to have well thought out policies and procedures to mitigate workplace violence; keeping in mind that a goal of eliminating workplace violence is unrealistic.

How do we Remain Us in a Time of Change: Culture and Knowledge Management at NASA

NASA Technical Reports Server (NTRS)

Linde, Charlotte

2003-01-01

This viewgraph representation presents an overview of findings of a NASA agency-wide Knowledge Management Team considering culture and knowledge management issues at the agency. Specific issues identified by the team include: (1) NASA must move from being a knowledge hoarding culture to a knowledge sharing culture; (2) NASA must move from being center focused to being Agency focused; (3) NASA must capture the knowledge of a departing workforce. Topics considered include: what must NASA know to remain NASA, what were previous forms of knowledge reproduction and how has technological innovations changed these systems, and what changes in funding and relationships between contractors and NASA affected knowledge reproduction.

Families, Managed Care, & Children's Mental Health.

ERIC Educational Resources Information Center

McManus, Marilyn C., Ed.

1996-01-01

This theme issue of a bulletin on family support and children's mental health focuses on managed care and the impact on children who are in need of mental health services. Articles include: "Private Sector Managed Care and Children's Mental Health" (Ira S. Lourie and others); "Just What Is Managed Care?" (Chris Koyanagi); "Managed Behavioral…

Library Management Tips that Work

ERIC Educational Resources Information Center

Smallwood, Carol, Ed.

2011-01-01

There's no shortage of library management books out there--but how many of them actually tackle the little details of day-to-day management, the hard-to-categorize things that slip through the cracks of a larger handbook? "Library Management Tips that Work" does exactly that, addressing dozens of such issues facing library managers, including: (1)…

Educating Managers with Tomorrow's Technologies. Research in Management Education and Development Series.

ERIC Educational Resources Information Center

Wankel, Charles, Ed.; DeFillippi, Robert, Ed.

This volume demonstrates how technology is impacting management education and learning in a variety of educational contexts. Some of the issues and trends in management education addressed include: technotrends; web-based management learning; the changing nature of the web as a context for learning; online simulations; web-format case studies;…

HRD Issues in Asia.

ERIC Educational Resources Information Center

1998

This document contains four papers from a symposium on human resource development (HRD) issues in Asia. "The Japanese Human Resource Development System" (Kiyoe Harada) provides a comprehensive model of the Japanese HRD system based on the current state of the art, including management practices and issues and trends in Japanese HRD.…

Somerville Charter School: Management Issues and Recommendations.

ERIC Educational Resources Information Center

Massachusetts State Office of the Inspector General, Boston.

Somerville Charter School was among 24 Massachusetts charter schools included in a study undertaken by the Office of the Inspector General in March 1998. The office identified weaknesses in the contracting practices, procurement procedures, and financial management of some schools, including Somerville. These weaknesses could undermine the…

State Decision-Makers Guide for Hazardous Waste Management: Defining Hazardous Wastes, Problem Recognition, Land Use, Facility Operations, Conceptual Framework, Policy Issues, Transportation.

ERIC Educational Resources Information Center

Corson, Alan; And Others

Presented are key issues to be addressed by state, regional, and local governments and agencies in creating effective hazardous waste management programs. Eight chapters broadly frame the topics which state-level decision makers should consider. These chapters include: (1) definition of hazardous waste; (2) problem definition and recognition; (3)…

Understanding Wireless Communications in Public Safety: A Guidebook to Technology, Issues, Planning, and Management

DOT National Transportation Integrated Search

2000-08-01

This guidebook is divided into four parts: Part 1. Planning and Managing a Communications Project: Discusses the overall scope of a project, including planning, funding, procurement, and management. Part 2. Wireless Communications Technology: Discuss...

Research from Afar: Considerations for Conducting an Off-Site Research Project.

ERIC Educational Resources Information Center

Williams, Reg Arthur; Hagerty, Bonnie M.; Hoyle, Kenneth; Yousha, Steven M.; Abdoo, Yvonne; Andersen, Curt; Engler, Dorothy

1999-01-01

Critical elements in the success of off-site research projects include the following: negotiation, attention to personnel issues, communication, participation of research subjects, data management, and concern for privacy issues. (SK)

76 FR 10064 - Notice of Public Meeting of the Central California Resource Advisory Council

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-23

... associated with public land management in Central California. At this meeting, agenda topics will include an update on Resource Management Plans and other resource management issues. Additional ongoing business... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLCAC01000 L10100000.XZ0000 LXSIOVHD0000...

77 FR 17402 - Black Hills National Forest Advisory Board

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-26

... including fire management and mountain pine beetle infestations, travel management, forest monitoring and... recommendations on a broad range of forest issues such as forest plan revisions or amendments, travel management... in 2000; 2. A 2004 initial Off-Highway Vehicle Travel Management Subcommittee report; 3. A report on...

Nursing management and organizational ethics in the intensive care unit.

PubMed

Wlody, Ginger Schafer

2007-02-01

This article describes organizational ethics issues involved in nursing management of an intensive care unit. The intensive care team and medical center management have the dual responsibility to create an ethical environment in which to provide optimum patient care. Addressing organizational ethics is key to creating that ethical environment in the intensive care unit. During the past 15-20 yrs, increasing costs in health care, competitive markets, the effect of high technology, and global business changes have set the stage for business and healthcare organizational conflicts that affect the ethical environment. Studies show that critical care nurses experience moral distress and are affected by the ethical climate of both the intensive care unit and the larger organization. Thus, nursing moral distress may result in problems related to recruitment and retention of staff. Other issues with organizational ethics ramifications that may occur in the intensive care unit include patient safety issues (including those related to disruptive behavior), intensive care unit leadership style, research ethics, allocation of resources, triage, and other economic issues. Current organizational ethics conflicts are discussed, a professional practice model is described, and multidisciplinary recommendations are put forth.

Infertility – prevention and management

PubMed Central

Somers, Emily C; Marder, Wendy

2017-01-01

Summary Women with autoimmune diseases are more at risk for infertility and subfertility, menstrual irregularities and decreased parity due to multiple possible etiologies, including underlying inflammatory disease, gonadotoxic medications, and psychosocial issues related to living with chronic disease. An awareness of these issues, and the validation and support of patients going through fertility related issues, is important for providing comprehensive care to this patient population. In particular, an understanding of the expanding options for fertility preservation strategies during gonadotoxic medications is essential, including gonadotropin releasing hormone analogues (GnRH-a) co-therapy and oocyte cryopreservation. Referral to a reproductive endocrinology clinic is indicated in this patient population, in part to help manage symptoms of hypoestrogenism that may result from GnRH-a therapy. PMID:28390569

Management: A continuing literature survey with indexes, March 1976

NASA Technical Reports Server (NTRS)

1976-01-01

Management is a compilation of references to selected reports, journal articles, and other documents on the subject of management. This publication lists 368 documents originally announced in the 1975 issues of Scientific and Technical Aerospace Reports (STAR) or International Aerospace Abstracts (IAA). It includes references on the management of research and development, contracts, production, logistics, personnel, safety, reliability and quality control. It also includes references on: program, project and systems management; management policy, philosophy, tools, and techniques; decisionmaking processes for managers; technology assessment; management of urban problems; and information for managers on Federal resources, expenditures, financing, and budgeting.

Assessing hospital emergency management plans: a guide for infection preventionists.

PubMed

Rebmann, Terri

2009-11-01

Hospital emergency management plans are essential and must include input from an infection preventionist (IP). Multiple hospital planning documents exist, but many do not address infection prevention issues, combine them with noninfection prevention issues, or are disease/event specific. An all-encompassing emergency management planning guide for IPs is needed. A literature review and Internet search were conducted in December 2008. Data from relevant sources were extracted. A spreadsheet was created that delineated hospital emergency management plan components of interest to IPs. Of the sources screened, 49 were deemed relevant. Eleven domains were identified: (1) having a plan; (2) assessing hospital readiness; (3) having infection prevention policies and procedures; (4) having occupational health policies and procedures; (5) conducting surveillance and triage; (6) reporting incidents, having a communication plan, and managing information; (7) having laboratory support; (8) addressing surge capacity issues; (9) having anti-infective therapy and/or vaccines; (10) providing infection prevention education; and (11) managing physical plant issues. Infection preventionists should use this article as an assessment tool for evaluating their hospital emergency management plan and for developing policies and procedures that will decrease the risk of infection transmission during a mass casualty event.

SABIS International Charter School: Management Issues and Recommendations.

ERIC Educational Resources Information Center

Massachusetts State Office of the Inspector General, Boston.

SABIS International Charter School was among 24 Commonwealth charter schools included in a study undertaken by the Office of the Inspector General in March 1998. The Office identified weaknesses in the contracting practices, procurement procedures, and financial management. Findings include: (1) the Board of Trustees did not employ sound business…

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

ERIC Educational Resources Information Center

OECD Publishing (NJ1), 2007

2007-01-01

IMHE-Info is the newsletter published by the Institutional Management in Higher Education (IMHE) programme. This issue includes: (1) How Do Rankings Impact on Higher Education?; and (2) OECD International Assessment of Higher Education Outcomes. IMHE News, publications of interest and upcoming events are included.

IMHE-Info. OECD Programme on Institutional Management in Higher Education, No.1, 2003

ERIC Educational Resources Information Center

Lafon, Valerie, Ed.

2003-01-01

IMHE-Info is the newsletter published by the Institutional Management in Higher Education (IMHE) programme. This issue includes: (1) Education, Internationalisation and Trade; and (2) The GATS (General Agreement on Trade in Services) Explained. IMHE News, publications of interest and upcoming events are included.

Interior Lighting Campaign Adds Luminaire Categories; Announces 2018 Recognition Event

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

Sandahl, Linda J.; Myer, Michael

This article will be published in the November issue of the International Facility Management Association's sustainability newsletter. The article both informs facility managers of the Interior Lighting Campaign, and invites them to participate. Highlights include the new types of lamps recently included along with program details.

Knowtes: The Knowledge Management Thinkletter, 1998.

ERIC Educational Resources Information Center

Knowtes: The Knowledge Management Thinkletter, 1998

1998-01-01

This document contains four issues of a newsletter focusing on knowledge management (KM). Articles include: "Profile on Management: 'Sharing Knowledge is Power'"; "Emotional Intelligence in KM"; "KM on the Road: Perspectives of a KM Consultant"; "The Company Role as a School"; "Profile on Human…

Synthesis and review: Tackling the nitrogen management challenge: from global to local scales

NASA Astrophysics Data System (ADS)

Reis, Stefan; Bekunda, Mateete; Howard, Clare M.; Karanja, Nancy; Winiwarter, Wilfried; Yan, Xiaoyuan; Bleeker, Albert; Sutton, Mark A.

2016-12-01

One of the ‘grand challenges’ of this age is the anthropogenic impact exerted on the nitrogen cycle. Issues of concern range from an excess of fixed nitrogen resulting in environmental pressures for some regions, while for other regions insufficient fixed nitrogen affects food security and may lead to health risks. To address these issues, nitrogen needs to be managed in an integrated fashion, at a variety of scales (from global to local). Such management has to be based on a thorough understanding of the sources of reactive nitrogen released into the environment, its deposition and effects. This requires a comprehensive assessment of the key drivers of changes in the nitrogen cycle both spatially, at the field, regional and global scale and over time. In this focus issue, we address the challenges of managing reactive nitrogen in the context of food production and its impacts on human and ecosystem health. In addition, we discuss the scope for and design of management approaches in regions with too much and too little nitrogen. This focus issue includes several contributions from authors who participated at the N2013 conference in Kampala in November 2013, where delegates compiled and agreed upon the ‘Kampala Statement-for-Action on Reactive Nitrogen in Africa and Globally’. These contributions further underline scientifically the claims of the ‘Kampala Statement’, that simultaneously reducing pollution and increasing nitrogen available in the food system, by improved nitrogen management offers win-wins for environment, health and food security in both developing and developed economies. The specific messages conveyed in the Kampala Statement focus on improving nitrogen management (I), including the reduction of nitrogen losses from agriculture, industry, transport and energy sectors, as well as improving waste treatment and informing individuals and institutions (II). Highlighting the need for innovation and increased awareness among stakeholders (III) and the identification of policy and technology solutions to tackle global nitrogen management issues (IV), this will enable countries to fulfil their regional and global commitments.

1994 ASPRS/ACSM annual convention exposition. Volume 2

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

Not Available

1994-01-01

This report is Volume II of presented papers at the joint 1994 convention of the American Society for Photgrammetry and Remote Sensing and American Congress on Surveying and Mapping. Topic areas covered include the following: Data Base/GPS Issues; Survey Management Issues; Surveying computations; Surveying education; Digital mapping; global change, EOS and NALC issues; GPS issues; Battelle Research in Remote Sensing and in GIS; Advanced Image Processing;GIS Issues; Surveying and Geodesy Issues; water resource issues; Advanced applications of remote sensing; Landsat Pathfinder I.

75 FR 54386 - Notice of Public Meeting, Western Montana Resource Advisory Council Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-07

... variety of planning and management issues associated with public land management in western Montana. At the September meeting, agenda items include an informational briefing on the Landscape Conservation...

ASK Magazine. No. 13

NASA Technical Reports Server (NTRS)

Post, Todd (Editor); Pellen, Charles

2003-01-01

Many of the stories in this magazine for NASA project managers are written by project managers, who use anecdotes from their experience to illustrate managerial lessons. This issue also includes features, an interview, and book reviews.

50 CFR 648.5 - Operator permits.

Code of Federal Regulations, 2011 CFR

2011-10-01

... portion of the Skate Management Unit; or Atlantic deep-sea red crab harvested in or from the EEZ portion of the Red Crab Management Unit, issued a permit, including carrier and processing permits, for these...

50 CFR 648.5 - Operator permits.

Code of Federal Regulations, 2010 CFR

2010-10-01

... portion of the Skate Management Unit; or Atlantic deep-sea red crab harvested in or from the EEZ portion of the Red Crab Management Unit, issued a permit, including carrier and processing permits, for these...

Framework for measuring sustainable development in catchment systems.

PubMed

Walmsley, Jay J

2002-02-01

Integrated catchment management represents an approach to managing the resources of a catchment by integrating environmental, economic, and social issues. It is aimed at deriving sustainable benefits for future generations, while protecting natural resources, particularly water, and minimizing possible adverse social, economic, and environmental consequences. Indicators of sustainable development, which summarize information for use in decision-making, are invaluable when trying to assess the diverse, interacting components of catchment processes and resource management actions. The Driving-Forces--Pressure--State--Impact--Response (DPSIR) indicator framework is useful for identifying and developing indicators of sustainable development for catchment management. Driving forces have been identified as the natural conditions occurring in a catchment and the level of development and economic activity. Pressures include the natural and anthropogenic supply of water, water demand, and water pollution. State indicators can be split into those of quantity and those of quality. Impacts include those that affect the ecosystems directly and those that impact the use value of the resource. It core indicators are identified within each of the categories given in the framework, most major catchment-based management issues can be evaluated. This framework is applied to identify key issues in catchment management in South Africa, and develop a set of indicators for evaluating catchments throughout the country.

Additional Security Considerations for Grid Management

NASA Technical Reports Server (NTRS)

Eidson, Thomas M.

2003-01-01

The use of Grid computing environments is growing in popularity. A Grid computing environment is primarily a wide area network that encompasses multiple local area networks, where some of the local area networks are managed by different organizations. A Grid computing environment also includes common interfaces for distributed computing software so that the heterogeneous set of machines that make up the Grid can be used more easily. The other key feature of a Grid is that the distributed computing software includes appropriate security technology. The focus of most Grid software is on the security involved with application execution, file transfers, and other remote computing procedures. However, there are other important security issues related to the management of a Grid and the users who use that Grid. This note discusses these additional security issues and makes several suggestions as how they can be managed.

Resistances Encountered in Starting a Group Therapy Program for Suicide Attempters in Varied Administrative Settings.

ERIC Educational Resources Information Center

Hackel, Jacqueline; Asimos, Chrisula T.

1980-01-01

Reports areas of difficulty (including funding issues, management and personal bias issues, and theoretical issues) which emerged in the development of five treatment groups of depressed and suicidal patients. Groups reflected efforts between the city-county mental health system and funding agencies. Strategies for overcoming difficulties are…

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

ERIC Educational Resources Information Center

Aitchison, T. M.; And Others

1988-01-01

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

Invasion Science: A Horizon Scan of Emerging Challenges and Opportunities

Treesearch

Anthony Ricciardi; Tim M. Blackburn; James T. Carlton; Jaimie T.A. Dick; Philip E. Hulme; Josephine C. Iacarella; Jonathan M. Jeschke; Andrew M. Liebhold; Julie L. Lockwood; Hugh J. MacIsaac; Petr Pyšek; David M. Richardson; Gregory M. Ruiz; Daniel Simberloff; William J. Sutherland; David A. Wardle; David C. Aldridge

2017-01-01

We identified emerging scientific, technological, and sociopolitical issues likely to affect how biological invasions are studied and managed over the next two decades. Issues were ranked according to their probability of emergence, pervasiveness, potential impact, and novelty. Top-ranked issues include the application of genomic modification tools to control invasions...

Managing Substitute Teaching.

ERIC Educational Resources Information Center

Jones, Kevin R.

1999-01-01

This news brief presents information on managing substitute teaching. The information is based on issues discussed at a summit meeting which included public school administrators and personnel directors from around the nation. The main topics of concern focused around four core components related to the management of substitute teaching:…

"Library Quarterly" Management Literature, 1931-2004

ERIC Educational Resources Information Center

Young, Arthur P.

2006-01-01

Management literature appearing in "Library Quarterly," 1931-2004, is examined in this essay. A total of 145 articles are identified that focus on administrative and managerial issues related to libraries during this period. Management literature is construed expansively and includes accounting, administration, assessment, budgets, facilities,…

Performance Indicators and the Management of Quality in Education.

ERIC Educational Resources Information Center

Cuttance, Peter

Issues that affect the use of performance indicators in managing educational quality are discussed in this paper. Recent changes in public-sector organizational management include the development of strategies for the management of change itself and the changing role of the public sector. A trend within the public sector is an increase in the…

Prader-Willi Syndrome: Quality of Life Issues in Home, School and Community.

ERIC Educational Resources Information Center

James, Terrance N.; Brown, Roy I.

1993-01-01

Management of psychosocial aspects of Prader-Willi syndrome is considered for several quality of life issues, including social change, increased life expectancy, parent stress, child stress, independence, residential options, and access to services. (JDD)

An Exploration of Managers’ Discourses of Workplace Bullying

PubMed Central

Johnson, Susan L.; Boutain, Doris M.; Tsai, Jenny Hsin-Chun; Beaton, Randal; de Castro, Arnold B.

2017-01-01

AIM To identify discourses used by hospital nursing unit managers to characterize workplace bullying, and their roles and responsibilities in workplace bullying management. BACKGROUND Nurses around the world have reported being the targets of bullying. These nurses often report that their managers do not effectively help them resolve the issue. There is scant research that examines this topic from the perspective of managers. METHODS This was a descriptive, qualitative study. Interviews were conducted with hospital nursing unit managers who were recruited via purposive and snowball sampling. Data were analyzed using Willig’s Foucauldian discourse analysis. RESULTS Managers characterized bullying as an interpersonal issue involving the target and the perpetrator, as an intrapersonal issue attributable to characteristics of the perpetrator, or as an ambiguous situation. For interpersonal bullying, managers described supporting target’s efforts to end bullying; for intrapersonal bullying, they described taking primary responsibility; and for ambiguous situations, they described several actions, including doing nothing. CONCLUSION Managers have different responses to different categories of bullying. Efforts need to be made to make sure they are correctly identifying and appropriately responding to incidents of workplace bullying. PMID:25597260

76 FR 12088 - Meeting of the Ocean Research and Resources Advisory Panel

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-04

...: The meeting will be held at the Consortium for Ocean Leadership, 1201 New York Avenue, NW., 4th Floor... U.S.C. App. 2). The meeting will include discussions on ocean research, resource management, and other current issues in the ocean science and management communities; including, the review and...

Steam generator issues in the United States

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

Strosnider, J.R.

1997-02-01

Alloy 600 steam generator tubes in the US have exhibited degradation mechanisms similar to those observed in other countries. Effective programs have been implemented to address several degradation mechanisms including: wastage; mechanical wear; pitting; and fatigue. These degradation mechanisms are fairly well understood as indicated by the ability to effectively mitigate/manage them. Stress corrosion cracking (SCC) is the dominant degradation mechanism in the US. SCC poses significant inspection and management challenges to the industry and the regulators. The paper also addresses issues of research into SCC, inspection programs, plugging, repair strategies, water chemistry, and regulatory control. Emerging issues in themore » US include: parent tube cracking at sleeve joints; detection and repair of circumferential cracks; free span cracking; inspection and cracking of dented regions; and severe accident analysis.« less

A strategic value management approach for energy and maintenance management in a building

NASA Astrophysics Data System (ADS)

Nawi, Mohd Nasrun Mohd; Dahlan, Nofri Yenita; Nadarajan, Santhirasegaran

2015-05-01

Fragmentation process is always been highlighted by the stakeholders in the construction industry as one of the `critical' issue that diminishing the opportunity for stakeholders that involved during the operation and maintenance stage to influence design decisions. Failure of design professionals to consider how a maintenance contractor or facility manager will construct the design thus results in higher operating cost, wastage, defects during the maintenance and operation process. Moving towards team integration is considered a significant strategy for overcoming the issue. Value Management is a style of management dedicated to guiding people and promoting innovation with the aim to improve overall building performance through structured, team-oriented exercises which make explicit, and appraise subsequent decisions, by reference to the value requirements of the clients. Accordingly, this paper discusses the fragmentation issue in more detail including the definition, causes and effects to the maintenance and operation of building and at the same time will highlighted the potential of VM integrated team approach as a strategic management approach for overcoming that issue. It also explores that the team integration strategy alleviates scheduling problems, delays and disputes during the construction process, and, hence, prevent harming the overall building performance.

Strengthening syntheses on fire: Increasing their usefulness for managers

Treesearch

Jane Kapler Smith

2015-01-01

A synthesis for fire managers summarizes and interprets a body of information, presents its meaning in an objective, unbiased way, and describes its implications for decisionmakers. Following are suggestions for ways to strengthen syntheses on fire and on other natural resource issues:Include managers, scientists, and...

Practical Project Management for Education and Training.

ERIC Educational Resources Information Center

Lockitt, Bill

This booklet provides a succinct guide to effective management procedures, including whether and how to take on projects, estimation of costs prior to project bids, project management tools, case studies, and practical exercises for staff development activities. Chapter 1 investigates why institutions take on projects, issues involved, benefits…

76 FR 18777 - State of Arizona Resource Advisory Council Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-05

.... ACTION: Notice of public meetings. SUMMARY: In accordance with the Federal Land Policy and Management Act... a variety of planning and management issues associated with public land management in Arizona. Planned agenda items include: A welcome and introduction of new Council members; BLM State Director's...

Fuels planning: science synthesis and integration; social issues fact sheet 13: Strategies for managing fuels and visual quality

Treesearch

Christine Esposito

2006-01-01

The public's acceptance of forest management practices, including fuels reduction, is heavily based on how forests look. Fuels managers can improve their chances of success by considering aesthetics when making management decisions. This fact sheet reviews a three-part general strategy for managing fuels and visual quality: planning, implementation, and monitoring...

The use of coupled atmospheric and hydrological models for water-resources management in headwater basins

USGS Publications Warehouse

Leavesley, G.; Hay, L.

1998-01-01

Coupled atmospheric and hydrological models provide an opportunity for the improved management of water resources in headwater basins. Issues currently limiting full implementation of coupled-model methodologies include (a) the degree of uncertainty in the accuracy of precipitation and other meteorological variables simulated by atmospheric models, and (b) the problem of discordant scales between atmospheric and bydrological models. Alternative methodologies being developed to address these issues are reviewed.

32 CFR 842.37 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... delivery of goods. (1) Carriers issue commercial bills of lading. (2) Transportation officers issue government bills of lading (GBL). GBLs include the terms and conditions of commercial bills of lading with... for international shipments. (c) Military Traffic Management Command (MTMC). The Department of Defense...

32 CFR 842.37 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... delivery of goods. (1) Carriers issue commercial bills of lading. (2) Transportation officers issue government bills of lading (GBL). GBLs include the terms and conditions of commercial bills of lading with... for international shipments. (c) Military Traffic Management Command (MTMC). The Department of Defense...

Building on common ground to address biodiversity conflicts and foster collaboration in environmental management.

PubMed

Lecuyer, Lou; White, Rehema M; Schmook, Birgit; Calmé, Sophie

2018-08-15

Conservation biology faces critical challenges that require collaborative approaches, including novel strategies to support interactions among actors in biodiversity conflicts. The goals of this study were to investigate the concept of common ground across multiple issues and to explore its practical application for the support of environmental management. We conceptually defined common ground as the areas of relevance underlying the suite of issues expressed by people regarding environmental management in a particular context. We then empirically tested this in the Calakmul region of Mexico, where the complex socio-historical context and high biodiversity have created environmental management challenges that are now being addressed by a local, multi-stakeholder management board. We conducted 26 open interviews with members of the board and a further round of quantitative prioritisation of issues raised. Using a coding process designed to reveal common ground, we categorized the issues at four levels ranging from coarse to fine (themes, topics, sub-topics and perspectives). We then analysed two levels, topics (n = 14 issues) and sub-topics (n = 51 issues). To do so, we built common ground matrices to identify and analyze common ground among actors and across issues. First, cluster and non-metrical data analyses revealed the diversity of actor positions and the lack of consistent grouping among actors by occupational activity. This demonstrated that focusing on actors' differences might be misleading, and that actors' views were not closely aligned with their roles. Second, we located issues according to their levels of common ground and importance among actors. We showed that by not focusing on single issue conflicts, the identification of common ground across multiple issues can pinpoint synergies. We then proposed a framework for collaboration that prioritizes issues of high importance with greater common ground (e.g. sustainable resource use activities), to support the development of trust and norms of reciprocity among actors, strengthening the potential for future cooperation. By adopting this approach, environmental managers could support the initial stages of collaborative conservation strategies, engaging with other actors to seek common ground, avoid the creation of polarised groups and help effectively manage biodiversity conflicts. Copyright © 2018 Elsevier Ltd. All rights reserved.

Averting a pandemic health crisis in Europe by 2020: what physicians need to know regarding cholesterol management.

PubMed

Catapano, Alberico L; Pedersen, Terje R; de Backer, Guy

2007-04-01

Cardiovascular disease (CVD) represents a major cause of premature death, disability, and escalating healthcare costs throughout Europe. According to a recent report by the Stockholm Network (an independent European 'think tank'), major political, economic, social, and medical changes are urgently needed with respect to cholesterol management to help prevent CVD. To identify key cholesterol management issues that practitioners should consider to help prevent an impending European health crisis, our collective experience of policies and practices relating to CVD and cholesterol management in our respective countries was consolidated and used to develop this commentary. Physicians and healthcare workers are uniquely positioned to make immediate and meaningful improvements in preventing and treating CVD if they recognize and address a handful of key clinical issues pertaining to cholesterol management. These issues include utilizing newer combination therapies and realizing the limitations of statins, improving compliance with cholesterol-lowering therapies, promoting a healthy lifestyle and diet, making treatment decisions based on patients' total CVD risk, fostering communication between primary and secondary providers, and soliciting governmental funding to implement disease management programmes. By promptly and effectively addressing these cholesterol management issues, physicians and other healthcare professionals have an unprecedented opportunity to help reduce CVD in Europe to lessen the personal, social, and economic impact of this devastating disease.

78 FR 60309 - Notice of Public Meeting, BLM-Alaska Resource Advisory Council

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-01

[email protected] . Persons who use a telecommunications device for the deaf (TDD) may call the Federal... variety of planning and management issues associated with public land management in Alaska. At this meeting, topics planned for discussion include: Land Use Planning. Integrated Arctic Management and...

Managed Care: A Primer on Issues and Legislation.

ERIC Educational Resources Information Center

American Counseling Association, Office of Public Policy and Information, Alexandria, VA.

This report is designed to familiarize American Counseling Association members with the concepts and terminology of managed care, and the various options for regulating managed care to safeguard the interests and rights of professional counselors and their clients. Topics covered in this report include controlling costs, private sector oversight,…

Network analysis: a new tool for resource managers

Treesearch

Ruth H. Allen

1980-01-01

Resource managers manipulate ecosystems for direct or indirect human uses. Examples of relatively well studied resource management issues include familiar biological products such as: forests, ranges, fish and wildlife; or physical products such as air, water and soil. Until very recently, urban environments received much less scholarly attention. However, as Spurr (...

Competencies Development and Self-Assessment in Maintenance Management E-Training

ERIC Educational Resources Information Center

Papathanassiou, Nikos; Pistofidis, Petros; Emmanouilidis, Christos

2013-01-01

The maintenance management function requires staff to possess a truly multidisciplinary set of skills. This includes competencies from engineering and information technology to health and safety, management and finance, while also taking into account the normative and legislative issues. This body of knowledge is rarely readily available within a…

Research and management issues in large-scale fire modeling

Treesearch

David L. Peterson; Daniel L. Schmoldt

2000-01-01

In 1996, a team of North American fire scientists and resource managers convened to assess the effects of fire disturbance on ecosystems and to develop scientific recommendations for future fire research and management activities. These recommendations - elicited with the Analytic Hierarchy Process - include numerically ranked scientific and managerial questions and...

77 FR 64350 - State of Arizona Resource Advisory Council Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-19

.... ACTION: Notice of Public Meetings. SUMMARY: In accordance with the Federal Land Policy and Management Act..., through the BLM, on a variety of planning and management issues associated with public land management in Arizona. Planned agenda items include: a welcome and introduction of Council members; BLM State Director's...

Power module Data Management System (DMS) study

NASA Technical Reports Server (NTRS)

1978-01-01

Computer trades and analyses of selected Power Module Data Management Subsystem issues to support concurrent inhouse MSFC Power Study are provided. The charts which summarize and describe the results are presented. Software requirements and definitions are included.

Effect of poverty on eye health and implications for nursing practice.

PubMed

Williamson, Swapna; Seewoodhary, Ramesh; Dampies, Lavona

2016-08-10

Poverty is a global issue that affects the health and quality of life of millions of people. It predisposes people to many health conditions, including sight loss or blindness as a result of the immune system becoming compromised. Blindness is common in areas of the world where there is extreme poverty. In the UK, poverty has become a major social issue, contributing to many health problems, including eye conditions. These eye conditions can result in sight loss if they are not managed effectively. Psychosocial care is an essential aspect of patient care, because poverty and sight loss are interrelated. Healthcare practitioners have a significant role in the management and prevention of blindness. Blindness caused by poverty is largely preventable, and health promotion is an important strategy in care management.

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.)

A Guide to the Management of Curriculum Materials Centers for the 21st Century: The Promise and the Challenge.

ERIC Educational Resources Information Center

Carr, Jo Ann, Ed.

Curriculum Materials Centers (CMCs), resource centers that support teacher education programs, are facing many challenges, including maintaining funding, meeting increased expectations, and coping with changes in technology. This volume covers a wide range of management issues from the perspective of 18 librarians, including practical advice on…

Evolution of China's water issues as framed in Chinese mainstream newspaper.

PubMed

Xiong, Yonglan; Wei, Yongping; Zhang, Zhiqiang; Wei, Jing

2016-03-01

There is an urgent need globally to trigger fundamental societal changes in water management away from existing unsustainable paradigms. This paper attempts to understand the evolution of newspaper coverage of water issues in China by analyzing water-related articles in a major national newspaper, the People's Daily, over the period 1946-2012 using a content analysis approach. The major findings include the following: (1) water issues were in relatively prominent positions in the newspaper; (2) the reporting of water issues in China experienced three stages: 1946 to the middle of 1980s-flood and drought control and water for food production, the middle of 1980s to 1997-water for economic development, and 1998 to the present-water for the environmental sustainability and economic development; (3) the reporting of water issues in the People's Daily clearly reflected China's top-down water resources management system, and no "real" public opinions on water were reported during the study period; and (4) the People's Daily is just a wind vane of Chinese mainstream values and policies on water. The findings supported the realist assumption that the societal value changes on water issues in China were triggered by a range of factors including biophysical pressure (floods and droughts), political campaign (the Cultural Revolution), macro-economic reform (Reform and Opening-up), water institutional arrangement (the Water Law), and water management reform (the No. 1 Central Document on water reform). While there are similarities and differences between this study and other studies, important implications for more sustainable water management are a need to strengthen academic specialists' and NGO's voices in the newspaper to create a better informed public, and to stimulate practices toward sustainable water use.

DOD Financial Management: Actions Are Needed on Audit Issues Related to the Marine Corps 2012 Schedule of Budgetary Activity

DTIC Science & Technology

2015-07-01

Requisitioning and Issue Procedures OIG Office of Inspector General OMB Office of Management and Budget QMD Quantitative Methods Division SABRS ...Reporting System ( SABRS )—and transactions recorded in the current year may be improperly recorded to appropriations not included in the Marine Corps...Accountability System (DCAS)55 to the Marine Corps’ SABRS general ledger system and through the Defense Departmental Reporting Systems (DDRS) to financial

Social and ethical issues in environmental risk management.

PubMed

Oughton, Deborah H

2011-07-01

The recognition of the social and ethical aspects of radiation risk management has been an important part of international projects following the Chernobyl accident of 1986. This study comments on the science and policy issues in environmental risk assessment, including the social and ethical dimensions of emergency preparedness and remediation experiences gained from the Chernobyl accident. While the unique situation of Fukushima, combined with an earthquake and tsunami, raises its own social and political challenges, it is hoped that some of the lessons learnt from Chernobyl will be relevant to long-term management of the Fukushima site. Copyright © 2011 SETAC.

Management of adolescents with congenital adrenal hyperplasia

PubMed Central

Merke, Deborah P; Poppas, Dix P

2014-01-01

The management of congenital adrenal hyperplasia involves suppression of adrenal androgen production, in addition to treatment of adrenal insufficiency. Management of adolescents with congenital adrenal hyperplasia is especially challenging because changes in the hormonal milieu during puberty can lead to inadequate suppression of adrenal androgens, psychosocial issues often affect adherence to medical therapy, and sexual function plays a major part in adolescence and young adulthood. For these reasons, treatment regimen reassessment is indicated during adolescence. Patients with non-classic congenital adrenal hyperplasia require reassessment regarding the need for glucocorticoid drug treatment. No clinical trials have compared various regimens for classic congenital adrenal hyperplasia in adults, thus therapy is individualised and based on the prevention of adverse outcomes. Extensive patient education is key during transition from paediatric care to adult care and should include education of females with classic congenital adrenal hyperplasia regarding their genital anatomy and surgical history. Common issues for these patients include urinary incontinence, vaginal stenosis, clitoral pain, and cosmetic concerns; for males with classic congenital adrenal hyperplasia, common issues include testicular adrenal rest tumours. Transition from paediatric to adult care is most successful when phased over many years. Education of health-care providers on how to successfully transition patients is greatly needed. PMID:24622419

78 FR 4844 - Defense Programs Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-23

... Management Secretariat, General Services Administration, notice is hereby given that the Defense Programs... Deputy Administrator for Defense Programs on the stewardship and maintenance of the Nation's nuclear... DP management issues, including facility operations and fiscal matters. e. Where appropriate...

Strategic Issues for Training.

ERIC Educational Resources Information Center

Pollitt, David, Ed.

1998-01-01

Includes 21 short articles on a variety of subjects: Internet for management development, lifelong learning in virtual universities, high performance organizations, National Vocational Qualifications, cost effectiveness and training effectiveness, mind maps, Generation X training, Japanese vocational training, management development in Libya, and…

The Use and Management of Infant Teachers' Time: Some Policy Issues.

ERIC Educational Resources Information Center

Campbell, R. J.; And Others

The first part of this paper reviews the literature on fundamental issues that relate to the work of teachers as the national curriculum is implemented in the United Kingdom. These issues include: (1) the work day of junior and secondary school teachers; (2) the politics and sociology of teaching; (3) the work of primary school teachers; and (4)…

Structuring Effective Student Teams.

ERIC Educational Resources Information Center

Dickson, Ellen L.

1997-01-01

Experience with student teams working on policy analysis projects indicates the need for faculty supervision of teams in the process of addressing complex issues. The problem-solving approach adopted in one policy analysis course is described, including assignments and tasks, issues and sponsors, team dynamics, conflict management, and the…

Concussion Management in Schools: Issues and Implications

ERIC Educational Resources Information Center

Canto, Angela I.; Pierson, Eric E.

2015-01-01

The school psychology literature base is lacking in information and resources for working with students with traumatic brain injuries, and concussions specifically. This special issue includes five articles from school psychology based researchers committed to increasing the awareness of the identification, assessment, and intervention for…

International trade and waste and fuel managment issue, 2008

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

Agnihotri, Newal

The focus of the January-February issue is on international trade and waste and fuel managment. Major articles/reports in this issue include: A global solution for clients, by Yves Linz, AREVA NP; A safer, secure and economical plant, by Andy White, GE Hitachi Nuclear; Robust global prospects, by Ken Petrunik, Atomic Energy of Canada Limited; Development of NPPs in China, by Chen Changbing and Li Huiqiang, Huazhong University of Science and Technology; Yucca Mountain update; and, A class of its own, by Tyler Lamberts, Entergy Nuclear. The Industry Innovation articles in this issue are: Fuel assembly inspection program, by Jim Lemons,more » Tennessee Valley Authority; and, Improved in-core fuel shuffle for reduced refueling duration, by James Tusar, Exelon Nuclear.« less

A Framework for Evaluating Digital Library Services; Interdisciplinarity: The Road Ahead for Education in Digital Libraries; Federated Digital Rights Management: A Proposed DRM Solution for Research and Education; Learning Lessons Holistically in the Glasgow Digital Library.

ERIC Educational Resources Information Center

Choudhury, Sayeed; Hobbs, Benjamin; Lorie, Mark; Flores, Nicholas; Coleman, Anita; Martin, Mairead; Kuhlman, David L.; McNair, John H.; Rhodes, William A.; Tipton, Ron; Agnew, Grace; Nicholson, Dennis; Macgregor, George

2002-01-01

Includes four articles that address issues related to digital libraries. Highlights include a framework for evaluating digital library services, particularly academic research libraries; interdisciplinary approaches to education about digital libraries that includes library and information science and computing; digital rights management; and the…

1994 Department of Energy Records Management Conference

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

Not Available

1994-09-01

The Department of Energy (DOE) Records Management Group (RMG) provides a forum for DOE and its contractor personnel to review and discuss subjects, issues, and concerns of common interest. This forum will include the exchange of information, and interpretation of requirements, and a dialog to aid in cost-effective management of the DOE Records Management program. This report contains the contributions from this forum.

"Brothers and Sisters": A Novel Way to Teach Human Resources Management.

ERIC Educational Resources Information Center

Bumpus, Minnette

2000-01-01

The novel "Brothers and Sisters" by Bebe Moore Campbell was used in a management course to explore human resource management issues, concepts, and theories. The course included prereading and postreading surveys, lecture, book review, and examination. Most of the students (92%) felt the novel was an appropriate way to meet course…

77 FR 26576 - Notice of Public Meeting of the Central California Resource Advisory Council

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-04

... this meeting, agenda topics will include an update on Resource Management Plans and other resource management issues. Additional ongoing business will be discussed by the council. All meetings are open to the... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLCAC01000 L10100000.XZ0000 LXSIOVHD0000...

Analysis of Risk Management in Adapted Physical Education Textbooks

ERIC Educational Resources Information Center

Murphy, Kelle L.; Donovan, Jacqueline B.; Berg, Dominck A.

2016-01-01

Physical education teacher education (PETE) programs vary on how the topics of safe teaching and risk management are addressed. Common practices to cover such issues include requiring textbooks, lesson planning, peer teaching, videotaping, reflecting, and reading case law analyses. We used a mixed methods design to examine how risk management is…

BRCA1 genetic mutation and its link to ovarian cancer: implications for advanced practice nurses.

PubMed

Brunsvold, Amy N; Wung, Shu-Fen; Merkle, Carrie J

2005-12-01

The purpose of this paper is to review (a) the linkage between the BRCA1 gene and ovarian cancer and (b) BRCA1 testing and its related issues. This review is aimed for nurse practitioners (NPs), who may be in positions to identify those at risk for BRCA1-associated ovarian cancer and to assist patients with related issues. Data sources include reviews and original research from scholarly journals and Internet sites. Ovarian cancer is a deadly disease. Identification of those at risk because of BRCA1 mutation is possible through genetic testing. Testing for BRCA1 gene mutations has many implications whether results are positive or negative. Those with positive results will be faced with decisions regarding the best management strategies. Negative results do not completely eliminate ovarian cancer risk. Current management options for carriers of the BRCA1 mutation include taking no action, increasing surveillance for ovarian cancer, and chemoprevention with oral contraceptives or prophylactic oophorectomy for those who have completed childbearing. It is essential that NPs have knowledge underlying the issues and concerns of patients and their families at risk for BRCA1-associated ovarian cancer. NPs are in a unique position to help identify BRCA1 mutation carriers and to assist them and their families with the complex issues involving genetic testing and management options. Understanding these issues will allow NPs to give appropriate care that may include making appropriate referrals to certified genetic counselors and having balanced discussions on treatment options. Such measurements may improve early diagnosis of ovarian cancer and increase survival from this disease.

Solid waste management in Thailand: an overview and case study (Tha Khon Yang sub-district).

PubMed

Yukalang, Nachalida; Clarke, Beverley Dawn; Ross, Kirstin Elizabeth

2017-09-26

Due to rapid urbanization, solid waste management (SWM) has become a significant issue in several developing countries including Thailand. Policies implemented by the Central Thai Government to manage SWM issues have had only limited success. This article reviews current municipal waste management plans in Thailand and examines municipal waste management at the local level, with focus on the Tha Khon Yang sub-district surrounding Mahasarakham University in Mahasarakham Province. Within two decades this area has been converted from a rural to an urban landscape featuring accommodation for over 45,000 university students and a range of business facilities. This development and influx of people has outpaced the government's ability to manage municipal solid waste (MSW). There are significant opportunities to improve local infrastructure and operational capacity; but there are few mechanisms to provide and distribute information to improve community participation in waste management. Many community-based waste management projects, such as waste recycling banks, the 3Rs (reduce, reuse and recycle), and waste-to-biogas projects have been abandoned. Additionally, waste from Tha Kon Yang and its surrounding areas has been transferred to unsanitary landfills; there is also haphazard dumping and uncontrolled burning of waste, which exacerbate current pollution issues.

47 CFR 0.61 - Functions of the Bureau.

Code of Federal Regulations, 2010 CFR

2010-10-01

... those relating to rates, technical standards, customer service, ownership, competition to cable systems... federal-state/local regulatory relationships. This includes: acting, after Commission assumption of... security, emergency management, disaster management, and related issues. [67 FR 13217, Mar. 21, 2002, as...

47 CFR 0.61 - Functions of the Bureau.

Code of Federal Regulations, 2014 CFR

2014-10-01

... those relating to rates, technical standards, customer service, ownership, competition to cable systems... federal-state/local regulatory relationships. This includes: acting, after Commission assumption of... security, emergency management, disaster management, and related issues. [67 FR 13217, Mar. 21, 2002, as...

Developing Content for an M.B.A. Communications Class.

ERIC Educational Resources Information Center

Shelby, Annette N.

1983-01-01

Outlines an M.B.A. communications course which includes source materials and content development frameworks for four different topic areas: (1) company, industry, and organization data; (2) management theory and organizational design; (3) crisis communication; and (4) issues management. (RAE)

47 CFR 0.61 - Functions of the Bureau.

Code of Federal Regulations, 2013 CFR

2013-10-01

... those relating to rates, technical standards, customer service, ownership, competition to cable systems... federal-state/local regulatory relationships. This includes: acting, after Commission assumption of... security, emergency management, disaster management, and related issues. [67 FR 13217, Mar. 21, 2002, as...

47 CFR 0.61 - Functions of the Bureau.

Code of Federal Regulations, 2012 CFR

2012-10-01

... those relating to rates, technical standards, customer service, ownership, competition to cable systems... federal-state/local regulatory relationships. This includes: acting, after Commission assumption of... security, emergency management, disaster management, and related issues. [67 FR 13217, Mar. 21, 2002, as...

47 CFR 0.61 - Functions of the Bureau.

Code of Federal Regulations, 2011 CFR

2011-10-01

... those relating to rates, technical standards, customer service, ownership, competition to cable systems... federal-state/local regulatory relationships. This includes: acting, after Commission assumption of... security, emergency management, disaster management, and related issues. [67 FR 13217, Mar. 21, 2002, as...

The Importance of Training for Environmental Management.

ERIC Educational Resources Information Center

Furtado, Jose I.

1984-01-01

Discusses an appropriate framework for sustainable development in the Third World that concurrently addresses the efficient utilization and management of natural resources. Areas considered include: human dimension; sustainable development; complexity of inputs; kinds of training; indigenous scientific capability; transnational issues;…

The corporate impact of addressing social issues: a financial case study of a project in Peru.

PubMed

Dabbs, Alan; Bateson, Matthew

2002-05-01

Large, multinational resource development projects can affect many aspects, including social, economic and ecological realities, in the regions where they operate. Social and environmental issues that are usually ignored in such projects are increasingly affecting the financial future of multinational corporations in negative ways. In this article, we advance the argument that corporations can successfully manage these issues and that if they choose to view these management efforts as an investment rather than an expense, they may well acquire a competitive advantage over companies that do not. We describe as a case study the Camisea natural gas and condensates development project in Peru, operated by Shell Prospecting and Development Peru (SPDP). Camisea is one of the first projects anywhere in the world to conduct a detailed analysis of key industry-related social issues and the processes, required investment and financial impact of managing them. The Camisea example supports the argument that addressing social and environmental concerns makes financial sense. In present value terms, the benefit of managing these concerns was expected to surpass the cost investment by approximately US$50 million.

Hazardous healthcare waste management in the Kingdom of Bahrain.

PubMed

Mohamed, L F; Ebrahim, S A; Al-Thukair, A A

2009-08-01

Hazardous healthcare waste has become an environmental concern for many developing countries including the Kingdom of Bahrain. There have been several significant obstacles facing the Kingdom in dealing with this issue including; limited documentation regarding generation, handling, management, and disposal of waste. This in turn hinders efforts to plan better healthcare waste management. In this paper, hazardous waste management status in the Kingdom has been investigated through an extensive survey carried out on selected public and private healthcare premises. Hazardous waste management practices including: waste generation, segregation, storage, collection, transportation, treatment, and disposal were determined. The results of this study along with key findings are discussed and summarized. In addition; several effective recommendations and improvements of hazardous waste management are suggested.

Hazardous healthcare waste management in the Kingdom of Bahrain

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

Mohamed, L.F.; Ebrahim, S.A.; Al-Thukair, A.A.

2009-08-15

Hazardous healthcare waste has become an environmental concern for many developing countries including the Kingdom of Bahrain. There have been several significant obstacles facing the Kingdom in dealing with this issue including; limited documentation regarding generation, handling, management, and disposal of waste. This in turn hinders efforts to plan better healthcare waste management. In this paper, hazardous waste management status in the Kingdom has been investigated through an extensive survey carried out on selected public and private healthcare premises. Hazardous waste management practices including: waste generation, segregation, storage, collection, transportation, treatment, and disposal were determined. The results of this studymore » along with key findings are discussed and summarized. In addition; several effective recommendations and improvements of hazardous waste management are suggested.« less

Critical Issues of Web-Enabled Technologies in Modern Organizations.

ERIC Educational Resources Information Center

Khosrow-Pour, Mehdi; Herman, Nancy

2001-01-01

Discusses results of a Delphi study that explored issues related to the utilization and management of Web-enabled technologies by modern organizations. Topics include bandwidth restrictions; security; data integrity; inadequate search facilities; system incompatibilities; failure to adhere to standards; email; use of metadata; privacy and…

Legal Liabilities of Administrators.

ERIC Educational Resources Information Center

Underwood, Julie

This chapter of "Principles of School Business Management" discusses the implications of several court cases for legal issues affecting the role of the school business official. The issues addressed include civil rights, negligence, contracts, criminal liability, tuition and fees, and student records. The chapter opens with a brief overview of…

14 CFR 91.1017 - Amending program manager's management specifications.

Code of Federal Regulations, 2014 CFR

2014-01-01

... proposed amendment. (2) The Flight Standards District Office that issued the program manager's management... presented, the Flight Standards District Office that issued the program manager's management specifications... Standards District Office that issued the program manager's management specifications issues an amendment of...

14 CFR 91.1017 - Amending program manager's management specifications.

Code of Federal Regulations, 2012 CFR

2012-01-01

... proposed amendment. (2) The Flight Standards District Office that issued the program manager's management... presented, the Flight Standards District Office that issued the program manager's management specifications... Standards District Office that issued the program manager's management specifications issues an amendment of...

A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).

PubMed

Pronovost, Peter J; King, Jay; Holzmueller, Christine G; Sawyer, Melinda; Bivens, Shauna; Michael, Michelle; Haig, Kathy; Paine, Lori; Moore, Dana; Miller, Marlene

2006-03-01

An organization's ability to change is driven by its culture, which in turn has a significant impact on safety. The six-step Comprehensive Unit-Based Safety Program (CUSP) is intended to improve local culture and safety. A Web-based project management tool for CUSP was developed and then pilot tested at two hospitals. HOW ECUSP WORKS: Once a patient safety concern is identified (step 3), a unit-level interdisciplinary safety committee determines issue criticality and starts up the projects (step 4), which are managed using project management tools within eCUSP (step 5). On a project's completion, the results are disseminated through a shared story (step 6). OSF St. Joseph's Medical Center-The Medical Birthing Center (Bloomington, Illinois), identified 11 safety issues, implemented 11 projects, and created 9 shared stories--including one for its Armband Project. The Johns Hopkins Hospital (Baltimore) Medical Progressive Care (MPC4) Unit identified 5 safety issues and implemented 4 ongoing projects, including the intravenous (IV) Tubing Compliance Project. The eCUSP tool's success depends on an organizational commitment to creating a culture of safety.

Simulation of agricultural management alternatives for watershed protection

USDA-ARS?s Scientific Manuscript database

The Bosque River Watershed in Texas is facing a suite of water quality issues including excess sediment, nutrient, and bacteria. The sources of the pollutants are improperly managed cropland and grazing land, dairy manure application, and effluent discharge from wastewater treatment facilities. Seve...

IRM in the Federal Government: Opinions and Reflections.

ERIC Educational Resources Information Center

Haney, Glenn P.

1989-01-01

Evaluates various aspects of federal information resources management and reviews technological changes within the Department of Agriculture to illustrate current issues and future trends in information resources management. Topics discussed include telecommunications and networking; distributed processing and field office automation; the role of…

Managing Academic Libraries with Fewer Resources.

ERIC Educational Resources Information Center

Riggs, Donald E.

1992-01-01

A discussion of academic library management during retrenchment looks at a variety of issues, including staffing needs in the labor-intensive library environment, acquisitions budgeting, interlibrary cooperation (ownership vs. access to resources), entrepreneurship and strategic planning for problem solving, and use of total quality management…

ISSUES OF BEST MANAGEMENT PRACTICE DESIGN TO IMPROVE WATER QUALITY

EPA Science Inventory

Today, many municipalities are implementing low-cost best management practices (BMPs). Structural control BMPs involve building a structure of some kind to store stormwater until it can be discharged into a nearby receiving water. Commonly used structural treatment BMPs include...

Methods to address poultry robustness and welfare issues through breeding and associated ethical considerations

USDA-ARS?s Scientific Manuscript database

Management practices and rearing conditions employed for domestic animal production including laying hens are continusly changing based on ethical and scientific results. This presents challenges especially regarding managing competitive social interactions (social stress) between animals. Selective...

Making the Most of Education and Training: An Employer Perspective.

ERIC Educational Resources Information Center

Pollitt, David, Ed.

2002-01-01

Eleven articles focus on issues surrounding employer investment in training in Britain. Topics include employee induction, flexible lifelong learning, workplace learning partnerships, retention through training, management development, cooperation with competitors, technician career paths to management, online learning in small businesses, and…

Managing Technology Is Different.

ERIC Educational Resources Information Center

Levinson, Eliot; Grohe, Barbara

2002-01-01

Discusses methods that school superintendents can use to manage technology issues in their schools beyond traditional delegation. Highlights include participation more than delegation to a technology coordinator; identifying the right problems; determining what to make and what to buy; and the need for continual technology funding. (LRW)

School Planning and Management Buyer's Guide 2000.

ERIC Educational Resources Information Center

School Planning and Management, 1999

1999-01-01

Presents product information and a suppliers' directory for school purchasing managers for the year 2000, including a detailed product showcase and case histories and a section on descriptions of free brochures, pamphlets, and guides from key suppliers. An advertiser index concludes the issue. (GR)

Database Access Systems.

ERIC Educational Resources Information Center

Dalrymple, Prudence W.; Roderer, Nancy K.

1994-01-01

Highlights the changes that have occurred from 1987-93 in database access systems. Topics addressed include types of databases, including CD-ROMs; enduser interface; database selection; database access management, including library instruction and use of primary literature; economic issues; database users; the search process; and improving…

Operation Desert Shield: Thunderstorms of Logistics: Did We Do Any Better During Post Cold War Interventions?

DTIC Science & Technology

2007-02-20

above hypothesis, we must examine the seams of the operation. They are force structuring, distribution management , logistics intelligence, and customer...Iron Mountains, which is exactly what happened. Distribution Management ALOC distribution management problems included an ineffective theater tracking...deployments later the problems remained the same. Force structure and distribution management issues, the use of manual “non-standard” requisition

41 CFR 102-3.105 - What are the responsibilities of an agency head?

Code of Federal Regulations, 2010 CFR

2010-07-01

...: (a) Comply with the Act and this Federal Advisory Committee Management part; (b) Issue administrative... issued by the U.S. Office of Government Ethics (OGE) including any supplemental agency requirements, and other Federal ethics rules; (i) Designate a Designated Federal Officer (DFO) for each advisory committee...

Administrative Issues in Planning a Library End User Searching Program. ERIC Digest.

ERIC Educational Resources Information Center

Machovec, George S.

This digest presents a reprint of an article which examines management principles that should be considered when implementing library end user searching programs. A brief discussion of specific implementation issues includes needs assessment, hardware, software, training, budgeting, what systems to offer, publicity and marketing, policies and…

Instructional Design Issues for Current and Future Interactive Video Media.

ERIC Educational Resources Information Center

Hadley, James A.; Bentley, Joanne; Christiansen, Todd P.

2003-01-01

Addresses some of the issues that instructional designers will face in the near future and ways to deal with new instructional affordances and constraint, including: Menu and Audio, Video, Subpicture Interleaved, Streamlining Digital Media (MAVSI-SDM); three-dimensional flowcharting; designing multi-faceted storyboards and scripts; managing video,…

Health Care Legislation 1996.

ERIC Educational Resources Information Center

National Conference of State Legislatures, Denver, CO.

This summary of legislation, with a special focus on maternal and child health and primary care, describes nearly 600 laws and resolutions pertinent to these issues passed by the 50 states, the District of Columbia, and Puerto Rico in the 1996 legislative sessions. The summary includes health care reform and access issues, managed care and…

Information Technology: Making It All Fit. Track IV: Organization and Personnel Issues.

ERIC Educational Resources Information Center

CAUSE, Boulder, CO.

Seven papers from the 1988 CAUSE conference's Track IV, Organization and Personnel Issues, are presented. They include: "Positive Management: Techniques and Retreats" (Janet Wixson); "Data Administration: What Is It, Where Is It, How Is It Done?" (Karen L. Miselis, Lawrence A. Jordan, and Ronald Hoover); "The Departmental…

Steven Silbergleid - General Counsel | NREL

Science.gov Websites

Silbergleid. As General Counsel, Steve Silbergleid provides legal advice and counsel to the lab's director and , procurement and intellectual property issues, employment issues, and other legal and management concerns. He Operations Officer. His legal career includes over 36 years of federal service as an attorney and now

Professional Development Workshops for Student Teachers: An Issue of Concern

ERIC Educational Resources Information Center

Hsu, Amy; Malkin, Fran

2013-01-01

Professional development programs are critical in addressing the needs of teacher education students and graduates. In an effort to best meet the desired needs and wants of these new educators, professional development opportunities must target essential issues. This study examines topics including classroom management, exceptional children,…

Considering the Challenges of Counselling Practice in Schools

ERIC Educational Resources Information Center

Low, Poi Kee

2009-01-01

School counselling is developing rapidly in many countries around the World. As with any practice in a secondary setting, challenges and special issues are often identified, discussed, and managed. These can be categorized into four distinct domains: 1) Internal challenges, which include issues related to clientele groups, teachers' attitudes…

OER Perspectives: Emerging Issues for Universities

ERIC Educational Resources Information Center

Olcott, Don

2012-01-01

This reflection examines some of the continuing and emerging issues in the open educational resources (OER) field. These include blending OER with university management structures; formal and non-formal OER; the need for sustainable OER business models; and expanding awareness, adoption, and use of OER. In the future, research will need to examine…

Position Statements, Issue Briefs, Resolutions and Consensus Statements. Revised

ERIC Educational Resources Information Center

National Association of School Nurses (NJ1), 2012

2012-01-01

This article presents position statements, issue briefs, and resolutions and consensus statements of the National Association of School Nurses (NASN). The Position Statements include: (1) Allergy/Anaphylaxis Management in the School Setting; (2) Caseload Assignments; (3) Child Mortality in the School Setting; (4) Chronic Health Conditions, Managed…

Improving Business-IT Alignment through Business Architecture

ERIC Educational Resources Information Center

Li, Chingmei

2010-01-01

The business and Information Technology (IT) alignment issue has become one of the Top-10 IT management issues since 1980. IT has continually strived to achieve alignment with business goals and objectives. These IT efforts include ERP implementation to benefit from the best practices; data center consolidation and server virtualization to keep…

7 CFR 785.3 - Annual certification of State mediation programs.

Code of Federal Regulations, 2010 CFR

2010-01-01

... program; (ii) An identification of issues available for mediation under the program; (iii) Management of... requirements for mediators including: (A) Training in mediation skills and in USDA programs; (B) Identification... mediation program provides for training of mediators in mediation skills and in all issues covered by the...

Coordination and resource-related difficulties encountered by Quebec's public health specialists and infectious diseases/medical microbiologists in the management of A (H1N1)--a mixed-method, exploratory survey.

PubMed

Nhan, Charles; Laprise, Réjean; Douville-Fradet, Monique; Macdonald, Mary Ellen; Quach, Caroline

2012-02-10

In Quebec, the influenza A (H1N1) pandemic was managed using a top-down style that left many involved players with critical views and frustrations. We aimed to describe physicians' perceptions--infectious diseases specialists/medical microbiologists (IDMM) and public health/preventive medicine specialists (PHPMS)--in regards to issues encountered with the pandemics management at the physician level and highlight suggested improvements for future healthcare emergencies. In April 2010, Quebec IDMM and PHPMS physicians were invited to anonymously complete a web-based learning needs assessment. The survey included both open-ended and multiple-choice questions. Descriptive statistics were used to report on the frequency distribution of multiple choice responses whereas thematic content analysis was used to analyse qualitative data generated from the survey and help understand respondents' experience and perceptions with the pandemics. Of the 102 respondents, 85.3% reported difficulties or frustrations in their practice during the pandemic. The thematic analysis revealed two core themes describing the problems experienced in the pandemic management: coordination and resource-related difficulties. Coordination issues included communication, clinical practice guidelines, decision-making, roles and responsibilities, epidemiological investigation, and public health expert advisory committees. Resources issues included laboratory resources, patient management, and vaccination process. Together, the quantitative and qualitative data suggest a need for improved coordination, a better definition of roles and responsibilities, increased use of information technologies, merged communications, and transparency in the decisional process. Increased flexibility and less contradiction in clinical practice guidelines from different sources and increased laboratory/clinical capacity were felt critical to the proper management of infectious disease emergencies.

The emerging role of lidar remote sensing in coastal research and resource management

USGS Publications Warehouse

Brock, J.C.; Purkis, S.J.

2009-01-01

Knowledge of coastal elevation is an essential requirement for resource management and scientific research. Recognizing the vast potential of lidar remote sensing in coastal studies, this Special Issue includes a collection of articles intended to represent the state-of-the-art for lidar investigations of nearshore submerged and emergent ecosystems, coastal morphodynamics, and hazards due to sea-level rise and severe storms. Some current applications for lidar remote sensing described in this Special Issue include bluegreen wavelength lidar used for submarine coastal benthic environments such as coral reef ecosystems, airborne lidar used for shoreline mapping and coastal change detection, and temporal waveform-resolving lidar used for vegetation mapping. ?? 2009 Coastal Education and Research Foundation.

The emerging role of lidar remote sensing in coastal research and resource management

USGS Publications Warehouse

Brock, John C.; Purkis, Samuel J.

2009-01-01

Knowledge of coastal elevation is an essential requirement for resource management and scientific research. Recognizing the vast potential of lidar remote sensing in coastal studies, this Special Issue includes a collection of articles intended to represent the state-of-the-art for lidar investigations of nearshore submerged and emergent ecosystems, coastal morphodynamics, and hazards due to sea-level rise and severe storms. Some current applications for lidar remote sensing described in this Special Issue include bluegreen wavelength lidar used for submarine coastal benthic environments such as coral reef ecosystems, airborne lidar used for shoreline mapping and coastal change detection, and temporal waveform-resolving lidar used for vegetation mapping.

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…

A balanced approach: Dr. Biswell's solution to fire issues in urban interface and wildland ecosystems

Treesearch

Carol Rice

1995-01-01

Dr. Biswell's approach to fire management balanced fire prevention, suppression, and fuel management. Dr. Biswell maintained that with increased support for fire prevention and fuel management, several profound changes would be anticipated, including a decrease in the number of wildfires, as well as a decrease in requirements for suppression. Interested persons...

75 FR 25876 - Notice of Intent To Prepare Resource Management Plans for the Beaver Dam Wash and Red Cliffs...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-10

... personnel; Federal, state, and local agencies; and other stakeholders. The issues include: Air quality... of the Sand Mountain Special Recreation Management Area will remain Open under all alternatives of the plan amendment, consistent with the agreement for joint management by the State of Utah's Sand...

Total Quality Management in Higher Education. Is It Working? Why or Why Not?

ERIC Educational Resources Information Center

Sims, Serbrenia J., Ed.; Sims, Ronald R., Ed.

The 11 essays in this book address the issue of whether total quality management at institutions of higher learning offers the same benefits and promises as it does in other sectors. Titles include: (1) "Toward an Understanding of Total Quality Management: Its Relevance and Contribution to Higher Education" (Ronald R. Sims and Serbrenia…

Pediatric Supportive Care (PDQ®)—Health Professional Version

Cancer.gov

Pediatric supportive care includes managing issues from the cancer diagnosis, through treatment, and into adult survivorship. Get detailed information addressing pediatric supportive care including psychologic, family, and end-of-life concerns in this clinician summary.

Childhood obesity for pediatric gastroenterologists.

PubMed

Huang, Jeannie S; Barlow, Sarah E; Quiros-Tejeira, Ruben E; Scheimann, Ann; Skelton, Joseph; Suskind, David; Tsai, Patrika; Uko, Victor; Warolin, Joshua P; Xanthakos, Stavra A

2013-01-01

Obesity in childhood is one of the major health issues in pediatric health care today. As expected, the prevalence of obesity-related comorbidities has risen in parallel with that of obesity. Consultation regarding these concomitant diseases and subsequent management by subspecialists, including pediatric gastroenterologists, is now common and has resulted in obesity being recognized as a chronic disease requiring coordination of care. Although medications and even surgery may provide effective, though often temporary, treatments for obesity and its comorbidities, behavioral interventions addressing healthy dietary and physical activity habits remain a mainstay in the obesity treatment paradigm. Therefore, the issue of weight management must be addressed by both general practitioner and subspecialist alike. In this report, we review select aspects of pediatric obesity and obesity-related management issues because it relates in particular to the field of pediatric gastroenterology and hepatology.

Childhood Obesity for Pediatric Gastroenterologists

PubMed Central

Huang, Jeannie S.; Barlow, Sarah E.; Quiros-Tejeira, Ruben E.; Scheimann, Ann; Skelton, Joseph; Suskind, David; Tsai, Patrika; Uko, Victor; Warolin, Joshua P.; Xanthakos, Stavra A.

2014-01-01

Obesity in childhood is one of the major health issues in pediatric health care today. As expected, the prevalence of obesity-related comorbidities has risen in parallel with that of obesity. Consultation regarding these concomitant diseases and subsequent management by subspecialists, including pediatric gastroenterologists, is now common and has resulted in obesity being recognized as a chronic disease requiring coordination of care. Although medications and even surgery may provide effective, though often temporary, treatments for obesity and its comorbidities, behavioral interventions addressing healthy dietary and physical activity habits remain a mainstay in the obesity treatment paradigm. Therefore, the issue of weight management must be addressed by both general practitioner and subspecialist alike. In this report, we review select aspects of pediatric obesity and obesity-related management issues because it relates in particular to the field of pediatric gastroenterology and hepatology. PMID:23282941

Principles of disaster management lesson. 12: structuring organizations.

PubMed

Cuny, F C

2001-01-01

This lesson discusses various structures for organizations that have functional roles in disaster responses, relief, and/or management activities. It distinguishes between pyramidal and matrix structures, and notes the advantages and disadvantages of each in relation to disasters. Span of control issues are dissected including the impact of the "P" factor on the performance of disaster managers and workers including its relationship to the coordination and control function. The development of a Table of Organization and how it relates to departmentalization within an organization also is provided.

Managing the Difficult Child.

ERIC Educational Resources Information Center

Murphy, Linda; Della Corte, Suzanne

1990-01-01

This newsletter issue focuses on ways parents can manage the difficult child with special needs. Characteristics of the difficult child are listed including poor listening skills, irritableness, impulsivity, and tendency to have tantrums. Typical reactions to the difficult child by parents, siblings, other relatives, neighbors, the school, and…

Wildland fire research: Future Search conference notes

Treesearch

Jim Saveland; Dave Thomas

1998-01-01

This conference provided an arena for identifying common key issues that are shaping wildland fire research. Commonly identified desired outcomes include: research, integrated across disciplines, and management form partnerships; communication between management and research is effective and continuous; responsive and proactive research balances long-term scientific...

Managing Time.

ERIC Educational Resources Information Center

Murphy, Linda; Della Corte, Suzanne

1991-01-01

This newsletter issue discusses time management techniques for parents of special needs children. Techniques include changing one's attitudes about perfection, prioritizing tasks, having a back-up plan, learning to say "no," asking for help, keeping things simple, hiring others, using waiting time wisely, and doing two things at once. Household…

Rethinking Recycling: Why Teach about Garbage?

ERIC Educational Resources Information Center

Clearing, 1993

1993-01-01

Ties environmental education, via garbage disposal issues, to Oregon's educational reform agenda. Discusses teaching the basics through "garbage" lessons. Includes how to (1) take an interdisciplinary approach; (2) introduce waste management concepts in other lessons; (3) use waste management examples to apply existing concepts; and (4)…

Perspectives on Leadership in Facilities Management.

ERIC Educational Resources Information Center

Jenkins, Charles W. Ed.

This collection of papers examines issues concerning leadership in facilities management in higher education. Chapters include: (1) "Catch the Spirit of Leadership" (Jack Hug); (2) "Visionary Leadership: Creating a New Tomorrow" (Burt Nanus); (3) "Some Thoughts on Leadership" (Charles W. Jenkins); (4) "Educational Leadership: The Role of…

Environmental glasnost: protecting a resource you do not own

Treesearch

Malcomb Ross, Jr.

1992-01-01

The Upper Delaware River management plan offers an alternative to outright purchase and subsequent management of natural recreation areas. Advantages include providing for appropriate growth, pooling agency manpower and funding, and making the private sector more responsive to finding solutions to resource issues.

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

Dunn, Darrell; Poinssot, Christophe; Begg, Bruce

Management of nuclear waste remains an important international topic that includes reprocessing of commercial nuclear fuel, waste-form design and development, storage and disposal packaging, the process of repository site selection, system design, and performance assessment. Requirements to manage and dispose of materials from the production of nuclear weapons, and the renewed interest in nuclear power, in particular through the Generation IV Forum and the Advanced Fuel Cycle Initiative, can be expected to increase the need for scientific advances in waste management. A broad range of scientific and engineering disciplines is necessary to provide safe and effective solutions and address complexmore » issues. This volume offers an interdisciplinary perspective on materials-related issues associated with nuclear waste management programs. Invited and contributed papers cover a wide range of topics including studies on: spent fuel; performance assessment and models; waste forms for low- and intermediate-level waste; ceramic and glass waste forms for plutonium and high-level waste; radionuclides; containers and engineered barriers; disposal environments and site characteristics; and partitioning and transmutation.« less

Laboratory challenges conducting international clinical research in resource-limited settings.

PubMed

Fitzgibbon, Joseph E; Wallis, Carole L

2014-01-01

There are many challenges to performing clinical research in resource-limited settings. Here, we discuss several of the most common laboratory issues that must be addressed. These include issues relating to organization and personnel, laboratory facilities and equipment, standard operating procedures, external quality assurance, shipping, laboratory capacity, and data management. Although much progress has been made, innovative ways of addressing some of these issues are still very much needed.

International space station wire program

NASA Technical Reports Server (NTRS)

May, Todd

1995-01-01

Hardware provider wire systems and current wire insulation issues for the International Space Station (ISS) program are discussed in this viewgraph presentation. Wire insulation issues include silicone wire contamination, Tefzel cold temperature flexibility, and Russian polyimide wire insulation. ISS is a complex program with hardware developed and managed by many countries and hundreds of contractors. Most of the obvious wire insulation issues are known by contractors and have been precluded by proper selection.

Training and information technology issue, 2005

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

Agnihotri, Newal

The focus of the May-June issue is on training and information technology. Major articles/reports in this issue include: Communicating effectively, by Alain Bucaille, AREVA; Reputation management, by Susan Brisset, Bruce Power; Contol room and HSI modernization guidance, by Joseph Naser, EPRI; How far are we from public acceptance, by Jennifer A. Biedscheid and Murthy Devarakonda, Washington TRU Solutions LLC; Spent fuel management options, by Brent W. Dixon and Steven J. Piet, Idaho National Laboratory; Industry Awards; A secure energy future for America, by George W. Bush, President, United States of America; Vision of the future of nuclear energy, by Annemore » Lauvergeon, AREVA; and, Plant profile: strategy for transition to digital, TXU Power.« less

Predictive mapping of seabirds, pinnipeds and cetaceans off the Pacific Coast of Washington

USGS Publications Warehouse

Menza, Charles; Leirness, Jeffery B.; White, Tim; Winship, Arliss; Kinlan, Brian P.; Kracker, Laura; Zamon, Jeannette E.; Ballance, Lisa; Becker, Elizabeth; Forney, Karin A.; Barlow, Jay; Adams, Josh; Pereksta, David; Pearson, Scott; Pierce, John; Jeffries, Steven J.; Calambokidis, John; Douglas, Annie; Hanson, Bradford C.; Benson, Scott R.; Antrim, Liam

2016-01-01

This research supports the National Oceanic and Atmospheric Administration (NOAA) Coastal Zone Management Program, a voluntary partnership between the federal government and U.S. coastal and Great Lakes states and territories authorized by the Coastal Zone Management Act (CZMA) of 1972 to address national coastal issues. The act provides the basis for protecting, restoring, and responsibly developing our nation’s diverse coastal communities and resources. To meet the goals of the CZMA, the national program takes a comprehensive approach to coastal resource management – balancing the often competing and occasionally conflicting demands of coastal resource use, economic development, and conservation. A wide range of issues are addressed through the program, including coastal development, water quality, public access, habitat protection, energy facility siting, ocean governance and planning, coastal hazards, and climate change. Accurate maps of seabird and marine mammal distributions are an important tool for making informed management decisions that affect all of these issues. 

Primary care management of patients following bariatric surgery.

PubMed

Doolen, Jessica L; Miller, Sally K

2005-11-01

To evaluate the nutritional, psychosocial, and other primary care issues faced by nurse practitioners (NPs) and their patients in the long-term management of the increasing population of patients who have had bariatric surgery. An extensive review of the literature provides the foundation for development of assessment and management strategies highlighted in a case study. Management of the patient after bariatric surgery does not end with successful surgical healing. Numerous long-term implications, including significant psychosocial and nutritional issues, require the informed attention of the primary care provider for the rest of the life span. Each year an increasing number of obese patients pursue a surgical solution to obesity, up to an estimated 100,000 in 2004. Numerous long-term health implications are specific to this population. NPs can improve the quality of primary care to these patients by being informed regarding the different procedures and their impact on physiologic phenomena, and the psychosocial issues inherent to extreme weight loss.

Vehicle trust management for connected vehicles : final research report.

DOT National Transportation Integrated Search

2016-01-01

The goal of this project is to research a wide range of transportation-related issues : including: improving health and safety for all users of the transportation system, including : bicycles, pedestrians and transit modes; reducing carbon emissions ...

Soliciting scientific information and beliefs in predictive modeling and adaptive management

NASA Astrophysics Data System (ADS)

Glynn, P. D.; Voinov, A. A.; Shapiro, C. D.

2015-12-01

Post-normal science requires public engagement and adaptive corrections in addressing issues with high complexity and uncertainty. An adaptive management framework is presented for the improved management of natural resources and environments through a public participation process. The framework solicits the gathering and transformation and/or modeling of scientific information but also explicitly solicits the expression of participant beliefs. Beliefs and information are compared, explicitly discussed for alignments or misalignments, and ultimately melded back together as a "knowledge" basis for making decisions. An effort is made to recognize the human or participant biases that may affect the information base and the potential decisions. In a separate step, an attempt is made to recognize and predict the potential "winners" and "losers" (perceived or real) of any decision or action. These "winners" and "losers" include present human communities with different spatial, demographic or socio-economic characteristics as well as more dispersed or more diffusely characterized regional or global communities. "Winners" and "losers" may also include future human communities as well as communities of other biotic species. As in any adaptive management framework, assessment of predictions, iterative follow-through and adaptation of policies or actions is essential, and commonly very difficult or impossible to achieve. Recognizing beforehand the limits of adaptive management is essential. More generally, knowledge of the behavioral and economic sciences and of ethics and sociology will be key to a successful implementation of this adaptive management framework. Knowledge of biogeophysical processes will also be essential, but by definition of the issues being addressed, will always be incomplete and highly uncertain. The human dimensions of the issues addressed and the participatory processes used carry their own complexities and uncertainties. Some ideas and principles are provided that may help guide and implement the proposed adaptive management framework and its public and stakeholder engagement processes. Examples and characteristics of issues that could be beneficially addressed through the proposed framework will also be presented.

Assessing Produced Water Management Issues with Increasing U.S. Tight Oil Production

NASA Astrophysics Data System (ADS)

Scanlon, B. R.; Reedy, R. C.; Murray, K. E.; Weingarten, M.

2017-12-01

U.S. oil fields have been producing about 10 times more water than oil for decades; however, problems with managing this produced water, including over-pressuring and induced seismicity, have only become apparent with the recent increases in oil production from unconventional reservoirs. This study involved quantifying spatial and temporal variability in produced water volumes and evaluating issues with managing this produced water using data from the major U.S. unconventional/conventional oil plays (Bakken, Permian, and Eagle Ford plays, and Oklahoma). The primary difference between recent and historical produced water management is the inability to inject the produced water back into the unconventional low permeability or dewatered oil reservoirs. Disposing of this produced water into non-oil producing horizons using salt water disposal wells has been linked to over-pressuring in shallow geologic units in the Bakken and Permian basins and to induced seismicity in Oklahoma. These issues with produced water management can be partially alleviated by reusing/recycling produced water for hydraulic fracturing, which seems particularly promising in the Permian Basin.

Asking questions: a management tool.

PubMed

Wachs, J E; Price, M

1995-05-01

The occupational health nurse manager does not have all the answers. In using a democratic style of leadership with well qualified professionals, the technique of questioning can be invaluable in clarifying the issue, brainstorming solutions, developing a course of action, and monitoring success. The personal rewards to the occupational health nurse manager will include a reputation for being an effective listener, a problem solver, and a valued member of the company's management team.

Meta-manager: a requirements analysis.

PubMed

Cook, J F; Rozenblit, J W; Chacko, A K; Martinez, R; Timboe, H L

1999-05-01

The digital imaging network-picture-archiving and communications system (DIN-PACS) will be implemented in ten sites within the Great Plains Regional Medical Command (GPRMC). This network of PACS and teleradiology technology over a shared T1 network has opened the door for round the clock radiology coverage of all sites. However, the concept of a virtual radiology environment poses new issues for military medicine. A new workflow management system must be developed. This workflow management system will allow us to efficiently resolve these issues including quality of care, availability, severe capitation, and quality of the workforce. The design process of this management system must employ existing technology, operate over various telecommunication networks and protocols, be independent of platform operating systems, be flexible and scaleable, and involve the end user at the outset in the design process for which it is developed. Using the unified modeling language (UML), the specifications for this new business management system were created in concert between the University of Arizona and the GPRMC. These specifications detail a management system operating through a common object request brokered architecture (CORBA) environment. In this presentation, we characterize the Meta-Manager management system including aspects of intelligence, interfacility routing, fail-safe operations, and expected improvements in patient care and efficiency.

Decision-making process related to treatment and management in Korean women with breast cancer: Finding the right individualized healthcare trajectory.

PubMed

Kim, Kkotbong; Yang, Jinhyang

2017-06-01

After being diagnosed with breast cancer, women must make a number of decisions about their treatment and management. When the decision-making process among breast cancer patients is ineffective, it results in harm to their health. Little is known about the decision-making process of breast cancer patients during the entire course of treatment and management. We investigated women with breast cancer to explore the decision-making processes related to treatment and management. Eleven women participated, all of whom were receiving treatment or management in Korea. The average participant age was 43.5years. For data collection and analysis, a grounded theory methodology was used. Through constant comparative analyses, a core category emerged that we referred to as "finding the right individualized healthcare trajectory." The decision-making process occurred in four phases: turmoil, exploration, balance, and control. The turmoil phase included weighing the credibility of information and lowering the anxiety level. The exploration phase included assessing the expertise/promptness of medical treatment and evaluating the effectiveness of follow-up management. The balance phase included performing analyses from multiple angles and rediscovering value as a human being. The control phase included constructing an individualized management system and following prescribed and other management options. It is important to provide patients with accurate information related to the treatment and management of breast cancer so that they can make effective decisions. Healthcare providers should engage with patients on issues related to their disease, understand the burden placed on patients because of issues related to their sex, and ensure that the patient has a sufficient support system. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for breast cancer patients. Copyright © 2017 Elsevier Inc. All rights reserved.

Pain management: a fundamental human right.

PubMed

Brennan, Frank; Carr, Daniel B; Cousins, Michael

2007-07-01

This article surveys worldwide medical, ethical, and legal trends and initiatives related to the concept of pain management as a human right. This concept recently gained momentum with the 2004 European Federation of International Association for the Study of Pain (IASP) Chapters-, International Association for the Study of Pain- and World Health Organization-sponsored "Global Day Against Pain," where it was adopted as a central theme. We survey the scope of the problem of unrelieved pain in three areas, acute pain, chronic noncancer pain, and cancer pain, and outline the adverse physical and psychological effects and social and economic costs of untreated pain. Reasons for deficiencies in pain management include cultural, societal, religious, and political attitudes, including acceptance of torture. The biomedical model of disease, focused on pathophysiology rather than quality of life, reinforces entrenched attitudes that marginalize pain management as a priority. Strategies currently applied for improvement include framing pain management as an ethical issue; promoting pain management as a legal right, providing constitutional guarantees and statutory regulations that span negligence law, criminal law, and elder abuse; defining pain management as a fundamental human right, categorizing failure to provide pain management as professional misconduct, and issuing guidelines and standards of practice by professional bodies. The role of the World Health Organization is discussed, particularly with respect to opioid availability for pain management. We conclude that, because pain management is the subject of many initiatives within the disciplines of medicine, ethics and law, we are at an "inflection point" in which unreasonable failure to treat pain is viewed worldwide as poor medicine, unethical practice, and an abrogation of a fundamental human right.

75 FR 22416 - Statement of Organization, Functions, and Delegations of Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-28

... Document Management System; (13) develops and distributes leadership reports, including the Secretary's 90... principal advisor to the Director, CDC, on internal and external affairs of CDC; (2) convenes key leadership for assessment, management, mitigation options, and resolution of issues and initiatives affecting CDC...

41 CFR 101-39.406 - Responsibility for damages.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS AVIATION, TRANSPORTATION, AND MOTOR... total cost of all damages resulting from neglect or abuse of assigned or issued GSA IFMS vehicles. (c... charge all costs to that agency, including fair market value of the vehicle less any salvage value. Upon...

41 CFR 101-39.406 - Responsibility for damages.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS AVIATION, TRANSPORTATION, AND MOTOR... total cost of all damages resulting from neglect or abuse of assigned or issued GSA IFMS vehicles. (c... charge all costs to that agency, including fair market value of the vehicle less any salvage value. Upon...

41 CFR 101-39.406 - Responsibility for damages.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS AVIATION, TRANSPORTATION, AND MOTOR... total cost of all damages resulting from neglect or abuse of assigned or issued GSA IFMS vehicles. (c... charge all costs to that agency, including fair market value of the vehicle less any salvage value. Upon...

Managing Colleges into the Next Century. Coombe Lodge Report.

ERIC Educational Resources Information Center

Brace, Diane; And Others

1990-01-01

This document contains seven papers about managing Great Britain's further education colleges in the next century. The papers examine a wide range of administrative issues, including building on human resources investments through strategic planning, maintaining relationships with local education authorities, customer satisfaction as a marketing…

39 CFR 261.2 - Authority.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 39 Postal Service 1 2010-07-01 2010-07-01 false Authority. 261.2 Section 261.2 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RECORDS AND INFORMATION MANAGEMENT § 261.2.... Included is the authority to issue records management policy and to delegate or take appropriate action if...

39 CFR 261.2 - Authority.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 39 Postal Service 1 2011-07-01 2011-07-01 false Authority. 261.2 Section 261.2 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RECORDS AND INFORMATION MANAGEMENT § 261.2.... Included is the authority to issue records management policy and to delegate or take appropriate action if...

39 CFR 261.2 - Authority.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 39 Postal Service 1 2014-07-01 2014-07-01 false Authority. 261.2 Section 261.2 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RECORDS AND INFORMATION MANAGEMENT § 261.2.... Included is the authority to issue records management policy and to delegate or take appropriate action if...

39 CFR 261.2 - Authority.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 39 Postal Service 1 2013-07-01 2013-07-01 false Authority. 261.2 Section 261.2 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RECORDS AND INFORMATION MANAGEMENT § 261.2.... Included is the authority to issue records management policy and to delegate or take appropriate action if...

39 CFR 261.2 - Authority.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 39 Postal Service 1 2012-07-01 2012-07-01 false Authority. 261.2 Section 261.2 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RECORDS AND INFORMATION MANAGEMENT § 261.2.... Included is the authority to issue records management policy and to delegate or take appropriate action if...

Repatriation Readjustment of International Managers: An Empirical Analysis of HRD Interventions

ERIC Educational Resources Information Center

Osman-Gani, A Ahad M.; Hyder, Akmal S.

2008-01-01

Purpose: With increasing interest in overseas business expansion, particularly in the Asia-Pacific region, expatriate management, including repatriation readjustments, has become a critical international human resource development (HRD) issue for multinational enterprises (MNEs). This empirical study therefore aims to investigate the use of HRD…

Managing the Web-Enhanced Geographic Information Service.

ERIC Educational Resources Information Center

Stephens, Denise

1997-01-01

Examines key management issues involved in delivering geographic information services on the World Wide Web, using the Geographic Information Center (GIC) program at the University of Virginia Library as a reference. Highlights include integrating the Web into services; building collections for Web delivery; and evaluating spatial information…

The Evolution of the School Library Collection: Implications for Effective Management.

ERIC Educational Resources Information Center

Debowski, Shelda

1999-01-01

Explores some of the collection and service-related issues which should be considered by those developing an electronic collection in a school library. Highlights include principles of electronic collection management; selection of electronic resources; technological infrastructure; user training; online subscriptions; marketing; and technical…

Climate Change Education: Engaging Family Private Forest Owners on Issues Related to Climate Change: A Workshop Summary

ERIC Educational Resources Information Center

Beatty, Alexandra S.; Feder, Michael; Storksdieck, Martin

2014-01-01

The forested land in the United States is an asset that is owned and managed not only by federal, state, and local governments, but also by families and other private groups, including timber investment management organizations and real estate investment trusts. The more than 10 million family forestland owners manage the largest percentage of…

Bridging the Divide between Safety and Risk Management for your Project or Program

NASA Technical Reports Server (NTRS)

Lutomski, Mike

2005-01-01

This presentation will bridge the divide between these separate but overlapping disciplines and help explain how to use Risk Management as an effective management decision support tool that includes safety. Risk Management is an over arching communication tool used by management to prioritize and effectively mitigate potential problems before they concur. Risk Management encompasses every kind of potential problem that can occur on a program or project. Some of these are safety issues such as hazards that have a specific likelihood and consequence that need to be controlled and included to show an integrated picture of accepted) mitigated, and residual risk. Integrating safety and other assurance disciplines is paramount to accurately representing a program s or projects risk posture. Risk is made up of several components such as technical) cost, schedule, or supportability. Safety should also be a consideration for every risk. The safety component can also have an impact on the technical, cost, and schedule aspect of a given risk. The current formats used for communication of safety and risk issues are not consistent or integrated. The presentation will explore the history of these disciplines, current work to integrate them, and suggestions for integration for the future.

Monitoring the mighty duck timber sale: a national forest - conservation organization - research partnership

Treesearch

Douglas M. Stone; Jay C. Strand

1997-01-01

Resource managers are seeking silvicultural solutions to a variety of ecological, economic, and social issues. These issues include maintaining healthy and aesthetically pleasing forests, and sustaining or increasing ecological diversity. To reestablish a conifer component, and thereby increase species diversity, the LaCroix Ranger District of the Superior National...

Human influences on forest ecosystems: the southern wildland-urban interface assessment

Treesearch

Edward A. Macie; L. Annie Hermansen; [Editors

2002-01-01

This publication provides a review of critical wildland-urban interface issues, challenges, and needs for the Southern United States. Chapter topics include population and demographic trends; economic and tax issues; land use planning and policy; urban effects on forest ecosystems; challenges for forest resource management and conservation; social consequences of...

Outsourcing, Globalizing Economics, and Shifting Language Policies: Issues in Managing Indian Call Centres

ERIC Educational Resources Information Center

Morgan, Brian; Ramanathan, Vaidehi

2009-01-01

This paper offers a dialogic discussion about several issues concerning call centers, including globalizing surges, modernity tropes and educational practices. Based on a critical discourse analysis of a document offering to train west-based entrepreneurs to assume managerial positions in call centers in India, the paper explores ways in which…

Campus Work and Family Programs: Passing Trend or Wave of the Future?

ERIC Educational Resources Information Center

de Pietro, Leslie

1995-01-01

College and university employee assistance programs that address work and family issues are discussed. Components of such programs include child care resource and referral, parent education and support groups, elder care support and education, and management training. Issues in program creation and administration are highlighted. More programs in…

Teaching Economics to Business Students through the Lens of Corporate Social Responsibility and Sustainability

ERIC Educational Resources Information Center

Maxfield, Sylvia

2011-01-01

Corporate "social-issues management" courses are often taught without in-depth reference to economics, but they afford an opportunity both to review ground-level microeconomics issues including pricing and profit maximization under different market structures and to introduce more advanced topics such as externalities, introductory game theory,…

The Importance of Place: Advances in Science and Application

Treesearch

Linda E. Kruger; Pamela J. Jakes

2003-01-01

The concept of place is introduced and an orientation to place literature is provided. Following the introduction, an overview is given of the papers in this special issue of Forest Science. The papers included in this issue were presented at the 2000 International Symposium on Society and Resource Management in Bellingham, Washington.

The importance of place: advances in science and application.

Treesearch

Linda E. Kruger; Pamela J. Jakes

2003-01-01

The concept of place is introduced and an orientation to place literature is provided. Following the introduction, an overview is given of the papers in this special issue of Forest Science. The papers included in this issue were presented at the 2000 International Symposium on Society and Resource Management in Bellingham, Washington.

Development of Performance Dashboards in Healthcare Sector: Key Practical Issues.

PubMed

Ghazisaeidi, Marjan; Safdari, Reza; Torabi, Mashallah; Mirzaee, Mahboobeh; Farzi, Jebraeil; Goodini, Azadeh

2015-10-01

Static nature of performance reporting systems in health care sector has resulted in inconsistent, incomparable, time consuming, and static performance reports that are not able to transparently reflect a round picture of performance and effectively support healthcare managers' decision makings. So, the healthcare sector needs interactive performance management tools such as performance dashboards to measure, monitor, and manage performance more effectively. The aim of this article was to identify key issues that need to be addressed for developing high-quality performance dashboards in healthcare sector. A literature review was established to search electronic research databases, e-journals collections, and printed journals, books, dissertations, and theses for relevant articles. The search strategy interchangeably used the terms of "dashboard", "performance measurement system", and "executive information system" with the term of "design" combined with operator "AND". Search results (n=250) were adjusted for duplications, screened based on their abstract relevancy and full-text availability (n=147) and then assessed for eligibility (n=40). Eligible articles were included if they had explicitly focused on dashboards, performance measurement systems or executive information systems design. Finally, 28 relevant articles included in the study. Creating high-quality performance dashboards requires addressing both performance measurement and executive information systems design issues. Covering these two fields, identified contents were categorized to four main domains: KPIs development, Data Sources and data generation, Integration of dashboards to source systems, and Information presentation issues. This study implies the main steps to develop dashboards for the purpose of performance management. Performance dashboards developed on performance measurement and executive information systems principles and supported by proper back-end infrastructure will result in creation of dynamic reports that help healthcare managers to consistently measure the performance, continuously detect outliers, deeply analyze causes of poor performance, and effectively plan for the future.

Social Impact Management Plans: Innovation in corporate and public policy

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

Franks, Daniel M., E-mail: d.franks@uq.edu.au; Vanclay, Frank, E-mail: frank.vanclay@rug.nl

Social Impact Assessment (SIA) has traditionally been practiced as a predictive study for the regulatory approval of major projects, however, in recent years the drivers and domain of focus for SIA have shifted. This paper details the emergence of Social Impact Management Plans (SIMPs) and undertakes an analysis of innovations in corporate and public policy that have put in place ongoing processes – assessment, management and monitoring – to better identify the nature and scope of the social impacts that might occur during implementation and to proactively respond to change across the lifecycle of developments. Four leading practice examples aremore » analyzed. The International Finance Corporation (IFC) Performance Standards require the preparation of Environmental and Social Management Plans for all projects financed by the IFC identified as having significant environmental and social risks. Anglo American, a major resources company, has introduced a Socio-Economic Assessment Toolbox, which requires mine sites to undertake regular assessments and link these assessments with their internal management systems, monitoring activities and a Social Management Plan. In South Africa, Social and Labour Plans are submitted with an application for a mining or production right. In Queensland, Australia, Social Impact Management Plans were developed as part of an Environmental Impact Statement, which included assessment of social impacts. Collectively these initiatives, and others, are a practical realization of theoretical conceptions of SIA that include management and monitoring as core components of SIA. The paper concludes with an analysis of the implications for the practice of impact assessment including a summary of key criteria for the design and implementation of effective SIMPs. -- Highlights: • Social impact management plans are effective strategies to manage social issues. • They are developed in partnership with regulatory agencies, investors and community. • SIMPs link assessment to ongoing management and address social and community issues. • SIMPs clarify responsibilities in the management of impacts, opportunities and risks. • SIMPs demonstrate a shift to include management as a core component of SIA practice.« less

The Cybrarian's Manual 2.

ERIC Educational Resources Information Center

Ensor, Pat, Ed.

This book examines technical, social, and management issues related to librarians and cyberspace. The following chapters and articles are included: (1) "The Cybrarian's Tool Kit," including "Internet News and Website Reviews" (M. Sylvia), "Searching the Future" (J. Powell), "Netiquette, Hoaxes, and Scams! Oh…

Water access, water scarcity, and climate change.

PubMed

Mukheibir, Pierre

2010-05-01

This article investigates the approaches of the various discourses operating in the water sector and how they address the issues of scarcity and equitable access under projected climate change impacts. Little synergy exists between the different approaches dealing with these issues. Whilst being a sustainable development and water resources management issue, a holistic view of access, scarcity and the projected impacts of climate change is not prevalent in these discourses. The climate change discourse too does not adequately bridge the gap between these issues. The projected impacts of climate change are likely to exacerbate the problems of scarcity and equitable access unless appropriate adaptation strategies are adopted and resilience is built. The successful delivery of accessible water services under projected climate change impacts therefore lies with an extension of the adaptive water management approach to include equitable access as a key driver.

Outage management and health physics issue, 2007

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

Agnihotri, Newal

2007-05-15

The focus of the May-June issue is on outage management and health physics. Major articles/reports in this issue include: India: a potential commercial opportunity, a U.S. Department of Commerce Report, by Joe Neuhoff and Justin Rathke; The changing climate for nuclear energy, by Skip Bowman, Nuclear Energy Insitute; Selecting protective clothing, by J. Mark Price, Southern California Edison; and Succssful refurbishment outage, by Sudesh K. Gambhir, Omaha Public Power District. Industry innovation articles in this issue are: Containment radiation monitoring spiking, by Michael W. Lantz and Robert Routolo, Arizona Public Service Company; Improved outage performance, by Michael Powell and Troymore » Wilfong, Arizona Public Service Company, Palo Verde Nuclear Generating Station; Stop repacking valves and achieve leak-free performance, by Kenneth Hart, PPL Susquehanna LLC; and Head assembly upgrade package, by Timothy Petit, Dominion Nuclear.« less

Endangered species and nature conservation: science issues and challenges.

PubMed

Szaro, Robert C

2008-06-01

The issues and challenges facing us in ensuring the survival of as many species and ecosystems as possible call for a renewed research focus to address how to improve management strategies and policy making now and into the future. The key issues to be addressed by activities of the International Union of Forest Research Organization's (IUFRO) Task Force on Endangered Species and Nature Conservation include such issues as: (i) preventing species from being listed by maintaining species populations at sufficient levels that they do not require listing; (ii) recovering threatened and endangered species; (iii) developing management practices and strategies; (iv) balancing actions affecting suites of threatened or endangered species; (v) developing conservation strategies for species without definitive taxonomic treatments; (vi) dealing with global change; (vii) dealing with invasive species; and (viii) restoring critical habitats. © 2008 ISZS, Blackwell Publishing and IOZ/CAS.

Satellite Services Workshop, Volume 1

NASA Technical Reports Server (NTRS)

1982-01-01

Key issues associated with the orbital servicing of satellites are examined including servicing spacecraft and equipment, servicing operations, economics, satellite design, docking and berthing, and fluid management.

75 FR 64718 - Environmental Management Site-Specific Advisory Board, Nevada

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-20

... Industrial Sites and Soils Committees of the Environmental Management Site-Specific Advisory Board (EM SSAB... Test Site including decontamination, closure, re-use and/or demolition. Purpose of the Soils Committee: The purpose of the Committee is to focus on issues related to soil contamination at the Nevada Test...

Tax Exemption Issues Facing Academic Health Centers in the Managed Care Environment.

ERIC Educational Resources Information Center

Jones, Darryll K.

1997-01-01

Traditional characteristics of academic health centers are outlined, and conflicts with managed care are identified. Operating strategies designed to resolve the conflicts are discussed in light of tax statutes and regulations, Internal Revenue Service interpretations, and case law. Detailed references are included to provide a complete resource…

The Acquisition and Management of Electronic Resources: Can Use Justify Cost?

ERIC Educational Resources Information Center

Koehn, Shona L.; Hawamdeh, Suliman

2010-01-01

As library collections increasingly become digital, libraries are faced with many challenges regarding the acquisition and management of electronic resources. Some of these challenges include copyright and fair use, the first-sale doctrine, licensing versus ownership, digital preservation, long-term archiving, and, most important, the issue of…

Improving Project Management Using Formal Models and Architectures

NASA Technical Reports Server (NTRS)

Kahn, Theodore; Sturken, Ian

2011-01-01

This talk discusses the advantages formal modeling and architecture brings to project management. These emerging technologies have both great potential and challenges for improving information available for decision-making. The presentation covers standards, tools and cultural issues needing consideration, and includes lessons learned from projects the presenters have worked on.

78 FR 58523 - Advisory Committee to the U.S. Section of the International Commission for the Conservation of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-24

... considering a number of other important issues, including ecosystem approaches to management, the... to shark conservation and management; (2) ecosystem considerations and the precautionary approach; (3... authority of the organization in this regard. In addition, some Contracting Parties to the organization...

Proceedings of the tenth biennial southern silvicultural research conference

Treesearch

James D. Haywood; [Editor

1999-01-01

One hundred and twenty-two papers and three poster summaries address a range of issues affecting southern forests. Papers are grouped in 15 sessions that included upland hardwoods, intensive management of bottomland hardwoods, intermediate hardwood management, hardwood and bottomland regeneration, ecological relationships, water and soil hydrology, site preparation for...

Optical Disc Technology for Information Management.

ERIC Educational Resources Information Center

Brumm, Eugenia K.

1991-01-01

This summary of the literature on document image processing from 1988-90 focuses on WORM (write once read many) technology and on rewritable (i.e., erasable) optical discs, and excludes CD-ROM. Highlights include vendors and products, standards, comparisons of storage media, software, legal issues, records management, indexing, and computer…

Forests of the Northern United States

Treesearch

Stephen R. Shifley; Francisco X. Aguilar; Nianfu Song; Susan I. Stewart; David J. Nowak; Dale D. Gormanson; W. Keith Moser; Sherri Wormstead; Eric J. Greenfield

2012-01-01

Bounded by Maine, Maryland, Missouri, and Minnesota, the 20 Northern States have a larger population and a higher proportion of forest cover than other comparably sized U.S. regions. Forest-associated issues across the North include insect and disease pests, invasive species, forest management capacity, management standards, biodiversity, forest fragmentation, water...

Eating Issues in Schools: Detection, Management, and Consultation with Allied Professionals

ERIC Educational Resources Information Center

Carney, Jennifer Maskell; Scott, Heather Lewy

2012-01-01

School counselors play a crucial role in the prevention, assessment, treatment, and overall management of eating-related problems among children and adolescents. This article provides a framework for conceptualizing these difficulties on a continuum of severity and includes recommendations at each level for intervention and consultation.…

Nitty-Gritty Federalism: Managing Solid Waste. Teaching Strategy.

ERIC Educational Resources Information Center

LaRocco, Joseph C.; Gregori, Harry E., Jr.

1995-01-01

Outlines the lesson plan that uses the issue of solid waste disposal to examine the relationship between local, state, and federal governments. Handouts include a quiz on solid waste management, an information sheet, and a simulation of a local problem. The simulation involves the location of a hazardous waste site. (MJP)

Classroom Management Idea Book. ICE No. M0088

ERIC Educational Resources Information Center

Peace Corps, 2008

2008-01-01

This book was written in response to feedback from volunteer teachers who feel that the time spent dealing with classroom management issues detracts from the time they spend actually teaching the content. Volunteers and staff members provided practical strategies for dealing with the most commonly reported challenges. Chapters include teaching in…

Women Dentists at Work: Views from the Glass Ceiling.

ERIC Educational Resources Information Center

Tillman, Randi S.

1992-01-01

A workshop on female dentists in management is summarized. Topics included female dentists' experience in a predominantly male profession, rejection of feminism as a political movement, need to improve female dentists' opportunities, and gender differences in management style. An evolution in women's issues since the 1960s is seen. (MSE)

Tips for Dealing with Behavior Management Issues

ERIC Educational Resources Information Center

Bechtel, Pamela A.; Stevens, Lisa A.; Brett, Christine E. W.

2012-01-01

The increased diversity of today's students included in P-12 physical education classes creates new challenges in behavior management for physical education teachers. Currently more students with identified at-risk behaviors, as well as more students with physical or mental disabilities, are placed in general physical education classes. This…

The Detroit River, Michigan: an ecological profile

USGS Publications Warehouse

Manny, Bruce A.; Edsall, Thomas A.; Jaworski, Eugene

1988-01-01

A part of the connecting channel system between Lake Huron and Lake Erie, the Detroit River forms an integral link between the two lakes for both humans and biological resources such as fish, nutrients, and plant detritus. This profile summarizes existing scientific information on the ecological structure and functioning of this ecosystem. Topics include the geological history of the region, climatic influences, river hydrology, lower trophic-level biotic components, native and introduced fishes, waterfowl use, ecological interrelationships, commercial and recreational uses of the river, and current management issues. Despite urbanization, the river still supports diverse fish, waterfowl, and benthic populations. Management issues include sewer overflows; maintenance dredging for navigation and port activities; industrial discharges of potentially hazardous materials; and wetland, fishery, and waterfowl protection and enhancement.

A data-driven approach to quality risk management.

PubMed

Alemayehu, Demissie; Alvir, Jose; Levenstein, Marcia; Nickerson, David

2013-10-01

An effective clinical trial strategy to ensure patient safety as well as trial quality and efficiency involves an integrated approach, including prospective identification of risk factors, mitigation of the risks through proper study design and execution, and assessment of quality metrics in real-time. Such an integrated quality management plan may also be enhanced by using data-driven techniques to identify risk factors that are most relevant in predicting quality issues associated with a trial. In this paper, we illustrate such an approach using data collected from actual clinical trials. Several statistical methods were employed, including the Wilcoxon rank-sum test and logistic regression, to identify the presence of association between risk factors and the occurrence of quality issues, applied to data on quality of clinical trials sponsored by Pfizer. ONLY A SUBSET OF THE RISK FACTORS HAD A SIGNIFICANT ASSOCIATION WITH QUALITY ISSUES, AND INCLUDED: Whether study used Placebo, whether an agent was a biologic, unusual packaging label, complex dosing, and over 25 planned procedures. Proper implementation of the strategy can help to optimize resource utilization without compromising trial integrity and patient safety.

DOE Advanced Scientific Computing Advisory Committee (ASCAC) Report: Exascale Computing Initiative Review

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

Reed, Daniel; Berzins, Martin; Pennington, Robert

On November 19, 2014, the Advanced Scientific Computing Advisory Committee (ASCAC) was charged with reviewing the Department of Energy’s conceptual design for the Exascale Computing Initiative (ECI). In particular, this included assessing whether there are significant gaps in the ECI plan or areas that need to be given priority or extra management attention. Given the breadth and depth of previous reviews of the technical challenges inherent in exascale system design and deployment, the subcommittee focused its assessment on organizational and management issues, considering technical issues only as they informed organizational or management priorities and structures. This report presents the observationsmore » and recommendations of the subcommittee.« less

Making intelligent systems team players: Case studies and design issues. Volume 1: Human-computer interaction design

NASA Technical Reports Server (NTRS)

Malin, Jane T.; Schreckenghost, Debra L.; Woods, David D.; Potter, Scott S.; Johannesen, Leila; Holloway, Matthew; Forbus, Kenneth D.

1991-01-01

Initial results are reported from a multi-year, interdisciplinary effort to provide guidance and assistance for designers of intelligent systems and their user interfaces. The objective is to achieve more effective human-computer interaction (HCI) for systems with real time fault management capabilities. Intelligent fault management systems within the NASA were evaluated for insight into the design of systems with complex HCI. Preliminary results include: (1) a description of real time fault management in aerospace domains; (2) recommendations and examples for improving intelligent systems design and user interface design; (3) identification of issues requiring further research; and (4) recommendations for a development methodology integrating HCI design into intelligent system design.

Opinions of fisheries researchers, managers, and anglers towards recreational fishing issues: an exploratory analysis for North America

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

Hasler, Caleb T.; Colotelo, Alison HA; Rapp, Tobias

2011-05-02

There is a need to better understand the perspectives of various recreational fishing stakeholder groups regarding key issues related to fisheries sustainability. To provide a first snapshot and to inform future human dimension studies in this area, we distributed a Web-based open-access survey to fisheries researchers, fisheries managers, and anglers in North America. Attitudes of these respondents towards issues such as overharvest, impacts of catch and release, recreational fisheries management, and research priorities for the future were assessed. We found similar opinions and perspectives by the responding recreational anglers, managers,and researchers on a number of issues, such as the perceivedmore » impact of commercial fishing contributing to fish stock declines, the perceived importance of using and promoting gear that minimizes stress and injury to individual fish when fish are to be released, and the belief that conflicts among stakeholders is growing as is the global anti-fishing movement based on animal rights thinking. Differences among responding groups included that researchers tended to be more concerned than anglers and managers with the potential of recreational angling contributing to fish stock declines. Responding anglers were also less content with their involvement in the fisheries management process than were responding managers and researchers, and these anglers also indicated a greater desire for more human dimensions research on understanding angler attitudes and behavior than was evident for responding managers and researchers. This preliminary survey revealed some variation in attitudes among recreational fisheries stakeholders. However, due to lack of random sampling, the study results cannot be extrapolated to the population level. We nevertheless conclude that improved communication and better understanding about the different perspectives among fisheries researchers, managers, and anglers and intrasectorally among different angling groups are needed, particularly when addressing contentious issues of relevance for the entire recreational fishing sector.« less

Hypertension treatment for older people-navigating between Scylla and Charybdis.

PubMed

Conroy, Simon Paul; Westendorp, Rudi Gerardus Johannes; Witham, Miles D

2018-05-21

Hypertension is a common condition in older people, but is often one of many conditions, particularly in frail older people, and so is rarely managed in isolation in the real world-which belies the bulk of the evidence upon which is treatment decisions are often based. In this article, we discuss the issues of ageing, including frailty and dementia, and their impact upon blood pressure management. We examine the evidence base for managing hypertension in older people, and explore some therapeutic ideas that might influence treatment decisions and strategies, including shared decision making.

Genitourinary issues during spaceflight: a review.

PubMed

Jones, J A; Jennings, R; Pietryzk, R; Ciftcioglu, N; Stepaniak, P

2005-12-01

The genitourinary (GU) system is not uncommonly affected during previous spaceflights. GU issues that have been observed during spaceflight include urinary calculi, infections, retention, waste management, and reproductive. In-flight countermeasures for each of these issues are being developed to reduce the likelihood of adverse sequelae, due to GU issues during exploration-class spaceflight, to begin in 2018 with flights back to the Moon and on to Mars, according to the February 2004 Presendent's Vision for US Space Exploration. With implementation of a robust countermeasures program, GU issues should not have a significant threat for mission impact during future spaceflights.

Chemical Interventions for Pain.

ERIC Educational Resources Information Center

Aronoff, Gerald M.; And Others

1986-01-01

Reviews properties and pharmacological effects of medications for pain, including peripherally acting analgesics, centrally acting narcotics, and adjuvant analgesics including antidepressants. Discusses the role of the endogenous opioid system in pain and depression. Explores clinical management issues in both inpatient and outpatient settings,…

Risk management and post-marketing surveillance of CNS drugs.

PubMed

Henningfield, Jack E; Schuster, Charles R

2009-12-01

Drugs affecting the central nervous system span a broad range of chemical entities, dosage forms, indications, and risks. Unintended consequences include potential abuse and overdose in non-patient drug abusers, deliberate tampering of drug dosage forms, and criminal behavior associated with diversion. Regulators must consider diverse factors to find the appropriate conditions of approval to minimize unintended consequences while enabling a level of access desired by health care providers and patients. This commentary appears as part of a special issue of Drug and Alcohol Dependence that focuses on risk management and post-marketing surveillance and addresses key issues that pose real-world challenges to pharmaceutical sponsors and regulators in particular. For example, in the U.S., Controlled Substances Act drug scheduling can be considered a risk management strategy but its legal authorities and administrative processes are independent from those of risk management (including Risk Evaluation and Mitigation Strategies or REMS); better harmonization of these approaches is vital from drug development and regulatory perspectives. Risk management would ideally be implemented on a strong science foundation demonstrating that the tools employed to mitigate risks and ensure safe use are effective. In reality, research and evaluation of tools in this area is in its infancy and will necessarily be an evolutionary process; furthermore, there is little precedent for linking interventions and program evolution to unintended consequences such as regional outbreaks of abuse and diversion. How such issues are resolved has the potential to stimulate or stifle innovations in drug development and advance or imperil health care.

Social trust and the management of threatened and endangered species: A study of communities of interest and communities of place.

Treesearch

George T. Cvetkovich; Patricia L Winter

2002-01-01

Social trust, the willingness to rely on those with formal responsibility to develop policies and make decisions, facilitates effective management of environmental issues, including wildlife management. National polls suggest that the public trusts government agencies to solve environmental problems, yet such trust is low (or non-existent) in areas of controversy, such...

Violence at School: Global Issues and Interventions. Studies in Comparative Education.

ERIC Educational Resources Information Center

Ohsako, Toshio, Ed.

The case studies in this collection explore issues of violence in schools and what can be done to reduce these events. A number of national experiences in violence management, principally from developing countries, are brought together as a step toward improving the quality of education. The following are included: (1) "Tackling School Violence…

National Forum on Issues in Vocational Assessment (2nd, Dallas, Texas, March 13-15, 1986). The Issues Papers.

ERIC Educational Resources Information Center

Fry, Ronald R., Ed.

These 43 papers focus on changes in vocational assessment and evaluation. Selected titles include "Review of the Needs of Physically Handicapped Persons in the Vocational Counseling Process and a Possible Solution" (Ranson); "Vocational Assessment in the Management of the Chronic Pain Patient" (Dutton); "Vocational Evaluation of the Individual…

Remote sensing and today's forestry issues

NASA Technical Reports Server (NTRS)

Sayn-Wittgenstein, L.

1977-01-01

The actual and the desirable roles of remote sensing in dealing with current forestry issues, such as national forest policy, supply and demand for forest products and competing demands for forest land are discussed. Topics covered include wood shortage, regional timber inventories, forests in tropical and temperate zones, Skylab photography, forest management and protection, available biomass studies, and monitoring.

Twelve Commandments of Human Relations for the Diverse Academic Environment of Colleges and Universities

ERIC Educational Resources Information Center

Davis, William Young; Swartz, Caroline

2008-01-01

This paper focuses on applying proven industrial relations approaches and sound management practice to address a range of diversity issues in higher education. Issues addressed include the need to set a clear and consistent direction, the importance of effective policy setting and enforcement, the value of positive reinforcement, and the…

Ecosystem Based Management in Transition: From Ocean Policy to Application

NASA Astrophysics Data System (ADS)

Saumweber, W. J.; Goldman, E.

2016-02-01

Ecosystem-based management (EBM) has been proposed as a means to improve resource management and stewardship for more than two decades. Over this history, its exact goals and approaches have evolved in concert with advances in science and policy, including a greater understanding of ecosystem function, valuation, and thresholds for change, along with direct reference to EBM principles in statute, regulation, and other Executive Actions. Most recently, and explicitly, the Administration's National Ocean Policy (NOP) called for the development of a Federal EBM framework that would outline principles and guidelines for implementing EBM under existing authorities. This cross-agency framework has yet to be developed, but, the NOP, and related Administration initiatives, have resulted in the practical application of EBM principles in several issue-specific policy initiatives ranging from fisheries and marine protected area management to coastal adaptation and water resource infrastructure investment. In each case, the application of EBM principles uses apparently unique policy mechanisms (e.g. marine planning, ecosystem services assessment, adaptive management, dynamic ocean management, etc.). Despite differences in terminology and policy context, each of these policy initiatives is linked at its core to concepts of integrated and adaptive management that consider broad ecosystem function and services. This practical history of EBM implementation speaks to both the challenges and opportunities in broad incorporation of EBM across diverse policy initiatives and frameworks. We suggest that the continued growth of EBM as a practical policy concept will require a move away from broad frameworks, and towards the identification of specific resource management issues and accompanying policy levers with which to address those issues. In order to promote this progression, Federal policy should recognize and articulate the diverse set of policy mechanisms encompassed under the rubric of EBM and seek to require similar approaches across the spectra of resource management issues.

Ecosystem Based Management in Transition: From Ocean Policy to Application

NASA Astrophysics Data System (ADS)

Saumweber, W. J.; Goldman, E.

2016-12-01

Ecosystem-based management (EBM) has been proposed as a means to improve resource management and stewardship for more than two decades. Over this history, its exact goals and approaches have evolved in concert with advances in science and policy, including a greater understanding of ecosystem function, valuation, and thresholds for change, along with direct reference to EBM principles in statute, regulation, and other Executive Actions. Most recently, and explicitly, the Administration's National Ocean Policy (NOP) called for the development of a Federal EBM framework that would outline principles and guidelines for implementing EBM under existing authorities. This cross-agency framework has yet to be developed, but, the NOP, and related Administration initiatives, have resulted in the practical application of EBM principles in several issue-specific policy initiatives ranging from fisheries and marine protected area management to coastal adaptation and water resource infrastructure investment. In each case, the application of EBM principles uses apparently unique policy mechanisms (e.g. marine planning, ecosystem services assessment, adaptive management, dynamic ocean management, etc.). Despite differences in terminology and policy context, each of these policy initiatives is linked at its core to concepts of integrated and adaptive management that consider broad ecosystem function and services. This practical history of EBM implementation speaks to both the challenges and opportunities in broad incorporation of EBM across diverse policy initiatives and frameworks. We suggest that the continued growth of EBM as a practical policy concept will require a move away from broad frameworks, and towards the identification of specific resource management issues and accompanying policy levers with which to address those issues. In order to promote this progression, Federal policy should recognize and articulate the diverse set of policy mechanisms encompassed under the rubric of EBM and seek to require similar approaches across the spectra of resource management issues.

Competencies development and self-assessment in maintenance management e-training

NASA Astrophysics Data System (ADS)

Papathanassiou, Nikos; Pistofidis, Petros; Emmanouilidis, Christos

2013-10-01

The maintenance management function requires staff to possess a truly multidisciplinary set of skills. This includes competencies from engineering and information technology to health and safety, management and finance, while also taking into account the normative and legislative issues. This body of knowledge is rarely readily available within a single university course. The potential of e-learning in this field is significant, as it is a flexible and less costly alternative to conventional training. Furthermore, trainees can follow their own pace, as their available time is often a commodity. This article discusses the development of tools to support competencies development and self-assessment in maintenance management. Based on requirements arising from professional bodies' guidelines and a user survey, the developed tools implement a dedicated maintenance management training curriculum. The results from pilot testing on academic and industrial user groups are discussed and user evaluations are linked with specific e-learning design issues.

Metamorphoses of ONAV console operations: From prototype to real time application

NASA Technical Reports Server (NTRS)

Millis, Malise; Wang, Lui

1991-01-01

The ONAV (Onboard Navigation) Expert System is being developed as a real time console assistant to the ONAV flight controller for use in the Mission Control Center at the Johnson Space Center. Currently the entry and rendezvous systems are in verification, and the ascent is being prototyped. To arrive at this stage, from a prototype to real world application, the ONAV project has had to deal with not only AI issues but operating environment issues. The AI issues included the maturity of AI languages and the debugging tools, what is verification, and availability, stability, and the size of the expert pool. The environmental issues included real time data acquisition, hardware stability, and how to achieve acceptance by users and management.

Issues Management and the Role of Strategic Planning. AIR 1985 Annual Forum Paper.

ERIC Educational Resources Information Center

Lozier, G. Gregory; Chittipeddi, Kumar

The integration of issues management into the institutional strategic planning process at Pennsylvania State University is discussed. The significance of issues management as an organizational process is also considered. Stages of the issues management process are: (1) scanning the external environment to identify strategic issues; (2) analyzing…

Getting a handle on DNFB strategies for boosting performance.

PubMed

2015-03-01

Keeping tabs on DNFB requires a commitment from multiple departments, including clinical documentation, health information management, utilization management, and patient financial services. Monitoring DNFB performance daily, weekly, and monthly can help an organization quickly resolve short-term problems and also identify and respond to more systemic issues. By leveraging historical and comparison data, including performance information from peer organizations, hospitals and health systems can set more realistic targets and further highlight improvement opportunities.

Orbital debris and near-Earth environmental management: A chronology

NASA Technical Reports Server (NTRS)

Portree, David S. F.; Loftus, Joseph P., Jr.

1993-01-01

This chronology covers the 32-year history of orbital debris and near-Earth environmental concerns. It tracks near-Earth environmental hazard creation, research, observation, experimentation, management, mitigation, protection, and policy-making, with emphasis on the orbital debris problem. Included are the Project West Ford experiments; Soviet ASAT tests and U.S. Delta upper stage explosions; the Ariane V16 explosion, U.N. treaties pertinent to near-Earth environmental problems, the PARCS tests; space nuclear power issues, the SPS/orbital debris link; Space Shuttle and space station orbital debris issues; the Solwind ASAT test; milestones in theory and modeling the Cosmos 954, Salyut 7, and Skylab reentries; the orbital debris/meteoroid research link; detection system development; orbital debris shielding development; popular culture and orbital debris; Solar Max results; LDEF results; orbital debris issues peculiar to geosynchronous orbit, including reboost policies and the stable plane; seminal papers, reports, and studies; the increasing effects of space activities on astronomy; and growing international awareness of the near-Earth environment.

Distributed Information System Development: Review of Some Management Issues

NASA Astrophysics Data System (ADS)

Mishra, Deepti; Mishra, Alok

Due to the proliferation of the Internet and globalization, distributed information system development is becoming popular. In this paper we have reviewed some significant management issues like process management, project management, requirements management and knowledge management issues which have received much attention in distributed development perspective. In this literature review we found that areas like quality and risk management issues could get only scant attention in distributed information system development.

A qualitative and quantitative needs assessment of pain management for hospitalized orthopedic patients.

PubMed

Cordts, Grace A; Grant, Marian S; Brandt, Lynsey E; Mears, Simon C

2011-08-08

Despite advances in pain management, little formal teaching is given to practitioners and nurses in its use for postoperative orthopedic patients. The goal of our study was to determine the educational needs for orthopedic pain management of our residents, nurses, and physical therapists using a quantitative and qualitative assessment. The needs analysis was conducted in a 10-bed orthopedic unit at a teaching hospital and included a survey given to 20 orthopedic residents, 9 nurses, and 6 physical therapists, followed by focus groups addressing barriers to pain control and knowledge of pain management. Key challenges for nurses included not always having breakthrough pain medication orders and the gap in pain management between cessation of patient-controlled analgesia and ordering and administering oral medications. Key challenges for orthopedic residents included treating pain in patients with a history of substance abuse, assessing pain, and determining when to use long-acting vs short-acting opioids. Focus group assessments revealed a lack of training in pain management and the need for better coordination of care between nurses and practitioners and improved education about special needs groups (the elderly and those with substance abuse issues). This needs assessment showed that orthopedic residents and nurses receive little formal education on pain management, despite having to address pain on a daily basis. This information will be used to develop an educational program to improve pain management for postoperative orthopedic patients. An integrated educational program with orthopedic residents, nurses, and physical therapists would promote understanding of issues for each discipline. Copyright 2011, SLACK Incorporated.

The role of universities in energy and environmental R & D: An extended outline

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

Drucker, H.

1995-12-31

Issues related to university research and development roles in energy and environmental areas are very briefly outlined in the paper. Fundamental issues discussed include basic versus applied science, and applied science versus technology development. Some specific issues appropriate for university research are identified, such as desulfurizing coal and managing mixed wastes in groundwater. The Plant Biotechnology consortium is described as a model that builds on university strengths in basic and applied technology.

Research review for information management

NASA Technical Reports Server (NTRS)

Bishop, Peter C.

1988-01-01

The goal of RICIS research in information management is to apply currently available technology to existing problems in information management. Research projects include the following: the Space Business Research Center (SBRC), the Management Information and Decision Support Environment (MIDSE), and the investigation of visual interface technology. Several additional projects issued reports. New projects include the following: (1) the AdaNET project to develop a technology transfer network for software engineering and the Ada programming language; and (2) work on designing a communication system for the Space Station Project Office at JSC. The central aim of all projects is to use information technology to help people work more productively.

JPL Development Ephemeris number 96

NASA Technical Reports Server (NTRS)

Standish, E. M., Jr.; Keesey, M. S. W.; Newhall, X. X.

1976-01-01

The fourth issue of JPL Planetary Ephemerides, designated JPL Development Ephemeris No. 96 (DE96), is described. This ephemeris replaces a previous issue which has become obsolete since its release in 1969. Improvements in this issue include more recent and more accurate observational data, new types of data, better processing of the data, and refined equations of motion which more accurately describe the actual physics of the solar system. The descriptions in this report include these new features as well as the new export version of the ephemeris. The tapes and requisite software will be distributed through the NASA Computer Software Management and Information Center (COSMIC) at the University of Georgia.

A Horizon Scan of Global Conservation Issues for 2016.

PubMed

Sutherland, William J; Broad, Steven; Caine, Jacqueline; Clout, Mick; Dicks, Lynn V; Doran, Helen; Entwistle, Abigail C; Fleishman, Erica; Gibbons, David W; Keim, Brandon; LeAnstey, Becky; Lickorish, Fiona A; Markillie, Paul; Monk, Kathryn A; Mortimer, Diana; Ockendon, Nancy; Pearce-Higgins, James W; Peck, Lloyd S; Pretty, Jules; Rockström, Johan; Spalding, Mark D; Tonneijck, Femke H; Wintle, Bonnie C; Wright, Katherine E

2016-01-01

This paper presents the results of our seventh annual horizon scan, in which we aimed to identify issues that could have substantial effects on global biological diversity in the future, but are not currently widely well known or understood within the conservation community. Fifteen issues were identified by a team that included researchers, practitioners, professional horizon scanners, and journalists. The topics include use of managed bees as transporters of biological control agents, artificial superintelligence, electric pulse trawling, testosterone in the aquatic environment, building artificial oceanic islands, and the incorporation of ecological civilization principles into government policies in China. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Evolution of China's water issues as framed in Chinese mainstream media

NASA Astrophysics Data System (ADS)

Wei, Y.; Xiong, Y.; Zhang, Z.

2016-12-01

There is an urgent need globally to trigger fundamental societal changes in water use away from existing unsustainable paradigms. This paper attempts to understand the evolution of newspaper coverage of water issues in China by analyzing water-related articles in a major national newspaper People's Daily during 1946-2012 using a content analysis approach. The major findings include: 1) water issues have been in relatively important positions in the newspaper; 2) water issues reporting in China has experienced three stages: 1946- the middle of 1980s: flood and drought control and water for food; the middle of 1980s to 1997: water for economic development; and 1998 to the present: water for the environmental sustainability and economic development; 3) water issue reporting in the People's Daily clearly reflected China's top-down water resources management system, no "real" public opinions on water were reported during the study period; 4) The People's Daily is just a wind vane of Chinese mainstream values and policies on water. These findings supported the realist assumption that the societal changes on water issues in China were triggered by a multitude of factors including the biophysical pressure (floods and droughts), political campaign (the Cultural Revolution), macro-economic reform (Reform and Opening-up), water institutional arrangement (the Water Law) and water management reform (the No. 1 Central Document on water reform).

Case management.

PubMed

Woodward, Judy; Rice, Eve

2015-03-01

Health care in the United States is changing rapidly under pressure from both political and professional stakeholders, and one area on the front line of required change is the discipline of case management. Historically, case management has worked to defragment the health care delivery system for clients and increase access to health care. Case management will have an expanded role resulting from Affordable Care Act initiatives to improve health care. This article includes definitions of case management, current issues related to case management, case management standards of practice, and a case study of the management of pediatric chronic disease. Copyright © 2015 Elsevier Inc. All rights reserved.

Orbital Debris: A Chronology

NASA Technical Reports Server (NTRS)

Portree, Davis S. F. (Editor); Loftus, Joseph P., Jr. (Editor)

1999-01-01

This chronology covers the 37-year history of orbital debris concerns. It tracks orbital debris hazard creation, research, observation, experimentation, management, mitigation, protection, and policy. Included are debris-producing, events; U.N. orbital debris treaties, Space Shuttle and space station orbital debris issues; ASAT tests; milestones in theory and modeling; uncontrolled reentries; detection system development; shielding development; geosynchronous debris issues, including reboost policies: returned surfaces studies, seminar papers reports, conferences, and studies; the increasing effect of space activities on astronomy; and growing international awareness of the near-Earth environment.

Managing Air Quality - Air Pollutant Types

EPA Pesticide Factsheets

Describes the types of air pollutants, including common or criteria pollutants, and hazardous air pollutants and links to additional information. Also links to resources on other air pollution issues.

Potential Applications for AQUATOX

EPA Pesticide Factsheets

AQUATOX has a myriad of potential applications to water management issues and programs, including water quality criteria and standards, TMDLs (Total Maximum Daily Loads), and ecological risk assessments of aquatic systems.

AQUATOX Model Validation Reports

EPA Pesticide Factsheets

AQUATOX has a myriad of potential applications to water management issues and programs, including water quality criteria and standards, TMDLs (Total Maximum Daily Loads), and ecological risk assessments of aquatic systems.

Schools Inc.: An Administrator's Guide to the Business of Education.

ERIC Educational Resources Information Center

McCarthy, Bob; And Others

1989-01-01

This theme issue describes ways in which educational administrators are successfully automating many of their administrative tasks. Articles focus on student management; office automation, including word processing, databases, and spreadsheets; human resources; support services, including supplies, textbooks, and learning resources; financial…

The Academic Library: A Time of Crisis, Change, and Opportunity.

ERIC Educational Resources Information Center

Dougherty, Richard M.; Dougherty, Ann P.

1993-01-01

Discusses concerns for academic libraries identified by a survey of editors and manuscript readers of this journal. Highlights include technology; leadership; library users; management issues, including recruitment, communication, and new services; access versus ownership; funding; copyright; licensing; teaching and research; electronic…

77 FR 50085 - Rookery Bay, FL and Kachemak Bay, AK National Estuarine Research Reserve Management Plan Revisions

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-20

... priority issues including climate change and harvested species, such as salmon and shellfish. The reserve... land use changes affecting freshwater inflow, loss of native biodiversity, lack of public awareness and... change events. Since the last management plan, the reserve has constructed additional exhibits and a...

Making Sense of Education Change at Thistle College: The Existence of Witchcraft, Witches and Shamans.

ERIC Educational Resources Information Center

Grant, Kevin

2003-01-01

Discusses a complex and charged change program and its management at a Scottish higher education institution. Discusses the difficulties of the educational change process in higher education, the complexities surrounding notions of organizational cultures and communities of practice, and issues of power and management including the new…

75 FR 439 - Glen Canyon Dam Adaptive Management Work Group (AMWG)

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-05

... Canyon Dam Adaptive Management Program (AMP) was implemented as a result of the Record of Decision on the... of the Grand Canyon Protection Act (Pub. L. 102-575) of 1992. The AMP includes a Federal advisory... addition, other administrative and resource issues pertaining to the AMP may be discussed as necessary. To...

"And Guess Who's in that Bull's Eye--You, Ladies and Gentlemen*": A Report on SCUP-22.

ERIC Educational Resources Information Center

Girash, Dorit M.

1988-01-01

The influence and impact of federal legislative and regulatory bodies were explored by the participants of the SCUP-22 conference. The issues covered by 89 presenters included federal relations; people perspective; excellence in plans and planners; enrollment management; management planning--budgets and facilities; consulting and contracting; and…

Commentary on "Management Education and the Base of the Pyramid"

ERIC Educational Resources Information Center

Rosile, Grace Ann

2008-01-01

This commentary asks some critical questions concerning the article "Management Education and the Base of the Pyramid" included in this special issue. Are "bottom of the pyramid" (BOP) multidisciplinary action project (MAP) students prepared to critically assess the impact of their interventions beyond a narrow definition of profit in complex and…

77 FR 72831 - Meeting of the Ocean Research Advisory Panel

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-06

... commentary. ADDRESSES: The meeting will be held at the Consortium for Ocean Leadership, 1201 New York Avenue... Committee Act (5 U.S.C. App. 2). The meeting will include discussions on ocean research, resource management, and other current issues in the ocean science and management communities. Dated: November 29, 2012. L...

Water: Rethinking Management in an Age of Scarcity. Worldwatch Paper 62.

ERIC Educational Resources Information Center

Postel, Sandra

This document, which examines various topics and issues related to the management of freshwater supplies, is organized into 6 main sections. These sections include: (1) the water cycle and renewable supplies, providing data on distribution of such supplies by continent and average annual per capita runoff produced in selected countries with…

Some Teaching Reform Ideas on Management Information System of Master of Business Administration

ERIC Educational Resources Information Center

Fan, Chongjun

2009-01-01

Management information system (MIS) is one of the core courses of master of business administration (MBA). Based on the educational characteristics of MBA, this paper studies the teaching issues and strategies of MIS course of MBA. The discussion includes three parts: modification of educational content; improvement of educational ability; case…

Ecosystem management, forest health, and silviculture

Treesearch

Merrill R. Kaufmann; Claudia M. Regan

1995-01-01

Forest health issues include the effects of fire suppression and grazing on forest stands, reduction in amount of old-growth forests, stand structural changes associated with even-aged management, .changes in structure of the landscape mosaic, loss of habitat for threatened species, and the introduction of exotic species. The consequences of these impacts can be...

Rethinking Teacher Workforce Development: A Strategic Human Resource Management Perspective

ERIC Educational Resources Information Center

Smylie, Mark A.; Miretzky, Debra; Konkol, Pamela

2004-01-01

In this chapter, the authors focus on teacher development as a collective and organizational issue. They begin with a brief review of conventional approaches to teacher workforce development and management, including current critiques of these efforts, their possible consequences, and an overview of the recent calls for more comprehensive,…

Automated Management Of Documents

NASA Technical Reports Server (NTRS)

Boy, Guy

1995-01-01

Report presents main technical issues involved in computer-integrated documentation. Problems associated with automation of management and maintenance of documents analyzed from perspectives of artificial intelligence and human factors. Technologies that may prove useful in computer-integrated documentation reviewed: these include conventional approaches to indexing and retrieval of information, use of hypertext, and knowledge-based artificial-intelligence systems.

76 FR 7230 - Notice of Public Meeting, Boise District Resource Advisory Council, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-09

... 4500019829] Notice of Public Meeting, Boise District Resource Advisory Council, Idaho AGENCY: Bureau of Land... Office, located at 3948 S. Development Avenue, Boise, Idaho, beginning at 9 a.m. and adjourning at 4:30 p... management issues associated with public land management in southwestern Idaho. Items on the agenda include...

76 FR 43705 - Notice of Public Meeting, Dakotas Resource Advisory Council Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-21

... in the Dakotas. At these meetings, topics will include: North Dakota and South Dakota Field Office manager updates, subcommittee briefings, work sessions and other issues that the council may raise. All.... M. Elaine Raper, Manager, Eastern Montana, Dakotas District . [FR Doc. 2011-18376 Filed 7-20-11; 8...

Research gaps: adaptive management to cross-cutting issues

Treesearch

Jonathan W. Long; Carl Skinner; Malcolm North; Lenya Quinn-Davidson

2014-01-01

A number of studies undertaken by the Forest Service within the synthesis area have been designed and implemented to better understand both more immediate and long-term effects of treatments, including the Blacks Mountain Ecological Research Project (Oliver 2000); Goosenest Adaptive Management Area Project (Ritchie 2005); Long-Term Soil Productivity Study (Powers 2006...

Structured Parent Education in the Management of Childhood Atopic Dermatitis: The Berlin Model.

ERIC Educational Resources Information Center

Wenninger, Kerstin; Kehrt, Rainer; von Ruden, Ursula; Lehmann, Christine; Binder, Christiane; Wahn, Ulrich; Staab, Doris

2000-01-01

Describes the goals and content of the Berlin education program for parents and children with atopic dermatitis (AD). Program included six group sessions concerning medical, nutritional, and psychological issues. Program aimed to contribute towards a comprehensive, family-oriented management of childhood AD. Data showed the program had a positive…

Adapting to the Online Teaching Environment: Using Literature To Develop Experiential Exercises for International Management.

ERIC Educational Resources Information Center

Rusinko, Cathy A.

2003-01-01

Proposes that literature may be a valuable tool in adapting teaching methods to the online environment, particularly developing experiential exercises, and in helping students become better international managers by building communication skills, team building skills, and contextual understanding of cultural diversity issues. Includes an example…

[Recommendations for implementing the quality policy and organisation of a quality management system].

PubMed

Daunizeau, A

2013-06-01

Preliminary issues to implement a quality management system are described. They include the definition of the structure, a hierarchical and functional organization chart and the engagement of the whole personnel to apply the requirements of the standard EN ISO 15189. The policy has to be translated into objectives.

Management: A continuing literature survey with indexes, 1971

NASA Technical Reports Server (NTRS)

1972-01-01

An annotated bibliography of selected reports, journal articles, and other documents on the subject of management is presented. There are 450 references to documents which were originally announced in the 1971 issues of Scientific and Technical Aerospace Reports (STAR) or International Aerospace Abstracts (IAA). Subject, personal author, and corporate source indexes are included.

76 FR 41817 - Notice of Intent To Prepare a Joint Environmental Impact Statement and Environmental Impact...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-15

... amended (FLPMA), and the California Environmental Quality Act, the Bureau of Land Management (BLM... following preliminary issues: Air quality and greenhouse gas emissions, biological resources including... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLCAD05000, L51010000.LVRWB11B4520.FX0000...

40 CFR 123.63 - Criteria for withdrawal of State programs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... withdrawal of State programs. (a) In the case of a sewage sludge management program, references in this... under this part, including failure to issue permits; (ii) Repeated issuance of permits which do not... sludge management program, § 501.14 of this chapter). (5) Where the State fails to develop an adequate...

78 FR 23539 - National Marine Fisheries Service, Pacific Fishery Management Council (Pacific Council); May 6...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-19

... Pacific Council will host a meeting of the Council Coordination Committee (CCC) consisting of the eight..., including: budget issues, CCC meeting protocols, Managing Our Nation's Fisheries 3 (MONF3) conference...) of 2006 established the Council Coordination Committee (CCC) by amending section 302 (16 U.S.C. 1852...

Ethical Issues Raised by Private Practice Physiotherapy Are More Diverse than First Meets the Eye: Recommendations from a Literature Review

PubMed Central

Drolet, Marie-Josée; Williams-Jones, Bryn

2015-01-01

ABSTRACT Purpose: Physiotherapy in private practice differs from physiotherapy practised in a public setting in several ways, the most evident of which is the for-profit nature of private physiotherapy clinics; these differences can generate distinct and challenging ethical issues. The objectives of this article are to identify ethical issues encountered by physiotherapists in private practice settings and to identify potential solutions and recommendations to address these issues. Method: After a literature search of eight databases, 39 studies addressing ethical issues in a private practice context were analyzed. Results: A total of 25 ethical issues emerging from the included studies were classified into three main categories: (1) business and economic issues (e.g., conflicts of interests, inequity in a managed care context, lack of time affecting quality of care); (2) professional issues (e.g., professional autonomy, clinical judgment, treatment effectiveness, professional conduct); and (3) patients' rights and welfare issues (e.g., confidentiality, power asymmetries, paternalism vs. patient autonomy, informed consent). Recommendations as to how physiotherapists could better manage these issues were then identified and categorized. Conclusions: The physiotherapy community should reflect on the challenges raised by private practice so that professionals can be supported—through education, research, and good governance—in providing the best possible care for their patients. PMID:25931663

The Organizational Decision Making Climate of Issues Management Programs: A Case Study.

ERIC Educational Resources Information Center

Wills, Sandra

A study examined the decision making climate of organizations that are using issues management and what type of model of issues management is followed--theorists have been attempting to define issues management since it began appearing 20 year ago. Subjects, 112 males and 30 females who were professionals working in the area of issues management…

Advancing migratory bird conservation and management by using radar: An interagency collaboration

USGS Publications Warehouse

Ruth, Janet M.; Barrow, Wylie C.; Sojda, Richard S.; Dawson, Deanna K.; Diehl, Robert H.; Manville, Albert; Green, Michael T.; Krueper, David J.; Johnston, Scott

2005-01-01

Many technical issues make this work difficult, including complex data structures, massive data sets, digital recognition of birds, large areas not covered by weather radar, and model validation; however, progress will only be furthered by tackling the challenge. The new coalition will meets its goals by: (1) facilitating a productive collaboration with NOAA, Department of the Interior bureaus, state wildlife agencies, universities, power companies, and other potential partners; (2) building and strengthening scientific capabilities within USGS; (3) addressing key migratory bird management issues; and (4) ensuring full funding for the collaborative effort.

Rehabilitation and transition after lung transplantation in children.

PubMed

Burton, J H; Marshall, J M; Munro, P; Moule, W; Snell, G I; Westall, G P

2009-01-01

We describe the key components of an outpatient pediatric recovery and rehabilitation program set up within the adult lung transplant service at the Alfred Hospital, Melbourne. Following discharge, pediatric lung transplant recipients and their families participated in an intensive 3-month outpatient rehabilitation program. Weekly sessions included education regarding transplant issues, physiotherapy, and occupational therapy sessions. The overall aim of the program was to comprehensively address physical rehabilitation and psychosocial and educational needs. Sessions tailored to meet the individual needs of the child were presented at an appropriate cognitive level. Education sessions for both the children and parents focused on medications, identification of infection and rejection, nutrition, physiotherapy/rehabilitation, occupational roles and stress management, donor issues, psychosocial readjustment, and transition issues. Physiotherapy included a progressive aerobic and strength training program, postural reeducation, and core stability. We incorporate Age-appropriate play activities: running, dancing, jumping, ball skills, and so on. Occupational therapy sessions addressed the primary roles of patient, students, and player. Transitions such as returning to school, friends, and the community were explored. Issues discussed included adjustment to new health status, strategies to manage side effects of medications, and altered body image issues. Weekly multidisciplinary team meetings were used to discuss and plan the rehabilitation progress. School liaison and visits occurred prior to school commencement with follow-up offered to review the ongoing transition process. Both patients and parents have reported a high level of satisfaction with the rehabilitation program. We plan to formally evaluate the program in the future.

Current husbandry of red pandas (Ailurus fulgens) in zoos.

PubMed

Eriksson, P; Zidar, J; White, D; Westander, J; Andersson, M

2010-01-01

The endangered red panda (Ailurus fulgens) is held in zoos worldwide. The aim of this study was to examine how red pandas are kept and managed in captivity and to compare it with the management guidelines. Sixty-nine zoos, mainly from Europe but also from North America and Australia/New Zealand, responded to our survey. The results revealed that in general zoos follow the management guidelines for most of the investigated issues. The average enclosure is almost four times larger than the minimum size recommended by the management guidelines, although seven zoos have smaller enclosures. About half the zoos do not follow the guidelines concerning visitor access and number of nest boxes. Other issues that may compromise animal welfare include proximity of neighboring carnivore species and placement of nest boxes. © 2010 Wiley-Liss, Inc.

Economics.

ERIC Educational Resources Information Center

James, L. D.

1978-01-01

Presents a literature review of the economic aspects of water pollution control covering publications of 1976-77. This review also includes the policy issues of water management. A list of 77 references is presented. (HM)

Daily Readiness Huddles in Radiology-Improving Communication, Coordination, and Problem-Solving Reliability.

PubMed

Donnelly, Lane F

Deploying an intentional daily management process is a key part to create high-reliability culture. Key components described in the literature for a successfully daily management process include leadership standard work, visual controls, daily accountability processes, and the discipline to stick to the process over the long term. We believe that the institution of a daily readiness huddle has helped us better coordinate and communicate as a department and improved our ability to deliver imaging services on a daily basis. The daily readiness huddle has enabled us to more rapidly identify issues and has brought accountability to seeing solutions to those issues brought to fruition. In addition, it has helped with team building, including between the radiologists and the nonphysician staff. Copyright © 2017 Elsevier Inc. All rights reserved.

State of Fire Behavior Models and their Application to Ecosystem and Smoke Management Issues: Special Session Summary Report

DTIC Science & Technology

2013-10-24

advance fire science: (1) fire behavior, (2) ecological effects of fire, (3) carbon accounting , (4) emissions characterization, and (5) fire plume...relates to smoke management. 3) Carbon accounting in forest management and prescribed fire programs (including tradeoffs such as prescribed burning...carbon accounting , 4) emissions characterization and 5) fire plume dispersion. 1) Fire behavior. Better characterization of wildland fire behavior is

Conceptualizing the cross-cultural gaps in managing international aid: HIV/AIDS and TB project delivery in Southern Africa.

PubMed

Jackson, Terence

2011-01-01

There appears to be a gap between the billions of dollars inputted into fighting HIV/AIDS and TB and outcomes. This in part can be attributed to the lack of attention in International Development to managing programmes and projects within complex levels of cross-cultural interactions. International Development often ignores management issues, yet Management Studies is left wanting through a lack of engagement with development issues including the fight against disease and poverty. This paper attempts to link these two disciplines towards mutual benefit, through a critical cross-cultural approach. It provides contextualization of international development policies/strategies; conceptualization of dominant paradigms; structural analysis of how a programme/project fits into the global governance structure; analysis of complexities and levels of cross-cultural interaction and their consequences and the process and implications of knowledge transfer across cultural distances. It concludes with implications for policy and practice, as well as what is needed from cross-disciplinary research. This includes how feedback loops can be strengthened from local to global, how indigenous knowledge may be better understood and integrated, how power relations within the global governance structure could be managed, how cross-cultural interaction could be better understood, and how knowledge transfer/sharing should be critically managed. Copyright © 2010 John Wiley & Sons, Ltd.

Factors Influencing Diabetes Self-Management Among Medically Underserved Patients With Type II Diabetes

PubMed Central

Reyes, Jimmy; Tripp-Reimer, Toni; Parker, Edith; Muller, Brandi; Laroche, Helena

2017-01-01

In this study, researchers compare and contrast issues regarding diabetes self-management between persons in good versus poor glycemic control. The sample comprises low-income racially diverse adults with diabetes from four mid-western community health centers; 44 patients participated in eight focus groups divided by control status (HbA1c of > 9 [uncontrolled] or < 7 [controlled]). Themes common to both groups included the impact of dietary restrictions on social interactions, food cravings, the impact of mental health on self-management, and the importance of formal and informal (friends and family) support. Those in the uncontrolled groups described fear about being able to control their diabetes, confusion about self-management, and difficulty managing their diabetes while caring for family members. Although those in the controlled groups acknowledged difficulties, they discussed resisting cravings, making improvements with small changes, positive feelings about their ability to control their diabetes, and enjoying new foods and exercise. Interventions should include mental health support, incorporate formal and informal patient support structures, and address literacy issues. Health care providers and intervention personnel should be very concrete about how to do self-management tasks and guide patients on how to alter their diabetes regimens for social and other important life events. PMID:28660239

Earnings Management before Rights Issues and the Subsequent Cash Transfer in Chinese Firms

NASA Astrophysics Data System (ADS)

Tsai, Bi-Huei

2009-08-01

Unlike private enterprises in developed markets, political influence is profound upon Chinese state-dominated firms. Under this consideration, this paper demonstrates how political impact interferes in Chinese managers' decisions. State-assigned managers were found to deliberately transfer cash raised via rights issues from the public shareholders to the state by cash dividends in order to please Chinese politicians. Especially, to meet the regulatory requirement of rights issues, managers from firms which distributed more cash dividends in the same year of rights issues were more likely to inflate earnings before rights issues. The earnings inflation which managers use to boost firm's incomes is defined as "earnings management." Furthermore, the empirical results also exhibit that firm's close relationship with the state enables managers to obtain approvals of rights issues easily, which reduces the firm's earnings management tendency. The manager's incentives of earnings management is closely attributed to the political intervention.

Pharmacy executive leadership issues and associated skills, knowledge, and abilities.

PubMed

Meadows, Andrew B; Maine, Lucinda L; Keyes, Elizabeth K; Pearson, Kathy; Finstuen, Kenn

2005-01-01

To identify challenges that current and future pharmacy executives are facing or will face in the future and to define what skills, knowledge, and abilities (SKAs) are required to successfully negotiate these challenges. Delphi method for executive decision making. Civilian pharmacy profession. 110 pharmacists who graduated from the GlaxoSmithKline Executive Management Program for Pharmacy Leaders. Two iterations of the Delphi method for executive decision making separated by an expert panel content analysis. Round 1--participants were asked to identify five major issues they believed to be of greatest importance to pharmacy leaders in the next 5-10 years and name specific SKAs that might be needed by future leaders to successfully deal with those issues. An expert panel reviewed the issues, classified issues into specific domains, and titled each domain. Round 2-participants rated the SKAs on a 7-point scale according to their individual assessment of importance in each domain. For Delphi rounds 1 and 2, response rates were 21.8% and 18.2%, respectively. More than 100 total issue statements were identified. The expert panel sorted the issues into five domains: management and development of the pharmacy workforce, pharmacy finance, total quality management of work-flow systems, influences on the practice of pharmacy, and professional pharmacy leadership. Five of the top 15 SKAs-and all four highest ranked items--came from the professional pharmacy leadership domain, including ability to see the big picture, ability to demonstrate the value of pharmacy services, ability to lead and manage in an ethical manner, and skills for influencing an organization's senior leadership. Through successful integration of communication skills, critical thinking, and problem solving techniques, future public-sector pharmacy executives will be better equipped to effectively position their organizations and the profession for the challenges that lie ahead.

Management of pre-eclampsia: issues for anaesthetists.

PubMed

Dennis, A T

2012-09-01

Pre-eclampsia is a leading cause of maternal morbidity and mortality. Substandard care is often present and many deaths are preventable. The aim of this review is to summarise the key management issues for anaesthetists in the light of the current literature. A systematic literature search of electronic databases was undertaken including MEDLINE, EMBASE and the Cochrane Library using the key words obstetrics, pregnancy, pregnancy complications, maternal, pre-eclampsia, preeclampsia, cardiac function, haemodynamics, haemolysis, elevated liver enzymes, low platelets (HELLP), eclampsia, anaesthesia, anesthesia, neuraxial. Relevant Colleges and Societies websites were examined for pertinent guidelines. The disease is defined within the context of hypertensive diseases, and early recognition of pre-eclampsia and its complications, as well as multidisciplinary expert team management is highlighted. Accurate monitoring and recording of observations including the use of transthoracic echocardiography is discussed. The importance of the treatment of systolic blood pressure>180 mmHg and the use of intravenous antihypertensive medication as well as the use of parenteral magnesium sulphate for the treatment and prevention of eclampsia is emphasised . Restricted intravenous fluid therapy and avoidance of ergometrine is discussed. Neuraxial analgesia and anaesthesia, and general anaesthesia for birth is summarised as well as postpartum management including analgesia, thromboprophylaxis, management of acute pulmonary oedema and the use of pharmacological agents in the setting of breastfeeding. Anaesthesia © 2012 The Association of Anaesthetists of Great Britain and Ireland.

75 FR 73987 - Target Date Disclosure

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-30

... (Commission) held a joint public hearing to explore issues related to TDFs, including how they are managed at... principal strategies (including a general description of the types of assets held by the investment), and... goals, principal strategies and principal risks, historical performance, and fees and expenses, the...

CD-ROM: Potential and Pitfalls.

ERIC Educational Resources Information Center

Dreiss, L. Jack; Bashir, Shahzad

1990-01-01

Examines issues surrounding CD-ROM as an organizational information management tool: (1) the CD-ROM market; (2) pitfalls, including compatibility, effect on existing information systems, fear of obsolescence, protection of sensitive information, and lack of successful role models; and (3) factors that will fuel growth, including greater…

Agricultural Management Education in Australia: Genesis of a New Degree Programme in Ecological Agriculture

ERIC Educational Resources Information Center

Cochrane, Kerry; Raman, Anantanarayanan; McKenzie, Anthony

2007-01-01

While the science community continues to ask how its responsibility to society needs to be expressed in the modern world, higher education grapples with issues of its own, including issues embroiled in the perennial tug-of-war between principle and economic pragmatism. In this paper, the authors give an account of the origins and development of a…

SubJournal: For Personnel Responsible for Substitute Teaching. Volume 5, Number 2, Fall 2004

ERIC Educational Resources Information Center

Smith, Geoffrey G., Ed.; Tippetts, Zach, Ed.

2004-01-01

This issue of "SubJournal" focuses on research and reports relating to substitute teaching, teacher absenteeism, and classroom management. Articles included within this issue are as follows: (1) No Substitute for Quality: A Time Series Quasi-Experimental Study of the Effects of a Pay for Performance Remedy for Teacher Absenteeism (Susan Lugo); (2)…

Integrating telemedicine and telehealth: putting it all together.

PubMed

Weinstein, Ronald S; Lopez, Ana Maria; Krupinski, Elizabeth A; Beinar, Sandra J; Holcomb, Michael; McNeely, Richard A; Latifi, Rifat; Barker, Gail

2008-01-01

Telemedicine and telehealth programs are inherently complex compared with their traditional on-site health care delivery counterparts. Relatively few organizations have developed sustainable, multi-specialty telemedicine programs, although single service programs, such as teleradiology and telepsychiatry programs, are common. A number of factors are barriers to the development of sustainable telemedicine and telehealth programs. First, starting programs is often challenging since relatively few organizations have, in house, a critical mass of individuals with the skill sets required to organize and manage a telemedicine program. Therefore, it is necessary to "boot strap" many of the start-up activities using available personnel. Another challenge is to assemble a management team that has time to champion telemedicine and telehealth while dealing with the broad range of issues that often confront telemedicine programs. Telemedicine programs housed within a single health care delivery system have advantages over programs that serve as umbrella telehealth organizations for multiple health care systems. Planning a telemedicine program can involve developing a shared vision among the participants, including the parent organizations, management, customers and the public. Developing shared visions can be a time-consuming, iterative process. Part of planning includes having the partnering organizations and their management teams reach a consensus on the initial program goals, priorities, strategies, and implementation plans. Staffing requirements of telemedicine and telehealth programs may be met by sharing existent resources, hiring additional personnel, or outsourcing activities. Business models, such as the Application Service Provider (ASP) model used by the Arizona Telemedicine Program, are designed to provide staffing flexibility by offering a combination of in-house and out-sourced services, depending on the needs of the individual participating health care organizations. Telemedicine programs should perform ongoing assessments of activities, ranging from service usage to quality of service assessments, to ongoing analyses of financial performance. The financial assessments should include evaluations of costs and benefits, coding issues, reimbursement, account receivables, bad debt and network utilization. Long-range strategic planning for a telemedicine and telehealth program should be carried out on an on-going basis and should include the program's governing board. This planning process should include goal setting and the periodic updating of the program's vision and mission statements. There can be additional special issues for multi-organization telemedicine and telehealth programs. For example, authority management can require the use of innovative approaches tailored to the realities of the organizational structures of the participating members. Inter-institutional relations may introduce additional issues when competing health care organizations are utilizing shared resources. Branding issues are preferably addressed during the initial planning of a multi-organizational telemedicine and telehealth program. Ideally, public policy regarding telemedicine and telehealth within a service region will complement the objectives of telemedicine and telehealth programs within that service area.

Special Reports; Homeland Security and Information Management; The Development of Electronic Government in the United States: The Federal Policy Experience; Digital Rights Management: Why Libraries Should Be Major Players; The Current State and Future Promise of Portal Applications; Recruitment and Retention: A Professional Concern.

ERIC Educational Resources Information Center

Relyea, Harold C.; Halchin, L. Elaine; Hogue, Henry B.; Agnew, Grace; Martin, Mairead; Schottlaender, Brian E. C.; Jackson, Mary E.

2003-01-01

Theses five reports address five special issues: the effects of the September 11 attacks on information management, including homeland security, Web site information removal, scientific and technical information, and privacy concerns; federal policy for electronic government information; digital rights management and libraries; library Web portal…

Joint federal research and development process to meet state and local needs. Part 1. Science and technology and political decision making

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

Wise, H F; Smith, L K; Einsweiler, R C

This part of the handbook addresses the basic how to do it - how states and local governments can identify complex and cross-cutting issues and develop and manage scientific and technical resources in seeking policy solutions to such issues. The following subjects are discussed: background statement of the issue; the research/decision-making process; defining problems and identifying research components; research and decision-making strategies; how to identify existing knowledge or ongoing research in the area of policy concern; and managing multi-disciplinary research. The fourteen agencies involved in this effort include: US Departments of Energy, Agriculture, Transportation, Housing and Urban Development, Environmental Protectionmore » Agency, and National Science Foundation. (PSB)« less

Mobile Applications for Diabetes Self-Management: Status and Potential

PubMed Central

El-Gayar, Omar; Timsina, Prem; Nawar, Nevine; Eid, Wael

2013-01-01

Background Advancements in smartphone technology coupled with the proliferation of data connectivity has resulted in increased interest and unprecedented growth in mobile applications for diabetes self-management. The objective of this article is to determine, in a systematic review, whether diabetes applications have been helping patients with type 1 or type 2 diabetes self-manage their condition and to identify issues necessary for large-scale adoption of such interventions. Methods The review covers commercial applications available on the Apple App Store (as a representative of commercially available applications) and articles published in relevant databases covering a period from January 1995 to August 2012. The review included all applications supporting any diabetes self-management task where the patient is the primary actor. Results Available applications support self-management tasks such as physical exercise, insulin dosage or medication, blood glucose testing, and diet. Other support tasks considered include decision support, notification/alert, tagging of input data, and integration with social media. The review points to the potential for mobile applications to have a positive impact on diabetes self-management. Analysis indicates that application usage is associated with improved attitudes favorable to diabetes self-management. Limitations of the applications include lack of personalized feedback; usability issues, particularly the ease of data entry; and integration with patients and electronic health records. Conclusions Research into the adoption and use of user-centered and sociotechnical design principles is needed to improve usability, perceived usefulness, and, ultimately, adoption of the technology. Proliferation and efficacy of interventions involving mobile applications will benefit from a holistic approach that takes into account patients’ expectations and providers’ needs. PMID:23439183

Flexible benefits and managed care: making it work.

PubMed

Sperling, K L

1991-01-01

The concept of integrating flexible benefits and managed care may seem contradictory. Flexible benefits seek to maximize choice, while managed care attempts to restrict choice. Can these two disciplines be intertwined without delivering conflicting messages to employees? The answer is definitely yes. By following some basic ground rules in design, flexible benefits and managed care can be combined effectively in a way that is attractive to both employers and employees. This article presents some general guidelines for designing a successful "managed flex" program and raises other issues as well, including financial, administrative and communication concerns.

Some thoughts on the management of large, complex international space ventures

NASA Technical Reports Server (NTRS)

Lee, T. J.; Kutzer, Ants; Schneider, W. C.

1992-01-01

Management issues relevant to the development and deployment of large international space ventures are discussed with particular attention given to previous experience. Management approaches utilized in the past are labeled as either simple or complex, and signs of efficient management are examined. Simple approaches include those in which experiments and subsystems are developed for integration into spacecraft, and the Apollo-Soyuz Test Project is given as an example of a simple multinational approach. Complex approaches include those for ESA's Spacelab Project and the Space Station Freedom in which functional interfaces cross agency and political boundaries. It is concluded that individual elements of space programs should be managed by individual participating agencies, and overall configuration control is coordinated by level with a program director acting to manage overall objectives and project interfaces.

78 FR 50052 - Chief of Engineers Environmental Advisory Board; Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-16

... environmentally sustainable manner. Discussions and presentations during this meeting will include flow management...., drivers license, state- issued photo ID, or passport), and pass through the security screening station...

Utilizing Radiofrequency Identification Technology to Improve Safety and Management of Blood Bank Supply Chains.

PubMed

Coustasse, Alberto; Meadows, Pamela; Hall, Robert S; Hibner, Travis; Deslich, Stacie

2015-11-01

The importance of efficiency in the supply chain of perishable products, such as the blood products used in transfusion services, cannot be overstated. Many problems can occur, such as the outdating of products, inventory management issues, patient misidentification, and mistransfusion. The purpose of this article was to identify the benefits and barriers associated with radiofrequency identification (RFID) usage in improving the blood bank supply chain. The methodology for this study was a qualitative literature review following a systematic approach. The review was limited to sources published from 2000 to 2014 in the English language. Sixty-five sources were found, and 56 were used in this research study. According to the finding of the present study, there are numerous benefits and barriers to RFID utilization in blood bank supply chains. RFID technology offers several benefits with regard to blood bank product management, including decreased transfusion errors, reduction of product loss, and more efficient inventory management. Barriers to RFID implementation include the cost associated with system implementation and patient privacy issues. Implementation of an RFID system can be a significant investment. However, when observing the positive impact that such systems may have on transfusion safety and inventory management, the cost associated with RFID systems can easily be justified. RFID in blood bank inventory management is vital to ensuring efficient product inventory management and positive patient outcomes.

Identifying emerging issues in forestry as a tool for research planning.

Treesearch

Hans M. Gregersen; Allen L. Lundgren; Pamela J. Jakes; David N. Bengston

1989-01-01

A Delphi exercise is used to identify emerging issues in National Forest management and use, the relative importance of the issues, and barriers to resolving issues. USDA Forest Service managers agree on the importance of the 11 issues identified; however, researchers and National Forest managers do not always agree on the importance of issues or barriers.

Stresses and satisfactions of the two-pharmacist relationship.

PubMed

Stanton, A L; Berger, B A

1987-12-01

Potential advantages and disadvantages of dual-career relationships are identified, and strategies for addressing common issues encountered by dual-career couples are presented. With regard to career issues, clarification of expectations and discussion between partners regarding career commitment, job selection and mobility, and maintenance of professional identity is emphasized. Benefits of dual-career relationships include shared occupational interests, financial rewards, and respect for each partner's professional expertise. Strategies for managing domestic responsibilities include modifying standards, setting priorities, and distributing tasks evenly among family members. Pharmacist couples who are parents have chosen several routes in managing child-care issues, including postponing childbearing until each adult's career is established, decreasing one partner's career involvement, and hiring community or in-home caretakers. Sharing equally in child care can help prevent an excessive workload for one parent. Progressive family-oriented employment practices may also aid dual-career couples with children. Striking a balance between career and family is identified as perhaps the most challenging task facing the dual-career couple; time distribution must be adjusted according to the couple's priorities. Identifying realistic priorities, negotiating honestly regarding attainment of mutual and individual goals, and maintaining flexibility are key in achieving success in the professional and private lives of two-pharmacist couples.

A data-driven approach to quality risk management

PubMed Central

Alemayehu, Demissie; Alvir, Jose; Levenstein, Marcia; Nickerson, David

2013-01-01

Aim: An effective clinical trial strategy to ensure patient safety as well as trial quality and efficiency involves an integrated approach, including prospective identification of risk factors, mitigation of the risks through proper study design and execution, and assessment of quality metrics in real-time. Such an integrated quality management plan may also be enhanced by using data-driven techniques to identify risk factors that are most relevant in predicting quality issues associated with a trial. In this paper, we illustrate such an approach using data collected from actual clinical trials. Materials and Methods: Several statistical methods were employed, including the Wilcoxon rank-sum test and logistic regression, to identify the presence of association between risk factors and the occurrence of quality issues, applied to data on quality of clinical trials sponsored by Pfizer. Results: Only a subset of the risk factors had a significant association with quality issues, and included: Whether study used Placebo, whether an agent was a biologic, unusual packaging label, complex dosing, and over 25 planned procedures. Conclusion: Proper implementation of the strategy can help to optimize resource utilization without compromising trial integrity and patient safety. PMID:24312890

Mars transit vehicle thermal protection system: Issues, options, and trades

NASA Technical Reports Server (NTRS)

Brown, Norman

1986-01-01

A Mars mission is characterized by different mission phases. The thermal control of cryogenic propellant in a propulsive vehicle must withstand the different mission environments. Long term cryogenic storage may be achieved by passive or active systems. Passive cryo boiloff management features will include multilayer insulation, vapor cooled shield, and low conductance structural supports and penetrations. Active boiloff management incorporates the use of a refrigeration system. Key system trade areas include active verses passive system boiloff management (with respect to safety, reliability, and cost) and propellant tank insulation optimizations. Technology requirements include refrigeration technology advancements, insulation performance during long exposure, and cryogenic fluid transfer system for mission vehicle propellant tanking during vehicle buildip in LEO.

Should Business Reform Public Education? A "Rainy Night" for Georgia Teachers and Implications for Science Education.

ERIC Educational Resources Information Center

Aliff, John Vincent

Into the "quality of public schools" issue step politicians with quick fixes--"proven" business practices variously rejected by experts Peter Drucker (Management by Objectives) and W. E. Deming (Quality Management). These include the following. Determine product quality by inspection--hence, compare school quality by testing teachers and students.…

76 FR 24516 - Glen Canyon Dam Adaptive Management Work Group

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-02

... Adaptive Management Program (AMP) was implemented as a result of the Record of Decision on the Operation of... Grand Canyon Protection Act (Pub. L. 102-575) of 1992. The AMP includes a Federal advisory committee... administrative and resource issues pertaining to the AMP. To view a copy of the agenda and documents related to...

75 FR 44809 - Glen Canyon Dam Adaptive Management Work Group (AMWG)

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-29

... Canyon Dam Adaptive Management Program (AMP) was implemented as a result of the Record of Decision on the... of the Grand Canyon Protection Act (Pub. L. 102-575) of 1992. The AMP includes a Federal advisory... other administrative and resource issues pertaining to the AMP. To view a copy of the agenda and...

76 FR 47237 - Notice of Public Meeting for the Glen Canyon Dam Adaptive Management Work Group Federal Advisory...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-04

... . SUPPLEMENTARY INFORMATION: The Glen Canyon Dam Adaptive Management Program (AMP) was implemented as a result of... AMP includes a Federal advisory committee, the AMWG, a technical work group (TWG), a Grand Canyon... other administrative and resource issues pertaining to the AMP. To view a copy of the agenda and...

Agroforestry landscapes and global change: landscape ecology tools for management and conservation

Treesearch

Guillermo Martinez Pastur; Emilie Andrieu; Louis R. Iverson; Pablo Luis Peri

2012-01-01

Forest ecosystems are impacted by multiple uses under the influence of global drivers, and where landscape ecology tools may substantially facilitate the management and conservation of the agroforestry ecosystems. The use of landscape ecology tools was described in the eight papers of the present special issue, including changes in forested landscapes due to...

Management of California Oak Woodlands: Uncertainties and Modeling

Treesearch

Jay E. Noel; Richard P. Thompson

1995-01-01

A mathematical policy model of oak woodlands is presented. The model illustrates the policy uncertainties that exist in the management of oak woodlands. These uncertainties include: (1) selection of a policy criterion function, (2) woodland dynamics, (3) initial and final state of the woodland stock. The paper provides a review of each of the uncertainty issues. The...

The Impact of Certification Type and Student Teaching Experience on Classroom Management in a Rural South Texas District

ERIC Educational Resources Information Center

Uriegas, Brian

2012-01-01

Teachers are entering the classroom through a variety of certification routes and programs responsible for training prospective teachers in the areas of curriculum, assessment, theory, pedagogy, and classroom management. Once certification is received, these teachers enter the classroom and face many issues, including discipline in the classroom…

Government Information Quarterly. Volume 7, no. 2: National Aeronautics and Space Administration Scientific and Technical Information Programs. Special issue

NASA Technical Reports Server (NTRS)

Hernon, Peter (Editor); Mcclure, Charles R. (Editor); Pinelli, Thomas E. (Editor)

1990-01-01

NASA scientific and technical information (STI) programs are discussed. Topics include management of information in a research and development agency, the new space and Earth science information systems at NASA's archive, scientific and technical information management, and technology transfer of NASA aerospace technology to other industries.

Social Work Education. Coombe Lodge Report, Study Conference 74/208.

ERIC Educational Resources Information Center

Further Education Staff Coll., Blagdon (England).

Papers presented on social work education in Britain include: Current developments in social work education (P.H. Young); selection of students (M. Elizabeth Edwards); the management of curriculum development (J. Snelling); the management of a social work department (M.J. McAllister); current issues and developments in social work training (D.C.G.…

Learning, connecting, reconnecting: Summary of the 2007 National Silviculture Workshop

Treesearch

Russell T. Graham; Theresa B. Jain

2008-01-01

The National Silviculture Workshop's genesis in 1973 was the result of forward thinking individuals within the Timber Management staff of National Forest Systems. Several national issues of the 1970s including, but not limited to: 1) the passing of the National Forest Management Act, 2) the mandate that all timber removal, reforestation, and timber stand...

Listening to Neglected Voices - American Indian Perspectives on Natural Resource Management

Treesearch

David N. Bengston

2004-01-01

Forestry agencies must ensure that the views of all citizens in our increasingly diverse society are included in decisionmaking. But gaining clear insights into the perspectives of ethnic and minority communities is often difficult. This article summarizes an analysis of news articles about resource management issues written by American Indians and published in Indian...

An Approach to a Digital Library of Newspapers.

ERIC Educational Resources Information Center

Arambura Cabo, Maria Jose; Berlanga Llavori, Rafael

1997-01-01

Presents a new application for retrieving news from a large electronic bank of newspapers that is intended to manage past issues of newspapers. Highlights include a data model for newspapers, including metadata and metaclasses; document definition language; document retrieval language; and memory organization and indexes. (Author/LRW)

Access and Ownership in the Academic Environment: One Library's Progress Report.

ERIC Educational Resources Information Center

Brin, Beth; Cochran, Elissa

1994-01-01

Describes the methodology used at the University of Arizona Library to address the issue of access versus ownership of library materials. Topics discussed include participatory management; data collection, including focus groups, interlibrary loan statistics, and graduate research citation analysis; and resulting recommendations, including…

Cystic fibrosis lung transplantation.

PubMed

Braun, Andrew T; Merlo, Christian A

2011-11-01

This review summarizes recently published investigations on issues pertaining to cystic fibrosis (CF) lung transplantation. We specifically focus on indications and candidate selection as well as infectious and noninfectious issues specific to CF lung transplant recipients. Recent studies have focused on candidate adequacy in high-risk CF patients. We review the current literature on individuals who develop respiratory failure requiring mechanical ventilation and those patients with a pretransplant diagnosis of pulmonary hypertension. Furthermore, the management of peri-operative infectious issues is reviewed including recurrent infections with multidrug-resistant bacterial, mycobacterial, and fungal organisms. Other CF-specific issues addressed include common comorbidities such as CF-related diabetes, gastroesophageal reflux, CF liver disease, and bone metabolism. Lung transplantation is a limited, but potentially life-saving therapeutic option for patients with CF. Optimal candidate selection and awareness of CF-specific issues in the pretransplant and posttransplant setting may lead to better long-term outcomes. © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Adaptive harvest management of North American waterfowl populations - recent successes and future prospects

USGS Publications Warehouse

Nichols, J.D.; Runge, M.C.; Johnson, F.A.; Williams, B.K.; Schodde, Richard; Hannon, Susan; Scheiffarth, Gregor; Bairlein, Franz

2006-01-01

The history of North American waterfowl harvest management has been characterized by attempts to use population monitoring data to make informed harvest management decisions. Early attempts can be characterized as intuitive decision processes, and later efforts were guided increasingly by population models and associated predictions. In 1995, a formal adaptive management process was implemented, and annual decisions about duck harvest regulations in the United States are still based on this process. This formal decision process is designed to deal appropriately with the various forms of uncertainty that characterize management decisions, environmental uncertainty, structural uncertainty, partial controllability and partial observability. The key components of the process are (1) objectives, (2) potential management actions, (3) model(s) of population response to management actions, (4) credibility measures for these models, and (5) a monitoring program. The operation of this iterative process is described, and a brief history of a decade of its use is presented. Future challenges range from social and political issues such as appropriate objectives and management actions, to technical issues such as multispecies management, geographic allocation of harvest, and incorporation of actions that include habitat acquisition and management.

The GenDev Curriculum Development Workshop.

PubMed

D'cunha, J

1997-01-01

This article describes the second Curriculum Development Workshop held in May 1997 at the Asian Institute of Technology (AIT) in Bangkok, Thailand. The workshop aimed to review critically and restructure the Gender and Development Studies (GenDev) curriculum and to assess AIT's role in training gender experts for the region. Participants included 22 people from 16 countries in Asia, Europe, and the US who were teaching graduate students about gender issues and who were activists with nongovernmental organizations working on gender issues. It was determined that the following were required courses: Culture, Knowledge and Gender Relations; Gender, Technology, and Development; Principles of Gender Research and Methodology in Science and Technology; and Gender Analysis and Field Methods. Other suggested core courses included: Gender and Natural Resource Management; Enterprise Management, Technology, and Gender; Gender and Agrarian Reform; Urbanization: A Gender Perspective; Gender-Responsive Development Planning; and Gender and Economic Change: Past and Present Concerns. Participants distinguished between GenDev courses offered to anyone attending AIT and training courses designed to produce gender experts in the region. The aim of training courses for AIT graduate students was to sensitize potential managers, technologists, and others on gender issues and to create awareness of the importance of including gender perspectives within decision-making, policy formation, and implementation. Training courses to produce gender experts should be directed to those with a prior background in gender studies and include gender analysis in field methods. Participants agreed that there should be an independent and autonomous field of gender and development studies. Participants made six recommendations for such a field of study.

High-resolution monitoring of nutrients in groundwater and surface waters: process understanding, quantification of loads and concentrations, and management applications

NASA Astrophysics Data System (ADS)

van Geer, Frans C.; Kronvang, Brian; Broers, Hans Peter

2016-09-01

Four sessions on "Monitoring Strategies: temporal trends in groundwater and surface water quality and quantity" at the EGU conferences in 2012, 2013, 2014, and 2015 and a special issue of HESS form the background for this overview of the current state of high-resolution monitoring of nutrients. The overview includes a summary of technologies applied in high-frequency monitoring of nutrients in the special issue. Moreover, we present a new assessment of the objectives behind high-frequency monitoring as classified into three main groups: (i) improved understanding of the underlying hydrological, chemical, and biological processes (PU); (ii) quantification of true nutrient concentrations and loads (Q); and (iii) operational management, including evaluation of the effects of mitigation measures (M). The contributions in the special issue focus on the implementation of high-frequency monitoring within the broader context of policy making and management of water in Europe for support of EU directives such as the Water Framework Directive, the Groundwater Directive, and the Nitrates Directive. The overview presented enabled us to highlight the typical objectives encountered in the application of high-frequency monitoring and to reflect on future developments and research needs in this growing field of expertise.

Sexual Health Issues in Women

Cancer.gov

Cancer treatments such as chemotherapy, hormone therapy, and radiation may cause sexual problems in women. Conditions may include vaginal dryness, vaginal stenosis, and vaginal atrophy. Learn how to manage and treat these sexual problems.

77 FR 6559 - Mobile Sources Technical Review Subcommittee; Request for Nominations

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-08

... sustainability issues; Executive management level experience with membership in broad-based networks; Excellent... reports and advice letters. Nominations must include a resume and a short biography describing the...

76 FR 8479 - National Forest System Land Management Planning

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-14

... such as new media and has engaged in efforts to involve diverse groups and interests. The development... out native knowledge, including information about land ethics, cultural issues, and sacred and...

Department of Energy Programmatic Environmental Impact Statement (PEIS) scoping session

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

Not Available

1992-12-31

The purpose of this programmatic environmental impact statement (PEIS) scoping meeting was: to present the ground water program so as to build some familiarity and understanding about the issue involved; and to get the Durango community`s input. This report contains the presentations made by the project manager for the uranium mill tailings program, site manager for the Durango UMTRA site, manager of ground water hydrology, and includes comments made by local residents.

Supporting scalability and flexibility in a distributed management platform

NASA Astrophysics Data System (ADS)

Jardin, P.

1996-06-01

The TeMIP management platform was developed to manage very large distributed systems such as telecommunications networks. The management of these networks imposes a number of fairly stringent requirements including the partitioning of the network, division of work based on skills and target system types and the ability to adjust the functions to specific operational requirements. This requires the ability to cluster managed resources into domains that are totally defined at runtime based on operator policies. This paper addresses some of the issues that must be addressed in order to add a dynamic dimension to a management solution.

Management of chronic spinal cord dysfunction.

PubMed

Abrams, Gary M; Ganguly, Karunesh

2015-02-01

Both acute and chronic spinal cord disorders present multisystem management problems to the clinician. This article highlights key issues associated with chronic spinal cord dysfunction. Advances in symptomatic management for chronic spinal cord dysfunction include use of botulinum toxin to manage detrusor hyperreflexia, pregabalin for management of neuropathic pain, and intensive locomotor training for improved walking ability in incomplete spinal cord injuries. The care of spinal cord dysfunction has advanced significantly over the past 2 decades. Management and treatment of neurologic and non-neurologic complications of chronic myelopathies ensure that each patient will be able to maximize their functional independence and quality of life.

Examining the Role of Voluntary Associations in Environmental Management: The Case of the Sam Houston National Forest

NASA Astrophysics Data System (ADS)

Lu, Jiaying; Schuett, Michael A.

2012-02-01

The purpose of this study was to gain a better understanding of voluntary associations involved in forest management. The specific areas examined in this study include organizational attributes, membership profile, attitudes toward forest-management priorities, and concerns about forest-management issues. To achieve this purpose, data were collected using a case study approach with mixed-methods (document reviews, personal interviews, and a Web survey) at a national forest in Texas, USA. Overall, the voluntary associations in this study can be described as place-based, small to moderate in scale, activity-oriented, and active groups that are adaptive to sociopolitical and environmental changes. General group members placed high importance on aesthetic, ecological, and recreation management of the national forest. In addition, this study showed five key forest management issues: (1) limited recreation access; (2) financial challenges for forest management; (3) conflict among recreation user groups; (4) inadequate communication by the United States Forest Service to the general public, and (5) sustainability of the forest. Theoretical and managerial implications of the results are discussed.

The role of Indigenous knowledge in environmental health risk management in Yukon, Canada

PubMed Central

Friendship, Katelyn A.; Furgal, Chris M.

2012-01-01

Objectives This project aimed to gain better understandings of northern Indigenous risk perception related to food safety and to identify the role that Indigenous knowledge (IK) plays in risk management processes to support more effective and culturally relevant benefit-risk (B-R) management strategies. Study design The project used an exploratory qualitative case study design to investigate the role and place of IK in the management of environmental contaminants exposure via consumption of traditional foods in Yukon First Nations (YFNs). Methods Forty-one semi-directive interviews with Traditional Food Knowledge Holders and Health and Environment Decision-makers were conducted. A review and analysis of organizational documents related to past risk management events for the issue was conducted. Thematic content analysis was used to analyze transcripts and documents for key themes related to the research question. Results There was a recognized need by all participants for better collaboration between scientists and YFN communities. YFNs have been involved in identifying and defining community concerns about past risk issues, setting a local context, and participating in communications strategies. Interviewees stressed the need to commit adequate time for building relationships, physically being in the community, and facilitating open communication. Conducting community-based projects was identified as critical for collaboration and for cooperative learning and management of these issues. Conclusions The perception of “effective” benefit-risk management is significantly influenced by the efforts made to include local communities in the process. A set of common guiding principles within a process that brings together people and knowledge systems may provide a more effective way forward in cross-cultural, multiple knowledge system contexts for complex benefit-risk issues than a prescriptive rigid framework. PMID:22868192

Practicing participative management in the clinical laboratory. Foster a productive and satisfying staff.

PubMed

Boissoneau, R; McPherson, J

1991-01-01

Employee participation and involvement are at the leading edge of management thinking today. Not only behaviorally oriented managers, but managers of all styles include personnel in decision-making. The purpose of this article is to communicate to clinical laboratory managers some recent developments in people management. Several suggestions for team building and the desired outcome of worker participation are included. Although employee participation has been a major issue in management for 10 years, many business schools still emphasize only the traditional quantitative subjects of accounting, finance, statistics, and systems engineering. Obviously, these subjects are important, but modern managers must learn qualitative or behavioral material as well. Students are affected by the lack of a notable behavioral emphasis. Unfortunately, some students think that learning in the behavioral domain is unimportant. Too often, these students encounter problems later in their careers with employees and can only wish for greater knowledge.

Problems with provision: barriers to drinking water quality and public health in rural Tasmania, Australia.

PubMed

Whelan, Jessica J; Willis, Karen

2007-01-01

Access to safe drinking water is essential to human life and wellbeing, and is a key public health issue. However, many communities in rural and regional parts of Australia are unable to access drinking water that meets national standards for protecting human health. The aim of this research was to identify the key issues in and barriers to the provision and management of safe drinking water in rural Tasmania, Australia. Semi-structured interviews were conducted with key local government employees and public health officials responsible for management of drinking water in rural Tasmania. Participants were asked about their core public health duties, regulatory responsibilities, perceptions and management of risk, as well as the key barriers that may be affecting the provision of safe drinking water. This research highlights the effect of rural locality on management and safety of fresh water in protecting public health. The key issues contributing to problems with drinking water provision and quality identified by participants included: poor and inadequate water supply infrastructure; lack of resources and staffing; inadequate catchment monitoring; and the effect of competing land uses, such as forestry, on water supply quality. This research raises issues of inequity in the provision of safe drinking water in rural communities. It highlights not only the increasing need for greater funding by state and commonwealth government for basic services such as drinking water, but also the importance of an holistic and integrated approach to managing drinking water resources in rural Tasmania.

An Exploratory Study of Alpha Contracting: Antecedents, Processes, Issues, Success Factors and Consequences

DTIC Science & Technology

2009-09-01

ABSTRACT (maximum 200 words) Alpha contracting is a collaborative effort between a buyer and supplier during contract formation to maximize efficiency...experienced Alpha contracting teams, to include contracting officers, DCAA, DCMA, end users/ customers , program managers and acquisition directors to better...PROCESSES, ISSUES, SUCCESS FACTORS AND CONSEQUENCES ABSTRACT Alpha contracting is a collaborative effort between a buyer and supplier

Successful Engagement of Undergraduate Information Technology Management Students in a Compulsory Course in Ethical Issues in IT in a Large Class Environment

ERIC Educational Resources Information Center

Grant, Candace T.

2010-01-01

The inclusion of ethics in business school programs including those focusing on business and Information Technology is seen as an increasingly important issue in curriculum design. This paper describes the planning, development and delivery of such a course in a large IT focused business school. It discusses both course content and teaching…

The 2015 National Security Strategy: Authorities, Changes, Issues for Congress

DTIC Science & Technology

2016-02-26

climate change ;  ensure access to shared spaces (expanding cyberspace and including outer space and air and maritime security); and  increase global...hand, one could conclude that these, along with confronting climate change , convey both a wider range of national security challenges in terms of...The 2015 National Security Strategy: Authorities, Changes , Issues for Congress Nathan J. Lucas, Coordinator Section Research Manager Kathleen

The role of nurses in comprehensive care management of pregnant women with drug addiction.

PubMed

McKeever, Amy E; Spaeth-Brayton, Sylvia; Sheerin, Sarah

2014-01-01

Drug addiction during pregnancy is a complex health and social issue that requires an interdisciplinary health care team providing nonjudgmental, comprehensive care. Critical challenges include onset of and attendance at prenatal care, potential obstetric complications, transition to extrauterine life and potential neonatal abstinence syndrome for the neonate, newborn feeding issues, postpartum depression and risk of relapse for women. © 2014 AWHONN.

A Canadian Cross-Sectional Survey on Psychosocial Supports for People Living Type 1 or 2 Diabetes: Health-Care Providers' Awareness, Capacity, and Motivation.

PubMed

Nichols, Jennica; Vallis, Michael; Boutette, Stephanie; Gall Casey, Carolyn; Yu, Catherine H

2017-11-09

Addressing psychosocial issues is critical for diabetes self-management. This work explores health-care professionals' (HCPs') 1) perceived relevance of various psychosocial issues in diabetes management and 2) confidence in working on these issues within their services. An online cross-sectional survey was developed based on the Capacity-Opportunity-Motivation Behaviour Model. It assessed self-rated confidence in supporting patients with psychosocial issues (capability), perceived relevance of these issues (motivation) and facilitators of skill development (opportunity). An e-mail invitation was sent to all Diabetes Canada's professional members, conference delegates and committee members. Qualitative responses were analyzed using thematic analysis. Of the 260 responses received (25% response rate), many were Diabetes Canada professional members (83%) and/or certified diabetes educators (66%). The largest professional groups in the sample were registered nurses (44%) and registered dietitians (33%). All psychosocial issues were perceived as somewhat or extremely important by at least 80% of respondents (range, 80% to 97%). However, HCPs were less confident in supporting their patients with these psychosocial issues; significantly fewer respondents reported that they felt somewhat or extremely confident (range, 26% to 62%). Depression (80%) and anxiety (80%) were the issues in which guidance was most desired. Most respondents wanted some form of formal self-management support training (83%). Preferred training methods included in-person workshops (56%), webinars (56%) and conference sessions (51%). Motivation to address psychosocial issues in diabetes was high, but capacity to do so and opportunity to learn how were both low. These findings can be used to develop a targeted strategy to help address this gap. Copyright © 2017 Diabetes Canada. Published by Elsevier Inc. All rights reserved.

Managing Ocean Dumping in EPA Region 4

EPA Pesticide Factsheets

Overview of ocean dumping in Southeast United States. Includes materials dumped in the Region, ocean dumping permits issues, dredged material testing guidance, ocean disposal site descriptions and information, regional dredging teams and other partnerships

Managing Ocean Dumping in EPA Region 1

EPA Pesticide Factsheets

Overview of ocean dumping in New England, US. Includes materials dumped in the Region, ocean dumping permits issues, dredged material testing guidance, ocean disposal site descriptions and information, regional dredging teams and other partnerships.

Managing Ocean Dumping in EPA Region 6

EPA Pesticide Factsheets

Overview of ocean dumping in South Central, US. Includes materials dumped in the Region, ocean dumping permits issues, dredged material testing guidance, ocean disposal site descriptions and information, regional dredging teams and other partnerships

Managing Ocean Dumping in EPA Region 3

EPA Pesticide Factsheets

Overview of ocean dumping in Mid Atlantic, US. Includes materials dumped in the Region, ocean dumping permits issues, dredged material testing guidance, ocean disposal site descriptions and information, regional dredging teams and other partnerships.

Managing Ocean Dumping in EPA Region 9

EPA Pesticide Factsheets

Overview of ocean dumping in EPA Pacific Southwest. Includes materials dumped in the Region, ocean dumping permits issues, dredged material testing guidance, ocean disposal site descriptions and information, regional dredging teams and other partnerships.

Managing Ocean Dumping in EPA Region 10

EPA Pesticide Factsheets

Overview of ocean dumping in Pacific Northwest, US. Includes materials dumped in the Region, ocean dumping permits issues, dredged material testing guidance, ocean disposal site descriptions and information, regional dredging teams and other partnerships.

Evaluation of clinical pharmacy services in a hematology/oncology outpatient setting.

PubMed

Shah, Sachin; Dowell, Jonathan; Greene, Shane

2006-09-01

The Veterans Affairs North Texas Health Care System in Dallas, TX, provides a unique opportunity for clinical pharmacists to work as providers. Even though clinical pharmacists are actively involved in patient care, many of their efforts remain undocumented, resulting in an underestimation of the importance of their services and missed opportunities for improvements and new directions. To document and evaluate the services of a hematology/oncology clinical pharmacy in the outpatient setting. Pendragon Forms 3.2 software was used to design the documentation template. The template was designed to collect diagnoses, supportive care issues, drug-specific interventions, and prescriptions written. This template was uploaded to the personal digital assistant (PDA) for documentation. Patient-specific information was documented in a password-protected PDA. Data collected from November 1, 2002, to October 31, 2003, were retrospectively analyzed. Clinical pharmacists were involved in 423 patient visits for chemotherapy follow-up or disease management. Cancer diagnoses included colorectal (n = 99), multiple myeloma (59), non-small cell lung (56), chronic lymphocytic leukemia (44), myelodysplastic syndromes (22), and chronic myelogenous leukemia (19). During the 423 patient visits, 342 supportive care issues were addressed including anemia (34%), pain management (22%), constipation/diarrhea (15%), and nausea/vomiting (8%). Major drug-specific interventions included drug addition (41%), discontinuation (23%), and adjustment (21%). Four hundred forty-five prescriptions were filled, of which 181 were new and 150 were refilled. This is the first study, as of July 25, 2006, to document considerable contribution of an outpatient clinical pharmacist in direct cancer patient care. Although the disease management and supportive care issues addressed here may differ based on institution and patient population, the results of our study show that clinical pharmacists have ever-growing roles in the management of these patients.

Ocean management plan includes array of recommendations

NASA Astrophysics Data System (ADS)

Showstack, Randy

When U.S. President Bill Clinton and Vice President Al Gore appeared in Monterey, California in June 1998 for a National Oceans Conference, some of the salt water spray from the Pacific Ocean must have clung to them.As a follow-up to the conference, the Clinton Administration on September 2 issued an interagency report to help guide federal efforts in establishing a comprehensive ocean policy.The report, which touches upon a number of global issues including the United Nations Convention on the Law of the Sea, contains nearly 150 recommendations.

Definition of the 2005 flight deck environment

NASA Technical Reports Server (NTRS)

Alter, K. W.; Regal, D. M.

1992-01-01

A detailed description of the functional requirements necessary to complete any normal commercial flight or to handle any plausible abnormal situation is provided. This analysis is enhanced with an examination of possible future developments and constraints in the areas of air traffic organization and flight deck technologies (including new devices and procedures) which may influence the design of 2005 flight decks. This study includes a discussion on the importance of a systematic approach to identifying and solving flight deck information management issues, and a description of how the present work can be utilized as part of this approach. While the intent of this study was to investigate issues surrounding information management in 2005-era supersonic commercial transports, this document may be applicable to any research endeavor related to future flight deck system design in either supersonic or subsonic airplane development.

Challenges in Hospital-Associated Infection Management: A Unit Perspective.

PubMed

Stacy, Kathleen M

2015-01-01

Maintaining a successful unit-based continuous quality improvement program for managing hospital-associated infections is a huge challenge and an overwhelming task. It requires strong organizational support and unit leadership, human and fiscal resources, time, and a dedicated and motivated nursing staff. A great deal of effort goes into implementing, monitoring, reporting, and evaluating quality improvement initiatives and can lead to significant frustration on the part of the leadership team and nursing staff when quality improvement efforts fail to produce the desired results. Each initiative presents its own unique set of challenges; however, common issues influence all initiatives. These common issues include organization and unit culture, current clinical practice guidelines being used to drive the initiatives, performance discrepancies on the part of nursing staff, availability of resources including equipment and supplies, monitoring of the data, and conflicting quality improvement priorities.

Veterinary teaching hospitals: current challenges and pathways for the future.

PubMed

Hubbell, John A E

2008-01-01

University-based veterinary teaching hospitals must change to maintain their viability. A number of factors both internal and external to universities and the veterinary profession have contributed to the need for change. A task force formed by the Association of American Veterinary Medical Colleges and the American Association of Veterinary Clinicians was convened to identify the issues and propose individual and collective strategies for the future. Primary issues include a shortage of faculty and staff, the nature of the case load, the need for fiscal management strategies, and the need to manage stakeholder expectations. The majority of the proposed strategies for the future will be managed individually by the colleges. Proposed collective strategies center on increasing the number of specialists and improving recruitment and retention of faculty and staff.

Issues in the Medication Management Process in People Who Have Intellectual and Developmental Disabilities: A Qualitative Study of the Caregivers' Perspective.

PubMed

Erickson, Steven R; Salgado, Teresa M; Tan, Xi

2016-12-01

People who have intellectual and developmental disabilities (IDD) often rely on caregivers to assist in the medication management process. The aim of this study was to learn from caregivers, who are either family or support staff, what major issues arise throughout the process of managing medication and how these might be addressed. Problems identified by caregivers include (a) prescribers understanding of insurance and agency policies regarding medication utilization; (b) lack of continuity of care and accuracy of the medication record as well as clinical records; (c) poor communication among patients, caregivers, and clinicians; (d) patient willingness to take medication; (e) caregiver understanding and training of medication-related topics; and (f) the health system being unprepared to work with people who have IDD.

78 FR 30869 - New England Fishery Management Council; Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-23

... goals and objectives. Also on the agenda will be items related to the alternatives development for the Omnibus Essential Fish Habitat Amendment 2 (OA2) which will include: Development of appropriate bridle... issues related to Amendment 18 of the Northeast Multispecies FMP to include: Review Plan Development Team...

Michigan Physicians' Conference on Elder Abuse. Final Report.

ERIC Educational Resources Information Center

Sengstock, Mary C.; O'Brien, James G.

The final report describes the Michigan Physicians' Conference on Elder Abuse project. The project conference had four major content areas, including: a general introduction to the problem of elder abuse; clinical symptoms of abuse; legal issues; and referral and case management techniques. Training techniques included lectures, group discussion,…

78 FR 18609 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-27

... distribution, including youth access, and advertising and promotion restrictions issued under section 906(d) of... the sale and distribution, including youth access to, and the advertising and promotion of, cigarettes... access, and advertising and promotion of cigarettes and smokeless tobacco. The guidance recommends that...

Socio-economic appraisal of fishing community in Pulicat lagoon, south east coast of India: case study.

PubMed

Devi, V Vandhana; Krishnaveni, M

2012-10-01

Assessment of socio-economic issues of fishing community is an important aspect in framing a strategy for the preservation of eco-systems which leads to sustainable lagoon management. The present investigation analyses the current potential socio-economic status of the fishing community of Pulicat lagoon, the second largest lagoon in India. The socio-economic indicators considered in the study include demography, economic aspects, social aspects and occupation details. The relevant details were collected from 300 fisher folk family by conducting field survey through a well prepared questionnaire in the villages around Pulicat lagoon. The data analysis was done using Statistical Program for Social Sciences (SPSS) to assess the adequacy and precision of the collected data. The important and encouraging socio-economic indicators identified from the field survey for effective lagoon management includes significant presence of younger generation in the region; affinity and self-belongingness of fisher folk towards the lake; better economic status and moderate education level; appreciable fishing income and affinity towards fishing profession. It is emphasized to motivate the fisher folk to improve their work attitude for betterment in economic status. The pertinent lagoon issues, comprising seasonal variation, local fishing issues, pollution from industries, water intake to thermal power plant which directly or indirectly affects the socio-economic status of fishing community, also need much emphasis while proposing sustainable lagoon management system. The information and observation from this study will be very helpful in formulating management policies on the conservation of the Pulicat lagoon ecosystem.

Ecological perspective: Linking ecology, GIS, and remote sensing to ecosystem management

USGS Publications Warehouse

Allen, Craig D.; Sample, V. Alaric

1994-01-01

Awareness of significant human impacts on the ecology of Earth's landscapes is not new (Thomas 1956). Over the past decade (Forman and Godron 1986, Urban et a1. 1987) applications of geographic information systems (GIS) and remote sensing technologies have supported a rapid rise in landscape.stale research. The heightened recognition within the research community of the ecological linkages between local sites and larger spatial scales has spawned increasing calls for more holistic management of landscapes (Noss 1983, Harris 1984, Risser 1985, Norse et al. 1986, Agee and Johnson 1988, Franklin 1989, Brooks and Grant 1992, Endangered Species Update-Special Issue 1993, Crow 1994, Grumbine 1994). As a result agencies such as the U.S. Forest Service, U.S. Fish and Wildlife Service, and National Park Service are now converging on "ecosystem management" as a new paradigm to sustainably manage wildlands and maintain biodiversity. However, as this transition occurs, several impediments to implementation of this new paradigm persist, including(1) significant uncenainty among many land managers about the definition and goals of ecosystem management,(2) inadequate ecological information on the past and present processes and structural conditions of target ecosystems,(3) insufficient experience on the part of land managers with the rapidly diversifying array of GIS and remote sensing tools to effectively use them to support ecology-based land management, and(4) a paucity of intimate, long-term relationships between people (including land managers) and the particular landscape communities to which they belong.This chapter provides an ecological perspective on these issues as applied to ecosystem management in a southwestern U.S. landscape.

Environmental Science and Research Foundation annual technical report to DOE-ID, January , 1995--December 31, 1995

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

NONE

1996-06-01

The foundation conducts an environmental monitoring and surveillance program over an area covering much of the upper Snake River Plain and provide environmental education and support services related to INEL natural resource issues. Also, the foundation, with its university affiliates, conducts ecological and radioecological research on the Idaho National Environmental Research Park. This research benefits major DOE-ID programs including waste management, environmental restoration, spent nuclear fuels, and land management issues. Major accomplishments during CY1995 can be divided into five categories: environmental surveillance program, environmental education, environmental services and support, ecological risk assessment, and research benefitting the DOE-ID mission.

STGT program: Ada coding and architecture lessons learned

NASA Technical Reports Server (NTRS)

Usavage, Paul; Nagurney, Don

1992-01-01

STGT (Second TDRSS Ground Terminal) is currently halfway through the System Integration Test phase (Level 4 Testing). To date, many software architecture and Ada language issues have been encountered and solved. This paper, which is the transcript of a presentation at the 3 Dec. meeting, attempts to define these lessons plus others learned regarding software project management and risk management issues, training, performance, reuse, and reliability. Observations are included regarding the use of particular Ada coding constructs, software architecture trade-offs during the prototyping, development and testing stages of the project, and dangers inherent in parallel or concurrent systems, software, hardware, and operations engineering.

Timber Management of NASA's John C. Stennis Space Station

NASA Technical Reports Server (NTRS)

Carr, Hugh; Johnson, Gary; Smoot, James; Cohan, Tyrus; O'Connor, Tina

2001-01-01

John C. Stennis Space Center occupies over 48560 hectares or just over 120000 acres in southwestern Mississippi and southeastern Louisiana near border of the two states. This area includes the Stennis Fee Area, which is the Center itself and the Acoustic Buffer Zone (ABZ) surrounding the Center. The ABZ is owned by several government, public and private entities and managed accordingly. The Fee Area and ABZ include wetlands, pine woodlands and areas of mixed floral species. The included maps detail the delineation of land in and around the Stennis Space Center. Areas owned by the federal government are divided into three stands to facilitate timber management. The stands are classified by species, density and average size to determine several timber in management issues including the schedule for controlled burns, economic viability of stands, and the creation of low impact recreational areas such as scenic trails or bike paths.

Nurse managers' strategies for feeling less drained by their work: an action research and reflection project for developing emotional intelligence.

PubMed

Taylor, Bev; Roberts, Sue; Smyth, Therese; Tulloch, Moira

2015-10-01

To raise nurse managers' critical awareness of practice problems; uncover practice constraints and improve work effectiveness. Nurse management requires skills and knowledge, underscored by emotional intelligence. The research improved participants' practice and personal insights. Purposive sampling targeted nurse managers interested in improving their practice. Three experienced female nurse managers met fortnightly in a group, for 1 hour, for 10 meetings. The methods included: writing and sharing de-identified journal reflections; critically analysing practice stories; identifying a thematic concern; generating action strategies; and instituting and revising the action plan. Phase One resulted in the identification of the issue of 'being drained by the intensity of nurse managers' work'. The participants adopted five strategies: debriefing problematic situations; deflecting multiple requests; diffusing issues; naming dysfunctional behaviours; and regrouping. In Phase Two, participants implemented and revised the action plan strategies, which resulted in them feeling less drained by their work. Strategies can lessen nurse managers' sense of personal depletion. However, strategies cannot guarantee success every time because the emotional intelligence is integral to nurse management. Action research and reflection assist nurse managers to improve their practice and develop their emotional intelligence. © 2014 John Wiley & Sons Ltd.

Preparing students for the ethical challenges on international health electives: A systematic review of the literature on educational interventions.

PubMed

Rahim, Anika; Knights Née Jones, Felicity; Fyfe, Molly; Alagarajah, Janagan; Baraitser, Paula

2016-09-01

International health electives pose specific ethical challenges for students travelling from to low and middle income countries. We undertook a systematic review of the literature on interventions to prepare students to identify ethical issues addressed, educational approaches and to collate evidence on the effectiveness of different strategies. We searched nine electronic databases of peer-reviewed literature and identified grey literature through key word searches; supplemented through citation mapping and expert consultation. Articles that described ethical training conducted by universities or professional bodies were included for review. We reviewed forty-four full text articles. Ten sources of published literature and seven sources of grey literature met our inclusion criteria. We identified thirteen ethical situations that students should be prepared to manage and eight generic skills to support this process. Most interventions were delivered before the elective, used case studies or guidelines. Some suggested ethical principles or a framework for analysis of ethical issues. Only two papers evaluated the intervention described. Our paper collates a small but growing body of work on education to prepare students to manage ethical issues. Ethical training should have elements that are delivered before, during and after the elective. Interventions should include case studies covering thirteen ethical issues identified here, linked to ethical principles and a process for responding to ethical issues. We suggest that evaluations of interventions are an important area for future research.

Supportive care after curative treatment for breast cancer (survivorship care): resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement.

PubMed

Ganz, Patricia A; Yip, Cheng Har; Gralow, Julie R; Distelhorst, Sandra R; Albain, Kathy S; Andersen, Barbara L; Bevilacqua, Jose Luiz B; de Azambuja, Evandro; El Saghir, Nagi S; Kaur, Ranjit; McTiernan, Anne; Partridge, Ann H; Rowland, Julia H; Singh-Carlson, Savitri; Vargo, Mary M; Thompson, Beti; Anderson, Benjamin O

2013-10-01

Breast cancer survivors may experience long-term treatment complications, must live with the risk of cancer recurrence, and often experience psychosocial complications that require supportive care services. In low- and middle-income settings, supportive care services are frequently limited, and program development for survivorship care and long-term follow-up has not been well addressed. As part of the 5th Breast Health Global Initiative (BHGI) Global Summit, an expert panel identified nine key resources recommended for appropriate survivorship care, and developed resource-stratified recommendations to illustrate how health systems can provide supportive care services for breast cancer survivors after curative treatment, using available resources. Key recommendations include health professional education that focuses on the management of physical and psychosocial long-term treatment complications. Patient education can help survivors transition from a provider-intense cancer treatment program to a post-treatment provider partnership and self-management program, and should include: education on recognizing disease recurrence or metastases; management of treatment-related sequelae, and psychosocial complications; and the importance of maintaining a healthy lifestyle. Increasing community awareness of survivorship issues was also identified as an important part of supportive care programs. Other recommendations include screening and management of psychosocial distress; management of long-term treatment-related complications including lymphedema, fatigue, insomnia, pain, and women's health issues; and monitoring survivors for recurrences or development of second primary malignancies. Where possible, breast cancer survivors should implement healthy lifestyle modifications, including physical activity, and maintain a healthy weight. Health professionals should provide well-documented patient care records that can follow a patient as they transition from active treatment to follow-up care. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

ATM Technology Demonstration 1 (ATD-1) Project: Terminal Airspace Technologies for NextGen (Public)

NASA Technical Reports Server (NTRS)

Robinson, John E.; Wang, Easter

2015-01-01

This video highlights the human-in-the-loop (HITL) simulations conducted by the ATD-1 project and features visual elements developed for Traffic Management Advisor - Terminal Metering, Controller Managed Spacing, and Flight Deck Interval Management. The video content is fairly technical and intended for audiences that have some knowledge of air traffic management issues. This includes researchers and management from NASA, FAA, industry partners, and others interested in terminal metering, controller managed spacing, and interval management technologies. Please note that the media release only clears the video for peer audiences such as ATM conferences or as part of presentations to researchers.

Preface: Bridging the gap between theory and practice on the upper Mississippi River

USGS Publications Warehouse

Lubinski, Kenneth S.

1995-01-01

In July 1994, the Upper Mississippi River (UMR) served as a nexus for coalescing scientific information and management issues related to worldwide floodplain river ecosystems. The objective of the conference ‘Sustaining the Ecological Integrity of Large Floodplain Rivers: Application of Ecological Knowledge to River Management’, was to provide presentations of current ideas from the scientific community. To translate the many lessons learned on other river systems to operational decisions on the UMR, a companion workshop for managers and the general public was held immediately after the conference.An immediate local need for such sharing has existed for several years, as the U.S. Corps of Engineers is currently planning commercial navigation activities that will influence the ecological integrity of the river over the next half century. Recently, other equally important management issues have surfaced, including managing the river as an element of the watershed, and assessing its ecological value as a system instead of a collection of parts (Upper Mississippi River Conservation Committee, 1993). Regional and state natural resource agencies are becoming more convinced that they need to address these issues within their own authorities, however spatially limited, rather than relying on the U.S. Corps of Engineers to manage the ecosystem as an adjunct to its purpose of navigation support.

We4DRR: A brand new European network for women in Disaster Risk Reduction

NASA Astrophysics Data System (ADS)

Papathoma-Koehle, Maria; Keiler, Margreth; Promper, Catrin; Patek, Maria

2017-04-01

Natural hazards often intensify societal inequalities having disproportionate impact on some population groups including women. On the other hand, women working in the field of natural hazards, either on site as emergency workers or in research, policy and administration as scientists, experts and managers have to deal with a number of challenges. However, gender issues are often neglected and women networks related to natural hazards in Europe but also worldwide are scarce. We present here "We4DRR: Women exchange for Disaster Risk Reduction", a new women's network focusing on gender issues in the field of disaster risk reduction but also on women working in the field. The network was initiated and organised by the Austrian Federal Ministry of Agriculture, Forestry, Environment and Water Management (BMLFUW) and the University of Natural Resources and Life Sciences Vienna (BOKU) and was launched in Austria in March 2016. Its aims include collecting data on gender issues and DRR, empowerment of women, mentoring of young female professionals, and increasing the visibility of gender-specific aspects in DRR.

Contributing factors in construction accidents.

PubMed

Haslam, R A; Hide, S A; Gibb, A G F; Gyi, D E; Pavitt, T; Atkinson, S; Duff, A R

2005-07-01

This overview paper draws together findings from previous focus group research and studies of 100 individual construction accidents. Pursuing issues raised by the focus groups, the accident studies collected qualitative information on the circumstances of each incident and the causal influences involved. Site based data collection entailed interviews with accident-involved personnel and their supervisor or manager, inspection of the accident location, and review of appropriate documentation. Relevant issues from the site investigations were then followed up with off-site stakeholders, including designers, manufacturers and suppliers. Levels of involvement of key factors in the accidents were: problems arising from workers or the work team (70% of accidents), workplace issues (49%), shortcomings with equipment (including PPE) (56%), problems with suitability and condition of materials (27%), and deficiencies with risk management (84%). Employing an ergonomics systems approach, a model is proposed, indicating the manner in which originating managerial, design and cultural factors shape the circumstances found in the work place, giving rise to the acts and conditions which, in turn, lead to accidents. It is argued that attention to the originating influences will be necessary for sustained improvement in construction safety to be achieved.

North America Wound, Ostomy, and Continence and Enterostomal Therapy Nurses Current Ostomy Care Practice Related to Peristomal Skin Issues.

PubMed

Colwell, Janice C; McNichol, Laurie; Boarini, Joy

The purpose of this study was to describe the practice of 796 ostomy nurses in North America in 2014 related to peristomal skin issues. Descriptive study. Participants were 796 wound, ostomy, and continence (WOC) and enterostomal therapy (ET) nurses currently practicing in the United States or Canada and caring for patients with ostomies. The collection of data occurred in conjunction with an educational program on peristomal skin complications and practice issues and solicited the participant's perception on the incidence and frequency of peristomal skin issues as well as on practice patterns. Participants attended an educational program. They were also asked to anonymously respond to multiple-choice questions on ostomy care management via an audience response system followed by discussion of each item and their responses. This descriptive study reports on the answers to the questions as well as the pertinent discussion points. Participants estimated that approximately 77.70% of their patients developed peristomal skin issues. The most commonly encountered problem was irritant contact dermatitis (peristomal moisture-associated skin damage). Contributing factors were inappropriate use of a pouching system owing to lack of follow-up after hospital discharge. Reported interventions for the prevention and management of peristomal skin issues included preoperative stoma site marking, use of a convex pouching system, and barrier rings. However, subsequent discussion revealed that the frequency of use of these products varied considerably. Participants identified shortened hospital stays, absence of preoperative stoma marking, and limited outpatient follow-up as contributing to development of peristomal skin problems. WOC and ET nurses estimate that more than three-quarters of persons living with an ostomy develop peristomal skin problems. Multiple interventions for managing these problems were identified, but some variability in management approaches emerged.

Proceedings of the National Silviculture Workshop: Hardwood Management; Roanoke, Virginia; June 1-5, 1981

Treesearch

Robert Gillespie; Dan Cramsey; Dick Miller; Dennis Hamel; Carl Puuri; F. Bryan Clark; John Erickson; Nelson Loftus; Lloyd Casey; H. Clay Smith; Bob Marquis; Martin Dale; Charles E. McGee; Robert D. Williams; Gayne G. Erdmann; R. M. Godman; Stephen G. Boyce; Paul A. Schrauder; DonaId E. Beck; David A. Marquis; James L. McConnell; Paul S. Debald; David R. Houston; Walter Knapp; Tom Turpin; Warren Bacon; Arnold Schulz

1981-01-01

This year's National Silviculture Workshop was held in Roanoke, Virginia and the Monongahela National Forest. The purpose of the meetings were to discuss current silvicultural issues affecting all Regions and to review in detail the state-of-the-art application of hardwood management in the United States. These proceedings include the presentations of individuals...

Management issues of congenital adrenal hyperplasia during the transition from pediatric to adult care.

PubMed

Choi, Jin-Ho; Yoo, Han-Wook

2017-02-01

Steroid 21-hydroxylase deficiency is the most prevalent form of congenital adrenal hyperplasia (CAH), accounting for approximately 95% of cases. With the advent of newborn screening and hormone replacement therapy, most children with CAH survive into adulthood. Adolescents and adults with CAH experience a number of complications, including short stature, obesity, infertility, tumor, osteoporosis, and reduced quality of life. Transition from pediatric to adult care and management of long-term complications are challenging for both patients and health-care providers. Psychosocial issues frequently affect adherence to glucocorticoid treatment. Therefore, the safe transition of adolescents to adult care requires regular follow-up of patients by a multidisciplinary team including pediatric and adult endocrinologists. The major goals for management of adults with 21-hydroxylase deficiency are to minimize the long-term complications of glucocorticoid therapy, reduce hyperandrogenism, prevent adrenal or testicular adrenal rest tumors, maintain fertility, and improve quality of life. Optimized medical or surgical treatment strategies should be developed through coordinated care, both during transition periods and throughout patients' lifetimes. This review will summarize current knowledge on the management of adults with CAH, and suggested appropriate approaches to the transition from pediatric to adult care.

Wyoming Basin Rapid Ecoregional Assessment

USGS Publications Warehouse

Carr, Natasha B.; Melcher, Cynthia P.

2015-08-28

We evaluated Management Questions (Core and Integrated) for each species and community for the Wyoming Basin REA. Core Management Questions address primary management issues, including (1) where is the Conservation Element, and what are its key ecological attributes (characteristics of species and communities that may affect their long-term persistence or viability); (2) what and where are the Change Agents; and (3) how do the Change Agents affect the key ecological attributes? Integrated Management Questions synthesize the Core Management Questions as follows: (1) where are the areas with high landscape-level ecological values; (2) where are the areas with high landscape-level risks; and (3) where are the potential areas for conservation, restoration, and development? The associated maps and key findings for each Management Question are summarized for each Conservation Element in individual chapters. Additional chapters on landscape intactness and an REA synthesis are included.

Internet Telehealth for Pediatric Asthma Case Management: Integrating Computerized and Case Manager Features for Tailoring a Web-Based Asthma Education Program

PubMed Central

Wise, Meg; Gustafson, David H.; Sorkness, Christine A.; Molfenter, Todd; Staresinic, Anthony; Meis, Tracy; Hawkins, Robert P.; Shanovich, Kathleen Kelly; Walker, Nola P.

2008-01-01

This article reports on the development of a personalized, Web-based asthma-education program for parents whose 4- to 12-year-old children have moderate to severe asthma. Personalization includes computer-based tailored messages and a human coach to build asthma self-management skills. Computerized features include the Asthma Manager, My Calendar/Reminder, My Goals, and a tailored home page. These are integrated with monthly asthma-education phone calls from an asthmanurse case manager. The authors discuss the development process and issues and describe the current randomized evaluation study to test whether the yearlong integrated intervention can improve adherence to a daily asthma controller medication, asthma control, and parent quality of life to reduce asthma-related healthcare utilization. Implications for health education for chronic disease management are raised. PMID:16928987

[Related issues in clinical translational application of adipose-derived stem cells].

PubMed

Liu, Hongwei; Cheng, Biao; Fu, Xiaobing

2012-10-01

To introduce the related issues in the clinical translational application of adipose-derived stem cells (ASCs). The latest papers were extensively reviewed, concerning the issues of ASCs production, management, transportation, use, and safety during clinical application. ASCs, as a new member of adult stem cells family, bring to wide application prospect in the field of regenerative medicine. Over 40 clinical trials using ASCs conducted in 15 countries have been registered on the website (http://www.clinicaltrials.gov) of the National Institutes of Health (NIH), suggesting that ASCs represents a promising approach to future cell-based therapies. In the clinical translational application, the related issues included the quality control standard that management and production should follow, the prevention measures of pathogenic microorganism pollution, the requirements of enzymes and related reagent in separation process, possible effect of donor site, age, and sex in sampling, low temperature storage, product transportation, and safety. ASCs have the advantage of clinical translational application, much attention should be paid to these issues in clinical application to accelerate the clinical translation process.

The drivers of sea lice management policies and how best to integrate them into a risk management strategy: An ecosystem approach to sea lice management.

PubMed

Jackson, D; Moberg, O; Stenevik Djupevåg, E M; Kane, F; Hareide, H

2018-06-01

The control of sea lice infestations on cultivated Atlantic salmon is a major issue in many regions of the world. The numerous drivers which shape the priorities and objectives of the control strategies vary for different regions/jurisdictions. These range from the animal welfare and economic priorities of the producers, to the mitigation of any potential impacts on wild stocks. Veterinary ethics, environmental impacts of therapeutants, and impacts for organic certification of the produce are, amongst others, additional sets of factors which should be considered. Current best practice in both EU and international environmental law advocates a holistic ecosystem approach to assessment of impacts and risks. The issues of biosecurity and ethics, including the impacts on the stocks of species used as cleaner fish, are areas for inclusion in such a holistic ecosystem assessment. The Drivers, Pressures, State, Impacts, Responses (DPSIR) process is examined as a decision-making framework and potential applications to sea lice management are outlined. It is argued that this is required to underpin any integrated sea lice management (ISLM) strategy to balance pressures and outcomes and ensure a holistic approach to managing the issue of sea lice infestations on farmed stock on a medium to long-term basis. © 2017 The Authors. Journal of Fish Diseases Published by John Wiley & Sons Ltd.

Space Station fluid management logistics

NASA Technical Reports Server (NTRS)

Dominick, Sam M.

1990-01-01

Viewgraphs and discussion on space station fluid management logistics are presented. Topics covered include: fluid management logistics - issues for Space Station Freedom evolution; current fluid logistics approach; evolution of Space Station Freedom fluid resupply; launch vehicle evolution; ELV logistics system approach; logistics carrier configuration; expendable fluid/propellant carrier description; fluid carrier design concept; logistics carrier orbital operations; carrier operations at space station; summary/status of orbital fluid transfer techniques; Soviet progress tanker system; and Soviet propellant resupply system observations.

A life cycle model of public policy issues in health care: the importance of strategic issues management.

PubMed

Rakich, J S; Feit, M D

2001-01-01

Public policy affects health and social services organizations. Senior management has a responsibility to prevent inappropriate demands of stakeholders from predominating and to influence the outcome of public policy to the benefit of their organization through the strategic issues management process. This article presents a public policy issue life cycle model, life-cycle stages and suggested strategies, paths issues can take in the life cycle, and factors that affect issue paths. An understanding of these dynamics can aid senior managers in shaping and changing public policy issues and lessening external environment threats to their organization.

The Relationships between Human Fatigue and Public Health: A Brief Commentary on Selected Papers from the 9th International Conference on Managing Fatigue in Transportation, Resources and Health.

PubMed

Sargent, Charli; Roberts, Paul; Dawson, Drew; Ferguson, Sally; Meuleners, Lynn; Brook, Libby; Roach, Gregory D

2016-08-24

The 9th International Conference on Managing Fatigue in Transportation, Resources and Health was held in Fremantle, Western Australia in March 2015. The purpose of the conferences in this series is to provide a forum for industry representatives, regulators, and scientists to discuss recent advances in the field of fatigue research. We have produced a Special Issue of the International Journal of Environmental Research and Public Health based on papers from the conference that were focused on various aspects of public health. First, the Special Issue highlights the fact that working long shifts and/or night shifts can affect not only cognitive functioning, but also physical health. In particular, three papers examined the potential relationships between shiftwork and different aspects of health, including the cardiovascular system, sleep disordered breathing, and eating behaviour. Second, the Special Issue highlights the move away from controlling fatigue through prescriptive hours of service rules and toward the application of risk management principles. In particular, three papers indicated that best-practice fatigue risk management systems should contain multiple redundant layers of defense against fatigue-related errors and accidents.

Managing crisis: the role of primary care for people with serious mental illness.

PubMed

Lester, Helen; Tritter, Jonathan Q; Sorohan, Helen

2004-01-01

More than 30% of patients with serious mental illness in the United Kingdom now receive all their health care solely from primary care. This study explored the process of managing acute mental health crises from the dual perspective of patients and primary care health professionals. Eighteen focus groups involving 45 patients, 39 general practitioners, and eight practice nurses were held between May and November 2002 in six Primary Care Trusts across the British West Midlands. The topic guide explored perceptions of gold standard care, current issues and critical incidents in receiving/providing care, and ideas on improving services. Themes relevant to the management of acute crisis included issues of process, such as access, advocacy, communication, continuity, and coordination of care; the development of more structured care that might reduce the need for crisis responses; and issues raised by the development of a more structured approach to care. Access to services is a complicated yet crucial feature of managing care in a crisis, with patients identifying barriers at the level of primary care and health professionals at the interface with secondary care. The development of more structured systems as a solution may generate its own ethical and pragmatic challenges.

Time to get serious about assessing - and managing - psychosocial issues associated with chronic wounds.

PubMed

Alexander, Susan J

2013-03-01

This article comprises a review of the literature published during the period January 2011 to June 2012 on the topic of the psychosocial impact of wounds and strategies to manage them. There is a growing discussion of the reciprocal link between psychological influences and wound healing. Although the mechanisms underlying these influences are not well understood, evidence from the reviewed literature adds to the existing body of evidence demonstrating that negative psychological states can impair immune function and wound healing. Despite this recognition, there are still few studies that provide strategies to address the identified psychosocial issues associated with wounds, particularly those of chronic duration. A wide range of psychosocial factors likely to be associated with a wound have been identified. The importance of understanding the nature and extent of their impact is illustrated by the patients' experiences of living with a chronic wound which they rate as serious as cancer or myocardial infarction. Although there is currently limited evidence on which to base management strategies, it is recommended that interventions should commence with a comprehensive individualized assessment which can then inform the development of an appropriate management plan that includes the identified psychosocial issues.

Technology to optimize pediatric diabetes management and outcomes.

PubMed

Markowitz, Jessica T; Harrington, Kara R; Laffel, Lori M B

2013-12-01

Technology for diabetes management is rapidly developing and changing. With each new development, there are numerous factors to consider, including medical benefits, impact on quality of life, ease of use, and barriers to use. It is also important to consider the interaction between developmental stage and technology. This review considers a number of newer diabetes-related technologies and explores issues related to their use in the pediatric diabetes population (including young adults), with a focus on psychosocial factors. Areas include trend technology in blood glucose monitoring, continuous glucose monitoring, sensor-augmented insulin pumps and low glucose suspend functions, internet applications including videoconferencing, mobile applications (apps), text messaging, and online gaming.

Greenhouse gas accounting and waste management.

PubMed

Gentil, Emmanuel; Christensen, Thomas H; Aoustin, Emmanuelle

2009-11-01

Accounting of emissions of greenhouse gas (GHG) is a major focus within waste management. This paper analyses and compares the four main types of GHG accounting in waste management including their special features and approaches: the national accounting, with reference to the Intergovernmental Panel on Climate Change (IPCC), the corporate level, as part of the annual reporting on environmental issues and social responsibility, life-cycle assessment (LCA), as an environmental basis for assessing waste management systems and technologies, and finally, the carbon trading methodology, and more specifically, the clean development mechanism (CDM) methodology, introduced to support cost-effective reduction in GHG emissions. These types of GHG accounting, in principle, have a common starting point in technical data on GHG emissions from specific waste technologies and plants, but the limited availability of data and, moreover, the different scopes of the accounting lead to many ways of quantifying emissions and producing the accounts. The importance of transparency in GHG accounting is emphasised regarding waste type, waste composition, time period considered, GHGs included, global warming potential (GWP) assigned to the GHGs, counting of biogenic carbon dioxide, choice of system boundaries, interactions with the energy system, and generic emissions factors. In order to enhance transparency and consistency, a format called the upstream-operating-downstream framework (UOD) is proposed for reporting basic technology-related data regarding GHG issues including a clear distinction between direct emissions from waste management technologies, indirect upstream (use of energy and materials) and indirect downstream (production of energy, delivery of secondary materials) activities.

Scaling issues in sustainable river basin management

NASA Astrophysics Data System (ADS)

Timmerman, Jos; Froebich, Jochen

2014-05-01

Sustainable river basin management implies considering the whole river basin when managing the water resources. Management measures target at dividing the water over different uses (nature, agriculture, industry, households) thereby avoiding calamities like having too much, too little or bad quality water. Water management measures are taken at the local level, usually considering the sub-national and sometimes national effects of such measures. A large part of the world's freshwater resources, however, is contained in river basins and groundwater systems that are shared by two or more countries. Sustainable river basin management consequently has to encompass local, regional, national and international scales. This requires coordination over and cooperation between these levels that is currently compressed into the term 'water governance' . Governance takes into account that a large number of stakeholders in different regimes (the principles, rules and procedures that steer management) contribute to policy and management of a resource. Governance includes the increasing importance of basically non-hierarchical modes of governing, where non-state actors (formal organizations like NGOs, private companies, consumer associations, etc.) participate in the formulation and implementation of public policy. Land use determines the run-off generation and use of irrigation water. Land use is increasingly determined by private sector initiatives at local scale. This is a complicating factor in the governance issue, as in comparison to former developments of large scale irrigation systems, planning institutions at state level have then less insight on actual water consumption. The water management regime of a basin consequently has to account for the different scales of water management and within these different scales with both state and non-state actors. The central elements of regimes include the policy setting (the policies and water management strategies), legal setting (national and international laws and agreements), the institutional setting (the formal networks), information management (the information collection and dissemination system), and financing systems (the public and private sources that cover the water management costs). These elements are usually designed for a specific level and are ideally aligned with the other levels. The presentation will go into detail on connecting the different elements of the water management regime between different levels as well as on the overarching governance issues that play a role and will present opportunities and limitations of the linking options.

Publications about Indoor Air Quality in Schools

EPA Pesticide Factsheets

Publications and resources that relate to indoor air quality in schools, and design tools for schools. These publications cover a wide range of issues, including IAQ management, student performance, asthma, mold and moisture, and radon.

7 CFR 3560.302 - Accounting, bookkeeping, budgeting, and financial management systems.

Code of Federal Regulations, 2014 CFR

2014-01-01

... demonstration must include a statement issued by a Certified Public Accountant (CPA) stating that the accounting... inches. (v) Nominal spacing adjustment and colored paper are allowed. (g) Farm Labor Housing. Borrowers...

7 CFR 3560.302 - Accounting, bookkeeping, budgeting, and financial management systems.

Code of Federal Regulations, 2012 CFR

2012-01-01

... demonstration must include a statement issued by a Certified Public Accountant (CPA) stating that the accounting... inches. (v) Nominal spacing adjustment and colored paper are allowed. (g) Farm Labor Housing. Borrowers...

7 CFR 3560.302 - Accounting, bookkeeping, budgeting, and financial management systems.

Code of Federal Regulations, 2011 CFR

2011-01-01

... demonstration must include a statement issued by a Certified Public Accountant (CPA) stating that the accounting... inches. (v) Nominal spacing adjustment and colored paper are allowed. (g) Farm Labor Housing. Borrowers...

7 CFR 3560.302 - Accounting, bookkeeping, budgeting, and financial management systems.

Code of Federal Regulations, 2013 CFR

2013-01-01

... demonstration must include a statement issued by a Certified Public Accountant (CPA) stating that the accounting... inches. (v) Nominal spacing adjustment and colored paper are allowed. (g) Farm Labor Housing. Borrowers...

Managing Ocean Dumping in EPA Region 2

EPA Pesticide Factsheets

Overview of ocean dumping in NY, NJ and Puerto Rico. Includes materials dumped in the Region, ocean dumping permits issues, dredged material testing guidance, ocean disposal site descriptions and information, regional dredging teams and other partnerships

Idiopathic pulmonary fibrosis: a holistic approach to disease management in the antifibrotic age.

PubMed

Shaw, Jonathon; Marshall, Tracey; Morris, Helen; Hayton, Conal; Chaudhuri, Nazia

2017-11-01

Idiopathic pulmonary fibrosis (IPF) is the most common cause of interstitial lung disease (ILD) and carries a worse prognosis than many cancers. Until recently, there were no active treatment options available for patients with IPF, meaning palliation or lung transplantation in selected patients were the only options. The management of IPF has changed dramatically over the last decade with the advent of two antifibrotic agents; pirfenidone and nintedanib. These new agents have been shown to reduce decline in lung function and pirfenidone has been shown to reduce mortality. The changing landscape of IPF diagnosis and management present a number of issues that may be encountered including management of side effects related to antifibrotic therapy. This article aims to give an overview of the holistic approach to the management of patients with IPF, including antifibrotic management, symptom management and the invaluable role of the ILD specialist nurse.

Idiopathic pulmonary fibrosis: a holistic approach to disease management in the antifibrotic age

PubMed Central

Shaw, Jonathon; Marshall, Tracey; Morris, Helen; Chaudhuri, Nazia

2017-01-01

Idiopathic pulmonary fibrosis (IPF) is the most common cause of interstitial lung disease (ILD) and carries a worse prognosis than many cancers. Until recently, there were no active treatment options available for patients with IPF, meaning palliation or lung transplantation in selected patients were the only options. The management of IPF has changed dramatically over the last decade with the advent of two antifibrotic agents; pirfenidone and nintedanib. These new agents have been shown to reduce decline in lung function and pirfenidone has been shown to reduce mortality. The changing landscape of IPF diagnosis and management present a number of issues that may be encountered including management of side effects related to antifibrotic therapy. This article aims to give an overview of the holistic approach to the management of patients with IPF, including antifibrotic management, symptom management and the invaluable role of the ILD specialist nurse. PMID:29268540

International trade and waste and fuel management issue, 2009

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

Agnihotri, Newal

The focus of the January-February issue is on international trade and waste and fuel managment. Major articles/reports in this issue include: Innovative financing and workforce planning, by Donna Jacobs, Entergy Nuclear; Nuclear power - a long-term need, by John C. Devine, Gerald Goldsmith and Michael DeLallo, WorleyParsons; Importance of loan guarantee program, by Donald Hintz; EPC contracts for new plants, by Dave Barry, Shaw Power Group; GNEP and fuel recycling, by Alan Hanson, AREVA NC Inc.; Safe and reliable reactor, by Kiyoshi Yamauchi, Mitsubishi Heavy Industries, Ltd.; Safe, small and simple reactors, by Yoshi Sakashita, Toshiba Corporation; Nuclear power inmore » Thailand, by Tatchai Sumitra, Thailand Institute of Nuclear Technology; and, Nuclear power in Vietnam, by Tran Huu Phat, Vietnam Atomic Energy Commission. The Industry Innovation article this issue is Rectifying axial-offset-anomaly problems, by Don Adams, Tennessee Valley Authority. The Plant Profile article is Star of Stars Excellence, by Tyler Lamberts, Entergy Nuclear Operations, Inc.« less

Coalbed methane produced water in China: status and environmental issues.

PubMed

Meng, Yanjun; Tang, Dazhen; Xu, Hao; Li, Yong; Gao, Lijun

2014-01-01

As one of the unconventional natural gas family members, coalbed methane (CBM) receives great attention throughout the world. The major associated problem of CBM production is the management of produced water. In the USA, Canada, and Australia, much research has been done on the effects and management of coalbed methane produced water (CMPW). However, in China, the environmental effects of CMPW were overlooked. The quantity and the quality of CMPW both vary enormously between coal basins or stratigraphic units in China. The unit produced water volume of CBM wells in China ranges from 10 to 271,280 L/well/day, and the concentration of total dissolved solids (TDS) ranges from 691 to 93,898 mg/L. Most pH values of CMPW are more than 7.0, showing the alkaline feature, and the Na-HCO3 and Na-HCO3-Cl are typical types of CMPW in China. Treatment and utilization of CMPW in China lag far behind the USA and Australia, and CMPW is mainly managed by surface impoundments and evaporation. Currently, the core environmental issues associated with CMPW in China are that the potential environmental problems of CMPW have not been given enough attention, and relevant regulations as well as environmental impact assessment (EIA) guidelines for CMPW are still lacking. Other potential issues in China includes (1) water quality monitoring issues for CMPW with special components in special areas, (2) groundwater level decline issues associated with the dewatering process, and (3) potential environmental issues of groundwater pollution associated with hydraulic fracturing.

Information Security Management (ISM)

NASA Astrophysics Data System (ADS)

Šalgovičová, Jarmila; Prajová, Vanessa

2012-12-01

Currently, all organizations have to tackle the issue of information security. The paper deals with various aspects of Information Security Management (ISM), including procedures, processes, organizational structures, policies and control processes. Introduction of Information Security Management should be a strategic decision. The concept and implementation of Information Security Management in an organization are determined by the corporate needs and objectives, security requirements, the processes deployed as well as the size and structure of the organization. The implementation of ISM should be carried out to the extent consistent with the needs of the organization.

Open abdomen critical care management principles: resuscitation, fluid balance, nutrition, and ventilator management

PubMed Central

Chabot, Elizabeth; Nirula, Ram

2017-01-01

The term “open abdomen” refers to a surgically created defect in the abdominal wall that exposes abdominal viscera. Leaving an abdominal cavity temporarily open has been well described for several indications, including damage control surgery and abdominal compartment syndrome. Although beneficial in certain patients, the act of keeping an abdominal cavity open has physiologic repercussions that must be recognized and managed during postoperative care. This review article describes these issues and provides guidelines for the critical care physician managing a patient with an open abdomen. PMID:29766080

Study of systems and techniques for data base management

NASA Technical Reports Server (NTRS)

1976-01-01

Data management areas were studied to identify pertinent problems and issues that will affect future NASA data users in terms of performance and cost. Specific topics discussed include the identifications of potential NASA data users other than those normally discussed, consideration affecting the clustering of minicomputers, low cost computer system for information retrieval and analysis, the testing of minicomputer based data base management systems, ongoing work related to the use of dedicated systems for data base management, and the problems of data interchange among a community of NASA data users.

Assessing the whole person: case managers take a holistic approach to physical and mental health.

PubMed

Carter, Jolynne Jo; Zawalski, Sandra; Sminkey, Patrice V; Christopherson, Bruce

2015-01-01

Given the prevalence of mental health issues, particularly depressive disorders, in the U.S. population, professional case managers should increase their sensitivity to and awareness of mental illnesses, as well as their impact on physical health. Throughout the case management process, case managers frequently observe behaviors and symptoms such as those associated with depressive disorders. Case managers need to have, at a minimum, a working knowledge of mental and behavioral health issues and be familiar with basic screening tools. This will enable them to become more attuned to symptoms and behaviors that indicate that the individual should be further assessed and diagnosed by a physician. Across the case management spectrum, including acute care, accountable care organizations, patient-centered medical homes, physician practices, clinics, occupational health clinics, workers' compensation, and other settings in which case managers work with individuals (clients who receive case management services) and their families/support systems. With more than one quarter of the U.S. population affected by a depressive disorder, professional case managers who practice holistically bring together the mental and physical aspects of health. This is particularly important in a health care system and among payer sources that continue to divide the two. Case managers elevate their practice by demonstrating a greater understanding of the interconnectedness of mental and physical health and can positively influence the transdisciplinary care team to take a person-centered approach to address all health issues, in pursuit of the individual's health goals. Professional case managers must increase their understanding of mental health, becoming more aware of "red flags" that may necessitate a further evaluation and assessment by a mental health professional. They should also hone their communication skills, particularly the use of motivational interviewing techniques, to encourage individuals to discuss their feelings, worries, fears, and anxiety, as well as any potential symptoms of depression, which may range from mild to severe. Without judgment or bias, the case manager, as the advocate, can provide the information, support, or other services needed to address mental health issues, to support and further the individual's health goals.

Collegiate Aviation Research and Education Solutions to Critical Safety Issues

NASA Technical Reports Server (NTRS)

Bowen, Brent (Editor)

2002-01-01

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

Integrating Webtop Components with Thin-Client Web Applicators using WDK Tickets

NASA Technical Reports Server (NTRS)

Duley, Jason

2004-01-01

Contents include the folloving: Issues surrounding encryption/decryption of password strings when deploying on different machines and platforms. Security concerns when exposing docbases to internet users. Docbase Session management in Java Servlets. Customization of Webtop components. WDK Tickets as a silent login alternative. Encoding Tickets and Ticket syntax. Invoking Webtop components via an Action URL. Issues with accessing Webtop components on Mac OS X through SSL.

Contentious issues in research on trafficked women working in the sex industry: study design, ethics, and methodology.

PubMed

Cwikel, Julie; Hoban, Elizabeth

2005-11-01

The trafficking of women and children for work in the globalized sex industry is a global social problem. Quality data is needed to provide a basis for legislation, policy, and programs, but first, numerous research design, ethical, and methodological problems must be addressed. Research design issues in studying women trafficked for sex work (WTSW) include how to (a) develop coalitions to fund and support research, (b) maintain a critical stance on prostitution, and therefore WTSW (c) use multiple paradigms and methods to accurately reflect WTSW's reality, (d) present the purpose of the study, and (e) protect respondents' identities. Ethical issues include (a) complications with informed consent procedures, (b) problematic access to WTSW (c) loss of WTSW to follow-up, (d) inability to intervene in illegal acts or human rights violations, and (e) the need to maintain trustworthiness as researchers. Methodological issues include (a) constructing representative samples, (b) managing media interest, and (c) handling incriminating materials about law enforcement and immigration.

Australian fly-in, fly-out operations: Impacts on communities, safety, workers and their families.

PubMed

Langdon, Rebecca R; Biggs, Herbert C; Rowland, Bevan

2016-10-17

Australia's mineral, resource and infrastructure sectors continues to expand as operations in rural and remote locations increasingly rely on fly-in, fly-out or drive-in, drive-out workforces in order to become economically competitive. The issues in effectively managing these workforces are becoming more apparent with reported high amounts of turnover and concerns for safety and performance. The issues presented include a range of physical, mental, psychosocial, safety and community challenges. This review aims to consolidate a range of research conducted to communicate potential challenges for industry in relation to a wide variety of issues when engaging and using FIFO/DIDO workforces which includes compressed working schedule design (work schedules), working hours, fatigue, safety performance, employee wellbeing, turnover, psychosocial relationships and community concerns. A comprehensive literature review was performed using EBSCOhost, PubMed and google scholar, with a focus on FIFO or DIDO workforces engaged within the resources sector. Search terms were kept broad in order to capture all national and international research conducted and included: "fly-in, fly-out" "FIFO" "DIDO" "drive-in, drive-out" "mining". There was no date restriction included in the search. Many of the studies were focused on sleep quality, fatigue and the influence of lowered safety performance while at work, presenting an increased risk for health and safety. These issues may be exacerbated for the FIFO workforce when linked to additional research surrounding the extended periods of absence from families influencing workers personal relationships, psychological wellbeing, job satisfaction and the reported high amounts of turnover within the industry. Taken together, this presents a unique implication for the management and continued use of FIFO workforces when considering balancing safety and performance with economic viability of production and operations. The issues of long working hours, fatigue, turnover and job satisfaction are not new to the management of workers. However, FIFO workforces appear to be at an increased risk physically and mentally due to a culmination of other influences, such as extended and frequent periods of absence from friends and families which contribute to feelings of isolation and lowered psychological wellbeing. FIFO workers and their families, engage in a unique lifestyle, rarely are other workers subjected to long hours and compressed work weeks while separated or isolated from their families for extended periods of time. Recently, FIFO interest has shifted to understanding the influences on employee engagement, satisfaction, retention and safety. Considering the management of FIFO workforces from a holistic perspective incorporating all of the issues impacting on these workers may assist to ensure the challenges associated with FIFO employment are understood, addressed and communicated to workers and their families is crucial for safety and health.

Technology to Optimize Pediatric Diabetes Management and Outcomes

PubMed Central

Harrington, Kara R.; Laffel, Lori M. B.

2013-01-01

Technology for diabetes management is rapidly developing and changing. With each new development, there are numerous factors to consider, including medical benefits, impact on quality of life, ease of use, and barriers to use. It is also important to consider the interaction between developmental stage and technology. This review considers a number of newer diabetes-related technologies and explores issues related to their use in the pediatric diabetes population (including young adults), with a focus on psychosocial factors. Areas include trend technology in blood glucose monitoring, continuous glucose monitoring, sensor-augmented insulin pumps and low glucose suspend functions, internet applications including videoconferencing, mobile applications (apps), including text messaging, and online gaming. PMID:24046146

The growing need for resources to help older adults manage their financial and healthcare choices.

PubMed

MacLeod, Stephanie; Musich, Shirley; Hawkins, Kevin; Armstrong, Douglas G

2017-04-11

Both financial literacy (managing personal finances) and health literacy (managing personal health) become increasingly important for older adults, potentially impacting their quality of life. Resources in these constructs of literacy tend to be distinct, although the skills and decision-making involved overlap as financial issues impact healthcare choices. Thus the primary purpose of this commentary is to propose a new area of research focus that defines the intersection of financial and health literacy (i.e., financial health literacy). We conducted a limited literature review related to financial, health, and health insurance literacy to demonstrate gaps in the literature and support our position. Online search engines were utilized to identify research in our primary areas of interest. We define the intersection of financial and health literacy as an area of need labeled financial health literacy, with a focus on four domains. These include: 1) the ability to manage healthcare expenses; 2) pay medical bills; 3) determine health needs and understand treatment options; and 4) make sound healthcare decisions with financial resources available. Despite some overlap with health insurance literacy, financial health literacy would define an area of need encompassing health management choices and health plan selections integrated with other financial management issues including living arrangements, financial planning, and retirement planning. Potential initiatives should be considered to help at-risk older adults find resources to improve their financial health literacy, which in turn will enhance their abilities to manage medical choices in the environment of an increasingly complex healthcare system.

Stem cell research ethics: consensus statement on emerging issues.

PubMed

Caulfield, Timothy; Ogbogu, Ubaka; Nelson, Erin; Einsiedel, Edna; Knoppers, Bartha; McDonald, Michael; Brunger, Fern; Downey, Robin; Fernando, Kanchana; Galipeau, Jacques; Geransar, Rose; Griener, Glenn; Grenier, Glenn; Hyun, Insoo; Isasi, Rosario; Kardel, Melanie; Knowles, Lori; Kucic, Terrence; Lotjonen, Salla; Lyall, Drew; Magnus, David; Mathews, Debra J H; Nisbet, Matthew; Nisker, Jeffrey; Pare, Guillaume; Pattinson, Shaun; Pullman, Daryl; Rudnicki, Michael; Williams-Jones, Bryn; Zimmerman, Susan

2007-10-01

This article is a consensus statement by an international interdisciplinary group of academic experts and Canadian policy-makers on emerging ethical, legal and social issues in human embryonic stem cells (hESC) research in Canada. The process of researching consensus included consultations with key stakeholders in hESC research (regulations, stem cell researchers, and research ethics experts), preparation and distribution of background papers, and an international workshop held in Montreal in February 2007 to discuss the papers and debate recommendations. The recommendations provided in the consensus statement focus on issues of immediate relevance to Canadian policy-makers, including informed consent to hESC research, the use of fresh embryos in research, management of conflicts of interest, and the relevance of public opinion research to policy-making.

Exogenous and endogenous hormones and breast cancer

PubMed Central

ChenMD, Wendy Y.

2008-01-01

Exposure to higher levels of both exogenous and endogenous hormone is associated with breast cancer risk. Because of the association between breast cancer and HRT, only the minimal duration of HRT use is recommended for symptom control, and it is not recommended for chronic disease management. Current research issues include the role of progestins, other types of HRT, duration of unopposed estrogen use, and characteristics of cancers that develop on HRT. Circulating sex steroid levels are associated with breast cancer risk, but multiple issues need to be addressed before they are used routinely in clinical practice. Current research issues include measurement of levels for routine clinical practice, integration with standard breast cancer risk models and genetic polymorphism data, and applicability to estrogen-receptor-negative cancers. PMID:18971119

Gynaecological issues affecting the obese adolescent.

PubMed

Wood, Paul L; Bauman, Dvora

2015-05-01

The implications of obesity in childhood and adolescence resonate into adulthood and have implications at different levels that include psychosocial and health issues that impact beyond reproductive performance. This chapter explores the various facets and consequences on gynaecological issues of increased Body Mass Index in childhood, including the link with puberty, pubertal menorrhagia (also affecting children with complex needs) and the all too common problems surrounding hyperandrogenism, insulin resistance and the polycystic ovarian syndrome in particular which need to be seen in the specific context of the adolescent years. The wider ramifications of obesity on the psychosocial welfare of adolescents merits special attention. Finally management strategies are considered in the context of the needs of adolescents. Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.

Multidisciplinary study on anthropogenic landslides in Nepal

NASA Astrophysics Data System (ADS)

Puglia, Christopher; Derron, Marc-Henri; Nicolet, Pierrick; Sudmeier-Rieux, Karen; Jaboyedoff, Michel; Devkota, Sanjay

2013-04-01

Nepal is a country in which shallow landslide is a frequent phenomenon. Monsoon is the main triggering factor but anthropogenic influence is often significant too. Indeed, many infrastructures, such as roads or water pipes, are not built in a rigorous way because of a lack of funds and knowledge. In the present study we examine the technical, social and economic issues of landslide management for two sites in Nepal. The first site is located in Sanusiruwari VDC (Sindhupalchock district, central Nepal) and the second one in Namadi VDC (Ramecchap district, central Nepal). Both sites are affected by landslides induced by the construction of hydropower plants. These landslides may threaten the viability of the hydropower plants. At both sites the problems are quite similar, but the first site project is a private one and the second one is a public one implemented by the United Nations Development Programme (UNDP). For both sites, bioengineering methods using Vetiver (Vetyveria zizanioides) plantations is the main stabilization measure. To follow the progression of both landslides, fieldwork observations were conducted before and after the 2012 rainy season, including photogrammetric and distancemeter acquisitions. Main issues were discussed with communities and stakeholders of the hydropower projects through interviews and participatory risk mapping. Main issues include: lack of communication between the project managers and communities leading to conflict and the lack of maintenance of the bio-engineering sites, leading to less effective Vetiver growth and slope stabilization. Comparing the landslide management (technical, social and economic) of the two projects allows to point out some specific issues within an integrated risk perspective.

Management of construction and demolition wastes as secondary building resources

NASA Astrophysics Data System (ADS)

Manukhina, Lyubov; Ivanova, Irina

2017-10-01

The article analyzes the methods of management of construction and demolition wastes. The authors developed suggestions for improving the management system of the turnover of construction and demolition wastes. Today the issue of improving the management of construction and demolition wastes is of the same importance as problems of protecting the life-support field from pollution and of preserving biological and land resources. The authors educed the prospective directions and methods for improving the management of the turnover processes for construction and demolition wastes, including the evaluation of potential of wastes as secondary raw materials and the formation of a centralized waste management system.

Higher Education Trends (1997-1999): Finance. ERIC-HE Trends.

ERIC Educational Resources Information Center

Kezar, Adrianna J.

The literature on financial issues in higher education is limited. Six major themes in the literature in l996 include the reduced federal role and increased state role in funding; managing costs, including deferred maintenance and capital spending in times of shrinking resources; concern about rising tuition and its impact on access; concern about…

Outpatient Art Therapy with Multiple Personality Disorder: A Survey of Current Practice.

ERIC Educational Resources Information Center

Mills, Anne

1995-01-01

Reports findings of a 1993 questionnaire completed by 46 North American art therapists that focuses on the outpatient treatment of multiple personality disorder. Includes information on role in diagnosing, fees and third-party payment, and therapeutic activities. Treatment issues include pacing and containment, and managing the client's chronic…

Academy Sharing Knowledge (ASK). The NASA Source for Project Management Magazine. Volume 5

NASA Technical Reports Server (NTRS)

Post, Todd (Editor)

2001-01-01

How big is your project world? Is it big enough to contain other cultures, headquarters, hierarchies, and weird harpoon-like guns? Sure it is. The great American poet Walt Whitman said it best, 'I am large/I contain multitudes.' And so must you, Mr. and Ms. Project Manager. In this issue of ASK, we look outside the project box. See how several talented project managers have expanded their definition of project scope to include managing environments outside the systems and subsystems under their care. Here's a sampling of what we've put together for you this issue: In 'Three Screws Missing,' Mike Skidmore tells about his adventures at the Plesetek Cosmodrome in northern Russia. Ray Morgan in his story, 'Our Man in Kauai,' suggests we take a broader view of what's meant by 'the team.' Jenny Baer-Riedhart, the NASA program manager on the same Pathfinder solar-powered airplane, schools us in how to sell a program to Headquarters in 'Know Thyself--But Don't Forget to Learn About the Customer Too.' Scott Cameron of Proctor and Gamble talks about sharpening your hierarchical IQ in 'The Project Manager and the Hour Glass.' Mike Jansen in 'The Lawn Dart' describes how he and the 'voodoo crew' on the Space Shuttle Advanced Solid Rocket Motor program borrowed a harpoon-like gun from the Coast Guard to catch particles inside of a plume. These are just some of the stories you'll find in ASK this issue. We hope they cause you to stop and reflect on your own project's relationship to the world outside. We are also launching a new section this issue, 'There are No Mistakes, Only Lessons.' No stranger to ASK readers, Terry Little inaugurates this new section with his article 'The Don Quixote Complex.'

Managing for climate change on protected areas: An adaptive management decision making framework.

PubMed

Tanner-McAllister, Sherri L; Rhodes, Jonathan; Hockings, Marc

2017-12-15

Current protected area management is becoming more challenging with advancing climate change and current park management techniques may not be adequate to adapt for effective management into the future. The framework presented here provides an adaptive management decision making process to assist protected area managers with adapting on-park management to climate change. The framework sets out a 4 step process. One, a good understanding of the park's context within climate change. Secondly, a thorough understanding of the park management systems including governance, planning and management systems. Thirdly, a series of management options set out as an accept/prevent change style structure, including a systematic assessment of those options. The adaptive approaches are defined as acceptance of anthropogenic climate change impact and attempt to adapt to a new climatic environment or prevention of change and attempt to maintain current systems under new climatic variations. Last, implementation and monitoring of long term trends in response to ecological responses to management interventions and assessing management effectiveness. The framework addresses many issues currently with park management in dealing with climate change including the considerable amount of research focussing on 'off-reserve' strategies, and threats and stress focused in situ park management. Copyright © 2017 Elsevier Ltd. All rights reserved.

Fort McHenry alternative transportation study

DOT National Transportation Integrated Search

2004-06-01

This project assesses transportation management issues at Fort McHenry National Monument and Historic Shrine in the Locust Point area of Baltimore. Goals of the study include mitigating traffic congestion and idling of school or tour buses, encouragi...

Social, Economic, and Political Change: Portents for Reform in Engineering Curricula.

ERIC Educational Resources Information Center

Wenk, Edward, Jr.

1988-01-01

Discusses the needs and properties of human systems including issues of safety and the holistic approach in engineering. Lists a suggested introductory engineering curriculum. Describes characteristics of future realities in managing technology. (YP)

Catalyzing municipal stakeholder engagement for stormwater funding solutions

EPA Science Inventory

Stormwater runoff contributes to a range of water quality issues in coastal systems, including eutrophication, contamination of water resources, and reduced value to coastal residents. However, managing runoff sources and meeting permit requirements can be costly. Municipalities ...

Using collaborative tools for energy corridor planning.

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

Kuiper, J. A.; Cantwell, B.; Hlohowskyj, I.

2008-01-01

In November 2007, the Draft Programmatic Environmental Impact Statement on Designation of Energy Corridors on Federal Land in the Western 11 States was released. The draft proposes a network of 6055 miles of energy corridors on lands managed by seven different federal agencies. Determining the proposed locations of the corridors was a large collaborative effort among the agencies and included local, state, and federal land managers. To connect this geographically dispersed group of people, the project team employed a variety of approaches to communicate corridor siting issues, including sharing GIS layers and electronic maps, a downloadable GIS database and ArcReadermore » project, workshops, and Internet webcast teleconferences. This collaborative approach allowed difficult siting issues to be understood and discussed from many perspectives, which resulted in rapid and effective decision making. The result was a proposed corridor system that avoids many sensitive resources and protected lands while accommodating expected energy development.« less

Outage management and health physics issue, 2009

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

Agnihotri, Newal

2009-05-15

The focus of the May-June issue is on outage management and health physics. Major articles include the following: Planning and scheduling to minimize refueling outage, by Pat McKenna, AmerenUE; Prioritizing safety, quality and schedule, by Tom Sharkey, Dominion; Benchmarking to high standards, by Margie Jepson, Energy Nuclear; Benchmarking against U.S. standards, by Magnox North, United Kingdom; Enabling suppliers for new build activity, by Marcus Harrington, GE Hitachi Nuclear Energy; Identifying, cultivating and qualifying suppliers, by Thomas E. Silva, AREVA NP; Creating new U.S. jobs, by Francois Martineau, Areva NP. Industry innovation articles include: MSL Acoustic source load reduction, by Amirmore » Shahkarami, Exelon Nuclear; Dual Methodology NDE of CRDM nozzles, by Michael Stark, Dominion Nuclear; and Electronic circuit board testing, by James Amundsen, FirstEnergy Nuclear Operating Company. The plant profile article is titled The future is now, by Julia Milstead, Progress Energy Service Company, LLC.« less

Progress on quality management in the German health system – a long and winding road

PubMed Central

Breckenkamp, Juergen; Wiskow, Christiane; Laaser, Ulrich

2007-01-01

The interest in quality management in health care has increased in the last decades as the financial crises in most health systems generated the need for solutions to contain costs while maintaining quality of care. In Germany the development of quality management procedures has been closely linked with health care reforms. Starting in the early nineties quality management issues gained momentum in reform legislation only 10 years later. This review summarizes recent developments in medical quality management as related to the federal reform legislation in Germany. It provides an overview on the infrastructure, actors and on the current discussion concerning quality management in medical care. Germany had to catch up on implementing quality management in the health system compared to other countries. Considerable progress has been made, however, it is recognized that the full integration of quality management will require long-term commitment in developing methods, instruments and communication procedures. The most ambitious project at present is the development of a comprehensive comparative quality management system for hospitals at national level, including public reporting. For the time being medical quality management in Germany is dealt with as a technical and professional issue while the aspects of patient orientation and transparency need further advancement. PMID:17550593

U.S. Geological Survey Science Support Strategy for Biscayne National Park and Surrounding Areas in Southeastern Florida

USGS Publications Warehouse

Wolfert-Lohmann, Melinda A.; Langevin, Christian D.; Jones, Sonya A.; Reich, Chris D.; Wingard, Georgina L.; Kuffner, Ilsa B.; Cunningham, Kevin J.

2008-01-01

The U.S. Geological Survey conducts a wide range of research in and around the Biscayne National Park region of southern Florida. This research encompasses the biologic, ecologic, meteorologic, geologic, and hydrologic components of the system, including water-quality analyses, ground-water modeling, hydrogeologic-data collection, ecologic-habitat evaluations, wetlands characterizations, biogeochemistry of ecosystems, and paleo-ecologic analyses. Relevant information is provided herein for researchers and managers interested in the Biscayne Bay area and about current U.S. Geological Survey efforts that address important resource protection and management issues. Specifically, managers and scientists are provided with information on current and recently completed U.S. Geological Survey projects and a sample listing of potential U.S. Geological Survey research projects addressing relevant issues that face the study area.

Hyperpigmentation therapy: a review.

PubMed

Desai, Seemal R

2014-08-01

With an increasing number of multicultural patients and those of different backgrounds presenting in dermatology clinics, issues facing patients with higher Fitzpatrick skin classifications, often referred to as skin of color patients, are on the rise. Knowledge of the diagnostic dilemmas, cutting edge treatment options, and latest clinical research in the diagnosis and management of cutaneous anomalies in skin of color patients is of paramount importance. Of the most common complaints in patients with skin of color is hyperpigmentation. Despite the availability of multiple treatments for the condition, hyperpigmentation continues to present clinical management challenges for dermatologists. Difficulty may be traced to physician or patient reluctance to use certain agents or interventions, failure to identify and avoid contributing factors, and insufficient attention paid to the psychosocial aspects of the disease. This review addresses a variety of issues including the diagnosis and management of hyperpigmentation.

Lake Powell management alternatives and values: CVM estimates of recreation benefits

USGS Publications Warehouse

Douglas, A.J.; Harpman, D.A.

2004-01-01

This paper presents data analyses based on information gathered from a recreation survey distributed during the spring of 1997 at Lake Powell. Recreation-linked management issues are the foci of the survey and this discussion. Survey responses to contingent valuation method (CVM) queries included in the questionnaire quantify visitor recreation values. The CVM estimates of the benefits provided by potential resource improvements are compared with the costs of the improvements in a benefit-cost analysis. The CVM questions covered three resources management issues including water quality improvement, sport fish harvest enhancement, and archeological site protection and restoration. The estimated benefits are remarkably high relative to the costs and range from $6 to $60 million per year. The dichotomous choice format was used in each of three resource CVM question scenarios. There were two levels of enhancement for each resource. There are, therefore, several consistency requirements—some of them unique to the dichotomous choice format—that the data and benefit estimates must satisfy. These consistency tests are presented in detail in the ensuing analysis.

Risk, Issues and Lessons Learned: Maximizing Risk Management in the DoD Ground Domain

DTIC Science & Technology

2011-10-01

Carnegie Mellon University “Risk Management Overview for TACOM” Benefits of Risk Management include: • Risk is a proactive approach - preventing... Chili (no beans) 13 • Hot dog sub-assy Unclassified How does the FMEA work? Execute the analysis and discover the potential failures and effects...34 - --· . -· A c u i.rition Benefits of FMEAs • Prevent major risks, reduce failures, minimize cost and reduce development time - Do it right the first time

Practice management--warts and all.

PubMed

Fleming, G J

1993-02-01

A recent survey, part of a Practice Management Study, asked 100 doctors how their businesses were going. From the responses, it was evident that there were many areas of concern, including working long hours looking after patients; no time for the family; the accountant does the tax, but that's all; and accountants, solicitors and consultants are too expensive. This article sets out some of the issues raised in the survey.

The Way Forward: Women in Higher Education Management in Australia. Report of a National Conference (Armidale, New South Wales, Australia, July 18-20, 1984).

ERIC Educational Resources Information Center

Randell, Shirley, Ed.

Issues concerning the participation of women in college administration in Australia are presented in this conference report. Of concern were structural and attitudinal barriers to greater participation of women in educational management and the role of government in fostering equal opportunity. Included are an overview of the conference,…

A Graphical User Interface for the Low Cost Combat Direction System

DTIC Science & Technology

1991-09-16

the same tasks. These shipboard tasks, which include contact management , moving geometry calculations, intelligence compila- tion, area plotting and...Display Defaults Analysis This category covers a wide range of required data input and system configuration issues. To keep the screen display manageable ...parts or dialog boxes. The implementation of an Ada application using STARS is quite straightforward, although knowlede of X Protocol primitives is

Fuels planning: science synthesis and integration; social issues fact sheet 01: Developing personal responsibility for fuels reduction: Building a successful program to engage property owners

Treesearch

Rocky Mountain Research Station USDA Forest Service

2004-01-01

In the course of work as a land manager, you will no doubt be involved in developing programs to achieve various objectives, including the improvement of fuels management on private lands. This fact sheet describes six steps that will help you plan and conduct a successful program.

Community Solutions to Solid Waste Pollution. Operation Waste Watch: The New Three Rs for Elementary School. Grade 6. [Second Edition.

ERIC Educational Resources Information Center

Virginia State Dept. of Waste Management, Richmond. Div. of Litter & Recycling.

This publication, the last in a series of seven for elementary schools, is an environmental education curriculum guide with a focus on waste management issues. It contains a unit of exercises selected for sixth grade students focusing on community solutions to solid waste pollution. Waste management activities included in this unit seek to…

Final Environmental Impact Statement. Disposal and Reuse of Norton Air Force Base, California

DTIC Science & Technology

1993-06-01

transportation, utilities, hazardous materials/wastes, soils and geology, water resources, air quality, noise, biological resources, and cultural resources...as project-related influencing factors. Issues related to current and future management of hazardous materials and wastes are also discussed...34 Hazardous Materials/ Hazardous Waste Management (Sections 3.3 and 4.3) includes expanded discussions on the following: - FFA schedule moved from

Evaluation of potential effects of federal land management alternatives on trends of salmonids and their habitats in the interior Columbia River basin.

Treesearch

Bruce Rieman; James T. Peterson; James Clayton; Philip Howell; Russell Thurow; William Thompson; Danny Lee

2001-01-01

Aquatic species throughout the interior Columbia River basin are at risk. Evaluation of the potential effects of federal land management on aquatic ecosystems across this region is an important but challenging task. Issues include the size and complexity of the systems, uncertainty in important processes and existing states, flexibility and consistency in the...

Implementing the community health worker model within diabetes management: challenges and lessons learned from programs across the United States.

PubMed

Cherrington, Andrea; Ayala, Guadalupe X; Amick, Halle; Allison, Jeroan; Corbie-Smith, Giselle; Scarinci, Isabel

2008-01-01

The purpose of this qualitative study was to examine methods of implementation of the community health worker (CHW) model within diabetes programs, as well as related challenges and lessons learned. Semi-structured interviews were conducted with program managers. Four databases (PubMed, CINAHL, ISI Web of Knowledge, PsycInfo), the CDC's 1998 directory of CHW programs, and Google Search Engine were used to identify CHW programs. Criteria for inclusion were: DM program; used CHW strategy; occurred in United States. Two independent reviewers performed content analyses to identify major themes and findings. Sixteen programs were assessed, all but 3 focused on minority populations. Most CHWs were recruited informally; 6 programs required CHWs to have diabetes. CHW roles and responsibilities varied across programs; educator was the most commonly identified role. Training also varied in terms of both content and intensity. All programs gave CHWs remuneration for their work. Common challenges included difficulties with CHW retention, intervention fidelity and issues related to sustainability. Cultural and gender issues also emerged. Examples of lessons learned included the need for community buy-in and the need to anticipate nondiabetes related issues. Lessons learned from these programs may be useful to others as they apply the CHW model to diabetes management within their own communities. Further research is needed to elucidate the specific features of this model necessary to positively impact health outcomes.

Nonmotor fluctuations: phenotypes, pathophysiology, management, and open issues.

PubMed

Classen, Joseph; Koschel, Jiri; Oehlwein, Christian; Seppi, Klaus; Urban, Peter; Winkler, Christian; Wüllner, Ullrich; Storch, Alexander

2017-08-01

Parkinson's disease (PD) is a neurodegenerative multisystem disorder characterized by progressive motor symptoms such as bradykinesia, tremor and muscle rigidity. Over the course of the disease, numerous non-motor symptoms, sometimes preceding the onset of motor symptoms, significantly impair patients' quality of life. The significance of non-motor symptoms may outweigh the burden through progressive motor incapacity, especially in later stages of the disease. The advanced stage of the disease is characterized by motor complications such as fluctuations and dyskinesias induced by the long-term application of levodopa therapy. In recent years, it became evident that various non-motor symptoms such as psychiatric symptoms, fatigue and pain also show fluctuations after chronic levodopa therapy (named non-motor fluctuations or NMFs). Although NMFs have moved into the focus of interest, current national guidelines on the treatment of PD may refer to non-motor symptoms and their management, but do not mention NMF, and do not contain recommendations on their management. The present article summarizes major issues related to NMF including clinical phenomenology and pathophysiology, and outlines a number of open issues and topics for future research.

Soil health paradigms and implications for disease management.

PubMed

Larkin, Robert P

2015-01-01

Soil health has been defined as the capacity of soil to function as a vital living system to sustain biological productivity, maintain environmental quality, and promote plant, animal, and human health. Building and maintaining soil health are essential to agricultural sustainability and ecosystem function. Management practices that promote soil health, including the use of crop rotations, cover crops and green manures, organic amendments, and conservation tillage, also have generally positive effects on the management of soilborne diseases through a number of potential mechanisms, including increasing soil microbial biomass, activity, and diversity, resulting in greater biological suppression of pathogens and diseases. However, there also may be particular disease issues associated with some soil health management practices. In this review, research and progress made over the past twenty years regarding soil health, sustainability, and soil health management practices, with an emphasis on their implications for and effects on plant disease and disease management strategies, are summarized.

Clinical guidelines for the treatment of depressive disorders. II. Principles of management.

PubMed

Reesal, R T; Lam, R W

2001-06-01

The Canadian Psychiatric Association and the Canadian Network for Mood and Anxiety Treatments partnered to produce clinical guidelines for psychiatrists for the treatment of depressive disorders. A standard guidelines development process was followed. Relevant literature was identified using a computerized Medline search supplemented by review of bibliographies. Operational criteria were used to rate the quality of scientific evidence, and the line of treatment recommendations included consensus clinical opinion. This section on "Principles of Management" is 1 of 7 articles drafted and reviewed by clinicians. Revised drafts underwent national and international expert peer review. The principles and goals of psychiatric management with psychotherapy and pharmacotherapy are reviewed. Two phases of treatment, acute and maintenance, are identified. Special topics, including inpatient management, suicide management, and medical-legal issues are also discussed. These principles of psychiatric management provide a framework for the use of specific treatments for depressive disorders.

Development of an integrated water resources management plan for the Lake Manyara sub-basin, Northern Tanzania

NASA Astrophysics Data System (ADS)

Ngana, J. O.; Mwalyosi, R. B. B.; Madulu, N. F.; Yanda, P. Z.

Water resources management in Lake Manyara sub-basin is an issue of very high significance as the sub-basin hosts a number of national and global assets of great socio-cultural, ecological and economic values. The sub-basin comprise of a Biosphere Reserve with boosting tourism from Lake Manyara National Park with a variety of wildlife population, large livestock population and highly fertile land for agricultural production. The prevailing system of uncoordinated water resources management in the sub-basin cannot sustain the ever increasing water needs of the various expanding sectors, therefore a strategy must be sought to integrate the various sectoral needs against the available water resources in order to attain both economic and ecological sustainability. Through participatory approach with the stakeholders, the study has established key issues, demonstrated considerable experience in water resources management in the sub-basin including existence of water boards, water committees in some districts as well as land resources management practices However, a number of constraints were noted which inhibit sustainable water resources management including ignorance of water policies, conflicting sectoral policies, lack of coordination between sectors, high in migration rates into the basin, heavy in migration of livestock, conflicts between sectors, poor land use resulting in soil erosion and sedimentation, lack of comprehensive data base on water resources and water needs for : domestic, tourism, livestock, irrigation, wild life and environmental flows. As a way forward it was recommended that a basin wide legally mandated body (involving all levels) be established to oversee water use in the sub-basin. Other strategies include capacity building of stakeholders on water natural resources management policies, water rights and enforcement of laws. This progress report paper highlights the wealth of knowledge that stakeholders possess on water resources management and using that platform develop a participatory Integrated water resources management where roles and responsibilities are ironed out.

ONAV - An Expert System for the Space Shuttle Mission Control Center

NASA Technical Reports Server (NTRS)

Mills, Malise; Wang, Lui

1992-01-01

The ONAV (Onboard Navigation) Expert System is being developed as a real-time console assistant to the ONAV flight controller for use in the Mission Control Center at the Johnson Space Center. Currently, Oct. 1991, the entry and ascent systems have been certified for use on console as support tools, and were used for STS-48. The rendezvous system is in verification with the goal to have the system certified for STS-49, Intelsat retrieval. To arrive at this stage, from a prototype to real-world application, the ONAV project has had to deal with not only Al issues but operating environment issues. The Al issues included the maturity of Al languages and the debugging tools, verification, and availability, stability and size of the expert pool. The environmental issues included real time data acquisition, hardware suitability, and how to achieve acceptance by users and management.

A real-time navigation monitoring expert system for the Space Shuttle Mission Control Center

NASA Technical Reports Server (NTRS)

Wang, Lui; Fletcher, Malise

1993-01-01

The ONAV (Onboard Navigation) Expert System has been developed as a real time console assistant for use by ONAV flight controllers in the Mission Control Center at the Johnson Space Center. This expert knowledge based system is used to monitor the Space Shuttle onboard navigation system, detect faults, and advise flight operations personnel. This application is the first knowledge-based system to use both telemetry and trajectory data from the Mission Operations Computer (MOC). To arrive at this stage, from a prototype to real world application, the ONAV project has had to deal with not only AI issues but operating environment issues. The AI issues included the maturity of AI languages and the debugging tools, verification, and availability, stability and size of the expert pool. The environmental issues included real time data acquisition, hardware suitability, and how to achieve acceptance by users and management.

Sexual harassment in the workplace: guidelines for educating healthcare managers.

PubMed

Robinson, Robert K; Franklin, Geralyn Mcclure; Tinney, Cathie H; Crow, Stephen M; Hartman, Sandra J

2005-01-01

Actionable sexual harassment is defined as a violation of Title VII of the Civil Rights Act of 1964. In recent years, there have been a number of significant developments in sexual harassment case law and litigation including: (1) nationwide legal recognition for same-sex sexual harassment; (2) increased standards on employer liability for sexual harassment perpetrated by supervisory and managerial personnel; and (3) guidelines for mitigating damages when employers are found liable. These developments are of particular concern in those professions such as healthcare in which women historically have been represented as a significant portion of the workforce. Moreover, because management and supervisory relationships in healthcare are often cloudy, harassment by "supervisors" in healthcare settings can be an issue of special concern. In this article, we review relevant issues related to sexual harassment and provide guidance in dealing with the issue in the workplace.

Negotiating roadblocks to IDS-physician equity joint ventures.

PubMed

Dubow, S F; Benoff, M

1998-09-01

Integrated delivery systems (IDSs) may find that forming an equity joint venture relationship with a physician group practice is the best way to integrate physicians into their networks. IDSs have a choice between two basic equity structures: affiliated group practice, in which a management services organization (MSO) handles all practice management infrastructure and the physician group is a physician-only organization; and integrated group practice, in which the physician group encompasses both the physician practice and the administrative infrastructure. The choice of equity structure and how it should be implemented hinge on several legal issues, including the existence of a corporate-practice-of-medicine statute in the IDS's state, compliance with the Federal antikickback statute and Stark laws, and various issues regarding the IDS's tax-exempt status. IDSs also should consider pragmatic issues, particularly those associated with aligning the economic incentives of the two partners.

Policy issues in space analogues

NASA Astrophysics Data System (ADS)

Auger, Robin N.; Facktor, Debra D.

Space mission planning is increasingly focusing on destinations beyond Earth orbit. Advancements in technology will inevitably be required to enable long-duration human spaceflight missions, and breakthroughs in the policy arena will also be needed to achieve success in such missions. By exploring how policy issues have been addressed in analogous extreme environments, policymakers can develop a framework for addressing these issues as they apply to long-term human spaceflight. Policy issues that need to be addressed include: crew selection, training, organization, and activities, medical testing, illness, injury, and death; communication; legal accountability and liability; mission safety and risk management; and environmental contamination. This paper outlines the approach of a study underway by The George Washington University and ANSER to examine how these policy issues have been addressed in several analogues and how the experiences of these analogues can help formulate policies for long-duration human spaceflight missions. Analogues being studied include Antarctic bases, submarine voyages, undersea stations, Biosphere 2, and the U.S. Skylab and Russian Mir space stations.

The Protected Areas Visitor Impact Management (PAVIM) framework: A simplified process for making management decisions

USGS Publications Warehouse

Farrell, T.A.; Marion, J.L.

2002-01-01

Ecotourism and protected area visitation in Central and South America have resulted in ecological impacts, which some protected areas managers have addressed by employing visitor impact management frameworks. In this paper, we propose the Protected Area Visitor Impact Management (PAVIM) framework as an alternative to carrying capacity and other frameworks such as Limits of Acceptable Change. We use a set of evaluation criteria to compare the relative positive and negative attributes of carrying capacity, other decision-making frameworks and the new framework, within the context of their actual and potential use in Central and South America. Positive attributes of PAVIM include simplicity, flexibility, cost effectiveness, timeliness, and incorporating input from stakeholders and local residents. Negative attributes include diminished objectivity and cultural sensitivity issues. Further research and application of PAVIM are recommended.

Ethical issues in a pediatric private practice.

PubMed

Jakubowitz, Melissa

2011-11-01

Building a successful pediatric private practice requires clinical expertise and an understanding of the business process, as well as familiarity with the American Speech-Language-Hearing Association Code of Ethics. This article provides an overview of the ethical issues that may be encountered when building a practice, including a look at marketing and advertising, financial management, privacy, and documentation. Ethically sound decision making is a key to a successful business. © Thieme Medical Publishers.

Research ethics consultation: ethical and professional practice challenges and recommendations.

PubMed

Sharp, Richard R; Taylor, Holly A; Brinich, Margaret A; Boyle, Mary M; Cho, Mildred; Coors, Marilyn; Danis, Marion; Havard, Molly; Magnus, David; Wilfond, Benjamin

2015-05-01

The complexity of biomedical research has increased considerably in the last decade, as has the pace of translational research. This complexity has generated a number of novel ethical issues for clinical investigators, institutional review boards (IRBs), and other oversight committees. In response, many academic medical centers have created formal research ethics consultation (REC) services to help clinical investigators and IRBs navigate ethical issues in biomedical research. Key functions of a REC service include assisting with research design and implementation, providing a forum for deliberative exploration of ethical issues, and supplementing regulatory oversight. As increasing numbers of academic research institutions establish REC services, there is a pressing need for consensus about the primary aims and policies that should guide these activities. Establishing clear expectations about the aims and policies of REC services is important if REC programs are to achieve their full potential. Drawing on the experiences of a Clinical and Translational Science Award Research Ethics Consultation Working Group, this article describes three major ethical and professional practice challenges associated with the provision of REC: (1) managing multiple institutional roles and responsibilities, (2) managing sensitive information, and (3) communicating with consultation requestors about how these issues are managed. The paper also presents several practical strategies for addressing these challenges and enhancing the quality of REC services.

Research Ethics Consultation: Ethical and Professional Practice Challenges and Recommendations

PubMed Central

Sharp, Richard R.; Taylor, Holly A.; Brinich, Margaret A.; Boyle, Mary M.; Cho, Mildred; Coors, Marilyn; Danis, Marion; Havard, Molly; Magnus, David; Wilfond, Benjamin

2015-01-01

The complexity of biomedical research has increased considerably in the last decade, as has the pace of translational research. This complexity has generated a number of novel ethical issues for clinical investigators, institutional review boards (IRBs), and other oversight committees. In response, many academic medical centers have created formal research ethics consultation (REC) services to help clinical investigators and IRBs navigate ethical issues in biomedical research. Key functions of a REC service include: assisting with research design and implementation, providing a forum for deliberative exploration of ethical issues, and supplementing regulatory oversight. As increasing numbers of academic research institutions establish REC services, there is a pressing need for consensus about the primary aims and policies that should guide these activities. Establishing clear expectations about the aims and policies of REC services is important if REC programs are to achieve their full potential. Drawing on the experiences of a Clinical Translational Science Award (CTSA) Research Ethics Consultation Working Group, this article describes three major ethical and professional practice challenges associated with the provision of REC: 1) managing multiple institutional roles and responsibilities, 2) managing sensitive information, and 3) communicating with consultation requestors about how these issues are managed. The paper also presents several practical strategies for addressing these challenges and enhancing the quality of REC services. PMID:25607942

75 FR 77652 - Proposed Information Collection; Assessment of the Business Requirements and Benefits of Enhanced...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-13

... supports some of the most pressing resource management, environmental and climate change science issues... information to be collected; and (d) ways to minimize the burden on the respondents, including the use of...

Campus Network Strategies: A Small College Perspective.

ERIC Educational Resources Information Center

Moberg, Thomas

1999-01-01

Offers advice to administrators and faculty in small colleges on planning, building, and managing campus computer networks. Also included are observations about the network as a strategic asset, funding and staffing issues, and planning for unexpected results. (Author/MSE)

Tech Support.

ERIC Educational Resources Information Center

Beem, Kate

2002-01-01

Discusses technology-support issues, including staff training, cost, and outsourcing. Describes how various school districts manage technology-support services. Features the Technology Support Index, developed by the International Society for Technology in Education, to gauge the operation of school district technology-support programs. (PKP)

76 FR 78663 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-19

... that there are numerous issues that this research does not address, including online data mining by... described in this document will provide data that, along with other input and considerations, will inform...

44 CFR 79.3 - Responsibilities.

Code of Federal Regulations, 2011 CFR

2011-10-01

... HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program FLOOD MITIGATION GRANTS... oversight to all FEMA-related hazard mitigation programs and grants, including: (1) Issue program... Indian tribal governments regarding the mitigation and grants management process; (5) Review and approve...

44 CFR 79.3 - Responsibilities.

Code of Federal Regulations, 2014 CFR

2014-10-01

... HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program FLOOD MITIGATION GRANTS... oversight to all FEMA-related hazard mitigation programs and grants, including: (1) Issue program... Indian tribal governments regarding the mitigation and grants management process; (5) Review and approve...

44 CFR 79.3 - Responsibilities.

Code of Federal Regulations, 2013 CFR

2013-10-01

... HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program FLOOD MITIGATION GRANTS... oversight to all FEMA-related hazard mitigation programs and grants, including: (1) Issue program... Indian tribal governments regarding the mitigation and grants management process; (5) Review and approve...

44 CFR 79.3 - Responsibilities.

Code of Federal Regulations, 2012 CFR

2012-10-01

... SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program FLOOD MITIGATION GRANTS § 79.3...-related hazard mitigation programs and grants, including: (1) Issue program implementation procedures, as... governments regarding the mitigation and grants management process; (5) Review and approve State, Indian...

44 CFR 79.3 - Responsibilities.

Code of Federal Regulations, 2010 CFR

2010-10-01

... HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program FLOOD MITIGATION GRANTS... oversight to all FEMA-related hazard mitigation programs and grants, including: (1) Issue program... Indian tribal governments regarding the mitigation and grants management process; (5) Review and approve...

Keeping Your Child Healthy During Cancer Remission

MedlinePlus

... sugars. Sugar and syrups are added to some foods and beverages when they are processed or prepared. This includes ... Pets and Animals myhealthfinder Food and Nutrition Healthy Food Choices Weight ... Healthcare Management End-of-Life Issues Insurance & Bills Self Care ...

Nursing implications: symptom presentation and quality of life in rectal cancer patients.

PubMed

O'Gorman, Claire; Barry, Amanda; Denieffe, Suzanne; Sasiadek, Wojciech; Gooney, Martina

2016-05-01

To determine the changes in symptoms experienced by rectal cancer patients during preoperative chemoradiotherapy, with a specific focus on fatigue and to explore how symptoms impact the quality of life. Rectal cancer continues to be a healthcare issue internationally, despite advances in management strategies, which includes the administration of preoperative chemoradiotherapy to improve locoregional control. It is known that this treatment may cause adverse effects; however, there is a paucity of literature that specifically examines fatigue, symptoms and quality of life in this patient cohort. A prospective, quantitative correlational design using purposive sampling was adopted. Symptoms and quality of life were measured with validated questionnaires in 35 patients at four time points. Symptoms that changed significantly over time as examined using rm-anova include fatigue, bowel function issues, nutritional issues, pain, dermatological issues and urinary function issues. Findings indicate that fatigue leads to poorer quality of life, with constipation, bloating, stool frequency, appetite loss, weight worry, nausea and vomiting, dry mouth and pain also identified as influencing factors on quality of life. Findings have highlighted the importance of thorough symptom assessment and management of patients receiving preoperative chemoradiotherapy, particularly midway through treatment, in order to optimise quality of life and minimise interruptions to treatment. Close monitoring of symptoms during preoperative chemoradiotherapy, particularly at week 4, will enable the implementation of timely interventions so that interruptions to treatment are prevented and the quality of life is optimised, which may hasten postoperative recovery times. © 2016 John Wiley & Sons Ltd.

Critical Care Management Focused on Optimizing Brain Function After Cardiac Arrest.

PubMed

Nakashima, Ryuta; Hifumi, Toru; Kawakita, Kenya; Okazaki, Tomoya; Egawa, Satoshi; Inoue, Akihiko; Seo, Ryutaro; Inagaki, Nobuhiro; Kuroda, Yasuhiro

2017-03-24

The discussion of neurocritical care management in post-cardiac arrest syndrome (PCAS) has generally focused on target values used for targeted temperature management (TTM). There has been less attention paid to target values for systemic and cerebral parameters to minimize secondary brain damage in PCAS. And the neurologic indications for TTM to produce a favorable neurologic outcome remain to be determined. Critical care management of PCAS patients is fundamental and essential for both cardiologists and general intensivists to improve neurologic outcome, because definitive therapy of PCAS includes both special management of the cause of cardiac arrest, such as coronary intervention to ischemic heart disease, and intensive management of the results of cardiac arrest, such as ventilation strategies to avoid brain ischemia. We reviewed the literature and the latest research about the following issues and propose practical care recommendations. Issues are (1) prediction of TTM candidate on admission, (2) cerebral blood flow and metabolism and target value of them, (3) seizure management using continuous electroencephalography, (4) target value of hemodynamic stabilization and its method, (5) management and analysis of respiration, (6) sedation and its monitoring, (7) shivering control and its monitoring, and (8) glucose management. We hope to establish standards of neurocritical care to optimize brain function and produce a favorable neurologic outcome.

ERCMExpress. Volume 3, Issue 4

ERIC Educational Resources Information Center

Taymans, Mary Frances; McDonald, Dale

2007-01-01

The Emergency Response and Crisis Management (ERCM) Technical Assistance Center's "ERCMExpress" is a newsletter that provides comprehensive information on key issues in school emergency management. This issue, entitled "Emergency Management Opportunities and Challenges for Non-Public Schools," examines integrating non-public…

Multimedia environmental management

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

Soesilo, J.A.; Wiley, W.D.

1999-09-01

This book explores and supports the argument that effective environmental management must be based on a multimedia approach, which focuses simultaneously on air, water, and waste and enables managers to assess the resulting financial, operation, and management benefits. The multimedia approach, which can be used to design an effective compliance program, includes proper waste and material handling management, systematic monitoring, and record keeping requirements. This approach integrates a wide array of environmental requirements and decision processes, which the authors examine in sixteen chapters, organized into four parts: the role of environmental management; environmental aspects of business operation, environmental processes; andmore » environmental management trends. Within these parts, the authors highlight the development of modern environmental management and provide an overview of federal laws pertinent to multimedia environmental management. They examine such issues as chemical storage and transportation, tank system operations and requirements, waste determination, spill response procedures, and employee training. Environmental processes addressed in the book include the management of solid and hazardous waste, wastewater treatment systems, stormwater management, air emission control, and site remediation. The authors also briefly discuss significant initiatives in US environmental management and look toward corporate sustainable development.« less

Recommendations for sexual expression management in long-term care: a qualitative needs assessment

PubMed Central

Syme, Maggie L.; Lichtenberg, Peter; Moye, Jennifer

2017-01-01

Aims To conduct a qualitative needs assessment of Directors of Nursing regarding challenges and recommendations for addressing sexual expression and consent. Background Sexual expression management among long-term care residents is a complex issue for nursing home staff. Little guidance is available for those wanting to follow a person-centred approach. Policies and procedures are needed, and must be usable across long-term care settings. Design Qualitative design for in-depth exploration. Methods Semi-structured interviews were conducted with 20 Directors of Nursing in the spring and summer of 2013, representing a range of regions, facility sizes and resident populations. Interview questions prompted them to identify recommendations that address challenges to improving sexual expression management in long-term care settings. Results Comparative thematic analysis resulted in several codes, which were grouped into eight overall categories. Recommendation categories that addressed key challenges included: address the issue, make environmental changes, identify staff expertise, provide education and training, assess sexuality initially and recurrently, establish policies/procedures for sexual expression management, develop assessment tools for sexual expression and consent, and clarify legal issues. The recommendation to develop national guidelines was observed across categories. Discussion Directors of Nursing report several challenges to sexual expression management in their facilities, and perceive their current methods to be ad hoc. A proactive approach to policy and procedure development is needed. PMID:27188413