Sample records for operability study hazop

  1. Hazard and Operability Study (HAZOP) Rocky Mountain Arsenal, Basin F liquid Incineration, Task IRA 2, Version 3.0.

    DTIC Science & Technology

    1992-07-01

    Meeting F. RMA HAZOP - Action Item Summary * Action Item Summary Report dated March 27, 1992 * Weston Response dated May 15, 1992 * Revised Action...Additionally, many of the items pertained to the Operation and Maintenance Manual, which was still being developed. Based on a review of the Revised ...four separate submittals, dated November 5, 1991; February 2, 1992; and March 20, 1992, and May 15, 1992. g Additionally, review of the Revised Draft

  2. Application of a hazard and operability study method to hazard evaluation of a chemical unit of the power station.

    PubMed

    Habibi, E; Zare, M; Barkhordari, A; Mirmohammadi, Sj; Halvani, Ghh

    2008-12-28

    The aim of this study was to identify the hazards, evaluate their risk factors and determine the measure for promotion of the process and reduction of accidents in the chemical unit of the power station. In this case and qualitative study, HAZOP technique was used to recognize the hazards and problems of operations on the chemical section at power station. Totally, 126 deviations were documented with various causes and consequences. Ranking and evaluation of identified risks indicate that the majority of deviations were categorized as "acceptable" and less than half of that were "unacceptable". The highest calculated risk level (1B) related to both the interruption of acid entry to the discharge pumps and an increased density of the acid. About 27% of the deviations had the lowest risk level (4B). The identification of hazards by HAZOP indicates that it could, systemically, assess and criticize the process of consumption or production of acid and alkali in the chemical unit of power plant.

  3. Risk Analysis of a Fuel Storage Terminal Using HAZOP and FTA

    PubMed Central

    Baixauli-Pérez, Mª Piedad

    2017-01-01

    The size and complexity of industrial chemical plants, together with the nature of the products handled, means that an analysis and control of the risks involved is required. This paper presents a methodology for risk analysis in chemical and allied industries that is based on a combination of HAZard and OPerability analysis (HAZOP) and a quantitative analysis of the most relevant risks through the development of fault trees, fault tree analysis (FTA). Results from FTA allow prioritizing the preventive and corrective measures to minimize the probability of failure. An analysis of a case study is performed; it consists in the terminal for unloading chemical and petroleum products, and the fuel storage facilities of two companies, in the port of Valencia (Spain). HAZOP analysis shows that loading and unloading areas are the most sensitive areas of the plant and where the most significant danger is a fuel spill. FTA analysis indicates that the most likely event is a fuel spill in tank truck loading area. A sensitivity analysis from the FTA results show the importance of the human factor in all sequences of the possible accidents, so it should be mandatory to improve the training of the staff of the plants. PMID:28665325

  4. Risk Analysis of a Fuel Storage Terminal Using HAZOP and FTA.

    PubMed

    Fuentes-Bargues, José Luis; González-Cruz, Mª Carmen; González-Gaya, Cristina; Baixauli-Pérez, Mª Piedad

    2017-06-30

    The size and complexity of industrial chemical plants, together with the nature of the products handled, means that an analysis and control of the risks involved is required. This paper presents a methodology for risk analysis in chemical and allied industries that is based on a combination of HAZard and OPerability analysis (HAZOP) and a quantitative analysis of the most relevant risks through the development of fault trees, fault tree analysis (FTA). Results from FTA allow prioritizing the preventive and corrective measures to minimize the probability of failure. An analysis of a case study is performed; it consists in the terminal for unloading chemical and petroleum products, and the fuel storage facilities of two companies, in the port of Valencia (Spain). HAZOP analysis shows that loading and unloading areas are the most sensitive areas of the plant and where the most significant danger is a fuel spill. FTA analysis indicates that the most likely event is a fuel spill in tank truck loading area. A sensitivity analysis from the FTA results show the importance of the human factor in all sequences of the possible accidents, so it should be mandatory to improve the training of the staff of the plants.

  5. Using a 3D CAD plant model to simplify process hazard reviews

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

    Tolpa, G.

    A Hazard and Operability (HAZOP) review is a formal predictive procedure used to identify potential hazard and operability problems associated with certain processes and facilities. The HAZOP procedure takes place several times during the life cycle of the facility. Replacing plastic models, layout and detail drawings with a 3D CAD electronic model, provides access to process safety information and a detailed level of plant topology that approaches the visualization capability of the imagination. This paper describes the process that is used for adding the use of a 3D CAD model to flowsheets and proven computer programs for the conduct ofmore » hazard and operability reviews. Using flowsheets and study nodes as a road map for the review the need for layout and other detail drawings is all but eliminated. Using the 3D CAD model again for a post-P and ID HAZOP supports conformance to layout and safety requirements, provides superior visualization of the plant configuration and preserves the owners equity in the design. The response from the review teams are overwhelmingly in favor of this type of review over a review that uses only drawings. Over the long term the plant model serves more than just process hazards analysis. Ongoing use of the model can satisfy the required access to process safety information, OHSA documentation and other legal requirements. In this paper extensive instructions address the logic for the process hazards analysis and the preparation required to assist anyone who wishes to add the use of a 3D model to their review.« less

  6. Analyses in support of risk-informed natural gas vehicle maintenance facility codes and standards :

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

    Ekoto, Isaac W.; Blaylock, Myra L.; LaFleur, Angela Christine

    2014-03-01

    Safety standards development for maintenance facilities of liquid and compressed gas fueled large-scale vehicles is required to ensure proper facility design and operation envelopes. Standard development organizations are utilizing risk-informed concepts to develop natural gas vehicle (NGV) codes and standards so that maintenance facilities meet acceptable risk levels. The present report summarizes Phase I work for existing NGV repair facility code requirements and highlights inconsistencies that need quantitative analysis into their effectiveness. A Hazardous and Operability study was performed to identify key scenarios of interest. Finally, scenario analyses were performed using detailed simulations and modeling to estimate the overpressure hazardsmore » from HAZOP defined scenarios. The results from Phase I will be used to identify significant risk contributors at NGV maintenance facilities, and are expected to form the basis for follow-on quantitative risk analysis work to address specific code requirements and identify effective accident prevention and mitigation strategies.« less

  7. A Comparison of Two Approaches to Safety Analysis Based on Use Cases

    NASA Astrophysics Data System (ADS)

    Stålhane, Tor; Sindre, Guttorm

    Engineering has a long tradition in analyzing the safety of mechanical, electrical and electronic systems. Important methods like HazOp and FMEA have also been adopted by the software engineering community. The misuse case method, on the other hand, has been developed by the software community as an alternative to FMEA and preliminary HazOp for software development. To compare the two methods misuse case and FMEA we have run a small experiment involving 42 third year software engineering students. In the experiment, the students should identify and analyze failure modes from one of the use cases for a commercial electronic patient journals system. The results of the experiment show that on the average, the group that used misuse cases identified and analyzed more user related failure modes than the persons using FMEA. In addition, the persons who used the misuse cases scored better on perceived ease of use and intention to use.

  8. How to renovate a 50-year-old wastewater treating plant: Part 1

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

    Hunter, M.L.

    1996-01-01

    How does an existing refinery cost-effectively renovate wastewater/stormwater treating systems to meet today`s environmental regulations and standards? Faced with solving this problem, Amoco`s Whiting Refinery developed a project team consisting of plant and operations engineers, corporate project and design engineers, contractors and vendors to map out a strategy to re-engineer the existing wastewater treating plant (WWTP) and auxiliary functions. This case history shows how an old refinery limited by existing equipment, building space, operation`s availability requirements and costs divided the project into several design phases. The design team used a proactive approach with empowerment responsibilities to solve construction, equipment usagemore » and regulatory problems throughout the project`s lifetime. Focusing on front-end planning and customer service (the refinery), team members applied value-based engineering designs to keep costs down, implemented safe work practices during construction, used HAZOP reviews to scrutinize proposed designs for operating and maintenance procedures, etc. The result has been the renovation of a 50-year-old WWTP completed under budget, ontime and in compliance with federal mandates.« less

  9. Environmental risk management and preparations for the first deep water well in Nigeria

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

    Berger, F.

    Statoil is among the leaders in protecting health, environment and safety in all aspects of the business. The evaluations of business opportunities and development of blocks opened by authorities for petroleum exploration, are assessed in accordance with the goals for environmental protection. Progressive improvement of environmental performance is secured through proper environmental risk management. In 1995, Statoil, the technical operator on Block 210 off the Nigerian coast, was the first company to drill in deep waters in this area. An exploration well was drilled in a water depth of about 320 meters. The drilling preparations included environmental assessment, drillers Hazop,more » oil spill drift calculations, oil spill response plans and environmental risk analysis. In the environmental preparations for the well, Statoil adhered to local and national government legislation, as well as to international guidelines and company standards. Special attention was paid to the environmental sensitivity of potentially affected areas. Statoil co-operated with experienced local companies, with the authorities and other international and national oil companies. This being the first deep water well offshore Nigeria, it was a challenge to co-operate with other operators in the area. The preparations that were carried out, will set the standard for future environmental work in the area. Co-operation difficulties in the beginning were turned positively into a attitude to the environmental challenge.« less

  10. Risk analysis for renewable energy projects due to constraints arising

    NASA Astrophysics Data System (ADS)

    Prostean, G.; Vasar, C.; Prostean, O.; Vartosu, A.

    2016-02-01

    Starting from the target of the European Union (EU) to use renewable energy in the area that aims a binding target of 20% renewable energy in final energy consumption by 2020, this article illustrates the identification of risks for implementation of wind energy projects in Romania, which could lead to complex technical implications, social and administrative. In specific projects analyzed in this paper were identified critical bottlenecks in the future wind power supply chain and reasonable time periods that may arise. Renewable energy technologies have to face a number of constraints that delayed scaling-up their production process, their transport process, the equipment reliability, etc. so implementing these types of projects requiring complex specialized team, the coordination of which also involve specific risks. The research team applied an analytical risk approach to identify major risks encountered within a wind farm project developed in Romania in isolated regions with different particularities, configured for different geographical areas (hill and mountain locations in Romania). Identification of major risks was based on the conceptual model set up for the entire project implementation process. Throughout this conceptual model there were identified specific constraints of such process. Integration risks were examined by an empirical study based on the method HAZOP (Hazard and Operability). The discussion describes the analysis of our results implementation context of renewable energy projects in Romania and creates a framework for assessing energy supply to any entity from renewable sources.

  11. Model-based safety analysis of human-robot interactions: the MIRAS walking assistance robot.

    PubMed

    Guiochet, Jérémie; Hoang, Quynh Anh Do; Kaaniche, Mohamed; Powell, David

    2013-06-01

    Robotic systems have to cope with various execution environments while guaranteeing safety, and in particular when they interact with humans during rehabilitation tasks. These systems are often critical since their failure can lead to human injury or even death. However, such systems are difficult to validate due to their high complexity and the fact that they operate within complex, variable and uncertain environments (including users), in which it is difficult to foresee all possible system behaviors. Because of the complexity of human-robot interactions, rigorous and systematic approaches are needed to assist the developers in the identification of significant threats and the implementation of efficient protection mechanisms, and in the elaboration of a sound argumentation to justify the level of safety that can be achieved by the system. For threat identification, we propose a method called HAZOP-UML based on a risk analysis technique adapted to system description models, focusing on human-robot interaction models. The output of this step is then injected in a structured safety argumentation using the GSN graphical notation. Those approaches have been successfully applied to the development of a walking assistant robot which is now in clinical validation.

  12. A comparative critical study between FMEA and FTA risk analysis methods

    NASA Astrophysics Data System (ADS)

    Cristea, G.; Constantinescu, DM

    2017-10-01

    Today there is used an overwhelming number of different risk analyses techniques with acronyms such as: FMEA (Failure Modes and Effects Analysis) and its extension FMECA (Failure Mode, Effects, and Criticality Analysis), DRBFM (Design Review by Failure Mode), FTA (Fault Tree Analysis) and and its extension ETA (Event Tree Analysis), HAZOP (Hazard & Operability Studies), HACCP (Hazard Analysis and Critical Control Points) and What-if/Checklist. However, the most used analysis techniques in the mechanical and electrical industry are FMEA and FTA. In FMEA, which is an inductive method, information about the consequences and effects of the failures is usually collected through interviews with experienced people, and with different knowledge i.e., cross-functional groups. The FMEA is used to capture potential failures/risks & impacts and prioritize them on a numeric scale called Risk Priority Number (RPN) which ranges from 1 to 1000. FTA is a deductive method i.e., a general system state is decomposed into chains of more basic events of components. The logical interrelationship of how such basic events depend on and affect each other is often described analytically in a reliability structure which can be visualized as a tree. Both methods are very time-consuming to be applied thoroughly, and this is why it is oftenly not done so. As a consequence possible failure modes may not be identified. To address these shortcomings, it is proposed to use a combination of FTA and FMEA.

  13. Hazmat transport: a methodological framework for the risk analysis of marshalling yards.

    PubMed

    Cozzani, Valerio; Bonvicini, Sarah; Spadoni, Gigliola; Zanelli, Severino

    2007-08-17

    A methodological framework was outlined for the comprehensive risk assessment of marshalling yards in the context of quantified area risk analysis. Three accident typologies were considered for yards: (i) "in-transit-accident-induced" releases; (ii) "shunting-accident-induced" spills; and (iii) "non-accident-induced" leaks. A specific methodology was developed for the assessment of expected release frequencies and equivalent release diameters, based on the application of HazOp and Fault Tree techniques to reference schemes defined for the more common types of railcar vessels used for "hazmat" transportation. The approach was applied to the assessment of an extended case-study. The results evidenced that "non-accident-induced" leaks in marshalling yards represent an important contribution to the overall risk associated to these zones. Furthermore, the results confirmed the considerable role of these fixed installations to the overall risk associated to "hazmat" transportation.

  14. Safety and Environment aspects of Tokamak- type Fusion Power Reactor- An Overview

    NASA Astrophysics Data System (ADS)

    Doshi, Bharat; Reddy, D. Chenna

    2017-04-01

    Naturally occurring thermonuclear fusion reaction (of light atoms to form a heavier nucleus) in the sun and every star in the universe, releases incredible amounts of energy. Demonstrating the controlled and sustained reaction of deuterium-tritium plasma should enable the development of fusion as an energy source here on Earth. The promising fusion power reactors could be operated on the deuterium-tritium fuel cycle with fuel self-sufficiency. The potential impact of fusion power on the environment and the possible risks associated with operating large-scale fusion power plants is being studied by different countries. The results show that fusion can be a very safe and sustainable energy source. A fusion power plant possesses not only intrinsic advantages with respect to safety compared to other sources of energy, but also a negligible long term impact on the environment provided certain precautions are taken in its design. One of the important considerations is in the selection of low activation structural materials for reactor vessel. Selection of the materials for first wall and breeding blanket components is also important from safety issues. It is possible to fully benefit from the advantages of fusion energy if safety and environmental concerns are taken into account when considering the conceptual studies of a reactor design. The significant safety hazards are due to the tritium inventory and energetic neutron fluence induced activity in the reactor vessel, first wall components, blanket system etc. The potential of release of radioactivity under operational and accident conditions needs attention while designing the fusion reactor. Appropriate safety analysis for the quantification of the risk shall be done following different methods such as FFMEA (Functional Failure Modes and Effects Analysis) and HAZOP (Hazards and operability). Level of safety and safety classification such as nuclear safety and non-nuclear safety is very important for the FPR (Fusion Power Reactor). This paper describes an overview of safety and environmental merits of fusion power reactor, issues and design considerations and need for R&D on safety and environmental aspects of Tokamak type fusion reactor.

  15. SLUDGE TREATMENT PROJECT ENGINEERED CONTAINER RETRIEVAL AND TRANSFER SYSTEM PRELMINARY DESIGN HAZARD AND OPERABILITY STUDY

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

    CARRO CA

    2011-07-15

    This Hazard and Operability (HAZOP) study addresses the Sludge Treatment Project (STP) Engineered Container Retrieval and Transfer System (ECRTS) preliminary design for retrieving sludge from underwater engineered containers located in the 105-K West (KW) Basin, transferring the sludge as a sludge-water slurry (hereafter referred to as 'slurry') to a Sludge Transport and Storage Container (STSC) located in a Modified KW Basin Annex, and preparing the STSC for transport to T Plant using the Sludge Transport System (STS). There are six, underwater engineered containers located in the KW Basin that, at the time of sludge retrieval, will contain an estimated volumemore » of 5.2 m{sup 3} of KW Basin floor and pit sludge, 18.4 m{sup 3} of 105-K East (KE) Basin floor, pit, and canister sludge, and 3.5 m{sup 3} of settler tank sludge. The KE and KW Basin sludge consists of fuel corrosion products (including metallic uranium, and fission and activation products), small fuel fragments, iron and aluminum oxide, sand, dirt, operational debris, and biological debris. The settler tank sludge consists of sludge generated by the washing of KE and KW Basin fuel in the Primary Clean Machine. A detailed description of the origin of sludge and its chemical and physical characteristics can be found in HNF-41051, Preliminary STP Container and Settler Sludge Process System Description and Material Balance. In summary, the ECRTS retrieves sludge from the engineered containers and hydraulically transfers it as a slurry into an STSC positioned within a trailer-mounted STS cask located in a Modified KW Basin Annex. The slurry is allowed to settle within the STSC to concentrate the solids and clarify the supernate. After a prescribed settling period the supernate is decanted. The decanted supernate is filtered through a sand filter and returned to the basin. Subsequent batches of slurry are added to the STSC, settled, and excess supernate removed until the prescribed quantity of sludge is collected. The sand filter is then backwashed into the STSC. The STSC and STS cask are then inerted and transported to T Plant.« less

  16. Final Report: Modifications and Optimization of the Organic Rankine Cycle to Improve the Recovery of Waste Heat

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

    Guillen, Donna Post; Zia, Jalal

    2013-09-01

    This research and development (R&D) project exemplifies a shared public private commitment to advance the development of energy efficient industrial technologies that will reduce the U.S. dependence upon foreign oil, provide energy savings and reduce greenhouse gas emissions. The purpose of this project was to develop and demonstrate a Direct Evaporator for the Organic Rankine Cycle (ORC) for the conversion of waste heat from gas turbine exhaust to electricity. In conventional ORCs, the heat from the exhaust stream is transferred indirectly to a hydrocarbon based working fluid by means of an intermediate thermal oil loop. The Direct Evaporator accomplishes preheating,more » evaporation and superheating of the working fluid by a heat exchanger placed within the exhaust gas stream. Direct Evaporation is simpler and up to 15% less expensive than conventional ORCs, since the secondary oil loop and associated equipment can be eliminated. However, in the past, Direct Evaporation has been avoided due to technical challenges imposed by decomposition and flammability of the working fluid. The purpose of this project was to retire key risks and overcome the technical barriers to implementing an ORC with Direct Evaporation. R&D was conducted through a partnership between the Idaho National Laboratory (INL) and General Electric (GE) Global Research Center (GRC). The project consisted of four research tasks: (1) Detailed Design & Modeling of the ORC Direct Evaporator, (2) Design and Construction of Partial Prototype Direct Evaporator Test Facility, (3) Working Fluid Decomposition Chemical Analyses, and (4) Prototype Evaluation. Issues pertinent to the selection of an ORC working fluid, along with thermodynamic and design considerations of the direct evaporator, were identified. The FMEA (Failure modes and effects analysis) and HAZOP (Hazards and operability analysis) safety studies performed to mitigate risks are described, followed by a discussion of the flammability analysis of the direct evaporator. A testbed was constructed and the prototype demonstrated at the GE GRC Niskayuna facility.« less

  17. Risk analysis of a biomass combustion process using MOSAR and FMEA methods.

    PubMed

    Thivel, P-X; Bultel, Y; Delpech, F

    2008-02-28

    Thermal and chemical conversion processes that convert in energy the sewage sludge, pasty waste and other pre-processed waste are increasingly common, for economic and ecological reasons. Fluidized bed combustion is currently one of the most promising methods of energy conversion, since it burns biomass very efficiently, and produces only very small quantities of sulphur and nitrogen oxides. The hazards associated with biomass combustion processes are fire, explosion and poisoning from the combustion gases (CO, etc.). The risk analysis presented in this paper uses the MADS-MOSAR methodology, applied to a semi-industrial pilot scheme comprising a fluidization column, a conventional cyclone, two natural gas burners and a continuous supply of biomass. The methodology uses a generic approach, with an initial macroscopic stage where hazard sources are identified, scenarios for undesired events are recognized and ranked using a grid of SeverityxProbability and safety barriers suggested. A microscopic stage then analyzes in detail the major risks identified during the first stage. This analysis may use various different tools, such as HAZOP, FMEA, etc.: our analysis is based on FMEA. Using MOSAR, we were able to identify five subsystems: the reactor (fluidized bed and centrifuge), the fuel and biomass supply lines, the operator and the environment. When we drew up scenarios based on these subsystems, we found that malfunction of the gas supply burners was a common trigger in many scenarios. Our subsequent microscopic analysis, therefore, focused on the burners, looking at the ways they failed, and at the effects and criticality of those failures (FMEA). We were, thus, able to identify a number of critical factors such as the incoming gas lines and the ignition electrode.

  18. Security risk assessment: applying the concepts of fuzzy logic.

    PubMed

    Bajpai, Shailendra; Sachdeva, Anish; Gupta, J P

    2010-01-15

    Chemical process industries (CPI) handling hazardous chemicals in bulk can be attractive targets for deliberate adversarial actions by terrorists, criminals and disgruntled employees. It is therefore imperative to have comprehensive security risk management programme including effective security risk assessment techniques. In an earlier work, it has been shown that security risk assessment can be done by conducting threat and vulnerability analysis or by developing Security Risk Factor Table (SRFT). HAZOP type vulnerability assessment sheets can be developed that are scenario based. In SRFT model, important security risk bearing factors such as location, ownership, visibility, inventory, etc., have been used. In this paper, the earlier developed SRFT model has been modified using the concepts of fuzzy logic. In the modified SRFT model, two linguistic fuzzy scales (three-point and four-point) are devised based on trapezoidal fuzzy numbers. Human subjectivity of different experts associated with previous SRFT model is tackled by mapping their scores to the newly devised fuzzy scale. Finally, the fuzzy score thus obtained is defuzzyfied to get the results. A test case of a refinery is used to explain the method and compared with the earlier work.

  19. GAS/LIQUID MEMBRANES FOR NATURAL GAS UPGRADING

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

    Howard S. Meyer

    Gas Technology Institute (GTI) is conducting this research program whose objective is to develop gas/liquid membranes for natural gas upgrading to assist DOE in achieving their goal of developing novel methods of upgrading low quality natural gas to meet pipeline specifications. Kvaerner Process Systems (KPS) and W. L. Gore & Associates (GORE) gas/liquid membrane contactors are based on expanded polytetrafluoroethylene (ePTFE) membranes acting as the contacting barrier between the contaminated gas stream and the absorbing liquid. These resilient membranes provide much greater surface area for transfer than other tower internals, with packing densities five to ten times greater, resulting inmore » equipment 50-70% smaller and lower weight for the same treating service. The scope of the research program is to (1) build and install a laboratory- and a field-scale gas/liquid membrane absorber; (2) operate the units with a low quality natural gas feed stream for sufficient time to verify the simulation model of the contactors and to project membrane life in this severe service; and (3) conducted an economic evaluation, based on the data, to quantify the impact of the technology. Chevron, one of the major producers of natural gas, has offered to host the test at a gas treating plant. KPS will use their position as a recognized leader in the construction of commercial amine plants for building the unit along with GORE providing the membranes. GTI will provide operator and data collection support during lab- and field-testing to assure proper analytical procedures are used. Kvaerner and GTI will perform the final economic evaluation. GTI will provide project management and be responsible for reporting and interactions with DOE on this project. Efforts this quarter have concentrated on field site selection. ChevronTexaco has nominated their Headlee Gas Plant in Odessa, TX for a commercial-scale dehydration test. Design and cost estimation for this new site are underway. A HazOp review was conducted. Potting and module materials testing continued. Preliminary design of the bench-scale equipment continues. A status meeting was held in Morgantown, WV with the DOE Project Manager.« less

  20. Tug fleet and ground operations schedules and controls. Volume 2: part 1

    NASA Technical Reports Server (NTRS)

    1975-01-01

    This Tug Fleet and Ground Operations Schedules and Controls Study addresses both ground operational data and technical requirements that span the Tug planning phase and operations phase. A similar study covering mission operations (by others) provides the complimentary flight operations details. The two studies provide the planning data requirements, resource allocation, and control milestones for supporting the requirements of the STS program. This Tug Fleet and Ground Operations Schedules and Controls Study incorporates the basic ground operations requirements and concepts provided by previous studies with the interrelationships of the planning, IUS transition, and Tug fleet operations phases. The interrelationships of these phases were studied as a system to optimize overall program benefits and minimize operational risk factors.

  1. Operationally efficient propulsion system study (OEPSS) data book. Volume 6; Space Transfer Propulsion Operational Efficiency Study Task of OEPSS

    NASA Technical Reports Server (NTRS)

    Harmon, Timothy J.

    1992-01-01

    This document is the final report for the Space Transfer Propulsion Operational Efficiency Study Task of the Operationally Efficient Propulsion System Study (OEPSS) conducted by the Rocketdyne Division of Rockwell International. This Study task studied, evaluated and identified design concepts and technologies which minimized launch and in-space operations and optimized in-space vehicle propulsion system operability.

  2. The Crucial Role of the Operational Artist: A Case Study of Operation Barbarossa

    DTIC Science & Technology

    2017-05-25

    historical case study helps to develop a better understanding of operational art today. Future studies might focus on the limitations and opportunities...The Crucial Role of the Operational Artist: A Case Study of Operation Barbarossa A Monograph by LTC (GS) Hagen H. Ruppelt German Army...a Case Study of Operation Barbarossa 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) LTC (GS) Hagen H

  3. IUS/TUG orbital operations and mission support study. Volume 2: Interim upper stage operations

    NASA Technical Reports Server (NTRS)

    1975-01-01

    Background data and study results are presented for the interim upper stage (IUS) operations phase of the IUS/tug orbital operations study. The study was conducted to develop IUS operational concepts and an IUS baseline operations plan, and to provide cost estimates for IUS operations. The approach used was to compile and evaluate baseline concepts, definitions, and system, and to use that data as a basis for the IUS operations phase definition, analysis, and costing analysis. Both expendable and reusable IUS configurations were analyzed and two autonomy levels were specified for each configuration. Topics discussed include on-orbit operations and interfaces with the orbiter, the tracking and data relay satellites and ground station support capability analysis, and flight control center sizing to support the IUS operations.

  4. Operationally Efficient Propulsion System Study (OEPSS) data book. Volume 3: Operations technology

    NASA Technical Reports Server (NTRS)

    Vilja, John O.

    1990-01-01

    The study was initiated to identify operational problems and cost drivers for current propulsion systems and to identify technology and design approaches to increase the operational efficiency and reduce operations costs for future propulsion systems. To provide readily usable data for the Advanced Launch System (ALS) program, the results of the OEPSS study were organized into a series of OEPSS Data Books. This volume describes operations technologies that will enhance operational efficiency of propulsion systems. A total of 15 operations technologies were identified that will eliminate or mitigate operations problems described in Volume 2. A recommended development plan is presented for eight promising technologies that will simplify the propulsion system and reduce operational requirements.

  5. Pre-operative patient teaching in an acute care ward in Hong Kong: a case study.

    PubMed

    Lee, David S; Chien, W T

    2002-10-01

    Many nurses have acknowledged that adequate pre-operative teaching can alleviate patients' anxiety, increase patient participation in their own care, and minimize post-operative complications. However, the organization and degree to which pre-operative patient teachingfeatured in nurses' practice varies in different acute care settings. A case study design was used to explore the practice of pre-operative teaching in a surgical ward of an acute general hospital in Hong Kong. Seventeen registered nurses working on the ward were interviewed and observed in order to explore how they conduct a pre-operative teaching program and the difficulties encountered by them in carrying out pre-operative teaching on this acute care setting. Thefindings of this study indicate that pre-operative teaching workshops are organized and conducted by nursesfrom the operating theatre, in the day surgery center. Ward nurses were not actively involved in this pre-operative teaching. The results of this study present some similarities to a study with the similar design in Australia. There are also issues unique to the Hong Kong context. This case study was to review Hong Kong nurses' current practices of pre-operative teaching and to understand the cultural, conceptual and managementfactors influencing the practice in pre-operative teaching.

  6. IUS/TUG orbital operations and mission support study. Volume 3: Space tug operations

    NASA Technical Reports Server (NTRS)

    1975-01-01

    A study was conducted to develop space tug operational concepts and baseline operations plan, and to provide cost estimates for space tug operations. Background data and study results are presented along with a transition phase analysis (the transition from interim upper state to tug operations). A summary is given of the tug operational and interface requirements with emphasis on the on-orbit checkout requirements, external interface operational requirements, safety requirements, and system operational interface requirements. Other topics discussed include reference missions baselined for the tug and details for the mission functional flows and timelines derived for the tug mission, tug subsystems, tug on-orbit operations prior to the tug first burn, spacecraft deployment and retrieval by the tug, operations centers, mission planning, potential problem areas, and cost data.

  7. Operationally Efficient Propulsion System Study (OEPSS) data book. Executive summary

    NASA Technical Reports Server (NTRS)

    Wong, George S.

    1990-01-01

    The study was initiated to identify operations problems and cost drivers for current propulsion systems and to identify technology and design approaches to increase the operational efficiency and reduce operations costs for future propulsion systems. To provide readily usable data for the Advanced Launch System (ALS) program, the results of the Operationally Efficient Propulsion System Study (OEPSS) were organized into a series of OEPSS Data Books as follows: Volume 1, Generic Ground Operations Data; Volume 2, Ground Operations Problems; Volume 3, Operations Technology; Volume 4, OEPSS Design Concepts; and Volume 5, OEPSS Final Review Briefing, which summarizes the activities and results of the study. Summarized here are the salient results of the first year. A synopsis of each volume listed above is presented.

  8. Orbital operations study. Appendix B: Operational procedures

    NASA Technical Reports Server (NTRS)

    Galvin, D. M.; Mattson, H. L.; True, D. M.; Anderson, N. R.; Mehrbach, E.; Gianformaggio, A.; Steinwachs, W. L.; Turkel, S. H.

    1972-01-01

    Operational procedures for each alternate approach for each interfacing activity of the orbital operations study are presented. The applicability of the procedures to interfacing element pairs is identified.

  9. Parametric Optimization of Some Critical Operating System Functions--An Alternative Approach to the Study of Operating Systems Design

    ERIC Educational Resources Information Center

    Sobh, Tarek M.; Tibrewal, Abhilasha

    2006-01-01

    Operating systems theory primarily concentrates on the optimal use of computing resources. This paper presents an alternative approach to teaching and studying operating systems design and concepts by way of parametrically optimizing critical operating system functions. Detailed examples of two critical operating systems functions using the…

  10. Operationally Efficient Propulsion System Study (OEPSS) data book. Volume 1: Generic ground operations data

    NASA Technical Reports Server (NTRS)

    Byrd, Raymond J.

    1990-01-01

    This study was initiated to identify operations problems and cost drivers for current propulsion systems and to identify technology and design approaches to increase the operational efficiency and reduce operations costs for future propulsion systems. To provide readily usable data for the Advance Launch System (ALS) program, the results of the Operationally Efficient Propulsion System Study (OEPSS) were organized into a series of OEPSS Data Books as follows: Volume 1, Generic Ground Operations Data; Volume 2, Ground Operations Problems; Volume 3, Operations Technology; Volume 4, OEPSS Design Concepts; and Volume 5, OEPSS Final Review Briefing, which summarizes the activities and results of the study. This volume presents ground processing data for a generic LOX/LH2 booster and core propulsion system based on current STS experience. The data presented includes: top logic diagram, process flow, activities bar-chart, loaded timelines, manpower requirements in terms of duration, headcount and skill mix per operations and maintenance instruction (OMI), and critical path tasks and durations.

  11. Systems Operations Studies for Automated Guideway Transit Systems : Quantitative Analysis of Alternative AGT Operational Control Strategies

    DOT National Transportation Integrated Search

    1981-10-01

    The objectives of the Systems Operation Studies (SOS) for automated guideway transit (AGT) systems are to develop models for the analysis of system operations, to evaluate performance and cost, and to establish guidelines for the design and operation...

  12. 40 CFR 792.81 - Standard operating procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 33 2013-07-01 2013-07-01 false Standard operating procedures. 792.81... operating procedures. (a) A testing facility shall have standard operating procedures in writing, setting... data generated in the course of a study. All deviations in a study from standard operating procedures...

  13. 40 CFR 792.81 - Standard operating procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 33 2012-07-01 2012-07-01 false Standard operating procedures. 792.81... operating procedures. (a) A testing facility shall have standard operating procedures in writing, setting... data generated in the course of a study. All deviations in a study from standard operating procedures...

  14. 40 CFR 792.81 - Standard operating procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 32 2014-07-01 2014-07-01 false Standard operating procedures. 792.81... operating procedures. (a) A testing facility shall have standard operating procedures in writing, setting... data generated in the course of a study. All deviations in a study from standard operating procedures...

  15. Orbital operations study. Volume 2: Interfacing activities analysis. Part 4: Support operations activity group

    NASA Technical Reports Server (NTRS)

    Steinwachs, W. L.; Patrick, J. W.; Galvin, D. M.; Turkel, S. H.

    1972-01-01

    The findings of the support operations activity group of the orbital operations study are presented. Element interfaces, alternate approaches, design concepts, operational procedures, functional requirements, design influences, and approach selection are presented. The following areas are considered: (1) crew transfer, (2) cargo transfer, (3) propellant transfer, (4) attached element operations, and (5) attached element transport.

  16. Network Centric Warfare Case Study: U.S. V Corps and 3rd Infantry Division (Mechanized) During Operation Iraqi Freedom Combat Operations (Mar-Apr 2003). Volume 3. Network Centric Warfare Insights

    DTIC Science & Technology

    2003-01-01

    OPSEC), military deception, psychological operations (PSYOPS), special information operations (IO), information assurance, physical security...nonlethal effects, such as operational 8 Network Centric Warfare Case Study security (OPSEC), military deception, psychological operations (PSYOP...Support Operations Group ASR Alternate Supply Route; or, Ammunition Supply Rate ATACMS Army Tactical Missile System ATARS Advanced

  17. Distributed situation awareness in complex collaborative systems: A field study of bridge operations on platform supply vessels.

    PubMed

    Sandhåland, Hilde; Oltedal, Helle A; Hystad, Sigurd W; Eid, Jarle

    2015-06-01

    This study provides empirical data about shipboard practices in bridge operations on board a selection of platform supply vessels (PSVs). Using the theoretical concept of distributed situation awareness, the study examines how situation awareness (SA)-related information is distributed and coordinated at the bridge. This study thus favours a systems approach to studying SA, viewing it not as a phenomenon that solely happens in each individual's mind but rather as something that happens between individuals and the tools that they use in a collaborative system. Thus, this study adds to our understanding of SA as a distributed phenomenon. Data were collected in four field studies that lasted between 8 and 14 days on PSVs that operate on the Norwegian continental shelf and UK continental shelf. The study revealed pronounced variations in shipboard practices regarding how the bridge team attended to operational planning, communication procedures, and distracting/interrupting factors during operations. These findings shed new light on how SA might decrease in bridge teams during platform supply operations. The findings from this study emphasize the need to assess and establish shipboard practices that support the bridge teams' SA needs in day-to-day operations. Provides insights into how shipboard practices that are relevant to planning, communication and the occurrence of distracting/interrupting factors are realized in bridge operations.Notes possible areas for improvement to enhance distributed SA in bridge operations.

  18. Flawed Execution: A Case Study on Operational Contract Support

    DTIC Science & Technology

    2016-06-01

    NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA JOINT APPLIED PROJECT FLAWED EXECUTION: A CASE STUDY ON OPERATIONAL CONTRACT SUPPORT June 2016...applied project 4. TITLE AND SUBTITLE FLAWED EXECUTION: A CASE STUDY ON OPERATIONAL CONTRACT SUPPORT 5. FUNDING NUMBERS 6. AUTHOR(S) Scott F...unlimited FLAWED EXECUTION: A CASE STUDY ON OPERATIONAL CONTRACT SUPPORT Scott F. Taggart, Captain, United States Marine Corps Jacob Ledford

  19. Distributed situation awareness in complex collaborative systems: A field study of bridge operations on platform supply vessels

    PubMed Central

    Sandhåland, Hilde; Oltedal, Helle A; Hystad, Sigurd W; Eid, Jarle

    2015-01-01

    This study provides empirical data about shipboard practices in bridge operations on board a selection of platform supply vessels (PSVs). Using the theoretical concept of distributed situation awareness, the study examines how situation awareness (SA)-related information is distributed and coordinated at the bridge. This study thus favours a systems approach to studying SA, viewing it not as a phenomenon that solely happens in each individual's mind but rather as something that happens between individuals and the tools that they use in a collaborative system. Thus, this study adds to our understanding of SA as a distributed phenomenon. Data were collected in four field studies that lasted between 8 and 14 days on PSVs that operate on the Norwegian continental shelf and UK continental shelf. The study revealed pronounced variations in shipboard practices regarding how the bridge team attended to operational planning, communication procedures, and distracting/interrupting factors during operations. These findings shed new light on how SA might decrease in bridge teams during platform supply operations. The findings from this study emphasize the need to assess and establish shipboard practices that support the bridge teams' SA needs in day-to-day operations. Practitioner points Provides insights into how shipboard practices that are relevant to planning, communication and the occurrence of distracting/interrupting factors are realized in bridge operations. Notes possible areas for improvement to enhance distributed SA in bridge operations. PMID:26028823

  20. Security Operations Curriculum Package: BS in Global Security and Intelligence Studies, Security Operations Management Track, Embry-Riddle Aeronautical University, Prescott, AZ. BS in Security Operations Management, Model Curriculum

    DTIC Science & Technology

    2011-10-24

    Operations Management Track in the established B.S. in Global Security and Intelligence Studies Degree offered at Embry-Riddle Aeronautical University...and a model 4 -year college curriculum for a BS degree in Security Operations Management

  1. Pershing in Mexico: a case study in limited contingency operations

    DTIC Science & Technology

    2016-05-26

    Pershing in Mexico: A Case Study in Limited Contingency Operations A Monograph by MAJ Timothy J. Lawrence United States Army School...DATE (00-MM-YYYY) REPORT TYPE 12. 31-03-2016 SAMS Monograph 4. TITLE AND SUBTITLE Pershing in Mexico: A Case Study in Limited Contingency Operations...Monograph Approval Page Name of Candidate: MAJ Timothy J. Lawrence Monograph Title: Pershing in Mexico: A Case Study in Limited Contingency Operations

  2. Reexamining Ground SOF Command and Control: Does One Size Fit All

    DTIC Science & Technology

    2016-12-01

    Case studies covering varying methods of employment of special operations forces in limited contingencies will be utilized. The case studies focus on ...operating environment, much like an open organization. This research examines three case studies including operation JUST CAUSE in Panama, RESTORE HOPE in... case studies , the HQ elements formed around existing homogenous commands and not a Theater Special Operations Command (TSOC) staff with limited

  3. The Application of Operational Art to Health Service Support: A Case Study of the Korean and Vietnam Wars

    DTIC Science & Technology

    2017-05-25

    The Application of Operational Art to Health Service Support: A Case Study of the Korean and Vietnam Wars A Monograph by MAJ Brian M. Downs...of Operational Art to Health Service Support: A Case Study of the Korean and Vietnam Wars 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...ABSTRACT Health Service Support (HSS) planners have endured static healthcare operations over the last 15 years during operations in Iraq and

  4. Geometry of quantum state manifolds generated by the Lie algebra operators

    NASA Astrophysics Data System (ADS)

    Kuzmak, A. R.

    2018-03-01

    The Fubini-Study metric of quantum state manifold generated by the operators which satisfy the Heisenberg Lie algebra is calculated. The similar problem is studied for the manifold generated by the so(3) Lie algebra operators. Using these results, we calculate the Fubini-Study metrics of state manifolds generated by the position and momentum operators. Also the metrics of quantum state manifolds generated by some spin systems are obtained. Finally, we generalize this problem for operators of an arbitrary Lie algebra.

  5. Once Out the Door: A Study of Division and Corps Level Airborne Assaults

    DTIC Science & Technology

    2016-05-26

    examine Operations Mercury, Dragoon, and Market Garden to extract lessons that will enable effective airborne assault planning at the division and...Dragoon and Operational Art........................................................................................ 38 Case Study 3: Operation Market ...Garden.................................................................................................... 43 The Importance of Operation Market

  6. Enhanced education and physiotherapy before knee replacement; is it worth it? A systematic review.

    PubMed

    Jordan, R W; Smith, N A; Chahal, G S; Casson, C; Reed, M R; Sprowson, A P

    2014-12-01

    Around 20% of knee replacement have an unsatisfactory outcome. Pre-operative physiotherapy and education have been proposed to improve post-operative outcomes. This systematic review evaluated whether these factors improved length of stay and patient reported outcomes after knee replacement surgery. Medline, Embase, CINAHL, Cochrane Central Register of Controlled Trials, PsycINFO and PEDro were searched on the 1st January 2013. Randomised or quasi-randomised studies assessing either pre-operative education or physiotherapy on patients undergoing a planned total or partial knee replacement were included in the review. Only studies with a control group receiving a defined standard of pre-operative care were included. Eleven studies met the inclusion criteria set. Two studies analysed the effect of pre-operative education, seven pre-operative treatment by a physiotherapist and two studies used both factors. No study found significant differences in validated joint specific patient reported outcome measures. The education studies found a decrease in pre-operative expectation and an improvement in knowledge, flexion and regularity of exercise. Two studies found an improvement in muscle strength in the group treated by a physiotherapist at three months. The combination of education and physiotherapy was shown to reduce patient length of stay and cost in one study. The evidence reviewed is insufficient to support the implementation of either pre-operative education or physiotherapy programmes. The combination of pre-operative education and treatment by a physiotherapist may reduce the medical costs associated with surgery. Copyright © 2014 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

  7. Study of an Audio Playback Machine Storage, Distribution, and Repair System. Options for Machine Operation. Study II, Part 1, Phase 2, Final Report.

    ERIC Educational Resources Information Center

    ManTech Technical Services Corp., Fairfax, VA.

    This report presents the results of a management study of audio playback equipment operations conducted by the National Library Service, Library of Congress, its associated network of state and local machine lending agencies (MLA), and other parties that play a role in current operations. The objectives were to document current operations,…

  8. 76 FR 72885 - FM Asymmetric Sideband Operation and Associated Technical Studies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ... Sideband Operation and Associated Technical Studies AGENCY: Federal Communications Commission. ACTION... Asymmetric Sideband Operation and Associated Technical Studies, MM Docket No. 99-325, Public Notice, DA 11-1832 (MB rel. Nov. 1, 2011). The iBiquity and NPR request and the iBiquity and NPR technical studies...

  9. Water Treatment Plant Operation. Volume II. A Field Study Training Program.

    ERIC Educational Resources Information Center

    California State Univ., Sacramento. School of Engineering.

    The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  10. Water Treatment Plant Operation. Volume I. A Field Study Training Program.

    ERIC Educational Resources Information Center

    California State Univ., Sacramento. School of Engineering.

    The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  11. Airport surface operations requirements analysis

    NASA Technical Reports Server (NTRS)

    Groce, John L.; Vonbokern, Greg J.; Wray, Rick L.

    1993-01-01

    This report documents the results of the Airport Surface Operations Requirements Analysis (ASORA) study. This study was conducted in response to task 24 of NASA Contract NAS1-18027. This study is part of NASA LaRC's Low Visibility Surface Operations program, which is designed to eliminate the constraints on all-weather arrival/departure operations due to the airport/aircraft ground system. The goal of this program is to provide the capability for safe and efficient aircraft operations on the airport surface during low visibility conditions down to zero. The ASORA study objectives were to (1) develop requirements for operation on the airport surface in visibilities down to zero; (2) survey and evaluate likely technologies; (3) develop candidate concepts to meet the requirements; and (4) select the most suitable concept based on cost/benefit factors.

  12. Electronic Performance Support for Operational Systems: A Case Study of the Link Monitor and Control Operator Assistant

    NASA Technical Reports Server (NTRS)

    Hill, Randall W., Jr.; Cooper, Lynne P.

    1993-01-01

    For complex operational systems, help needs to come from the inside out. It is often not realistic to call a help desk for problems that need immediate attention, especially for tasks that put a heavy cognitive load on the system operator. This session addresses the issues associated with providing electronic performance support for operational systems, including situations where the system is already fielded and can only change through evolution rather than revolution. We present a case study based on our experiences in developing the Link Monitor and Control Operator Assistant for NASA's Deep Space Network (DSN). The goals of the Operator Assistant are to improve the operability of the system and increase the efficiency of mission operations.

  13. Relationship Between Lean Production and Operational Performance in the Manufacturing Industry

    NASA Astrophysics Data System (ADS)

    Rasi, Raja Zuraidah R. M.; Syamsyul Rakiman, Umol; Ahmad, Md Fauzi Bin

    2015-05-01

    Nowadays, more and more manufacturing firms have started to implement lean production system in their operations. Lean production viewed as one of the mechanism to maintain the organisation's position and to compete globally. However, many fail to apply the lean concepts successfully in their operations. Based on previous studies, implementation of lean production in the manufacturing industry is more focused on the relationship between Lean and Operational Performance of one dimension only. Therefore, this study attempted to examine the relationship between Lean Production (LP) and Operational Performance in 4 dimensions which are quality, delivery, cost and flexibility. This study employed quantitative study using questionnaires. Data was collected from 50 manufacturing industries. The data was analysed using Statistical Package for Social Science (SPSS) 22.0. This study is hoped to shed new understanding on the concept of Lean Production (LP) in regards of Operational Performance covering the 4 dimensions.

  14. Some properties for integro-differential operator defined by a fractional formal.

    PubMed

    Abdulnaby, Zainab E; Ibrahim, Rabha W; Kılıçman, Adem

    2016-01-01

    Recently, the study of the fractional formal (operators, polynomials and classes of special functions) has been increased. This study not only in mathematics but extended to another topics. In this effort, we investigate a generalized integro-differential operator [Formula: see text] defined by a fractional formal (fractional differential operator) and study some its geometric properties by employing it in new subclasses of analytic univalent functions.

  15. Preventing musculoskeletal disorders in clinical dentistry: strategies to address the mechanisms leading to musculoskeletal disorders.

    PubMed

    Valachi, Bethany; Valachi, Keith

    2003-12-01

    The authors reviewed studies to identify methods for dental operators to use to prevent the development of musculoskeletal disorders, or MSDs. The authors reviewed studies that related to the prevention of MSDs among dental operators. Some studies investigated the relationship between the biomechanics of seated working postures and physiological damage or pain. Other studies suggested that repeated unidirectional twisting of the trunk can lead to low back pain, while yet other studies examined the detrimental effects of working in one position for prolonged periods. Additional studies confirmed the roles that operators' flexibility and core strength can play in balanced musculoskeletal health and the need for operators to know how to properly adjust ergonomic equipment. This review indicates that strategies to prevent the multifactorial problem of dental operators' developing MSDs exist. These strategies address deficiencies in operator position, posture, flexibility, strength and ergonomics. Education and additional research are needed to promote an understanding of the complexity of the problem and to address the problem's multifactorial nature. A comprehensive approach to address the problem of MSDs in dentistry represents a paradigm shift in how operators work. New educational models that incorporate a multifactorial approach can be developed to help dental operators manage and prevent MSDs effectively.

  16. Simulator Evaluation of Runway Incursion Prevention Technology for General Aviation Operations

    NASA Technical Reports Server (NTRS)

    Jones, Denise R.; Prinzel, Lawrence J., III

    2011-01-01

    A Runway Incursion Prevention System (RIPS) has been designed under previous research to enhance airport surface operations situation awareness and provide cockpit alerts of potential runway conflict, during transport aircraft category operations, in order to prevent runway incidents while also improving operations capability. This study investigated an adaptation of RIPS for low-end general aviation operations using a fixed-based simulator at the National Aeronautics and Space Administration (NASA) Langley Research Center (LaRC). The purpose of the study was to evaluate modified RIPS aircraft-based incursion detection algorithms and associated alerting and airport surface display concepts for low-end general aviation operations. This paper gives an overview of the system, simulation study, and test results.

  17. Critical operations capabilities in a high cost environment: a multiple case study

    NASA Astrophysics Data System (ADS)

    Sansone, C.; Hilletofth, P.; Eriksson, D.

    2018-04-01

    Operations capabilities have been a popular research area for many years and several frameworks have been proposed in the literature. The current frameworks do not take specific contexts into consideration, for instance a high cost environment. This research gap is of particular interest since a manufacturing relocation process has been ongoing the last decades, leading to a huge amount of manufacturing being moved from high to low cost environments. The purpose of this study is to identify critical operations capabilities in a high cost environment. The two research questions were: What are the critical operations capabilities dimensions in a high cost environment? What are the critical operations capabilities in a high cost environment? A multiple case study was conducted and three Swedish manufacturing firms were selected. The study was based on the investigation of an existing framework of operations capabilities. The main dimensions of operations capabilities included in the framework were: cost, quality, delivery, flexibility, service, innovation and environment. Each of the dimensions included two or more operations capabilities. The findings confirmed the validity of the framework and its usefulness in a high cost environment and a new operations capability was revealed (employee flexibility).

  18. Operability score: an innovative tool for quantitative assessment of operability in comparative studies on surgical anatomy.

    PubMed

    Gagliardi, Filippo; Boari, Nicola; Roberti, Fabio; Caputy, Anthony J; Mortini, Pietro

    2014-09-01

    Comparative anatomical studies have proved to be invaluable in the evaluation of advantages and drawbacks of single approaches to access established target areas. Approach-related exposed areas do not necessarily represent useful areas when performing surgical manoeuvres. Accordingly the concept of "operability" has recently been introduced as a qualitative assessment of the ability to execute surgical manoeuvres. The authors propose an innovative model for the quantitative assessment of the operability, defined as "operability score" (OS), which can be effectively and easily applied to comparative studies on surgical anatomy. A microanatomical study was conducted on six cadaveric heads. Morphometric measurements were collected and operability scores in selected target points of the surgical field were calculated. As illustrative example, the operability score was applied to the extradural subtemporal transzygomatic approach (ESTZ). The operability score is effective in grading system of surgical operability, and instruments manipulation capability. It is a useful tool to evaluate, in a single approach, areas that can be exposed, and to quantify how those areas are suitable for surgical manoeuvres. Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  19. Flight Deck Surface Trajectory-Based Operations

    NASA Technical Reports Server (NTRS)

    Foyle, David C.; Hooey, Becky L.; Bakowski, Deborah L.

    2017-01-01

    Surface Trajectory-Based Operations (STBO) is a future concept for surface operations where time requirements are incorporated into taxi operations to support surface planning and coordination. Pilot-in-the-loop flight deck simulations have been conducted to study flight deck displays algorithms to aid pilots in complying with the time requirements of time-based taxi operations (i.e., at discrete locations in 3 12 D operations or at all points along the route in 4DT operations). The results of these studies (conformance, time-of-arrival error, eye-tracking data, and safety ratings) are presented. Flight deck simulation work done in collaboration with DLR is described. Flight deck research issues in future auto-taxi operations are also introduced.

  20. Describing Elementary Teachers' Operative Systems: A Case Study

    ERIC Educational Resources Information Center

    Dotger, Sharon; McQuitty, Vicki

    2014-01-01

    This case study introduces the notion of an operative system to describe elementary teachers' knowledge and practice. Drawing from complex systems theory, the operative system is defined as the network of knowledge and practices that constituted teachers' work within a lesson study cycle. Data were gathered throughout a lesson study cycle in which…

  1. Operation of Wastewater Treatment Plants. Volume 1. A Field Study Training Program. Third Edition. Revised.

    ERIC Educational Resources Information Center

    California State Univ., Sacramento. Dept. of Civil Engineering.

    The purpose of this wastewater treatment field study training program is to: (1) develop new qualified wastewater treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  2. Water Treatment Plant Operation Volume 2. A Field Study Training Program. Revised.

    ERIC Educational Resources Information Center

    California State Univ., Sacramento. School of Engineering.

    The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  3. Procurement Integrity in Contingency Operations: A Case Study of Army Contracting Officer Corruption in Operations Iraqi and Enduring Freedom Utilizing Occupational Fraud Theory

    DTIC Science & Technology

    2011-12-01

    Study of Army Contracting Officer Corruption in Operations Iraqi and Enduring Freedom Utilizing Occupational Fraud Theory By: Amanda H...Operations Iraqi and Enduring Freedom Utilizing Occupational Fraud Theory 6. AUTHOR(S) Amanda H. Flint 5. FUNDING NUMBERS 7. PERFORMING ORGANIZATION...CCOs) during Operations Iraqi Freedom and Enduring Freedom (OIF/OEF) by applying occupational fraud theory, specifically the classic sociological

  4. Communications Processor Operating System Study. Executive Summary,

    DTIC Science & Technology

    1980-11-01

    AD-A095 b36 ROME AIR DEVELOPMENT CENTER GRIFFISS AFB NY F/e 17/2 COMMUNICATIONS PROCESSOR OPERATING SYSTEM STUDY. EXECUTIVE SUMM—ETC(U) NOV 80 J...COMMUNICATIONS PROCESSOR OPERATING SYSTEM STUDY Julian Gitlih SPTIC ELECTE«^ FEfi 2 6 1981^ - E APPROVED FOR PUBLIC RELEASE; DISTRIBUTION UNLIMITED "a O...Subtitle) EXECUTIVE^SUMMARY 0F> COMMUNICATIONS PROCESSOR OPERATING SYSTEM $t - • >X W tdLl - ’•• • 7 AUTHORf«! ! , Julian

  5. The Roles of Decision Makers in Special Operations

    DTIC Science & Technology

    2016-12-01

    question and hypotheses. 9 II. CASE STUDIES A. OPERATION THUNDERBOLT (THE RAID ON ENTEBBE) The Israeli Special Forces’ hostage rescue operation...Operations Warfare, 338. 28 Herzog, “The War Against Terrorism: Entebbe,” 338. 29 Chaitanya Arun Sathe, “A Case Study on Crisis Management with a...Assessment of the Roles of Decision Makers This assessment is based on this case study , and the decision makers’ roles in the three phases of a

  6. Learning to Mow Grass: IDF Adaptations to Hybrid Threats

    DTIC Science & Technology

    2017-05-25

    lie on a spectrum from tactical techniques to wholesale paradigm shift.7 This study examines military adaptations in the case of the Israeli Defense...against the hybrid threat in three case studies spanning the Second Lebanon War in 2006, Operation Cast Lead in 2008, and Operation Protective Edge in...hybrid threat in three case studies spanning the Second Lebanon War in 2006, Operation Cast Lead in 2008, and Operation Protective Edge in 2014. The

  7. On the Far Bank: The Effects of Gap Crossing on Operational Reach

    DTIC Science & Technology

    2015-05-25

    operations. 15. SUBJECT TERMS United States Army; Gap crossing; River crossing; Operational reach; Operation Market -Garden; Operation Plunder...3 Case Study: Operation Market Garden...successful gap crossing. The Allied failure in Operation Market -Garden during World War II showed that successfully crossing a river such as the Waal does

  8. Improving operating room safety

    PubMed Central

    2009-01-01

    Despite the introduction of the Universal Protocol, patient safety in surgery remains a daily challenge in the operating room. This present study describes one community health system's efforts to improve operating room safety through human factors training and ultimately the development of a surgical checklist. Using a combination of formal training, local studies documenting operating room safety issues and peer to peer mentoring we were able to substantially change the culture of our operating room. Our efforts have prepared us for successfully implementing a standardized checklist to improve operating room safety throughout our entire system. Based on these findings we recommend a multimodal approach to improving operating room safety. PMID:19930577

  9. Leasing as a Source of Finance by the Major US Airlines: Hidden Debt and its Changes Over Time

    NASA Technical Reports Server (NTRS)

    Gritta, Richard D.; Lippman, Ellen J.

    2003-01-01

    This paper updates prior research on aircraft leasing and contrasts the findings of current data with prior results. Usage of leases by air carriers is a means to lessen the impact of financial obligations from fleet purchases. The study revisits two previous studies, one in 1969 and one in 1991, which is analyzed the incidence of leases by major air carriers. The current study updates these past studies to consider air carriers current usage of leases. Additionally, since operating leases are not reflected in the balance sheets of airlines, operating lease information was capitalized using a present value of future operating lease payments. Then, financial debt burden ratios were computed to determine the impact from the capitalization of lease information. The usage of operating leases increased, significantly from the first study to the 1991 study, and this trend continues. The incidence of leasing, the classification of leases as operating, and the percentage of operating leases to total fleet have all increased for the majority of the airlines reviewed. When operating lease data were capitalized, debt ratios weakened, providing further evidence of deterioration in the financial health of air carriers.

  10. Orbital operations study. Volume 2: Interfacing activities analyses. Part 3: Data management activity group

    NASA Technical Reports Server (NTRS)

    Mehrbach, E.; Turkel, S. H.

    1972-01-01

    A summary of the findings of the data management group of the orbital operations study is presented. Element interfaces, alternate approaches, design concepts, operational procedures, functional requirements, design influences, and approach selection are described. The following interfacing activities are considered: (1) communications, (2) rendezvous, (3) stationkeeping, and (4) detached element operations.

  11. Study Results on Knowledge Requirements for Entry-Level Airport Operations and Management Personnel

    NASA Technical Reports Server (NTRS)

    Quilty, Stephen M.

    2005-01-01

    This paper identifies important topical knowledge areas required of individuals employed in airport operations and management positions. A total of 116 airport managers and airfield operations personnel responded to a survey that sought to identify the importance of various subject matter for entry level airport operations personnel. The results from this study add to the body of research on aviation management curriculum development and can be used to better develop university curriculum and supplemental training focused on airport management and operations. Recommendations are made for specialized airport courses within aviation management programs. Further, this study identifies for job seekers or individuals employed in entry level positions those knowledge requirements deemed important by airport managers and operations personnel at different sized airports.

  12. Intelligent transportation systems field operational test cross-cutting study : commercial vehicle operations -- roadside

    DOT National Transportation Integrated Search

    1998-11-01

    Commercial Vehicle Operations - Roadside report discusses the findings and conclusions exclusively from Field Operational Tests (FOTs) of roadside Intelligent Transportation Systems (ITS) for Commercial Vehicle Operations (CVO). The FOTs considered i...

  13. Rapid Propellant Loading Approach Exploration

    DTIC Science & Technology

    2010-11-01

    the impact upon ground operations of three configuration options. Ground operations management was addressed through a series of studies performed...and operations management system can enable safe rapid propellant loading operations with limited operator knowledge and involvement. A single

  14. Operating room efficiency improvement after implementation of a postoperative team assessment.

    PubMed

    Porta, Christopher R; Foster, Andrew; Causey, Marlin W; Cordier, Patricia; Ozbirn, Roger; Bolt, Stephen; Allison, Dennis; Rush, Robert

    2013-03-01

    Operating room time is highly resource intensive, and delays can be a source of lost revenue and surgeon frustration. Methods to decrease these delays are important not only for patient care, but to maximize operating room resource utilization. The purpose of this study was to determine the root cause of operating room delays in a standardized manner to help improve overall operating room efficiency. We performed a single-center prospective observational study analyzing operating room utilization and efficiency after implementing an executive-driven standardized postoperative team debriefing system from January 2010 to December 2010. A total of 11,342 procedures were performed over the 1-y study period (elective 86%, urgent 11%, and emergent 3%), with 1.3 million min of operating room time, 865,864 min of surgeon operative time (62.5%), and 162,958 min of anesthesia time (11.8%). Overall, the average operating room delay was 18 min and varied greatly based on the surgical specialty. The longest delays were due to need for radiology (40 min); other significant delays were due to supply issues (22.7 min), surgeon issues (18 min), nursing issues (14 min), and room turnover (14 min). Over the 1-y period, there was a decrease in mean delay duration, averaging a decrease in delay of 0.147 min/mo with an overall 9% decrease in the mean delay times. With regard to overall operating room utilization, there was a 39% decrease in overall un-utilized available OR time that was due to delays, improving efficiency by 2334 min (212 min/mo). During this study interval no sentinel events occurred in the operating room. A standardized postoperative debrief tracking system is highly beneficial in identifying and reducing overall operative delays and improving operating room utilization. Published by Elsevier Inc.

  15. Concrete and formal operational thought processes in young adulthood and old age.

    PubMed

    Clayton, V; Overton, W F

    1976-01-01

    A study was conducted to examine the role of concrete and formal operations in a young and old population. In addition, the present study explored the relation between operational thought and Cattell's concept of fluid and crystallized intelligence, as well as the role of differential living arrangements in maintaining operational thought. Eighty females from three age groups (18-20 years, 60-70 years and 70-80 years of age) were tested on a series of Piagetian tasks and indices of fluid and crystallized intelligence. The findings supported the notion that age-related performance differences occur in the area of formal operational thought prior to the time they occur in concrete operational thought. Except for the young sample, the operational tasks were found to be unrelated to fluid intelligence at the age levels represented in this study. Living independently as opposed to living in an old age home did not appear to be a significant factor in maintaining operational thought. Discussion focused on the necessity of identifying those factors which influence the developmental course of formal operational thought across the life span.

  16. TVT compared with TVT-O and TOT: results from the Norwegian National Incontinence Registry.

    PubMed

    Dyrkorn, Ole A; Kulseng-Hanssen, Sigurd; Sandvik, Leiv

    2010-11-01

    The aim of this study is to compare the outcome and complication rates of the tension-free vaginal tape (TVT) operations with the transobturator vaginal tape (TVT-O and TOT) operations in the treatment of urinary stress incontinence. This is a multicenter, prospective cohort study. Preoperative and postoperative assessments included a validated Stress and Urge Incontinence Questionnaire, a 24-h pad test, and a standardized stress test. The study included 5,942 women--4,281 women had a TVT operation and 731 and 373 women had TVT-O and TOT operations, respectively. Median follow-up time was 8 months. Women in the TVT group had less leakage during stress test and fewer subjective stress incontinence symptoms, and were more satisfied with the operation compared with the women in TVT-O and TOT groups, but more complications were reported after TVT operation. The TVT operation is more efficient than TVT-O and TOT operations in treating stress incontinent women.

  17. Enzymatically modified isoquercitrin supplementation intensifies plantaris muscle fiber hypertrophy in functionally overloaded mice.

    PubMed

    Kohara, Akiko; Machida, Masanao; Setoguchi, Yuko; Ito, Ryouichi; Sugitani, Masanori; Maruki-Uchida, Hiroko; Inagaki, Hiroyuki; Ito, Tatsuhiko; Omi, Naomi; Takemasa, Tohru

    2017-01-01

    Enzymatically modified isoquercitrin (EMIQ) is produced from rutin using enzymatic hydrolysis followed by treatment with glycosyltransferase in the presence of dextrin to add glucose residues. EMIQ is absorbed in the same way as quercetin, a powerful antioxidant reported to prevent disused muscle atrophy by targeting mitochondria and to have ergogenic effects. The present study investigated the effect of EMIQ on skeletal muscle hypertrophy induced by functional overload. In Study 1, 6-week-old ICR male mice were divided into 4 groups: sham-operated control, sham-operated EMIQ, overload-operated control, and overload-operated EMIQ groups. In Study 2, mice were divided into 3 groups: overload-operated whey control, overload-operated whey/EMIQ (low dose), and overload-operated whey/EMIQ (high dose) groups. The functional overload of the plantaris muscle was induced by ablation of the synergist (gastrocnemius and soleus) muscles. EMIQ and whey protein were administered with food. Three weeks after the operation, the cross-sectional area and minimal fiber diameter of the plantaris muscle fibers were measured. In Study 1, functional overload increased the cross-sectional area and minimal fiber diameter of the plantaris muscle. EMIQ supplementation significantly increased the cross-sectional area and minimal fiber diameter of the plantaris muscle in both the sham-operated and overload-operated groups. In Study 2, EMIQ supplementation combined with whey protein administration significantly increased the cross-sectional area and minimal fiber diameter of the plantaris muscle. EMIQ, even when administered as an addition to whey protein supplementation, significantly intensified the fiber hypertrophy of the plantaris muscle in functionally overloaded mice. EMIQ supplementation also induced fiber hypertrophy of the plantaris in sham-operated mice.

  18. The emerging trend of non-operative treatment in paediatric type I open forearm fractures.

    PubMed

    Zhang, H; Fanelli, M; Adams, C; Graham, J; Seeley, M

    2017-08-01

    Open fractures are considered an orthopaedic emergency and are generally an indication for operative debridement. Recent studies have questioned this approach for the management of Gustilo-Anderson Type I open fractures in the paediatric population. This meta-analysis studies the non-operative management of Type I open paediatric forearm fractures. An Ovid MEDLINE and PubMed database literature search was performed for studies that involved a quantified number of Gustilo-Anderson Type I open forearm fractures in the paediatric population, which were treated without operative intervention. A fixed-effect meta-analysis, weighting each study based on the number of patients, and a pooled estimate of infection risk (with 95% confidence interval (CI)) was performed. The search results yielded five studies that were eligible for inclusion. No included patients had operative debridement and all were treated with antibiotics. The number of patients in each study ranged from 3 to 45, with a total of 127 paediatric patients in the meta-analysis. The infection rate was 0% for all patients included. The meta-analysis estimated a pooled infection risk of 0% (95% CI 0 to 2.9). The five included studies had a total of 127 patients with no cases of infection after non-operative management of Type I open paediatric forearm fractures. The infection rate of Type I fractures among operatively managed patients is 1.9%. The trend in literature towards non-operative treatment of paediatric Type I open fractures holds true in this meta-analysis.

  19. Lunar Surface Mission Operations Scenario and Considerations

    NASA Technical Reports Server (NTRS)

    Arnold, Larissa S.; Torney, Susan E.; Rask, John Doug; Bleisath, Scott A.

    2006-01-01

    Planetary surface operations have been studied since the last visit of humans to the Moon, including conducting analog missions. Mission Operations lessons from these activities are summarized. Characteristics of forecasted surface operations are compared to current human mission operations approaches. Considerations for future designs of mission operations are assessed.

  20. Ozone impact minimization through coordinated scheduling of turnaround operations from multiple olefin plants in an ozone nonattainment area

    NASA Astrophysics Data System (ADS)

    Ge, Sijie; Wang, Sujing; Xu, Qiang; Ho, Thomas

    2018-03-01

    Turnaround operations (start-up and shutdown) are critical operations in olefin plants, which emit large quantities of VOCs, NOx and CO. The emission has great potentials to impact the ozone level in ozone nonattainment areas. This study demonstrates a novel practice to minimize the ozone impact through coordinated scheduling of turnaround operations from multiple olefin plants located in Houston, Texas, an ozone nonattainment area. The study considered two olefin plants scheduled to conduct turnaround operations: one start-up and one shutdown, simultaneously on the same day within a five-hour window. Through dynamic simulations of the turnaround operations using ASPEN Plus Dynamics and air quality simulations using CAMx, the study predicts the ozone impact from the combined effect of the two turnaround operations under different starting-time scenarios. The simulations predict that the ozone impact from planned turnaround operations ranges from a maximum of 11.4 ppb to a minimum of 1.4 ppb. Hence, a reduction of up to 10.0 ppb can be achieved on a single day based on the selected two simulation days. This study demonstrates a cost-effective and environmentally benign ozone control practice for relevant stakeholders, including environmental agencies, regional plant operators, and local communities.

  1. Driver distraction in commercial vehicle operations

    DOT National Transportation Integrated Search

    2009-09-01

    This study investigated the impact of driver distraction in commercial motor vehicle (CMV) operations. Data from two earlier naturalistic studies were combined to create a data set of 203 CMV drivers and 55 trucks from seven trucking fleets operating...

  2. Science-based HRA: experimental comparison of operator performance to IDAC (Information-Decision-Action Crew) simulations

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

    Shirley, Rachel; Smidts, Carol; Boring, Ronald

    Information-Decision-Action Crew (IDAC) operator model simulations of a Steam Generator Tube Rupture are compared to student operator performance in studies conducted in the Ohio State University’s Nuclear Power Plant Simulator Facility. This study is presented as a prototype for conducting simulator studies to validate key aspects of Human Reliability Analysis (HRA) methods. Seven student operator crews are compared to simulation results for crews designed to demonstrate three different decision-making strategies. The IDAC model used in the simulations is modified slightly to capture novice behavior rather that expert operators. Operator actions and scenario pacing are compared. A preliminary review of availablemore » performance shaping factors (PSFs) is presented. After the scenario in the NPP Simulator Facility, student operators review a video of the scenario and evaluate six PSFs at pre-determined points in the scenario. This provides a dynamic record of the PSFs experienced by the OSU student operators. In this preliminary analysis, Time Constraint Load (TCL) calculated in the IDAC simulations is compared to TCL reported by student operators. We identify potential modifications to the IDAC model to develop an “IDAC Student Operator Model.” This analysis provides insights into how similar experiments could be conducted using expert operators to improve the fidelity of IDAC simulations.« less

  3. How do strategic decisions and operative practices affect operating room productivity?

    PubMed

    Peltokorpi, Antti

    2011-12-01

    Surgical operating rooms are cost-intensive parts of health service production. Managing operating units efficiently is essential when hospitals and healthcare systems aim to maximize health outcomes with limited resources. Previous research about operating room management has focused on studying the effect of management practices and decisions on efficiency by utilizing mainly modeling approach or before-after analysis in single hospital case. The purpose of this research is to analyze the synergic effect of strategic decisions and operative management practices on operating room productivity and to use a multiple case study method enabling statistical hypothesis testing with empirical data. 11 hypotheses that propose connections between the use of strategic and operative practices and productivity were tested in a multi-hospital study that included 26 units. The results indicate that operative practices, such as personnel management, case scheduling and performance measurement, affect productivity more remarkably than do strategic decisions that relate to, e.g., units' size, scope or academic status. Units with different strategic positions should apply different operative practices: Focused hospital units benefit most from sophisticated case scheduling and parallel processing whereas central and ambulatory units should apply flexible working hours, incentives and multi-skilled personnel. Operating units should be more active in applying management practices which are adequate for their strategic orientation.

  4. Radar-based alert system to operate a sewerage network: relevance and operational effectiveness after several years of use.

    PubMed

    Faure, D; Payrastre, O; Auchet, P

    2005-01-01

    Since January 2000, the sewerage network of a very urbanised catchment area in the Greater Nancy Urban Community has been operated according to the alarms generated in real time by a storm alert system using weather radar data. This alert system is based on an automatic identification of intense rain cells in the radar images. This paper presents the characteristics of this alert system and synthesises the main results of two complementary studies realised in 2002 in order to estimate the relevance and the operational effectiveness of the alert system. The first study consisted in an off-line analysis of almost 50,000 intense rain cells detected in four years of historical radar data. The second study was an analysis of the experience feedback after two years of operational use of this alert system. The results of these studies are discussed in function of the initial operational objectives.

  5. Cellular Analogs of Operant Behavior.

    DTIC Science & Technology

    1992-07-31

    confirmed at the behavioral level in parallel studies of hippocampal and intravenous self-administration. The results are consistent with the hypothesis...research is to elucidate the cellular reinforcement mechanisms underlying goal-directed or operant behavior. The specific aim here was to study the... studies and behavioral operant conditioning studies . Most of the research reported was initiated and completed in the present project period. Also

  6. Study of short-haul aircraft operating economics. Phase 2: An analysis of the impact of jet modernization on local service airline operating costs

    NASA Technical Reports Server (NTRS)

    Andrastek, D. A.

    1976-01-01

    The objectives of this phase of the study were (1) to assess the 10 year operating cost trends of the local service airlines operating in the 1965 through 1974 period, (2) to glean from these trends the technological and operational parameters which were impacted most significantly by the transition to newer pure jet, short haul transports, and effected by changing fuel prices and cost of living indices, and (3) to develop, construct, and evaluate an operating cost forecasting model which would incorporate those factors which best predicted airline total operating cost behavior over that 10-year period.

  7. Utilizing Simulation-Based Training of Video Clip Instruction for the Store Service Operations Practice Course

    ERIC Educational Resources Information Center

    Lin, Che-Hung; Yen, Yu-Ren; Wu, Pai-Lu

    2015-01-01

    The aim of this study was to develop a store service operations practice course based on simulation-based training of video clip instruction. The action research of problem-solving strategies employed for teaching are by simulated store operations. The counter operations course unit used as an example, this study developed 4 weeks of subunits for…

  8. STS payloads mission control study. Volume 2-A, Task 1: Joint products and functions for preflight planning of flight operations, training and simulations

    NASA Technical Reports Server (NTRS)

    1976-01-01

    Specific products and functions, and associated facility availability, applicable to preflight planning of flight operations were studied. Training and simulation activities involving joint participation of STS and payload operations organizations, are defined. The prelaunch activities required to prepare for the payload flight operations are emphasized.

  9. Water accounting implementation: water footprint and water efficiency of the coffee shop in Indonesia

    NASA Astrophysics Data System (ADS)

    Hendratno, S. P.; Agustine, Y.

    2018-01-01

    The purpose of this paper is for understand the water accounting practice in the company, especially beverage industry in Indonesia. The sample in this study is one coffee shop near Jakarta. Case study has been choosen as the method in this study. We collect data with semi-structured interview, observation, and survey about the water efficiency in the coffee shop. The operational officers such as barista, cashier, supervisor, and store manager are the respondents in this study. Operational management already understand about the importance of water efficiency in the coffee shop operation, but it can’t be implemented because their standard operation haven’t use the water efficiency as part of their procedures. The coffee shop’s operational standard in cleaning always takes much time and use so much water. The cleaning itself takes one until two hours each day only for cleaning bar and all operational equipment. This paper is for understand the water efficiency in the coffee shop with the focus is in their water footprint, operational standard that used every day in the coffee shop, and the connection between operational standard and the water efficiency.

  10. Centaur operations at the space station: Cost and transportation analysis

    NASA Technical Reports Server (NTRS)

    1988-01-01

    A study was conducted to expand on the results of an initial study entitled Centaur Operations at the Space Station. The previous study developed technology demonstration missions (TDMs) that utilized the Centaur G-prime upper stage to advance OTV technologies required for accomodations and operations at the Space Station. An initial evaluation was performed of the cost to NASA for TDM implementation. Due to the potential for commercial communication satellite operation utilizing the TDM hardware, an evaluation of the Centaur's transportation potential was also performed.

  11. Addendum: Development of a preprototype times wastewater recovery subsystem

    NASA Technical Reports Server (NTRS)

    Dehner, G. F.

    1984-01-01

    The results of the second generation operational improvements and the TIMES (Thermoelectric Integrated Membrane Evaporation Subsystem) 2 study are covered. Areas covered in the second generation operational improvements are improved temperature control, water quality improvements, subsytem operational improvements, solid handling improvements, wastewater pretreatment optimization, and membrane rejuvenation concepts. The task for the TIMES 2 study are thermoelectric regenerator improvement, recycle loop pH operational criteria, recycle loop component optimization, and hollow fiber membrane evaporator improvement. Results are presented and conclusions are drawn from both studies.

  12. Shuttle Ground Operations Efficiencies/Technologies (SGOE/T) study. Volume 2: Ground Operations evaluation

    NASA Technical Reports Server (NTRS)

    Scholz, A. L.; Hart, M. T.; Lowry, D. J.

    1987-01-01

    The Ground Operations Evaluation describes the breath and depth of the various study elements selected as a result of an operational analysis conducted during the early part of the study. Analysis techniques used for the evaluation are described in detail. Elements selected for further evaluation are identified; the results of the analysis documented; and a follow-on course of action recommended. The background and rationale for developing recommendations for the current Shuttle or for future programs is presented.

  13. Lathe Operator. Coordinator's Guide. Individualized Study Guide. General Metal Trades.

    ERIC Educational Resources Information Center

    East Texas State Univ., Commerce. Occupational Curriculum Lab.

    This guide provides information to enable coordinators to direct learning activities for students using an individualized study guide on operating a lathe. The study material is designed for students enrolled in cooperative part-time training and employed, or desiring to be employed, as lathe operators. Contents include a sample progress chart,…

  14. Extended System Operations Studies for Automated Guideway Transit Systems

    DOT National Transportation Integrated Search

    1982-02-01

    The objectives of the System Operations Studies (SOS) of the Automated Guideway Transit Technology (AGTT) program was to develop models for the analysis of system operations, to evaluate AGT system performance and cost, and to establish guidelines fo...

  15. Gulf War Illness Inflammation Reduction Trial

    DTIC Science & Technology

    2017-10-01

    United States military personnel were deployed to the Kuwaiti Theater of Operations during Operation Desert Shield and Operation Desert Storm (Gulf...differential, plasma proteomics, platelet function studies, and the measurement of multiple coagulation parameters. The pilot study results provide strong

  16. Joint Forces Command - Operation United Assistance Case Study: Lessons and Best Practices

    DTIC Science & Technology

    2016-07-01

    additional and prioritized computers and access in the operations center for these mission requirements are essential. 127 JFC-OUA CASE STUDY Issue...this publication is welcomed and highly encouraged. Joint Forces Command – Operation United Assistance Case Study JFC-OUA CASE STUDY iii Foreword...Based on information drawn from various sources including after action reports, lessons learned, case studies , umbrella-week visits, and key-leader

  17. Nursing in a technological environment: nursing care in the operating room.

    PubMed

    Bull, Rosalind; FitzGerald, Mary

    2006-02-01

    Operating room nurses continue to draw criticism regarding the appropriateness of a nursing presence in the operating room. The technological focus of the theatre and the ways in which nurses in the theatre have shaped and reshaped their practice in response to technological change have caused people within and outside the nursing profession to question whether operating room nursing is a technological rather than nursing undertaking. This paper reports findings from an ethnographic study that was conducted in an Australian operating department. The study examined the contribution of nurses to the work of the operating room through intensive observation and ethnographic interviews. This paper uses selected findings from the study to explore the ways in which nurses in theatre interpret their role in terms of caring in a technological environment.

  18. 40 CFR 160.81 - Standard operating procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 25 2013-07-01 2013-07-01 false Standard operating procedures. 160.81... GOOD LABORATORY PRACTICE STANDARDS Testing Facilities Operation § 160.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting forth study...

  19. 40 CFR 160.81 - Standard operating procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 24 2014-07-01 2014-07-01 false Standard operating procedures. 160.81... GOOD LABORATORY PRACTICE STANDARDS Testing Facilities Operation § 160.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting forth study...

  20. 40 CFR 160.81 - Standard operating procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 25 2012-07-01 2012-07-01 false Standard operating procedures. 160.81... GOOD LABORATORY PRACTICE STANDARDS Testing Facilities Operation § 160.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting forth study...

  1. Breast conserving surgery versus mastectomy: the influence of comorbidities on choice of surgical operation in the Department of Defense health care system.

    PubMed

    Zhou, Jing; Enewold, Lindsey; Zahm, Shelia H; Jatoi, Ismail; Shriver, Craig; Anderson, William F; Jeffery, Diana D; Andaya, Abegail; Potter, John F; McGlynn, Katherine A; Zhu, Kangmin

    2013-09-01

    Studies on the effect of comorbidities on breast cancer operation have been limited and inconsistent. This study investigated whether pre-existing comorbidities influenced breast cancer surgical operation in an equal access health care system. This study was based on linked Department of Defense cancer registry and medical claims data. The study subjects were patients diagnosed with stage I to III breast cancer during 2001 to 2007. Logistic regression was used to determine if comorbidity was associated with operation type and time between diagnosis and operation. Breast cancer patients with comorbidities were more likely to receive mastectomy (odds ratio [OR] = 1.27; 95% confidence interval [CI], 1.14 to 1.42) than breast conserving surgery plus radiation. Patients with comorbidities were also more likely to delay having operation than those without comorbidities (OR = 1.27; 95% CI, 1.14 to 1.41). In an equal access health care system, comorbidity was associated with having a mastectomy and with a delay in undergoing operation. Copyright © 2013 Elsevier Inc. All rights reserved.

  2. Archived data management systems : a cross-cutting study : linking operations and planning data

    DOT National Transportation Integrated Search

    2005-12-01

    This report examines five transportation agencies that have established and are operating successful ADMSs (Archived Data Management Systems), and one that is on the verge of becoming fully operational. This study discusses the design choices, operat...

  3. Secure Cloud Computing Implementation Study For Singapore Military Operations

    DTIC Science & Technology

    2016-09-01

    COMPUTING IMPLEMENTATION STUDY FOR SINGAPORE MILITARY OPERATIONS by Lai Guoquan September 2016 Thesis Advisor: John D. Fulp Co-Advisor...DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE SECURE CLOUD COMPUTING IMPLEMENTATION STUDY FOR SINGAPORE MILITARY OPERATIONS 5. FUNDING NUMBERS...addition, from the military perspective, the benefits of cloud computing were analyzed from a study of the U.S. Department of Defense. Then, using

  4. Pre-operative urinary tract infection: is it a risk factor for early surgical site infection with hip fracture surgery? A retrospective analysis.

    PubMed

    Yassa, Rafik Rd; Khalfaoui, Mahdi Y; Veravalli, Karunakar; Evans, D Alun

    2017-03-01

    The aims of the current study were to determine whether pre-operative urinary tract infections in patients presenting acutely with neck of femur fractures resulted in a delay to surgery and whether such patients were at increased risk of developing post-operative surgical site infections. A retrospective review of all patients presenting with a neck of femur fracture, at a single centre over a one-year period. The hospital hip fracture database was used as the main source of data. UK University Teaching Hospital. All patients ( n  = 460) presenting across a single year study period with a confirmed hip fracture. The presence of pre-operative urinary tract infection, the timing of surgical intervention, the occurrence of post-operative surgical site infection and the pathogens identified. A total of 367 patients were operated upon within 24 hours of admission. Urinary infections were the least common cause of delay. A total of 99 patients (21.5%) had pre-operative urinary tract infection. Post-operatively, a total of 57 (12.4%) patients developed a surgical site infection. Among the latter, 31 (54.4%) did not have a pre-operative urinary infection, 23 (40.4%) patients had a pre-operative urinary tract infection, 2 had chronic leg ulcers and one patient had a pre-operative chest infection. Statistically, there was a strong relationship between pre-operative urinary tract infection and the development of post-operative surgical site infection ( p -value: 0.0005). The results of our study indicate that pre-operative urinary tract infection has a high prevalence amongst those presenting with neck of femur fractures, and this is a risk factor for the later development of post-operative surgical site infection.

  5. In-space propellant logistics. Volume 1: Executive summary

    NASA Technical Reports Server (NTRS)

    1972-01-01

    The study addresses the systems and operational problems associated with the transport, transfer, and storage of cryogenic propellants in low earth orbits. The safety problems connected with in-space propellant logistics operations are also considered.Correlation between the two projects was maintained by including safety considerations, resulting from the system safety analysis, in the trade studies and evaluations of alternate operating concepts in the systems operations analysis.

  6. Operant ethanol self-administration in ethanol dependent mice.

    PubMed

    Lopez, Marcelo F; Becker, Howard C

    2014-05-01

    While rats have been predominantly used to study operant ethanol self-administration behavior in the context of dependence, several studies have employed operant conditioning procedures to examine changes in ethanol self-administration behavior as a function of chronic ethanol exposure and withdrawal experience in mice. This review highlights some of the advantages of using operant conditioning procedures for examining the motivational effects of ethanol in animals with a history of dependence. As reported in rats, studies using various operant conditioning procedures in mice have demonstrated significant escalation of ethanol self-administration behavior in mice rendered dependent via forced chronic ethanol exposure in comparison to nondependent mice. This paper also presents a summary of these findings, as well as suggestions for future studies. Copyright © 2014 Elsevier Inc. All rights reserved.

  7. Common brain regions underlying different arithmetic operations as revealed by conjunct fMRI-BOLD activation.

    PubMed

    Fehr, Thorsten; Code, Chris; Herrmann, Manfred

    2007-10-03

    The issue of how and where arithmetic operations are represented in the brain has been addressed in numerous studies. Lesion studies suggest that a network of different brain areas are involved in mental calculation. Neuroimaging studies have reported inferior parietal and lateral frontal activations during mental arithmetic using tasks of different complexities and using different operators (addition, subtraction, etc.). Indeed, it has been difficult to compare brain activation across studies because of the variety of different operators and different presentation modalities used. The present experiment examined fMRI-BOLD activity in participants during calculation tasks entailing different arithmetic operations -- addition, subtraction, multiplication and division -- of different complexities. Functional imaging data revealed a common activation pattern comprising right precuneus, left and right middle and superior frontal regions during all arithmetic operations. All other regional activations were operation specific and distributed in prominently frontal, parietal and central regions when contrasting complex and simple calculation tasks. The present results largely confirm former studies suggesting that activation patterns due to mental arithmetic appear to reflect a basic anatomical substrate of working memory, numerical knowledge and processing based on finger counting, and derived from a network originally related to finger movement. We emphasize that in mental arithmetic research different arithmetic operations should always be examined and discussed independently of each other in order to avoid invalid generalizations on arithmetics and involved brain areas.

  8. Reusable Rocket Engine Operability Modeling and Analysis

    NASA Technical Reports Server (NTRS)

    Christenson, R. L.; Komar, D. R.

    1998-01-01

    This paper describes the methodology, model, input data, and analysis results of a reusable launch vehicle engine operability study conducted with the goal of supporting design from an operations perspective. Paralleling performance analyses in schedule and method, this requires the use of metrics in a validated operations model useful for design, sensitivity, and trade studies. Operations analysis in this view is one of several design functions. An operations concept was developed given an engine concept and the predicted operations and maintenance processes incorporated into simulation models. Historical operations data at a level of detail suitable to model objectives were collected, analyzed, and formatted for use with the models, the simulations were run, and results collected and presented. The input data used included scheduled and unscheduled timeline and resource information collected into a Space Transportation System (STS) Space Shuttle Main Engine (SSME) historical launch operations database. Results reflect upon the importance not only of reliable hardware but upon operations and corrective maintenance process improvements.

  9. Participation of surgical residents in operations: challenging a common classification.

    PubMed

    Bezemer, Jeff; Cope, Alexandra; Faiz, Omar; Kneebone, Roger

    2012-09-01

    One important form of surgical training for residents is their participation in actual operations, for instance as an assistant or supervised surgeon. The aim of this study was to explore what participation in operations entails and how it might be described and analyzed. A qualitative study was undertaken in a major teaching hospital in London. A total of 122 general surgical operations were observed. A subsample of 14 laparoscopic cholecystectomies involving one or more residents was analyzed in detail. Audio and video recordings of eight operations were transcribed and analyzed linguistically. The degree of participation of trainees frequently shifted as the operation progressed to the next stage. Participation also varied within each stage. When trainees operated under supervision, the supervisors constantly adjusted their degree of control over the resident's operative maneuvers. Classifications such as "assistant" and "supervised surgeon" describing a trainee's overall participation in an operation potentially misrepresent the varying involvement of resident and supervisor. Video recordings provide a useful alternative for documenting and analyzing actual participation in operations.

  10. Alternative Models of Service, Centralized Braille Operations. Phase II Report. Volume I.

    ERIC Educational Resources Information Center

    Technology Management Corp., Alexandria, VA.

    A study was conducted to determine if the centralization of braille operations for the national free library program would be feasible, economical, and desirable. This report presents the findings of the study in three sections. Section 1 provides background information, a summary of the first phase of operations, and the study objective for phase…

  11. Airpower Projection in the Anti-Access/Area Denial Environment: Dispersed Operations

    DTIC Science & Technology

    2015-02-01

    Raptor Case Study.....................................................................6 Risks to Dispersed Operations...project airpower, this paper breaks down a case study of the Rapid Raptor concept. The risks with executing a dispersed model are analyzed and mitigation...will force leaders to look at alternative ways to project power. Alternative Option: Rapid Raptor Case Study The ability to defend forward operating

  12. Attitudes to teamwork and safety among Italian surgeons and operating room nurses.

    PubMed

    Prati, Gabriele; Pietrantoni, Luca

    2014-01-01

    Previous studies have shown that surgical team members' attitudes about safety and teamwork in the operating theatre may play a role in patient safety. The aim of this study was to assess attitudes about teamwork and safety among Italian surgeons and operating room nurses. Fifty-five surgeons and 48 operating room nurses working in operating theatres at one hospital in Italy completed the Operating Room Management Attitudes Questionnaire (ORMAQ). Results showed several discrepancies in attitudes about teamwork and safety between surgeons and operating room nurses. Surgeons had more positive views on the quality of surgical leadership, communication, teamwork, and organizational climate in the theatre than operating room nurses. Operating room nurses reported that safety rules and procedures were more frequently disregarded than the surgeons. The results are only partially aligned with previous ORMAQ surveys of surgical teams in other countries. The differences emphasize the influence of national culture, as well as the particular healthcare system. This study shows discrepancies on many aspects in attitudes to teamwork and safety between surgeons and operating room nurses. The findings support implementation and use of team interventions and human factor training. Finally, attitude surveys provide a method for assessing safety culture in surgery, for evaluating the effectiveness of training initiatives, and for collecting data for a hospital's quality assurance programme.

  13. Operationally Efficient Propulsion System Study (OEPSS) data book. Volume 2: Ground operations problems

    NASA Technical Reports Server (NTRS)

    Waldrop, Glen S.

    1990-01-01

    Operations problems and cost drivers were identified for current propulsion systems and design and technology approaches were identified to increase the operational efficiency and to reduce operations costs for future propulsion systems. To provide readily usable data for the ALS program, the results of the OEPSS study were organized into a series of OEPSS Data Books. This volume presents a detailed description of 25 major problems encountered during launch processing of current expendable and reusable launch vehicles. A concise description of each problem and its operational impact on launch processing is presented, along with potential solutions and technology recommendation.

  14. Laparoscopic versus open repair of para-umbilical hernia. Is it a good alternative?

    PubMed

    Malik, Arshad Mehmood

    2015-08-01

    To compare the experience of laparoscopic repair of para-umbilical hernia with conventional open repair in terms of operative time, pre- and post-operative complications, total hospital stay, post-operative pain, morbidity, mortality and cosmesis. The prospective, randomized study was conducted at Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan, and two private hospitals from June 2011 to June 2013, and comprised patients who were admitted with para-umbilical hernias of different sizes during the study period. The patients were divided into two groups. Group A underwent laparoscopic surgery, while Group B had conventional mesh repair. Variables studied included duration of surgery, operative and post-operative complications, morbidity and mortality. SPSS 20 was used for statistical analysis. Of the 337 patients in the study, 200(59.34%) were at the Liaquat University Hospital, while remaining 137(40.65%) patients were operated in two private hospitals. The overall mean age of the study sample was 42.18±9.789 years (range: 23-73). There were 68(20.18%) males and 269(79.82%) females. There were 166(49.26%) patients in Group A and 171(50.74%) Group B. The operative time was comparatively longer in Group A (p<0.001) especially in the first 30 operations. The laparoscopic approach was associated with a comparatively low incidence of operative and post-operative complications, reduced duration of hospital stay and cosmetically better results (p<0.05). There was no mortality in this series. Laparoscopic para-umbilical hernia repair, though a new technique, gave promising results compared to open conventional technique. However, there is a long way to go before coming to a consensus.

  15. Cost study : before, during and after AOS implementation (October 1996 - May 1999)

    DOT National Transportation Integrated Search

    This study compared AATA operating costs over two different time periods: before and during AOS installation. While neither additional operating costs nor operating costs savings were traceable to AOS at this time, the implications of this report, wh...

  16. Meta-analysis of operative experiences of general surgery trainees during training.

    PubMed

    Elsey, E J; Griffiths, G; Humes, D J; West, J

    2017-01-01

    General surgical training curricula around the world set defined operative numbers to be achieved before completion of training. However, there are few studies reporting total operative experience in training. This systematic review aimed to quantify the published global operative experience at completion of training in general surgery. Electronic databases were searched systematically for articles in any language relating to operative experience in trainees completing postgraduate general surgical training. Two reviewers independently assessed citations for inclusion using agreed criteria. Studies were assessed for quantitative data in addition to study design and purpose. A meta-analysis was performed using a random-effects model of studies with appropriate data. The search resulted in 1979 titles for review. Of these, 24 studies were eligible for inclusion in the review and data from five studies were used in the meta-analysis. Studies with published data of operative experience at completion of surgical training originated from the USA (19), UK (2), the Netherlands (1), Spain (1) and Thailand (1). Mean total operative experience in training varied from 783 procedures in Thailand to 1915 in the UK. Meta-analysis produced a mean pooled estimate of 1366 (95 per cent c.i. 1026 to 1707) procedures per trainee at completion of training. There was marked heterogeneity between studies (I 2  = 99·6 per cent). There is a lack of robust data describing the operative experiences of general surgical trainees outside the USA. The number of surgical procedures performed by general surgeons in training varies considerably across the world. © 2016 The Authors. BJS published by John Wiley & Sons Ltd on behalf of BJS Society Ltd.

  17. Upcrowding energy co-operatives - Evaluating the potential of crowdfunding for business model innovation of energy co-operatives.

    PubMed

    Dilger, Mathias Georg; Jovanović, Tanja; Voigt, Kai-Ingo

    2017-08-01

    Practice and theory have proven the relevance of energy co-operatives for civic participation in the energy turnaround. However, due to a still low awareness and changing regulation, there seems an unexploited potential of utilizing the legal form 'co-operative' in this context. The aim of this study is therefore to investigate the crowdfunding implementation in the business model of energy co-operatives in order to cope with the mentioned challenges. Based on a theoretical framework, we derive a Business Model Innovation (BMI) through crowdfunding including synergies and differences. A qualitative study design, particularly a multiple-case study of energy co-operatives, was chosen to prove the BMI and to reveal barriers. The results show that although most co-operatives are not familiar with crowdfunding, there is strong potential in opening up predominantly local structures to a broader group of members. Building on this, equity-based crowdfunding is revealed to be suitable for energy co-operatives as BMI and to accompany other challenges in the same way. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Overutilization and underutilization of operating rooms - insights from behavioral health care operations management.

    PubMed

    Fügener, Andreas; Schiffels, Sebastian; Kolisch, Rainer

    2017-03-01

    The planning of surgery durations is crucial for efficient usage of operating theaters. Both planning too long and too short durations for surgeries lead to undesirable consequences, e.g. idle time, overtime, or rescheduling of surgeries. We define these consequences as operating room inefficiency. The overall objective of planning surgery durations is to minimize expected operating room inefficiency, since surgery durations are stochastic. While most health care studies assume economically rational behavior of decision makers, experimental studies have shown that decision makers often do not act according to economic incentives. Based on insights from health care operations management, medical decision making, behavioral operations management, as well as empirical observations, we derive hypotheses that surgeons' behavior deviates from economically rational behavior. To investigate this, we undertake an experimental study where experienced surgeons are asked to plan surgeries with uncertain durations. We discover systematic deviations from optimal decision making and offer behavioral explanations for the observed biases. Our research provides new insights to tackle a major problem in hospitals, i.e. low operating room utilization going along with staff overtime.

  19. Effect of using GPS autosteer guidance systems on the eye-glance behavior and posture of tractor operators.

    PubMed

    Karimi, D; Henry, J; Mann, D D

    2012-10-01

    Tractor operators are prone to neck and back discomfort and disorders. It is well known that awkward posture is a major contributor to this problem. Previous studies have investigated the prevalence of awkward posture and the resulting discomfort and disorders among tractor operators. They have also suggested various ways to mitigate this problem. With the introduction of new autosteer guidance systems, the tractor operator is relieved from the task of steering the tractor for most of the time during field work. Therefore, it is expected that the operator's posture will change. The goal of this study was to investigate the changes in the eye-glance behavior and posture of tractor operators as a result of using autosteer guidance systems. An eye-tracking system and a camcorder were used to record the eye-glance behavior and posture of 13 tractor operators as they performed seeding operations. The experiment with each operator consisted of two sessions. In one session, the operator used an autosteer system, while in the other session the operator steered the tractor manually. Analysis of the data showed that the eye-glance behavior and posture of the operators were significantly different between the autosteer and manual steering sessions. With the autosteer system, the operators spent less time in an awkward posture, and they changed their posture less frequently. However, even with the autosteer system, the operators spent 1/3 of their time in an awkward posture. Subjective feedback from the operators indicated that more than half of them experienced back or neck/shoulder discomfort during or after seeding. It is essential that the recommendations of the previous studies, such as using large rear-view mirrors or a rotating tractor seat, be evaluated when the operator is using an autosteer system. Other tools, such as video cameras that show the attached equipment, should also be tested to evaluate their effectiveness in reducing the operator's exposure to awkward postures.

  20. Biases encountered in long-term monitoring studies of invertebrates and microflora: Australian examples of protocols, personnel, tools and site location.

    PubMed

    Greenslade, Penelope; Florentine, Singarayer K; Hansen, Brigita D; Gell, Peter A

    2016-08-01

    Monitoring forms the basis for understanding ecological change. It relies on repeatability of methods to ensure detected changes accurately reflect the effect of environmental drivers. However, operator bias can influence the repeatability of field and laboratory work. We tested this for invertebrates and diatoms in three trials: (1) two operators swept invertebrates from heath vegetation, (2) four operators picked invertebrates from pyrethrum knockdown samples from tree trunk and (3) diatom identifications by eight operators in three laboratories. In each trial, operators were working simultaneously and their training in the field and laboratory was identical. No variation in catch efficiency was found between the two operators of differing experience using a random number of net sweeps to catch invertebrates when sequence, location and size of sweeps were random. Number of individuals and higher taxa collected by four operators from tree trunks varied significantly between operators and with their 'experience ranking'. Diatom identifications made by eight operators were clustered together according to which of three laboratories they belonged. These three tests demonstrated significant potential bias of operators in both field and laboratory. This is the first documented case demonstrating the significant influence of observer bias on results from invertebrate field-based studies. Examples of two long-term trials are also given that illustrate further operator bias. Our results suggest that long-term ecological studies using invertebrates need to be rigorously audited to ensure that operator bias is accounted for during analysis and interpretation. Further, taxonomic harmonisation remains an important step in merging field and laboratory data collected by different operators.

  1. Earth orbital teleoperator systems evaluation

    NASA Technical Reports Server (NTRS)

    Shields, N. L., Jr.; Slaughter, P. H.; Brye, R. G.; Henderson, D. E.

    1979-01-01

    The mechanical extension of the human operator to remote and specialized environments poses a series of complex operational questions. A technical and scientific team was organized to investigate these questions through conducting specific laboratory and analytical studies. The intent of the studies was to determine the human operator requirements for remotely manned systems and to determine the particular effects that various system parameters have on human operator performance. In so doing, certain design criteria based on empirically derived data concerning the ultimate control system, the human operator, were added to the Teleoperator Development Program.

  2. Operator performance evaluation using multi criteria decision making methods

    NASA Astrophysics Data System (ADS)

    Rani, Ruzanita Mat; Ismail, Wan Rosmanira; Razali, Siti Fatihah

    2014-06-01

    Operator performance evaluation is a very important operation in labor-intensive manufacturing industry because the company's productivity depends on the performance of its operators. The aims of operator performance evaluation are to give feedback to operators on their performance, to increase company's productivity and to identify strengths and weaknesses of each operator. In this paper, six multi criteria decision making methods; Analytical Hierarchy Process (AHP), fuzzy AHP (FAHP), ELECTRE, PROMETHEE II, Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) and VlseKriterijumska Optimizacija I Kompromisno Resenje (VIKOR) are used to evaluate the operators' performance and to rank the operators. The performance evaluation is based on six main criteria; competency, experience and skill, teamwork and time punctuality, personal characteristics, capability and outcome. The study was conducted at one of the SME food manufacturing companies in Selangor. From the study, it is found that AHP and FAHP yielded the "outcome" criteria as the most important criteria. The results of operator performance evaluation showed that the same operator is ranked the first using all six methods.

  3. Study to determine the IFR operational profile and problems of the general aviation single pilot

    NASA Technical Reports Server (NTRS)

    Weislogel, G. S.

    1983-01-01

    General aviation single pilot operating under instrument flight rules (GA SPIFR) was studied. The objectives of the study were to (1) develop a GA SPIFR operational profile, (2) identify problems experienced by the GA SPIFR pilot, and (3) identify research tasks which have the potential for eliminating or reducing the severity of the problems. To obtain the information necessary to accomplish these objectives, a mail questionnaire survey of instrument rated pilots was conducted. The general aviation IFR single pilot operational profile and selected data analysis examples are presented.

  4. The operating room as a clinical learning environment: An exploratory study.

    PubMed

    Meyer, Rhoda; Van Schalkwyk, Susan C; Prakaschandra, Rosaley

    2016-05-01

    Students undertake their clinical placement in various clinical settings for the exposure to and acquisition of skills related to that particular context. The operating room is a context that offers the opportunity to develop critical skills related to the perioperative care of the patient. Despite numerous studies that have been undertaken in this field, few have investigated the operating room as a clinical learning environment in the South African private healthcare context. The aim of this study was to determine nursing students' perceptions of the operating room as a clinical learning environment. An exploratory, interpretive and descriptive design generating qualitative data was utilized. Eight nursing students completed an open-ended questionnaire, and twelve nursing students participated in the focus group discussion. Four themes emerged, namely, 'interpersonal factors', 'educational factors', 'private operating room context', and 'recommendations'. The opinion that the operating room offers an opportunity to gain skills unique to this context was expressed. However, despite the potential learning opportunities, the key findings of this study reveal negative perceptions of nursing students regarding learning experiences in the operating room. Exploration into the preparatory needs of students specific to learning outcomes before operating room placement should be considered. It will also be necessary to improve collaboration between lecturers, mentors and theatre managers. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. 21 CFR 58.49 - Laboratory operation areas.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Laboratory operation areas. 58.49 Section 58.49... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.49 Laboratory operation areas... procedures required by nonclinical laboratory studies. [52 FR 33780, Sept. 4, 1987] ...

  6. 21 CFR 58.49 - Laboratory operation areas.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Laboratory operation areas. 58.49 Section 58.49... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.49 Laboratory operation areas... procedures required by nonclinical laboratory studies. [52 FR 33780, Sept. 4, 1987] ...

  7. 21 CFR 58.49 - Laboratory operation areas.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Laboratory operation areas. 58.49 Section 58.49... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.49 Laboratory operation areas... procedures required by nonclinical laboratory studies. [52 FR 33780, Sept. 4, 1987] ...

  8. Whole-body vibration and postural stress among operators of construction equipment: a literature review.

    PubMed

    Kittusamy, N Kumar; Buchholz, Bryan

    2004-01-01

    Operators of construction equipment perform various duties at work that expose them to a variety of risk factors that may lead to health problems. A few of the health hazards among operators of construction equipment are: (a) whole-body vibration, (b) awkward postural requirements (including static sitting), (c) dust, (d) noise, (e) temperature extremes, and (f) shift work. It has been suggested that operating engineers (OEs) are exposed to two important risk factors for the development of musculoskeletal disorders: whole-body vibration and non-neutral body postures. This review evaluates selected papers that have studied exposure to whole-body vibration and awkward posture among operators of mobile equipment. There have been only few studies that have specifically examined exposure of these risk factors among operators of construction equipment. Thus other studies from related industry and equipment were reviewed as applicable. In order to better understand whole-body vibration and postural stress among OEs, it is recommended that future studies are needed in evaluating these risk factors among OEs.

  9. The Effects of Very Light Jet Air Taxi Operations on Commercial Air Traffic

    NASA Technical Reports Server (NTRS)

    Smith, Jeremy C.; Dollyhigh, Samuel M.

    2006-01-01

    This study investigates the potential effects of Very Light Jet (VLJ) air taxi operations adding to delays experienced by commercial passenger air transportation in the year 2025. The affordable cost relative to existing business jets and ability to use many of the existing small, minimally equipped, but conveniently located airports is projected to stimulate a large demand for the aircraft. The resulting increase in air traffic operations will mainly be at smaller airports, but this study indicates that VLJs have the potential to increase further the pressure of demand at some medium and large airports, some of which are already operating at or near capacity at peak times. The additional delays to commercial passenger air transportation due to VLJ air taxi operations are obtained from simulation results using the Airspace Concepts Evaluation System (ACES) simulator. The direct increase in operating cost due to additional delays is estimated. VLJs will also cause an increase in traffic density, and this study shows increased potential for conflicts due to VLJ operations.

  10. Infant Operant Conditioning and Its Implications for Early Intervention.

    ERIC Educational Resources Information Center

    Lancioni, Giullo E.

    1980-01-01

    In this article infant operant conditioning studies are grouped according to distinct procedures: free operant; discrete trial with one discriminative stimulus; discrete trial with two or more discriminative stimuli; controlled operant with two or more discriminative stimuli; and unrestricted operant with two or more discriminative stimuli.…

  11. 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.

  12. Ground Robotic Hand Applications for the Space Program study (GRASP)

    NASA Astrophysics Data System (ADS)

    Grissom, William A.; Rafla, Nader I.

    1992-04-01

    This document reports on a NASA-STDP effort to address research interests of the NASA Kennedy Space Center (KSC) through a study entitled, Ground Robotic-Hand Applications for the Space Program (GRASP). The primary objective of the GRASP study was to identify beneficial applications of specialized end-effectors and robotic hand devices for automating any ground operations which are performed at the Kennedy Space Center. Thus, operations for expendable vehicles, the Space Shuttle and its components, and all payloads were included in the study. Typical benefits of automating operations, or augmenting human operators performing physical tasks, include: reduced costs; enhanced safety and reliability; and reduced processing turnaround time.

  13. Ground Robotic Hand Applications for the Space Program study (GRASP)

    NASA Technical Reports Server (NTRS)

    Grissom, William A.; Rafla, Nader I. (Editor)

    1992-01-01

    This document reports on a NASA-STDP effort to address research interests of the NASA Kennedy Space Center (KSC) through a study entitled, Ground Robotic-Hand Applications for the Space Program (GRASP). The primary objective of the GRASP study was to identify beneficial applications of specialized end-effectors and robotic hand devices for automating any ground operations which are performed at the Kennedy Space Center. Thus, operations for expendable vehicles, the Space Shuttle and its components, and all payloads were included in the study. Typical benefits of automating operations, or augmenting human operators performing physical tasks, include: reduced costs; enhanced safety and reliability; and reduced processing turnaround time.

  14. Enhanced Flight Vision Systems Operational Feasibility Study Using Radar and Infrared Sensors

    NASA Technical Reports Server (NTRS)

    Etherington, Timothy J.; Kramer, Lynda J.; Severance, Kurt; Bailey, Randall E.; Williams, Steven P.; Harrison, Stephanie J.

    2015-01-01

    Approach and landing operations during periods of reduced visibility have plagued aircraft pilots since the beginning of aviation. Although techniques are currently available to mitigate some of the visibility conditions, these operations are still ultimately limited by the pilot's ability to "see" required visual landing references (e.g., markings and/or lights of threshold and touchdown zone) and require significant and costly ground infrastructure. Certified Enhanced Flight Vision Systems (EFVS) have shown promise to lift the obscuration veil. They allow the pilot to operate with enhanced vision, in lieu of natural vision, in the visual segment to enable equivalent visual operations (EVO). An aviation standards document was developed with industry and government consensus for using an EFVS for approach, landing, and rollout to a safe taxi speed in visibilities as low as 300 feet runway visual range (RVR). These new standards establish performance, integrity, availability, and safety requirements to operate in this regime without reliance on a pilot's or flight crew's natural vision by use of a fail-operational EFVS. A pilot-in-the-loop high-fidelity motion simulation study was conducted at NASA Langley Research Center to evaluate the operational feasibility, pilot workload, and pilot acceptability of conducting straight-in instrument approaches with published vertical guidance to landing, touchdown, and rollout to a safe taxi speed in visibility as low as 300 feet RVR by use of vision system technologies on a head-up display (HUD) without need or reliance on natural vision. Twelve crews flew various landing and departure scenarios in 1800, 1000, 700, and 300 RVR. This paper details the non-normal results of the study including objective and subjective measures of performance and acceptability. The study validated the operational feasibility of approach and departure operations and success was independent of visibility conditions. Failures were handled within the lateral confines of the runway for all conditions tested. The fail-operational concept with pilot in the loop needs further study.

  15. Synthetic Vision Enhanced Surface Operations and Flight Procedures Rehearsal Tool

    NASA Technical Reports Server (NTRS)

    Arthur, Jarvis J., III; Prinzel, Lawrence J., III; Williams, Steven P.; Kramer, Lynda J.

    2006-01-01

    Limited visibility has been cited as predominant causal factor for both Controlled-Flight-Into-Terrain (CFIT) and runway incursion accidents. NASA is conducting research and development of Synthetic Vision Systems (SVS) technologies which may potentially mitigate low visibility conditions as a causal factor to these accidents while replicating the operational benefits of clear day flight operations, regardless of the actual outside visibility condition. Two experimental evaluation studies were performed to determine the efficacy of two concepts: 1) head-worn display application of SVS technology to enhance transport aircraft surface operations, and 2) three-dimensional SVS electronic flight bag display concept for flight plan preview, mission rehearsal and controller-pilot data link communications interface of flight procedures. In the surface operation study, pilots evaluated two display devices and four display modes during taxi under unlimited and CAT II visibility conditions. In the mission rehearsal study, pilots flew approaches and departures in an operationally-challenged airport environment, including CFIT scenarios. Performance using the SVS concepts was compared to traditional baseline displays with paper charts only or EFB information. In general, the studies evince the significant situation awareness and enhanced operational capabilities afforded from these advanced SVS display concepts. The experimental results and conclusions from these studies are discussed along with future directions.

  16. The role of smart traffic centers in regional system operations : a Hampton Roads case study.

    DOT National Transportation Integrated Search

    2005-01-01

    The objectives of this study were to define the role of smart traffic centers (STCs) in regional systems operations and to help identify performance measures for monitoring the performance of STCs in the scope of regional systems operations. Without ...

  17. 49 CFR 1139.3 - Cost study.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... service units as developed from its traffic study. Operating ratios shall be determined for the issue... anticipated on the effective date of the proposed rates, with a separation indicating projected operating ratios on two bases, namely, “based on current revenues,” and “based on proposed revenues”. Operating...

  18. 49 CFR 1139.3 - Cost study.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... service units as developed from its traffic study. Operating ratios shall be determined for the issue... anticipated on the effective date of the proposed rates, with a separation indicating projected operating ratios on two bases, namely, “based on current revenues,” and “based on proposed revenues”. Operating...

  19. 49 CFR 1139.3 - Cost study.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... service units as developed from its traffic study. Operating ratios shall be determined for the issue... anticipated on the effective date of the proposed rates, with a separation indicating projected operating ratios on two bases, namely, “based on current revenues,” and “based on proposed revenues”. Operating...

  20. 76 FR 23969 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ... collection system for the collection of data policy and operational issues related to the Child Nutrition... Nutrition Service Title: Special Nutrition Program Operations Study--Year 1. OMB Control Number: 0584-NEW. Summary of Collections: The objective of the Special Nutrition Program Operations Study (SNPOS) is to...

  1. The risk for syncope and presyncope during surgery in surgeons and nurses.

    PubMed

    Rudnicki, Jerzy; Zyśko, Dorota; Gajek, Jacek; Kuliczkowski, Wiktor; Rosińczuk-Tonderys, Joanna; Zielińska, Dominika; Terpiłowski, Łukasz; Agrawal, Anil Kumar

    2011-11-01

    Surgeons and nurses are exposed to orthostatic stress. To assess the lifetime incidence of syncopal and presyncopal events during surgery in operation room staff and reveal the predicting factors. The study included 317 subjects (161 F, 156 M) aged 43.9 ± 9.6; 216 surgeons and 101 instrumenters. The study included filling of an anonymous questionnaire on the syncope and presyncope history. At least one syncopal event during operation was reported by 4.7% and presyncope by 14.8% of the studied population. All but one subject reported prodromal symptoms before syncope. In the medical history, syncope outside the operating room was reported by 11% of the studied group. Syncope and presyncope during operation was related to syncope in the medical history outside the operation room, respectively: odds ratio (OR) 20.2 95% confidence interval (CI): 2.0-70.5 and OR 10.8; CI: 5.0-23.4 and to presyncope in the medical history, respectively: OR 23.5; CI: 7.4-74.4 OR 8.9; CI: 3.6-11.2 (P < 0.001). (1) Syncope and presyncope may occur during surgery in the staff of the operating room. (2) Syncope in the operating room is usually preceded by prodromal symptoms and has vasovagal origin. (3) Both lower then expected occurrence of syncope in the operating room staff and absence of any difference between genders in this regard indicate preselection in the process of choosing profession and specialization. (4) Syncope and presyncope outside the operating room in medical history increases the risk of syncope and presyncope inside the operation room.

  2. Benefits and challenges of health information systems for operations research: an illustrative example to improve surgical scheduling.

    PubMed

    Chow, Vincent S; Huang, Wenhai; Puterman, Martin L

    2009-01-01

    Operations research (OR) is playing an increasing role in the support of many health care initiatives. However one of the main challenges facing OR practitioners is the availability and the integrity of operations data. Hospital information systems (HIS) are often designed with a clinical or accounting focus and may lack the data necessary for operational studies. In this paper, we illustrate the data processing methods and data challenges faced by our team during a study of surgical scheduling practices at the Vancouver Island Health Authority. We also provide some general recommendations to improve HIS from an operations perspective. In general, more integration between operations researchers and HIS specialists are required to support ongoing operational improvements in the health care sector.

  3. Expert operator's associate: A knowledge based system for spacecraft control

    NASA Technical Reports Server (NTRS)

    Nielsen, Mogens; Grue, Klaus; Lecouat, Francois

    1991-01-01

    The Expert Operator's Associate (EOA) project is presented which studies the applicability of expert systems for day-to-day space operations. A prototype expert system is developed, which operates on-line with an existing spacecraft control system at the European Space Operations Centre, and functions as an 'operator's assistant' in controlling satellites. The prototype is demonstrated using an existing real-time simulation model of the MARECS-B2 telecommunication satellite. By developing a prototype system, the extent to which reliability and effectivens of operations can be enhanced by AI based support is examined. In addition the study examines the questions of acquisition and representation of the 'knowledge' for such systems, and the feasibility of 'migration' of some (currently) ground-based functions into future spaceborne autonomous systems.

  4. Shuttle Ground Operations Efficiencies/Technologies (SGOE/T) study. Volume 1: Executive summary

    NASA Technical Reports Server (NTRS)

    Scholz, A. L.; Hart, M. T.; Lowry, D. J.

    1987-01-01

    Methods and technolgoy were defined to reduce the overall operations cost of a major space program. Space Shuttle processing at Kennedy Space Center (KSC) was designed as the working model that would be the source of the operational information. Methods of improving efficiency of ground operations were assessed and technology elements that could reduce cost identified. Emphasis is on: (1) specific technology items and (2) management approaches required to develop and support efficient ground operations. Prime study results are to be recommendations on how to achieve more efficient operations and identification of existing or new technology that would make vehicle processing in both the current program and future programs more efficient and, therefore, less costly.

  5. Intent inferencing by an intelligent operator's associate - A validation study

    NASA Technical Reports Server (NTRS)

    Jones, Patricia M.

    1988-01-01

    In the supervisory control of a complex, dynamic system, one potential form of aiding for the human operator is a computer-based operator's associate. The design philosophy of the operator's associate is that of 'amplifying' rather than automating human skills. In particular, the associate possesses understanding and control properties. Understanding allows it to infer operator intentions and thus form the basis for context-dependent advice and reminders; control properties allow the human operator to dynamically delegate individual tasks or subfunctions to the associate. This paper focuses on the design, implementation, and validation of the intent inferencing function. Two validation studies are described which empirically demonstrate the viability of the proposed approach to intent inferencing.

  6. [Modified Misgav-Labach at a tertiary hospital].

    PubMed

    Martínez Ceccopieri, David Alejandro; Barrios Prieto, Ernesto; Martínez Ríos, David

    2012-08-01

    According to several studies from around the globe, the modified Misgav Ladach technique simplifies the surgical procedure for cesarean section, reduces operation time, costs, and complications, and optimizes obstetric and perinatal outcomes. Compare obstetric outcomes between patients operated on using traditional cesarean section technique and those operated on using modified Misgav Ladach technique. The study included 49 patients operated on using traditional cesarean section technique and 47 patients operated on using modified Misgav Ladach technique to compare the outcomes in both surgical techniques. The modified Misgav Ladach technique was associated with more benefits than those of the traditional technique: less surgical bleeding, less operation time, less analgesic total doses, less rescue analgesic doses and less need of more than one analgesic drug. The modified Misgav Ladach surgical technique was associated with better obstetric results than those of the traditional surgical technique; this concurs with the results reported by other national and international studies.

  7. An Assessment of Civil Tiltrotor Concept of Operations in the Next Generation Air Transportation System

    NASA Technical Reports Server (NTRS)

    Chung, William W.; Salvano, Dan; Rinehart, David; Young, Ray; Cheng, Victor; Lindsey, James

    2012-01-01

    Based on a previous Civil Tiltrotor (CTR) National Airspace System (NAS) performance analysis study, CTR operations were evaluated over selected routes and terminal airspace configurations assuming noninterference operations (NIO) and runway-independent operations (RIO). This assessment aims to further identify issues associated with these concepts of operations (ConOps), and their dependency on the airspace configuration and interaction with conventional fixed-wing traffic. Safety analysis following a traditional Safety Management System (SMS) methodology was applied to CTR-unique departure and arrival failures in the selected airspace to identify any operational and certification issues. Additional CTR operational cases were then developed to get a broader understanding of issues and gaps that will need to be addressed in future CTR operational studies. Finally, needed enhancements to National Airspace System performance analysis tools were reviewed, and recommendations were made on improvements in these tools that are likely to be required to support future progress toward CTR fleet operations in the Next Generation Air Transportation System (NextGen).

  8. Dynamic Computation of Change Operations in Version Management of Business Process Models

    NASA Astrophysics Data System (ADS)

    Küster, Jochen Malte; Gerth, Christian; Engels, Gregor

    Version management of business process models requires that changes can be resolved by applying change operations. In order to give a user maximal freedom concerning the application order of change operations, position parameters of change operations must be computed dynamically during change resolution. In such an approach, change operations with computed position parameters must be applicable on the model and dependencies and conflicts of change operations must be taken into account because otherwise invalid models can be constructed. In this paper, we study the concept of partially specified change operations where parameters are computed dynamically. We provide a formalization for partially specified change operations using graph transformation and provide a concept for their applicability. Based on this, we study potential dependencies and conflicts of change operations and show how these can be taken into account within change resolution. Using our approach, a user can resolve changes of business process models without being unnecessarily restricted to a certain order.

  9. Multidisciplinary team simulation for the operating theatre: a review of the literature.

    PubMed

    Tan, Shaw Boon; Pena, Guilherme; Altree, Meryl; Maddern, Guy J

    2014-01-01

    Analyses of adverse events inside the operating theatre has demonstrated that many errors are caused by failure in non-technical skills and teamwork. While simulation has been used successfully for teaching and improving technical skills, more recently, multidisciplinary simulation has been used for training team skills. We hypothesized that this type of training is feasible and improves team skills in the operating theatre. A systematic search of the literature for studies describing true multidisciplinary operating theatre team simulation was conducted in November and December 2012. We looked at the characteristics and outcomes of the team simulation programmes. 1636 articles were initially retrieved. Utilizing a stepwise evaluation process, 26 articles were included in the review. The studies reveal that multidisciplinary operating theatre simulation has been used to provide training in technical and non-technical skills, to help implement new techniques and technologies, and to identify latent weaknesses within a health system. Most of the studies included are descriptions of training programmes with a low level of evidence. No randomized control trial was identified. Participants' reactions to the training programme were positive in all studies; however, none of them could objectively demonstrate that skills acquired from simulation are transferred to the operating theatre or show a demonstrable benefit in patient outcomes. Multidisciplinary operating room team simulation is feasible and widely accepted by participants. More studies are required to assess the impact of this type of training on operative performance and patient safety. © 2013 Royal Australasian College of Surgeons.

  10. Initial 12-h operative fluid volume is an independent risk factor for pleural effusion after hepatectomy.

    PubMed

    Cheng, Xiang; Wu, Jia-Wei; Sun, Ping; Song, Zi-Fang; Zheng, Qi-Chang

    2016-12-01

    Pleural effusion after hepatectomy is associated with significant morbidity and prolonged hospital stays. Several studies have addressed the risk factors for postoperative pleural effusion. However, there are no researches concerning the role of the initial 12-h operative fluid volume. The aim of this study was to evaluate whether the initial 12-h operative fluid volume during liver resection is an independent risk factor for pleural effusion after hepatectomy. In this study, we retrospectively analyzed clinical data of 470 patients consecutively undergoing elective hepatectomy between January 2011 and December 2012. We prospectively collected and retrospectively analyzed baseline and clinical data, including preoperative, intraoperative, and postoperative variables. Univariate and multivariate analyses were carried out to identify whether the initial 12-h operative fluid volume was an independent risk factor for pleural effusion after hepatectomy. The multivariate analysis identified 2 independent risk factors for pleural effusion: operative time [odds ratio (OR)=10.2] and initial 12-h operative fluid volume (OR=1.0003). Threshold effect analyses revealed that the initial 12 h operative fluid volume was positively correlated with the incidence of pleural effusion when the initial 12-h operative fluid volume exceeded 4636 mL. We conclude that the initial 12-h operative fluid volume during liver resection and operative time are independent risk factors for pleural effusion after hepatectomy. Perioperative intravenous fluids should be restricted properly.

  11. Lessons Learned for Planning and Estimating Operations Support Requirements

    NASA Technical Reports Server (NTRS)

    Newhouse, Marilyn

    2011-01-01

    Operations (phase E) costs are typically small compared to the spacecraft development and test costs. This, combined with the long lead time for realizing operations costs, can lead projects to focus on hardware development schedules and costs, de-emphasizing estimation of operations support requirements during proposal, early design, and replan cost exercises. The Discovery and New Frontiers (D&NF) programs comprise small, cost-capped missions supporting scientific exploration of the solar system. Even moderate yearly underestimates of the operations costs can present significant LCC impacts for deep space missions with long operational durations, and any LCC growth can directly impact the programs ability to fund new missions. The D&NF Program Office at Marshall Space Flight Center recently studied cost overruns for 7 D&NF missions related to phase C/D development of operational capabilities and phase E mission operations. The goal was to identify the underlying causes for the overruns and develop practical mitigations to assist the D&NF projects in identifying potential operations risks and controlling the associated impacts to operations development and execution costs. The study found that the drivers behind these overruns include overly optimistic assumptions regarding the savings resulting from the use of heritage technology, late development of operations requirements, inadequate planning for sustaining engineering and the special requirements of long duration missions (e.g., knowledge retention and hardware/software refresh), and delayed completion of ground system development work. This presentation summarizes the study and the results, providing a set of lessons NASA can use to improve early estimation and validation of operations costs.

  12. Advanced Waste Treatment. A Field Study Training Program.

    ERIC Educational Resources Information Center

    California State Univ., Sacramento. Dept. of Civil Engineering.

    This operations manual represents a continuation of operator training manuals developed for the United States Environmental Protection Agency (USEPA) in response to the technological advancements of wastewater treatment and the changing needs of the operations profession. It is intended to be used as a home-study course manual (using the concepts…

  13. Industrial Waste Treatment. A Field Study Training Program.

    ERIC Educational Resources Information Center

    California State Univ., Sacramento. Dept. of Civil Engineering.

    This operations manual represents a continuation of operator training manuals developed for the United States Environmental Protection Agency (USEPA) in response to the technological advancements of wastewater treatment and the changing needs of the operations profession. It is intended to be used as a home-study course manual (using the concepts…

  14. APPLYING OPERATIONAL ANALYSIS TO URBAN EDUCATIONAL SYSTEMS, A WORKING PAPER.

    ERIC Educational Resources Information Center

    SISSON, ROGER L.

    OPERATIONS RESEARCH CONCEPTS ARE POTENTIALLY USEFUL FOR STUDY OF SUCH LARGE URBAN SCHOOL DISTRICT PROBLEMS AS INFORMATION FLOW, PHYSICAL STRUCTURE OF THE DISTRICT, ADMINISTRATIVE DECISION MAKING BOARD POLICY FUNCTIONS, AND THE BUDGET STRUCTURE. OPERATIONAL ANALYSIS REQUIRES (1) IDENTIFICATION OF THE SYSTEM UNDER STUDY, (2) IDENTIFICATION OF…

  15. Developing Students' Mathematical Skills Involving Order of Operations

    ERIC Educational Resources Information Center

    Ali Rahman, Ernna Sukinnah; Shahrill, Masitah; Abbas, Nor Arifahwati; Tan, Abby

    2017-01-01

    This small-scale action research study examines the students' ability in using their mathematical skills when performing order of operations in numerical expressions. In this study, the "hierarchy-of-operators triangle" by Ameis (2011) was introduced as an alternative BODMAS approach to help students in gaining a better understanding…

  16. Orbital operation study. Volume 2: Interfacing activities analysis. Part 1: Introduction and summary

    NASA Technical Reports Server (NTRS)

    Anderson, N. R.

    1972-01-01

    The summary of the interfacing activity analyses for the orbital operations study is presented. The significant analyses are grouped into categories as follows: (1) structural and mechanical activity, (2) data management, and (3) support operations. Specific subjects concerning payload deployment, communications, rendezvous, and stationkeeping are discussed.

  17. Using motion capture technology to measure the effects of magnification loupes on dental operator posture: A pilot study.

    PubMed

    Branson, B G; Abnos, R M; Simmer-Beck, M L; King, G W; Siddicky, S F

    2018-01-01

    Motion analysis has great potential for quantitatively evaluating dental operator posture and the impact of interventions such as magnification loupes on posture and subsequent development of musculoskeletal disorders. This study sought to determine the feasibility of motion capture technology for measurement of dental operator posture and examine the impact that different styles of magnification loupes had on dental operator posture. Forward and lateral head flexion were measured for two different operators while completing a periodontal probing procedure. Each was measured while wearing magnification loupes (flip up-FL and through the lens-TTL) and basic safety lenses. Operators both exhibited reduced forward flexion range of motion (ROM) when using loupes (TTL or FL) compared to a baseline lens (BL). In contrast to forward flexion, no consistent trends were observed for lateral flexion between subjects. The researchers can report that it is possible to measure dental operator posture using motion capture technology. More study is needed to determine which type of magnification loupes (FL or TTL) are superior in improving dental operator posture. Some evidence was found supporting that the quality of operator posture may more likely be related to the use of magnification loupes, rather than the specific type of lenses worn.

  18. 21 CFR 58.81 - Standard operating procedures.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Testing Facilities Operation § 58.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting... following: (1) Animal room preparation. (2) Animal care. (3) Receipt, identification, storage, handling...

  19. 21 CFR 58.81 - Standard operating procedures.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Testing Facilities Operation § 58.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting... following: (1) Animal room preparation. (2) Animal care. (3) Receipt, identification, storage, handling...

  20. 21 CFR 58.81 - Standard operating procedures.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Testing Facilities Operation § 58.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting... following: (1) Animal room preparation. (2) Animal care. (3) Receipt, identification, storage, handling...

  1. 21 CFR 58.81 - Standard operating procedures.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Testing Facilities Operation § 58.81 Standard operating procedures. (a) A testing facility shall have standard operating procedures in writing setting... following: (1) Animal room preparation. (2) Animal care. (3) Receipt, identification, storage, handling...

  2. Preventing War: Special Operations Engagement in Support of Security Sector Reform

    DTIC Science & Technology

    2014-12-04

    This study analyzes recent special operations engagement in Mali and the Philippines . Through that analysis, enduring engagement, special......recent special operations engagement in Mali and the Philippines . Through that analysis, enduring engagement, special operation engagement campaigns

  3. Why do health and social care providers co-operate?

    PubMed

    van Raak, Arno; Paulus, Aggie; Mur-Veeman, Ingrid

    2005-09-28

    Within Europe, although there are numerous examples of poor co-ordination in the delivery of integrated care, many providers do co-operate. We wanted to know why providers are moved to co-operate. In terms of systematic research, this is a new field; researchers have only begun to theorise about the rationales for co-operation. Practically, the issue of achieving co-operation attracts much attention from policymakers. Understanding the reasons for co-operation is a prerequisite for developing effective policy in support of integrated care. Our aim is to explore the comparative validity of different theoretical perspectives on the reasons for co-operation, to indicate directions for further study and for policy making. We used data from three successive studies to perform pattern matching with six established theoretical perspectives: transaction costs economics, strategic choice theory, resource dependence theory, learning theory, stakeholder theory and institutional theory. Insights from the studies were compared for validating purposes (triangulation). The first study concerned the evaluation of the Dutch 'National Home Health Care Programme' according to the case study methodology. The second and third studies were surveys among project directors: questionnaires were based on the concepts derived from the first study. Researchers should combine normative institutional theory, resource dependence theory and stakeholder theory into one perspective, in order to study relationship formation in health and social care. The concept of institutions (rules) is the linchpin between the theories. Policy makers must map the institutions of stakeholders and enable integrated care policy to correspond with these institutions as much as possible.

  4. Water Distribution System Operation and Maintenance. A Field Study Training Program. Second Edition.

    ERIC Educational Resources Information Center

    Kerri, Kenneth D.; And Others

    Proper installation, inspection, operation, maintenance, repair and management of water distribution systems have a significant impact on the operation and maintenance cost and effectiveness of the systems. The objective of this manual is to provide water distribution system operators with the knowledge and skills required to operate and maintain…

  5. A study of the operation of selected national research facilities

    NASA Technical Reports Server (NTRS)

    Eisner, M.

    1974-01-01

    The operation of national research facilities was studied. Conclusions of the study show that a strong resident scientific staff is required for successful facility operation. No unique scheme of scientific management is revealed except for the obvious fact that the management must be responsive to the users needs and requirements. Users groups provide a convenient channel through which these needs and requirements are communicated.

  6. Emergency Support Function 15 Standard Operating Procedures

    DTIC Science & Technology

    2013-08-01

    learned from numerous incidents to include the BP oil spill, the Fukushima nuclear incident, Hurricane Sandy and the Boston Marathon attack. Guidance is...Staffing  Operations  Activation  Incident Operations  Case Study - 2013 Boston Marathon Bombing  Case Study - 2011 Fukushima Nuclear Crisis...Quick Summary  Radiological Dispersal Device (RDD)  Improvised Nuclear Device (IND)  Federal Response  Case Studies – 2011 Fukushima Nuclear

  7. There Can Be Only One: An Analysis of Operational Artists in Vietnam

    DTIC Science & Technology

    2017-05-05

    elevated, in the case of the Vietnam comparative study here, to the theater commander. 6...factors in identifying the true Operational Artist in the Vietnam case study as well as future conflicts. This is where the creativity that defines...difference between successful and unsuccessful Operational Artists in the sense this monograph proposes. This is a comparative case study between GEN Paul

  8. A Study of the Effects of a Structured Curriculum in Piagetian Type Operations on the Cognitive Coping of Elementary School Children.

    ERIC Educational Resources Information Center

    Breidenbaugh, Barry Ellis

    The purpose of this study was to investigate the effects of the Material Objects Unit of the Science Curriculum Improvement Study (SCIS) on the cognitive operations and academic achievement of elementary school children. The Material Objects Unit was designed to give experiences and explorations in the mental operations of classification,…

  9. Operational Implementation of Space Debris Mitigation Procedures

    NASA Astrophysics Data System (ADS)

    Gicquel, Anne-Helene; Bonaventure, Francois

    2013-08-01

    During the spacecraft lifetime, Astrium supports its customers to manage collision risks alerts from the Joint Space Operations Center (JSpOC). This was previously done with hot-line support and a manual operational procedure. Today, it is automated and integrated in QUARTZ, the Astrium Flight Dynamics operational tool. The algorithms and process details for this new 5- step functionality are provided in this paper. To improve this functionality, some R&D activities such as the study of dilution phenomenon and low relative velocity encounters are going on. Regarding end of life disposal, recent operational experiences as well as studies results are presented.

  10. Learning curve in transradial cardiac catheterization: procedure-related parameters stratified by operators' transradial volume.

    PubMed

    Kasasbeh, Ehab S; Parvez, Babar; Huang, Robert L; Hasselblad, Michele Marie; Glazer, Mark D; Salloum, Joseph G; Cleator, John H; Zhao, David X

    2012-11-01

    To determine whether radial artery access is associated with a reduction in fluoroscopy time, procedure time, and other procedural variables over a 27-month period during which the radial artery approach was incorporated in a single academic Medical Center. Although previous studies have demonstrated a relationship between increased volume and decreased procedural time, no studies have looked at the integration of radial access over time. Data were collected from consecutive patients who presented to the Vanderbilt University Medical Center cardiac catheterization laboratory from January 1, 2009 to April 1, 2011. Patients who underwent radial access diagnostic catheterization with and without percutaneous coronary intervention were included in this study. A total of 1112 diagnostic cardiac catheterizations through the radial access site were analyzed. High-volume, intermediate-volume, and low-volume operators were grouped based on the percentage of procedures performed through a radial approach. From 2009 to 2011, there was a significant decrease in fluoroscopy time in all operator groups for diagnostic catheterization (P=.035). The high-volume operator group had 1.88 and 3.66 minute reductions in fluoroscopy time compared to the intermediate- and low-volume operator groups, respectively (both P<.001). Likewise, the intermediate-volume operator group had a 1.77 minute improvement compared to the low-volume operator group, but this did not reach statistical significance (P=.102). The improvement in fluoroscopy time and other procedure-related parameters was seen after approximately 25 cases with further improvement after 75 cases. The incorporation of the radial access approach in the cardiac catheterization laboratory led to a decrease in fluoroscopy time for each operator and operator group over the last 3 years. Our data demonstrated that higher-volume radial operators have better procedure, room, and fluoroscopy times when compared to intermediate- and low-volume operators. However, lower-volume operators have a reduction in procedure-related parameters with increased radial cases. Number of procedures needed to become sufficient was demonstrated in the current study.

  11. HUMeral shaft fractures: measuring recovery after operative versus non-operative treatment (HUMMER): a multicenter comparative observational study.

    PubMed

    Mahabier, Kiran C; Van Lieshout, Esther M M; Bolhuis, Hugo W; Bos, P Koen; Bronkhorst, Maarten Wga; Bruijninckx, Milko M M; De Haan, Jeroen; Deenik, Axel R; Dwars, Boudewijn J; Eversdijk, Martin G; Goslings, J Carel; Haverlag, Robert; Heetveld, Martin J; Kerver, Albert J H; Kolkman, Karel A; Leenhouts, Peter A; Meylaerts, Sven A G; Onstenk, Ron; Poeze, Martijn; Poolman, Rudolf W; Punt, Bas J; Roerdink, W Herbert; Roukema, Gert R; Sintenie, Jan Bernard; Soesman, Nicolaj M R; Tanka, Andras K F; Ten Holder, Edgar J T; Van der Elst, Maarten; Van der Heijden, Frank H W M; Van der Linden, Frits M; Van der Zwaal, Peer; Van Dijk, Jan P; Van Jonbergen, Hans-Peter W; Verleisdonk, Egbert J M M; Vroemen, Jos P A M; Waleboer, Marco; Wittich, Philippe; Zuidema, Wietse P; Polinder, Suzanne; Verhofstad, Michael H J; Den Hartog, Dennis

    2014-02-11

    Fractures of the humeral shaft are associated with a profound temporary (and in the elderly sometimes even permanent) impairment of independence and quality of life. These fractures can be treated operatively or non-operatively, but the optimal tailored treatment is an unresolved problem. As no high-quality comparative randomized or observational studies are available, a recent Cochrane review concluded there is no evidence of sufficient scientific quality available to inform the decision to operate or not. Since randomized controlled trials for this injury have shown feasibility issues, this study is designed to provide the best achievable evidence to answer this unresolved problem. The primary aim of this study is to evaluate functional recovery after operative versus non-operative treatment in adult patients who sustained a humeral shaft fracture. Secondary aims include the effect of treatment on pain, complications, generic health-related quality of life, time to resumption of activities of daily living and work, and cost-effectiveness. The main hypothesis is that operative treatment will result in faster recovery. The design of the study will be a multicenter prospective observational study of 400 patients who have sustained a humeral shaft fracture, AO type 12A or 12B. Treatment decision (i.e., operative or non-operative) will be left to the discretion of the treating surgeon. Critical elements of treatment will be registered and outcome will be monitored at regular intervals over the subsequent 12 months. The primary outcome measure is the Disabilities of the Arm, Shoulder, and Hand score. Secondary outcome measures are the Constant score, pain level at both sides, range of motion of the elbow and shoulder joint at both sides, radiographic healing, rate of complications and (secondary) interventions, health-related quality of life (Short-Form 36 and EuroQol-5D), time to resumption of ADL/work, and cost-effectiveness. Data will be analyzed using univariate and multivariable analyses (including mixed effects regression analysis). The cost-effectiveness analysis will be performed from a societal perspective. Successful completion of this trial will provide evidence on the effectiveness of operative versus non-operative treatment of patients with a humeral shaft fracture. The trial is registered at the Netherlands Trial Register (NTR3617).

  12. Evaluating hospital design from an operations management perspective.

    PubMed

    Vos, Leti; Groothuis, Siebren; van Merode, Godefridus G

    2007-12-01

    This paper describes an evaluation method for the assessment of hospital building design from the viewpoint of operations management to assure that the building design supports the efficient and effective operating of care processes now and in the future. The different steps of the method are illustrated by a case study. In the case study an experimental design is applied to assess the effect of used logistical concepts, patient mix and technologies. The study shows that the evaluation method provides a valuable tool for the assessment of both functionality and the ability to meet future developments in operational control of a building design.

  13. Deriving adaptive operating rules of hydropower reservoirs using time-varying parameters generated by the EnKF

    NASA Astrophysics Data System (ADS)

    Feng, Maoyuan; Liu, Pan; Guo, Shenglian; Shi, Liangsheng; Deng, Chao; Ming, Bo

    2017-08-01

    Operating rules have been used widely to decide reservoir operations because of their capacity for coping with uncertain inflow. However, stationary operating rules lack adaptability; thus, under changing environmental conditions, they cause inefficient reservoir operation. This paper derives adaptive operating rules based on time-varying parameters generated using the ensemble Kalman filter (EnKF). A deterministic optimization model is established to obtain optimal water releases, which are further taken as observations of the reservoir simulation model. The EnKF is formulated to update the operating rules sequentially, providing a series of time-varying parameters. To identify the index that dominates the variations of the operating rules, three hydrologic factors are selected: the reservoir inflow, ratio of future inflow to current available water, and available water. Finally, adaptive operating rules are derived by fitting the time-varying parameters with the identified dominant hydrologic factor. China's Three Gorges Reservoir was selected as a case study. Results show that (1) the EnKF has the capability of capturing the variations of the operating rules, (2) reservoir inflow is the factor that dominates the variations of the operating rules, and (3) the derived adaptive operating rules are effective in improving hydropower benefits compared with stationary operating rules. The insightful findings of this study could be used to help adapt reservoir operations to mitigate the effects of changing environmental conditions.

  14. Extension and Density of Root Fillings and Post-operative Apical Radiolucencies in the Veterans Affairs Dental Longitudinal Study

    PubMed Central

    Zhong, Yan; Chasen, Joel; Yamanaka, Ryan; Garcia, Raul; Kaye, Elizabeth Krall; Kaufman, Jay S; Cai, Jianwen; Wilcosky, Tim; Trope, Martin; Caplan, Daniel J

    2008-01-01

    We evaluated the association between radiographically-assessed extension and density of root canal fillings and post-operative apical radiolucencies (AR) using data from 288 participants in the Veterans Affairs Dental Longitudinal Study. Study subjects were not VA patients; all received their medical and dental care in the private sector. Generalized Estimating Equations were used to account for multiple teeth within subjects and to control for covariates of interest. Defective root filling density was associated with increased odds of post-operative AR among teeth with no pre-operative AR (Odds Ratio=3.0, 95%CI=1.3–7.1), though pre-operative AR was the strongest risk factor for post-operative AR (Odds Ratio=29.2, 95%CI=13.6–63.0 among teeth with ideal density). Compared to well-extended root fillings, neither over- nor under-extended root fillings separately were related to post-operative AR, but when those two categories were collapsed into one “poorly-extended” category, poor extension was related to post-operative AR (Odds Ratio=1.8, 95%CI=1.1–3.2). PMID:18570982

  15. Environmental Impacts of Metal Cladding Operations and Remedial Measures: A Case Study

    NASA Astrophysics Data System (ADS)

    Roy, P. P.; Sawmliana, C.; Singh, R. K.

    2014-04-01

    In metal cladding operations, a mixture of 11 % TNT flakes, 44 % ammonium nitrate (non-explosive) and 45 % dehydrated salt (non-explosive) are mixed uniformly to produce an explosive mixture with velocity of detonation 1,800-2,000 m/s. To study the environmental impacts of such operations which led to serious complaints from neighbouring villagers and even closure of some units, a study was carried out to investigate the levels of ground vibration, air overpressure and noise generated by blasting operations of different explosive charge quantities during the metal cladding operations and their impacts on the surrounding villages. Following the safety norms of Central Pollution Control Board (CPCB, Model Rules of the Factories Act on Noise Pollution Control) [1] and Directorate General of Mines Safety (DGMS, Damage to the structures due to blast induced ground vibration in the mining areas) [2] of India, generalised guidelines for such safe operations were framed. This paper describes the operational aspects of metal cladding, experimental results and scientific analyses of data to propose certain guidelines for safe metal cladding operations.

  16. Generalizations of the classical Yang-Baxter equation and O-operators

    NASA Astrophysics Data System (ADS)

    Bai, Chengming; Guo, Li; Ni, Xiang

    2011-06-01

    Tensor solutions (r-matrices) of the classical Yang-Baxter equation (CYBE) in a Lie algebra, obtained as the classical limit of the R-matrix solution of the quantum Yang-Baxter equation, is an important structure appearing in different areas such as integrable systems, symplectic geometry, quantum groups, and quantum field theory. Further study of CYBE led to its interpretation as certain operators, giving rise to the concept of {O}-operators. The O-operators were in turn interpreted as tensor solutions of CYBE by enlarging the Lie algebra [Bai, C., "A unified algebraic approach to the classical Yang-Baxter equation," J. Phys. A: Math. Theor. 40, 11073 (2007)], 10.1088/1751-8113/40/36/007. The purpose of this paper is to extend this study to a more general class of operators that were recently introduced [Bai, C., Guo, L., and Ni, X., "Nonabelian generalized Lax pairs, the classical Yang-Baxter equation and PostLie algebras," Commun. Math. Phys. 297, 553 (2010)], 10.1007/s00220-010-0998-7 in the study of Lax pairs in integrable systems. Relations between O-operators, relative differential operators, and Rota-Baxter operators are also discussed.

  17. Comparison of intra-articular bupivacaine-morphine with bupivacaine-tenoxicam combinations on post-operative analgesia in patients with arthroscopic meniscectomy: a prospective, randomised study.

    PubMed

    Sanel, Selim; Arpaz, Osman; Unay, Koray; Turkmen, Ismail; Simsek, Selcuk; Ugutmen, Ender

    2016-03-01

    There are many alternatives for post-operative pain relief in patients who have had general anaesthesia. The aim of this study was to evaluate the efficacy of intra-articular bupivacaine + morphine and bupivacaine + tenoxicam applications in post-operative pain control in patients undergoing knee arthroscopy with general anaesthesia. This was a prospective study. Standard anaesthesia procedures were applied to each patient, and the 240 patients chosen at random were then divided into two groups. Each group received a different combination of drugs for this double-blind study. The first group (group A: 120 patients) received 0.5% bupivacaine 100 mg + tenoxicam 20 mg (22 ml); the second group (group B) received 0.5% bupivacaine 100 mg + morphine 2 mg (22 ml); both groups received their drugs at the end of the intra-articular operation before tourniquet deflation. Before the operation, patients were asked about their post-operative pain at particular periods over the following 24 hours using the visual analogue scale (VAS) and the numeric rating scale (NRS). An additional analgaesic requirement and possible side effects were also recorded. Group A patients needed analgaesics sooner after operation than patients in group B. In Group B, VAS and NRS values were statistically higher compared with group A at the 12th hour. There were also fewer side effects seen in group A versus group B. Effective and reliable results were obtained in post-operative pain control in bupivacaine added to the morphine or tenoxicam groups following arthroscopic meniscectomy. In the tenoxicam group, patients reported less pain, fewer side effects and less need for analgesics at 12 hours after the operation. level 1, therapeutic, randomised, multicentric study.

  18. Human-Robot Interaction Directed Research Project

    NASA Technical Reports Server (NTRS)

    Sandor, Aniko; Cross, Ernest V., II; Chang, M. L.

    2014-01-01

    Human-robot interaction (HRI) is a discipline investigating the factors affecting the interactions between humans and robots. It is important to evaluate how the design of interfaces and command modalities affect the human's ability to perform tasks accurately, efficiently, and effectively when working with a robot. By understanding the effects of interface design on human performance, workload, and situation awareness, interfaces can be developed to appropriately support the human in performing tasks with minimal errors and with appropriate interaction time and effort. Thus, the results of research on human-robot interfaces have direct implications for the design of robotic systems. This DRP concentrates on three areas associated with interfaces and command modalities in HRI which are applicable to NASA robot systems: 1) Video Overlays, 2) Camera Views, and 3) Command Modalities. The first study focused on video overlays that investigated how Augmented Reality (AR) symbology can be added to the human-robot interface to improve teleoperation performance. Three types of AR symbology were explored in this study, command guidance (CG), situation guidance (SG), and both (SCG). CG symbology gives operators explicit instructions on what commands to input, whereas SG symbology gives operators implicit cues so that operators can infer the input commands. The combination of CG and SG provided operators with explicit and implicit cues allowing the operator to choose which symbology to utilize. The objective of the study was to understand how AR symbology affects the human operator's ability to align a robot arm to a target using a flight stick and the ability to allocate attention between the symbology and external views of the world. The study evaluated the effects type of symbology (CG and SG) has on operator tasks performance and attention allocation during teleoperation of a robot arm. The second study expanded on the first study by evaluating the effects of the type of navigational guidance (CG and SG) on operator task performance and attention allocation during teleoperation of a robot arm through uplinked commands. Although this study complements the first study on navigational guidance with hand controllers, it is a separate investigation due to the distinction in intended operators (i.e., crewmembers versus ground-operators). A third study looked at superimposed and integrated overlays for teleoperation of a mobile robot using a hand controller. When AR is superimposed on the external world, it appears to be fixed onto the display and internal to the operators' workstation. Unlike superimposed overlays, integrated overlays often appear as three-dimensional objects and move as if part of the external world. Studies conducted in the aviation domain show that integrated overlays can improve situation awareness and reduce the amount of deviation from the optimal path. The purpose of the study was to investigate whether these results apply to HRI tasks, such as navigation with a mobile robot. HRP GAPS This HRI research contributes to closure of HRP gaps by providing information on how display and control characteristics - those related to guidance, feedback, and command modalities - affect operator performance. The overarching goals are to improve interface usability, reduce operator error, and develop candidate guidelines to design effective human-robot interfaces.

  19. Integrating Army Aviation into the Combined Arms Team: Operational Art in Desert Shield and Desert Storm

    DTIC Science & Technology

    2017-05-25

    new doctrine, the ideal organization, and what would eventually become a branch. The framework for the historical case study is the doctrinal...operational art were apparent in the case study , and were enabled, either directly or indirectly, by rotary-wing aviation. This case study illuminated the...would eventually become a branch. The framework for the historical case study is the doctrinal relationship between the elements of operational art

  20. The Military Assistance Command-Vietnam Studies and Observations Group-A Case Study in Special Operations Campaigning

    DTIC Science & Technology

    2016-06-10

    viewed as the panacea for all military problems. Politicians view SOF as a low risk minimalist investment that produces results; even for problems...of published work that has been dedicated to discussing special operations theory as an element of military strategy. A good starting point to...utility. Doctrine As a starting point for framing understanding of special operations, Joint Publication (JP) 3-05 Special Operations, provides the basis

  1. Power quality and protection of electric distribution systems with small, dispersed generation devices

    NASA Astrophysics Data System (ADS)

    Rizy, D. T.; Jewell, W. T.

    1984-10-01

    There are several operational problems associated with the connection of small power sources, such as wind turbines and photovoltaic (PV) arrays, to an electric distribution system. In one study the harmonic distortion produced by a subdivision of PV arrays connected through line-commutated inverters was simulated. A second simulation study evaluated protection problems associated with the operation of dispersed ac generators. The purpose of these studies was to examine the adequacy of the electric utility industry's traditional practices and hardware for the operation of dispersed power sources. The results of these simulation studies are discussed and recommendations are given for hardware and system operation needed for accommodating this new technology.

  2. Solar power satellite system definition study. Volume 3: Operations and systems synthesis, phase 2

    NASA Technical Reports Server (NTRS)

    1979-01-01

    The results of the operations analyses are reported. Some of these analyses examined operations aspects of space vehicle in-space maintenance. Many of the analyses explored in great depth operations concerned the LEO Base cargo handling operations. Personnel transportation operations and cargo packaging were also analyzed. These operations analyses were performed to define the operational requirements for all of the SPS system elements so that equipment and facilities could be synthesized, and to make estimates of the manpower requirements. An overall, integrated, end-to-end description of the SPS operations is presented. The detailed operations analyses, upon which this integrated description was based, are included.

  3. Study to determine the IFR operational profile and problems to the general aviation pilot

    NASA Technical Reports Server (NTRS)

    Weislogel, S.

    1983-01-01

    A study of the general aviation single pilot operating under instrument flight rules (GA SPIFR) has been conducted for NASA Langley Research Center. The objectives of the study were to (1) develop a GA SPIFR operational profile, (2) identify problems experienced by the GA SPIFR pilot, and (3) identify research tasks which have the potential for eliminating or reducing the severity of the problems. To obtain the information necessary to accomplish these objectives, a mail questionnaire survey of instrument rated pilots was conducted. Complete questionnaire data is reported in NASA CR-165805, "Statistical Summary: Study to Determine the IFR Operational Profile and Problems of the General Aviation Single Pilot'-Based upon the results of the GA SPIFR survey, this final report presents the general aviation IFR single pilot operational profile, illustrates selected data analysis, examples, identifies the problems which he is experiencing, and recommends further research.

  4. User interface and operational issues with thermionic space power systems

    NASA Technical Reports Server (NTRS)

    Dahlberg, R. C.; Fisher, C. R.

    1987-01-01

    Thermionic space power systems have unique features which facilitate predeployment operations, provide operational flexibility and simplify the interface with the user. These were studied in some detail during the SP-100 program from 1983 to 1985. Three examples are reviewed in this paper: (1) system readiness verification in the prelaunch phase; (2) startup, shutdown, and dormancy in the operations phase; (3) part-load operation in the operations phase.

  5. Interpolatability distinguishes LOCC from separable von Neumann measurements

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

    Childs, Andrew M.; Leung, Debbie; Mančinska, Laura

    2013-11-15

    Local operations with classical communication (LOCC) and separable operations are two classes of quantum operations that play key roles in the study of quantum entanglement. Separable operations are strictly more powerful than LOCC, but no simple explanation of this phenomenon is known. We show that, in the case of von Neumann measurements, the ability to interpolate measurements is an operational principle that sets apart LOCC and separable operations.

  6. TVT-Exact and midurethral sling (SLING-IUFT) operative procedures: a randomized study

    PubMed Central

    Aniulis, Povilas; Skaudickas, Darijus

    2015-01-01

    Objectives The aim of the study is to compare results, effectiveness and complications of TVT exact and midurethral sling (SLING-IUFT) operations in the treatment of female stress urinary incontinence (SUI). Methods A single center nonblind, randomized study of women with SUI who were randomized to TVT-Exact and SLING-IUFT was performed by one surgeon from April 2009 to April 2011. SUI was diagnosed on coughing and Valsalva test and urodynamics (cystometry and uroflowmetry) were assessed before operation and 1 year after surgery. This was a prospective randomized study. The follow up period was 12 months. 76 patients were operated using the TVT-Exact operation and 78 patients – using the SLING-IUFT operation. There was no statistically significant differences between groups for BMI, parity, menopausal status and prolapsed stage (no patients had cystocele greater than stage II). Results Mean operative time was significantly shorter in the SLING-IUFT group (19 ± 5.6 min.) compared with the TVT-Exact group (27 ± 7.1 min.). There were statistically significant differences in the effectiveness of both procedures: TVT-Exact – at 94.5% and SLING-IUFT – at 61.2% after one year. Hospital stay was statistically significantly shorter in the SLING-IUFT group (1. 2 ± 0.5 days) compared with the TVT-Exact group (3.5 ± 1.5 days). Statistically significantly fewer complications occurred in the SLING-IUFT group. Conclusion the TVT-Exact and SLING-IUFT operations are both effective for surgical treatment of female stress urinary incontinence. The SLING-IUFT involved a shorter operation time and lower complications rate., the TVT-Exact procedure had statistically significantly more complications than the SLING-IUFT operation, but a higher effectiveness. PMID:28352711

  7. TVT-Exact and midurethral sling (SLING-IUFT) operative procedures: a randomized study.

    PubMed

    Aniuliene, Rosita; Aniulis, Povilas; Skaudickas, Darijus

    2015-01-01

    The aim of the study is to compare results, effectiveness and complications of TVT exact and midurethral sling (SLING-IUFT) operations in the treatment of female stress urinary incontinence (SUI). A single center nonblind, randomized study of women with SUI who were randomized to TVT-Exact and SLING-IUFT was performed by one surgeon from April 2009 to April 2011. SUI was diagnosed on coughing and Valsalva test and urodynamics (cystometry and uroflowmetry) were assessed before operation and 1 year after surgery. This was a prospective randomized study. The follow up period was 12 months. 76 patients were operated using the TVT-Exact operation and 78 patients - using the SLING-IUFT operation. There was no statistically significant differences between groups for BMI, parity, menopausal status and prolapsed stage (no patients had cystocele greater than stage II). Mean operative time was significantly shorter in the SLING-IUFT group (19 ± 5.6 min.) compared with the TVT-Exact group (27 ± 7.1 min.). There were statistically significant differences in the effectiveness of both procedures: TVT-Exact - at 94.5% and SLING-IUFT - at 61.2% after one year. Hospital stay was statistically significantly shorter in the SLING-IUFT group (1. 2 ± 0.5 days) compared with the TVT-Exact group (3.5 ± 1.5 days). Statistically significantly fewer complications occurred in the SLING-IUFT group. the TVT-Exact and SLING-IUFT operations are both effective for surgical treatment of female stress urinary incontinence. The SLING-IUFT involved a shorter operation time and lower complications rate., the TVT-Exact procedure had statistically significantly more complications than the SLING-IUFT operation, but a higher effectiveness.

  8. Emotional ambivalence and post-traumatic stress disorder (PTSD) in soldiers during military operations

    PubMed Central

    Jerg-Bretzke, Lucia; Walter, Steffen; Limbrecht-Ecklundt, Kerstin; Traue, Harald C.

    2013-01-01

    Objective: This pilot study examined the extent to which a specific mechanism of emotion regulation – namely, ambivalence concerning the expressiveness of German soldiers’ emotions – affects the severity of PTSD symptoms after a military operation. Methodology: A survey was conducted at three points in time among 66 soldiers deployed on military crisis operations. The Harvard Trauma Questionaire (HTQ), the Ambivalence over Emotional Expressiveness Questionnaire (AEQ-G18), and a questionnaire on the particular stress of German soldiers during military operations were used. Results: The study showed a significant correlation between emotional ambivalence and traumatization. Furthermore, it was shown that the subjective stress of soldiers leading up to deployment is more pronounced when emotional ambivalence is stronger in the context of military operations. This particular stress is greater before and during the military operation than after. Compared to a male control sample, the average AEQ-G18 scores of the soldier sample examined here are considerably lower. Conclusion: This pilot study clearly indicates that the AEQ-G18 could be a suitable predictor of the psychological burden on soldiers. The correlations between emotional ambivalence on the one hand and the particular and post-traumatic stressors on the other hand are not only statistically significant in the present pilot study, but may also be relevant as risk factors. It is, therefore, necessary to conduct more extensive studies on soldiers participating in military operations to verify the results of this pilot study. PMID:23798980

  9. Operation of Wastewater Treatment Plants: A Field Study Training Program. Volume II. Second Edition.

    ERIC Educational Resources Information Center

    California State Univ., Sacramento. Dept. of Civil Engineering.

    This manual was prepared by experienced wastewater collection system workers to provide a home study course to develop new qualified workers and expand the abilities of existing workers. This volume emphasizes material needed by intermediate-level operators and stresses the operation and maintenance of conventional treatment plants. This volume…

  10. Operations: A Comparative Study of the United States and Taiwan

    ERIC Educational Resources Information Center

    Lin, Cheng-Yao; Becker, Jerry; Byun, Mi-Ran; Yang, Der-Ching; Huang, Tsai-Wei

    2013-01-01

    This study examined (a) the differences in preservice teachers’ procedural knowledge in four areas of fraction operations in Taiwan and the United States, (b) the differences in preservice teachers’ conceptual knowledge in four areas of fraction operations in Taiwan and the United States, and (c) correlation in preservice teachers’ conceptual…

  11. Manipulating Motivating Operations to Facilitate the Emergence of Mands for a Child with Autism

    ERIC Educational Resources Information Center

    Davis, Barbara Janine; Kahng, SungWoo; Coryat, Kaitlin

    2012-01-01

    Research on the functional independence of verbal operants (Skinner, 1957) has demonstrated inconsistent findings. One explanation may be that these studies have not manipulated the motivating operation (MO) to facilitate the emergence of mands (Hall & Sundberg, 1987; Lamarre & Holland, 1985). In the current study, 1 participant, diagnosed with…

  12. NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR CALIBRATION AND OPERATION OF BALANCES (UA-L-1.2)

    EPA Science Inventory

    The purpose of this SOP is to describe the procedures used when calibrating and operating balances during the Arizona NHEXAS project and the "Border" study. Keywords: lab; equipment; balances.

    The National Human Exposure Assessment Survey (NHEXAS) is a federal interagency rese...

  13. NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR CALIBRATION, MAINTENANCE AND OPERATION OF ELECTRONIC BALANCES (BCO-L-23.0)

    EPA Science Inventory

    The purpose of this SOP is to describe the general procedures to be followed for the operation, calibration and maintenance of electronic balances. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the "Border" study. Keywords: ...

  14. 38th Annual Maintenance & Operations Cost Study for Colleges

    ERIC Educational Resources Information Center

    Agron, Joe

    2009-01-01

    The nation's colleges are feeling the pinch of the economic downturn, and maintenance and operations (M&O) budgets especially are under pressure. This article presents data from the 38th annual Maintenance & Operations Cost Study for colleges that can help one in benchmarking expenditures at one's institution. Data provided only targets two-year…

  15. 38th Annual Maintenance & Operations Cost Study for Schools

    ERIC Educational Resources Information Center

    Agron, Joe

    2009-01-01

    Despite the worst economic environment in generations, spending by K-12 institutions on maintenance and operations (M&O) held its own--defying historical trends that have shown M&O spending among the most affected in times of budget tightening. This article presents data from the 38th annual Maintenance & Operations Cost Study for…

  16. Operation of Wastewater Treatment Plants: A Home Study Training Program.

    ERIC Educational Resources Information Center

    California State Univ., Sacramento. Dept. of Civil Engineering.

    This manual was prepared by experienced wastewater treatment plant operators to provide a home study course to develop new qualified workers and expand the abilities of existing workers. The objective of this manual is to provide the knowledge and skills necessary for certification. Participants learn the basic operational aspects of treatment…

  17. Small Water System Operations and Maintenance. A Field Study Training Program. Second Edition.

    ERIC Educational Resources Information Center

    Kerri, Kenneth D.; And Others

    Proper installation, inspection, operation, maintenance, repair and management of small water systems have a significant impact on the operation and maintenance cost and effectiveness of the systems. The objective of this manual is to provide small water system operators with the knowledge and skills required to operate and maintain these systems…

  18. Derivation of optimal joint operating rules for multi-purpose multi-reservoir water-supply system

    NASA Astrophysics Data System (ADS)

    Tan, Qiao-feng; Wang, Xu; Wang, Hao; Wang, Chao; Lei, Xiao-hui; Xiong, Yi-song; Zhang, Wei

    2017-08-01

    The derivation of joint operating policy is a challenging task for a multi-purpose multi-reservoir system. This study proposed an aggregation-decomposition model to guide the joint operation of multi-purpose multi-reservoir system, including: (1) an aggregated model based on the improved hedging rule to ensure the long-term water-supply operating benefit; (2) a decomposed model to allocate the limited release to individual reservoirs for the purpose of maximizing the total profit of the facing period; and (3) a double-layer simulation-based optimization model to obtain the optimal time-varying hedging rules using the non-dominated sorting genetic algorithm II, whose objectives were to minimize maximum water deficit and maximize water supply reliability. The water-supply system of Li River in Guangxi Province, China, was selected for the case study. The results show that the operating policy proposed in this study is better than conventional operating rules and aggregated standard operating policy for both water supply and hydropower generation due to the use of hedging mechanism and effective coordination among multiple objectives.

  19. Relationship between composition of mixture charged and that in circulation in an auto refrigerant cascade and a J-T refrigerator operating in liquid refrigerant supply mode

    NASA Astrophysics Data System (ADS)

    Sreenivas, Bura; Nayak, H. Gurudath; Venkatarathnam, G.

    2017-01-01

    The composition of the refrigerant mixture in circulation during steady state operation of J-T and allied refrigerators is not the same as that charged due to liquid hold up in the heat exchangers and phase separators, as well as the differential solubility of different refrigerant components in the compressor lubricating oil. The performance of refrigerators/liquefiers operating on mixed refrigerant cycles is dependent on the mixture composition. It is therefore important to charge the right mixture that results in an optimum composition in circulation during steady state operation. The relationship between the charged and circulating composition has been experimentally studied in a J-T refrigerator operating in the liquid refrigerant supply (LRS) mode and an auto refrigerant cascade refrigerator (with a phase separator) operating in the gas refrigerant supply (GRS) mode. The results of the study are presented in this work. The results show that the method presented earlier for J-T refrigerators operating in GRS mode is also applicable in the case of refrigerators studied in this work.

  20. An Empirical Study on Operator Interface Design for Handheld Devices to Control Micro Aerial Vehicles

    DTIC Science & Technology

    2010-10-01

    An Empirical Study on Operator Interface Design for Handheld Devices to Control Micro Aerial Vehicles Ming Hou...Report DRDC Toronto TR 2010-075 October 2010 An Empirical Study on Operator Interface Design for Handheld Devices to...drives the need for a small and light controller which will not hinder a soldier carrying it. This requirement brings an issue of designing an

  1. Yangians and Yang-Baxter R-operators for ortho-symplectic superalgebras

    NASA Astrophysics Data System (ADS)

    Fuksa, J.; Isaev, A. P.; Karakhanyan, D.; Kirschner, R.

    2017-04-01

    Yang-Baxter relations symmetric with respect to the ortho-symplectic superalgebras are studied. We start with the formulation of graded algebras and the linear superspace carrying the vector (fundamental) representation of the ortho-symplectic supergroup. On this basis we study the analogy of the Yang-Baxter operators considered earlier for the cases of orthogonal and symplectic symmetries: the vector (fundamental) R-matrix, the L-operator defining the Yangian algebra and its first and second order evaluations. We investigate the condition for L (u) in the case of the truncated expansion in inverse powers of u and give examples of Lie algebra representations obeying these conditions. We construct the R-operator intertwining two superspinor representations and study the fusion of L-operators involving the tensor product of such representations.

  2. Operationally efficient propulsion system study (OEPSS) data book. Volume 7; Launch Operations Index (LOI) Design Features and Options

    NASA Technical Reports Server (NTRS)

    Ziese, James M.

    1992-01-01

    A design tool of figure of merit was developed that allows the operability of a propulsion system design to be measured. This Launch Operations Index (LOI) relates Operations Efficiency to System Complexity. The figure of Merit can be used by conceptual designers to compare different propulsion system designs based on their impact on launch operations. The LOI will improve the design process by making sure direct launch operations experience is a necessary feedback to the design process.

  3. [Effect of Sijunzi Decoction and enteral nutrition on T-cell subsets and nutritional status in patients with gastric cancer after operation: a randomized controlled trial].

    PubMed

    Cai, Jun; Wang, Hua; Zhou, Sheng; Wu, Bin; Song, Hua-Rong; Xuan, Zheng-Rong

    2008-01-01

    To observe the effect of perioperative application of Sijunzi Decoction and enteral nutrition on T-cell subsets and nutritional status in patients with gastric cancer after operation. In this prospective, single-blinded, controlled clinical trial, fifty-nine patients with gastric cancer were randomly divided into three groups: control group (n=20) and two study groups (group A, n=21; group B, n=18). Sjunzi Decoction (100 ml) was administered via nasogastric tube to the patients in the study group B from the second postoperation day to the 9th postoperation day. Patients in the two study groups were given an isocaloric and isonitrogonous enteral diet, which was started on the second day after operation, and continued for eight days. Patients in the control group were given an isocaloric and isonitrogonous parenteral diet for 9 days. All variables of nutritional status such as serum albumin (ALB), prealbumin (PA), transferrin (TRF) and T-cell subsets were measured one day before operation, and one day and 10 days after operation. All the nutritional variables and the levels of CD3(+), CD4(+), CD4(+)/CD8(+) were decreased significantly after operation. Ten days after operation, T-cell subsets and nutritional variables in the two study groups were increased as compare with the control group. The levels of ALB, TRF and T-cell subsets in the study group B were increased significantly as compared with the study group A (P<0.05). Enteral nutrition assisted with Sijunzi Decoction can positively improve and optimize cellular immune function and nutritional status in the patients with gastric cancer after operation.

  4. Planning and Estimation of Operations Support Requirements

    NASA Technical Reports Server (NTRS)

    Newhouse, Marilyn E.; Barley, Bryan; Bacskay, Allen; Clardy, Dennon

    2010-01-01

    Life Cycle Cost (LCC) estimates during the proposal and early design phases, as well as project replans during the development phase, are heavily focused on hardware development schedules and costs. Operations (phase E) costs are typically small compared to the spacecraft development and test costs. This, combined with the long lead time for realizing operations costs, can lead to de-emphasizing estimation of operations support requirements during proposal, early design, and replan cost exercises. The Discovery and New Frontiers (D&NF) programs comprise small, cost-capped missions supporting scientific exploration of the solar system. Any LCC growth can directly impact the programs' ability to fund new missions, and even moderate yearly underestimates of the operations costs can present significant LCC impacts for deep space missions with long operational durations. The National Aeronautics and Space Administration (NASA) D&NF Program Office at Marshall Space Flight Center (MSFC) recently studied cost overruns and schedule delays for 5 missions. The goal was to identify the underlying causes for the overruns and delays, and to develop practical mitigations to assist the D&NF projects in identifying potential risks and controlling the associated impacts to proposed mission costs and schedules. The study found that 4 out of the 5 missions studied had significant overruns at or after launch due to underestimation of the complexity and supporting requirements for operations activities; the fifth mission had not launched at the time of the mission. The drivers behind these overruns include overly optimistic assumptions regarding the savings resulting from the use of heritage technology, late development of operations requirements, inadequate planning for sustaining engineering and the special requirements of long duration missions (e.g., knowledge retention and hardware/software refresh), and delayed completion of ground system development work. This paper updates the D&NF LCC study, looking at the operations (phase E) cost drivers in more detail and extending the study to include 2 additional missions and identifies areas for increased emphasis by project management in order to improve the fidelity of operations estimates.

  5. Crew factors in flight operations VI : psychophysiological responses to helicopter operations

    DOT National Transportation Integrated Search

    1994-07-01

    This report is the sixth in a series on the physiological and psychological effects of flight operations on flight crews, and on the operational significance of these effects. Thirty-two helicopter pilots were studied before, during, and after 4- to ...

  6. Applying analysis tools in planning for operations : case study #1 -- operations strategy impact reference and deployment guidance

    DOT National Transportation Integrated Search

    2009-09-01

    More and more, transportation system operators are seeing the benefits of strengthening links between planning and operations. A critical element in improving transportation decision-making and the effectiveness of transportation systems related to o...

  7. Space Operations Training Concepts Benchmark Study (Training in a Continuous Operations Environment)

    NASA Technical Reports Server (NTRS)

    Johnston, Alan E.; Gilchrist, Michael; Underwood, Debrah (Technical Monitor)

    2002-01-01

    The NASA/USAF Benchmark Space Operations Training Concepts Study will perform a comparative analysis of the space operations training programs utilized by the United States Air Force Space Command with those utilized by the National Aeronautics and Space Administration. The concentration of the study will be focused on Ground Controller/Flight Controller Training for the International Space Station Payload Program. The duration of the study is expected to be five months with report completion by 30 June 2002. The U.S. Air Force Space Command was chosen as the most likely candidate for this benchmark study because their experience in payload operations controller training and user interfaces compares favorably with the Payload Operations Integration Center's training and user interfaces. These similarities can be seen in the dynamics of missions/payloads, controller on-console requirements, and currency/proficiency challenges to name a few. It is expected that the report will look at the respective programs and investigate goals of each training program, unique training challenges posed by space operations ground controller environments, processes of setting up controller training programs, phases of controller training, methods of controller training, techniques to evaluate adequacy of controller knowledge and the training received, and approaches to training administration. The report will provide recommendations to the respective agencies based on the findings. Attached is a preliminary outline of the study. Following selection of participants and an approval to proceed, initial contact will be made with U.S. Air Force Space Command Directorate of Training to discuss steps to accomplish the study.

  8. Validation of exposure assessment and assessment of recruitment methods for a prospective cohort study of mobile phone users (COSMOS) in Finland: a pilot study

    PubMed Central

    2011-01-01

    Background The aim of the study was to evaluate the agreement between self-reported and operator-derived estimates of call time based on a three-month monitoring period, as well as the consistency of mobile phone use over time. Alternative approaches to improve participation in a cohort study of mobile phone users were also compared. Methods A total of 5,400 subjects were identified from network operators' subscriber databases for recruitment to the pilot study. Operator and questionnaire data were used to quantify mobile phone use. Operator data were available for a subset of the subjects for a three-month period in three consecutive years. We also evaluated the effect of the length of the questionnaire and one- or two-phase recruitment on participation. Results The average response rate for both questionnaires and recruitment procedures was 12%. The response rate was not affected by the length of the questionnaire or the recruitment method. Operator data were available for 83% of the participants for 2007, the first study year. The agreement between self-reported and operator-derived call times decreased with the level of use among intermediate and heavy mobile phone users. During 2007-2009, mobile phone use increased fairly constantly over time. Conclusions The agreement between self-reported mobile phone use and operator databases was moderate and overestimation of the call time by participants was common. A prospective cohort study would be feasible in Finland, although the potentially low participation rate would increase the resources required for recruitment. PMID:21385407

  9. Does the pre-operative serum phosphate level predict early hypocalcaemia following parathyroidectomy for primary hyperparathyroidism?

    PubMed

    Ellul, David; Townsley, Richard Brendan; Clark, Louise Jane

    2013-06-01

    Hypocalcaemia is a significant post-operative complication following parathyroidectomy. Early identification of risk factors can help pre-empt hypocalcaemia and avoid serious sequelae. It can also help identify those patients that are not suitable for day-case surgery. The aim of this study was to analyse the predictive value of the pre-operative serum phosphate level as an indicator for developing hypocalcaemia post-operatively in patients undergoing parathyroidectomy for primary hyperparathyroidism. We performed a retrospective review of all patients who underwent parathyroidectomy between 2008 and 2010 at the Southern General Hospital in Glasgow. Data collected included the number of parathyroid glands excised and their histology, pre-operative adjusted calcium (aCa) and phosphate levels, post-operative aCa at 6 and 24 h following surgery, and the fall in aCa levels in the first 6 h and 24 h following surgery. Minitab Statistical Analysis (Version 15) was used for data analysis. Fifty-six patients underwent parathyroidectomy in the study period. Twelve patients were excluded for various reasons including incomplete records and secondary hyperparathyroidism. Patients given calcium or Vitamin D supplements immediately post-operatively were also excluded. Statistical analysis showed no significant correlation between the pre-operative phosphate level and the post-operative decline in aCa level 6 h or 24 h following surgery. Patients with a lower phosphate level pre-operatively were not at risk of a more drastic fall in calcium levels following parathyroidectomy. The pre-operative phosphate level was not found to be predictive of post-operative hypocalcaemia in our study. Copyright © 2012 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

  10. Communicating for Climate Change Adaptation: Lessons from a Case Study with Nature-Based Tour Operators

    NASA Astrophysics Data System (ADS)

    Timm, K.; Sparrow, E. B.; Pettit, E. C.; Trainor, S. F.; Taylor, K.

    2014-12-01

    Increasing temperatures are projected to have a positive effect on the length of Alaska's tourism season, but the natural attractions that tourism relies on, such as glaciers, wildlife, fish, or other natural resources, may change. In order to continue to derive benefits from these resources, nature-based tour operators may have to adapt to these changes, and communication is an essential, but poorly understood, component of the climate change adaptation process. The goal of this study was to determine how to provide useful climate change information to nature-based tour operators by answering the following questions: 1. What environmental changes do nature-based tour operators perceive? 2. How are nature-based tour operators responding to climate and environmental change? 3. What climate change information do nature-based tour operators need? To answer these questions, twenty-four nature-based tour operators representing 20 different small and medium sized businesses in Juneau, Alaska were interviewed. The results show that many of Juneau's nature-based tour operators are observing, responding to, and in some cases, actively planning for further changes in the environment. The types of responses tended to vary depending on the participants' certainty in climate change and the perceived risks to their organization. Using these two factors, this study proposes a framework to classify climate change responses for the purpose of generating meaningful information and communication processes that promote adaptation and build adaptive capacity. During the course of the study, several other valuable lessons were learned about communicating about adaptation. The results of this study demonstrate that science communication research has an important place in the practice of promoting and fostering climate change adaptation. While the focus of this study was tour operators, the lessons learned may be valuable to other organizations striving to engage unique groups in climate change adaptation planning efforts and to social scientists trying to understanding of the role of communication in climate change adaptation.

  11. Prevalence of Colour Vision Anomalies Amongst Dental Professionals and its Effect on Shade Matching of Teeth.

    PubMed

    Khosla, Amrit; Maini, Anuj Paul; Wangoo, Anuj; Singh, Sukhman; Mehar, Damanpreet Kaur

    2017-01-01

    The success of a restoration is dependent on accurate shade matching of teeth leading to studies evaluating the factors affecting the perception of shades. Colour vision anomalies including colour blindness have been found to exist in the population and it has been thought to be a potential factor affecting the colour perception ability. The present study was done to evaluate the prevalence of colour vision anomalies and its effect on matching of shades of teeth. A total of 147 dental professionals were randomly selected for the study and were first tested for visual acuity using the Snellen's Eye Chart so as to carry on the study with only those operators who had a vision of 6/6. Then, the Ishihara's colour charts were used to test the operators for colour vision handicap. In the last stage of the study, test for accuracy of shade selection was done using the Vitapan Classical shade guide. The shade guide tabs were covered to avoid bias. Percentage was used to calculate the prevalence of colour vision handicap and its effect on matching of shades of teeth as compared to normal vision, which was evaluated using Chi square test. Nineteen operators had colour vision anomalies out of hundred operators and only two operators presented with colour blindness. Colour vision anomaly was more prevalent than colour blindness and it was also found that it was more prevalent in males than females. The difference between the accuracy of shade matching between the operators with normal vision and colour vision defect and operators with normal vision and colour blindness was statistically not significant. Colour blindness and colour vision handicap are rare conditions, with the latter being more common in the population. According to our study, it was concluded that no statistically significant difference existed amongst the operators with normal vision and colour vision anomaly or operators with normal vision and colour blindness during the matching of shades of teeth.

  12. Effects of intra-operative fluoroscopic 3D-imaging on peri-operative imaging strategy in calcaneal fracture surgery.

    PubMed

    Beerekamp, M S H; Backes, M; Schep, N W L; Ubbink, D T; Luitse, J S; Schepers, T; Goslings, J C

    2017-12-01

    Previous studies demonstrated that intra-operative fluoroscopic 3D-imaging (3D-imaging) in calcaneal fracture surgery is promising to prevent revision surgery and save costs. However, these studies limited their focus to corrections performed after 3D-imaging, thereby neglecting corrections after intra-operative fluoroscopic 2D-imaging (2D-imaging). The aim of this study was to assess the effects of additional 3D-imaging on intra-operative corrections, peri-operative imaging used, and patient-relevant outcomes compared to 2D-imaging alone. In this before-after study, data of adult patients who underwent open reduction and internal fixation (ORIF) of a calcaneal fracture between 2000 and 2014 in our level-I Trauma center were collected. 3D-imaging (BV Pulsera with 3D-RX, Philips Healthcare, Best, The Netherlands) was available as of 2007 at the surgeons' discretion. Patient and fracture characteristics, peri-operative imaging, intra-operative corrections and patient-relevant outcomes were collected from the hospital databases. Patients in whom additional 3D-imaging was applied were compared to those undergoing 2D-imaging alone. A total of 231 patients were included of whom 107 (46%) were operated with the use of 3D-imaging. No significant differences were found in baseline characteristics. The median duration of surgery was significantly longer when using 3D-imaging (2:08 vs. 1:54 h; p = 0.002). Corrections after additional 3D-imaging were performed in 53% of the patients. However, significantly fewer corrections were made after 2D-imaging when 3D-imaging was available (Risk difference (RD) -15%; 95% Confidence interval (CI) -29 to -2). Peri-operative imaging, besides intra-operative 3D-imaging, and patient-relevant outcomes were similar between groups. Intra-operative 3D-imaging provides additional information resulting in additional corrections. Moreover, 3D-imaging probably changed the surgeons' attitude to rely more on 3D-imaging, hence a 15%-decrease of corrections performed after 2D-imaging when 3D imaging was available. No substantiation for cost reduction was found through reduction in peri-operative imaging or in terms of improved patient-relevant outcomes.

  13. Network Centric Warfare Case Study. U.S. V Corps and 3rd Infantry Division (Mechanized) During Operation Iraq Freedom Combat Operations (Mar-Apr 2003). Volume 1: Operations

    DTIC Science & Technology

    2003-11-01

    Command Historian , and the personnel from the Center for Army Lessons Learned (CALL) for their assistance in gaining access to the many documents that...after the Network Centric Warfare Case Study operations. The Center for Army Lessons Learned (CALL), the V Corps Command Historian , and other... Historian , Dr. Charles Kirkpatrick, in Heidelberg, Germany, assisted in this effort. Nu- merous documents were collected, both unclassified and classified

  14. Application of Decision Tree to Obtain Optimal Operation Rules for Reservoir Flood Control Considering Sediment Desilting-Case Study of Tseng Wen Reservoir

    NASA Astrophysics Data System (ADS)

    ShiouWei, L.

    2014-12-01

    Reservoirs are the most important water resources facilities in Taiwan.However,due to the steep slope and fragile geological conditions in the mountain area,storm events usually cause serious debris flow and flood,and the flood then will flush large amount of sediment into reservoirs.The sedimentation caused by flood has great impact on the reservoirs life.Hence,how to operate a reservoir during flood events to increase the efficiency of sediment desilting without risk the reservoir safety and impact the water supply afterward is a crucial issue in Taiwan. 　Therefore,this study developed a novel optimization planning model for reservoir flood operation considering flood control and sediment desilting,and proposed easy to use operating rules represented by decision trees.The decision trees rules have considered flood mitigation,water supply and sediment desilting.The optimal planning model computes the optimal reservoir release for each flood event that minimum water supply impact and maximum sediment desilting without risk the reservoir safety.Beside the optimal flood operation planning model,this study also proposed decision tree based flood operating rules that were trained by the multiple optimal reservoir releases to synthesis flood scenarios.The synthesis flood scenarios consists of various synthesis storm events,reservoir's initial storage and target storages at the end of flood operating. 　Comparing the results operated by the decision tree operation rules(DTOR) with that by historical operation for Krosa Typhoon in 2007,the DTOR removed sediment 15.4% more than that of historical operation with reservoir storage only8.38×106m3 less than that of historical operation.For Jangmi Typhoon in 2008,the DTOR removed sediment 24.4% more than that of historical operation with reservoir storage only 7.58×106m3 less than that of historical operation.The results show that the proposed DTOR model can increase the sediment desilting efficiency and extend the reservoir life.

  15. Does the Timing of Pre-Operative Medical Evaluation Influence Perioperative Total Hip Arthroplasty Outcomes?

    PubMed

    Lan, Roy H; Kamath, Atul F

    2017-01-01

    Medical evaluation pre-operatively is an important component of risk stratification and potential risk optimization. However, the effect of timing prior to surgical intervention is not well-understood. We hypothesized that total hip arthroplasty (THA) patients seen in pre-operative evaluation closer to the date of surgery would experience better perioperative outcomes. We retrospectively reviewed 167 elective THA patients to study the relationship between the number of days between pre-operative evaluation (range, 0-80 days) and surgical intervention. Patients' demographics, length of stay (LOS), ICU admission frequency, and rate of major complications were recorded. When pre-operative evaluation carried out 4 days or less before the procedure date, there was a significant reduction in LOS (3.91 vs. 4.49; p=0.03). When pre-operative evaluation carried out 11 days or less prior to the procedure date, there was a four-fold decrease in rate of intensive care admission (p=0.04). Furthermore, the major complication rate also significantly reduced (p<0.05). However, when pre-operative evaluation took place 30 days or less before the procedure date compared to more than 30 days prior, there were no significant changes in the outcomes. From this study, pre-operative medical evaluation closer to the procedure date was correlated with improved selected peri-operative outcomes. However, further study on larger patient groups must be done to confirm this finding. More study is needed to define the effect on rare events like infection, and to analyze the subsets of THA patients with modifiable risk factors that may be time-dependent and need further time to optimization.

  16. Supervising and Controlling Unmanned Systems: A Multi-Phase Study with Subject Matter Experts

    PubMed Central

    Porat, Talya; Oron-Gilad, Tal; Rottem-Hovev, Michal; Silbiger, Jacob

    2016-01-01

    Proliferation in the use of Unmanned Aerial Systems (UASs) in civil and military operations has presented a multitude of human factors challenges; from how to bridge the gap between demand and availability of trained operators, to how to organize and present data in meaningful ways. Utilizing the Design Research Methodology (DRM), a series of closely related studies with subject matter experts (SMEs) demonstrate how the focus of research gradually shifted from “how many systems can a single operator control” to “how to distribute missions among operators and systems in an efficient way”. The first set of studies aimed to explore the modal number, i.e., how many systems can a single operator supervise and control. It was found that an experienced operator can supervise up to 15 UASs efficiently using moderate levels of automation, and control (mission and payload management) up to three systems. Once this limit was reached, a single operator's performance was compared to a team controlling the same number of systems. In general, teams led to better performances. Hence, shifting design efforts toward developing tools that support teamwork environments of multiple operators with multiple UASs (MOMU). In MOMU settings, when the tasks are similar or when areas of interest overlap, one operator seems to have an advantage over a team who needs to collaborate and coordinate. However, in all other cases, a team was advantageous over a single operator. Other findings and implications, as well as future directions for research are discussed. PMID:27252662

  17. A feasibility study for conducting unattended night-time operations at WMKO

    NASA Astrophysics Data System (ADS)

    Stomski, Paul J.; Gajadhar, Sarah; Dahm, Scott; Jordan, Carolyn; Nordin, Tom

    2016-08-01

    In 2015, W. M. Keck Observatory conducted a study of the feasibility of conducting nighttime operations on Maunakea without any staff on the mountain. The study was motivated by the possibility of long term operational costs savings as well as other expected benefits. The goals of the study were to understand the technical feasibility and risk as well as to provide labor and cost estimates for implementation. The results of the study would be used to inform a decision about whether or not to fund and initiate a formal project aimed at the development of this new unattended nighttime operating capability. In this paper we will describe the study process as well as a brief summary of the results including the identified viable design alternative, the risk analysis, and the scope of work. We will also share the decisions made as a result of the study and current status of related follow-on activity.

  18. The short-term effects of merger on hospital operations.

    PubMed Central

    Alexander, J A; Halpern, M T; Lee, S Y

    1996-01-01

    OBJECTIVE: The short-term effects of merger on three areas of hospital operations - scale of activity, personnel/staffing practices, and operating efficiency - is examined. DATA SOURCES: Secondary data obtained from the AHA Annual Surveys (1980-1990) were applied to analyze 92 hospital mergers over the period 1982-1989. STUDY DESIGN: The study employed a multiple time-series design involving a six-year longitudinal assessment of change in hospital operating characteristics before and after merger, and a parallel analysis of change in a randomly selected group of nonmerging hospitals. DATA COLLECTION: Pooled, cross-sectional data files were constructed. Comparisons were evaluated using paired and two-sample t-tests. PRINCIPAL FINDINGS: General merger effects occurred primarily in areas related to operating efficiency. Merger resulted in slowing rates of preexisting trends, rather than dramatic improvements in operating practices. CONCLUSIONS: The short-term impact of merger was generally modest but differed by the conditions under which the merger occurred. Specifically, mergers occurring later in the study period and mergers between similarly sized hospitals displayed greater change in operating characteristics than those occurring earlier in the study period and those between hospitals of dissimilar size. Such differences are attributed respectively to increased competitive pressures after PPS and to greater opportunities for consolidation and efficiencies in mergers involving similarly sized hospitals. PMID:8591932

  19. A Satellite Mortality Study to Support Space Systems Lifetime Prediction

    NASA Technical Reports Server (NTRS)

    Fox, George; Salazar, Ronald; Habib-Agahi, Hamid; Dubos, Gregory

    2013-01-01

    Estimating the operational lifetime of satellites and spacecraft is a complex process. Operational lifetime can differ from mission design lifetime for a variety of reasons. Unexpected mortality can occur due to human errors in design and fabrication, to human errors in launch and operations, to random anomalies of hardware and software or even satellite function degradation or technology change, leading to unrealized economic or mission return. This study focuses on data collection of public information using, for the first time, a large, publically available dataset, and preliminary analysis of satellite lifetimes, both operational lifetime and design lifetime. The objective of this study is the illustration of the relationship of design life to actual lifetime for some representative classes of satellites and spacecraft. First, a Weibull and Exponential lifetime analysis comparison is performed on the ratio of mission operating lifetime to design life, accounting for terminated and ongoing missions. Next a Kaplan-Meier survivor function, standard practice for clinical trials analysis, is estimated from operating lifetime. Bootstrap resampling is used to provide uncertainty estimates of selected survival probabilities. This study highlights the need for more detailed databases and engineering reliability models of satellite lifetime that include satellite systems and subsystems, operations procedures and environmental characteristics to support the design of complex, multi-generation, long-lived space systems in Earth orbit.

  20. Effect on patient anxiety of lidocaine infiltration into nasal packing after septoplasty: prospective, controlled study.

    PubMed

    Sahin, C; Aras, H I

    2015-08-01

    This prospective, controlled study investigated the effect on patient anxiety of lidocaine infiltration into nasal packing following septoplasty. The study included 50 patients who underwent septoplasty operation. Patient anxiety levels were measured 24 hours pre-operatively; 48 hours post-operatively, before saline or lidocaine infiltration; and 15 minutes after lidocaine or saline infiltration into the packing. The patients were asked to mark their level of pain during pack removal on a visual analogue scale. Hamilton Anxiety Scale scores for lidocaine infiltration patients were: 15.1 ± 7.4 pre-operatively; 16 ±7.6 post-operatively, before infiltration; and 13.7 ± 6.6 at 15 minutes after infiltration. The scores for saline infiltration patients were: 16.3 ± 6.8 pre-operatively, 16.4 ± 5.5 before infiltration and 16.1 ± 6.1 after infiltration. The visual analogue scale pain score was 5.3 ± 2.0 in the lidocaine study group and 7.5 ± 1.8 in the control saline group. Infiltration of lidocaine into nasal packing significantly reduced patient pain. Patients developed mild to moderate anxiety before nasal packing removal. Use of techniques without nasal packing can be recommended after septoplasty to ease patient post-operative discomfort.

  1. Applying analysis tools in planning for operations : case study #3 -- using archived data as a tool for operations planning

    DOT National Transportation Integrated Search

    2009-09-01

    More and more, transportation system operators are seeing the benefits of strengthening links between planning and operations. A critical element in improving transportation decision-making and the effectiveness of transportation systems related to o...

  2. Operant Variability: Procedures and Processes

    ERIC Educational Resources Information Center

    Machado, Armando; Tonneau, Francois

    2012-01-01

    Barba's (2012) article deftly weaves three main themes in one argument about operant variability. From general theoretical considerations on operant behavior (Catania, 1973), Barba derives methodological guidelines about response differentiation and applies them to the study of operant variability. In the process, he uncovers unnoticed features of…

  3. Operator Selection for Unmanned Aerial Vehicle Operators: A Comparison of Video Game Players and Manned Aircraft Pilots

    DTIC Science & Technology

    2009-11-01

    AFRL-RH-WP-TR-2010-0057 Operator Selection for Unmanned Aerial Vehicle Operators: A Comparison of Video Game Players and Manned Aircraft...Oct-2008 - 30-Nov-2009 4. TITLE AND SUBTITLE Operator Selection for Unmanned Aerial Vehicle Operators: A Comparison of Video Game Players...training regimens leading to a potential shortage of qualified UAS pilots. This study attempted to discover whether video game players (VGPs) possess

  4. Airborne Use of Traffic Intent Information in a Distributed Air-Ground Traffic Management Concept: Experiment Design and Preliminary Results

    NASA Technical Reports Server (NTRS)

    Wing, David J.; Adams, Richard J.; Barmore, Bryan E.; Moses, Donald

    2001-01-01

    This paper presents initial findings of a research study designed to provide insight into the issue of intent information exchange in constrained en-route air-traffic operations and its effect on pilot decision making and flight performance. The piloted simulation was conducted in the Air Traffic Operations Laboratory at the NASA Langley Research Center. Two operational modes for autonomous operations were compared under conditions of low and high operational complexity. The tactical mode was characterized primarily by the use of state information for conflict detection and resolution and an open-loop means for the pilot to meet operational constraints. The strategic mode involved the combined use of state and intent information, provided the pilot an additional level of alerting, and allowed a closed-loop approach to meeting operational constraints. Operational constraints included separation assurance, schedule adherence, airspace hazard avoidance, flight efficiency, and passenger comfort. Potential operational benefits of both modes are illustrated through several scenario case studies. Subjective pilot ratings and comments comparing the tactical and strategic modes are presented.

  5. Payload analysis for space shuttle applications (study 2.2). Volume 3: Payload system operations analysis (task 2.2.1). [payload system operations analysis for shuttles and space tugs

    NASA Technical Reports Server (NTRS)

    1972-01-01

    The technical and cost analysis that was performed for the payload system operations analysis is presented. The technical analysis consists of the operations for the payload/shuttle and payload/tug, and the spacecraft analysis which includes sortie, automated, and large observatory type payloads. The cost analysis includes the costing tradeoffs of the various payload design concepts and traffic models. The overall objectives of this effort were to identify payload design and operational concepts for the shuttle which will result in low cost design, and to examine the low cost design concepts to identify applicable design guidelines. The operations analysis examined several past and current NASA and DoD satellite programs to establish a shuttle operations model. From this model the analysis examined the payload/shuttle flow and determined facility concepts necessary for effective payload/shuttle ground operations. The study of the payload/tug operations was an examination of the various flight timelines for missions requiring the tug.

  6. Value of intra-operative neuromonitoring of the recurrent laryngeal nerve in total thyroidectomy for benign goitre.

    PubMed

    Page, C; Cuvelier, P; Biet, A; Strunski, V

    2015-06-01

    This study aimed to evaluate the impact of intra-operative neuromonitoring of the recurrent laryngeal nerve during total thyroidectomy for benign goitre. A single-centre retrospective study using historical controls was conducted for a 10-year period, comprising a series of 767 patients treated by total thyroidectomy for benign goitre. Of these, 306 had intra-operative neuromonitoring of the recurrent laryngeal nerve and 461 did not. Post-operative laryngeal mobility was assessed in all patients by direct laryngoscopy before hospital discharge and at post-operative follow-up visits. In all, 6 out of 461 patients (1.30 per cent) in the control group and 6 out of 306 patients (1.96 per cent) in the intra-operative neuromonitoring group developed permanent recurrent laryngeal nerve palsy. No statistically significant difference was observed between the two patient groups. Intra-operative neuromonitoring does not appear to affect the post-operative recurrent laryngeal nerve palsy rate or to reliably predict post-operative recurrent laryngeal nerve palsy. However, it can accurately predict good nerve function after thyroidectomy.

  7. Airborne Use of Traffic Intent Information in a Distributed Air-Ground Traffic Management Concept: Experiment Design and Preliminary Results

    NASA Technical Reports Server (NTRS)

    Wing, David J.; Adams, Richard J.; Barmore, Bryan E.; Moses, Donald

    2002-01-01

    This paper presents initial findings of a research study designed to provide insight into the issue of intent information exchange in constrained en-route air-traffic operations and its effect on pilot decision making and flight performance. The piloted simulation was conducted in the Air Traffic Operations Laboratory at the NASA Langley Research Center. Two operational modes for autonomous operations were compared under conditions of low and high operational complexity. The tactical mode was characterized primarily by the use of state information for conflict detection and resolution and an open-loop means for the pilot to meet operational constraints. The strategic mode involved the combined use of state and intent information, provided the pilot an additional level of alerting, and allowed a closed-loop approach to meeting operational constraints. Operational constraints included separation assurance, schedule adherence, airspace hazard avoidance, flight efficiency, and passenger comfort. Potential operational benefits of both modes are illustrated through several scenario case studies. Subjective pilot ratings and comments comparing the tactical and strategic modes are presented.

  8. Impact of the 80-hour work week on resident emergency operative experience.

    PubMed

    Feanny, Mark A; Scott, Bradford G; Mattox, Kenneth L; Hirshberg, Asher

    2005-12-01

    The goal of this study was to analyze the impact of the 80-hour work week on the emergency operative experience of surgical residents. A 2-year retrospective comparison of the operative experience in emergency abdominal procedures of postgraduate year 4 and 5 residents in a city hospital before (group 1) and after (group 2) duty hour restriction. There was no difference between groups in the mean number of procedures performed as the primary surgeon, but group 2 showed a 40% decrease in technically advanced procedures with a 44% increase in basic procedures. The study also demonstrated a 54% decrease in the operative volume as first assistant. Operative continuity of care by residents decreased from 60% to 26% of cases. The ACGME regulatory environment is adversely affecting the emergency operative experience of surgical residents. Our findings underscore the need to develop alternative methods to augment the residents' operative experience.

  9. A longitudinal study of the incidence of pressure sores and the associated risks and strategies adopted in Italian operating theatres.

    PubMed

    Bulfone, Giampiera; Marzoli, Ilaria; Quattrin, Rosanna; Fabbro, Carmen; Palese, Alvisa

    2012-02-01

    To explore the incidence of intraoperative pressure sores, the associated risk factors and the preventive strategies adopted by nurses, we adopted a longitudinal study in a 900-bed teaching hospital with multiple operating theatres, located in the North of Italy. Patients who underwent major surgery were evaluated four times: at the moment of operating theatre admission, at operating theatre discharge, and on their third and sixth postoperative day. Of the patients included (n = 102) who had an average age of 62.3 years (range 20-87), 12.7% (13/102) developed a pressure ulcer in the operating theatre; 46.1% (6/13) of these ulcers were still present on the third postoperative day. Some health conditions (diabetes mellitus, cardiac diseases) and intra-operative factors (lying on the operating table for more than 6.15 hours, intraoperative hypothermia) are associated with the occurrence of pressure sores.

  10. Preventive Effect on Post-Operative Pneumonia of Oral Health Care among Patients Who Undergo Esophageal Resection: A Multi-Center Retrospective Study.

    PubMed

    Soutome, Sakiko; Yanamoto, Souichi; Funahara, Madoka; Hasegawa, Takumi; Komori, Takahide; Oho, Takahiko; Umeda, Masahiro

    2016-08-01

    Post-operative pneumonia is a frequent and possibly fatal complication of esophagectomy and is likely caused by aspiration of oropharyngeal fluid that contains pathogenic micro-organisms. We conducted a multi-center retrospective study to investigate the preventive effect of oral health care on post-operative pneumonia among patients with esophageal cancer who underwent esophagectomy. A total of 280 patients underwent esophagectomy at three university hospitals. These patients were divided retrospectively into those who received pre-operative oral care from dentists and dental hygienists (oral care group; n = 173) and those who did not receive such care (control group; n = 107). We evaluated the correlations between the occurrence of post-operative pneumonia and 18 predictive variables (patient factors, tumor factors, treatment factors, and pre-operative oral care) using the χ(2) test and logistic regression analysis. The differences of mean hospital days and mortality rate in both groups were analyzed by the Student t-test. Age, post-operative dysphagia, and absence of pre-operative oral care were correlated significantly with post-operative pneumonia in the univariable analysis. Multivariable analysis revealed that diabetes mellitus, post-operative dysphagia, and the absence of pre-operative oral care were independent risk factors for post-operative pneumonia. The mean hospital stay and mortality rate did not differ between the oral care and control groups. Pre-operative oral care may be an effective and easy method to prevent post-operative pneumonia in patients who are undergoing esophagectomy.

  11. Prior inpatient admission increases the risk of post-operative infection in hepatobiliary and pancreatic surgery

    PubMed Central

    Dong, Zachary M; Chidi, Alexis P; Goswami, Julie; Han, Katrina; Simmons, Richard L; Rosengart, Matthew R; Tsung, Allan

    2015-01-01

    Background Hepatobiliary and pancreatic (HPB) operations have a high incidence of post-operative nosocomial infections. The aim of the present study was to determine whether hospitalization up to 1 year before HPB surgery is associated with an increased risk of post-operative infection, surgical-site infection (SSI) and infection resistant to surgical chemoprophylaxis. Methods A retrospective cohort study of patients undergoing HPB surgeries between January 2008 and June 2013 was conducted. A multivariable logistic regression model was used for controlling for potential confounders to determine the association between pre-operative admission and post-operative infection. Results Of the 1384 patients who met eligibility criteria, 127 (9.18%) experienced a post-operative infection. Pre-operative hospitalization was independently associated with an increased risk of a post-operative infection [adjusted odds ratio (aOR): 1.61, 95% confidence interval [CI]: 1.06–2.46] and SSI (aOR: 1.79, 95% CI: 1.07–2.97). Pre-operative hospitalization was also associated with an increased risk of post-operative infections resistant to standard pre-operative antibiotics (OR: 2.64, 95% CI: 1.06–6.59) and an increased risk of resistant SSIs (OR: 3.99, 95% CI: 1.25–12.73). Discussion Pre-operative hospitalization is associated with an increased incidence of post-operative infections, often with organisms that are resistant to surgical chemoprophylaxis. Patients hospitalized up to 1 year before HPB surgery may benefit from extended spectrum chemoprophylaxis. PMID:26333471

  12. Runway Incursion Prevention for General Aviation Operations

    NASA Technical Reports Server (NTRS)

    Jones, Denise R.; Prinzel, Lawrence J., III

    2006-01-01

    A Runway Incursion Prevention System (RIPS) and additional incursion detection algorithm were adapted for general aviation operations and evaluated in a simulation study at the National Aeronautics and Space Administration (NASA) Langley Research Center (LaRC) in the fall of 2005. RIPS has been designed to enhance surface situation awareness and provide cockpit alerts of potential runway conflicts in order to prevent runway incidents while also improving operational capability. The purpose of the study was to evaluate the airborne incursion detection algorithms and associated alerting and airport surface display concepts for general aviation operations. This paper gives an overview of the system, simulation study, and test results.

  13. Runway Incursion Prevention System for General Aviation Operations

    NASA Technical Reports Server (NTRS)

    Jones, Denise R.; Prinzel III, Lawrence J.

    2006-01-01

    A Runway Incursion Prevention System (RIPS) and additional incursion detection algorithm were adapted for general aviation operations and evaluated in a simulation study at the National Aeronautics and Space Administration (NASA) Langley Research Center (LaRC) in the fall of 2005. RIPS has been designed to enhance surface situation awareness and provide cockpit alerts of potential runway conflicts in order to prevent runway incidents while also improving operational capability. The purpose of the study was to evaluate the airborne incursion detection algorithms and associated alerting and airport surface display concepts for general aviation operations. This paper gives an overview of the system, simulation study, and test results.

  14. Instability study for LOFT for L2-1, L2-2, and L2-3 pretest steady-state operating conditions

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

    Eide, S.A.

    The results are presented of a thermal-hydrodynamic flow instability study of the LOFT reactor for the L2-1, L2-2, and L2-3 pretest steady-state operating conditions. Comparison is made between the LOFT reactor and a typical PWR, and the effects on stability of differences in operating parameters and geometry are discussed. Results indicate that the LOFT reactor will be thermal-hydrodynamically stable for nominal and worst case operating conditions. The study supports the LOFT Experimental Safety Analyses for the L2-1, L2-2, and L2-3 tests.

  15. Progressive loss of pancreatic function in chronic pancreatitis is delayed by main pancreatic duct decompression. A longitudinal prospective analysis of the modified puestow procedure.

    PubMed

    Nealon, W H; Thompson, J C

    1993-05-01

    This study evaluated the effect of operative drainage of the main pancreatic duct (MPD) on functional derangements associated with chronic pancreatitis (CP). The author previously reported delayed functional impairment in an evaluation of the impact of operative drainage in patients with CP. The author now reports on a prospective study of 143 patients with this diagnosis. Each patient underwent 1) ERCP, 2) the Bentiromide PABA, 3) 72-hour fecal fat test, 4) oral glucose tolerance test (OGTT) and 5) fat meal (LIPOMUL)--stimulated pancreatic polypeptide release (PP). All patients were stratified as mild/moderate (M/M) or severe CP on the basis of a 5-point system that was developed by the author. Patients were studied at 16-month intervals. All 143 patients underwent initial and follow-up evaluations in a mean follow-up of 47.3 months; 83 of 143 patients had M/M grade at initial evaluation. Eighty-seven patients underwent (MPD) decompression to relieve abdominal pain. In a separate prospective 17 patients with a diagnosis of CP, a grade of M/M and non-disabling abdominal pain were randomized to operative or non-operative treatment; 9 of these randomized patients were operated upon and 8 were not. No patient improved their grade during follow-up; 47 of 83 M/M patients had operative drainage and 36 did not. This grade was preserved in 41 of 47 (87%) operated patients but in only 8 of the 36 non-operated patients (22%). In the randomized trial, seven of nine operated patients retained their functional status in follow-up, whereas only two of eight patients (25%) randomized to non-operation preserved their functional grade. These data in this large study as well as among a previous randomized sample, support a policy of early operative drainage before the development of irreversible functional impairment in patients with chronic pancreatitis and associated dilation of the main pancreatic duct.

  16. Cost Analysis of Operation Theatre Services at an Apex Tertiary Care Trauma Centre of India.

    PubMed

    Siddharth, Vijaydeep; Kumar, Subodh; Vij, Aarti; Gupta, Shakti Kumar

    2015-12-01

    Operating room services are one of the major cost and revenue-generating centres of a hospital. The cost associated with the provisioning of operating department services depends on the resources consumed and the unit costs of those resources. The objective of this study was to calculate the cost of operation theatre services at Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi. The study was carried out at the operation theatre department of Jai Prakash Narayan Apex Trauma Centre (JPNATC), AIIMS from April 2010 to March 2011 after obtaining approval from concerned authorities. This study was observational and descriptive in nature. Traditional (average or gross) costing methodology was used to arrive at the cost for the provisioning of operation theatre (OT) services. Cost was calculated under two heads; as capital and operating cost. Annualised cost of capital assets was calculated according to the methodology prescribed by the World Health Organization and operating costs were taken on actual basis; thereafter, per day cost of OT services was obtained. The average number of surgeries performed in the trauma centre per day is 13. The annual cost of providing operating room services at JPNATC, New Delhi was calculated to be 197,298,704 Indian rupees (INR) (US$ 3,653,679), while the per hour cost was calculated to be INR 22,626.92 (US$ 419). Majority of the expenditures were for human resource (33.63 %) followed by OT capital cost (31.90 %), consumables (29.97 %), engineering maintenance cost (2.55 %), support services operating cost (1.22 %) and support services capital cost (0.73 %). Of the total cost towards the provisioning of OT services, 32.63 % was capital cost while 67.37 % is operating cost. The results of this costing study will help in the future planning of resource allocation within the financial constraints (US$ 1 = INR 54).

  17. Co-Operation: The Antidote to Isolated Misery

    ERIC Educational Resources Information Center

    Jones, Sarah

    2013-01-01

    This is a case study demonstrating the impact the co-operative movement has had on one co-operative school in south-west England. Lipson Co-operative Academy in Plymouth was one of the first schools to convert to become a co-operative school in 2009. The article has been co-written by members of the Academy and focuses on three transformational…

  18. Improving Influence Operations by Defining Influence and Influence Operations

    DTIC Science & Technology

    2013-12-10

    Operations PSYOP Psychological Operations PSYWAR Psychological Warfare SAMS School of Advanced Military Studies SC Strategic Communications USAID...assumed the topic to actually mean what many personnel commonly conceive of as IO or perhaps even so-called strategic communications (SC)? How...affect behaviors, protect operations, communicate commander’s intent, and project accurate information to achieve desired effects across the cognitive

  19. Broadcast Operator Handbook. Radiotelephone 3rd Class Operators' Permit. Broadcast Endorsement. First Edition.

    ERIC Educational Resources Information Center

    1976

    Intended to serve as a practical study guide for those applicants interested in obtaining the Radiotelephone Third Class Operator Permit with the endorsement to operate broadcast radio stations, this manual is also designed to be helpful as a concise reference for those operators already active in the field of broadcasting. Chapters 1 and 2 are…

  20. Induced simplified neutrosophic correlated aggregation operators for multi-criteria group decision-making

    NASA Astrophysics Data System (ADS)

    Şahin, Rıdvan; Zhang, Hong-yu

    2018-03-01

    Induced Choquet integral is a powerful tool to deal with imprecise or uncertain nature. This study proposes a combination process of the induced Choquet integral and neutrosophic information. We first give the operational properties of simplified neutrosophic numbers (SNNs). Then, we develop some new information aggregation operators, including an induced simplified neutrosophic correlated averaging (I-SNCA) operator and an induced simplified neutrosophic correlated geometric (I-SNCG) operator. These operators not only consider the importance of elements or their ordered positions, but also take into account the interactions phenomena among decision criteria or their ordered positions under multiple decision-makers. Moreover, we present a detailed analysis of I-SNCA and I-SNCG operators, including the properties of idempotency, commutativity and monotonicity, and study the relationships among the proposed operators and existing simplified neutrosophic aggregation operators. In order to handle the multi-criteria group decision-making (MCGDM) situations where the weights of criteria and decision-makers usually correlative and the criterion values are considered as SNNs, an approach is established based on I-SNCA operator. Finally, a numerical example is presented to demonstrate the proposed approach and to verify its effectiveness and practicality.

  1. Ibuprofen timing for hand surgery in ambulatory care

    PubMed Central

    Giuliani, Enrico; Bianchi, Anna; Marcuzzi, Augusto; Landi, Antonio; Barbieri, Alberto

    2015-01-01

    OBJECTIVE: To evaluate the effect of pre-operative administration of ibuprofen on post-operative pain control vs. early post-operative administration for hand surgery procedures performed under local anaesthesia in ambulatory care. METHODS: Candidates to trigger finger release by De Quervain tenosynovitis and carpal tunnel operation under local anesthesia were enrolled in the study. Group A received 400 mg ibuprofen before the operation and placebo after the procedure; group B received placebo before the operation and ibuprofen 400 mg at the end of the procedure; both groups received ibuprofen 400 mg every 6h thereafter. Visual analogue scale (VAS) was measured at fixed times before and every 6h after surgery, for a total follow-up of 18h. RESULTS: Groups were similar according to age, gender and type of surgery. Median VAS values did not produce any statistical significance, while there was a statistically significant difference on pre-operative and early post-operative VAS values between groups (A -8.53 mm vs. B 3.36 mm, p=0.0085). CONCLUSION: Average pain levels were well controlled by local anesthesia and post-operative ibuprofen analgesia. Pre-operative ibuprofen administration can contribute to improve early pain management. Level of Evidence II, Therapeutic Studies. PMID:26327799

  2. Orbital operations study. Appendix C: Data sources and vehicle descriptions

    NASA Technical Reports Server (NTRS)

    Steinwachs, W. L.

    1972-01-01

    A bibliography of published documents referred to throughout the orbital operations study is presented. A brief description of all of the space program elements included in the study vehicle inventory is developed.

  3. Retrospective studies of operating problems in air transport

    NASA Technical Reports Server (NTRS)

    Billings, C. E.; Lauber, J. K.; Cooper, G. E.; Ruffell-Smith, H. P.

    1976-01-01

    An epidemiological model for the study of human errors in aviation is presented. In this approach, retrospective data are used as the basis for formulation of hypotheses as to system factors which may have contributed to such errors. Prospective experimental studies of aviation operations are also required in order to prove or disprove the hypotheses, and to evaluate the effectiveness of intervention techniques designed to solve operational problems in the aviation system.

  4. Operationally Efficient Propulsion System Study (OEPSS) data book. Volume 4: OEPSS design concepts

    NASA Technical Reports Server (NTRS)

    Wong, George S.; Ziese, James M.; Farhangi, Shahram

    1990-01-01

    This study was initiated to identify operations problems and cost drivers for current propulsion systems and to identify technology and design approaches to increase the operational efficiency and reduce operations costs for future propulsion systems. To provide readily usable data for the Advanced Launch System (ALS) program, the results of the OEPSS study have been organized into a series of OEPSS Data Books. This volume describes three propulsion concepts that will simplify the propulsion system design and significantly reduce operational requirements. The concepts include: (1) a fully integrated, booster propulsion module concept for the ALS that avoids the complex system created by using autonomous engines with numerous artificial interfaces; (2) an LOX tank aft concept which avoids potentially dangerous geysering in long LOX propellant lines; and (3) an air augmented, rocket engine nozzle afterburning propulsion concept that will significantly reduce LOX propellant requirements, reduce vehicle size and simplify ground operations and ground support equipment and facilities.

  5. Critical analysis of submerged membrane sequencing batch reactor operating conditions.

    PubMed

    McAdam, Ewan; Judd, Simon J; Gildemeister, René; Drews, Anja; Kraume, Matthias

    2005-10-01

    To evaluate the Submerged Membrane Sequencing Batch Reactor process, several short-term studies were conducted to define critical flux, membrane aeration and intermittent filtration operation. Critical flux trials indicated that as mixed liquor suspended solids increased in concentration so would the propensity for membrane fouling. Consequently in order to characterise the impact of biomass concentration increase (that develops during permeate withdrawal) upon submerged microfiltration operation, two longer term studies were conducted, one with a falling hydraulic head and another with a continuous hydraulic head (as in membrane bio-reactors). Trans membrane pressure data was used to predict the maximum possible operating periods at 10 and 62 days for the falling hydraulic head and continuous hydraulic head respectively. Further analysis revealed that falling hydraulic head operation would require 21% more aeration to maintain a consistent crossflow velocity than continuous operation and would rely on pumping for full permeate withdrawal 80% earlier. This study concluded that further optimisation would be required to make this technology technically and economically viable.

  6. Training Program for Operation of Emergency Vehicles. Trainee Study Guide.

    ERIC Educational Resources Information Center

    INNOVATRIX, Inc., Ingomar, PA.

    A two-part trainee study guide for use in the classroom phase of the Emergency Vehicle Operation (EVO) training program is provided. Part 1, to be taken by all trainees, contains seven units organized into various subunits and includes the following: (1) introduction to the course; (2) some legal aspects of emergency vehicle operation (state…

  7. Orbital operations study. Volume 2: Interfacing activities analysis. Part 2: Structural and mechanical group

    NASA Technical Reports Server (NTRS)

    Mattson, H. L.; Gianformaggio, A.; Anderson, N. R.

    1972-01-01

    The activities of the structural and mechanical activity group of the orbital operations study project are discussed. Element interfaces, alternate approaches, design concepts, operational procedures, functional requirements, design influences, and approach selection are presented. The following areas are considered: (1) mating, (2) orbital assembly, (3) separation, EOS payload deployment, and EOS payload retraction.

  8. U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR CALIBRATION AND OPERATION OF NHEXAS BALANCES (UA-L-1.2)

    EPA Science Inventory

    The purpose of this SOP is to describe the procedures used when calibrating and operating balances during the Arizona NHEXAS project and the Border study. Keywords: lab; equipment; balances.

    The U.S.-Mexico Border Program is sponsored by the Environmental Health Workgroup of t...

  9. U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR STILL OPERATION AND MAINTENANCE (UA-L-3.1)

    EPA Science Inventory

    The purpose of this SOP is to detail the operation and maintenance of the deionized water still during the Arizona NHEXAS project and the Border study. Keywords: lab; equipment; water still.

    The U.S.-Mexico Border Program is sponsored by the Environmental Health Workgroup of t...

  10. Operation of Wastewater Treatment Plants: A Field Study Training Program. Volume I. Second Edition.

    ERIC Educational Resources Information Center

    California State Univ., Sacramento. Dept. of Civil Engineering.

    This manual was prepared by experienced wastewater collection system workers to provide a home study course to develop new qualified workers and expand the abilities of existing workers. This volume is directed primarily towards entry-level operators and the operators of ponds, package plants, or small treatment plants. Ten chapters examine the…

  11. NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION, CALIBRATION AND MAINTENANCE OF FIXED AND ADJUSTABLE VOLUME PIPETTE GUNS (BCO-L-9.0)

    EPA Science Inventory

    The purpose of this SOP is to describe the general procedures for the operation, calibration, and maintenance of fixed- and adjustable-volume pipette guns. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the "Border" study. Ke...

  12. NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION MANUAL OF THE MASS DATA MASSAGE PROGRAM (UA-D-44.0)

    EPA Science Inventory

    The purpose of this SOP is to describe the operation of the data processing program. These methods were used for every execution of the data processing program during the Arizona NHEXAS project and the "Border" study. Keywords: data; data processing.

    The National Human Exposur...

  13. NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION AND MAINTENANCE OF DATA SCANNERS (UA-D-32.1)

    EPA Science Inventory

    The purpose of this SOP is to define the steps needed to operate the data scanners that were used during the Arizona NHEXAS project and the "Border" study. Keywords: data; equipment; scanner.

    The National Human Exposure Assessment Survey (NHEXAS) is a federal interagency resear...

  14. 36th Annual Maintenance & Operations Cost Study: Schools

    ERIC Educational Resources Information Center

    Agron, Joe

    2007-01-01

    Spending by school districts on maintenance and operations increased in 2006-2007, reversing years of historic low expenditures. According to "American School & University's" 36th annual Maintenance and Operations (M&O) Cost Study, the median school district spends 9.19% of total district expenditures (TDE) on M&O, up from 7.58% the year before.…

  15. Efficacy of Effects Based Operations on Maoist COIN Operations in India

    DTIC Science & Technology

    2012-04-30

    14, SUBJECT TERMS 15. NUMBER OF PAGES. 49 Naxalite Insurgency, Effects Based Approach/Effects Based Operations, Counterinsurgency in India 16...MAOIST COIN OPERATIONS IN INDIA SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF MILJTARY STUDIES MAJOR PRAMOD GAHLOT

  16. Maintaining Interest in Operator Requal Training.

    ERIC Educational Resources Information Center

    Lapp, H. J., Jr.

    A study reviewed operator training programs at Oyster Creek Nuclear Generating Station to determine their interface with plant operations and to devise new ways of maintaining interest in requalification (requal) training. The operator training review committee that was formed to implement the review documented over 100 issues and concerns…

  17. Some Relationships between Operativity and Reading Comprehension.

    ERIC Educational Resources Information Center

    Stack, Wesner Brown

    Samples of 98 fourth graders and 111 sixth graders participated in a study of the relationships between operational thinking and reading comprehension of texts involving operational structures. Tests of operational thinking, reading comprehension, IQ, and vocabulary were administered in class groups. Results from correlational and factor analyses…

  18. Measuring Information Technology Performance: Operational Efficiency and Operational Effectiveness

    ERIC Educational Resources Information Center

    Moore, Annette G.

    2012-01-01

    This dissertation provides a practical approach for measuring operational efficiency and operational effectiveness for IT organizations introducing the ITIL process framework. The intent of the study was to assist Chief Information Officers (CIOs) in explaining the impact of introducing the Information Technology Infrastructure Library (ITIL)…

  19. Intelligent Operation and Maintenance of Micro-grid Technology and System Development

    NASA Astrophysics Data System (ADS)

    Fu, Ming; Song, Jinyan; Zhao, Jingtao; Du, Jian

    2018-01-01

    In order to achieve the micro-grid operation and management, Studying the micro-grid operation and maintenance knowledge base. Based on the advanced Petri net theory, the fault diagnosis model of micro-grid is established, and the intelligent diagnosis and analysis method of micro-grid fault is put forward. Based on the technology, the functional system and architecture of the intelligent operation and maintenance system of micro-grid are studied, and the microcomputer fault diagnosis function is introduced in detail. Finally, the system is deployed based on the micro-grid of a park, and the micro-grid fault diagnosis and analysis is carried out based on the micro-grid operation. The system operation and maintenance function interface is displayed, which verifies the correctness and reliability of the system.

  20. Implications of Operational Pressure on CSSE PGS Design

    NASA Technical Reports Server (NTRS)

    Lee, Ryan

    2008-01-01

    The Constellation Spacesuit Element (CSSE) was required to support crew survival (CS); launch, entry, and abort (LEA) scenarios; zero gravity (0-g) extravehicular activity (EVA) (both unscheduled and contingency); and planetary EVA. Operation of the CSSE in all of these capacities required a pressure garment subsystem (PGS) that would operate efficiently through various pressure profiles. The PGS team initiated a study to determine the appropriate operational pressure profile of the CSSE and how this selection would affect the design of the CSSE PGS. This study included an extensive review of historical PGS operational pressure selection and the operational effects of those pressures, the presentation of four possible pressure paradigm options for use by the CSSE, the risks and design impacts of these options, and the down-selected pressure option.

  1. The current status of emergency operations at a high-volume cancer center.

    PubMed

    Komori, Koji; Kimura, Kenya; Kinoshita, Takashi; Ito, Seiji; Abe, Tetsuya; Senda, Yoshiki; Misawa, Kazunari; Ito, Yuichi; Uemura, Norihisa; Natsume, Seiji; Kawai, Ryosuke; Kawakami, Jiro; Asano, Tomonari; Iwata, Yoshinori; Kurahashi, Shintaro; Tsutsuyama, Masayuki; Shigeyoshi, Itaru; Shimizu, Yasuhiro

    2014-01-01

    This study aimed to assess the pathogenic causes, clinical conditions, surgical procedures, in-hospital mortality, and operative death associated with emergency operations at a high-volume cancer center. Although many reports have described the contents, operative procedures, and prognosis of elective surgeries in high-volume cancer centers, emergency operations have not been studied in sufficient detail. We retrospectively enrolled 28 consecutive patients who underwent emergency surgery. Cases involving operative complications were excluded. The following surgical procedures were performed during emergency operations: closure in 3 cases (10.7%), diversion in 22 cases (78.6%), ileus treatment in 2 cases (7.1%), and hemostasis in 1 case (3.6%). Closure alone was performed only once for peritonitis. Diversion was performed in 17 cases (77.3%) of peritonitis, 4 cases (18.2%) of stenosis of the gastrointestinal tract, and 1 case (4.5%) of bleeding. There was a significant overall difference (P = 0.001). The frequency of emergency operations was very low at a high-volume cancer center. However, the recent shift in treatment approaches toward nonoperative techniques may enhance the status of emergency surgical procedures. The results presented in this study will help prepare for emergency situations and resolve them as quickly and efficiently as possible.

  2. Evaluation of potential severe accidents during low power and shutdown operations at Surry, Unit 1: Analysis of core damage frequency from internal events during mid-loop operations, Appendices E (Sections E.1--E.8). Volume 2, Part 3A

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

    Chu, T.L.; Musicki, Z.; Kohut, P.

    1994-06-01

    During 1989, the Nuclear Regulatory Commission (NRC) initiated an extensive program to carefully examine the potential risks during low power and shutdown operations. The program includes two parallel projects being performed by Brookhaven National Laboratory (BNL) and Sandia National Laboratories (SNL). Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the plants to be studied. The objectives of the program are to assess the risks of severe accidents initiated during plant operational states other than full power operation and to compare the estimated core damage frequencies, important accident sequences and other qualitative and quantitativemore » results with those accidents initiated during full power operation as assessed in NUREG-1150. The objective of this report is to document the approach utilized in the Surry plant and discuss the results obtained. A parallel report for the Grand Gulf plant is prepared by SNL. This study shows that the core-damage frequency during mid-loop operation at the Surry plant is comparable to that of power operation. The authors recognize that there is very large uncertainty in the human error probabilities in this study. This study identified that only a few procedures are available for mitigating accidents that may occur during shutdown. Procedures written specifically for shutdown accidents would be useful.« less

  3. Use of technology to support information needs for continuity of operations planning in public health: a systematic review.

    PubMed

    Reeder, Blaine; Turner, Anne; Demiris, George

    2010-01-01

    Continuity of operations planning focuses on an organization's ability to deliver essential services before, during and after an emergency. Public health leaders must make decisions based on information from many sources and their information needs are often facilitated or hindered by technology. The aim of this study is to provide a systematic review of studies of technology projects that address public health continuity of operations planning information needs and to discuss patterns, themes, and challenges to inform the design of public health continuity of operations information systems. To return a comprehensive results set in an under-explored area, we searched broadly in the Medline and EBSCOHost bibliographic databases using terms from prior work in public health emergency management and continuity of operations planning in other domains. In addition, we manually searched the citation lists of publications included for review. A total of 320 publications were reviewed. Twenty studies were identified for inclusion (twelve risk assessment decision support tools, six network and communications-enabled decision support tools, one training tool and one dedicated video-conferencing tool). Levels of implementation for information systems in the included studies range from proposed frameworks to operational systems. There is a general lack of documented efforts in the scientific literature for technology projects about public health continuity of operations planning. Available information about operational information systems suggest inclusion of public health practitioners in the design process as a factor in system success.

  4. Operationally Efficient Propulsion System Study (OEPSS): OEPSS Video Script

    NASA Technical Reports Server (NTRS)

    Wong, George S.; Waldrop, Glen S.; Trent, Donnie (Editor)

    1992-01-01

    The OEPSS video film, along with the OEPSS Databooks, provides a data base of current launch experience that will be useful for design of future expendable and reusable launch systems. The focus is on the launch processing of propulsion systems. A brief 15-minute overview of the OEPSS study results is found at the beginning of the film. The remainder of the film discusses in more detail: current ground operations at the Kennedy Space Center; typical operations issues and problems; critical operations technologies; and efficiency of booster and space propulsion systems. The impact of system architecture on the launch site and its facility infrastucture is emphasized. Finally, a particularly valuable analytical tool, developed during the OEPSS study, that will provide for the "first time" a quantitative measure of operations efficiency for a propulsion system is described.

  5. Pharmacogenetic Study in Rectal Cancer Patients Treated With Preoperative Chemoradiotherapy: Polymorphisms in Thymidylate Synthase, Epidermal Growth Factor Receptor, GSTP1, and DNA Repair Genes

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

    Paez, David, E-mail: dpaez@santpau.cat; Salazar, Juliana; Pare, Laia

    Purpose: Several studies have been performed to evaluate the usefulness of neoadjuvant treatment using oxaliplatin and fluoropyrimidines for locally advanced rectal cancer. However, preoperative biomarkers of outcome are lacking. We studied the polymorphisms in thymidylate synthase, epidermal growth factor receptor, glutathione S-transferase pi 1 (GSTP1), and several DNA repair genes to evaluate their usefulness as pharmacogenetic markers in a cohort of 128 rectal cancer patients treated with preoperative chemoradiotherapy. Methods and Materials: Blood samples were obtained from 128 patients with Stage II-III rectal cancer. DNA was extracted from the peripheral blood nucleated cells, and the genotypes were analyzed by polymerasemore » chain reaction amplification and automated sequencing techniques or using a 48.48 dynamic array on the BioMark system. The germline polymorphisms studied were thymidylate synthase, (VNTR/5 Prime UTR, 2R G>C single nucleotide polymorphism [SNP], 3R G>C SNP), epidermal growth factor receptor (Arg497Lys), GSTP1 (Ile105val), excision repair cross-complementing 1 (Asn118Asn, 8092C>A, 19716G>C), X-ray repair cross-complementing group 1 (XRCC1) (Arg194Trp, Arg280His, Arg399Gln), and xeroderma pigmentosum group D (Lys751Gln). The pathologic response, pathologic regression, progression-free survival, and overall survival were evaluated according to each genotype. Results: The Asterisk-Operator 3/ Asterisk-Operator 3 thymidylate synthase genotype was associated with a greater response rate (pathologic complete remission and microfoci residual tumor, 59% in Asterisk-Operator 3/ Asterisk-Operator 3 vs. 35% in Asterisk-Operator 2/ Asterisk-Operator 2 and Asterisk-Operator 2/ Asterisk-Operator 3; p = .013). For the thymidylate synthase genotype, the median progression-free survival was 103 months for the Asterisk-Operator 3/ Asterisk-Operator 3 patients and 84 months for the Asterisk-Operator 2/ Asterisk-Operator 2 and Asterisk-Operator 2/ Asterisk-Operator 3 patients (p = .039). For XRCC1 Arg399Gln SNP, the median progression-free survival was 101 months for the G/G, 78 months for the G/A, and 31 months for the A/A patients (p = .048). Conclusions: The thymidylate synthase genotype and XRCC1 Arg399Gln polymorphism might help to identify Stage II-III rectal cancer patients with a better outcome after preoperative concomitant chemoradiotherapy.« less

  6. Human-Robot Interaction Directed Research Project

    NASA Technical Reports Server (NTRS)

    Sandor, Aniko; Cross, Ernest V., II; Chang, Mai Lee

    2014-01-01

    Human-robot interaction (HRI) is a discipline investigating the factors affecting the interactions between humans and robots. It is important to evaluate how the design of interfaces and command modalities affect the human's ability to perform tasks accurately, efficiently, and effectively when working with a robot. By understanding the effects of interface design on human performance, workload, and situation awareness, interfaces can be developed to appropriately support the human in performing tasks with minimal errors and with appropriate interaction time and effort. Thus, the results of research on human-robot interfaces have direct implications for the design of robotic systems. This DRP concentrates on three areas associated with interfaces and command modalities in HRI which are applicable to NASA robot systems: 1) Video Overlays, 2) Camera Views, and 3) Command Modalities. The first study focused on video overlays that investigated how Augmented Reality (AR) symbology can be added to the human-robot interface to improve teleoperation performance. Three types of AR symbology were explored in this study, command guidance (CG), situation guidance (SG), and both (SCG). CG symbology gives operators explicit instructions on what commands to input, whereas SG symbology gives operators implicit cues so that operators can infer the input commands. The combination of CG and SG provided operators with explicit and implicit cues allowing the operator to choose which symbology to utilize. The objective of the study was to understand how AR symbology affects the human operator's ability to align a robot arm to a target using a flight stick and the ability to allocate attention between the symbology and external views of the world. The study evaluated the effects type of symbology (CG and SG) has on operator tasks performance and attention allocation during teleoperation of a robot arm. The second study expanded on the first study by evaluating the effects of the type of navigational guidance (CG and SG) on operator task performance and attention allocation during teleoperation of a robot arm through uplinked commands. Although this study complements the first study on navigational guidance with hand controllers, it is a separate investigation due to the distinction in intended operators (i.e., crewmembers versus ground-operators). A third study looked at superimposed and integrated overlays for teleoperation of a mobile robot using a hand controller. When AR is superimposed on the external world, it appears to be fixed onto the display and internal to the operators' workstation. Unlike superimposed overlays, integrated overlays often appear as three-dimensional objects and move as if part of the external world. Studies conducted in the aviation domain show that integrated overlays can improve situation awareness and reduce the amount of deviation from the optimal path. The purpose of the study was to investigate whether these results apply to HRI tasks, such as navigation with a mobile robot.

  7. Assessment and validation of CT scanogram to compare per-operative and post-operative mechanical axis after navigated total knee replacement

    PubMed Central

    Jain, Sunil

    2008-01-01

    Our objective was to assess and validate low-dose computed tomography (CT) scanogram as a post-operative imaging modality to measure the mechanical axis after navigated total knee replacement. A prospective study was performed to compare intra-operative and post-operative mechanical axis after navigated total knee replacements. All consecutive patients who underwent navigated total knee replacement between May and December 2006 were included. The intra-operative final axis was recorded, and post-operatively a CT scanogram of lower limbs was performed. The mechanical axis was measured and compared against the intra-operative measurement. There were 15 patients ranging in age from 57 to 80 (average 70) years. The average final intra-operative axis was 0.56° varus (4° varus to 1.5° valgus) and post-operative CT scanogram axis was 0.52° varus (3.1° varus to 1.8° valgus). The average deviation from final axes to CT scanogram axes was 0.12° valgus with a correlation coefficient of 0.9. Our study suggests that CT scanogram is an imaging modality with reasonable accuracy for measuring mechanical axis despite significantly low radiation. It also confirms a high level of correlation between intra-operative and post-operative mechanical axis after navigated total knee replacement. PMID:18696064

  8. Emission rate modeling and risk assessment at an automobile plant from painting operations

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

    Kumar, A.; Shrivastava, A.; Kulkarni, A.

    Pollution from automobile plants from painting operations has been addressed in the Clean Act Amendments (1990). The estimation of pollutant emissions from automobile painting operation were done mostly by approximate procedures than by actual calculations. The purpose of this study was to develop a methodology for calculating the emissions of the pollutants from painting operation in an automobile plant. Five scenarios involving an automobile painting operation, located in Columbus (Ohio), were studied for pollutant emission and concomitant risk associated with that. In the study of risk, a sensitivity analysis was done using Crystal Ball{reg{underscore}sign} on the parameters involved in risk.more » This software uses the Monte Carlo principle. The most sensitive factor in the risk analysis was the ground level concentration of the pollutants. All scenarios studied met the safety goal (a risk value of 1 x 10{sup {minus}6}) with different confidence levels. The highest level of confidence in meeting the safety goal was displayed by Scenario 1 (Alpha Industries). The results from the scenarios suggest that risk is associated with the quantity of released toxic pollutants. The sensitivity analysis of the various parameter shows that average spray rate of paint is the most important parameter in the estimation of pollutants from the painting operations. The entire study is a complete module that can be used by the environmental pollution control agencies for estimation of pollution levels and estimation of associated risk. The study can be further extended to other operations in an automobile industry or to different industries.« less

  9. Study of operator's information in the course of complicated and combined activity

    NASA Astrophysics Data System (ADS)

    Krylova, N. V.; Bokovikov, A. K.

    1982-08-01

    Speech characteristics of operators performing control and observation operations, Information reception, transmission and processing, and decision making when exposed to the real stress of parachute jumps were investigated. Form and content speech characteristics whose variations reflect the level of operators adaptation to stressful activities are reported.

  10. Lagrange formula for differential operators on a tree-graph and the resolvents of well-posed restrictions of operator

    NASA Astrophysics Data System (ADS)

    Koshkarbayev, Nurbol; Kanguzhin, Baltabek

    2017-09-01

    In this paper we study the question on the full description of well-posed restrictions of given maximal differential operator on a tree-graph. Lagrange formula for differential operator on a tree with Kirchhoff conditions at its internal vertices is presented.

  11. Beneficial Effects of Pre-operative Exercise Therapy in Patients with an Abdominal Aortic Aneurysm: A Systematic Review.

    PubMed

    Pouwels, S; Willigendael, E M; van Sambeek, M R H M; Nienhuijs, S W; Cuypers, P W M; Teijink, J A W

    2015-01-01

    The impact of post-operative complications in abdominal aortic aneurysm (AAA) surgery is substantial, and increases with age and concomitant co-morbidities. This systematic review focuses on the possible effects of pre-operative exercise therapy (PET) in patients with AAA on post-operative complications,aerobic capacity, physical fitness, and recovery. A systematic search on PET prior to AAA surgery was conducted. The methodological quality of the included studies was rated using the Physiotherapy Evidence Database scale. The agreement between the reviewers was assessed with Cohen's kappa. Five studies were included, with a methodological quality ranging from moderate to good. Cohen's kappa was 0.79. Three studies focused on patients with an AAA (without indication for surgical repair) with physical fitness as the outcome measure. One study focused on PET in patients awaiting AAA surgery and one study focused on the effects of PET on post-operative complications, length of stay, and recovery. PET has beneficial effects on various physical fitness variables of patients with an AAA. Whether this leads to less complications or faster recovery remains unclear. In view of the large impact of post-operative complications, it is valuable to explore the possible benefits of a PET program in AAA surgery.

  12. Effects of the relative fee structure on the use of surgical operations.

    PubMed Central

    Escarce, J J

    1993-01-01

    OBJECTIVE. The goal is to develop a theoretical and empirical framework for investigating how the demand for an operation may be affected by the fee for the operation (the own-price) and by fees for other services provided by surgeons in the same specialty (the cross-price). The theory suggests an empirical test of whether surgeons create demand for surgery. DATA SOURCES AND STUDY SETTING. The study examines the use of 11 frequently performed surgical operations by elderly Medicare enrollees in a cross-section of 316 U.S. metropolitan areas. Medicare physician claims and enrollment files for 1986 are the principal sources of data. STUDY DESIGN. Using econometric methods, a structural demand equation modified to include the own-price and the cross-price is estimated for each study operation. PRINCIPAL FINDINGS. The theory suggests that the utilization response to changes in fees may differ among operations depending on whether demand creation occurs and on the interplay of distinct own-price and cross-price effects. However, the results of the empirical analyses are inconclusive regarding the most appropriate economic model of surgical utilization. Both neoclassical behavior and demand creation are observed, but technical limitations of the analyses, including the cross-sectional design of the study, preclude definitive inferences. CONCLUSIONS. Despite the lack of definitive empirical results, the study has several implications for future research regarding the effect of changes in fees on surgical utilization. In particular, future studies should consider the roles of distinct own-price and cross-price effects, examine the importance of the supply-demand balance in physician services markets, and assess whether typologies of operations that are based on the strictness of their clinical indications predict the appropriate economic model of utilization. PMID:8407339

  13. Concurrent bariatric operations and association with perioperative outcomes: registry based cohort study.

    PubMed

    Liu, Jason B; Ban, Kristen A; Berian, Julia R; Hutter, Matthew M; Huffman, Kristopher M; Liu, Yaoming; Hoyt, David B; Hall, Bruce L; Ko, Clifford Y

    2017-09-26

    Objective  To determine whether perioperative outcomes differ between patients undergoing concurrent compared with non-concurrent bariatric operations in the USA. Design  Retrospective, propensity score matched cohort study. Setting  Hospitals in the US accredited by the American College of Surgeons' metabolic and bariatric surgery accreditation and quality improvement program. Participants  513 167 patients undergoing bariatric operations between 1 January 2014 and 31 December 2016. Main outcome measures  The primary outcome measure was a composite of 30 day death, morbidity, readmission, reoperation, anastomotic or staple line leak, and bleeding events. Operative duration and lengths of stay were also assessed. Operations were defined as concurrent if they overlapped by 60 or more minutes or in their entirety. Results  In this study of 513 167 operations, 739 (29.5%) surgeons at 483 (57.8%) hospitals performed 6087 (1.2%) concurrent operations. The most frequently performed concurrent bariatric operations were sleeve gastrectomy (n=3250, 53.4%) and Roux-en-Y gastric bypass (n=1601, 26.3%). Concurrent operations were more often performed at large academic medical centers with higher operative volumes and numbers of trainees and by higher volume surgeons. Compared with non-concurrent operations, concurrent operations lasted a median of 34 minutes longer (P<0.001) and resulted in 0.3 days longer average length of stay (P<0.001). Perioperative adverse events were not observed to more likely occur in concurrent compared with non-concurrent operations (7.5% v 7.4%; relative risk 1.02, 95% confidence interval 0.90 to 1.15; P=0.84). Conclusions  Concurrent bariatric operations occurred infrequently, but when they did, there was no observable increased risk for adverse perioperative outcomes compared with non-concurrent operations. These results, however, do not argue against improved and more meaningful disclosure of concurrent surgery practices. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  14. Image analysis of open-door laminoplasty for cervical spondylotic myelopathy: comparing the influence of cord morphology and spine alignment.

    PubMed

    Lin, Bon-Jour; Lin, Meng-Chi; Lin, Chin; Lee, Meei-Shyuan; Feng, Shao-Wei; Ju, Da-Tong; Ma, Hsin-I; Liu, Ming-Ying; Hueng, Dueng-Yuan

    2015-10-01

    Previous studies have identified the factors affecting the surgical outcome of cervical spondylotic myelopathy (CSM) following laminoplasty. Nonetheless, the effect of these factors remains controversial. It is unknown about the association between pre-operative cervical spinal cord morphology and post-operative imaging result following laminoplasty. The goal of this study is to analyze the impact of pre-operative cervical spinal cord morphology on post-operative imaging in patients with CSM. Twenty-six patients with CSM undergoing open-door laminoplasty were classified according to pre-operative cervical spine bony alignment and cervical spinal cord morphology, and the results were evaluated in terms of post-operative spinal cord posterior drift, and post-operative expansion of the antero-posterior dura diameter. By the result of study, pre-operative spinal cord morphology was an effective classification in predicting surgical outcome - patients with anterior convexity type, description of cervical spinal cord morphology, had more spinal cord posterior migration than those with neutral or posterior convexity type after open-door laminoplasty. Otherwise, the interesting finding was that cervical spine Cobb's angle had an impact on post-operative spinal cord posterior drift in patients with neutral or posterior convexity type spinal cord morphology - the degree of kyphosis was inversely proportional to the distance of post-operative spinal cord posterior drift, but not in the anterior convexity type. These findings supported that pre-operative cervical spinal cord morphology may be used as screening for patients undergoing laminoplasty. Patients having neutral or posterior convexity type spinal cord morphology accompanied with kyphotic deformity were not suitable candidates for laminoplasty. Copyright © 2015 Elsevier B.V. All rights reserved.

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

    Kalaskar, Vickey B; Szybist, James P; Splitter, Derek A

    In recent years a number of studies have demonstrated that boosted operation combined with external EGR is a path forward for expanding the high load limit of homogeneous charge compression ignition (HCCI) operation with the negative valve overlap (NVO) valve strategy. However, the effects of fuel composition with this strategy have not been fully explored. In this study boosted HCCI combustion is investigated in a single-cylinder research engine equipped with direct injection (DI) fueling, cooled external exhaust gas recirculation (EGR), laboratory pressurized intake air, and a fully-variable hydraulic valve actuation (HVA) valve train. Three fuels with significant compositional differences aremore » investigated: regular grade gasoline (RON = 90.2), 30% ethanol-gasoline blend (E30, RON = 100.3), and 24% iso-butanol-gasoline blend (IB24, RON = 96.6). Results include engine loads from 350 to 800 kPa IMEPg for all fuels at three engine speeds 1600, 2000, and 2500 rpm. All operating conditions achieved thermal efficiency (gross indicated efficiency) between 38 and 47%, low NOX emissions ( 0.1 g/kWh), and high combustion efficiency ( 96.5%). Detailed sweeps of intake manifold pressure (atmospheric to 250 kPaa), EGR (0 25% EGR), and injection timing are conducted to identify fuel-specific effects. The major finding of this study is that while significant fuel compositional differences exist, in boosted HCCI operation only minor changes in operational conditions are required to achieve comparable operation for all fuels. In boosted HCCI operation all fuels were able to achieve matched load-speed operation, whereas in conventional SI operation the fuel-specific knock differences resulted in significant differences in the operable load-speed space. Although all fuels were operable in boosted HCCI, the respective air handling requirements are also discussed, including an analysis of the demanded turbocharger efficiency.« less

  16. Integrating operation design into infrastructure planning to foster robustness of planned water systems

    NASA Astrophysics Data System (ADS)

    Bertoni, Federica; Giuliani, Matteo; Castelletti, Andrea

    2017-04-01

    Over the past years, many studies have looked at the planning and management of water infrastructure systems as two separate problems, where the dynamic component (i.e., operations) is considered only after the static problem (i.e., planning) has been resolved. Most recent works have started to investigate planning and management as two strictly interconnected faces of the same problem, where the former is solved jointly with the latter in an integrated framework. This brings advantages to multi-purpose water reservoir systems, where several optimal operating strategies exist and similar system designs might perform differently on the long term depending on the considered short-term operating tradeoff. An operationally robust design will be therefore one performing well across multiple feasible tradeoff operating policies. This work aims at studying the interaction between short-term operating strategies and their impacts on long-term structural decisions, when long-lived infrastructures with complex ecological impacts and multi-sectoral demands to satisfy (i.e., reservoirs) are considered. A parametric reinforcement learning approach is adopted for nesting optimization and control yielding to both optimal reservoir design and optimal operational policies for water reservoir systems. The method is demonstrated on a synthetic reservoir that must be designed and operated for ensuring reliable water supply to downstream users. At first, the optimal design capacity derived is compared with the 'no-fail storage' computed through Rippl, a capacity design function that returns the minimum storage needed to satisfy specified water demands without allowing supply shortfall. Then, the optimal reservoir volume is used to simulate the simplified case study under other operating objectives than water supply, in order to assess whether and how the system performance changes. The more robust the infrastructural design, the smaller the difference between the performances of different operating strategies.

  17. Meta-analysis: pre-operative infliximab treatment and short-term post-operative complications in patients with ulcerative colitis.

    PubMed

    Yang, Z; Wu, Q; Wu, K; Fan, D

    2010-02-15

    Infliximab was approved for use in ulcerative colitis in recent years. It has been debated if infliximab increases the risk of post-operative complications in patients with ulcerative colitis. To perform a meta-analysis that examines the relationship between preoperative infliximab treatment and short-term post-operative complications in patients with ulcerative colitis. We searched the PubMed and MEDLINE databases to identify observational studies on the impact of pre-operative infliximab use on short-term post-operative complications in ulcerative colitis. Infectious complications mainly included wound infection, sepsis and abscess, whereas non-infectious complications included intestinal obstruction, thromboembolism and gastrointestinal haemorrhage. Pooled odds ratios (ORs) were calculated for each relationship. A total of 5 studies and 706 patients were included in our meta-analysis. Overall, we did not find a strong association between pre-operative treatment of infliximab and short-term infectious [OR 2.24, 95% confidence interval (CI) 0.63-7.95] or non-infectious (OR 0.85, 95% CI 0.50-1.45) post-operative complications in ulcerative colitis patients. On the contrary, we discovered that pre-operative infliximab use increased short-term total post-operative complications (OR 1.80, 95% CI 1.12-2.87). Pre-operative infliximab use increased the risk of short-term post-operative complications. Subgroup analysis is underpowered to assess the nature of these complications but shows a trend towards increased post-operative infection.

  18. Rib fractures in trauma patients: does operative fixation improve outcome?

    PubMed

    Majak, Peter; Næss, Pål A

    2016-12-01

    Renewed interest in surgical fixation of rib fractures has emerged. However, conservative treatment is still preferred at most surgical departments. We wanted to evaluate whether operative treatment of rib fractures may benefit severely injured patients. Several studies report a reduction in mechanical ventilation time, ICU length of stay (LOS), hospital LOS, pneumonia, need for tracheostomy, pain and costs in operatively treated patients with multiple rib fractures compared with patients treated nonoperatively. Although patient selection and timing of the operation seem crucial for successful outcome, no consensus exists. Mortality reduction has only been shown in a few studies. Most studies are retrospective cohort and case-control studies. Only four randomized control trials exist. Conservative treatment, consisting of respiratory assistance and pain control, is still the treatment of choice in the vast majority of patients with multiple rib fractures. In selected patients, operative fixation of fractured ribs within 72 h postinjury may lead to better outcome. More randomized control trials are needed to further determine who benefits from surgical fixation of rib fractures.

  19. A Study of the Optimal Planning Model for Reservoir Sustainable Management- A Case Study of Shihmen Reservoir

    NASA Astrophysics Data System (ADS)

    Chen, Y. Y.; Ho, C. C.; Chang, L. C.

    2017-12-01

    The reservoir management in Taiwan faces lots of challenge. Massive sediment caused by landslide were flushed into reservoir, which will decrease capacity, rise the turbidity, and increase supply risk. Sediment usually accompanies nutrition that will cause eutrophication problem. Moreover, the unevenly distribution of rainfall cause water supply instability. Hence, how to ensure sustainable use of reservoirs has become an important task in reservoir management. The purpose of the study is developing an optimal planning model for reservoir sustainable management to find out an optimal operation rules of reservoir flood control and sediment sluicing. The model applies Genetic Algorithms to combine with the artificial neural network of hydraulic analysis and reservoir sediment movement. The main objective of operation rules in this study is to prevent reservoir outflow caused downstream overflow, minimum the gap between initial and last water level of reservoir, and maximum sluicing sediment efficiency. A case of Shihmen reservoir was used to explore the different between optimal operating rule and the current operation of the reservoir. The results indicate optimal operating rules tended to open desilting tunnel early and extend open duration during flood discharge period. The results also show the sluicing sediment efficiency of optimal operating rule is 36%, 44%, 54% during Typhoon Jangmi, Typhoon Fung-Wong, and Typhoon Sinlaku respectively. The results demonstrate the optimal operation rules do play a role in extending the service life of Shihmen reservoir and protecting the safety of downstream. The study introduces a low cost strategy, alteration of operation reservoir rules, into reservoir sustainable management instead of pump dredger in order to improve the problem of elimination of reservoir sediment and high cost.

  20. Task-dependent signal variations in EEG error-related potentials for brain-computer interfaces.

    PubMed

    Iturrate, I; Montesano, L; Minguez, J

    2013-04-01

    A major difficulty of brain-computer interface (BCI) technology is dealing with the noise of EEG and its signal variations. Previous works studied time-dependent non-stationarities for BCIs in which the user's mental task was independent of the device operation (e.g., the mental task was motor imagery and the operational task was a speller). However, there are some BCIs, such as those based on error-related potentials, where the mental and operational tasks are dependent (e.g., the mental task is to assess the device action and the operational task is the device action itself). The dependence between the mental task and the device operation could introduce a new source of signal variations when the operational task changes, which has not been studied yet. The aim of this study is to analyse task-dependent signal variations and their effect on EEG error-related potentials. The work analyses the EEG variations on the three design steps of BCIs: an electrophysiology study to characterize the existence of these variations, a feature distribution analysis and a single-trial classification analysis to measure the impact on the final BCI performance. The results demonstrate that a change in the operational task produces variations in the potentials, even when EEG activity exclusively originated in brain areas related to error processing is considered. Consequently, the extracted features from the signals vary, and a classifier trained with one operational task presents a significant loss of performance for other tasks, requiring calibration or adaptation for each new task. In addition, a new calibration for each of the studied tasks rapidly outperforms adaptive techniques designed in the literature to mitigate the EEG time-dependent non-stationarities.

  1. Task-dependent signal variations in EEG error-related potentials for brain-computer interfaces

    NASA Astrophysics Data System (ADS)

    Iturrate, I.; Montesano, L.; Minguez, J.

    2013-04-01

    Objective. A major difficulty of brain-computer interface (BCI) technology is dealing with the noise of EEG and its signal variations. Previous works studied time-dependent non-stationarities for BCIs in which the user’s mental task was independent of the device operation (e.g., the mental task was motor imagery and the operational task was a speller). However, there are some BCIs, such as those based on error-related potentials, where the mental and operational tasks are dependent (e.g., the mental task is to assess the device action and the operational task is the device action itself). The dependence between the mental task and the device operation could introduce a new source of signal variations when the operational task changes, which has not been studied yet. The aim of this study is to analyse task-dependent signal variations and their effect on EEG error-related potentials.Approach. The work analyses the EEG variations on the three design steps of BCIs: an electrophysiology study to characterize the existence of these variations, a feature distribution analysis and a single-trial classification analysis to measure the impact on the final BCI performance.Results and significance. The results demonstrate that a change in the operational task produces variations in the potentials, even when EEG activity exclusively originated in brain areas related to error processing is considered. Consequently, the extracted features from the signals vary, and a classifier trained with one operational task presents a significant loss of performance for other tasks, requiring calibration or adaptation for each new task. In addition, a new calibration for each of the studied tasks rapidly outperforms adaptive techniques designed in the literature to mitigate the EEG time-dependent non-stationarities.

  2. Surgical treatment for osteoporotic thoracolumbar vertebral collapse using vertebroplasty with posterior spinal fusion: a prospective multicenter study.

    PubMed

    Katsumi, Keiichi; Hirano, Toru; Watanabe, Kei; Ohashi, Masayuki; Yamazaki, Akiyoshi; Ito, Takui; Sawakami, Kimihiko; Sano, Atsuki; Kikuchi, Ren; Endo, Naoto

    2016-11-01

    The study aimed to investigate the clinical outcomes and limitations after vertebroplasty with posterior spinal fusion (VP+PSF) without neural decompression for osteoporotic vertebral collapse. We conducted a prospective multicenter study including 45 patients (12 men and 33 women, mean age: 77.0 years) evaluated between 2008 and 2012. Operation time, blood loss, visual analog scale (VAS) of back pain, neurological status, kyphosis angle in the fused area, and vertebral union of the collapsed vertebra were evaluated. The mean operation time was 162 min and blood loss was 381 mL. The postoperative VAS score significantly improved, and the neurological status improved in 35 patients (83 %), and none of the remaining patients demonstrated a deteriorating neurological status at two years post-operatively. The mean kyphosis angle pre-operatively, immediately post-operatively, and two years post-operatively was 23.8°, 10.7°, and 24.3°, respectively, and there was no significant difference between the angles pre-operatively and two years post-operatively. The extensive correction of kyphosis >16° was a risk factor for a higher correction loss and subsequent fracture. Union of the collapsed vertebra was observed in 43 patients (95 %) at two years post-operatively. The present study suggests that spinal stabilization rather than neural decompression is essential to treat OVC. Short-segment VP+PSF can achieve a high union rate of collapsed vertebra and provide a significant improvement in back pain or neurological status with less invasive surgery, but has a limit of kyphosis correction more than 16°.

  3. Parametric estimates for the receiver operating characteristic curve generalization for non-monotone relationships.

    PubMed

    Martínez-Camblor, Pablo; Pardo-Fernández, Juan C

    2017-01-01

    Diagnostic procedures are based on establishing certain conditions and then checking if those conditions are satisfied by a given individual. When the diagnostic procedure is based on a continuous marker, this is equivalent to fix a region or classification subset and then check if the observed value of the marker belongs to that region. Receiver operating characteristic curve is a valuable and popular tool to study and compare the diagnostic ability of a given marker. Besides, the area under the receiver operating characteristic curve is frequently used as an index of the global discrimination ability. This paper revises and widens the scope of the receiver operating characteristic curve definition by setting the classification subsets in which the final decision is based in the spotlight of the analysis. We revise the definition of the receiver operating characteristic curve in terms of particular classes of classification subsets and then focus on a receiver operating characteristic curve generalization for situations in which both low and high values of the marker are associated with more probability of having the studied characteristic. Parametric and non-parametric estimators of the receiver operating characteristic curve generalization are investigated. Monte Carlo studies and real data examples illustrate their practical performance.

  4. A subleading operator basis and matching for gg → H

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

    Moult, Ian; Stewart, Iain W.; Vita, Gherardo

    The Soft Collinear Effective Theory (SCET) is a powerful framework for studying factorization of amplitudes and cross sections in QCD. While factorization at leading power has been well studied, much less is known at subleading powers in the λ << 1 expansion. In SCET subleading soft and collinear corrections to a hard scattering process are described by power suppressed operators, which must be fixed case by case, and by well established power suppressed Lagrangians, which correct the leading power dynamics of soft and collinear radiation. Here we present a complete basis of power suppressed operators for gg → H, classifyingmore » all operators which contribute to the cross section at O(λ 2), and showing how helicity selection rules significantly simplify the construction of the operator basis. We perform matching calculations to determine the tree level Wilson coefficients of our operators. These results are useful for studies of power corrections in both resummed and fixed order perturbation theory, and for understanding the factorization properties of gauge theory amplitudes and cross sections at subleading power. As one example, our basis of operators can be used to analytically compute power corrections for N -jettiness subtractions for gg induced color singlet production at the LHC.« less

  5. A subleading operator basis and matching for gg → H

    DOE PAGES

    Moult, Ian; Stewart, Iain W.; Vita, Gherardo

    2017-07-01

    The Soft Collinear Effective Theory (SCET) is a powerful framework for studying factorization of amplitudes and cross sections in QCD. While factorization at leading power has been well studied, much less is known at subleading powers in the λ << 1 expansion. In SCET subleading soft and collinear corrections to a hard scattering process are described by power suppressed operators, which must be fixed case by case, and by well established power suppressed Lagrangians, which correct the leading power dynamics of soft and collinear radiation. Here we present a complete basis of power suppressed operators for gg → H, classifyingmore » all operators which contribute to the cross section at O(λ 2), and showing how helicity selection rules significantly simplify the construction of the operator basis. We perform matching calculations to determine the tree level Wilson coefficients of our operators. These results are useful for studies of power corrections in both resummed and fixed order perturbation theory, and for understanding the factorization properties of gauge theory amplitudes and cross sections at subleading power. As one example, our basis of operators can be used to analytically compute power corrections for N -jettiness subtractions for gg induced color singlet production at the LHC.« less

  6. Influence of operating conditions on the optimum design of electric vehicle battery cooling plates

    NASA Astrophysics Data System (ADS)

    Jarrett, Anthony; Kim, Il Yong

    2014-01-01

    The efficiency of cooling plates for electric vehicle batteries can be improved by optimizing the geometry of internal fluid channels. In practical operation, a cooling plate is exposed to a range of operating conditions dictated by the battery, environment, and driving behaviour. To formulate an efficient cooling plate design process, the optimum design sensitivity with respect to each boundary condition is desired. This determines which operating conditions must be represented in the design process, and therefore the complexity of designing for multiple operating conditions. The objective of this study is to determine the influence of different operating conditions on the optimum cooling plate design. Three important performance measures were considered: temperature uniformity, mean temperature, and pressure drop. It was found that of these three, temperature uniformity was most sensitive to the operating conditions, especially with respect to the distribution of the input heat flux, and also to the coolant flow rate. An additional focus of the study was the distribution of heat generated by the battery cell: while it is easier to assume that heat is generated uniformly, by using an accurate distribution for design optimization, this study found that cooling plate performance could be significantly improved.

  7. An Overview and Analysis of Journal Operations, Journal Publication Patterns, and Journal Impact in School Psychology and Related Fields

    ERIC Educational Resources Information Center

    Floyd, Randy G.; Cooley, Kathryn M.; Arnett, James E.; Fagan, Thomas K.; Mercer, Sterett H.; Hingle, Christine

    2011-01-01

    This article describes the results of three studies designed to understand better the journal operations, publishing practices, and impact of school psychology journals in recent years. The first study presents the results of a survey focusing on journal operations and peer-review practices that was completed by 61 journal editors of school…

  8. U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION, CALIBRATION AND MAINTENANCE OF FIXED AND ADJUSTABLE VOLUME PIPETTE GUNS (BCO-L-9.0)

    EPA Science Inventory

    The purpose of this SOP is to describe the general procedures for the operation, calibration, and maintenance of fixed- and adjustable-volume pipette guns. This procedure was followed to ensure consistent data retrieval during the Arizona NHEXAS project and the Border study. Keyw...

  9. U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION AND MAINTENANCE OF DATA SCANNERS (UA-D-32.1)

    EPA Science Inventory

    The purpose of this SOP is to define the steps needed to operate the data scanners that were used during the Arizona NHEXAS project and the Border study. Keywords: data; equipment; scanner.

    The U.S.-Mexico Border Program is sponsored by the Environmental Health Workgroup of the...

  10. NHEXAS PHASE I ARIZONA STUDY--STANDARD OPERATING PROCEDURE FOR LIGHT PEN OPERATION AND VERIFICATION OF SCANNED BAR CODES (UA-D-33.0)

    EPA Science Inventory

    The purpose of this SOP is to define the steps needed to operate the light pens, and verify the values produced by light pens used in the Arizona NHEXAS project and the "Border" study. Keywords: data; equipment; light pens.

    The National Human Exposure Assessment Survey (NHEXAS)...

  11. U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR OPERATION MANUAL OF THE MASS DATA MASSAGE PROGRAM (UA-D-44.0)

    EPA Science Inventory

    The purpose of this SOP is to describe the operation of the data processing program. These methods were used for every execution of the data processing program during the Arizona NHEXAS project and the Border study. Keywords: data; data processing.

    The U.S.-Mexico Border Progr...

  12. Using RFID Tagging in a Mining Industry Maintenance, Repair, and Operating (MRO) Supply Warehouse: A Case Study

    ERIC Educational Resources Information Center

    Smith, George D.

    2008-01-01

    The use of Radio Frequency Identification (RFID) technology has been shown to be successful by reducing operating costs in the retail and manufacturing industries, but has never been considered in the literature for a mining industry maintenance, repair, and operating (MRO) supply chain. This field study was conducted to determine whether or not…

  13. Spacelab user implementation assessment study (software requirements analysis). Volume 1: Executive study

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The primary objective of this study was to develop an integrated approach for the development, implementation, and utilization of all software that is required to efficiently and cost-effectively support advanced technology laboratory flight and ground operations. It was recognized that certain aspects of the operations would be mandatory computerized services; computerization of other aspects would be optional. Thus, the analyses encompassed not only alternate computer utilization and implementations but trade studies of the programmatic effects of non-computerized versus computerized approaches to the operations. A general overview of the study is presented.

  14. Development of operating mode distributions for different types of roadways under different congestion levels for vehicle emission assessment using MOVES.

    PubMed

    Qi, Yi; Padiath, Ameena; Zhao, Qun; Yu, Lei

    2016-10-01

    The Motor Vehicle Emission Simulator (MOVES) quantifies emissions as a function of vehicle modal activities. Hence, the vehicle operating mode distribution is the most vital input for running MOVES at the project level. The preparation of operating mode distributions requires significant efforts with respect to data collection and processing. This study is to develop operating mode distributions for both freeway and arterial facilities under different traffic conditions. For this purpose, in this study, we (1) collected/processed geographic information system (GIS) data, (2) developed a model of CO2 emissions and congestion from observations, (3) implemented the model to evaluate potential emission changes from a hypothetical roadway accident scenario. This study presents a framework by which practitioners can assess emission levels in the development of different strategies for traffic management and congestion mitigation. This paper prepared the primary input, that is, the operating mode ID distribution, required for running MOVES and developed models for estimating emissions for different types of roadways under different congestion levels. The results of this study will provide transportation planners or environmental analysts with the methods for qualitatively assessing the air quality impacts of different transportation operation and demand management strategies.

  15. Phase space methods for Majorana fermions

    NASA Astrophysics Data System (ADS)

    Rushin Joseph, Ria; Rosales-Zárate, Laura E. C.; Drummond, Peter D.

    2018-06-01

    Fermionic phase space representations are a promising method for studying correlated fermion systems. The fermionic Q-function and P-function have been defined using Gaussian operators of fermion annihilation and creation operators. The resulting phase-space of covariance matrices belongs to the symmetry class D, one of the non-standard symmetry classes. This was originally proposed to study mesoscopic normal-metal-superconducting hybrid structures, which is the type of structure that has led to recent experimental observations of Majorana fermions. Under a unitary transformation, it is possible to express these Gaussian operators using real anti-symmetric matrices and Majorana operators, which are much simpler mathematical objects. We derive differential identities involving Majorana fermion operators and an antisymmetric matrix which are relevant to the derivation of the corresponding Fokker–Planck equations on symmetric space. These enable stochastic simulations either in real or imaginary time. This formalism has direct relevance to the study of fermionic systems in which there are Majorana type excitations, and is an alternative to using expansions involving conventional Fermi operators. The approach is illustrated by showing how a linear coupled Hamiltonian as used to study topological excitations can be transformed to Fokker–Planck and stochastic equation form, including dissipation through particle losses.

  16. Determination of noise and vibration impacts of construction and operation of the Second Avenue Subway

    NASA Astrophysics Data System (ADS)

    Pristera, Jessica L.

    2004-05-01

    An acoustical study was conducted to determine the potential for airborne noise and ground-borne noise and vibration impacts generated by construction and operation of the Second Avenue Subway. The study was performed in support of an environmental impact statement (EIS) that defined the areas along the proposed Second Avenue Subway corridor where any significiant impacts would occur as a result of construction activity and operation of the Second Avenue Subway. Using FTA guideline procedures, project-generated noise levels from subway construction and operations were determined. Construction noise levels exceeded operational noise levels. With limited alternative construction methods, practical mitigation methods were determined to reduce impacts.

  17. Advanced investigation of two-phase charge-coupled devices

    NASA Technical Reports Server (NTRS)

    Kosonocky, W. F.; Carnes, J. E.

    1973-01-01

    The performance of experimental two phase, charge-coupled shift registers constructed using polysilicon gates overlapped by aluminum gates was studied. Shift registers with 64, 128, and 500 stages were built and operated. Devices were operated at the maximum clock frequency of 20 MHz. Loss per transfer of less than .0001 was demonstrated for fat zero operation. The effect upon transfer efficiency of various structural and materials parameters was investigated including substrate orientation, resistivity, and conductivity type; channel width and channel length; and method of channel confinement. Operation of the devices with and without fat zero was studied as well as operation in the complete charge transfer mode and the bias charge, or bucket brigade mode.

  18. Evaluation of Sub Query Performance in SQL Server

    NASA Astrophysics Data System (ADS)

    Oktavia, Tanty; Sujarwo, Surya

    2014-03-01

    The paper explores several sub query methods used in a query and their impact on the query performance. The study uses experimental approach to evaluate the performance of each sub query methods combined with indexing strategy. The sub query methods consist of in, exists, relational operator and relational operator combined with top operator. The experimental shows that using relational operator combined with indexing strategy in sub query has greater performance compared with using same method without indexing strategy and also other methods. In summary, for application that emphasized on the performance of retrieving data from database, it better to use relational operator combined with indexing strategy. This study is done on Microsoft SQL Server 2012.

  19. Making sense of quantum operators, eigenstates and quantum measurements

    NASA Astrophysics Data System (ADS)

    Gire, Elizabeth; Manogue, Corinne

    2012-02-01

    Operators play a central role in the formalism of quantum mechanics. In particular, operators corresponding to observables encode important information about the results of quantum measurements. We interviewed upper-level undergraduate physics majors about their understanding of the role of operators in quantum measurements. Previous studies have shown that many students think of measurements on quantum systems as being deterministic and that measurements mathematically correspond to operators acting on the initial quantum state. This study is consistent with and expands on those results. We report on how two students make sense of a quantum measurement problem involving sequential measurements and the role that the eigenvalue equation plays in this sense-making.

  20. Assessment of operative times of multiple surgical specialties in a public university hospital

    PubMed Central

    Costa, Altair da Silva

    2017-01-01

    ABSTRACT Objective To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a.m. and 5 p.m., either elective or emergency. We calculated the 80th percentile of the stages, where 80% of procedures were below this value. Results The study measured 8,337 operations of 12 surgical specialties performed within one year. The overall mean duration of anesthesia of all specialties was 178.12±110.46 minutes, and the 80th percentile was 252 minutes. The mean operative time was 130.45±97.23 minutes, and the 80th percentile was 195 minutes. The mean total time of the patient in the operating room was 197.30±113.71 minutes, and the 80th percentile was 285 minutes. Thus, the variation of the overall mean compared to the 80th percentile was 41% for anesthesia, 49% for surgeries and 44% for operating room time. In average, anesthesia took up 88% of the operating room period, and surgery, 61%. Conclusion This study identified patterns in the duration of surgery stages. The mean values of the specialties can assist with operating room planning and reduce delays. PMID:28767919

  1. Co-operation as a strategy for provision of welfare services--a study of a rehabilitation project in Sweden.

    PubMed

    Norman, Christina; Axelsson, Runo

    2007-10-01

    During the past 15 years, there have been many initiatives to improve the integration between different welfare agencies. This study is describing and analysing the co-operation between agencies involved in a rehabilitation project in Sweden, and discussing such inter-agency co-operation as a strategy for provision of complex welfare services. The study is based on a process evaluation, where the co-operation between the agencies was followed and documented during the time of the project. Different kinds of data were collected through interviews, focus groups and diaries. The contents of these data were analysed in order to evaluate the process of co-operation. In addition, there was also an evaluation of the effects of the co-operation, based on official documents, statistics, etc. The evaluation shows that it was possible to co-operate across the organizational boundaries of the different agencies, but there were obstacles related to organizational and cultural differences of the agencies, divided loyalties of the officials and limited resources available to deal with the complex needs of the clients. At the same time, the commitment and the relations between the officials were facilitating the co-operation. Based on the evaluation of this project, it seems that co-operation could be an effective strategy to deal with clients who need services from different welfare agencies. At the same time, however, it is clear that inter-agency co-operation requires a lot of time and energy and should therefore be used with caution.

  2. Feasibility Study of a Rotorcraft Health and Usage Monitoring System (HUMS): Results of Operator's Evaluation

    NASA Technical Reports Server (NTRS)

    Romero, Raylund; Summers, Harold; Cronkhite, James

    1996-01-01

    The objective was to evaluate the feasibility of a state-of-the-art health and usage monitoring system (HUMS) to provide monitoring of critical mechanical systems on the helicopter, including motors, drive train, engines, and life-limited components. The implementation of HUMS and cost integration with current maintenance procedures was assessed from the operator's viewpoint in order to achieve expected benefits from these systems, such as enhanced safety, reduced maintenance cost, and increased availability. An operational HUMS that was installed and operated under an independent flight trial program was used as a basis for this study. The HUMS equipment and software were commercially available. Based on the results of the feasibility study, the HUMS used in the flight trial program generally demonstrated a high level of reliability in monitoring the rotor system, engines, drive train, and life-limited components. The system acted as a sentinel to warn of impending failures. A worn tail rotor pitch bearing was detected by HUMS, which had the capability for self testing to diagnose system and sensor faults. Examples of potential payback to the operator with HUMS were identified, including reduced insurance cost through enhanced safety, lower operating costs derived from maintenance credits, increased aircraft availability, and improved operating efficiency. The interfacing of HUMS with current operational procedures was assessed to require only minimal revisions to the operator's maintenance manuals. Finally the success in realizing the potential benefits from HUMS technology was found to depend on the operator, helicopter manufacturer, regulator (FAA), and HUMS supplier working together.

  3. NASA TLA workload analysis support. Volume 1: Detailed task scenarios for general aviation and metering and spacing studies

    NASA Technical Reports Server (NTRS)

    Sundstrom, J. L.

    1980-01-01

    The techniques required to produce and validate six detailed task timeline scenarios for crew workload studies are described. Specific emphasis is given to: general aviation single pilot instrument flight rules operations in a high density traffic area; fixed path metering and spacing operations; and comparative workload operation between the forward and aft-flight decks of the NASA terminal control vehicle. The validation efforts also provide a cursory examination of the resultant demand workload based on the operating procedures depicted in the detailed task scenarios.

  4. Experimental study of combustion processes involved in hypergolic propellant coaxial injector operation

    NASA Astrophysics Data System (ADS)

    Habiballah, M.; Dubois, I.; Gicquel, P.; Foucaud, R.

    1992-07-01

    The first results are presented of an experimental research program to understand the operation of a coaxial injector using hypergolic propellants. Mechanisms and processes involved in coaxial injector operation are identified for a two-plate injector and a coaxial injector. The usefulness of backlight cinematography and laser sheet visualization in the study of coaxial injector operation is examined. A review of the literature on injector elements using highly reactive hypergolic propellants is presented along with an analysis of fundamental mechanisms involved in these propellants.

  5. On orthogonality preserving quadratic stochastic operators

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

    Mukhamedov, Farrukh; Taha, Muhammad Hafizuddin Mohd

    2015-05-15

    A quadratic stochastic operator (in short QSO) is usually used to present the time evolution of differing species in biology. Some quadratic stochastic operators have been studied by Lotka and Volterra. In the present paper, we first give a simple characterization of Volterra QSO in terms of absolutely continuity of discrete measures. Further, we introduce a notion of orthogonal preserving QSO, and describe such kind of operators defined on two dimensional simplex. It turns out that orthogonal preserving QSOs are permutations of Volterra QSO. The associativity of genetic algebras generated by orthogonal preserving QSO is studied too.

  6. The Nez Perce Flight to Canada: An Analysis of the Nez Perce-US Cavalry Conflicts: Applying Historical Lessons Learned to Modern Counterinsurgency and Global War on Terrorism Operations

    DTIC Science & Technology

    2006-06-16

    COUNTERINSURGENCY AND GLOBAL WAR ON TERRORISM OPERATIONS A thesis presented to the Faculty of the US Army Command and General Staff College in partial... Terrorism and counterinsurgency operations in Iraq and Afghanistan. The US Cavalry’s clash with the Nez Perce provides an excellent case study. Their...LESSONS LEARNED TO MODERN COUNTERINSURGENCY AND GLOBAL WAR ON TERRORISM OPERATIONS, by MAJ Scott E. Pfau, 81 pages. This study details the Nez

  7. Study of IEMP Effects on IC Operational Amplifier Circuits

    DTIC Science & Technology

    1975-12-10

    plasma focus to study their IEMP responses with and without superposition of TREE responses. The 30-kJ plasma focus device produced photons primarily in the 8- to 100-keV range with pulse widths typically in the range of 10 to 15 nsec. Pulses of electrons were also deposited on the external leads of the operational amplifiers to determine the characteristic responses. These units were operated in circuits with closed-loop gains ranging from 5 to 100. During direct irradiation of the operational amplifiers, it was found that the IEMP responses (caused

  8. Orbital operations study. Volume 1: Mission analysis

    NASA Technical Reports Server (NTRS)

    Steinwachs, W. L.

    1972-01-01

    The final report of the orbital operations study and a summary of the 25 elements in the study inventory are presented. Fourteen interfacing activities are defined. Eleven mission models encompassing all potential interfacing element pairs and interfacing activities are included.

  9. Design Requirements for Unmanned Rotorcraft Used in Low-Risk Concepts of Operation

    NASA Technical Reports Server (NTRS)

    Hayhurst, Kelly J.; Maddalon, Jeffrey M.; Neogi, Natasha A.; Verstynen, Harry A.

    2016-01-01

    This technical report presents the results of the second of two research studies on design and performance requirements supporting airworthiness certification of midrange unmanned aircraft systems (UAS) intended for commercial use. The two studies focused attention on UAS in the middle of the multidimensional spectrum of UAS; that is, UAS with attributes and capabilities exceeding the criteria to operate under Part 107 of the Federal Aviation Regulations (FARs), but without the design or operational capabilities to comply with the airworthiness standards for commercially-operated manned aircraft. The goal of the two studies was to help address the gap in airworthiness standards for some UAS that fall between the extremes.

  10. Barwood CNG Cab Fleet Study: Final Results

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

    Whalen, P.; Kelly, K.; John, M.

    1999-05-03

    This report describes a fleet study conducted over a 12-month period to evaluate the operation of dedicated compress natural gas (CNG) Ford Crown Victoria sedans in a taxicab fleet. In the study, we assess the performance and reliability of the vehicles and the cost of operating the CNG vehicles compared to gasoline vehicles. The study results reveal that the CNG vehicles operated by this fleet offer both economic and environmental advantages. The total operating costs of the CNG vehicles were about 25% lower than those of the gasoline vehicles. The CNG vehicles performed as well as the gasoline vehicles, andmore » were just as reliable. Barwood representatives and drivers have come to consider the CNG vehicles an asset to their business and to the air quality of the local community.« less

  11. We still need to operate at night!

    PubMed Central

    Faiz, Omar; Banerjee, Saswata; Tekkis, Paris; Papagrigoriadis, Savvas; Rennie, John; Leather, Andrew

    2007-01-01

    Introduction In the past the National Confidential Enquiry into Peri-operative deaths (NCEPOD) have advocated a reduction in non-essential night-time operating in NHS hospitals. In this study a retrospective analysis of the emergency general surgical operative workload at a London Teaching centre was performed. Methods All general surgical and vascular emergency operations recorded prospectively on the theatre database between 1997 and 2004 were included in the study. Operations were categorised according to whether they commenced during the daytime(08:01–18:00 hours), evening(18:01–00:00 hours) or night-time(00:01–08:00 hours). The procedure type and grade of the participating surgical personnel were also recorded. Bivariate correlation was used to analyse changing trends in the emergency workload. Results In total 5,316 emergency operations were performed over the study period. The numbers of daytime, evening and night-time emergency procedures performed were 2,963(55.7%), 1,832(34.5%), and 521(9.8%) respectively. Laparotomies and complex vascular procedures collectively accounted for half of all cases performed after midnight whereas they represented only 30% of the combined daytime and evening emergency workload. Thirty-two percent (n = 166) of all night-time operations were supervised or performed by a consultant surgeon. The annual volume of emergency cases performed increased significantly throughout the study period. Enhanced daytime (r = 0.741, p < 0.01) and evening (r = 0.548, p < 0.01) operating absorbed this increase in workload. There was no significant change in the absolute number of cases performed at night but the proportion of the emergency workload that took place after midnight decreased significantly throughout the study (r = -0.742, p < 0.01). Conclusion A small but consistent volume of complex cases require emergency surgery after midnight. Provision of an emergency general surgical service must incorporate this need. PMID:17973987

  12. Solar power satellite system definition study, phase 2. Part 1: Midterm briefing

    NASA Technical Reports Server (NTRS)

    1979-01-01

    An overview of the program plan for the Solar Power Satellite Program is given. Progress in the microwave power transmission system is reported. A description is given of the following: (1) launch and recovery site facilities, systems and operations; (2) cargo packaging; (3) earth-to-LEO cargo transportation operations; (4) LEO-to-GEO cargo transportation operations; (5) personnel transportation operations; (6) space vehicles in-space maintenance operations; and (7) SPS maintenance systems and operations. Other topics discussed include GEO base operations, satellite construction operations, intra-base logistics, and GEO base definition. A research and program plan is presented along with cost estimates.

  13. Research on station management in subway operation safety

    NASA Astrophysics Data System (ADS)

    Li, Yiman

    2017-10-01

    The management of subway station is an important part of the safe operation of urban subway. In order to ensure the safety of subway operation, it is necessary to study the relevant factors that affect station management. In the protection of subway safety operations on the basis of improving the quality of service, to promote the sustained and healthy development of subway stations. This paper discusses the influencing factors of subway operation accident and station management, and analyzes the specific contents of station management security for subway operation, and develops effective suppression measures. It is desirable to improve the operational quality and safety factor for subway operations.

  14. Operator Training: Who Is Responsible?

    ERIC Educational Resources Information Center

    Wubbena, Robert L.

    1979-01-01

    Summarized are the findings of a study to identify and correct water pollution control operator training deficiencies. Several models are presented to aid in developing a coordinated delivery system for operator training and certification. (CS)

  15. Approximation by the iterates of Bernstein operator

    NASA Astrophysics Data System (ADS)

    Zapryanova, Teodora; Tachev, Gancho

    2012-11-01

    We study the degree of pointwise approximation of the iterated Bernstein operators to its limiting operator. We obtain a quantitative estimates related to the conjecture of Gonska and Raşa from 2006.

  16. Lunar base surface mission operations. Lunar Base Systems Study (LBSS) task 4.1

    NASA Technical Reports Server (NTRS)

    1987-01-01

    The purpose was to perform an analysis of the surface operations associated with a human-tended lunar base. Specifically, the study defined surface elements and developed mission manifests for a selected base scenario, determined the nature of surface operations associated with this scenario, generated a preliminary crew extravehicular and intravehicular activity (EVA/IVA) time resource schedule for conducting the missions, and proposed concepts for utilizing remotely operated equipment to perform repetitious or hazardous surface tasks. The operations analysis was performed on a 6 year period of human-tended lunar base operation prior to permanent occupancy. The baseline scenario was derived from a modified version of the civil needs database (CNDB) scenario. This scenario emphasizes achievement of a limited set of science and exploration objectives while emplacing the minimum habitability elements required for a permanent base.

  17. The use of a non-benzodiazepine hypnotic sleep-aid (Zolpidem) in patients undergoing ACL reconstruction: a randomized controlled clinical trial.

    PubMed

    Tompkins, Marc; Plante, Matthew; Monchik, Keith; Fleming, Braden; Fadale, Paul

    2011-05-01

    Previous studies have addressed post-operative pain management after ACL reconstruction by examining the use of intra-articular analgesia and/or modification of anesthesia techniques. To our knowledge, however, no previous studies have evaluated the effect of zolpidem on post-operative narcotic requirements, pain, and fatigue in patients undergoing outpatient arthroscopic ACL reconstruction. The purpose of this prospective, blinded, randomized, controlled clinical study was to evaluate the effect of zolpidem on post-operative narcotic requirements, pain, and fatigue in patients undergoing outpatient arthroscopic ACL reconstruction. Twenty-nine patients undergoing arthroscopic ACL reconstruction were randomized to a treatment group or placebo group. Both groups received post-operative hydrocodone/acetaminophen bitartrate (Vicodin ES). Patients in the treatment group received a single dose of zolpidem for the first seven post-operative nights. Patients in the placebo group received a gelatin capsule similar in appearance to zolpidem. The amount of Vicodin used in each group, the amount of post-operative pain, and the amount of post-operative fatigue were analyzed. Following ACL reconstruction, a 28% reduction was seen in the total amount of narcotic consumed with zolpidem (P = 0.047) when compared to placebo. There were no significant differences in post-operative pain or fatigue levels between zolpidem and placebo. Adding zolpidem to the post-operative medication regimen after arthroscopic ACL reconstruction helps to lower the amount of narcotic pain medication required for adequate analgesia. Randomized controlled clinical trial, Level I.

  18. Jackknife variance of the partial area under the empirical receiver operating characteristic curve.

    PubMed

    Bandos, Andriy I; Guo, Ben; Gur, David

    2017-04-01

    Receiver operating characteristic analysis provides an important methodology for assessing traditional (e.g., imaging technologies and clinical practices) and new (e.g., genomic studies, biomarker development) diagnostic problems. The area under the clinically/practically relevant part of the receiver operating characteristic curve (partial area or partial area under the receiver operating characteristic curve) is an important performance index summarizing diagnostic accuracy at multiple operating points (decision thresholds) that are relevant to actual clinical practice. A robust estimate of the partial area under the receiver operating characteristic curve is provided by the area under the corresponding part of the empirical receiver operating characteristic curve. We derive a closed-form expression for the jackknife variance of the partial area under the empirical receiver operating characteristic curve. Using the derived analytical expression, we investigate the differences between the jackknife variance and a conventional variance estimator. The relative properties in finite samples are demonstrated in a simulation study. The developed formula enables an easy way to estimate the variance of the empirical partial area under the receiver operating characteristic curve, thereby substantially reducing the computation burden, and provides important insight into the structure of the variability. We demonstrate that when compared with the conventional approach, the jackknife variance has substantially smaller bias, and leads to a more appropriate type I error rate of the Wald-type test. The use of the jackknife variance is illustrated in the analysis of a data set from a diagnostic imaging study.

  19. Optimal timing for performing hysterectomy according to different phase of menstrual cycle: Which is best?

    PubMed

    Kim, Jeong Jin; Kang, Jun Hyeok; Lee, Kyo Won; Kim, Kye Hyun; Song, Taejong

    2017-05-01

    The aim of this study was to determine whether the different phases of the menstrual cycle could affect operative bleeding in women undergoing laparoscopic hysterectomy. This was a retrospective comparative study. Based on the adjusted day of menstrual cycle, 212 women who underwent laparoscopic hysterectomy were classified into three groups: the follicular phase (n = 51), luteal phase group (n = 125), and menstruation group (n = 36). The primary outcome measure was the operative bleeding. There was no difference in the baseline characteristics of the patients belonging to the three groups. For the groups, there were no significant differences in operative bleeding (p = .469) and change in haemoglobin (p = .330), including operative time, length of hospital stay and complications. The menstrual cycle did not affect the operative bleeding and other parameters. Therefore, no phase of the menstrual cycle could be considered as an optimal timing for performing laparoscopic hysterectomy with minimal operative bleeding. Impact statement What is already known on this subject: the menstrual cycle results in periodic changes in haemostasis and blood flow in the reproductive organs. What the results of this study add: the menstrual cycle did not affect the operative bleeding and other operative parameters during laparoscopic hysterectomy. What the implications are of these findings for clinical practice and/or further research: no phase of the menstrual cycle could be considered as an optimal timing for performing laparoscopic hysterectomy with minimal operative bleeding.

  20. Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems.

    PubMed

    Ji, Hyerim; Yoo, Sooyoung; Heo, Eun-Young; Hwang, Hee; Kim, Jeong-Whun

    2017-10-01

    This study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals. In this study, the issues that arose during the establishment and operation of an HIE system in a hospital were identified so that they could be addressed to enable the successful establishment and operation of a standard-based HIE system. After the issues were identified, they were reviewed and categorized by a group of experts that included medical information system experts, doctors, medical information standard experts, and HIE researchers. Then, solutions for the identified problems were derived based on the system development, operation, and improvement carried out during this work. Twenty-one issues were identified during the implementation and operation of an online HIE system. These issues were then divided into four categories: system architecture and standards, documents and data items, consent of HIE, and usability. We offer technical and policy recommendations for various stakeholders based on the experiences of operating and improving the online HIE system in the medical field. The issues and solutions identified in this study regarding the implementation and operate of an online HIE system can provide valuable insight for planners to enable them to successfully design and operate such systems at a national level in the future. In addition, policy support from governments is needed.

  1. Outcome Determining Factors for displaced Intra-articular Calcaneal Fractures treated operatively

    PubMed Central

    Chan, KL; Idham, HM; Izani, IM; Nahulan, T

    2015-01-01

    Introduction: Calcaneal fractures are caused by high energy trauma and mostly are intra-articular fractures. Nondisplaced intra-articular calcaneal fracture (IACF) can be treated non-operatively. However, displaced intra-articular need to be reduced and fixed anatomically to facilitate early ankle rehabilitation and minimize functional impairment. This study was done to find out the outcome of the IACF patients who underwent operative treatment. Methods: 62 patients with IACF were selected in this study and had been followed up from June 2009 to May 2013. They were placed into two groups; the operative treated and non-operative treated groups. Bilateral ankle lateral view plain radiographs were taken for comparison of the Bohler and Gissane angles. Both groups of patients were assessed by the Maryland Foot Score (MFS) and the SF-36v2 general health survey questionnaire. The ability of the patients to perform activity of daily living (ADL) and /or return to work (RTW) was assessed as well. Results: The operative treatment group of displaced IACF patients achieved no significant better scores in the mean MFS and SF-36v2 mean scores as compared to non operated cases. There was no difference in RTW between the 2 groups, but earlier ADL was recorded in the operated group. However, this study had found 5 associated factors which causes major effect to the patients’ outcome to treatment. Conclusions: The patient’s compliance with post-operative rehabilitation regimen were found to be significantly related with the outcomes. PMID:28611903

  2. Do surgeons and surgical facilities disturb the clean air distribution close to a surgical patient in an orthopedic operating room with laminar airflow?

    PubMed

    Cao, Guangyu; Storås, Madeleine C A; Aganovic, Amar; Stenstad, Liv-Inger; Skogås, Jan Gunnar

    2018-05-04

    Airflow distribution in the operating room plays an important role in ensuring a clean operating microenvironment and preventing surgical site infections (SSIs) caused by airborne contaminations. The objective of this study was to characterize the airflow distribution in proximity to a patient in an orthopedic operating room. Experimental measurements were conducted in a real operating room at St. Olav's Hospital, Norway, with a laminar airflow system. Omnidirectional anemometers were used to investigate the air distribution in the operating zone, and 4 different cases were examined with a real person and a thermal manikin. This study showed that the downward airflow from the laminar airflow system varies in each case with different surgical arrangement, such as the position of the operating lamp. The results indicate that the interaction of thermal plumes from a patient and the downward laminar airflow may dominate the operating microenvironment. The airflow distribution in proximity to a patient is influenced by both the surgical facility and the presence of medical staff. A thermal manikin may be an economical and practical way to study the interaction of thermal plumes and downward laminar airflow. The provision of higher clean airflow rate in the operating microenvironment may be an effective way to prevent the development of SSIs caused by indoor airborne contamination. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  3. Analysis of operational requirements for medium density air transportation. Volume 1: Summary

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The medium density air travel market was studied to determine the aircraft design and operational requirements. The impact of operational characteristics on the air travel system and the economic viability of the study aircraft were also evaluated. Medium density is defined in terms of numbers of people transported (20 to 500 passengers per day on round trip routes), and frequency of service ( a minumium of two and maximum of eight round trips per day) for 10 regional carriers. The operational characteristics of aircraft best suited to serve the medium density air transportation market are determined and a basepoint aircraft is designed from which tradeoff studies and parametric variations could be conducted. The impact of selected aircraft on the medium density market, economics, and operations is ascertained. Research and technology objectives for future programs in medium density air transportation are identified and ranked.

  4. Study on the steady operating state of a micro-pulse electron gun.

    PubMed

    Kui, Zhou; Xiangyang, Lu; Shengwen, Quan; Jifei, Zhao; Xing, Luo; Ziqin, Yang

    2014-09-01

    Micro-pulse electron gun (MPG) employs the basic concept of multipacting to produce high-current and short-pulse electron beams from a radio-frequency (RF) cavity. The concept of MPG has been proposed for more than two decades. However, the unstable operating state of MPG vastly obstructs its practical applications. This paper presents a study on the steady operating state of a micro-pulse electron gun with theory and experiments. The requirements for the steady operating state are proposed through the analysis of the interaction between the RF cavity and the beam load. Accordingly, a MPG cavity with the frequency of 2856 MHz has been designed, constructed, and tested. Some primary experiments have been finished. Both the unstable and stable operating states of the MPG have been observed. The stable output beam current has been detected at about 3.8 mA. Further experimental study is under way now.

  5. Practical Study for the Properties of Hueckel Edge Detection Operator

    NASA Astrophysics Data System (ADS)

    Jabbar, Hameed M. Abdul; Hatem, Amal J.; Ameer, Inbethaq M. A. Abdul

    2018-05-01

    The first practical study for the Hueckel edge detection operator was presented in this research, where it is tested on standard step edge set images. A number of criteria were adopted to evaluate its practical performance, which is the accuracy in detecting the edges direction, the error in the edges location (dislocation), edges width, the calculated edge goodness criterion and the consumed execution time. These criteria were studied with the edge direction and the used disk radius of the Hueckel edge detection operator. Important notes were recorded for the performance of this operator depending on the direction of the edge and/or with the radius of the used disk. There is a variation in the performance of the operator in terms of precision in detecting of the edges direction and position. A discussion was presented for the all criteria adopted in the research.

  6. The role of non-operating income in community benefit provision by not-for-profit hospitals.

    PubMed

    Song, Paula H; McCullough, Jeffrey S; Reiter, Kristin L

    2013-01-01

    Not-for-profit hospitals are under increased public scrutiny for providing what some view as insufficient levels of community benefit compared to their tax-exempt benefits. One potential driver of community benefit is financial surplus, which arises from both patient care (operating) activities and non-patient care (non-operating) activities. This study addresses the effect of hospitals' non-operating income on not-for-profit hospitals' provision of community benefit. The study sample includes 217 unique not-for-profit, non-governmental, general, acute care hospitals in California between 1997 and 2010 that filed annual reports with the California Office of Statewide Health Planning and Development (OSHPD). We model the effect of hospitals' operating and non-operating incomes on hospitals' community benefit, controlling for observable hospital characteristics such as scale and system membership, local competition, time trends, and hospital fixed effects. Our results indicate that non-operating income has no effect on levels of community benefit provided by not-for-profit hospitals. This finding suggests that not-for-profit hospitals budget for uncompensated care at levels that are prioritized over other potential investments if non-operating income falls, but remain fixed if non-operating income rises.

  7. Operational Maneuver: Function or Fiction?

    DTIC Science & Technology

    1996-02-12

    characteristics of Vego’s operational functions. Although Schroedel’s model was constructed for the art and science of operational maneuver, his model...Schroedel, Joseph. "The Art and Science of operational Maneuver. " Fort Leavenworth, Kansas, SAMS Monograph, 1988, p. 5. 3 U.S. Joint Chiefs of Staff...Important Than Others? Ft. Leavenworth, Kansas: Study, 1986. Schroedel, Joseph. "The Art and Science of Operational Maneuver." Ft. Leavenworth, Kansas: SAMS

  8. Strike Operations: Contingency Operations with Light-Heavy-Special Operations Forces.

    DTIC Science & Technology

    1991-06-07

    based on actual training exercises and contingency operations conducted by light, heavy, and SOF elements. This study concludes that light, heavy and... based on balanced develcopnt, security, neutralization and mobilization. The host goverrnmt inplements social, econcmic, and political programs which...as a mixed force. The doctrine, tactics, and techniques are applied to a likely contingency scenerio of a "Strike Operation" to provide a base model

  9. A Bayesian model averaging method for the derivation of reservoir operating rules

    NASA Astrophysics Data System (ADS)

    Zhang, Jingwen; Liu, Pan; Wang, Hao; Lei, Xiaohui; Zhou, Yanlai

    2015-09-01

    Because the intrinsic dynamics among optimal decision making, inflow processes and reservoir characteristics are complex, functional forms of reservoir operating rules are always determined subjectively. As a result, the uncertainty of selecting form and/or model involved in reservoir operating rules must be analyzed and evaluated. In this study, we analyze the uncertainty of reservoir operating rules using the Bayesian model averaging (BMA) model. Three popular operating rules, namely piecewise linear regression, surface fitting and a least-squares support vector machine, are established based on the optimal deterministic reservoir operation. These individual models provide three-member decisions for the BMA combination, enabling the 90% release interval to be estimated by the Markov Chain Monte Carlo simulation. A case study of China's the Baise reservoir shows that: (1) the optimal deterministic reservoir operation, superior to any reservoir operating rules, is used as the samples to derive the rules; (2) the least-squares support vector machine model is more effective than both piecewise linear regression and surface fitting; (3) BMA outperforms any individual model of operating rules based on the optimal trajectories. It is revealed that the proposed model can reduce the uncertainty of operating rules, which is of great potential benefit in evaluating the confidence interval of decisions.

  10. Intelligent control for modeling of real-time reservoir operation, part II: artificial neural network with operating rule curves

    NASA Astrophysics Data System (ADS)

    Chang, Ya-Ting; Chang, Li-Chiu; Chang, Fi-John

    2005-04-01

    To bridge the gap between academic research and actual operation, we propose an intelligent control system for reservoir operation. The methodology includes two major processes, the knowledge acquired and implemented, and the inference system. In this study, a genetic algorithm (GA) and a fuzzy rule base (FRB) are used to extract knowledge based on the historical inflow data with a design objective function and on the operating rule curves respectively. The adaptive network-based fuzzy inference system (ANFIS) is then used to implement the knowledge, to create the fuzzy inference system, and then to estimate the optimal reservoir operation. To investigate its applicability and practicability, the Shihmen reservoir, Taiwan, is used as a case study. For the purpose of comparison, a simulation of the currently used M-5 operating rule curve is also performed. The results demonstrate that (1) the GA is an efficient way to search the optimal input-output patterns, (2) the FRB can extract the knowledge from the operating rule curves, and (3) the ANFIS models built on different types of knowledge can produce much better performance than the traditional M-5 curves in real-time reservoir operation. Moreover, we show that the model can be more intelligent for reservoir operation if more information (or knowledge) is involved.

  11. Study of short-haul aircraft operating economics, volume 1

    NASA Technical Reports Server (NTRS)

    1975-01-01

    A short-haul air transportation operating cost model is developed. The effect is identified of such factors as level of service provided, traffic density of the market, stage length, number of flight cycles, level of automation, as well as aircraft type and other operational factors on direct and indirect operating costs.

  12. The Squeezing Operator and the Squeezing States of Superspace

    NASA Technical Reports Server (NTRS)

    Aiqun, Ma; Changzhi, Yan; Qiquang, Lu; Weichun, Shi

    1996-01-01

    In this paper ,the unitary squeezing operator of 'superspace' is introduced and by making this operator act on the supercoherent state, the squeezing supercoherent states are obtained, then come out the four orthonormalization eigenstates of the square of annihilation operator A of the supersymmetry harmonic oscillator, and their squeezing character is also studied.

  13. The Factor Structure of Concrete and Formal Operations: A Confirmation of Piaget.

    ERIC Educational Resources Information Center

    Gray, William M.

    Piaget has hypothesized that concrete and formal operations can be described by specific logical models. The present study focused on assessing various aspects of four concrete operational groupings and two variations of two formal operational characteristics. Six hundred twenty-two 9-14 year old students participating in the Human Sciences…

  14. Analysis of operational requirements for medium density air transportation, volume 2

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The medium density air travel market is examined and defined in terms of numbers of people transported per route per day and frequency of service. The operational characteristics for aircraft to serve this market are determined and a basepoint aircraft is designed from which tradeoff studies and parametric variations can be conducted. The impact of the operational characteristics on the air travel system is evaluated along with the economic viability of the study aircraft. Research and technology programs for future study consideration are identified.

  15. Study of alternate methods of disposal of propellants and gases at KSC

    NASA Technical Reports Server (NTRS)

    Moore, W. I.

    1970-01-01

    A comprehensive study was conducted at KSC launch support facilities to determine the nature and extent of potential hazards from propellant and gas releases to the environment. The results of the study, alternate methods for reducing or eliminating the hazards, and recommendations pertaining to these alternatives are presented. The operational modes of the propellant or hazardous gas systems considered include: system charging, system standby, system operation, and post-test operations. The results are outlined on an area-by-area basis.

  16. The impact of intra-operative interruptions on surgeons' perceived workload: an observational study in elective general and orthopedic surgery.

    PubMed

    Weigl, Matthias; Antoniadis, Sophia; Chiapponi, Costanza; Bruns, Christiane; Sevdalis, Nick

    2015-01-01

    Surgeons' intra-operative workload is critical for effective and safe surgical performance. Detrimental conditions in the operating room (OR) environment may add to perceived workload and jeopardize surgical performance and outcomes. This study aims to evaluate the impact of different intra-operative workflow interruptions on surgeons' capacity to manage their workload safely and efficiently. This was an observational study of intra-operative interruptions and self-rated workload in two surgical specialties (general, orthopedic/trauma surgery). Intra-operative interruptions were assessed via expert observation using a well-validated observation tool. Surgeons, nurses, and anesthesiologists assessed their intra-operative workload directly after case completion based on three items of the validated Surgery Task Load Index (mental demand, situational stress, distraction). A total of 56 elective cases (35 open, 21 laparoscopic) with 94 workload ratings were included. Mean intra-operative duration was 1 h 37 min. Intra-operative interruptions were on average observed 9.78 times per hour. People who entered/exited the OR (30.6 %) as well as telephone-/beeper-related disruptions (23.6 %) occurred most often. Equipment and OR environment-related interruptions were associated with highest interference with team functioning particularly in laparoscopic procedures. After identifying task and procedural influences, partial correlational analyses revealed that case-irrelevant communications were negatively associated with surgeons' mental fatigue and situational stress, whereas surgeons' reported distraction was increased by case-irrelevant communication and procedural disruptions. OR nurses' and anesthesiologists' perceived workload was also related to intra-operative interruption events. Our study documents the unique contribution of different interruptions on surgeons' workload; whereas case-irrelevant communications may be beneficial for mental fatigue and stress in routine cases, procedural interruptions and case-irrelevant communication may contribute to surgeons' mental focus deteriorating. Well-designed OR environments, surgical leadership, and awareness can help to control unnecessary interruptions for effective and safe surgical care.

  17. Traffic signal preemption for emergency vehicles : a cross-cutting study : putting the "first" in "first response"

    DOT National Transportation Integrated Search

    2006-01-01

    This cross-cutting study identifies issues associated with emergency vehicle operations and emergency vehicle preemption. This study reports information gathered during a review of publications and site visits to three jurisdictions operating emergen...

  18. Predicting target vessel location on robot-assisted coronary artery bypass graft using CT to ultrasound registration

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

    Cho, Daniel S.; Linte, Cristian; Chen, Elvis C. S.

    Purpose: Although robot-assisted coronary artery bypass grafting (RA-CABG) has gained more acceptance worldwide, its success still depends on the surgeon's experience and expertise, and the conversion rate to full sternotomy is in the order of 15%-25%. One of the reasons for conversion is poor pre-operative planning, which is based solely on pre-operative computed tomography (CT) images. In this paper, the authors propose a technique to estimate the global peri-operative displacement of the heart and to predict the intra-operative target vessel location, validated via both an in vitro and a clinical study. Methods: As the peri-operative heart migration during RA-CABG hasmore » never been reported in the literatures, a simple in vitro validation study was conducted using a heart phantom. To mimic the clinical workflow, a pre-operative CT as well as peri-operative ultrasound images at three different stages in the procedure (Stage{sub 0}--following intubation; Stage{sub 1}--following lung deflation; and Stage{sub 2}--following thoracic insufflation) were acquired during the experiment. Following image acquisition, a rigid-body registration using iterative closest point algorithm with the robust estimator was employed to map the pre-operative stage to each of the peri-operative ones, to estimate the heart migration and predict the peri-operative target vessel location. Moreover, a clinical validation of this technique was conducted using offline patient data, where a Monte Carlo simulation was used to overcome the limitations arising due to the invisibility of the target vessel in the peri-operative ultrasound images. Results: For the in vitro study, the computed target registration error (TRE) at Stage{sub 0}, Stage{sub 1}, and Stage{sub 2} was 2.1, 3.3, and 2.6 mm, respectively. According to the offline clinical validation study, the maximum TRE at the left anterior descending (LAD) coronary artery was 4.1 mm at Stage{sub 0}, 5.1 mm at Stage{sub 1}, and 3.4 mm at Stage{sub 2}. Conclusions: The authors proposed a method to measure and validate peri-operative shifts of the heart during RA-CABG. In vitro and clinical validation studies were conducted and yielded a TRE in the order of 5 mm for all cases. As the desired clinical accuracy imposed by this procedure is on the order of one intercostal space (10-15 mm), our technique suits the clinical requirements. The authors therefore believe this technique has the potential to improve the pre-operative planning by updating peri-operative migration patterns of the heart and, consequently, will lead to reduced conversion to conventional open thoracic procedures.« less

  19. High efficiency endocrine operation protocol: From design to implementation.

    PubMed

    Mascarella, Marco A; Lahrichi, Nadia; Cloutier, Fabienne; Kleiman, Simcha; Payne, Richard J; Rosenberg, Lawrence

    2016-10-01

    We developed a high efficiency endocrine operative protocol based on a mathematical programming approach, process reengineering, and value-stream mapping to increase the number of operations completed per day without increasing operating room time at a tertiary-care, academic center. Using this protocol, a case-control study of 72 patients undergoing endocrine operation during high efficiency days were age, sex, and procedure-matched to 72 patients undergoing operation during standard days. The demographic profile, operative times, and perioperative complications were noted. The average number of cases per 8-hour workday in the high efficiency and standard operating rooms were 7 and 5, respectively. Mean procedure times in both groups were similar. The turnaround time (mean ± standard deviation) in the high efficiency group was 8.5 (±2.7) minutes as compared with 15.4 (±4.9) minutes in the standard group (P < .001). Transient postoperative hypocalcemia was 6.9% (5/72) and 8.3% (6/72) for the high efficiency and standard groups, respectively (P = .99). In this study, patients undergoing high efficiency endocrine operation had similar procedure times and perioperative complications compared with the standard group. The proposed high efficiency protocol seems to better utilize operative time and decrease the backlog of patients waiting for endocrine operation in a country with a universal national health care program. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Stability-based classification for ankle fracture management and the syndesmosis injury in ankle fractures due to a supination external rotation mechanism of injury.

    PubMed

    Pakarinen, Harri

    2012-12-01

    The aim of this thesis was to confirm the utility of stability-based ankle fracture classification in choosing between non-operative and operative treatment of ankle fractures, to determine how many ankle fractures are amenable to non-operative treatment, to assess the roles of the exploration and anatomical repair of the AITFL in the outcome of patients with SER ankle fractures, to establish the sensitivities, specificities and interobserver reliabilities of the hook and intraoperative stress tests for diagnosing syndesmosis instability in SER ankle fractures, and to determine whether transfixation of unstable syndesmosis is necessary in SER ankle fractures. The utility of stability based fracture classification to choose between non-operative and operative treatment was assessed in a retrospective study (1) of 253 ankle fractures in skeletally mature patients, 160 of whom were included in the study to obtain an epidemiological profile in a population of 130,000. Outcome was assessed after a minimum follow-up of two years. The role of AITFL repairs was assessed in a retrospective study (2) of 288 patients with Lauge-Hansen SE4 ankle fractures; the AITFL was explored and repaired in one group (n=165), and a similar operative method was used but the AITFL was not explored in another group (n=123). Outcome was measured with a minimum follow-up of two years. Interobserver reliability of clinical syndesomosis tests (study 3) and the role of syndesmosis transfixation (study 4) were assessed in a prospective study of 140 patients with Lauge-Hansen SE4 ankle fractures. The stability of the distal tibiofibular joint was evaluated by the hook and ER stress tests. Clinical tests were carried out by the main surgeon and assistant, separately, after which a 7.5-Nm standardized ER stress test for both ankles was performed; if it was positive, the patient was randomized to either syndesmosis transfixation (13 patients) or no fixation (11 patients) treatment groups. The sensitivity and specificity of both clinical tests were calculated using the standard 7.5-Nm external rotation stress test as reference. Outcome was assessed after a minimum of one year of follow-up. Olerud-Molander (OM) scoring system, RAND 36-Item Health Survey, and VAS to measure pain and function were used as outcome measures in all studies. In study 1, 85 (53%) fractures were treated operatively using the stability based fracture classification. Non-operatively treated patients reported less pain and better OM (good or excellent 89% vs. 71%) and VAS functional scores compared to operatively treated patients although they experienced more displacement of the distal fibula (0 mm 30% vs. 69%; 0-2 mm 65% vs. 25%) after treatment. No non-operatively treated patients required operative fracture fixation during follow-up. In study 2, AITFL exploration and suture lead to equal functional outcome (OM mean, 77 vs. 73) to no exploration or fixation. In study 3, the hook test had a sensitivity of 0.25 and a specificity of 0.98. The external rotation stress test had a sensitivity of 0.58 and a specificity of 0.9. Both tests had excellent interobserver reliability; the agreement was 99% for the hook test and 98% for the stress test. There was no statistically significant difference in functional scores (OM mean, 79.6 vs. 83.6) or pain between syndesmosis transfixation and no fixation groups (Study 4). Our results suggest that a simple stability-based fracture classification is useful in choosing between non-operative and operative treatment of ankle fractures; approximately half of the ankle fractures can be treated non-operatively with success. Our observations also suggest that relevant syndesmosis injuries are rare in ankle fractures due to an SER mechanism of injury. According to our research, syndesmotic repair or fixation in SER ankle fracture has no influence on functional outcome or pain after minimum one year compared with no fixation.

  1. Operator function modeling: An approach to cognitive task analysis in supervisory control systems

    NASA Technical Reports Server (NTRS)

    Mitchell, Christine M.

    1987-01-01

    In a study of models of operators in complex, automated space systems, an operator function model (OFM) methodology was extended to represent cognitive as well as manual operator activities. Development continued on a software tool called OFMdraw, which facilitates construction of an OFM by permitting construction of a heterarchic network of nodes and arcs. Emphasis was placed on development of OFMspert, an expert system designed both to model human operation and to assist real human operators. The system uses a blackboard method of problem solving to make an on-line representation of operator intentions, called ACTIN (actions interpreter).

  2. Evaluation of potential severe accidents during low power and shutdown operations at Surry, Unit 1: Analysis of core damage frequency from internal events during mid-loop operations, Appendices A--D. Volume 2, Part 2

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

    Chu, T.L.; Musicki, Z.; Kohut, P.

    1994-06-01

    During 1989, the Nuclear Regulatory Commission (NRC) initiated an extensive program to carefully examine the Potential risks during low Power and shutdown operations. The program includes two parallel projects being performed by Brookhaven National Laboratory (BNL) and Sandia National Laboratories (SNL). Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the Plants to be studied. The objectives of the program are to assess the risks of severe accidents initiated during plant operational states other than full power operation and to compare the estimated core damage frequencies, important accident sequences and other qualitative and quantitativemore » results with those accidents initiated during full power operation as assessed in NUREG-1150. The objective of this report is to document the approach utilized in the Surry plant and discuss the results obtained. A parallel report for the Grand Gulf plant is prepared by SNL. This study shows that the core-damage frequency during mid-loop operation at the Surry plant is comparable to that of power operation. We recognize that there is very large uncertainty in the human error probabilities in this study. This study identified that only a few procedures are available for mitigating accidents that may occur during shutdown. Procedures written specifically for shutdown accidents would be useful. This document, Volume 2, Pt. 2 provides appendices A through D of this report.« less

  3. The advantages and disadvantages of centralized control of air power at operational level

    NASA Astrophysics Data System (ADS)

    Arisoy, Uǧur

    2014-05-01

    People do not want to see and hear a war. In today's world, if war is inevitable, the use of air power is seen as the preferable means of conducting operations instead of financially burdensome land battles which are more likely to cause heavy loss of life. The use of Air Power has gained importance in NATO operations in the Post-Cold War era. For example, air power has undertaken a decisive role from the beginning to the end of the operation in Libya. From this point of view, the most important issue to consider is how to direct air power more effectively at operational level. NATO's Core JFAC (Joint Force Air Command) was established in 2012 to control joint air power at operational level from a single center. US had experienced JFAC aproach in the Operation Desert Storm in 1991. UK, France, Germany, Italy and Spain are also directing their air power from their JFAC structures. Joint air power can be directed from a single center at operational level by means of JFAC. JFAC aproach provides complex planning progress of Air Power to be controled faster in a single center. An Air Power with a large number of aircrafts, long range missiles of cutting-edge technology may have difficulties in achieving results unless directed effectively. In this article, directing air power more effectively at operational level has been studied in the framework of directing air power from a single center carried out by SWOT analysis technique. "Directing Air Power at operational level from a single center similar to JFAC-like structure" is compared with "Directing Air Power at operational level from two centers similar to AC (Air Command) + CAOC (Combined Air Operations Center) structure" As a result of this study, it is assessed that directing air power at operational level from a single center would bring effectiveness to the air campaign. The study examines directing air power at operational level. Developments at political, strategic and tactical levels have been ignored.

  4. The prognostic value of pre-operative and post-operative B-type natriuretic peptides in patients undergoing noncardiac surgery: B-type natriuretic peptide and N-terminal fragment of pro-B-type natriuretic peptide: a systematic review and individual patient data meta-analysis.

    PubMed

    Rodseth, Reitze N; Biccard, Bruce M; Le Manach, Yannick; Sessler, Daniel I; Lurati Buse, Giovana A; Thabane, Lehana; Schutt, Robert C; Bolliger, Daniel; Cagini, Lucio; Cardinale, Daniela; Chong, Carol P W; Chu, Rong; Cnotliwy, Miłosław; Di Somma, Salvatore; Fahrner, René; Lim, Wen Kwang; Mahla, Elisabeth; Manikandan, Ramaswamy; Puma, Francesco; Pyun, Wook B; Radović, Milan; Rajagopalan, Sriram; Suttie, Stuart; Vanniyasingam, Thuvaraha; van Gaal, William J; Waliszek, Marek; Devereaux, P J

    2014-01-21

    The objective of this study was to determine whether measuring post-operative B-type natriuretic peptides (NPs) (i.e., B-type natriuretic peptide [BNP] and N-terminal fragment of proBNP [NT-proBNP]) enhances risk stratification in adult patients undergoing noncardiac surgery, in whom a pre-operative NP has been measured. Pre-operative NP concentrations are powerful independent predictors of perioperative cardiovascular complications, but recent studies have reported that elevated post-operative NP concentrations are independently associated with these complications. It is not clear whether there is value in measuring post-operative NP when a pre-operative measurement has been done. We conducted a systematic review and individual patient data meta-analysis to determine whether the addition of post-operative NP levels enhanced the prediction of the composite of death and nonfatal myocardial infarction at 30 and ≥180 days after surgery. Eighteen eligible studies provided individual patient data (n = 2,179). Adding post-operative NP to a risk prediction model containing pre-operative NP improved model fit and risk classification at both 30 days (corrected quasi-likelihood under the independence model criterion: 1,280 to 1,204; net reclassification index: 20%; p < 0.001) and ≥180 days (corrected quasi-likelihood under the independence model criterion: 1,320 to 1,300; net reclassification index: 11%; p = 0.003). Elevated post-operative NP was the strongest independent predictor of the primary outcome at 30 days (odds ratio: 3.7; 95% confidence interval: 2.2 to 6.2; p < 0.001) and ≥180 days (odds ratio: 2.2; 95% confidence interval: 1.9 to 2.7; p < 0.001) after surgery. Additional post-operative NP measurement enhanced risk stratification for the composite outcomes of death or nonfatal myocardial infarction at 30 days and ≥180 days after noncardiac surgery compared with a pre-operative NP measurement alone. Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  5. Prospective Study of the Use of Intraoperative Neuromonitoring in Determining Post-Operative Energy Requirements and Physiologic Midline in Spinal Cord Stimulation.

    PubMed

    Collison, Claire; Prusik, Julia; Paniccioli, Steven; Briotte, Michael; Grey, Rachael; Feustel, Paul; Pilitsis, Julie G

    2017-08-01

    Intraoperative neuromonitoring (IONM) through electromyography (EMG) studies has been shown to be a safe, effective way to determine the laterality of the spinal cord and guide electrode placement during spinal cord stimulation (SCS). However, the use of IONM to predict post-operative energy requirements and midline has not been examined and offers a new avenue to streamline programming and device selection. Further, the impact of cerebrospinal fluid (CSF) thickness on intraoperative and post-operative amplitudes is understood but has not been explicitly characterized. A total of 24 patients undergoing SCS implantation for chronic pain had intraoperative EMG studies performed to determine physiologic midline. The intraoperative midline was compared to the midline determined on post-operative day 1 based on paresthesia patterns during programming. For patients who had thoracic leads placed, the amplitudes needed to induce abdominal and extremity lateralization during SCS placement were compared with the intensities needed to induce therapy at post-operative day 1. Additionally, we examined whether CSF thickness, body mass index, diabetes, drug use, and smoking correlated with intraoperative and post-operative amplitudes. Intraoperative EMG was able to predict post-operative paresthesia-based midline in 70.83% of patients. There was a statistically significant relationship between the intraoperative intensity needed to induce extremity lateralization with the post-operative intensity to induce therapy (p = 0.009) as well as the intraoperative intensity needed to stimulate abdominals with the post-operative intensity (p = 0.033). There was also a relationship seen between CSF thickness and the post-operative energy requirements in patients (p = 0.039). EMG accurately predicts post-operative energy requirements and midline in SCS patients. While 29.17% of patients did not have a match between their intraoperative and post-operative midlines, EMG testing was still valuable in guiding electrode placement and providing information to predict post-operative intensities. Additionally, CSF thickness correlated with amplitude settings on the first post-operative day. © 2017 International Neuromodulation Society.

  6. A posteriori operation detection in evolving software models

    PubMed Central

    Langer, Philip; Wimmer, Manuel; Brosch, Petra; Herrmannsdörfer, Markus; Seidl, Martina; Wieland, Konrad; Kappel, Gerti

    2013-01-01

    As every software artifact, also software models are subject to continuous evolution. The operations applied between two successive versions of a model are crucial for understanding its evolution. Generic approaches for detecting operations a posteriori identify atomic operations, but neglect composite operations, such as refactorings, which leads to cluttered difference reports. To tackle this limitation, we present an orthogonal extension of existing atomic operation detection approaches for detecting also composite operations. Our approach searches for occurrences of composite operations within a set of detected atomic operations in a post-processing manner. One major benefit is the reuse of specifications available for executing composite operations also for detecting applications of them. We evaluate the accuracy of the approach in a real-world case study and investigate the scalability of our implementation in an experiment. PMID:23471366

  7. Some series of intuitionistic fuzzy interactive averaging aggregation operators.

    PubMed

    Garg, Harish

    2016-01-01

    In this paper, some series of new intuitionistic fuzzy averaging aggregation operators has been presented under the intuitionistic fuzzy sets environment. For this, some shortcoming of the existing operators are firstly highlighted and then new operational law, by considering the hesitation degree between the membership functions, has been proposed to overcome these. Based on these new operation laws, some new averaging aggregation operators namely, intuitionistic fuzzy Hamacher interactive weighted averaging, ordered weighted averaging and hybrid weighted averaging operators, labeled as IFHIWA, IFHIOWA and IFHIHWA respectively has been proposed. Furthermore, some desirable properties such as idempotency, boundedness, homogeneity etc. are studied. Finally, a multi-criteria decision making method has been presented based on proposed operators for selecting the best alternative. A comparative concelebration between the proposed operators and the existing operators are investigated in detail.

  8. Meta-analysis of pre-operative magnetic resonance imaging (MRI) and surgical treatment for breast cancer.

    PubMed

    Houssami, Nehmat; Turner, Robin M; Morrow, Monica

    2017-09-01

    Although there is no consensus on whether pre-operative MRI in women with breast cancer (BC) benefits surgical treatment, MRI continues to be used pre-operatively in practice. This meta-analysis examines the association between pre-operative MRI and surgical outcomes in BC. A systematic review was performed to identify studies reporting quantitative data on pre-operative MRI and surgical outcomes (without restriction by type of surgery received or type of BC) and using a controlled design. Random-effects logistic regression calculated the pooled odds ratio (OR) for each surgical outcome (MRI vs. no-MRI groups), and estimated ORs stratified by study-level age. Subgroup analysis was performed for invasive lobular cancer (ILC). Nineteen studies met eligibility criteria: 3 RCTs and 16 comparative studies that included newly diagnosed BC of any type except for three studies restricted to ILC. Primary analysis (85,975 subjects) showed that pre-operative MRI was associated with increased odds of receiving mastectomy [OR 1.39 (1.23, 1.57); p < 0.001]; similar findings were shown in analyses stratified by study-level median age. Secondary analyses did not find statistical evidence of an effect of MRI on the rates of re-excision, re-operation, or positive margins; however, MRI was significantly associated with increased odds of receiving contralateral prophylactic mastectomy [OR 1.91 (1.25, 2.91); p = 0.003]. Subgroup analysis for ILC did not find any association between MRI and the odds of receiving mastectomy [OR 1.00 (0.75, 1.33); p = 0.988] or the odds of re-excision [OR 0.65 (0.35, 1.24); p = 0.192]. Pre-operative MRI is associated with increased odds of receiving ipsilateral mastectomy and contralateral prophylactic mastectomy as surgical treatment in newly diagnosed BC patients.

  9. Distributed Systems: Interconnection and Fault Tolerance Studies

    DTIC Science & Technology

    1992-01-01

    real - time operating system , a number of new techniques have to be...problem is at the heart of a successful implementation of a real - time operating system in a distributed environment. Our studies of the issues...land, College Park MD 20742, January 1991. [i1] 6 lafur Gudmundsson, Daniel Moss6, Ashok K. Agrawala, and Satish K. Tripathi. MARUTI a hard real - time operating system .

  10. Day to Day Operations of Home School Families: Selecting from a Menu of Educational Choices to Meet Students' Individual Instructional Needs

    ERIC Educational Resources Information Center

    Anthony, Kenneth V.; Burroughs, Susie

    2012-01-01

    This study examined the day to day operations of home schools. The case study method was used with four families from a larger pool of families that held membership in a home school organization. Data was gathered using interviews, observations, and artifacts. Findings suggest that these families operated their home schools using traditional…

  11. Fostering Positive Peer Relations in the Primary Classroom through Circle Time and Co-Operative Games

    ERIC Educational Resources Information Center

    Mary, Latisha

    2014-01-01

    The aim of this study was to investigate the role of co-operative games and circle time activities in fostering positive peer relations in two French Primary classrooms (N = 40). It presents French teachers' and pupils' perceptions of a set of co-operative games and circle time activities implemented within a year long study on personal, social…

  12. Initial Costs vs. Operational Costs. A Study of Building Improvement Projects in Fourteen Schools in the School District of Greenville County, South Carolina.

    ERIC Educational Resources Information Center

    Chan, Tak Cheung

    To determine whether initial facility improvement costs were paid back by the reduced operational costs resulting from the improvement projects, this study examined the relationship between initial costs and operational costs of fourteen school buildings improved during the 1978-79 school year in Greenville County, South Carolina. With energy…

  13. Pre-K-8 Prospective Teachers' Understanding of Fractions: An Extension of Fractions Schemes and Operations Research

    ERIC Educational Resources Information Center

    Lovin, LouAnn H.; Stevens, Alexis L.; Siegfried, John; Wilkins, Jesse L. M.; Norton, Anderson

    2018-01-01

    In an effort to expand our knowledge base pertaining to pre-K-8 prospective teachers' understanding of fractions, the present study was designed to extend the work on fractions schemes and operations to this population. One purpose of our study was to validate the fractions schemes and operations hierarchy with the pre-K-8 prospective teacher…

  14. Tug fleet and ground operations schedules and controls. Volume 1: Executive summary

    NASA Technical Reports Server (NTRS)

    1975-01-01

    This study presents Tug Fleet and Ground Operations Schedules and Controls plan. This plan was developed and optimized out of a combination of individual Tug program phased subplans, special emphasis studies, contingency analyses and sensitivity analyses. The subplans cover the Tug program phases: (1) Tug operational, (2) Interim Upper Stage (IUS)/Tug fleet utilization, (3) and IUS/Tug payload integration, (4) Tug site activation, (5) IUS/Tug transition, (6) Tug acquisition. Resource requirements (facility, GSE, TSE, software, manpower, logistics) are provided in each subplan, as are appropriate Tug processing flows, active and total IUS and Tug fleet requirements, fleet management and Tug payload integration concepts, facility selection recommendations, site activation and IUS to Tug transition requirements. The impact of operational concepts on Tug acquisition is assessed and the impact of operating Tugs out of KSC and WTR is analyzed and presented showing WTR as a delta. Finally, cost estimates for fleet management and ground operations of the DDT&E and operational phases of the Tug program are given.

  15. Radiology operations: what you don't know could be costing you millions.

    PubMed

    Joffe, Sam; Drew, Donna; Bansal, Manju; Hase, Michael

    2007-01-01

    Rapid growth in advanced imaging procedures has left hospital radiology departments struggling to keep up with demand, resulting in loss of patients to facilities that can offer service more quickly. While the departments appear to be working at full capacity, an operational analysis of over 400 hospital radiology departments in the US by GE Healthcare has determined that, paradoxically, many departments are in fact underutilized and operating for below their potential capacity. While CT cycle time in hospitals that were studied averaged 35 minutes, top performing hospitals operated the same equipment at a cycle time of 15 minutes, yielding approximately double the throughput volume. Factors leading to suboptimal performance include accounting metrics that mask true performance, leadership focus on capital investment rather than operations, under staffing, under scheduling, poorly aligned incentives, a fragmented view of operations, lack of awareness of latent opportunities, and lack of sufficient skills and processes to implement improvements. The study showed how modest investments in radiology operations can dramatically improve access to services and profitability.

  16. Hazard perception and occupational injuries in the welders and lathe machine operators of Rawalpindi and Islamabad.

    PubMed

    Shaikh, M A

    2001-02-01

    To study the prevalence of occupational injuries in the welders and lathe machine operators and their hazard perception. This study was conducted in the welders and lathe machine operators working in the welding and metal working shops in Rawalpindi and Islamabad. A cross-sectional survey was conducted by two trained health interviewers using uniform questionnaire with both close and open-ended questions. Two hundred and eight welders and 104 lathe machine operators were interviewed. Thirty nine (18.7%) welders and 27 (26%) lathe machine operators reported an injury in the past three months, while 63 (30.3%) welders and 76 (73.8%) lathe machine operators reported sustaining an injury in the past twelve months. However, only half of the welders and 31 (29.8%) lathe machine operators believed that their occupation was hazardous for health. For effective public health policy there is a need preventive education and enforcement of safety regulations for the informal occupational sector in Pakistan.

  17. Computational Model of Human and System Dynamics in Free Flight: Studies in Distributed Control Technologies

    NASA Technical Reports Server (NTRS)

    Corker, Kevin M.; Pisanich, Gregory; Lebacqz, J. Victor (Technical Monitor)

    1998-01-01

    This paper presents a set of studies in full mission simulation and the development of a predictive computational model of human performance in control of complex airspace operations. NASA and the FAA have initiated programs of research and development to provide flight crew, airline operations and air traffic managers with automation aids to increase capacity in en route and terminal area to support the goals of safe, flexible, predictable and efficient operations. In support of these developments, we present a computational model to aid design that includes representation of multiple cognitive agents (both human operators and intelligent aiding systems). The demands of air traffic management require representation of many intelligent agents sharing world-models, coordinating action/intention, and scheduling goals and actions in a potentially unpredictable world of operations. The operator-model structure includes attention functions, action priority, and situation assessment. The cognitive model has been expanded to include working memory operations including retrieval from long-term store, and interference. The operator's activity structures have been developed to provide for anticipation (knowledge of the intention and action of remote operators), and to respond to failures of the system and other operators in the system in situation-specific paradigms. System stability and operator actions can be predicted by using the model. The model's predictive accuracy was verified using the full-mission simulation data of commercial flight deck operations with advanced air traffic management techniques.

  18. Prevalence of Colour Vision Anomalies Amongst Dental Professionals and its Effect on Shade Matching of Teeth

    PubMed Central

    Maini, Anuj Paul; Wangoo, Anuj; Singh, Sukhman; Mehar, Damanpreet Kaur

    2017-01-01

    Abstract Introduction The success of a restoration is dependent on accurate shade matching of teeth leading to studies evaluating the factors affecting the perception of shades. Colour vision anomalies including colour blindness have been found to exist in the population and it has been thought to be a potential factor affecting the colour perception ability. Aim The present study was done to evaluate the prevalence of colour vision anomalies and its effect on matching of shades of teeth. Materials and Methods A total of 147 dental professionals were randomly selected for the study and were first tested for visual acuity using the Snellen’s Eye Chart so as to carry on the study with only those operators who had a vision of 6/6. Then, the Ishihara’s colour charts were used to test the operators for colour vision handicap. In the last stage of the study, test for accuracy of shade selection was done using the Vitapan Classical shade guide. The shade guide tabs were covered to avoid bias. Percentage was used to calculate the prevalence of colour vision handicap and its effect on matching of shades of teeth as compared to normal vision, which was evaluated using Chi square test. Results Nineteen operators had colour vision anomalies out of hundred operators and only two operators presented with colour blindness. Colour vision anomaly was more prevalent than colour blindness and it was also found that it was more prevalent in males than females. The difference between the accuracy of shade matching between the operators with normal vision and colour vision defect and operators with normal vision and colour blindness was statistically not significant. Conclusion Colour blindness and colour vision handicap are rare conditions, with the latter being more common in the population. According to our study, it was concluded that no statistically significant difference existed amongst the operators with normal vision and colour vision anomaly or operators with normal vision and colour blindness during the matching of shades of teeth. PMID:28274040

  19. Prognostic significance of electrophysiological tests for facial nerve outcome in vestibular schwannoma surgery.

    PubMed

    van Dinther, J J S; Van Rompaey, V; Somers, T; Zarowski, A; Offeciers, F E

    2011-01-01

    To assess the prognostic significance of pre-operative electrophysiological tests for facial nerve outcome in vestibular schwannoma surgery. Retrospective study design in a tertiary referral neurology unit. We studied a total of 123 patients with unilateral vestibular schwannoma who underwent microsurgical removal of the lesion. Nine patients were excluded because they had clinically abnormal pre-operative facial function. Pre-operative electrophysiological facial nerve function testing (EPhT) was performed. Short-term (1 month) and long-term (1 year) post-operative clinical facial nerve function were assessed. When pre-operative facial nerve function, evaluated by EPhT, was normal, the outcome from clinical follow-up at 1-month post-operatively was excellent in 78% (i.e. HB I-II) of patients, moderate in 11% (i.e. HB III-IV), and bad in 11% (i.e. HB V-VI). After 1 year, 86% had excellent outcomes, 13% had moderate outcomes, and 1% had bad outcomes. Of all patients with normal clinical facial nerve function, 22% had an abnormal EPhT result and 78% had a normal result. No statistically significant differences could be observed in short-term and long-term post-operative facial function between the groups. In this study, electrophysiological tests were not able to predict facial nerve outcome after vestibular schwannoma surgery. Tumour size remains the best pre-operative prognostic indicator of facial nerve function outcome, i.e. a better outcome in smaller lesions.

  20. Relevance of the main postharvest handling operations on the development of brown rot disease on stone fruits.

    PubMed

    Bernat, Maria; Segarra, Joan; Casals, Carla; Teixidó, Neus; Torres, Rosario; Usall, Josep

    2017-12-01

    Brown rot caused by Monilinia spp. is one of the most important postharvest diseases of stone fruit. The aim of this study was to evaluate the relevance of the main postharvest operations of fruit - hydrocooling, cold room, water dump, sorting and cooling tunnel - in the development of M. laxa on peaches and nectarines artificially infected 48, 24 or 2 h before postharvest operations. Commercial hydrocooling operation reduced incidence to 10% in 'Pp 100' nectarine inoculated 2 and 24 h before this operation; however, in 'Fantasia' nectarine incidence was not reduced, although lesion diameter was decreased in all studied varieties. Hydrocooling operation for 10 min and 40 mg L -1 of sodium hypochlorite reduced brown rot incidence by 50-77% in nectarines inoculated 2 h before operation; however, in peach varieties it was not reduced. Water dump operation showed reduction of incidence on nectarine infected 2 h before immersion for 30 s in clean water at 4 °C and 40 mg L -1 sodium hypochlorite; however, in peach varieties it was not reduced. Cold room, sorting and cooling tunnel operation did not reduce brown rot incidence. From all studied handling operations on stone fruit packing houses, hydrocooling is the most relevant in the development of brown rot disease. Duration of the treatment seems to be more important than chlorine concentration. In addition, hydrocooling and water dump were less relevant in peaches than in nectarines. As a general trend, hydrocooling and water dump reduced incidence on fruit with recent infections (2 or 24 h before operation); however, when infections have been established (48 h before operation) diseases were not reduced. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

  1. 23 CFR 450.318 - Transportation planning studies and project development.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Transportation planning studies and project development... § 450.318 Transportation planning studies and project development. (a) Pursuant to section 1308 of the... transportation operator(s) may undertake a multimodal, systems-level corridor or subarea planning study as part...

  2. Irrigation drainage studies of the Angostura Reclamation Unit and the Belle Fourche Reclamation Project, western South Dakota : results of 1994 sampling and comparisons with 1988 data

    USGS Publications Warehouse

    Sando, Steven K.; Williamson, Joyce E.; Dickerson, Kimberly K.; Wesolowski, Edwin A.

    2001-01-01

    The U.S. Department of the Interior started the National Irrigation Water Quality Program in 1985 to identify the nature and extent of irrigation-induced water-quality problems that might exist in the western U.S. The Angostura Reclamation Unit (ARU) and Belle Fourche Reclamation Project (BFRP) in western South Dakota were included as part of this program. The ARU and BFRP reconnaissance studies were initiated in 1988, during below-normal streamflow conditions in both study areas. Surface water, bottom sediment, and fish were resampled in 1994 at selected sites in both study areas during generally near-normal streamflow conditions to compare with 1988 study results. Concentrations of major ions in water for both the ARU and BFRP study areas are high relative to national baseline levels. Major-ion concentrations for both areas generally are lower for 1994 than for 1988, when low-flow conditions prevailed, but ionic proportions are similar between years. For ARU, dissolved-solids concentrations probably increase slightly downstream from Angostura Reservoir; however, the available data sets are insufficient to confidently discern effects of ARU operations on dissolved-solids loading. For BFRP, dissolved-solids concentrations are slightly higher at sites that are affected by irrigation drainage; again, however, the data are inconclusive to determine whether BFRP operations increase dissolved-solids loading. Most trace-element concentrations in water samples for both study areas are similar between 1988 and 1994, and do not show strong relations with discharge. ARU operations probably are not contributing discernible additional loads of trace elements to the Cheyenne River. For BFRP, concentrations of some trace elements are slightly higher at sites downstream from irrigation operations than at a site upstream from irrigation operations. BFRP operations might contribute to trace-element concentrations in the Belle Fourche River, but available data are insufficient to quantify increases. For both study areas, concentrations of several trace elements occasionally exceed National Irrigation Water Quality Program guidelines. Selenium routinely occurs in concentrations that could be problematic at sites upstream and downstream from both study areas. Elevated selenium concentrations at sites upstream from irrigation operations indicate that naturally occurring selenium concentrations are relatively high in and near the study areas. While ARU operations probably do not contribute discernible additional loads of selenium to the Cheyenne River, BFRP operations might contribute additional selenium loads to the Belle Fourche River. Concentrations of most trace elements in bottom sediment, except arsenic and selenium, are similar to typical concentrations for western U.S. soils for both study areas. Bottom-sediment arsenic and selenium (1988) concentrations in both study areas can reach levels that might be of concern; however, there is insufficient information to determine whether irrigation operations contribute to these elevated concentrations. Concentrations of most trace elements in fish in both study areas are less than values known to adversely affect fish or birds, although there are occasional exceedances of established criteria. However, selenium concentrations in fish samples routinely are within the National Irrigation Water Quality Program level of concern, and also commonly exceed the dietary guideline for avian consumers for both study areas. Selenium concentrations in fish samples generally are higher at sites downstream from irrigation operations. For BFRP, arsenic and mercury concentrations are elevated in fish samples from site B-18, which is influenced by mine tailings.

  3. Postoperative outcomes in vedolizumab-treated pediatric patients undergoing abdominal operations for inflammatory bowel disease.

    PubMed

    Lightner, Amy L; Tse, Chung Sang; Potter, D Dean; Moir, Christopher

    2017-10-09

    Recent studies have found vedolizumab to be an independent predictor of increased rates of postoperative complications and surgical site infections (SSIs) in adults with inflammatory bowel disease (IBD), but studies in the pediatric surgical population are lacking. We sought to determine the 30-day postoperative infectious complication rate among pediatric IBD patients who received vedolizumab within 12weeks of a major abdominal operation. A retrospective chart review was performed on pediatric IBD patients who underwent an abdominal operation between 5/20/2014 and 6/1/2017. The study cohort was comprised of pediatric patients (≤18years) who received vedolizumab within 12weeks prior to their abdominal operation. The control cohort was all patients operated on for IBD during the same time on anti-TNF therapy within 12weeks of their abdominal operation. Thirteen pediatric patients (5 female) received vedolizumab within 12weeks of an abdominal operation and 36 patients received anti TNF therapy (20 female). There were no differences in the vedolizumab and anti-TNF therapy with regard to sex, median age of diagnosis or operation, IBD type, body mass index (BMI), smoking status, diabetes mellitus (DM), preoperative serum laboratory values, steroid or immunomodulatory use. The number of biologics previously exposed to was significantly higher in the vedolizumab treated patients (p<0.0001). There were no significant differences in operative characteristics including laparoscopic versus open surgery, construction of an anastomosis, or diversion of an anastomosis. There were also no significant differences found in 30-day postoperative complications including nonsurgical site infections (SSIs), all SSIs, small bowel obstruction (SBO)/ileus, hospital readmission, or return to the operating room (ROR). There were four RORs in total: one in the vedolizumab group was for a missed enterotomy and stoma revision; three in the anti-TNF cohort were for ileostomy revisions. None of the thirteen pediatric patients who received vedolizumab within 12weeks of an abdominal operation experienced a 30-day postoperative SSI or non SSI infectious complication, suggesting that vedolizumab is safe in the perioperative period for pediatric patients with IBD. Owing to the small sample size, future study, perhaps multi-institutional, will be important to confirm these findings. Retrospective comparative study, Level III. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Predictors of operating room extubation in adult cardiac surgery.

    PubMed

    Subramaniam, Kathirvel; DeAndrade, Diana S; Mandell, Daniel R; Althouse, Andrew D; Manmohan, Rajan; Esper, Stephen A; Varga, Jeffrey M; Badhwar, Vinay

    2017-11-01

    The primary objective of the study was to identify perioperative factors associated with successful immediate extubation in the operating room after adult cardiac surgery. The secondary objective was to derive a simplified predictive scoring system to guide clinicians in operating room extubation. All 1518 patients in this retrospective cohort study underwent standardized fast-track cardiac anesthetic protocol during adult cardiac surgery. Perioperative variables between patients who had successful extubation in the operating room versus in the intensive care unit were retrospectively analyzed using both univariate and multivariable logistic regression analyses. A predictive score of successful operating room extubation was constructed from the multivariable results of 800 patients (derivation set), and the scoring system was further tested using a validation set of 398 patients. Younger age, lower body mass index, higher preoperative serum albumin, absence of chronic lung disease and diabetes, less-invasive surgical approach, isolated coronary bypass surgery, elective surgery, and lower doses of intraoperative intravenous fentanyl were independently associated with higher probability of operating room extubation. The extubation prediction score created in a derivation set of patients performed well in the validation set. Patient scores less than 0 had a minimal probability of successful operating room extubation. Operating room extubation was highly predicted with scores of 5 or greater. Perioperative factors that are independently associated with successful operating room extubation after adult cardiac operations were identified, and an operating room extubation prediction scoring system was validated. This scoring system may be used to guide safe operating room extubation after cardiac operations. Copyright © 2017 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  5. NHEXAS PHASE I ARIZONA STUDY--LIST OF STANDARD OPERATING PROCEDURES

    EPA Science Inventory

    This document lists available protocols and SOPs for the NHEXAS Phase I Arizona study. It identifies protocols and SOPs for the following study components: (1) Sample collection and field operations, (2) Sample analysis, (3) General laboratory procedures, (4) Quality Assurance, (...

  6. The Development and Deployment of a Maintenance Operations Safety Survey.

    PubMed

    Langer, Marie; Braithwaite, Graham R

    2016-11-01

    Based on the line operations safety audit (LOSA), two studies were conducted to develop and deploy an equivalent tool for aircraft maintenance: the maintenance operations safety survey (MOSS). Safety in aircraft maintenance is currently measured reactively, based on the number of audit findings, reportable events, incidents, or accidents. Proactive safety tools designed for monitoring routine operations, such as flight data monitoring and LOSA, have been developed predominantly for flight operations. In Study 1, development of MOSS, 12 test peer-to-peer observations were collected to investigate the practicalities of this approach. In Study 2, deployment of MOSS, seven expert observers collected 56 peer-to-peer observations of line maintenance checks at four stations. Narrative data were coded and analyzed according to the threat and error management (TEM) framework. In Study 1, a line check was identified as a suitable unit of observation. Communication and third-party data management were the key factors in gaining maintainer trust. Study 2 identified that on average, maintainers experienced 7.8 threats (operational complexities) and committed 2.5 errors per observation. The majority of threats and errors were inconsequential. Links between specific threats and errors leading to 36 undesired states were established. This research demonstrates that observations of routine maintenance operations are feasible. TEM-based results highlight successful management strategies that maintainers employ on a day-to-day basis. MOSS is a novel approach for safety data collection and analysis. It helps practitioners understand the nature of maintenance errors, promote an informed culture, and support safety management systems in the maintenance domain. © 2016, Human Factors and Ergonomics Society.

  7. Users' demographic profile and quality attributes of bus services: The perspectives of users, operators and local authorities

    NASA Astrophysics Data System (ADS)

    Noh, Nur'Amirah Mhd.; Hamid, Ahmad Hilmy Abd

    2017-10-01

    Bus services that can help meet almost every bus user's needs are the goals of bus operators. Despite such an idealistic view, the operators themselves, users and even the local authorities have been found to hold different views about the quality of service that the bus should deliver. As the users i.e., customers are considered as important stakeholders, understanding their characteristics, profile and pattern is very crucial. To this end, the present study has attempted to gauge the perspectives of all the above-mentioned stakeholders. For the users, a customer satisfaction survey was employed to look into the relative influence of service attributes. In addition, surveys were also administered to bus operators and local authorities to study their perspectives in relation to this matter. 450 randomly selected respondents were surveyed. Identification of the service level was analyzed through the Likert scale whereas the perspectives of the operators and authorities were dealt with through mean value Analysis. Specifically, this study aims to identify the crucial attributes in determining the quality of the bus services. Findings of the study indicated that different attributes were selected by users, operators and authorities, which clearly enlightened the variations of the important attributes in determining the level of bus service quality. In its attempt to compare the service level attributes from three perspectives, this study has helped advance better improvement and strategies for the urban public bus operators and planners, in addition to the authorities in delivering user-friendly bus services by taking into account the local context, user profile and demographic characteristics.

  8. The Development and Deployment of a Maintenance Operations Safety Survey

    PubMed Central

    Langer, Marie; Braithwaite, Graham R.

    2016-01-01

    Objective: Based on the line operations safety audit (LOSA), two studies were conducted to develop and deploy an equivalent tool for aircraft maintenance: the maintenance operations safety survey (MOSS). Background: Safety in aircraft maintenance is currently measured reactively, based on the number of audit findings, reportable events, incidents, or accidents. Proactive safety tools designed for monitoring routine operations, such as flight data monitoring and LOSA, have been developed predominantly for flight operations. Method: In Study 1, development of MOSS, 12 test peer-to-peer observations were collected to investigate the practicalities of this approach. In Study 2, deployment of MOSS, seven expert observers collected 56 peer-to-peer observations of line maintenance checks at four stations. Narrative data were coded and analyzed according to the threat and error management (TEM) framework. Results: In Study 1, a line check was identified as a suitable unit of observation. Communication and third-party data management were the key factors in gaining maintainer trust. Study 2 identified that on average, maintainers experienced 7.8 threats (operational complexities) and committed 2.5 errors per observation. The majority of threats and errors were inconsequential. Links between specific threats and errors leading to 36 undesired states were established. Conclusion: This research demonstrates that observations of routine maintenance operations are feasible. TEM-based results highlight successful management strategies that maintainers employ on a day-to-day basis. Application: MOSS is a novel approach for safety data collection and analysis. It helps practitioners understand the nature of maintenance errors, promote an informed culture, and support safety management systems in the maintenance domain. PMID:27411354

  9. Study of Civil Markets for Heavy-Lift Airships

    NASA Technical Reports Server (NTRS)

    Mettam, P. J.; Hansen, D.; Chabot, C.; Byrne, R.

    1978-01-01

    The civil markets for heavy lift airships (HLAs) were defined by first identifying areas of most likely application. The operational suitability of HLAs for the applications identified were then assessed. The operating economics of HLAs were established and the market size for HLA services estimated by comparing HLA operating and economic characteristics with those of competing modes. The sensitivities of the market size to HLA characteristics were evaluated and the number and sizes of the vehicles required to service the more promising markets were defined. Important characteristics for future HLAs are discussed that were derived from the study of each application, including operational requirements, features enhancing profitability, military compatibility, improved design requirements, approach to entry into service, and institutional implications for design and operation.

  10. Progressive loss of pancreatic function in chronic pancreatitis is delayed by main pancreatic duct decompression. A longitudinal prospective analysis of the modified puestow procedure.

    PubMed Central

    Nealon, W H; Thompson, J C

    1993-01-01

    OBJECTIVE: This study evaluated the effect of operative drainage of the main pancreatic duct (MPD) on functional derangements associated with chronic pancreatitis (CP). SUMMARY BACKGROUND DATA: The author previously reported delayed functional impairment in an evaluation of the impact of operative drainage in patients with CP. The author now reports on a prospective study of 143 patients with this diagnosis. METHODS: Each patient underwent 1) ERCP, 2) the Bentiromide PABA, 3) 72-hour fecal fat test, 4) oral glucose tolerance test (OGTT) and 5) fat meal (LIPOMUL)--stimulated pancreatic polypeptide release (PP). All patients were stratified as mild/moderate (M/M) or severe CP on the basis of a 5-point system that was developed by the author. Patients were studied at 16-month intervals. RESULTS: All 143 patients underwent initial and follow-up evaluations in a mean follow-up of 47.3 months; 83 of 143 patients had M/M grade at initial evaluation. Eighty-seven patients underwent (MPD) decompression to relieve abdominal pain. In a separate prospective 17 patients with a diagnosis of CP, a grade of M/M and non-disabling abdominal pain were randomized to operative or non-operative treatment; 9 of these randomized patients were operated upon and 8 were not. No patient improved their grade during follow-up; 47 of 83 M/M patients had operative drainage and 36 did not. This grade was preserved in 41 of 47 (87%) operated patients but in only 8 of the 36 non-operated patients (22%). In the randomized trial, seven of nine operated patients retained their functional status in follow-up, whereas only two of eight patients (25%) randomized to non-operation preserved their functional grade. CONCLUSIONS: These data in this large study as well as among a previous randomized sample, support a policy of early operative drainage before the development of irreversible functional impairment in patients with chronic pancreatitis and associated dilation of the main pancreatic duct. PMID:8489308

  11. Which Kind of Provider’s Operation Volumes Matters? Associations between CABG Surgical Site Infection Risk and Hospital and Surgeon Operation Volumes among Medical Centers in Taiwan

    PubMed Central

    Yu, Tsung-Hsien; Tung, Yu-Chi; Chung, Kuo-Piao

    2015-01-01

    Background Volume-infection relationships have been examined for high-risk surgical procedures, but the conclusions remain controversial. The inconsistency might be due to inaccurate identification of cases of infection and different methods of categorizing service volumes. This study takes coronary artery bypass graft (CABG) surgical site infections (SSIs) as an example to examine whether a relationship exists between operation volumes and SSIs, when different SSIs case identification, definitions and categorization methods of operation volumes were implemented. Methods A population-based cross-sectional multilevel study was conducted. A total of 7,007 patients who received CABG surgery between 2006 and 2008 from19 medical centers in Taiwan were recruited. SSIs associated with CABG surgery were identified using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9 CM) codes and a Classification and Regression Trees (CART) model. Two definitions of surgeon and hospital operation volumes were used: (1) the cumulative CABG operation volumes within the study period; and (2) the cumulative CABG operation volumes in the previous one year before each CABG surgery. Operation volumes were further treated in three different ways: (1) a continuous variable; (2) a categorical variable based on the quartile; and (3) a data-driven categorical variable based on k-means clustering algorithm. Furthermore, subgroup analysis for comorbidities was also conducted. Results This study showed that hospital volumes were not significantly associated with SSIs, no matter which definitions or categorization methods of operation volume, or SSIs case identification approaches were used. On the contrary, the relationships between surgeon’s volumes varied. Most of the models demonstrated that the low-volume surgeons had higher risk than high-volume surgeons. Conclusion Surgeon volumes were more important than hospital volumes in exploring the relationship between CABG operation volumes and SSIs in Taiwan. However, the relationships were not robust. Definitions and categorization methods of operation volume and correct identification of SSIs are important issues for future research. PMID:26053035

  12. A description of morbidly obese state employees requesting a bariatric operation.

    PubMed

    Martin, Louis F; Lundberg, Anna Paone; Juneau, Francine; Raum, William J; Hartman, Sandra J

    2005-10-01

    The federal government, the medical insurance industry, and the academic medical community have disagreed over what treatments are appropriate and cost effective for morbid obesity. This debate is hindered by inadequate data regarding the true costs of diseases and who chooses an operation as a treatment option. The purpose of this study was to obtain these costs and to describe this population. Louisiana's managed medical insurance program created primarily for its civil service employees contracted to offer a small random group of morbidly obese employees the option of a bariatric operation. This observational study examined the subpopulation who requested consideration for the operation. We present historic cost data from all medical expenses paid by the insurance company, a telephone survey of the volunteers in the study to determine their medical problems, and diagnostic evaluation data on those employees randomized to proceed for possible bariatric operation. A total of 911 of 189,398 adult members of the insurance plan wanted to be considered for this study. Only 397, however, completed the informed-consent process. Of the 248 employees who met the age requirement, body mass index criteria, and health criteria to be considered for a bariatric operation and were randomized, 20 withdrew before obtaining 40 committed operative candidates. The 773 morbidly obese female members had used a mean of dollar 11,145 in medical insurance expenses in the year 2003 versus a mean of dollar 8,096 for the other 106,908 adult women. Similar values for the men were dollar 16,720 for the 138 morbidly obese men versus dollar 5,943 for the other 82,490 men. The morbidly obese members of this medical insurance plan who requested a bariatric operation are costing their plan 1.4 to 2.8 times the yearly amount of the other adult members in medical expenses. The yearly mean amount the insurance plan spends on these members suggests that operative treatment would pay for itself in a relatively few number of years if it could significantly reduce these costs. Even in those who consider bariatric operation, many withdraw, further limiting the costs of operative therapy.

  13. Feasibility Analysis of UAV Technology to Improve Tactical Surveillance in South Korea’s Rear Area Operations

    DTIC Science & Technology

    2017-03-01

    determine the optimum required operational capability of the unmanned aerial vehicles to support Korean rear area operations. We use Map Aware Non ...area operations. Through further experimentations and analyses, we were able to find the optimum characteristics of an improved unmanned aerial...operations. We use Map Aware Non -Uniform Automata, an agent-based simulation software platform for computational experiments. The study models a scenario

  14. Music and communication in the operating theatre.

    PubMed

    Weldon, Sharon-Marie; Korkiakangas, Terhi; Bezemer, Jeff; Kneebone, Roger

    2015-12-01

    To observe the extent and the detail with which playing music can impact on communication in the operating theatre. According to the cited sources, music is played in 53-72% of surgical operations performed. Noise levels in the operating theatre already exceed World Health Organisation recommendations. There is currently a divide in opinions on the playing of music in operating theatres, with few studies conducted and no policies or guidance provided. An ethnographic observational study of teamwork in operating theatres through video recordings. Quantitative and qualitative data analysis approaches were used. This study was conducted between 2012-2013 in the UK. Video recordings of 20 operations over six months in two operating theatres were captured. The recordings were divided into music and non-music playing cases. Each case was logged using a request/response sequence identified through interactional analysis. Statistical analysis, using a χ(2) , explored the difference between the proportion of request repetitions and whether music was playing or not. Further interactional analysis was conducted for each request repetition. Request/response observations (N = 5203) were documented. A chi-square test revealed that repeated requests were five times more likely to occur in cases that played music than those that did not. A repeated request can add 4-68 seconds each to operation time and increased tensions due to frustration at ineffective communication. Music played in the operating theatre can interfere with team communication, yet is seldom recognized as a potential safety hazard. Decisions around whether music is played and around the choice of music and its volume, are determined largely by surgeons. Frank discussions between clinicians, managers, patients and governing bodies should be encouraged for recommendations and guidance to be developed. © 2015 John Wiley & Sons Ltd.

  15. [Efficacy of antiseptics in the prevention of post-operative infections of the proximal femur, hip and pelvis regions in orthopedic pediatric patients. Analysis of the first results].

    PubMed

    Kokavec, M; Fristáková, M

    2008-04-01

    In orthopedics an infected operative wound always presents a serious complication that, apart from many adverse effects on the patient, increases the costs of therapy. The aim of this study was to analyze the effectiveness of antiseptic agents in the prevention of postoperative complications associated with surgery on the proximal femur, hip and pelvis in children. This prospective randomized study included 162 patients with the following diagnoses: cerebral palsy, developmental hip dysplasia, Perthes' disease, epiphyseolysis of the femoral head, and tumors. A total of 182 surgical procedures were carried out on soft and bone tissues in the proximal femur, hip and pelvis regions. The patients were allocated to two groups according to the intra-operative conditions used. Group 1, including 89 patients, was treated with 3.5 % solution of betadine before final closing of the wound and group 2, comprising 73 patients, received no betadine irrigation during the intraoperative period. The other operative and post-operative conditions provided for the patients were identical; surgery was carried out in one operating theatre without laminar air flow. The average follow-up was 7.8 months (range, 2-14 months). No infected operative wound was observed in group 1, and two superficial wound infections were recorded in group 2. The first results of our study suggest the need of prophylactic intra-operative irrigation of wounds in the hip and pelvis region. Irrigation with a diluted betadine solution is indicated in accord with the risk factors of the patient's diagnosis and the site of surgery, and also when the operative time is longer, there is insufficient protection with single-use surgical toweling, laminar air flow is present in the operating theatre or for other reasons.

  16. Comparative study of vaginal danazol vs diphereline (a synthetic GnRH agonist) in the control of bleeding during hysteroscopic myomectomy in women with abnormal uterine bleeding: a randomized controlled clinical trial.

    PubMed

    Sayyah-Melli, M; Bidadi, S; Taghavi, S; Ouladsahebmadarek, E; Jafari-Shobeiri, M; Ghojazadeh, M; Rahmani, V

    2016-01-01

    To compare the usefulness of vaginal danazol and diphereline in the management of intra-operative bleeding during hysteroscopy. Randomized controlled clinical trial. University hospital. One hundred and ninety participants of reproductive age were enrolled for operative hysteroscopy. Thirty women were excluded from the study. One hundred and sixty participants with submucous myomas were allocated at random to receive either vaginal danazol (200mg BID, 30 days before surgery) or intramuscular diphereline (twice with a 28-day interval). Severity of intra-operative bleeding, clarity of the visual field, volume of media, operative time, success rate for completion of operation and postoperative complications. Overall, 145 patients completed the study. In the danazol group, 78.1% of patients experienced no intra-operative uterine bleeding, and 21.9% experienced mild bleeding. In the diphereline group, 19.4% of patients experienced no intra-operative uterine bleeding, but mild, moderate and severe bleeding was observed in 31.9%, 45.8% and 2.8% of patients, respectively. The difference between the groups was significant (p<0.001). A clear visual field was reported more frequently in the danazol group compared with the diphereline group (98.6% vs 29.2%, p<0.001). The mean operative time was 10.9 min and 10.6 min in the danazol and diphereline groups, respectively (p=0.79). The mean volume of infused media was 2.0L in both groups (p=0.99). The success rate was 100% for both groups with no intra-operative complications. Both vaginal danazol and diphereline were effective in controlling uterine bleeding during operative hysteroscopy. However, vaginal danazol provided a clearer visual field. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  17. Re-operative thyroid surgery: a 20-year prospective cohort study at a tertiary referral centre.

    PubMed

    Hardman, John C; Smith, J A; Nankivell, P; Sharma, N; Watkinson, J C

    2015-06-01

    Re-operative thyroid surgery is a relatively uncommon procedure complicated by distorted anatomy and post-operative tissue changes. Surgery may follow initial benign or malignant pathology. Published outcomes vary widely in the literature. This study aims to report our outcomes from re-operative thyroid surgery. Patient demographics and complication rates for consecutive thyroidectomies performed by a single surgeon at a tertiary centre were collected between 1993 and 2013. Outcomes in re-operative surgery are analysed and compared with local and national data. Cases of re-operative surgery following benign disease are further analysed for histology, re-presenting symptoms and time between procedures. Our cohort comprised 1,657 cases including 164 re-operative procedures (101 malignant, 63 benign). Within our cohort re-operative cases were on average 4 years older (mean 49.9 vs 45.9 years, p = 0.001) and had a higher incidence of haematoma formation (4.3 vs 1.7 %, p = 0.033) and transient recurrent laryngeal nerve palsy (5.5 vs 2.5 %, p = 0.044) compared to primary surgery. Rates of permanent hypocalcaemia (2.4 vs 1.8 %, p = 0.540) and permanent RLN palsy (1.8 vs 0.4 %, p = 0.051) were higher in the re-operative group but did not reach significance. Comparison of complications following re-operation for benign and malignant disease revealed no significant differences. Mean interval to re-operation for benign cases was 17.4 years with 74.6 % found to have multinodular goitre at repeat procedure. Re-operative procedures comprised around 10 % of thyroid surgery at our centre. Re-operative cases experienced more complications than primary surgery but permanent rates were low. Re-operative surgery may therefore be safely considered in experienced hands.

  18. Appendicectomy deferred to a CEPOD list: the patients' opinion.

    PubMed

    Sideso, E; Richards, T; Galland, R B

    2008-08-01

    Implementation of NCEPOD guidelines to avoid out-of-hours operating, Junior doctors' 'New Deal' and EWTD have significantly altered surgical practice. Patients admitted 'out of hours', who need an emergency procedure, are often deferred until the next day. We have attempted to assess patients' opinions of this management plan. Consecutive patients admitted with uncomplicated appendicitis and operation deferred to the next day according to NCEPOD guidelines were studied. A surgeon, other than the one carrying out the initial assessment, performed the operation on a scheduled morning emergency list. A full explanation was given to patients regarding reasons for deferring operation, and they found out that a different surgeon would be performing their operation. Patients completed a questionnaire post-operatively. 42 patients were studied; median age 24 years (range 17-69); 32 men, 10 women. Thirty presented after 6 p.m. and eight after midnight. The remaining four were admitted during the day. Only one third of the patients recalled reasons for deferred operation with seven not remembering being given an explanation. Two thirds (n=27) of the patients slept poorly pre-operatively, principally due to pain (17) and ward noise (10). Operation on the same night as their admission was the preferred option in 24 patients. All of these slept poorly. Some 22 patients would have preferred the admitting surgeon to have performed their operation; 16 expressed no preference. Only four patients preferred a 'new' surgeon the following day. Of the 42 patients, 28 did not know who had performed their operation. Despite being told why their operation was delayed most patients would prefer not to have their procedure delayed. Lack of sleep pre-operatively is a major determinant of patient opinion. Few patients wanted a 'new' surgeon to perform their operation.

  19. Agreement between pre-operative and intra-operative bacteriological samples in 85 chronic peri-prosthetic infections.

    PubMed

    Matter-Parrat, V; Ronde-Oustau, C; Boéri, C; Gaudias, J; Jenny, J-Y

    2017-04-01

    Whether pre-operative microbiological sampling contributes to the management of chronic peri-prosthetic infection remains controversial. We assessed agreement between the results of pre-operative and intra-operative samples in patients undergoing single-stage prosthesis exchange to treat chronic peri-prosthetic infection. Agreement between pre-operative and intra-operative samples exceeds 75% in patients undergoing single-stage exchange of a hip or knee prosthesis to treat chronic peri-prosthetic infection. This single-centre retrospective study included 85 single-stage prosthesis exchange procedures in 82 patients with chronic peri-prosthetic infection at the hip or knee. Agreement between pre-operative and intra-operative sample results was evaluated. Changes to the initial antibiotic regimen made based on the intra-operative sample results were recorded. Of 149 pre-operative samples, 109 yielded positive cultures, in 75/85 cases. Of 452 intra-operative samples, 354 yielded positive cultures, in 85/85 cases. Agreement was complete in 54 (63%) cases and partial in 9 (11%) cases; there was no agreement in the remaining 22 (26%) cases. The complete agreement rate was significantly lower than 75% (P=0.01). The initial antibiotic regimen was inadequate in a single case. Pre-operative sampling may contribute to the diagnosis of peri-prosthetic infection but is neither necessary nor sufficient to confirm the diagnosis and identify the causative agent. The spectrum of the initial antibiotic regimen cannot be safely narrowed based on the pre-operative sample results. We suggest the routine prescription of a probabilistic broad-spectrum antibiotic regimen immediately after the prosthesis exchange, even when a pathogen was identified before surgery. IV, retrospective study. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  20. Parameter Impact on Sharing Studies Between UAS CNPC Satellite Transmitters and Terrestrial Systems

    NASA Technical Reports Server (NTRS)

    Kerczewski, Robert J.; Wilson, Jeffrey D.; Bishop, William D.

    2015-01-01

    In order to provide a control and non-payload communication (CNPC) link for civil-use unmanned aircraft systems (UAS) when operating in beyond-line-of-sight (BLOS) conditions, satellite communication links are generally required. The International Civil Aviation Organization (ICAO) has determined that the CNPC link must operate over protected aviation safety spectrum allocations. Although a suitable allocation exists in the 5030-5091 MHz band, no satellites provide operations in this band and none are currently planned. In order to avoid a very lengthy delay in the deployment of UAS in BLOS conditions, it has been proposed to use existing satellites operating in the Fixed Satellite Service (FSS), of which many operate in several spectrum bands. Regulatory actions by the International Telecommunications Union (ITU) are needed to enable such a use on an international basis, and indeed Agenda Item (AI) 1.5 for the 2015 World Radiocommunication Conference (WRC) was established to decide on the enactment of possible regulatory provisions. As part of the preparation for AI 1.5, studies on the sharing FSS bands between existing services and CNPC for UAS are being contributed by NASA and others. These studies evaluate the potential impact of satellite CNPC transmitters operating from UAS on other in-band services, and on the potential impact of other in-band services on satellite CNPC receivers operating on UAS platforms. Such studies are made more complex by the inclusion of what are essentially moving FSS earth stations, compared to typical sharing studies between fixed elements. Hence, the process of determining the appropriate technical parameters for the studies meets with difficulty. In order to enable a sharing study to be completed in a less-than-infinite amount of time, the number of parameters exercised must be greatly limited. Therefore, understanding the impact of various parameter choices is accomplished through selectivity analyses. In the case of sharing studies for AI 1.5, identification of worst-case parameters allows the studies to be focused on worst-case scenarios with assurance that other parameter combinations will yield comparatively better results and therefore do not need to be fully analyzed. In this paper, the results of such sensitivity analyses are presented for the case of sharing between UAS CNPC satellite transmitters and terrestrial receivers using the Fixed Service (FS) operating in the same bands, and the implications of these analyses on sharing study results.

  1. Container Technology Study : Volume 1. Text.

    DOT National Transportation Integrated Search

    1980-10-01

    This report describes the results of an initial study to assess the technological and operational constraints on the development of a multimodal domestic freight container system. Under this program, the critical technological and operating constrain...

  2. Studies of uranium-sodium suspensions. Part I. Construction and operation of experimental loop

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

    Bett, F L; Hilditch, R J; Mepham, R G

    1961-08-01

    An experimnental uranium- sodium suspension loop was operated for 4320 hr. The design, construction, commissioning, and operation of the loop to the point where a comnplete stable suspension was obtained is described.

  3. Waterworks Operator Training Manual.

    ERIC Educational Resources Information Center

    Missouri Univ., Columbia. Instructional Materials Lab.

    Sixteen self-study waterworks operators training modules are provided. Module titles are the following: basic mathematics, basic chemistry, analysis procedures, microbiology, basic electricity, hydraulics, chlorination, plant operation, surface water, ground water, pumps, cross connections, distribution systems, safety, public relations, and…

  4. Man/Machine Interaction Dynamics And Performance (MMIDAP) capability

    NASA Technical Reports Server (NTRS)

    Frisch, Harold P.

    1991-01-01

    The creation of an ability to study interaction dynamics between a machine and its human operator can be approached from a myriad of directions. The Man/Machine Interaction Dynamics and Performance (MMIDAP) project seeks to create an ability to study the consequences of machine design alternatives relative to the performance of both machine and operator. The class of machines to which this study is directed includes those that require the intelligent physical exertions of a human operator. While Goddard's Flight Telerobotic's program was expected to be a major user, basic engineering design and biomedical applications reach far beyond telerobotics. Ongoing efforts are outlined of the GSFC and its University and small business collaborators to integrate both human performance and musculoskeletal data bases with analysis capabilities necessary to enable the study of dynamic actions, reactions, and performance of coupled machine/operator systems.

  5. The operations manual: a mechanism for improving the research process.

    PubMed

    Bowman, Ann; Wyman, Jean F; Peters, Jennifer

    2002-01-01

    The development and use of an operations manual has the potential to improve the capacity of nurse scientists to address the complex, multifaceted issues associated with conducting research in today's healthcare environment. An operations manual facilitates communication, standardizes training and evaluation, and enhances the development and standard implementation of clear policies, processes, and protocols. A 10-year review of methodology articles in relevant nursing journals revealed no attention to this topic. This article will discuss how an operations manual can improve the conduct of research methods and outcomes for both small-scale and large-scale research studies. It also describes the purpose and components of a prototype operations manual for use in quantitative research. The operations manual increases reliability and reproducibility of the research while improving the management of study processes. It can prevent costly and untimely delays or errors in the conduct of research.

  6. Method for Assessing Impacts of Global Sea Level Rise on Navigation Gate Operations

    NASA Astrophysics Data System (ADS)

    Obrien, P. S.; White, K. D.; Friedman, D.

    2015-12-01

    Coastal navigation infrastructure may be highly vulnerable to changing climate, including increasing sea levels and altered frequency and intensity of coastal storms. Future gate operations impacted by global sea level rise will pose unique challenges, especially for structures 50 years and older. Our approach is to estimate future changes in gate operational frequency based on a bootstrapping method to forecast future water levels. A case study will be presented to determine future changes in frequency of operations over the next 100 years. A statistical model in the R programming language was developed to apply future sea level rise projections using the three sea level rise scenarios prescribed by USACE Engineer Regulation ER 1100-2-8162. Information derived from the case study will help forecast changes in operational costs caused by increased gate operations and inform timing of decisions on adaptation measures.

  7. A Backscatter-Lidar Forward-Operator

    NASA Astrophysics Data System (ADS)

    Geisinger, Armin; Behrendt, Andreas; Wulfmeyer, Volker; Vogel, Bernhard; Mattis, Ina; Flentje, Harald; Förstner, Jochen; Potthast, Roland

    2015-04-01

    We have developed a forward-operator which is capable of calculating virtual lidar profiles from atmospheric state simulations. The operator allows us to compare lidar measurements and model simulations based on the same measurement parameter: the lidar backscatter profile. This method simplifies qualitative comparisons and also makes quantitative comparisons possible, including statistical error quantification. Implemented into an aerosol-capable model system, the operator will act as a component to assimilate backscatter-lidar measurements. As many weather services maintain already networks of backscatter-lidars, such data are acquired already in an operational manner. To estimate and quantify errors due to missing or uncertain aerosol information, we started sensitivity studies about several scattering parameters such as the aerosol size and both the real and imaginary part of the complex index of refraction. Furthermore, quantitative and statistical comparisons between measurements and virtual measurements are shown in this study, i.e. applying the backscatter-lidar forward-operator on model output.

  8. Study on the Preliminary Design of ARGO-M Operation System

    NASA Astrophysics Data System (ADS)

    Seo, Yoon-Kyung; Lim, Hyung-Chul; Rew, Dong-Young; Jo, Jung Hyun; Park, Jong-Uk; Park, Eun-Seo; Park, Jang-Hyun

    2010-12-01

    Korea Astronomy and Space Science Institute has been developing one mobile satellite laser ranging system named as accurate ranging system for geodetic observation-mobile (ARGO-M). Preliminary design of ARGO-M operation system (AOS) which is one of the ARGO-M subsystems was completed in 2009. Preliminary design results are applied to the following development phase by performing detailed design with analysis of pre-defined requirements and analysis of the derived specifications. This paper addresses the preliminary design of the whole AOS. The design results in operation and control part which is a key part in the operation system are described in detail. Analysis results of the interface between operation-supporting hardware and the control computer are summarized, which is necessary in defining the requirements for the operation-supporting hardware. Results of this study are expected to be used in the critical design phase to finalize the design process.

  9. EOS: A project to investigate the design and construction of real-time distributed embedded operating systems

    NASA Technical Reports Server (NTRS)

    Campbell, R. H.; Essick, R. B.; Grass, J.; Johnston, G.; Kenny, K.; Russo, V.

    1986-01-01

    The EOS project is investigating the design and construction of a family of real-time distributed embedded operating systems for reliable, distributed aerospace applications. Using the real-time programming techniques developed in co-operation with NASA in earlier research, the project staff is building a kernel for a multiple processor networked system. The first six months of the grant included a study of scheduling in an object-oriented system, the design philosophy of the kernel, and the architectural overview of the operating system. In this report, the operating system and kernel concepts are described. An environment for the experiments has been built and several of the key concepts of the system have been prototyped. The kernel and operating system is intended to support future experimental studies in multiprocessing, load-balancing, routing, software fault-tolerance, distributed data base design, and real-time processing.

  10. A summary and integration of research concerning single pilot IFR operational problems

    NASA Technical Reports Server (NTRS)

    Chapman, G. C.

    1983-01-01

    A review of seven research studies pertaining to Single Pilot IFR (SPIFR) operations was performed. Two studies were based on questionnaire surveys; two based on National Transportation Safety Board (NTSB) reports; two were based on Aviation Safety Reporting System (ASRS) incident reports, and one report used event analysis and statistics to forecast problems. The results obtained in each study were extracted and integrated. Results were synthesized and key issues pertaining to SPIFR operations problems were identified. The research that was recommended by the studies and that addressed the key issues is catalogued for each key issue.

  11. 2012 JSOU and NDIA SO/LIC Division Essays

    DTIC Science & Technology

    2012-07-01

    University (JSOU) provides its publications to contribute toward expanding the body of knowledge about joint special operations. JSOU publications ...Comments about this publication are invited and should be forwarded to Director, Strategic Studies Department, Joint Special Operations University , 7701...Department of Defense, United States Special Operations Command, or the Joint Special Operations University . Recent Publications of the JSOU Press

  12. The Effectiveness of Structured Co-Operative Teaching and Learning in Greek Primary School Classrooms

    ERIC Educational Resources Information Center

    Kaldi, Stavroula; Filippatou, Diamanto; Anthopoulou, Barbara

    2014-01-01

    This study focuses upon the effectiveness of structured co-operative group work on primary school students, aged between 8.5 and 9.5 years old, regarding their content knowledge, attitudes towards co-operative group work, experiential learning and open-ended curriculum as well as students' social and learning behaviour during co-operative group…

  13. Study of the modifications needed for effective operation NASTRAN on IBM virtual storage computers

    NASA Technical Reports Server (NTRS)

    Mccormick, C. W.; Render, K. H.

    1975-01-01

    The necessary modifications were determined to make NASTRAN operational under virtual storage operating systems (VS1 and VS2). Suggested changes are presented which will make NASTRAN operate more efficiently under these systems. Estimates of the cost and time involved in design, coding, and implementation of all suggested modifications are included.

  14. Autonomy and Sensor Webs: The Evolution of Mission Operations

    NASA Technical Reports Server (NTRS)

    Sherwood, Rob

    2008-01-01

    Demonstration of these sensor web capabilities will enable fast responding science campaigns that combine spaceborne, airborne, and ground assets. Sensor webs will also require new operations paradigms. These sensor webs will be operated directly by scientists using science goals to control their instruments. We will explore these new operations architectures through a study of existing sensor web prototypes.

  15. SMALL CRAFT OPERATION AND NAVIGATION, INSTRUCTOR'S GUIDE.

    ERIC Educational Resources Information Center

    Louisiana State Dept. of Education, Baton Rouge.

    THE MATERIAL IN THIS COURSE IN MARINE NAVIGATION AND SMALL CRAFT OPERATION ON INLAND AND INTERNATIONAL WATERS WAS DEVELOPED BY AN INDIVIDUAL AUTHOR FOR USE IN TRADE SCHOOL PREPARATORY AND EXTENSION CLASSES FOR MALE ADULTS WHO PLAN TO OPERATE BOATS. THE OBJECTIVE IS TO PREPARE THE SMALL BOAT OPERATOR FOR HIS OWN CONTINUATION IN THE STUDY OF…

  16. Deepen the Teaching Reform of Operating System, Cultivate the Comprehensive Quality of Students

    ERIC Educational Resources Information Center

    Liu, Jianjun

    2010-01-01

    Operating system is the core course of the specialty of computer science and technology. To understand and master the operating system will directly affect students' further study on other courses. The course of operating system focuses more on theories. Its contents are more abstract and the knowledge system is more complicated. Therefore,…

  17. Operational requirements for flight control and navigation systems for short haul transport aircraft

    NASA Technical Reports Server (NTRS)

    Morrison, J. A.

    1978-01-01

    To provide a background for evaluating advanced STOL systems concepts, a number of short haul and STOL airline operations in the United States and one operation in Canada were studied. A study of flight director operational procedures for an advanced STOL research airplane, the Augmented Wing Jet STOL Research Airplane, was conducted using the STOLAND simulation facility located at the Ames Changes to the advanced digital flight control system (STOLAND) installed in the Augmentor Wing Airplane are proposed to improve the mode sequencing to simplify pilot procedures and reduce pilot workload.

  18. Extracting important information from Chinese Operation Notes with natural language processing methods.

    PubMed

    Wang, Hui; Zhang, Weide; Zeng, Qiang; Li, Zuofeng; Feng, Kaiyan; Liu, Lei

    2014-04-01

    Extracting information from unstructured clinical narratives is valuable for many clinical applications. Although natural Language Processing (NLP) methods have been profoundly studied in electronic medical records (EMR), few studies have explored NLP in extracting information from Chinese clinical narratives. In this study, we report the development and evaluation of extracting tumor-related information from operation notes of hepatic carcinomas which were written in Chinese. Using 86 operation notes manually annotated by physicians as the training set, we explored both rule-based and supervised machine-learning approaches. Evaluating on unseen 29 operation notes, our best approach yielded 69.6% in precision, 58.3% in recall and 63.5% F-score. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. Operations planning and analysis handbook for NASA/MSFC phase B development projects

    NASA Technical Reports Server (NTRS)

    Batson, Robert C.

    1986-01-01

    Current operations planning and analysis practices on NASA/MSFC Phase B projects were investigated with the objectives of (1) formalizing these practices into a handbook and (2) suggesting improvements. The study focused on how Science and Engineering (S&E) Operational Personnel support Program Development (PD) Task Teams. The intimate relationship between systems engineering and operations analysis was examined. Methods identified for use by operations analysts during Phase B include functional analysis, interface analysis methods to calculate/allocate such criteria as reliability, Maintainability, and operations and support cost.

  20. Airborne cow allergen, ammonia and particulate matter at homes vary with distance to industrial scale dairy operations: an exposure assessment

    PubMed Central

    2011-01-01

    Background Community exposures to environmental contaminants from industrial scale dairy operations are poorly understood. The purpose of this study was to evaluate the impact of dairy operations on nearby communities by assessing airborne contaminants (particulate matter, ammonia, and cow allergen, Bos d 2) associated with dairy operations inside and outside homes. Methods The study was conducted in 40 homes in the Yakima Valley, Washington State where over 61 dairies operate. Results A concentration gradient was observed showing that airborne contaminants are significantly greater at homes within one-quarter mile (0.4 km) of dairy facilities, outdoor Bos d 2, ammonia, and TD were 60, eight, and two times higher as compared to homes greater than three miles (4.8 km) away. In addition median indoor airborne Bos d 2 and ammonia concentrations were approximately 10 and two times higher in homes within one-quarter mile (0.4 km) compared to homes greater than three miles (4.8 km) away. Conclusions These findings demonstrate that dairy operations increase community exposures to agents with known human health effects. This study also provides evidence that airborne biological contaminants (i.e. cow allergen) associated with airborne particulate matter are statistically elevated at distances up to three miles (4.8 km) from dairy operations. PMID:21838896

  1. Is Operative Treatment of Achilles Tendon Ruptures Superior to Nonoperative Treatment?

    PubMed Central

    Erickson, Brandon J.; Mascarenhas, Randy; Saltzman, Bryan M.; Walton, David; Lee, Simon; Cole, Brian J.; Bach, Bernard R.

    2015-01-01

    Background: Multiple meta-analyses have been published in efforts to determine whether operative or nonoperative treatment of Achilles tendon ruptures affords superior outcomes. Purpose: To perform a systematic review of overlapping meta-analyses comparing operative and nonoperative treatment of Achilles tendon ruptures to determine which meta-analyses provide the highest level of evidence for treatment recommendations. Study Design: Systematic review; Level of evidence, 3. Methods: A systematic review of the literature was performed to identify meta-analyses that fit the study inclusion criteria. Data were extracted from these meta-analyses regarding patient outcomes and reruptures. Meta-analysis quality was assessed using the Oxman-Guyatt and QUOROM (Quality of Reporting of Meta-analyses) systems. The Jadad algorithm was applied to determine the meta-analyses with the highest level of evidence. Results: Nine meta-analyses met the eligibility criteria, with all but 1 study including level 1 evidence. A total of 5842 patients were included. Seven studies found a higher rate of rerupture in the nonoperative group but a higher rate of complications in the operative group. One study found no differences in rerupture or complication rates, and 1 study found surgery decreased rerupture rates only when compared with nonoperative treatment without a functional brace. Three studies also identified an earlier return to work in the operative group. Almost all (8 of 9) of the meta-analyses had Oxman-Guyatt scores >3, indicating no major flaws. Conclusion: Operative treatment of Achilles tendon ruptures decreases rerupture rates but increases the risk for minor complications when compared with nonoperative treatment. Additionally, surgical treatment may allow earlier return to work. PMID:26665055

  2. Space shuttle/payload interface analysis. Volume 4: Business Risk and Value of Operations in Space (BRAVO). Part 1: Summary

    NASA Technical Reports Server (NTRS)

    1974-01-01

    Background information is provided which emphasizes the philosophy behind analytical techniques used in the business risk and value of operations in space (BRAVO) study. The focus of the summary is on the general approach, operation of the procedures, and the status of the study. For Vol. 1, see N74-12493; for Vol. 2, see N74-14530.

  3. U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--STANDARD OPERATING PROCEDURE FOR LIGHT PEN OPERATION AND VERIFICATION OF SCANNED BAR CODES (UA-D-33.0)

    EPA Science Inventory

    The purpose of this SOP is to define the steps needed to operate the light pens, and verify the values produced by light pens used in the Arizona NHEXAS project and the Border study. Keywords: data; equipment; light pens.

    The U.S.-Mexico Border Program is sponsored by the Envir...

  4. Contingency Base Camp Operations and Management: Staffing and Organization

    DTIC Science & Technology

    2013-09-17

    security, safety , environmental and health risks to deployed forces. This study was undertaken to address operations and management (O&M) requirements...security, safety , envi- ronmental and health risks to deployed forces. This study was undertaken to address operations and management (O&M) requirements... food service oversight • Joint Visitor Bureau ERDC/CERL TR-13-18 16 • MWR. TF Archer was significantly augmented with engineer personnel to

  5. Small-scale nuclear reactors for remote military operations: opportunities and challenges

    DTIC Science & Technology

    2015-08-25

    study – Report was published in March 2011  CNA study identified challenges to deploy small modular reactors (SMRs) at a base – Identified First-of...forward operating bases. The availability of deployable, cost-effective, regulated, and secure small modular reactors with a modest output electrical...defense committees on the challenges, operational requirements, constraints, cost, and life cycle analysis for a small modular reactor of less than 10

  6. [Is the stomach a main landmark on the abdominal circumference? Audit of 3 operators].

    PubMed

    Laurent, A-C; Blanc, J; Grangé, G

    2016-05-01

    The fetal weight estimation depends largely on the accuracy of abdominal circumference. The quality criteria are standardized to minimize variability and include visualization of the stomach. The objective of this study is to investigate the presence or absence of the stomach on the abdominal circumference for 3 different operators. We conducted re-reading of 204 ultrasound images in the second and third trimester of pregnancy, performed by three operators, at the maternity Port Royal in Paris in 2013. On these images, the presence of the stomach was sought and other quality criteria were verified. Among the 204 images, 166 included the stomach (81%). When studying for each of the three operators, there were 79%, 72% and 98% of the stomach into the abdominal circumference, a significant difference between operators (P=0.0029). Regarding the secondary criteria, the quality criteria found most often were the calipers and well placed ellipse (89%). According to the previous studies, the stomach seems to be a reference to search. Our study shows variability depending on the different operators. If a hierarchy of quality criteria is to be considered, the stomach does not seem to be the first criterion to search. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  7. Feasibility of Telementoring for Microneurosurgical Procedures Using a Microscope: A Proof-of-Concept Study.

    PubMed

    Ladd, Bryan M; Tackla, Ryan D; Gupte, Akshay; Darrow, David; Sorenson, Jeffery; Zuccarello, Mario; Grande, Andrew W

    2017-03-01

    Our pilot study evaluated the effectiveness of our telementoring-telescripting model to facilitate seamless communication between surgeons while the operating surgeon is using a microscope. As a first proof of concept, 4 students identified 20 anatomic landmarks on a dry human skull with or without telementoring guidance. To assess the ability to communicate operative information, a senior neurosurgery resident evaluated the student's ability and timing to complete a stepwise craniotomy on a cadaveric head, with and without telementoring guidance; a second portion included exposure of the anterior circulation. The mentor was able to annotate directly onto the operator's visual field, which was visible to the operator without looking away from the binocular view. The students showed that they were familiar with half (50% ± 10%) of the structures for identification and none was familiar with the steps to complete a craniotomy before using our system. With the guidance of a remote surgeon projected into the visual field of the microscope, the students were able to correctly identify 100% of the structures and complete a craniotomy. Our system also proved effective in guiding a more experienced neurosurgery resident through complex operative steps associated with exposure of the anterior circulation. Our pilot study showed a platform feasible in providing effective operative direction to inexperienced operators while operating using a microscope. A remote mentor was able to view the visual field of the microscope, annotate on the visual stream, and have the annotated stream appear in the binocular view for the operating mentee. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Contingency Power Study for Short Haul Civil Tiltrotor

    NASA Technical Reports Server (NTRS)

    D'Angelo, Marin M.

    2004-01-01

    NASA has concluded from previous studies that the twin engine tiltrotor is the most economical and technologically viable rotorcraft for near-term civil applications. Twin engine civil rotorcraft must be able to hover safely on one engine in an emergency. This emergency power requirement generally results in engines 20 to 50 percent larger than needed for normal engine operation, negatively impacting aircraft economics. This study identifies several contingency power enhancement concepts, and quantifies their potential to reduce aircraft operating costs. Many unique concepts were examined, and the selected concepts are simple, reliable, and have a high potential for near term realization. These engine concepts allow extremely high turbine temperatures during emergency operation by providing cooling to the power turbine and augmenting cooling of both turbines and structural hardware. Direct operating cost are reduced 3 to percent, which could yield a 30 to 80 percent increase in operating profits. The study consists of the definition of an aircraft economics model and a baseline engine, and an engine concept screening study, and a preliminary definition of the selected concepts. The selected concepts are evaluated against the baseline engine, and the critical technologies and development needs are identified, along with applications for this technology.

  9. Assessment of hand-transmitted vibration exposure from motorized forks used for beach-cleaning operations.

    PubMed

    McDowell, Thomas W; Welcome, Daniel E; Warren, Christopher; Xu, Xueyan S; Dong, Ren G

    2013-01-01

    Motorized vibrating manure forks were used in beach-cleaning operations following the massive Deepwater Horizon oil spill in the Gulf of Mexico during the summer of 2010. The objectives of this study were to characterize the vibration emissions of these motorized forks and to provide a first approximation of hand-transmitted vibration exposures to workers using these forks for beach cleaning. Eight operators were recruited to operate the motorized forks during this laboratory study. Four fork configurations were used in the study; two motor speeds and two fork basket options were evaluated. Accelerations were measured near each hand as the operators completed the simulated beach-cleaning task. The dominant vibration frequency for these tools was identified to be around 20 Hz. Because acceleration was found to increase with motor speed, workers should consider operating these tools with just enough speed to get the job done. These forks exhibited considerable acceleration magnitudes when unloaded. The study results suggest that the motor should not be operated with the fork in the unloaded state. Anti-vibration gloves are not effective at attenuating the vibration frequencies produced by these forks, and they may even amplify the transmitted vibration and increase hand/arm fatigue. While regular work gloves are suitable, vibration-reducing gloves may not be appropriate for use with these tools. These considerations may also be generally applicable for the use of motorized forks in other workplace environments.

  10. Post-operative pain management in paediatric surgery at Sylvanus Olympio University Teaching Hospital, Togo.

    PubMed

    Sama, Hamza Doles; Bang'na Maman, Aboudoul Fataou Ouro; Djibril, Mohaman; Assenouwe, Marcellin; Belo, Mofou; Tomta, Kadjika; Chobli, Martin

    2014-01-01

    The aim of this study was to evaluate pain management in paediatric surgery at Sylvanus Olympio University Teaching Hospital, Lome. A prospective descriptive study was conducted in the Department of Anaesthesiology and Intensive Care at Sylvanus Olympio teaching hospital from 1 January to 30 June 2012. Data collected include: demography, type of surgery, American Society of Anaesthesiologists (ASA) classification, anaesthetic protocol, analgesia technique, post-operative complications and cost of analgesia. The study includes 106 post-operative children. Abdominal surgery was performed in 41.5% and orthopaedic surgery in 31.1%. A total of 75% of patients were classified ASA 1. General anaesthesia (GA) was performed in 88%. Anaesthetists supervised post-operative care in 21.7% cases. Multimodal analgesia was used in every case and 12% of patients received a regional block. The most frequently unwanted effects of analgesics used were nausea and/or vomiting in 12.3%. At H24, child under 7 years have more pain assessment than those from 7 to 15 years (46% vs 24%) and this difference was statistically significant (chi-square = 4.7598; P = 0.0291 < 0.05). The average cost of peri-operative analgesia under loco regional analgesia (LRA) versus GA during the first 48 h post-operative was US $23 versus $46. Our study showed that post-operative pain management in paediatric surgery is often not well controlled and paediatric loco regional analgesia technique is under practiced in sub Saharan Africa.

  11. Optimal Trajectories for the Helicopter in One-Engine-Inoperative Terminal-Area Operations

    NASA Technical Reports Server (NTRS)

    Zhao, Yiyuan; Chen, Robert T. N.

    1996-01-01

    This paper presents a summary of a series of recent analytical studies conducted to investigate One-Engine-Inoperative (OEI) optimal control strategies and the associated optimal trajectories for a twin engine helicopter in Category-A terminal-area operations. These studies also examine the associated heliport size requirements and the maximum gross weight capability of the helicopter. Using an eight states, two controls, augmented point-mass model representative of the study helicopter, Continued TakeOff (CTO), Rejected TakeOff (RTO), Balked Landing (BL), and Continued Landing (CL) are investigated for both Vertical-TakeOff-and-Landing (VTOL) and Short-TakeOff-and-Landing (STOL) terminal-area operations. The formulation of the nonlinear optimal control problems with considerations for realistic constraints, solution methods for the two-point boundary-value problem, a new real-time generation method for the optimal OEI trajectories, and the main results of this series of trajectory optimization studies are presented. In particular, a new balanced- weight concept for determining the takeoff decision point for VTOL Category-A operations is proposed, extending the balanced-field length concept used for STOL operations.

  12. Trajectories of Pain and Function after Primary Hip and Knee Arthroplasty: The ADAPT Cohort Study

    PubMed Central

    Lenguerrand, Erik; Wylde, Vikki; Gooberman-Hill, Rachael; Sayers, Adrian; Brunton, Luke; Beswick, Andrew D.; Dieppe, Paul; Blom, Ashley W.

    2016-01-01

    Background and Purpose Pain and function improve dramatically in the first three months after hip and knee arthroplasty but the trajectory after three months is less well described. It is also unclear how pre-operative pain and function influence short- and long-term recovery. We explored the trajectory of change in function and pain until and beyond 3-months post-operatively and the influence of pre-operative self-reported symptoms. Methods The study was a prospective cohort study of 164 patients undergoing primary hip (n = 80) or knee (n = 84) arthroplasty in the United Kingdom. Self-reported measures of pain and function using the Western Ontario and McMaster Universities Osteoarthritis index were collected pre-operatively and at 3 and 12 months post-operatively. Hip and knee arthroplasties were analysed separately, and patients were split into two groups: those with high or low symptoms pre-operatively. Multilevel regression models were used for each outcome (pain and function), and the trajectories of change were charted (0–3 months and 3–12 months). Results Hip: Most improvement occurred within the first 3 months following hip surgery and patients with worse pre-operative scores had greater changes. The mean changes observed between 3 and twelve months were statistically insignificant. One year after surgery, patients with worse pre-operative scores had post-operative outcomes similar to those observed among patients with less severe pre-operative symptoms. Knee: Most improvement occurred in the first 3 months following knee surgery with no significant change thereafter. Despite greater mean change during the first three months, patients with worse pre-operative scores had not ‘caught-up’ with those with less severe pre-operative symptoms 12 months after their surgery. Conclusion Most symptomatic improvement occurred within the first 3 months after surgery with no significant change between 3–12 months. Further investigations are now required to determine if patients with severe symptoms at the time of their knee arthroplasty have a different pre-surgical history than those with less severe symptoms and if they could benefit from earlier surgical intervention and tailored rehabilitation to achieve better post-operative patient-reported outcomes. PMID:26871909

  13. Trajectories of Pain and Function after Primary Hip and Knee Arthroplasty: The ADAPT Cohort Study.

    PubMed

    Lenguerrand, Erik; Wylde, Vikki; Gooberman-Hill, Rachael; Sayers, Adrian; Brunton, Luke; Beswick, Andrew D; Dieppe, Paul; Blom, Ashley W

    2016-01-01

    Pain and function improve dramatically in the first three months after hip and knee arthroplasty but the trajectory after three months is less well described. It is also unclear how pre-operative pain and function influence short- and long-term recovery. We explored the trajectory of change in function and pain until and beyond 3-months post-operatively and the influence of pre-operative self-reported symptoms. The study was a prospective cohort study of 164 patients undergoing primary hip (n = 80) or knee (n = 84) arthroplasty in the United Kingdom. Self-reported measures of pain and function using the Western Ontario and McMaster Universities Osteoarthritis index were collected pre-operatively and at 3 and 12 months post-operatively. Hip and knee arthroplasties were analysed separately, and patients were split into two groups: those with high or low symptoms pre-operatively. Multilevel regression models were used for each outcome (pain and function), and the trajectories of change were charted (0-3 months and 3-12 months). Hip: Most improvement occurred within the first 3 months following hip surgery and patients with worse pre-operative scores had greater changes. The mean changes observed between 3 and twelve months were statistically insignificant. One year after surgery, patients with worse pre-operative scores had post-operative outcomes similar to those observed among patients with less severe pre-operative symptoms. Knee: Most improvement occurred in the first 3 months following knee surgery with no significant change thereafter. Despite greater mean change during the first three months, patients with worse pre-operative scores had not 'caught-up' with those with less severe pre-operative symptoms 12 months after their surgery. Most symptomatic improvement occurred within the first 3 months after surgery with no significant change between 3-12 months. Further investigations are now required to determine if patients with severe symptoms at the time of their knee arthroplasty have a different pre-surgical history than those with less severe symptoms and if they could benefit from earlier surgical intervention and tailored rehabilitation to achieve better post-operative patient-reported outcomes.

  14. Metropolitan transportation management center concepts of operation : a cross-cutting study : improving transportation network efficiency

    DOT National Transportation Integrated Search

    1999-10-01

    The implementor and operator of a regional transportation management center (TMC) face a challenging task. Operators of TMCsthe primary point of coordination for managing transportation resourcestypically control millions of dollars of intellig...

  15. Gulf War Illness Inflammation Reduction Trial

    DTIC Science & Technology

    2016-10-01

    the Kuwaiti Theater of Operations during Operation Desert Shield and Operation Desert Storm (Gulf War). Many veterans of this conflict now suffer...complete blood count with differential, plasma proteomics, platelet function studies, and the measurement of multiple coagulation parameters. The

  16. Solution of some types of differential equations: operational calculus and inverse differential operators.

    PubMed

    Zhukovsky, K

    2014-01-01

    We present a general method of operational nature to analyze and obtain solutions for a variety of equations of mathematical physics and related mathematical problems. We construct inverse differential operators and produce operational identities, involving inverse derivatives and families of generalised orthogonal polynomials, such as Hermite and Laguerre polynomial families. We develop the methodology of inverse and exponential operators, employing them for the study of partial differential equations. Advantages of the operational technique, combined with the use of integral transforms, generating functions with exponentials and their integrals, for solving a wide class of partial derivative equations, related to heat, wave, and transport problems, are demonstrated.

  17. Rail capacity improvement study for heavy rail transit operations.

    DOT National Transportation Integrated Search

    2012-10-01

    This study offers a combination of considerations and evaluation tools pertaining to relevant means of capacity improvements (technology, operations, route, and vehicle upgrades), both conventional and emerging. Guidance regarding the economics is of...

  18. Operator Certification Study Guide.

    ERIC Educational Resources Information Center

    American Water Works Association, Denver, CO.

    This study guide contains typical questions and answers that all levels of water treatment plant operators might expect to find on a certification examination. The manual covers the basic sciences, treatment techniques, testing procedures, and federal legislation. (Author/SB)

  19. Sources of Occupational Stress and Prevalence of Burnout and Clinical Distress Among U.S. Air Force Cyber Warfare Operators

    DTIC Science & Technology

    2013-01-01

    distress within the cyber warfare community. This study involved cyber warfare operators including active duty (n = 376) and civilian contractor and...revealed that when compared to civilian cyber warfare operators, active duty cyber warfare operators are more likely to suffer from the facets of...8217 write-in responses revealed cyber warfare operators attributed shift work, shift changes, and hours worked as the primary sources of high occupational

  20. Prolonged Operative Duration Increases Risk of Surgical Site Infections: A Systematic Review

    PubMed Central

    Chen, Brian Po-Han; Soleas, Ireena M.; Ferko, Nicole C.; Cameron, Chris G.; Hinoul, Piet

    2017-01-01

    Abstract Background: The incidence of surgical site infection (SSI) across surgical procedures, specialties, and conditions is reported to vary from 0.1% to 50%. Operative duration is often cited as an independent and potentially modifiable risk factor for SSI. The objective of this systematic review was to provide an in-depth understanding of the relation between operating time and SSI. Patients and Methods: This review included 81 prospective and retrospective studies. Along with study design, likelihood of SSI, mean operative times, time thresholds, effect measures, confidence intervals, and p values were extracted. Three meta-analyses were conducted, whereby odds ratios were pooled by hourly operative time thresholds, increments of increasing operative time, and surgical specialty. Results: Pooled analyses demonstrated that the association between extended operative time and SSI typically remained statistically significant, with close to twice the likelihood of SSI observed across various time thresholds. The likelihood of SSI increased with increasing time increments; for example, a 13%, 17%, and 37% increased likelihood for every 15 min, 30 min, and 60 min of surgery, respectively. On average, across various procedures, the mean operative time was approximately 30 min longer in patients with SSIs compared with those patients without. Conclusions: Prolonged operative time can increase the risk of SSI. Given the importance of SSIs on patient outcomes and health care economics, hospitals should focus efforts to reduce operative time. PMID:28832271

  1. The experimental studies of operating modes of a diesel-generator set at variable speed

    NASA Astrophysics Data System (ADS)

    Obukhov, S. G.; Plotnikov, I. A.; Surkov, M. A.; Sumarokova, L. P.

    2017-02-01

    A diesel generator set working at variable speed to save fuel is studied. The results of experimental studies of the operating modes of an autonomous diesel generator set are presented. Areas for regulating operating modes are determined. It is demonstrated that the transfer of the diesel generator set to variable speed of the diesel engine makes it possible to improve the energy efficiency of the autonomous generator source, as well as the environmental and ergonomic performance of the equipment as compared with general industrial analogues.

  2. Evaluation of a Public Child Eye Health Tertiary Facility for Pediatric Cataract in Southern Nigeria I: Visual Acuity Outcome

    PubMed Central

    Duke, Roseline E.; Adio, Adedayo; Oparah, Sidney K.; Odey, Friday; Eyo, Okon A.

    2016-01-01

    Purpose: A retrospective study of the outcome of congenital and developmental cataract surgery was conducted in a public child eye health tertiary facility in children <16 years of age in Southern Nigeria, as part of an evaluation. Materials and Method: Manual Small Incision Cataract Surgery with or without anterior vitrectomy was performed. The outcome measures were visual acuity (VA) and change (gain) in visual acuity. The age of the child at onset, duration of delay in presentation, ocular co-morbidity, non ocular co-morbidity, gender, and pre operative visual acuity were matched with postoperative visual acuity. A total of 66 children were studied for a period of six weeks following surgery. Results: Forty eight (72.7%) children had bilateral congenital cataracts and 18 (27.3%) children had bilateral developmental cataracts. There were 38(57.6%) males and 28 (42.4%) females in the study. Thirty Five (53%) children had good visual outcome (normal vision range 6/6/ -6/18) post-operatively. The number of children with blindness (vision <3/60) decreased from 61 (92.4%) pre-operatively to 4 (6.1%) post-operatively. Post operative complication occurred in 6.8% of cases six week after surgery. Delayed presentation had an inverse relationship with change (gain) in visual acuity (r = - 0.342; p-value = 0.005). Pre-operative visual acuity had a positive relationship with post operative change (gain) in visual acuity (r = 0.618; p-value = 0.000). Conclusion: Predictors of change in visual acuity in our study were; delayed presentation and pre-operative VA. Cataract surgery in children showed clinical benefit. PMID:27347247

  3. Evaluation of nutritional status as an independent predictor of post-operative complications and morbidity after gastro-intestinal surgery.

    PubMed

    van der Kroft, G; Janssen-Heijnen, M L G; van Berlo, C L H; Konsten, J L M

    2015-08-01

    Nutritional Risk Screening-2002 (NRS-2002) and the Malnutrition Universal Screening Tool (MUST) are screening tools for nutritional risk that have also been used to predict post-operative complications and morbidity, though not all studies confirm the reliability of nutritional screening. Our study aims to evaluate the independent predictive value of nutritional risk screening in addition to currently documented medical, surgical and anesthesiological risk factors for post-operative complications, as well as length of hospital stay. This study is a prospective observational cohort study of 129 patients undergoing elective gastro-intestinal-surgery. Patients were screened for nutritional risk upon admission using both MUST and NRS-2002 screening tools. Univariate and multivariate analyses were performed to investigate the independent predictive value of nutritional risk for post-operative complications and length of hospital stay. MUST ≥2 (OR 2.87; 95% CI 1.05-7.87) and peri-operative transfusion (OR 2.78; 95% CI 1.05-7.40) were significant independent predictors for the occurrence of post-operative complications. Peri-operative transfusion (HR 2.40; 95% CI 1.45-4.00), age ≥70 (HR 1.50; 95% CI 1.05-2.16) and open surgery versus laparoscopic surgery (HR 1.39; 95% CI 0.94-2.05) were independent predictors for increased length of hospital stay, whereas American Society of Anesthesiology Score (ASA) and MUST were not. Nutritional risk screening (MUST ≥2) is an independent predictor for post-operative complications, but not for increased length of hospital stay. Copyright © 2015 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.

  4. The Effect of Antifibrinolytic Prophylaxis on Postoperative Outcomes in Patients Undergoing Cardiac Operations

    PubMed Central

    Koul, Abhinav; Ferraris, Victor; Davenport, Daniel L; Ramaiah, Chandrashekhar

    2012-01-01

    Antifibrinolytic agents such as aprotinin and epsilon aminocaproic acid limit postoperative bleeding and blood transfusion in patients undergoing cardiac operations using cardiopulmonary bypass (CPB). Recent evidence suggests that these agents have adverse side effects that influence operative mortality and morbidity. We studied postoperative bleeding, transfusion rates, and operative outcomes in our patients in order to assess the efficacy of these agents during cardiac operations requiring CPB. We reviewed records of 520 patients undergoing a variety of cardiac operations between January 2005 and May 2009. We measured multiple variables including pre-operative risk factors, antifibrinolytic agent used, and outcomes of operation, such as measures of bleeding and blood transfusion, as well as serious operative morbidity and mortality. Postoperative bleeding rates varied significantly between patients receiving aprotinin and those receiving aminocaproic acid (P < 0.05). There was an associated 12% decrease in operative site bleeding in aprotinin-treated patients compared with aminocaproic acid. There was no significant difference in the transfusion rates of packed red blood cells between patients receiving aminocaproic acid or aprotinin (P > 0.05), though individuals in the aprotinin group did receive FFP more frequently than patients in the aminocaproic acid group (P < 0.05). There was no significant difference in morbidity and mortality rates between patients in either drug group (P > 0.05). Our study shows that aprotinin is more effective at controlling operative site bleeding than aminocaproic acid. Reduced operative site bleeding did not portend better outcome or differences in transfusion requirements. Aminocaproic acid remains a safe and cost-effective option for antifibrinolytic prophylaxis because of unavailability of aprotinin. PMID:23101999

  5. U.S.-MEXICO BORDER PROGRAM ARIZONA BORDER STUDY--LIST OF STANDARD OPERATING PROCEDURES

    EPA Science Inventory

    This document lists available protocols and SOPs for the U.S.-Mexico Border Program study. It identifies protocols and SOPs for the following study components: (1) Sample collection and field operations, (2) Sample analysis, (3) General laboratory procedures, (4) Quality Assuranc...

  6. 40 CFR 792.81 - Standard operating procedures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... data generated in the course of a study. All deviations in a study from standard operating procedures shall be authorized by the study director and shall be documented in the raw data. Significant changes...) Test system room preparation. (2) Test system care. (3) Receipt, identification, storage, handling...

  7. 40 CFR 792.81 - Standard operating procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... data generated in the course of a study. All deviations in a study from standard operating procedures shall be authorized by the study director and shall be documented in the raw data. Significant changes...) Test system room preparation. (2) Test system care. (3) Receipt, identification, storage, handling...

  8. A study of usability principles and interface design for mobile e-books.

    PubMed

    Wang, Chao-Ming; Huang, Ching-Hua

    2015-01-01

    This study examined usability principles and interface designs in order to understand the relationship between the intentions of mobile e-book interface designs and users' perceptions. First, this study summarised 4 usability principles and 16 interface attributes, in order to conduct usability testing and questionnaire survey by referring to Nielsen (1993), Norman (2002), and Yeh (2010), who proposed the usability principles. Second, this study used the interviews to explore the perceptions and behaviours of user operations through senior users of multi-touch prototype devices. The results of this study are as follows: (1) users' behaviour of operating an interactive interface is related to user prior experience; (2) users' rating of the visibility principle is related to users' subjective perception but not related to user prior experience; however, users' ratings of the ease, efficiency, and enjoyment principles are related to user prior experience; (3) the interview survey reveals that the key attributes affecting users' behaviour of operating an interface include aesthetics, achievement, and friendliness. This study conducts experiments to explore the effects of users’ prior multi-touch experience on users’ behaviour of operating a mobile e-book interface and users’ rating of usability principles. Both qualitative and quantitative data analyses were performed. By applying protocol analysis, key attributes affecting users’ behaviour of operation were determined.

  9. Investigation of key parameters for the development of reliable ITER baseline operation scenarios using CORSICA

    NASA Astrophysics Data System (ADS)

    Kim, S. H.; Casper, T. A.; Snipes, J. A.

    2018-05-01

    ITER will demonstrate the feasibility of burning plasma operation by operating DT plasmas in the ELMy H-mode regime with a high ratio of fusion power gain Q ~ 10. 15 MA ITER baseline operation scenario has been studied using CORSICA, focusing on the entry to burn, flat-top burning plasma operation and exit from burn. The burning plasma operation for about 400 s of the current flat-top was achieved in H-mode within the various engineering constraints imposed by the poloidal field coil and power supply systems. The target fusion gain (Q ~ 10) was achievable in the 15 MA ITER baseline operation with a moderate amount of the total auxiliary heating power (~50 MW). It has been observed that the tungsten (W) concentration needs to be maintained low level (n w/n e up to the order of 1.0  ×  10-5) to avoid the radiative collapse and uncontrolled early termination of the discharge. The dynamic evolution of the density can modify the H-mode access unless the applied auxiliary heating power is significantly higher than the H-mode threshold power. Several qualitative sensitivity studies have been performed to provide guidance for further optimizing the plasma operation and performance. Increasing the density profile peaking factor was quite effective in increasing the alpha particle self-heating power and fusion power multiplication factor. Varying the combination of auxiliary heating power has shown that the fusion power multiplication factor can be reduced along with the increase in the total auxiliary heating power. As the 15 MA ITER baseline operation scenario requires full capacity of the coil and power supply systems, the operation window for H-mode access and shape modification was narrow. The updated ITER baseline operation scenarios developed in this work will become a basis for further optimization studies necessary along with the improvement in understanding the burning plasma physics.

  10. Prevalence of Salmonella enterica, Listeria monocytogenes, and pathogenic Escherichia coli in bulk tank milk and milk filters from US dairy operations in the National Animal Health Monitoring System Dairy 2014 study.

    PubMed

    Sonnier, Jakeitha L; Karns, Jeffrey S; Lombard, Jason E; Kopral, Christine A; Haley, Bradd J; Kim, Seon-Woo; Van Kessel, Jo Ann S

    2018-03-01

    The dairy farm environment is a well-documented reservoir for zoonotic pathogens such as Salmonella enterica, Shiga-toxigenic Escherichia coli, and Listeria monocytogenes, and humans may be exposed to these pathogens via consumption of unpasteurized milk and dairy products. As part of the National Animal Health Monitoring System Dairy 2014 study, bulk tank milk (BTM, n = 234) and milk filters (n = 254) were collected from a total of 234 dairy operations in 17 major dairy states and analyzed for the presence of these pathogens. The invA gene was detected in samples from 18.5% of operations and Salmonella enterica was isolated from 18.0% of operations. Salmonella Dublin was detected in 0.7% of operations. Sixteen Salmonella serotypes were isolated, and the most common serotypes were Cerro, Montevideo, and Newport. Representative Salmonella isolates (n = 137) were tested against a panel of 14 antimicrobials. Most (85%) were pansusceptible; the remaining were resistant to 1 to 9 antimicrobials, and within the resistant strains the most common profile was resistance to ampicillin/clavulanic acid, ampicillin, cefoxitin, ceftiofur, ceftriaxone, chloramphenicol, streptomycin, sulfisoxazole, and tetracycline. Listeria spp. were isolated from 19.9% of operations, and L. monocytogenes was isolated from 3.0% of operations. Serogroups 1/2a and 1/2b were the most common, followed by 4b and 4a. One or more E. coli virulence genes were detected in the BTM from 30.5% of operations and in the filters from 75.3% of operations. A combination of stx 2 , eaeA, and γ-tir genes was detected in the BTM from 0.5% of operations and in the filters from 6.6% of operations. The results of this study indicate an appreciable prevalence of bacterial pathogens in BTM and filters, including serovars known to infect humans. Copyright © 2018 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  11. Low-cost forest operation systems that minimize environmental impacts of harvesting

    Treesearch

    Thomas F. Lloyd; Thomas A. Waldrop

    1995-01-01

    Forest operation systems have been developed for mixed pine and hardwood stands in the Piedmont region of the southeastern United States that reduce the cost and environmental impacts of forest operations. This has been done by studying the interrelations of forest operations with site edaphic properties and the biology of plant communities that reside on each site. In...

  12. Does It Help to Use Mathematically Superfluous Brackets When Teaching the Rules for the Order of Operations?

    ERIC Educational Resources Information Center

    Gunnarsson, Robert; Sönnerhed, Wang Wei; Hernell, Bernt

    2016-01-01

    The hypothesis that mathematically superfluous brackets can be useful when teaching the rules for the order of operations is challenged. The idea of the hypothesis is that with brackets it is possible to emphasize the order priority of one operation over another. An experiment was conducted where expressions with mixed operations were studied,…

  13. Operational Issues Encountered by School Nutrition Directors in School Districts with Less than 30,000 Student Enrollment

    ERIC Educational Resources Information Center

    Rushing, Keith; Nettles, Mary Frances; Johnson, James T.

    2009-01-01

    Purpose: To identify operational issues and practices associated with operating school nutrition (SN) programs in school districts with less than 30,000 student enrollment. Method: The survey was adapted from a similar study that explored operational issues in school districts with enrollments of 30,000 or more students. The survey asked SN…

  14. Bacterial strain changes during chronic otitis media surgery.

    PubMed

    Kim, G J; Yoo, S; Han, S; Bu, J; Hong, Y; Kim, D-K

    2017-09-01

    Cultures obtained from pre-operative middle-ear swabs from patients with chronic otitis media have traditionally been used to guide antibiotic selection. This study investigated changes in the bacterial strains of the middle ear during chronic otitis media surgery. Pre-operative bacterial cultures of otorrhoea, and peri-operative cultures of the granulation tissue in either the middle ear or mastoid cavity, were obtained. Post-operative cultures were selectively obtained when otorrhoea developed after surgery. Bacterial growth was observed in 45.5 per cent of pre-operative cultures, 13.5 per cent of peri-operative cultures and 4.5 per cent of post-operative cultures. Methicillin-resistant Staphylococcus aureus was identified as the most common bacteria in all pre-operative (32.4 per cent), peri-operative (52.4 per cent) and post-operative (71.4 per cent) tests, and the percentage of Methicillin-resistant S aureus increased from the pre- to the post-operative period. The bacterial culture results for post-operative otorrhoea showed low agreement with those for pre-operative or peri-operative culture, and strain re-identification was required.

  15. Validation of a digital audio recording method for the objective assessment of cough in the horse.

    PubMed

    Duz, M; Whittaker, A G; Love, S; Parkin, T D H; Hughes, K J

    2010-10-01

    To validate the use of digital audio recording and analysis for quantification of coughing in horses. Part A: Nine simultaneous digital audio and video recordings were collected individually from seven stabled horses over a 1 h period using a digital audio recorder attached to the halter. Audio files were analysed using audio analysis software. Video and audio recordings were analysed for cough count and timing by two blinded operators on two occasions using a randomised study design for determination of intra-operator and inter-operator agreement. Part B: Seventy-eight hours of audio recordings obtained from nine horses were analysed once by two blinded operators to assess inter-operator repeatability on a larger sample. Part A: There was complete agreement between audio and video analyses and inter- and intra-operator analyses. Part B: There was >97% agreement between operators on number and timing of 727 coughs recorded over 78 h. The results of this study suggest that the cough monitor methodology used has excellent sensitivity and specificity for the objective assessment of cough in horses and intra- and inter-operator variability of recorded coughs is minimal. Crown Copyright 2010. Published by Elsevier India Pvt Ltd. All rights reserved.

  16. Initial experience with custom-fit total knee replacement: intra-operative events and long-leg coronal alignment.

    PubMed

    Spencer, Brian A; Mont, Michael A; McGrath, Mike S; Boyd, Bradley; Mitrick, Michael F

    2009-12-01

    New technology using magnetic resonance imaging (MRI) allows the surgeon to place total knee replacement components into each patient's pre-arthritic natural alignment. This study evaluated the initial intra-operative experience using this technique. Twenty-one patients had a sagittal MRI of their arthritic knee to determine component placement for a total knee replacement. Cutting guides were machined to control all intra-operative cuts. Intra-operative events were recorded and these knees were compared to a matching cohort of the senior surgeon's previous 30 conventional total knee replacements. Post-operative scanograms were obtained from each patient and coronal alignment was compared to previous studies using conventional and computer-assisted techniques. There were no intra-operative or acute post-operative complications. There were no differences in blood loss and there was a mean decrease in operative time of 14% compared to a cohort of patients with conventional knee replacements. The average deviation from the mechanical axis was 1.2 degrees of varus, which was comparable to previously reported conventional and computer-assisted techniques. Custom-fit total knee replacement appeared to be a safe procedure for uncomplicated cases of osteoarthritis.

  17. Impact of operative length on post-operative complications in meningioma surgery: a NSQIP analysis.

    PubMed

    Karhade, Aditya V; Fandino, Luis; Gupta, Saksham; Cote, David J; Iorgulescu, Julian B; Broekman, Marike L; Aglio, Linda S; Dunn, Ian F; Smith, Timothy R

    2017-01-01

    Many studies have implicated operative length as a predictor of post-operative complications, including venous thromboembolism [deep vein thrombosis (DVT) and pulmonary embolism (PE)]. We analyzed the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database from 2006 to 2014, to evaluate whether length of operation had a statistically significant effect on post-operative complications in patients undergoing surgical resection of meningioma. Patients were included for this study if they had a post-operative diagnosis of meningioma. Patient demographics, pre-operative comorbidities, and post-operative 30-day complications were analyzed. Of 3743 patients undergoing craniotomy for meningioma, 13.6 % experienced any complication. The most common complications and their median time to occurrence were urinary tract infection (2.6 %) at 10 days postoperatively (IQR 7-15), unplanned intubation (2.5 %) at 3 days (IQR 1-7), failure to wean from ventilator (2.4 %) at 2.0 days (IQR 2-4), and DVT (2.4 %) at 6 days (IQR 11-19). Postoperatively, 3.6 % developed VTE; 2.4 % developed DVT and 1.7 % developed PE. Multivariable analysis identified older age (third and upper quartile), obesity, preoperative ventilator dependence, preoperative steroid use, anemia, and longer operative time as significant risk factors for VTE. Separate multivariable logistic regression models demonstrated longer operative time as a significant risk factor for VTE, all complications, major complications, and minor complications. Meningioma resection is associated with various post-operative complications that increase patient morbidity and mortality risk. this large, multi-institutional patient sample, longer operative length was associated with increased risk for postoperative venous thromboembolisms, as well as major and minor complications.

  18. Routine intra-operative trans-oesophageal echocardiography yields better outcomes in surgical repair of CHD.

    PubMed

    Madriago, Erin J; Punn, Rajesh; Geeter, Natalie; Silverman, Norman H

    2016-02-01

    Trans-oesophageal echocardiographic imaging is valuable in the pre- and post-operative evaluation of children and adults with CHD; however, the frequency by which trans-oesophageal echocardiography guides the intra-operative course of patients is unknown. We retrospectively reviewed 1748 intra-operative trans-oesophageal echocardiograms performed between 1 October, 2005 and 31 December, 2010, and found 99 cases (5.7%) that required return to bypass, based in part upon the intra-operative echocardiographic findings. The diagnoses most commonly requiring further repair and subsequent imaging were mitral valve disease (20.9%), tricuspid valve disease (16.0%), atrioventricular canal defects (12.0%), and pulmonary valve disease (14.1%). The vast majority of those requiring immediate return to bypass benefited by avoiding subsequent operations and longer lengths of hospital stay. A total of 14 patients (0.8%) who received routine imaging required further surgical repair within 1 week, usually due to disease that developed over ensuing days. Patients who had second post-operative trans-oesophageal echocardiograms in the operating room rarely required re-operations, confirming the benefit of routine intra-operative imaging. This study represents a large single institutional review of intra-operative trans-oesophageal echocardiography, and confirms its applicability in the surgical repair of patients with CHD. Routine imaging accurately identifies patients requiring further intervention, does not confer additional risk of mortality or prolonged length of hospital stay, and prevents subsequent operations and associated sequelae in a substantial subset of patients. This study demonstrates the utility of echocardiography in intra-operative monitoring of surgical repair and highlights patients who are most likely to require return to bypass, as well as the co-morbidities of such manipulations.

  19. Cystic meconium peritonitis with jejunoileal atresia: Is it associated with unfavorable outcome?

    PubMed Central

    Chan, Kin Wai Edwin; Lee, Kim Hung; Wong, Hei Yi Vicky; Tsui, Siu Yan Bess; Wong, Yuen Shan; Pang, Kit Yi Kristine; Mou, Jennifer Wai Cheung; Tam, Yuk Him

    2017-01-01

    AIM To compare the outcome between patients with jejunoileal atresia (JIA) associated with cystic meconium peritonitis (CMP) and patients with isolated JIA (JIA without CMP). METHODS A retrospective study was conducted for all neonates with JIA operated in our institute from January 2005 to January 2016. Demographics including the gestation age, sex, birth weight, age at operation, the presence of associated syndrome was recorded. Clinical outcome including the type of operation performed, operative time, the need for reoperation and mortality were studied. The demographics and the outcome between the 2 groups were compared. RESULTS During the study period, 53 neonates had JIA underwent operation in our institute. Seventeen neonates (32%) were associated with CMP. There was no statistical difference on the demographics in the two groups. Patients with CMP had earlier operation than patients with isolated JIA (mean 1.4 d vs 3 d, P = 0.038). Primary anastomosis was performed in 16 patients (94%) with CMP and 30 patients (83%) with isolated JIA (P = 0.269). Patients with CMP had longer operation (mean 190 min vs 154 min, P = 0.004). There were no statistical difference the need for reoperation (3 vs 6, P = 0.606) and mortality (2 vs 1, P = 0.269) between the two groups. CONCLUSION Primary intestinal anastomosis can be performed in 94% of patients with JIA associated with CMP. Although patients with CMP had longer operative time, the mortality and reoperation rates were low and were comparable to patients with isolated JIA. PMID:28224094

  20. Factors Associated With Smoking Behavior Among Operating Engineers

    PubMed Central

    Choi, Seung Hee; Pohl, Joanne M.; Terrell, Jeffrey E.; Redman, Richard W.

    2016-01-01

    Although disparities in smoking prevalence between white collar workers and blue collar workers have been documented, reasons for these disparities have not been well studied. The objective of this study was to determine variables associated with smoking among Operating Engineers, using the Health Promotion Model as a guide. With cross-sectional data from a convenience sample of 498 Operating Engineers, logistic regression was used to determine personal and health behaviors associated with smoking. Approximately 29% of Operating Engineers currently smoked cigarettes. Multivariate analyses showed that younger age, unmarried, problem drinking, physical inactivity, and a lower body mass index were associated with smoking. Operating Engineers were at high risk of smoking, and smokers were more likely to engage in other risky health behaviors, which supports bundled health behavior interventions. PMID:23957830

  1. Factors associated with smoking among operating engineers.

    PubMed

    Choi, Seung Hee; Pohl, Joanne M; Terrell, Jeffrey E; Redman, Richard W; Duffy, Sonia A

    2013-09-01

    Although disparities in smoking prevalence between white collar workers and blue collar workers have been documented, reasons for these disparities have not been well studied. The objective of this study was to determine variables associated with smoking among Operating Engineers, using the Health Promotion Model as a guide. With cross-sectional data from a convenience sample of 498 Operating Engineers, logistic regression was used to determine personal and health behaviors associated with smoking. Approximately 29% of Operating Engineers currently smoked cigarettes. Multivariate analyses showed that younger age, unmarried, problem drinking, physical inactivity, and a lower body mass index were associated with smoking. Operating Engineers were at high risk of smoking, and smokers were more likely to engage in other risky health behaviors, which supports bundled health behavior interventions. Copyright 2013, SLACK Incorporated.

  2. Theoretical Study on the 1.185-THz Third Harmonic Gyrotron

    NASA Astrophysics Data System (ADS)

    Dumbrajs, O.; Idehara, T.

    2018-02-01

    We discuss how the existing University of Fukui (FIR UF) second harmonic double-beam gyrotron with the operating frequency 0.79 THz can be adopted for operation at the third harmonic. The new gyrotron will operate at the frequency 1.185 THz and will significantly increase the frequency of the dynamic nuclear polarization-nuclear magnetic resonance (DNP-NMR) spectrometer. This will allow one to study new bio-molecules.A special attention is payed to the mode competition between the operating {TE}_{3,11}+ mode at the third harmonic and the parasitic modes at the second and fundamental harmonics. The operating parameters of the modified gyrotron are U = 20 kV, α = 1.3, I = 0.35 A, and B = 14.60 T and the expected output power about 100W.

  3. 40 CFR 93.153 - Applicability.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... operation to activities currently being conducted. (xii) Planning, studies, and provision of technical... control activities and adopting approach, departure, and enroute procedures for aircraft operations above... (e) of this section. (3) Research, investigations, studies, demonstrations, or training (other than...

  4. IVHS Institutional Issues and Case Studies: Transcom/Transmit Case Study

    DOT National Transportation Integrated Search

    1994-04-01

    The Transportation Operations Coordinating Committee (TRANSCOM) is a coalition of 15 traffic, transit, and police agencies in the New York, New Jersey, and Connecticut metropolitan area. TRANSCOM's IVHS operational field test, the TRANSCOM System for...

  5. 40 CFR 93.153 - Applicability.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... operation to activities currently being conducted. (xii) Planning, studies, and provision of technical... control activities and adopting approach, departure, and enroute procedures for aircraft operations above... (e) of this section. (3) Research, investigations, studies, demonstrations, or training (other than...

  6. 40 CFR 93.153 - Applicability.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... operation to activities currently being conducted. (xii) Planning, studies, and provision of technical... control activities and adopting approach, departure, and enroute procedures for aircraft operations above... (e) of this section. (3) Research, investigations, studies, demonstrations, or training (other than...

  7. On twelve types of covering-based rough sets.

    PubMed

    Safari, Samira; Hooshmandasl, Mohammad Reza

    2016-01-01

    Covering approximation spaces are a generalization of equivalence-based rough set theories. In this paper, we will consider twelve types of covering based approximation operators by combining four types of covering lower approximation operators and three types of covering upper approximation operators. Then, we will study the properties of these new pairs and show they have most of the common properties among existing covering approximation pairs. Finally, the relation between these new pairs is studied.

  8. Operational Intelligence and Operational Design: Thinking about Operational Art

    DTIC Science & Technology

    2011-06-01

    undersigned certify that this thesis meets masters-level standards of research, argumentation, and expression. DR. HAROLD R . WINTON (Date) DR...Studies (SAASS) to study and think about matters important to our national security. I will be forever grateful to Dr. Harold R . Winton, my thesis...thankful for the assistance of Mrs. Sandhya Malladi and Dr. Mary Ruwell. To the faculty and staff of SAASS, thank you for your commitment to our

  9. Impact of Utility-Scale Distributed Wind on Transmission-Level System Operations

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

    Brancucci Martinez-Anido, C.; Hodge, B. M.

    2014-09-01

    This report presents a new renewable integration study that aims to assess the potential for adding distributed wind to the current power system with minimal or no upgrades to the distribution or transmission electricity systems. It investigates the impacts of integrating large amounts of utility-scale distributed wind power on bulk system operations by performing a case study on the power system of the Independent System Operator-New England (ISO-NE).

  10. V/STOL tilt-rotor study, task 1. Volume 1: Conceptual design

    NASA Technical Reports Server (NTRS)

    1972-01-01

    A conceptual design study was conducted to define a representative military and/or commercial tilt-propeller aircraft for short takeoff and landing operation. The level of structural technology selected for the operational aircraft was based on aluminum, steel, titanium, and adhesive bonded structures. The data describe the following: (1) aircraft weight, (2) performance and stability, (3) aerodynamic noise, (4) dynamic characteristics, (5) maintainability and reliability, and (6) operating economics.

  11. Airborne Operations in World War II, European Theater

    DTIC Science & Technology

    1956-09-01

    GARDEN Gee Hamilcar HANDS UP Formation usually composed of two or more elements and roughly equivalent to a squadron Forward Visual Control Post Ground...USAF HISTORICAL STUDIES: NO. 97 AIRBORNE OPERATIONS IN WORLD WAR II, EUROPEAN THEATER By Dr. John C. Warren USAF Historical Division Research Studies...OMB control number. 1. REPORT DATE SEP 1956 2. REPORT TYPE 3. DATES COVERED - 4. TITLE AND SUBTITLE Airborne Operations in World War II 5a

  12. Development of an on-line aqueous particle sensor to study the performance of inclusions in a 12 tonne, delta shaped full scale water model tundish

    NASA Astrophysics Data System (ADS)

    Chakraborty, Abhishek

    Detection of particulate matter thinly dispersed in a fluid medium with the aid of the difference in electrical conductivity between the pure fluid and the particles has been practiced at least since the last 50 to 60 years. The first such instruments were employed to measure cell counts in samples of biological fluid. Following a detailed study of the physics and principles operating within the device, called the Electric Sensing Zone (ESZ) principle, a new device called the Liquid Metal Cleanliness Analyzer (LiMCA) was invented which could measure and count particles of inclusions in molten metal. It provided a fast and fairly accurate tool to make online measurement of the quality of steel during refining and casting operations. On similar lines of development as the LiMCA, a water analogue of the device called, the Aqueous Particle Sensor (APS) was developed for physical modeling experiments of metal refining operations involving water models. The APS can detect and measure simulated particles of inclusions added to the working fluid (water). The present study involves the designing, building and final application of a new and improved APS in water modeling experiments to study inclusion behavior in a tundish operation. The custom built instrument shows superior performance and applicability in experiments involving physical modeling of metal refining operations, compared to its commercial counterparts. In addition to higher accuracy and range of operating parameters, its capability to take real-time experimental data for extended periods of time helps to reduce the total number of experiments required to reach a result, and makes it suitable for analyzing temporal changes occurring in unsteady systems. With the modern impetus on the quality of the final product of metallurgical operations, the new APS can prove to be an indispensable research tool to study and put forward innovative design and parametric changes in industrially practised metallurgical operations.

  13. Study on the steady operating state of a micro-pulse electron gun

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

    Kui, Zhou; Xing, Luo; Institute of Applied Electronics, Chinese Academy of Engineering Physics, Mianyang 621900

    Micro-pulse electron gun (MPG) employs the basic concept of multipacting to produce high-current and short-pulse electron beams from a radio-frequency (RF) cavity. The concept of MPG has been proposed for more than two decades. However, the unstable operating state of MPG vastly obstructs its practical applications. This paper presents a study on the steady operating state of a micro-pulse electron gun with theory and experiments. The requirements for the steady operating state are proposed through the analysis of the interaction between the RF cavity and the beam load. Accordingly, a MPG cavity with the frequency of 2856 MHz has been designed,more » constructed, and tested. Some primary experiments have been finished. Both the unstable and stable operating states of the MPG have been observed. The stable output beam current has been detected at about 3.8 mA. Further experimental study is under way now.« less

  14. Modelling safety of gantry crane operations using Petri nets.

    PubMed

    Singh, Karmveer; Raj, Navneet; Sahu, S K; Behera, R K; Sarkar, Sobhan; Maiti, J

    2017-03-01

    Being a powerful tool in modelling industrial and service operations, Petri net (PN) has been extremely used in different domains, but its application in safety study is limited. In this study, we model the gantry crane operations used for industrial activities using generalized stochastic PNs. The complete cycle of operations of the gantry crane is split into three parts namely inspection and loading, movement of load, and unloading of load. PN models are developed for all three parts and the whole system as well. The developed PN models have captured the safety issues through reachability tree. The hazardous states are identified and how they ultimately lead to some unwanted accidents is demonstrated. The possibility of falling of load and failure of hook, sling, attachment and hoist rope are identified. Possible suggestions based on the study are presented for redesign of the system. For example, mechanical stoppage of operations in case of loosely connected load, and warning system for use of wrong buttons is tested using modified models.

  15. An analysis of post-traumatic stress symptoms in United States Air Force drone operators.

    PubMed

    Chappelle, Wayne; Goodman, Tanya; Reardon, Laura; Thompson, William

    2014-06-01

    Remotely piloted aircraft (RPA), commonly referred to as "drones," have emerged over the past decade as an innovative warfighting tool. Given there is a paucity of empirical research assessing drone operators, the purpose of this study was to assess for the prevalence of PTSD symptoms among this cohort. Of the 1084 United States Air Force (USAF) drone operators that participated, a total of 4.3% endorsed a pattern of symptoms of moderate to extreme level of severity meeting criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders-4th edition. The incidence of PTSD among USAF drone operators in this study was lower than rates of PTSD (10-18%) among military personnel returning from deployment but higher than incidence rates (less than 1%) of USAF drone operators reported in electronic medical records. Although low PTSD rates may be promising, limitations to this study are discussed. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. A Business Analysis of a SKYLON-based European Launch Service Operator

    NASA Astrophysics Data System (ADS)

    Hempsell, Mark; Aprea, Julio; Gallagher, Ben; Sadlier, Greg

    2016-04-01

    Between 2012 and 2014 an industrial consortium led by Reaction Engines conducted a feasibility study for the European Space Agency with the objective to explore the feasibility of SKYLON as the basis for a launcher that meets the requirements established for the Next Generation European Launcher. SKYLON is a fully reusable single stage to orbit launch system that is enabled by the unique performance characteristic of the Synergetic Air-Breathing Rocket Engine and is under active development. The purpose of the study which was called ;SKYLON-based European Launch Service Operator (S-ELSO); was to support ESA decision making on launch service strategy by exploring the potential implications of this new launch system on future European launch capability and the European industry that supports it. The study explored both a SKYLON operator (S-ELSO) and SKYLON manufacturer as separate business ventures. In keeping with previous studies, the only strategy that was found that kept the purchase price of the SKYLON low enough for a viable operator business was to follow an ;airline; business model where the manufacturer sells SKYLONs to other operators in addition to S-ELSO. With the assumptions made in the study it was found that the SKYLON manufacturer with a total production run of between 30 and 100 SKYLONs could expect an Internal Rate of Return of around 10%. This was judged too low for all the funding to come from commercial funding sources, but is sufficiently high for a Public Private Partnership. The S-ELSO business model showed that the Internal Rate of Return would be high enough to consider operating without public support (i.e. commercial in operation, irrespective of any public funding of development), even when the average launch price is lowered to match the lowest currently quoted price for expendable systems.

  17. Effects of the relative fee structure on the use of surgical operations.

    PubMed

    Escarce, J J

    1993-10-01

    The goal is to develop a theoretical and empirical framework for investigating how the demand for an operation may be affected by the fee for the operation (the own-price) and by fees for other services provided by surgeons in the same specialty (the cross-price). The theory suggests an empirical test of whether surgeons create demand for surgery. The study examines the use of 11 frequently performed surgical operations by elderly Medicare enrollees in a cross-section of 316 U.S. metropolitan areas. Medicare physician claims and enrollment files for 1986 are the principal sources of data. Using econometric methods, a structural demand equation modified to include the own-price and the cross-price is estimated for each study operation. The theory suggests that the utilization response to changes in fees may differ among operations depending on whether demand creation occurs and on the interplay of distinct own-price and cross-price effects. However, the results of the empirical analyses are inconclusive regarding the most appropriate economic model of surgical utilization. Both neoclassical behavior and demand creation are observed, but technical limitations of the analyses, including the cross-sectional design of the study, preclude definitive inferences. Despite the lack of definitive empirical results, the study has several implications for future research regarding the effect of changes in fees on surgical utilization. In particular, future studies should consider the roles of distinct own-price and cross-price effects, examine the importance of the supply-demand balance in physician services markets, and assess whether typologies of operations that are based on the strictness of their clinical indications predict the appropriate economic model of utilization.

  18. Volitional enhancement of firing synchrony and oscillation by neuronal operant conditioning: interaction with neurorehabilitation and brain-machine interface

    PubMed Central

    Sakurai, Yoshio; Song, Kichan; Tachibana, Shota; Takahashi, Susumu

    2014-01-01

    In this review, we focus on neuronal operant conditioning in which increments in neuronal activities are directly rewarded without behaviors. We discuss the potential of this approach to elucidate neuronal plasticity for enhancing specific brain functions and its interaction with the progress in neurorehabilitation and brain-machine interfaces. The key to-be-conditioned activities that this paper emphasizes are synchronous and oscillatory firings of multiple neurons that reflect activities of cell assemblies. First, we introduce certain well-known studies on neuronal operant conditioning in which conditioned enhancements of neuronal firing were reported in animals and humans. These studies demonstrated the feasibility of volitional control over neuronal activity. Second, we refer to the recent studies on operant conditioning of synchrony and oscillation of neuronal activities. In particular, we introduce a recent study showing volitional enhancement of oscillatory activity in monkey motor cortex and our study showing selective enhancement of firing synchrony of neighboring neurons in rat hippocampus. Third, we discuss the reasons for emphasizing firing synchrony and oscillation in neuronal operant conditioning, the main reason being that they reflect the activities of cell assemblies, which have been suggested to be basic neuronal codes representing information in the brain. Finally, we discuss the interaction of neuronal operant conditioning with neurorehabilitation and brain-machine interface (BMI). We argue that synchrony and oscillation of neuronal firing are the key activities required for developing both reliable neurorehabilitation and high-performance BMI. Further, we conclude that research of neuronal operant conditioning, neurorehabilitation, BMI, and system neuroscience will produce findings applicable to these interrelated fields, and neuronal synchrony and oscillation can be a common important bridge among all of them. PMID:24567704

  19. Volitional enhancement of firing synchrony and oscillation by neuronal operant conditioning: interaction with neurorehabilitation and brain-machine interface.

    PubMed

    Sakurai, Yoshio; Song, Kichan; Tachibana, Shota; Takahashi, Susumu

    2014-01-01

    In this review, we focus on neuronal operant conditioning in which increments in neuronal activities are directly rewarded without behaviors. We discuss the potential of this approach to elucidate neuronal plasticity for enhancing specific brain functions and its interaction with the progress in neurorehabilitation and brain-machine interfaces. The key to-be-conditioned activities that this paper emphasizes are synchronous and oscillatory firings of multiple neurons that reflect activities of cell assemblies. First, we introduce certain well-known studies on neuronal operant conditioning in which conditioned enhancements of neuronal firing were reported in animals and humans. These studies demonstrated the feasibility of volitional control over neuronal activity. Second, we refer to the recent studies on operant conditioning of synchrony and oscillation of neuronal activities. In particular, we introduce a recent study showing volitional enhancement of oscillatory activity in monkey motor cortex and our study showing selective enhancement of firing synchrony of neighboring neurons in rat hippocampus. Third, we discuss the reasons for emphasizing firing synchrony and oscillation in neuronal operant conditioning, the main reason being that they reflect the activities of cell assemblies, which have been suggested to be basic neuronal codes representing information in the brain. Finally, we discuss the interaction of neuronal operant conditioning with neurorehabilitation and brain-machine interface (BMI). We argue that synchrony and oscillation of neuronal firing are the key activities required for developing both reliable neurorehabilitation and high-performance BMI. Further, we conclude that research of neuronal operant conditioning, neurorehabilitation, BMI, and system neuroscience will produce findings applicable to these interrelated fields, and neuronal synchrony and oscillation can be a common important bridge among all of them.

  20. Switch Panel wear loading - a parametric study regarding governing train operational factors

    NASA Astrophysics Data System (ADS)

    Hiensch, E. J. M.; Burgelman, N.

    2017-09-01

    The acting forces and resulting material degradation at the running surfaces of wheels and rail are determined by vehicle, track, interface and operational characteristics. To effectively manage the experienced wear, plastic deformation and crack development at wheels and rail, the interaction between vehicle and track demands a system approach both in maintenance and in design. This requires insight into the impact of train operational parameters on rail- and wheel degradation, in particular at switches and crossings due to the complex dynamic behaviour of a railway vehicle at a turnout. A parametric study was carried out by means of vehicle-track simulations within the VAMPIRE® multibody simulation software, performing a sensitivity analysis regarding operational factors and their impact on expected switch panel wear loading. Additionally, theoretical concepts were cross-checked with operational practices by means of a case study in response to a dramatic change in lateral rail wear development at specific switches in Dutch track. Data from train operation, track maintenance and track inspection were analysed, providing further insight into the operational dependencies. From the simulations performed in this study, it was found that switch rail lateral wear loading at the diverging route of a 1:9 type turnout is significantly influenced by the level of wheel-rail friction and to a lesser extent by the direction of travel (facing or trailing). The influence of other investigated parameters, being vehicle speed, traction, gauge widening and track layout is found to be small. Findings from the case study further confirm the simulation outcome. This research clearly demonstrates the contribution flange lubrication can have in preventing abnormal lateral wear at locations where the wheel-rail interface is heavily loaded.

  1. Comparison of Commercial Aircraft Fuel Requirements in Regards to FAR, Flight Profile Simulation, and Flight Operational Techniques

    NASA Astrophysics Data System (ADS)

    Heitzman, Nicholas

    There are significant fuel consumption consequences for non-optimal flight operations. This study is intended to analyze and highlight areas of interest that affect fuel consumption in typical flight operations. By gathering information from actual flight operators (pilots, dispatch, performance engineers, and air traffic controllers), real performance issues can be addressed and analyzed. A series of interviews were performed with various individuals in the industry and organizations. The wide range of insight directed this study to focus on FAA regulations, airline policy, the ATC system, weather, and flight planning. The goal is to highlight where operational performance differs from design intent in order to better connect optimization with actual flight operations. After further investigation and consensus from the experienced participants, the FAA regulations do not need any serious attention until newer technologies and capabilities are implemented. The ATC system is severely out of date and is one of the largest limiting factors in current flight operations. Although participants are pessimistic about its timely implementation, the FAA's NextGen program for a future National Airspace System should help improve the efficiency of flight operations. This includes situational awareness, weather monitoring, communication, information management, optimized routing, and cleaner flight profiles like Required Navigation Performance (RNP) and Continuous Descent Approach (CDA). Working off the interview results, trade-studies were performed using an in-house flight profile simulation of a Boeing 737-300, integrating NASA legacy codes EDET and NPSS with a custom written mission performance and point-performance "Skymap" calculator. From these trade-studies, it was found that certain flight conditions affect flight operations more than others. With weather, traffic, and unforeseeable risks, flight planning is still limited by its high level of precaution. From this study, it is recommended that air carriers increase focus on defining policies like load scheduling, CG management, reduction in zero fuel weight, inclusion of performance measurement systems, and adapting to the regulations to best optimize the spirit of the requirement.. As well, air carriers should create a larger drive to implement the FAA's NextGen system and move the industry into the future.

  2. Managing Safety and Operations: The Effect of Joint Management System Practices on Safety and Operational Outcomes.

    PubMed

    Tompa, Emile; Robson, Lynda; Sarnocinska-Hart, Anna; Klassen, Robert; Shevchenko, Anton; Sharma, Sharvani; Hogg-Johnson, Sheilah; Amick, Benjamin C; Johnston, David A; Veltri, Anthony; Pagell, Mark

    2016-03-01

    The aim of this study was to determine whether management system practices directed at both occupational health and safety (OHS) and operations (joint management system [JMS] practices) result in better outcomes in both areas than in alternative practices. Separate regressions were estimated for OHS and operational outcomes using data from a survey along with administrative records on injuries and illnesses. Organizations with JMS practices had better operational and safety outcomes than organizations without these practices. They had similar OHS outcomes as those with operations-weak practices, and in some cases, better outcomes than organizations with safety-weak practices. They had similar operational outcomes as those with safety-weak practices, and better outcomes than those with operations-weak practices. Safety and operations appear complementary in organizations with JMS practices in that there is no penalty for either safety or operational outcomes.

  3. 23 CFR 450.212 - Transportation planning studies and project development.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... transportation operator(s) may undertake a multimodal, systems-level corridor or subarea planning study as part... part 771 and 40 CFR parts 1500-1508). Specifically, these corridor or subarea studies may result in... objective statement(s); (2) General travel corridor and/or general mode(s) definition (e.g., highway...

  4. 23 CFR 450.212 - Transportation planning studies and project development.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... transportation operator(s) may undertake a multimodal, systems-level corridor or subarea planning study as part... part 771 and 40 CFR parts 1500-1508). Specifically, these corridor or subarea studies may result in... objective statement(s); (2) General travel corridor and/or general mode(s) definition (e.g., highway...

  5. 23 CFR 450.212 - Transportation planning studies and project development.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... transportation operator(s) may undertake a multimodal, systems-level corridor or subarea planning study as part... part 771 and 40 CFR parts 1500-1508). Specifically, these corridor or subarea studies may result in... objective statement(s); (2) General travel corridor and/or general mode(s) definition (e.g., highway...

  6. Shared-use bus priority lanes on city streets : case studies in design and management [research brief].

    DOT National Transportation Integrated Search

    2012-04-01

    This study examines the design and operations of bus lanes in major congested urban centers. It focuses on shared-use bus lanes that operate in mixed traffic conditions. : Study Methods : The key questions addressed are: : 1. How do the many public a...

  7. 75 FR 81560 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-28

    ... associated risk factors. As part of an ongoing series of NAHMS studies on the U.S. livestock population... study is designed to collect information on operations with total annual sales between $10,000 and $250... number. Animal and Plant Health Inspection Service Title: Small-Scale Livestock Operations 2011 Study...

  8. [Working conditions in operating rooms].

    PubMed

    Kułagowska, Ewa

    2007-01-01

    The aim of this study was to get acquainted with the opinions of the nursing staff on working conditions at their workplace. The study was carried out in a group of 398 nurses working in various kinds of operating rooms at 11 public hospitals. A questionnaire was used as a major tool of this study. The questionnaires were filled in by 259 operating room nurses (circulating nurses) and 139 nurse-anesthetists. The collected data show that working conditions in operating rooms do not ensure safety of the nursing staff at work. The main sources of problems are: work organization, technical factors, work equipment, work space, knowledge of hazards and strenuous factors among nurses, ways of preventing and/or limiting them. These elements are serious occupational risk factors influencing the work process and health status of nurses.

  9. Manned systems utilization analysis (study 2.1). Volume 5: Program listing for the LOVES computer code

    NASA Technical Reports Server (NTRS)

    Wray, S. T., Jr.

    1975-01-01

    The LOVES computer code developed to investigate the concept of space servicing operational satellites as an alternative to replacing expendable satellites or returning satellites to earth for ground refurbishment is presented. In addition to having the capability to simulate the expendable satellite operation and the ground refurbished satellite operation, the program is designed to simulate the logistics of space servicing satellites using an upper stage vehicle and/or the earth to orbit shuttle. The program not only provides for the initial deployment of the satellite but also simulates the random failure and subsequent replacement of various equipment modules comprising the satellite. The program has been used primarily to conduct trade studies and/or parametric studies of various space program operational philosophies.

  10. Heat transfer characteristics of a surface type direct contact boiler

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

    Deeds, R.S.; Jacobs, H.R.; Boehm, R.F.

    1976-03-01

    Two direct contact heat exchangers were constructed and test results were obtained using water and refrigerant 113 as the working fluids. The heat exchangers were operated in a three-phase mode; the water remained liquid throughout the vessel and the liquid refrigerant 113 underwent vaporization following direct injection into the water. The effect of important operational parameters--operating heights, refrigerant 113 injection techniques, mass flow ratios, and temperatures--was studied to determine generalized trends important in the design and operation of a prototype three-phase direct contact heat exchanger. The primary system used in this study performed well overall. The initial favorable results ofmore » this study warrant further investigation of direct contact heat exchange as a means of utilizing geothermal energy.« less

  11. Routine versus selective contrast imaging to identify the need for early re-intervention following laparoscopic fundoplication: A retrospective cohort study.

    PubMed

    Shahzad, Khalid; Menon, Ashok; Turner, Paul; Ward, Jeremy; Pursnani, Kishore; Alkhaffaf, Bilal

    2015-08-01

    The prompt recognition of complications is essential in reducing morbidity following anti-reflux surgery. Consequently, many centres employ a policy of routine post-operative contrast studies. The study aimed to examine whether routine contrast studies more effectively recognised early post-operative complications following anti-reflux surgery compared with selective use. This was a retrospective analysis of 240 adults who had undergone primary anti-reflux surgery. Selective use of water-soluble contrast swallows was employed for 115 patients (Group 1) while 125 patients (Group 2) had routine studies. 10 (0.9%) patients from Group 1 underwent contrast studies, four (40%) of which were abnormal. Routine studies in Group 2 identified thirty-two abnormalities (27%) however the inter-group difference was not significant (p = 0.32). Only one case from group 2 required immediate re-intervention. This was not statistically significant (p = 0.78). Multivariate analysis found no significant association between selective or routine imaging and re-intervention rates. One patient from group 2 presented three days following discharge with wrap migration requiring reoperation despite a normal post-operative study. Routine use of contrast imaging following anti-reflux and hiatus hernia surgery is not necessary. It does not identify a significantly greater number of post-operative complications in comparison to selective use. Additionally, routine use of contrast studies does not ensure the diagnosis of all complications in the post-operative period. Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

  12. Cardiac surgery productivity and throughput improvements.

    PubMed

    Lehtonen, Juha-Matti; Kujala, Jaakko; Kouri, Juhani; Hippeläinen, Mikko

    2007-01-01

    The high variability in cardiac surgery length--is one of the main challenges for staff managing productivity. This study aims to evaluate the impact of six interventions on open-heart surgery operating theatre productivity. A discrete operating theatre event simulation model with empirical operation time input data from 2603 patients is used to evaluate the effect that these process interventions have on the surgery output and overtime work. A linear regression model was used to get operation time forecasts for surgery scheduling while it also could be used to explain operation time. A forecasting model based on the linear regression of variables available before the surgery explains 46 per cent operating time variance. The main factors influencing operation length were type of operation, redoing the operation and the head surgeon. Reduction of changeover time between surgeries by inducing anaesthesia outside an operating theatre and by reducing slack time at the end of day after a second surgery have the strongest effects on surgery output and productivity. A more accurate operation time forecast did not have any effect on output, although improved operation time forecast did decrease overtime work. A reduction in the operation time itself is not studied in this article. However, the forecasting model can also be applied to discover which factors are most significant in explaining variation in the length of open-heart surgery. The challenge in scheduling two open-heart surgeries in one day can be partly resolved by increasing the length of the day, decreasing the time between two surgeries or by improving patient scheduling procedures so that two short surgeries can be paired. A linear regression model is created in the paper to increase the accuracy of operation time forecasting and to identify factors that have the most influence on operation time. A simulation model is used to analyse the impact of improved surgical length forecasting and five selected process interventions on productivity in cardiac surgery.

  13. Return to sport following clavicle fractures: a systematic review.

    PubMed

    Robertson, G A J; Wood, A M

    2016-09-01

    This review aims to provide information on the return rates and return times to sport following clavicle fractures. A systematic search of Medline, EMBASE, CINAHAL, Cochrane, Web of Science, PEDro, SPORTDiscus, Scopus and Google Scholar was performed using the keywords 'clavicle', 'clavicular', 'fractures', 'athletes', 'sports', 'non-operative', 'conservative', 'operative', 'return to sport'. Twenty-three studies were included: 10 reported on mid-shaft fractures, 14 on lateral fractures. The management principles for athletic patients were to attempt non-operative management for undisplaced fractures to undertake operative intervention for displaced lateral fractures and to recommend operative intervention for displaced mid-shaft fractures. The optimal surgical modality for mid-shaft and lateral clavicle fractures. Operative management of displaced mid-shaft fractures offers improved return rates and times to sport compared to non-operative management. Suture fixation and non-acromio-clavicular joint (ACJ)-spanning plate fixation of displaced lateral fractures show promising results. Future prospective studies should aim to establish the optimal treatment modalities for clavicle fractures. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  14. STS payloads mission control study continuation phase A-1. Volume 2-B: Task 2. Evaluation and refinement of implementation guidelines for the selected STS payload operator concept

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The functions of Payload Operations Control Centers (POCC) at JSC, GSFC, JPL, and non-NASA locations are analyzed to establish guidelines for standardization, and facilitate the development of a fully integrated NASA-wide system of ground facilities for all classes of payloads. Operational interfaces between the space transportation system operator and the payload operator elements are defined. The advantages and disadvantages of standardization are discussed.

  15. The Centrifuge Facility Life Sciences Glovebox configuration study

    NASA Technical Reports Server (NTRS)

    Sun, Sidney C.; Goulart, Carla V.

    1992-01-01

    Crew operations associated with nonhuman life sciences research on Space Station Freedom will be conducted in the Life Sciences Glovebox, whose enclosed work volume must accommodate numerous life science procedures. Two candidate Glovebox work volume concepts have been developed: one in which two operators work side-by-side, and another that conforms to the reach envelope of a single operator. Six test volunteers tested the concepts according to preestablished operational criteria. The wrap-around, single-operator concept has been judged the superior system.

  16. Space Operations Center system analysis study extension. Volume 4, book 2: SOC system analysis report

    NASA Technical Reports Server (NTRS)

    1982-01-01

    The Space Operations Center (SOC) orbital space station research missions integration, crew requirements, SOC operations, and configurations are analyzed. Potential research and applications missions and their requirements are described. The capabilities of SOC are compared with user requirements. The SOC/space shuttle and shuttle-derived vehicle flight support operations and SOC orbital operations are described. Module configurations and systems options, SOC/external tank configurations, and configurations for geostationary orbits are described. Crew and systems safety configurations are summarized.

  17. Characterization of Metering, Merging and Spacing Requirements for Future Trajectory-Based Operations

    NASA Technical Reports Server (NTRS)

    Johnson, Sally

    2017-01-01

    Trajectory-Based Operations (TBO) is one of the essential paradigm shifts in the NextGen transformation of the National Airspace System. Under TBO, aircraft are managed by 4-dimensional trajectories, and airborne and ground-based metering, merging, and spacing operations are key to managing those trajectories. This paper presents the results of a study of potential metering, merging, and spacing operations within a future TBO environment. A number of operational scenarios for tactical and strategic uses of metering, merging, and spacing are described, and interdependencies between concurrent tactical and strategic operations are identified.

  18. Making adaptable systems work for mission operations: A case study

    NASA Technical Reports Server (NTRS)

    Holder, Barbara E.; Levesque, Michael E.

    1993-01-01

    The Advanced Multimission Operations System (AMMOS) at NASA's Jet Propulsion Laboratory is based on a highly adaptable multimission ground data system (MGDS) for mission operations. The goal for MGDS is to support current flight project science and engineering personnel and to meet the demands of future missions while reducing associated operations and software development costs. MGDS has become a powerful and flexible mission operations system by using a network of heterogeneous workstations, emerging open system standards, and selecting an adaptable tools-based architecture. Challenges in developing adaptable systems for mission operations and the benefits of this approach are described.

  19. New techniques for the analysis of manual control systems. [mathematical models of human operator behavior

    NASA Technical Reports Server (NTRS)

    Bekey, G. A.

    1971-01-01

    Studies are summarized on the application of advanced analytical and computational methods to the development of mathematical models of human controllers in multiaxis manual control systems. Specific accomplishments include the following: (1) The development of analytical and computer methods for the measurement of random parameters in linear models of human operators. (2) Discrete models of human operator behavior in a multiple display situation were developed. (3) Sensitivity techniques were developed which make possible the identification of unknown sampling intervals in linear systems. (4) The adaptive behavior of human operators following particular classes of vehicle failures was studied and a model structure proposed.

  20. Impact of air conditioning system operation on increasing gases emissions from automobile

    NASA Astrophysics Data System (ADS)

    Burciu, S. M.; Coman, G.

    2016-08-01

    The paper presents a study concerning the influence of air conditioning system operation on the increase of gases emissions from cars. The study focuses on urban operating regimes of the automobile, regimes when the engines have low loads or are operating at idling. Are presented graphically the variations of pollution emissions (CO, CO2, HC) depending of engine speed and the load on air conditioning system. Additionally are presented, injection duration, throttle position, the mechanical power required by the compressor of air conditioning system and the refrigerant pressure variation on the discharge path, according to the stage of charging of the air conditioning system.

  1. Vacuum Stability in Split SUSY and Little Higgs Models

    NASA Astrophysics Data System (ADS)

    Datta, Alakabha; Zhang, Xinmin

    We study the stability of the effective Higgs potential in the split supersymmetry and Little Higgs models. In particular, we study the effects of higher dimensional operators in the effective potential on the Higgs mass predictions. We find that the size and sign of the higher dimensional operators can significantly change the Higgs mass required to maintain vacuum stability in Split SUSY models. In the Little Higgs models the effects of higher dimensional operators can be large because of a relatively lower cutoff scale. Working with a specific model we find that a contribution from the higher dimensional operator with coefficient of O(1) can destabilize the vacuum.

  2. Requirement for a standard language for test and ground operations

    NASA Technical Reports Server (NTRS)

    Medlock, J. R.

    1971-01-01

    The basic requirements for a standard test and checkout language applicable to all phases of the space shuttle test and ground operations are determined. The general characteristics outlined here represent the integration of selected ideas and concepts from operational elements within Kennedy Space Center (KSC) that represent diverse disciplines associated with space vehicle testing and launching operations. Special reference is made to two studies conducted in this area for KSC as authorized by the Advanced Development Element of the Office of Manned Space Flight (MSF). Information contained in reports from these studies have contributed significantly to the final selection of language features depicted in this technical report.

  3. Evaluation of Pain Following the Use of Scalpel versus Diathermy for Skin Incision in Ear, Nose, Throat and Head and Neck Surgeries.

    PubMed

    Shrestha, Diva

    2018-03-13

    Many studies have shown the benefits of diathermy over scalpel for making skin incisions in terms of post operative pain and post operative analgesics requirement. The objective of the study is to compare the pain following incision by scalpel and diathermy for skin in ENT surgery. We conducted a prospective, randomized study and compared early post operative pain and analgesics requirement in patients undergoing ENT and Head and Neck surgery in Department of ENT at Kathmandu Medical College from September 2016 to August 2017. The statistical analysis was done using MS Excel and SPSS software. Out of 65 participants, 31 were allocated in scalpel group and 30 were allocated in diathermy group. The mean VAS score was significantly greater in scalpel group as compared to diathermy group in post operative 12, 24 and 48 hours (P<0.05). The mean ketorolac requirement was significantly more in scalpel group than in diathermy group in post operative 24 hours. The early post operative pain is less in ENT-Head and Neck surgery patients with skin incision by diathermy as compared to the patients with skin incision by scalpel.

  4. Simulation studies of STOL airplane operations in metropolitan downtown and airport air traffic control environments

    NASA Technical Reports Server (NTRS)

    Sawyer, R. H.; Mclaughlin, M. D.

    1974-01-01

    The operating problems and equipment requirements for STOL airplanes in terminal area operations in simulated air traffic control (ATC) environments were studied. These studies consisted of Instrument Flight Rules (IFR) arrivals and departures in the New York area to and from a downtown STOL port, STOL runways at John F. Kennedy International Airport, or STOL runways at a hypothetical international airport. The studies were accomplished in real time by using a STOL airplane flight simulator. An experimental powered lift STOL airplane and two in-service airplanes having high aerodynamic lift (i.e., STOL) capability were used in the simulations.

  5. Risk factors for unintentional occupational injury among urban transit bus drivers: a cohort longitudinal study.

    PubMed

    Wei, Chia; Gerberich, Susan G; Ryan, Andrew D; Alexander, Bruce H; Church, Timothy R; Manser, Michael

    2017-12-01

    Although many studies have focused on bus operators' occupational diseases, work-related injury and associated risk factor data are limited. The purpose of this longitudinal study was to investigate unintentional injury and exposures that may affect injury risk among metropolitan bus operators. Demographic, work-related, and injury data obtained from a metropolitan transit company for a 5-year period, enabled estimates of rates per 100 full time equivalents (FTEs) and adjusted Hazard Ratios (HRs), with 95% confidence intervals (CIs), using Generalized Estimating Equations and Cox proportional hazards models, respectively. The 2095 bus operators, included in this study, had an unintentional injury rate (95% CI) of 17.8 (16.1-19.7) per 100 FTEs. Multivariable analysis identified increased risks for operators who were female, compared to male (HR = 2.4; 2.0-2.8); worked less than 7 versus 7 to less than 12 hours per day (HR = 4.6; 3.8-5.5); and drove less than 7 versus 7 to less than 12 hours per day (HR = 3.2; 2.7-3.8). Suggestive increased risks were identified for operators working split versus straight shifts (HR = 1.2; 1.0-1.4) and for driving limited versus regular bus routes (HR = 1.36; 1.0-1.8). Results serve as a basis for further studies and inform the development of targeted intervention strategies to reduce bus operators' occupational injuries. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Review of the Effectiveness, Location, and Safety of Passing Lanes in Kansas

    DOT National Transportation Integrated Search

    1999-10-01

    Existing passing lanes in place on Kansas highways were studied from an operational and safety perspective. It was found that they generally operated well, improved operational efficiency and were well liked by the public. Determination of highway se...

  7. Evaluation of short-duration unscheduled absences among transit operators : TriMet case study

    DOT National Transportation Integrated Search

    2009-09-01

    This report analyzes factors contributing to short duration (one to three days) unscheduled absences among operators : at TriMet, the transit provider for the Portland, Oregon metropolitan region. The analysis draws on a wide array of : operator-spec...

  8. Evaluation of short-duration, unscheduled absences among transit operators: TriMet case study.

    DOT National Transportation Integrated Search

    2009-09-01

    This report analyzes factors contributing to short duration (one to three days) unscheduled absences among operators at TriMet, the transit provider for the Portland, Oregon metropolitan region. The analysis draws on a wide array of operator-specific...

  9. Capacity evaluation and infrastructure planning techniques for heterogeneous railway traffic under structured, flexible and mixed operations.

    DOT National Transportation Integrated Search

    2017-01-22

    The objective of this study is to develop new railway capacity evaluation tools and infrastructure planning techniques to address infrastructure or operations planning challenges under different operating styles. Three main research questions will be...

  10. Warehousing Operations.

    ERIC Educational Resources Information Center

    Marine Corps Inst., Washington, DC.

    Developed as part of the Marine Corps Institute (MCI) correspondence training program, this course on warehousing operations is designed to provide instruction in the procedures used in warehousing operations. Introductory materials include specific information for MCI students and a study guide (guidelines to complete the course). The 22-hour…

  11. Dunkl-Darboux differential-difference operators

    NASA Astrophysics Data System (ADS)

    Khekalo, S. P.

    2017-02-01

    Using a natural generalization, we construct and study analogues of Dunkl differential-difference operators on the line. These analogues turn out to be closely connected with the so-called Burchnall- Chaundy-Adler-Moser polynomials and, therefore, with Darboux transforms. We find the eigenfunctions of these operators.

  12. Transit Operations Decision Support System (TODSS) core requirements prototype development case study and lessons learned.

    DOT National Transportation Integrated Search

    2010-02-01

    Transit Operations Decision Support Systems (TODSS) are systems designed to support dispatchers and others in real-time operations : management in response to incidents, special events, and other changing conditions. As part of a joint Federal Transi...

  13. Analysis of the potential benefits of larger trucks for U.S. businesses operating private fleets.

    DOT National Transportation Integrated Search

    2009-05-01

    This study examines the current operational and economic performance of a sample of companies that operate private fleets and establishes a present-day baseline of transport productivity and efficiency. It also estimates how transportation performanc...

  14. Acquisition of Formal Operations: The Effects of Two Training Procedures.

    ERIC Educational Resources Information Center

    Rosenthal, Doreen A.

    1979-01-01

    A study of 11- and 12-year-old girls indicates that either of two training procedures, method training or dimension training, can aid in the transition from concrete operational to formal operational thought by promoting a hypothesis-testing attitude. (BH)

  15. SPICE for ESA Planetary Missions: geometry and visualization support to studies, operations and data analysis within your reach

    NASA Astrophysics Data System (ADS)

    Costa, Marc

    2018-05-01

    JUICE is a mission chosen in the framework of the Cosmic Vision 2015-2024 program of the SRE. JUICE will survey the Jovian system with a special focus on the three Galilean Moons. Currently the mission is under study activities during its Definition Phase. For this period the future mission scenarios are being studied by the Science Working Team (SWT). The Mission Analysis and Payload Support (MAPPS) and the Solar System Science Operations Laboratory (SOLab) tools are being used to provide active support to the SWT in synergy with other operational tools used in the Department in order to evaluate the feasibility of those scenarios. This contribution will outline the capabilities, synergies as well as use cases of the mentioned tools focusing on the support provided to JUICEís study phase on the study of its critical operational scenarios and the early developments of its Science Ground Segment demonstrating the added value that such a tool provides to planetary science missions.

  16. Benefit of an operating vehicle preventing peritonitis in peritoneal dialysis patients: a retrospective, case-controlled study.

    PubMed

    Fang, Pan; Lu, Jia; Liu, Ying-Hong; Deng, Hong-Mei; Zhang, Lei; Zhang, Hong-Qing

    2018-06-01

    Peritonitis, which is one of the leading complications of peritoneal dialysis (PD) worldwide, severely affected morbidity and mortality of the PD patients. Although many efforts have been made to prevent PD-related peritonitis, it seems impossible to prevent it completely. Many causes have been reported to lead to peritonitis, and contamination during bag exchange is one of the important risk factors for peritonitis. Here, we introduce an operating vehicle, which we invented to provide a sterile and safe space for bag exchange. A single-center, retrospective, case-control study was undertaken to determine whether this operating vehicle has a protective role in preventing peritonitis. In total, 462 continuous ambulatory peritoneal dialysis patients were included in this study from October 2014 to March 2017. According to their personal will, these patients chose to use operating vehicle or traditional method during their bag exchange. The demographic, clinical and laboratory data of these patients in the two groups were collected, analyzed and compared. Of 462 patients with home dialysis, operating vehicle group consisted of 61 patients, and control group consisted of 401 patients. In the control group, over 677 patient-years, peritonitis occurred in 69 of 401 patients (17.2%), while in the operating vehicle group, over 60 patient-years, only 4 of 61 patients (6.6%) had episodes of peritonitis. The number of patients suffered from peritonitis was significantly decreased in the operating vehicle group (P = 0.034). Besides, there were a total of 99 episodes of peritonitis, and the rate was 1 episode every 7.2 patient-years in control group and 1 episode every 12 patient-years in the operating vehicle group. There was significant difference between the two groups (0.013). Positive dialysate cultures were obtained in majority of the peritonitis episodes (60.6%). Operating vehicle might help to reduce PD-related peritonitis by preventing contamination during bag exchange. Further studies are still needed to demonstrate the protective role of the operating vehicle in preventing peritonitis.

  17. Maclaurin symmetric mean operators of linguistic intuitionistic fuzzy numbers and their application to multiple-attribute decision-making

    NASA Astrophysics Data System (ADS)

    Liu, Peide; Qin, Xiyou

    2017-11-01

    Linguistic intuitionistic fuzzy number (LIFN) is a special intuitionistic fuzzy number which can more easily describe the vagueness existing in the real decision-making. Maclaurin symmetric mean (MSM) operator has the characteristic of considering the interrelationships among any number of input parameters. In this paper, we extended the MSM operator to the LIFNs and some extended MSM operators for LIFNs were proposed, some new decision-making methods were developed. Firstly, we introduced the definition, score function, properties and operational rules of the LIFNs. Then, we proposed some linguistic intuitionistic fuzzy MSM operators, such as linguistic intuitionistic fuzzy Maclaurin symmetric mean operator, weighted linguistic intuitionistic fuzzy Maclaurin symmetric mean (WLIFMSM) operator, linguistic intuitionistic fuzzy dual Maclaurin symmetric mean operator, weighted linguistic intuitionistic fuzzy dual Maclaurin symmetric mean (WLIFDMSM) operator. In the meantime, we studied some important properties of these operators, and developed some methods based on WLIFMSM operator and WLIFDMSM operator for multi-attribute decision-making. Finally, we use an example to demonstrate the effectiveness of the proposed methods.

  18. System Operations Studies for Automated Gateway Transit Systems - Detailed Station Model Programmer's Manual.

    DOT National Transportation Integrated Search

    1982-01-01

    The Detailed Station Model (DSM) provides operational and performance measures of alternative station configurations and management policies with respect to vehicle and passenger capabilities. It provides an analytic tool to support tradeoff studies ...

  19. Weather information integration in transportation management center (TMC) operations.

    DOT National Transportation Integrated Search

    2011-01-02

    This report presents the results of the third phase of an on-going FHWA study on weather integration in Transportation Management Center (TMC) operations. The report briefly describes the earlier phases of the integration study, summarizes the findin...

  20. Research on the Effects of Fatigue within the Corporate/Business Aircraft Environment

    NASA Technical Reports Server (NTRS)

    Neri, David F.; Rosekind, Mark R.; Co, Elizabeth L.; Gregory, Kevin B.; Miller, Donna L.

    1997-01-01

    In 1980, responding to a Congressional request, NASA Ames Research Center created a program to examine whether 'there is a safety problem of uncertain magnitude, due to transmeridian flying and a potential problem due to fatigue in association with various factors found in air transport operations.' The NASA Ames Fatigue/Jet Lag Program was created to collect systematic, scientific information on fatigue, sleep, circadian rhythms, and performance in flight operations. Three Program goals were established and continue to guide research efforts to: (1) determine the extent of fatigue, sleep loss, and circadian disruption in flight operations; (2) determine the impact of these factors on flight crew performance; (3) develop and evaluate countermeasures to mitigate the adverse effects of these factors and maximize flight crew performance and alertness. Since 1980, studies have been conducted in a variety of aviation environments, in controlled laboratory environments, as well as in a full-mission flight simulation. Early studies included investigations of short-haul, long-haul, and overnight cargo flight crews. In 1991, the name of the program was changed to the Fatigue Countermeasures Program to provide a greater emphasis on the development and evaluation of countermeasures. More recent work has examined the effects of planned cockpit rest as an operational countermeasure and provided analyses of the pertinent sleep/duty factors preceding an aviation accident at Guantanamo Bay, Cuba. The Short-Haul study examined the extent of sleep loss, circadian disruption, and fatigue engendered by flying commercial short-haul air transport operations (flight legs less than eight hours). This was one of the first field studies conducted by the NASA program and provided unique insight into the physiological and subjective effects of flying commercial short-haul operations. It demonstrated that a range of measures could be obtained in an operational environment without disturbing the regular performance of duties. The Long-Haul study examined how long-haul flight crews organized their sleep during a variety of international trip patterns and examined how duty requirements, local time, and the circadian system affected the timing, duration, and quality of sleep. Duty requirements and local time can be viewed as external/environmental constraints on time available for sleep, while the internal circadian system is a major physiological modulator of sleep duration and quality. The Overnight Cargo study documented the psychophysiological effects of flying overnight cargo operations. The data collected clearly demonstrated that overnight cargo operations, like other night work, involve physiological disruption not found in comparable daytime operations.

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