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Sample records for management methodology utilizing

  1. Curriculum Design: Nurse Educator's Role in Managing and Utilizing Various Teaching Methodologies.

    ERIC Educational Resources Information Center

    Walters, Norma J.

    The role of the nurse educator in curriculum design in the future is considered. Changing technology, shifts in patient care agencies, legislation and long-term care specialties in nursing are all factors that will have a significant impact on curricula. Plans for managing and utilizing various teaching methodologies will be an important role for…

  2. TANK OPERATIONS CONTRACT CONSTRUCTION MANAGEMENT METHODOLOGY UTILIZING THE AGENCY METHOD OF CONSTRUCTION MANAGEMENT

    SciTech Connect

    LESKO KF; BERRIOCHOA MV

    2010-02-26

    Washington River Protection Solutions, LLC (WRPS) has faced significant project management challenges in managing Davis-Bacon construction work that meets contractually required small business goals. The unique challenge is to provide contracting opportunities to multiple small business constructioin subcontractors while performing high hazard work in a safe and productive manner. Previous to the WRPS contract, construction work at the Hanford Tank Farms was contracted to large companies, while current Department of Energy (DOE) Contracts typically emphasize small business awards. As an integral part of Nuclear Project Management at Hanford Tank Farms, construction involves removal of old equipment and structures and installation of new infrastructure to support waste retrieval and waste feed delivery to the Waste Treatment Plant. Utilizing the optimum construction approach ensures that the contractors responsible for this work are successful in meeting safety, quality, cost and schedule objectives while working in a very hazardous environment. This paper descirbes the successful transition from a traditional project delivery method that utilized a large business general contractor and subcontractors to a new project construction management model that is more oriented to small businesses. Construction has selected the Agency Construction Management Method (John E Schaufelberger, Len Holm, "Management of Construction Projects, A Constructor's Perspective", University of Washington, Prentice Hall 2002). This method was implemented in the first quarter of Fiscal Year 2009 (FY2009), where Construction Management is performed by substantially home office resources from the URS Northwest Office in Richland, Washington. The Agency Method has allowed WRPS to provide proven Construction Managers and Field Leads to mentor and direct small business contractors, thus providing expertise and assurance of a successful project. Construction execution contracts are subcontracted

  3. Analytical Utility of Campylobacter Methodologies

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The National Advisory Committee on Microbiological Criteria for Foods (NACMCF, or the Committee) was asked to address the analytical utility of Campylobacter methodologies in preparation for an upcoming United States Food Safety and Inspection Service (FSIS) baseline study to enumerate Campylobacter...

  4. LSU: The Library Space Utilization Methodology.

    ERIC Educational Resources Information Center

    Hall, Richard B.

    A computerized research technique for measuring the space utilization of public library facilities provides a behavioral activity and occupancy analysis for library planning purposes. The library space utilization (LSU) methodology demonstrates that significant information about the functional requirements of a library can be measured and…

  5. Utilization management in microbiology.

    PubMed

    Branda, John A; Lewandrowski, Kent

    2014-01-01

    The available literature concerning utilization management in the clinical microbiology laboratory is relatively limited compared with that for high-volume, automated testing in the central Core Laboratory. However, the same strategies employed elsewhere in the clinical laboratory operation can be applied to utilization management challenges in microbiology, including decision support systems, application of evidence-based medicine, screening algorithms and gatekeeper functions. The results of testing in the microbiology laboratory have significant effects on the cost of clinical care, especially costs related to antimicrobial agents and infection control practices. Consequently many of the successful utilization management interventions described in clinical microbiology have targeted not just the volume of tests performed in the laboratory, but also the downstream costs of care. This article will review utilization management strategies in clinical microbiology, including specific examples from our institution and other healthcare organizations.

  6. Tribal water utility management

    SciTech Connect

    Not Available

    1993-03-01

    Contents: primacy program (what is primacy, advantages and disadvantages, treatment as a state, grant applications and funding); safe drinking water act (sampling requirements, coliform standard, public notification, surface water treatment rule impacts, uic and wellhead protection programs, lead/copper rule); water utility management (how is the utility program evaluated, who's responsible, what is the board and tribal council role).

  7. TANK OPERATIONS CONTRACT CONSTRUCTION MANAGEMENT METHODOLOGY UTILIZING THE AGENCY METHOD OF CONSTRUCTION MANAGEMENT TO SAFELY AND EFFECTIVELY COMPLETE NUCLEAR CONSTRUCTION WORK

    SciTech Connect

    LESO KF; HAMILTON HM; FARNER M; HEATH T

    2010-01-14

    Washington River Protection Solutions, LLC (WRPS) has faced significant project management challenges in managing Davis-Bacon construction work that meets contractually required small business goals. The unique challenge is to provide contracting opportunities to multiple small business construction subcontractors while performing high hazard work in a safe and productive manner. Previous to the Washington River Protection Solutions, LLC contract, Construction work at the Hanford Tank Farms was contracted to large companies, while current Department of Energy (DOE) Contracts typically emphasize small business awards. As an integral part of Nuclear Project Management at Hanford Tank Farms, construction involves removal of old equipment and structures and installation of new infrastructure to support waste retrieval and waste feed delivery to the Waste Treatment Plant. Utilizing the optimum construction approach ensures that the contractors responsible for this work are successful in meeting safety, quality, cost and schedule objectives while working in a very hazardous environment. This paper describes the successful transition from a traditional project delivery method that utilized a large business general contractor and subcontractors to a new project construction management model that is more oriented to small businesses. Construction has selected the Agency Construction Management Method. This method was implemented in the first quarter of Fiscal Year (FY) 2009, where Construction Management is performed by substantially home office resources from the URS Northwest Office in Richland, Washington. The Agency Method has allowed WRPS to provide proven Construction Managers and Field Leads to mentor and direct small business contractors, thus providing expertise and assurance of a successful project. Construction execution contracts are subcontracted directly by WRPS to small or disadvantaged contractors that are mentored and supported by DRS personnel. Each small

  8. Utilization Costs of Capital Resources Used by Navy Training Schools: A Methodology,

    DTIC Science & Technology

    A research study was undertaken which developed a methodology for costing capital resource utilization (real property) by Navy training schools. The... methodology was applied in several examples demonstrating the capability of the utilization cost methodology to provide Navy training school managers, at all levels, with a more realistic and representative total training cost.

  9. Project Management Methodology in Human Resource Management

    ERIC Educational Resources Information Center

    Josler, Cheryl; Burger, James

    2005-01-01

    When charged with overseeing a project, how can one ensure that the project will be completed on time, within budget, and to the satisfaction of everyone involved? In this article, the authors examine project management methodology as a means of ensuring that projects are conducted in a disciplined, well-managed and consistent manner that serves…

  10. Utilization management in anatomic pathology.

    PubMed

    Lewandrowski, Kent; Black-Schaffer, Steven

    2014-01-01

    There is relatively little published literature concerning utilization management in anatomic pathology. Nonetheless there are many utilization management opportunities that currently exist and are well recognized. Some of these impact only the cost structure within the pathology department itself whereas others reduce charges for third party payers. Utilization management may result in medical legal liabilities for breaching the standard of care. For this reason it will be important for pathology professional societies to develop national utilization guidelines to assist individual practices in implementing a medically sound approach to utilization management.

  11. Decision methodology for the resource utilization of rangeland watersheds

    SciTech Connect

    Khalili, D.

    1986-01-01

    Degradation of rangeland resources leading to the desertification process is viewed in terms of human and climatic influences. While climatic impacts are important, resource utilization as practiced by man is the major cause of desertification. A multi-objective decision methodology developed here is intended for the analysis of alternative management plans of rangeland watersheds under climatic variability. First, a system model is employed to portray the dynamics of a rangeland as it would respond to climatic changes and different grazing intensities. This approach allows for an interaction of inputs such as rainfall, solar radiation, and temperature with the sate of the system which is a range condition index, and with outputs such as production and sediment yield. A simulation package is developed to implement the system model by actually using available data and providing some output values for production and sediment yield. At this stage a number of alternative management plans are identified. The information obtained from the simulation as well as other information of interest are represented by performance criteria, leading to an array of alternative versus criteria. Then, management plans need to be evaluated as they would impact the criteria. A multi-objective decision-making technique is selected to perform the analysis for an identification of preferred management alternatives.

  12. Primary urban energy-management-planning methodology

    SciTech Connect

    Revis, Joseph; Meador, Toni

    1980-11-01

    Metropolitan Dade County, Florida, developed a pragmatic, transferable methodology to assist local governments in attempts to develop and implement energy management plans. A summary of that work is presented and suggestions are provided to guide the application and refinement of a Primary Urban Energy Management Planning Methodology. The methodology provides local governments with the systematic approach for dealing with short and intermediate-term urban energy management problems while at the same time laying the groundwork for the formulation of long-term energy management activities. The five tasks of the methodology summarized are: organizing for the PEP process; performing an energy use and supply inventory; formulating energy management goals and objectives; developing strategies to achieve the energy management objectives; and monitoring and evaluation. (MCW)

  13. Solid Waste Management Planning--A Methodology

    ERIC Educational Resources Information Center

    Theisen, Hilary M.; And Others

    1975-01-01

    This article presents a twofold solid waste management plan consisting of a basic design methodology and a decision-making methodology. The former provides a framework for the developing plan while the latter builds flexibility into the design so that there is a model for use during the planning process. (MA)

  14. Basic Project Management Methodologies for Survey Researchers.

    ERIC Educational Resources Information Center

    Beach, Robert H.

    To be effective, project management requires a heavy dependence on the document, list, and computational capability of a computerized environment. Now that microcomputers are readily available, only the rediscovery of classic project management methodology is required for improved resource allocation in small research projects. This paper provides…

  15. Space station data management system assessment methodology

    NASA Technical Reports Server (NTRS)

    Jones, W. R.; Bahrs, D. L.

    1986-01-01

    A computer-aided modeling tool and methodology was developed and is currently being used to assess candidate designs for the Space Station Data Management System (DMS). The DMS will be a complex distributed computer system including processors, storage devices, local area networks, and software that will support all processing functions on board the Space Station. The methodology produces assessments of the performance, reliability, cost, and physical attributes of the candidate designs. This paper describes the architecture and design of the modeling tool and presents the modeling methodology.

  16. Integrated Management System - Scope, Possibilities And Methodology

    NASA Astrophysics Data System (ADS)

    Čekanová, Katarína

    2015-06-01

    Organizations are becoming more aware of the importance of integrated management systems (IMS). Interest in this subject indicates that IMS are seen as "management systems of the future". Based on this, the aim of this articles characterizes the possibility of building IMS through the identification of common elements and specific requirements in accordance with the ISO 9001, ISO 14001 and OHSAS 18001 professional references. Part of the article is the methodology of building IMS in the organization.

  17. Utilization Management and ACR Select.

    PubMed

    Cooke, Robert

    2015-01-01

    The ACR, published as ACR Select, provides an industry standard for imaging and through its experience with Appropriateness Criteria, is positioned to respond quickly to changing market demands. It has added hundreds of clinically relevant indications to ensure that even common scenarios have coverage. ACR Select is inclusive of numerous other credible content sources and actively receives vetted criteria from other medical specialty societies. ACR Select is well established in the market and available for integration into multiple physician access points. It also has support for the provisions and requirements of PL113-93. Healthcare providers have adopted ACR Select within their physician access points to deliver higher quality imaging services and understand the impact that imaging has on the overall care cycle. This better positions these providers to participate in risk-based contracts based on the value that appropriate imaging delivers. With the passage of PAMA, Congress has set a powerful precedent that has created the opportunity for every healthcare payer to transform the way imaging utilization is managed. Physicians will be required to consult Appropriateness Criteria delivered through CDS when placing orders for HTDI exams for Medicaid patients, and this can easily extend across the entire payer mix. PAMA has passed into public law (PLI113-93) and represents an opportunity for healthcare providers to develop risk based payment models across all imaging services, regardless of the payer of the claim or care setting.

  18. SLURM: Simplex Linux Utility for Resource Management

    SciTech Connect

    Jette, M; Grondona, M

    2003-04-22

    Simple Linux Utility for Resource Management (SLURM) is an open source, fault-tolerant, and highly scalable cluster management and job scheduling system for Linux clusters of thousands of nodes. Components include machine status, partition management, job management, scheduling, and stream copy modules. This paper presents an overview of the SLURM architecture and functionality.

  19. SLURM: Simple Linux Utility for Resource Management

    SciTech Connect

    Jette, M; Grondona, M

    2002-12-19

    Simple Linux Utility for Resource Management (SLURM) is an open source, fault-tolerant, and highly scalable cluster management and job scheduling system for Linux clusters of thousands of nodes. Components include machine status, partition management, job management, scheduling and stream copy modules. This paper presents an overview of the SLURM architecture and functionality.

  20. Utilization management in the blood transfusion service.

    PubMed

    Peña, Jeremy Ryan Andrew; Dzik, Walter Sunny

    2014-01-01

    The scope of activity of the Blood Transfusion Service (BTS) makes it unique among the clinical laboratories. The combination of therapeutic and diagnostic roles necessitates a multi-faceted approach to utilization management in the BTS. We present our experience in utilization management in large academic medical center.

  1. The laboratory test utilization management toolbox

    PubMed Central

    Baird, Geoffrey

    2014-01-01

    Efficiently managing laboratory test utilization requires both ensuring adequate utilization of needed tests in some patients and discouraging superfluous tests in other patients. After the difficult clinical decision is made to define the patients that do and do not need a test, a wealth of interventions are available to the clinician and laboratorian to help guide appropriate utilization. These interventions are collectively referred to here as the utilization management toolbox. Experience has shown that some tools in the toolbox are weak and other are strong, and that tools are most effective when many are used simultaneously. While the outcomes of utilization management studies are not always as concrete as may be desired, what data is available in the literature indicate that strong utilization management interventions are safe and effective measures to improve patient health and reduce waste in an era of increasing financial pressure. PMID:24969916

  2. Methodological Challenges Collecting Parent Phone-Call Healthcare Utilization Data

    PubMed Central

    Moreau, Paula; Crawford, Sybil; Sullivan-Bolyai, Susan

    2015-01-01

    Recommendations by the National Institute of Nursing Research and other groups have strongly encouraged nurses to pay greater attention to cost-effectiveness analysis when conducting research. Given the increasing prominence of translational science and comparative effective research, cost-effective analysis has become a basic tool in determining intervention value in research. Tracking phone-call communication (number of calls and context) with cross-checks between parents and healthcare providers is an example of this type of healthcare utilization data collection. This article identifies some methodological challenges that have emerged in the process of collecting this type of data in a randomized controlled trial: Parent education Through Simulation-Diabetes (PETS-D). We also describe ways in which those challenges have been addressed with comparison data results, and make recommendations for future research. PMID:26856491

  3. Knowledge management performance methodology regarding manufacturing organizations

    NASA Astrophysics Data System (ADS)

    Istrate, C.; Herghiligiu, I. V.

    2016-08-01

    The current business situation is extremely complicated. Business must adapt to the changes in order (a) to survive on the increasingly dynamic markets, (b) to meet customers’ new request for complex, customized and innovative products. In modern manufacturing organizations it can be seen a substantial improvement regarding the management of knowledge. This occurs due to the fact that organizations realized that knowledge and an efficient management of knowledge generates the highest value. Even it could be said that the manufacturing organizations were and are the biggest beneficiary of KM science. Knowledge management performance (KMP) evaluation in manufacturing organizations can be considered as extremely important because without measuring it, they are unable to properly assess (a) what goals, targets and activities must have continuity, (b) what must be improved and (c) what must be completed. Therefore a proper KM will generate multiple competitive advantages for organizations. This paper presents a developed methodological framework regarding the KMP importance regarding manufacturing organizations. This methodological framework was developed using as research methods: bibliographical research and a panel of specialists. The purpose of this paper is to improve the evaluation process of KMP and to provide a viable tool for manufacturing organizations managers.

  4. Documenting Living Monuments in Indonesia: Methodology for Sustainable Utility

    NASA Astrophysics Data System (ADS)

    Suryaningsih, F.; Purwestri, N.

    2013-07-01

    The systematic documentation of cultural heritage in Indonesia has been developed after the establishment of Bataviaasch Genootschap van Kunsten en Wetenschappen (1778) and De Oudheidkundige Dienst (1913) by the Netherlands Indies government. After Indonesian independent, the tasks of cultural heritage documentation take over by The Ministry of Culture (now become The Ministry of Education of Culture) with focus on the ancient and classical heritage, so called dead monument. The needed of comprehensive documentation data regarding cultural heritage become significant issues since the government and private sector pay attention to the preservation of heritage building in the urban site, so called living monument. The archives of original drawing plan many times do not fit with the existing condition, while the conservation plan demands a document such as built drawing plan to work on. The technology, methodology and system to provide such comprehensive document of heritage building and site become important, to produce good conservation plan and heritage building regular maintenance. It means the products will have a sustainable and various utility values. Since 1994, Documentation Centre for Architecture - Indonesia (PDA), has established to meet the needs of a comprehensive data of heritage building (living monuments), to utilized as basic document for conservation planning. Not only provide document of the digital drawing such site plan, plan, elevation, section and details of architecture elements, but also document of historic research, material analysis and completed with diagnosis and mapping of building damages. This manuscript is about PDA field experience, working in this subject issue

  5. Time management problems and discounted utility.

    PubMed

    König, Cornelius J; Kleinmann, Martin

    2007-05-01

    The lens of behavioral decision theory offers a new perspective for research on time management. The basic idea of this approach is that people discount future consequences of their time management decisions, meaning that they work on tasks with smaller but sooner outcomes rather than on tasks with larger but later outcomes. The authors performed 2 experimental studies to test whether people are sensitive to differences in the discounted utility of time management decisions. In Experiment 1, they used vignettes of typical time management situations; Experiment 2 was a laboratory simulation (an in-basket task that was part of a training assessment). Participants in both studies were German students. As expected, manipulating the discounted utility of options resulted in different time management decisions. In Experiment 1, reactions to time management situations were judged as less likely if the reactions had lower discounted utilities. In Experiment 2, people spent less time on an interruption.

  6. Utilizing Interns in Facilities Management

    ERIC Educational Resources Information Center

    Judkins, Clarissa; Morris, John P.; Molocznik, Chuck

    2011-01-01

    Facilities management is rapidly changing and developing from a position an individual stumbles into--or work one's way up through--to a discipline and vocation all of its own. There is a need for a collaborative strategy among leaders in practice, education, and research to share knowledge and experience and to establish professional and ethical…

  7. SLURM: Simple Linux Utility for Resource Management

    SciTech Connect

    Jette, M; Dunlap, C; Garlick, J; Grondona, M

    2002-07-08

    Simple Linux Utility for Resource Management (SLURM) is an open source, fault-tolerant, and highly scalable cluster management and job scheduling system for Linux clusters of thousands of nodes. Components include machine status, partition management, job management, scheduling and stream copy modules. The design also includes a scalable, general-purpose communication infrastructure. This paper presents a overview of the SLURM architecture and functionality.

  8. Clinical governance and operations management methodologies.

    PubMed

    Davies, C; Walley, P

    2000-01-01

    The clinical governance mechanism, introduced since 1998 in the UK National Health Service (NHS), aims to deliver high quality care with efficient, effective and cost-effective patient services. Scally and Donaldson recognised that new approaches are needed, and operations management techniques comprise potentially powerful methodologies in understanding the process of care, which can be applied both within and across professional boundaries. This paper summarises four studies in hospital Trusts which took approaches to improving process that were different from and less structured than business process re-engineering (BPR). The problems were then amenable to change at a relatively low cost and short timescale, producing significant improvement to patient care. This less structured approach to operations management avoided incurring overhead costs of large scale and costly change such as new information technology (IT) systems. The most successful changes were brought about by formal tools to control quantity, content and timing of changes.

  9. Asset Management for Water and Wastewater Utilities

    EPA Pesticide Factsheets

    Renewing and replacing the nation's public water infrastructure is an ongoing task. Asset management can help a utility maximize the value of its capital as well as its operations and maintenance dollars.

  10. Agricultural waste utilization and management

    SciTech Connect

    Not Available

    1985-01-01

    These papers were presented at a symposium on the management and use of agricultural waste products, including food industry wastes. Topics covered include fat and protein recovery from fish wastes, treatments for straw to improve its digestibility, using food industry wastes as animal feeds, various manure treatments and studies of its combustion properties, fermentation, methane and ethanol production, hemp waste water treatment, and heat recovery from manure combustion.

  11. Trade-off decisions in distribution utility management

    NASA Astrophysics Data System (ADS)

    Slavickas, Rimas Anthony

    As a result of the "unbundling" of traditional monopolistic electricity generation and transmission enterprises into a free-market economy, power distribution utilities are faced with very difficult decisions pertaining to electricity supply options and quality of service to the customers. The management of distribution utilities has become increasingly complex, versatile, and dynamic to the extent that conventional, non-automated management tools are almost useless and obsolete. This thesis presents a novel and unified approach to managing electricity supply options and quality of service to customers. The technique formulates the problem in terms of variables, parameters, and constraints. An advanced Mixed Integer Programming (MIP) optimization formulation is developed together with novel, logical, decision-making algorithms. These tools enable the utility management to optimize various cost components and assess their time-trend impacts, taking into account the intangible issues such as customer perception, customer expectation, social pressures, and public response to service deterioration. The above concepts are further generalized and a Logical Proportion Analysis (LPA) methodology and associated software have been developed. Solutions using numbers are replaced with solutions using words (character strings) which more closely emulate the human decision-making process and advance the art of decision-making in the power utility environment. Using practical distribution utility operation data and customer surveys, the developments outlined in this thesis are successfully applied to several important utility management problems. These involve the evaluation of alternative electricity supply options, the impact of rate structures on utility business, and the decision of whether to continue to purchase from a main grid or generate locally (partially or totally) by building Non-Utility Generation (NUG).

  12. Doing qualitative research in general practice: methodological utility and engagement.

    PubMed

    Jaye, Chrystal

    2002-10-01

    General practice uses an eclectic range of research methodology. This includes increasing reliance upon qualitative research methods. There seem to be two distinct treatments of qualitative research within primary care and, in particular, within general practice research. The first is characterized by a purely utilitarian and technical focus, using a qualitative method because it is the most appropriate means of realizing the aims of the research, while the second is characterized by in-depth engagement with the philosophical and paradigmatic aspects of qualitative methodology. In-depth engagement with methodology and theory, and theory building, is an important aspect of masterate and doctoral research within social sciences such as education and anthropology, and in the discipline of nursing, but has not been a feature of qualitative research in medicine. A practical difficulty encountered within postgraduate programmes such as the one in which the author teaches is that when innovative qualitative techniques are used by GPs in their postgraduate research dissertations and theses, it is often beyond GP examiners' own knowledge and experience, yet it fails to measure up to standards established in social sciences, particularly in sociology and anthropology where in-depth reflexive engagement with the theory and philosophy of qualitative methodology is expected. This paper suggests that the value of in-depth engagement with methodology when conducting qualitative research results in creative and innovative ways of conducting research that are consonant with the nature of general practice itself, and strengthens research findings. Therefore, as teachers of research methods and supervisors of research theses, it is important to encourage students conducting qualitative research to engage fully with theoretical and methodological issues.

  13. SLURM: Simple Linux Utility for Resource Management

    SciTech Connect

    Jette, M; Dunlap, C; Garlick, J; Grondona, M

    2002-04-24

    Simple Linux Utility for Resource Management (SLURM) is an open source, fault-tolerant, and highly scalable cluster management and job scheduling system for Linux clusters of thousands of nodes. Components include machine status, partition management, job management, and scheduling modules. The design also includes a scalable, general-purpose communication infrastructure. Development will take place in four phases: Phase I results in a solid infrastructure; Phase II produces a functional but limited interactive job initiation capability without use of the interconnect/switch; Phase III provides switch support and documentation; Phase IV provides job status, fault-tolerance, and job queuing and control through Livermore's Distributed Production Control System (DPCS), a meta-batch and resource management system.

  14. Solvent Substitution Methodology Using Multiattribute Utility Theory and the Analytical Hierarchical Process

    DTIC Science & Technology

    1994-09-01

    Wright-Patterson Air Force Base, Ohio AFIT/GEE/ENS/94S-3 SOLVENT SUBSTITUTION METHODOLOGY USING MULTIATTRIBUTE UTILITY THEORY AND THE ANALYTICAL...CLASS: AFIT/GEE/ENS/94S-3 THESIS TITLE: Solvent Substitution Methodology using Multiattribute Utility Theory and the Analytical Hierarchical Process...Process: Depot Level 13 Substitution Process: Field Level 16 Contractor Substitution Process 17 Multiattribute Utility Theory (MAUT) 18 Independence

  15. Application of Six Sigma/CAP methodology: controlling blood-product utilization and costs.

    PubMed

    Neri, Robert A; Mason, Cindy E; Demko, Lisa A

    2008-01-01

    Blood-product components are a limited commodity whose cost is rising. Many patients benefit from their use, but patients who receive transfusions face an unnecessary increased risk for developing infections; fatal, febrile, or allergic reactions; and circulatory overload. To improve patient care, safety, and resource stewardship, transfusion practices must be evaluated for appropriateness (Wilson et al. 2002). A multihospital health system undertook a rigorous study of blood-product utilization patterns and management processes to address cost-control problems in the organization. The system leveraged two process improvement tools widely implemented outside of the healthcare industry: (1) Six Sigma methodology to identify blood-utilization drivers and to standardize transfusion practice, and (2) change acceleration process model to drive effective change. The initiative resulted in a decreased rate of inappropriate transfusions of packed red blood cell from 16 percent to less than 5 percent, improved clinician use of a blood-component order form, establishment of internal benchmarks, enhanced laboratory-to-clinician communication, and better blood-product expense control. The project further demonstrated how out-of-industry tools and methodologies can be adopted, adapted, and systematically applied to generate positive change (Black and Revere 2006).

  16. Calculating cost savings in utilization management.

    PubMed

    MacMillan, Donna

    2014-01-01

    A major motivation for managing the utilization of laboratory testing is to reduce the cost of medical care. For this reason it is important to understand the basic principles of cost accounting in the clinical laboratory. The process of laboratory testing includes three distinct components termed the pre-analytic, analytic and post-analytic phases. Utilization management efforts may impact the cost structure of these three phases in different ways depending on the specific details of the initiative. Estimates of cost savings resulting from utilization management programs reported in the literature have often been fundamentally flawed due to a failure to understand basic concepts such as the difference between laboratory costs versus charges and the impact of reducing laboratory test volumes on the average versus marginal cost structure in the laboratory. This article will provide an overview of basic cost accounting principles in the clinical laboratory including both job order and process cost accounting. Specific examples will be presented to illustrate these concepts in various different scenarios.

  17. Development of Management Methodology for Engineering Production Quality

    NASA Astrophysics Data System (ADS)

    Gorlenko, O.; Miroshnikov, V.; Borbatc, N.

    2016-04-01

    The authors of the paper propose four directions of the methodology developing the quality management of engineering products that implement the requirements of new international standard ISO 9001:2015: the analysis of arrangement context taking into account stakeholders, the use of risk management, management of in-house knowledge, assessment of the enterprise activity according to the criteria of effectiveness

  18. Success Rates by Software Development Methodology in Information Technology Project Management: A Quantitative Analysis

    ERIC Educational Resources Information Center

    Wright, Gerald P.

    2013-01-01

    Despite over half a century of Project Management research, project success rates are still too low. Organizations spend a tremendous amount of valuable resources on Information Technology projects and seek to maximize the utility gained from their efforts. The author investigated the impact of software development methodology choice on ten…

  19. Publishing FAIR Data: An Exemplar Methodology Utilizing PHI-Base.

    PubMed

    Rodríguez-Iglesias, Alejandro; Rodríguez-González, Alejandro; Irvine, Alistair G; Sesma, Ane; Urban, Martin; Hammond-Kosack, Kim E; Wilkinson, Mark D

    2016-01-01

    Pathogen-Host interaction data is core to our understanding of disease processes and their molecular/genetic bases. Facile access to such core data is particularly important for the plant sciences, where individual genetic and phenotypic observations have the added complexity of being dispersed over a wide diversity of plant species vs. the relatively fewer host species of interest to biomedical researchers. Recently, an international initiative interested in scholarly data publishing proposed that all scientific data should be "FAIR"-Findable, Accessible, Interoperable, and Reusable. In this work, we describe the process of migrating a database of notable relevance to the plant sciences-the Pathogen-Host Interaction Database (PHI-base)-to a form that conforms to each of the FAIR Principles. We discuss the technical and architectural decisions, and the migration pathway, including observations of the difficulty and/or fidelity of each step. We examine how multiple FAIR principles can be addressed simultaneously through careful design decisions, including making data FAIR for both humans and machines with minimal duplication of effort. We note how FAIR data publishing involves more than data reformatting, requiring features beyond those exhibited by most life science Semantic Web or Linked Data resources. We explore the value-added by completing this FAIR data transformation, and then test the result through integrative questions that could not easily be asked over traditional Web-based data resources. Finally, we demonstrate the utility of providing explicit and reliable access to provenance information, which we argue enhances citation rates by encouraging and facilitating transparent scholarly reuse of these valuable data holdings.

  20. Publishing FAIR Data: An Exemplar Methodology Utilizing PHI-Base

    PubMed Central

    Rodríguez-Iglesias, Alejandro; Rodríguez-González, Alejandro; Irvine, Alistair G.; Sesma, Ane; Urban, Martin; Hammond-Kosack, Kim E.; Wilkinson, Mark D.

    2016-01-01

    Pathogen-Host interaction data is core to our understanding of disease processes and their molecular/genetic bases. Facile access to such core data is particularly important for the plant sciences, where individual genetic and phenotypic observations have the added complexity of being dispersed over a wide diversity of plant species vs. the relatively fewer host species of interest to biomedical researchers. Recently, an international initiative interested in scholarly data publishing proposed that all scientific data should be “FAIR”—Findable, Accessible, Interoperable, and Reusable. In this work, we describe the process of migrating a database of notable relevance to the plant sciences—the Pathogen-Host Interaction Database (PHI-base)—to a form that conforms to each of the FAIR Principles. We discuss the technical and architectural decisions, and the migration pathway, including observations of the difficulty and/or fidelity of each step. We examine how multiple FAIR principles can be addressed simultaneously through careful design decisions, including making data FAIR for both humans and machines with minimal duplication of effort. We note how FAIR data publishing involves more than data reformatting, requiring features beyond those exhibited by most life science Semantic Web or Linked Data resources. We explore the value-added by completing this FAIR data transformation, and then test the result through integrative questions that could not easily be asked over traditional Web-based data resources. Finally, we demonstrate the utility of providing explicit and reliable access to provenance information, which we argue enhances citation rates by encouraging and facilitating transparent scholarly reuse of these valuable data holdings. PMID:27433158

  1. Toward a methodology for complexity management

    SciTech Connect

    Chisholm, G.H.

    1992-12-01

    This report focuses on the Battle Management/Command, Control, and Communication (BM/C{sup 3}) element of the Global Protection Against Limited Strike (GPALS) system. The approach is based on the development and validation of a generic BM/C{sup 3} model. Central to the approach is the tenet that the design is divided into multiple layers. The critical functions make up the bottom layer, where trust is established and significant design effort is required.

  2. Toward a methodology for complexity management

    SciTech Connect

    Chisholm, G.H.

    1992-12-01

    This report focuses on the Battle Management/Command, Control, and Communication (BM/C[sup 3]) element of the Global Protection Against Limited Strike (GPALS) system. The approach is based on the development and validation of a generic BM/C[sup 3] model. Central to the approach is the tenet that the design is divided into multiple layers. The critical functions make up the bottom layer, where trust is established and significant design effort is required.

  3. Heart Failure: Diagnosis, Management and Utilization

    PubMed Central

    Inamdar, Arati A.; Inamdar, Ajinkya C.

    2016-01-01

    Despite the advancement in medicine, management of heart failure (HF), which usually presents as a disease syndrome, has been a challenge to healthcare providers. This is reflected by the relatively higher rate of readmissions along with increased mortality and morbidity associated with HF. In this review article, we first provide a general overview of types of HF pathogenesis and diagnostic features of HF including the crucial role of exercise in determining the severity of heart failure, the efficacy of therapeutic strategies and the morbidity/mortality of HF. We then discuss the quality control measures to prevent the growing readmission rates for HF. We also attempt to elucidate published and ongoing clinical trials for HF in an effort to evaluate the standard and novel therapeutic approaches, including stem cell and gene therapies, to reduce the morbidity and mortality. Finally, we discuss the appropriate utilization/documentation and medical coding based on the severity of the HF alone and with minor and major co-morbidities. We consider that this review provides an extensive overview of the HF in terms of disease pathophysiology, management and documentation for the general readers, as well as for the clinicians/physicians/hospitalists. PMID:27367736

  4. Spent fuel management fee methodology and computer code user's manual.

    SciTech Connect

    Engel, R.L.; White, M.K.

    1982-01-01

    The methodology and computer model described here were developed to analyze the cash flows for the federal government taking title to and managing spent nuclear fuel. The methodology has been used by the US Department of Energy (DOE) to estimate the spent fuel disposal fee that will provide full cost recovery. Although the methodology was designed to analyze interim storage followed by spent fuel disposal, it could be used to calculate a fee for reprocessing spent fuel and disposing of the waste. The methodology consists of two phases. The first phase estimates government expenditures for spent fuel management. The second phase determines the fees that will result in revenues such that the government attains full cost recovery assuming various revenue collection philosophies. These two phases are discussed in detail in subsequent sections of this report. Each of the two phases constitute a computer module, called SPADE (SPent fuel Analysis and Disposal Economics) and FEAN (FEe ANalysis), respectively.

  5. Management of health care expenditure by soft computing methodology

    NASA Astrophysics Data System (ADS)

    Maksimović, Goran; Jović, Srđan; Jovanović, Radomir; Aničić, Obrad

    2017-01-01

    In this study was managed the health care expenditure by soft computing methodology. The main goal was to predict the gross domestic product (GDP) according to several factors of health care expenditure. Soft computing methodologies were applied since GDP prediction is very complex task. The performances of the proposed predictors were confirmed with the simulation results. According to the results, support vector regression (SVR) has better prediction accuracy compared to other soft computing methodologies. The soft computing methods benefit from the soft computing capabilities of global optimization in order to avoid local minimum issues.

  6. Technology Transfer and Utilization Methodology; Further Analysis of the Linker Concept.

    ERIC Educational Resources Information Center

    Jolly, James A.; Creighton, J. W.

    This study is based on a comparison of data from two independent studies of technology utilization and dissemination methodology that sought to identify the behavior characteristics of "linkers" and "stabilizers" and their relative existence within different groups of technical personnel. Hypothesis for this study is that the…

  7. Effective Case Study Methodologies in the Management of IT Courses.

    ERIC Educational Resources Information Center

    Buffington, James R.; Harper, Jeffrey S.

    Many Association to Advance Collegiate Schools of Business (AACSB) accredited schools require undergraduate Management Information Systems (MIS) majors to take a course in the management of information technology. Over half of these schools utilize case studies in the teaching of this course. Case studies are an important vehicle for teaching…

  8. Space Utilization Management within William Beaumont Army Medical Center

    DTIC Science & Technology

    2007-04-01

    degree to which organizational activities emphasize maintaining the status quo in contrast to growth. (Robbins, 2003, p .525) Space Utilization Management...Conformity to the rules becomes the primary basis for reward and upward mobility. ( p . 528) Space Utilization Management 23 Culture can enhance organizational...34 is no longer effective (Robbins, 2003, p .529). Space Utilization Management 24 Another aspect that can have an affect on the problem of space

  9. 42 CFR 423.153 - Drug utilization management, quality assurance, and medication therapy management programs (MTMPs).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Drug utilization management, quality assurance, and... Drug utilization management, quality assurance, and medication therapy management programs (MTMPs). (a... D plan, a drug utilization management program, quality assurance measures and systems, and an...

  10. 42 CFR 423.153 - Drug utilization management, quality assurance, and medication therapy management programs (MTMPs).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Drug utilization management, quality assurance, and... Drug utilization management, quality assurance, and medication therapy management programs (MTMPs). (a... D plan, a drug utilization management program, quality assurance measures and systems, and an...

  11. 42 CFR 423.153 - Drug utilization management, quality assurance, and medication therapy management programs (MTMPs).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Drug utilization management, quality assurance, and... Drug utilization management, quality assurance, and medication therapy management programs (MTMPs). (a... D plan, a drug utilization management program, quality assurance measures and systems, and an...

  12. The methodology of database design in organization management systems

    NASA Astrophysics Data System (ADS)

    Chudinov, I. L.; Osipova, V. V.; Bobrova, Y. V.

    2017-01-01

    The paper describes the unified methodology of database design for management information systems. Designing the conceptual information model for the domain area is the most important and labor-intensive stage in database design. Basing on the proposed integrated approach to design, the conceptual information model, the main principles of developing the relation databases are provided and user’s information needs are considered. According to the methodology, the process of designing the conceptual information model includes three basic stages, which are defined in detail. Finally, the article describes the process of performing the results of analyzing user’s information needs and the rationale for use of classifiers.

  13. Propulsion integration of hypersonic air-breathing vehicles utilizing a top-down design methodology

    NASA Astrophysics Data System (ADS)

    Kirkpatrick, Brad Kenneth

    In recent years, a focus of aerospace engineering design has been the development of advanced design methodologies and frameworks to account for increasingly complex and integrated vehicles. Techniques such as parametric modeling, global vehicle analyses, and interdisciplinary data sharing have been employed in an attempt to improve the design process. The purpose of this study is to introduce a new approach to integrated vehicle design known as the top-down design methodology. In the top-down design methodology, the main idea is to relate design changes on the vehicle system and sub-system level to a set of over-arching performance and customer requirements. Rather than focusing on the performance of an individual system, the system is analyzed in terms of the net effect it has on the overall vehicle and other vehicle systems. This detailed level of analysis can only be accomplished through the use of high fidelity computational tools such as Computational Fluid Dynamics (CFD) or Finite Element Analysis (FEA). The utility of the top-down design methodology is investigated through its application to the conceptual and preliminary design of a long-range hypersonic air-breathing vehicle for a hypothetical next generation hypersonic vehicle (NHRV) program. System-level design is demonstrated through the development of the nozzle section of the propulsion system. From this demonstration of the methodology, conclusions are made about the benefits, drawbacks, and cost of using the methodology.

  14. CERTS; A Comparative Evaluation Method for Risk Management Methodologies and Tools

    DTIC Science & Technology

    1990-03-01

    This thesis develops a comparative evaluation method for computer security risk management methodologies and tools. The subjective biases inherent to...current comparison practices are reduced by measuring unique characteristics of computer security risk management methodologies. Standardized...methodologies and tools to each other. As a demonstration of its effectiveness, our method is applied to four distinct risk management methodologies and

  15. Elementary Christian School Teachers Utilizing Biblical Concepts in Classroom Management

    ERIC Educational Resources Information Center

    Hill, Christy E.

    2014-01-01

    This phenomenological study examined biblical concepts utilized by elementary Christian school teachers in classroom management in two Christian schools in Virginia. Items examined included which biblical components were being utilized and how teachers are utilizing them. Determining factors influencing the incorporation of biblical concepts in…

  16. Evaluation in health: participatory methodology and involvement of municipal managers

    PubMed Central

    de Almeida, Cristiane Andrea Locatelli; Tanaka, Oswaldo Yoshimi

    2016-01-01

    ABSTRACT OBJECTIVE To analyze scopes and limits of the use of participatory methodology of evaluation with municipal health managers and administrators. METHODS Qualitative research with health policymakers and managers of the Comissão Intergestores Regional (CIR – Regional Interagency Commission) of a health region of the state of Sao Paulo in Brazil. Representatives from seven member cities participated in seven workshops facilitated by the researchers, with the aim of assessing a specific problem of the care line, which would be used as a tracer of the system integrality. The analysis of the collected empirical material was based on the hermeneutic-dialectic methodology and aimed at the evaluation of the applied participatory methodology, according to its capacity of promoting a process of assessment capable to be used as a support for municipal management. RESULTS With the participatory approach of evaluation, we were able to promote in-depth discussions with the group, especially related to the construction of integral care and to the inclusion of the user’s perspective in decision-making, linked to the search for solution to concrete problems of managers. By joint exploration, the possibility of using data from electronic information systems was opened, as well as information coming directly from the users of the services, to enhance discussions and negotiations between partners. The participants were disbelievers of the replication potential of this type of evaluation without the direct monitoring of the academy, given the difficulty of organizing the process in everyday life, already taken by emergency and political issues. CONCLUSIONS Evaluations of programs and services carried out within the Regional Interagency Commission, starting from the local interest and facilitating the involvement of its members by the use of participatory methodologies, can contribute to the construction of integral care. To the extent that the act of evaluating stay

  17. The effect of regulation on the professionally managed utility

    SciTech Connect

    Czamanski, O.Z.

    1980-12-01

    Mixed empirical evidence concerning the A-J effect suggests that regulatory constraints affect utilities differently, depending upon their organizational structure. An important characteristic of firms is the concern for profits on the part of managements. This concern is related to the extent that management owns the firms' residual claims. In the case of many utilities, professional management means divorce of ownership from the firm's decision-making.

  18. A hybrid design methodology for structuring an Integrated Environmental Management System (IEMS) for shipping business.

    PubMed

    Celik, Metin

    2009-03-01

    The International Safety Management (ISM) Code defines a broad framework for the safe management and operation of merchant ships, maintaining high standards of safety and environmental protection. On the other hand, ISO 14001:2004 provides a generic, worldwide environmental management standard that has been utilized by several industries. Both the ISM Code and ISO 14001:2004 have the practical goal of establishing a sustainable Integrated Environmental Management System (IEMS) for shipping businesses. This paper presents a hybrid design methodology that shows how requirements from both standards can be combined into a single execution scheme. Specifically, the Analytic Hierarchy Process (AHP) and Fuzzy Axiomatic Design (FAD) are used to structure an IEMS for ship management companies. This research provides decision aid to maritime executives in order to enhance the environmental performance in the shipping industry.

  19. A successful trial utilizing the Leuzinger-Bohleber methodology for evaluation of psychoanalytic treatment: preliminary report.

    PubMed

    Rascón, Socorro Ramonet; Corona, Pablo Cuevas; Lartigue, Teresa; Rios, Josefina Mendoza; Garza, David López

    2005-10-01

    Utilizing audio-recorded psychoanalytic interviews of both patients and their analysts, group discussions of these interviews, and the application of questionnaires commonly used in psychotherapy research, the authors investigate the potential use of the Leuzinger-Bohleber methodology as an objective evaluative instrument to assess the quality of psychoanalytic treatment. Preliminary study results were obtained through interviews conducted with seven analysts and their respective patients, three of whom were treated with psychoanalysis (three or more sessions per week, for a duration of no less than one year) and four with psychotherapy (one or two sessions per week, for a duration of no less than one year). Patients were found to be eager to participate, and no adverse experiences were reported by analysts, patients or the research team. In addition to the interviews, further data were obtained through review of mailed-in questionnaires completed by 21 patients. The authors present both preliminary observations regarding the methodology as a whole, as well as the detailed results of one specific case subject treated with psychotherapy. Review of study findings supports the utilization of this methodology as an evaluative instrument which may ultimately advance current knowledge of the process and outcome of psychoanalytic treatment.

  20. Using Risk Assessment Methodologies to Meet Management Objectives

    NASA Technical Reports Server (NTRS)

    DeMott, D. L.

    2015-01-01

    Current decision making involves numerous possible combinations of technology elements, safety and health issues, operational aspects and process considerations to satisfy program goals. Identifying potential risk considerations as part of the management decision making process provides additional tools to make more informed management decision. Adapting and using risk assessment methodologies can generate new perspectives on various risk and safety concerns that are not immediately apparent. Safety and operational risks can be identified and final decisions can balance these considerations with cost and schedule risks. Additional assessments can also show likelihood of event occurrence and event consequence to provide a more informed basis for decision making, as well as cost effective mitigation strategies. Methodologies available to perform Risk Assessments range from qualitative identification of risk potential, to detailed assessments where quantitative probabilities are calculated. Methodology used should be based on factors that include: 1) type of industry and industry standards, 2) tasks, tools, and environment 3) type and availability of data and 4) industry views and requirements regarding risk & reliability. Risk Assessments are a tool for decision makers to understand potential consequences and be in a position to reduce, mitigate or eliminate costly mistakes or catastrophic failures.

  1. 42 CFR 423.153 - Drug utilization management, quality assurance, and medication therapy management programs (MTMPs).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Drug utilization management, quality assurance, and... management, quality assurance, and medication therapy management programs (MTMPs). (a) General rule. Each... utilization management program, quality assurance measures and systems, and an MTMP as described in...

  2. 42 CFR 423.153 - Drug utilization management, quality assurance, and medication therapy management programs (MTMPs).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Drug utilization management, quality assurance, and... management, quality assurance, and medication therapy management programs (MTMPs). (a) General rule. Each... utilization management program, quality assurance measures and systems, and an MTMP as described in...

  3. Beyond utilization control: managing care with customers.

    PubMed

    Morath, J

    1998-01-01

    Allina Health System embarked on a rigorous process to better understand the customer's perception of care and service. The milestone for quality is the participation of the patient, member, and family in the health care system to determine care and service quality. The challenge for those in health care is to understand and manage the complex cultural changes this inclusion implies.

  4. UTILITY DATA ARCHIVING FOR RISK MANAGEMENT

    EPA Science Inventory

    EPA let a contract for a consultant to collect information about historical changes in operations and maintenance, design and construction, and planning and siting for water and wastewater infrastructure. The goal of this research study is to determine risk management alternativ...

  5. U.S. electric utility demand-side management 1993

    SciTech Connect

    1995-07-01

    This report presents comprehensive information on electric power industry demand-side management activities in the United States at the national, regional, and utility levels. Data is included for energy savings, peakload reductions, and costs.

  6. Using Risk Assessment Methodologies to Meet Management Objectives

    NASA Technical Reports Server (NTRS)

    DeMott, D. L.

    2015-01-01

    Corporate and program objectives focus on desired performance and results. ?Management decisions that affect how to meet these objectives now involve a complex mix of: technology, safety issues, operations, process considerations, employee considerations, regulatory requirements, financial concerns and legal issues. ?Risk Assessments are a tool for decision makers to understand potential consequences and be in a position to reduce, mitigate or eliminate costly mistakes or catastrophic failures. Using a risk assessment methodology is only a starting point. ?A risk assessment program provides management with important input in the decision making process. ?A pro-active organization looks to the future to avoid problems, a reactive organization can be blindsided by risks that could have been avoided. ?You get out what you put in, how useful your program is will be up to the individual organization.

  7. Knowledge Value Added (KVA) Methodology as a Tool for Measuring the Utilization of Knowledge Assets Aboard Marine Corps Installations

    DTIC Science & Technology

    2008-06-01

    1996 Submitted in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE IN INFORMATION TECHNOLOGY MANAGEMENT from...Value Added Methodologies. Masters Thesis, Information Technology Management Department, Naval Postgraduate School, Jun 2003. Bourazanis...Management Techniques and Their Impact on the Marine Corps in a Navy Marine Corps Intranet Environment. Masters Thesis, Information Technology Management Department

  8. Safety assessment methodology in management of spent sealed sources.

    PubMed

    Mahmoud, Narmine Salah

    2005-02-14

    Environmental hazards can be caused from radioactive waste after their disposal. It was therefore important that safety assessment methodologies be developed and established to study and estimate the possible hazards, and institute certain safety methodologies that lead and prevent the evolution of these hazards. Spent sealed sources are specific type of radioactive waste. According to IAEA definition, spent sealed sources are unused sources because of activity decay, damage, misuse, loss, or theft. Accidental exposure of humans from spent sealed sources can occur at the moment they become spent and before their disposal. Because of that reason, safety assessment methodologies were tailored to suit the management of spent sealed sources. To provide understanding and confidence of this study, validation analysis was undertaken by considering the scenario of an accident that occurred in Egypt, June 2000 (the Meet-Halfa accident from an iridium-192 source). The text of this work includes consideration related to the safety assessment approaches of spent sealed sources which constitutes assessment context, processes leading an active source to be spent, accident scenarios, mathematical models for dose calculations, and radiological consequences and regulatory criteria. The text also includes a validation study, which was carried out by evaluating a theoretical scenario compared to the real scenario of Meet-Halfa accident depending on the clinical assessment of affected individuals.

  9. Opportunities for increasing utility of models for rangeland management

    Technology Transfer Automated Retrieval System (TEKTRAN)

    A tremendous need exists for ecosystem models to assist in rangeland management, but the utility of models developed to date has been minimal for enterprise-level decision making. Three areas in which models have had limited effectiveness for land managers are 1) addressing contemporary needs associ...

  10. [PHOLY: A pilot study of drug utilization in civil hospices in Lyon - methodology and difficulties].

    PubMed

    Dubois, V; Rachet, F; Aulagner, G; Boissel, J P

    1998-01-01

    PHOLY is a study of drug Prescription in Hospices civils of LYon by a transverse and descriptive survey. It aims at studying the methodology of such an investigation in a large university medical centre, elaborating a methodology for continuous assessment of prescribing, comparing prescriptions with scientific knowledge and identifying specific therapies. We collected 1525 questionnaires from 4333 hospitalized patients in 11 hospitals (prescriptions and indications). The main difficulties we encountered concerned communications (4 letters), fewer questionnaires collected than expected (1525/3018), many missing data, and the lack of a specific budget, thus allowing only partial data exploitation and control. This study revealed many problems such as relevant information for physicians, training and management of investigators, control, data capture and analysis. However, a prescription study may be possible with limited means.

  11. Spatially explicit methodology for coordinated manure management in shared watersheds.

    PubMed

    Sharara, Mahmoud; Sampat, Apoorva; Good, Laura W; Smith, Amanda S; Porter, Pamela; Zavala, Victor M; Larson, Rebecca; Runge, Troy

    2017-05-01

    Increased clustering and consolidation of livestock production systems has been linked to adverse impacts on water quality. This study presents a methodology to optimize manure management within a hydrologic region to minimize agricultural phosphorus (P) loss associated with winter manure application. Spatial and non-spatial data representing livestock, crop, soil, terrain and hydrography were compiled to determine manure P production rates, crop P uptake, existing manure storage capabilities, and transportation distances. Field slope, hydrologic soil group (HSG), and proximity to waterbodies were used to classify crop fields according to their runoff risk for winter-applied manure. We use these data to construct a comprehensive optimization model that identifies optimal location, size, and transportation strategy to achieve environmental and economic goals. The environmental goal was the minimization of daily hauling of manure to environmentally sensitive crop fields, i.e., those classified as high P-loss fields, whereas the economic goal was the minimization of the transportation costs across the entire study area. A case study encompassing two contiguous 10-digit hydrologic unit subwatersheds (HUC-10) in South Central Wisconsin, USA was developed to demonstrate the proposed methodology. Additionally, scenarios representing different management decisions (storage facility maximum volume, and project capital) and production conditions (increased milk production and 20-year future projection) were analyzed to determine their impact on optimal decisions.

  12. Prudent management of utility assets -- Problem or promise?

    SciTech Connect

    Hatch, D.; Serwinowski, M.

    1998-07-01

    As utilities move into a deregulated market, the extent and nature of their asset base, as well as, the manner in which they have managed it, may play a key factor in the form of regulatory recovery. Utilities must face the issue of stranded assets. One form of addressing this issue is using ``EVA'', Economic Value Added as a mechanism to form financial models for prudent asset management. The authors present an approach to this challenging aspect of deregulation. They focus on the following utility assets: buildings/facilities, and excess real physical assets. Primarily focusing on Niagara Mohawk, two or three case studies are used to demonstrate how proactive management and EVA analysis transforms underperforming utility assets. These will be presented in a way that can show benefits for all utility stakeholders such as cost avoidance, load growth, real estate tax savings, stranded asset reductions, environmental gains, corporate image enhancement, and regulatory/governmental gains; over and above possible economic gains. Examples will be given that include the transformation of utility assets into award winning commercial, residential, and industrial developments as well as recreational/park lands and greenways. Similarly, other examples will show the many tangible and intangible benefits of an effective investment recovery and waste stream management program. Various strategies will also be presented that detail how utilities can begin to develop a total comprehensive plan for their asset portfolio. The first step in realizing and maximizing EVA towards a portfolio of assets is a change in corporate policy--one from passive ownership to active prudent management. Service and cost will drive competition resulting from full deregulation. To drive down costs, utilities will need to become more efficient in dealing with their asset base. By embracing an EVA model on an entire asset portfolio, utilities can prepare and excel in the newly shaped marketplace.

  13. A Methodology for Conducting Space Utilization Studies within Department of Defense Medical Facilities

    DTIC Science & Technology

    1992-07-01

    institution-wide benefits of A Space Utilization 20 facility management automation , to include (a) the ability to identify current discrepancies in...September). Survey Pinpoints Leading Application and Shows That 47% Rely on FM Automation . FacilitiesDesign andt Mia-maI. pp 35.36. Ledeen, K. (1989, August...conference room is not needed. 100 NSF for libary reference material is needed. 200 NSF is authorized. Total 100 Support Areas: Equipment/Device

  14. A methodology model for quality management in a general hospital.

    PubMed

    Stern, Z; Naveh, E

    1997-01-01

    A reappraisal is made of the relevance of industrial modes of quality management to the issues of medical care. Analysis of the nature of medical care, which differentiates it from the supplier-client relationships of industry, presents the main intrinsic characteristics, which create problems in application of the industrial quality management approaches to medical care. Several examples are the complexity of the relationship between the medical action and the result obtained, the client's nonacceptance of economic profitability as a value in his medical care, and customer satisfaction biased by variable standards of knowledge. The real problems unique to hospitals are addressed, and a methodology model for their quality management is offered. Included is a sample of indicator vectors, measurements of quality care, cost of medical care, quality of service, and human resources. These are based on the trilogy of planning quality, quality control, and improving quality. The conclusions confirm the inadequacy of industrial quality management approaches for medical institutions and recommend investment in formulation of appropriate concepts.

  15. 42 CFR 484.230 - Methodology used for the calculation of the low-utilization payment adjustment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Methodology used for the calculation of the low-utilization payment adjustment. 484.230 Section 484.230 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... Prospective Payment System for Home Health Agencies § 484.230 Methodology used for the calculation of the...

  16. Risk Assessment Methodology for Water utilities (RAM-W) : the foundation for emergency response planning.

    SciTech Connect

    Danneels, Jeffrey John

    2005-03-01

    Concerns about acts of terrorism against critical infrastructures have been on the rise for several years. Critical infrastructures are those physical structures and information systems (including cyber) essential to the minimum operations of the economy and government. The President's Commission on Critical Infrastructure Protection (PCCIP) probed the security of the nation's critical infrastructures. The PCCIP determined the water infrastructure is highly vulnerable to a range of potential attacks. In October 1997, the PCCIP proposed a public/private partnership between the federal government and private industry to improve the protection of the nation's critical infrastructures. In early 2000, the EPA partnered with the Awwa Research Foundation (AwwaRF) and Sandia National Laboratories to create the Risk Assessment Methodology for Water Utilities (RAM-W{trademark}). Soon thereafter, they initiated an effort to create a template and minimum requirements for water utility Emergency Response Plans (ERP). All public water utilities in the US serving populations greater than 3,300 are required to undertaken both a vulnerability assessment and the development of an emergency response plan. This paper explains the initial steps of RAM-W{trademark} and then demonstrates how the security risk assessment is fundamental to the ERP. During the development of RAM-W{trademark}, Sandia performed several security risk assessments at large metropolitan water utilities. As part of the scope of that effort, ERPs at each utility were reviewed to determine how well they addressed significant vulnerabilities uncovered during the risk assessment. The ERP will contain responses to other events as well (e.g. natural disasters) but should address all major findings in the security risk assessment.

  17. Exploring utility function in utility management: an evaluating method of library preservation.

    PubMed

    Yan, Bin; Shi, Feng; Yu, Rui-Qiang

    2013-12-01

    In order to seek a new method of book evaluation and realize book resources sharing among the regional university libraries, we think that library should collect books of the high utility value in the case of limited funds. We proposed a changing Bellman equation as a utility function and used the explicit functions of the book usage factor and the book usage half-life derived from the utility function as an evaluating method of the collecting books. The results from empirical data given some conclusions such as the varieties diversity, the collected risk, the tendencies of reading varieties, species continuity and so on and a librarian can use the utility management to supplement the collections management.

  18. An ecological and economic assessment methodology for coastal ecosystem management.

    PubMed

    Nobre, Ana M

    2009-07-01

    An adaptation of the Drivers-Pressure-State-Impact-Response methodology is presented in this work. The differential DPSIR (DeltaDPSIR) was developed to evaluate impacts on the coastal environment and as a tool for integrated ecosystem management. The aim of the DeltaDPSIR is to provide scientifically-based information required by managers and decision-makers to evaluate previously adopted policies, as well as future response scenarios. The innovation of the present approach is to provide an explicit link between ecological and economic information related to the use and management of a coastal ecosystem within a specific timeframe. The application of DeltaDPSIR is illustrated through an analysis of developments in a Southwest European coastal lagoon between 1985 and 1995. The value of economic activities dependent on the lagoon suffered a significant reduction (ca. -60%) over that period, mainly due to a decrease in bivalve production. During that decade the pressures from the catchment area were managed (ca. 176 million Euros), mainly through the building of waste water treatment plants. Notwithstanding this, the ecosystem state worsened with respect to abnormal clam mortalities due to a parasite infection and to benthic eutrophication symptoms in specific problematic areas. The negative economic impacts during the decade were estimated between -565 and -315 million Euros, of which 9-49% represent the cost of environmental externalities. Evaluation of these past events indicates that future management actions should focus on reducing the limitation on local clam seeds, which should result in positive impacts to both the local socio-economy and biodiversity.

  19. A Quantitative Examination of Critical Success Factors Comparing Agile and Waterfall Project Management Methodologies

    ERIC Educational Resources Information Center

    Pedersen, Mitra

    2013-01-01

    This study investigated the rate of success for IT projects using agile and standard project management methodologies. Any successful project requires use of project methodology. Specifically, large projects require formal project management methodologies or models, which establish a blueprint of processes and project planning activities. This…

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

    PubMed

    Duszak, Richard; Berlin, Jonathan W

    2012-10-01

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

  1. U.S. electric utility demand-side management 1996

    SciTech Connect

    1997-12-01

    The US Electric Utility Demand-Side Management report presents comprehensive information on electric power industry demand-side management (DSM) activities in the US at the national, regional, and utility levels. The objective of the publication is to provide industry decision makers, government policy makers, analysts, and the general public with historical data that may be used in understanding DSM as it related to the US electric power industry. The first chapter, ``Profile: U.S. Electric Utility Demand-Side Management,`` presents a general discussion of DSM, its history, current issues, and a review of key statistics for the year. Subsequent chapters present discussions and more detailed data on energy savings, peak load reductions and costs attributable to DSM. 9 figs., 24 tabs.

  2. U.S. electric utility demand-side management 1995

    SciTech Connect

    1997-01-01

    The US Electric Utility Demand-Side Management report is prepared by the Coal and Electric Data and Renewables Division; Office of Coal, Nuclear, Electric and Alternative Fuels; Energy Information Administration (EIA); US Department of Energy. The report presents comprehensive information on electric power industry demand-side management (DSM) activities in the US at the national, regional, and utility levels. The objective of the publication is to provide industry decision makers, government policy makers, analysts, and the general public with historical data that may be used in understanding DSM as it relates to the US electric power industry. The first chapter, ``Profile: US Electric Utility Demand-Side Management``, presents a general discussion of DSM, its history, current issues, and a review of key statistics for the year. Subsequent chapters present discussions and more detailed data on energy savings, peak load reductions and costs attributable to DSM. 9 figs., 24 tabs.

  3. On Robust Methodologies for Managing Public Health Care Systems

    PubMed Central

    Nimmagadda, Shastri L.; Dreher, Heinz V.

    2014-01-01

    Authors focus on ontology-based multidimensional data warehousing and mining methodologies, addressing various issues on organizing, reporting and documenting diabetic cases and their associated ailments, including causalities. Map and other diagnostic data views, depicting similarity and comparison of attributes, extracted from warehouses, are used for understanding the ailments, based on gender, age, geography, food-habits and other hereditary event attributes. In addition to rigor on data mining and visualization, an added focus is on values of interpretation of data views, from processed full-bodied diagnosis, subsequent prescription and appropriate medications. The proposed methodology, is a robust back-end application, for web-based patient-doctor consultations and e-Health care management systems through which, billions of dollars spent on medical services, can be saved, in addition to improving quality of life and average life span of a person. Government health departments and agencies, private and government medical practitioners including social welfare organizations are typical users of these systems. PMID:24445953

  4. On robust methodologies for managing public health care systems.

    PubMed

    Nimmagadda, Shastri L; Dreher, Heinz V

    2014-01-17

    Authors focus on ontology-based multidimensional data warehousing and mining methodologies, addressing various issues on organizing, reporting and documenting diabetic cases and their associated ailments, including causalities. Map and other diagnostic data views, depicting similarity and comparison of attributes, extracted from warehouses, are used for understanding the ailments, based on gender, age, geography, food-habits and other hereditary event attributes. In addition to rigor on data mining and visualization, an added focus is on values of interpretation of data views, from processed full-bodied diagnosis, subsequent prescription and appropriate medications. The proposed methodology, is a robust back-end application, for web-based patient-doctor consultations and e-Health care management systems through which, billions of dollars spent on medical services, can be saved, in addition to improving quality of life and average life span of a person. Government health departments and agencies, private and government medical practitioners including social welfare organizations are typical users of these systems.

  5. Orion GN&C Fault Management System Verification: Scope And Methodology

    NASA Technical Reports Server (NTRS)

    Brown, Denise; Weiler, David; Flanary, Ronald

    2016-01-01

    In order to ensure long-term ability to meet mission goals and to provide for the safety of the public, ground personnel, and any crew members, nearly all spacecraft include a fault management (FM) system. For a manned vehicle such as Orion, the safety of the crew is of paramount importance. The goal of the Orion Guidance, Navigation and Control (GN&C) fault management system is to detect, isolate, and respond to faults before they can result in harm to the human crew or loss of the spacecraft. Verification of fault management/fault protection capability is challenging due to the large number of possible faults in a complex spacecraft, the inherent unpredictability of faults, the complexity of interactions among the various spacecraft components, and the inability to easily quantify human reactions to failure scenarios. The Orion GN&C Fault Detection, Isolation, and Recovery (FDIR) team has developed a methodology for bounding the scope of FM system verification while ensuring sufficient coverage of the failure space and providing high confidence that the fault management system meets all safety requirements. The methodology utilizes a swarm search algorithm to identify failure cases that can result in catastrophic loss of the crew or the vehicle and rare event sequential Monte Carlo to verify safety and FDIR performance requirements.

  6. Renewable Electricity Benefits Quantification Methodology: A Request for Technical Assistance from the California Public Utilities Commission

    SciTech Connect

    Mosey, G.; Vimmerstedt, L.

    2009-07-01

    The California Public Utilities Commission (CPUC) requested assistance in identifying methodological alternatives for quantifying the benefits of renewable electricity. The context is the CPUC's analysis of a 33% renewable portfolio standard (RPS) in California--one element of California's Climate Change Scoping Plan. The information would be used to support development of an analytic plan to augment the cost analysis of this RPS (which recently was completed). NREL has responded to this request by developing a high-level survey of renewable electricity effects, quantification alternatives, and considerations for selection of analytic methods. This report addresses economic effects and health and environmental effects, and provides an overview of related analytic tools. Economic effects include jobs, earnings, gross state product, and electricity rate and fuel price hedging. Health and environmental effects include air quality and related public-health effects, solid and hazardous wastes, and effects on water resources.

  7. US electric utility demand-side management, 1994

    SciTech Connect

    1995-12-26

    The report presents comprehensive information on electric power industry demand-side management (DSM) activities in US at the national, regional, and utility levels. Objective is provide industry decision makers, government policy makers, analysts, and the general public with historical data that may be used in understanding DSM as it relates to the US electric power industry. The first chapter, ``Profile: US Electric Utility Demand-Side Management,`` presents a general discussion of DSM, its history, current issues, and a review of key statistics for the year. Subsequent chapters present discussions and more detailed data on energy savings, peak load reductions, and costs attributable to DSM.

  8. Change management methodologies trained for automotive infotainment projects

    NASA Astrophysics Data System (ADS)

    Prostean, G.; Volker, S.; Hutanu, A.

    2017-01-01

    An Automotive Electronic Control Units (ECU) development project embedded within a car Environment is constantly under attack of a continuous flow of modifications of specifications throughout the life cycle. Root causes for those modifications are for instance simply software or hardware implementation errors or requirement changes to satisfy the forthcoming demands of the market to ensure the later commercial success. It is unavoidable that from the very beginning until the end of the project “requirement changes” will “expose” the agreed objectives defined by contract specifications, which are product features, budget, schedule and quality. The key discussions will focus upon an automotive radio-navigation (infotainment) unit, which challenges aftermarket devises such as smart phones. This competition stresses especially current used automotive development processes, which are fit into a 4 Year car development (introduction) cycle against a one-year update cycle of a smart phone. The research will focus the investigation of possible impacts of changes during all phases of the project: the Concept-Validation, Development and Debugging-Phase. Building a thorough understanding of prospective threats is of paramount importance in order to establish the adequate project management process to handle requirement changes. Personal automotive development experiences and Literature review of change- and configuration management software development methodologies led the authors to new conceptual models, which integrates into the structure of traditional development models used in automotive projects, more concretely of radio-navigation projects.

  9. Contingency management: utility in the treatment of drug abuse disorders.

    PubMed

    Stitzer, M L; Vandrey, R

    2008-04-01

    Contingency management (CM) is a strategy that uses positive reinforcement to improve the clinical outcomes of substance abusers in treatment, especially sustained abstinence from drugs of abuse. Further, CM has been adopted to improve methodology and interpretation of outcomes in clinical trials testing new pharmacotherapies and to improve adherence to efficacious medications in substance abuse patients. Thus, CM has proven to be widely useful as a direct therapeutic intervention and as a tool in treatment development.

  10. Multicriteria methodological approach to manage urban air pollution

    NASA Astrophysics Data System (ADS)

    Vlachokostas, Ch.; Achillas, Ch.; Moussiopoulos, N.; Banias, G.

    2011-08-01

    Managing urban air pollution necessitates a feasible and efficient abatement strategy which is characterised as a defined set of specific control measures. In practice, hard budget constraints are present in any decision-making process and therefore available alternatives need to be hierarchised in a fast but still reliable manner. Moreover, realistic strategies require adequate information on the available control measures, taking also into account the area's special characteristics. The selection of the most applicable bundle of measures rests in achieving stakeholders' consensus, while taking into consideration mutually conflicting views and criteria. A preliminary qualitative comparison of alternative control measures would be most handy for decision-makers, forming the grounds for an in-depth analysis of the most promising ones. This paper presents an easy-to-follow multicriteria methodological approach in order to include and synthesise multi-disciplinary knowledge from various stakeholders so as to result into a priority list of abatement options, achieve consensus and secure the adoption of the resulting optimal solution. The approach relies on the active involvement of public authorities and local stakeholders in order to incorporate their environmental, economic and social preferences. The methodological scheme is implemented for the case of Thessaloniki, Greece, an area considered among the most polluted cities within Europe, especially with respect to airborne particles. Intense police control, natural gas penetration in buildings and metro construction equally result into the most "promising" alternatives in order to control air pollution in the GTA. The three optimal alternatives belong to different thematic areas, namely road transport, thermal heating and infrastructure. Thus, it is obvious that efforts should spread throughout all thematic areas. Natural gas penetration in industrial units, intense monitoring of environmental standards and regular

  11. A utility oriented radio resource management algorithm for heterogenous network

    NASA Astrophysics Data System (ADS)

    Wang, Xiaoyan; Dong, Yan; Huang, Zailu

    2007-11-01

    A utility oriented radio resource management algorithm is proposed for broadband nongeostationary satellite network which works in the heterogeneous network environment and provides access services for various customers on the ground. Based on the game theory, the problem for optimizing the network's performance is turned into the problem for maximizing the network's long term utility in the proposed algorithm. With evaluation to the traffic condition and dimensions of Qos for the network at the moment while the access service requirements changing, the influence of this service requirement to the long term utility of the satellite network is audited and then the resource assignment decision can be made according to the rule for maximizing the satellite network's long term utility. The process directed by game theory guaranteed both that the benefit of the network and the requirements of the customers could be considered synthetically. The simulation results demonstrate the effectiveness of the proposed algorithm.

  12. Utilization management in a mixed-payment environment.

    PubMed

    Krohn, R; Broffman, G

    1998-02-01

    Fee-for-service and capitation payment methods create different financial incentives for healthcare providers, and the objectives of utilization management differ under each payment method. These differences can be reconciled, however, by incorporating the strengths of utilization management programs associated with both methods into an overarching program that focuses on the continuum of care. Such a program should be focused on achieving the optimal outcomes for patients by identifying the appropriate level of care, who should provide it, and when and where it should be provided. Essential to this effort is access to comprehensive clinical and financial data through an integrated information system. In addition, financial incentives need to be aligned through such means as risk pools, compensation arrangements tied to achievement of medical management goals, and clearly defined policies and procedures.

  13. A Review of Citation Analysis Methodologies for Collection Management

    ERIC Educational Resources Information Center

    Hoffmann, Kristin; Doucette, Lise

    2012-01-01

    While there is a considerable body of literature that presents the results of citation analysis studies, most researchers do not provide enough detail in their methodology to reproduce the study, nor do they provide rationale for methodological decisions. In this paper, we review the methodologies used in 34 recent articles that present a…

  14. 30 years of pharmaceutical cost-utility analyses: growth, diversity and methodological improvement.

    PubMed

    Neumann, Peter J; Fang, Chi-Hui; Cohen, Joshua T

    2009-01-01

    To review and critically evaluate published cost-utility analyses (CUAs) pertaining to pharmaceuticals for the past 3 decades. We examined data from the Tufts Medical Center Cost-Effectiveness Analysis Registry (www.cearegistry.org), which contains detailed information on English-language CUAs and their ratios (in $US, year 2008 values) published in peer-reviewed journals. We summarized study features using descriptive statistics for articles published from 1976 to 2006. Changes in study methodology over time were analysed by trend test. Analysis of ratios was restricted to those published from 2000 to 2006 from studies that correctly discounted future costs and benefits. Factors associated with having a favourable value (defined to be more than the median for all included ratios) were identified by logistic regression. Of 1393 CUAs published through 2006, 640 (45.9%) pertained to pharmaceuticals. The proportion of CUAs that focussed on pharmaceuticals increased from 34% for the period 1990-5 to 47% for the period 2001-5. Investigations with a US perspective accounted for 51% of all CUAs, although this proportion has decreased over time. The UK perspective investigations accounted for nearly 16% of all studies, and this portion has increased over time. About 24% of all CUAs were sponsored by industry, 48% were sponsored by non-industry sources, and 28% did not disclose their funding. Adherence to good methodological practices is roughly similar for studies with industry and non-industry sponsorship. Adherence to these practices has increased over time. Among the 1969 ratios meeting our inclusion criteria, the median value was $US22 000 per QALY. Logistic regression revealed that, while controlling for the intervention category (e.g. pharmaceutical, medical device, screening), ratios were more likely to be favourable if they were from studies sponsored by a pharmaceutical or device manufacturer (OR 1.53; 95% CI 1.07, 2.19). Ratios for pharmaceutical CUAs were less

  15. Planning "and" Sprinting: Use of a Hybrid Project Management Methodology within a CIS Capstone Course

    ERIC Educational Resources Information Center

    Baird, Aaron; Riggins, Frederick J.

    2012-01-01

    An increasing number of information systems projects in industry are managed using hybrid project management methodologies, but this shift in project management methods is not fully represented in our CIS curriculums. CIS capstone courses often include an applied project that is managed with traditional project management methods (plan first,…

  16. A robust rotorcraft flight control system design methodology utilizing quantitative feedback theory

    NASA Technical Reports Server (NTRS)

    Gorder, Peter James

    1993-01-01

    Rotorcraft flight control systems present design challenges which often exceed those associated with fixed-wing aircraft. First, large variations in the response characteristics of the rotorcraft result from the wide range of airspeeds of typical operation (hover to over 100 kts). Second, the assumption of vehicle rigidity often employed in the design of fixed-wing flight control systems is rarely justified in rotorcraft where rotor degrees of freedom can have a significant impact on the system performance and stability. This research was intended to develop a methodology for the design of robust rotorcraft flight control systems. Quantitative Feedback Theory (QFT) was chosen as the basis for the investigation. Quantitative Feedback Theory is a technique which accounts for variability in the dynamic response of the controlled element in the design robust control systems. It was developed to address a Multiple-Input Single-Output (MISO) design problem, and utilizes two degrees of freedom to satisfy the design criteria. Two techniques were examined for extending the QFT MISO technique to the design of a Multiple-Input-Multiple-Output (MIMO) flight control system (FCS) for a UH-60 Black Hawk Helicopter. In the first, a set of MISO systems, mathematically equivalent to the MIMO system, was determined. QFT was applied to each member of the set simultaneously. In the second, the same set of equivalent MISO systems were analyzed sequentially, with closed loop response information from each loop utilized in subsequent MISO designs. The results of each technique were compared, and the advantages of the second, termed Sequential Loop Closure, were clearly evident.

  17. The Implications of Healthcare Utilization of Diabetes Disease Management

    DTIC Science & Technology

    2008-06-24

    regression indicate that the overall model significantly predicts of outpatient utilization, R:=.048. R2«j«s.045, F= 19.047. P<.000. This study demonstrates... Regression results indicate that the overall model significantly predicts of outpatient utilization, R2=048, R2adJ=.045, F=19.047, P<.00(f, see...manage patients with diabetes’.’" Standard regression was conducted to determine the accuracy of the independent (HbAlc Testing 2005. 2006 and 2007

  18. Parameter Analysis of Lunar Surface Navigation Utilizing Dilution-of-Precision Methodology With Lunar Orbiters

    NASA Technical Reports Server (NTRS)

    Welch, Bryan W.

    2008-01-01

    With the NASA Vision for Space Exploration focusing on the return of astronauts to the Moon and eventually to Mars, architectures for new navigation concepts must be derived and analyzed. One such concept, developed by the Space Communications Architecture Working Group (SCAWG), is to place a constellation of satellites around the Moon. Previously completed analyses examined the performance of multiple satellite constellations and recommended a constellation oriented as a Walker polar 6/2/1 with a semimajor axis (SMA) of 9250 km. One requirement of the constellations that were examined was that they have continuous access to any location on the lunar surface. In this report, the polar 6/2/1 and polar 8/2/1, with equal SMAs, are examined in greater detail. The dilution-of-precision (DoP) methodology is utilized to examine the effects of longitude surface points, latitude surface points, elevation requirements, and modified failure modes for these two constellations with regard to system availability. Longitude study results show that points along a meridian closely approximate the results of a global set of data points. Latitude study results show that previous assumptions with regard to latitude spacing are adequate to simulate global system availability. Elevation study results show that global system availability curves follow a reverse sigmoid function. Modified failure mode study results show that the benefits of reorienting a failure mode constellation depend on the type of navigation system and the length of the integration period being used.

  19. 76 FR 54216 - Pacific Fishery Management Council (Council); Work Session To Review Proposed Salmon Methodology...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-31

    ... National Oceanic and Atmospheric Administration RIN 0648-XA671 Pacific Fishery Management Council (Council); Work Session To Review Proposed Salmon Methodology Changes AGENCY: National Marine Fisheries Service... meeting. SUMMARY: The Pacific Fishery Management Council's Salmon Technical Team (STT), Scientific...

  20. Is strategic asset management applicable to small and medium utilities?

    PubMed

    Alegre, Helena

    2010-01-01

    Urban water infrastructures provide essential services to modern societies and represent a major portion of the value of municipal physical assets. Managing these assets rationally is therefore fundamental for the sustainability of the services and to the economy of societies. "Asset Management" (AM) is a modern term for an old practice--assets have always been managed. In recent years, significant evolution occurred in terms of the AM formal approaches, of the monitoring and decision support tools and of the implementation success cases. However, most tools developed are too sophisticated and data seek for small utilities. The European R&D network COST Action C18 ( E-mail: www.costc18.org) identified key research problems related to the management of urban water infrastructures, currently not covered by on-going projects of the European Framework Program. The top 1 topic is "Efficient management of small community". This paper addresses challenges and opportunities for small and medium utilities with regard to infrastructure AM (IAM). To put this into context, the first sections discuss the need for IAM, highlight key recent developments, and present IAM drivers, as well as research and development gaps, priorities and products needed.

  1. The Application of Failure Modes and Effects Analysis Methodology to Intrathecal Drug Delivery for Pain Management

    PubMed Central

    Patel, Teresa; Fisher, Stanley P.

    2016-01-01

    Objective This study aimed to utilize failure modes and effects analysis (FMEA) to transform clinical insights into a risk mitigation plan for intrathecal (IT) drug delivery in pain management. Methods The FMEA methodology, which has been used for quality improvement, was adapted to assess risks (i.e., failure modes) associated with IT therapy. Ten experienced pain physicians scored 37 failure modes in the following categories: patient selection for therapy initiation (efficacy and safety concerns), patient safety during IT therapy, and product selection for IT therapy. Participants assigned severity, probability, and detection scores for each failure mode, from which a risk priority number (RPN) was calculated. Failure modes with the highest RPNs (i.e., most problematic) were discussed, and strategies were proposed to mitigate risks. Results Strategic discussions focused on 17 failure modes with the most severe outcomes, the highest probabilities of occurrence, and the most challenging detection. The topic of the highest‐ranked failure mode (RPN = 144) was manufactured monotherapy versus compounded combination products. Addressing failure modes associated with appropriate patient and product selection was predicted to be clinically important for the success of IT therapy. Conclusions The methodology of FMEA offers a systematic approach to prioritizing risks in a complex environment such as IT therapy. Unmet needs and information gaps are highlighted through the process. Risk mitigation and strategic planning to prevent and manage critical failure modes can contribute to therapeutic success. PMID:27477689

  2. Simulation Utility Management System (SUMS): User’s Manual

    DTIC Science & Technology

    1993-08-01

    AL/HR-TP-1993-0031 AD-A270 975 A SIMULATION UTILITY MANAGEMENT SYSTEM (SUMS): USER’S MANUAL R M S Brice M. Stone T Kathryn L. Turner R Metrica ...PERFORMING ORGANIZATION REPORT NUMBER Metrica , Incorporated 3833 Texas Ave, Suite 207 Bryan TX 77802 9. SPONSORING,.MONITORING AGENCY NAME(S) AND ADDRESS(ES...0251 (SBA 68822004) by Metrica , Inc. for the Manpower and Personnel Research Division of the Armstrong Laboratory Human Resources Directorate. The

  3. Effective Utilization Management in a Military Treatment Facility

    DTIC Science & Technology

    1999-12-01

    16. Accumulative Average Length of Stay Figure 17. MEPRS Inpatient Summary Data Figure 18. Inpatient Personnel Expenses Figure 19. Inpatient...utilization management efforts have decreased the average length of stay , modified the case mix index, and reduced cost per inpatient bed day. This...system was also used to identify Case Mix Index changes of patients seen at WHMC. The same system provided data to determine Average Length of Stay (ALOS

  4. 42 CFR 484.230 - Methodology used for the calculation of the low-utilization payment adjustment.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Methodology used for the calculation of the low-utilization payment adjustment. 484.230 Section 484.230 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION HOME HEALTH...

  5. 42 CFR 484.230 - Methodology used for the calculation of the low-utilization payment adjustment.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Methodology used for the calculation of the low-utilization payment adjustment. 484.230 Section 484.230 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION HOME HEALTH...

  6. The cost of energy from utility-owned solar electric systems. A required revenue methodology for ERDA/EPRI evaluations

    NASA Technical Reports Server (NTRS)

    1976-01-01

    This methodology calculates the electric energy busbar cost from a utility-owned solar electric system. This approach is applicable to both publicly- and privately-owned utilities. Busbar cost represents the minimum price per unit of energy consistent with producing system-resultant revenues equal to the sum of system-resultant costs. This equality is expressed in present value terms, where the discount rate used reflects the rate of return required on invested capital. Major input variables describe the output capabilities and capital cost of the energy system, the cash flows required for system operation amd maintenance, and the financial structure and tax environment of the utility.

  7. A methodology to identify stranded generation facilities and estimate stranded costs for Louisiana's electric utility industry

    NASA Astrophysics Data System (ADS)

    Cope, Robert Frank, III

    1998-12-01

    The electric utility industry in the United States is currently experiencing a new and different type of growing pain. It is the pain of having to restructure itself into a competitive business. Many industry experts are trying to explain how the nation as a whole, as well as individual states, will implement restructuring and handle its numerous "transition problems." One significant transition problem for federal and state regulators rests with determining a utility's stranded costs. Stranded generation facilities are assets which would be uneconomic in a competitive environment or costs for assets whose regulated book value is greater than market value. At issue is the methodology which will be used to estimate stranded costs. The two primary methods are known as "Top-Down" and "Bottom-Up." The "Top-Down" approach simply determines the present value of the losses in revenue as the market price for electricity changes over a period of time into the future. The problem with this approach is that it does not take into account technical issues associated with the generation and wheeling of electricity. The "Bottom-Up" approach computes the present value of specific strandable generation facilities and compares the resulting valuations with their historical costs. It is regarded as a detailed and difficult, but more precise, approach to identifying stranded assets and their associated costs. This dissertation develops a "Bottom-Up" quantitative, optimization-based approach to electric power wheeling within the state of Louisiana. It optimally evaluates all production capabilities and coordinates the movement of bulk power through transmission interconnections of competing companies in and around the state. Sensitivity analysis to this approach is performed by varying seasonal consumer demand, electric power imports, and transmission inter-connection cost parameters. Generation facility economic dispatch and transmission interconnection bulk power transfers, specific

  8. Detection of outlier loci and their utility for fisheries management.

    PubMed

    Russello, Michael A; Kirk, Stephanie L; Frazer, Karen K; Askey, Paul J

    2012-01-01

    Genetics-based approaches have informed fisheries management for decades, yet remain challenging to implement within systems involving recently diverged stocks or where gene flow persists. In such cases, genetic markers exhibiting locus-specific ('outlier') effects associated with divergent selection may provide promising alternatives to loci that reflect genome-wide ('neutral') effects for guiding fisheries management. Okanagan Lake kokanee (Oncorhynchus nerka), a fishery of conservation concern, exhibits two sympatric ecotypes adapted to different reproductive environments; however, previous research demonstrated the limited utility of neutral microsatellites for assigning individuals. Here, we investigated the efficacy of an outlier-based approach to fisheries management by screening >11 000 expressed sequence tags for linked microsatellites and conducting genomic scans for kokanee sampled across seven spawning sites. We identified eight outliers among 52 polymorphic loci that detected ecotype-level divergence, whereas there was no evidence of divergence at neutral loci. Outlier loci exhibited the highest self-assignment accuracy to ecotype (92.1%), substantially outperforming 44 neutral loci (71.8%). Results were robust among-sampling years, with assignment and mixed composition estimates for individuals sampled in 2010 mirroring baseline results. Overall, outlier loci constitute promising alternatives for informing fisheries management involving recently diverged stocks, with potential applications for designating management units across a broad range of taxa.

  9. Utilization of lean management principles in the ambulatory clinic setting.

    PubMed

    Casey, Jessica T; Brinton, Thomas S; Gonzalez, Chris M

    2009-03-01

    The principles of 'lean management' have permeated many sectors of today's business world, secondary to the success of the Toyota Production System. This management method enables workers to eliminate mistakes, reduce delays, lower costs, and improve the overall quality of the product or service they deliver. These lean management principles can be applied to health care. Their implementation within the ambulatory care setting is predicated on the continuous identification and elimination of waste within the process. The key concepts of flow time, inventory and throughput are utilized to improve the flow of patients through the clinic, and to identify points that slow this process -- so-called bottlenecks. Nonessential activities are shifted away from bottlenecks (i.e. the physician), and extra work capacity is generated from existing resources, rather than being added. The additional work capacity facilitates a more efficient response to variability, which in turn results in cost savings, more time for the physician to interact with patients, and faster completion of patient visits. Finally, application of the lean management principle of 'just-in-time' management can eliminate excess clinic inventory, better synchronize office supply with patient demand, and reduce costs.

  10. Federated and Cloud Enabled Resources for Data Management and Utilization

    NASA Astrophysics Data System (ADS)

    Rankin, R.; Gordon, M.; Potter, R. G.; Satchwill, B.

    2011-12-01

    The emergence of cloud computing over the past three years has led to a paradigm shift in how data can be managed, processed and made accessible. Building on the federated data management system offered through the Canadian Space Science Data Portal (www.cssdp.ca), we demonstrate how heterogeneous and geographically distributed data sets and modeling tools have been integrated to form a virtual data center and computational modeling platform that has services for data processing and visualization embedded within it. We also discuss positive and negative experiences in utilizing Eucalyptus and OpenStack cloud applications, and job scheduling facilitated by Condor and Star Cluster. We summarize our findings by demonstrating use of these technologies in the Cloud Enabled Space Weather Data Assimilation and Modeling Platform CESWP (www.ceswp.ca), which is funded through Canarie's (canarie.ca) Network Enabled Platforms program in Canada.

  11. General Risk Analysis Methodological Implications to Explosives Risk Management Systems,

    DTIC Science & Technology

    An investigation sponsored by the National Science Foundation has produced as one of its results a survey and evaluation of risk analysis methodologies...This paper presents some implications of the survey to risk analysis and decision making for explosives hazards such as may ultimately be

  12. Utilization of Heat Pump Water Heaters for Load Management

    SciTech Connect

    Boudreaux, Philip R; Jackson, Roderick K; Munk, Jeffrey D; Gehl, Anthony C; Lyne, Christopher T

    2014-01-01

    The Energy Conservation Standards for Residential Water Heaters require residential electric storage water heaters with volumes larger than 55 gallons to have an energy factor greater than 2.0 after April 2015. While this standard will significantly increase the energy efficiency of water heaters, large electric storage water heaters that do not use heat pump technologies may no longer be available. Since utilities utilize conventional large-volume electric storage water heaters for thermal storage in demand response programs, there is a concern that the amended standard will significantly limit demand response capacity. To this end, Oak Ridge National Laboratory partnered with the Tennessee Valley Authority to investigate the load management capability of heat pump water heaters that meet or exceed the forthcoming water heater standard. Energy consumption reduction during peak periods was successfully demonstrated, while still meeting other performance criteria. However, to minimize energy consumption, it is important to design load management strategies that consider the home s hourly hot water demand so that the homeowner has sufficient hot water.

  13. A methodology to incorporate life cycle analysis and the triple bottom line mechanism for sustainable management of industrial enterprises

    NASA Astrophysics Data System (ADS)

    Wang, Ling; Lin, Li

    2004-02-01

    Since 1970"s, the environmental protection movement has challenged industries to increase their investment in Environmentally Conscious Manufacturing (ECM) techniques and management tools. Social considerations for global citizens and their descendants also motivated the examination on the complex issues of sustainable development beyond the immediate economic impact. Consequently, industrial enterprises have started to understand sustainable development in considering the Triple Bottom Line (TBL): economic prosperity, environmental quality and social justice. For the management, however, a lack of systematic ECM methodologies hinders their effort in planning, evaluating, reporting and auditing of sustainability. To address this critical need, this research develops a framework of a sustainable management system by incorporating a Life Cycle Analysis (LCA) of industrial operations with the TBL mechanism. A TBL metric system with seven sets of indices for the TBL elements and their complex relations is identified for the comprehensive evaluation of a company"s sustainability performance. Utilities of the TBL indices are estimated to represent the views of various stakeholders, including the company, investors, employees and the society at large. Costs of these indices are also captured to reflect the company"s effort in meeting the utilities. An optimization model is formulated to maximize the economic, environmental and social benefits by the company"s effort in developing sustainable strategies. To promote environmental and social consciousness, the methodology can significantly facilitate management decisions by its capabilities of including "non-business" values and external costs that the company has not contemplated before.

  14. A Clustering Methodology of Web Log Data for Learning Management Systems

    ERIC Educational Resources Information Center

    Valsamidis, Stavros; Kontogiannis, Sotirios; Kazanidis, Ioannis; Theodosiou, Theodosios; Karakos, Alexandros

    2012-01-01

    Learning Management Systems (LMS) collect large amounts of data. Data mining techniques can be applied to analyse their web data log files. The instructors may use this data for assessing and measuring their courses. In this respect, we have proposed a methodology for analysing LMS courses and students' activity. This methodology uses a Markov…

  15. Assessing and Managing Risks to Information Assurance: A Methodological Approach

    DTIC Science & Technology

    2001-05-01

    Federal Bureau of Investigations FII Federal Information Infrastructure GAO Government Accounting Office GIG Global Information Grid GII Global ...81 TABLE 6: HHM GLOBAL AND SUB-TOPICS SELECTED FOR THE IA METHODOLOGY........................87 TABLE 7: SOURCES OF FAILURE IN THE PUBLIC...declined because they thought the information was a hoax [Christensen, 1999]. There are other cases and each of these cases the military was unable to

  16. Strategic Planning Methodology for Financial Management in the Department of the Navy

    DTIC Science & Technology

    1983-05-24

    STRATEGIC PLANNING METHODOLOGY FOR FINANCIAL MANAGEMENT IN THE DEPARTMENT OF THE NAVY May 24, 1983 Contract Number: N00014-83-C-0016 Prepared for...20376 This document has been approved for public ralaase and sale; its distribution is unlimited. 0 52 TR-83W-035 STRATEGIC PLANNING METHODOLOGY...effective DON-wide strategic planning for financial management. NEED FOR A LEADERSHIP ROLE In the past, the planning unit has functioned primarily in a

  17. What Is the Proof? A Methodological Review of Studies That Have Utilized Social Stories

    ERIC Educational Resources Information Center

    Leaf, Justin B.; Oppenheim-Leaf, Misty L.; Leaf, Ronald B.; Taubman, Mitchell; McEachin, John; Parker,Tracee; Waks, Andrea B.; Mountjoy, Toby

    2015-01-01

    Social stories are a commonly empirically evaluated and implemented procedure to increase pro-social behaviors and decrease aberrant behaviors for individuals diagnosed with an autism spectrum disorder. Despite their widespread use there have been questions raised to the soundness of the research methodology and the results which have been…

  18. Pathologists' roles in clinical utilization management. A financing model for managed care.

    PubMed

    Zhao, J J; Liberman, A

    2000-03-01

    In ancillary or laboratory utilization management, the roles of pathologists have not been explored fully in managed care systems. Two possible reasons may account for this: pathologists' potential contributions have not been defined clearly, and effective measurement of and reasonable compensation for the pathologist's contribution remains vague. The responsibilities of pathologists in clinical practice may include clinical pathology and laboratory services (which have long been well-defined and are compensated according to a resource-based relative value system-based coding system), laboratory administration, clinical utilization management, and clinical research. Although laboratory administration services have been compensated with mechanisms such as percentage of total service revenue or fixed salary, the involvement of pathologists seems less today than in the past, owing to increased clinical workload and time constraints in an expanding managed care environment, especially in community hospital settings. The lack of financial incentives or appropriate compensation mechanisms for the services likely accounts for the current situation. Furthermore, the importance of pathologist-driven utilization management in laboratory services lacks recognition among hospital administrators, managed care executives, and pathologists themselves, despite its potential benefits for reducing cost and enhancing quality of care. We propose a financial compensation model for such services and summarize its advantages.

  19. Manpower Planning and Personnel Management Models Based on Utility Theory,

    DTIC Science & Technology

    1980-08-01

    and Morgenstern [1947]. 2.3 Assessment of Utility Functions For decision problems with multiple objectives, multiattribute utility theory provides... multiattribute utility theory and applications. In Multiple Criteria Decision Making, M.K. Starr and M. Zelany (eds.), North Holland, Amsterdam. Fishburn...Princeton University Press, Princeton, NJ. Fishburn, P.C. (1977). Multiattribute utilities in expected utility theory . In Conflicting Objectives in

  20. Enhancing the utility of prostascint SPECT scans for patient management.

    PubMed

    Noz, Marilyn E; Chung, Grace; Lee, Benjamin Y; Maguire, Gerald Q; DeWyngaert, J Keith; Doshi, Jay V; Kramer, Elissa L; Murphy-Walcott, Antoinette D; Zeleznik, Michael P; Kwak, Noeun G

    2006-04-01

    This project investigated reducing the artifact content of In-ill ProstaScint SPECT scans for use in treatment planning and management. Forty-one patients who had undergone CT or MRI scans and simultaneous Tc-99m RBC/In-111 ProstaScint SPECT scans were included. SPECT volume sets, reconstructed using Ordered Set-Expectation Maximum (OS-EM) were compared against those reconstructed with standard Filtered Back projection (FBP). Bladder activity in Tc-99m scans was suppressed within an ellipsoidal volume. Tc-99m voxel values were subtracted from the corresponding In-111 after scaling based on peak activity within the descending aorta. The SPECT volume data sets were merged with the CT or MRI scans before and after processing. Volume merging, based both on visual assessment and statistical evaluation, was not affected. Thus iterative reconstruction together with bladder suppression and blood pool subtraction may improve the interpretation and utility of ProstaScint SPECT scans for patient management.

  1. Informing Reactor Aging Management by Extended Risk Methodology

    SciTech Connect

    Unwin, Stephen D.; Lowry, Peter P.; Toyooka, Michael Y.

    2009-07-01

    This is a paper summary to be published in the proceedings of the Winter Meeting of the American Nuclear Society. It describes a method for expanding probabilistic risk assessment models to address issues associated with the management of aging nuclear power plants and the prioritization of materials degradation research.

  2. Frost-Shielding Methodology and Demonstration for Shallow Burial of Water and Sewer Utility Lines.

    DTIC Science & Technology

    1998-06-01

    Research and Engineering Laboratory (CRREL), and the Owens - Corning Specialty and Foam Products Division as partners. Test sites utilizing shielded pipes...predictions and provided valuable guidance for the frost shield design. The industry partner participant in the CPAR project, Owens - Corning Specialty and Foam

  3. Methodology to Assess No Touch Audit Software Using Simulated Building Utility Data

    SciTech Connect

    Cheung, Howard; Braun, James E.; Langner, M. Rois

    2016-10-01

    This report describes a methodology developed for assessing the performance of no touch building audit tools and presents results for an available tool. Building audits are conducted in many commercial buildings to reduce building energy costs and improve building operation. Because the audits typically require significant input obtained by building engineers, they are usually only affordable for larger commercial building owners. In an effort to help small building and business owners gain the benefits of an audit at a lower cost, no touch building audit tools have been developed to remotely analyze a building's energy consumption.

  4. Urban water infrastructure asset management - a structured approach in four water utilities.

    PubMed

    Cardoso, M A; Silva, M Santos; Coelho, S T; Almeida, M C; Covas, D I C

    2012-01-01

    Water services are a strategic sector of large social and economic relevance. It is therefore essential that they are managed rationally and efficiently. Advanced water supply and wastewater infrastructure asset management (IAM) is key in achieving adequate levels of service in the future, particularly with regard to reliable and high quality drinking water supply, prevention of urban flooding, efficient use of natural resources and prevention of pollution. This paper presents a methodology for supporting the development of urban water IAM, developed during the AWARE-P project as well as an appraisal of its implementation in four water utilities. Both water supply and wastewater systems were considered. Due to the different contexts and features of the utilities, the main concerns vary from case to case; some problems essentially are related to performance, others to risk. Cost is a common deciding factor. The paper describes the procedure applied, focusing on the diversity of drivers, constraints, benefits and outcomes. It also points out the main challenges and the results obtained through the implementation of a structured procedure for supporting urban water IAM.

  5. Financial constraints in capacity planning: a national utility regulatory model (NUREG). Volume I of III: methodology. Final report

    SciTech Connect

    Not Available

    1981-10-29

    This report develops and demonstrates the methodology for the National Utility Regulatory (NUREG) Model developed under contract number DEAC-01-79EI-10579. It is accompanied by two supporting volumes. Volume II is a user's guide for operation of the NUREG software. This includes description of the flow of software and data, as well as the formats of all user data files. Finally, Volume III is a software description guide. It briefly describes, and gives a listing of, each program used in NUREG.

  6. Sorbent utilization prediction methodology: sulfur control in fluidized-bed combustors

    SciTech Connect

    Fee, D.C.; Wilson, W.I.; Shearer, J.A.; Smith, G.W.; Lenc, J.F.; Fan, L.S.; Myles, K.M.; Johnson, I.

    1980-09-01

    The United States Government has embarked on an ambitious program to develop and commercialize technologies to efficiently extract energy from coal in an environmentally acceptable manner. One of the more promising new technologies for steam and power generation is the fluidized-bed combustion of coal. In this process, coal is burned in a fluidized bed composed mainly of calcined limestone sorbent. The calcium oxide reacts chemically to capture the sulfur dioxide formed during the combustion and to maintain the stack gas sulfur emissions at acceptable levels. The spent sulfur sorbent, containing calcium sulfate, is a dry solid that can be disposed of along with coal ash or potentially used. Other major advantages of fluidized-bed combustion are the reduction in nitrogen oxide emissions because of the relatively low combustion temperatures, the capability of burning wide varieties of fuel, the high carbon combustion efficiencies, and the high heat-transfer coefficients. A key to the widespread commercialization of fluidized-bed technology is the ability to accurately predict the amount of sulfur that will be captured by a given sorbent. This handbook meets this need by providing a simple, yet reliable, user-oriented methodology (the ANL method) that allows performance of a sorbent to be predicted. The methodology is based on only three essential sorbent parameters, each of which can be readily obtained from standardized laboratory tests. These standard tests and the subsequent method of data reduction are described in detail.

  7. Bacterial exopolymer utilization by a harpacticoid copepod: A methodology and results

    SciTech Connect

    Decho, A.W.; Moriarty, D.J.W. )

    1990-07-01

    Exopolymer mucus secretions of bacteria and diatoms are potential foods for benthic animals. These secretions are coincidently ingested by animals during consumption of microbial cells and sediments. The utilization of microbial secretions was investigated with exopolymer derived from a marine bacterium (pseudomonas sp.) from seagrass beds and a harpacticoid copepod Laophonte sp. from the same habitat. A new technique was developed to examine ingestion, absorption, and absorption efficiencies of these bacterial secretions by consumers. Exopolymer mucus (from the bacterium in stationary phase) was labeled with {sup 14}C, collected, purified, and bound onto bacterium-sized beads. The exopolymer slime coating mimicked the coatings associated with many marine bacteria. Results from feeding experiments where the coated beads were mixed with sediment demonstrated that the mucus-exopolymer secretions of bacteria were ingested and utilized by Laophonte sp. Absorption efficiencies, determined directly, were > 80% in the presence of other food resources, indicating that exopolymer is potentially a highly labile C resource for this animal.

  8. WebGIS Platform Adressed to Forest Fire Management Methodologies

    NASA Astrophysics Data System (ADS)

    André Ramos-Simões, Nuno; Neto Paixão, Helena Maria; Granja Martins, Fernando Miguel; Pedras, Celestina; Lança, Rui; Silva, Elisa; Jordán, António; Zavala, Lorena; Soares, Cristina

    2015-04-01

    Forest fires are one of the natural disasters that causes more damages in nature, as well as high material costs, and sometimes, a significant losses in human lives. In summer season, when high temperatures are attained, fire may rapidly progress and destroy vast areas of forest and also rural and urban areas. The forest fires have effect on forest species, forest composition and structure, soil properties and soil capacity for nutrient retention. In order to minimize the negative impact of the forest fires in the environment, many studies have been developed, e.g. Jordán et al (2009), Cerdà & Jordán (2010), and Gonçalves & Vieira (2013). Nowadays, Remote Sensing (RS) and Geographic Information System (GIS) technologies are used as support tools in fire management decisions, namely during the fire, but also before and after. This study presents the development of a user-friendly WebGIS dedicated to share data, maps and provide updated information on forest fire management for stakeholders in Iberia Peninsula. The WebGIS platform was developed with ArcGIS Online, ArcGIS for Desktop; HyperText Markup Language (HTML) and Javascript. This platform has a database that includes spatial and alphanumeric information, such as: origin, burned areas, vegetation change over time, terrain natural slope, land use, soil erosion and fire related hazards. The same database contains also the following relevant information: water sources, forest tracks and traffic ways, lookout posts and urban areas. The aim of this study is to provide the authorities with a tool to assess risk areas and manage more efficiently forest fire hazards, giving more support to their decisions and helping the populations when facing this kind of phenomena.

  9. Standard outcome metrics and evaluation methodology for disease management programs. American Healthways and Johns Hopkins Consensus Conference.

    PubMed

    2003-01-01

    Disease management is conceptually recognized as being a significant approach for closing the gaps in care identified by the Institute of Medicine as contributing to poor outcomes from our health care system. That conceptual credibility has been bolstered by the disease management industry through the adoption of an industry-standard definition of disease management and through the development and implementation of disease management accreditation programs by the National Committee for Quality Assurance, Utilization Review Accreditation Commission, and Joint Commission on Accreditation of Healthcare Organizations. The clinical and financial outcomes of disease management programs continue to be suspect, however, due to the lack of an industry standard set of outcomes metrics and a uniform methodology for evaluating those metrics. As a result, the ability to evaluate the effectiveness of any individual program is compromised, and the ability to effectively compare results across programs of different delivery designs is non-existent. To address this issue, American Healthways and Johns Hopkins convened a consensus conference of nearly 150 health care professionals representing health plans, hospitals, practicing physicians (both primary care and specialty), and other health care professionals. The conference purpose was to develop a "first-step" set of metrics and a uniform methodology that could be applied industry-wide to enable meaningful comparisons between programs and to allow evaluation of individual programs whether "homegrown" or "outsourced." The consensus conferees recognized that there were many paths to this objective, but that they had to land on a set of metrics and a methodology that was "doable" in light of today's technology and data availability. The results of their consensus effort follow.

  10. A multiattribute utility analysis of sites nominated for characterization for the first radioactive-waste repository: A decision-aiding methodology

    SciTech Connect

    none,

    1986-05-01

    In December 1984, the Department of Energy (DOE) published draft environmental assessments (EAs) to support the proposed nomination of five sites and the recommendation of three sites for characterization for the first radioactive-waste repository. A chapter common to all the draft EAs (Chapter 7) presented rankings of the five sites against the postclosure and the preclosure technical siting guidelines. To determine which three sites appeared most favorable for recommendation for characterization, three simple quantitative methods were used to aggregate the rankings assigned to each site for the various technical guidelines. In response to numerous comments on the methods, the DOE has undertaken a formal application of one of them (hereafter referred to as the decision-aiding methodology) for the purpose of obtaining a more rigorous evaluation of the nominated sites. The application of the revised methodology is described in this report. The method of analysis is known as multiattribute utility analysis; it is a tool for providing insights as to which sites are preferable and why. The decision-aiding methodology accounts for all the fundamental considerations specified by the siting guidelines and uses as source information the data and evaluations reported or referenced in the EAs. It explicitly addresses the uncertainties and value judgments that are part of all siting problems. Furthermore, all scientific and value judgments are made explicit for the reviewer. An independent review of the application of the decision-aiding methodology has been conducted by the Board on Radioactive Waste Management of the National Academy of Sciences; the comments of the Board are included as an appendix to this report.

  11. The process and utility of classification and regression tree methodology in nursing research

    PubMed Central

    Kuhn, Lisa; Page, Karen; Ward, John; Worrall-Carter, Linda

    2014-01-01

    Aim This paper presents a discussion of classification and regression tree analysis and its utility in nursing research. Background Classification and regression tree analysis is an exploratory research method used to illustrate associations between variables not suited to traditional regression analysis. Complex interactions are demonstrated between covariates and variables of interest in inverted tree diagrams. Design Discussion paper. Data sources English language literature was sourced from eBooks, Medline Complete and CINAHL Plus databases, Google and Google Scholar, hard copy research texts and retrieved reference lists for terms including classification and regression tree* and derivatives and recursive partitioning from 1984–2013. Discussion Classification and regression tree analysis is an important method used to identify previously unknown patterns amongst data. Whilst there are several reasons to embrace this method as a means of exploratory quantitative research, issues regarding quality of data as well as the usefulness and validity of the findings should be considered. Implications for Nursing Research Classification and regression tree analysis is a valuable tool to guide nurses to reduce gaps in the application of evidence to practice. With the ever-expanding availability of data, it is important that nurses understand the utility and limitations of the research method. Conclusion Classification and regression tree analysis is an easily interpreted method for modelling interactions between health-related variables that would otherwise remain obscured. Knowledge is presented graphically, providing insightful understanding of complex and hierarchical relationships in an accessible and useful way to nursing and other health professions. PMID:24237048

  12. A Multi-Methodology for improving Adelaide's Groundwater Management

    NASA Astrophysics Data System (ADS)

    Batelaan, Okke; Banks, Eddie; Batlle-Aguilar, Jordi; Breciani, Etienne; Cook, Peter; Cranswick, Roger; Smith, Stan; Turnadge, Chris; Partington, Daniel; Post, Vincent; Pool Ramirez, Maria; Werner, Adrian; Xie, Yueqing; Yang, Yuting

    2015-04-01

    Groundwater is a strategic and vital resource in South Australia playing a crucial role in sustaining a healthy environment, as well as supporting industries and economic development. In the Adelaide metropolitan region ten different aquifer units have been identified, extending to more than 500 m below sea level. Although salinity within most of these aquifers is variable, water suitable for commercial, irrigation and/or potable use is predominantly found in the deeper Tertiary aquifers. Groundwater currently contributes only 9000 ML/yr of Adelaide's total water consumption of 216,000 ML, while in the Northern Adelaide Plains 17000 ML/yr is used. However, major industries, market gardeners, golf courses, and local councils are highly dependent on this resource. Despite recent rapid expansion in managed aquifer recharge, and the potential for increased extraction of groundwater, particularly for the commercial and irrigation supplies, little is known about the sources and ages of Adelaide's groundwater. The aim of this study is therefore to provide a robust conceptualisation of Adelaide's groundwater system. The study focuses on three important knowledge gaps: 1. Does groundwater flow from the Adelaide Hills into the sedimentary aquifers on the plains? 2. What is the potential for encroachment of seawater if groundwater extraction increases? 3. How isolated are the different aquifers, or does water leak from one to the other? A multi-tool approach has been used to improve the conceptual understanding of groundwater flow processes; including the installation of new groundwater monitoring wells from the hills to the coast, an extensive groundwater sampling campaign of new and existing groundwater wells for chemistry and environmental tracers analysis, and development of a regional scale numerical model rigorously tested under different scenario conditions. The model allows quantification of otherwise hardly quantifiable quantities such as flow across fault zones and

  13. Utilizing Radioisotope Power System Waste Heat for Spacecraft Thermal Management

    NASA Technical Reports Server (NTRS)

    Pantano, David R.; Dottore, Frank; Tobery, E. Wayne; Geng, Steven M.; Schreiber, Jeffrey G.; Palko, Joseph L.

    2005-01-01

    An advantage of using a Radioisotope Power System (RPS) for deep space or planetary surface missions is the readily available waste heat, which can be used for a number of beneficial purposes including: maintaining electronic components within a controlled temperature range, warming propulsion tanks and mobility actuators, and maintaining liquid propellants above their freezing temperature. Previous missions using Radioisotope Thermoelectric Generators (RTGs) dissipated large quantities of waste heat due to the low efficiency of the thermoelectric conversion technology. The next generation RPSs, such as the 110-Watt Stirling Radioisotope Generator (SRG110) will have higher conversion efficiencies, thereby rejecting less waste heat at a lower temperature and may require alternate approaches to transferring waste heat to the spacecraft. RTGs, with efficiencies of 6 to 7 percent, reject their waste heat at the relatively high heat rejection temperature of 200 C. This is an advantage when rejecting heat to space; however, transferring heat to the internal spacecraft components requires a large and heavy radiator heat exchanger. At the same time, sensitive spacecraft instruments must be shielded from the thermal radiation of the RTG. The SRG110, with an efficiency around 22 percent and 50 C nominal housing surface temperature, can readily transfer the available waste heat directly via heat pipes, thermal straps, or fluid loops. The lower temperatures associated with the SRG110 avoid the chances of overheating other scientific components, eliminating the need for thermal shields. This provides the spacecraft designers more flexibility when locating the generator for a specific mission. A common misconception with high-efficiency systems is that there is not enough waste heat for spacecraft thermal management. This paper will dispel this misconception and investigate the use of a high-efficiency SRG110 for spacecraft thermal management and outline potential methods of

  14. Micrometeorological Technique for Monitoring of Geological Carbon Capture, Utilization and Storage: Methodology, Workflow and Resources

    NASA Astrophysics Data System (ADS)

    Burba, G. G.; Madsen, R.; Feese, K.

    2013-12-01

    The eddy covariance (EC) method is a micrometeorological technique for direct high-speed measurements of the transport of gases and energy between land or water surfaces and the atmosphere [1]. This method allows for observations of gas transport scales from 20-40 times per second to multiple years, represents gas exchange integrated over a large area, from hundreds of square meters to tens of square kilometres, and corresponds to gas exchange from the entire surface, including canopy, and soil or water layers. Gas fluxes, emission and exchange rates are characterized from single-point in situ measurements using permanent or mobile towers, or moving platforms such as automobiles, helicopters, airplanes, etc. Presently, over 600 eddy covariance stations are in operation in over 120 countries [1]. EC is now recognized as an effective method in regulatory and industrial applications, including CCUS [2-10]. Emerging projects utilize EC to continuously monitor large areas before and after the injections, to locate and quantify leakages where CO2 may escape from the subsurface, to improve storage efficiency, and for other CCUS characterizations [5-10]. Although EC is one of the most direct and defensible micrometeorological techniques measuring gas emission and transport, and complete automated stations and processing are readily available, the method is mathematically complex, and requires careful setup and execution specific to the site and project. With this in mind, step-by-step instructions were created in [1] to introduce a novice to the EC method, and to assist in further understanding of the method through more advanced references. In this presentation we provide brief highlights of the eddy covariance method, its application to geological carbon capture, utilization and storage, key requirements, instrumentation and software, and review educational resources particularly useful for carbon sequestration research. References: [1] Burba G. Eddy Covariance Method

  15. Developing and Managing University-Industry Research Collaborations through a Process Methodology/Industrial Sector Approach

    ERIC Educational Resources Information Center

    Philbin, Simon P.

    2010-01-01

    A management framework has been successfully utilized at Imperial College London in the United Kingdom to improve the process for developing and managing university-industry research collaborations. The framework has been part of a systematic approach to increase the level of research contracts from industrial sources, to strengthen the…

  16. Utility of two methodologies in the clinical assessment of oral dryness in postmenopausal women

    PubMed Central

    Chengappa, Rachita Kodandera; Narayanan, Veena S.; Khan, Asim M.; Rakaraddi, Mangala P.; Puttaswamy, Kavitha A.; Puttabuddi, Jaishankar H.

    2016-01-01

    Objective: The aim of this study was to assess the oral dryness in postmenopausal women and to correlate the salivary flow rate determined by sialometry with the clinical oral dryness score (CODS) obtained from Challacombe Scale. To correlate between subjective and objective oral dryness and relationship of salivary flow rate with that of the duration of menopause. Materials and Methods: Sixty postmenopausal women were questioned regarding their oral dryness status and the duration of menopause. Patients complaining of xerostomia formed the case group and rest formed the control group. CODS was assessed based on the 10 features of oral dryness. Unstimulated whole salivary (UWS) flow rate was assessed by sialometry for 5 min. Results: Highly significant negative correlation was observed between UWS and CODS (r = −0.651), low negative correlation was noted between the duration of menopause and UWS flow rates (r = −0.159), and no significant correlation was found between subjective oral dryness with that of UWS flow rates (P = 0.0964). There was no statistically significant difference between case and control group with regard to CODS (P = 0.525). Conclusion: A good correlation of CODS with sialometry scores indicates that CODS can be utilized for semiquantitative assessment of oral dryness. It appears that UWS has poor correlation with duration of menopause. Xerostomia and UWS were not significantly related. PMID:27721638

  17. 1980 survey and evaluation of utility conservation, load management, and solar end-use projects. Volume 3: utility load management projects. Final report

    SciTech Connect

    Not Available

    1982-01-01

    The results of the 1980 survey of electric utility-sponsored energy conservation, load management, and end-use solar energy conversion projects are described. The work is an expansion of a previous survey and evaluation and has been jointly sponsored by EPRI and DOE through the Oak Ridge National Laboratory. There are three volumes and a summary document. Each volume presents the results of an extensive survey to determine electric utility involvement in customer-side projects related to the particular technology (i.e., conservation, solar, or load management), selected descriptions of utility projects and results, and first-level technical and economic evaluations.

  18. Refinement of biodegradation tests methodologies and the proposed utility of new microbial ecology techniques.

    PubMed

    Kowalczyk, Agnieszka; Martin, Timothy James; Price, Oliver Richard; Snape, Jason Richard; van Egmond, Roger Albert; Finnegan, Christopher James; Schäfer, Hendrik; Davenport, Russell James; Bending, Gary Douglas

    2015-01-01

    Society's reliance upon chemicals over the last few decades has led to their increased production, application and release into the environment. Determination of chemical persistence is crucial for risk assessment and management of chemicals. Current established OECD biodegradation guidelines enable testing of chemicals under laboratory conditions but with an incomplete consideration of factors that can impact on chemical persistence in the environment. The suite of OECD biodegradation tests do not characterise microbial inoculum and often provide little insight into pathways of degradation. The present review considers limitations with the current OECD biodegradation tests and highlights novel scientific approaches to chemical fate studies. We demonstrate how the incorporation of molecular microbial ecology methods (i.e., 'omics') may improve the underlying mechanistic understanding of biodegradation processes, and enable better extrapolation of data from laboratory based test systems to the relevant environment, which would potentially improve chemical risk assessment and decision making. We outline future challenges for relevant stakeholders to modernise OECD biodegradation tests and put the 'bio' back into biodegradation.

  19. The Utilization of Project Management in the Pharmaceutical Industry.

    ERIC Educational Resources Information Center

    Krusko, Diane; Cangemi, Robert R.

    1987-01-01

    A survey of 99 pharmaceutical companies concerning their organization and use of project management techniques for research and development found that the industry is using project management increasingly in a variety of ways for better business planning and operations. (MSE)

  20. Disruption of Information Technology Projects: The Reactive Decoupling of Project Management Methodologies

    ERIC Educational Resources Information Center

    Schmitz, Kurt W.

    2013-01-01

    Information Technology projects have migrated toward two dominant Project Management (PM) methodologies. Plan-driven practices provide organizational control through highly structured plans, schedules, and specifications that facilitate oversight by hierarchical bureaucracies. In contrast, agile practices emphasize empowered teams using flexible…

  1. Construction of a Conceptualization of Personal Knowledge within a Knowledge Management Perspective Using Grounded Theory Methodology

    ERIC Educational Resources Information Center

    Straw, Eric M.

    2013-01-01

    The current research used grounded theory methodology (GTM) to construct a conceptualization of personal knowledge within a knowledge management (KM) perspective. The need for the current research was based on the use of just two categories of knowledge, explicit and tacit, within KM literature to explain diverse characteristics of personal…

  2. Managing for Biodiversity: Emerging Ideas for the Electric Utility Industry-Summary Statement

    PubMed

    MATTICE; FRASER; RAGONE; DAUGHERTY; WISNIEWSKI

    1996-11-01

    / The conference entitled "Managing for Biodiversity: Emerging Ideas for the Electric Utility Industry" was held in Williamsburg, Virginia, USA, during 19-20 March 1996. This paper provides an overview of the key points, conclusions, and recommendations from both the presentations/papers and the discussions throughout the conference.KEY WORDS: Biodiversity; Partnerships; Utilities; Ecosystem management; Conservation; Electrification

  3. Energy management of a university campus utilizing short-term load forecasting with an artificial neural network

    NASA Astrophysics Data System (ADS)

    Palchak, David

    Electrical load forecasting is a tool that has been utilized by distribution designers and operators as a means for resource planning and generation dispatch. The techniques employed in these predictions are proving useful in the growing market of consumer, or end-user, participation in electrical energy consumption. These predictions are based on exogenous variables, such as weather, and time variables, such as day of week and time of day as well as prior energy consumption patterns. The participation of the end-user is a cornerstone of the Smart Grid initiative presented in the Energy Independence and Security Act of 2007, and is being made possible by the emergence of enabling technologies such as advanced metering infrastructure. The optimal application of the data provided by an advanced metering infrastructure is the primary motivation for the work done in this thesis. The methodology for using this data in an energy management scheme that utilizes a short-term load forecast is presented. The objective of this research is to quantify opportunities for a range of energy management and operation cost savings of a university campus through the use of a forecasted daily electrical load profile. The proposed algorithm for short-term load forecasting is optimized for Colorado State University's main campus, and utilizes an artificial neural network that accepts weather and time variables as inputs. The performance of the predicted daily electrical load is evaluated using a number of error measurements that seek to quantify the best application of the forecast. The energy management presented utilizes historical electrical load data from the local service provider to optimize the time of day that electrical loads are being managed. Finally, the utilization of forecasts in the presented energy management scenario is evaluated based on cost and energy savings.

  4. An evolutionary Bayesian belief network methodology for participatory decision making under uncertainty: an application to groundwater management.

    PubMed

    Farmani, Raziyeh; Henriksen, Hans Jørgen; Savic, Dragan; Butler, David

    2012-07-01

    An integrated participatory approach based on Bayesian belief network (BBN) and evolutionary multiobjective optimization is proposed as an efficient decision-making tool in complex management problems. The proposed methodology incorporates all the available evidence and conflicting objectives to evaluate implications of alternative actions in the decision-making process and suggests best decision pathways under uncertainty. A BBN provides a framework within which the contributions of stakeholders can be taken into account. It allows a range of different factors and their probabilistic relationship to be considered simultaneously. It takes into account uncertainty by assigning probability to those variables whose states are not certain. The integration of BBN with evolutionary multiobjective optimization allows the analysis of tradeoff between different objectives and incorporation and acknowledgement of a broader set of decision goals into the search and decision-making process. The proposed methodology can be used as a decision support tool to model decision-making processes for complex problems. It deals with uncertainties in decision making pertaining to human behavior and checks for consistency of the developed BBN structure and the parameters of the probabilistic relationship by uncovering discrepancies in the decision analysis process (e.g., bias in completeness or redundancy of the model based on a utility function). It generates a set of efficient management options (appropriate combinations of interventions) that balances conflicting objectives. The effectiveness of the proposed methodology is discussed through application to a real case study. It is shown that it successfully identifies any inconsistencies in the developed BBN models and generates large numbers of management options that achieve an optimal tradeoff between different objectives.

  5. Resource Guide to Effective Utility Management and Lean

    EPA Pesticide Factsheets

    Water and wastewater utilities are critical to the environmental, economic, and social well being of our nation’s communities, as they work to ensure that the public continues to enjoy the benefits of clean and safe water.

  6. Eutrophication assessment and management methodology of multiple pollution sources of a landscape lake in North China.

    PubMed

    Chen, Yanxi; Niu, Zhiguang; Zhang, Hongwei

    2013-06-01

    Landscape lakes in the city suffer high eutrophication risk because of their special characters and functions in the water circulation system. Using a landscape lake HMLA located in Tianjin City, North China, with a mixture of point source (PS) pollution and non-point source (NPS) pollution, we explored the methodology of Fluent and AQUATOX to simulate and predict the state of HMLA, and trophic index was used to assess the eutrophication state. Then, we use water compensation optimization and three scenarios to determine the optimal management methodology. Three scenarios include ecological restoration scenario, best management practices (BMPs) scenario, and a scenario combining both. Our results suggest that the maintenance of a healthy ecosystem with ecoremediation is necessary and the BMPs have a far-reaching effect on water reusing and NPS pollution control. This study has implications for eutrophication control and management under development for urbanization in China.

  7. United States Environmental Protection Agency: Use of risk assessment and risk management methodologies. Master's thesis

    SciTech Connect

    Lamuro, R.J.

    1992-09-30

    Make a full investigation of the policy implications and appropriate uses of risk assessment and risk management in regulatory programs under various Federal laws to prevent cancer and other chronic health effects which may result from exposure to hazardous substances. This is the primary mission of the Risk Assessment and Management Commission (Risk Commission). The Clean Air Act Amendments of 1990 (CAAA), created the Risk Commission reflecting Congress' concern over agency use of risk assessment and risk management techniques and methodologies to implement federal laws protective of human health. The Risk Commission is to consider: methods for measuring and describing risks of chronic health effects from hazardous substances; methods to reflect uncertainties associated with estimation techniques, and whether it is possible or desirable to develop a consistent risk assessment methodology or a consistent standard of acceptable risk for various federal programs.

  8. Utilizing Project Management Techniques in the Design of Instructional Materials.

    ERIC Educational Resources Information Center

    Murphy, Charles

    1994-01-01

    Discussion of instructional design in large organizations highlights a project management approach. Topics addressed include the role of the instructional designer; project team selection; role of the team members; role of the project manager; focusing on what employees need to know; types of project teams; and monitoring time and responsibility.…

  9. The Career Management and Utilization of Reserve Component USAWC Graduates.

    ERIC Educational Resources Information Center

    Coleman, Edward R.; And Others

    A study of the Reserve Component officers attendance of the U. S. Army War College (USAWC) Nonresident Course is presented. The areas receiving primary attention are: prerequisites, selection procedures, curriculum, and subsequent utilization. The purpose is to evaluate the current system of achieving a USAWC education. The objective of the study…

  10. Novel thermal management system design methodology for power lithium-ion battery

    NASA Astrophysics Data System (ADS)

    Nieto, Nerea; Díaz, Luis; Gastelurrutia, Jon; Blanco, Francisco; Ramos, Juan Carlos; Rivas, Alejandro

    2014-12-01

    Battery packs conformed by large format lithium-ion cells are increasingly being adopted in hybrid and pure electric vehicles in order to use the energy more efficiently and for a better environmental performance. Safety and cycle life are two of the main concerns regarding this technology, which are closely related to the cell's operating behavior and temperature asymmetries in the system. Therefore, the temperature of the cells in battery packs needs to be controlled by thermal management systems (TMSs). In the present paper an improved design methodology for developing TMSs is proposed. This methodology involves the development of different mathematical models for heat generation, transmission, and dissipation and their coupling and integration in the battery pack product design methodology in order to improve the overall safety and performance. The methodology is validated by comparing simulation results with laboratory measurements on a single module of the battery pack designed at IK4-IKERLAN for a traction application. The maximum difference between model predictions and experimental temperature data is 2 °C. The models developed have shown potential for use in battery thermal management studies for EV/HEV applications since they allow for scalability with accuracy and reasonable simulation time.

  11. An Implentation Methodology for Integrated Resource Management in Urban Water Planning

    NASA Astrophysics Data System (ADS)

    Ebrahimi, G.; Thurm, B.; Klein, D. R.; Öberg, G.

    2014-12-01

    Urban water management requires innovative and integrative approaches to improve sustainability in cities keeping in touch with science progress. Integrated Resource Management (IRM) is one of these strategies and has been developed to integrate various natural and human resources. However, it is becoming increasingly clear that it is challenging to move from vision to implementation. The aim of this paper is to identify strengths and weaknesses of IRM and analyze if the approach might facilitate implementation of sustainability objectives in the water management field. A literature review was performed on peer-reviewed papers that were identified through Google Scholar search for the term 'Integrated Resource Management'. It was found that IRM has been used in a number of contexts such as urban planning, forestry, and management of waste and livestock. Significant implementation challenges are highlighted in the literature. Based on the lessons learned in many different fields, from forestry to communication sciences, important characteristics of IRM approach were found such as the need for adequate governance and strong leaderships, stakeholder's involvement, the learning process and the critical need of appropriate evaluation criteria. We conclude developing an implementation methodology and presenting several recommendations to implement IRM in urban management. While Integrated Water Resource Management (IWRM) is recognized as a fruitful approach to achieve sustainable water management, this study suggests that a shift toward Integrated Resource Management (IRM) can be beneficial as it is designed to facilitate consideration of the interrelationships between various natural and human resources.

  12. General Methodologies for Improving Motor Drive Precision in Order to Utilize It as an Embedded Application Sensor

    NASA Astrophysics Data System (ADS)

    Secrest, Caleb W.

    The objectives of this research are to reliably, and non-invasively, extract high quality spatial information from a limited-stroke multi-stage gear train driven by an AC machine using only the sensors necessary for normal AC machine control. In this work, the spatial information will be used to estimate the state of wear of each axis in the gear train. To extract this information, cascaded observer structures are utilized to estimate the load disturbances acting on the AC machine, and then to estimate the spatial errors which produce those disturbances. Further signal processing techniques are then utilized to observe the spatial error information in the spatial domain where the information is most relevant and to extract the systematic spatial errors that reoccur over many operating cycles. In prior art, the intrinsic spatial properties of the AC machine and position sensor feedback limited the quality of the spatial error information that could be extracted using motor drive-based estimation. Furthermore, the limited-stroke of the multi-stage gear train limits the separation of spatial content between the axes of the gear train and limits the extraction of the systematic spatial errors that reoccur over many operating cycles. In this work, methods are developed to reduce and separate machine and sensor contributions to the spatial error information being extracted, and general system design methodologies are investigated to improve the quality of spatial error information that can be extracted within the limited-stroke motion constraints of the multi-stage gear train.

  13. Collision management utilizing CCD and remote sensing technology

    NASA Technical Reports Server (NTRS)

    Mcdaniel, Harvey E., Jr.

    1995-01-01

    With the threat of damage to aerospace systems (space station, shuttle, hypersonic a/c, solar power satellites, loss of life, etc.) from collision with debris (manmade/artificial), there exists an opportunity for the design of a novel system (collision avoidance) to be incorporated into the overall design. While incorporating techniques from ccd and remote sensing technologies, an integrated system utilized in the infrared/visible spectrum for detection, tracking, localization, and maneuvering from doppler shift measurements is achievable. Other analysis such as impact assessment, station keeping, chemical, and optical tracking/fire control solutions are possible through this system. Utilizing modified field programmable gated arrays (software reconfiguring the hardware) the mission and mission effectiveness can be varied. This paper outlines the theoretical operation of a prototype system as it applies to collision avoidance (to be followed up by research).

  14. Managing an evolution: Deregulation of the electric utility industry

    SciTech Connect

    Skinner, S.K.

    1994-12-31

    The author discusses the emerging competitive situation in the electric power industry as deregulation of electric utilities looms on the horizon. The paper supports this change, and the competition it will bring, but urges caution as changes are instituted, and the regulatory bodies decide how and how much to free, and at what rates. The reason for his urge for caution comes from historical experience of other industries, which were smaller and had less direct impact on every American.

  15. Case Study on Project Risk Management Planning Based on Soft System Methodology

    NASA Astrophysics Data System (ADS)

    Lifang, Xie; Jun, Li

    This paper analyzed the soft system characters of construction projects and the applicability on using Soft System Methodology (SSM) for risk analysis after a brief review of SSM. Taking a hydropower project as an example, it constructed the general frame of project risk management planning (PRMP) and established the Risk Management Planning (RMP) system from the perspective of the interests of co-ordination. This paper provided the ideas and methods for construction RMP under the win-win situation through the practice of SSM.

  16. Mobile healthcare information management utilizing Cloud Computing and Android OS.

    PubMed

    Doukas, Charalampos; Pliakas, Thomas; Maglogiannis, Ilias

    2010-01-01

    Cloud Computing provides functionality for managing information data in a distributed, ubiquitous and pervasive manner supporting several platforms, systems and applications. This work presents the implementation of a mobile system that enables electronic healthcare data storage, update and retrieval using Cloud Computing. The mobile application is developed using Google's Android operating system and provides management of patient health records and medical images (supporting DICOM format and JPEG2000 coding). The developed system has been evaluated using the Amazon's S3 cloud service. This article summarizes the implementation details and presents initial results of the system in practice.

  17. Utilization of Gastrointestinal Simulator, an in Vivo Predictive Dissolution Methodology, Coupled with Computational Approach To Forecast Oral Absorption of Dipyridamole.

    PubMed

    Matsui, Kazuki; Tsume, Yasuhiro; Takeuchi, Susumu; Searls, Amanda; Amidon, Gordon L

    2017-03-03

    Weakly basic drugs exhibit a pH-dependent dissolution profile in the gastrointestinal (GI) tract, which makes it difficult to predict their oral absorption profile. The aim of this study was to investigate the utility of the gastrointestinal simulator (GIS), a novel in vivo predictive dissolution (iPD) methodology, in predicting the in vivo behavior of the weakly basic drug dipyridamole when coupled with in silico analysis. The GIS is a multicompartmental dissolution apparatus, which represents physiological gastric emptying in the fasted state. Kinetic parameters for drug dissolution and precipitation were optimized by fitting a curve to the dissolved drug amount-time profiles in the United States Pharmacopeia apparatus II and GIS. Optimized parameters were incorporated into mathematical equations to describe the mass transport kinetics of dipyridamole in the GI tract. By using this in silico model, intraluminal drug concentration-time profile was simulated. The predicted profile of dipyridamole in the duodenal compartment adequately captured observed data. In addition, the plasma concentration-time profile was also predicted using pharmacokinetic parameters following intravenous administration. On the basis of the comparison with observed data, the in silico approach coupled with the GIS successfully predicted in vivo pharmacokinetic profiles. Although further investigations are still required to generalize, these results indicated that incorporating GIS data into mathematical equations improves the predictability of in vivo behavior of weakly basic drugs like dipyridamole.

  18. Optimization of polyhydroxybutyrate production utilizing waste water as nutrient source by Botryococcus braunii Kütz using response surface methodology.

    PubMed

    Kavitha, Ganapathy; Kurinjimalar, Chidambaram; Sivakumar, Krishnan; Kaarthik, Muthukumar; Aravind, Rajamani; Palani, Perumal; Rengasamy, Ramasamy

    2016-12-01

    Investigations have been made to optimize various factors including pH, temperature, and substrate for enhanced polyhydroxybutyrate (PHB) production in Botryococcus braunii which serves as a pioneer for production of bioplastic (PHB). Polyhydroxybutyrate is a natural, decomposable polymers accumulated by the microorganism under different nutritional condition. Strain selection was done by staining method using Sudan black and Nile red dye. Using response surface methodology (RSM), three level- three variables Box Behnken design (BBD), the best potential combination of pH (4-11), temperature (30-50°C) and sewage waste water as substrate fed at different concentrations at 20%-100% for maximum PHB production was investigated. Maximum yield (247±0.42mg/L) of PHB dry weight was achieved from the 60% concentration of sewage waste water as a growth medium at pH 7.5 at 40°C. It was well in close agreement with the value predicted by RSM model yield (246± 0.32mg/L). Thus the study shows the production of PHB by B. braunii along with the basic characterization of PHB by using FTIR and TEM analysis. These preliminary studies indicated that PHB can also be produced by B. braunii utilizing waste water. There is no report on the optimization of PHB production in this microalgae have been documented.

  19. Utilizing a Simulation Exercise to Illustrate Critical Inventory Management Concepts

    ERIC Educational Resources Information Center

    Umble, Elisabeth; Umble, Michael

    2013-01-01

    Most undergraduate business students simply do not appreciate the elegant mathematical beauty of inventory models. So how does an instructor capture students' interest and keep them engaged in the learning process when teaching inventory management concepts? This paper describes a competitive and energizing in-class simulation game that introduces…

  20. EMERGING TECHNOLOGIES FOR THE MANAGEMENT AND UTILIZATION OF LANDFILL GAS

    EPA Science Inventory

    The report gives information on emerging technologies that are considered to be commercially available (Tier 1), currently undergoing research and development (Tier 2), or considered as potentially applicable (Tier 3) for the management of landfill gas (LFG) emissions or for the ...

  1. Utilizing Virtual Teams in a Management Principles Course

    ERIC Educational Resources Information Center

    Olson-Buchanan, Julie B.; Rechner, Paula L.; Sanchez, Rudolph J.; Schmidtke, James M.

    2007-01-01

    Purpose: The purpose of this paper is to describe development of a component in a management principles course to develop university students' virtual team skills. There were several challenges in creating and implementing this new component. The paper aims to describe how these challenges were addressed and discusses outcomes associated with this…

  2. Utilization and environmental management of residues from intensive animal production

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Animal manures are traditional sources of nutrients in agriculture. Under proper management, manures provide nutrients to soil, reducing or eliminating the use of commercial fertilizers, as well as organic carbon that improves soil physical properties and soil health. However, excessive application ...

  3. Report: The EPA Should Assess the Utility of the Watch List as a Management Tool

    EPA Pesticide Factsheets

    Report #13-P-0435, September 30, 2013 . The agency runs the risk of maintaining a management tool that does not assist in tracking facilities with long-standing significant violations and has limited transparency and utility to the public.

  4. Utilizing patient satisfaction surveys to prepare for Medicaid managed care.

    PubMed

    Fields, T T; Gomez, P S

    2001-02-01

    To prepare for Medicaid managed care, a community health center incorporated the business principle of continuous quality improvement, often used in the private sector to improve customer service, into its planning process. The initial endeavor was to create a patient satisfaction survey that was appropriate for the uniqueness of the community. The survey, taken monthly, resulted in both staff and patients making active improvements in the clinic environment. Staff showed more enthusiasm, and patients were more assertive in their attitudes toward the clinic. The empowerment of the patient to take ownership in the clinic will be coupled with the next step of the formalized plan, that of educating patients on the steps necessary to ensure that their Medicaid managed care facility will be the local community health center.

  5. Navy Family Advocacy Program: The Management and Utilization of Program Information.

    DTIC Science & Technology

    1984-06-01

    AD-Aii5i 867 NAVY FAMILY ADVOCACY PROGRAM: THE MANAGEMENT AND 1/2 UTILIZATION OF PROGRAM I..(U) AMERICAN AiSSOCIATION FOR PROTECTING CHILDREN ...Management and Utilization of Program Information American Association for Protecting Children A division of American HumaneVt NAVY FAMILY ADVOCACY...Allen An’ e-i-on For NTT-, (PA&I DTIC T.H Uinn:ounced Justificaton AMERICAN ASSOCIATION FOR PROTECTING CHILDREN By THE AMERICAN HUMANE ASSOCIATION

  6. The Utility of Corporate-Style Balance Sheets for DoD Managers

    DTIC Science & Technology

    2014-06-01

    Treasury to manage federal finances, managing government accounts and public debt and advising on financial policy. Part of the mission statement of...was to analyze the utility of audited financial statements within the Department of Defense (DOD). The authors compared the balance sheet between the...sheet for DOD users. Because the users of government financial statements need different information than users of corporate statements , the utility

  7. The peregrine falcon in Arizona: Habitat utilization and management recommendations

    USGS Publications Warehouse

    Ellis, D.H.

    1982-01-01

    The peregrine falcon once bred in significant numbers in Arizona. Good documentation is available for specific breeding sites and an additional 20 general locations. This report, based on the published literature, an extensive personal contact survey, an aerial habitat inventory (over 124 hours air time), and ground visits to over 300 locations, provides information on habitat preferences and management practices which can contribute to the bird's survival. In seeking to identify the habitat preferences of the falcon, many site description factors were examined. Those traits which appeared common to most recent Arizona sites (and therefore most useful in evaluating habitat) were: elevation less than 9,000 feet, cliffs tall or very tall, cliffs extensive, topographic relief high, and surface water readily available. All recent sites are in extensive canyon systems or in extensive mountain ranges. Using a habitat evaluation key derived from the traits common to known breeding sites, all cliff regions in Arizona and the Navajo Indian Reservation were flown and evaluated for suitability. Nineteen falcon eyries located in subsequent ground visits were all in areas previously ranked acceptable or better. Many management alternatives are discussed: management of information on breeding sites, habitat preservation, controlling disruptive human activities, and enhancing productivity through the creation of suitable breeding ledges, providing pesticide free prey, or direct reintroductions. Given their privacy (and an increasingly pesticide free environment) the peregrine falcon will likely exist indefinitely in suitable areas across Arizona.

  8. Waste management programmatic environmental impact statement methodology for estimating human health risks

    SciTech Connect

    Bergenback, B.; Blaylock, B.P.; Legg, J.L.

    1995-05-01

    The US Department of Energy (DOE) has produced large quantities of radioactive and hazardous waste during years of nuclear weapons production. As a result, a large number of sites across the DOE Complex have become chemically and/or radiologically contaminated. In 1990, the Secretary of Energy charged the DOE Office of Environmental Restoration and Waste management (EM) with the task of preparing a Programmatic Environmental Impact Statement (PEIS). The PEIS should identify and assess the potential environmental impacts of implementing several integrated Environmental Restoration (ER) and Waste Management (WM) alternatives. The determination and integration of appropriate remediation activities and sound waste management practices is vital for ensuring the diminution of adverse human health impacts during site cleanup and waste management programs. This report documents the PEIS risk assessment methodology used to evaluate human health risks posed by WM activities. The methodology presents a programmatic cradle to grave risk assessment for EM program activities. A unit dose approach is used to estimate risks posed by WM activities and is the subject of this document.

  9. Prognostics and health management design for rotary machinery systems—Reviews, methodology and applications

    NASA Astrophysics Data System (ADS)

    Lee, Jay; Wu, Fangji; Zhao, Wenyu; Ghaffari, Masoud; Liao, Linxia; Siegel, David

    2014-01-01

    Much research has been conducted in prognostics and health management (PHM), an emerging field in mechanical engineering that is gaining interest from both academia and industry. Most of these efforts have been in the area of machinery PHM, resulting in the development of many algorithms for this particular application. The majority of these algorithms concentrate on applications involving common rotary machinery components, such as bearings and gears. Knowledge of this prior work is a necessity for any future research efforts to be conducted; however, there has not been a comprehensive overview that details previous and on-going efforts in PHM. In addition, a systematic method for developing and deploying a PHM system has yet to be established. Such a method would enable rapid customization and integration of PHM systems for diverse applications. To address these gaps, this paper provides a comprehensive review of the PHM field, followed by an introduction of a systematic PHM design methodology, 5S methodology, for converting data to prognostics information. This methodology includes procedures for identifying critical components, as well as tools for selecting the most appropriate algorithms for specific applications. Visualization tools are presented for displaying prognostics information in an appropriate fashion for quick and accurate decision making. Industrial case studies are included in this paper to show how this methodology can help in the design of an effective PHM system.

  10. Quantitative evaluation of geodiversity: development of methodological procedures with application to territorial management

    NASA Astrophysics Data System (ADS)

    Forte, J.; Brilha, J.; Pereira, D.; Nolasco, M.

    2012-04-01

    Although geodiversity is considered the setting for biodiversity, there is still a huge gap in the social recognition of these two concepts. The concept of geodiversity, less developed, is now making its own way as a robust and fundamental idea concerning the abiotic component of nature. From a conservationist point of view, the lack of a broader knowledge concerning the type and spatial variation of geodiversity, as well as its relationship with biodiversity, makes the protection and management of natural or semi-natural areas incomplete. There is a growing need to understand the patterns of geodiversity in different landscapes and to translate this knowledge for territorial management in a practical and effective point of view. This kind of management can also represent an important tool for the development of sustainable tourism, particularly geotourism, which can bring benefits not only for the environment, but also for social and economic purposes. The quantification of geodiversity is an important step in all this process but still few researchers are investing in the development of a proper methodology. The assessment methodologies that were published so far are mainly focused on the evaluation of geomorphological elements, sometimes complemented with information about lithology, soils, hidrology, morphometric variables, climatic surfaces and geosites. This results in very dissimilar areas at very different spatial scales, showing the complexity of the task and the need of further research. This current work aims the development of an effective methodology for the assessment of the maximum elements of geodiversity possible (rocks, minerals, fossils, landforms, soils), based on GIS routines. The main determinant factor for the quantitative assessment is scale, but other factors are also very important, such as the existence of suitable spatial data with sufficient degree of detail. It is expected to attain the proper procedures in order to assess geodiversity

  11. The Self Diagnosis Method. A new methodology to assess environmental management in sea ports.

    PubMed

    Darbra, R M; Ronza, A; Casal, J; Stojanovic, T A; Wooldridge, C

    2004-03-01

    A methodology has been designed to assess the performance of the environmental management in sea ports. The Self Diagnosis Method, developed by two research teams and about sixty sea ports, allows the comparison of the current environmental situation with that corresponding to previous years and the assessment of the opportunities for improvement. The main objective is to review the management activities and procedures that affect the environment and the way the port authority handles significant environmental aspects. It has been designed as a "first level" tool: it can be applied in approximately six hours by a non-expert user. It is based on the ISO 14001 vocabulary, requirements and structure, and it can be considered as a first step in the voluntary implementation of an environmental management system for port communities.

  12. Water Utility Management Strategies in Turkey: The current situation and the challenges

    NASA Astrophysics Data System (ADS)

    Alp, E.; Aksoy, M. N.; Koçer, B.

    2013-12-01

    As the effects of climate change becomes more prominent, current challenges related to water and wastewater management is becoming more serious. Providing water that satisfies environmental and safety standards in terms of quantity and quality is needed to maintain human life without compromising the need of future generations. Besides providing safe and affordable water, necessary treatment should be achieved according to several important factors such as receiving body standards, discharge standards, water reuse options. Therefore, management of water becomes more crucial than ever that states have to provide accessibility of safe water with affordable cost to its citizens with the means of effective utility management, including water treatment facilities, wastewater treatment facilities, water supply facilities and water distribution systems. Water utilities encounter with several challenges related to cost, infrastructure, population, legislation, workforce and resource. This study aims to determine the current situation and the necessary strategies to improve utility management in Turkish municipalities in a sustainable manner. US Environment Protection Agency (EPA) has formed a tool on effective utility management that assists utilities to provide a solution for both current and future challenges. In this study, we used EPA's guidelines and developed a survey consists of 60 questions under 10 sub-topics (Product Quality, Employee & Leadership Development, Stakeholder Understanding & Support, Operational Optimization, Infrastructure Stability, Financial Viability, Community Sustainability, Customer Satisfaction, Operational Resiliency, and Water Resource Adequacy). This survey was sent to the managers of 25 metropolitan municipalities in Turkey to assess the current condition of municipalities. After the evaluation of the survey results for each topic, including the importance given by managers, facilities were rated according to their level of achievement

  13. Methodology for industrial solid waste management: implementation to sludge management in Asturias (Spain).

    PubMed

    Mesa Fernández, José M; Palacios, Henar Morán; Alvarez Cabal, José V; Martínez Huerta, Gemma M

    2014-11-01

    Nowadays, the industry produces an enormous amount of solid waste that has very negative environmental effects. Owing to waste variety and its scattered sites of production, selecting the most proper solid waste treatment is difficult. Simultaneously, social concern about environmental sustainability rises every day and, as a consequence, improvement on waste treatment systems is being demanded. However, when a waste treatment system is being designed, not only environmental but also technical and economic issues should be considered. This article puts forward a methodology to provide industrial factories with an easy way to identify, evaluate and select the most suitable solid waste treatment.

  14. [Methodology of the consensus conference "diagnostic and therapeutic management of urinary tract infection in childhood"].

    PubMed

    Ochoa Sangrador, C

    2007-11-01

    The methodology of the Consensus Conference "Diagnostic and Therapeutic Management of Urinary Tract Infection in Childhood" is presented. The methodology consisted of two phases. In the first phase, a series of documents was drafted, which included an in-depth review of the existing evidence on the diagnosis and treatment of urinary tract infection and of epidemiological data on the etiological and resistance profiles of urinary pathogens in Spain. In the second phase, a multidisciplinary expert panel was convened to evaluate all the documentation and to answer a series of questions and to assign a level of evidence and degree of recommendation to each answer. In this article the search strategies used and their results are described. In addition, the bases for evaluating the efficacy of therapeutic interventions and the validity of the diagnostic tests are presented. Finally, the criteria for hierarchical structuring of the scientific evidence are detailed.

  15. Utilization of pheromones in the population management of moth pests.

    PubMed Central

    Cardé, R T

    1976-01-01

    Pheromones are substances emitted by one individual of a species and eliciting a specific response in a second individual of the same species. In moths (Lepidoptera) generally females lure males for mating by emission of a sex attractant pheromone comprised of either one or more components. Since 1966 the identification of the pheromone blends of many moth pests has allowed investigations into the use of these messengers for population manipulation. Pheromone-baited traps may be used both to detect pest presence and to estimate population density, so that conventional control tactics can be employed only as required and timed precisely for maximum effectiveness. Attractant traps also can be utilized for direct population suppression when the traps are deployed at a density effective in reducing mating success sufficiently to achieve control. A third use pattern of pheromones and related compounds is disruption of pheromone communication via atmospheric permeation with synthetic disruptants. The behavioral modifications involved in disruption of communication may include habituation of the normal response sequence (alteration of the pheromone response threshold) and "confusion" (inability of the organism to perceive and orient to the naturally emitted lure). Disruption of communication employing the natural pheromone components as the disruptant has been most successful, although nonattractant behavioral modifiers structurally similar to the pheromone components also may prove useful. Possible future resistance to direct pheromone manipulation may be expected to involve the evolution of behavioral and sensory changes that minimize the informational overlap between the natural pheromone system and the pheromone control technique. PMID:789060

  16. Utilization of market research in managing hospital pharmacy resources.

    PubMed

    Hernandez, L; McNamara, E J

    1984-10-01

    A market research survey of staff physicians and nurses was completed to obtain information on customer preference to be used in making planning and development decisions about the allocation of the pharmacy department's resources. Survey questionnaires were mailed to representative samples of each professional group and included the optimum mix of open-ended and closed-ended questions that would result in the highest response rate. The survey responses identified differences in wants and needs between the nurses and physicians that demonstrate the value of market research. Data obtained from the survey are being used by a staff advisory committee and management to develop departmental goals and objectives that will reduce costs and increase profit margins under the ever-increasing restrictions of prospective reimbursement.

  17. Clinical utility of pharmacogenomics in the management of hepatitis C.

    PubMed

    Trinks, Julieta; Hulaniuk, María Laura; Redal, María Ana; Flichman, Diego

    2014-01-01

    Hepatitis C virus (HCV) was identified for the first time more than 20 years ago. Since then, several studies have highlighted the complicated aspects of this viral infection in relation to its worldwide prevalence, its clinical presentation, and its therapeutic response. Recently, two landmark scientific breakthroughs have moved us closer to the successful eradication of chronic HCV infection. First, response rates in treatment-naïve patients and in prior non-responders to pegylated-interferon-α and ribavirin therapy are increasing as a direct consequence of the development of direct-acting antiviral drugs. Secondly, the discovery of single-nucleotide polymorphisms near the interleukin 28B gene significantly related to spontaneous and treatment-induced HCV clearance represents a milestone in the HCV therapeutic landscape. The implementation of this pharmacogenomics finding as a routine test for HCV-infected patients has enhanced our understanding of viral pathogenesis, has encouraged the design of ground-breaking antiviral treatment regimens, and has become useful for pretreatment decision making. Nowadays, interleukin 28B genotyping is considered to be a key diagnostic tool for the management of HCV-infected patients and will maintain its significance for new combination treatment schemes using direct-acting antiviral agents and even in interferon-free regimens. Such pharmacogenomics insights represent a challenge to clinicians, researchers, and health administrators to transform this information into knowledge with the aim of elaborating safer and more effective therapeutic strategies specifically designed for each patient. In conclusion, the individualization of treatment regimens for patients with hepatitis C, that may lead to a universal cure in future years, is becoming a reality due to recent developments in biomarker and genomic medicine. In light of these advances, we review the scientific evidence and clinical implications of recent findings related to

  18. A knowledge management methodology for the integrated assessment of WWTP configurations during conceptual design.

    PubMed

    Garrido-Baserba, M; Reif, R; Rodriguez-Roda, I; Poch, M

    2012-01-01

    The current complexity involved in wastewater management projects is arising as the XXI century sets new challenges leading towards a more integrated plant design. In this context, the growing number of innovative technologies, stricter legislation and the development of new methodological approaches make it difficult to design appropriate flow schemes for new wastewater projects. Thus, new tools are needed for the wastewater treatment plant (WWTP) conceptual design using integrated assessment methods in order to include different types of objectives at the same time i.e. environmental, economical, technical, and legal. Previous experiences used the decision support system (DSS) methodology to handle the specific issues related to wastewater management, for example, the design of treatment facilities for small communities. However, tools developed for addressing the whole treatment process independently of the plant size, capable of integrating knowledge from many different areas, including both conventional and innovative technologies are not available. Therefore, the aim of this paper is to present and describe an innovative knowledge-based methodology that handles the conceptual design of WWTP process flow-diagrams (PFDs), satisfying a vast number of different criteria. This global approach is based on a hierarchy of decisions that uses the information contained in knowledge bases (KBs) with the aim of automating the generation of suitable WWTP configurations for a specific scenario. Expert interviews, legislation, specialized literature and engineering experience have been integrated within the different KBs, which indeed constitute one of the main highlights of this work. Therefore, the methodology is presented as a valuable tool which provides customized PFD for each specific case, taking into account process unit interactions and the user specified requirements and objectives.

  19. DE-CERTS: A Decision Support System for a Comparative Evaluation Method for Risk Management Methodologies and Tools

    DTIC Science & Technology

    1991-09-01

    Patton , Michael Quinn . Qualitative Evaluation Methods . Sage, 1980. Pfleeger, Charles P...the research and indicates directions for further research . 6 II. CERTS: A COMPARATIVE EVALUATION METHOD FOR RISK MANAGDENT METHODOLOGIES AND TOOLS A...A DECISION SUPPORT SYSTEM FOR A COMPARATIVE EVALUATION METHOD FOR RISK MANAGEMENT METHODOLOGIES AND TOOLS by Leonard A. Crump Jr. and James G.

  20. A coupled groundwater-flow-modelling and vulnerability-mapping methodology for karstic terrain management

    NASA Astrophysics Data System (ADS)

    Kavouri, Konstantina P.; Karatzas, George P.; Plagnes, Valérie

    2017-02-01

    A coupled groundwater-flow-modelling and vulnerability-mapping methodology for the management of karst aquifers with spatial variability is developed. The methodology takes into consideration the duality of flow and recharge in karst and introduces a simple method to integrate the effect of temporal storage in the unsaturated zone. In order to investigate the applicability of the developed methodology, simulation results are validated against available field measurement data. The criteria maps from the PaPRIKa vulnerability-mapping method are used to document the groundwater flow model. The FEFLOW model is employed for the simulation of the saturated zone of Palaikastro-Chochlakies karst aquifer, in the island of Crete, Greece, for the hydrological years 2010-2012. The simulated water table reproduces typical karst characteristics, such as steep slopes and preferred drain axes, and is in good agreement with field observations. Selected calculated error indicators—Nash-Sutcliffe efficiency (NSE), root mean squared error (RMSE) and model efficiency (E')—are within acceptable value ranges. Results indicate that different storage processes take place in different parts of the aquifer. The north-central part seems to be more sensitive to diffuse recharge, while the southern part is affected primarily by precipitation events. Sensitivity analysis is performed on the parameters of hydraulic conductivity and specific yield. The methodology is used to estimate the feasibility of artificial aquifer recharge (AAR) at the study area. Based on the developed methodology, guidelines were provided for the selection of the appropriate AAR scenario that has positive impact on the water table.

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

    PubMed

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

    2014-05-01

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

  2. Poor methodological quality and reporting standards of systematic reviews in burn care management.

    PubMed

    Wasiak, Jason; Tyack, Zephanie; Ware, Robert; Goodwin, Nicholas; Faggion, Clovis M

    2016-12-18

    The methodological and reporting quality of burn-specific systematic reviews has not been established. The aim of this study was to evaluate the methodological quality of systematic reviews in burn care management. Computerised searches were performed in Ovid MEDLINE, Ovid EMBASE and The Cochrane Library through to February 2016 for systematic reviews relevant to burn care using medical subject and free-text terms such as 'burn', 'systematic review' or 'meta-analysis'. Additional studies were identified by hand-searching five discipline-specific journals. Two authors independently screened papers, extracted and evaluated methodological quality using the 11-item A Measurement Tool to Assess Systematic Reviews (AMSTAR) tool and reporting quality using the 27-item Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Characteristics of systematic reviews associated with methodological and reporting quality were identified. Descriptive statistics and linear regression identified features associated with improved methodological quality. A total of 60 systematic reviews met the inclusion criteria. Six of the 11 AMSTAR items reporting on 'a priori' design, duplicate study selection, grey literature, included/excluded studies, publication bias and conflict of interest were reported in less than 50% of the systematic reviews. Of the 27 items listed for PRISMA, 13 items reporting on introduction, methods, results and the discussion were addressed in less than 50% of systematic reviews. Multivariable analyses showed that systematic reviews associated with higher methodological or reporting quality incorporated a meta-analysis (AMSTAR regression coefficient 2.1; 95% CI: 1.1, 3.1; PRISMA regression coefficient 6·3; 95% CI: 3·8, 8·7) were published in the Cochrane library (AMSTAR regression coefficient 2·9; 95% CI: 1·6, 4·2; PRISMA regression coefficient 6·1; 95% CI: 3·1, 9·2) and included a randomised control trial (AMSTAR regression

  3. A Retention Assessment Process: Utilizing Total Quality Management Principles and Focus Groups

    ERIC Educational Resources Information Center

    Codjoe, Henry M.; Helms, Marilyn M.

    2005-01-01

    Retaining students is a critical topic in higher education. Methodologies abound to gather attrition data as well as key variables important to retention. Using the theories of total quality management and focus groups, this case study gathers and reports data from current college students. Key results, suggestions for replication, and areas for…

  4. Integrating fisheries approaches and household utility models for improved resource management

    PubMed Central

    Milner-Gulland, E. J.

    2011-01-01

    Natural resource management is littered with cases of overexploitation and ineffectual management, leading to loss of both biodiversity and human welfare. Disciplinary boundaries stifle the search for solutions to these issues. Here, I combine the approach of management strategy evaluation, widely applied in fisheries, with household utility models from the conservation and development literature, to produce an integrated framework for evaluating the effectiveness of competing management strategies for harvested resources against a range of performance metrics. I demonstrate the strengths of this approach with a simple model, and use it to examine the effect of manager ignorance of household decisions on resource management effectiveness, and an allocation tradeoff between monitoring resource stocks to reduce observation uncertainty and monitoring users to improve compliance. I show that this integrated framework enables management assessments to consider household utility as a direct metric for system performance, and that although utility and resource stock conservation metrics are well aligned, harvest yield is a poor proxy for both, because it is a product of household allocation decisions between alternate livelihood options, rather than an end in itself. This approach has potential far beyond single-species harvesting in situations where managers are in full control; I show that the integrated approach enables a range of management intervention options to be evaluated within the same framework. PMID:21205895

  5. The “Critical” Elements of Illness Management and Recovery: Comparing Methodological Approaches

    PubMed Central

    McGuire, Alan B.; Luther, Lauren; White, Dominique; White, Laura M.; McGrew, John; Salyers, Michelle P.

    2016-01-01

    This study examined three methodological approaches to defining the critical elements of Illness Management and Recovery (IMR), a curriculum-based approach to recovery. Sixty-seven IMR experts rated the criticality of 16 IMR elements on three dimensions: defining, essential, and impactful. Three elements (Recovery Orientation, Goal Setting and Follow-up, and IMR Curriculum) met all criteria for essential and defining and all but the most stringent criteria for impactful. Practitioners should consider competence in these areas as preeminent. The remaining 13 elements met varying criteria for essential and impactful. Findings suggest that criticality is a multifaceted construct, necessitating judgments about model elements across different criticality dimensions. PMID:25425013

  6. Utilizing Radioisotope Power System Waste Heat for Spacecraft Thermal Management

    NASA Technical Reports Server (NTRS)

    Pantano, David R.; Dottore, Frank; Geng, Steven M.; Schrieber, Jeffrey G.; Tobery, E. Wayne; Palko, Joseph L.

    2005-01-01

    One of the advantages of using a Radioisotope Power System (RPS) for deep space or planetary surface missions is the readily available waste heat, which can be used to maintain electronic components within a controlled temperature range, to warm propulsion tanks and mobility actuators, and to gasify liquid propellants. Previous missions using Radioisotope Thermoelectric Generators (RTGs) dissipated a very large quantity of waste heat due to the relatively low efficiency of the thermoelectric conversion technology. The next generation RPSs, such as the 110-watt Stirling Radioisotope Generator (SRG110) will have much higher conversion efficiencies than their predecessors and therefore may require alternate approaches to transferring waste heat to the spacecraft. RTGs, with efficiencies of approx. 6 to 7% and 200 C housing surface temperatures, would need to use large and heavy radiator heat exchangers to transfer the waste heat to the internal spacecraft components. At the same time, sensitive spacecraft instruments must be shielded from the thermal radiation by using the heat exchangers or additional shields. The SRG110, with an efficiency around 22% and 50 C nominal housing surface temperature, can use the available waste heat more efficiently by more direct heat transfer methods such as heat pipes, thermal straps, or fluid loops. The lower temperatures allow the SRG110 much more flexibility to the spacecraft designers in configuring the generator without concern of overheating nearby scientific instruments, thereby eliminating the need for thermal shields. This paper will investigate using a high efficiency SRG110 for spacecraft thermal management and outline potential methods in several conceptual missions (Lunar Rover, Mars Rover, and Titan Lander) to illustrate the advantages with regard to ease of assembly, less complex interfaces, and overall mass savings.

  7. Effects of Home Energy Management Systems on Distribution Utilities and Feeders Under Various Market Structures: Preprint

    SciTech Connect

    Ruth, Mark; Pratt, Annabelle; Lunacek, Monte; Mittal, Saurabh; Wu, Hongyu; Jones, Wesley

    2015-07-17

    The combination of distributed energy resources (DER) and retail tariff structures to provide benefits to both utility consumers and the utilities is poorly understood. To improve understanding, an Integrated Energy System Model (IESM) is being developed to simulate the physical and economic aspects of DER technologies, the buildings where they reside, and feeders servicing them. The IESM was used to simulate 20 houses with home energy management systems on a single feeder under a time of use tariff to estimate economic and physical impacts on both the households and the distribution utilities. HEMS reduce consumers’ electric bills by precooling houses in the hours before peak electricity pricing. Household savings are greater than the reduction utility net revenue indicating that HEMS can provide a societal benefit providing tariffs are structured so that utilities remain solvent. Utilization of HEMS reduce peak loads during high price hours but shifts it to hours with off-peak and shoulder prices and resulting in a higher peak load.

  8. Utility of endoscopic therapy in the management of Boerhaave syndrome

    PubMed Central

    Dickinson, K. J.; Buttar, N.; Wong Kee Song, L. M.; Gostout, C. J.; Cassivi, S. D.; Allen, M. S.; Nichols, F. C.; Shen, K. R.; Wigle, D. A.; Blackmon, S. H.

    2016-01-01

    Background/aims: The optimal intervention for Boerhaave perforation has not been determined. Options include surgical repair with/without a pedicled muscle flap, T tube placement, esophageal resection or diversion, or an endoscopic approach. All management strategies require adequate drainage and nutritional support. Our aim was to evaluate outcomes following Boerhaave perforation treated with surgery, endoscopic therapy, or both. Patients and methods: We performed a 10-year review of our prospectively maintained databases of adult patients with Boerhaave perforations. We documented clinical presentation, extent of injury, primary intervention, “salvage” treatment (any treatment for persistent leak), and outcome. Results were analyzed using the Fisher’s exact and Kruskal – Wallis tests. Results: Between October 2004 and October 2014, 235 patients presented with esophageal leak/fistula with 17 Boerhaave perforations. Median age was 68 years. Median length of perforation was 1.25 cm (range 0.8 – 5 cm). Four patients presented with systemic sepsis (two treated with palliative stent and two surgically). Primary endotherapy was performed for eight (50 %) and primary surgery for eight (50 %) patients. Two endotherapy patients required multiple stents. Median stent duration was 61 days (range 56 – 76). “Salvage” intervention was required in 2/8 (25 %) endotherapy patients and 1/8 (13 %) surgery patient (stent). All patients healed without resection/reconstruction. There were no deaths in the surgically treated group and two in the endotherapy group (stented with palliative intent due to poor systemic condition). Readmission within 30 days occurred in 3/6 of alive endotherapy patients (50 %) and 0/8 surgery patients. Re-intervention within 30 days was required for one endotherapy patient. Conclusion: Endoscopic repair of Boerhaave perforations can be useful in carefully selected patients without evidence of systemic sepsis

  9. Ergonomics program management in Tucuruí Hydropower Plant using TPM methodology.

    PubMed

    Santos, R M; Sassi, A C; Sá, B M; Miguez, S A; Pardauil, A A

    2012-01-01

    This paper aims to present the benefits achieved in the ergonomics process management with the use of the TPM methodology (Total Productive Maintenance) in Tucuruí Hydropower Plant. The methodology is aligned with the corporate guidelines, moreover with the Strategic Planning of the company, it is represented in the TPM Pillars including the Health Pillar in which is inserted the ergonomics process. The results of the ergonomic actions demonstrated a 12% reduction over the absenteeism rate due to musculoskeletal disorders, solving 77,0% of ergonomic non-conformities, what favored the rise of the Organizational Climate in 44,8%, impacting on the overall performance of the company. Awards confirmed the success of the work by the achievement of the Award for TPM Excellence in 2001, Award for Excellence in Consistent TPM Commitment in 2009 and more recently the Special Award for TPM Achievement, 2010. The determination of the high rank administration and workers, allied with the involvement/dynamism of Pillars, has assured the success of this management practice in Tucuruí Hydropower Plant.

  10. Utilization management in radiology, part 1: rationale, history, and current status.

    PubMed

    Duszak, Richard; Berlin, Jonathan W

    2012-10-01

    Previous growth in the utilization of medical imaging has led to numerous efforts to reduce associated spending. Although these have historically been directed toward unit cost reductions, recent interest has emerged by various stakeholders in curbing inappropriate utilization. Radiology benefits managers have widespread market penetration and have been promoted largely by the payer community as effective mechanisms to curb increases in imaging volume. The provider community has tended to favor real-time order entry decision support systems. These have demonstrated comparable effectiveness to radiology benefits managers in early projects but currently have only limited market penetration. In this first of a two-part series, the rationale for the development of utilization management programs will be discussed and their history and current status reviewed.

  11. When the 'soft-path' gets hard: demand management and financial instability for water utilities

    NASA Astrophysics Data System (ADS)

    Zeff, H. B.; Characklis, G. W.

    2014-12-01

    In the past, cost benefit analysis (CBA) has been viewed as an effective means of evaluating water utility strategies, particularly those that were dependent on the construction of new supply infrastructure. As water utilities have begun to embrace 'soft-path' approaches as a way to reduce the need for supply-centric development, CBA fails to recognize some important financial incentives affected by reduced water consumption. Demand management, both as a short-term response to drought and in longer-term actions to accommodate demand growth, can introduce revenue risks that adversely affect a utility's ability to repay debt, re-invest in aging infrastructure, or maintain reserve funds for use in a short-term emergency. A utility that does not generate sufficient revenue to support these functions may be subject to credit rating downgrades, which in turn affect the interest rate it pays on its debt. Interest rates are a critical consideration for utility managers in the capital-intensive water sector, where debt payments for infrastructure often account for a large portion of a utility's overall costs. Even a small increase in interest rates can add millions of dollars to the cost of new infrastructure. Recent studies have demonstrated that demand management techniques can lead to significant revenue variability, and credit rating agencies have begun to take notice of drought response plans when evaluating water utility credit ratings, providing utilities with a disincentive to fully embrace soft-path approaches. This analysis examines the impact of demand management schemes on key credit rating metrics for a water utility in Raleigh, North Carolina. The utility's consumer base is currently experiencing rapid population growth, and demand management has the potential to reduce the dependence on costly new supply infrastructure but could lead to financial instability that will significantly increase the costs of financing future projects. This work analyzes how 'soft

  12. Classroom Management Strategies to Address the Needs of Sudanese Refugee Learners: Support Document--Methodology and Literature Review

    ERIC Educational Resources Information Center

    Burgoyne, Ursula; Hull, Oksana

    2007-01-01

    This document presents the methodology and literature review for the research report "Classroom Management Strategies to Address the Needs of Sudanese Refugee Learners" (ED499673), which examined the extent to which English language, literacy and numeracy teachers used classroom management strategies to meet the needs of adult Sudanese…

  13. Methodology to Estimate the Quantity, Composition, and Management of Construction and Demolition Debris in the United States

    EPA Science Inventory

    This report, Methodology to Estimate the Quantity, Composition and Management of Construction and Demolition Debris in the US, was developed to expand access to data on CDD in the US and to support research on CDD and sustainable materials management. Since past US EPA CDD estima...

  14. Interpolation of extensive routine water pollution monitoring datasets: methodology and discussion of implications for aquifer management.

    PubMed

    Yuval, Yuval; Rimon, Yaara; Graber, Ellen R; Furman, Alex

    2014-08-01

    A large fraction of the fresh water available for human use is stored in groundwater aquifers. Since human activities such as mining, agriculture, industry and urbanisation often result in incursion of various pollutants to groundwater, routine monitoring of water quality is an indispensable component of judicious aquifer management. Unfortunately, groundwater pollution monitoring is expensive and usually cannot cover an aquifer with the spatial resolution necessary for making adequate management decisions. Interpolation of monitoring data is thus an important tool for supplementing monitoring observations. However, interpolating routine groundwater pollution data poses a special problem due to the nature of the observations. The data from a producing aquifer usually includes many zero pollution concentration values from the clean parts of the aquifer but may span a wide range of values (up to a few orders of magnitude) in the polluted areas. This manuscript presents a methodology that can cope with such datasets and use them to produce maps that present the pollution plumes but also delineates the clean areas that are fit for production. A method for assessing the quality of mapping in a way which is suitable to the data's dynamic range of values is also presented. A local variant of inverse distance weighting is employed to interpolate the data. Inclusion zones around the interpolation points ensure that only relevant observations contribute to each interpolated concentration. Using inclusion zones improves the accuracy of the mapping but results in interpolation grid points which are not assigned a value. The inherent trade-off between the interpolation accuracy and coverage is demonstrated using both circular and elliptical inclusion zones. A leave-one-out cross testing is used to assess and compare the performance of the interpolations. The methodology is demonstrated using groundwater pollution monitoring data from the coastal aquifer along the Israeli

  15. Electronic managed care: the utilization of information technology in a managed care environment.

    PubMed

    Kiel, Joan M

    2003-01-01

    Health care managers must use information technology in managed care negotiations with all players in the managed care model-employers, managed care organizations, providers, and patients. Information technology effectuates these negotiations, provides a value added to all those involved in terms of efficiency and communication, and helps managers remain within regulations. This article describes each phase of the managed care model and how information technology is used. It also provides an operational overview of how to integrate the technology into health care settings.

  16. Strategic planning in electric utilities: Using wind technologies as risk management tools

    SciTech Connect

    Hoff, T E; Parsons, B

    1996-06-01

    This paper highlights research investigating the ownership of renewable energy technologies to mitigate risks faced by the electric utility industry. Renewable energy technology attributes of fuel costs, environmental costs, lead time, modularity, and investment reversibility are discussed. Incorporating some of these attributes into an economic evaluation is illustrated using a municipal utility`s decision to invest in either wind generation or natural gas based generation. The research concludes that wind and other modular renewable energy technologies, such as photovoltaics, have the potential to provide decision makers with physical risk-management investments.

  17. Cost Reductions for Wastewater Treatment Utilizing Water Management at Holston Army Ammunition Plant

    DTIC Science & Technology

    1976-05-01

    HOLSTON ARMY AMMUNITION PLANT DARCOM INTERN TRAINING CENTER MAY 1976 .:15914414 Report DARCOM-ITC-02-;08-76-201 COST REDUCTIONS FOR WASTEWATER...TREATIMENT UTILIZING WATER MANAGEMENT AT HOLSTON ARMY AMMUNITION PLANT Dennis J. Kravec Product/Production Graduate Engineering Program DARCOM Intern...number) This ?study examines the cost reductions obtained by using water management te6hniques at Holston Army Ammunition Plant . It compares the

  18. A multiobjective discrete stochastic optimization approach to shared aquifer management: Methodology and application

    NASA Astrophysics Data System (ADS)

    Siegfried, Tobias; Kinzelbach, Wolfgang

    2006-02-01

    Negative effects from groundwater mining are observed globally. They threaten future supply locally. Especially in semiarid to arid regions, where aquifers are the sole freshwater resource, this is problematic and can lead to an excessive rise of provision costs. Proper resource management in such environments is crucial. In many instances, however, aquifers are common property resources. In such cases and depending on resource characteristics and the nature of competing uses, their management is inherently multiobjective, and benefits from cooperative management are likely to be substantial. This paper presents a methodology for the determination of optimal, cooperative allocation policies in multiobjective aquifer management problems. Our model couples a finite difference aquifer model with an economic model that accounts for water provision costs. Discounted temporal installation and pumping and conveyance costs determine the vector-valued objective function. Each of the objectives characterizes the individual present costs over a given time horizon that the corresponding decision makers wish to minimize. Constraint handling is implemented by the option of moving wells. A multiobjective evolutionary algorithm is coupled to the management model so as to approximate cooperative tradeoff policies on the Pareto surface. These solutions can be ranked against existing, noncooperative status quo strategies. Consequently, the simulation-optimization model is applied to the northwest Sahara aquifer system which is used noncooperatively as a resource by Algeria, Tunisia, and Libya. We find that significant capital gains can be achieved by the establishment of intelligent pump scheduling. Since each country could benefit, a strong incentive toward the implementation of such cooperative strategies exists.

  19. Effectiveness of the Nursing Methodology in Pain Management after Major Ambulatory Surgery.

    PubMed

    Porras-González, María Helena; Barón-López, Francisco Javier; García-Luque, María José; Morales-Gil, Isabel María

    2015-08-01

    Patients undergoing a surgical intervention for the first time are unfamiliar with the perioperative context, and they usually have no knowledge of postoperative pain management. In the preoperative circuit, there is no time to educate the patient in these terms. The professional profile of nurses allows this need to be addressed, and provides a regulated language to evaluate their effectiveness. This study evaluates the effectiveness of nursing counseling during a preoperative consultation for the management of postoperative pain and its effects on patient satisfaction at hospital discharge. This quasi-experimental study assesses the efficacy of preoperative nursing intervention in two groups, control (n = 185) and intervention (n = 195). Those in the intervention group attended a preoperative session during which they received information from nursing staff and took part in activities to learn about postoperative pain management and the perioperative circuit. Control group patients underwent the standard preoperative protocol. Data were compiled from January to December 2009. Statistically significant differences existed between the two groups regarding postoperative pain (visual analogue scale >3, 20.5% versus 11.5%; p = .023), patient satisfaction (87.1% versus 78.7%; p = .041), and surgical wound complications (13.9% versus 5.5%; p = .010). The results confirm the benefits of applying the nursing methodology in preoperative clinics.

  20. Secret weapon. [The Energy Act's assault against in-house utility demand side management (DSM)

    SciTech Connect

    Howard, J.H.

    1993-01-15

    With all the attention focused on electric transmission and reform of the Public Utility Holding Company Act, few people noticed new provisions in the Energy Policy Act protecting small business from unfair utility competition in demand-side management. Congressional staffers reportedly received more mail supporting a ban on unfair utility competition than for all of the rest of the energy bill. As a result, the Act directs state utility commissions to consider the effect of DSM programs on small business and to assure that utility actions would not provide such utilities with unfair competitive advantages over such small businesses. It also requires a report by the Federal Trade Commission on the competitive effects of DSM programs and whether any unfair, deceptive, or predatory acts or practices exist, or are likely to exist, from implementation of such programs. Where did this anti-utility weapon come from What does it do And, now that it has been adopted into law, how can electric utilities deal with it

  1. Management support services to the Office of Utility Technologies. Final technical report

    SciTech Connect

    Not Available

    1993-12-16

    The Office of Utility Technologies works cooperatively with industry and the utility sector to realize the market potential for energy efficiency and renewable energy technologies. Under this contract, BNF has provided management support services for OUT R&D activities for the following Program offices: (1) Office of Energy Management; (2) Office of Solar Energy Conversion; (3) Office of Renewable Energy Conversion; and (4) Deputy Assistant Secretary. During the period between 4/17/91 and 9/17/93, BNF furnished the necessary personnel, equipment, materials, facilities and travel required to provide management support services for each of the above Program Offices. From 9/18/93 to 12/17/93, BNF has been involved in closeout activities, including final product deliverables. Research efforts that have been supported in these Program Offices are: (1) for Energy Management -- Advanced Utility Concepts Division; Utility Systems Division; Integrated Planning; (2) for Solar Energy Conversion -- Photovoltaics Division; Solar Thermal and Biomass Power Division; (3) for Renewable Energy Conversion -- Geothermal Division; Wind, Hydroelectric and Ocean Systems Division; (4) for the Deputy Assistant Secretary -- support as required by the Supporting Staff. This final report contains summaries of the work accomplished for each of the Program Offices listed above.

  2. Managing for biodiversity: Emerging ideas for the electric utility industry—summary statement

    NASA Astrophysics Data System (ADS)

    Mattice, Jack; Fraser, Myra; Ragone, Stephen; Daugherty, David; Wisniewski, Joe

    1996-11-01

    The conference entitled “Managing for Biodiversity: Emerging Ideas for the Electric Utility Industry” was held in Williamsburg, Virginia, USA, during 19 20 March 1996. This paper provides an overview of the key points, conclusions, and recommendations from both the presentations/papers and the discussions throughout the conference.

  3. Primary cardiac lymphoma: utility of multimodality imaging in diagnosis and management.

    PubMed

    Mato, Anthony R; Morgans, Alicia K; Roullet, Michele R; Bagg, Adam; Glatstein, Eli; Litt, Harold I; Downs, Lisa H; Chong, Elise A; Olson, Erin R; Andreadis, Charalambos; Schuster, Stephen J

    2007-12-01

    Primary cardiac lymphoma (PCL) is an extremely rare disease defined as a lymphoma strictly confined to the heart or pericardium without dissemination. We present the case of an 82 yr old male with newly diagnosed PCL and two years of subsequent follow up. This report highlights the utility of a multimodality imaging approach in the diagnosis and management of PCL.

  4. An outcomes analysis approach to utilization management: quality assessment of appropriateness of specialty referrals.

    PubMed

    Warren, B H

    1994-01-01

    This report illustrates some methods by which to identify, guide, and develop acceptable levels of expected outcomes, defined as the validity or appropriateness of specialty referrals or procedures, through utilization management case studies and interventions. Outcomes variables may be used as standardized ongoing measures of cost-effectiveness and quality of health care services, focusing on appropriateness of utilization of specialty resources and health care technology. Community, regional, and national standards for such measures are currently being developed and evaluated for assessing the appropriateness of the use of health care technology. These standards for desired or expected outcomes need to become an integral part of utilization management as well as quality assessment and improvement, and are very helpful tools for developing specific interventions to be used for improving upon and documenting the cost-effective delivery of care within health services organizations.

  5. Addressing methodological challenges in implementing the nursing home pain management algorithm randomized controlled trial

    PubMed Central

    Ersek, Mary; Polissar, Nayak; Du Pen, Anna; Jablonski, Anita; Herr, Keela; Neradilek, Moni B

    2015-01-01

    Background Unrelieved pain among nursing home (NH) residents is a well-documented problem. Attempts have been made to enhance pain management for older adults, including those in NHs. Several evidence-based clinical guidelines have been published to assist providers in assessing and managing acute and chronic pain in older adults. Despite the proliferation and dissemination of these practice guidelines, research has shown that intensive systems-level implementation strategies are necessary to change clinical practice and patient outcomes within a health-care setting. One promising approach is the embedding of guidelines into explicit protocols and algorithms to enhance decision making. Purpose The goal of the article is to describe several issues that arose in the design and conduct of a study that compared the effectiveness of pain management algorithms coupled with a comprehensive adoption program versus the effectiveness of education alone in improving evidence-based pain assessment and management practices, decreasing pain and depressive symptoms, and enhancing mobility among NH residents. Methods The study used a cluster-randomized controlled trial (RCT) design in which the individual NH was the unit of randomization. The Roger's Diffusion of Innovations theory provided the framework for the intervention. Outcome measures were surrogate-reported usual pain, self-reported usual and worst pain, and self-reported pain-related interference with activities, depression, and mobility. Results The final sample consisted of 485 NH residents from 27 NHs. The investigators were able to use a staggered enrollment strategy to recruit and retain facilities. The adaptive randomization procedures were successful in balancing intervention and control sites on key NH characteristics. Several strategies were successfully implemented to enhance the adoption of the algorithm. Limitations/Lessons The investigators encountered several methodological challenges that were inherent to

  6. Statistical Techniques Utilized in Analyzing PISA and TIMSS Data in Science Education from 1996 to 2013: A Methodological Review

    ERIC Educational Resources Information Center

    Liou, Pey-Yan; Hung, Yi-Chen

    2015-01-01

    We conducted a methodological review of articles using the Programme for International Student Assessment (PISA) or Trends in International Mathematics and Science Study (TIMSS) data published by the SSCI-indexed science education journals, such as the "International Journal of Science and Mathematics Education," the "International…

  7. Effects of aircraft noise on the equilibrium of airport residents: Testing and utilization of a new methodology

    NASA Technical Reports Server (NTRS)

    Francois, J.

    1981-01-01

    The focus of the investigation is centered around two main themes: an analysis of the effects of aircraft noise on the psychological and physiological equilibrium of airport residents; and an analysis of the sources of variability of sensitivity to noise. The methodology used is presented. Nine statistical tables are included, along with a set of conclusions.

  8. Root Source Analysis/ValuStream[Trade Mark] - A Methodology for Identifying and Managing Risks

    NASA Technical Reports Server (NTRS)

    Brown, Richard Lee

    2008-01-01

    Root Source Analysis (RoSA) is a systems engineering methodology that has been developed at NASA over the past five years. It is designed to reduce costs, schedule, and technical risks by systematically examining critical assumptions and the state of the knowledge needed to bring to fruition the products that satisfy mission-driven requirements, as defined for each element of the Work (or Product) Breakdown Structure (WBS or PBS). This methodology is sometimes referred to as the ValuStream method, as inherent in the process is the linking and prioritizing of uncertainties arising from knowledge shortfalls directly to the customer's mission driven requirements. RoSA and ValuStream are synonymous terms. RoSA is not simply an alternate or improved method for identifying risks. It represents a paradigm shift. The emphasis is placed on identifying very specific knowledge shortfalls and assumptions that are the root sources of the risk (the why), rather than on assessing the WBS product(s) themselves (the what). In so doing RoSA looks forward to anticipate, identify, and prioritize knowledge shortfalls and assumptions that are likely to create significant uncertainties/ risks (as compared to Root Cause Analysis, which is most often used to look back to discover what was not known, or was assumed, that caused the failure). Experience indicates that RoSA, with its primary focus on assumptions and the state of the underlying knowledge needed to define, design, build, verify, and operate the products, can identify critical risks that historically have been missed by the usual approaches (i.e., design review process and classical risk identification methods). Further, the methodology answers four critical questions for decision makers and risk managers: 1. What s been included? 2. What's been left out? 3. How has it been validated? 4. Has the real source of the uncertainty/ risk been identified, i.e., is the perceived problem the real problem? Users of the RoSA methodology

  9. A comparison of costs associated with utility management options for dry active waste

    SciTech Connect

    Hornibrook, C.

    1995-12-31

    The economics of low level waste management is receiving more attention today than ever before. This is due to four factors: (1) the increases in the cost of processing of these wastes; (2) increases in the cost of disposal; (3) the addition of storage costs for those without access to disposal; and (4) the increasing competitive nature of the electric generation industry. These pressures are forcing the industry to update it`s evaluation of the mix of processing that will afford it the best long term economics and minimize it`s risks for unforeseen costs. Whether disposal is available or not, all utilities face the same challenge of minimizing the costs associated with the management of these wastes. There are a number of variables that will impact how a utility manages their wastes but the problem is the uncertainty of what will actually happen, i.e., will disposal be available, when and at what cost. Using the EPRI-developed WASTECOST: DAW code, this paper explores a variety of LLW management options available to utilities. Along with providing the costs and benefits, other technical considerations which play an important part in the management of these wastes are also addressed.

  10. Changing Management of the Patent Ductus Arteriosus: Effect on Neonatal Outcomes and Resource Utilization.

    PubMed

    Chock, Valerie Y; Goel, Veena V; Palma, Jonathan P; Luh, Thomas M; Wang, Nichole A; Gaskari, Shabnam; Punn, Rajesh; Silverman, Norman H; Benitz, William E

    2017-04-04

    Objective This historical cohort study investigated how a shift toward a more conservative approach of awaiting spontaneous closure of the patent ductus arteriosus (PDA) in preterm infants has affected neonatal outcomes and resource utilization. Methods We retrospectively studied very low birth weight infants diagnosed with a PDA by echocardiogram (ECHO) in 2006-2008 (era 1), when medical or surgical PDA management was emphasized, to those born in 2010-2012 (era 2) when conservative PDA management was encouraged. Multiple regression analyses adjusted for gestational age were performed to assess differences in clinical outcomes and resource utilization between eras. Results More infants in era 2 (35/89, 39%) compared with era 1 (22/120, 18%) had conservative PDA management (p < 0.01). Despite no difference in surgical ligation rate, infants in era 2 had ligation later (median 24 vs. 8 days, p < 0.0001). There was no difference in clinical outcomes between eras, while number of ECHOs per patient was the only resource measure that increased in era 2 (median 3 vs. 2 ECHOs, p = 0.003). Conclusion In an era of more conservative PDA management, no increase in adverse clinical outcomes or significant change in resource utilization was found. Conservative PDA management may be a safe alternative for preterm infants.

  11. Transforming public utility commissions in the new regulatory environment: Some issues and ideas for managing change

    SciTech Connect

    Wirick, D.W.; Davis, V.W.; Burns, R.E.; Jones, D.N.

    1996-07-01

    In the face of sweeping changes in utility markets and regulatory practices, public utility commissions are being forced to change in fundamental ways--to substantially transform themselves rather than to make only incremental changes in their operations. Managing this process of radical change is complicated by the fact that for the foreseeable future some portions of utility markets (e.g., water utilities) will function much as they have before. Some envision commissions in the future that are more externally focussed, that rely more on dispute resolution than adjudicatory proceedings, that concentrate on identifying and understanding competitive markets, that are more automated, and that are more likely to question old assumptions and definitions. This report identifies the considerations commissions might apply for identifying what mix of skills or fields of experise should compromise the technical staff. Factors are also identified which point towards a sectoral arrangement of staff and those factors which point toward a functional approach.

  12. Managing water utility financial risks through third-party index insurance contracts

    NASA Astrophysics Data System (ADS)

    Zeff, Harrison B.; Characklis, Gregory W.

    2013-08-01

    As developing new supply capacity has become increasingly expensive and difficult to permit (i.e., regulatory approval), utilities have become more reliant on temporary demand management programs, such as outdoor water use restrictions, for ensuring reliability during drought. However, a significant fraction of water utility income is often derived from the volumetric sale of water, and such restrictions can lead to substantial revenue losses. Given that many utilities set prices at levels commensurate with recovering costs, these revenue losses can leave them financially vulnerable to budgetary shortfalls. This work explores approaches for mitigating drought-related revenue losses through the use of third-party financial insurance contracts based on streamflow indices. Two different types of contracts are developed, and their efficacy is compared against two more traditional forms of financial hedging used by water utilities: Drought surcharges and contingency funds (i.e., self-insurance). Strategies involving each of these approaches, as well as their use in combination, are applied under conditions facing the water utility serving Durham, North Carolina. A multireservoir model provides information on the scale and timing of droughts, and the financial effects of these events are simulated using detailed data derived from utility billing records. Results suggest that third-party index insurance contracts, either independently or in combination with more traditional hedging tools, can provide an effective means of reducing a utility's financial vulnerability to drought.

  13. Use of Ill-Informed Multiple Attribute Utility Theory for Deciding Which of Two Management Information Systems to Purchase

    DTIC Science & Technology

    1990-05-01

    Processing Equipment (ADPE) Systems. It uses Multi Attribute Utility Theory ( MAUT ) with poorly understood utility functions and probabilities. Linear...most appropriate here was Multiple Attribute Utility Theory ( MAUT ) with incomplete knowledge of probabilities and utility values (hereafter referred to...USAAVSCOM JAD TECHNICAL MEMORANDUM TM-90-F-2 0 N Lq USE OF ILL-INFORMED MULTIPLE 1 ATTRIBUTE UTILITY THEORY FOR DECIDING WHICH OF TWO MANAGEMENT <E

  14. A methodological framework for hydromorphological assessment, analysis and monitoring (IDRAIM) aimed at promoting integrated river management

    NASA Astrophysics Data System (ADS)

    Rinaldi, M.; Surian, N.; Comiti, F.; Bussettini, M.

    2015-12-01

    A methodological framework for hydromorphological assessment, analysis and monitoring (named IDRAIM) has been developed with the specific aim of supporting the management of river processes by integrating the objectives of ecological quality and flood risk mitigation. The framework builds on existing and up-to-date geomorphological concepts and approaches and has been tested on several Italian streams. The framework includes the following four phases: (1) catchment-wide characterization of the fluvial system; (2) evolutionary trajectory reconstruction and assessment of current river conditions; (3) description of future trends of channel evolution; and (4) identification of management options. The framework provides specific consideration of the temporal context, in terms of reconstructing the trajectory of past channel evolution as a basis for interpreting present river conditions and future trends. A series of specific tools has been developed for the assessment of river conditions, in terms of morphological quality and channel dynamics. These include: the Morphological Quality Index (MQI), the Morphological Dynamics Index (MDI), the Event Dynamics Classification (EDC), and the river morphodynamic corridors (MC and EMC). The monitoring of morphological parameters and indicators, alongside the assessment of future scenarios of channel evolution provides knowledge for the identification, planning and prioritization of actions for enhancing morphological quality and risk mitigation.

  15. Redesigning Service Delivery for Hypertensive Patients: A Methodological Guideline to Improve the Management of Chronic Diseases

    PubMed Central

    Ippolito, Adelaide; Cannavacciuolo, Lorella; Ponsiglione, Cristina; De Luca, Nicola; Iaccarino, Guido; Illario, Maddalena

    2014-01-01

    Best care is not necessarily the most expensive, but the most appropriate, and prevention is the most powerful tool to promote health. A novel approach might envision the reduction of hospital admittance (thus meeting a requirement from long term condition patients: they would rather not being hospitalized!) and the enforcement of peripheral (both on the territory and at home) assistance. In this direction, experiences of reshaping new service deliveries towards an integrated disease management, namely clinical pathways, can be observed in Europe and in different parts of the world. Aim of this paper is to provide a methodological guideline to support the management in planning clinical pathways, also outlining the main barriers limiting the process. In particular, we present the results of planning a clinical pathway at the Centre for Hypertension of the Federico II University Hospital (Naples, Italy). The case study showed that the introduction of a similar service impacts on the organisation of the structure. An analysis of organizational processes “as are” and the re-design of processes “to be” are necessary to integrate the clinical pathway into the actual activities. PMID:24809028

  16. Lbs Augmented Reality Assistive System for Utilities Infrastructure Management Through Galileo and Egnos

    NASA Astrophysics Data System (ADS)

    Stylianidis, E.; Valaria, E.; Smagas, K.; Pagani, A.; Henriques, J.; Garca, A.; Jimeno, E.; Carrillo, I.; Patias, P.; Georgiadis, C.; Kounoudes, A.; Michail, K.

    2016-06-01

    There is a continuous and increasing demand for solutions, both software and hardware-based, that are able to productively handle underground utilities geospatial data. Innovative approaches that are based on the use of the European GNSS, Galileo and EGNOS, sensor technologies and LBS, are able to monitor, document and manage utility infrastructures' data with an intuitive 3D augmented visualisation and navigation/positioning technology. A software and hardware-based system called LARA, currently under develop- ment through a H2020 co-funded project, aims at meeting that demand. The concept of LARA is to integrate the different innovative components of existing technologies in order to design and develop an integrated navigation/positioning and information system which coordinates GNSS, AR, 3D GIS and geodatabases on a mobile platform for monitoring, documenting and managing utility infrastruc- tures on-site. The LARA system will guide utility field workers to locate the working area by helping them see beneath the ground, rendering the complexity of the 3D models of the underground grid such as water, gas and electricity. The capacity and benefits of LARA are scheduled to be tested in two case studies located in Greece and the United Kingdom with various underground utilities. The paper aspires to present the first results from this initiative. The project leading to this application has received funding from the European GNSS Agency under the European Union's Horizon 2020 research and innovation programme under grant agreement No 641460.

  17. The validity and utility of the positive presentation management and negative presentation management scales for the Revised NEO Personality Inventory.

    PubMed

    Sellbom, Martin; Bagby, R Michael

    2008-06-01

    Schinka, Kinder, and Kremer developed "validity" scales for the Revised NEO Personality Inventory (NEO PI-R; Costa & McCrae) to detect underreporting-the Positive Presentation Management (PPM) Scale and overreporting-the Negative Presentation Management (NPM) Scale. In this investigation, the clinical utility of these scales was examined using the established validity scales from the Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher et al.) as the referent. The sample was composed of 370 psychiatric patients who completed the NEO PI-R and the MMPI-2 as part of a routine evaluation. Results indicated that response distortion compromised the utility of the NEO PI-R domain scales. Moreover, the PPM and NPM scales and an NPM-PPM index significantly differentiated invalid under-and overreporting groups from a valid responding group. The PPM and NPM-PPM index were adequate in classifying under- and overreporters, respectively.

  18. A decision-support methodology for assessing the sustainability of natural risk management strategies in urban areas

    NASA Astrophysics Data System (ADS)

    Edjossan-Sossou, A. M.; Deck, O.; Heib, M. Al; Verdel, T.

    2014-12-01

    This paper attempts to provide a decision support framework that can help risk managers in urban areas to improve their decision-making processes related to sustainable management. Currently, risk management strategies should no longer be selected based primarily on economic and technical insight. Managers must address the sustainability of risk management by assessing the impacts of their decisions on the sustainable development of a given territory. These assessments require tools that allow ex ante comparisons of the effectiveness and the likely economic, social and ecological impacts of the alternative management strategies. Therefore, this paper reports a methodological and operational framework, which aims to incorporate sustainability principles in a particular decision by taking all the dimensions that affect sustainability into account. This paper is divided into two main parts: one on the theoretical aspects of the proposed methodology and the other on its application to a flood risks management case in a municipality located in Meurthe-et-Moselle county (France). The results of the case study have shown how the methodology can be suitable for determining the most sustainable decision.

  19. Methodological approach for the assessment, protection, promotion and management of geoheritage

    NASA Astrophysics Data System (ADS)

    Reynard, E.; Perret, A.; Grangier, L.; Kozlik, L.

    2012-04-01

    During the last decade, within the framework of the Working group on geomorphosites of the International Association of Geomorphologists (IAG), a set of methods for the assessment of geomorphological heritage have been developed. All are based on assessment criteria, more or less quantitative, sometimes grouped in generic categories (intrinsic values, additional values, use values, etc.) (see Reynard, 2009 for a review). Most of these methods may be used with numeric scores, allowing the "calculation" of a site's value and the classification of geomorphosites according to their values. More recently, methodological improvements have been made in other domains of geomorphosite studies, such as cartography, the education to geoheritage, the evaluation of public needs, and the evaluation of geotourist products. The analytical framework we propose here aims at covering all the stages of what we could name "the integrative management of geomorphosites", from the selection of important sites to the evaluation of geotourist and educational activities by the users. The work is divided into two phases: assessment; and management. The first phase is divided in two stages: the selection of potential geomorphosites; and the assessment of these sites by using a specific method developed in Lausanne (Reynard et al., 2007). The management phase is also divided in two stages: the elaboration of a management strategy (with the creation of geotourist and educational products and the elaboration of a conservation strategy); and the evaluation of the scientific work by the users. The proposed analytical framework is tested in the Hérens Valley (Switzerland). The valley ranges from 500 m to 4357 m ASL and is rich in terms of mountain landforms (periglacial and glacial landforms, gravitational deposits, fluvial and torrential landforms). It is representative for landscape reconstructions since the end of the Last Glacial Maximum (LGM). The valley has also a rich ecological and cultural

  20. Thru-life impacts of driver aggression, climate, cabin thermal management, and battery thermal management on battery electric vehicle utility

    NASA Astrophysics Data System (ADS)

    Neubauer, Jeremy; Wood, Eric

    2014-08-01

    Battery electric vehicles (BEVs) offer the potential to reduce both oil imports and greenhouse gas emissions, but have a limited utility that is affected by driver aggression and effects of climate-both directly on battery temperature and indirectly through the loads of cabin and battery thermal management systems. Utility is further affected as the battery wears through life in response to travel patterns, climate, and other factors. In this paper we apply the National Renewable Energy Laboratory's Battery Lifetime Analysis and Simulation Tool for Vehicles (BLAST-V) to examine the sensitivity of BEV utility to driver aggression and climate effects over the life of the vehicle. We find the primary challenge to cold-climate BEV operation to be inefficient cabin heating systems, and to hot-climate BEV operation to be high peak on-road battery temperatures and excessive battery degradation. Active cooling systems appear necessary to manage peak battery temperatures of aggressive, hot-climate drivers, which can then be employed to maximize thru-life vehicle utility.

  1. Herbicide-resistant crops: utilities and limitations for herbicide-resistant weed management.

    PubMed

    Green, Jerry M; Owen, Micheal D K

    2011-06-08

    Since 1996, genetically modified herbicide-resistant (HR) crops, particularly glyphosate-resistant (GR) crops, have transformed the tactics that corn, soybean, and cotton growers use to manage weeds. The use of GR crops continues to grow, but weeds are adapting to the common practice of using only glyphosate to control weeds. Growers using only a single mode of action to manage weeds need to change to a more diverse array of herbicidal, mechanical, and cultural practices to maintain the effectiveness of glyphosate. Unfortunately, the introduction of GR crops and the high initial efficacy of glyphosate often lead to a decline in the use of other herbicide options and less investment by industry to discover new herbicide active ingredients. With some exceptions, most growers can still manage their weed problems with currently available selective and HR crop-enabled herbicides. However, current crop management systems are in jeopardy given the pace at which weed populations are evolving glyphosate resistance. New HR crop technologies will expand the utility of currently available herbicides and enable new interim solutions for growers to manage HR weeds, but will not replace the long-term need to diversify weed management tactics and discover herbicides with new modes of action. This paper reviews the strengths and weaknesses of anticipated weed management options and the best management practices that growers need to implement in HR crops to maximize the long-term benefits of current technologies and reduce weed shifts to difficult-to-control and HR weeds.

  2. Herbicide-Resistant Crops: Utilities and Limitations for Herbicide-Resistant Weed Management

    PubMed Central

    2010-01-01

    Since 1996, genetically modified herbicide-resistant (HR) crops, particularly glyphosate-resistant (GR) crops, have transformed the tactics that corn, soybean, and cotton growers use to manage weeds. The use of GR crops continues to grow, but weeds are adapting to the common practice of using only glyphosate to control weeds. Growers using only a single mode of action to manage weeds need to change to a more diverse array of herbicidal, mechanical, and cultural practices to maintain the effectiveness of glyphosate. Unfortunately, the introduction of GR crops and the high initial efficacy of glyphosate often lead to a decline in the use of other herbicide options and less investment by industry to discover new herbicide active ingredients. With some exceptions, most growers can still manage their weed problems with currently available selective and HR crop-enabled herbicides. However, current crop management systems are in jeopardy given the pace at which weed populations are evolving glyphosate resistance. New HR crop technologies will expand the utility of currently available herbicides and enable new interim solutions for growers to manage HR weeds, but will not replace the long-term need to diversify weed management tactics and discover herbicides with new modes of action. This paper reviews the strengths and weaknesses of anticipated weed management options and the best management practices that growers need to implement in HR crops to maximize the long-term benefits of current technologies and reduce weed shifts to difficult-to-control and HR weeds. PMID:20586458

  3. Demand-Side Management and Integrated Resource Planning: Findings from a Survey of 24 Electric Utilities

    SciTech Connect

    Schweitzer, M.

    1991-01-01

    Integrated resource planning differs from traditional utility planning practices primarily in its increased attention to demand-side management (DSM) programs and its integration of supply- and demand-side resources into a combined resource portfolio. This report details the findings from an Oak Ridge National Laboratory (ORNL) survey of 24 electric utilities that have well-developed integrated planning processes. These utilities account for roughly one-third of total capacity, electricity generation, and DSM-program expenditures nationwide. The ORNL survey was designed to obtain descriptive data on a national sample of utilities and to test a number of hypothesized relationships between selected utility characteristics and the mix of resources selected for the integrated plan, with an emphasis on the use of DSM resources and the processes by which they are chosen. The survey solicited information on each utility's current and projected resource mix, operating environment, procedures used to screen potential DSM resources, techniques used to obtain public input and to integrate supply- and demand-side options into a unified plan, and procedures used in the final selection of resources for the plan.

  4. Definition of a methodology for the management of geological heritage. An application to the Azores archipelago (Portugal)

    NASA Astrophysics Data System (ADS)

    Lima, Eva; Nunes, João; Brilha, José; Calado, Helena

    2013-04-01

    The conservation of the geological heritage requires the support of appropriate policies, which should be the result of the integration of nature conservation, environmental and land-use planning, and environmental education perspectives. There are several papers about inventory methodologies for geological heritage and its scientific, educational and tourism uses (e.g. Cendrero, 2000, Lago et al., 2000; Brilha, 2005; Carcavilla et al., 2007). However, management methodologies for geological heritage are still poorly developed. They should be included in environmental and land-use planning and nature conservation policies, in order to support a holistic approach to natural heritage. This gap is explained by the fact that geoconservation is a new geoscience still needed of more basic scientific research, like any other geoscience (Henriques et al., 2011). It is necessary to establish protocols and mechanisms for the conservation and management of geological heritage. This is a complex type of management because it needs to address not only the fragile natural features to preserve but also legal, economic, cultural, educational and recreational aspects. In addition, a management methodology should ensure the geosites conservation, the local development and the dissemination of the geological heritage (Carcavilla et al., 2007). This work is part of a PhD project aiming to contribute to fill this gap that exists in the geoconservation domain, specifically in terms of establishing an appropriate methodology for the management of geological heritage, taking into account the natural diversity of geosites and the variety of natural and anthropic threats. The proposed methodology will be applied to the geological heritage of the Azores archipelago, which management acquires particular importance and urgency after the decision of the Regional Government to create the Azores Geopark and its application to the European and Global Geoparks Networks. Acknowledgment This work is

  5. A kinetic study of ferrocenium cation decomposition utilizing an integrated electrochemical methodology composed of cyclic voltammetry and amperometry.

    PubMed

    Singh, Archana; Chowdhury, Debarati Roy; Paul, Amit

    2014-11-21

    A novel, easy, quick, and inexpensive integrated electrochemical methodology composed of cyclic voltammetry and amperometry has been developed for the determination of the kinetic stability of higher oxidation states for inorganic complexes. In this study, ferrocene and its derivatives have been used as model systems and the corresponding ferrocenium cations were generated in situ during the electrochemical experiments to determine their kinetic stabilities. The study found that the ferrocenium cations decompose following the first-order kinetics at 27 ± 3 °C in the presence of ambient oxygen and water. The half-lives of the ferrocenium, carboxylate ferrocenium, and decamethyl ferrocenium cations were found to be 1.27 × 10(3), 1.52 × 10(3), and ≫11.0 × 10(3) s, respectively, in acetonitrile solvent having a 0.5 M tetrabutylammonium hexafluorophosphate electrolyte. These results are in agreement with the previous reports, i.e. the ferrocenium cation is unstable whereas the decamethyl ferrocenium cation has superior stability. The new methodology has been established by performing various experiments using different concentrations of ferrocene, variable scan rates in cyclic voltammetry, different time periods for amperometry, and in situ spectroelectrochemical experiments.

  6. A decision methodology for the evaluation of mixed low-level radioactive waste management options for DOE sites

    SciTech Connect

    Bassi, J.; Abashian, M.S.; Chakraborti, S.; Devarakonda, M.; Djordjevic, S.M.

    1993-03-01

    Currently, many DOE sites are developing site-specific solutions to manage their mixed low-level wastes. These site-specific MLLW programs often result in duplication of efforts between the different sites, and consequently, inefficient use of DOE system resources. A nationally integrated program for MLLW eliminates unnecessary duplication of effort, but requires a comprehensive analysis of waste management options to ensure that all site issues are addressed. A methodology for comprehensive analysis of the complete DOE MLLW system is being developed by DOE-HQ to establish an integrated and standardized solution for managing MLLW. To be effective, the comprehensive systems analysis must consider all aspects of MLLW management from cradle-to-grave (i.e. from MLLW generation to disposal). The results of the analysis will include recommendations for alternative management options for the complete DOE MLLW system based on various components such as effectiveness, cost, health and safety risks, and the probability of regulatory acceptance for an option. Because of the diverse nature of these various components and the associated difficulties in comparing between them, a decision methodology is being developed that will integrate the above components into a single evaluation scheme for performing relative comparisons between different MLLW management options. The remainder of this paper provides an overview of the roles and responsibilities of the various participants of the DOE MLLW Program, and discusses in detail the components involved in the development of the decision methodology for a comprehensive systems analysis.

  7. Watershed influence on fluvial ecosystems: an integrated methodology for river water quality management.

    PubMed

    Carone, Maria T; Simoniello, Tiziana; Manfreda, Salvatore; Caricato, Gaetano

    2009-05-01

    The EU Water Framework Directive 2000/60 (Integrated River Basin Management for Europe) establishes the importance of preserving water quality through policies applied at watershed level given the strong links existing among ecological, hydrological, and hydrogeological systems. Therefore, monitoring campaigns of river water quality should be planned with multidisciplinary approaches starting from a landscape perspective. In this paper, the effects of the basin hydrology on the river water quality and, in particular, the impacts caused by the runoff production coming from agricultural areas are investigated. The fluvial segments receiving consistent amount of pollutant loads (due to the runoff routing over agricultural areas) are assumed more critical in terms of water quality and thus, they require more accurate controls. Starting from this perspective, to evaluate the runoff productions coming from agricultural areas, we applied a semi-distributed hydrological model that adopts satellite data, pedological and morphological information for the watershed description. Then, the river segments receiving critical amount of runoff loads from the surrounding cultivated areas were identified. Finally, in order to validate the approach, water quality for critical and non critical segment was investigated seasonally, by using river macroinvertebrates as indicators of water quality because of their effectiveness in preserving in time a memory of pollution events. Biomonitoring data showed that river water quality strongly decreases in correspondence of fluvial segments receiving critical amount of runoff coming from agricultural areas. The results highlight the usefulness of such a methodology to plan monitoring campaigns specifically devoted to non-point pollution sources and suggest the possibility to use this approach for water quality management and for planning river restoration policies.

  8. Energy and water quality management systems for water utility's operations: a review.

    PubMed

    Cherchi, Carla; Badruzzaman, Mohammad; Oppenheimer, Joan; Bros, Christopher M; Jacangelo, Joseph G

    2015-04-15

    Holistic management of water and energy resources is critical for water utilities facing increasing energy prices, water supply shortage and stringent regulatory requirements. In the early 1990s, the concept of an integrated Energy and Water Quality Management System (EWQMS) was developed as an operational optimization framework for solving water quality, water supply and energy management problems simultaneously. Approximately twenty water utilities have implemented an EWQMS by interfacing commercial or in-house software optimization programs with existing control systems. For utilities with an installed EWQMS, operating cost savings of 8-15% have been reported due to higher use of cheaper tariff periods and better operating efficiencies, resulting in the reduction in energy consumption of ∼6-9%. This review provides the current state-of-knowledge on EWQMS typical structural features and operational strategies and benefits and drawbacks are analyzed. The review also highlights the challenges encountered during installation and implementation of EWQMS and identifies the knowledge gaps that should motivate new research efforts.

  9. Effect of diabetic case management intervention on health service utilization in Korea.

    PubMed

    Shin, Soon Ae; Kim, Hyeongsu; Lee, Kunsei; Lin, Vivian; Liu, George

    2015-12-01

    This study is to estimate the effectiveness of a diabetic case management programme on health-care service utilization. The study population included 6007 as the intervention group and 956,766 as the control group. As the indicators of health-care service utilization, numbers of medical ambulatory consultations, days of medication prescribed and medical expenses for one year were used, and we analysed the claim data of the health insurance from 2005 to 2007. The study population was classified into three subgroups based on the number of medical ambulatory consultations per year before this intervention. In the under-serviced subgroup, the intervention group showed a significant increase in the number of consultations (3.2), days of prescribed medication (66.4) and medical expenses (287,900 KRW) compared with the control group. Conversely, in the over-serviced subgroup, the intervention group showed a less decrease days of prescribed medication (1.6) compared with the control group. This showed that the case management programme led the intervention group to optimize their utilization of health-care services by subgroups. It is necessary to evaluate the appropriateness of health-care usage and clinical outcome to show the direct effectiveness of the case management programme by subgroups.

  10. Developing a methodology for identifying action zones to protect and manage groundwater well fields

    NASA Astrophysics Data System (ADS)

    Bellier, Sandra; Viennot, Pascal; Ledoux, Emmanuel; Schott, Celine

    2013-04-01

    Implementation of a long term action plan to manage and protect well fields is a complex and very expensive process. In this context, the relevance and efficiency of such action plans on water quality should be evaluated. The objective of this study is to set up a methodology to identify relevant actions zones in which environmental changes may significantly impact the quantity or quality of pumped water. In the Seine-et-Marne department (France), under French environmental laws three sectors integrating numerous well-field pumping in Champigny's limestone aquifer are considered as priority. This aquifer, located at south-east of Paris, supplies more than one million people with drinking water. Catchments areas of these abstractions are very large (2000 km2) and their intrinsic vulnerability was established by a simple parametric approach that does not permit to consider the complexity of hydrosystem. Consequently, a methodology based on a distributed modeling of the process of the aquifer was developed. The basin is modeled using the hydrogeological model MODCOU, developed in MINES ParisTech since the 1980s. It simulates surface and groundwater flow in aquifer systems and allows to represent the local characteristics of the hydrosystem (aquifers communicating by leakage, rivers infiltration, supply from sinkholes and locally perched or dewatering aquifers). The model was calibrated by matching simulated river discharge hydrographs and piezometric heads with observed ones since the 1970s. Thanks to this modelling tool, a methodology based on the transfer of a theoretical tracer through the hydrosystem from the ground surface to the outlets was implemented to evaluate the spatial distribution of the contribution areas at contrasted, wet or dry recharge periods. The results show that the surface of areas contributing to supply most catchments is lower than 300 km2 and the major contributory zones are located along rivers. This finding illustrates the importance of

  11. Capital Requirements Estimating Model (CREMOD) for electric utilities. Volume I. Methodology description, model, description, and guide to model applications. [For each year up to 1990

    SciTech Connect

    Collins, D E; Gammon, J; Shaw, M L

    1980-01-01

    The Capital Requirements Estimating Model for the Electric Utilities (CREMOD) is a system of programs and data files used to estimate the capital requirements of the electric utility industry for each year between the current one and 1990. CREMOD disaggregates new electric plant capacity levels from the Mid-term Energy Forecasting System (MEFS) Integrating Model solution over time using actual projected commissioning dates. It computes the effect on aggregate capital requirements of dispersal of new plant and capital expenditures over relatively long construction lead times on aggregate capital requirements for each year. Finally, it incorporates the effects of real escalation in the electric utility construction industry on these requirements and computes the necessary transmission and distribution expenditures. This model was used in estimating the capital requirements of the electric utility sector. These results were used in compilation of the aggregate capital requirements for the financing of energy development as published in the 1978 Annual Report to Congress. This volume, Vol. I, explains CREMOD's methodology, functions, and applications.

  12. [Methodology for construction of a panel of indicators for monitoring and evaluation of unified health system (SUS) management].

    PubMed

    Tamaki, Edson Mamoru; Tanaka, Oswaldo Yoshimi; Felisberto, Eronildo; Alves, Cinthia Kalyne de Almeida; Drumond Junior, Marcos; Bezerra, Luciana Caroline de Albuquerque; Calvo, Maria Cristina Marino; Miranda, Alcides Silva de

    2012-04-01

    This study sought to develop methodology for the construction of a Panel for the Monitoring and Evaluation of Management of the Unified Health System (SUS). The participative process used in addition to the systematization conducted made it possible to identify an effective strategy for building management tools in partnership with researchers, academic institutions and managers of the SUS. The final systematization of the Panel selected indicators for the management of the SUS in terms of Demand, Inputs, Processes, Outputs and Outcomes in order to provide a simple, versatile and useful tool for evaluation at any level of management and more transparent and easier communication with all stakeholders in decision-making. Taking the management of the SUS as the scope of these processes and practices in all normative aspects enabled dialog between systemic theories and those which consider the centrality of the social actor in the decision-making process.

  13. Configuration Data Management (CDM) on a Shoestring Identifying & Utilizing an Existing Configuration & Data Management Infrastructure

    SciTech Connect

    VANN, J.M.

    2000-08-24

    The spreading need for and use of configuration and data management (CDM) standards has highlighted a number of challenges to the companies that need to implement those standards. For companies and organizations that are new to CDM or have limited CDM capabilities, one of the major dilemmas faced is identifying how and where to start. In many cases there is a need to contend with a legacy of poorly identified items and information and an immature or non-existent CDM infrastructure (processes, procedures, people, and information systems). To the company management and CDM professional this poses a seemingly insurmountable task of putting in place a CDM infrastructure that provides the needed benefits while keeping within an acceptable cost and schedule. This paper deals with initially establishing the CDM infrastructure using the tools that a company already has available. The paper identifies features of common software applications that can be used to implement CDM principles.

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

    SciTech Connect

    Eto, J.

    1996-12-01

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

  15. Utilizing an Energy Management System with Distributed Resources to Manage Critical Loads and Reduce Energy Costs

    DTIC Science & Technology

    2014-09-01

    Systems with Electric Power Systems,” IEEE std 1547.4–2011, IEEE , 2011. [3] Department of the Navy, “Department of the Navy’s Energy Program for...Providing Improved Power Quality in Microgrids,” IEEE Industry Applications Magazine , pp. 34–43, September– October 2014. [27] A. Julian, N. Peck...and G. Oriti, “ Power electronics enabled energy management systems,” in Proceedings of IEEE Applied Power Electronics Conference, Long Beach, CA

  16. Thermal management of closed computer modules utilizing high density circuitry. [in Airborne Information Management System

    NASA Technical Reports Server (NTRS)

    Hoadley, A. W.; Porter, A. J.

    1990-01-01

    This paper presents data on a preliminary analysis of the thermal dynamic characteristics of the Airborne Information Management System (AIMS), which is a continuing design project at NASA Dryden. The analysis established the methods which will be applied to the actual AIMS boards as they become available. The paper also describes the AIMS liquid cooling system design and presents a thermodynamic computer model of the AIMS cooling system, together with an experimental validation of this model.

  17. Platform development for merging various information sources for water management: methodological, technical and operational aspects

    NASA Astrophysics Data System (ADS)

    Galvao, Diogo

    2013-04-01

    As a result of various economic, social and environmental factors, we can all experience the increase in importance of water resources at a global scale. As a consequence, we can also notice the increasing need of methods and systems capable of efficiently managing and combining the rich and heterogeneous data available that concerns, directly or indirectly, these water resources, such as in-situ monitoring station data, Earth Observation images and measurements, Meteorological modeling forecasts and Hydrological modeling. Under the scope of the MyWater project, we developed a water management system capable of satisfying just such needs, under a flexible platform capable of accommodating future challenges, not only in terms of sources of data but also on applicable models to extract information from it. From a methodological point of view, the MyWater platform obtains data from distinct sources, and in distinct formats, be they Satellite images or meteorological model forecasts, transforms and combines them in ways that allow them to be fed to a variety of hydrological models (such as MOHID Land, SIMGRO, etc…), which themselves can also be combined, using such approaches as those advocated by the OpenMI standard, to extract information in an automated and time efficient manner. Such an approach brings its own deal of challenges, and further research was developed under this project on the best ways to combine such data and on novel approaches to hydrological modeling (like the PriceXD model). From a technical point of view, the MyWater platform is structured according to a classical SOA architecture, with a flexible object oriented modular backend service responsible for all the model process management and data treatment, while the information extracted can be interacted with using a variety of frontends, from a web portal, including also a desktop client, down to mobile phone and tablet applications. From an operational point of view, a user can not only see

  18. Operationalization of the UFuRT methodology for usability analysis in the clinical research data management domain.

    PubMed

    Nahm, Meredith; Zhang, Jiajie

    2009-04-01

    Data management software applications specifically designed for the clinical research environment are increasingly available from commercial vendors and open-source communities, however, general-purpose spreadsheets remain widely employed in clinical research data management (CRDM). The suitability of spreadsheets for this use is controversial, and no formal comparative usability evaluations have been performed. We report on an application of the UFuRT (user, function, representation, and task (analyses) methodology to create a domain-specific process for usability evaluation. We demonstrate this process in an evaluation of differences in usability between a spreadsheet program (Microsoft Excel) and a commercially available clinical research data management system (Phase Forward Clintrial). Through this domain-specific operationalization of UFuRT methodology, we successfully identified usability differences and quantified task and cost differences, while differentiating these from socio-technical aspects. UFuRT can be generalized to other domains.

  19. Barriers to Innovation in Urban Wastewater Utilities: Attitudes of Managers in California

    NASA Astrophysics Data System (ADS)

    Kiparsky, Michael; Thompson, Barton H.; Binz, Christian; Sedlak, David L.; Tummers, Lars; Truffer, Bernhard

    2016-06-01

    In many regions of the world, urban water systems will need to transition into fundamentally different forms to address current stressors and meet impending challenges—faster innovation will need to be part of these transitions. To assess the innovation deficit in urban water organizations and to identify means for supporting innovation, we surveyed wastewater utility managers in California. Our results reveal insights about the attitudes towards innovation among decision makers, and how perceptions at the level of individual managers might create disincentives for experimentation. Although managers reported feeling relatively unhindered organizationally, they also spend less time on innovation than they feel they should. The most frequently reported barriers to innovation included cost and financing; risk and risk aversion; and regulatory compliance. Considering these results in the context of prior research on innovation systems, we conclude that collective action may be required to address underinvestment in innovation.

  20. Integrating Systems Health Management with Adaptive Controls for a Utility-Scale Wind Turbine

    NASA Technical Reports Server (NTRS)

    Frost, Susan A.; Goebel, Kai; Trinh, Khanh V.; Balas, Mark J.; Frost, Alan M.

    2011-01-01

    Increasing turbine up-time and reducing maintenance costs are key technology drivers for wind turbine operators. Components within wind turbines are subject to considerable stresses due to unpredictable environmental conditions resulting from rapidly changing local dynamics. Systems health management has the aim to assess the state-of-health of components within a wind turbine, to estimate remaining life, and to aid in autonomous decision-making to minimize damage. Advanced adaptive controls can provide the mechanism to enable optimized operations that also provide the enabling technology for Systems Health Management goals. The work reported herein explores the integration of condition monitoring of wind turbine blades with contingency management and adaptive controls. Results are demonstrated using a high fidelity simulator of a utility-scale wind turbine.

  1. Barriers to Innovation in Urban Wastewater Utilities: Attitudes of Managers in California.

    PubMed

    Kiparsky, Michael; Thompson, Barton H; Binz, Christian; Sedlak, David L; Tummers, Lars; Truffer, Bernhard

    2016-06-01

    In many regions of the world, urban water systems will need to transition into fundamentally different forms to address current stressors and meet impending challenges-faster innovation will need to be part of these transitions. To assess the innovation deficit in urban water organizations and to identify means for supporting innovation, we surveyed wastewater utility managers in California. Our results reveal insights about the attitudes towards innovation among decision makers, and how perceptions at the level of individual managers might create disincentives for experimentation. Although managers reported feeling relatively unhindered organizationally, they also spend less time on innovation than they feel they should. The most frequently reported barriers to innovation included cost and financing; risk and risk aversion; and regulatory compliance. Considering these results in the context of prior research on innovation systems, we conclude that collective action may be required to address underinvestment in innovation.

  2. Commentary: Exploiting the overlap: using utilization management to reduce medical malpractice.

    PubMed

    Dulworth, Sherrie

    2003-01-01

    This report presents a practical way in which hospitals can reduce medical malpractice exposure that is related to omissions and delays in care. We illustrate our approach using the results of a risk/medical management study performed at an acute-care hospital. Traditional risk management (RM) often focuses retrospectively on adverse events and may miss opportunities to prevent errors related to omissions and delays in care. Close-to-real-time utilization management (UM) activity offers ready potential to improve quality and reduce medical malpractice--but only if UM can work synergistically with RM. It is our conclusion that hospitals can implement systematic processes to identify and intervene in patterns of omissions and delays and improve the communication and synergy among stakeholders and thereby improve patient safety and reduce their medical malpractice risks.

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

    NASA Astrophysics Data System (ADS)

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

    2014-05-01

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

  4. Is control through utilization a cost effective Prosopis juliflora management strategy?

    PubMed

    Wakie, Tewodros T; Hoag, Dana; Evangelista, Paul H; Luizza, Matthew; Laituri, Melinda

    2016-03-01

    The invasive tree Prosopis juliflora is known to cause negative impacts on invaded ranges. High P. juliflora eradication costs have swayed developing countries to follow a new and less expensive approach known as control through utilization. However, the net benefits of this new approach have not been thoroughly evaluated. Our objective was to assess the economic feasibility of selected P. juliflora eradication and utilization approaches that are currently practiced in one of the severely affected developing countries, Ethiopia. The selected approaches include converting P. juliflora infested lands into irrigated farms (conversion), charcoal production, and seed flour production. We estimate the costs and revenues of the selected P. juliflora eradication and utilization approaches by interviewing 19 enterprise owners. We assess the economic feasibility of the enterprises by performing enterprise, break-even, investment, sensitivity, and risk analyses. Our results show that conversion to irrigated cotton is economically profitable, with Net Present Value (NPV) of 5234 US$/ha over 10 years and an interest rate of 10% per year. Conversion greatly reduces the spread of P. juliflora on farmlands. Managing P. juliflora infested lands for charcoal production with a four-year harvest cycle is profitable, with NPV of 805 US$/ha. However, the production process needs vigilant regulation to protect native plants from exploitation and caution should be taken to prevent charcoal production sites from becoming potential seed sources. Though flour from P. juliflora pods can reduce invasions by destroying viable seeds, flour enterprises in Ethiopia are unprofitable. Conversion and charcoal production can be undertaken with small investment costs, while flour production requires high investment costs. Introducing new changes in the production and management steps of P. juliflora flour might be considered to make the enterprise profitable. Our study shows that control

  5. Outer Banks Climate - Utilizing NASA Earth Observations to Establish a Methodology for Assessing Coastal Change in North Carolina

    NASA Astrophysics Data System (ADS)

    Vaughan, M. A.; Morgan, K.; Doddridge, D.; Norman, D.; Burns, C.; Collins, C.; Warren, J.

    2010-12-01

    North Carolina’s dynamic and ever changing coastal region, defined by the Outer Banks and nearby estuarine systems, is especially vulnerable to the effects of climate change. In addition to the shoreline transformations resultant from erosion and the natural processes of land subsistence, this coastal zone is experiencing increased effects of global climate change. Accelerated rates of rising temperatures in recent years have contributed to thermal expansion, melting ice and thus, a rising sea level that is especially stressful for these low lying coastal regions. Current trends in human behavior are predicted to only accelerate the process of climate change, making the future of this region all the more uncertain. With higher temperatures and added water volume, more frequent and intense storms can be expected to make landfall on or near the North Carolina coast that present hazards threatening entire communities. This study first applied remote sensing tools and techniques to delineate an accurate shoreline envelope. Then, through examination of Landsat imagery taken before and after named storms, observation of images at nine year intervals, and a process of acquiring NDVI values, short and long term vegetative differences were identified. Models based on historical data were also produced with the intention of forecasting future sea level rise along North Carolina’s estuary and coastal shorelines; a particular focus on sea level changes surrounding hurricane episodes corresponds to rates discerned in existing studies. This project will provide a methodology using NASA satellite instrumentation to analyze and delineation shoreline change and measure erosion. Including vegetation loss, sea level rise and the effects of natural and anthropogenic climate change in the study will supplement explanations of current shoreline loss, highest risk areas, and forecasts of future impacts. This information will assist officials in their strategic planning and policy

  6. An analysis of the factors influencing demand-side management activity in the electric utility industry

    NASA Astrophysics Data System (ADS)

    Bock, Mark Joseph

    Demand-side management (DSM), defined as the "planning, implementation, and monitoring of utility activities designed to encourage consumers to modify their pattern of electricity usage, including the timing and level of electricity demand," is a relatively new concept in the U.S. electric power industry. Nevertheless, in twenty years since it was first introduced, utility expenditures on DSM programs, as well as the number of such programs, have grown rapidly. At first glance, it may seem peculiar that a firm would actively attempt to reduce demand for its primary product. There are two primary explanations as to why a utility might pursue DSM: regulatory mandate, and self-interest. The purpose of this dissertation is to determine the impact these influences have on the amount of DSM undertaken by utilities. This research is important for two reasons. First, it provides insight into whether DSM will continue to exist as competition becomes more prevalent in the industry. Secondly, it is important because no one has taken a comprehensive look at firm-level DSM activity on an industry-wide basis. The primary data set used in this dissertation is the U.S. Department of Energy's Annual Electric Utility Report, Form EIA-861, which represents the most comprehensive data set available for analyzing DSM activity in the U.S. There are four measures of DSM activity in this data set: (1) utility expenditures on DSM programs; (2) energy savings by DSM program participants; and (3) the actual and (4) the potential reductions in peak load resulting from utility DSM measures. Each is used as the dependent variable in an econometric analysis where independent variables include various utility characteristics, regulatory characteristics, and service territory and customer characteristics. In general, the results from the econometric analysis suggest that in 1993, DSM activity was primarily the result of regulatory pressure. All of the evidence suggests that if DSM continues to

  7. Management of old landfills by utilizing forest and energy industry waste flows.

    PubMed

    Niutanen, Ville; Korhonen, Jouni

    2002-05-01

    The lack of landfill capacity, forthcoming EU waste disposal and landfill management legislation and the use of non-renewable and energy intensive natural resources for the end-treatment of old landfills increase pressures to develop new landfill management methods. This paper considers a method for the end-management of old landfills in Finland, which is based on the utilization of forest and paper industry waste flows, wastes from paper recycling (de-inking) and wastes from forest industry energy production. Fibre clay wastes from paper mills, de-inking sludges from de-inking of recovered waste paper and incineration ash from forest industry power plants serve to substitute the use of natural clay for the building of landfill structures for closed landfills. Arguably, this method is preferable to existing practices of natural clay use for landfill building, because it (1) substitutes non-renewable natural clay, (2) consumes less energy and generates less CO2 emissions than the use of natural clay, and (3) eliminates considerable amounts of wastes from paper production, paper consumption and from forest industry energy production. Some difficulties in the application of the method are considered and the waste flow utilization is incorporated into a local forest industry recycling network.

  8. Improved Water and Energy Management Utilizing Seasonal to Interannual Hydroclimatic Forecasts

    NASA Astrophysics Data System (ADS)

    Arumugam, S.; Lall, U.

    2014-12-01

    Seasonal to interannual climate forecasts provide valuable information for improving water and energy management. Given that the climatic attributes over these time periods are typically expressed as probabilistic information, we propose an adaptive water and energy management framework that uses probabilistic inflow forecasts to allocate water for uses with pre-specified reliabilities. To ensure that the system needs are not compromised due to forecast uncertainty, we propose uncertainty reduction using model combination and based on a probabilistic constraint in meeting the target storage. The talk will present findings from recent studies from various basins that include (a) role of multimodel combination in reducing the uncertainty in allocation (b) relevant system characteristics that improve the utility of forecasts, (c) significance of streamflow forecasts in promoting interbasin transfers and (d) scope for developing power demand forecasts utilizing temperature forecasts. Potential for developing seasonal nutrient forecasts using climate forecasts for supporting water quality trading will also be presented. Findings and synthesis from the panel discussion from the recently concluded AGU chapman conference on "Seaonal to Interannual Hydroclimatic Forecasts and Water Management" will also be summarized.

  9. Flash memory management system and method utilizing multiple block list windows

    NASA Technical Reports Server (NTRS)

    Chow, James (Inventor); Gender, Thomas K. (Inventor)

    2005-01-01

    The present invention provides a flash memory management system and method with increased performance. The flash memory management system provides the ability to efficiently manage and allocate flash memory use in a way that improves reliability and longevity, while maintaining good performance levels. The flash memory management system includes a free block mechanism, a disk maintenance mechanism, and a bad block detection mechanism. The free block mechanism provides efficient sorting of free blocks to facilitate selecting low use blocks for writing. The disk maintenance mechanism provides for the ability to efficiently clean flash memory blocks during processor idle times. The bad block detection mechanism provides the ability to better detect when a block of flash memory is likely to go bad. The flash status mechanism stores information in fast access memory that describes the content and status of the data in the flash disk. The new bank detection mechanism provides the ability to automatically detect when new banks of flash memory are added to the system. Together, these mechanisms provide a flash memory management system that can improve the operational efficiency of systems that utilize flash memory.

  10. Utilizing Combined Methodologies to Define the Role of Plasma Membrane Delivery During Axon Branching and Neuronal Morphogenesis.

    PubMed

    Winkle, Cortney C; Hanlin, Christopher C; Gupton, Stephanie L

    2016-03-16

    During neural development, growing axons extend to multiple synaptic partners by elaborating axonal branches. Axon branching is promoted by extracellular guidance cues like netrin-1 and results in dramatic increases to the surface area of the axonal plasma membrane. Netrin-1-dependent axon branching likely involves temporal and spatial control of plasma membrane expansion, the components of which are supplied through exocytic vesicle fusion. These fusion events are preceded by formation of SNARE complexes, comprising a v-SNARE, such as VAMP2 (vesicle-associated membrane protein 2), and plasma membrane t-SNAREs, syntaxin-1 and SNAP25 (synaptosomal-associated protein 25). Detailed herein isa multi-pronged approach used to examine the role of SNARE mediated exocytosis in axon branching. The strength of the combined approach is data acquisition at a range of spatial and temporal resolutions, spanning from the dynamics of single vesicle fusion events in individual neurons to SNARE complex formation and axon branching in populations of cultured neurons. This protocol takes advantage of established biochemical approaches to assay levels of endogenous SNARE complexes and Total Internal Reflection Fluorescence (TIRF) microscopy of cortical neurons expressing VAMP2 tagged with a pH-sensitive GFP (VAMP2-pHlourin) to identify netrin-1 dependent changes in exocytic activity in individual neurons. To elucidate the timing of netrin-1-dependent branching, time-lapse differential interference contrast (DIC) microscopy of single neurons over the order of hours is utilized. Fixed cell immunofluorescence paired with botulinum neurotoxins that cleave SNARE machinery and block exocytosis demonstrates that netrin-1 dependent axon branching requires SNARE-mediated exocytic activity.

  11. Evaluation and Reduction of Machine Difference in Press Working with Utilization of Dedicated Die Support Structure and Numerical Methodologies

    NASA Astrophysics Data System (ADS)

    Ohashi, Takahiro

    2011-05-01

    In this study, support structures of a die for press working are discussed to solve the machine difference problems amongst presses. The developed multi-point die support structures are not only utilized for adjusting elastic deformation of a die, but also for in-process sensing of the behavior of a die. The structures have multiple support cells between a die and the slide of a press machine. The cell, known as `a support unit,' has the strain gauges attached on its side, and works in both ways as a kind of spring and a load and displacement sensor. The cell contacts on the die with a ball-contact, therefore it transmits only the vertical force at each support point. The isolation of a momentum and horizontal load at each support point contributes for a simple numerical model; it helps us to know the practical boundary condition at the points under an actual production. In addition, the momentum and horizontal forces at the points are useless for press working; the isolation of these forces contributes to reduce a jolt and related machine differences. The horizontal distribution of support units is changed to reduce elastic deformation of a die; it contributes to reduce a jolt, alignment errors of a die and geometrical errors of a product. The validity of those adjustments are confirmed with evaluating a product shape of a deep drawing and measuring jolts between upper and lower stamping dies. Furthermore, die deformation in a process is analyzed with using elastic FE analysis with actual bearing loads compiled from each support unit.

  12. Utilizing Combined Methodologies to Define the Role of Plasma Membrane Delivery During Axon Branching and Neuronal Morphogenesis

    PubMed Central

    Winkle, Cortney C.; Hanlin, Christopher C.; Gupton, Stephanie L.

    2016-01-01

    During neural development, growing axons extend to multiple synaptic partners by elaborating axonal branches. Axon branching is promoted by extracellular guidance cues like netrin-1 and results in dramatic increases to the surface area of the axonal plasma membrane. Netrin-1-dependent axon branching likely involves temporal and spatial control of plasma membrane expansion, the components of which are supplied through exocytic vesicle fusion. These fusion events are preceded by formation of SNARE complexes, comprising a v-SNARE, such as VAMP2 (vesicle-associated membrane protein 2), and plasma membrane t-SNAREs, syntaxin-1 and SNAP25 (synaptosomal-associated protein 25). Detailed herein is a multi-pronged approach used to examine the role of SNARE mediated exocytosis in axon branching. The strength of the combined approach is data acquisition at a range of spatial and temporal resolutions, spanning from the dynamics of single vesicle fusion events in individual neurons to SNARE complex formation and axon branching in populations of cultured neurons. This protocol takes advantage of established biochemical approaches to assay levels of endogenous SNARE complexes and Total Internal Reflection Fluorescence (TIRF) microscopy of cortical neurons expressing VAMP2 tagged with a pH-sensitive GFP (VAMP2-pHlourin) to identify netrin-1 dependent changes in exocytic activity in individual neurons. To elucidate the timing of netrin-1-dependent branching, time-lapse differential interference contrast (DIC) microscopy of single neurons over the order of hours is utilized. Fixed cell immunofluorescence paired with botulinum neurotoxins that cleave SNARE machinery and block exocytosis demonstrates that netrin-1 dependent axon branching requires SNARE-mediated exocytic activity. PMID:27023471

  13. Cost-Utility Analysis: Sartorius Flap versus Negative Pressure Therapy for Infected Vascular Groin Graft Managment

    PubMed Central

    Macarios, David; Griffin, Leah; Kosowski, Tomasz; Pyfer, Bryan J.; Offodile, Anaeze C.; Driscoll, Daniel; Maddali, Sirish; Attwood, John

    2015-01-01

    Background: Sartorius flap coverage and adjunctive negative pressure wound therapy (NPWT) have been described in managing infected vascular groin grafts with varying cost and clinical success. We performed a cost–utility analysis comparing sartorius flap with NPWT in managing an infected vascular groin graft. Methods: A literature review compiling outcomes for sartorius flap and NPWT interventions was conducted from peer-reviewed journals in MEDLINE (PubMed) and EMBASE. Utility scores were derived from expert opinion and used to estimate quality-adjusted life years (QALYs). Medicare current procedure terminology and diagnosis-related groups codes were used to assess the costs for successful graft salvage with the associated complications. Incremental cost-effectiveness was assessed at $50,000/QALY, and both univariate and probabilistic sensitivity analyses were conducted to assess robustness of the conclusions. Results: Thirty-two studies were used pooling 384 patients (234 sartorius flaps and 150 NPWT). NPWT had better clinical outcomes (86.7% success rate, 0.9% minor complication rate, and 13.3% major complication rate) than sartorius flap (81.6% success rate, 8.0% minor complication rate, and 18.4% major complication rate). NPWT was less costly ($12,366 versus $23,516) and slightly more effective (12.06 QALY versus 12.05 QALY) compared with sartorius flap. Sensitivity analyses confirmed the robustness of the base case findings; NPWT was either cost-effective at $50,000/QALY or dominated sartorius flap in 81.6% of all probabilistic sensitivity analyses. Conclusion: In our cost–utility analysis, use of adjunctive NPWT, along with debridement and antibiotic treatment, for managing infected vascular groin graft wounds was found to be a more cost-effective option when compared with sartorius flaps. PMID:26893991

  14. Advances in management and utilization of invasive water hyacinth (Eichhornia crassipes) in aquatic ecosystems - a review.

    PubMed

    Yan, Shao-Hua; Song, Wei; Guo, Jun-Yao

    2017-03-01

    The objective of this review is to provide a concise summary of literature in the Chinese language since late 1970s and focuses on recent development in global scenarios. This work will replenish the FAO summary of water hyacinth utilization from 1917 to 1979 and review ecological and socioeconomic impacts of the water hyacinth from 1980 to 2010. This review also discusses the debate on whether the growth of the water hyacinth is a problem, a challenge or an opportunity. Literature suggested that integrated technologies and good management may be an effective solution and the perception of water hyacinth could change from that of a notorious aquatic weed to a valuable resource, including its utilization as a biological agent for the application in bioremediation for removing excess nutrients from eutrophic water bodies at low cost. Key aspects on system integration and innovation may focus on low-cost and efficient equipment and the creation of value-added goods from water hyacinth biomass. In the socioeconomic and ecological domain of global development, all the successful and sustainable management inputs for the water hyacinth must generate some sort of social and economic benefit simultaneously, as well as benefiting the ecosystem. Potential challenges exist in linkages between the management of water hyacinth on the large scale to the sustainable development of agriculture based on recycling nutrients, bio-energy production or silage and feed production. Further research and development may focus on more detailed biology of water hyacinth related with its utilization, cost-benefit analysis of middle to large-scale application of the technologies and innovation of the equipment used for harvesting and dehydrating the plant.

  15. Diabetes Mellitus and Infection: An Evaluation of Hospital Utilization and Management Costs in the United States

    PubMed Central

    Korbel, Lindsey; Spencer, John David

    2014-01-01

    Aims The objective of this study is to evaluate the number of diabetics that seek medical treatment in emergency departments or require hospitalization for infection management in the United States. This study also assesses the socioeconomic impact of inpatient infection management among diabetics. Methods We accessed the Healthcare Cost and Utilization Project’s Nationwide Emergency Department Sample database and the Nationwide Inpatient Sample database to perform a retrospective analysis on diabetics presenting to the emergency department or hospitalized for infection management from 2006-2011. Results Emergency Department Since 2006, nearly 10 million diabetics were annually evaluated in the emergency department. Infection was the primary reason for presentation in 10% of these visits. Among those visits, urinary tract infection was the most common infection, accounting for over 30% of emergency department encounters for infections. Other common infections included sepsis, skin and soft tissue infections, and pneumonia. Diabetics were more than twice as likely to be hospitalized for infection management than patients without diabetes. Hospitalization Since 2006, nearly 6 million diabetics were annually hospitalized. 8-12% of these patients were hospitalized for infection management. In 2011, the inpatient care provided to patients with DM and infection was responsible for over $48 billion dollars in aggregate hospital charges. Conclusions Diabetics commonly present to the emergency department and require hospitalization for infection management. The care provided to diabetics for infection management has a large economic impact on the United States healthcare system. More efforts are needed to develop cost-effective strategies for the prevention of infection in patients with diabetes. PMID:25488325

  16. Utilizing Predictors for Efficient Thermal Management in Multiprocessor SoCs

    DTIC Science & Technology

    2009-10-01

    CMT SPARC processor,” in Proc. ISSCC, 2008, pp. 82–83. [34] A. Wald and J. Wolfowitz , “Optimum character of the sequential proba- bility ratio test...from IEEE Xplore. Restrictions apply. COŞKUN et al.: UTILIZING PREDICTORS FOR EFFICIENT THERMAL MANAGEMENT IN MULTIPROCESSOR SoCs 1505 values in...not introduce inaccuracy. yt + p∑ i=1 (ai yt−i) = et + q∑ i=1 (ci et−i). (1) An ARMA(p, q) model is described by (1). In the equation, yt is the value

  17. Removal of uranium and priority pollutant metals from Fernald Environmental Management Project wastewater utilizing potassium ferrate

    SciTech Connect

    Hampshire, L.H. . Fernald Environmental Management Project); Potts, M.E. )

    1992-01-30

    A side-by-side treatment comparison between calcium hydroxide and TRU/Clear {reg sign} 4'', a potassium ferrate based wastewater treatment chemical, was performed in a process wastewater and stormwater treatment facility. Results from the full-scale plant testing demonstrated that potassium ferrate could achieve the same treatment levels as calcium hydroxide while generating 55% less sludge than the calcium hydroxide treatment. The testing also showed that utilization of potassium ferrate would minimize the volume of sludge generated and assist in the reduction of total waste management costs associated with storage, monitoring, transportation, and final disposition of generated sludge.

  18. Removal of uranium and priority pollutant metals from Fernald Environmental Management Project wastewater utilizing potassium ferrate

    SciTech Connect

    Hampshire, L.H.; Potts, M.E.

    1992-01-30

    A side-by-side treatment comparison between calcium hydroxide and TRU/Clear {reg_sign} ``4``, a potassium ferrate based wastewater treatment chemical, was performed in a process wastewater and stormwater treatment facility. Results from the full-scale plant testing demonstrated that potassium ferrate could achieve the same treatment levels as calcium hydroxide while generating 55% less sludge than the calcium hydroxide treatment. The testing also showed that utilization of potassium ferrate would minimize the volume of sludge generated and assist in the reduction of total waste management costs associated with storage, monitoring, transportation, and final disposition of generated sludge.

  19. Critical aortic stenosis and acute ascending aortic penetrating ulcer managed utilizing transapical TAVR and TEVAR.

    PubMed

    Allen, Keith B; Davis, J Russell; Cohen, David J

    2015-10-01

    Thoracic endovascular aortic repair (TEVAR) of acute ascending aortic pathology is feasible; however, the unique features of this aortic segment in addition to access challenges restricts its use to a select, high-risk subset of patients. With the advent of TAVR, large device delivery using transapical access has become a well-defined technique. We report a patient with critical aortic stenosis and an acute ascending aortic penetrating ulcer with tamponade managed successfully utilizing transapical TAVR and TEVAR. To our knowledge, this is the first reported case of a hybrid single-stage TAVR and ascending aortic TEVAR using transapical access.

  20. Zonal management of multi-purposes groundwater utilization based on water quality and impact on the aquifer.

    PubMed

    Liang, Ching-Ping; Jang, Cheng-Shin; Chen, Ching-Fang; Chen, Jui-Sheng

    2016-07-01

    Groundwater is widely used for drinking, irrigation, and aquaculture in the Pingtung Plain, Southwestern Taiwan. The overexploitation and poor quality of groundwater in some areas of the Pingtung Plain pose great challenges for the safe use and sustainable management of groundwater resources. Thus, establishing an effective management plan for multi-purpose groundwater utilization in the Pingtung Plain is imperative. Considerations of the quality of the groundwater and potential impact on the aquifer of groundwater exploitation are paramount to multi-purpose groundwater utilization management. This study proposes a zonal management plan for the multi-purpose use of groundwater in the Pingtung Plain. The zonal management plan is developed by considering the spatial variability of the groundwater quality and the impact on the aquifer, which is defined as the ratio of the actual groundwater extraction rate to transmissivity. A geostatistical Kriging approach is used to spatially delineate the safe zones based on the water quality standards applied in the three groundwater utilization sectors. Suitable zones for the impact on the aquifer are then spatially determined. The evaluation results showing the safe water quality zones for the three types of utilization demands and suitable zones for the impact on aquifer are integrated to create a zonal management map for multi-purpose groundwater utilization which can help government administrators to establish a water resource management strategy for safe and sustainable use of groundwater to meet multi-purpose groundwater utilization requirements in the Pingtung Plain.

  1. Environmental auditing: Capabilities and management utility of recreation impact monitoring programs

    USGS Publications Warehouse

    Marion, J.L.

    1995-01-01

    A recreation impact monitoring system was developed and applied in 1984?1986 and in 1991 to all backcountry river-accessed campsites within Delaware Water Gap National Recreation Area, Pennsylvania and New Jersey. Results suggest that actions implemented by park managers in response to problems identified by the initial survey were highly effective in reducing resource degradation caused by camping. In particular, the elimination of some designated campsites and installation of anchored firegrates reduced the total area of disturbance by 50%. Firegrate installation provided a focal point that increased the concentration of camping activities, allowing peripheral areas to recover. As suggested by predictive models, additional resource degradation caused by increased camping intensities is more than offset by improvements in the condition of areas where use is eliminated. The capabilities and management utility of recreation impact monitoring programs, illustrated by the Delaware Water Gap monitoring program, are also presented and discussed.

  2. Utility of Functional Hemodynamics and Echocardiography to Aid Diagnosis and Management of Shock.

    PubMed

    McGee, William T; Raghunathan, Karthik; Adler, Adam C

    2015-12-01

    The utility of functional hemodynamics and bedside ultrasonography is increasingly recognized as advantageous for both improved diagnosis and management of shock states. In contrast to conventional "static" measures, "dynamic" hemodynamic measures and bedside imaging modalities enhance pathophysiology-based comprehensive understanding of shock states and the response to therapy. The current editions of major textbooks in the primary specialties--in which clinicians routinely encounter patients in shock--including surgery, anesthesia, emergency medicine, and internal medicine continue to incorporate traditional (conventional) descriptions of shock that use well-described (but potentially misleading) intravascular pressures to classify shock states. Reliance on such intravascular pressure measurements is not as helpful as newer "dynamic" functional measures including ultrasonography to both better assess volume responsiveness and biventricular cardiac function. This review thus emphasizes the application of current functional hemodynamics and ultrasonography to the diagnosis and management of shock as a contrast to conventional "static" pressure-based measures.

  3. Development of an integrated methodology for the sustainable environmental and socio-economic management of river ecosystems.

    PubMed

    Koundouri, P; Ker Rault, P; Pergamalis, V; Skianis, V; Souliotis, I

    2016-01-01

    The development of the Water Framework Directive aimed to establish an integrated framework of water management at European level. This framework revolves around inland surface waters, transitional waters, coastal waters and ground waters. In the process of achieving the environment and ecological objectives set from the Directive, the role of economics is put in the core of the water management. An important feature of the Directive is the recovery of total economic cost of water services by all users. The total cost of water services can be disaggregated into environmental, financial and resource costs. Another important aspect of the directive is the identification of major drivers and pressures in each River Basin District. We describe a methodology that is aiming to achieve sustainable and environmental and socioeconomic management of freshwater ecosystem services. The Ecosystem Services Approach is in the core of the suggested methodology for the implementation of a more sustainable and efficient water management. This approach consists of the following three steps: (i) socio-economic characterization of the River Basin area, (ii) assessment of the current recovery of water use cost, and (iii) identification and suggestion of appropriate programs of measures for sustainable water management over space and time. This methodology is consistent with a) the economic principles adopted explicitly by the Water Framework Directive (WFD), b) the three-step WFD implementation approach adopted in the WATECO document, c) the Ecosystem Services Approach to valuing freshwater goods and services to humans. Furthermore, we analyze how the effects of multiple stressors and socio-economic development can be quantified in the context of freshwater resources management. We also attempt to estimate the value of four ecosystem services using the benefit transfer approach for the Anglian River Basin, which showed the significance of such services.

  4. Partnerships between utilities and small-scale providers: Delegated management in Kisumu, Kenya

    NASA Astrophysics Data System (ADS)

    Schwartz, Klaas; Sanga, Anthony

    Increasingly, partnerships between small-scale providers and formal utilities are being promoted as an alternative model of infrastructure development and service provision. This paper analyzes the potential of such a model for bridging the gap in service provision in peri-urban areas. The model, which this article focuses on, is the delegated management model, which has been implemented in Kisumu, Kenya. In this model a formal utility entered into contracts with multiple small-scale providers to distribute water to an informal settlement. In this arrangement, the water utility sells bulk water to the small-scale providers and these then distribute the water to an area covering about 120 connections for each provider. The research finds that the arrangement in Kisumu has met with mixed results. On the one hand, the arrangement led to considerable service expansion and to service improvements for those not connected to the network. Also, the formal utility benefited from the fact that they generated additional revenue by selling bulk water to the small-scale providers. The arrangement has also generated employment for those working for the small-scale providers. On the other hand, experiences so far, show that some challenges need to be addressed before the partnership arrangement becomes truly sustainable. For some providers corruption seems to be a problem as funds have been misappropriated. Also, the utility has not upheld the agreement to transfer all ‘old connections’ to the small-scale providers. A particularly worrying feature is that in low-income areas of Nyalenda, the customers of kiosks run by the small-scale providers pay three times more for their water than households who have an in-house connection.

  5. Improvement of the health technology management process of the public Health Service in Morelos using the Six Sigma methodology.

    PubMed

    Becerril-Alquicira, A; Ortiz-Posadas, M R

    2010-01-01

    The purpose of this study was to make a proposal to improve the management process of the health technology within the Health Service at Morelos State, México, using the five stages of Six Sigma methodology: Definition, Measurement, Analysis, Improvement and Control. Up to date these five steps have been executed resulting in a set of proposals to improve the current health technology management process. This will allow the establishment of a medical equipment control program that impacts the three levels of Health Care Service in Morelos State in Mexico.

  6. Do Italian Companies Manage Work-Related Stress Effectively? A Process Evaluation in Implementing the INAIL Methodology.

    PubMed

    Di Tecco, Cristina; Ronchetti, Matteo; Ghelli, Monica; Russo, Simone; Persechino, Benedetta; Iavicoli, Sergio

    2015-01-01

    Studies on Intervention Process Evaluation are attracting growing attention in the literature on interventions linked to stress and the wellbeing of workers. There is evidence that some elements relating to the process and content of an intervention may have a decisive role in implementing it by facilitating or hindering the effectiveness of the results. This study aimed to provide a process evaluation on interventions to assess and manage risks related to work-related stress using a methodological path offered by INAIL. The final sample is composed of 124 companies participating to an interview on aspects relating to each phase of the INAIL methodological path put in place to implement the intervention. INAIL methodology has been defined as useful in the process of assessing and managing the risks related to work-related stress. Some factors related to the process (e.g., implementation of a preliminary phase, workers' involvement, and use of external consultants) showed a role in significant differences that emerged in the levels of risk, particularly in relation to findings from the preliminary assessment. Main findings provide information on the key aspects of process and content that are useful in implementing an intervention for assessing and managing risks related to work-related stress.

  7. Dose-response effects for disease management programs on hospital utilization in Illinois Medicaid.

    PubMed

    Berg, Gregory D; Donnelly, Shawn; Miller, Mary; Medina, Wendie; Warnick, Kathleen

    2012-12-01

    The objective of this study is to estimate a dose-response impact of disease management contacts on inpatient admissions. Multivariate regression analysis of panel data was used to test the hypothesis that increased disease management contacts lower the odds of an inpatient admission. Subjects were 40,452 members of Illinois' noninstitutionalized Medicaid-only aged, blind, or disabled population diagnosed with asthma, coronary artery disease, chronic obstructive pulmonary disease, diabetes, and/or heart failure. All members are also in the state's Illinois Health Connect program, a medical home strategy in place for most of the 2.4 million Illinois Medicaid beneficiaries. The statistical measure is the odds ratio, which is a measure of association between the monthly inpatient admission indicator and the number of contacts (doses) a member has had for each particular disease management intervention. Statistically significant contacts are between 8 and 12 for heart failure, between 4 and 12 contacts for diabetes, and between 8 and 13 contacts for asthma. Total inpatient savings during the study period is estimated to be $12.4 million. This study shows the dose-response pattern of inpatient utilization improvements through the number of disease management contacts.

  8. Utility of the advanced chronic kidney disease patient management tools: case studies.

    PubMed

    Patwardhan, Meenal B; Matchar, David B; Samsa, Gregory P; Haley, William E

    2008-01-01

    Appropriate management of advanced chronic kidney disease (CKD) delays or limits its progression. The Advanced CKD Patient Management Toolkit was developed using a process-improvement technique to assist patient management and address CKD-specific management issues. We pilot tested the toolkit in 2 community nephrology practices, assessed the utility of individual tools, and evaluated the impact on conformance to an advanced CKD guideline through patient chart abstraction. Tool use was distinct in the 2 sites and depended on the site champion's involvement, the extent of process reconfiguration demanded by a tool, and its perceived value. Baseline conformance varied across guideline recommendations (averaged 54%). Posttrial conformance increased in all clinical areas (averaged 59%). Valuable features of the toolkit in real-world settings were its ability to: facilitate tool selection, direct implementation efforts in response to a baseline performance audit, and allow selection of tool versions and customizing them. Our results suggest that systematically created, multifaceted, and customizable tools can promote guideline conformance.

  9. Utility of Laboratory Diagnosis for Confirmation of the Syndromic Case Management in Married Indian Women with Vaginal Discharge

    PubMed Central

    Aggarwal, Prabhav; Bhattar, Sonali; Sahani, Satyendra Kumar; Bhalla, Preena

    2016-01-01

    Objective WHO and NACO recommend treatment of STIs/RTIs on the basis syndromic case management (SCM), even without laboratory confirmation, which may lead to over-treatment. Thus, this study was conducted to evaluate the utility of laboratory diagnosis for confirmation of patients with vaginal discharge diagnosed on the basis of SCM. Methodology 234 married women in reproductive age group, diagnosed as having vaginal discharge syndrome were included. Normal saline wet-mount slide preparations were made for detection of motile trichomonads. Gram stained smear were prepared and scored as per classification developed by Nugent. The presence of pseudohyphae and/or budding yeast cells was considered diagnostic of candidal infection. VDRL, TPHA and HIV testing were also done as per protocol. Results The median age of the study population was 34 years. Most common cause was bacterial vaginosis (positive= 21.4%, 95% CI= 16.6–27.1%; intermediate score= 17.5%, 95% CI= 13.2–22.9%), followed by candidiasis (13.7%, 95% CI= 98–18.7%) and trichomoniasis (0.4%, 95% CI= 0–2.6%). No etiological diagnosis for vaginal discharge could be established in approximately half of the women. Only two women were HIV positive; one was reactive by VDRL and TPHA tests. Conclusion Our study highlights the possible lacunae in SCM. Large number of patients may be over-treated if only syndromic management is followed, with financial, medical and social implications. Thus we recommend, the treatment maybe initiated on the basis of SCM, but it is essential that laboratory diagnosis is sought for and the treatment modified accordingly. PMID:27833516

  10. Integrated employee assistance program/managed behavioral health plan utilization by persons with substance use disorders.

    PubMed

    Merrick, Elizabeth S Levy; Hodgkin, Dominic; Hiatt, Deirdre; Horgan, Constance M; Greenfield, Shelly F; McCann, Bernard

    2011-04-01

    New federal parity and health reform legislation, promising increased behavioral health care access and a focus on prevention, has heightened interest in employee assistance programs (EAPs). This study investigated service utilization by persons with a primary substance use disorder (SUD) diagnosis in a managed behavioral health care (MBHC) organization's integrated EAP/MBHC product (N = 1,158). In 2004, 25.0% of clients used the EAP first for new treatment episodes. After initial EAP utilization, 44.4% received no additional formal services through the plan, and 40.4% received regular outpatient services. Overall, outpatient care, intensive outpatient/day treatment, and inpatient/residential detoxification were most common. About half of the clients had co-occurring psychiatric diagnoses. Mental health service utilization was extensive. Findings suggest that for service users with primary SUD diagnoses in an integrated EAP/MBHC product, the EAP benefit plays a key role at the front end of treatment and is often only one component of treatment episodes.

  11. Reliability assessment of non-utility generation and demand-side management in composite power systems

    NASA Astrophysics Data System (ADS)

    Adzanu, Steve Kwaku

    The last two decades have brought about significant changes in the resource planning environment of electric power utilities throughout the world. The conventional generation technologies that have been the backbone of every electric utility i.e., coal, hydro, nuclear, oil and natural gas, are being re-examined to address environmental concerns and resource utilization. The research described in this thesis focuses on the adequacy and economic assessment of non-utility generation (NUG) and demand-side management (DSM) initiatives within a typical power system. The main objective was to examine and extend the ability of the contingency enumeration approach to evaluate the economic reliability benefits of incorporating NUG and DSM options separately or jointly in composite system adequacy assessment. Two test systems were employed in the evaluations. The studies undertaken in this thesis demonstrate the need for accurate load model representations which clearly reflect the mix of customer sectors at each bus. Chronological hourly load curves were developed for each load bus in the test systems recognizing the individual load profiles of the customers. The adequacy and economic implications of demand-side management initiatives in the test systems were examined at each load point in the composite generation and transmission configuration. This thesis illustrates the development of techniques by which system planners and operators can incorporate reliability cost/worth assessment power system applications. Focus is placed in the thesis on the utilization of reliability cost/worth concepts in integrated resource planning in the form of NUG additions and DSM initiatives. Methods for the joint implementation of NUG and DSM options in a composite power system are presented and examples from the studies conducted are used to illustrate the procedures. Studies are presented which illustrate the impacts of NUG additions and DSM initiatives on the test system planning reserve

  12. Applying the Collective Causal Mapping Methodology to Operations Management Curriculum Development

    ERIC Educational Resources Information Center

    Hays, Julie M.; Bouzdine-Chameeva, Tatiana; Goldstein, Susan Meyer; Hill, Arthur V.; Scavarda, Annibal José

    2007-01-01

    Although the field of operations management has come a long way since its beginnings in scientific management, the field still appears somewhat amorphous and unstructured to many. Introductory operations management textbooks usually include a number of largely disjointed topics, which leave many students (and their instructors) without a coherent…

  13. Utilization of remotely-sensed data in the management of inland wetlands

    NASA Technical Reports Server (NTRS)

    Carter, V.; Smith, D. G.

    1973-01-01

    The author has identified the following significant results. ERTS-1 data and aerial photography are proving to be a useful tool for the inventory and management of inland wetlands. Two examples of the application of remotely-sensed data to specific wetland management needs or requirements are discussed. Studies of the Great Dismal Swamp are utilizing ERTS-1 imagery and color IR photography in: (1) study area selection; (2) field inspection; (3) vegetation mapping; (4) identification of drainage characteristics and moisture regime; (5) location of intensive study areas; and (6) detection of change. Thematic extractions of ERTS-1 data made using the United States Geological Survey's Autographic Theme Extraction System are aiding analyses of swamp hydrologic regime and providing information pertinent to quick recognition and inventory of wetlands from ERTS-1. DCP'S in south Florida wetlands provide near-real time data for water resources managers. Data relayed by satellite can be entered into models to provide predictive data and water storage information for long-term and short-term decision making.

  14. The utilization and management of plant resources in rural areas of the Limpopo Province, South Africa

    PubMed Central

    2013-01-01

    Background Most rural people in the Limpopo Province depend on plant resources to meet their livelihood needs. However, there is insufficient recorded information regarding their use and management. The current study therefore was carried out in selected villages of the Limpopo Province, to close this knowledge gap. Methods Information was collected from 60 people residing in two villages, using a semi-structured questionnaire, supplemented with field observations. Results A total of 47 wild plant species (95% indigenous and 5% exotics) from 27 families, mostly from the Fabaceae (17%), Anacardiaceae (9%), and Combretaceae (9%) were documented. These species were used primarily for firewood (40%), food (36%) and medicine (29%). Significantly used species included Sclerocarya birrea (85%), Combretum kraussii (35%) and Harpephyllum caffrum (35%). Local traditional rules and regulations including taboos, social beliefs and fines are in place to aid in the management of communal resources. However, a significant number (67%) of participants mentioned that they were not pleased with these rules and regulations. Conclusion The current study concluded that plant resources still play an important role in the surveyed rural areas of the Limpopo Province. Furthermore, for sustainable utilization and long-term conservation of plants in these areas the government should assist communities in the management of their plant resources. PMID:23590903

  15. How to assess solid waste management in armed conflicts? A new methodology applied to the Gaza Strip, Palestine.

    PubMed

    Caniato, Marco; Vaccari, Mentore

    2014-09-01

    We have developed a new methodology for assessing solid waste management in a situation of armed conflict. This methodology is composed of six phases with specific activities, and suggested methods and tools. The collection, haulage, and disposal of waste in low- and middle-income countries is so complicated and expensive task for municipalities, owing to several challenges involved, that some waste is left in illegal dumps. Armed conflicts bring further constraints, such as instability, the sudden increase in violence, and difficulty in supplying equipment and spare parts: planning is very difficult and several projects aimed at improving the situation have failed. The methodology was validated in the Gaza Strip, where the geopolitical situation heavily affects natural resources. We collected information in a holistic way, crosschecked, and discussed it with local experts, practitioners, and authorities. We estimated that in 2011 only 1300 tonne day(-1) were transported to the three disposal sites, out of a production exceeding 1700. Recycling was very limited, while the composting capacity was 3.5 tonnes day(-1), but increasing. We carefully assessed system elements and their interaction. We identified the challenges, and developed possible solutions to increase system effectiveness and robustness. The case study demonstrated that our methodology is flexible and adaptable to the context, thus it could be applied in other areas to improve the humanitarian response in similar situations.

  16. Database Design Methodology and Database Management System for Computer-Aided Structural Design Optimization.

    DTIC Science & Technology

    1984-12-01

    1983). Several researchers Lillehagen and Dokkar (1982), Grabowski, Eigener and Ranch (1978), and Eberlein and Wedekind (1982) have worked on database...Proceedings of International Federation of Information Processing. pp. 335-366. Eberlein, W. and Wedekind , H., 1982, "A Methodology for Embedding Design

  17. Data Management inside the Library: Assessing Electronic Resources Data Using the Data Asset Framework Methodology

    ERIC Educational Resources Information Center

    Ogier, Andi; Hall, Monena; Bailey, Annette; Stovall, Connie

    2014-01-01

    Rapidly growing within academic libraries, library data services have often been focused on assessing research trends and building partnerships outside the library. There are distinct benefits, however, to using data audit methodologies created for these external assessments of researcher practices inside the library as well. In this article, we…

  18. Reducing Gridlock on the Grid: Utility Trends in Managing Peak Electric Load through Residential Demand Response

    NASA Astrophysics Data System (ADS)

    McDonald, Betsy

    Utilities across the United States are piloting residential demand response programs to help manage peak electric demand. Using publicly available program evaluations, this thesis analyzes nine such programs to uncover and synthesize the range of program offerings, goals, enrollment strategies, and customer experiences. This review reveals that program participation, components, and results differ based on a variety of factors, including geographic characteristics, program goals, and implementation strategies. The diversity of program designs and evaluation findings suggests an underlying tension between the need to generate cost-effective program impacts and the desire to increase accessibility so that program benefits are not exclusive to certain segments of the population. For more significant and impactful engagement, program goals may need to shift. State level policy support could help shift program goals toward increasing program accessibility. Future research should explore creative strategies that target existing barriers and allow for more inclusive deployment.

  19. Squaring the Project Management Circle: Updating the Cost, Schedule, and Performance Methodology

    DTIC Science & Technology

    2016-04-30

    emphasizes the limits of project management , the application of finite resources—both time (schedule) and budget (cost). The unique property underlines...focus because if we measure it, it will get done. References Atkinson, R. (1999). Project management : Cost, time and quality, two best guesses and a...phenomenon, its time to accept other success criteria. International Journal of Project Management , 17(6), 337–342. http://doi.org/10.1016/s0263-7863

  20. Healthcare utilization and cost of Stevens-Johnson syndrome and toxic epidermal necrolysis management in Thailand

    PubMed Central

    Dilokthornsakul, P; Sawangjit, R; Inprasong, C; Chunhasewee, S; Rattanapan, P; Thoopputra, T; Chaiyakunapruk, N

    2016-01-01

    Background: Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are life-threatening dermatologic conditions. Although, the incidence of SJS/TEN in Thailand is high, information on cost of care for SJS/TEN is limited. This study aims to estimate healthcare resource utilization and cost of SJS/TEN in Thailand, using hospital perspective. Methods: A retrospective study using an electronic health database from a university-affiliated hospital in Thailand was undertaken. Patients admitted with SJS/TEN from 2002 to 2007 were included. Direct medical cost was estimated by the cost-to-charge ratio. Cost was converted to 2013 value by consumer price index, and converted to $US using 31 Baht/1 $US. The healthcare resource utilization was also estimated. Results: A total of 157 patients were included with average age of 45.3±23.0 years. About 146 patients (93.0%) were diagnosed as SJS and the remaining (7.0%) were diagnosed as TEN. Most of the patients (83.4%) were treated with systemic corticosteroids. Overall, mortality rate was 8.3%, while the average length of stay (LOS) was 10.1±13.2 days. The average cost of managing SJS/TEN for all patients was $1,064±$2,558. The average cost for SJS patients was $1,019±$2,601 while that for TEN patients was $1,660±$1,887. Conclusions: Healthcare resource utilization and cost of care for SJS/TEN in Thailand were tremendous. The findings are important for policy makers to allocate healthcare resources and develop strategies to prevent SJS/TEN which could decrease length of stay and cost of care. PMID:27089110

  1. Alternatives for management of wastes generated by the formerly utilized sites remedial action program and supplement

    SciTech Connect

    Gilbert, T.L.; Peterson, J.M.; Vocke, R.W.; Alexander, J.K.

    1983-03-01

    Alternatives for disposal or stabilization of the wastes generated by the US Department of Energy's Formerly Utilized Sites Remedial Action Program (FUSRAP) are identified and compared, with emphasis on the long-term aspects. These wastes consist of soil material and rubble containing trace amounts of radionuclides. A detailed pathway analysis for the dose to the maximally exposed individual is carried out using an adaptation of the natural analogue method. Comparisons of the different alternatives, based on the results of the pathway analysis and qualitative cost considerations, indicate that, if the hazard is such that the wastes must be removed and disposed of rather than stabilized in place, disposal by immediate dispersal is preferable to containment, and containment followed by slow planned dispersal is preferable to containment without dispersal. The Supplement presents refinements of work that was reported at the 1982 International Decommissioning Symposium. The new material consists of revisions of the estimates of the predicted potential dose to the maximally exposed individual and a more detailed comparative assessment of the radiological impacts of alternatives for management of wastes generated by the US Department of Energy's Formerly Utilized Sites Remedial Action Program (FUSRAP).

  2. Minimal support technology and in situ resource utilization for risk management of planetary spaceflight missions

    NASA Astrophysics Data System (ADS)

    Murphy, K.; Rygalov, V.; Johnson, S.

    All artificial systems and components in space degrade at higher rates than on Earth depending in part on environmental conditions design approach assembly technologies and the materials used This degradation involves not only the hardware and software systems but the humans that interact with those systems All technological functions and systems can be expressed through functional dependence Function sim ERU RUIS ISR DR where newline ERU Efficiency Rate of Environmental Resources Utilization newline RUIS Resource Utilization Infra-Structure ISR In Situ Resources newline DR Degradation Rate The limited resources of spaceflight and open space for autonomous missions require a high reliability approaching 100 for system functioning and operation and must minimize the rate of any system degradation To date only a continuous human presence with a system in the spaceflight environment can absolutely mitigate those degradations This mitigation is based on environmental amelioration for both the technology systems as repair data and spare parts and the humans as exercise and psychological support Such maintenance requires huge infrastructures including research and development complexes and management agencies which currently cannot move beyond the Earth When considering what is required to move manned spaceflight from near Earth stations to remote locations such as Mars what are the minimal technologies and infrastructures necessary for autonomous restoration of a degrading system in space In

  3. Performance evaluation of selected U.S. utility commercial lighting demand-side management programs

    SciTech Connect

    Chen, T.; Yu, O.S.

    1997-10-01

    This article selects 18 commercial lighting demand-side management programs of electric utilities in the United States and evaluates their performance. It first uses four conventional measures, i.e., rate impact measurement, total resource cost, total utility cost, and total customer cost, to analyze the costs and benefits of each program. Although all programs achieve good benefit to cost ratios under each measure, the rankings are not always consistent, i.e., a program`s ranking in one measure is not always the same as in another measure. To provide a unified basis for comparison, the authors use a mathematical programming model--the data envelopment analysis (DEA) model--to integrate the results of these four conventional measures for each program. Based on the DEA results, programs of Southern California Edison, New York State Electric and Gas, and Potomac Electric Power produce the best overall performance, followed by Central Maine Power, Pacific Gas and Electric, and Central Vermont Public Service. Finally, this article discusses the implications of the DEA results, which can serve as an effective means for performance benchmarking.

  4. Situational Methodology as Multifaceted Pedagogical Tool of Influence on the Formation of Socio-Ethical Values of Future Managers-Economists in Higher Schools of Ukraine and Germany

    ERIC Educational Resources Information Center

    Sikaliuk, Anzhela

    2014-01-01

    The role and importance of situational methodology as one of the pedagogical tools of influence on the formation of socio-ethical values of future managers in higher schools of Ukraine and Germany have been theoretically substantiated. The possibilities of situational methodology influence on the formation of socio-ethical values of…

  5. Sandia National Laboratories performance assessment methodology for long-term environmental programs : the history of nuclear waste management.

    SciTech Connect

    Marietta, Melvin Gary; Anderson, D. Richard; Bonano, Evaristo J.; Meacham, Paul Gregory

    2011-11-01

    Sandia National Laboratories (SNL) is the world leader in the development of the detailed science underpinning the application of a probabilistic risk assessment methodology, referred to in this report as performance assessment (PA), for (1) understanding and forecasting the long-term behavior of a radioactive waste disposal system, (2) estimating the ability of the disposal system and its various components to isolate the waste, (3) developing regulations, (4) implementing programs to estimate the safety that the system can afford to individuals and to the environment, and (5) demonstrating compliance with the attendant regulatory requirements. This report documents the evolution of the SNL PA methodology from inception in the mid-1970s, summarizing major SNL PA applications including: the Subseabed Disposal Project PAs for high-level radioactive waste; the Waste Isolation Pilot Plant PAs for disposal of defense transuranic waste; the Yucca Mountain Project total system PAs for deep geologic disposal of spent nuclear fuel and high-level radioactive waste; PAs for the Greater Confinement Borehole Disposal boreholes at the Nevada National Security Site; and PA evaluations for disposal of high-level wastes and Department of Energy spent nuclear fuels stored at Idaho National Laboratory. In addition, the report summarizes smaller PA programs for long-term cover systems implemented for the Monticello, Utah, mill-tailings repository; a PA for the SNL Mixed Waste Landfill in support of environmental restoration; PA support for radioactive waste management efforts in Egypt, Iraq, and Taiwan; and, most recently, PAs for analysis of alternative high-level radioactive waste disposal strategies including repositories deep borehole disposal and geologic repositories in shale and granite. Finally, this report summarizes the extension of the PA methodology for radioactive waste disposal toward development of an enhanced PA system for carbon sequestration and storage systems

  6. Effects of Home Energy Management Systems on Distribution Utilities and Feeders Under Various Market Structure; NREL (National Renewable Energy Laboratory)

    SciTech Connect

    Ruth, M.; Pratt, A.; Lunacek, M.; Mittal, S.; Wu, H.; Jones, W.

    2015-06-15

    The combination of distributed energy resources (DER) and retail tariff structures to provide benefits to both utility consumers and the utilities is not well understood. To improve understanding, an Integrated Energy System Model (IESM) is being developed to simulate the physical and economic aspects of DER technologies, the buildings where they reside, and feeders servicing them. The IESM was used to simulate 20 houses with home energy management systems on a single feeder under a time-of-use (TOU) tariff to estimate economic and physical impacts on both the households and the distribution utilities. Home energy management systems (HEMS) reduce consumers’ electric bills by precooling houses in the hours before peak electricity pricing. Utilization of HEMS reduce peak loads during high price hours but shifts it to hours with off-peak and shoulder prices, resulting in a higher peak load. used to simulate 20 houses with home energy management systems on a single feeder under a time-of-use (TOU) tariff to estimate economic and physical impacts on both the households and the distribution utilities. Home energy management systems (HEMS) reduce consumers’ electric bills by precooling houses in the hours before peak electricity pricing. Utilization of HEMS reduce peak loads during high price hours but shifts it to hours with off-peak and shoulder prices, resulting in a higher peak load.

  7. Review of LCA studies of solid waste management systems – Part II: Methodological guidance for a better practice

    SciTech Connect

    Laurent, Alexis; Clavreul, Julie; Bernstad, Anna; Bakas, Ioannis; Niero, Monia; Gentil, Emmanuel; Christensen, Thomas H.; Hauschild, Michael Z.

    2014-03-01

    Highlights: • We perform a critical review of 222 LCA studies of solid waste management systems. • We analyse the past LCA practice against the ISO standard and ILCD Handbook guidance. • Malpractices exist in many methodological aspects with large variations among studies. • Many of these aspects are important for the reliability of the results. • We provide detailed recommendations to practitioners of waste management LCAs. - Abstract: Life cycle assessment (LCA) is increasingly used in waste management to identify strategies that prevent or minimise negative impacts on ecosystems, human health or natural resources. However, the quality of the provided support to decision- and policy-makers is strongly dependent on a proper conduct of the LCA. How has LCA been applied until now? Are there any inconsistencies in the past practice? To answer these questions, we draw on a critical review of 222 published LCA studies of solid waste management systems. We analyse the past practice against the ISO standard requirements and the ILCD Handbook guidelines for each major step within the goal definition, scope definition, inventory analysis, impact assessment, and interpretation phases of the methodology. Results show that malpractices exist in several aspects of the LCA with large differences across studies. Examples are a frequent neglect of the goal definition, a frequent lack of transparency and precision in the definition of the scope of the study, e.g. an unclear delimitation of the system boundaries, a truncated impact coverage, difficulties in capturing influential local specificities such as representative waste compositions into the inventory, and a frequent lack of essential sensitivity and uncertainty analyses. Many of these aspects are important for the reliability of the results. For each of them, we therefore provide detailed recommendations to practitioners of waste management LCAs.

  8. Dose–response effects for depression and Schizophrenia management on hospital utilization in Illinois Medicaid: a multivariate regression analysis

    PubMed Central

    2014-01-01

    Background The prevalence of schizophrenia and depression in the United States is far higher among Medicaid recipients than in the general population. Individuals suffering from mental illness, including schizophrenia and depression, also have higher rates of emergency department utilization, which is costly and may not generate the positive health outcomes desired. Disease management programs strive to help individuals suffering from chronic illnesses better manage their condition(s) and seek health care in the appropriate settings. The objective of this manuscript is to estimate a dose–response impact on hospital inpatient and emergency room utilizations for any reason by Medicaid recipients with depression or schizophrenia who received disease management contacts. Methods Multivariate regression analysis of panel data taken from administrative claims was conducted to test the hypothesis that increased contacts lower the likelihood of all-cause inpatient admissions and emergency room visits. Subjects included 6,274 members of Illinois’ non-institutionalized Medicaid-only aged, blind or disabled population diagnosed with depression or schizophrenia. The statistical measure is the odds ratio. The odds ratio association is between the monthly utilization indicators and the number of contacts (doses) a member had for each particular disease management intervention. Results Higher numbers of intervention contacts for Medicaid recipients diagnosed with depression or schizophrenia were associated with statistically significant reductions in all-cause inpatient admissions and emergency room utilizations. Conclusions There is a high correlation between depression and schizophrenia disease management contacts and lowered all-cause hospital inpatient and emergency room utilizations. PMID:24989717

  9. Towards Accelerated Aging Methodologies and Health Management of Power MOSFETs (Technical Brief)

    NASA Technical Reports Server (NTRS)

    Celaya, Jose R.; Patil, Nishad; Saha, Sankalita; Wysocki, Phil; Goebel, Kai

    2009-01-01

    Understanding aging mechanisms of electronic components is of extreme importance in the aerospace domain where they are part of numerous critical subsystems including avionics. In particular, power MOSFETs are of special interest as they are involved in high voltage switching circuits such as drivers for electrical motors. With increased use of electronics in aircraft control, it becomes more important to understand the degradation of these components in aircraft specific environments. In this paper, we present an accelerated aging methodology for power MOSFETs that subject the devices to indirect thermal overstress during high voltage switching. During this accelerated aging process, two major modes of failure were observed - latch-up and die attach degradation. In this paper we present the details of our aging methodology along with details of experiments and analysis of the results.

  10. Creation of a System of Systems Portfolio Management and Technology Selection Methodology

    DTIC Science & Technology

    2010-05-01

    traditional Ao, defined at the fleet level and computed as the average of squadron or unit level Ao. In this fashion , a clear definition of Am for...the SMM to incorporate a Performance Level Monitoring ( PLM ) methodology. The PLM is being developed to understand if the performance will satisfy...changing existing capabilities within a MP. Performance Level Monitoring Explained The PLM strives to apply a modified TPM type approach to a SoS

  11. Utilization of Geotextile Tube for Sandy and Muddy Coastal Management: A Review

    PubMed Central

    Lee, Siew Cheng; Hashim, Roslan; Motamedi, Shervin; Song, Ki-Il

    2014-01-01

    Threats to beaches have accelerated the coastal destruction. In recent decades, geotextile tubes were used around the world to prevent coastal erosion, to encourage beach nourishment, and to assist mangrove rehabilitation. However, the applications of geotextile tube in sandy and muddy coasts have different concerns as the geological settings are different. Applications of geotextile tubes in sandy beaches were mainly to prevent coastline from further erosion and to nourish the beach. However, for the muddy coasts, mangrove rehabilitation and conservation were additional concerns in coastal management schemes. The mangrove forests are natural barriers which can be found on the muddy coasts of many tropical countries. In this paper, the viability of geotextile tubes in sandy and muddy beaches was analysed. The advantages and disadvantages of the utilization of geotextile tubes in coastal management were discussed based on the experiences from the tropical countries such as Mexico, Malaysia, and Thailand. From the case studies, impressive improvements in coastal restoration after installation of geotextile tubes were shown. Based on the discussion, several recommendations to improve the application of geotextile tubes were suggested in this paper. PMID:24955408

  12. A risk-based approach to management of leachables utilizing statistical analysis of extractables.

    PubMed

    Stults, Cheryl L M; Mikl, Jaromir; Whelehan, Oliver; Morrical, Bradley; Duffield, William; Nagao, Lee M

    2015-04-01

    To incorporate quality by design concepts into the management of leachables, an emphasis is often put on understanding the extractable profile for the materials of construction for manufacturing disposables, container-closure, or delivery systems. Component manufacturing processes may also impact the extractable profile. An approach was developed to (1) identify critical components that may be sources of leachables, (2) enable an understanding of manufacturing process factors that affect extractable profiles, (3) determine if quantitative models can be developed that predict the effect of those key factors, and (4) evaluate the practical impact of the key factors on the product. A risk evaluation for an inhalation product identified injection molding as a key process. Designed experiments were performed to evaluate the impact of molding process parameters on the extractable profile from an ABS inhaler component. Statistical analysis of the resulting GC chromatographic profiles identified processing factors that were correlated with peak levels in the extractable profiles. The combination of statistically significant molding process parameters was different for different types of extractable compounds. ANOVA models were used to obtain optimal process settings and predict extractable levels for a selected number of compounds. The proposed paradigm may be applied to evaluate the impact of material composition and processing parameters on extractable profiles and utilized to manage product leachables early in the development process and throughout the product lifecycle.

  13. Utilization of geotextile tube for sandy and muddy coastal management: a review.

    PubMed

    Lee, Siew Cheng; Hashim, Roslan; Motamedi, Shervin; Song, Ki-Il

    2014-01-01

    Threats to beaches have accelerated the coastal destruction. In recent decades, geotextile tubes were used around the world to prevent coastal erosion, to encourage beach nourishment, and to assist mangrove rehabilitation. However, the applications of geotextile tube in sandy and muddy coasts have different concerns as the geological settings are different. Applications of geotextile tubes in sandy beaches were mainly to prevent coastline from further erosion and to nourish the beach. However, for the muddy coasts, mangrove rehabilitation and conservation were additional concerns in coastal management schemes. The mangrove forests are natural barriers which can be found on the muddy coasts of many tropical countries. In this paper, the viability of geotextile tubes in sandy and muddy beaches was analysed. The advantages and disadvantages of the utilization of geotextile tubes in coastal management were discussed based on the experiences from the tropical countries such as Mexico, Malaysia, and Thailand. From the case studies, impressive improvements in coastal restoration after installation of geotextile tubes were shown. Based on the discussion, several recommendations to improve the application of geotextile tubes were suggested in this paper.

  14. Modeling strategy to identify patients with primary immunodeficiency utilizing risk management and outcome measurement.

    PubMed

    Modell, Vicki; Quinn, Jessica; Ginsberg, Grant; Gladue, Ron; Orange, Jordan; Modell, Fred

    2017-02-21

    This study seeks to generate analytic insights into risk management and probability of an identifiable primary immunodeficiency defect. The Jeffrey Modell Centers Network database, Jeffrey Modell Foundation's 10 Warning Signs, the 4 Stages of Testing Algorithm, physician-reported clinical outcomes, programs of physician education and public awareness, the SPIRIT® Analyzer, and newborn screening, taken together, generates P values of less than 0.05%. This indicates that the data results do not occur by chance, and that there is a better than 95% probability that the data are valid. The objectives are to improve patients' quality of life, while generating significant reduction of costs. The advances of the world's experts aligned with these JMF programs can generate analytic insights as to risk management and probability of an identifiable primary immunodeficiency defect. This strategy reduces the uncertainties related to primary immunodeficiency risks, as we can screen, test, identify, and treat undiagnosed patients. We can also address regional differences and prevalence, age, gender, treatment modalities, and sites of care, as well as economic benefits. These tools support high net benefits, substantial financial savings, and significant reduction of costs. All stakeholders, including patients, clinicians, pharmaceutical companies, third party payers, and government healthcare agencies, must address the earliest possible precise diagnosis, appropriate intervention and treatment, as well as stringent control of healthcare costs through risk assessment and outcome measurement. An affected patient is entitled to nothing less, and stakeholders are responsible to utilize tools currently available. Implementation offers a significant challenge to the entire primary immunodeficiency community.

  15. Savanna burning methodology for fire management and emissions reduction: a critical review of influencing factors.

    PubMed

    Maraseni, Tek Narayan; Reardon-Smith, Kathryn; Griffiths, Greg; Apan, Armando

    2016-12-01

    Savanna fire is a major source of global greenhouse gas (GHG) emissions. In Australia, savanna fire contributes about 3% of annual GHG emissions reportable to the Kyoto Protocol. In order to reduce GHG emissions from savanna burning, the Australian government has developed and approved a Kyoto compliant savanna controlled burning methodology-the first legal instrument of this kind at a global level-under its Emission Reduction Fund. However, this approved methodology is currently only applicable to nine vegetation fuel types across northern parts of Australia in areas which receive on average over 600 mm rainfall annually, covering only 15.4% of the total land area in Australia. Savanna ecosystems extend across a large proportion of mainland Australia. This paper provides a critical review of ten key factors that need to be considered in developing a savanna burning methodology applicable to the other parts of Australia. It will also inform discussion in other countries intent on developing similar emissions reduction strategies.

  16. A computer modeling methodology and tool for assessing design concepts for the Space Station Data Management System

    NASA Technical Reports Server (NTRS)

    Jones, W. R.

    1986-01-01

    A computer modeling tool is being developed to assess candidate designs for the Space Station Data Management System (DMS). The DMS is to be a complex distributed computer system including the processor, storage devices, local area networks, and software that will support all processing functions onboard the Space Station. The modeling tool will allow a candidate design for the DMS, or for other subsystems that use the DMS, to be evaluated in terms of parameters. The tool and its associated modeling methodology are intended for use by DMS and subsystem designers to perform tradeoff analyses between design concepts using varied architectures and technologies.

  17. Utility of Early MRI in the Diagnosis and Management of Acute Spontaneous Intracerebral Hemorrhage

    PubMed Central

    Wijman, Christine A.C.; Venkatasubramanian, Chitra; Bruins, Sara; Fischbein, Nancy; Schwartz, Neil

    2010-01-01

    Background The optimal diagnostic evaluation for spontaneous intracerebral hemorrhage (ICH) remains controversial. In this retrospective study, we assessed the utility of early magnetic resonance imaging (MRI) in ICH diagnosis and management. Methods Eighty-nine (72%) of 123 patients with spontaneous ICH underwent a brain CT and MRI within 30 days of ICH onset. Seventy patients with a mean age of 62 ± 15 years were included. A stroke neurologist and a general neurologist, each blinded to the final diagnosis, independently reviewed the admission data and the initial head CT and then assigned a presumed ICH cause under 1 of 9 categories. ICH cause was potentially modified after subsequent MRI review. The final ‘gold standard’ ICH etiology was determined after review of the complete medical record by an independent investigator. Change in diagnostic category and confidence and the potential impact on patient management were systematically recorded. Results Mean time to MRI was 3 ± 5 days. Final ICH diagnosis was hypertension or cerebral amyloid angiopathy (CAA) in 50% of patients. After MRI review the stroke neurologist changed diagnostic category in 14%, diagnostic confidence in an additional 23% and management in 20%, and the general neurologist did so in 19, 21 and 21% of patients, respectively. MRI yield was highest in ICH secondary to ischemic stroke, CAA, vascular malformations and neoplasms, and did not differ by age, history of hypertension, hematoma location or the presence of intraventricular hemorrhage. Conclusions The results of this study suggest potential additive clinical benefit of early MRI in patients with spontaneous ICH. PMID:20733299

  18. Utilization of specific and non-specific peptide interactions with inorganic nanomaterials on the surface of bacteriophage M13: Methodologies towards phage supported bi-functional materials

    NASA Astrophysics Data System (ADS)

    Avery, Kendra Nicole

    the phage with a negative charge on which nanomaterials can be supported. Metal salt precursors reduced in the presence of WT M13 are studied in this chapter. Metal salt precursors of Fe, Co, Ru, Rh and Pd seem to be the most effective at coating the surface of the phage based on the positively charged metal-aquo complexes formed in water, which are attracted to the negative pVIII region. Other types of reactions are explored with WT phage as a scaffold such as conversion chemistry in a polyol solvent to access several intermetallic phases as well as co-precipitation reactions to access ternary oxides. Chapter 4 focuses on combining research from chapter 2 and chapter 3 to create a bi-functional material that utilizes both specific and non-specific peptide interactions with inorganic materials on the surface of M13 to attach two different types of nanomaterials. The example provided here is a magnetically recoverable hydrogenation catalyst made up of a pVIII region coated with rhodium nanoparticles held in place by non-specific peptide interactions and a pIII region attached to iron oxide nanoparticles via specific peptide interactions. This is the first example in the literature of a commercially available pIII bioengineered M13 bacteriophage forming a bi-functional material. This research provides a methodology to design and build single and multi-component materials on the surface of bacteriophage M13 without the necessity for additional bioengineering and library characterization. The simplicity of use will make the technique available to a wider variety of researchers in the materials science community.

  19. Exploring the cost–utility of stratified primary care management for low back pain compared with current best practice within risk-defined subgroups

    PubMed Central

    Whitehurst, David G T; Bryan, Stirling; Lewis, Martyn; Hill, Jonathan; Hay, Elaine M

    2012-01-01

    Objectives Stratified management for low back pain according to patients' prognosis and matched care pathways has been shown to be an effective treatment approach in primary care. The aim of this within-trial study was to determine the economic implications of providing such an intervention, compared with non-stratified current best practice, within specific risk-defined subgroups (low-risk, medium-risk and high-risk). Methods Within a cost–utility framework, the base-case analysis estimated the incremental healthcare cost per additional quality-adjusted life year (QALY), using the EQ-5D to generate QALYs, for each risk-defined subgroup. Uncertainty was explored with cost–utility planes and acceptability curves. Sensitivity analyses were performed to consider alternative costing methodologies, including the assessment of societal loss relating to work absence and the incorporation of generic (ie, non-back pain) healthcare utilisation. Results The stratified management approach was a cost-effective treatment strategy compared with current best practice within each risk-defined subgroup, exhibiting dominance (greater benefit and lower costs) for medium-risk patients and acceptable incremental cost to utility ratios for low-risk and high-risk patients. The likelihood that stratified care provides a cost-effective use of resources exceeds 90% at willingness-to-pay thresholds of £4000 (≈ 4500; $6500) per additional QALY for the medium-risk and high-risk groups. Patients receiving stratified care also reported fewer back pain-related days off work in all three subgroups. Conclusions Compared with current best practice, stratified primary care management for low back pain provides a highly cost-effective use of resources across all risk-defined subgroups. PMID:22492783

  20. Improved methodology to assess modification and completion of landfill gas management in the aftercare period

    SciTech Connect

    Morris, Jeremy W.F.; Crest, Marion; Barlaz, Morton A.; Spokas, Kurt A.; Akerman, Anna; Yuan, Lei

    2012-12-15

    Highlights: Black-Right-Pointing-Pointer Performance-based evaluation of landfill gas control system. Black-Right-Pointing-Pointer Analytical framework to evaluate transition from active to passive gas control. Black-Right-Pointing-Pointer Focus on cover oxidation as an alternative means of passive gas control. Black-Right-Pointing-Pointer Integrates research on long-term landfill behavior with practical guidance. - Abstract: Municipal solid waste landfills represent the dominant option for waste disposal in many parts of the world. While some countries have greatly reduced their reliance on landfills, there remain thousands of landfills that require aftercare. The development of cost-effective strategies for landfill aftercare is in society's interest to protect human health and the environment and to prevent the emergence of landfills with exhausted aftercare funding. The Evaluation of Post-Closure Care (EPCC) methodology is a performance-based approach in which landfill performance is assessed in four modules including leachate, gas, groundwater, and final cover. In the methodology, the objective is to evaluate landfill performance to determine when aftercare monitoring and maintenance can be reduced or possibly eliminated. This study presents an improved gas module for the methodology. While the original version of the module focused narrowly on regulatory requirements for control of methane migration, the improved gas module also considers best available control technology for landfill gas in terms of greenhouse gas emissions, air quality, and emissions of odoriferous compounds. The improved module emphasizes the reduction or elimination of fugitive methane by considering the methane oxidation capacity of the cover system. The module also allows for the installation of biologically active covers or other features designed to enhance methane oxidation. A methane emissions model, CALMIM, was used to assist with an assessment of the methane oxidation capacity of

  1. BPMN, Toolsets, and Methodology: A Case Study of Business Process Management in Higher Education

    NASA Astrophysics Data System (ADS)

    Barn, Balbir S.; Oussena, Samia

    This chapter describes ongoing action research which is exploring the use of BPMN and a specific toolset - Intalio Designer to capture the “as is” essential process model of part of an overarching large business process within higher education. The chapter contends that understanding the efficacy of the BPMN notation and the notational elements to use is not enough. Instead, the effectiveness of a notation is determined by the notation, the toolset that is being used, and methodological consideration. The chapter presents some of the challenges that are faced in attempting to develop computation independent models in BPMN using toolsets such as Intalio Designer™.

  2. Assessment of management approaches in a public water utility: A case study of the Namibia water corporation (NAMWATER)

    NASA Astrophysics Data System (ADS)

    Ndokosho, Johnson; Hoko, Zvikomborero; Makurira, Hodson

    More than 90% of urban water supply and sanitation services in developing countries are provided by public organizations. However, public provision of services has been inherently inefficient. As a result a number of initiatives have emerged in recent years with a common goal to improve service delivery. In Namibia, the water sector reform resulted in the creation of a public utility called the Namibia Water Corporation (NAMWATER) which is responsible for bulk water supply countrywide. Since its inception in 1998, NAMWATER has been experiencing poor financial performance. This paper presents the findings of a case study that compared the management approaches of NAMWATER to the New Public Management (NPM) paradigm. The focus of the NPM approach is for the public water sector to mirror private sector methods of management so that public utilities can accrue the benefits of effectiveness, efficiency and flexibility often associated with private sector. The study tools used were a combination of literature review, interviews and questionnaires. It was found out that NAMWATER has a high degree of autonomy in its operations, albeit government approved tariffs and sourcing of external financing. The utility reports to government annually to account for results. The utility embraces a notion of good corporate culture and adheres to sound management practices. NAMWATER demonstrated a strong market-orientation indicated by the outsourcing of non-core functions but benchmarking was poorly done. NAMWATER’s customer-orientation is poor as evidenced by the lack of customer care facilities. NAMWATER’s senior management delegated operational authority to lower management to facilitate flexibility and eliminate bottlenecks. The lower management is in turn held accountable for performance by the senior management. There are no robust methods of ensuring sufficient accountability indicated by absence of performance contracts or service level agreements. It was concluded that

  3. Health Utility Outcomes in Patients Undergoing Medical Management for Chronic Rhinosinusitis – A Prospective Multi-Institutional Study

    PubMed Central

    Luk, Lauren J.; Steele, Toby O.; Mace, Jess C.; Soler, Zachary M.; Rudmik, Luke; Smith, Timothy L.

    2015-01-01

    Background A health utility value represents an individual’s preference for living in a specific health state and is used in cost-utility analyses. This study investigates the impact of continuing medical therapy on health utility outcomes in patients with chronic rhinosinusitis (CRS). Methods The Medical Outcomes Study Short Form-6D (SF-6D) was administered to patients prospectively enrolled in a longitudinal study examining treatment outcomes for CRS. Patients were prescribed robust, initial medical therapy and then elected to continue with medical therapy (n=40) or undergo endoscopic sinus surgery (ESS), followed by medical therapy (n=152). Patients observed through treatment crossover to ESS were also evaluated (n=20). Health utility values (SF-6D) were generated at baseline, 6-months, and 12-months follow-up for both cohorts and evaluated using repeated measures ANOVA. Results Treatment crossover patients were found to have a significantly higher prevalence of previous sinus surgery compared to medical management (χ2=6.91; p=0.009) and surgical intervention (χ2=8.11; p=0.004) subgroups. Mean baseline utility value for the medical therapy cohort was significantly better compared to the ESS cohort (0.76[0.12] versus 0.70[0.15]; p=0.023). Significant improvement in health utility was reported in the ESS cohort (F(2)=37.69; p<0.001), while values remained stable, without significant improvement, in both the medical therapy cohort (F(2)=0.03; p=0.967) and treatment crossover cohort (F(2)=2.36; p=0.115). Conclusions Patients electing continued medical management report better baseline health utility compared to patients electing ESS. Patients electing ESS demonstrate significant improvement in health utility while those electing continued medical management demonstrate stable health utility over 12 months. PMID:26140502

  4. Efficient management and promotion of utilization of the video information acquired by observation

    NASA Astrophysics Data System (ADS)

    Kitayama, T.; Tanaka, K.; Shimabukuro, R.; Hase, H.; Ogido, M.; Nakamura, M.; Saito, H.; Hanafusa, Y.; Sonoda, A.

    2012-12-01

    In Japan Agency for Marine-Earth Science and Technology (JAMSTEC), the deep sea videos are made from the research by JAMSTEC submersibles in 1982, and the information on the huge deep-sea that will reach more 4,000 dives (ca. 24,700 tapes) by the present are opened to public via the Internet since 2002. The deep-sea videos is important because the time variation of deep-sea environment with difficult investigation and collection and growth of the living thing in extreme environment can be checked. Moreover, with development of video technique, the advanced analysis of an investigation image is attained. For grasp of deep sea environment, especially the utility value of the image is high. In JAMSTEC's Data Research Center for Marine-Earth Sciences (DrC), collection of the video are obtained by dive investigation of JAMSTEC, preservation, quality control, and open to public are performed. It is our big subject that the huge video information which utility value has expanded managed efficiently and promotion of use. In this announcement, the present measure is introduced about these subjects . The videos recorded on a tape or various media onboard are collected, and the backup and encoding for preventing the loss and degradation are performed. The video inside of a hard disk has the large file size. Then, we use the Linear Tape File System (LTFS) which attracts attention with image management engineering these days. Cost does not start compared with the usual disk backup, but correspondence years can also save the video data for a long time, and the operatively of a file is not different from a disk. The video that carried out the transcode to offer is archived by disk storage, and offer according to a use is possible for it. For the promotion of utilization of the video, the video public presentation system was reformed completely from November, 2011 to "JAMSTEC E-library of Deep Sea Images (http:// www.godac.jamstec.go.jp/jedi/)" This new system has preparing

  5. Psychosocial and nonclinical factors predicting hospital utilization in patients of a chronic disease management program: a prospective observational study.

    PubMed

    Tran, Mark W; Weiland, Tracey J; Phillips, Georgina A

    2015-01-01

    Psychosocial factors such as marital status (odds ratio, 3.52; 95% confidence interval, 1.43-8.69; P = .006) and nonclinical factors such as outpatient nonattendances (odds ratio, 2.52; 95% confidence interval, 1.22-5.23; P = .013) and referrals made (odds ratio, 1.20; 95% confidence interval, 1.06-1.35; P = .003) predict hospital utilization for patients in a chronic disease management program. Along with optimizing patients' clinical condition by prescribed medical guidelines and supporting patient self-management, addressing psychosocial and nonclinical issues are important in attempting to avoid hospital utilization for people with chronic illnesses.

  6. The Affordable Care Act, health care reform, prescription drug formularies and utilization management tools.

    PubMed

    Ung, Brian L; Mullins, C Daniel

    2015-01-01

    The U.S. Patient Protection and Affordable Care Act (hence, Affordable Care Act, or ACA) was signed into law on March 23, 2010. Goals of the ACA include decreasing the number of uninsured people, controlling cost and spending on health care, increasing the quality of care provided, and increasing insurance coverage benefits. This manuscript focuses on how the ACA affects pharmacy benefit managers and consumers when they have prescriptions dispensed. PBMs use formularies and utilization control tools to steer drug usage toward cost-effective and efficacious agents. A logic model was developed to explain the effects of the new legislation. The model draws from peer-reviewed and gray literature commentary about current and future U.S. healthcare reform. Outcomes were identified as desired and undesired effects, and expected unintended consequences. The ACA extends health insurance benefits to almost 32 million people and provides financial assistance to those up to 400% of the poverty level. Increased access to care leads to a similar increase in overall health care demand and usage. This short-term increase is projected to decrease downstream spending on disease treatment and stunt the continued growth of health care costs, but may unintentionally exacerbate the current primary care physician shortage. The ACA eliminates limitations on insurance and increases the scope of benefits. Online health care insurance exchanges give patients a central location with multiple insurance options. Problems with prescription drug affordability and control utilization tools used by PBMs were not addressed by the ACA. Improving communication within the U.S. healthcare system either by innovative health care delivery models or increased usage of health information technology will help alleviate problems of health care spending and affordability.

  7. Implementation and evaluation of a pharmacist-led hypertension management service in primary care: outcomes and methodological challenges

    PubMed Central

    2016-01-01

    Background: Suboptimal utilisation of pharmacotherapy, non-adherence to prescribed treatment, and a lack of monitoring all contribute to poor blood (BP) pressure control in patients with hypertension. Objective: The objective of this study was to evaluate the implementation of a pharmacist-led hypertension management service in terms of processes, outcomes, and methodological challenges. Method: A prospective, controlled study was undertaken within the Australian primary care setting. Community pharmacists were recruited to one of three study groups: Group A (Control – usual care), Group B (Intervention), or Group C (Short Intervention). Pharmacists in Groups B and C delivered a service comprising screening and monitoring of BP, as well as addressing poor BP control through therapeutic adjustment and adherence strategies. Pharmacists in Group C delivered the shortened version of the service. Results: Significant changes to key outcome measures were observed in Group C: reduction in systolic and diastolic BPs at the 3-month visit (P<0.01 and P<0.01, respectively), improvement in medication adherence scores (P=0.01), and a slight improvement in quality of life (EQ-5D-3L Index) scores (P=0.91). There were no significant changes in Group B (the full intervention), and no differences in comparison to Group A (usual care). Pharmacists fed-back that patient recruitment was a key barrier to service implementation, highlighting the methodological implications of screening. Conclusion: A collaborative, pharmacist-led hypertension management service can help monitor BP, improve medication adherence, and optimise therapy in a step-wise approach. However, blood pressure screening can effect behaviour change in patients, presenting methodological challenges in the evaluation of services in this context. PMID:27382427

  8. Utilization of Local Law Enforcement Aerial Resources in Consequence Management (CM) Response

    SciTech Connect

    Wasiolek, Piotr T.; Malchow, Russell L.

    2013-03-12

    During the past decade the U.S. Department of Homeland Security (DHS) was instrumental in enhancing the nation’s ability to detect and prevent a radiological or nuclear attack in the highest risk cities. Under the DHS Securing the Cities initiative, nearly 13,000 personnel in the New York City region have been trained in preventive radiological and nuclear detection operations, and nearly 8,500 pieces of radiological detection equipment have been funded. As part of the preventive radiological/nuclear detection (PRND) mission, several cities have received funding to purchase commercial aerial radiation detection systems. In 2008, the U.S. Department of Energy, National Nuclear Security Administration Aerial Measuring System (AMS) program started providing Mobile Aerial Radiological Surveillance (MARS) training to such assets, resulting in over 150 HAZMAT teams’ officers and pilots from 10 law enforcement organizations and fire departments being trained in the aerial radiation detection. From the beginning, the MARS training course covered both the PRND and consequence management (CM) missions. Even if the law enforcement main focus is PRND, their aerial assets can be utilized in the collection of initial radiation data for post-event radiological CM response. Based on over 50 years of AMS operational experience and information collected during MARS training, this presentation will focus on the concepts of CM response using aerial assets as well as utilizing law enforcement/fire department aerial assets in CM. Also discussed will be the need for establishing closer relationships between local jurisdictions’ aerial radiation detection capabilities and state and local radiation control program directors, radiological health department managers, etc. During radiological events these individuals may become primary experts/advisers to Incident Commanders for radiological emergency response, especially in the early stages of a response. The knowledge of the existence

  9. Performance improvements resulting from implementation of an ISO 14001 environmental management system at a utility plant

    SciTech Connect

    Borofka, B.P.

    1999-07-01

    Wisconsin Electric Power Company (WE) has realized both internal performance improvements and received external recognition for its efforts in implementing an environmental management system (EMS) at its Presque Isle Power Plant in Marquette, Michigan. Located on the shores of Lake Superior and surrounded by water on three sides, the plant was acquired by WE in 1988. Operation of the plant was under contract with the previous owner, utilizing the existing plant staff. Beginning in 1995, WE embarked on a series of environmental audits followed by numerous environmental policy and practice improvements, coupled with an extensive training program. The activities eventually resulted in the core components of a formal environmental management system (EMS) modeled on ISO 14001. Implementation of the EMS components has resulted in the continued improvement of specific environmental performance parameters, several of which are part of an overall balanced business scorecard. The balanced business scorecard, a corporate performance metric, is directly linked to individual employee compensation. Specific improvements at the Presque Isle Power Plant include, (1) reduced number of exceedances, (2) reduced generation of hazardous wastes, (3) improved collection and reduction on non-hazardous solid wastes, (4) improved employee training rates and overall awareness, (5) improved pollution prevention and waste minimization program goals, and (6) reduced assistance from external staff. The plant has received a Clean Corporate Citizen (C3) designation from the Michigan Department of Environmental Quality, has become a member of the Michigan Business Pollution Prevention Program (MBP3), and has been recognized for its efforts by the Michigan Department of Environmental Quality. The plant's activities are now used as an internal model by other facilities.

  10. A haemophilia disease management programme targeting cost and utilization of specialty pharmaceuticals.

    PubMed

    Duncan, N; Roberson, C; Lail, A; Donfield, S; Shapiro, A

    2014-07-01

    The high cost of clotting factor concentrate (CFC) used to treat haemophilia and von Willebrand disease (VWD) attracts health plans' attention for cost management strategies such as disease management programmes (DMPs). In 2004, Indiana's high risk insurance health plan, the Indiana Comprehensive Health Insurance Association, in partnership with the Indiana Hemophilia and Thrombosis Center developed and implemented a DMP for beneficiaries with bleeding disorders. This report evaluates the effectiveness of the DMP 5 years post implementation, with specific emphasis on the cost of CFC and other medical expenditures by severity of disease. A pre/post analysis was used. The main evaluation measures were total cost, total outpatient CFC IU dispensed and adjusted total outpatient CFC cost. Summary statistics and mean and median plots were calculated. Overall, 1000 non-parametric bootstrap replicates were created and percentile confidence limits for 95% confidence intervals (CI) are reported. Mean emergency department (ED) visits and mean and median duration of hospitalizations are also reported. The DMP was associated with a significant decrease in mean annualized total cost including decreased CFC utilization and cost in most years in the overall group, and specifically in patients with severe haemophilia. Patients with mild and moderate haemophilia contributed little to overall programme expenditures. This specialty health care provider-administered DMP exemplifies the success of targeted interventions developed and implemented through a health care facility expert in the disease state to curb the cost of specialty pharmaceuticals in conditions when their expenditures represent a significant portion of total annual costs of care.

  11. Environmental and socio-economic methodologies and solutions towards integrated water resources management.

    PubMed

    Friesen, Jan; Rodriguez Sinobas, Leonor; Foglia, Laura; Ludwig, Ralf

    2017-03-01

    Semi-arid regions are facing the challenge of managing water resources under conditions of increasing scarcity and drought. These are recently pressured by the impact of climate change favoring the shifting from using surface water to groundwater without taking sustainability issues into account. Likewise, water scarcity raises the competition for water among users, increasing the risk of social conflicts, as the availability of fresh water in sufficient quality and quantity is already one of the major factors limiting socio-economic development. In terms of hydrology, semi-arid regions are characterized by very complex hydro- and hydrogeological systems. The complexity of the water cycle contrasts strongly with the poor data availability, (1) which limits the number of analysis techniques and methods available to researchers, (2) limits the accuracy of models and predictions, and (3) consequently challenges the capabilities to develop appropriate management measures to mitigate or adapt the environment to scarcity and drought conditions. Integrated water resources management is a holistic approach to focus on both environmental as well as on socio-economic factors influencing water availability and supply. The management approaches and solutions adopted, e.g. in form of decision support for specific water resources systems, are often highly specific for individual case studies.

  12. A Proposed Methodology to Assess the Quality of Public Use Management in Protected Areas

    NASA Astrophysics Data System (ADS)

    Muñoz-Santos, Maria; Benayas, Javier

    2012-07-01

    In recent years, the goal of nature preservation has faced, almost worldwide, an increase in the number of visitors who are interested in experiencing protected areas resources, landscapes and stories. Spain is a good example of this process. The rapidly increasing numbers of visitors have prompted administrations and managers to offer and develop a broad network of facilities and programs in order to provide these visitors with information, knowledge and recreation. But, are we doing it the best way? This research focuses on developing and applying a new instrument for evaluating the quality of visitor management in parks. Different areas are analyzed with this instrument (78 semi-quantitative indicators): planning and management capacity (planning, funding, human resources), monitoring, reception, information, interpretation, environmental education, training, participation and volunteer's programs. Thus, we attempt to gain a general impression of the development of the existing management model, detecting strengths and weaknesses. Although Spain's National Parks constituted the specific context within which to develop the evaluation instrument, the design thereof is intended to provide a valid, robust and flexible method for application to any system, network or set of protected areas in other countries. This paper presents the instrument developed, some results obtained following its application to Spanish National parks, along with a discussion on the limits and validity thereof.

  13. A Methodology for Building Faculty Support for the United Nations Principles for Responsible Management Education

    ERIC Educational Resources Information Center

    Maloni, Michael J.; Smith, Shane D.; Napshin, Stuart

    2012-01-01

    Evidence from extant literature indicates that faculty support is a critical driver for implementing the United Nations Principles for Responsible Management Education (PRME), particularly for schools pursuing an advanced, cross-disciplinary level of sustainability integration. However, there is limited existing research offering insight into how…

  14. Methodology for analyzing and developing information management infrastructure to support telerehabilitation.

    PubMed

    Saptono, Andi; Schein, Richard M; Parmanto, Bambang; Fairman, Andrea

    2009-01-01

    The proliferation of advanced technologies led researchers within the Rehabilitation Engineering Research Center on Telerehabilitation (RERC-TR) to devise an integrated infrastructure for clinical services using the University of Pittsburgh (PITT) model. This model describes five required characteristics for a telerehabilitation (TR) infrastructure: openness, extensibility, scalability, cost-effectiveness, and security. The infrastructure is to deliver clinical services over distance to improve access to health services for people living in underserved or remote areas. The methodological approach to design, develop, and employ this infrastructure is explained and detailed for the remote wheelchair prescription project, a research task within the RERC-TR. The availability of this specific clinical service and personnel outside of metropolitan areas is limited due to the lack of specialty expertise and access to resources. The infrastructure is used to deliver expertise in wheeled mobility and seating through teleconsultation to remote clinics, and has been successfully deployed to five rural clinics in Western Pennsylvania.

  15. Methodology for Analyzing and Developing Information Management Infrastructure to Support Telerehabilitation

    PubMed Central

    Saptono, Andi; Schein, Richard M.; Parmanto, Bambang; Fairman, Andrea

    2009-01-01

    The proliferation of advanced technologies led researchers within the Rehabilitation Engineering Research Center on Telerehabilitation (RERC-TR) to devise an integrated infrastructure for clinical services using the University of Pittsburgh (PITT) model. This model describes five required characteristics for a telerehabilitation (TR) infrastructure: openness, extensibility, scalability, cost-effectiveness, and security. The infrastructure is to deliver clinical services over distance to improve access to health services for people living in underserved or remote areas. The methodological approach to design, develop, and employ this infrastructure is explained and detailed for the remote wheelchair prescription project, a research task within the RERC-TR. The availability of this specific clinical service and personnel outside of metropolitan areas is limited due to the lack of specialty expertise and access to resources. The infrastructure is used to deliver expertise in wheeled mobility and seating through teleconsultation to remote clinics, and has been successfully deployed to five rural clinics in Western Pennsylvania. PMID:25945161

  16. Lean management in health care: definition, concepts, methodology and effects reported (systematic review protocol)

    PubMed Central

    2014-01-01

    Background Lean is a set of operating philosophies and methods that help create a maximum value for patients by reducing waste and waits. It emphasizes the consideration of the customer’s needs, employee involvement and continuous improvement. Research on the application and implementation of lean principles in health care has been limited. Methods This is a protocol for a systematic review, following the Cochrane Effective Practice and Organisation of Care (EPOC) methodology. The review aims to document, catalogue and synthesize the existing literature on the effects of lean implementation in health care settings especially the potential effects on professional practice and health care outcomes. We have developed a Medline keyword search strategy, and this focused strategy will be translated into other databases. All search strategies will be provided in the review. The method proposed by the Cochrane EPOC group regarding randomized study designs, non-randomised controlled trials controlled before and after studies and interrupted time series will be followed. In addition, we will also include cohort, case–control studies, and relevant non-comparative publications such as case reports. We will categorize and analyse the review findings according to the study design employed, the study quality (low- versus high-quality studies) and the reported types of implementation in the primary studies. We will present the results of studies in a tabular form. Discussion Overall, the systematic review aims to identify, assess and synthesize the evidence to underpin the implementation of lean activities in health care settings as defined in this protocol. As a result, the review will provide an evidence base for the effectiveness of lean and implementation methodologies reported in health care. Systematic review registration PROSPERO CRD42014008853 PMID:25238974

  17. Utility of ketone measurement in the prevention, diagnosis and management of diabetic ketoacidosis.

    PubMed

    Misra, S; Oliver, N S

    2015-01-01

    Ketone measurement is advocated for the diagnosis of diabetic ketoacidosis and assessment of its severity. Assessing the evidence base for ketone measurement in clinical practice is challenging because multiple methods are available but there is a lack of consensus about which is preferable. Evaluating the utility of ketone measurement is additionally problematic because of variability in the biochemical definition of ketoacidosis internationally and in the proposed thresholds for ketone measures. This has led to conflicting guidance from expert bodies on how ketone measurement should be used in the management of ketoacidosis. The development of point-of-care devices that can reliably measure the capillary blood ketone β-hydroxybutyrate (BOHB) has widened the spectrum of applications of ketone measurement, but whether the evidence base supporting these applications is robust enough to warrant their incorporation into routine clinical practice remains unclear. The imprecision of capillary blood ketone measures at higher values, the lack of availability of routine laboratory-based assays for BOHB and the continued cost-effectiveness of urine ketone assessment prompt further discussion on the role of capillary blood ketone assessment in ketoacidosis. In the present article, we review the various existing methods of ketone measurement, the precision of capillary blood ketone as compared with other measures, its diagnostic accuracy in predicting ketoacidosis and other clinical applications including prevention, assessment of severity and resolution of ketoacidosis.

  18. Intraoperative neuromonitoring in thyroid surgery: a point prevalence survey on utilization, management, and documentation in Italy.

    PubMed

    Dionigi, Gianlorenzo; Lombardi, Davide; Lombardi, Celestino Pio; Carcoforo, Paolo; Boniardi, Marco; Innaro, Nadia; Chiofalo, Maria Grazia; Cavicchi, Ottavio; Biondi, Antonio; Basile, Francesco; Zaccaroni, Angelo; Mangano, Alberto; Leotta, Andrea; Lavazza, Matteo; Calò, Pietro Giorgio; Nicolosi, Angelo; Castelnuovo, Paolo; Nicolai, Piero; Pezzullo, Luciano; De Toma, Giorgio; Bellantone, Rocco; Sacco, Rosario

    2014-12-01

    IONM information to patients and/or subsequent specific IONM informed consent was initiated in 8 % of centers. EMG determinations were included in medical chart in 20 %. There were no significant associations found between all parameters considered. The present study describes an increased utilization of IONM in Italy. We highlighted areas for improvement in the management and documentation of IONM.

  19. Legionella and risk management in hospitals-A bibliographic research methodology for people responsible for built environment and facility management.

    PubMed

    Leiblein, Thomas W; Tucker, Matthew; Ashall, Mal; Lee, Susanne B; Gollnisch, Carsten; Hofer, Susanne

    2016-11-01

    An ongoing research project investigates the roles and duties of persons responsible for the built environment with respect to risk management of water systems and Legionella prevention from a facility management's perspective. Our literature review provides an approach for selecting and analysing abstracts of initially 177 journal articles, subjected to certain topic-specific inclusion and exclusion criteria. Different decision strategies of either logic 'yes/no', Boolean operators 'OR' or 'AND' and decisions for single counts or cumulative counts of the identified three principal keywords 'Legionella', 'hospital' and 'water', were completed. A final list of ten principal reference articles from 29 journals was compiled. It suggests that the interconnected perspective of water systems, Legionella and hospitals seems to be underrepresented in the field of the built environment and facility management. The term 'stakeholder', which would refer to decision-makers, was not found more than once. Our result is a useful summary of established sources of information on environmental Legionella research. The results can be helpful for those new to the topic.

  20. Improved Regional Water Management Utilizing Climate Forecasts: An Inter-basin Transfer Model with a Risk Management Framework

    NASA Astrophysics Data System (ADS)

    Li, W.; Arumugam, S.; Ranjithan, R. S.; Brill, E. D., Jr.

    2014-12-01

    Regional water supply systems undergo surplus and deficit conditions due to differences in inflow characteristics as well as due to their seasonal demand patterns. This study presents a framework for regional water management by proposing an Inter-Basin Transfer (IBT) model that uses climate-information-based inflow forecast for minimizing the deviations from the end- of-season target storage across the participating reservoirs. Using the ensemble streamflow forecast, the IBT water allocation model was applied for two reservoir systems in the North Carolina Triangle area. Results show that inter-basin transfers initiated by the ensemble streamflow forecast could potentially improve the overall water supply reliability as the demand continues to grow in the Triangle Area. To further understand the utility of climate forecasts in facilitating IBT under different spatial correlation structures between inflows and between the initial storages of the two systems, a synthetic experiment was designed to evaluate the framework under inflow forecast having different skills. Findings from the synthetic study can be summarized as follows: (a) Inflow forecasts combined with the proposed IBT optimization model provide improved allocation in comparison to the allocations obtained under the no- transfer scenario as well as under transfers obtained with climatology; (b) Spatial correlations between inflows and between initial storages among participating reservoirs could also influence the potential benefits that could be achieved through IBT; (c) IBT is particularly beneficial for systems that experience low correlations between inflows or between initial storages or on both attributes of the regional water supply system. Thus, if both infrastructure and permitting structures exist for promoting inter-basin transfers, season-ahead inflow forecasts could provide added benefits in forecasting surplus/deficit conditions among the participating reservoirs in the regional water supply

  1. Integrated Tactical Communications System (INTACS) Management Plan, Methodology and Procedures Relationships and Responsibilities Resources.

    DTIC Science & Technology

    1980-05-01

    Because this was a task-oriented study with a definite goal, the "Project" type management worked exceedingly well with staff and "working group...greater organizational maturity." With these definitions of organization and with the objectives of the organization outlined, the possible candidate...the following functions are assigned to the Division: *As the primary staff advisory and coordinating office provides definition and direction for all

  2. Utilization of Skills in the Application of the Management Process (NS 239): Competency-Based Course Syllabus.

    ERIC Educational Resources Information Center

    Green, Elizabeth G.; And Others

    "Utilization of Skills in the Application of the Management Process" (NS 239) is an associate degree nursing course offered at Chattanooga State Technical Community College to prepare students to assume the role of planner and coordinator of patient care. The course focuses on competencies related to the care of patients with deviations of the…

  3. Long-Term Effects of Outpatient Geriatric Evaluation and Management on Health Care Utilization, Cost, and Survival

    ERIC Educational Resources Information Center

    Engelhardt, Joseph B.; Toseland, Ronald W.; Gao, Jian; Banks, Steven

    2006-01-01

    Purpose: The long-term effectiveness and efficiency of an outpatient geriatric evaluation and management (GEM) program was compared to usual primary care (UPC). Design and Method: A randomized controlled group design was used. Health care utilization, cost of care, and survival were assessed during a 48-month period among a sample of 160 male…

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

    ERIC Educational Resources Information Center

    Sofowora, Olaniyi Alaba

    2007-01-01

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

  5. A methodological approach to be used in integrated coastal zone management processes: the case of the Catalan Coast (Catalonia, Spain)

    NASA Astrophysics Data System (ADS)

    Sardá, Rafael; Avila, Conxita; Mora, Joan

    2005-02-01

    Since early 1999, we have been working on an environmental information system as a preliminary phase to develop the National Strategy of the Catalan Coast. Using the tourism industry as the main pressuring driver and the municipality as the territorial unit, we have compiled a vast amount of information that has been converted into an information platform for the general public, politicians, and public administrators. Working in close co-operation with the planning authorities of the Generalitat of Catalonia, we developed decision support tools as a methodological approach for coastal management. The decision support system is composed by: (a) the development of an environmental indicator-based report; (b) the use of a geographical information system (GIS); and (c) the incorporation of different types of graphical packages. These tools have been applied to the 70 municipalities of the Catalan Coast and a specific development of the system was carried out in the region of La Selva, municipalities of Blanes, Lloret de Mar, and Tossa de Mar (southern Costa Brava, Girona). The system has been designed to help coastal managers in Catalonia, and it is thought to be used in the process of developing the National Strategy for Integrated Coastal Zone Management (ICZM) of the Catalan Coast following the EC Recommendation (COM/00/545).

  6. Review of LCA studies of solid waste management systems--part II: methodological guidance for a better practice.

    PubMed

    Laurent, Alexis; Clavreul, Julie; Bernstad, Anna; Bakas, Ioannis; Niero, Monia; Gentil, Emmanuel; Christensen, Thomas H; Hauschild, Michael Z

    2014-03-01

    Life cycle assessment (LCA) is increasingly used in waste management to identify strategies that prevent or minimise negative impacts on ecosystems, human health or natural resources. However, the quality of the provided support to decision- and policy-makers is strongly dependent on a proper conduct of the LCA. How has LCA been applied until now? Are there any inconsistencies in the past practice? To answer these questions, we draw on a critical review of 222 published LCA studies of solid waste management systems. We analyse the past practice against the ISO standard requirements and the ILCD Handbook guidelines for each major step within the goal definition, scope definition, inventory analysis, impact assessment, and interpretation phases of the methodology. Results show that malpractices exist in several aspects of the LCA with large differences across studies. Examples are a frequent neglect of the goal definition, a frequent lack of transparency and precision in the definition of the scope of the study, e.g. an unclear delimitation of the system boundaries, a truncated impact coverage, difficulties in capturing influential local specificities such as representative waste compositions into the inventory, and a frequent lack of essential sensitivity and uncertainty analyses. Many of these aspects are important for the reliability of the results. For each of them, we therefore provide detailed recommendations to practitioners of waste management LCAs.

  7. Minimal support technology and in situ resource utilization for risk management of planetary spaceflight missions

    NASA Astrophysics Data System (ADS)

    Murphy, K. L.; Rygalov, V. Ye.; Johnson, S. B.

    2009-04-01

    All artificial systems and components in space degrade at higher rates than on Earth, depending in part on environmental conditions, design approach, assembly technologies, and the materials used. This degradation involves not only the hardware and software systems but the humans that interact with those systems. All technological functions and systems can be expressed through functional dependence: [Function]˜[ERU]∗[RUIS]∗[ISR]/[DR];where [ERU]efficiency (rate) of environmental resource utilization[RUIS]resource utilization infrastructure[ISR]in situ resources[DR]degradation rateThe limited resources of spaceflight and open space for autonomous missions require a high reliability (maximum possible, approaching 100%) for system functioning and operation, and must minimize the rate of any system degradation. To date, only a continuous human presence with a system in the spaceflight environment can absolutely mitigate those degradations. This mitigation is based on environmental amelioration for both the technology systems, as repair of data and spare parts, and the humans, as exercise and psychological support. Such maintenance now requires huge infrastructures, including research and development complexes and management agencies, which currently cannot move beyond the Earth. When considering what is required to move manned spaceflight from near Earth stations to remote locations such as Mars, what are the minimal technologies and infrastructures necessary for autonomous restoration of a degrading system in space? In all of the known system factors of a mission to Mars that reduce the mass load, increase the reliability, and reduce the mission’s overall risk, the current common denominator is the use of undeveloped or untested technologies. None of the technologies required to significantly reduce the risk for critical systems are currently available at acceptable readiness levels. Long term interplanetary missions require that space programs produce a craft

  8. Lessons learned from new construction utility demand side management programs and their implications for implementing building energy codes

    SciTech Connect

    Wise, B.K.; Hughes, K.R.; Danko, S.L.; Gilbride, T.L.

    1994-07-01

    This report was prepared for the US Department of Energy (DOE) Office of Codes and Standards by the Pacific Northwest Laboratory (PNL) through its Building Energy Standards Program (BESP). The purpose of this task was to identify demand-side management (DSM) strategies for new construction that utilities have adopted or developed to promote energy-efficient design and construction. PNL conducted a survey of utilities and used the information gathered to extrapolate lessons learned and to identify evolving trends in utility new-construction DSM programs. The ultimate goal of the task is to identify opportunities where states might work collaboratively with utilities to promote the adoption, implementation, and enforcement of energy-efficient building energy codes.

  9. A Guide for Determining Which Teaching Methodology to Utilize in Economic Education: Trying to Improve How Economic Information Is Communicated to Students

    ERIC Educational Resources Information Center

    Wentland, Daniel

    2004-01-01

    In this article, a practical framework for classifying various economic education teaching methodologies is established. This framework contributes to the literature regarding economic education by fostering a better understanding of how various teaching methodologies fit within the scope of economic education while also providing educators with…

  10. Teaching Tip: Utilizing Classroom Simulation to Convey Key Concepts in IT Portfolio Management

    ERIC Educational Resources Information Center

    Larson, Eric C.

    2013-01-01

    Managing a portfolio of IT projects is an important capability for firms and their managers. The classroom simulation described here provides students in an MBA information systems management/strategy course with the opportunity to deepen their understanding of the key concepts that should be considered in managing an IT portfolio and helps…

  11. The utility of thyroid ultrasonography in the management of thyroid nodules

    PubMed Central

    Gamme, Gary; Parrington, Tyler; Wiebe, Edward; Ghosh, Sunita; Litt, Brendan; Williams, David C.; McMullen, Todd P.W.

    2017-01-01

    Background Ultrasonography for thyroid nodules is one of the most common imaging tests performed in the general population. Details from ultrasound reports guide biopsies and surgery. This study quantifies the completeness of these reports based on Thyroid Imaging and Reporting System (TI-RADS) criteria and considers their utility in predicting malignant disease. Methods We retrospectively reviewed ultrasound reports for 329 thyroidectomy patients and extracted data elements using the TI-RADS criteria: nodule size, echogenicity, margins, vascularity, solid/cystic composition and the presence or absence of microcalcifications and the halo sign. We assessed the reports to determine whether individual or multiple criteria were associated with malignancy. Results More than 97% of reports document nodule size; however, more than 90% of the reports noted only 3 or fewer of the 6 remaining TI-RADS criteria. The presence of microcalcifications was the most sensitive marker of malignancy (> 90%), whereas the documentation of irregular margins was the most specific indicator of malignancy (88%). Overall it was clear that microcalcifications, hypoechogenicity, irregular margins and solid nodules were significantly more likely to be found in malignant neoplasms; their absence predicted benign disease. Because so few reports consistently documented all criteria, the overall ability of thyroid ultrasonography to discriminate between lower-and higher-risk nodules is limited. Conclusion Although the accuracy of thyroid ultrasonography is good, few ultrasound reports contain the necessary information, as defined by TI-RADS, to predict malignancy and guide management. When reported, microcalcifications and/or irregular margins are the best predictors of malignancy. PMID:28338469

  12. Integrated dynamic policy management methodology and system for strategic environmental assessment of golf course installation policy in Taiwan

    SciTech Connect

    Chen, Ching-Ho; Liu, Wei-Lin; Liaw, Shu-Liang

    2011-01-15

    Strategic environmental assessment (SEA) focuses primarily on assessing how policies, plans, and programs (PPPs) influence the sustainability of the involved regions. However, the processes of assessing policies and developing management strategies for pollution load and resource use are usually separate in the current SEA system. This study developed a policy management methodology to overcome the defects generated during the above processes. This work first devised a dynamic management framework using the methods of systems thinking, system dynamics, and Managing for Results (MFRs). Furthermore, a driving force-pressure-state-impact-response (DPSIR) indicator system was developed. The golf course installation policy was applied as a case study. Taiwan, counties of Taiwan, and the golf courses within those individual counties were identified as a system, subsystems, and objects, respectively. This study identified an object-linked double-layer framework with multi-stage-option to simultaneously to quantify golf courses in each subsystem and determine ratios of abatement and allocation for pollution load and resource use of each golf course. The DPSIR indicator values for each item of each golf course in each subsystem are calculated based on the options taken in the two decision layers. The summation of indicator values for all items of all golf courses in all subsystems according to various options is defined as the sustainability value of the policy. An optimization model and a system (IDPMS) were developed to obtain the greatest sustainability value of the policy, while golf course quantity, human activity intensity, total quantities of pollution load and resource use are simultaneously obtained. The solution method based on enumeration of multiple bounds for objectives and constraints (EMBOC) was developed for the problem with 1.95 x 10{sup 128} combinations of possible options to solve the optimal solution in ten minutes using a personal computer with 3.0 GHz

  13. Utilizing Strategic Project Management Processes and the NATO Code of Best Practice to Improve Management of Experimentation Events

    DTIC Science & Technology

    2009-06-01

    information have been suggested as being resources of projects ( PMBOK , 2002). Therefore, they are one of the key aspects of strategic project management...Assessment, Revision 2002.” DoD CCRP Press, Washington, DC PMBOK -Project Management Body of Knowledge, Project Management Institute Press, 2002 Tolk, A

  14. Non-allergic rhinitis in children: Epidemiological aspects, pathological features, diagnostic methodology and clinical management

    PubMed Central

    Poddighe, Dimitri; Gelardi, Matteo; Licari, Amelia; del Giudice, Michele Miraglia; Marseglia, Gian Luigi

    2016-01-01

    Chronic rhinitis is a very common disease, as the prevalence in the general population resulted to be 40%. Allergic rhinitis has been considered to be the most frequent form of chronic rhinitis, as non-allergic rhinitis has been estimated to account for 25%. However, several evidences suggested that non-allergic rhinitis have been underrated, especially in children. In pediatrics, the diagnostic definition of non-allergic rhinitis has been often limited to the exclusion of an allergic sensitization. Actually, local allergic rhinitis has been often misdiagnosed as well as mixed rhinitis has not been recognized in most cases. Nasal cytology is a diagnostic procedure being suitable for routine clinical practice with children and could be a very useful tool to characterize and diagnose non-allergic rhinitis, providing important clues for epidemiological analysis and clinical management. PMID:28074172

  15. Non-allergic rhinitis in children: Epidemiological aspects, pathological features, diagnostic methodology and clinical management.

    PubMed

    Poddighe, Dimitri; Gelardi, Matteo; Licari, Amelia; Del Giudice, Michele Miraglia; Marseglia, Gian Luigi

    2016-12-26

    Chronic rhinitis is a very common disease, as the prevalence in the general population resulted to be 40%. Allergic rhinitis has been considered to be the most frequent form of chronic rhinitis, as non-allergic rhinitis has been estimated to account for 25%. However, several evidences suggested that non-allergic rhinitis have been underrated, especially in children. In pediatrics, the diagnostic definition of non-allergic rhinitis has been often limited to the exclusion of an allergic sensitization. Actually, local allergic rhinitis has been often misdiagnosed as well as mixed rhinitis has not been recognized in most cases. Nasal cytology is a diagnostic procedure being suitable for routine clinical practice with children and could be a very useful tool to characterize and diagnose non-allergic rhinitis, providing important clues for epidemiological analysis and clinical management.

  16. U.S. Department of Energy worker health risk evaluation methodology for assessing risks associated with environmental restoration and waste management

    SciTech Connect

    Blaylock, B.P.; Legg, J.; Travis, C.C.; Simek, M.A.; Sutherland, J.; Scofield, P.A.

    1995-06-01

    This document describes a worker health risk evaluation methodology for assessing risks associated with Environmental Restoration (ER) and Waste Management (WM). The methodology is appropriate for estimating worker risks across the Department of Energy (DOE) Complex at both programmatic and site-specific levels. This document supports the worker health risk methodology used to perform the human health risk assessment portion of the DOE Programmatic Environmental Impact Statement (PEIS) although it has applications beyond the PEIS, such as installation-wide worker risk assessments, screening-level assessments, and site-specific assessments.

  17. Management of postoperative pain in abdominal surgery in Spain. A multicentre drug utilization study

    PubMed Central

    Vallano, Antonio; Aguilera, Cristina; Arnau, Josep Maria; Baños, Josep-Eladi; Laporte, Joan-Ramon

    1999-01-01

    Participating centres: Hospital Universitario San Juan, Alicante: Maria Jesús Olaso, Javier Agulló, Clara Faura. Hospital Torrecárdenas, Almería: Carmen Fernández Sánchez, Miguel Lorenzo Campos, Juan Manuel Rodríguez Alonso. Hospital Quirúrgic Adriano, Barcelona: Carmen Alerany Pardo, Paquita Alvarez González, Teresa Martín Benito. Hospital Universitari del Mar-IMIM, Barcelona: Magí Farré, Maite Terán. Corporació Sanitària Parc Taulí, Sabadell: Montserrat Cañellas, Sergio Zavala, Josep Planell. Hospital Universitari de la Santa Creu i Sant Pau: Gonzalo Calvo, Rosa Morros, Silvia Mateo. Hospital General Vall d’Hebron, Barcelona: Carmen Bosch, María José Martínez. Hospital Universitario Virgen de la Victoria, Málaga: Maribel Lucena, José Antonio González, Gabriel Carranque. Hospital Clínico Universitario San Carlos, Madrid: Emilio Vargas, Amparo Gil López-Oliva, Míriam García Mateos. Hospital Universitario Marqués de Valdecilla, Santander: Mario González, Antonio Cuadrado. Hospital Universitario Virgen de la Macarena, Sevilla: Juan Antonio Durán, Pilar Máyquez, María Isabel Serrano. Hospital Universitario Virgen del Rocío, Sevilla: Jaume Torelló, Juan Ramón Castillo, María de las Nieves Merino. Aims Postoperative pain is common in hospital-admitted patients. Its management is determined by different therapeutic traditions and by the attitudes of health professionals in each hospital. The aim of this study was to describe the patterns of prescription and administration of analgesic drugs used for postoperative pain after abdominal surgery in Spanish hospitals, to know the prevalence and the severity of postoperative pain, and to determine the extent of variability in the management of postoperative pain among the participating centres. Methods The study was a multicentre descriptive cross-sectional drug utilization study in 12 Spanish hospitals. The subjects were an unselected sample of consecutive patients undergoing abdominal

  18. A Predictive Safety Management System Software Package Based on the Continuous Hazard Tracking and Failure Prediction Methodology

    NASA Technical Reports Server (NTRS)

    Quintana, Rolando

    2003-01-01

    The goal of this research was to integrate a previously validated and reliable safety model, called Continuous Hazard Tracking and Failure Prediction Methodology (CHTFPM), into a software application. This led to the development of a safety management information system (PSMIS). This means that the theory or principles of the CHTFPM were incorporated in a software package; hence, the PSMIS is referred to as CHTFPM management information system (CHTFPM MIS). The purpose of the PSMIS is to reduce the time and manpower required to perform predictive studies as well as to facilitate the handling of enormous quantities of information in this type of studies. The CHTFPM theory encompasses the philosophy of looking at the concept of safety engineering from a new perspective: from a proactive, than a reactive, viewpoint. That is, corrective measures are taken before a problem instead of after it happened. That is why the CHTFPM is a predictive safety because it foresees or anticipates accidents, system failures and unacceptable risks; therefore, corrective action can be taken in order to prevent all these unwanted issues. Consequently, safety and reliability of systems or processes can be further improved by taking proactive and timely corrective actions.

  19. Managing Carbon Regulatory Risk in Utility Resource Planning:Current Practices in the Western United States

    SciTech Connect

    Barbose, Galen; Wiser, Ryan; Phadke, Amol; Goldman, Charles

    2008-05-16

    Concerns about global climate change have substantially increased the likelihood that future policy will seek to minimize carbon dioxide emissions. Assuch, even today, electric utilities are making resource planning and investment decisions that consider the possible implications of these future carbon regulations. In this article, we examine the manner in which utilities assess the financial risks associated with future carbon regulations within their long-term resource plans. We base our analysis on a review of the most recent resource plans filed by fifteen electric utilities in the Western United States. Virtually all of these utilities made some effort to quantitatively evaluate the potential cost of future carbon regulations when analyzing alternate supply- and demand-side resource options for meeting customer load. Even without Federal climate regulation in the U.S., the prospect of that regulation is already having an impact on utility decision-making and resource choices. That said, the methods and assumptions used by utilities to analyze carbon regulatory risk, and the impact of that analysis on their choice of a particular resource strategy, vary considerably, revealing a number of opportunities for analytic improvement. Though our review focuses on a subset of U.S. electric utilities, this work holds implications for all electric utilities and energy policymakers who are seeking to minimize the compliance costs associated with future carbon regulations

  20. Managing Carbon Regulatory Risk in Utility Resource Planning: Current Practices in the Western United States

    SciTech Connect

    Barbose, Galen; Wiser, Ryan; Phadke, Amol; Goldman, Charles

    2008-07-11

    Concerns about global climate change have substantially increased the likelihood that future policy will seek to minimize carbon dioxide emissions. As such, even today, electric utilities are making resource planning and investment decisions that consider the possible implications of these future carbon regulations. In this article, we examine the manner in which utilities assess the financial risks associated with future carbon regulations within their long-term resource plans. We base our analysis on a review of the most recent resource plans filed by fifteen electric utilities in the Western United States. Virtually all of these utilities made some effort to quantitatively evaluate the potential cost of future carbon regulations when analyzing alternate supply- and demand-side resource options for meeting customer load. Even without Federal climate regulation in the U.S., the prospect of that regulation is already having an impact on utility decision-making and resource choices. That said, the methods and assumptions used by utilities to analyze carbon regulatory risk, and the impact of that analysis on their choice of a particular resource strategy, vary considerably, revealing a number of opportunities for analytic improvement. Though our review focuses on a subset of U.S. electric utilities, this work holds implications for all electric utilities and energy policymakers who are seeking to minimize the compliance costs associated with future carbon regulations.

  1. Utilizing a Health Impact Assessment (HIA) to Connect Natural Resource Management and Community(presentation)

    EPA Science Inventory

    Marrying scientific and health research with natural resource management should be a straightforward process. However, differences in purpose, goals, language, levels of detail and implementation authority between the scientists who conduct research and resource managers who plan...

  2. ENVIRONMENTAL SYSTEMS MANAGEMENT AS APPLIED TO WATERSHEDS, UTILIZING REMOTE SENSING, DECISION SUPPORT AND VISUALIZATION

    EPA Science Inventory

    Environmental Systems Management as a conceptual framework and as a set of interdisciplinary analytical approaches will be described within the context of sustainable watershed management, within devergent complex ecosystems. A specific subset of integrated tools are deployed to...

  3. Rural and Small Systems Guidebook to Sustainable Water and Wastewater Utility Management

    EPA Pesticide Factsheets

    The Guidebook is designed to introduce rural and small water and wastewater systems to the key areas of effectively managed systems. It provides background information on ten key management areas, instruction, and assistance.

  4. Utilizing a Health Impact Assessment (HIA) to Connect Natural Resource Management and Community

    EPA Science Inventory

    Marrying scientific and health research with natural resource management should be a straightforward process. However, differences in purpose, goals, language, levels of detail and implementation authority between the scientists who conduct research and resource managers who plan...

  5. An Experimental Test of Buffer Utility as a Technique for Managing Pool-Breeding Amphibians

    PubMed Central

    Veysey Powell, Jessica S.; Babbitt, Kimberly J.

    2015-01-01

    Vegetated buffers are used extensively to manage wetland-dependent wildlife. Despite widespread application, buffer utility has not been experimentally validated for most species. To address this gap, we conducted a six-year, landscape-scale experiment, testing how buffers of different widths affect the demographic structure of two amphibian species at 11 ephemeral pools in a working forest of the northeastern U.S. We randomly assigned each pool to one of three treatments (i.e., reference, 100m buffer, 30m buffer) and clearcut to create buffers. We captured all spotted salamanders and wood frogs breeding in each pool and examined the impacts of treatment and hydroperiod on breeding-population abundance, sex ratio, and recapture rate. The negative effects of clearcutting tended to increase as forest-buffer width decreased and be strongest for salamanders and when other stressors were present (e.g., at short-hydroperiod pools). Recapture rates were reduced in the 30m, but not 100m, treatment. Throughout the experiment for frogs, and during the first year post-cut for salamanders, the predicted mean proportion of recaptured adults in the 30m treatment was only 62% and 40%, respectively, of that in the reference treatment. Frog sex ratio and abundance did not differ across treatments, but salamander sex ratios were increasingly male-biased in both cut treatments. By the final year, there were on average, only about 40% and 65% as many females predicted in the 100m and 30m treatments, respectively, compared to the first year. Breeding salamanders at short-hydroperiod pools were about 10% as abundant in the 100m versus reference treatment. Our study demonstrates that buffers partially mitigate the impacts of habitat disturbance on wetland-dependent amphibians, but buffer width and hydroperiod critically mediate that process. We provide the first experimental evidence showing that 30-m-wide buffers may be insufficient for maintaining resilient breeding populations of pool

  6. An Experimental Test of Buffer Utility as a Technique for Managing Pool-Breeding Amphibians.

    PubMed

    Powell, Jessica S Veysey; Babbitt, Kimberly J

    2015-01-01

    Vegetated buffers are used extensively to manage wetland-dependent wildlife. Despite widespread application, buffer utility has not been experimentally validated for most species. To address this gap, we conducted a six-year, landscape-scale experiment, testing how buffers of different widths affect the demographic structure of two amphibian species at 11 ephemeral pools in a working forest of the northeastern U.S. We randomly assigned each pool to one of three treatments (i.e., reference, 100m buffer, 30m buffer) and clearcut to create buffers. We captured all spotted salamanders and wood frogs breeding in each pool and examined the impacts of treatment and hydroperiod on breeding-population abundance, sex ratio, and recapture rate. The negative effects of clearcutting tended to increase as forest-buffer width decreased and be strongest for salamanders and when other stressors were present (e.g., at short-hydroperiod pools). Recapture rates were reduced in the 30m, but not 100m, treatment. Throughout the experiment for frogs, and during the first year post-cut for salamanders, the predicted mean proportion of recaptured adults in the 30m treatment was only 62% and 40%, respectively, of that in the reference treatment. Frog sex ratio and abundance did not differ across treatments, but salamander sex ratios were increasingly male-biased in both cut treatments. By the final year, there were on average, only about 40% and 65% as many females predicted in the 100m and 30m treatments, respectively, compared to the first year. Breeding salamanders at short-hydroperiod pools were about 10% as abundant in the 100m versus reference treatment. Our study demonstrates that buffers partially mitigate the impacts of habitat disturbance on wetland-dependent amphibians, but buffer width and hydroperiod critically mediate that process. We provide the first experimental evidence showing that 30-m-wide buffers may be insufficient for maintaining resilient breeding populations of pool

  7. Utility of bispectral index in the management of multiple trauma patients

    PubMed Central

    Mahmood, Saeed; Parchani, Ashok; El-Menyar, Ayman; Zarour, Ahmad; Al-Thani, Hassan; Latifi, Rifat

    2014-01-01

    Background: Bispectral index (BIS) monitoring in multiple trauma patients has become a common practice in monitoring the sedation levels. We aimed to assess the utility of BIS in the trauma intensive care unit (ICU). Methods: A prospective observational study was conducted in the trauma ICU at Hamad General Hospital in Qatar between 2011 and 2012. Patients were divided in two groups: Group I (without BIS monitoring) and Group II (with BIS monitoring). The depth of sedation was clinically evaluated with Ramsey Sedation Scale, changes in vital signs and Glasgow Coma Scale (GCS) level. Use of sedatives, analgesics, and muscle relaxants were also recorded. Data were compared using Chi-square and Student t-tests. Results: A total of 110 mechanically ventilated trauma patients were enrolled with a mean age of 36 ± 14 years. The rate of head injury was greater in Group I when compared with Group II (94% vs. 81%, P = 0.04). In comparison to Group I, patients in Group II had lower GCS and higher mean Injury Severity Score (ISS) (6.3 ± 2.5 vs. 7.4 ± 2.7 and 25.5 ± 8.5 vs. 21.2 ± 4.7, respectively, P = 0.03). The used midazolam dose was less in Group II in comparison to Group I (5.2 ± 2.3 vs. 6.1 ± 2.1, P = 0.03). Also, fentanyl dose was less in Group II (152 ± 58 vs. 187 ± 59, P = 0.004). The rate of agitation, failure of extubation and tracheostomy in Group II were lower than those in Group I, P = 0.001. The length of stay for patients Group I was longer (14.6 ± 7.1 vs. 10.2 ± 5.9 days) in comparison to group II, P = 0.001. Conclusion: Management of multiple trauma patients in the trauma ICU with BIS monitoring was found to be associated with better outcomes. BIS monitoring is a guide for adjusting the dosage of sedative agents. It can also minimize agitation, failure of extubation, and length of stay in ICU. PMID:25317356

  8. Assessment of the Availability, Utilization and Management of ICT Facilities in Teaching English Language in Secondary Schools in Kaduna State, Nigeria

    ERIC Educational Resources Information Center

    Yusuf, Hanna Onyi; Maina, Bashir; Dare, Michael Omotayo

    2013-01-01

    The study investigated the availability, utilization and management of ICT facilities in teaching English language in secondary schools in Kaduna State, Nigeria. The study adopted a descriptive survey research design. A questionnaire titled "Availability, Utilization and Management of Information and Communication Technology in teaching…

  9. Utilizing NASA EOS Data for Fire Management in el Departmento del Valle del Cauco, Colombia

    NASA Astrophysics Data System (ADS)

    Brenton, J. C.; Bledsoe, N.; Alabdouli, K.

    2012-12-01

    In the last few years, fire incidence in Colombian wild areas has increased, damaging pristine forests into savannas and sterile lands. Fire poses a significant threat to biodiversity, rural communities and established infrastructure. These events issue an urgent need to address this problem. NASA Earth Observing System (EOS) can play a significant role in the monitoring fires and natural disasters. SERVIR, the Regional Visualization and Monitoring Network, constitutes a platform for the observation, forecasting and modeling of environmental processes in Central America. A project called "The GIS for fire management in Guatemala (SIGMA-I)" has been already conducted to address the same problem in another Latin American country, Guatemala. SIGMA-I was developed by the Inter-agency work among the National protected areas council (CONAP), National Forestry Institution (INAB), the National Coordinator for Disaster Reduction / National Forest Fire Prevention and Control System (CONRED/SIPECIF), and the Ministry of the Environment and National Resources (MARN) in Guatemala under the guidance and assistance of SERVIR. With SIGMA-I as an example, we proposed to conduct a similar project for the country of Colombia. First, a pilot study in the area of the watershed of the Cali River, Colombia was conducted to ensure that the data was available and that the maps and models were accurate. The proposed study will investigate the technical resources required: 1.) A fire map with a compilation of ignition data (hot spots) utilizing Fire Information for Resource Management System (FIRMS) derived from MODIS (Moderate Resolution Imaging Spectroradiometer) products MOD14 and MYD14 2.) A map of fire scars derived from medium resolution satellite data (ASTER) during the period 2003-2011 for the entire country, and a map of fire scar recurrence and statistics derived from the datasets produced. 3.) A pattern analysis and ignition cause model derived from a matrix of variables

  10. A combined methodology of vulnerability mapping and groundwater flow models for the management of karstic aquifers

    NASA Astrophysics Data System (ADS)

    Kavouri, Konstantina; Karatzas, George; Plagnes, Valérie; Varouchakis, Emmanouil

    2013-04-01

    The present study examines the application of a distributed flow model to a typical Mediterranean karstic aquifer and the importance of the input information. The site of interest is located at the eastern part of Crete and extends to an area of 167 km² mainly of coverless limestone. The geological and climatic conditions of the area are representative of the Mediterranean karst. Also, the information on geological and hydrological characteristics is limited, which is also very common for these systems. The developed model is a combination of the Equivalent Porous Continuum with Discrete Fractures (EPC-DF) modeling approach and the GIS-based vulnerability mapping method PaPRIKa. The EPC-DF method is commonly used for the simulation of systems characterized by dual porosity. In the present study the karstic system is represented by a porous aquifer which also has a principal drainage axe. The model is developed using the finite element code FEFLOW (WASY) which allows for the integration of discrete features such as channels in a porous matrix. The PaPRIKa method is a multi-criteria cartographic method for the evaluation of intrinsic vulnerability of karstic systems, which considers four criteria: the existence of a Protection cover (P map), the lithological properties of the Reservoir (R map), the duality of Infiltration (I map) and the degree of Karstification (Ka map). It spatially describes both structural and functioning characteristics of the karst, providing a simple and realistic conceptual scheme. In the developed model the distribution of the parameters follows the cartographic limits provided by i) the P and I maps for the assignment of recharge, and ii) the R and Ka maps for the assignment of the hydraulic parameters of the saturated zone. The obtained simulated results of groundwater levels are in a good agreement with the selected field measurements. The overall aim of the present study is the development of a flexible tool for the management of water

  11. Quality management tools: facilitating clinical research data integrity by utilizing specialized reports with electronic case report forms.

    PubMed

    Trocky, N M; Fontinha, M

    2005-01-01

    Data collected throughout the course of a clinical research trial must be reviewed for accuracy and completeness continually. The Oracle Clinical (OC) data management application utilized to capture clinical data facilitates data integrity through pre-programmed validations, edit and range checks, and discrepancy management modules. These functions were not enough. Coupled with the use of specially created reports in Oracle Discoverer and Integrated Review, both ad-hoc query and reporting tools, research staff have enhanced their ability to clean, analyze and report more accurate data captured within and among Case Report Forms (eCRFs) by individual study or across multiple studies.

  12. An evaluation of the utilization of remote sensing in resource and environmental management of the Chesapeake Bay region

    NASA Technical Reports Server (NTRS)

    Fuller, D. B.; Harmon, D. M.; Fuller, K. B.

    1976-01-01

    A nine-month study was conducted to assess the effectiveness of the NASA Wallops Chesapeake Bay Ecological Program in remote sensing. The study consisted of a follow-up investigation and information analysis of actual cases in which remote sensing was utilized by management and research personnel in the Chesapeake Bay region. The study concludes that the NASA Wallops Chesapeake Bay Ecological Program is effective, both in terms of costs and performance.

  13. The Optimal Utilization Management Model for Martin Army Community Hospital Under the Next Generation of TRICARE Contracts

    DTIC Science & Technology

    2004-08-01

    the business operation of our military health care delivery system. The largest area of change is in utilization managemlent (UM). Under the new...contract, the government will be responsible for all aspects of health care management of prime enrolled beneficiaries to include underwriting the cost of...process to include medical necessity review, continued stay review and coding of all medical, surgical and behavioral health episodes of care . The

  14. MOVE: weight management program across the veterans health administration: patient- and facility-level predictors of utilization

    PubMed Central

    2013-01-01

    Background Health care systems initiating major behavioral health programs often face challenges with variable implementation and uneven patient engagement. One large health care system, Veterans Health Administration (VHA), recently initiated the MOVE!® Weight Management Program, but it is unclear if veterans most in need of MOVE!® services are accessing them. The purpose of this study was to examine patient and facility factors associated with MOVE!® utilization (defined as 1 or more visits) across all VHA facilities. Methods Using national administrative data in a retrospective cohort study of eligible overweight (25 < = body mass index (BMI) < 30 and at least one obesity associated comorbidity) and obese (BMI > =30) VHA outpatients, we examined variation in and predictors of MOVE!® utilization in fiscal year (FY) 2010 using generalized linear mixed models. Results 4.39% (n = 90,230) of all eligible overweight and obese patients using VHA services utilized MOVE!® services at least once in FY 2010. Facility-level MOVE! Utilization rates ranged from 0.05% to 16%. Veterans were more likely to have at least one MOVE!® visit if they had a higher BMI, were female, unmarried, younger, a minority, or had a psychiatric or obesity-related comorbidity. Conclusions Although substantial variation exists across VHA facilities in MOVE!® utilization rates, Veterans most in need of obesity management services were more likely to access MOVE!®, although at a low level. However, there may still be many Veterans who might benefit but are not accessing these services. More research is needed to examine the barriers and facilitators of MOVE!® utilization, particularly in facilities with unusually high and low reach. PMID:24325730

  15. Generalized Cartographic and Simultaneous Representation of Utility Networks for Decision-Support Systems and Crisis Management in Urban Environments

    NASA Astrophysics Data System (ADS)

    Becker, T.; König, G.

    2015-10-01

    Cartographic visualizations of crises are used to create a Common Operational Picture (COP) and enforce Situational Awareness by presenting relevant information to the involved actors. As nearly all crises affect geospatial entities, geo-data representations have to support location-specific analysis throughout the decision-making process. Meaningful cartographic presentation is needed for coordinating the activities of crisis manager in a highly dynamic situation, since operators' attention span and their spatial memories are limiting factors during the perception and interpretation process. Situational Awareness of operators in conjunction with a COP are key aspects in decision-making process and essential for making well thought-out and appropriate decisions. Considering utility networks as one of the most complex and particularly frequent required systems in urban environment, meaningful cartographic presentation of multiple utility networks with respect to disaster management do not exist. Therefore, an optimized visualization of utility infrastructure for emergency response procedures is proposed. The article will describe a conceptual approach on how to simplify, aggregate, and visualize multiple utility networks and their components to meet the requirements of the decision-making process and to support Situational Awareness.

  16. Technology evaluation of control/monitoring systems for MIUS application. [utility services management

    NASA Technical Reports Server (NTRS)

    Pringle, L. M., Jr.

    1974-01-01

    Potential ways of providing control and monitoring for the Modular Integrated Utility System (MIUS) program are elaborated. Control and monitoring hardware and operational systems are described. The requirements for the MIUS program and the development requirements are discussed.

  17. Climate Change Challenges of Managing Quality of Drinking Water: Survey Results from Utilities in California

    NASA Astrophysics Data System (ADS)

    Ekstrom, J.; Bedsworth, L. W.

    2015-12-01

    Scientists have established that climate change threatens sources of drinking water through many different pathways, both in terms of quantity and quality. Recognizing water utilities will face the brunt of these impacts, this study seeks to better understand the disconnect between the projections produced and the needs of utilities on-the-ground. As part of the first stage of the three-year study, this presentation reports results of a statewide survey evaluating how far along water utilities in California are along in preparing for the projected climate change impacts on water quality, the range in respondents' perspectives (and concerns) of climate change on water quality, and how the state's four-year drought is already presenting treatment challenges. On-going case studies are investigating the needs and capacity of utilities to prepare for and adapt to the projected water quality impacts from increasing extreme events and how or whether climate scientists can help meet these needs.

  18. Utility functions and resource management in an oversubscribed heterogeneous computing environment

    SciTech Connect

    Khemka, Bhavesh; Friese, Ryan; Briceno, Luis Diego; Siegel, Howard Jay; Maciejewski, Anthony A.; Koenig, Gregory A.; Groer, Christopher S.; Hilton, Marcia M.; Poole, Stephen W.; Okonski, G.; Rambharos, R.

    2014-09-26

    We model an oversubscribed heterogeneous computing system where tasks arrive dynamically and a scheduler maps the tasks to machines for execution. The environment and workloads are based on those being investigated by the Extreme Scale Systems Center at Oak Ridge National Laboratory. Utility functions that are designed based on specifications from the system owner and users are used to create a metric for the performance of resource allocation heuristics. Each task has a time-varying utility (importance) that the enterprise will earn based on when the task successfully completes execution. We design multiple heuristics, which include a technique to drop low utility-earning tasks, to maximize the total utility that can be earned by completing tasks. The heuristics are evaluated using simulation experiments with two levels of oversubscription. The results show the benefit of having fast heuristics that account for the importance of a task and the heterogeneity of the environment when making allocation decisions in an oversubscribed environment. Furthermore, the ability to drop low utility-earning tasks allow the heuristics to tolerate the high oversubscription as well as earn significant utility.

  19. Utility functions and resource management in an oversubscribed heterogeneous computing environment

    DOE PAGES

    Khemka, Bhavesh; Friese, Ryan; Briceno, Luis Diego; ...

    2014-09-26

    We model an oversubscribed heterogeneous computing system where tasks arrive dynamically and a scheduler maps the tasks to machines for execution. The environment and workloads are based on those being investigated by the Extreme Scale Systems Center at Oak Ridge National Laboratory. Utility functions that are designed based on specifications from the system owner and users are used to create a metric for the performance of resource allocation heuristics. Each task has a time-varying utility (importance) that the enterprise will earn based on when the task successfully completes execution. We design multiple heuristics, which include a technique to drop lowmore » utility-earning tasks, to maximize the total utility that can be earned by completing tasks. The heuristics are evaluated using simulation experiments with two levels of oversubscription. The results show the benefit of having fast heuristics that account for the importance of a task and the heterogeneity of the environment when making allocation decisions in an oversubscribed environment. Furthermore, the ability to drop low utility-earning tasks allow the heuristics to tolerate the high oversubscription as well as earn significant utility.« less

  20. Effects of Diabetic Case Management on Knowledge, Self-Management Abilities, Health Behaviors, and Health Service Utilization for Diabetes in Korea

    PubMed Central

    Shin, Soon Ae; Lee, Kunsei; Lin, Vivian; Liu, George; Shin, Eunyoung

    2015-01-01

    Purpose This study aimed to evaluate the effects of a case management program for diabetics, using a pre-post comparison design. Materials and Methods The study population comprised 6007 diabetics who received case management intervention in 2006 and were sampled nationwide in Korea. Before and after the intervention, the study population answered questions regarding their knowledge of diabetes, self-management ability, and health behaviors. Body mass index (BMI) was also calculated. Healthcare service utilization for diabetes was extracted from health insurance claim data from 2005 to 2007. Results The case management program significantly improved the study population's knowledge of diabetes and ability to self-manage nutrition, blood glucose monitoring, foot and oral care, and medications. This program also significantly changed the study population's health behaviors regarding smoking, alcohol drinking, and exercise, and BMI was positively affected. In the over-serviced subgroup, there was a significant decrease in the number of consultations (mean=7.0; SD=19.5) after intervention. Conversely, in the under-serviced subgroup, there was a significant increase in the number of consultations (mean=3.2; SD=7.9) and the days of prescribed medication (mean=66.4; SD=120.3) after intervention. Conclusion This study showed that the case management program led the study population to improve their knowledge, self-management ability, health behaviors, and utilization of health care. It is necessary in future studies to evaluate the appropriateness of healthcare usage and clinical outcome by using a control group to determine the direct effectiveness of this case management program. PMID:25510771

  1. Health Services Utilization and Payments in Patients With Cancer Pain: A Comparison of Intrathecal Drug Delivery vs. Conventional Medical Management

    PubMed Central

    Stearns, Lisa J.; Hammond, Krisstin; Berryman, Eric; Janjan, Nora A.

    2016-01-01

    Introduction To compare health services utilization and payments for cancer patients who received an implantable intrathecal drug delivery (IDD) system, consisting of a pump and catheter, vs. conventional medical management (CMM) for the treatment of cancer‐related pain. Methods This retrospective claims‐data analysis compared health services utilization and payments in a population of patients receiving either IDD or CMM for treatment of cancer pain. Patients were propensity score‐matched 1:1 based on characteristics including, but not limited to, age, gender, cancer type, comorbid conditions, and health care utilization and payments. Results From a sample of 142 IDD patients and 3188 CMM patients who met all inclusion/exclusion criteria, 73 matched pairs were obtained. In the year following implant, IDD patients had a consistent trend of lower medical utilization, and total payments that were $3195 lower compared to CMM. Conclusions Despite the high initial cost of IDD, this analysis suggests that patients with IDD incur lower medical utilization and payments over the first year post‐implant. Further analysis comprised of a larger, longitudinal sample would contribute to health economics and outcomes research, and assist with future practice guideline development. PMID:26816205

  2. A Review of Three Decades of Doctoral Studies Using the Principal Instructional Management Rating Scale: A Lens on Methodological Progress in Educational Leadership

    ERIC Educational Resources Information Center

    Hallinger, Philip

    2011-01-01

    Background: This report continues in the lineage of reviews of research in educational leadership and management by examining methodological approaches used by doctoral researchers in studying principal instructional leadership. Research Design: The article reviews the full set of 130 doctoral dissertations completed over the past three decades…

  3. Adapting the "managing by walking around" methodology as a leadership strategy to communicate a hospital-wide strategic plan.

    PubMed

    Rubin, Marcie Sara; Stone, Richard K

    2010-01-01

    Metropolitan Hospital Center (MHC) in East Harlem, New York, has undergone significant leadership changes within the past few years, and the current leadership team developed a long-term strategic plan for the organization that it wanted to effectively communicate to all hospital staff. The spread of information is a challenge at MHC, as it is in many hospitals, because of the large number of staff working various shifts, and the inability of staff to leave their units at the same time to attend general staff meetings. Because of the recent success of the hospital's Executive WalkRounds Program and Breakthough Program, which embody principles of the leadership strategy Managing By Walking Around (MBWA), the senior leadership team decided to roll out their new strategic plan in a 2-week series of rounds to each unit/department throughout the hospital during each shift. Utilizing this method, 69 percent of MHC staff attended the rounds, and 88.9 percent of management level staff and 64.5 percent of unionized/labor who participated in the hospital's Employee Satisfaction Survey stated that they understood the hospital's new strategic plan. MHC's successful strategy is easily applicable within other similar settings.

  4. Comparing the decision-relevance and utility of alternative ensembles of climate projections in water management and other applications

    NASA Astrophysics Data System (ADS)

    Lempert, R. J.; Tingstad, A.

    2015-12-01

    Decisions to manage the risks of climate change hinge, among many other things, on deeply uncertain and imperfect climate projections. Improving the decision relevance and utility of climate projections requires navigating a trade-off between increasing the physical realism of the model (often by improving the spatial resolution) and increasing the representation of decision-relevant uncertainties. This talk will examine the decision-relevance and utility of alternative ensembles of climate information by comparing two decision support applications, in water management and biodiversity perseveration, both in California. The climate ensembles will consist of different combinations of high and medium resolution projections from NARCCAP (North American Regional Climate Assessment Program) as well as low resolution, but more numerous, projections from the CMIP3 and CMIP5 ensembles. The decision support applications will use the same ensembles of climate projections in different contexts. Workshops with decision makers examine the extent to which the different ensembles lead to different decisions, the extent to which considering a wider range of uncertainty affects decisions, the extent to which decision makers' confidence in the projections and the decisions based on them will be sensitive to the resolution at which they are communicated and the resolution dependent skill, and how the answers to these questions varies with the water management and biodiversity contexts. This study aims to provide empirical evidence to support judgments on how best to use uncertainty climate information in water management and other decision support applications.

  5. Evaluation of energy recovery and CO2 reduction potential in Japan through integrated waste and utility management.

    PubMed

    Horio, M; Shigeto, S; Shiga, M

    2009-07-01

    This paper examines the potential of integrated waste and utility power management over the mid-term planning horizon in Japan. Energy recovery and CO(2) emission reduction were estimated under two situations: (1) energy recovery efforts within the current waste management/power generation framework and (2) integrated waste management with sewage treatment systems and electric power industries. Scenario simulation results showed that under the current policy framework it is not feasible to achieve large energy recovery and CO(2) emission reduction, while the integrated waste management scenarios show the potential of large energy recovery which is equivalent to about an 18 million t-CO(2) emission reduction. The utilization of dry wastes for power generation at existing fossil power stations is significant in achieving the result. We also consider the effects of the 'CO(2) emission per GW generated' for electric power generation on the total CO(2) emission reduction because it varies by country and assumptions selected. Although this research did not include an economic analysis, based on estimated CO(2) emissions and energy recovery, the integrated scenarios indicate a large potential in countries that have high dependence of fossil power generation and relatively low power generation efficiency.

  6. "Batter up, Student on Deck": The Utility of Moneyball in Management Education

    ERIC Educational Resources Information Center

    McHugh, Patrick P.

    2009-01-01

    The book "Moneyball: The Art of Winning an Unfair Game", by Michael Lewis, has intrigued management practitioners and researchers. This article describes the use of the book as a supplementary reading in a management course. The book was found to be a useful complement to a traditional textbook when addressing topics such as organizational change…

  7. Alberta's systems approach to chronic disease management and prevention utilizing the expanded chronic care model.

    PubMed

    Delon, Sandra; Mackinnon, Blair

    2009-01-01

    Alberta's integrated approach to chronic disease management programming embraces client-centred care, supports self-management and facilitates care across the continuum. This paper presents strategies implemented through collaboration with primary care to improve care of individuals with chronic conditions, evaluation evidence supporting success and lessons learned from the Alberta perspective.

  8. Utilization of remotely-sensed data in the management of inland wetlands

    NASA Technical Reports Server (NTRS)

    Carter, V.; Smith, D. G.

    1973-01-01

    ERTS data and aerial photography are shown to represent valuable tools for the inventory and management of inland wetlands. The two discussed examples of the application of remotely-sensed data to specific wetland management needs and requirements are the Great Dismal Swamp of Virginia-North Carolina and the Water Conservation District of southern Florida.

  9. Electric utility value determination for wind energy. Volume I. A methodology. [WTP code; WEIBUL code; ROSEN code; ULMOD code; FINAM code

    SciTech Connect

    Percival, David; Harper, James

    1981-02-01

    This report describes a method electric utilities can use to determine the value of wind energy systems. It is performed by a package of computer models available from SERI that can be used with most utility planning models. The final output of these models gives a financial value ($/kW) of the wind energy system under consideration in the specific utility system. This report, first of two volumes, describes the value determination method and gives detailed discussion on each computer program available from SERI. The second volume is a user's guide for these computer programs.

  10. The Utility of Conflict Resolution and Study Skills Interventions with Middle School Students at Risk for Antisocial Behavior: A Methodological Illustration

    ERIC Educational Resources Information Center

    Kalberg, Jemma Robertson; Lane, Kathleen; Lambert, Warren

    2012-01-01

    This article provides a methodological illustration of how to conduct randomized controls trials (RCT) for secondary levels of prevention within the context of three-tiered models of support. First, the authors demonstrate one method of using school-wide data to identify middle school students (N = 45) who were struggling in academic and…

  11. Reliability Centered Maintenance - Methodologies

    NASA Technical Reports Server (NTRS)

    Kammerer, Catherine C.

    2009-01-01

    Journal article about Reliability Centered Maintenance (RCM) methodologies used by United Space Alliance, LLC (USA) in support of the Space Shuttle Program at Kennedy Space Center. The USA Reliability Centered Maintenance program differs from traditional RCM programs because various methodologies are utilized to take advantage of their respective strengths for each application. Based on operational experience, USA has customized the traditional RCM methodology into a streamlined lean logic path and has implemented the use of statistical tools to drive the process. USA RCM has integrated many of the L6S tools into both RCM methodologies. The tools utilized in the Measure, Analyze, and Improve phases of a Lean Six Sigma project lend themselves to application in the RCM process. All USA RCM methodologies meet the requirements defined in SAE JA 1011, Evaluation Criteria for Reliability-Centered Maintenance (RCM) Processes. The proposed article explores these methodologies.

  12. Work Smarter Not Harder: Utilizing an Environmental Management Information System to Meet Regulatory Compliance and Reporting Requirements for a Major Source Title V Facility

    DTIC Science & Technology

    2011-05-10

    Environmental Management Information System to Meet Regulatory Compliance and Reporting Requirements for a Major Source Title V Facility. Tannis Danley...AND SUBTITLE Work Smarter Not Harder: Utilizing an Environmental Management Information System to Meet Regulatory Compliance and Reporting...Carson) – EMS (Hawaii Garrison, West Virginia National Guard) Environmental Management Information System (EMIS) National Defense Center for Energy and

  13. Utilization of ERTS-1 data in geological evaluation, regional planning, forest management, and water management in North Carolina

    NASA Technical Reports Server (NTRS)

    Welby, C. W. (Principal Investigator); Lammi, J. O.; Carson, R. J., III

    1974-01-01

    The author has identified the following significant results. ERTS-1 imagery has been evaluated for use in resource planning and management in North Carolina, and found to be useful for general reconnaissance purposes in forestry, geology, and water resources work. It has also been used for studying large-scale transient phenomena such as river plumes and movement of sediment in the sounds. ERTS-1 imagery has been an aid to geologic and land-use mapping. Stereoscopes, projectors of various kinds, and microscopes have proved useful instruments for the kinds of data acquisition needed by resource planners and managers.

  14. A methodology for optimal MSW management, with an application in the waste transportation of Attica Region, Greece

    SciTech Connect

    Economopoulou, M.A.; Economopoulou, A.A.; Economopoulos, A.P.

    2013-11-15

    Highlights: • A two-step (strategic and detailed optimal planning) methodology is used for solving complex MSW management problems. • A software package is outlined, which can be used for generating detailed optimal plans. • Sensitivity analysis compares alternative scenarios that address objections and/or wishes of local communities. • A case study shows the application of the above procedure in practice and demonstrates the results and benefits obtained. - Abstract: The paper describes a software system capable of formulating alternative optimal Municipal Solid Wastes (MSWs) management plans, each of which meets a set of constraints that may reflect selected objections and/or wishes of local communities. The objective function to be minimized in each plan is the sum of the annualized capital investment and annual operating cost of all transportation, treatment and final disposal operations involved, taking into consideration the possible income from the sale of products and any other financial incentives or disincentives that may exist. For each plan formulated, the system generates several reports that define the plan, analyze its cost elements and yield an indicative profile of selected types of installations, as well as data files that facilitate the geographic representation of the optimal solution in maps through the use of GIS. A number of these reports compare the technical and economic data from all scenarios considered at the study area, municipality and installation level constituting in effect sensitivity analysis. The generation of alternative plans offers local authorities the opportunity of choice and the results of the sensitivity analysis allow them to choose wisely and with consensus. The paper presents also an application of this software system in the capital Region of Attica in Greece, for the purpose of developing an optimal waste transportation system in line with its approved waste management plan. The formulated plan was able to

  15. Utilization of Process Improvement To Manage Change in an Academic Library.

    ERIC Educational Resources Information Center

    Nozero, Victoria A.; Vaughan, Jason

    2000-01-01

    Explains two methods for planning and implementing change that are being used by business and public institutions: re-engineering, and process improvement. Both are customer oriented and can be utilized by academic libraries as is shown in a case study of the library at the University of Nevada, Las Vegas. (LRW)

  16. E-Learning as a Knowledge Management Approach for Intellectual Capital Utilization

    ERIC Educational Resources Information Center

    Shehabat, Issa; Mahdi, Saad A.; Khoualdi, Kamel

    2008-01-01

    This paper addresses human resources utilization at the university environment. We address the design issues of e-learning courses that can capture the teacher knowledge. The underlying objective is that e-learning is a key knowledge and major resources for many universities. Therefore, the design of e-learning should be an important part of the…

  17. Behavioral model for Homalodisca vitripennis (Hemiptera: Cicadellidae): Optimization of host plant utilization and management implications

    Technology Transfer Automated Retrieval System (TEKTRAN)

    We produced a behavioral model which integrates leafhopper behavior and life history strategies with nutritional requirements, as a useful, heuristic tool to understand the patterns of leafhopper host plant utilization, vector behavior and ecology, which also aids the development of better biologica...

  18. Operational programs in forest management and priority in the utilization of remote sensing

    NASA Technical Reports Server (NTRS)

    Douglass, R. W.

    1978-01-01

    A speech is given on operational remote sensing programs in forest management and the importance of remote sensing in forestry is emphasized. Forest service priorities in using remote sensing are outlined.

  19. Handbook of evaluation of utility DSM programs. [Demand-Side Management (DSM)

    SciTech Connect

    Hirst, E.; Reed, J.; Bronfman, B.; Fitzpatrick, G.; Hicks, E.; Hirst, E.; Hoffman, M.; Keating, K.; Michaels, H.; Nadel, S.; Peters, J.; Reed, J.; Saxonis, W.; Schoen, A.; Violette, D.

    1991-12-01

    Program evaluation has become a central issue in the world of utility integrated resource planning. The DSM programs that utilities were operating to meet federal requirements or to improve customer relations are now becoming big business. DSM is being considered an important resource in a utility's portfolio of options. In the last five years, the amount of money that utilities have invested in DSM has grown exponentially in most regulatory jurisdictions. Market analysts are now talking about DSM being a $30 billion industry by the end of the decade. If the large volume of DSM-program investments was not enough to highlight the importance of evaluation, then the introduction of regulatory incentives has really focused the spotlight. This handbook was developed through a process that involved many of those people who represent the diverse constituencies of DSM-program evaluation. We have come to recognize the many technical disciplines that must be employed to evaluate DSM programs. An analysis might start out based on the principles of utility load research to find out what happened, but a combination of engineering and statistical methods must be used to triangulate'' an estimate of what would have happened without the program. The difference, of course, is that elusive but prized result of evaluation: what happened as the direct result of the DSM program. Technical performance of DSM measures is not the sole determinant of the answer, either. We also recognize the importance of such behavioral attributes of DSM as persistence and free ridership. Finally, DSM evaluation is meaningless without attention to planning an approach, communicating results to relevant decision-makers, and focusing as much on the process as the impacts of the program. These topics are all covered in this handbook.

  20. Lessons Learned: A review of utility experience with conservation and load management programs for commercial and industrial customers

    SciTech Connect

    Nadel, S.

    1990-10-01

    This report examines utility experience with conservation and load management (C LM) programs of commercial and industrial (C I) customers in order to summarize the lessons learned from program experiences to date and what these teach us about how to operate successful programs in the future. This analysis was motivated by a desire to learn about programs which achieve high participation rates and high electricity savings while remaining cost effective. Also, we wanted to review the very latest experiences with innovative program approaches -- approaches that might prove useful to utilities as they scale up their C LM activities. Specific objectives of this phase of the study are threefold: (1) To disseminate information on utility C LM experience to a nationwide audience. (2) To review current New York State utility programs and make suggestions on how these programs can be improved. (3) To collect data for the final phase of the American Council for an Energy-Efficient Economy/New York State Energy Research and Development Authority project, which will examine the savings that are achievable if C LM programs are pushed to the limit'' of current knowledge on how to structure and run cost-effective C LM programs. 19 tabs.

  1. UTILIZATION OF RISK-BASED METHODOLOGY AND NON-DESTRUCTIVE ASSAY TECHNOLOGIES TO CHARACTERIZE AND DISPOSITION LEGACY LOW-LEVEL RADIOACTIVE WASTE

    SciTech Connect

    Wolf, J

    2004-12-03

    A scaled risk and technology based disposition path was developed to characterize and certify Lawrence Livermore National Laboratory (LLNL) legacy waste (LW) for disposal at Envirocare of Utah and the Nevada Test Site (NTS). A combination of LLNL and commercially provided non-destructive assay (NDA) techniques were utilized to characterize waste and facilitate the safe, efficient and cost-effective characterization and disposition of 490 cubic meters of LW in Fiscal Year (FY) 2004. The approach and technologies described in this paper are adaptable to most waste characterization programs and will be utilized to meet future project milestones.

  2. Utilization of Advanced Modalities in the Management of Diabetic Charcot Neuroarthropathy

    PubMed Central

    Pappalardo, Jennifer; Fitzgerald, Ryan

    2010-01-01

    Technological advances have allowed reconstructive foot and ankle surgeons greater opportunity to provide significant limb salvage options to those patients who present with significant lower extremity deformity due to diabetic Charcot neuroarthropathy. Paradigms that promote the utilization of these advanced modalities have demonstrated significant improved limb salvage outcomes in this challenging patient population and have consequently improved the quality of life for patients. The purpose of this review is to discuss current concepts in Charcot reconstruction. PMID:20920430

  3. EAP-based critical incident stress management: utilization of a practice-based assessment of incident severity level in responding to workplace trauma.

    PubMed

    DeFraia, Gary S

    2013-01-01

    Central to the field of trauma psychology is assessment of the impact of critical incidents on individuals, as measured by individual symptoms of stress. Accordingly, the trauma literature reflects a proliferation of clinical impact of event scales. Workplace incidents however, affect not only individual employees, but also work organizations, requiring a multi-level response. Critical incident stress management (CISM) is the most prevalent multi-level incident response strategy utilized by organizations, often through specialized CISM units operating within their employee assistance programs (EAPs). While EAP-based CISM units seeks to support both individuals and organizations, studies focused on individual stress dominate the literature, mirroring assessment scales that tend to emphasize clinical as opposed to organizational practice. This research contributes to less-prevalent studies exploring incident characteristics as disruptive to organizations, rather than clinical symptoms as disruptive to individuals. To measure incident disruption, an EAP-based CISM unit developed a critical incident severity scale. By analyzing this unit's extensive practice database, this exploratory study examines how critical incident severity level varies among various types of incidents. Employing the methodology of clinical data mining, this practice-based research generates evidence-informed practice recommendations in the areas of EAP-based CISM intake assessment, organizational consultation and incident response planning.

  4. Utility of endoscopic ultrasound in the diagnosis and management of esophagogastric varices

    PubMed Central

    Wang, An-Jiang; Li, Bi-Min; Zheng, Xue-Lian; Shu, Xu; Zhu, Xuan

    2016-01-01

    Endoscopic ultrasound (EUS) has significantly improved our understanding of the complex vascular structural changes in patients with portal hypertension. At present, EUS is a useful diagnostic tool for the evaluation of esophagogastric varices (EGVs) and guidance of endoscopic therapy. Several studies have employed this new technique for the diagnosis and management of esophageal and gastric varices, respectively. In the present review, we have summarized the current status of EUS for the diagnosis and management of EGVs and clarified the clinical feasibility of this procedure. New indications for EUS can be developed in the future after adequate validation. PMID:27503152

  5. Utilization of Feeding Tubes in the Management of Feline Chronic Kidney Disease.

    PubMed

    Ross, Sheri

    2016-11-01

    Esophagostomy feeding tubes are useful, and in many cases essential, for the comprehensive management of cats with moderate to advanced chronic kidney disease (CKD). They should be considered a lifelong therapeutic appliance to facilitate the global management of cats with CKD thus providing improved therapeutic efficacy and quality-of-life. Esophagostomy tubes facilitate the maintenance of adequate hydration and increase owner compliance by facilitating the administration of medications. Finally, feeding tubes provide a means to deliver a stage-appropriate dietary prescription for cats with CKD and maintain an adequate nutritional plane in a patient that otherwise would be subject to chronic wasting.

  6. Characteristics Associated with Home- and Community-Based Service Utilization for Medicare Managed Care Consumers

    ERIC Educational Resources Information Center

    Alkema, Gretchen E.; Reyes, Judy Y.; Wilber, Kathleen H.

    2006-01-01

    Purpose: We identified the types of home-and community-based services (HCBS) that high-risk older adults in Medicare managed care used, and we examined participant characteristics associated with service use in six areas: overall service use, four specific categories of HCBS, and referrals to insured medical services. Design and Methods: We used…

  7. Utilizing the Patient Management Problem as a Student Clinical Evaluation Tool.

    ERIC Educational Resources Information Center

    Remington, Lee Ann; Roggenkamp, John R.

    1994-01-01

    A two-dimensional patient management problem test was designed to measure third-year optometry students' clinical competency at Pacific University (Oregon). Results suggest this evaluation method is valid and may be useful in identifying students needing to improve their clinical thinking skills. Some issues in test administration and scoring…

  8. General Orientation to New Knowledge Utilization Fields of Informatics, Knowledge Management, and Information Technology.

    ERIC Educational Resources Information Center

    Southwest Educational Development Lab., Austin, TX.

    One of a series of booklets on disability research, this paper explores two major developments in the application of information technology: health care informatics and knowledge management. Both of these concepts focus on maximizing the value of, and access to, information resources. Both use technology to create interactive systems through which…

  9. Toward a Student-Centered Measure of Learning Management System Utilization

    ERIC Educational Resources Information Center

    Malm, Eric; Defranco, Joanna F.

    2012-01-01

    Colleges and universities have spent significant financial and human resources deploying and promoting educational technologies, including Learning Management Systems (LMS). A large body of research now exists on the impact of technology on student learning, including the roles of blended learning, hybrid classes, and distance learning. Yet,…

  10. Breathing Life into Business Concepts: Utilizing Simulations in Management Information Systems

    ERIC Educational Resources Information Center

    Hendrix, Stephen

    2016-01-01

    The Department of Computing at East Tennessee State University provides students exposure to the enterprise application SAP as a part of the Information Systems curriculum. Over the past two years, the use of SAP has expanded beyond the Department of Computing into the Management Information Systems course offered by the Department of Management…

  11. Technology review - Utilizing rotating thermosyphon technology in aircraft thermal management and control

    NASA Astrophysics Data System (ADS)

    Yerkes, Kirk L.

    1990-10-01

    An evaluation is made of the development status and performance benefits of rotating thermosyphon aircraft thermal management control applications. Rotating two-phase thermosyphons furnish reliable, low maintenance cooling for such rotating systems as electric motors, compressors, and generators. Thermosyphons are uniquely suited for aircraft applications in their insensitivity to operating environments involving high G-loads, vibration, and multiple orientations.

  12. Maximizing the utility of monitoring to the adaptive management of natural resources

    USGS Publications Warehouse

    Kendall, William L.; Moore, Clinton T.; Gitzen, Robert A.; Cooper, Andrew B.; Millspaugh, Joshua J.; Licht, Daniel S.

    2012-01-01

    Data collection is an important step in any investigation about the structure or processes related to a natural system. In a purely scientific investigation (experiments, quasi-experiments, observational studies), data collection is part of the scientific method, preceded by the identification of hypotheses and the design of any manipulations of the system to test those hypotheses. Data collection and the manipulations that precede it are ideally designed to maximize the information that is derived from the study. That is, such investigations should be designed for maximum power to evaluate the relative validity of the hypotheses posed. When data collection is intended to inform the management of ecological systems, we call it monitoring. Note that our definition of monitoring encompasses a broader range of data-collection efforts than some alternative definitions – e.g. Chapter 3. The purpose of monitoring as we use the term can vary, from surveillance or “thumb on the pulse” monitoring (see Nichols and Williams 2006), intended to detect changes in a system due to any non-specified source (e.g. the North American Breeding Bird Survey), to very specific and targeted monitoring of the results of specific management actions (e.g. banding and aerial survey efforts related to North American waterfowl harvest management). Although a role of surveillance monitoring is to detect unanticipated changes in a system, the same result is possible from a collection of targeted monitoring programs distributed across the same spatial range (Box 4.1). In the face of limited budgets and many specific management questions, tying monitoring as closely as possible to management needs is warranted (Nichols and Williams 2006). Adaptive resource management (ARM; Walters 1986, Williams 1997, Kendall 2001, Moore and Conroy 2006, McCarthy and Possingham 2007, Conroy et al. 2008a) provides a context and specific purpose for monitoring: to evaluate decisions with respect to achievement

  13. Translational Treatment Paradigm for Managing Non-Unions Secondary to Radiation Injury Utilizing Adipose Derived Stem Cells and Angiogenic Therapy

    PubMed Central

    Donneys, Alexis; Blough, Jordan T.; Nelson, Noah S.; Perosky, Joseph E.; Deshpande, Sagar S.; Kang, Stephen Y.; Felice, Peter A.; Figueredo, Christian; Peterson, Jonathan R.; Kozloff, Kenneth M.; Levi, Benjamin; Chepeha, Douglas B.; Buchman, Steven R.

    2015-01-01

    Background Bony non-unions arising in the aftermath of collateral radiation injury are commonly managed with vascularized free tissue transfers. Unfortunately, these procedures are invasive and fraught with attendant morbidities. This study investigates a novel, alternative treatment paradigm utilizing adipose derived stem cells (ASCs) combined with angiogenic deferoxamine (DFO) in the rat mandible. Methods Rats were exposed to a bioequivalent dose of radiation and mandibular osteotomy. Those exhibiting non-unions were subsequently treated with surgical debridement alone or debridement plus combination therapy. Radiographic and biomechanical outcomes were assessed after healing. Results Significant increases in biomechanical strength and radiographic metrics were observed in response to combination therapy (p<0.05). Importantly, combined therapy enabled a 65% reduction in persisting non-unions when compared to debridement alone. Conclusions We support the continued investigation of this promising combination therapy in its potential translation for the management of radiation-induced bony pathology. PMID:25917284

  14. Diagnosis and management decisions in infections of the deep fascial spaces of the head and neck utilizing computerized tomography.

    PubMed

    Endicott, J N; Nelson, R J; Saraceno, C A

    1982-06-01

    Infections of the deep spaces of the head and neck may still result in major consequences despite the advent of antibiotics. Abscesses in these areas merit special consideration by today's head and neck surgeon because of their relative rarity and the life-threatening complications that may follow inadequate treatment. Diagnosis and management decisions are enhanced by use of computerized tomography (CT) as an adjunctive study. The EMI scan may demonstrate either cellulitis of the neck requiring no surgery or a space abscess displacing the adjacent structures thus requiring surgical drainage. Anatomy of the significant fascial planes and spaces of the neck will reviewed employing CT utilizing 3 mm cuts. Specific case presentations feature early diagnosis and management.

  15. Cost-effectiveness in the management of Dupuytren's contracture. A Canadian cost-utility analysis of current and future management strategies.

    PubMed

    Baltzer, H; Binhammer, P A

    2013-08-01

    In Canada, Dupuytren's contracture is managed with partial fasciectomy or percutaneous needle aponeurotomy (PNA). Injectable collagenase will soon be available. The optimal management of Dupuytren's contracture is controversial and trade-offs exist between the different methods. Using a cost-utility analysis approach, our aim was to identify the most cost-effective form of treatment for managing Dupuytren's contracture it and the threshold at which collagenase is cost-effective. We developed an expected-value decision analysis model for Dupuytren's contracture affecting a single finger, comparing the cost-effectiveness of fasciectomy, aponeurotomy and collagenase from a societal perspective. Cost-effectiveness, one-way sensitivity and variability analyses were performed using standard thresholds for cost effective treatment ($50 000 to $100 000/QALY gained). Percutaneous needle aponeurotomy was the preferred strategy for managing contractures affecting a single finger. The cost-effectiveness of primary aponeurotomy improved when repeated to treat recurrence. Fasciectomy was not cost-effective. Collagenase was cost-effective relative to and preferred over aponeurotomy at $875 and $470 per course of treatment, respectively. In summary, our model supports the trend towards non-surgical interventions for managing Dupuytren's contracture affecting a single finger. Injectable collagenase will only be feasible in our publicly funded healthcare system if it costs significantly less than current United States pricing.

  16. [Utilization of the results or research about nursing workload in a surgical suite, based on the methodology of the "Projet de Recherche en Nursing" (PRN87)].

    PubMed

    Alvaro, Rosaria; Venturini, Giulia; Roberto, Roberta

    2006-01-01

    The aim of this study was to evaluate actual levels of nursing care delivered in a functionally aggregated Surgery Area of the Tor Vergata University Hospital in Rome, by measuring nursing workload according to the "Projet de Recherche en Nursing" (PRN87) methodology. The study was performed between February 1st and June 26, 2004. The results of the study have highlighted the fact that nursing staff is often improperly used, for example to perform many administrative activities, thereby reducing the quality and amount of direct nursing care.

  17. The management of energy utilization in a spacecraft tracking station and its industrial applications

    NASA Technical Reports Server (NTRS)

    Reynolds, R.; White, R. L.; Hume, P.

    1978-01-01

    The mission of a tracking station within the NASA/Jet Propulsion Deep Space Network is characterized by a wide diversity of spacecraft types, communications ranges, and data accuracy requirements. In the present paper, the system architecture, communications techniques, and operators interfaces for a utility controller are described. The control equipment as designed and installed is meant to be a tool to study applications of automated control in the dynamic environment of a tracking station. It allows continuous experimenting with new technology without disruption of the tracking activities.

  18. Testing a collaborative research utilization model to translate best practices in pain management.

    PubMed

    Dufault, Marlene

    2004-01-01

    While millions of dollars are being spent developing the seeds of research to improve the care we give to patients, significant barriers to using empirical evidence by health care professionals and policymakers still exist. The gap between what we know from research and what we use in practice is at the heart of the translation research problem. How do we get empirical knowledge uptake and use by clinicians in the fields of practice? In addition, how do we measure if practice changes are occurring? This article describes a program of translation research in which the intervention, called the Collaborative Research Utilization model, was developed and tested in four clinical studies over 18 years.

  19. Combined energy production and waste management in manned spacecraft utilizing on-demand hydrogen production and fuel cells

    NASA Astrophysics Data System (ADS)

    Elitzur, Shani; Rosenband, Valery; Gany, Alon

    2016-11-01

    Energy supply and waste management are among the most significant challenges in human spacecraft. Great efforts are invested in managing solid waste, recycling grey water and urine, cleaning the atmosphere, removing CO2, generating and saving energy, and making further use of components and products. This paper describes and investigates a concept for managing waste water and urine to simultaneously produce electric and heat energies as well as fresh water. It utilizes an original technique for aluminum activation to react spontaneously with water at room temperature to produce hydrogen on-site and on-demand. This reaction has further been proven to be effective also when using waste water and urine. Applying the hydrogen produced in a fuel cell, one obtains electric energy as well as fresh (drinking) water. The method was compared to the traditional energy production technology of the Space Shuttle, which is based on storing the fuel cell reactants, hydrogen and oxygen, in cryogenic tanks. It is shown that the alternative concept presented here may provide improved safety, compactness (reduction of more than one half of the volume of the hydrogen storage system), and management of waste liquids for energy generation and drinking water production. Nevertheless, it adds mass compared to the cryogenic hydrogen technology. It is concluded that the proposed method may be used as an emergency and backup power system as well as an additional hydrogen source for extended missions in human spacecraft.

  20. The study of knowledge management capability and organizational effectiveness in Taiwanese public utility: the mediator role of organizational commitment.

    PubMed

    Chiu, Chia-Nan; Chen, Huei-Huang

    2016-01-01

    Many studies on the significance of knowledge management (KM) in the business world have been performed in recent years. Public sector KM is a research area of growing importance. Findings show that few authors specialize in the field and there are several obstacles to developing a cohesive body of literature. In order to examine their effect of the knowledge management capability [which consists of knowledge infrastructure capability (KIC) and knowledge process capability (KPC)] and organizational effectiveness (OE), this study conducted structural equation modeling to test the hypotheses with 302 questionnaires of Taipei Water Department staffs in Taiwan. In exploring the model developed in this study, the findings show that there exists a significant relationship between KPC and OE, while KIC and OE are insignificant. These results are different from earlier findings in the literature. Furthermore, this research proposed organizational commitment (OC) as the mediator role. The findings suggest that only OC has significant mediating effects between KPC and OE, whereas this is not the case for KIC and OE. It is noteworthy that the above findings inspired managers, in addition to construct the knowledge infrastructure more than focus on social media tools on the Internet, which engage knowledge workers in "peer-to-peer" knowledge sharing across organizational and company boundaries. The results are likely to help organizations (particularly public utilities) sharpen their knowledge management strategies. Academic and practical implications were drawn based on the findings.

  1. Impact of Pharmacist-Provided Medication Therapy Management on Healthcare Quality and Utilization in Recently Discharged Elderly Patients

    PubMed Central

    Haag, Jordan D.; Davis, Amanda Z.; Hoel, Robert W.; Armon, Jeffrey J.; Odell, Laura J.; Dierkhising, Ross A.; Takahashi, Paul Y.

    2016-01-01

    Background The optimization of medication use during care transitions represents an opportunity to improve overall health-related outcomes. The utilization of clinical pharmacists during care transitions has demonstrated benefit, although the optimal method of integration during the care transition process remains unclear. Objective To evaluate the impact of pharmacist-provided telephonic medication therapy management (MTM) on care quality in a care transitions program (CTP) for high-risk older adults. Methods This prospective, randomized, controlled study was conducted from December 8, 2011, through October 25, 2012, in a primary care work group at a tertiary care academic medical center in the midwestern United States. High-risk elderly (aged ≥60 years) patients were randomized to a pharmacist-provided MTM program via telephone or to usual care within an existing outpatient CTP. The primary outcome was the quality of medication prescribing and utilization based on the Screening Tool to Alert Doctors to the Right Treatment (START) and the Screening Tool of Older Persons’ Prescriptions (STOPP) scores. The secondary outcomes were medication utilization using a modified version of the Medication Appropriateness Index, hospital resource utilization within 30 days of discharge, and drug therapy problems. Results Of 222 eligible high-risk patients, 25 were included in the study and were randomized to the pharmacist MTM intervention (N = 13) or to usual care (N = 12). No significant differences were found between the 2 groups in medications meeting the STOPP or START criteria. At 30-day follow-up, no significant differences were found between the 2 cohorts in medication utilization quality indicators or in hospital utilization. At 30-day follow-up, 3 (13.6%) patients had an emergency department visit or a hospital readmission since discharge. In all, 22 patients completed the study. Medication underuse was common, with 20 START criteria absent medications evident for

  2. How to convince your manager to invest in an HIS preimplementation methodology for appraisal of material, process and human costs and benefits.

    PubMed

    Bossard, B; Renard, J M; Capelle, P; Paradis, P; Beuscart, M C

    2000-01-01

    Investing in information technology has become a crucial process in hospital management today. Medical and administrative managers are faced with difficulties in measuring medical information technology costs and benefits due to the complexity of the domain. This paper proposes a preimplementation methodology for evaluating and appraising material, process and human costs and benefits. Based on the users needs and organizational process analysis, the methodology provides an evaluative set of financial and non financial indicators which can be integrated in a decision making and investment evaluation process. We describe the first results obtained after a few months of operation for the Computer-Based Patient Record (CPR) project. Its full acceptance, in spite of some difficulties, encourages us to diffuse the method for the entire project.

  3. A groundwater perspective on the river basin management plan for central Portugal - developing a methodology to assess the potential impact of N fertilizers on groundwater bodies.

    PubMed

    Mendes, M P; Ribeiro, L; Nascimento, J; Condesso de Melo, T; Stigter, T Y; Buxo, A

    2012-01-01

    The Water Framework Directive establishes that the river basin management plans must have a summary of the pressures and impacts of human activities, such as agriculture, on the chemical and quantitative status of groundwater bodies. In order to identify those areas where a potential impact from agricultural activities on groundwater bodies exists, but currently lacking groundwater monitoring data, a methodology was developed that combines the use of gross nitrogen balance values with the results of a specific vulnerability assessment index. A farm management efficiency parameter is added, to identify the factors that contribute to nitrogen use efficiency and to assess the near-future scenarios. This methodology allows the identification of significant pressures that may be responsible for a groundwater body failing good status where there is no representative monitoring network.

  4. Adaptive optimization as a design and management methodology for coal-mining enterprise in uncertain and volatile market environment - the conceptual framework

    NASA Astrophysics Data System (ADS)

    Mikhalchenko, V. V.; Rubanik, Yu T.

    2016-10-01

    The work is devoted to the problem of cost-effective adaptation of coal mines to the volatile and uncertain market conditions. Conceptually it can be achieved through alignment of the dynamic characteristics of the coal mining system and power spectrum of market demand for coal product. In practical terms, this ensures the viability and competitiveness of coal mines. Transformation of dynamic characteristics is to be done by changing the structure of production system as well as corporate, logistics and management processes. The proposed methods and algorithms of control are aimed at the development of the theoretical foundations of adaptive optimization as basic methodology for coal mine enterprise management in conditions of high variability and uncertainty of economic and natural environment. Implementation of the proposed methodology requires a revision of the basic principles of open coal mining enterprises design.

  5. Guidelines in the management of diabetic nerve pain: clinical utility of pregabalin

    PubMed Central

    Vinik, Aaron I; Casellini, Carolina M

    2013-01-01

    Diabetic peripheral neuropathy is a common complication of diabetes. It presents as a variety of syndromes for which there is no universally accepted unique classification. Sensorimotor polyneuropathy is the most common type, affecting about 30% of diabetic patients in hospital care and 25% of those in the community. Pain is the reason for 40% of patient visits in a primary care setting, and about 20% of these have had pain for greater than 6 months. Chronic pain may be nociceptive, which occurs as a result of disease or damage to tissue with no abnormality in the nervous system. In contrast, neuropathic pain is defined as “pain arising as a direct consequence of a lesion or disease affecting the somatosensory system.” Persistent neuropathic pain interferes significantly with quality of life, impairing sleep and recreation; it also significantly impacts emotional well-being, and is associated with depression, anxiety, and noncompliance with treatment. Painful diabetic peripheral neuropathy is a difficult-to-manage clinical problem, and patients with this condition are more apt to seek medical attention than those with other types of diabetic neuropathy. Early recognition of psychological problems is critical to the management of pain, and physicians need to go beyond the management of pain per se if they are to achieve success. This evidence-based review of the assessment of the patient with pain in diabetes addresses the state-of-the-art management of pain, recognizing all the conditions that produce pain in diabetes and the evidence in support of a variety of treatments currently available. A search of the full Medline database for the last 10 years was conducted in August 2012 using the terms painful diabetic peripheral neuropathy, painful diabetic peripheral polyneuropathy, painful diabetic neuropathy and pain in diabetes. In addition, recent reviews addressing this issue were adopted as necessary. In particular, reports from the American Academy of

  6. Management of Large-Scale Wireless Sensor Networks Utilizing Multi-Parent Recursive Area Hierarchies

    SciTech Connect

    Cree, Johnathan V.; Delgado-Frias, Jose

    2013-04-19

    Autonomously configuring and self-healing a largescale wireless sensor network requires a light-weight maintenance protocol that is scalable. Further, in a battery powered wireless sensor network duty-cycling a node’s radio can reduce the power consumption of a device and extend the lifetime of a network. With duty-cycled nodes the power consumption of a node’s radio depends on the amount of communication is must perform and by reducing the communication the power consumption can also be reduced. Multi-parent hierarchies can be used to reduce the communication cost when constructing a recursive area clustering hierarchy when compared to singleparent solutions that utilize inefficient communication methods such as flooding and information propagation via single-hop broadcasts. The multi-parent hierarchies remain scalable and provides a level of redundancy for the hierarchy.

  7. Insights from venous oxygen profiles: oxygen utilization and management in diving California sea lions.

    PubMed

    McDonald, Birgitte I; Ponganis, Paul J

    2013-09-01

    The management and depletion of O2 stores underlie the aerobic dive capacities of marine mammals. The California sea lion (Zalophus californianus) presumably optimizes O2 store management during all dives, but approaches its physiological limits during deep dives to greater than 300 m depth. Blood O2 comprises the largest component of total body O2 stores in adult sea lions. Therefore, we investigated venous blood O2 depletion during dives of California sea lions during maternal foraging trips to sea by: (1) recording venous partial pressure of O2 (P(O2)) profiles during dives, (2) characterizing the O2-hemoglobin (Hb) dissociation curve of sea lion Hb and (3) converting the P(O2) profiles into percent Hb saturation (S(O2)) profiles using the dissociation curve. The O2-Hb dissociation curve was typical of other pinnipeds (P50=28±2 mmHg at pH 7.4). In 43% of dives, initial venous S(O2) values were greater than 78% (estimated resting venous S(O2)), indicative of arterialization of venous blood. Blood O2 was far from depleted during routine shallow dives, with minimum venous S(O2) values routinely greater than 50%. However, in deep dives greater than 4 min in duration, venous S(O2) reached minimum values below 5% prior to the end of the dive, but then increased during the last 30-60 s of ascent. These deep dive profiles were consistent with transient venous blood O2 depletion followed by partial restoration of venous O2 through pulmonary gas exchange and peripheral blood flow during ascent. These differences in venous O2 profiles between shallow and deep dives of sea lions reflect distinct strategies of O2 store management and suggest that underlying cardiovascular responses will also differ.

  8. Clinical utility of azilsartan–chlorthalidone fixed combination in the management of hypertension

    PubMed Central

    Shuster, Jerrica E; Bleske, Barry E; Dorsch, Michael P

    2012-01-01

    Azilsartan–chlorthalidone fixed combination is a new drug in the management of hypertension. Azilsartan has been shown to have greater blood pressure-lowering effects than other angiotensin-receptor blockers (ARBs), and the debate regarding the superiority of chlorthalidone over hydrochlorothiazide has been ongoing for years. The combination is unique because it is the first to partner an ARB with this, possibly more effective, diuretic. This review will address trials involving both components of this drug, as well as phase III trials involving the fixed-combination product. The article will also discuss the benefit of combination therapy in the treatment of hypertension. PMID:22745562

  9. NASA's Management and Utilization of the Small Business Innovative Research (SBIR) Program

    NASA Technical Reports Server (NTRS)

    Mexcur, Winfield Paul

    2003-01-01

    The United Space Congress established the SBIR program in 1982 for the following purposes: ( 1) Stimulate technological innovation (2) Increase private-sector commercialization derived from federal R&D (3) Use small business to meet federal R&D needs (4) Foster and encourage participation by disadvantaged persons and women in technological innovation The STTR program was established in 1992 with the additional requirement of having a small business partner with a research institution (usually a university) for the purpose of transferring intellectual property from the research institution to the small business concern for enabling a government technical need and furthering the technological development for the purpose of developing commercial products. The government of Japan has established a program that models portions of the U.S. SBIR and STTR programs. They are very interested in how NASA has been so successful in fulfilling the Congressional objectives of these programs. In particular, they want to understand the management practices and incentives that are provided to enable partnerships between business enterprises, academia and government. The speech will also focus on some of the many successful technologies (on a conceptual level) that have been developed through NASA s SBIR and STTR programs and mechanisms used to promote cooperation between small businesses, large businesses, academia and government agencies within the United States. The speech is on a conceptual level, focusing on U.S. and NASA policies and management implementation practices. No enabling technical discussion will be held.

  10. The clinical utility of QSM: disease diagnosis, medical management, and surgical planning.

    PubMed

    Eskreis-Winkler, Sarah; Zhang, Yan; Zhang, Jingwei; Liu, Zhe; Dimov, Alexey; Gupta, Ajay; Wang, Yi

    2017-04-01

    Quantitative susceptibility mapping (QSM) is an MR technique that depicts and quantifies magnetic susceptibility sources. Mapping iron, the dominant susceptibility source in the brain, has many important clinical applications. Herein, we review QSM applications in the diagnosis, medical management, and surgical treatment of disease. To assist in early disease diagnosis, QSM can identify elevated iron levels in the motor cortex of amyotrophic lateral sclerosis patients, in the substantia nigra of Parkinson's disease (PD) patients, in the globus pallidus, putamen, and caudate of Huntington's disease patients, and in the basal ganglia of Wilson's disease patients. Additionally, QSM can distinguish between hemorrhage and calcification, which could prove useful in tumor subclassification, and can measure microbleeds in traumatic brain injury patients. In guiding medical management, QSM can be used to monitor iron chelation therapy in PD patients, to monitor smoldering inflammation of multiple sclerosis (MS) lesions after the blood-brain barrier (BBB) seals, to monitor active inflammation of MS lesions before the BBB seals without using gadolinium, and to monitor hematoma volume in intracerebral hemorrhage. QSM can also guide neurosurgical treatment. Neurosurgeons require accurate depiction of the subthalamic nucleus, a tiny deep gray matter nucleus, prior to inserting deep brain stimulation electrodes into the brains of PD patients. QSM is arguably the best imaging tool for depiction of the subthalamic nucleus. Finally, we discuss future directions, including bone QSM, cardiac QSM, and using QSM to map cerebral metabolic rate of oxygen. Copyright © 2016 John Wiley & Sons, Ltd.

  11. Utility of Percutaneous Intervention in the Management of Tunneled Hemodialysis Catheters

    SciTech Connect

    Angle, John F.; Shilling, Alfred T.; Schenk, Worthington G.; Bissonette, Eric A.; Stadtlander, Kevin S.; Hagspiel, Klaus D.; Spinosa, David J.; Leung, Daniel A.; Matsumoto, Alan H.

    2003-02-15

    A variety of interventional techniques have been developed to restore function to dysfunctional tunneled hemodialysis catheters (THC). The relative efficacies of these techniques were evaluated retrospectively to determine which therapy might be most beneficial. The records of malfunctioning THCs referred to interventional radiology between November 1995 and December 1999 were retrospectively reviewed. Dysfunctional THCs were studied using DSA images obtained while injecting contrast through the lumens of the THCs. The interventions performed were categorized into 1 of 5 groups:no treatment or conservative measures such as vigorous flushing;advancing a guidewire through the THC to reposition the catheter tip or to dislodge a small thrombus; catheter exchange over a guidewire; fibrin stripping of the THC using a loop snare; or prolonged (4 or more hr) direct thrombolytic infusion. A Cox Proportional Hazards model was developed to compare the rate of failure among the procedures. There were 340 THC studies. The catheters were managed as follows: 93 patients received conservative management only, 15 had a guidewire advanced through the catheter, 147 underwent catheter exchange, 62 were treated with a fibrin stripping procedure, and 23 received athrombolytic infusion. Estimated 30-day patency rates for THCs were 38.2% for conservative management, 30.9% for guidewire manipulation of catheter tip, 53.6% for catheter exchange, 76.1% for fibrin stripping, and 69.8% for thrombolytic infusion. Differences among the treatments were observed (p < 0.01) and pairwise comparisons were made among the treatment groups. Failure rates were significantly higher in the catheter exchange(p <0.01) and guidewire manipulation at catheter tip (p <0.01) groups when compared with the fibrin stripping group. The catheter exchange and guidewire manipulation groups also experienced higher rates of failure when compared with the thrombolytic infusion group, although the differences were not

  12. Surgical judgment in the management of abdominal stab wounds. Utilizing clinical criteria from a 10-year experience.

    PubMed Central

    Lee, W C; Uddo, J F; Nance, F C

    1984-01-01

    A 10-year retrospective study of patients with stab wounds to the abdomen managed under a protocol of selective management has been performed. Patients were assessed on the basis of clinical presentation and physical examination, with minimal diagnostic studies. Peritoneal lavage was not utilized in the evaluation of the patients. Two hundred and nineteen such patients were identified. One hundred and eleven of these patients were treated nonoperatively. Ninety patients were treated by immediate laparotomy. Eighteen patients, initially observed, underwent delayed laparotomy. One patient, not explored despite clear-cut indications for laparotomy, died of sepsis, emphasizing the need for strict adherence to the stated protocol. The negative or unnecessary laparotomy rate was 7.8%. The false-negative examination rate was 5.5%. Overall mortality rate was 2.3%. The accuracy of careful clinical evaluation and observation is comparable to, or better than, any other method currently available to identify intra-abdominal injuries in patients with abdominal stab wounds. The study suggests that selective management of stab wounds of the abdomen may be safely practiced in a smaller community hospital. PMID:6721604

  13. Behavioral model for Homalodisca vitripennis (Hemiptera: Cicadellidae): optimization of host plant utilization and management implications.

    PubMed

    Mizell, R F; Tipping, C; Andersen, P C; Brodbeck, B V; Hunter, W B; Northfield, T

    2008-10-01

    The glassy-winged sharpshooter, Homalodisca vitripennis (Germar), (Hemiptera: Cicadellidae), is a xylophagous leafhopper native to the southeastern United States and northern Mexico, with recent introductions into California, Arizona, French Polynesia, and Hawaii. It is a primary vector of the xylem-limited bacterium, Xylella fastidiosa Wells et al., the causative agent of Pierce's disease of grape, citrus variegated chlorosis, phony peach, and numerous leaf scorch diseases. H. vitripennis uses several hundred species of host plants for feeding, development, and reproduction. Variation in host utilization allows H. vitripennis to respond to diurnal and seasonal changes in its nutrient-poor food source, xylem fluid, as well as changing nutritional requirements of each leafhopper developmental stage. Here we provide a conceptual model that integrates behavior, life history strategies, and their associated risks with the nutritional requirements of adult and nymphal stages of H. vitripennis. The model is a useful heuristic tool that explains patterns of host plant use, describes insect behavior and ecology, suggests new associations among the ecological components, and most importantly, identifies and supports the development of suppression strategies for X. fastidiosa aimed at reducing vector populations through habitat manipulation.

  14. Applications of space observations to the management and utilization of coastal fishery resources

    NASA Technical Reports Server (NTRS)

    Kemmerer, A. J.; Savastano, K. J.; Faller, K. H.

    1977-01-01

    Information needs of those concerned with the harvest and management of coastal fishery resources can be satisfied in part through applications of satellite remote sensing. Recently completed and ongoing investigations have demonstrated potentials for defining fish distribution patterns from multispectral data, monitoring fishing distribution and effort with synthetic aperture radar systems, forecasting recruitment of certain estuarine-dependent species, and tracking marine mammals. These investigations, which are reviewed in this paper, have relied on Landsat 1 and 2, Skylab-3, and Nimbus-6 supported sensors and sensors carried by aircraft and mounted on surface platforms to simulate applications from Seasat-A and other future spacecraft systems. None of the systems are operational as all were designed to identify and demonstrate applications and to aid in the specification of requirements for future spaceborne systems.

  15. Utilization of a saltwater-marsh ecosystem for the management of seafood-processing wastewater

    SciTech Connect

    Not Available

    1986-10-01

    The report presents the results of a cooperative study that examined the potential for using a saltwater wetland to manage seafood-processing wastewater. An irregularly flooded black needlerush (Juncus roemerianus) marsh located at Point aux Pins in coastal Alabama was selected for the study. The study determined that the application of seafood-processing wastewater to the marsh affected a number of the marsh's water-quality characteristics in direct relation to the wastewater loading rate. However, monitoring of the marsh flora and fauna showed virtually no impact at any of the experimental loading rates. As a result of the study a number of design and loading criteria are suggested for any future projects involving wastewater discharges to saltwater wetlands.

  16. The efficacy of isometric resistance training utilizing handgrip exercise for blood pressure management

    PubMed Central

    Carlson, Debra J.; Inder, Jodie; Palanisamy, Suresh K.A.; McFarlane, James R.; Dieberg, Gudrun; Smart, Neil A.

    2016-01-01

    Abstract Introduction: Hypertension is a major risk factor contributing to cardiovascular disease, which is the number one cause of deaths worldwide. Although antihypertensive medications are effective at controlling blood pressure, current first-line treatment for hypertension is nonpharmacological lifestyle modifications. Recent studies indicate that isometric resistance training (IRT) may also be effective for assisting with blood pressure management. The aim of this study was to determine the efficacy of IRT for blood pressure management and the suitability of a low-intensity working control group. Methods: Forty hypertensive individuals, aged between 36 and 65 years, conducted IRT for 8 weeks. Participants were randomized into 2 groups, working at an intensity of either 5% or 30% of their maximum voluntary contraction. Participants performed 4 × 2 minute isometric handgrip exercises with their nondominant hand, each separated by a 3-minute rest period, 3 days a week. Results: Blood pressure measurements were conducted at baseline and at the end of the protocol using a Finometer. Eight weeks of isometric resistance training resulted in a 7-mmHg reduction of resting systolic blood pressure (SBP) (136 ± 12 to 129 ± 15; P = 0.04) in the 30% group. Reductions of 4 mmHg were also seen in mean arterial pressure (MAP) (100 ± 8 to 96 ± 11; P = 0.04) in the 30% group. There were no statistically significant reductions in diastolic blood pressure for the 30% group, or any of the data for the 5% group. Conclusion: Isometric resistance training conducted using handgrip exercise at 30% of maximum voluntary contraction significantly reduced SBP and MAP. A lack of reduction in blood pressure in the 5% group indicates that a low-intensity group may be suitable as a working control for future studies. PMID:28033302

  17. The multi-year cumulative effects of alternative stocking rate and grazing management practices on pasture productivity and utilization efficiency.

    PubMed

    McCarthy, B; Delaby, L; Pierce, K M; McCarthy, J; Fleming, C; Brennan, A; Horan, B

    2016-05-01

    ) utilization per hectare increased significantly with increasing SR (+0.026 and +0.081 for MSR and HSR, respectively). These results quantify the significant effect of grazing management practices on the feed production capability of modern perennial ryegrass pastures for intensive grazing dairy production systems. Furthermore, these results highlight the importance of consistently imposing grazing treatments over multiple years, and within integrated whole farm systems, to accurately assess the longer term effects of alternate grazing management practices on pasture productivity.

  18. Utility of different glycemic control metrics for optimizing management of diabetes

    PubMed Central

    Kohnert, Klaus-Dieter; Heinke, Peter; Vogt, Lutz; Salzsieder, Eckhard

    2015-01-01

    The benchmark for assessing quality of long-term glycemic control and adjustment of therapy is currently glycated hemoglobin (HbA1c). Despite its importance as an indicator for the development of diabetic complications, recent studies have revealed that this metric has some limitations; it conveys a rather complex message, which has to be taken into consideration for diabetes screening and treatment. On the basis of recent clinical trials, the relationship between HbA1c and cardiovascular outcomes in long-standing diabetes has been called into question. It becomes obvious that other surrogate and biomarkers are needed to better predict cardiovascular diabetes complications and assess efficiency of therapy. Glycated albumin, fructosamin, and 1,5-anhydroglucitol have received growing interest as alternative markers of glycemic control. In addition to measures of hyperglycemia, advanced glucose monitoring methods became available. An indispensible adjunct to HbA1c in routine diabetes care is self-monitoring of blood glucose. This monitoring method is now widely used, as it provides immediate feedback to patients on short-term changes, involving fasting, preprandial, and postprandial glucose levels. Beyond the traditional metrics, glycemic variability has been identified as a predictor of hypoglycemia, and it might also be implicated in the pathogenesis of vascular diabetes complications. Assessment of glycemic variability is thus important, but exact quantification requires frequently sampled glucose measurements. In order to optimize diabetes treatment, there is a need for both key metrics of glycemic control on a day-to-day basis and for more advanced, user-friendly monitoring methods. In addition to traditional discontinuous glucose testing, continuous glucose sensing has become a useful tool to reveal insufficient glycemic management. This new technology is particularly effective in patients with complicated diabetes and provides the opportunity to characterize

  19. Diagnostic and prognostic utility of non-invasive imaging in diabetes management

    PubMed Central

    Barsanti, Cristina; Lenzarini, Francesca; Kusmic, Claudia

    2015-01-01

    Medical imaging technologies are acquiring an increasing relevance to assist clinicians in diagnosis and to guide management and therapeutic treatment of patients, thanks to their non invasive and high resolution properties. Computed tomography, magnetic resonance imaging, and ultrasonography are the most used imaging modalities to provide detailed morphological reconstructions of tissues and organs. In addition, the use of contrast dyes or radionuclide-labeled tracers permits to get functional and quantitative information about tissue physiology and metabolism in normal and disease state. In recent years, the development of multimodal and hydrid imaging techniques is coming to be the new frontier of medical imaging for the possibility to overcome limitations of single modalities and to obtain physiological and pathophysiological measurements within an accurate anatomical framework. Moreover, the employment of molecular probes, such as ligands or antibodies, allows a selective in vivo targeting of biomolecules involved in specific cellular processes, so expanding the potentialities of imaging techniques for clinical and research applications. This review is aimed to give a survey of characteristics of main diagnostic non-invasive imaging techniques. Current clinical appliances and future perspectives of imaging in the diagnostic and prognostic assessment of diabetic complications affecting different organ systems will be particularly addressed. PMID:26131322

  20. The impact of adenine and inventory utilization decisions on blood inventory management.

    PubMed

    Cohen, M A; Pierskalla, W P; Sassetti, R J

    1983-01-01

    The use of citrate-phosphate-dextrose-adenine as an anticoagulant for whole blood increases the storage period permitted for whole blood and red cells from 21 to 35 days. A simulation model was used to analyze the possible consequences for outdates and shortages of the addition of adenine. The model accepts as input (1) the maximum age (21 or 35 days), (2) parameters describing the demand and supply distributions, and (3) parameters describing inventory control (crossmatch recycle period, transfusion fraction, deviation from optimal target inventory levels). These parameters were varied over wide ranges, and a full factorial design was carried out. The observed shortage and outdate rates were then related (via multiple regression) to the parameter values. The resulting shortage and outdate functions indicated the effect of parameter changes, including extending the lifetime from 21 to 35 days, and the joint effect of changing more than one parameter. Conclusions indicate that, while the contribution of an increased lifetime to reducing shortages and outdates can be substantial, this contribution can be easily dissipated by relaxing the tightness of other inventory management controls.

  1. Clinical Utility of Glatiramer Acetate in the Management of Relapse Frequency in Multiple Sclerosis

    PubMed Central

    Fernández, Oscar

    2012-01-01

    Glatiramer acetate (GA) represents one of the most common disease-modifying therapies for multiple sclerosis. GA is currently approved for patients at high risk of developing clinically definite multiple sclerosis (CDMS) after having experienced a well-defined first clinical episode (clinically isolated syndrome or CIS) and for patients with relapsing-remitting multiple sclerosis (RRMS). GA’s efficacy and effectiveness to reduce relapse frequency have been proved in placebo-controlled and observational studies. Comparative trials have also confirmed the lack of significant differences over other choices of treatment in the management of relapse frequency, and long-term studies have supported its effect at extended periods of time. Additionally, RRMS patients with suboptimal response to interferon β may benefit from reduced relapse rate after switching to GA, and those with clinically isolated syndrome may benefit from delayed conversion to CDMS. All these results, together with its proven long-term safety and positive effect on patients’ daily living, support the favorable risk-benefit of GA for multiple sclerosis treatment. PMID:23650472

  2. EU policy on sewage sludge utilization and perspectives on new approaches of sludge management.

    PubMed

    Mininni, G; Blanch, A R; Lucena, F; Berselli, S

    2015-05-01

    This paper presents the current sewage sludge legislation in Europe and expected developments regarding the coming directives on the application of the "End-of-waste" criteria and on fertilizers. Discussion on sludge production and processing is also included. The Directive 86/278 has regulated the use in agriculture of residual sludge from domestic and urban wastewater. After 1986, this directive was transposed in the different member state legislation and currently the national limit values on heavy metals, some organic micropollutants and pathogens are placed in a rather wide range. This seems the inevitable consequence of different attitudes towards sludge management practices in the member states. The discussion by the European Joint Research Center (JRC) in Seville regarding application of end-of-waste criteria for compost and digestate has produced a final document (IPTS 2014) where sludge was excluded from the organic wastes admitted for producing an end-of-waste compost. Sludge processing in Europe seems addressed to different goals: sludge minimization, full stabilization and hygienization by thermal hydrolysis processes before anaerobic digestion, and on-site incineration by fluidized bed furnace. Thermophilic anaerobic digestion was applied with success on the Prague WWTP with a preliminary lysimeter centrifugation. Coming techniques, like wet oxidation and pyrolysis, are applied only on very few plants.

  3. Multi level optimization of burnable poison utilization for advanced PWR fuel management

    NASA Astrophysics Data System (ADS)

    Yilmaz, Serkan

    The objective of this study was to develop an unique methodology and a practical tool for designing burnable poison (BP) pattern for a given PWR core. Two techniques were studied in developing this tool. First, the deterministic technique called Modified Power Shape Forced Diffusion (MPSFD) method followed by a fine tuning algorithm, based on some heuristic rules, was developed to achieve this goal. Second, an efficient and a practical genetic algorithm (GA) tool was developed and applied successfully to Burnable Poisons (BPs) placement optimization problem for a reference Three Mile Island-1 (TMI-1) core. This thesis presents the step by step progress in developing such a tool. The developed deterministic method appeared to perform as expected. The GA technique produced excellent BP designs. It was discovered that the Beginning of Cycle (BOC) Kinf of a BP fuel assembly (FA) design is a good filter to eliminate invalid BP designs created during the optimization process. By eliminating all BP designs having BOC Kinf above a set limit, the computational time was greatly reduced since the evaluation process with reactor physics calculations for an invalid solution is canceled. Moreover, the GA was applied to develop the BP loading pattern to minimize the total Gadolinium (Gd) amount in the core together with the residual binding at End-of-Cycle (EOC) and to keep the maximum peak pin power during core depletion and Soluble boron concentration at BOC both less than their limit values. The number of UO2/Gd2O3 pins and Gd 2O3 concentrations for each fresh fuel location in the core are the decision variables and the total amount of the Gd in the core and maximum peak pin power during core depletion are in the fitness functions. The use of different fitness function definition and forcing the solution movement towards to desired region in the solution space accelerated the GA runs. Special emphasize is given to minimizing the residual binding to increase core lifetime as

  4. SCAP: a new methodology for safety management based on feedback from credible accident-probabilistic fault tree analysis system.

    PubMed

    Khan, F I; Iqbal, A; Ramesh, N; Abbasi, S A

    2001-10-12

    As it is conventionally done, strategies for incorporating accident--prevention measures in any hazardous chemical process industry are developed on the basis of input from risk assessment. However, the two steps-- risk assessment and hazard reduction (or safety) measures--are not linked interactively in the existing methodologies. This prevents a quantitative assessment of the impacts of safety measures on risk control. We have made an attempt to develop a methodology in which risk assessment steps are interactively linked with implementation of safety measures. The resultant system tells us the extent of reduction of risk by each successive safety measure. It also tells based on sophisticated maximum credible accident analysis (MCAA) and probabilistic fault tree analysis (PFTA) whether a given unit can ever be made 'safe'. The application of the methodology has been illustrated with a case study.

  5. The effects of two workplace weight management programs and weight loss on health care utilization and costs

    PubMed Central

    Østbye, Truls; Stroo, Marissa; Eisenstein, Eric L.; Dement, John M.

    2015-01-01

    Objectives Compare the impact of two worksite weight management programs, WM (education) and WM+ (education plus counseling), on health care utilization and costs. Secondarily, compare the intervention groups to an observational control group of obese workers. Finally, evaluate the impact of actual weight loss on these outcomes. Methods Estimate the change in the WM and WM+ intervention groups. Using propensity score adjustment compare the two intervention groups with the observational control group; and compare those who lost weight with those who did not. Results No significant differences between the two intervention groups, or between these intervention groups and the observational control group. Those who lost weight reduced their overall health care costs. Conclusion To achieve weight loss and associated morbidity reductions, more extensive and intensive interventions, with more attention to motivation and compliance, are required. PMID:26849260

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

    NASA Astrophysics Data System (ADS)

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

    2015-12-01

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

  7. How gender, age, and geography influence the utilization of radiation therapy in the management of malignant melanoma

    SciTech Connect

    French, John . E-mail: jfrench@bccancer.bc.ca; McGahan, Colleen; Duncan, Graeme; Lengoc, Sonca; Soo, Jenny; Cannon, Jerry

    2006-11-15

    Purpose: Comparing radiation therapy utilization rates (RTUR) to those predicted by best evidence is a useful measure of the equity and accessibility of service delivery. In this study the RTUR for melanoma was established for British Columbia, Canada, and compared with the rate suggested by the evidence. Demographic variables, specifically age, gender, and geography that influenced the RTUR were examined with a view to identifying methods of improving underutilization. Methods and Materials: The RTUR in the management of malignant melanoma was taken from British Columbia Cancer registry data for 1986 to 1998. Variations in utilization based on age, gender, health authority, stage of disease, and referral patterns were analyzed. Results: An RTUR of 11% was identified. This was consistent over time. Referral rates decreased between 1986 and 1998. RT is used mostly for later stage disease. Males were more likely to receive RT than females, related to later stage of disease in men. Referral rates decreased, but RTUR for referred cases increased, in health authorities that did not have a cancer center. Conclusions: Use of RT is influenced by age and by stage of disease. Overall RTUR in British Columbia is lower than suggested by best evidence. Referral patterns are influenced by geography. RTUR was higher in males, consistent with a different pattern of disease in males compared with females.

  8. Chronic, recurrent low back pain. A methodology for analyzing fitness for duty and managing risk under the Americans with Disabilities Act.

    PubMed

    Johns, R E; Bloswick, D S; Elegante, J M; Colledge, A L

    1994-05-01

    Chronic, recurrent low back pain, although one of the most commonly encountered medical conditions in the workplace, is one of the most difficult to manage. With the passage of the Americans with Disabilities Act, the proper management of the worker with recurrent low back pain poses an even greater challenge. We propose an interdisciplinary methodology to evaluate the worker at high medical risk of recurrent low back pain and determine the potential ergonomic risks of essential function tasks in material-handling work. The proposal considers the ethical and legal liabilities of risk assessment and fitness for duty evaluation that physicians, ergonomists, attorneys, and ultimately business managers and supervisors experience in balancing the societal interests represented by the Americans with Disabilities Act.

  9. Imaging MS Methodology for More Chemical Information in Less Data Acquisition Time Utilizing a Hybrid Linear Ion Trap-Orbitrap Mass Spectrometer

    SciTech Connect

    Perdian, D. C.; Lee, Young Jin

    2010-11-15

    A novel mass spectrometric imaging method is developed to reduce the data acquisition time and provide rich chemical information using a hybrid linear ion trap-orbitrap mass spectrometer. In this method, the linear ion trap and orbitrap are used in tandem to reduce the acquisition time by incorporating multiple linear ion trap scans during an orbitrap scan utilizing a spiral raster step plate movement. The data acquisition time was decreased by 43-49% in the current experiment compared to that of orbitrap-only scans; however, 75% or more time could be saved for higher mass resolution and with a higher repetition rate laser. Using this approach, a high spatial resolution of 10 {micro}m was maintained at ion trap imaging, while orbitrap spectra were acquired at a lower spatial resolution, 20-40 {micro}m, all with far less data acquisition time. Furthermore, various MS imaging methods were developed by interspersing MS/MS and MSn ion trap scans during orbitrap scans to provide more analytical information on the sample. This method was applied to differentiate and localize structural isomers of several flavonol glycosides from an Arabidopsis flower petal in which MS/MS, MSn, ion trap, and orbitrap images were all acquired in a single data acquisition.

  10. A case study review of technical and technology issues for transition of a utility load management program to provide system reliability resources in restructured electricity markets

    SciTech Connect

    Weller, G.H.

    2001-07-15

    Utility load management programs--including direct load control and interruptible load programs--were employed by utilities in the past as system reliability resources. With electricity industry restructuring, the context for these programs has changed; the market that was once controlled by vertically integrated utilities has become competitive, raising the question: can existing load management programs be modified so that they can effectively participate in competitive energy markets? In the short run, modified and/or improved operation of load management programs may be the most effective form of demand-side response available to the electricity system today. However, in light of recent technological advances in metering, communication, and load control, utility load management programs must be carefully reviewed in order to determine appropriate investments to support this transition. This report investigates the feasibility of and options for modifying an existing utility load management system so that it might provide reliability services (i.e. ancillary services) in the competitive markets that have resulted from electricity industry restructuring. The report is a case study of Southern California Edison's (SCE) load management programs. SCE was chosen because it operates one of the largest load management programs in the country and it operates them within a competitive wholesale electricity market. The report describes a wide range of existing and soon-to-be-available communication, control, and metering technologies that could be used to facilitate the evolution of SCE's load management programs and systems to provision of reliability services. The fundamental finding of this report is that, with modifications, SCE's load management infrastructure could be transitioned to provide critical ancillary services in competitive electricity markets, employing currently or soon-to-be available load control technologies.

  11. Uncovering and Managing the Impact of Methodological Choices for the Computational Construction of Socio-Technical Networks from Texts

    DTIC Science & Technology

    2012-01-01

    8  Figure 2: Network analysis process and steps focused on in this thesis (gray... participatory ) web has become a widely used strategy for gathering network data (Parastatidis, Viegas, & Hey, 2009). Popular data sources include...empirical evidence for how these networks differ from overt networks (Baker & Faulkner, 1993). However, this thesis is focused on methodological

  12. Optimized Energy Management for Large Organizations Utilizing an On-Site PHEV fleet, Storage Devices and Renewable Electricity Generation

    SciTech Connect

    Dashora, Yogesh; Barnes, J. Wesley; Pillai, Rekha S; Combs, Todd E; Hilliard, Michael R

    2012-01-01

    Abstract This paper focuses on the daily electricity management problem for organizations with a large number of employees working within a relatively small geographic location. The organization manages its electric grid including limited on-site energy generation facilities, energy storage facilities, and plug-in hybrid electric vehicle (PHEV) charging stations installed in the parking lots. A mixed integer linear program (MILP) is modeled and implemented to assist the organization in determining the temporal allocation of available resources that will minimize energy costs. We consider two cost compensation strategies for PHEV owners: (1) cost equivalent battery replacement reimbursement for utilizing vehicle to grid (V2G) services from PHEVs; (2) gasoline equivalent cost for undercharging of PHEV batteries. Our case study, based on the Oak Ridge National Laboratory (ORNL) campus, produced encouraging results and substantiates the importance of controlled PHEV fleet charging as opposed to uncontrolled charging methods. We further established the importance of realizing V2G capabilities provided by PHEVs in terms of significantly reducing energy costs for the organization.

  13. Association between palliative case management and utilization of inpatient, intensive care unit, emergency department, and hospice in Medicaid beneficiaries.

    PubMed

    Wang, Lin; Piet, Leslie; Kenworthy, Catherine M; Dy, Sydney M

    2015-03-01

    Association between palliative case management (PCM) and the utilization of major health services during the last 30 days of life in Medicaid patients with cancer was assessed using retrospective cohort analysis. There were 132 PCM enrollees in the intervention group and 54 non-PCM enrollees in the comparison group. The intervention group had lower inpatient admission rate than that of the comparison group (56.8% vs 74.1%), lower ICU admission rate (12.9% vs 24.1%), longer mean hospice days (45.8 vs 31.1 days), and lower percentage of persons with death in hospital (24.2% vs 35.9%). No statistically significant differences were found in mean intensive care unit days (8.7 vs 9.7 days), treat-and-release emergency department visit rate (22.0% vs 16.7%), or hospice election rate (65.9% vs 70.4%). Palliative case management may reduce hospitalization and increase hospice use in patients nearing death.

  14. Processing and utilization of LiDAR data as a support for a good management of DDBR

    NASA Astrophysics Data System (ADS)

    Nichersu, I.; Grigoras, I.; Constantinescu, A.; Mierla, M.; Tifanov, C.

    2012-04-01

    Danube Delta Biosphere Reserve (DDBR) has 5,800 km2 as surface and it is situated in the South-East of Europe, in the East of Romania. The paper is taking into account the data related to the elevation surfaces of the DDBR (Digital Terrain Model DTM and Digital Surface Model DSM). To produce such kind of models of elevation for the entire area of DDBR it was used the most modern method that utilizes the Light Detection And Ranging (LiDAR). The raw LiDAR data (x, y, z) for each point were transformed into grid formats for DTM and DSM. Based on these data multiple GIS analyses can be done for management purposes : hydraulic modeling 1D2D scenarios, flooding regime and protection, biomass volume estimation, GIS biodiversity processing. These analyses are very useful in the management planning process. The hydraulic modeling 1D2D scenarios are used by the administrative authority to predict the sense of the fluvial water flow and also to predict the places where the flooding could occur. Also it can be predicted the surface of the terrain that will be occupied by the water from floods. Flooding regime gives information about the frequency of the floods and also the intensity of these. In the same time it could be predicted the time of water remanence period. The protection face of the flooding regime is in direct relation with the socio-cultural communities and all their annexes those that are in risk of being flooded. This raises the problem of building dykes and other flooding protection systems. The biomass volume contains information derived from the LiDAR cloud points that describes only the vegetation. The volume of biomass is an important item in the management of a Biosphere Reserve. Also the LiDAR cloud points that refer to vegetation could help in identifying the groups of vegetal association. All these information corroborated with other information build good premises for a good management. Keywords: Danube Delta Biosphere Reserve, LiDAR data, DTM, DSM

  15. Use of Multiple Methodologies for Developing a Customer-Oriented Model of Total Quality Management in Higher Education

    ERIC Educational Resources Information Center

    Sahney, Sangeeta

    2016-01-01

    Purpose: Educational institutes must embrace the principles of total quality management (TQM) if they seek to remain competitive, and survive and succeed in the long run. An educational institution must embrace the principles of quality management and incorporate them into all of their activities. Starting with a theoretical background, the paper…

  16. Research Management--Of What Nature Is the Concept?

    ERIC Educational Resources Information Center

    Cook, Desmond L.

    Research management is defined as the application of both management and management science to a particular field of research and development activities. Seven components of research management include theory and methodology; the planning, implementation, and evaluation of research programs; communications; utilization; and special applications.…

  17. A comparison of geospatially modeled fire behavior and fire management utility of three data sources in the southeastern United States.

    SciTech Connect

    Hollingsworth, LaWen T.; Kurth, Laurie,; Parresol, Bernard, R.; Ottmar, Roger, D.; Prichard, Susan J.

    2012-01-01

    Landscape-scale fire behavior analyses are important to inform decisions on resource management projects that meet land management objectives and protect values from adverse consequences of fire. Deterministic and probabilistic geospatial fire behavior analyses are conducted with various modeling systems including FARSITE, FlamMap, FSPro, and Large Fire Simulation System. The fundamental fire intensity algorithms in these systems require surface fire behavior fuel models and canopy cover to model surface fire behavior. Canopy base height, stand height, and canopy bulk density are required in addition to surface fire behavior fuel models and canopy cover to model crown fire activity. Several surface fuel and canopy classification efforts have used various remote sensing and ecological relationships as core methods to develop the spatial layers. All of these methods depend upon consistent and temporally constant interpretations of crown attributes and their ecological conditions to estimate surface fuel conditions. This study evaluates modeled fire behavior for an 80,000 ha tract of land in the Atlantic Coastal Plain of the southeastern US using three different data sources. The Fuel Characteristic Classification System (FCCS) was used to build fuelbeds from intensive field sampling of 629 plots. Custom fire behavior fuel models were derived from these fuelbeds. LANDFIRE developed surface fire behavior fuel models and canopy attributes for the US using satellite imagery informed by field data. The Southern Wildfire Risk Assessment (SWRA) developed surface fire behavior fuel models and canopy cover for the southeastern US using satellite imagery. Differences in modeled fire behavior, data development, and data utility are summarized to assist in determining which data source may be most applicable for various land management activities and required analyses. Characterizing fire behavior under different fuel relationships provides insights for natural ecological

  18. Electric portfolio modeling with stochastic water - climate interactions: Implications for co-management of water and electric utilities

    NASA Astrophysics Data System (ADS)

    Woldeyesus, Tibebe Argaw

    Water supply constraints can significantly restrict electric power generation, and such constraints are expected to worsen with future climate change. The overarching goal of this thesis is to incorporate stochastic water-climate interactions into electricity portfolio models and evaluate various pathways for water savings in co-managed water-electric utilities. Colorado Springs Utilities (CSU) is used as a case study to explore the above issues. The thesis consists of three objectives: Characterize seasonality of water withdrawal intensity factors (WWIF) for electric power generation and develop a risk assessment framework due to water shortages; Incorporate water constraints into electricity portfolio models and evaluate the impact of varying capital investments (both power generation and cooling technologies) on water use and greenhouse gas emissions; Compare the unit cost and overall water savings from both water and electric sectors in co-managed utilities to facilitate overall water management. This thesis provided the first discovery and characterization of seasonality of WWIF with distinct summertime and wintertime variations of +/-17% compared to the power plant average (0.64gal/kwh) which itself is found to be significantly higher than the literature average (0.53gal/kwh). Both the streamflow and WWIF are found to be highly correlated with monthly average temperature (r-sq = 89%) and monthly precipitation (r-sq of 38%) enabling stochastic simulation of future WWIF under moderate climate change scenario. Future risk to electric power generation also showed the risk to be underestimated significantly when using either the literature average or the power plant average WWIF. Seasonal variation in WWIF along with seasonality in streamflow, electricity demand and other municipal water demands along with storage are shown to be important factors for more realistic risk estimation. The unlimited investment in power generation and/or cooling technologies is also

  19. Painful diabetic peripheral neuropathy in a managed care setting: patient identification, prevalence estimates, and pharmacy utilization patterns.

    PubMed

    Hartsfield, Cynthia L; Korner, Eli J; Ellis, Jennifer L; Raebel, Marsha A; Merenich, John; Brandenburg, Nancy

    2008-12-01

    The objectives of this study were to validate an algorithm for identifying patients with painful diabetic peripheral neuropathy (pDPN) and demonstrate its practical applications. Using the Kaiser Permanente Colorado Diabetes Registry, an algorithm was developed with selected ICD-9 diagnosis codes combined with automated pharmacy data for medications prescribed for pDPN symptoms. Medical records were reviewed to confirm pDPN presence and to inform algorithm refinement. Prevalence was estimated with a numerator of members with diabetes who had inclusion but no exclusion codes in 2003 (Method 1) and with a numerator of diabetes patients with inclusion codes between 1998 and 2003 who had no subsequent exclusion codes and who remained members in 2003 (Method 2); the denominator was all members with diabetes in 2003. Medication utilization was compared between patients with and without pDPN. A total of 19,577 members with diabetes were identified; 2612 met initial inclusion criteria. Medical record review (n = 298) demonstrated sensitivity of 94%, specificity of 55%, and positive predictive value (PPV) of 64%. Inclusion criteria were modified and pharmacy data eliminated. The revised algorithm identified 1754 additional patients meeting inclusion criteria. Medical record review (n = 190) demonstrated sensitivity of 99%, specificity of 49%, and PPV of 79%. Using the validated algorithm, pDPN prevalence was 113 (Method 1) and 208 (Method 2) per 1000 persons with diabetes. Significant differences were observed in medication prescriptions between patients with and without pDPN. Estimated pDPN prevalence among persons with diabetes was 11%-21% and pDPN patients had greater utilization of selected medications than those without pDPN. Identifying patients with pDPN is a fundamental step for improving disease management and understanding the economic impact of pDPN.

  20. A Methodology for Doctrine in Modeling and Simulation: Battle Management Language (BML) and the Mission to Means Framework (MMF)

    DTIC Science & Technology

    2004-09-01

    and Means Framework (MMF - a framework for explicitly specifying the military mission and quantitatively evaluating the mission utility of alternative...In collaboration with the US Army and selected US Naval and US Air Force projects, the Defense Modeling and Simulation Office developed the Missions

  1. Green Remediation Best Management Practices: Overview of EPA's Methodology to Address the Environmental Footprint of Site Cleanup

    EPA Pesticide Factsheets

    Contaminated site cleanups involving complex activities may benefit from a detailed environmental footprint analysis to inform decision-making about application of suitable best management practices for greener cleanups.

  2. [Utility of 8-colours multiparameter flow cytometry immunophenotyping of plasma cells for the management of monoclonal gammopathy].

    PubMed

    Gressier, Mélanie; Chaquin, Michael; Lhermitte, Ludovic; Asnafi, Vahid; Macintyre, Elizabeth; Brouzes, Chantal

    2013-01-01

    Bone marrow flow cytometric analysis is a powerful and rapid tool for evaluating aberrant plasma cell. In this study, we have examined the utility of multiparameter flow cytometry (MFC) in 52 patients with multiple myeloma (MM) and in 45 patients with monoclonal gammopathy with unknown significance (MGUS) into routine evaluation for the management of patients with plasma cell-related disorders. The plasma cells (PC) were identified by their light scatter distribution and reactivity patterns to CD138, CD38, and CD45. The combination of these parameters was helpful for identifying distinct subpopulations of PCs. Moderate to bright expression of CD56, CD20, CD24, CD28, and CD117 was detected in 67%, 26%, 13%, 27%, and 57% of MM cases and in 58%, 20%, 11%, 43% and 44% of MGUS cases, respectively. In MGUS group, the median percentage abnormal PCs/total PCs was 88% with 37 patients out of 45 (82%) with ratio <95%. The median ratio of the MM group was 98.9% and a ratio ≥ 95% was observed in 37 samples out of 44 (84%). In conclusion, MFC immunophenotyping of PCs has obvious clinical relevance in differential diagnosis between MM and others monoclonal gammopathies, identification of high-risk MGUS and smouldering MM, and minimal residual disease monitoring of MM. Our results showed that this tool can be easily applied in haematology laboratories.

  3. Utility of the 2006 Sendai and 2012 Fukuoka guidelines for the management of intraductal papillary mucinous neoplasm of the pancreas

    PubMed Central

    Hsiao, Chih-Yang; Yang, Ching-Yao; Wu, Jin-Ming; Kuo, Ting-Chun; Tien, Yu-Wen

    2016-01-01

    Abstract This study aimed to evaluate the utility of the 2006 Sendai and 2012 Fukuoka guidelines for differentiating malignant intraductal papillary mucinous neoplasm (IPMN) of the pancreas from benign IPMN. Between January 2000 and March 2015, a total of 138 patients underwent surgery and had a pathologically confirmed pancreatic IPMN. Clinicopathological parameters were reviewed, and all patients were classified according to both the 2006 Sendai and 2012 Fukuoka guidelines. Univariate and multivariate analyses were used for identifying significant factors associated with malignancy in IPMN. There were 9 high-grade dysplasia (HGD) and 37 invasive cancers (ICs) in the 138 patients. The positive predictive value (PPV) and negative predictive value (NPV) of the Sendai and Fukuoka guidelines for HGD/IC was 35.1%, 43.3%, 100%, and 85.4%, respectively. Of the 36 patients with worrisome features using the Fukuoka guideline, 7 patients had HGD/IC in their IPMNs. According to the multivariate analysis, jaundice, tumors of ≥3 cm, presence of mural nodule on imaging, and aged <65 years were associated with HGD/IC in patients with IPMN. The Sendai guideline had a better NPV, but the Fukuoka guideline had a better PPV. We suggest that patients with worrisome features based on the Fukuoka guideline be aggressively managed. PMID:27661043

  4. The methodology of variable management of propellant fuel consumption by jet-propulsion engines of a spacecraft

    NASA Astrophysics Data System (ADS)

    Kovtun, V. S.

    2012-12-01

    Traditionally, management of propellant fuel consumption on board of a spacecraft is only associated with the operation of jet-propulsion engines (JPE) that are actuator devices of motion control systems (MCS). The efficiency of propellant fuel consumption depends not only on the operation of the MCS, but also, to one extent or another, on all systems functioning on board of a spacecraft, and on processes that occur in them and involve conversion of variable management of propellant fuel consumption by JPEs as a constituent part of the control of the complex process of spacecraft flight.

  5. Comparison of the solid waste management practices of coal-fired electric utility participants in the Clean Coal Technology Program of the Pittsburgh Energy Technology Center

    SciTech Connect

    Ruppel, T.C.

    1994-12-31

    The Clean Coal Technology (CCT) Program is at a stage where meaningful comparisons can be drawn regarding the practices of the utility participants in the handling of the solid waste and by-products produced by the combustion of coal. The waste management practices of American industry have come under intense scrutiny in recent years, mainly through the Resource Conservation and Recovery Act (RCRA) of 1976 and its amendments. The waste management practices of the coal-fired electric utility industry are no exception, having been the subject of a major report and recent decision by the Environmental Protection Agency (EPA). Coal-fired utilities in the United States are becoming veritable chemicals plants in an attempt to operate clearly. The present review examines the solid waste management practices of the coal-fired electric utility industrial participants in the US Department of Energy`s (DOE`s) CCT Program. No clean coal technologies have been commercialized yet, so no information concerning commercialized waste disposal practices is available. This review is limited to a discussion of clean coal demonstration projects; but it is also an attempt to realistically project what may be expected in the way of waste management from commercialized CCT technologies.

  6. The Impact of Managed Care on the Utilization of Child and Adolescent Mental Health Services: Recidivists in an Emergency Screening Team Site. Symposium.

    ERIC Educational Resources Information Center

    Nicholson, Joanne; Simon, Lorna; Dine-Young, Stephen; Mara, Joseph R.

    This collection of symposium paper summaries presents analyses of data addressing the role of system changes in decision-making and service utilization in child and adolescent mental health emergencies. The analyses compare data for child and adolescent (C/A) recidivists at mental health emergency screening sites in pre-and post-managed care time…

  7. 10 CFR 766.102 - Calculation methodology.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Calculation methodology. 766.102 Section 766.102 Energy... ASSESSMENT OF DOMESTIC UTILITIES Procedures for Special Assessment § 766.102 Calculation methodology. (a) Calculation of Domestic Utilities' Annual Assessment Ratio to the Fund. Domestic utilities shall be...

  8. Methodological Gravitism

    ERIC Educational Resources Information Center

    Zaman, Muhammad

    2011-01-01

    In this paper the author presents the case of the exchange marriage system to delineate a model of methodological gravitism. Such a model is not a deviation from or alteration to the existing qualitative research approaches. I have adopted culturally specific methodology to investigate spouse selection in line with the Grounded Theory Method. This…

  9. Active CO2 Reservoir Management for Carbon Capture, Utilization, and Sequestration: Impact on Permitting, Monitoring, and Public Acceptance

    NASA Astrophysics Data System (ADS)

    Buscheck, T. A.; Chen, M.; Sun, Y.; Hao, Y.; Court, B.; Celia, M. A.; Wolery, T.; Aines, R. D.

    2011-12-01

    CO2 capture and sequestration (CCS) integrated with geothermal energy production in deep geological formations can play an important role in reducing CO2 emissions to the atmosphere and thereby mitigate global climate change. For industrial-scale CO2 injection in saline formations, pressure buildup can limit storage capacity and security. Active CO2 Reservoir Management (ACRM) combines brine production with CO2 injection to relieve pressure buildup, increase injectivity, manipulate CO2 migration, constrain brine leakage, and enable beneficial utilization of produced brine. Therefore, ACRM can be an enabler of carbon capture, utilization, and sequestration (CCUS). Useful products may include freshwater, cooling water, make-up water for pressure support in oil, gas, and geothermal reservoir operations, and geothermal energy production. Implementation barriers to industrial-scale CCS include concerns about (1) CO2 sequestration security and assurance, (2) pore-space competition with neighboring subsurface activities, (3) CO2 capture costs, and (4) water-use demands imposed by CCS operations, which is particularly important where water resources are already scarce. CCUS, enabled by ACRM, has the potential of addressing these barriers. Pressure relief from brine production can substantially reduce the driving force for potential CO2 and brine migration, as well as minimize interference with neighboring subsurface activities. Electricity generated from geothermal energy can offset a portion of the parasitic energy and financial costs of CCS. Produced brine can be used to generate freshwater by desalination technologies, such as RO, provide a source for saltwater cooling systems or be used as make-up water for oil, gas, or geothermal reservoir operations, reducing the consumption of valuable freshwater resources. We examine the impact of brine production on reducing CO2 and brine leakage. A volumetric balance between injected and produced fluids minimizes the spatial

  10. Development of a Methodology for Selecting Criteria and Indicators of Sustainable Forest Management: A Case Study on Participatory Assessment

    NASA Astrophysics Data System (ADS)

    Mendoza, Guillermo A.; Prabhu, Ravi

    2000-12-01

    This paper describes an application of multiple criteria analysis (MCA) in assessing criteria and indicators adapted for a particular forest management unit. The methods include: ranking, rating, and pairwise comparisons. These methods were used in a participatory decision-making environment where a team representing various stakeholders and professionals used their expert opinions and judgements in assessing different criteria and indicators (C&I) on the one hand, and how suitable and applicable they are to a forest management unit on the other. A forest concession located in Kalimantan, Indonesia, was used as the site for the case study. Results from the study show that the multicriteria methods are effective tools that can be used as structured decision aids to evaluate, prioritize, and select sets of C&I for a particular forest management unit. Ranking and rating approaches can be used as a screening tool to develop an initial list of C&I. Pairwise comparison, on the other hand, can be used as a finer filter to further reduce the list. In addition to using these three MCA methods, the study also examines two commonly used group decision-making techniques, the Delphi method and the nominal group technique. Feedback received from the participants indicates that the methods are transparent, easy to implement, and provide a convenient environment for participatory decision-making.

  11. Utilizing NASA Earth Observations to Monitor Land Management Practices and the Development of Marshlands to Rice Fields in Rwanda

    NASA Astrophysics Data System (ADS)

    Dusabimana, M. R.; Blach, D.; Mwiza, F.; Muzungu, E.; Swaminathan, R.; Tate, Z.

    2014-12-01

    Rwanda, a small country with the highest population density in Sub-Saharan Africa, is one of the world's poorest countries. Although agriculture is the backbone of Rwandan economy, agricultural productivity is extremely low. Over 90 % of the population is engaged in subsistence farming and only 52 % of the total land surface area is arable. Of this land, approximately 165,000 hectares are marshlands, of which only 57 % has been cultivated. Rwandan government has invested in the advancement of agriculture with activities such as irrigation, marshland reclamation, and crop regionalization. In 2001, Ministry of Agriculture and Animal Resources (MINAGRI) released the Rural Sector Support Program (RSSP), which aimed at converting marshlands into rice fields at various development sites across the country. The focus of this project was to monitor rice fields in Rwanda utilizing NASA Earth observations such as Landsat 5 Thematic Mapper and Landsat 8 Operational Land Imager. Modified Normalized Difference Water Index (MNDWI) was used to depict the progress of marshland to rice field conversion as it highlights the presence of irrigated rice fields from the surrounding area. Additionally, Decision Support System for Agrotechnology Transfer (DSSAT) was used to estimate rice yield at RSSP sites. Various simulations were run to find perfect conditions for cultivating the highest yield for a given farm. Furthermore, soil erosion susceptibility masks were created by combining factors derived from ASTER, MERRA, and ground truth data using Revised Universal Soil Loss Equation (RUSLE). The end results, maps, and tutorials were delivered to the partners and policy makers in Rwanda to help make informed decisions. It can be clearly seen that Earth observations can be successfully used to monitor agricultural and land management practices as a cost effective method that will enable farmers to improve crop yield production and food security.

  12. The importance of grasslands for animal production and other functions: a review on management and methodological progress in the tropics.

    PubMed

    Boval, M; Dixon, R M

    2012-05-01

    The global importance of grasslands is indicated by their extent; they comprise some 26% of total land area and 80% of agriculturally productive land. The majority of grasslands are located in tropical developing countries where they are particularly important to the livelihoods of some one billion poor peoples. Grasslands clearly provide the feed base for grazing livestock and thus numerous high-quality foods, but such livestock also provide products such as fertilizer, transport, traction, fibre and leather. In addition, grasslands provide important services and roles including as water catchments, biodiversity reserves, for cultural and recreational needs, and potentially a carbon sink to alleviate greenhouse gas emissions. Inevitably, such functions may conflict with management for production of livestock products. Much of the increasing global demand for meat and milk, particularly from developing countries, will have to be supplied from grassland ecosystems, and this will provide difficult challenges. Increased production of meat and milk generally requires increased intake of metabolizable energy, and thus increased voluntary intake and/or digestibility of diets selected by grazing animals. These will require more widespread and effective application of improved management. Strategies to improve productivity include fertilizer application, grazing management, greater use of crop by-products, legumes and supplements and manipulation of stocking rate and herbage allowance. However, it is often difficult to predict the efficiency and cost-effectiveness of such strategies, particularly in tropical developing country production systems. Evaluation and on-going adjustment of grazing systems require appropriate and reliable assessment criteria, but these are often lacking. A number of emerging technologies may contribute to timely low-cost acquisition of quantitative information to better understand the soil-pasture-animal interactions and animal management in

  13. Assisting Australian indigenous resource management and sustainable utilization of species through the use of GIS and environmental modeling techniques.

    PubMed

    Gorman, Julian; Pearson, Diane; Whitehead, Peter

    2008-01-01

    Information on distribution and relative abundance of species is integral to sustainable management, especially if they are to be harvested for subsistence or commerce. In northern Australia, natural landscapes are vast, centers of population few, access is difficult, and Aboriginal resource centers and communities have limited funds and infrastructure. Consequently defining distribution and relative abundance by comprehensive ground survey is difficult and expensive. This highlights the need for simple, cheap, automated methodologies to predict the distribution of species in use, or having potential for use, in commercial enterprise. The technique applied here uses a Geographic Information System (GIS) to make predictions of probability of occurrence using an inductive modeling technique based on Bayes' theorem. The study area is in the Maningrida region, central Arnhem Land, in the Northern Territory, Australia. The species examined, Cycas arnhemica and Brachychiton diversifolius, are currently being 'wild harvested' in commercial trials, involving sale of decorative plants and use as carving wood, respectively. This study involved limited and relatively simple ground surveys requiring approximately 7 days of effort for each species. The overall model performance was evaluated using Cohen's kappa statistics. The predictive ability of the model for C. arnhemica was classified as moderate and for B. diversifolius as fair. The difference in model performance can be attributed to the pattern of distribution of these species. C. arnhemica tends to occur in a clumped distribution due to relatively short distance dispersal of its large seeds and vegetative growth from long-lived rhizomes, while B. diversifolius seeds are smaller and more widely dispersed across the landscape. The output from analysis predicts trends in species distribution that are consistent with independent on-site sampling for each species and therefore should prove useful in gauging the extent of

  14. Risk management for drinking water safety in low and middle income countries - cultural influences on water safety plan (WSP) implementation in urban water utilities.

    PubMed

    Omar, Yahya Y; Parker, Alison; Smith, Jennifer A; Pollard, Simon J T

    2017-01-15

    We investigated cultural influences on the implementation of water safety plans (WSPs) using case studies from WSP pilots in India, Uganda and Jamaica. A comprehensive thematic analysis of semi-structured interviews (n=150 utility customers, n=32 WSP 'implementers' and n=9 WSP 'promoters'), field observations and related documents revealed 12 cultural themes, offered as 'enabling', 'limiting', or 'neutral', that influence WSP implementation in urban water utilities to varying extents. Aspects such as a 'deliver first, safety later' mind set; supply system knowledge management and storage practices; and non-compliance are deemed influential. Emergent themes of cultural influence (ET1 to ET12) are discussed by reference to the risk management, development studies and institutional culture literatures; by reference to their positive, negative or neutral influence on WSP implementation. The results have implications for the utility endorsement of WSPs, for the impact of organisational cultures on WSP implementation; for the scale-up of pilot studies; and they support repeated calls from practitioner communities for cultural attentiveness during WSP design. Findings on organisational cultures mirror those from utilities in higher income nations implementing WSPs - leadership, advocacy among promoters and customers (not just implementers) and purposeful knowledge management are critical to WSP success.

  15. [Human activities, hydro-agricultural management and urinary schistosomiasis. Methodological approach and results (a preliminary study in Upper-Volta)].

    PubMed

    Le Bras, M; Faucher, P; Giap, G; Meric, D; Commenges, D; Villenave, D; Camara, S; Gatheron, C; Appriou, M

    1982-01-01

    In the schistosomiasis endemic sub-sahelian region, a study of the prevalence of the disease was carried out on three different areas: the highest was around a small river, the lowest in the hydro-agricultural management region, mean prevalence was noted around a natural lake. Human activities have been classified with regards to the areas of transmission. Activity is closely linked to prevalence. For the populations, symptoms of urinary schistosomiasis (Rudzenga) constitute a real disease, traditional healers are the masters of earth (Tengsoba), water has hardly any importance in transmission.

  16. [Evaluating the effectiveness of a disease management program diabetes in the German Statutory Health Insurance: first results and methodological considerations].

    PubMed

    Drabik, Anna; Graf, Christian; Büscher, Guido; Stock, Stephanie

    2012-01-01

    Disease management programs (DMPs) were implemented in the German Statutory Health Insurance (SHI) in a nationwide rollout in 2002. The explicit goal of the programs is to improve coordination and quality of care for the chronically ill (Sect. 137f, SGB V). To reach this goal extensive quality assurance measures in the programs are mandatory, enrolment and coordination of care rests with the primary care or DMP physician, treatment is based on evidence-based care guidelines, and patients are offered diabetes education classes to support self-management. The present study evaluates the DMP diabetes mellitus type II, a nationwide program offered by the BARMER, a German health insurance company. To minimize selection bias we formed a control group of administrative data using a propensity score matching approach. In comparison to the control group DMP participants have a significantly lower mortality rate, and their average drug and hospital costs are reduced. Enrolled patients also had a lower mean number of hospital stays and shorter hospital stays. These results indicate that the programs meet the initial goal of improving the quality of care for the chronically ill.

  17. Distributed mixed-integer fuzzy hierarchical programming for municipal solid waste management. Part I: System identification and methodology development.

    PubMed

    Cheng, Guanhui; Huang, Guohe; Dong, Cong; Xu, Ye; Chen, Xiujuan; Chen, Jiapei

    2017-03-01

    Due to the existence of complexities of heterogeneities, hierarchy, discreteness, and interactions in municipal solid waste management (MSWM) systems such as Beijing, China, a series of socio-economic and eco-environmental problems may emerge or worsen and result in irredeemable damages in the following decades. Meanwhile, existing studies, especially ones focusing on MSWM in Beijing, could hardly reflect these complexities in system simulations and provide reliable decision support for management practices. Thus, a framework of distributed mixed-integer fuzzy hierarchical programming (DMIFHP) is developed in this study for MSWM under these complexities. Beijing is selected as a representative case. The Beijing MSWM system is comprehensively analyzed in many aspects such as socio-economic conditions, natural conditions, spatial heterogeneities, treatment facilities, and system complexities, building a solid foundation for system simulation and optimization. Correspondingly, the MSWM system in Beijing is discretized as 235 grids to reflect spatial heterogeneity. A DMIFHP model which is a nonlinear programming problem is constructed to parameterize the Beijing MSWM system. To enable scientific solving of it, a solution algorithm is proposed based on coupling of fuzzy programming and mixed-integer linear programming. Innovations and advantages of the DMIFHP framework are discussed. The optimal MSWM schemes and mechanism revelations will be discussed in another companion paper due to length limitation.

  18. Toward utilization of data for program management and evaluation: quality assessment of five years of health management information system data in Rwanda

    PubMed Central

    Nisingizwe, Marie Paul; Iyer, Hari S.; Gashayija, Modeste; Hirschhorn, Lisa R.; Amoroso, Cheryl; Wilson, Randy; Rubyutsa, Eric; Gaju, Eric; Basinga, Paulin; Muhire, Andrew; Binagwaho, Agnès; Hedt-Gauthier, Bethany

    2014-01-01

    Background Health data can be useful for effective service delivery, decision making, and evaluating existing programs in order to maintain high quality of healthcare. Studies have shown variability in data quality from national health management information systems (HMISs) in sub-Saharan Africa which threatens utility of these data as a tool to improve health systems. The purpose of this study is to assess the quality of Rwanda's HMIS data over a 5-year period. Methods The World Health Organization (WHO) data quality report card framework was used to assess the quality of HMIS data captured from 2008 to 2012 and is a census of all 495 publicly funded health facilities in Rwanda. Factors assessed included completeness and internal consistency of 10 indicators selected based on WHO recommendations and priority areas for the Rwanda national health sector. Completeness was measured as percentage of non-missing reports. Consistency was measured as the absence of extreme outliers, internal consistency between related indicators, and consistency of indicators over time. These assessments were done at the district and national level. Results Nationally, the average monthly district reporting completeness rate was 98% across 10 key indicators from 2008 to 2012. Completeness of indicator data increased over time: 2008, 88%; 2009, 91%; 2010, 89%; 2011, 90%; and 2012, 95% (p<0.0001). Comparing 2011 and 2012 health events to the mean of the three preceding years, service output increased from 3% (2011) to 9% (2012). Eighty-three percent of districts reported ratios between related indicators (ANC/DTP1, DTP1/DTP3) consistent with HMIS national ratios. Conclusion and policy implications Our findings suggest that HMIS data quality in Rwanda has been improving over time. We recommend maintaining these assessments to identify remaining gaps in data quality and that results are shared publicly to support increased use of HMIS data. PMID:25413722

  19. Analog Ensemble Methodology: Expansion and Optimization for Renewable Energy Applications

    NASA Astrophysics Data System (ADS)

    Harding, L.; Cervone, G.; Delle Monache, L.

    2015-12-01

    Renewable energy is fundamental for sustaining and developing society. Solar and wind energy are promising sources because of their decreased environmental impact relative to conventional energy sources, improved efficiency, and increased use. A key challenge with renewable energy production is the generation of accurate renewable energy forecasts at varying spatial and temporal scales to assist utility companies in effective energy management. Specifically, this research applies the Analog Ensemble (AnEn) methodology to short-term (0-48 hour) wind speed forecasting for power generation and short-term (0-72) hour solar power measured (PM) output predictions. AnEn uses a set of past observations corresponding to the best analogs of a deterministic numerical weather prediction model to generate a probability distribution of future atmospheric states: an ensemble of analogs. Currently the AnEn methodology equally weights predictors and only handles 1D(time). We determine an optimal distribution of predictor weights based upon parameter characteristics, investigate spatial variations in the application of the methodology and develop a theory expanding the methodology into 2D. The AnEn methodology improves short-term prediction accuracy, decreases computational costs and provides uncertainty quantification allowing utility companies to manage over- or under power generation for renewable energy sources.

  20. Reading the Tea Leaves: How Utilities in the West Are Managing Carbon Regulatory Risk in their Resource Plans

    SciTech Connect

    Barbose, Galen; Wiser, Ryan; Phadke, Amol; Goldman, Charles

    2008-02-01

    The long economic lifetime and development lead-time of many electric infrastructure investments requires that utility resource planning consider potential costs and risks over a lengthy time horizon. One long-term -- and potentially far-reaching -- risk currently facing the electricity industry is the uncertain cost of future carbon dioxide (CO2) regulations. Recognizing the importance of this issue, many utilities (sometimes spurred by state regulatory requirements) are beginning to actively assess carbon regulatory risk within their resource planning processes, and to evaluate options for mitigating that risk. However, given the relatively recent emergence of this issue and the rapidly changing political landscape, methods and assumptions used to analyze carbon regulatory risk, and the impact of this analysis on the selection of a preferred resource portfolio, vary considerably across utilities. In this study, we examine the treatment of carbon regulatory risk in utility resource planning, through a comparison of the most-recent resource plans filed by fifteen investor-owned and publicly-owned utilities in the Western U.S. Together, these utilities account for approximately 60percent of retail electricity sales in the West, and cover nine of eleven Western states. This report has two related elements. First, we compare and assess utilities' approaches to addressing key analytical issues that arise when considering the risk of future carbon regulations. Second, we summarize the composition and carbon intensity of the preferred resource portfolios selected by these fifteen utilities and compare them to potential CO2 emission benchmark levels.

  1. The structure, organisation and perioperative management of ambulatory surgery and anaesthesia in France: Methodology of the SFAR-OPERA study.

    PubMed

    Albaladejo, Pierre; Aubrun, Frédéric; Samama, Charles-Marc; Jouffroy, Laurent; Beaussier, Marc; Benhamou, Dan; Romegoux, Pauline; Skaare, Kristina; Bosson, Jean-Luc; Ecoffey, Claude

    2016-11-29

    The organization of health care establishments and perioperative care are essential for ensuring the quality of care and safety of patients undergoing outpatient surgery. In order to correctly inventory these organizations and practices, in 2013-2014, the French society of anaesthesia and intensive care organized an extensive practical survey in French ambulatory surgery units entitled the "OPERA" study (Organisation periopératoire de l'anesthésie en chirurgie ambulatoire). From among all of the ambulatory surgery centres listed by the Agences régionales de santé (Regional health agencies, France), 206 public and private centres were randomly selected. A structural (typology, organization) survey and a medical-practice survey (focusing on the management of postoperative pain, nausea and vomiting as well as the prevention of venous thromboembolism) were collected and managed by a prospective audit of practices occurring on two randomly selected days. The latter was further accompanied by an additional audit specifically focussing on ten representative procedures: (1) stomatology surgery (third molar removal); (2) knee arthroscopy; (3) surgery of the abdominal wall (including inguinal hernia); (4) perianal surgery; (5) varicose vein surgery; (6) digestive laparoscopy-cholecystectomy; (7) breast surgery (tumourectomy); (8) uterine surgery; (9) hallux valgus and (10) hand surgery (excluding carpal tunnel). Over the 2 days of observation, 7382 patients were included comprising 2174 patients who underwent one of the procedures from the above list. The analysis of these data will provide an overview of the organization of health establishments, the modalities thus supported and compliance with standards.

  2. Microsatellite cross-species amplification and utility in southern African elasmobranchs: A valuable resource for fisheries management and conservation

    PubMed Central

    2014-01-01

    Background Similarly to the rest of the world, southern Africa’s diverse chondrichthyan fauna is currently experiencing high fishing pressures from direct and non-direct fisheries to satisfy market demands for shark products such as fins and meat. In this study, the development of microsatellite markers through cross-species amplification of primer sets previously developed for closely related species is reported as an alternative approach to de novo marker development. This included the design of four microsatellite multiplex assays and their cross-species utility in genetic diversity analysis of southern African elasmobranchs. As this study forms part of a larger project on the development of genetic resources for commercially important and endemic southern African species, Mustelus mustelus was used as a candidate species for testing these multiplex assays in down-stream applications. Results Thirty five microsatellite primer sets previously developed for five elasmobranch species were selected from literature for testing cross-species amplification in 16 elasmobranch species occurring in southern Africa. Cross-species amplification success rates ranged from 28.6%-71.4%. From the successfully amplified microsatellites, 22 loci were selected and evaluated for levels of polymorphism, and four multiplex assays comprising of the 22 microsatellites were successfully constructed, optimised and characterised in a panel of 87 Mustelus mustelus individuals. A total of 125 alleles were observed across all loci, with the number of alleles ranging from 3–12 alleles. Cross-species amplification of the four optimised multiplex assays was further tested on 11 commercially important and endemic southern African elasmobranch species. Percentage of polymorphism ranged from 31.8%-95.5% in these species with polymorphic information content decreasing exponentially with evolutionary distance from the source species. Conclusions Cross-species amplification of the 35

  3. International utilization and operations

    NASA Technical Reports Server (NTRS)

    Goldberg, Stanley R.

    1989-01-01

    The international framework of the Space Station Freedom Program is described. The discussion covers the U.S. space policy, international agreements, international Station elements, overall program management structure, and utilization and operations management. Consideration is also given to Freedom's user community, Freedom's crew, pressurized payload and attached payload accommodations, utilization and operations planning, user integration, and user operations.

  4. Utility and Scope of Rapid Prototyping in Patients with Complex Muscular Ventricular Septal Defects or Double-Outlet Right Ventricle: Does it Alter Management Decisions?

    PubMed

    Bhatla, Puneet; Tretter, Justin T; Ludomirsky, Achi; Argilla, Michael; Latson, Larry A; Chakravarti, Sujata; Barker, Piers C; Yoo, Shi-Joon; McElhinney, Doff B; Wake, Nicole; Mosca, Ralph S

    2017-01-01

    Rapid prototyping facilitates comprehension of complex cardiac anatomy. However, determining when this additional information proves instrumental in patient management remains a challenge. We describe our experience with patient-specific anatomic models created using rapid prototyping from various imaging modalities, suggesting their utility in surgical and interventional planning in congenital heart disease (CHD). Virtual and physical 3-dimensional (3D) models were generated from CT or MRI data, using commercially available software for patients with complex muscular ventricular septal defects (CMVSD) and double-outlet right ventricle (DORV). Six patients with complex anatomy and uncertainty of the optimal management strategy were included in this study. The models were subsequently used to guide management decisions, and the outcomes reviewed. 3D models clearly demonstrated the complex intra-cardiac anatomy in all six patients and were utilized to guide management decisions. In the three patients with CMVSD, one underwent successful endovascular device closure following a prior failed attempt at transcatheter closure, and the other two underwent successful primary surgical closure with the aid of 3D models. In all three cases of DORV, the models provided better anatomic delineation and additional information that altered or confirmed the surgical plan. Patient-specific 3D heart models show promise in accurately defining intra-cardiac anatomy in CHD, specifically CMVSD and DORV. We believe these models improve understanding of the complex anatomical spatial relationships in these defects and provide additional insight for pre/intra-interventional management and surgical planning.

  5. Local knowledge and socio-economic determinants of traditional medicines' utilization in livestock health management in Southwest Nigeria

    PubMed Central

    2012-01-01

    Smallholder livestock farmers in Nigeria utilize traditional medicines derived from medicinal plants (PMs) for the maintenance of their animals' health. This study was designed to determine the PMs used in the study area and their level of utilization by livestock farmers, compare the level of utilization of PMs across the three states surveyed and identify the socio-economic factors influencing farmer's utilization of PMs. Thirty-five PMs were identified. Farmers had considerable knowledge about the identified PMs but about 80.0% of them used the PMs to poor/moderate extent. There were statistical differences in the utilization level of PMs among the three states. Six socio-economic variables were found to be statistically significant in influencing PMs' utilization. Farmer's age, household size, distance to the nearest veterinary hospital/clinic and extent of travels, had positive effects while negative effects were exhibited by farm income and number of heads of livestock. It was concluded that there was considerable knowledge about PMs and that utilization of PMs varied between the three states. It was recommended that local knowledge of PMs be preserved in the study area through screening and documentation. PMID:22239949

  6. Groundwater contamination from waste management sites: The interaction between risk-based engineering design and regulatory policy: 1. Methodology

    NASA Astrophysics Data System (ADS)

    Massmann, Joel; Freeze, R. Allan

    1987-02-01

    This paper puts in place a risk-cost-benefit analysis for waste management facilities that explicitly recognizes the adversarial relationship that exists in a regulated market economy between the owner/operator of a waste management facility and the government regulatory agency under whose terms the facility must be licensed. The risk-cost-benefit analysis is set up from the perspective of the owner/operator. It can be used directly by the owner/operator to assess alternative design strategies. It can also be used by the regulatory agency to assess alternative regulatory policy, but only in an indirect manner, by examining the response of an owner/operator to the stimuli of various policies. The objective function is couched in terms of a discounted stream of benefits, costs, and risks over an engineering time horizon. Benefits are in the form of revenues for services provided; costs are those of construction and operation of the facility. Risk is defined as the cost associated with the probability of failure, with failure defined as the occurrence of a groundwater contamination event that violates the licensing requirements established for the facility. Failure requires a breach of the containment structure and contaminant migration through the hydrogeological environment to a compliance surface. The probability of failure can be estimated on the basis of reliability theory for the breach of containment and with a Monte-Carlo finite-element simulation for the advective contaminant transport. In the hydrogeological environment the hydraulic conductivity values are defined stochastically. The probability of failure is reduced by the presence of a monitoring network operated by the owner/operator and located between the source and the regulatory compliance surface. The level of reduction in the probability of failure depends on the probability of detection of the monitoring network, which can be calculated from the stochastic contaminant transport simulations. While

  7. A new methodology for surcharge risk management in urban areas (case study: Gonbad-e-Kavus city).

    PubMed

    Hooshyaripor, Farhad; Yazdi, Jafar

    2017-02-01

    This research presents a simulation-optimization model for urban flood mitigation integrating Non-dominated Sorting Genetic Algorithm (NSGA-II) with Storm Water Management Model (SWMM) hydraulic model under a curve number-based hydrologic model of low impact development technologies in Gonbad-e-Kavus, a small city in the north of Iran. In the developed model, the best performance of the system relies on the optimal layout and capacity of retention ponds over the study area in order to reduce surcharge from the manholes underlying a set of storm event loads, while the available investment plays a restricting role. Thus, there is a multi-objective optimization problem with two conflicting objectives solved successfully by NSGA-II to find a set of optimal solutions known as the Pareto front. In order to analyze the results, a new factor, investment priority index (IPI), is defined which shows the risk of surcharging over the network and priority of the mitigation actions. The IPI is calculated using the probability of pond selection for candidate locations and average depth of the ponds in all Pareto front solutions. The IPI can help the decision makers to arrange a long-term progressive plan with the priority of high-risk areas when an optimal solution has been selected.

  8. Development methodology for scientific software

    SciTech Connect

    Cort, G.; Goldstone, J.A.; Nelson, R.O.; Poore, R.V.; Miller, L.; Barrus, D.M.

    1985-01-01

    We present the details of a software development methodology that addresses all phases of the software life cycle, yet is well suited for application by small projects with limited resources. The methodology has been developed at the Los Alamos Weapons Neutron Research (WNR) Facility and was utilized during the recent development of the WNR Data Acquisition Command Language. The methodology emphasizes the development and maintenance of comprehensive documentation for all software components. The impact of the methodology upon software quality and programmer productivity is assessed.

  9. An Effective Methodology for Processing and Analyzing Large, Complex Spacecraft Data Streams

    ERIC Educational Resources Information Center

    Teymourlouei, Haydar

    2013-01-01

    The emerging large datasets have made efficient data processing a much more difficult task for the traditional methodologies. Invariably, datasets continue to increase rapidly in size with time. The purpose of this research is to give an overview of some of the tools and techniques that can be utilized to manage and analyze large datasets. We…

  10. A methodological approach to identify cheap and accurate indicators for biodiversity assessment: application to grazing management and two grassland bird species.

    PubMed

    Tichit, M; Barbottin, A; Makowski, D

    2010-06-01

    In response to environmental threats, numerous indicators have been developed to assess the impact of livestock farming systems on the environment. Some of them, notably those based on management practices have been reported to have low accuracy. This paper reports the results of a study aimed at assessing whether accuracy can be increased at a reasonable cost by mixing individual indicators into models. We focused on proxy indicators representing an alternative to the direct impact measurement on two grassland bird species, the lapwing Vanellus vanellus and the redshank Tringa totanus. Models were developed using stepwise selection procedures or Bayesian model averaging (BMA). Sensitivity, specificity, and probability of correctly ranking fields (area under the curve, AUC) were estimated for each individual indicator or model from observational data measured on 252 grazed plots during 2 years. The cost of implementation of each model was computed as a function of the number and types of input variables. Among all management indicators, 50% had an AUC lower than or equal to 0.50 and thus were not better than a random decision. Independently of the statistical procedure, models combining management indicators were always more accurate than individual indicators for lapwings only. In redshanks, models based either on BMA or some selection procedures were non-informative. Higher accuracy could be reached, for both species, with model mixing management and habitat indicators. However, this increase in accuracy was also associated with an increase in model cost. Models derived by BMA were more expensive and slightly less accurate than those derived with selection procedures. Analysing trade-offs between accuracy and cost of indicators opens promising application perspectives as time consuming and expensive indicators are likely to be of low practical utility.

  11. Determinants of Utilization of Health Extension Workers in the Context of Scale-Up of Integrated Community Case Management of Childhood Illnesses in Ethiopia

    PubMed Central

    Shaw, Bryan; Amouzou, Agbessi; Miller, Nathan P.; Tsui, Amy O.; Bryce, Jennifer; Tafesse, Mengistu; Surkan, Pamela J.

    2015-01-01

    Ethiopia has invested significant resources in integrated community case management (iCCM) of childhood illness. In Oromia Region, iCCM scale-up was phased in, allowing for comparisons between districts providing iCCM and routine services. We assessed the determinants of utilization of health extension workers (HEWs) delivering iCCM services at rural health posts by caregivers of sick, under-five children in a cross-sectional survey. We found low utilization of HEWs with only 9.3% of caregivers of a child sick with diarrhea, fever, and/or pneumonia in the previous 2 weeks taking their child to HEWs in both iCCM and routine areas. There was a higher likelihood of utilization of HEWs in iCCM areas (OR: 1.44; 95% CI: 0.97–2.12; P = 0.07), but this effect disappeared after accounting for confounders. In iCCM areas, maternal education, illness type, and distance were associated with utilization. Perceptions of illness severity and service quality were the primary reasons given for not utilizing the health post. Our findings suggest that though iCCM is reaching some vulnerable populations, there remain significant barriers to use of HEWs delivering iCCM services. Efforts for demand generation and minimization of remaining barriers are urgently needed for the sustained success of the iCCM strategy in Ethiopia. PMID:26195461

  12. Utilizing management zones for Rotylenchulus reniformis in Cotton: Effects on nematode levels, crop damage, and Pasteuria sp.

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The effect of soil texture on nematode levels is the primary basis for site-specific nematode management. Management zones (MZs) are sampled independently and decisions are based on those sample results. MZs based on soil electrical conductivity (EC, a proxy for soil texture) have not been tested ...

  13. Multidimensional Space-Time Methodology for Development of Planetary and Space Sciences, S-T Data Management and S-T Computational Tomography

    NASA Astrophysics Data System (ADS)

    Andonov, Zdravko

    This R&D represent innovative multidimensional 6D-N(6n)D Space-Time (S-T) Methodology, 6D-6nD Coordinate Systems, 6D Equations, new 6D strategy and technology for development of Planetary Space Sciences, S-T Data Management and S-T Computational To-mography. . . The Methodology is actual for brain new RS Microwaves' Satellites and Compu-tational Tomography Systems development, aimed to defense sustainable Earth, Moon, & Sun System evolution. Especially, extremely important are innovations for monitoring and protec-tion of strategic threelateral system H-OH-H2O Hydrogen, Hydroxyl and Water), correspond-ing to RS VHRS (Very High Resolution Systems) of 1.420-1.657-22.089GHz microwaves. . . One of the Greatest Paradox and Challenge of World Science is the "transformation" of J. L. Lagrange 4D Space-Time (S-T) System to H. Minkovski 4D S-T System (O-X,Y,Z,icT) for Einstein's "Theory of Relativity". As a global result: -In contemporary Advanced Space Sciences there is not real adequate 4D-6D Space-Time Coordinate System and 6D Advanced Cosmos Strategy & Methodology for Multidimensional and Multitemporal Space-Time Data Management and Tomography. . . That's one of the top actual S-T Problems. Simple and optimal nD S-T Methodology discovery is extremely important for all Universities' Space Sci-ences' Education Programs, for advances in space research and especially -for all young Space Scientists R&D!... The top ten 21-Century Challenges ahead of Planetary and Space Sciences, Space Data Management and Computational Space Tomography, important for successfully de-velopment of Young Scientist Generations, are following: 1. R&D of W. R. Hamilton General Idea for transformation all Space Sciences to Time Sciences, beginning with 6D Eukonal for 6D anisotropic mediums & velocities. Development of IERS Earth & Space Systems (VLBI; LLR; GPS; SLR; DORIS Etc.) for Planetary-Space Data Management & Computational Planetary & Space Tomography. 2. R&D of S. W. Hawking Paradigm for 2D

  14. Climate Narratives: Combing multiple sources of information to develop risk management strategies for a municipal water utility

    NASA Astrophysics Data System (ADS)

    Yates, D. N.; Basdekas, L.; Rajagopalan, B.; Stewart, N.

    2013-12-01

    Municipal water utilities often develop Integrated Water Resource Plans (IWRP), with the goal of providing a reliable, sustainable water supply to customers in a cost-effective manner. Colorado Springs Utilities, a 5-service provider (potable and waste water, solid waste, natural gas and electricity) in Colorado USA, recently undertook an IWRP. where they incorporated water supply, water demand, water quality, infrastructure reliability, environmental protection, and other measures within the context of complex water rights, such as their critically important 'exchange potential'. The IWRP noted that an uncertain climate was one of the greatest sources of uncertainty to achieving a sustainable water supply to a growing community of users. We describe how historic drought, paleo-climate, and climate change projections were blended together into climate narratives that informed a suite of water resource systems models used by the utility to explore the vulnerabilities of their water systems.

  15. The utility of system-level RAM analysis and standards for the US nuclear waste management system

    SciTech Connect

    Rod, S.R.; Adickes, M.D.; Paul, B.K.

    1992-03-01

    The Department of Energy (DOE) Office of Civilian Radioactive Waste Management (OCRWM) is responsible for developing a system to manage spent nuclear fuel and high-level radioactive waste in accordance with the Nuclear Waste Policy Act of 1982 and its subsequent amendments. Pacific Northwest Laboratory (PNL) is assisting OCRWM in its investigation of whether system-level reliability, availability, and maintainability (RAM) requirements are appropriate for the waste management system and, if they are, what appropriate form should be for such requirements. Results and recommendations are presented.

  16. The Utility of Discriminant Analysis for Predicting Farmers' Intentions to Participate in Farmer-Managed Irrigation Systems in Iran

    NASA Astrophysics Data System (ADS)

    Zarafshani, Kiumars; Hossien Alibaygi, Amir; Afshar, Nasrin

    Participatory irrigation management has been problematic in most parts of the world and Iran has been no exception. The purpose of this study was to assess farmers' intentions to participate in irrigation management based on selected variables using discriminant analysis. A survey questionnaire was used to collect information from a sample of Water Cooperatives in Javanrood Townships using stratified random sampling (n = 106). Results indicated that age, educational level, attitude towards PIM, irrigation performance, landholding size, agricultural and non-agricultural income affected farmers' intentions to participate in irrigation management.

  17. Effective Utilization and Management of Emerging Information Technologies. Information Resources Management Association International Conference (Boston, Massachusetts, May 17-20, 1998).

    ERIC Educational Resources Information Center

    Khosrowpour, Mehdi, Ed.

    This proceeding of the 1998 Information Resources Management Association International Conference contains 80 full papers, 87 research in progress papers, 33 abstracts, and 15 panel, workshop, and tutorial summaries. The papers focus on issues of managing information technology (IT) in organizations around the world. Issues covered include:…

  18. Community Involvement and Perceptions on Land Use and Utilization Practices for Sustainable Forest Management in the Nandi Hills Forests, Kenya

    ERIC Educational Resources Information Center

    Tanui, Julius Gordon; Chepkuto, Paul K.

    2015-01-01

    To ensure the existence of humankind and the sustainable utilization of the earth's resources, deliberate action needs to be channelled towards the conservation of the vital support systems of the entire Earth ecosystems. Forests in this case form quite a crucial part of this wider arrangement that if man does not deliberately conserve and…

  19. Variables Influencing the Return on Investment in Management Training Programs: A Utility Analysis of 10 Swiss Cases

    ERIC Educational Resources Information Center

    Chochard, Yves; Davoine, Eric

    2011-01-01

    In this article, we present the utility analysis approach as an alternative and promising approach to measure the return on investment in managerial training programs. This approach, linking economic value with competencies developed by trainees, enables researchers and decision-makers to compare the return on investment from different programs in…

  20. Integrating child health services into malaria control services of village malaria workers in remote Cambodia: service utilization and knowledge of malaria management of caregivers

    PubMed Central

    2013-01-01

    Background Malaria and other communicable diseases remain major threats in developing countries. In Cambodia, village malaria workers (VMWs) have been providing malaria control services in remote villages to cope with the disease threats. In 2009, the VMW project integrated child health services into the original malaria control services. However, little has been studied about the utilization of VMWs’ child health services. This study aimed to identify determinants of caregivers’ VMW service utilization for childhood illness and caregivers’ knowledge of malaria management. Methods A cross-sectional study was conducted in 36 VMW villages of Kampot and Kampong Thom provinces in July-September 2012. An equal number of VMW villages with malaria control services only (M) and those with malaria control plus child health services (M+C) were selected from each province. Using structured questionnaires, 800 caregivers of children under five and 36 VMWs, one of the two VMWs who was providing VMW services in each study village were interviewed. Results Among the caregivers, 23% in M villages and 52% in M+C villages utilized VMW services for childhood illnesses. Determinants of caregivers’ utilization of VMWs in M villages included their VMWs’ length of experience (AOR = 11.80, 95% confidence interval [CI] = 4.46-31.19) and VMWs’ service quality (AOR = 2.04, CI = 1.01-4.11). In M+C villages, VMWs’ length of experience (AOR = 2.44, CI = 1.52-3.94) and caregivers’ wealth index (AOR = 0.35, CI = 0.18-0.68) were associated with VMW service utilization. Meanwhile, better service quality of VMWs (AOR = 3.21, CI = 1.34-7.66) and caregivers’ literacy (AOR = 9.91, CI = 4.66-21.05) were positively associated with caregivers’ knowledge of malaria management. Conclusions VMWs’ service quality and length of experience are important determinants of caregivers’ utilization of VMWs’ child health services and their knowledge of malaria management. Caregivers are

  1. A decision support system (GesCoN) for managing fertigation in open field vegetable crops. Part I-methodological approach and description of the software.

    PubMed

    Elia, Antonio; Conversa, Giulia

    2015-01-01

    Reduced water availability and environmental pollution caused by nitrogen (N) losses have increased the need for rational management of irrigation and N fertilization in horticultural systems. Decision support systems (DSS) could be powerful tools to assist farmers to improve irrigation and N fertilization efficiency. Currently, fertilization by drip irrigation system (fertigation) is used for many vegetable crops around the world. The paper illustrates the theoretical basis, the methodological approach and the structure of a DSS called GesCoN for fertigation management in open field vegetable crops. The DSS is based on daily water and N balance, considering the water lost by evapotranspiration (ET) and the N content in the aerial part of the crop (N uptake) as subtraction and the availability of water and N in the wet soil volume most effected by roots as the positive part. For the water balance, reference ET can be estimated using the Penman-Monteith (PM) or the Priestley-Taylor and Hargreaves models, specifically calibrated under local conditions. Both single or dual Kc approach can be used to calculate crop ET. Rain runoff and deep percolation are considered to calculate the effective rainfall. The soil volume most affected by the roots, the wet soil under emitters and their interactions are modeled. Crop growth is modeled by a non-linear logistic function on the basis of thermal time, but the model takes into account thermal and water stresses and allows an in-season calibration through a dynamic adaptation of the growth rate to the specific genetic and environmental conditions. N crop demand is related to DM accumulation by the N critical curve. N mineralization from soil organic matter is daily estimated. The DSS helps users to evaluate the daily amount of water and N fertilizer that has to be applied in order to fulfill the water and N-crop requirements to achieve the maximum potential yield, while reducing the risk of nitrate outflows.

  2. A decision support system (GesCoN) for managing fertigation in open field vegetable crops. Part I—methodological approach and description of the software

    PubMed Central

    Elia, Antonio; Conversa, Giulia

    2015-01-01

    Reduced water availability and environmental pollution caused by nitrogen (N) losses have increased the need for rational management of irrigation and N fertilization in horticultural systems. Decision support systems (DSS) could be powerful tools to assist farmers to improve irrigation and N fertilization efficiency. Currently, fertilization by drip irrigation system (fertigation) is used for many vegetable crops around the world. The paper illustrates the theoretical basis, the methodological approach and the structure of a DSS called GesCoN for fertigation management in open field vegetable crops. The DSS is based on daily water and N balance, considering the water lost by evapotranspiration (ET) and the N content in the aerial part of the crop (N uptake) as subtraction and the availability of water and N in the wet soil volume most effected by roots as the positive part. For the water balance, reference ET can be estimated using the Penman–Monteith (PM) or the Priestley–Taylor and Hargreaves models, specifically calibrated under local conditions. Both single or dual Kc approach can be used to calculate crop ET. Rain runoff and deep percolation are considered to calculate the effective rainfall. The soil volume most affected by the roots, the wet soil under emitters and their interactions are modeled. Crop growth is modeled by a non-linear logistic function on the basis of thermal time, but the model takes into account thermal and water stresses and allows an in-season calibration through a dynamic adaptation of the growth rate to the specific genetic and environmental conditions. N crop demand is related to DM accumulation by the N critical curve. N mineralization from soil organic matter is daily estimated. The DSS helps users to evaluate the daily amount of water and N fertilizer that has to be applied in order to fulfill the water and N-crop requirements to achieve the maximum potential yield, while reducing the risk of nitrate outflows. PMID:26042128

  3. A feasibility study: California Department of Forestry and Fire Protection utilization of infrared technologies for wildland fire suppression and management

    NASA Technical Reports Server (NTRS)

    Nichols, J. D.; Britten, R. A.; Parks, G. S.; Voss, J. M.

    1990-01-01

    NASA's JPL has completed a feasibility study using infrared technologies for wildland fire suppression and management. The study surveyed user needs, examined available technologies, matched the user needs with technologies, and defined an integrated infrared wildland fire mapping concept system configuration. System component trade-offs were presented for evaluation in the concept system configuration. The economic benefits of using infrared technologies in fire suppression and management were examined. Follow-on concept system configuration development and implementation were proposed.

  4. Cost-utility analysis of an advanced pressure ulcer management protocol followed by trained wound, ostomy, and continence nurses.

    PubMed

    Kaitani, Toshiko; Nakagami, Gojiro; Iizaka, Shinji; Fukuda, Takashi; Oe, Makoto; Igarashi, Ataru; Mori, Taketoshi; Takemura, Yukie; Mizokami, Yuko; Sugama, Junko; Sanada, Hiromi

    2015-01-01

    The high prevalence of severe pressure ulcers (PUs) is an important issue that requires to be highlighted in Japan. In a previous study, we devised an advanced PU management protocol to enable early detection of and intervention for deep tissue injury and critical colonization. This protocol was effective for preventing more severe PUs. The present study aimed to compare the cost-effectiveness of the care provided using an advanced PU management protocol, from a medical provider's perspective, implemented by trained wound, ostomy, and continence nurses (WOCNs), with that of conventional care provided by a control group of WOCNs. A Markov model was constructed for a 1-year time horizon to determine the incremental cost-effectiveness ratio of advanced PU management compared with conventional care. The number of quality-adjusted life-years gained, and the cost in Japanese yen (¥) ($US1 = ¥120; 2015) was used as the outcome. Model inputs for clinical probabilities and related costs were based on our previous clinical trial results. Univariate sensitivity analyses were performed. Furthermore, a Bayesian multivariate probability sensitivity analysis was performed using Monte Carlo simulations with advanced PU management. Two different models were created for initial cohort distribution. For both models, the expected effectiveness for the intervention group using advanced PU management techniques was high, with a low expected cost value. The sensitivity analyses suggested that the results were robust. Intervention by WOCNs using advanced PU management techniques was more effective and cost-effective than conventional care.

  5. Research and development of methods/utilities and rules for managing cooperation for performance improvement in government offices

    SciTech Connect

    Not Available

    1992-03-01

    On September 1, 1991, Defense Programs (DP) within the US Department of Energy entered into a research grant with Management Systems Laboratories (MSL) of Virginia Polytechnic Institute and State University (Virginia Tech), to study Tools, Methods, and Rules for Managing Cooperation for Performance Improvement. Continuous performance improvement is a gradual, systematic process. The idea is to do a little better each day by knowing where you are, where you want to be, what you have to do to get there, whether or not you have done it, and how to resolve problems doing it. And, although many management decisions are made along direct lines of authority, much of the work of an organization can be achieved only through cooperation (people sharing information and coordinating effort). Therefore, continuous performance improvement requires working cooperatively to do a little better each day. We are researching the most effective configuration of tools working through what we believe is a closed set of nine methods. These methods are: setting expectations, charting, defining indicators and standards, collecting and logging data, converting data to information, organizing and presenting information, reviewing status and progress, self-management, and appraising. We believe that these methods form a closed set because they reflect the management activities of formulation (planning),execution (doing), and verification (evaluating). If these activities are carried out effectively through the methods, the manager can achieve visibility and control.

  6. Nonsurgical endodontic therapy along with minimal invasive treatment utilizing Bhasker's hypothesis for the management of infected radicular cystic lesion: A rare case report

    PubMed Central

    Salaria, Sanjeev Kumar; Kamra, Shilpa; Ghuman, Simrat Kaur; Sharma, Garima

    2016-01-01

    Radicular cyst (RC) is the most common odontogenic cyst of inflammatory origin affecting the jaws; involves the roots of the carious or traumatic non-vital tooth. Different therapeutic modalities, such as nonsurgical endodontic therapy or surgical enucleation with primary closure, decompression etc., were proposed for the management of such lesions. Presenting a case of a 28-year-old otherwise healthy male patient who reported with pain and swelling with respect to tooth #41, 31. Diagnosis of infected RC at a rare location was established on the basis of clinical, radiographical and fine needle aspiration cytological examination. Looking after the clinical characteristics, origin, extension, size of cystic lesion and patient cooperation; nonsurgical endodontic therapy utilizing Bhasker's hypothesis was opted. One year post-operative result suggested that nonsurgical endodontic therapy along with minimally invasive treatment utilizing Bhasker's hypothesis is an effective tool to transform infected radicular cystic lesion to healthy periapical periodontal tissue. PMID:27994430

  7. What can water utilities do to improve risk management within their business functions? An improved tool and application of process benchmarking.

    PubMed

    MacGillivray, Brian H; Pollard, Simon J T

    2008-11-01

    We present a model for benchmarking risk analysis and risk based decision making practice within organisations. It draws on behavioural and normative risk research, the principles of capability maturity modelling and our empirical observations. It codifies the processes of risk analysis and risk based decision making within a framework that distinguishes between different levels of maturity. Application of the model is detailed within the selected business functions of a water and wastewater utility. Observed risk analysis and risk based decision making practices are discussed, together with their maturity of implementation. The findings provide academics, utility professionals, and regulators a deeper understanding of the practical and theoretical underpinnings of risk management, and how distinctions can be made between organisational capabilities in this essential business process.

  8. Information Management Utilizing Valued Information at the Right Time (VIRT) as Applied to a Joint Terminal Attack Controller (JTAC) Mission

    DTIC Science & Technology

    2008-03-01

    capabilities capitalizing on technology implementation. In The World is Flat, author Thomas Friedman utilizes an analogy of the lions and the gazelles . Each...night the gazelle sleeps knowing that tomorrow it must run faster than the lion if it wishes to live. Each night the lion also sleeps knowing...tomorrow he must run faster than the gazelle if he wishes to live. So, regardless of whether you are the lion or gazelle , when morning arrives, everyone

  9. Weed management and cotton yield under two row spacings, conventional and conservation tillage systems utilizing conventional, glufosinate-, and glyphosate-based weed management systems

    Technology Transfer Automated Retrieval System (TEKTRAN)

    A field experiment was conducted in 2005 and 2006, to evaluate weed control in conventional, Liberty Link® (LL), and Roundup Ready® (RR) herbicide systems under standard [102 cm (40 inch)] and narrow [38 cm (15 inch)] row-spacings utilizing conventional and high-residue conservation tillage systems....

  10. Research and development of methods/utilities and rules for managing cooperation for performance improvement in government offices

    SciTech Connect

    Kurstedt, H.A.

    1993-03-01

    Purpose is to help managers approach their responsibilities proactively, so that they can anticipate problems and take actions to alleviate or eliminate those problems. Continuous performance improvement, the philosophy behind total quality management, requires working cooperatively to do a little better each day. The most effective tools are working through a closed set of 9 methods: setting expectations, charting, defining indicators and standards, collecting and logging data, converting data to information, organizing and presenting information, reviewing status and progress, self-management, and appraising. In addition, there are 8 rules: focus on what you can do, supply physical evidence of progress, pay attention to detail, inspect (don't expect), review progress routinely and frequently, face ''success/fail'' squarely, communicate crisply, and conduct honest, open appraisals. Scope and plans of the draft research plan (study areas) are described.

  11. A methodology to evaluate water and wastewater treatment plant reliability.

    PubMed

    Eisenberg, D; Soller, J; Sakaji, R; Olivieri, A

    2001-01-01

    Evaluating the reliability of treatment processes and treatment facilities should be an important part of the planning and design process for water resource, wastewater treatment, and particularly wastewater reuse projects. With the recent developments in technology, particularly the development of membrane processes and alternative disinfection processes for water and wastewater treatment, there is an increasing need for a common methodology to evaluate the reliability of alternative processes and treatment facilities that utilize different combinations of those processes. To assess the reliability of a treatment facility, several aspects of treatment must be considered including a methodical evaluation of both mechanical reliability and plant performance. A straightforward method for conducting these types of analyses is described herein along with a description of applications of this methodology. A discussion is provided highlighting the value of such a methodology for both the water quality engineer and the risk manager.

  12. A Novel Approach to River Basin Management that Utilizes a Multi-Day Forum to Educate Stakeholders

    NASA Astrophysics Data System (ADS)

    Langston, M. A.

    2015-12-01

    Large scale river basin management has long been a challenging task. Stakeholder involvement has often been posited as a means to provide a broad base of input and support for management decisions. This has been successful in some situations and not in others. The Desert Landscape Conservation Cooperative (LCC) has proposed a novel approach to large scale watershed management for conservation purposes by stakeholders. This approach involves conducting a multi-day stakeholder forum to gather interested parties, provide them science-based information about the watershed, and solicit their input regarding the research and management needs within the basin. Included within this forum is a Water Tournament patterned after those being developed by the U.S. Army Corps of Engineers' Institute for Water Resources. These tournaments bring stakeholders (such as the various water users, agencies, conservation organizations, and others) in small teams that develop watershed management scenarios (within appropriate constraints) that are then judged based on their merit for addressing the various issues within the basin. These tournaments serve to educate participants and to sensitize them to the perspectives of other participants. Another goal of the forum is to recruit a representative group of stakeholders who will provide guidance for further research to meet the basins management needs. The South Central Climate Science Center (SC CSC) has partnered with the Desert, Southern Rockies, Gulf Coast Prairie, Great Plains, and Gulf Coastal Plains and Ozarks LCCs to implement this approach in the Rio Grande and the Red River Basins. The LCCs are well positioned to convene stakeholders from across political boundaries and throughout these basins. The SC CSC's roles will be providing leadership, funding climate science for the effort, and evaluating the effectiveness of the forum-centered approach.

  13. Design and utilization of a Flight Test Engineering Database Management System at the NASA Dryden Flight Research Facility

    NASA Technical Reports Server (NTRS)

    Knighton, Donna L.

    1992-01-01

    A Flight Test Engineering Database Management System (FTE DBMS) was designed and implemented at the NASA Dryden Flight Research Facility. The X-29 Forward Swept Wing Advanced Technology Demonstrator flight research program was chosen for the initial system development and implementation. The FTE DBMS greatly assisted in planning and 'mass production' card preparation for an accelerated X-29 research program. Improved Test Plan tracking and maneuver management for a high flight-rate program were proven, and flight rates of up to three flights per day, two times per week were maintained.

  14. Development of Methodologies for Technology Deployment for Advanced Outage Control Centers that Improve Outage Coordination, Problem Resolution and Outage Risk Management

    SciTech Connect

    Shawn St. Germain; Ronald Farris; Heather Medeman

    2013-09-01

    This research effort is a part of the Light-Water Reactor Sustainability (LWRS) Program, which is a research and development (R&D) program sponsored by Department of Energy (DOE) and performed in close collaboration with industry R&D programs that provides the technical foundations for licensing and managing the long-term, safe, and economical operation of current nuclear power plants. The LWRS program serves to help the U.S. nuclear industry adopt new technologies and engineering solutions that facilitate the continued safe operation of the plants and extension of the current operating licenses. The long term viability of existing nuclear power plants in the U.S. will depend upon maintaining high capacity factors, avoiding nuclear safety issues and reducing operating costs. The slow progress in the construction on new nuclear power plants has placed in increased importance on maintaining the output of the current fleet of nuclear power plants. Recently expanded natural gas production has placed increased economic pressure on nuclear power plants due to lower cost competition. Until recently, power uprate projects had steadily increased the total output of the U.S. nuclear fleet. Errors made during power plant upgrade projects have now removed three nuclear power plants from the U.S. fleet and economic considerations have caused the permanent shutdown of a fourth plant. Additionally, several utilities have cancelled power uprate projects citing economic concerns. For the past several years net electrical generation from U.S. nuclear power plants has been declining. One of few remaining areas where significant improvements in plant capacity factors can be made is in minimizing the duration of refueling outages. Managing nuclear power plant outages is a complex and difficult task. Due to the large number of complex tasks and the uncertainty that accompanies them, outage durations routinely exceed the planned duration. The ability to complete an outage on or near

  15. Utility of multi temporal satellite images for crop water requirements estimation and irrigation management in the Jordan Valley

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Identifying the spatial and temporal distribution of crop water requirements is a key for successful management of water resources in the dry areas. Climatic data were obtained from three automated weather stations to estimate reference evapotranspiration (ETO) in the Jordan Valley according to the...

  16. An Examination of College and University Athletic Directors' Perception of Management Models Utilized to Operate Intercollegiate Athletic Arenas

    ERIC Educational Resources Information Center

    Palmero, Mauro R.

    2010-01-01

    Demands for enhanced accountability and effectiveness in higher education have also affected athletic departments, requiring a more cost-efficient managerial approach to the administration of athletic facilities, especially arenas. The purpose of this study was to examine athletic directors' perceptions towards the arena management models they…

  17. Enhancing Learning Management Systems Utility for Blind Students: A Task-Oriented, User-Centered, Multi-Method Evaluation Technique

    ERIC Educational Resources Information Center

    Babu, Rakesh; Singh, Rahul

    2013-01-01

    This paper presents a novel task-oriented, user-centered, multi-method evaluation (TUME) technique and shows how it is useful in providing a more complete, practical and solution-oriented assessment of the accessibility and usability of Learning Management Systems (LMS) for blind and visually impaired (BVI) students. Novel components of TUME…

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

    ERIC Educational Resources Information Center

    Asselin, Martha Jo

    2012-01-01

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

  19. Utilizing Immersive Visualization Systems: How to Dynamically Revolutionize Site-based Professional Development Experiences within Human Resources Management?

    ERIC Educational Resources Information Center

    Craft, Kirby A.

    2009-01-01

    How can we train today's workforce with innovative technologies when families are surrounded by state-of-the-art video games and high-definition televisions? Human resource managers and administrators are faced with difficult challenges to prepare beneficial and relevant professional development exercises that engage the minds of their employees.…

  20. Correct utilization and management of peripherally inserted central catheters and midline catheters in the alternate care setting.

    PubMed

    Carlson, K R

    1999-01-01

    Based on patient condition, intravenous therapies, caregiver support, and organizational policy, correct device selection plays an integral part in the overall care and management of the alternate care setting i.v. therapy patient. This paper will identify the various aspects of appropriate device selection for i.v. therapy prescriptions.