Science.gov

Sample records for operations case studies

  1. Case Study of Reservoir Operation with SSSLP

    NASA Astrophysics Data System (ADS)

    Howard, C. D.

    2012-12-01

    by Charles D. D. Howard, Member AGU Senior Advisor, CddHoward Consulting Ltd Victoria, BC, Canada. For a continuous period of eight years a conceptual hydrologic model was coupled with a stochastic optimization model during operation of two hydroelectric reservoirs in mountain watersheds of coastal British Columbia. The results in terms of increased actual energy generation may provide insight into a simple methodology suitable for other similar situations. The optimization model was updated each week with current reservoir levels, operating criteria (such as unit outages) and stochastic inflow forecasts covering a 52 week time horizon. The weekly operating decisions were based on a stochastic linear programming model of the time horizon but recommended the optimal releases in only the first week. Implementation and management of the method was expedited by not considering the full multi-stage decision tree. This method is called SSLP, Single Stage Stochastic Linear Programming. The paper provides two comparisons for how well this methodology can perform. The first shows comparisons of actual energy generation, generation that could have been achieved if the model recommendations had been more strictly adopted, and generation that would have occurred if the previous rule curve had been followed. The second is an academic study that explored how much detail is actually needed in reservoir operations optimization. For this a single stage stochastic linear programming model of a hypothetical reservoir was compared with a stochastic dynamic programming application that modeled the full decision tree.

  2. Case Study: Operation Enduring Freedom Philippines

    DTIC Science & Technology

    2010-10-01

    undertook negotiations, a splinter group, made up in part of returning veterans from jihad in Afghanistan, formed the Moro Islamic Liberation Front ( MILF ...Clark Air Force Base and Subic Naval Base was rejected by the Philippines Senate. The goals of ASG, like MILF , were separatist, in their case to...and MILF 11 See Dr. C. H. Briscoe and Lieutenant Colonel Dennis Downey, “Multiple Insurgent

  3. 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…

  4. Case Studies on UN Information Operations: Ethiopia, Liberia, and Kosovo

    DTIC Science & Technology

    2012-09-01

    physiological, psychological, and sociological needs such as food, clothes, safety, belongingness, love, esteem , and self -actualization and their...peacekeeping information operations based on case studies. This thesis will analyze how the United Nations Public Information Office utilized media tools in...This research will analyze the outcomes of Public Information (PI) campaigns and other information operations, utilizing Maslow’s information

  5. C++ and operating systems performance - A case study

    NASA Technical Reports Server (NTRS)

    Russo, Vincent F.; Madany, Peter W.; Campbell, Roy H.

    1990-01-01

    Object-oriented design and programming has many software engineering advantages. Its application to large systems, however, has previously been constrained by performance concerns. The Choices operating system, which has over 75,000 lines of code, is object-oriented and programmed in C++. This paper is a case study of the performance of Choices.

  6. C++ and operating systems performance - A case study

    NASA Technical Reports Server (NTRS)

    Russo, Vincent F.; Madany, Peter W.; Campbell, Roy H.

    1990-01-01

    Object-oriented design and programming has many software engineering advantages. Its application to large systems, however, has previously been constrained by performance concerns. The Choices operating system, which has over 75,000 lines of code, is object-oriented and programmed in C++. This paper is a case study of the performance of Choices.

  7. Case studies of ergonomic interventions in automotive parts distribution operations.

    PubMed

    Ulin, Sheryl S; Keyserling, W Monroe

    2004-12-01

    Ergonomic job analysis, intervention design, and intervention implementation are essential components of an ergonomics program designed to reduce worker exposure to risk factors associated with musculoskeletal disorders. As part of a 4-year study to reduce overexertion injuries in the service parts division of a major automaker, intervention case studies were identified that could be used at multiple facilities across the division. Interventions were developed and implemented. The three case studies include 1) self-elevating powered vehicle for transporting parts throughout the facility and for reaching to high bin locations; 2) lift and tilt pallet jacks for packing small parts into large bin-like containers; and 3) single-level telescoping conveyor used for delivering hand-held totes for subsequent sorting operations. Several analysis methods were used to assess worker exposure before and after intervention implementation (biomechanical analysis, posture analysis, worker interviews, and activity analysis). Following implementation, a decrease in exposure to risk factors for musculoskeletal disorders was documented. Worker interviews revealed acceptance and agreement that risk factors associated with the targeted tasks were reduced. Each case study includes a description of the implementation hurdles and can serve as both primary and secondary prevention of musculoskeletal disorders. Future work should document worker health and/or symptom changes as well as changes in risk factor exposure.

  8. Long-Term Operating System Maintenance. A Linux Case Study

    DTIC Science & Technology

    2008-01-01

    when maintaining an operating system for long periods. Therefore, this report serves as an introduction and a simple methodology for performing...and necessary reconfiguration capabilities have been established, an appropriate methodology could be developed for upgrading and updating an...this study proposes a methodology for upgrading and updating an operating system so that installing a newer operating system is not required in order

  9. Integrating Nuclear Energy to Oilfield Operations – Two Case Studies

    SciTech Connect

    Eric P. Robertson; Lee O. Nelson; Michael G. McKellar; Anastasia M. Gandrik; Mike W. Patterson

    2011-11-01

    Fossil fuel resources that require large energy inputs for extraction, such as the Canadian oil sands and the Green River oil shale resource in the western USA, could benefit from the use of nuclear power instead of power generated by natural gas combustion. This paper discusses the technical and economic aspects of integrating nuclear energy with oil sands operations and the development of oil shale resources. A high temperature gas reactor (HTGR) that produces heat in the form of high pressure steam (no electricity production) was selected as the nuclear power source for both fossil fuel resources. Both cases were based on 50,000 bbl/day output. The oil sands case was a steam-assisted, gravity-drainage (SAGD) operation located in the Canadian oil sands belt. The oil shale development was an in-situ oil shale retorting operation located in western Colorado, USA. The technical feasibility of the integrating nuclear power was assessed. The economic feasibility of each case was evaluated using a discounted cash flow, rate of return analysis. Integrating an HTGR to both the SAGD oil sands operation and the oil shale development was found to be technically feasible for both cases. In the oil sands case, integrating an HTGR eliminated natural gas combustion and associated CO2 emissions, although there were still some emissions associated with imported electrical power. In the in situ oil shale case, integrating an HTGR reduced CO2 emissions by 88% and increased natural gas production by 100%. Economic viabilities of both nuclear integrated cases were poorer than the non-nuclear-integrated cases when CO2 emissions were not taxed. However, taxing the CO2 emissions had a significant effect on the economics of the non-nuclear base cases, bringing them in line with the economics of the nuclear-integrated cases. As we move toward limiting CO2 emissions, integrating non-CO2-emitting energy sources to the development of energy-intense fossil fuel resources is becoming

  10. Study of 433 Operated Cases of Thoracic Trauma.

    PubMed

    Çakmak, Muharrem; Nail Kandemir, Mehmet

    2016-12-01

    Patients with thoracic trauma constitute one third of all the trauma cases. Of traumatic patients, 20-25 % die because of thoracic trauma. Our aim was to compare our clinical experience and the results with the related literature. Four hundred thirty-three patients, who underwent surgical interventions due to thoracic trauma, were evaluated. The latest form of treatment applied were taken as the criteria for the quantitative detection of patients. Continuous variables were expressed as mean ± standard deviation, while categorical variables were explained as number and percentage. The significance of the analysis results was evaluated using Fisher's exact test. p values <0.05 were considered as significant. Penetrating injuries were found in 258 (59 %) of the patients, and blunt trauma was identified in 175 (41 %). Depending on the trauma, pneumothorax was discovered in 130 patients (30.02 %), hemothorax in 117 (27.02 %), hemopneumothorax in 61 (14.08 %), pulmonary contusion in 110 (45 %), pneumomediastinum in 14 (3.23 %), and pericardial tamponade in 1 patient (0.23 %). It was demonstrated that 385 of 433 patients examined in the study underwent tube thoracostomy, 41 were treated with thoracotomy, while 6 of them underwent video-assisted thoracoscopic surgery (VATS), and 1 underwent sternotomy. No correlation was observed between mortality, morbidity, and gender and type of trauma and location of trauma (p > 0.05). However, statistically significant correlation was found between mortaxlity, morbidity, and the presence of concomitant injuries, the duration between injury and admission being more than 1 h (p < 0.05). Urgent intervention, early diagnosis, and fast transport are vital for patients with thoracic injuries.

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

    DTIC Science & Technology

    2016-06-01

    services as a whole have done a poor job of teaching their leaders how to effectively plan for and manage operational contract support, starting...has become a vital necessity. Despite the last decade and a half of armed conflict, the military services as a whole have done a poor job of teaching...several different vendors, thus bolstering the financial health of more than one company and increasing local employment. Coordinated effort leverages

  12. Coalition Logistics: A Case Study in Operation Restore Hope

    DTIC Science & Technology

    1994-06-03

    prerequisites forbid the intake of certain foods include Israel (no pork, Kosher prepared), Muslim nations (no pork, Halal prepared), and Hindu nations (no beef...communications. The critical life support supplies, such as food , water, and medicine, were pushed into the theater along with the transportation and...dictates a common sense burden-sharing philosophy.ś In a coalition operation, countries share common resources such as food , water, blood, transportation

  13. Tender mooring for infill drilling operations: A case study

    SciTech Connect

    1997-04-01

    The Tapis-pump platform is a four-leg jacket structure located 230 ft south of the Tapis-D platform and connected to it by a walkway bridge. All crude production (360,000 B/D) from Esso Production Malaysia Inc. (EPMI) wells in the South China Sea offshore Terengganu is piped to the Tapais-pump platform for pumping to an onshore terminal. The continuous operation of this platform is essential. The Tapis-D platform is a manned production platform that also acts as a central communication center and emergency response command center for EPMI`s offshore operations in the South China Sea. A total of nine wells is planned for an infill drilling program at the Tapis-D platform. The rig selected for this infill drilling program is a self-erecting tender-assisted rig that uses an eight-point wire rope mooring system. Eleven pipelines are connected to the Tapis-pump/Tapis-D platform complex. All the pipelines were laid on the seafloor without any special external protection and were not tied down or anchored. The paper describes the planning of the mooring system for drilling.

  14. Exploring Pre-Operational and Concrete Operational Children's Thinking on Nutrition: A Case Study

    ERIC Educational Resources Information Center

    Brouse, Corey H.; Chow, Tracy H. F.

    2009-01-01

    Objective: In this exploratory study, we observed the process in which children make food choices from a cognitive development perspective and the implications that these choices have on the areas of cognitive development and health and nutrition education. Design: This was a cross-sectional case study that involved an in-depth examination of the…

  15. Exploring Pre-Operational and Concrete Operational Children's Thinking on Nutrition: A Case Study

    ERIC Educational Resources Information Center

    Brouse, Corey H.; Chow, Tracy H. F.

    2009-01-01

    Objective: In this exploratory study, we observed the process in which children make food choices from a cognitive development perspective and the implications that these choices have on the areas of cognitive development and health and nutrition education. Design: This was a cross-sectional case study that involved an in-depth examination of the…

  16. Technology Solutions Case Study: Hydronic Systems: Designing for Setback Operation

    SciTech Connect

    2014-05-01

    For years, conventional wisdom surrounding space heating has specified two points: size the mechanical systems to the heating loads, and setting the thermostat back at night will result in energy savings. The problem is these two recommendations oppose each other. A system that is properly sized to the heating load will not have the extra capacity necessary to recover from a thermostat setback, especially at design conditions. Properly designing a hydronic system for setback operation can be accomplished but depends on several factors. Determining the appropriateness of setback for a particular project is the first step. This is followed by proper sizing of the boiler and baseboard to ensure the needed capacity can be met. Finally, control settings must be chosen that result in the most efficient and responsive performance. This guide provides step-by-step instructions for heating contractors and hydronic designers for selecting the proper control settings to maximize system performance and improve response time when using a thermostat setback.

  17. 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.

  18. Bulb turbine operating at medium head: XIA JIANG case study

    NASA Astrophysics Data System (ADS)

    Loiseau, F.; Desrats, C.; Petit, P.; Liu, J.

    2012-11-01

    With lots of references for 4-blade bulb turbines, such as these of Wu Jin Xia (4 units - 36.1 MW per unit - 9.2 m rated head), Chang Zhou (15 units - 46.7 MW per unit - 9.5 m rated head) and Tong Wan (4 units - 46.2 MW per unit - 11 m rated head), ALSTOM Power Hydro is one of the major suppliers of bulb turbines operating under medium head for the Chinese market. ALSTOM Power Hydro has been awarded in November 2010 a contract by Jiang Xi Province Xia Jiang Water Control Project Headquarters to equip Xia Jiang's new hydropower plant. The power dam is located on the Gan Jiang river, at about 160 km away from Nan Chang town in South Eastern China. The supply will consist in 5 bulb units including the furniture of both the turbine and its generator, for a total capacity of 200 MW, under a rated net head of 8.6 m. The prototype turbine is a 7.8 m diameter runner, rotating at 71.4 rpm speed. For this project, ALSTOM has proposed a fully new design of 4-blade bulb runner. This paper outlines the main steps of the hydraulic development. First of all, a fine tuning of the blade geometry was performed to enhance the runner behaviour at high loads and low heads, so that to fulfill the demanding requirements of efficiencies and maximum output. The challenge was also to keep an excellent cavitation behaviour, especially at the outer blade diameter in order to avoid cavitation erosion on the prototype. The shape of the blade was optimized by using the latest tools in computational fluid dynamics. Steady state simulations of the distributor and the runner were performed, in order to simulate more accurately the pressure fields on the blade and the velocity distribution at the outlet of the runner. Moreover, draft tube computations have been performed close to the design point and at higher loads. Then, a model fully homologous with the prototype was manufactured and tested at ALSTOM's laboratory in Grenoble (France). The model test results confirmed the predicted ones: the

  19. Use of the LITEE Lorn Manufacturing Case Study in a Senior Chemical Engineering Unit Operations Laboratory

    ERIC Educational Resources Information Center

    Abraham, Nithin Susan; Abulencia, James Patrick

    2011-01-01

    This study focuses on the effectiveness of incorporating the Laboratory for Innovative Technology and Engineering Education (LITEE) Lorn Manufacturing case into a senior level chemical engineering unit operations course at Manhattan College. The purpose of using the case study is to demonstrate the relevance of ethics to chemical engineering…

  20. Use of the LITEE Lorn Manufacturing Case Study in a Senior Chemical Engineering Unit Operations Laboratory

    ERIC Educational Resources Information Center

    Abraham, Nithin Susan; Abulencia, James Patrick

    2011-01-01

    This study focuses on the effectiveness of incorporating the Laboratory for Innovative Technology and Engineering Education (LITEE) Lorn Manufacturing case into a senior level chemical engineering unit operations course at Manhattan College. The purpose of using the case study is to demonstrate the relevance of ethics to chemical engineering…

  1. The Adoption of Systems Innovations in Educational Organizations: A Case Study of Operation Guidance.

    ERIC Educational Resources Information Center

    Kester, Ralph J.; Howard, John, Jr.

    To identify factors which affect the acceptance of innovation in school organizations, a career development product entitled Operation Guidance (OG) was the object of a case study. Five basic organizational characteristics were used to roughly quantify attributes of the organization of the six schools studied. The characteristics were:…

  2. Network Centric Operations Conceptual Framework Air-to-Ground Case Study

    DTIC Science & Technology

    2004-06-01

    Network Centric Operations Conceptual Framework Air-to-Ground Case Study Final Brief 17 June 2004 Prepared by SAIC for: Evidence Based Research...JUN 2004 2. REPORT TYPE 3. DATES COVERED 00-00-2004 to 00-00-2004 4. TITLE AND SUBTITLE Network Centric Operations Conceptual Framework Air-to... conceptual framework which drove approach Cognitive Social Interviews to provide insights into cognitive process Assumptions OEF and OIF would

  3. Case Studies on the Impact of Concentrated Animal Feeding Operations (CAFOs) on Ground Water Quality

    EPA Science Inventory

    This report describes a series of case studies involving commercial swine, poultry, dairy, and beef CAFO operations where ground water contamination by nitrate and ammonia has occurred to ascertain whether other stressors in CAFO wastes are also being transported through the vado...

  4. The Application of Systems Thinking for 21st Century Operations (The Senior Scout Case Study)

    DTIC Science & Technology

    2007-11-02

    the demands of today’s Information Age. The purpose of this paper is to assess the value of systems thinking as a conceptual process for managing the...complexity of today’s operational environment. Using the Senior Scout Case Study, we will examine some of the applications of systems thinking on a

  5. Case Studies on the Impact of Concentrated Animal Feeding Operations (CAFOs) on Ground Water Quality

    EPA Science Inventory

    This report describes a series of case studies involving commercial swine, poultry, dairy, and beef CAFO operations where ground water contamination by nitrate and ammonia has occurred to ascertain whether other stressors in CAFO wastes are also being transported through the vado...

  6. A Network-Centric Operations Case Study: US/UK Coalition Combat Operations During Operation Iraqi Freedom

    DTIC Science & Technology

    2005-03-02

    correlate well with the physical elements of the joint operational picture ( JOP )13 that includes other elements of situational awareness such as NBC...fires, logistics and meteorology. Command intent is included to set the context for the need for situational awareness. The layers of the JOP are...highlighted in Figure 3.6.2-1. METOC Enemy / Intel Friendly Fires Coord NBC Logistics Neutrals Geospatial Framework JOP Figure 3.6.2-1, The UK Joint

  7. Operational effectiveness and quality assurance mechanisms with stochastic demand of blood supply: blood bank case study.

    PubMed

    Smith, Alan D

    2011-01-01

    A general overview of various blood products operational effectiveness and related strategies that can be utilised by service providers (in particular, healthcare providers) is presented in the present study. In terms of the massive volumes of blood products, the North American blood centres collect more than eight million units of whole blood, which represents appropriately 50% of the US and Quebec, Canada?s volunteer donor blood supply. A case study of the quality inspection and inventory control concerns of the Central Blood Bank, located in the metropolitan area of Pittsburgh, PA, is presented. Initially, brief introduction to its general operating environment is followed by sections describing its general situation, quality-service initiatives, and followed by a fairly detailed discussion of the practical applications of lessons learned from the case study.

  8. 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

  9. Remote x-ray operator radiography: a case study in interprofessional rural clinical practice.

    PubMed

    Smith, Tony; Jones, Peter

    2007-06-01

    In Australia, some radiographic examinations may be performed by rural and remote nurses and general practitioners (GPs), so called remote x-ray operators, where a radiographer is unavailable. This study aimed to investigate the experiences and perceptions of remote x-ray operator radiography from the perspective of rural radiographers, nurses and GPs in New South Wales. Semi-structured, in-depth interviews were performed with 20 radiographers, 10 nurses and 7 GPs. Interviews explored the informants' knowledge, opinions and values, experience and behaviour, and attitudes and feelings about remote operator radiography. Data analysis led to the emergence of three interrelated key concepts, with their relevant themes and sub-themes. The primary concept, "Dimensions of Practice", includes the core principles of remote x-ray operator radiography. The concept of "Service Provision and Equity of Access" includes the realities of rural and remote healthcare, and "Professional Roles and Relationships" the interprofessional interactions that occur. Remote x-ray operator radiography takes place at the intersection of the occupational worlds of rural radiographers, nurses and GPs. Remote operators provide a valuable service but the quality of their radiography is below expected standards. Better teamwork could improve service quality but interprofessional collaboration is stifled by hierarchical relationships. This case study may inform the development of new models of healthcare.

  10. Human Spaceflight Trajectory Operations: A Case Study from STS-132/ULF4

    NASA Technical Reports Server (NTRS)

    Cutri-Kohart, Rebecca; Browns, Ansley

    2010-01-01

    Prior to the launch of the STS-132/ULF4 mission, the International Space Station (ISS) Flight Control Team was alerted to the approach of a space debris with a predicted time of closest approach approximately 1 hr after Space Shuttle docking. As a result, the ISS team considered performing a collision avoidance maneuver prior to the Space Shuttle s approach. The purpose of this presentation will be to use this case study to illustrate best practices of the human spaceflight trajectory operations team. The presentation will begin with an overview of the roles of the real-time ISS and Space Shuttle trajectory flight control teams. Then, the STS-132/ULF4 case study will be used to illustrate the issues and lessons learned involved in performing Space Shuttle rendezvous maneuver planning and execution. Specific elements of the STS-132 Space Shuttle rendezvous maneuver profile that can be used to provide mission assurance in cases of trajectory uncertainty will be described and discussed. Additionally, this case study will be used to provide context for identifying lessons learned in an operational environment that requires technical and decision-making coordination between two control center teams with two potentially maneuvering space vehicles.

  11. Expert system development methodology and the transition from prototyping to operations - Fiesta, a case study

    NASA Technical Reports Server (NTRS)

    Happell, Nadine; Miksell, Steve; Carlisle, Candace

    1989-01-01

    A major barrier in taking expert systems from prototype to operational status involves instilling end user confidence in the operational system. The software of different life cycle models is examined and the advantages and disadvantages of each when applied to expert system development are explored. The Fault Isolation Expert System for Tracking and data relay satellite system Applications (FIESTA) is presented as a case study of development of an expert system. The end user confidence necessary for operational use of this system is accentuated by the fact that it will handle real-time data in a secure environment, allowing little tolerance for errors. How FIESTA is dealing with transition problems as it moves from an off-line standalone prototype to an on-line real-time system is discussed.

  12. Opportunities for sustainable design and operation of cleanspaces: A case study on minienvironment system performance

    SciTech Connect

    Xu, Tengfang

    2005-05-01

    In order to identify and pursue energy efficiency opportunities associated with cleanrooms, it is necessary to understand the design and operation of cleanroom systems for specific contamination control requirements. With the industrial trend toward more stringent cleanliness class and tightening clean spaces, it is vital to understand the design of minienvironment and the operational performance of its systems. A good understanding of such system performance would help to identify opportunities in efficient energy end-use and wise allocation of resources associated with processes or productions that require minienvironments and cleanrooms. This report summarizes a case study on energy performance of a common minienvironment used in semiconductor industry, and discusses the opportunities in saving energy, in particular, the opportunities in achieving efficient operation and design that entails applications of minienvironments.

  13. Expert system development methodology and the transition from prototyping to operations: FIESTA, a case study

    NASA Technical Reports Server (NTRS)

    Happell, Nadine; Miksell, Steve; Carlisle, Candace

    1989-01-01

    A major barrier in taking expert systems from prototype to operational status involves instilling end user confidence in the operational system. The software of different life cycle models is examined and the advantages and disadvantages of each when applied to expert system development are explored. The Fault Isolation Expert System for Tracking and data relay satellite system Applications (FIESTA) is presented as a case study of development of an expert system. The end user confidence necessary for operational use of this system is accentuated by the fact that it will handle real-time data in a secure environment, allowing little tolerance for errors. How FIESTA is dealing with transition problems as it moves from an off-line standalone prototype to an on-line real-time system is discussed.

  14. Expert system development methodology and the transition from prototyping to operations - Fiesta, a case study

    NASA Technical Reports Server (NTRS)

    Happell, Nadine; Miksell, Steve; Carlisle, Candace

    1989-01-01

    A major barrier in taking expert systems from prototype to operational status involves instilling end user confidence in the operational system. The software of different life cycle models is examined and the advantages and disadvantages of each when applied to expert system development are explored. The Fault Isolation Expert System for Tracking and data relay satellite system Applications (FIESTA) is presented as a case study of development of an expert system. The end user confidence necessary for operational use of this system is accentuated by the fact that it will handle real-time data in a secure environment, allowing little tolerance for errors. How FIESTA is dealing with transition problems as it moves from an off-line standalone prototype to an on-line real-time system is discussed.

  15. U.S. Army combat operational stress control throughout the deployment cycle: a case study.

    PubMed

    Mattila, Amy M; Crandall, Brian D; Goldman, Sarah B

    2011-01-01

    As military conflicts around the world persist, a comprehensive approach in managing behavioral health issues will continue to be a key component of military healthcare. Deployed military personnel frequently exposed to trauma are well-known to be at high risk for developing behavioral health disorders, including combat stress reactions and posttraumatic stress disorder. In the U.S. Army, members of combat operational stress control (COSC) units have unique skills to assist soldiers and their families not only throughout all phases of a deployment, but also throughout a soldier's entire career. The purposes of this article are twofold, first to describe the role of COSC operations with an emphasis on interventions in a deployed environment. The second purpose is to present a case study from Operation Iraqi Freedom highlighting the efficacy of the COSC approach to meet a Soldier's behavioral health needs in a deployed environment.

  16. Case Studies Involving Co-operation between Industry and Education in Australia's Northern Territory: The Role of the Professional Organisation

    ERIC Educational Resources Information Center

    Palmer, W. P.

    1990-01-01

    The purpose of this study is to provide case studies of co-operation between education and industry in the Northern Territory in particular; the study also provides exemplars of co-operation between education and industry in Australia and worldwide. The existence of such co-operation is not surprising as education and industry share many common…

  17. Integrating Solar PV in Utility System Operations: Analytical Framework and Arizona Case Study

    SciTech Connect

    Wu, Jing; Botterud, Audun; Mills, Andrew; Zhou, Zhi; Hodge, Bri-Mathias; Mike, Heaney

    2015-06-01

    A systematic framework is proposed to estimate the impact on operating costs due to uncertainty and variability in renewable resources. The framework quantifies the integration costs associated with subhourly variability and uncertainty as well as day-ahead forecasting errors in solar PV (photovoltaics) power. A case study illustrates how changes in system operations may affect these costs for a utility in the southwestern United States (Arizona Public Service Company). We conduct an extensive sensitivity analysis under different assumptions about balancing reserves, system flexibility, fuel prices, and forecasting errors. We find that high solar PV penetrations may lead to operational challenges, particularly during low-load and high solar periods. Increased system flexibility is essential for minimizing integration costs and maintaining reliability. In a set of sensitivity cases where such flexibility is provided, in part, by flexible operations of nuclear power plants, the estimated integration costs vary between $1.0 and $4.4/MWh-PV for a PV penetration level of 17%. The integration costs are primarily due to higher needs for hour-ahead balancing reserves to address the increased sub-hourly variability and uncertainty in the PV resource. (C) 2015 Elsevier Ltd. All rights reserved.

  18. Exploring Operational Test and Evaluation of Unmanned Aircraft Systems: A Qualitative Case Study

    NASA Astrophysics Data System (ADS)

    Saliceti, Jose A.

    The purpose of this qualitative case study was to explore and identify strategies that may potentially remedy operational test and evaluation procedures used to evaluate Unmanned Aircraft Systems (UAS) technology. The sample for analysis consisted of organizations testing and evaluating UASs (e.g., U.S. Air Force, U.S. Navy, U.S. Army, U.S. Marine Corps, U.S. Coast Guard, and Customs Border Protection). A purposeful sampling technique was used to select 15 subject matter experts in the field of operational test and evaluation of UASs. A questionnaire was provided to participants to construct a descriptive and robust research. Analysis of responses revealed themes related to each research question. Findings revealed operational testers utilized requirements documents to extrapolate measures for testing UAS technology and develop critical operational issues. The requirements documents were (a) developed without the contribution of stakeholders and operational testers, (b) developed with vague or unrealistic measures, and (c) developed without a systematic method to derive requirements from mission tasks. Four approaches are recommended to develop testable operational requirements and assist operational testers: (a) use a mission task analysis tool to derive requirements for mission essential tasks for the system, (b) exercise collaboration among stakeholders and testers to ensure testable operational requirements based on mission tasks, (c) ensure testable measures are used in requirements documents, and (d) create a repository list of critical operational issues by mission areas. The preparation of operational test and evaluation processes for UAS technology is not uniform across testers. The processes in place are not standardized, thus test plan preparation and reporting are different among participants. A standard method to prepare and report UAS technology should be used when preparing and reporting on UAS technology. Using a systematic process, such as mission

  19. Malaria on a military peacekeeping operation: a case study with no cases.

    PubMed

    Houston, David J K; Tuck, Jeremy J H

    2005-03-01

    Malaria continues to be a disease of importance to travelers and the military is no exception. Individual protection measures based on advice, bite avoidance, chemoprophylaxis, and diagnosis are advocated for protection against the disease. However, the military has an additional strand to malaria protection--the chain of command. To describe the experience of a British military deployment where the Force Commander took a proactive approach to malaria protection. In 512 person-weeks of exposure in a theater with high rates of transmission of malaria, with an enduring threat of asymmetric military action and with a proactive approach by the chain of command to the implementation of malaria protection policy, no malaria cases developed. The chain of command can have a significant impact on compliance with malaria protection measures, which might reduce incidence of the disease in the deployed population.

  20. Case studies of energy information systems and related technology: Operational practices, costs, and benefits

    SciTech Connect

    Motegi, Naoya; Piette, Mary Ann; Kinney, Satkartar; Dewey, Jim

    2003-09-02

    Energy Information Systems (EIS), which can monitor and analyze building energy consumption and related data throughout the Internet, have been increasing in use over the last decade. Though EIS developers describe the capabilities, costs, and benefits of EIS, many of these descriptions are idealized and often insufficient for potential users to evaluate cost, benefit and operational usefulness. LBNL has conducted a series of case studies of existing EIS and related technology installations. This study explored the following questions: (1) How is the EIS used in day-to-day operation? (2) What are the costs and benefits of an EIS? (3) Where do the energy savings come from? This paper reviews the process of these technologies from installation through energy management practice. The study is based on interviews with operators and energy managers who use EIS. Analysis of energy data trended by EIS and utility bills was also conducted to measure the benefit. This paper explores common uses and findings to identify energy savings attributable to EIS, and discusses non-energy benefits as well. This paper also addresses technologies related to EIS that have been demonstrated and evaluated by LBNL.

  1. Impact of Water Availability on Regional Power System Operations - A Case Study of ERCOT

    NASA Astrophysics Data System (ADS)

    Levin, T.; Zhou, Z.

    2015-12-01

    Impact of water availability on regional power system operations - A case study of ERCOT Thermal power plants are the largest single source of water withdrawals in the United States, mainly for cooling purposes. The amount of water that is required for cooling is highly dependent on a number of factors including the generation technologies being used, the temperature of the input water, and the total electricity load in the system. During summer months, many of these factors coincide to greatly increase the demand for water in a power system. Electricity demand typically reaches its annual peak when temperatures are high due to increased air conditioning loads. Ambient water temperatures also increase, meaning that greater quantities of water are required to provide the same amount of cooling at thermal generation plants. Finally, water availability is generally constrained due to seasonal effects and potential droughts. This raises concerns that water scarcity may lead to forced de-rating at some power plants during periods of peak demand, resulting in a more vulnerable and less reliable energy system. While increasing attention has recently been given to the inexorable link between water and energy, most commercial power models do not explicitly account for water use when optimizing system operation. We apply the AURORAxmp power modeling software to a case study analysis of the ERCOT power system to determine the water requirements of the system during periods of peak power demand. We then analyze water availability by location and time to identify potential supply shortages, which may reduce actual power generation availability. These data are fed back into the power systems model and specific generation units are de-rated as necessitated by water constraints. We then analyze these results to determine how the optimal generation mix, system reliability, and wholesale electricity prices may be affected by when the ERCOT power system is operated under water

  2. Upper limb neuropathy in computer operators? A clinical case study of 21 patients

    PubMed Central

    Jepsen, Jørgen Riis

    2004-01-01

    Background The character of upper limb disorder in computer operators remains obscure and their treatment and prevention have had limited success. Symptoms tend to be mostly perceived as relating to pathology in muscles, tendons or insertions. However, the conception of a neuropathic disorder would be supported by objective findings reflecting the common complaints of pain, subjective weakness, and numbness/tingling. By examining characteristics in terms of symptoms, signs, and course, this study aimed at forming a hypothesis concerning the nature and consequences of the disorder. Methods I have studied a consecutive series of 21 heavily exposed and severely handicapped computer-aided designers. Their history was recorded and questionnaire information was collected, encompassing their status 1/2 – 1 1/2 years after the initial clinical contact. The physical examination included an assessment of the following items: Isometric strength in ten upper limb muscles; sensibility in five homonymously innervated territories; and the presence of abnormal tenderness along nerve trunks at 14 locations. Results Rather uniform physical findings in all patients suggested a brachial plexus neuropathy combined with median and posterior interosseous neuropathy at elbow level. In spite of reduced symptoms at follow-up, the prognosis was serious in terms of work-status and persisting pain. Conclusions This small-scale study of a clinical case series suggests the association of symptoms to focal neuropathy with specific locations. The inclusion of a detailed neurological examination would appear to be advantageous with upper limb symptoms in computer operators. PMID:15310393

  3. The Value of SysML Modeling During System Operations: A Case Study

    NASA Technical Reports Server (NTRS)

    Dutenhoffer, Chelsea; Tirona, Joseph

    2013-01-01

    System models are often touted as engineering tools that promote better understanding of systems, but these models are typically created during system design. The Ground Data System (GDS) team for the Dawn spacecraft took on a case study to see if benefits could be achieved by starting a model of a system already in operations. This paper focuses on the four steps the team undertook in modeling the Dawn GDS: defining a model structure, populating model elements, verifying that the model represented reality, and using the model to answer system-level questions and simplify day-to-day tasks. Throughout this paper the team outlines our thought processes and the system insights the model provided.

  4. The Value of SysML Modeling During System Operations: A Case Study

    NASA Technical Reports Server (NTRS)

    Dutenhoffer, Chelsea; Tirona, Joseph

    2013-01-01

    System models are often touted as engineering tools that promote better understanding of systems, but these models are typically created during system design. The Ground Data System (GDS) team for the Dawn spacecraft took on a case study to see if benefits could be achieved by starting a model of a system already in operations. This paper focuses on the four steps the team undertook in modeling the Dawn GDS: defining a model structure, populating model elements, verifying that the model represented reality, and using the model to answer system-level questions and simplify day-to-day tasks. Throughout this paper the team outlines our thought processes and the system insights the model provided.

  5. Modeling the operational risk in Iranian commercial banks: case study of a private bank

    NASA Astrophysics Data System (ADS)

    Momen, Omid; Kimiagari, Alimohammad; Noorbakhsh, Eaman

    2012-08-01

    The Basel Committee on Banking Supervision from the Bank for International Settlement classifies banking risks into three main categories including credit risk, market risk, and operational risk. The focus of this study is on the operational risk measurement in Iranian banks. Therefore, issues arising when trying to implement operational risk models in Iran are discussed, and then, some solutions are recommended. Moreover, all steps of operational risk measurement based on Loss Distribution Approach with Iran's specific modifications are presented. We employed the approach of this study to model the operational risk of an Iranian private bank. The results are quite reasonable, comparing the scale of bank and other risk categories.

  6. A case study in programming a quantum annealer for hard operational planning problems

    NASA Astrophysics Data System (ADS)

    Rieffel, Eleanor G.; Venturelli, Davide; O'Gorman, Bryan; Do, Minh B.; Prystay, Elicia M.; Smelyanskiy, Vadim N.

    2015-01-01

    We report on a case study in programming an early quantum annealer to attack optimization problems related to operational planning. While a number of studies have looked at the performance of quantum annealers on problems native to their architecture, and others have examined performance of select problems stemming from an application area, ours is one of the first studies of a quantum annealer's performance on parametrized families of hard problems from a practical domain. We explore two different general mappings of planning problems to quadratic unconstrained binary optimization (QUBO) problems, and apply them to two parametrized families of planning problems, navigation-type and scheduling-type. We also examine two more compact, but problem-type specific, mappings to QUBO, one for the navigation-type planning problems and one for the scheduling-type planning problems. We study embedding properties and parameter setting and examine their effect on the efficiency with which the quantum annealer solves these problems. From these results, we derive insights useful for the programming and design of future quantum annealers: problem choice, the mapping used, the properties of the embedding, and the annealing profile all matter, each significantly affecting the performance.

  7. Operations analysis for lunar surface construction: Results of two office of exploration case studies

    NASA Astrophysics Data System (ADS)

    Bell, Lisa Y.; Boles, Walter; Smith, Alvin

    1991-08-01

    In an environment of intense competition for Federal funding, the U.S. space research community is responsible for developing a feasible, cost-effective approach to establishing a surface base on the moon to fulfill long-term Government objectives. This report presents the results of a construction operations analysis of two lunar scenarios provided by the National Aeronautics and Space Administration (NASA). Activities necessary to install the lunar base surface elements are defined and scheduled, based on the productivities and availability of the base resources allocated to the projects depicted in each scenario. The only construction project in which the required project milestones were not completed within the nominal timeframe was the initial startup phase of NASA's FY89 Lunar Evolution Case Study (LECS), primarily because this scenario did not include any Earth-based telerobotic site preparation before the arrival of the first crew. The other scenario analyzed. Reference Mission A from NASA's 90-Day Study of the Human Exploration of the Moon and Mars, did use telerobotic site preparation before the manned phase of the base construction. Details of the analysis for LECS are provided, including spreadsheets indicating quantities of work and Gantt charts depicting the general schedule for the work. This level of detail is not presented for the scenario based on the 90-Day Study because many of the projects include the same (or similar) surface elements and facilities.

  8. [Case control study of fractures-dislocations of ankle joint with conservative and operative treatment].

    PubMed

    Zhang, Song-Tu; Lin, Yi-Rong; Chen, Lian-Yuan

    2010-10-01

    To compare the clinical efficacy of grade III, IV supination-eversion fractures-dislocations of ankle joint between manipulative treatment and operative treatment. From September 2007 to December 2008, the clinical data of 60 patients with grade III, IV supination-eversion fractures-dislocations of ankle joint were retrospectively analyzed. There were 32 males and 28 females, ranging in age from 18 to 70 years with an average age of 38.17 years. All patients were respectively treated with manipulative treatment (conservative group, 30 cases) and operative treatment (operative group, 30 cases). The joint function was compared with Mazur standard; the reduction and shifting of fractures were observed with X-ray; the hospitalization day and the therapeutic cost were compared between two groups. All patients were followed up with an average of 15.27 months (ranged, 6 to 25 months). In conservative group, 16 cases got excellent result in joint function, 10 good, 3 fair, 1 poor; in operative group, 20 cases got excellent result, 8 good, 2 fair, 0 poor. In conservative group in the X-ray showed 25 cases obtained excellent and good reduction, 4 fair, 1 poor; and in operative group in the X-ray showed 28 cases obtained excellent and good reduction, 2 fair, 0 poor. There was no significant difference at the joint function and X-ray film after treatment between two groups (P > 0.05). The hospital day was respectively (7.87 +/- 3.34), (17.37 +/- 4.64) d in conservative group and operative group; and the therapeutic cost was respectively (2 506.67 +/- 649.10), (11 473.33 +/- 1 564.90) yuan. There was significant difference at hospital day and therapeutic cost between two groups (P < 0.05). Conservative treatment and operative treatment can both reach a very good result in treating grade III, IV supination-eversion fractures and dislocations of ankle joint. However, conservative treatment has advantage of high safety factor, low therapeutic cost, can reduce medical costs for

  9. Public health foodborne illness case study during a Special Operations Forces deployment to South America.

    PubMed

    McCown, Michael; Grzeszak, Benjamin

    2010-01-01

    Although many public health articles have been published detailing foodborne illness outbreaks, a medical literature search revealed no articles that detail a case study or a specific response of a deployed U.S. military unit to a potential foodborne illness. This article describes a recent public health case study of a U.S. Special Operations Forces (SOF) team sickened while deployed to South America. It highlights public health factors which may affect U.S. personnel deployed or serving overseas and may serve as a guide for a deployed SOF medic to reference in response to a potential food- or waterborne illness outbreak. Eight food samples and five water samples were collected. The food samples were obtained from the host nation kitchen that provided food to the SOF team. The water samples were collected from the kitchen as well as from multiple sites on the host nation base. These samples were packaged in sterile containers, stored at appropriate temperatures, and submitted to a U.S. Army diagnostic laboratory for analysis. Laboratory results confirmed the presence of elevated aerobic plate counts (APCs) in the food prepared by the host nation and consumed by the SOF team. High APCs in food are the primary indicator of improper sanitation of food preparation surfaces and utensils. This case study concluded that poor kitchen sanitation, improper food storage, preparation, and/or holding were the probable conditions that led to the team?s symptoms. These results emphasize the importance of ensuring safe food and water for U.S. personnel serving overseas, especially in a deployment or combat setting. Contaminated food and/or water will negatively impact the health and availability of forces, which may lead to mission failure. The SOF medic must respond to potential outbreaks and be able to (1) critically inspect food preparation areas and accurately advise commanders in order to correct deficiencies and (2) perform food/water surveillance testing consistently

  10. A Case Study: The Operation of Nonpublic Schools from the Perspective of Nonpublic School Staff Members

    ERIC Educational Resources Information Center

    Shepard, Ka'Nessia S.

    2012-01-01

    The descriptive qualitative case study examined the resources nonpublic school staff members used to manage severe maladaptive behaviors and to facilitate the reintegration of students with severe maladaptive behaviors into public schools. The case study involved the participation of 17 nonpublic school staff members in semi-structured…

  11. A Case Study: The Operation of Nonpublic Schools from the Perspective of Nonpublic School Staff Members

    ERIC Educational Resources Information Center

    Shepard, Ka'Nessia S.

    2012-01-01

    The descriptive qualitative case study examined the resources nonpublic school staff members used to manage severe maladaptive behaviors and to facilitate the reintegration of students with severe maladaptive behaviors into public schools. The case study involved the participation of 17 nonpublic school staff members in semi-structured…

  12. Promoting operational research through fellowships: a case study from the South-East Asia Union Office.

    PubMed

    Kumar, A M V; Satyanarayana, S; Berger, S Dar; Chadha, S S; Singh, R J; Lal, P; Tonsing, J; Harries, A D

    2015-03-21

    In 2009, the International Union Against Tuberculosis and Lung Disease (The Union) and Médecins Sans Frontières (MSF) jointly developed a new paradigm for operational research (OR) capacity building and started a new process of appointing and supporting OR fellows in the field. This case study describes 1) the appointment of two OR fellows in The Union South-East Asia Office (USEA), New Delhi, India; 2) how this led to the development of an OR unit in that organisation; 3) achievements over the 5-year period from June 2009 to June 2014; and 4) challenges and lessons learnt. In June 2009, the first OR fellow in India was appointed on a full-time basis and the second was appointed in February 2012-both had limited previous experience in OR. From 2009 to 2014, annual research output and capacity building initiatives rose exponentially, and included 1) facilitation at 61 OR training courses/modules; 2) publication of 96 papers, several of which had a lasting impact on national policy and practice; 3) providing technical assistance in promoting OR; 4) building the capacity of medical college professionals in data management; 5) support to programme staff for disseminating their research findings; 6) reviewing 28 scientific papers for national or international peer-reviewed journals; and 7) developing 45 scientific abstracts for presentation at national and international conferences. The reasons for this success are highlighted along with ongoing challenges. This experience from India provides good evidence for promoting similar models elsewhere.

  13. Operational value of ensemble streamflow forecasts for hydropower production: A Canadian case study

    NASA Astrophysics Data System (ADS)

    Boucher, Marie-Amélie; Tremblay, Denis; Luc, Perreault; François, Anctil

    2010-05-01

    Ensemble and probabilistic forecasts have many advantages over deterministic ones, both in meteorology and hydrology (e.g. Krzysztofowicz, 2001). Mainly, they inform the user on the uncertainty linked to the forecast. It has been brought to attention that such additional information could lead to improved decision making (e.g. Wilks and Hamill, 1995; Mylne, 2002; Roulin, 2007), but very few studies concentrate on operational situations involving the use of such forecasts. In addition, many authors have demonstrated that ensemble forecasts outperform deterministic forecasts in terms of performance (e.g. Jaun et al., 2005; Velazquez et al., 2009; Laio and Tamea, 2007). However, such performance is mostly assessed on the basis of numerical scoring rules, which compare the forecasts to the observations, and seldom in terms of management gains. The proposed case study adopts an operational point of view, on the basis that a novel forecasting system has value only if it leads to increase monetary and societal gains (e.g. Murphy, 1994; Laio and Tamea, 2007). More specifically, Environment Canada operational ensemble precipitation forecasts are used to drive the HYDROTEL distributed hydrological model (Fortin et al., 1995), calibrated on the Gatineau watershed located in Québec, Canada. The resulting hydrological ensemble forecasts are then incorporated into Hydro-Québec SOHO stochastic management optimization tool that automatically search for optimal operation decisions for the all reservoirs and hydropower plants located on the basin. The timeline of the study is the fall season of year 2003. This period is especially relevant because of high precipitations that nearly caused a major spill, and forced the preventive evacuation of a portion of the population located near one of the dams. We show that the use of the ensemble forecasts would have reduced the occurrence of spills and flooding, which is of particular importance for dams located in populous area, and

  14. Promoting operational research through fellowships: a case study from the South-East Asia Union Office

    PubMed Central

    Satyanarayana, S.; Berger, S. Dar; Chadha, S. S.; Singh, R. J.; Lal, P.; Tonsing, J.; Harries, A. D.

    2015-01-01

    In 2009, the International Union Against Tuberculosis and Lung Disease (The Union) and Médecins Sans Frontières (MSF) jointly developed a new paradigm for operational research (OR) capacity building and started a new process of appointing and supporting OR fellows in the field. This case study describes 1) the appointment of two OR fellows in The Union South-East Asia Office (USEA), New Delhi, India; 2) how this led to the development of an OR unit in that organisation; 3) achievements over the 5-year period from June 2009 to June 2014; and 4) challenges and lessons learnt. In June 2009, the first OR fellow in India was appointed on a full-time basis and the second was appointed in February 2012—both had limited previous experience in OR. From 2009 to 2014, annual research output and capacity building initiatives rose exponentially, and included 1) facilitation at 61 OR training courses/modules; 2) publication of 96 papers, several of which had a lasting impact on national policy and practice; 3) providing technical assistance in promoting OR; 4) building the capacity of medical college professionals in data management; 5) support to programme staff for disseminating their research findings; 6) reviewing 28 scientific papers for national or international peer-reviewed journals; and 7) developing 45 scientific abstracts for presentation at national and international conferences. The reasons for this success are highlighted along with ongoing challenges. This experience from India provides good evidence for promoting similar models elsewhere. PMID:26400596

  15. Beliefs and values about intra-operative teaching and learning: a case study of surgical teachers and trainees.

    PubMed

    Ong, Caroline C P; Dodds, Agnes; Nestel, Debra

    2016-08-01

    Surgeons require advanced psychomotor skills, critical decision-making and teamwork skills. Much of surgical skills training involve progressive trainee participation in supervised operations where case variability, operating team interaction and environment affect learning, while surgical teachers face the key challenge of ensuring patient safety. Using a theoretical framework of situated learning including cognitive apprenticeship, we explored teachers' and trainees' beliefs and values about intra-operative training and reasons for any differences. A qualitative case study method was used where five teacher-trainee pairs participating in an observed teaching operation were separately interviewed about the same operation. Thematic analysis of transcribed interviews and observations was performed with iterative refinement and a reflexive approach was adopted throughout the study. We found that in all cases, teachers and trainees had shared recognition of learning about technical skills whereas they differed in three cases regarding non-technical skills such as surgical reasoning and team management. Factors contributing to teacher and trainee satisfaction with the process were successful trainee completion of operation without need for surgeon take-over, a positive learning environment and learning new things. Teaching-learning behaviours observed and discussed were modeling, coaching and scaffolding, while exploration, reflection and articulation were less common. Our study reveals differing teacher and trainee perspectives of some aspects of intra-operative training and surfaces new reasons other than amount of feedback and autonomy given. Factors contributing to different perspectives include teacher and trainee abilities, values and situational influences. Targeted teaching-learning strategies could enhance intra-operative learning.

  16. Planning for avian flu disruptions on global operations: a DMAIC case study.

    PubMed

    Kumar, Sameer

    2012-01-01

    The author aims to assess the spread of avian flu, its impact on businesses operating in the USA and overseas, and the measures required for corporate preparedness. Six Sigma DMAIC process is used to analyze avian flu's impact and how an epidemic could affect large US business operations worldwide. Wal-Mart and Dell Computers were chosen as one specializes in retail and the other manufacturing. The study identifies avian flu pandemic risks including failure modes on Wal-Mart and Dell Computers global operations. It reveals the factors that reinforce avian-flu pandemic's negative impact on company global supply chains. It also uncovers factors that balance avian-flu pandemic's impact on their global supply chains. Avian flu and its irregularity affect the research outcomes because its spread could fluctuate based on so many factors that could come into play. Further, the potential cost to manufacturers and other supply chain partners is relatively unknown. As a relatively new phenomenon, quantitative data were not available to determine immediate costs. In this decade, the avian influenza H5N1 virus has killed millions of poultry in Asia, Europe and Africa. This flu strain can infect and kill humans who come into contact with this virus. An avian influenza H5N1 outbreak could lead to a devastating effect on global food supply, business services and business operations. The study provides guidance on what global business operation managers can do to prepare for such events, as well as how avian flu progression to a pandemic can disrupt such operations. This study raises awareness about avian flu's impact on businesses and humans and also highlights the need to create contingency plans for corporate preparedness to avoid incurring losses.

  17. Matching Clinicians to Operative Cases

    PubMed Central

    Was, A.; Wanderer, J.

    2013-01-01

    Summary Background Patient and surgical case complexity are important considerations in creating appropriate clinical assignments for trainees in the operating room (OR). The American Society of Anesthesiologists (ASA) Physical Status Classification System is the most commonly used tool to classify patient illness severity, but it requires manual evaluation by a clinician and is highly variable. A Risk Stratification System for surgical patients was recently published which uses administrative billing codes to calculate four Risk Stratification Indices (RSIs) and provides an objective surrogate for patient complexity that does not require clinical evaluation. This risk score could be helpful when assigning operating room cases. Objectives This is a technical feasibility study to evaluate the process and potential utility of incorporating an automatic risk score calculation into a web-based tool for assigning OR cases. Methods We created a web service implementation of the RSI model for one-year mortality and automatically calculated the RSI values for patients scheduled to undergo an operation the following day. An analysis was conducted on data availability for the RSI model and the correlation between RSI values and ASA physical status. Results In a retrospective analysis of 46,740 patients who received surgery in the year preceding the web tool implementation, RSI values were generated for 20,638 patients (44%). The Spearman’s rank correlation coefficient between ASA physical status classification and one-year mortality RSI values was 0.404. Conclusion We have shown that it is possible to create a web-based tool that uses existing billing data to automatically calculate risk scores for patients scheduled to undergo surgery. Such a risk scoring system could be used to match patient acuity to physician experience, and to provide improved patient and clinician experiences. The web tool could be improved by expanding the input database or utilizing procedure

  18. Methodological approach for the optimization of drinking water treatment plants' operation: a case study.

    PubMed

    Sorlini, Sabrina; Collivignarelli, Maria Cristina; Castagnola, Federico; Crotti, Barbara Marianna; Raboni, Massimo

    2015-01-01

    Critical barriers to safe and secure drinking water may include sources (e.g. groundwater contamination), treatments (e.g. treatment plants not properly operating) and/or contamination within the distribution system (infrastructure not properly maintained). The performance assessment of these systems, based on monitoring, process parameter control and experimental tests, is a viable tool for the process optimization and water quality control. The aim of this study was to define a procedure for evaluating the performance of full-scale drinking water treatment plants (DWTPs) and for defining optimal solutions for plant upgrading in order to optimize operation. The protocol is composed of four main phases (routine and intensive monitoring programmes - Phases 1 and 2; experimental studies - Phase 3; plant upgrade and optimization - Phase 4). The protocol suggested in this study was tested in a full-scale DWTP placed in the North of Italy (Mortara, Pavia). The results outline some critical aspects of the plant operation and permit the identification of feasible solutions for the DWTP upgrading in order to optimize water treatment operation.

  19. A case study of packaging waste collection systems in Portugal - Part I: Performance and operation analysis.

    PubMed

    Martinho, Graça; Gomes, Ana; Santos, Pedro; Ramos, Mário; Cardoso, João; Silveira, Ana; Pires, Ana

    2017-03-01

    The need to increase packaging recycling rates has led to the study and analysis of recycling schemes from various perspectives, including technical, economic, social, and environmental. This paper is part one of a three-part study devoted to comparing two recyclable packaging waste collection systems operating in western Portugal: a mixed collection system, where curbside and drop-off collections are operated simultaneously (but where the curbside system was introduced after the drop-off system), and an exclusive drop-off system. This part of the study focuses on analyzing the operation and performance of the two waste collection systems. The mixed collection system is shown to yield higher material separation rates, higher recycling rates, and lower contamination rates compared with the exclusive drop-off system, a result of the curbside component in the former system. However, the operational efficiency of the curbside collection in the mixed system is lower than the drop-off collection in the mixed system and the exclusive drop-off system, mainly because of inefficiency of collection. A key recommendation is to ensure that the systems should be optimized in an attempt to improve performance. Optimization should be applied not only to logistical aspects but also to citizens' participation, which could be improved by conducting curbside collection awareness campaigns in the neighborhoods that have a mixed system. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Evaluating the effect of operative technique on leaks after laparoscopic sleeve gastrectomy: a case-control study.

    PubMed

    Varban, Oliver A; Sheetz, Kyle H; Cassidy, Ruth B; Stricklen, Amanda; Carlin, Arthur M; Dimick, Justin B; Finks, Jonathan F

    2017-04-01

    To assess the effect of operative technique on staple line leaks after laparoscopic sleeve gastrectomy (LSG). Staple-line leaks after LSG are a major source of morbidity and mortality. Variations in operative technique exist; however, their effect on leaks is poorly understood. We analyzed data from the Michigan Bariatric Surgery Collaborative (MBSC) to perform a case-control study comparing patients who had a clinically significant leak after undergoing a primary LSG to those who did not. A total of 45 patients with leaks were identified between January 2007 and December 2013. The leak group was matched 1:2 to a control group based on procedure type, age, body mass index, sex, and year the procedure was performed. Technique-specific factors were assessed by reviewing operative notes from all primary bariatric procedures in our study population. Conditional logistic regression was used to identify techniques associated with leaks. To increase the power of our analysis, we used a significance level of .10. Leak rates with LSG have decreased over the past 5 years (1.18% to .36%) as annual case volume has increased (846 cases/yr to 4435 cases/yr). Surgeons who performed 43 or more cases per year had a leak rate<1%. Leaks were more common among cases requiring a blood transfusion (26.2% versus 1.08%, P = .0031) and when cases were converted to open surgery (7.14% versus 0%, P = .0741). However, there was no significant difference in operative time between cases involving a leak and their matched controls (95.4 min versus 87.1 min, P = .1197). Oversewing of the staple line was the only technique associated with less leaks after controlling for confounding factors (OR .397 CI .174, .909, P = .0665). Notably, surgeons who oversewed routinely were also found to have higher case volume (307 versus 140, P = .0216) and less overall complication rates (4.81% versus 7.95%, P = .0027). Furthermore, oversewing technique varied widely as only 22.6% of cases involved oversewing of

  1. A Collection of JPME Operational Contract Support Case Studies and Vignettes

    DTIC Science & Technology

    2016-12-01

    negative effects OCS decisions have on the larger, strategic military mission, and on other instruments of power. The case studies and vignettes developed...by this research examine how second- and third-order OCS effects impact the United States military mission and general interests. The products

  2. Assessing the operational life of flexible printed boards intended for continuous flexing applications : a case study.

    SciTech Connect

    Beck, David Franklin

    2011-01-01

    Through the vehicle of a case study, this paper describes in detail how the guidance found in the suite of IPC (Association Connecting Electronics Industries) publications can be applied to develop a high level of design assurance that flexible printed boards intended for continuous flexing applications will satisfy specified lifetime requirements.

  3. Pre-operative coagulopathy management of a neonate with complex congenital heart disease: a case study.

    PubMed

    Stammers, A H; Rauch, E D; Willett, L D; Newberry, J W; Duncan, K F

    2000-03-01

    Severe coagulation defects often develop in neonates undergoing cardiac surgery, both as a result of the surgical intervention, and as pre-existing defects in the hemostatic mechanisms. The following case report describes a newborn patient with complex congenital heart disease and respiratory failure whose pre-operative coagulopathy was aggressively managed prior to surgical correction. A 5-day-old, 2.5 kg child presented with interrupted aortic arch, ventricular septal defect, atrial septal defect, and patent ductus arteriosus. On admission, he was in respiratory arrest suffering from profound acidemia. In addition, the child was hypothermic (30.1 degrees C), septic (Streptococcus viridans), and coagulopathic (disseminated intravascular coagulation-DIC). The patient was immediately intubated and initial coagulation assessment revealed the following: prothrombin time (PT) 48.9 s (international normalized ratio (INR) 15.7), activated partial thromboplastin time (aPTT) >106 s, platelet count 30,000 mm(3), fibrinogen 15 mg dL(-1) and antithrombin III (AT-III) 10%. Before cardiac surgery could be performed, the patient's DIC was corrected with the administration of cryoprecipitate (15 ml), fresh frozen plasma (300 ml), and platelets (195 ml). In spite of the large transfusion of fresh frozen plasma, the AT-III activity, measured as a percentage, remained depressed at 33. Initial thromboelastographic (TEG) determination revealed an index of +2.02, and following 100 IU administration of an AT-III concentrate, declined to -2.32. Sequential TEG profiles were performed over several days, with the results used to guide both transfusion and medical therapy. The congenital heart defect correction was subsequently performed with satisfactory initial results, but the patient developed a fungal infection and expired on the 16th post-operative day. The present case describes techniques of coagulation management for a newborn with both a severe hemostatic defect and congenital

  4. Operation Unified Response: A Case Study of the Military’s Role in Foreign Disaster Relief Operations

    DTIC Science & Technology

    2011-05-05

    SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT uu a. REPORT r · ABSTRACT 1 c. THIS PAGE UN CLASS UNCLASS UNClASS. 18.NUMBER OF PAGES...faces the same budgetary pressures· that the Department of Defense does, but from a low~ r baseline level. Additionally, the State Department faces a...example: Army Tactics Techniques, and Procedures Publications 4-15 Army Water Transport Operations, Army Field Manual 10-52 Water Supply in Theaters

  5. Evaluating National Weather Service Seasonal Forecast Products in Reservoir Operation Case Studies

    NASA Astrophysics Data System (ADS)

    Nielson, A.; Guihan, R.; Polebistki, A.; Palmer, R. N.; Werner, K.; Wood, A. W.

    2014-12-01

    Forecasts of future weather and streamflow can provide valuable information for reservoir operations and water management. A challenge confronting reservoir operators today is how to incorporate both climate and streamflow products into their operations and which of these forecast products are most informative and useful for optimized water management. This study incorporates several reforecast products provided by the Colorado Basin River Forecast Center (CBRFC) which allows a complete retrospective analysis of climate forecasts, resulting in an evaluation of each product's skill in the context of water resources management. The accuracy and value of forecasts generated from the Climate Forecast System version 2 (CFSv2) are compared to the accuracy and value of using an Ensemble Streamflow Predictions (ESP) approach. Using the CFSv2 may offer more insight when responding to climate driven extremes than the ESP approach because the CFSv2 incorporates a fully coupled climate model into its forecasts rather than using all of the historic climate record as being equally probable. The role of forecast updating frequency will also be explored. Decision support systems (DSS) for both Salt Lake City Parley's System and the Snohomish County Public Utility Department's (SnoPUD) Jackson project will be used to illustrate the utility of forecasts. Both DSS include a coupled simulation and optimization model that will incorporate system constraints, operating policies, and environmental flow requirements. To determine the value of the reforecast products, performance metrics meaningful to the managers of each system are to be identified and quantified. Without such metrics and awareness of seasonal operational nuances, it is difficult to identify forecast improvements in meaningful ways. These metrics of system performance are compared using the different forecast products to evaluate the potential benefits of using CFSv2 seasonal forecasts in systems decision making.

  6. Risk Factors for Surgical Site Infections Following Neurosurgical Spinal Fusion Operations: A Case Control Study.

    PubMed

    Walsh, Thomas L; Querry, Ashley M; McCool, Sheila; Galdys, Alison L; Shutt, Kathleen A; Saul, Melissa I; Muto, Carlene A

    2017-03-01

    OBJECTIVE To determine risk factors for the development of surgical site infections (SSIs) in neurosurgery patients undergoing spinal fusion. DESIGN Retrospective case-control study. SETTING Large, academic, quaternary care center. PATIENTS The study population included all neurosurgery patients who underwent spinal fusion between August 1, 2009, and August 31, 2013. Cases were defined as patients in the study cohort who developed an SSI. Controls were patients in the study cohort who did not develop an SSI. METHODS To achieve 80% power with an ability to detect an odds ratio (OR) of 2, we performed an unmatched case-control study with equal numbers of cases and controls. RESULTS During the study period, 5,473 spinal fusion procedures were performed by neurosurgeons in our hospital. With 161 SSIs recorded during the study period, the incidence of SSIs associated with these procedures was 2.94%. While anterior surgical approach was found to be a protective factor (OR, 0.20; 95% confidence interval [CI], 0.08-0.52), duration of procedure (OR, 1.58; 95% CI, 1.29-1.93), American Society of Anesthesiologists score of 3 or 4 (OR, 1.79; 95% CI, 1.00-3.18), and hospitalization within the prior 30 days (OR, 5.8; 95% CI, 1.37-24.57) were found in multivariate analysis to be independent predictors of SSI following spinal fusion. Prior methicillin-resistant Staphylococcus aureus (MRSA) nares colonization was highly associated with odds 20 times higher of SSI following spinal fusion (OR, 20.30; 95% CI, 4.64-8.78). CONCLUSIONS In additional to nonmodifiable risk factors, prior colonization with MRSA is a modifiable risk factor very strongly associated with development of SSI following spinal fusion. Infect Control Hosp Epidemiol 2017;38:348-352.

  7. Towards building equitable health systems in Sub-Saharan Africa: lessons from case studies on operational research.

    PubMed

    Theobald, Sally; Taegtmeyer, Miriam; Squire, Stephen Bertel; Crichton, Jo; Simwaka, Bertha Nhlema; Thomson, Rachael; Makwiza, Ireen; Tolhurst, Rachel; Martineau, Tim; Bates, Imelda

    2009-11-25

    Published practical examples of how to bridge gaps between research, policy and practice in health systems research in Sub Saharan Africa are scarce. The aim of our study was to use a case study approach to analyse how and why different operational health research projects in Africa have contributed to health systems strengthening and promoted equity in health service provision. Using case studies we have collated and analysed practical examples of operational research projects on health in Sub-Saharan Africa which demonstrate how the links between research, policy and action can be strengthened to build effective and pro-poor health systems. To ensure rigour, we selected the case studies using pre-defined criteria, mapped their characteristics systematically using a case study development framework, and analysed the research impact process of each case study using the RAPID framework for research-policy links. This process enabled analysis of common themes, successes and weaknesses. 3 operational research projects met our case study criteria: HIV counselling and testing services in Kenya; provision of TB services in grocery stores in Malawi; and community diagnostics for anaemia, TB and malaria in Nigeria. Political context and external influences: in each case study context there was a need for new knowledge and approaches to meet policy requirements for equitable service delivery. Collaboration between researchers and key policy players began at the inception of operational research cycles. Links: critical in these operational research projects was the development of partnerships for capacity building to support new services or new players in service delivery. evidence was used to promote policy dialogue around equity in different ways throughout the research cycle, such as in determining the topic area and in development of indicators. Building equitable health systems means considering equity at different stages of the research cycle. Partnerships for capacity

  8. Effect of the 16-hour work limit on general surgery intern operative case volume: a multi-institutional study.

    PubMed

    Schwartz, Samuel I; Galante, Joseph; Kaji, Amy; Dolich, Matthew; Easter, David; Melcher, Marc L; Patel, Kevin; Reeves, Mark E; Salim, Ali; Senagore, Anthony J; Takanishi, Danny M; de Virgilio, Christian

    2013-09-01

    The 80-hour work-week limit for all residents was instituted in 2003 and studies looking at its effect have been mixed. Since the advent of the 16-hour mandate for postgraduate year 1 residents in July 2011, no data have been published regarding the effect of this additional work-hour restriction. To determine whether the 16-hour intern work limit, implemented in July 2011, has adversely affected operative experience. A retrospective review of categorical postgraduate year 1 Accreditation Council for Graduate Medical Education case logs from the intern class (N = 52) (with 16-hour work limit) compared with the 4 preceding years (2007-2010; N = 197) (without 16-hour work limit). A total of 249 categorical general surgery interns from 10 general surgery residency programs in the western United States were included. Total, major, first-assistant, and defined-category case totals. As compared with the preceding 4 years, the 2011-2012 interns recorded a 25.8% decrease in total operative cases (65.9 vs 88.8, P = .005), a 31.8% decrease in major cases (54.9 vs 80.5, P < .001), and a 46.3% decrease in first-assistant cases (11.1 vs 20.7, P = .008). There were statistically significant decreases in cases within the defined categories of abdomen, endocrine, head and neck, basic laparoscopy, complex laparoscopy, pediatrics, thoracic, and soft tissue/breast surgery in the 16-hour shift intern era, whereas there was no decrease in trauma, vascular, alimentary, endoscopy, liver, and pancreas cases. The 16-hour work limit for interns, implemented in July 2011, is associated with a significant decrease in categorical intern operative experience. If the 16-hour shift were to be extended to all postgraduate year levels, one can anticipate that additional years of training will be needed to maintain the same operative volume.

  9. Barrier and operational risk analysis of hydrocarbon releases (BORA-Release). Part II: Results from a case study.

    PubMed

    Sklet, Snorre; Vinnem, Jan Erik; Aven, Terje

    2006-09-21

    This paper presents results from a case study carried out on an offshore oil and gas production platform with the purpose to apply and test BORA-Release, a method for barrier and operational risk analysis of hydrocarbon releases. A description of the BORA-Release method is given in Part I of the paper. BORA-Release is applied to express the platform specific hydrocarbon release frequencies for three release scenarios for selected systems and activities on the platform. The case study demonstrated that the BORA-Release method is a useful tool for analysing the effect on the release frequency of safety barriers introduced to prevent hydrocarbon releases, and to study the effect on the barrier performance of platform specific conditions of technical, human, operational, and organisational risk influencing factors (RIFs). BORA-Release may also be used to analyse the effect on the release frequency of risk reducing measures.

  10. [Case study: operation of a mother-child nutrition program in El Salvador].

    PubMed

    Menchú, M T; de Márquez, D; Osegueda, O T; Sibrián, R

    1989-09-01

    One of the oldest international efforts in their combat of malnutrition have been the mother-child food programs (MCFP). The purpose of the study herein discussed was to detect the problems that affect the operation of the MCFP of the Ministry of Health of El Salvador, and to identify feasible measures to apply in a short term. This work analyzed the following: a) the operation of the program from the selection of the beneficiary to the delivery of the ration; b) the evolution of the beneficiaries, and c) the perception of the MCFP on mothers' part. The study covered 40 Health Services selected from all over the country; the revision of 556 children's files, and interviews to 136 mothers. It was found that the nurse is the person who plays the main role in the MCFP; that the most used criterion to enter or leave the program is the nutritional condition of the beneficiaries; that priority is given to children over pregnant women; that for most of the children there is a control kept on growth and vaccinations; and that what is mostly supervised is food handling and beneficiaries. Study of the children's files revealed that the average age of the children who enter the program is 18 months and at departure, 24 months, with a permanence of five months; and that the weight-for-age retardation when entering and leaving was similar for all the children studied, although it was different when the analysis was made by permanence and by age groups. Mothers' opinion on the MCFP permitted inference of what occurs at household levels with the donated foods; nevertheless, it is a subject that merits further study. Results of the study confirm some findings of others, although since they are specific for this Program, they allowed the appropriate decision-making for corrective measures of the MCPF.

  11. Six sigma tools in integrating internal operations of a retail pharmacy: a case study.

    PubMed

    Kumar, Sameer; Kwong, Anthony M

    2011-01-01

    This study was initiated to integrate information and enterprise-wide healthcare delivery system issues specifically within an inpatient retail pharmacy operation in a U.S. community hospital. Six Sigma tools were used to examine the effects to an inpatient retail pharmacy service process. Some of the tools used include service blueprints, cause-effect diagram, gap analysis derived from customer and employee surveys, mistake proofing was applied in various business situations and results were analyzed to identify and propose process improvements and integration. The research indicates that the Six Sigma tools in this discussion are very applicable and quite effective in helping to streamline and integrate the pharmacy process flow. Additionally, gap analysis derived from two different surveys was used to estimate the primary areas of focus to increase customer and employee satisfaction. The results of this analysis were useful in initiating discussions of how to effectively narrow these service gaps. This retail pharmaceutical service study serves as a framework for the process that should occur for successful process improvement tool evaluation and implementation. Pharmaceutical Service operations in the U.S. that use this integration framework must tailor it to their individual situations to maximize their chances for success.

  12. Polar Bears in the Desert: A Case Study of the Operational and Strategic Impacts of the Iraq Surge on Tactical Units

    DTIC Science & Technology

    2016-06-10

    POLAR BEARS IN THE DESERT: A CASE STUDY OF THE OPERATIONAL AND STRATEGIC IMPACTS OF THE IRAQ SURGE ON TACTICAL UNITS A...2016 4. TITLE AND SUBTITLE Polar Bears in the Desert: A Case Study of the Operational and Strategic Impacts of the Iraq Surge on Tactical Units...Fawley, III Thesis Title: Polar Bears in the Desert: A Case Study of the Operational and Strategic Impacts of the Iraq Surge on Tactical Units

  13. NASA's Advanced Multimission Operations System: A Case Study in Formalizing Software Architecture Evolution

    NASA Technical Reports Server (NTRS)

    Barnes, Jeffrey M.

    2011-01-01

    All software systems of significant size and longevity eventually undergo changes to their basic architectural structure. Such changes may be prompted by evolving requirements, changing technology, or other reasons. Whatever the cause, software architecture evolution is commonplace in real world software projects. Recently, software architecture researchers have begun to study this phenomenon in depth. However, this work has suffered from problems of validation; research in this area has tended to make heavy use of toy examples and hypothetical scenarios and has not been well supported by real world examples. To help address this problem, I describe an ongoing effort at the Jet Propulsion Laboratory to re-architect the Advanced Multimission Operations System (AMMOS), which is used to operate NASA's deep-space and astrophysics missions. Based on examination of project documents and interviews with project personnel, I describe the goals and approach of this evolution effort and then present models that capture some of the key architectural changes. Finally, I demonstrate how approaches and formal methods from my previous research in architecture evolution may be applied to this evolution, while using languages and tools already in place at the Jet Propulsion Laboratory.

  14. NASA's Advanced Multimission Operations System: A Case Study in Formalizing Software Architecture Evolution

    NASA Technical Reports Server (NTRS)

    Barnes, Jeffrey M.

    2011-01-01

    All software systems of significant size and longevity eventually undergo changes to their basic architectural structure. Such changes may be prompted by evolving requirements, changing technology, or other reasons. Whatever the cause, software architecture evolution is commonplace in real world software projects. Recently, software architecture researchers have begun to study this phenomenon in depth. However, this work has suffered from problems of validation; research in this area has tended to make heavy use of toy examples and hypothetical scenarios and has not been well supported by real world examples. To help address this problem, I describe an ongoing effort at the Jet Propulsion Laboratory to re-architect the Advanced Multimission Operations System (AMMOS), which is used to operate NASA's deep-space and astrophysics missions. Based on examination of project documents and interviews with project personnel, I describe the goals and approach of this evolution effort and then present models that capture some of the key architectural changes. Finally, I demonstrate how approaches and formal methods from my previous research in architecture evolution may be applied to this evolution, while using languages and tools already in place at the Jet Propulsion Laboratory.

  15. Reducing aluminum dust explosion hazards: case study of dust inerting in an aluminum buffing operation.

    PubMed

    Myers, Timothy J

    2008-11-15

    Metal powders or dusts can represent significant dust explosion hazards in industry, due to their relatively low ignition energy and high explosivity. The hazard is well known in industries that produce or use aluminum powders, but is sometimes not recognized by facilities that produce aluminum dust as a byproduct of bulk aluminum processing. As demonstrated by the 2003 dust explosion at aluminum wheel manufacturer Hayes Lemmerz, facilities that process bulk metals are at risk due to dust generated during machining and finishing operations [U.S. Chemical Safety and Hazard Investigation Board, Investigation Report, Aluminum Dust Explosion Hayes Lemmerz International, Inc., Huntington, Indiana, Report No. 2004-01-I-IN, September 2005]. Previous studies have shown that aluminum dust explosions are more difficult to suppress with flame retardants or inerting agents than dust explosions fueled by other materials such as coal [A.G. Dastidar, P.R. Amyotte, J. Going, K. Chatrathi, Flammability limits of dust-minimum inerting concentrations, Proc. Saf. Progr., 18-1 (1999) 56-63]. In this paper, an inerting method is discussed to reduce the dust explosion hazard of residue created in an aluminum buffing operation as the residue is generated. This technique reduces the dust explosion hazard throughout the buffing process and within the dust collector systems making the process inherently safer. Dust explosion testing results are presented for process dusts produced during trials with varying amounts of flame retardant additives.

  16. Operational decision support system for large combined sewage systems: Lisbon/Tagus estuary case study.

    PubMed

    Póvoa, P; Nobre, A; Leitão, P; Galvão, P; Santos, H; Frazão, A; Neves, R; Matos, J S

    2015-01-01

    Managing combined sewage systems in large cities discharging to coastal waters, often bearing recreational activities, remains a challenge. Studying the impacts of such discharges requires the development of specific models. Hydrodynamic and water quality modelling of coastal waters employs numerical methods and algorithms, leading to the design of complex models which require expert use. The use of such models as decision support tools to simulate discharge impacts and define adequate corrective measures could represent a key part in meeting this challenge. In this paper, the authors describe the work undertaken to develop an operational decision support system (ODSS) methodology aiming to enable wastewater utilities' non-expert staff to carry out user-friendly scenario analysis based on computational fluid dynamics simulations. This article depicts the application and validation of the ODSS to the combined sewage system and the Tagus estuary of the city of Lisbon in Portugal. The ODSS was used for simulating the effects in the receiving coastal waters of a discharge caused by a scheduled maintenance operation in the sewage infrastructure. Results show that the use of such ODSS by non-expert staff increases their decision capabilities and knowledge of the wastewater utility's contribution to reducing negative impacts of sewage discharges on the receiving water bodies.

  17. Streamlined environmental remediation characterization using remote sensing techniques: Case studies for the US Department of Energy, Oak Ridge Operations

    SciTech Connect

    Carden, D.M.; Smyre, J.L.; Evers, T.K.; King, A.L.

    1996-07-01

    This paper provides an overview of the DOE Oak Ridge Operations Remote Sensing Program and discusses how data from this program have assisted the environmental restoration program in streamlining site-characterization activities. Three case studies are described where remote sensing imagery has provided a more focused understanding of site problems with a resultant reduction in the need for costly and time-consuming, ground-based sampling approaches.

  18. Terror Operations: Case Studies in Terrorism (U.S. Army TRADOC G2 Handbook No. 1.01)

    DTIC Science & Technology

    2007-07-25

    Murakami, Haruki , Underground (New York: Vintage International, 2001), 10-11. OGIKUBO IKEBUKURO KORAKUEN OCHANOMIZU YUSHIMA KITASENJU UENO AKIHABARA... Haruki , Underground, 104-106. 42 Ibid., 144-145. TRADOC G2 Handbook No. 1.01, Terror Operations: Case Studies in Terrorism 25 July 2007 1 -15...43 Ibid., 59-61. 44 Ibid., 9, 60. 45 Murakami, Haruki , Underground, 119-120. TRADOC G2 Handbook No. 1.01, Terror

  19. Risk factors for operated carpal tunnel syndrome: a multicenter population-based case-control study

    PubMed Central

    Mattioli, Stefano; Baldasseroni, Alberto; Bovenzi, Massimo; Curti, Stefania; Cooke, Robin MT; Campo, Giuseppe; Barbieri, Pietro G; Ghersi, Rinaldo; Broccoli, Marco; Cancellieri, Maria Pia; Colao, Anna Maria; dell'Omo, Marco; Fateh-Moghadam, Pirous; Franceschini, Flavia; Fucksia, Serenella; Galli, Paolo; Gobba, Fabriziomaria; Lucchini, Roberto; Mandes, Anna; Marras, Teresa; Sgarrella, Carla; Borghesi, Stefano; Fierro, Mauro; Zanardi, Francesca; Mancini, Gianpiero; Violante, Francesco S

    2009-01-01

    Background Carpal tunnel syndrome (CTS) is a socially and economically relevant disease caused by compression or entrapment of the median nerve within the carpal tunnel. This population-based case-control study aims to investigate occupational/non-occupational risk factors for surgically treated CTS. Methods Cases (n = 220) aged 18-65 years were randomly drawn from 13 administrative databases of citizens who were surgically treated with carpal tunnel release during 2001. Controls (n = 356) were randomly sampled from National Health Service registry records and were frequency matched by age-gender-specific CTS hospitalization rates. Results At multivariate analysis, risk factors were blue-collar/housewife status, BMI ≥ 30 kg/m2, sibling history of CTS and coexistence of trigger finger. Being relatively tall (cut-offs based on tertiles: women ≥165 cm; men ≥175 cm) was associated with lower risk. Blue-collar work was a moderate/strong risk factor in both sexes. Raised risks were apparent for combinations of biomechanical risk factors that included frequent repetitivity and sustained force. Conclusion This study strongly underlines the relevance of biomechanical exposures in both non-industrial and industrial work as risk factors for surgically treated CTS. PMID:19758429

  20. Case study of restaurant successfully designed, constructed, and operated for excellent dining acoustics

    NASA Astrophysics Data System (ADS)

    Bollard, Paul; Des Jardins, Stephen

    2005-09-01

    Prior to the construction of La Provence Restaurant in Roseville, California in 2004, the owner, Stephen Des Jardins, traveled with his cook, architect, and engineer to the Provence Region of France to study the cuisine, architecture, and acoustics of the local restaurants. This information was incorporated into the design, construction, and operation of his restaurant, with acoustical design assistance provided by the author, Paul Bollard. The result of the owner's painstaking attention to detail is a restaurant which has received very positive reviews for its architecture, quality of food, service, and acoustic ambience. This paper documents the measures included in the construction of the restaurant to ensure that the building acoustics enhance the dining experience, rather than detract from it. Photographs of acoustic treatments are included, as are reverberation time (RT60) test results and ambient noise level measurement results.

  1. Instructional Developer as Content Specialist: Three Case Studies Utilizing the Instructional Development-Operations Research Model.

    ERIC Educational Resources Information Center

    Faust, Stephen M.

    1980-01-01

    Presents a 3-phase model (content research, specification, delivery) for instructional development-operations research and describes its application in developing courses in zoology, geology, and paleontology. (MER)

  2. Instructional Developer as Content Specialist: Three Case Studies Utilizing the Instructional Development-Operations Research Model.

    ERIC Educational Resources Information Center

    Faust, Stephen M.

    1980-01-01

    Presents a 3-phase model (content research, specification, delivery) for instructional development-operations research and describes its application in developing courses in zoology, geology, and paleontology. (MER)

  3. Urban Games: Four Case Studies in Urban Development (Operator's Manual and Player's Manual).

    ERIC Educational Resources Information Center

    Monroe, Margaret Warne

    A series of role-playing, operational games based on the Policy Negotiations model developed by Dr. Fred Goodman, Michigan, is presented in this set of books, an Operator's and a Player's Manual. Policy Negotiations is a game process that involves playing a priming game in order to learn the procedures and rules of the game so one can design and…

  4. Supply chain analysis of e-tailing versus retailing operation - a case study

    NASA Astrophysics Data System (ADS)

    Kumar, Sameer; Tiffany, Maryellen; Vaidya, Salil

    2016-07-01

    The swift growth of e-commerce or e-tailing as a consumer retail channel has made it a serious competitor to traditional retail channels and is changing consumers' purchasing behaviour. The purpose of this case study, based on Target and Amazon.com, is to analyse the attributes of traditional retailing, e-tailing, and hybrid supply chain models to form conclusions about the feasibility of an idealised supply chain model for the future. An integrated and generalised modelling framework is used that incorporates Six Sigma - define, measure, analyse, improve, control methodology leveraging various tools, including process flow maps, cause and effect diagram, performance efficiency metrics, failure mode and effects analysis (FMEA), and Monte Carlo simulation. Based on this analysis and research, the conclusion is that the idealised supply chain of the future may evolve into a hybrid supply chain, which includes both e-tail and retail channels. The main recommendations from this study include assessing the risks of migrating to such a hybrid supply chain and to leverage the recommended actions provided in the hybrid FMEA. To facilitate more effective and mature processes, this study can guide researchers in exhaustive empirical evaluations of hybrid supply chains, gather experiences and lessons learned for practitioners.

  5. Airport Managers' Perspectives on Security and Safety Management Systems in Aviation Operations: A Multiple Case Study

    NASA Astrophysics Data System (ADS)

    Brown, Willie L., Jr.

    Global terrorism continues to persist despite the great efforts of various countries to protect and safely secure their citizens. As airports form the entry and exit ports of a country, they are one of the most vulnerable locations to terror attacks. Managers of international airports constantly face similar challenges in developing and implementing airport security protocols. Consequently, the technological advances of today have brought both positive and negative impacts on security and terrorism of airports, which are mostly managed by the airport managers. The roles of the managers have greatly increased over the years due to technological advances. The developments in technology have had different roles in security, both in countering terrorism and, at the same time, increasing the communication methods of the terrorists. The purpose of this qualitative multiple case study was to investigate the perspectives of airport managers with regard to societal security and social interactions in the socio-technical systems of the National Terrorism Advisory System (NTAS). Through the data gained regarding managers' perception and experiences, the researcher hoped to enable the development of security measures and policies that are appropriate for airports as socio-technical systems. The researcher conducted interviews with airport managers to gather relevant data to fulfill the rationale of the study. Ten to twelve airport managers based in three commercial aviation airports in Maryland, United States participated in the study. The researcher used a qualitative thematic analysis procedure to analyze the data responses of participants in the interview sessions.

  6. Visualizing feasible operating ranges within tissue engineering systems using a "windows of operation" approach: a perfusion-scaffold bioreactor case study.

    PubMed

    McCoy, Ryan J; O'Brien, Fergal J

    2012-12-01

    Tissue engineering approaches to developing functional substitutes are often highly complex, multivariate systems where many aspects of the biomaterials, bio-regulatory factors or cell sources may be controlled in an effort to enhance tissue formation. Furthermore, success is based on multiple performance criteria reflecting both the quantity and quality of the tissue produced. Managing the trade-offs between different performance criteria is a challenge. A "windows of operation" tool that graphically represents feasible operating spaces to achieve user-defined levels of performance has previously been described by researchers in the bio-processing industry. This paper demonstrates the value of "windows of operation" to the tissue engineering field using a perfusion-scaffold bioreactor system as a case study. In our laboratory, perfusion bioreactor systems are utilized in the context of bone tissue engineering to enhance the osteogenic differentiation of cell-seeded scaffolds. A key challenge of such perfusion bioreactor systems is to maximize the induction of osteogenesis but minimize cell detachment from the scaffold. Two key operating variables that influence these performance criteria are the mean scaffold pore size and flow-rate. Using cyclooxygenase-2 and osteopontin gene expression levels as surrogate indicators of osteogenesis, we employed the "windows of operation" methodology to rapidly identify feasible operating ranges for the mean scaffold pore size and flow-rate that achieved user-defined levels of performance for cell detachment and differentiation. Incorporation of such tools into the tissue engineer's armory will hopefully yield a greater understanding of the highly complex systems used and help aid decision making in future translation of products from the bench top to the market place.

  7. Innovations in Site Characterization Case Study: Hanscom Air Force Base, Operable Unit 1

    EPA Pesticide Factsheets

    This document is a condensation of the information provided in the much more detailed Hanscom AFB Report entitled A Dynamic Site Investigation: Adaptive Sampling and Analysis Program for Operable Unit 1 at Hanscom Air Force Base, Bedford, Massachusetts.

  8. Structural and functional design of WWTP operation decision support system with a case study.

    PubMed

    Xu, J; Shi, H C; Ke, X Y

    2006-01-01

    This paper developes the WWTP operation decision support system (ODSS) to simulate the dynamic behavior of the WWTP treatment process based on ASMs (activated sludge models) and WWTP experiential knowledge. The novel structure and functions of ODSS can offer more flexible and general instructions to the WWTP operations. The three independent sub-systems, namely expert system, simulation system and training system, can cooperate to achieve many more functions such as operation alert, fault diagnosis, process simulation and so forth. The expert system based on the dynamic simulation, an essential part of WWTP ODSS, has been proved to be feasible and effective by the implementation at Fang Zhuang WWTP. Our results indicated that the WWTP ODSS has significant potential for improving plant performance and reducing treatment costs by assisting the operators at the decision-making level.

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

    DTIC Science & Technology

    2016-07-01

    other organization in the world. USAFRICOM and USARAF etched a place in history by being part of the largest U.S. military operation in support of...operational approach. Additionally, the OPT used theory, history , and doctrine to develop a conceptual planning framework to facilitate development...problem and quickly overwhelmed foreign disclosure officer (FDO) processes. Available alternate tools did not match the functionality of steady-state

  10. China’s Out of Area Naval Operations: Case Studies, Trajectories, Obstacles, and Potential Solutions

    DTIC Science & Technology

    2010-12-01

    information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215...be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. 1... lift assets (helicopters, lighterage, and landing craft) ■■ satellite communications. The operational and strategic implications of our findings are

  11. Is "intra-operating room" thromboelastometry useful in liver transplantation? A case-control study in 303 patients.

    PubMed

    Alamo, J-M; León, A; Mellado, P; Bernal, C; Marín, L M; Cepeda, C; Suárez, G; Serrano, J; Padillo, J; Gómez, M-Á

    2013-01-01

    Coagulation monitoring during liver transplantation (LT) is, even today, fundamental to reduce blood loss during surgery. Thromboelastometry (TEM) is a proven technique for controlling the various parameters that influence coagulation. However, there are no studies linking "intra-operating room" TEM (orTEM) with LT outcomes. We describe a case-control study in 303 liver graft recipients analyzing variables associated with operative complications and long-term LT outcomes. The results showed that orTEM reduced the use of blood products in patients with Model for End-Stage Liver Disease scores of ≥ 21, retransplantation, and high surgical difficulty and important intraoperative bleeding. In addition, results in survival and postoperative complications were better when orTEM was used. In conclusion, we confirm that use of orTEM is associated with less use of blood products and a lower rate of complications after LT.

  12. Operational resilience of reservoirs to climate change, agricultural demand, and tourism: A case study from Sardinia.

    PubMed

    Mereu, Simone; Sušnik, Janez; Trabucco, Antonio; Daccache, Andre; Vamvakeridou-Lyroudia, Lydia; Renoldi, Stefano; Virdis, Andrea; Savić, Dragan; Assimacopoulos, Dionysis

    2016-02-01

    Many (semi-) arid locations globally, and particularly islands, rely heavily on reservoirs for water supply. Some reservoirs are particularly vulnerable to climate and development changes (e.g. population change, tourist growth, hydropower demands). Irregularities and uncertainties in the fluvial regime associated with climate change and the continuous increase in water demand by different sectors will add new challenges to the management and to the resilience of these reservoirs. The resilience of vulnerable reservoirs must be studied in detail to prepare for and mitigate potential impacts of these changes. In this paper, a reservoir balance model is developed and presented for the Pedra e' Othoni reservoir in Sardinia, Italy, to assess resilience to climate and development changes. The model was first calibrated and validated, then forced with extensive ensemble climate data for representative concentration pathways (RCPs) 4.5 and 8.5, agricultural data, and with four socio-economic development scenarios. Future projections show a reduction in annual reservoir inflow and an increase in demand, mainly in the agricultural sector. Under no scenario is reservoir resilience significantly affected, the reservoir always achieves refill. However, this occurs at the partial expenses of hydropower production with implications for the production of renewable energy. There is also the possibility of conflict between the agricultural sector and hydropower sector for diminishing water supply. Pedra e' Othoni reservoir shows good resilience to future change mostly because of the disproportionately large basin feeding it. However this is not the case of other Sardinian reservoirs and hence a detailed resilience assessment of all reservoirs is needed, where development plans should carefully account for the trade-offs and potential conflicts among sectors. For Sardinia, the option of physical connection between reservoirs is available, as are alternative water supply measures

  13. Civil-Military Operations in the Post Conflict Environment: Northern Uganda Case Study

    DTIC Science & Technology

    2011-12-01

    also referred to as complex emergencies. The World Health Organization (WHO) defines such emergencies as follows: Complex emergencies are...economic development, reconstruction and stability. On the operational scale, CMO actions focus on near term issues such as health ...a military mission, but concurrently allowing that mission to benefit the overall development piece is the balance that military planners should

  14. The Role of Leadership in Starting and Operating Blended Learning Charter Schools: A Multisite Case Study

    ERIC Educational Resources Information Center

    Agostini, Michael Eric

    2013-01-01

    Heavily utilizing both instructional technology and face-to-face instruction within a bricks-and-mortar school environment, blended learning charter schools are gaining attention as a cost-effective school design. As educators turn to these blended learning school models to improve both the operational efficiency and student outcomes of America's…

  15. Joint Task Force-Bravo: A Case Study in Military Operations Other Than War.

    DTIC Science & Technology

    2007-11-02

    Pheasant , was initiated. The United States military elements along with their Honduran allies were in positions within thirty-six hours of the...Second, multinational exercises are effective as foreign deterrence options. Big Pine II and Operation Golden Pheasant produced diplomatic, social

  16. Success in an Introductory Operations Research Course: A Case Study at the United Arab Emirates University

    ERIC Educational Resources Information Center

    Yousef, Darwish Abdulrahman

    2009-01-01

    Purpose: The purpose of this paper is to examine the influence of a number of factors such as high school major, high school score, gender, Stat105, Maths I, Maths II grades, and grade point average (GPA) on students' academic performance in an introductory operations research (OR) course at the department of Business Administration--College of…

  17. Case Study of Using Resources about Sonar Operators To Teach Instructional Design.

    ERIC Educational Resources Information Center

    Mclellan, Hilary

    1993-01-01

    Describes a fictional account of the work of a submarine sonar operator ("The Hunt for Red October" by Tom Clancy) that captures the practitioner in a complex real-world work context featuring sophisticated electronic technologies. Describes how fiction can be adapted for and used as a basis for instructional design students to explore…

  18. The Role of Leadership in Starting and Operating Blended Learning Charter Schools: A Multisite Case Study

    ERIC Educational Resources Information Center

    Agostini, Michael Eric

    2013-01-01

    Heavily utilizing both instructional technology and face-to-face instruction within a bricks-and-mortar school environment, blended learning charter schools are gaining attention as a cost-effective school design. As educators turn to these blended learning school models to improve both the operational efficiency and student outcomes of America's…

  19. Case Study of Using Resources about Sonar Operators To Teach Instructional Design.

    ERIC Educational Resources Information Center

    Mclellan, Hilary

    1993-01-01

    Describes a fictional account of the work of a submarine sonar operator ("The Hunt for Red October" by Tom Clancy) that captures the practitioner in a complex real-world work context featuring sophisticated electronic technologies. Describes how fiction can be adapted for and used as a basis for instructional design students to explore…

  20. Success in an Introductory Operations Research Course: A Case Study at the United Arab Emirates University

    ERIC Educational Resources Information Center

    Yousef, Darwish Abdulrahman

    2009-01-01

    Purpose: The purpose of this paper is to examine the influence of a number of factors such as high school major, high school score, gender, Stat105, Maths I, Maths II grades, and grade point average (GPA) on students' academic performance in an introductory operations research (OR) course at the department of Business Administration--College of…

  1. Performance After Rotator Cuff Tear and Operative Treatment: A Case-Control Study of Major League Baseball Pitchers

    PubMed Central

    Namdari, Surena; Baldwin, Keith; Ahn, Albert; Huffman, G. Russell; Sennett, Brian J.

    2011-01-01

    Context: Little is known about pitching performance or lack of it among Major League Baseball (MLB) pitchers who undergo operative treatment of rotator cuff tears. Objective: To assess pitching performance outcomes in MLB players who needed operative treatment of rotator cuff tears and to compare performance in these athletes with that in a control group of MLB players. Design: Case-control study. Setting: Publicly available player profiles, press releases, and team injury reports. Patients or Other Participants: Thirty-three MLB pitchers with documented surgery to treat rotator cuff tears and 117 control pitchers who did not have documented rotator cuff tears were identified. Main Outcome Measure(s): Major League Baseball pitching attrition and performance variables. Results: Players who underwent rotator cuff surgery were no more likely not to play than control players. Performance variables of players who underwent surgery improved after surgery but never returned to baseline preoperative status. Players who needed rotator cuff surgery typically were more experienced and had better earned run averages than control players. Conclusions: Pitchers who had symptomatic rotator cuff tears that necessitated operative treatment tended to decline gradually in performance leading up to their operations and to improve gradually over the next 3 seasons. In contrast to what we expected, they did not have a greater attrition rate than their control counterparts; however, their performances did not return to preoperative levels over the course of the study. PMID:21669100

  2. A simple method to equalize the workload when operating several small wastewater treatment plants: a case study.

    PubMed

    De Feo, G; De Gisi, S; Galasso, M

    2013-01-01

    The aim of the present study is to define a simple (and easy to use) method to equalize the workload of personnel operating several small wastewater treatment plants (SWWTPs). The approach is illustrated through a case study which is the result of collaboration between researchers and a water and wastewater management company operating in Southern Italy. The topic is important since personnel have a significant impact on the operating costs of SWWTPs, and the approach outlined results in the minimum number of staff being required to assure the management of the service. Four kinds of work units are considered: plant managers, assistant plant managers, laboratory technicians and executives. In order to develop a practical, feasible and easy to use method, the workload was evaluated considering only the population equivalent (PE) and the number of plants managed. The core of the method is the evaluation of the percentage of time that the personnel units devote to the operation of SWWTPs of the municipality considered. The proposed procedure offers a useful tool to equalize the workload, both in terms of PE and the number of plants managed, the procedure being easily modifiable to introduce other evaluation criteria. By using familiar concepts such as PE and number of plants managed, the approach of the method can easily be understood by management. It can also be readily adapted to other similar situations.

  3. Assessing the financial, operational, and social sustainability of a biobank: the Wales Cancer Bank case study.

    PubMed

    Parry-Jones, Alison

    2014-12-01

    Biobank sustainability is a multi-faceted concept that many biobanks are wrestling with to justify their continued existence. After 10 years of operation, the Wales Cancer Bank is faced with a potential reduction in grant funding that will result in the need for a restructured approach to patient consenting, sample collection, and sample issue. A review is currently in progress, using evidence from the last 12 months, to inform the decisions that will be taken at the end of 2014 regarding the biobank's future. The information presented details the areas under consideration for revision with the perceived costs and benefits associated with the amendment. Not all outcomes are currently known, and some decisions will be made once the level of future funding is confirmed. The process of assessment has proved to be a valuable exercise and has highlighted the need for biobanks to regularly evaluate strategic principles and operating procedures using sustainability as a denominator.

  4. Operational oil spill trajectory modelling using HF radar currents: A northwest European continental shelf case study.

    PubMed

    Abascal, Ana J; Sanchez, Jorge; Chiri, Helios; Ferrer, María I; Cárdenas, Mar; Gallego, Alejandro; Castanedo, Sonia; Medina, Raúl; Alonso-Martirena, Andrés; Berx, Barbara; Turrell, William R; Hughes, Sarah L

    2017-06-15

    This paper presents a novel operational oil spill modelling system based on HF radar currents, implemented in a northwest European shelf sea. The system integrates Open Modal Analysis (OMA), Short Term Prediction algorithms (STPS) and an oil spill model to simulate oil spill trajectories. A set of 18 buoys was used to assess the accuracy of the system for trajectory forecast and to evaluate the benefits of HF radar data compared to the use of currents from a hydrodynamic model (HDM). The results showed that simulated trajectories using OMA currents were more accurate than those obtained using a HDM. After 48h the mean error was reduced by 40%. The forecast skill of the STPS method was valid up to 6h ahead. The analysis performed shows the benefits of HF radar data for operational oil spill modelling, which could be easily implemented in other regions with HF radar coverage. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  5. Requirements for Humanitarian Assistance and Peace Operations: Insights From Seven Case Studies

    DTIC Science & Technology

    1995-03-01

    cyclone had hit. Also, for the two domes- tic operations (Andrew and Garden Plot in LA), the legal limitations on domestic intelligence activities limited...Bangladesh, May- June 1991 Overview On April 29-30 1991, Cyclone Marian devastated the southeastern coastal areas of Bangladesh. Marian killed about...It destroyed many transportation assets and essentially wiped out the area’s water supply. In addition to the actual cyclone and the immediate damage

  6. Case Study: Review of Operating Room Utilization at Mayo Clinic Arizona (MCA)

    DTIC Science & Technology

    2008-05-01

    offers. The premier programs of the hospital are cancer treatment and solid organ /bone marrow transplant . (Mayo Clinic, 2007) Problem Statement In...improve revenue streams (Overdyl, Harvey, Fishman , & Shippey, 1998). Organizations have seen reduced revenues from operating room care because of lower...TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) RESIDENCY SITE ADDRESS Mayo Clinic Arizona 5777 East Mayo

  7. Network-Centric Operations Case Study: The Stryker Brigade Combat Team

    DTIC Science & Technology

    2005-01-01

    Operational Evaluation Control Group (OECG) Interview Results ....... 79 Q uality of Interactions and C ollaboration...possible avail- able data regarding the SBCT’s use of NCO capabilities. "• We want to control for other factors, such as the type of sce- nario, the...of sight satellite communications (SATCOM) links are used to connect command and control (C2) centers at the brigade and battalion levels. These NCO

  8. The Art and Science of Psychological Operations: Case Studies of Military Application. Volume Two

    DTIC Science & Technology

    1976-04-01

    Councils and a PSYOP Research Guide . M-61 ~ x -X 5 II OZAKI, Career Military officer ; assigned to Depart- John ment of Army (1969); served with ASA, head...for all crew members and officers in the form of cards and physical conditioning exercises. One sequence of pictures illus- trates the medical care ...casebook. Vt has been prepared in response to a request from the Office of the p uuty Chief of Staff for Military Operations, Department of the Army

  9. The American Expeditionary Force Siberia: A Case Study of Operational Art with Ambiguous Strategic Objectives

    DTIC Science & Technology

    2014-05-22

    Also in June 1919, a new phase in operations for the Allies in Siberia began. With the signing the Treaty of Versailles , any pretext of the Allied...accomplished what it set out to do” 80 Ultimately, the Czech legion left Russia, but by then the Treaty of Versailles was nearly a year old. The...was whether the armistice agreement of 11 November 1918 or the Treaty of Versailles signed on 28 June 1919 defined that specific termination criterion

  10. Peripheral eosinophilia and respiratory symptoms in rubber injection press operators: a case-control study.

    PubMed

    Thomas, R J; Bascom, R; Yang, W N; Fisher, J F; Baser, M E; Greenhut, J; Baker, J H

    1986-01-01

    To evaluate a suspected association between an outbreak of acute respiratory illness and eosinophilia and employment as a rubber worker, we performed a retrospective review of medical records of rubber workers employed from September 1983 to July 1984 in a plant housing a thermoinjection process. Twenty-five workers met the case definition of a respiratory illness requiring a physician visit. The predominant respiratory illness was acute in onset with cough, chest tightness, and dyspnea. Peripheral eosinophilia, up to 40% of white blood cells in a peripheral smear, was seen in 10 of 18 (56%) cases. Twenty-one of 25 white males with respiratory symptoms were employed in the thermoinjection process (odds ratio = 22, p less than .001). Smoking and employment in this process contributed independently to an increased risk of being a case as determined by a logistic regression analysis. Return to the plant building caused recurrence of symptoms in most cases, and these workers have been transferred or left the company. We conclude that a strong previously unrecognized association exists between employment in this neoprene rubber thermoinjection process and the development of an acute respiratory illness.

  11. Case study: design, operation, maintenance and water quality management of sustainable storm water ponds for roof runoff.

    PubMed

    Scholz, Miklas

    2004-12-01

    The purpose of this case study was to optimise design, operation and maintenance guidelines, and to assess the water treatment potential of a storm water pond system after 15 months of operation. The system was based on a combined silt trap, attenuation pond and vegetated infiltration basin. This combination was used as the basis for construction of a roof water runoff system from a single domestic property. United Kingdom Building Research Establishment and Construction Industry Research and Information Association, and German Association for Water, Wastewater and Waste design guidelines were tested. These design guidelines failed because they did not consider local conditions. The infiltration function for the infiltration basin was logarithmic. Algal control techniques were successfully applied, and treatment of rainwater runoff from roofs was found to be largely unnecessary for recycling (e.g., watering plants). However, seasonal and diurnal variations of biochemical oxygen demand, dissolved oxygen and pH were recorded.

  12. Using New Media For Information Operations: A Syrian Insurgency Case Study

    DTIC Science & Technology

    2014-04-01

    support for the operations. Another example of using new media to target diaspora is an iPhone and Android application called Souria Was Bas (“Only...in Syria, it seems that this app is targeting people outside of Syria since iPhones have been banned within the country since December 2011.68...from iPhone app store for “Souria Was Bas.” 68. BBC News, “Syria ‘Bans iPhones ’.” 69. Suquor Al-Sham Brigade website: http://shamfalcons.net (not

  13. Surface radiation survey and soil sampling of the 300-FF-1 operable unit, Hanford Site, southeastern Washington: A case study

    SciTech Connect

    Teel, S.S.; Olsen, K.B.

    1990-10-01

    The methods used for conducting a radiological characterization of the soil surface for the Phase I Remedial Investigation of a Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) site is presented via a case study. The study site is an operable unit (300-FF-1) located in and adjacent to the 300 Area of the US Department of Energy's Hanford Site in southeastern Washington State. The operable unit contains liquid and solid waste disposal facilities associated with nuclear fuels fabrication. Continuous surface radiation surveying and soil sampling of selected locations were conducted. Contamination was found in several locations within the operable unit including areas near the liquid and solid waste disposal facilities. Instruments used during surveying included portable beta/gamma (P-11) detectors, and the Ultrasonic Ranging and Data System using an NaI (Tl) detector. Laboratory analyses results indicate that above-background radiation levels were primarily due to the presence of uranium. Both types of field instruments used in the study were effective in detecting surface contamination from radionuclides; however, each had specific advantages. Guidelines are presented for the optimum use of these instruments when performing a radiological characterization of the soil surface. 4 refs., 3 figs., 3 tabs.

  14. What happened to the no-wait hospital? A case study of implementation of operational plans for reduced waits.

    PubMed

    Hansson, Johan; Tolf, Sara; Øvretveit, John; Carlsson, Jan; Brommels, Mats

    2012-01-01

    Both research and practice show that waiting lists are hard to reduce. Implementing complex interventions for reduced waits is an intricate and challenging process that requires special attention for surrounding factors helping and hindering the implementation. This article reports a case study of a hospital implementation of operational plans for reduced waits, with an emphasis on the process of change. A case study research design, theoretically informed by the Pettigrew and Whipp model of strategic change, was applied. Data were gathered from individual and focus group interviews with informants from different organizational levels at different times and from documents and plans. The findings revealed arrangements both helping and hindering the implementation work. Helping factors were the hospital's contemporary savings requirements and experiences from similar change initiatives. Those hindering the actions to plan and agree the changes were unclear support functions and unclear task prioritization. One contribution of this study is to demonstrate the advantages, disadvantages, and challenges of a contextualized case study for increased understanding of factors influencing organizational change implementation. One lesson for current policy is to regard context factors that are critical for successful implementation.

  15. Benthic foraminiferal responses to operational drill cutting discharge in the SW Barents Sea - a case study.

    NASA Astrophysics Data System (ADS)

    Aagaard-Sørensen, Steffen; Junttila, Juho; Dijkstra, Noortje

    2016-04-01

    Petroleum related exploration activities started in the Barents Sea 1980, reaching 97 exploration wells drilled per January 2013. The biggest operational discharge from drilling operations in the Barents Sea is the release of drill cuttings (crushed seabed and/or bedrock) and water based drilling muds including the commonly used weighing material barite (BaSO4). Barium (Ba), a constituent of barite, does not degrade and can be used to evaluate dispersion and accumulation of drill waste. The environmental impact associated with exploration drilling within the Goliat Field, SW Barents Sea in 2006 was evaluated via a multiproxy investigation of local sediments. The sediments were retrieved in November 2014 at ~350 meters water depth and coring sites were selected at distances of 5, 30, 60, 125 and 250 meters from the drill hole in the eastward downstream direction. The dispersion pattern of drill waste was estimated via measurements of sediment parameters including grain size distribution and water content in addition to heavy metal and total organic carbon contents. The environmental impact was evaluated via micro faunal analysis based on benthic foraminiferal (marine shell bearing protists) fauna composition and concentration changes. Observing the sediment parameters, most notably Ba levels, reveals that dispersion of drill waste was limited to <125 meters from the drill site with drill waste thicknesses decreasing downstream. The abruptness and quantity of drill waste sedimentation initially smothered the foraminiferal fauna at ≤ 30 meters from the drill site, while at a distance of 60 meters, the fauna seemingly survived and bioturbation persisted. Analysis of the live (Nov 2014) foraminiferal fauna reveals a natural species composition at all distances from the drill site within the top sediments (0-5 cm core depth). Furthermore, the fossil foraminiferal fauna composition found within post-impacted top sediment sections, particularly in the cores situated at

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

    DTIC Science & Technology

    2016-06-10

    Much of the literature deals with tactical considerations. There is some literature that has identified conditions associated with successful employment...SOG), as an example of a special operations campaign, and conducts a comparative analysis against the existing conditions for successful employment of...SOF. This thesis examines the factors and common themes from this study, considering how they can contributed to the success or failure of a special

  17. Beliefs and Values about Intra-Operative Teaching and Learning: A Case Study of Surgical Teachers and Trainees

    ERIC Educational Resources Information Center

    Ong, Caroline C.; Dodds, Agnes; Nestel, Debra

    2016-01-01

    Surgeons require advanced psychomotor skills, critical decision-making and teamwork skills. Much of surgical skills training involve progressive trainee participation in supervised operations where case variability, operating team interaction and environment affect learning, while surgical teachers face the key challenge of ensuring patient…

  18. Beliefs and Values about Intra-Operative Teaching and Learning: A Case Study of Surgical Teachers and Trainees

    ERIC Educational Resources Information Center

    Ong, Caroline C.; Dodds, Agnes; Nestel, Debra

    2016-01-01

    Surgeons require advanced psychomotor skills, critical decision-making and teamwork skills. Much of surgical skills training involve progressive trainee participation in supervised operations where case variability, operating team interaction and environment affect learning, while surgical teachers face the key challenge of ensuring patient…

  19. Intelligence-aided multitarget tracking for urban operations - a case study: counter terrorism

    NASA Astrophysics Data System (ADS)

    Sathyan, T.; Bharadwaj, K.; Sinha, A.; Kirubarajan, T.

    2006-05-01

    In this paper, we present a framework for tracking multiple mobile targets in an urban environment based on data from multiple sources of information, and for evaluating the threat these targets pose to assets of interest (AOI). The motivating scenario is one where we have to track many targets, each with different (unknown) destinations and/or intents. The tracking algorithm is aided by information about the urban environment (e.g., road maps, buildings, hideouts), and strategic and intelligence data. The tracking algorithm needs to be dynamic in that it has to handle a time-varying number of targets and the ever-changing urban environment depending on the locations of the moving objects and AOI. Our solution uses the variable structure interacting multiple model (VS-IMM) estimator, which has been shown to be effective in tracking targets based on road map information. Intelligence information is represented as target class information and incorporated through a combined likelihood calculation within the VS-IMM estimator. In addition, we develop a model to calculate the probability that a particular target can attack a given AOI. This model for the calculation of the probability of attack is based on the target kinematic and class information. Simulation results are presented to demonstrate the operation of the proposed framework on a representative scenario.

  20. Heat stress management program improving worker health and operational effectiveness: a case study.

    PubMed

    Huss, Rosalyn G; Skelton, Scott B; Alvis, Kimberly L; Shane, Leigh A

    2013-03-01

    Heat stress monitoring is a vital component of an effective health and safety program when employees work in exceptionally warm environments. Workers at hazardous waste sites often wear personal protective equipment (PPE), which increases the body heat stress load. No specific Occupational Safety and Health Administration (OSHA) regulations address heat stress; however, OSHA does provide several guidance documents to assist employers in addressing this serious workplace health hazard. This article describes a heat stress and surveillance plan implemented at a hazardous waste site as part of the overall health and safety program. The PPE requirement for work at this site, coupled with extreme environmental temperatures, made heat stress a significant concern. Occupational health nurses and industrial hygienists developed a monitoring program for heat stress designed to prevent the occurrence of significant heat-related illness in site workers. The program included worker education on the signs of heat-related illness and continuous physiologic monitoring to detect early signs of heat-related health problems. Biological monitoring data were collected before workers entered the exclusion zone and on exiting the zone following decontamination. Sixty-six site workers were monitored throughout site remediation. More than 1,700 biological monitoring data points were recorded. Outcomes included improved worker health and safety, and increased operational effectiveness. Copyright 2013, SLACK Incorporated.

  1. 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.

  2. Health, safety, and environmental management system operation in contracting companies: A case study.

    PubMed

    Nassiri, Parvin; Yarahmadi, Rasoul; Gholami, Pari Shafaei; Hamidi, Abdolamir; Mirkazemi, Roksana

    2016-05-03

    Systematic and cooperative interactions among parent industry and contractors are necessary for a successful health, safety, and environmental management system (HSE-MS). This study was conducted to evaluate the HSE-MS performance in contracting companies in one of the petrochemical industries in Iran during 2013. Managers of parent and contracting companies participated in this study. The data collection forms included 7 elements of an integrated HSE-MS (leadership and commitment; policy and strategic objectives; organization, resources, and documentation; evaluation and risk management; planning; implementation and monitoring; auditing and reviewing). The results showed that mean percentage of the total scores in seven elements of HSE-MS was 85.7% and 87.0% based on self-report and report of parent company, respectively. In conclusion, this study showed that HSE-MS was desirably functioning; however, improvement to ensure health and safety of workers is still required.

  3. Novel ways to explore surgical interventions in randomised controlled trials: applying case study methodology in the operating theatre.

    PubMed

    Blencowe, Natalie S; Blazeby, Jane M; Donovan, Jenny L; Mills, Nicola

    2015-12-28

    Multi-centre randomised controlled trials (RCTs) in surgery are challenging. It is particularly difficult to establish standards of surgery and ensure that interventions are delivered as intended. This study developed and tested methods for identifying the key components of surgical interventions and standardising interventions within RCTs. Qualitative case studies of surgical interventions were undertaken within the internal pilot phase of a surgical RCT for obesity (the By-Band study). Each case study involved video data capture and non-participant observation of gastric bypass surgery in the operating theatre and interviews with surgeons. Methods were developed to transcribe and synchronise data from video recordings with observational data to identify key intervention components, which were then explored in the interviews with surgeons. Eight qualitative case studies were undertaken. A novel combination of video data capture, observation and interview data identified variations in intervention delivery between surgeons and centres. Although surgeons agreed that the most critical intervention component was the size and shape of the gastric pouch, there was no consensus regarding other aspects of the procedure. They conceded that evidence about the 'best way' to perform bypass was lacking and, combined with the pragmatic nature of the By-Band study, agreed that strict standardisation of bypass might not be required. This study has developed and tested methods for understanding how surgical interventions are designed and delivered delivered in RCTs. Applying these methods more widely may help identify key components of interventions to be delivered by surgeons in trials, enabling monitoring of key components and adherence to the protocol. These methods are now being tested in the context of other surgical RCTs. Current Controlled Trials ISRCTN00786323 , 05/09/2011.

  4. Co-operation and conflict under hard and soft contracting regimes: case studies from England and Wales

    PubMed Central

    2013-01-01

    Background This paper examines NHS secondary care contracting in England and Wales in a period which saw increasing policy divergence between the two systems. At face value, England was making greater use of market levers and utilising harder-edged service contracts incorporating financial penalties and incentives, while Wales was retreating from the 1990s internal market and emphasising cooperation and flexibility in the contracting process. But there were also cross-border spill-overs involving common contracting technologies and management cultures that meant that differences in on-the-ground contracting practices might be smaller than headline policy differences suggested. Methods The nature of real-world contracting behaviour was investigated by undertaking two qualitative case studies in England and two in Wales, each based on a local purchaser/provider network. The case studies involved ethnographic observations and interviews with staff in primary care trusts (PCTs) or local health boards (LHBs), NHS or Foundation trusts, and the overseeing Strategic Health Authority or NHS Wales regional office, as well as scrutiny of relevant documents. Results Wider policy differences between the two NHS systems were reflected in differing contracting frameworks, involving regional commissioning in Wales and commissioning by either a PCT, or co-operating pair of PCTs in our English case studies, and also in different oversight arrangements by higher tiers of the service. However, long-term relationships and trust between purchasers and providers had an important role in both systems when the financial viability of organisations was at risk. In England, the study found examples where both PCTs and trusts relaxed contractual requirements to assist partners faced with deficits. In Wales, news of plans to end the purchaser/provider split meant a return to less precisely-specified block contracts and a renewed concern to build cooperation between LHB and trust staff

  5. Co-operation and conflict under hard and soft contracting regimes: case studies from England and Wales.

    PubMed

    Hughes, David; Allen, Pauline; Doheny, Shane; Petsoulas, Christina; Vincent-Jones, Peter

    2013-01-01

    This paper examines NHS secondary care contracting in England and Wales in a period which saw increasing policy divergence between the two systems. At face value, England was making greater use of market levers and utilising harder-edged service contracts incorporating financial penalties and incentives, while Wales was retreating from the 1990 s internal market and emphasising cooperation and flexibility in the contracting process. But there were also cross-border spill-overs involving common contracting technologies and management cultures that meant that differences in on-the-ground contracting practices might be smaller than headline policy differences suggested. The nature of real-world contracting behaviour was investigated by undertaking two qualitative case studies in England and two in Wales, each based on a local purchaser/provider network. The case studies involved ethnographic observations and interviews with staff in primary care trusts (PCTs) or local health boards (LHBs), NHS or Foundation trusts, and the overseeing Strategic Health Authority or NHS Wales regional office, as well as scrutiny of relevant documents. Wider policy differences between the two NHS systems were reflected in differing contracting frameworks, involving regional commissioning in Wales and commissioning by either a PCT, or co-operating pair of PCTs in our English case studies, and also in different oversight arrangements by higher tiers of the service. However, long-term relationships and trust between purchasers and providers had an important role in both systems when the financial viability of organisations was at risk. In England, the study found examples where both PCTs and trusts relaxed contractual requirements to assist partners faced with deficits. In Wales, news of plans to end the purchaser/provider split meant a return to less precisely-specified block contracts and a renewed concern to build cooperation between LHB and trust staff. The interdependency of local

  6. Thermal Comfort and HVAC Systems Operation Challenges in a Modern Office Building - Case Study

    NASA Astrophysics Data System (ADS)

    Nemethova, Ema; Stutterecker, Werner; Schoberer, Thomas

    2016-12-01

    The aim of the study is to evaluate the indoor environment conditions in the new-built office building, Energetikum, and consequently suggest the control strategies, which can lead to determination of critical areas and elimination of thermal discomfort. Representative offices have been selected and equipped with portable sensor groups for monitoring of the indoor environment parameters. Contribution is presenting the data obtained from 6 selected rooms during 3 reference weeks - heating, transition and cooling period. The measured results indicate overheating of the rooms, particularly in the ones with the large glazed areas with higher solar gains. The values of indoor air temperature during heating and transition period could not meet the normative criteria according to standard EN 15251:2007 (the cat. II.) during 13 % - 49 % of evaluated time intervals. Consequently, the simulation model of the selected office was created and is pointing to the possibilities of the control system improvement, which can lead to an elimination of the problem with overheating.

  7. Application of multivariate analysis toward biotech processes: case study of a cell-culture unit operation.

    PubMed

    Kirdar, Alime Ozlem; Conner, Jeremy S; Baclaski, Jeffrey; Rathore, Anurag S

    2007-01-01

    This paper examines the feasibility of using multivariate data analysis (MVDA) for supporting some of the key activities that are required for successful manufacturing of biopharmaceutical products. These activities include scale-up, process comparability, process characterization, and fault diagnosis. Multivariate data analysis and modeling were performed using representative data from small-scale (2 L) and large-scale (2000 L) batches of a cell-culture process. Several input parameters (pCO2, pO2, glucose, pH, lactate, ammonium ions) and output parameters (purity, viable cell density, viability, osmolality) were evaluated in this analysis. Score plots, loadings plots, and VIP plots were utilized for assessing scale-up and comparability of the cell-culture process. Batch control charts were found to be useful for fault diagnosis during routine manufacturing. Finally, observations made from reviewing VIP plots were found to be in agreement with conclusions from process characterization studies demonstrating the effectiveness of MVDA as a tool for extracting process knowledge.

  8. Operational Design and Convergent Threats: A Comparison Case Study of Plan Colombia and Afghanistan Aimed to Enhance the Fight Against Narcotic-Funded Insurgencies

    DTIC Science & Technology

    2012-05-17

    Monograph JUN 2011- MAY 2012 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Operational Design and Convergent Threats: A Comparison Case Study of...in the strength government that enforces the law , provides services, and uphold the social contract established by people and their government. The...Operational Design and Convergent Threats: A Comparison Case Study of Plan Colombia and Afghanistan Aimed to Enhance the Fight against Narcotic

  9. Marginal Emission Factors Considering Renewables: A Case Study of the U.S. Midcontinent Independent System Operator (MISO) System.

    PubMed

    Li, Mo; Smith, Timothy M; Yang, Yi; Wilson, Elizabeth J

    2017-10-03

    Estimates of marginal emission factors (MEFs) for the electricity sector have focused on emitting sources only, assuming nonemitting renewables rarely contribute to marginal generation. However, with increased penetration and improved dispatch of renewables, this assumption may be outdated. Here, we improve the methodology to incorporate renewables in MEF estimates and demonstrate a case study for the Midcontinent Independent System Operator (MISO) system where wind has been commonly dispatched on the margin. We also illustrate spatiotemporal variations of MEFs and explore implications for energy storage technologies. Results show that because the share of renewables in MISO is still relatively low (6.34%), conventional MEFs focused on emitting sources can provide a good estimate in MISO overall, as well as in the Central and South subregions. However, in the MISO North subregion where wind provides 22.5% of grid generation, neglecting nonemitting sources can overestimate MEFs for CO2, SO2, and NOx by about 30%. The application of expanded MEFs in this case also reveals heightened emission increases associated with load shifting of storage technologies. Our study highlights the importance of expanded MEFs in regions with high and growing renewables penetration, particularly as renewable energy policy seeks to incorporate demand-side technologies.

  10. Going Boldly Into the Future: A Series of Case Studies of Co-Operative Research Centres and Their Relationships with the VET Sector.

    ERIC Educational Resources Information Center

    Ferrier, Fran; Trood, Clifford; Whittingham, Karen

    This document presents case studies of 10 cooperative research centers (CRCs) across Australia and their relationships with the vocational education and training (VET) sector. The CRCs profiled in the case studies are as follows: Co-operative Research Centre for Sustainable Rice Production; Cast Alloy and Solidification Technology Co-operative…

  11. Going Boldly Into the Future: A Series of Case Studies of Co-Operative Research Centres and Their Relationships with the VET Sector.

    ERIC Educational Resources Information Center

    Ferrier, Fran; Trood, Clifford; Whittingham, Karen

    This document presents case studies of 10 cooperative research centers (CRCs) across Australia and their relationships with the vocational education and training (VET) sector. The CRCs profiled in the case studies are as follows: Co-operative Research Centre for Sustainable Rice Production; Cast Alloy and Solidification Technology Co-operative…

  12. Decision support for green supply chain operations by integrating dynamic simulation and LCA indicators: diaper case study.

    PubMed

    Adhitya, Arief; Halim, Iskandar; Srinivasan, Rajagopalan

    2011-12-01

    As the issue of environmental sustainability is becoming an important business factor, companies are now looking for decision support tools to assess the fuller picture of the environmental impacts associated with their manufacturing operations and supply chain (SC) activities. Lifecycle assessment (LCA) is widely used to measure the environmental consequences assignable to a product. However, it is usually limited to a high-level snapshot of the environmental implications over the product value chain without consideration of the dynamics arising from the multitiered structure and the interactions along the SC. This paper proposes a framework for green supply chain management by integrating a SC dynamic simulation and LCA indicators to evaluate both the economic and environmental impacts of various SC decisions such as inventories, distribution network configuration, and ordering policy. The advantages of this framework are demonstrated through an industrially motivated case study involving diaper production. Three distinct scenarios are evaluated to highlight how the proposed approach enables integrated decision support for green SC design and operation.

  13. Evaluation of operational, economic, and environmental performance of mixed and selective collection of municipal solid waste: Porto case study.

    PubMed

    Teixeira, Carlos A; Russo, Mário; Matos, Cristina; Bentes, Isabel

    2014-12-01

    This article describes an accurate methodology for an operational, economic, and environmental assessment of municipal solid waste collection. The proposed methodological tool uses key performance indicators to evaluate independent operational and economic efficiency and performance of municipal solid waste collection practices. These key performance indicators are then used in life cycle inventories and life cycle impact assessment. Finally, the life cycle assessment environmental profiles provide the environmental assessment. We also report a successful application of this tool through a case study in the Portuguese city of Porto. Preliminary results demonstrate the applicability of the methodological tool to real cases. Some of the findings focus a significant difference between average mixed and selective collection effective distance (2.14 km t(-1); 16.12 km t(-1)), fuel consumption (3.96 L t(-1); 15.37 L t(-1)), crew productivity (0.98 t h(-1) worker(-1); 0.23 t h(-1) worker(-1)), cost (45.90 € t(-1); 241.20 € t(-1)), and global warming impact (19.95 kg CO2eq t(-1); 57.47 kg CO2eq t(-1)). Preliminary results consistently indicate: (a) higher global performance of mixed collection as compared with selective collection; (b) dependency of collection performance, even in urban areas, on the waste generation rate and density; (c) the decline of selective collection performances with decreasing source-separated material density and recycling collection rate; and (d) that the main threats to collection route efficiency are the extensive collection distances, high fuel consumption vehicles, and reduced crew productivity.

  14. A case study on optimum tip speed ratio and pitch angle laws for wind turbine rotors operating in yawed conditions

    NASA Astrophysics Data System (ADS)

    Cuerva-Tejero, A.; Lopez-Garcia, O.; Marangoni, D.; González-Meruelo, F.

    2014-12-01

    The values of the tip speed ratio and blade pitch angle that yield maximum power coefficient are calculated for a rotor operating in yawed conditions. In a first step, the power coefficient is determined using a model based on the blade element momentum theory (BEMT) which includes a Prandtl-Glauert root-tip losses correction, a non-uniform model for the axial and tangential induction factors, and a model of the rotational augmentation effects. The BEMT model is validated with the experimental data from the NREL-UAE. The maximum values of the power coefficient are determined for different yaw angles and the corresponding values of the tip speed ratio and blade control angle are obtained. The maximum power coefficient using these optimum laws is compared to the maximum power coefficient using the optimum laws of the non-yawed case and it is shown that there is a gain in the power coefficient. For the case study presented in this paper it has been found that for yaw angles of 30° about 10% of the power coefficient can be recovered.

  15. Cask fleet operations study

    SciTech Connect

    Not Available

    1988-01-01

    The Nuclear Waste Policy Act of 1982 assigned to the Department of Energy's (DOE) Office of Civilian Waste Management the responsibility for disposing of high-level waste and spent fuel. A significant part of that responsibility involves transporting nuclear waste materials within the federal waste management system; that is, from the waste generator to the repository. The lead responsibility for transportation operations has been assigned to Oak Ridge Operations, with Oak Ridge National Laboratory (ORNL) providing technical support through the Transportation Operations Support Task Group. One of the ORNL support activities involves assessing what facilities, equipment and services are required to assure that an acceptable, cost-effective and safe transportation operations system can be designed, operated and maintained. This study reviews, surveys and assesses the experience of Nuclear Assurance Corporation (NAC) in operating a fleet of spent-fuel shipping casks to aid in developing the spent-fuel transportation system.

  16. 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…

  17. 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…

  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. 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)

  20. Air pollution modeling at road sides using the operational street pollution model--a case study in Hanoi, Vietnam.

    PubMed

    Hung, Ngo Tho; Ketzel, Matthias; Jensen, Steen Solvang; Oanh, Nguyen Thi Kim

    2010-11-01

    In many metropolitan areas, traffic is the main source of air pollution. The high concentrations of pollutants in streets have the potential to affect human health. Therefore, estimation of air pollution at the street level is required for health impact assessment. This task has been carried out in many developed countries by a combination of air quality measurements and modeling. This study focuses on how to apply a dispersion model to cities in the developing world, where model input data and data from air quality monitoring stations are limited or of varying quality. This research uses the operational street pollution model (OSPM) developed by the National Environmental Research Institute in Denmark for a case study in Hanoi, the capital of Vietnam. OSPM predictions from five streets were evaluated against air pollution measurements of nitrogen oxides (NO(x)), sulfur dioxide (SO2), carbon monoxide (CO), and benzene (BNZ) that were available from previous studies. Hourly measurements and passive sample measurements collected over 3-week periods were compared with model outputs, applying emission factors from previous studies. In addition, so-called "backward calculations" were performed to adapt the emission factors for Hanoi conditions. The average fleet emission factors estimated can be used for emission calculations at other streets in Hanoi and in other locations in Southeast Asia with similar vehicle types. This study also emphasizes the need to further eliminate uncertainties in input data for the street-scale air pollution modeling in Vietnam, namely by providing reliable emission factors and hourly air pollution measurements of high quality.

  1. Special Operations and Conventional Forces: How to Improve Unity of Effort Using Afghanistan as a Case Study

    DTIC Science & Technology

    2009-12-03

    suggested habitual relationships between SOF and conventional forces.119 Many see Special Operations Forces growing more insular, especially since they...SOF is able to spend two months in the United States for every one month in theater, then SOF could train habitually with conventional forces.122...the case in the northern part of RC- East, there was a habitual relationship with an ODB that had responsibility for elements both in the northern

  2. Evaluating the improvements of the BOLAM meteorological model operational at ISPRA: A case study approach - preliminary results

    NASA Astrophysics Data System (ADS)

    Mariani, S.; Casaioli, M.; Lastoria, B.; Accadia, C.; Flavoni, S.

    2009-04-01

    Fritsch. A fully updated serial version of the BOLAM code has been recently acquired. Code improvements include a more precise advection scheme (Weighted Average Flux); explicit advection of five hydrometeors, and state-of-the-art parameterization schemes for radiation, convection, boundary layer turbulence and soil processes (also with possible choice among different available schemes). The operational implementation of the new code into the SIMM model chain, which requires the development of a parallel version, will be achieved during 2009. In view of this goal, the comparative verification of the different model versions' skill represents a fundamental task. On this purpose, it has been decided to evaluate the performance improvement of the new BOLAM code (in the available serial version, hereinafter BOLAM 2007) with respect to the version with the Kain-Fritsch scheme (hereinafter KF version) and to the older one employing the Kuo scheme (hereinafter Kuo version). In the present work, verification of precipitation forecasts from the three BOLAM versions is carried on in a case study approach. The intense rainfall episode occurred on 10th - 17th December 2008 over Italy has been considered. This event produced indeed severe damages in Rome and its surrounding areas. Objective and subjective verification methods have been employed in order to evaluate model performance against an observational dataset including rain gauge observations and satellite imagery. Subjective comparison of observed and forecast precipitation fields is suitable to give an overall description of the forecast quality. Spatial errors (e.g., shifting and pattern errors) and rainfall volume error can be assessed quantitatively by means of object-oriented methods. By comparing satellite images with model forecast fields, it is possible to investigate the differences between the evolution of the observed weather system and the predicted ones, and its sensitivity to the improvements in the model code

  3. An operational hydrological ensemble prediction system for the city of Zurich (Switzerland): skill, case studies and scenarios

    NASA Astrophysics Data System (ADS)

    Addor, N.; Jaun, S.; Fundel, F.; Zappa, M.

    2011-07-01

    The Sihl River flows through Zurich, Switzerland's most populated city, for which it represents the largest flood threat. To anticipate extreme discharge events and provide decision support in case of flood risk, a hydrometeorological ensemble prediction system (HEPS) was launched operationally in 2008. This model chain relies on limited-area atmospheric forecasts provided by the deterministic model COSMO-7 and the probabilistic model COSMO-LEPS. These atmospheric forecasts are used to force a semi-distributed hydrological model (PREVAH), coupled to a hydraulic model (FLORIS). The resulting hydrological forecasts are eventually communicated to the stakeholders involved in the Sihl discharge management. This fully operational setting provides a real framework with which to compare the potential of deterministic and probabilistic discharge forecasts for flood mitigation. To study the suitability of HEPS for small-scale basins and to quantify the added-value conveyed by the probability information, a reforecast was made for the period June 2007 to December 2009 for the Sihl catchment (336 km2). Several metrics support the conclusion that the performance gain can be of up to 2 days lead time for the catchment considered. Brier skill scores show that overall COSMO-LEPS-based hydrological forecasts outperforms their COSMO-7-based counterparts for all the lead times and event intensities considered. The small size of the Sihl catchment does not prevent skillful discharge forecasts, but makes them particularly dependent on correct precipitation forecasts, as shown by comparisons with a reference run driven by observed meteorological parameters. Our evaluation stresses that the capacity of the model to provide confident and reliable mid-term probability forecasts for high discharges is limited. The two most intense events of the study period are investigated utilising a novel graphical representation of probability forecasts, and are used to generate high discharge

  4. An operational hydrological ensemble prediction system for the city of Zurich (Switzerland): skill, case studies and scenarios

    NASA Astrophysics Data System (ADS)

    Addor, N.; Jaun, S.; Zappa, M.

    2011-01-01

    The Sihl River flows through Zurich, Switzerland's most populated city, for which it represents the largest flood threat. To anticipate extreme discharge events and provide decision support in case of flood risk, a hydrometeorological ensemble prediction system (HEPS) was launched operationally in 2008. This models chain relies on limited-area atmospheric forecasts provided by the deterministic model COSMO-7 and the probabilistic model COSMO-LEPS. These atmospheric forecasts are used to force a semi-distributed hydrological model (PREVAH), coupled to a hydraulic model (FLORIS). The resulting hydrological forecasts are eventually communicated to the stakeholders involved in the Sihl discharge management. This fully operational setting provides a real framework to compare the potential of deterministic and probabilistic discharge forecasts for flood mitigation. To study the suitability of HEPS for small-scale basins and to quantify the added-value conveyed by the probability information, a reforecast was made for the period June 2007 to December 2009 for the Sihl catchment (336 km2). Several metrics support the conclusion that the performance gain can be of up to 2 days lead time for the catchment considered. Brier skill scores show that COSMO-LEPS-based hydrological forecasts overall outperform their COSMO-7 based counterparts for all the lead times and event intensities considered. The small size of the Sihl catchment does not prevent skillful discharge forecasts, but makes them particularly dependent on correct precipitation forecasts, as shown by comparisons with a reference run driven by observed meteorological parameters. Our evaluation stresses that the capacity of the model to provide confident and reliable mid-term probability forecasts for high discharges is limited. The two most intense events of the study period are investigated utilising a novel graphical representation of probability forecasts and used to generate high discharge scenarios. They

  5. Case Studies

    ERIC Educational Resources Information Center

    Ritter, Lois A., Ed.; Sue, Valerie M., Ed.

    2007-01-01

    This article presents two case studies using online surveys for evaluation. The authors begin with an example of a needs assessment survey designed to measure the amount of help new students at a university require in their first year. They then discuss the follow-up survey conducted by the same university to measure the effectiveness of the…

  6. Case Studies

    ERIC Educational Resources Information Center

    Ritter, Lois A., Ed.; Sue, Valerie M., Ed.

    2007-01-01

    This article presents two case studies using online surveys for evaluation. The authors begin with an example of a needs assessment survey designed to measure the amount of help new students at a university require in their first year. They then discuss the follow-up survey conducted by the same university to measure the effectiveness of the…

  7. Case Study: The Use of a Hypercard Simulation to Aid in the Teaching of Laboratory Apparatus Operation.

    ERIC Educational Resources Information Center

    Waddick, John

    1994-01-01

    Compares the effect of a chemistry computer simulation, written by the author, with the effect of an instructor demonstration. The study indicates that in this particular situation the operation of a spectrophotometer can be effectively taught by computer simulation method. The program is written using HyperTalk, the HyperCard programming…

  8. Case Study: The Use of a Hypercard Simulation to Aid in the Teaching of Laboratory Apparatus Operation.

    ERIC Educational Resources Information Center

    Waddick, John

    1994-01-01

    Compares the effect of a chemistry computer simulation, written by the author, with the effect of an instructor demonstration. The study indicates that in this particular situation the operation of a spectrophotometer can be effectively taught by computer simulation method. The program is written using HyperTalk, the HyperCard programming…

  9. EFFICIENT OPERATION AND ECONOMICAL EXPANSION OF UNDERGRADUATE TEACHING FACILITIES OF URBAN UNIVERSITIES. FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS BASED ON A CASE STUDY OF DREXEL INSTITUTE OF TECHNOLOGY, PHILADELPHIA, PENNSYLVANIA.

    ERIC Educational Resources Information Center

    WOOD, FREDERIC D.

    INFORMATION CONCERNING EFFICIENT PLANT OPERATION AND ECONOMIC FACILITY EXPANSION TO BEST ACCOMMODATE INCREASED STUDENT ENROLLMENTS AT URBAN COLLEGES AND UNIVERSITIES WAS GENERATED FROM A CASE STUDY OF THE DREXEL INSTITUTE OF TECHNOLOGY. GENERAL AREAS INVESTIGATED WERE--(1) SPACE REQUIREMENTS WHICH WILL MEET ANTICIPATED INCREASES IN ENROLLMENT, (2)…

  10. Operational NIR-red Algorithms for Estimating Chlorophyll-a Concentration in Coastal Waters - The Azov Sea Case Study

    NASA Astrophysics Data System (ADS)

    Moses, W.; Gitelson, A. A.; Berdnikov, S.; Saprygin, V.; Bowles, J. H.; Povazhnyi, V.

    2012-12-01

    We present here results that strongly support the use of MERIS-based NIR-red algorithms as standard tools for estimating chlorophyll-a (chl-a) concentration in turbid productive waters. The study was carried out as one of the steps in testing the potential of the universal applicability of previously developed NIR-red algorithms, which were originally calibrated using a limited set of MERIS imagery and in situ data from the Azov Sea and the Taganrog Bay, Russia, and data that were synthetically generated using a radiative transfer model. We used an extensive set of MERIS imagery and in situ data collected over a period of three years in the Azov Sea and the Taganrog Bay for this validation task. We found that the NIR-red algorithms gave consistently highly accurate estimates of chl-a concentration, with the root mean square error as low as 5.92 mg m-3 for the two-band algorithm and 5.91 mg m-3 for the three-band algorithm for the dataset with chl-a concentrations ranging from 1.09 mg m-3 to 107.82 mg m-3. This obviates the need for case-specific reparameterization of the algorithms, as long as the specific absorption coefficient of phytoplankton in the water does not change drastically, and presents a strong case for the use of NIR-red algorithms as standard algorithms that can be routinely applied for near-real-time quantitative monitoring of chl-a concentration in the Azov Sea and the Taganrog Bay, and potentially elsewhere, which will be a real boon to ecologists, natural resource managers and environmental decision-makers. We also present a temporal series of chl-a maps generated using the NIR-red algorithms from images acquired by the space-borne hyperspectral sensor HICO over the Taganrog Bay. The fine spatial resolution (96 m) of HICO images allows for a detailed analysis of the spatial distribution pattern of chl-a, and the fine spectral resolution (5.7 nm) offers a great potential for phytoplankton species discrimination. With the recent demise of MERIS

  11. A Case Study on Collective Cognition and Operation in Team-Based Computer Game Design by Middle-School Children

    ERIC Educational Resources Information Center

    Ke, Fengfeng; Im, Tami

    2014-01-01

    This case study examined team-based computer-game design efforts by children with diverse abilities to explore the nature of their collective design actions and cognitive processes. Ten teams of middle-school children, with a high percentage of minority students, participated in a 6-weeks, computer-assisted math-game-design program. Essential…

  12. A Case Study on Collective Cognition and Operation in Team-Based Computer Game Design by Middle-School Children

    ERIC Educational Resources Information Center

    Ke, Fengfeng; Im, Tami

    2014-01-01

    This case study examined team-based computer-game design efforts by children with diverse abilities to explore the nature of their collective design actions and cognitive processes. Ten teams of middle-school children, with a high percentage of minority students, participated in a 6-weeks, computer-assisted math-game-design program. Essential…

  13. How many operating rooms are needed to manage non-elective surgical cases? A Monte Carlo simulation study.

    PubMed

    Antognini, Joseph M O'Brien; Antognini, Joseph F; Khatri, Vijay

    2015-10-28

    Patients often wait to have urgent or emergency surgery. The number of operating rooms (ORs) needed to minimize waiting time while optimizing resources can be determined using queuing theory and computer simulation. We developed a computer program using Monte Carlo simulation to determine the number of ORs needed to minimize patient wait times while optimizing resources. We used patient arrival data and surgical procedure length from our institution, a tertiary-care academic medical center that serves a large diverse population. With ~4800 patients/year requiring non-elective surgery, and mean procedure length 185 min (median 150 min) we determined the number of ORs needed during the day and evening (0600-2200) and during the night (2200-0600) that resulted in acceptable wait times. Simulation of 4 ORs at day/evening and 3 ORs at night resulted in median wait time = 0 min (mean = 19 min) for emergency cases requiring surgery within 2 h, with wait time at the 95th percentile = 109 min. Median wait time for urgent cases needing surgery within 8-12 h was 34 min (mean = 136 min), with wait time at the 95th percentile = 474 min. The effect of changes in surgical length and volume on wait times was determined with sensitivity analysis. Monte Carlo simulation can guide decisions on how to balance resources for elective and non-elective surgical procedures.

  14. Operations dashboard: comparative study

    NASA Astrophysics Data System (ADS)

    Ramly, Noor Nashriq; Ismail, Ahmad Zuhairi; Aziz, Mohd Haris; Ahmad, Nurul Haszeli

    2011-10-01

    In this present days and age, there are increasing needs for companies to monitor application and infrastructure health. Apart from having proactive measures to secure their application and infrastructure, many see monitoring dashboards as crucial investment in disaster preparedness. As companies struggle to find the best solution to cater for their needs and interest for monitoring their application and infrastructure's health, this paper summarizes the studies made on several known off-the-shelf operations dashboard and in-house developed dashboard. A few criteria of good dashboard are collected from previous studies carried out by several researchers and rank them according to importance and business needs. The finalized criteria that will be discussed in later sections are data visualization, performance indicator, dashboard personalization, audit capability and alert/ notification. Comparative studies between several popular dashboards were then carried out to determine whether they met these criteria that we derived from the first exercise. The findings hopefully can be used to educate and provide an overview of selecting the best IT application and infrastructure operations dashboard that suit business needs, thus become the main contribution of this paper.

  15. The role of peri-operative cell salvage in instrumented anterior correction of thoracolumbar scoliosis: a case-controlled study.

    PubMed

    Mirza, Aun H; Aldlyami, Ehab; Bhimarasetty, Chandra; Thompson, Alistair G; Spilsbury, Jonathon; Marks, David S

    2009-02-01

    Anterior scoliosis surgery is associated with potentially high blood loss, usually requiring allogenic transfusion either intra- or post-operatively. Blood loss in this type of surgery has been shown to correlate with surgical and anaesthetic techniques. In our centre the development of specific anaesthetic techniques as well as the routine use of cell salvage has dramatically reduced the rates of allogenic blood transfusion. Specific indications for the use of the cell saver in anterior scoliosis surgery have not been well defined. Previous studies have commented on the benefit from re-infusion of salvaged autologous blood for orthopaedic patients in general, whilst others have shown a negligible advantage specifically in anterior thoraco-lumbar fusion surgery. We carried out a retrospective study of 137 consecutive patients, all of whom underwent instrumented anterior scoliosis correction between March 1999 and September 2004. A study group consisting of 104 patients in whom a cell saver was used was compared with a control group consisting of 33 patients who underwent anterior instrumentation without cell saver. There was no significant difference in the mean ages, extent of surgery and male to female ratio between groups. In the control group 39.4% of patients required allogenic blood transfusion, versus 6.7% in the study group; the difference is statistically significant (p < 0.0001). A significant difference was also noted in post-operative haemoglobin values. The mean post-operative haemoglobin was 9.6 g/dl in the control group, versus 10.2 g/dl in the study group (p = 0.007). Our experience confirms that re-infusion of salvaged autologous blood in anterior scoliosis surgery has a role in the minimisation of postoperative anaemia and allogenic transfusion requirements in this type of surgery.

  16. Correlation of Hydraulic Fracturing Induced Seismicity with Operation Parameters of Shale Gas Extraction: Two Case Studies in Western Canada

    NASA Astrophysics Data System (ADS)

    Farahbod, A. M.; Kao, H.; Cassidy, J. F.; Snyder, D. B.; Cairns, S.; Walker, D.

    2015-12-01

    Northeast British Columbia, specifically the Horn River Basin (HRB) and Montney Trend, are among the largest shale gas production regions in western Canada. In contrast, there has been no large-scale hydraulic fracturing (HF) operation in the Northwest Territories in the Norman Wells region of the central Mackenzie valley. In this study, we investigate the effect of injection pressure, operation duration and injected volume on the observed seismicity in the HRB and Norman Wells regions and compare our observations with the pre-HF records. In the HRB, we apply the single-station location and waveform correlation methods to establish a homogenous earthquake catalog (2006/12-2011/12). In the Northwest Territories, we combine data from a local seismograph network of 4 stations plus a dense array of 7 stations located from 1 km to 50 km from the operation wells to locate earthquakes (2013/09-2014/07). In the HRB, the initial effect of an increased injected volume is an increase in earthquake frequency but not magnitude. Local earthquakes gradually become larger in magnitude as the scale of HF in the region expands. While the injection pressure during HF operations has been regulated at a relatively constant level, the massive increase of injection volume in 2010 and 2011 coincides with a series of ML>3 events. Relatively large seismic moment release (>1014 N m) occurred only when the monthly injected volume exceeded ~150,000 m3. In addition, we observe variable time lags, from days to up to 4 months between intense HF and the occurrence of a significant local earthquake. On the other hand, in the Norman Wells region, two small-scale HF were performed in 2014 with a total injected volume of ~ 14000 m3. We observed an increase in the number of micro-earthquakes (M < 2.0) during the HF period without a clear change in the overall seismic pattern. From these two observations, we conclude that HF operations do not necessarily result in an increase in the occurrence rate of

  17. The impact of resident involvement on post-operative morbidity and mortality following orthopaedic procedures: a study of 43,343 cases.

    PubMed

    Schoenfeld, Andrew J; Serrano, Jose A; Waterman, Brian R; Bader, Julia O; Belmont, Philip J

    2013-11-01

    Few studies have addressed the role of residents' participation in morbidity and mortality after orthopaedic surgery. The present study utilized the 2005-2010 National Surgical Quality Improvement Program (NSQIP) dataset to assess the risk of 30-day post-operative complications and mortality associated with resident participation in orthopaedic procedures. The NSQIP dataset was queried using codes for 12 common orthopaedic procedures. Patients identified as having received one of the procedures had their records abstracted to obtain demographic data, medical history, operative time, and resident involvement in their surgical care. Thirty-day post-operative outcomes, including complications and mortality, were assessed for all patients. A step-wise multivariate logistic regression model was constructed to evaluate the impact of resident participation on mortality- and complication-risk while controlling for other factors in the model. Primary analyses were performed comparing cases where the attending surgeon operated alone to all other case designations, while a subsequent sensitivity analysis limited inclusion to cases where resident participation was reported by post-graduate year. In the NSQIP dataset, 43,343 patients had received one of the 12 orthopaedic procedures queried. Thirty-five percent of cases were performed with resident participation. The mortality rate, overall, was 2.5 and 10 % sustained one or more complications. Multivariate analysis demonstrated a significant association between resident participation and the risk of one or more complications [OR 1.3 (95 % CI 1.1, 1.4); p < 0.001] as well as major systemic complications [OR 1.6 (95 % CI 1.3, 2.0); p < 0.001] for primary joint arthroplasty procedures only. These findings persisted even after sensitivity testing. A mild to moderate risk for complications was noted following resident involvement in joint arthroplasty procedures. No significant risk of post-operative morbidity or mortality was

  18. The active tropical cyclone season of 2005 2006 over Northwest Australia: Operational model performance and high resolution case studies

    NASA Astrophysics Data System (ADS)

    Buckley, B. W.; Leslie, L. M.; Leplastrier, M.; Qi, L.

    2007-08-01

    There are three main aims of this study. First, the main features of the active 2005 2006 Australian region tropical cyclone (TC) season are summarized, with particular emphasis on the northwest Australian region. Second, an assessment is made of the skill of the available operational global and regional numerical weather prediction (NWP) models for three of the most significant TCs (TCs Clare, Glenda and Hubert), each of which made landfall on the northwest coast of Australia. Third, high-resolution numerical modelling simulations of these same three TCs are described in detail. The numerical weather prediction (NWP) model used here was developed at the University of Oklahoma, and in this study it utilises initial and boundary conditions obtained from archived analyses and forecasts provided by the Australian Bureau of Meteorology, as well as a 4D-Var data assimilation scheme to ingest all available satellite data. The high-resolution numerical model is multiply two-way nested, with the innermost domain having a resolution of 5 km. It was found that unlike the operational models, which were restricted by relatively low resolution and less data, the high resolution model was able to capture most of the major features of all three TC lifecycles including development from initial tropical depressions, intensification, and their tracks, landfall, and associated rainfall and wind fields.

  19. Using ensemble streamflow prediction in the reservoir operation during drought by implicit and explicit stochastic optimization: case study in Shihmen Reservoir

    NASA Astrophysics Data System (ADS)

    Chou, Kuan-wen; Jiing-Yun You, Gene; Jang, Jiun-Huei

    2016-04-01

    One of the important goals of water resource management is the establishment of realistic reservoir operating policies for water allocation, especially during periods of drought. In the context of short-term (a few months) water management such as drought, we need to predict the future inflow and allocate current and future water resource to avoid severe economic loss. Because the future flow condition in uncertain, applying the stochastic optimization technique is common in guide reservoir operation. This study is trying to use the ensemble streamflow prediction (ESP) in reservoir operation during drought. We develop reservoir operation model based on two stochastic optimization frameworks, the explicit stochastic optimization (ESO) or implicit stochastic optimization (ISO). Because the forecast is updated time by time, the rolling process is adapted, the decision process is ''rolled over'' every periods and extended into the future. This study use Shihmen Reservoir as a case study. The ensemble streamflow prediction is produced and provided by National Science and Technology Center for Disaster Reduction (NCDR). Not only expect to provide an appropriate framework in integrating streamflow forecast a reservoir operation during drought, we also aim to compare the ISO and ESO to identify their advantages and disadvantages. As a result, the streamflow forecast can directly contribute, rather than just be kept in mind, in the reservoir operation during drought period.

  20. Two-tier Haddon matrix approach to fault analysis of accidents and cybernetic search for relationship to effect operational control: a case study at a large construction site.

    PubMed

    Mazumdar, Atmadeep; Sen, Krishna Nirmalya; Lahiri, Balendra Nath

    2007-01-01

    The Haddon matrix is a potential tool for recognizing hazards in any operating engineering system. This paper presents a case study of operational hazards at a large construction site. The fish bone structure helps to visualize and relate the chain of events, which led to the failure of the system. The two-tier Haddon matrix approach helps to analyze the problem and subsequently prescribes preventive steps. The cybernetic approach has been undertaken to establish the relationship among event variables and to identify the ones with most potential. Those event variables in this case study, based on the cybernetic concepts like control responsiveness and controllability salience, are (a) uncontrolled swing of sheet contributing to energy, (b) slippage of sheet from anchor, (c) restricted longitudinal and transverse swing or rotation about the suspension, (d) guilt or uncertainty of the crane driver, (e) safe working practices and environment.

  1. A case study employing operant conditioning to reduce stress of capture for red-bellied tamarins (Saguinus labiatus).

    PubMed

    Owen, Yvonne; Amory, Jonathan R

    2011-01-01

    Traditional techniques used to capture New World monkeys, such as net capture, can induce high levels of acute stress detrimental to welfare. Alternatively, training nonhuman animals via operant conditioning to voluntarily participate in husbandry and/or veterinary practices is accepted as a humane process that can reduce stress and improve welfare. This study details the use of operant conditioning using positive reinforcement training (PRT) and target training to train a family of 5 captive red-bellied tamarins (Saguinus labiatus) in a wildlife park to voluntarily enter a transportation box and remain calm for 1 min after 54 training sessions. Observations of 2 unrelated net-capture processes provided measures of locomotion and vocalizations as indicators of stress behavior that were compared with those of the trained tamarins. Net-captured monkeys exhibited rapid erratic locomotion and emitted long, high-frequency vocalizations during capture whereas the trained tamarins exhibited minimal locomotion and emitted only 4 brief vocalizations (root mean square 35 dB) during capture. This indicates that the use of PRT considerably reduced potential for stress and improved welfare during the capture and containment of the tamarins. Copyright © Taylor & Francis Group, LLC

  2. An agricultural drought index to incorporate the irrigation process and reservoir operations: A case study in the Tarim River Basin

    NASA Astrophysics Data System (ADS)

    Li, Zehua; Hao, Zhenchun; Shi, Xiaogang; Déry, Stephen J.; Li, Jieyou; Chen, Sichun; Li, Yongkun

    2016-08-01

    To help the decision making process and reduce climate change impacts, hydrologically-based drought indices have been used to determine drought severity in the Tarim River Basin (TRB) over the past decades. As the major components of the surface water balance, however, the irrigation process and reservoir operations have not been incorporated into drought indices in previous studies. Therefore, efforts are needed to develop a new agricultural drought index, which is based on the Variable Infiltration Capacity (VIC) model coupled with an irrigation scheme and a reservoir module. The new drought index was derived from the simulated soil moisture data from a retrospective VIC simulation from 1961 to 2007 over the irrigated area in the TRB. The physical processes in the coupled VIC model allow the new agricultural drought index to take into account a wide range of hydrologic processes including the irrigation process and reservoir operations. Notably, the irrigation process was found to dominate the surface water balance and drought evolution in the TRB. Furthermore, the drought conditions identified by the new agricultural drought index presented a good agreement with the historical drought events that occurred in 1993-94, 2004, and 2006-07, respectively. Moreover, the spatial distribution of coupled VIC model outputs using the new drought index provided detailed information about where and to what extent droughts occurred.

  3. Operational fog collection and its role in environmental education and social reintegration: A case study in Colombia

    NASA Astrophysics Data System (ADS)

    Escobar, C. M.; Lopez, A.; Aristizabal, H. F.; Molina, J. M.

    2010-07-01

    Experimental efforts with fog collection in Colombia began eight years ago, and in recent papers we have suggested the implementation of operational fog collection as an alternative to meet water requirements in rural areas of the Andes Mountain Range. Since then, an increasing number of individuals from academia and environmental organizations in the country have shown a remarkable interest on this appropriate technology, and some started its exploration in a larger scale. In this work we describe the implementation process of the first operational fog collection project in Colombia and discuss its role in rural water supply, in environmental education issues and in the process of "social reintegration" of people who have been victims of forced displacement. Both the fog collection evaluation stage and construction and administration of the operational system involved the participation of the community of a rural village. The study zone, located in the Andes Mountains of the Valle del Cauca Department and with altitudes ranging from 2600 to 2800 meters a.s.l., has serious limitations in water availability. Eight standard fog collectors (SFC) were implemented and used during the period May/2008 - Feb/2009 in order to assess the water yield from fog. The best average monthly collection rate in the period of study was around 2.0 l.m-2.day-1. The constructed large fog collector (LFC), with a vertical collection surface of 25 m2, and the associated hydraulic system are currently managed and administered by the village inhabitants. The fog collection system benefits a rural school, and the water is mainly used in small-scale irrigation activities for horticultural crops and livestock development. The project has also brought positive impacts in the community organization, mainly comprising people who have been forced out of their rural homes by the country's nearly half-century old armed conflict. The system also allows agriculture- and environment-related issues to be

  4. Better satisfaction of patients operated on anterior cruciate ligament reconstruction in outpatient setting. A prospective comparative monocentric study of 60 cases.

    PubMed

    Lunebourg, Alexandre; Ollivier, Matthieu; Delahaye, David; Argenson, Jean-Noël A; Parratte, Sébastien

    2016-12-01

    The purpose of this study was to compare satisfaction, clinical scores, and complications of patients operated on anterior cruciate ligament reconstruction (ACLR) in outpatient setting compared to patients operated in the conventional hospitalization. This prospective non-randomized study compared 30 patients (mean age 31 ± 9 years) operated on outpatient setting for an isolated ACLR matched 1:1 according to age, gender, body mass index, delay to surgery, and preoperative clinical score (IKDC) to 30 patients operated for an ACLR in our conventional hospitalization department during the same period. All the patients were operated on by the same surgeon. The same technique of anterior cruciate ligament reconstruction with using four bundles semitendinosus and cage fixation was used. The same anaesthesiologic protocol and perioperative cares were used in all patients. Patients' satisfaction was assed using five questions about the course of surgery and hospitalization and a four-level satisfaction questionnaire (excellent, good, fair, and poor). Clinical scores (IKDC and KOOS) were compared preoperatively and at 1 year. Readmission within 30 day and complications at 1 year were compared in both groups. Satisfaction was significantly better in the group of day-case surgery and more patients of the group day-case surgery recommended this modality of treatment (29 against 24; p = 0.04). The IKDC score improved in the two groups (day-case group from 64 ± 17 to 86 ± 7; p < 0.001; conventional hospitalization from 60 ± 21 to 85 ± 10; p < 0.001), but no significant difference between two groups was found at 1 year (p = 0.86). No readmission was necessary in the two groups, but two revisions were needed in the group of the conventional hospitalization. Results of our study showed that patients operated on day-case surgery for an isolated ACLR presented a higher rate of satisfaction compared to patients operated in the conventional hospitalization

  5. The association between component malalignment and post-operative pain following navigation-assisted total knee arthroplasty: results of a cohort/nested case-control study.

    PubMed

    Czurda, Thomas; Fennema, Peter; Baumgartner, Martin; Ritschl, Peter

    2010-07-01

    Previous studies have noted an adverse relationship between implant malalignment during total knee arthroplasty (TKA) and post-operative pain. Although some evidence exists indicating that computer-assisted surgical navigation for TKA can improve the accuracy of component alignment, its impact on clinical outcomes is currently unknown. The dual goals of the present cohort/nested case-control study were to (1) compare self-reported responses to the Western Ontario-McMaster Osteoarthritis Index (WOMAC) questionnaire between computer-assisted TKA (123 patients) using the imageless PiGalileo navigation system and conventional TKA (207 patients) [cohort analysis], and (2) to investigate a potential association between malalignment and post-operative pain in 19 painful knees and 19 asymptomatic knees obtained from the cohort analysis using matched sampling [nested case-control study]. In the cohort analysis, a relevant but non-significant (P = 0.06) difference in the occurrence of chronic pain was observed between the navigated (12%) and conventional arms (20%). Median post-operative WOMAC pain score was 100 (range, 50-100) in the conventional group and 100 (range, 65-100) in the navigated group. However, the Mann-Whitney test revealed a significant difference in favor of the navigated group (P = 0.01). In the nested case-control analysis, radiological outcomes and computer tomography (CT) measurements of femoral rotation were compared between the groups. The CT rotation measurements yielded evidence of a relationship between post-operative pain and incorrect rotational alignment of the femoral component of more than 3 degrees (OR: 7; 95% CI: 1.2-42; P = .033). In conclusion, there was no clinical benefit to computer-assisted navigation; however, a statistically significant relationship was observed between incorrect rotational alignment of the femoral component and symptoms of post-operative pain following TKA.

  6. In Search of Post-Soviet Operational Art: A Case Study in Russian Military Operations in the North Caucasus Since 1991

    DTIC Science & Technology

    2009-01-01

    Russia’s Air Power in Crisis. Washington, D.C.: Smithsonian Institution Press, 1999. Lieven, Anatol. Chechnya: Tombstone ofRussian Power. New Haven ...Dadayev regime and establish the MVD as a policing element quickly changed. 12 Lieven, Anatol. Chechnya: Tombstone ofRussian Power. New Haven : Yale...art that have transcended decades of political and economic transformation and draw out new trends in Russian operational art that have emerged in

  7. Pre-operative patient education is associated with decreased risk of arthrofibrosis after total knee arthroplasty: a case control study.

    PubMed

    Livbjerg, Anna Emilie; Froekjaer, Sara; Simonsen, Ole; Rathleff, Michael S

    2013-09-01

    The purpose was to investigate risk factors for postoperative stiffness and long-term outcome following manipulation under anaesthesia (MUA). In one of the five Danish regions, all patients in a 4-year period who received MUA following total knee arthroplasty (N=36) were included in two case-control studies. Data on potential risk factors were extracted from the Danish Knee arthroplasty Register and from a postal questionnaire including long-term outcome measures regarding pain, function and quality of life (Oxford Knee Score and EQ-5D). Previous knee surgery and a high preoperative Knee Society Function Score were significant risk factors, whereas attending a preoperative information meeting was associated with a significantly decreased risk of postoperative stiffness requiring MUA (P<0.001). The long-term results following MUA (1-5 years) were equivalent to patients without postoperative stiffness. Copyright © 2013 Elsevier Inc. All rights reserved.

  8. Precipitation assessment in wastewater treatment plants operated for biological nutrient removal: a case study in Murcia, Spain.

    PubMed

    Barat, R; Bouzas, A; Martí, N; Ferrer, J; Seco, A

    2009-02-01

    The Murcia Este Wastewater Treatment Plant is the largest wastewater treatment plant in Murcia (Spain). The plant operators have continuously found pipe blockage and accumulation of solids on equipment surfaces during the anaerobic digestion and post-digestion processes. This work studies the precipitation problems in the Murcia Este Wastewater Treatment Plant in order to locate the sources of precipitation and its causes from an exhaustive mass balance analysis. The DAF thickener and anaerobic digester mass balances suggest that most of the polyphosphate is released during excess sludge thickening. Despite the high concentrations achieved in the thickened sludge, precipitation does not occur at this point due to the low pH. The increases in ammonium and pH during anaerobic digestion cause precipitation to take place mainly inside the digesters and in downstream processes. This study shows that 50.7% of the available phosphate is fixed in the digester of which 52.0% precipitates as ammonium struvite, 39.2% precipitates as hydroxyapatite and the remaining 8.8% is adsorbed on the surface of the solids. Thermodynamic calculations confirm the precipitation of struvite and hydroxyapatite and also confirm that potassium struvite does not precipitate in the anaerobic digesters.

  9. Utilising Enterprise Risk Management Strategies to Develop a Governance and Operations Framework for a New Research Complex: A Case Study

    ERIC Educational Resources Information Center

    Clyde-Smith, Jodi

    2014-01-01

    Enterprise risk management strategies were used to develop a regulatory and operational framework for a new multi-partner Research Institute that will house up to 900 staff from four different institutions in Queensland, Australia. The Institute will operate in a business environment while functioning as a research resource for the higher…

  10. Utilising Enterprise Risk Management Strategies to Develop a Governance and Operations Framework for a New Research Complex: A Case Study

    ERIC Educational Resources Information Center

    Clyde-Smith, Jodi

    2014-01-01

    Enterprise risk management strategies were used to develop a regulatory and operational framework for a new multi-partner Research Institute that will house up to 900 staff from four different institutions in Queensland, Australia. The Institute will operate in a business environment while functioning as a research resource for the higher…

  11. Assessment of post-operative pain in cats: a case study on veterinary students of Universiti Putra Malaysia.

    PubMed

    Lim, Mei Yan; Chen, Hui Cheng; Omar, Mohamed Ariff

    2014-01-01

    The ability to assess and control pain is listed as one of the desired Day One competencies among veterinary graduates. As such, a study was conducted to examine the current status and effectiveness of a video-based training module on the attitude toward and knowledge of pain assessment in cats among fourth- and final-year veterinary students of Universiti Putra Malaysia (UPM) in January of 2013. A total of 92 students participated in this study, resulting in a response rate of 60.1%. Upon completion of a pre-training survey, the respondents undertook an interactive video-based presentation, followed by a post-training survey. The majority of the students (96.7%) agreed on the importance of pain management. Before the training, many (76.1%) disagreed that they had received adequate training, while 53.3% were not confident in their pain-recognition skills. After training, their knowledge and confidence in pain assessment increased. Responses to the survey were not associated with differences in gender, level of study, or field of interest. Students were found to have mistaken some physiologic parameters as good pain indicators after ovariohysterectomy. Their assessment of three standardized video cases revealed that they could recognize prominent signs of pain but failed to identify changes in behavior that were more subtle. Refinement to the training module is required to address the above deficiencies.

  12. Case Study: Testing with Case Studies

    ERIC Educational Resources Information Center

    Herreid, Clyde Freeman

    2015-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses using case studies to test for knowledge or lessons learned.

  13. Case Study: Testing with Case Studies

    ERIC Educational Resources Information Center

    Herreid, Clyde Freeman

    2015-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses using case studies to test for knowledge or lessons learned.

  14. Operational Changes in a Shared Resource Laboratory with the Use of a Product Lifecycle Management Approach: A Case Study.

    PubMed

    Hexley, Philip; Smith, Victoria; Wall, Samantha

    2016-04-01

    Shared Resource Laboratories (SRLs) provide investigators access to necessary scientific and resource expertise to leverage complex technologies fully for advancing high-quality biomedical research in a cost-effective manner. At the University of Nebraska Medical Center, the Flow Cytometry Research Facility (FCRF) offered access to exceptional technology, but the methods of operation were outdated and unsustainable. Whereas technology has advanced and the institute has expanded, the operations at the facility remained unchanged for 35 yr. To rectify this, at the end of 2013, we took a product lifecycle management approach to affect large operational changes and align the services offered with the SRL goal of education, as well as to provide service to researchers. These disruptive operational changes took over 10 mo to complete and allowed for independent end-user acquisition of flow cytometry data. The results have been monitored for the past 12 mo. The operational changes have had a positive impact on the quality of research, increased investigator-facility interaction, reduced stress of facility staff, and increased overall use of the resources. This product lifecycle management approach to facility operations allowed us to conceive of, design, implement, and monitor effectively the changes at the FCRF. This approach should be considered by SRL management when faced with the need for operationally disruptive measures.

  15. Operational Changes in a Shared Resource Laboratory with the Use of a Product Lifecycle Management Approach: A Case Study

    PubMed Central

    Smith, Victoria; Wall, Samantha

    2016-01-01

    Shared Resource Laboratories (SRLs) provide investigators access to necessary scientific and resource expertise to leverage complex technologies fully for advancing high-quality biomedical research in a cost-effective manner. At the University of Nebraska Medical Center, the Flow Cytometry Research Facility (FCRF) offered access to exceptional technology, but the methods of operation were outdated and unsustainable. Whereas technology has advanced and the institute has expanded, the operations at the facility remained unchanged for 35 yr. To rectify this, at the end of 2013, we took a product lifecycle management approach to affect large operational changes and align the services offered with the SRL goal of education, as well as to provide service to researchers. These disruptive operational changes took over 10 mo to complete and allowed for independent end-user acquisition of flow cytometry data. The results have been monitored for the past 12 mo. The operational changes have had a positive impact on the quality of research, increased investigator-facility interaction, reduced stress of facility staff, and increased overall use of the resources. This product lifecycle management approach to facility operations allowed us to conceive of, design, implement, and monitor effectively the changes at the FCRF. This approach should be considered by SRL management when faced with the need for operationally disruptive measures. PMID:26681929

  16. Addressing the sociotechnical drivers of quality improvement: a case study of post-operative DVT prophylaxis computerised decision support

    PubMed Central

    Yang, Jianji; McConnachie, Judy; Brenk, Thomas; Winterbottom, Lisa

    2011-01-01

    Background Quality improvement (QI) initiatives characterised by iterative cycles of quantitative data analysis do not readily explain the organisational determinants of change. However, the integration of sociotechnical theory can inform more effective strategies. Our specific aims were to (1) describe a computerised decision support intervention intended to improve adherence with deep venous thrombosis (DVT) prophylaxis recommendations; and (2) show how sociotechnical theory expressed in ‘Fit between Individuals, Task and Technology’ framework (FITT) can identify and clarify the facilitators and barriers to QI work. Methods A multidisciplinary team developed and implemented electronic menus with DVT prophylaxis recommendations. Stakeholders were interviewed and human factors were analysed to optimise integration. Menu exposure, order placement and clinical performance were measured. Vista tool extraction and chart review were used. Performance compliance pre-implementation was 77%. Results There were 80–110 eligible cases per month. Initial menu use rate was 20%. After barriers were classified and addressed using the FITT framework, use improved 50% to 90%. Tasks, users and technology issues in the FITT model and their interfaces were identified and addressed. Workflow styles, concerns about validity of guidelines, cycle times and perceived ambiguity of risk were issues identified. Conclusions DVT prophylaxis in a surgical setting is fraught with socio-political agendas, cognitive dissonance and misaligned expectations. These must be sought and articulated if organisations are to respond to internal resistance to change. This case study demonstrates that QI teams using information technology must understand the clinical context, even in mature electronic health record environments, in order to implement sustainable systems. PMID:21209144

  17. Optimization of Multiple and Multipurpose Reservoir System Operations by Using Matrix Structure (Case Study: Karun and Dez Reservoir Dams)

    PubMed Central

    Othman, Faridah; Taghieh, Mahmood

    2016-01-01

    Optimal operation of water resources in multiple and multipurpose reservoirs is very complicated. This is because of the number of dams, each dam’s location (Series and parallel), conflict in objectives and the stochastic nature of the inflow of water in the system. In this paper, performance optimization of the system of Karun and Dez reservoir dams have been studied and investigated with the purposes of hydroelectric energy generation and providing water demand in 6 dams. On the Karun River, 5 dams have been built in the series arrangements, and the Dez dam has been built parallel to those 5 dams. One of the main achievements in this research is the implementation of the structure of production of hydroelectric energy as a function of matrix in MATLAB software. The results show that the role of objective function structure for generating hydroelectric energy in weighting method algorithm is more important than water supply. Nonetheless by implementing ε- constraint method algorithm, we can both increase hydroelectric power generation and supply around 85% of agricultural and industrial demands. PMID:27248152

  18. Optimization of Multiple and Multipurpose Reservoir System Operations by Using Matrix Structure (Case Study: Karun and Dez Reservoir Dams).

    PubMed

    Heydari, Mohammad; Othman, Faridah; Taghieh, Mahmood

    2016-01-01

    Optimal operation of water resources in multiple and multipurpose reservoirs is very complicated. This is because of the number of dams, each dam's location (Series and parallel), conflict in objectives and the stochastic nature of the inflow of water in the system. In this paper, performance optimization of the system of Karun and Dez reservoir dams have been studied and investigated with the purposes of hydroelectric energy generation and providing water demand in 6 dams. On the Karun River, 5 dams have been built in the series arrangements, and the Dez dam has been built parallel to those 5 dams. One of the main achievements in this research is the implementation of the structure of production of hydroelectric energy as a function of matrix in MATLAB software. The results show that the role of objective function structure for generating hydroelectric energy in weighting method algorithm is more important than water supply. Nonetheless by implementing ε- constraint method algorithm, we can both increase hydroelectric power generation and supply around 85% of agricultural and industrial demands.

  19. Making the Marine Corps Reserve Truly Operational: A Case Study in the Reorganization of the Marine Corps Reserve

    DTIC Science & Technology

    2012-05-10

    for reorganization of MFR as an Operational Reserve 15 Conclusion 23 Bibliography 25 4 DISCLAIMER THE OPINIONS...current organization. MFR was continually under scrutiny and change through its first fifty years of history during the 20th Century (1916-1966...Marine Corps reserve and the current DOD view of the operational reserve and the framework for the joint community, This ideology focuses on a need

  20. Operationally Comparable Effect Sizes for Quantifying Changes in Behavior, with Application to Meta-Analysis of Single-Case Studies

    ERIC Educational Resources Information Center

    Pustejovsky, James E.

    2013-01-01

    Single-case designs (SCDs) are a class of research methods for evaluating intervention effects by taking repeated measurements of an outcome over time on a single case, both before and after the deliberate introduction of a treatment. SCDs are used heavily in fields such as special education, school psychology, social work, and applied behavior…

  1. Enhanced genetic algorithm optimization model for a single reservoir operation based on hydropower generation: case study of Mosul reservoir, northern Iraq.

    PubMed

    Al-Aqeeli, Yousif H; Lee, T S; Abd Aziz, S

    2016-01-01

    Achievement of the optimal hydropower generation from operation of water reservoirs, is a complex problems. The purpose of this study was to formulate and improve an approach of a genetic algorithm optimization model (GAOM) in order to increase the maximization of annual hydropower generation for a single reservoir. For this purpose, two simulation algorithms were drafted and applied independently in that GAOM during 20 scenarios (years) for operation of Mosul reservoir, northern Iraq. The first algorithm was based on the traditional simulation of reservoir operation, whilst the second algorithm (Salg) enhanced the GAOM by changing the population values of GA through a new simulation process of reservoir operation. The performances of these two algorithms were evaluated through the comparison of their optimal values of annual hydropower generation during the 20 scenarios of operating. The GAOM achieved an increase in hydropower generation in 17 scenarios using these two algorithms, with the Salg being superior in all scenarios. All of these were done prior adding the evaporation (Ev) and precipitation (Pr) to the water balance equation. Next, the GAOM using the Salg was applied by taking into consideration the volumes of these two parameters. In this case, the optimal values obtained from the GAOM were compared, firstly with their counterpart that found using the same algorithm without taking into consideration of Ev and Pr, secondly with the observed values. The first comparison showed that the optimal values obtained in this case decreased in all scenarios, whilst maintaining the good results compared with the observed in the second comparison. The results proved the effectiveness of the Salg in increasing the hydropower generation through the enhanced approach of the GAOM. In addition, the results indicated to the importance of taking into account the Ev and Pr in the modelling of reservoirs operation.

  2. Production costs and operative margins in electric energy generation from biogas. Full-scale case studies in Italy.

    PubMed

    Riva, C; Schievano, A; D'Imporzano, G; Adani, F

    2014-08-01

    The purpose of this study was to observe the economic sustainability of three different biogas full scale plants, fed with different organic matrices: energy crops (EC), manure, agro-industrial (Plants B and C) and organic fraction of municipal solid waste (OFMSW) (Plant A). The plants were observed for one year and total annual biomass feeding, biomass composition and biomass cost (€ Mg(-1)), initial investment cost and plant electric power production were registered. The unit costs of biogas and electric energy (€ Sm(-3)biogas, € kWh(-1)EE) were differently distributed, depending on the type of feed and plant. Plant A showed high management/maintenance cost for OFMSW treatment (0.155 € Sm(-3)biogas, 45% of total cost), Plant B suffered high cost for EC supply (0.130 € Sm(-3)biogas, 49% of total cost) and Plant C showed higher impact on the total costs because of the depreciation charge (0.146 € Sm(-3)biogas, 41% of total costs). The breakeven point for the tariff of electric energy, calculated for the different cases, resulted in the range 120-170 € MWh(-1)EE, depending on fed materials and plant scale. EC had great impact on biomass supply costs and should be reduced, in favor of organic waste and residues; plant scale still heavily influences the production costs. The EU States should drive incentives in dependence of these factors, to further develop this still promising sector.

  3. Reviewing Consensus HFE Standards for NRC Use: A Case Study using the IEEE Standard for Computerized Operating Procedure Systems

    SciTech Connect

    OHara, J.M.; Higgins, J.; Xing, J., Fleger S. - NRC

    2010-11-07

    The U.S. Nuclear Regulatory Commission’s (NRC’s) endorsement of consensus standards provides a cost-effective means of enhancing the staff’s ability to review state-of-the-art designs. Although the NRC endorsed consensus standards in many technical disciplines, it yet has to do so in human factors engineering (HFE). The purpose of our study was to develop a standardized methodology whereby to evaluate a consensus HFE standard to determine its appropriateness to, and adequacy for using in licensing reviews. The high-level objective of the methodology is to ensure that the guidance meets the NRC’s requirements on scientific- and engineering-rigor that they use in developing their own guidance. We propose four criteria for endorsing a consensus standard: (1) It should meet an existing need for NRC’s licensing and safety reviews; (2) it should be based on sound HFE principles; (3) it should be thoroughly peer-reviewed; and, (4) it should address human performance issues identified in the literature. Our methodology offers a means to assess these four criteria. We used it to evaluate an Institute of Electrical and Electronics Engineers’ (IEEE) draft standard on computerized operating procedure systems. We concluded that the IEEE standard generally met the established criteria, although several areas were identified that needed further clarification. Our evaluation methodology particularly was useful for identifying issues to be resolved, and for providing a basis for judging whether the staff should consider endorsing the standard. The methodology also helped recognize criteria in the proposed standard that may benefit from additional scrutiny by the staff. The evaluation methodology developed is applicable generally to reviewing other HFE standards that the NRC is considering for use or endorsement.

  4. Ergonomic risk factor identification for sewing machine operators through supervised occupational therapy fieldwork in Bangladesh: A case study.

    PubMed

    Habib, Md Monjurul

    2015-01-01

    Many sewing machine operators are working with high risk factors for musculoskeletal health in the garments industries in Bangladesh. To identify the physical risk factors among sewing machine operators in a Bangladeshi garments factory. Sewing machine operators (327, 83% female), were evaluated. The mean age of the participants was 25.25 years. Six ergonomic risk factors were determined using the Musculoskeletal Disorders risk assessment. Data collection included measurements of sewing machine table and chair heights; this data was combined with information from informal interviews. Significant ergonomic risk factors found included the combination of awkward postures of the neck and back, repetitive hand and arm movements, poor ergonomic workstations and prolonged working hours without adequate breaks; these risk factors resulted in musculoskeletal complaints, sick leave, and switching jobs. One aspect of improving worker health in garment factories includes addressing musculoskeletal risk factors through ergonomic interventions.

  5. Design and evaluation of a suspension seat to reduce vibration exposure of subway operators: a case study.

    PubMed

    Marcotte, Pierre; Beaugrand, Sylvie; Boutin, Jérôme; Larue, Christian

    2010-01-01

    Subway operators have complained about discomfort caused by whole-body vibration. To address this problem, a suspension seat with extensive ergonomic features has been adapted to the confined space of the subway operator cab. The suspension was modified from an existing suspension in order to reduce the dominant frequency of the subway vertical vibration (2.4 Hz). The suspension seat has been extensively tested on a vertical hydraulic shaker. These tests have shown that the SEAT value was lower for a higher vibration level, for higher subject weight, and for the suspension adjusted at median height. The seat also produces a lower SEAT value when there was a predominance of the 6 Hz vibration component. The horizontal seat adjustments had no influence on the suspension SEAT value. Removing the suspension damper also decreases the SEAT value for all the tested configurations. The final version of the suspension seat prototype was validated during normal subway operation with 19 different operators having weight in the 5th, 50th and 95th percentile of the operator population. Accelerations were measured with triaxial accelerometers at the seat cushion, above the suspension and on the floor. In addition to the vibration measurements, each operator was asked about his perceived discomfort from vibration exposure. Globally, the suspension seat attenuated the vertical vibration (SEAT values from 0.86 to 0.99), but discomfort due to amplification of the 2.4 Hz component occurred when the suspension height was adjusted at the minimum, even when the global weighted acceleration was lower (SEAT value < 1). These results suggest that in order to reduce the discomfort caused by whole-body vibration, the transmissibility of the seat should also be considered, in particular when there is a dominant frequency in the vibration spectra.

  6. Successful interventions to reduce first-case tardiness in Dutch university medical centers: results of a nationwide operating room benchmark study.

    PubMed

    van Veen-Berkx, Elizabeth; Elkhuizen, Sylvia G; Kalkman, Cor J; Buhre, Wolfgang F; Kazemier, Geert

    2014-06-01

    First-case tardiness is still a common source of frustration. In this study, a nationwide operating room (OR) Benchmark database was used to assess the effectiveness of interventions implemented to reduce tardiness and calculate its economic impact. Data from 8 University Medical Centers over 7 years were included: 190,295 elective inpatient first cases. Data were analyzed with SPSS statistics and multidisciplinary focus-group study meetings. Analysis of variance with contrast analysis measured the influence of interventions. Seven thousand ninety-four hours were lost annually to first-case tardiness, which has a considerable economic impact. Four University Medical Centers implemented interventions and effectuated a significant reduction in tardiness, eg providing feedbacks directly when ORs started too late, new agreements between OR and intensive care unit departments concerning "intensive care unit bed release" policy, and a shift in responsibilities regarding transport of patients to the OR. Nationwide benchmarking can be applied to identify and measure the effectiveness of interventions to reduce first-case tardiness in a university hospital OR environment. The implemented interventions in 4 centers were successful in significantly reducing first-case tardiness. Copyright © 2014 Elsevier Inc. All rights reserved.

  7. Writing for Safety. Facilitating a Team Approach to Writing Operating Instructions. ANTA Leading Edge Training Case Study.

    ERIC Educational Resources Information Center

    Serle, Oenone

    The Australian engineering company, Jaques, and Swinburne University of Technology conducted a joint project to write more than 190 operating instructions for the company's 77 employees. First, the university's Workplace Skills Unit (WSU) interviewed 75 production workers to identify their language, literacy, and training needs. The WSU negotiated…

  8. Practice Brief: Accommodating Deaf and Hard of Hearing Students in Operating Room Environments--A Case Study

    ERIC Educational Resources Information Center

    Meeks, Lisa M.; Laird-Metke, Elisa; Rollins, Mark; Gandhi, Seema; Stechert, Martin; Jain, Neera R.

    2015-01-01

    Increasing numbers of deaf students in the health professions require accommodations in the clinical setting to ensure effective learning and accurate communication. Although classroom learning barriers have long been identified and addressed, barriers to clinical education have been far less analyzed. Operating room clerkships, which include many…

  9. Writing for Safety. Facilitating a Team Approach to Writing Operating Instructions. ANTA Leading Edge Training Case Study.

    ERIC Educational Resources Information Center

    Serle, Oenone

    The Australian engineering company, Jaques, and Swinburne University of Technology conducted a joint project to write more than 190 operating instructions for the company's 77 employees. First, the university's Workplace Skills Unit (WSU) interviewed 75 production workers to identify their language, literacy, and training needs. The WSU negotiated…

  10. Task Force Butler: A Case Study in the Employment of an Ad Hoc Unit in Combat Operations, During Operation Dragoon, 1-30 August 1944

    DTIC Science & Technology

    2007-12-14

    Leavenworth: Combat Studies Institute, 1985. ―――. Leavenworth Papers no. 12, Seek, Strike, and Destroy: U.S. Army Tank Destroyer Doctrine in WWII . Fort...Leavenworth: Combat Studies Institute, 1985. Gill, Lonnie. Tank Destroyer Forces; WWII . Paducah: Turner Publishing Co., 1992. Giziowski, Richard...The Enigma of General Blaskowitz. New York: Hippocrene Books, 1997. Gorin, Lewis J., Jr. The Cannon’s Mouth: The Role of U.S. Artillery During World

  11. American Association of University Women: Branch Operations Data Modeling Case

    ERIC Educational Resources Information Center

    Harris, Ranida B.; Wedel, Thomas L.

    2015-01-01

    A nationally prominent woman's advocacy organization is featured in this case study. The scenario may be used as a teaching case, an assignment, or a project in systems analysis and design as well as database design classes. Students are required to document the system operations and requirements, apply logical data modeling concepts, and design…

  12. American Association of University Women: Branch Operations Data Modeling Case

    ERIC Educational Resources Information Center

    Harris, Ranida B.; Wedel, Thomas L.

    2015-01-01

    A nationally prominent woman's advocacy organization is featured in this case study. The scenario may be used as a teaching case, an assignment, or a project in systems analysis and design as well as database design classes. Students are required to document the system operations and requirements, apply logical data modeling concepts, and design…

  13. [Scrotal elephantiasis: about seven operated cases].

    PubMed

    Bouya, P A; Lomina, D

    2004-01-01

    The authors report seven cases of scrotal elephantiasis operated on nine years in the urology department of a filarial endemic zone. Patients wait for a long time before consulting for big scrotum reaching eventually 15 kg. The final arguments for the filarial origin haven't been found whereas arguments of presumption exist The surgical treatment has enabled to get an aesthetic satisfying result, sometimes after a second cure.

  14. Build, Develop, Support: Phase 0 as the Decisive Counterterrorism Operation - A Case Study of North West Africa Leveraging the Cloud

    DTIC Science & Technology

    2011-05-23

    terrorist group, al Qaida, threatened and targeted United States interests for years, it was not until the group successfully launched an attack...against targets in the United States that significant military operations were undertaken to defeat the group. Over the past ten years, the United ...these groups vice establishing conditions to significantly mitigate the threat to the United States and her partners. AFRICOM has the opportunity to

  15. Development and Execution of End-of-Mission Operations Case Study of the UARS and ERBS End-of-Mission Plans

    NASA Technical Reports Server (NTRS)

    Hughes, John; Marius, Julio L.; Montoro, Manuel; Patel, Mehul; Bludworth, David

    2006-01-01

    This Paper is a case study of the development and execution of the End-of-Mission plans for the Earth Radiation Budget Satellite (ERBS) and the Upper Atmosphere Research Satellite (UARS). The goals of the End-of-Mission Plans are to minimize the time the spacecraft remains on orbit and to minimize the risk of creating orbital debris. Both of these Missions predate the NASA Management Instructions (NMI) that directs missions to provide for safe mission termination. Each spacecrafts had their own unique challenges, which required assessing End-of-Mission requirements versus spacecraft limitations. Ultimately the End-of- Mission operations were about risk mitigation. This paper will describe the operational challenges and the lessons learned executing these End-of-Mission Plans

  16. reservoir operation and hydropower generation schemes for regional scale hydrological models: case study in the northeastern united states

    NASA Astrophysics Data System (ADS)

    Ehsani, N.; Vorosmarty, C. J.; Fekete, B. M.; Rosenzweig, B.

    2013-12-01

    As part of the development of the Northeast Regional Earth System Model (NE-RESM), we are developing an integrated hydrologic modeling framework that incorporates various aspects of the coupled human-hydrologic system, from supply to demand, into a single framework. This framework provides temporally and spatially explicit information on the regional water system under different scenarios of climate, population, and land use/ land cover change. To support these efforts, we have incorporated two new modules into the Water Balance Model (WBM) that simulate reservoir operation and calculate the hydropower production from dams. Dams and reservoirs are key characteristics of the modern hydrologic system, with a particular impact on natural stream flow, sediment flux, thermal characteristics and biogeochemical fluxes of rivers. In the Northeast Region of the United States alone, the National Inventory of Dams (NID) lists over 12000 reservoirs. Depending on site-specific characteristics of the dam, its watershed and its intended purpose, each will have a specific optimum operating rule. Since no comprehensive dataset of these operating rules exists, we have to simulate them. We developed an Artificial Neural Network and used data from 35 dams for calibration. Approximately 60 % of the dataset was dedicated to training process, 20 % to validation and the other 20 % used for testing. If (t) represents current time, we use three sets of inputs; inflow [It , It-1 , It-2], release in previous months [Rt-1 , Rt-2] and month (Mt), to calculate release from reservoir (Rt). We also used a simple continuity equation for reservoirs by considering the maximum (from NID) and minimum reservoir storage to improve the model's performance in extreme wet and dry events. Using results from WBM we show how reservoirs regionally alter discharge in streams of Northeast United States compared to their natural state. We also are assessing the effects of climate change on water availability and

  17. Long-term disease control of a non-operable neuroendocrine tumor of the lung with lanreotide: a case study.

    PubMed

    Van Fraeyenhove, F; De Droogh, E; Meireson, N; Galdermans, D; Goor, C; Van Acker, F; Mattelaer, C; De Ruyter, V; Schrijvers, D

    2012-09-01

    Bronchopulmonary neuroendocrine tumors (NETs) are malignant tumors that represent approximately 20% of all lung cancers. The therapeutic option for advanced or metastatic bronchopulmonary NETs is mainly palliation of symptoms; options need to be individualized and, therefore, rely on the knowledge of multidisciplinary teams. Somatostatin analogs have been widely used in NETs for control of hormonal syndromes and are currently under evaluation for their antiproliferative activity. Here, we present a case of NET of the lung, for which we achieved long-term disease control with a treatment comprising the somatostatin analog lanreotide Autogel(®) in a patient with limited therapeutic options due to considerable comorbidity, while preserving his quality of life.

  18. Relationship between time in the operating room and incident pressure ulcers: a matched case-control study.

    PubMed

    Hayes, Rachel M; Spear, Marcia E; Lee, Sheree I; Krauser Lupear, Buffy E; Benoit, Richard A; Valerio, Rainy; Dmochowski, Roger R

    2015-01-01

    The objective was to determine the relationship between time in the operating room (OR) and hospital-acquired pressure ulcers (HAPUs), controlling for temporality. The research team identified 931 HAPUs among surgical patients and matched them to 4 controls by hospital length of stay at the time the pressure ulcer (PU) was documented. A regression model estimated the relationship between OR time and HAPU after controlling for matching, age, sex, admission and current Braden score, weight, year, and American Society of Anesthesiologists physical status score. OR time in the 24 hours prior to PU documentation was associated with PUs. Only 5% of HAPUs occurred within 24 hours of extended (>4 hours) surgery and 58% occurred after hospital day 5. Extended surgery is confirmed as a risk factor for PU development. Most PUs do not appear in the immediate postoperative period, and prevention efforts should focus on postoperative patient care, when most HAPUs develop.

  19. Unit operation optimization for the manufacturing of botanical injections using a design space approach: a case study of water precipitation.

    PubMed

    Gong, Xingchu; Chen, Huali; Chen, Teng; Qu, Haibin

    2014-01-01

    Quality by design (QbD) concept is a paradigm for the improvement of botanical injection quality control. In this work, water precipitation process for the manufacturing of Xueshuantong injection, a botanical injection made from Notoginseng Radix et Rhizoma, was optimized using a design space approach as a sample. Saponin recovery and total saponin purity (TSP) in supernatant were identified as the critical quality attributes (CQAs) of water precipitation using a risk assessment for all the processes of Xueshuantong injection. An Ishikawa diagram and experiments of fractional factorial design were applied to determine critical process parameters (CPPs). Dry matter content of concentrated extract (DMCC), amount of water added (AWA), and stirring speed (SS) were identified as CPPs. Box-Behnken designed experiments were carried out to develop models between CPPs and process CQAs. Determination coefficients were higher than 0.86 for all the models. High TSP in supernatant can be obtained when DMCC is low and SS is high. Saponin recoveries decreased as DMCC increased. Incomplete collection of supernatant was the main reason for the loss of saponins. Design space was calculated using a Monte-Carlo simulation method with acceptable probability of 0.90. Recommended normal operation region are located in DMCC of 0.38-0.41 g/g, AWA of 3.7-4.9 g/g, and SS of 280-350 rpm, with a probability more than 0.919 to attain CQA criteria. Verification experiment results showed that operating DMCC, SS, and AWA within design space can attain CQA criteria with high probability.

  20. Environmental impact assessment on the construction and operation of municipal solid waste sanitary landfills in developing countries: China case study.

    PubMed

    Yang, Na; Damgaard, Anders; Lü, Fan; Shao, Li-Ming; Brogaard, Line Kai-Sørensen; He, Pin-Jing

    2014-05-01

    An inventory of material and energy consumption during the construction and operation (C&O) of a typical sanitary landfill site in China was calculated based on Chinese industrial standards for landfill management and design reports. The environmental impacts of landfill C&O were evaluated through life cycle assessment (LCA). The amounts of materials and energy used during this type of undertaking in China are comparable to those in developed countries, except that the consumption of concrete and asphalt is significantly higher in China. A comparison of the normalized impact potential between landfill C&O and the total landfilling technology implies that the contribution of C&O to overall landfill emissions is not negligible. The non-toxic impacts induced by C&O can be attributed mainly to the consumption of diesel used for daily operation, while the toxic impacts are primarily due to the use of mineral materials. To test the influences of different landfill C&O approaches on environmental impacts, six baseline alternatives were assessed through sensitivity analysis. If geomembranes and geonets were utilized to replace daily and intermediate soil covers and gravel drainage systems, respectively, the environmental burdens of C&O could be mitigated by between 2% and 27%. During the LCA of landfill C&O, the research scope or system boundary has to be declared when referring to material consumption values taken from the literature; for example, the misapplication of data could lead to an underestimation of diesel consumption by 60-80%. Copyright © 2014 Elsevier Ltd. All rights reserved.

  1. Operational efficiency and sustainability of vector control of malaria and dengue: descriptive case studies from the Philippines

    PubMed Central

    2012-01-01

    Background Analysis is lacking on the management of vector control systems in disease-endemic countries with respect to the efficiency and sustainability of operations. Methods Three locations were selected, at the scale of province, municipality and barangay (i.e. village). Data on disease incidence, programme activities, and programme management were collected on-site through meetings and focus group discussions. Results Adaptation of disease control strategies to the epidemiological situation per barangay, through micro-stratification, brings gains in efficiency, but should be accompanied by further capacity building on local situational analysis for better selection and targeting of vector control interventions within the barangay. An integrated approach to vector control, aiming to improve the rational use of resources, was evident with a multi-disease strategy for detection and response, and by the use of combinations of vector control methods. Collaboration within the health sector was apparent from the involvement of barangay health workers, re-orientation of job descriptions and the creation of a disease surveillance unit. The engagement of barangay leaders and use of existing community structures helped mobilize local resources and voluntary services for vector control. In one location, local authorities and the community were involved in the planning, implementation and evaluation of malaria control, which triggered local programme ownership. Conclusions Strategies that contributed to an improved efficiency and sustainability of vector control operations were: micro-stratification, integration of vector control within the health sector, a multi-disease approach, involvement of local authorities, and empowerment of communities. Capacity building on situational analysis and vector surveillance should be addressed through national policy and guidelines. PMID:22873707

  2. Unit Operation Optimization for the Manufacturing of Botanical Injections Using a Design Space Approach: A Case Study of Water Precipitation

    PubMed Central

    Gong, Xingchu; Chen, Huali; Chen, Teng; Qu, Haibin

    2014-01-01

    Quality by design (QbD) concept is a paradigm for the improvement of botanical injection quality control. In this work, water precipitation process for the manufacturing of Xueshuantong injection, a botanical injection made from Notoginseng Radix et Rhizoma, was optimized using a design space approach as a sample. Saponin recovery and total saponin purity (TSP) in supernatant were identified as the critical quality attributes (CQAs) of water precipitation using a risk assessment for all the processes of Xueshuantong injection. An Ishikawa diagram and experiments of fractional factorial design were applied to determine critical process parameters (CPPs). Dry matter content of concentrated extract (DMCC), amount of water added (AWA), and stirring speed (SS) were identified as CPPs. Box-Behnken designed experiments were carried out to develop models between CPPs and process CQAs. Determination coefficients were higher than 0.86 for all the models. High TSP in supernatant can be obtained when DMCC is low and SS is high. Saponin recoveries decreased as DMCC increased. Incomplete collection of supernatant was the main reason for the loss of saponins. Design space was calculated using a Monte-Carlo simulation method with acceptable probability of 0.90. Recommended normal operation region are located in DMCC of 0.38–0.41 g/g, AWA of 3.7–4.9 g/g, and SS of 280–350 rpm, with a probability more than 0.919 to attain CQA criteria. Verification experiment results showed that operating DMCC, SS, and AWA within design space can attain CQA criteria with high probability. PMID:25101624

  3. The role of post-operative radiographs in predicting risk of flexor pollicis longus tendon rupture after volar plate fixation of distal radius fractures - a case control study.

    PubMed

    Selvan, D R; Perry, D; Machin, D G; Brown, D J

    2014-12-01

    Volar plating of distal radius fractures is one of the common procedures performed in trauma surgery. Flexor pollicis longus (FPL) rupture has been described as complication following volar plating of distal radius fractures. The aim of our study was to investigate the possible relation between parameters measured on post-operative radiographs and the occurrence of FPL ruptures. This was a case control study. The post-operative radiographs of 11 FPL rupture, and 22 non-FPL rupture patients were reviewed with respect to fracture reduction and plate position and the various parameters were calculated by five independent people. Logistic regression was used to examine the importance of the variables. We identified two significant factors to predict FPL rupture after volar plating of distal radial fractures. These were radial tilt and plate distance from the joint line. The odds ratio of ruptures was 0.74 (95% CI 0.57-0.95) for every degree of radial tilt <25° and 0.50 (95% CI 0.28-0.88) for every millimetre that the distal end of the plate was away from the volar lip of the distal radius at the wrist joint. Post-operative radiographs could help us predict FPL rupture after distal radius volar plating. The findings also highlight the need for good fracture reduction and thoughtful placement of the volar plate intraoperatively to minimise the risk of FPL tendon rupture. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. [Case-control study on measurement of coracoclavicular and acromioclavicular ligament injuries during internal fixation operation for the treatment of fresh acromioclavicular joint dislocation of Tossy type III].

    PubMed

    Guan, Ting-Jin; Sun, Peng; Zheng, Liang-Guo; Qi, Xiang-Yang

    2014-01-01

    To study measurement methods of acromioclavicular and coracoclavicular ligament injuries,its therapeutic effects and complications during internal fixation operation for the treatment of fresh acromioclavicular joint dislocations of Tossy type III. From July 2003 to May 2012,127 patients with acromioclavicular joint dislocations of Tossy type III were treated with wire fixation from coracoid process to clavicle or hook-plate fixation. The patients were divided into group A (63 cases) and group B (64 cases) according to whether acromioclavicular ligament and coracoclavicular ligament were repaired or not. In group A (ligaments repaired), there were 39 males and 24 females with an average age of (33.25 +/- 8.46) years old (ranged from 17 to 59 years). And in group B (no ligaments repaired), there were 41 males and 23 females with an average age of (34.10 +/- 7.19) years (ranged from 19 to 57 years). The operation times, intraoperative blood loss, postoperative infections, internal fixation failure, recurrence and other complications, together with therapeutic effects were compared between two groups. The outcome was analyzed according to Karlsson standard. In group A, 54 patients got an excellent result and 9 good according to Karlsson standard;the average operative time was (55.90 +/- 26.56) min; the average intraoperative bleeding amount was (99.80 +/- 50.30) ml; 1 patient had wire broken without re-dislocation at 16 weeks after operation, 3 patients got wound fat liquefaction and recovered after treatment, 1 patient had pain after shoulder joint motion and pain disappeared after implants were taken out. In group B, 52 patients got an excellent result and 12 good according to Karlsson standard; the average operative time was (49.50 +/- 23.14) min; the average intraoperative bleeding amount was (87.30 +/- 46.41) ml; 2 patients got wound fat liquefaction, and 2 patients had pain after shoulder joint motion. All the patients were followed up, and the duration ranged

  5. CASE STUDY CRITIQUE; UPPER CLINCH CASE STUDY

    EPA Science Inventory

    Case study critique: Upper Clinch case study (from Research on Methods for Integrating Ecological Economics and Ecological Risk Assessment: A Trade-off Weighted Index Approach to Integrating Economics and Ecological Risk Assessment). This critique answers the questions: 1) does ...

  6. Surgical extraction of lower third molars: diagnostic tests and operative technique in the prevention of inferior alveolar nerve injury. Case study

    PubMed Central

    MELEO, D.; PACIFICI, L.

    2009-01-01

    SUMMARY Increased knowledge and technical refinement have broadened the limits of outpatient oral surgery; however, these changes have at the same time led to a greater number of complications and poor outcomes and, accordingly, to legal action for professional responsibility. Oral surgery represents 10% of all actions, and almost all of these are attributable to exodontic surgery, of which around a third are related to inferior alveolar nerve injury following the extraction of lower third molars. The aim of this case study is to suggest operative technical strategies in accordance with a correct clinical-diagnostic pathway in order to prevent neurological complications involving the inferior alveolar nerve subsequent to lower third molar extraction. Cases should be carefully selected and surgical intervention undertaken solely when genuinely necessary. The patient should be informed of the risks, the methods and the possible results of the treatment. These are the bases for correct indication, along with a sufficient diagnostic path and a good level of communication between operator and patient. PMID:23285341

  7. Case Study: Writing a Journal Case Study

    ERIC Educational Resources Information Center

    Prud'homme-Genereux, Annie

    2016-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue describes incorporating a journal article into the classroom by first converting it into a case study.

  8. Case Study: Writing a Journal Case Study

    ERIC Educational Resources Information Center

    Prud'homme-Genereux, Annie

    2016-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue describes incorporating a journal article into the classroom by first converting it into a case study.

  9. Development of the safety control framework for shield tunneling in close proximity to the operational subway tunnels: case studies in mainland China.

    PubMed

    Li, Xinggao; Yuan, Dajun

    2016-01-01

    China's largest cities like Beijing and Shanghai have seen a sharp increase in subway network development as a result of the rapid urbanization in the last decade. The cities are still expanding their subway networks now, and many shield tunnels are being or will be constructed in close proximity to the existing operational subway tunnels. The execution plans for the new nearby shield tunnel construction calls for the development of a safety control framework-a set of control standards and best practices to help organizations manage the risks involved. Typical case studies and relevant key technical parameters are presented with a view to presenting the resulting safety control framework. The framework, created through collaboration among the relevant parties, addresses and manages the risks in a systematic way based on actual conditions of each tunnel crossing construction. The framework consists of six parts: (1) inspecting the operational subway tunnels; (2) deciding allowed movements of the existing tunnels and tracks; (3) simulating effects of the shield tunneling on the existing tunnels; (4) doing preparation work; (5) monitoring design and information management; and (6) measures and activation mechanism of the countermeasures. The six components are explained and demonstrated in detail. In the end, discussions made involve construction and post-construction settlement of the operational tunnel, application of the remedial grouting to rectify excessive settlements of the operational tunnel, and use of the innovative tool of the optical fiber measurement for tunnel movement monitoring. It is concluded that the construction movement of the tunnel can be controlled within 15 mm when the shield machine is <7 m in excavation diameter. The post-construction settlement of the tunnel buried in the very soft ground is much greater than its construction settlement, and last several years until reaching a final stable state. Two cases are outlined to demonstrate the

  10. IgG particle formation during filling pump operation: a case study of heterogeneous nucleation on stainless steel nanoparticles.

    PubMed

    Tyagi, Anil K; Randolph, Theodore W; Dong, Aichun; Maloney, Kevin M; Hitscherich, Carl; Carpenter, John F

    2009-01-01

    This study investigated factors associated with vial filling with a positive displacement piston pump leading to formation of protein particles in a formulation of an IgG. We hypothesized that nanoparticles shed from the pump's solution-contact surfaces nucleated protein aggregation and particle formation. Vials of IgG formulation filled at a clinical manufacturing site contained a few visible particles and about 100,000 particles (1.5-3 microm) per mL. In laboratory studies with the same model (National Instruments FUS-10) of pump, pumping of 20 mg/mL IgG formulation resulted in about 300,000 particles (1.5-3 microm) per mL. Pumping of protein-free formulation resulted in 13,000 particles (1.5-15 microm) per mL. More than 99% of the particles were 0.25-0.95 microm in size. Mixing of protein-free pumped solution with an equal volume of 40 mg/mL IgG resulted in 300,000 particles (1.5-15 microm) per mL. Also, mixing IgG formulation with 30,000/mL stainless steel nanoparticles resulted in formation of 30,000 protein microparticles (1.5-15 microm) per mL. Infrared spectroscopy showed that secondary structure of IgG in microparticles formed by pumping or mixing with steel nanoparticles was minimally perturbed. Our results document that nanoparticles of foreign materials shed by pumps can serve as heterogeneous nuclei for formation of protein microparticles. (c) 2008 Wiley-Liss, Inc. and the American Pharmacists Association

  11. Rapid assessment of environmental health risks posed by mining operations in low- and middle-income countries: selected case studies.

    PubMed

    Caravanos, Jack; Ericson, Bret; Ponce-Canchihuamán, Johny; Hanrahan, David; Block, Meredith; Susilorini, Budi; Fuller, Richard

    2013-11-01

    Previous studies have evaluated associated health risks and human exposure pathways at mining sites. Others have provided estimates of the scale of the issue based in part on surveys. However, a global census of mining-related hazardous waste sites has been lacking. The Toxic Sites Identification Program (TSIP) implemented by Blacksmith Institute (New York, NY, USA) since 2009 is an ongoing effort to catalogue a wide range of chemically contaminated sites with a potential human health risk (Ericson et al., Environ Monit Assess doi:10.1007/s 10661-012-2665-2, 2012). The TSIP utilizes a rapid assessment instrument, the Initial Site Screening (ISS), to quickly and affordably identify key site criteria including human exposure pathways, estimated populations at risk, and sampling information. The resulting ISS allows for comparison between sites exhibiting different contaminants and pollution sources. This paper explores the results of a subset of ISSs completed at 131 artisanal and small-scale gold mining areas and 275 industrial mining and ore processing sites in 45 countries. The authors show that the ISS captures key data points, allowing for prioritization of sites for further investigation or remedial activity.

  12. Does expert opinion match the operational definition of the Lupus Low Disease Activity State (LLDAS)? A case-based construct validity study.

    PubMed

    Golder, Vera; Huq, Molla; Franklyn, Kate; Calderone, Alicia; Lateef, Aisha; Lau, Chak Sing; Lee, Alfred Lok Hang; Navarra, Sandra Teresa V; Godfrey, Timothy; Oon, Shereen; Hoi, Alberta Yik Bun; Morand, Eric Francis; Nikpour, Mandana

    2017-06-01

    To evaluate the construct validity of the Lupus Low Disease Activity State (LLDAS), a treatment target in systemic lupus erythematosus (SLE). Fifty SLE case summaries based on real patients were prepared and assessed independently for meeting the operational definition of LLDAS. Fifty international rheumatologists with expertise in SLE, but with no prior involvement in the LLDAS project, responded to a survey in which they were asked to categorize the disease activity state of each case as remission, low, moderate, or high. Agreement between expert opinion and LLDAS was assessed using Cohen's kappa. Overall agreement between expert opinion and the operational definition of LLDAS was 77.96% (95% CI: 76.34-79.58%), with a Cohen's kappa of 0.57 (95% CI: 0.55-0.61). Of the cases (22 of 50) that fulfilled the operational definition of LLDAS, only 5.34% (59 of 22 × 50) of responses classified the cases as moderate/high activity. Of the cases that did not fulfill the operational definition of LLDAS (28 of 50), 35.14% (492 of 28 × 50) of responses classified the cases as remission/low activity. Common reasons for discordance were assignment to remission/low activity of cases with higher corticosteroid doses than defined in LLDAS (prednisolone ≤ 7.5mg) or with SLEDAI-2K >4 due to serological activity (high anti-dsDNA antibody and/or low complement). LLDAS has good construct validity with high overall agreement between the operational definition of LLDAS and expert opinion. Discordance of results suggests that the operational definition of LLDAS is more stringent than expert opinion at defining a low disease activity state. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. The Saratoga WarHorse project: a case study of the treatment of psychological distress in a veteran of Operation Iraqi Freedom.

    PubMed

    Nevins, Robert; Finch, Sharon; Hickling, Edward J; Barnett, Scott D

    2013-01-01

    We theorized that ability to direct and control a horse will lead to a sense of empowerment, facilitate a relationship between horse and veteran, lead to a decrease in anxiety, and improve physical and social functioning. This case study utilizes the Connection methodology: nonverbal language of the horse in a predictable, sequential, and repeatable method. Psychological testing occurred immediately pre- and post-Connection with follow-up occurring at 2, 4, 6, and 12 wks post-Connection. Twice-deployed combat medic who served in Operation Iraqi Freedom (OIF). Saratoga Springs, New York. Beck Depression Inventory-II (BDI-II); Posttraumatic Stress Disorder Checklist (PCL-C); the Response to Stressful Experiences Scale (RSES); the Quality of Life Inventory (QOLI); and the Modified Social Support Survey (MSSS). The participant demonstrated significant improvement in measures of psychological functioning (eg, over 12 wks); both PCL-C and RSES scores decreased 58% and 44%, respectively. Participant further reported an increase in sleep quality. The results of this case study strongly support the potential for the intervention and indicate the need for a controlled, randomized study that might more stringently investigate the impact of the intervention.

  14. A histochemical study of the biceps brachii muscle cross-innervated by intercostal nerves. 6 cases of brachial plexus injuries operated with nerve-crossing.

    PubMed

    Kawai, H; Murase, T; Kawabata, H; Ohta, I; Masatomi, T; Ono, K; Nonaka, I

    1994-04-01

    Direct nerve-crossing of intercostal nerves from the lateral thorax to the musculocutaneous nerve was performed in 6 patients after spinal nerve root avulsion with brachial plexus palsy. Elbow flexion power was regained well enough to move against gravity and some resistance in all cases. The muscles were examined histochemically 4 (1-9) years after the operation. The intercostally-innervated biceps brachii muscle showed motor predominance of slow-twitch Type 1 fiber regeneration much more than that of fast-twitch Type 2 fiber in 5 of our patients. Our study suggests that the motor nerves of slow-twitch fibers may have priority in peripheral nerve regeneration over those of fast-twitch fibers.

  15. Post-operative Abdominal Wall Mucormycosis-a Case Series.

    PubMed

    Nain, Prabhdeep Singh; Matta, Harish; Singh, Kuldip; Chhina, Deepinder; Trehan, Munish; Batta, Nishant

    2015-12-01

    Mucormycosis is caused by saprophtytic fungi which cause acute invasive zygomycosis. It clinically presents with necrosis, and on histopathology, acute and chronic infiltrates are seen. It rarely infects a healthy host, but is devastating in an immunocompromised host. We studied five cases with post-operative abdominal wall mucormycosis, three females and two males. Three patients were post-operative while the other two had mucormycosis following trauma and infection was found in sutured wound. All were initially diagnosed as cases of necrotizing fasciitis. Two patients eventually survived after intensive medical therapy and extensive debridements.

  16. The simplex algorithm for the rapid identification of operating conditions during early bioprocess development: case studies in FAb' precipitation and multimodal chromatography.

    PubMed

    Chhatre, Sunil; Konstantinidis, Spyridon; Ji, Yu; Edwards-Parton, Simon; Zhou, Yuhong; Titchener-Hooker, Nigel J

    2011-09-01

    This study describes a data-driven algorithm as a rapid alternative to conventional Design of Experiments (DoE) approaches for identifying feasible operating conditions during early bioprocess development. In general, DoE methods involve fitting regression models to experimental data, but if model fitness is inadequate then further experimentation is required to gain more confidence in the location of an optimum. This can be undesirable during very early process development when feedstock is in limited supply and especially if a significant percentage of the tested conditions are ultimately found to be sub-optimal. An alternative approach involves focusing solely upon the feasible regions by using the knowledge gained from each condition to direct the choice of subsequent test locations that lead towards an optimum. To illustrate the principle, this study describes the application of the Simplex algorithm which uses accumulated knowledge from previous test points to direct the choice of successive conditions towards better regions. The method is illustrated by two case studies; a two variable precipitation example investigating how salt concentration and pH affect FAb' recovery from E. coli homogenate and a three-variable chromatography example identifying the optimal pH and concentrations of two salts in an elution buffer used to recover ovine antibody bound to a multimodal cation exchange matrix. Two-level and face-centered central composite regression models were constructed for each study and statistical analysis showed that they provided a poor fit to the data, necessitating additional experimentation to confirm the robust regions of the search space. By comparison, the Simplex algorithm identified a good operating point using 50% and 70% fewer conditions for the precipitation and chromatography studies, respectively. Hence, data-driven approaches have significant potential for early process development when material supply is at a premium.

  17. The Case for Addressing Operator Fatigue

    PubMed Central

    Duffy, Jeanne F.; Zitting, Kirsi-Marja; Czeisler, Charles A.

    2015-01-01

    Sleep deficiency, which can be caused by acute sleep deprivation, chronic insufficient sleep, untreated sleep disorders, disruption of circadian timing, and other factors, is endemic in the U.S., including among professional and non-professional drivers and operators. Vigilance and attention are critical for safe transportation operations, but fatigue and sleepiness compromise vigilance and attention by slowing reaction times and impairing judgment and decision-making abilities. Research studies, polls, and accident investigations indicate that many Americans drive a motor vehicle or operate an aircraft, train or marine vessel while drowsy, putting themselves and others at risk for error and accident. In this chapter, we will outline some of the factors that contribute to sleepiness, present evidence from laboratory and field studies demonstrating how sleepiness impacts transportation safety, review how sleepiness is measured in laboratory and field settings, describe what is known about interventions for sleepiness in transportation settings, and summarize what we believe are important gaps in our knowledge of sleepiness and transportation safety. PMID:26056516

  18. The Case for Addressing Operator Fatigue.

    PubMed

    Duffy, Jeanne F; Zitting, Kirsi-Marja; Czeisler, Charles A

    2015-06-01

    Sleep deficiency, which can be caused by acute sleep deprivation, chronic insufficient sleep, untreated sleep disorders, disruption of circadian timing, and other factors, is endemic in the U.S., including among professional and non-professional drivers and operators. Vigilance and attention are critical for safe transportation operations, but fatigue and sleepiness compromise vigilance and attention by slowing reaction times and impairing judgment and decision-making abilities. Research studies, polls, and accident investigations indicate that many Americans drive a motor vehicle or operate an aircraft, train or marine vessel while drowsy, putting themselves and others at risk for error and accident. In this chapter, we will outline some of the factors that contribute to sleepiness, present evidence from laboratory and field studies demonstrating how sleepiness impacts transportation safety, review how sleepiness is measured in laboratory and field settings, describe what is known about interventions for sleepiness in transportation settings, and summarize what we believe are important gaps in our knowledge of sleepiness and transportation safety.

  19. Case Study Teaching

    ERIC Educational Resources Information Center

    Herreid, Clyde Freeman

    2011-01-01

    This chapter describes the history of case study teaching, types of cases, and experimental data supporting their effectiveness. It also describes a model for comparing the efficacy of the various case study methods. (Contains 1 figure.)

  20. Case Study Teaching

    ERIC Educational Resources Information Center

    Herreid, Clyde Freeman

    2011-01-01

    This chapter describes the history of case study teaching, types of cases, and experimental data supporting their effectiveness. It also describes a model for comparing the efficacy of the various case study methods. (Contains 1 figure.)

  1. EDF field operation computerization study

    SciTech Connect

    Guillot, L.; Pirus, D.

    2006-07-01

    The main control room has been the subject of extensive research and actions into improved operations assistance. On the other hand, few studies concern the need for field operation improvements, which have few assistance resources adapted to working requirements. Why? Past studies have shown the inability of technology to assume job constraints (insufficient screen readability, excessive equipment weight, prohibitive response times). Nevertheless, today new technologies can be adapted to field operations, and they justify further study. Real needs exist: local operations are often complex and are led in difficult environments where conditions prevent the use of paper-based documents. The issue is a significant risk of error which might impact plant reliability. The cumbersome nature of paper procedures, the working environment and the operational feed-back of experience led us to concentrate on the field operation to identify how it may be improved by the use of these new technologies. Such equipment would allow a better traceability and quality of actions. Possibility of communications with other plant personnel and information sharing may be also immediately available for all. This paper presents a study which intends to collect assistance requirements through an analysis of working practices and organizations with local personnel. Our aim is to identify which of those might benefit from IT support. This collection was obtained through interviews and observations. These two methods helped us to define potential needs, constraints and consequences for work organization. This paper presents the study results and findings, identifies professions which may benefit from the use of wearable computers and describes how the reliability and efficiency of human actions would be improved. Finally we identify design requirements and criteria to be used for writing the technical specifications for a test prototype. (authors)

  2. A case-control study of surgical site infection following operative fixation of fractures of the ankle in a large U.K. trauma unit.

    PubMed

    Korim, M T; Payne, R; Bhatia, M

    2014-05-01

    Most of the literature on surgical site infections following the surgical treatment of fractures of the ankle is based on small series of patients, focusing on diabetics or the elderly. None have described post-operative functional scores in those patients who develop an infection. We performed an age- and gender-matched case-control study to identify patient- and surgery-related risk factors for surgical site infection following open reduction and internal fixation of a fracture of the ankle. Logistic regression analysis was used to identify significant risk factors for infection and to calculate odds ratios (OR). Function was assessed using the Olerud and Molander Ankle Score. The incidence of infection was 4% (29/717) and 1.1% (8/717) were deep infections. The median ankle score was significantly lower in the infection group compared with the control group (60 vs 90, Mann-Whitney test p < 0.0001). Multivariate regression analysis showed that diabetes (OR = 15, p = 0.031), nursing home residence (OR = 12, p = 0.018) and Weber C fractures (OR = 4, p = 0.048) were significant risk factors for infection. A low incidence of infection following open reduction and internal fixation of fractures of the ankle was observed. Both superficial and deep infections result in lower functional scores.

  3. Hypospadias. A review of 299 cases operated 1957-69.

    PubMed

    Johanson, B; Avellán, L

    1980-01-01

    A review of 299 unselected primary cases of hypospadias of all types treated during the period 1957 to 1969 is presented. The same indications for operation and the same surgical principles were applied in all cases. The surgical treatment was performed in two stages: meatotomy or meatotomy combined with straightening in the first stage and urethral construction according to Denis Browne's method in the second stage. Complications occurred after the urethral construction in 11/289 cases (separation of the skin flaps in 5/289 and fistulas in 6/289). All 11 patients were reoperated with fully satisfactory results. The long-term results were followed up in a series of 220/299 cases. This series was used to study different problems affecting hypospadias. The mean age at the first operation was 8.5 years and the median age 4.4. The mean age at the latest control was 15.1 years and the median age 18.4. At the latest control no relapses with regard to curvature were observed during erection in the 151/220 cases in which straightening was performed. The meatus was adequate in all cases and the urinary flow, measured with a uroflowmeter, was normal.

  4. 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

  5. Case Studies Behavior Modification.

    ERIC Educational Resources Information Center

    Wark, David M.

    The case histories of five students enrolled in a university course in how to study are reported. The students ranged in age from 18 to 35, included two males and three females, and varied in school experience from no college in one case and some college in two cases to college degrees in two cases. Students were initially taught to chart their…

  6. A three-step approach for the derivation and validation of high-performing predictive models using an operational dataset: congestive heart failure readmission case study.

    PubMed

    AbdelRahman, Samir E; Zhang, Mingyuan; Bray, Bruce E; Kawamoto, Kensaku

    2014-05-27

    The aim of this study was to propose an analytical approach to develop high-performing predictive models for congestive heart failure (CHF) readmission using an operational dataset with incomplete records and changing data over time. Our analytical approach involves three steps: pre-processing, systematic model development, and risk factor analysis. For pre-processing, variables that were absent in >50% of records were removed. Moreover, the dataset was divided into a validation dataset and derivation datasets which were separated into three temporal subsets based on changes to the data over time. For systematic model development, using the different temporal datasets and the remaining explanatory variables, the models were developed by combining the use of various (i) statistical analyses to explore the relationships between the validation and the derivation datasets; (ii) adjustment methods for handling missing values; (iii) classifiers; (iv) feature selection methods; and (iv) discretization methods. We then selected the best derivation dataset and the models with the highest predictive performance. For risk factor analysis, factors in the highest-performing predictive models were analyzed and ranked using (i) statistical analyses of the best derivation dataset, (ii) feature rankers, and (iii) a newly developed algorithm to categorize risk factors as being strong, regular, or weak. The analysis dataset consisted of 2,787 CHF hospitalizations at University of Utah Health Care from January 2003 to June 2013. In this study, we used the complete-case analysis and mean-based imputation adjustment methods; the wrapper subset feature selection method; and four ranking strategies based on information gain, gain ratio, symmetrical uncertainty, and wrapper subset feature evaluators. The best-performing models resulted from the use of a complete-case analysis derivation dataset combined with the Class-Attribute Contingency Coefficient discretization method and a voting

  7. Case study research.

    PubMed

    Taylor, Ruth; Thomas-Gregory, Annette

    2015-06-10

    This article describes case study research for nursing and healthcare practice. Case study research offers the researcher an approach by which a phenomenon can be investigated from multiple perspectives within a bounded context, allowing the researcher to provide a 'thick' description of the phenomenon. Although case study research is a flexible approach for the investigation of complex nursing and healthcare issues, it has methodological challenges, often associated with the multiple methods used in individual studies. These are explored through examples of case study research carried out in practice and education settings. An overview of what constitutes 'good' case study research is proposed.

  8. Space station operating system study

    NASA Technical Reports Server (NTRS)

    Horn, Albert E.; Harwell, Morris C.

    1988-01-01

    The current phase of the Space Station Operating System study is based on the analysis, evaluation, and comparison of the operating systems implemented on the computer systems and workstations in the software development laboratory. Primary emphasis has been placed on the DEC MicroVMS operating system as implemented on the MicroVax II computer, with comparative analysis of the SUN UNIX system on the SUN 3/260 workstation computer, and to a limited extent, the IBM PC/AT microcomputer running PC-DOS. Some benchmark development and testing was also done for the Motorola MC68010 (VM03 system) before the system was taken from the laboratory. These systems were studied with the objective of determining their capability to support Space Station software development requirements, specifically for multi-tasking and real-time applications. The methodology utilized consisted of development, execution, and analysis of benchmark programs and test software, and the experimentation and analysis of specific features of the system or compilers in the study.

  9. Case study: a patient's survival.

    PubMed

    Nauer, K A; Kramer, L; Lockard, K L

    2000-05-01

    Presentation of a case study involving a female patient, in her 20s, undergoing routine surgery for removal of atrial myxoma leading to a heart transplant. This case study will show the progression from postcardiotomy failure, the emergent use of the extracorporeal membrane oxygenator device, the insertion of the HeartMate device, and the final return to the operating room for a heart transplant. The case study will examine the physiologic demands on the patient, as well as the psychological effects from the various life-saving devices.

  10. Dioxin: a case study.

    PubMed

    Bond, G G

    1993-01-01

    The need to notify individuals of a possible health risk from their past exposure to potentially hazardous agents frequently extends beyond workers to include community groups. The issues to consider in community notification are frequently similar to those that are important for worker notification but may include some that are unique. This case study traces the evolution of one company's strategy for communicating with the public about possible dioxin contamination associated with its operations. Early communications tended to emphasize the technical aspects of the issues in the fashion of scientists talking to other scientists. This was interpreted by some to be symptomatic of an arrogant and uncaring attitude. Beginning in the early 1980s, the company's management recognized the need to reach out to a variety of audiences on multiple levels, and shifted to a more comprehensive communications strategy. A similar shift is now occurring throughout the chemical manufacturing industry as top managers realize that, if they expect to continue to operate, they must become more accountable and responsive to the public.

  11. Delayed intramedullary abscess in operated case of spinal lipoma

    PubMed Central

    Bhaisora, Kamlesh Singh; Godbole, Chaitanya; Das, Kuntal Kanti; Mehrotra, Anant; Jayesh, Shardhara; Sahu, Rabi Narayan; Behari, Sanjay; Srivastava, Arun Kumar; Jaiswal, Awadhesh Kumar

    2016-01-01

    Intramedullary abscess is a rare condition with high rate of mortality and morbidity. We are presenting a case of delayed intramedullary abscess in an operated case of spinal lipoma, after 2 years of primary surgery. To best of our knowledge this only second case of intramedullary abscess in a case of spinal lipoma without dermal sinus. PMID:27857795

  12. Debriefing of American Red Cross personnel: pilot study on participants' evaluations and case examples from the 1994 Los Angeles earthquake relief operation.

    PubMed

    Armstrong, K; Zatzick, D; Metzler, T; Weiss, D S; Marmar, C R; Garma, S; Ronfeldt, H; Roepke, L

    1998-01-01

    The Multiple Stressor Debriefing (MSD) model was used to debrief 112 American Red Cross workers individually or in groups after their participation in the 1994 Los Angeles earthquake relief effort. Two composite case examples are presented that illustrate individual and group debriefings using the MSD model. A questionnaire which evaluated workers' experience of debriefing, was completed by 95 workers. Results indicated that workers evaluated the debriefings in which they participated positively. In addition, as participant to facilitator ratio increased, workers shared less of their feelings and reactions about the disaster relief operation. These findings, as well as more specific issues about debriefing, are discussed.

  13. A Case for Principles of Cyberspace Operations

    DTIC Science & Technology

    2010-10-27

    doctrine for the planning and execution of operations within cyberspace has not been published. This paper concludes specific principles for...grounded on a number of key points. First, the current principles of war are not as timeless and universal as they are often perceived to be. Second

  14. Integrated Operations Architecture Technology Assessment Study

    NASA Technical Reports Server (NTRS)

    2001-01-01

    As part of NASA's Integrated Operations Architecture (IOA) Baseline, NASA will consolidate all communications operations. including ground-based, near-earth, and deep-space communications, into a single integrated network. This network will make maximum use of commercial equipment, services and standards. It will be an Internet Protocol (IP) based network. This study supports technology development planning for the IOA. The technical problems that may arise when LEO mission spacecraft interoperate with commercial satellite services were investigated. Commercial technology and services that could support the IOA were surveyed, and gaps in the capability of existing technology and techniques were identified. Recommendations were made on which gaps should be closed by means of NASA research and development funding. Several findings emerged from the interoperability assessment: in the NASA mission set, there is a preponderance of small. inexpensive, low data rate science missions; proposed commercial satellite communications services could potentially provide TDRSS-like data relay functions; and. IP and related protocols, such as TCP, require augmentation to operate in the mobile networking environment required by the space-to-ground portion of the IOA. Five case studies were performed in the technology assessment. Each case represented a realistic implementation of the near-earth portion of the IOA. The cases included the use of frequencies at L-band, Ka-band and the optical spectrum. The cases also represented both space relay architectures and direct-to-ground architectures. Some of the main recommendations resulting from the case studies are: select an architecture for the LEO/MEO communications network; pursue the development of a Ka-band space-qualified transmitter (and possibly a receiver), and a low-cost Ka-band ground terminal for a direct-to-ground network, pursue the development of an Inmarsat (L-band) space-qualified transceiver to implement a global, low

  15. Selection, Evaluation, and Modification of a Standard Operating Procedure as a Mechanism for Introducing an Undergraduate Student to Chemical Research: A Case Study

    ERIC Educational Resources Information Center

    Claycomb, Gregory D.; Venable, Frances A.

    2015-01-01

    In an effort to broaden the selection of research opportunities available to a student registered in a one-semester, upper-level independent study course at a primarily undergraduate institution (PUI), a highly motivated student was asked to select, evaluate, and modify a standard operating procedure (SOP). The student gained valuable experience…

  16. Selection, Evaluation, and Modification of a Standard Operating Procedure as a Mechanism for Introducing an Undergraduate Student to Chemical Research: A Case Study

    ERIC Educational Resources Information Center

    Claycomb, Gregory D.; Venable, Frances A.

    2015-01-01

    In an effort to broaden the selection of research opportunities available to a student registered in a one-semester, upper-level independent study course at a primarily undergraduate institution (PUI), a highly motivated student was asked to select, evaluate, and modify a standard operating procedure (SOP). The student gained valuable experience…

  17. Case Studies in Broadcast Management.

    ERIC Educational Resources Information Center

    Coleman, Howard W.

    This collection of case studies, based on factual situations which have challenged broadcast managers in recent years, is designed to stimulate thinking about and solving of "real world" problems in commercial radio and television operations. Topics of a serious, long-run nature include enlarging the radio audience; station revenue and economy;…

  18. A data envelopment analysis approach to evaluation of operational inefficiencies in power generating units: A case study of Indian power plants

    SciTech Connect

    Chitkara, P.

    1999-05-01

    A non-parametric approach to frontier analysis, Data Envelopment Analysis (DEA), is applied in this work to evaluate the operational inefficiencies of generating units. Three parameters viz. generation per unit of coal consumed, generation per unit of oil consumed and generation per unit of auxiliary power consumption have been considered as indicators of performance. The DEA approach provides with a best practice frontier for each of these parameters, which can then serve as a benchmark for efficiency. Also, the slack analysis indicates the causes of inefficiency. A time series study of units` performance, identifies those units that need renovation and repowering and those units where the performance could be improved by extensive training of operating personnel. The analysis in this paper considers operational performance statistics of all coal based generating units belong to National Thermal Power Corporation of India over the period 1991 to 1995.

  19. A Case Against Systematic Operational Design

    DTIC Science & Technology

    2009-01-01

    judgment of command- ers to provide a framework for the development of detailed operational plans. 1 Proponents sometimes argued that SOD is a precursor...Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions...information if it does not display a currently valid OMB control number. 1 . REPORT DATE 2009 2. REPORT TYPE 3. DATES COVERED 00-00-2009 to 00-00

  20. On continuity case studies.

    PubMed

    Lindstedt, David; Lombardo, Timothy

    This article is divided into three sections. The first section provides a taxonomy of case studies within the field of business continuity along with a brief commentary. The second section discusses the proper use of case studies in general pedagogy and provides research-based recommendations for their employment. The third section provides suggestions and examples of how business continuity case studies might be utilised specifically for instruction in the discipline of business continuity planning.

  1. [Case and studies].

    PubMed

    Schubert, András

    2015-11-15

    Case studies and case reports form an important and ever growing part of scientific and scholarly literature. The paper deals with the share and citation rate of these publication types on different fields of research. In general, evidence seems to support the opinion that an excessive number of such publications may negatively influence the impact factor of the journal. In the literature of scientometrics, case studies (at least the presence of the term "case study" in the titles of the papers) have a moderate share, but their citation rate is practically equal to that of other publication types.

  2. Post-myocardial infarction ventricular septal defect. Is it better to operate on a fresh infarction or to wait? A case study

    PubMed Central

    Suder, Bogdan; Janik, Łukasz; Wasilewski, Grzegorz; Konstanty-Kalandyk, Janusz; Sadowski, Jerzy; Kapelak, Bogusław; Ceranowicz, Piotr

    2016-01-01

    The authors present case studies of two patients, aged 76 and 77, who were diagnosed with fresh post-myocardial infarction ventricular septal defects (VSD) and were admitted for urgent surgical intervention. The report is a comment in the discussion concerning the optimal time for surgical intervention. PMID:27212977

  3. SETDA Case Studies 2012

    ERIC Educational Resources Information Center

    State Educational Technology Directors Association, 2012

    2012-01-01

    The State Educational Technology Directors Association (SETDA) published a series of case studies from 28 states to showcase examples of how ARRA EETT ("American Recovery and Reinvestment Act of 2009 Enhancing Education Through Technology") grant funds have impacted teaching and learning. SETDA collected data for the case studies through…

  4. Case Study: Challenging Change.

    ERIC Educational Resources Information Center

    May, Steven K.

    2003-01-01

    Discusses a case study involving organizational change and its effect on employees. Presents three responses to the case study: "Paradox of Ordering Change: I Insist That We Work as a Team" (Paaige K. Turner); "Managing Change Is Managing Meaning" (Greg Hearn and Abraham Ninan); and "The Psychodynamics of an Organizational Change Initiative"…

  5. Work Sharing Case Studies.

    ERIC Educational Resources Information Center

    McCarthy, Maureen E.; And Others

    Designed to provide private sector employers with the practical information necessary to select and then to design and implement work sharing arrangements, this book presents case studies of some 36 work sharing programs. Topics covered in the case studies include the circumstances leading to adoption of the program, details of compensation and…

  6. Case Study: Challenging Change.

    ERIC Educational Resources Information Center

    May, Steven K.

    2003-01-01

    Discusses a case study involving organizational change and its effect on employees. Presents three responses to the case study: "Paradox of Ordering Change: I Insist That We Work as a Team" (Paaige K. Turner); "Managing Change Is Managing Meaning" (Greg Hearn and Abraham Ninan); and "The Psychodynamics of an Organizational Change Initiative"…

  7. [Case-control study on comprehensive traditional Chinese medicine therapy for preventing postsurgery stiffness after operation for terrible triad of the elbow].

    PubMed

    Lin, Guang-Mao; Liu, Liang-Le; Ye, Li-Jie; Li, Qi; Liu, Mei-Fen

    2014-11-01

    To study therapeutic effects of comprehensive traditional Chinese medicine therapy for preventing postsurgery stiffness after operation for terrible triad of the elbow. From December 2008 to December 2013,32 patients with elbow triad were randomly divided into two groups: therapy group and control group. There were 17 patients in control group including 12 males and 5 females with a mean age of (41.0 ± 7.1) years old. The patients in control group were received the past procedure therapy. There were 15 patients in therapy group, including 10 males and 5 females with a mean age of (41.3 ± 7.6) years old. The patients in therapy group were received comprehensive traditional Chinese medicine therapy, including passive exercise training at early stage (0 to 2 weeks after operation), transition from passive to active exercise training at middle stage (3 to 4 weeks after operation), and active exercise training at late stage (5 to 12 weeks after operation). Other treatment methods, such as orally taking or externally use of Chinese herbal medicine, manipulation and physiotherapy, were used at all stages. The Mayo Elbow Performance Score, patient satisfaction and complications were evaluated and analyzed. All the patients were followed up, and the mean duration was 7.5 months. There were no complications such as internal fixation loosing, obvious displacement fracture and heterotopic ossification occurred. The Mayo score and patient satisfaction in therapy group were higher than those in control group (t = 12.78, P = 0.00; χ2 = 8.719, P = 0.003). Seven patients needed reoperation in control group, compared with 1 patient in therapy group (χ2 = 4.626, P = 0.032). The comprehensive traditional Chinese medicine therapy is effective to prevent postoperative stiffness after operation for terrible triad of the elbow by using different methods at different stages, which is worthy of spread and application.

  8. Estimating irrigation water demand using an improved method and optimizing reservoir operation for water supply and hydropower generation: a case study of the Xinfengjiang reservoir in southern China

    USGS Publications Warehouse

    Wu, Yiping; Chen, Ji

    2013-01-01

    The ever-increasing demand for water due to growth of population and socioeconomic development in the past several decades has posed a worldwide threat to water supply security and to the environmental health of rivers. This study aims to derive reservoir operating rules through establishing a multi-objective optimization model for the Xinfengjiang (XFJ) reservoir in the East River Basin in southern China to minimize water supply deficit and maximize hydropower generation. Additionally, to enhance the estimation of irrigation water demand from the downstream agricultural area of the XFJ reservoir, a conventional method for calculating crop water demand is improved using hydrological model simulation results. Although the optimal reservoir operating rules are derived for the XFJ reservoir with three priority scenarios (water supply only, hydropower generation only, and equal priority), the river environmental health is set as the basic demand no matter which scenario is adopted. The results show that the new rules derived under the three scenarios can improve the reservoir operation for both water supply and hydropower generation when comparing to the historical performance. Moreover, these alternative reservoir operating policies provide the flexibility for the reservoir authority to choose the most appropriate one. Although changing the current operating rules may influence its hydropower-oriented functions, the new rules can be significant to cope with the increasingly prominent water shortage and degradation in the aquatic environment. Overall, our results and methods (improved estimation of irrigation water demand and formulation of the reservoir optimization model) can be useful for local watershed managers and valuable for other researchers worldwide.

  9. TDRSS operations control analysis study

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The use of an operational Tracking and Data Relay Satellite System (TDRSS) and the remaining ground stations for the STDN (GSTDN) was investigated. The operational aspects of TDRSS concepts, GSTDN as a 14-site network, and GSTDN as a 7 site-network were compared and operations control concepts for the configurations developed. Man/machine interface, scheduling system, and hardware/software tradeoff analyses were among the factors considered in the analysis.

  10. Data assimilation for volcanic ash plumes using a satellite observational operator: a case study on the 2010 Eyjafjallajökull volcanic eruption

    NASA Astrophysics Data System (ADS)

    Fu, Guangliang; Prata, Fred; Lin, Hai Xiang; Heemink, Arnold; Segers, Arjo; Lu, Sha

    2017-01-01

    Using data assimilation (DA) to improve model forecast accuracy is a powerful approach that requires available observations. Infrared satellite measurements of volcanic ash mass loadings are often used as input observations for the assimilation scheme. However, because these primary satellite-retrieved data are often two-dimensional (2-D) and the ash plume is usually vertically located in a narrow band, directly assimilating the 2-D ash mass loadings in a three-dimensional (3-D) volcanic ash model (with an integral observational operator) can usually introduce large artificial/spurious vertical correlations.In this study, we look at an approach to avoid the artificial vertical correlations by not involving the integral operator. By integrating available data of ash mass loadings and cloud top heights, as well as data-based assumptions on thickness, we propose a satellite observational operator (SOO) that translates satellite-retrieved 2-D volcanic ash mass loadings to 3-D concentrations. The 3-D SOO makes the analysis step of assimilation comparable in the 3-D model space.Ensemble-based DA is used to assimilate the extracted measurements of ash concentrations. The results show that satellite DA with SOO can improve the estimate of volcanic ash state and the forecast. Comparison with both satellite-retrieved data and aircraft in situ measurements shows that the effective duration of the improved volcanic ash forecasts for the distal part of the Eyjafjallajökull volcano is about 6 h.

  11. A Case Study on Investigating the Effect of Genetic Algorithm Operators on Predicting the Global Minimum Hardness Value of Biomaterial Extrudate

    SciTech Connect

    Shankar, T.J.; Sokhansanj, Shahabaddine

    2010-02-01

    Crossover and mutation are the main search operators of genetic algorithm, one of the most important features which distinguish it from other search algorithms like simulated annealing. A genetic algorithm adopts crossover and mutation as their main genetic operators. The present work was aimed to see the effect of genetic algorithm operators like crossover and mutation (Pc & Pm), population size (n), and number of iterations (I) on predicting the minimum hardness (N) of the biomaterial extrudate. The second order polynomial regression equation developed for the extrudate property hardness in terms of the independent variables like barrel temperature, screw speed, fish content of the feed, and feed moisture content was used as the objective function in the GA analysis. A simple genetic algorithm (SGA) with a crossover and mutation operators was used in the present study. A program was developed in C language for a SGA with a rank based fitness selection method. The upper limit of population and iterations were fixed at 100. It was observed that increasing population and iterations the prediction of function minimum improved drastically. Minimum predicted hardness values were achievable with a medium population of 50, iterations of 50 and crossover and mutation probabilities of 50 % and 0.5 %. Further the Pareto charts indicated that the effect of Pc was found to be more significant when population is 50 and Pm played a major role at low population ( 10). A crossover probability of 50 % and mutation probability of 0.5 % are the threshold values for the convergence of GA to reach a global search space. A minimum predicted hardness value of 3.82 (N) was observed for n = 60 and I = 100 and Pc & Pm of 85 % and 0.5 %.

  12. Operations planning simulation: Model study

    NASA Technical Reports Server (NTRS)

    1974-01-01

    The use of simulation modeling for the identification of system sensitivities to internal and external forces and variables is discussed. The technique provides a means of exploring alternate system procedures and processes, so that these alternatives may be considered on a mutually comparative basis permitting the selection of a mode or modes of operation which have potential advantages to the system user and the operator. These advantages are measurements is system efficiency are: (1) the ability to meet specific schedules for operations, mission or mission readiness requirements or performance standards and (2) to accomplish the objectives within cost effective limits.

  13. The FAST-T approach for operational, real time, short term hydrological forecasting: Results from the Betania Hydropower Reservoir case study

    NASA Astrophysics Data System (ADS)

    Domínguez, Efraín; Angarita, Hector; Rosmann, Thomas; Mendez, Zulma; Angulo, Gustavo

    2013-04-01

    A viable quantitative hydrological forecasting service is a combination of technological elements, personnel and knowledge, working together to establish a stable operational cycle of forecasts emission, dissemination and assimilation; hence, the process for establishing such system usually requires significant resources and time to reach an adequate development and integration in order to produce forecasts with acceptable levels of performance. Here are presented the results of this process for the recently implemented Operational Forecast Service for the Betania's Hydropower Reservoir - or SPHEB, located at the Upper-Magdalena River Basin (Colombia). The current scope of the SPHEB includes forecasting of water levels and discharge for the three main streams affluent to the reservoir, for lead times between +1 to +57 hours, and +1 to +10 days. The core of the SPHEB is the Flexible, Adaptive, Simple and Transient Time forecasting approach, namely FAST-T. This comprises of a set of data structures, mathematical kernel, distributed computing and network infrastructure designed to provide seamless real-time operational forecast and automatic model adjustment in case of failures in data transmission or assimilation. Among FAST-T main features are: an autonomous evaluation and detection of the most relevant information for the later configuration of forecasting models; an adaptively linearized mathematical kernel, the optimal adaptive linear combination or OALC, which provides a computationally simple and efficient algorithm for real-time applications; and finally, a meta-model catalog, containing prioritized forecast models at given stream conditions. The SPHEB is at present feed by the fraction of hydrological monitoring network installed at the basin that has telemetric capabilities via NOAA-GOES satellites (8 stages, approximately 47%) with data availability of about a 90% at one hour intervals. However, there is a dense network of 'conventional' hydro

  14. Moving-bed gasification - combined-cycle control study. Volume 2. Results and conclusions, Case 2 - oxygen-blown, slagging-ash operation

    SciTech Connect

    Priestley, R.R.

    1982-10-01

    A computer simulation study has been conducted to investigate the process dynamics and control strategies required for operation of an oxygen-blown, slagging, moving-bed gasifier combined cycle (GCC) power plant in a utility power system. The gasifier modeled is of the modified Lurgi type as developed by the British Gas Corporation. This study is a continuation of a study on moving-bed GCC control analysis. Work reported on previously (EPRI report AP-1740) was for an air-blown, dry-ash Lurgi GCC power plant and results are compared to this study. The simulated GCC plant configuration is similar to that developed in earlier EPRI economic studies (EPRI report AF-642). The computer model used in the air-blown, dry-ash GCC study was re-configured to represent the oxygen-blown slagging GCC cleanup process and a new gasifier model included. Gas turbine-lead and gasifier-lead control modes were evaluated with respect to power system dynamic requirements. The effect of gasifier output fluctuations, as observed in actual gasifier process development unit operation, was modeled and investigated. In comparison to the air-blown GCC power plant, the oxygen-blown fuel process and power generation process are not as integrated, resulting in less system interaction and reduced difficulty of control. As concluded in the air-blown GCC system study, the turbine-lead control mode is the preferred control strategy because it can effectively meet power system requirements. The large storage volume of the cleanup system is used to advantage and control of the combined cycle is maintained close to that of a conventional-fueled combined cycle. The oxygen-blown system is more responsive than the air-blown system and can successfully meet power system requirements.

  15. Septic Systems Case Studies

    EPA Pesticide Factsheets

    A collection of septic systems case studies to help community planners, elected officials, health department staff, state officials, and interested citizens explore alternatives for managing their decentralized wastewater treatment systems.

  16. HYDROGEOLOGIC CASE STUDIES

    EPA Science Inventory

    Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation (MNA). Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d...

  17. MULTIPLE CONTAMINANTS CASE STUDIES

    EPA Science Inventory

    The presentation provides information taken from the arsenic demonstration program projects that have treatment systems removing multiply contaminants from drinking water. The case studies sited in the presentation consist of projects that have arsenic along with either nitrate, ...

  18. MULTIPLE CONTAMINANTS CASE STUDIES

    EPA Science Inventory

    The presentation provides information taken from the arsenic demonstration program projects that have treatment systems removing multiply contaminants from drinking water. The case studies sited in the presentation consist of projects that have arsenic along with either nitrate, ...

  19. HYDROGEOLOGIC CASE STUDIES

    EPA Science Inventory

    Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation (MNA). Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d...

  20. [Qualitative case study].

    PubMed

    Debout, Christophe

    2016-06-01

    The qualitative case study is a research method which enables a complex phenomenon to be explored through the identification of different factors interacting with each other. The case observed is a real situation. In the field of nursing science, it may be a clinical decision-making process. The study thereby enables the patient or health professional experience to be conceptualised. Copyright © 2016. Published by Elsevier Masson SAS.

  1. Overcoming Operational Challenges to Ebola Case Investigation in Sierra Leone.

    PubMed

    T Boland, Samuel; Polich, Erin; Connolly, Allison; Hoar, Adam; Sesay, Tom; Tran, Anh-Minh A

    2017-09-27

    The Ebola virus disease (EVD) epidemic that hit West Africa in 2013 was the worst outbreak of EVD in recorded history. While much has been published regarding the international and national-level EVD responses, there is a dearth of literature on district-level coordination and operational structures, successes, and failures. This article seeks to understand how the EVD response unfolded at the district level, namely the challenges to operationalizing EVD surveillance over the course of the outbreak in Port Loko and Kambia districts of Sierra Leone. We present here GOAL Global's understanding of the fundamental challenges to case investigation operations during the EVD response, including environmental and infrastructural, sociocultural, and political and organizational challenges, with insight complemented by a survey of 42 case investigators. Major challenges included deficiencies in transportation and communication resources, low morale and fatigue among case investigators, mismanagement of data, mistrust among communities, and leadership challenges. Without addressing these operational challenges, technical surveillance solutions are difficult to implement and hold limited relevance, due to the poor quality and quantity of data being collected. The low prioritization of operational needs came at a high cost. To mediate this, GOAL addressed these operational challenges by acquiring critical transportation and communication resources to facilitate case investigation, including vehicles, boats, fuel, drivers, phones, and closed user groups; addressing fatigue and low morale by hiring more case investigators, making timely payments, arranging for time off, and providing meals and personal protective equipment; improving data tracking efforts through standard operating procedures, training, and mentorship to build higher-quality case histories and make it easier to access information; strengthening trust in communities by ensuring familiarity and consistency of case

  2. Overcoming Operational Challenges to Ebola Case Investigation in Sierra Leone

    PubMed Central

    T Boland, Samuel; Polich, Erin; Connolly, Allison; Hoar, Adam; Sesay, Tom; Tran, Anh-Minh A

    2017-01-01

    ABSTRACT The Ebola virus disease (EVD) epidemic that hit West Africa in 2013 was the worst outbreak of EVD in recorded history. While much has been published regarding the international and national-level EVD responses, there is a dearth of literature on district-level coordination and operational structures, successes, and failures. This article seeks to understand how the EVD response unfolded at the district level, namely the challenges to operationalizing EVD surveillance over the course of the outbreak in Port Loko and Kambia districts of Sierra Leone. We present here GOAL Global's understanding of the fundamental challenges to case investigation operations during the EVD response, including environmental and infrastructural, sociocultural, and political and organizational challenges, with insight complemented by a survey of 42 case investigators. Major challenges included deficiencies in transportation and communication resources, low morale and fatigue among case investigators, mismanagement of data, mistrust among communities, and leadership challenges. Without addressing these operational challenges, technical surveillance solutions are difficult to implement and hold limited relevance, due to the poor quality and quantity of data being collected. The low prioritization of operational needs came at a high cost. To mediate this, GOAL addressed these operational challenges by acquiring critical transportation and communication resources to facilitate case investigation, including vehicles, boats, fuel, drivers, phones, and closed user groups; addressing fatigue and low morale by hiring more case investigators, making timely payments, arranging for time off, and providing meals and personal protective equipment; improving data tracking efforts through standard operating procedures, training, and mentorship to build higher-quality case histories and make it easier to access information; strengthening trust in communities by ensuring familiarity and consistency

  3. [Immune disorders and chronic exposure to organic solvents. Case-control study in the operators who are in organic synthesis laboratories].

    PubMed

    Vegna, F; Laddeca, E Noto; Mineo, A A; Trapani, E; Vegna, V

    2007-01-01

    The industrial society characterized by the continuing innovation in science and technology has resulted in the introduction of new business cycles chemicals which could act as "triggers" for the initiation of alterations, still latent in the clinical aspect, dependents the immune system in people who are professionally exposed. In recent years, numerous studies have shown over exposed to organic solvents some immunological abnormalities, regarding, for example: complementemy, immunoglobulinic classes, typing lymphocyte (CD3, CD4, CD8) and appearance anti-nucleo of antibodies (ANA). Our study was conducted, in health surveillance, of operators of the University of Palermo, on a sample of subjects who were exposed to organic solvents and compared with a control group not exposed, considering some parameters such as possible indicators of Immunological Trim disturbance.

  4. [Arachnoid cysts of the middle cranial fossa in children. A review of 75 cases, 47 of which have been operated in a comparative study between membranectomy with opening of cisterns and cystoperitoneal shunt].

    PubMed

    Lena, G; Erdincler, P; Van Calenberg, F; Genitori, L; Choux, M

    1996-01-01

    The authors report their experience concerning 75 cases of middle fossa arachnoid cysts observed in children during the period 1975-1993, 47 of which (62.6%) were operated upon. The aim of this study was to study the clinical presentation of these cysts, to discuss the surgical indications and to compare the results of the various techniques used to treat these malformations. Head injury was revealing in 17 cases (22.6%) and among these, 12 patients presented intracranial complications (subdural effusions; 6 cases, subdural hematomas: 4 cases and intracystic hematomas: 2 cases). The most usual signs and symptoms were: intracranial hypertension (25.3%), epilepsy (16%) and temporal bulging (24%). Twenty-one patients (44.7%) underwent a cystoperitoneal shunt; 20 patients (42.5%) were treated by membranectomy with opening of the basal cisterns and removal of intracystic (2 cases) or subdural hematoma (4 cases); 2 patients (4.3%) were treated using membranectomy, opening of the cisterns and cystoperitoneal shunt and 4 patients (8.4%) underwent a subduroperitoneal shunt. The long-term results were good regardless of the surgical procedure; nevertheless, only one patient among 20 cases treated by membranectomy and opening of the cisterns developped complications (5%), while multiple shunt revisions were necessary in 11 children (40.7%) out of 27 where a shunt was inserted. The authors conclude that membranectomy and opening of the basal cisterns is the procedure of choice to treat middle fossa arachnoid cysts in children.

  5. Using Modeling and Simulation to Predict Operator Performance and Automation-Induced Complacency With Robotic Automation: A Case Study and Empirical Validation.

    PubMed

    Wickens, Christopher D; Sebok, Angelia; Li, Huiyang; Sarter, Nadine; Gacy, Andrew M

    2015-09-01

    The aim of this study was to develop and validate a computational model of the automation complacency effect, as operators work on a robotic arm task, supported by three different degrees of automation. Some computational models of complacency in human-automation interaction exist, but those are formed and validated within the context of fairly simplified monitoring failures. This research extends model validation to a much more complex task, so that system designers can establish, without need for human-in-the-loop (HITL) experimentation, merits and shortcomings of different automation degrees. We developed a realistic simulation of a space-based robotic arm task that could be carried out with three different levels of trajectory visualization and execution automation support. Using this simulation, we performed HITL testing. Complacency was induced via several trials of correctly performing automation and then was assessed on trials when automation failed. Following a cognitive task analysis of the robotic arm operation, we developed a multicomponent model of the robotic operator and his or her reliance on automation, based in part on visual scanning. The comparison of model predictions with empirical results revealed that the model accurately predicted routine performance and predicted the responses to these failures after complacency developed. However, the scanning models do not account for the entire attention allocation effects of complacency. Complacency modeling can provide a useful tool for predicting the effects of different types of imperfect automation. The results from this research suggest that focus should be given to supporting situation awareness in automation development. © 2015, Human Factors and Ergonomics Society.

  6. Limited dissection and early primary closure of the tracheostomy stoma in head and neck oncology operations: a retrospective study of 158 cases.

    PubMed

    Hammarfjord, O; Ekanayake, K; Norton, J; Stassen, L F A

    2015-03-01

    Tracheostomy is an efficient and widely used method to secure a patent airway in patients undergoing major oral and maxillofacial oncology operations. The inferiorly based Björk flap technique, through a limited incision, followed by early primary skin closure, has been the preferred method in our unit. Patients who underwent tracheostomy for major oral and maxillofacial oncology operations during the period June 2005 to December 2012 were reviewed. Age, gender, preoperative diagnosis, duration the tracheostomy tube was in situ, tracheostomy-associated complications, and long-term sequelae were evaluated. A total 158 tracheostomies were performed using the same surgical approach in patients aged 18-84 years (median 59, mean 58.2, standard deviation 14.24 years). The time the tracheostomy tube was in situ ranged from 3 to 40 days (median 7, mean 9.0, standard deviation 6.52 days). The complication rate was 5.06% (8/158 patients). A major concern highlighted in previous publications is the risk of surgical emphysema with early closure. In this study, no patients developed surgical emphysema, tracheal fistula, clinical tracheal stenosis, or cosmetically unacceptable scarring of the neck. No patient died of a tracheostomy-related cause. In summary, the Björk flap with early primary closure of the skin by simple sutures provides a safe and easily managed approach, causing minimal postoperative morbidity.

  7. Succession of phytoplankton assemblages in response to large-scale reservoir operation: a case study in a tributary of the Three Gorges Reservoir, China.

    PubMed

    Xiao, Yan; Li, Zhe; Guo, Jinsong; Fang, Fang; Smith, Val H

    2016-03-01

    The Three Gorges Dam (TGD) has greatly altered ecological and environmental conditions within the reservoir region, but it is not known how these changes affect phytoplankton structure and dynamics. Here, a bimonthly monitoring program was implemented from 2007 to 2009 to study the impact of damming on phytoplankton assemblages in the backwater area of the Pengxi River (PBA). By application of the phytoplankton functional group (C strategists, competitive species; S strategists, stress-tolerant species; R strategists, rapid propagation species), seasonal changes in phytoplankton relative to environmental variations were evaluated using ordination analysis. Seasonal patterns of phytoplankton dynamics were detected during this study, with CS/S strategists causing algal blooms from mid-spring to early summer, CS/CR strategists often observed during flood season, and CS strategists dominant during mid-autumn. CR/R groups dominated during winter and caused algal blooms in February. Our results indicated that phytoplankton assemblages were directly related to reservoir operation effects. Generally, the TGD had a low water level during flood season, resulting in a relatively short hydraulic retention time and intensive variability, which supported the cooccurrence of CS and CR species. During the winter drought season, water storage in the TGD increased the water level and the hydraulic retention time in the PBA, enabling R/CR strategists to overcome the sedimentation effect and to out-compete S/CS species in winter. As expected, these diversity patterns were significantly correlated with the hydraulic retention time and nutrient limitation pattern in the PBA. This study provides strategic insight for evaluating the impacts of reservoir operations on phytoplankton adaptation.

  8. The Effect of the Dental Operating Microscope on the Outcome of Nonsurgical Root Canal Treatment: A Retrospective Case-control Study.

    PubMed

    Khalighinejad, Navid; Aminoshariae, Anita; Kulild, James C; Williams, Kristin A; Wang, Jeannie; Mickel, Andre

    2017-05-01

    The aim of the current investigation was to assess the effect of the use of a dental operating microscope on the outcome of nonsurgical root canal treatment (NS RCT) while treating the mesiobuccal (MB) root of the maxillary first molar. This retrospective investigation included endodontically treated maxillary first molars (ETMs) with apparent adequate previous NS RCT and restorations referred for endodontic retreatment at the endodontic graduate clinic. Inclusion criteria were ETMs that were diagnosed with irreversible pulpitis and normal periapical tissues before the initial NS RCT and ETMs that presented with a minimum of 1 identifiable periapical lesion (PAR) at 1 of the roots at the time of retreatment. One hundred ninety-five ETMs were included and divided into 2 groups: (1) the initial NS RCT had been performed using a microscope (n = 83) and (2) NS RCT had been performed without the use of a microscope (n = 112). Data extracted were whether the second MB (MB2) canal was located initially and the presence of an MB PAR at the time of retreatment. Data were statistically analyzed using binary logistic regression (α = 0.05). The MB root was 3 times more likely to present with a PAR at the time of retreatment if the initial NS RCT was performed without the use of a microscope (P < .05, odds ratio = 3.1). There was a significant association between a missed MB2 canal and an MB PAR in the group in which the initial NS RCT was performed without the use of a microscope (P < .05, odds ratio = 5.1). However, in cases in which the initial NS RCT was performed using a microscope, a missed MB2 canal was not associated with the presence of an MB PAR. With proper education, dentists can gain further insight into recognizing limitations in treating cases that require advanced training and advanced optics such as a microscope. Based on this strategy, it would appear that the outcome of NS RCT can be improved. Copyright © 2017 American Association of

  9. Signal level statistics and case studies for an over-the-horizon mid-Atlantic coastal link operating at C-band

    NASA Astrophysics Data System (ADS)

    Goldhirsh, Julius; Musiani, Bert H.

    1999-03-01

    We examine the results of 1 year of near-continuous measurements for a 128-km over-the-horizon C-band coastal propagation link. The link extends between Dam Neck, Virginia (16 km south of Virginia Beach), and Wallops Island, Virginia (approximately 150 km southeast of Washington, D. C.). The objectives of this effort are to explore the different mechanisms of propagation through an analysis of several case studies and to assess the statistical connectivity over the 1-year period. Case studies involving the linking of environmental information and measured signal levels are analyzed. Propagation factor levels due to evaporation ducts, surface ducts, and scattering from irregularities of the refractive index in the common volume are determined. Cumulative distributions of the measured propagation factor for the annual, fall-winter, and spring-summer periods are presented. Conditional and absolute distributions of propagation factor time durations are also presented and analyzed. It is demonstrated that during the spring-summer period, received signal levels were consistent with ducting and not with troposcatter. The fall-winter levels may be due to troposcatter from irregularities of the refractive index. The months giving the smallest and largest propagation factors were January and June, respectively.

  10. Distance Learning Case Studies.

    ERIC Educational Resources Information Center

    Barker, Bruce O.

    The Office of Technology Assessment authorized a series of case studies in 1989 to investigate how technologies, services, and programs are implemented in distance education projects. The studies were also intended to look at the role of local, state, and federal agencies, and other public and private entities in providing educational services to…

  11. A cask fleet operations study

    SciTech Connect

    Not Available

    1988-03-01

    This document describes the cask fleet currently available to transport spent nuclear fuels. The report describes the proposed operational procedures for these casks and the vehicles intended to transport them. Included are techniques for loading the cask, lifting it onto the transport vehicle, preparing the invoices, and unloading the cask at the destination. The document concludes with a discussion on the maintenance and repair of the casks. (tem) 29 figs.

  12. Rainfall events and soil moisture deviations as detected by operational ASCAT soil moisture data: case study in semi-arid regions of Somalia

    NASA Astrophysics Data System (ADS)

    Doubkova, M.; Bartsch, A.; Wagner, W.

    2009-04-01

    Large and widely dispersed populations in Somalia depend on pastoralism and on rainfed and irrigated farming. Droughts and floods that have plagued the country in the course of its history were critical for the herders and farmers and have often initiated long-lasting food crises. Recently, the Somalia Water and Land Information Management (SWALIM) has initiated collaborative activities to identify and quantify the physical causes of drought for better understanding of this phenomenon and better addressing the humanitarian aid in Somalia. The soil moisture was identified as one of the parameter that may improve the drought assessment studies in Somalia. The poor accessibility and long-lasting conflicts in Somalia region caused periods of missing values in the meteorological networks that complicate or disable further weather analyses. In this study, a comparison of operational available spatial soil moisture dataset from active microwave sensor with 50 km spatial resolution - ASCAT scatterometer - with existing in-situ rainfall data is performed. The ASCAT data are processed at the Vienna University of Technology (TU WIEN), and recently became operationally available via EUMETCAST. Together with its predecessor - ERS 1/2 - the ASCAT/ERS scatterometers embrace period of 1992 until recent with existing gap over Somalia (2001-2007). The rainfall data were provided by the SWALIM organization. The focus is brought on the ability of the ASCAT scatterometer to detect first rains in the season that dictate the schedule of agricultural activities from land preparation, crop variety to selection to planting. Further, the ability to detect moisture deviations with coarse resolution soil moisture data is studied. The remote sensing data are especially important for countries like Somalia with the poor field accessibility. The improved understanding of the soil moisture data from active microwave sensor may help in interpolating data from existing in-situ networks both

  13. Sensitivity of chemistry-transport model simulations to the duration of chemical and transport operators: a case study with GEOS-Chem v10-01

    NASA Astrophysics Data System (ADS)

    Philip, Sajeev; Martin, Randall V.; Keller, Christoph A.

    2016-05-01

    Chemistry-transport models involve considerable computational expense. Fine temporal resolution offers accuracy at the expense of computation time. Assessment is needed of the sensitivity of simulation accuracy to the duration of chemical and transport operators. We conduct a series of simulations with the GEOS-Chem chemistry-transport model at different temporal and spatial resolutions to examine the sensitivity of simulated atmospheric composition to operator duration. Subsequently, we compare the species simulated with operator durations from 10 to 60 min as typically used by global chemistry-transport models, and identify the operator durations that optimize both computational expense and simulation accuracy. We find that longer continuous transport operator duration increases concentrations of emitted species such as nitrogen oxides and carbon monoxide since a more homogeneous distribution reduces loss through chemical reactions and dry deposition. The increased concentrations of ozone precursors increase ozone production with longer transport operator duration. Longer chemical operator duration decreases sulfate and ammonium but increases nitrate due to feedbacks with in-cloud sulfur dioxide oxidation and aerosol thermodynamics. The simulation duration decreases by up to a factor of 5 from fine (5 min) to coarse (60 min) operator duration. We assess the change in simulation accuracy with resolution by comparing the root mean square difference in ground-level concentrations of nitrogen oxides, secondary inorganic aerosols, ozone and carbon monoxide with a finer temporal or spatial resolution taken as "truth". Relative simulation error for these species increases by more than a factor of 5 from the shortest (5 min) to longest (60 min) operator duration. Chemical operator duration twice that of the transport operator duration offers more simulation accuracy per unit computation. However, the relative simulation error from coarser spatial resolution generally

  14. A clinical study to assess the pathological involvement of occult supraclavicular lymphnode metastasis in case of locally advanced operable breast carcinoma.

    PubMed

    Virani, S J; Patni, S; Shah, R

    2015-01-01

    The prognosis of ipsilateral supraclavicular lymph node (SCLN) recurrence after early breast cancer appears to be worse than for other locoregional recurrences, but better than for distant metastases. Prophylactic radiotherapy (RT) to supraclavicular region decreases risk of ipsilateral SCLN recurrence. Currently, all patients with locally advanced breast cancer are considered high-risk for SCLN metastasis and treated with prophylactic RT. This study is carried out to identify risk factors associated with occult SCLN metastases in locally advanced breast cancer. Total 48 female patients of all ages presenting with locally advanced carcinoma of breast who were operable by protocol criteria were included in the study. All the patients underwent modified radical mastectomy with supraclavicular lymphnode dissection. The resected specimen was processed for the histopathological analysis. Occult SCLN metastases are found in 25% (12/48) of the patients in this study. Eleven factors were identified and analyzed to know whether or not they are associated with SCLN metastasis. Of those only pathological N stage (7% for study has shown that only high axillary disease burden in terms of more than 10 node positivity or more than 75% positive node out of total dissected nodes is associated with occult supraclavicular lymphnode metastasis breast cancer.

  15. Giant-cell aortitis: an unusual case of Bentall operation.

    PubMed

    Lemaire, Anaïs; Cuttone, Fabio; Caprio, Sabino; Massetti, Massimo; Galateau-Salle, Françoise

    2014-03-01

    Noninfectious ascending aortitis is a very rare cause of ascending aortic aneurysm. We report a case of the truly fortuitous finding of this rare condition in a 67-year-old man operated on for an ascending aortic aneurysm associated with dystrophic aortic valve regurgitation. Intraoperative inspection revealed dissection of the aorta just above the left main coronary artery. A modified Bentall operation was performed. The pathological diagnosis was giant cell arteritis.

  16. [Results of Papineua's operation. Apropos of 46 cases].

    PubMed

    Roy-Camille, R; Reignier, B; Saillant, G; Berteaux, D

    1976-01-01

    The authors analyse about one and a half years later, the results of 46 Papineau operations divided in three groups depending of the initial excision. The complete healing was obtained for 44 patients and by the sole Papineau operation in 70 p. 100 of the cases, with relatively short delays: 6 months without a solution of bone continuity, 9 months with a small solution of bone continuity, 11 months in the case of major solution of bone continuity. They insist on the absence of amputation, the small number of complications and in particular of interative fractures in this series.

  17. Geothermal Case Studies

    DOE Data Explorer

    Young, Katherine

    2014-09-30

    database.) In fiscal year 2015, NREL is working with universities to populate additional case studies on OpenEI. The goal is to provide a large enough dataset to start conducting analyses of exploration programs to identify correlations between successful exploration plans for areas with similar geologic occurrence models.

  18. Case Studies in Biology.

    ERIC Educational Resources Information Center

    Zeakes, Samuel J.

    1989-01-01

    A case study writing exercise used in a course on parasitology was found to be a powerful learning experience for students because it involved discipline-based technical writing and terminology, brought the students in as evaluators, applied current learning, caused interaction among all students, and simulated real professional activities. (MSE)

  19. Effects of Intra-Operative Total Intravenous Anaesthesia with Propofol versus Inhalational Anaesthesia with Sevoflurane on Post-Operative Pain in Liver Surgery: A Retrospective Case-Control Study

    PubMed Central

    Choi, Siu Wai; Wong, Stanley Sau Ching; Chan, Albert Chi Yan; Irwin, Michael G; Cheung, Chi Wai

    2016-01-01

    Background Patients receiving total intravenous anesthesia (TIVA) with propofol have been shown to experience less postoperative pain. We evaluated the post-operative analgesic effects of propofol compared with sevoflurane maintenance of anesthesia in liver surgery. This study was registered at ClinicalTrials.gov (NCT02179437). Methods In this retrospective study, records of patients who underwent liver surgery between 2010 and 2013 were reviewed. Ninety-five patients anesthetized with propofol TIVA were matched with 95 patients anesthetized with sevoflurane. Numeric pain rating scale (NRS) pain scores, postoperative morphine consumption, side effects and patients’ satisfaction with pain relief were evaluated. Results The TIVA group reported lower NRS pain scores during coughing on postoperative days 1 and 2 but not 3 (p = 0.0127, p = 0.0472, p = 0.4556 respectively). They also consumed significantly less daily (p = 0.001 on day 1, p = 0.0231 on day 2, p = 0.0004 on day 3), accumulative (p = 0.001 on day 1, p<0.0001 on day 2 and p = 0.0064 on day 3) and total morphine (p = 0.03) when compared with the sevoflurane group. There were no differences in total duration of intravenous patient controlled analgesia (PCA) morphine use and patient satisfaction. No difference was found in reported side effects. Conclusion Patients anesthetized with propofol TIVA reported less pain during coughing and consumed less daily, accumulative and total morphine after liver surgery. PMID:26901037

  20. [Endothoracic goiter operated on by cervicosternotomy. Apropos of 18 cases].

    PubMed

    Cougard, P; Vanet, S; Matet, P; Goudet, P; Viard, H

    From 1968 to 1992, 18 sternotomies were performed on a total amount of 225 operated substernal goiters (8% of cases). These operations concerned 14 females and 4 males aged of about 67.8 years. 7 patients had already been operated of a goiter within 1 to 50 years. The substernal goiter was discovered on a systematic x ray chest 5 times, and a x-ray scanner once, also clinical symptoms were still present with compressive troubles in 16 times (particularly acute dyspnea 3 times). The sternotomy was always total. It was only required if the operative problems were important at the time of the cervicotomy. Indications for sternotomy were:--impossibility to extraction due to the volume of the goiter 10 times, (including 5 recurrent goiters), independent retrosternal goiter without cervical connexion, 2 times (including 2 recurrent goiters), hemorrhagic linkage, 3 times, invasive cancer, 3 times. Excluding the 3 invasive cancers, the mortality was inexistant and the morbidity very low, especially without respiratory problems. Post operative complications were 2 definitive hypoparathyroidism and 1 regressive recurrential palsy (plus 2 recurrential palsy still present before the operation). The authors pointed out the good tolerance of the sternotomy which, in special case, should be absolutely preferable the cervicotomy alone, in order to reduce the operative risks, especially hemorrhagic and nervous.

  1. Recirculating industrial air: The impact on air compliance and workers` safety case study -- Hill Air Force Base C-130 painting operations. Final report, September 1996--July 1998

    SciTech Connect

    LaPuma, P.T.

    1998-07-20

    Recent Clean Air Act regulations require industries, including aircraft painting facilities, to capture volatile organic compound (VOC) emissions. Because aircraft painting contaminates large airflows with traces of VOCs, conventional air control systems would be prohibitively expensive to apply. Recirculating a portion of the air back into the facility is an option to reduce the amount of air to be treated. A computer model is presented that will calculate air control costs and chemical concentrations at selected recirculation levels. Air concentrations are compared to occupational exposure limits (OELs) to analyze worker safety. The model has a chemical database containing over 1300 chemicals. A case study has been performed on a C-130 aircraft painting facility at Hill Air Force Base, Utah. The model predicts strontium chromate concentrations during application of primer paints will reach 1000 times the OEL, and that the concentration will increase by only 1 or 2% at 90% recirculation. Exposures to strontium chromate and other particulate contaminants are affected only slightly by recirculation because airborne solids are removed efficiently when the air is filtered prior to recirculation. The respiratory protection required for the strontium chromate adequately protects workers from increased concentrations of volatile chemicals, which are caused by recirculation. The model demonstrates that recirculating 75% of the air at the Hill AFB facility has a negligible impact on safety and could save $2.7 million on the initial expenses of a VOC control system.

  2. [Microcirculation changes after polarized polychromatic light use in preoperative period in cases of face cosmetic operations].

    PubMed

    Ishmamet'ev, I I; Deriabin, E I; Zharov, V V; Ishmamet'ev, I L; Tochilova, E R

    2008-01-01

    Action of polarized polychromatic light used in preoperative period in cases of face cosmetic operations was studied upon microcirculatory bed status in operative zone. Morphometry showed that number of vessels in vision field in patients of the study group came to 173% of the such in the control group, vessel's area - 251% of the such in the control group. The data received confirmed that polarized polychromatic light use in preoperative period is effective method to improve microcirculatory bed status in operative zone.

  3. The deployment of a tissue request tracking system for the CHTN: a case study in managing change in informatics for biobanking operations

    PubMed Central

    2010-01-01

    Background Managing change has not only been recognized as an important topic in medical informatics, but it has become increasingly important in translational informatics. The move to share data, together with the increasing complexity and volume of the data, has precipitated a transition from locally stored worksheet and flat files to relational data bases with object oriented interfaces for data storage and retrieval. While the transition from simple to complex data structures, mirroring the transition from simple to complex experimental technologies, seems natural, the human factor often fails to be adequately addressed leading to failures in managing change. Methods We describe here a case study in change management applied to an application in translational informatics that touches upon changes in hardware, software, data models, procedures, and terminology standards. We use the classic paper by Riley and Lorenzi to dissect the problems that arose, the solutions that were implemented, and the lessons learned. Results The entire project from requirements gathering through completion of migration of the system took three years. Double data entry into the old and new systems persisted for six months. Contributing factors hindering progress and solutions to facilitate managing the change were identified in seven of the areas identified by Riley and Lorenzi: communications, cultural changes in work practice, scope creep, leadership and organizational issues, and training. Conclusions Detailed documentation of the agreed upon requirements for the new system along with ongoing review of the sources of resistance to change as defined by Riley and Lorenzi were the most important steps taken that contributed to the success of the project. Cultural changes in tissue collection mandated by standards requirements introduced by the Cancer Bioinformatics Grid (CaBIG®) and excessive reliance on the outgoing system during a lengthy period of dual data entry were the primary

  4. The deployment of a tissue request tracking system for the CHTN: a case study in managing change in informatics for biobanking operations.

    PubMed

    Edgerton, Mary E; Grizzle, William E; Washington, M Kay

    2010-06-02

    Managing change has not only been recognized as an important topic in medical informatics, but it has become increasingly important in translational informatics. The move to share data, together with the increasing complexity and volume of the data, has precipitated a transition from locally stored worksheet and flat files to relational data bases with object oriented interfaces for data storage and retrieval. While the transition from simple to complex data structures, mirroring the transition from simple to complex experimental technologies, seems natural, the human factor often fails to be adequately addressed leading to failures in managing change. We describe here a case study in change management applied to an application in translational informatics that touches upon changes in hardware, software, data models, procedures, and terminology standards. We use the classic paper by Riley and Lorenzi to dissect the problems that arose, the solutions that were implemented, and the lessons learned. The entire project from requirements gathering through completion of migration of the system took three years. Double data entry into the old and new systems persisted for six months. Contributing factors hindering progress and solutions to facilitate managing the change were identified in seven of the areas identified by Riley and Lorenzi: communications, cultural changes in work practice, scope creep, leadership and organizational issues, and training. Detailed documentation of the agreed upon requirements for the new system along with ongoing review of the sources of resistance to change as defined by Riley and Lorenzi were the most important steps taken that contributed to the success of the project. Cultural changes in tissue collection mandated by standards requirements introduced by the Cancer Bioinformatics Grid (CaBIG) and excessive reliance on the outgoing system during a lengthy period of dual data entry were the primary sources of resistance to change.

  5. SEASAT economic assessment. Volume 6: Arctic operations case study and generalization. [economic benefits of SEASAT satellites to oil exploration in the Arctic

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The hypothetical development and transportation of Arctic oil and other resources by ice breaking super tanker fleets to the continental East Coast are discussed. The utilization of SEASAT ice mapping data is shown to contribute to a more effective transportation operation through the Arctic ice by reducing transportation costs as a consequence of reduced transit time per voyage.

  6. A prospective, randomised, controlled study examining binaural beat audio and pre-operative anxiety in patients undergoing general anaesthesia for day case surgery.

    PubMed

    Padmanabhan, R; Hildreth, A J; Laws, D

    2005-09-01

    Pre-operative anxiety is common and often significant. Ambulatory surgery challenges our pre-operative goal of an anxiety-free patient by requiring people to be 'street ready' within a brief period of time after surgery. Recently, it has been demonstrated that music can be used successfully to relieve patient anxiety before operations, and that audio embedded with tones that create binaural beats within the brain of the listener decreases subjective levels of anxiety in patients with chronic anxiety states. We measured anxiety with the State-Trait Anxiety Inventory questionnaire and compared binaural beat audio (Binaural Group) with an identical soundtrack but without these added tones (Audio Group) and with a third group who received no specific intervention (No Intervention Group). Mean [95% confidence intervals] decreases in anxiety scores were 26.3%[19-33%] in the Binaural Group (p = 0.001 vs. Audio Group, p < 0.0001 vs. No Intervention Group), 11.1%[6-16%] in the Audio Group (p = 0.15 vs. No Intervention Group) and 3.8%[0-7%] in the No Intervention Group. Binaural beat audio has the potential to decrease acute pre-operative anxiety significantly.

  7. Developing Job Literacy Training Programs for Business and Industry: A Case Study of Literacy Training to Prepare CETA Eligible Workers as Competitive Word-Processor Operators.

    ERIC Educational Resources Information Center

    Mikulecky, Larry

    A Chicago area private consulting firm worked in cooperation with the Comprehensive Employment and Training Act (CETA) program to train applicants in word processing operations. Careful task analyses of on-the-job word processing were used to develop a curriculum based on realistic goals and expectations. Small groups of CETA eligible applicants…

  8. Qualitative Case Study Guidelines

    DTIC Science & Technology

    2013-11-01

    methods in public relations and marketing communications. New York, Routledge 166-185 13. Denzin , N. K. (1978) The Research Act: A Theoretical...Introduction to Sociological Methods. 2nd ed. New York, McGraw-Hill 14. Denzin , N. K. and Lincoln, Y. S. (2011) The SAGE Handbook of Qualitative...The Art of Science. In: Denzin , N. K. and Lincoln, Y. S. (eds.) Handbook of Qualitative Research. Thousand Oaks, Sage 19. GAO (1990) Case Study

  9. Remediation case studies: Bioremediation

    SciTech Connect

    1995-03-01

    The purpose of this report is to provide case studies of site cleanup projects utilizing bioremediation. This volume contains reports on nine projects that include bioventing and land treatment technologies, as well as a unique, large-scale slurry-phase project. In these projects, petroleum hydrocarbons are the most frequent contaminants of concern. Two land treatment projects in this volume represent completed cleanups at creosote sites.

  10. A Proposed Resident's Operative Case Tracking and Evaluation System.

    PubMed

    Sehli, Deema N; Esene, Ignatius N; Baeesa, Saleh S

    2016-03-01

    Neurosurgery program trainers are continuously searching for new methods to evaluate trainees' competency besides number of cases and training duration. Recently, efforts are made on the development of reliable methods to teach competency and valid methods to measure teaching efficacy. Herein, we propose the "Resident's Operative Case Tracking and Evaluation System" (ROCTES) for the assessment and monitoring of the resident's performance quality during each procedure. We developed a data-based website and smartphone application for neurosurgical attending physicians, residents, and resident review committees in our accredited neurosurgical institutions. ROCTES runs through five steps: Login (Resident), Case Entry, Login (Attending Physician), Case Approval and Evaluation, and Report. The Resident enters each case record under "Case Entry" field and can "save," "edit," or "submit" the case data to the Attending Physician. The latter from the attending physician login profile will be able to "approve and evaluate" the resident's "knowledge," "skills," and "attitude" ranking from 1 to 15 for that particular case; add his comments and then "save," "edit," or "submit" the data, which can be viewed by users as a "report." Program Directors can also "login" to monitor the resident's progress. The implementation of this communication tool should enable the filtering and retrieval of information needed for the better assessment and monitoring of residents' exposure to variety of cases in each training center. This proposed evaluation system will provide a transparent assessment for residency training programs and should convert trainees into competent neurosurgeons. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. The potential of coordinated reservoir operation for flood mitigation in large basins - A case study on the Bavarian Danube using coupled hydrological-hydrodynamic models

    NASA Astrophysics Data System (ADS)

    Seibert, S. P.; Skublics, D.; Ehret, U.

    2014-09-01

    The coordinated operation of reservoirs in large-scale river basins has great potential to improve flood mitigation. However, this requires large scale hydrological models to translate the effect of reservoir operation to downstream points of interest, in a quality sufficient for the iterative development of optimized operation strategies. And, of course, it requires reservoirs large enough to make a noticeable impact. In this paper, we present and discuss several methods dealing with these prerequisites for reservoir operation using the example of three major floods in the Bavarian Danube basin (45,000 km2) and nine reservoirs therein: We start by presenting an approach for multi-criteria evaluation of model performance during floods, including aspects of local sensitivity to simulation quality. Then we investigate the potential of joint hydrologic-2d-hydrodynamic modeling to improve model performance. Based on this, we evaluate upper limits of reservoir impact under idealized conditions (perfect knowledge of future rainfall) with two methods: Detailed simulations and statistical analysis of the reservoirs' specific retention volume. Finally, we investigate to what degree reservoir operation strategies optimized for local (downstream vicinity to the reservoir) and regional (at the Danube) points of interest are compatible. With respect to model evaluation, we found that the consideration of local sensitivities to simulation quality added valuable information not included in the other evaluation criteria (Nash-Sutcliffe efficiency and Peak timing). With respect to the second question, adding hydrodynamic models to the model chain did, contrary to our expectations, not improve simulations, despite the fact that under idealized conditions (using observed instead of simulated lateral inflow) the hydrodynamic models clearly outperformed the routing schemes of the hydrological models. Apparently, the advantages of hydrodynamic models could not be fully exploited when

  12. Exploration case studies

    NASA Astrophysics Data System (ADS)

    Underwood, Jimmy M.

    1989-04-01

    NASA's Office of Exploration has undertaken four case studies for prospective expansion of manned space activities beyond earth orbit. The subjects of these studies are (1) an expedition to the Martian moon Phobos; (2) a three-mission expedition to Mars; (3) the construction of a man-tended lunar observatory; and (4) the construction of a lunar outpost to serve as the basis for construction of a Martian outpost. The fourth alternative would follow the recommendation of the National Commission on Space for the creation of a 'bridge between worlds' in which explorers would develop ways in which to 'live off the land' in a space environment.

  13. Enhancing orbital servicing operations: Providing positive and effective management of spare and installed hardware - A case study of the Hubble Space Telescope

    NASA Technical Reports Server (NTRS)

    Randolph, Joseph L.; Shepard, Kenneth E.

    1990-01-01

    The Satellite Resources Management and Tracking System was developed specifically for the Hubble Space Telescope (HST) program, and now, NASA has the ability to immediately access the necessary data for planning successful orbital satellite servicing operations. This system is an online, real-time data base system that contains a plethora of data on each item identified to support the HST throughout its planned 15 year life. Some of the information provided includes the current status, location, quantity, and history of each asset, a separate record for each discrete serial numbered item, procurement lead times on items sensitive to technology obsolescence, and the maintenance and repair history of each asset. Finally, details are provided on organizational, operational and logistics requirements.

  14. Enhancing orbital servicing operations: Providing positive and effective management of spare and installed hardware - A case study of the Hubble Space Telescope

    NASA Technical Reports Server (NTRS)

    Randolph, Joseph L.; Shepard, Kenneth E.

    1990-01-01

    The Satellite Resources Management and Tracking System was developed specifically for the Hubble Space Telescope (HST) program, and now, NASA has the ability to immediately access the necessary data for planning successful orbital satellite servicing operations. This system is an online, real-time data base system that contains a plethora of data on each item identified to support the HST throughout its planned 15 year life. Some of the information provided includes the current status, location, quantity, and history of each asset, a separate record for each discrete serial numbered item, procurement lead times on items sensitive to technology obsolescence, and the maintenance and repair history of each asset. Finally, details are provided on organizational, operational and logistics requirements.

  15. Bridging the accountability divide: male circumcision planning in Rwanda as a case study in how to merge divergent operational planning approaches.

    PubMed

    McPherson, Dacia B; Balisanga, Helene N; Mbabazi, Jennifer K

    2014-10-01

    When voluntary medical male circumcision (MC) was confirmed as an effective tool for HIV prevention in sub-Saharan Africa in 2007, many public health policy makers and practitioners were eager to implement the intervention. How to roll out the tool as part of comprehensive strategy however was less clear. At the time, very little was known about the capacity of health systems to scale delivery of the new intervention. Today, nearly all countries prioritized for the intervention are far behind their targets. To contribute to the discourse on why this is, we develop a historical analysis of medical MC planning in sub-Saharan Africa using our own experience of this process in Rwanda. We compare our previously unpublished feasibility analysis from 2008 with international research published in 2009, which suggested how Rwanda could reduce HIV incidence through a rapid MC intervention, and Rwanda's eventual 2010 official operational plan. We trace how, in the face of uncertainty, operational plans avoided discussing the details of feasibility and focused instead on defining optimal circumcision capacity needed to achieve country level target reductions in HIV incidence. We show a distinct gap between the targets set in the official operational plan and what we determined was feasible in 2008. With actual data from the ground now available, we show our old feasibility models more closely approximate circumcision delivery rates to date. With an eye toward the future of long-term policy planning, we discuss the mechanics of how accountability gaps like this occur in global health policy making and how practitioners can better create achievable operational targets.

  16. There Are No New Lessons Learned, Just Old Lessons Relearned: A Case Study of Operation Iraqi Freedom Through the Eyes of Maslow

    DTIC Science & Technology

    2010-04-05

    hierarchy of needs as a way to examine key decisions made by the Coalition Provision Authority (CPA) and the impacts those decisions had on the Iraqi...Operation Iraqi Freedom, Maslow’s Hierarchy of Needs , Iraq 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF 18. NUMBER ABSTRACT OF PAGES uu 40 a...Conclusion Limitations and Future Research EndNotes Chronology of Events Appendix A: Maslow’s Hierarchy of Needs Diagram Appendix B: Polling Data

  17. Design aspects of zeppelin operations from case histories

    NASA Technical Reports Server (NTRS)

    Maiersperger, W. P.

    1975-01-01

    Some widely held beliefs concerning the practicability of rigid airships in air carrier operations are discussed. It is shown by a review of past operational experience, and some basic aerostatic theory, their actual record and the reasons for their demise. Problems of atmospheric density and temperature variations, meteorological factors, aerodynamic stability and control, and mooring difficulties are discussed and related to actual case histories. Structural and flight efficiencies are compared to airplane efficiencies for airplanes contemporary with the zeppelin as well as modern designs. The difficulty of supporting new, commercial airship developments on an economic basis is made clear.

  18. Mineral scale management. Part 1, Case studies

    Treesearch

    Peter W. Hart; Alan W. Rudie

    2006-01-01

    Mineral scale increases operating costs, extends downtime, and increases maintenance requirements. This paper presents several successful case studies detailing how mills have eliminated scale. Cases presented include calcium carbonate scale in a white liquor strainer, calcium oxalate scale in the D0 stage of the bleach plant, enzymatic treatment of brown stock to...

  19. [Deep brain stimulation in a patient with ocd and the intensive pre- and post-operative psychiatric/psychotherapeutic follow-up. A case study].

    PubMed

    Corveleyn, P; Nuttin, B; Gabriëls, L

    2013-01-01

    Deep brain stimulation (DBS) is a neurosurgical intervention carried out in meticulously selected patients with a therapy-resistant obsessive-compulsive disorder (OCD). We describe the pre- and post-operative psychiatric care given to a 51-year-old woman before, during and after treatment with deep brain stimulation. The psychiatric follow-up included an intensive search for the optimal stimulation parameters, and considerable attention was given to psycho-education, psychotherapy and counselling. The procedure resulted in a marked improvement in the patient's OCD and made it easier for the patient to re-construct a meaningful life.

  20. Five case studies of multifamily weatherization programs

    SciTech Connect

    Kinney, L; Wilson, T.; Lewis, G.; MacDonald, M.

    1997-12-31

    The multifamily case studies that are the subject of this report were conducted to provide a better understanding of the approach taken by program operators in weatherizing large buildings. Because of significant variations in building construction and energy systems across the country, five states were selected based on their high level of multifamily weatherization. This report summarizes findings from case studies conducted by multifamily weatherization operations in five cities. The case studies were conducted between January and November 1994. Each of the case studies involved extensive interviews with the staff of weatherization subgrantees conducting multifamily weatherization, the inspection of 4 to 12 buildings weatherized between 1991 and 1993, and the analysis of savings and costs. The case studies focused on innovative techniques which appear to work well.

  1. Network Centric Warfare Case Study: U.S. V Corps and 3rd Infantry Division (Mechanized) During Operation Iraqi Freedom Combat Operations (Mar-Apr 2003). Volume 2: Command, Control, Communications and Computer Architectures

    DTIC Science & Technology

    2003-01-01

    bandwidth, network, wireless, router, mouse, click, dotcom , nanosecond, and more) invaded the vernacular and began to shape the way we think. Visions of...Command TRI-TAC Tri-service Tactical Communications System TROPO Tropospheric scatter radio TS/SCI top secret /sensitive compartmented information TTP...DSVT can operate in both a secure and nonsecure mode. In the secure mode, the DSVT receives its crypto key from the circuit switch up to the secret

  2. Greenland Ice Sheet Program. 1979. Phase 1. Casing Operation.

    DTIC Science & Technology

    1980-06-01

    A-l0-1119 699 COLD. REGIONS RESEARCH AND ENGINEERING LAS HANOVER NH F/6 8/12 GREENLAND ICE SHEET PROGRAM. 1979. PHASE 1. CASING OPERATION. (U) JNAB J...Thermal drills Drills Glac iology Greenland 124 AnRACr (cimEaeu m reverse ssNnouiesaw ad Middfr by block nmber) )A modified CHREL thermal drill was used at...DYE-3 in Greenland to drill a 8.T5-in.-diamneter hole 251 ft deep for the installation of a steel casing. This activity was accomplished by a drill

  3. Sensitivity of chemical transport model simulations to the duration of chemical and transport operators: a case study with GEOS-Chem v10-01

    NASA Astrophysics Data System (ADS)

    Philip, S.; Martin, R. V.; Keller, C. A.

    2015-11-01

    Chemical transport models involve considerable computational expense. Fine temporal resolution offers accuracy at the expense of computation time. Assessment is needed of the sensitivity of simulation accuracy to the duration of chemical and transport operators. We conduct a series of simulations with the GEOS-Chem chemical transport model at different temporal and spatial resolutions to examine the sensitivity of simulated atmospheric composition to temporal resolution. Subsequently, we compare the tracers simulated with operator durations from 10 to 60 min as typically used by global chemical transport models, and identify the timesteps that optimize both computational expense and simulation accuracy. We found that longer transport timesteps increase concentrations of emitted species such as nitrogen oxides and carbon monoxide since a more homogeneous distribution reduces loss through chemical reactions and dry deposition. The increased concentrations of ozone precursors increase ozone production at longer transport timesteps. Longer chemical timesteps decrease sulfate and ammonium but increase nitrate due to feedbacks with in-cloud sulfur dioxide oxidation and aerosol thermodynamics. The simulation duration decreases by an order of magnitude from fine (5 min) to coarse (60 min) temporal resolution. We assess the change in simulation accuracy with resolution by comparing the root mean square difference in ground-level concentrations of nitrogen oxides, ozone, carbon monoxide and secondary inorganic aerosols with a finer temporal or spatial resolution taken as truth. Simulation error for these species increases by more than a factor of 5 from the shortest (5 min) to longest (60 min) temporal resolution. Chemical timesteps twice that of the transport timestep offer more simulation accuracy per unit computation. However, simulation error from coarser spatial resolution generally exceeds that from longer timesteps; e.g. degrading from 2° × 2.5° to 4° × 5

  4. Solid-liquid two-phase partitioning bioreactors (TPPBs) operated with waste polymers. Case study: 2,4-dichlorophenol biodegradation with used automobile tires as the partitioning phase.

    PubMed

    Tomei, M Concetta; Annesini, M Cristina; Daugulis, Andrew J

    2012-11-01

    Used automobile tire pieces were tested for their suitability as the sequestering phase in a two-phase partitioning bioreactor to treat 2,4-dichlorophenol (DCP). Abiotic sorption tests and equilibrium partitioning tests confirmed that tire "crumble" possesses very favourable properties for this application with DCP diffusivity (4.8 × 10(-8) cm(2)/s) and partition coefficient (31) values comparable to those of commercially available polymers. Biodegradation tests further validated the effectiveness of using waste tires to detoxify a DCP solution, and allow for enhanced biodegradation compared to conventional single-phase operation. These results establish the potential of using a low-cost waste material to assist in the bioremediation of a toxic aqueous contaminant.

  5. Case study of the operational usefulness of the Sharp Workstation in forecasting a mesocyclone-induced cold sector Tornado event in California. Technical memo

    SciTech Connect

    Monteverdi, J.P.

    1993-03-01

    An illustration of the operational usefulness of the SHARP Workstation in providing supplementary guidance to forecasters in a situation in which two tornadoes occurred in California's Sacramento Valley is presented. Use of the SHARP Workstation in analyzing the initial hodograph and in producing a bogus afternoon sounding and hodograph for the Sacramento Valley indicated that buoyancy and shear were in the correct range for moderate to strong mesocyclone-induced tornadoes. Conventional wisdom would have suggested that weak funnel clouds and small hail were the chief threats in the weather pattern. However, forecasters, aware of the role of shear in inducing storm rotation and of the potential for the weather pattern to be associated with favorable buoyancy and shear parameters in certain regions of California, would have been alert to the possibility of damaging and potentially life-threatening tornadoes.

  6. An Integrated Ensemble-Based Operational Framework to Predict Urban Flooding: A Case Study of Hurricane Sandy in the Passaic and Hackensack River Basins

    NASA Astrophysics Data System (ADS)

    Saleh, F.; Ramaswamy, V.; Georgas, N.; Blumberg, A. F.; Wang, Y.

    2016-12-01

    Advances in computational resources and modeling techniques are opening the path to effectively integrate existing complex models. In the context of flood prediction, recent extreme events have demonstrated the importance of integrating components of the hydrosystem to better represent the interactions amongst different physical processes and phenomena. As such, there is a pressing need to develop holistic and cross-disciplinary modeling frameworks that effectively integrate existing models and better represent the operative dynamics. This work presents a novel Hydrologic-Hydraulic-Hydrodynamic Ensemble (H3E) flood prediction framework that operationally integrates existing predictive models representing coastal (New York Harbor Observing and Prediction System, NYHOPS), hydrologic (US Army Corps of Engineers Hydrologic Modeling System, HEC-HMS) and hydraulic (2-dimensional River Analysis System, HEC-RAS) components. The state-of-the-art framework is forced with 125 ensemble meteorological inputs from numerical weather prediction models including the Global Ensemble Forecast System, the European Centre for Medium-Range Weather Forecasts (ECMWF), the Canadian Meteorological Centre (CMC), the Short Range Ensemble Forecast (SREF) and the North American Mesoscale Forecast System (NAM). The framework produces, within a 96-hour forecast horizon, on-the-fly Google Earth flood maps that provide critical information for decision makers and emergency preparedness managers. The utility of the framework was demonstrated by retrospectively forecasting an extreme flood event, hurricane Sandy in the Passaic and Hackensack watersheds (New Jersey, USA). Hurricane Sandy caused significant damage to a number of critical facilities in this area including the New Jersey Transit's main storage and maintenance facility. The results of this work demonstrate that ensemble based frameworks provide improved flood predictions and useful information about associated uncertainties, thus

  7. The Case for Using Computers in the Operating Room

    PubMed Central

    Ball, Marion J.; Douglas, Judith V.; Warnock-Matheron, Ann; Hannah, Kathryn J.

    1986-01-01

    The largest cost center and revenue generator in most hospitals, the operating room is subject to demands for increased cost accountability and quality assurance. Information technology tools can be incorporated into the operating room and have the potential to positively affect practices there through addressing nursing, administrative/financial and medical needs. Microcomputer-based operating room systems now on the market can provide functions from scheduling and case costing to medical records and market analysis. Of 21 functions identified, 10 can be characterized as mandatory and the remaining as optional. Individual systems offer varied configurations, providing from 0 to 21 functions. These enhanced capabilities for data collection, monitoring and analysis enable health care professionals to provide both better and more cost-effective care for surgical patients. PMID:3811351

  8. Conducting and Reporting Case Studies.

    ERIC Educational Resources Information Center

    Lichtman, Merilyn; Taylor, Satomi Izumi

    Issues and elements of case study research are explored and illustrated with the example of a case study of a kindergarten in a suburb of Tokyo (Japan). Case study research is a type of qualitative research that concentrates on a single unit or entity, with boundaries established by the researcher. The case is an example drawn from a larger class,…

  9. Third Class Broadcast Operator Permit Study Guide.

    ERIC Educational Resources Information Center

    Federal Communications Commission, Washington, DC.

    The study guide contains reference material necessary for the applicant preparing to take the Federal Communications Commission (FCC) examination for a Radiotelephone Third Class Operator Permit with the endorsement to operate certain AM and FM broadcast radio stations. To obtain a permit, the applicant must successfully complete examination…

  10. Operation costs and pollutant emissions reduction by definition of new collection scheduling and optimization of MSW collection routes using GIS. The case study of Barreiro, Portugal.

    PubMed

    Zsigraiova, Zdena; Semiao, Viriato; Beijoco, Filipa

    2013-04-01

    This work proposes an innovative methodology for the reduction of the operation costs and pollutant emissions involved in the waste collection and transportation. Its innovative feature lies in combining vehicle route optimization with that of waste collection scheduling. The latter uses historical data of the filling rate of each container individually to establish the daily circuits of collection points to be visited, which is more realistic than the usual assumption of a single average fill-up rate common to all the system containers. Moreover, this allows for the ahead planning of the collection scheduling, which permits a better system management. The optimization process of the routes to be travelled makes recourse to Geographical Information Systems (GISs) and uses interchangeably two optimization criteria: total spent time and travelled distance. Furthermore, rather than using average values, the relevant parameters influencing fuel consumption and pollutant emissions, such as vehicle speed in different roads and loading weight, are taken into consideration. The established methodology is applied to the glass-waste collection and transportation system of Amarsul S.A., in Barreiro. Moreover, to isolate the influence of the dynamic load on fuel consumption and pollutant emissions a sensitivity analysis of the vehicle loading process is performed. For that, two hypothetical scenarios are tested: one with the collected volume increasing exponentially along the collection path; the other assuming that the collected volume decreases exponentially along the same path. The results evidence unquestionable beneficial impacts of the optimization on both the operation costs (labor and vehicles maintenance and fuel consumption) and pollutant emissions, regardless the optimization criterion used. Nonetheless, such impact is particularly relevant when optimizing for time yielding substantial improvements to the existing system: potential reductions of 62% for the total

  11. Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving operational changes in a labor and delivery ward.

    PubMed

    Hamman, William R; Beaudin-Seiler, Beth M; Beaubien, Jeffrey M; Gullickson, Amy M; Orizondo-Korotko, Krystyna; Gross, Amy C; Fuqua, Wayne; Lammers, Richard

    2010-01-01

    Since the publication of "To Err Is Human" in 1999, health care professionals have looked to high-reliability industries such as aviation for guidance on improving system safety. One of the most widely adopted aviation-derived approaches is simulation-based team training, also known as crew resource management training. In the health care domain, crew resource management training often takes place in custom-built simulation laboratories that are designed to replicate operating rooms or labor and delivery rooms. Unlike these traditional crew resource management training programs, "in situ simulation" occurs on actual patient care units, involves actual health care team members, and uses actual organization processes to train and assess team performance. During the past 24 months, our research team has conducted nearly 40 in situ simulations. In this article, we present the results from 1 such simulation: a patient who experienced a difficult labor that resulted in an emergency caesarian section and hysterectomy. During the simulation, a number of latent environmental threats to safety were identified. This article presents the latent threats and the steps that the hospital has taken to remedy them.

  12. PREDICT : A CASE STUDY.

    SciTech Connect

    Kerscher, W. J. III; Booker, J. M.; Meyer, Mary A.

    2001-01-01

    Delphi Automotive Systems and the Los Alamos National Laboratory worked together to develop PREDICT, a new methodology to characterize the reliability of a new product during its development program. Rather than conducting testing after hardware has been built, and developing statistical confidence bands around the results, this updating approach starts with an early reliability estimate characterized by large uncertainty, and then proceeds to reduce the uncertainty by folding in fresh information in a Bayesian framework. A considerable amount of knowledge is available at the beginning of a program in the form of expert judgment which helps to provide the initial estimate. This estimate is then continually updated as substantial and varied information becomes available during the course of the development program. This paper presents a case study of the application of PREDICT, with the objective of further describing the methodology. PREDICT has been honored with an R&D 100 Award presented by R&D Magazine.

  13. ELECTROMAGNETISM, OPTICS, ACOUSTICS, HEAT TRANSFER, CLASSICAL MECHANICS, AND FLUID DYNAMICS: Optical Operator Method in Two-Mode Case and Entangled Fresnel Operator's Decomposition

    NASA Astrophysics Data System (ADS)

    Ma, Shan-Jun; Hu, Li-Yun; Fan, Hong-Yi

    2010-05-01

    Based on the entangled Fresnel operator (EFO) proposed in [Commun. Theor. Phys. 46 (2006) 559], the optical operator method studied by the IWOP technique (Ma et al., Commun. Theor. Phys. 49 (2008) 1295) is extended to the two-mode case, which gives the decomposition of the entangled Fresnel operator, corresponding to the decomposition of ray transfer matrix [A, B, C, D]. The EFO can unify those optical operators in two-mode case. Various decompositions of EFO into the exponential canonical operators are obtained. The entangled state representation is useful in the research.

  14. An Investigation of Run-Time Operations in a Heterogeneous Desktop Grid Environment: The Texas Tech University Desktop Grid Case Study

    ERIC Educational Resources Information Center

    Perez, Jerry F.

    2013-01-01

    The goal of the dissertation study was to evaluate the existing DG scheduling algorithm. The evaluation was developed through previously explored simulated analyses of DGs performed by researchers in the field of DG scheduling optimization and to improve the current RT framework of the DG at TTU. The author analyzed the RT of an actual DG, thereby…

  15. An Investigation of Run-Time Operations in a Heterogeneous Desktop Grid Environment: The Texas Tech University Desktop Grid Case Study

    ERIC Educational Resources Information Center

    Perez, Jerry F.

    2013-01-01

    The goal of the dissertation study was to evaluate the existing DG scheduling algorithm. The evaluation was developed through previously explored simulated analyses of DGs performed by researchers in the field of DG scheduling optimization and to improve the current RT framework of the DG at TTU. The author analyzed the RT of an actual DG, thereby…

  16. Power in Operation: A Case Study Focussing on How Subject-Based Knowledge Is Constrained by the Methods of Assessment in GCE A Level Dance

    ERIC Educational Resources Information Center

    Sanders, Lorna

    2008-01-01

    The General Certificate of Education (GCE) A Level Dance specification, offered by the Assessment and Qualifications Alliance (AQA), is the only GCE course of study in the UK that focuses solely on dance. Acquisition of subject specific knowledge is a feature of its aims, while assessment, as constructed by its objectives, is assumed to be a…

  17. Responses of spatial-temporal dynamics of bacterioplankton community to large-scale reservoir operation: a case study in the Three Gorges Reservoir, China

    PubMed Central

    Li, Zhe; Lu, Lunhui; Guo, Jinsong; Yang, Jixiang; Zhang, Jiachao; He, Bin; Xu, Linlin

    2017-01-01

    Large rivers are commonly regulated by damming, yet the effects of such disruption on bacterioplankton community structures have not been adequately studied. The aim of this study was to explore the biogeographical patterns present under dam regulation and to uncover the major drivers structuring bacterioplankton communities. Bacterioplankton assemblages in the Three Gorges Reservoir (TGR) were analyzed using Illumina Miseq sequencing by comparing seven sites located within the TGR before and after impoundment. This approach revealed ecological and spatial-temporal variations in bacterioplankton community composition along the longitudinal axis. The community was dynamic and dominated by Proteobacteria and Actinobacteria phyla, encompassing 39.26% and 37.14% of all sequences, respectively, followed by Bacteroidetes (8.67%) and Cyanobacteria (3.90%). The Shannon-Wiener index of the bacterioplankton community in the flood season (August) was generally higher than that in the impoundment season (November). Principal Component Analysis of the bacterioplankton community compositions showed separation between different seasons and sampling sites. Results of the relationship between bacterioplankton community compositions and environmental variables highlighted that ecological processes of element cycling and large dam disturbances are of prime importance in driving the assemblages of riverine bacterioplankton communities. PMID:28211884

  18. Which data for quantitative landslide susceptibility mapping at operational scale? Case study of the Pays d'Auge plateau hillslopes (Normandy, France)

    NASA Astrophysics Data System (ADS)

    Fressard, M.; Thiery, Y.; Maquaire, O.

    2013-04-01

    The objective of this paper is to assess the impact of the datasets quality for the landslide susceptibility mapping using multivariate statistical modelling methods at detailed scale. This research is conducted in the Pays d'Auge plateau (Normandy, France) with a scale objective of 1/10000, in order to fit the French guidelines on risk assessment. Five sets of data of increasing quality (considering accuracy, scale fitting, geomophological significance) and cost of acquisition are used to map the landslide susceptibility using logistic regression. The best maps obtained with each set of data are compared on the basis of different statistical accuracy indicators (ROC curves and relative error calculation), linear cross correlation and expert opinion. The results highlights that only high quality sets of data supplied with detailed geomorphological variables (i.e. field inventory and surficial formations maps) can predict a satisfying proportion of landslides on the study area.

  19. Which data for quantitative landslide susceptibility mapping at operational scale? Case study of the Pays d'Auge plateau hillslopes (Normandy, France)

    NASA Astrophysics Data System (ADS)

    Fressard, M.; Thiery, Y.; Maquaire, O.

    2014-03-01

    This paper aims at assessing the impact of the data set quality for landslide susceptibility mapping using multivariate statistical modelling methods at detailed scale. This research is conducted on the Pays d'Auge plateau (Normandy, France) with a scale objective of 1 / 10 000, in order to fit the French guidelines on risk assessment. Five sets of data of increasing quality (considering accuracy, scale fitting, and geomorphological significance) and cost of acquisition are used to map the landslide susceptibility using logistic regression. The best maps obtained with each set of data are compared on the basis of different statistical accuracy indicators (ROC curves and relative error calculation), linear cross correlation and expert opinion. The results highlight that only high-quality sets of data supplied with detailed geomorphological variables (i.e. field inventory and surficial formation maps) can predict a satisfying proportion of landslides in the study area.

  20. Design and Economic Analysis of a Heating/Absorption Cooling System Operating with Municipal Solid Waste Digester: A Case Study of Gazi University

    NASA Astrophysics Data System (ADS)

    Coşar, Gökhan; Pooyanfar, Mirparham; Amirabedin, Ehsan; Topal, Hüseyin

    2013-12-01

    Recovering energy from municipal solid waste (MSW) is one of the most important issues of energy management in developed countries. This raises even more interest as world fossil fuel reserves diminish and fuel prices rise. Being one of main processes of waste disposal, anaerobic digestion can be used as a means to reduce fossil fuel and electricity consumption as well as reducing emissions. With growing demand for cooling in Turkey, especially during warm seasons and considering the energy costs, utilizing heat-driven absorption cooling systems coupled with an anaerobic digester for local cooling purposes is a potentially interesting alternative for electricity driven compression cooling. The aim of this article is to study the viability of utilizing biogas obtained from MSW anaerobic digestion as the main fuel for heating facilities of Gazi University, Turkey and also the energy source for an absorption cooling system designed for the central library of the aforementioned campus. The results prove that the suggested system is sustainably and financially appealing and has the potential to replace the conventional electricity driven cooling systems with a reasonable net present worth; moreover, it can notably reduce carbon dioxide emissions.

  1. Removal of organic matter and ammonium from landfill leachate through different scenarios: Operational cost evaluation in a full-scale case study of a Flemish landfill.

    PubMed

    Oloibiri, Violet; Chys, Michael; De Wandel, Stijn; Demeestere, Kristof; Van Hulle, Stijn W H

    2016-09-22

    Several scenarios are available to landfilling facilities to effectively treat leachate at the lowest possible cost. In this study, the performance of various leachate treatment sequences to remove COD and nitrogen from a leachate stream and the associated cost are presented. The results show that, to achieve 100% nitrogen removal, autotrophic nitrogen removal (ANR) or a combination of ANR and nitrification - denitrification (N-dN) is more cost effective than using only the N-dN process (0.58 €/m(3)) without changing the leachate polishing costs associated with granular activated carbon (GAC). Treatment of N-dN effluent by ozonation or coagulation led to the reduction of the COD concentration by 10% and 59% respectively before GAC adsorption. This reduced GAC costs and subsequently reduced the overall treatment costs by 7% (ozonation) and 22% (coagulation). On the contrary, using Fenton oxidation to reduce the COD concentration of N-dN effluent by 63% increased the overall leachate treatment costs by 3%. Leachate treatment sequences employing ANR for nitrogen removal followed by ozonation or Fenton or coagulation for COD removal and final polishing with GAC are on average 33% cheaper than a sequence with N-dN + GAC only. When ANR is the preceding step and GAC the final step, choice of AOP i.e., ozonation or Fenton did not affect the total treatment costs which amounted to 1.43 (ozonation) and 1.42 €/m(3) (Fenton). In all the investigated leachate treatment trains, the sequence with ANR + coagulation + GAC is the most cost effective at 0.94 €/m(3).

  2. Termination: A Case Study.

    PubMed

    Friedberg, Ahron L

    2015-12-01

    In this article I posit and examine certain criteria and qualities for ending an analysis. The case study describes the end phase of a four-year psychoanalysis in which the patient's decision to move to another area forced the end of his analysis. We continued to explore and work through his core neurotic conflicts that included issues of competitive rivalry, dominance and submission, control, and anxiety about birth and death. A shift in the transference from me as a negative father to me as a supportive but competitive older brother was also examined in the context of ending treatment as well as other aspects of the transference. In addition, we analyzed the meaning of his ending treatment based on an extra-analytic circumstance. In discussing this phase of treatment, the definition and history of the term "termination" and its connotations are reviewed. Various criteria for completing an analysis are examined, and technical observations about this phase of treatment are investigated. It was found that while a significant shift in the transference occurred in this phase of the patient's analysis, conflicts related to the transference were not "resolved" in the classical sense. Terminating treatment was considered as a practical matter in which the patient's autonomy and sense of choice were respected and analyzed.

  3. Natural Learning Case Study Archives

    ERIC Educational Resources Information Center

    Lawler, Robert W.

    2015-01-01

    Natural Learning Case Study Archives (NLCSA) is a research facility for those interested in using case study analysis to deepen their understanding of common sense knowledge and natural learning (how the mind interacts with everyday experiences to develop common sense knowledge). The database comprises three case study corpora based on experiences…

  4. Natural Learning Case Study Archives

    ERIC Educational Resources Information Center

    Lawler, Robert W.

    2015-01-01

    Natural Learning Case Study Archives (NLCSA) is a research facility for those interested in using case study analysis to deepen their understanding of common sense knowledge and natural learning (how the mind interacts with everyday experiences to develop common sense knowledge). The database comprises three case study corpora based on experiences…

  5. The Paradox of Case Study.

    ERIC Educational Resources Information Center

    Simons, Helen

    1996-01-01

    Examines the paradox of case studies' abilities to understand the complexity in particular contexts while not being generalizable. Argues that the pressure for quantification and multisite case study design in policy research has weakened the original utility of the case study method for understanding complex educational phenomena. (DSK)

  6. Assessing the Flipped Classroom in Operations Management: A Pilot Study

    ERIC Educational Resources Information Center

    Prashar, Anupama

    2015-01-01

    The author delved into the results of a flipped classroom pilot conducted for an operations management course module. It assessed students' perception of a flipped learning environment after making them experience it in real time. The classroom environment was construed using a case research approach and students' perceptions were studied using…

  7. Assessing the Flipped Classroom in Operations Management: A Pilot Study

    ERIC Educational Resources Information Center

    Prashar, Anupama

    2015-01-01

    The author delved into the results of a flipped classroom pilot conducted for an operations management course module. It assessed students' perception of a flipped learning environment after making them experience it in real time. The classroom environment was construed using a case research approach and students' perceptions were studied using…

  8. Understanding an Adversary’s Strategic and Operational Calculus: A Late Cold War Case Study with 21st Century Applicability U.S. Views on Soviet Navy Strategy and Operations

    DTIC Science & Technology

    2013-08-01

    interpretation. Simultaneously, however, there began to develop slowly an interpretation that attempted to move away from an ethnocentric view of the Soviets in... ethnocentric view of the Soviets.” In particular, Robert W. Herrick’s 1968 study of Soviet naval strategy argued for an essentially defensive conception of...interpretation that tried to move away from an ethnocentric view of the Soviet in soviet terms on the basis of the Soviet Union’s values and the view

  9. Vandalism Prevention Programs: A Case Study Approach.

    ERIC Educational Resources Information Center

    White, James; Fallis, Anita

    The objective of this study was to identify, describe, and appraise existing behavior-oriented, vandalism-prevention programs using a case-study approach. This report summarizes an investigation of three programs in Ontario (Canada): Project PRIDE (Pupils Responsible in Determining their own Environment); Operation Aware; and a Diversion program.…

  10. Evaluating the Implications of Climate Phenomenon Indices in Supporting Reservoir Operation Using the Artificial Neural Network and Decision-Tree Methods: A Case Study on Trinity Lake in Northern California

    NASA Astrophysics Data System (ADS)

    Yang, T.; Akbari Asanjan, A.; Gao, X.; Sorooshian, S.

    2016-12-01

    Reservoirs are fundamental human-built infrastructures that collect, store, and deliver fresh surface water in a timely manner for all kinds of purposes, including residential and industrial water supply, flood control, hydropower, and irrigation, etc. Efficient reservoir operation requires that policy makers and operators understand how reservoir inflows, available storage, and discharges are changing under different climatic conditions. Over the last decade, the uses of Artificial Intelligence and Data Mining (AI & DM) techniques in assisting reservoir management and seasonal forecasts have been increasing. Therefore, in this study, two distinct AI & DM methods, Artificial Neural Network (ANN) and Random Forest (RF), are employed and compared with respect to their capabilities of predicting monthly reservoir inflow, managing storage, and scheduling reservoir releases. A case study on Trinity Lake in northern California is conducted using long-term (over 50 years) reservoir operation records and 17 known climate phenomenon indices, i.e. PDO and ENSO, etc., as predictors. Results show that (1) both ANN and RF are capable of providing reasonable monthly reservoir storage, inflow, and outflow prediction with satisfactory statistics, and (2) climate phenomenon indices are useful in assisting monthly or seasonal forecasts of reservoir inflow and outflow. It is also found that reservoir storage has a consistent high autocorrelation effect, while inflow and outflow are more likely to be influenced by climate conditions. Using a Gini diversity index, RF method identifies that the reservoir discharges are associated with Southern Oscillation Index (SOI) and reservoir inflows are influenced by multiple climate phenomenon indices during different seasons. Furthermore, results also show that, during the winter season, reservoir discharges are controlled by the storage level for flood-control purposes, while, during the summer season, the flood-control operation is not as

  11. Physiologic amputation: a case study.

    PubMed

    Long, Jeri; Hall, Virginia

    2014-03-01

    Acute limb ischemia is a complication of severe peripheral arterial disease that can be a threatening limb as well as life. Multiple procedures exist today to help revascularize extremities; however, even with the latest technologies, surgical amputation of the limb may still be necessary. Cryoamputation, or physiologic amputation, is a method used to treat patients who are hemodynamically unstable for the operating room and who are in need of urgent amputation owing to arterial ischemia. This procedure is used in the rare instance where not only a persons' limb is threatened, but also their life. This is a case study regarding one patient who presented to the hospital with limb-threatening ischemia who became hemodynamically unstable owing to the rhabdomyolysis associated with the ischemia of his lower extremity. Cryoamputation was used to stabilize the patient and prevent further deterioration, so that he could safely undergo surgical amputation of the limb without an increase in mortality risk. Cryoamputation must be followed by formal surgical amputation when the patient is hemodynamically stabilized. It is not a limb salvaging, procedure but it is a life-saving procedure. This case study demonstrates the usefulness of the procedure and discusses the technique used for cryoamputation.

  12. A Case of a Power Failure in the Operating Room

    PubMed Central

    Yasny, Jeffrey; Soffer, Robert

    2005-01-01

    In the operating room, safely administering anesthesia amidst a major power failure can instantly present one with a formidable challenge. A case is presented involving a 23-year-old healthy woman who underwent a complex oral and maxillofacial surgery to correct a dentofacial deformity. Three hours into the case and with the patient's maxilla downfractured, the overhead surgical lights blacked out, and there was an apparent loss of the anesthesia machine's ability to function. Providing adequate oxygenation, ventilation, anesthesia levels, monitoring of vital signs, and transportation of the patient were some of the challenges faced, and the response to this unexpected event is recounted. The importance of one's familiarity with an anesthesia machine's backup battery supply, routinely checking machinery, ensuring that appropriate and sufficient supplies are readily available, exercising calm leadership with clear communication, and formulating a clear plan with backup alternatives are discussed. Various recommendations are proposed with respect to the preparation for and the prevention of a power failure in the operating room. This report's account of events is aimed to “shed some light” on this topic, serve as a check of one's own preparedness, and facilitate the optimal management of a similarly unexpected incident. PMID:16048154

  13. Operation Sea Angel: A Case Study

    DTIC Science & Technology

    1994-01-01

    Abbreviations and Acronyms .................................. xv 1. INTRODUCTION ....................................... 1 Description of the Cyclone ...of Evaluation ................................ ix /t ___ __ __ __ __ _ ~c iji5 ix Summary Cyclone Marian struck 110 miles off the southeast coast of...Al Panico, Director of International Relief and Development, American Red Cross 1 On 29-30 April 1991, Bangladesh was struck by Cyclone Marian. The

  14. A safe and efficient method for intra-operative digital photography using a waterproof case.

    PubMed

    Tsai, Johnlong; Liao, Han-Tsung; Wang, Wen-Ke; Lam, Wee Leon; Kuo, Liang-Mou; Chen, Ruei-Feng; Chen, Chien-Tzung

    2011-10-01

    Intra-operative photography provides valuable information for photo-documentation. In order to improve quality of photographs and avoid additional contamination, we applied a sterilised waterproof case to adapt a digital camera that allowed the operating surgeon himself to obtain his own ideal images. A prospective study was designed to investigate the efficacy and safety of this technique. A total of 46 patients were enrolled in this study. The Fujifilm FinePix F30 digital camera encased in Fuji WP-FXF30 waterproof case was used in this study. Microbiological swabs were taken from the case's surface immediately after sealing the digital camera and at the end of surgery. In addition, intra-operative wound swabs were taken for correlation. The patients were followed up to record the possibility of any additional wound infections. None of the swab results on the waterproof case were positive before use. Overall, 11 patients had positive results of bacteria growth from intra-operative wound cultures. Eight of them also revealed positive microorganisms cultured from the case surface after use, in which the bacteria strains were correlated with the intra-operative wound cultures. However, no additional bacteria growth was noted from the culture of case surface. A digital camera encased in a sterilised waterproof case met the strict requirements for sterility in our series and demonstrated no added increase in infection rate. Safe use of this technique for obtaining intra-operative photographs with high image quality can be achieved. Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  15. Space Shuttle Proximity Operation Sensor Study

    NASA Technical Reports Server (NTRS)

    Weber, C. L.; Alem, W. K.

    1978-01-01

    The performance of the Kuband radar was analyzed in detail, and the performance was updated and summarized. In so doing, two different radar design philosophies were described, and the corresponding differences in losses were enumerated. The resulting design margins were determined for both design philosophies and for both the designated and nondesignated range modes of operation. In some cases, the design margin was about zero, and in other cases it was significantly less than zero. With the point of view described above, the recommended solution is to allow more scan time but at the present scan rate. With no other changes in the present configuration, the radar met design detection specifications for all design philosophies at a range of 11.3 nautical miles.

  16. Teaching Pharmacology by Case Study.

    ERIC Educational Resources Information Center

    Jordan, Sue

    1997-01-01

    Using pharmacology case studies with nursing students encourages theory-practice links and infuses real-life content. Cases provide rich qualitative data for evaluating curriculum. However, they are not a substitute for evidence-based practice. (SK)

  17. Case study--leprosy.

    PubMed

    Wood, A M; Wood, C M; Bakker-Dyos, J

    2010-01-01

    We present the case of a 26 year old Indian base worker who attended the Role 2 enhanced hospital in Iraq with a case of leprosy. The patient presented four times over a 12 month period with non-specific pain in the right hand and forearm combined with a large lesion of dry skin and reduced sensation in the forearm. A clinical diagnosis of leprosy was made, which was subsequently confirmed as paucibacillary leprosy by skin smears sent to the UK. It was not possible to treat the patient locally and a recommendation made to the patient's employer that the patient return to India to commence treatment.

  18. Avio case study: the MRO process

    NASA Astrophysics Data System (ADS)

    Corallo, Angelo; Dimartino, Angelo; Errico, Fabrizio; Giangreco, Enza

    This chapter presents the case study of the Avio Brindisi plant where a profound process of change has been in progress for a number of years. We use the TEKNE Project methodology of change to analyze the different aspects of the case, highlighting the firm's strategic, organizational and technological characteristics and the environment it operates in. In particular, we envisage a change in the plant's business model in response to the expansion of its client segments and a potential new approach to MRO operations based on advanced fleet management practices that would radically change the firm's organization and value network with respect to its MRO service offering, thereby yielding extensive global market opportunities.

  19. Multi-reader multi-case studies using the area under the receiver operator characteristic curve as a measure of diagnostic accuracy: systematic review with a focus on quality of data reporting.

    PubMed

    Dendumrongsup, Thaworn; Plumb, Andrew A; Halligan, Steve; Fanshawe, Thomas R; Altman, Douglas G; Mallett, Susan

    2014-01-01

    We examined the design, analysis and reporting in multi-reader multi-case (MRMC) research studies using the area under the receiver-operating curve (ROC AUC) as a measure of diagnostic performance. We performed a systematic literature review from 2005 to 2013 inclusive to identify a minimum 50 studies. Articles of diagnostic test accuracy in humans were identified via their citation of key methodological articles dealing with MRMC ROC AUC. Two researchers in consensus then extracted information from primary articles relating to study characteristics and design, methods for reporting study outcomes, model fitting, model assumptions, presentation of results, and interpretation of findings. Results were summarized and presented with a descriptive analysis. Sixty-four full papers were retrieved from 475 identified citations and ultimately 49 articles describing 51 studies were reviewed and extracted. Radiological imaging was the index test in all. Most studies focused on lesion detection vs. characterization and used less than 10 readers. Only 6 (12%) studies trained readers in advance to use the confidence scale used to build the ROC curve. Overall, description of confidence scores, the ROC curve and its analysis was often incomplete. For example, 21 (41%) studies presented no ROC curve and only 3 (6%) described the distribution of confidence scores. Of 30 studies presenting curves, only 4 (13%) presented the data points underlying the curve, thereby allowing assessment of extrapolation. The mean change in AUC was 0.05 (-0.05 to 0.28). Non-significant change in AUC was attributed to underpowering rather than the diagnostic test failing to improve diagnostic accuracy. Data reporting in MRMC studies using ROC AUC as an outcome measure is frequently incomplete, hampering understanding of methods and the reliability of results and study conclusions. Authors using this analysis should be encouraged to provide a full description of their methods and results.

  20. Multi-Reader Multi-Case Studies Using the Area under the Receiver Operator Characteristic Curve as a Measure of Diagnostic Accuracy: Systematic Review with a Focus on Quality of Data Reporting

    PubMed Central

    Dendumrongsup, Thaworn; Plumb, Andrew A.; Halligan, Steve; Fanshawe, Thomas R.; Altman, Douglas G.; Mallett, Susan

    2014-01-01

    Introduction We examined the design, analysis and reporting in multi-reader multi-case (MRMC) research studies using the area under the receiver-operating curve (ROC AUC) as a measure of diagnostic performance. Methods We performed a systematic literature review from 2005 to 2013 inclusive to identify a minimum 50 studies. Articles of diagnostic test accuracy in humans were identified via their citation of key methodological articles dealing with MRMC ROC AUC. Two researchers in consensus then extracted information from primary articles relating to study characteristics and design, methods for reporting study outcomes, model fitting, model assumptions, presentation of results, and interpretation of findings. Results were summarized and presented with a descriptive analysis. Results Sixty-four full papers were retrieved from 475 identified citations and ultimately 49 articles describing 51 studies were reviewed and extracted. Radiological imaging was the index test in all. Most studies focused on lesion detection vs. characterization and used less than 10 readers. Only 6 (12%) studies trained readers in advance to use the confidence scale used to build the ROC curve. Overall, description of confidence scores, the ROC curve and its analysis was often incomplete. For example, 21 (41%) studies presented no ROC curve and only 3 (6%) described the distribution of confidence scores. Of 30 studies presenting curves, only 4 (13%) presented the data points underlying the curve, thereby allowing assessment of extrapolation. The mean change in AUC was 0.05 (−0.05 to 0.28). Non-significant change in AUC was attributed to underpowering rather than the diagnostic test failing to improve diagnostic accuracy. Conclusions Data reporting in MRMC studies using ROC AUC as an outcome measure is frequently incomplete, hampering understanding of methods and the reliability of results and study conclusions. Authors using this analysis should be encouraged to provide a full description of

  1. Operator Multiple-Tasking Study for Remotely Operated Platforms.

    DTIC Science & Technology

    1987-04-01

    psycho- motor functions of percep- tion. information processing and control actuation. The block representing perception transforms displayed sensory...inability to generate perfect control responses, an equivalent " motor " noise is added to u[. The result is filtered to account for possible bandwidth...of Human Operator Activities ......................................................... 8 B. Review of Human Controller Modelling Theory

  2. Collaboration for Inservice Education: Case Studies.

    ERIC Educational Resources Information Center

    Pipes, Lana, Ed.

    The seven case studies presented in this publication are representative of successful programs for the professional development of practicing teachers. They were selected to give a sampling of the variety in programs underway across the country. Two describe teacher centers jointly operated by a school system and a university; another, a Teacher…

  3. Post-operative morbidity following the use of the inverted periosteal graft: A case series.

    PubMed

    Gupta, Gazal Kaushelendra; Kulkarni, Mihir Raghavendra; Thomas, Betsy Sara

    2014-01-01

    Post-operative complications following flap surgeries or mucogingival procedures are important factors influencing patient's perception of periodontal procedures. Hence, it is important to foresee such complications and take adequate measures pre- and post-operatively. We treated five consecutive cases of gingival recession in the maxillary canine-premolar area using the inverted periosteal graft with a coronally positioned flap technique. Following each of these surgeries, the patients complained of post-operative swelling the next day involving the canine space or buccal space area. The swelling persisted for at least 5 days, however, it was painless. This paper highlights the post-operative complications associated with the said procedure and makes a case for detail enquiry in the form of controlled studies.

  4. Emotion, Engagement, and Case Studies

    ERIC Educational Resources Information Center

    Herreid, Clyde Freeman; Terry, David R.; Lemons, Paula; Armstrong, Norris; Brickman, Peggy; Ribbens, Eric

    2014-01-01

    Three college faculty taught large general biology classes using case studies and personal response systems (clickers). Each instructor taught the same eight cases in two different sections, except the questions within the cases differed. In one section the questions were lower order (LO) factual inquiries, and in the other they were largely…

  5. Emotion, Engagement, and Case Studies

    ERIC Educational Resources Information Center

    Herreid, Clyde Freeman; Terry, David R.; Lemons, Paula; Armstrong, Norris; Brickman, Peggy; Ribbens, Eric

    2014-01-01

    Three college faculty taught large general biology classes using case studies and personal response systems (clickers). Each instructor taught the same eight cases in two different sections, except the questions within the cases differed. In one section the questions were lower order (LO) factual inquiries, and in the other they were largely…

  6. Lunar NTR vehicle design and operations study

    NASA Technical Reports Server (NTRS)

    Hodge, John

    1993-01-01

    The results of a lunar nuclear thermal rocket (NTR) vehicle design and operations study are presented in text and graphic form. The objectives of the study were to evaluate the potential applications of a specific NTR design to past and current (First Lunar Outpost) mission profiles for piloted and cargo lunar missions, and to assess the applicability of utilizing lunar vehicle design concepts for Mars missions.

  7. Distributed Operating System Design Study. Volume II.

    DTIC Science & Technology

    1982-01-01

    RADC-TR-81-384, Vol II (of two) has been reviewed and is approved for publication. APPROVED: THOMAS F. LAWRENCE Project Engineer APPROVED: JO J...distribution unlimited 17. DISTRIBUTION STATEMENT (of the ebstract entered in Block 20. If diierent from Report) Same 18. SUPPLEMENTARY NOTES RADC Project ...of the study were reported in BBN Report No. 4455, titled "Distributed Operating System Design Study: Phase 1." The goal of this project is to advance

  8. Case Study: Case Studies and the Flipped Classroom

    ERIC Educational Resources Information Center

    Herreid, Clyde Freeman; Schiller, Nancy A.

    2013-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses the positive and negative aspects of the "flipped classroom." In the flipped classroom model, what is normally done in class and what is normally done as…

  9. Case Study: Case Studies and the Flipped Classroom

    ERIC Educational Resources Information Center

    Herreid, Clyde Freeman; Schiller, Nancy A.

    2013-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses the positive and negative aspects of the "flipped classroom." In the flipped classroom model, what is normally done in class and what is normally done as…

  10. The operating room case-mix problem under uncertainty and nurses capacity constraints.

    PubMed

    Yahia, Zakaria; Eltawil, Amr B; Harraz, Nermine A

    2016-12-01

    Surgery is one of the key functions in hospitals; it generates significant revenue and admissions to hospitals. In this paper we address the decision of choosing a case-mix for a surgery department. The objective of this study is to generate an optimal case-mix plan of surgery patients with uncertain surgery operations, which includes uncertainty in surgery durations, length of stay, surgery demand and the availability of nurses. In order to obtain an optimal case-mix plan, a stochastic optimization model is proposed and the sample average approximation method is applied. The proposed model is used to determine the number of surgery cases to be weekly served, the amount of operating rooms' time dedicated to each specialty and the number of ward beds dedicated to each specialty. The optimal case-mix selection criterion is based upon a weighted score taking into account both the waiting list and the historical demand of each patient category. The score aims to maximizing the service level of the operating rooms by increasing the total number of surgery cases that could be served. A computational experiment is presented to demonstrate the performance of the proposed method. The results show that the stochastic model solution outperforms the expected value problem solution. Additional analysis is conducted to study the effect of varying the number of ORs and nurses capacity on the overall ORs' performance.

  11. Sensor study for high speed autonomous operations

    NASA Astrophysics Data System (ADS)

    Schneider, Anne; La Celle, Zachary; Lacaze, Alberto; Murphy, Karl; Del Giorno, Mark; Close, Ryan

    2015-06-01

    As robotic ground systems advance in capabilities and begin to fulfill new roles in both civilian and military life, the limitation of slow operational speed has become a hindrance to the wide-spread adoption of these systems. For example, military convoys are reluctant to employ autonomous vehicles when these systems slow their movement from 60 miles per hour down to 40. However, these autonomous systems must operate at these lower speeds due to the limitations of the sensors they employ. Robotic Research, with its extensive experience in ground autonomy and associated problems therein, in conjunction with CERDEC/Night Vision and Electronic Sensors Directorate (NVESD), has performed a study to specify system and detection requirements; determined how current autonomy sensors perform in various scenarios; and analyzed how sensors should be employed to increase operational speeds of ground vehicles. The sensors evaluated in this study include the state of the art in LADAR/LIDAR, Radar, Electro-Optical, and Infrared sensors, and have been analyzed at high speeds to study their effectiveness in detecting and accounting for obstacles and other perception challenges. By creating a common set of testing benchmarks, and by testing in a wide range of real-world conditions, Robotic Research has evaluated where sensors can be successfully employed today; where sensors fall short; and which technologies should be examined and developed further. This study is the first step to achieve the overarching goal of doubling ground vehicle speeds on any given terrain.

  12. Vaccine distribution: an operations research study.

    PubMed

    Subramanyam, K

    1989-01-01

    The implementation of an immunization program in rural areas is affected by lacunae in the vaccine distribution system. A study conducted in India identified the extent to which irregular supply of vaccines has affected the immunization program. This study also identified other problem areas, such as a faulty cold chain and the need for an improved monitoring and control system and for better supervision. A model was designed to represent the immunization program and was used to assess the performance of the system under different supply conditions and operational policies. The study identified a number of improvements that could be made in the vaccine distribution system.

  13. Space Operations Center: Shuttle interaction study

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The implication of using the Shuttle with the Space Operation Center (SOC), including constraints that the Shuttle will place upon the SOC design. The study identifies the considerations involved in the use of the Shuttle as a part of the SOC concept, and also identifies the constraints to the SOC imposed by the Shuttle in its interactions with the SOC, and on the design or technical solutions which allow satisfactory accomplishment of the interactions.

  14. Online Collaborative Case Study Learning

    ERIC Educational Resources Information Center

    Lee, Kathryn

    2007-01-01

    Case study learning was integrated into a course designed to improve students' potential for academic success and increase student retention. Case studies related to self-regulation of behavior, motivation, and cognition for academic tasks were used to prompt students' critical thinking and facilitate deep learning of self-regulation topics,…

  15. Instructional Computing: Ten Case Studies.

    ERIC Educational Resources Information Center

    Hargan, Carol; Hunter, Beverly

    These case studies are written for educational institutions that wish to plan, extend, or improve their use of computers for learning and teaching. Each case study includes a brief description of each of the following: profile of the institution, history of the development of instructional computing, organization and management, student access to…

  16. Case Studies Reveal Camper Growth.

    ERIC Educational Resources Information Center

    Brannan, Steve; Fullerton, Ann

    1999-01-01

    Case studies in the National Camp Evaluation Project and National Inclusive Camp Practices project used interviews with counselors and parents about camper's growth to yield qualitative data for camp program evaluation. The importance, methods, and benefits of case studies are described. Sidebars give examples of comments on perceived camper…

  17. Fuzzy-Set Case Studies

    ERIC Educational Resources Information Center

    Mikkelsen, Kim Sass

    2017-01-01

    Contemporary case studies rely on verbal arguments and set theory to build or evaluate theoretical claims. While existing procedures excel in the use of qualitative information (information about kind), they ignore quantitative information (information about degree) at central points of the analysis. Effectively, contemporary case studies rely on…

  18. Three Community College Case Studies

    ERIC Educational Resources Information Center

    Wojtysiak, Joseph; Sutton, William J., II; Wright, Tommy; Brantley, Linda

    2011-01-01

    This article presents three case studies that focus on specific projects that are underway or have been completed. In the first case study, Joseph Wojtysiak and William J. Sutton, II discuss the Green Center of Central Pennsylvania, which is designed to serve as the state's preeminent source for education, training and public information about…

  19. The Big Read: Case Studies

    ERIC Educational Resources Information Center

    National Endowment for the Arts, 2009

    2009-01-01

    The Big Read evaluation included a series of 35 case studies designed to gather more in-depth information on the program's implementation and impact. The case studies gave readers a valuable first-hand look at The Big Read in context. Both formal and informal interviews, focus groups, attendance at a wide range of events--all showed how…

  20. Operational Implementation of the Healthy Communities Study

    PubMed Central

    John, Lisa V.; Gregoriou, Maria; Pate, Russell R.; Fawcett, Stephen B.; Crawford, Patricia B.; Strauss, Warren; Frongillo, Edward A.; Ritchie, Lorrene D.; Loria, Catherine M.; Kelley, Melinda; Fishbein, Howard; Arteaga, S. Sonia

    2015-01-01

    The Healthy Communities Study (HCS) is examining how characteristics of community programs and policies targeting childhood obesity are related to childhood diet, physical activity, and obesity outcomes. The study involves selected districts and public schools in 130 communities; families recruited through schools; and data collected at the community, school, household, and child levels. Data collection took place in two waves—Wave 1 in Spring 2012 and Wave 2 from 2013 to 2015—with analysis to be completed by August 2016. This paper describes operational elements of the HCS, including recruitment activities, field operations, training of data collectors, human subjects protection, and quality assurance and quality control procedures. Experienced trainers oversaw and conducted all training, including training of: (1) district and school recruitment staff; (2) telephone interviewers for household screening and recruitment; (3) field data collectors for conducting household data collection; and (4) community liaisons for conducting key informant interviews, document abstraction, and community observations. The study team developed quality assurance and quality control procedures that were implemented for all aspects of the study. Planning and operationalizing a study of this complexity and magnitude, with multiple functional teams, required frequent communication and strong collaboration among all study partners to ensure timely and effective decision making. PMID:26384933

  1. Southern Appalachian Case Study

    Treesearch

    Charles C. van Sickle

    1999-01-01

    The Southern Appalachian study covers a region of 37.4 million acres. Its mountains, foothills, and valleys stretch from northern Virginia and northern West Virginia to northern Georgia and Alabama. When Native Americans came to the region, forests dominated the landscape and they still do, covering 70% of the land (Figure 32.1). Terrain characteristics are...

  2. End effector monitoring system: An illustrated case of operational prototyping

    NASA Technical Reports Server (NTRS)

    Malin, Jane T.; Land, Sherry A.; Thronesbery, Carroll

    1994-01-01

    Operational prototyping is introduced to help developers apply software innovations to real-world problems, to help users articulate requirements, and to help develop more usable software. Operational prototyping has been applied to an expert system development project. The expert system supports fault detection and management during grappling operations of the Space Shuttle payload bay arm. The dynamic exchanges among operational prototyping team members are illustrated in a specific prototyping session. We discuss the requirements for operational prototyping technology, types of projects for which operational prototyping is best suited and when it should be applied to those projects.

  3. Geostatistical case studies

    SciTech Connect

    Matheron, G.; Armstrong, M.

    1987-01-01

    The objective of this volume of contributed chapters is to present a series of applications of geostatistics. These range from a careful variographic analysis on uranium data, through detailed studies on geologically complex deposits, right up to the latest nonlinear methods applied to deposits with highly skewed data contributions. Applications of new techniques such as the external drift method for combining well data with seismic information have also been included. The volume emphasizes geostatistics in practice. Notation has been kept to a minimum and mathematical details have been relegated to annexes.

  4. The importance of embodied and operational energy and the use of renewable energy systems (RES) in the domestic sector in Greece: Case study, analysis of a design for a private residence in Athens

    NASA Astrophysics Data System (ADS)

    Vogiatzoglou, Nikolaos

    2007-12-01

    The general framework of this thesis is set by addressing the environmental problems that several countries around the world are facing. Greece is undoubtedly one of them, particularly after failing to comply with its Kyoto Protocol commitments and thus meeting the relevant greenhouse gas emission targets. The project focuses on the built environment and more particularly on the domestic sector. The theoretical part contains the presentation of certain sustainable design principles and techniques, the implementation of which may result in a thermally comfortable and healthy interior, minimising the need for the use of non renewable forms of energy (e.g. oil) to heat and/or cool interior space. More specifically, the aim of this dissertation is to evaluate the environmental performance of an un-built residence, assumed to be built in the northern suburbs of Athens. For that reason its fabric is studied in TAS software the size of the openings, the type of glazing, the amount of certain materials (e.g. insulation and wall thicknesses) and so on are tested. The analysis indicates that the house's cooling and heating loads are reasonable and thus it can be described as environmentally friendly to a certain extent. Additionally, the project seeks to highlight the importance of the embodied and operational energy. This is achieved by studying in detail the case study and by calculating its embodied and operational energy, assuming that its lifetime is approximately 40 years. Furthermore, the residence's carbon footprint is calculated as well as the total structural cost, in an attempt to detect the best scenario that combines at the same time the smallest carbon footprint and cost. The analysis provides evidence that that can be achieved by using thicker insulation in the external concrete walls as well as in the roof. Finally, the use of geothermal and solar energy in the domestic sector is explored the former covering the space heating and cooling needs and the latter

  5. Case Studies in Science Ethics

    NASA Astrophysics Data System (ADS)

    Williams, Karen

    2010-03-01

    Everyone in science should have ethics education training. I have seen graduate students taken advantage of by their mentors. Many of us have seen misconduct...but what should we do about it? Young scientists are often unaware of the rules in science and make mistakes because of their ignorance of the rules in that particular field of study. Then there are an increasing number of cases in the news of overt cases of misrepresentation in science. All are welcome to attend this discussion of case studies. A case study on topics such as: how to treat data properly, how our values in science affect our work, who gets authorship on scientific papers, who is first author on a paper, what you should do if you uncover misconduct or plagiarism in your university, and we will discuss the scientist's role in society. This will be a painless, non-confrontational small group, then large group discussion of each case

  6. Operations

    ERIC Educational Resources Information Center

    Wilkins, Jesse L. M.; Norton, Anderson; Boyce, Steven J.

    2013-01-01

    Previous research has documented schemes and operations that undergird students' understanding of fractions. This prior research was based, in large part, on small-group teaching experiments. However, written assessments are needed in order for teachers and researchers to assess students' ways of operating on a whole-class scale. In this study,…

  7. Common Operating Picture: UAV Security Study

    NASA Technical Reports Server (NTRS)

    2004-01-01

    This initial communication security study is a top-level assessment of basic security issues related to the operation of Unmanned Aerial Vehicles (UAVs) in the National Airspace System (NAS). Security considerations will include information relating to the use of International Civil Aviation Organization (ICAO) Aeronautical Telecommunications Network (ATN) protocols and applications identifying their maturity, as well as the use of IPV4 and a version of mobile IPV6. The purpose of this assessment is to provide an initial analysis of the security implications of introducing UAVs into the NAS.

  8. [Biliary lithiasis in patients over 75. 100 cases operated upon (author's transl)].

    PubMed

    Moreaux, J; Bonnet, J L; Gerum, A

    1982-02-27

    This is a retrospective study of 100 elderly patients (36 men and 64 women aged 75 years or more) operated upon for biliary tract calculi. Thirty-one patients had one or several underlying visceral diseases and 5 had associated carcinoma of the digestive tract. Calculi of the common bile duct were present in 48 cases, and 41 patients had acute infection, including cholecystitis (14) and cholangitis (27). Surgery included cholecystectomy in every case and opening of the common bile duct in 49 cases with either choledocho-duodenal anastomosis (31 cases) or external biliary drainage (18 cases). Only one patient with gastric carcinoma died. The morbidity rate was low (11 post-operative complications) and each group of patients spent about the same time in hospital. Neither mortality nor morbidity were aggravated by the presence of calculi in the common bile duct and/or acute infection. In uncomplicated lithiasis the surgical indications mainly depend upon the severity of underlying visceral diseases. Early intervention seems desirable in most patients with acute cholecystitis or cholangitis. Surgery of the biliary tract is basically the same in elderly and in young patients, but the operation must be simple and, if possible, complete. The quality of medical surveillance and nursing has considerable influence on the results.

  9. Operating room management and operating room productivity: the case of Germany.

    PubMed

    Berry, Maresi; Berry-Stölzle, Thomas; Schleppers, Alexander

    2008-09-01

    We examine operating room productivity on the example of hospitals in Germany with independent anesthesiology departments. Linked to anesthesiology group literature, we use the ln(Total Surgical Time/Total Anesthesiologists Salary) as a proxy for operating room productivity. We test the association between operating room productivity and different structural, organizational and management characteristics based on survey data from 87 hospitals. Our empirical analysis links improved operating room productivity to greater operating room capacity, appropriate scheduling behavior and management methods to realign interests. From this analysis, the enforcing jurisdiction and avoiding advance over-scheduling appear to be the implementable tools for improving operating room productivity.

  10. The use of standard operating procedures in day case anterior cruciate ligament reconstruction.

    PubMed

    Khan, T; Jackson, W F; Beard, D J; Marfin, A; Ahmad, M; Spacie, R; Jones, R; Howes, S; Barker, K; Price, A J

    2012-08-01

    The current rate of day-case anterior cruciate ligament reconstruction (ACLR) in the UK remains low. Although specialised care pathways with standard operating procedures (SOPs) have been effective in reducing length of stay following some surgical procedures, this has not been previously reported for ACLR. We evaluate the effectiveness of SOPs for establishing day-case ACLR in a specialist unit. Fifty patients undergoing ACLR between May and September 2010 were studied prospectively ("study group"). SOPs were designed for pre-operative assessment, anaesthesia, surgical procedure, mobilisation and discharge. We evaluated length of stay, readmission rates, patient satisfaction and compliance to SOPs. A retrospective analysis of 50 patients who underwent ACLR prior to implementation of the day-case pathway was performed ("standard practice group"). Eighty percent of patients in the study group were discharged on the day of surgery (mean length of stay=5.3h) compared to 16% in the standard practice group (mean length of stay=21.6h). This difference was statistically significant (p<0.05, Mann-Whitney U test). All patients were satisfied with the day case pathway. Ninety-two percent of the study group were discharged on the day of surgery when all SOPs were followed and 46% where they were not. High rates of day-case ACLR with excellent patient satisfaction can be achieved with the use of a specialised patient pathway with SOPs.

  11. Social license to operate: case from brazilian mining industry

    NASA Astrophysics Data System (ADS)

    Santiago, Ana Lúcia F.; Demajorovic, Jacques; Aledo, Antonio

    2015-04-01

    The approach of the Social License to Operate (SLO) emerges as an important element in academic discussions and business practices related to extractive industries. It appears that in productive activities with great potential to produce economic, social and environmental impacts, conventional approaches based on legal compliance no longer sufficient to legitimize the actions of companies and engagement stakeholders. Studies highlight the need of mining activities receiving a SLO "issued" by companies stakeholders, including society, government, non-governmental organizations, media and communities. However, local communities appears as major stakeholders in governance arrangements, by virtue of its proximity to extractive areas and ability to affect the company's results. Stakeholders with unmet expectations can generate conflicts and risks to the company, the knowledge of these expectations and an awareness of company managers of the importance of Social License to Operate (SLO), can generate strategies and mitigating actions to prevent and or minimize possible conflicts. The concept of SLO arises in engineering extractive industry, when you need to respond to social challenges, beyond the usual environmental challenges, technological and management. According to Franks and Cohen (2012) there is a tendency of engineering sectors, sustainability, environmental, safety and especially in risk mappings, treat the technological issues in a neutral manner, separating the technological research projects of social influences. I want to contribute to the advancement of the debate on stakeholder engagement and adopting as focus on the company's relationship with the community, the aim of this study was to understand how a social project held by one of the largest mining companies in Brazil contributed to the process of SLO. This methodological procedure adopted was a qualitative, descriptive, and exploratory interviews with the communities located in rural areas of direct

  12. HYDROGEOLOGIC CASE STUDIES (DENVER PRESENTATION)

    EPA Science Inventory

    Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation (MNA). Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d...

  13. Hydrogeologic Case Studies (Seattle, WA)

    EPA Science Inventory

    Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation (MNA). Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d...

  14. HYDROGEOLOGIC CASE STUDIES (CHICAGO, IL)

    EPA Science Inventory

    Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation (MNA). Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d...

  15. Case studies of uncommon headaches.

    PubMed

    Evans, Randolph W

    2006-05-01

    The following interesting and uncommon headache disorders are presented through case studies: exploding head syndrome, hypnic headache, neck-tongue syndrome, "Alice in Wonderland" syndrome, nummular headache, red ear syndrome, burning mouth syndrome, spontaneous intracranial hypotension syndrome, and cardiac cephalalgia.

  16. Teaching astronomy with case studies

    NASA Astrophysics Data System (ADS)

    Slater, Timothy F.

    2015-11-01

    Breaking the students into small, collaborative learning groups to solve a meaningful task together is one of the most successful and fully evaluated teaching techniques implemented over the last century. Although there are many ways to accomplish small group learning, a long-standing and consistently successful collaborative class activity is to use the case study teaching strategy. The use of case studies is common in medical schools and law schools, but not so common in the teaching of astronomy. Case studies create meaningful conversations among students and with the professor by focusing on life-like dilemmas to be solved. Case study tasks ask audience members to synthesize several ideas or evaluate scenarios that have not been explicitly presented to them in the lecture or in available readings.

  17. Nasopharyngeal Case-Control Study

    Cancer.gov

    A case-control study conducted in Taiwan between 1991-1994 among approximately 1,000 individuals to examine the role of viral, environmental, and genetic factors associated with the development of nasopharyngeal carcinoma

  18. Case Study: del Amo Bioventing

    EPA Science Inventory

    The attached presentation discusses the fundamentals of bioventing in the vadose zone. The basics of bioventing are presented. The experience to date with the del Amo Superfund Site is presented as a case study.

  19. Case Study: del Amo Bioventing

    EPA Science Inventory

    The attached presentation discusses the fundamentals of bioventing in the vadose zone. The basics of bioventing are presented. The experience to date with the del Amo Superfund Site is presented as a case study.

  20. HYDROGEOLOGIC CASE STUDIES (CHICAGO, IL)

    EPA Science Inventory

    Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation (MNA). Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d...

  1. HYDROGEOLOGIC CASE STUDIES (DENVER PRESENTATION)

    EPA Science Inventory

    Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation (MNA). Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d...

  2. Hydrogeologic Case Studies (Seattle, WA)

    EPA Science Inventory

    Hydrogeology is the foundation of subsurface site characterization for evaluations of monitored natural attenuation (MNA). Three case studies are presented. Examples of the potentially detrimental effects of drilling additives on ground-water samples from monitoring wells are d...

  3. Operating room clinicians' ratings of workload: a vignette simulation study.

    PubMed

    Wallston, Kenneth A; Slagle, Jason M; Speroff, Ted; Nwosu, Sam; Crimin, Kimberly; Feurer, Irene D; Boettcher, Brent; Weinger, Matthew B

    2014-06-01

    Increased clinician workload is associated with medical errors and patient harm. The Quality and Workload Assessment Tool (QWAT) measures anticipated (pre-case) and perceived (post-case) clinical workload during actual surgical procedures using ratings of individual and team case difficulty from every operating room (OR) team member. The purpose of this study was to examine the QWAT ratings of OR clinicians who were not present in the OR but who read vignettes compiled from actual case documentation to assess interrater reliability and agreement with ratings made by clinicians involved in the actual cases. Thirty-six OR clinicians (13 anesthesia providers, 11 surgeons, and 12 nurses) used the QWAT to rate 6 cases varying from easy to moderately difficult based on actual ratings made by clinicians involved with the cases. Cases were presented and rated in random order. Before rating anticipated individual and team difficulty, the raters read prepared clinical vignettes containing case synopses and much of the same written case information that was available to the actual clinicians before the onset of each case. Then, before rating perceived individual and team difficulty, they read part 2 of the vignette consisting of detailed role-specific intraoperative data regarding the anesthetic and surgical course, unusual events, and other relevant contextual factors. Surgeons had higher interrater reliability on the QWAT than did OR nurses or anesthesia providers. For the anticipated individual and team workload ratings, there were no statistically significant differences between the actual ratings and the ratings obtained from the vignettes. There were differences for the 3 provider types in perceived individual workload for the median difficulty cases and in the perceived team workload for the median and more difficult cases. The case difficulty items on the QWAT seem to be sufficiently reliable and valid to be used in other studies of anticipated and perceived clinical

  4. Reusable experiment controllers, case studies

    NASA Astrophysics Data System (ADS)

    Buckley, Brian A.; Gaasbeck, Jim Van

    1996-03-01

    Congress has given NASA and the science community a reality check. The tight and ever shrinking budgets are trimming the fat from many space science programs. No longer can a Principal Investigator (PI) afford to waste development dollars on re-inventing spacecraft controllers, experiment/payload controllers, ground control systems, or test sets. Inheritance of the Ground Support Equipment (GSE) from one program to another is not a significant re-use of technology to develop a science mission in these times. Reduction of operational staff and highly autonomous experiments are needed to reduce the sustaining cost of a mission. The re-use of an infrastructure from one program to another is needed to truly attain the cost and time savings required. Interface and Control Systems, Inc. (ICS) has a long history of re-usable software. Navy, Air Force, and NASA programs have benefited from the re-use of a common control system from program to program. Several standardization efforts in the AIAA have adopted the Spacecraft Command Language (SCL) architecture as a point solution to satisfy requirements for re-use and autonomy. The Environmental Research Institute of Michigan (ERIM) has been a long-standing customer of ICS and are working on their 4th generation system using SCL. Much of the hardware and software infrastructure has been re-used from mission to mission with little cost for re-hosting a new experiment. The same software infrastructure has successfully been used on Clementine, and an end-to-end system is being deployed for the Far Ultraviolet Spectroscopic Explorer (FUSE) for Johns Hopkins University. A case study of the ERIM programs, Clementine and FUSE will be detailed in this paper.

  5. The Effect of Instructional Supervision by an Operating Room Assistant on First-Case Starts.

    PubMed

    Pan, Xiaohua; Zhang, Jun; Dai, Chen; Si, Yibing

    2017-02-01

    Delays in starting first cases of the day are a common topic associated with high economic costs. This study aimed to determine if an operating room (OR) assistant using an instructional supervision program could reduce the tardiness of first-case starts. A prospective study was conducted. Data from four ORs were used to compare the effectiveness of an instructional intervention to reduce delays in starting first cases of the day. The first cases in two ORs received instructional supervision by an OR. The primary endpoint was the percentage of first cases that started on time. Other endpoints were the percentage of the team work score of OR staff and the percentage of patient satisfaction score. Over 48 weeks, the effect of instructional supervision was evaluated in 960 first-case starts. In the instructional supervision group (n = 480), the percentage of first cases that started on time increased significantly (92.1% vs 71.7%; P < .001), and there was a higher percentage of the team work score (84.4% vs 76.7%; P < .01) and patient satisfaction score (88.3% vs 79.4%; P < .001). Instructional supervision by an OR assistant can make a potential improvement in our on-time first-case starts per day. Copyright © 2016 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

  6. All the Missiles Work: Technological Dislocations and Military Innovation: A Case Study in US Air Force Air-to-Air Armament, Post-World War II through Operation Rolling Thunder

    DTIC Science & Technology

    2015-01-01

    DREW PAPERS THE Steven A. Fino Lieutenant Colonel, USAF 12 “All the Missiles Work” Technological Dislocations and Military Innovation A Case Study...2015 4. TITLE AND SUBTITLE All the Missiles Work: Technological Dislocations and Military Innovation: A Case Study in US Air Force Air-to-Air...technological dislocations advanced by this thesis is a refinement of Hughes???s theory and is more reflective of the complex, interdependent

  7. Operationally Efficient Propulsion System Study (OEPPS)

    NASA Technical Reports Server (NTRS)

    Wong, G. S.; Waldrop, G. S.; Byrd, R. J.; Ziese, J. M.

    1991-01-01

    A description is presented, through view graphs, of the problems encountered in today's launch vehicles and how these problems have adversely affected the ability to achieve serviceability, reliability, and operability. The need is emphasized to recognize and understand the operations problems and the effort that must be made to avoid them in future designs. Technology areas that will enhance operations requirements are also presented.

  8. 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.

  9. Case studies in working memory: a case for single cases?

    PubMed

    Della Sala, S; Logie, R H; Marchetti, C; Wynn, V

    1991-06-01

    Patterns of cognitive deficit in single neuropsychological cases are common sources of evidence for theories of normal cognition. In particular, the working memory model has benefited from data obtained from a number of contrasting patients, in some cases resulting in modifications of the working memory model. In this paper, patterns of data from short-term memory patients and anarthric patients are compared with patterns of data from normal subjects. The patterns of patient data that were unlike those patterns typically found for groups of normal subjects, could be incorporated within a modified version of the articulatory loop component of the working memory model. However a small number of individual normal subjects also did not show the pattern that is reported on the basis of average performance of groups of normal subjects. This causes some difficulty in interpreting those data from such 'aberrant normal' patterns, and those data from single patients with functional cognitive deficits. The implications of these findings for the interpretation of neuropsychological data are discussed in the context of the working memory model, but with the intention of making a general point pertaining to the development of functional models of cognition. It is argued that single case studies should continue to provide a useful source of evidence, providing that care is exercised in considering the implications of such data for models of normal cognition.

  10. Making the Traffic Operations Case for Congestion Pricing: Operational Impacts of Congestion Pricing

    SciTech Connect

    Chin, Shih-Miao; Hu, Patricia S; Davidson, Diane

    2011-02-01

    hours spent in traffic in a year, grew by 22% as the national average of hours spent in delay grew from 36 hours to 44 hours. Peak delay per traveler grew one-third in medium-size urban areas over the 10 year period. The traffic engineering community has developed an arsenal of integrated tools to mitigate the impacts of congestion on freeway throughput and performance, including pricing of capacity to manage demand for travel. Congestion pricing is a strategy which dynamically matches demand with available capacity. A congestion price is a user fee equal to the added cost imposed on other travelers as a result of the last traveler's entry into the highway network. The concept is based on the idea that motorists should pay for the additional congestion they create when entering a congested road. The concept calls for fees to vary according to the level of congestion with the price mechanism applied to make travelers more fully aware of the congestion externality they impose on other travelers and the system itself. The operational rationales for the institution of pricing strategies are to improve the efficiency of operations in a corridor and/or to better manage congestion. To this end, the objectives of this project were to: (1) Better understand and quantify the impacts of congestion pricing strategies on traffic operations through the study of actual projects, and (2) Better understand and quantify the impacts of congestion pricing strategies on traffic operations through the use of modeling and other analytical methods. Specifically, the project was to identify credible analytical procedures that FHWA can use to quantify the impacts of various congestion pricing strategies on traffic flow (throughput) and congestion.

  11. An Optimization Study of Hot Stamping Operation

    NASA Astrophysics Data System (ADS)

    Ghoo, Bonyoung; Umezu, Yasuyoshi; Watanabe, Yuko; Ma, Ninshu; Averill, Ron

    2010-06-01

    In the present study, 3-dimensional finite element analyses for hot-stamping processes of Audi B-pillar product are conducted using JSTAMP/NV and HEEDS. Special attention is paid to the optimization of simulation technology coupling with thermal-mechanical formulations. Numerical simulation based on FEM technology and optimization design using the hybrid adaptive SHERPA algorithm are applied to hot stamping operation to improve productivity. The robustness of the SHERPA algorithm is found through the results of the benchmark example. The SHERPA algorithm is shown to be far superior to the GA (Genetic Algorithm) in terms of efficiency, whose calculation time is about 7 times faster than that of the GA. The SHERPA algorithm could show high performance in a large scale problem having complicated design space and long calculation time.

  12. Aspect-Oriented Approach to Operating System Development Empirical Study

    NASA Astrophysics Data System (ADS)

    Kuusela, Jaakko; Tuominen, Harri

    This paper presents a case-study where a new programming technique is applied to an established branch of software development. The purpose of the study was to test whether or not aspect-oriented programming (AOP) could be used in operating systems development. Instead of any real world operating system an educational OS with the name Nachos was used. This was because Nachos is written in Java which makes it easy to introduce aspect-oriented techniques. In this paper a new file system for the Nachos OS is developed and then it is analyzed by profiling and metrics. The results show that it is possible to use AOP in OS development and that it is also beneficial to do so.

  13. 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.

  14. Geometrical optics approximation modeling of laser measurements of an operating Bessemer-converter casing

    NASA Astrophysics Data System (ADS)

    Mihalev, Mihail; Parvanov, Orlin; Pirgov, Peter S.

    1996-12-01

    We report the use of computer techniques for modeling and visualization of the laser monitoring of the inner surface of an operating Bessemer converter. The purpose of the study was to estimate the accuracy of the laser measurement technique, to determine the geometrical parameters necessary, and to establish the requirements to the accuracy of the scanning part of a laser meter when the pulse duration, beam divergence and defects size are pre-set. The following basic conclusions can be drawn: firstly, it is possible to use a laser meter as a device for monitoring the casing thickness based on the use of a pulsed solid-state laser; secondly, the process of non-uniform wear can be handled by means of additional measurements with off-axis sounding geometry; thirdly, the numerical experiment demonstrates that, based on the accuracy achieved of determining the casing thickness, the operating life-time of the converter can be extended.

  15. Teaching Case: Enterprise Architecture Specification Case Study

    ERIC Educational Resources Information Center

    Steenkamp, Annette Lerine; Alawdah, Amal; Almasri, Osama; Gai, Keke; Khattab, Nidal; Swaby, Carval; Abaas, Ramy

    2013-01-01

    A graduate course in enterprise architecture had a team project component in which a real-world business case, provided by an industry sponsor, formed the basis of the project charter and the architecture statement of work. The paper aims to share the team project experience on developing the architecture specifications based on the business case…

  16. Teaching Case: Enterprise Architecture Specification Case Study

    ERIC Educational Resources Information Center

    Steenkamp, Annette Lerine; Alawdah, Amal; Almasri, Osama; Gai, Keke; Khattab, Nidal; Swaby, Carval; Abaas, Ramy

    2013-01-01

    A graduate course in enterprise architecture had a team project component in which a real-world business case, provided by an industry sponsor, formed the basis of the project charter and the architecture statement of work. The paper aims to share the team project experience on developing the architecture specifications based on the business case…

  17. Design Evolution Study Thermal Operating Methodology

    SciTech Connect

    T.L. Mitchell

    2002-04-29

    This study provides results supporting the conclusion that the repository can be operated over a varying range of thermal modes and therefore temperatures. In particular, this work focused on limiting the peak, postclosure waste package surface temperature to less than 85 degrees Celsius, a possible limit due to corrosion considerations. These operating modes were compared by varying the waste package in drift spacing (0.1-2.83 meters), drift pitch (drift spacing centerline to centerline of 40-120 meters), ventilation duration (75-300 years), and ventilation efficiency (50-80%). The resulting graphical representation shows where the constant temperature of the waste package (85 degrees Celsius) lies with respect to drift pitch and waste package spacing. The waste considered in this study is the strict youngest fuel first 5 years old fuel. Using only strict youngest fuel first 5 years old fuel in the waste stream results in an average heat load per waste package of 12.48kW/Pkg. With this high average heat load, it is not possible to achieve a maximum waste package surface temperature of 85 degrees Celsius or less. By aging 63% of the strict youngest fuel first 5 years old fuel for 27 years, it becomes possible to maintain the waste package surface temperature at 85 degrees Celsius or less. The 27 years of aging comes from the fact that the repository could be closed in as little as 50 years. It takes 23 years to emplace the waste and therefore the last fuel received for emplacement is 27 years prior to closures. The strict youngest fuel first 5 years old fuel waste stream with 63% aged for 27 years, results in an average power level of 8.4kW/Pkg. This lower heat load allows the controlled parameters of drift pitch, waste package spacing, aging, and ventilation duration to be varied to achieve the desired results. This study compares the hot strict youngest fuel first 5 years old fuel to the previous waste stream, which has an average of 26-year-old fuel. The 26-year

  18. Unintentional Complications After Uneventful Rhinoplasty Operations: Case Reports and a Review of the Literature.

    PubMed

    Keleş, Musa Kemal; Aksakal, İbrahim Alper; Park, Tae Hwan; Yağmur, Çağlayan; Küçüker, İsmail

    2016-02-01

    No surgical procedure is free of complications; however, some of these complications are unintentional. Plastic surgeons may be unfamiliar with certain complications after rhinoplasty operations. In this study, we aimed to present four unintentional complications that have occurred in our patients and review the literature related to these complications. In this study, we conducted a review of 1400 patients who were operated on from 2007 to 2015. The medical recordings of all patients were investigated. Four patients with unintentional complications after rhinoplasty operations are presented and the related literature was reviewed. Cases 1 and 2: These patients included a 26-year-old woman and a 30-year-old man who developed herpes simplex virus (HSV) infections after a primary septorhinoplasty. Case 3: This was a 25-year-old woman who developed periorbital emphysema after a primary rhinoplasty operation. Case 4: This was a 22-year-old woman who developed a second-degree burn on the nasal dorsum. All patients healed without sequel or scars. Many unexpected complications have been reported in the literature. Some of these complications include bleeding disorders, allergic reactions, dermatitis, visual loss, gastric bleeding, benign paroxysmal positional vertigo, false aneurysm after rhinoplasty, pneumocephalus, Tapia's syndrome, cavernous sinus syndrome, and skin reactions to prolene. Meticulous patient histories, consistent surgical routines, careful radiologic examinations, and frequent patient visits can help surgeons control these types of complications. This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online

  19. A study of actions in operative notes.

    PubMed

    Wang, Yan; Pakhomov, Serguei; Burkart, Nora E; Ryan, James O; Melton, Genevieve B

    2012-01-01

    Operative notes contain rich information about techniques, instruments, and materials used in procedures. To assist development of effective information extraction (IE) techniques for operative notes, we investigated the sublanguage used to describe actions within the operative report 'procedure description' section. Deep parsing results of 362,310 operative notes with an expanded Stanford parser using the SPECIALIST Lexicon resulted in 200 verbs (92% coverage) including 147 action verbs. Nominal action predicates for each action verb were gathered from WordNet, SPECIALIST Lexicon, New Oxford American Dictionary and Stedman's Medical Dictionary. Coverage gaps were seen in existing lexical, domain, and semantic resources (Unified Medical Language System (UMLS) Metathesaurus, SPECIALIST Lexicon, WordNet and FrameNet). Our findings demonstrate the need to construct surgical domain-specific semantic resources for IE from operative notes.

  20. 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.

  1. Auditing Operating Room Recycling: A Management Case Report.

    PubMed

    McGain, Forbes; Jarosz, Katherine Maria; Nguyen, Martin Ngoc Hoai Huong; Bates, Samantha; O'Shea, Catherine Jane

    2015-08-01

    Much waste arises from operating rooms (ORs). We estimated the practical and financial feasibility of an OR recycling program, weighing all waste from 6 ORs in Melbourne, Australia. Over 1 week, 237 operations produced 1265 kg in total: general waste 570 kg (45%), infectious waste 410 kg (32%), and recyclables 285 kg (23%). The achieved recycling had no infectious contamination. The achieved recycling/potential recycling rate was 285 kg/517 kg (55%). The average waste disposal costs were similar for general waste and recycling. OR recycling rates of 20%-25% total waste were achievable without compromising infection control or financial constraints.

  2. Space transportation system biomedical operations support study

    NASA Technical Reports Server (NTRS)

    White, S. C.

    1983-01-01

    The shift of the Space Transportation System (STS) flight tests of the orbiter vehicle to the preparation and flight of the payloads is discussed. Part of this change is the transition of the medical and life sciences aspects of the STS flight operations to reflect the new state. The medical operations, the life sciences flight experiments support requirements and the intramural research program expected to be at KSC during the operational flight period of the STS and a future space station are analyzed. The adequacy of available facilities, plans, and resources against these future needs are compared; revisions and/or alternatives where appropriate are proposed.

  3. Physical, Structural and Operational Vulnerability of Critical Facilities in Valle de Chalco Solidaridad, Estado de Mexico, Mexico. Case of study: Avándaro, San Isidro and El Triunfo

    NASA Astrophysics Data System (ADS)

    Garcia Payne, D. G.; Novelo-Casanova, D. A.; Ponce-Pacheco, A. B.; Espinosa-Campos, O.; Huerta-Parra, M.; Reyes-Pimentel, T.; Rodriguez, F.; Benitez-Olivares, I.

    2010-12-01

    Valle de Chalco Solidaridad is located in Mexico City Metropolitan Area in Estado de Mexico, Mexico. In this town there is a sewage canal called “La Compañía”. A wall of this canal collapsed on February 5, 2010 due to heavy rains creating the flooding of four surrounding communities. It is important to point out that this area is frequently exposed to floods. In this work, we consider a critical facility as an essential structure for performance, health care and welfare within a community or/and as a place that can be used as shelter in case of emergency or disaster. Global vulnerability (the sum of the three measured vulnerabilities) of the 25 critical facilities identified in the locations of Avándaro, San Isidro and El Triunfo was assessed using the Community Vulnerability Assessment Tool developed by the National Oceanic and Atmospheric Administration (NOAA). For each critical facility we determined its operational, structural and physical vulnerabilities. For our analysis, we considered the four main natural hazards to which Valle de Chalco is exposed: earthquakes, floods, landslides and sinking. We considered five levels of vulnerability using a scale from 1 to 5, where values range from very low to very high vulnerability, respectively. A critical facilities database was generated by collecting general information for three categories: schools, government and church. Each facility was evaluated considering its location in relation to identified high-risk areas. Our results indicate that in average, the global vulnerability of all facilities is low, however, there are particular cases in which this global vulnerability is high. The average operational vulnerability of the three communities is moderate. The global structural vulnerability (sum of the structural vulnerability for the four analyzed hazards) is moderate. In particular, the structural vulnerability to earthquakes is low, to landslides is very low, to flooding is moderate and to sinking is

  4. Case Study: Planning as Learning

    ERIC Educational Resources Information Center

    Smith, Peter A. C.

    2007-01-01

    Proposes that the objectives of strategic planning may be attained more effectively if implemented via a learning paradigm. In support of this claim, describes a case study detailing implementation of such an initiative plus post-implementation interviews. (Contains 5 figures.)

  5. Case Studies in Applied Mathematics.

    ERIC Educational Resources Information Center

    Mathematical Association of America, Washington, DC.

    This collection of nine case studies in applied mathematics was written primarily for the use of the instructor by a Conference sponsored by the Committee on the Undergraduate Program in Mathematics (CUPM). Each chapter contains exercises of varying degrees of difficulty and several include student projects. The materials were used on a trial…

  6. Due Process Hearing Case Study

    ERIC Educational Resources Information Center

    Bateman, David F.; Jones, Marni Gail

    2010-01-01

    This article presents a due process hearing case study of a mother who contended that his son, D.J., has been denied of a free and appropriate public education (FAPE) of his School District after being suspended from school. D.J., an elementary student, had been described as hyperactive, inattentive, defiant, and often volatile. He was identified…

  7. The Language Dilemma: Case Study.

    ERIC Educational Resources Information Center

    Teboul, J. C. Bruno

    2002-01-01

    Presents the case study involving a fictitious company's English-only policy and threats of legal action based on that policy. Includes the following responses: "Legal Issues Posed in the Language Dilemma" (Gregory S. Walden); "English Only: A Workplace Dilemma" (Alan Pakiela); "Problems with English-Only Policies" (Barbara Lynn Speicher); and…

  8. The Case Study of Frank

    ERIC Educational Resources Information Center

    Eynde, Peter Op't; Hannula, Markku S.

    2006-01-01

    As a unifying feature of this Special Issue, we have asked proponents of each framework to analyse an empirical classroom account of one student's process of solving a mathematical problem. Here, for the case study of "Frank", we give the main data that were available to all authors.

  9. Case Studies in Sports Nutrition.

    ERIC Educational Resources Information Center

    Clark, Nancy

    1988-01-01

    This article presents case studies of two athletes who wanted to affect a change in their body weight in order to enhance athletic performance. Each athlete's problem and the nutrition approach used to solve it are discussed. Caloric values of fast foods are listed. (JL)

  10. Case Studies in Sports Nutrition.

    ERIC Educational Resources Information Center

    Clark, Nancy

    1988-01-01

    This article presents case studies of two athletes who wanted to affect a change in their body weight in order to enhance athletic performance. Each athlete's problem and the nutrition approach used to solve it are discussed. Caloric values of fast foods are listed. (JL)

  11. Principal Succession: A Case Study.

    ERIC Educational Resources Information Center

    Jones, Jeffery C.; Webber, Charles F.

    Principal succession is misunderstood and underutilized as a means of affecting dynamic renewal in school communities. Previously, the replacement of a principal was examined solely through the experiences of principals and teachers. This paper reports on a case study that added the previously neglected perspectives of students, support staff, and…

  12. Case Studies in College Strategy.

    ERIC Educational Resources Information Center

    Chaffee, Ellen Earle; And Others

    Strategies employed by selected, pseudonymous private colleges in dealing with revenue constraints are detailed in case studies. Attention is directed to the adaptation and policies of eleven private liberal arts and three comprehensive colleges in their efforts to recover from rapid decline in total revenues during 1973-1976. Intensive analysis…

  13. Due Process Hearing Case Study

    ERIC Educational Resources Information Center

    Bateman, David F.; Jones, Marni Gail

    2010-01-01

    This article presents a due process hearing case study of a mother who contended that his son, D.J., has been denied of a free and appropriate public education (FAPE) of his School District after being suspended from school. D.J., an elementary student, had been described as hyperactive, inattentive, defiant, and often volatile. He was identified…

  14. The Language Dilemma: Case Study.

    ERIC Educational Resources Information Center

    Teboul, J. C. Bruno

    2002-01-01

    Presents the case study involving a fictitious company's English-only policy and threats of legal action based on that policy. Includes the following responses: "Legal Issues Posed in the Language Dilemma" (Gregory S. Walden); "English Only: A Workplace Dilemma" (Alan Pakiela); "Problems with English-Only Policies" (Barbara Lynn Speicher); and…

  15. Orbital operations study. Appendix A: Interactivity analysis

    NASA Technical Reports Server (NTRS)

    1972-01-01

    Supplemental analyses conducted to verify that safe, feasible, design concepts exist for accomplishing the attendant interface activities of the orbital operations mission are presented. The data are primarily concerned with functions and concepts common to more than one of the interfacing activities or elements. Specific consideration is given to state vector update, payload deployment, communications links, jet plume impingement, attached element operations, docking and structural interface assessment, and propellant transfer.

  16. 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.

  17. [Intestinal gas explosion during operation: a case report].

    PubMed

    Bouhours, G; Tesson, B; De Bourmont, S; Lorimier, G; Granry, J-C

    2003-04-01

    A case of intestinal gas explosion during the course of carcinologic surgery in a 51-year-old patient is reported. This accident, often dramatic, has become exceptional since the use of mannitol for colonic preparation has disappeared. This incident occurred during the course of a total pelvic exenteration performed under general anaesthesia with inhalation of both a mixture oxygen-nitrous oxide and volatile agents. The colon incision with an electrocautery was contemporaneous with a violent deflagration accountable for organic lesions. This case report reminds us that the risk of a dangerous explosion persists in relation with surgical, anaesthetic and individual risk factors.

  18. Translating childhood tuberculosis case management research into operational policies.

    PubMed

    Safdar, N; Hinderaker, S G; Baloch, N A; Enarson, D A; Khan, M A; Morkve, O

    2011-08-01

    The control of childhood tuberculosis (TB) has been of low priority in TB programmes in high-burden settings. The objective of this paper was to describe the development and testing of tools for the management of childhood TB. The Pakistan National TB Control Programme embarked on a number of activities, including the establishment of policy guidelines for the management of childhood TB and later a guidance document, 'Case Management Desk Guide and Structured Monitoring', to demonstrate the implementation of childhood TB interventions in a programme context. Initial results showed improved case finding and treatment outcome in implementation sites compared with control districts. However, further programme attention is required to improve quality.

  19. "Walk Softly and Carry a Big Stick": An Analysis of the Impact of Colonialism/Imperialism on the Operational Art for Campaign Planners Assigned to AFRICOM Using the Darfur Crisis as a Case Study

    DTIC Science & Technology

    2009-04-01

    provide some recommendations to operational planners. I want to thank Dr. Paolo Tripodi for his mentorship throughout this process. His role as a...http://www.africom.mil/AboutAFRICOM.asp. (accessed September 5, 2008). 25 15 Greg Mills, Terence McNamee, Mauro De Lorenzo, and Matt-hew Utley, "AFRICOM...Center for Strategic & International Studies. June 8, 2008. https://forums.csis.org/africa/?p=119&print=1, (accessed December 12,2008). 23 Paolo

  20. Real Time Locations Systems or Outsourcing: A Case Study

    ERIC Educational Resources Information Center

    Lawrence, Cameron; Firth, David; Khumalo, Floyd

    2013-01-01

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

  1. Case Studies in the Evaluation of Educational Programmes.

    ERIC Educational Resources Information Center

    Stake, Robert E., Ed.; And Others

    Ten brief case studies illustrate the types of arrangements which have been made between commissions and evaluators, and describe some of the subsequent problems. Each of the cases is a major evaluative study of a large-scale educational development or school operation. For the collection as a whole, the purpose was to illustrate how the…

  2. Autonomous operations in extreme environments: the AMICA case

    NASA Astrophysics Data System (ADS)

    Di Rico, Gianluca; Ragni, Maurizio; Dolci, Mauro; Straniero, Oscar; Valentini, Angelo; Valentini, Gaetano; Di Cianno, Amico; Giuliani, Croce; Bonoli, Carlotta; Bortoletto, Favio; D'Alessandro, Maurizio; Magrin, Demetrio; Corcione, Leonardo; Riva, Alberto; Abia, Carlos; Mancini, Alberto; Busso, Maurizio; Tosti, Gino

    2010-07-01

    An autonomous observatory is being installed at Dome C in Antarctica. It will be constituted by the International Robotic Antarctic Infrared Telescope (IRAIT) and the Antarctic Multiband Infrared CAmera (AMICA). Because of the extreme environment, the whole system has been developed to operate robotically, paying particular attention to the environmental conditions and the subsystems activity monitoring. A detailed description of the IRAIT/AMICA data acquisition process and management will be shown, focusing on automated procedures and solutions against safety risks.

  3. 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.

  4. Cognitive constraints on ordering operations: the case of geometric analogies.

    PubMed

    Novick, L R; Tversky, B

    1987-03-01

    Many tasks (e.g., solving algebraic equations and running errands) require the execution of several component processes in an unconstrained order. The research reported here uses the geometric analogy task as a paradigm case for studying the ordering of component processes in this type of task. In solving geometric analogies by applying mental transformations such as rotate, change size, and add a part, the order of performing the transformations is unconstrained and does not in principle affect solution accuracy. Nevertheless, solvers may bring cognitive constraints with them to the analogy task that influence the ordering of the transformations. First, we demonstrate that solvers have a preferred order for performing mental transformations during analogy solution. We then investigate three classes of explanations for the preferred order, one based on general information processing considerations, another based on task-specific considerations, and a third based on individual differences in analogy ability. In the first and third experiments, college students solved geometric analogies requiring two or three transformations and indicated the order in which they performed the transformations. There was close agreement on nearly the same order for both types of analogies. In the second experiment, subjects were directed to perform pairs of transformations in the preferred or unpreferred order. Both speed and accuracy were greater for the preferred orders, thus validating subjects' reported orders. Ability differences were observed for only the more difficult three-transformation problems: High- and middle-ability subjects agreed on an overall performance order, but the highs were more consistent in their use of this order. Low-ability subjects did not consistently order the transformations for these difficult problems. The general information processing factor examined was working-memory load. A number of task factors have been shown to affect working-memory load

  5. Analysis of 1014 consecutive operative cases to determine the utility of intraoperative neurophysiological data

    PubMed Central

    Hussain, Namath Syed

    2015-01-01

    Introduction: Intraoperative neurophysiological monitoring (IOM) during neurosurgical procedures has become the standard of care at tertiary care medical centers. While prospective data regarding the clinical utility of IOM are conspicuously lacking, retrospective analyses continue to provide useful information regarding surgeon responses to reported waveform changes. Methods: Data regarding clinical presentation, operative course, IOM, and postoperative neurological examination were compiled from a database of 1014 cranial and spinal surgical cases at a tertiary care medical center from 2005 to 2011. IOM modalities utilized included somatosensory evoked potentials, transcranial motor evoked potentials, pedicle screw stimulation, and electromyography. Surgeon responses to changes in IOM waveforms were recorded. Results: Changes in IOM waveforms indicating potential injury were present in 87 of 1014 cases (8.6%). In 23 of the 87 cases (26.4%), the surgeon responded by repositioning the patient (n = 12), repositioning retractors (n = 1) or implanted instrumentation (n = 9), or by stopping surgery (n = 1). Loss of IOM waveforms predicted postoperative neurological deficit in 10 cases (11.5% of cases with IOM changes). Conclusions: In the largest IOM series to date, we report that the surgeon responded by appropriate interventions in over 25% of cases during which there were IOM indicators of potential harm to neural structures. Prospective studies remain to be undertaken to adequately evaluate the utility of IOM in changing surgeon behavior. Our data is in agreement with previous observations in indicating a trend that supports the continued use of IOM. PMID:26396602

  6. Remote arctic drilling operations in Russia, case history of Ardalin field operations, Timan Pechora Basin

    SciTech Connect

    Reyna, E.M.; Nicholson, S.; Brady, S.

    1996-12-31

    In developing the Ardalin field, the Polar Lights Company merged Russian and western expertise to conduct drilling operations in a hostile and ecologically sensitive arctic tundra environment. The field is located above the Arctic Circle in northern Russia. The nearest Russian road system is over 60km away and the nearest railhead is 240 km from the field. Three Russian rigs were constructed with selected western upgrades, twelve development wells were drilled, and three existing Russian wells were worked over within a 24 month period. Operations were supported with a snow road in the winter season and Russian helicopter in the summer season. All materials for one year`s worth of drilling had to be transported to the field prior to break-up (end of trucking activities on the snow roads). Services and equipment were sourced from both inside and outside of the Commonwealth of Independent States (CIS). Temperatures in winter reached -45{degrees}C. The field is located in one of the most ecologically sensitive areas in the world, and numerous precautions were taken for the protection of the environment. Russian operating philosophies were successfully merged with western practices. This paper will focus on the operational criteria initiated and infrastructure system that evolved to support this project.

  7. Specific SPS construction studies: Operations and maintenance

    NASA Technical Reports Server (NTRS)

    Miller, K. H.

    1980-01-01

    Surface as well as in-space operations of the solar power satellite program are addressed. The primary end products of SPS industrial enterprise are shown SPS and its ground receiving antenna every six months; and (3) construction of electric cargo orbital transfer vehicles. The production of photovoltaic cells and solar blankets is also considered.

  8. Surprise: The Korean Case Study

    DTIC Science & Technology

    1992-05-18

    theory through education ; a mre rigid approach toward decision making in foriegn policy; appropriate military doctrine; mobile and flexible forces. 20...TJUR 19 ARSTRAC7 (Contrwe on ,vvere of necesury end iderltIfy by block fnumber) Clearly m.ilitary surorise is arnng the greatest dangers a country ...SURPRISE: THE KOREAN CASE STUDY Clearly military surprise is among the greatest dangers a country can face. Despite a knowledge of this danger, responsible

  9. Case Study: Guidelines for Producing Videos to Accompany Flipped Cases

    ERIC Educational Resources Information Center

    Prud'homme-Généreux, Annie; Schiller, Nancy A.; Wild, John H.; Herreid, Clyde Freeman

    2017-01-01

    Three years ago, the "National Center for Case Study Teaching in Science" (NCCSTS) was inspired to merge the case study and flipped classroom approaches. The resulting project aimed to create the materials required to teach a flipped course in introductory biology by assigning videos as homework and case studies in the classroom. Three…

  10. Case Study Research in Therapeutic Recreation.

    ERIC Educational Resources Information Center

    McCormick, Bryan P.

    2000-01-01

    Reviews the rationale for and implications of case study research in therapeutic recreation, examining: what can be learned from studying a single case; issues of validity and reliability; ethical conduct of research; and the practice of case study research (case protocol, case selection, collecting data, analyzing and interpreting data, and…

  11. [Prevention of post-operative infection in heart surgery with extracorporeal circulation (apropos of 295 cases)].

    PubMed

    Hubscher, C; Coulombe, G; Oksenhendler, G; Laborde, F; Soyer, R; Winckler, C

    1979-01-01

    From April 1977 to November 1978, 295 patients were operated on using artificial circulation. 31 p. 100 of these developed a post-operative infectious complication, 7.3 p. 100 being of a serious nature (3.3 p. 100 suffered from mediastinitis, and 4 p. 100 from septicaemia). The organisms responsible are, in the case of the mediastinal infections the staphylococcus Citreus, and Gram negative bacilli in the case of the septicaemias. A retrospective analysis shows that there are two successive periods and that in the course of the second there is a decrease in the occurence of all of the infections and particularly in the cases of mediastinitis. This improvment would seem on superficial analysis to correspond with a change in the preventive antibiotic treatment, the cephradine--gentamicin combination having replaced penicillin G. However, the statistical study shows that other factors were altered between the two periods (type of antiseptic, duration of treatments, time of postoperative intubation) and that these equally contributed to the fall in the incidence of infection. In the light of this study, it would seem that if prophylactic antibiotic treatment essentially directed against staphylococci has a place in cardiac surgery with artificial circulation, it can only be regarded as one of several preventive factors. The statistical data gathered so far is not sufficient to prove the efficacy of this treatment.

  12. Post-operative Supplementary Motor Area Syndrome: A Case Report.

    PubMed

    Satter, A R; Asif, D S; Zannat, S; Gaddam, S K

    2017-04-01

    The supplementary motor area (SMA-proper) is important for the programming and execution of motor, speech, and other elaborative functions. SMA is frequently involved by brain tumors (particularly WHO grade II gliomas). Surgery in this area can be followed by the 'SMA syndrome', characterised by contralateral akinesia and mutism. We present a case of Falcine meningioma in the region of the right SMA which developed SMA syndrome. Our patient showed complete recovery of neurological function but the process was slow with a specific pattern.

  13. Explosives Hazard Reduction (EHR) Studies Joint Operations

    DTIC Science & Technology

    2010-07-01

    Analysts, Inc. (ISA) Explosives Hazard Reduction (EHR) ProgramAs of: 2 ● Identify / Quantify Explosives Hazards ● Minimize Risks ● Resolve long...Siting Recommendations ● Produce DDESB Compliant Explosives Safety Site plans EHR Goals & Objectives Explosives Hazard Reduction (EHR) ProgramAs of: 3...of Barricades ● Automated Wash Rack ● Use ISO Trailers in MSA Explosives Hazard Reduction (EHR) ProgramAs of: 6 Proposed Facilities Joint Operations

  14. The Case: Generalisation, Theory and Phronesis in Case Study

    ERIC Educational Resources Information Center

    Thomas, Gary

    2011-01-01

    Arguments for the value of case study are vitiated by assumptions about the need for generalisation in the warrant of social scientific inquiry--and little generalisation is legitimate from case study, although an argument exists for the role of the case in the establishment of a form of generalisation in a certain kind of theory, a line of…

  15. Bilateral carpal tunnel surgery in one operation: Retrospective study.

    PubMed

    Herisson, O; Dury, M; Rapp, E; Marin-Braun, F

    2016-06-01

    Carpal tunnel syndrome is the most common entrapment syndrome. The incidence of a bilateral condition varies between 22% and 87%. The aim of our study was to assess the level of satisfaction and the clinical outcomes in a group of patients operated on through a bilateral neurolysis on the median nerve in the carpal tunnel, in one operating session. This is a retrospective study involving patients with an electromyographic and clinical diagnosis of bilateral carpal tunnel syndrome. Patients were treated on an outpatient basis and the bilateral neurolysis was performed by endoscopy. The postoperative data was collected during consultation by a senior surgeon or during telephone interviews. Patients were asked to respond to a satisfaction questionnaire and the functional outcome was assessed through the Quick-Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) questionnaire. Twenty-nine patients with bilateral carpal tunnel syndrome were operated on in single operating sessions between January 2009 and January 2014. The average follow-up was 46 months. The average age at the time of the intervention was 45 years. Two patients were lost to follow-up, and 27 were able to be assessed. In relation to the clinical and functional outcomes, the average Quick-DASH score was 6.78 (ranges: 0-43.2). Twenty-five patients (92.5%) were satisfied with this simultaneous treatment and 26 patients (96%) would choose the same technique again. One-stage surgery in cases of bilateral carpal tunnel syndrome appears to constitute a benefit for the patient, the surgeon and the anaesthetist, but it is reserved for patients who request it and who are motivated by this type of intervention.

  16. Ergonomic study of an operator's work of a molybdenum plant.

    PubMed

    Oñate, Esteban; Meyer, Felipe

    2012-01-01

    This study was part of an ergonomic program which is being carried out through an agreement between the University of Concepción and a Chilean private mining company. The purpose of this case study was to identify working conditions in which the physical and mental workload could be over the capabilities of the operator. He was responsible for loading trucks with sacks of molybdenum and for downloading reagents and handles them. The methods employed in this study included electronic records, interviews, surveys, review of the company standards, a time study and physical and mental workload analysis. Results showed that 84% of the time the operator was carrying out principal and secondary activities and no break periods were detected. It was found that the pace of work and the shift system generated unfavorable conditions by imbalance in the workload on the different days of the week. In the light of the results recommendations were made for a number of ergonomic changes. Most of them were accepted by the company. The most important achievement was a change in the shift system. The overload of the operator was due to the fact that he was in a shift working 5 days and resting on weekends. The imbalance was mainly because the work of the week end was accumulated for Monday. As a result of the study, the company contracted a second worker for this job and adopted a 7x7 shift system, meaning that they work seven days and rest seven days. An evaluation carried out two month after adopting the new shift revealed that changes were well accepted by the worker.

  17. A Molecular Epidemiologic Case-Case Study of Prostate Cancer

    DTIC Science & Technology

    2001-03-01

    AD__ _ _ _ Award Number: DAMD17-98-1-8471 TITLE: A Molecular Epidemiologic Case-Case Study of Prostate Cancer PRINCIPAL INVESTIGATOR: Sara S. Strom...Molecular Epidmeiologic Case-Case Study of Prostate DAMD17-98-1-8471 Cancer Susceptibility 6. AUTHOR(S) Sara S. Strom, Ph.D. Sue-Hwa Lin 7. PERFORMING...DISTRIBUTION CODE Approved for Public Release; Distribution Unlimited 13. ABSTRACT (Maximum 200 Words) Although prostate cancer is the most common cancer in

  18. Operative Management of Intraventricular Central Neurocytomas: An Analysis of a Surgical Experience with 32 Cases.

    PubMed

    Chen, Li-Feng; Yang, Yang; Ma, Xiao-Dong; Yu, Xin-Guang; Xu, Bai-Nan; Zhou, Ding-Biao

    2016-01-01

    To better understand the clinical characteristics of central neurocytoma (CN), as well as to assess the optimum therapeutic schedule. This was a retrospective study of 32 patients with CN who visited our department between January 2008 and January 2013. We analyzed the clinical and radiological presentations, tumor characteristics, surgical strategies, and the prognosis. We performed operation guided by combined intraoperative magnetic resonance imaging (iMRI) and neuronavigation in 25 patients. The iMRI detected residual tumor in 9 cases, and further resection was performed in 5 cases. Total and nearly total tumor resection was achieved in 29 cases (91%). There was no significant difference between transcortical and transcallosal approaches in complications. Two cases (6%) with recurrence received respectively repeat salvage surgery and radiosurgery at 46 and 50 months after surgery. Thirty patients (94%) had excellent functional outcome (Karnofsky Performance Score ≥80) and 28 patients (88%) resumed their occupations. Our study demonstrates radical surgery with excellent neurological outcomes is the primary treatment of CN. The techniques of resection guided by combined iMRI and neuronavigation seems to enable a higher complete resection rate and reduce the morbidity rate during surgery. We suggest careful clinical observation after initial surgery, and repeat salvage surgery or radiosurgery for recurrent CN.

  19. Supracerebellar infratentorial endoscopically controlled resection of pineal lesions: case series and operative technique.

    PubMed

    Uschold, Timothy; Abla, Adib A; Fusco, David; Bristol, Ruth E; Nakaji, Peter

    2011-12-01

    The heterogeneous clinical manifestations and operative characteristics of pathological entities in the pineal region represent a significant challenge in terms of patient selection and surgical approach. Traditional surgical options have included endoscopic transventricular resection; open supratentorial microsurgical approaches through the midline, choroidal fissure, lateral ventricle, and tentorium; and supracerebellar infratentorial (SCIT) approaches through the posterior fossa. The object of the current study was to review the preoperative characteristics and outcomes for a cohort of patients treated purely via the novel endoscopically controlled SCIT approach. A single-institution series of 9 consecutive patients (4 male and 5 female patients [10 total cases]; mean age 21 years, range 6-37 years) treated via the endoscopically controlled SCIT approach for a pathological entity in the pineal region was retrospectively reviewed. The mean follow-up time was 13.2 months. The endoscopically controlled SCIT approach was successfully used to approach a variety of pineal lesions, including pineal cysts (6 patients), epidermoid tumor, WHO Grade II astrocytoma (initial biopsy and recurrence), and malignant mixed germ cell tumor (1 patient each). Gross-total resection and/or adequate cyst fenestration was achieved in 8 cases. Biopsy with conservative debulking was performed for the single case of low-grade astrocytoma and again at the time of recurrence. The mean preoperative tumor and cyst volumes were 9.9 ± 4.4 and 3.7 ± 3.2 cm(3), respectively. The mean operating times were 212 ± 71 minutes for tumor cases and 177 ± 72 minutes for cysts. Estimated blood loss was less than 150 ml for all cases. A single case (pineal cyst) was converted to an open microsurgical approach to enhance visualization. There were no operative complications, as well as no documented CSF leaks, additional CSF diversion procedures, or air emboli. Seven patients underwent concomitant third

  20. Matching clinicians to operative cases: a novel application of a patient acuity score.

    PubMed

    Was, A; Wanderer, J

    2013-01-01

    Patient and surgical case complexity are important considerations in creating appropriate clinical assignments for trainees in the operating room (OR). The American Society of Anesthesiologists (ASA) Physical Status Classification System is the most commonly used tool to classify patient illness severity, but it requires manual evaluation by a clinician and is highly variable. A Risk Stratification System for surgical patients was recently published which uses administrative billing codes to calculate four Risk Stratification Indices (RSIs) and provides an objective surrogate for patient complexity that does not require clinical evaluation. This risk score could be helpful when assigning operating room cases. This is a technical feasibility study to evaluate the process and potential utility of incorporating an automatic risk score calculation into a web-based tool for assigning OR cases. We created a web service implementation of the RSI model for one-year mortality and automatically calculated the RSI values for patients scheduled to undergo an operation the following day. An analysis was conducted on data availability for the RSI model and the correlation between RSI values and ASA physical status. In a retrospective analysis of 46,740 patients who received surgery in the year preceding the web tool implementation, RSI values were generated for 20,638 patients (44%). The Spearman's rank correlation coefficient between ASA physical status classification and one-year mortality RSI values was 0.404. We have shown that it is possible to create a web-based tool that uses existing billing data to automatically calculate risk scores for patients scheduled to undergo surgery. Such a risk scoring system could be used to match patient acuity to physician experience, and to provide improved patient and clinician experiences. The web tool could be improved by expanding the input database or utilizing procedure booking codes rather than billing data.

  1. Obsessional slowness: a case study.

    PubMed

    Lam, Wendy; Wong, Karen W; Fulks, Mary-Ann; Holsti, Liisa

    2008-10-01

    Obsessional slowness is a rare psychiatric disorder with few treatment options and limited research to date. Some suggest that targeted behavioural interventions may reduce the time taken for functional daily activities. To examine whether a behavioural intervention would reduce the amount of time taken for an adolescent with obsessional slowness to walk to class. A single-subject A-B-A withdrawal design was incorporated into this case study. The treatment involved one-to-one pacing and prompting during the subject's walk to gym class. Walking times to gym class were measured during a baseline phase, during a one-month treatment phase, and during a post-treatment follow-up phase. The subject's walking times decreased during the treatment phase. Post-treatment walking times suggested a carry-over effect. This study adds to the sparse evidence on treatments for obsessional slowness and suggests occupation-based treatment options.

  2. 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.

  3. Is the Species Flock Concept Operational? The Antarctic Shelf Case

    PubMed Central

    Lecointre, Guillaume; Améziane, Nadia; Boisselier, Marie-Catherine; Bonillo, Céline; Busson, Frédéric; Causse, Romain; Chenuil, Anne; Couloux, Arnaud; Coutanceau, Jean-Pierre; Cruaud, Corinne; d'Acoz, Cédric d'Udekem; De Ridder, Chantal; Denys, Gael; Dettaï, Agnès; Duhamel, Guy; Eléaume, Marc; Féral, Jean-Pierre; Gallut, Cyril; Havermans, Charlotte; Held, Christoph; Hemery, Lenaïg; Lautrédou, Anne-Claire; Martin, Patrick; Ozouf-Costaz, Catherine; Pierrat, Benjamin; Pruvost, Patrice; Puillandre, Nicolas; Samadi, Sarah; Saucède, Thomas; Schubart, Christoph; David, Bruno

    2013-01-01

    There has been a significant body of literature on species flock definition but not so much about practical means to appraise them. We here apply the five criteria of Eastman and McCune for detecting species flocks in four taxonomic components of the benthic fauna of the Antarctic shelf: teleost fishes, crinoids (feather stars), echinoids (sea urchins) and crustacean arthropods. Practical limitations led us to prioritize the three historical criteria (endemicity, monophyly, species richness) over the two ecological ones (ecological diversity and habitat dominance). We propose a new protocol which includes an iterative fine-tuning of the monophyly and endemicity criteria in order to discover unsuspected flocks. As a result nine « full » species flocks (fulfilling the five criteria) are briefly described. Eight other flocks fit the three historical criteria but need to be further investigated from the ecological point of view (here called « core flocks »). The approach also shows that some candidate taxonomic components are no species flocks at all. The present study contradicts the paradigm that marine species flocks are rare. The hypothesis according to which the Antarctic shelf acts as a species flocks generator is supported, and the approach indicates paths for further ecological studies and may serve as a starting point to investigate the processes leading to flock-like patterning of biodiversity. PMID:23936311

  4. Is the species flock concept operational? The Antarctic shelf case.

    PubMed

    Lecointre, Guillaume; Améziane, Nadia; Boisselier, Marie-Catherine; Bonillo, Céline; Busson, Frédéric; Causse, Romain; Chenuil, Anne; Couloux, Arnaud; Coutanceau, Jean-Pierre; Cruaud, Corinne; d'Acoz, Cédric d'Udekem; De Ridder, Chantal; Denys, Gael; Dettaï, Agnès; Duhamel, Guy; Eléaume, Marc; Féral, Jean-Pierre; Gallut, Cyril; Havermans, Charlotte; Held, Christoph; Hemery, Lenaïg; Lautrédou, Anne-Claire; Martin, Patrick; Ozouf-Costaz, Catherine; Pierrat, Benjamin; Pruvost, Patrice; Puillandre, Nicolas; Samadi, Sarah; Saucède, Thomas; Schubart, Christoph; David, Bruno

    2013-01-01

    There has been a significant body of literature on species flock definition but not so much about practical means to appraise them. We here apply the five criteria of Eastman and McCune for detecting species flocks in four taxonomic components of the benthic fauna of the Antarctic shelf: teleost fishes, crinoids (feather stars), echinoids (sea urchins) and crustacean arthropods. Practical limitations led us to prioritize the three historical criteria (endemicity, monophyly, species richness) over the two ecological ones (ecological diversity and habitat dominance). We propose a new protocol which includes an iterative fine-tuning of the monophyly and endemicity criteria in order to discover unsuspected flocks. As a result nine « full » species flocks (fulfilling the five criteria) are briefly described. Eight other flocks fit the three historical criteria but need to be further investigated from the ecological point of view (here called "core flocks"). The approach also shows that some candidate taxonomic components are no species flocks at all. The present study contradicts the paradigm that marine species flocks are rare. The hypothesis according to which the Antarctic shelf acts as a species flocks generator is supported, and the approach indicates paths for further ecological studies and may serve as a starting point to investigate the processes leading to flock-like patterning of biodiversity.

  5. Kelly during Twins Study Experiment Operations

    NASA Image and Video Library

    2015-09-24

    ISS045E028258 (09/24/2015) --- NASA astronaut Scott Kelly gives himself a flu shot for an ongoing study on the human immune system. The vaccination is part of NASA’s Twins Study, a compilation of multiple investigations that take advantage of a unique opportunity to study identical twin astronauts Scott and Mark Kelly, while Scott spends a year aboard the International Space Station and Mark remains on Earth.

  6. 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.

  7. Case Study: A Picture Worth a Thousand Words? Making a Case for Video Case Studies

    ERIC Educational Resources Information Center

    Pai, Aditi

    2014-01-01

    A picture, they say, is worth a thousand words. If a mere picture is worth a thousand words, how much more are "moving pictures" or videos worth? The author poses this not merely as a rhetorical question, but because she wishes to make a case for using videos in the traditional case study method. She recommends four main approaches of…

  8. Case Study: A Picture Worth a Thousand Words? Making a Case for Video Case Studies

    ERIC Educational Resources Information Center

    Pai, Aditi

    2014-01-01

    A picture, they say, is worth a thousand words. If a mere picture is worth a thousand words, how much more are "moving pictures" or videos worth? The author poses this not merely as a rhetorical question, but because she wishes to make a case for using videos in the traditional case study method. She recommends four main approaches of…

  9. Spinal cord injury following operative shoulder intervention: A case report

    PubMed Central

    Cleveland, Christine; Walker, Heather

    2015-01-01

    Context Cervical myelopathy is a spinal cord dysfunction that results from extrinsic compression of the spinal cord, its blood supply, or both. It is the most common cause of spinal cord dysfunction in patients greater than 55 years of age. Findings: A 57-year-old male with right shoulder septic arthritis underwent surgical debridement of his right shoulder and sustained a spinal cord injury intraoperatively. The most likely etiology is damage to the cervical spinal cord during difficult intubation requiring multiple attempts in this patient with underlying asymptomatic severe cervical stenosis. Conclusion Although it is not feasible to perform imaging studies on all patients undergoing intubation for surgery, this patient's outcome would suggest consideration of inclusion of additional pre-surgical screening examination techniques, such as testing for a positive Hoffman's reflex, is appropriate to detect asymptomatic patients who may have underlying cervical stenosis. PMID:24679185

  10. Successful Pregnancy Outcome in an Operated Case of Lipomeningomyocele: A Rare Case

    PubMed Central

    Nanda, Sakshi; Aggarwal, Rohina; Tanvir

    2016-01-01

    Lipomeningomyocele is one of the types of occult spinal dysraphism associated with tethered cord syndrome, which is characterised by neurodeficit symptomatology due to stretch- induced functional disorder of the spinal cord with its caudal part attached by an in elastic tissue. There is stretching of conus medullaris and nerve roots due to disproportionate growth between vertebral column and spinal cord, resulting in various neurological deficits. Its incidence is approximately 1 in 4000 births in the USA, with a slightly higher female preponderance, although its true incidence is not known. There are very few studies on pregnancy outcome in these patients and the management dilemma in this group has prompted us to report this case. PMID:27790529

  11. STS Case Study Development Support

    NASA Technical Reports Server (NTRS)

    Rosa de Jesus, Dan A.; Johnson, Grace K.

    2013-01-01

    The Shuttle Case Study Collection (SCSC) has been developed using lessons learned documented by NASA engineers, analysts, and contractors. The SCSC provides educators with a new tool to teach real-world engineering processes with the goal of providing unique educational materials that enhance critical thinking, decision-making and problem-solving skills. During this third phase of the project, responsibilities included: the revision of the Hyper Text Markup Language (HTML) source code to ensure all pages follow World Wide Web Consortium (W3C) standards, and the addition and edition of website content, including text, documents, and images. Basic HTML knowledge was required, as was basic knowledge of photo editing software, and training to learn how to use NASA's Content Management System for website design. The outcome of this project was its release to the public.

  12. Generalization of Findings From Single Case Studies.

    ERIC Educational Resources Information Center

    Kennedy, Mary M.

    Although single case studies might be useful to evaluators for a variety of purposes, there are no generally accepted ways for drawing inferences about the generality of findings from a case study. Single case studies are defined in this paper as either studies of single events, or disaggregated studies of multiple events. The data may be…

  13. 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.

  14. Scheduling job shop - A case study

    NASA Astrophysics Data System (ADS)

    Abas, M.; Abbas, A.; Khan, W. A.

    2016-08-01

    The scheduling in job shop is important for efficient utilization of machines in the manufacturing industry. There are number of algorithms available for scheduling of jobs which depend on machines tools, indirect consumables and jobs which are to be processed. In this paper a case study is presented for scheduling of jobs when parts are treated on available machines. Through time and motion study setup time and operation time are measured as total processing time for variety of products having different manufacturing processes. Based on due dates different level of priority are assigned to the jobs and the jobs are scheduled on the basis of priority. In view of the measured processing time, the times for processing of some new jobs are estimated and for efficient utilization of the machines available an algorithm is proposed and validated.

  15. High risk of urinary tract infections in post-operative gynaecology patients: a retrospective case analysis.

    PubMed

    Crosby-Nwaobi, R R; Faithfull, S

    2011-11-01

    This study was undertaken to determine the incidence and risk factors related to the occurrence of urinary tract infections (UTIs), post surgery, in women being treated for a gynaecological cancer. A retrospective case analysis of 215 women was conducted using data collected via case review with domains covering known risk factors for the occurrence of urinary infections. Bacteriuria was defined as greater than 10(5) colony-forming units per millilitre. A total of 30.7% of women had a UTI post-operatively. Among these, 75.7% infections were Escherichia coli. Having a catheter in situ for ≤3 days was found to be slightly significant in the formation of a UTI post-operatively (U= 3878, P < 0.05). Having a catheter in situ for ≥7 days was found to be highly significant (χ(2) (1) = 6.602, P < 0.01), with an odds ratio of 2.44. A positive correlation was found between the duration of the catheter in situ and type of UTI (τ= .251, P < 0.01). Although urinary catheterisation is known to be related to hospital-acquired infection, a shorter duration of catheterisation may reduce the risk of possible infection post surgery. Oncology teams need to be more aware of this risk, identify women more likely to be catheterised for longer and use preventative strategies for managing infection, such as silver nitrite-lined catheters.

  16. Pre-operative planning and intra-operative guidance in modern neurosurgery: a review of 300 cases.

    PubMed Central

    Wadley, J.; Dorward, N.; Kitchen, N.; Thomas, D.

    1999-01-01

    Operative neurosurgery has recently entered an exciting era of image guided surgery or neuronavigation and application of this novel technology is beginning to have a significant impact in many ways in a variety of intracranial procedures. In order to fully assess the advantages of image guided techniques over conventional planning and surgery in selected cases, detailed prospective evaluation has been carried out during the advanced development of an optically tracked neuronavigation system. Over a 2-year period, 300 operative neurosurgical procedures have been performed with the assistance of interactive image guidance, as well as the development of new software applications and hardware tools. A broad range of intracranial neurosurgical procedures were seen to benefit from image guidance, including 163 craniotomies, 53 interactive stereotactic biopsies, 7 tracked neuroendoscopies and 37 complex skull base procedures. The most common pathological diagnoses were cerebral glioma in 98 cases, meningioma in 64 and metastasis in 23. Detailed analysis of a battery of postoperative questions revealed benefits in operative planning, appreciation of anatomy, lesion location, safety of surgery and greatly enhanced surgical confidence. The authors believe that image guided surgical technology, with new developments such as those described, has a significant role to play in contemporary neurosurgery and its widespread adoption in practice will be realised in the near future. Images Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Figure 9 PMID:10615186

  17. Value of case studies in disaster assessment?

    PubMed

    Grynszpan, Delphine; Murray, Virginia; Llosa, Silvia

    2011-06-01

    Case studies can be useful in assessing and learning lessons from emergency situations. In this paper, different uses for disaster case studies, are explored with identification of potential pitfalls that should be avoided. In addition, ways to improve the rigor and significance of case studies are suggested. Case studies can be used as examples or as a research tool. If conducted properly, they can provide robust and compelling results. It is argued that sharing a common guide to conducting and writing case studies among all disaster risk reduction professionals could improve the quality of case study reports and thereby strengthen their value in advancing the prevention, preparedness, and management of disasters and emergencies.

  18. Anesthesia treatment in cases of infant epiglottis cyst emergency extirpation operations.

    PubMed

    Xu, Q; Xu, J P; Wang, L Z

    2014-06-17

    Congenital epiglottic cyst is a rare embryonic disease. As a congenital laryngeal mucocele, its clinical manifestations include repeated sudden dyspneic respiration and even suffocation accompanied by laryngeal stridor after birth. During food intake, bucking and vomiting is a key feature. Delay in diagnosis and treatment of the disease affects growth and the development of neonatorum leading to suffocation and death. This study was designed to investigate the safety of anesthesia in infants with congenital epiglottic cyst during operation to reduce the occurrence of its complications. The treatment of operations on 12 infants with congenital epiglottic cysts were retrospectively analyzed. Twelve cases of infants with epiglottic cysts received emergency enucleation. Owing to adequate preanesthetic preparation, cystectomies were successfully performed with microwave cauterization under suspension laryngoscopy. None of the 12 patients showed apparent suffocation during anesthesia, the surgical results were good, and after 6 months to 1 year of follow-up, the disease had not recurred. Because of the acute onset of the disease and its severe symptoms and complications, attention should be paid to improve preoperative preparation. Careful selection of proper anesthesia is the key to achieving a successful operation.

  19. NWCC Transmission Case Study III

    SciTech Connect

    Terry Allison, Steve Wiese

    2000-03-01

    OAK-B135 Transmission System Improvements for Wind Energy Development in the Upper Midwest and Great Plains: Opportunities and Obstacles. This case study set out to ascertain the validity of three assumptions from the perspectives of stakeholders involved in wind energy and transmission issues in the Upper Midwest and Great Plains. The assumptions, and the stakeholders' reactions to each, are summarized below: Assumption 1--Transmission system improvements would provide significant benefits to the electricity network and its customers. Respondents acknowledge the potential for overall system benefits in the form of reduced line losses, improved grid stability and reliability, and enhanced ability to conduct spot market transactions. They also agree that these benefits relate to specific regional needs. However, there is disagreement over the extent of other benefits such as efficiency gains and cost savings from reduced line losses. Further, environmental and community interest groups point out that none of these benefits are realized without significant financial, environmental and social costs. Assumption 2--The benefits of transmission improvements would be helpful, but not confined, to wind power. All respondents agree that wind energy could benefit from transmission system improvements. But they also acknowledge, reluctantly, in the case of environmental stakeholders, that the benefits of an improved transmission system cannot be limited to environmentally preferable forms of generation. Some environmental and community advocate respondents also feel that transmission system improvement projects can be avoided altogether through energy conservation and efficiency measures, and by substituting wind energy for fossil generation. Assumption 3--Transmission alliances among stakeholders within and external to the wind community can provide benefits in the public interest. The fractured, multi-jurisdictional governance of the regional transmission system, and the

  20. Operation Brain Trauma Therapy Extended Studies

    DTIC Science & Technology

    2015-05-01

    percussion, controlled cortical impact (CCI), and penetrating ballistic-like brain injury) in rats for screening of therapies and evaluation of two...cyclosporine, simvastatin, levetiracetam, glibenclamide, kollidon VA64, amantadine, and minocycline. Approximately 2000 rats have been studied and...sections from rats in each of the 3 therapy screening models used by the OBTT consortium. A total of 8 manuscripts were published in the issue (S1-S8

  1. Brigade Prepositioned (PREPO) Afloat Operations Study

    DTIC Science & Technology

    1994-03-01

    the JWG to determine the overall duration of the two situations. The study team developed this interim representation using Modeler, a Petri - net ...heavy equipment transpost Pit platoon ad* bdgade HHB headquaters headquarter battery RORO roli-oWro"ld Bn battalion HHC headqyiwle- headquarters compay...technique pit platoon PMCS preventive maintenance checks and services POD port(s) of debarkation prep prepare PREPO prepositioned PSA port support authority

  2. 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.

  3. Commercial and Institutional Case Studies

    EPA Pesticide Factsheets

    Throughout the country, commercial and institutional (CI) building owners and facility managers are taking actions to reduce their water use, implementing many of the operations and maintenance, retrofit, and replacement projects.

  4. National Environmental Change Information System Case Study

    NASA Technical Reports Server (NTRS)

    Goodman, S. J.; Ritschard, R.; Estes, M. G., Jr.; Hatch, U.

    2001-01-01

    The Global Hydrology and Climate Center and NASA's Marshall Space Flight Center conducted a fact-finding case study for the Data Management Working Group (DMWG), now referred to as the Data and Information Working Group (DIWG), of the U.S. Global Change Research Program (USGCRP) to determine the feasibility of an interagency National Environmental Change Information System (NECIS). In order to better understand the data and information needs of policy and decision makers at the national, state, and local level, the DIWG asked the case study team to choose a regional water resources issue in the southeastern United States that had an impact on a diverse group of stakeholders. The southeastern United States was also of interest because the region experiences interannual climatic variations and impacts due to El Nino and La Nina. Jointly, with input from the DIWG, a focus on future water resources planning in the Apalachicola-Chattahoochee-Flint (ACF) River basins of Alabama, Georgia, and Florida was selected. A tristate compact and water allocation formula is currently being negotiated between the states and U.S. Army Corps of Engineers (COE) that will affect the availability of water among competing uses within the ACF River basin. All major reservoirs on the ACF are federally owned and operated by the U.S. Army COE. A similar two-state negotiation is ongoing that addresses the water allocations in the adjacent Alabama-Coosa-Tallapoosa (ACT) River basin, which extends from northwest Georgia to Mobile Bay. The ACF and ACT basins are the subject of a comprehensive river basin study involving many stakeholders. The key objectives of this case study were to identify specific data and information needs of key stakeholders in the ACF region, determine what capabilities are needed to provide the most practical response to these user requests, and to identify any limitations in the use of federal data and information. The NECIS case study followed the terms of reference

  5. Surfactant studies for bench-scale operation

    NASA Technical Reports Server (NTRS)

    Hickey, Gregory S.; Sharma, Pramod K.

    1992-01-01

    A phase 2 study was initiated to investigate surfactant-assisted coal liquefaction, with the objective of quantifying the enhancement in liquid yields and product quality. This publication covers the first quarter of work. The major accomplishments were: the refurbishment of the high-pressure, high-temperature reactor autoclave, the completion of four coal liquefaction runs with Pittsburgh #8 coal, two each with and without sodium lignosulfonate surfactant, and the development of an analysis scheme for the product liquid filtrate and filter cake. Initial results at low reactor temperatures show that the addition of the surfactant produces an improvement in conversion yields and an increase in lighter boiling point fractions for the filtrate.

  6. Surfactant studies for bench-scale operation

    NASA Technical Reports Server (NTRS)

    Hickey, Gregory S.; Sharma, Pramod K.

    1993-01-01

    A phase 2 study has been initiated to investigate surfactant-assisted coal liquefaction, with the objective of quantifying the enhancement in liquid yields and product quality. This report covers the second quarter of work. The major accomplishments were: completion of coal liquefaction autoclave reactor runs with Illinois number 6 coal at processing temperatures of 300, 325, and 350 C, and pressures of 1800 psig; analysis of the filter cake and the filtrate obtained from the treated slurry in each run; and correlation of the coal conversions and the liquid yield quality to the surfactant concentration. An increase in coal conversions and upgrading of the liquid product quality due to surfactant addition was observed for all runs.

  7. Allographic agraphia: A case study

    PubMed Central

    Menichelli, Alina; Rapp, Brenda; Semenza, Carlo

    2011-01-01

    We report the case of patient MN, diagnosed with frontotemporal dementia, who exhibited a severe impairment in writing letters and words in upper-case print in the face of accurate production of the same stimuli in lower-case cursive. In contrast to her written production difficulties, MN was unimpaired in recognizing visually presented letters and words in upper-case print. We find a modest benefit of visual form cueing in the written production of upper-case letters, despite an inability to describe or report visual features of letters in any case or font. This case increases our understanding of the allographic level of letter-shape representation in written language production. It provides strong support for previous reports indicating the neural independence of different types of case and font-specific letter-shape information; it provides evidence that letter-shape production does not require explicit access to information about the visual attributes of letter shapes and, finally, it reveals the possibility of interaction between processes involved in letter-shape production and perception. PMID:18489965

  8. 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.

  9. 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,…

  10. 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,…

  11. Case-control studies: basic concepts.

    PubMed

    Vandenbroucke, Jan P; Pearce, Neil

    2012-10-01

    The purpose of this article is to present in elementary mathematical and statistical terms a simple way to quickly and effectively teach and understand case-control studies, as they are commonly done in dynamic populations-without using the rare disease assumption. Our focus is on case-control studies of disease incidence ('incident case-control studies'); we will not consider the situation of case-control studies of prevalent disease, which are published much less frequently.

  12. Asking for the 22-modifier in isolated ankle fractures: does the operative note make the case?

    PubMed

    Thakore, Rachel V; Greenberg, Sarah E; Sathiyakumar, Vasanth; Prablek, Marc A; Elmashat, David; Hinson, Julian K; Joyce, David; Obremskey, William T; Sethi, Manish K

    2015-01-01

    We evaluated the operative notes for justification on the use of the 22-modifier in ankle fracture cases and compared the differences in physician billing and reimbursement. A total of 265 patients who had undergone operative management of isolated ankle fractures across a 10-year period were identified at a level I trauma center through a retrospective chart review. Of the 265 patients, 61 (23.0%) had been billed with the 22-modifier. The radiographs were reviewed by 3 surgeons to determine the complexity of the case. The amount of the professional fees and payments was obtained from the financial services department. Operative reports were reviewed for inclusion of eight 22-modifier criteria and word count. Mann-Whitney U tests of means were used to compare cases with and without the 22-modifier. From our analysis of preoperative radiographs, 37 (60%) showed evidence of a significantly complex fracture that justified the use of the 22-modifier. A review of the operative reports showed that 42 (68%) did not identify 2 or more reasons for requesting the 22-modifier in the report. Overall, the 22-modifier cases were not always reimbursed significantly greater amounts than the nonmodifier cases. No significant difference in the average word count of the operative notes was found. We have concluded that orthopedic trauma surgeons do not appropriately justify the use of the 22-modifier within their operative report. Further education on modifiers and the use of the operative report as billing documentation is required to ensure surgeons are adequately reimbursed for difficult trauma cases.

  13. How can a change in the operating system of the mental health review board promote the discharge of long-term hospitalized psychiatric patients? A case study of Seoul city.

    PubMed

    Lee, Myung-Soo; Lim, Hee-Young; Kim, Youngki; Lee, Yong-Suk

    2014-01-01

    One of the most typical and chronic problem in Korean mental health system is the prolonged length of hospital stay. In contrast to there are many components which leads to long length of stay of psychiatric patients in Korean situation such as low and fixed medical fee for psychiatric inpatient treatment, shortage of community resources, lack of care-givers' awareness and so on, there are just few mechanisms to handle this issue such as Mental Health Review Board (MHRB) which is based on Mental Health Act since 1995. However, the discharge order rate was very low and there community care system after discharge order is still very weak. The Korean government has revised the Mental Health Act in 2008 and changed the operating principals of the MHRB from a regional level to a local level to strengthen the function of MHRB. However, the discharge order rate versus the whole evaluation requests still remains at a very low level or less than 5%. And it is still very difficult to execute a discharge order against a patient whose symptoms and conditions become psychiatrically stabilized enough for discharge, due to a shortage of community care facilities and a lack of social support system. These results are exactly same with former studies. Any policies to promote psychiatric discharge including MHRB are needed to take the comprehensive factors into consideration, such as payment program, community infrastructure, increasing care-givers' acceptance and so on. Despite of the political trial of Korean government to reduce length of stay of chronic psychiatric patients, it was not successful. Still it had failed to propose a detailed policy measure in terms of the above-mentioned prerequisites. Therefore, new system and program developments including reform of payment system which reflect prior studies' recommendations are essential.

  14. Real-Life Case Studies for Teachers.

    ERIC Educational Resources Information Center

    Hayes, William

    Case studies described in this book reflect conditions present in today's public schools. Situations described in these case studies are intended to introduce education students to the variety of problems existing in today's schools. The 38 case studies highlight: student cheating; teacher's observation by administrator; inclusion; contract…

  15. Case Study Evaluations: A Decade of Progress?

    ERIC Educational Resources Information Center

    Yin, Robert K.

    1997-01-01

    In the last 10 years, there has been increased use of case study methodology, with accompanying refinement and improvement of the methods. Case studies have become legitimate research methods in evaluation, but it is too soon to say whether improvements in methodology are really resulting in improvements in the case studies conducted. (SLD)

  16. Case Study: The Chemistry of Cocaine

    ERIC Educational Resources Information Center

    Dewprashad, Brahmadeo

    2011-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's case study focuses on the chemistry of cocaine to teach a number of core concepts in organic chemistry. It also requires that students read and analyze an original research paper on…

  17. Case Study: The Chemistry of Cocaine

    ERIC Educational Resources Information Center

    Dewprashad, Brahmadeo

    2011-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's case study focuses on the chemistry of cocaine to teach a number of core concepts in organic chemistry. It also requires that students read and analyze an original research paper on…

  18. Case Study Evaluations: A Decade of Progress?

    ERIC Educational Resources Information Center

    Yin, Robert K.

    1997-01-01

    In the last 10 years, there has been increased use of case study methodology, with accompanying refinement and improvement of the methods. Case studies have become legitimate research methods in evaluation, but it is too soon to say whether improvements in methodology are really resulting in improvements in the case studies conducted. (SLD)

  19. Business and Consumer Education Case Studies.

    ERIC Educational Resources Information Center

    Delta Pi Epsilon, Minneapolis, Minn. Phi Chapter.

    This publication contains 58 case studies for classroom use in teaching various business and consumer education subjects at the high school level. A supplement to a previous Phi Chapter publication, "Office Education Case Studies" (1973), the case studies are intended to create class discussions and help students acquire the ability to analyze…

  20. Strategically Focused Training in Six Sigma Way: A Case Study

    ERIC Educational Resources Information Center

    Pandey, Ashish

    2007-01-01

    Purpose: The purpose of the current study is to examine the utility of Six Sigma interventions as a performance measure and explore its applicability for making the training design and delivery operationally efficient and strategically effective. Design/methodology/approach: This is a single revelatory case study. Data were collected from multiple…

  1. Sustainability of Social Programs: A Comparative Case Study Analysis

    ERIC Educational Resources Information Center

    Savaya, Riki; Spiro, Shimon; Elran-Barak, Roni

    2008-01-01

    The article reports on the findings of a comparative case study of six projects that operated in Israel between 1980 and 2000. The study findings identify characteristics of the programs, the host organizations, and the social and political environment, which differentiated programs that are sustained from those that are not. The findings reaffirm…

  2. Strategically Focused Training in Six Sigma Way: A Case Study

    ERIC Educational Resources Information Center

    Pandey, Ashish

    2007-01-01

    Purpose: The purpose of the current study is to examine the utility of Six Sigma interventions as a performance measure and explore its applicability for making the training design and delivery operationally efficient and strategically effective. Design/methodology/approach: This is a single revelatory case study. Data were collected from multiple…

  3. The case study of biomaterials and biominerals

    NASA Astrophysics Data System (ADS)

    Del Hoyo Martínez, Carmen

    2013-04-01

    The teaching of biomaterials as case study by on-line platform , susceptible to develop both individually and in groups, got different objectives proposed by the European Higher Education System, among which include: participate actively in the teaching-learning process by students, interpreting situations, adapt processes and solutions. It also improves oral and written communication, analytical skills and synthesis and also the ability to think critically. Biomaterials have their origin in biominerals. These are solid inorganic compounds of defined structure, consisting of molecular control mechanisms that operate in biological systems. Its main functions are: structural support, a reservoir of essential elements, sensors, mechanical protection and storage of toxic elements. Following the demand of materials compatible with certain functional systems of our body, developed biomaterials. Always meet the condition of biocompatibility. Should be tolerated by the body and do not provoke rejection. This involves a comprehensive study of physiological conditions and the anatomy of the body where a biomaterial has to be implemented. The possibility of generating new materials from biominerals has a major impact in medicine and other fields could reach as geology, construction, crystallography, etc. While the study of these issues is in its infancy today, can be viewed as an impact on the art and future technology. Planning case study that students would prepare its report for discussion in subgroups. Occurs then the pooling of individual analysis, joint case discussion and adoption by the subgroup of a consensual solution to the problem. The teacher as facilitator and coordinator of the final case analysis, sharing leads to group-wide class and said the unanimous decision reached by the students and gives his opinion on the resolution of the case. REFERENCES D.P. Ausubel. Psicología Educativa. Un punto de vista cognoscitivo. Trillas. Ed. 1983. E.W. Eisner. Procesos

  4. 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.

  5. Levodopa addiction. A case study.

    PubMed

    Tack, E; De Cuypere, G; Jannes, C; Remouchamps, A

    1988-09-01

    A case is presented of a young woman with a serious addiction to levodopa who over the years developed an extrapyramidal syndrome and chronic paranoid psychotic behaviour. The possible pathophysiological mechanism is discussed.

  6. Demystifying Instructional Innovation: The Case of Teaching with Case Studies

    ERIC Educational Resources Information Center

    Kantar, Lina D.

    2013-01-01

    Issues emerging from instructional innovation are inevitable, yet basing any curriculum shift on a theoretical framework is paramount. This paper grounds the case-based pedagogy in three learning theories: behaviorism, cognitivism, and constructivism. The three theories are described and situated in relation to the case study method. An…

  7. Sharing Cookies: A Case Study

    ERIC Educational Resources Information Center

    Salls, Jenny

    2014-01-01

    Rational number interpretations can include part-whole, measure, ratio, quotient, and operator. These are all subconstructs of partitioning (Barnett-Clarke et al. 2010; Behr et al. 1980; Clarke, Roche, and Mitchell 2008; Flores, Samson, and Yanik 2006). Each of these subconstructs uses different cognitive skills (Driscoll 1984), so it is important…

  8. A Distance Learning Case Study.

    ERIC Educational Resources Information Center

    Boord, Patricia M.

    1998-01-01

    To address diminishing resources and increased training demands, the Operational Training Unit (OTU) of the Federal Bureau of Investigation has saved almost $2 million by developing a distance education course to replace one full week of training at the FBI Academy. Discussion focuses on major issues faced by OTU in designing/delivering this…

  9. Sharing Cookies: A Case Study

    ERIC Educational Resources Information Center

    Salls, Jenny

    2014-01-01

    Rational number interpretations can include part-whole, measure, ratio, quotient, and operator. These are all subconstructs of partitioning (Barnett-Clarke et al. 2010; Behr et al. 1980; Clarke, Roche, and Mitchell 2008; Flores, Samson, and Yanik 2006). Each of these subconstructs uses different cognitive skills (Driscoll 1984), so it is important…

  10. High Penetration Photovoltaic Case Study Report

    SciTech Connect

    Bank, J.; Mather, B.; Keller, J.; Coddington, M.

    2013-01-01

    Technical concerns with integrating higher penetrations of photovoltaic (PV) systems include grid stability, voltage regulation, power quality (voltage rise, sags, flicker, and frequency fluctuations), and protection and coordination. The current utility grid was designed to accommodate power flows from the central generation source to the transmission system and eventually to the distribution feeders. At the distribution level, the system was designed to carry power from the substation toward the load. Renewable distributed generation, particularly solar PV, provides power at the distribution level challenging this classical paradigm. As these resources become more commonplace the nature of the distribution network and its operation is changing to handle power flow in both directions. This report is focused on large PV installations in which penetration is significantly greater than 15% of maximum daytime feeder load. These case studies are intended to demonstrate success stories with integration of large PV plants at the distribution level as well as some of the solutions used by the utility to ensure safe, reliable operation of both the PV system and the distribution network.

  11. Pontiac fever: an operational definition for epidemiological studies

    PubMed Central

    Tossa, Paul; Deloge-Abarkan, Magali; Zmirou-Navier, Denis; Hartemann, Philippe; Mathieu, Laurence

    2006-01-01

    Background Pontiac fever is usually described in epidemic settings. Detection of Pontiac fever is a marker of an environmental contamination by Legionella and should thereby call for prevention measures in order to prevent outbreak of Legionnaire's disease. The objective of this study is to propose an operational definition of Pontiac fever that is amenable to epidemiological surveillance and investigation in a non epidemic setting. Methods A population of 560 elderly subjects residing in 25 nursing homes was followed during 4 months in order to assess the daily incidence of symptoms associated, in the literature, with Pontiac fever. The water and aerosol of one to 8 showers by nursing home were characterized combining conventional bacterial culture of Legionella and the Fluorescence In Situ Hybridization (FISH) technique that used oligonucleotides probes specific for Legionellaceae. A definition of Pontiac fever was devised based on clinical symptoms described in epidemic investigations and on their timing after the exposure event. The association between incidence of Pontiac fever and shower contamination levels was evaluated to test the relevance of this definition. Results The proposed definition of Pontiac fever associated the following criteria: occurrence of at least one symptom among headache, myalgia, fever and shivers, possibly associated with other 'minor' symptoms, within three days after a shower contaminated by Legionella, during a maximum of 8 days (minimum 2 days). 23 such cases occurred during the study (incidence rate: 0.125 cases per person-year [95% CI: 0.122–0.127]). A concentration of Legionella in water equal to or greater than 104.L-1 (FISH method) was associated with a significant increase of incidence of Pontiac fever (p = 0.04). Conclusion Once validated in other settings, the proposed definition of Pontiac fever might be used to develop epidemiological surveillance and help draw attention on sources of Legionella. PMID:16646972

  12. Pontiac fever: an operational definition for epidemiological studies.

    PubMed

    Tossa, Paul; Deloge-Abarkan, Magali; Zmirou-Navier, Denis; Hartemann, Philippe; Mathieu, Laurence

    2006-04-28

    Pontiac fever is usually described in epidemic settings. Detection of Pontiac fever is a marker of an environmental contamination by Legionella and should thereby call for prevention measures in order to prevent outbreak of Legionnaire's disease. The objective of this study is to propose an operational definition of Pontiac fever that is amenable to epidemiological surveillance and investigation in a non epidemic setting. A population of 560 elderly subjects residing in 25 nursing homes was followed during 4 months in order to assess the daily incidence of symptoms associated, in the literature, with Pontiac fever. The water and aerosol of one to 8 showers by nursing home were characterized combining conventional bacterial culture of Legionella and the Fluorescence In Situ Hybridization (FISH) technique that used oligonucleotides probes specific for Legionellaceae. A definition of Pontiac fever was devised based on clinical symptoms described in epidemic investigations and on their timing after the exposure event. The association between incidence of Pontiac fever and shower contamination levels was evaluated to test the relevance of this definition. The proposed definition of Pontiac fever associated the following criteria: occurrence of at least one symptom among headache, myalgia, fever and shivers, possibly associated with other 'minor' symptoms, within three days after a shower contaminated by Legionella, during a maximum of 8 days (minimum 2 days). 23 such cases occurred during the study (incidence rate: 0.125 cases per person-year [95% CI: 0.122-0.127]). A concentration of Legionella in water equal to or greater than 10(4).L(-1) (FISH method) was associated with a significant increase of incidence of Pontiac fever (p = 0.04). Once validated in other settings, the proposed definition of Pontiac fever might be used to develop epidemiological surveillance and help draw attention on sources of Legionella.

  13. (137)Cs and plutonium isotopes accumulation/retention in bottom sediments and soil in Lithuania: A case study of the activity concentration of anthropogenic radionuclides and their provenance before the start of operation of the Belarusian Nuclear Power Plant (NPP).

    PubMed

    Marčiulionienė, D; Lukšienė, B; Montvydienė, D; Jefanova, O; Mažeika, J; Taraškevičius, R; Stakėnienė, R; Petrošius, R; Maceika, E; Tarasiuk, N; Žukauskaitė, Z; Kazakevičiūtė, L; Volkova, M

    2017-09-13

    Knowledge of the background activity concentrations of anthropogenic radionuclides before the start of operations of the new nuclear facilities in Belarus is of great value worldwide. Inland water bodies in Lithuania (specifically the Neris River, the Nemunas River and the Curonian Lagoon) are near the site of the Belarusian NPP under construction and, for this reason, sediments and flooded soils from these sensitive areas were analysed for radiocesium and plutonium isotopes (macrophytes were analysed only for (137)Cs) in 2011-2012. The (137)Cs and (239+240)Pu activity concentrations in bottom sediments from the Nemunas River, sampled in 1995-1996 and re-calculated to the year 2016, were compared with those of 2011-2012. The obtained activity of (137)Cs in bottom sediments of the Nemunas River and Curonian Lagoon varied from 1 Bq/kg to 47.0 Bq/kg. The activity of (137)Cs in the tested soils ranged from 5.3 B g/kg to 32.9 Bq/kg. The (239+240)Pu activity in bottom sediments of the studied sampling sites varied between 0.016 and 0.34 Bq/kg and in flooded soils from 0.064 to 0.55 Bq/kg. The (238)Pu activity values were very low or lower than the detection limit. The activity of (137)Cs in macrophytes varied from values lower than the detection limit to 6 Bq/kg. A strong positive linear correlation for bottom sediments was calculated between: (239+240)Pu and total organic carbon (TOC), r = 0.86, p-value 0.01; (239+240)Pu and silt, r = 0.80, p-value 0.029; (137)Cs and silt, r = 0.78, p-value 0.04; and (137)Cs and TOC, r = 0.85, p-value 0.015. The similar peculiarities of (137)Cs and (239+240)Pu accumulation in bottom sediments and flooded soil allow us to assume that (137)Cs can be used as a tracer for (239+240)Pu in the initial stage of searching for radionuclide accumulation zones. A remaining impact of the Chernobyl fallout in average comprised: in the Lower Nemunas River and Curonian Lagoon sediments - 51%, in the Middle Nemunas River -90% and in the

  14. Families as Case Managers: A Longitudinal Study.

    ERIC Educational Resources Information Center

    Seltzer, Marsha Mailick; And Others

    1989-01-01

    Performed follow-up study measuring effects of case management training on management activities of families of elderly persons. Interviewed 78 subjects from original study and found case management to be normative activity for families of elderly. Noted differences reported between male and female case managers and in types of obstacles…

  15. Case Studies for Effective Business Instruction.

    ERIC Educational Resources Information Center

    McAlister-Kizzier, Donna

    This book is designed as a resource for educators who teach business content in a variety of instructional settings. It contains case studies representing all functional areas of business, including corporate training, for grades 7 through graduate education. Chapter 1 provides an overview of the case study method. The history of the case method,…

  16. 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…

  17. 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…

  18. 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…

  19. 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.…

  20. 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…