Postpartum Visit Attendance Increases the Use of Modern Contraceptives

PubMed Central

Cha, Susan; Charles, RaShel; McGee, Elizabeth; Karjane, Nicole; Hines, Linda; Kornstein, Susan G.

2016-01-01

Background. Delays in postpartum contraceptive use may increase risk for unintended or rapid repeat pregnancies. The postpartum care visit (PPCV) is a good opportunity for women to discuss family planning options with their health care providers. This study examined the association between PPCV attendance and modern contraceptive use using data from a managed care organization. Methods. Claims and demographic and administrative data came from a nonprofit managed care organization in Virginia (2008–2012). Information on the most recent delivery for mothers with singleton births was analyzed (N = 24,619). Routine PPCV (yes, no) and modern contraceptive use were both dichotomized. Descriptive analyses provided percentages, frequencies, and means. Multiple logistic regression was conducted and ORs and 95% CIs were calculated. Results. More than half of the women did not attend their PPCV (50.8%) and 86.9% had no modern contraceptive use. After controlling for the effects of confounders, women with PPCV were 50% more likely to use modern contraceptive methods than women with no PPCV (OR = 1.50, 95% CI = 1.31, 1.72). Conclusions. These findings highlight the importance of PPCV in improving modern contraceptive use and guide health care policy in the effort of reducing unintended pregnancy rates. PMID:28070422

[Research of regional medical consumables reagent logistics system in the modern hospital].

PubMed

Wu, Jingjiong; Zhang, Yanwen; Luo, Xiaochen; Zhang, Qing; Zhu, Jianxin

2013-09-01

To explore the modern hospital and regional medical consumable reagents logistics system management. The characteristics of regional logistics, through cooperation between medical institutions within the region, and organize a wide range of special logistics activities, to make reasonable of the regional medical consumable reagents logistics. To set the regional management system, dynamic management systems, supply chain information management system, after-sales service system and assessment system. By the research of existing medical market and medical resources, to establish the regional medical supplies reagents directory and the initial data. The emphasis is centralized dispatch of medical supplies reagents, to introduce qualified logistics company for dispatching, to improve the modern hospital management efficiency, to costs down. Regional medical center and regional community health service centers constitute a regional logistics network, the introduction of medical consumable reagents logistics services, fully embodies integrity level, relevance, purpose, environmental adaptability of characteristics by the medical consumable reagents regional logistics distribution. Modern logistics distribution systems can increase the area of medical consumables reagent management efficiency and reduce costs.

Development of Innovative Business Model of Modern Manager's Qualities

ERIC Educational Resources Information Center

Yashkova, Elena V.; Sineva, Nadezda L.; Shkunova, Angelika A.; Bystrova, Natalia V.; Smirnova, Zhanna V.; Kolosova, Tatyana V.

2016-01-01

The paper defines a complex of manager's qualities based on theoretical and methodological analysis and synthesis methods, available national and world literature, research papers and publications. The complex approach methodology was used, which provides an innovative view of the development of modern manager's qualities. The methodological…

Human Resource Development: A Foundation for Participative Leadership.

ERIC Educational Resources Information Center

Appelbaum, Steven H.

1979-01-01

Discusses management theories and reports on a study establishing that, if managers are exposed to modern human resources management theories through a series of training programs, they will adopt a participative leadership style, and that this style will be reflected in their attitudes and the perceptions of their subordinates. (Author/IRT)

Postgraduate Programmes on Environmental Water Resources Engineering and Management in Greek Universities

ERIC Educational Resources Information Center

Latinopoulos, Pericles; Angelidis, Panagiotis

2014-01-01

The management of complex water problems is nowadays being practised through new ways and approaches. Therefore, water engineers, planners and managers should be appropriately educated through modern undergraduate curricula and by well-designed postgraduate specialisation programmes. Within this framework, a study of the specific characteristics…

Scandinavian systems monitoring the oral health in children and adolescents; an evaluation of their quality and utility in the light of modern perspectives of caries management.

PubMed

Skeie, Marit S; Klock, Kristin S

2014-04-30

Recording reliable oral health data is a challenge. The aims were a) to outline different Scandinavian systems of oral health monitoring, b) to evaluate the quality and utility of the collected data in the light of modern concepts of disease management and to suggest improvements. The information for in this study was related to (a) children and adolescents, (b) oral health data and (c) routines for monitoring such data. This meant information available in the official web sites of the "KOSTRA-data" (Municipality-State-Report) in Norway, the Swedish National Board of Health and Welfare ("Socialstyrelsen") and Oral Health Register (the SCOR system, National Board of Health) in Denmark. A potential for increasing the reliability and validity of the data existed. Routines for monitoring other oral diseases than caries were limited. Compared with the other Scandinavian countries, the data collection system in Denmark appeared more functional and had adopted more modern concepts of disease management than other systems. In the light of modern concepts of caries management, data collected elsewhere had limited utility. The Scandinavian systems of health reporting had much in common, but some essential differences existed. If the quality of epidemiological data were enhanced, it would be possible to use the data for planning oral health care. Routines and procedures should be improved and updated in accordance with the modern ideas about caries prevention and therapy. For appropriate oral health planning in an organised dental service, reporting of enamel caries is essential.

Socioeconomic thresholds that affect use of customary fisheries management tools.

PubMed

Cinner, Joshua E; Sutton, Stephen G; Bond, Trevor G

2007-12-01

Customary forms of resource management, such as taboos, have received considerable attention as a potential basis for conservation initiatives in the Indo-Pacific. Yet little is known about how socioeconomic factors influence the ability of communities to use customary management practices and whether socioeconomic transformations within communities will weaken conservation initiatives with a customary foundation. We used a comparative approach to examine how socioeconomic factors may influence whether communities use customary fisheries management in Papua New Guinea. We examined levels of material wealth (modernization), dependence on marine resources, population, and distance to market in 15 coastal communities. We compared these socioeconomic conditions in 5 communities that used a customary method of closing their fishing ground with 10 communities that did not use this type of management. There were apparent threshold levels of dependence on marine resources, modernization, distance to markets (<16.5 km), and population (>600 people) beyond which communities did not use customary fisheries closures. Nevertheless, economic inequality, rather than mean modernization levels seemed to influence the use of closures. Our results suggest that customary management institutions are not resilient to factors such as population growth and economic modernization. If customary management is to be used as a basis for modern conservation initiatives, cross-scale institutional arrangements such as networks and bridging organizations may be required to help filter the impacts of socioeconomic transformations.

Flexible use and technique extension of logistics management

NASA Astrophysics Data System (ADS)

Xiong, Furong

2011-10-01

As we all know, the origin of modern logistics was in the United States, developed in Japan, became mature in Europe, and expanded in China. This is a historical development of the modern logistics recognized track. Due to China's economic and technological development, and with the construction of Shanghai International Shipping Center and Shanghai Yangshan International Deepwater development, China's modern logistics industry will attain a leap-forward development of a strong pace, and will also catch up with developed countries in the Western modern logistics level. In this paper, the author explores the flexibility of China's modern logistics management techniques to extend the use, and has certain practical and guidance significances.

A review of post-modern management techniques as currently applied to Turkish forestry.

PubMed

Dölarslan, Emre Sahin

2009-01-01

This paper reviews the effects of six post-modern management concepts as applied to Turkish forestry. Up to now, Turkish forestry has been constrained, both in terms of its operations and internal organization, by a highly bureaucratic system. The application of new thinking in forestry management, however, has recently resulted in new organizational and production concepts that promise to address problems specific to this Turkish industry and bring about positive changes. This paper will elucidate these specific issues and demonstrate how post-modern management thinking is influencing the administration and operational capacity of Turkish forestry within its current structure.

77 FR 16551 - Standards for Private Laboratory Analytical Packages and Introduction to Laboratory Related...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-21

... Food Modernization Safety Act for Private Laboratory Managers AGENCY: Food and Drug Administration, HHS... Food Modernization Safety Act for Private Laboratory Managers.'' The topic to be discussed is the...

Thermal Management Tools for Propulsion System Trade Studies and Analysis

NASA Technical Reports Server (NTRS)

McCarthy, Kevin; Hodge, Ernie

2011-01-01

Energy-related subsystems in modern aircraft are more tightly coupled with less design margin. These subsystems include thermal management subsystems, vehicle electric power generation and distribution, aircraft engines, and flight control. Tighter coupling, lower design margins, and higher system complexity all make preliminary trade studies difficult. A suite of thermal management analysis tools has been developed to facilitate trade studies during preliminary design of air-vehicle propulsion systems. Simulink blocksets (from MathWorks) for developing quasi-steady-state and transient system models of aircraft thermal management systems and related energy systems have been developed. These blocksets extend the Simulink modeling environment in the thermal sciences and aircraft systems disciplines. The blocksets include blocks for modeling aircraft system heat loads, heat exchangers, pumps, reservoirs, fuel tanks, and other components at varying levels of model fidelity. The blocksets have been applied in a first-principles, physics-based modeling and simulation architecture for rapid prototyping of aircraft thermal management and related systems. They have been applied in representative modern aircraft thermal management system studies. The modeling and simulation architecture has also been used to conduct trade studies in a vehicle level model that incorporates coupling effects among the aircraft mission, engine cycle, fuel, and multi-phase heat-transfer materials.

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

ERIC Educational Resources Information Center

Thomas, Olusola A.

2014-01-01

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

Scandinavian systems monitoring the oral health in children and adolescents; an evaluation of their quality and utility in the light of modern perspectives of caries management

PubMed Central

2014-01-01

Background Recording reliable oral health data is a challenge. The aims were a) to outline different Scandinavian systems of oral health monitoring, b) to evaluate the quality and utility of the collected data in the light of modern concepts of disease management and to suggest improvements. Material and methods The information for in this study was related to (a) children and adolescents, (b) oral health data and (c) routines for monitoring such data. This meant information available in the official web sites of the “KOSTRA-data” (Municipality-State-Report) in Norway, the Swedish National Board of Health and Welfare (“Socialstyrelsen”) and Oral Health Register (the SCOR system, National Board of Health) in Denmark. Results A potential for increasing the reliability and validity of the data existed. Routines for monitoring other oral diseases than caries were limited. Compared with the other Scandinavian countries, the data collection system in Denmark appeared more functional and had adopted more modern concepts of disease management than other systems. In the light of modern concepts of caries management, data collected elsewhere had limited utility. Conclusions The Scandinavian systems of health reporting had much in common, but some essential differences existed. If the quality of epidemiological data were enhanced, it would be possible to use the data for planning oral health care. Routines and procedures should be improved and updated in accordance with the modern ideas about caries prevention and therapy. For appropriate oral health planning in an organised dental service, reporting of enamel caries is essential. PMID:24885243

STORM WATER MANAGEMENT MODEL (SWMM) MODERNIZATION

EPA Science Inventory

The U.S. Environmental Protection Agency's Water Supply and Water Resources Division in partnership with the consulting firm of CDM to redevelop and modernize the Storm Water Management Model (SWMM). In the initial phase of this project EPA rewrote SWMM's computational engine usi...

Training Schemes for the Port Transport Industry, 1972.

ERIC Educational Resources Information Center

National Ports Council, London (England).

Most of the courses described in this booklet are intended to give an appreciation of modern management techniques and thinking in a port context. Their main value lies in providing the knowledge a manager needs to do his job effectively and to prepare himself for future jobs. The courses are: (1) Management; (2) Work Study; (3) Supervisory…

Public attitudes toward forest management: a Shawnee National Forest example

Treesearch

Joanne Vining

2003-01-01

One of the fundamental problems of modern public lands management is the accurate and representative assessment of public opinion. The purpose of this study was to examine differences in perceptions and attitudes of Shawnee National Forest management activities and plans among members of local and regional publics. A survey was administered to members of the public in...

Sundstrand’s Precision Metal Forming Cell. Industrial Modernization Incentive Program (IMIP). Phase 2

DTIC Science & Technology

1991-03-01

1-2 1.4 CONCLUSIONS AND RECOMMENDATIONS ....................... 1-2 20. PHASE II MANAGEMENT PLAN...2-1 2.1 PROGRAM MANAGEMENT ................................... 2-1 2.2 IM IP TEAM...Barbier, reference Section 2.0 (Phase II Management Plan), is complete and this report provides the results of the Phase II study. 1.2 OBJECTIVES The

24 CFR 901.15 - Indicator #2, modernization.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Indicator #2, modernization. 901.15... DEVELOPMENT PUBLIC HOUSING MANAGEMENT ASSESSMENT PROGRAM § 901.15 Indicator #2, modernization. This indicator is automatically excluded if a PHA does not have a modernization program. This indicator examines the...

A case study of hospital operations management.

PubMed

Cheng, T C

1987-12-01

This paper discusses a study to investigate various operations management problems in a newly opened, modern regional hospital in Hong Kong. The findings of the study reveal that there exist in the hospital a number of current and potential problem areas. Recommendations for solving these problems are suggested with a view to improving the overall operational efficiency and effectiveness of the hospital.

Plug Into "The Modernizing Machine"! Danish University Reform and Its Transformable Academic Subjectivities

ERIC Educational Resources Information Center

Krejsler, John Benedicto

2013-01-01

"The modernizing machine" codes individual bodies, things, and symbols with images from New Public Management, neo-liberal, and Knowledge Economy discourses. Drawing on Deleuze and Guattari's concept of machines, this article explores how "the modernizing machine" produces neo-liberal modernization of the public sector. Taking…

Taking control of your digital library: how modern citation managers do more than just referencing.

PubMed

Mahajan, Amit K; Hogarth, D Kyle

2013-12-01

Physicians are constantly navigating the overwhelming body of medical literature available on the Internet. Although early citation managers were capable of limited searching of index databases and tedious bibliography production, modern versions of citation managers such as EndNote, Zotero, and Mendeley are powerful web-based tools for searching, organizing, and sharing medical literature. Effortless point-and-click functions provide physicians with the ability to develop robust digital libraries filled with literature relevant to their fields of interest. In addition to easily creating manuscript bibliographies, various citation managers allow physicians to readily access medical literature, share references for teaching purposes, collaborate with colleagues, and even participate in social networking. If physicians are willing to invest the time to familiarize themselves with modern citation managers, they will reap great benefits in the future.

Models of science-policy interaction: exploring approaches to Bisphenol A management in the EU.

PubMed

Udovyk, O

2014-07-01

This study investigated science-policy interaction models and their limitations under conditions of uncertainty. In detail, it looked at the management of the suspected endocrine-disrupting chemical Bisphenol A (BPA). Despite growing evidence that BPA is hazardous to human and environmental health, the level of scientific uncertainty is still high and, as a result, there is significant disagreement on the actual extent and type of risk. Analysis of decision-making processes at different regulatory levels (EU, Sweden, and the Swedish municipality of Gothenburg) exposed chemicals risk management and associated science-policy interaction under uncertainty. The results of the study show that chemicals management and associated science-policy interaction follow the modern model of science-policy interaction, where science is assumed to 'speak truth to policy' and highlights existing limitations of this model under conditions of uncertainty. The study not only explores alternative models (precautionary, consensus, science-policy demarcation. and extended participation) but also shows their limitations. The study concludes that all models come with their particular underlying assumptions, strengths, and limitations. At the same time, by exposing serious limitations of the modern model, the study calls for a rethinking of the relationship between science, policy, and management. Copyright © 2014 Elsevier B.V. All rights reserved.

Self-reference and predictive, normative and prescriptive approaches in applications of systems thinking in social sciences—(Survey)

NASA Astrophysics Data System (ADS)

Mesjasz, Czesław

2000-05-01

Cybernetics, systems thinking or systems theory, have been viewed as instruments of enhancing predictive, normative and prescriptive capabilities of the social sciences, beginning from microscale-management and ending with various reference to the global system. Descriptions, explanations and predictions achieved thanks to various systems ideas were also viewed as supportive for potential governance of social phenomena. The main aim of the paper is to examine what could be the possible applications of modern systems thinking in predictive, normative and prescriptive approaches in modern social sciences, beginning from management theory and ending with global studies. Attention is paid not only to "classical" mathematical systems models but also to the role of predictive, normative and prescriptive interpretations of analogies and metaphors associated with application of the classical ("first order cybernetics") and modern ("second order cybernetics", "complexity theory") systems thinking in social sciences.

Power-plant modernization program in Latvia. Desk Study Report No. 1. Export trade information

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

Not Available

1992-08-01

The Government of Latvia has requested the U.S. Trade and Development Program's (TDP's) assistance in financing the cost of a feasibility study to develop a modernization program for its thermal power stations aimed at improving their performance and efficiency. The consultant will work with engineers and managers of Latvenergo, Latvia's power utility, to review the performance of the country's two thermal power stations and carry out a detailed study for the rehabilitation and modernization of the TEC-2 thermal power station in Riga. The overall goal of the program will be to maximize the output capacity of the country's two powermore » stations through the implementation of economically efficient rehabilitation projects.« less

Predicting Language Teachers' Classroom Management Orientations on the Basis of Their Computer Attitude and Demographic Characteristics

ERIC Educational Resources Information Center

Jalali, Sara; Panahzade, Vahid

2014-01-01

The advent of modern technologies has had a remarkable role in revolutionizing the classroom setting. It is, therefore, incumbent on teachers to utilize strategies for effective managing of the change. The aim of the present study was to find out English as a Foreign Language (EFL) teachers' beliefs regarding classroom management. In so doing, the…

A 21st Century Training Model for Flexible, Quick, and Life-Long Workforce Development

DTIC Science & Technology

2016-02-01

specialty code . Differentiation and tailored training are made possible through modern talent management. 8 When Joslin entered Initial Skills...associated with the IST pipeline, but also identified five overarching themes:  Talent Management,  Asynchronous Training,  Modularity (coaching...augmented reality Figure 1: The combination of modern recruitment, talent management, and modular training both in the school house and online speed

The Howling Prescribed Natural Fire - long-term effects on the modernization of planning and implementation of wildland fire management

Treesearch

Tom Zimmerman; Laurie Kurth; Mitchell Burgard

2011-01-01

Wildland fire management policy and practices have long been driven by the occurrence of significant events. The Howling Prescribed Natural Fire in Glacier National Park in 1994 is a prime example of a significant historical fire event that provided the impetus for program changes and modifications that modernized wildland fire management at the local, regional, and...

Modernization of Management: Social and Socio-Cultural Aspects

ERIC Educational Resources Information Center

Vinogradova, Marina V.; Babakaev, Sergy V.; Larionova, Anna A.; Kobyak, Marina V.; Layko, Mikhail Y.

2016-01-01

The relevance of the topic is determined by the new challenges faced by the Russian state in modern conditions that have a significant impact on public administration, which entails the need for its comprehensive modernization. In this regard, this article is aimed at the disclosure of social and socio-cultural aspects of the modernization of…

Characterization of the evolution of the pharmaceutical regulatory environment.

PubMed

Shafiei, Nader; Ford, James L; Morecroft, Charles W; Lisboa, Paulo J; Taylor, Mark J

2013-01-01

This paper is part of a research study that is intended to identify pharmaceutical quality risks induced by the ongoing transformation in the industry. This study establishes the current regulatory context by characterizing the development of the pharmaceutical regulatory environment. The regulatory environment is one of the most important external factors that affects a company's organization, processes, and technological strategy. This is especially the case with the pharmaceutical industry, where its products affect the quality of life of the consumers. The quantitative analysis of regulatory events since 1813 and review of the associated literature resulted in identification of six factors influencing the regulatory environment, namely public health protection, public health promotion, crisis management, harmonization, innovation, and modernization. From 1813 to the 1970s the focus of regulators was centered on crisis management and public health protection-a basic mission that has remained consistent over the years. Since the 1980s a gradual move in the regulatory environment towards a greater focus on public health promotion, international harmonization, innovation, and agency modernization may be seen. The pharmaceutical industry is currently going through changes that affect the way it performs its research, manufacturing, and regulatory activities. The impact of these changes on the approaches to quality risk management requires more understanding. The authors are engaged in research to identify elements of the changes that influence pharmaceutical quality. As quality requirements are an integral part of the pharmaceutical regulations, a comprehensive understanding of these regulations is seen as the first step. The results of this study show that (i) public health protection, public health promotion, crisis management, harmonization, innovation, and modernization are factors that affect regulations in the pharmaceutical industry; (ii) the regulators' main mission of public health protection has remained a constant feature over the years; and (iii) since the 1970s other factors such as public health promotion, international harmonization, innovation, and agency modernization are playing more important role in regulatory agency thinking and actions.

DOD Business Systems Modernization: Progress in Establishing Corporate Management Controls Needs to Be Replicated Within Military Departments

DTIC Science & Technology

2008-05-01

management, and continue to address the act s requirements relative to business system budgetary disclosure and certification and approval of systems costing ...DOD continues to take steps to comply with legislative requirements and related guidance pertaining to its business systems modernization highrisk

A Study on the Application of Laozi's Thoughts on Educational Leadership and Management

ERIC Educational Resources Information Center

Wen, Lian-shiung; Hwang, Kevin P.

2008-01-01

This paper attempts to apply historical methods to help understand the relationship between the philosophy espoused in the works of Laozi or Tao De Ching and educational leadership. The objective is to study the thought of Laozi regarding leadership, to identify ideas and solutions that can be applied in modern educational management, as well as…

Managing uncertainty about food risks - Consumer use of food labelling.

PubMed

Tonkin, Emma; Coveney, John; Meyer, Samantha B; Wilson, Annabelle M; Webb, Trevor

2016-12-01

General consumer knowledge of and engagement with the production of food has declined resulting in increasing consumer uncertainty about, and sensitivity to, food risks. Emphasis is therefore placed on providing information for consumers to reduce information asymmetry regarding food risks, particularly through food labelling. This study examines the role of food labelling in influencing consumer perceptions of food risks. In-depth, 1-h interviews were conducted with 24 Australian consumers. Participants were recruited based on an a priori defined food safety risk scale, and to achieve a diversity of demographic characteristics. The methodological approach used, adaptive theory, was chosen to enable a constant interweaving of theoretical understandings and empirical data throughout the study. Participants discussed perceiving both traditional (food spoilage/microbial contamination) and modern (social issues, pesticide and 'chemical' contamination) risks as present in the food system. Food labelling was a symbol of the food system having managed traditional risks, and a tool for consumers to personally manage perceived modern risks. However, labelling also raised awareness of modern risks not previously considered. The consumer framing of risk presented demonstrates the need for more meaningful consumer engagement in policy decision making to ensure risk communication and management meet public expectations. This research innovatively identifies food labelling as both a symbol of, and a tool for, the management of perceived risks for consumers. Therefore it is imperative that food system actors ensure the authenticity and trustworthiness of all aspects of food labelling, not only those related to food safety. Copyright © 2016 Elsevier Ltd. All rights reserved.

Telling Modernization: Three Voices. Life History, Gender and the Discourse of Modernization. Roskilde University Life History Project Paper.

ERIC Educational Resources Information Center

Anderson, Linda

The relationship between life history, gender, and the discourse of modernization was examined from the perspective of a researcher with extensive experience performing evaluations about modernization within human services in Denmark. Three stories about site-based management in two human service institutionsa youth center and a boarding school…

Gord Stephen | NREL

Science.gov Websites

laboratory's understanding of capacity value in modern power systems and enjoys applying probabilistic systems efficiency and load management opportunities Education M.E.S. in Environment and Resource Studies, University

Introducing a balanced scorecard management system in a university anesthesiology department.

PubMed

Zbinden, Alex M

2002-12-01

The study goal was to show how Balanced Scorecard, a modern management tool based on score numbers, can efficiently be applied to a university anesthesiology department. Nineteen score numbers were established in four perspectives. Meaningful results were obtained with limited resources to support a process of innovation and improvement.

Language Students Learning to Manage Complex Pedagogic Situations in a Technology-Rich Environment

ERIC Educational Resources Information Center

Tumelius, Riikka; Kuure, Leena

2017-01-01

Being a language teacher in the modern world requires sensitivity to complexity, which may pose challenges for student teachers and teachers in the field accustomed to classroom-based learning and teaching. This study examines how language students are managing complex pedagogic situations in a technologyrich environment while exploring new ways…

[Quality Manager 2.0 in hospitals: A practical guidance for executive managers, medical directors, senior consultants, nurse managers and practicing quality managers].

PubMed

Pilz, Stefan; Hülsmann, Sylvia; Michallik, Stefan; Rimbach-Schurig, Monika; Schollmeier, Margarita; Sommerhoff, Benedikt; Weßling, Adelheid

2013-01-01

Aiming at the development of perspectives and recommendations for modern quality management in health services the GQMG conducted a study on the role and self-conception of quality managers in hospitals. It seems obvious that the effectiveness of quality management clearly depends on the executive board's skilful installation of quality management, their support of quality managers and, particularly in larger-sized institutions on the coordination of staff units and cross-sectional functions.(As supplied by author). Copyright © 2013. Published by Elsevier GmbH.

Evolution of Management of Intracranial Aneurysms in Children: A Systematic Review of the Modern Literature.

PubMed

Beez, Thomas; Steiger, Hans-Jakob; Hänggi, Daniel

2016-05-01

Pediatric intracranial aneurysms are rare. Management of their more common adult counterparts was profoundly influenced by recent high-quality clinical studies. The aim of this review was to aggregate the modern pediatric data published in the wake of these studies and to analyze their impact on management of aneurysms in children. A systematic PubMed search identified 135 publications published between 2000 and 2015, accounting for 573 children and 656 aneurysms. Descriptive statistical analyses revealed differences between children and adults concerning demographics and aneurysm characteristics. A significant proportion of patients were treated endovascularly, suggesting endovascular treatment has been established in the therapeutic armamentarium for pediatric aneurysms. However, these data highlight the unique nature of pediatric aneurysms, and neither this review nor generalization from adult data can replace high-quality clinical research. Multicenter registries and controlled trials are required to establish the natural history and evidence-based treatment of pediatric aneurysms. © The Author(s) 2015.

Pedagogical Management of Learning Activities of Students in the Electronic Educational Environment of the University: A Differentiated Approach

ERIC Educational Resources Information Center

Toktarova, Vera Ivanovna

2015-01-01

The present study considers issues related to the planning and implementation of the system of pedagogical management of learning activities of students in the context of modern electronic educational environment of the higher education institution. As a methodological basis considered a differentiated approach based on flexible individual…

Options of system integrated environment modelling in the predicated dynamic cyberspace

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

Janková, Martina; Dvořák, Jiří

In this article there are briefly mentioned some selected options of contemporary conception of cybernetic system models in the corresponding and possible integratable environment with modern system dynamics thinking and all this in the cyberspace of possible projecting of predicted system characteristics. The key to new capabilities of system integration modelling in the considered cyberspace is mainly the ability to improve the environment and the system integration options, all this with the aim of modern control in the hierarchically arranged dynamic cyberspace, e.g. in the currently desired electronic business with information. The aim of this article is to assess generallymore » the trends in the use of modern modelling methods considering the cybernetics applications verified in practice, modern concept of project management and also the potential integration of artificial intelligence in the new projecting and project management of integratable and intelligent models, e.g. with the optimal structures and adaptable behaviour.The article results from the solution of a specific research partial task at the faculty; especially the moments proving that the new economics will be based more and more on information, knowledge system defined cyberspace of modern management, are stressed in the text.« less

The research and realization of digital management platform for ultra-precision optical elements within life-cycle

NASA Astrophysics Data System (ADS)

Wang, Juan; Wang, Jian; Li, Lijuan; Zhou, Kun

2014-08-01

In order to solve the information fusion, process integration, collaborative design and manufacturing for ultra-precision optical elements within life-cycle management, this paper presents a digital management platform which is based on product data and business processes by adopting the modern manufacturing technique, information technique and modern management technique. The architecture and system integration of the digital management platform are discussed in this paper. The digital management platform can realize information sharing and interaction for information-flow, control-flow and value-stream from user's needs to offline in life-cycle, and it can also enhance process control, collaborative research and service ability of ultra-precision optical elements.

Performance Evaluation of UHF RFID Technologies for Real-Time Bus Recognition in the Taipei Bus Station

PubMed Central

Own, Chung-Ming; Lee, Da-Sheng; Wang, Ti-Ho; Wang, De-Jun; Ting, Yu-Lun

2013-01-01

Transport stations such as airports, ports, and railways have adopted blocked-type pathway management to process and control travel systems in a one-directional manner. However, this excludes highway transportation where large buses have great variability and mobility; thus, an instant influx of numerous buses increases risks and complicates station management. Focusing on Taipei Bus Station, this study employed RFID technology to develop a system platform integrated with modern information technology that has numerous characteristics. This modern information technology comprised the following systems: ultra-high frequency (UHF) radio-frequency identification (RFID), ultrasound and license number identification, and backstage graphic controls. In conclusion, the system enabled management, bus companies, and passengers to experience the national bus station's new generation technology, which provides diverse information and synchronization functions. Furthermore, this technology reached a new milestone in the energy-saving and efficiency-increasing performance of Taiwan's buses. PMID:23778192

Technologies and problems of reengineering of the business processes of company

NASA Astrophysics Data System (ADS)

Silka, Dmitriy

2017-10-01

Management of the combination of business processes is a modern approach in the field of business management. Together with a lot of management approaches business processes allow us to identify all the resultant actions. Article reveals the modern view on the essence of business processes as well as the general approaches of their allocation. Principles of construction and business process re-engineering are proposed. Recommendations on how to perform re-engineering under high cyclic dynamics of business activity are provided.

Should pediatric neurosurgeons still manage neurotrauma today?

PubMed

Peter, Jonathan C

2010-02-01

Neurotrauma remains a major global burden of injury, especially for young patients, and will consequently always be a condition that pediatric neurosurgeons are called upon to treat. However, the face of modern neurotrauma management is changing, presenting important challenges to today's pediatric neurosurgeons. This article summarizes some of the issues in neurotrauma facing clinicians whose responsibility it is to treat these children. It is up to the individual neurosurgeon to familiarize him- or herself with the emerging literature on the modern management of pediatric neurotrauma.

Effect of TV and radio family planning messages on the probability of modern contraception utilization in post-Soviet Central Asia.

PubMed

Habibov, Nazim; Zainiddinov, Hakim

2017-01-01

This study evaluates the effects of family planning message broadcast on radio and TV on the probability of modern contraception utilization in post-Soviet Central Asia. Viewing family planning messages on TV improves the chances of using modern contraception for a woman who actually saw the messages by about 11 and 8 per cent in Kyrgyzstan and Tajikistan, respectively. If every woman in Kyrgyzstan and Tajikistan had an opportunity to watch a family planning message on TV, then the likelihood of using modern contraception would have improved by 10 and 7 per cent in Kyrgyzstan and Tajikistan, respectively. By contrast, the effect of hearing family planning messages on radio is not significant in both countries. © 2015 The Authors. International Journal of Health Planning and Management published by John Wiley & Sons, Ltd. Viewing family planning messages on TV improves the chances of using modern contraception for a woman who actually saw the messages by about 11 and 8 per cent in Kyrgyzstan and Tajikistan, respectively. If every woman in Kyrgyzstan and Tajikistan had an opportunity to watch a family planning message on TV, then the probability of using modern contraception would have improved by 10 and 7 per cent in Kyrgyzstan and Tajikistan, respectively. Consequently, using TV family planning messages in both countries should be encouraged. In comparison, the effect of hearing family planning messages on radio is not significant in both countries. © 2015 The Authors. International Journal of Health Planning and Management published by John Wiley & Sons, Ltd.

Does leadership style of modern matrons contribute to safer and more effective clinical services?

PubMed

Hill, Barry

2017-03-30

At the time of writing, the author was a modern matron in a surgical division of an NHS teaching hospital in London. This article considers the differences between leadership and management, and discusses the skills required by modern matrons to lead safe and successful clinical services. It also examines three leadership styles - transactional, transformational and situational - and their relevance to the role of modern matron.

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

Nancy Carlisle: NREL

This publication is one of a series of case studies of energy-efficient modern laboratories; it was prepared for "Laboratories for the 21st Century," a joint program of the Environmental Protection Agency and the U.S. DOE Federal Energy Management Program

Modern Approaches to Training Competitive Locksmiths-Electricians in the EU Countries

ERIC Educational Resources Information Center

Roskvas, Ihor

2017-01-01

The article deals with the issues of modern approaches to training competitive locksmiths-electricians and the influence of effective management on the process of vocational training. The modern labour market needs concerning vocational training of highly qualified workers have been analyzed. The concept of a competitive worker has been revealed…

Technical Management in an Age of Openness: The Political, Public, and Environmental Forest Ranger

ERIC Educational Resources Information Center

Anderson, Sarah E.; Hodges, Heather E.; Anderson, Terry L.

2013-01-01

Modern bureaucracy faces trade-offs between public and congressional input and agency expertise. The U.S. Forest Service offers an opportunity to quantitatively analyze whether an agency that is required to be more open to the public and congressional input will be forced to ignore its technical expertise in managing resources. This study uses…

Historical and modern disturbance regimes, stand structures, and landscape dynamics in pinon-juniper vegetation of the western U.S.

Treesearch

William H. Romme; Craig D. Allen; John D. Bailey; William L. Baker; Brandon T. Bestelmeyer; Peter M. Brown; Karen S. Eisenhart; Lisa Floyd-Hanna; Dustin W. Huffman; Brian F. Jacobs; Richard F. Miller; Esteban H. Muldavin; Thomas W. Swetnam; Robin J. Tausch; Peter J. Weisberg

2008-01-01

Pinon-juniper is one of the major vegetation types in western North America. It covers a huge area, provides many resources and ecosystem services, and is of great management concern. Management of pinon-juniper vegetation has been hindered, especially where ecological restoration is a goal, by inadequate understanding of the variability in historical and modern...

Database Management

NASA Technical Reports Server (NTRS)

1984-01-01

Management of the data within a planetary data system (PDS) is addressed. Principles of modern data management are described and several large NASA scientific data base systems are examined. Data management in PDS is outlined and the major data management issues are introduced.

GIS and local knowledge in disaster management: a case study of flood risk mapping in Viet Nam.

PubMed

Tran, Phong; Shaw, Rajib; Chantry, Guillaume; Norton, John

2009-03-01

Linking community knowledge with modern techniques to record and analyse risk related data is one way of engaging and mobilising community capacity. This paper discusses the use of the Geographic Information System (GIS) at the local level and the need for integrating modern technology and indigenous knowledge into disaster management. It suggests a way to mobilise available human and technical resources in order to strengthen a good partnership between local communities and local and national institutions. The paper also analyses the current vulnerability of two communes by correlating hazard risk and loss/damage caused by disasters and the contribution that domestic risk maps in the community can make to reduce this risk. The disadvantages, advantages and lessons learned from the GIS flood risk mapping project are presented through the case study of the Quang Tho Commune in Thua Thien Hue province, central Viet Nam.

The environmental impact of dairy production: 1944 compared with 2007.

PubMed

Capper, J L; Cady, R A; Bauman, D E

2009-06-01

A common perception is that pasture-based, low-input dairy systems characteristic of the 1940s were more conducive to environmental stewardship than modern milk production systems. The objective of this study was to compare the environmental impact of modern (2007) US dairy production with historical production practices as exemplified by the US dairy system in 1944. A deterministic model based on the metabolism and nutrient requirements of the dairy herd was used to estimate resource inputs and waste outputs per billion kg of milk. Both the modern and historical production systems were modeled using characteristic management practices, herd population dynamics, and production data from US dairy farms. Modern dairy practices require considerably fewer resources than dairying in 1944 with 21% of animals, 23% of feedstuffs, 35% of the water, and only 10% of the land required to produce the same 1 billion kg of milk. Waste outputs were similarly reduced, with modern dairy systems producing 24% of the manure, 43% of CH(4), and 56% of N(2)O per billion kg of milk compared with equivalent milk from historical dairying. The carbon footprint per billion kilograms of milk produced in 2007 was 37% of equivalent milk production in 1944. To fulfill the increasing requirements of the US population for dairy products, it is essential to adopt management practices and technologies that improve productive efficiency, allowing milk production to be increased while reducing resource use and mitigating environmental impact.

Leading with charisma.

PubMed

Davidhizar, R

1993-04-01

Traditionally, leaders have used characteristics related to authority, control, competition and logic. Such approaches are more autocratic, and task-oriented. With changes in society, employers are focusing less on tasks and more on job satisfaction. Leaders are focusing on co-operation versus competition. Human relations and recognition are being used as motivators. Charisma is an important characteristic for leaders who wish to motivate by interpersonal characteristics. Transformational leadership is an emerging paradigm for modern management and can be important to the modern nurse manager as well. This paper describes charisma and how it can be useful to the nurse manager.

Modern management of juvenile recurrent parotitis.

PubMed

Capaccio, P; Sigismund, P E; Luca, N; Marchisio, P; Pignataro, L

2012-12-01

To evaluate modern diagnostic and therapeutic management of juvenile recurrent parotitis, and to show the benefits of operative sialoendoscopy on the basis of our experience in 14 patients and the results of others. Ultrasonography is sensitive in detecting the pathological features of juvenile recurrent parotitis. Interventional sialoendoscopy is a safe and effective method of treating the disease. In our case series, after a mean follow-up time of 30 months only 5 patients experienced recurrence of symptoms, with a mean symptom-free period of 20 months. The use of modern, minimally invasive diagnostic tools such as colour Doppler ultrasonography, magnetic resonance sialography and sialoendoscopy represents a new frontier in the management of juvenile recurrent parotitis. Operative sialoendoscopy also has the important therapeutic benefit of reducing the number of recurrences of acute episodes of parotitis, thus giving patients a better quality of life until puberty.

Complementary approaches to diagnosing marine diseases: a union of the modern and the classic

PubMed Central

Burge, Colleen A.; Friedman, Carolyn S.; Getchell, Rodman; House, Marcia; Mydlarz, Laura D.; Prager, Katherine C.; Renault, Tristan; Kiryu, Ikunari; Vega-Thurber, Rebecca

2016-01-01

Linking marine epizootics to a specific aetiology is notoriously difficult. Recent diagnostic successes show that marine disease diagnosis requires both modern, cutting-edge technology (e.g. metagenomics, quantitative real-time PCR) and more classic methods (e.g. transect surveys, histopathology and cell culture). Here, we discuss how this combination of traditional and modern approaches is necessary for rapid and accurate identification of marine diseases, and emphasize how sole reliance on any one technology or technique may lead disease investigations astray. We present diagnostic approaches at different scales, from the macro (environment, community, population and organismal scales) to the micro (tissue, organ, cell and genomic scales). We use disease case studies from a broad range of taxa to illustrate diagnostic successes from combining traditional and modern diagnostic methods. Finally, we recognize the need for increased capacity of centralized databases, networks, data repositories and contingency plans for diagnosis and management of marine disease. PMID:26880839

Complementary approaches to diagnosing marine diseases: a union of the modern and the classic

USGS Publications Warehouse

Burge, Colleen A.; Friedman, Carolyn S.; Getchell, Rodman G.; House, Marcia; Lafferty, Kevin D.; Mydlarz, Laura D.; Prager, Katherine C.; Sutherland, Kathryn P.; Renault, Tristan; Kiryu, Ikunari; Vega-Thurber, Rebecca

2016-01-01

Linking marine epizootics to a specific aetiology is notoriously difficult. Recent diagnostic successes show that marine disease diagnosis requires both modern, cutting-edge technology (e.g. metagenomics, quantitative real-time PCR) and more classic methods (e.g. transect surveys, histopathology and cell culture). Here, we discuss how this combination of traditional and modern approaches is necessary for rapid and accurate identification of marine diseases, and emphasize how sole reliance on any one technology or technique may lead disease investigations astray. We present diagnostic approaches at different scales, from the macro (environment, community, population and organismal scales) to the micro (tissue, organ, cell and genomic scales). We use disease case studies from a broad range of taxa to illustrate diagnostic successes from combining traditional and modern diagnostic methods. Finally, we recognize the need for increased capacity of centralized databases, networks, data repositories and contingency plans for diagnosis and management of marine disease.

Looking ahead in systems engineering

NASA Technical Reports Server (NTRS)

Feigenbaum, Donald S.

1966-01-01

Five areas that are discussed in this paper are: (1) the technological characteristics of systems engineering; (2) the analytical techniques that are giving modern systems work its capability and power; (3) the management, economics, and effectiveness dimensions that now frame the modern systems field; (4) systems engineering's future impact upon automation, computerization and managerial decision-making in industry - and upon aerospace and weapons systems in government and the military; and (5) modern systems engineering's partnership with modern quality control and reliability.

Modern Initial Management of Severe Limbs Trauma in War Surgery: Orthopaedic Damage Control

DTIC Science & Technology

2010-04-01

avoid fat embolism , allow an optimal nursing and medical evacuation without any secondary functional consequences [3]. 2.2.1 Indications: The...decrease the risk of fat embolism . Modern Initial Management of Severe Limbs Trauma in War Surgery: “Orthopaedic Damage Control” RTO-MP-HFM-182 17...injuries. Orthopaedic Imperious: Multiple open shaft fractures with blood loss, complex epiphysal fractures requiring a long difficult surgical bloody

Water resources management. World Bank policy paper; Gestion des ressources en eau

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

NONE

1993-12-31

The management framework presented in this study addresses the demand for water in Asia caused by rapid population growth and economic development. It focuses on three key actions to meet the challenge: evaluate how the region manages water resources; identify guidelines for the Bank`s water resource programs; and develop country-specific strategies and promote joint programs. Reforms built into the framework seek to modernize institutions that affect water sources. The authors suggest ways to improve planning and long-term management, streamline economic and financial policy, and upgrade `real-time` management, operation, and maintenance.

Modern Empirical Statistical Spectral Analysis.

DTIC Science & Technology

1980-05-01

716-723. Akaike, H. (1977). On entropy maximization principle, Applications of Statistics, P.R. Krishnaiah , ed., North-Holland, Amsterdam, 27-41...by P. Krishnaiah , North Holland: Amsterdam, 283-295. Parzen, E. (1979). Forecasting and whitening filter estimation, TIMS Studies in the Management

Coccinellids and the Modern Pest Management

ERIC Educational Resources Information Center

Hodek, Ivo

1970-01-01

Discusses the concept of integrated pest control combining chemical and biological methods. Describes many examples of the successful use of coccinellids beetles to control other insects. Cites ecological and physiological research studies related to predator prey relationships involving coccinellids. (EB)

Scoping of Flood Hazard Mapping Needs for Androscoggin County, Maine

USGS Publications Warehouse

Schalk, Charles W.; Dudley, Robert W.

2007-01-01

Background The Federal Emergency Management Agency (FEMA) developed a plan in 1997 to modernize the FEMA flood mapping program. FEMA flood maps delineate flood hazard areas in support of the National Flood Insurance Program (NFIP). FEMA's plan outlined the steps necessary to update FEMA's flood maps for the nation to a seamless digital format and streamline FEMA's operations in raising public awareness of the importance of the maps and responding to requests to revise them. The modernization of flood maps involves conversion of existing information to digital format and integration of improved flood hazard data as needed and as funds allow. To determine flood mapping modernization needs, FEMA has established specific scoping activities to be done on a county-by-county basis for identifying and prioritizing requisite flood-mapping activities for map modernization. The U.S. Geological Survey (USGS), in cooperation with FEMA and the Maine Floodplain Management Program (MFMP) State Planning Office, began scoping work in 2006 for Androscoggin County. Scoping activities included assembling existing data and map needs information for communities in Androscoggin County, documentation of data, contacts, community meetings, and prioritized mapping needs in a final scoping report (this document), and updating the Mapping Needs Update Support System (MNUSS) Database with information gathered during the scoping process. The average age of the FEMA floodplain maps in Androscoggin County, Maine, is at least 17 years. Most studies were published in the early 1990s, and some towns have partial maps that are more recent than their study date. Since the studies were done, development has occurred in many of the watersheds and the characteristics of the watersheds have changed with time. Therefore, many of the older studies may not depict current conditions nor accurately estimate risk in terms of flood heights or flood mapping.

Research on Revision of Training Program of the Economics and Management Specialties Based on the Training Mode--A Case Study from Changchun University of Science and Technology

ERIC Educational Resources Information Center

Qi, Dianwei; Yu, Shili

2013-01-01

With China's economic development and international competition intensifications, the society requires for talents from number requirements into the quality requirements, especially. Complex and high-class trend of modern industrial development demands compound talents. There are eight majors in college of the economics and management in Changchun…

Federal Aviation Administration : challenges in modernizing the agency

DOT National Transportation Integrated Search

2000-02-01

FAA's efforts to implement initiatives in five key areas-air traffic control modernization, procurement and personnel reform, aviation safety, aviation and computer security, and financial management-have met with limited success. For example, FAA ha...

Study of Intelligent Secure Chemical Inventory Management System

NASA Astrophysics Data System (ADS)

Shukran, Mohd Afizi Mohd; Naim Abdullah, Muhammad; Nazri Ismail, Mohd; Maskat, Kamaruzaman; Isa, Mohd Rizal Mohd; Shahfee Ishak, Muhammad; Adib Khairuddin, Muhamad

2017-08-01

Chemical inventory management system has been experiencing a new revolution from traditional inventory system which is manual to an automated inventory management system. In this paper, some review of the classic and modern approaches to chemical inventory management system has been discussed. This paper also describe about both type of inventory management. After a comparative analysis of the traditional method and automated method, it can be said that both methods have some distinctive characteristics. Moreover, the automated inventory management method has higher accuracy of calculation because the calculations are handled by software, eliminating possible errors and saving time. The automated inventory system also allows users and administrators to track the availability, location and consumption of chemicals. The study of this paper can provide forceful review analysis support for the chemical inventory management related research.

Managing diversity in health services organizations.

PubMed

Muller, H J; Haase, B E

1994-01-01

The changing ethnic, racial, and gender workforce characteristics require innovations in management philosophy and practice. Valuing employees' differences is believed to be a competitive advantage in many modern corporations. This article offers recommendations to health care managers for rethinking and improving the management of their heterogeneous workforces. A conceptual framework and evaluative criteria are developed in an attempt to better understand the factors that influence effective diversity management. The experiences of health services institutions in the Southwest (already a multicultural region) are studied to illustrate various approaches to diversity management. Leader philosophy and support, organizational policies and programs, workforce composition, structural integration, and organizational type constitute the main elements in this study. As the nation debates restructuring the health industry, it should also take the opportunity to integrate a management philosophy that values diversity and its practice.

Real Time Locations Systems or Outsourcing: A Case Study

ERIC Educational Resources Information Center

Lawrence, Cameron; Firth, David; Khumalo, Floyd

2013-01-01

Information Technology has transformed almost all aspects of modern healthcare and is playing a vital role in the administration of hospitals around the world. This case study examines one hospital's struggle to solve crucial operational problems related to the efficient management of medical equipment inventory. This case study is the result of…

Modernizing Information Technology in the Office of Economic Adjustment

DTIC Science & Technology

1993-07-01

AD-A286 036 l 1 ( )HTj% i ll Ntll1.1 flCil i I odit Ut Modernizing Information Technology in the Office of Economic Adjustment FPI IOR1 ~ DG...Jeffrey S. Frost Michael P. McEwen 94-34585 ’> DTC J . -94 11 7 074 July 1993 Modernizing Information Technology in the Office of Economic Adjustment...Road "Bethesda, Maryland 20817-5886 FPIIOR1/JuIy 1993 LOGISTICS MANAGEMENT INSTITUTE Modernizing Information Technology in the Office of Economic

SEVEN PILLARS OF ECOSYSTEM MANAGEMENT

EPA Science Inventory

Ecosystem management is widely proposed in the popular and professional literature as the modern and preferred way of managing natural resources and ecosystems. Advocates glowingly describe ecosystem management as an approach that will protect the environment, maintain healthy ec...

Impact of selection on maize root traits and rhizosphere interactions

NASA Astrophysics Data System (ADS)

Schmidt, J. E.; Gaudin, A. C. M.

2017-12-01

Effects of domestication and breeding on maize have been well-characterized aboveground, but impacts on root traits and rhizosphere processes remain unclear. Breeding in high-inorganic-input environments may have negatively affected the ability of modern maize to acquire nutrients through foraging and microbial interactions in marginal and/or organically managed soils. Twelve maize genotypes representing a selection gradient (teosintes, landraces, open-pollinated parents of modern elite germplasm, and modern hybrids released 1934-2015) were grown in three soils varying in intensity of long-term management (unfertilized, organic, conventional) in the greenhouse. Recruitment of rhizosphere microbial communities, nutrient acquisition, and plant productivity were affected by genotype-by-soil interactions. Maize genotypes exhibit significant variation in their ability to obtain nutrients from soils of different management history, indicating the potential for re-integration of beneficial root and rhizosphere traits to increase adaptation to low-input agroecosystems.

A review of health and safety leadership and managerial practices on modern dairy farms.

PubMed

Hagevoort, G Robert; Douphrate, David I; Reynolds, Stephen J

2013-01-01

As modern dairy operations around the world expand, farmers are increasingly reliant on greater automation and larger numbers of hired labor to milk cows and perform other essential farm tasks. Dairy farming is among the most dangerous occupations, with high rates of injury, illness, and employee turnover. Lower education levels, illiteracy, and limited language proficiency increase the possibility of injury or death associated with higher risk occupations such as dairy. Sustaining a healthy, productive workforce is a critical component of risk management; however, many owners and managers have not received formal training in employee management or occupational health and safety. Optimal dairy farming management should address milk production that is sustainable and responsible from the animal welfare, social, economic, and environmental perspectives. Each of these aspects is interdependent with each other and with a sustainable, healthy, productive workforce. Very few studies address the effectiveness of risk management in the dairy industry. Studies suggest that labor management practices are a potential competitive advantage for dairy farms, but the connection with efficiency, productivity, and profitability has not been clearly demonstrated. Transformational leadership has been associated with improved safety climate and reduced incidence of injury, whereas passive leadership styles have opposite effects. There is a need to develop and evaluate the effectiveness of safety-specific transformational leadership among dairy owners and managers. A systematic approach to risk management should address worker health and safety as an integral component of production, food safety, and animal welfare. A successful program must address the cultural and linguistic barriers associated with immigrant workers.

Diagnosis and Management of Transplanted Kidney Extrarenal Pseudoaneurysms: A Series of Four Cases and a Review of the Literature

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

Fananapazir, Ghaneh, E-mail: fananapazir@ucdavis.edu; Hannsun, Gemmy; Wright, Luke A.

Extrarenal pseudoaneurysms of transplanted kidneys are very rare but can have devastating consequences. In the past, these extrarenal pseudoaneurysms have often led to graft loss as well as significant morbidity and mortality. The role of advanced diagnostic imaging studies and of modern radiologic interventional management has not been studied. In this case series, we present four cases of extrarenal pseudoaneurysms of transplanted kidneys, describe the clinical scenarios and imaging that led to the angiographic diagnosis, and discuss the various endovascular and surgical approaches to management.

Advanced Distribution Management Systems | Grid Modernization | NREL

Science.gov Websites

Advanced Distribution Management Systems Advanced Distribution Management Systems Electric utilities are investing in updated grid technologies such as advanced distribution management systems to management testbed for cyber security in power systems. The "advanced" elements of advanced

Managing today's complex healthcare business enterprise: reflections on distinctive requirements of healthcare management education.

PubMed

Welton, William E

2004-01-01

In early 2001, the community of educational programs offering master's-level education in healthcare management began an odyssey to modernize its approach to the organization and delivery of healthcare management education. The community recognized that cumulative long-term changes within healthcare management practice required a careful examination of healthcare management context and manpower requirements. This article suggests an evidence-based rationale for defining the distinctive elements of healthcare management, thus suggesting a basis for review and transformation of master's-level healthcare management curricula. It also suggests ways to modernize these curricula in a manner that recognizes the distinctiveness of the healthcare business enterprise as well as the changing management roles and careers within these complex organizations and systems. Through such efforts, the healthcare management master's-level education community would be better prepared to meet current and future challenges, to increase its relevance to the management practice community, and to allocate scarce faculty and program resources more effectively.

Management of rheumatoid arthritis (Aamavata) using symbiohealth healthcare system

PubMed Central

Basisht, Gopal K.; Singh, Ram Harsh; Chandola, Harimohan

2012-01-01

Rheumatoid Arthritis (RA), according to modern medicine, and Aamavata according to Ayurveda, has an etiological and clinical relationship. Aamavata is a disease complex of which RA is a part. A comparative study of the pathophysiology of this disease by both systems reveals that modern medicine has investigated the mechanism of inflammation and has developed an offense strategy to control it. Ayurveda follows a defense strategy and it focuses its search on the etiological process, where disequilibrium at a higher level of physiology affects the gastrointestinal tract, causing an immune response that results in inflammation. Understanding the pathophysiology of both systems will help the treating physician to institute a dual treatment plan of modern medicine's offense strategy and Ayurvedic medicine's defense strategy at appropriate stages of the disease. Studying the pathophsiology of the two systems also gives insight into the genetic and epigenetic phenomenon in the treatment of disease and opens the doors for groundbreaking research. PMID:23723661

The SysMan monitoring service and its management environment

NASA Astrophysics Data System (ADS)

Debski, Andrzej; Janas, Ekkehard

1996-06-01

Management of modern information systems is becoming more and more complex. There is a growing need for powerful, flexible and affordable management tools to assist system managers in maintaining such systems. It is at the same time evident that effective management should integrate network management, system management and application management in a uniform way. Object oriented OSI management architecture with its four basic modelling concepts (information, organization, communication and functional models) together with widely accepted distribution platforms such as ANSA/CORBA, constitutes a reliable and modern framework for the implementation of a management toolset. This paper focuses on the presentation of concepts and implementation results of an object oriented management toolset developed and implemented within the framework of the ESPRIT project 7026 SysMan. An overview is given of the implemented SysMan management services including the System Management Service, Monitoring Service, Network Management Service, Knowledge Service, Domain and Policy Service, and the User Interface. Special attention is paid to the Monitoring Service which incorporates the architectural key entity responsible for event management. Its architecture and building components, especially filters, are emphasized and presented in detail.

Economics of pressure-ulcer care: review of the literature on modern versus traditional dressings.

PubMed

San Miguel, L; Torra i Bou, J E; Verdú Soriano, J

2007-01-01

Published evidence suggests that some of the benefits of modern dressings--longer wear times and less frequent dressing changes--make them more cost-effective than traditional gauze dressings in pressure ulcer management.

Developing a web-based forecasting tool for nutrient management

USDA-ARS?s Scientific Manuscript database

Modern nutrient management planning tools provide strategic guidance that, in the best cases, educates farmers and others involved in nutrient management to make prudent management decisions. The strategic guidance provided by nutrient management plans does not provide the day-to-day support require...

Postmodern Program Management

DTIC Science & Technology

2008-06-01

Charlie Chaplin , in 1936, to make the aptly titled film Modern Times . Watch the movie to see what we mean. Postmodernism: The Humanist Reaction Along...PM, plus more. Further, because Pomo PMs do not insist on standardiza- tion to the degree Modern PMs do, they spend much less time producing the...voluminous, detailed documentation that Modern PMs require to ensure precise repeatability, and much more time on actually doing things (perhaps

Antiquity versus modern times in hydraulics - a case study

NASA Astrophysics Data System (ADS)

Stroia, L.; Georgescu, S. C.; Georgescu, A. M.

2010-08-01

Water supply and water management in Antiquity represent more than Modern World can imagine about how people in that period used to think about, and exploit the resources they had, aiming at developing and improving their society and own lives. This paper points out examples of how they handled different situations, and how they managed to cope with the growing number of population in the urban areas, by adapting or by improving their water supply systems. The paper tries to emphasize the engineering contribution of Rome and the Roman Empire, mainly in the capital but also in the provinces, as for instance the today territory of France, by analysing some aqueducts from the point of view of modern Hydraulic Engineering. A third order polynomial regression is proposed to compute the water flow rate, based on the flow cross-sectional area measured in quinaria. This paper also emphasizes on contradictory things between what we thought we knew about Ancient Roman civilization, and what could really be proven, either by a modern engineering approach, a documentary approach, or by commonsense, where none of the above could be used. It is certain that the world we live in is the heritage of the Greco-Roman culture and therefore, we are due to acknowledge their contribution, especially taking into account the lack of knowledge of that time, and the poor resources they had.

Scoping of Flood Hazard Mapping Needs for Lincoln County, Maine

USGS Publications Warehouse

Schalk, Charles W.; Dudley, Robert W.

2007-01-01

Background The Federal Emergency Management Agency (FEMA) developed a plan in 1997 to modernize the FEMA flood mapping program. FEMA flood maps delineate flood hazard areas in support of the National Flood Insurance Program (NFIP). FEMA's plan outlined the steps necessary to update FEMA's flood maps for the nation to a seamless digital format and streamline FEMA's operations in raising public awareness of the importance of the maps and responding to requests to revise them. The modernization of flood maps involves conversion of existing information to digital format and integration of improved flood hazard data as needed. To determine flood mapping modernization needs, FEMA has established specific scoping activities to be done on a county-by-county basis for identifying and prioritizing requisite flood-mapping activities for map modernization. The U.S. Geological Survey (USGS), in cooperation with FEMA and the Maine Floodplain Management Program (MFMP) State Planning Office, began scoping work in 2006 for Lincoln County. Scoping activities included assembling existing data and map needs information for communities in Lincoln County, documentation of data, contacts, community meetings, and prioritized mapping needs in a final scoping report (this document), and updating the Mapping Needs Update Support System (MNUSS) database with information gathered during the scoping process. The average age of the FEMA floodplain maps in Lincoln County, Maine is at least 17 years. Many of these studies were published in the mid- to late-1980s, and some towns have partial maps that are more recent than their study. However, in the ensuing 15-20 years, development has occurred in many of the watersheds, and the characteristics of the watersheds have changed with time. Therefore, many of the older studies may not depict current conditions nor accurately estimate risk in terms of flood heights or flood mapping.

[Patient education in rheumatology: a way to better disease management using patients' empowerment].

PubMed

Lind-Albrecht, Gudrun

2006-11-01

Patients' empowerment has become a main issue in modern treatment of chronic rheumatic diseases. Within this concept patient education is an important instrument. Specific standardized programs, developed by multicenter groups under the leadership of the DGRh (German Society for Rheumatology) have become widely used all over Germany. The DGRh takes care of the program quality and of the trainers and heads of courses. Based on modern educational theories for adults and using a modular concept, which must be adapted to the individual situation of the patients, the curricula are put into practice by trainees of the different professions concerned. Controlled studies have not only shown the progress of patients' knowledge, compliance and coping, but also showed striking socioeconomic advantages in long-term follow-up. Patient education leads to a better and cost-effective management of rheumatic diseases.

Technostress: Technology's Toll.

ERIC Educational Resources Information Center

Champion, Sandra

1988-01-01

Describes the causes and symptoms of technostress (a modern disease of adaptation caused by an inability to cope with new technologies) as it relates to school librarians. Skills for managing change and conflict are discussed, and case studies of several actual victims of technostress are presented. (MES)

48 CFR 1034.201 - Policy.

Code of Federal Regulations, 2014 CFR

2014-10-01

... CONTRACTING MAJOR SYSTEM ACQUISITION Earned Value Management System 1034.201 Policy. (a) (1) An Earned Value Management System (EVMS) is required for major acquisitions for development/modernization/enhancement (DME..., Earned Value Management System; and, as appropriate, 1052.234-4, Earned Value Management System Alternate...

48 CFR 1034.201 - Policy.

Code of Federal Regulations, 2013 CFR

2013-10-01

... CONTRACTING MAJOR SYSTEM ACQUISITION Earned Value Management System 1034.201 Policy. (a) (1) An Earned Value Management System (EVMS) is required for major acquisitions for development/modernization/enhancement (DME..., Earned Value Management System; and, as appropriate, 1052.234-4, Earned Value Management System Alternate...

48 CFR 1034.201 - Policy.

Code of Federal Regulations, 2012 CFR

2012-10-01

... CONTRACTING MAJOR SYSTEM ACQUISITION Earned Value Management System 1034.201 Policy. (a) (1) An Earned Value Management System (EVMS) is required for major acquisitions for development/modernization/enhancement (DME..., Earned Value Management System; and, as appropriate, 1052.234-4, Earned Value Management System Alternate...

Computational methods in the pricing and risk management of modern financial derivatives

NASA Astrophysics Data System (ADS)

Deutsch, Hans-Peter

1999-09-01

In the last 20 years modern finance has developed into a complex mathematically challenging field. Very complicated risks exist in financial markets which need very advanced methods to measure and/or model them. The financial instruments invented by the market participants to trade these risk, the so called derivatives are usually even more complicated than the risks themselves and also sometimes generate new riks. Topics like random walks, stochastic differential equations, martingale measures, time series analysis, implied correlations, etc. are of common use in the field. This is why more and more people with a science background, such as physicists, mathematicians, or computer scientists, are entering the field of finance. The measurement and management of all theses risks is the key to the continuing success of banks. This talk gives insight into today's common methods of modern market risk management such as variance-covariance, historical simulation, Monte Carlo, “Greek” ratios, etc., including the statistical concepts on which they are based. Derivatives are at the same time the main reason for and the most effective means of conducting risk management. As such, they stand at the beginning and end of risk management. The valuation of derivatives and structured financial instruments is therefore the prerequisite, the condition sine qua non, for all risk management. This talk introduces some of the important valuation methods used in modern derivatives pricing such as present value, Black-Scholes, binomial trees, Monte Carlo, etc. In summary this talk highlights an area outside physics where there is a lot of interesting work to do, especially for physicists. Or as one of our consultants said: The fascinating thing about this job is that Arthur Andersen hired me not ALTHOUGH I am a physicist but BECAUSE I am a physicist.

Study of Factors Which Facilitate Increase of Effectiveness of University Education

ERIC Educational Resources Information Center

Albekov, Adam; Romanova, Tatyana; Vovchenko, Natalya; Epifanova, Tatyana

2017-01-01

Purpose: The purpose of this paper is to study the factors which facilitate the increase of effectiveness of university education and determination of perspectives of their management for provision of maximization of effectiveness of university education by the example of modern Russia. Design/methodology/approach: The authors define the notion…

Modern Managers Move Away from the Carrot and Stick Approach.

ERIC Educational Resources Information Center

Stahelski, Anthony J.; Frost, Dean E.

Studies using social power theory constructs (French and Raven, 1959) to analyze compliance attempts in field settings show that the power bases are not consistently related to any subordinate outcome variables such as job performance or attitudes. A study was undertaken to test key hypotheses derived from the social power theory concerning…

The Modern Cult of Efficiency: Intermediary Organizations and the New Scientific Management

ERIC Educational Resources Information Center

Trujillo, Tina

2014-01-01

This article analyzes one intermediary organization. It draws on critical policy studies to frame the agency's behaviors amid a discourse of managerialism in the public sector, and critical studies of education markets to explain the relationships between its reforms and education policy. Findings illustrate how the intermediary enacted…

The Administrative Organization of the Libraries of Columbia University: A Detailed Description.

ERIC Educational Resources Information Center

Columbia Univ., New York, NY. The Libraries.

In an effort to apply modern management techniques to the Columbia University Libraries, the Association of Research Libraries sponsored a study which called for restructuring the libraries to underscore functional relationships. The report of that study was reviewed by the libraries' administration and staff, and reorganization plans were made…

District of Columbia: D.C. Public Schools' Modernization Program Faces Major Challenges. Testimony before the Subcommittee on the District of Columbia, Committee on Appropriations, House of Representatives.

ERIC Educational Resources Information Center

Cooper, David E.

This Congressional testimony focuses on the challenges faced by the District of Columbia in modernizing its public schools. Specifically, it addresses: (1) increases in the cost of modernizing the schools; (2) delays in completing the schools; (3) quality inspection problems; and (4) concerns about managing asbestos hazards. The testimony…

Effects of Budget Reductions on Army Acquisition Support of Equipping and Modernization Goals

DTIC Science & Technology

2015-04-16

overall Army budgets are significantly reduced (34% since 2008), maintaining the entire equipment portfolio reduces the funding available to meet...the Mission Command portfolio , examine their impact on equipping and modernization, and make recommendations on how to divest the equipment no longer... portfolio of equipment being managed and the link to the new Defense guidance and Army equipping guidance and modernization plans. Any systems or programs

Enthusiasm and the Effective Modern Academic

ERIC Educational Resources Information Center

Freudenberg, Brett; Samarkovski, Lisa

2014-01-01

Academics today face an array of challenges to their enthusiasm, including teaching students from diverse backgrounds with wavering levels of engagement with their studies. Furthermore, reform to the tertiary education sector has seen the corporatisation of universities with management increasingly measuring academic outcomes in respect of both…

Should business management training be part of medical education?

PubMed

Hornick, P; Hornick, C; Taylor, K; Ratnatunga, C

1997-09-01

The introduction of modern business management practices in the National Health Service has exposed different levels of management training and expertise between clinicians and hospital managers. This is undesirable and frequently unproductive. This article puts the case for the inclusion of business management training within undergraduate and postgraduate curricula.

Distribution Management System Volt/VAR Evaluation | Grid Modernization |

Science.gov Websites

NREL Distribution Management System Volt/VAR Evaluation Distribution Management System Volt/VAR Evaluation This project involves building a prototype distribution management system testbed that links a GE Grid Solutions distribution management system to power hardware-in-the-loop testing. This setup is

Approaches of Improving University Assets Management Efficiency

ERIC Educational Resources Information Center

Wang, Jingliang

2015-01-01

University assets management, as an important content of modern university management, is generally confronted with the issue of low efficiency. Currently, to address the problems exposed in university assets management and take appropriate modification measures is an urgent issue in front of Chinese university assets management sectors. In this…

Field research methodology for the study of Latin American ministries of education

NASA Astrophysics Data System (ADS)

Hanson, E. Mark

1981-09-01

In Third World countries a key to the course of nation-building is the modernization of the organizational and administrative infrastructures which drive the development process. Increasing the operational capabilities, effectiveness, and efficiency of the ministry of education, and hence the quality and quantity of school outcomes, is typically a high priority item in the development plans of a nation. In order to promote the modernization of management activities in ministries, however, it is first essential to understand their existing patterns of operation. Toward this objective, the paper presents a methodological framework for a field study approach to the examination of the working of a ministry of education in Latin America. Several issues are introduced which influence the process of inquiry, such as: (1) examining the impact of historical traditions on contemporary management procedures; (2) exploring concerns for ethics and academic colonialism; (3) distinguishing between anthropological and sociological participant-observation field methods; (4) gathering and analyzing data on complex ministries; and (5) exploring the task of Third World theory building.

Theoretical bases of project management in conditions of innovative economy based on fuzzy modeling

NASA Astrophysics Data System (ADS)

Beilin, I. L.; Khomenko, V. V.

2018-05-01

In recent years, more and more Russian enterprises (both private and public) are trying to organize their activities on the basis of modern scientific research in order to improve the management of economic processes. Business planning, financial and investment analysis, modern software products based on the latest scientific developments are introduced everywhere. At the same time, there is a growing demand for market research (both at the microeconomic and macroeconomic levels), for financial and general economic information.

DOD BUSINESS SYSTEMS MODERNIZATION: Key Marine Corps System Acquisition Needs to be Better Justified, Defined, and Managed

DTIC Science & Technology

2008-07-01

recommendations. D f e t n t b r a m p s t • • • • T a r o To view the full product, including the scope and methodology, click on GAO-08...Modernization July 28, 2008 The Honorable Daniel K. Akaka Chairman The Honorable John Thune Ranking Member Subcommittee on Readiness and Management...Support Committee on Armed Services United States Senate The Honorable John Ensign United States Senate For decades, the Department of Defense

Data Economics in Army Information Systems

DTIC Science & Technology

1989-03-01

CONTACTED: LtCol Robert DiBona Chief, Policy Plans and Integration Division (703) 664-3986 DATE: 17 January 1989 DISCUSSION: 1. The MITRE study group called...LtCol Robert DiBona on the recommendation of Mr. James Glymph of Data Management Directorate (DMD), Information Systems Engineering Command (ISEC...LtCol DiBona is in charge of the ISEC Standard Army Management Information System (STAMIS) Modernization (STAMOD) program. 2. LtCol DiBona did not know

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

PubMed Central

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

1991-01-01

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

Level of modern health care seeking behaviors among mothers having under five children in Dangila town, north West Ethiopia, 2016: a cross sectional study.

PubMed

Dagnew, Amare Belachew; Tewabe, Tilahun; Murugan, Rajalakshmi

2018-05-29

Health seeking behavior is an action taken by an individual who perceive to have a health problem. In most developing countries including Ethiopia the health of the children is strongly dependant on maternal health care behavior. Most childhood morbidities and mortalities are associated with low level of mothers health care seeking behavior. Therefore, the objective of this study was to assess level of modern health care seeking behavior among mothers having under five children in Dangila town, North West Ethiopia. Community based quantitative cross-sectional study was conducted from April 15 to May 15, 2016. Systematic random sampling technique was used to select study participants. A total of273 mothers with children less than five years were included in this study. The data was collected from all five Kebeles using interviewer administered questionnaire. Descriptive and inferential statistics were used to present the data. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with level of modern health care seeking behavior. Prevalence of modern health care seeking behavior was 82.1%. Age of mothers (AOR = 2.4(1.1, 5.3), age of the child (AOR = 6.7(2.8, 22.2), severity of illness (AOR = 5.2(1.2, 22.6) and family number (AOR = 6.4(2.1, 20.2) were predictors of modern health care seeking behavior among mothers. Majority of the mothers preferred to take their children to modern health care when they got illness. Age of children, age of mother, number of family and severity of illness were the determinant factors for modern health care seeking behavior. Therefore, health care services should be strengthened at community level through community integrated management of childhood illness, information, education communication / behavioral change communication strategies to improve mothers health care seeking behaviors.

Amalgamation of management information system into anaesthesiology practice: A boon for the modern anaesthesiologists

PubMed Central

Bajwa, Sukhminder Jit Singh

2014-01-01

Over the years, traditional anaesthesia record keeping system has been the backbone of anaesthesiology ever since its introduction in the 1890s by Dr. Harvey Cushing and Dr. Ernest A. Codman. Besides providing the important information regarding patients’ vital physiologic parameters, paper records had been a reliable source for various clinical research activities. The introduction of electronic monitoring gadgets and electronic record keeping systems has revolutionised the anaesthesiology practice to a large extent. Recently, the introduction of anaesthesia information management system (AIMS), which incorporates all the features of monitoring gadgets, such as electronic storage of large accurate data, quality assurance in anaesthesia, enhancing patient safety, ensuring legal protection, improved billing services and effecting an organisational change, is almost a revolution in modern-day anaesthesiology practice. The clinical research activities that are responsible for taking anaesthesiology discipline to higher peaks have also been boosted by the amalgamation of AIMS, enabling multicenter studies and sharing of clinical data. Barring few concerns in its installation, cost factors and functional aspects, the future of AIMS seems to be bright and will definitely prove to be a boon for modern-day anaesthesiology practice. PMID:24963173

Scoping of Flood Hazard Mapping Needs for Hancock County, Maine

USGS Publications Warehouse

Schalk, Charles W.; Dudley, Robert W.

2007-01-01

Background The Federal Emergency Management Agency (FEMA) developed a plan in 1997 to modernize the FEMA flood mapping program. FEMA flood maps delineate flood hazard areas in support of the National Flood Insurance Program (NFIP). FEMA's plan outlined the steps necessary to update FEMA's flood maps for the nation to a seamless digital format and streamline FEMA's operations in raising public awareness of the importance of the maps and responding to requests to revise them. The modernization of flood maps involves conversion of existing information to digital format and integration of improved flood hazard data as needed. To determine flood mapping modernization needs, FEMA has established specific scoping activities to be done on a county-by-county basis for identifying and prioritizing requisite flood-mapping activities for map modernization. The U.S. Geological Survey (USGS), in cooperation with FEMA and the Maine Floodplain Management Program (MFMP) State Planning Office, began scoping work in 2006 for Hancock County. Scoping activities included assembling existing data and map needs information for communities in Hancock County, documentation of data, contacts, community meetings, and prioritized mapping needs in a final scoping report (this document), and updating the Mapping Needs Update Support System (MNUSS) database with information gathered during the scoping process. The average age of the FEMA floodplain maps (all types) in Hancock County, Maine, is at least 19 years. Most of these studies were published in the late 1980s and early 1990s, and no study is more recent than 1992. Some towns have partial maps that are more recent than their study, indicating that the true average age of the data is probably more than 19 years. Since the studies were done, development has occurred in some of the watersheds and the characteristics of the watersheds have changed. Therefore, many of the older studies may not depict current conditions or accurately estimate risk in terms of flood heights or flood mapping.

Familiarity with modern health management trends by West African surgeons.

PubMed

Mahmoud, A O; Nkanga, D; Onakoya, A O

2010-09-01

To collate the self-reported assessment of familiarity with some aspects of managerial competencies on the part of some surgeons and their observations on the managerial environment of their health institutions and draw appropriate policy implications. Cross-sectional study using a structured questionnaire. The study was conducted during the 50th Annual Scientific Conference of the West African College of Surgeons, which was held in Calabar, Nigeria, from 6th to It 12th February 2010. One hundred and ten out of 150 surgeons who were attending the conference returned their filled questionnaires. Their familiarity with business and financial concepts was lacking on crucial ones related to marketing strategies. Respondent largely found the listed objections to advertisement of medical services as very appropriate. They preferred largely to interact with themselves in professional associations rather than with others in cross-cultural groupings. Funding (66.4%) and political/ethnic influences (43.9%) were rated as impacting very negatively on their health institutions, while the deployment of information communication technology to institutional processes was adjudged to be unsatisfactory. Most of the indices of core competencies in modern health leadership and management appeared deficient among our study participants and their health institutions managerial environments were equally deficient. We recommend for a well-focussed short time duration health management course for all physicians particularly specialists.

Self-management in patients with COPD: theoretical context, content, outcomes, and integration into clinical care.

PubMed

Kaptein, Ad A; Fischer, Maarten J; Scharloo, Margreet

2014-01-01

In this narrative review, we put self-management in the context of a 50-year history of research about how patients with COPD respond to their illness. We review a definition of self-management, and emphasize that self-management should be combined with disease management and the chronic care model in order to be effective. Reviewing the empirical status of self-management in COPD, we conclude that self-management is part and parcel of modern, patient-oriented biopsychosocial care. In pulmonary rehabilitation programs, self-management is instrumental in improving patients' functional status and quality of life. We conclude by emphasizing how studying the way persons with COPD make sense of their illness helps in refining self-management, and thereby patient-reported outcomes in COPD.

Self-management in patients with COPD: theoretical context, content, outcomes, and integration into clinical care

PubMed Central

Kaptein, Ad A; Fischer, Maarten J; Scharloo, Margreet

2014-01-01

In this narrative review, we put self-management in the context of a 50-year history of research about how patients with COPD respond to their illness. We review a definition of self-management, and emphasize that self-management should be combined with disease management and the chronic care model in order to be effective. Reviewing the empirical status of self-management in COPD, we conclude that self-management is part and parcel of modern, patient-oriented biopsychosocial care. In pulmonary rehabilitation programs, self-management is instrumental in improving patients’ functional status and quality of life. We conclude by emphasizing how studying the way persons with COPD make sense of their illness helps in refining self-management, and thereby patient-reported outcomes in COPD. PMID:25214777

Phytochemicals and the breakthrough of traditional herbs in the management of sexual dysfunctions.

PubMed

Adimoelja, A

2000-01-01

Traditional herbs have been a revolutionary breakthrough in the management of erectile dysfunction and have become known world-wide as an 'instant' treatment. The modern view of the management of erectile dysfunction subscribes to a single etiology, i.e. the mechanism of erection. A large number of pharmacological agents are orally consumed and vasoactive agents inserted intraurethrally or injected intrapenially to regain good erection. Modern phytochemicals have developed from traditional herbs. Phytochemicals focus their mechanism of healing action to the root cause, i.e. the inability to control the proper function of the whole body system. Hence phytochemicals manage erectile dysfunction in the frame of sexual dysfunction as a whole entity. Protodioscin is a phytochemical agent derived from Tribulus terrestris L plant, which has been clinically proven to improve sexual desire and enhance erection via the conversion of protodioscine to DHEA (De-Hydro-Epi-Androsterone). Preliminary observations suggest that Tribulus terrestris L grown on different soils does not consistently produce the active component Protodioscin. Further photochemical studies of many other herbal plants are needed to explain the inconsistent results found with other herbal plants, such as in diversities of Ginseng, Eurycoma longifolia, Pimpinella pruacen, Muara puama, Ginkgo biloba, Yohimbe etc.

NATO CCMS PILOT STUDY - CLEAN PRODUCTS AND PROCESSES, NATIONAL RISK MANAGEMENT RESEARCH LABORATORY

EPA Science Inventory

The Committee on the Challenges to Modern Society (CCMS) was established by the North Atlantic Treaty Organization (NATO) in 1969. The mission of CCMS is to develop meaningful programs to share information among countries on important environmental and societal issues that comple...

Issues of IT-Professionals Training in Traditional Educational Process

ERIC Educational Resources Information Center

Eminov, Farid; Golitsyna, Irina

2017-01-01

The paper presents issues of modern IT-specialists training. Formation of information-educational environment of IT-professionals is discussed. Studying of enterprise infocommunication infrastructure and its management features within a framework of the traditional educational process is considered. [For the complete proceedings, see ED579395.

Microgrid Controls | Grid Modernization | NREL

Science.gov Websites

Systems Integration Facility. Microgrid Controller Interaction with Distribution Management Systems This project investigates the interaction of distribution management systems with local controllers, including microgrid controllers. The project is developing integrated control and management systems for distribution

Foundational Report Series. Advanced Distribution management Systems for Grid Modernization (Importance of DMS for Distribution Grid Modernization)

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

Wang, Jianhui

2015-09-01

Grid modernization is transforming the operation and management of electric distribution systems from manual, paper-driven business processes to electronic, computer-assisted decisionmaking. At the center of this business transformation is the distribution management system (DMS), which provides a foundation from which optimal levels of performance can be achieved in an increasingly complex business and operating environment. Electric distribution utilities are facing many new challenges that are dramatically increasing the complexity of operating and managing the electric distribution system: growing customer expectations for service reliability and power quality, pressure to achieve better efficiency and utilization of existing distribution system assets, and reductionmore » of greenhouse gas emissions by accommodating high penetration levels of distributed generating resources powered by renewable energy sources (wind, solar, etc.). Recent “storm of the century” events in the northeastern United States and the lengthy power outages and customer hardships that followed have greatly elevated the need to make power delivery systems more resilient to major storm events and to provide a more effective electric utility response during such regional power grid emergencies. Despite these newly emerging challenges for electric distribution system operators, only a small percentage of electric utilities have actually implemented a DMS. This paper discusses reasons why a DMS is needed and why the DMS may emerge as a mission-critical system that will soon be considered essential as electric utilities roll out their grid modernization strategies.« less

Master's Degree in Management Information Systems with a Supply Chain Management Focus

ERIC Educational Resources Information Center

Ramaswamy, Kizhanatham V.; Boyd, Joseph L.; Desai, Mayur

2007-01-01

A graduate curriculum in Management Information Systems with a Supply Chain Management focus is presented. The motivation for this endeavor stems from the fact that the global scope of modern business organizations and the competitive environment in which they operate, requires an information system leveraged supply chain management system (SCM)…

Veterans Affairs Information Technology: Management Attention Needed to Improve Critical System Modernizations, Consolidate Data Centers, and Retire Legacy Systems

DTIC Science & Technology

2017-02-07

department operates approximately 240 information systems, manages approximately 314,000 desktop computers and 30,000 laptops , and administers nearly...department a 6 percent closure rate through fiscal year 2015 that ranked 19th of the 24 agencies in GAO’s study . Also, VA’s reported $19.1 million in cost...David A. Powner at (202) 512-9286 or pownerd@gao.gov. Why GAO Did This Study The use of IT is crucial to helping VA effectively serve the nation’s

How to justify small-refinery info/control system modernization

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

Haskins, D.E.

1993-05-01

Information and control systems modernization can be justified by successful implementation of advanced process control (APC) in nearly all refineries, even the small ones. However, the small refineries require special solutions to meet the challenges of limited resources in both finance and manpower. Based on a number of case studies, a typical small refinery as it operates today is described. A sample information and control system modernization plan is described and the typical cost and benefits show how the project cost can be justified. Business objectives of an HPI plant are to satisfy customers by providing specific products, to satisfymore » the owners by maximizing profits and to satisfy the public by being safe and environmentally correct. Managers have always tried to meet these objectives with functions for the total plant.« less

Palliative care and active disease management are synergistic in modern surgical oncology.

PubMed

Sadler, Erin M; Hawley, Philippa H; Easson, Alexandra M

2018-04-01

Palliative care has long been described in medical literature but only recently is being discussed in the surgical domain. Mounting evidence suggests that early integration of palliative care improves patient outcomes and this is especially true of oncology patients. Thus, the pendulum is swinging toward recognizing that palliative care and active disease management are not mutually exclusive but rather synergistic in modern surgical oncology. Here we use a patient vignette to demonstrate the new challenges and possibilities in modern surgical oncology, we then discuss the historic perspective of palliative care and describe how the paradigm is shifting. Finally, we introduce a model that may be beneficial in conceptualizing this new way of thinking about and integrating palliative care into surgical oncology. Copyright © 2017 Elsevier Inc. All rights reserved.

Research of the small satellite data management system

NASA Astrophysics Data System (ADS)

Yu, Xiaozhou; Zhou, Fengqi; Zhou, Jun

2007-11-01

Small satellite is the integration of light weight, small volume and low launch cost. It is a promising approach to realize the future space mission. A detailed study of the data management system has been carried out, with using new reconfiguration method based on System On Programmable Chip (SOPC). Compared with common structure of satellite, the Central Terminal Unit (CTU), the Remote Terminal Unit (RTU) and Serial Data Bus (SDB) of the data management are all integrated in single chip. Thus the reliability of the satellite is greatly improved. At the same time, the data management system has powerful performance owing to the modern FPGA processing ability.

Archives and the Boundaries of Early Modern Science.

PubMed

Popper, Nicholas

2016-03-01

This contribution argues that the study of early modern archives suggests a new agenda for historians of early modern science. While in recent years historians of science have begun to direct increased attention toward the collections amassed by figures and institutions traditionally portrayed as proto-scientific, archives proliferated across early modern Europe, emerging as powerful tools for creating knowledge in politics, history, and law as well as natural philosophy, botany, and more. The essay investigates the methods of production, collection, organization, and manipulation used by English statesmen and Crown officers such as Keeper of the State Papers Thomas Wilson and Secretary of State Joseph Williamson to govern their disorderly collections. Their methods, it is shown, were shared with contemporaries seeking to generate and manage other troves of evidence and in fact reflect a complex ecosystem of imitation and exchange across fields of inquiry. These commonalities suggest that historians of science should look beyond the ancestors of modern scientific disciplines to examine how practices of producing knowledge emerged and migrated throughout cultures of learning in Europe and beyond. Creating such a map of knowledge production and exchange, the essay concludes, would provide a renewed and expansive ambition for the field.

24 CFR 901.210 - Interventions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... operational areas (e.g., maintenance, modernization, occupancy, or financial management) or to a single... PUBLIC HOUSING MANAGEMENT ASSESSMENT PROGRAM § 901.210 Interventions. (a) Interventions under this part..., or participate in the selection of, an AME to assume management responsibility for a specific...

Evolution of Management Thought in the Ancient Times.

ERIC Educational Resources Information Center

Sharma, C. L.

This paper argues that although systematic management thought is a distinctly modern development, the writings of ancient scholars and records of ancient rulers infer that they understood the rudiments of management principles and concepts. To support this thesis, the author reviews the evidence of management practices and concepts in various…

Forest operations for ecosystem management

Treesearch

Robert B. Rummer; John Baumgras; Joe McNeel

1997-01-01

The evolution of modern forest resource management is focusing on ecologically sensitive forest operations. This shift in management strategies is producing a new set of functional requirements for forest operations. Systems to implement ecosystem management prescriptions may need to be economically viable over a wider range of piece sizes, for example. Increasing...

Forest hydrology

Treesearch

Ge Sun; Devendra Amatya; Steve McNulty

2016-01-01

Forest hydrology studies the distribution, storage, movement, and quality of water and the hydrological processes in forest-dominated ecosystems. Forest hydrological science is regarded as the foundation of modern integrated water¬shed management. This chapter provides an overview of the history of forest hydrology and basic principles of this unique branch of...

M.L.S. to Excess? Degree Requirements for ILL.

ERIC Educational Resources Information Center

Divens, W. C.

1995-01-01

Using published studies and references, shows why the requirement that a manager of interlibrary loan be a librarian with a master's degree in Library Science may be outmoded in the modern academic library. Discusses the librarian's role, certification and professional elitism, job requirements, and user needs. (AEF)

Insufficient Governance Over Logistics Modernization Program System Development

DTIC Science & Technology

2010-11-02

Controls Over the Prevalidation of DOD Commercial Payments,” March 2, 2007 Army USAAA Report No. A-2007-0205- FFM , “Logistics Modernization Program...0163- FFM , “FY 03–FY 05 Obligations Recorded in the Logistics Modernization Program,” July 27, 2007 USAAA Report No. A-2007-0154-ALR, “Follow up...Audit of Aged Accounts–U.S. Army Communications-Electronics Life Cycle Management Command,” July 2, 2007 USAAA Report No. A-2006-0234- FFM

Testing the Hypothesis of Fire Use for Ecosystem Management by Neanderthal and Upper Palaeolithic Modern Human Populations

PubMed Central

Daniau, Anne-Laure; d'Errico, Francesco; Sánchez Goñi, Maria Fernanda

2010-01-01

Background It has been proposed that a greater control and more extensive use of fire was one of the behavioral innovations that emerged in Africa among early Modern Humans, favouring their spread throughout the world and determining their eventual evolutionary success. We would expect, if extensive fire use for ecosystem management were a component of the modern human technical and cognitive package, as suggested for Australia, to find major disturbances in the natural biomass burning variability associated with the colonisation of Europe by Modern Humans. Methodology/Principal Findings Analyses of microcharcoal preserved in two deep-sea cores located off Iberia and France were used to reconstruct changes in biomass burning between 70 and 10 kyr cal BP. Results indicate that fire regime follows the Dansgaard-Oeschger climatic variability and its impacts on fuel load. No major disturbance in natural fire regime variability is observed at the time of the arrival of Modern Humans in Europe or during the remainder of the Upper Palaeolithic (40–10 kyr cal BP). Conclusions/Significance Results indicate that either Neanderthals and Modern humans did not influence fire regime or that, if they did, their respective influence was comparable at a regional scale, and not as pronounced as that observed in the biomass burning history of Southeast Asia. PMID:20161786

Fuzzy Energy Management for a Catenary-Battery-Ultracapacitor based Hybrid Tramway

NASA Astrophysics Data System (ADS)

Jibin, Yang; Jiye, Zhang; Pengyun, Song

2017-05-01

In this paper, an energy management strategy (EMS) based on fuzzy logic control for a catenary-battery-ultracapacitor powered hybrid modern tramway was presented. The fuzzy logic controller for the catenary zone and catenary-less zone was respectively designed by analyzing the structure and working mode of the hybrid system, then an energy management strategy based on double fuzzy logic control was proposed to enhance the fuel economy. The hybrid modern tramway simulation model was developed based on MATLAB/Simulink environment. The simulation results show that the proposed EMS can satisfy the demand of dynamic performance of the tramway and achieve the power distribution reasonably between the each power source.

TEK and biodiversity management in agroforestry systems of different socio-ecological contexts of the Tehuacán Valley.

PubMed

Vallejo-Ramos, Mariana; Moreno-Calles, Ana I; Casas, Alejandro

2016-07-22

Transformation of natural ecosystems into intensive agriculture is a main factor causing biodiversity loss worldwide. Agroforestry systems (AFS) may maintain biodiversity, ecosystem benefits and human wellbeing, they have therefore high potential for concealing production and conservation. However, promotion of intensive agriculture and disparagement of TEK endanger their permanence. A high diversity of AFS still exist in the world and their potentialities vary with the socio-ecological contexts. We analysed AFS in tropical, temperate, and arid environments, of the Tehuacan Valley, Mexico, to investigate how their capacity varies to conserve biodiversity and role of TEK influencing differences in those contexts. We hypothesized that biodiversity in AFS is related to that of forests types associated and the vigour of TEK and management. We conducted studies in a matrix of environments and human cultures in the Tehuacán Valley. In addition, we reviewed, systematized and compared information from other regions of Mexico and the world with comparable socio-ecological contexts in order to explore possible general patterns. Our study found from 26 % to nearly 90 % of wild plants species richness conserved in AFS, the decreasing proportion mainly associated to pressures for intensifying agricultural production and abandoning traditional techniques. Native species richness preserved in AFS is influenced by richness existing in the associated forests, but the main driver is how people preserve benefits of components and functions of ecosystems. Elements of modern agricultural production may coexist with traditional management patterns, but imposition of modern models may break possible balances. TEK influences decisions on what and how modern techniques may be advantageous for preserving biodiversity, ecosystem integrity in AFS and people's wellbeing. TEK, agroecology and other sciences may interact for maintaining and improving traditional AFS to increase biodiversity and ecosystem integrity while improving quality of life of people managing the AFS.

Designing Intelligent Secure Android Application for Effective Chemical Inventory

NASA Astrophysics Data System (ADS)

Shukran, Mohd Afizi Mohd; Naim Abdullah, Muhammad; Nazri Ismail, Mohd; Maskat, Kamaruzaman; Isa, Mohd Rizal Mohd; Shahfee Ishak, Muhammad; Adib Khairuddin, Muhamad

2017-08-01

Mobile services support various situations in everyday life and with the increasing sophistication of phone functions, the daily life is much more easier and better especially in term of managing tools and apparatus. Since chemical inventory management system has been experiencing a new revolution from antiquated to an automated inventory management system, some additional features should be added in current chemical inventory system. Parallel with the modern technologies, chemical inventory application using smart phone has been developed. Several studies about current related chemical inventory management using smart phone application has been done in this paper in order to obtain an overview on recent studies in smartphone application for chemical inventory system which are needed in schools, universities or other education institutions. This paper also discuss about designing the proposed secure mobile chemical inventory system. The study of this paper can provide forceful review analysis support for the chemical inventory management system related research.

Religion, Modernity and Social Rights in European Education

ERIC Educational Resources Information Center

Zambeta, Evie

2008-01-01

Religion, as social construct and institutional reality, has played a pivotal role in shaping European societies. In spite of the impact of Enlightenment theories in the formation of European modernity, institutionalized religions and established churches have managed to maintain their influence in the public domain. Educational systems, the par…

Comparative Emergy Evaluation of Nutrient Removal and Nutrient Recovery Technologies and the Implications to Nutrient Management

EPA Science Inventory

The urbanization of the modern community creates large population centers that generate concentrated wastewater. A large expenditure on wastewater treatment has to be invested to make a modern city function without human and environmental health problems. Society relies on syste...

Modernizing Mechanical Services.

ERIC Educational Resources Information Center

Rutgers, Norman L.

Some of the problems of renovating school buildings and in particular the modernization of mechanical services in existing facilities are discussed. According to school management publications, approximately 42 per cent of our elementary and 59 per cent of our secondary schools are 15 years old or older. School plants, which were built 12 to 15…

Language Management Agencies Counteracting Perceived Threats to Tradition

ERIC Educational Resources Information Center

Kristinsson, Ari Pall Kristinsson

2012-01-01

The article addresses the actual and perceived roles of national organisations and bodies, such as language "academies" or "councils", in recent history. In particular, the article seeks to shed light on the question what may prompt national governments in modernity and late modernity to establish and fund such bodies to…

The relative duties of a man: domestic medicine in England and France, ca. 1685-1740.

PubMed

Smith, Lisa

2006-07-01

Although much work is currently being done on early modern women and household medicine and on early modern masculinities, historians have generally overlooked men's roles within the home, particularly with respect to domestic medical activities. Using medical consultation letters, this article examines men's roles as domestic caregivers and their medical decision making. During this period, manly self-management and household order were closely linked; an ideal head of household would manage himself retain order within the household, and look after the welfare of his family.

The making of a modern female body: beauty, health and fitness in interwar Britain.

PubMed

Zweiniger-Bargielowska, Ina

2011-01-01

In interwar Britain female athleticism, keep-fit classes and physical culture were celebrated as emblems of modernity, and women who cultivated their bodies in the pursuit of beauty, health and fitness represented civic virtue. This article argues that a modern, actively managed female body was part of women's liberation during this period. A modern female body required sex reform and birth control. Fitness culture was circumscribed by traditional notions of femininity. Women's competitive sport remained controversial and slimming in pursuit of fashion was widely condemned. Women from across the social spectrum embraced sport and joined fitness organizations. The rise of a modern female body contributed towards greater equality between the sexes. However, the gender order did not change fundamentally and the ideal woman of the interwar years was represented as a modern, emancipated race mother.

High Potential for Using DNA from Ancient Herring Bones to Inform Modern Fisheries Management and Conservation

PubMed Central

Speller, Camilla F.; Hauser, Lorenz; Lepofsky, Dana; Moore, Jason; Rodrigues, Antonia T.; Moss, Madonna L.; McKechnie, Iain; Yang, Dongya Y.

2012-01-01

Pacific herring (Clupea pallasi) are an abundant and important component of the coastal ecosystems for the west coast of North America. Current Canadian federal herring management assumes five regional herring populations in British Columbia with a high degree of exchange between units, and few distinct local populations within them. Indigenous traditional knowledge and historic sources, however, suggest that locally adapted, distinct regional herring populations may have been more prevalent in the past. Within the last century, the combined effects of commercial fishing and other anthropogenic factors have resulted in severe declines of herring populations, with contemporary populations potentially reflecting only the remnants of a previously more abundant and genetically diverse metapopulation. Through the analysis of 85 archaeological herring bones, this study attempted to reconstruct the genetic diversity and population structure of ancient herring populations using three different marker systems (mitochondrial DNA (mtDNA), microsatellites and SNPs). A high success rate (91%) of DNA recovery was obtained from the extremely small herring bone samples (often <10 mg). The ancient herring mtDNA revealed high haplotype diversity comparable to modern populations, although population discrimination was not possible due to the limited power of the mtDNA marker. Ancient microsatellite diversity was also similar to modern samples, but the data quality was compromised by large allele drop-out and stuttering. In contrast, SNPs were found to have low error rates with no evidence for deviations from Hardy-Weinberg equilibrium, and simulations indicated high power to detect genetic differentiation if loci under selection are used. This study demonstrates that SNPs may be the most effective and feasible approach to survey genetic population structure in ancient remains, and further efforts should be made to screen for high differentiation markers.This study provides the much needed foundation for wider scale studies on temporal genetic variation in herring, with important implications for herring fisheries management, Aboriginal title rights and herring conservation. PMID:23226474

Home and Building Energy Management Systems | Grid Modernization | NREL

Science.gov Websites

Home and Building Energy Management Systems Home and Building Energy Management Systems NREL building assets and energy management systems can provide value to the grid. Photo of a pair of NREL researchers who received a record of invention for a home energy management system in a smart home laboratory

Sparking Thinking: Studying Modern Precision Medicine Will Accelerate the Progression of Traditional Chinese Medicine Patterns.

PubMed

Liu, Bao-Cheng; Ji, Guang

2017-07-01

Incorporating "-omics" studies with environmental interactions could help elucidate the biological mechanisms responsible for Traditional Chinese Medicine (TCM) patterns. Based on the authors' own experiences, this review outlines a model of an ideal combination of "-omics" biomarkers, environmental factors, and TCM pattern classifications; provides a narrative review of the relevant genetic and TCM studies; and lists several successful integrative examples. Two integration tools are briefly introduced. The first is the integration of modern devices into objective diagnostic methods of TCM patterning, which would improve current clinical decision-making and practice. The second is the use of biobanks and data platforms, which could broadly support biological and medical research. Such efforts will transform current medical management and accelerate the progression of precision medicine.

The Return of the Freudian Couch®: Managing Affectivity through Technologies of Comfort

ERIC Educational Resources Information Center

Juelskjaer, Malou; Staunaes, Dorthe; Ratner, Helene

2013-01-01

This article explores how the affective "set-up" of Freud's legendary couch has been exported into modern education relations. The so-called psy-sciences from pedagogy, psychology, and psychiatry have informed self-management in school. Managing self-management has a material-affective dimension. Through affective encounters with the…

Managing a Modern University: Is It Time for a Rethink?

ERIC Educational Resources Information Center

Kenny, John Daniel

2009-01-01

The corporate approaches introduced in the late 1980s and now prevalent in universities in Australia have led to irrevocable changes in the way universities are managed and academics work. The management approaches widely applied in Australian universities are largely based on a top-down corporate management model, with central control over policy…

Modern concepts of caries measurement.

PubMed

Pitts, N B

2004-01-01

Following the consideration of several recent systematic and other reviews, there is a growing professional and scientific consensus that caries measurement methodology in caries clinical trials (CCT) should be updated to reflect progress made elsewhere in cariology. In this paper, therefore, "modern" means accepted in contemporary dental research and dental practice on the basis of sound research evidence--not necessarily new or requiring the use of new technology. Caries measurement should be seen in the context of the objectives of modern clinical caries management and the continuum of disease states, ranging from sub-surface carious changes through to more advanced lesions. Measurement concepts can be applied to at least three levels: the tooth surface, the individual, or the group/population. All are relevant to CCTs. Modern clinical caries management can be seen as comprised of seven discrete but linked steps (Steps 2, 3, and 4 are directly concerned with measurement.): (1) 'Caries detection' represents a yes/no decision as to whether caries is present; (2) lesion measurement assesses defined stages of the caries process, taking into account the histopatholgical morphology and appearance of different sizes and types of lesion and the diagnostic threshold(s) being used; (3) lesion monitoring by repeated measures at a series of examinations is used when lesions are less advanced than the stage judged to require operative intervention (A comparison of serial measurements permits the efficacy of preventive care aiming either to arrest or to reverse the lesion to be assessed.); (4) caries activity measures would be very valuable, but are relatively poorly developed and tested at present; (5) diagnosis, prognosis, and clinical decision-making are the important human processes in which all the information obtained from steps 1 to 4 is synthesised; (6) interventions/treatments, both preventive and operative, are now routinely used for caries management; and (7) outcome of caries control/management assesses caries management by examining evidence on the long-term outcomes. A challenge for the future is to define a range of optimal caries measurement methods--in use or in development in recent trials, in clinical practice, and/or in caries epidemiology--that will best contribute to more efficient, modern caries clinical trials.

Theories of Modern Management.

ERIC Educational Resources Information Center

Knight, W. Hal

This chapter of "Principles of School Business Management" identifies management theories that provide a fundamental conceptual knowledge base that school business officials can use to understand the school organizational setting and its influences on the day-to-day operation of the educational process. Particular attention is paid to…

James Hill of Dumfries: First modern neurosurgical procedures.

PubMed

Ganz, Jeremy C

2015-01-01

James Hill (1703-1776) was a surgeon from Dumfries in Scotland who can lay claim to being the first to treat head injury patients in a thoroughly modern manner. He was highly regarded in his lifetime and for a century afterwards but has subsequently been forgotten. He had the lowest surgical mortality for trepanation of any surgeon of his time. He uniquely presented his results after a lengthy follow-up of many years. His management of cranial fractures was advanced. He did not use the trepan for fissures as others did and his conservative management of depressed fractures was based on biological rather than mechanical notions. He had an instinct for the management of raised intracranial pressure (ICP) unique in his day even though he could not have understood it in modern terms. He operated on head injuries only if there was a disturbance of consciousness. He was aware of the importance of cerebral pulsation and was alone in recording it in a majority of operated patients. He was ready to open the dura when necessary and did so six times. He introduced non-compressive bandaging over skull defects after surgery. In three cases he shaved off brain hernias which resulted in marked clinical improvement. He not only understood that an injury or disease on one side caused a deficit on the other side but uniquely encompassed this knowledge in his treatment planning. In view of these many insights and achievements, he deserves to be considered as the first surgeon whose neurosurgical management is recognisably close to modern practice.

[Socio-psychological factors in managing innovation processes].

PubMed

Kanep, V V; Popov, G S; Paegle, M S

1989-01-01

The main principles of sociopsychologic aspects of the strategy of innovation introduction into health care have been analyzed. Highlighted is the problem of correlation of economic and sociopsychologic management aspects at the modern stage.

Anaesthetic and critical care management of thoracic injuries.

PubMed

Round, J A; Mellor, A J

2010-09-01

Thoracic wounding has been a relatively common presentation of military wounds throughout modern conflict. When civilian casualties are included the incidence has remained constant at around 10%, although the frequency and severity of wounds to combatants has been altered by modern body armour. Whilst thoracic injury has a high initial mortality on the battlefield, those surviving to reach hospital frequently have injuries that only require simple management. In addition to penetrating ballistic injury, blunt chest trauma frequently occurs on operations as a result of road traffic collisions or tertiary blast injury. The physiological impact of thoracic wounds, however, is often great and survivors often require intensive care management and, where available, complex strategies to ensure oxygenation and carbon dioxide removal. This review examines the incidence and patterns of thoracic trauma and looks at therapeutic options for managing these complex cases.

A Comparative History of Department of Defense Management Reform from 1947 to 2005

DTIC Science & Technology

2006-12-01

type of management reform agenda to improve the Department of Defense business processes and incorporate recent management ideas from the business ...introduce some type of management reform agenda to improve the Department of Defense business processes and incorporate recent management ideas...Steering Group BMMP Business Management Modernization Plan BRAC Base Realignment and Closure C3I Command, Control, Communications, and Intelligence

Information management of a department of diagnostic imaging.

PubMed

Vincenzoni, M; Campioni, P; Vecchioli Scaldazza, A; Capocasa, G; Marano, P

1998-01-01

It is well-known that while RIS allows the management of all input and output data of a Radiology service, PACS plays a major role in the management of all radiologic images. However, the two systems should be closely integrated: scheduling of a radiologic exam requires direct automated integration with the system of image management for retrieval of previous exams and storage of the exam just completed. A modern information system of integration of data and radiologic images should be based on an automated work flow management in al its components, being at the same time flexible and compatible with the ward organization to support and computerize each stage of the working process. Similarly, standard protocols (DICOM 3.0, HL7) defined for interfacing with the Diagnostic Imaging (D.I.) department and the other components of modules of a modern HIS, should be used. They ensure the system to be expandable and accessible to ensure share and integration of information with HIS, emergency service or wards. Correct RIS/PACS integration allows a marked improvement in the efficiency of a modern D.I. department with a positive impact on the daily activity, prompt availability of previous data and images with sophisticated handling of diagnostic images to enhance the reporting quality. The increased diffusion of internet and intranet technology predicts future developments still to be discovered.

International Models and Domestic Translations? The Case of University Governing Boards in Romania and Lithuania

ERIC Educational Resources Information Center

Králiková, Renáta

2015-01-01

In the early 2000s, several post-communist countries launched reforms of university management and governance marked by the influence of a "modernization agenda" for higher education governance, which was promoted by the World Bank, the OECD and the European Commission. However, this "modernization agenda" was employed…

Understanding the Impacts of the Medicare Modernization Act: Concerns of Congressional Staff

ERIC Educational Resources Information Center

Mueller, Keith J.; Coburn, Andrew F.; MacKinney, Clinton; McBride, Timothy D.; Slifkin, Rebecca T.; Wakefield, Mary K.

2005-01-01

Sweeping changes to the Medicare program embodied in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), including a new prescription drug benefit, changes in payment policies, and reform of the Medicare managed-care program, have major implications for rural health care. The most efficient mechanism for research to…

Extending a Flight Management Computer for Simulation and Flight Experiments

NASA Technical Reports Server (NTRS)

Madden, Michael M.; Sugden, Paul C.

2005-01-01

In modern transport aircraft, the flight management computer (FMC) has evolved from a flight planning aid to an important hub for pilot information and origin-to-destination optimization of flight performance. Current trends indicate increasing roles of the FMC in aviation safety, aviation security, increasing airport capacity, and improving environmental impact from aircraft. Related research conducted at the Langley Research Center (LaRC) often requires functional extension of a modern, full-featured FMC. Ideally, transport simulations would include an FMC simulation that could be tailored and extended for experiments. However, due to the complexity of a modern FMC, a large investment (millions of dollars over several years) and scarce domain knowledge are needed to create such a simulation for transport aircraft. As an intermediate alternative, the Flight Research Services Directorate (FRSD) at LaRC created a set of reusable software products to extend flight management functionality upstream of a Boeing-757 FMC, transparently simulating or sharing its operator interfaces. The paper details the design of these products and highlights their use on NASA projects.

The Colorado Plateau: cultural, biological, and physical research

USGS Publications Warehouse

Cole, Kenneth L.; van Riper, Charles

2004-01-01

Stretching from the four corners of Arizona, New Mexico, Colorado, and Utah, the Colorado Plateau is a natural laboratory for a wide range of studies. This volume presents 23 original articles drawn from more than 100 research projects presented at the Sixth Biennial Conference of Research on the Colorado Plateau. This scientific gathering revolved around research, inventory, and monitoring of lands in the region. The book's contents cover management techniques for cultural, biological, and physical resources, representing collaborative efforts among federal, university, and private sector scientists and land managers. Chapters on cultural concerns cover benchmarks of modern southwestern anthropological knowledge, models of past human activity and impact of modern visitation at newly established national monuments, challenges in implementing the 1964 Wilderness Act, and opportunities for increased federal research on Native American lands. The section on biological resources comprises sixteen chapters, with coverage that ranges from mammalian biogeography to responses of elk at the urban-wildland interface. Additional biological studies include the effects of fire and grazing on vegetation; research on bald eagles at Grand Canyon and tracking wild turkeys using radio collars; and management of palentological resources. Two final chapters on physical resources consider a proposed rerouting of the Rio de Flag River in urban Flagstaff, Arizona, and an examination of past climate patterns over the Plateau, using stream flow records and tree ring data. In light of similarities in habitat and climate across the Colorado Plateau, techniques useful to particular management units have been found to be applicable in many locations. This volume highlights an abundance of research that will prove useful for all of those working in the region, as well as for others seeking comparative studies that integrate research into land management actions.

The Relationship between Shared Leadership and Administrative Creativity in Kuwaiti Schools

ERIC Educational Resources Information Center

Alanezi, Ahmad

2016-01-01

To continue to fulfill their social and educational role, educational institutions must develop or adopt modern leadership trends based on solid theory and proven effectiveness. Shared leadership is a method of management that allows teachers to participate in decision making and share in the implementation of those decisions. A study sample of…

A marine environmental monitoring and assessment program

NASA Technical Reports Server (NTRS)

Pearce, J. B.

1981-01-01

The need for the use of modern, extremely sensitive techniques to aid in rapidly and synoptically assessing the relative health and production of coastal waters and estuaries is reported. Major emphasis is placed on establishing a solid foundation for the use of remote sensing in basic oceanographic studies and the management of human wastes.

Trends of Modern Contraceptive Use among Young Married Women Based on the 2000, 2005, and 2011 Ethiopian Demographic and Health Surveys: A Multivariate Decomposition Analysis

PubMed Central

Worku, Abebaw Gebeyehu; Tessema, Gizachew Assefa; Zeleke, Atinkut Alamirrew

2015-01-01

Introduction Accessing family planning can reduce a significant proportion of maternal, infant, and childhood deaths. In Ethiopia, use of modern contraceptive methods is low but it is increasing. This study aimed to analyze the trends and determinants of changes in modern contraceptive use over time among young married women in Ethiopia. Methods The study used data from the three Demographic Health Surveys conducted in Ethiopia, in 2000, 2005, and 2011. Young married women age 15–24 years with sample sizes of 2,157 in 2000, 1,904 in 2005, and 2,146 in 2011 were included. Logit-based decomposition analysis technique was used for analysis of factors contributing to the recent changes. STATA 12 was employed for data management and analyses. All calculations presented in this paper were weighted for the sampling probabilities and non-response. Complex sampling procedures were also considered during testing of statistical significance. Results Among young married women, modern contraceptive prevalence increased from 6% in 2000 to 16% in 2005 and to 36% in 2011. The decomposition analysis indicated that 34% of the overall change in modern contraceptive use was due to difference in women’s characteristics. Changes in the composition of young women’s characteristics according to age, educational status, religion, couple concordance on family size, and fertility preference were the major sources of this increase. Two-thirds of the increase in modern contraceptive use was due to difference in coefficients. Most importantly, the increase was due to change in contraceptive use behavior among the rural population (33%) and among Orthodox Christians (16%) and Protestants (4%). Conclusions Modern contraceptive use among young married women has showed a remarkable increase over the last decade in Ethiopia. Programmatic interventions targeting poor, younger (adolescent), illiterate, and Muslim women would help to maintain the increasing trend in modern contraceptive use. PMID:25635389

Scoping of Flood Hazard Mapping Needs for Penobscot County, Maine

USGS Publications Warehouse

Schalk, Charles W.; Dudley, Robert W.

2007-01-01

Background The Federal Emergency Management Agency (FEMA) developed a plan in 1997 to modernize the FEMA flood mapping program. FEMA flood maps delineate flood hazard areas in support of the National Flood Insurance Program (NFIP). FEMA's plan outlined the steps necessary to update FEMA's flood maps for the nation to a seamless digital format and streamline FEMA's operations in raising public awareness of the importance of the maps and responding to requests to revise them. The modernization of flood maps involves conversion of existing information to digital format and integration of improved flood hazard data as needed. To determine flood mapping modernization needs, FEMA has established specific scoping activities to be done on a county-by-county basis for identifying and prioritizing requisite flood-mapping activities for map modernization. The U.S. Geological Survey (USGS), in cooperation with FEMA and the Maine State Planning Office Floodplain Management Program (MFMP), began scoping work in 2006 for Penobscot County. Scoping activities included assembling existing data and map needs information for communities in Penobscot County, documentation of data, contacts, community meetings, and prioritized mapping needs in a final scoping report (this document), and updating the Mapping Needs Update Support System (MNUSS) Database with information gathered during the scoping process. As of 2007, the average age of the FEMA floodplain maps in Penobscot County, Maine, is 22 years, based on the most recent revisions to the maps. Because the revisions did not affect all the map panels in each town, however, the true average date probably is more than 22 years. Many of the studies were published in the mid-1980s. Since the studies were completed, development has occurred in many of the watersheds, and the characteristics of the watersheds have changed with time. Therefore, many of the older studies may not depict current conditions nor accurately estimate risk in terms of flood heights or flood mapping.

Use of traditional and modern contraceptives among childbearing women: findings from a mixed methods study in two southwestern Nigerian states.

PubMed

Ajayi, Anthony Idowu; Adeniyi, Oladele Vincent; Akpan, Wilson

2018-05-09

Contraceptive use has numerous health benefits such as preventing unplanned pregnancies, ensuring optimum spacing between births, reducing maternal and child mortality, and improving the lives of women and children in general. This study examines the level of contraceptive use, its determinants, reasons for non-use of contraception among women in the reproductive age group (18-49 years) in two southwestern Nigerian states. The study adopted an interviewer-administered questionnaire to collect data from 809 participants selected using a 3-stage cluster random sampling technique. We also conducted 46 in-depth interviews. In order to investigate the association between the socio-demographic variables and use of contraceptive methods, we estimated the binary logistic regression models. The findings indicated that knowledge of any methods of contraception was almost universal among the participants. The rates of ever use and current use of contraception was 80 and 66.6%, respectively. However, only 43.9% of the participants had ever used any modern contraceptive methods, considered to be more reliable. The fear of side effects of modern contraceptive methods drove women to rely on less effective traditional methods (withdrawal and rhythm methods). Some women employed crude and unproven contraceptive methods to prevent pregnancies. Our findings show that the rate of contraceptive use was high in the study setting. However, many women chose less effective traditional contraceptive methods over more effective modern contraceptive methods due to fear of side effects of the latter. Patient education on the various options of modern contraceptives, their side effects and management would be crucial towards expanding the family planning services in the study setting.

Development of innovative architecture of the organizational and economic mechanism for the nature protection management

NASA Astrophysics Data System (ADS)

Mikhailov, V. G.; Kiseleva, T. V.; Karasev, V. A.; Mikhailov, G. S.; Skukin, V. A.

2017-05-01

The problems of the efficient functioning of environmental and economic systems of various levels on the basis of the adequate organizational and economic management mechanism are considered in the article. The purpose of the study is the analysis and development of theoretical provisions for the formation of a modern, innovative organizational and economic mechanism of the nature protection management. The compliance matrix of the innovative elements presented in the structure of the organizational and economic mechanism of the nature protection management is developed. The main result of the study is the improvement of the existing management mechanism to minimize the negative impact on the environment, including through the incentive system, and to improve the financial performance of the economic entity. The practical component of the study conducted can be recommended to municipal, regional and federal authorities, as well as the industrial enterprises, to support the adoption of the effective, environmentally sound management decisions that are consistent with the global concept of sustainable development.

Farm & Ranch Business Management. Second Edition.

ERIC Educational Resources Information Center

Steward, Jim; Jobes, Raleigh

This practical guide for the agribusiness manager (the farmer, rancher, and other agribusiness people who work with agricultural commodities, supplies, and services) gives a basic understanding of modern management practices. It provides guidelines that can help them make practical business decisions. Chapter 1 is an introduction that highlights…

Leadership characteristics and business management in modern academic surgery.

PubMed

Büchler, Peter; Martin, David; Knaebel, Hanns-Peter; Büchler, Markus W

2006-04-01

Management skills are necessary to successfully lead a surgical department in future. This article focuses on practical aspects of surgical management, leadership and training. It demonstrates how the implementation of business management concepts changes workflow management and surgical training. A systematic Medline search was performed and business management publications were analysed. Neither management nor leadership skills are inborn but acquired. Management is about planning, controlling and putting appropriate structures in place. Leadership is anticipating and coping with change and people, and adopting a visionary stance. More change requires more leadership. Changes in surgery occur with unprecedented speed because of a growing demand for surgical procedures with limited financial resources. Modern leadership and management theories have to be tailored to surgery. It is clear that not all of them are applicable but some of them are essential for surgeons. In business management, common traits of successful leaders include team orientation and communication skills. As the most important character, however, appears to be the emotional intelligence. Novel training concepts for surgeons include on-the-job training and introduction of improved workflow management systems, e.g. the central case management. The need for surgeons with advanced skills in business, finance and organisational management is evident and will require systematic and tailored training.

Water resources management. World Bank policy study; Ordenacion de los recursos hidricos

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

NONE

1994-12-31

This study examines new World Bank policies that deal with scarce water resources in developing countries. The study describes key policy goals that each country program should adopt. Practical ways to modernize irrigation techniques and hydropower systems, to protect ecosystems, minimize resettlement, and maintain biodiversity are outlined. Low-cost methods of providing drinking water for the rural poor and water for industry and agriculture are recommended.

78 FR 32442 - Record of Decision for the General Management Plan, Blue Ridge Parkway, Virginia and North Carolina

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-30

....YP0000] Record of Decision for the General Management Plan, Blue Ridge Parkway, Virginia and North... the availability of the Record of Decision (ROD) for the General Management Plan (GMP) for Blue Ridge... will provide a better balance between traditional parkway experiences and modern-day management...

[Clinical study using activity-based costing to assess cost-effectiveness of a wound management system utilizing modern dressings in comparison with traditional wound care].

PubMed

Ohura, Takehiko; Sanada, Hiromi; Mino, Yoshio

2004-01-01

In recent years, the concept of cost-effectiveness, including medical delivery and health service fee systems, has become widespread in Japanese health care. In the field of pressure ulcer management, the recent introduction of penalty subtraction in the care fee system emphasizes the need for prevention and cost-effective care of pressure ulcer. Previous cost-effectiveness research on pressure ulcer management tended to focus only on "hardware" costs such as those for pharmaceuticals and medical supplies, while neglecting other cost aspects, particularly those involving the cost of labor. Thus, cost-effectiveness in pressure ulcer care has not yet been fully established. To provide true cost effectiveness data, a comparative prospective study was initiated in patients with stage II and III pressure ulcers. Considering the potential impact of the pressure reduction mattress on clinical outcome, in particular, the same type of pressure reduction mattresses are utilized in all the cases in the study. The cost analysis method used was Activity-Based Costing, which measures material and labor cost aspects on a daily basis. A reduction in the Pressure Sore Status Tool (PSST) score was used to measure clinical effectiveness. Patients were divided into three groups based on the treatment method and on the use of a consistent algorithm of wound care: 1. MC/A group, modern dressings with a treatment algorithm (control cohort). 2. TC/A group, traditional care (ointment and gauze) with a treatment algorithm. 3. TC/NA group, traditional care (ointment and gauze) without a treatment algorithm. The results revealed that MC/A is more cost-effective than both TC/A and TC/NA. This suggests that appropriate utilization of modern dressing materials and a pressure ulcer care algorithm would contribute to reducing health care costs, improved clinical results, and, ultimately, greater cost-effectiveness.

[The basis of modern technologies in management of health care system].

PubMed

Nemytin, Iu V

2014-12-01

For the development of national heaIth care it is required to implement modern and effective methods and forms of governance. It is necessary to clearly identify transition to process management followed by an introduction of quality management care. It is necessary to create a complete version of the three-level health care system based on the integration into the system "Clinic - Hospital - Rehabilitation", which will ensure resource conservation in general throughout the industry. The most important task is purposeful comprehensive management training for health care--statesmen who have the potential ability to manage. The leader must possess all forms of management and apply them on a scientific basis. Standards and other tools of health management should constantly improve. Standards should be a teaching tool and help to improve the quality and effectiveness of treatment processes, the transition to the single-channel financing--the most advanced form of payment for the medical assistance. This type of financing requires managers to new management approaches, knowledge of business economics. One of the breakthrough objectives is the creation of a new type of health care organizations, which as lead locomotives for a rest.

Systems Management for Force Modernization Equipment.

DTIC Science & Technology

1982-04-15

PERT (New York: John Wiley & Sons, Inc., 1963), p. ’𔄁. 8. Fred Luthans, Introduction to Management (New York: McGraw- Hill Book Company, 1976), p...34Fielding Army Systems: Experiences and Lessons Learned." C, Vol. 3, No. 4, Autumn, 1980. Luthans, Fred. Introduction to Management . New York: McGraw

Management of Audio-Visual Media Services. Part II. Practical Management Methods.

ERIC Educational Resources Information Center

Price, Robert V.

1978-01-01

This paper furnishes a framework that allows the local audiovisual administrator to develop a management system necessary for the instructional support of teaching through modern media and educational technology. The structure of this framework rests on organizational patterns which are explained in four categories: complete decentralization,…

EMBA Integration: From Rhetoric to Practice

ERIC Educational Resources Information Center

Scott, Charles; Derrick, Frederick; Hoadley, Ellen

2012-01-01

For the modern business world, business education needs to molt from the cocoon of discipline silos to the integrated business education model to train the next generation of managers. Upper management problems are rarely silo specific. Managers do things right, but leaders do the right things; and executive programs exist to build business…

Management Information System Project.

ERIC Educational Resources Information Center

Foley, Walter J.; Harr, Gordon G.

The Management Information System (MIS) described in this report represents a plan to utilize modern management techniques to facilitate the goal of a learner-responsive school system. The MIS component is being developed to meet the need for the coordination of the resources of staff, facilities, and time with the long range planning and…

Maximizing the U.S. Army’s Future Contribution to Global Security Using the Capability Portfolio Analysis Tool (CPAT)

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

Davis, Scott J.; Edwards, Shatiel B.; Teper, Gerald E.

We report that recent budget reductions have posed tremendous challenges to the U.S. Army in managing its portfolio of ground combat systems (tanks and other fighting vehicles), thus placing many important programs at risk. To address these challenges, the Army and a supporting team developed and applied the Capability Portfolio Analysis Tool (CPAT) to optimally invest in ground combat modernization over the next 25–35 years. CPAT provides the Army with the analytical rigor needed to help senior Army decision makers allocate scarce modernization dollars to protect soldiers and maintain capability overmatch. CPAT delivers unparalleled insight into multiple-decade modernization planning usingmore » a novel multiphase mixed-integer linear programming technique and illustrates a cultural shift toward analytics in the Army’s acquisition thinking and processes. CPAT analysis helped shape decisions to continue modernization of the $10 billion Stryker family of vehicles (originally slated for cancellation) and to strategically reallocate over $20 billion to existing modernization programs by not pursuing the Ground Combat Vehicle program as originally envisioned. Ultimately, more than 40 studies have been completed using CPAT, applying operations research methods to optimally prioritize billions of taxpayer dollars and allowing Army acquisition executives to base investment decisions on analytically rigorous evaluations of portfolio trade-offs.« less

Maximizing the U.S. Army’s Future Contribution to Global Security Using the Capability Portfolio Analysis Tool (CPAT)

DOE PAGES

Davis, Scott J.; Edwards, Shatiel B.; Teper, Gerald E.; ...

2016-02-01

We report that recent budget reductions have posed tremendous challenges to the U.S. Army in managing its portfolio of ground combat systems (tanks and other fighting vehicles), thus placing many important programs at risk. To address these challenges, the Army and a supporting team developed and applied the Capability Portfolio Analysis Tool (CPAT) to optimally invest in ground combat modernization over the next 25–35 years. CPAT provides the Army with the analytical rigor needed to help senior Army decision makers allocate scarce modernization dollars to protect soldiers and maintain capability overmatch. CPAT delivers unparalleled insight into multiple-decade modernization planning usingmore » a novel multiphase mixed-integer linear programming technique and illustrates a cultural shift toward analytics in the Army’s acquisition thinking and processes. CPAT analysis helped shape decisions to continue modernization of the $10 billion Stryker family of vehicles (originally slated for cancellation) and to strategically reallocate over $20 billion to existing modernization programs by not pursuing the Ground Combat Vehicle program as originally envisioned. Ultimately, more than 40 studies have been completed using CPAT, applying operations research methods to optimally prioritize billions of taxpayer dollars and allowing Army acquisition executives to base investment decisions on analytically rigorous evaluations of portfolio trade-offs.« less

Contraception supply chain challenges: a review of evidence from low- and middle-income countries.

PubMed

Mukasa, Bakali; Ali, Moazzam; Farron, Madeline; Van de Weerdt, Renee

2017-10-01

To identify and assess factors determining the functioning of supply chain systems for modern contraception in low- and middle-income countries (LMICs), and to identify challenges contributing to contraception stockouts that may lead to unmet need. Scientific databases and grey literature were searched including Database of Abstracts of Reviews of Effectiveness (DARE), PubMed, MEDLINE, POPLINE, CINAHL, Academic Search Complete, Science Direct, Web of Science, Cochrane Central, Google Scholar, WHO databases and websites of key international organisations. Studies indicated that supply chain system inefficiencies significantly affect availability of modern FP and contraception commodities in LMICs, especially in rural public facilities where distribution barriers may be acute. Supply chain failures or bottlenecks may be attributed to: weak and poorly institutionalized logistic management information systems (LMIS), poor physical infrastructures in LMICs, lack of trained and dedicated staff for supply chain management, inadequate funding, and rigid government policies on task sharing. However, there is evidence that implementing effective LMISs and involving public and private providers will distribution channels resulted in reduction in medical commodities' stockout rates. Supply chain bottlenecks contribute significantly to persistent high stockout rates for modern contraceptives in LMICs. Interventions aimed at enhancing uptake of contraceptives to reduce the problem of unmet need in LMICs should make strong commitments towards strengthening these countries' health commodities supply chain management systems. Current evidence is limited and additional, and well-designed implementation research on contraception supply chain systems is warranted to gain further understanding and insights on the determinants of supply chain bottlenecks and their impact on stockouts of contraception commodities.

Developmental and Implementation Challenges of E-Learning Management Systems in Higher Education

ERIC Educational Resources Information Center

Davidovitch, Nitza; Belichenko, Margaryta

2016-01-01

The competition that exists today in the labour market has significantly raised the value of knowledge, skills and experience of staff. This particular importance for the modern professional acquire fluency in its modern information technology and the ability to continuously improve the skills. The actual trend is also for university teachers.…

Securing Secrets and Managing Trust in Modern Computing Applications

ERIC Educational Resources Information Center

Sayler, Andy

2016-01-01

The amount of digital data generated and stored by users increases every day. In order to protect this data, modern computing systems employ numerous cryptographic and access control solutions. Almost all of such solutions, however, require the keeping of certain secrets as the basis of their security models. How best to securely store and control…

The System of Checks and Balances in General Education Management

ERIC Educational Resources Information Center

Kravtsov, Sergei

2015-01-01

The project of modernization of regional education systems is now in its second year, but by no means all schools in Russia currently meet modern requirements. The division between strong and weak schools is still preserved. Quality control is frequently regarded as a formality and the effectiveness of how a specific educational institution is run…

76 FR 12308 - Modernizing the FCC Form 477 Data Program; Correction

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-07

... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Parts 1, 20, and 43 [WCB: WC Docket Nos. 07-38, 09-190, 10-132, 11-10; FCC 11-14] Modernizing the FCC Form 477 Data Program; Correction AGENCY: Federal..., Deputy Manager. [FR Doc. 2011-5095 Filed 3-4-11; 8:45 am] BILLING CODE 6712-01-P ...

Enlightenment from ancient Chinese urban and rural stormwater management practices.

PubMed

Wu, Che; Qiao, Mengxi; Wang, Sisi

2013-01-01

Hundreds of years ago, the ancient Chinese implemented several outstanding projects to cope with the changing climate and violent floods. Some of these projects are still in use today. These projects evolved from the experience and knowledge accumulated through the long coexistence of people with nature. The concepts behind these ancient stormwater management practices, such as low-impact development and sustainable drainage systems, are similar to the technology applied in modern stormwater management. This paper presents the cases of the Hani Terrace in Yunnan and the Fushou drainage system of Ganzhou in Jiangxi. The ancient Chinese knowledge behind these cases is seen in the design concepts and the features of these projects. These features help us to understand better their applications in the contemporary environment. In today's more complex environment, integrating traditional and advanced philosophy with modern technologies is extremely useful in building urban and rural stormwater management systems in China.

Evolution of Stored-Product Entomology: Protecting the World Food Supply.

PubMed

Hagstrum, David W; Phillips, Thomas W

2017-01-31

Traditional methods of stored-product pest control were initially passed from generation to generation. Ancient literature and archaeology reveal hermetic sealing, burning sulfur, desiccant dusts, and toxic botanicals as early control methods. Whereas traditional nonchemical methods were subsequently replaced by synthetic chemicals, other traditional methods were improved and integrated with key modern pesticides. Modern stored-product integrated pest management (IPM) makes decisions using knowledge of population dynamics and threshold insect densities. IPM programs are now being fine-tuned to meet regulatory and market standards. Better sampling methods and insights from life histories and ecological studies have been used to optimize the timing of pest management. Over the past 100 years, research on stored-product insects has shifted from being largely concentrated within 10 countries to being distributed across 65 countries. Although the components of IPM programs have been well researched, more research is needed on how these components can be combined to improve effectiveness and assure the security of postharvest food as the human population increases.

[Updating the problems of human ecology and environmental health and the ways of solving them].

PubMed

Rakhmanin, Iu A

2012-01-01

Displaying a variety of scientific areas studying the influence of the environment on human health, the state and modern issues of assessment of environmental quality, hygienic standardization of chemical and biological contamination, methodical support of sanitarian and health monitoring and risk assessment of pollution, environmental health, the need for improvement and harmonization with the international instruments of the legal and methodological framework for the protection of the human environment, of the development of a modern management system of her quality based on epidemiological methods for simulation, risk analysis, assessment of economic damage to the environment and health of the population, forming a new branch of medicine--medicine of environment.

Managing human resources in healthcare: learning from world class practices--Part I.

PubMed

Zairi, M

1998-01-01

This paper, which is presented in two parts, is intended to demonstrate that practices related to the area of human resources management, adopted by model organisations that have dominated their markets consistently, can lend themselves very well to the healthcare sector, which is primarily a "people-oriented" sector. As change in a modern business context is set to continue in an unrelenting way, most organisations will be presented with the challenge of developing the necessary skills and areas of expertise to enable them to cope with the demands on them, master technological opportunities at their disposal, learn how to exploit modern management concepts and optimise value to all the stakeholders they intend to serve. This paper draws from best practices using the experiences of quality recognised organisations and many admired names through pioneering human resource policies and practices and through clear demonstrations on the benefits of relying on people as the major "asset". Part I of this article addresses the importance of human resources as revealed through models of management for organisational excellence. In particular, the paper refers to the criteria for excellence in relation to people management using the following prestigious and integrative management models: Deming Prize (Japan); European Quality Award Model (Europe); and Malcolm Baldrige National Quality Award (USA). In addition, this paper illustrates several case studies using organisations known for their pioneering approaches to people management and which led them to win very prestigious quality awards and various international accolades. The paper concludes by reinforcing the point that human resource management in a healthcare context has to be viewed as an integrated set of processes and practices which need to be adhered to from an integrated perspective in order to optimise individuals' performance levels and so that the human potential can be exploited fully.

Mediating effect of sustainable product development on relationship between quality management practices and organizational performance: Empirical study of Malaysian automotive industry

NASA Astrophysics Data System (ADS)

Ahmad, Mohd Akhir; Asaad, Mohd Norhasni; Saad, Rohaizah; Iteng, Rosman; Rahim, Mohd Kamarul Irwan Abdul

2016-08-01

Global competition in the automotive industry has encouraged companies to implement quality management practices in all managerial aspects to ensure customer satisfaction in products and reduce costs. Therefore, guaranteeing only product quality is insufficient without considering product sustainability, which involves economic, environment, and social elements. Companies that meet both objectives gain advantages in the modern business environment. This study addresses the issues regarding product quality and sustainability in small and medium-sized enterprises in the Malaysian automotive industry. A research was carried out in 91 SMEs automotive suppliers in throughout Malaysia. The analyzed using SPSS ver.23 has been proposed in correlation study. Specifically, this study investigates the relationship between quality management practices and organizational performance as well as the mediating effect of sustainable product development on this relationship.

Use of Web Technology to Access and Update College Plans

ERIC Educational Resources Information Center

Valeau, Edward J.; Luan, Jing

2007-01-01

In this study, the process and outcome of a web-based planning application, called Ports of Call, are discussed. The application allows college management to create, edit, and report out activities relating to college plans, all through a web browser. Its design was based on best practices in modern web technology and the application can be easily…

Key Milestones in the Development of Reputation Management in Russian Universities

ERIC Educational Resources Information Center

Reznik, Semen D.; Yudina, Tatiana A.

2018-01-01

The development of the modern higher school is characterized by a number of trends that cannot always be called positive. The recent reforms in the sphere of higher education in Russia increase uncertainty of the conditions, in which institutions of higher education currently function. The topicality of the problem makes it necessary to study the…

Teacher Opinions on the Innovation Management Skills of School Administrators and Organizational Learning Mechanisms

ERIC Educational Resources Information Center

Omur, Yunus Emre; Argon, Turkan

2016-01-01

Problem Statement: In modern society, schools, just as other institutions, are required to be innovative organizations. For this purpose, they must not only be learning organizations, they must also be innovative. In this sense, the purpose of this study is to discover the relationship between organizational learning mechanisms at schools and…

An exercise in controversy. Case study: revising a physician employment agreement.

PubMed

Fitzgerald, Paul E; Burkett, Steven H; Key, Charles M

2003-01-01

The physician employment agreement at a faculty practice plan did not meet the needs of a modern health care employer or its medical staff. This article describes the communication among medical group management, medical leadership and the medical staff during the revision of the agreement, as well as the process used to develop a new document.

U.S. Navy Ships Food Service Divisions: Modernizing Inventory Management

DTIC Science & Technology

2010-06-01

management procedures for receipt, inventory, stowage, and issue of provisions onboard ships have remained relatively unchanged for decades. Culinary ...improve the quality of life for Culinary Specialists 15. NUMBER OF PAGES 87 14. SUBJECT TERMS Inventory management, records keeper, stores onload...remained relatively unchanged for decades. Culinary Specialists are utilizing an antiquated and unreliable inventory management program (the Food

That Over-Used and Much-Abused 4-Letter Word: DATA

NASA Astrophysics Data System (ADS)

Griffin, Elizabeth M.

2015-08-01

In its prime state, DATA is a Latin word meaning "[things] given", a plural noun derived from the verb "To Give". Its singular form is DATUM. Modern conversation equates DATA with "Information", while modern philosophies on information management are getting entwined with parallel philosophies on knowledge management. In some ways that is a positive development, and is greatly assisted by Open Access and Internet policies, but in others it is more detrimental, by threatening to blur the essential distinction between objectivity and subjectivity in our science. We examine that essentialdistinction from the view-points of observers, authors (and publishers), and database managers, and suggest where, when and how the distinctiveness of their fundamental contributions to the communication and validation of research results should be respected and upheld.

That over-used and much abused 4-letter word: DATA

NASA Astrophysics Data System (ADS)

Griffin, Elizabeth

2016-10-01

In its prime state, DATA is a Latin word meaning ``[things] given'', a plural noun derived from the verb ``To Give''. Its singular form is DATUM. Modern conversation equates DATA with ``Information'', while modern philosophies on information management are getting entwined with parallel philosophies on knowledge management. In some ways that is a positive development, and is greatly assisted by Open Access and Internet policies, but in others it is more detrimental, by threatening to blur the essential distinction between objectivity and subjectivity in our science. We examine that essential distinction from the view-points of observers, authors (and publishers), and database managers, and suggest where, when and how the distinctiveness of their fundamental contributions to the communication and validation of research results should be respected and upheld.

5 CFR 850.101 - Purpose and scope.

Code of Federal Regulations, 2011 CFR

2011-01-01

....101 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS... processing system created by the Office of Personnel Management's (OPM's) Retirement Systems Modernization (RSM) initiative. RSM is OPM's strategic initiative to improve the quality and timeliness of services...

Crop water productivity and irrigation management

USDA-ARS?s Scientific Manuscript database

Modern irrigation systems offer large increases in crop water productivity compared with rainfed or gravity irrigation, but require different management approaches to achieve this. Flood, sprinkler, low-energy precision application, LEPA, and subsurface drip irrigation methods vary widely in water a...

76 FR 72712 - Agency Emergency Processing Under the Office of Management and Budget Review; Submission for...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-25

... Management and Budget Review; Comment Request; Food and Drug Administration Food Safety Modernization Act...., Office of Information Management, Food and Drug Administration, 1350 Piccard Dr., PI50-400B, Rockville... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2011-N-0841...

76 FR 13623 - Agency Information Collection Activities; Announcement of Office of Management and Budget...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-14

... Under the Food and Drug Administration Modernization Act'' has been approved by the Office of Management... Gittleson, Office of Information Management, Food and Drug Administration, 1350 Piccard Dr., PI50-400B... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0447...

Practical Teaching & Learning Model: A Modern Dimension for Business Management Schools

ERIC Educational Resources Information Center

Kolachi, Nadir Ali

2013-01-01

Purpose: The purpose of this research is to evaluate and investigate the most suitable model required for teaching business Management curriculum. The paper will report a new dimension of Business Management Teaching. For this purpose, a Practical teaching & Learning Model has been prepared and will be discussed through qualitative research…

Knowledge Management: A Conceptual Platform for the Sharing of Ideas.

ERIC Educational Resources Information Center

Mahdjoubi, Darius; Harmon, Glynn

2001-01-01

The concept of the learning organization and intellectual capital were instrumental in the beginning stage of knowledge management, about 1995. From the spontaneous combination of these two fields, the modern concept of knowledge management as a conceptual platform emerged. The seven main fields that are so far most intimately connected to…

Human Resources Management & Development Handbook. Second Edition.

ERIC Educational Resources Information Center

Tracey, William R., Ed.

This revised handbook on the theory and practice of human resources management and development (HRM/D) focuses on people management and the personnel development processes. The book's 18 parts and 102 chapters by 107 contributors provide authoritative and comprehensive information on every aspect of modern HRM/D. Part 1 provides an overview of…

Forest structure and development: implications for forest management

Treesearch

Kevin L. O' Hara

2004-01-01

A general premise of forest managers is that modern silviculture should be based, in large part, on natural disturbance patterns and species' adaptations to these disturbances. An understanding of forest stand dynamics is therefore a prerequisite to sound forest management. This paper provides a brief overview of forest stand development, stand structures, and...

A Model for an Information Security Risk Management (ISRM) Framework for Saudi Arabian Organisations

ERIC Educational Resources Information Center

Alshareef, Naser

2016-01-01

Countries in the Gulf represent thriving, globally important commercial centres. They have embraced technology and modern management methods, often originating in the western countries. In adapting to quite different cultures these do not always operate as successfully. The adoption and practices of the Information Security Risk Management (ISRM)…

[Applications of the hospital statistics management system].

PubMed

Zhai, Hong; Ren, Yong; Liu, Jing; Li, You-Zhang; Ma, Xiao-Long; Jiao, Tao-Tao

2008-01-01

The Hospital Statistics Management System is built on an Office Automation Platform of Shandong provincial hospital system. Its workflow, role and popedom technologies are used to standardize and optimize the management program of statistics in the total quality control of hospital statistics. The system's applications have combined the office automation platform with the statistics management in a hospital and this provides a practical example of a modern hospital statistics management model.

Genetic aspects of the transition from traditional to modern fish farming.

PubMed

Moav, R; Soller, M; Hulata, G

1976-11-01

A theoretical model describing the genetic aspect of the transition from traditional to modern animal husbandry is presented. Traditional races are characterized by high tolerance to harsh environments but a low rate of response to increased management inputs. Modern, artificially-selected breeds are efficient convertors of management inputs to higher production but have a low resistance to harsh environments. Thus, under lowinput traditional husbandry, the traditional races are best adapted, while under modern, high-input husbandry, modern breeds are most productive, and in the intermediate zone, hybrids between the two races are capable of closing the 'profit gap' in the shift from traditional to modern husbandry. The domesticated European, and the Chinese Big-belly races of the common carp were tested under many environmental 'treatments' involving variation in density, polyculture, aeration, feeding and fertilization. The Big-belly showed, as expected, high resistance to the poor 'treatments' but low response to environmental improvement. The European breeds performed best in the higher half of the environmental range and their response rates were highest. The F1 hybrids between the two races excelled in the lower third of the range, exhibiting, there, a high heterosis but only an intermediate rate of response. It was concluded that successful changes from one aquaculture system to another, and particularly the change from traditional to modern husbandry, require a simultaneous search for the most efficient genotype × environment combination and, for each level of modernization of traditional fish farming, the most effective genotype must be identified and utilized. The transition from traditional to modern animal husbandry, including fish farming, is best quantified by the levels of invested inputs, other than labour, that induce higher production of the individual animals. The major management inputs of modern fresh water fish farming are expensive feeding, veterinary care, control of predators, organic and chemical fertilizers that enrich the production of natural fish food, water circulation and aeration. Since all these inputs are rather expensive, the fish have to pay for them by increased production, i.e., faster growth rate. Thus, the sina qua non of such a transition is the availability of animal stocks capable of converting increased inputs into economically attractive increased yields. We are all aware of the very great physiological plasticity of farm animals. In the case of the European carp, for example, the same genetic stocks, raised under high stocking density and low feeding level may gain an average weight of 10 to 20 g per fish in a whole year, while under low density and abundant feeding, they may gain over 2 kg in the same period. Such physiological responsiveness may give the wrong impression that all that is needed for the transition to more modern husbandry are improved environmental circumstances. The object of this paper is to point out that the proper choice and changeover of genotypes is equally important for the succesfull implementation of the usually gradual process of fish farming modernization. This demonstration will be based on results of experiments with the European and Chinese races of the common carp, and their F1 hybrids.

Animal Management at the Ancient Metropolis of Teotihuacan, Mexico: Stable Isotope Analysis of Leporid (Cottontail and Jackrabbit) Bone Mineral.

PubMed

Somerville, Andrew D; Sugiyama, Nawa; Manzanilla, Linda R; Schoeninger, Margaret J

2016-01-01

Human-animal interactions have played crucial roles in the development of complex societies across the globe. This study examines the human-leporid (cottontail and jackrabbit) relationship at the pre-Hispanic (AD 1-550) city of Teotihuacan in the Basin of Mexico and tests the hypothesis that leporids were managed or bred for food and secondary products within the urban core. We use stable isotope analysis (δ13Capatite and δ18Oapatite) of 134 leporid specimens from five archaeological contexts within the city and 13 modern specimens from across central Mexico to quantify aspects of leporid diet and ecology. The results demonstrate that leporids from Oztoyahualco, a residential complex associated with a unique rabbit sculpture and archaeological traces of animal butchering, exhibit the highest δ13Capatite values of the sample. These results imply greater consumption of human-cultivated foods, such as maize (Zea mays), by cottontails and jackrabbits at this complex and suggest practices of human provisioning. A lack of significant differences in δ18Oapatite values between ancient and modern leporids and between Oztoyahualco and other locations within Teotihuacan indicates generally similar relative humidity from sampled contexts. Results of this study support the notion that residents provisioned, managed, or bred leporids during the height of the city, and provide new evidence for mammalian animal husbandry in the ancient New World.

Animal Management at the Ancient Metropolis of Teotihuacan, Mexico: Stable Isotope Analysis of Leporid (Cottontail and Jackrabbit) Bone Mineral

PubMed Central

Somerville, Andrew D.; Sugiyama, Nawa; Manzanilla, Linda R.; Schoeninger, Margaret J.

2016-01-01

Human-animal interactions have played crucial roles in the development of complex societies across the globe. This study examines the human-leporid (cottontail and jackrabbit) relationship at the pre-Hispanic (AD 1–550) city of Teotihuacan in the Basin of Mexico and tests the hypothesis that leporids were managed or bred for food and secondary products within the urban core. We use stable isotope analysis (δ13Capatite and δ18Oapatite) of 134 leporid specimens from five archaeological contexts within the city and 13 modern specimens from across central Mexico to quantify aspects of leporid diet and ecology. The results demonstrate that leporids from Oztoyahualco, a residential complex associated with a unique rabbit sculpture and archaeological traces of animal butchering, exhibit the highest δ13Capatite values of the sample. These results imply greater consumption of human-cultivated foods, such as maize (Zea mays), by cottontails and jackrabbits at this complex and suggest practices of human provisioning. A lack of significant differences in δ18Oapatite values between ancient and modern leporids and between Oztoyahualco and other locations within Teotihuacan indicates generally similar relative humidity from sampled contexts. Results of this study support the notion that residents provisioned, managed, or bred leporids during the height of the city, and provide new evidence for mammalian animal husbandry in the ancient New World. PMID:27532515

Management of Breast Milk Oversupply in Traditional Persian Medicine.

PubMed

Kabiri, Marya; Kamalinejad, Mohammad; Sohrabvand, Farnaz; Bioos, Soodabeh; Babaeian, Mohammad

2017-10-01

Comprehensive explanation about milk oversupply is not available in the current literature because few studies have been done on this topic. In traditional Persian medicine, milk oversupply and its management have been described. The aim of this study was to investigate milk oversupply from the perspective of medieval Persian practitioners. In this study, some main medical resources of traditional Persian medicine such as Al-Havi and the Canon of Medicine were studied to extract valuable information about milk oversupply. Etiology of milk overproduction according to traditional Persian medicine is based on humors theory and cannot be easily compared with current medical concepts. Diet modifications and natural remedies have been applied for managing this condition but the majority of traditional Persian medicine interventions for reducing milk oversupply have not been scientifically investigated in modern medicine. The knowledge of milk oversupply in traditional Persian medicine may be helpful to conduct further related studies.

Management of Breast Milk Oversupply in Traditional Persian Medicine

PubMed Central

Kabiri, Marya; Kamalinejad, Mohammad; Sohrabvand, Farnaz; Bioos, Soodabeh

2017-01-01

Comprehensive explanation about milk oversupply is not available in the current literature because few studies have been done on this topic. In traditional Persian medicine, milk oversupply and its management have been described. The aim of this study was to investigate milk oversupply from the perspective of medieval Persian practitioners. In this study, some main medical resources of traditional Persian medicine such as Al-Havi and the Canon of Medicine were studied to extract valuable information about milk oversupply. Etiology of milk overproduction according to traditional Persian medicine is based on humors theory and cannot be easily compared with current medical concepts. Diet modifications and natural remedies have been applied for managing this condition but the majority of traditional Persian medicine interventions for reducing milk oversupply have not been scientifically investigated in modern medicine. The knowledge of milk oversupply in traditional Persian medicine may be helpful to conduct further related studies. PMID:28817945

24 CFR 968.105 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-04-01

... purpose of funding physical and management improvements. Modernization program. A PHA's program for... substantially the same kind does qualify, but reconstruction, substantial improvement in the quality or kind of... resident participation in each of the required program components. PHMAP. The Public Housing Management...

Demand for Modern Family Planning among Married Women Living with HIV in Western Ethiopia

PubMed Central

Feyissa, Tesfaye Regassa; Melka, Alemu Sufa

2014-01-01

Introduction People living with HIV (PLHIV) have diverse family planning (FP) needs. Little is reported on FP needs among women living with HIV in Ethiopia. Thus, the objective of the study was to assess the demand for modern FP among married women living with HIV in western Ethiopia. Methods A facility-based cross-sectional survey was conducted on 401 married women living with HIV selected from Nekemte Referral Hospital and Health Center, Nekemte, Oromia, Ethiopia. Convenience sampling of every other eligible patient was used to recruit respondents. Data were collected using a pretested, structured questionnaire. We first calculated frequency and percentage of unmet need, met need and total demand by each explanatory variable, and performed chi-squared testing to assess for differences in groups. We then fitted logistic regression models to identify correlates of unmet need for modern FP at 95% CL. Results The proportion of respondents with met need for modern FP among married women living with HIV was 61.6% (30.7% for spacing and 30.9% for limiting). Demand for family planning was reported in 77.0% (38.2% for spacing and 38.8% for limiting), making unmet need for modern FP prevalent in 15.4% (7.5% for spacing and 7.9% for limiting). Whereas age 25–34 years [adjusted odds ratio (AOR) (95% confidence interval (CI))  = .397 (.204–.771)] was protective against unmet need for modern FP, not having knowledge of MTCT [AOR (95% CI)  = 2.531 (1.689–9.290)] and not discussing FP with a partner [AOR (95% CI)  = 3.616(1.869–6.996)] were associated with increased odds of unmet need for modern FP. Conclusions There is high unmet need for modern FP in HIV-positive married women in western Ethiopia. Health care providers and program managers at a local and international level should work to satisfy the unmet need for modern family planning. PMID:25390620

Demand for modern family planning among married women living with HIV in western Ethiopia.

PubMed

Feyissa, Tesfaye Regassa; Melka, Alemu Sufa

2014-01-01

People living with HIV (PLHIV) have diverse family planning (FP) needs. Little is reported on FP needs among women living with HIV in Ethiopia. Thus, the objective of the study was to assess the demand for modern FP among married women living with HIV in western Ethiopia. A facility-based cross-sectional survey was conducted on 401 married women living with HIV selected from Nekemte Referral Hospital and Health Center, Nekemte, Oromia, Ethiopia. Convenience sampling of every other eligible patient was used to recruit respondents. Data were collected using a pretested, structured questionnaire. We first calculated frequency and percentage of unmet need, met need and total demand by each explanatory variable, and performed chi-squared testing to assess for differences in groups. We then fitted logistic regression models to identify correlates of unmet need for modern FP at 95% CL. The proportion of respondents with met need for modern FP among married women living with HIV was 61.6% (30.7% for spacing and 30.9% for limiting). Demand for family planning was reported in 77.0% (38.2% for spacing and 38.8% for limiting), making unmet need for modern FP prevalent in 15.4% (7.5% for spacing and 7.9% for limiting). Whereas age 25-34 years [adjusted odds ratio (AOR) (95% confidence interval (CI)) = .397 (.204-.771)] was protective against unmet need for modern FP, not having knowledge of MTCT [AOR (95% CI) = 2.531 (1.689-9.290)] and not discussing FP with a partner [AOR (95% CI) = 3.616(1.869-6.996)] were associated with increased odds of unmet need for modern FP. There is high unmet need for modern FP in HIV-positive married women in western Ethiopia. Health care providers and program managers at a local and international level should work to satisfy the unmet need for modern family planning.

Mechanics of Flapping Flight: Analytical Formulations of Unsteady Aerodynamics, Kinematic Optimization, Flight Dynamics, and Control

NASA Astrophysics Data System (ADS)

Taneja, Jayant Kumar

Electricity is an indispensable commodity to modern society, yet it is delivered via a grid architecture that remains largely unchanged over the past century. A host of factors are conspiring to topple this dated yet venerated design: developments in renewable electricity generation technology, policies to reduce greenhouse gas emissions, and advances in information technology for managing energy systems. Modern electric grids are emerging as complex distributed systems in which a portfolio of power generation resources, often incorporating fluctuating renewable resources such as wind and solar, must be managed dynamically to meet uncontrolled, time-varying demand. Uncertainty in both supply and demand makes control of modern electric grids fundamentally more challenging, and growing portfolios of renewables exacerbate the challenge. We study three electricity grids: the state of California, the province of Ontario, and the country of Germany. To understand the effects of increasing renewables, we develop a methodology to scale renewables penetration. Analyzing these grids yields key insights about rigid limits to renewables penetration and their implications in meeting long-term emissions targets. We argue that to achieve deep penetration of renewables, the operational model of the grid must be inverted, changing the paradigm from load-following supplies to supply-following loads. To alleviate the challenge of supply-demand matching on deeply renewable grids, we first examine well-known techniques, including altering management of existing supply resources, employing utility-scale energy storage, targeting energy efficiency improvements, and exercising basic demand-side management. Then, we create several instantiations of supply-following loads -- including refrigerators, heating and cooling systems, and laptop computers -- by employing a combination of sensor networks, advanced control techniques, and enhanced energy storage. We examine the capacity of each load for supply-following and study the behaviors of populations of these loads, assessing their potential at various levels of deployment throughout the California electricity grid. Using combinations of supply-following strategies, we can reduce peak natural gas generation by 19% on a model of the California grid with 60% renewables. We then assess remaining variability on this deeply renewable grid incorporating supply-following loads, characterizing additional capabilities needed to ensure supply-demand matching in future sustainable electricity grids.

Bridging the Gap Between Surveyors and the Geo-Spatial Society

NASA Astrophysics Data System (ADS)

Müller, H.

2016-06-01

For many years FIG, the International Association of Surveyors, has been trying to bridge the gap between surveyors and the geospatial society as a whole, with the geospatial industries in particular. Traditionally the surveying profession contributed to the good of society by creating and maintaining highly precise and accurate geospatial data bases, based on an in-depth knowledge of spatial reference frameworks. Furthermore in many countries surveyors may be entitled to make decisions about land divisions and boundaries. By managing information spatially surveyors today develop into the role of geo-data managers, the longer the more. Job assignments in this context include data entry management, data and process quality management, design of formal and informal systems, information management, consultancy, land management, all that in close cooperation with many different stakeholders. Future tasks will include the integration of geospatial information into e-government and e-commerce systems. The list of professional tasks underpins the capabilities of surveyors to contribute to a high quality geospatial data and information management. In that way modern surveyors support the needs of a geo-spatial society. The paper discusses several approaches to define the role of the surveyor within the modern geospatial society.

[Theoretical grounds of a structural and functional model for quality assurance of radiation diagnostics under conditions of development of the modern health care system in Ukraine].

PubMed

Korop, Oleg A; Lenskykh, Sergiy V

2018-01-01

Introduction: Modern changes in the health care system of Ukraine are focused on financial support in providing medical and diagnostic care to the population and are based on deep and consistent structural and functional transformations. They are aimed at providing adequate quality care, which is the main target function and a principal criterion for operation of health care system. The urgency of this problem is increasing in the context of reforming the health care system and global changes in the governmental financial guarantees for the provision of medical services to the population. The aim of the work is to provide theoretical grounds for a structural and functional model of quality assurance of radiation diagnostics at all levels of medical care given to the population under the current health care reform in Ukraine. Materials and methods: The object of the study is organizing the operation of the radiation diagnostic service; the information is based on the actual data on the characteristics of radiation diagnosis at different levels of medical care provision. Methods of systematic approach, system analysis and structural and functional analysis of the operating system of radiation diagnostics are used. Review: The basis of the quality assurance model is the cyclical process, which includes the stages of the problem identifition, planning of its solution, organization of the system for implementation of decisions, monitoring the quality management process of the radiation diagnostics, and factors influencing the quality of the radiation diagnostics service. These factors include the quality of the structure, process, results, organization of management and control of current processes and the results of radiation diagnostics management. Conclusions: The advantages of the proposed model for ensuring the quality of the radiation diagnostics service are its systemacy and complexity, elimination of identified defects and deficiencies, and achievement of profitability through modern redistribution and use of existing resources of the health care system. The results of adequate service quality management activities in radiation diagnostics are the improvement of organizational and economic principles along with legislative regulation, the implementation of a modern system of radiation diagnostics in the state health care at the national and regional levels, the increase of the accessibility, quality and efficiency of the radiation diagnostics service.

Problems of modern urban drainage in developing countries.

PubMed

Silveira, A L L

2002-01-01

Socio-economic factors in developing countries make it more difficult to solve problems of urban drainage than in countries that are more advanced. Factors inhibiting the adoption of modern solutions include: (1) in matters of urban drainage, 19th-century sanitary philosophy still dominates; (2) both legal and clandestine land settlement limits the space that modern solutions require; (3) contamination of storm runoff by foul sewage, sediment and garbage prevents adoption of developed-country practices; (4) climatic and socio-economic factors favour the growth of epidemics where runoff is retained for flood-avoidance and to increase infiltration; (5) lack of a technological basis for adequate drainage management and design; (6) lack of the interaction between community and city administration that is needed to obtain modern solutions to urban drainage problems. Awareness of these difficulties is fundamental to the search for modern and viable solutions appropriate for developing countries.

Global aquifers dominated by fossil groundwaters but wells vulnerable to modern contamination

NASA Astrophysics Data System (ADS)

Jasechko, Scott; Perrone, Debra; Befus, Kevin M.; Bayani Cardenas, M.; Ferguson, Grant; Gleeson, Tom; Luijendijk, Elco; McDonnell, Jeffrey J.; Taylor, Richard G.; Wada, Yoshihide; Kirchner, James W.

2017-06-01

The vulnerability of groundwater to contamination is closely related to its age. Groundwaters that infiltrated prior to the Holocene have been documented in many aquifers and are widely assumed to be unaffected by modern contamination. However, the global prevalence of these `fossil' groundwaters and their vulnerability to modern-era pollutants remain unclear. Here we analyse groundwater carbon isotope data (12C, 13C, 14C) from 6,455 wells around the globe. We show that fossil groundwaters comprise a large share (42-85%) of total aquifer storage in the upper 1 km of the crust, and the majority of waters pumped from wells deeper than 250 m. However, half of the wells in our study that are dominated by fossil groundwater also contain detectable levels of tritium, indicating the presence of much younger, decadal-age waters and suggesting that contemporary contaminants may be able to reach deep wells that tap fossil aquifers. We conclude that water quality risk should be considered along with sustainable use when managing fossil groundwater resources.

[The modern microbiology in the clinical managing].

PubMed

Casal Román, Manuel

2012-01-01

The tuberculosis is one of the most important and mortal diseases of the world. The microbiological confirmatory diagnosis and the microbiological therapeutic orientation are fundamental nowadays in the tuberculosis in AIDS and in the Resistant tuberculosis. They are described throughout the time by the classic Microbiology: From 1882 to final 20th century (130 years). With the modern current Microbiology: In the beginning of the 21st century (20-30 years). And as will be done with the future Microbiology: From the years 2020-30. The important advances are outlined in the modern and future clinical microbiology, for the control of the Tuberculosis.

Application of Total Quality Management in Education

ERIC Educational Resources Information Center

Farooq, M. S.; Akhtar, M. S.; Ullah, S. Zia; Memon, R. A.

2007-01-01

The purpose of the paper is to analyzing thoughts of the modern management paradigm "Total Quality Management" (TQM), and its application in the field of education. The basic theme of TQM is participatory approach to address the question(s) of quality in business aswell as in the field of education. Reviewing fresh literature from the internet …

Introduction to the Transference of High Technology Systems. An Intercultural Approach.

ERIC Educational Resources Information Center

Norton, Kent; And Others

A training program for upper-middle to upper-level managers of a company in Iran uses the lecture/seminar approach. The goals of the course are to develop insights into problem areas connected with the development of a pragmatic intercultural management model, and to introduce approaches and prerequisites for modern management. The 10 lectures…

The Age of Reform in American Management Education. GMAC Occasional Papers.

ERIC Educational Resources Information Center

Schlossman, Steven; Sedlak, Michael

A historical report on the development of modern American graduate management education is presented. The central argument is that the period from the late 1940s to the early 1970s witnessed the rise of an unprecedented degree of autonomy in American management education. There are almost no systematically collected and accessible data with which…

Using Modern Digital Photography Tools to Guide Management Decisions on Forested Land

ERIC Educational Resources Information Center

Craft, Brandon; Barlow, Rebecca; Kush, John; Hemard, Charles

2016-01-01

Forestland management depends on assessing changes that occur over time. Long-term photo point monitoring is a low-cost method for documenting these changes. Using forestry as an example, this article highlights the idea that long-term photo point monitoring can be used to improve many types of land management decision making. Guidance on…

The role and management implications of modeling owl populations and the habitats they occupy

Treesearch

Amy E. Kearns

1997-01-01

Modeling ecosystems is an evolving science that is both practical and theoretical. The integration of modeling, landscape ecology, management, and rapidly changing technology offers an array of possible solutions to modern environmental quandaries. In order to address these concerns, a workshop was developed to discuss the role and management implications of modeling...

Verified compilation of Concurrent Managed Languages

DTIC Science & Technology

2017-11-01

designs for compiler intermediate representations that facilitate mechanized proofs and verification; and (d) a realistic case study that combines these...ideas to prove the correctness of a state-of- the-art concurrent garbage collector. 15. SUBJECT TERMS Program verification, compiler design ...Even though concurrency is a pervasive part of modern software and hardware systems, it has often been ignored in safety-critical system designs . A

Bayesian Inference: with ecological applications

USGS Publications Warehouse

Link, William A.; Barker, Richard J.

2010-01-01

This text provides a mathematically rigorous yet accessible and engaging introduction to Bayesian inference with relevant examples that will be of interest to biologists working in the fields of ecology, wildlife management and environmental studies as well as students in advanced undergraduate statistics.. This text opens the door to Bayesian inference, taking advantage of modern computational efficiencies and easily accessible software to evaluate complex hierarchical models.

Safety Management for Water Play Facilities.

ERIC Educational Resources Information Center

Thompson, Claude

1986-01-01

Modern aquatic facilities, which include wave pools, water slides, and shallow water activity play pools, have a greater potential for injuries and lawsuits than conventional swimming pools. This article outlines comprehensive safety management for such facilities, including potential accident identification and injury control planning. (MT)

National Institute of Standards and Technology (NIST) cybersecurity risk management framework applied to modern vehicles

DOT National Transportation Integrated Search

2014-10-01

The primary objective of the work described in this report is to review the National Institute of Science and Technology (NIST) guidelines and foundational publications from an automotive : cybersecurity risk management stand-point. The NIST approach...

24 CFR 902.83 - Interventions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... a PHA's specific operational areas (e.g., maintenance, modernization, occupancy, or financial management) or to a single development or a group of developments. Under this limited intervention procedure, HUD could select, or participate in the selection of, an AME to assume management responsibility for a...

The "Handling" of power in the physician-patient encounter: perceptions from experienced physicians.

PubMed

Nimmon, Laura; Stenfors-Hayes, Terese

2016-04-18

Modern healthcare is burgeoning with patient centered rhetoric where physicians "share power" equally in their interactions with patients. However, how physicians actually conceptualize and manage their power when interacting with patients remains unexamined in the literature. This study explored how power is perceived and exerted in the physician-patient encounter from the perspective of experienced physicians. It is necessary to examine physicians' awareness of power in the context of modern healthcare that espouses values of dialogic, egalitarian, patient centered care. Thirty physicians with a minimum five years' experience practicing medicine in the disciplines of Internal Medicine, Surgery, Pediatrics, Psychiatry and Family Medicine were recruited. The authors analyzed semi-structured interview data using LeCompte and Schensul's three stage process: Item analysis, Pattern analysis, and Structural analysis. Theoretical notions from Bourdieu's social theory served as analytic tools for achieving an understanding of physicians' perceptions of power in their interactions with patients. The analysis of data highlighted a range of descriptions and interpretations of relational power. Physicians' responses fell under three broad categories: (1) Perceptions of holding and managing power, (2) Perceptions of power as waning, and (3) Perceptions of power as non-existent or irrelevant. Although the "sharing of power" is an overarching goal of modern patient-centered healthcare, this study highlights how this concept does not fully capture the complex ways experienced physicians perceive, invoke, and redress power in the clinical encounter. Based on the insights, the authors suggest that physicians learn to enact ethical patient-centered therapeutic communication through reflective, effective, and professional use of power in clinical encounters.

New master program in management in biophotonics and biotechnologies

NASA Astrophysics Data System (ADS)

Meglinski, I. V.; Tuchin, V. V.

2006-08-01

We develop new graduate educational highly interdisciplinary program that will be useful for addressing problems in worldwide biotechnologies and related biomedical industries. This Master program called Management in Biophotonics and Biotechnologies provides students with the necessary training, education and problem-solving skills to produce managers who are better equipped to handle the challenges of modern business in modern biotechnologies. Administered jointly by Cranfield University (UK) and Saratov State University, Russia) graduates possess a blend of engineering, biotechnologies, business and interpersonal skills necessary for success in industry. The Master courses combine a regular year program in biophotonics & biotechnologies disciplines with the core requirements of a Master degree. A major advantage of the program is that it will provide skills not currently available to graduates in any other program, and it will give the graduates an extra competitive edge for getting a job then.

Discourse of 'transformational leadership' in infection control.

PubMed

Koteyko, Nelya; Carter, Ronald

2008-10-01

The article explores the impact of the ;transformational leadership' style in the role of modern matron with regards to infection control practices. Policy and guidance on the modern matron role suggest that it is distinctive in its combination of management and clinical components, and in its reliance on transformational leadership. Senior nurses are therefore expected to motivate staff by creating high expectations, modelling appropriate behaviour, and providing personal attention to followers by giving respect and responsibility. In this article, we draw on policy documents and interview data to explore the potential impact of this new management style on infection control practices. Combining the techniques of discourse analysis and corpus linguistics, we identify examples where matrons appear to disassociate themselves from the role of ;an empowered manager' who has control over human and financial resources to resolve problems in infection control efficiently.

From Canon to Chaos Management: Blogging as a Learning Tool in a Modern Finnish Literature Course

ERIC Educational Resources Information Center

Jokinen, Elina; Vaarala, Heidi

2015-01-01

This article is based on the teaching experiment implemented in summer 2013 in a modern Finnish literature course organised by the Centre for International Mobility (CIMO) and the University of Jyväskylä Language Centre. In order to break away from the traditional conception of literature and text, students' independent blogging was chosen as the…

DOD Business Systems Modernization: Further Actions Needed to Address Challenges and Improve Accountability

DTIC Science & Technology

2013-05-01

to Lack Adequate Validation Page 35 GAO-13-557 DOD Business Systems Modernization provided a compliance dashboard to document BEA...campaigns, execute marketing campaigns, and measure and evaluate the performance of marketing campaigns. Order-to- Cash Accept and process customer... dashboards reflected related GAO reports. In addition, the department’s fiscal year 2014 investment management guidance issued by the Office of the

[Engagement as motivational driver. Processes of change in an Italian department of mental health].

PubMed

Fuschillo, Carmine; Orazzo, Catello; Orazzo, Gabriele Gennaro; Capriola, Elena; Palumbo, Rocco; Grimaldi, Manlio

2017-01-01

The health care reforms of last years have deeply affected the National Health System, resulting in the need for a change in organizational processes and a more efficient and dynamic change management. An effective change management is not possible without a deep involvement (engagement) of professionals, which is itself a key requisite for motivation. This study aims to examine the main instruments of engagement management, as a tool of change according to a modern reorganization approach. We examine the results of this process in the Mental Health Department of the Local Health Company Naples 3 South in recent years, starting with the analysis of its main weaknesses.

A framework of medical equipment management system for in-house clinical engineering department.

PubMed

Chien, Chia-Hung; Huang, Yi-You; Chong, Fok-Ching

2010-01-01

Medical equipment management is an important issue for safety and cost in modern hospital operation. In addition, the use of an efficient information system effectively promotes the managing performance. In this study, we designed a framework of medical equipment management system used for in-house clinical engineering department. The system was web-based, and it integrated clinical engineering and hospital information system components. Through related information application, it efficiently improved the operation management of medical devices immediately and continuously. This system has run in the National Taiwan University Hospital. The results showed only few examples in the error analysis of medical equipment by the maintenance sub-system. The information can be used to improve work quality, to reduce the maintenance cost, and to promote the safety of medical device used in patients and clinical staffs.

Applying Sensor-Based Technology to Improve Construction Safety Management.

PubMed

Zhang, Mingyuan; Cao, Tianzhuo; Zhao, Xuefeng

2017-08-11

Construction sites are dynamic and complicated systems. The movement and interaction of people, goods and energy make construction safety management extremely difficult. Due to the ever-increasing amount of information, traditional construction safety management has operated under difficult circumstances. As an effective way to collect, identify and process information, sensor-based technology is deemed to provide new generation of methods for advancing construction safety management. It makes the real-time construction safety management with high efficiency and accuracy a reality and provides a solid foundation for facilitating its modernization, and informatization. Nowadays, various sensor-based technologies have been adopted for construction safety management, including locating sensor-based technology, vision-based sensing and wireless sensor networks. This paper provides a systematic and comprehensive review of previous studies in this field to acknowledge useful findings, identify the research gaps and point out future research directions.

Applying Sensor-Based Technology to Improve Construction Safety Management

PubMed Central

Zhang, Mingyuan; Cao, Tianzhuo; Zhao, Xuefeng

2017-01-01

Construction sites are dynamic and complicated systems. The movement and interaction of people, goods and energy make construction safety management extremely difficult. Due to the ever-increasing amount of information, traditional construction safety management has operated under difficult circumstances. As an effective way to collect, identify and process information, sensor-based technology is deemed to provide new generation of methods for advancing construction safety management. It makes the real-time construction safety management with high efficiency and accuracy a reality and provides a solid foundation for facilitating its modernization, and informatization. Nowadays, various sensor-based technologies have been adopted for construction safety management, including locating sensor-based technology, vision-based sensing and wireless sensor networks. This paper provides a systematic and comprehensive review of previous studies in this field to acknowledge useful findings, identify the research gaps and point out future research directions. PMID:28800061

The Capability Portfolio Analysis Tool (CPAT): A Mixed Integer Linear Programming Formulation for Fleet Modernization Analysis (Version 2.0.2).

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

Waddell, Lucas; Muldoon, Frank; Henry, Stephen Michael

In order to effectively plan the management and modernization of their large and diverse fleets of vehicles, Program Executive Office Ground Combat Systems (PEO GCS) and Program Executive Office Combat Support and Combat Service Support (PEO CS&CSS) commis- sioned the development of a large-scale portfolio planning optimization tool. This software, the Capability Portfolio Analysis Tool (CPAT), creates a detailed schedule that optimally prioritizes the modernization or replacement of vehicles within the fleet - respecting numerous business rules associated with fleet structure, budgets, industrial base, research and testing, etc., while maximizing overall fleet performance through time. This paper contains a thor-more » ough documentation of the terminology, parameters, variables, and constraints that comprise the fleet management mixed integer linear programming (MILP) mathematical formulation. This paper, which is an update to the original CPAT formulation document published in 2015 (SAND2015-3487), covers the formulation of important new CPAT features.« less

An integrated study of earth resources in the state of California using remote sensing techniques. [planning and management of water resources

NASA Technical Reports Server (NTRS)

Colwell, R. N.; Churchman, C. W.; Burgy, R. H.; Schubert, G.; Estes, J. E.; Bowden, L. W.; Algazi, R.; Coulson, K. L. (Principal Investigator)

1973-01-01

The University of California has been conducting an investigation which seeks to determine the usefulness of modern remote sensing techniques for studying various components of California's earth resources complex. Most of the work has concentrated on California's water resources, but with some attention being given to other earth resources as well and to the interplay between them and California's water resources.

Study on Contaminant Transportation of a Typical Chemical Industry Park Based on GMS Software

NASA Astrophysics Data System (ADS)

Huang, LinXian; Liu, GuoZhen; Xing, LiTing; Liu, BenHua; Xu, ZhengHe; Yang, LiZhi; Zhu, HebgHua

2018-03-01

The groundwater solute transport model can effectively simulated the transport path, the transport scope, and the concentration of contaminant which can provide quantitative data for groundwater pollution repair and groundwater resource management. In this study, we selected biological modern technology research base of Shandong province as research objective and simulated the pollution characteristic of typicalcontaminant cis-1, 3-dichloropropene under different operating conditions by using GMS software.

E-Service Quality Management

ERIC Educational Resources Information Center

Batagan, Lorena; Pocovnicu, Adrian; Capisizu, Sergiu

2009-01-01

A characteristic of today's society is the increasing use of modern information and communication technologies in all areas. Computer applications, called e-services, are being developed to provide efficient access to services, electronically. Quality management systems are needed to provide a consistent way to select, evaluate, prioritize and…

48 CFR 1034.201 - Policy.

Code of Federal Regulations, 2011 CFR

2011-10-01

... CONTRACTING MAJOR SYSTEM ACQUISITION Earned Value Management System 1034.201 Policy. (a) (1) An Earned Value Management System (EVMS) is required for major acquisitions for development/modernization/enhancement (DME... certified; and (4) Whether a Full Integrated Baseline Review (IBR) will be completed within 90 days when the...

2015 AAHA Canine and Feline Behavior Management Guidelines.

PubMed

Hammerle, Marcy; Horst, Christine; Levine, Emily; Overall, Karen; Radosta, Lisa; Rafter-Ritchie, Marcia; Yin, Sophia

2015-01-01

The 2015 AAHA Canine and Feline Behavior Management Guidelines were developed to provide practitioners and staff with concise, evidence-based information to ensure that the basic behavioral needs of feline and canine patients are understood and met in every practice. Some facility in veterinary behavioral and veterinary behavioral medicine is essential in modern veterinary practice. More cats and dogs are affected by behavioral problems than any other condition. Behavioral problems result in patient suffering and relinquishment and adversely affect staff morale. These guidelines use a fully inclusive team approach to integrate basic behavioral management into everyday patient care using standardized behavioral assessments; create a low-fear and low-stress environment for patients, staff and owners; and create a cooperative relationship with owners and patients so that the best care can be delivered. The guidelines' practical, systematic approach allows veterinary staff to understand normal behavior and recognize and intervene in common behavioral problems early in development. The guidelines emphasize that behavioral management is a core competency of any modern practice.

[Implementation of modern operating room management -- experiences made at an university hospital].

PubMed

Hensel, M; Wauer, H; Bloch, A; Volk, T; Kox, W J; Spies, C

2005-07-01

Caused by structural changes in health care the general need for cost control is evident for all hospitals. As operating room is one of the most cost-intensive sectors in a hospital, optimisation of workflow processes in this area is of particular interest for health care providers. While modern operating room management is established in several clinics yet, others are less prepared for economic challenges. Therefore, the operating room statute of the Charité university hospital useful for other hospitals to develop an own concept is presented. In addition, experiences made with implementation of new management structures are described and results obtained over the last 5 years are reported. Whereas the total number of operation procedures increased by 15 %, the operating room utilization increased more markedly in terms of time and cases. Summarizing the results, central operating room management has been proved to be an effective tool to increase the efficiency of workflow processes in the operating room.

The management of new primary care organizations: an international perspective.

PubMed

Meads, Geoffrey; Wild, Andrea; Griffiths, Frances; Iwami, Michiyo; Moore, Phillipa

2006-08-01

Management practice arising from parallel policies for modernizing health systems is examined across a purposive sample of 16 countries. In each, novel organizational developments in primary care are a defining feature of the proposed future direction. Semistructured interviews with national leaders in primary care policy development and local service implementation indicate that management strategies, which effectively address the organized resistance of medical professions to modernizing policies, have these four consistent characteristics: extended community and patient participation models; national frameworks for interprofessional education and representation; mechanisms for multiple funding and accountabilities; and the diversification of non-governmental organizations and their roles. The research, based on a two-year fieldwork programme, indicates that at the meso-level of management planning and practice, there is a considerable potential for exchange and transferable learning between previously unconnected countries. The effectiveness of management strategies abroad, for example, in contexts where for the first time alternative but comparable new primary care organizations are exercising responsibilities for local resource utilization, may be understood through the application of stakeholder analyses, such as those employed to promote parity of relationships in NHS primary care trusts.

How to manage future groundwater resource of China under climate change and urbanization: An optimal stage investment design from modern portfolio theory.

PubMed

Hua, Shanshan; Liang, Jie; Zeng, Guangming; Xu, Min; Zhang, Chang; Yuan, Yujie; Li, Xiaodong; Li, Ping; Liu, Jiayu; Huang, Lu

2015-11-15

Groundwater management in China has been facing challenges from both climate change and urbanization and is considered as a national priority nowadays. However, unprecedented uncertainty exists in future scenarios making it difficult to formulate management planning paradigms. In this paper, we apply modern portfolio theory (MPT) to formulate an optimal stage investment of groundwater contamination remediation in China. This approach generates optimal weights of investment to each stage of the groundwater management and helps maximize expected return while minimizing overall risk in the future. We find that the efficient frontier of investment displays an upward-sloping shape in risk-return space. The expected value of groundwater vulnerability index increases from 0.6118 to 0.6230 following with the risk of uncertainty increased from 0.0118 to 0.0297. If management investment is constrained not to exceed certain total cost until 2050 year, the efficient frontier could help decision makers make the most appropriate choice on the trade-off between risk and return. Copyright © 2015 Elsevier Ltd. All rights reserved.

Weight gain as a consequence of living a modern lifestyle: a discussion of barriers to effective weight control and how to overcome them

PubMed Central

Seaman, David R.

2013-01-01

Objective The purpose of this commentary is to discuss modern lifestyle factors that promote weight gain and to suggest methods for clinicians to more effectively educate patients about weight management. Discussion Most adults in the United States are overweight or obese. Multiple factors related to the modern lifestyle appear to play causal roles. In general, the population maintains sedentary lives and overconsumes calorie-dense foods. In particular, refined carbohydrates negatively impact metabolism and stimulate neural addiction mechanisms, which facilitate weight gain. As adipose tissue mass accumulates, satiation centers in the hypothalamus become resistant to insulin and leptin, which leads to increased caloric consumption. Several behavior issues further augment weight gain, such as eating too quickly, a lack of sleep, high stress levels, and a lack of exercise. Finally, adipose tissue accumulation alters the body weight set point, which leads to metabolic changes that function to resist weight loss efforts. Each of these factors may work together to augment weight gain and promote obesity. Health care providers, such as chiropractic physicians, who educate patients on wellness, prevention, and lifestyle changes are well positioned to address these issues. Conclusion People need to be educated about the modern lifestyle factors that prevent effective weight management. Without this knowledge and the associated practical application of lifestyle choices that prevent weight gain, becoming overweight or obese appears to be an unavoidable consequence of living a modern lifestyle. PMID:25067929

Contributions of cultivar shift, management practice and climate change to maize yield in North China Plain in 1981-2009.

PubMed

Xiao, Dengpan; Tao, Fulu

2016-07-01

The impact of climate change on crop yield is compounded by cultivar shifts and agronomic management practices. To determine the relative contributions of climate change, cultivar shift, and management practice to changes in maize (Zea mays L.) yield in the past three decades, detailed field data for 1981-2009 from four representative experimental stations in North China Plain (NCP) were analyzed via model simulation. The four representative experimental stations are geographically and climatologically different, represent the typical cropping system in the study area, and have more complete weather/crop records for the period of 1981-2009. The results showed that while the shift from traditional to modern cultivar increased yield by 23.9-40.3 %, new fertilizer management increased yield by 3.3-8.6 %. However, the trends in climate variables for 1981-2009 reduced maize yield by 15-30 % in the study area. Among the main climate variables, solar radiation had the largest effect on maize yield, followed by temperature and then precipitation. While a significant decline in solar radiation in 1981-2009 (maybe due to air pollution) reduced yield by 12-24 %, a significant increase in temperature reduced yield by 3-9 %. In contrast, a non-significant increase in precipitation during the maize growth period increased yield by 0.9-3 % at three of the four investigated stations. However, a decline in precipitation reduced yield by 3 % in the remaining station. The study revealed that although the shift from traditional to modern cultivars and agronomic management practices contributed most to the increase in maize yield, the negative impact of climate change was large enough to offset 46-67 % of the trend in the observed yields in the past three decades in NCP. The reduction in solar radiation, especially in the most critical period of maize growth, limited the process of photosynthesis and thereby further reduced maize yield.

Contributions of cultivar shift, management practice and climate change to maize yield in North China Plain in 1981-2009

NASA Astrophysics Data System (ADS)

Xiao, Dengpan; Tao, Fulu

2016-07-01

The impact of climate change on crop yield is compounded by cultivar shifts and agronomic management practices. To determine the relative contributions of climate change, cultivar shift, and management practice to changes in maize ( Zea mays L.) yield in the past three decades, detailed field data for 1981-2009 from four representative experimental stations in North China Plain (NCP) were analyzed via model simulation. The four representative experimental stations are geographically and climatologically different, represent the typical cropping system in the study area, and have more complete weather/crop records for the period of 1981-2009. The results showed that while the shift from traditional to modern cultivar increased yield by 23.9-40.3 %, new fertilizer management increased yield by 3.3-8.6 %. However, the trends in climate variables for 1981-2009 reduced maize yield by 15-30 % in the study area. Among the main climate variables, solar radiation had the largest effect on maize yield, followed by temperature and then precipitation. While a significant decline in solar radiation in 1981-2009 (maybe due to air pollution) reduced yield by 12-24 %, a significant increase in temperature reduced yield by 3-9 %. In contrast, a non-significant increase in precipitation during the maize growth period increased yield by 0.9-3 % at three of the four investigated stations. However, a decline in precipitation reduced yield by 3 % in the remaining station. The study revealed that although the shift from traditional to modern cultivars and agronomic management practices contributed most to the increase in maize yield, the negative impact of climate change was large enough to offset 46-67 % of the trend in the observed yields in the past three decades in NCP. The reduction in solar radiation, especially in the most critical period of maize growth, limited the process of photosynthesis and thereby further reduced maize yield.

A sociocultural perspective on the development of U.S. Natural Resource Partnerships in the 20th Century

Treesearch

Michael D. Johnson

2000-01-01

Equable natural resource management partnerships between the public and private sectors are a relatively recent development in the United States. Modern resource management partnership forms are interpreted to be a result of an interaction of social, political and economic forces not normally associated with natural resource management activities. These forces are...

US Navy Ships Food Service Divisions: Modernizing Inventory Management

DTIC Science & Technology

2010-05-31

relatively unchanged for decades. Culinary Specialists are utilizing an antiquated and unreliable inventory management program (the Food Management System...validities, reduce man-hours and improve the quality of life for Culinary Specialists). 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17. LIMITATION...procedures for receipt, inventory, stowage, and issue of provisions onboard ships have remained relatively unchanged for decades. Culinary Specialists

The role of herbicides for enhancing productivity and conserving land for biodiversity in North America

Treesearch

Robert G. Wagner; Michael Newton; Elizabeth C. Cole; James H. Miller; Barry D. Shiver

2004-01-01

Herbicide technology has evolved with forest management in North America over the past 60 years and has become an integral part of modern forestry practice. Forest managers have prescribed herbicides to increase reforestation success and long-term timber yields. Wildlife managers and others interested in conserving biodi- versity, however, have often viewed herbicide...

78 FR 47712 - Food and Drug Administration Modernization Act of 1997: Modifications to the List of Recognized...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-06

... Application of risk management for IT networks IEC 80001-1 Edition 1.0 2010- incorporating medical devices--Part 1: Roles, 10 responsibilities and activities. 13-39 Application of risk management for IT networks... activities. 13-40 Application of risk management for IT networks IEC/TR 80001-2-1 Edition 1.0 incorporating...

Joint Operational Medicine Information Systems (JOMIS)

DTIC Science & Technology

2016-03-01

Component is Program Executive Office (PEO) Department of Defense (DoD) Healthcare Management Systems (DHMS) for Defense Health Agency (DHA). Responsible...AT&L)) and the Program Executive Office (PEO) Defense Healthcare Management Systems (DHMS). ​Operational medicine is the application of routine and...acquired by the DoD Healthcare Management System Modernization (DHMSM) program for Health Care Delivery (HCD) capabilities. JOMIS future release(s

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.

A case study on the feasibility and performance of an UWB-AoA real time location system for resources management of civil construction projects

NASA Astrophysics Data System (ADS)

Mok, Esmond; Xia, Linyuan; Retscher, Guenther; Tian, Hui

2010-06-01

The application of integrated satellite and modern wireless positioning technologies for ubiquitous real-time resources management in large scale civil engineering projects can greatly optimize the time and cost in the construction process, and is now the trend for modern construction project management. As the outdoor conditions of most civil construction sites are open to sky, satellite positioning with the popularly used Global Positioning System (GPS) has been proved to be very efficient and effective. However, the condition in indoor and underground construction site is very complicated due to the fact that different construction activities would be carried out in different congested areas, involving heavy construction plant, equipment, professionals and technical personnel. Nowadays different emerging technologies such as Wi-Fi and ZigBee can be adopted for position and tracking in indoor environments. Nevertheless, under the very complicated construction site conditions these technologies may fail due to movement of human resources and construction plant, variation of metrological conditions, and serious multipath effects of signals. It is considered that Ultra Wide Band (UWB) technology is more suitable for indoor construction site environments. In this paper, a case study on the attempt of integrating GPS with Ubisense Real-time Location System (RTLS) for resources management in an underground railway construction site is discussed. Laboratory and field tests have shown that the RTLS can provide better resources management capability in terms of positioning accuracy and stability than Wi-Fi and ZigBee technologies under complicated construction environments. The test results show that the system can normally achieve better than 15 cm accuracy, and better than 1 m under adverse geometrical site condition. However, the high instrumental set up cost and the requirement for high quality data transmission cable for high precision time synchronization between sensors may deter wide application of similar system for resources management in construction sites.

Strategic planning features of subsurface management in Kemerovo Oblast

NASA Astrophysics Data System (ADS)

Romanyuk, V.; Grinkevich, A.; Akhmadeev, K.; Pozdeeva, G.

2016-09-01

The article discusses the strategic planning features of regional development based on the production and subsurface management in Kemerovo Oblast. The modern approach - SWOT analysis was applied to assess the regional development strategy. The estimation of regional development plan implementation was given for the foreseeable future.

An ecological perspective on managing weeds during The Great Selection for Herbicide Resistance

USDA-ARS?s Scientific Manuscript database

Weed populations have shown a tremendous ability to adapt to management interventions imposed on them and despite centuries of implementing control measures, weeds have been persisting and dominating agricultural production systems. Modern agriculture has been witnessing a rapid loss of herbicides, ...

Capability and Development Risk Management in System-of-Systems Architectures: A Portfolio Approach to Decision-Making

DTIC Science & Technology

2012-04-30

tool that provides a means of balancing capability development against cost and interdependent risks through the use of modern portfolio theory ...Focardi, 2007; Tutuncu & Cornuejols, 2007) that are extensions of modern portfolio and control theory . The reformulation allows for possible changes...Acquisition: Wave Model context • An Investment Portfolio Approach – Mean Variance Approach – Mean - Variance : A Robust Version • Concept

Incorporating Modern Piano Music into the Core Repertoire of Undergraduate Piano Majors: An Accessible and Manageable Syllabus

ERIC Educational Resources Information Center

Edmonstone, Alastair Graham

2012-01-01

This dissertation will deal with the issue of incorporating modern piano music into the repertoire of piano students at the undergraduate degree level. For the purposes of this paper, it is assumed the students will be pursuing a major in music at a conservatory or university with piano as their instrument. In no way does this paper serve as an…

Cost Effectiveness Study of Wastewater Management Systems for Selected U.S. Coast Guard Vessels. Volume I. Results of Cost and Effectiveness Analyses and Selection of Optimum Candidate Systems

DTIC Science & Technology

1977-04-01

extreme is the viewpoint that such analyses are modern types of witchcraft , or numerology, practiced by a priestly cast. Results and con- clusions...simplistic approach is often respon- sible for imparting a bad reputation to an entire field of analysis - and deserves the label of witchcraft or

What Makes Teacher Teams in a Vocational Education Context Effective?: A Qualitative Study of Managers' View on Team Working

ERIC Educational Resources Information Center

Truijen, K. J. P.; Sleegers, P. J. C.; Meelissen, M. R. M.; Nieuwenhuis, A. F. M.

2013-01-01

Purpose: At a time when secondary vocational education is implementing competence-based education (CBE) on a large scale, to adapt to the needs of students and of the labour market in a modern society, many vocational schools have recognised that interdisciplinary teacher teams are an important condition for this implementation. In order to…

Opportunities for Professional Learning Dialogue Generated by Cross-Phase Collaboration in Languages between Primary and Secondary Initial Teacher Education Students

ERIC Educational Resources Information Center

Schäfer, Isabelle

2018-01-01

School partnerships to manage transition between primary and secondary settings are well developed. However, studies show that some aspects of transition in Modern Languages leave much to be desired, as mentioned in a recently published report on KS3 provision ([Office for Standards in Education. 2015. "KS3: The Wasted Years?"…

Report of the Army Science Board Summer Study on Installations 2025

DTIC Science & Technology

2009-12-01

stresses , beha- vioral health problems, and injuries associated with war. Transform: IMCOM is modernizing installation management processes, policies...well. For example, "Prediction is very difficult, especially about the future" (Niels Bohr). Others stress that the future will be a lot like the...34homogenization" Endangered species Continuous and ubiquitous of society Islanding computing Telecommuting Wireless proliferation across appliances

Management's Perspective on Critical Success Factors Affecting Mobile Learning in Higher Education Institutions--An Empirical Study

ERIC Educational Resources Information Center

Alrasheedi, Muasaad; Capretz, Luiz Fernando; Raza, Arif

2016-01-01

Mobile learning (m-Learning) is considered to be one of the fastest growing learning platforms. The immense interest in m-Learning is attributed to the incredible rate of growth of mobile technology and its proliferation into every aspect of modern life. Despite this, m-Learning has not experienced a similar adoption rate in the education sector,…

The "New Look:" The Ford Foundation and the Revolution in Business Education. GMAC Occasional Papers.

ERIC Educational Resources Information Center

Schlossman, Steven; And Others

A historical study of the critical role played by the Ford Foundation in the 1950s and 1960s in the development of modern American graduate management education is presented. The Ford Foundation's entrance into business school reform occurred at an opportune time, as the United States was on the verge of a major boom in college enrollments, and…

[No exchange of information without technology : modern infrastructure in radiology].

PubMed

Hupperts, H; Hermann, K-G A

2014-01-01

Modern radiology cannot accomplish the daily numbers of examinations without supportive technology. Even though technology seems to be becoming increasingly more indispensable, business continuity should be ensured at any time and if necessary even with a limited technical infrastructure by business continuity management. An efficient information security management system forms the basis. The early radiology information systems were islands of information processing. A modern radiology department must be able to be modularly integrated into an informational network of a bigger organization. The secondary use of stored data for clinical decision-making support poses new challenges for the integrity of the data or systems because medical knowledge is displayed and provided in a context of treatment. In terms of imaging the creation and distribution radiology services work in a fully digital manner which is often different for radiology reports. Legally secure electronic diagnostic reports require a complex technical infrastructure; therefore, diagnostic findings still need to be filed as a paper document. The internal exchange and an improved dose management can be simplified by systems which continuously and automatically record the doses and thus provide the possibility of permanent analysis and reporting. Communication between patient and radiologist will gain ongoing importance. Intelligent use of technology will convey this to the radiologist and it will facilitate the understanding of the information by the patient.

Late Quaternary vegetation, biodiversity and fire dynamics on the southern Brazilian highland and their implication for conservation and management of modern Araucaria forest and grassland ecosystems.

PubMed

Behling, Hermann; Pillar, Valério DePatta

2007-02-28

Palaeoecological background information is needed for management and conservation of the highly diverse mosaic of Araucaria forest and Campos (grassland) in southern Brazil. Questions on the origin of Araucaria forest and grasslands; its development, dynamic and stability; its response to environmental change such as climate; and the role of human impact are essential. Further questions on its natural stage of vegetation or its alteration by pre- and post-Columbian anthropogenic activity are also important. To answer these questions, palaeoecological and palaeoenvironmental data based on pollen, charcoal and multivariate data analysis of radiocarbon dated sedimentary archives from southern Brazil are used to provide an insight into past vegetation changes, which allows us to improve our understanding of the modern vegetation and to develop conservation and management strategies for the strongly affected ecosystems in southern Brazil.

Laboratory Information Management System (LIMS): A case study

NASA Technical Reports Server (NTRS)

Crandall, Karen S.; Auping, Judith V.; Megargle, Robert G.

1987-01-01

In the late 70's, a refurbishment of the analytical laboratories serving the Materials Division at NASA Lewis Research Center was undertaken. As part of the modernization efforts, a Laboratory Information Management System (LIMS) was to be included. Preliminary studies indicated a custom-designed system as the best choice in order to satisfy all of the requirements. A scaled down version of the original design has been in operation since 1984. The LIMS, a combination of computer hardware, provides the chemical characterization laboratory with an information data base, a report generator, a user interface, and networking capabilities. This paper is an account of the processes involved in designing and implementing that LIMS.

Contesting modernity: Tobacco use and romanticism among older Dai farmers in Xishuangbanna, China.

PubMed

Zhao, Xiang; Davey, Gareth

2015-11-01

The majority of research about tobacco use in China focuses on Han Chinese, the main ethnic group comprising over 90 per cent of the population, and a paucity of research exists on ethnic minorities. The present study elucidates tobacco use among the Dai people, an ethnic group in Yunnan Province, Southwest China. The study design consisted of interviews and grounded theory methodology in a symbolic interactionist theoretical framework. The categories of the grounded theory revealed tobacco consumption was weaved in a complex web of meanings: social practices, perceptions of health, and work lives as agriculturalists, situated in Dai cultural and social milieu. An important finding was the stage-managing of tobacco as a symbol of 'tradition' versus 'modernity': Through a process of contested modernity, the older men championed long-standing tobacco customs as representative of Dai heritage and thus their own tobacco use as upholding traditions amid encroaching cultural and societal change in China. These findings are important because little is known about Dai people's tobacco use and how they are responding to social change. There are also implications for the development of culturally-appropriate tobacco control strategies. © 2015 Foundation for the Sociology of Health & Illness.

Sustainable agricultural practices: energy inputs and outputs, pesticide, fertilizer and greenhouse gas management.

PubMed

Wang, Yue-Wen

2009-01-01

The food security issue was addressed by the development of "modern agriculture" in the last century. But food safety issues and environment degradation were the consequences suffered as a result. Climate change has been recognized as the result of release of stored energy in fossil fuel into the atmosphere. Homogeneous crop varieties, machinery, pesticides and fertilizers are the foundation of uniform commodities in modern agriculture. Fossil fuels are used to manufacture fertilizers and pesticides as well as the energy source for agricultural machinery, thus characterizes modern agriculture. Bio-fuel production and the possibility of the agriculture system as a form of energy input are discussed.

Program Manager: Journal of the Defense Systems Management College, Volume 17, Number 3

DTIC Science & Technology

1988-06-01

34 modernizing plants and processes, We have established a network with What does "quality" mean? First, the streamlining management, pooling trade associations...pant an opportunity to reflect on the - Network building may be the first opportunity for some organizational climate and hierarchical managers to...s devop slom p se result of the soaring cost of soft -Software Performance Testing. 3 ware enhancements. This difference in hardware and software

Modernizing Administration.

ERIC Educational Resources Information Center

Lombardi, Vincent L.; Hildebrand, Verna

1981-01-01

Suggests assignment of research duties and rotation of teaching and management roles for college administrators, to increase their effectiveness and diminish the negative effects of declining enrollments. (JD)

Contemporary behavior management techniques in clinical pediatric dentistry: out with the old and in with the new?

PubMed

Oliver, Kelly; Manton, David John

2015-01-01

Effective behavior management guides children through the complex social context of dentistry utilizing techniques based on a current understanding of the social, emotional, and cognitive development of children. Behavior management techniques facilitate effective communication and establish social and behavioral guidelines for the dental environment. Contemporary parenting styles, expectations, and attitudes of modern parents and society have influenced the use of behavior management techniques with a prevailing emphasis on communicative techniques and pharmacological management over aversive techniques.

Geostationary Operational Environmental Satellite (GOES-N report). Volume 2: Technical appendix

NASA Technical Reports Server (NTRS)

1992-01-01

The contents include: operation with inclinations up to 3.5 deg to extend life; earth sensor improvements to reduce noise; sensor configurations studied; momentum management system design; reaction wheel induced dynamic interaction; controller design; spacecraft motion compensation; analog filtering; GFRP servo design - modern control approach; feedforward compensation as applied to GOES-1 sounder; discussion of allocation of navigation, inframe registration and image-to-image error budget overview; and spatial response and cloud smearing study.

Knowledge management through the e-learning approach - a case study of online engineering courses

NASA Astrophysics Data System (ADS)

Aichouni, Mohamed; Benchicou, Soraya; Nehari, Dris

2013-06-01

Though it is universally accepted that the face-to-face approach is the best way for education and training, however, with the advent of the information and communication technologies (mainly the World Wide Web) it became possible to enhance further the methods we are using to teach our students and to share the teaching material within a broaden engineering, technical and business communities. This paper is dedicated to making a review of the basic concepts of knowledge management and e-learning and to show how these two modern concepts can be integrated into engineering education to produce knowledge, disseminate it and share it within virtual interest groups and networks of engineering students, academic teachers and industrial engineers and technicians and business managers. A practical case study will be presented and discussed.

Strategy and Finance in Higher Education. Surviving the '90s.

ERIC Educational Resources Information Center

Massy, William F., Ed.; Meyerson, Joel W., Ed.

This book provides a new look at educational management in the face of mounting financial pressures. The demands for accountability that today's university administrators must face require them to apply the sophistication of modern business and institutional management while preserving the expensive and often difficult-to-measure contributions of…

78 FR 72894 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-04

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2013-N-0795] Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Medical Devices; Third-Party Review Under the Food and Drug Administration Modernization Act...

78 FR 55063 - U.S. Integrated Ocean Observing System (IOOS®) Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-09

... Observation System Act, part of the Omnibus Public Land Management Act of 2009 (Public Law 111-11). The... Committee for review and advice. The Committee will provide advice on: (a) administration, operation, management, and maintenance of the System; (b) expansion and periodic modernization and upgrade of technology...

Managing foliar and root rot diseases of alfalfa for improving yield and persistance

USDA-ARS?s Scientific Manuscript database

Resistance to the six most common diseases across the United States is available in modern alfalfa cultivars. However, several diseases are becoming increasing problems in many parts of the country. Recognizing these problems is the first step in using crop management strategies to minimize diseases...

Colleges and Money. A Faculty Guide to Academic Economics.

ERIC Educational Resources Information Center

Change Magazine, New Rochelle, NY.

The basics of academic economics are examined in this faculty guide. The modern management movement has reached American higher education and has created new expectations concerning the faculty's role. An earlier preoccupation with management methods has been replaced by concentration on evaluation. Faculty should share in the preparation of their…

42 CFR 124.704 - Notification of sale, transfer, or change of use.

Code of Federal Regulations, 2011 CFR

2011-10-01

... HEALTH RESOURCES DEVELOPMENT MEDICAL FACILITY CONSTRUCTION AND MODERNIZATION Recovery of Grant Funds...” when an entity that is not a public or other non-profit corporation or association assumes management... management agreement contains both of the following provisions: The Board of Directors of the facility...

The Changing Business Environment: Implications for Vocational Curricula. State-of-the-Art Paper.

ERIC Educational Resources Information Center

Smith, E. Ray; Stallard, John J.

The widespread use of the micro/personal computer and related technological advancements are having important impacts on information management in the modern electronic office. Some of the most common software applications include word processing, spread sheet analysis, data management, graphics, and communications. Ancillary hardware/software…

The Role of Private Sector Management in Public Education.

ERIC Educational Resources Information Center

Doyle, Denis P.

1994-01-01

The school system's uniformity is clearly a liability in the modern era. Today's schools need entrepreneurship, not change by rule, regulation, and statute. The central issue of entrepreneurship is not risk-taking, but innovative, implementation methods. Eventually, using private contractors to improve the management of instructional services will…

Financial management in leading health care systems.

PubMed

Smith, D G; Wheeler, J R; Rivenson, H L; Reiter, K L

2000-01-01

To understand better the financial management practices and strategies of modern health care organizations, we conducted interviews with chief financial officers (CFOs) of several leading health care systems. In this introduction, we present an overview of the project and summary responses on corporate financial structures and strategic challenges facing CFOs.

Contemplation and the "Performative Absolute": Submission and Identity in Managerial Modernity

ERIC Educational Resources Information Center

Roberts, Richard H.

2013-01-01

Practices derived from the "vita contemplativa" and other spiritual sources are drawn upon by management, but as the power of human resources management (HRM) is extended so the relationship between "contemplation" and the surrender of self-identity required by HRM demands critical examination. The conscious construction of the…

Plan Your Future! Career Management Skills for Students of Languages

ERIC Educational Resources Information Center

Randall, Laurence

2016-01-01

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

Teaching with and through Teams: Student-Written, Instructor-Facilitated Case Writing and the Signatory Code

ERIC Educational Resources Information Center

Bailey, James; Sass, Mary; Swiercz, Paul M.; Seal, Craig; Kayes, D. Christopher

2005-01-01

Modern organizations prize teamwork. Management schools have responded to this reality by integrating teamwork into the curriculum. Two important challenges associated with integrating teams in the management classroom include (a) designing teamwork assignments that achieve multiple, sophisticated learning outcomes and (b) instruction in, and…

The gatekeepers of modern physics: periodicals and peer review in 1920s Britain.

PubMed

Clarke, Imogen

2015-03-01

This essay analyzes the processes behind the publication of physics papers in two British journals in the 1920s: the Proceedings of the Royal Society of London: Series A and the Philosophical Magazine. On the surface, it looked as though the Philosophical Magazine was managed very informally, while the Proceedings had in place a seemingly rigid system of committee approval and peer review. This essay shows, however, that in practice the two journals were both influenced by networks of expertise that afforded small groups of physicists considerable control over the content of these prestigious scientific publications. This study explores the nature of peer review, suggesting how a historical approach can contribute to contemporary debates. In studying these relationships, the essay also considers the interplay of "classical" and "modern" ideas and physicists in 1920s Britain and cautions against an anachronistic approach to this classification.

Information security threats and an easy-to-implement attack detection framework for wireless sensor network-based smart grid applications

NASA Astrophysics Data System (ADS)

Tuna, G.; Örenbaş, H.; Daş, R.; Kogias, D.; Baykara, M.; K, K.

2016-03-01

Wireless Sensor Networks (WSNs) when combined with various energy harvesting solutions managing to prolong the overall lifetime of the system and enhanced capabilities of the communication protocols used by modern sensor nodes are efficiently used in are efficiently used in Smart Grid (SG), an evolutionary system for the modernization of existing power grids. However, wireless communication technology brings various types of security threats. In this study, firstly the use of WSNs for SG applications is presented. Second, the security related issues and challenges as well as the security threats are presented. In addition, proposed security mechanisms for WSN-based SG applications are discussed. Finally, an easy- to-implement and simple attack detection framework to prevent attacks directed to sink and gateway nodes with web interfaces is proposed and its efficiency is proved using a case study.

[From influence to confluence : positioning the history of pre-modern Korean medicine in East Asia].

PubMed

Suh, Soyoung

2010-12-31

This article surveys studies focusing on pre-modern Korean medicine, which are both written in English and analyzed primary sources up to 1876. Overall, the history of pre-modern Korean medicine is an unknown filed in Anglophone academia. Yung Sik Kim's, James Palais's, and Carter Ecart's problematization of the nationalist framework of Korean scholarship partially explains the marginality of the field. Addressing these criticisms, this review argues that pre-modern Korean medicine's uneasy task lies in both elaborating Korea's own experience of medicine, while simultaneously avoiding making the "Korean" category itself essential. Korean narratives of premodern medicine need to go beyond the mere territorilalization of Korean medicine against its Chinese, Japanese, or Western counterparts, thereby to tackle the field's own boundary of research objects. The existing scholarship in English responds to this challenge by primarily examining the way in which Korea has shared textual tradition with China. Sirhak scholars' innovation in medicine, visual representation of Tongŭi bogam, Korean management of epidemics in the eleventh century, and Korean indexing of local botanicals, engages not only native achievements, but also the process of modifying medicine across geographical and political boundaries. More to the point, the emerging native narratives, although written in Korean, are implicitly resonant with those currently present in Anglophone academia. Taking "tension," "intertextuality," and "local traits" as a lens, this article assesses a series of current research in Korea. Aiming to go beyond appeals for a "distinctively" Korean experience of medicine, the future study of Korean pre-modern medicine will further elucidate confluences of different flows, such as "Chinese and Korean," "universal and local," "center and periphery," and "native and foreign," which will eventually articulate a range of Korean techniques of creating a bricolage in medicine.

Prototypal Course in Newspaper Mangement: A Systems Analysis Approach to Teaching the Economic Context of Press Freedom in Modern Society.

ERIC Educational Resources Information Center

DeMott, John

The prototypal course in newspaper management described in this paper is based on systems analysis and the systems flow approach. The introductory section of the paper discusses the need for instruction in newspaper management, the concepts of the systems approach and systems flow and the way they relate to enterprise management, and specific…

Airborne Network Optimization with Dynamic Network Update

DTIC Science & Technology

2015-03-26

Faculty Department of Electrical and Computer Engineering Graduate School of Engineering and Management Air Force Institute of Technology Air University...Member Dr. Barry E. Mullins Member AFIT-ENG-MS-15-M-030 Abstract Modern networks employ congestion and routing management algorithms that can perform...airborne networks. Intelligent agents can make use of Kalman filter predictions to make informed decisions to manage communication in airborne networks. The

The environmental impact of beef production in the United States: 1977 compared with 2007.

PubMed

Capper, J L

2011-12-01

Consumers often perceive that the modern beef production system has an environmental impact far greater than that of historical systems, with improved efficiency being achieved at the expense of greenhouse gas emissions. The objective of this study was to compare the environmental impact of modern (2007) US beef production with production practices characteristic of the US beef system in 1977. A deterministic model based on the metabolism and nutrient requirements of the beef population was used to quantify resource inputs and waste outputs per billion kilograms of beef. Both the modern and historical production systems were modeled using characteristic management practices, population dynamics, and production data from US beef systems. Modern beef production requires considerably fewer resources than the equivalent system in 1977, with 69.9% of animals, 81.4% of feedstuffs, 87.9% of the water, and only 67.0% of the land required to produce 1 billion kg of beef. Waste outputs were similarly reduced, with modern beef systems producing 81.9% of the manure, 82.3% CH(4), and 88.0% N(2)O per billion kilograms of beef compared with production systems in 1977. The C footprint per billion kilograms of beef produced in 2007 was reduced by 16.3% compared with equivalent beef production in 1977. As the US population increases, it is crucial to continue the improvements in efficiency demonstrated over the past 30 yr to supply the market demand for safe, affordable beef while reducing resource use and mitigating environmental impact.

Modern methods of surveyor observations in opencast mining under complex hydrogeological conditions.

NASA Astrophysics Data System (ADS)

Usoltseva, L. A.; Lushpei, V. P.; Mursin, VA

2017-10-01

The article considers the possibility of linking the modern methods of surveying security of open mining works to improve industrial safety in the Primorsky Territory, as well as their use in the educational process. Industrial Safety in the management of Surface Mining depends largely on the applied assessment methods and methods of stability of pit walls and slopes of dumps in the complex mining and hydro-geological conditions.

Community Health Seeking Behavior for Suspected Human and Animal Rabies Cases, Gomma District, Southwest Ethiopia.

PubMed

G/hiwot, Tsegaye Tewelde; Sime, Abiot Girma; Deresa, Benti; Tafese, Wubit; Hajito, Kifle Weldemichael; Gemeda, Desta Hiko

2016-01-01

Timely presentation to appropriate health service provider of sick animals/humans from zoonotic diseases like rabies is important for early case/outbreak detection and management. However, data on community's health seeking practice for rabies in Ethiopia is limited. Therefore the objective of this study was to determine community's health seeking behavior on rabies, Southwest Ethiopia. A cross-sectional survey was conducted from January 16-February 14, 2015 to collect data from 808 respondents where the respondents were selected using multistage sampling technique. Data were collected using interviewer administered structured questionnaire by trained epidemiology graduate level students. Data were entered to Epidata version 3.1 and analyzed using SPSS version 20 for windows. Eight hundred three (99.4%) respondents participated in the study. Out of 28 respondents who reported their family members' exposure to rabies, 8 of them replied that the exposed family members sought treatment from traditional healers. More than nine in ten respondents perceived that humans and domestic animals with rabies exposure should seek help of which 85% of them suggested modern health care facilities as the preferred management option for the sick humans and domestic animals. However, among those who reported sick domestic animals, near to 72% of them had either slaughtered for human consumption, sold immediately, visited traditional healer, given home care or did nothing for the sick domestic animals. Majority of the respondents had favorable perception of seeking treatment from modern health care facilities for rabies. However, significant number of them had managed inappropriately for the sick domestic animals from rabies. Hence, raising awareness of the community about management of sick domestic animals from rabies and the need for reporting to both human and animal health service providers is needed.

Community Health Seeking Behavior for Suspected Human and Animal Rabies Cases, Gomma District, Southwest Ethiopia

PubMed Central

2016-01-01

Background Timely presentation to appropriate health service provider of sick animals/humans from zoonotic diseases like rabies is important for early case/outbreak detection and management. However, data on community’s health seeking practice for rabies in Ethiopia is limited. Therefore the objective of this study was to determine community’s health seeking behavior on rabies, Southwest Ethiopia. Methods A cross-sectional survey was conducted from January 16-February 14, 2015 to collect data from 808 respondents where the respondents were selected using multistage sampling technique. Data were collected using interviewer administered structured questionnaire by trained epidemiology graduate level students. Data were entered to Epidata version 3.1 and analyzed using SPSS version 20 for windows. Result Eight hundred three (99.4%) respondents participated in the study. Out of 28 respondents who reported their family members’ exposure to rabies, 8 of them replied that the exposed family members sought treatment from traditional healers. More than nine in ten respondents perceived that humans and domestic animals with rabies exposure should seek help of which 85% of them suggested modern health care facilities as the preferred management option for the sick humans and domestic animals. However, among those who reported sick domestic animals, near to 72% of them had either slaughtered for human consumption, sold immediately, visited traditional healer, given home care or did nothing for the sick domestic animals. Conclusion Majority of the respondents had favorable perception of seeking treatment from modern health care facilities for rabies. However, significant number of them had managed inappropriately for the sick domestic animals from rabies. Hence, raising awareness of the community about management of sick domestic animals from rabies and the need for reporting to both human and animal health service providers is needed. PMID:26959816

Fashioning an ex-crook self: citizenship and criminality in the work of Netley Lucas.

PubMed

Houlbrook, Matt

2013-01-01

This essay uses the autobiographical and journalistic work of the confidence trickster Netley Lucas to explore the possibilities and problems of writing as an ex-crook in inter-war Britain. In so doing, it considers the intersections between emerging forms of mass culture, popular and scientific narratives of criminality, and increasingly heated debates about the social and institutional management of crime. This case study provides an opportunity to think critically about the extent to which inter-war criminology was the modernizing project it often claimed to be. In the hands of Lucas and others, different modes of writing about crime bled into one another. Older forms of criminal confession coexisted with 'modern' criminological knowledge as mutually constitutive ways of apprehending the social.

The influence of war on the development of neurosurgery.

PubMed

Dowdy, Justin; Pait, T Glenn

2014-01-01

The treatment of craniospinal war wounds proved to be a significant driving force in the early growth of neurosurgery as a specialty. This publication explores the historical relationship between the evolution of combat methodology from antiquity through modern conflicts as it dovetails with and drives corresponding advancements in the field of neurosurgery. Whether it's the basic management principles for intracranial projectile wounds derived from World War I experiences, the drastic improvement in the outcomes and management of spinal cord injuries observed in World War II, or the fact that both of these wars played a crucial role in the development of a training system that is the origin of modern residency programs, the influence of wartime experiences is pervasive.

Modern history of surgical management of lung abscess: from Harold Neuhof to current concepts.

PubMed

Schweigert, Michael; Dubecz, Attila; Stadlhuber, Rudolf J; Stein, Hubert J

2011-12-01

Harold Neuhof was one of the pioneers of thoracic surgery in the early decades of the last century. Inspired by his preceptor Howard Lilienthal he proposed an entirely new concept for surgery on acute lung abscess. The aim of his one-stage procedure was adequate drainage of the abscess cavity. His approach proved to be the first major breakthrough in the treatment of acute lung abscess. Therapy of pulmonary abscess was again radically changed by the advent of antibiotics in the late 1940s. However, the basic principles of Neuhof's concept still influence modern-day management of putrid lung abscess. Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Business Intelligence in Hospital Management.

PubMed

Escher, Achim; Hainc, Nicolin; Boll, Daniel

2016-01-01

Business intelligence (BI) is a worthwhile investment, and will play a significant role in hospital management in the near future. Implementation of BI is challenging and requires resources, skills, and a strategy, but enables management to have easy access to relevant analysis of data and visualization of important key performance indicators (KPI). Modern BI applications will help to overcome shortages of common "hand-made" analysis, save time and money, and will enable even managers to do "self-service" analysis and reporting.

Recent Landmark Studies on Head and Neck Cancers: Evidence-Based Fundamentals of Modern Therapeutic Approaches.

PubMed

Aydil, Utku

2015-03-01

Evidence-based medicine, established on prospective studies and related algorithms is living its golden age in recent years. Within the last few decades, medical knowledge has been systematically produced, categorized, and spread in a way never seen before. One of the most important factors in realizing this situation is the expansion of the communication facilities. The area of the management of head and neck cancers was also affected by these advances, and studies with high-level evidence became the mainstay in the determination of the management strategies. However, probably almost all of these studies are about non-surgical modalities, and studies with high-level evidence regarding the surgical treatment of head and neck cancers are scarce. In this paper, important studies on head and neck cancers and their results will be reviewed.

WIS Implementation Study Report. Volume 2. Resumes.

DTIC Science & Technology

1983-10-01

WIS modernization that major attention be paid to interface definition and design, system integra- tion and test , and configuration management of the...Estimates -- Computer Corporation of America -- 155 Test Processing Systems -- Newburyport Computer Associates, Inc. -- 183 Cluster II Papers-- Standards...enhancements of the SPL/I compiler system, development of test systems for the verification of SDEX/M and the timing and architecture of the AN/U YK-20 and

The DISAM Journal of International Security Assistance Management. Volume 23, Number 3, Summer 2001

DTIC Science & Technology

2001-01-01

of subjects from enemy troop movements to control of an airborne armada. They enable commanders to cut through the fog of war and achieve decisive...and various engineers to begin the requirements definition and FMS acquisition process. The focus of the NAVAIDS Country Study Team is to: The DISAM...and recommendations process, and definitions are provided. The modernization recommendations of this report usually play an

Cunning Plan--How Will We Ever Manage to Teach All That?! A Cunning Plan for Building Useful Knowledge at Key Stage 3 and Transferring it to Key Stage 4

ERIC Educational Resources Information Center

Carr, Elizabeth

2016-01-01

Planning to deliver the new GCSE [General Certificate of Secondary Education] specifications presents a challenge and an opportunity to any history department, whatever their previous specification. The sweep of history that students will now study at GCSE is much broader than "Modern World" departments are used to; including a medieval…

The Need for Strategic Research and Study Centers (Think Tanks) in the Kingdom of Saudi Arabia

DTIC Science & Technology

2014-03-01

technology issues , or industrial or business policies.27 Evidence-based research has become an indispensable tool for political decision making and...can be used to judge public sentiment on given issues . Government as well as private business gives due consideration during policy or strategy...policy guidance on modern issues like economic growth, resource allocation, job creation, unemployment reduction, financial management, legislation

Defense Systems Modernization and Sustainment Initiative

DTIC Science & Technology

2007-09-18

approach provides the dual benefits of a source of research direction and requirements from military equipment operators, maintainers, and life-cycle...world. RIT is coeducational and the 11h largest private university in the nation. RIT offers 350 programs of study in eight colleges including the...objective of the Asset Health Management research is to assess cost benefit of the deployment of health monitoring technologies to U.S. Marine Corps ground

Defense Systems Modernization and Sustainment Initiative

DTIC Science & Technology

2006-12-20

RIT is coeducational , and the 1 1 th largest privately * held university in the nation. RIT offers 350 programs of study in eight colleges including...sensors and will give warfighters a tremendous advantage in operational/logistical tempo. The full benefits of an Asset Health Management system are...Picture (COP) and Data Analysis Support Project Goal Provide a COP for use by the Marine Corps School of Infantry and analyze the Asset Health Monitoring

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

NASA Technical Reports Server (NTRS)

Ebersole, M. M.

1983-01-01

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

Cutting Costs.

ERIC Educational Resources Information Center

Kennedy, Mike

2003-01-01

Offers ten suggestions for schools and universities to maximize their budgets: energy upgrades, security technology, maintenance management systems, partnerships, modernized washrooms, windows, facilities assessment, outsourcing, alternative fuels, and building commissioning. (EV)

Energy efficiency in urban management: Russian and world experience

NASA Astrophysics Data System (ADS)

Pryadko, Igor

2017-10-01

The article discusses the role of energetics in creating a comfortable and safe environment of modern megacities, and the problem is considered in the socio-economic aspect. The object is the energy security of the city, and the subject is the influence of urban society on the formation of energy security. In particular, the problems are raised: ecological problems of urban energy supply, the condition of surface layer of the atmosphere near electric power lines. The author assesses the actions, implemented by the urban authorities in Mytischi, in the southwestern areas of New Moscow. The author assesses these sample areas on the basis of Ch. Landry’s concept of self-training, designated for municipal authorities and urban communities, and offers several successfully implemented self-study cases and in the light of modern methods of ensuring energy security. The forecasts of creation of energy-safe space, made by modern sociologist-urbanist Leo Hollis, are taken into account. The author also considers some of the economic aspects of biosphere safety. In particular, he insists that biosphere safety, convenience, and comfort have developed into competitive advantages in the housing market.

Seeing the Forest and the Trees: Western Forestry Systems and Soviet Engineers, 1955-1964.

PubMed

Kochetkova, Elena

This article examines the transfer of technology from Finnish enterprises to Soviet industry during the USSR's period of technological modernization between 1955 and 1964. It centers on the forestry sector, which was a particular focus of modernization programs and a key area for the transfer of foreign techniques and expertise. The aim of the article is to investigate the role of trips made by Soviet specialists to foreign (primarily Finnish) enterprises in order to illustrate the nontechnological influences that occurred during the transfer of technologies across the cold war border. To do so, the article is divided into two parts: the first presents a general analysis of technology transfer from a micro-level perspective, while the second investigates the cultural influences behind technological transfer in the Soviet-Finnish case. This study contends that although the Soviet government expected its specialists to import advanced foreign technical experience, they brought not only the technologies and expertise needed for modernizing the industry, but also a changed view on Soviet workplace management and everyday practices.

Information gathering, management and transfering for geospacial intelligence

NASA Astrophysics Data System (ADS)

Nunes, Paulo; Correia, Anacleto; Teodoro, M. Filomena

2017-07-01

Information is a key subject in modern organization operations. The success of joint and combined operations with organizations partners depends on the accurate information and knowledge flow concerning the operations theatre: provision of resources, environment evolution, markets location, where and when an event occurred. As in the past and nowadays we cannot conceive modern operations without maps and geo-spatial information (GI). Information and knowledge management is fundamental to the success of organizational decisions in an uncertainty environment. The georeferenced information management is a process of knowledge management, it begins in the raw data and ends on generating knowledge. GI and intelligence systems allow us to integrate all other forms of intelligence and can be a main platform to process and display geo-spatial-time referenced events. Combining explicit knowledge with peoples know-how to generate a continuous learning cycle that supports real time decisions mitigates the influences of fog of everyday competition and provides the knowledge supremacy. Extending the preliminary analysis done in [1], this work applies the exploratory factor analysis to a questionnaire about the GI and intelligence management in an organization company allowing to identify future lines of action to improve information process sharing and exploration of all the potential of this important resource.

Bioinformatics.

PubMed

Moore, Jason H

2007-11-01

Bioinformatics is an interdisciplinary field that blends computer science and biostatistics with biological and biomedical sciences such as biochemistry, cell biology, developmental biology, genetics, genomics, and physiology. An important goal of bioinformatics is to facilitate the management, analysis, and interpretation of data from biological experiments and observational studies. The goal of this review is to introduce some of the important concepts in bioinformatics that must be considered when planning and executing a modern biological research study. We review database resources as well as data mining software tools.

The Third World Arms Market in the 1980’s: Implications for U. S. Policy.

DTIC Science & Technology

1981-06-02

transfer of modern armaments has gone beyond6 the bounds of ordinary laisse - faire economics. This study is best remembered for its early recognition of... styles , and 8 relationships" in arms transfers. As in the Adelphi study, arms transfers are tabulated numerically rather than in dollar terms. Country...or sells the services of DOD personnel such as training or management advice. 19 91. ILI ’a.UK E.B. Rex The Third World Arms Market 92. As written

Study of intelligent building system based on the internet of things

NASA Astrophysics Data System (ADS)

Wan, Liyong; Xu, Renbo

2017-03-01

In accordance with the problem such as isolated subsystems, weak system linkage and expansibility of the bus type buildings management system, this paper based on the modern intelligent buildings has studied some related technologies of the intelligent buildings and internet of things, and designed system architecture of the intelligent buildings based on the Internet of Things. Meanwhile, this paper has also analyzed wireless networking modes, wireless communication protocol and wireless routing protocol of the intelligent buildings based on the Internet of Things.

The aetiology and management of localized anterior tooth wear in the young adult.

PubMed

Bishop, K; Briggs, P; Kelleher, M

1994-05-01

This article reviews the aetiology and clinical features of the increasingly common problem of localized loss of anterior tooth tissue in the young adult. The management of the problem is highlighted, with emphasis placed on preservation of the tooth structure and the use of modern materials and techniques.

Academic Mobility Projects Management: Challenges for Ukrainian Professional Education

ERIC Educational Resources Information Center

Zabolotna, Oksana

2015-01-01

The article is devoted to the academic mobility projects management on the example of Pavlo Tychyna Uman State Pedagogical University in the Erasmus Mundus Projects, namely, EMINENCE and EMINENCE II. It has been pointed out that modern university is a constantly developing system possessing a hidden potential for innovations. Thus, the…

The New Management: Democracy and Enterprise Are Transforming Organizations.

ERIC Educational Resources Information Center

Halal, William E.

Some organizational theorists argue that current approaches to management are not going to work in the 21st century. The book explores this modern dilemma and presents two premises underlying the design of organizations capable of responding to an increasingly complex and challenging business and social environment. The first premise is that the…

Global World: A Problem of Governance

ERIC Educational Resources Information Center

Chumakov, Alexander Nikolayevich

2014-01-01

Purpose: The purpose of this paper is to include the following items: to show the absolute necessity of managing the international community, to explore the fundamental possibility of managing the global world, to prove or disprove such a possibility, to determine the real background of global governance in modern conditions and to show the…

Management of Students' Independent Work through the Project Technology in Foreign Language Education

ERIC Educational Resources Information Center

Lakova, Assel; Chaklikova, Assel

2016-01-01

This article focuses on the management of students' independent work in the specialty "Journalism" on the subject "Special Foreign Language" in high school through project-based learning, which is one of the most important and modern types of tasks. The goal of this work is theoretically and experimentally proved the…

Leadership, New Public Management and the Re-Modelling and Regulation of Teacher Identities

ERIC Educational Resources Information Center

Hall, David; Gunter, Helen; Bragg, Joanna

2013-01-01

This article examines the rapidly shifting relationship between teachers and the state and efforts to re-model teacher identities within the wider context of public sector modernization and the New Public Management. The construction and development of officially authorized and normative discursive practices relating to leadership and the…

Formation of Professionalism of Executives

ERIC Educational Resources Information Center

Gerasimov, Kirill; Gerasimov, Boris

2017-01-01

Purpose: The purpose of this paper is to present the results of the research in the sphere of education and preparation of Russian executives in view of mentality and elements of national model of management. Design/methodology/approach: The research consisted in analysis of modern developments in the sphere of HR management in socio-economic…

ACT for Leadership: Using Acceptance and Commitment Training to Develop Crisis-Resilient Change Managers

ERIC Educational Resources Information Center

Moran, Daniel J.; Consulting, Pickslyde

2010-01-01

The evidence-based executive coaching movement suggests translating empirical research into practical methods to help leaders develop a repertoire of crisis resiliency and value-directed change management skills. Acceptance and Commitment Therapy (ACT) is an evidence-based modern cognitive-behavior therapy approach that has been and applied to…

Integrating RSS Feeds of New Books into the Campus Course Management System

ERIC Educational Resources Information Center

Corrado, Edward M.; Moulaison, Heather L.

2006-01-01

By integrating RSS feeds of new books into their campus' course management system, the authors, a systems librarian (Corrado) and a cataloging/modern languages librarian (Moulaison) at the The College of New Jersey (TCNJ), simplified initial research and spotlighted the library's collections. Faculty members are flocking to this award-winning…

Stress Management. A Challenge for Adult Education.

ERIC Educational Resources Information Center

Trollan, Constance

The goal for the adult educator in modern society is to help individuals gain the competencies to function adequately with perpetual change. Adult education should plan and implement stress management programs as an educational activity that is a basis upon which people can learn to adapt to societal stress and rapid social evolution. The health…

Threshold Assessment and Performance Management: Modernizing or Masculinizing Teaching in England?

ERIC Educational Resources Information Center

Mahony, Pat; Hextall, Ian; Menter, Ian

2004-01-01

The paper reports on aspects of an ESRC project, "The impact of Performance 'Threshold Assessment' on teachers' work" (ESRC R000239286). The paper begins by explaining the nature and technology of "Threshold Assessment," and its location nationally within the performance management system recently introduced into schools in England. We review the…

Strategic Management in Universities as a Factor of Their Global Competitiveness

ERIC Educational Resources Information Center

Parakhina, Valentina; Godina, Olga; Boris, Olga; Ushvitsky, Lev

2017-01-01

Purpose: Modernization of Russian higher education is carried out with the purpose of its successful integration into the global educational environment. However, the contemporary management model of most Russian universities demonstrates a low efficiency level. The purpose of this paper is to identify the problems of organizing the universities'…

Searching for Solutions. A Citizen's Guide to Hazardous Waste Management in Ohio.

ERIC Educational Resources Information Center

Clapham, Pete, Comp.

This guide was developed to promote responsible hazardous waste management by Ohio citizens, citizens who are interested in upgrading operations of existing waste facilities, oppose the development of any new landfills, and those who promote the establishment of modern, efficient facilities. Information is presented in six chapters. The hazardous…

Elements of Gender-Related Variability in the Selection of School Advisors in Greece

ERIC Educational Resources Information Center

Anastasiou, Sophia; Papakonstantinou, Georgios

2011-01-01

Purpose: In many countries, including Greece, women are underrepresented in school management positions. Modern societies recognize sex inequalities in management as a significant social problem and implement human resource policies intended to reduce such problems. The purpose of this paper is to assess the level of gender inequality in the…

Challenges in the Development of Environmental Management Systems on the Modern University Campus

ERIC Educational Resources Information Center

Bero, Bridget N.; Doerry, Eckehard; Middleton, Ryan; Meinhardt, Christian

2012-01-01

Purpose: The purpose of this paper is to describe challenges and lessons learned in the design and development of a comprehensive, flexible environmental management system (EMS) in a real university setting; also to inform development of similar systems elsewhere and provide a modular, extensible software architecture for such efforts.…

Multi-service terminal adapter based on IP technology applications in rural area

NASA Astrophysics Data System (ADS)

Gao, Li; Li, Xiaobo; Yan, Juntao; Ren, Xupeng

Take advantage of ample modern existing telecom network resources to rural areas may achieve it's information society gradually. This includes the establishment of integrated rural information service platform, modern remote education center and electronic administration management platform for rural areas. The geographical and economic constraints must be overcome for structuring the rural service support system, in order to provide technical support, information products and information services to modern rural information service system. It is important that development an access platform based IP technology, which supports multi-service access in order to implement a variety of types of mobile terminal equipment adapter access and to reduce restrictions on mobile terminal equipment.

Modern Electronic Devices: An Increasingly Common Cause of Skin Disorders in Consumers.

PubMed

Corazza, Monica; Minghetti, Sara; Bertoldi, Alberto Maria; Martina, Emanuela; Virgili, Annarosa; Borghi, Alessandro

2016-01-01

: The modern conveniences and enjoyment brought about by electronic devices bring with them some health concerns. In particular, personal electronic devices are responsible for rising cases of several skin disorders, including pressure, friction, contact dermatitis, and other physical dermatitis. The universal use of such devices, either for work or recreational purposes, will probably increase the occurrence of polymorphous skin manifestations over time. It is important for clinicians to consider electronics as potential sources of dermatological ailments, for proper patient management. We performed a literature review on skin disorders associated with the personal use of modern technology, including personal computers and laptops, personal computer accessories, mobile phones, tablets, video games, and consoles.

OPERATIONS RESEARCH IN THE DESIGN OF MANAGEMENT INFORMATION SYSTEMS

DTIC Science & Technology

management information systems is concerned with the identification and detailed specification of the information and data processing...of advanced data processing techniques in management information systems today, the close coordination of operations research and data systems activities has become a practical necessity for the modern business firm.... information systems in which mathematical models are employed as the basis for analysis and systems design. Operations research provides a

Ending the Conflict in Iraq -- Is Partition the Answer?

DTIC Science & Technology

2007-04-30

of modern conflict management agree that there are at least five instances where partition has been overtly implemented around the globe in an effort...into partition and other conflict management tools. The strongest academic advocate of partition by far is Chaim Kaufmann, a professor of international...for academic research and extensive discussion of the strengths and weaknesses of partition as a conflict management tool. The 2003 US-led invasion of

Customs Service Modernization: Impact of New Trade Compliance Strategy Needs to Be Assessed.

DTIC Science & Technology

1999-12-01

The Mod Act fundamentally altered the relationship between importers and Customs by shifting from Customs to the importer the legal responsibility...New Trade Compliance Strategy B-280470 • account management : Customs ’ approach to managing its work through accounts (importing companies) rather...assessment, account management , and Customs ’ responses to noncompliant importers have been implemented but have not yet reached many of the intended

In my experience: Mitochondrial DNA in wildlife taxonomy and conservation biology: Cautionary notes

USGS Publications Warehouse

Cronin, Matthew A.

1993-01-01

Several recently published papers discussed the importance of systematics (the study of evolutionary and genetic relationships among organisms) and taxonomy (the naming and classification of organisms) for managing wildlife (Ryder 1986, Avise 1989, Amato 1991, O'Brien and Mayr 1991, Dowling et al. 1992), Often, classification below the species level is needed; for example, the Endangered Species Act of 1973 applies to local populations and subspecies as well as species. Conservation efforts may focus below the species level because of concerns about the fitness, evolutionary potentials, and locally adapted gene pools of natural populations (Soulé 1986, Hedrick and Milller 1992). This can be considered the genetic component of biodiversity.Recent systematic studies with wildlife management applications have used modern molecular genetic methods. Analyses of a specific molecular marker, mitochondrial DNA (mtDNA), have been used in many of these studies (e.g., Shields and Wilson 1987, Avise and Nelson 1989, O'Brien et al. 1990, Wayne and Jenks 1991, Cronin 1992), However, there are limitations to the use of mtDNA in systematics (e.g., Overden et al., 1987, Pamilo and Nei 1988, Dowling et al. 1992). In my experience as a geneticist working with wildlife biologists, I have found a need for clarification of the use and limitations of modern molecular genetics. I specifically discuss the limitations of mtDNA data in systematic assessments of wildlife at and below the species level.

When and how should we manage thoracic aortic injuries in the modern era?

PubMed

Bottet, Benjamin; Bouchard, François; Peillon, Christophe; Baste, Jean-Marc

2016-12-01

A best evidence topic in cardiovascular surgery was written according to a structured protocol. The question addressed was what are the optimum treatment modality and timing of intervention for blunt thoracic aortic injury (BTAI) in the modern era? Of the 697 papers found using the reported search, 14 (5 meta-analyses, 2 prospective and 7 retrospective studies) represented the best evidence to answer the clinical question. The author, journal, country, date of publication, patient group studied, study type, relevant outcomes, results and weakness of these papers are tabulated. All five meta-analyses reported a reduction in mortality with thoracic endovascular aortic repair (TEVAR) compared with open repair (OR), but only four found the same benefit on paraplegia rate. Similarly, the two prospective and four retrospective studies showed significantly lower mortality with TEVAR than with OR. Only one study (a meta-analysis) reported a significantly lower stroke rate with TEVAR than with OR, whereas the 13 others reported a similar or even higher stroke rate. Other complication rates were identical. Four studies demonstrated that non-operative management (NOM) as a treatment option for BTAI was associated with increased mortality, even if it has declined in recent years. One study emphasized that some cases with minimal aortic injuries (Grade I and II on CT scan) could benefit from NOM. Regarding the timing of repair, only three studies analysed outcomes of delayed repair and reported significantly lower mortality than for early repair. We conclude that with lower mortality and similar overall complications including paraplegia but higher stroke rate, TEVAR is the most suitable treatment for BTAI in the modern era, where expertise exists, especially for cases of multiple associated injuries and in the older age group. Delayed aortic repair can be proposed based on CT scan analysis, but emergent repair should still be advocated for imminent free aortic rupture. NOM remains a therapeutic option but only with selected patients. © The Author 2016. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

[Managerial performance in public health services: a case study in Mato Grosso do Sul, Brazil].

PubMed

Barbieri, Ana Rita; Hortale, Virginia Alonso

2005-01-01

This paper presents part of a doctoral dissertation that developed a theoretical model capable of identifying managerial performance in various administrative levels of a Municipal Health Secretariat. The methodology was a case study of the Municipal Health Secretariat in Campo Grande, capital of the State of Mato Grosso do Sul, Brazil. The theoretical model was based on recent debates emphasizing the need to modernize public administration, with an emphasis on efficacy and efficiency in the organizations as a whole. Some 31 interviews were conducted with the objective of identifying the managers' performance, through questions based on their daily practices in planning, organization, direction, and control. Managers from higher hierarchical levels obtained better results, while those in basic health units generally developed activities and complied with decisions passed down by imposition, with limited capacity to plan, organize, or control activities pertaining to their management sphere. These results stem partially from the charismatic leadership and centralizing administration of the current management in the municipal health system.

Van, Turkey Earthquake of 23 October 2011, Mw 7.2; An Overview on Disaster Management

PubMed Central

ZARÉ, Mehdi; NAZMAZAR, Behnaz

2013-01-01

An earthquake was happened on 23 October 2011 in Van, Turkey (Mw7.2) at the eastern most area of Anatolian plateau and in the neighborhood of Iranian border (West Azerbaijan Province). The study was performed based on field and office observations and has been focused on the process of disaster management in Turkey after the 23 October 2011 earthquake. We surveyed the quake from the view point of disaster management, and study the relief process during and after the catastrophe. The day-to-day disaster management procedure in seventeen days after the event has been scrutinized as well. The number of victims and extent of damage in Van earthquake was relatively limited according to the national experiences and recent modernization of infrastructures in Turkey. The Van earthquake caused 644 deaths and demolishing of several buildings in the cities of Van and Erciş in Van Province. The performance of the government organizations is however criticized based on their response to the event. PMID:23515082

The Dilemma of Department of Defense Business System Modernization Efforts: Why Intended Outcomes Have Not Been Fully Met and What Needs to Change

DTIC Science & Technology

2016-06-01

between contract writing systems and the associated accounting and logistics systems. Employing this modular plug and play approach simplifies system...Automated Contract Preparation System (ACPS), Integrated Technical Item Management (ITIMP), and EProcurement are the contract writing systems that...research was on the DOD contract writing systems (CWS). This JAP seeks to report on the progress of DOD business system modernization efforts and

Enterprise infocommunication infrastructure in training of IT-professionals

NASA Astrophysics Data System (ADS)

Eminov, F. I.; Golitsyna, I. N.; Eminov, B. F.

2018-05-01

The paper presents the enterprise infocommunication infrastructure and its management features as the influenced factors to the training of IT-professionals within the traditional educational process. The paper presents how the educational content of modern IT specialists can be developed on the basis of the infocommunication infrastructure of a modern enterprise and the interdisciplinary connections. Such approach needs to develop special forms and methods of training, adapted to the level of development of the professional environment of IT professionals.

Appropriate technology for domestic wastewater management in under-resourced regions of the world

NASA Astrophysics Data System (ADS)

Oladoja, Nurudeen Abiola

2017-11-01

Centralized wastewater management system is the modern day waste management practice, but the high cost and stringent requirements for the construction and operation have made it less attractive in the under-resourced regions of the world. Considering these challenges, the use of decentralized wastewater management system, on-site treatment system, as an appropriate technology for domestic wastewater treatment is hereby advocated. Adopting this technology helps save money, protects home owners' investment, promotes better watershed management, offers an appropriate solution for low-density communities, provides suitable alternatives for varying site conditions and furnishes effective solutions for ecologically sensitive areas. In the light of this, an overview of the on-site treatment scheme, at the laboratory scale, pilot study stage, and field trials was conducted to highlight the operational principles' strength and shortcomings of the scheme. The operational requirements for the establishing and operation of the scheme and best management practice to enhance the performance and sustenance were proffered.

Architecture design of the national plant treasure management information system based on GIS: a case study of Gugong Date Garden in Hebei province

NASA Astrophysics Data System (ADS)

Shen, Shaoling; Li, Renjie; Shen, Dongdong; Tong, Chunyan; Fu, Xueqing

2007-06-01

"Gugong Date Garden", lies in Juguan Village, Qijiawu County, Huanghua City, China. It is the largest forest of winter date in this world, which is the longest in history, largest in area and best in quality and it is also included in the first group of national main protected units of botanic cultural relics. However, it is lacking of uniform management platform and modes. According to the specific characteristics of botanic cultural relics preservation, the author sets up the "Plant Treasure Management Information System" for "Gugong Date Garden", based on the Geographic information system (GIS), Internet, database and virtual reality technologies, along with the idea of modern customer management systems. This system is designed for five types of users, named system administrators, cultural relic supervisors, researchers, farmers and tourists, with the aim of realizing integrated managements of ancient trees' protection, scientific researches, tourism and explorations altogether, so as to make better management, protection, and utilizations.

The modern CIO: forging a new role in the managed care era.

PubMed

Griffin, J

1997-05-01

The advent of managed care has helped forge new roles for healthcare professionals. Competitive pressures, the profile of the member community, and provider network design drive healthcare delivery via the managed care model. Careful analysis and design of the managed care model charts the success or failure of the health care delivery system--usually an integrated delivery system (IDS). Therefore, those healthcare organizations that have chosen to get on the managed care bandwagon must re-invent themselves, both culturally and technologically. The chief information officer (CIO) leads this technological revolution. To work effectively, the technological infrastructure of the IDS must be closely in line with enterprise goals and objectives. In the managed care environment the old information system (IS) approach of supporting the operational needs of individual departments simply will not work. The CIO's new role will be to master the concept of managed care to ensure that enterprise-wide needs for operational, clinical, and financial information are met, and that IS and enterprise goals are aligned. CIOs who have an intuitive grasp of the managed care environment--although their numbers are growing as managed care mushrooms--make up a minority group. They are a special breed with clearly definable qualities such as business savvy and an affinity for big-picture thinking. To an IDS, a CIO with these qualities is a rare gem indeed. This article introduces Don Winschel, the associate administrator and CIO of Johnson City Medical Center (Johnson City, TN) as an example of one such modern CIO.

[First aid and management of multiple trauma: in-hospital trauma care].

PubMed

Boschin, Matthias; Vordemvenne, Thomas

2012-11-01

Injuries remain the leading cause of death in children and young adults. Management of multiple trauma patients has improved in recent years by quality initiatives (trauma network, S3 guideline "Polytrauma"). On this basis, strong links with preclinical management, structured treatment algorithms, training standards (ATLS®), clear diagnostic rules and an established risk- and quality management are the important factors of a modern emergency room trauma care. We describe the organizational components that lead to successful management of trauma in hospital. © Georg Thieme Verlag Stuttgart · New York.

Knowledge Management in Health Technology SMEs.

PubMed

Huusko, Juhamatti; Kuusisto-Niemi, Sirpa; Saranto, Kaija

2017-01-01

The purpose of this study was to examine knowledge management's (KM) role in small and medium-sized (SMEs) health technology enterprises, which employ fewer than 250 employees. In this study, KM is understood as the ability to achieve competitive advantage by utilizing management knowledge and making it profitable. The health technology enterprises use modern technology to resolve health-related issues. The research data was acquired from Finnish health technology SMEs. The questionnaire was sent to 140 enterprises, generating 25 responses, or a 17.9% response rate. According to the results, health technology enterprises have not adopted KM concepts, nor do they have the necessary resources to do so. SMEs' KM use is informal: information is transferred informally through human interaction, rather than through information systems. In the SMEs, KM is not perceived as important, although it is seen as associated with the enterprise's financial performance through the potential in making the knowledge profitable.

Environmental-Economic Assessment Of Generation, Flow And Efficiency Of Use Of Production And Consumption Waste

NASA Astrophysics Data System (ADS)

Mikhailov, V. G.; Golofastova, N. N.; Galanina, T. V.; Koroleva, T. G.; Mikhailova, Ya S.

2017-01-01

The article deals with the issues of environmental and economic analysis of industrial and economic activities of an enterprise to assess the generation, flow and efficiency of production and consumption waste. The purpose of research is the analysis and the development of theoretical propositions for the functioning of the system of environmental and economic indicators for the effective management of production and consumption waste in the enterprise. The analysis of the existing systems of environmental and economic indicators taking into consideration the industry characteristics and the types of negative impacts is carried out. The main result of the study is the development of the system of environmental and economic indicators of production and consumption waste, adapted to the modern requirements. The results of the study can be recommended to support the effective management decision-making concerning waste management and the establishment of appropriate infrastructure.

Comprehensive change management concepts. Development of a participatory approach.

PubMed

Zink, Klaus J; Steimle, Ulrich; Schröder, Delia

2008-07-01

During the last years, many change projects in organizations did not have the planned success. Therefore at first, the causes for these failures and the success factors contributing to organizational change have to be discussed. To get better results, a comprehensive change management concept has been developed and tested in an ongoing research project. By using concepts for an integrated assessment and design of organizations, an approach for analyzing the current situation has been elaborated to identify "lack of integration" in the change initiatives of a company. To realize an integrated overall approach of modernization by harmonizing different methods and concepts, first, one has to prove their relationship to policy and strategy (vertical harmonization). The second step is to take into account the fact that there has to be a logical fit between the single concepts (horizontal harmonization). But even if all elements are logically coherent, that does not mean that the people working in the company also see this coherence. Therefore, in addition to the "logical fit", one has to examine the "psychological fit". In the end, a concept for analyzing the status quo in an organization as a result of "objective data" and "subjective data" originated. Subsequently, instruments for harmonizing different modernizing concepts have been applied. As part of the comprehensive change management concept participatory ergonomic approaches have been used during the project. The present study shows this approach in the case of one company.

Meeting the challenges of case management with remote patient monitoring technology.

PubMed

Cherry, J C; Colliflower, S J; Tsiperfal, A

2000-01-01

The article presents an overview of some of the current trends in health care and the challenges faced by nurse case managers who are providing disease management services. It discusses some of the emerging technologies available today for innovative case management. In particular, this article describes a program run by a healthcare system in Sacramento, California that uses an Internet-based technology to enhance their nurse case management model. The article demonstrates how the Health Hero platform enables interactive communication between nurse case managers and their patients, thereby meeting some of the challenges the nurse case managers are faced with in the modern disease-management world.

76 FR 34745 - Delegation of Authority to the Chief Operating Officer

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-14

... Information Act processing, budgeting, accounting, hiring and training employees, modernizing information... strategic planning, and performance management and measurement. Section B. Authority Excepted The authority...

Study on data model of large-scale urban and rural integrated cadastre

NASA Astrophysics Data System (ADS)

Peng, Liangyong; Huang, Quanyi; Gao, Dequan

2008-10-01

Urban and Rural Integrated Cadastre (URIC) has been the subject of great interests for modern cadastre management. It is highly desirable to develop a rational data model for establishing an information system of URIC. In this paper, firstly, the old cadastral management mode in China was introduced, the limitation was analyzed, and the conception of URIC and its development course in China were described. Afterwards, based on the requirements of cadastre management in developed region, the goal of URIC and two key ideas for realizing URIC were proposed. Then, conceptual management mode was studied and a data model of URIC was designed. At last, based on the raw data of land use survey with a scale of 1:1000 and urban conversional cadastral survey with a scale of 1:500 in Jiangyin city, a well-defined information system of URIC was established according to the data model and an uniform management of land use and use right and landownership in urban and rural area was successfully realized. Its feasibility and practicability was well proved.

[The development of hospital medical supplies information management system].

PubMed

Cao, Shaoping; Gu, Hongqing; Zhang, Peng; Wang, Qiang

2010-05-01

The information management of medical materials by using high-tech computer, in order to improve the efficiency of the consumption of medical supplies, hospital supplies and develop a new technology way to manage the hospital and material support. Using C # NET, JAVA techniques to develop procedures for the establishment of hospital material management information system, set the various management modules, production of various statistical reports, standard operating procedures. The system is convenient, functional and strong, fluent statistical functions. It can always fully grasp and understand the whole hospital supplies run dynamic information, as a modern and effective tool for hospital materials management.

Job submission and management through web services: the experience with the CREAM service

NASA Astrophysics Data System (ADS)

Aiftimiei, C.; Andreetto, P.; Bertocco, S.; Fina, S. D.; Ronco, S. D.; Dorigo, A.; Gianelle, A.; Marzolla, M.; Mazzucato, M.; Sgaravatto, M.; Verlato, M.; Zangrando, L.; Corvo, M.; Miccio, V.; Sciaba, A.; Cesini, D.; Dongiovanni, D.; Grandi, C.

2008-07-01

Modern Grid middleware is built around components providing basic functionality, such as data storage, authentication, security, job management, resource monitoring and reservation. In this paper we describe the Computing Resource Execution and Management (CREAM) service. CREAM provides a Web service-based job execution and management capability for Grid systems; in particular, it is being used within the gLite middleware. CREAM exposes a Web service interface allowing conforming clients to submit and manage computational jobs to a Local Resource Management System. We developed a special component, called ICE (Interface to CREAM Environment) to integrate CREAM in gLite. ICE transfers job submissions and cancellations from the Workload Management System, allowing users to manage CREAM jobs from the gLite User Interface. This paper describes some recent studies aimed at assessing the performance and reliability of CREAM and ICE; those tests have been performed as part of the acceptance tests for integration of CREAM and ICE in gLite. We also discuss recent work towards enhancing CREAM with a BES and JSDL compliant interface.

Optimizing the Moisture Management Tightrope with Wound Bed Preparation 2015©.

PubMed

Sibbald, R Gary; Elliott, James A; Ayello, Elizabeth A; Somayaji, Ranjani

2015-10-01

To provide an overview of moisture management and its importance in wound care. This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. After participating in this educational activity, the participant should be better able to:1. Summarize causes and treatments for moisture balance issues of chronic wounds.2. Recognize the properties of dressings used for treatment for moisture management of chronic wounds and antiseptic agent cytotoxicity.3. Explain study findings of the effectiveness of dressing choices for treatment of chronic wounds. To provide an overview of moisture management and its importance in wound care. The authors evaluate the impact of moisture management for optimal wound care and assess current wound management strategies relating to antisepsis and moist wound healing utilizing the wound bed preparation paradigm 2015 update. The discussion distinguishes the form and function of wound care dressing classes available for optimal moisture management. Moisture management for chronic wounds is best achieved with modern moist interactive dressings if the wound has the ability to heal.

School Food Modernization Act

THOMAS, 112th Congress

Rep. Latham, Tom [R-IA-4

2012-09-21

House - 11/14/2012 Referred to the Subcommittee on General Farm Commodities and Risk Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

24 CFR 968.305 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-04-01

... the action plan) before the PHA may carry them out. Fungibility. Fungibility is a concept which... which provides for all physical and management improvements needed to meet the modernization and energy...

The modern role of transoesophageal echocardiography in the assessment of valvular pathologies

PubMed Central

Bull, Sacha; Newton, James

2017-01-01

Despite significant advancements in the field of cardiovascular imaging, transoesophageal echocardiography remains the key imaging modality in the management of valvular pathologies. This paper provides echocardiographers with an overview of the modern role of TOE in the diagnosis and management of valvular disease. We describe how the introduction of 3D techniques has changed the detection and grading of valvular pathologies and concentrate on its role as a monitoring tool in interventional cardiology. In addition, we focus on the echocardiographic and Doppler techniques used in the assessment of prosthetic valves and provide guidance for the evaluation of prosthetic valves. Finally, we summarise quantitative methods used for the assessment of valvular stenosis and regurgitation and highlight the key areas where echocardiography remains superior over other novel imaging modalities. PMID:28096184

The modern role of transoesophageal echocardiography in the assessment of valvular pathologies.

PubMed

Wamil, Malgorzata; Bull, Sacha; Newton, James

2017-01-17

Despite significant advancements in the field of cardiovascular imaging, transoesophageal echocardiography remains the key imaging modality in the management of valvular pathologies. This paper provides echocardiographers with an overview of the modern role of TOE in the diagnosis and management of valvular disease. We describe how the introduction of 3D techniques has changed detection and grading of valvular pathologies and concentrate on its role as a monitoring tool in interventional cardiology. In addition, we focus on the echocardiographic and Doppler techniques used in the assessment of prosthetic valves, and provide guidance for evaluation of prosthetic valves. Finally, we summarise quantitative methods used for the assessment of valvular stenosis and regurgitation and highlight the key areas where echocardiography remains superior over other novel imaging modalities. © 2017 The authors.

PET/CT in Radiation Therapy Planning.

PubMed

Specht, Lena; Berthelsen, Anne Kiil

2018-01-01

Radiation therapy (RT) is an important component of the management of lymphoma patients. Most lymphomas are metabolically active and accumulate 18 F-fluorodeoxyglucose (FDG). Positron emission tomography with computer tomography (PET/CT) imaging using FDG is used routinely in staging and treatment evaluation. FDG-PET/CT imaging is now also used routinely for contouring the target for RT, and has been shown to change the irradiated volume significantly compared with CT imaging alone. Modern advanced imaging techniques with image fusion and motion management in combination with modern highly conformal RT techniques have increased the precision of RT, and have made it possible to reduce dramatically the risks of long-term side effects of treatment while maintaining the high cure rates for these diseases. Copyright © 2017 Elsevier Inc. All rights reserved.

NASA Langley and NLR Research of Distributed Air/Ground Traffic Management

NASA Technical Reports Server (NTRS)

Ballin, Mark G.; Hoekstra, Jacco M.; Wing, David J.; Lohr, Gary W.

2002-01-01

Distributed Air/Ground Traffic Management (DAG-TM) is a concept of future air traffic operations that proposes to distribute information, decision-making authority, and responsibility among flight crews, the air traffic service provider, and aeronautical operational control organizations. This paper provides an overview and status of DAG-TM research at NASA Langley Research Center and the National Aerospace Laboratory of The Netherlands. Specific objectives of the research are to evaluate the technical and operational feasibility of the autonomous airborne component of DAG-TM, which is founded on the operational paradigm of free flight. The paper includes an overview of research approaches, the airborne technologies under development, and a summary of experimental investigations and findings to date. Although research is not yet complete, these findings indicate that free flight is feasible and will significantly enhance system capacity and safety. While free flight cannot alone resolve the complex issues faced by those modernizing the global airspace, it should be considered an essential part of a comprehensive air traffic management modernization activity.

PA01.01. A clinical study on the effect of paneeya kshara in the management of asmari w.s.r. to urinary calculi

PubMed Central

Chakradhar, K V

2012-01-01

Purpose: In Ayurveda, the diseases asmari was described under asta maha gada by Susrutha. This shows how difficult this disease to treat medically or surgically. According to modern science, various deposits of urological salts precipitate and form the calculi. The prevalence of these disease urinary calculi is about 3% of population with 1% of highly exploitable with severe agony and complications. The management in contemporary modern science is toughest approach because it may solve the problem temporarily but cannot render preventing or recurrence. Hence there is need to evaluate a better remedy. Here the kshara described by susrutha is selected and the yava kshara is chosen for study. Method: Total of 10 patients was selected from the SV ayurvedic college, Tirupati after subjecting to selection criteria based on inclusion and exclusion criteria. These 10 patients are given with yava kshara as paneeya kshara with the dose of 250 mg once in week for 4 weeks. The observations are noted and results were assessed on the basis of subjective (scoring prepared for symptomatology for pain, burning micturition, dysuria, tenderness in renal angle, haematuria, microscopic analysis of urine) and objective (kub usg) parameters. And then they are subjected for statistical validity. Result: It is found to be the yava kshara (paneeya kshara) is effective reducing the symptoms and producing remarkable benefit to patient. Conclusion: Even though it is difficult to treat the disease asmari, the yava kshara shown significant result and definitely be simple to use and cost effective management.

The verification of wilderness area boundaries as part of a buffer zone demarcation process: A case study from the uKhahlamba Drakensberg Park World Heritage Site

Treesearch

Sonja C. Kruger; Ian A. Rusworth; Kirsten Oliver

2011-01-01

Wilderness areas are by definition free from the sights and sounds of modern man. The boundaries of wilderness areas have traditionally been defined based on the management authorities' perceptions of which areas have wilderness quality. Experience shows that many areas classified as wilderness do not actually have wilderness qualities and do not provide a true...

Hemothorax: Etiology, diagnosis, and management.

PubMed

Broderick, Stephen R

2013-02-01

Most cases of hemothorax are related to blunt or penetrating chest trauma. Criteria for surgical intervention for initial hemothorax are well defined. Appropriate management of retained hemothorax following initial trauma management is critical, and the best approach remains controversial. Spontaneous hemothorax is much less common and results from a variety of pathologic processes. This article reviews the etiology, diagnosis, and treatment of traumatic and spontaneous hemothorax in modern practice. Copyright © 2013 Elsevier Inc. All rights reserved.

Analysis of Selection Process for Management Education: Korean Military Case.

DTIC Science & Technology

1984-06-01

applicable to selecting Korean military officers for postgraduate education in management, is proposed. 1! 6! 6i N 0102. L r * 014- 6601 2 Unclassified...officers uhc can manage the ailitary Fersctrel Ard modern uea~ons efficiently. As a result, the military has begun to educate some of its cfficers in the...referal, advisinj 4 aiplicant- about alternatives in employment, and furthering public relations. Oijectives cf group interview might te to assess

Covariance Manipulation for Conjunction Assessment

NASA Technical Reports Server (NTRS)

Hejduk, M. D.

2016-01-01

The manipulation of space object covariances to try to provide additional or improved information to conjunction risk assessment is not an uncommon practice. Types of manipulation include fabricating a covariance when it is missing or unreliable to force the probability of collision (Pc) to a maximum value ('PcMax'), scaling a covariance to try to improve its realism or see the effect of covariance volatility on the calculated Pc, and constructing the equivalent of an epoch covariance at a convenient future point in the event ('covariance forecasting'). In bringing these methods to bear for Conjunction Assessment (CA) operations, however, some do not remain fully consistent with best practices for conducting risk management, some seem to be of relatively low utility, and some require additional information before they can contribute fully to risk analysis. This study describes some basic principles of modern risk management (following the Kaplan construct) and then examines the PcMax and covariance forecasting paradigms for alignment with these principles; it then further examines the expected utility of these methods in the modern CA framework. Both paradigms are found to be not without utility, but only in situations that are somewhat carefully circumscribed.

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

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

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

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

Economic analysis of transmission line engineering based on industrial engineering

NASA Astrophysics Data System (ADS)

Li, Yixuan

2017-05-01

The modern industrial engineering is applied to the technical analysis and cost analysis of power transmission and transformation engineering. It can effectively reduce the cost of investment. First, the power transmission project is economically analyzed. Based on the feasibility study of power transmission and transformation project investment, the proposal on the company system cost management is put forward through the economic analysis of the effect of the system. The cost management system is optimized. Then, through the cost analysis of power transmission and transformation project, the new situation caused by the cost of construction is found. It is of guiding significance to further improve the cost management of power transmission and transformation project. Finally, according to the present situation of current power transmission project cost management, concrete measures to reduce the cost of power transmission project are given from the two aspects of system optimization and technology optimization.

Goal oriented soil mapping: applying modern methods supported by local knowledge: A review

NASA Astrophysics Data System (ADS)

Pereira, Paulo; Brevik, Eric; Oliva, Marc; Estebaranz, Ferran; Depellegrin, Daniel; Novara, Agata; Cerda, Artemi; Menshov, Oleksandr

2017-04-01

In the recent years the amount of soil data available increased importantly. This facilitated the production of better and accurate maps, important for sustainable land management (Pereira et al., 2017). Despite these advances, the human knowledge is extremely important to understand the natural characteristics of the landscape. The knowledge accumulated and transmitted generation after generation is priceless, and should be considered as a valuable data source for soil mapping and modelling. The local knowledge and wisdom can complement the new advances in soil analysis. In addition, farmers are the most interested in the participation and incorporation of their knowledge in the models, since they are the end-users of the study that soil scientists produce. Integration of local community's vision and understanding about nature is assumed to be an important step to the implementation of decision maker's policies. Despite this, many challenges appear regarding the integration of local and scientific knowledge, since in some cases there is no spatial correlation between folk and scientific classifications, which may be attributed to the different cultural variables that influence local soil classification. The objective of this work is to review how modern soil methods incorporated local knowledge in their models. References Pereira, P., Brevik, E., Oliva, M., Estebaranz, F., Depellegrin, D., Novara, A., Cerda, A., Menshov, O. (2017) Goal Oriented soil mapping: applying modern methods supported by local knowledge. In: Pereira, P., Brevik, E., Munoz-Rojas, M., Miller, B. (Eds.) Soil mapping and process modelling for sustainable land use management (Elsevier Publishing House) ISBN: 9780128052006

Stress and Psychological Support in Modern Military Operations: A Military Leader’s Perspective

DTIC Science & Technology

2006-04-01

to let steam off and let the soldiers wind down after dealing with very risky situations. 5.0 MANAGEMENT OF STRESS DURING THE OPERATION ... Management of stress and the wellbeing of the soldiers in a unit is the ultimate responsibility of the Commanding Officer (CO): in turn the CO will rely on

Modernizing the State Education Agency: Different Paths toward Performance Management

ERIC Educational Resources Information Center

Murphy, Patrick; Rainey, Lydia

2012-01-01

This project examines how eight state education agencies engaged the charge of improving their lowest-performing schools. The states examined are among the most active and intentional in this regard. In many ways, they are at the leading edge of what could eventually become 50 different experiments in performance management. By focusing on states…

Concrescent Conversations: Generating a Cooperative Learning Experience in Principles of Management--A Postmodern Analysis

ERIC Educational Resources Information Center

Akan, Obasi Haki

2005-01-01

By taking a postmodern ontology that elevates becoming over the modern ontology of being, the author of this article proposes a theory and describes a method that teachers can use to enhance students' cooperative learning of management principles. The author asserts that the social construction of learning groups is an effect of organizing…

The University in the Modern World: Ten Lessons of Civic and Community Engagement

ERIC Educational Resources Information Center

Watson, David

2008-01-01

Building on the analysis in his "Managing Civic and Community Engagement" (McGraw-Hill/Open University Press, 2007), the author offers an international perspective on the ways in which universities relate to their various communities. Relevant issues of leadership, policy and management are approached through key areas such as: the "narrative" of…

Defense Acquisition Structures and Capabilities Review

DTIC Science & Technology

2007-06-01

systems to joint portfolio management Refinement of a human capital strategy Improvement of governance of the business transformation effort...Management, Senior- Level Tri-Chaired investment panel for the new Concept Decision process for major programs, and Defense Acquisition Executive Summary...establishment of centers of excellence. DLA reorganized to implement the Business Systems Modernization (BSM) initiative designed to improve end-to-end

Modernizing the Management of the Educational System. The Fundamentals of Educational Planning: Lecture-Discussion Series No. 35.

ERIC Educational Resources Information Center

Lyons, Raymond F.

One of the main inadequacies in educational management is that planning is not firmly integrated within administration. Five basic processes may be distinguished in administration. The first is planning, or determining what shall be done. The second element of the administrative process is organizing, or defining the administrative structures and…

Development of Modern Performance Assessment Tools and Capabilities for Underground Disposal of Transuranic Waste at WIPP

NASA Astrophysics Data System (ADS)

Zeitler, T.; Kirchner, T. B.; Hammond, G. E.; Park, H.

2014-12-01

The Waste Isolation Pilot Plant (WIPP) has been developed by the U.S. Department of Energy (DOE) for the geologic (deep underground) disposal of transuranic (TRU) waste. Containment of TRU waste at the WIPP is regulated by the U.S. Environmental Protection Agency (EPA). The DOE demonstrates compliance with the containment requirements by means of performance assessment (PA) calculations. WIPP PA calculations estimate the probability and consequence of potential radionuclide releases from the repository to the accessible environment for a regulatory period of 10,000 years after facility closure. The long-term performance of the repository is assessed using a suite of sophisticated computational codes. In a broad modernization effort, the DOE has overseen the transfer of these codes to modern hardware and software platforms. Additionally, there is a current effort to establish new performance assessment capabilities through the further development of the PFLOTRAN software, a state-of-the-art massively parallel subsurface flow and reactive transport code. Improvements to the current computational environment will result in greater detail in the final models due to the parallelization afforded by the modern code. Parallelization will allow for relatively faster calculations, as well as a move from a two-dimensional calculation grid to a three-dimensional grid. The result of the modernization effort will be a state-of-the-art subsurface flow and transport capability that will serve WIPP PA into the future. Sandia National Laboratories is a multi-program laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the U.S. Department of Energy's National Nuclear Security Administration under contract DE-AC04-94AL85000. This research is funded by WIPP programs administered by the Office of Environmental Management (EM) of the U.S Department of Energy.

[Nursing managers: study to assess the expectations of nursing coordinators in a Northern Italian Hospital].

PubMed

Curti, Tiziana; Scaffidi, Maria Carmela; Basso, Anna Maddalena; Garrino, Lorenza

2011-01-01

In modern health-care , nursing managers play a strategic role in improving the quality of care and the skills of carers, since management and leadership strategies are known to be decisive in the deployment of resources and professional development. The aim of this study is to present the opinions and expectations of nursing coordinators regarding their managerial role. During the creation of a nursing service unifying the management of 3 local health authorities in Northern Italy, with different organizational and professional features, nursing coordinators were asked to fill in a questionnaire. Results showed that a priority aspect of the managerial role is to assess the appropriateness of care and the use of resources Their answers showed that they hoped for a style of management founded on aspects related to clinical government. For the style of leadership, they emphasized dedication to work, participation of staff in decision-making, group information and providing support in areas needing improvement. Although the study was territorial , it confirmed international guide-lines regarding the policies which give value to investments in the quality of organization and can be considered a point of reference for planning and creating future nursing services.

A concept of technology for freight wagons modernization

NASA Astrophysics Data System (ADS)

Pɫaczek, M.; Wróbel, A.; Buchacz, A.

2016-11-01

Rail transport is a very important part of the modern economy, one of the components determining its dynamic development. It is therefore important to conduct research and taking action aimed at the development and refinement of this branch of industry. Such actions directly translate into an increase in its effectiveness, safety, reduction of burden on the environment and society. Nowadays numerous studies are conducted, aimed at introducing new technologies and solutions, both in terms of railway infrastructure and logistics management systems, as well as in traction vehicles themselves. Introduction of modern technology helps eliminate or reduce nuisance problems associated with the implementation of any kind of transport or the operation of the used technical means. Presented paper concerns an issue of freight wagon modernization using composite materials. It presents a part of a research project that aim is to develop a technology of freight wagons modernization during their periodic repair. The main problem during exploitation of concerned types of freight wagons designed for coal transport is corrosion of the wagon's body shell. The goal of the project is to elongate the period between periodic repairs (by better corrosion protection) and improve conditions of exploitation of modernized freight wagons (for example easier unloading during winter conditions - no freezes of the charge to the freight wagon body shell). One of elements of the project is also to develop a system for diagnosing the technical condition of the modernized shell of wagon body during operation. For this purpose the use of non-destructive testing methods of technical state of constructions will be used, including methods that use the analysis of dynamic response of the object. Application of the composite panels to the freight wagon's body shell was proposed as the solution that can solve mentioned problems during exploitation of freight wagons. The composite panels composed of fiberglass and epoxy resin were proposed. They will be mounted on the body shell using blind rivet nuts. What is more the body shell of the modernized freight wagon will be painted using an anticorrosion agent. The research project is realized by a consortium composed by research units and industry and supported by the Polish National Centre for Research and Development.

Formation of the perspective innovation policy of the enterprise in the conditions of organizational-economic changes

NASA Astrophysics Data System (ADS)

Uvarova, Svetlana; Vlasenko, Vyacheslav; Bukreev, Anatoly; Myshovskaya, Ludmila; Kuzina, Olga

2018-03-01

This article is based on the analysis of modern condition and dynamics of innovational development of high-rise buildings construction. A number of cardinal organizational and economic changes in management at the macro and meso-levels is taken into the account. Principal scheme of development of the methodology of formation of perspective innovation politics in high-ruse buildings construction based on inculcation of modern methods of strategic control of innovational activity is suggested in this article.

KC-46A Tanker Modernization (KC-46A)

DTIC Science & Technology

2015-12-01

Selected Acquisition Report ( SAR ) RCS: DD-A&T(Q&A)823-387 KC-46A Tanker Modernization (KC-46A) As of FY 2017 President’s Budget Defense Acquisition...Management Information Retrieval (DAMIR) March 22, 2016 16:45:38 UNCLASSIFIED KC-46A December 2015 SAR March 22, 2016 16:45:38 UNCLASSIFIED 2...Document OSD - Office of the Secretary of Defense O&S - Operating and Support PAUC - Program Acquisition Unit Cost KC-46A December 2015 SAR March 22

Enemies into Allies: American Stability Operations and the Transformation of Japan 1945-1952

DTIC Science & Technology

2011-05-19

on Japanese forces in Manchuria finally shattered the last hopes of Emperor Hirohito and Japan’s governmental leadership.7 Jun Eto suggested that...of Modern Japan (New York: HarperCollins Publishers, 2000), 511. 8 Jun Eto , A Nation Reborn – A Short History of Postwar Japan (Tokyo: International...Modern Japan, trans. Mikiso Hane and John K . Urda (New York: Free Press, 1995), 39. First- 17 Brian J. McVeigh, Nationalisms of Japan – Managing and

BIOREACTOR LANDFILL DESIGN

EPA Science Inventory

Modern landfill design entails many elements including foundations, liner systems, leachate collection systems, stormwater control systems, slope stability considerations, leachate management systems, gas extraction systems, and capping and closure. The use of bioreactor technolo...

Sea-floor morphology and sedimentary environments of western Block Island Sound, northeast of Gardiners Island, New York

USGS Publications Warehouse

McMullen, Katherine Y.; Poppe, Lawrence J.; Danforth, William W.; Blackwood, Dann S.; Clos, Andrew R.; Parker, Castle E.

2014-01-01

Multibeam-echosounder data, collected during survey H12299 by the National Oceanic and Atmospheric Administration in a 162-square-kilometer area of Block Island Sound, northeast of Gardiners Island, New York, are used along with sediment samples and bottom photography, collected at 37 stations in this area by the U.S. Geological Survey during cruise 2013-005-FA, to interpret sea-floor features and sedimentary environments. These data and interpretations provide important base maps for future studies of the sea floor, focused, for example, on benthic ecology and resource management. The features and sedimentary environments on the sea floor are products of the glacial history and modern tidal regime. Features include bedforms such as sand waves and megaripples, boulders, a large current-scoured depression, exposed glaciolacustrine sediments, and areas of modern marine sediment. Sand covers much of the study area and is often in the form of sand waves and megaripples, which indicate environments characterized by coarse-grained bedload transport. Boulders and gravelly lag deposits, which indicate environments of erosion or nondeposition, are found off the coast of Gardiners Island and on bathymetric highs, probably marking areas where deposits associated with recessional ice-front positions, the northern flank of the terminal moraine, or coastal-plain sediments covered with basal till are exposed. Bottom photographs and video of boulders show that they are commonly covered with sessile fauna. Strong tidal currents have produced the deep scour depression along the northwestern edge of the study area. The eastern side of this depression is armored with a gravel lag. Sea-floor areas characterized by modern marine sediments appear featureless at the 2-meter resolution of the bathymetry and flat to current rippled in the photography. These modern environments are indicative of sediment sorting and reworking.

Reasons and correlates of contraceptive discontinuation in Kuwait.

PubMed

Shah, N M; Shah, M A; Chowdhury, R I; Menon, I

2007-09-01

(1) To examine the probability of discontinuation of various methods within 1, 2, and three years of use and the reasons for discontinuation; 2) to analyse the socio-demographic correlates of discontinuation. Data from a survey of Kuwaiti women in reproductive ages conducted in 1999 were used. Information on duration of use of modern and traditional methods, and reasons for discontinuation during the 72 months before the survey were analysed. Probabilities of discontinuation were estimated through multiple decrement life table analysis. After 1 year, 30% of modern and 40% of traditional method users had discontinued; after 3 years, discontinuation increased to 66 and 70%, respectively. After 36 months, only 40% of IUD users discontinued compared with 74% of oral contraceptive users. The desire to become pregnant was the leading reason for discontinuation of most modern methods, while method failure was an equally important reason for traditional methods. Discontinuation was significantly more frequent among higher parity, non-working and Bedouin women, and among those who said Islam disapproves of contraception. Contraception is used largely for spacing. More than two-thirds of the women studied had discontinued most methods after three years, except the IUD, which was used only by about 10% of them. Traditional methods are often discontinued due to method failure and may result in an unintended pregnancy. Better counselling is warranted for traditional methods. Health care for managing side effects of modern methods also needs improvement.

An Anthropological Perspective: Another Dimension to Modern Dental Wear Concepts

PubMed Central

Kaidonis, John A.; Ranjitkar, Sarbin; Lekkas, Dimitra; Townsend, Grant C.

2012-01-01

For many years, research on tooth wear by dental academics has been diametrically opposite to that of anthropological research, with each discipline having a different understanding as to the nature of the wear processes. Dental focus revolved around preventive and restorative considerations while the anthropological focus was a biological understanding related to human evolution, diet, environment, form, and function and included all the craniofacial structures. Introducing the anthropological perspective into modern dentistry gives an insight into the “bigger picture” of the nature and extent of tooth wear. By combining anthropological evidence with clinical knowledge and experience, it is most likely to provide the best-informed and biologically based approach to the management of tooth wear in modern societies. PMID:23304146

Status of barium studies in the present era of oncology: Are they a history?

PubMed

Mahajan, Abhishek; Desai, Subash; Sable, Nilesh Pandurang; Thakur, Meenakshi Haresh

2016-01-01

With the advent of the modern imaging technologies, the present era of oncology is seeing steady decline in requests for barium studies due to the many reasons. It is prudent to mention here, that, barium examinations cannot be made obsolete! Our aim to preserve the age old technique of barium studies not only to keep it going on but also for the betterment and appropriate management of the patient. Our goal is not to "save" barium studies simply to keep this technology alive, per se, but rather to preserve barium radiology for the quality in patient care.

Managed access technology to combat contraband cell phones in prison: Findings from a process evaluation.

PubMed

Grommon, Eric

2018-02-01

Cell phones in correctional facilities have emerged as one of the most pervasive forms of modern contraband. This issue has been identified as a top priority for many correctional administrators in the United States. Managed access, a technology that utilizes cellular signals to capture transmissions from contraband phones, has received notable attention as a promising tool to combat this problem. However, this technology has received little evaluative attention. The present study offers a foundational process evaluation and draws upon output measures and stakeholder interviews to identify salient operational challenges and subsequent lessons learned about implementing and maintaining a managed access system. Findings suggest that while managed access captures large volumes of contraband cellular transmissions, the technology requires significant implementation planning, personnel support, and complex partnerships with commercial cellular carriers. Lessons learned provide guidance for practitioners to navigate these challenges and for scholars to improve future evaluations of managed access. Copyright © 2017 Elsevier Ltd. All rights reserved.

An historical context of modern principles in the management of intracranial injury from projectiles.

PubMed

Agarwalla, Pankaj K; Dunn, Gavin P; Laws, Edward R

2010-05-01

The contemporary management of projectile head injuries owes much to the lessons neurosurgeons have distilled from their experiences in war. Through early investigation and an increasingly detailed account of wartime clinical experience, neurosurgeons--including the field's early giants--began to gain a greater understanding not only of intracranial missile pathophysiology but also of appropriate management. In this paper, the authors trace the development of the principles of managing intracranial projectile injury from the Crimean War in the 19th century through the Vietnam War to provide a context that frames a summary of today's core management principles.

Effective information management and assurance for a modern organisation during a crisis.

PubMed

MacLeod, Andrew

2015-01-01

During a crisis, organisations face a major unpredictable event with potentially negative consequences. Effective information management and assurance can assist the organisation in making sure that they have the correct information in a secure format to make decisions to recover their operations. The main elements of effective information management and assurance are confidentiality, integrity and availability, combined with non-repudiation. Should an element of effective information management or assurance be removed it can have a detrimental effect on the other elements and render the information management and assurance practices of the organisation ineffectual.

Municipal Water Demand: Statistical and Management Issues

NASA Astrophysics Data System (ADS)

Martin, William E.

In the foreword to this volume, Charles W. Howe, general editor of the Westview Press series on water policy and management, states that the goal of this book is to emphasize “the potential for improved water management with reduced economic and environmental costs by utilizing modern methods of demand estimation that take into account user responsiveness to price, conservation measures, and economic-demographic changes.” The authors accomplish their purpose, but the book itself leaves much to be desired.

The Changing Nature of Modernization Discourses in Documentary Films.

PubMed

Tabernero, Carlos

2018-03-01

Argument Franco's fascist regime in Spain (1939-1975) offers the possibility of exploring the complex relationship between media communication practices and the processes of production, circulation, and management of knowledge. The regime persistently used film, and later on television, as indoctrination and disciplining devices. These media thus served to shape the regime's representation, which largely relied on the generation of positive attitudes of adherence to the rulers through people's submission and obedience to experts. This article examines the changing nature of modernization discourses and practices, as a fundamental element of the regime's propaganda strategies, and as portrayed in documentaries produced under its rule. The rhetoric of modernization involved an explicit deficit model of knowledge management, which aimed at legitimating the regime's deeds and policies in its first decades, as we shall see regarding colonial-medical documentaries produced for the official newsreel in the 1940s. However, the focus of such rhetoric, despite its enduring political aims, had to somehow open up as the relationship between experts and non-experts changed, both in epistemological and practical terms, such as in wildlife documentary films produced for television in the 1970s, the regime's last decade.

Psychotherapeutic management of a potential spirit medium.

PubMed

Woon, T H; Teoh, C L

1976-03-01

Psychotherapeutic management of a potential spirit medium (shaman) in a modern University Hospital setting in Malaysia is described. Magical thinking, projection and spirit possession (trance state) occur during management. Discussion of management was based on what Heinz Wolff described as the psychotherapist's functions of (1) psychodynamic understanding; (2) the therapeutic function; and (3) the developmental function. This patient did not conform to the general criteria of a suitable patient for psychotherapy. But her willingness to engage in therapy contributed to a satisfactory outcome. The therapist's growth in cross-cultural therapeutic encounter seems to be prominent.

Current Trends in the Management of Blunt Solid Organ Injuries.

PubMed

Taviloglu, Korhan; Yanar, Hakan

2009-04-01

The management of patients with solid organ injuries has changed since the introduction of technically advanced imaging tools, such as ultrasonography and multiple scan computerized tomography, interventional radiological techniques and modern intensive care units. In spite of this development in the management of these patients, major solid organ traumas can still be challenging. There has been great improvement in the non-operative management (NOM) of intra-abdominal solid organ injury in recent decades. In most cases treatment of injuries has shifted from early surgical treatment to NOM.

The Humanistic Duo: The Park/Recreation Professional and the Computer. (Computer-Can I Use It?).

ERIC Educational Resources Information Center

Weiner, Myron E.

This paper states that there are two fundamental reasons for the comparative absence of computer use for parks and recreation at the present time. These are (1) lack of clear cut cost justification and (2) reluctance on the part of recreation professionals to accept their role as managers and, consequently, to utilize modern management tools. The…

Knowledge Management Capabilities and Organizational Performance: An Investigation into the Effects of Knowledge Infrastructure and Processes on Organizational Performance

ERIC Educational Resources Information Center

Cho, Taejun

2011-01-01

Knowledge is one of the most important assets for surviving in the modern business environment. The effective management of that asset mandates continuous adaptation by organizations, and requires employees to strive to improve the company's work processes. Organizations attempt to coordinate their unique knowledge with traditional means as well…

Cockpit design and cross-cultural issues underlying failures in crew resource management.

PubMed

Harris, Don; Li, Wen-Chin

2008-05-01

High power-distance has been implicated in many aircraft accidents involving Southeast Asian carriers where crew resource management (CRM) has been identified as a root cause. However, this commentary argues that the design of modern flight decks and their standard operating procedures have an inherent Western (low power-distance) bias within them which exacerbates these CRM issues.

Teaching under the New Taylorism: High-Stakes Testing and the Standardization of the 21st Century Curriculum

ERIC Educational Resources Information Center

Au, Wayne

2011-01-01

The application of the principles of scientific management within the structure, organization, and curriculum of public schools in the US became dominant during the early 1900s. Based upon research evidence from the modern day era of high-stakes testing in US public education, the fundamental logics guiding scientific management have resurfaced…

East Europe Report

DTIC Science & Technology

1987-02-02

technology-intensive investments) is increasing. "The situation concerning matters of science is identical with that pertaining to natural forces. Once...and modernization of existing plants and production sectors that turn out technologically identical or similar products. 10 Another goal of...self-management limited, to five enterprises in a state of crisis , in which the elections were more open and a true capacity for self-management was

Modernizing Schools in Mexico: The Rise of Teacher Assessment and School-Based Management Policies

ERIC Educational Resources Information Center

Echávarri, Jaime; Peraza, Cecilia

2017-01-01

In this paper we analyze the evolution of the teacher assessment policy and the origins of school-based management initiatives in the Mexican education context from the late 1980s until the last 2012-2013 Education Reform (RE2012-2013). Mexico joined the Global Education Reform Movement during the 1990s through the National Agreement for the…

Enhancing Learning Outcomes through Experiential Learning: Using Open-Source Systems to Teach Enterprise Systems and Business Process Management

ERIC Educational Resources Information Center

Jewer, Jennifer; Evermann, Joerg

2015-01-01

Enterprise systems and business process management are the two key information technologies to integrate the functions of a modern business into a coherent and efficient system. While the benefits of these systems are easy to describe, students, especially those without business experience, have difficulty appreciating how these systems are used…

Tree variables related to growth response and acclimation of advance regeneration of Norway spruce and other coniferous species after release

Treesearch

Marek Metslaid; Kalev Jogiste; Eero Nikinma; W. Keith Moser; Albert Porcar-Castell

2007-01-01

Modern forestry has been evolving towards multiple-use of forests and maintenance of biodiversity. Interest in integrating natural forest dynamics into management planning and silvicultural practices has increased as a result of concerns related to biodiversity values and maintaining ecological functions in managed forests. Taking advantage of naturally formed...

A Modern History of 'Imperial Medicine' Surrounding Hansen's Disease: Strategies to Manage Public Opinion in Modern Japanese Media.

PubMed

Seo, Gijae

2017-12-01

The purpose of this study is to understand the reality of imperial medicine by exploring the strategic attitude of the Japanese authority targeting the public who were not patients of Hansen's disease. For this purpose, this study examines the mass media data related to Hansen's disease published in Korea and Japan during the Japanese colonial rule. Research on Hansen's disease can be divided into medical, sociohistorical, social welfare, and human rights approach. There are medical studies and statistics on the dissemination of medical information about Hansen's disease and management measures, the history of the management of the disease, guarantee of the rights of the patients and the welfare environment, and studies on the autobiographical, literary writings and oral statements on the life and psychological conflicts of the patients. Among existing research, the topics of the study on Hansen's disease under the Japanese colonial rule include the history of the Sorokdo Island Sanatorium, investigation on the forced labor of the patients in the island, human rights violations against the patients, oral memoirs of the patients and doctors who practiced at that time. All of these studies are important achievements regarding the research on the patients. An important study of Hansen's disease in modern Japan is the work of Hujino Utaka, which introduces the isolation of and discrimination against the patients of Hansen's disease. Hujino Utaka's study examines the annihilation of people with infectious diseases in Japan and its colonies by the imperial government, which was the consequence of the imperial medical policies, and reports on the isolation of Hansen's disease patients during the war. Although these researches are important achievements in the study of Hansen's disease in modernity, their focus has mainly been on the history of isolation and exploitation in the Sorokdo Island Sanatorium and discrimination against the patients within the sanatorium, which was controlled by the director of the sanatorium. Consequently, the research tends to perceive the problem within the frame of antagonism between the agent of imperialism and the victims of exploitation by the hands of imperialism. Hence, it has limitations in that it has not fully addressed the problem of the people who were not Hansen's disease patients and as such, existed somewhere in between the two extremes in the process of administering medicine under the imperial rule. The purpose of this study is to identify the direction of imperial medicine in the history of Hansen's disease in Japan and to comprehend the characteristics of policy on Hansen's disease developed by Mitsuda Kensuke, who was behind the policy of imperial medicine, and examine the process of imperial medicine reaching out to the people (of Japan and its colonies). To achieve the goal, this study explores how the agent of imperial medicine gain the favor the public, who are not Hansen's disease patients, by means of the mass media. Specifically, this paper examines data in the Japanese language related to Korean patients of Hansen's disease including the mass media data on Hansen's disease in the source book titled The Collection of Data on Hansen's Disease in Joseon under the Colonial Rule(8 volumes) compiled by Takio Eiji, which has not been studied until now. It also reviews the cultural and popular magazines published in Japan and Joseon at that time.

Sewage Management Changes in the North-eastern Poland After Accession to the European Union

NASA Astrophysics Data System (ADS)

Skarżyński, Szymon; Bartkowska, Izabela

2018-02-01

Poland's accession to the European Union contributed to the infrastructure development of the whole country. One of the elements of the modernized infrastructure is the sewage network and facilities on this network, as well as facilities for waste water treatment and disposal of sludge. A wide stream of funds flowing to the country, and consequently also to the north-eastern polish voivodeships (Podlaskie, Warmian-Masurian, Lublin), allowed modernization, organize, and sometimes to build a new sewage management of this part of the country. The main factors and parameters that allow us to evaluate the development of the sewage management in north-eastern Poland are included: percentage of population using sewage treatment plants, number of municipal sewage plants with the division of their type, number of industrial plants, number of septic tanks, amount of sewage purified in a year, amount of sludge produced in the year, design capacity of sewage treatment plant, size of plant in population equivalent (PE). From a number of investments in the field of wastewater management carried out in the discussed area in the period after Poland's accession to the European Union, 9 investments were considered the most important, 3 from each of the voivodeships.

Managing human error in aviation.

PubMed

Helmreich, R L

1997-05-01

Crew resource management (CRM) programs were developed to address team and leadership aspects of piloting modern airplanes. The goal is to reduce errors through team work. Human factors research and social, cognitive, and organizational psychology are used to develop programs tailored for individual airlines. Flight crews study accident case histories, group dynamics, and human error. Simulators provide pilots with the opportunity to solve complex flight problems. CRM in the simulator is called line-oriented flight training (LOFT). In automated cockpits CRM promotes the idea of automation as a crew member. Cultural aspects of aviation include professional, business, and national culture. The aviation CRM model has been adapted for training surgeons and operating room staff in human factors.

The Relationship of Self-Efficacy and Complacency in Pilot-Automation Interaction

NASA Technical Reports Server (NTRS)

Prinzel, Lawrence J., III

2002-01-01

Pilot 'complacency' has been implicated as a contributing factor in numerous aviation accidents and incidents. The term has become more prominent with the increase in automation technology in modern cockpits and, therefore, research has been focused on understanding the factors that may mitigate its effect on pilot-automation interaction. The study examined self-efficacy of supervisory monitoring and the relationship between complacency on strategy of pilot use of automation for workload management under automation schedules that produce the potential for complacency. The results showed that self-efficacy can be a 'double-edged' sword in reducing potential for automation-induced complacency but limiting workload management strategies and increasing other hazardous states of awareness.

Agile methodology selection criteria: IT start-up case study

NASA Astrophysics Data System (ADS)

Micic, Lj

2017-05-01

Project management in modern IT companies is often based on agile methodologies which have several advantages compared to traditional methodologies such is waterfall. Having in mind that clients sometimes change project during development it is crucial for an IT company to choose carefully which methodology is going to implement and is it going to be mostly based on one or is it going got be combination of several. There are several modern and often used methodologies but among those Scrum, Kanban and XP programming are usually the most common. Sometimes companies use mostly tools and procedures from one but quite often they use some of the combination of those methodologies. Having in mind that those methodologies are just a framework they allow companies to adapt it for their specific projects as well as for other limitations. These methodologies are in limited usage Bosnia but more and more IT companies are starting to use agile methodologies because it is practice and common not just for their clients abroad but also starting to be the only option in order to deliver quality product on time. However it is always challenging which methodology or combination of several companies should implement and how to connect it to its own project, organizational framework and HR management. This paper presents one case study based on local IT start up and delivers solution based on theoretical framework and practical limitations that case company has.

Post surgical pain treatment - adults

MedlinePlus

... 18. Hernandez A, Sherwood ER. Anesthesiology principles, pain management, and conscious sedation. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice . 20th ...

CALS Infrastructure Analysis. Draft. Volume 21

DOT National Transportation Integrated Search

1990-03-01

This executive overview to the DoD CALS Infrastructure Analysis Report summarizes the Components' current effort to modernize the DoD technical data infrastructure. This infrastructure includes all existing and planned capabilities to acquire, manage...

Foundational Report Series: Advanced Distribution Management Systems for Grid Modernization, DMS Integration of Distributed Energy Resources and Microgrids

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

Singh, Ravindra; Reilly, James T.; Wang, Jianhui

Deregulation of the electric utility industry, environmental concerns associated with traditional fossil fuel-based power plants, volatility of electric energy costs, Federal and State regulatory support of “green” energy, and rapid technological developments all support the growth of Distributed Energy Resources (DERs) in electric utility systems and ensure an important role for DERs in the smart grid and other aspects of modern utilities. DERs include distributed generation (DG) systems, such as renewables; controllable loads (also known as demand response); and energy storage systems. This report describes the role of aggregators of DERs in providing optimal services to distribution networks, through DERmore » monitoring and control systems—collectively referred to as a Distributed Energy Resource Management System (DERMS)—and microgrids in various configurations.« less

The key to health services in Turkey: new perspectives on leadership and hospital management.

PubMed

Sahin, Alper A

2014-01-01

Health services are one of the most important criteria for making a country function. Turkey has mobilized all of its resources to provide high-quality, easily accessible and patient-friendly services for its population. To achieve this aim, the Turkish health care system has been undergoing a significant transformation through its Health Transformation Programme begun in 2005. The reforms focus on the introduction of a general health insurance system, changing hospital health services, improvements in hospital management and transformational leadership skills. Firstly, all state-run hospitals in the country were merged under the same umbrella, giving millions of people covered by the national security agency access to all of these hospitals. Secondly, all drugs and medical equipment used by patients were made free of charge. Thanks to these developments, hospitals were modernized, and this modernization process in the health sector is still continuing swiftly. On the other hand, for Turkish hospitals to survive, they need to modernize further and become closer to European models, and produce new leaders with new paradigms. In this new and changing health system, hospital leaders and executive officers should be visionaries and strategists advising when to change direction. Following this doctrine, most Turkish hospitals are now run by two top executives: the hospital manager and the chief executive officer who is in charge of business functions. These executives should clearly be the leaders of high-quality, health care organizations.

Hitting the right target: taxonomic challenges for, and of, plant invasions

PubMed Central

Pyšek, Petr; Hulme, Philip E.; Meyerson, Laura A.; Smith, Gideon F.; Boatwright, James S.; Crouch, Neil R.; Figueiredo, Estrela; Foxcroft, Llewellyn C.; Jarošík, Vojtěch; Richardson, David M.; Suda, Jan; Wilson, John R. U.

2013-01-01

This paper explores how a lack of taxonomic expertise, and by implication a dearth of taxonomic products such as identification tools, has hindered progress in understanding and managing biological invasions. It also explores how the taxonomic endeavour could benefit from studies of invasive species. We review the literature on the current situation in taxonomy with a focus on the challenges of identifying alien plant species and explore how this has affected the study of biological invasions. Biosecurity strategies, legislation dealing with invasive species, quarantine, weed surveillance and monitoring all depend on accurate and rapid identification of non-native taxa. However, such identification can be challenging because the taxonomic skill base in most countries is diffuse and lacks critical mass. Taxonomic resources are essential for the effective management of invasive plants and incorrect identifications can impede ecological studies. On the other hand, biological invasions have provided important tests of basic theories about species concepts. Better integration of classical alpha taxonomy and modern genetic taxonomic approaches will improve the accuracy of species identification and further refine taxonomic classification at the level of populations and genotypes in the field and laboratory. Modern taxonomy therefore needs to integrate both classical and new concepts and approaches. In particular, differing points of view between the proponents of morphological and molecular approaches should be negotiated because a narrow taxonomic perspective is harmful; the rigour of taxonomic decision-making clearly increases if insights from a variety of different complementary disciplines are combined and confronted. Taxonomy plays a critical role in the study of plant invasions and in turn benefits from the insights gained from these studies.

Blood banking services in India.

PubMed

Sardana, V N

1996-01-01

India's health care sector has made impressive strides toward providing health for all by the year 2000. That progress, however, has not been supported by a modern transfusion services network which continues to improve itself. In India, blood collection, storage, and delivery occur mainly in blood banks attached to hospitals, most of which are under central and state government controls. A significant portion of blood banking activity is also done by voluntary agencies and private sector blood banks. A study found the blood transfusion services infrastructure to be highly decentralized and lacking of many critical resources; an overall shortage of blood, especially from volunteer donors; limited and erratic testing facilities; an extremely limited blood component production/availability/use; and a shortage of health care professionals in the field of transfusion services. Infrastructural modernization and the technical upgrading of skills in the blood banks would, however, provide India with a dynamic transfusion services network. The safety of blood transfusion, the national blood safety program, HIV testing facilities, modernization of blood banks, the rational use of blood, program management, manpower development, the legal framework, voluntary blood donation, and a 1996 Supreme Court judgement on the need to focus greater attention upon the blood program are discussed.

A healthcare management system for Turkey based on a service-oriented architecture.

PubMed

Herand, Deniz; Gürder, Filiz; Taşkin, Harun; Yuksel, Emre Nuri

2013-09-01

The current Turkish healthcare management system has a structure that is extremely inordinate, cumbersome and inflexible. Furthermore, this structure has no common point of view and thus has no interoperability and responds slowly to innovations. The purpose of this study is to show that using which methods can the Turkish healthcare management system provide a structure that could be more modern, more flexible and more quick to respond to innovations and changes taking advantage of the benefits given by a service-oriented architecture (SOA). In this paper, the Turkish healthcare management system is chosen to be examined since Turkey is considered as one of the Third World countries and the information architecture of the existing healthcare management system of Turkey has not yet been configured with SOA, which is a contemporary innovative approach and should provide the base architecture of the new solution. The innovation of this study is the symbiosis of two main integration approaches, SOA and Health Level 7 (HL7), for integrating divergent healthcare information systems. A model is developed which is based on SOA and enables obtaining a healthcare management system having the SSF standards (HSSP Service Specification Framework) developed by the framework of the HSSP (Healthcare Services Specification Project) under the leadership of HL7 and the Object Management Group.

The role of technology and telemetry medicine in the initial management of a ST-segment elevated myocardial infarction in a rural emergency department.

PubMed

Hood, Michael L

2018-05-01

The 12-lead electrocardiogram (ECG) is an integral part of the diagnostic tools available for recognising a patient who is experiencing an ST-segment elevated myocardial infarction (STEMI). Consequently, a great emphasis is placed on the rapid acquisition and expert interpretation of the 12-lead ECG so that the appropriate reperfusion management might be commenced to optimise patient outcomes by preventing further damage to the myocardium. With the advancement of telemetric and diagnostic abilities of the modern ECG machine, the role of frontline rural emergency clinicians is as important as ever. This clinical case report describes the presentation and management of a person experiencing a STEMI in a rural Australian hospital emergency department setting. The emanating point of interest from this case report is the early clinician recognition of significant ST-segment elevation in multiple leads of the initial ECG trace, indicating a STEMI. Despite the presence of significant acute ST-segment changes throughout the trace, the ECG's diagnostic analysis of the 12-lead ECG did not identify it as meeting STEMI criteria. Subsequently, the ECG was not recommended by the ECG machine for telemetric transmission to the remote on-call cardiologist for immediate STEMI management guidance. This article focuses on the telemetric technology utilised in the management of STEMIs in the rural emergency department, the diagnostic ability of the modern ECG and the role of the frontline rural emergency clinician in the utilisation of such technology. Competent utilisation of key technologies applied to the ECG machine require the clinician to be well trained in the technical use of the equipment, have a thorough understanding of how the technology interacts within the established clinical pathway and be ready to apply its use in a timely manner in order to prevent delays in treatment. Furthermore, an over-reliance on the diagnostic ability of the modern ECG machine in the rural or remote context may potentially lead to poor patient outcomes.

The Application Of Biofilter System For Reduction Of Methane Emissions From Modern Sanitary Landfills

NASA Astrophysics Data System (ADS)

Sung, K.; Park, S.

2007-12-01

Increased atmospheric concentrations of greenhouse gases (GHG) caused by anthropogenic activities has been related to global climate change. Methane, the second most important GHG after CO2, is 21 times more effective at trapping heat than CO2. Therefore, methane emission control is of utmost importance for global warming reduction. To minimize leachate production and protect groundwater resources, modern sanitary landfills are equipped with composite covers and gas collection systems. Methane from modern sanitary landfills is vented directly to the atmosphere, except for some of the largest landfills where it is recovered as energy and burned at the site. However, the efficiency of energy recovery systems in larger landfills is reduced as the amount of CH4 generated from landfill begins to decrease. In this study, the performance of a lab-scale model biofilter system was investigated to treat CH4 gas emitted from modern sanitary landfills by conducting batch and column experiments using landfill cover soil amended with earthworm cast as the filter bed medium. From the batch experiments to measure the influence of moisture content and temperature of the filter medium on CH4 removal capacity of a biofilter system, the optimum moisture content and temperature were found to be 10-15% by weight and 25-35°C, respectively. The column experiment was conducted to measure the influence of inlet CH4 concentration and CH4 loading rate on CH4 removal capacity of a biofilter system. As the inlet CH4 concentration decreased, the percentage of CH4 oxidized increased. Up to a CH4 loading rate of 2785 g CH4 m3 h- 1 (EBRT = 7.7 min), the CH4 removal efficiency of the biofilter was able to reach 100%. Based on the results of the study, the installation of a properly managed biofilter system should be capable of achieving a reduction in atmospheric CH4 emissions from modern sanitary landfills at low CH4 generation stage.

Exploitation and Benefits of BIM in Construction Project Management

NASA Astrophysics Data System (ADS)

Mesároš, Peter; Mandičák, Tomáš

2017-10-01

BIM is increasingly getting into the awareness in construction industry. BIM is the process of creating and data managing of the building during its life cycle. BIM became a part of management tools in modern construction companies. Construction projects have a number of participants. It means difficulty process of construction project management and a serious requirement for processing the huge amount of information including design, construction, time and cost parameters, economic efficiency and sustainability. Progressive information and communication technologies support cost management and management of construction project. One of them is Building Information Modelling. Aim of the paper is to examine the impact of BIM exploitation and benefits on construction project management in Slovak companies.

An Overview of the History of Orthopedic Surgery.

PubMed

Swarup, Ishaan; O'Donnell, Joseph F

Orthopedic surgery has a long and rich history. While the modern term orthopedics was coined in the 1700s, orthopedic principles were beginning to be developed and used during primitive times. The Egyptians continued these practices, and described ways to recognize and manage common orthopedic conditions. The Greeks and Romans subsequently began to study medicine in a systematic manner, and greatly improved our understanding of orthopedic anatomy and surgical technique. After a period of little progress during the Middle Ages, rapid advancement was noted during the Renaissance, including the description of various injuries, improvements in surgical technique, and development of orthopedic hospitals. Collectively, these advances provided the foundation for modern orthopedics. Currently, orthopedic surgery is a rapidly developing field that has benefited from the works of numerous scholars and surgeons. It is important to recognize the successes and failures of the past, in order to advance research and practice as well as improve patient care and clinical outcomes.

The Development and Preliminary Application Ofplant Quarantine Remote Teaching System Inchina

NASA Astrophysics Data System (ADS)

Wu, Zhigang; Li, Zhihong; Yang, Ding; Zhang, Guozhen

With the development of modern information technology, the traditional teaching mode becomes more deficient for the requirement of modern education. Plant Quarantine has been accepted as the common course for the universities of agriculture in China after the entry of WTO. But the teaching resources of this course are not enough especially for most universities with lack base. The characteristic of e-learning is regarded as one way to solve the problem of short teaching resource. PQRTS (Plant Quarantine Remote Teaching System) was designed and developed with JSP (Java Sever Pages), MySQL and Tomcat in this study. The system included many kinds of plant quarantine teaching resources, such as international glossary, regulations and standards, multimedia information of quarantine process and pests, ppt files of teaching, and training exercise. The system prototype implemented the functions of remote learning, querying, management, examination and remote discussion. It could be a tool for teaching, teaching assistance and learning online.

Manager traits and quality-of-care performance in hospitals.

PubMed

Aij, Kjeld Harald; Aernoudts, René L M C; Joosten, Gepke

2015-07-06

This paper aims to assess the impact of the leadership traits of chief executive officers (CEOs) on hospital performance in the USA. The effectiveness and efficiency of the CEO is of critical importance to the performance of any organization, including hospitals. Management systems and manager behaviours (traits) are of crucial importance to any organization because of their connection with organizational performance. To identify key factors associated with the quality of care delivered by hospitals, the authors gathered perceptions of manager traits from chief executive officers (CEOs) and followers in three groups of US hospitals delivering different levels of quality of care performance. Three high- and three low-performing hospitals were selected from the top and bottom 20th percentiles, respectively, using a national hospital ranking system based on standard quality of care performance measures. Three lean hospitals delivering intermediate performance were also selected. A survey was used to gather perceptions of manager traits (providing a modern or lean management system inclination) from CEOs and their followers in the three groups, which were compared. Four traits were found to be significantly different (alpha < 0.05) between lean (intermediate-) and low-performing hospitals. The different perceptions between these two hospital groups were all held by followers in the low-performing hospitals and not the CEOs, and all had a modern management inclination. No differences were found between lean (intermediate-) and high-performing hospitals, or between high- and low-performing hospitals. These findings support a need for hospital managers to acquire appropriate traits to achieve lean transformation, support a benefit of measuring manager traits to assess progress towards lean transformation and lend weight to improved quality of care that can be delivered by hospitals adopting a lean system of management.

Energy requirements in pressure irrigation systems

NASA Astrophysics Data System (ADS)

Sánchez, R.; Rodríguez-Sinobas, L.; Juana, L.; Laguna, F. V.; Castañón, G.; Gil, M.; Benítez, J.

2012-04-01

Modernization of irrigation schemes, generally understood as transformation of surface irrigation systems into pressure -sprinkler and trickle- irrigation systems, aims at, among others, improving irrigation efficiency and reduction of operation and maintenance efforts made by the irrigators. However, pressure irrigation systems, in contrast, carry a serious energy cost. Energy requirements depend on decisions taken on management strategies during the operation phase, which are conditioned by previous decisions taken on the design project of the different elements which compose the irrigation system. Most of the countries where irrigation activity is significant bear in mind that modernization irrigation must play a key role in the agricultural infrastructure policies. The objective of this study is to characterize and estimate the mean and variation of the energy consumed by common types of irrigation systems and their management possibilities. The work includes all processes involved from the diversion of water into irrigation specific infrastructure to water discharge by the emitters installed on the crop fields. Simulation taking into account all elements comprising the irrigation system has been used to estimate the energy requirements of typical irrigation systems of several crop production systems. It has been applied to extensive and intensive crop systems, such us extensive winter crops, summer crops and olive trees, fruit trees and vineyards and intensive horticulture in greenhouses. The simulation of various types of irrigation systems and management strategies, in the framework imposed by particular cropping systems, would help to develop criteria for improving the energy balance in relation to the irrigation water supply productivity.

Personalized medicine-a modern approach for the diagnosis and management of hypertension.

PubMed

Savoia, Carmine; Volpe, Massimo; Grassi, Guido; Borghi, Claudio; Agabiti Rosei, Enrico; Touyz, Rhian M

2017-11-15

The main goal of treating hypertension is to reduce blood pressure to physiological levels and thereby prevent risk of cardiovascular disease and hypertension-associated target organ damage. Despite reductions in major risk factors and the availability of a plethora of effective antihypertensive drugs, the control of blood pressure to target values is still poor due to multiple factors including apparent drug resistance and lack of adherence. An explanation for this problem is related to the current reductionist and 'trial-and-error' approach in the management of hypertension, as we may oversimplify the complex nature of the disease and not pay enough attention to the heterogeneity of the pathophysiology and clinical presentation of the disorder. Taking into account specific risk factors, genetic phenotype, pharmacokinetic characteristics, and other particular features unique to each patient, would allow a personalized approach to managing the disease. Personalized medicine therefore represents the tailoring of medical approach and treatment to the individual characteristics of each patient and is expected to become the paradigm of future healthcare. The advancement of systems biology research and the rapid development of high-throughput technologies, as well as the characterization of different -omics, have contributed to a shift in modern biological and medical research from traditional hypothesis-driven designs toward data-driven studies and have facilitated the evolution of personalized or precision medicine for chronic diseases such as hypertension. © 2017 The Author(s). Published by Portland Press Limited on behalf of the Biochemical Society.

State of the art in treatment of facial paralysis with temporalis tendon transfer.

PubMed

Sidle, Douglas M; Simon, Patrick

2013-08-01

Temporalis tendon transfer is a technique for dynamic facial reanimation. Since its inception, nearly 80 years ago, it has undergone a wealth of innovation to produce the modern operation. The purpose of this review is to update the literature as to the current techniques and perioperative management of patients undergoing temporalis tendon transfer. The modern technique focuses on the minimally invasive approaches and aesthetic refinements to enhance the final product of the operation. The newest techniques as well as preoperative assessment and postoperative rehabilitation are discussed. When temporalis tendon transfer is indicated for facial reanimation, the modern operation offers a refined technique that produces an aesthetically acceptable outcome. Preoperative smile assessment and postoperative smile rehabilitation are necessary and are important adjuncts to a successful operation.

Nonsurgical management of cardiac missiles.

PubMed

Klein, Jillian A; Nowak, Jeffrey E; Sutherell, Jamie S; Wheeler, Derek S

2010-01-01

Modern air-powered pellet guns are capable of propelling their projectiles at velocities of 250 to 930 ft/s depending on their propulsion system-rivaling traditional small caliber firearms in the potential for serious soft tissue injuries. Management decisions regarding thoracic/cardiac pellet gun injuries must be based on the presentation and stability of the patient and the location of the retained pellet. We present a report of the nonsurgical management of an 8-year-old girl with a retained pericardial pellet and small stable effusion.

Information Technology Portfolio Management Proof of Concept: Modern Portfolio Theory With KVA and ROI Analysis

DTIC Science & Technology

2010-09-01

approach” that provides analysis for “program managers to attain the right knowledge [e.g., portfolio values] at critical junctures so they can make...portfolio, it is critical to create a credible beta (β) for the presumed “market volatility” of the IT asset class. The KVA methodology may be used...for this critical task. Establishing a beta (β) for DoD wide IT portfolio management uses the work conducted at the Naval Postgraduate School (NPS

GIS data for the Seaside, Oregon, Tsunami Pilot Study to modernize FEMA flood hazard maps

USGS Publications Warehouse

Wong, Florence L.; Venturato, Angie J.; Geist, Eric L.

2007-01-01

A Tsunami Pilot Study was conducted for the area surrounding the coastal town of Seaside, Oregon, as part of the Federal Emergency Management's (FEMA) Flood Insurance Rate Map Modernization Program (Tsunami Pilot Study Working Group, 2006). The Cascadia subduction zone extends from Cape Mendocino, California, to Vancouver Island, Canada. The Seaside area was chosen because it is typical of many coastal communities subject to tsunamis generated by far- and near-field (Cascadia) earthquakes. Two goals of the pilot study were to develop probabilistic 100-year and 500-year tsunami inundation maps using Probabilistic Tsunami Hazard Analysis (PTHA) and to provide recommendations for improving tsunami hazard assessment guidelines for FEMA and state and local agencies. The study was an interagency effort by the National Oceanic and Atmospheric Administration, U.S. Geological Survey, and FEMA, in collaboration with the University of Southern California, Middle East Technical University, Portland State University, Horning Geoscience, Northwest Hydraulics Consultants, and the Oregon Department of Geological and Mineral Industries. The pilot study model data and results are published separately as a geographic information systems (GIS) data report (Wong and others, 2006). The flood maps and GIS data are briefly described here.

Sustainability in Supply Chain Management: Aggregate Planning from Sustainability Perspective.

PubMed

Türkay, Metin; Saraçoğlu, Öztürk; Arslan, Mehmet Can

2016-01-01

Supply chain management that considers the flow of raw materials, products and information has become a focal issue in modern manufacturing and service systems. Supply chain management requires effective use of assets and information that has far reaching implications beyond satisfaction of customer demand, flow of goods, services or capital. Aggregate planning, a fundamental decision model in supply chain management, refers to the determination of production, inventory, capacity and labor usage levels in the medium term. Traditionally standard mathematical programming formulation is used to devise the aggregate plan so as to minimize the total cost of operations. However, this formulation is purely an economic model that does not include sustainability considerations. In this study, we revise the standard aggregate planning formulation to account for additional environmental and social criteria to incorporate triple bottom line consideration of sustainability. We show how these additional criteria can be appended to traditional cost accounting in order to address sustainability in aggregate planning. We analyze the revised models and interpret the results on a case study from real life that would be insightful for decision makers.

Power Aware Management Middleware for Multiple Radio Interfaces

NASA Astrophysics Data System (ADS)

Friedman, Roy; Kogan, Alex

Modern mobile phones and laptops are equipped with multiple wireless communication interfaces, such as WiFi and Bluetooth (BT), enabling the creation of ad-hoc networks. These interfaces significantly differ from one another in their power requirements, transmission range, bandwidth, etc. For example, BT is an order of magnitude more power efficient than WiFi, but its transmission range is an order of magnitude shorter. This paper introduces a management middleware that establishes a power efficient overlay for such ad-hoc networks, in which most devices can shut down their long range power hungry wireless interface (e.g., WiFi). Yet, the resulting overlay is fully connected, and for capacity and latency needs, no message ever travels more than 2k short range (e.g., BT) hops, where k is an arbitrary parameter. The paper describes the architecture of the solution and the management protocol, as well as a detailed simulations based performance study. The simulations largely validate the ability of the management infrastructure to obtain considerable power savings while keeping the network connected and maintaining reasonable latency. The performance study covers both static and mobile networks.

Sustainability in Supply Chain Management: Aggregate Planning from Sustainability Perspective

PubMed Central

Türkay, Metin; Saraçoğlu, Öztürk; Arslan, Mehmet Can

2016-01-01

Supply chain management that considers the flow of raw materials, products and information has become a focal issue in modern manufacturing and service systems. Supply chain management requires effective use of assets and information that has far reaching implications beyond satisfaction of customer demand, flow of goods, services or capital. Aggregate planning, a fundamental decision model in supply chain management, refers to the determination of production, inventory, capacity and labor usage levels in the medium term. Traditionally standard mathematical programming formulation is used to devise the aggregate plan so as to minimize the total cost of operations. However, this formulation is purely an economic model that does not include sustainability considerations. In this study, we revise the standard aggregate planning formulation to account for additional environmental and social criteria to incorporate triple bottom line consideration of sustainability. We show how these additional criteria can be appended to traditional cost accounting in order to address sustainability in aggregate planning. We analyze the revised models and interpret the results on a case study from real life that would be insightful for decision makers. PMID:26807848

Can Accelerators Accelerate Learning?

NASA Astrophysics Data System (ADS)

Santos, A. C. F.; Fonseca, P.; Coelho, L. F. S.

2009-03-01

The 'Young Talented' education program developed by the Brazilian State Funding Agency (FAPERJ) [1] makes it possible for high-schools students from public high schools to perform activities in scientific laboratories. In the Atomic and Molecular Physics Laboratory at Federal University of Rio de Janeiro (UFRJ), the students are confronted with modern research tools like the 1.7 MV ion accelerator. Being a user-friendly machine, the accelerator is easily manageable by the students, who can perform simple hands-on activities, stimulating interest in physics, and getting the students close to modern laboratory techniques.

Mobile device geo-localization and object visualization in sensor networks

NASA Astrophysics Data System (ADS)

Lemaire, Simon; Bodensteiner, Christoph; Arens, Michael

2014-10-01

In this paper we present a method to visualize geo-referenced objects on modern smartphones using a multi- functional application design. The application applies different localization and visualization methods including the smartphone camera image. The presented application copes well with different scenarios. A generic application work flow and augmented reality visualization techniques are described. The feasibility of the approach is experimentally validated using an online desktop selection application in a network with a modern of-the-shelf smartphone. Applications are widespread and include for instance crisis and disaster management or military applications.

Treatment of rabies in the 21st century: curing the incurable?

PubMed

Franka, Richard; Rupprecht, Charles E

2011-10-01

Despite the extreme case fatality attributable to rabies, reports of survivors provide a faint glimpse of a possibility of overcoming this deadly disease, even after clinical symptoms manifest. At present, no existing approach fulfills modern medical criteria for the optimal therapy of rabies. Until new efficacious antiviral compounds and optimized treatment protocols are developed, animal population management and vaccination of major reservoirs and vectors, minimization of the risk of viral exposures, and appropriate and early postexposure prophylaxis, remain the hallmarks of modern public health intervention.

Impacts of Modernizing Urban Stormwater Systems on Nutrient and Carbon Dynamics

NASA Astrophysics Data System (ADS)

Filippelli, G. M.; Jacinthe, P. A.; Druschel, G.

2015-12-01

Over 200 cities throughout the U.S. are undergoing the painful and expensive transition from Combined Sewer Outflows (CSOs) to modern stormwater systems. The infrastructure of CSOs is frequently a century old, with a design adapted to stormwater conditions of smaller, more pervious cities. Normal rainfall events of less 1 cm per hour can now exceed the CSO capacities in many urban sub-watersheds, leading to streamwater conditions that exceed human health standards for pathogens. Although much focus has been placed on the plumbing aspects of urban stormwater modernization, less has been focused on local, and indeed regional, implications of nutrient and carbon dynamic changes. Indianapolis, Indiana, with a metropolitan population of over 1 million, is a case study of CSO modernization. Most CSO systems in the city were built almost 100 years ago, and the city has experienced classic patterns of growth of impervious surface area, population growth, and enhanced use of chemical fertilizers. The result of these changes has been frequent failure of the CSO system, and release of sewage water into suburban and urban streams, rivers and reservoirs. Driven largely by modern environmental regulations, the city is now "footing the bill" for a century of poor planning and growth, with the real costs seen by ratepayers in the form of steeply growing wastewater fees. The mitigation approach to this problem is largely one of subsurface engineering on a mega scale, with less attention (i.e., money) placed on complementary land-use and nutrient management efforts on the surface. Several examples illustrate the relatively straightforward nature of changing plumbing, in contrast to the complex result of these changes on nutrient pathways, and the implications that this has on oxygenation, nutrient cycling, and carbon release/sequestration dynamics in riparian and urban reservoir systems.

Remaking Governance.

ERIC Educational Resources Information Center

Carver, John

2000-01-01

The Policy Governance model's philosophical foundations lie in Rousseau's social contract, Greenleaf's servant-leadership, and modern management theory. Policy Governance stresses primacy of the owner-representative role; full-board authority; superintendents as chief executive officers; authoritative prescription of "ends," bounded…

Integrated Public Alert and Warning System Modernization Act of 2011

THOMAS, 112th Congress

Rep. Denham, Jeff [R-CA-19

2011-09-13

House - 09/14/2011 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Integrated Public Alert and Warning System Modernization Act of 2009

THOMAS, 111th Congress

Rep. Diaz-Balart, Mario [R-FL-25

2009-05-21

House - 05/22/2009 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Meckel's diverticulectomy

MedlinePlus

... Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice . 20th ed. Philadelphia, PA: Elsevier; 2017:chap 49. Terhune KP, Tarpley JL. The management of diverticulosis of the small bowel. In: Cameron ...

Anesthesia - what to ask your doctor - adult

MedlinePlus

... 23364567 . Hernandez A, Sherwood ER. Anesthesiology principles, pain management, and conscious sedation. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice . 20th ...

Research Technology

NASA Image and Video Library

1999-01-01

In the 1960's U.S. Government laboratories, under Project Orion, investigated a pulsed nuclear fission propulsion system. Based on Project Orion, an interplanetary vehicle using pulsed fission propulsion would incorporate modern technologies for momentum transfer, thermal management, and habitation design.

An analysis of the possibility of Macro Fiber Composite transducers application in modernized freight wagon

NASA Astrophysics Data System (ADS)

Płaczek, M.; Wróbel, A.; Buchacz, A.

2016-08-01

Paper presents an analysis of the possibility of application of piezoelectric foils - Macro Fiber Composite (MFC) in modernized freight wagons. It was verified if they can be successfully applied as sensors in developed system for structural health monitoring and in energy harvesting system. It is a part of a research project that aim is to develop a technology of freight wagons modernization. The goal of the project is to elongate the period between periodic repairs (by better corrosion protection) and improve conditions of exploitation of modernized wagons (easier unloading during winter conditions - no freezes of the charge to the freight wagon body shell). The additional aim is to develop system for structural health monitoring of the modernized body of the freight wagon as well as the system supporting management of a fleet of wagons using GPS system with power supply based on the energy recovered by MFC's from the wagon's vibrations during its exploitation. Results of laboratory tests as well as results of measurements on the real freight wagon during observed driving of the wagon are presented. At the same time measurements of the electric voltage generated by the MFC transducers excited by low frequencies harmonic excitation were verified.

Early-return-to-work in the context of an intensification of working life and changing employment relationships.

PubMed

Seing, Ida; MacEachen, Ellen; Ståhl, Christian; Ekberg, Kerstin

2015-03-01

Many Western welfare states have introduced early-return-to-work policies, in which getting sick-listed people back to work before they have fully recovered is presented as a rather unproblematic approach. This reflects a belief in the ability of employers and the labour market to solve sickness absence. Against this background, the aim of this study was to analyse return-to-work practice in local workplace contexts, in relation to Swedish early-return-to-work policy. Semi-structured interviews were conducted with 18 matched pairs of workers and managers. The material, comprising a total of 36 interviews, was analysed using qualitative content analysis. Three main themes were identified: (1) intensive workplaces and work conditions (2) employer support-a function of worker value and (3) work attachment and resistance to job transition. The results reflected the intensity of modern working life, which challenged return-to-work processes. Managers had different approaches to workers' return-to-work, depending on how they valued the worker. While managers used the discourse of 'new opportunities' and 'healthy change' to describe the transition process (e.g. relocation, unemployment and retirement), workers regularly experienced transitions as difficult and unjust. In the context of early-return-to-work policy and the intensity of modern working life, a great deal of responsibility was placed on workers to be adaptable to workplace demands in order to be able to return and stay at work. Overall, this study illustrates an emerging social climate where sick-listed workers are positioned as active agents who must take responsibility for sick leave and return-to-work process.

Managing chronic inflammation in the aging diabetic patient with CKD by diet or sevelamer carbonate: a modern paradigm shift.

PubMed

Vlassara, H; Cai, W; Chen, X; Serrano, E J; Shobha, M S; Uribarri, J; Woodward, M; Striker, G E

2012-12-01

The maintenance of normal metabolism and body defenses depends on the balance between cellular antioxidant and anti-inflammatory factors. This balance can be disrupted by agents/mechanisms in the extracellular milieu that induce excess reactive oxygen species (ROS) and inflammation. Cytopathic advanced glycation endproducts, present in ever increasing amounts in the modern diet, are one of the major environmental factors that cause excess ROS and/or inflammation at all ages and induce complications in aging, such as chronic kidney disease (CKD) and type 2 diabetes. Increased ROS and/or inflammation are present in both aging and CKD, and are associated with reduced cellular defenses against ROS and/or inflammation. Affected individuals have reduced defenses against further stress and are predisposed to organ failure, now a well-known phenomenon in aging. Thus, new methods are urgently needed to safely reduce ROS and/or inflammation in the aging type 2 diabetes patient with CKD. Studies of both normal aging and diabetic patients with kidney disease underline the fact that increased ROS and/or inflammation can be managed in these conditions by economical, safe, and effective interventions that reduce the uptake of advanced glycation endproducts by either modifying preparation of food or an oral drug. This communication reviews these data and adds new information on the efficacy of a drug, sevelamer carbonate, required to reduce ROS and/or inflammation in the aging type 2 diabetes patient complicated by CKD. If larger and longer studies confirm the hypothesis that one or both of these interventions reduce progression of CKD, it could represent a new paradigm in the management of complications in the type 2 diabetes patient with CKD.

Simple Myths and Basic Maths about Greening Irrigation

NASA Astrophysics Data System (ADS)

Dionisio Pérez-Blanco, C.; Gómez, C. Mario

2014-05-01

Managing water is a very complex societal issue that needs to involve legal, environmental, technological, financial and political considerations that are difficult to co-ordinate in an effective manner. This complexity and the lack of an agreed assessment framework have often implied that political decisions, largely driven by transaction costs (especially the bargaining costs required to come to an acceptable agreement with all the parties involved), have overshadowed and prevailed over other considerations. As a result, (financially) expensive solutions such as irrigation modernization programmes have been preferred to their inexpensive alternatives to save water, such as quotas or pricing policies. However, greening the economy is mostly about improving water governance and not only about putting the existing resource saving technical alternatives into practice. Focusing on the second and forgetting the first risks finishing with a highly efficient use of water services at the level of each individual user but with an unsustainable amount of water use for the entire economy. This might be happening already in many places with the modernization of irrigated agriculture, the world's largest water user and the one offering the most promising water saving opportunities. In spite of high expectations, costly modern irrigation techniques seem not to be contributing to reduce water scarcity and increase drought resiliency. In fact, according to the little evidence available, in some areas they are resulting in higher water use. Building on basic economic principles this study aims to show the conditions under which this apparently paradoxical outcome, known as the Jevons' Paradox, might appear. This basic model is expected to serve as guidance for assessing the actual outcomes of increasing irrigation efficiency and to discuss the changes in water governance that would be required for this to make a real contribution to sustainable water management.

Emotions at work: what is the link to patient and staff safety? Implications for nurse managers in the NHS.

PubMed

Smith, Pam; Pearson, Pauline H; Ross, Fiona

2009-03-01

This paper sets the discussion of emotions at work within the modern NHS and the current prioritisation of creating a safety culture within the service. The paper focuses on the work of students, frontline nurses and their managers drawing on recent studies of patient safety in the curriculum, and governance and incentives in the care of patients with complex long term conditions. The primary research featured in the paper combined a case study design with focus groups, interviews and observation. In the patient safety research the importance of physical and emotional safety emerged as a key finding both for users and professionals. In the governance and incentives research, risk emerged as a key concern for managers, frontline workers and users. The recognition of emotions and the importance of emotional labour at an individual and organizational level managed by emotionally intelligent leaders played an important role in promoting worker and patient safety and reducing workplace risk. Nurse managers need to be aware of the emotional complexities of their organizations in order to set up systems to support the emotional wellbeing of professionals and users which in turn ensures safety and reduces risk.

Effect of Mahayavanala Roma Kshara and Dhanyaka Gokshura Ghrita in benign prostatic hyperplasia

PubMed Central

Vasava, Yogesh R.; Bhuyan, Chaturbhuja; Rajagopala, Manjusha; Gupta, S. K.; Dudhamal, T. S.

2010-01-01

Vatastheela is a disease of Mutravahasrotasa, one among the 12 types of Mutraghata disorders elaborated by Sushruta in his seminal work, the Sushruta Samhita. Vatastheela, as described in Ayurveda, closely resembles benign prostatic hyperplasia (BPH) of modern medicine in its signs and symptoms. It is a senile disorder and chiefly affects individuals above the age of 40 years. The symptoms are those of bladder outflow obstruction, with increased frequency of micturition, dribbling, hesitancy, and the features of chronic urinary retention. Surgical management has been accepted as the standard management but is associated with many disadvantages as well as complications, which may not be acceptable at this age. Conservative management with modern medicines is also not free from side effects. So, in this age-group, there is a need for much safer alternative method of management. In this regard, many works have been carried out and shown that the Ayurvedic approach, using natural medicines, is a far better approach. We carried out a comparative study of Mahayavanala Roma Kshara (MRK) and Dhanyaka Gokshura Ghrita (DGG), which are the compounds prescribed for Mutraghata in Ayurvedic literature. The patients were randomly selected from the OPD and IPD of IPGT and RA hospital, Jamnagar, Gujarat, and divided into two groups. In first group, one (500 mg) capsule of MRK was given twice a day with lukewarm water for 45 days; in second group, 10 gm of DGG was given orally twice a day with lukewarm water for 45 days. DGG showed significantly greater relief in the subjective parameters as per International Prostate Symptoms Score (IPSS) than MRK. However, reduction in the size of the prostate and in the volume of the post-void residual urine was found much better in the MRK group. PMID:22131735

Effect of Mahayavanala Roma Kshara and Dhanyaka Gokshura Ghrita in benign prostatic hyperplasia.

PubMed

Vasava, Yogesh R; Bhuyan, Chaturbhuja; Rajagopala, Manjusha; Gupta, S K; Dudhamal, T S

2010-07-01

Vatastheela is a disease of Mutravahasrotasa, one among the 12 types of Mutraghata disorders elaborated by Sushruta in his seminal work, the Sushruta Samhita. Vatastheela, as described in Ayurveda, closely resembles benign prostatic hyperplasia (BPH) of modern medicine in its signs and symptoms. It is a senile disorder and chiefly affects individuals above the age of 40 years. The symptoms are those of bladder outflow obstruction, with increased frequency of micturition, dribbling, hesitancy, and the features of chronic urinary retention. Surgical management has been accepted as the standard management but is associated with many disadvantages as well as complications, which may not be acceptable at this age. Conservative management with modern medicines is also not free from side effects. So, in this age-group, there is a need for much safer alternative method of management. In this regard, many works have been carried out and shown that the Ayurvedic approach, using natural medicines, is a far better approach. We carried out a comparative study of Mahayavanala Roma Kshara (MRK) and Dhanyaka Gokshura Ghrita (DGG), which are the compounds prescribed for Mutraghata in Ayurvedic literature. The patients were randomly selected from the OPD and IPD of IPGT and RA hospital, Jamnagar, Gujarat, and divided into two groups. In first group, one (500 mg) capsule of MRK was given twice a day with lukewarm water for 45 days; in second group, 10 gm of DGG was given orally twice a day with lukewarm water for 45 days. DGG showed significantly greater relief in the subjective parameters as per International Prostate Symptoms Score (IPSS) than MRK. However, reduction in the size of the prostate and in the volume of the post-void residual urine was found much better in the MRK group.

DCMS: A data analytics and management system for molecular simulation.

PubMed

Kumar, Anand; Grupcev, Vladimir; Berrada, Meryem; Fogarty, Joseph C; Tu, Yi-Cheng; Zhu, Xingquan; Pandit, Sagar A; Xia, Yuni

Molecular Simulation (MS) is a powerful tool for studying physical/chemical features of large systems and has seen applications in many scientific and engineering domains. During the simulation process, the experiments generate a very large number of atoms and intend to observe their spatial and temporal relationships for scientific analysis. The sheer data volumes and their intensive interactions impose significant challenges for data accessing, managing, and analysis. To date, existing MS software systems fall short on storage and handling of MS data, mainly because of the missing of a platform to support applications that involve intensive data access and analytical process. In this paper, we present the database-centric molecular simulation (DCMS) system our team developed in the past few years. The main idea behind DCMS is to store MS data in a relational database management system (DBMS) to take advantage of the declarative query interface ( i.e. , SQL), data access methods, query processing, and optimization mechanisms of modern DBMSs. A unique challenge is to handle the analytical queries that are often compute-intensive. For that, we developed novel indexing and query processing strategies (including algorithms running on modern co-processors) as integrated components of the DBMS. As a result, researchers can upload and analyze their data using efficient functions implemented inside the DBMS. Index structures are generated to store analysis results that may be interesting to other users, so that the results are readily available without duplicating the analysis. We have developed a prototype of DCMS based on the PostgreSQL system and experiments using real MS data and workload show that DCMS significantly outperforms existing MS software systems. We also used it as a platform to test other data management issues such as security and compression.

Novel and Lost Forests in the Upper Midwestern United States, from New Estimates of Settlement-Era Composition, Stem Density, and Biomass.

PubMed

Goring, Simon J; Mladenoff, David J; Cogbill, Charles V; Record, Sydne; Paciorek, Christopher J; Jackson, Stephen T; Dietze, Michael C; Dawson, Andria; Matthes, Jaclyn Hatala; McLachlan, Jason S; Williams, John W

2016-01-01

EuroAmerican land-use and its legacies have transformed forest structure and composition across the United States (US). More accurate reconstructions of historical states are critical to understanding the processes governing past, current, and future forest dynamics. Here we present new gridded (8x8km) reconstructions of pre-settlement (1800s) forest composition and structure from the upper Midwestern US (Minnesota, Wisconsin, and most of Michigan), using 19th Century Public Land Survey System (PLSS), with estimates of relative composition, above-ground biomass, stem density, and basal area for 28 tree types. This mapping is more robust than past efforts, using spatially varying correction factors to accommodate sampling design, azimuthal censoring, and biases in tree selection. We compare pre-settlement to modern forests using US Forest Service Forest Inventory and Analysis (FIA) data to show the prevalence of lost forests (pre-settlement forests with no current analog), and novel forests (modern forests with no past analogs). Differences between pre-settlement and modern forests are spatially structured owing to differences in land-use impacts and accompanying ecological responses. Modern forests are more homogeneous, and ecotonal gradients are more diffuse today than in the past. Novel forest assemblages represent 28% of all FIA cells, and 28% of pre-settlement forests no longer exist in a modern context. Lost forests include tamarack forests in northeastern Minnesota, hemlock and cedar dominated forests in north-central Wisconsin and along the Upper Peninsula of Michigan, and elm, oak, basswood and ironwood forests along the forest-prairie boundary in south central Minnesota and eastern Wisconsin. Novel FIA forest assemblages are distributed evenly across the region, but novelty shows a strong relationship to spatial distance from remnant forests in the upper Midwest, with novelty predicted at between 20 to 60km from remnants, depending on historical forest type. The spatial relationships between remnant and novel forests, shifts in ecotone structure and the loss of historic forest types point to significant challenges for land managers if landscape restoration is a priority. The spatial signals of novelty and ecological change also point to potential challenges in using modern spatial distributions of species and communities and their relationship to underlying geophysical and climatic attributes in understanding potential responses to changing climate. The signal of human settlement on modern forests is broad, spatially varying and acts to homogenize modern forests relative to their historic counterparts, with significant implications for future management.

Novel and Lost Forests in the Upper Midwestern United States, from New Estimates of Settlement-Era Composition, Stem Density, and Biomass

PubMed Central

Mladenoff, David J.; Cogbill, Charles V.; Record, Sydne; Paciorek, Christopher J.; Jackson, Stephen T.; Dietze, Michael C.; Dawson, Andria; Matthes, Jaclyn Hatala; McLachlan, Jason S.; Williams, John W.

2016-01-01

Background EuroAmerican land-use and its legacies have transformed forest structure and composition across the United States (US). More accurate reconstructions of historical states are critical to understanding the processes governing past, current, and future forest dynamics. Here we present new gridded (8x8km) reconstructions of pre-settlement (1800s) forest composition and structure from the upper Midwestern US (Minnesota, Wisconsin, and most of Michigan), using 19th Century Public Land Survey System (PLSS), with estimates of relative composition, above-ground biomass, stem density, and basal area for 28 tree types. This mapping is more robust than past efforts, using spatially varying correction factors to accommodate sampling design, azimuthal censoring, and biases in tree selection. Changes in Forest Structure We compare pre-settlement to modern forests using US Forest Service Forest Inventory and Analysis (FIA) data to show the prevalence of lost forests (pre-settlement forests with no current analog), and novel forests (modern forests with no past analogs). Differences between pre-settlement and modern forests are spatially structured owing to differences in land-use impacts and accompanying ecological responses. Modern forests are more homogeneous, and ecotonal gradients are more diffuse today than in the past. Novel forest assemblages represent 28% of all FIA cells, and 28% of pre-settlement forests no longer exist in a modern context. Lost forests include tamarack forests in northeastern Minnesota, hemlock and cedar dominated forests in north-central Wisconsin and along the Upper Peninsula of Michigan, and elm, oak, basswood and ironwood forests along the forest-prairie boundary in south central Minnesota and eastern Wisconsin. Novel FIA forest assemblages are distributed evenly across the region, but novelty shows a strong relationship to spatial distance from remnant forests in the upper Midwest, with novelty predicted at between 20 to 60km from remnants, depending on historical forest type. The spatial relationships between remnant and novel forests, shifts in ecotone structure and the loss of historic forest types point to significant challenges for land managers if landscape restoration is a priority. The spatial signals of novelty and ecological change also point to potential challenges in using modern spatial distributions of species and communities and their relationship to underlying geophysical and climatic attributes in understanding potential responses to changing climate. The signal of human settlement on modern forests is broad, spatially varying and acts to homogenize modern forests relative to their historic counterparts, with significant implications for future management. PMID:27935944

Interpersonal conflict: strategies and guidelines for resolution.

PubMed

Wolfe, D E; Bushardt, S C

1985-02-01

Historically, management theorists have recommended the avoidance or suppression of conflict. Modern management theorists recognize interpersonal conflict as an inevitable byproduct of growth and change. The issue is no longer avoidance of conflict but the strategy by which conflict is resolved. Various strategies of conflict resolution and the consequences of each are discussed in this article, along with guidelines for the effective use of confrontation strategy.

Training Guide for the Management Analyst Industrial Engineer Technician

DTIC Science & Technology

1979-07-01

comtemporary work operations, and blending traditional and modern organization concepts, the student devwlops the facility to analyze and create organization...training, the attendee will know the functions of a computer as it processes business data to produce information for improved management. He will...action which is most cost effective when considering proposed investments. Emphasis is placed on the adaption of general business practices to

[Management of dysphagia in internal intensive-care medicine].

PubMed

Michels, G; Motzko, M; Weinert, M; Bruckner, M; Pfister, R; Guntinas-Lichius, O

2015-04-01

Physicians specializing in dysphagia are needed in modern intensive care medicine. Long-term intubation is associated with aspiration and swallowing disorders. Early and standardised dysphagia management should be initiated during a patient's stay on intensive care unit. A clinically experienced, interdisciplinary team is required to provide optimal care for critically ill patients with dysphagia. Intensive care physicians should therefore know about basics in dysphagiology.

Self-management and creativity

NASA Astrophysics Data System (ADS)

Medvedev, B. A.; Skaptsov, A. A.; Polikarpov, M. A.

2008-06-01

How to improve physicist's creativity? How one can make himself an instrument for creativity? What is the role of the humanities in initiation of intuitive moments in thinking? The problems are discussed in terms of such modern conception as Self-management, in context of the dialogue between nature and human being by Prigogine, "Farther reaches of human nature" by Maslow, and mathematical approach for modeling of mental structure elements.

Principles of sustainable development of the territory and priorities of architectural and urban construction activity

NASA Astrophysics Data System (ADS)

Dontsov, Dmitry; Yushkova, Natalia

2017-01-01

The paper is aimed at detecting conceptual conflicts within the architectural and urban construction activity (AUCA), defining their reasons and substantiating ways to decrease adverse effects they caused. Methods of causes and effects analyses are used, as well as evolutional and comparative analyses. They allow defining the laws to form activity model in modern environment, whose elements are ranked. Relevance of the paper is based on defining scientific and theoretical grounds of necessity to improve methodology of AUCA via its adaption to the imperatives of state management. System analyses enabled to prove practicability of considering factors of institution environment for reorganization of the model of AUCA, which provide the fullest implementation of sustainable development principles. It was proved that territorial planning is not only the leading type of AUCA, but also integrator for functioning structures of state management within planning of social and economic development. As main result of the paper consist in detection of the perspective ways for evolution of modern methodology due to increasing interdisciplinary aspect leading to the qualitative renewal of territorial management principles.

Product policy - the main component of the marketing mix in the Romanian health services.

PubMed

Coculescu, B I; Purcarea, V L; Coculescu, E C

2016-01-01

The objectives of the reforms in the EU healthcare systems are based on the implementation of the marketing concept in the health systems, which are, among other things: • efficient management of the financial resources and control costs of the rendered health services; • increased satisfaction of the clients of health care services; • broad accessibility to health services; • effective implementation of modern technologies; • rational stimulation of medical services consumption; • achievement of a fair and neutral competition between the public/ private providers and health insurance companies; • introduction of performance criteria in order to increase the incomes of the medical staff and hierarchy in hospitals; • implementation of modern management methods in health services management; • decentralization of the public healthcare system. Product policy in the medical system of healthcare - the most important component of the marketing mix - is the attitude that addresses a medical organization to the volume, structure, and diversity of services subject to their own activities in relation to the requirements of the services market and the competitive actions of other medical institutions.

Product policy - the main component of the marketing mix in the Romanian health services

PubMed Central

Coculescu, BI; Purcarea, VL; Coculescu, EC

2016-01-01

The objectives of the reforms in the EU healthcare systems are based on the implementation of the marketing concept in the health systems, which are, among other things: • efficient management of the financial resources and control costs of the rendered health services; • increased satisfaction of the clients of health care services; • broad accessibility to health services; • effective implementation of modern technologies; • rational stimulation of medical services consumption; • achievement of a fair and neutral competition between the public/ private providers and health insurance companies; • introduction of performance criteria in order to increase the incomes of the medical staff and hierarchy in hospitals; • implementation of modern management methods in health services management; • decentralization of the public healthcare system. Product policy in the medical system of healthcare - the most important component of the marketing mix - is the attitude that addresses a medical organization to the volume, structure, and diversity of services subject to their own activities in relation to the requirements of the services market and the competitive actions of other medical institutions. PMID:27974913

PCMO L01-Setting Specifications for Biological Investigational Medicinal Products.

PubMed

Krause, Stephan O

2015-01-01

This paper provides overall guidance and best practices for the setting of specifications for clinical biological drug substances and drug products within the framework of ICH guidelines on pharmaceutical development [Q8(R2) and Q11], quality risk management (Q9), and quality systems (Q10). A review is provided of the current regulatory expectations for the specification setting process as part of a control strategy during product development, pointing to existing challenges for the investigational new drug/investigational medicinal product dossier (IND/IMPD) sponsor. A case study illustrates how the investigational medicinal product specification revision process can be managed within a flexible quality system, and how specifications can be set and justified for early and late development stages. This paper provides an overview for the setting of product specifications for investigational medicinal products used in clinical trials. A case study illustrates how product specifications of investigational medicinal products can be justified and managed within a modern product quality system. © PDA, Inc. 2015.

Genital malodor in women: a modern reappraisal.

PubMed

Subramanian, Chithra; Nyirjesy, Paul; Sobel, Jack D

2012-01-01

Genital malodor is a common distressing complaint that brings a woman to her physician's office. Vaginal infections, primarily bacterial vaginosis and trichomoniasis, still remain the commonest causes and are relatively easy to diagnose and treat. However, in approximately one third of women who present with malodor, no cause is identified. Although data on the management of vaginal discharge are extensive, the management of genital odor beyond common vaginal infections remains poorly studied. This presents a frustrating situation for both the patient and her physician. Often, patients resort to home remedies and over-the-counter preparations, which, while providing short-term relief for some women, almost never address the cause and, in some cases, can exacerbate symptoms. In this review, we have attempted to consolidate the known and documented causes of genital malodor including the nonvaginal causes and provide case studies that will help clinicians understand the possible settings for the various causes. We also provide an algorithm for the management of this symptom beyond vaginal infections.

Computer-based teaching module design: principles derived from learning theories.

PubMed

Lau, K H Vincent

2014-03-01

The computer-based teaching module (CBTM), which has recently gained prominence in medical education, is a teaching format in which a multimedia program serves as a single source for knowledge acquisition rather than playing an adjunctive role as it does in computer-assisted learning (CAL). Despite empirical validation in the past decade, there is limited research into the optimisation of CBTM design. This review aims to summarise research in classic and modern multimedia-specific learning theories applied to computer learning, and to collapse the findings into a set of design principles to guide the development of CBTMs. Scopus was searched for: (i) studies of classic cognitivism, constructivism and behaviourism theories (search terms: 'cognitive theory' OR 'constructivism theory' OR 'behaviourism theory' AND 'e-learning' OR 'web-based learning') and their sub-theories applied to computer learning, and (ii) recent studies of modern learning theories applied to computer learning (search terms: 'learning theory' AND 'e-learning' OR 'web-based learning') for articles published between 1990 and 2012. The first search identified 29 studies, dominated in topic by the cognitive load, elaboration and scaffolding theories. The second search identified 139 studies, with diverse topics in connectivism, discovery and technical scaffolding. Based on their relative representation in the literature, the applications of these theories were collapsed into a list of CBTM design principles. Ten principles were identified and categorised into three levels of design: the global level (managing objectives, framing, minimising technical load); the rhetoric level (optimising modality, making modality explicit, scaffolding, elaboration, spaced repeating), and the detail level (managing text, managing devices). This review examined the literature in the application of learning theories to CAL to develop a set of principles that guide CBTM design. Further research will enable educators to take advantage of this unique teaching format as it gains increasing importance in medical education. © 2014 John Wiley & Sons Ltd.

Review of CERN Data Centre Infrastructure

NASA Astrophysics Data System (ADS)

Andrade, P.; Bell, T.; van Eldik, J.; McCance, G.; Panzer-Steindel, B.; Coelho dos Santos, M.; Traylen and, S.; Schwickerath, U.

2012-12-01

The CERN Data Centre is reviewing strategies for optimizing the use of the existing infrastructure and expanding to a new data centre by studying how other large sites are being operated. Over the past six months, CERN has been investigating modern and widely-used tools and procedures used for virtualisation, clouds and fabric management in order to reduce operational effort, increase agility and support unattended remote data centres. This paper gives the details on the project's motivations, current status and areas for future investigation.

A statistical metadata model for clinical trials' data management.

PubMed

Vardaki, Maria; Papageorgiou, Haralambos; Pentaris, Fragkiskos

2009-08-01

We introduce a statistical, process-oriented metadata model to describe the process of medical research data collection, management, results analysis and dissemination. Our approach explicitly provides a structure for pieces of information used in Clinical Study Data Management Systems, enabling a more active role for any associated metadata. Using the object-oriented paradigm, we describe the classes of our model that participate during the design of a clinical trial and the subsequent collection and management of the relevant data. The advantage of our approach is that we focus on presenting the structural inter-relation of these classes when used during datasets manipulation by proposing certain transformations that model the simultaneous processing of both data and metadata. Our solution reduces the possibility of human errors and allows for the tracking of all changes made during datasets lifecycle. The explicit modeling of processing steps improves data quality and assists in the problem of handling data collected in different clinical trials. The case study illustrates the applicability of the proposed framework demonstrating conceptually the simultaneous handling of datasets collected during two randomized clinical studies. Finally, we provide the main considerations for implementing the proposed framework into a modern Metadata-enabled Information System.

What do GUM physicians think should be taught in a modern undergraduate GUM module? A qualitative inquiry.

PubMed

Fernando, I

2015-10-01

Traditional undergraduate Genitourinary Medicine (GUM) teaching in the UK concentrated on the management of individual sexually transmitted infections. There is significant variation, however, in the GUM teaching provided by different medical schools today. I undertook a qualitative interview study to gather views of GUM and other sexual health clinicians regarding what should be taught within a modern undergraduate GUM module. Nine GUM clinicians and two Sexual and Reproductive Health (SRH) clinicians participated in the study; all were directly involved in undergraduate teaching. Semi-structured interviews were conducted with study participants by a single interviewer, focusing on three key topics: their individual opinions regarding important learning outcomes (LOs) for a modern model GUM curriculum, their preferred teaching methods and the total recommended teaching time required. Interviews were audio-recorded with consent and professionally transcribed. Data were analysed by the content analysis method. Interviewees frequently stressed skill and attitudinal LOs, even above knowledge. Recommended important skills included sexual history taking, HIV risk assessment and testing, and male and female genital examination. Recommended attitudinal LOs were developing an open and non-judgemental approach to sexual health issues and understanding sexual well-being to be an important component of general health. Respondents were keen for a mixture of teaching methods, but generally agreed that clinic attendance and experiential learning were beneficial. They preferred that GUM teaching should be delivered in the latter years of the undergraduate curriculum. © The Author(s) 2015.

Human rights and implications for managers.

PubMed

Bunner, K L

1994-01-01

Although the Canadian Human Rights Act was enacted in 1977 and The Charter of Rights and Freedoms was introduced in 1981, a paucity of Canadian literature regarding their implications for nursing managers is apparent. The modern nursing unit manager is faced with a variety of decisions pertaining to employment, performance evaluations, and delegation of responsibilities, which if not sensitively and fairly handled may expose the manager and the organization to non-defensible vulnerabilities. This paper briefly reviews pertinent human rights issues in the nursing setting and the effect of human rights considerations on the management of a nursing unit. Discrimination, harassment, the hiring process, performance appraisal and discipline are discussed along with recommendations regarding mandatory inservices for managers.

Power Systems Operations and Controls | Grid Modernization | NREL

Science.gov Websites

controlled electric grid-with one-way delivery of power from central-station power plants-into one that Manager, Energy Systems Optimization and Control Group murali.baggu@nrel.gov | 303-275-4337

Pest Management Records Modernization Act

THOMAS, 113th Congress

Rep. Schrader, Kurt [D-OR-5

2014-11-14

Senate - 12/03/2014 Received in the Senate and Read twice and referred to the Committee on Agriculture, Nutrition, and Forestry. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

Quantifying Modern Recharge and Depletion Rates of the Nubian Aquifer in Egypt

NASA Astrophysics Data System (ADS)

Ahmed, Mohamed; Abdelmohsen, Karem

2018-07-01

Egypt is currently seeking additional freshwater resources to support national reclamation projects based mainly on the Nubian aquifer groundwater resources. In this study, temporal (April 2002 to June 2016) Gravity Recovery and Climate Experiment (GRACE)-derived terrestrial water storage (TWSGRACE) along with other relevant datasets was used to monitor and quantify modern recharge and depletion rates of the Nubian aquifer in Egypt (NAE) and investigate the interaction of the NAE with artificial lakes. Results indicate: (1) the NAE is receiving a total recharge of 20.27 ± 1.95 km3 during 4/2002-2/2006 and 4/2008-6/2016 periods, (2) recharge events occur only under excessive precipitation conditions over the Nubian recharge domains and/or under a significant rise in Lake Nasser levels, (3) the NAE is witnessing a groundwater depletion of - 13.45 ± 0.82 km3/year during 3/2006-3/2008 period, (4) the observed groundwater depletion is largely related to exceptional drought conditions and/or normal baseflow recession, and (5) a conjunctive surface water and groundwater management plan needs to be adapted to develop sustainable water resources management in the NAE. Findings demonstrate the use of global monthly TWSGRACE solutions as a practical, informative, and cost-effective approach for monitoring aquifer systems across the globe.

Quantifying Modern Recharge and Depletion Rates of the Nubian Aquifer in Egypt

NASA Astrophysics Data System (ADS)

Ahmed, Mohamed; Abdelmohsen, Karem

2018-02-01

Egypt is currently seeking additional freshwater resources to support national reclamation projects based mainly on the Nubian aquifer groundwater resources. In this study, temporal (April 2002 to June 2016) Gravity Recovery and Climate Experiment (GRACE)-derived terrestrial water storage (TWSGRACE) along with other relevant datasets was used to monitor and quantify modern recharge and depletion rates of the Nubian aquifer in Egypt (NAE) and investigate the interaction of the NAE with artificial lakes. Results indicate: (1) the NAE is receiving a total recharge of 20.27 ± 1.95 km3 during 4/2002-2/2006 and 4/2008-6/2016 periods, (2) recharge events occur only under excessive precipitation conditions over the Nubian recharge domains and/or under a significant rise in Lake Nasser levels, (3) the NAE is witnessing a groundwater depletion of - 13.45 ± 0.82 km3/year during 3/2006-3/2008 period, (4) the observed groundwater depletion is largely related to exceptional drought conditions and/or normal baseflow recession, and (5) a conjunctive surface water and groundwater management plan needs to be adapted to develop sustainable water resources management in the NAE. Findings demonstrate the use of global monthly TWSGRACE solutions as a practical, informative, and cost-effective approach for monitoring aquifer systems across the globe.

[Attributes of forest infrastructure].

PubMed

Gao, Jun-kai; Jin, Ying-shan

2007-06-01

This paper discussed the origin and evolution of the conception of ecological infrastructure, the understanding of international communities about the functions of forest, the important roles of forest in China' s economic development and ecological security, and the situations and challenges to the ongoing forestry ecological restoration programs. It was suggested that forest should be defined as an essential infrastructure for national economic and social development in a modern society. The critical functions of forest infrastructure played in the transition of forestry ecological development were emphasized. Based on the synthesis of forest ecosystem features, it was considered that the attributes of forest infrastructure are distinctive, due to the fact that it is constructed by living biological material and diversified in ownership. The forestry ecological restoration program should not only follow the basic principles of infrastructural construction, but also take the special characteristics of forests into consideration in studying the managerial system of the programs. Some suggestions for the ongoing programs were put forward: 1) developing a modern concept of ecosystem where man and nature in harmony is the core, 2) formulating long-term stable investments for forestry ecological restoration programs, 3) implementing forestry ecological restoration programs based on infrastructure construction principles, and 4) managing forests according to the principles of infrastructural construction management.

A perspective on modern pesticides, pelagic fish declines, and unknown ecological resilience in highly managed ecosystems

USGS Publications Warehouse

Scholz, Nathaniel L.; Fleishman, Erica; Brown, Larry; Werner, Inge; Johnson, Michael L.; Brooks, Marjorie L.; Mitchelmore, Carys L.; Schlenk, Daniel

2012-01-01

Pesticides applied on land are commonly transported by runoff or spray drift to aquatic ecosystems, where they are potentially toxic to fishes and other nontarget organisms. Pesticides add to and interact with other stressors of ecosystem processes, including surface-water diversions, losses of spawning and rearing habitats, nonnative species, and harmful algal blooms. Assessing the cumulative effects of pesticides on species or ecological functions has been difficult for historical, legal, conceptual, and practical reasons. To explore these challenges, we examine current-use (modern) pesticides and their potential connections to the abundances of fishes in the San Francisco Estuary (California). Declines in delta smelt (Hypomesus transpacificus), Chinook salmon (Oncorhynchus tshawytscha), and other species have triggered mandatory and expensive management actions in the urbanizing estuary and agriculturally productive Central Valley. Our inferences are transferable to other situations in which toxics may drive changes in ecological status and trends.

Surgical advances during the First World War: the birth of modern orthopaedics.

PubMed

Ramasamy, Arul; Eardley, W G P; Edwards, D S; Clasper, J C; Stewart, M P M

2016-02-01

The First World War (1914-1918) was the first truly industrial conflict in human history. Never before had rifle fire and artillery barrage been employed on a global scale. It was a conflict that over 4 years would leave over 750,000 British troops dead with a further 1.6 million injured, the majority with orthopaedic injuries. Against this backdrop, the skills of the orthopaedic surgeon were brought to the fore. Many of those techniques and systems form the foundation of modern orthopaedic trauma management. On the centenary of 'the War to end all Wars', we review the significant advances in wound management, fracture treatment, nerve injury and rehabilitation that were developed during that conflict. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Impact of public health emergencies on modern disaster taxonomy, planning, and response.

PubMed

Burkle, Frederick M; Greenough, P Gregg

2008-10-01

Current disaster taxonomy describes diversity, distinguishing characteristics, and common relations in disaster event classifications. The impact of compromised public health infrastructure and systems on health consequences defines and greatly influences the manner in which disasters are observed, planned for, and managed, especially those that are geographically widespread, population dense, and prolonged. What may first result in direct injuries and death may rapidly change to excess indirect illness and subsequent death as essential public health resources are destroyed, deteriorate, or are systematically denied to vulnerable populations. Public health and public health infrastructure and systems in developed and developing countries must be seen as strategic and security issues that deserve international public health resource monitoring attention from disaster managers, urban planners, the global humanitarian community, World Health Organization authorities, and participating parties to war and conflict. We posit here that disaster frameworks be reformed to emphasize and clarify the relation of public health emergencies and modern disasters.

DEEP-SaM - Energy-Efficient Provisioning Policies for Computing Environments

NASA Astrophysics Data System (ADS)

Bodenstein, Christian; Püschel, Tim; Hedwig, Markus; Neumann, Dirk

The cost of electricity for datacenters is a substantial operational cost that can and should be managed, not only for saving energy, but also due to the ecologic commitment inherent to power consumption. Often, pursuing this goal results in chronic underutilization of resources, a luxury most resource providers do not have in light of their corporate commitments. This work proposes, formalizes and numerically evaluates DEEP-Sam, for clearing provisioning markets, based on the maximization of welfare, subject to utility-level dependant energy costs and customer satisfaction levels. We focus specifically on linear power models, and the implications of the inherent fixed costs related to energy consumption of modern datacenters and cloud environments. We rigorously test the model by running multiple simulation scenarios and evaluate the results critically. We conclude with positive results and implications for long-term sustainable management of modern datacenters.

Improvement of the material and transport component of the system of construction waste management

NASA Astrophysics Data System (ADS)

Kostyshak, Mikhail; Lunyakov, Mikhail

2017-10-01

Relevance of the topic of selected research is conditioned with the growth of construction operations and growth rates of construction and demolition wastes. This article considers modern approaches to the management of turnover of construction waste, sequence of reconstruction or demolition processes of the building, information flow of the complete cycle of turnover of construction and demolition waste, methods for improvement of the material and transport component of the construction waste management system. Performed analysis showed that mechanism of management of construction waste allows to increase efficiency and environmental safety of this branch and regions.

Status of barium studies in the present era of oncology: Are they a history?

PubMed Central

Mahajan, Abhishek; Desai, Subash; Sable, Nilesh Pandurang; Thakur, Meenakshi Haresh

2016-01-01

With the advent of the modern imaging technologies, the present era of oncology is seeing steady decline in requests for barium studies due to the many reasons. It is prudent to mention here, that, barium examinations cannot be made obsolete! Our aim to preserve the age old technique of barium studies not only to keep it going on but also for the betterment and appropriate management of the patient. Our goal is not to “save” barium studies simply to keep this technology alive, per se, but rather to preserve barium radiology for the quality in patient care. PMID:28144086

From troglodytes to information managers: information management and technology needs to achieve the primary care NHS modernization agenda--the views of three GPs.

PubMed

Rooney, I; Hornby, S

2000-09-01

In response to the information management and technology changes proposed by the Government's NHS modernization initiative this article examines the issues that GPs feel to be of major significance to their work. Although information and communications technology is widely used in general practice there is no one agreed standard system. The level of technology and the manner in which it is used is also diverse throughout the profession, as are the attitudes that exist amongst GPs regarding the value of information management and technology, and the benefits efficient information management offers to them and to their patients. The views of three local GPs from practices with varying levels of information technology were obtained through semi-structured interviews and the findings developed in the light of current discussions in the published literature. The GPs chosen reflect the disparity within general practice and, perhaps, other units of the NHS in the use and understanding of information management. The main conclusions were that there is ambivalence and scepticism about what NHSnet currently has to offer; that local electronic records benefit patient care, but when networked more widely problems of confidentiality and security result. Practitioners were also mindful of the financial costs of changes and concerned, given the impact of PCGs and clinical governance, as to who will be responsible for ensuring a common level of electronic records, IT provision, and financial and technological support.

Riparian Meadow Response to Modern Conservation Grazing Management

NASA Astrophysics Data System (ADS)

Oles, Kristin M.; Weixelman, Dave A.; Lile, David F.; Tate, Kenneth W.; Snell, Laura K.; Roche, Leslie M.

2017-09-01

Riparian meadows occupy a small proportion of the public lands in the western United States but they provide numerous ecosystem services, including the production of high-quality forage for livestock grazing. Modern conservation management strategies (e.g., reductions in livestock stocking rates and adoption of new riparian grazing standards) have been implemented to better balance riparian conservation and livestock production objectives on publicly managed lands. We examined potential relationships between long-term changes in plant community, livestock grazing pressure and environmental conditions at two spatial scales in meadows grazed under conservation management strategies. Changes in plant community were not associated with either livestock stocking rate or precipitation at the grazing allotment (i.e., administrative) scale. Alternatively, both grazing pressure and precipitation had significant, albeit modest, associations with changes in plant community at the meadow (i.e., ecological site) scale. These results suggest that reductions in stocking rate have improved the balance between riparian conservation and livestock production goals. However, associations between elevation, site wetness, precipitation, and changes in plant community suggest that changing climate conditions (e.g., reduced snowpack and changes in timing of snowmelt) could trigger shifts in plant communities, potentially impacting both conservation and agricultural services (e.g., livestock and forage production). Therefore, adaptive, site-specific management strategies are required to meet grazing pressure limits and safeguard ecosystem services within individual meadows, especially under more variable climate conditions.

Riparian Meadow Response to Modern Conservation Grazing Management.

PubMed

Oles, Kristin M; Weixelman, Dave A; Lile, David F; Tate, Kenneth W; Snell, Laura K; Roche, Leslie M

2017-09-01

Riparian meadows occupy a small proportion of the public lands in the western United States but they provide numerous ecosystem services, including the production of high-quality forage for livestock grazing. Modern conservation management strategies (e.g., reductions in livestock stocking rates and adoption of new riparian grazing standards) have been implemented to better balance riparian conservation and livestock production objectives on publicly managed lands. We examined potential relationships between long-term changes in plant community, livestock grazing pressure and environmental conditions at two spatial scales in meadows grazed under conservation management strategies. Changes in plant community were not associated with either livestock stocking rate or precipitation at the grazing allotment (i.e., administrative) scale. Alternatively, both grazing pressure and precipitation had significant, albeit modest, associations with changes in plant community at the meadow (i.e., ecological site) scale. These results suggest that reductions in stocking rate have improved the balance between riparian conservation and livestock production goals. However, associations between elevation, site wetness, precipitation, and changes in plant community suggest that changing climate conditions (e.g., reduced snowpack and changes in timing of snowmelt) could trigger shifts in plant communities, potentially impacting both conservation and agricultural services (e.g., livestock and forage production). Therefore, adaptive, site-specific management strategies are required to meet grazing pressure limits and safeguard ecosystem services within individual meadows, especially under more variable climate conditions.

Results of the Medicare Health Support disease-management pilot program.

PubMed

McCall, Nancy; Cromwell, Jerry

2011-11-03

In the Medicare Modernization Act of 2003, Congress required the Centers for Medicare and Medicaid Services to test the commercial disease-management model in the Medicare fee-for-service program. The Medicare Health Support Pilot Program was a large, randomized study of eight commercial programs for disease management that used nurse-based call centers. We randomly assigned patients with heart failure, diabetes, or both to the intervention or to usual care (control) and compared them with the use of a difference-in-differences method to evaluate the effects of the commercial programs on the quality of clinical care, acute care utilization, and Medicare expenditures for Medicare fee-for-service beneficiaries. The study included 242,417 patients (163,107 in the intervention group and 79,310 in the control group). The eight commercial disease-management programs did not reduce hospital admissions or emergency room visits, as compared with usual care. We observed only 14 significant improvements in process-of-care measures out of 40 comparisons. These modest improvements came at substantial cost to the Medicare program in fees paid to the disease-management companies ($400 million), with no demonstrable savings in Medicare expenditures. In this large study, commercial disease-management programs using nurse-based call centers achieved only modest improvements in quality-of-care measures, with no demonstrable reduction in the utilization of acute care or the costs of care.

Hypothesized predictors of patient–physician trust and distrust in the elderly: implications for health and disease management

PubMed Central

Mascarenhas, Oswald AJ; Cardozo, Lavoisier J; Afonso, Nelia M; Siddique, Mohamed; Steinberg, Joel; Lepczyk, Marybeth; Aranha, Anil NF

2006-01-01

This study notes the differences between trust and distrust perceptions by the elderly as compared with younger populations. Given the importance of trust and distrust in compliance, changing behaviors, and forming partnerships for both health and disease management, it is necessary to be able to measure patient–doctor trust and distrust (PDTD). Following recent conceptualizations on trust and distrust as coexistent states, this study hypothesizes predictors of PDTD. We are proposing that these predictors form the basis for designing, developing and validating a PDTD scale (PDTDS). It is important to capture the trust–distrust perceptions of older patients as they confront the complexities and vulnerabilities of the modern healthcare delivery system. This is necessary if we are to design interventions to change behaviors of both the healthcare provider and the older patient. PMID:18044114

Perioperative management of endocrine insufficiency after total pancreatectomy for neoplasia.

PubMed

Maker, Ajay V; Sheikh, Raashid; Bhagia, Vinita

2017-09-01

Indications for total pancreatectomy (TP) have increased, including for diffuse main duct intrapapillary mucinous neoplasms of the pancreas and malignancy; therefore, the need persists for surgeons to develop appropriate endocrine post-operative management strategies. The brittle diabetes after TP differs from type 1/2 diabetes in that patients have absolute deficiency of insulin and functional glucagon. This makes glucose management challenging, complicates recovery, and predisposes to hospital readmissions. This article aims to define the disease, describe the cause for its occurrence, review the anatomy of the endocrine pancreas, and explain how this condition differs from diabetes mellitus in the setting of post-operative management. The morbidity and mortality of post-TP endocrine insufficiency and practical treatment strategies are systematically reviewed from the literature. Finally, an evidence-based treatment algorithm is created for the practicing pancreatic surgeon and their care team of endocrinologists to aid in managing these complex patients. A PubMed, Science Citation Index/Social sciences Citation Index, and Cochrane Evidence-Based Medicine database search was undertaken along with extensive backward search of the references of published articles to identify studies evaluating endocrine morbidity and treatment after TP and to establish an evidence-based treatment strategy. Indications for TP and the etiology of pancreatogenic diabetes are reviewed. After TP, ~80% patients develop hypoglycemic episodes and 40% experience severe hypoglycemia, resulting in 0-8% mortality and 25-45% morbidity. Referral to a nutritionist and endocrinologist for patient education before surgery followed by surgical reevaluation to determine if the patient has the appropriate understanding, support, and resources preoperatively has significantly reduced morbidity and mortality. The use of modern recombinant long-acting insulin analogues, continuous subcutaneous insulin infusion, and glucagon rescue therapy has greatly improved management in the modern era and constitute the current standard of care. A simple immediate post-operative algorithm was constructed. Successful perioperative surgical management of total pancreatectomy and resulting pancreatogenic diabetes is critical to achieve acceptable post-operative outcomes, and we review the pertinent literature and provide a simple, evidence-based algorithm for immediate post-resection glycemic control.

Yoga therapy for developing emotional intelligence in mid-life managers.

PubMed

Ganpat, Tikhe Sham; Nagendra, H R

2011-01-01

Business executives' lives have become a never-ending race against time, technology, and targets. This race creates tension, which leads to dissatisfaction and frustration and eventually manifests itself as psychological and physiological stress with mental and emotional drain. This modern lifestyle intensifies the stress leading to "excessive tension" and consequent deterioration in "executive efficiency". To assess emotional intelligent quotient (EQ) in managers undergoing yoga-based Self Management of Excessive Tension (SMET) program. 72 managers participated in this study which is of "single group pre-post design." The EQ test developed by Prof N. K. Chadha from University of Delhi was administered as pre and post the 5 days of SMET program. Means, standard deviations, Kolmogorov-Smirnov test, and Wilcoxon signed rank test were used to analyze the data. The data analysis showed 72.02% significant increase (P<0.001) in EQ. The results suggest that participation in a SMET program was associated with improvement in EQ and may have implications for "executive efficiency."

Tracking Dissipation Reduction, Externalities, Stability and Sustainability for Environmental Management of New Orleans

NASA Astrophysics Data System (ADS)

McNamara, D.; Werner, B. T.

2014-12-01

Sustainability requires stability, but in promoting economic development, modern economies and political systems reduce stabilizing dissipation by facilitating use and management of the environment through engineered mitigation of disturbances, which externalizes dissipation over the short to medium term. To quantitatively investigate the relationship between a range of environmental management approaches and sustainability, and the implications for Earth's future, we track the impact of management strategies on dissipation within the system and its externalities in a numerical model for the coupled economic, political/management and flooding dynamics of New Orleans. The model simulates river floods, hurricane storm-surge-induced floods, subsidence, and agent-based market interactions leading to development of port services, hotels, homes and labor relations. Flood protection decisions for levee construction based on the baseline case of cost-benefit analyses designed to prevent short-term economic loss from future floods qualitatively reproduce historical expansion of New Orleans and increases in levee height. Alternative management strategies explored include majority voting, consensus-based decision-making, and variations in discounting of costs and benefits. Enhanced dissipation is measured relative to optimal economic development without floods. The focus of modern economies on commodification is exploited to track dissipation as a scalar representing value or power, but this approach might not be applicable to more complicated traditional/indigenous cultures or cultures of resistance. For the baseline case, short-to-medium-term reductions in dissipation destabilize the coupled system, resulting in episodic bursts of externalized dissipation during flooding. Comparisons of results for a range of management options and generalizations of this approach for alternative cultural systems will be discussed.

Management of medical technology: case study of a major acute hospital.

PubMed

Brown, Ian; Smale, Andrew

2007-01-01

This paper presents results of a Capital Equipment Management Plan undertaken at a major acute hospital in Australia. By classifying existing equipment using a threshold replacement value into Major and Minor items, detailed planning information was collected for 527 items of Major equipment representing 80% of the hospital's total equipment stock. A number of meaningful views of this significant asset base are presented, and a prioritisation method used to provide recommendations for future equipment replacement and acquisition for a 5 year planning period. The survey work to identify and document actual equipment items provides a convincing argument for the funding levels required for capital equipment replacement and acquisition, and evidence for the extent of technology reliance in modern health care facilities.

Breakthroughs in modern cancer therapy and elusive cardiotoxicity: Critical research‐practice gaps, challenges, and insights

PubMed Central

Li, Jin; Kros, Johan M

2017-01-01

Abstract To date, five cancer treatment modalities have been defined. The three traditional modalities of cancer treatment are surgery, radiotherapy, and conventional chemotherapy, and the two modern modalities include molecularly targeted therapy (the fourth modality) and immunotherapy (the fifth modality). The cardiotoxicity associated with conventional chemotherapy and radiotherapy is well known. Similar adverse cardiac events are resurging with the fourth modality. Aside from the conventional and newer targeted agents, even the most newly developed, immune‐based therapeutic modalities of anticancer treatment (the fifth modality), e.g., immune checkpoint inhibitors and chimeric antigen receptor (CAR) T‐cell therapy, have unfortunately led to potentially lethal cardiotoxicity in patients. Cardiac complications represent unresolved and potentially life‐threatening conditions in cancer survivors, while effective clinical management remains quite challenging. As a consequence, morbidity and mortality related to cardiac complications now threaten to offset some favorable benefits of modern cancer treatments in cancer‐related survival, regardless of the oncologic prognosis. This review focuses on identifying critical research‐practice gaps, addressing real‐world challenges and pinpointing real‐time insights in general terms under the context of clinical cardiotoxicity induced by the fourth and fifth modalities of cancer treatment. The information ranges from basic science to clinical management in the field of cardio‐oncology and crosses the interface between oncology and onco‐pharmacology. The complexity of the ongoing clinical problem is addressed at different levels. A better understanding of these research‐practice gaps may advance research initiatives on the development of mechanism‐based diagnoses and treatments for the effective clinical management of cardiotoxicity. PMID:28862319

Ecologically sound management: aspects of modern sustainable deer farming systems.

PubMed

Pearse, A J; Drew, K R

1998-01-01

Modern deer farming systems have become increasingly intensive allowing strategic feeding for production and genetic improvement programmes. Meeting feeding standards that account for changing nutritional demands related to seasonality and reproductive state is critical. As the industry matures there is a growing awareness of the balance between retaining natural behaviour in producing breeding stock on larger extensive holdings and intensification systems for performance in young stock. Stocking rates are critical determinants of success as land use and capability needs are matched with an increasing stratification of stock type and purpose. Food product safety and welfare considerations of farmed deer are being driven by consumer demands. Farm quality assurance and codes of practice are developing to ensure that deer farming meets and exceeds international expectations of land use and deer welfare in modern deer farming systems.

Strategies on the Implementation of China's Logistics Information Network

NASA Astrophysics Data System (ADS)

Dong, Yahui; Li, Wei; Guo, Xuwen

The economic globalization and trend of e-commerce network have determined that the logistics industry will be rapidly developed in the 21st century. In order to achieve the optimal allocation of resources, a worldwide rapid and sound customer service system should be established. The establishment of a corresponding modern logistics system is the inevitable choice of this requirement. It is also the inevitable choice for the development of modern logistics industry in China. The perfect combination of modern logistics and information network can better promote the development of the logistics industry. Through the analysis of Status of Logistics Industry in China, this paper summed up the domestic logistics enterprise logistics information system in the building of some common problems. According to logistics information systems planning methods and principles set out logistics information system to optimize the management model.

[Chronic lymphocytic leukaemia: current management].

PubMed

Aurran-Schleinitz, T; Arnoulet, C; Ivanov, V; Coso, D; Rey, J; Schiano, J-M; Stoppa, A-M; Bouabdallah, R; Gastaut, J-A

2008-05-01

Chronic lymphocytic leukemia (CLL) is the most common leukaemia in the Western world. Recent advancement in the aetiology, pathophysiology and the development of new therapeutics tools have significantly modified the current management of CLL. The cellular origin of CLL is still unknown. The current main hypothesis will be first briefly described. This review will then focus on the newly defined prognostic factors and the development and use of new drugs for the treatment of CLL. To describe the modern and practical management of CLL, we will compare classical and new prognostic markers. Then, we will discuss the various therapeutic options including chemotherapy and immunotherapy (monoclonal antibodies, allogenic transplantation), and define their current respective indications. These new diagnostic and prognostic markers will allow the characterization of new prognostic subgroups of patients. This will lead to a targeted and individualized therapeutic approach. We will present the first results of clinical trials and the on-going studies conducted in this disease.

Integrated national energy planning and management: methodology and application to Sri Lanka. World Bank technical paper

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

Munasinghe, M.; Meier, P.

1988-01-01

Given the importance of energy in modern economies, the first part of the volume is devoted to examining some of the key conceptual and analytical tools available for energy-policy analysis and planning. Policy tools and institutional frameworks that will facilitate better energy management are also discussed. Energy-policy analysis is explained, while effective energy management techniques are discussed to achieve desirable national objectives, using a selected set of policies and policy instruments. In the second part of the volume, the actual application of the principles set out earlier is explained through a case study of Sri Lanka. The monograph integrates themore » many aspects of the short-term programs already begun with the options for the medium to long term, and ends with the outline of a long-term strategy for Sri Lanka.« less