Sample records for position management system

  1. Plan of Time Management of Satellite Positioning System using Quasi-zenith Satellite

    NASA Astrophysics Data System (ADS)

    Takahashi, Yasuhiro; Fujieda, Miho; Amagai, Jun; Yokota, Shoichiro; Kimura, Kazuhiro; Ito, Hiroyuki; Hama, Shin'ichi; Morikawa, Takao; Kawano, Isao; Kogure, Satoshi

    The Quasi-Zenith satellites System (QZSS) is developed as an integrated satellite service system of communication, broadcasting and positioning for mobile users in specified regions of Japan from high elevation angle. Purposes of the satellite positioning system using Quasi-Zenith satellite (QZS) are to complement and augment the GPS. The national institutes concerned have been developing the positioning system using QZS since 2003 and will carry out experiments and researches in three years after the launch. In this system, National Institute of Information and Communications Technology (NICT) is mainly in charge of timing system for the satellite positioning system using QZS, such as onboard hydrogen maser atomic clock and precise time management system of the QZSS. We started to develop the engineering model of the time management system for the QZSS. The time management system for the QZSS will be used to compare time differences between QZS and earth station as well as to compare between three onboard atomic clocks. This paper introduces time management of satellite positioning system using the QZSS.

  2. 5 CFR 9901.351 - General.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Administrative Personnel DEPARTMENT OF DEFENSE HUMAN RESOURCES MANAGEMENT AND LABOR RELATIONS SYSTEMS (DEPARTMENT OF DEFENSE-OFFICE OF PERSONNEL MANAGEMENT) DEPARTMENT OF DEFENSE NATIONAL SECURITY PERSONNEL SYSTEM... § 9901.354) in an NSPS position from a GS or FWS position through a management-directed action (except...

  3. System and method for acquisition management of subject position information

    DOEpatents

    Carrender, Curt

    2005-12-13

    A system and method for acquisition management of subject position information that utilizes radio frequency identification (RF ID) to store position information in position tags. Tag programmers receive position information from external positioning systems, such as the Global Positioning System (GPS), from manual inputs, such as keypads, or other tag programmers. The tag programmers program each position tag with the received position information. Both the tag programmers and the position tags can be portable or fixed. Implementations include portable tag programmers and fixed position tags for subject position guidance, and portable tag programmers for collection sample labeling. Other implementations include fixed tag programmers and portable position tags for subject route recordation. Position tags can contain other associated information such as destination address of an affixed subject for subject routing.

  4. System and method for acquisition management of subject position information

    DOEpatents

    Carrender, Curt [Morgan Hill, CA

    2007-01-23

    A system and method for acquisition management of subject position information that utilizes radio frequency identification (RF ID) to store position information in position tags. Tag programmers receive position information from external positioning systems, such as the Global Positioning System (GPS), from manual inputs, such as keypads, or other tag programmers. The tag programmers program each position tag with the received position information. Both the tag programmers and the position tags can be portable or fixed. Implementations include portable tag programmers and fixed position tags for subject position guidance, and portable tag programmers for collection sample labeling. Other implementations include fixed tag programmers and portable position tags for subject route recordation. Position tags can contain other associated information such as destination address of an affixed subject for subject routing.

  5. 5 CFR 9701.231 - Conversion of positions and employees to the DHS classification system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... the DHS classification system. 9701.231 Section 9701.231 Administrative Personnel DEPARTMENT OF... MANAGEMENT) DEPARTMENT OF HOMELAND SECURITY HUMAN RESOURCES MANAGEMENT SYSTEM Classification Transitional Provisions § 9701.231 Conversion of positions and employees to the DHS classification system. (a) This...

  6. E-Resources Management: How We Positioned Our Organization to Implement an Electronic Resources Management System

    ERIC Educational Resources Information Center

    White, Marilyn; Sanders, Susan

    2009-01-01

    The Information Services Division (ISD) of the National Institute of Standards and Technology (NIST) positioned itself to successfully implement an electronic resources management system. This article highlights the ISD's unique ability to "team" across the organization to realize a common goal, develop leadership qualities in support of…

  7. The Implementation of an Office Systems Management Curriculum for the 1980s.

    ERIC Educational Resources Information Center

    Stallard, John J.

    1982-01-01

    Describes the implementation of an office systems management curriculum (at the University of Tennessee, Knoxville) that trains students to develop their conceptual skills and to train for management-level positions. Courses involve the automated office, records systems, office systems analysis, case studies, and management information systems.…

  8. 5 CFR 9701.231 - Conversion of positions and employees to the DHS classification system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... HOMELAND SECURITY HUMAN RESOURCES MANAGEMENT SYSTEM (DEPARTMENT OF HOMELAND SECURITY-OFFICE OF PERSONNEL MANAGEMENT) DEPARTMENT OF HOMELAND SECURITY HUMAN RESOURCES MANAGEMENT SYSTEM Classification Transitional...

  9. An Application of Instructional System Development to Determine Financial Management Education Needs for Logistics Management Positions.

    DTIC Science & Technology

    1976-09-01

    The purpose of this research effort was to determine the financial management educational needs of USAF graduate logistics positions. Goal analysis...was used to identify financial management techniques and task analysis was used to develop a method to identify the use of financial management techniques...positions. The survey identified financial management techniques in five areas: cost accounting, capital budgeting, working capital, financial forecasting, and programming. (Author)

  10. 48 CFR 2801.603-1 - Department of Justice Acquisition Career Management Program.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Representatives, or equivalent positions. (c) The program shall include: (1) Management information system... acquisition workforce management information system. (2) Individual assessments and development plans for... Acquisition Career Management Program. 2801.603-1 Section 2801.603-1 Federal Acquisition Regulations System...

  11. Strategic operations planning - it's not just for wilderness! How the Strategic Operations Planner can help

    Treesearch

    Charles W. McHugh; Stu Hoyt; Brett Fay

    2015-01-01

    The Strategic Operational Planner (SOPL) wildland fire management position was created in the United States in 2009 to reflect updated terminology. SOPL merges the former Fire Use Manager positions (FUM1 and FUM2) and is now an established position within the Incident Command System. Traditionally, the FUM positions and the SOPL have been used on incidents managed for...

  12. Development of a Management Techniques Inventory.

    DTIC Science & Technology

    1977-04-01

    Management Position Description Questionnaire ( Tornow & Pinto, 1976). Two frequently used instruments which do assess manager ’ attitudes toward supervision... Tornow , W. W., & Pinto, P. R. The development of a managerial job taxonomy: A system for describing, classifying, and evaluating executive positions

  13. GIS Based System for Post-Earthquake Crisis Managment Using Cellular Network

    NASA Astrophysics Data System (ADS)

    Raeesi, M.; Sadeghi-Niaraki, A.

    2013-09-01

    Earthquakes are among the most destructive natural disasters. Earthquakes happen mainly near the edges of tectonic plates, but they may happen just about anywhere. Earthquakes cannot be predicted. Quick response after disasters, like earthquake, decreases loss of life and costs. Massive earthquakes often cause structures to collapse, trapping victims under dense rubble for long periods of time. After the earthquake and destroyed some areas, several teams are sent to find the location of the destroyed areas. The search and rescue phase usually is maintained for many days. Time reduction for surviving people is very important. A Geographical Information System (GIS) can be used for decreasing response time and management in critical situations. Position estimation in short period of time time is important. This paper proposes a GIS based system for post-earthquake disaster management solution. This system relies on several mobile positioning methods such as cell-ID and TA method, signal strength method, angel of arrival method, time of arrival method and time difference of arrival method. For quick positioning, the system can be helped by any person who has a mobile device. After positioning and specifying the critical points, the points are sent to a central site for managing the procedure of quick response for helping. This solution establishes a quick way to manage the post-earthquake crisis.

  14. Changes in Journal Financial Management

    NASA Astrophysics Data System (ADS)

    Editorial Staff, Jce

    2009-06-01

    This report announces the retirement of Mary Orna from the position of Publication Manager of JCE and gives information on the Board of Publication decision to change the management of the Journal 's business and financial affairs to a new system consisting of a treasurer and a business manager, and announces the appointments to those positions.

  15. A systems engineering management approach to resource management applications

    NASA Technical Reports Server (NTRS)

    Hornstein, Rhoda Shaller

    1989-01-01

    The author presents a program management response to the following question: How can the traditional practice of systems engineering management, including requirements specification, be adapted, enhanced, or modified to build future planning and scheduling systems for effective operations? The systems engineering management process, as traditionally practiced, is examined. Extensible resource management systems are discussed. It is concluded that extensible systems are a partial solution to problems presented by requirements that are incomplete, partially immeasurable, and often dynamic. There are positive indications that resource management systems have been characterized and modeled sufficiently to allow their implementation as extensible systems.

  16. A Study to Determine the Effectiveness of a Positive Approach to Discipline System for Classroom Management.

    ERIC Educational Resources Information Center

    Allen, Sherwin

    To test the effectiveness of the Positive Approach to Discipline (PAD) System of classroom management, this study examined changes in the incidence of administrative disciplinary referrals, corporal punishment, and school suspensions in an urban Southwest public middle school. The 13-step PAD procedure--incorporating counseling, problem-solving,…

  17. Components of spatial information management in wildlife ecology: Software for statistical and modeling analysis [Chapter 14

    Treesearch

    Hawthorne L. Beyer; Jeff Jenness; Samuel A. Cushman

    2010-01-01

    Spatial information systems (SIS) is a term that describes a wide diversity of concepts, techniques, and technologies related to the capture, management, display and analysis of spatial information. It encompasses technologies such as geographic information systems (GIS), global positioning systems (GPS), remote sensing, and relational database management systems (...

  18. Management system, organizational climate and performance relationships

    NASA Technical Reports Server (NTRS)

    Davis, B. D.

    1979-01-01

    Seven aerospace firms were investigated to determine if a relationship existed among management systems, organizational climate, and organization performance. Positive relationships were found between each of these variables, but a statistically significant relationship existed only between the management system and organizational climate. The direction and amount of communication and the degree of decentralized decision-making, elements of the management system, also had a statistically significant realtionship with organization performance.

  19. Physico-Chemical-Managed Killing of Penicillin-Resistant Static and Growing Gram-Positive and Gram-Negative Vegetative Bacteria

    NASA Technical Reports Server (NTRS)

    Schramm, Jr., Harry F. (Inventor); Farris, III, Alex F. (Inventor); Defalco, Francis G. (Inventor); Richmond, Robert Chaffee (Inventor)

    2012-01-01

    Systems and methods for the use of compounds from the Hofmeister series coupled with specific pH and temperature to provide rapid physico-chemical-managed killing of penicillin-resistant static and growing Gram-positive and Gram-negative vegetative bacteria. The systems and methods represent the more general physico-chemical enhancement of susceptibility for a wide range of pathological macromolecular targets to clinical management by establishing the reactivity of those targets to topically applied drugs or anti-toxins.

  20. [Medication error management climate and perception for system use according to construction of medication error prevention system].

    PubMed

    Kim, Myoung Soo

    2012-08-01

    The purpose of this cross-sectional study was to examine current status of IT-based medication error prevention system construction and the relationships among system construction, medication error management climate and perception for system use. The participants were 124 patient safety chief managers working for 124 hospitals with over 300 beds in Korea. The characteristics of the participants, construction status and perception of systems (electric pharmacopoeia, electric drug dosage calculation system, computer-based patient safety reporting and bar-code system) and medication error management climate were measured in this study. The data were collected between June and August 2011. Descriptive statistics, partial Pearson correlation and MANCOVA were used for data analysis. Electric pharmacopoeia were constructed in 67.7% of participating hospitals, computer-based patient safety reporting systems were constructed in 50.8%, electric drug dosage calculation systems were in use in 32.3%. Bar-code systems showed up the lowest construction rate at 16.1% of Korean hospitals. Higher rates of construction of IT-based medication error prevention systems resulted in greater safety and a more positive error management climate prevailed. The supportive strategies for improving perception for use of IT-based systems would add to system construction, and positive error management climate would be more easily promoted.

  1. Learning Management System Calendar Reminders and Effects on Time Management and Academic Performance

    ERIC Educational Resources Information Center

    Mei, Jianyang

    2016-01-01

    This research project uses a large research university in the Midwest as a research site to explore the time management skills of international students and analyzes how using the Course Hack, an online Learning Management System (LMS) calendar tool, improves participants' time management skills and positively impacts their academic performance,…

  2. Toward information management in corporations (2)

    NASA Astrophysics Data System (ADS)

    Shibata, Mitsuru

    If construction of inhouse information management systems in an advanced information society should be positioned along with the social information management, its base making begins with reviewing current paper filing systems. Since the problems which inhere in inhouse information management systems utilizing OA equipments also inhere in paper filing systems, the first step toward full scale inhouse information management should be to grasp and solve the fundamental problems in current filing systems. This paper describes analysis of fundamental problems in filing systems, making new type of offices and analysis of improvement needs in filing systems, and some points in improving filing systems.

  3. Environmental Management Model for Road Maintenance Operation Involving Community Participation

    NASA Astrophysics Data System (ADS)

    Triyono, A. R. H.; Setyawan, A.; Sobriyah; Setiono, P.

    2017-07-01

    Public expectations of Central Java, which is very high on demand fulfillment, especially road infrastructure as outlined in the number of complaints and community expectations tweeter, Short Mail Massage (SMS), e-mail and public reports from various media, Highways Department of Central Java province requires development model of environmental management in the implementation of a routine way by involving the community in order to fulfill the conditions of a representative, may serve road users safely and comfortably. This study used survey method with SEM analysis and SWOT with Latent Independent Variable (X), namely; Public Participation in the regulation, development, construction and supervision of road (PSM); Public behavior in the utilization of the road (PMJ) Provincial Road Service (PJP); Safety in the Provincial Road (KJP); Integrated Management System (SMT) and latent dependent variable (Y) routine maintenance of the provincial road that is integrated with the environmental management system and involve the participation of the community (MML). The result showed the implementation of routine maintenance of road conditions in Central Java province has yet to implement an environmental management by involving the community; Therefore developed environmental management model with the results of H1: Community Participation (PSM) has positive influence on the Model of Environmental Management (MML); H2: Behavior Society in Jalan Utilization (PMJ) positive effect on Model Environmental Management (MML); H3: Provincial Road Service (PJP) positive effect on Model Environmental Management (MML); H4: Safety in the Provincial Road (KJP) positive effect on Model Environmental Management (MML); H5: Integrated Management System (SMT) has positive influence on the Model of Environmental Management (MML). From the analysis obtained formulation model describing the relationship / influence of the independent variables PSM, PMJ, PJP, KJP, and SMT on the dependent variable MML as follows: MML = 0.13 + 0.07 PSM PJP PMJ + 0.09 + 0.19 + 0.48 KJP SMT + e

  4. Quality management and perceptions of teamwork and safety climate in European hospitals.

    PubMed

    Kristensen, Solvejg; Hammer, Antje; Bartels, Paul; Suñol, Rosa; Groene, Oliver; Thompson, Caroline A; Arah, Onyebuchi A; Kutaj-Wasikowska, Halina; Michel, Philippe; Wagner, Cordula

    2015-12-01

    This study aimed to investigate the associations of quality management systems with teamwork and safety climate, and to describe and compare differences in perceptions of teamwork climate and safety climate among clinical leaders and frontline clinicians. We used a multi-method, cross-sectional approach to collect survey data of quality management systems and perceived teamwork and safety climate. Our data analyses included descriptive and multilevel regression methods. Data on implementation of quality management system from seven European countries were evaluated including patient safety culture surveys from 3622 clinical leaders and 4903 frontline clinicians. Perceived teamwork and safety climate. Teamwork climate was reported as positive by 67% of clinical leaders and 43% of frontline clinicians. Safety climate was perceived as positive by 54% of clinical leaders and 32% of frontline clinicians. We found positive associations between implementation of quality management systems and teamwork and safety climate. Our findings, which should be placed in a broader clinical quality improvement context, point to the importance of quality management systems as a supportive structural feature for promoting teamwork and safety climate. To gain a deeper understanding of this association, further qualitative and quantitative studies using longitudinally collected data are recommended. The study also confirms that more clinical leaders than frontline clinicians have a positive perception of teamwork and safety climate. Such differences should be accounted for in daily clinical practice and when tailoring initiatives to improve teamwork and safety climate. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  5. Managing for naturalness in wildland and agricultural landscapes

    Treesearch

    Joan Nassauer

    1979-01-01

    Visual management systems operate from the premise that people have expectations for landscape views, and that people's positive expectations should be fulfilled. Both the Forest Service and Bureau of Land Management visual management systems assume that people expect wildlands to look natural. People also like to see natural landscapes in rural Iowa. Research I...

  6. The Roles of Social Support and Health Literacy in Self-Management Among Patients With Chronic Kidney Disease.

    PubMed

    Chen, Yu-Chi; Chang, Li-Chun; Liu, Chieh-Yu; Ho, Ya-Fang; Weng, Shuo-Chun; Tsai, Tzu-I

    2018-05-01

    To investigate the relationships among social support, health literacy, and self-management, and the factors influencing self-management of chronic kidney disease (CKD). Cross-sectional study. A random sample of 410 patients was recruited from nephrology clinics. Data were collected using structured questionnaires and chart reviews from January 2013 to February 2014. Hierarchical regression analysis was used to determine the predictive factors of self-management behaviors and ∆R 2 to determine each variable's explanatory power. Health literacy and social support were positively correlated with self-management behaviors. Furthermore, social support, health literacy, and marital status were significant predictors of self-management behaviors. Social support had a relatively greater explanatory power for self-management behaviors than did health literacy. Particularly, healthcare provider support had the greatest influence on patients' self-management behaviors. Health literacy and social support play independent positive roles in self-management behaviors of patients with CKD, with social support having a particularly dominant role. Further research using a systems approach to improving self-management behaviors is necessary to clarify the role of social support. Health literacy and social support are independently and positively related to self-management. Social support, which is a system-level factor, is a relatively stronger and crucial predictor than is health literacy. Nurses have to refine self-management programs to focus on families and adopt a systems approach to help CKD patients improve their self-management behaviors. © 2018 Sigma Theta Tau International.

  7. The Research of Paper Datum Mmanagement Information System

    NASA Astrophysics Data System (ADS)

    Zhigang, Ji; Gaifang, Niu; Lingxi, Liu

    Now, paper management is becoming an important work in many colleges and universities, and the digitization of paper management is a significant constituent part of the information of college management. We have studied a universal framework of comprehensive management system spanning departments and geographical positions by taking the opportunity of the developing of the paper management system. The framework provides support for setting up large complicated distributed application fleetly, efficiently, expansively and safely, and it is a new project to realize the standardization of paper information management.

  8. Double silicone tube intubation for the management of partial lacrimal system obstruction.

    PubMed

    Demirci, Hakan; Elner, Victor M

    2008-02-01

    To evaluate the effectiveness of double silicone intubation for the management of partial lacrimal drainage system obstruction in adults. Observational retrospective case series. Twenty-four eyes of 18 consecutive adult patients with partial lacrimal system obstruction managed at the University of Michigan. Retrospective review of symptoms and signs, duration of silicone intubation, and complications. Resolution of tearing. Preoperative tearing, negative Jones I testing, positive Jones II testing, and resistance to positive-pressure irrigation were present in all eyes (100%). The first silicone tube was removed after a mean of 11+/-7 months, and the second tube after 16+/-6 months. Postoperatively, at a mean of 21+/-9 months after removal of both tubes, tearing remained resolved in 19 eyes (79%) and remained improved in 2 eyes (8%). In eyes with resolved tearing, Jones I testing became positive, and there was no resistance to positive-pressure irrigation. Persistent tearing in 3 eyes (13%) required treatment with external dacryocystorhinostomy. The only complication was peripunctal pyogenic granulomas in 2 eyes. Double silicone intubation is an effective minimally invasive technique for treatment of partial lacrimal system obstruction in adults.

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

    NASA Astrophysics Data System (ADS)

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

    2010-06-01

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

  10. Global positioning system (GPS) civil monitoring performance specification.

    DOT National Transportation Integrated Search

    2009-04-30

    This Civil Monitoring Performance Specification (CMPS) is published and maintained at : the direction of the Program Manager for Civil Applications, Global Positioning Systems : Wing (GPSW). The purpose of this document is to provide a comprehensive ...

  11. 5 CFR 9901.231 - Conversion of positions and employees to NSPS classification system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... HUMAN RESOURCES MANAGEMENT AND LABOR RELATIONS SYSTEMS (DEPARTMENT OF DEFENSE-OFFICE OF PERSONNEL MANAGEMENT) DEPARTMENT OF DEFENSE NATIONAL SECURITY PERSONNEL SYSTEM (NSPS) Classification Transitional... employee's career group, pay schedule, and band upon conversion. (d) Grade retention prior to conversion...

  12. Spectrum Management Guidelines for National and Service Test and Training Ranges

    DTIC Science & Technology

    2017-07-12

    GPS Global Positioning System ISM Installation Spectrum Manager JTIDS Joint Tactical Information Distribution System KMR Kwajalein Missile Range... information UAV unmanned aerial vehicle US&P United States and Possessions Spectrum Management Guidelines for National and Service Test and Training...frequency deconfliction processes. The AFC will inform the range or center commander and the Installation Spectrum Manager (ISM) at the

  13. The Role of Formal Education, Technical and Management Training on Information Systems (IS) Managers' Managerial Effectiveness as Perceived by Their Subordinates

    ERIC Educational Resources Information Center

    Ligon, Jerry; Abdullah, ABM; Talukder, Majharul

    2007-01-01

    This study examined the relationship between Information Systems (IS) managers' formal education, level of technical and managerial training and their managerial effectiveness as perceived by their subordinates. The study finds that there is a strong positive relationship between the amount of technical training IS managers have received and their…

  14. Application of semi-active RFID power meter in automatic verification pipeline and intelligent storage system

    NASA Astrophysics Data System (ADS)

    Chen, Xiangqun; Huang, Rui; Shen, Liman; chen, Hao; Xiong, Dezhi; Xiao, Xiangqi; Liu, Mouhai; Xu, Renheng

    2018-03-01

    In this paper, the semi-active RFID watt-hour meter is applied to automatic test lines and intelligent warehouse management, from the transmission system, test system and auxiliary system, monitoring system, realize the scheduling of watt-hour meter, binding, control and data exchange, and other functions, make its more accurate positioning, high efficiency of management, update the data quickly, all the information at a glance. Effectively improve the quality, efficiency and automation of verification, and realize more efficient data management and warehouse management.

  15. Challenges and Approach for Making the Top End Optical Assembly for the 4-meter Advanced Technology Solar Telescope

    NASA Astrophysics Data System (ADS)

    Canzian, Blaise; Barentine, J.; Hull, T.

    2012-01-01

    L-3 Integrated Optical Systems (IOS) Division has been selected by the National Solar Observatory (NSO) to make the Top End Optical Assembly (TEOA) for the 4-meter Advanced Technology Solar Telescope (ATST) to operate at Haleakala, Maui. ATST will perform to a very high optical performance level in a difficult thermal environment. The TEOA, containing the 0.65-meter silicon carbide secondary mirror and support, mirror thermal management system, mirror positioning and fast tip-tilt system, field stop with thermally managed heat dump, thermally managed Lyot stop, safety interlock and control system, and support frame, operates in the "hot spot” at the prime focus of the ATST and so presents special challenges. In this paper, we will describe the L-3 IOS technical approach to meet these challenges, including subsystems for opto-mechanical positioning, rejected and stray light control, wavefront tip-tilt compensation, and thermal management. Key words: ATST, TEOA, L-3 IOS, thermal management, silicon carbide (SiC) mirrors, hexapods, solar astronomy

  16. [Design of medical devices management system supporting full life-cycle process management].

    PubMed

    Su, Peng; Zhong, Jianping

    2014-03-01

    Based on the analysis of the present status of medical devices management, this paper optimized management process, developed a medical devices management system with Web technologies. With information technology to dynamic master the use of state of the entire life-cycle of medical devices. Through the closed-loop management with pre-event budget, mid-event control and after-event analysis, improved the delicacy management level of medical devices, optimized asset allocation, promoted positive operation of devices.

  17. Applying management information systems to staffing.

    PubMed

    Hanson, R L

    1982-10-01

    A management information system (MIS) is a tool for managing resources effectively. After reviewing some concepts and principles for effective data management, Hanson clearly applies the concepts to nurse staffing systems, which manage human resources. He defines a seven-step process for establishing an MIS, from defining the management objective to implementing the system. Pointing out that an MIS need not be computerized to be effective, Hanson presents a positive perspective and clarifies some often-misconceived notions about management information systems and the paper printouts they generate. In the next issue of JONA, a second article by Hanson will take a more detailed look at the variety, use, and usefulness of staffing statistics available from an MIS for staffing. These articles are based on material in a forthcoming book, Management Systems for Nursing Service Staffing, to be published by Aspen Systems Corporation, Rockville, Maryland.

  18. 78 FR 42982 - Submission for Review: Information Collection; Questionnaire for Non-Sensitive Positions (SF 85)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-18

    ... OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Information Collection; Questionnaire for... collection request (ICR), Office of Management and Budget (OMB) Control No. 3206-NEW, for Questionnaire for... Questionnaire for Non-Sensitive Positions, SF 85, housed in a system named e-QIP (Electronic Questionnaires for...

  19. Functions and Positions of Corporate Occupational Health Managers in Company-Wide Occupational Health Management.

    PubMed

    Mori, Koji; Nagata, Tomohisa; Kajiki, Shigeyuki; Hino, Yoshiyuki; Nagata, Masako

    2013-08-21

    Objectives: It has become necessary for Japanese corporations to manage occupational health (OH) programs consistently throughout their organizations. Corporations need to clarify their health policies, develop standardized programs, assign OH staff, and ensure that they communicate with each other. To realize such conditions, many occupational physicians (OPs), who have the skills to lead corporation-wide OH activities, are now being assigned to head offices of corporations and referred to as corporate OH managers. However, there has been no research to date in Japan on their actual situation and function. We conducted an interview study of corporate OH managers to clarify their functions and positions in corporations. Subjects and Methods: We conducted semi-structural interviews with 14 corporate OH managers in large corporations employing more than 5,000 workers and multiple OPs. Interview scripts were coded to identify their functions as corporate OH managers and the context of their positions within corporate-wide OH management systems. Results: Five contexts were suggested. 1) Corporate OH managers played central roles in developing corporate health policies, standards and plans. 2) Head office department managers who supervised the sites distributed the policies and standards, and corporate OH managers instructed site OPs and OH staff. 3) In some corporations, corporate OH managers participated in the evaluation process of OH programs as part of occupational safety and health management systems or business audits. 4) Corporate OH managers led communications among OPs and OH staff by facilitating corporate OH meetings, and provided technical training. 5) Corporate OH managers in positions that enabled them to report directly or indirectly to decision makers (i.e., directors in charge) on human resource issues. Discussion: The results of this study suggest that companies that promote consistent company-wide OH programs also utilized the professional knowledge of OH managers as well as their decision-making skills and direction processes. They also suggest that these companies play significant roles in securing qualified OH professionals and reaching a common understanding of corporate OH systems. It is necessary to study cases of corporate OH managers to clarify their essential competences and to develop appropriate training programs.

  20. Analysis of California Condor (Gymnogyps californianus) use of six management units using location data from global positioning system transmitters, southern California, 2004-09-Initial report

    USGS Publications Warehouse

    Johnson, Matthew; Kern, Jeffrey; Haig, Susan M.

    2010-01-01

    This report provides an analysis of California Condor (Gymnogyps californianus) space use of six management units in southern California (Hopper Mountain and Bitter Creek National Wildlife Refuges, Wildlands Conservancy-Wind Wolves Preserve, Tejon Mountain Village Specific Plan, California Condor Study Area, and the Tejon Ranch excluding Tejon Mountain Village Specific Plan and California Condor Study Area). Space use was analyzed to address urgent management needs using location data from Global Positioning System transmitters. The U.S. Fish and Wildlife Service provided the U.S. Geological Survey with location data (2004-09) for California Condors from Global Positioning System transmitters and Geographic Information System data for the six management units in southern California. We calculated relative concentration of use estimates for each management unit for each California Condor (n = 21) on an annual basis (n = 39 annual home ranges) and evaluated resource selection for the population each year using the individual as our sampling unit. The most striking result from our analysis was the recolonization of the Tejon Mountain Village Specific Plan, California Condor Study Area, and Tejon Ranch management units during 2008. During 2004-07, the home range estimate for two (25 percent) California Condors overlapped the Tejon Mountain Village Specific Plan, California Condor Study Area, and Tejon Ranch management units (n = 8), and use within the annual home range generally was bimodal and was concentrated on the Bitter Creek and Hopper Mountain National Wildlife Refuges. However, 10 (77 percent) California Condor home ranges overlapped the Tejon Mountain Village Specific Plan, California Condor Study Area, and Tejon Ranch management units during 2008 (n = 13), and by 2009, the home range of every condor carrying a Global Positioning System transmitter (n = 14) overlapped these management units. Space use was multimodal within the home range during 2008-09 and was concentrated on Hopper Mountain Refuge in the south, Bittercreek Refuge and the Wind Wolves Preserve in the northwest, and the Tejon Mountain Village Specific Plan, California Condor Study Area, and Tejon Ranch management units in the northeast. Recolonization of the Tejon Mountain Village Specific Plan, California Condor Study Area, and Tejon Ranch management units reestablished traditional condor movement and foraging patterns in southern California and provides the travel corridor (approximately 20 kilometers wide) for recolonization of the northeastern part of the species historical range.

  1. Renewing America's Progress: A Positive Solution to School Reform.

    ERIC Educational Resources Information Center

    Genck, Fredric H.

    This book was designed to help citizens evaluate and improve their local schools. It contends that the solution to the potential end of America's progress is through positive school reform--the public management of schools. It presents a system of participative and results-oriented management that is implemented by boards, administrators, and…

  2. Operation management system evaluation in the central Finland health care district - end users' view of system implementation.

    PubMed

    Lemmetty, Kaisa; Häyrinen, Eija

    2005-01-01

    In this paper we evaluate the implementation of the operation management system in the Central Finland Health Care District. The implementation of the operation management system changed the practice of operation management for the surgical clinic and concerned 500 personnel in total. A survey was carried out to investigate the end users' views on the system's usefulness, usability and the training and user support provided. The users' possibilities to accomplish their tasks and the kind of obstacles they face in operation management were explored. The assessment revealed that more end support is needed after the system implementation, even though a generally positive attitude towards the system was manifested among the staff.

  3. Office of Positioning, Navigation and Timing (PNT) and Spectrum Management Program Overview.

    DOT National Transportation Integrated Search

    2017-01-01

    Civil Global Positioning System (GPS)/PNT Leadership : Coordinate the development of departmental positions on PNT and : spectrum policy and protection from harmful radio frequency : interference and operational degradation of capabilities : ...

  4. A Police and Insurance Joint Management System Based on High Precision BDS/GPS Positioning

    PubMed Central

    Zuo, Wenwei; Guo, Chi; Liu, Jingnan; Peng, Xuan; Yang, Min

    2018-01-01

    Car ownership in China reached 194 million vehicles at the end of 2016. The traffic congestion index (TCI) exceeds 2.0 during rush hour in some cities. Inefficient processing for minor traffic accidents is considered to be one of the leading causes for road traffic jams. Meanwhile, the process after an accident is quite troublesome. The main reason is that it is almost always impossible to get the complete chain of evidence when the accident happens. Accordingly, a police and insurance joint management system is developed which is based on high precision BeiDou Navigation Satellite System (BDS)/Global Positioning System (GPS) positioning to process traffic accidents. First of all, an intelligent vehicle rearview mirror terminal is developed. The terminal applies a commonly used consumer electronic device with single frequency navigation. Based on the high precision BDS/GPS positioning algorithm, its accuracy can reach sub-meter level in the urban areas. More specifically, a kernel driver is built to realize the high precision positioning algorithm in an Android HAL layer. Thus the third-party application developers can call the general location Application Programming Interface (API) of the original standard Global Navigation Satellite System (GNSS) to get high precision positioning results. Therefore, the terminal can provide lane level positioning service for car users. Next, a remote traffic accident processing platform is built to provide big data analysis and management. According to the big data analysis of information collected by BDS high precision intelligent sense service, vehicle behaviors can be obtained. The platform can also automatically match and screen the data that uploads after an accident to achieve accurate reproduction of the scene. Thus, it helps traffic police and insurance personnel to complete remote responsibility identification and survey for the accident. Thirdly, a rapid processing flow is established in this article to meet the requirements to quickly handle traffic accidents. The traffic police can remotely identify accident responsibility and the insurance personnel can remotely survey an accident. Moreover, the police and insurance joint management system has been carried out in Wuhan, Central China’s Hubei Province, and Wuxi, Eastern China’s Jiangsu Province. In a word, a system is developed to obtain and analyze multisource data including precise positioning and visual information, and a solution is proposed for efficient processing of traffic accidents. PMID:29320406

  5. A Police and Insurance Joint Management System Based on High Precision BDS/GPS Positioning.

    PubMed

    Zuo, Wenwei; Guo, Chi; Liu, Jingnan; Peng, Xuan; Yang, Min

    2018-01-10

    Car ownership in China reached 194 million vehicles at the end of 2016. The traffic congestion index (TCI) exceeds 2.0 during rush hour in some cities. Inefficient processing for minor traffic accidents is considered to be one of the leading causes for road traffic jams. Meanwhile, the process after an accident is quite troublesome. The main reason is that it is almost always impossible to get the complete chain of evidence when the accident happens. Accordingly, a police and insurance joint management system is developed which is based on high precision BeiDou Navigation Satellite System (BDS)/Global Positioning System (GPS) positioning to process traffic accidents. First of all, an intelligent vehicle rearview mirror terminal is developed. The terminal applies a commonly used consumer electronic device with single frequency navigation. Based on the high precision BDS/GPS positioning algorithm, its accuracy can reach sub-meter level in the urban areas. More specifically, a kernel driver is built to realize the high precision positioning algorithm in an Android HAL layer. Thus the third-party application developers can call the general location Application Programming Interface (API) of the original standard Global Navigation Satellite System (GNSS) to get high precision positioning results. Therefore, the terminal can provide lane level positioning service for car users. Next, a remote traffic accident processing platform is built to provide big data analysis and management. According to the big data analysis of information collected by BDS high precision intelligent sense service, vehicle behaviors can be obtained. The platform can also automatically match and screen the data that uploads after an accident to achieve accurate reproduction of the scene. Thus, it helps traffic police and insurance personnel to complete remote responsibility identification and survey for the accident. Thirdly, a rapid processing flow is established in this article to meet the requirements to quickly handle traffic accidents. The traffic police can remotely identify accident responsibility and the insurance personnel can remotely survey an accident. Moreover, the police and insurance joint management system has been carried out in Wuhan, Central China's Hubei Province, and Wuxi, Eastern China's Jiangsu Province. In a word, a system is developed to obtain and analyze multisource data including precise positioning and visual information, and a solution is proposed for efficient processing of traffic accidents.

  6. A Mode of Combined ERP and KMS Knowledge Management System Construction

    NASA Astrophysics Data System (ADS)

    Yuena, Kang; Yangeng, Wen; Qun, Zhou

    The core of ERP and knowledge management is quite similar; both will send appropriate knowledge (goods, funds) to the right people (position) at the right time. It is reasonable to believe that increase the knowledge management system in ERP will help companies achieve their goals better. This paper compares the concept of logical point of hall three-dimensional structure of the knowledge management system and the ERP in methodology level. And found they are very similar in the time dimension, logic dimension and knowledge dimension. This laid the basis of methodology in the simultaneous planning, implementation and applications. And then proposed a knowledge-based ERP Multi-Agent Management System Model. Finally, the paper described the process from planning to implementation of knowledge management ERP system with multi-Agent interaction and impact from three concepts, management thinking, software and system.

  7. Program Manager: The Journal of the Defense Systems Management College. Volume 12, Number 4, July-August 1983.

    DTIC Science & Technology

    1983-08-01

    for the level of manage- 5AR ment reviewing it ., (40) The Cost Schedule Control Systems PROD R&D Criteria are not a...evolution and development of the Cost/Schedule Control Vice President, Contracts and Pricing Systems Criteria (C/SCSC), then analyze its cost impact...don’t come and ask for what we are going to war with-not He is taking the tough position to en- funding to cover it -find out what the new system

  8. Is It Ethical for Patents to Be Issued for the Computer Algorithms that Affect Course Management Systems for Distance Learning?

    ERIC Educational Resources Information Center

    Moreau, Nancy

    2008-01-01

    This article discusses the impact of patents for computer algorithms in course management systems. Referring to historical documents and court cases, the positive and negative aspects of software patents are presented. The key argument is the accessibility to algorithms comprising a course management software program such as Blackboard. The…

  9. 12 CFR Appendix to Part 1236 - Prudential Management and Operations Standards

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... risk exposure. Standard 4—Management of Market Risk—Measurement Systems, Risk Limits, Stress Testing... stress test outcomes to adjust its market risk management strategies, policies, and positions and to... entity should use stress test outcomes to adjust its liquidity management strategies, policies, and...

  10. Evaluation of a decision support system for pressure ulcer prevention and management: preliminary findings.

    PubMed

    Zielstorff, R D; Estey, G; Vickery, A; Hamilton, G; Fitzmaurice, J B; Barnett, G O

    1997-01-01

    A decision support system for prevention and management of pressure ulcers was developed based on AHCPR guidelines and other sources. The system was implemented for 21 weeks on a 20-bed clinical care unit. Fifteen nurses on that unit volunteered as subjects of the intervention to see whether use of the system would have a positive effect on their knowledge about pressure ulcers and on their decision-making skills related to this topic. A similar care unit was used as a control. In addition, the system was evaluated by experts for its instructional adequacy, and by end users for their satisfaction with the system. Preliminary results show no effect on knowledge about pressure ulcers and no effect on clinical decision making skills. The system was rated positively for instructional adequacy, and positively for user satisfaction. User interviews related to satisfaction supplemented the quantitative findings. A discussion of the issues of conducting experiments like this in today's clinical environment is included.

  11. Clinicians’ experiences of becoming a clinical manager: a qualitative study

    PubMed Central

    2012-01-01

    Background There has been an increased interest in recruiting health professionals with a clinical background to management positions in health care. We know little about the factors that influence individuals’ decisions to engage in management. The aim of this study is to explore clinicians’ journeys towards management positions in hospitals, in order to identify potential drivers and barriers to management recruitment and development. Methods We did a qualitative study which included in-depth interviews with 30 clinicians in middle and first-line management positions in Norwegian hospitals. In addition, participant observation was conducted with 20 of the participants. The informants were recruited from medical and surgical departments, and most had professional backgrounds as medical doctors or nurses. Interviews were analyzed by systemic text condensation. Results We found that there were three phases in clinicians’ journey into management; the development of leadership awareness, taking on the manager role and the experience of entering management. Participants’ experiences suggest that there are different journeys into management, in which both external and internal pressure emerged as a recurrent theme. They had not anticipated a career in clinical management, and experienced that they had been persuaded to take the position. Being thrown into the position, without being sufficiently prepared for the task, was a common experience among participants. Being left to themselves, they had to learn management “on the fly”. Some were frustrated in their role due to increasing administrative workloads, without being able to delegate work effectively. Conclusions Path dependency and social pressure seems to influence clinicians’ decisions to enter into management positions. Hospital organizations should formalize pathways into management, in order to identify, attract, and retain the most qualified talents. Top managers should make sure that necessary support functions are available locally, especially for early stage clinician managers. PMID:23173953

  12. Clinicians' experiences of becoming a clinical manager: a qualitative study.

    PubMed

    Spehar, Ivan; Frich, Jan C; Kjekshus, Lars Erik

    2012-11-22

    There has been an increased interest in recruiting health professionals with a clinical background to management positions in health care. We know little about the factors that influence individuals' decisions to engage in management. The aim of this study is to explore clinicians' journeys towards management positions in hospitals, in order to identify potential drivers and barriers to management recruitment and development. We did a qualitative study which included in-depth interviews with 30 clinicians in middle and first-line management positions in Norwegian hospitals. In addition, participant observation was conducted with 20 of the participants. The informants were recruited from medical and surgical departments, and most had professional backgrounds as medical doctors or nurses. Interviews were analyzed by systemic text condensation. We found that there were three phases in clinicians' journey into management; the development of leadership awareness, taking on the manager role and the experience of entering management. Participants' experiences suggest that there are different journeys into management, in which both external and internal pressure emerged as a recurrent theme. They had not anticipated a career in clinical management, and experienced that they had been persuaded to take the position. Being thrown into the position, without being sufficiently prepared for the task, was a common experience among participants. Being left to themselves, they had to learn management "on the fly". Some were frustrated in their role due to increasing administrative workloads, without being able to delegate work effectively. Path dependency and social pressure seems to influence clinicians' decisions to enter into management positions. Hospital organizations should formalize pathways into management, in order to identify, attract, and retain the most qualified talents. Top managers should make sure that necessary support functions are available locally, especially for early stage clinician managers.

  13. Risk, Error and Accountability: Improving the Practice of School Leaders

    ERIC Educational Resources Information Center

    Perry, Lee-Anne

    2006-01-01

    This paper seeks to explore the notion of risk as an organisational logic within schools, the impact of contemporary accountability regimes on managing risk and then, in turn, to posit a systems-based process of risk management underpinned by a positive logic of risk. It moves through a number of steps beginning with the development of an…

  14. 78 FR 25384 - Establishment of Class E Airspace; Immokalee, FL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... management of Instrument Flight Rules (IFR) operations within the National Airspace System. DATES: Effective... at Immokalee, FL, to accommodate the Area Navigation (RNAV) Global Positioning System (GPS) Standard... Procedures developed for Big Cypress Airfield. This action is necessary for the safety and management of IFR...

  15. 76 FR 34196 - Proposed Establishment of Class E Airspace; Forest, VA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-13

    ...) Global Positioning System (GPS) Standard Instrument Approach Procedures serving New London Airport. This action would enhance the safety and airspace management of Instrument Flight Rules (IFR) operations...; Airspace Docket No. 11-AEA-11) and be submitted in triplicate to the Docket Management System (see...

  16. 78 FR 14473 - Proposed Establishment of Class E Airspace; Sanibel, FL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-06

    ...) Global Positioning System (GPS) special Standard Instrument Approach Procedure (SIAP) serving Sanibel Island Heliport. This action would enhance the safety and airspace management of Instrument Flight Rules...; Airspace Docket No. 12-ASO-18) and be submitted in triplicate to the Docket Management System (see...

  17. 76 FR 54155 - Proposed Establishment of Class E Airspace; Danville, PA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-31

    ...) Global Positioning System (GPS) Standard Instrument Approach Procedures at Danville Airport. This action would enhance the safety and airspace management of Instrument Flight Rules (IFR) operations at the... submitted in triplicate to the Docket Management System (see ADDRESSES section for address and phone number...

  18. 78 FR 14475 - Proposed Establishment of Class E Airspace; Cleveland, TN

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-06

    ...) Global Positioning System (GPS) Standard Instrument Approach Procedures at Cleveland Regional Jetport. This action would enhance the safety and airspace management of Instrument Flight Rules (IFR...; Airspace Docket No. 12-ASO-47) and be submitted in triplicate to the Docket Management System (see...

  19. 76 FR 35370 - Proposed Establishment of Class E Airspace; Copperhill, TN

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ...) Global Positioning System (GPS) Standard Instrument Approach Procedures at Martin Campbell Field Airport. This action would enhance the safety and airspace management of Instrument Flight Rules (IFR... submitted in triplicate to the Docket Management System (see ADDRESSES section for address and phone number...

  20. Strategic positioning. Part 1: The sources of value under managed care.

    PubMed

    Kauer, R T; Berkowitz, E

    1997-01-01

    Part 1 of this series organizes and discusses the sources of value against a background of an evolving managed care market. Part 2 will present, in more detail, the marketing and financial challenges to organizational positioning and performance across the four stages of managed care. What are the basic principles or tenets of value and how do they apply to the health care industry? Why is strategic positioning so important to health care organizations struggling in a managed care environment and what are the sources of value? Service motivated employees and the systems that educate them represent a stronger competitive advantage than having assets and technology that are available to anyone. As the health care marketplace evolves, organizations must develop a strategic position that will provide such value and for which the customer will be willing to pay.

  1. Positives and pathologies of natural resource management on private land-conservation areas.

    PubMed

    Clements, Hayley S; Cumming, Graeme S

    2017-06-01

    In managed natural resource systems, such as fisheries and rangelands, there is a recognized trade-off between managing for short-term benefits and managing for longer term resilience. Management actions that stabilize ecological attributes or processes can improve productivity in the supply of ecosystem goods and services in the short term but erode system resilience at longer time scales. For example, fire suppression in rangelands can increase grass biomass initially but ultimately result in an undesirable, shrub-dominated system. Analyses of this phenomenon have focused largely on how management actions influence slow-changing biophysical system attributes (such as vegetation composition). Data on the frequency of management actions that reduce natural ecological variation on 66 private land-conservation areas (PLCAs) in South Africa were used to investigate how management actions are influenced by manager decision-making approaches, a largely ignored part of the problem. The pathology of natural resource management was evident on some PLCAs: increased focus on revenue-generation in decision making resulted in an increased frequency of actions to stabilize short-term variation in large mammal populations, which led to increased revenues from ecotourism or hunting. On many PLCAs, these management actions corresponded with a reduced focus on ecological monitoring and an increase in overstocking of game (i.e., ungulate species) and stocking of extralimitals (i.e., game species outside their historical range). Positives in natural resource management also existed. Some managers monitored slower changing ecological attributes, which resulted in less-intensive management, fewer extralimital species, and lower stocking rates. Our unique, empirical investigation of monitoring-management relationships illustrates that management decisions informed by revenue monitoring versus ecological monitoring can have opposing consequences for natural resource productivity and sustainability. Promoting management actions that maintain resilience in natural resource systems therefore requires cognizance of why managers act the way they do and how these actions can gradually shift managers toward unsustainable strategies. © 2016 Society for Conservation Biology.

  2. Clinical nursing leaders', team members' and service managers' experiences of implementing evidence at a local level.

    PubMed

    Kitson, Alison; Silverston, Heidi; Wiechula, Rick; Zeitz, Kathryn; Marcoionni, Danni; Page, Tammy

    2011-05-01

    To describe the experiences of 14 clinical nursing leaders introducing a knowledge translation (KT) project into one metropolitan acute care hospital in South Australia. The study also explored team members' and service managers' experiences. KT strategies assume that local (nursing) clinical leaders have the capacity and capability to champion innovation combining positional leadership roles (ward leader) with a project lead role. There is limited evidence to support these assumptions. Semi-structured interviews of clinical nursing leaders and managers were undertaken at month 4 and 12 of the project. Data were also collected from the interdisciplinary team members (n = 28). Clinical nursing leaders identified risks and anxieties associated with taking on an additional leadership role, whereas managers acknowledged the multiple pressures on the system and the need for local level innovation. Team members generally reported positive experiences. With support, clinical nursing leaders can effectively embrace KT project leadership roles that complement their positional leadership roles. Clinical nursing leaders' experiences differed from nursing and medical managers' experiences.   Managers need to be more attuned to the personal risks local leaders experience, providing support for leaders to experiment and innovate. Managers need to integrate local priorities with broader system wide agendas. © 2011 The Authors. Journal compilation © 2011 Blackwell Publishing Ltd.

  3. 77 FR 39652 - Proposed Establishment of Class E Airspace; La Belle, FL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-05

    ...) Global Positioning System (GPS) Standard Instrument Approach Procedures at La Belle Municipal Airport. This action would enhance the safety and airspace management of Instrument Flight Rules (IFR...; Airspace Docket No. 12-ASO-29) and be submitted in triplicate to the Docket Management System (see...

  4. 76 FR 49390 - Proposed Establishment of Class E Airspace; Palmyra, PA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ...) Global Positioning System (GPS) Standard Instrument Approach Procedures at Reigle Field. This action would enhance the safety and airspace management of Instrument Flight Rules (IFR) operations at the...; Airspace Docket No. 11-ASO-17) and be submitted in triplicate to the Docket Management System (see...

  5. 78 FR 52111 - Proposed Establishment of Class E Airspace; Aliceville, AL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-22

    ... (RNAV) Global Positioning System (GPS) Standard Instrument Approach Procedure (SIAP) serving George Downer Airport. This action would enhance the safety and airspace management of Instrument Flight Rules...; Airspace Docket No. 13-ASO-7) and be submitted in triplicate to the Docket Management System (see ADDRESSES...

  6. 78 FR 18269 - Proposed Modification of Class E Airspace; Clifton/Morenci, AZ

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-26

    ... accommodate aircraft using Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures at Greenlee County Airport. The FAA is proposing this action to enhance the safety and management... be submitted in triplicate to the Docket Management System (see ADDRESSES section for address and...

  7. 76 FR 35362 - Proposed Amendment of Class E Airspace; Shelby, MT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ... using Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures at Shelby Airport. The FAA is proposing this action to enhance the safety and management of aircraft... submitted in triplicate to the Docket Management System (see ADDRESSES section for address and phone number...

  8. VELOC - A new kind of information system

    NASA Astrophysics Data System (ADS)

    Dittloff, H. J.; Keuser, H.; Langer, H.

    Based on the Global Positioning System (GPS), VELOC (Vehicle Location) is designed to be a vehicle information system for fleet management adaptable to various user groups, e.g., haulage and delivery companies, and service enterprises with vehicle fleets. The needs of these groups vary with respect to position accuracy, position update rate, and type of communication. The authors describe the requirements, specifications, and performance of VELOC. Special emphasis is placed on some substantial features of the VELOC center, namely the integration of DGPS, a comfortable user interface, and handling of vehicle positions on digital maps.

  9. Exercise Performance Measurement with Smartphone Embedded Sensor for Well-Being Management

    PubMed Central

    Liu, Chung-Tse; Chan, Chia-Tai

    2016-01-01

    Regular physical activity reduces the risk of many diseases and improves physical and mental health. However, physical inactivity is widespread globally. Improving physical activity levels is a global concern in well-being management. Exercise performance measurement systems have the potential to improve physical activity by providing feedback and motivation to users. We propose an exercise performance measurement system for well-being management that is based on the accumulated activity effective index (AAEI) and incorporates a smartphone-embedded sensor. The proposed system generates a numeric index that is based on users’ exercise performance: their level of physical activity and number of days spent exercising. The AAEI presents a clear number that can serve as a useful feedback and goal-setting tool. We implemented the exercise performance measurement system by using a smartphone and conducted experiments to assess the feasibility of the system and investigated the user experience. We recruited 17 participants for validating the feasibility of the measurement system and a total of 35 participants for investigating the user experience. The exercise performance measurement system showed an overall precision of 88% in activity level estimation. Users provided positive feedback about their experience with the exercise performance measurement system. The proposed system is feasible and has a positive effective on well-being management. PMID:27727188

  10. Exercise Performance Measurement with Smartphone Embedded Sensor for Well-Being Management.

    PubMed

    Liu, Chung-Tse; Chan, Chia-Tai

    2016-10-11

    Regular physical activity reduces the risk of many diseases and improves physical and mental health. However, physical inactivity is widespread globally. Improving physical activity levels is a global concern in well-being management. Exercise performance measurement systems have the potential to improve physical activity by providing feedback and motivation to users. We propose an exercise performance measurement system for well-being management that is based on the accumulated activity effective index (AAEI) and incorporates a smartphone-embedded sensor. The proposed system generates a numeric index that is based on users' exercise performance: their level of physical activity and number of days spent exercising. The AAEI presents a clear number that can serve as a useful feedback and goal-setting tool. We implemented the exercise performance measurement system by using a smartphone and conducted experiments to assess the feasibility of the system and investigated the user experience. We recruited 17 participants for validating the feasibility of the measurement system and a total of 35 participants for investigating the user experience. The exercise performance measurement system showed an overall precision of 88% in activity level estimation. Users provided positive feedback about their experience with the exercise performance measurement system. The proposed system is feasible and has a positive effective on well-being management.

  11. The Efficacy of All-Positive Management as a Function of the Prior Use of Negative Consequences.

    ERIC Educational Resources Information Center

    Pfiffner, Linda J.; O'Leary, Susan G.

    1987-01-01

    The study found that in the absence of a history of negative consequences, an all-positive management system for eight first- through third-grade children with academic and/or classroom behavioral problems was not sufficient to maintain on-task rates of academic accuracy. The addition of negative consequences immediately improved on-task behavior…

  12. [Management Competence in Leading Positions in Clinical Surgery - What Does a Surgeon Need to Know?

    PubMed

    Hellmann, W; Meyer, F

    2016-12-01

    Background: Surgeons, more than other specialists, are required to combine high medical expertise with management competence. This is due to changing environments, new demands with respect to quality, the ongoing discussion on increased performance in the context of questionable target agreements, an increasing tendency of university hospitals and other departments and clinics to recruit leading personnel in medicine with management competence, but also to the understanding of one's own role and surgeons' distinguished public reputation. Aim: This narrative review describes the changing environments for surgeons in leading positions in hospitals and provides an overview on the practical use of management skills in surgery. In addition, it advises on how to acquire management competence and presents an educational concept appropriate for surgeons in leading positions. Key points: 1. The management of new challenges in the healthcare system - also in clinical surgery - requires management skills, which are indispensable for a surgeon in a leading position. 2. Management skills in surgery comprise aspects such as communication ability, social competence, cooperation and leadership skills, knowledge on business administration aspects and legal certainty. 3. The necessary knowledge can be acquired in courses leading to a certificate (e.g. "MHM® Medical Hospital Manager") or by earning a "Master of Business Administration" (MBA). Conclusion: Management competence is essential in leading positions in clinical surgery today. The use of these skills is challenging in daily practice. Successfully applied, management competence not only guarantees comprehensive patient care and leadership of employees, but also provides satisfaction in leading positions of a surgical department. Georg Thieme Verlag KG Stuttgart · New York.

  13. Achieving excellence in the management of accounts receivable.

    PubMed

    Ladewig, T L; Hecht, B A

    1993-09-01

    Recent changes in healthcare reimbursement rules and practices have made the task of accounts receivable management a particularly demanding one for most financial managers. One multihospital system, after pursuing numerous strategies to reduce its accounts receivable with only marginal levels of success, launched a systemwide initiative to share both the positive and the negative accounts receivable management experiences of each department at each hospital in the system with all patient accounting staff. The objective of the initiative was to use the lessons learned from those experiences to attain excellence in accounts receivable management throughout the system. The ultimate success of the initiative is detailed in the following article.

  14. How a health and safety management training program may improve the working environment in small- and medium-sized companies.

    PubMed

    Torp, Steffen

    2008-03-01

    The objective of this controlled intervention study was to investigate the effects of a 2-year training program in health and safety (H&S) management for managers at small- and medium-sized companies. A total of 113 managers of motor vehicle repair garages participated in the training and another 113 garage managers served as a comparison group. The effects were measured using questionnaires sent before and after the intervention to the managers and blue-collar workers at the garages. The intervention group managers reported significantly greater improvement of their H&S management system than the managers in the comparison group. The results also indicate that the management training positively affected how the workers regarded their supportive working environment. H&S management training may positively affect measures at both garage and individual levels.

  15. Experiences of working from a freestanding position as a case manager when supporting clients in the Swedish welfare system.

    PubMed

    Klockmo, Carolina; Marnetoft, Sven-Uno

    2016-06-01

    The Swedish state uses a case management function known as Personligt Ombud (PO). The role as PO differs from the traditional professional roles. It has a freestanding position in the welfare system. The aim of this study was to investigate POs' experiences of working from a freestanding position when supporting clients. Telephone interviews were conducted with 22 POs across Sweden. The interviews were recorded, transcribed, and analyzed by latent qualitative content analysis. The findings were reflected in three categories - freedom-promoted flexibility, surfing through a complex welfare system, and working for legitimacy. POs developed a holistic view to both the client as well as to the welfare system. POs experienced solely representing the client, which is a positive feature because part of the POs' role is advocating for the clients rights. The PO service differs from the PO service from other existing case management models and may need to develop strategies for decision-making and support in their own role. For example, they may use group supervision teams or 'reflective teams'. The freestanding position may also entail problems in terms of lack of legitimacy. It is important for POs to develop good platforms with the surrounding actors among others things to improve the co-ordination process. It could be interesting if the PO model would be tested in other countries that have a fragmented welfare system. The PO model may also be useful to other 'target groups' who are in need of co-ordinated rehabilitation services.

  16. Compensation and exotic livestock disease management: the views of animal keepers and veterinarians in England.

    PubMed

    Hamilton-Webb, A; Naylor, R; Little, R; Maye, D

    2016-11-19

    Relatively little is known about the perceived influence of different compensation systems on animal keepers' management of exotic livestock disease. This paper aims to address this research gap by drawing on interviews with 61 animal keepers and 21 veterinarians, as well as a series of nine animal keeper focus groups across five different livestock sectors in England. The perceived influence of current compensation systems on disease control behaviour was explored and alternative compensation systems that respectively reward positive practices and penalise poor practices were presented in the form of scenarios, alongside a third system that considered the option of a cost-sharing levy system between industry and government. The results indicate that animal keepers consider themselves to be influenced by a range of non-financial factors, for example, feelings of responsibility, reputation and animal welfare concerns, in the context of their exotic disease management practices. The majority of animal keepers were unaware of the current compensation systems in place for exotic diseases, and were therefore not consciously influenced by financial recompense. Concerns were raised about linking compensation to disease management behaviour due to auditing difficulties. A cost-sharing levy system would likely raise awareness of exotic disease and compensation among animal keepers, but differentiation of payments based upon individual farm-level risk assessments was called for by participants as a strategy to promote positive disease management practices. British Veterinary Association.

  17. Controlling Costs. Managing Resources Module. Operational Management Programme. Second Edition.

    ERIC Educational Resources Information Center

    Hayter, Roy

    This self-study unit focuses on managing resources--materials, equipment, personnel, money, energy, time, and information. The material is designed primarily for those in a supervisory or junior management position working within their company's policies and systems. The unit may be of value to the small business proprietor, as an introduction to…

  18. 41 CFR 102-5.85 - What information should our determination for field work include if positions are identified...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What information should...? 102-5.85 Section 102-5.85 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION GENERAL 5-HOME-TO-WORK TRANSPORTATION Authorizing...

  19. Task Management for Firefighters: A Practical Approach to Task Management.

    ERIC Educational Resources Information Center

    Roberts, Stephen S.

    1979-01-01

    A project management system for organizing requests from multiple departments and controlling the workload of the development/maintenance computer staff is described. Practical solutions to deciding project priorities, determining time estimates, creating positive peer pressure among programing staff, and formalizing information requests are…

  20. The role of Confucianism in South Korea's emergency management system.

    PubMed

    Ha, Kyoo-Man

    2018-03-26

    Numerous Western researchers have examined the influence of Confucianism on development in Asia, but almost no South Korean researchers have studied the topic in regard to emergency management in their own country. This study begins by considering Confucianism as a social culture. Next, it goes on to evaluate its role in South Korea's emergency management system, contributing, ultimately, to efficiencies in emergency management. Drawing on a literature review and a case study, the paper assesses the double- and single-faced approaches, using four major Confucian components: destiny; family; ritual; and relation. The double-faced approach includes the positive and negative aspects of emergency management, whereas the single-faced approach incorporates only its positive aspects. This paper provides, for the first time, a systematic analysis of the relationship between Confucianism and emergency management in South Korea. Its key finding is that the double-faced approach needs to be transformed into a single-faced approach through active facilitation of behavioural change. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.

  1. Reengineering health care materials management.

    PubMed

    Connor, L R

    1998-01-01

    Health care executives across the country, faced with intense competition, are being forced to consider drastic cost cutting measures as a matter of survival. The entire health care industry is under siege from boards of directors, management and others who encourage health care systems to take actions ranging from strategic acquisitions and mergers to simple "downsizing" or "rightsizing," to improve their perceived competitive positions in terms of costs, revenues and market share. In some cases, management is poorly prepared to work within this new competitive paradigm and turns to consultants who promise that following their methodologies can result in competitive advantage. One favored methodology is reengineering. Frequently, cost cutting attention is focused on the materials management budget because it is relatively large and is viewed as being comprised mostly of controllable expenses. Also, materials management is seldom considered a core competency for the health care system and the organization performing these activities does not occupy a strongly defensible position. This paper focuses on the application of a reengineering methodology to healthcare materials management.

  2. Fit for purpose quality management system for military forensic exploitation.

    PubMed

    Wilson, Lauren Elizabeth; Gahan, Michelle Elizabeth; Robertson, James; Lennard, Chris

    2018-03-01

    In a previous publication we described a systems approach to forensic science applied in the military domain. The forensic science 'system of systems' describes forensic science as a sub-system in the larger criminal justice, law enforcement, intelligence, and military systems, with quality management being an important supporting system. Quality management systems help to ensure that organisations achieve their objective and continually improve their capability. Components of forensic science quality management systems can include standardisation of processes, accreditation of facilities to national/international standards, and certification of personnel. A fit for purpose quality management system should be balanced to allow organisations to meet objectives, provide continuous improvement; mitigate risk; and impart a positive quality culture. Considerable attention over the last decades has been given to the need for forensic science quality management systems to meet criminal justice and law enforcement objectives. More recently, the need for the forensic quality management systems to meet forensic intelligence objectives has been considered. This paper, for the first time, discusses the need for a fit for purpose quality management system for military forensic exploitation. Crown Copyright © 2018. Published by Elsevier B.V. All rights reserved.

  3. Knowledge management systems success in healthcare: Leadership matters.

    PubMed

    Ali, Nor'ashikin; Tretiakov, Alexei; Whiddett, Dick; Hunter, Inga

    2017-01-01

    To deliver high-quality healthcare doctors need to access, interpret, and share appropriate and localised medical knowledge. Information technology is widely used to facilitate the management of this knowledge in healthcare organisations. The purpose of this study is to develop a knowledge management systems success model for healthcare organisations. A model was formulated by extending an existing generic knowledge management systems success model by including organisational and system factors relevant to healthcare. It was tested by using data obtained from 263 doctors working within two district health boards in New Zealand. Of the system factors, knowledge content quality was found to be particularly important for knowledge management systems success. Of the organisational factors, leadership was the most important, and more important than incentives. Leadership promoted knowledge management systems success primarily by positively affecting knowledge content quality. Leadership also promoted knowledge management use for retrieval, which should lead to the use of that better quality knowledge by the doctors, ultimately resulting in better outcomes for patients. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  4. The Caterpillar Game: A SW-PBIS Aligned Classroom Management System

    ERIC Educational Resources Information Center

    Floress, Margaret T.; Jacoby, Amber L.

    2017-01-01

    The Caterpillar Game is a classroom management system that is aligned with School-wide Positive Behavioral Interventions and Supports standards. A single-case, multiple-baseline design was used to evaluate the effects of the Caterpillar Game on disruptive student behavior and teacher praise. Three classrooms were included in the study (preschool,…

  5. Strategic positioning for nursing excellence in health systems: insights from chief nursing executives.

    PubMed

    Arnold, Lauren; Drenkard, Karen; Ela, Sue; Goedken, Jolene; Hamilton, Connie; Harris, Carla; Holecek, Nancy; White, Maureen

    2006-01-01

    The emergence of health systems as a dominant structure for organizing healthcare has stimulated the development of health system chief nursing executive (CNE) positions. These positions have large spans of control, requiring CNEs to balance a wide range of responsibilities, making them accountable for fiscal management, quality of care, compliance, and contributing to organizational growth. As such the CNE is required to use principles of distributive justice to guide priority setting and decision making. This review addresses important questions about CNE system integration strategies, strategic priorities, and organizational positioning as they attempt to fulfill their ethical responsibilities to patients and the nurses they serve.

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

    PubMed

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

    2015-11-01

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

  7. Supporting Positive Behaviour in Alberta Schools: A School-Wide Approach

    ERIC Educational Resources Information Center

    Mackenzie, Nancy

    2008-01-01

    Drawing on current research and best practices, this three-part resource, "Supporting Positive Behaviour in Alberta Schools," provides information, strategies, stories from schools and sample tools for systematically teaching, supporting and reinforcing positive behaviour. This integrated system of school-wide, classroom management, and…

  8. Do they see eye to eye? Management and employee perspectives of high-performance work systems and influence processes on service quality.

    PubMed

    Liao, Hui; Toya, Keiko; Lepak, David P; Hong, Ying

    2009-03-01

    Extant research on high-performance work systems (HPWSs) has primarily examined the effects of HPWSs on establishment or firm-level performance from a management perspective in manufacturing settings. The current study extends this literature by differentiating management and employee perspectives of HPWSs and examining how the two perspectives relate to employee individual performance in the service context. Data collected in three phases from multiple sources involving 292 managers, 830 employees, and 1,772 customers of 91 bank branches revealed significant differences between management and employee perspectives of HPWSs. There were also significant differences in employee perspectives of HPWSs among employees of different employment statuses and among employees of the same status. Further, employee perspective of HPWSs was positively related to individual general service performance through the mediation of employee human capital and perceived organizational support and was positively related to individual knowledge-intensive service performance through the mediation of employee human capital and psychological empowerment. At the same time, management perspective of HPWSs was related to employee human capital and both types of service performance. Finally, a branch's overall knowledge-intensive service performance was positively associated with customer overall satisfaction with the branch's service. (c) 2009 APA, all rights reserved.

  9. Ultra-wideband technology radio frequency interference effects to global positioning system receivers and interference encounter scenario development : second interim report

    DOT National Transportation Integrated Search

    2001-03-27

    The Global Positioning System (GPS) is significant because it is a key element in the development of the Free Flight" air traffic management structure of the future which is needed to enable the expected growth of air travel and alleviate the current...

  10. Myocardial infarction and subsequent death in a patient undergoing robotic prostatectomy.

    PubMed

    Thompson, Judy

    2009-10-01

    A 52-year-old patient, ASA physical status IV, undergoing a radical prostatectomy for cancer with a robotic system had a cardiac arrest 3 hours into the case. All attempts to resuscitate were unsuccessful, and several hours later he was pronounced dead. Underlying patient comorbidity and procedural issues contributed to the patient's death. The patient had a history of coronary artery disease that required the placement of drug-eluting stents 2 years before this surgical procedure. The preoperative cardiac evaluation and pharmacological management of patients with drug-eluting coronary stents are reviewed. There are a number of positional and technical considerations for patients undergoing robotic surgical procedures, especially in relation to the requirement of low-lithotomy and steep Trendelenburg positions. The cardiac and respiratory systems are especially vulnerable to the extreme and lengthy head-down position. The needed positioning, combined with the problems associated with insufflation, presents a unique challenge in anesthetic management. This course reviews the current literature on the surgical implications for patients with drug-eluting stents and the physiologic factors related to position and pneumoperitoneum and their associated stressors. By using a review of the contemporary literature, a best-evidence approach to anesthetic management is reviewed.

  11. A configurable electronics system for the ESS-Bilbao beam position monitors

    NASA Astrophysics Data System (ADS)

    Muguira, L.; Belver, D.; Etxebarria, V.; Varnasseri, S.; Arredondo, I.; del Campo, M.; Echevarria, P.; Garmendia, N.; Feuchtwanger, J.; Jugo, J.; Portilla, J.

    2013-09-01

    A versatile and configurable system has been developed in order to monitorize the beam position and to meet all the requirements of the future ESS-Bilbao Linac. At the same time the design has been conceived to be open and configurable so that it could eventually be used in different kinds of accelerators, independent of the charged particle, with minimal change. The design of the Beam Position Monitors (BPMs) system includes a test bench both for button-type pick-ups (PU) and striplines (SL), the electronic units and the control system. The electronic units consist of two main parts. The first part is an Analog Front-End (AFE) unit where the RF signals are filtered, conditioned and converted to base-band. The second part is a Digital Front-End (DFE) unit which is based on an FPGA board where the base-band signals are sampled in order to calculate the beam position, the amplitude and the phase. To manage the system a Multipurpose Controller (MC) developed at ESSB has been used. It includes the FPGA management, the EPICS integration and Archiver Instances. A description of the system and a comparison between the performance of both PU and SL BPM designs measured with this electronics system are fully described and discussed.

  12. Integrating school-based and therapeutic conflict management models at schools.

    PubMed

    D'Oosterlinck, Franky; Broekaert, Eric

    2003-08-01

    Including children with emotional and behavioral needs in mainstream school systems leads to growing concern about the increasing number of violent and nonviolent conflicts. Schools must adapt to this evolution and adopt a more therapeutic dimension. This paper explores the possibility of integrating school-based and therapeutic conflict management models and compares two management models: a school-based conflict management program. Teaching Students To Be Peacemakers; and a therapeutic conflict management program, Life Space Crisis Intervention. The authors conclude that integration might be possible, but depends on establishing a positive school atmosphere, the central position of the teacher, and collaborative and social learning for pupils. Further implementation of integrated conflict management models can be considered but must be underpinned by appropriate scientific research.

  13. Management Control Systems and Clinical Experience of Managers in Public Hospitals.

    PubMed

    Lunkes, Rogério Joao; Naranjo-Gil, David; Lopez-Valeiras, Ernesto

    2018-04-17

    Healthcare authorities are encouraging managers in hospitals to acquire clinical experience and knowledge in order to better carry out and coordinate healthcare service delivery. The main objective of this paper is to analyse how the clinical experience of hospital managers is related to public health institutions’ performance. It is proposed that the effect of the clinical experience on operative and financial organizational performance is indirect through the mediating variables of perceived utility of management information and horizontal management control system. This paper analyses how these variables impact hospital performance through the data from a survey sent to 364 hospital managers in Brazil. The results show that managers’ clinical experience is related to higher perceived utility of historical, financial, short-term, and internal information, but not with horizontal control adoption in hospitals. Furthermore, our results show that, in hospitals, perceived utility of forecasted, non-financial, long-term, and external managerial information positively affects hospitals’ financial performance, while adoption of horizontal control management positively affects operational performance. Through showing evidence that clinical background could explain the differences not only in hospital service management but also in information capabilities and management control processes, this study offer meaningful implications for healthcare authorities and hospital managers involved in the development and implementation of strategies in the health sector.

  14. Classroom Profiling Training: Increasing Preservice Teachers' Confidence and Knowledge of Classroom Management Skills

    ERIC Educational Resources Information Center

    Jackson, Cliff; Simoncini, Kym; Davidson, Mark

    2013-01-01

    Classroom management is a serious concern for beginning teachers including preservice teachers. The Queensland Department of Education, Training and Employment (DETE) has developed the Essential Skills for Classroom Management (ESCM), a system of positive and pro-active strategies for maintaining supportive learning environments. In addition, the…

  15. Comparison of DOE and NIRMA approaches to configuration management programs

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

    Yang, E.Y.; Kulzick, K.C.

    One of the major management programs used for commercial, laboratory, and defense nuclear facilities is configuration management. The safe and efficient operation of a nuclear facility requires constant vigilance in maintaining the facility`s design basis with its as-built condition. Numerous events have occurred that can be attributed to (either directly or indirectly) the extent to which configuration management principles have been applied. The nuclear industry, as a whole, has been addressing this management philosophy with efforts taken on by its constituent professional organizations. The purpose of this paper is to compare and contrast the implementation plans for enhancing a configurationmore » management program as outlined in the U.S. Department of Energy`s (DOE`s) DOE-STD-1073-93, {open_quotes}Guide for Operational Configuration Management Program,{close_quotes} with the following guidelines developed by the Nuclear Information and Records Management Association (NIRMA): 1. PP02-1994, {open_quotes}Position Paper on Configuration Management{close_quotes} 2. PP03-1992, {open_quotes}Position Paper for Implementing a Configuration Management Enhancement Program for a Nuclear Facility{close_quotes} 3. PP04-1994 {open_quotes}Position Paper for Configuration Management Information Systems.{close_quotes}« less

  16. Behavior Contracts and Computer Based Data Management: Can They Effect Improvements in an After School Music Program?

    ERIC Educational Resources Information Center

    Franklin, Cindy A.

    The behavior and rehearsal habits of elementary level instrumental music students were addressed by the implementation of a behavior contract and computer managed recordkeeping system. A contract was developed following the principles of the "Assertive Discipline" system. Rewards and incentives were used to reinforce positive student behavior.…

  17. Development of a School-Wide Behavior Program in a Public Middle School: An Illustration of Deployment-Focused Intervention Development, Stage 1

    ERIC Educational Resources Information Center

    Molina, Brooke S. G.; Smith, Bradley H.; Pelham, William E., Jr.

    2005-01-01

    School-wide behavior management systems can improve academic performance and behavior in middle schools, and they should have positive effects on students with ADHD. Unfortunately, evidence-based, school-wide behavior management systems have not been widely adopted because of problems with feasibility, acceptability, and sustainability. The…

  18. Forecasting drought risks for a water supply storage system using bootstrap position analysis

    USGS Publications Warehouse

    Tasker, Gary; Dunne, Paul

    1997-01-01

    Forecasting the likelihood of drought conditions is an integral part of managing a water supply storage and delivery system. Position analysis uses a large number of possible flow sequences as inputs to a simulation of a water supply storage and delivery system. For a given set of operating rules and water use requirements, water managers can use such a model to forecast the likelihood of specified outcomes such as reservoir levels falling below a specified level or streamflows falling below statutory passing flows a few months ahead conditioned on the current reservoir levels and streamflows. The large number of possible flow sequences are generated using a stochastic streamflow model with a random resampling of innovations. The advantages of this resampling scheme, called bootstrap position analysis, are that it does not rely on the unverifiable assumption of normality and it allows incorporation of long-range weather forecasts into the analysis.

  19. The Influence of Leadership in Implementing Management Systems

    NASA Astrophysics Data System (ADS)

    Nae, Ilie; Solomon, Gheorghe; Severin, Irina

    2014-12-01

    This paper presents a new perspective of the implementation of Management Systems within organizations in order to increase the success rate. The objective is to analyse how the leadership could influence positively or negatively the implementation, according to the leadership approach chosen. It offers a method to analyse the maturity of the leadership for any organization, based on existing leadership models, completing these models with specificities of a Management System. The Maturity Grid is extended to key elements of the Organizational Leadership: Strategic Planning, Process and Performance. The results expected are to change the current understanding of leadership during a Management System implementation(leadership seen as a principle) to an active leadership, implemented at organizational level. It propose an alternative of the classic management approach, to a Performance Management approach, that integrates naturally the leadership in all processes and methods

  20. 5 CFR 532.303 - Specialized industry.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....303 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Determining Rates for Principal Types of Positions § 532.303 Specialized industry. (a)(1) Under... as specialized industries upon approval of the Office of Personnel Management. ...

  1. Doctors and managers: poor relationships may be damaging patients—what can be done?

    PubMed Central

    Edwards, N

    2003-01-01

    The problem of poor relationships between doctors and managers is a common feature of many healthcare systems. This problem needs to be explicitly addressed and there are a number of positive steps that could be taken. Firstly, there would be value in working to improve the quality of relationships and better mutual understanding of the necessarily different positions of doctors and managers. Finding a common approach to managing resources, accountability, autonomy, and the creation of more systematic ways of working seems to be important. The use of costed clinical pathways may be one approach. Rather than seeing guidelines and accountability systems as a threat to autonomy there is an argument that they are an essential adjunct to it. Redefining autonomy in order to preserve it and to ensure that it encompasses accountability and responsibility will be an important step. A key step is the development of clinical leadership. PMID:14645744

  2. Raising the "glass ceiling" for ethnic minority women in health care management.

    PubMed

    Kumar, R; Johnston, G

    1999-01-01

    Ethnic minority women are well represented in the work force and in the health care system in general, but do not have a similar level of representation in the management sector. This paper explores three strategies for schools of health administration to consider to lessen the effect of a "glass ceiling" that may be encountered by ethnic minority women aspiring to positions of leadership in health services agencies. These strategies are advancing affirmative action, valuing ethnic women in health administration education, and investigating diversity management. Inherent in each of the three strategies is the need for acknowledgment and more open discussion of the "glass ceiling." Problem-solving in relation to the potential for systemic discrimination adversely affecting ethnic minority women in senior health care management positions, and greater study of the three strategies using both qualitative and quantitative methodologies is also needed.

  3. Completion of the Design of the Top End Optical Assembly for ATST

    NASA Astrophysics Data System (ADS)

    Canzian, Blaise; Barentine, J.

    2013-01-01

    L-3 Integrated Optical Systems (IOS) Division has been selected by the National Solar Observatory (NSO) to make the Top End Optical Assembly (TEOA) for the 4-meter Advanced Technology Solar Telescope (ATST) to operate at Haleakala, Maui. ATST will perform to a very high optical performance level in a difficult operational environment. The TEOA (including a 0.65-meter silicon carbide secondary mirror and support, mirror thermal management system, mirror positioning and fast tip-tilt system, field stop with thermally managed heat dump, Lyot stop, safety interlock and control system, and support frame) operates in the “hot spot” at the prime focus of the ATST, presenting unusual challenges. L-3 IOS has passed Critical Design Review of the TEOA. In this paper, we describe L-3 IOS success meeting technical challenges, including our solutions for optic fabrication, opto-mechanical positioning, rejected and stray light control, wavefront tip-tilt compensation, and thermal management and control.

  4. 5 CFR 532.409 - Grading or regrading of positions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Grading or regrading of positions. 532.409 Section 532.409 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Pay Administration § 532.409 Grading or regrading of positions. Except as provided in...

  5. Span of control matters.

    PubMed

    Cathcart, Deb; Jeska, Susan; Karnas, Joan; Miller, Sue E; Pechacek, Judy; Rheault, Lolita

    2004-09-01

    Prompted by manager concerns about span of control, a large, integrated health system set out to determine if span of control really mattered. Was there something to it, or was it just an excuse for poor performance? A team of middle managers studied the problem and ultimately demonstrated a strong relationship between span of control and employee engagement. Consequently, it was decided to add 4 management positions to note the effect. One year later, positive changes were observed in employee engagement scores in all 4 areas. This study suggests careful review of manager spans of control to address the untoward effects of large spans of control on employee engagement.

  6. Management Control Systems and Clinical Experience of Managers in Public Hospitals

    PubMed Central

    Naranjo-Gil, David

    2018-01-01

    Healthcare authorities are encouraging managers in hospitals to acquire clinical experience and knowledge in order to better carry out and coordinate healthcare service delivery. The main objective of this paper is to analyse how the clinical experience of hospital managers is related to public health institutions’ performance. It is proposed that the effect of the clinical experience on operative and financial organizational performance is indirect through the mediating variables of perceived utility of management information and horizontal management control system. This paper analyses how these variables impact hospital performance through the data from a survey sent to 364 hospital managers in Brazil. The results show that managers’ clinical experience is related to higher perceived utility of historical, financial, short-term, and internal information, but not with horizontal control adoption in hospitals. Furthermore, our results show that, in hospitals, perceived utility of forecasted, non-financial, long-term, and external managerial information positively affects hospitals’ financial performance, while adoption of horizontal control management positively affects operational performance. Through showing evidence that clinical background could explain the differences not only in hospital service management but also in information capabilities and management control processes, this study offer meaningful implications for healthcare authorities and hospital managers involved in the development and implementation of strategies in the health sector. PMID:29673192

  7. Community College Administrative Roles in Identifying Faculty for Future Management Positions: A Phenomenological Study of Retired Administrators

    ERIC Educational Resources Information Center

    Knirk, Brian Doyle

    2013-01-01

    The community college system is beginning to see waves of retirements at all levels of the administrative structure. These retirements, in conjunction with expected growth in administrative positions, will result in system-wide administrative vacancies. Community colleges not already seeking new leaders are likely to find themselves in the midst…

  8. 76 FR 68791 - Agency Information Collection Activities: Submission for the Office of Management and Budget (OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-07

    ...: Employment Application System for Entry-Level Legal Positions. 3. Current OMB approval number: 3150-XXXX. 4... seeking to implement a Web-based job application system that will allow the NRC Office of the General... Honor Law Graduate program or temporary, summer legal positions through the Summer Internship Program...

  9. Hospital managers' attitude and commitment toward electronic medical records system in Isfahan hospitals 2014.

    PubMed

    Jahanbakhsh, Maryam; Karimi, Saeed; Hassanzadeh, Akbar; Beigi, Maliheh

    2017-01-01

    Electronic medical record system (EMRS) is a valuable system for safe access to the patient's data and increases health care quality. Manpower is one of the requirements for EMRS, among which manager is the most important person in any hospital. Taking into account manager's positive attitude and good commitments, EMRS will be implemented successfully. As such, we decided to assess manager's attitude and commitment toward EMRS in Isfahan hospitals in the year of 2014. This article aimed to determine the hospital managers' attitude and commitment toward the implementation of EMRS. The present article is an applied analytic study. Research society consisted of the managers of all the hospitals in Isfahan that include hospitals affiliated to Isfahan University of Medical Sciences, private, and social security hospitals. This study was done in 2014. Data collection tools included a questionnaire for which reliability and validity were determined. Data were analyzed by means of SPSS 20. Average score for the managers' attitude toward EMRS in the city of Isfahan was 77.5 out of 100 and their average score for commitment was 74.7. Manager's attitude in social security hospitals was more positive than the private and governmental ones (83.3%). In addition, the amount of commitment by the managers in social security hospitals was higher than the same in private and governmental hospitals (86.6%). At present, managers' attitude and commitment in Isfahan hospitals toward EMRS are very high and social security hospitals show more readiness in this respect.

  10. Relational coordination promotes quality of chronic care delivery in Dutch disease-management programs.

    PubMed

    Cramm, Jane Murray; Nieboer, Anna Petra

    2012-01-01

    Previous studies have shown that relational coordination is positively associated with the delivery of hospital care, acute care, emergency care, trauma care, and nursing home care. The effect of relational coordination in primary care settings, such as disease-management programs, remains unknown. This study examined relational coordination between general practitioners and other professionals in disease-management programs and assessed the impact of relational coordination on the delivery of chronic illness care. Professionals (n = 188; response rate = 57%) in 19 disease-management programs located throughout the Netherlands completed surveys that assessed relational coordination and chronic care delivery. We used a cross-sectional study design. Our study demonstrated that the delivery of chronic illness care was positively related to relational coordination. We found positive relationships with community linkages (r = .210, p < .01), self-management support (r = .217, p < .01), decision support (r = .190, p < .01), delivery system design (r = .278, p < .001), and clinical information systems (r = .193, p < .01). Organization of the health delivery system was not significantly related to relational coordination. The regression analyses showed that even after controlling for all background variables, relational coordination still significantly affected chronic care delivery (β = .212, p ≤ .01). As expected, our findings showed a lower degree of relational coordination among general practitioners than between general practitioners and other core disease-management team members: practice nurses (M = 2.69 vs. 3.73; p < .001), dieticians (M = 2.69 vs. 3.07; p < .01), physical therapists (M = 2.69 vs. 3.06; p < .01), medical specialists (M = 2.69 vs. 3.16; p < .01), and nurse practitioners (M = 2.69 vs. 3.19; p < .001). The enhancement of relational coordination among core disease-management professionals with different disciplines is expected to improve chronic illness care delivery.

  11. [Controlling systems for operating room managers].

    PubMed

    Schüpfer, G; Bauer, M; Scherzinger, B; Schleppers, A

    2005-08-01

    Management means developing, shaping and controlling of complex, productive and social systems. Therefore, operating room managers also need to develop basic skills in financial and managerial accounting as a basis for operative and strategic controlling which is an essential part of their work. A good measurement system should include financial and strategic concepts for market position, innovation performance, productivity, attractiveness, liquidity/cash flow and profitability. Since hospitals need to implement a strategy to reach their business objectives, the performance measurement system has to be individually adapted to the strategy of the hospital. In this respect the navigation system developed by Gälweiler is compared to the "balanced score card" system of Kaplan and Norton.

  12. Advanced Transport Operating System (ATOPS) Flight Management/Flight Controls (FM/FC) software description

    NASA Technical Reports Server (NTRS)

    Wolverton, David A.; Dickson, Richard W.; Clinedinst, Winston C.; Slominski, Christopher J.

    1993-01-01

    The flight software developed for the Flight Management/Flight Controls (FM/FC) MicroVAX computer used on the Transport Systems Research Vehicle for Advanced Transport Operating Systems (ATOPS) research is described. The FM/FC software computes navigation position estimates, guidance commands, and those commands issued to the control surfaces to direct the aircraft in flight. Various modes of flight are provided for, ranging from computer assisted manual modes to fully automatic modes including automatic landing. A high-level system overview as well as a description of each software module comprising the system is provided. Digital systems diagrams are included for each major flight control component and selected flight management functions.

  13. Systems and methods for managing shared-path instrumentation and irradiation targets in a nuclear reactor

    DOEpatents

    Heinold, Mark R.; Berger, John F.; Loper, Milton H.; Runkle, Gary A.

    2015-12-29

    Systems and methods permit discriminate access to nuclear reactors. Systems provide penetration pathways to irradiation target loading and offloading systems, instrumentation systems, and other external systems at desired times, while limiting such access during undesired times. Systems use selection mechanisms that can be strategically positioned for space sharing to connect only desired systems to a reactor. Selection mechanisms include distinct paths, forks, diverters, turntables, and other types of selectors. Management methods with such systems permits use of the nuclear reactor and penetration pathways between different systems and functions, simultaneously and at only distinct desired times. Existing TIP drives and other known instrumentation and plant systems are useable with access management systems and methods, which can be used in any nuclear plant with access restrictions.

  14. Robustness mechanisms in primate societies: a perturbation study

    PubMed Central

    Flack, Jessica C; Krakauer, David C; de Waal, Frans B. M

    2005-01-01

    Conflict management mechanisms have a direct, critical effect on system robustness because they mitigate conflict intensity and help repair damaged relationships. However, robustness mechanisms can also have indirect effects on system integrity by facilitating interactions among components. We explore the indirect role that conflict management mechanisms play in the maintenance of social system robustness, using a perturbation technique to ‘knockout’ components responsible for effective conflict management. We explore the effects of knockout on pigtailed macaque (Macaca nemestrina) social organization, using a captive group of 84 individuals. This system is ideal in addressing this question because there is heterogeneity in performance of conflict management. Consequently, conflict managers can be easily removed without disrupting other control structures. We find that powerful conflict managers are essential in maintaining social order for the benefit of all members of society. We show that knockout of components responsible for conflict management results in system destabilization by significantly increasing mean levels of conflict and aggression, decreasing socio-positive interaction and decreasing the operation of repair mechanisms. PMID:16024369

  15. 78 FR 78275 - Alcohol and Drug Testing: Determination of Minimum Random Testing Rates for 2014

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-26

    ... to data from FRA's Management Information System, the rail industry's random drug testing positive... December 26, 2013. FOR FURTHER INFORMATION CONTACT: Jerry Powers, FRA Drug and Alcohol Program Manager, W38...

  16. Scalable Metadata Management for a Large Multi-Source Seismic Data Repository

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

    Gaylord, J. M.; Dodge, D. A.; Magana-Zook, S. A.

    In this work, we implemented the key metadata management components of a scalable seismic data ingestion framework to address limitations in our existing system, and to position it for anticipated growth in volume and complexity.

  17. Development of GPS survey data management protocols/policy.

    DOT National Transportation Integrated Search

    2010-08-01

    This project developed a statewide policy and criteria for collecting, analyzing, and managing global position system (GPS) survey data. The research project determined the needs of the Department in adopting the GPS real time kinetic (GPS RTK) stake...

  18. Asset Management of Roadway Signs Through Advanced Technology

    DOT National Transportation Integrated Search

    2003-06-01

    This research project aims to ease the process of Roadway Sign asset management. The project utilized handheld computer and global positioning system (GPS) technology to capture sign location data along with a timestamp. This data collection effort w...

  19. 15 CFR Appendix II to Subpart P of... - Existing Management Areas Boundary Coordinates

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ....43.8′ N 81 deg.48.6′ W. Key West National Wildlife Refuge [Based on the North American Datum of 1983... COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Florida Keys... Administration Key Largo-Management Area [Based on differential Global Positioning Systems data] Point Latitude...

  20. 15 CFR Appendix II to Subpart P of... - Existing Management Areas Boundary Coordinates

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ....43.8′ N 81 deg.48.6′ W. Key West National Wildlife Refuge [Based on the North American Datum of 1983... COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Florida Keys... Administration Key Largo-Management Area [Based on differential Global Positioning Systems data] Point Latitude...

  1. 15 CFR Appendix II to Subpart P of... - Existing Management Areas Boundary Coordinates

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....43.8′ N 81 deg.48.6′ W. Key West National Wildlife Refuge [Based on the North American Datum of 1983... COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Florida Keys... Administration Key Largo-Management Area [Based on differential Global Positioning Systems data] Point Latitude...

  2. 15 CFR Appendix II to Subpart P of... - Existing Management Areas Boundary Coordinates

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ....43.8′ N 81 deg.48.6′ W. Key West National Wildlife Refuge [Based on the North American Datum of 1983... COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Florida Keys... Administration Key Largo-Management Area [Based on differential Global Positioning Systems data] Point Latitude...

  3. 15 CFR Appendix II to Subpart P of... - Existing Management Areas Boundary Coordinates

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ....43.8′ N 81 deg.48.6′ W. Key West National Wildlife Refuge [Based on the North American Datum of 1983... COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Florida Keys... Administration Key Largo-Management Area [Based on differential Global Positioning Systems data] Point Latitude...

  4. 5 CFR 293.303 - The roles and responsibilities of the Office, agencies, and custodians.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... contained within a document management system approved by the Office. (2) A custodian shall be responsible... MANAGEMENT CIVIL SERVICE REGULATIONS PERSONNEL RECORDS Official Personnel Folder § 293.303 The roles and... such a position is part of the records of the Office of Personnel Management (Office). (b) The Office...

  5. 5 CFR 293.303 - The roles and responsibilities of the Office, agencies, and custodians.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... contained within a document management system approved by the Office. (2) A custodian shall be responsible... MANAGEMENT CIVIL SERVICE REGULATIONS PERSONNEL RECORDS Official Personnel Folder § 293.303 The roles and... such a position is part of the records of the Office of Personnel Management (Office). (b) The Office...

  6. The effectiveness of strategies similar to the Magnet model to create positive work environments on nurse satisfaction.

    PubMed

    Kol, Emine; İlaslan, Emine; Turkay, Mehtap

    2017-08-01

    The objective of this study was to identify the satisfaction levels of nurses with positive environment initiatives and positive management strategies. In total, 235 and 259 nurses participated in the study before and after the application of the initiatives and strategies, respectively. Strategies adopted from the magnet model to create positive work environments and management styles were executed according to the forces of magnetism. Data related to satisfaction were collected twice, once before and once after the strategies to create positive working environments were implemented. The rates of working environment satisfaction in the nurses' department were 57.07% in 2011 and 69.01% in 2013. The rate of satisfaction with governance differed significantly between 2011 and 2013, especially in terms of the merit system, equity and equality, information flow between the administration and the employees, and the influence of the nursing managers on institutional decision making. This study showed that 24 months after the implementation of these strategies, nurse satisfaction with their work environment and management style increased significantly. © 2017 John Wiley & Sons Australia, Ltd.

  7. Work Dimensions Derived through Systematic Job Analysis of the General Work Inventory

    DTIC Science & Technology

    1987-01-01

    describe position functions of an intangible nature"(p. 14). Tornow and Pinto (1976) developed the Management Position Description Questionnaire (MPDQ...were found in these factors and the factors developed by Tornow and Pinto (1976) for upper level managers. Such results indirectly validated Dowell...Personnel and Training Research Center, AFPTRC-TR-57-5. Tornow , W. W., & Pinto, P. (1976). The development of a managerial job taxonomy: a system for

  8. Using Eye Tracking to Investigate First Year Students' Digital Proficiency and Their Use of a Learning Management System in an Open Distance Environment

    ERIC Educational Resources Information Center

    Mabila, Jabulisiwe; Gelderblom, Helene; Ssemugabi, Samuel

    2014-01-01

    The internet gives individuals access to learning through online technologies. The prolific use of Learning Management Systems (LMSs) in higher education institutions makes Information and Communication Technology (ICT) skills or e-skills very important. ICT skill levels have been positively related to students' effectiveness and efficiency in…

  9. Linking Outcomes and Funding: Core Challenges and Approaches. Chapin Hall Working Paper

    ERIC Educational Resources Information Center

    Wulczyn, Fred

    2005-01-01

    One of the central challenges facing child welfare administrators has to do with managing how the foster care system is financed while working hard to achieve positive outcomes for children and families. Offering states greater discretion over the use of federal Title IV-E funds is one way to improve management of the child welfare system.…

  10. Progress making the top end optical assembly (TEOA) for the 4-meter Advanced Technology Solar Telescope

    NASA Astrophysics Data System (ADS)

    Canzian, Blaise; Barentine, J.; Arendt, J.; Bader, S.; Danyo, G.; Heller, C.

    2012-09-01

    L-3 Integrated Optical Systems (IOS) Division has been selected by the National Solar Observatory (NSO) to design and produce the Top End Optical Assembly (TEOA) for the 4-meter Advanced Technology Solar Telescope (ATST) to operate at Haleakal', Maui. ATST will perform to a very high optical performance level in a difficult thermal environment. The TEOA, containing the 0.65-meter silicon carbide secondary mirror and support, mirror thermal management system, mirror positioning and fast tip-tilt system, field stop with thermally managed heat dump, thermally managed Lyot stop, safety interlock and control system, and support frame, operates in the "hot spot" at the prime focus of the ATST and so presents special challenges. In this paper, we describe progress in the L-3 technical approach to meeting these challenges, including silicon carbide off-axis mirror design, fabrication, and high accuracy figuring and polishing all within L-3; mirror support design; the design for stray light control; subsystems for opto-mechanical positioning and high accuracy absolute mirror orientation sensing; Lyot stop design; and thermal management of all design elements to remain close to ambient temperature despite the imposed solar irradiance load.

  11. The involvement of medical doctors in hospital governance and implications for quality management: a quick scan in 19 and an in depth study in 7 OECD countries.

    PubMed

    Rotar, A M; Botje, D; Klazinga, N S; Lombarts, K M; Groene, O; Sunol, R; Plochg, T

    2016-05-24

    Hospital governance is broadening its orientation from cost and production controls towards 'improving performance on clinical outcomes'. Given this new focus one might assume that doctors are drawn into hospital management across OECD countries. Hospital performance in terms of patient health, quality of care and efficiency outcomes is supposed to benefit from their involvement. However, international comparative evidence supporting this idea is limited. Just a few studies indicate that there may be a positive relationship between medical doctors being part of hospital boards, and overall hospital performance. More importantly, the assumed relationship between these so-called doctor managers and hospital performance has remained a 'black-box' thus far. However, there is an increasing literature on the implementation of quality management systems in hospitals and their relation with improved performance. It seems therefore fair to assume that the relation between the involvement of doctors in hospital management and improved hospital performance is partly mediated via quality management systems. The threefold aim of this paper is to 1) perform a quick scan of the current situation with regard to doctor managers in hospital management in 19 OECD countries, 2) explore the phenomenon of doctor managers in depth in 7 OECD countries, and 3) investigate whether doctor involvement in hospital management is associated with more advanced implementation of quality management systems. This study draws both on a quick scan amongst country coordinators in OECD's Health Care Quality Indicator program, and on the DUQuE project which focused on the implementation of quality management systems in European hospitals. This paper reports two main findings. First, medical doctors fulfil a broad scope of managerial roles at departmental and hospital level but only partly accompanied by formal decision making responsibilities. Second, doctor managers having more formal decision making responsibilities in strategic hospital management areas is positively associated with the level of implementation of quality management systems. Our findings suggest that doctors are increasingly involved in hospital management in OECD countries, and that this may lead to better implemented quality management systems, when doctors take up managerial roles and are involved in strategic management decision making.

  12. The NavTrax fleet management system

    NASA Astrophysics Data System (ADS)

    McLellan, James F.; Krakiwsky, Edward J.; Schleppe, John B.; Knapp, Paul L.

    The NavTrax System, a dispatch-type automatic vehicle location and navigation system, is discussed. Attention is given to its positioning, communication, digital mapping, and dispatch center components. The positioning module is a robust GPS (Global Positioning System)-based system integrated with dead reckoning devices by a decentralized-federated filter, making the module fault tolerant. The error behavior and characteristics of GPS, rate gyro, compass, and odometer sensors are discussed. The communications module, as presently configured, utilizes UHF radio technology, and plans are being made to employ a digital cellular telephone system. Polling and automatic smart vehicle reporting are also discussed. The digital mapping component is an intelligent digital single line road network database stored in vector form with full connectivity and address ranges. A limited form of map matching is performed for the purposes of positioning, but its main purpose is to define location once position is determined.

  13. A Distributed Value of Information (VoI)-Based Approach for Mission-Adaptive Context-Aware Information Management and Presentation

    DTIC Science & Technology

    2016-05-16

    metrics involve regulating automation of complex systems , such as aircraft .12 Additionally, adaptive management of content in user interfaces has also...both the user and environmental context would aid in deciding how to present the information to the Warfighter. The prototype system currently...positioning system , and rate sensors can provide user - specific context to disambiguate physiologic data. The consumer “quantified self” market has driven

  14. Effects of an incinerator project on a healthcare-waste management system.

    PubMed

    Khammaneechan, Patthanasak; Okanurak, Kamolnetr; Sithisarankul, Pornchai; Tantrakarnapa, Kraichat; Norramit, Poonsup

    2011-10-01

    This evaluative research study aimed to assess the effects of the central healthcare incinerator project on waste management in Yala Province. The study data were collected twice: at baseline and during the operational phase. A combination of structured interview and observation were used during data collection. The study covered 127 healthcare facilities: government hospitals, healthcare centres, and private clinics. The results showed 63% of healthcare risk waste (HCRW) handlers attended the HCRW management training. Improvements in each stage of the HCRW management system were observed in all groups of facilities. The total cost of the HCRW management system did not change, however; the costs for hospitals decreased, whereas those for clinics increased significantly. It was concluded that the central healthcare waste incinerator project positively affected HCRW management in the area, although the costs of management might increase for a particular group. However, the benefits of changing to a more appropriately managed HCRW system will outweigh the increased costs.

  15. [Various aspects of public health system development under market economy].

    PubMed

    Polyakov, I V; Uvarov, S A

    1995-01-01

    Transfer from administrative methods of management to economic relationships in the public health system leads to reevaluation of the regularities in the development of the system of population health protection under conditions of marketing relations. The paper presents the logistic aspects of public health management under new conditions: positive and negative features in the development of medical insurance and offers a concept of introduction of a system of synchronous regulation of material, financial, and information streams in public health.

  16. MASCAL: RFID Tracking of Patients, Staff and Equipment to Enhance Hospital Response to Mass Casualty Events

    PubMed Central

    Fry, Emory A.; Lenert, Leslie A.

    2005-01-01

    Most medical facilities practice managing the large numbers of seriously injured patients expected during catastrophic events. As the demands on the healthcare team increase, however, the challenges faced by managers escalate, workflow bottlenecks develop and system capacity decreases. This paper describes MASCAL, an integrated software–hardware system designed to enhance management of resources at a hospital during a mass casualty situation. MASCAL uses active 802.11b asset tags to track patients, equipment and staff during the response to a disaster. The system integrates tag position information with data from personnel databases, medical information systems, registration applications and the US Navy’s TACMEDCS triage application in a custom visual disaster management environment. MASCAL includes interfaces for a hospital command center, local area managers (emergency room, operating suites, radiology, etc.) and registration personnel. MASCAL is an operational system undergoing functional evaluation at the Naval Medical Center, San Diego, CA. PMID:16779042

  17. Improve wildlife species tracking—Implementing an enhanced global positioning system data management system for California condors

    USGS Publications Warehouse

    Waltermire, Robert G.; Emmerich, Christopher U.; Mendenhall, Laura C.; Bohrer, Gil; Weinzierl, Rolf P.; McGann, Andrew J.; Lineback, Pat K.; Kern, Tim J.; Douglas, David C.

    2016-05-03

    U.S. Fish and Wildlife Service (USFWS) staff in the Pacific Southwest Region and at the Hopper Mountain National Wildlife Refuge Complex requested technical assistance to improve their global positioning system (GPS) data acquisition, management, and archive in support of the California Condor Recovery Program. The USFWS deployed and maintained GPS units on individual Gymnogyps californianus (California condor) in support of long-term research and daily operational monitoring and management of California condors. The U.S. Geological Survey (USGS) obtained funding through the Science Support Program to provide coordination among project participants, provide GPS Global System for Mobile Communication (GSM) transmitters for testing, and compare GSM/GPS with existing Argos satellite GPS technology. The USFWS staff worked with private companies to design, develop, and fit condors with GSM/GPS transmitters. The Movebank organization, an online database of animal tracking data, coordinated with each of these companies to automatically stream their GPS data into Movebank servers and coordinated with USFWS to improve Movebank software for managing transmitter data, including proofing/error checking of incoming GPS data. The USGS arranged to pull raw GPS data from Movebank into the USGS California Condor Management and Analysis Portal (CCMAP) (https://my.usgs.gov/ccmap) for production and dissemination of a daily map of condor movements including various automated alerts. Further, the USGS developed an automatic archiving system for pulling raw and proofed Movebank data into USGS ScienceBase to comply with the Federal Information Security Management Act of 2002. This improved data management system requires minimal manual intervention resulting in more efficient data flow from GPS data capture to archive status. As a result of the project’s success, Pinnacles National Park and the Ventana Wildlife Society California condor programs became partners and adopted the same workflow, tracking, and data archive system. This GPS tracking data management model and workflow should be applicable and beneficial to other wildlife tracking programs.

  18. Development of a congestion management system using GPS technology

    DOT National Transportation Integrated Search

    1997-04-01

    This report describes the results of a study undertaken to demonstrate the feasibility of using global positioning system (GPS) and geographic information system (GIS) technologies to measure travel time and speed data on urban highways. The methodol...

  19. What Happens If the Stars Go Out? U.S. Army Dependence on the Global Positioning System

    DTIC Science & Technology

    2009-12-11

    line in the 1970s has continued to evolve with the technological advances in satellite power management , frequency encryption, and GPS receiver... manage his forces, limitations still exist. As stated by Giles Ebutt from Jane’s International Defense, ―These blue-force tracking (BFT) systems...complexity and thus there exists a need for close examination of the Army’s use, application, and management of GPS data. Chapter 3 guides the reader through

  20. 5 CFR 842.808 - Oversight of coverage determinations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....808 Section 842.808 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers... that a position is a law enforcement officer or firefighter position, each agency head must notify OPM...

  1. 5 CFR 842.808 - Oversight of coverage determinations.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ....808 Section 842.808 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers... that a position is a law enforcement officer or firefighter position, each agency head must notify OPM...

  2. 5 CFR 842.808 - Oversight of coverage determinations.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ....808 Section 842.808 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers... that a position is a law enforcement officer or firefighter position, each agency head must notify OPM...

  3. 5 CFR 842.808 - Oversight of coverage determinations.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ....808 Section 842.808 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers... that a position is a law enforcement officer or firefighter position, each agency head must notify OPM...

  4. 5 CFR 842.808 - Oversight of coverage determinations.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ....808 Section 842.808 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers... that a position is a law enforcement officer or firefighter position, each agency head must notify OPM...

  5. 5 CFR 532.305 - Dominant industry.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....305 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Determining Rates for Principal Types of Positions § 532.305 Dominant industry. (a)(1) A... principal types of appropriated or nonappropriated fund positions in the specialized industry comprise: (i...

  6. An Evaluation of Leadership and Management Training in the United States Coast Guard

    DTIC Science & Technology

    1982-07-06

    organizational behavior, operations. research, system theory, applied management P-nalysik, and other courses in economics, planning, and financial management ...continued existence in a period of severe financial stress. 3. If there is no positive impact, document this so that top- management in t•he Coast...Relations InstituIte 5. Drug Education Specialist course 6. U. S. Navy Managkment course 7. A Management course og another service 8. Other formal

  7. Procedures for woody vegetation surveys in the Kazgail rural council area, Kordofan, Sudan

    USGS Publications Warehouse

    Falconer, Allan; Cross, Matthew D.; Orr, Donald G.

    1990-01-01

    Efforts to reforest parts of the Kordofan Province of Sudan are receiving support from international development agencies. These efforts include planning and implementing reforestation activities that require the collection of natural resources and socioeconomic data, and the preparation of base maps. A combination of remote sensing, geographic information system and global positioning systems procedures are used in this study to meet these requirements.Remote sensing techniques were used to provide base maps and to guide the compilation of vegetation resources maps. These techniques provided a rapid and efficient method for documenting available resources. Pocket‐sized global positioning system units were used to establish the location of field data collected for mapping and resource analysis. A microcomputer data management system tabulated and displayed the field data. The resulting system for data analysis, management, and planning has been adopted for the mapping and inventory of the Gum Belt of Sudan.

  8. Realization of a CORDIC-Based Plug-In Accelerometer Module for PSG System in Head Position Monitoring for OSAS Patients

    PubMed Central

    Chou, Wen-Cheng; Shiao, Tsu-Hui; Shiao, Guang-Ming; Luo, Chin-Shan

    2017-01-01

    Overnight polysomnography (PSG) is currently the standard diagnostic procedure for obstructive sleep apnea (OSA). It has been known that monitoring of head position in sleep is crucial not only for the diagnosis (positional sleep apnea) but also for the management of OSA (positional therapy). However, there are no sensor systems available clinically to hook up with PSG for accurate head position monitoring. In this paper, an accelerometer-based sensing system for accurate head position monitoring is developed and realized. The core CORDIC- (COordinate Rotation DIgital Computer-) based tilting sensing algorithm is realized in the system to quickly and accurately convert accelerometer raw data into the desired head position tilting angles. The system can hook up with PSG devices for diagnosis to have head position information integrated with other PSG-monitored signals. It has been applied in an IRB test in Taipei Veterans General Hospital and has been proved that it can meet the medical needs of accurate head position monitoring for PSG diagnosis. PMID:29065608

  9. Asset-building, financial self-management service model: piecing together consumer financial independence.

    PubMed

    Swarbrick, Margaret

    2006-10-01

    This program represents an innovative approach to traditional money-management services. This asset-building, financial self-management service model has the potential to positively affect recovery, self-sufficiency, and community integration for people with mental illnesses. It is hoped this program will be replicated by other providers in a way that may effect systems change.

  10. Development of a congestion management system using GPS technology : technical summary.

    DOT National Transportation Integrated Search

    1996-11-01

    The overall goal of this research study was to demonstrate the feasibility of using global positioning system (GPS) and geographic information system (GIS) technologies to measure travel time and speed data on urban highways.Compared to more traditio...

  11. Development of a congestion management system using GPS technology : volume I.

    DOT National Transportation Integrated Search

    1997-04-01

    This report describes the results of a study undertaken to demonstrate the feasibility of using global positioning system( GPS) and geographic information system (CIS) technologies to measure travel time and speed data on urban highways. Compared to ...

  12. [How management teams use information and control systems to manage hospitals].

    PubMed

    Naranjo-Gil, David

    2016-01-01

    To analyze the relationship between the characteristics of top management teams and the different use of management information and control systems (MICS) to implement policies that encourage cooperation and activity coordination in public hospitals. Data were collected through a questionnaire sent to each member of the top management teams of 231 Spanish public hospitals (chief executive director, medical director, nursing director and director for financial and social issues). A total of 457 valid questionnaires were returned, composing 86 full top management teams (37.23%). Top management team diversity was positively related to the interactive use of MICS. Management teams composed of younger members and members with longer service used MICS interactively. Top management teams with a predominantly clinical education and experience used MICS interactively, while top teams with a predominantly administrative education and experience used MICS diagnostically. The results also showed that cooperation and coordination in hospitals were positively related to the interactive use of MICS and were negatively related to the diagnostic use of MICS. The interactive use of MICS is an important mediator in the relationship between top team diversity and policies focused on hospital decentralization. Top management teams with diverse characteristics (e.g. age, length of service, education and experience) use management information interactively to enhance activity coordination and resource allocation in hospitals. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

  13. Air Force space power and thermal management technology - Requirements for the early 21st century

    NASA Astrophysics Data System (ADS)

    Herrera, Ernest D.; Kuck, Inara

    Typical projections for military space power and thermal management technologies have posited requirements for high powered and highly survivable systems. Recent changes in defense needs, however, will require spacecraft that are smaller, lower powered, less survivable, and highly proliferated. Technologies will be developed to provide low cost, ultra-light, high power density, 'smart' conventional power systems. Compact nuclear power systems will also be developed to meet higher power needs.

  14. Understanding human management of automation errors

    PubMed Central

    McBride, Sara E.; Rogers, Wendy A.; Fisk, Arthur D.

    2013-01-01

    Automation has the potential to aid humans with a diverse set of tasks and support overall system performance. Automated systems are not always reliable, and when automation errs, humans must engage in error management, which is the process of detecting, understanding, and correcting errors. However, this process of error management in the context of human-automation interaction is not well understood. Therefore, we conducted a systematic review of the variables that contribute to error management. We examined relevant research in human-automation interaction and human error to identify critical automation, person, task, and emergent variables. We propose a framework for management of automation errors to incorporate and build upon previous models. Further, our analysis highlights variables that may be addressed through design and training to positively influence error management. Additional efforts to understand the error management process will contribute to automation designed and implemented to support safe and effective system performance. PMID:25383042

  15. Understanding human management of automation errors.

    PubMed

    McBride, Sara E; Rogers, Wendy A; Fisk, Arthur D

    2014-01-01

    Automation has the potential to aid humans with a diverse set of tasks and support overall system performance. Automated systems are not always reliable, and when automation errs, humans must engage in error management, which is the process of detecting, understanding, and correcting errors. However, this process of error management in the context of human-automation interaction is not well understood. Therefore, we conducted a systematic review of the variables that contribute to error management. We examined relevant research in human-automation interaction and human error to identify critical automation, person, task, and emergent variables. We propose a framework for management of automation errors to incorporate and build upon previous models. Further, our analysis highlights variables that may be addressed through design and training to positively influence error management. Additional efforts to understand the error management process will contribute to automation designed and implemented to support safe and effective system performance.

  16. Decentralisation of general management within the New Zealand health system.

    PubMed

    Malcolm, L; Alp, B; Bryson, J

    1994-11-01

    The radical organisation changes implemented in the New Zealand health system in recent years are discussed and analysed in this study which is based upon a review of documents and interviews with general managers of area health boards. Service management, which involves the decentralisation of general management to programme or product groupings (medicine, child health etc) has been widely implemented in almost all boards completely replacing the traditional disciplinary hierarchies. It is also leading to a population-rather than an institutional-based system of management. General managers report positively on the achievements of service management including greater accountability and commitment of clinical staff, innovation and team building, improved performance and service quality, the integration of hospital and community-based care and a customer rather than an occupational orientation. There is an increasing trend towards the recognition of primary health care as a key service entity.

  17. 77 FR 51518 - Alternative Personnel Management System (APMS) at the National Institute of Standards and Technology

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-24

    ... for all positions within the Scientific and Engineering (ZP) career path at the Pay Band III and above, for Nuclear Reactor Operator positions in the Scientific and Engineering Technician (ZT) career path... and Engineering Technician (ZT) career path at the Pay Band III and above, and for all positions in...

  18. Systematic review building a preceptor support system.

    PubMed

    Goss, Carol R

    2015-01-01

    This systematic review identifies the significance of the preceptor role in affecting new graduate nurse retention. Findings from 20 research studies provide support that nurse preceptors receiving continuing education and perceiving reward and recognition from the preceptor position positively affect new graduate nurse retention. Hospital administration, nurse managers, nurse educators, preceptors, and new graduate nurses each play a role in the successful implementation of a preceptor support system.

  19. Position verification systems for an automated highway system.

    DOT National Transportation Integrated Search

    2015-03-01

    Automated vehicles promote road safety, fuel efficiency, and reduced travel time by decreasing traffic : congestion and driver workload. In a vehicle platoon (grouping vehicles to increase road capacity by : managing distance between vehicles using e...

  20. 5 CFR 9901.502 - Scope of authority.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... SYSTEMS (DEPARTMENT OF DEFENSE-OFFICE OF PERSONNEL MANAGEMENT) DEPARTMENT OF DEFENSE NATIONAL SECURITY PERSONNEL SYSTEM (NSPS) Staffing and Employment General § 9901.502 Scope of authority. When a specified category of employees, applicants, and positions is covered by the system established under this subpart...

  1. Development of low-altitude remote sensing systems for crop production management

    USDA-ARS?s Scientific Manuscript database

    Precision agriculture accounts for within-field variability for targeted treatment rather than uniform treatment of an entire field. Precision agriculture is built on agricultural mechanization and state-of-the-art technologies of geographical information systems (GIS), global positioning systems (G...

  2. Smart self management: assistive technology to support people with chronic disease.

    PubMed

    Zheng, Huiru; Nugent, Chris; McCullagh, Paul; Huang, Yan; Zhang, Shumei; Burns, William; Davies, Richard; Black, Norman; Wright, Peter; Mawson, Sue; Eccleston, Christopher; Hawley, Mark; Mountain, Gail

    2010-01-01

    We have developed a personalised self management system to support self management of chronic conditions with support from health-care professionals. Accelerometers are used to measure gross levels of activity, for example walking around the house, and used to infer higher level activity states, such as standing, sitting and lying. A smart phone containing an accelerometer and a global positioning system (GPS) module can be used to monitor outdoor activity, providing both activity and location based information. Heart rate, blood pressure and weight are recorded and input to the system by the user. A decision support system (DSS) detects abnormal activity and distinguishes life style patterns. The DSS is used to assess the self management process, and automates feedback to the user, consistent with the achievement of their life goals. We have found that telecare and assistive technology is feasible to support self management for chronic conditions within the home and local community environments.

  3. 5 CFR 532.411 - Details.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Details. 532.411 Section 532.411 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Pay Administration § 532.411 Details. An appropriated fund employee detailed to a position other than the position to...

  4. Global Grid Telemedicine System: Expert Consult Manager

    DTIC Science & Technology

    2000-10-01

    Department of the Army position, policy or decision unless so designated by other documentation. DTIC QUALITY iw^^rxi 20010122 014 REPORT DOCUMENTATION...processes and personnel for collecting, processing, storing, disseminating and managing information on demand to warfighters, policy makers, and...to be responsive to and incorporate current and future policy decisions. (7) Be continuously aware, along with Network and Bandwidth managers, of

  5. SymptomCare@Home: Developing an Integrated Symptom Monitoring and Management System for Outpatients Receiving Chemotherapy.

    PubMed

    Beck, Susan L; Eaton, Linda H; Echeverria, Christina; Mooney, Kathi H

    2017-10-01

    SymptomCare@Home, an integrated symptom monitoring and management system, was designed as part of randomized clinical trials to help patients with cancer who receive chemotherapy in ambulatory clinics and often experience significant symptoms at home. An iterative design process was informed by chronic disease management theory and features of assessment and clinical decision support systems used in other diseases. Key stakeholders participated in the design process: nurse scientists, clinical experts, bioinformatics experts, and computer programmers. Especially important was input from end users, patients, and nurse practitioners participating in a series of studies testing the system. The system includes both a patient and clinician interface and fully integrates two electronic subsystems: a telephone computer-linked interactive voice response system and a Web-based Decision Support-Symptom Management System. Key features include (1) daily symptom monitoring, (2) self-management coaching, (3) alerting, and (4) nurse practitioner follow-up. The nurse practitioner is distinctively positioned to provide assessment, education, support, and pharmacologic and nonpharmacologic interventions to intensify management of poorly controlled symptoms at home. SymptomCare@Home is a model for providing telehealth. The system facilitates using evidence-based guidelines as part of a comprehensive symptom management approach. The design process and system features can be applied to other diseases and conditions.

  6. Hardware Specific Integration Strategy for Impedance-Based Structural Health Monitoring of Aerospace Systems

    NASA Technical Reports Server (NTRS)

    Owen, Robert B.; Gyekenyesi, Andrew L.; Inman, Daniel J.; Ha, Dong S.

    2011-01-01

    The Integrated Vehicle Health Management (IVHM) Project, sponsored by NASA's Aeronautics Research Mission Directorate, is conducting research to advance the state of highly integrated and complex flight-critical health management technologies and systems. An effective IVHM system requires Structural Health Monitoring (SHM). The impedance method is one such SHM technique for detection and monitoring complex structures for damage. This position paper on the impedance method presents the current state of the art, future directions, applications and possible flight test demonstrations.

  7. A WiFi public address system for disaster management.

    PubMed

    Andrade, Nicholas; Palmer, Douglas A; Lenert, Leslie A

    2006-01-01

    The WiFi Bullhorn is designed to assist emergency workers in the event of a disaster situation by offering a rapidly configurable wireless of public address system for disaster sites. The current configuration plays either pre recorded or custom recorded messages and utilizes 802.11b networks for communication. Units can be position anywhere wireless coverage exists to help manage crowds or to recall first responders from dangerous areas.

  8. A WiFi Public Address System for Disaster Management

    PubMed Central

    Andrade, Nicholas; Palmer, Douglas A.; Lenert, Leslie A.

    2006-01-01

    The WiFi Bullhorn is designed to assist emergency workers in the event of a disaster situation by offering a rapidly configurable wireless public address system for disaster sites. The current configuration plays either pre recorded or custom recorded messages and utilizes 802.11b networks for communication. Units can be position anywhere wireless coverage exists to help manage crowds or to recall first responders from dangerous areas. PMID:17238466

  9. Digitalisierung - Management Zwischen 0 und 1

    NASA Astrophysics Data System (ADS)

    Friedrich, Stefan; Rachholz, Josef

    2017-09-01

    Digitization as a process of expressing actions and values by codes 0 and 1 has already has become part of our lives. Digitization enables enterprises to improve production, sales and to increase volume of production. However, no standard digitization strategy has been yet developed. Even in the digitized business process management system, the most important position remains to a human being. The improvement of software products, their availability and the education system in the area of introduction and use of information technology is thus a striking feature in development of managing (but also other) current processes.

  10. Global positioning systems for personal travel surveys : Lexington area travel data collection test

    DOT National Transportation Integrated Search

    1986-12-01

    The urban transportation planning process is undergoing critical transformations. Of particular interest is the emergence of private sector involvement in the planning, management, financing, construction of transportation systems and provision of tr...

  11. 78 FR 9951 - Excepted Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-12

    ...) Not to exceed 3000 positions that require unique cyber security skills and knowledge to perform cyber..., distributed control systems security, cyber incident response, cyber exercise facilitation and management, cyber vulnerability detection and assessment, network and systems engineering, enterprise architecture...

  12. 75 FR 11477 - Proposed Establishment of Class E Airspace; Kemmerer, WY

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-11

    ... new Area Navigation (RNAV) Global Positioning System (GPS) Standard Instrument Approach Procedures... be submitted in triplicate to the Docket Management System (see ADDRESSES section for address and... Proposed Rulemaking Distribution System, which describes the application procedure. The Proposal The FAA is...

  13. An architecture model for multiple disease management information systems.

    PubMed

    Chen, Lichin; Yu, Hui-Chu; Li, Hao-Chun; Wang, Yi-Van; Chen, Huang-Jen; Wang, I-Ching; Wang, Chiou-Shiang; Peng, Hui-Yu; Hsu, Yu-Ling; Chen, Chi-Huang; Chuang, Lee-Ming; Lee, Hung-Chang; Chung, Yufang; Lai, Feipei

    2013-04-01

    Disease management is a program which attempts to overcome the fragmentation of healthcare system and improve the quality of care. Many studies have proven the effectiveness of disease management. However, the case managers were spending the majority of time in documentation, coordinating the members of the care team. They need a tool to support them with daily practice and optimizing the inefficient workflow. Several discussions have indicated that information technology plays an important role in the era of disease management. Whereas applications have been developed, it is inefficient to develop information system for each disease management program individually. The aim of this research is to support the work of disease management, reform the inefficient workflow, and propose an architecture model that enhance on the reusability and time saving of information system development. The proposed architecture model had been successfully implemented into two disease management information system, and the result was evaluated through reusability analysis, time consumed analysis, pre- and post-implement workflow analysis, and user questionnaire survey. The reusability of the proposed model was high, less than half of the time was consumed, and the workflow had been improved. The overall user aspect is positive. The supportiveness during daily workflow is high. The system empowers the case managers with better information and leads to better decision making.

  14. Rewards and advancements for clinical pharmacists.

    PubMed

    Goodwin, S Diane; Kane-Gill, Sandra L; Ng, Tien M H; Melroy, Joel T; Hess, Mary M; Tallian, Kimberly; Trujillo, Toby C; Vermeulen, Lee C

    2010-01-01

    The American College of Clinical Pharmacy charged the Clinical Practice Affairs Committee to review and update the College's 1995 White Paper, "Rewards and Advancements for Clinical Pharmacy Practitioners." Because of the limited data on the present state of rewards and advancements for clinical pharmacists, an online survey of "front-line" clinical pharmacists and pharmacy managers was conducted (1126 total respondents, 14% response rate). The resulting White Paper discusses motivators and existing systems of rewards and advancements for clinical pharmacists, as well as perceived barriers to implementation of these systems. Clinical pharmacists reported work-life balance, a challenging position, and opportunities for professional advancement as the most important factors for career success. At the time of the survey, financial rewards appeared not to be a major motivator for clinical pharmacists. Managers underestimated the importance that clinical pharmacists place on work-life balance and favorable work schedules. Although almost two thirds of the clinical pharmacists surveyed had not developed a professional development plan, 84% indicated an interest in career planning. Both clinical pharmacists and managers rated the lack of a clear reward and advancement structure as the most important barrier to effective systems of rewards and advancements. Pharmacy managers and administrators are encouraged to develop effective systems of rewards and advancements for clinical pharmacists that positively impact patient care and the institution's mission; these systems will benefit the clinical pharmacist, the health care institution, and the patient.

  15. Positioning a Paediatric Compounded Non-Sterile Product Electronic Repository (pCNPeRx) within the Health Information Technology Infrastructure

    PubMed Central

    Parrish, Richard H.

    2015-01-01

    Numerous gaps in the current medication use system impede complete transmission of electronically identifiable and standardized extemporaneous formulations as well as a uniform approach to medication therapy management (MTM) for paediatric patients. The Pharmacy Health Information Technology Collaborative (Pharmacy HIT) identified six components that may have direct importance for pharmacy related to medication use in children. This paper will discuss key positions within the information technology infrastructure (HIT) where an electronic repository for the medication management of paediatric patients’ compounded non-sterile products (pCNP) and care provision could be housed optimally to facilitate and maintain transmission of e-prescriptions (eRx) from initiation to fulfillment. Further, the paper will propose key placement requirements to provide for maximal interoperability of electronic medication management systems to minimize disruptions across the continuum of care. PMID:28970375

  16. Power in health care organizations: contemplations from the first-line management perspective.

    PubMed

    Isosaari, Ulla

    2011-01-01

    The aim of this paper is to examine health care organizations' power structures from the first-line management perspective. What liable power structures derive from the theoretical bases of bureaucratic, professional and result based organizations, and what power type do health care organizations represent, according to the empirical data? The paper seeks to perform an analysis using Mintzberg's power configurations of instrument, closed system, meritocracy and political arena. The empirical study was executed at the end of 2005 through a survey in ten Finnish hospital districts in both specialized and primary care. Respondents were all first-line managers in the area and a sample of staff members from internal disease, surgical and psychiatric units, as well as out-patient and primary care units. The number of respondents was 1,197 and the response percentage was 38. The data were analyzed statistically. As a result, it can be seen that a certain kind of organization structure supports the generation of a certain power type. A bureaucratic organization generates an instrument or closed system organization, a professional organization generates meritocracy and also political arena, and a result-based organization has a connection to political arena and meritocracy. First line managers regarded health care organizations as instruments when staff regarded them mainly as meritocracies having features of political arena. Managers felt their position to be limited by rules, whereas staff members regarded their position as having lots of space and influence potential. If the organizations seek innovative and active managers at the unit level, they should change the organizational structure and redistribute the work so that there could be more space for meaningful management. This research adds to the literature and gives helpful suggestions that will be of interest to those in the position of first-line management in health care.

  17. 77 FR 48128 - Alternative Personnel Management System (APMS) at the National Institute of Standards and Technology

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-13

    ... positions in NIST's Scientific and Engineering Technician (ZT) career path at the Pay Band III and above, and for all positions in NIST's Scientific and Engineering (ZP) career path at the Pay Band III and... Engineering (ZP) career path at the Pay Band III and above, for Nuclear Reactor Operator positions in the...

  18. Assessing managerial information needs: Modification and evaluation of the Hospital Shift Leaders' Information Needs Questionnaire.

    PubMed

    Peltonen, Laura-Maria; Lundgrén-Laine, Heljä; Siirala, Eriikka; Löyttyniemi, Eliisa; Aantaa, Riku; Salanterä, Sanna

    2018-03-01

    The aims were (1) to evaluate the modified version of the Intensive Care Unit Information Need Questionnaire for the broader hospital setting, and (2) to describe the differences in respondents' managerial activities and information needs according to the position held by the respondent and the type of hospital unit. Information systems do not support managerial decision-making sufficiently and information needed in the day-to-day operations management in hospital units is unknown. An existing questionnaire was modified and evaluated. Shift leaders, that is, the nurses and physicians responsible for the day-to-day operations management in hospital units were reached using purposive sampling (n = 258). The questionnaire ascertained the importance of information. Cronbach's α ranged from .85-.96 for the subscales. Item - total correlations showed good explanatory power. Managerial activities and information needs differed between respondents in different positions, although all shared about one-third of important information needs. The response rate was 26% (n = 67). The validity and reliability of the questionnaire were good. Attention should be paid to the positions of shift leaders when developing information systems. The questionnaire can be used to determine important information when developing information systems to support day-to-day operations management in hospitals. © 2018 John Wiley & Sons Ltd.

  19. Positive deviance: an elegant solution to a complex problem.

    PubMed

    Lindberg, Curt; Clancy, Thomas R

    2010-04-01

    As systems evolve over time, their natural tendency is to become increasingly more complex. Studies in the field of complex systems have generated new perspectives on management in social organizations such as hospitals. Much of this research appears as a natural extension of the cross-disciplinary field of systems theory. This is the 13th in a series of articles applying complex systems science to the traditional management concepts of planning, organizing, directing, coordinating, and controlling. This article provides one example of how concepts taken from complex systems theory can be applied to real-world problems facing nurses today.

  20. 5 CFR 532.263 - Special wage schedules for production facilitating positions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Special wage schedules for production facilitating positions. 532.263 Section 532.263 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Prevailing Rate Determinations § 532.263 Special wage...

  1. 5 CFR 532.309 - Determining adequacy of specialized private industry.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... private industry. 532.309 Section 532.309 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Determining Rates for Principal Types of Positions § 532.309... fund wage employees in occupations which comprise the principal types of appropriated positions in the...

  2. Optimization analysis of thermal management system for electric vehicle battery pack

    NASA Astrophysics Data System (ADS)

    Gong, Huiqi; Zheng, Minxin; Jin, Peng; Feng, Dong

    2018-04-01

    Electric vehicle battery pack can increase the temperature to affect the power battery system cycle life, charge-ability, power, energy, security and reliability. The Computational Fluid Dynamics simulation and experiment of the charging and discharging process of the battery pack were carried out for the thermal management system of the battery pack under the continuous charging of the battery. The simulation result and the experimental data were used to verify the rationality of the Computational Fluid Dynamics calculation model. In view of the large temperature difference of the battery module in high temperature environment, three optimization methods of the existing thermal management system of the battery pack were put forward: adjusting the installation position of the fan, optimizing the arrangement of the battery pack and reducing the fan opening temperature threshold. The feasibility of the optimization method is proved by simulation and experiment of the thermal management system of the optimized battery pack.

  3. A real-time respiration position based passive breath gating equipment for gated radiotherapy: A preclinical evaluation

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

    Hu Weigang; Xu Anjie; Li Guichao

    2012-03-15

    Purpose: To develop a passive gating system incorporating with the real-time position management (RPM) system for the gated radiotherapy. Methods: Passive breath gating (PBG) equipment, which consists of a breath-hold valve, a controller mechanism, a mouthpiece kit, and a supporting frame, was designed. A commercial real-time positioning management system was implemented to synchronize the target motion and radiation delivery on a linear accelerator with the patient's breathing cycle. The respiratory related target motion was investigated by using the RPM system for correlating the external markers with the internal target motion while using PBG for passively blocking patient's breathing. Six patientsmore » were enrolled in the preclinical feasibility and efficiency study of the PBG system. Results: PBG equipment was designed and fabricated. The PBG can be manually triggered or released to block or unblock patient's breathing. A clinical workflow was outlined to integrate the PBG with the RPM system. After implementing the RPM based PBG system, the breath-hold period can be prolonged to 15-25 s and the treatment delivery efficiency for each field can be improved by 200%-400%. The results from the six patients showed that the diaphragm motion caused by respiration was reduced to less than 3 mm and the position of the diaphragm was reproducible for difference gating periods. Conclusions: A RPM based PBG system was developed and implemented. With the new gating system, the patient's breath-hold time can be extended and a significant improvement in the treatment delivery efficiency can also be achieved.« less

  4. What it takes to get proactive: An integrative multilevel model of the antecedents of personal initiative.

    PubMed

    Hong, Ying; Liao, Hui; Raub, Steffen; Han, Joo Hun

    2016-05-01

    Building upon and extending Parker, Bindl, and Strauss's (2010) theory of proactive motivation, we develop an integrated, multilevel model to examine how contextual factors shape employees' proactive motivational states and, through these proactive motivational states, influence their personal initiative behavior. Using data from a sample of hotels collected from 3 sources and over 2 time periods, we show that establishment-level initiative-enhancing human resource management (HRM) systems were positively related to departmental initiative climate, which was positively related to employee personal initiative through employee role-breadth self-efficacy. Further, department-level empowering leadership was positively related to initiative climate only when initiative-enhancing HRM systems were low. These findings offer interesting implications for research on personal initiative and for the management of employee proactivity in organizations. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  5. A Capstone Learning Experience for Students in the Management of Natural Resources.

    ERIC Educational Resources Information Center

    Bell, Sidney; Lowe, Roger; Edwards, M. Craig

    2002-01-01

    High school students in a forestry and wildlife management course learned the use of global positioning software, geographic information systems, and other computer programs. They applied these skills in a capstone multimedia presentation for the community of maps they had made of a local arboretum. (JOW)

  6. Nationwide differential global positioning system (NDGPS) : capabilities and potential.

    DOT National Transportation Integrated Search

    2009-06-01

    NDGPS is a National PNT Utility: : -Operated/managed by Coast Guard as a Combined NDGPS (Maritime + DOT + ACOE sites) : -System Specifications : --Corrections broadcast at 285 and 325 kHz using Minimum shift Keying (MSK) modulation : --Real-time diff...

  7. Analysis of en route operational errors : probability of resolution and time-on-position.

    DOT National Transportation Integrated Search

    2012-02-01

    The Federation Administrations Air Traffic Control Organization Safety Management System (SMS) is : designed to prevent the introduction of unacceptable safety risk into the National Airspace System. One of the : most important safety metrics used...

  8. Rising Company’s Performance through Leadership Role: Culture, Strategies, and Management System as a Marine State

    NASA Astrophysics Data System (ADS)

    Wardi, Jeni; Yandra, Alexsander

    2018-05-01

    This research aims to learn the direct influence of transformational and transactional leaderships on Indonesian company’s performance through company’s culture, strategy, management accounting and control system as a marine state. This research involves descriptive and inferential designs in solving the research problem. To test the model and the hypothesis, SEM analysis is used. The populations of this research are companies registered in Indonesian stock exchange in 2012. The sampling technique uses purposive sampling. The data of the research are obtained from questionnaires distributed to respondents. The respondents are companies’ managers represented by accounting and finance managers with the positions 1 and 2 levels below top management team who have direct communication with the top management. The results of the research show that transformational leadership influences company’s performance directly, but not the transactional leadership. The company’s culture is not the mediation variable in indirect influence on the company’s performance, either in transformational or transactional leadership. On the other hand, management control system proves to be the mediation in transactional leadership on the performance but not for transformational leadership. Meanwhile, management accounting system proves to be the mediation variable in the influence of transformational and transactional leaderships. Except the variables of company’s culture, strategy, management accounting system and management control system, each directly influences the performance.

  9. 78 FR 43247 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-19

    ... identify, develop, and hire top talent into leadership positions. The proposed changes are intended to... contractors as part of its continued effort to develop and hire talent into leadership positions. Lastly, the... been sent to Congress and to the Office of Management and Budget for their evaluation. The Postal...

  10. 5 CFR 532.249 - Minimum rates for hard-to-fill positions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Minimum rates for hard-to-fill positions. 532.249 Section 532.249 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Prevailing Rate Determinations § 532.249 Minimum rates for hard-to-fill...

  11. 5 CFR 532.249 - Minimum rates for hard-to-fill positions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Minimum rates for hard-to-fill positions. 532.249 Section 532.249 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Prevailing Rate Determinations § 532.249 Minimum rates for hard-to-fill...

  12. 5 CFR 532.249 - Minimum rates for hard-to-fill positions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Minimum rates for hard-to-fill positions. 532.249 Section 532.249 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Prevailing Rate Determinations § 532.249 Minimum rates for hard-to-fill...

  13. A resource management tool for public health continuity of operations during disasters.

    PubMed

    Turner, Anne M; Reeder, Blaine; Wallace, James C

    2013-04-01

    We developed and validated a user-centered information system to support the local planning of public health continuity of operations for the Community Health Services Division, Public Health - Seattle & King County, Washington. The Continuity of Operations Data Analysis (CODA) system was designed as a prototype developed using requirements identified through participatory design. CODA uses open-source software that links personnel contact and licensing information with needed skills and clinic locations for 821 employees at 14 public health clinics in Seattle and King County. Using a web-based interface, CODA can visualize locations of personnel in relationship to clinics to assist clinic managers in allocating public health personnel and resources under dynamic conditions. Based on user input, the CODA prototype was designed as a low-cost, user-friendly system to inventory and manage public health resources. In emergency conditions, the system can run on a stand-alone battery-powered laptop computer. A formative evaluation by managers of multiple public health centers confirmed the prototype design's usefulness. Emergency management administrators also provided positive feedback about the system during a separate demonstration. Validation of the CODA information design prototype by public health managers and emergency management administrators demonstrates the potential usefulness of building a resource management system using open-source technologies and participatory design principles.

  14. A Resource Management Tool for Public Health Continuity of Operations During Disasters

    PubMed Central

    Turner, Anne M.; Reeder, Blaine; Wallace, James C.

    2014-01-01

    Objective We developed and validated a user-centered information system to support the local planning of public health continuity of operations for the Community Health Services Division, Public Health - Seattle & King County, Washington. Methods The Continuity of Operations Data Analysis (CODA) system was designed as a prototype developed using requirements identified through participatory design. CODA uses open-source software that links personnel contact and licensing information with needed skills and clinic locations for 821 employees at 14 public health clinics in Seattle and King County. Using a web-based interface, CODA can visualize locations of personnel in relationship to clinics to assist clinic managers in allocating public health personnel and resources under dynamic conditions. Results Based on user input, the CODA prototype was designed as a low-cost, user-friendly system to inventory and manage public health resources. In emergency conditions, the system can run on a stand-alone battery-powered laptop computer. A formative evaluation by managers of multiple public health centers confirmed the prototype design’s usefulness. Emergency management administrators also provided positive feedback about the system during a separate demonstration. Conclusions Validation of the CODA information design prototype by public health managers and emergency management administrators demonstrates the potential usefulness of building a resource management system using open-source technologies and participatory design principles. PMID:24618165

  15. Longitudinal associations between case management and supportive services use among black and Latina HIV-positive women in New York City.

    PubMed

    Halkitis, Perry N; Kupprat, Sandra A; Mukherjee, Preetika Pandey

    2010-01-01

    The literature analyzing the relationship between case management and supportive service use longitudinally among African American and Latina HIV-positive women is limited. This retrospective analysis of participant case management, supportive service, and medical charts sought to examine both descriptive and relational data on use of case management and supportive services over a 2-year period from 2002 to 2005 and to analyze moderating person- level or institution-level factors. The analyzed case management, supportive service, and medical charts revealed that participants interacted with their case manager four times and received 3.6 supportive services per month. Transportation, primary healthcare/medical specialists, and support groups were the services most used, with rates ranging from 70% to 80%. Using hierarchical linear modeling (HLM), the unconditional growth models showed that case management and supportive service use patterns remained constant over the 24-month period. Additionally, the multivariate unconditional model suggests a significant positive relationship between case management and supportive services. No moderation was indicated in the association between case management and supportive service use by person-level (e.g., mental illness, substance use) and institution-level (i.e., service delivery model) factors. Participants use supportive and case management services in a similar manner based on individual need. This synergistic relationship suggests that increases in either may result in retaining women in care. Implications for service delivery point to the need for skills building training for case managers, outreach workers, or system navigators to assist with short-term goals of establishing rapport and maintaining the client relationship, as this may lead to HIV-positive women accessing services. Additionally, outreach and engagement strategies need to be developed for those who typically underuse these services.

  16. GPS Software Packages Deliver Positioning Solutions

    NASA Technical Reports Server (NTRS)

    2010-01-01

    "To determine a spacecraft s position, the Jet Propulsion Laboratory (JPL) developed an innovative software program called the GPS (global positioning system)-Inferred Positioning System and Orbit Analysis Simulation Software, abbreviated as GIPSY-OASIS, and also developed Real-Time GIPSY (RTG) for certain time-critical applications. First featured in Spinoff 1999, JPL has released hundreds of licenses for GIPSY and RTG, including to Longmont, Colorado-based DigitalGlobe. Using the technology, DigitalGlobe produces satellite imagery with highly precise latitude and longitude coordinates and then supplies it for uses within defense and intelligence, civil agencies, mapping and analysis, environmental monitoring, oil and gas exploration, infrastructure management, Internet portals, and navigation technology."

  17. Will there be a pharmacy leadership crises? An ASHP Foundation Scholar-in-residence report.

    PubMed

    White, Sara J

    2005-04-15

    Health-system pharmacy directors, managers, practitioners, students, and employers were surveyed to assess the situation of current and future leaders in pharmacy and generate recommendations for preventing shortages. Online surveys were sent to pharmacy directors, pharmacy middle managers, current pharmacy practitioners pharmacy students, and employers recruiting for management positions using ASHP's membership and CareerPharm databases. Directors, managers, and practitioners were asked about their job satisfaction and future plans. The trends in demographics and attitudes toward the balance between family and work were assessed among directors, managers, practitioners, and students. Employers were asked about their perceived ease of filling managerial positions. While most pharmacy directors and middle managers were satisfied with their current positions, 80% of directors and 77% of middle managers anticipated leaving their jobs in the next decade. Men comprised 72% of directors, 50% of middle managers, 62% of practitioners, and 21% of pharmacy students. The majority of pharmacy students and practitioners reported being married to a working spouse and having children and expressed a desire to balance their personal life with their career. The top reasons cited by students and practitioners for not seeking leadership positions were having to give up clinical practice and competing responsibilities. More than half of employers felt it was more difficult to recruit managers now than it was three years ago. A significant gap in pharmacy leadership in the next 5-10 years is expected, as well as a shift in work force composition and attitude. Mentoring and residencies are important methods of fostering new leaders in the profession.

  18. Project Catch: A space based solution to combat illegal, unreported and unregulated fishing. Part I: Vessel monitoring system

    NASA Astrophysics Data System (ADS)

    Detsis, Emmanouil; Brodsky, Yuval; Knudtson, Peter; Cuba, Manuel; Fuqua, Heidi; Szalai, Bianca

    2012-11-01

    Space assets have a unique opportunity to play a more active role in global resource management. There is a clear need to develop resource management tools in a global framework. Illegal, Unregulated and Unreported (IUU) fishing is placing pressure on the health and size of fishing stocks around the world. Earth observation systems can provide fishery management organizations with cost effective monitoring of large swaths of ocean. Project Catch is a fisheries management project based upon the complimentary, but independent Catch-VMS and Catch-GIS systems. Catch-VMS is a Vessel Monitoring System with increased fidelity over existing offerings. Catch-GIS is a Geographical Information System that combines VMS information with existing Earth Observation data and other data sources to identify Illegal, Unregulated and Unreported (IUU) fishing. Project Catch was undertaken by 19 Masters students from the 2010 class of the International Space University. In this paper, the space-based system architecture of Project Catch is presented and analyzed. The rationale for the creation of the system, as well as the engineering trade-off studies in its creation, are discussed. The Catch-VMS proposal was envisaged in order to address two specific problems: (1) the expansion of illegal fishing to high-latitude regions where existing satellite systems coverage is an issue and (2) the lack of coverage in remote oceanic regions due to reliance on coastal-based monitoring. Catch-VMS utilizes ship-borne transponders and hosted-payload receivers on a Global Navigation Satellite System in order to monitor the position and activity of compliant fishing vessels. Coverage is global and continuous with multiple satellites in view providing positional verification through multilateration techniques. The second part of the paper briefly describes the Catch-GIS system and investigates its cost of implementation.

  19. Characterization of a multi-user indoor positioning system based on low cost depth vision (Kinect) for monitoring human activity in a smart home.

    PubMed

    Sevrin, Loïc; Noury, Norbert; Abouchi, Nacer; Jumel, Fabrice; Massot, Bertrand; Saraydaryan, Jacques

    2015-01-01

    An increasing number of systems use indoor positioning for many scenarios such as asset tracking, health care, games, manufacturing, logistics, shopping, and security. Many technologies are available and the use of depth cameras is becoming more and more attractive as this kind of device becomes affordable and easy to handle. This paper contributes to the effort of creating an indoor positioning system based on low cost depth cameras (Kinect). A method is proposed to optimize the calibration of the depth cameras, to describe the multi-camera data fusion and to specify a global positioning projection to maintain the compatibility with outdoor positioning systems. The monitoring of the people trajectories at home is intended for the early detection of a shift in daily activities which highlights disabilities and loss of autonomy. This system is meant to improve homecare health management at home for a better end of life at a sustainable cost for the community.

  20. 78 FR 48080 - Proposed Establishment of Class E Airspace; Magee, MS

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-07

    ...) Global Positioning System (GPS) Standard Instrument Approach Procedure (SIAP) serving Magee Municipal...) operations within the National Airspace System. DATES: Comments must be received on or before September 23... No. 13-ASO-8) and be submitted in triplicate to the Docket Management System (see ADDRESSES section...

  1. Ten Years of Experience with a Performance-Based Promotional Selection and Career Development System within State Government.

    ERIC Educational Resources Information Center

    Baugher, Dan; And Others

    1994-01-01

    The New York State Division of Budget uses a decentralized system to assess promotion candidates by comparing their training, experience, and recent performance to the proposed position. Managers and candidates find the system more effective than traditional written/oral exams. (SK)

  2. Level System Use in Special Education: Classroom Intervention with Prima Facie Appeal.

    ERIC Educational Resources Information Center

    Smith, Stephen W.; Farrell, Daniel T.

    1993-01-01

    This article chronicles the development of level systems designed for students with significant behavior problems, to foster student improvement through self-management and positive reinforcement. The article examines assumptions underlying level systems' concepts and components and offers recommendations to guide future research into the design…

  3. Uses of GIS for Homeland Security and Emergency Management for Higher Education Institutions

    ERIC Educational Resources Information Center

    Murchison, Stuart B.

    2010-01-01

    Geographic information systems (GIS) are a major component of the geospatial sciences, which are also composed of geostatistical analysis, remote sensing, and global positional satellite systems. These systems can be integrated into GIS for georeferencing, pattern analysis, visualization, and understanding spatial concepts that transcend…

  4. Purge water management system

    DOEpatents

    Cardoso-Neto, J.E.; Williams, D.W.

    1995-01-01

    A purge water management system is described for effectively eliminating the production of purge water when obtaining a groundwater sample from a monitoring well. In its preferred embodiment, the purge water management system comprises an expandable container, a transportation system, and a return system. The purge water management system is connected to a wellhead sampling configuration, typically permanently installed at the well site. A pump, positioned with the monitoring well, pumps groundwater through the transportation system into the expandable container, which expands in direct proportion with volume of groundwater introduced, usually three or four well volumes, yet prevents the groundwater from coming into contact with the oxygen in the air. After this quantity of groundwater has been removed from the well, a sample is taken from a sampling port, after which the groundwater in the expandable container can be returned to the monitoring well through the return system. The purge water management system prevents the purge water from coming in contact with the outside environment, especially oxygen, which might cause the constituents of the groundwater to oxidize. Therefore, by introducing the purge water back into the monitoring well, the necessity of dealing with the purge water as a hazardous waste under the Resource Conservation and Recovery Act is eliminated.

  5. Purge water management system

    DOEpatents

    Cardoso-Neto, Joao E.; Williams, Daniel W.

    1996-01-01

    A purge water management system for effectively eliminating the production of purge water when obtaining a groundwater sample from a monitoring well. In its preferred embodiment, the purge water management system comprises an expandable container, a transportation system, and a return system. The purge water management system is connected to a wellhead sampling configuration, typically permanently installed at the well site. A pump, positioned with the monitoring well, pumps groundwater through the transportation system into the expandable container, which expands in direct proportion with volume of groundwater introduced, usually three or four well volumes, yet prevents the groundwater from coming into contact with the oxygen in the air. After this quantity of groundwater has been removed from the well, a sample is taken from a sampling port, after which the groundwater in the expandable container can be returned to the monitoring well through the return system. The purge water management system prevents the purge water from coming in contact with the outside environment, especially oxygen, which might cause the constituents of the groundwater to oxidize. Therefore, by introducing the purge water back into the monitoring well, the necessity of dealing with the purge water as a hazardous waste under the Resource Conservation and Recovery Act is eliminated.

  6. 5 CFR 2.2 - Appointments.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE RULES APPOINTMENT THROUGH THE COMPETITIVE... appointment system for positions subject to competitive examinations which will permit adjustment of the... system for stabilizing the Federal work force. A competitive status shall be acquired by a career...

  7. 5 CFR 2.2 - Appointments.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE RULES APPOINTMENT THROUGH THE COMPETITIVE... appointment system for positions subject to competitive examinations which will permit adjustment of the... system for stabilizing the Federal work force. A competitive status shall be acquired by a career...

  8. Mapping Indigenous Depth of Place

    ERIC Educational Resources Information Center

    Pearce, Margaret Wickens; Louis, Renee Pualani

    2008-01-01

    Indigenous communities have successfully used Western geospatial technologies (GT) (for example, digital maps, satellite images, geographic information systems (GIS), and global positioning systems (GPS)) since the 1970s to protect tribal resources, document territorial sovereignty, create tribal utility databases, and manage watersheds. The use…

  9. Using cognitive task analysis to inform issues in human systems integration in railroad operations

    DOT National Transportation Integrated Search

    2013-05-23

    U.S. Railroad operations are undergoing rapid changes involving the introduction of new technologies such as positive train control (PTC), energy management systems (EMS), and electronically controlled pneumatic (ECP) brakes in the locomotive cab. To...

  10. Physicians as Executives: Opportunities and Strategies for Health-System Pharmacy Leaders

    PubMed Central

    Harvin, Andre; Griffith, Niesha; Weber, Robert J.

    2014-01-01

    To deal with the pressures in health care that stress clinical excellence and profitability, health systems are increasingly recruiting physician executives or physicians in leadership and management positions. Physicians occupy less than 5% of all hospital leadership positions, but there is an apparent increase in the recruitment of physician executives. With the growth in the number of physician executives, pharmacy leaders must capitalize on their existing clinical relationship and apply it to health care leadership and management. By focusing on developing an executive presence, by clearly describing a patient-centered strategy and vision for pharmacy, and by nurturing the existing clinical relationships, the pharmacy director can work with physician executives to promote patient-centered pharmacy services. PMID:25477571

  11. Managing a chest tube and drainage system.

    PubMed

    Durai, Rajaraman; Hoque, Happy; Davies, Tony W

    2010-02-01

    Intercostal drainage tubes (ie, chest tubes) are inserted to drain the pleural cavity of air, blood, pus, or lymph. The water-seal container connected to the chest tube allows one-way movement of air and liquid from the pleural cavity. The container should not be changed unless it is full, and the chest tube should not be clamped unnecessarily. After a chest tube is inserted, a nurse trained in chest-tube management is responsible for managing the chest tube and drainage system. This entails monitoring the chest-tube position, controlling fluid evacuation, identifying when to change or empty the containers, and caring for the tube and drainage system during patient transport. This article provides an overview of indications, insertion techniques, and management of chest tubes. Copyright 2010 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  12. From striving to thriving: systems thinking, strategy, and the performance of safety net hospitals.

    PubMed

    Clark, Jonathan; Singer, Sara; Kane, Nancy; Valentine, Melissa

    2013-01-01

    Safety net hospitals (SNH) have, on average, experienced declining financial margins and faced an elevated risk of closure over the past decade. Despite these challenges, not all SNHs are weakening and some are prospering. These higher-performing SNHs provide substantial care to safety net populations and produce sustainable financial returns. Drawing on the alternative structural positioning and resource-based views, we explore strategic management as a source of performance differences across SNHs. We employ a mixed-method design, blending quantitative and qualitative data and analysis. We measure financial performance using hospital operating margin and quantitatively evaluate its relationship with a limited set of well-defined structural positions. We further evaluate these structures and also explore the internal resources of SNHs based on nine in-depth case studies developed from site visits and extensive interviews. Quantitative results suggest that structural positions alone are not related to performance. Comparative case studies suggest that higher-performing SNH differ in four respects: (1) coordinating patient flow across the care continuum, (2) engaging in partnerships with other providers, (3) managing scope of services, and (4) investing in human capital. On the basis of these findings, we propose a model of strategic action related to systems thinking--the ability to see wholes and interrelationships rather than individual parts alone. Our exploratory findings suggest the need to move beyond generic strategies alone and acknowledge the importance of underlying managerial capabilities. Specifically, our findings suggest that effective strategy is a function of both the internal resources (e.g., managers' systems-thinking capability) and structural positions (e.g., partnerships) of organizations. From this perspective, framing resources and positioning as distinct alternatives misses the nuances of how strategic advantage is actually achieved.

  13. A microprocessor controlled pressure scanning system

    NASA Technical Reports Server (NTRS)

    Anderson, R. C.

    1976-01-01

    A microprocessor-based controller and data logger for pressure scanning systems is described. The microcomputer positions and manages data from as many as four 48-port electro-mechanical pressure scanners. The maximum scanning rate is 80 pressure measurements per second (20 ports per second on each of four scanners). The system features on-line calibration, position-directed data storage, and once-per-scan display in engineering units of data from a selected port. The system is designed to be interfaced to a facility computer through a shared memory. System hardware and software are described. Factors affecting measurement error in this type of system are also discussed.

  14. Selection of a surface tension propellant management system for the Viking 75 Orbiter.

    NASA Technical Reports Server (NTRS)

    Dowdy, M. W.; Debrock, S. C.

    1972-01-01

    Discussion of the propellant management system requirements derived for the Viking 75 mission, and review of a series of surface tension propellant management system design concepts. The chosen concept is identified and its mission operation described. The ullage bubble and bulk liquid positioning characteristics are presented, along with propellant dynamic considerations entailed by thrust initiation/termination. Pressurization design considerations, required to assure minimum disturbance to the bulk propellant, are introduced as well as those of the tank ullage vent. Design provisions to assure liquid communication between tank ends are discussed. Results of a preliminary design study are presented, including mechanical testing requirements to assure structural integrity, propellant compatibility, and proper installation.

  15. Future preparation of occupational health nurse managers.

    PubMed

    Scalzi, C C; Wilson, D L; Ebert, R

    1991-03-01

    This article presents the results of a national survey of job activities of corporate level occupational health nurse managers. The survey was designed to identify the relative amount of time spent and importance attributed to specific areas of their current job. In general this sample tended to have more management experience and educational preparation than previously cited studies: over 50% had completed a graduate degree. The scores for importance and time spent were highly correlated. That is, occupational health corporate nurse managers seemed to allocate their time to job responsibilities they considered most important. Management activities related to policy, practice standards, quality assurance, staff development, and systems for client care delivery appear to represent the core responsibilities of occupational health nursing management. Curriculum recommendations for management positions in occupational health include: health policy, program planning, and evaluation; business strategy; applications of management information systems; quality assurance; and marketing.

  16. The relationship between employees' perceptions of safety and organizational culture.

    PubMed

    O'Toole, Michael

    2002-01-01

    With limited resources to help reduce occupational injuries, companies struggle with how to best focus these resources to achieve the greatest reduction in injuries for the optimal cost. Safety culture has been identified as a critical factor that sets the tone for importance of safety within an organization. An employee safety perception survey was conducted, and injury data were collected over a 45-month period from a large ready-mix concrete producer located in the southwest region of the United States. The results of this preliminary study suggest that the reductions in injuries experienced at the company locations was strongly impacted by the positive employee perceptions on several key factors. Management's commitment to safety was the factor with the greatest positive perception by employees taking the survey. This study was set up as a pilot project and did not unitize an experimental design. That weakness reduces the strength of these findings but adds to the importance of expanding the pilot project with an appropriate experimental design. Management leadership has been identified, along with several other factors, to influence employee perceptions of the safety management system. Those perceptions, in turn, appear to influence employee decisions that relate to at-risk behaviors and decisions on the job. The results suggest that employee perceptions of the safety system are related to management's commitment to safety, which, in turn, appear to be related to injury rates. Management should focus on how to best leverage these key factors to more positively impact injury rates within their companies.

  17. Research on application of GIS and GPS in inspection and management of city gas pipeline network

    NASA Astrophysics Data System (ADS)

    Zhou, Jin; Meng, Xiangyin; Tao, Tao; Zhang, Fengpei

    2018-01-01

    To solve the problems existing in the current Gas Company patrol management, such as inaccurate attendance, whether or not the patrol personnel exceed the scope of patrol inspection. This paper Proposed that we apply the SuperMap iDeskTop 8C plug-in desktop GIS application and development platform, the positioning function of GPS and the data transmission function of 3G/4G/GPRS/Ethernet to develop a gas pipeline inspection management system. We build association between real-time data, pipe network information, patrol data, map information, spatial data and so on to realize the bottom data fusion, use the mobile location system and patrol management client to achieve real-time interaction between the client and the mobile terminal. Practical application shows that the system has completed the standardized management of patrol tasks, the reasonable evaluation of patrol work and the maximum utilization of patrol resources.

  18. Government information resource catalog and its service system realization

    NASA Astrophysics Data System (ADS)

    Gui, Sheng; Li, Lin; Wang, Hong; Peng, Zifeng

    2007-06-01

    During the process of informatization, there produces a great deal of information resources. In order to manage these information resources and use them to serve the management of business, government decision and public life, it is necessary to establish a transparent and dynamic information resource catalog and its service system. This paper takes the land-house management information resource for example. Aim at the characteristics of this kind of information, this paper does classification, identification and description of land-house information in an uniform specification and method, establishes land-house information resource catalog classification system&, metadata standard, identification standard and land-house thematic thesaurus, and in the internet environment, user can search and get their interested information conveniently. Moreover, under the network environment, to achieve speedy positioning, inquiring, exploring and acquiring various types of land-house management information; and satisfy the needs of sharing, exchanging, application and maintenance of land-house management information resources.

  19. Elk responses to humans in a densely roaded area

    Treesearch

    Mark A . Rumble; Lakhdar Benkobi; R. Scott Gamo

    2005-01-01

    Despite several studies that demonstrate general responses of elk (Cervus elaphus) to roads and people, land management agencies continue to struggle with management of offhighway vehicles, recreation, and roads. The Black Hills National Forest has a greater road density (3.2 km/km2) than any other national forest. We used Global Positioning System (...

  20. Project Success Environment: A Positive Contingency Program for Elementary Teachers Management.

    ERIC Educational Resources Information Center

    Thompson, Marion; And Others

    The third year of the project, funded under Elementary Secondary Education Act Title III, was essentially a replication of Year Two. Second Year results indicated that the success technique had provided inner-city teachers with both an effective classroom management system, and an effective program for the acceleration of academic performance.…

  1. 17 CFR 240.15c3-1 - Net capital requirements for brokers or dealers.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... paragraph (c)(2)(iv)(E) of this section), mutual fund concessions receivable and management fees receivable... financial position, its internal risk management system, or its compliance history; and (iii) Comply with... receivable related to securities of the same issue and quantity thereof which are either fails to deliver or...

  2. A View from the Field after One Year of School-Based Management.

    ERIC Educational Resources Information Center

    Belli, Gabriella; van Lingen, Gabriele

    1993-01-01

    Recently, a group of 26 elementary, middle, and high school principals met to evaluate the Prince William County (Virginia) Public Schools' school-based management system after its first year of operation. Principals made generally positive comments about budgetary changes; staff and community involvement; the evaluation process; and the role…

  3. New School of Management, Delaware State University, Dover, Delaware.

    ERIC Educational Resources Information Center

    Design Cost Data, 2001

    2001-01-01

    Presents features of Delaware State University's New School of Management designed to stimulate positive gains in teaching and learning. The design incorporates state of the art distance learning systems that includes a 350-seat auditorium possessing the same capability, and a commercial kitchen and dining facility for chef and hotel management…

  4. Sensor management in RADAR/IRST track fusion

    NASA Astrophysics Data System (ADS)

    Hu, Shi-qiang; Jing, Zhong-liang

    2004-07-01

    In this paper, a novel radar management strategy technique suitable for RADAR/IRST track fusion, which is based on Fisher Information Matrix (FIM) and fuzzy stochastic decision approach, is put forward. Firstly, optimal radar measurements' scheduling is obtained by the method of maximizing determinant of the Fisher information matrix of radar and IRST measurements, which is managed by the expert system. Then, suggested a "pseudo sensor" to predict the possible target position using the polynomial method based on the radar and IRST measurements, using "pseudo sensor" model to estimate the target position even if the radar is turned off. At last, based on the tracking performance and the state of target maneuver, fuzzy stochastic decision is used to adjust the optimal radar scheduling and retrieve the module parameter of "pseudo sensor". The experiment result indicates that the algorithm can not only limit Radar activity effectively but also keep the tracking accuracy of active/passive system well. And this algorithm eliminates the drawback of traditional Radar management methods that the Radar activity is fixed and not easy to control and protect.

  5. [Application of HIS Hospital Management System in Medical Equipment].

    PubMed

    Li, Yucheng

    2015-07-01

    To analyze the effect of HIS hospital management system in medical equipment. From April 2012 to 2013 in our hospital 5 100 sets of medical equipment as the control group, another 2013 in our hospital from April 2014 may 100 sets of medical equipment as the study group, comparative analysis of two groups of medical equipment scrap rate, usage, maintenance score and the score of benefit etc. Control group and taken to hospital information system, his research group equipment scrap rate, there was a significant difference, the research group of equipment maintenance score and efficiency scores were higher than those of the control group (P < 0.05), the study group of equipment maintenance score and efficiency scores were higher than those of the control group. HIS hospital management system for medical equipment management has positive clinical application value, can effectively improve the use of medical equipment, it is worth to draw and promote.

  6. Management System for Integrating Basic Skills 2 Training and Unit Training Programs

    DTIC Science & Technology

    1983-09-01

    Social Sciences. NOTEs The findings in this report are not to be construed as en official Department of the Army position, unless so designated by other...This report describes methods used and results obtained in the design , development, and field test of a management system and curriculum components...for integrating the Army’s Basic Skills Education Program, Phase II (BSEP II) and unit training programs. The curriculum components are designed to

  7. Advanced transport operating system software upgrade: Flight management/flight controls software description

    NASA Technical Reports Server (NTRS)

    Clinedinst, Winston C.; Debure, Kelly R.; Dickson, Richard W.; Heaphy, William J.; Parks, Mark A.; Slominski, Christopher J.; Wolverton, David A.

    1988-01-01

    The Flight Management/Flight Controls (FM/FC) software for the Norden 2 (PDP-11/70M) computer installed on the NASA 737 aircraft is described. The software computes the navigation position estimates, guidance commands, those commands to be issued to the control surfaces to direct the aircraft in flight based on the modes selected on the Advanced Guidance Control System (AGSC) mode panel, and the flight path selected via the Navigation Control/Display Unit (NCDU).

  8. Integrative freight demand management in the New York City metropolitan area.

    DOT National Transportation Integrated Search

    2010-09-01

    This project is one of the first in the world that has successfully integrated the use of remote sensing : technologyin this case Global Positioning System (GPS) enabled cell phonesas part of a system that : effectively reduces truck traffic in...

  9. 5 CFR 930.205 - Administrative law judge pay system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Administrative law judge pay system. 930.205 Section 930.205 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Administrative Law...

  10. 5 CFR 930.205 - Administrative law judge pay system.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Administrative law judge pay system. 930.205 Section 930.205 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Administrative Law...

  11. 5 CFR 930.205 - Administrative law judge pay system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Administrative law judge pay system. 930.205 Section 930.205 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Administrative Law...

  12. 5 CFR 930.205 - Administrative law judge pay system.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Administrative law judge pay system. 930.205 Section 930.205 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Administrative Law...

  13. 5 CFR 930.205 - Administrative law judge pay system.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Administrative law judge pay system. 930.205 Section 930.205 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Administrative Law...

  14. Positioning and integrating medication therapy management.

    PubMed

    Schommer, Jon C; Doucette, William R; Johnson, Kathleen A; Planas, Lourdes G

    2012-01-01

    To summarize findings from medication therapy management (MTM) "environmental scans" conducted from 2007 through 2010, interpret findings from the environmental scans using insights gained from the Future of MTM Roundtable convened in October 2010, and propose ideas for future positioning and integrating of MTM programs in the U.S. health care system. Data for the environmental scans were collected from purposive samples of MTM pharmacist providers and MTM payers throughout the United States using self-administered online surveys in 2007, 2008, 2009, and 2010. Based on the findings, it appears that MTM is becoming more developed and that some aspects of MTM have become established within the organizations that are providing and paying for these programs. However, the findings also revealed that a need exists to better integrate MTM between organizations and patients serviced (business-to-consumer relationships), between partnering organizations (business-to-business relationships), and between collaborating practitioners (peer-to-peer relationships). The findings suggest that a "channel of distribution" is emerging in which organizational relationships and cost efficiencies will be important considerations in the near term. We propose that applying (1) customer portfolio management and (2) transaction cost economics would help improve positioning and integrating MTM into the U.S. health care system.

  15. A system of safety management practices and worker engagement for reducing and preventing accidents: an empirical and theoretical investigation.

    PubMed

    Wachter, Jan K; Yorio, Patrick L

    2014-07-01

    The overall research objective was to theoretically and empirically develop the ideas around a system of safety management practices (ten practices were elaborated), to test their relationship with objective safety statistics (such as accident rates), and to explore how these practices work to achieve positive safety results (accident prevention) through worker engagement. Data were collected using safety manager, supervisor and employee surveys designed to assess and link safety management system practices, employee perceptions resulting from existing practices, and safety performance outcomes. Results indicate the following: there is a significant negative relationship between the presence of ten individual safety management practices, as well as the composite of these practices, with accident rates; there is a significant negative relationship between the level of safety-focused worker emotional and cognitive engagement with accident rates; safety management systems and worker engagement levels can be used individually to predict accident rates; safety management systems can be used to predict worker engagement levels; and worker engagement levels act as mediators between the safety management system and safety performance outcomes (such as accident rates). Even though the presence of safety management system practices is linked with incident reduction and may represent a necessary first-step in accident prevention, safety performance may also depend on mediation by safety-focused cognitive and emotional engagement by workers. Thus, when organizations invest in a safety management system approach to reducing/preventing accidents and improving safety performance, they should also be concerned about winning over the minds and hearts of their workers through human performance-based safety management systems designed to promote and enhance worker engagement. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

  16. 5 CFR 532.273 - Special wage schedules for United States Information Agency Radio Antenna Rigger positions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Special wage schedules for United States Information Agency Radio Antenna Rigger positions. 532.273 Section 532.273 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Prevailing Rate Determinations § 532...

  17. Wisconsin Elementary Teacher Education Project. Volumes I-IV.

    ERIC Educational Resources Information Center

    Kean, John M., Ed.

    This four-volume report includes position papers and specifications for the elementary teacher education program of the University of Wisconsin in the year 1975 and beyond. Volume 1 includes a series of 12 position papers which cover topics ranging from teacher roles and systems approaches to instruction to control and management procedures for…

  18. The development and evaluation of a nursing information system for caring clinical in-patient.

    PubMed

    Fang, Yu-Wen; Li, Chih-Ping; Wang, Mei-Hua

    2015-01-01

    The research aimed to develop a nursing information system in order to simplify the admission procedure for caring clinical in-patient, enhance the efficiency of medical information documentation. Therefore, by correctly delivering patients’ health records, and providing continues care, patient safety and care quality would be effectively improved. The study method was to apply Spiral Model development system to compose a nursing information team. By using strategies of data collection, working environment observation, applying use-case modeling, and conferences of Joint Application Design (JAD) to complete the system requirement analysis and design. The Admission Care Management Information System (ACMIS) mainly included: (1) Admission nursing management information system. (2) Inter-shift meeting information management system. (3) The linkage of drug management system and physical examination record system. The framework contained qualitative and quantitative components that provided both formative and summative elements of the evaluation. System evaluation was to apply information success model, and developed questionnaire of consisting nurses’ acceptance and satisfaction. The results of questionnaires were users’ satisfaction, the perceived self-involvement, age and information quality were positively to personal and organizational effectiveness. According to the results of this study, the Admission Care Management Information System was practical to simplifying clinic working procedure and effective in communicating and documenting admission medical information.

  19. Identifying and Validating Requirements of a Mobile-Based Self-Management System for People Living with HIV.

    PubMed

    Mehraeen, Esmaeil; Safdari, Reza; Seyedalinaghi, Seyed Ahmad; Mohammadzadeh, Niloofar; Arji, Goli

    2018-01-01

    Due to the widespread use of mobile technology and the low cost of this technology, implementing a mobile-based self-management system can lead to adherence to the medication regimens and promotion of the health of people living with HIV (PLWH). We aimed to identify requirements of a mobile-based self-management system, and validate them from the perspective of infectious diseases specialists. This is a mixed-methods study that carried out in two main phases. In the first phase, we identified requirements of a mobile-based self-management system for PLWH. In the second phase, identified requirements were validated using a researcher made questionnaire. The statistical population was infectious diseases specialists affiliated to Tehran University of Medical Sciences. The collected data were analyzed using SPSS statistical software (version 19), and descriptive statistics. By full-text review of selected studies, we determined requirements of a mobile-based self-management system in four categories: demographic, clinical, strategically and technical capabilities. According to the findings, 6 data elements for demographic category, 11 data elements for clinical category, 10 items for self-management strategies, and 11 features for technical capabilities were selected. Using the identified preferences, it is possible to design and implement a mobile-based self-management system for HIV-positive people. Developing a mobile-based self-management system is expected to progress the skills of self-management PLWH, improve of medication regimen adherence, and facilitate communication with healthcare providers.

  20. Appointment length, psychiatrists' communication behaviors, and medication management appointment adherence.

    PubMed

    Cruz, Mario; Roter, Debra L; Cruz, Robyn F; Wieland, Melissa; Larson, Susan; Cooper, Lisa A; Pincus, Harold Alan

    2013-09-01

    The authors explored the relationship between critical elements of medication management appointments (appointment length, patient-centered talk, and positive nonverbal affect among providers) and patient appointment adherence. The authors used an exploratory, cross-sectional design employing quantitative analysis of 83 unique audio recordings of split treatment medication management appointments for 46 African-American and 37 white patients with 24 psychiatrists at four ambulatory mental health clinics. All patients had a diagnosis of depression. Data collected included demographic information; Patient Health Questionnaire-9 scores for depression severity; psychiatrist verbal and nonverbal communication behaviors during medication management appointments, identified by the Roter Interaction Analysis System during analysis of audio recordings; and appointment adherence. Bivariate analyses were employed to identify covariates that might influence appointment adherence. Generalized estimating equations (GEEs) were employed to assess the relationship between appointment length, psychiatrist patient-centered talk, and positive voice tone ratings and patient appointment adherence, while adjusting for covariates and the clustering of observations within psychiatrists. Wald chi square analyses were used to test whether all or some variables significantly influenced appointment adherence. GEE revealed a significant relationship between positive voice tone ratings and appointment adherence (p=.03). Chi square analyses confirmed the hypothesis of a positive and significant relationship between appointment adherence and positive voice tone ratings (p=.03) but not longer visit length and more patient-centered communication. The nonverbal conveyance of positive affect was associated with greater adherence to medication management appointments by depressed patients. These findings potentially have important implications for communication skills training and adherence research.

  1. An automatic locating system for cloud-to-ground lightning. [which utilizes a microcomputer

    NASA Technical Reports Server (NTRS)

    Krider, E. P.; Pifer, A. E.; Uman, M. A.

    1980-01-01

    Automatic locating systems which respond to cloud to ground lightning and which discriminate against cloud discharges and background noise are described. Subsystems of the locating system, which include the direction finder and the position analyzer, are discussed. The direction finder senses the electromagnetic fields radiated by lightning on two orthogonal magnetic loop antennas and on a flat plate electric antenna. The position analyzer is a preprogrammed microcomputer system which automatically computes, maps, and records lightning locations in real time using data inputs from the direction finder. The use of the locating systems for wildfire management and fire weather forecasting is discussed.

  2. Medical informatics education needs information system practicums in health care settings--experiences and lessons learned from 32 practicums at four universities in two countries.

    PubMed

    Haux, R; Ammenwerth, E; Häber, A; Hübner-Bloder, G; Knaup-Gregori, P; Lechleitner, G; Leiner, F; Weber, R; Winter, A; Wolff, A C

    2006-01-01

    To report about the themes and about experiences with practicums in the management of information systems in health care settings (health information management) for medical informatics students. We first summarize the topics of the health information management practicums/projects that the authors organized between 1990 and 2003 for the medical informatics programs at Heidelberg/Heilbronn, Germany, UMIT, Austria, as well as for the informatics program at the University of Leipzig, Germany. Experiences and lessons learned, obtained from the faculty that organized the practicums in the past 14 years, are reported. Thirty (of 32) health information management practicums focused on the analysis of health information systems. These took place inside university medical centers. Although the practicums were time-intensive and required intensively tutoring students with regard to health information management and project management, feedback from the students and graduates was mainly positive. It is clearly recommended that students specializing in medical informatics need to be confronted with real-world problems of health information systems during their studies.

  3. Information Systems Security Job Advertisement Analysis: Skills Review and Implications for Information Systems Curriculum

    ERIC Educational Resources Information Center

    Brooks, Nita G.; Greer, Timothy H.; Morris, Steven A.

    2018-01-01

    The authors' focus was the assessment of skill requirements for information systems security positions to understand expectations for security jobs and to highlight issues relevant to curriculum management. The analysis of 798 job advertisements involved the exploration of domain-related and soft skills as well as degree and certification…

  4. Information systems as a quality management tool in clinical laboratories

    NASA Astrophysics Data System (ADS)

    Schmitz, Vanessa; Rosecler Bez el Boukhari, Marta

    2007-11-01

    This article describes information systems as a quality management tool in clinical laboratories. The quality of laboratory analyses is of fundamental importance for health professionals in aiding appropriate diagnosis and treatment. Information systems allow the automation of internal quality management processes, using standard sample tests, Levey-Jennings charts and Westgard multirule analysis. This simplifies evaluation and interpretation of quality tests and reduces the possibility of human error. This study proposes the development of an information system with appropriate functions and costs for the automation of internal quality control in small and medium-sized clinical laboratories. To this end, it evaluates the functions and usability of two commercial software products designed for this purpose, identifying the positive features of each, so that these can be taken into account during the development of the proposed system.

  5. Do elections matter for private-sector healthcare management in Brazil? An analysis of municipal health policy.

    PubMed

    McGregor, Alecia J; Siqueira, Carlos Eduardo; Zaslavsky, Alan M; Blendon, Robert J

    2017-07-12

    This study analyzed several political determinants of increased private-sector management in Brazilian health care. In Brazil, the poor depend almost exclusively on the public Unified Health System (the SUS), which remains severely underfunded. Given the overhead costs associated with privately contracted health services, increased private management is one driver of higher expenditures in the system. Although left parties campaign most vocally in support of greater public control of the SUS, the extent to which their stated positions translate into health care policy remains untested. Drawing on multiple publicly available data sources, we used linear regression to analyze how political party-in-power and existing private sector health care contracting affect the share of privately managed health care services and outsourcing in municipalities. Data from two election periods-2004 to 2008 and 2008 to 2012-were analyzed. Our findings showed that although private sector contracting varies greatly across municipalities, this variation is not systematically associated with political party in power. This suggests that electoral politics plays a relatively minor role in municipal-level health care administration. Existing levels of private sector management appear to have a greater effect on the public-private makeup of the Brazilian healthcare system, suggesting a strong role of path dependence in the evolution of Brazilian health care delivery. Despite campaign rhetoric asserting distinct positions on privatization in the SUS, factors other than political party in power have a greater effect on private-sector health system management at the municipal-level in Brazil. Given the limited effect of elections on this issue, strengthening participatory bodies such as municipal health councils may better enfranchise citizens in the fundamental debate over public and private roles in the health care sector.

  6. Impact of managed care on healthcare delivery practices: the perception of healthcare administrators and clinical practitioners.

    PubMed

    Tietze, Mari F

    2003-01-01

    Managed care has introduced changes, such as cost effectiveness, access to care, and quality of care, to many components of the U.S. healthcare delivery system. These changes have affected how healthcare administrators and clinical practitioners perceive the impact of managed care on healthcare delivery practices. A survey was initiated to explore whether the perceptions of administrators differed from those of practitioners and to discover which organizational variables could explain the difference. A descriptive, cross-sectional survey design was used for the target population of administrators and practitioners in high, moderate, and low managed-care-penetration markets. Two investigator-developed instruments--the Managed Care Perceptions Inventory (MCPI) and the MCPI-Demographic--and an intact centralization of decision-making assessment subscale were used for data collection. Administrators had a statistically significant, more positive perception of the impact of managed care on healthcare delivery than did practitioners. When the distinction between administrator and practitioner was not used as a grouping factor, managed care market penetration, nonprofit status, and years in current employment position were factors that had statistically significant associations with a more positive perception of managed care. Based on these findings, both administrators and practitioners have a role in maintaining awareness regarding their perceptions and should work collaboratively to address issues of concern. Similarly, promoting trust and commitment at the organizational level is important. Recommendations for further research are also provided.

  7. 77 FR 45240 - Establishment of Class E Airspace; Quakertown, PA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-31

    ... at Quakertown, PA, to accommodate the new Area Navigation (RNAV) Global Positioning System (GPS) Standard Instrument Approach Procedures at Quakertown Airport. This action enhances the safety and airspace management of Instrument Flight Rules (IFR) operations within the National Airspace System. [[Page 45241...

  8. 77 FR 45241 - Establishment of Class E Airspace; Apopka, FL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-31

    ... at Apopka, FL, to accommodate the new Area Navigation (RNAV) Global Positioning System (GPS) Standard Instrument Approach Procedures at Orlando Apopka Airport. This action enhances the safety and airspace management of Instrument Flight Rules (IFR) operations within the National Airspace System. DATES: Effective...

  9. 77 FR 45240 - Establishment of Class E Airspace; Arcadia, FL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-31

    ... at Arcadia, FL, to accommodate the new Area Navigation (RNAV) Global Positioning System (GPS) Standard Instrument Approach Procedures at Arcadia Municipal Airport. This action enhances the safety and airspace management of Instrument Flight Rules (IFR) operations within the National Airspace System. DATES...

  10. 5 CFR 841.504 - Agency responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 841.504 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS... same agency, and (2) To a position serviced by another payroll office, the agency may, in lieu of... certification in an internal automated system of records. (e) An agency must maintain payroll systems and...

  11. Design and Implementation of a Smart Home System Using Multisensor Data Fusion Technology.

    PubMed

    Hsu, Yu-Liang; Chou, Po-Huan; Chang, Hsing-Cheng; Lin, Shyan-Lung; Yang, Shih-Chin; Su, Heng-Yi; Chang, Chih-Chien; Cheng, Yuan-Sheng; Kuo, Yu-Chen

    2017-07-15

    This paper aims to develop a multisensor data fusion technology-based smart home system by integrating wearable intelligent technology, artificial intelligence, and sensor fusion technology. We have developed the following three systems to create an intelligent smart home environment: (1) a wearable motion sensing device to be placed on residents' wrists and its corresponding 3D gesture recognition algorithm to implement a convenient automated household appliance control system; (2) a wearable motion sensing device mounted on a resident's feet and its indoor positioning algorithm to realize an effective indoor pedestrian navigation system for smart energy management; (3) a multisensor circuit module and an intelligent fire detection and alarm algorithm to realize a home safety and fire detection system. In addition, an intelligent monitoring interface is developed to provide in real-time information about the smart home system, such as environmental temperatures, CO concentrations, communicative environmental alarms, household appliance status, human motion signals, and the results of gesture recognition and indoor positioning. Furthermore, an experimental testbed for validating the effectiveness and feasibility of the smart home system was built and verified experimentally. The results showed that the 3D gesture recognition algorithm could achieve recognition rates for automated household appliance control of 92.0%, 94.8%, 95.3%, and 87.7% by the 2-fold cross-validation, 5-fold cross-validation, 10-fold cross-validation, and leave-one-subject-out cross-validation strategies. For indoor positioning and smart energy management, the distance accuracy and positioning accuracy were around 0.22% and 3.36% of the total traveled distance in the indoor environment. For home safety and fire detection, the classification rate achieved 98.81% accuracy for determining the conditions of the indoor living environment.

  12. Design and Implementation of a Smart Home System Using Multisensor Data Fusion Technology

    PubMed Central

    Chou, Po-Huan; Chang, Hsing-Cheng; Lin, Shyan-Lung; Yang, Shih-Chin; Su, Heng-Yi; Chang, Chih-Chien; Cheng, Yuan-Sheng; Kuo, Yu-Chen

    2017-01-01

    This paper aims to develop a multisensor data fusion technology-based smart home system by integrating wearable intelligent technology, artificial intelligence, and sensor fusion technology. We have developed the following three systems to create an intelligent smart home environment: (1) a wearable motion sensing device to be placed on residents’ wrists and its corresponding 3D gesture recognition algorithm to implement a convenient automated household appliance control system; (2) a wearable motion sensing device mounted on a resident’s feet and its indoor positioning algorithm to realize an effective indoor pedestrian navigation system for smart energy management; (3) a multisensor circuit module and an intelligent fire detection and alarm algorithm to realize a home safety and fire detection system. In addition, an intelligent monitoring interface is developed to provide in real-time information about the smart home system, such as environmental temperatures, CO concentrations, communicative environmental alarms, household appliance status, human motion signals, and the results of gesture recognition and indoor positioning. Furthermore, an experimental testbed for validating the effectiveness and feasibility of the smart home system was built and verified experimentally. The results showed that the 3D gesture recognition algorithm could achieve recognition rates for automated household appliance control of 92.0%, 94.8%, 95.3%, and 87.7% by the 2-fold cross-validation, 5-fold cross-validation, 10-fold cross-validation, and leave-one-subject-out cross-validation strategies. For indoor positioning and smart energy management, the distance accuracy and positioning accuracy were around 0.22% and 3.36% of the total traveled distance in the indoor environment. For home safety and fire detection, the classification rate achieved 98.81% accuracy for determining the conditions of the indoor living environment. PMID:28714884

  13. Mobile Phone Based System Opportunities to Home-based Managing of Chemotherapy Side Effects.

    PubMed

    Davoodi, Somayeh; Mohammadzadeh, Zeinab; Safdari, Reza

    2016-06-01

    Applying mobile base systems in cancer care especially in chemotherapy management have remarkable growing in recent decades. Because chemotherapy side effects have significant influences on patient's lives, therefore it is necessary to take ways to control them. This research has studied some experiences of using mobile phone based systems to home-based monitor of chemotherapy side effects in cancer. In this literature review study, search was conducted with keywords like cancer, chemotherapy, mobile phone, information technology, side effects and self managing, in Science Direct, Google Scholar and Pub Med databases since 2005. Today, because of the growing trend of the cancer, we need methods and innovations such as information technology to manage and control it. Mobile phone based systems are the solutions that help to provide quick access to monitor chemotherapy side effects for cancer patients at home. Investigated studies demonstrate that using of mobile phones in chemotherapy management have positive results and led to patients and clinicians satisfactions. This study shows that the mobile phone system for home-based monitoring chemotherapy side effects works well. In result, knowledge of cancer self-management and the rate of patient's effective participation in care process improved.

  14. Fiber Optic Chemical Sensors

    DTIC Science & Technology

    1993-10-01

    patent rights. A major problem was identification of the property of ST&E vs LLNL ST&E was formed to manage the activities of Dr. Hirschfeld and Dr...positions of the fields defined in a fixed format to allow its importation into file management programs both in the microcomputer and the minicomputer...Systems Inc., Perry, Florida. askSam is a free-form information manager . A few basic elements of structure can be used to create a highly structured

  15. Perspectives on law enforcement in recreation areas

    Treesearch

    Lawrence C. Hadley

    1971-01-01

    The nature and scope of law-enforcement problems in the National Park System are of increasing concern to park and recreation area managers. A positive response by management in terms of formulating and executing a fully professional and effective enforcement program is vital for sustaining public confidence that Parks are safe for individual and family use. Law...

  16. Synthesis of lower treeline limber pine (Pinus flexilis) woodland knowledge, research needs, and management considerations

    Treesearch

    Robert E. Means

    2011-01-01

    Lower treeline limber pine woodlands have received little attention in peer-reviewed literature and in management strategies. These ecologically distinct systems are thought to be seed repositories between discontinuous populations in the northern and central Rocky Mountains, serving as seed sources for bird dispersal between distinct mountain ranges. Their position on...

  17. Principles of Classroom Management: A Professional Decision-Making Model, 7th Edition

    ERIC Educational Resources Information Center

    Levin, James; Nolan, James F.

    2014-01-01

    This text takes a decision-making model approach to classroom management. It provides teachers with a very practical system to influence students to choose to behave productively and to strive for academic success. This widely used text presents an array of decision-making options that guide teachers in developing positive, pro-social classroom…

  18. The medical leadership challenge in healthcare is an identity challenge.

    PubMed

    Andersson, Thomas

    2015-01-01

    The purpose of this article is to describe and analyse the identity challenges that physicians with medical leadership positions face. Four qualitative case studies were performed to address the fact that identity is processual, relational and situational. Physicians with managerial roles were interviewed, as well as their peers, supervisors and subordinates. Furthermore, observations were made to understand how different identities are displayed in action. This study illustrates that medical leadership implies identity struggles when physicians have manager positions, because of the different characteristics of the social identities of managers and physicians. Major differences are related between physicians as autonomous individuals in a system and managers as subordinates to the organizational system. There are psychological mechanisms that evoke the physician identity more often than the managerial identity among physicians who are managers, which explains why physicians who are managers tend to remain foremost physicians. The implications of the findings, that there are major identity challenges by being both a physician and manager, suggest that managerial physicians might not be the best prerequisite for medical leadership, but instead, cooperative relationships between physicians and non-physician managers might be a less difficult way to support medical leadership. Acknowledging and addressing identity challenges can be important both in creating structures in organizations and designing the training for managers in healthcare (both physicians and non-physicians) to support medical leadership. Medical leadership is most often related to organizational structure and/or leadership skills, but this paper discusses identity requirements and challenges related to medical leadership.

  19. Reduced Precision Redundancy Applied to Arithmetic Operations in Field Programmable Gate Arrays for Satellite Control and Sensor Systems

    DTIC Science & Technology

    2008-12-01

    Figure 2. Definition of Attitude Angles and Torque Components in Spacecraft Reference Frame...Figure 5. PD controller in ideal three-axis-stabilized spacecraft ADCS. ................................16 Figure 6. Extract Position Angles function in...performance of spacecraft systems. Two categories of system architectures are discussed: recursive data management, found in feedback control systems; and

  20. Embedded real-time operating system micro kernel design

    NASA Astrophysics Data System (ADS)

    Cheng, Xiao-hui; Li, Ming-qiang; Wang, Xin-zheng

    2005-12-01

    Embedded systems usually require a real-time character. Base on an 8051 microcontroller, an embedded real-time operating system micro kernel is proposed consisting of six parts, including a critical section process, task scheduling, interruption handle, semaphore and message mailbox communication, clock managent and memory managent. Distributed CPU and other resources are among tasks rationally according to the importance and urgency. The design proposed here provides the position, definition, function and principle of micro kernel. The kernel runs on the platform of an ATMEL AT89C51 microcontroller. Simulation results prove that the designed micro kernel is stable and reliable and has quick response while operating in an application system.

  1. Improved Reliability Models for Mechanical and Electrical Components at Navigation Lock and Dam and Flood Risk Management Facilities

    DTIC Science & Technology

    2013-04-01

    official Department of the Army position unless so designated by other authorized documents. DESTROY THIS REPORT WHEN NO LONGER NEEDED. DO NOT...56 A2 Mechanical system - shafts ...80 A23 Mechanical system – strut spindle pin

  2. Conceptualizing and measuring integration: findings from the health systems integration study.

    PubMed

    Gillies, R R; Shortell, S M; Anderson, D A; Mitchell, J B; Morgan, K L

    1993-01-01

    Given the pressures for health care reform, interest in the concept of integrated or organized delivery systems as a means to offer more coordinated cost-effective care is growing. This article has two primary objectives: (1) to clarify the different types of integration associated with the notion of an organized delivery system, and (2) to share the results from an ongoing study of 12 organized delivery systems. The findings indicate a moderate level of integration overall, particularly in the areas of culture, financial planning, and strategic planning. The study found that corporate staff respondents perceive their systems to be more integrated and effective than do operating unit managers, and that some functional integration areas are positively associated with both physician-system and clinical integration that, in turn, are positively related to each other. Overall, perceived integration was found to be positively associated with perceived effectiveness.

  3. 10 CFR 73.26 - Transportation physical protection systems, subsystems, components, and procedures.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... by individuals independent of both security program management and personnel who have direct... hour to convey the status and position of the shipment. In the event no call is received in accordance... made at least every half hour to convey the status and position of the shipment. In the event no call...

  4. Precision Farming and Precision Pest Management: The Power of New Crop Production Technologies

    PubMed Central

    Strickland, R. Mack; Ess, Daniel R.; Parsons, Samuel D.

    1998-01-01

    The use of new technologies including Geographic Information Systems (GIS), the Global Positioning System (GPS), Variable Rate Technology (VRT), and Remote Sensing (RS) is gaining acceptance in the present high-technology, precision agricultural industry. GIS provides the ability to link multiple data values for the same geo-referenced location, and provides the user with a graphical visualization of such data. When GIS is coupled with GPS and RS, management decisions can be applied in a more precise "micro-managed" manner by using VRT techniques. Such technology holds the potential to reduce agricultural crop production costs as well as crop and environmental damage. PMID:19274236

  5. [Radiological knowledge management with the help of departmental wikis].

    PubMed

    Schuster, A; Brachthäuser, D; Mansour, M; Alfke, H

    2016-09-01

    In times of RIS (radiology information system) and KIS (hospital information system) systems, patient-related data are at the radiologist's disposal at the push of a button. However, this is not the case for other important data. The increasing complexity of modern medicine demands that up-to-date information like protocols, SOPs (Standards of Practice), news and modifications are constantly accessible to all employees. This aspect of quality assurance becomes increasingly important in the context of certification. For such knowledge management purposes we have built a wiki in our department. Here we report our positive experiences with this technology.

  6. Intersecting Health Policy and the Social Determinants of Health in Pediatric Type 1 Diabetes Management and Care.

    PubMed

    Visekruna, Sanja; McGillis Hall, Linda; Parry, Monica; Spalding, Karen

    Type 1 diabetes health technologies are evolving. This is an expensive chronic condition to manage, hence a combination of public and private healthcare funding sources, as well as out-of-pocket payments support disease management. The aim of this paper is to describe two conceptual underpinnings, which can appropriately position the health policy and clinical context of pediatric type 1 diabetes management and care. PHENOMENA ADDRESSED: "The Main Determinants of Health" framework is used to position pediatric T1D management and care within the model's four interconnected layers: the structural environment, social and material conditions, support systems and individual health behaviors. A health policy in Ontario, Canada, the Assistive Devices Program for insulin pump therapy is also discussed relative to the model's outermost layer: the structural environment. Four dimensions of control, which characterize the "street-level bureaucrat" role including "distributing benefits and sanctions; structuring the context; teaching the client role; and, psychological benefits and sanctions" then position the policy context of the diabetes nurse educator role relative to the Assistive Devices Program policy. These conceptual underpinnings could extend beyond the pediatric T1D landscape to position global research in other nursing practice areas, as well as with other patient populations and professional disciplines such as social work and medicine. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. A case study evaluation of a Critical Care Information System adoption using the socio-technical and fit approach.

    PubMed

    Yusof, Maryati Mohd

    2015-07-01

    Clinical information systems have long been used in intensive care units but reports on their adoption and benefits are limited. This study evaluated a Critical Care Information System implementation. A case study summative evaluation was conducted, employing observation, interview, and document analysis in operating theatres and 16-bed adult intensive care units in a 400-bed Malaysian tertiary referral centre from the perspectives of users (nurses and physicians), management, and information technology staff. System implementation, factors influencing adoption, fit between these factors, and the impact of the Critical Care Information System were evaluated after eight months of operation. Positive influences on system adoption were associated with technical factors, including system ease of use, usefulness, and information relevancy; human factors, particularly user attitude; and organisational factors, namely clinical process-technology alignment and champions. Organisational factors such as planning, project management, training, technology support, turnover rate, clinical workload, and communication were barriers to system implementation and use. Recommendations to improve the current system problems were discussed. Most nursing staff positively perceived the system's reduction of documentation and data access time, giving them more time with patients. System acceptance varied among doctors. System use also had positive impacts on timesaving, data quality, and clinical workflow. Critical Care Information Systems is crucial and has great potentials in enhancing and delivering critical care. However, the case study findings showed that the system faced complex challenges and was underutilised despite its potential. The role of socio-technical factors and their fit in realizing the potential of Critical Care Information Systems requires continuous, in-depth evaluation and stakeholder understanding and acknowledgement. The comprehensive and specific evaluation measures of the Human-Organisation-Technology Fit framework can flexibly evaluate Critical Care Information Systems. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  8. Hospital managers’ attitude and commitment toward electronic medical records system in Isfahan hospitals 2014

    PubMed Central

    Jahanbakhsh, Maryam; Karimi, Saeed; Hassanzadeh, Akbar; Beigi, Maliheh

    2017-01-01

    INTRODUCTION: Electronic medical record system (EMRS) is a valuable system for safe access to the patient's data and increases health care quality. Manpower is one of the requirements for EMRS, among which manager is the most important person in any hospital. Taking into account manager's positive attitude and good commitments, EMRS will be implemented successfully. As such, we decided to assess manager's attitude and commitment toward EMRS in Isfahan hospitals in the year of 2014. AIM: This article aimed to determine the hospital managers’ attitude and commitment toward the implementation of EMRS. MATERIALS AND METHODS: The present article is an applied analytic study. Research society consisted of the managers of all the hospitals in Isfahan that include hospitals affiliated to Isfahan University of Medical Sciences, private, and social security hospitals. This study was done in 2014. Data collection tools included a questionnaire for which reliability and validity were determined. Data were analyzed by means of SPSS 20. RESULTS: Average score for the managers’ attitude toward EMRS in the city of Isfahan was 77.5 out of 100 and their average score for commitment was 74.7. Manager's attitude in social security hospitals was more positive than the private and governmental ones (83.3%). In addition, the amount of commitment by the managers in social security hospitals was higher than the same in private and governmental hospitals (86.6%). CONCLUSION: At present, managers’ attitude and commitment in Isfahan hospitals toward EMRS are very high and social security hospitals show more readiness in this respect. PMID:28584837

  9. Management algorithms for cervical cancer screening and precancer treatment for resource-limited settings.

    PubMed

    Basu, Partha; Meheus, Filip; Chami, Youssef; Hariprasad, Roopa; Zhao, Fanghui; Sankaranarayanan, Rengaswamy

    2017-07-01

    Management algorithms for screen-positive women in cervical cancer prevention programs have undergone substantial changes in recent years. The WHO strongly recommends human papillomavirus (HPV) testing for primary screening, if affordable, or if not, then visual inspection with acetic acid (VIA), and promotes treatment directly following screening through the screen-and-treat approach (one or two clinic visits). While VIA-positive women can be offered immediate ablative treatment based on certain eligibility criteria, HPV-positive women need to undergo subsequent VIA to determine their eligibility. Simpler ablative methods of treatment such as cryotherapy and thermal coagulation have been demonstrated to be effective and to have excellent safety profiles, and these have become integral parts of new management algorithms. The challenges faced by low-resource countries are many and include, from the management perspective, identifying an affordable point-of-care HPV detection test, minimizing over-treatment, and installing an effective information system to ensure high compliance to treatment and follow-up. © 2017 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.

  10. Defense Logistics Agency Disposition Services Afghanistan Disposal Process Needed Improvement

    DTIC Science & Technology

    2013-11-08

    audit, and management was proactive in correcting the deficiencies we identified. DLA DS eliminated backlogs, identified and corrected system ...problems, provided additional system training, corrected coding errors, added personnel to key positions, addressed scale issues, submitted debit...Service Automated Information System to the Reutilization Business Integration2 (RBI) solution. The implementation of RBI in Afghanistan occurred in

  11. LADOTD GPS technology management plan.

    DOT National Transportation Integrated Search

    2012-02-01

    Over many years, Global Positioning System (GPS) technology has been adopted by different sections within the Louisiana : Department of Transportation and Development (DOTD), with no uniform standards for accuracy, operation, hardware, or : software....

  12. 76 FR 56967 - Amendment of Class E Airspace; Glendive, MT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... Positioning System (GPS) standard instrument approach procedures. This improves the safety and management of... Airport, to accommodate IFR aircraft executing RNAV (GPS) standard instrument approach procedures at the...

  13. Managing Systemic Change: Future Roles for Social Learning Systems and Communities of Practice?

    NASA Astrophysics Data System (ADS)

    Blackmore, Chris

    The Open University course that prompted this book, and for which it is part of the required reading, focuses on managing systemic change. The course is designed for people who want to develop their skills and understanding in systems thinking and practice, to be used in a range of different domains. Most of the examples in the course come from work-based settings. The idea of managing in this context is mainly about appreciating situations with others, recognising what actions are desirable and feasible and for whom, and getting organised, in order to affect or respond to change in a positive way. It has little to do with control. As Vickers (1978, p. 81) said 'I do not think it too much to hope that an understanding of systemic relations may bring us a better understanding of our limitations and even our possibilities.'

  14. [Document management systems to support quality management systems at university hospitals - an interview-based study].

    PubMed

    Holderried, Martin; Bökel, Ann-Catrin; Ochsmann, Elke

    2018-05-01

    In order to save and control the processes and quality of medical services, a suitable steering system of all relevant documents is essential from the point of view of clinical quality management. Systems supporting an automated steering system of documents are called document management systems (DMS), and they also enter the healthcare sector. The use of DMS in the German healthcare sector has hardly been investigated so far. To close this knowledge gap, interviews were carried out with German university hospitals over a six-month period and subjected to a qualitative content analysis according to Mayring. In total, 25 university hospitals agreed to participate in this study, 19 of which have been working with a digital DMS for about six years on average. There was a great variety among the IT systems used. Document management and usability of the DMS as well as its integration into existing IT structures were key decision-making criteria for the selection of a digital DMS. In general, the long-term usability of the DMS is supported by regular evaluation of one's own requirements for the system, administration and training programs. In addition, DMS have a positive effect on patient safety and the quality of medical care. Copyright © 2018. Published by Elsevier GmbH.

  15. Correlations between soil respiration and soil properties in sugarcane areas under green and slash-and-burn management systems

    NASA Astrophysics Data System (ADS)

    Rodrigo Panosso, Alan; Milori, Débora M. B. P.; Marques Júnior, José; Martin-Neto, Ladislau; La Scala, Newton, Jr.

    2010-05-01

    Soil management causes changes in soil physical, chemical, and biological properties that consequently affect its CO2 emission. In this work we studied soil respiration (FCO2) in areas with sugarcane production in southern Brazil under two different sugarcane management systems: green (G), consisting of mechanized harvesting that produces a large amount of crop residues left on the soil surface, and slash-and-burn (SB), in which the residues are burned before manual harvest, leaving no residues on the soil surface. The study was conducted after the harvest period in two side-by-side grids installed in adjacent areas, having 20 measurement points each. The objective of this work was to determinate whether soil physical and chemical properties within each plot were useful in order to explain the spatial variability of FCO2, supposedly influence by each management system. Most of the soil physical properties studied showed no significant differences between management systems, but on the other hand most of the chemical properties differed significantly when SB and G areas were compared. Total FCO2 was 31% higher in the SB plot (729 g CO2 m-2) when compared to the G plot (557 g CO2 m-2) throughout the 70-day period after harvest studied. This seems to be related to the sensitivity of FCO2 to precipitation events, as respiration in this plot increased significantly with increases in soil moisture. Despite temporal variability showed to be positively related to soil moisture, inside each management system there was a negative correlation (p<0.01) between the spatial changes of FCO2 and soil moisture (MS), R= -0.56 and -0.59 for G and SB respectively. There was no spatial correlation between FCO2 and soil organic matter in each management system, however, the humification index (Hum) of organic matter was negatively linear correlated with FCO2 in SB (R= -0.53, p<0.05) while positively linear correlated in G area (R=0.42, p<0.10). The multiple regression model analysis applied in each management system indicates that 63% of the FCO2 spatial variability in G managed could be explained by the model: FCO2(G)= 4.11978 -0.07672MS + 0.0045Hum +1.5352K -0.04474FWP, where K and FWP are potassium content and free water porosity in G area, respectively. On the other hand, 75% of FCO2 spatial variability in SB managed plot was accounted by the model: FCO2(SB) = 10.66774 -0.08624MS -0.02904Hum -2.42548K. Therefore, soil moisture, humification index of organic matter and potassium level were the main properties able to explain the spatial variability of FCO2 in both sugarcane management systems. This result indicates that changes in sugarcane management systems could result in changes on the soil chemical properties, mostly, especially humification index of organic matter. It seems that in conversion from slash-and-burn to green harvest system, free water porosity turns to be an important aspect in order to explain part of FCO2 spatial variability in green managed system.

  16. Fisheries management impacts on target species status

    PubMed Central

    Melnychuk, Michael C.; Peterson, Emily; Elliott, Matthew; Hilborn, Ray

    2017-01-01

    Fisheries management systems around the world are highly diverse in their design, operation, and effectiveness at meeting objectives. A variety of management institutions, strategies, and tactics are used across disparate regions, fishing fleets, and taxonomic groups. At a global level, it is unclear which particular management attributes have greatest influence on the status of fished populations, and also unclear which external factors affect the overall success of fisheries management systems. We used expert surveys to characterize the management systems by species of 28 major fishing nations and examined influences of economic, geographic, and fishery-related factors. A Fisheries Management Index, which integrated research, management, enforcement, and socioeconomic attributes, showed wide variation among countries and was strongly affected by per capita gross domestic product (positively) and capacity-enhancing subsidies (negatively). Among 13 management attributes considered, three were particularly influential in whether stock size and fishing mortality are currently in or trending toward desirable states: extensiveness of stock assessments, strength of fishing pressure limits, and comprehensiveness of enforcement programs. These results support arguments that the key to successful fisheries management is the implementation and enforcement of science-based catch or effort limits, and that monetary investment into fisheries can help achieve management objectives if used to limit fishing pressure rather than enhance fishing capacity. Countries with currently less-effective management systems have the greatest potential for improving long-term stock status outcomes and should be the focus of efforts to improve fisheries management globally. PMID:27994155

  17. Fisheries management impacts on target species status.

    PubMed

    Melnychuk, Michael C; Peterson, Emily; Elliott, Matthew; Hilborn, Ray

    2017-01-03

    Fisheries management systems around the world are highly diverse in their design, operation, and effectiveness at meeting objectives. A variety of management institutions, strategies, and tactics are used across disparate regions, fishing fleets, and taxonomic groups. At a global level, it is unclear which particular management attributes have greatest influence on the status of fished populations, and also unclear which external factors affect the overall success of fisheries management systems. We used expert surveys to characterize the management systems by species of 28 major fishing nations and examined influences of economic, geographic, and fishery-related factors. A Fisheries Management Index, which integrated research, management, enforcement, and socioeconomic attributes, showed wide variation among countries and was strongly affected by per capita gross domestic product (positively) and capacity-enhancing subsidies (negatively). Among 13 management attributes considered, three were particularly influential in whether stock size and fishing mortality are currently in or trending toward desirable states: extensiveness of stock assessments, strength of fishing pressure limits, and comprehensiveness of enforcement programs. These results support arguments that the key to successful fisheries management is the implementation and enforcement of science-based catch or effort limits, and that monetary investment into fisheries can help achieve management objectives if used to limit fishing pressure rather than enhance fishing capacity. Countries with currently less-effective management systems have the greatest potential for improving long-term stock status outcomes and should be the focus of efforts to improve fisheries management globally.

  18. Role of information systems in public health services.

    PubMed

    Hartshorne, J E; Carstens, I L

    1990-07-01

    The purpose of this review is to establish a conceptual framework on the role of information systems in public health care. Information is indispensable for effective management and development of health services and therefore considered as an important operational asset or resource. A Health Information System is mainly required to support management and operations at four levels: namely transactional and functional; operational control; management planning and control; and strategic planning. To provide the necessary information needs of users at these levels of management in the health care system, a structured information system coupled with appropriate information technology is required. Adequate and relevant information is needed regarding population characteristics, resources available and expended, output and outcome of health care activities. Additionally information needs to be reliable, accurate, timely, easily accessible and presented in a compact and meaningful form. With a well-planned health information system health authorities would be in a position to provide a quality, cost-effective and efficient health service for as many people as need it, optimal utilisation of resources and to maintain and improve the community's health status.

  19. The Department of Business and Finance in a Public School System.

    ERIC Educational Resources Information Center

    Educational Service Bureau, Inc., Washington, DC. Administrative Leadership Service.

    This booklet describes the business and finance functions of managing public school systems. The role and duties of a school business administrator are discussed and qualifications, educational requirements, and certification requirements are suggested for the position. The organizational structure, operation, and duties of administrators in the…

  20. 78 FR 60331 - Privacy Act of 1974: System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ... on Position Classification Appeals, Job Grading Appeals, Retained Grade or Pay Appeals, Fair Labor..., Job Grading Appeals, Retained Grade or Pay Appeals, Fair Labor Standard Act (FLSA) Claims and... appeal or a job grading appeal with the U.S. Office of Personnel Management, Merit System Accountability...

  1. 76 FR 79564 - Proposed Establishment of Class E Airspace; Bellefonte, PA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-22

    ... action proposes to establish Class E Airspace at Bellefonte, PA, to accommodate the Area Navigation (RNAV) Global Positioning System (GPS) Standard Instrument Approach Procedures at Bellefonte Airport. This...; Airspace Docket No. 11-AEA-23) and be submitted in triplicate to the Docket Management System (see...

  2. Evaluation of wolf impacts on cattle productivity and behavior

    USDA-ARS?s Scientific Manuscript database

    We have initiated and employed an Adaptive Management System (AMS) to document the effects of gray wolves on cattle production systems in Oregon and Idaho. The project has collected information on cattle movement on land in both wolf common and wolf rare areas with GPS collars that record positions ...

  3. The Implications of Real Options on ERP-Enabled Adoption

    ERIC Educational Resources Information Center

    Nwankpa, Joseph K.

    2012-01-01

    Current research on Enterprise Resource Planning (ERP) systems and real options focuses on valuation and justification issues that manager's face prior to project approval with existing literature attempting to demonstrate that ERP systems as technology positioning investments have option-like characteristics thus making such ERP systems…

  4. Tourism hazard potentials in Mount Merapi: how to deal with the risk

    NASA Astrophysics Data System (ADS)

    Muthiah, J.; Muntasib, E. K. S. H.; Meilani, R.

    2018-05-01

    Mount Merapi as one of the most popular natural tourism destination in Indonesia, indicated as disaster prone area. Hazard management is required to ensure visitors safety. Hazard identification and mapping are prerequisite in developing proper hazard management recommendation. This study aimed to map hazard potentials’ geographical positions obtained with geographical positioning system and to identify the hazard management being implemented. Data collection was carried out in Mei – June 2017 through observation and interview. Hiking trail and Lava tour area was selected as the study site, since the sites are the main areas for tourism activities in Mount Merapi. The type of hazards found in the area included lava, tephra, eruption cloud, ash, earthquake, land slide, extreme weather, slope and loose rock. Early warning system had been developed in this area, however the mechanism to regulate tourism activities still had to be improved. Local tourism entrepreneurs should be involved in the network of early warning system stakeholders to ensure tourist safety, and their capacity should be improved in order to be able to perform the measures needed for handling accident and disaster occurrences. Interpretive media explaining hazard potentials may be used to improve visitors’ awareness and ability to cope with the risk.

  5. LEAN thinking in Finnish healthcare.

    PubMed

    Jorma, Tapani; Tiirinki, Hanna; Bloigu, Risto; Turkki, Leena

    2016-01-01

    Purpose - The purpose of this study is to evaluate how LEAN thinking is used as a management and development tool in the Finnish public healthcare system and what kind of outcomes have been achieved or expected by using it. The main focus is in managing and developing patient and treatment processes. Design/methodology/approach - A mixed-method approach incorporating the Webropol survey was used. Findings - LEAN is quite a new concept in Finnish public healthcare. It is mainly used as a development tool to seek financial savings and to improve the efficiency of patient processes, but has not yet been deeply implemented. However, the experiences from LEAN initiatives have been positive, and the methodology is already quite well-known. It can be concluded that, because of positive experiences from LEAN, the environment in Finnish healthcare is ready for the deeper implementation of LEAN. Originality/value - This paper evaluates the usage of LEAN thinking for the first time in the public healthcare system of Finland as a development tool and a management system. It highlights the implementation and achieved results of LEAN thinking when used in the healthcare environment. It also highlights the expectations for LEAN thinking in Finnish public healthcare.

  6. Hotel housekeeping work influences on hypertension management.

    PubMed

    Sanon, Marie-Anne

    2013-12-01

    Characteristics of hotel housekeeping work increase the risk for hypertension development. Little is known about the influences of such work on hypertension management. For this qualitative study, 27 Haitian immigrant hotel housekeepers from Miami-Dade County, FL were interviewed. Interview transcripts were analyzed with the assistance of the Atlas.ti software for code and theme identification. Influences of hotel housekeeping work on hypertension management arose both at the individual and system levels. Factors at the individual level included co-worker dynamics and maintenance of transmigrant life. Factors at the system level included supervisory support, workload, work pace, and work hiring practices. No positive influences were reported for workload and hiring practices. Workplace interventions may be beneficial for effective hypertension management among hotel housekeepers. These work influences must be considered when determining effective methods for hypertension management among hotel housekeepers. © 2013 Wiley Periodicals, Inc.

  7. The social media manifesto: a comprehensive review of the impact of social media on emergency management.

    PubMed

    Crowe, Adam

    2011-02-01

    Over the past five years, social media have impacted emergency management and disaster response in numerous ways. The emergency management professional must begin to accept this impact not as an arbitrary consequence of an uncontrolled disaster, but rather as a tool to help coordinate, manage and facilitate a safe and expected response during emergencies and disasters. This paper will explain the power and purpose of social media as well as how social media systems have equalised capabilities for all levels and sizes of government. Moreover, this paper will also highlight the social media systems that are being used as operational tools as well as what the future holds. Lastly, common implementation challenges will be discussed through a look at systematic approaches to applying social media in emergency management as a positive and valuable tool.

  8. Estimates of cost-effectiveness of prehospital continuous positive airway pressure in the management of acute pulmonary edema.

    PubMed

    Hubble, Michael W; Richards, Michael E; Wilfong, Denise A

    2008-01-01

    To estimate the cost-effectiveness of continuous positive airway pressure (CPAP) in managing prehospital acute pulmonary edema in an urban EMS system. Using estimates from published reports on prehospital and emergency department CPAP, a cost-effectiveness model of implementing CPAP in a typical urban EMS system was derived from the societal perspective as well as the perspective of the implementing EMS system. To assess the robustness of the model, a series of univariate and multivariate sensitivity analyses was performed on the input variables. The cost of consumables, equipment, and training yielded a total cost of $89 per CPAP application. The theoretical system would be expected to use CPAP 4 times per 1000 EMS patients and is expected to save 0.75 additional lives per 1000 EMS patients at a cost of $490 per life saved. CPAP is also expected to result in approximately one less intubation per 6 CPAP applications and reduce hospitalization costs by $4075 per year for each CPAP application. Through sensitivity analyses the model was verified to be robust across a wide range of input variable assumptions. Previous studies have demonstrated the clinical effectiveness of CPAP in the management of acute pulmonary edema. Through a theoretical analysis which modeled the costs and clinical benefits of implementing CPAP in an urban EMS system, prehospital CPAP appears to be a cost-effective treatment.

  9. Design, implementation, and evaluation of an Internet of Things (IoT) network system for restaurant food waste management.

    PubMed

    Wen, Zongguo; Hu, Shuhan; De Clercq, Djavan; Beck, M Bruce; Zhang, Hua; Zhang, Huanan; Fei, Fan; Liu, Jianguo

    2018-03-01

    Catering companies around the world generate tremendous amounts of waste; those in China are no exception. The paper discusses the design, implementation, and evaluation of a sensor-based Internet of Things (IoT) network technology for improving the management of restaurant food waste (RFW) in the city of Suzhou, China. This IoT-based system encompasses the generation, collection, transportation and final disposal of RFW. The Suzhou case study comprised four steps: (1) examination of the required functionality of an IoT-enabled system in the specific context of Suzhou; (2) configuration of the system architecture, both software and hardware components, according to the identified functionality; (3) installation of the components of the IoT system at the facilities of the stakeholders across the RFW generation-collection-transportation-disposal value chain; and (4) evaluation of the performance of the entire system, based on data from three years of operation. The results show that the system had a strong impact. Positive results include: (1) better management of RFW generation, as evidenced by a 20.5% increase in RFW collected via official channels and a 207% increase in the number of RFW generators under official contract; (2) better law enforcement in response to RFW malpractice, enabled by the monitoring capabilities of the IoT system; and (3) an overall reduction in illicit RFW activities and better process optimization across the RFW value chain. Negative results include: (1) Radio-frequency identification (RFID) tags need to be renewed often due to the frequent handling of waste bins, thus increasing operating costs; (2) dynamic/automatic weight sensors had a higher degree of error than the more time-consuming static/manual weighing method; and (3) there were disagreements between the city's government agencies about how to interpret data from the IoT system, which led to some inefficiencies in management. In sum, the Suzhou IoT system enabled data-driven management of RFW and had a net positive impact for the stakeholders involved. Copyright © 2017. Published by Elsevier Ltd.

  10. Trenched raised cosine FMF for differential mode delay management in next generation optical networks

    NASA Astrophysics Data System (ADS)

    Chebaane, Saleh; Fathallah, Habib; Seleem, Hussein; Machhout, Mohsen

    2018-02-01

    Dispersion management in few mode fiber (FMF) technology is crucial to support the upcoming standard that reaches 400 Gbps and Terabit/s per wavelength. Recently in Chebaane et al. (2016), we defined two potential differential mode delay (DMD) management strategies, namely sawtooth and triangular. Moreover we proposed a novel parametric refractive index profile for FMF, referred as raised cosine (RC) profile. In this article, we improve and optimize the RC profile design by including additional shaping parameters, in order to obtain much more attractive dispersion characteristics. Our improved design enabled to obtain a zero DMD (z-DMD), strong positive DMD (p-DMD) and near-zero DMD (nz-DMD) for six-mode fiber, all appropriate for dispersion management in FMF system. In addition, we propose a positive DMD (p-DMD) fiber designs for both, four-mode fiber (4-FMF) and six-mode fiber (6-FMF), respectively, having particularly attractive dispersion characteristics.

  11. How are arbuscular mycorrhizal associations related to maize growth performance during short-term cover crop rotation?

    PubMed

    Higo, Masao; Takahashi, Yuichi; Gunji, Kento; Isobe, Katsunori

    2018-03-01

    Better cover crop management options aiming to maximize the benefits of arbuscular mycorrhizal fungi (AMF) to subsequent crops are largely unknown. We investigated the impact of cover crop management methods on maize growth performance and assemblages of AMF colonizing maize roots in a field trial. The cover crop treatments comprised Italian ryegrass, wheat, brown mustard and fallow in rotation with maize. The diversity of AMF communities among cover crops used for maize management was significantly influenced by the cover crop and time course. Cover crops did not affect grain yield and aboveground biomass of subsequent maize but affected early growth. A structural equation model indicated that the root colonization, AMF diversity and maize phosphorus uptake had direct strong positive effects on yield performance. AMF variables and maize performance were related directly or indirectly to maize grain yield, whereas root colonization had a positive effect on maize performance. AMF may be an essential factor that determines the success of cover crop rotational systems. Encouraging AMF associations can potentially benefit cover cropping systems. Therefore, it is imperative to consider AMF associations and crop phenology when making management decisions. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

  12. An address geocoding method for improving rural spatial information infrastructure

    NASA Astrophysics Data System (ADS)

    Pan, Yuchun; Chen, Baisong; Lu, Zhou; Li, Shuhua; Zhang, Jingbo; Zhou, YanBing

    2010-11-01

    The transition of rural and agricultural management from divisional to integrated mode has highlighted the importance of data integration and sharing. Current data are mostly collected by specific department to satisfy their own needs and lake of considering on wider potential uses. This led to great difference in data format, semantic, and precision even in same area, which is a significant barrier for constructing an integrated rural spatial information system to support integrated management and decision-making. Considering the rural cadastral management system and postal zones, the paper designs a rural address geocoding method based on rural cadastral parcel. It puts forward a geocoding standard which consists of absolute position code, relative position code and extended code. It designs a rural geocoding database model, and addresses collection and update model. Then, based on the rural address geocoding model, it proposed a data model for rural agricultural resources management. The results show that the address coding based on postal code is stable and easy to memorize, two-dimensional coding based on the direction and distance is easy to be located and memorized, while extended code can enhance the extensibility and flexibility of address geocoding.

  13. A systems approach to identify adaptation strategies for Midwest US cropping systems under increased climate variability and change.

    NASA Astrophysics Data System (ADS)

    Basso, B.; Dumont, B.

    2015-12-01

    A systems approach was implemented to assess the impact of management strategies and climate variability on crop yield, nitrate leaching and soil organic carbon across the the Midwest US at a fine scale spatial resolution. We used the SALUS model which designed to simulated yield and environmental outcomes of continous crop rotations under different agronomic management, soil, weather. We extracted soil parameters from the SSURGO (Soil Survey Geographic) data of nine Midwest states (IA, IL, IN, MI, MN, MO, OH, SD, WI) and weather from NARR (North American Regional Reanalysis). State specific management itineraries were extracted from USDA-NAS. We present the results different cropping systems (continuous corn, corn-soybean and extended rotations) under different management practices (no-tillage, cover crops and residue management). Simulations were conducted under both the baseline (1979-2014) and projected climatic projections (RCP2.5, 6). Results indicated that climate change would likely have a negative impact on corn yields in some areas and positive in others. Soil N, and C losses can be reduced with the adoption of conservation practices.

  14. Bioterrorism Preparedness for Infectious Disease

    DTIC Science & Technology

    2005-01-01

    outbreak. The PDC was asked to use its Geographical Information System (GIS) and Global Positioning System (GPS) technology and capabilities to perform data...improvements in the health system . For example, on May 10, 2002, the Hawaii State Department of Health unveiled plans for its long-term dengue fever...management strategy. The plan included a long-term dengue surveillance system statewide, a statewide mosquito population survey, and ongoing vector control

  15. Competencies for health management practice: a practitioner's perspective.

    PubMed

    Wenzel, F J; Grady, R; Freedman, T J

    1995-01-01

    The current health care environment will require executive leadership with a new set of management competencies to effectively lead and manage the various components of a restructured health care delivery system. The traditional management skills of planning, organizing, directing, controlling, and staffing resources will remain relevant, but the true measure of professional success will be the development of conceptual skills. This means the ability to look at the health care enterprise as a whole, and recognize how changes in the environment shape your strategic mission, goals, and objectives. The successful health care leader will have a demonstrated ability to apply these conceptual skills to the development of information systems and integrated networks that position their organization to accept capitated risks. This paper examines the United States and Canadian health care systems from the perspective of both the more traditional hospital and the emerging medical care organizations. New importance of the team approach to leadership and management and all that entails is stressed.

  16. Cost of Tuberculosis Treatment: Evidence from Iran's Health System.

    PubMed

    Bay, Vahid; Tabarsi, Payam; Rezapour, Aziz; Marzban, Sima; Zarei, Ehsan

    2017-10-01

    This study aimed to estimate the cost of smear-positive drug-susceptible pulmonary tuberculosis (TB) treatment of the patients in the Azadshahr district, Golestan Province, Iran. In this retrospective study, all new smear positive pulmonary TB patients who had been registered at the district's health network between April, 2013 and December, 2015 and had successfully completed their treatment were entered into the study (45 patients). Treatment costs were estimated from the provider's perspective using an activity-based costing (ABC) method. The cost of treating a new smear-positive pulmonary TB patient was US dollar (USD) 1,409.00 (Iranian Rial, 39,438,260), which can be divided into direct and indirect costs (USD 1,226.00 [87%] and USD 183.00 [13%], respectively). The highest cost (58.1%) was related to care and management of TB patients (including 46.1% human resources costs and 12% directly-observed treatment, short course implementation) and then respectively related to hospitalization (12.1%), supportive activity centers (11.4%), transportation (6.5%), medicines (5.3%), and laboratory tests and radiography (3.2%). Using disease-specific cost studies can help the healthcare system management to have correct insight into the financial burden created by the disease. This can subsequently be used in prioritization, planning, operational budgeting, economic evaluation of programs, interventions, and ultimately in disease management.

  17. High-Efficiency Food Production in a Renewable Energy Based Micro-Grid Power System

    NASA Technical Reports Server (NTRS)

    Bubenheim, David; Meiners, Dennis

    2016-01-01

    Controlled Environment Agriculture (CEA) systems can be used to produce high-quality, desirable food year round, and the fresh produce can positively contribute to the health and well being of residents in communities with difficult supply logistics. While CEA has many positive outcomes for a remote community, the associated high electric demands have prohibited widespread implementation in what is typically already a fully subscribed power generation and distribution system. Recent advances in CEA technologies as well as renewable power generation, storage, and micro-grid management are increasing system efficiency and expanding the possibilities for enhancing community supporting infrastructure without increasing demands for outside supplied fuels. We will present examples of how new lighting, nutrient delivery, and energy management and control systems can enable significant increases in food production efficiency while maintaining high yields in CEA. Examples from Alaskan communities where initial incorporation of renewable power generation, energy storage and grid management techniques have already reduced diesel fuel consumption for electric generation by more than 40% and expanded grid capacity will be presented. We will discuss how renewable power generation, efficient grid management to extract maximum community service per kW, and novel energy storage approaches can expand the food production, water supply, waste treatment, sanitation and other community support services without traditional increases of consumable fuels supplied from outside the community. These capabilities offer communities with a range of choices to enhance their communities. The examples represent a synergy of technology advancement efforts to develop sustainable community support systems for future space-based human habitats and practical implementation of infrastructure components to increase efficiency and enhance health and well being in remote communities today and tomorrow.

  18. Effects of the performance management information system in improving performance: an empirical study in Shanghai Ninth People's Hospital.

    PubMed

    Cui, Yinghui; Wu, Zhengyi; Lu, Yao; Jin, Wenzhong; Dai, Xing; Bai, Jinxi

    2016-01-01

    Improving the performance of clinical departments is not only the significant content of the healthcare system reform in China, but also the essential approach to better satisfying the Chinese growing demand for medical services. Performance management is vital and meaningful to public hospitals in China. Several studies are conducted in hospital internal performance management, but almost none of them consider the effects of informational tools. Therefore, we carried out an empirical study on effects of using performance management information system in Shanghai Ninth People's Hospital. The main feature of the system is that it provides a real-time query platform for users to analyze and dynamically monitor the key performance indexes, timely detect problems and make adjustments. We collected pivotal medical data on 35 clinical departments of this hospital from January 2013 until December 2014, 1 year before and after applying the performance management information system. Comparative analysis was conducted by statistical methods. The results show that the system is beneficial to improve performance scores of clinical departments and lower the proportion of drug expenses, meanwhile, shorten the average hospitalized days and increase the bed turnover rate. That is to say, with the increasing medical services, the quality and efficiency is greatly improved. In a word, application of the performance management information system has a positive effect on improving performance of clinical departments.

  19. GPS Civil Monitoring Performance Specification

    DOT National Transportation Integrated Search

    2009-02-10

    This Civil Monitoring Performance Specification (CMPS) is published and maintained at : the direction of the Program Manager for Civil Applications, Global Positioning Systems : Wing (GPSW). The purpose of this document is to provide a comprehensive ...

  20. Enhancing the vocational outcomes of people with chronic disabilities caused by a musculoskeletal condition: development and evaluation of content of self-management training modules.

    PubMed

    Johnston, V; Strong, J; Gargett, S; Jull, G; Ellis, N

    2014-01-01

    No self-management interventions have been developed to empower those chronically disabled by a musculoskeletal condition to find and/or remain at work. Developand evaluate the content of two self-management training modules to improve vocational outcomes for those with chronic musculoskeletal disorders. Stanford University's Chronic Disease Self-Management Program provided the framework for the new modules. Focus groups with the eightpersons with workdisabilities and concept-mapping sessions with the 12 experienced vocational rehabilitation professionals were conducted to identify factors and themes contributing to workers remaining/returning to work post-injury. Five experienced self-management trainers reviewed the modules for consistency with self-management principles. Two new self-management modules: 'Navigating the System' and 'Managing a Return to Work' were developed.The persons with work disabilitiesgenerated four themes: accepting and coping with injury; skills to manage pain and life; positive working relationships and, re-inventing self, whereas the rehabilitation professionals identified three themes:communication and support of others; the injured worker's abilities and resources, and knowledge and education. Anintervention developed to enhance self-management skills and facilitate positive vocational outcomes of those seeking to return to work post-injury was confirmed as relevant by persons with work disabilities, rehabilitation professionals and self-management trainers.

  1. 76 FR 78889 - Alternative Personnel Management System (APMS) at the National Institute of Standards and Technology

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-20

    ... NIST in the Scientific and Engineering (ZP) career path at the Pay Band III and above, for Nuclear Reactor Operator positions in the Scientific and Engineering (ZT) career path at Pay Band III and above..., for a period of one year for all positions within the Scientific and Engineering (ZP) career path at...

  2. A Hybrid Location Method for Missile Security Team Positioning

    DTIC Science & Technology

    2007-01-01

    Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. A Hybrid Location Method for Missile Security...Bell and Weir A Hybrid Location Method for Missile Security Team Positioning Chief Master Sergeant Michael C. Dawson Air Force Logistics Management...problem oj locating security teams over a geographic area to maintain security Jor US Air Force Intercontinental Ballistic Missile Systems. A

  3. Topography Mediates the Influence of Cover Crops on Soil Nitrate Levels in Row Crop Agricultural Systems

    PubMed Central

    Ladoni, Moslem; Kravchenko, Alexandra N.; Robertson, G. Phillip

    2015-01-01

    Supplying adequate amounts of soil N for plant growth during the growing season and across large agricultural fields is a challenge for conservational agricultural systems with cover crops. Knowledge about cover crop effects on N comes mostly from small, flat research plots and performance of cover crops across topographically diverse agricultural land is poorly understood. Our objective was to assess effects of both leguminous (red clover) and non-leguminous (winter rye) cover crops on potentially mineralizable N (PMN) and NO3--N levels across a topographically diverse landscape. We studied conventional, low-input, and organic managements in corn-soybean-wheat rotation. The rotations of low-input and organic managements included rye and red clover cover crops. The managements were implemented in twenty large undulating fields in Southwest Michigan starting from 2006. The data collection and analysis were conducted during three growing seasons of 2011, 2012 and 2013. Observational micro-plots with and without cover crops were laid within each field on three contrasting topographical positions of depression, slope and summit. Soil samples were collected 4–5 times during each growing season and analyzed for NO3--N and PMN. The results showed that all three managements were similar in their temporal and spatial distributions of NO3 —N. Red clover cover crop increased NO3--N by 35% on depression, 20% on slope and 32% on summit positions. Rye cover crop had a significant 15% negative effect on NO3--N in topographical depressions but not in slope and summit positions. The magnitude of the cover crop effects on soil mineral nitrogen across topographically diverse fields was associated with the amount of cover crop growth and residue production. The results emphasize the potential environmental and economic benefits that can be generated by implementing site-specific topography-driven cover crop management in row-crop agricultural systems. PMID:26600462

  4. Topography Mediates the Influence of Cover Crops on Soil Nitrate Levels in Row Crop Agricultural Systems.

    PubMed

    Ladoni, Moslem; Kravchenko, Alexandra N; Robertson, G Phillip

    2015-01-01

    Supplying adequate amounts of soil N for plant growth during the growing season and across large agricultural fields is a challenge for conservational agricultural systems with cover crops. Knowledge about cover crop effects on N comes mostly from small, flat research plots and performance of cover crops across topographically diverse agricultural land is poorly understood. Our objective was to assess effects of both leguminous (red clover) and non-leguminous (winter rye) cover crops on potentially mineralizable N (PMN) and [Formula: see text] levels across a topographically diverse landscape. We studied conventional, low-input, and organic managements in corn-soybean-wheat rotation. The rotations of low-input and organic managements included rye and red clover cover crops. The managements were implemented in twenty large undulating fields in Southwest Michigan starting from 2006. The data collection and analysis were conducted during three growing seasons of 2011, 2012 and 2013. Observational micro-plots with and without cover crops were laid within each field on three contrasting topographical positions of depression, slope and summit. Soil samples were collected 4-5 times during each growing season and analyzed for [Formula: see text] and PMN. The results showed that all three managements were similar in their temporal and spatial distributions of NO3-N. Red clover cover crop increased [Formula: see text] by 35% on depression, 20% on slope and 32% on summit positions. Rye cover crop had a significant 15% negative effect on [Formula: see text] in topographical depressions but not in slope and summit positions. The magnitude of the cover crop effects on soil mineral nitrogen across topographically diverse fields was associated with the amount of cover crop growth and residue production. The results emphasize the potential environmental and economic benefits that can be generated by implementing site-specific topography-driven cover crop management in row-crop agricultural systems.

  5. Identifying behaviour patterns of construction safety using system archetypes.

    PubMed

    Guo, Brian H W; Yiu, Tak Wing; González, Vicente A

    2015-07-01

    Construction safety management involves complex issues (e.g., different trades, multi-organizational project structure, constantly changing work environment, and transient workforce). Systems thinking is widely considered as an effective approach to understanding and managing the complexity. This paper aims to better understand dynamic complexity of construction safety management by exploring archetypes of construction safety. To achieve this, this paper adopted the ground theory method (GTM) and 22 interviews were conducted with participants in various positions (government safety inspector, client, health and safety manager, safety consultant, safety auditor, and safety researcher). Eight archetypes were emerged from the collected data: (1) safety regulations, (2) incentive programs, (3) procurement and safety, (4) safety management in small businesses (5) production and safety, (6) workers' conflicting goals, (7) blame on workers, and (8) reactive and proactive learning. These archetypes capture the interactions between a wide range of factors within various hierarchical levels and subsystems. As a free-standing tool, they advance the understanding of dynamic complexity of construction safety management and provide systemic insights into dealing with the complexity. They also can facilitate system dynamics modelling of construction safety process. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Management of infants born to women infected with hepatitis B in the military healthcare system.

    PubMed

    Sainato, Rebecca J; Simmons, Elizabeth G; Muench, Dawn F; Burnett, Mark W; Braun, LoRanée

    2013-08-28

    Hepatitis B virus (HBV) is endemic worldwide. Given significant rates of infectivity, all infants born to Hepatitis B surface antigen positive mothers need to receive treatment at birth, immunization and post-vaccination serologic testing. However, not all infants complete these requirements. We performed a retrospective review of the management of infants born to Hepatitis B infected mothers at two large military hospitals in the United States that use a global electronic medical record to track patient results. We then compared these results to those recently published by the National Perinatal Hepatitis B Prevention Program (PHBPP), which does not include hospitals in the United States Military Healthcare System. Our results show that although all infants were managed appropriately at birth and immunization rates were very high, post vaccination follow-up testing rates were much lower than those seen in centers participating in the PHBPP. The rates of post vaccination serological testing were significantly higher for infants born to Hepatitis B e antigen positive mothers and those referred to a pediatric infectious disease specialist. Despite use of a global electronic medical record in the United States Military Healthcare System, management of HBV-exposed infants does not always follow recommended guidelines. These infants could benefit from a more systematic method of follow-up, similar to the PHBPP, to ensure HBV serologic testing is obtained after the vaccination series is complete.

  7. Moveable Leading Edge Device for a Wing

    NASA Technical Reports Server (NTRS)

    Pitt, Dale M. (Inventor); Eckstein, Nicholas Stephen (Inventor)

    2013-01-01

    A method and apparatus for managing a flight control surface system. A leading edge section on a wing of an aircraft is extended into a deployed position. A deformable section connects the leading edge section to a trailing section. The deformable section changes from a deformed shape to an original shape when the leading edge section is moved into the deployed position. The leading edge section on the wing is moved from the deployed position to an undeployed position. The deformable section changes to the deformed shape inside of the wing.

  8. [Implementation of vanA and vanB genes by PCR technique research interest in system (Xpert vanA/vanB CepheidR) closed in a laboratory of microbiology in managing an outbreak to Enterococcus faecium resistant glycopeptide (EfRG)].

    PubMed

    Dekeyser, S; Beclin, E; Descamps, D

    2011-04-01

    The closed system PCR for the rapid detection of vanA and vanB genes (Xpert vanA/vanB Cepheid(®)) was evaluated in our laboratory, to improve the rapidity of the response and thus the management of patients and isolation measures during two GRE outbreaks. From March to December2009, 565 samples were analysed by PCR associated to bacterial culture initially for all samples for 2months (n = 75), and thereafter for PCR-positive samples only. In this study, sensitivity and negative predictive values of the PCR were 100%. Specificity was evaluated in the presence and absence of outbreak: 69.3 and 76.8% respectively. The variability of false positive rates between units were lower in nonepidemic than during epidemic phase. The global false positive rate was 23.9%. This easy-to-use technology provides rapid results… four samples are tested in 1h versus 72h for culture. Despite its reagent cost, it represents an important hospital diagnostic tool: improvement of the management of cohorting areas and patient transfer between units, adaptation of isolation measures and treatments. However, culture remains necessary to confirm any positive result obtained by PCR and for epidemiological surveillance. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

  9. Dual Degree Programs at the University of Kentucky College of Pharmacy

    PubMed Central

    Senft, Sandra L.; Thompson, Chad

    2008-01-01

    The rapid growth and evolution of the pharmacy profession has created a wide array of opportunities for graduating pharmacists beyond traditional community pharmacy or hospital practice. Management and leadership positions in federal and state healthcare agencies, pharmaceutical companies, hospitals, retail pharmacies, academia and managed care organizations increasingly require the pharmaceutical knowledge obtained through a doctor of pharmacy (PharmD) degree combined with financial, organizational, and management skills. In these innovative positions, pharmacists are being called upon to assume responsibilities as executives and administrators in systems providing pharmacist care services to patients. To endow students with knowledge and skills required to perform the duties required in these decision-making positions, the University of Kentucky College of Pharmacy has established 3 joint degree programs: the PharmD/Master of Business Administration (PharmD/MBA), PharmD/Master of Public Administration (PharmD/MPA), and PharmD/Master of Science in Economics (PharmD/MS). This paper describes these joint degree programs. PMID:18322574

  10. The Collaborative Ocular Tuberculosis Study (COTS)-1 Report 3: Polymerase Chain Reaction in the Diagnosis and Management of Tubercular Uveitis: Global Trends.

    PubMed

    Agarwal, Aniruddha; Agrawal, Rupesh; Gunasekaran, Dinesh Visva; Raje, Dhananjay; Gupta, Bhaskar; Aggarwal, Kanika; Murthy, Somasheila L; Westcott, Mark; Chee, Soon Phaik; Mccluskey, Peter; Su Ling, Ho; Teoh, Stephen; Cimino, Luca; Biswas, Jyotirmay; Narain, Shishir; Agarwal, Manisha; Mahendradas, Padmamalini; Khairallah, Moncef; Jones, Nicholas; Tugal-Tutkun, Ilknur; Babu, Kalpana; Basu, Soumayava; Carreño, Ester; Lee, Richard; Al-Dhibi, Hassan; Bodaghi, Bahram; Invernizzi, Alessandro; Goldstein, Debra A; Herbort, Carl P; Barisani-Asenbauer, Talin; González-López, Julio J; Androudi, Sofia; Bansal, Reema; Moharana, Bruttendu; Mahajan, Sarakshi; Esposti, Simona; Tasiopoulou, Anastasia; Nadarajah, Sengal; Agarwal, Mamta; Abraham, Sharanya; Vala, Ruchi; Singh, Ramandeep; Sharma, Aman; Sharma, Kusum; Zierhut, Manfred; Kon, Onn Min; Cunningham, Emmett; Nguyen, Quan Dong; Pavesio, Carlos; Gupta, Vishali

    2017-12-20

    To analyze the role of polymerase chain reaction (PCR) of ocular fluids in management of tubercular (TB) anterior, intermediate, posterior, and panuveitis. In Collaborative Ocular Tuberculosis Study (COTS)-1 (25 centers, n = 962), patients with TB-related uveitis were included. 59 patients undergoing PCR of intraocular fluids (18 females; 53 Asian Indians) were included. 59 (6.13%) of COTS-1 underwent PCR analysis. PCR was positive for Mycobacterium TB in 33 patients (23 males; all Asian Indians). 26 patients were PCR negative (18 males). Eight patients with negative PCR had systemic TB. Anti-TB therapy was given in 18 negative and 31 PCR cases. At 1-year follow-up, five patients with positive PCR (15.15%) and three with negative PCR (11.54%) had persistence/worsening of inflammation. Data from COTS-1 suggest that PCR is not commonly done for diagnosing intraocular TB and positive/negative results may not influence management or treatment outcomes in the real world scenario.

  11. Congenital syphilis investigation processes and timing in Louisiana.

    PubMed

    Bradley, Heather; Gruber, DeAnn; Introcaso, Camille E; Foxhood, Joseph; Wendell, Debbie; Rahman, Mohammad; Ewell, Joy; Kirkcaldy, Robert D; Weinstock, Hillard S

    2014-09-01

    Congenital syphilis (CS) is a potentially life-threatening yet preventable infection. State and local public health jurisdictions conduct investigations of possible CS cases to determine case status and to inform public health prevention efforts. These investigations occur when jurisdictions receive positive syphilis test results from pregnant women or from infants. We extracted data from Louisiana's electronic case management system for 328 infants investigated as possible CS cases in 2010 to 2011. Using date stamps from the case management system, we described CS investigations in terms of processes and timing. Eighty-seven investigations were prompted by positive test results from women who were known to be pregnant by the health jurisdiction, and 241 investigations were prompted by positive syphilis test results from infants. Overall, investigations required a median of 101 days to complete, although 25% were complete within 36 days. Investigations prompted by positive test results from infants required a median of 135 days to complete, and those prompted by positive test results from pregnant women required a median of 41 days. Three times as many CS investigations began with reported positive syphilis test results from infants as from pregnant women, and these investigations required more time to complete. When CS investigations begin after an infant's birth, the opportunity to ensure that women are treated during pregnancy is missed, and surveillance data cannot inform prevention efforts on a timely basis. Consistently ascertaining pregnancy status among women whose positive syphilis test results are reported to public health jurisdictions could help to assure timely CS prevention efforts.

  12. Automatic HDL firmware generation for FPGA-based reconfigurable measurement and control systems with mezzanines in FMC standard

    NASA Astrophysics Data System (ADS)

    Wojenski, Andrzej; Kasprowicz, Grzegorz; Pozniak, Krzysztof T.; Romaniuk, Ryszard

    2013-10-01

    The paper describes a concept of automatic firmware generation for reconfigurable measurement systems, which uses FPGA devices and measurement cards in FMC standard. Following sections are described in details: automatic HDL code generation for FPGA devices, automatic communication interfaces implementation, HDL drivers for measurement cards, automatic serial connection between multiple measurement backplane boards, automatic build of memory map (address space), automatic generated firmware management. Presented solutions are required in many advanced measurement systems, like Beam Position Monitors or GEM detectors. This work is a part of a wider project for automatic firmware generation and management of reconfigurable systems. Solutions presented in this paper are based on previous publication in SPIE.

  13. International Space Station US. GN&C Momentum Manager Controller Design for Shuttle Thermal Protection System Repair

    NASA Technical Reports Server (NTRS)

    Sims, Christopher R.

    2005-01-01

    This paper describes the design of the ISS Momentum Manager controllers for the Orbiter Repair Maneuver (ORM) and Orbiter Tile Repair operations. Momentum Manager Controllers provide non-propulsive attitude control via CMGs. Non-propulsive control is required at the beginning and the middle of the ORM and at the tile repair position. This paper first reviews the design issues and requirements, then presents the design methodology, and concludes with analysis results that verify the design.

  14. Operating Policies for Non- stationary Two-Echelon Inventory Systems for Reparable Items.

    DTIC Science & Technology

    1986-05-01

    resupply policy. Even under an HCP, we might want to change the resupply policy at management igtervention times to reflect what we predict will happen...management is concerned with the worst performance predicted during the horizon. Regardless of the average performance over the horizon, management may not...locations in DCi(tm-ll tm ) and INi(tm-l tm) . Case 3 a: ASi(tm I ) > ASi(tm); INi(tm- lstm ) empty. Disposals must be made to lover the asset positions

  15. METABO: a new paradigm towards diabetes disease management. An innovative business model.

    PubMed

    Guillén, Alejandra; Colás, Javier; Fico, Giuseppe; Guillén, Sergio

    2011-01-01

    Dealing with a chronic disease and, more specifically, with Diabetes Mellitus and other metabolic disorders, represents a great challenge for care givers, patients and the healthcare systems as their treatment requires continuous medical care and patient self management. The engagement of patients in the adoption of healthy lifestyles with a positive impact in the progression of their diseases is fundamental to avoid the appearance of chronic complications or co-morbidities. This paper presents the externalization of the health management of diabetic patients as an alternative to the current models of care for these patients that can help improve the quality of follow up and care delivery and contribute to the sustainability of the healthcare systems.

  16. Improving The Quality of Education Through School-Based Management: Learning From International Experiences

    NASA Astrophysics Data System (ADS)

    Grauwe, Anton De

    2005-07-01

    School-based management is being increasingly advocated as a shortcut to more efficient management and quality improvement in education. Research, however, has been unable to prove conclusively such a linkage. Especially in developing countries, concerns remain about the possible detrimental impact of school-based management on school quality; equity among different schools in the same system; the motivation of and relationships between principals and teachers; and financial as well as administrative transparency. The present study defines school-based management and, in view of its implementation in different world regions, examines some of its advantages and disadvantages. In particular, the author explores the strategies which must accompany school-based management in order to ensure a positive impact on quality. These are found to include (1) guaranteeing that all schools have certain basic resources; (2) developing an effective school-support system; (3) providing schools with regular information on their performance and advice on how they might improve; and (4) emphasizing the motivational element in the management work of the school principal.

  17. Leadership style and organisational commitment among nursing staff in Saudi Arabia.

    PubMed

    Al-Yami, Mansour; Galdas, Paul; Watson, Roger

    2018-03-23

    To examine how nurse managers' leadership styles, and nurses' organisational commitment in Saudi Arabia relate. Effective leadership is influential in staff retention; however, recruiting and maintaining nurses is an increasing problem in Saudi Arabia. Using a survey design, the Multifactor Leadership Questionnaire and the Organisational Commitment Questionnaire were distributed to a sample of 219 nurses and nurse managers from two hospitals in Saudi Arabia. Transformational leadership was the most dominant leadership style. After controlling for the influence of manager/staff status, nationality and hospitals, transformational leadership was the strongest contributor to organisational commitment. Perceptions of both transformational and transactional leadership styles, increased with age for nurse managers and nursing staff. Introducing the Full Range of Leadership model to the Saudi nursing workforce could help to prepare Saudi nurses for positions as nurse managers and leaders. The study provides insight into the type of leadership that is best suited to the dynamic and changing health care system in Saudi Arabia. It is possible that transformational leaders could influence and induce positive changes in nursing. © 2018 The Authors. Journal of Nursing Management Published by John Wiley & Sons Ltd.

  18. Managing adaptively for multifunctionality in agricultural systems

    USGS Publications Warehouse

    Hodbod, Jennifer; Barreteau, Olivier; Allen, Craig R.; Magda, Danièle

    2016-01-01

    The critical importance of agricultural systems for food security and as a dominant global landcover requires management that considers the full dimensions of system functions at appropriate scales, i.e. multifunctionality. We propose that adaptive management is the most suitable management approach for such goals, given its ability to reduce uncertainty over time and support multiple objectives within a system, for multiple actors. As such, adaptive management may be the most appropriate method for sustainably intensifying production whilst increasing the quantity and quality of ecosystem services. However, the current assessment of performance of agricultural systems doesn’t reward ecosystem service provision. Therefore, we present an overview of the ecosystem functions agricultural systems should and could provide, coupled with a revised definition for assessing the performance of agricultural systems from a multifunctional perspective that, when all satisfied, would create adaptive agricultural systems that can increase production whilst ensuring food security and the quantity and quality of ecosystem services. The outcome of this high level of performance is the capacity to respond to multiple shocks without collapse, equity and triple bottom line sustainability. Through the assessment of case studies, we find that alternatives to industrialized agricultural systems incorporate more functional goals, but that there are mixed findings as to whether these goals translate into positive measurable outcomes. We suggest that an adaptive management perspective would support the implementation of a systematic analysis of the social, ecological and economic trade-offs occurring within such systems, particularly between ecosystem services and functions, in order to provide suitable and comparable assessments. We also identify indicators to monitor performance at multiple scales in agricultural systems which can be used within an adaptive management framework to increase resilience at multiple scales.

  19. Managing adaptively for multifunctionality in agricultural systems.

    PubMed

    Hodbod, Jennifer; Barreteau, Olivier; Allen, Craig; Magda, Danièle

    2016-12-01

    The critical importance of agricultural systems for food security and as a dominant global landcover requires management that considers the full dimensions of system functions at appropriate scales, i.e. multifunctionality. We propose that adaptive management is the most suitable management approach for such goals, given its ability to reduce uncertainty over time and support multiple objectives within a system, for multiple actors. As such, adaptive management may be the most appropriate method for sustainably intensifying production whilst increasing the quantity and quality of ecosystem services. However, the current assessment of performance of agricultural systems doesn't reward ecosystem service provision. Therefore, we present an overview of the ecosystem functions agricultural systems should and could provide, coupled with a revised definition for assessing the performance of agricultural systems from a multifunctional perspective that, when all satisfied, would create adaptive agricultural systems that can increase production whilst ensuring food security and the quantity and quality of ecosystem services. The outcome of this high level of performance is the capacity to respond to multiple shocks without collapse, equity and triple bottom line sustainability. Through the assessment of case studies, we find that alternatives to industrialized agricultural systems incorporate more functional goals, but that there are mixed findings as to whether these goals translate into positive measurable outcomes. We suggest that an adaptive management perspective would support the implementation of a systematic analysis of the social, ecological and economic trade-offs occurring within such systems, particularly between ecosystem services and functions, in order to provide suitable and comparable assessments. We also identify indicators to monitor performance at multiple scales in agricultural systems which can be used within an adaptive management framework to increase resilience at multiple scales. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. LADOTD GPS technology management plan : tech summary.

    DOT National Transportation Integrated Search

    2012-02-01

    Global Positioning System (GPS) technology has been adopted by diff erent sections within the Louisiana : Department of Transportation and Development (LADOTD) over the last decade with no uniform standards : for their use, procurement, training, and...

  1. Automation in drug inventory management saves personnel time and budget.

    PubMed

    Awaya, Toshio; Ohtaki, Ko-ichi; Yamada, Takehiro; Yamamoto, Kuniko; Miyoshi, Toshiyuki; Itagaki, Yu-ichi; Tasaki, Yoshikazu; Hayase, Nobumasa; Matsubara, Kazuo

    2005-05-01

    Automation in the drug distribution processes is helpful to pharmacists in creating new clinical services. We have ameliorated the drug inventory control system seamlessly connected with the physician order-entry system. This control system application, named Artima, allows inventory functions to be faster and more efficient in real time. The medicines used in our hospital are automatically fixed and arranged to sold-packages, and are ordered from each wholesaler by a fax-modem every day. Artima can search the lot number and expiration date of drug in the purchase and delivery records. These functions are powerful and useful in patient's safety and cost containment. We surveyed the inventory amount stored in the computer database, and evaluated time required for inventory management by tabulating working records of employees during past decades. Inventory decreased by 70% along with the continuous improvement of the system during the past decade. The workload in the inventory management in each section of the Pharmacy Department as well as in clinical units was dramatically reduced after the implementation of this system. The automation system in the drug inventory management allows creating new clinical positions for pharmacists. This system also could pay for itself in time.

  2. Tractor-mounted, GPS-based spot fumigation system manages Prunus replant disease

    USDA-ARS?s Scientific Manuscript database

    Our research goal was to use recent advances in global positioning system (GPS) and computer technology to apply just the right amount of fumigant where it is most needed (i.e., in a small target treatment zone in and around each tree replanting site) to control Prunus replant disease (PRD). We deve...

  3. Monitoring invasive plants using hand-held GIS technology

    Treesearch

    Theresa M. Mau-Crimmins; Barron J. Orr

    2005-01-01

    Successful control of invasive species requires a clear picture of the spatial extent of infestations. The latest mapping technology involves coupling global position systems and handheld computers running geographic information systems software in the field. A series of workshops applying this technology to mapping weeds was developed and presented to Weed Management...

  4. Do Intra-anal Bowel Management Devices Reduce Incontinence-Associated Dermatitis and/or Pressure Injuries?

    PubMed

    Beeson, Terrie; Eifrid, Bethany; Pike, Caitlin A; Pittman, Joyce

    The purpose of this article was to examine the evidence and provide recommendations related to the effectiveness of intra-anal bowel management systems including intra-anal bowel catheters and rectal trumpets in reducing incontinence-associated dermatitis and pressure injuries. Does the use of an intra-anal bowel management system (intra-anal bowel catheter or rectal trumpet) reduce incontinence-associated skin damage and/or hospital-acquired pressure injuries in the acute care adult patient population? A search of the literature was performed by a trained university librarian, which resulted in 133 articles that examined intra-anal bowel management systems (intra-anal bowel catheter and rectal trumpet), incontinence-associated dermatitis, and pressure injuries. A systematic approach was used to review titles, abstracts, and text yielding 6 studies that met inclusion criteria. Strength of the evidence was rated using rating methodology from Essential Evidence Plus: Levels of evidence and Oxford Center for Evidence-based Medicine, adapted by Gray and colleagues. Five of the 6 studies reported positive results concerning the effectiveness of intra-anal bowel management systems to reduce incontinence-associated dermatitis and/or pressure injuries. One randomized control trial found no improvement in incontinence-associated dermatitis in the intra-anal bowel management system (intra-anal bowel catheter or rectal trumpet) groups or pressure injuries as compared to usual care. The strength of the evidence for the identified studies was moderate (2 level A, 3 level B, and 1 level C). An important finding in 2 of the studies was the safety of the intra-anal bowel management systems-both intra-anal bowel catheter and rectal trumpet. Evidence indicates intra-anal bowel management system (intra-anal bowel catheters and rectal trumpet) provides a viable option for fecal incontinence management and these devices reduce incontinence-associated dermatitis and/or pressure injuries.

  5. A decision support system for managing forest fire casualties.

    PubMed

    Bonazountas, Marc; Kallidromitou, Despina; Kassomenos, Pavlos; Passas, Nikos

    2007-09-01

    Southern Europe is exposed to anthropogenic and natural forest fires. These result in loss of lives, goods and infrastructure, but also deteriorate the natural environment and degrade ecosystems. The early detection and combating of such catastrophes requires the use of a decision support system (DSS) for emergency management. The current literature reports on a series of efforts aimed to deliver DSSs for the management of the forest fires by utilising technologies like remote sensing and geographical information systems (GIS), yet no integrated system exists. This manuscript presents the results of scientific research aiming to the development of a DSS for managing forest fires. The system provides a series of software tools for the assessment of the propagation and combating of forest fires based on Arc/Info, ArcView, Arc Spatial Analyst, Arc Avenue, and Visual C++ technologies. The system integrates GIS technologies under the same data environment and utilises a common user interface to produce an integrated computer system based on semi-automatic satellite image processing (fuel maps), socio-economic risk modelling and probabilistic models that would serve as a useful tool for forest fire prevention, planning and management. Its performance has been demonstrated via real time up-to-date accurate information on the position and evolution of the fire. The system can assist emergency assessment, management and combating of the incident. A site demonstration and validation has been accomplished for the island of Evoia, Greece, an area particularly vulnerable to forest fires due to its ecological characteristics and prevailing wind patterns.

  6. [The opinion of personnel of medical organizations concerning effectiveness of systems of quality management and international certification].

    PubMed

    Lindenbraten, A L; Dubinin, N D; Ludupova, E Yu; Kriutchkov, D V; Nikolaev, N S; Dubograii, E V

    2016-01-01

    The sociological study was carried out concerning effectiveness of systems of quality management. The technique of questionnaire survey was implemented in medical organizations with functioning systems of quality management and internationally certified systems. The evaluation by medical personnel impact of system of quality management on their activities based on results of using the given management sub-system was selected as a study object. At that, opinion ofpersonnel concerning time dynamics of indices of activity was served as a study subject. The involvement of personnel, alterations in activities of organization, remuneration of labor, effectiveness of treatment from point of view of organizations' staff members were considered. The conclusion was made that personnel of considered organizations has favorable opinion concerning effectiveness of the given systems. Among particular characteristics ofmedical care, 67% of respondents marked improvement of organization of functioning and 36% out of them marked significant improvement. The most of respondents (69%) felt positive dynamics of activities. At that, personnel of organizations mark no increasing of income in 68% of all cases and only 24% of respondents indicated salary increasing. Among negative outcomes of implementation of system of quality management, the respondents focused on increasing of workload. This trend was marked by 53% of personnel and 30% out of them indicated significant increasing of workload. The absence of alterations was marked by 38% of respondents and decreasing of workload was confirmed only by 9% of respondents.

  7. Development of a Prototype Continuity of Care Record with Context-Specific Links to Meet the Information Needs of Case Managers for Persons Living with HIV

    PubMed Central

    Cimino, James J.; Bakken, Suzanne

    2012-01-01

    Objectives (1) To develop a prototype Continuity of Care Record (CCR) with context-specific links to electronic HIV information resources; and (2) to assess case managers’ perceptions regarding the usability of the prototype. Methods We integrated context-specific links to HIV case management information resources into a prototype CCR using the Infobutton Manager and Librarian Infobutton Tailoring Environment (LITE). Case managers (N=9) completed a think-aloud protocol and the Computer System Usability Questionnaire (CSUQ) to evaluate the usability of the prototype. Verbalizations from the think-aloud protocol were summarized using thematic analysis. CSUQ data were analyzed with descriptive statistics. Results Although participants expressed positive comments regarding the usability of the prototype, the think-aloud protocol also identified the need for improvement in resource labels and for additional resources. On a scale ranging from 1 (strongly agree) to 7 (strongly disagree), the average CSUQ overall satisfaction was 2.25 indicating that users (n=9) were generally satisfied with the system. Mean CSUQ factor scores were: System Usefulness (M=2.13), Information Quality (M=2.46), and Interface Quality (M=2.26). Conclusion Our novel application of the Infobutton Manager and LITE in the context of case management for persons living with HIV in community-based settings resulted in a prototype CCR with infobuttons that met the majority of case managers’ information needs and received relatively positive usability ratings. Findings from this study inform future integration of context-specific links into CCRs and electronic health records and support their use for meeting end-users information needs. PMID:22632821

  8. Risk management in inpatient units in the Czech Republic from the point of view of nurses in leadership positions.

    PubMed

    Prokešová, Radka; Brabcová, Iva; Pokojová, Radka; Bártlová, Sylva

    2016-12-01

    The goal of this study was to assess specific features of risk management from the point of view of nurses in leadership positions in inpatient units in Czech hospitals. The study was performed using a quantitative research strategy, i.e., a questionnaire. The data sample was analyzed using SPSS v. 23.0. Pearson's chi-square and analysis of adjusted residues were used for identifying the existence associations of nominal and/or ordinal quantities. 315 nurses in leadership positions working in inpatient units of Czech hospitals were included in the sample. The sample was created using random selection by means of quotas. Based on the study results, statistically significant relations between the respondents' education and the utilization of methods to identify risks were identified. Furthermore, statistically significant relationships were found between a nurse's functional role within the system and regular analysis and evaluation of risks and between the type of the healthcare facility and the degree of patient involvement in risk management. The study found statistically significant correlations that can be used to increase the effectiveness of risk management in inpatient units of Czech hospitals. From this perspective, the fact that patient involvement in risk management was only reported by 37.8% of respondents seems to be the most notable problem.

  9. Management of ErbB2-positive Breast Cancer: Insights from Preclinical and Clinical Studies with Lapatinib

    PubMed Central

    Vogel, Charles; Chan, Arlene; Gril, Brunilde; Kim, Sung-Bae; Kurebayashi, Junichi; Liu, Li; Lu, Yen-Shen; Moon, Hanlim

    2010-01-01

    The management of human epidermal growth factor receptor 2-positive (ErbB2+) breast cancer is challenging; patients with ErbB2+ breast tumors have more aggressive disease and a poor prognosis. The increasing incidence of breast cancer in Asia and the limitations of existing treatments pose additional challenges. In this review, we summarize the preclinical and clinical evidence that indicates how lapatinib, a novel inhibitor that targets the human epidermal growth factor receptor (ErbB1) and ErbB2 may help clinicians address four particularly challenging issues in the management of ErbB2+ breast cancer. These issues are: (i) trastuzumab therapy failure, (ii) development of central nervous system metastases, (iii) minimizing toxicity and (iv) selecting the most appropriate partners (chemotherapy and non-chemotherapy) for combination therapy with lapatinib. Lapatinib, in combination with chemotherapeutic agents, such as capecitabine, provides clinical benefits to patients with ErbB2+ breast cancer, including patients who develop progressive disease on trastuzumab. Lapatinib, in combination with non-chemotherapeutic agents, such as letrozole, may also provide a chemotherapy-free treatment option for postmenopausal patients with estrogen receptor-positive/ErbB2+ metastatic breast cancer. Encouraging results have also emerged regarding the synergistic effects of lapatinib in combination with other agents for the treatment of ErbB2+ breast cancer. Promising findings have also been reported for the use of lapatinib to prevent and treat central nervous system metastases. Collectively, these results indicate that the judicious use of lapatinib, an effective oral therapy with a manageable toxicity profile, can enhance the management of patients with ErbB2+ breast cancer. PMID:20542996

  10. Management of ErbB2-positive breast cancer: insights from preclinical and clinical studies with lapatinib.

    PubMed

    Vogel, Charles; Chan, Arlene; Gril, Brunilde; Kim, Sung-Bae; Kurebayashi, Junichi; Liu, Li; Lu, Yen-Shen; Moon, Hanlim

    2010-11-01

    The management of human epidermal growth factor receptor 2-positive (ErbB2+) breast cancer is challenging; patients with ErbB2+ breast tumors have more aggressive disease and a poor prognosis. The increasing incidence of breast cancer in Asia and the limitations of existing treatments pose additional challenges. In this review, we summarize the preclinical and clinical evidence that indicates how lapatinib, a novel inhibitor that targets the human epidermal growth factor receptor (ErbB1) and ErbB2 may help clinicians address four particularly challenging issues in the management of ErbB2+ breast cancer. These issues are: (i) trastuzumab therapy failure, (ii) development of central nervous system metastases, (iii) minimizing toxicity and (iv) selecting the most appropriate partners (chemotherapy and non-chemotherapy) for combination therapy with lapatinib. Lapatinib, in combination with chemotherapeutic agents, such as capecitabine, provides clinical benefits to patients with ErbB2+ breast cancer, including patients who develop progressive disease on trastuzumab. Lapatinib, in combination with non-chemotherapeutic agents, such as letrozole, may also provide a chemotherapy-free treatment option for postmenopausal patients with estrogen receptor-positive/ErbB2+ metastatic breast cancer. Encouraging results have also emerged regarding the synergistic effects of lapatinib in combination with other agents for the treatment of ErbB2+ breast cancer. Promising findings have also been reported for the use of lapatinib to prevent and treat central nervous system metastases. Collectively, these results indicate that the judicious use of lapatinib, an effective oral therapy with a manageable toxicity profile, can enhance the management of patients with ErbB2+ breast cancer.

  11. Hotel Housekeeping Work Influences on Hypertension Management

    PubMed Central

    Sanon, Marie-Anne

    2013-01-01

    Background Characteristics of hotel housekeeping work increase the risk for hypertension development. Little is known about the influences of such work on hypertension management. Methods For this qualitative study, 27 Haitian immigrant hotel housekeepers from Miami-Dade County, FL were interviewed. Interview transcripts were analyzed with the assistance of the Atlas. ti software for code and theme identification. Results Influences of hotel housekeeping work on hypertension management arose both at the individual and system levels. Factors at the individual level included co-worker dynamics and maintenance of transmigrant life. Factors at the system level included supervisory support, workload, work pace, and work hiring practices. No positive influences were reported for workload and hiring practices. Conclusions Workplace interventions may be beneficial for effective hypertension management among hotel housekeepers. These work influences must be considered when determining effective methods for hypertension management among hotel housekeepers. PMID:23775918

  12. Study on the financing mechanism and management for decommissioning of nuclear installations in Malaysia

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

    Saleh, Lydia Ilaiza, E-mail: lydiailaiza@gmail.com; Ryong, Kim Tae

    The whole cycle of the decommissioning process development of repository requires the relevant bodies to have a financial system to ensure that it has sufficient funds for its whole life cycle (over periods of many decades). Therefore, the financing mechanism and management system shall respect the following status: the national position, institutional and legislative environment, technical capabilities, the waste origin, ownership, characteristics and inventories. The main objective of the studies is to focus on the cost considerations, alternative funding managements and mechanisms, technical and non-technical factors that may affect the repository life-cycle costs. As a conclusion, the outcomes of thismore » paper is to make a good recommendation and could be applied to the national planners, regulatory body, engineers, or the managers, to form a financial management plan for the decommissioning of the Nuclear Installation.« less

  13. Diffusion of pain management research into nursing practice.

    PubMed

    Dooks, P

    2001-04-01

    The promotion of evidence based practice is a challenge within nursing. Pain management is a prime example of this practice research gap. There is solid evidence for 20 years to promote positive change in our methods of pain management, yet outdated approaches are still amazingly evident. Even among oncology nurses, who place a high value on promoting patient comfort, there is a lack of evidence-based pain management. Rogers' Diffusion of Innovation Theory provides an interesting framework for examining the issues and possible solutions to this complex problem. Rogers' theory examines how changes diffuse through a social system over time and also exposes some of the barriers and facilitators to this process. The theory looks at adopters, the nature of the innovation, the social system, and communication patterns. Identifying the barriers of the past will help nursing to overcome these same barriers and increase the adoption of evidence-based pain management approaches in the future.

  14. Ranking sources of hospital quality information for orthopedic surgery patients: consequences for the system of managed competition.

    PubMed

    Bes, Romy Evelien; van den Berg, Bernard

    2013-01-01

    Healthcare quality information is crucial for the system of managed competition. Within a system of managed competition, health insurers can selectively contract care providers and are allowed to channel patients towards contracted providers. The idea is that insurers have a stronger bargaining position compared to care providers when they are able to channel patients. In the Dutch system of managed competition that was implemented in 2006, channelling patients to preferred providers has not yet been very successful. Empirical knowledge of which sources of hospital quality information they find important may help us to understand how to channel patients to preferred providers. The objective of this survey was to measure how patients rank various sources of information when they compare hospital quality in a system of managed competition. A written survey was conducted among clients of a large Dutch health insurance company. These clients underwent orthopedic surgery on the hip or knee no longer than 12 months ago. Two major players within a system of managed competition-health insurers and the government-were not seen as important sources of hospital quality information. In contrast, own experience and general practitioners (GPs) were seen as the most important sources of hospital quality information within the Dutch system of managed competition. Health insurers should take the main finding-that GPs are the most important source of hospital quality information-into account when they contract care providers and develop strategies for channeling patients towards preferred providers. A well-functioning system of managed competition will benefit patients, as it involves incentives for care providers to increase healthcare quality and to produce at the lowest cost per unit of quality.

  15. Research on Decision-Making Support of Chineserural Land Tenure Information System

    NASA Astrophysics Data System (ADS)

    Tan, Jun; Su, Hongyou

    Since 1949, the information of land tenure has a positive effect on defining the scope of collective land and state-owned land, implementing the system of cultivated land protection and land use control, designing general land use planning, etc. But as the economic and social development, the existing land tenure information is not appropriate anymore and results in many problems. The emphasis in the near future should be placed on establishing rural land tenure information system including cadastral management system, the uniform property registration system and cadastral management information system, defining the scope and content of various collective land ownership, securing peasants' land tenure rights, shortening the gap between urban and rural areas, all of which will guarantee the effective use of information of land tenure for the government's decision-making.

  16. 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.

  17. Air traffic control resource management strategies and the small aircraft transportation system: A system dynamics perspective

    NASA Astrophysics Data System (ADS)

    Galvin, James J., Jr.

    The National Aeronautics and Space Administration (NASA) is leading a research effort to develop a Small Aircraft Transportation System (SATS) that will expand air transportation capabilities to hundreds of underutilized airports in the United States. Most of the research effort addresses the technological development of the small aircraft as well as the systems to manage airspace usage and surface activities at airports. The Federal Aviation Administration (FAA) will also play a major role in the successful implementation of SATS, however, the administration is reluctant to embrace the unproven concept. The purpose of the research presented in this dissertation is to determine if the FAA can pursue a resource management strategy that will support the current radar-based Air Traffic Control (ATC) system as well as a Global Positioning Satellite (GPS)-based ATC system required by the SATS. The research centered around the use of the System Dynamics modeling methodology to determine the future behavior of the principle components of the ATC system over time. The research included a model of the ATC system consisting of people, facilities, equipment, airports, aircraft, the FAA budget, and the Airport and Airways Trust Fund. The model generated system performance behavior used to evaluate three scenarios. The first scenario depicted the base case behavior of the system if the FAA continued its current resource management practices. The second scenario depicted the behavior of the system if the FAA emphasized development of GPS-based ATC systems. The third scenario depicted a combined resource management strategy that supplemented radar systems with GPS systems. The findings of the research were that the FAA must pursue a resource management strategy that primarily funds a radar-based ATC system and directs lesser funding toward a GPS-based supplemental ATC system. The most significant contribution of this research was the insight and understanding gained of how several resource management strategies and the presence of SATS aircraft may impact the future US Air Traffic Control system.

  18. Environmental And Quality Management System In The Context Of Sustainable Development

    NASA Astrophysics Data System (ADS)

    Rusko, Miroslav

    2015-06-01

    Growing load and deterioration of the environment can be interpreted as a result of some external effects interventions. While the positive externalities influence the positive productional and utilizational functions of other subjects, the negative externalities influence the negative ones. Both types of external effects can act as parcial or global externalities. Linking of environmental issues to economy and finance is an important sphere.

  19. Acceptance of Internet Banking Systems among Young Managers

    NASA Astrophysics Data System (ADS)

    Ariff, Mohd Shoki Md; M, Yeow S.; Zakuan, Norhayati; Zaidi Bahari, Ahamad

    2013-06-01

    The aim of this paper is to determine acceptance of internet banking system among potential young users, specifically future young managers. The relationships and the effects of computer self-efficacy (CSE) and extended technology acceptance model (TAM) on the behavioural intention (BI) to use internet banking system were examined. Measurement of CSE, TAM and BI were adapted from previous studies. However construct for TAM has been extended by adding a new variable which is perceived credibility (PC). A survey through questionnaire was conducted to determine the acceptance level of CSE, TAM and BI. Data were obtained from 275 Technology Management students, who are pursuing their undergraduate studies in a Malaysia's public university. The confirmatory factor analysis performed has identified four variables as determinant factors of internet banking acceptance. The first variable is computer self-efficacy (CSE), and another three variables from TAM constructs which are perceived usefulness (PU), perceived ease of use (PE) and perceived credibility (PC). The finding of this study indicated that CSE has a positive effect on PU and PE of the Internet banking systems. Respondents' CSE was positively affecting their PC of the systems, indicating that the higher the ability of one in computer skills, the higher the security and privacy issues of PC will be concerned. The multiple regression analysis indicated that only two construct of TAM; PU and PC were significantly associated with BI. It was found that the future managers' CSE indirectly affects their BI to use the internet banking systems through PU and PC of TAM. TAM was found to have direct effects on respondents' BI to use the systems. Both CSE and the PU and PC of TAM were good predictors in understanding individual responses to information technology. The role of PE of the original TAM to predict the attitude of users towards the use of information technology systems was surprisingly insignificant.

  20. High-Efficiency Food Production in a Renewable Energy Based Micro-Grid

    NASA Technical Reports Server (NTRS)

    Bubenheim, David L.

    2017-01-01

    Controlled Environment Agriculture (CEA) systems can be used to produce high-quality, desirable food year round, and the fresh produce can positively contribute to the health and well being of residents in communities with difficult supply logistics. While CEA has many positive outcomes for a remote community, the associated high electric demands have prohibited widespread implementation in what is typically already a fully subscribed power generation and distribution system. Recent advances in CEA technologies as well as renewable power generation, storage, and micro-grid management are increasing system efficiency and expanding the possibilities for enhancing community supporting infrastructure without increasing demands for outside supplied fuels. We will present examples of how new lighting, nutrient delivery, and energy management and control systems can enable significant increases in food production efficiency while maintaining high yields in CEA.Examples from Alaskan communities where initial incorporation of renewable power generation, energy storage and grid management techniques have already reduced diesel fuel consumption for electric generation by more than 40 and expanded grid capacity will be presented. We will discuss how renewable power generation, efficient grid management to extract maximum community service per kW, and novel energy storage approaches can expand the food production, water supply, waste treatment, sanitation and other community support services without traditional increases of consumable fuels supplied from outside the community. These capabilities offer communities with a range of choices to enhance their communities. The examples represent a synergy of technology advancement efforts to develop sustainable community support systems for future space-based human habitats and practical implementation of infrastructure components to increase efficiency and enhance health and well-being in remote communities today and tomorrow.

  1. The Design and Application of Data Storage System in Miyun Satellite Ground Station

    NASA Astrophysics Data System (ADS)

    Xue, Xiping; Su, Yan; Zhang, Hongbo; Liu, Bin; Yao, Meijuan; Zhao, Shu

    2015-04-01

    China has launched Chang'E-3 satellite in 2013, firstly achieved soft landing on moon for China's lunar probe. Miyun satellite ground station firstly used SAN storage network system based-on Stornext sharing software in Chang'E-3 mission. System performance fully meets the application requirements of Miyun ground station data storage.The Stornext file system is a sharing file system with high performance, supports multiple servers to access the file system using different operating system at the same time, and supports access to data on a variety of topologies, such as SAN and LAN. Stornext focused on data protection and big data management. It is announced that Quantum province has sold more than 70,000 licenses of Stornext file system worldwide, and its customer base is growing, which marks its leading position in the big data management.The responsibilities of Miyun satellite ground station are the reception of Chang'E-3 satellite downlink data and management of local data storage. The station mainly completes exploration mission management, receiving and management of observation data, and provides a comprehensive, centralized monitoring and control functions on data receiving equipment. The ground station applied SAN storage network system based on Stornext shared software for receiving and managing data reliable.The computer system in Miyun ground station is composed by business running servers, application workstations and other storage equipments. So storage systems need a shared file system which supports heterogeneous multi-operating system. In practical applications, 10 nodes simultaneously write data to the file system through 16 channels, and the maximum data transfer rate of each channel is up to 15MB/s. Thus the network throughput of file system is not less than 240MB/s. At the same time, the maximum capacity of each data file is up to 810GB. The storage system planned requires that 10 nodes simultaneously write data to the file system through 16 channels with 240MB/s network throughput.When it is integrated,sharing system can provide 1020MB/s write speed simultaneously.When the master storage server fails, the backup storage server takes over the normal service.The literacy of client will not be affected,in which switching time is less than 5s.The design and integrated storage system meet users requirements. Anyway, all-fiber way is too expensive in SAN; SCSI hard disk transfer rate may still be the bottleneck in the development of the entire storage system. Stornext can provide users with efficient sharing, management, automatic archiving of large numbers of files and hardware solutions. It occupies a leading position in big data management. Storage is the most popular sharing shareware, and there are drawbacks in Stornext: Firstly, Stornext software is expensive, in which charge by the sites. When the network scale is large, the purchase cost will be very high. Secondly, the parameters of Stornext software are more demands on the skills of technical staff. If there is a problem, it is difficult to exclude.

  2. Factors Influencing Laboratory Information System Effectiveness Through Strategic Planning in Shiraz Teaching Hospitals.

    PubMed

    Bahador, Fateme; Sharifian, Roxana; Farhadi, Payam; Jafari, Abdosaleh; Nematolahi, Mohtram; Shokrpour, Nasrin

    This study aimed to develop and test a research model that examined 7effective factors on the effectiveness of laboratory information system (LIS) through strategic planning. This research was carried out on total laboratory staff, information technology staff, and laboratory managers in Shiraz (a city in the south of Iran) teaching hospitals by structural equation modeling approach in 2015. The results revealed that there was no significant positive relationship between decisions based on cost-benefit analysis and LIS functionality with LIS effectiveness, but there was a significant positive relationship between other factors and LIS effectiveness. As expected, high levels of strategic information system planning result in increasing LIS effectiveness. The results also showed that the relationship between cost-benefit analysis, LIS functionality, end-user involvement, and information technology-business alignment with strategic information system planning was significant and positive.

  3. 5 CFR 532.277 - Special wage schedules for U.S. Navy positions in Bridgeport, California.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Prevailing Rate Determinations § 532.277 Special... establish special wage schedules for prevailing rate employees at the United States Marine Corps Mountain...

  4. 5 CFR 842.806 - Mandatory separation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....806 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers, Firefighters, and Air.... 8425 apply to all law enforcement officers and firefighters, including those in secondary positions...

  5. 5 CFR 842.806 - Mandatory separation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ....806 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers, Firefighters, and Air.... 8425 apply to all law enforcement officers and firefighters, including those in secondary positions...

  6. 5 CFR 842.806 - Mandatory separation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ....806 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers, Firefighters, and Air.... 8425 apply to all law enforcement officers and firefighters, including those in secondary positions...

  7. 5 CFR 842.806 - Mandatory separation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ....806 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers, Firefighters, and Air.... 8425 apply to all law enforcement officers and firefighters, including those in secondary positions...

  8. 5 CFR 842.806 - Mandatory separation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ....806 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers, Firefighters, and Air.... 8425 apply to all law enforcement officers and firefighters, including those in secondary positions...

  9. Sensitivity of emergent sociohydrologic dynamics to internal system properties and external sociopolitical factors: Implications for water management

    NASA Astrophysics Data System (ADS)

    Elshafei, Y.; Tonts, M.; Sivapalan, M.; Hipsey, M. R.

    2016-06-01

    It is increasingly acknowledged that effective management of water resources requires a holistic understanding of the coevolving dynamics inherent in the coupled human-hydrology system. One of the fundamental information gaps concerns the sensitivity of coupled system feedbacks to various endogenous system properties and exogenous societal contexts. This paper takes a previously calibrated sociohydrology model and applies an idealized implementation, in order to: (i) explore the sensitivity of emergent dynamics resulting from bidirectional feedbacks to assumptions regarding (a) internal system properties that control the internal dynamics of the coupled system and (b) the external sociopolitical context; and (ii) interpret the results within the context of water resource management decision making. The analysis investigates feedback behavior in three ways, (a) via a global sensitivity analysis on key parameters and assessment of relevant model outputs, (b) through a comparative analysis based on hypothetical placement of the catchment along various points on the international sociopolitical gradient, and (c) by assessing the effects of various direct management intervention scenarios. Results indicate the presence of optimum windows that might offer the greatest positive impact per unit of management effort. Results further advocate management tools that encourage an adaptive learning, community-based approach with respect to water management, which are found to enhance centralized policy measures. This paper demonstrates that it is possible to use a place-based sociohydrology model to make abstractions as to the dynamics of bidirectional feedback behavior, and provide insights as to the efficacy of water management tools under different circumstances.

  10. Future FAA Telecommunications Plan

    DTIC Science & Technology

    1991-08-01

    the reliability and maintainability of the present system . Increases in flight traffic and resultant data loads have caused delays in the processing of...is received; h. Analyze and evaluate the effectiveness of the traffic management system and notify specialists of results within 10 seconds of request...emergencies. 5-2 August 1991 "o Notice to Airmen (NOTAM): Accept NOTAMs and distribute them to appropriate ACCC, TCCC, and systems engineer positions. o

  11. A Two-Step Method to Identify Positive Deviant Physician Organizations of Accountable Care Organizations with Robust Performance Management Systems.

    PubMed

    Pimperl, Alexander F; Rodriguez, Hector P; Schmittdiel, Julie A; Shortell, Stephen M

    2018-06-01

    To identify positive deviant (PD) physician organizations of Accountable Care Organizations (ACOs) with robust performance management systems (PMSYS). Third National Survey of Physician Organizations (NSPO3, n = 1,398). Organizational and external factors from NSPO3 were analyzed. Linear regression estimated the association of internal and contextual factors on PMSYS. Two cutpoints (75th/90th percentiles) identified PDs with the largest residuals and highest PMSYS scores. A total of 65 and 41 PDs were identified using 75th and 90th percentiles cutpoints, respectively. The 90th percentile more strongly differentiated PDs from non-PDs. Having a high proportion of vulnerable patients appears to constrain PMSYS development. Our PD identification method increases the likelihood that PD organizations selected for in-depth inquiry are high-performing organizations that exceed expectations. © Health Research and Educational Trust.

  12. Implementation of Emergency Medical Text Classifier for Syndromic Surveillance

    PubMed Central

    Travers, Debbie; Haas, Stephanie W.; Waller, Anna E.; Schwartz, Todd A.; Mostafa, Javed; Best, Nakia C.; Crouch, John

    2013-01-01

    Public health officials use syndromic surveillance systems to facilitate early detection and response to infectious disease outbreaks. Emergency department clinical notes are becoming more available for surveillance but present the challenge of accurately extracting concepts from these text data. The purpose of this study was to implement a new system, Emergency Medical Text Classifier (EMT-C), into daily production for syndromic surveillance and evaluate system performance and user satisfaction. The system was designed to meet user preferences for a syndromic classifier that maximized positive predictive value and minimized false positives in order to provide a manageable workload. EMT-C performed better than the baseline system on all metrics and users were slightly more satisfied with it. It is vital to obtain user input and test new systems in the production environment. PMID:24551413

  13. Implementation of Emergency Medical Text Classifier for syndromic surveillance.

    PubMed

    Travers, Debbie; Haas, Stephanie W; Waller, Anna E; Schwartz, Todd A; Mostafa, Javed; Best, Nakia C; Crouch, John

    2013-01-01

    Public health officials use syndromic surveillance systems to facilitate early detection and response to infectious disease outbreaks. Emergency department clinical notes are becoming more available for surveillance but present the challenge of accurately extracting concepts from these text data. The purpose of this study was to implement a new system, Emergency Medical Text Classifier (EMT-C), into daily production for syndromic surveillance and evaluate system performance and user satisfaction. The system was designed to meet user preferences for a syndromic classifier that maximized positive predictive value and minimized false positives in order to provide a manageable workload. EMT-C performed better than the baseline system on all metrics and users were slightly more satisfied with it. It is vital to obtain user input and test new systems in the production environment.

  14. Cellular Decomposition Based Hybrid-Hierarchical Control Systems with Applications to Flight Management Systems

    NASA Technical Reports Server (NTRS)

    Caines, P. E.

    1999-01-01

    The work in this research project has been focused on the construction of a hierarchical hybrid control theory which is applicable to flight management systems. The motivation and underlying philosophical position for this work has been that the scale, inherent complexity and the large number of agents (aircraft) involved in an air traffic system imply that a hierarchical modelling and control methodology is required for its management and real time control. In the current work the complex discrete or continuous state space of a system with a small number of agents is aggregated in such a way that discrete (finite state machine or supervisory automaton) controlled dynamics are abstracted from the system's behaviour. High level control may then be either directly applied at this abstracted level, or, if this is in itself of significant complexity, further layers of abstractions may be created to produce a system with an acceptable degree of complexity at each level. By the nature of this construction, high level commands are necessarily realizable at lower levels in the system.

  15. UNAVCO Real-Time GNSS Positioning: High-Precision Static and Kinematic Testing of the Next Generation GNSS network.

    NASA Astrophysics Data System (ADS)

    Berglund, H. T.; Hodgkinson, K. M.; Blume, F.; Mencin, D.; Phillips, D. A.; Meertens, C. M.; Mattioli, G. S.

    2014-12-01

    The GAGE Facility, managed by UNAVCO, operates a real-time GNSS (RT-GNSS) network of ~450 stations. The majority of the streaming stations are part of the EarthScope Plate Boundary Observatory (PBO). Following community input from a real-time GNSS data products and formats meeting hosted by UNAVCO in Spring of 2011, UNAVCO now provides real-time PPP positions, and network solutions where practical, for all available stations using Trimble's PIVOT RTX server software and TrackRT. The UNAVCO real-time system has the potential to enhance our understanding of earthquakes, seismic wave propagation, volcanic eruptions, magmatic intrusions, movement of ice, landslides, and the dynamics of the atmosphere. Beyond the ever increasing applications in science and engineering, RT-GNSS has the potential to provide early warning of hazards to emergency managers, utilities, other infrastructure managers, first responders and others. Upgrades to the network include eight Trimble NetR9 GNSS receivers with GLONASS and receiver-based RTX capabilities and sixteen new co-located MEMS based accelerometers. These new capabilities will allow integration of GNSS and strong motion data to produce broad-spectrum waveforms improving Earthquake Early Warning systems. Controlled outdoor kinematic and static experiments provide a useful method for evaluating and comparing real-time systems. UNAVCO has developed a portable low-cost antenna actuator to characterize the kinematic performance of receiver- and server-based real-time positioning algorithms and identify system limitations. We have performed tests using controlled 1-d antenna motions and will present comparisons between these and other post-processed kinematic algorithms including GIPSY-OASIS and TRACK. In addition to kinematic testing, long-term static testing of Trimble's RTX service is ongoing at UNAVCO and will be used to characterize the stability of the position time-series produced by RTX. In addition, with the goal of characterizing stability and improving software and higher level products based on real-time and high frequency GNSS time series, we present an overview of the UNAVCO RT-GPS system, a comparison of the UNAVCO generated real-time, static and community data products, and an overview of available common data sets.

  16. An Examination of Safety Management Systems and Aviation Technologies in the Helicopter Emergency Medical Services Industry

    NASA Astrophysics Data System (ADS)

    Buckner, Steven A.

    The Helicopter Emergency Medical Service (HEMS) industry has a significant role in the transportation of injured patients, but has experienced more accidents than all other segments of the aviation industry combined. With the objective of addressing this discrepancy, this study assesses the effect of safety management systems implementation and aviation technologies utilization on the reduction of HEMS accident rates. Participating were 147 pilots from Federal Aviation Regulations Part 135 HEMS operators, who completed a survey questionnaire based on the Safety Culture and Safety Management System Survey (SCSMSS). The study assessed the predictor value of SMS implementation and aviation technologies to the frequency of HEMS accident rates with correlation and multiple linear regression. The correlation analysis identified three significant positive relationships. HEMS years of experience had a high significant positive relationship with accident rate (r=.90; p<.05); SMS had a moderate significant positive relationship to Night Vision Goggles (NVG) (r=.38; p<.05); and SMS had a slight significant positive relationship with Terrain Avoidance Warning System (TAWS) (r=.234; p<.05). Multiple regression analysis suggested that when combined with NVG, TAWS, and SMS, HEMS years of experience explained 81.4% of the variance in accident rate scores (p<.05), and HEMS years of experience was found to be a significant predictor of accident rates (p<.05). Additional quantitative regression analysis was recommended to replicate the results of this study and to consider the influence of these variables for continued reduction of HEMS accidents, and to induce execution of SMS and aviation technologies from a systems engineering application. Recommendations for practice included the adoption of existing regulatory guidance for a SMS program. A qualitative analysis was also recommended for future study SMS implementation and HEMS accident rate from the pilot's perspective. A quantitative longitudinal study would further explore inferential relationships between the study variables. Current strategies should include the increased utilization of available aviation technology resources as this proactive stance may be beneficial for the establishment of an effective safety culture within the HEMS industry.

  17. A comprehensive approach in high-grade glioma management: position statement from the Neuro-Oncology Scientific Club (NOSC), Shiraz, Iran

    PubMed Central

    Ansari, Mansour; Mosalaei, Ahmad; Ahmadloo, Niloufar; Rasekhi, Alireza; Geramizadeh, Bita; Razmkon, Ali; Anvari, Kazem; Afarid, Mohammad; Dadras, Ali; Nafarieh, Leila; Mohammadianpanah, Mohammad; Nasrolahi, Hamid; Hamedi, Seyed Hasan; Omidvari, Shapour; Nami, Mohammad

    2017-01-01

    Establishing a robust teamwork model in the practice of neuro-oncology requires continued interdisciplinary efforts. The Neuro-Oncology Scientific Club (NOSC) initiative is an interdisciplinary clinical forum promoting the comprehensive approach across involved disciplines in the management of central nervous system (CNS) malignancies. With its provincial founding panels and national steering board, NOSC has been operational in Iran since 2011. This initiative has pursued its mission through interval strategic meetings, tumor boards, case discussions as well as publishing neuro-oncology updates, case study periodicals, and newsletters. A provincial meeting of NOSC in Shiraz put together insights from international practice guidelines, emerging evidence, and expert opinions to draw a position statement on high-grade glioma management in adults. The present report summarizes key highlights from the above clinical forum. PMID:28325997

  18. A comprehensive approach in high-grade glioma management: position statement from the Neuro-Oncology Scientific Club (NOSC), Shiraz, Iran.

    PubMed

    Ansari, Mansour; Mosalaei, Ahmad; Ahmadloo, Niloufar; Rasekhi, Alireza; Geramizadeh, Bita; Razmkon, Ali; Anvari, Kazem; Afarid, Mohammad; Dadras, Ali; Nafarieh, Leila; Mohammadianpanah, Mohammad; Nasrolahi, Hamid; Hamedi, Seyed Hasan; Omidvari, Shapour; Nami, Mohammad

    2017-01-01

    Establishing a robust teamwork model in the practice of neuro-oncology requires continued interdisciplinary efforts. The Neuro-Oncology Scientific Club (NOSC) initiative is an interdisciplinary clinical forum promoting the comprehensive approach across involved disciplines in the management of central nervous system (CNS) malignancies. With its provincial founding panels and national steering board, NOSC has been operational in Iran since 2011. This initiative has pursued its mission through interval strategic meetings, tumor boards, case discussions as well as publishing neuro-oncology updates, case study periodicals, and newsletters. A provincial meeting of NOSC in Shiraz put together insights from international practice guidelines, emerging evidence, and expert opinions to draw a position statement on high-grade glioma management in adults. The present report summarizes key highlights from the above clinical forum.

  19. A Design of Irregular Grid Map for Large-Scale Wi-Fi LAN Fingerprint Positioning Systems

    PubMed Central

    Kim, Jae-Hoon; Min, Kyoung Sik; Yeo, Woon-Young

    2014-01-01

    The rapid growth of mobile communication and the proliferation of smartphones have drawn significant attention to location-based services (LBSs). One of the most important factors in the vitalization of LBSs is the accurate position estimation of a mobile device. The Wi-Fi positioning system (WPS) is a new positioning method that measures received signal strength indication (RSSI) data from all Wi-Fi access points (APs) and stores them in a large database as a form of radio fingerprint map. Because of the millions of APs in urban areas, radio fingerprints are seriously contaminated and confused. Moreover, the algorithmic advances for positioning face computational limitation. Therefore, we present a novel irregular grid structure and data analytics for efficient fingerprint map management. The usefulness of the proposed methodology is presented using the actual radio fingerprint measurements taken throughout Seoul, Korea. PMID:25302315

  20. A design of irregular grid map for large-scale Wi-Fi LAN fingerprint positioning systems.

    PubMed

    Kim, Jae-Hoon; Min, Kyoung Sik; Yeo, Woon-Young

    2014-01-01

    The rapid growth of mobile communication and the proliferation of smartphones have drawn significant attention to location-based services (LBSs). One of the most important factors in the vitalization of LBSs is the accurate position estimation of a mobile device. The Wi-Fi positioning system (WPS) is a new positioning method that measures received signal strength indication (RSSI) data from all Wi-Fi access points (APs) and stores them in a large database as a form of radio fingerprint map. Because of the millions of APs in urban areas, radio fingerprints are seriously contaminated and confused. Moreover, the algorithmic advances for positioning face computational limitation. Therefore, we present a novel irregular grid structure and data analytics for efficient fingerprint map management. The usefulness of the proposed methodology is presented using the actual radio fingerprint measurements taken throughout Seoul, Korea.

  1. Virtual interface environment

    NASA Technical Reports Server (NTRS)

    Fisher, Scott S.

    1986-01-01

    A head-mounted, wide-angle, stereoscopic display system controlled by operator position, voice and gesture has been developed for use as a multipurpose interface environment. The system provides a multisensory, interactive display environment in which a user can virtually explore a 360-degree synthesized or remotely sensed environment and can viscerally interact with its components. Primary applications of the system are in telerobotics, management of large-scale integrated information systems, and human factors research. System configuration, application scenarios, and research directions are described.

  2. Case management helps prevent criminal justice recidivism for people with serious mental illness.

    PubMed

    Leutwyler, Heather; Hubbard, Erin; Zahnd, Elaine

    2017-09-11

    Purpose The purpose of this paper is to discuss how case management can decrease recidivism for people with serious mental illness (SMI) because people with SMI are at high risk for incarceration and recidivism. Design/methodology/approach Examples of successful case management models for formerly incarcerated individuals with SMI found through a secondary analysis of qualitative data and an analysis of the literature are presented. Findings Currently, no international, national, or statewide guidelines exist to ensure that formerly incarcerated individuals with SMI receive case management upon community reentry despite evidence that such services can prevent further criminal justice involvement. Recommendations include establishment of and evaluation of best practices for case management. In addition, the authors recommend additional funding for case management with the goal of greatly increasing the number of individuals with SMI leaving the criminal justice system in their ability to access adequate case management. Originality/value Providing effective case management tailored to the needs of formerly incarcerated people with SMI improves their quality of life and reduces their involvement in the criminal justice system with clear positive outcomes for public safety and public health.

  3. Studies on Interpretive Structural Model for Forest Ecosystem Management Decision-Making

    NASA Astrophysics Data System (ADS)

    Liu, Suqing; Gao, Xiumei; Zen, Qunying; Zhou, Yuanman; Huang, Yuequn; Han, Weidong; Li, Linfeng; Li, Jiping; Pu, Yingshan

    Characterized by their openness, complexity and large scale, forest ecosystems interweave themselves with social system, economic system and other natural ecosystems, thus complicating both their researches and management decision-making. According to the theories of sustainable development, hierarchy-competence levels, cybernetics and feedback, 25 factors have been chosen from human society, economy and nature that affect forest ecosystem management so that they are systematically analyzed via developing an interpretive structural model (ISM) to reveal their relationships and positions in the forest ecosystem management. The ISM consists of 7 layers with the 3 objectives for ecosystem management being the top layer (the seventh layer). The ratio between agricultural production value and industrial production value as the bases of management decision-making in forest ecosystems becomes the first layer at the bottom because it has great impacts on the values of society and the development trends of forestry, while the factors of climatic environments, intensive management extent, management measures, input-output ratio as well as landscape and productivity are arranged from the second to sixth layers respectively.

  4. Incorporating permaculture and strategic management for sustainable ecological resource management.

    PubMed

    Akhtar, Faiza; Lodhi, Suleman A; Khan, Safdar Shah; Sarwar, Farhana

    2016-09-01

    Utilization of natural assets to the best efficient level without changing natural balance has become a critical issue for researchers as awareness on climate change takes central position in global debate. Conventional sustainable resource management systems are based on neoclassical economic approach that ignores the nature's pattern and therefore are not actually capable of sustainable management of resources. Environmentalists are lately advocating incorporation of Permaculture as holistic approach based on ethics, equitable interaction with eco-systems to obtain sustainability. The paper integrates philosophy of permaculture with strategic management frameworks to develop a pragmatic tool for policy development. The policy design tool augments management tasks by integrating recording of natural assets, monitoring of key performance indicators and integration of sectorial policies in real time, bringing out policy as a truly live document. The tool enhances the edifice process, balancing short term viewpoints and long term development to secure renewability of natural resources. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. RN, CIO: an executive informatics career.

    PubMed

    Staggers, Nancy; Lasome, Caterina E M

    2005-01-01

    The Chief Information Officer (CIO) position is a viable new career track for clinical informaticists. Nurses, especially informatics nurses, are uniquely positioned for the CIO role because of their operational knowledge of clinical processes, communication skills, systems thinking abilities, and knowledge about information structures and processes. This article describes essential knowledge and skills for the CIO executive position. Competencies not typical to nurses can be learned and developed, particularly strategic visioning and organizational finesse. This article concludes by describing career development steps toward the CIO position: leadership and management; healthcare operations; organizational finesse; and informatics knowledge, processes, methods, and structures.

  6. A market, operation, and mission assessment of large rural for-profit hospitals with positive cash flow.

    PubMed

    McCue, Michael J

    2007-01-01

    National benchmark data for 2002 indicate that large rural for-profit hospitals have a median cash flow margin of 19.5% compared to 9.2% for their nonprofit counterparts. This study aims to gain insight regarding the driving factors behind the high cash flow performance of large rural for-profit hospitals. Using 3 annual periods of Centers for Medicare and Medicaid cost report data with the last fiscal year ending between September 30, 2002, and August 30, 2003, the study found a cash flow margin of 21.5% for the large rural for-profit hospitals. All these facilities were owned by hospital management companies. To assess their underlying market, operational, and mission factors, these hospitals were compared to a similar comparison group of large rural nonprofit hospitals that are system owned and have positive cash flows. Using logistic regression analysis, the study found lower operating expense per adjusted discharge and salary expense as a percentage of total operating expense among large rural for-profit, system-owned hospitals with positive cash flows relative to nonprofits with similar traits. Overall, the findings of this study reflect how these for-profit hospitals, which are owned by hospital management companies, focus on controlling their labor costs as well as operating costs per discharge in order to achieve a greater positive cash flow position.

  7. Robust set-point regulation for ecological models with multiple management goals.

    PubMed

    Guiver, Chris; Mueller, Markus; Hodgson, Dave; Townley, Stuart

    2016-05-01

    Population managers will often have to deal with problems of meeting multiple goals, for example, keeping at specific levels both the total population and population abundances in given stage-classes of a stratified population. In control engineering, such set-point regulation problems are commonly tackled using multi-input, multi-output proportional and integral (PI) feedback controllers. Building on our recent results for population management with single goals, we develop a PI control approach in a context of multi-objective population management. We show that robust set-point regulation is achieved by using a modified PI controller with saturation and anti-windup elements, both described in the paper, and illustrate the theory with examples. Our results apply more generally to linear control systems with positive state variables, including a class of infinite-dimensional systems, and thus have broader appeal.

  8. Effects of organizational safety on employees' proactivity safety behaviors and occupational health and safety management systems in Chinese high-risk small-scale enterprises.

    PubMed

    Mei, Qiang; Wang, Qiwei; Liu, Suxia; Zhou, Qiaomei; Zhang, Jingjing

    2018-06-07

    Based on the characteristics of small-scale enterprises, the improvement of occupational health and safety management systems (OHS MS) needs an effective intervention. This study proposed a structural equation model and examined the relationships of perceived organization support for safety (POSS), person-organization safety fit (POSF) and proactivity safety behaviors with safety management, safety procedures and safety hazards identification. Data were collected from 503 employees of 105 Chinese high-risk small-scale enterprises over 6 months. The results showed that both POSS and POSF were positively related to improvement in safety management, safety procedures and safety hazards identification through proactivity safety behaviors. Our findings provide a new perspective on organizational safety for improving OHS MS for small-scale enterprises and extend the application of proactivity safety behaviors.

  9. Defense AT and L. Volume 44, Number 1

    DTIC Science & Technology

    2015-02-01

    other cases, a companion program ( user equipment for the satellite Global Positioning System , for example) may be needed to make the system itself...Jeffrey S. Dodge relieved Capt. Patrick W. Smith as program manager for Multi-Mission Tactical Un- manned Aircraft System (PMA-266) on Oct. 16. Capt. James...emphasis on testing vulnerability with respect to potential user casualties …” and is required for “covered systems ,” which include vehicles, weapon

  10. Creating a Liveable City - Eco-services, Systems and Place

    NASA Astrophysics Data System (ADS)

    Hamilton, R. J.; Dean, M.; Birtles, P. J.; Hore, J.; Dahlenburg, J.

    2014-12-01

    The use of an ecosystem service framework for natural resource management has gained increasing traction in the public sector. This is of especial interest in cities as residual ecosystems - typically located along creeks and estuaries, or remaining in scattered pockets throughout the urban area - offer some of the highest value social and economic returns per capita for the land area they occupy, yet are often impractical to manage from more traditional approaches to conservation. We posit that the well-being of humans and other species is the outcome of healthy, functioning ecosystems, and that, from a policy perspective, it is essential to consider services in this context. We arrange ecosystem services into three categories: life-enabling, life-sustaining and life-fulfilling, in a modification to the categories of the Millennium Ecosystem Assessment, and identify additional eco-services unique to urban areas. At local scale, these contribute to the well-being of city residents and positively affect quality of life, forming essential elements of urban liveability. However, dynamics of co-located built and natural environments challenge the capacity of ecosystems to function and provide their full suite of services. Using Sydney as an example, we outline a modular framework of socio-ecological systems and places to show how eco-services supporting liveability can be considered in conceptual and physical space. At a policy level, framing systems-based management objectives that protect, improve and re-discover desirable ecosystem services within the city (as opposed to further increasing the environmental footprint outside), will allow for unique, positive, socially-enabling outcomes for urban centres, in Australia, and globally.

  11. Going from "paper and pen" to ICT systems: Perspectives on managing the change process.

    PubMed

    Andersson Marchesoni, Maria; Axelsson, Karin; Fältholm, Ylva; Lindberg, Inger

    2017-03-01

    Lack of participation from staff when developing information and communication technologies (ICT) has been shown to lead to negative consequences and might be one explanation for failure. Management during development processes has rarely been empirically studied, especially when introducing ICT systems in a municipality context. To describe and interpret experiences of the management during change processes where ICT was introduced among staff and managers in elderly care. A qualitative interpretive method was chosen for this study and content analysis for analyzing the interviews. "Clear focus-unclear process" demonstrated that focus on ICT solutions was clear but the process of introducing the ICT was not. "First-line managers receiving a system of support" gave a picture of the first-line manager as not playing an active part in the projects. First-line managers and staff described "Low power to influence" when realizing that for some reasons, they had not contributed in the change projects. "Low confirmation" represented the previous and present feelings of staff not being listened to. Lastly, "Reciprocal understanding" pictures how first-line managers and staff, although having some expectations on each other, understood each other's positions. Empowerment could be useful in creating an organization where critical awareness and reflection over daily practice becomes a routine.

  12. Long-term impact of farm management and crops on soil microorganisms assessed by combined DGGE and PLFA analyses

    PubMed Central

    Stagnari, Fabio; Perpetuini, Giorgia; Tofalo, Rosanna; Campanelli, Gabriele; Leteo, Fabrizio; Della Vella, Umberto; Schirone, Maria; Suzzi, Giovanna; Pisante, Michele

    2014-01-01

    In the present study, long-term organic and conventional managements were compared at the experimental field of Monsampolo del Tronto (Marche region, Italy) with the aim of investigating soil chemical fertility and microbial community structure. A polyphasic approach, combining soil fertility indicators with microbiological analyses (plate counts, PCR-denaturing gradient gel electrophoresis [DGGE] and phospholipid fatty acid analysis [PLFA]) was applied. Organic matter, N as well as some important macro and micronutrients (K, P, Mg, Mn, Cu, and Zn) for crop growth, were more available under organic management. Bacterial counts were higher in organic management. A significant influence of management system and management x crop interaction was observed for total mesophilic bacteria, nitrogen fixing bacteria and actinobacteria. Interestingly, cultivable fungi were not detected in all analyzed samples. PLFA biomass was higher in the organic and Gram positive bacteria dominated the microbial community in both systems. Even if fungal biomass was higher in organic management, fungal PCR-DGGE fingerprinting revealed that the two systems were very similar in terms of fungal species suggesting that 10 years were not enough to establish a new dynamic equilibrium among ecosystem components. A better knowledge of soil biota and in particular of fungal community structure will be useful for the development of sustainable management strategies. PMID:25540640

  13. [The characteristics of public health resources management].

    PubMed

    2011-01-01

    The article analyses the position of human health in the system of social economic relationships. The notion of material and technical resources in health institutions is defined. It is demonstrated that they are characterized by number of health institutions, their structure according levels and stages of medical care provision, costs of fixed assets, their structure and wear. The conceptual characteristics of actual management of public health resources are analyzed.

  14. Similarities and Differences in the Organizational Characteristics of Charter Schools: A Test of Institutional Isomorphism and Strategy Positioning Theories

    ERIC Educational Resources Information Center

    Sweet, Thomas

    2013-01-01

    Charter schools, independent public schools which operate through a system of contracts with public agencies, are heavily promoted as a means of improving the nation's traditional public education system. Managed as private enterprises, these schools compete for students through the implementation of market-style practices. Popularly viewed as…

  15. DARPA Emerging Technologies

    DTIC Science & Technology

    2016-01-01

    development requires wind tunnels and ranges that do not currently exist. Furthermore, continued technology matura- tion is needed for thermal management...designed with conceptual design engine model (at existing technology level), or existing propul- sion system, or modified propulsion system (e.g...internal cameras reading gauges and dials and switch positions , directly tapping into current or future avion- ics service buses and integrating

  16. Cost of Tuberculosis Treatment: Evidence from Iran’s Health System

    PubMed Central

    Bay, Vahid; Tabarsi, Payam; Rezapour, Aziz; Marzban, Sima; Zarei, Ehsan

    2017-01-01

    Objectives This study aimed to estimate the cost of smear-positive drug-susceptible pulmonary tuberculosis (TB) treatment of the patients in the Azadshahr district, Golestan Province, Iran. Methods In this retrospective study, all new smear positive pulmonary TB patients who had been registered at the district’s health network between April, 2013 and December, 2015 and had successfully completed their treatment were entered into the study (45 patients). Treatment costs were estimated from the provider’s perspective using an activity-based costing (ABC) method. Results The cost of treating a new smear-positive pulmonary TB patient was US dollar (USD) 1,409.00 (Iranian Rial, 39,438,260), which can be divided into direct and indirect costs (USD 1,226.00 [87%] and USD 183.00 [13%], respectively). The highest cost (58.1%) was related to care and management of TB patients (including 46.1% human resources costs and 12% directly-observed treatment, short course implementation) and then respectively related to hospitalization (12.1%), supportive activity centers (11.4%), transportation (6.5%), medicines (5.3%), and laboratory tests and radiography (3.2%). Conclusion Using disease-specific cost studies can help the healthcare system management to have correct insight into the financial burden created by the disease. This can subsequently be used in prioritization, planning, operational budgeting, economic evaluation of programs, interventions, and ultimately in disease management. PMID:29164047

  17. MED31/437: A Web-based Diabetes Management System: DiabNet

    PubMed Central

    Zhao, N; Roudsari, A; Carson, E

    1999-01-01

    Introduction A web-based system (DiabNet) was developed to provide instant access to the Electronic Diabetes Records (EDR) for end-users, and real-time information for healthcare professionals to facilitate their decision-making. It integrates portable glucometer, handheld computer, mobile phone and Internet access as a combined telecommunication and mobile computing solution for diabetes management. Methods: Active Server Pages (ASP) embedded with advanced ActiveX controls and VBScript were developed to allow remote data upload, retrieval and interpretation. Some advisory and Internet-based learning features, together with a video teleconferencing component make DiabNet web site an informative platform for Web-consultation. Results The evaluation of the system is being implemented among several UK Internet diabetes discussion groups and the Diabetes Day Centre at the Guy's & St. Thomas' Hospital. Many positive feedback are received from the web site demonstrating DiabNet is an advanced web-based diabetes management system which can help patients to keep closer control of self-monitoring blood glucose remotely, and is an integrated diabetes information resource that offers telemedicine knowledge in diabetes management. Discussion In summary, DiabNet introduces an innovative online diabetes management concept, such as online appointment and consultation, to enable users to access diabetes management information without time and location limitation and security concerns.

  18. A stress management workshop improves residents' coping skills.

    PubMed

    McCue, J D; Sachs, C L

    1991-11-01

    We describe the effectiveness of a stress management workshop designed for physicians. Of the 64 medicine, pediatrics, and medicine-pediatrics residents who agreed to participate in the workshop, the 43 who could be freed from clinical responsibilities constituted the intervention group; the 21 residents who could not be freed from clinical responsibilities were asked to be the nonintervention group. The ESSI Stress Systems Instrument and Maslach Burnout Inventory were administered to control subjects and workshop participants 2 weeks before and 6 weeks after the workshop. The half-day workshops taught management of the stresses of medical practice through: (1) learning and practicing interpersonal skills that increase the availability of social support; (2) prioritization of personal, work, and educational demands; (3) techniques to increase stamina and attend to self-care needs; (4) recognition and avoidance of maladaptive responses; and (5) positive outlook skills. Overall, the ESSI Stress Systems Instrument test scores for the workshop participants improved (+1.27), while the nonintervention group's mean scores declined (-0.65). All 21 individual ESSI Stress Systems Instrument scale items improved for the workshop, compared with eight of 21 items for the nonintervention group. The workshop group improved in the Maslach Burnout Inventory emotional exhaustion scale and deteriorated less than the nonintervention group in the depersonalization scale. We conclude that a modest, inexpensive stress management workshop was received positively, and can lead to significant short-term improvement in stress and burnout test scores for medicine and pediatrics residents.

  19. System dynamics model of taxi management in metropolises: Economic and environmental implications for Beijing.

    PubMed

    Wang, Hao; Zhang, Kai; Chen, Junhua; Wang, Zhifeng; Li, Guijun; Yang, Yuqi

    2018-05-01

    Taxis are an important component of urban passenger transport. Research on the daily dispatching of taxis and the utility of governmental management is important for the improvement of passenger travel, taxi driver income and environmental impacts. However, urban taxi management is a complex and dynamic system that is affected by many factors, and positive/negative feedback relationships and nonlinear interactions exist between each subsystem and variable. Therefore, conventional research methods can hardly depict its characteristics comprehensively. To bridge this gap, this paper develops a system dynamics model of urban taxi management, in which the empty-loaded rate and total demand are selected as key factors affecting taxi dispatching, and the impacts of taxi fares on driver income and travel demand are taken into account. After the validation of the model, taxi operations data derived from a prior analysis of origin-destination data of Beijing taxis are used as input for the model to simulate the taxi market in Beijing. Finally, economic and environmental implications are provided for the government to optimise policies on taxi management. Copyright © 2018 Elsevier Ltd. All rights reserved.

  20. Hydrogeology of glacial-terrain lakes, with management and planning applications

    USGS Publications Warehouse

    Born, S.M.; Smith, S.A.; Stephenson, D.A.

    1979-01-01

    The subject of the relationship between groundwater and lakes is characterized by sparse information and, in general, has received limited attention by hydrologists. Nevertheless, the hydrogeologic regime of lakes must be adequately assessed in order to intelligently manage lakes and their related shorelands. This paper is a compilation of hydrogeologic data for numerous lakes in North America and presents a preliminary classification framework for lakes based on hydrogeologic considerations. The classification leads to systematic categorization of lake types for planning and management purposes. The main hydrogeologic factors for assessing lake environments are: (1) regime dominance, the relative magnitude of groundwater in the total water budget of a lake; (2) system efficiency, a description of the rate aspects of surface and groundwater movement through a lake system; and (3) position within a groundwater flow system. We indicate the significance and difficulty of measuring these descriptive characteristics and provide examples of each category. Additionally, a variety of lake-related activities that illustrate the value of hydrogeologic information for planning and management purposes are presented. ?? 1979.

  1. Occupational Therapy and Management of Multiple Chronic Conditions in the Context of Health Care Reform

    PubMed Central

    Fogelberg, Donald J.; Halle, Ashley D.; Mroz, Tracy M.

    2017-01-01

    One in four individuals living in the United States has multiple chronic conditions (MCCs), and the already high prevalence of MCCs continues to grow. This population has high rates of health care utilization yet poor outcomes, leading to elevated concerns about fragmented, low-quality care provided within the current health care system. Several national initiatives endeavor to improve care for the population with MCCs, and occupational therapy is uniquely positioned to contribute to these efforts for more efficient, effective, client-centered management of care. By integrating findings from the literature with current policy and practice, we aim to highlight the potential role for occupational therapy in managing MCCs within the evolving health care system. PMID:28027031

  2. Using project performance to measure effectiveness of quality management system maintenance and practices in construction industry.

    PubMed

    Leong, Tiong Kung; Zakuan, Norhayati; Mat Saman, Muhamad Zameri; Ariff, Mohd Shoki Md; Tan, Choy Soon

    2014-01-01

    This paper proposed seven existing and new performance indicators to measure the effectiveness of quality management system (QMS) maintenance and practices in construction industry. This research is carried out with a questionnaire based on QMS variables which are extracted from literature review and project performance indicators which are established from project management's theory. Data collected was analyzed using correlation and regression analysis. The findings indicate that client satisfaction and time variance have positive and significant relationship with QMS while other project performance indicators do not show significant results. Further studies can use the same project performance indicators to study the effectiveness of QMS in different sampling area to improve the generalizability of the findings.

  3. Using Project Performance to Measure Effectiveness of Quality Management System Maintenance and Practices in Construction Industry

    PubMed Central

    Leong, Tiong Kung; Ariff, Mohd. Shoki Md.

    2014-01-01

    This paper proposed seven existing and new performance indicators to measure the effectiveness of quality management system (QMS) maintenance and practices in construction industry. This research is carried out with a questionnaire based on QMS variables which are extracted from literature review and project performance indicators which are established from project management's theory. Data collected was analyzed using correlation and regression analysis. The findings indicate that client satisfaction and time variance have positive and significant relationship with QMS while other project performance indicators do not show significant results. Further studies can use the same project performance indicators to study the effectiveness of QMS in different sampling area to improve the generalizability of the findings. PMID:24701182

  4. Semantic World Modelling and Data Management in a 4d Forest Simulation and Information System

    NASA Astrophysics Data System (ADS)

    Roßmann, J.; Hoppen, M.; Bücken, A.

    2013-08-01

    Various types of 3D simulation applications benefit from realistic forest models. They range from flight simulators for entertainment to harvester simulators for training and tree growth simulations for research and planning. Our 4D forest simulation and information system integrates the necessary methods for data extraction, modelling and management. Using modern methods of semantic world modelling, tree data can efficiently be extracted from remote sensing data. The derived forest models contain position, height, crown volume, type and diameter of each tree. This data is modelled using GML-based data models to assure compatibility and exchangeability. A flexible approach for database synchronization is used to manage the data and provide caching, persistence, a central communication hub for change distribution, and a versioning mechanism. Combining various simulation techniques and data versioning, the 4D forest simulation and information system can provide applications with "both directions" of the fourth dimension. Our paper outlines the current state, new developments, and integration of tree extraction, data modelling, and data management. It also shows several applications realized with the system.

  5. A systems perspective on research and treatment with abused and neglected children.

    PubMed

    Clyman, R B

    2000-01-01

    To discuss two systems-level changes in the organization and financing of mental health and child welfare services that will increasingly affect abused and neglected children: the implementation of managed care processes and the incorporation of accountability mechanisms in the management of mental health and child welfare services, particularly the use of systematic outcomes assessments. A central goal of the paper is to identify critical research questions which will help us to understand the impact of these changes on maltreated children. These two systems-level changes are described, and ways they may affect maltreated children are addressed. Both managed care and the growing focus on managing services by monitoring outcomes may positively or negatively affect maltreated children. Both of these trends are affecting the mental health and child welfare systems. It is likely that they will affect maltreated children's access to and the quality, cost, and outcomes of mental health and child welfare services. Systematic research on the impact of these large-scale changes can increase the likelihood that these changes will benefit maltreated children. A number of critical areas are identified for future research.

  6. The CINMa index: assessing the potential impact of GM crop management across a heterogeneous landscape.

    PubMed

    Collier, Marcus J; Mullins, Ewen

    2010-01-01

    While significant progress has been made on the modification of crops for the benefit of producers, the same cannot be said in regards to eliciting the potential impact that these crops may have on the wider landscape and the diversity of life therein. Management impacts can create difficulties when making policy, regulation and licensing decisions in those countries where agriculture has a significant social and ecological position in the landscape. To begin to gauge the potential impacts of the management of a selection of GM crops on an agricultural landscape, four key biodiversity stressors (Chemicals, Introgression, Nutrients and Management: CINMa) were identified and a grading system developed using published data. Upon application to five selected GM crops in a case study area, CINMa identifies areas in the wider landscape where biodiversity is likely to be negatively or positively impacted, as well as agricultural zones which may benefit from the land use change associated with the management of GM crops and their associated post market environmental monitoring. © ISBR, EDP Sciences, 2011.

  7. Electronic camera-management system for 35-mm and 70-mm film cameras

    NASA Astrophysics Data System (ADS)

    Nielsen, Allan

    1993-01-01

    Military and commercial test facilities have been tasked with the need for increasingly sophisticated data collection and data reduction. A state-of-the-art electronic control system for high speed 35 mm and 70 mm film cameras designed to meet these tasks is described. Data collection in today's test range environment is difficult at best. The need for a completely integrated image and data collection system is mandated by the increasingly complex test environment. Instrumentation film cameras have been used on test ranges to capture images for decades. Their high frame rates coupled with exceptionally high resolution make them an essential part of any test system. In addition to documenting test events, today's camera system is required to perform many additional tasks. Data reduction to establish TSPI (time- space-position information) may be performed after a mission and is subject to all of the variables present in documenting the mission. A typical scenario would consist of multiple cameras located on tracking mounts capturing the event along with azimuth and elevation position data. Corrected data can then be reduced using each camera's time and position deltas and calculating the TSPI of the object using triangulation. An electronic camera control system designed to meet these requirements has been developed by Photo-Sonics, Inc. The feedback received from test technicians at range facilities throughout the world led Photo-Sonics to design the features of this control system. These prominent new features include: a comprehensive safety management system, full local or remote operation, frame rate accuracy of less than 0.005 percent, and phase locking capability to Irig-B. In fact, Irig-B phase lock operation of multiple cameras can reduce the time-distance delta of a test object traveling at mach-1 to less than one inch during data reduction.

  8. New software system to improve AGU membership management

    NASA Astrophysics Data System (ADS)

    McEntee, Chris

    2012-06-01

    Almost 2 years ago, AGU began investigating how it could more efficiently manage member and customer records as well as support processes that currently run on multiple systems. I am pleased to announce that on 25 June, as the result of intense efforts, AGU will migrate to a new database software system that will house the majority of AGU operations. AGU staff will have more tools at their disposal to assist members, and members will have more intuitive and user-friendly options when using the online interface to update their profiles or make purchases. I am particularly excited about this major improvement to our infrastructure because it better positions AGU to achieve goals in its strategic plan.

  9. Recommendations on chemicals management policy and legislation in the framework of the Egyptian-German twinning project on hazardous substances and waste management.

    PubMed

    Wagner, Burkhard O; Aziz, Elham Refaat Abdel; Schwetje, Anja; Shouk, Fatma Abou; Koch-Jugl, Juliane; Braedt, Michael; Choudhury, Keya; Weber, Roland

    2013-04-01

    The sustainable management of chemicals and their associated wastes-especially legacy stockpiles-is always challenging. Developing countries face particular difficulties as they often have insufficient treatment and disposal capacity, have limited resources and many lack an appropriate and effective regulatory framework. This paper describes the objectives and the approach of the Egyptian-German Twinning Project under the European Neighbourhood Policy to improve the strategy of managing hazardous substances in the Egyptian Environmental Affairs Agency (EEAA) between November 2008 and May 2011. It also provides an introduction to the Republic of Egypt's legal and administrative system regarding chemical controls. Subsequently, options for a new chemical management strategy consistent with the recommendations of the United Nations Chemicals Conventions are proposed. The Egyptian legal and administrative system is discussed in relation to the United Nations' recommendations and current European Union legislation for the sound management of chemicals. We also discuss a strategy for the EEAA to use the existing Egyptian legal system to implement the United Nations' Globally Harmonized System of Classification and Labelling of Chemicals, the Stockholm Convention and other proposed regulatory frameworks. The analysis, the results, and the recommendations presented may be useful for other developing countries in a comparable position to Egypt aspiring to update their legislation and administration to the international standards of sound management of chemicals.

  10. Medical informatics in medical research - the Severe Malaria in African Children (SMAC) Network's experience.

    PubMed

    Olola, C H O; Missinou, M A; Issifou, S; Anane-Sarpong, E; Abubakar, I; Gandi, J N; Chagomerana, M; Pinder, M; Agbenyega, T; Kremsner, P G; Newton, C R J C; Wypij, D; Taylor, T E

    2006-01-01

    Computers are widely used for data management in clinical trials in the developed countries, unlike in developing countries. Dependable systems are vital for data management, and medical decision making in clinical research. Monitoring and evaluation of data management is critical. In this paper we describe database structures and procedures of systems used to implement, coordinate, and sustain data management in Africa. We outline major lessons, challenges and successes achieved, and recommendations to improve medical informatics application in biomedical research in sub-Saharan Africa. A consortium of experienced research units at five sites in Africa in studying children with disease formed a new clinical trials network, Severe Malaria in African Children. In December 2000, the network introduced an observational study involving these hospital-based sites. After prototyping, relational database management systems were implemented for data entry and verification, data submission and quality assurance monitoring. Between 2000 and 2005, 25,858 patients were enrolled. Failure to meet data submission deadline and data entry errors correlated positively (correlation coefficient, r = 0.82), with more errors occurring when data was submitted late. Data submission lateness correlated inversely with hospital admissions (r = -0.62). Developing and sustaining dependable DBMS, ongoing modifications to optimize data management is crucial for clinical studies. Monitoring and communication systems are vital in multi-center networks for good data management. Data timeliness is associated with data quality and hospital admissions.

  11. Obesity disease management opportunities and barriers.

    PubMed

    Sidorov, Jaan E; Fitzner, Karen

    2006-04-01

    Disease management, a system of coordinated health care interventions and communications for chronically ill populations, relies on patient education and case management to engage individuals in the management of their condition. Disease management also aims to enhance the quality of interactions between doctors and patients and advance evidence-based medicine. Because these programs' interventions frequently include helping individuals who suffer comorbidities associated with obesity to reduce their BMI, adaptation of disease management to populations with obesity seems a viable option. A major barrier for implementing disease management for obesity, however, is the lack of proven return on investment, which limits health plan and disease management organization interest. Purchaser demand may overcome this reluctance. Further research is needed to objectively test whether disease management interventions would be clinically effective for obese populations, produce positive financial outcomes for insurers, and enhance workplace productivity.

  12. [Cognitive behavioral therapy for psychosis to promote social recovery].

    PubMed

    Yamasaki, Syudo

    2013-01-01

    When conducting cognitive behavioral therapy for psychosis (CBTp), it is essential that therapists aim for the recovery of patients with psychosis. During the sessions, the therapist helps a person with psychosis understand their symptoms, manages his/her residual positive symptoms, and helps them to cope with distress from the positive symptoms by themselves. Such CBTp should be designed to achieve the goals of the patient's social life. Recently, the effect of CBTp on residual positive symptoms of drug resistance has been reported repeatedly. Manifestation, cognitive bias, and activaters of residual positive symptoms differ considerably between individuals with psychosis. In the psychiatric rehabilitation field in Japan today, the symptom self-management module is being used. The symptom self-management module is derived from the techniques of group social skills training. However, there are needs for individual cognitive behavioral therapy for psychosis to meet the marked variation in individual needs. The effect of CBTp by itself on an individual with the initial episode of psychosis is limited. Many individuals with their first episode are teenagers or adolescents. Those patients are usually confronted with the problems of education and employment, which are key developmental tasks in adolescence. In order to meet those needs, a case manager should be assigned to an individual with first-episode psychosis, and CBTp should be implemented within the case management process. The CBTp has been introduced in various forms for the purpose of recovery support of individuals with psychosis. For the future, not only the accumulation of evidence but also the development of a dissemination system of CBTp are required to meet the individual needs of patients.

  13. Higher levels of multiple ecosystem services are found in forests with more tree species

    PubMed Central

    Gamfeldt, Lars; Snäll, Tord; Bagchi, Robert; Jonsson, Micael; Gustafsson, Lena; Kjellander, Petter; Ruiz-Jaen, María C.; Fröberg, Mats; Stendahl, Johan; Philipson, Christopher D.; Mikusiński, Grzegorz; Andersson, Erik; Westerlund, Bertil; Andrén, Henrik; Moberg, Fredrik; Moen, Jon; Bengtsson, Jan

    2013-01-01

    Forests are of major importance to human society, contributing several crucial ecosystem services. Biodiversity is suggested to positively influence multiple services but evidence from natural systems at scales relevant to management is scarce. Here, across a scale of 400,000 km2, we report that tree species richness in production forests shows positive to positively hump-shaped relationships with multiple ecosystem services. These include production of tree biomass, soil carbon storage, berry production and game production potential. For example, biomass production was approximately 50% greater with five than with one tree species. In addition, we show positive relationships between tree species richness and proxies for other biodiversity components. Importantly, no single tree species was able to promote all services, and some services were negatively correlated to each other. Management of production forests will therefore benefit from considering multiple tree species to sustain the full range of benefits that the society obtains from forests. PMID:23299890

  14. Achieving universal health coverage in South Africa through a district health system approach: conflicting ideologies of health care provision.

    PubMed

    Fusheini, Adam; Eyles, John

    2016-10-07

    Universal Health Coverage (UHC) has emerged as a major goal for health care delivery in the post-2015 development agenda. It is viewed as a solution to health care needs in low and middle countries with growing enthusiasm at both national and global levels. Throughout the world, however, the paths of countries to UHC have differed. South Africa is currently reforming its health system with UHC through developing a national health insurance (NHI) program. This will be practically achieved through a decentralized approach, the district health system, the main vehicle for delivering services since democracy. We utilize a review of relevant documents, conducted between September 2014 and December 2015 of district health systems (DHS) and UHC and their ideological underpinnings, to explore the opportunities and challenges, of the district health system in achieving UHC in South Africa. Review of data from the NHI pilot districts suggests that as South Africa embarks on reforms toward UHC, there is a need for a minimal universal coverage and emphasis on district particularity and positive discrimination so as to bridge health inequities. The disparities across districts in relation to health profiles/demographics, health delivery performance, management of health institutions or district management capacity, income levels/socio-economic status and social determinants of health, compliance with quality standards and above all the burden of disease can only be minimised through positive discrimination by paying more attention to underserved and disadavantaged communities. We conclude that in South Africa the DHS is pivotal to health reform and UHC may be best achieved through minimal universal coverage with positive discrimination to ensure disparities across districts in relation to disease burden, human resources, financing and investment, administration and management capacity, service readiness and availability and the health access inequalities are consciously implicated. Yet ideological and practical issues make its achievement problematic.

  15. Study of the Continuous Improvement Trend for Health, Safety and Environmental Indicators, after Establishment of Integrated Management System (IMS) in a Pharmaceutical Industry in Iran.

    PubMed

    Mariouryad, Pegah; Golbabaei, Farideh; Nasiri, Parvin; Mohammadfam, Iraj; Marioryad, Hossein

    2015-10-01

    Nowadays, organizations try to improve their services and consequently adopt management systems and standards which have become key parts in various industries. One of these management systems which have been noticed in the recent years is Integrated Management System that is the combination of quality, health, safety and environment management systems. This study was conducted with the aim of evaluating the improvement trend after establishment of integrated management system for health, safety and environment indicators, in a pharmaceutical industry in Iran. First, during several inspections in different parts of the industry, indicators that should have been noted were listed and then these indicators were organized in 3 domains of health, safety and environment in the form of a questionnaire that followed Likert method of scaling. Also, the weight of each index was resulted from averaging out of 30 managers and the viewpoints of the related experts in the field. Moreover, by checking the documents and evidence of different years (5 contemplation years of this study), the score of each indicator was determined by multiplying the weight and score of the indices and were finally analysed. Over 5 years, scores of health scope indicators, increased from 161.99 to 202.23. Score in the first year after applying the integrated management system establishment was 172.37 in safety part and in the final year increased to 197.57. The changes of environmental scope rates, from the beginning of the program up to the last year increased from 49.24 to 64.27. Integrated management systems help organizations to improve programs to achieve their objectives. Although in this study all trends of health, safety and environmental indicator changes were positive, but at the same time showed to be slow. So, one can suggest that the result of an annual evaluation should be applied in planning future activities for the years ahead.

  16. Study of the Continuous Improvement Trend for Health, Safety and Environmental Indicators, after Establishment of Integrated Management System (IMS) in a Pharmaceutical Industry in Iran

    PubMed Central

    Mariouryad, Pegah; Golbabaei, Farideh; Nasiri, Parvin; Mohammadfam, Iraj

    2015-01-01

    Background Nowadays, organizations try to improve their services and consequently adopt management systems and standards which have become key parts in various industries. One of these management systems which have been noticed in the recent years is Integrated Management System that is the combination of quality, health, safety and environment management systems. Aim This study was conducted with the aim of evaluating the improvement trend after establishment of integrated management system for health, safety and environment indicators, in a pharmaceutical industry in Iran. Materials and Methods First, during several inspections in different parts of the industry, indicators that should have been noted were listed and then these indicators were organized in 3 domains of health, safety and environment in the form of a questionnaire that followed Likert method of scaling. Also, the weight of each index was resulted from averaging out of 30 managers and the viewpoints of the related experts in the field. Moreover, by checking the documents and evidence of different years (5 contemplation years of this study), the score of each indicator was determined by multiplying the weight and score of the indices and were finally analysed. Results Over 5 years, scores of health scope indicators, increased from 161.99 to 202.23. Score in the first year after applying the integrated management system establishment was 172.37 in safety part and in the final year increased to 197.57. The changes of environmental scope rates, from the beginning of the program up to the last year increased from 49.24 to 64.27. Conclusion Integrated management systems help organizations to improve programs to achieve their objectives. Although in this study all trends of health, safety and environmental indicator changes were positive, but at the same time showed to be slow. So, one can suggest that the result of an annual evaluation should be applied in planning future activities for the years ahead. PMID:26557547

  17. Virtual workstation - A multimodal, stereoscopic display environment

    NASA Astrophysics Data System (ADS)

    Fisher, S. S.; McGreevy, M.; Humphries, J.; Robinett, W.

    1987-01-01

    A head-mounted, wide-angle, stereoscopic display system controlled by operator position, voice and gesture has been developed for use in a multipurpose interface environment. The system provides a multisensory, interactive display environment in which a user can virtually explore a 360-degree synthesized or remotely sensed environment and can viscerally interact with its components. Primary applications of the system are in telerobotics, management of large-scale integrated information systems, and human factors research. System configuration, application scenarios, and research directions are described.

  18. Electronic and optical properties of GaAs/AlGaAs Fibonacci ordered multiple quantum well systems

    NASA Astrophysics Data System (ADS)

    Amini, M.; Soleimani, M.; Ehsani, M. H.

    2017-12-01

    We numerically investigated the optical rectification coefficients (ORCs), transmission coefficient, energy levels and corresponding eigen-functions of GaAs/AlGaAs Fibonacci ordered multiple quantum well systems (FO-MQWs) in the presence of an external electric field. In our calculations, two different methods, including transfer matrix and finite-difference have been used. It has been illustrated that with three types of the FO-MQWs, presented here, localization of the wave-function in any position of the structure is possible. Therefore, managing the electron distribution within the system is easier now. Finally, using the presented structures we could tune the position and amplitude of the ORCs.

  19. From Decent Work to Decent Lives: Positive Self and Relational Management (PS&RM) in the Twenty-First Century

    PubMed Central

    Di Fabio, Annamaria; Kenny, Maureen E.

    2016-01-01

    The aim of the present study is to empirically test the theoretical model, Positive Self and Relational Management (PS&RM), for a sample of 184 Italian university students. The PS&RM model specifies the development of individuals' strengths, potentials, and talents across the lifespan and with regard to the dialect of self in relationship. PS&RM is defined theoretically by three constructs: Positive Lifelong Life Management, Positive Lifelong Self-Management, Positive Lifelong Relational Management. The three constructs are operationalized as follows: Positive Lifelong Life Management is measured by the Positive and Negative Affect Schedule (PANAS), the Satisfaction With Life Scale (SWLS), the Meaningful Life Measure (MLM), and the Authenticity Scale (AS); Positive Lifelong Self-Management is measured by the Intrapreneurial Self-Capital Scale (ISC), the Career Adapt-Abilities Scale (CAAS), and the Life Project Reflexivity Scale (LPRS); and Positive Lifelong Relational Management is measured by the Trait Emotional Intelligence Questionnaire (TEIQue), the Multidimensional Scale for Perceived Social Support (MSPSS), and the Positive Relational Management Scale (PRMS). Confirmatory factor analysis of the PS&RM model was completed using structural equation modeling. The theoretical PS&RM model was empirically tested as defined by the three hypothesized constructs. Empirical support for this model offers a framework for further research and the design of preventive interventions to promote decent work and decent lives in the twenty-first century. PMID:27047406

  20. 78 FR 53477 - Second Call for Nominations to the Utah Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-29

    ... positions with terms expiring on January 12, 2014. The RAC provides advice and recommendations to the BLM on land use planning and management of the National System of Public Lands within Utah. The BLM will...

  1. Interactive effects among ecosystem services and management practices on crop production: pollination in coffee agroforestry systems.

    PubMed

    Boreux, Virginie; Kushalappa, Cheppudira G; Vaast, Philippe; Ghazoul, Jaboury

    2013-05-21

    Crop productivity is improved by ecosystem services, including pollination, but this should be set in the context of trade-offs among multiple management practices. We investigated the impact of pollination services on coffee production, considering variation in fertilization, irrigation, shade cover, and environmental variables such as rainfall (which stimulates coffee flowering across all plantations), soil pH, and nitrogen availability. After accounting for management interventions, bee abundance improved coffee production (number of berries harvested). Some management interventions, such as irrigation, used once to trigger asynchronous flowering, dramatically increased bee abundance at coffee trees. Others, such as the extent and type of tree cover, revealed interacting effects on pollination and, ultimately, crop production. The effects of management interventions, notably irrigation and addition of lime, had, however, far more substantial positive effects on coffee production than tree cover. These results suggest that pollination services matter, but managing the asynchrony of flowering was a more effective tool for securing good pollination than maintaining high shade tree densities as pollinator habitat. Complex interactions across farm and landscape scales, including both management practices and environmental conditions, shape pollination outcomes. Effective production systems therefore require the integrated consideration of management practices in the context of the surrounding habitat structure. This paper points toward a more strategic use of ecosystem services in agricultural systems, where ecosystem services are shaped by the coupling of management interventions and environmental variables.

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

    PubMed

    Dölarslan, Emre Sahin

    2009-01-01

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

  3. Modernizing the Mobility Air Force for Tomorrow’s Air Traffic Management System

    DTIC Science & Technology

    2012-01-01

    Decision Support System GLONASS Global’naya Navigatsionnaya Sputnikovaya Sistema [Global Navigation Satellite System] GPS Global Positioning System HF high...spreadsheet, November 2009. Eurocontrol, “Link 2000+ Programme: Frequently Asked Questions,” web page, undated(a). As of June 5, 2012: http...www.eurocontrol.int/faq/link2000 ———, “Link 2000+ Programme,” web page, undated(b). As of June 5, 2012: http://www.eurocontrol.int/programmes/link-2000-programme

  4. Computerized clinical decision support systems for drug prescribing and management: a decision-maker-researcher partnership systematic review.

    PubMed

    Hemens, Brian J; Holbrook, Anne; Tonkin, Marita; Mackay, Jean A; Weise-Kelly, Lorraine; Navarro, Tamara; Wilczynski, Nancy L; Haynes, R Brian

    2011-08-03

    Computerized clinical decision support systems (CCDSSs) for drug therapy management are designed to promote safe and effective medication use. Evidence documenting the effectiveness of CCDSSs for improving drug therapy is necessary for informed adoption decisions. The objective of this review was to systematically review randomized controlled trials assessing the effects of CCDSSs for drug therapy management on process of care and patient outcomes. We also sought to identify system and study characteristics that predicted benefit. We conducted a decision-maker-researcher partnership systematic review. We updated our earlier reviews (1998, 2005) by searching MEDLINE, EMBASE, EBM Reviews, Inspec, and other databases, and consulting reference lists through January 2010. Authors of 82% of included studies confirmed or supplemented extracted data. We included only randomized controlled trials that evaluated the effect on process of care or patient outcomes of a CCDSS for drug therapy management compared to care provided without a CCDSS. A study was considered to have a positive effect (i.e., CCDSS showed improvement) if at least 50% of the relevant study outcomes were statistically significantly positive. Sixty-five studies met our inclusion criteria, including 41 new studies since our previous review. Methodological quality was generally high and unchanged with time. CCDSSs improved process of care performance in 37 of the 59 studies assessing this type of outcome (64%, 57% of all studies). Twenty-nine trials assessed patient outcomes, of which six trials (21%, 9% of all trials) reported improvements. CCDSSs inconsistently improved process of care measures and seldomly improved patient outcomes. Lack of clear patient benefit and lack of data on harms and costs preclude a recommendation to adopt CCDSSs for drug therapy management.

  5. Evidence-based management assessment of return on investment from anesthesia information management systems.

    PubMed

    O'Sullivan, Cormac T; Dexter, Franklin; Lubarsky, David A; Vigoda, Michael M

    2007-02-01

    A systematic and comprehensive review of the scientific literature revealed 4 evidence-based methods that contribute to a positive return on investment from anesthesia information management systems (AIMS): reducing anesthetic-related drug costs, improving staff scheduling and reducing staffing costs, increasing anesthesia billing and capture of anesthesia-related charges, and increased hospital reimbursement through improved hospital coding. There were common features to these interventions. Whereas an AIMS may be the ideal choice to achieve these cost reductions and revenue increases, alternative existing systems may be satisfactory for the studied applications (i.e., the incremental advantage to the AIMS may be less than predicted from applying each study to each facility). Savings are likely heterogeneous among institutions, making an internal survey using standard accounting methods necessary to perform a valid return on investment analysis. Financial advantages can be marked for the anesthesia providers, although hospitals are more likely to purchase the AIMS.

  6. 76 FR 61371 - All-Hazard Position Task Books for Type 3 Incident Management Teams

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-04

    ...-Hazard Position Task Books for Type 3 Incident Management Teams AGENCY: Federal Emergency Management... Books for Type 3 Incident Management Teams were developed to assist personnel achieve qualifications in... Management Teams were developed to assist personnel achieve qualifications in the All-Hazard ICS positions...

  7. Range Safety for an Autonomous Flight Safety System

    NASA Technical Reports Server (NTRS)

    Lanzi, Raymond J.; Simpson, James C.

    2010-01-01

    The Range Safety Algorithm software encapsulates the various constructs and algorithms required to accomplish Time Space Position Information (TSPI) data management from multiple tracking sources, autonomous mission mode detection and management, and flight-termination mission rule evaluation. The software evaluates various user-configurable rule sets that govern the qualification of TSPI data sources, provides a prelaunch autonomous hold-launch function, performs the flight-monitoring-and-termination functions, and performs end-of-mission safing

  8. A Systems Architecture and Advanced Sensors Application for Real-Time Aircraft Structural Health Monitoring

    DTIC Science & Technology

    2011-03-01

    DEPARTMENT OF THE AIR FORCE AIR UNIVERSITY AIR FORCE INSTITUTE OF TECHNOLOGY Wright-Patterson Air Force Base, Ohio APPROVED FOR PUBLIC RELEASE...position of the United States Air Force, Department of Defense, or the United States Government. This material is declared a work of the United...Management Graduate School of Engineering and Management Air Force Institute of Technology Air University Air Education and Training Command In

  9. Adaptive self-regulation: meeting others' expectations of leadership and performance.

    PubMed

    Sosik, John J; Potosky, Denise; Jung, Dong I

    2002-04-01

    The authors used longitudinal multisource field data to examine core aspects of the adaptive self-regulation model (A. S. Tsui & S. J. Ashford, 1994) in terms of linkages between self-monitoring, discrepancy in manager match-to-position, 5 measures of leadership, and manager performance. At Time 1, 64 superiors of focal managers rated the managers' matches to their positions within the organization; at Time 3, they rated the managers' performance. At Time 2, the 64 focal managers completed a measure of self-monitoring, and 192 subordinates rated the focal managers' leadership behaviors. Results of partial least squares analysis revealed that discrepancy in manager match-to-position was associated with reductions in laissez faire and passive management-by-exception behaviors and increases in transformational leadership behavior. Self-monitoring was positively associated with all 5 leadership behaviors. Performance was related positively to transformational leadership behavior and negatively to passive management-by-exception and contingent-reward behaviors

  10. Pros and Cons of Clinical Pathway Software Management: A Qualitative Study.

    PubMed

    Aarnoutse, M F; Brinkkemper, S; de Mul, M; Askari, M

    2018-01-01

    In this study we aimed to assess the perceived effectiveness of clinical pathway management software for healthcare professionals. A case study on the clinical pathway management software program Check-It was performed in three departments at an academic medical center. Four months after the implementation of the software, interviews were held with healthcare professionals who work with the system. The interview questions were posed in a semi-structured interview format and the participant were asked about the perceived positive or negative effects of Check-It, and whether they thought the software is effective for them. The interviews were recorded and transcribed based on grounded theory, using different coding techniques. Our results showed fewer overlooked tasks, pre-filled orders and letters, better overview, and increased protocol insight as positive aspects of using the software. Being not flexible enough was experienced as a negative aspect.

  11. Steps to Health employee weight management randomized control trial: short-term follow-up results.

    PubMed

    Østbye, Truls; Stroo, Marissa; Brouwer, Rebecca J N; Peterson, Bercedis L; Eisenstein, Eric L; Fuemmeler, Bernard F; Joyner, Julie; Gulley, Libby; Dement, John M

    2015-02-01

    To present the short-term follow-up findings of the Steps to Health study, a randomized trial to evaluate the effectiveness of two employee weight management programs offered within Duke University and the Health System. A total of 550 obese (body mass index, ≥30 kg/m2) employees were randomized 1:1 between January 2011 and June 2012 to the education-based Weight Management (WM) or the WM+ arm, which focused on behavior modification. Employees were contacted to complete a follow-up visit approximately 14 months after baseline. There were no clinically, or statistically, meaningful differences between arms, but there were modest reductions in body mass index, and positive, meaningful changes in diet and physical activity for both arms. The modest positive effects observed in this study may suggest that to achieve weight loss through the workplace more intensive interventions may be required.

  12. Readiness for change and job satisfaction in a case of lean management application - a comparative study.

    PubMed

    Lipińska-Grobelny, Agnieszka; Papieska, Ewelina

    2012-09-01

    This current study investigates the effect of lean management system on work attitudes of workers of two manufacturing companies. "Lean management" is a concept of work processes and human relations that determines company's productivity and profitability. Workers of two enterprises, the first one with lean production and the second one with old mass production, were compared for their readiness for change and job satisfaction (both emotional and cognitive aspect). The sample of 102 employees completed a battery of instruments such as: the Job Description Inventory by Neuberger and Allerbeck, the Job Affect Scale by Burke et al. and the Change-Readiness Scale by Kriegel and Brandt. Individuals from the lean manufacturing company were characterized by higher level of readiness for change, positive affect at work, and cognitive job satisfaction. In this approach the introduction of lean production positively affected company's human resource attitudes.

  13. What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts.

    PubMed

    Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Bosch-Capblanch, Xavier; Wyss, Kaspar

    2015-01-01

    Ineffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana. All 21 district health managers working in three districts of the Eastern Region were included in the study and followed for a period of three months. Daily retrospective interviews about their time use were conducted, covering 1182 person-days of observation. Total time use of the sample population was assessed as well as time use stratified by managerial position. Differences of time use over time were also evaluated. District health managers used most of their working time for data management (16.6%), attending workshops (12.3%), financial management (8.7%), training of staff (7.1%), drug and supply management (5.0%), and travelling (9.6%). The study found significant variations of time use across the managerial cadres as well as high weekly variations of time use impulsed mainly by a national vertical program. District health managers in Ghana use substantial amounts of their working time in only few activities and vertical programs greatly influence their time use. Our findings suggest that efficiency gains are possible for district health managers. However, these are unlikely to be achieved without improvements within the general health system, as inefficiencies seem to be largely caused by external factors.

  14. Positive Management Education: Creating Creative Minds, Passionate Hearts, and Kindred Spirits

    ERIC Educational Resources Information Center

    Karakas, Fahri

    2011-01-01

    The goal of this article is to explore positive management education, a practice-based teaching and learning model centered on positive organizational scholarship. Six signs of transformation in organizations are presented: complexity, community, creativity, spirituality, flexibility, and positivity. A model for positive management education is…

  15. Humanizing the Classroom: Praxis of Full Day School System in Indonesia

    ERIC Educational Resources Information Center

    Suyatno; Wantini

    2018-01-01

    The full day school program is a new model in the education management system in Indonesia. This phenomenon is interesting because there is a paradox in it. Education in Indonesia is often criticized for the learning which is too heavy, but the full day school program gets a positive response from the community although it has longer school hours.…

  16. State-of-the-art technologies of forest inventory and monitoring in Taiwan

    Treesearch

    Fong-Long Feng

    2000-01-01

    Ground surveys, remote sensing (RS), global positioning systems (GPS), geographic information systems (GIS), and permanent sampling plots (PSP) were used to inventory and monitor forests in the development of an ecosystem management plan for the island of Taiwan. While the entire island has been surveyed, this study concentrates on the Hui-Sun and Hsin-Hua Experimental...

  17. How Management Information Systems Can Enhance the Air Force Drug Testing Program

    DTIC Science & Technology

    1989-12-01

    promising processes to positively identify potential system users (46:401). Scope This study will cover issues concerning the Air Force drug testing...7 Scope....................10 Limitations of the Research . . . 10 Investigative Questions ............ 10 Expected Benefits of the Study . . . . 11...Resource Allocation. ....... 41 M1.>ethodology....................44 The Historical Research Method . . .. 44 The Historical Research Method for this Study

  18. Risk Management using Dependency Stucture Matrix

    NASA Astrophysics Data System (ADS)

    Petković, Ivan

    2011-09-01

    An efficient method based on dependency structure matrix (DSM) analysis is given for ranking risks in a complex system or process whose entities are mutually dependent. This rank is determined according to the element's values of the unique positive eigenvector which corresponds to the matrix spectral radius modeling the considered engineering system. For demonstration, the risk problem of NASA's robotic spacecraft is analyzed.

  19. Individualized management of follicular lymphoma.

    PubMed

    Bai, Bing; Huang, Hui-Qiang

    2015-03-01

    Follicular lymphoma (FL) is the most common indolent non-hodgkin lymphoma. Most patients with FL are diagnosed with advanced disease and are considered incurable. The classical prognostic index in FL is the FL international prognostic index (FLIPI). The management of FL is mainly determined by histologic grading, clinical stage, and tumor burden. For patients with stage I and II disease, an involved-site radiation therapy (ISRT) is recommended and may be potentially curative approach with 60% to 80% of 10-year overall survival (OS) rates, while patients with stage III and IV should be treated with systemic therapy. The watchful waiting is still an option for patients without symptoms or/and low tumor burden. Induction of immuno-chemotherapy combined with consolidation of rituximab maintenance (MR) is standard care for patients with symptomatic disease or with high tumor burden when treatment indicated. The major indication for systemic therapy is including candidate for clinical trials, threatened end organ function, cytopenia secondary to lymphoma bulky disease and steady progress etc. at present time. Routine baseline and regular hepatitis B surface antigen (HBsAg) and hepatitis B core antibody (HBcAb) testing is strongly recommended for all patients before the initiation of immuno-chemotherapy in order to minimize the risk of hepatitis B virus (HBV) reactivation which has been observed approximately 20% to 50% of patients with positive HBsAg and 3% to 45% of patients with positive HBcAb. Prophylactic antiviral treatment in patients who are HBsAg-positive or HBcAb-positive is indicated before immuno-chemotherapy. The management for elderly patients should be carefully selected to avoid overtreatment and severe toxicities. Individualized dose adjustment for chemotherapy and an adequate supportive treatment are essential for this special population. Novel agents such as lenalidomide, ibrutinib and idelalisib are promising. In conclusion, individualized management of FL remains challenging and role of new targeted agents need to be defined.

  20. Method for a Leading Edge Slat on a Wing of an Aircraft

    NASA Technical Reports Server (NTRS)

    Pitt, Dale M. (Inventor); Eckstein, Nicholas Stephen (Inventor)

    2016-01-01

    A method for managing a flight control surface system. A leading edge device is moved on a leading edge from an undeployed position to a deployed position. The leading edge device has an outer surface, an inner surface, and a deformable fairing attached to the leading edge device such that the deformable fairing covers at least a portion of the inner surface. The deformable fairing changes from a deformed shape to an original shape when the leading edge device is moved to the deployed position. The leading edge device is then moved from the deployed position to the undeployed position, wherein the deformable fairing changes from the original shape to the deformed shape.

  1. Motion management within two respiratory-gating windows: feasibility study of dual quasi-breath-hold technique in gated medical procedures

    NASA Astrophysics Data System (ADS)

    Kim, Taeho; Kim, Siyong; Park, Yang-Kyun; Youn, Kaylin K.; Keall, Paul; Lee, Rena

    2014-11-01

    A dual quasi-breath-hold (DQBH) technique is proposed for respiratory motion management (a hybrid technique combining breathing-guidance with breath-hold task in the middle). The aim of this study is to test a hypothesis that the DQBH biofeedback system improves both the capability of motion management and delivery efficiency. Fifteen healthy human subjects were recruited for two respiratory motion measurements (free breathing and DQBH biofeedback breathing for 15 min). In this study, the DQBH biofeedback system utilized the abdominal position obtained using an real-time position management (RPM) system (Varian Medical Systems, Palo Alto, USA) to audio-visually guide a human subject for 4 s breath-hold at EOI and 90% EOE (EOE90%) to improve delivery efficiency. We investigated the residual respiratory motion and the delivery efficiency (duty-cycle) of abdominal displacement within the gating window. The improvement of the abdominal motion reproducibility was evaluated in terms of cycle-to-cycle displacement variability, respiratory period and baseline drift. The DQBH biofeedback system improved the abdominal motion management capability compared to that with free breathing. With a phase based gating (mean ± std: 55  ±  5%), the averaged root mean square error (RMSE) of the abdominal displacement in the dual-gating windows decreased from 2.26 mm of free breathing to 1.16 mm of DQBH biofeedback (p-value = 0.007). The averaged RMSE of abdominal displacement over the entire respiratory cycles reduced from 2.23 mm of free breathing to 1.39 mm of DQBH biofeedback breathing in the dual-gating windows (p-value = 0.028). The averaged baseline drift dropped from 0.9 mm min-1 with free breathing to 0.09 mm min-1 with DQBH biofeedback (p-value = 0.048). The averaged duty-cycle with an 1 mm width of displacement bound increased from 15% of free breathing to 26% of DQBH biofeedback (p-value = 0.003). The study demonstrated that the DQBH biofeedback system has the potential to significantly reduce the residual respiratory motion with the improved duty cycle during the respiratory gating procedure.

  2. Features and Effects of Information Technology-Based Interventions to Improve Self-Management in Chronic Kidney Disease Patients: a Systematic Review of the Literature.

    PubMed

    Jeddi, Fateme Rangraz; Nabovati, Ehsan; Amirazodi, Shahrzad

    2017-09-18

    Slowing down the progression of chronic kidney disease (CKD) and its adverse health outcomes requires the patient's self-management and attention to treatment recommendations. Information technology (IT)-based interventions are increasingly being used to support self-management in patients with chronic diseases such as CKD. We conducted a systematic review of randomized controlled trials (RCTs) to assess the features and effects of IT-based interventions on self-management outcomes of CKD patients. A comprehensive search was conducted in Medline, Scopus, and the Cochrane Library to identify relevant papers that were published until May 2016. RCT Studies that assessed at least one automated IT tool in patients with CKD stages 1 to 5, and reported at least one self-management outcome were included. Studies were appraised for quality using the Cochrane Risk of Bias assessment tool. Out of 12,215 papers retrieved, eight study met the inclusion criteria. Interventions were delivered via smartphones/personal digital assistants (PDAs) (three studies), wearable devices (three studies), computerized systems (one study), and multiple component (one study). The studies assessed 15 outcomes, including eight clinical outcomes and seven process of care outcomes. In 12 (80%) of the 15 outcomes, the studies had revealed the effects of the interventions as statistically significant positive. These positive effects were observed in 75% of the clinical outcomes and 86% of the process of care outcomes. The evidence indicates the potential of IT-based interventions (i.e. smartphones/PDAs, wearable devices, and computerized systems) in self-management outcomes (clinical and process of care outcomes) of CKD patients.

  3. Time compression diseconomies in environmental management: the effect of assimilation on environmental performance.

    PubMed

    Lannelongue, Gustavo; Gonzalez-Benito, Javier; Gonzalez-Benito, Oscar; Gonzalez-Zapatero, Carmen

    2015-01-01

    This research addresses the relationship between an organisation's assimilation of its environmental management system (EMS), the experience it gains through it, and its environmental performance. Assimilation here refers to the degree to which the requirements of the management standard are integrated within a plant's daily operations. Basing ourselves on the heterogeneity of organisations, we argue that assimilation and experience will inform environmental performance. Furthermore, we posit that the relationship between assimilation and environmental performance depends on experience. The attempt to obtain greater assimilation in a shorter time leads an organisation to record a poorer environmental outcome, which we shall refer to as time compression diseconomies in environmental management. We provide empirical evidence based on 154 plants pertaining to firms in Spain subject to the European Union's CO2 Emissions Trading System. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. Augmented reality building operations tool

    DOEpatents

    Brackney, Larry J.

    2014-09-09

    A method (700) for providing an augmented reality operations tool to a mobile client (642) positioned in a building (604). The method (700) includes, with a server (660), receiving (720) from the client (642) an augmented reality request for building system equipment (612) managed by an energy management system (EMS) (620). The method (700) includes transmitting (740) a data request for the equipment (612) to the EMS (620) and receiving (750) building management data (634) for the equipment (612). The method (700) includes generating (760) an overlay (656) with an object created based on the building management data (634), which may be sensor data, diagnostic procedures, or the like. The overlay (656) is configured for concurrent display on a display screen (652) of the client (642) with a real-time image of the building equipment (612). The method (700) includes transmitting (770) the overlay (656) to the client (642).

  5. Effectiveness of nursing management information systems: a systematic review.

    PubMed

    Choi, Mona; Yang, You Lee; Lee, Sun-Mi

    2014-10-01

    The purpose of this study was to review evaluation studies of nursing management information systems (NMISs) and their outcome measures to examine system effectiveness. For the systematic review, a literature search of the PubMed, CINAHL, Embase, and Cochrane Library databases was conducted to retrieve original articles published between 1970 and 2014. Medical Subject Headings (MeSH) terms included informatics, medical informatics, nursing informatics, medical informatics application, and management information systems for information systems and evaluation studies and nursing evaluation research for evaluation research. Additionally, manag(*) and admin(*), and nurs(*) were combined. Title, abstract, and full-text reviews were completed by two reviewers. And then, year, author, type of management system, study purpose, study design, data source, system users, study subjects, and outcomes were extracted from the selected articles. The quality and risk of bias of the studies that were finally selected were assessed with the Risk of Bias Assessment Tool for Non-randomized Studies (RoBANS) criteria. Out of the 2,257 retrieved articles, a total of six articles were selected. These included two scheduling programs, two nursing cost-related programs, and two patient care management programs. For the outcome measurements, usefulness, time saving, satisfaction, cost, attitude, usability, data quality/completeness/accuracy, and personnel work patterns were included. User satisfaction, time saving, and usefulness mostly showed positive findings. The study results suggest that NMISs were effective in time saving and useful in nursing care. Because there was a lack of quality in the reviewed studies, well-designed research, such as randomized controlled trials, should be conducted to more objectively evaluate the effectiveness of NMISs.

  6. 3D-Web-GIS RFID location sensing system for construction objects.

    PubMed

    Ko, Chien-Ho

    2013-01-01

    Construction site managers could benefit from being able to visualize on-site construction objects. Radio frequency identification (RFID) technology has been shown to improve the efficiency of construction object management. The objective of this study is to develop a 3D-Web-GIS RFID location sensing system for construction objects. An RFID 3D location sensing algorithm combining Simulated Annealing (SA) and a gradient descent method is proposed to determine target object location. In the algorithm, SA is used to stabilize the search process and the gradient descent method is used to reduce errors. The locations of the analyzed objects are visualized using the 3D-Web-GIS system. A real construction site is used to validate the applicability of the proposed method, with results indicating that the proposed approach can provide faster, more accurate, and more stable 3D positioning results than other location sensing algorithms. The proposed system allows construction managers to better understand worksite status, thus enhancing managerial efficiency.

  7. 3D-Web-GIS RFID Location Sensing System for Construction Objects

    PubMed Central

    2013-01-01

    Construction site managers could benefit from being able to visualize on-site construction objects. Radio frequency identification (RFID) technology has been shown to improve the efficiency of construction object management. The objective of this study is to develop a 3D-Web-GIS RFID location sensing system for construction objects. An RFID 3D location sensing algorithm combining Simulated Annealing (SA) and a gradient descent method is proposed to determine target object location. In the algorithm, SA is used to stabilize the search process and the gradient descent method is used to reduce errors. The locations of the analyzed objects are visualized using the 3D-Web-GIS system. A real construction site is used to validate the applicability of the proposed method, with results indicating that the proposed approach can provide faster, more accurate, and more stable 3D positioning results than other location sensing algorithms. The proposed system allows construction managers to better understand worksite status, thus enhancing managerial efficiency. PMID:23864821

  8. Capacity Takes Flight: A Vehicle-Centered Approach to Sustainable Airspace Productivity

    NASA Technical Reports Server (NTRS)

    Wing, David J.; Ballin, Mark G.; Barmore, Bryan E.

    2005-01-01

    The National Airspace System (NAS) faces a significant challenge. With the nation's economy growing stronger, and passengers returning to the skies, the demand for air transportation is steadily rising once again. The capacity of the current airspace system will struggle to keep pace in the near term, and with demand expected to double within a decade, air traffic delays are likely to escalate, soon becoming intolerable for aviation businesses. Recognition in the aviation community is forming that retaining a growing, thriving air transportation system for the benefit of the traveling public and the world economy will likely require implementing transformational ideas in air traffic management. This video illustrates an approach NASA is pursuing to this end: the notion that a major untapped resource available to air traffic management can be leveraged, the aircraft itself. The thesis presented is that implementation of vehicle-centric air traffic management capabilities into the NAS could have a profound, positive, and sustainable impact on system capacity, individual aircraft operators, and the economy through its dependency on air.

  9. Ostertagia ostertagi antibodies in milk samples: relationships with herd management and milk production parameters in two Mediterranean production systems of Spain.

    PubMed

    Almería, S; Adelantado, C; Charlier, J; Claerebout, E; Bach, A

    2009-12-01

    The present study analyzed Ostertagia ostertagi antibodies by indirect ELISA in milk samples in two cattle systems in Mediterranean Spain to indirectly monitor gastrointestinal nematode (GI) parasitism effects on production. Individual samples from 10 animals and the corresponding milk herd samples were collected from 133 herds in Girona (intensive management) and 123 herds in Minorca (extensive management). Both locations showed high and significant positive relationships between average optical density ratios (ODR) of individual animals and ODR in their milk tank. Although antibodies levels were low, there were significantly higher in Minorca. Negative correlations between ODR values and milk production were found in both systems. Importantly, in Minorca, average herd milk production was higher in the herds that treated their animals against GI nematodes compared to those that did not treat. The ELISA technique was valuable to indirectly assess differences in the level of GI nematode infection even in cattle production systems with low levels of infection.

  10. Management of a rare presentation of Vogt-Koyanagi-Harada disease in human immunodeficiency virus/acquired immunodeficiency disease syndrome patient.

    PubMed

    Priya, D; Sudharshan, S; Biswas, Jyotirmay

    2017-05-01

    Vogt-Koyanagi-Harada (VKH), a multisystem autoimmune bilateral panuveitis with systemic manifestations, is uncommon in immunocompromised patients such as human immunodeficiency virus (HIV)/acquired immunodeficiency disease syndrome (AIDS). We report a rare presentation of VKH in a 45-year-old HIV-positive female on highly active antiretroviral therapy (HAART) who presented with a history of recurrent panuveitis. A diagnosis of probable VKH was made based on ocular and systemic signs and symptoms. She was treated with topical and systemic steroids with close monitoring of CD4 counts and viral loads. After inflammation control, complicated cataract was managed surgically under perioperative steroid cover. VKH in HIV/AIDS has not been reported earlier. This case shows that significant inflammation can be seen even in HIV/AIDS patients on HAART with VKH in spite of moderate CD4 counts. Management is a challenge considering the systemic risks with long-term use of steroids.

  11. Systems of support to increase colorectal cancer screening and follow-up rates (SOS): design, challenges, and baseline characteristics of trial participants.

    PubMed

    Green, Beverly B; Wang, C Y; Horner, Kathryn; Catz, Sheryl; Meenan, Richard T; Vernon, Sally W; Carrell, David; Chubak, Jessica; Ko, Cynthia; Laing, Sharon; Bogart, Andy

    2010-11-01

    Screening decreases colorectal cancer (CRC) morbidity and mortality, yet remains underutilized. Screening breakdowns arise from lack of uptake and failure to follow-up after a positive screening test. Systems of support to increase colorectal cancer screening and follow-up (SOS) is a randomized trial designed to increase: (1) CRC screening and (2) follow-up of positive screening tests. The Chronic Care Model and the Preventive Health Model inform study design. The setting is a large nonprofit healthcare organization. In part-1 study, patients age 50-75 due for CRC screening are randomized to one of 4 study conditions. Arm 1 receives usual care. Arm 2 receives automated support (mailed information about screening choices and fecal occult blood tests (FOBT)). Arm 3 receives automated and assisted support (a medical assistant telephone call). Arm 4 receives automated, assisted, and care management support (a registered nurse provides behavioral activation and coordination of care). In part-2, study patients with a positive FOBT or adenomas on flexible sigmoidoscopy are randomized to receive either usual care or nurse care management. Primary outcomes are: 1) the proportion with CRC screening, 2) the proportion with a complete diagnostic evaluation after a positive screening test. We sent recruitment letters to 15,414 patients and 4675 were randomized. Randomly assigned treatment groups were similar in age, sex, race, education, self-reported health, and CRC screening history. We will determine the effectiveness and cost effectiveness of stepped increases in systems of support to increase CRC screening and follow-up after a positive screening test over 2years. Copyright © 2010 Elsevier Inc. All rights reserved.

  12. Advances in chemical pharmacotherapy to manage advanced breast cancer.

    PubMed

    Gombos, Andrea; Awada, Ahmad

    2017-01-01

    Advanced breast cancer is still incurable. However, patients diagnosed with this fatal disease live longer. The selection of systemic therapy is mainly based on molecular subtype. The aim of management in these patients is to not only improve outcome, but also to maintain quality of life. Areas covered: In this paper we focus on available treatments and drugs under late development in the three main subtypes of breast cancer: luminal (hormone receptor positive), HER2 positive and triple negative disease. Main advances during the last years have been made in the treatment of HER2 positive breast cancer with the approval of several new targeted agents. Luminal breast cancer is also a field of active clinical research. So far triple negative breast cancer remains the subtype with the worse prognosis, even though new discoveries have been made to better understand the huge heterogeneity of this type of breast cancer. Expert opinion: Several new treatment options have recently been established in metastatic breast cancer. Side effects are sometimes cumbersome for the patient and are difficult to manage easily. Thus, identification of patients who derive the most benefit is needed. In addition, collaborative efforts should integrate the genotypic fragmentation in the management and future clinical research strategies of metastatic breast cancer patients.

  13. Management of Asymptomatic Renal Stones in Astronauts

    NASA Technical Reports Server (NTRS)

    Reyes, David; Locke, James

    2016-01-01

    Introduction: Management guidelines were created to screen and manage asymptomatic renal stones in U.S. astronauts. The risks for renal stone formation in astronauts due to bone loss and hypercalcuria are unknown. Astronauts have a stone risk which is about the same as commercial aviation pilots, which is about half that of the general population. However, proper management of this condition is still crucial to mitigate health and mission risks in the spaceflight environment. Methods: An extensive review of the literature and current aeromedical standards for the monitoring and management of renal stones was done. The NASA Flight Medicine Clinic's electronic medical record and Longitudinal Survey of Astronaut Health were also reviewed. Using this work, a screening and management algorithm was created that takes into consideration the unique operational environment of spaceflight. Results: Renal stone screening and management guidelines for astronauts were created based on accepted standards of care, with consideration to the environment of spaceflight. In the proposed algorithm, all astronauts will receive a yearly screening ultrasound for renal calcifications, or mineralized renal material (MRM). Any areas of MRM, 3 millimeters or larger, are considered a positive finding. Three millimeters approaches the detection limit of standard ultrasound, and several studies have shown that any stone that is 3 millimeters or less has an approximately 95 percent chance of spontaneous passage. For mission-assigned astronauts, any positive ultrasound study is followed by low-dose renal computed tomography (CT) scan, and flexible ureteroscopy if CT is positive. Other specific guidelines were also created. Discussion: The term "MRM" is used to account for small areas of calcification that may be outside the renal collecting system, and allows objectivity without otherwise constraining the diagnostic and treatment process for potentially very small calcifications of uncertain significance. However, a small asymptomatic MRM or stone within the renal collecting system may become symptomatic, and so affect launch and flight schedules, cause incapacitation during flight, and ultimately require medical evacuation. For exploration class missions, evacuation is unlikely. The new screening and management algorithm allows better management of mission risks, and will define the true incidence of renal stones in U.S. astronauts. This information will be used to refine future screening, countermeasures and treatment methods; and will also inform the needed capabilities to be flown on exploration-class missions.

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

    NASA Astrophysics Data System (ADS)

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

    2016-06-01

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

  15. Successful management of acute respiratory failure in an Idiopathic Pulmonary Fibrosis patient using an extracorporeal carbon dioxide removal system.

    PubMed

    Vianello, Andrea; Arcaro, Giovanna; Paladini, Luciana; Iovino, Silvia

    2016-08-01

    Patients with Idiopathic Pulmonary Fibrosis (IPF) requiring Invasive Mechanical Ventilation (IMV) following unsuccessful treatment with Non-Invasive Ventilation (NIV) have a high mortality rate. IMV is, moreover, an independent predictor of poor outcome during the post-transplantation period in patients on waiting lists for Lung Transplantation (LT). Here we describe the successful management of an IPF patient with acute respiratory failure (ARF) using a pump-assisted veno-venous system for extracorporeal CO2 removal (ECCO2R) (ProLUNG® system) as an alternative to endotracheal intubation (ETI) following NIV failure. Given this positive experience, further studies are warranted focusing on the ECCO2R system's tolerability, safety, and efficacy in patients with IPF and severe ARF in whom NIV alone is ineffective.

  16. Measuring the executive regulation of emotion with self-rating scales in a nonclinical population.

    PubMed

    Spinella, Marcello

    2007-01-01

    Prefrontal systems play an important role in the regulation of emotion as evidenced by clinical neuroimaging studies. Both subjective and objective neuropsychological tests provide functional evidence of executive dysfunction in emotional deregulation. The present authors evaluated these relationships here in a nonclinical community sample using the Frontal Systems Behavior Scale, Profile of Mood States (POMS), and Depression Anxiety Stress Scales (DASS). Positive correlations uniformly emerged between prefrontal system dysfunction and negative emotional states (anger, depression, anxiety, stress, confusion, and fatigue), whereas positive emotion (vigor) showed a modest inverse correlation with prefrontal system dysfunction, even after control for demographic influences. These relationships may result from cognitive strategies for managing emotion mediated by reciprocal connections between prefrontal systems and the limbic system. The findings corroborated those of other methodologies, supporting the Frontal Systems Behavior Scale (FrSBe) as a valid tool to measure prefrontal function in nonclinical populations.

  17. Assessing Landscape Constraints on Species Abundance: Does the Neighborhood Limit Species Response to Local Habitat Conservation Programs?

    PubMed Central

    Jorgensen, Christopher F.; Powell, Larkin A.; Lusk, Jeffery J.; Bishop, Andrew A.; Fontaine, Joseph J.

    2014-01-01

    Landscapes in agricultural systems continue to undergo significant change, and the loss of biodiversity is an ever-increasing threat. Although habitat restoration is beneficial, management actions do not always result in the desired outcome. Managers must understand why management actions fail; yet, past studies have focused on assessing habitat attributes at a single spatial scale, and often fail to consider the importance of ecological mechanisms that act across spatial scales. We located survey sites across southern Nebraska, USA and conducted point counts to estimate Ring-necked Pheasant abundance, an economically important species to the region, while simultaneously quantifying landscape effects using a geographic information system. To identify suitable areas for allocating limited management resources, we assessed land cover relationships to our counts using a Bayesian binomial-Poisson hierarchical model to construct predictive Species Distribution Models of relative abundance. Our results indicated that landscape scale land cover variables severely constrained or, alternatively, facilitated the positive effects of local land management for Ring-necked Pheasants. PMID:24918779

  18. How Do High-Performance Work Systems Affect Individual Outcomes: A Multilevel Perspective.

    PubMed

    Zhang, Junwei; Akhtar, M Naseer; Bal, P Matthijs; Zhang, Yajun; Talat, Usman

    2018-01-01

    Research on high-performance work systems (HPWS) has suggested that a potential disconnection may exist between organizational-level HPWS and employee experienced HPWS. However, few studies have identified factors that are implied within such a relationship. Using a sample of 397 employees, 84 line managers, and 21 HR executives in China, we examined whether line managers' goal congruence can reduce the difference between organizational-level HPWS and employee experienced HPWS. Furthermore, this study also theorized and tested organization-based self-esteem (OBSE) as a mediator in the associations between employee experienced HPWS and job performance and job satisfaction. Using multilevel analyses, we found that line managers' goal congruence strengthened the relationship between organizational-level HPWS and employee experienced HPWS, such that the relationship was significant and positive when line managers' goal congruence was high, but a non-significant relationship when line managers' goal congruence was low. Moreover, employee experienced HPWS indirectly affected job performance and job satisfaction through the mechanism of OBSE beyond social exchange perspective.

  19. Assessing landscape constraints on species abundance: Does the neighborhood limit species response to local habitat conservation programs?

    USGS Publications Warehouse

    Jorgensen, Christopher F.; Powell, Larkin A.; Lusk, Jeffrey J.; Bishop, Andrew A.; Fontaine, Joseph J.

    2014-01-01

    Landscapes in agricultural systems continue to undergo significant change, and the loss of biodiversity is an ever-increasing threat. Although habitat restoration is beneficial, management actions do not always result in the desired outcome. Managers must understand why management actions fail; yet, past studies have focused on assessing habitat attributes at a single spatial scale, and often fail to consider the importance of ecological mechanisms that act across spatial scales. We located survey sites across southern Nebraska, USA and conducted point counts to estimate Ring-necked Pheasant abundance, an economically important species to the region, while simultaneously quantifying landscape effects using a geographic information system. To identify suitable areas for allocating limited management resources, we assessed land cover relationships to our counts using a Bayesian binomial-Poisson hierarchical model to construct predictive Species Distribution Models of relative abundance. Our results indicated that landscape scale land cover variables severely constrained or, alternatively, facilitated the positive effects of local land management for Ring-necked Pheasants.

  20. A need for the standardization of the pharmaceutical sector in Libya

    PubMed Central

    Mustafa, Asma Abubakr; Kowalski, Stefan Robert

    2010-01-01

    Medicines are health technologies that can translate into tangible benefits for numerous acute as well as chronic health conditions. A nation's pharmaceutical sector needs to be appropriately structured and managed in order to ensure a safe, effective and quality supply of medicines to society. The process of medicines management involves the sequential management of five critical activity areas; namely; registration, selection, procurement, distribution and use. Formalized and standardized management of all five critical activity areas positively influences the availability, quality and affordability of medicines and ultimately increases the reliability and quality of the national healthcare system. Aim The aim of this review is to examine the current structure and operation of medicines management (i.e. the pharmaceutical sector) in Libya. Conclusion In the Libyan healthcare system all five critical activity areas are compromised. Restructuring of the pharmaceutical sector in Libya is required in order to provide and sustain sound pharmaceutical services for Libyan society and improve the national public health outcomes. PMID:21483563

  1. Challenges and issues of geolocation in clinical environment.

    PubMed

    Issom, David-Zacharie; Hagry, Claire; Wodia Mendo, Laetitia; Seng, Henry; Ehrler, Frederic; Lovis, Christian

    2012-01-01

    Reaching a good indoor geolocation without deploying extensive and expensive infrastructure is a challenge, because satellite positioning system is not available indoors. Geolocation could be of major use in healthcare facilities; to help care providers, visitors and patients to navigate, to improve movements and flows efficiency or to implement location-awareness systems. A system able to provide the location of a person in a hospital requires precision, multi-floors and obstacles management and should also perform in basements and outdoors. Such system needs also to be insensitive to environmental variations occurring in a hospital. These changes may be various kinds of obstacles. These can be the displacement of metallic objects, metallic machines, strong magnetic fields or simply human displacement. A system conforming to the above requirements can also answer various security questions, operational workflow management but also assist movement of people.

  2. 77 FR 52219 - Amendment of Class E Airspace; Lewistown, MT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-29

    ... Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures at Lewistown Municipal Airport. This improves the safety and management of Instrument Flight Rules (IFR...) standard instrument approach procedures at the airport. This action is necessary for the safety and...

  3. 76 FR 55232 - Establishment of Class E Airspace; Copperhill, TN

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-07

    ...) Standard Instrument Approach Procedures serving Martin Campbell Field Airport. This action enhances the safety and airspace management of Instrument Flight Rules (IFR) operations within the National Airspace... Positioning System (GPS) Standard Instrument Approach Procedures developed for Martin Campbell Field Airport...

  4. 78 FR 38197 - Establishment of Class E Airspace; Port Townsend, WA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-26

    ... Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures at Jefferson County International Airport. This improves the safety and management of Instrument Flight Rules... airport, to accommodate IFR aircraft executing new RNAV (GPS) standard instrument approach procedures...

  5. 5 CFR 842.803 - Conditions for coverage.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 842.803 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers, Firefighters, and Air... in a position that has been determined by the employing agency head to be a rigorous law enforcement...

  6. 5 CFR 842.803 - Conditions for coverage.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 842.803 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers, Firefighters, and Air... in a position that has been determined by the employing agency head to be a rigorous law enforcement...

  7. 5 CFR 842.803 - Conditions for coverage.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 842.803 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers, Firefighters, and Air... in a position that has been determined by the employing agency head to be a rigorous law enforcement...

  8. 5 CFR 842.803 - Conditions for coverage.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 842.803 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers, Firefighters, and Air... in a position that has been determined by the employing agency head to be a rigorous law enforcement...

  9. 5 CFR 842.803 - Conditions for coverage.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 842.803 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES RETIREMENT SYSTEM-BASIC ANNUITY Law Enforcement Officers, Firefighters, and Air... in a position that has been determined by the employing agency head to be a rigorous law enforcement...

  10. 5 CFR 532.301 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Determining Rates for Principal Types of Positions § 532.301 Definitions. For purposes of this subpart... in the survey area whose activities are similar to those in the dominant industry. Principal types of...

  11. THE DESIGN OF PERFORMANCE MONITORING SYSTEMS IN HEALTHCARE ORGANIZATIONS: A STAKEHOLDER PERSPECTIVE.

    PubMed

    Rouhana, Rima E; Van Caillie, Didier

    2016-01-01

    Monitoring hospitals performance is evolving over time in search of more efficiency by integrating additional levels of care, reducing costs and keeping staff up-to-date. To fulfill these three potentially divergent aspects and to monitor performance, healthcare administrators are using dissimilar management control tools. To explain why, we suggest to go beyond traditional contingent factors to assess the role of the different stakeholders that are at the heart of any healthcare organization. We rely first on seminal studies to appraise the role of the main healthcare players and their influence on some organizational attributes. We then consider the managerial awareness and the perception of a suitable management system to promote a strategy-focused organization. Our methodology is based on a qualitative approach of twenty-two case studies, led in two heterogeneous environments (Belgium and Lebanon), comparing the managerial choice of a management system within three different healthcare organizational structures. Our findings allow us to illustrate, for each healthcare player, his positioning within the healthcare systems. Thus, we define how his role, perception and responsiveness manipulate the organization's internal climate and shape the design of the performance monitoring systems. In particular, we highlight the managerial role and influence on the choice of an adequate management system.

  12. Occupational Safety and Health System for Workers Engaged in Emergency Response Operations in the USA.

    PubMed

    Toyoda, Hiroyuki; Kubo, Tatsuhiko; Mori, Koji

    2016-12-03

    To study the occupational safety and health systems used for emergency response workers in the USA, we performed interviews with related federal agencies and conducted research on related studies. We visited the Federal Emergency Management Agency (FEMA) and National Institute for Occupational Safety and Health (NIOSH) in the USA and performed interviews with their managers on the agencies' roles in the national emergency response system. We also obtained information prepared for our visit from the USA's Occupational Safety and Health Administration (OSHA). In addition, we conducted research on related studies and information on the website of the agencies. We found that the USA had an established emergency response system based on their National Incident Management System (NIMS). This enabled several organizations to respond to emergencies cooperatively using a National Response Framework (NRF) that clarifies the roles and cooperative functions of each federal agency. The core system in NIMS was the Incident Command System (ICS), within which a Safety Officer was positioned as one of the command staff supporting the commander. All ICS staff were required to complete a training program specific to their position; in addition, the Safety Officer was required to have experience. The All-Hazards model was commonly used in the emergency response system. We found that FEMA coordinated support functions, and OSHA and NIOSH, which had specific functions to protect workers, worked cooperatively under NRF. These agencies employed certified industrial hygienists that play a professional role in safety and health. NIOSH recently executed support activities during disasters and other emergencies. The USA's emergency response system is characterized by functions that protect the lives and health of emergency response workers. Trained and experienced human resources support system effectiveness. The findings provided valuable information that could be used to improve the occupational safety and health function in the Japanese system.

  13. Case management directors: how to manage in a transition-focused world: part 2.

    PubMed

    Bankston White, Cheri; Birmingham, Jackie

    2015-01-01

    Case management directors are in a dynamic position to affect the transition of care of patients across the continuum, work with all levels of providers, and support the financial well-being of a hospital. Most importantly, they can drive good patient outcomes. Although the position is critical on many different levels, there is little to help guide a new director in attending to all the "moving parts" of such a complex role.This is Part 2 of a two-part article written for case management directors, particularly new ones.Part 1 covered the first 4 of 7 tracks: (1) Staffing and Human Resources, (2) Compliance and Accreditation, (3) Discharge Planning and (4) Utilization Review and Revenue Cycle. Part 2 addresses (5) Internal Departmental Relationships (Organizational), (6) External Relationships (Community Agency), and (7) Quality and Program Outcomes.This article attempts to answer the following questions: : The information is most meaningful to those case management directors who work in either stand-alone hospitals or integrated health systems and have frontline case managers (CMs) reporting to them. Part 1 found that case management directors would benefit from further research and documentation of "best practices" related to their role, particularly in the areas of leadership and management. The same conclusion applies to Part 2, which addresses the director's responsibilities outside her immediate department. Leadership and management skills apply as well to building strong, productive relationships across a broad spectrum of external organizations that include payer, provider, and regulatory agencies. At the same time, they must also develop the skills to positively influence the revenue cycle and financial health of both the organization for which they work and those to whom they transition patients. A director of case management with responsibility for transitions of care has more power and influence over patient safety than is commonly known. Few of the directors who are drawn from clinical case management or other leadership positions and thrust into this role are prepared to navigate within the organization, much less across the whole spectrum of payer, provider, and monitoring organizations. Yet the external focus of the director's role continues to grow in importance as the health care industry evolves and more focus is placed on population management and relationships with payers and community providers.

  14. Registered nurses' experiences of rewarding in a Finnish University Hospital - an interview study.

    PubMed

    Seitovirta, Jaana; Partanen, Pirjo; Vehviläinen-Julkunen, Katri; Kvist, Tarja

    2015-10-01

    The purpose was to describe Finnish registered nurses' experiences of rewarding. The aim was to gather detailed information on the rewarding of nurses to help nurse managers and leaders to update existing reward strategy and to develop an effective reward system. Rewarding has been found positively to influence nurses' occupational well-being and commitment to their work, and the attractiveness of the health care field. A series of focused interviews with 10 registered nurses was conducted in 2011. Qualitative content analysis method was used. The nurses reported positive experiences with rewarding in the form of monetary compensation and other benefits, the positive aspects of nursing work and opportunities for professional development. The experiences of unsatisfactory rewarding generally stemmed from negative emotional experiences, lacking rewards and inequality in rewarding. It is essential to listen to nurses and to provide appropriate acknowledgement and appreciation of their work in order to develop an effective reward system. It is important to listen to nurses' experiences of rewarding because it enables nurse managers to maintain and increase the attractiveness of nursing and health care work in general. © 2014 John Wiley & Sons Ltd.

  15. A large seroprevalence survey of brucellosis in cattle herds under diverse production systems in northern Nigeria

    PubMed Central

    2012-01-01

    Background This study was carried out to investigate the status of brucellosis in cattle under various management systems in Adamawa, Kaduna and Kano states, northern Nigeria. Using multi-stage sampling, serum samples of 4,745 cattle from 271 herds were tested using the Rose-Bengal plate-agglutination test (RBPT) and positives were confirmed using a competitive enzyme-linked immunosorbent assay (c-ELISA). Results Prevalence estimates were calculated by adjusting for sampling weights and where possible for test sensitivity and specificity. Thirty-seven percent of all animals were RBPT positive, and after confirmation with c-ELISA the overall animal-level prevalence, adjusted for sampling weights, was 26.3% (95% CI, 22.1%-31.0%). Of the herds sampled, 210 (77.5%; 95% CI, 68.6%-84.5%) had at least one animal positive to both tests; this did not differ significantly between states (P = 0.538). Mean within-herd seroprevalence in positive herds was 30.2% (95% CI, 25.3%-35.1%) and ranged from 3.1% to 85.7%. Overall animal-level seroprevalences of 29.2% (95% CI, 22.5%-36.9%) n = 1,827, 23.3% (95% CI, 18.9%-28.3%) n = 1,870 and 26.7% (95% CI, 18.8%-36.7%) n = 1,048 were observed in Adamawa, Kaduna and Kano states, respectively (P = 0.496). A significantly higher seroprevalence was found in males (38.2%; 95% CI, 31.7%-45.2%) than in females (24.7%; 95% CI, 20.4%-29.5%) (P < 0.001) and in non-pregnant females (27.8%; 95% CI, 22.9%-33.5%) than in pregnant females (17.2%; 95% CI, 13.6%-21.5%) (P < 0.001). Seroprevalence increased with increasing age (P < 0.001), from 13.5% (95% CI, 8.9%-19.9%) in cattle <4 years to 35.0% (95% CI, 28.5%-42.3%) in cattle >7 years. Seroprevalence also varied between management systems (P < 0.001): pastoral systems 45.1% (95% CI, 38.6%-51.9%), zero-grazing systems 23.8% (95% CI, 6.8%-59.2%), agro-pastoral systems 22.0% (95% CI, 17.3%-27.8%), and commercial farms 15.9% (95% CI, 9.5%-25.5%). Seroprevalence did not differ significantly between breeds or lactation status. Conclusion This is the first large study to assess the prevalence of bovine brucellosis over a wide geographic area of northern Nigeria, in a variety of management systems and using accurate tests. The seroprevalence of brucellosis was high, and higher than results of previous studies in northern Nigeria. The pastoral management systems of the traditional Fulanis may be encouraging the dissemination of the disease. Public enlightenment of the farmers about the disease, vaccination and appropriate national control measures are recommended. PMID:22920578

  16. Financial risk management of pharmacy benefits.

    PubMed

    Saikami, D

    1997-10-01

    Financial risk management of pharmacy benefits in integrated health systems is explained. A managed care organization should assume financial risk for pharmacy benefits only if it can manage the risk. Horizontally integrated organizations often do not have much control over the management of drug utilization and costs. Vertically integrated organizations have the greatest ability to manage pharmacy financial risk; virtual integration may also be compatible. Contracts can be established in which the provider is incentivized or placed at partial or full risk. The main concerns that health plans have with respect to pharmacy capitation are formulary management and the question of who should receive rebates from manufacturers. The components needed to managed pharmacy financial risk depend on the type of contract negotiated. Health-system pharmacists are uniquely positioned to take advantage of opportunities opening up through pharmacy risk contracting. Functions most organizations must provide when assuming pharmacy financial risk can be divided into internal and external categories. Internally performed functions include formulary management, clinical pharmacy services and utilization management, and utilization reports for physicians. Functions that can be outsourced include claims processing and administration, provider- and customer support services, and rebates. Organizations that integrate the pharmacy benefit across the health care continuum will be more effective in controlling costs and improving outcomes than organizations that handle this benefit as separate from others. Patient care should not focus on payment mechanisms and unit costs but on developing superior processes and systems that improve health care.

  17. Using mobile phone text messaging for malaria surveillance in rural Kenya

    PubMed Central

    2014-01-01

    Background Effective surveillance systems are required to track malaria testing and treatment practices. A 26-week study “SMS for Life” was piloted in five rural districts of Kenya to examine whether SMS reported surveillance data could ensure real-time visibility of accurate data and their use by district managers to impact on malaria case-management. Methods Health workers from 87 public health facilities used their personal mobile phones to send a weekly structured SMS text message reporting the counts of four basic surveillance data elements to a web-based system accessed by district managers. Longitudinal monitoring of SMS reported data through the web-based system and two rounds of cross-sectional health facility surveys were done to validate accuracy of data. Results Mean response rates were 96% with 87% of facilities reporting on time. Fifty-eight per cent of surveillance data parameters were accurately reported. Overall mean testing rates were 37% with minor weekly variations ranging from 32 to 45%. Overall test positivity rate was 24% (weekly range: 17-37%). Ratio of anti-malarial treatments to test positive cases was 1.7:1 (weekly range: 1.3:1–2.2:1). District specific trends showed fluctuating patterns in testing rates without notable improvement over time but the ratio of anti-malarial treatments to test positive cases improved over short periods of time in three out of five districts. Conclusions The study demonstrated the feasibility of using simple mobile phone text messages to transmit timely surveillance data from peripheral health facilities to higher levels. However, accuracy of data reported was suboptimal. Future work should focus on improving quality of SMS reported surveillance data. PMID:24642130

  18. Control of Future Air Traffic Systems via Complexity Bound Management

    NASA Technical Reports Server (NTRS)

    Alexandrov, Natalia

    2013-01-01

    The complexity of the present system for managing air traffic has led to "discreteness" in approaches to creating new concepts: new concepts are created as point designs, based on experience, expertise, and creativity of the proposer. Discrete point designs may be highly successful but they are difficult to substantiate in the face of equally strong substantiation of competing concepts, as well as the state of the art in concept evaluation via simulations. Hybrid concepts may present a compromise - the golden middle. Yet a hybrid of sometimes in principle incompatible concepts forms another point design that faces the challenge of substantiation and validation. We are faced with the need to re-design the air transportation system ab initio. This is a daunting task, especially considering the problem of transitioning from the present system to any fundamentally new system. However, design from scratch is also an opportunity to reconsider approaches to new concept development. In this position paper we propose an approach, Optimized Parametric Functional Design, for systematic development of concepts for management and control of airspace systems, based on optimization formulations in terms of required system functions and states. This reasoning framework, realizable in the context of ab initio system design, offers an approach to deriving substantiated airspace management and control concepts. With growing computational power, we hope that the approach will also yield a methodology for actual dynamic control of airspace

  19. Study on Mobile Object Positioning and Alarming System Based on the “Map World” in the Core Area of the Silk Road Economic Belt

    NASA Astrophysics Data System (ADS)

    Mu, Kai

    2017-02-01

    The established “Map World” on the National Geographic Information Public Service Platform offers free access to many geographic information in the Core Area of the Silk Road Economic Belt. Considering the special security situation and severe splittism and anti-splittism struggles in the Core Area of the Silk Road Economic Belt, a set of moving target positioning and alarming platform based on J2EE platform and B/S structure was designed and realized by combining the “Map World” data and global navigation satellite system. This platform solves various problems, such as effective combination of Global Navigation Satellite System (GNSS) and “Map World” resources, moving target alarming setting, inquiry of historical routes, system management, etc.

  20. An e-health system for the elderly (Butler Project): a pilot study on acceptance and satisfaction.

    PubMed

    Botella, Cristina; Etchemendy, Ernestina; Castilla, Diana; Baños, Rosa María; García-Palacios, Azucena; Quero, Soledad; Alcañiz, Mariano; Lozano, José Antonio

    2009-06-01

    The Butler Project is a technological e-health platform that uses the Internet to connect various users; it was designed to deliver health care to the elderly. The Butler platform has three levels of implementation: diagnosis (mood monitoring, alert system, management reports), therapy (training in inducing positive moods, memory work), and entertainment (e-mail, chat, video, photo albums, music, friend forums, accessibility to the Internet). The objective of this work is to describe the psychological aspects of the platform and to present data obtained from four users. Results show that after using the system, the participants increased their positive emotions and decreased their negative ones; in addition, they obtained high levels of satisfaction and experienced little difficulty in using the system.

  1. Integrating remote sensing, geographic information systems and global positioning system techniques with hydrological modeling

    NASA Astrophysics Data System (ADS)

    Thakur, Jay Krishna; Singh, Sudhir Kumar; Ekanthalu, Vicky Shettigondahalli

    2017-07-01

    Integration of remote sensing (RS), geographic information systems (GIS) and global positioning system (GPS) are emerging research areas in the field of groundwater hydrology, resource management, environmental monitoring and during emergency response. Recent advancements in the fields of RS, GIS, GPS and higher level of computation will help in providing and handling a range of data simultaneously in a time- and cost-efficient manner. This review paper deals with hydrological modeling, uses of remote sensing and GIS in hydrological modeling, models of integrations and their need and in last the conclusion. After dealing with these issues conceptually and technically, we can develop better methods and novel approaches to handle large data sets and in a better way to communicate information related with rapidly decreasing societal resources, i.e. groundwater.

  2. High performance work systems: the gap between policy and practice in health care reform.

    PubMed

    Leggat, Sandra G; Bartram, Timothy; Stanton, Pauline

    2011-01-01

    Studies of high-performing organisations have consistently reported a positive relationship between high performance work systems (HPWS) and performance outcomes. Although many of these studies have been conducted in manufacturing, similar findings of a positive correlation between aspects of HPWS and improved care delivery and patient outcomes have been reported in international health care studies. The purpose of this paper is to bring together the results from a series of studies conducted within Australian health care organisations. First, the authors seek to demonstrate the link found between high performance work systems and organisational performance, including the perceived quality of patient care. Second, the paper aims to show that the hospitals studied do not have the necessary aspects of HPWS in place and that there has been little consideration of HPWS in health system reform. The paper draws on a series of correlation studies using survey data from hospitals in Australia, supplemented by qualitative data collection and analysis. To demonstrate the link between HPWS and perceived quality of care delivery the authors conducted regression analysis with tests of mediation and moderation to analyse survey responses of 201 nurses in a large regional Australian health service and explored HRM and HPWS in detail in three casestudy organisations. To achieve the second aim, the authors surveyed human resource and other senior managers in all Victorian health sector organisations and reviewed policy documents related to health system reform planned for Australia. The findings suggest that there is a relationship between HPWS and the perceived quality of care that is mediated by human resource management (HRM) outcomes, such as psychological empowerment. It is also found that health care organisations in Australia generally do not have the necessary aspects of HPWS in place, creating a policy and practice gap. Although the chief executive officers of health service organisations reported high levels of strategic HRM, the human resource and other managers reported a distinct lack of HPWS from their perspectives. The authors discuss why health care organisations may have difficulty in achieving HPWS. Leaders in health care organisations should focus on ensuring human resource management systems, structures and processes that support HPWS. Policy makers need to consider HPWS as a necessary component of health system reform. There is a strong need to reorient organisational human resource management policies and procedures in public health care organisations towards high performing work systems.

  3. SU-E-T-785: Using Systems Engineering to Design HDR Skin Treatment Operation for Small Lesions to Enhance Patient Safety

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

    Saw, C; Baikadi, M; Peters, C

    2015-06-15

    Purpose: Using systems engineering to design HDR skin treatment operation for small lesions using shielded applicators to enhance patient safety. Methods: Systems engineering is an interdisciplinary field that offers formal methodologies to study, design, implement, and manage complex engineering systems as a whole over their life-cycles. The methodologies deal with human work-processes, coordination of different team, optimization, and risk management. The V-model of systems engineering emphasize two streams, the specification and the testing streams. The specification stream consists of user requirements, functional requirements, and design specifications while the testing on installation, operational, and performance specifications. In implementing system engineering tomore » this project, the user and functional requirements are (a) HDR unit parameters be downloaded from the treatment planning system, (b) dwell times and positions be generated by treatment planning system, (c) source decay be computer calculated, (d) a double-check system of treatment parameters to comply with the NRC regulation. These requirements are intended to reduce human intervention to improve patient safety. Results: A formal investigation indicated that the user requirements can be satisfied. The treatment operation consists of using the treatment planning system to generate a pseudo plan that is adjusted for different shielded applicators to compute the dwell times. The dwell positions, channel numbers, and the dwell times are verified by the medical physicist and downloaded into the HDR unit. The decayed source strength is transferred to a spreadsheet that computes the dwell times based on the type of applicators and prescribed dose used. Prior to treatment, the source strength, dwell times, dwell positions, and channel numbers are double-checked by the radiation oncologist. No dosimetric parameters are manually calculated. Conclusion: Systems engineering provides methodologies to effectively design the HDR treatment operation that minimize human intervention and improve patient safety.« less

  4. Multi-Sensor Fusion with Interacting Multiple Model Filter for Improved Aircraft Position Accuracy

    PubMed Central

    Cho, Taehwan; Lee, Changho; Choi, Sangbang

    2013-01-01

    The International Civil Aviation Organization (ICAO) has decided to adopt Communications, Navigation, and Surveillance/Air Traffic Management (CNS/ATM) as the 21st century standard for navigation. Accordingly, ICAO members have provided an impetus to develop related technology and build sufficient infrastructure. For aviation surveillance with CNS/ATM, Ground-Based Augmentation System (GBAS), Automatic Dependent Surveillance-Broadcast (ADS-B), multilateration (MLAT) and wide-area multilateration (WAM) systems are being established. These sensors can track aircraft positions more accurately than existing radar and can compensate for the blind spots in aircraft surveillance. In this paper, we applied a novel sensor fusion method with Interacting Multiple Model (IMM) filter to GBAS, ADS-B, MLAT, and WAM data in order to improve the reliability of the aircraft position. Results of performance analysis show that the position accuracy is improved by the proposed sensor fusion method with the IMM filter. PMID:23535715

  5. Multi-sensor fusion with interacting multiple model filter for improved aircraft position accuracy.

    PubMed

    Cho, Taehwan; Lee, Changho; Choi, Sangbang

    2013-03-27

    The International Civil Aviation Organization (ICAO) has decided to adopt Communications, Navigation, and Surveillance/Air Traffic Management (CNS/ATM) as the 21st century standard for navigation. Accordingly, ICAO members have provided an impetus to develop related technology and build sufficient infrastructure. For aviation surveillance with CNS/ATM, Ground-Based Augmentation System (GBAS), Automatic Dependent Surveillance-Broadcast (ADS-B), multilateration (MLAT) and wide-area multilateration (WAM) systems are being established. These sensors can track aircraft positions more accurately than existing radar and can compensate for the blind spots in aircraft surveillance. In this paper, we applied a novel sensor fusion method with Interacting Multiple Model (IMM) filter to GBAS, ADS-B, MLAT, and WAM data in order to improve the reliability of the aircraft position. Results of performance analysis show that the position accuracy is improved by the proposed sensor fusion method with the IMM filter.

  6. Bootstrap position analysis for forecasting low flow frequency

    USGS Publications Warehouse

    Tasker, Gary D.; Dunne, P.

    1997-01-01

    A method of random resampling of residuals from stochastic models is used to generate a large number of 12-month-long traces of natural monthly runoff to be used in a position analysis model for a water-supply storage and delivery system. Position analysis uses the traces to forecast the likelihood of specified outcomes such as reservoir levels falling below a specified level or streamflows falling below statutory passing flows conditioned on the current reservoir levels and streamflows. The advantages of this resampling scheme, called bootstrap position analysis, are that it does not rely on the unverifiable assumption of normality, fewer parameters need to be estimated directly from the data, and accounting for parameter uncertainty is easily done. For a given set of operating rules and water-use requirements for a system, water managers can use such a model as a decision-making tool to evaluate different operating rules. ?? ASCE,.

  7. Framework for integration of informal waste management sector with the formal sector in Pakistan.

    PubMed

    Masood, Maryam; Barlow, Claire Y

    2013-10-01

    Historically, waste pickers around the globe have utilised urban solid waste as a principal source of livelihood. Formal waste management sectors usually perceive the informal waste collection/recycling networks as backward, unhygienic and generally incompatible with modern waste management systems. It is proposed here that through careful planning and administration, these seemingly troublesome informal networks can be integrated into formal waste management systems in developing countries, providing mutual benefits. A theoretical framework for integration based on a case study in Lahore, Pakistan, is presented. The proposed solution suggests that the municipal authority should draw up and agree on a formal work contract with the group of waste pickers already operating in the area. The proposed system is assessed using the integration radar framework to classify and analyse possible intervention points between the sectors. The integration of the informal waste workers with the formal waste management sector is not a one dimensional or single step process. An ideal solution might aim for a balanced focus on all four categories of intervention, although this may be influenced by local conditions. Not all the positive benefits will be immediately apparent, but it is expected that as the acceptance of such projects increases over time, the informal recycling economy will financially supplement the formal system in many ways.

  8. A smartphone-based system for the automated management of point-of-care test results in hospitals.

    PubMed

    Jang, Dasom; Shin, Soo-Yong; Seo, Dong-Woo; Joo, Segyeong; Huh, Soo-Jin

    2015-04-01

    Managing test results is an important issue in hospitals because of the increasing use of point-of-care testing (POCT). Here, we propose a smartphone-based system for automatically managing POCT test results. We developed the system to provide convenience to the medical staffs. The system recognizes the patient identification or prescription number of the test by reading barcodes and provides a countdown to indicate when the results will be ready. When the countdown in finished, a picture of the test result is transferred to the electronic medical record server using the Health Level 7 protocol. Human immunodeficiency virus (HIV) kits were selected in this research because HIV is a life-threatening infectious virus, especially for the medical staff who treat undiagnosed patients. The performance of the system was verified from a survey of the users. The performance of the system was tested at the emergency room (ER) for 10 months using commercially available POCT kits for detecting HIV. The survey showed that, in total, 80% and 0% of users reported positive or negative feedback, respectively. The staff also reported that the system reduced total processing time by approximately 32 min, in addition to reducing workload. The developed automated management system was successfully tested at an ER for 10 months. The survey results show that the system is effective and that medical staff members who used the system are satisfied with using the system at the ER.

  9. The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals

    PubMed Central

    Shaw, Charles D.; Groene, Oliver; Botje, Daan; Sunol, Rosa; Kutryba, Basia; Klazinga, Niek; Bruneau, Charles; Hammer, Antje; Wang, Aolin; Arah, Onyebuchi A.; Wagner, Cordula; Klazinga, N; Kringos, DS; Lombarts, K; Plochg, T; Lopez, MA; Secanell, M; Sunol, R; Vallejo, P; Bartels, P; Kristensen, S; Michel, P; Saillour-Glenisson, F; Vlcek, F; Car, M; Jones, S; Klaus, E; Garel, P; Hanslik, K; Saluvan, M; Bruneau, C; Depaigne-Loth, A; Shaw, C; Hammer, A; Ommen, O; Pfaff, H; Groene, O; Botje, D; Wagner, C; Kutaj-Wasikowska, H; Kutryba, B; Escoval, A; Franca, M; Almeman, F; Kus, H; Ozturk, K; Mannion, R; Arah, OA; Chow, A; DerSarkissian, M; Thompson, C; Wang, A; Thompson, A

    2014-01-01

    Objective To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals. Design A mixed method multi-level cross-sectional design in seven countries. External teams assessed clinical services on the use of quality management systems, illustrated by four clinical pathways. Setting and Participants Seventy-three acute care hospitals with a total of 291 services managing acute myocardial infarction (AMI), hip fracture, stroke and obstetric deliveries, in Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey. Main Outcome Measure Four composite measures of quality and safety [specialized expertise and responsibility (SER), evidence-based organization of pathways (EBOP), patient safety strategies (PSS) and clinical review (CR)] applied to four pathways. Results Accreditation in isolation showed benefits in AMI and stroke more than in deliveries and hip fracture; the greatest significant association was with CR in stroke. Certification in isolation showed little benefit in AMI but had more positive association with the other conditions; greatest significant association was in PSS with stroke. The combination of accreditation and certification showed least benefit in EBOP, but significant benefits in SER (AMI), in PSS (AMI, hip fracture and stroke) and in CR (AMI and stroke). Conclusions Accreditation and certification are positively associated with clinical leadership, systems for patient safety and clinical review, but not with clinical practice. Both systems promote structures and processes, which support patient safety and clinical organization but have limited effect on the delivery of evidence-based patient care. Further analysis of DUQuE data will explore the association of certification and accreditation with clinical outcomes. PMID:24615598

  10. The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals.

    PubMed

    Shaw, Charles D; Groene, Oliver; Botje, Daan; Sunol, Rosa; Kutryba, Basia; Klazinga, Niek; Bruneau, Charles; Hammer, Antje; Wang, Aolin; Arah, Onyebuchi A; Wagner, Cordula

    2014-04-01

    To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals. A mixed method multi-level cross-sectional design in seven countries. External teams assessed clinical services on the use of quality management systems, illustrated by four clinical pathways. Seventy-three acute care hospitals with a total of 291 services managing acute myocardial infarction (AMI), hip fracture, stroke and obstetric deliveries, in Czech Republic, France, Germany, Poland, Portugal, Spain and Turkey. Four composite measures of quality and safety [specialized expertise and responsibility (SER), evidence-based organization of pathways (EBOP), patient safety strategies (PSS) and clinical review (CR)] applied to four pathways. Accreditation in isolation showed benefits in AMI and stroke more than in deliveries and hip fracture; the greatest significant association was with CR in stroke. Certification in isolation showed little benefit in AMI but had more positive association with the other conditions; greatest significant association was in PSS with stroke. The combination of accreditation and certification showed least benefit in EBOP, but significant benefits in SER (AMI), in PSS (AMI, hip fracture and stroke) and in CR (AMI and stroke). Accreditation and certification are positively associated with clinical leadership, systems for patient safety and clinical review, but not with clinical practice. Both systems promote structures and processes, which support patient safety and clinical organization but have limited effect on the delivery of evidence-based patient care. Further analysis of DUQuE data will explore the association of certification and accreditation with clinical outcomes.

  11. From Empiricism to Total Quality Management in Greek Education

    NASA Astrophysics Data System (ADS)

    Karavasilis, Ioannis; Samoladas, Ioannis; Nedos, Apostolos

    Nowadays the education system in Greece moves towards democratization and decentralization. School unit is the cell and the base of the education system. Principal's role is highly demanding, multi-dimensional, and a critical determinant of school performance and effectiveness. The paper proposes an effective organizational plan of school units in Primary Education based on basic administration processes and Total Quality Management. Using theory of emotional intelligence and Blake-Mouton's grid it emphasizes the impact of Principal's leadership on democratizing the school unit, on creating a safe and secure environment and positive school climate and motivating teachers committee to participate in the decision making process.

  12. F-8 DFBW with test pilot Gary E. Krier

    NASA Technical Reports Server (NTRS)

    1971-01-01

    Former research pilot Gary E. Krier is the Director of Flight Operations of the NASA Dryden Flight Research Center, Edwards, Calif. He was the acting Deputy Director effective June 30, 2001 to September 9, 2001. Until that time he was the Chief Engineer and also the Director of the Systems Management Office at Dryden. He had held the position of Chief Engineer since August 1, 1999, and he was appointed Systems Management Office Director in October 1999. Before August 1999, he had been the Director of the Airborne Science Directorate since August 1998. Prior to assuming this position, Krier headed the Aerospace Projects Directorate from March 1997 to August 1998. He had previously been in charge of the Intercenter Aircraft Operations Directorate at Dryden from 1995 to 1997. From 1992 to 1994, he served as Manager, Operations and Facilities, for the New Launch System at NASA Headquarters, where he developed operational procedures and facilities for the next generation of Expendable Launch Vehicles and participated in policy making for the program. From 1987 to 1992, he held two different management positions at NASA Headquarters relating to Space Shuttle operations. Among other positions he held before that time were Director of the Commercial Development Division, Office of Commercial Programs, at NASA Headquarters (1984-1987); Director of the Aircraft Management Office at NASA Headquarters (1983-1984); and attorney in the Office of the Chief Counsel at Ames Research Center (1982-1983). Earlier in his career, Krier was an aerospace research pilot and engineer at Dryden after first going to work for NASA in 1967. He was the first pilot to fly the F-8 Digital Fly-by-Wire aircraft and the Integrated Propulsion Control System F-111 with digital fuel and inlet control. He was also co-project pilot with Thomas C. McMurtry on the F-8 Supercritical Wing project. In addition, he flew the YF-17 research aircraft and has flown more than 30 types of aircraft ranging from light planes to the B-52 and the triple-sonic YF-12. Before joining NASA, Krier served as an engineer for Pratt & Whitney, Martin Marietta, and Hercules Powder Company. He is the author of 7 technical reports. He earned his B.S. in mechanical engineering at the University of Utah in 1960 and went on to achieve an M.B.A. (with Distinction) from Golden Gate University in 1978 and a J.D. from the UCLA School of Law in 1982. He also completed the Program for Management Development at Harvard University on a NASA Fellowship in 1975. He is a member of the State Bar of California, of the Society of Experimental Test Pilots (for which he served as legal officer in 1989 and continues to serve as legal advisor and scholarship foundation trustee), and the Quiet Birdmen.

  13. Public opinion towards castration without anaesthesia and lack of access to pasture in beef cattle production.

    PubMed

    Lemos Teixeira, Dayane; Larraín, Rafael; Melo, Oscar; Hötzel, María José

    2018-01-01

    Recent publications have shown that citizens in developing nations are gaining interest in farm animal welfare. The aims of this study were to assess the opinion of Chilean citizens about surgical castration without anaesthesia and lack of access to pasture in beef cattle production, to investigate how involvement in livestock production influences opinions, and to evaluate if different types of information would affect their opinion towards these management practices. The study was carried out in the Metropolitan Region of Santiago, Chile, and consisted of two surveys with 400 participants in each study. The first one used an online, self-administered questionnaire and the second one used a face to face questionnaire. The second questionnaire had four information treatments assigned randomly to survey participants (no information; negative information; negative and positive information; positive information). Most participants were aware that the two management practices are common in beef production systems and were opposed to them. Involvement in animal production was associated with greater acceptance of both management practices and participants that had visited a beef production farm before the study were more likely to support castration without anaesthesia in Survey 1. Belonging to any socioeconomic group and providing negative or positive information had no impact on participants' opinion. The results show a disconnection between the views of participants recruited for this study and beef production systems that do not provide pain control for male cattle surgical castration or provide little or no access to pasture.

  14. Public opinion towards castration without anaesthesia and lack of access to pasture in beef cattle production

    PubMed Central

    Larraín, Rafael; Melo, Oscar; Hötzel, María José

    2018-01-01

    Recent publications have shown that citizens in developing nations are gaining interest in farm animal welfare. The aims of this study were to assess the opinion of Chilean citizens about surgical castration without anaesthesia and lack of access to pasture in beef cattle production, to investigate how involvement in livestock production influences opinions, and to evaluate if different types of information would affect their opinion towards these management practices. The study was carried out in the Metropolitan Region of Santiago, Chile, and consisted of two surveys with 400 participants in each study. The first one used an online, self-administered questionnaire and the second one used a face to face questionnaire. The second questionnaire had four information treatments assigned randomly to survey participants (no information; negative information; negative and positive information; positive information). Most participants were aware that the two management practices are common in beef production systems and were opposed to them. Involvement in animal production was associated with greater acceptance of both management practices and participants that had visited a beef production farm before the study were more likely to support castration without anaesthesia in Survey 1. Belonging to any socioeconomic group and providing negative or positive information had no impact on participants’ opinion. The results show a disconnection between the views of participants recruited for this study and beef production systems that do not provide pain control for male cattle surgical castration or provide little or no access to pasture. PMID:29304181

  15. WOMEN IN MANAGEMENT: Analysis of Current Population Survey Data

    DTIC Science & Technology

    2002-04-22

    were represented in management positions compared to their representation in all positions within particular industries, and (3) identified salary differentials between men and women in full- time management positions.

  16. A Guide to Transitions in Education and Training Systems.

    DTIC Science & Technology

    1980-06-01

    possessing high power and force and somewhat approachable in his position. If A2 is critical to the success of the change, the best approach may be to have...transition model. In this section we will highlight the problems unique to the transition state and outline a coordinated approach for its management. As...Essential to the effective management of the transition period is: - Psychological acceptance of uncertainty on the part of key leaders; - Clear and

  17. Conditional data watchpoint management

    DOEpatents

    Burdick, Dean Joseph; Vaidyanathan, Basu

    2010-08-24

    A method, system and computer program product for managing a conditional data watchpoint in a set of instructions being traced is shown in accordance with illustrative embodiments. In one particular embodiment, the method comprises initializing a conditional data watchpoint and determining the watchpoint has been encountered. Upon that determination, examining a current instruction context associated with the encountered watchpoint prior to completion of the current instruction execution, further determining a first action responsive to a positive context examination; otherwise, determining a second action.

  18. Hemiplegic shoulder pain: a common clinical consequence of stroke.

    PubMed

    Coskun Benlidayi, Ilke; Basaran, Sibel

    2014-04-01

    Hemiplegic shoulder pain is common in stroke survivors, developing in up to 54% of patients. The underlying mechanisms include soft tissue lesions, impaired motor function and central nervous system-related phenomena. Hemiplegic shoulder pain has many underlying causes and is challenging to manage, requiring a team approach, including physicians, therapists and caregivers. The management strategy must target the underlying causes. Preventative measures, such as positioning and handling, can reduce the risk of developing hemiplegic shoulder pain. We have reviewed the literature on hemiplegic shoulder pain, and used this to categorise the underlying mechanisms, and to explore the best management strategies.

  19. Commissioning Education Programs Surveys: Active Duty, Reserve, and Air National Guard Officers in Paygrades O-1 through O-3, Field Grade Officers With 1-60 Months Active Commissioned Service

    DTIC Science & Technology

    1994-09-01

    to insure effective/ 6.80 efficient accomplishment of mission C119 Principles of management 6.80 C121 Role of the NCO-responsibilities and duties of...Budgeting System (PPBS) 7.11 C119 Principles of management 7.06 C 114 Career development-know the general structure and career progression patterns 7.06...communication and give effective 6.23 feedback C1 19 Principles of management 6.23 B49 Group problem solving-understand the positive and negative aspects of

  20. Soil mapping and process modeling for sustainable land use management: a brief historical review

    NASA Astrophysics Data System (ADS)

    Brevik, Eric C.; Pereira, Paulo; Muñoz-Rojas, Miriam; Miller, Bradley A.; Cerdà, Artemi; Parras-Alcántara, Luis; Lozano-García, Beatriz

    2017-04-01

    Basic soil management goes back to the earliest days of agricultural practices, approximately 9,000 BCE. Through time humans developed soil management techniques of ever increasing complexity, including plows, contour tillage, terracing, and irrigation. Spatial soil patterns were being recognized as early as 3,000 BCE, but the first soil maps didn't appear until the 1700s and the first soil models finally arrived in the 1880s (Brevik et al., in press). The beginning of the 20th century saw an increase in standardization in many soil science methods and wide-spread soil mapping in many parts of the world, particularly in developed countries. However, the classification systems used, mapping scale, and national coverage varied considerably from country to country. Major advances were made in pedologic modeling starting in the 1940s, and in erosion modeling starting in the 1950s. In the 1970s and 1980s advances in computing power, remote and proximal sensing, geographic information systems (GIS), global positioning systems (GPS), and statistics and spatial statistics among other numerical techniques significantly enhanced our ability to map and model soils (Brevik et al., 2016). These types of advances positioned soil science to make meaningful contributions to sustainable land use management as we moved into the 21st century. References Brevik, E., Pereira, P., Muñoz-Rojas, M., Miller, B., Cerda, A., Parras-Alcantara, L., Lozano-Garcia, B. Historical perspectives on soil mapping and process modelling for sustainable land use management. In: Pereira, P., Brevik, E., Muñoz-Rojas, M., Miller, B. (eds) Soil mapping and process modelling for sustainable land use management (In press). Brevik, E., Calzolari, C., Miller, B., Pereira, P., Kabala, C., Baumgarten, A., Jordán, A. 2016. Historical perspectives and future needs in soil mapping, classification and pedological modelling, Geoderma, 264, Part B, 256-274.

  1. Exploring parental factors related to weight management in survivors of childhood central nervous system tumors.

    PubMed

    Santa Maria, Diane; Swartz, Maria C; Markham, Christine; Chandra, Joya; McCurdy, Sheryl; Basen-Engquist, Karen

    2014-01-01

    Childhood central nervous system tumor survivors (CCNSTS) are at risk for adverse health issues. Little research has been conducted to explore the role of parental factors in weight management to mitigate adverse health outcomes. We conducted 9 group interviews (n=20) with CCNSTS, their parents, and health care providers to ascertain parental factors that may influence weight management practices in CCNSTS. Three main themes were identified: parenting style, parent-child connectedness, and food and physical activity (PA) environment. Although most parents adopted an authoritative parenting style related to diet and PA practices, some adopted a permissive parenting style. Participants expressed high levels of connection that may hinder the development of peer relationships and described the food and PA environments that promote or hinder weight management through parental modeling of healthy eating and PA and access to healthy food and activities. Weight management interventions for CCNSTS may experience greater benefit from using a family-focused approach, promoting positive food and PA environments, parental modeling of healthy eating and exercise, and partnering with youth to adopt weight management behaviors.

  2. Intelligent Internet-based information system optimises diabetes mellitus management in communities.

    PubMed

    Wei, Xuejuan; Wu, Hao; Cui, Shuqi; Ge, Caiying; Wang, Li; Jia, Hongyan; Liang, Wannian

    2018-05-01

    To evaluate the effect of an intelligent Internet-based information system upon optimising the management of patients diagnosed with type 2 diabetes mellitus (T2DM). In 2015, a T2DM information system was introduced to optimise the management of T2DM patients for 1 year in Fangzhuang community of Beijing, China. A total of 602 T2DM patients who were registered in the health service centre of Fangzhuang community were enrolled based on an isometric sampling technique. The data from 587 patients were used in the final analysis. The intervention effect was subsequently assessed by statistically comparing multiple parameters, such as the prevalence of glycaemic control, standard health management and annual outpatient consultation visits per person, before and after the implementation of the T2DM information system. In 2015, a total of 1668 T2DM patients were newly registered in Fangzhuang community. The glycaemic control rate was calculated as 37.65% in 2014 and significantly elevated up to 62.35% in 2015 ( p < 0.001). After application of the Internet-based information system, the rate of standard health management was increased from 48.04% to 85.01% ( p < 0.001). Among all registered T2DM patients, the annual outpatient consultation visits per person in Fangzhuang community was 24.88% in 2014, considerably decreased to 22.84% in 2015 ( p < 0.001) and declined from 14.59% to 13.66% in general hospitals ( p < 0.05). Application of the T2DM information system optimised the management of T2DM patients in Fangzhuang community and decreased the outpatient numbers in both community and general hospitals, which played a positive role in assisting T2DM patients and their healthcare providers to better manage this chronic illness.

  3. California ATMS Testbed : PHASE III: Operational Research Implementation : Final Report [Volume 1: Executive Summary ; and, Volume II: Technical Report

    DOT National Transportation Integrated Search

    2006-10-01

    This report summarizes research and development that has been conducted to position the Testbed to support prototype deployment and evaluation of Advanced Transportation Management Systems (ATMS) products and services. The various elements contained ...

  4. Estimated benefits of connected vehicle applications : dynamic mobility applications, AERIS, V2I safety, and road weather management applications.

    DOT National Transportation Integrated Search

    2015-08-01

    Connected vehicles have the potential to transform travel as we know it by combining leading edge technologies advanced wireless communications, on-board computer processing, advanced vehicle-sensors, Global Positioning System (GPS) navigation, sm...

  5. Retaining IT Staff through Effective Institutional Planning and Management.

    ERIC Educational Resources Information Center

    Eleey, Michael

    1999-01-01

    Recommends a systems approach to ensure a positive working environment for campus information technology professionals to help reduce personnel turnover in this critical area. Guidelines include appropriate compensation, reasonable and effective matching of job scope and resources, problem prevention, and balanced professional development. (DB)

  6. Bookstore in Trouble: The Proverbial Iceberg

    ERIC Educational Resources Information Center

    Sanderson, Ivan L.

    1975-01-01

    Examines the plight of two troubled bookstores, both state system stores with state charters as nonprofit corporations, probing some of their weaknesses, failures, and resultant difficulties and the positive action, including structural change and new management, involved in recovery and restoration of adequate operating funds. (JT)

  7. 78 FR 34558 - Modification of Class E Airspace; Clifton/Morenci, AZ

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-10

    ... (RNAV) Global Positioning System (GPS) standard instrument approach procedures at Greenlee County Airport. This improves the safety and management of Instrument Flight Rules (IFR) operations at the... accommodate IFR aircraft executing RNAV (GPS) standard instrument approach procedures at the airport. This...

  8. 76 FR 82113 - Amendment of Class E Airspace; Show Low, AZ

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-30

    ... Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures at Show Low Regional Airport. This improves the safety and management of Instrument Flight Rules (IFR... executing RNAV (GPS) standard instrument approach procedures at the airport. This action is necessary for...

  9. 76 FR 57634 - Establishment of Class E Airspace; Chinle, AZ

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ...) Global Positioning System (GPS) standard instrument approach procedures at Chinle Municipal Airport. This improves the safety and management of Instrument Flight Rules (IFR) operations at the airport. DATES... RNAV (GPS) standard instrument approach procedures at the airport. This action is necessary for the...

  10. 77 FR 55690 - Amendment of Class E Airspace; Dillon, MT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-11

    ... aircraft using new Area Navigation (RNAV) Global positioning System (GPS) standard instrument approach... Airport, Dillon, MT, to accommodate IFR aircraft executing new RNAV (GPS) standard instrument approach.... Steven L. Vale, Acting Manager, Operations Support Group, Western Service Center. [FR Doc. 2012-22269...

  11. 78 FR 67024 - Modification of Class E Airspace; Prineville, OR

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-08

    ... Prineville, OR, to accommodate Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures at Prineville Airport. This improves the safety and management of Instrument Flight Rules (IFR) operations at the airport. This action also adjusts the geographic coordinates of the...

  12. 76 FR 45180 - Modification of Class E Airspace; Alturas, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-28

    ... Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures at Alturas Municipal Airport. This improves the safety and management of Instrument Flight Rules (IFR) operations at the airport. DATES: Effective date, 0901 UTC, October 20, 2011. The Director of the Federal...

  13. 77 FR 44120 - Establishment of Class E Airspace; Roundup, MT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... at Roundup Airport, Roundup, MT, to accommodate aircraft using new Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures at Roundup Airport. This improves the safety and management of Instrument Flight Rules (IFR) operations at the airport. DATES: Effective date, 0901...

  14. 76 FR 45177 - Establishment of Class E Airspace; Kayenta, AZ

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-28

    ... Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures at Kayenta Airport. This improves the safety and management of Instrument Flight Rules (IFR) operations at the airport. DATES: Effective date, 0901 UTC, October 20, 2011. The Director of the Federal Register...

  15. 78 FR 59622 - Establishment of Class E Airspace; Akutan, AK

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ... at Akutan Airport, Akutan, AK. Controlled airspace is necessary to accommodate aircraft using the new Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures at the airport. This action enhances the safety and management of aircraft operations at the airport. DATES...

  16. 78 FR 50322 - Amendment of Class E Airspace; Point Thomson, AK

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-19

    ... Area Navigation (RNAV) Global Positioning System (GPS) standard instrument approach procedures have been established at the airport. This action enhances the safety and management of aircraft operations... Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: This action modifies the airspace at Point...

  17. 5 CFR 534.501 - Coverage.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Coverage. 534.501 Section 534.501 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY UNDER OTHER SYSTEMS Pay for Senior-Level and Scientific and Professional Positions § 534.501 Coverage. (a) This subpart implements 5...

  18. 5 CFR 534.501 - Coverage.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Coverage. 534.501 Section 534.501 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY UNDER OTHER SYSTEMS Pay for Senior-Level and Scientific and Professional Positions § 534.501 Coverage. (a) This subpart implements 5...

  19. 5 CFR 534.501 - Coverage.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Coverage. 534.501 Section 534.501 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY UNDER OTHER SYSTEMS Pay for Senior-Level and Scientific and Professional Positions § 534.501 Coverage. (a) This subpart implements 5...

  20. 5 CFR 534.501 - Coverage.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Coverage. 534.501 Section 534.501 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY UNDER OTHER SYSTEMS Pay for Senior-Level and Scientific and Professional Positions § 534.501 Coverage. (a) This subpart implements 5...

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