Science.gov

Sample records for practical ofdma system

  1. Communication and Jamming BDA of OFDMA Communication Systems Using the Software Defined Radio Platform WARP

    DTIC Science & Technology

    2015-03-01

    COMMUNICATION AND JAMMING BDA OF OFDMA COMMUNICATION SYSTEMS USING THE SOFTWARE DEFINED RADIO PLATFORM WARP THESIS Kate J. Yaxley, FLTLT, Royal...BDA OF OFDMA COMMUNICATION SYSTEMS USING THE SOFTWARE DEFINED RADIO PLATFORM WARP THESIS Presented to the Faculty Department of Electrical and...COMMUNICATION AND JAMMING BDA OF OFDMA COMMUNICATION SYSTEMS USING THE SOFTWARE DEFINED RADIO PLATFORM WARP THESIS Kate J. Yaxley, B.E. (Elec) Hons Div II

  2. An Efficient Radio Resource Allocation Scheme for Minimum Outage Probability Using Cooperation in OFDMA Systems

    NASA Astrophysics Data System (ADS)

    Jung, Junwoo; Park, Hyungwon; Lim, Jae-Sung

    Cooperation can increase the system performance by obtaining the spatial diversity. While most of the present works concentrate on the analysis of the cooperation based on the inter-user channel response and developing a scheme for higher cooperative diversity, in this paper, we focus on practical resource allocation in OFDMA systems. Since the user who uses the same center frequency can not receive the signal when transmitting, this constraint should be considered to apply the cooperation to OFDMA systems. In this paper, we propose the pair-based OFDMA frame structure that overcomes this constraint. Also in this frame structure to achieve the minimum outage probability of system, we select the best partner among the candidate neighbors and allocate the suitable subchannels to bandwidth requested users through a cooperative subchannel allocation (CSA) algorithm. In order to evaluate the proposed resource allocation scheme, we carry out simulations based on IEEE 802.16e. The simulation results show that our proposed algorithm offers smaller outage probability than one based on non-cooperative communications and we get the minimum outage probability when a threshold for selection of candidate neighbors is 10dB. We analyze that these results can be achieved by helping users located around the edge of the cell.

  3. Self-Organizing OFDMA System for Broadband Communication

    NASA Technical Reports Server (NTRS)

    Roy, Aloke (Inventor); Anandappan, Thanga (Inventor); Malve, Sharath Babu (Inventor)

    2016-01-01

    Systems and methods for a self-organizing OFDMA system for broadband communication are provided. In certain embodiments a communication node for a self organizing network comprises a communication interface configured to transmit data to and receive data from a plurality of nodes; and a processing unit configured to execute computer readable instructions. Further, computer readable instructions direct the processing unit to identify a sub-region within a cell, wherein the communication node is located in the sub-region; and transmit at least one data frame, wherein the data from the communication node is transmitted at a particular time and frequency as defined within the at least one data frame, where the time and frequency are associated with the sub-region.

  4. Rate Adaptive Based Resource Allocation with Proportional Fairness Constraints in OFDMA Systems.

    PubMed

    Yin, Zhendong; Zhuang, Shufeng; Wu, Zhilu; Ma, Bo

    2015-09-25

    Orthogonal frequency division multiple access (OFDMA), which is widely used in the wireless sensor networks, allows different users to obtain different subcarriers according to their subchannel gains. Therefore, how to assign subcarriers and power to different users to achieve a high system sum rate is an important research area in OFDMA systems. In this paper, the focus of study is on the rate adaptive (RA) based resource allocation with proportional fairness constraints. Since the resource allocation is a NP-hard and non-convex optimization problem, a new efficient resource allocation algorithm ACO-SPA is proposed, which combines ant colony optimization (ACO) and suboptimal power allocation (SPA). To reduce the computational complexity, the optimization problem of resource allocation in OFDMA systems is separated into two steps. For the first one, the ant colony optimization algorithm is performed to solve the subcarrier allocation. Then, the suboptimal power allocation algorithm is developed with strict proportional fairness, and the algorithm is based on the principle that the sums of power and the reciprocal of channel-to-noise ratio for each user in different subchannels are equal. To support it, plenty of simulation results are presented. In contrast with root-finding and linear methods, the proposed method provides better performance in solving the proportional resource allocation problem in OFDMA systems.

  5. Rate Adaptive Based Resource Allocation with Proportional Fairness Constraints in OFDMA Systems

    PubMed Central

    Yin, Zhendong; Zhuang, Shufeng; Wu, Zhilu; Ma, Bo

    2015-01-01

    Orthogonal frequency division multiple access (OFDMA), which is widely used in the wireless sensor networks, allows different users to obtain different subcarriers according to their subchannel gains. Therefore, how to assign subcarriers and power to different users to achieve a high system sum rate is an important research area in OFDMA systems. In this paper, the focus of study is on the rate adaptive (RA) based resource allocation with proportional fairness constraints. Since the resource allocation is a NP-hard and non-convex optimization problem, a new efficient resource allocation algorithm ACO-SPA is proposed, which combines ant colony optimization (ACO) and suboptimal power allocation (SPA). To reduce the computational complexity, the optimization problem of resource allocation in OFDMA systems is separated into two steps. For the first one, the ant colony optimization algorithm is performed to solve the subcarrier allocation. Then, the suboptimal power allocation algorithm is developed with strict proportional fairness, and the algorithm is based on the principle that the sums of power and the reciprocal of channel-to-noise ratio for each user in different subchannels are equal. To support it, plenty of simulation results are presented. In contrast with root-finding and linear methods, the proposed method provides better performance in solving the proportional resource allocation problem in OFDMA systems. PMID:26426016

  6. A Goal Programming Approach for Resource Allocation Considering Client Demands in a Multiuser OFDMA Downlink System

    NASA Astrophysics Data System (ADS)

    Han, Younggoo; Shim, Woochul; Kim, Sehun

    This study investigates subcarrier and power allocation schemes in an OFDMA downlink system. To consider client demands, a goal programming approach is proposed. The proposed algorithm minimizes the weighted sum of each client's dissatisfaction index. Simulations show that the sum of dissatisfaction indices can be reduced significantly.

  7. Resource Allocation Scheme in MIMO-OFDMA System for User's Different Data Throughput Requirements

    NASA Astrophysics Data System (ADS)

    Sann Maw, Maung; Sasase, Iwao

    In the subcarrier and power allocation schemes in Multi-Input Multi-Output and Orthogonal Frequency Division Multiple Access (MIMO-OFDMA) systems, only equal fairness among users has been considered and no scheme for proportional data rate fairness has been considered. In this paper, a subcarrier, bit and power allocation scheme is proposed to maximize the total throughput under the constraints of total power and proportional data rate fairness among users. In the proposed scheme, joint subchannel allocation and adaptive bit loading is firstly performed by using singular value decomposition (SVD) of channel matrix under the constraint of users' data throughput requirements, and then adaptive power loading is applied. Simulation results show that effective performance of the system has been improved as well as each throughput is proportionally distributed among users in MIMO-OFDMA systems.

  8. Bidirectional 60-GHz radio-over-fiber systems with downstream OFDMA and wavelength reuse upstream SC-FDMA.

    PubMed

    Zhang, Cheng; Duan, Jun; Li, Juhao; Hu, Weiwei; Li, Hongbin; Wu, Hequan; Chen, Zhangyuan

    2010-08-30

    We have proposed and experimentally demonstrated a 60-GHz bidirectional radio-over-fiber system with downstream orthogonal frequency division multiplexing address (OFDMA) and wavelength reuse upstream single-carrier frequency division multiple address (SC-FDMA). In the downstream, a 3-dB optical coupler is used for two-carrier injection-locking a distributed feedback (DFB) laser in order to realize the single-sideband modulation. In the upstream, the weakly modulated one of the two downstream carriers is filtered out for wavelength reuse. Transmission of 9.65-Gb/s 16-QAM downstream OFDMA on 60-GHz carrier and 5-Gb/s QPSK upstream SC-FDMA (2.5 Gb/s for each user) are both successfully demonstrated over 53-km standard single mode fiber without chromatic dispersion compensation. The crosstalk between the downstream OFDMA and the upstream SC-FDMA can be neglected.

  9. Hybrid Resource Allocation Scheme with Proportional Fairness in OFDMA-Based Cognitive Radio Systems

    NASA Astrophysics Data System (ADS)

    Li, Li; Xu, Changqing; Fan, Pingzhi; He, Jian

    In this paper, the resource allocation problem for proportional fairness in hybrid Cognitive Radio (CR) systems is studied. In OFDMA-based CR systems, traditional resource allocation algorithms can not guarantee proportional rates among CR users (CRU) in each OFDM symbol because the number of available subchannels might be smaller than that of CRUs in some OFDM symbols. To deal with this time-varying nature of available spectrum resource, a hybrid CR scheme in which CRUs are allowed to use subchannels in both spectrum holes and primary users (PU) bands is adopted and a resource allocation algorithm is proposed to guarantee proportional rates among CRUs with no undue interference to PUs.

  10. Orthogonal frequency-division multiplexing access (OFDMA) based wireless visible light communication (VLC) system

    NASA Astrophysics Data System (ADS)

    Sung, Jiun-Yu; Yeh, Chien-Hung; Chow, Chi-Wai; Lin, Wan-Feng; Liu, Yang

    2015-11-01

    An orthogonal frequency-division multiplexing access (OFDMA) based visible light communication (VLC) system is proposed in this paper. The architecture of the proposed system is divided into several VLC cells, which is defined in this paper. The deployment and upgrade of the system involve only simple combination of the VLC cells. Hence it is economically advantageous. To guarantee smooth communication, nearly equal data rate is provided at every location within the system with no concern on the system scale. The user location monitor strategy is also discussed to solve the region division issues. The characteristics of the proposed system are analyzed in detail in this paper. A one-dimensional experiment was demonstrated with 13.6 Mb/s data rate.

  11. Performance Improvement of Proportional Fairness-Based Resource Allocation in OFDMA Downlink Systems

    NASA Astrophysics Data System (ADS)

    Ruangchaijatupon, Nararat; Ji, Yusheng

    We have developed a novel downlink packet scheduling scheme for a multiuser OFDMA system in which a subchannel can be time-multiplexed among multiple users. This scheme which is called Matrixed-based Proportional Fairness can provide a high system throughput while ensuring fairness. The scheme is based on a Proportional Fairness (PF) utility function and can be applied to any of the PF-based schedulers. Our scheduler explores multichannel multiuser diversity by using a two-dimensional matrix combining user selection, subchannel assignment, and time slot allocation. Furthermore, unlike other PF-based schemes, our scheme considers finitely backlogged queues during the time slot allocation. By doing so, it can exploit multichannel multiuser diversity to utilize bandwidth efficiently and with throughput fairness. Additionally, fairness in the time domain is enhanced by limiting the number of allocated time slots. Intensive simulations considering finitely backlogged queues and user mobility prove the scheme's effectiveness.

  12. A novel 3D constellation-masked method for physical security in hierarchical OFDMA system.

    PubMed

    Zhang, Lijia; Liu, Bo; Xin, Xiangjun; Liu, Deming

    2013-07-01

    This paper proposes a novel 3D constellation-masked method to ensure the physical security in hierarchical optical orthogonal frequency division multiplexing access (OFDMA) system. The 3D constellation masking is executed on the two levels of hierarchical modulation and among different OFDM subcarriers, which is realized by the masking vectors. The Lorenz chaotic model is adopted for the generation of masking vectors in the proposed scheme. A 9.85 Gb/s encrypted hierarchical QAM OFDM signal is successfully demonstrated in the experiment. The performance of illegal optical network unit (ONU) with different masking vectors is also investigated. The proposed method is demonstrated to be secure and efficient against the commonly known attacks in the experiment.

  13. A QoS aware resource allocation strategy for 3D A/V streaming in OFDMA based wireless systems.

    PubMed

    Chung, Young-Uk; Choi, Yong-Hoon; Park, Suwon; Lee, Hyukjoon

    2014-01-01

    Three-dimensional (3D) video is expected to be a "killer app" for OFDMA-based broadband wireless systems. The main limitation of 3D video streaming over a wireless system is the shortage of radio resources due to the large size of the 3D traffic. This paper presents a novel resource allocation strategy to address this problem. In the paper, the video-plus-depth 3D traffic type is considered. The proposed resource allocation strategy focuses on the relationship between 2D video and the depth map, handling them with different priorities. It is formulated as an optimization problem and is solved using a suboptimal heuristic algorithm. Numerical results show that the proposed scheme provides a better quality of service compared to conventional schemes.

  14. A novel dynamic wavelength bandwidth allocation scheme over OFDMA PONs

    NASA Astrophysics Data System (ADS)

    Yan, Bo; Guo, Wei; Jin, Yaohui; Hu, Weisheng

    2011-12-01

    With rapid growth of Internet applications, supporting differentiated service and enlarging system capacity have been new tasks for next generation access system. In recent years, research in OFDMA Passive Optical Networks (PON) has experienced extraordinary development as for its large capacity and flexibility in scheduling. Although much work has been done to solve hardware layer obstacles for OFDMA PON, scheduling algorithm on OFDMA PON system is still under primary discussion. In order to support QoS service on OFDMA PON system, a novel dynamic wavelength bandwidth allocation (DWBA) algorithm is proposed in this paper. Per-stream QoS service is supported in this algorithm. Through simulation, we proved our bandwidth allocation algorithm performs better in bandwidth utilization and differentiate service support.

  15. Joint Scheduling and Resource Allocation in OFDMA Downlink Systems Via ACK/NAK Feedback

    NASA Astrophysics Data System (ADS)

    Aggarwal, Rohit; Koksal, C. Emre; Schniter, Philip

    2012-06-01

    In this paper, we consider the problem of joint scheduling and resource allocation in the OFDMA downlink, with the goal of maximizing an expected long-term goodput-based utility subject to an instantaneous sum-power constraint, and where the feedback to the base station consists only of ACK/NAKs from recently scheduled users. We first establish that the optimal solution is a partially observable Markov decision process (POMDP), which is impractical to implement. In response, we propose a greedy approach to joint scheduling and resource allocation that maintains a posterior channel distribution for every user, and has only polynomial complexity. For frequency-selective channels with Markov time-variation, we then outline a recursive method to update the channel posteriors, based on the ACK/NAK feedback, that is made computationally efficient through the use of particle filtering. To gauge the performance of our greedy approach relative to that of the optimal POMDP, we derive a POMDP performance upper-bound. Numerical experiments show that, for slowly fading channels, the performance of our greedy scheme is relatively close to the upper bound, and much better than fixed-power random user scheduling (FP-RUS), despite its relatively low complexity.

  16. Mitigation of timing offset effect in IM/DD based OFDMA-PON uplink multiple access.

    PubMed

    Jung, Sun-Young; Jung, Sang-Min; Park, Hyoung-Joon; Han, Sang-Kook

    2015-06-01

    In orthogonal frequency division multiple access based passive optical network (OFDMA-PON) uplink, synchronization between optical network units (ONUs) is very important to maintain orthogonality. The synchronization among uplink signals is considered as one of the main challenges in OFDMA-PON due to optical path difference. In this paper, the performance degradation according to timing offset between ONUs is experimentally analyzed. And we propose and demonstrate timing offset effect reduction in asynchronous multiple access by using CP extension and filter bank based multicarrier (FBMC) system in intensity modulation/direct detection (IM/DD) based OFDMA-PON uplink transmission.

  17. Adaptive phase rolling for opportunistic beamforming in OFDMA systems with a small number of users.

    PubMed

    Rim, Minjoong

    2014-01-01

    The performance of opportunistic beamforming might be degraded if the number of users is small. This paper proposes an adaptive opportunistic beamforming technique for orthogonal frequency division multiple access systems, which can produce good results even with a small number of users. This paper also proposes a modified proportional fairness scheduling algorithm, which can further improve the performance of the proposed opportunistic beamforming technique.

  18. Optical beat interference noise reduction in OFDMA optical access link using self-homodyne balanced detection

    NASA Astrophysics Data System (ADS)

    Jung, Sang-Min; Won, Yong-Yuk; Han, Sang-Kook

    2013-12-01

    A Novel technique for reducing the OBI noise in optical OFDMA-PON uplink is presented. OFDMA is a multipleaccess/ multiplexing scheme that can provide multiplexing operation of user data streams onto the downlink sub-channels and uplink multiple access by means of dividing OFDM subcarriers as sub-channels. The main issue of high-speed, single-wavelength upstream OFDMA-PON arises from optical beating interference noise. Because the sub-channels are allocated dynamically to multiple access users over same nominal wavelength, it generates the optical beating interference among upstream signals. In this paper, we proposed a novel scheme using self-homodyne balanced detection in the optical line terminal (OLT) to reduce OBI noise which is generated in the uplink transmission of OFDMA-PON system. When multiple OFDMA sub-channels over the same nominal wavelength are received at the same time in the proposed architecture, OBI noises can be removed using balanced detection. Using discrete multitone modulation (DMT) to generate real valued OFDM signals, the proposed technique is verified through experimental demonstration.

  19. Power margin improvement for OFDMA-PON using hierarchical modulation.

    PubMed

    Cao, Pan; Hu, Xiaofeng; Zhuang, Zhiming; Zhang, Liang; Chang, Qingjiang; Yang, Qi; Hu, Rong; Su, Yikai

    2013-04-08

    We propose and experimentally demonstrate a hierarchical modulation scheme to improve power margin for orthogonal frequency division multiple access-passive optical networks (OFDMA-PONs). In a PON system, under the same launched optical power, optical network units (ONUs) have different power margins due to unequal distribution fiber lengths. The power margin of the PON system is determined by the ONU with the lowest power margin. In our proposed scheme, ONUs with long and short distribution fibers are grouped together, and downstream signals for the paired ONUs are mapped onto the same OFDM subcarriers using hierarchical modulation. In a pair of ONUs, part of the power margin of the ONU with short distribution fiber is re-allocated to the ONU with long distribution fiber. Therefore, the power margin of the ONU with the longest distribution fiber can be increased, leading to the power margin improvement of the PON system. Experimental results show that the hierarchical modulation scheme improves the power margin by 2.7 dB for an OFDMA-PON system, which can be used to support more users or extend transmission distance.

  20. Blind Demodulation of Pass Band OFDMA Signals and Jamming Battle Damage Assessment Utilizing Link Adaptation

    DTIC Science & Technology

    2014-03-27

    4 II. Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2.1 Introduction to OFDM and OFDMA...5 2.1.1 OFDM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2.1.2 OFDMA...68 vi List of Figures Figure Page 2.1 OFDM time domain structure from [1

  1. Distributed Multi-Cell Resource Allocation with Price Based ICI Coordination in Downlink OFDMA Networks

    NASA Astrophysics Data System (ADS)

    Lv, Gangming; Zhu, Shihua; Hui, Hui

    Multi-cell resource allocation under minimum rate request for each user in OFDMA networks is addressed in this paper. Based on Lagrange dual decomposition theory, the joint multi-cell resource allocation problem is decomposed and modeled as a limited-cooperative game, and a distributed multi-cell resource allocation algorithm is thus proposed. Analysis and simulation results show that, compared with non-cooperative iterative water-filling algorithm, the proposed algorithm can remarkably reduce the ICI level and improve overall system performances.

  2. 1.92 Tb/s coherent DWDM-OFDMA-PON with no high-speed ONU-side electronics over 100 km SSMF and 1:64 passive split.

    PubMed

    Cvijetic, Neda; Huang, Ming-Fang; Ip, Ezra; Shao, Yin; Huang, Yue-Kai; Cvijetic, Milorad; Wang, Ting

    2011-11-21

    Record 1.92-Tb/s (40λ × 48 Gb/s/λ) coherent DWDM-OFDMA-PON without high-speed ONU-side ADCs/DACs/DSP/RF clock sources is demonstrated over 100 km straight SSMF with a 1:64 passive split. Novel optical-domain OFDMA sub-band selection, coherent detection, and simple RF components are exploited. As the first experimental verification of a next-generation optical platform capable of delivering 1 Gb/s to 1000(+) users over 100 km, the new architecture is promising for future optical access/metro systems.

  3. Practical systems thinking

    NASA Astrophysics Data System (ADS)

    Konkarikoski, K.; Ritala, R.; Ihalainen, H.

    2010-07-01

    System is a dynamic and complex whole, interacting as a structured functional unit. Systems thinking provides tools for understanding a such system structure and its dynamic behavior. Practical systems thinking course teaches first year bachelor students basics about systems and how open problem can be formulated to system task.

  4. A new subcarrier allocation strategy for MIMO-OFDMA multicellular networks based on cooperative interference mitigation.

    PubMed

    Gkonis, Panagiotis K; Seimeni, Maria A; Asimakis, Nikolaos P; Kaklamani, Dimitra I; Venieris, Iakovos S

    2014-01-01

    The goal of the study presented in this paper is to investigate the performance of a new subcarrier allocation strategy for Orthogonal Frequency Division Multiple Access (OFDMA) multicellular networks which employ Multiple Input Multiple Output (MIMO) architecture. For this reason, a hybrid system-link level simulator has been developed executing independent Monte Carlo (MC) simulations in parallel. Up to two tiers of cells around the central cell are taken into consideration and increased loading per cell. The derived results indicate that this strategy can provide up to 12% capacity gain for 16-QAM modulation and two tiers of cells around the central cell in a symmetric 2 × 2 MIMO configuration. This gain is derived when comparing the proposed strategy to the traditional approach of allocating subcarriers that maximize only the desired user's signal.

  5. A New Subcarrier Allocation Strategy for MIMO-OFDMA Multicellular Networks Based on Cooperative Interference Mitigation

    PubMed Central

    Gkonis, Panagiotis K.; Seimeni, Maria A.; Asimakis, Nikolaos P.; Kaklamani, Dimitra I.; Venieris, Iakovos S.

    2014-01-01

    The goal of the study presented in this paper is to investigate the performance of a new subcarrier allocation strategy for Orthogonal Frequency Division Multiple Access (OFDMA) multicellular networks which employ Multiple Input Multiple Output (MIMO) architecture. For this reason, a hybrid system-link level simulator has been developed executing independent Monte Carlo (MC) simulations in parallel. Up to two tiers of cells around the central cell are taken into consideration and increased loading per cell. The derived results indicate that this strategy can provide up to 12% capacity gain for 16-QAM modulation and two tiers of cells around the central cell in a symmetric 2 × 2 MIMO configuration. This gain is derived when comparing the proposed strategy to the traditional approach of allocating subcarriers that maximize only the desired user's signal. PMID:24683351

  6. Physical secure enhancement in optical OFDMA-PON based on two-dimensional scrambling.

    PubMed

    Zhang, Lijia; Xin, Xiangjun; Liu, Bo; Yin, Xiaoli

    2012-12-10

    This paper proposes a novel physical-enhanced chaotic secure strategy for optical OFDMA-PON based on two-dimensional (2-D) scrambling. In order to enhance the physical security, a multi-layer chaotic mapping is proposed to generate the scrambling vectors. It can enhance the chaotic characteristic of Logistic mapping and increase the key space. Furthermore, the 2-D scrambling jointly utilizing frequency subcarriers and time-slots can improve the system resistance to eavesdropper. The feasibility of 15.6 Gb/s 2-D encrypted 64QAM-OFDM downstream signal has been successfully demonstrated in the experiment. The robustness of the proposed method shows its prospect in future OFDM access network.

  7. Localized Mode DFT-S-OFDMA Implementation Using Frequency and Time Domain Interpolation

    NASA Astrophysics Data System (ADS)

    Viholainen, Ari; Ihalainen, Tero; Rinne, Mika; Renfors, Markku

    2009-12-01

    This paper presents a novel method to generate a localized mode single-carrier frequency division multiple access (SC-FDMA) waveform. Instead of using DFT-spread OFDMA (DFT-S-OFDMA) processing, the new structure called SCiFI-FDMA relies on frequency and time domain interpolation followed by a user-specific frequency shift. SCiFI-FDMA can provide signal waveforms that are compatible to DFT-S-OFDMA. In addition, it provides any resolution of user bandwidth allocation for the uplink multiple access with comparable computational complexity, because the DFT is avoided. Therefore, SCiFI-FDMA allows a flexible choice of parameters appreciated in broadband mobile communications in the future.

  8. Interference Avoidance and Resource Allocation for OFDMA Downlink of Femtocells with Distributed Power Control

    NASA Astrophysics Data System (ADS)

    Jung, Hyunduk; Han, Jechan; Lee, Jaiyong

    OFDMA femtocells in the macrocellular network of which frequency reuse factor is 1 cause serious interference to macrocell users, while the femtocells improve the performance of indoor users. In this letter, a novel downlink resource allocation algorithm for OFDMA femtocell networks is proposed to reduce interference between the macrocells and the femtocells. This algorithm allocates femtocell subchannels to avoid interference to macrocell users in the femtocell coverage, and minimizes the total transmission power of the femtocell to reduce the negative effect on the performance of the macrocell. Simulation results are provided to present the performance of the proposed algorithm.

  9. Multi-Cell Cooperation with Fairness Constraint in the Downlink OFDMA Cellular Networks

    NASA Astrophysics Data System (ADS)

    Li, Hongxing; Luo, Hanwen; Chen, Wen; Guo, Jia

    In this letter, we study cell cooperation in the downlink OFDMA cellular networks. The proposed cooperation scheme is based on fractional frequency reuse (FFR), where a cooperation group consists of three sector antennas from three adjacent cells and the subchannels of each cooperation group are allocated coordinately to users. Simulation results demonstrate the effectiveness of the proposed schemes in terms of throughput and fairness.

  10. Experimental demonstration of a scalable transmitter frontend technique in IMDD-OFDMA-PON upstream scheme

    NASA Astrophysics Data System (ADS)

    Ju, Cheng; Liu, Na; Wang, Dongdong; Zhang, Zhiguo; Chen, Xue

    2016-11-01

    Scalable transmitter frontend scheme is proposed to reduce the sampling rate of digital-to-analog converter (DAC) and the complexity of digital signal processing (DSP) in intensity modulation and direct detection (IMDD) OFDMA-PON upstream scenarios. The hardware cost of each ONU is substantially decreased. The feasibility of the proposed scheme is experimentally demonstrated.

  11. Distributed Synchronization Technique for OFDMA-Based Wireless Mesh Networks Using a Bio-Inspired Algorithm

    PubMed Central

    Kim, Mi Jeong; Maeng, Sung Joon; Cho, Yong Soo

    2015-01-01

    In this paper, a distributed synchronization technique based on a bio-inspired algorithm is proposed for an orthogonal frequency division multiple access (OFDMA)-based wireless mesh network (WMN) with a time difference of arrival. The proposed time- and frequency-synchronization technique uses only the signals received from the neighbor nodes, by considering the effect of the propagation delay between the nodes. It achieves a fast synchronization with a relatively low computational complexity because it is operated in a distributed manner, not requiring any feedback channel for the compensation of the propagation delays. In addition, a self-organization scheme that can be effectively used to construct 1-hop neighbor nodes is proposed for an OFDMA-based WMN with a large number of nodes. The performance of the proposed technique is evaluated with regard to the convergence property and synchronization success probability using a computer simulation. PMID:26225974

  12. Distributed Synchronization Technique for OFDMA-Based Wireless Mesh Networks Using a Bio-Inspired Algorithm.

    PubMed

    Kim, Mi Jeong; Maeng, Sung Joon; Cho, Yong Soo

    2015-07-28

    In this paper, a distributed synchronization technique based on a bio-inspired algorithm is proposed for an orthogonal frequency division multiple access (OFDMA)-based wireless mesh network (WMN) with a time difference of arrival. The proposed time- and frequency-synchronization technique uses only the signals received from the neighbor nodes, by considering the effect of the propagation delay between the nodes. It achieves a fast synchronization with a relatively low computational complexity because it is operated in a distributed manner, not requiring any feedback channel for the compensation of the propagation delays. In addition, a self-organization scheme that can be effectively used to construct 1-hop neighbor nodes is proposed for an OFDMA-based WMN with a large number of nodes. The performance of the proposed technique is evaluated with regard to the convergence property and synchronization success probability using a computer simulation.

  13. Staged optimization algorithms based MAC dynamic bandwidth allocation for OFDMA-PON

    NASA Astrophysics Data System (ADS)

    Liu, Yafan; Qian, Chen; Cao, Bingyao; Dun, Han; Shi, Yan; Zou, Junni; Lin, Rujian; Wang, Min

    2016-06-01

    Orthogonal frequency division multiple access passive optical network (OFDMA-PON) has being considered as a promising solution for next generation PONs due to its high spectral efficiency and flexible bandwidth allocation scheme. In order to take full advantage of these merits of OFDMA-PON, a high-efficiency medium access control (MAC) dynamic bandwidth allocation (DBA) scheme is needed. In this paper, we propose two DBA algorithms which can act on two different stages of a resource allocation process. To achieve higher bandwidth utilization and ensure the equity of ONUs, we propose a DBA algorithm based on frame structure for the stage of physical layer mapping. Targeting the global quality of service (QoS) of OFDMA-PON, we propose a full-range DBA algorithm with service level agreement (SLA) and class of service (CoS) for the stage of bandwidth allocation arbitration. The performance of the proposed MAC DBA scheme containing these two algorithms is evaluated using numerical simulations. Simulations of a 15 Gbps network with 1024 sub-carriers and 32 ONUs demonstrate the maximum network throughput of 14.87 Gbps and the maximum packet delay of 1.45 ms for the highest priority CoS under high load condition.

  14. Resource Allocation in Cooperative OFDMA Systems with Fairness Constraint

    NASA Astrophysics Data System (ADS)

    Li, Hongxing; Luo, Hanwen; Wang, Xinbing; Ding, Ming; Chen, Wen

    This letter investigates a subchannel and power allocation (SPA) algorithm which maximizes the throughput of a user under the constraints of total transmit power and fair subchannel occupation among relay nodes. The proposed algorithm reduces computational complexity from exponential to linear in the number of subchannels at the expense of a small performance loss.

  15. Practical aspects of systems hardening

    SciTech Connect

    Shepherd, W.J.

    1989-01-01

    Applications of hardening technology in a practical system require a balance between the factors governing affordability, producibility, and survivability of the finished design. Without careful consideration of the top-level system operating constraints, a design engineer may find himself with a survivable but overweight, unproductive, expensive design. This paper explores some lessons learned in applying hardening techniques to several laser communications programs and is intended as an introductory guide to novice designers faced with the task of hardening a space system.

  16. Practical Applications of Space Systems.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Assembly of Engineering.

    This report gives an overview of a study conducted by the Space Applications Board (SAB) on the practical applications of space systems. In this study, the SAB considered how the nation's space capability might be used to solve problems such as the shortage of food and energy; the improvement of the physical environment; inventorying and…

  17. Epilogue: Systems Approaches and Systems Practice

    NASA Astrophysics Data System (ADS)

    Reynolds, Martin; Holwell, Sue

    Each of the five systems approaches discussed in this volume: system dynamics (SD), the viable systems model (VSM), strategic options development and analysis (SODA), soft systems methodology (SSM) and critical systems heuristics (CSH) has a pedigree. Not in the sense of the sometimes absurd spectacle of animals paraded at dog shows. Rather, their pedigree derives from their systems foundations, their capacity to evolve and their flexibility in use. None of the five approaches has developed out of use in restricted and controlled contexts of either low or high levels of complicatedness. Neither has any one of them evolved as a consequence of being applied only to situations with either presumed stakeholder agreement on purpose, or courteous disagreement amongst stakeholders, or stakeholder coercion. The compilation is not a celebration of abstract ‘methodologies', but of theoretically robust approaches that have a genuine pedigree in practice.

  18. Minimum cost maximum flow algorithm for upstream bandwidth allocation in OFDMA passive optical networks

    NASA Astrophysics Data System (ADS)

    Wu, Yating; Kuang, Bin; Wang, Tao; Zhang, Qianwu; Wang, Min

    2015-12-01

    This paper presents a minimum cost maximum flow (MCMF) based upstream bandwidth allocation algorithm, which supports differentiated QoS for orthogonal frequency division multiple access passive optical networks (OFDMA-PONs). We define a utility function as the metric to characterize the satisfaction degree of an ONU on the obtained bandwidth. The bandwidth allocation problem is then formulated as maximizing the sum of the weighted total utility functions of all ONUs. By constructing a flow network graph, we obtain the optimized bandwidth allocation using the MCMF algorithm. Simulation results show that the proposed scheme improves the performance in terms of mean packet delay, packet loss ratio and throughput.

  19. Design and Performance Evaluation of a Distributed OFDMA-Based MAC Protocol for MANETs

    PubMed Central

    Chung, Jiyoung; Lee, Hyungyu; Lee, Jung-Ryun

    2014-01-01

    In this paper, we propose a distributed MAC protocol for OFDMA-based wireless mobile ad hoc multihop networks, in which the resource reservation and data transmission procedures are operated in a distributed manner. A frame format is designed considering the characteristics of OFDMA that each node can transmit or receive data to or from multiple nodes simultaneously. Under this frame structure, we propose a distributed resource management method including network state estimation and resource reservation processes. We categorize five types of logical errors according to their root causes and show that two of the logical errors are inevitable while three of them are avoided under the proposed distributed MAC protocol. In addition, we provide a systematic method to determine the advertisement period of each node by presenting a clear relation between the accuracy of estimated network states and the signaling overhead. We evaluate the performance of the proposed protocol in respect of the reservation success rate and the success rate of data transmission. Since our method focuses on avoiding logical errors, it could be easily placed on top of the other resource allocation methods focusing on the physical layer issues of the resource management problem and interworked with them. PMID:25133254

  20. Design and performance evaluation of a distributed OFDMA-based MAC protocol for MANETs.

    PubMed

    Park, Jaesung; Chung, Jiyoung; Lee, Hyungyu; Lee, Jung-Ryun

    2014-01-01

    In this paper, we propose a distributed MAC protocol for OFDMA-based wireless mobile ad hoc multihop networks, in which the resource reservation and data transmission procedures are operated in a distributed manner. A frame format is designed considering the characteristics of OFDMA that each node can transmit or receive data to or from multiple nodes simultaneously. Under this frame structure, we propose a distributed resource management method including network state estimation and resource reservation processes. We categorize five types of logical errors according to their root causes and show that two of the logical errors are inevitable while three of them are avoided under the proposed distributed MAC protocol. In addition, we provide a systematic method to determine the advertisement period of each node by presenting a clear relation between the accuracy of estimated network states and the signaling overhead. We evaluate the performance of the proposed protocol in respect of the reservation success rate and the success rate of data transmission. Since our method focuses on avoiding logical errors, it could be easily placed on top of the other resource allocation methods focusing on the physical layer issues of the resource management problem and interworked with them.

  1. IQ imbalance tolerable parallel-channel DMT transmission for coherent optical OFDMA access network

    NASA Astrophysics Data System (ADS)

    Jung, Sang-Min; Mun, Kyoung-Hak; Jung, Sun-Young; Han, Sang-Kook

    2016-12-01

    Phase diversity of coherent optical communication provides spectrally efficient higher-order modulation for optical communications. However, in-phase/quadrature (IQ) imbalance in coherent optical communication degrades transmission performance by introducing unwanted signal distortions. In a coherent optical orthogonal frequency division multiple access (OFDMA) passive optical network (PON), IQ imbalance-induced signal distortions degrade transmission performance by interferences of mirror subcarriers, inter-symbol interference (ISI), and inter-channel interference (ICI). We propose parallel-channel discrete multitone (DMT) transmission to mitigate transceiver IQ imbalance-induced signal distortions in coherent orthogonal frequency division multiplexing (OFDM) transmissions. We experimentally demonstrate the effectiveness of parallel-channel DMT transmission compared with that of OFDM transmission in the presence of IQ imbalance.

  2. Joint Mode Selection and Resource Allocation for Cellular Controlled Short-Range Communication in OFDMA Networks

    NASA Astrophysics Data System (ADS)

    Deng, Hui; Tao, Xiaoming; Ge, Ning; Lu, Jianhua

    This letter studies cellular controlled short-range communication in OFDMA networks. The network needs to decide when to allow direct communication between a closely located device-to-device (D2D) pair instead of conveying data from one device to the other via the base station and when not to, in addition to subchannel and power allocation. Our goal is to maximize the total network throughput while guaranteeing the rate requirements of all users. For that purpose, we formulate an optimization problem subject to subchannel and power constraints. A scheme which combines a joint mode selection and subchannel allocation algorithm based on equal power allocation with a power reallocation scheme is proposed. Simulation results show that our proposed scheme can improve the network throughput and outage probability compared with other schemes.

  3. Optical beat interference noise reduction by using out-of-band RF clipping tone signal in remotely fed OFDMA-PON link.

    PubMed

    Jung, Sang-Min; Yang, Seung-Min; Mun, Kyung-Hak; Han, Sang-Kook

    2014-07-28

    A novel technique for mitigating the optical beat interference (OBI) noise in an optical orthogonal frequency division multiple access passive optical network (OFDMA-PON) uplink transmission is presented. By using an out of signal band RF clipping tone to the optical seed carrier, the OBI noise has been reduced and the resulting throughput and spectral efficiency has been improved. As an experimental verification, we demonstrate that the spectral efficiency of 23 km and 50 km have been doubled in the OFDMA-PON uplink transmission.

  4. Embedding Cognitive Systems into Systems Engineering Practice

    DTIC Science & Technology

    2008-12-01

    performing knowledge elicitation, task analyses, or workload and manpower assessments , as examples. Contrast a systems engineering simulation, a computer...aid. The product can be used to depict scripted human interactions with products. Its engine underpins the Imprint human systems integration tool...like CIOs decide what users need and their opinions, not user demand, dictate system characteristics. What should be an assessment of functional

  5. An Adaptive OFDMA-Based MAC Protocol for Underwater Acoustic Wireless Sensor Networks

    PubMed Central

    Khalil, Issa M.; Gadallah, Yasser; Hayajneh, Mohammad; Khreishah, Abdallah

    2012-01-01

    Underwater acoustic wireless sensor networks (UAWSNs) have many applications across various civilian and military domains. However, they suffer from the limited available bandwidth of acoustic signals and harsh underwater conditions. In this work, we present an Orthogonal Frequency Division Multiple Access (OFDMA)-based Media Access Control (MAC) protocol that is configurable to suit the operating requirements of the underwater sensor network. The protocol has three modes of operation, namely random, equal opportunity and energy-conscious modes of operation. Our MAC design approach exploits the multi-path characteristics of a fading acoustic channel to convert it into parallel independent acoustic sub-channels that undergo flat fading. Communication between node pairs within the network is done using subsets of these sub-channels, depending on the configurations of the active mode of operation. Thus, the available limited bandwidth gets fully utilized while completely avoiding interference. We derive the mathematical model for optimal power loading and subcarrier selection, which is used as basis for all modes of operation of the protocol. We also conduct many simulation experiments to evaluate and compare our protocol with other Code Division Multiple Access (CDMA)-based MAC protocols. PMID:23012517

  6. Two-Level Scheduling for Video Transmission over Downlink OFDMA Networks

    PubMed Central

    Tham, Mau-Luen

    2016-01-01

    This paper presents a two-level scheduling scheme for video transmission over downlink orthogonal frequency-division multiple access (OFDMA) networks. It aims to maximize the aggregate quality of the video users subject to the playback delay and resource constraints, by exploiting the multiuser diversity and the video characteristics. The upper level schedules the transmission of video packets among multiple users based on an overall target bit-error-rate (BER), the importance level of packet and resource consumption efficiency factor. Instead, the lower level renders unequal error protection (UEP) in terms of target BER among the scheduled packets by solving a weighted sum distortion minimization problem, where each user weight reflects the total importance level of the packets that has been scheduled for that user. Frequency-selective power is then water-filled over all the assigned subcarriers in order to leverage the potential channel coding gain. Realistic simulation results demonstrate that the proposed scheme significantly outperforms the state-of-the-art scheduling scheme by up to 6.8 dB in terms of peak-signal-to-noise-ratio (PSNR). Further test evaluates the suitability of equal power allocation which is the common assumption in the literature. PMID:26906398

  7. ONU discovery using multiple subchannels for seamless service support in long-reach OFDMA-PON.

    PubMed

    Bang, Hakjeon; Doo, Kyeong-Hwan; Lee, Jonghyun; Lee, Sangsoo

    2014-09-08

    In a passive optical network (PON), discovery is a process that detects and registers newly connected optical network units (ONUs). A long-reach PON requires a longer discovery window, e.g., at least 1 ms for 100 km, due to the increased round-trip time between an optical line terminal (OLT) and an ONU. The longer discovery window consumes more network resources and issues longer service-interruption time. From this motivation, for a long-reach orthogonal frequency-division multiple access (OFDMA)-PON, we propose a discovery method using multiple subchannels, where each subchannel consists of one or several subcarrier(s). Compared to discovery using a single channel, the proposed discovery method can increase the number of successfully detected ONUs at the same resources (i.e., for a discovery window) and ensure seamless service support to already registered ONUs, by assigning some subchannels for discovery and the remainder for data transmission. We analyze the discovery efficiency (i.e., the number of successfully detected ONUs in the discovery process) based on a probability and optimize the discovery window size by numerical simulations.

  8. Exploratory Practice and Soft Systems Methodology

    ERIC Educational Resources Information Center

    Tajino, Akira; Smith, Craig

    2005-01-01

    This paper aims to demonstrate that Soft Systems Methodology (SSM), a soft systems approach developed in management studies (see Checkland, 1981), can be usefully linked with Exploratory Practice (EP), a form of practitioner research for language classrooms. Some compatible SSM and EP characteristics, in tandem, could enhance continual efforts to…

  9. Systems Concepts Effectively Taught Using Systems Practices

    ERIC Educational Resources Information Center

    Ludwig, Claudia; Baliga, Nitin S.

    2008-01-01

    This article describes two lessons within the authors' education module entitled, Ecological Networks, that successfully teaches introductory systems content to middle and high school students. To catch students' attention when teaching these new concepts, they decided to use a network that was familiar and fun for students--a cell-phone…

  10. Systems Concepts Effectively Taught Using Systems Practices

    ERIC Educational Resources Information Center

    Ludwig, Claudia; Baliga, Nitin S.

    2008-01-01

    This article describes two lessons within the authors' education module entitled, Ecological Networks, that successfully teaches introductory systems content to middle and high school students. To catch students' attention when teaching these new concepts, they decided to use a network that was familiar and fun for students--a cell-phone…

  11. [Course system and teaching practice of genomics].

    PubMed

    Ouyang, Li-Ming; Zhang, Hui-Zhan

    2011-03-01

    Genomics is the core subject of "omics" theories and research methods in modern life science. Teaching of genomics has characteristics such as more content, more difficult points, higher demands on English and comprehensive expertise etc. We proposed the course system established for Genomics and summarized some experiences based on our teaching practice that emphasizes on increasing the study autonomy and course interactivity by group study on stimulating questions, innovative experiment, multi-media materials, and bilingual exercises etc.

  12. A decision-supported outpatient practice system.

    PubMed Central

    Barrows, R. C.; Allen, B. A.; Smith, K. C.; Arni, V. V.; Sherman, E.

    1996-01-01

    We describe a Decision-supported Outpatient Practice (DOP) system developed and now in use at the Columbia-Presbyterian Medical Center. DOP is an automated ambulatory medical record system that integrates in-patient and ambulatory care data, and incorporates active and passive decision support mechanisms with a view towards improving the quality of primary care. Active decision support occurs in the form of event-driven reminders created within a remote clinical information system with its central data repository and decision support system (DSS). Novel features of DOP include patient specific health maintenance task lists calculated by the remote DSS. uses of a semantically structured controlled medical vocabulary to support clinical results review and provider data entry, and exploitation of an underlying ambulatory data model that provides for an explicit record of evolution of insight regarding patient management. Benefits, challenges, and plans are discussed. PMID:8947774

  13. Practice and communications systems: a word processor based communications system.

    PubMed

    Abelson, M N

    1992-12-01

    The majority of computerized systems currently available for the orthodontic office have been designed for and aimed at those offices that have a volume practice and frequently have multiple practitioners. The stand-alone practitioner and the small office have been grossly ignored. Systems designed for large practices are frequently too complex, too involved in business administration, and too costly for the small office to use effectively. This article describes how an office communications system can be assembled by using commercially available programs. For background information and definition of terms used in this article, I suggest referring to "An Introduction to the Computerization of the Orthodontic Practice," in the Oct. issue of this Journal.

  14. Effective maintenance practices to manage system aging

    SciTech Connect

    Chockie, A.; Bjorkelo, K.

    1992-01-01

    For a variety of economic and technical reasons, there has been a growing concern with the aging of complex systems and components and the role that maintenance can play in reducing this degradation. A study for the Nuclear Regulatory Commission was recently undertaken to identify effective maintenance practices that could be adapted by the nuclear industry in the United States to assist in managing the aging degradation of plant systems and components. Four organizations were examined to assess the influence that their maintenance programs have on their ability to address the systems and component aging degradation issues. An effective maintenance program was found to be essential to the management of system and component aging. The four key elements of an effective maintenance program that are important to an aging management program were identified. These are: the selection of critical systems and components; the development of an understanding of aging through the collection and analysis of equipment performance information; the development of appropriate preventive and predictive maintenance tasks to manage equipment and system aging degradation; the use of feedback mechanisms to continuously improve the management of aging systems and components. These elements were found to be common to all four organizations. In examining how the four organizations have structured their maintenance programs to include these key elements provides valuable lessons not only for the nuclear power industry, but also for any industrial organization that is concerned with the management of system and component aging degradation. This document provides detail, of these studies.

  15. Effective maintenance practices to manage system aging

    SciTech Connect

    Chockie, A.; Bjorkelo, K.

    1992-01-01

    For a variety of economic and technical reasons, there has been a growing concern with the aging of complex systems and components and the role that maintenance can play in reducing this degradation. A study for the Nuclear Regulatory Commission was recently undertaken to identify effective maintenance practices that could be adapted by the nuclear industry in the United States to assist in managing the aging degradation of plant systems and components. Four organizations were examined to assess the influence that their maintenance programs have on their ability to address the systems and component aging degradation issues. An effective maintenance program was found to be essential to the management of system and component aging. The four key elements of an effective maintenance program that are important to an aging management program were identified. These are: the selection of critical systems and components; the development of an understanding of aging through the collection and analysis of equipment performance information; the development of appropriate preventive and predictive maintenance tasks to manage equipment and system aging degradation; the use of feedback mechanisms to continuously improve the management of aging systems and components. These elements were found to be common to all four organizations. In examining how the four organizations have structured their maintenance programs to include these key elements provides valuable lessons not only for the nuclear power industry, but also for any industrial organization that is concerned with the management of system and component aging degradation. This document provides detail, of these studies.

  16. Practicing Technology Implementation: The Case of an Enterprise System

    ERIC Educational Resources Information Center

    Awazu, Yukika

    2013-01-01

    Drawing on four theories of practice--Communities of Practice (CoP), Bourdieu's theory of practice, Pickering's mangle of practice, and Actor Network Theory (ANT), the study provides an in-depth understanding about technology implementation practice. Analysis of an Enterprise System implementation project in a software manufacturing…

  17. Practicing Technology Implementation: The Case of an Enterprise System

    ERIC Educational Resources Information Center

    Awazu, Yukika

    2013-01-01

    Drawing on four theories of practice--Communities of Practice (CoP), Bourdieu's theory of practice, Pickering's mangle of practice, and Actor Network Theory (ANT), the study provides an in-depth understanding about technology implementation practice. Analysis of an Enterprise System implementation project in a software manufacturing…

  18. An effective sampling clock synchronization method for continuous- and burst-mode transmission in OFDMA-PONs

    NASA Astrophysics Data System (ADS)

    Cai, Yufeng; Zhang, Qianwu; Chen, Rongrong; Kuang, Caixia; Zhang, Zhen; Li, Yingchun; Chen, Jian

    2017-02-01

    A sampling frequency offset (SFO) estimation and compensation method based on frequency domain correlation of long training symbols for orthogonal frequency division multiple access passive optical network (OFDMA-PON) is experimentally demonstrated, which shows excellent performances in transmissions of continuous- and burst-mode. For continuous-mode transmission under a certain SFO, the proposed scheme can perform effectively in a wide received optical power (RoP) range from -8 dBm to -2 dBm and has high estimation veracity and a large applicable range as large as 100 ppm at a certain RoP. Similar behavior is also demonstrated under burst-mode transmission with tiny performance degradation caused by the fact that the algorithm needs time to reach a stable status of synchronization.

  19. Adaptive Systems Engineering: A Medical Paradigm for Practicing Systems Engineering

    SciTech Connect

    R. Douglas Hamelin; Ron D. Klingler; Christopher Dieckmann

    2011-06-01

    From its inception in the defense and aerospace industries, SE has applied holistic, interdisciplinary tools and work-process to improve the design and management of 'large, complex engineering projects.' The traditional scope of engineering in general embraces the design, development, production, and operation of physical systems, and SE, as originally conceived, falls within that scope. While this 'traditional' view has expanded over the years to embrace wider, more holistic applications, much of the literature and training currently available is still directed almost entirely at addressing the large, complex, NASA and defense-sized systems wherein the 'ideal' practice of SE provides the cradle-to-grave foundation for system development and deployment. Under such scenarios, systems engineers are viewed as an integral part of the system and project life-cycle from conception to decommissioning. In far less 'ideal' applications, SE principles are equally applicable to a growing number of complex systems and projects that need to be 'rescued' from overwhelming challenges that threaten imminent failure. The medical profession provides a unique analogy for this latter concept and offers a useful paradigm for tailoring our 'practice' of SE to address the unexpected dynamics of applying SE in the real world. In short, we can be much more effective as systems engineers as we change some of the paradigms under which we teach and 'practice' SE.

  20. A Patient Record-Filing System for Family Practice

    PubMed Central

    Levitt, Cheryl

    1988-01-01

    The efficient storage and easy retrieval of quality records are a central concern of good family practice. Many physicians starting out in practice have difficulty choosing a practical and lasting system for storing their records. Some who have established practices are installing computers in their offices and finding that their filing systems are worn, outdated, and incompatible with computerized systems. This article describes a new filing system installed simultaneously with a new computer system in a family-practice teaching centre. The approach adopted solved all identifiable problems and is applicable in family practices of all sizes.

  1. System based practice: a concept analysis

    PubMed Central

    YAZDANI, SHAHRAM; HOSSEINI, FAKHROLSADAT; AHMADY, SOLEIMAN

    2016-01-01

    Introduction Systems-Based Practice (SBP) is one of the six competencies introduced by the ACGME for physicians to provide high quality of care and also the most challenging of them in performance, training, and evaluation of medical students. This concept analysis clarifies the concept of SBP by identifying its components to make it possible to differentiate it from other similar concepts. For proper training of SBP and to ensure these competencies in physicians, it is necessary to have an operational definition, and SBP’s components must be precisely defined in order to provide valid and reliable assessment tools. Methods Walker & Avant’s approach to concept analysis was performed in eight stages: choosing a concept, determining the purpose of analysis, identifying all uses of the concept, defining attributes, identifying a model case, identifying borderline, related, and contrary cases, identifying antecedents and consequences, and defining empirical referents. Results Based on the analysis undertaken, the attributes of SBP includes knowledge of the system, balanced decision between patients’ need and system goals, effective role playing in interprofessional health care team, system level of health advocacy, and acting for system improvement. System thinking and a functional system are antecedents and system goals are consequences. A case model, as well as border, and contrary cases of SBP, has been introduced. Conclusion he identification of SBP attributes in this study contributes to the body of knowledge in SBP and reduces the ambiguity of this concept to make it possible for applying it in training of different medical specialties. Also, it would be possible to develop and use more precise tools to evaluate SBP competency by using empirical referents of the analysis. PMID:27104198

  2. Diagnostic library support system for medical practice.

    PubMed

    Grams, R R; Massey, J K; Hickey, S; Jin, Z M

    1985-12-01

    Here is a tragic case where the diagnosis was missed on three separate occasions over a 19-month period. Both terminal conditions are treatable and potentially separable if discovered and aggressively managed. It is not the intent of this presentation to criticize the evaluation of this patient, but rather to point out the need and, also, the potential benefits of an alternate approach, which could have significantly changed the course of this particular patient's evaluation. We have conducted similar analyses with other CPC cases with almost equivalent specificity. These same evaluations have been performed in a real clinical setting with live patient data. What we have learned so far we think will be extremely helpful in extending the potential application of this technology: A text-based decision support tool is only as good as its practitioner. It takes practice and training to learn to use this system effectively. There are many traps in logic, and the use of words and terms within the text must be understood to effectively utilize this tool. There are shortcuts in logical analysis which we mentally use all the time but which cannot be accepted using this system (e.g., you must not rely on your memory or any specific associations to circumvent the system). The system will only become clinically relevant when the entire field of medicine is included in the data base. This is one of our current limitations with only two-thirds of the Merck medical text available for reference. This makes it difficult to apply to a general medical problem since we are not sure which direction the case might take, and often these are multisystem diseases or problems that put us at a severe disadvantage if we don't have the necessary data base. The structure and integrity of the data base are critical to the success of the system. Since numbers are ubiquitous, these cannot be used for key word elements. Techniques must be introduced to create word-oriented numbers that can be

  3. Intelligent transport systems and occupational therapy practice.

    PubMed

    Di Stefano, Marilyn; Macdonald, Wendy

    2003-01-01

    This paper explores some of the most widely available in-vehicle information technology systems (intelligent transport systems, or ITSs) and discusses their implications for occupational therapy practice. Therapists often evaluate the impact of functional impairment on driving ability and, with an ageing population, the need for such assessments is increasing. Concurrently, ITSs are becoming increasingly common and it is important that their potential effects on both driving task demand and crash risk are considered by therapists when assessing drivers. Interactions between drivers and ITSs are analysed in an information processing framework, highlighting the importance of drivers' cognitive functioning. It is evident that the ability to use an ITS while driving is influenced by a driver's sensory, perceptual, cognitive and motor capacities and skills, all of which are likely to vary with age, disability and/or driving experience. The compatibility of ITS interface design with drivers' capacities and needs is crucial in determining how effectively, and safely, a particular system will be used. Therapists need to analyse interface demands in relation to the ability of individual drivers to cope with or benefit from an ITS, and to consider the potential for calibrating particular products to the specific requirements of individual drivers. It is concluded that many ITSs are at an early stage of development and should not be recommended without critical evaluation of their utility, usability and safety for the intended users. Therapists face the challenge of understanding the parameters and implications of ITSs so that they can assist their clients to optimize their occupational performance despite functional limitations, while also protecting the safety of other road users. Standards related to interface design are still undergoing development, and there is an urgent need for further research to evaluate the impact of vehicle technologies on human behaviour and road

  4. The evolution and practical application of machine translation system (1)

    NASA Astrophysics Data System (ADS)

    Tominaga, Isao; Sato, Masayuki

    This paper describes a development, practical applicatioin, problem of a system, evaluation of practical system, and development trend of machine translation. Most recent system contains next four problems. 1) the vagueness of a text, 2) a difference of the definition of the terminology between different language, 3) the preparing of a large-scale translation dictionary, 4) the development of a software for the logical inference. Machine translation system is already used practically in many industry fields. However, many problems are not solved. The implementation of an ideal system will be after 15 years. Also, this paper described seven evaluation items detailedly. This English abstract was made by Mu system.

  5. Practical stability analysis of fractional-order impulsive control systems.

    PubMed

    Stamova, Ivanka; Henderson, Johnny

    2016-09-01

    In this paper we obtain sufficient conditions for practical stability of a nonlinear system of differential equations of fractional order subject to impulse effects. Our results provide a design method of impulsive control law which practically stabilizes the impulse free fractional-order system.

  6. Comparing HIPAA practices in two multi-hospital systems.

    PubMed

    Rada, Roy; Klawans, Chuck; Newton, Tom

    2002-01-01

    The comparison of HIPAA compliance efforts at two multi-hospital networks (Children's Health System and Carilion Health System) suggests a framework for classifying practices and for facilitating the integration of further case studies into a national library of HIPAA practices.

  7. Complete practice operating systems: the long-term solution to practice management.

    PubMed

    Havill, J

    2001-10-01

    A carefully structured, well thought-out CPOS based on a successful prototype(s) that has proven itself over time is probably the fastest and most reliable way to get your practice on the road to profitability that can be sustained and built upon over the life of the practice. If you rely on "bits and pieces" of practice management ideas and extraneous methods that of themselves may be effective, they may, when integrated into your existing operating structure or system, actually have a negative impact. When addressing something as important as your practice operations, and hence, your livelihood, carefully determine if the changes advocated will be effective, and how these changes will interface with your existing systems. If your existing systems are faulty, building on them may be futile. Look closely and carefully examine the knowledge, credibility, and expertise of anyone who is suggesting and implementing change in your practice. Further, and equally important, ask these two questions: (1) Is the operating system you are considering designed and built from a successful prototype? (2) Can the system's success be documented in terms of sustained increase in production, collections, and net income over time? If the answer is "no" to either or both of the above, tread lightly. You may actually be making things worse. Look for an operating system that has made other dental practices successful, and you can have the great practice you've always wanted!

  8. Improving the safety features of general practice computer systems.

    PubMed

    Avery, Anthony J; Savelyich, Boki S P; Teasdale, Sheila

    2003-01-01

    General practice computer systems already have a number of important safety features. However, there are problems in that general practitioners (GPs) have come to rely on hazard alerts when they are not foolproof. Furthermore, GPs do not know how to make best use of safety features on their systems. There are a number of solutions that could help to improve the safety features of general practice computer systems and also help to improve the abilities of healthcare professionals to use these safety features.

  9. Laboratory Information Management Systems in practice.

    PubMed

    McDowall, R D

    1988-01-01

    To maximize the benefits of a LIMS, the system must be integrated with the analytical instrumentation in the laboratory. This provides on-line data capture or transfer of results for matching with the corresponding sample records held within the database, which reduces transcription error checking and ensures data integrity. Furthermore, the LIMS must be integrated with existing corporate systems to ensure efficient use of resources and to avoid the development of parallel systems.

  10. Practical automatic Arabic license plate recognition system

    NASA Astrophysics Data System (ADS)

    Mohammad, Khader; Agaian, Sos; Saleh, Hani

    2011-02-01

    Since 1970's, the need of an automatic license plate recognition system, sometimes referred as Automatic License Plate Recognition system, has been increasing. A license plate recognition system is an automatic system that is able to recognize a license plate number, extracted from image sensors. In specific, Automatic License Plate Recognition systems are being used in conjunction with various transportation systems in application areas such as law enforcement (e.g. speed limit enforcement) and commercial usages such as parking enforcement and automatic toll payment private and public entrances, border control, theft and vandalism control. Vehicle license plate recognition has been intensively studied in many countries. Due to the different types of license plates being used, the requirement of an automatic license plate recognition system is different for each country. [License plate detection using cluster run length smoothing algorithm ].Generally, an automatic license plate localization and recognition system is made up of three modules; license plate localization, character segmentation and optical character recognition modules. This paper presents an Arabic license plate recognition system that is insensitive to character size, font, shape and orientation with extremely high accuracy rate. The proposed system is based on a combination of enhancement, license plate localization, morphological processing, and feature vector extraction using the Haar transform. The performance of the system is fast due to classification of alphabet and numerals based on the license plate organization. Experimental results for license plates of two different Arab countries show an average of 99 % successful license plate localization and recognition in a total of more than 20 different images captured from a complex outdoor environment. The results run times takes less time compared to conventional and many states of art methods.

  11. Systems and the Changing Architectural Practice.

    ERIC Educational Resources Information Center

    Heimsath, Clovis B.

    The architecture profession needs to employ systems building design in order to raise the rate of productivity and performance in construction. Changes have been made in architecture educational programs that recognize the shift in the role of the architect from design genius to building production manager. Systems design has led to changes within…

  12. Individualized Study Systems in Theory and Practice

    ERIC Educational Resources Information Center

    van der Klauw, C. F.; Plomp, Tj

    1974-01-01

    After a short characterization of individualized study systems (ISS) and a survey of the number and subject fields of individualized courses in the USA and Europe, the construction and evaluation of an ISS system in freshman mathematics at the Twente University of Technology, in the Netherlands, is discussed. (Editor)

  13. Recommended Practice for Securing Control System Modems

    SciTech Connect

    James R. Davidson; Jason L. Wright

    2008-01-01

    This paper addresses an often overlooked “backdoor” into critical infrastructure control systems created by modem connections. A modem’s connection to the public telephone system is similar to a corporate network connection to the Internet. By tracing typical attack paths into the system, this paper provides the reader with an analysis of the problem and then guides the reader through methods to evaluate existing modem security. Following the analysis, a series of methods for securing modems is provided. These methods are correlated to well-known networking security methods.

  14. A practical three visit complete denture system.

    PubMed

    Ling, B C

    2000-10-01

    Standard prosthodontic procedures require five visits to construct a set of complete maxillary and mandibular dentures. Various attempts have been made to reduce these procedures to four or three appointments. However, most of these techniques require the use of visible light polymerized resin as the final denture base materials. Visible light-cured resin materials have inferior physical properties and biocompatibility problems as compared with heat cured polymethylmethacrylate. This paper describes a system of complete denture construction which requires three clinical appointments instead of the usual five visits. This system is made possible by using the VLC base/tray material as the preliminary impression material as well as the application of a new biometric wax occlusion rim. It retains the use of polymethylmethacrylate as the denture base material. This system also utilizes all the procedures used in the conventional five appointment system of complete denture construction.

  15. Practical vision based degraded text recognition system

    NASA Astrophysics Data System (ADS)

    Mohammad, Khader; Agaian, Sos; Saleh, Hani

    2011-02-01

    Rapid growth and progress in the medical, industrial, security and technology fields means more and more consideration for the use of camera based optical character recognition (OCR) Applying OCR to scanned documents is quite mature, and there are many commercial and research products available on this topic. These products achieve acceptable recognition accuracy and reasonable processing times especially with trained software, and constrained text characteristics. Even though the application space for OCR is huge, it is quite challenging to design a single system that is capable of performing automatic OCR for text embedded in an image irrespective of the application. Challenges for OCR systems include; images are taken under natural real world conditions, Surface curvature, text orientation, font, size, lighting conditions, and noise. These and many other conditions make it extremely difficult to achieve reasonable character recognition. Performance for conventional OCR systems drops dramatically as the degradation level of the text image quality increases. In this paper, a new recognition method is proposed to recognize solid or dotted line degraded characters. The degraded text string is localized and segmented using a new algorithm. The new method was implemented and tested using a development framework system that is capable of performing OCR on camera captured images. The framework allows parameter tuning of the image-processing algorithm based on a training set of camera-captured text images. Novel methods were used for enhancement, text localization and the segmentation algorithm which enables building a custom system that is capable of performing automatic OCR which can be used for different applications. The developed framework system includes: new image enhancement, filtering, and segmentation techniques which enabled higher recognition accuracies, faster processing time, and lower energy consumption, compared with the best state of the art published

  16. Advancing the Practice of Systems Engineering at JPL

    NASA Technical Reports Server (NTRS)

    Jones, Ross; Jansma, Patti A.; Derro, Mary Ellen; Burns, Margaret J.; Blom, Kris

    2007-01-01

    Systems Engineering Advancement (SEA) practices at the Jet Propulsion Laboratory is presented. The topics include: 1) SEA background; 2) Three Key Components of change; and 3) Three Support Components of Change.

  17. A synthesis and a practical approach to complex systems

    NASA Astrophysics Data System (ADS)

    Brodu, Nicolas

    2006-06-01

    This document is both a synthesis of current notions about complex systems, and a practical approach description. A disambiguation is proposed and exposes possible reasons for controversies related to causation and emergence. Theoretical considerations about simulations are presented. A justification is then given for the development of practical tools and techniques for the investigation of complex systems. A methodology for the usage of these tools is finally suggested, illustrated by application examples.

  18. Using the Neuman systems model for best practices.

    PubMed

    Ume-Nwagbo, Pearl N; DeWan, Sharon A; Lowry, Lois W

    2006-01-01

    Human beings with unmet needs related to their health and illnesses are the central focus of the domain of nursing. It is proposed in this column that nurses who conduct their practice from a nursing theory base, while assisting individuals and families to meet their health needs, are more likely to provide comprehensive, individualized care that exemplifies best practices. The Neuman systems model has been widely acclaimed to guide practice, yet specific examples are few in the published literature. The purpose of this column is to present two case studies based upon Neuman systems model; one case is directed toward family care, and the other demonstrates care with an individual. Theory-based exemplars serve as teaching tools for students and practicing nurses. These case studies illustrate how nurses' actions, directed by Neuman's wholistic principles, integrate evidence-based practice and generate high quality care.

  19. The SI Metric System and Practical Applications.

    ERIC Educational Resources Information Center

    Carney, Richard W.

    Intended for use in the technical program of a technical institute or community college, this student manual is designed to provide background in the metric system contributing to employability. Nine units are presented with objectives stated for each unit followed by questions or exercises. (Printed answers are supplied when necessary.) Unit 1…

  20. Teachers' Belief Systems and Grading Practices.

    ERIC Educational Resources Information Center

    Frank, Harry; Brown, Clarence

    This report investigated two hypotheses: 1) junior high school teachers with concrete belief systems would assign more unsatisfactory citizenship grades and lower academic grades than more abstract teachers; and 2) the correlation between citizenship and academic grades would be higher for concrete than abstract teachers. Ten teachers from…

  1. Elaborating on systems thinking in health promotion practice.

    PubMed

    Naaldenberg, Jenneken; Vaandrager, Lenneke; Koelen, Maria; Wagemakers, Anne-Marie; Saan, Hans; de Hoog, Kees

    2009-03-01

    Health and well-being are the result of a series of complex processes in which an individual interacts with other people and the environment. A systematic approach ensures incorporation of individual, ecological, social and political factors. However, interactions between these factors can be overlooked within a systematical approach. A systemic approach can provide additional information by incorporating interactions and communication. The opportunities of a systems thinking perspective for health promotion were investigated for this paper. Although others have also made attempts to explore systems thinking in the field of health promotion, the implications of systems thinking in practice need attention. Other fields such as agricultural extension studies, organizational studies and development studies provide useful experiences with the use of a systems thinking perspective in practice. Building on experiences from these fields, we give a theoretical background in which processes of social learning and innovation play an important role. From this background, we derive an overview of important concepts for the practical application of a systems thinking perspective. These concepts are the structure of the system, meanings attached to actions, and power relations between actors. To make these concepts more explicit and reduce the theoretical character of systems thinking, we use an illustration to elaborate on these concepts in practice. For this purpose, we describe a health promotion partnership in The Netherlands using the concepts structure, meaning and power relations. We show how a systems perspective increases insight in the functioning of a partnership and how this can facilitate processes of social learning and innovation. This article concludes by identifying future opportunities and challenges in adopting systems thinking for health promotion practice. A systems perspective towards health promotion can help projects reaching a more integral and

  2. Model validation in soft systems practice

    SciTech Connect

    Checkland, P.

    1995-03-01

    The concept of `a model` usually evokes the connotation `model of part of the real world`. That is an almost automatic response. It makes sense especially in relation to the way the concept has been developed and used in natural science. Classical operational research (OR), with its scientific aspirations, and systems engineering, use the concept in the same way and in addition use models as surrogates for the real world, on which experimentation is cheap. In these fields the key feature of a model is representativeness. In soft systems methodology (SSM) models are not of part of the world; they are only relevant to debate about the real world and are used in a cyclic learning process. The paper shows how the different concepts of validation in classical OR and SSM lead to a way of sharply defining the nature of `soft OR`. 21 refs.

  3. Learning Support System Reproducing Finger Movements in Practicing Nursing Techniques

    PubMed Central

    Majima, Yukie; Maekawa, Yasuko; SOGA, Masato

    2012-01-01

    Heretofore, “skill proficiency” in nursing techniques has only been developed through experience. To pass that technical proficiency down to later generations, this study is intended to build a learning support system using virtual reality by reproducing finger movements used in practicing nursing techniques. For practicing blood drawing techniques, we earlier developed a prototype system that uses a finger motion capture system to acquire finger position data when a syringe is grasped. It uses the acquired data to reproduce the process of the techniques three-dimensionally. This paper outlines the prototype system and reports its effectiveness for learning after examining results of a demonstration experiment for nursing students. PMID:24199102

  4. Business systems: the key to dental practice success.

    PubMed

    Levin, R P

    2000-05-01

    The future of dentistry will be similar to that of many other businesses. It will be faced radical changes, new ways of thinking, new services, and greater competition. As these factors occur in all businesses, it will be those with systems and outstanding customer service that are able to not only survive, but also to thrive. Achieving practice success will be tied to having effective and efficient business systems, including customer service. While the world is changing rapidly, basic business principles and human nature have not changed. While businesses continue to work toward maximum productivity and profitability, patients will want to continue being treated with the greatest service and respect. The future may bring a gradual shift in dental practices. The top 20 percent of practices in five to seven years will have higher profitability than the top 5 percent of practices do today. On the other hand, the other 80 percent of dental practices will actually have decreased profitability. The difference will be that the top 20 percent of practices will implement outstanding business systems that allow them to be more efficient and effective than ever before. They will implement many new services of both traditional needs-based dentistry and of an elective nature. These practices are preparing today for the future regardless of the effects of the economy or changes in dental insurance or health care regulations.

  5. Practical implications of incentive systems are utilized by dental franchises.

    PubMed

    Yavner, S B

    1989-01-01

    The success of any dental practice depends, among other factors, on the critical role of staff employees. In order to encourage desired staff behaviors, incentive systems can be designed for employee dentists, assistants/hygienists and managers. A survey of dental franchises was conducted in 1987 for the purpose of examining their incentive control systems. The specific incentives employed by these dental franchises for their employees are analyzed. The implications of these incentive systems used by dental franchise organizations for all dental practices are then discussed.

  6. Practical thermodynamics of Yukawa systems at strong coupling

    SciTech Connect

    Khrapak, Sergey A.; Kryuchkov, Nikita P.; Yurchenko, Stanislav O.; Thomas, Hubertus M.

    2015-05-21

    Simple practical approach to estimate thermodynamic properties of strongly coupled Yukawa systems, in both fluid and solid phases, is presented. The accuracy of the approach is tested by extensive comparison with direct computer simulation results (for fluids and solids) and the recently proposed shortest-graph method (for solids). Possible applications to other systems of softly repulsive particles are briefly discussed.

  7. Guidelines for Psychological Practice in Health Care Delivery Systems

    ERIC Educational Resources Information Center

    American Psychologist, 2013

    2013-01-01

    Psychologists practice in an increasingly diverse range of health care delivery systems. The following guidelines are intended to assist psychologists, other health care providers, administrators in health care delivery systems, and the public to conceptualize the roles and responsibilities of psychologists in these diverse contexts. These…

  8. Guidelines for Psychological Practice in Health Care Delivery Systems

    ERIC Educational Resources Information Center

    American Psychologist, 2013

    2013-01-01

    Psychologists practice in an increasingly diverse range of health care delivery systems. The following guidelines are intended to assist psychologists, other health care providers, administrators in health care delivery systems, and the public to conceptualize the roles and responsibilities of psychologists in these diverse contexts. These…

  9. Recommended Practice for Patch Management of Control Systems

    SciTech Connect

    Steven Tom; Dale Christiansen; Dan Berrett

    2008-12-01

    A key component in protecting a nation’s critical infrastructure and key resources is the security of control systems. The term industrial control system refers to supervisory control and data acquisition, process control, distributed control, and any other systems that control, monitor, and manage the nation’s critical infrastructure. Critical Infrastructure and Key Resources (CIKR) consists of electric power generators, transmission systems, transportation systems, dam and water systems, communication systems, chemical and petroleum systems, and other critical systems that cannot tolerate sudden interruptions in service. Simply stated, a control system gathers information and then performs a function based on its established parameters and the information it receives. The patch management of industrial control systems software used in CIKR is inconsistent at best and nonexistent at worst. Patches are important to resolve security vulnerabilities and functional issues. This report recommends patch management practices for consideration and deployment by industrial control systems owners.

  10. Practical Challenges of Systems Thinking and Modeling in Public Health

    PubMed Central

    Trochim, William M.; Cabrera, Derek A.; Milstein, Bobby; Gallagher, Richard S.; Leischow, Scott J.

    2006-01-01

    Objectives. Awareness of and support for systems thinking and modeling in the public health field are growing, yet there are many practical challenges to implementation. We sought to identify and describe these challenges from the perspectives of practicing public health professionals. Methods. A systems-based methodology, concept mapping, was used in a study of 133 participants from 2 systems-based public health initiatives (the Initiative for the Study and Implementation of Systems and the Syndemics Prevention Network). This method identified 100 key challenges to implementation of systems thinking and modeling in public health work. Results. The project resulted in a map identifying 8 categories of challenges and the dynamic interactions among them. Conclusions. Implementation by public health professionals of the 8 simple rules we derived from the clusters in the map identified here will help to address challenges and improve the organization of systems that protect the public’s health. PMID:16449581

  11. Feedback Control Systems Loop Shaping Design with Practical Considerations

    NASA Technical Reports Server (NTRS)

    Kopsakis, George

    2007-01-01

    This paper describes loop shaping control design in feedback control systems, primarily from a practical stand point that considers design specifications. Classical feedback control design theory, for linear systems where the plant transfer function is known, has been around for a long time. But it s still a challenge of how to translate the theory into practical and methodical design techniques that simultaneously satisfy a variety of performance requirements such as transient response, stability, and disturbance attenuation while taking into account the capabilities of the plant and its actuation system. This paper briefly addresses some relevant theory, first in layman s terms, so that it becomes easily understood and then it embarks into a practical and systematic design approach incorporating loop shaping design coupled with lead-lag control compensation design. The emphasis is in generating simple but rather powerful design techniques that will allow even designers with a layman s knowledge in controls to develop effective feedback control designs.

  12. Assessing System Thinking Through Different Concept-Mapping Practices

    NASA Astrophysics Data System (ADS)

    Brandstädter, Kristina; Harms, Ute; Großschedl, Jörg

    2012-09-01

    System thinking is usually investigated by using questionnaires, video analysis, or interviews. Recently, concept-mapping (CM) was suggested as an adequate instrument for analysing students' system thinking. However, there are different ways with which to use this method. Therefore, the purpose of this study was to examine whether particular features of CM practices affect the valid assessment of students' system thinking. The particular features analysed were the medium (computer versus paper-pencil) and the directedness (highly directed versus nondirected) of CM practices. These features were evaluated with respect to their influence on (a) students' performance in CM and (b) the validity of different CM practices for system thinking. One hundred fifty-four German fourth graders (mean age: 9.95 years) and 93 eighth graders (mean age: 14.07 years) participated in the study following an experimental pre-test-post-test design. Three variations of CM practices were applied: (a) highly directed computer mapping, (b) highly directed paper-pencil mapping, and (c) nondirected paper-pencil mapping. In addition to the CM task, a paper-pencil questionnaire was employed to investigate the validity of the CM practices. Results showed that the computer positively influenced student performance in CM when compared with paper-pencil. By contrast, there was no difference between highly directed and nondirected mapping. Whereas the medium rarely influenced the validity of CM for system thinking, high directedness showed a positive influence. Considering the limitations and benefits of particular CM practices, we suggest highly directed and computer-based CM as an appropriate assessment tool-in particular, with regard to large-scale assessments of system thinking.

  13. Choosing a New Telephone System for Your Medical Practice.

    PubMed

    Metherell, Brian

    2016-01-01

    E-mail may rule the world in other types of businesses, but for medical practices, the telephone remains the primary mode of communication with patients, specialists, and pharmacies. From making appointments to calling in prescriptions, telephones are essential to patient care. With technology changing very quickly and new capabilities coming into the medical practice, such as telemedicine and Skype, you need to know your options when choosing a new telephone system. The possibilities include on-site, cloud, and hybrid networked solutions. A wide variety of features and capabilities are available, from dozens of vendors. Of course, no matter what telephone solution you choose, you must meet regulatory compliance, particularly HIPAA, and Payment Card Industry Data Security Standard if you take credit cards. And it has to be affordable, reliable, and long lasting. This article explores what medical practices need to know when choosing a new business telephone system in order to find the right solutions for their businesses.

  14. School Technology Leadership: Artifacts in Systems of Practice

    ERIC Educational Resources Information Center

    Dexter, Sara

    2011-01-01

    A cross-case analysis of five case studies of team-based technology leadership in middle schools with laptop programs identifies systems of practice that organize teams' distributed leadership. These cases suggest that successfully implementing a complex improvement effort warrants a team-based leadership approach, especially for an improvement…

  15. Identifying Data-Driven Instructional Systems. Research to Practice Brief

    ERIC Educational Resources Information Center

    Lawrence, K. S.

    2016-01-01

    The study summarized in this research to practice brief, "Creating data-driven instructional systems in school: The new instructional leadership," Halverson, R., Grigg, J., Pritchett, R., & Thomas, C. (2015), "Journal of School Leadership," 25. 447-481, investigated whether student outcome improvements were linked to the…

  16. Chemical Kinetics of Hydrocarbon Ignition in Practical Combustion Systems

    SciTech Connect

    Westbrook, C.K.

    2000-07-07

    Chemical kinetic factors of hydrocarbon oxidation are examined in a variety of ignition problems. Ignition is related to the presence of a dominant chain branching reaction mechanism that can drive a chemical system to completion in a very short period of time. Ignition in laboratory environments is studied for problems including shock tubes and rapid compression machines. Modeling of the laboratory systems are used to develop kinetic models that can be used to analyze ignition in practical systems. Two major chain branching regimes are identified, one consisting of high temperature ignition with a chain branching reaction mechanism based on the reaction between atomic hydrogen with molecular oxygen, and the second based on an intermediate temperature thermal decomposition of hydrogen peroxide. Kinetic models are then used to describe ignition in practical combustion environments, including detonations and pulse combustors for high temperature ignition, and engine knock and diesel ignition for intermediate temperature ignition. The final example of ignition in a practical environment is homogeneous charge, compression ignition (HCCI) which is shown to be a problem dominated by the kinetics intermediate temperature hydrocarbon ignition. Model results show why high hydrocarbon and CO emissions are inevitable in HCCI combustion. The conclusion of this study is that the kinetics of hydrocarbon ignition are actually quite simple, since only one or two elementary reactions are dominant. However, there are many combustion factors that can influence these two major reactions, and these are the features that vary from one practical system to another.

  17. Leading Instructional Practices in a Performance-Based System

    ERIC Educational Resources Information Center

    Kauble, Anna; Wise, Donald

    2015-01-01

    Given the shift to Common Core, educational leaders are challenged to see new directions in teaching and learning. The purpose of this study was to investigate the instructional practices which may be related to the effectiveness of a performance-based system (PBS) and their impact on student achievement, as part of a thematic set of dissertations…

  18. How I treat patients with systemic sclerosis in clinical practice.

    PubMed

    Rossi, Daniela; Zanatta, Elisabetta; Marson, Piero; Sciascia, Savino; Polito, Pamela; Roccatello, Dario; Cozzi, Franco

    2017-10-01

    Systemic sclerosis (SSc) or scleroderma is a disorder of the connective tissue affecting the skin, and it is often associated with visceral involvement. The predominant pathological features of SSc are autoimmunity, vasculopathy, and fibrosis. Progressive fibrosis is associated with changes in the microcirculation of the involved organs. Here, we review the clinical features of systemic sclerosis and describe the best practice approaches for its management, reviewing available guidelines and recommendations and providing experts' insights. Copyright © 2017. Published by Elsevier B.V.

  19. Nursing record systems: effects on nursing practice and healthcare outcomes.

    PubMed

    Urquhart, Christine; Currell, Rosemary; Grant, Maria J; Hardiker, Nicholas R

    2009-01-21

    A nursing record system is the record of care that was planned or given to individual patients and clients by qualified nurses or other caregivers under the direction of a qualified nurse. Nursing record systems may be an effective way of influencing nurse practice. To assess the effects of nursing record systems on nursing practice and patient outcomes. For the original version of this review in 2000, and updates in 2003 and 2008, we searched: the Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register; MEDLINE, EMBASE, CINAHL, BNI, ISI Web of Knowledge, and ASLIB Index of Theses. We also handsearched: Computers, Informatics, Nursing (Computers in Nursing); Information Technology in Nursing; and the Journal of Nursing Administration. For this update, searches can be considered complete until the end of 2007. We checked reference lists of retrieved articles and other related reviews. Randomised controlled trials (RCTs), controlled before and after studies, and interrupted time series comparing one kind of nursing record system with another in hospital, community or primary care settings. The participants were qualified nurses, students or healthcare assistants working under the direction of a qualified nurse, and patients receiving care recorded or planned using nursing record systems. Two review authors (in two pairs) independently assessed trial quality and extracted data. We included nine trials (eight RCTs, one controlled before and after study) involving 1846 people. The studies that evaluated nursing record systems focusing on relatively discrete and focused problems, for example effective pain management in children, empowering pregnant women and parents, reducing loss of notes, reducing time spent on data entry of test results, reducing transcription errors, and reducing the number of pieces of paper in a record, all demonstrated some degree of success in achieving the desired results. Studies of nursing care planning systems

  20. Quantum hacking: attacking practical quantum key distribution systems

    NASA Astrophysics Data System (ADS)

    Qi, Bing; Fung, Chi-Hang Fred; Zhao, Yi; Ma, Xiongfeng; Tamaki, Kiyoshi; Chen, Christine; Lo, Hoi-Kwong

    2007-09-01

    Quantum key distribution (QKD) can, in principle, provide unconditional security based on the fundamental laws of physics. Unfortunately, a practical QKD system may contain overlooked imperfections and violate some of the assumptions in a security proof. Here, we report two types of eavesdropping attacks against a practical QKD system. The first one is "time-shift" attack, which is applicable to QKD systems with gated single photon detectors (SPDs). In this attack, the eavesdropper, Eve, exploits the time mismatch between the open windows of the two SPDs. She can acquire a significant amount of information on the final key by simply shifting the quantum signals forwards or backwards in time domain. Our experimental results in [9] with a commercial QKD system demonstrate that, under this attack, the original QKD system is breakable. This is the first experimental demonstration of a feasible attack against a commercial QKD system. This is a surprising result. The second one is "phase-remapping" attack [10]. Here, Eve exploits the fact that a practical phase modulator has a finite response time. In principle, Eve could change the encoded phase value by time-shifting the signal pulse relative to the reference pulse.

  1. "Solar System - Practical Exercises" and "Astronomy - Practical Works" for Secondary Scholars

    NASA Astrophysics Data System (ADS)

    Tomic, A. S.

    2006-08-01

    Following intentions for introducing new forms of astronomical education in secondary schools and, simultaneously, suggestions for adaptation of astronomical methods of investigation for use by amateurs, the author has written two books, as cited in the title, and published by state textbook publisher "Zavod za udzbenike" in Belgrade. "Solar System - Practical Exercises" (A4, 55 p.) is complete with ten practical exercises for scholars, with emphasis on the fundamental astronomical parameters in the solar system. "Astronomy - Practical Works" (B5, 196 p.) is the result of a 25-year-long author's experience in guiding competition, plus "Science for Youth," covering astronomy for secondary and primary school pupils. It contains 82 practical works, which were all realized by scholars with some assistance and guidance by mentors at the public observatories or those with personal instruments. A number of good quality papers are written by these pupils and published in the astronomical journal "VASIONA," edited by the astronomical society "Rudjer Boscovich" in Belgrade. Most of these authors completed studies of astronomy, physics, mathematics or techniques. Both books are presented with full information on contents.

  2. Practical identifiability analysis of a minimal cardiovascular system model.

    PubMed

    Pironet, Antoine; Docherty, Paul D; Dauby, Pierre C; Chase, J Geoffrey; Desaive, Thomas

    2017-01-17

    Parameters of mathematical models of the cardiovascular system can be used to monitor cardiovascular state, such as total stressed blood volume status, vessel elastance and resistance. To do so, the model parameters have to be estimated from data collected at the patient's bedside. This work considers a seven-parameter model of the cardiovascular system and investigates whether these parameters can be uniquely determined using indices derived from measurements of arterial and venous pressures, and stroke volume. An error vector defined the residuals between the simulated and reference values of the seven clinically available haemodynamic indices. The sensitivity of this error vector to each model parameter was analysed, as well as the collinearity between parameters. To assess practical identifiability of the model parameters, profile-likelihood curves were constructed for each parameter. Four of the seven model parameters were found to be practically identifiable from the selected data. The remaining three parameters were practically non-identifiable. Among these non-identifiable parameters, one could be decreased as much as possible. The other two non-identifiable parameters were inversely correlated, which prevented their precise estimation. This work presented the practical identifiability analysis of a seven-parameter cardiovascular system model, from limited clinical data. The analysis showed that three of the seven parameters were practically non-identifiable, thus limiting the use of the model as a monitoring tool. Slight changes in the time-varying function modeling cardiac contraction and use of larger values for the reference range of venous pressure made the model fully practically identifiable. Copyright © 2017. Published by Elsevier B.V.

  3. Human Systems Integration in Practice: Constellation Lessons Learned

    NASA Technical Reports Server (NTRS)

    Zumbado, Jennifer Rochlis

    2012-01-01

    NASA's Constellation program provided a unique testbed for Human Systems Integration (HSI) as a fundamental element of the Systems Engineering process. Constellation was the first major program to have HSI mandated by NASA's Human Rating document. Proper HSI is critical to the success of any project that relies on humans to function as operators, maintainers, or controllers of a system. HSI improves mission, system and human performance, significantly reduces lifecycle costs, lowers risk and minimizes re-design. Successful HSI begins with sufficient project schedule dedicated to the generation of human systems requirements, but is by no means solely a requirements management process. A top-down systems engineering process that recognizes throughout the organization, human factors as a technical discipline equal to traditional engineering disciplines with authority for the overall system. This partners with a bottoms-up mechanism for human-centered design and technical issue resolution. The Constellation Human Systems Integration Group (HSIG) was a part of the Systems Engineering and Integration (SE&I) organization within the program office, and existed alongside similar groups such as Flight Performance, Environments & Constraints, and Integrated Loads, Structures and Mechanisms. While the HSIG successfully managed, via influence leadership, a down-and-in Community of Practice to facilitate technical integration and issue resolution, it lacked parallel top-down authority to drive integrated design. This presentation will discuss how HSI was applied to Constellation, the lessons learned and best practices it revealed, and recommendations to future NASA program and project managers. This presentation will discuss how Human Systems Integration (HSI) was applied to NASA's Constellation program, the lessons learned and best practices it revealed, and recommendations to future NASA program and project managers on how to accomplish this critical function.

  4. Documentation of Nursing Practice Using a Computerized Medical Information System

    PubMed Central

    Romano, Carol

    1981-01-01

    This paper discusses a definition of the content of the computerized nursing data base developed by the Nursing Department for the Clinical Center Medical Information System at the National Institutes of Health in Bethesda, Maryland. The author describes the theoretical framework for the content and presents a model to describe the organization of the nursing data components in relation to the process of nursing care delivery. Nursing documentation requirements of Nurse Practice Acts, American Nurses Association Standards of Practice and the Joint Commission on Accreditation of Hospitals are also addressed as they relate to this data base. The advantages and disadvantages of such an approach to computerized documentation are discussed.

  5. A dynamic family practice information system for enhanced financial management.

    PubMed

    Hofman, M N; Hughes, R L

    1982-08-01

    The definition of the fiscal unit/family structure has enabled users of the FMIS, or family practices in Colorado and Wyoming, to maintain accurate, ongoing financial information on their patients. In turn, this structure has been a major incentive for maintaining accurate family information, and a distinct benefit to FMIS users. This article has presented the rationale, design, and method of implementation of the fiscal unit structure, with the intention of presenting this concept to others for use in other information systems used in maintaining family-oriented financial and medical information for medical practices.

  6. Development and practice of a Telehealthcare Expert System (TES).

    PubMed

    Lin, Hanjun; Hsu, Yeh-Liang; Hsu, Ming-Shinn; Cheng, Chih-Ming

    2013-07-01

    Expert systems have been widely used in medical and healthcare practice for various purposes. In addition to vital sign data, important concerns in telehealthcare include the compliance with the measurement prescription, the accuracy of vital sign measurements, and the functioning of vital sign meters and home gateways. However, few expert system applications are found in the telehealthcare domain to address these issues. This article presents an expert system application for one of the largest commercialized telehealthcare practices in Taiwan by Min-Sheng General Hospital. The main function of the Telehealthcare Expert System (TES) developed in this research is to detect and classify events based on the measurement data transmitted to the database at the call center, including abnormality of vital signs, violation of vital sign measurement prescriptions, and malfunction of hardware devices (home gateway and vital sign meter). When the expert system detects an abnormal event, it assigns an "urgent degree" and alerts the nursing team in the call center to take action, such as phoning the patient for counseling or to urge the patient to return to the hospital for further tests. During 2 years of clinical practice, from 2009 to 2011, 19,182 patients were served by the expert system. The expert system detected 41,755 events, of which 22.9% indicated abnormality of vital signs, 75.2% indicated violation of measurement prescription, and 1.9% indicated malfunction of devices. On average, the expert system reduced by 76.5% the time that the nursing team in the call center spent in handling the events. The expert system helped to reduce cost and improve quality of the telehealthcare service.

  7. Practical system for generating digital mixed reality video holograms.

    PubMed

    Song, Joongseok; Kim, Changseob; Park, Hanhoon; Park, Jong-Il

    2016-07-10

    We propose a practical system that can effectively mix the depth data of real and virtual objects by using a Z buffer and can quickly generate digital mixed reality video holograms by using multiple graphic processing units (GPUs). In an experiment, we verify that real objects and virtual objects can be merged naturally in free viewing angles, and the occlusion problem is well handled. Furthermore, we demonstrate that the proposed system can generate mixed reality video holograms at 7.6 frames per second. Finally, the system performance is objectively verified by users' subjective evaluations.

  8. Public Health Information Systems: Priorities and Practices for Successful Deployments.

    PubMed

    Pearce, Martin

    2016-01-01

    A fast paced workshop designed for senior public health decision makers and clinical leaders implementing information systems to support delivery of public health programs. The tutorial will introduce public health information systems and provide best practices for implementing solutions related to immunization, communicable disease case management and outbreak management. Using a combination of formats, the tutorial will: • Highlight key functionality of public health information systems. • Review global crises currently exposing gaps and deficiencies in public health information. • Examine governance, planning, and implementation priorities. • Highlight considerations supporting implementations nationally and in special populations. • Provide real, actionable lessons learned to take away and apply in the real world.

  9. Advancing the practice of systems engineering at JPL

    NASA Technical Reports Server (NTRS)

    Jansma, Patti A.; Jones, Ross M.

    2006-01-01

    In FY 2004, JPL launched an initiative to improve the way it practices systems engineering. The Lab's senior management formed the Systems Engineering Advancement (SEA) Project in order to "significantly advance the practice and organizational capabilities of systems engineering at JPL on flight projects and ground support tasks." The scope of the SEA Project includes the systems engineering work performed in all three dimensions of a program, project, or task: 1. the full life-cycle, i.e., concept through end of operations 2. the full depth, i.e., Program, Project, System, Subsystem, Element (SE Levels 1 to 5) 3. the full technical scope, e.g., the flight, ground and launch systems, avionics, power, propulsion, telecommunications, thermal, etc. The initial focus of their efforts defined the following basic systems engineering functions at JPL: systems architecture, requirements management, interface definition, technical resource management, system design and analysis, system verification and validation, risk management, technical peer reviews, design process management and systems engineering task management, They also developed a list of highly valued personal behaviors of systems engineers, and are working to inculcate those behaviors into members of their systems engineering community. The SEA Project is developing products, services, and training to support managers and practitioners throughout the entire system lifecycle. As these are developed, each one needs to be systematically deployed. Hence, the SEA Project developed a deployment process that includes four aspects: infrastructure and operations, communication and outreach, education and training, and consulting support. In addition, the SEA Project has taken a proactive approach to organizational change management and customer relationship management - both concepts and approaches not usually invoked in an engineering environment. This paper'3 describes JPL's approach to advancing the practice of

  10. A practical prenatal ultrasound classification system for common oral clefts.

    PubMed

    Maarse, Wiesje; Boonacker, Chantal W B; Breugem, Corstiaan C; Kon, Moshe; Manten, Gwendolyn T R; Mink van der Molen, Aebele B

    2015-09-01

    Our aim is to introduce and validate a new oral cleft classification system based on prenatal ultrasound for use by professionals in daily practice. During a 3-year period (2011-2014), all cases of prenatal oral cleft diagnosed by ultrasound were retrospectively reviewed. A new prenatal ultrasound classification system was introduced. For the purpose of validation, prenatal ultrasound images of oral cleft types were described according to the new classification system and were compared with postnatal findings by reviewing medical records. A total of 103 fetuses with oral cleft were identified by ultrasound. The mean gestation time at detection was 20.4 weeks (95% confidence intervals: 20.0-20.7). The association between oral cleft and other anomalies varied by cleft type; types 2b/3b and 4 were most frequently associated with other anomalies. The measure of agreement between the prenatal and postnatal findings showed a Kappa value of 0.63 (95% confidence intervals: 0.52-0.75), demonstrating the accuracy of this new classification system. A new prenatal oral cleft classification system is presented. This system appears to be accurate, and it shows the variation in the risk of associated anomalies for each cleft type. We expect that ultrasonographers will be able to use the new classification in daily practice. © 2015 John Wiley & Sons, Ltd.

  11. The transformational model for professional practice: a system integration focus.

    PubMed

    Wolf, Gail A; Hayden, Margaret; Bradle, Judith A

    2004-04-01

    Healthcare organizations face the increasingly difficult challenge of providing services that are of high quality, reasonable cost, and easy accessibility for their constituents. Mergers and acquisitions are one strategy for accomplishing this, but in doing so it is critical to have a "road map" to create an integrated system, rather than merely a consortium of hospitals. The University of Pittsburgh Medical Center has successfully created an integrated healthcare system of 19 hospitals. The authors describe the professional practice model used as a framework for success in integrating patient care.

  12. Nineteenth-Century World's Fairs as Accountability Systems: Scopic Systems, Audit Practices and Educational Data

    ERIC Educational Resources Information Center

    Sobe, Noah W.; Boven, David T.

    2014-01-01

    Late-19th century World's Fairs constitute an important chapter in the history of educational accountability. International expositions allowed for educational systems and practices to be "audited" by lay and expert audiences. In this article we examine how World's Fair exhibitors sought to make visible educational practices and…

  13. Practical Implementation of a Large Primary Care Pediatric Practice Patient Care Information System

    PubMed Central

    Mize, Susan G.; Kramer, Robert I.

    1987-01-01

    THIS PAPER PRESENTS THE USE OF A PATIENT CARE INFORMATION PORTION OF A COMPUTERIZED OFFICE PRACTICE MANAGEMENT SYSTEM. THE KEY TO IMPLEMENTING THIS SYSTEM IN A COST EFFECTIVE MANNER WAS THE ABILITY TO AUTOMATICALLY ABSTRACT MEDICAL INFORMATION FROM THE ACCOUNTING PROGRAMS WITHOUT HAVING TO REKEY THE DESIGNATED PATIENT MEDICAL INFORMATION ITEMS. THE PATIENT MANAGEMENT FUNCTIONS SPECIFICALLY INCLUDE: (1) A MINIMAL PATIENT MEDICAL INFORMATION SET WHICH IS PRINTED ON THE PATIENT “CARE SLIP” OR “SUPERBILL”; (2) CLINICAL NOTES WHICH ALLOW NURSES AND PHYSICIANS TO DOCUMENT PATIENT PHONE CALLS; (3) A THERAPEUTIC GUIDE WHICH GIVES ACCESS TO NURSES TO READ ON THE TERMINAL SCREEN STANDARD RECOMMENDATIONS BY THEIR PHYSICIANS FOR THE MORE COMMON PROBLEMS AND QUESTIONS ENCOUNTERED WHILE HANDLING PATIENT PHONE CALLS; AND (4) A NURSE TELEPHONE MESSAGE SYSTEM.

  14. A prototype system to support evidence-based practice.

    PubMed

    Demner-Fushman, Dina; Seckman, Charlotte; Fisher, Cheryl; Hauser, Susan E; Clayton, Jennifer; Thoma, George R

    2008-11-06

    Translating evidence into clinical practice is a complex process that depends on the availability of evidence, the environment into which the research evidence is translated, and the system that facilitates the translation. This paper presents InfoBot, a system designed for automatic delivery of patient-specific information from evidence-based resources. A prototype system has been implemented to support development of individualized patient care plans. The prototype explores possibilities to automatically extract patients problems from the interdisciplinary team notes and query evidence-based resources using the extracted terms. Using 4,335 de-identified interdisciplinary team notes for 525 patients, the system automatically extracted biomedical terminology from 4,219 notes and linked resources to 260 patient records. Sixty of those records (15 each for Pediatrics, Oncology & Hematology, Medical & Surgical, and Behavioral Health units) have been selected for an ongoing evaluation of the quality of automatically proactively delivered evidence and its usefulness in development of care plans.

  15. Resilient Control Systems Practical Metrics Basis for Defining Mission Impact

    SciTech Connect

    Craig G. Rieger

    2014-08-01

    "Resilience” describes how systems operate at an acceptable level of normalcy despite disturbances or threats. In this paper we first consider the cognitive, cyber-physical interdependencies inherent in critical infrastructure systems and how resilience differs from reliability to mitigate these risks. Terminology and metrics basis are provided to integrate the cognitive, cyber-physical aspects that should be considered when defining solutions for resilience. A practical approach is taken to roll this metrics basis up to system integrity and business case metrics that establish “proper operation” and “impact.” A notional chemical processing plant is the use case for demonstrating how the system integrity metrics can be applied to establish performance, and

  16. Provider Attitudes Regarding Vaccine Tracking Systems in Pediatric Practices.

    PubMed

    O'Leary, Sean T; Hurley, Laura P; Kennedy, Erin D; Crane, Lori A; Brtnikova, Michaela; Allison, Mandy A; Williams, Warren; Beaty, Brenda L; Jimenez-Zambrano, Andrea; Kempe, Allison

    2016-01-01

    To assess among US pediatricians' systems for tracking vaccine administration and inventory and attitudes about these systems; and attitudes regarding and perceived barriers to adoption of a 2-dimensional bar code systems. Internet and mail survey of a nationally representative network of pediatricians between September 2011 and January 2012. The response rate was 71% (288 of 408). The most common methods for recording vaccine information were manual entry into an electronic (52%) or paper (27%) record; 76% recorded information in ≥2 places. Physicians reported ordering vaccine on the basis of seasonal increases in demand (55%), paper-based inventory (52%), or when stock looks low (47%); 79% reported it was time consuming to track inventory and 24% reported their practices frequently run out of vaccines. Among those participating in an immunization information system, 29% transmitted data by automatic uploads and 58% entered data manually. Physicians agreed that bar codes could facilitate tracking of vaccine inventory (96%), would improve patient safety (96%), would be more reliable and accurate than current systems (93%), and could improve the efficiency of vaccine administration (90%). Barriers to adoption of a bar code system included need for software (52%), information technology support (42%), and computer equipment (33%). The total cost at which >50% reported they would definitely or probably adopt a bar code system was between $1000 and $4999. Most pediatricians report using inefficient systems for tracking vaccine administration and inventory and recognize multiple potential benefits of incorporating vaccine bar coding into their practice. To facilitate adoption, costs will need to be contained and technological barriers addressed. Copyright © 2016. Published by Elsevier Inc.

  17. Thinking strategically: academic-practice relationships: one health system's experience.

    PubMed

    Wurmser, Teri; Bliss-Holtz, Jane

    2011-01-01

    Strategic planning and joint leverage of the strengths inherent in the academic and practice arenas of nursing are imperative to confront the challenges facing the profession of nursing and its place within the healthcare team of the future. This article presents a description and discussion of the implementation of several academic-practice partnership initiatives by Meridian Health, a health system located in central New Jersey. Included in the strategies discussed are creation of a support program for nonprofessional employees to become registered nurses; active partnership in the development of an accelerated BSN program; construction of support systems and academic partnerships for staff participation in RN-to-BSN programs; construction of on-site clinical simulation laboratories to foster interprofessional learning; and the implementation of a new BSN program, the first and only generic BSN program in two counties of the state. Outcomes of these academic-practice partnerships also are presented, including number of participants; graduation and NCLEX-RN pass rates; MH nurse vacancy rates; and nurse retention rates after first employment.

  18. Practical mask inspection system with printability and pattern priority verification

    NASA Astrophysics Data System (ADS)

    Tsuchiya, Hideo; Ozaki, Fumio; Takahara, Kenichi; Inoue, Takafumi; Kikuiri, Nobutaka

    2011-05-01

    Through the four years of study in Association of Super-Advanced Electronics Technologies (ASET) on reducing mask manufacturing Turn Around Time (TAT) and cost, we have been able to establish a technology to improve the efficiency of the review process by applying a printability verification function that utilizes computational lithography simulations to analyze defects detected by a high-resolution mask inspection system. With the advent of Source-Mask Optimization (SMO) and other technologies that extend the life of existing optical lithography, it is becoming extremely difficult to judge a defect only by the shape of a mask pattern, while avoiding pseudo-defects. Thus, printability verification is indispensable for filtering out nuisance defects from high-resolution mask inspection results. When using computational lithography simulations to verify printability with high precision, the image captured by the inspection system must be prepared with extensive care. However, for practical applications, this preparation process needs to be simplified. In addition, utilizing Mask Data Rank (MDR) to vary the defect detection sensitivity according to the patterns is also useful for simultaneously inspecting minute patterns and avoiding pseudo-defects. Combining these two technologies, we believe practical mask inspection for next generation lithography is achievable. We have been improving the estimation accuracy of the printability verification function through discussion with several customers and evaluation of their masks. In this report, we will describe the progress of these practical mask verification functions developed through customers' evaluations.

  19. Tainted blood: Probing safety practices in the Danish blood system.

    PubMed

    Deleuran, Ida; Sheikh, Zainab Afshan; Hoeyer, Klaus

    2015-09-01

    The existing literature on donor screening in transfusion medicine tends to distinguish between social concerns about discrimination and medical concerns about safety. In this article, we argue that the bifurcation into social and medical concerns is problematic. We build our case on a qualitative study of the historical rise and current workings of safety practices in the Danish blood system. Here, we identify a strong focus on contamination in order to avoid 'tainted blood', at the expense of working with risks that could be avoided through enhanced blood monitoring practices. Of further significance to this focus are the social dynamics found at the heart of safety practices aimed at avoiding contamination. We argue that such dynamics need more attention, in order to achieve good health outcomes in transfusion medicine. Thus, we conclude that, to ensure continuously safe blood systems, we need to move beyond the bifurcation of the social and medical aspects of blood supply as two separate issues and approach social dynamics as key medical safety questions. © The Author(s) 2014.

  20. Primary healthcare system and practice characteristics in Singapore.

    PubMed

    Khoo, Hwee Sing; Lim, Yee Wei; Vrijhoef, Hubertus Jm

    2014-01-01

    It is crucial to adapt and improve the (primary) health care systems of countries to prepare for future patient profiles and their related needs. The main aim of this study was to acquire a comprehensive overview of the perceptions of primary care experts in Singapore about the state of primary care in Singapore, and to compare this with the state of primary care in other countries. Notwithstanding ranked 2(nd) in terms of efficiency of health care, Singapore is facing significant health care challenges. Emails were sent to 85 experts, where they were asked to rate Singapore's primary care system based on nine internationally adopted health system characteristics and six practice characteristics (response rate = 29%). The primary care system in Singapore received an average of 10.9 out of 30 possible points. Lowest ratings were given to: earnings of primary care physicians compared to specialists, requirement for 24 hr accessibility of primary care services, standard of family medicine in academic departments, reflection of community served by practices in patient lists, and the access to specialists without needing to be referred by primary care physicians. Singapore was categorized as a 'low' primary care country according to the experts.

  1. Bringing science into river systems cumulative effects assessment practice

    SciTech Connect

    Seitz, Nicole E.; Westbrook, Cherie J.; Noble, Bram F.

    2011-04-15

    Fast-paced watershed change, driven by anthropogenic development, is threatening the sustainability of freshwater resources across the globe. Developments within watersheds interact in a manner that is additive and synergistic over space and time. Such cumulative environmental effects are defined as the results of actions that are individually minor but collectively significant when added to other past, present, and reasonably foreseeable future actions. Cumulative effects assessment (CEA) then is broadly defined as the process of evaluating the potential impacts of such collective actions on the environment and is a requirement in many countries, including in Canada at the federal level under the Canadian Environmental Assessment Act. However, current approaches to CEA for river systems are proving to be ineffective, which is largely attributed to the disconnect between CEA science and practice. We highlight this gap herein by discussing contradictions in the CEA literature, challenges in quantifying cumulative interactions, including overcoming spatiotemporal scale issues, multiple hydrologic and ecological pathways, and lack of predictive analysis. Our analysis shows there is a need for improved CEA for river systems, and in responding to this need we propose a conceptual framework for better integrating science and practice for improved CEA for river systems using one of the most adversely affected rivers basins in Canada, the Athabasca River, as our model. We conclude by addressing the challenges inherent to CEA with the intent of providing scientists with ways to help improve CEA of river systems.

  2. Compendium of Practical Astronomy. Volume 2: Earth and Solar System.

    NASA Astrophysics Data System (ADS)

    Augensen, H. J.; Heintz, W. D.; Roth, Günter D.

    The Compendium of Practical Astronomy is a revised and enlarged English version of the fourth edition of G. Roth's handbook for stargazers. In three volumes 28 carefully edited articles aimed especially at amateur astronomers and students and teachers of astronomy in high schools and colleges cover the length and breadth of practical astronomy. Volume 1 contains information on modern instrumentation and reduction techniques, including spherical astronomy, error estimations, telescope mountings, astrophotography, and more. Volume 2 covers the planetary system, with contributions on artificial satellites, comets, the polar aurorae, and the effects of the atmosphere on observational data. Volume 3 is devoted to stellar objects, variable stars and binary stars in particular. An introduction to the astronomical literature and a comprehensive chapter on astronomy education and instructional aids make the Compedium a useful complement to any college library.

  3. Compendium of Practical Astronomy. Volume 3: Stars and Stellar Systems.

    NASA Astrophysics Data System (ADS)

    Augensen, H. J.; Heintz, W. D.; Roth, Günter D.

    The Compendium of Practical Astronomy is a revised and enlarged English version of the fourth edition of G. Roth's famous handbook for stargazers. In three volumes 28 carefully edited articles aimed especially at amateur astronomers and students and teachers of astronomy in high schools and colleges cover the length and breadth of practical astronomy. Volume 1 contains information on modern instrumentation and reduction techniques, including spherical astronomy, error estimations, telescope mountings, astrophotography, and more. Volume 2 covers the planetary system, with contributions on artificial satellites, comets, the polar aurorae, and the effects of the atmophere on observational data. Volume 3 is devoted to stellar objects, variable stars and binary stars in particular, the Milky Way and Galaxies. An introduction to the astronomical literature and a comprehensive chapter on astronomy education and instructional aids make the Compendium a useful complement to any college library.

  4. Instituting systems-based practice and practice-based learning and improvement: a curriculum of inquiry.

    PubMed

    Wilper, Andrew P; Smith, Curtis Scott; Weppner, William

    2013-01-01

    Background The Accreditation Council for Graduate Medical Education (ACGME) requires that training programs integrate system-based practice (SBP) and practice-based learning and improvement (PBLI) into internal medicine residency curricula. Context and setting We instituted a seminar series and year-long-mentored curriculum designed to engage internal medicine residents in these competencies. Methods Residents participate in a seminar series that includes assigned reading and structured discussion with faculty who assist in the development of quality improvement or research projects. Residents pursue projects over the remainder of the year. Monthly works in progress meetings, protected time for inquiry, and continued faculty mentorship guide the residents in their project development. Trainees present their work at hospital-wide grand rounds at the end of the academic year. We performed a survey of residents to assess their self-reported knowledge, attitudes and skills in SBP and PBLI. In addition, blinded faculty scored projects for appropriateness, impact, and feasibility. Outcomes We measured resident self-reported knowledge, attitudes, and skills at the end of the academic year. We found evidence that participants improved their understanding of the context in which they were practicing, and that their ability to engage in quality improvement projects increased. Blinded faculty reviewers favorably ranked the projects' feasibility, impact, and appropriateness. The 'Curriculum of Inquiry' generated 11 quality improvement and research projects during the study period. Barriers to the ongoing work include a limited supply of mentors and delays due to Institutional Review Board approval. Hospital leadership recognizes the importance of the curriculum, and our accreditation manager now cites our ongoing work. Conclusions A structured residency-based curriculum facilitates resident demonstration of SBP and practice-based learning and improvement. Residents gain

  5. Instituting systems-based practice and practice-based learning and improvement: a curriculum of inquiry.

    PubMed

    Wilper, Andrew P; Smith, Curtis Scott; Weppner, William

    2013-09-16

    The Accreditation Council for Graduate Medical Education (ACGME) requires that training programs integrate system-based practice (SBP) and practice-based learning and improvement (PBLI) into internal medicine residency curricula. CONTEXT AND SETTING: We instituted a seminar series and year-long-mentored curriculum designed to engage internal medicine residents in these competencies. Residents participate in a seminar series that includes assigned reading and structured discussion with faculty who assist in the development of quality improvement or research projects. Residents pursue projects over the remainder of the year. Monthly works in progress meetings, protected time for inquiry, and continued faculty mentorship guide the residents in their project development. Trainees present their work at hospital-wide grand rounds at the end of the academic year. We performed a survey of residents to assess their self-reported knowledge, attitudes and skills in SBP and PBLI. In addition, blinded faculty scored projects for appropriateness, impact, and feasibility. We measured resident self-reported knowledge, attitudes, and skills at the end of the academic year. We found evidence that participants improved their understanding of the context in which they were practicing, and that their ability to engage in quality improvement projects increased. Blinded faculty reviewers favorably ranked the projects' feasibility, impact, and appropriateness. The 'Curriculum of Inquiry' generated 11 quality improvement and research projects during the study period. Barriers to the ongoing work include a limited supply of mentors and delays due to Institutional Review Board approval. Hospital leadership recognizes the importance of the curriculum, and our accreditation manager now cites our ongoing work. A structured residency-based curriculum facilitates resident demonstration of SBP and practice-based learning and improvement. Residents gain knowledge and skills though this enterprise

  6. Globe-fixation system for animal eye practice.

    PubMed

    Mohammadi, S Farzad; Mazouri, Arash; Rahman-A, Nazanin; Jabbarvand, Mahmoud; Peyman, Gholam A

    2011-01-01

    We designed a globe-fixation system for use with animal eyes for surgical skills training. The system core is a cup with an adjustable aperture. Vacuum is exerted through the cup to capture the globe at the preequatorial region. The cup rides over a hollow base, sliding on its opening spurs. A ballast is screwed to the end of the thread of the cup to create tactile feedback and create a tendency to return to the primary position. The system provides optimum versatility for the practice of anterior segment procedures, namely stability, rotation, a tendency to return to the primary position, globe pressure adjustability, and a modifiable orbit size. Disclosures are found in the footnotes. Copyright © 2011 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

  7. Practical approaches to field problems of stationary combustion systems

    SciTech Connect

    Lee, S.W.

    1997-09-01

    The CANMET Energy Technology Centre (CETC) business plan dictates collaboration with industrial clients and other government agencies to promote energy efficiency, health and safety, pollution reduction and productivity enhancement. The Advanced Combustion Technologies group of CETC provides consultation to numerous organizations in combustion related areas by conducting laboratory and field investigations of fossil fuel-fired combustion equipment. CETC, with its modern research facilities and technical expertise, has taken this practical approach since the seventies and has assisted many organizations in overcoming field problems and in providing cost saving measures and improved profit margins. This paper presents a few selected research projects conducted for industrial clients in north and central America. The combustion systems investigated are mostly liquid fuel fired, with the exception of the utility boiler which was coal-fired. The key areas involved include fuel quality, fuel storage/delivery system contamination, waste derived oils, crude oil combustion, unacceptable pollutant emissions, ambient soot deposition, slagging, fouling, boiler component degradation, and particulate characterization. Some of the practical approaches taken to remedy these field problems on several combustion systems including residential, commercial and industrial scale units are discussed.

  8. ISO 17025: practical benefits of implementing a quality system.

    PubMed

    Honsa, Julie D; McIntyre, Deborah A

    2003-01-01

    As a laboratory certified to ISO 9001:2000 and accredited to ISO 17025, rtech laboratories has incorporated an overall system for technical and quality management, which results in benefits observed in daily laboratory practices. Technical requirements were updated to include the addition of formal personnel training plans and detailed records, method development and validation procedures, measurement of method uncertainty, and a defined equipment calibration and maintenance program. In addition, a stronger definition of the sample preparation process was documented to maintain consistency in sampling, and a more rigorous quality control monitoring program was implemented for chemistry and microbiology. Management quality improvements focused on document control to maintain consistent analytical processes, improved monitoring of supplier performance, a contract review process for documenting customer requirements, and a system for handling customer comments and complaints, with continuous improvement through corrective and preventive action procedures and audits. Quarterly management review of corrective actions, nonconforming testing, and proficiency testing aid in determining long-term trending. The practical benefits of these technical and management quality improvements are seen on a daily basis in the laboratory. Faster identification and resolution of issues regarding methods, personnel or equipment, improved customer satisfaction, meeting quality requirements of specialized customers, and overall increased laboratory business are all the result of implementing an effective quality system.

  9. Information systems: the key to evidence-based health practice.

    PubMed Central

    Rodrigues, R. J.

    2000-01-01

    Increasing prominence is being given to the use of best current evidence in clinical practice and health services and programme management decision-making. The role of information in evidence-based practice (EBP) is discussed, together with questions of how advanced information systems and technology (IS&T) can contribute to the establishment of a broader perspective for EBP. The author examines the development, validation and use of a variety of sources of evidence and knowledge that go beyond the well-established paradigm of research, clinical trials, and systematic literature review. Opportunities and challenges in the implementation and use of IS&T and knowledge management tools are examined for six application areas: reference databases, contextual data, clinical data repositories, administrative data repositories, decision support software, and Internet-based interactive health information and communication. Computerized and telecommunications applications that support EBP follow a hierarchy in which systems, tasks and complexity range from reference retrieval and the processing of relatively routine transactions, to complex "data mining" and rule-driven decision support systems. PMID:11143195

  10. Cobra sealing system; From field evaluation to practical safeguards application

    SciTech Connect

    Vodrazka, P.; Cermak, L. )

    1991-01-01

    After a successful conclusion of the Cobra seal IAEA field trials, the Cobra Seal System was installed in two Canadian facilities. The seals permit on-site verification without needing to replace them in extreme weather conditions, thus allowing a substantial time reduction for inspectors as well as minimizing intrusiveness of these activities. The paper describes experiences with practical installations of almost sixty Cobra seals including the selection of environmental conduits and housing. Examples of the results of the first several inspections utilizing a new version of the Cobra seal verifier are also included. Possible future outdoor applications of Cobra seals are described and some suggested improvements are outlined.

  11. Multichannel Coherent Lightwave Systems: Practical Problems and Possible Solutions

    NASA Astrophysics Data System (ADS)

    Tanrikulu, Mustafa Okan

    1995-01-01

    An extensive field deployment of optical fiber has already undergone, and it is expected to replace the copper within the next twenty years. The ultimate goal in communications and computing industry is to make all optical networks possible in the near future. In this context, certain important practical problems that exist in multichannel coherent lightwave systems are studied, and possible solutions are provided in this dissertation. It is shown that the capacity of dual-filter FSK heterodyne lightwave systems can be enhanced by exploiting the interrelationship between the frequency separation and the amount of laser phase noise. Optimum choice of intermediate frequency filter bandwidth also improves the system capacity. The effect of finite intermediate frequency on the performance of ASK heterodyne lightwave systems is also studied. The results obtained show that certain finite choices of intermediate frequency allows ideal envelope detection. Thus, one can design a multichannel ASK heterodyne lightwave system with relatively small optical domain channel spacings as long as optimum values of intermediate frequency is used. Otherwise, either the channel spacings should be increased, which, in turn, reduces the system capacity, or an extra sensitivity penalty should be tolerated which translates into an increase in the system cost. It is also shown that the effect of finite intermediate frequency is more significant in negligible linewidth systems. On the other hand, non-negligible linewidth systems are more immune to the effects of finite intermediate frequency. However, the amount of channel spacing in a multichannel system significantly increases in the case of non-negligible linewidth systems due to spectral broadening of information bearing signal. The effect of crosstalk in multi-channel ASK heterodyne lightwave systems with polarization control is also studied, and the results obtained show that choice of intermediate frequency filter bandwidth, in

  12. The Practice Teaching Platform and System for Innovating Talents and Performing Research

    ERIC Educational Resources Information Center

    Wang, Boyu; Hao, Ziqiang

    2014-01-01

    The practice education is an important part of higher educational system and an important approach to cultivating applied innovative talents. This paper studies practice of teaching platform and practical teaching system for the research and practice based on the objective basis of applied innovative talents and the basic characteristics of the…

  13. An atom trap system for practical {sup 81}Kr dating

    SciTech Connect

    Du, X.; Bailey, K.; Lu, Z.-T.; Mueller, P.; O'Connor, T.P.; Young, L.

    2004-10-01

    {sup 81}Kr (t{sub 1sol2}=2.3x10{sup 5} yr, {sup 81}Kr/Kr{approx}6x10{sup -13}) is a long-lived cosmogenic isotope, which is ideal for dating old groundwater and ice in the age range of 50,000 years to 1 million years. Here, we describe the apparatus and performance of an atom-counting system for practical {sup 81}Kr dating. This system is based upon the atom trap trace analysis method that was first demonstrated in 1999. Since then, significant improvements have been made to increase the system efficiency and to reduce the required krypton sample size. For a modern krypton gas sample of 100 {mu}l STP, which contains 1.2x10{sup 6} {sup 81}Kr atoms, the system can accumulate approximately 240 {sup 81}Kr counts in 20 h, thereby reaching a counting efficiency of 2x10{sup -4}. Detailed studies have been conducted to characterize the performance of this system. This system has been calibrated with a low-level counting method and has been used for {sup 81}Kr dating of ancient groundwater from the Nubian Aquifer (Egypt). It can also be used to measure the isotopic abundance of a fission-produced isotope {sup 85}Kr (t{sub 1sol2}=10.76 year,{sup 85}Kr/Kr{approx}2x10{sup -11})

  14. Using Gunshot Detection Systems to Fight Explosive Fishing Practices

    NASA Astrophysics Data System (ADS)

    Showen, R. L.; Dunson, J. C.; Woodman, G.; Christopher, S.; Wilson, S.

    2015-12-01

    Blast fishing (using explosives to catch fish) causes extensive damage to coral reefs, especially in the Coral Triangle in Southeast Asia. Subsistence fishermen and larger consortiums, often with criminal links, throw an explosive into a school of fish, killing all sea life within range. This unsustainable practice is becoming more prevalent, and threatens the protein supply of as many as a billion people. Ending blast fishing will require combined technical and societal methods aimed at both deterring the practice, and catching those responsible. Our work aims to significantly improve enforcement. We are re-purposing SST's ShotSpotter gunshot detection system, (trusted and valued by police around the world), substituting hydrophones for the present microphones. Using multilateration and trained human reviewers, the system can give prompt blast alerts, location data, and acoustic waveforms to law enforcement officials. We hope to establish a prototype system in Malaysia in 2015, and have already secured governmental approvals for installation and tests with local law enforcement. The Scubazoo media firm in Malaysia is working with resorts, dive operations, and celebrity sponsors, and is planning to produce videos to illustrate the severity of the problem to both governments and the public. Because there is little hard data concerning the prevalence of blast fishing in either marine protected areas or open waters, the system can also indicate to the world the actual blast rates and patterns of use. The Teng Hoi environmental NGO in Hong Kong showed in 2004 that acoustic waves from typical bombs propagate on the order of 20 km, so an underwater locator system with a small number of sensors can feasibly cover a sizable coral region. Our present plans are to mount sensors on piers, buoys, and boats, but if possible we would also like to integrate with other existing acoustic arrays to strengthen the fight against blast fishing.

  15. Integration of advanced practice providers into the Israeli healthcare system.

    PubMed

    Aaron, Eliana Marcus; Andrews, Caryn Scheinberg

    2016-01-01

    Many countries around the world have integrated various types of Advanced Practice Providers (APPs) into their healthcare systems. The main motivating factors for recognizing and developing APPs worldwide include physician shortages and the need for improved access or delivery (US, France, Belgium, Scotland, Switzerland), reduced residency hours (US, UK), shortages in underserved regions (US, Canada, Finland, Australia), and cost containment (Germany, Netherlands, UK, US). Israel is experiencing a shortage of physicians in peripheral geographic regions and in critical medical specialties. Recent by-laws approved by the Knesset (Parliament), combined with Israel Ministry of Health (MOH) policies, have thus far been unable to fully address the shortages. To understand the potential contribution of APPs in Israel, we evaluated the international historical foundations and development of APP roles. We assessed how APPs have impacted healthcare in other countries by analyzing public data and published international research about APP education, safety, quality of care, motivators, barriers, and impact. We found that APPs are recognized in dozens of countries, and have similar scopes of practice, graduate level education requirements (in developed countries), and clinical training. At the same time, there is wide variability among countries in the actual function and independence of the advanced practice nurse (APN), particularly the nurse practitioner (NP). APPs have been established as cost effective, safe healthcare providers who improve healthcare access. Israel has begun to introduce APPs, specifically NPs, in a variety of fields, including geriatrics, palliative care and diabetic care. We recommend a rapid expansion of existing and new APP roles into the Israeli healthcare system based on evidence and the recommendations of international evaluations by non-government organizations. By shifting the education to a university setting, mirroring successful, evidence

  16. Practical synthesis of photochromic diarylethenes in integrated flow microreactor systems.

    PubMed

    Asai, Tatsuro; Takata, Atsushi; Nagaki, Aiichiro; Yoshida, Jun-ichi

    2012-02-13

    An effective method for the synthesis of photochromic diarylethenes through the generation of heteroaryllithiums and subsequent reaction with octafluorocyclopentene has been developed by using integrated flow microreactor systems. Reactions can be conducted without using cryogenic conditions by virtue of effective temperature and residence time control, although much lower temperatures (<-78 °C) are needed for batch macroreactions. Moreover, the synthesis of unsymmetrical diarylethenes, which is difficult to achieve when using conventional batch macrosystems, has been accomplished based on the selective introduction of one aryl group to give arylheptafluorocyclopentene followed by the introduction of another aryl group. The productivity of the laboratory-scale system is approximately 0.5 mmol min(-1). Therefore, the present integrated flow microreactor method serves as a practical way of synthesizing various photochromic diarylethene derivatives. Copyright © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  17. Best practices for PV solar home system projects

    SciTech Connect

    Cosgrove-Davies, M.; Cabraal, A.

    1994-12-31

    PV solar home systems (SHS) are increasingly employed as an energy supply option for rural populations. The past 20 years` experience with small-scale SHS programs in developing countries has had mixed results. However, efforts in recent years have been more successful. In support of World Bank lending operations, the Banks Asia Alternative Energy Unit (ASTAE) has undertaken a series of case studies of currently operating SHS programs in Indonesia, Sri Lanka, the Philippines, and the Dominican Republic. These programs have varying degrees of government, NGO, and private sector involvement. This paper summarizes ASTAE`s draft Solar Photovoltaics: Best Practices for Household Electrification report which identifies the institutional, financial, and technical factors fundamental to the success of a PV solar home system project. The final version of the ASTAE report will incorporate comments from an international group of peer reviewers.

  18. Preoperational practices for steam generators and secondary-system components

    SciTech Connect

    Not Available

    1991-09-01

    PWR operating experience has shown that proper control of steam generator and secondary plant cleanliness during construction will prevent corrosion of critical components, minimize impurity transport to the steam generators, and minimize startup delays. This volume contains the following guidelines which address preoperational practices: Preoperational Flushing, Cleaning, and Layup of PWR Steam/Feedwater/Condensate Systems, Revision 1; and Guidelines to Minimize Contamination of PWR Steam Generators during Plant Construction, Revision 1. The guidelines provide specific recommendations and associated justifications for maintaining steam generator cleanliness during shipment, storage, and installation; and secondary plant cleanliness during construction. Recommendations for preoperational cleaning and flushing of secondary systems are also provided. 1 ref., 9 figs., 2 tabs.

  19. Satellite-instrument system engineering best practices and lessons

    NASA Astrophysics Data System (ADS)

    Schueler, Carl F.

    2009-08-01

    This paper focuses on system engineering development issues driving satellite remote sensing instrumentation cost and schedule. A key best practice is early assessment of mission and instrumentation requirements priorities driving performance trades among major instrumentation measurements: Radiometry, spatial field of view and image quality, and spectral performance. Key lessons include attention to technology availability and applicability to prioritized requirements, care in applying heritage, approaching fixed-price and cost-plus contracts with appropriate attention to risk, and assessing design options with attention to customer preference as well as design performance, and development cost and schedule. A key element of success either in contract competition or execution is team experience. Perhaps the most crucial aspect of success, however, is thorough requirements analysis and flowdown to specifications driving design performance with sufficient parameter margin to allow for mistakes or oversights - the province of system engineering from design inception to development, test and delivery.

  20. System of telemedicine services designed for family doctors' practices.

    PubMed

    Bujnowska-Fedak, M M; Staniszewski, A; Steciwko, A; Puchala, E

    2000-01-01

    The main goal of the most European telemedicine programs is to increase access to emergency and primary care; however, telemedicine presents both profound opportunities and challenges to general practice/family medicine. The aim of this project is to develop and demonstrate a regional primary care teleconsulting system in Poland linking an academic family medicine center and 10 family doctors' practices (both urban and rural) within a range of 100-200 km, serving a local population of 25,000 individuals. It is designed to support real-time consultations among health care providers via a computer network, provide secure access to multimedia patient records, and facilitate an innovative home monitoring and remote care from doctors to their patients. The entire process (planned for 3 years) includes: selecting the best technology (i.e., teletransmission system, communication protocols, etc.) and equipment; preparing the assumptions and conditions for formats and transmission rates; analysis of the existing techniques of compression and preparing own specific solution; finding an optimal infrastructure (i.e., equipment and communication configuration); implementing the system; evaluation of the medical, economic, organizational, and sociological aspects of the system (i.e., accessibility to primary health care, cost feasibility and cost-effectiveness of telemedicine services, quality of care assessment, etc.). The project offers the potential to improve: access to high-quality primary health care; the patient-physician bond and the attending physician's level of confidence; education of family doctors; use of expensive resources; and a convenient mode of delivering medical services to the patient.

  1. A manual of recommended practices for hydrogen energy systems

    SciTech Connect

    Hoagland, W.; Leach, S.

    1997-12-31

    Technologies for the production, distribution, and use of hydrogen are rapidly maturing and the number and size of demonstration programs designed to showcase emerging hydrogen energy systems is expanding. The success of these programs is key to hydrogen commercialization. Currently there is no comprehensive set of widely-accepted codes or standards covering the installation and operation of hydrogen energy systems. This lack of codes or standards is a major obstacle to future hydrogen demonstrations in obtaining the requisite licenses, permits, insurance, and public acceptance. In a project begun in late 1996 to address this problem, W. Hoagland and Associates has been developing a Manual of Recommended Practices for Hydrogen Systems intended to serve as an interim document for the design and operation of hydrogen demonstration projects. It will also serve as a starting point for some of the needed standard-setting processes. The Manual will include design guidelines for hydrogen procedures, case studies of experience at existing hydrogen demonstration projects, a bibliography of information sources, and a compilation of suppliers of hydrogen equipment and hardware. Following extensive professional review, final publication will occur later in 1997. The primary goal is to develop a draft document in the shortest possible time frame. To accomplish this, the input and guidance of technology developers, industrial organizations, government R and D and regulatory organizations and others will be sought to define the organization and content of the draft Manual, gather and evaluate available information, develop a draft document, coordinate reviews and revisions, and develop recommendations for publication, distribution, and update of the final document. The workshop, Development of a Manual of Recommended Practices for Hydrogen Energy Systems, conducted on March 11, 1997 in Alexandria, Virginia, was a first step.

  2. Systemic reactions with aeroallergen cluster immunotherapy in a clinical practice.

    PubMed

    Copenhaver, Christopher C; Parker, Anne; Patch, Steven

    2011-11-01

    Subcutaneous allergen-specific immunotherapy is a proven, highly effective treatment for immunoglobulin E-mediated diseases. Despite its proven benefits, only a small percentage of patients with allergic disease use immunotherapy, in part because of the inconvenience associated with treatment. Cluster allergen immunotherapy may offer patients a more convenient treatment option but is prescribed infrequently because of the perception that accelerated immunotherapy buildup leads a higher rate of systemic reactions. To examine the safety of cluster immunotherapy and identify risk factors for systemic reactions during cluster buildup. A retrospective, observational review in a large, multicenter allergy practice group was conducted for patients receiving cluster immunotherapy between May 2008 and October 2010. Data from 441 patients receiving cluster immunotherapy were collected. Forty-eight patients (10.9%) experienced systemic reactions. Based on the World Allergy Organization Subcutaneous Immunotherapy Systemic Reaction Grading System, 18 grade 1 reactions (38.3%), 23 grade 2 reactions (48.9%), 5 grade 3 reactions (10.6%), 1 grade 4 reaction (2.1%), and no grade 5 reactions were seen. Risk factors for a systemic reaction included: female sex, physician diagnosis of asthma, age 21 to 40 years, and inclusion of certain allergens in the immunotherapy vaccine. Cluster immunotherapy allows patients to reach their immunotherapy maintenance dose more rapidly and may lead to more rapid symptomatic improvement. However, the cluster buildup may lead to a higher rate of systemic reactions. Identifying risk factors for systemic reactions will help improve the safety of cluster immunotherapy. Copyright © 2011 American College of Allergy. Published by Elsevier Inc. All rights reserved.

  3. Recommended Practice: Creating Cyber Forensics Plans for Control Systems

    SciTech Connect

    Eric Cornelius; Mark Fabro

    2008-08-01

    issues and to accommodate for the diversity in both system and architecture types, a framework based in recommended practices to address forensics in the control systems domain is required. This framework must be fully flexible to allow for deployment into any control systems environment regardless of technologies used. Moreover, the framework and practices must provide for direction on the integration of modern network security technologies with traditionally closed systems, the result being a true defense-in-depth strategy for control systems architectures. This document takes the traditional concepts of cyber forensics and forensics engineering and provides direction regarding augmentation for control systems operational environments. The goal is to provide guidance to the reader with specifics relating to the complexity of cyber forensics for control systems, guidance to allow organizations to create a self-sustaining cyber forensics program, and guidance to support the maintenance and evolution of such programs. As the current control systems cyber security community of interest is without any specific direction on how to proceed with forensics in control systems environments, this information product is intended to be a first step.

  4. Systems survivor: a program for house staff in systems-based practice.

    PubMed

    Turley, Christine B; Roach, Richard; Marx, Marilyn

    2007-01-01

    The Systems-Based Practice competency expanded the scope of graduate medical education. Innovative approaches are needed to teach this material. We have designed and implemented a rotation in Systems-Based Practice focused on the interrelationships of patient care, clinical revenue, and the physician's role within health care systems. Experiential learning occurs during a 5-day rotation through 26 areas encompassing the clinical revenue cycle, guided by "expert" staff. Using a reversal of the TV show Survivor, house staff begin conceptually "alone" and discover they are members of a large, dedicated team. Assessment results, including a system knowledge test and course evaluations, are presented. Twenty-five residents from four clinical departments participated in Year 1. An increase in pretest to posttest knowledge scores of 14.8% (p Systems Survivor" is successful in providing an innovative opportunity to explore complex health care systems and is an effective curriculum.

  5. Identification and Classification of Orthogonal Frequency Division Multiple Access (OFDMA) Signals Used in Next Generation Wireless Systems

    DTIC Science & Technology

    2012-03-01

    for b=1:N % Loop to break data string into L-fft sized Yp=0; % blocks mpk =0; y1=0; if (index(1,b)==0); %DO nothing - Loop skips demod code if...Preamble pad=0; for b=1:N % Loop to break data string into L-fft sized Yp=0; % blocks mpk =0; y1=0; if (index(1,b)==0); %DO nothing - Loop...0; % blocks mpk =0; y1=0; if (index(1,b)==0); % Loop skips demod code if preamble logic % satisfied else if (index(1,b)==1); pad=pad+1; y1=y((b

  6. Study of Clinical Practical Model of Urinary System Injury

    PubMed Central

    Li, Gang; Wu, Yuan-Yi; Fu, Wei-Jun; Jia, Ying-Xin; Zhang, Bing-Hong; Xu, Yong-De; Wang, Zhong-Xin; Shi, Jian-Guo; Tan, Hai-Song; Qian, Ye-Yong; Shi, Bin-Yi; Zhang, Chao-Hua; Wang, Xiao-Xiong

    2015-01-01

    Background: In order to improve the clinical treatment level of urinary system injury, it is necessary to build up an animal model of urinary system wound, which is not only analogous to real clinical practice, but also simple and practical. Methods: We have developed the third generation of firearm fragment wound generator based on the first and the second producer. The best explosive charge of the blank cartridge was selected by gradient powder loading experiments. The firearm fragment injuries were made to the bulbous urethra of 10 New Zealand male rabbits. One week preoperatively and 2, 4 and 8 weeks postoperatively, all the animals underwent urethroscopy and urethrography. At 2, 4 and 8 weeks postoperatively, two animals were randomly selected and killed, and the urethra was cut off for pathological examination. Results: The shooting distance of the third generation of firearm fragment wound generator is 2 cm. The best explosive charge of the blank cartridge is 1 g of nitrocotton. All rabbits survived the procedures and stayed alive until they were killed. Injuries were limited to bulbous urethra and distal urethra. Round damaged areas, 1–1.5 cm in length, on the ventral wall were observed. Ureteroscopy results showed that canal diameter gradually shrank by over 50% in 9 rabbits. The rate of success was 90%. Urethrography result noted that a 1–1.3 cm stricture was formed at the bulbous urethra. Histology results of injured stricture urethra showed that fibrous connective tissue hyperplasia and hyaline degeneration caused further stricture in the canal. Conclusions: The third generation of firearm fragment wound generator imitates the bullet firing process and is more accurate and repeatable. The corresponding rabbit model of traumatic complex urethral stricture simulates the real complex clinical conditions. This animal model provides a standardized platform for clinical researches on treating traumatic injuries to the urinary system. PMID:25836614

  7. Understanding how orthopaedic surgery practices generate value for healthcare systems.

    PubMed

    Olson, Steven A; Mather, Richard C

    2013-06-01

    Orthopaedic surgery practices can provide substantial value to healthcare systems. Increasingly, healthcare administrators are speaking of the need for alignment between physicians and healthcare systems. However, physicians often do not understand what healthcare administrators value and therefore have difficulty articulating the value they create in discussions with their hospital or healthcare organization. Many health systems and hospitals use service lines as an organizational structure to track the relevant data and manage the resources associated with a particular type of care, such as musculoskeletal care. Understanding service lines and their management can be useful for orthopaedic surgeons interested in interacting with their hospital systems. We provide an overview of two basic types of value orthopaedic surgeons create for healthcare systems: financial or volume-driven benefits and nonfinancial quality or value-driven patient care benefits. We performed a search of PubMed from 1965 to 2012 using the term "service line." Of the 351 citations identified, 18 citations specifically involved the use of service lines to improve patient care in both nursing and medical journals. A service line is a structure used in healthcare organizations to enable management of a subset of activities or resources in a focused area of patient care delivery. There is not a consistent definition of what resources are managed within a service line from hospital to hospital. Physicians can positively impact patient care through engaging in service line management. There is increasing pressure for healthcare systems and hospitals to partner with orthopaedic surgeons. The peer-reviewed literature demonstrates there are limited resources for physicians to understand the value they create when attempting to negotiate with their hospital or healthcare organization. To effectively negotiate for resources to provide the best care for patients, orthopaedic surgeons need to claim and

  8. Nursing care systems: enhancing care processes in practice and management.

    PubMed

    Marin, H F; Carr, R

    2008-01-01

    To summarize aspects of nursing informatics application and introduces challenges that are currently being addressed by nurses around the world. Key contributions in the field are surveyed and put in the perspective of the IMIA Nursing Informatics Strategic Plan. As a discipline, nursing informatics offers real and practical instruments and opportunities to delivery nursing care across settings, units of care and specialties. A variety of patient care systems are managed by nurses who are introduced to this link during their training embracing information networks, communication skills together with an ability to work both in practice and administrative positions in a variety of clinical and community settings. At a time when the tendency is toward a computer-based patient record, nurses must be able to identify what kind of nursing data and information will construct useable and useful nursing knowledge. There are many options for each area of application and the selection must be done carefully, considering the enhancement for organizational, technological and local requirements.

  9. Practical Entanglement Estimation for Spin-System Quantum Simulators.

    PubMed

    Marty, O; Cramer, M; Plenio, M B

    2016-03-11

    We present practical methods to measure entanglement for quantum simulators that can be realized with trapped ions, cold atoms, and superconducting qubits. Focusing on long- and short-range Ising-type Hamiltonians, we introduce schemes that are applicable under realistic experimental conditions including mixedness due to, e.g., noise or temperature. In particular, we identify a single observable whose expectation value serves as a lower bound to entanglement and that may be obtained by a simple quantum circuit. As such circuits are not (yet) available for every platform, we investigate the performance of routinely measured observables as quantitative entanglement witnesses. Possible applications include experimental studies of entanglement scaling in critical systems and the reliable benchmarking of quantum simulators.

  10. Benchmarking transportation logistics practices for effective system planning

    SciTech Connect

    Thrower, A.W.; Dravo, A.N.; Keister, M.

    2007-07-01

    This paper presents preliminary findings of an Office of Civilian Radioactive Waste Management (OCRWM) benchmarking project to identify best practices for logistics enterprises. The results will help OCRWM's Office of Logistics Management (OLM) design and implement a system to move spent nuclear fuel (SNF) and high-level radioactive waste (HLW) to the Yucca Mountain repository for disposal when that facility is licensed and built. This report suggests topics for additional study. The project team looked at three Federal radioactive material logistics operations that are widely viewed to be successful: (1) the Waste Isolation Pilot Plant (WIPP) in Carlsbad, New Mexico; (2) the Naval Nuclear Propulsion Program (NNPP); and (3) domestic and foreign research reactor (FRR) SNF acceptance programs. (authors)

  11. Network-Based Practical Consensus of Heterogeneous Nonlinear Multiagent Systems.

    PubMed

    Ding, Lei; Zheng, Wei Xing

    2016-09-07

    This paper studies network-based practical leader-following consensus problem of heterogeneous multiagent systems with Lipschitz nonlinear dynamics under both fixed and switching topologies. Considering the effect of network-induced delay, a network-based leader-following consensus protocol with heterogeneous gain matrix is proposed for each follower agent. By employing Lyapunov-Krasovskii method, a sufficient condition for designing the network-based consensus controller gain is derived such that the leader-following consensus error exponentially converges to a bounded region under a fixed topology. Correspondingly, the proposed design approach is then extended to the case of switching topology. Two numerical examples with networked Chua's circuits are given to show the efficiency of the design method proposed in this paper.

  12. Theory and Practice of Cavity RF Test Systems

    SciTech Connect

    Tom Powers

    2006-08-28

    Over the years Jefferson Lab staff members have performed about 2500 cold cavity tests on about 500 different superconducting cavities. Most of these cavities were later installed in 73 different cryomodules, which were used in three different accelerators. All of the cavities were tested in our vertical test area. About 25% of the cryomodules were tested in our cryomodule test facility and later commissioned in an accelerator. The remainder of the cryomodules were tested and commissioned after they were installed in their respective accelerator. This paper is an overview which should provide a practical background in the RF systems used to test the cavities as well as provide the mathematics necessary to convert the raw pulsed or continuous wave RF signals into useful information such as gradient, quality factor, RF-heat loads and loaded Q?s. Additionally, I will provide the equations necessary for determining the measurement error associated with these values.

  13. Biosecurity practices on intensive pig production systems in Chile.

    PubMed

    Julio Pinto, C; Santiago Urcelay, V

    2003-06-12

    Chile eradicated classical swine fever (CSF) in April 1998, following a 17-year eradication programme. The authors describe biosecurity levels of pig farms in Chile after the eradication of CSF. A formal survey was administered to 50 large integrated pig farms, which represented almost 60% of the swine population. The main topics on the questionnaire were production, health management, biosecurity, insurance and information about CSF outbreaks in the past. Biosecurity practices were analysed according to the criteria stated by Barcelo and Marco in 1998. A scoring system to measure biosecurity was designed and pig farms were classified according to this score. An adjusted specific measure is discussed as a potential indicator of risk for disease infections. The authors explore associations between biosecurity herd size and insurance policy against CSF.

  14. Outcomes assessment of clinical information system implementation: a practical guide.

    PubMed

    Nahm, Eun-Shim; Vaydia, Vinay; Ho, Danny; Scharf, Barbara; Seagull, Jake

    2007-01-01

    Healthcare information systems (HIS) play a vital role in quality of care and the organization's daily operations. Consequently, increasing numbers of clinicians have been involved in HIS implementation, particularly for clinical information systems (CIS). Implementation of these systems is a major organizational investment, and its outcomes must be assessed. The purpose of this article is to provide clinicians and frontline informaticians with a practical guide to assess these outcomes, focusing on outcome variables, assessment methods, and timing of assessment. Based on in-depth literature reviews and their empirical experiences, the authors identified 3 frequently used outcomes: user satisfaction, clinical outcomes, and financial impact. These outcomes have been assessed employing various methods, including randomized controlled trials, pre- and post-test studies, time and motion studies, surveys, and user testing. The timing for outcomes assessments varied depending on several factors, such as learning curves or patients conditions. In conclusion, outcomes assessment is essential for the success of healthcare information technology, and the CIS implementation team members must be prepared to conduct and/or facilitate these studies.

  15. A method for extracting electronic patient record data from practice management software systems used in veterinary practice.

    PubMed

    Jones-Diette, Julie S; Brennan, Marnie L; Cobb, Malcolm; Doit, Hannah; Dean, Rachel S

    2016-10-21

    Data extracted from electronic patient records (EPRs) within practice management software systems are increasingly used in veterinary research. The use of real patient data gives the potential to generate research that can readily be applied to clinical practice. The use of veterinary EPRs for research in the United Kingdom is hindered by the number of different Practice Management System (PMS) providers used by practices, as obtaining and combining data from different systems electronically can be problematic. The use of extensible mark up language (XML) to extract clinical data for research would potentially resolve the compatibility issues between systems. The aim of this study was to establish and validate a method for the extraction of small animal patient records from a veterinary PMS that could potentially be used across multiple systems. An XML schema was designed to extract clinical information from EPRs. The schema was tested and validated in a test system, and was then tested in a real small animal practice where data was extracted for 16 weeks. A 10 % sample of the extracted records was then compared to paper copies provided by the practice. All 21 fields encoded by the XML schema, from all of the records in the test system, were extracted with 100 % accuracy. Over the 18 week data collection period 4946 records, from 1279 patients, were extracted from the small animal practice. The 10 % printed records checked and compared with the XML extracted records demonstrated all required data was present. No unrequired, sensitive information e.g. costs or services/products or personal client information was extracted. This is the first time a method for data extraction from EPRs in veterinary practice using an XML schema has been reported in the United Kingdom. This is an efficient and accurate way of extracting data which could be applied to all PMSs nationally and internationally.

  16. Practical solutions to implementing "Born Semantic" data systems

    NASA Astrophysics Data System (ADS)

    Leadbetter, A.; Buck, J. J. H.; Stacey, P.

    2015-12-01

    The concept of data being "Born Semantic" has been proposed in recent years as a Semantic Web analogue to the idea of data being "born digital"[1], [2]. Within the "Born Semantic" concept, data are captured digitally and at a point close to the time of creation are annotated with markup terms from semantic web resources (controlled vocabularies, thesauri or ontologies). This allows heterogeneous data to be more easily ingested and amalgamated in near real-time due to the standards compliant annotation of the data. In taking the "Born Semantic" proposal from concept to operation, a number of difficulties have been encountered. For example, although there are recognised methods such as Header, Dictionary, Triples [3] for the compression, publication and dissemination of large volumes of triples these systems are not practical to deploy in the field on low-powered (both electrically and computationally) devices. Similarly, it is not practical for instruments to output fully formed semantically annotated data files if they are designed to be plugged into a modular system and the data to be centrally logged in the field as is the case on Argo floats and oceanographic gliders where internal bandwidth becomes an issue [2]. In light of these issues, this presentation will concentrate on pragmatic solutions being developed to the problem of generating Linked Data in near real-time systems. Specific examples from the European Commission SenseOCEAN project where Linked Data systems are being developed for autonomous underwater platforms, and from work being undertaken in the streaming of data from the Irish Galway Bay Cable Observatory initiative will be highlighted. Further, developments of a set of tools for the LogStash-ElasticSearch software ecosystem to allow the storing and retrieval of Linked Data will be introduced. References[1] A. Leadbetter & J. Fredericks, We have "born digital" - now what about "born semantic"?, European Geophysical Union General Assembly, 2014

  17. Using Simulation to Improve Systems-Based Practices.

    PubMed

    Gardner, Aimee K; Johnston, Maximilian; Korndorffer, James R; Haque, Imad; Paige, John T

    2017-09-01

    Ensuring the safe, effective management of patients requires efficient processes of care within a smoothly operating system in which highly reliable teams of talented, skilled health care providers are able to use the vast array of high-technology resources and intensive care techniques available. Simulation can play a unique role in exploring and improving the complex perioperative system by proactively identifying latent safety threats and mitigating their damage to ensure that all those who work in this critical health care environment can provide optimal levels of patient care. A panel of five experts from a wide range of institutions was brought together to discuss the added value of simulation-based training for improving systems-based aspects of the perioperative service line. Panelists shared the way in which simulation was demonstrated at their institutions. The themes discussed by each panel member were delineated into four avenues through which simulation-based techniques have been used. Simulation-based techniques are being used in (1) testing new clinical workspaces and facilities before they open to identify potential latent conditions; (2) practicing how to identify the deteriorating patient and escalate care in an effective manner; (3) performing prospective root cause analyses to address system weaknesses leading to sentinel events; and (4) evaluating the efficiency and effectiveness of the electronic health record in the perioperative setting. This focused review of simulation-based interventions to test and improve components of the perioperative microsystem, which includes literature that has emerged since the panel's presentation, highlights the broad-based utility of simulation-based technologies in health care. Copyright © 2017 The Joint Commission. Published by Elsevier Inc. All rights reserved.

  18. A practical three-dimensional dosimetry system for radiation therapy

    SciTech Connect

    Guo Pengyi; Adamovics, John; Oldham, Mark

    2006-10-15

    There is a pressing need for a practical three-dimensional (3D) dosimetry system, convenient for clinical use, and with the accuracy and resolution to enable comprehensive verification of the complex dose distributions typical of modern radiation therapy. Here we introduce a dosimetry system that can achieve this challenge, consisting of a radiochromic dosimeter (PRESAGE trade mark sign ) and a commercial optical computed tomography (CT) scanning system (OCTOPUS trade mark sign ). PRESAGE trade mark sign is a transparent material with compelling properties for dosimetry, including insensitivity of the dose response to atmospheric exposure, a solid texture negating the need for an external container (reducing edge effects), and amenability to accurate optical CT scanning due to radiochromic optical contrast as opposed to light-scattering contrast. An evaluation of the performance and viability of the PRESAGE trade mark sign /OCTOPUS, combination for routine clinical 3D dosimetry is presented. The performance of the two components (scanner and dosimeter) was investigated separately prior to full system test. The optical CT scanner has a spatial resolution of {<=}1 mm, geometric accuracy within 1 mm, and high reconstruction linearity (with a R{sup 2} value of 0.9979 and a standard error of estimation of {approx}1%) relative to independent measurement. The overall performance of the PRESAGE trade mark sign /OCTOPUS system was evaluated with respect to a simple known 3D dose distribution, by comparison with GAFCHROMIC[reg] EBT film and the calculated dose from a commissioned planning system. The 'measured' dose distribution in a cylindrical PRESAGE trade mark sign dosimeter (16 cm diameter and 11 cm height) was determined by optical-CT, using a filtered backprojection reconstruction algorithm. A three-way Gamma map comparison (4% dose difference and 4 mm distance to agreement), between the PRESAGE trade mark sign , EBT and calculated dose distributions, showed full

  19. A practical three-dimensional dosimetry system for radiation therapy.

    PubMed

    Guo, Pengyi; Adamovics, John; Oldham, Mark

    2006-10-01

    There is a pressing need for a practical three-dimensional (3D) dosimetry system, convenient for clinical use, and with the accuracy and resolution to enable comprehensive verification of the complex dose distributions typical of modern radiation therapy. Here we introduce a dosimetry system that can achieve this challenge, consisting of a radiochromic dosimeter (PRESAGE) and a commercial optical computed tomography (CT) scanning system (OCTOPUS). PRESAGE is a transparent material with compelling properties for dosimetry, including insensitivity of the dose response to atmospheric exposure, a solid texture negating the need for an external container (reducing edge effects), and amenability to accurate optical CT scanning due to radiochromic optical contrast as opposed to light-scattering contrast. An evaluation of the performance and viability of the PRESAGE/OCTOPUS, combination for routine clinical 3D dosimetry is presented. The performance of the two components (scanner and dosimeter) was investigated separately prior to full system test. The optical CT scanner has a spatial resolution of < or = 1 mm, geometric accuracy within 1 mm, and high reconstruction linearity (with a R2 value of 0.9979 and a standard error of estimation of approximately 1%) relative to independent measurement. The overall performance of the PRESAGE/OCTOPUS system was evaluated with respect to a simple known 3D dose distribution, by comparison with GAFCHROMIC EBT film and the calculated dose from a commissioned planning system. The "measured" dose distribution in a cylindrical PRESAGE dosimeter (16 cm diameter and 11 cm height) was determined by optical-CT, using a filtered backprojection reconstruction algorithm. A three-way Gamma map comparison (4% dose difference and 4 mm distance to agreement), between the PRESAGE, EBT and calculated dose distributions, showed full agreement in measurable region of PRESAGE dosimeter (approximately 90% of radius). The EBT and PRESAGE distributions agreed

  20. A practical three-dimensional dosimetry system for radiation therapy

    PubMed Central

    Guo, Pengyi; Adamovics, John; Oldham, Mark

    2006-01-01

    There is a pressing need for a practical three-dimensional (3D) dosimetry system, convenient for clinical use, and with the accuracy and resolution to enable comprehensive verification of the complex dose distributions typical of modern radiation therapy. Here we introduce a dosimetry system that can achieve this challenge, consisting of a radiochromic dosimeter (PRESAGE™) and a commercial optical computed tomography (CT) scanning system (OCTOPUS™). PRESAGE™ is a transparent material with compelling properties for dosimetry, including insensitivity of the dose response to atmospheric exposure, a solid texture negating the need for an external container (reducing edge effects), and amenability to accurate optical CT scanning due to radiochromic optical contrast as opposed to light-scattering contrast. An evaluation of the performance and viability of the PRESAGE™/OCTOPUS, combination for routine clinical 3D dosimetry is presented. The performance of the two components (scanner and dosimeter) was investigated separately prior to full system test. The optical CT scanner has a spatial resolution of ≤1 mm, geometric accuracy within 1 mm, and high reconstruction linearity (with a R2 value of 0.9979 and a standard error of estimation of ~1%) relative to independent measurement. The overall performance of the PRESAGE™/OCTOPUS system was evaluated with respect to a simple known 3D dose distribution, by comparison with GAFCHROMIC® EBT film and the calculated dose from a commissioned planning system. The “measured” dose distribution in a cylindrical PRESAGE™ dosimeter (16 cm diameter and 11 cm height) was determined by optical-CT, using a filtered backprojection reconstruction algorithm. A three-way Gamma map comparison (4% dose difference and 4 mm distance to agreement), between the PRESAGE™, EBT and calculated dose distributions, showed full agreement in measurable region of PRESAGE™ dosimeter (~90% of radius). The EBT and PRESAGE™ distributions

  1. Practice.

    PubMed

    Chambers, David W

    2008-01-01

    Practice refers to a characteristic way professionals use common standards to customize solutions to a range of problems. Practice includes (a) standards for outcomes and processes that are shared with one's colleagues, (b) a rich repertoire of skills grounded in diagnostic acumen, (c) an ability to see the actual and the ideal and work back and forth between them, (d) functional artistry, and (e) learning by doing that transcends scientific rationality. Communities of practice, such as dental offices, are small groups that work together in interlocking roles to achieve these ends.

  2. Energy Efficiency Maximization of Practical Wireless Communication Systems

    NASA Astrophysics Data System (ADS)

    Eraslan, Eren

    Energy consumption of the modern wireless communication systems is rapidly growing due to the ever-increasing data demand and the advanced solutions employed in order to address this demand, such as multiple-input multiple-output (MIMO) and orthogonal frequency division multiplexing (OFDM) techniques. These MIMO systems are power hungry, however, they are capable of changing the transmission parameters, such as number of spatial streams, number of transmitter/receiver antennas, modulation, code rate, and transmit power. They can thus choose the best mode out of possibly thousands of modes in order to optimize an objective function. This problem is referred to as the link adaptation problem. In this work, we focus on the link adaptation for energy efficiency maximization problem, which is defined as choosing the optimal transmission mode to maximize the number of successfully transmitted bits per unit energy consumed by the link. We model the energy consumption and throughput performances of a MIMO-OFDM link and develop a practical link adaptation protocol, which senses the channel conditions and changes its transmission mode in real-time. It turns out that the brute force search, which is usually assumed in previous works, is prohibitively complex, especially when there are large numbers of transmit power levels to choose from. We analyze the relationship between the energy efficiency and transmit power, and prove that energy efficiency of a link is a single-peaked quasiconcave function of transmit power. This leads us to develop a low-complexity algorithm that finds a near-optimal transmit power and take this dimension out of the search space. We further prune the search space by analyzing the singular value decomposition of the channel and excluding the modes that use higher number of spatial streams than the channel can support. These algorithms and our novel formulations provide simpler computations and limit the search space into a much smaller set; hence

  3. Systems solutions by lactic acid bacteria: from paradigms to practice

    PubMed Central

    2011-01-01

    Lactic acid bacteria are among the powerhouses of the food industry, colonize the surfaces of plants and animals, and contribute to our health and well-being. The genomic characterization of LAB has rocketed and presently over 100 complete or nearly complete genomes are available, many of which serve as scientific paradigms. Moreover, functional and comparative metagenomic studies are taking off and provide a wealth of insight in the activity of lactic acid bacteria used in a variety of applications, ranging from starters in complex fermentations to their marketing as probiotics. In this new era of high throughput analysis, biology has become big science. Hence, there is a need to systematically store the generated information, apply this in an intelligent way, and provide modalities for constructing self-learning systems that can be used for future improvements. This review addresses these systems solutions with a state of the art overview of the present paradigms that relate to the use of lactic acid bacteria in industrial applications. Moreover, an outlook is presented of the future developments that include the transition into practice as well as the use of lactic acid bacteria in synthetic biology and other next generation applications. PMID:21995776

  4. Systemic Hydration: Relating Science to Clinical Practice in Vocal Health

    PubMed Central

    Hartley, Naomi A.; Thibeault, Susan L.

    2014-01-01

    Objectives To examine the current state of the science regarding the role of systemic hydration in vocal function and health. Study Design Literature Review Methods Literature search spanning multiple disciplines, including speech-language pathology, nutrition and dietetics, medicine, sports and exercise science, physiology and biomechanics. Results The relationship between hydration and physical function is an area of common interest amongst multiple professions. Each discipline provides valuable insight into the connection between performance and water balance, as well as complimentary methods of investigation. Existing voice literature suggests a relationship between hydration and voice production, however the underlying mechanisms are not yet defined and a treatment effect for systemic hydration remains to be demonstrated. Literature from other disciplines sheds light on methodological shortcomings and in some cases offers an alternative explanation for observed phenomena. Conclusions A growing body of literature in the field of voice science is documenting a relationship between hydration and vocal function, however greater understanding is required to guide best practice in the maintenance of vocal health and management of voice disorders. Integration of knowledge and technical expertise from multiple disciplines facilitates analysis of existing literature and provides guidance as to future research. PMID:24880674

  5. Is TIRADS a practical and accurate system for use in daily clinical practice?

    PubMed Central

    Chandramohan, Anuradha; Khurana, Abhishek; Pushpa, B T; Manipadam, Marie Therese; Naik, Dukhabandhu; Thomas, Nihal; Abraham, Deepak; Paul, Mazhuvanchary Jacob

    2016-01-01

    Aim: To assess the positive predictive value (PPV) and inter-observer agreement of Thyroid Imaging Reporting and Data System (TIRADS) as described by Kwak et al. Materials and Methods: This was a prospective study wherein ultrasound was performed by two radiologists on patients with thyroid nodules >1 cm. The third radiologist interpreted archived images. Ultrasound features and TIRADS category were compared with cytology and surgical histopathology. PPV was calculated for all readers’ combined assessment. Inter-observer agreement was calculated using linear weighted kappa. Results: A total of 238 patients with 272 nodules of mean size 2.9 ± 1.7 cm were included. PPV for malignancy was 6.6%, 32%, 36%, 64%, 59%, and 91% for TIRADS 2, 3, 4a, 4b, 4c, and 5 categories, respectively. Inter-observer agreement was substantial [kappa (k) = 0.61-0.80] for assessment of nodule echogenicity, margins, calcification, and shape and good (k = 0.570, P < 0.001) for assessment of composition of the thyroid nodules. Overall agreement between observers was substantial for assigning TIRADS category [multi-rater weighted kappa coefficient (wt k) = 0.721, P < 0.001]. Conclusions: TIRADS is a simple and practical method of assessing thyroid nodules with high PPV and good inter-observer agreement. PMID:27081240

  6. Spoken Grammar Practice and Feedback in an ASR-Based CALL System

    ERIC Educational Resources Information Center

    de Vries, Bart Penning; Cucchiarini, Catia; Bodnar, Stephen; Strik, Helmer; van Hout, Roeland

    2015-01-01

    Speaking practice is important for learners of a second language. Computer assisted language learning (CALL) systems can provide attractive opportunities for speaking practice when combined with automatic speech recognition (ASR) technology. In this paper, we present a CALL system that offers spoken practice of word order, an important aspect of…

  7. Spoken Grammar Practice and Feedback in an ASR-Based CALL System

    ERIC Educational Resources Information Center

    de Vries, Bart Penning; Cucchiarini, Catia; Bodnar, Stephen; Strik, Helmer; van Hout, Roeland

    2015-01-01

    Speaking practice is important for learners of a second language. Computer assisted language learning (CALL) systems can provide attractive opportunities for speaking practice when combined with automatic speech recognition (ASR) technology. In this paper, we present a CALL system that offers spoken practice of word order, an important aspect of…

  8. Managing Safety and Operations: The Effect of Joint Management System Practices on Safety and Operational Outcomes.

    PubMed

    Tompa, Emile; Robson, Lynda; Sarnocinska-Hart, Anna; Klassen, Robert; Shevchenko, Anton; Sharma, Sharvani; Hogg-Johnson, Sheilah; Amick, Benjamin C; Johnston, David A; Veltri, Anthony; Pagell, Mark

    2016-03-01

    The aim of this study was to determine whether management system practices directed at both occupational health and safety (OHS) and operations (joint management system [JMS] practices) result in better outcomes in both areas than in alternative practices. Separate regressions were estimated for OHS and operational outcomes using data from a survey along with administrative records on injuries and illnesses. Organizations with JMS practices had better operational and safety outcomes than organizations without these practices. They had similar OHS outcomes as those with operations-weak practices, and in some cases, better outcomes than organizations with safety-weak practices. They had similar operational outcomes as those with safety-weak practices, and better outcomes than those with operations-weak practices. Safety and operations appear complementary in organizations with JMS practices in that there is no penalty for either safety or operational outcomes.

  9. A System Approach to Advanced Practice Clinician Standardization and High Reliability.

    PubMed

    Okuno-Jones, Susan; Siehoff, Alice; Law, Jennifer; Juarez, Patricia

    Advanced practice clinicians (APCs) are an integral part of the health care team. Opportunities exist within Advocate Health Care to standardize and optimize APC practice across the system. To enhance the role and talents of APCs, an approach to role definition and optimization of practice and a structured approach to orientation and evaluation are shared. Although in the early stages of development, definition and standardization of accountabilities in a framework to support system changes are transforming the practice of APCs.

  10. Comparative performance of two whitening systems in a dental practice.

    PubMed

    Perry, Ronald; Conde, Erinn; Farrell, Svetlana; Gerlach, Robert W; Towers, Jennifer

    2013-01-01

    A randomized, controlled clinical trial was conducted to compare the safety and whitening efficacy of high-adhesion tooth-whitening strips with a marketed in-office professional tooth-whitening system. This open-label study was conducted in a private dental practice, and adult volunteers were assigned (2:1) to either 9.5 percent hydrogen-peroxide whitening strips (Strip group) or an in-office light plus 25 percent hydrogen-peroxide whitening gel treatment (In-office group). The Strip group was instructed to treat the maxillary arch once daily for 30 minutes over a 20-day period, while the In-office group underwent professional application of light plus whitening gel in a single office visit. Whitening response was measured as change in yellowness (b*) and lightness (L*) at Day 21 using standardized digital images of the maxillary anterior teeth, while safety was assessed as tooth sensitivity and oral irritation occurrence. A total of 45 subjects enrolled, were randomized, and received treatment; 44 completed the study. At Day 21, significant improvement in b* and L* was noted in both groups (P≤0.001). The adjusted mean (SE) ΔL* in the Strip group (1.72 (0.104)) was significantly greater than that in the In-office group (1.17 (0.153)) (P = 0.005). Both test products were well tolerated. Overall, both the strip and in-office treatments resulted in significant tooth whitening.

  11. Recent progress on practical PLC devices for optical access systems and dense WDM systems

    NASA Astrophysics Data System (ADS)

    Takato, Norio

    1997-12-01

    Silica-based planar lightwave circuit (PLC) devices are starting to be introduced into commercial optical communication systems. PLC devices such as optical splitters, wavelength-insensitive coupler (WINC) arrays, and hybrid- integrated wavelength-division-multiplexing (WDM) transceivers are used to construct cost effective optical access systems. In trunk lines, on the other hand, arrayed-waveguide gratings (AWG) are employed for dense WDM systems to increase the transmission capacity. This paper reviews the current status and recent progress on these practical PLC devices.

  12. Internal Corrosion Control of Water Supply Systems Code of Practice

    EPA Science Inventory

    This Code of Practice is part of a series of publications by the IWA Specialist Group on Metals and Related Substances in Drinking Water. It complements the following IWA Specialist Group publications: 1. Best Practice Guide on the Control of Lead in Drinking Water 2. Best Prac...

  13. Situational Analysis: Centerless Systems and Human Service Practices

    ERIC Educational Resources Information Center

    Newbury, Janet

    2011-01-01

    Bronfenbrenner's ecological model is a conceptual framework that continues to contribute to human service practices. In the current article, the author describes the possibilities for practice made intelligible by drawing from this framework. She then explores White's "Web of Praxis" model as an important extension of this approach, and proceeds…

  14. Situational Analysis: Centerless Systems and Human Service Practices

    ERIC Educational Resources Information Center

    Newbury, Janet

    2011-01-01

    Bronfenbrenner's ecological model is a conceptual framework that continues to contribute to human service practices. In the current article, the author describes the possibilities for practice made intelligible by drawing from this framework. She then explores White's "Web of Praxis" model as an important extension of this approach, and proceeds…

  15. Internal Corrosion Control of Water Supply Systems Code of Practice

    EPA Science Inventory

    This Code of Practice is part of a series of publications by the IWA Specialist Group on Metals and Related Substances in Drinking Water. It complements the following IWA Specialist Group publications: 1. Best Practice Guide on the Control of Lead in Drinking Water 2. Best Prac...

  16. Policy and practice in Myanmar's protected area system.

    PubMed

    Myint Aung, U

    2007-07-01

    Myanmar's protected area (PA) system began nearly 150 years ago under royal patronage. Park policies and practices, embodied in 19 pieces of legislation developed sporadically during and after the colonial period. As a result of the FAO-UNDP's Nature Conservation and National Parks Project (1981-1985) the government established the Nature & Wildlife Conservation Division and placed it within the Forest Department as the agency responsible for PA management. As a consequence the number of parks increased from 14 to 33. Myanmar's median park size is less than 50 km(2), but only five parks (15%) are larger than 1000 km(2). Most parks conserve terrestrial habitats; parks encompassing inland wetlands, mangrove, and marine habitats are limited in number and size. Existing PAs unequally represent Myanmar's ecosystems; the Malay Transition, Burmese coast, Burmese Transition and Cardamom Mountains bio-units are under-represented within the system. The effective total PA size (i.e., area of all parks less the area of 13 paper parks) is currently about 2.1%. Budgetary support for parks increased 11% since 1996, but is insufficient to address park needs, particularly in remote parks that are understaffed. Limited education and training of PA staff is a major factor limiting effective park management. Fifty-eight percent of park wardens are educated as foresters, and 42% have university degrees. The average posting in a park is 4 years, which is less than ideal for management continuity. Recommended actions to secure Myanmar's PAs include evaluation and reformulation of policies, increasing representation of Myanmar's habitats within the PA system, management planning, and standardizing protocols for anti-poaching patrols and other forms of law enforcement. Improved leadership training for wardens and range forest officers can also improve park management. Funding for community relations and more integrated management of parks and people can reduce conflicts, while

  17. Changing remuneration systems: effects on activity in general practice.

    PubMed Central

    Krasnik, A; Groenewegen, P P; Pedersen, P A; von Scholten, P; Mooney, G; Gottschau, A; Flierman, H A; Damsgaard, M T

    1990-01-01

    OBJECTIVE--To investigate the effects on general practitioners' activities of a change in their remuneration from a capitation based system to a mixed fee per item and capitation based system. DESIGN--Follow up study with data collected from contact sheets completed by general practitioners in one period before (March 1987) a change in their remuneration system and two periods after (March 1988, November 1988), with a control group of general practitioners with a mixed fee per item and capitation based system throughout. SETTING--General practices in Copenhagen city (index group) and Copenhagen county (control group). SUBJECTS--265 General practitioners in Copenhagen city, of whom 100 were selected randomly from the 130 who agreed to participate (10 exclusions) and 326 general practitioners in Copenhagen county. MAIN OUTCOME MEASURES--Number of consultations (face to face and by telephone) and renewals of prescriptions, diagnostic and curative services, and specialist and hospital referrals per 1000 enlisted patients in one week. RESULTS--Of the 75 general practitioners who completed all three sheets, four were excluded for incomplete data. Total contact rates per 1000 patients listed rose significantly compared with the rates before the change index in the city (100.0 before the change v 111.7 (95% confidence interval 106.4 to 117.4 after the change) and over the same time in the control group (100.0 v 106.0), but within a year these rates fell (to 104.2(99.1 to 109.6) and 104.0 respectively). There was an increase in consultations by telephone initially but not thereafter. Rates of examinations and treatments that attracted specific additional remuneration after the change rose significantly compared with those before (diagnostic services, 138.1 (118.7 to 160.5) and 159.5 (137.8 to 184.7) and curative services 194.6 (152.2 to 248.9) and 194.8(152.3 to 249.2) for second and third data collections respectively) and with the control group (diagnostic services 105

  18. What Indicates Competency in Systems Based Practice? An Analysis of Perspective Consistency among Healthcare Team Members

    ERIC Educational Resources Information Center

    Graham, Mark J.; Naqvi, Zoon; Encandela, John A.; Bylund, Carma L.; Dean, Randa; Calero-Breckheimer, Ayxa; Schmidt, Hilary J.

    2009-01-01

    In many parts of the world the practice of medicine and medical education increasingly focus on providing patient care within context of the larger healthcare system. Our purpose is to solicit perceptions of all professional stakeholders (e.g. nurses) of the system regarding the U.S. ACGME competency Systems Based Practice to uncover the extent to…

  19. What Indicates Competency in Systems Based Practice? An Analysis of Perspective Consistency among Healthcare Team Members

    ERIC Educational Resources Information Center

    Graham, Mark J.; Naqvi, Zoon; Encandela, John A.; Bylund, Carma L.; Dean, Randa; Calero-Breckheimer, Ayxa; Schmidt, Hilary J.

    2009-01-01

    In many parts of the world the practice of medicine and medical education increasingly focus on providing patient care within context of the larger healthcare system. Our purpose is to solicit perceptions of all professional stakeholders (e.g. nurses) of the system regarding the U.S. ACGME competency Systems Based Practice to uncover the extent to…

  20. Expanded Guidance for NASA Systems Engineering. Volume 1: Systems Engineering Practices

    NASA Technical Reports Server (NTRS)

    Hirshorn, Steven R.

    2016-01-01

    This document is intended to provide general guidance and information on systems engineering that will be useful to the NASA community. It provides a generic description of Systems Engineering (SE) as it should be applied throughout NASA. A goal of the expanded guidance is to increase awareness and consistency across the Agency and advance the practice of SE. This guidance provides perspectives relevant to NASA and data particular to NASA. This expanded guidance should be used as a companion for implementing NPR 7123.1, Systems Engineering Processes and Requirements, the Rev 2 version of SP-6105, and the Center-specific handbooks and directives developed for implementing systems engineering at NASA. It provides a companion reference book for the various systems engineering-related training being offered under NASA's auspices.

  1. A practical grading system of ultrasonographic visibility for intracerebral lesions.

    PubMed

    Mair, Richard; Heald, James; Poeata, Ion; Ivanov, Marcel

    2013-12-01

    Intraoperative ultrasound for intracranial neurosurgery was largely abandoned in the 1980s due to poor image resolution. Despite many technological advances in ultrasound since then, the use of this imaging modality in contemporary practice remains limited. Our aim was to evaluate the utility of modern intraoperative ultrasound in the resection of a wide variety of intracranial pathologies. A total of 105 patients who underwent intracranial lesion resection in a contiguous fashion were prospectively included in the study. Ultrasound images acquired intraoperatively were used to stratify lesions into one of four grades (grades 0-3) on the basis of their ultrasonic echogenicity and border visibility. Forty-two out of 105 lesions (40 %) were clearly identifiable and had a clear border with normal tissue (grade 3). Fifty-five of 105 lesions (52 %) were clearly identifiable but had no clear border with normal tissue (grade 2). Eight of 105 lesions (8 %) were difficult to identify and had no clear border with normal tissue (grade 1). None (0 %) of the lesions could not be identified (grade 0). High-grade gliomas, cerebral metastases, meningiomas, ependymomas, and haemangioblastomas all demonstrated a median ultrasonic visibility grade of 2 or greater. Low-grade astrocytomas and oligodendrogliomas demonstrated a median ultrasonic visibility grade of 2 or less. Intraoperative ultrasound can be of tremendous benefit in allowing the surgeon to appraise the location, extent, and local environment of their target lesion, as well as to reduce the risk of preventable complications. We believe that our grading system will provide a useful adjunct to the neurosurgeon when deciding for which lesions intraoperative ultrasound would be useful.

  2. Assessing sustainable land-use practices using geographic information systems

    NASA Astrophysics Data System (ADS)

    Davis, Amelie Y.

    Many prominent scientists have claimed that we need to develop environmentally sustainable practices otherwise societies may collapse. The use of Geographic Information Systems allows detailed studies that can cross disciplinary boundaries and lead to quantifiable statements as to the change of land use practices that took place in the past and those that may occur in the future. This dissertation focuses on two research topics. One that attempts to quantify the environmental consequences of parking lots located in the Midwest, USA. The other research topic focuses on the land area needed to support ethanol in the United States. In Tippecanoe County, Indiana, it was determined that parking lots occupied approximately 6.6% of the urban areas, that the area devoted to parking lots exceeded the area devoted to urban parks by a factor of 3, and that these parking lots contributed to increased runoff of pollutants. The parking lots of Tippecanoe County were estimated to be responsible for 46.5 thousand pounds of oil and grease released annually in runoff, as well as an increase of 240.6 thousand pounds of suspended solids, and 65.7 pounds of lead released when compared to pre-development conditions. A method that scales up the county wide study was also developed to determine the areal footprint of parking lots with the states of Illinois, Indiana, Michigan and Wisconsin. It was estimated that these four states allocate approximately 1260 square km of their land to parking lots and that this accounts for 4.97% of urban land use and over 43 million parking spaces, whereas the number of individuals in age of driving (adults over 18 years old) amounted to just over 25 million. Within the four states studied, states where urban sprawl was considered more prevalent were also states that had a higher proportion of their urban land devoted to parking lots. The second dissertation topic focused on using GIS to locate suitable sites for corn or cellulosic based ethanol

  3. A computerized system for tracking practice and prescriptive patterns of family nurse practitioner students.

    PubMed

    Fontana, S A; Kelber, S T; Devine, E C

    2001-03-01

    Decisions about the fit between advanced practice nursing curricula and the real world of primary care practice should be based on data and not on intuition. The purpose of this article is to describe a computerized database system that can be used to: 1) track practice (including prescribing) patterns of nurse practitioner (NP) students; 2) address data issues that commonly arise; and 3) describe NP students' practice during their education to prospective employers. The database system uses both the Family Nurse Practitioners Log (FNPLOG), a faculty-developed software program, and Epi Info, a companion public domain software program. Variables are categorized as being related to sociodemographic, diagnostic, or prescriptive components of primary care. The system provides a simple, efficient, and feasible way of computerizing, analyzing, and evaluating students' clinical experience and practice patterns. The implications for advanced practice nursing education will be illustrated along with other potential uses of the database system.

  4. Energy-efficient downlink resource management in self-organized OFDMA-based two-tier femtocell networks

    NASA Astrophysics Data System (ADS)

    Shahid, Adnan; Aslam, Saleem; Kim, Hyung Seok; Lee, Kyung-Geun

    2015-12-01

    Femtocell is a novel technology that is used for escalating indoor coverage as well as the capacity of traditional cellular networks. However, interference is the limiting factor for performance improvement due to co-channel deployment between macrocells and femtocells. The traditional network planning is not feasible because of the random deployment of femtocells. Therefore, self-organization approaches are the key to having successful deployment of femtocells. This study presents the joint resource block (RB) and power allocation task for the two-tier femtocell network in a self-organizing manner, with the concern to minimizing the impact of interference and maximizing the energy efficiency. In this study, we analyze the performance of the system in terms of the energy efficiency, which is composed of both the transmission and circuit power. Most of the previous studies investigate the performance regarding the throughput requirement of the two-tier femtocell network while the energy efficiency aspect is largely ignored. Here, the joint allocation task is modeled as a non-cooperative game which is demonstrated to exhibit pure and unique Nash equilibrium. In order to reduce the complexity of the proposed non-cooperative game, the joint RB and power allocation task is divided into two subproblems: an RB allocation and a particle swarm optimization-based power allocation. The analysis of the proposed game is carried out in terms of not only energy efficiency but also throughput. With practical 3rd Generation Partnership Project (3GPP) Long-Term Evolution (LTE) parameters, the simulation results illustrate the superior performance of the proposed game as compared to the traditional methods. Also, the comparison is carried out with the joint allocation scheme which only considers the throughput as the objective function. The results illustrate that significant performance improvement is achieved in terms of energy efficiency with slight loss in the throughput. The

  5. Using the Systems-Practice Framework to Understand Food Allergen Management Practices at College Catering Operations: A Qualitative Study.

    PubMed

    Verstappen, Jennie; Mirosa, Miranda; Thomson, Carla

    2017-07-06

    The number of individuals with food allergies or intolerances attending catered university residential colleges is increasing, and safe dining options are required to minimize the risk of allergic reactions and food-induced death. This qualitative research study sought to advance professional knowledge of the factors affecting allergen management practices, particularly pertaining to college foodservices. Three catered residential colleges affiliated with a major university in New Zealand were selected as research sites. The study used an ethnographic approach and systems-practice theory as a framework for data collection and organizing results. Data collection techniques included document analyses (3 hours per site), observations (6 to 8 hours per site), focus groups with foodservice workers (30 to 45 minutes per site, n=16), and interviews with foodservice managers (45 to 90 minutes per interview, n=5). Notes and transcripts were coded through the process of thematic analysis using NVivo for Mac software, version 11.1.1, to identify factors affecting allergen management practices. The main factors affecting allergen management practices at college foodservices included information provided by residents about dietary requirements; communication between residents and foodservice staff; systems for allergen management; attitude of foodservice staff; and college size. Detailed dietary information, effective communication with residents, sufficient resources, clarification of responsibilities, and thorough systems are required for staff to perform safe allergen management practices. Ultimately, successful implementation was predominantly determined by staff attitude. Foodservice managers are advised to identify motivators and address barriers of staff attitudes toward allergen management practices to promote successful implementation. Copyright © 2017 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  6. Measuring prescribing practices in a state mental hospital system.

    PubMed

    Hartmann, K; Allison, J; Hartig, P

    1979-07-01

    To determine the degree to which Nebraska's three state mental hospitals complied with recognized guidelines for prescription of psychotropic medications, a study was made for 1326 drug orders issued over a five-year period. The prescribing practices in the hospital were then reviewed in relation to the guidelines in areas of polypharmacy, daily dose frequency, time of day, use of p.r.n. orders, drug form, dosages for children and the elderly, dosages during acute and stabilized stages of illness, and brand versus generic names. The study highlighted areas of progress in drug use practices and identified areas for improvement.

  7. Developing Speaker Recognition System: From Prototype to Practical Application

    NASA Astrophysics Data System (ADS)

    Fränti, Pasi; Saastamoinen, Juhani; Kärkkäinen, Ismo; Kinnunen, Tomi; Hautamäki, Ville; Sidoroff, Ilja

    In this paper, we summarize the main achievements made in the 4-year PUMS project during 2003-2007. The emphasis is on the practical implementations, how we have moved from Matlab and Praat scripting to C/C++ implemented applications in Windows, UNIX, Linux and Symbian environments, with the motivation to enhance technology transfer. We summarize how the baseline methods have been implemented in practice, how the results are utilized in forensic applications, and compare recognition results to the state-ofart and existing commercial products such as ASIS, FreeSpeech and VoiceNet.

  8. 75 FR 22844 - Construction Fall Protection Systems Criteria and Practices and Training Requirements; Extension...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    ... Training Requirements; Extension of the Office of Management and Budget's (OMB) Approval of Information... Fall Protection Systems Criteria and Practices (29 CFR 1926.502) and Training Requirements (29 CFR 1926... Fall Protection Systems Criteria and Practices (29 CFR 1926.502) and Training Requirements (29 CFR 1926...

  9. E-Learning System for Experiments Involving Construction of Practical Electronic Circuits

    ERIC Educational Resources Information Center

    Takemura, Atsushi

    2013-01-01

    This paper proposes a novel e-learning system for technical experiments involving the construction of practical electronic circuits; this system would meet the various demands of individual experimenters. This mixed mode is beneficial for practical use in that an experimenter who does not have sufficient circuit components for circuit making can…

  10. Structural Decoupling between the VET and the Employment Systems: Challenges Manifested in Assessment of Practical Training

    ERIC Educational Resources Information Center

    Umarik, Meril; Loogma, Krista; Hinno, Krista

    2010-01-01

    This article aims to analyse how structural decoupling, which is an especially relevant problem for school-based vocational education and training (VET) systems, reveals itself in the assessment of practical training. Niklas Luhmann's social system theory has been applied to the analysis of assessment practices as a communication act between the…

  11. Structural Decoupling between the VET and the Employment Systems: Challenges Manifested in Assessment of Practical Training

    ERIC Educational Resources Information Center

    Umarik, Meril; Loogma, Krista; Hinno, Krista

    2010-01-01

    This article aims to analyse how structural decoupling, which is an especially relevant problem for school-based vocational education and training (VET) systems, reveals itself in the assessment of practical training. Niklas Luhmann's social system theory has been applied to the analysis of assessment practices as a communication act between the…

  12. Current Faculty Development Practices for Alternative Delivery Systems in Christian Higher Education Institutions: A Qualitative Study

    ERIC Educational Resources Information Center

    Yates, Steven Lowell

    2009-01-01

    This research study was an investigation of current faculty development practices for alternative delivery systems. Attention was given to faculty development in general as well as specific facets of faculty development for alternative delivery systems. Future or intended faculty development practices were pursued, along with factors that…

  13. Current Faculty Development Practices for Alternative Delivery Systems in Christian Higher Education Institutions: A Qualitative Study

    ERIC Educational Resources Information Center

    Yates, Steven Lowell

    2009-01-01

    This research study was an investigation of current faculty development practices for alternative delivery systems. Attention was given to faculty development in general as well as specific facets of faculty development for alternative delivery systems. Future or intended faculty development practices were pursued, along with factors that…

  14. 40 CFR Table 10 to Subpart Ffff of... - Work Practice Standards for Heat Exchange Systems

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 13 2013-07-01 2012-07-01 true Work Practice Standards for Heat... Practice Standards for Heat Exchange Systems As required in § 63.2490, you must meet each requirement in the following table that applies to your heat exchange systems: For each . . . You must . . . Heat...

  15. 40 CFR Table 10 to Subpart Ffff of... - Work Practice Standards for Heat Exchange Systems

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 13 2014-07-01 2014-07-01 false Work Practice Standards for Heat... Practice Standards for Heat Exchange Systems As required in § 63.2490, you must meet each requirement in the following table that applies to your heat exchange systems: For each . . . You must . . . Heat...

  16. 40 CFR Table 10 to Subpart Ffff of... - Work Practice Standards for Heat Exchange Systems

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 13 2012-07-01 2012-07-01 false Work Practice Standards for Heat... Practice Standards for Heat Exchange Systems As required in § 63.2490, you must meet each requirement in the following table that applies to your heat exchange systems: For each . . . You must . . . Heat...

  17. Electronic Voting Systems for Lectures then and Now: A Comparison of Research and Practice

    ERIC Educational Resources Information Center

    Simpson, Vicki; Oliver, Martin

    2007-01-01

    Research and practice in the use of electronic voting systems has developed over the last five years. Electronic voting systems, also known as personal response systems, audience response systems or classroom communication systems, use handsets to elicit responses from students as part of structured teaching sessions, typically lectures. The use…

  18. Working practices in a perchery system, using the OVAKO Working posture Analysing System (OWAS).

    PubMed

    Scott, G B; Lambe, N R

    1996-08-01

    Stockworkers should be able to easily manage alternative systems for commercial egg production. Such production systems can be analysed in terms of human welfare, based on ergonomic criteria. Work-related postures can cause discomfort and strain to workers (Stoffert, 1985). The OVAKO Working posture Analysing System (OWAS) developed in 1974 (Karhu et al, 1977) defines body positions during working practices and scores them according to the strain caused. This technique has so far not been used to assist in the design of working systems for the poultry industry. This pilot study was carried out to determine if such a technique could be easily applied to a perchery system and whether it could lead to an improved design. The stockworker was video recorded performing normal duties within the perchery and the positions of the body were assessed, using the OWAS system. It was found that manual collection of floor eggs and reaching into the middle of the perches from the litter side put the most strain on the stockworker. Modification of the perchery, in light of these results, will establish an improved perchery system for the stockworkers.

  19. Developing Best Practices: System-wide Actions for Coastal Resilience

    DTIC Science & Technology

    2015-10-09

    solutions for a safer, better world flooding and major storms in low-lying areas 6 10/9/2015 3 Bayville and Breezy Point, NY - Protocol to move emergency...vehicles and debris removal equipment to high ground before flooding . Best Practices: Examples BUILDING STRONG® Innovative solutions for a safer

  20. Best Practices Statements for School and Systemic Development.

    ERIC Educational Resources Information Center

    Highett, Neville

    The Quality Assurance Directorate of the New South Wales (Australia) Department of School Education is developing a series of Best Practices descriptor statements to help define discussions on school development. A wide range of performance indicators are being discussed among educators worldwide. Reporting of performance indicators needs to be…

  1. Systemic Change for RTI: Key Shifts for Practice

    ERIC Educational Resources Information Center

    Kozleski, Elizabeth B.; Huber, Jennifer J.

    2010-01-01

    RTI has the potential to meet the challenges of increasing diversity in student populations and the need for increasingly complex systems of instructional design. Three fundamental shifts in understanding systems and systems change must ground RTI policy and implementation work. First, RTI must be seen as an activity system nested within a larger…

  2. The Multicampus System: Perspectives on Practice and Prospects.

    ERIC Educational Resources Information Center

    Gaither, Gerald, Ed.

    This book, a compilation of 12 chapters written by leaders at postsecondary institutions, examines multicampus systems of higher education, and the dynamic environment in which these systems operate. Part 1 discusses the role, scope, mission and purpose of multicampus systems: (1) "Management and Leadership Challenges of Multicampus Systems" (D.…

  3. Duke Electronic Mail Post Office A Practical Mail Linking System*

    PubMed Central

    Dryfoos, James D.; Hammond, William E.; Spero, Laurence A.; Rabold, Jean S.; Straube, Mark J.; Stead, William W.

    1988-01-01

    This paper describes a system designed to integrate the many different electronic mail systems in use throughout Duke University. The Duke Electronic Mail Post Office project is part of Duke University Medical Center's model for Achieving an Integrated Academic Information Management System (IAIMS). Main features of the systems, problems encountered during implementation, and future directions are presented and discussed.

  4. Systemic Change for RTI: Key Shifts for Practice

    ERIC Educational Resources Information Center

    Kozleski, Elizabeth B.; Huber, Jennifer J.

    2010-01-01

    RTI has the potential to meet the challenges of increasing diversity in student populations and the need for increasingly complex systems of instructional design. Three fundamental shifts in understanding systems and systems change must ground RTI policy and implementation work. First, RTI must be seen as an activity system nested within a larger…

  5. Optimal electrocardiographic lead systems: practical scenarios in smart clothing and wearable health systems.

    PubMed

    Finlay, Dewar D; Nugent, Chris D; Donnelly, Mark P; McCullagh, Paul J; Black, Norman D

    2008-07-01

    Advances in wearable health systems, from a smart textile, signal processing, and wireless communications perspective, have resulted in the recent deployment of such systems in real clinical and healthcare settings. Nevertheless, the problem of identifying the most appropriate sites from which biological parameters can be recorded still remains unsolved. This paper aims to asses the effects of various practical constraints that may be encountered when choosing electrocardiographic recording sites for wearable health systems falling within the category of smart shirts for cardiac monitoring and analysis. We apply a lead selection algorithm to a set of 192 lead body surface potential maps (BSPM) and simulate a number of practical constraints by only allowing selection of recording sites from specific regions available in the 192 lead array. Of the various scenarios that were investigated, we achieved the best results when the selection process to identify the recording sites was constrained to an area around the precordial region. The top ten recording sites chosen in this region exhibited an rms voltage error of 25.8 mu V when they were used to estimate total ECG information. The poorest performing scenario was that which constrained the selection to two vertical strips on the posterior surface. The top ten recording sites chosen in this scenario exhibited an rms voltage error of 41.1 muV. In general, it was observed that out of all the scenarios investigated, those which constrained available regions to the posterior and lateral surfaces performed less favorably than those where electrodes could also be chosen on the anterior surface. The overall results from our approach have validated the proposed algorithm and its ability to select optimal recording sites taking into consideration the practical constraints that may exist with smart shirts.

  6. Systems and Complexity Thinking in the General Practice Literature: An Integrative, Historical Narrative Review

    PubMed Central

    Sturmberg, Joachim P.; Martin, Carmel M.; Katerndahl, David A.

    2014-01-01

    PURPOSE Over the past 7 decades, theories in the systems and complexity sciences have had a major influence on academic thinking and research. We assessed the impact of complexity science on general practice/family medicine. METHODS We performed a historical integrative review using the following systematic search strategy: medical subject heading [humans] combined in turn with the terms complex adaptive systems, nonlinear dynamics, systems biology, and systems theory, limited to general practice/family medicine and published before December 2010. A total of 16,242 articles were retrieved, of which 49 were published in general practice/family medicine journals. Hand searches and snowballing retrieved another 35. After a full-text review, we included 56 articles dealing specifically with systems sciences and general/family practice. RESULTS General practice/family medicine engaged with the emerging systems and complexity theories in 4 stages. Before 1995, articles tended to explore common phenomenologic general practice/family medicine experiences. Between 1995 and 2000, articles described the complex adaptive nature of this discipline. Those published between 2000 and 2005 focused on describing the system dynamics of medical practice. After 2005, articles increasingly applied the breadth of complex science theories to health care, health care reform, and the future of medicine. CONCLUSIONS This historical review describes the development of general practice/family medicine in relation to complex adaptive systems theories, and shows how systems sciences more accurately reflect the discipline’s philosophy and identity. Analysis suggests that general practice/family medicine first embraced systems theories through conscious reorganization of its boundaries and scope, before applying empirical tools. Future research should concentrate on applying nonlinear dynamics and empirical modeling to patient care, and to organizing and developing local practices, engaging in

  7. Systems and complexity thinking in the general practice literature: an integrative, historical narrative review.

    PubMed

    Sturmberg, Joachim P; Martin, Carmel M; Katerndahl, David A

    2014-01-01

    Over the past 7 decades, theories in the systems and complexity sciences have had a major influence on academic thinking and research. We assessed the impact of complexity science on general practice/family medicine. We performed a historical integrative review using the following systematic search strategy: medical subject heading [humans] combined in turn with the terms complex adaptive systems, nonlinear dynamics, systems biology, and systems theory, limited to general practice/family medicine and published before December 2010. A total of 16,242 articles were retrieved, of which 49 were published in general practice/family medicine journals. Hand searches and snowballing retrieved another 35. After a full-text review, we included 56 articles dealing specifically with systems sciences and general/family practice. General practice/family medicine engaged with the emerging systems and complexity theories in 4 stages. Before 1995, articles tended to explore common phenomenologic general practice/family medicine experiences. Between 1995 and 2000, articles described the complex adaptive nature of this discipline. Those published between 2000 and 2005 focused on describing the system dynamics of medical practice. After 2005, articles increasingly applied the breadth of complex science theories to health care, health care reform, and the future of medicine. This historical review describes the development of general practice/family medicine in relation to complex adaptive systems theories, and shows how systems sciences more accurately reflect the discipline's philosophy and identity. Analysis suggests that general practice/family medicine first embraced systems theories through conscious reorganization of its boundaries and scope, before applying empirical tools. Future research should concentrate on applying nonlinear dynamics and empirical modeling to patient care, and to organizing and developing local practices, engaging in community development, and influencing

  8. Office systems for promoting screening mammography. A survey of primary care practices.

    PubMed

    Melville, S K; Luckmann, R; Coghlin, J; Gann, P

    1993-12-01

    Office tracking, scheduling, and reminder systems have been shown to improve utilization of screening mammography, but little is known about the use of these systems by primary care physicians. We surveyed 132 primary care and obstetrics and gynecology practices affiliated with an independent practice association model health maintenance organization in central Massachusetts to determine their use of reminder, scheduling, and follow-up systems, and education and counseling services aimed at increasing screening mammography rates. The use of chart flags to remind physicians of a patient's need for mammography screening was reported by 30% of practices. Thirty-one percent reported the use of flow sheets, and 27% reported the use of mail or telephone patient reminders. At least one of these three systems was used by 57% of the practices, whereas 43% reported having none of these three systems. Variations in the use of these office systems were related to specialty type, physician number, and clinical staffing. The majority of practices (77%) reported using written educational materials, and 42% offered prevention counseling with nonphysician staff. Very few offices (8%) reported using mail or telephone reminders for previously scheduled appointments. Despite the proven effectiveness of reminder systems for screening mammography, many practices do not have a system in place. Promotion of reminder systems in primary care practices could have a substantial impact on mammography utilization.

  9. The spiritual history in outpatient practice: attitudes and practices of health professionals in the Adventist Health System.

    PubMed

    Koenig, Harold G; Perno, Kathleen; Hamilton, Ted

    2017-06-12

    A screening spiritual history (SSH) is how health professionals (HP) identify patients' spiritual values, beliefs and preferences (VBPs) in the outpatient setting. We report on attitudes and practices of HPs in the largest Protestant health system in the U.S., the Adventist Health System (AHS). Physicians or mid-level practitioners (N = 1082) in AHS-affiliated practices were approached and 513 (47%) agreed to participate. Participants were asked to identify a "spiritual care coordinator" (nurse/staff) and complete a questionnaire that assessed demographics, practice characteristics, religious involvement, and attitudes/practices concerning the SSH. Prevalence and predictors of attitudes/practices were identified. Questionnaires were completed by 427 physicians, 86 mid-level practitioners, and 224 nurses/staff (i.e., spiritual care coordinators). Among physicians, 45% agreed that HPs should take a SSH; of mid-level practitioners, 56% agreed; and of nurses/staff, 54% agreed. A significant proportion (range 31-54%) agreed that physicians should take the SSH. Participants indicated a SSH is appropriate for all outpatients (46-57%), well-visit exams (50-60%), the chronically ill (71-75%) and terminally ill (79-82%). A majority agreed the SSH should be documented in the medical record (67-80%). Few (11-17%) currently took a SSH, although most were at least sometimes willing to take a SSH (87-94%) or review the results thereof (86-98%). Self-rated importance of religion was the strongest predictor of SSH attitudes/practices. Many in the AHS say a SSH should be done, are willing to do it, and are willing to review the results, although few currently do so. Education, training, and support may help HPs identify and address patients' spiritual VBPs.

  10. Improving System Integration: The Art and Science of Engaging Small Community Practices in Health System Innovation.

    PubMed

    Pariser, Pauline; Pus, Laura; Stanaitis, Ian; Abrams, Howard; Ivers, Noah; Baker, G Ross; Lockhart, Elizabeth; Hawker, Gillian

    2016-01-01

    This paper focuses on successful engagement strategies in recruiting and retaining primary care physicians (PCPs) in a quality improvement project, as perceived by family physicians in small practices. Sustained physician engagement is critical for quality improvement (QI) aiming to enhance health system integration. Although there is ample literature on engaging physicians in hospital or team-based practice, few reports describe factors influencing engagement of community-based providers practicing with limited administrative support. The PCPs we describe participated in Seamless Care Optimizing the Patient Experience, a QI project designed to support their care of complex patients and reduce both emergency department (ED) visits and inpatient admissions. SCOPE outcome measures will inform subsequent papers. All the 30 participating PCPs completed surveys assessing perceptions regarding the importance of specific engagement strategies. Project team acknowledgement that primary care is challenging and new access to patient resources were the most important factors in generating initial interest in SCOPE. The opportunity to improve patient care via integration with other providers was most important in their commitment to participate, and a positive experience with project personnel was most important in their continued engagement. Our experience suggests that such providers respond well to personalized, repeated, and targeted engagement strategies.

  11. Improving System Integration: The Art and Science of Engaging Small Community Practices in Health System Innovation

    PubMed Central

    Pus, Laura; Stanaitis, Ian; Ivers, Noah; Baker, G. Ross; Lockhart, Elizabeth; Hawker, Gillian

    2016-01-01

    This paper focuses on successful engagement strategies in recruiting and retaining primary care physicians (PCPs) in a quality improvement project, as perceived by family physicians in small practices. Sustained physician engagement is critical for quality improvement (QI) aiming to enhance health system integration. Although there is ample literature on engaging physicians in hospital or team-based practice, few reports describe factors influencing engagement of community-based providers practicing with limited administrative support. The PCPs we describe participated in SCOPE: Seamless Care Optimizing the Patient Experience, a QI project designed to support their care of complex patients and reduce both emergency department (ED) visits and inpatient admissions. SCOPE outcome measures will inform subsequent papers. All the 30 participating PCPs completed surveys assessing perceptions regarding the importance of specific engagement strategies. Project team acknowledgement that primary care is challenging and new access to patient resources were the most important factors in generating initial interest in SCOPE. The opportunity to improve patient care via integration with other providers was most important in their commitment to participate, and a positive experience with project personnel was most important in their continued engagement. Our experience suggests that such providers respond well to personalized, repeated, and targeted engagement strategies. PMID:26904284

  12. A hydrodynamic study of pleural drainage systems: some practical consequences.

    PubMed

    Manzanet, Gerardo; Vela, Antonio; Corell, Ricardo; Morón, Ramón; Calderón, Rogelio; Suelves, Consuelo

    2005-06-01

    A pleural drainage system must be capable of efficiently evacuating the air or fluids from the pleural cavity so that adequate lung reexpansion can take place. The air flow and negative pressure of the system will depend on the particular design of each model. This experimental study analyzes the specifications and performance of the pleural drainage systems currently on the market. Thirteen models of pleural drainage systems connected to wall suction were examined. The models were classified into the following three groups: dry systems; wet systems; and single-chamber systems. We determined the ambient air flow and the negative pressure generated according to the suction level. The components of each model are also described. Under normal conditions, dry (except for the Sentinel Seal; Sherwood Medical; Tullamore, Ireland), wet, and single-chamber systems reach similar air flow rates (17 to 30, 24 to 27, and 22 to 28 L/min, respectively). With higher wall suction levels, wet systems increase the air flow (26 to 49 L/min) but the negative pressure becomes unstable because of the water loss phenomenon, dry systems increase the air flow (29 to 50 L/min) without modifying the regulator pressure, and single-chamber systems also raise the air flow (45 to 51 L/min) but increase the negative pressure. When there is an air leak, dry systems (except for the Sentinel Seal) lose less negative pressure than the other systems. The functioning of these systems can be optimized only by applying a suitable wall suction level adjusted to each case. Although the three types of systems are capable of evacuating adequate air flow rates, the negative pressure and the capacity to maintain it in the presence of an air leak are different in each system. Being fitted with valves and not water compartments makes the dry systems the safest and the ideal for use when the patient has to be moved.

  13. Best Practices for Artifact Versioning in Service-Oriented Systems

    DTIC Science & Technology

    2012-01-01

    Managing change in software development is complex. Software configuration management ( SCM ) is the discipline of managing change in software work...products. In the Carnegie Mellon® Software Engineering Institute (SEI) Capability Maturity Model Integration® (CMMI®) frame- work, SCM is defined as...artifacts—is part of SCM . Developers typically describe software versioning as a self-contained set of practices that involve selecting and applying a

  14. Supervised teaching practice: a system for teacher support and quality assurance.

    PubMed

    T White Anne E Stephenson, P

    2000-01-01

    Supervised teaching practice is practical supervision of teaching under the tutelage of an established teacher. It is proposed as a cost-effective integrated approach to linking the support and development of teachers with quality assurance. In modern undergraduate medical curricula increasing value is placed on teaching and teacher-training. The response to the General Medical Council's demand for a new style of undergraduate medical education requires a system of practical and continuous training which will ensure the highest standard among teachers. Supervised teaching practice offers such a system.

  15. The System Effect: Scaling High-Impact Practices across Campuses

    ERIC Educational Resources Information Center

    Gagliardi, Jonathan S.; Martin, Rebecca R.; Wise, Kathleen; Blaich, Charles

    2015-01-01

    This chapter examines the role of systems and consortia in scaling and implementing undergraduate research through a study of the efforts of six systems and consortia working together with the Council on Undergraduate Research.

  16. The System Effect: Scaling High-Impact Practices across Campuses

    ERIC Educational Resources Information Center

    Gagliardi, Jonathan S.; Martin, Rebecca R.; Wise, Kathleen; Blaich, Charles

    2015-01-01

    This chapter examines the role of systems and consortia in scaling and implementing undergraduate research through a study of the efforts of six systems and consortia working together with the Council on Undergraduate Research.

  17. Identifying an appropriate Content Management System to develop Clinical Practice Guidelines: A perspective.

    PubMed

    Reddy, Sandeep; Herring, Sally; Gray, Allison

    2017-03-01

    Clinical Practice Guidelines are widely used to inform and improve the quality and consistency of clinical practice. Developing and publishing Clinical Practice Guidelines is a complex task involving multiple components. Electronic Content Management Systems are increasingly employed to make this task more manageable. The Content Management System market offers a variety of options for publishing content on the Internet. However, there are limited products that comprehensively address the requirements of publishing Clinical Practice Guidelines. The authors are involved in publishing guidelines for remote clinical practitioners in Australia and present their perspective about identifying an appropriate Content Management System. Several elements essential to addressing their unique editing needs are defined in this article. Unfortunately, customisation is very expensive and laborious: few Content Management System providers can comprehensively meet the needs of Clinical Practice Guidelines publishing. Being pragmatic about the level of functionality a product can offer to support publication is essential.

  18. Expert Systems, Shells, and Schools: Present Practice, Future Prospects.

    ERIC Educational Resources Information Center

    Conlon, Tom; Bowman, Norman

    1995-01-01

    Examines present and future uses of expert system shells in schools, assesses three expert system shells, and proposes criteria for future learning by knowledge-based models. A discussion and tables present results of questionnaires sent to secondary schools teachers in Scotland to determine the use and impact of expert system shells in secondary…

  19. From functional genomics to systems biology: concepts and practices.

    PubMed

    Auffray, Charles; Imbeaud, Sandrine; Roux-Rouquié, Magali; Hood, Leroy

    2003-01-01

    Systems biology is the iterative and integrative study of biological systems as systems in response to perturbations. It is founded on hypotheses formalized in models built from the results of global functional genomics analyses of the complexity of the genome, transcriptome, proteome, metabolome, etc. Its implementation by cross-disciplinary teams in a standardized mode under quality assurance should allow accessing the small variations of the large number of elements determining functioning of biological systems. Galactose utilization in yeast, and sea urchin development are two examples of emerging systems biology.

  20. Systems and complexity thinking in general practice: part 1 - clinical application.

    PubMed

    Sturmberg, Joachim P

    2007-03-01

    Many problems encountered in general practice cannot be sufficiently explained within the Newtonian reductionist paradigm. Systems and complexity thinking - already widely adopted in most nonmedical disciplines - describes and explores the contextual nature of questions posed in medicine, and in general practice in particular. This article briefly describes the framework underpinning systems and complexity sciences. A case study illustrates how systems and complexity thinking can help to better understand the contextual nature of patient presentations, and how different approaches will lead to different outcomes.

  1. Magnetic field uniformity of the practical tri-axial Helmholtz coils systems.

    PubMed

    Beiranvand, R

    2014-05-01

    In this paper, effects of the assembly misalignments and the manufacturing mismatches on the magnetic field uniformity of a practical tri-axial Helmholtz coils system have been modeled mathematically. These undesired effects regularly occur in any practical tri-axial Helmholtz coils system. To confirm the mathematical calculations, a tri-axial Helmholtz coils system has been constructed and the uniformity of its magnetic field has been measured under different conditions. The experimental results are in good agreement with the mathematical analyses.

  2. Practical Considerations for Designing a Remotely Distributed Data Acquisition System

    DTIC Science & Technology

    2010-11-28

    have to be made between performance, types of sensors needed, and size of the WSN. The MCU Practical Considerations for Designing a Remotely...Acquisition 90 volts from the power source, and powers the MCU as well as other low-power IC chips in the design . The LM9076BMA-5.0 power regulator chip...peripherals in the WSN design require 3.3 volts or less. Fig. 3. Layout of circuitry to regulate the 28 volt DC power input to 3.3 volts for MCU

  3. [Periodontitis and systemic diseases: from science to clinical practice].

    PubMed

    Thomas, R Z; Loos, B G; Teeuw, W; Kunnen, A; van Winkelhoff, A J; Abbas, F

    2015-10-01

    The evidence for an association between systemic diseases and periodontitis is strongest with diabetes mellitus type 2 and cardiovascular disease. There is a moderate association of periodontitis with adverse pregnancy outcomes and rheumatoid arthritis. Periodontal treatment has, on average, a positive effect on reducing systemic infection and improving the condition of the vascular system. For diabetes patients, periodontal treatment can also have a positive effect on metabolic regulation. There is insufficient evidence that periodontal treatment prevents adverse pregnancy outcomes and rheumatoid arthritis.

  4. Practical applications of space systems. [environmental quality and resources management

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The study was conducted to provide an opportunity for knowledgeable users to express their needs for information or services which might or might not be met by space systems, and to relate the present and potential capabilities of space systems to their needs. The needs, accomplishments to date, and future possibilities in the applications of space systems for providing food and energy, while at the same time improving and safeguarding the physical environment and the quality of life, are presented. Organizing the usage of these space systems capabilities is also discussed.

  5. The practice of intensive care nurses using the closed suctioning system: An observational study

    PubMed Central

    Haghighat, Somayeh; Yazdannik, AhmadReza

    2015-01-01

    Background: Endotracheal suctioning (ETS) is an essential procedure performed for mechanically ventilated patients. ETS can be either performed by open or closed suctioning system (CSS). There may be some concern on how closed-system ETS is practiced by intensive care nurses. This study was designed to investigate closed-system ETS practices of critical care nurses and to compare their practice with standard recommendations. Materials and Methods: A prospective observational study was conducted during August and December 2012 to establish how critical care nurses (N = 40) perform different steps in a typical ETS practice and to compare it with the current best practice recommendations through a 23-item structured checklist. The results were categorized into three sections: Pre-suctioning, suctioning, and post-suctioning practices. Results: Pre-suctioning, suctioning, and post-suctioning practices mean scores were 7.5, 11.75, and 8.5, respectively, out of 16, 16, and 12, respectively. The total suctioning practice score was 27.75 out of 44. Most discrepancies were observed in the patients’ assessment and preparation, infection control practices, and use of an appropriate catheter. Spearman correlation coefficient indicated a significant statistical positive correlation between suctioning education period and suctioning practice score (P < 0.0001) and between working experience and suctioning practice score (P = 0.02). Conclusions: The findings revealed that critical care nurses do not fully adhere to the best practice recommendation in CSS. We recommend that standard guidelines on ETS practice be included in the current education of critical care nurses. PMID:26457102

  6. Risk Modeling of Interdependent Complex Systems of Systems: Theory and Practice.

    PubMed

    Haimes, Yacov Y

    2017-04-24

    The emergence of the complexity characterizing our systems of systems (SoS) requires a reevaluation of the way we model, assess, manage, communicate, and analyze the risk thereto. Current models for risk analysis of emergent complex SoS are insufficient because too often they rely on the same risk functions and models used for single systems. These models commonly fail to incorporate the complexity derived from the networks of interdependencies and interconnectedness (I-I) characterizing SoS. There is a need to reevaluate currently practiced risk analysis to respond to this reality by examining, and thus comprehending, what makes emergent SoS complex. The key to evaluating the risk to SoS lies in understanding the genesis of characterizing I-I of systems manifested through shared states and other essential entities within and among the systems that constitute SoS. The term "essential entities" includes shared decisions, resources, functions, policies, decisionmakers, stakeholders, organizational setups, and others. This undertaking can be accomplished by building on state-space theory, which is fundamental to systems engineering and process control. This article presents a theoretical and analytical framework for modeling the risk to SoS with two case studies performed with the MITRE Corporation and demonstrates the pivotal contributions made by shared states and other essential entities to modeling and analysis of the risk to complex SoS. A third case study highlights the multifarious representations of SoS, which require harmonizing the risk analysis process currently applied to single systems when applied to complex SoS. © 2017 Society for Risk Analysis.

  7. Effects of Hospital Systems on Medical Home Transformation in Primary Care Residency Training Practices.

    PubMed

    Knierim, Kyle; Hall, Tristen; Fernald, Douglas; Staff, Thomas J; Buscaj, Emilie; Allen, Jessica Cornett; Onysko, Mary; Dickinson, W Perry

    2016-11-23

    Most primary care residency training practices have close financial and administrative relationships with teaching hospitals and health systems. Many residency practices have begun integrating the core principles of the patient-centered medical home (PCMH) into clinical workflows and educational experiences. Little is known about how the relationships with hospitals and health systems affect these transformation efforts. Data from the Colorado Residency PCMH Project were analyzed. Results show that teaching hospitals and health systems have significant opportunities to influence residency practices' transformation, particularly in the areas of supporting team-based care, value-based payment reforms, and health information technology.

  8. GN&C Engineering Best Practices for Human-Rated Spacecraft Systems

    NASA Technical Reports Server (NTRS)

    Dennehy, Cornelius J.; Lebsock, Kenneth; West, John

    2007-01-01

    The NASA Engineering and Safety Center (NESC) recently completed an in-depth assessment to identify a comprehensive set of engineering considerations for the Design, Development, Test and Evaluation (DDT&E) of safe and reliable human-rated spacecraft systems. Reliability subject matter experts, discipline experts, and systems engineering experts were brought together to synthesize the current "best practices" both at the spacecraft system and subsystems levels. The objective of this paper is to summarize, for the larger Community of Practice, the initial set of Guidance, Navigation and Control (GN&C) engineering Best Practices as identified by this NESC assessment process.

  9. GN&C Engineering Best Practices For Human-Rated Spacecraft Systems

    NASA Technical Reports Server (NTRS)

    Dennehy, Cornelius J.; Lebsock, Kenneth; West, John

    2007-01-01

    The NASA Engineering and Safety Center (NESC) recently completed an in-depth assessment to identify a comprehensive set of engineering considerations for the Design, Development, Test and Evaluation (DDT&E) of safe and reliable human-rated spacecraft systems. Reliability subject matter experts, discipline experts, and systems engineering experts were brought together to synthesize the current "best practices" both at the spacecraft system and subsystems levels. The objective of this paper is to summarize, for the larger Community of Practice, the initial set of Guidance, Navigation and Control (GN&C) engineering Best Practices as identified by this NESC assessment process.

  10. GN&C Engineering Best Practices for Human-Rated Spacecraft System

    NASA Technical Reports Server (NTRS)

    Dennehy, Cornelius J.; Lebsock, Kenneth; West, John

    2008-01-01

    The NASA Engineering and Safety Center (NESC) recently completed an in-depth assessment to identify a comprehensive set of engineering considerations for the Design, Development, Test and Evaluation (DDT&E) of safe and reliable human-rated spacecraft systems. Reliability subject matter experts, discipline experts, and systems engineering experts were brought together to synthesize the current "best practices" both at the spacecraft system and subsystems levels. The objective of this paper is to summarize, for the larger Community of Practice, the initial set of Guidance, Navigation and Control (GN&C) engineering Best Practices as identified by this NESC assessment process.

  11. Communities of Practice and Social Learning Systems: the Career of a Concept

    NASA Astrophysics Data System (ADS)

    Wenger, Etienne

    The concept of community of practice was not born in the systems theory tradition. It has its roots in attempts to develop accounts of the social nature of human learning inspired by anthropology and social theory (Lave, 1988; Bourdieu, 1977; Giddens, 1984; Foucault, 1980; Vygotsky, 1978). But the concept of community of practice is well aligned with the perspective of systems traditions. A community of practice itself can be viewed as a simple social system. And a complex social system can be viewed as constituted by interrelated communities of practice. In this essay I first explore the systemic nature of the concept at these two levels. Then I use this foundation to look at the applications of the concept, some of its main critiques, and its potential for developing a social discipline of learning.

  12. Vacuum pumps and systems: A review of current practice

    NASA Technical Reports Server (NTRS)

    Giles, Stuart

    1986-01-01

    A review of the fundamental characteristics of the many types of vacuum pumps and vacuum pumping systems is given. The optimum pumping range, relative cost, performance limitations, maintenance problems, system operating costs and similar subjects are discussed. Experiences from the thin film deposition, chemical processing, material handling, food processing and other industries, as well as space simulation are used to support conclusions and recommendations.

  13. Private Agricultural Extension System in Kenya: Practice and Policy Lessons

    ERIC Educational Resources Information Center

    Muyanga, Milu; Jayne, T. S.

    2008-01-01

    Private extension system has been at the centre of a debate triggered by inefficient public agricultural extension. The debate is anchored on the premise that the private sector is more efficient in extension service delivery. This study evaluates the private extension system in Kenya. It employs qualitative and quantitative methods. The results…

  14. Individualization of Instruction: A Practical System Approach. Monograph No. 2.

    ERIC Educational Resources Information Center

    Utah System Approach to Individualized Learning Project.

    A system for individualized instruction is outlined, and stress is placed on growth environments and administrator and teacher responsibilities. This open problem-solving system is one in which decisions are made according to established goals. It is made up of the following stages: (1) establishing the ideal base; (2) establishing a reality base;…

  15. Management Decision Support Systems: From Theory to Practice.

    ERIC Educational Resources Information Center

    Wong, Simon C. H.

    1995-01-01

    A decision support system integrates individuals' intellectual resources with computer capabilities to improve decision-making quality. This paper presents the theoretical aspects of decision making and decision support and shows how the theories can be applied in developing an operational management decision-making support system for room booking…

  16. Assessing System Thinking through Different Concept-Mapping Practices

    ERIC Educational Resources Information Center

    Brandstadter, Kristina; Harms, Ute; Grossschedl, Jorg

    2012-01-01

    System thinking is usually investigated by using questionnaires, video analysis, or interviews. Recently, concept-mapping (CM) was suggested as an adequate instrument for analysing students' system thinking. However, there are different ways with which to use this method. Therefore, the purpose of this study was to examine whether particular…

  17. Assessing System Thinking through Different Concept-Mapping Practices

    ERIC Educational Resources Information Center

    Brandstadter, Kristina; Harms, Ute; Grossschedl, Jorg

    2012-01-01

    System thinking is usually investigated by using questionnaires, video analysis, or interviews. Recently, concept-mapping (CM) was suggested as an adequate instrument for analysing students' system thinking. However, there are different ways with which to use this method. Therefore, the purpose of this study was to examine whether particular…

  18. 78 FR 59725 - Construction Fall Protection Systems Criteria and Practices, and Training Requirements; Extension...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ... Training Requirements; Extension of the Office of Management and Budget's (OMB) Approval of Information... Fall Protection Systems Criteria and Practices (29 CFR 1926.502), and Training Requirements (29 CFR... Criteria and Practices (29 CFR 1926.502) and Training Requirements (29 CFR 1926.503) ensure that employers...

  19. Practical Measurement and Productive Persistence: Strategies for Using Digital Learning System Data to Drive Improvement

    ERIC Educational Resources Information Center

    Krumm, Andrew E.; Beattie, Rachel; Takahashi, Sola; D'Angelo, Cynthia; Feng, Mingyu; Cheng, Britte

    2016-01-01

    This paper outlines the development of practical measures of productive persistence using digital learning system data. Practical measurement refers to data collection and analysis approaches originating from improvement science; productive persistence refers to the combination of academic and social mindsets as well as learning behaviours that…

  20. Online Course Best Practices as Precision Teaching: Case Study of Quality Systems Courses

    ERIC Educational Resources Information Center

    Sinn, John W.

    2007-01-01

    Best practices for online courses are explored as precision teaching (PT) within the context of a case study analysis. The case study focuses on courses taught, 100 per cent online, as part of Quality Systems (QS) at Bowling Green State University (BGSU). PT literature establishes main attributes desired as the basis for best practices. The…

  1. Practice parameter for the assessment and management of youth involved with the child welfare system.

    PubMed

    Lee, Terry; Fouras, George; Brown, Rachel

    2015-06-01

    This Practice Parameter presents principles for the mental health assessment and management of youth involved with the child welfare system. Important definitions, background, history, epidemiology, mental health care use, and functional outcomes are described. Practical guidance regarding child welfare-related considerations for evaluation and management are discussed.

  2. The State of Practice in Educational Delivery Systems for Autism Spectrum Disorders in a Rural Setting

    ERIC Educational Resources Information Center

    Hefter, Jennifer

    2014-01-01

    Globally, two current educational problems for students with autism spectrum disorders (ASD) exist. Many teachers lack training in evidence-based practices (EBP) and in-service teachers are not transferring theory to practice. This study was locally conducted to establish the state of the EBP delivery systems, with a specific focus on rural…

  3. Photovoltaic power systems and the National Electrical Code: Suggested practices

    SciTech Connect

    Wiles, J.

    1996-12-01

    This guide provides information on how the National Electrical Code (NEC) applies to photovoltaic systems. The guide is not intended to supplant or replace the NEC; it paraphrases the NEC where it pertains to photovoltaic systems and should be used with the full text of the NEC. Users of this guide should be thoroughly familiar with the NEC and know the engineering principles and hazards associated with electrical and photovoltaic power systems. The information in this guide is the best available at the time of publication and is believed to be technically accurate; it will be updated frequently. Application of this information and results obtained are the responsibility of the user.

  4. From clinical recommendations to mandatory practice. The introduction of regulatory practice guidelines in the French healthcare system.

    PubMed

    Durieux, P; Chaix-Couturier, C; Durand-Zaleski, I; Ravaud, P

    2000-01-01

    In an effort to control ambulatory care costs, regulatory practice guidelines (références médicales opposables or RMOs) were introduced by law in France in 1993. RMOs are short sentences, negatively formulated ("it is inappropriate to..."), covering medical and surgical topics, diagnosis, and treatment. Since their introduction, physicians who do not comply with RMOs can be fined. The fine is determined by a weighted combination of indices of harm, cost, and the number of violations. The impact of the RMO policy on physician practice has been questioned, but so far few evaluations had been performed. At the end of 1997, only 121 physicians had been fined (0.1% of French private physicians). The difficulty of controlling physicians, the large number of RMOs, and the lack of a relevant information system limit the credibility of this policy. The simultaneous development of a clinical guideline program to improve the quality of care and of a program to control medical practice can lead to a misunderstanding among clinicians and health policy makers. Financial incentives or disincentives could be used to change physician behavior, in addition to other measures such as education and organizational changes, if they are simple, well explained, and do not raise any ethical conflict. But these measures are dependent on the structure and financing of the healthcare system and on the socioeconomic and cultural context. More research is needed to assess the impact of interventions using financial incentives and disincentives on physician behavior.

  5. Practical aspects of instrumentation system installation, volume 13

    NASA Technical Reports Server (NTRS)

    Borek, R. W.; Pool, A. (Editor); Sanderson, K. C. (Editor)

    1981-01-01

    A review of factors influencing installation of aircraft flight test instrumentation is presented. Requirements, including such factors as environment, reliability, maintainability, and system safety are discussed. The assessment of the mission profile is followed by an overview of electrical and mechanical installation factors with emphasis on shock/vibration isolation systems and standardization of the electric wiring installation, two factors often overlooked by instrumentation engineers. A discussion of installation hardware reviews the performance capabilities of wiring, connectors, fuses and circuit breakers, and a guide to proper selections is provided. The discussion of the installation is primarily concerned with the electrical wire routing, shield terminations and grounding. Also inclued are some examples of installation mistakes that could affect system accuracy. System verification procedures and special considerations such as sneak circuits, pyrotechnics, aircraft antenna patterns, and lightning strikes are discussed.

  6. Practical fundamentals of glass, rubber, and plastic sterile packaging systems.

    PubMed

    Sacha, Gregory A; Saffell-Clemmer, Wendy; Abram, Karen; Akers, Michael J

    2010-01-01

    Sterile product packaging systems consist of glass, rubber, and plastic materials that are in intimate contact with the formulation. These materials can significantly affect the stability of the formulation. The interaction between the packaging materials and the formulation can also affect the appropriate delivery of the product. Therefore, a parenteral formulation actually consists of the packaging system as well as the product that it contains. However, the majority of formulation development time only considers the product that is contained in the packaging system. Little time is spent studying the interaction of the packaging materials with the contents. Interaction between the packaging and the contents only becomes a concern when problems are encountered. For this reason, there are few scientific publications that describe the available packaging materials, their advantages and disadvantages, and their important product attributes. This article was created as a reference for product development and describes some of the packaging materials and systems that are available for parenteral products.

  7. Tutoring System Innovations: Past Practice to Future Prototypes

    ERIC Educational Resources Information Center

    Gardner, Ralph; Nobel, Michele M.; Hessler, Terri; Yawn, Christopher D.; Heron, Timothy E.

    2007-01-01

    This article discusses the progression of tutoring system innovations from informal, dyadic, and subjectively evaluated arrangements to more formally arranged configurations that emphasize training, application, and evaluation. Suggestions for future innovations, based on existing prototypes, are discussed.

  8. Report: Improvements Needed in Key EPA Information System Security Practices

    EPA Pesticide Factsheets

    Report #10-P-0146, June 15, 2010. Williams Adley found that EPA program offices lacked evidence that they planned and executed tests of information system security controls as required by federal requirements.

  9. A Practice of the Simple Learning Management System

    NASA Astrophysics Data System (ADS)

    Miyagoshi, Takashi; Doshita, Hiroki; Okino, Koji; Tajima, Masato

    Recently, the LMS ( Learning Management System) of the Blackboard, the WebCt, the Moodle and the Wiki etc. are utilized at the time of e-learning execution. We constructed a simple learning management system with the PukiWiki which is a derivative edition of the Wiki. In this system, the page which the Web page reader is perusing can be edited freely. Moreover, not only a teacher can equally treat the functions used before easily, but a student can create and expand his pages freely. We applied this system to the programming exercise with Java language. When students present a subject, the certainty and convenience are verified since the process are automatically recorded with time.

  10. Practical aspects of instrumentation system installation, volume 13

    NASA Technical Reports Server (NTRS)

    Borek, R. W.; Pool, A. (Editor); Sanderson, K. C. (Editor)

    1981-01-01

    A review of factors influencing installation of aircraft flight test instrumentation is presented. Requirements, including such factors as environment, reliability, maintainability, and system safety are discussed. The assessment of the mission profile is followed by an overview of electrical and mechanical installation factors with emphasis on shock/vibration isolation systems and standardization of the electric wiring installation, two factors often overlooked by instrumentation engineers. A discussion of installation hardware reviews the performance capabilities of wiring, connectors, fuses and circuit breakers, and a guide to proper selections is provided. The discussion of the installation is primarily concerned with the electrical wire routing, shield terminations and grounding. Also inclued are some examples of installation mistakes that could affect system accuracy. System verification procedures and special considerations such as sneak circuits, pyrotechnics, aircraft antenna patterns, and lightning strikes are discussed.

  11. The evolution of septic systems practices in Ohio.

    PubMed

    Vedachalam, Sridhar; Hacker, Eli; Mancl, Karen

    2012-12-01

    Regulations that address management of wastewater in rural areas in Ohio are in the process of being updated. The study described in this article reviewed the legal and regulatory process that occurred in the past decade. Thirty percent of septic systems in Ohio are failing due to installation in shallow soils. The adoption of alternative treatment systems, however, is not widespread. Alternative systems are expensive and in many cases require larger surface areas to build and operate. The establishment of a technical advisory committee provided an avenue to approve new and innovative treatment systems that differ from the existing regulations while the countdown towards the proposed new regulations approached. A survey of county health officials in Ohio highlighted the need for training of regulators and delineation of responsibilities to avoid conflicts of interest. Adequate training of regulators will make the regulatory transition a successful venture.

  12. Diagnosis and Management of Systemic Sclerosis: A Practical Approach.

    PubMed

    Lee, Jason J; Pope, Janet E

    2016-02-01

    Systemic sclerosis is a devastating multisystem rheumatologic condition that is characterized by autoimmunity, tissue fibrosis, obliterative vasculopathy and inflammation. Clinical presentation and course of the condition vary greatly, which complicates both diagnosis and corresponding treatment. In this regard, recent advances in disease understanding, both clinically and biochemically, have led to newer classification criteria for systemic sclerosis that are more inclusive than ever before. Still, significant disease modifying therapies do not yet exist for most patients. Therefore, organ-based management strategies are employed and research has been directed within this paradigm focusing on either the most debilitating symptoms, such as Raynaud's phenomenon, digital ulcers and cutaneous sclerosis, or life-threatening organ involvement such as interstitial lung disease and pulmonary arterial hypertension. The current trends in systemic sclerosis diagnosis, evidence-based treatment recommendations and potential future directions in systemic sclerosis treatment are discussed.

  13. Tutoring System Innovations: Past Practice to Future Prototypes

    ERIC Educational Resources Information Center

    Gardner, Ralph; Nobel, Michele M.; Hessler, Terri; Yawn, Christopher D.; Heron, Timothy E.

    2007-01-01

    This article discusses the progression of tutoring system innovations from informal, dyadic, and subjectively evaluated arrangements to more formally arranged configurations that emphasize training, application, and evaluation. Suggestions for future innovations, based on existing prototypes, are discussed.

  14. Practical reliability and uncertainty quantification in complex systems : final report.

    SciTech Connect

    Grace, Matthew D.; Ringland, James T.; Marzouk, Youssef M.; Boggs, Paul T.; Zurn, Rena M.; Diegert, Kathleen V.; Pebay, Philippe Pierre; Red-Horse, John Robert

    2009-09-01

    The purpose of this project was to investigate the use of Bayesian methods for the estimation of the reliability of complex systems. The goals were to find methods for dealing with continuous data, rather than simple pass/fail data; to avoid assumptions of specific probability distributions, especially Gaussian, or normal, distributions; to compute not only an estimate of the reliability of the system, but also a measure of the confidence in that estimate; to develop procedures to address time-dependent or aging aspects in such systems, and to use these models and results to derive optimal testing strategies. The system is assumed to be a system of systems, i.e., a system with discrete components that are themselves systems. Furthermore, the system is 'engineered' in the sense that each node is designed to do something and that we have a mathematical description of that process. In the time-dependent case, the assumption is that we have a general, nonlinear, time-dependent function describing the process. The major results of the project are described in this report. In summary, we developed a sophisticated mathematical framework based on modern probability theory and Bayesian analysis. This framework encompasses all aspects of epistemic uncertainty and easily incorporates steady-state and time-dependent systems. Based on Markov chain, Monte Carlo methods, we devised a computational strategy for general probability density estimation in the steady-state case. This enabled us to compute a distribution of the reliability from which many questions, including confidence, could be addressed. We then extended this to the time domain and implemented procedures to estimate the reliability over time, including the use of the method to predict the reliability at a future time. Finally, we used certain aspects of Bayesian decision analysis to create a novel method for determining an optimal testing strategy, e.g., we can estimate the 'best' location to take the next test to

  15. Architecting Science: Practical Tools for Architecting Flexible Systems

    DTIC Science & Technology

    2009-08-31

    developed (sometimes with some measure of user utility) and performance issues are traded against each other. In the last decade, cost has also been...that takes system acquisition tradespace data, and using emergent features, naturally maps data for the decision maker. 1 Recent theoretical...System Acquisition Decision, S. M. Thesis, MIT Aeronautics and Astronautics, Cambridge, MA (http://halab.mit.edu) Viscito, L., Quantifying

  16. The roles of practice systems and individual effort in quality performance.

    PubMed

    Pham, Hoangmai H; Bernabeo, Elizabeth C; Chesluk, Benjamin J; Holmboe, Eric S

    2011-08-01

    Individual effort and practice systems contribute to quality performance, but the nature of their contributions remains unclear. This study assessed the roles of individual attributes and behaviours versus practice attributes in quality performance by assessing general internists' perceptions of factors that drive their engagement in quality improvement (QI). The authors interviewed 20 physicians in two distinct categories from diverse practice settings who had the greatest discordance between their ranked scores on standardised measures of individual quality performance and practice 'systems' performance. Findings suggest that there are subtle but important differences between high-scoring physicians practising in low-scoring practice systems, and low-scoring physicians practising in high-scoring practice systems with regards to quality performance and improvement. Physicians with high individual and low systems scores contributed a greater individual effort in quality improvement (QI), exhibited greater internal drivers to change, and reported a greater number and broader list of QI activities than physicians with low individual scores and high systems scores. Physicians with high individual scores also tended to be more reflective. There was a lack of consensus between categories on the relative usefulness of different systems resources, including electronic information systems. Our findings also suggest that physicians practice in isolation and autonomously, and highly independent of each other, and perceive a tension between pursuing technical quality and patient satisfaction at the same time. Both categories were skeptical of performance measurement more generally. QI efforts may be more effective if they foster both specific individual attitudes and capabilities, as well as improve practice-level systems.

  17. Best Practices in Photovoltaic System Operations and Maintenance: 2nd Edition

    SciTech Connect

    Whaley, Cass

    2016-12-01

    This best practices guide encourages high-quality system deployment and operation that improves lifetime project performance and energy production while reducing, or at least optimizing, costs to deliver an operation and maintenance program.

  18. Systems medicine: a new approach to clinical practice.

    PubMed

    Cardinal-Fernández, Pablo; Nin, Nicolás; Ruíz-Cabello, Jesús; Lorente, José A

    2014-10-01

    Most respiratory diseases are considered complex diseases as their susceptibility and outcomes are determined by the interaction between host-dependent factors (genetic factors, comorbidities, etc.) and environmental factors (exposure to microorganisms or allergens, treatments received, etc.) The reductionist approach in the study of diseases has been of fundamental importance for the understanding of the different components of a system. Systems biology or systems medicine is a complementary approach aimed at analyzing the interactions between the different components within one organizational level (genome, transcriptome, proteome), and then between the different levels. Systems medicine is currently used for the interpretation and understanding of the pathogenesis and pathophysiology of different diseases, biomarker discovery, design of innovative therapeutic targets, and the drawing up of computational models for different biological processes. In this review we discuss the most relevant concepts of the theory underlying systems medicine, as well as its applications in the various biological processes in humans. Copyright © 2013 SEPAR. Published by Elsevier Espana. All rights reserved.

  19. Software Engineering in Practice: Design and Architectures of FLOSS Systems

    NASA Astrophysics Data System (ADS)

    Capiluppi, Andrea; Knowles, Thomas

    Free/Libre/Open Source Software (FLOSS) practitioners and developers are typically also users of their own systems: as a result, traditional software engineering (SE) processes (e.g., the requirements and design phases), take less time to articulate and negotiate among FLOSS developers. Design and requirements are kept more as informal knowledge, rather than formally described and assessed. This paper attempts to recover the SE concepts of software design and architectures from three FLOSS case studies, sharing the same application domain (i.e., Instant Messaging). Its first objective is to determine whether a common architecture emerges from the three systems, which can be used as shared knowledge for future applications. The second objective is to determine whether these architectures evolve or decay during the evolution of these systems. The results of this study are encouraging: albeit no explicit effort was done by FLOSS developers to define a high-level view of the architecture, a common shared architecture could be distilled for the Instant Messaging application domain. It was also found that, for two of the three systems, the architecture becomes better organised, and the components better specified, as long as the system evolves in time.

  20. Standard recommended practice for viscosity system for industrial fluid lubricants

    SciTech Connect

    Not Available

    1980-01-01

    This system is applicable to all petroleum-base fluid lubricants and nonpetroleum materials which may be readily blended to produce fluid lubricants of a desired viscosity, that is, lubricants for bearings, gears, compressor cylinders, hydraulic fluids, etc. This system is applicable to fluids ranging in kinematic viscosity from 2 to 1500 cSt (mm/sup 2//s) as measured at a reference temperature of 40/sup 0/C. Expressed in approximate equivalents, the range would be 32 to 7000 SUS. In the category of petroleum-base fluids, this covers the range from kerosine to heavy cylinder oils. The purpose of this system is twofold: to establish a series of definite viscosity levels so that lubricant suppliers, lubricant users, ad equipment designers will have a uniform and common basis for designating, specifying, or selecting the viscosity of industrial fluid lubricants; and to eliminate unjustified intermediate viscosities, thereby reducing the total number of viscosity grades used in the lubrication of industrial equipment. This system provides a suitable number of viscosity grades, a uniform reference temperature, a uniform viscosity tolerance, and a nomenclature system for identifying the viscosity characteristics of each grade. It implies no evaluation of lubricant quality and applies to no property of a fluid other than its viscosity at the reference temperature. It does not apply to those lubricants used primarily with automotive equipment and identified with an SAE number.

  1. Global Positioning System, Theory and Practice, 5th Edition

    NASA Astrophysics Data System (ADS)

    Nerem, R. S.; Larson, K. M.

    The Global Positioning System (GPS) is rapidly becoming as much a part of our daily lives as the Internet, and it is now being used to navigate and locate cars, commercial and private aircraft, military vehicles, ships, spacecraft, recreational vehicles, hikers, and wildlife. In addition, GPS is becoming our primary system for precision timing and an important tool for active microwave remote sensing. Finally, in the geophysics community, GPS is the primary geodetic tool for monitoring crustal deformation.Hundreds of receivers have already been installed in areas subject to seismic and volcanic risk in the United States alone, with many more worldwide. Therefore, interest in the technical details of how the system works has rapidly increased, as evidenced by the proliferation of GPS courses in academia and professional workshops.

  2. Practical Loop-Shaping Design of Feedback Control Systems

    NASA Technical Reports Server (NTRS)

    Kopasakis, George

    2010-01-01

    An improved methodology for designing feedback control systems has been developed based on systematically shaping the loop gain of the system to meet performance requirements such as stability margins, disturbance attenuation, and transient response, while taking into account the actuation system limitations such as actuation rates and range. Loop-shaping for controls design is not new, but past techniques do not directly address how to systematically design the controller to maximize its performance. As a result, classical feedback control systems are designed predominantly using ad hoc control design approaches such as proportional integral derivative (PID), normally satisfied when a workable solution is achieved, without a good understanding of how to maximize the effectiveness of the control design in terms of competing performance requirements, in relation to the limitations of the plant design. The conception of this improved methodology was motivated by challenges in designing control systems of the types needed for supersonic propulsion. But the methodology is generally applicable to any classical control-system design where the transfer function of the plant is known or can be evaluated. In the case of a supersonic aerospace vehicle, a major challenge is to design the system to attenuate anticipated external and internal disturbances, using such actuators as fuel injectors and valves, bypass doors, and ramps, all of which are subject to limitations in actuator response, rates, and ranges. Also, for supersonic vehicles, with long slim type of structures, coupling between the engine and the structural dynamics can produce undesirable effects that could adversely affect vehicle stability and ride quality. In order to design distributed controls that can suppress these potential adverse effects, within the full capabilities of the actuation system, it is important to employ a systematic control design methodology such as this that can maximize the

  3. Spatiotemporal Chaos in Distributed Systems: Theory and Practice

    NASA Astrophysics Data System (ADS)

    Pavlos, George P.; Iliopoulos, A. C.; Tsoutsouras, V. G.; Karakatsanis, L. P.; Pavlos, E. G.

    This paper presents theoretical and experimental results concerning the hypothesis of spatiotemporal chaos in distributed physical systems far from equilibrium. Modern tools of nonlinear time series analysis, such as the correlation dimension and the maximum Lyapunov exponent, were applied to various time series, corresponding to different physical systems such as space plasmas (solar flares, magnetic-electric field components) lithosphere-faults system (earthquakes) brain and cardiac dynamics during or without epileptic episodes. Futhermore, the method of surrogate data was used for the exclusion of 'pseudo chaos' caused by the nonlinear distortion of a purely stochastic process. The results of the nonlinear analysis presented in this study constitute experimental evidence for significant phenomena indicated by the theory of nonequilibrium dynamics such as nonequilibrium phase transition, chaotic synchronization, chaotic intermittency, directed percolation, defect turbulence, spinodal nucleation and clustering.

  4. Differential Characteristics and Methods of Operation Underlying CAI/CMI Drill and Practice Systems.

    ERIC Educational Resources Information Center

    Hativa, Nira

    1988-01-01

    Describes computer systems that combine drill and practice instruction with computer-managed instruction (CMI) and identifies system characteristics in four categories: (1) hardware, (2) software, (3) management systems, and (4) methods of daily operation. Topics discussed include microcomputer networks, graphics, feedback, degree of learner…

  5. Differential Characteristics and Methods of Operation Underlying CAI/CMI Drill and Practice Systems.

    ERIC Educational Resources Information Center

    Hativa, Nira

    1988-01-01

    Describes computer systems that combine drill and practice instruction with computer-managed instruction (CMI) and identifies system characteristics in four categories: (1) hardware, (2) software, (3) management systems, and (4) methods of daily operation. Topics discussed include microcomputer networks, graphics, feedback, degree of learner…

  6. A novel practical control approach for rate independent hysteretic systems.

    PubMed

    Goforth, Frank J; Zheng, Qing; Gao, Zhiqiang

    2012-05-01

    A disturbance rejection based control approach, active disturbance rejection control (ADRC), is proposed for hysteretic systems with unknown characteristics. It is an appealing alternative to hysteresis compensation because it does not require a detailed model of hysteresis, by treating the nonlinear hysteresis as a common disturbance and actively rejecting it. The stability characteristic of the ADRC is analyzed. It is shown that, in the face of the inherent dynamic uncertainties, the estimation and closed-loop tracking errors of ADRC are bounded, with their bounds monotonously decreasing with the observer and controller bandwidths, respectively. Simulation results on a typical hysteretic system further demonstrate the effectiveness of the proposed approach.

  7. Large-Scale Linear Optimization through Machine Learning: From Theory to Practical System Design and Implementation

    DTIC Science & Technology

    2016-08-10

    AFRL-AFOSR-JP-TR-2016-0073 Large-scale Linear Optimization through Machine Learning: From Theory to Practical System Design and Implementation...2016 4.  TITLE AND SUBTITLE Large-scale Linear Optimization through Machine Learning: From Theory to Practical System Design and Implementation 5a...performances on various machine learning tasks and it naturally lends itself to fast parallel implementations. Despite this, very little work has been

  8. The promise of simultaneous transformation of practice and research with the use of clinical information systems.

    PubMed

    Lang, Norma M

    2008-01-01

    The author builds a case that the design and use of intelligent information systems in real-time practice holds the promise of simultaneously transforming practice and research. Requirements include the identification of actionable knowledge that can be embedded in clinical decision support and electronic documentation systems, the creation of clinical data repositories, and a data warehouse from which analyses can be conducted across multiple settings. An innovative project, the Knowledge-Based Nursing Initiative, is briefly described as illustrative of these requirements.

  9. The Fifth Workshop on HPC Best Practices: File Systems and Archives

    SciTech Connect

    Hick, Jason; Hules, John; Uselton, Andrew

    2011-11-30

    The workshop on High Performance Computing (HPC) Best Practices on File Systems and Archives was the fifth in a series sponsored jointly by the Department Of Energy (DOE) Office of Science and DOE National Nuclear Security Administration. The workshop gathered technical and management experts for operations of HPC file systems and archives from around the world. Attendees identified and discussed best practices in use at their facilities, and documented findings for the DOE and HPC community in this report.

  10. Practical Applications of Space Systems, Supporting Paper 7: Environmental Quality.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Assembly of Engineering.

    This report summarizes the findings of one of fourteen panels that studied progress in space science applications and defined user needs potentially capable of being met by space-system applications. The study was requested by the National Aeronautics and Space Administration (NASA) and was conducted by the Space Applications Board. The panels…

  11. Evaluating, Comparing, and Best Practice in Electronic Portfolio System Use

    ERIC Educational Resources Information Center

    San Jose, David L.

    2017-01-01

    Electronic portfolios (e-portfolios) are commonly positioned to show evidence of student learning with formative and summative assessment benefits. At the University of Auckland teacher education program, two e-portfolio systems were adopted to document preservice teacher's course work and to attest to the Graduating Teacher Standards. This…

  12. Practical Applications of Space Systems, Supporting Paper 12: Space Transportation.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Assembly of Engineering.

    This report summarizes the findings of one of fourteen panels that studied progress in space science applications and defined user needs capable of being met by space-system applications. The study was requested by the National Aeronautics and Space Administration (NASA) and was conducted by the Space Applications Board. The panels comprised user…

  13. Practical Applications of Space Systems, Supporting Paper 14: Technology.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Assembly of Engineering.

    This report summarizes the findings of one of fourteen panels that studied progress in space science applications and defined user needs potentially capable of being met by space-system applications. The study was requested by the National Aeronautics and Space Administration (NASA) and was conducted by the Space Applications Board. The panels…

  14. Practical Applications of Space Systems, Supporting Paper 6: Extractable Resources.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Assembly of Engineering.

    This report summarizes the findings of one of fourteen panels that studied progress in space science applications and defined user needs potentially capable of being met by space-system applications. The study was requested by the National Aeronautics and Space Administration (NASA) and was conducted by the Space Applications Board. The panels…

  15. Practical Applications of Space Systems, Supporting Paper 10: Institutional Arrangements.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Assembly of Engineering.

    This report summarizes the findings of one of fourteen panels that studied progress in space science applications and defined user needs potentially capable of being met by space-system applications. The study was requested by the National Aeronautics and Space Administration (NASA) and was conducted by the Space Applications Board. The panels…

  16. Teacher Absenteeism: Experience and Practices of School Systems. ERS Report.

    ERIC Educational Resources Information Center

    Educational Research Service, Arlington, VA.

    The first of a two-part report, this document presents the findings of a national survey on staff absenteeism for the school year 1978-79. Of the 1,423 public school systems sampled, 470 (33 percent) returned usable replies to the survey on teacher absenteeism. Two sets of absence data (absence rates and average number of days absent per support…

  17. Let's Chat: A Conversational Dialogue System for Second Language Practice

    ERIC Educational Resources Information Center

    Stewart, Iain A. D.; File, Portia

    2007-01-01

    Early and intermediate second language (L2) learners often encounter difficulties when engaging in introductory social conversations, typically having had little opportunity to practise such interactions. This article describes a project to design and prototype a computer dialogue system, Let's Chat, which would allow learners to rehearse social…

  18. Implementation of Systems Engineering Practices into a Capstone Course

    NASA Technical Reports Server (NTRS)

    Murphy, Gloria; Schmidt, Peter

    2011-01-01

    Discusses the NASA Exploration Systems Mission Directorate senior design projects which are to provide students with senior design project ideas, with potential contribution to NASA ESMD objectives. and provides NASA technical representative to act as external customer / technology mentor / requirements source.

  19. Translation of EMS: clinical practice and system oversight from core content study guide to best practices implementation in an Urban EMS system.

    PubMed

    Tataris, Katie; Mercer, Mary; Brown, John

    2015-01-01

    Since 2009, the seminal text in emergency medical services (EMS) medicine has been used to guide the academic development of the new subspecialty but direct application of the material into EMS oversight has not been previously described. The EMS/Disaster Medicine fellowship program at our institution scheduled a monthly meeting to systematically review the text and develop a study guide to assist the fellow and affiliated faculty in preparation for the board examination. In addition to the summary of chapter content, the review included an assessment of areas from each chapter subject where our EMS system did not exhibit recommended characteristics. A matrix was developed in the form of a gap analysis to include specific recommendations based on each perceived gap. Initial review and completion dates for each identified gap enable tracking and a responsible party. This matrix assisted the fellow with development of projects for EMS system improvement in addition to focusing and prioritizing the work of other interested physicians working in the system. By discussing expert recommendations in the setting of an actual EMS system, the faculty can teach the fellow how to approach system improvements based on prior experiences and current stakeholders. This collaborative environment facilitates system-based practice and practice-based learning, aligning with ACGME core competencies. Our educational model has demonstrated the success of translating the text into action items for EMS systems. This model may be useful in other systems and could contribute to the development of EMS system standards nationwide.

  20. Practical output tracking of switched nonlinear systems in p-normal form with unstable subsystems

    NASA Astrophysics Data System (ADS)

    Long, Lijun; Zhao, Jun

    2016-08-01

    This paper studies practical output tracking of switched nonlinear systems in p-normal form. No solvability of the practical output tracking problem for subsystems is required. A constructive scheme to solve the problem for a switched nonlinear system is set up by exploiting the single Lyapunov function method and the tool of adding a power integrator. Also, we design a proper switching law and construct state-feedback controllers of subsystems. A two inverted pendulums as a practical example, which cannot be handled by the existing approaches, illustrates our theoretical result.

  1. Design and Implementation of Practical Constraint Logic Programming Systems

    DTIC Science & Technology

    1992-08-24

    Pasero, and P. Roussel. Une systeme de com- munication homme-machine en Francais. Technical report, Groupe Intelligence Artificielle , Universite Aix...Marseille II, France, 1973. [28] Alain Colmerauer. PROLOG II reference manual and theoretical model. Techni- cal report, Groupe Intelligence ... Artificielle , Universit6 Aix - Marseille II, October 1982. [29] Alain Colmerauer. Equations and inequations on finite and infinite trees. In Pro- ceedings of the

  2. Transdermal Systems for Overactive Bladder: Principles and Practice

    PubMed Central

    Staskin, David R

    2003-01-01

    The transdermal system for delivery of medication to treat overactive bladder may provide an improved efficacy-to-tolerability ratio by regulating serum drug levels; avoiding gastrointestinal and hepatic metabolism, which is important when the metabolite has a lesser therapeutic index than the parent drug; and achieving clinical efficacy with a lower total drug burden. Additional advantages may include increased compliance and obviation of the need for oral drug administration, which is especially beneficial for the patient who is taking multiple oral medications or is caregiver-dependent. An efficient patch system must preserve the physical integrity of the drug layer, provide adequate adhesion, store and release the drug and permeation-enhancing agent in a predictable manner, promote consistent absorption through the skin regardless of location or skin or subcutaneous tissue differences, demonstrate dose proportionality, maintain skin integrity during product use and removal, and be cosmetically acceptable. A novel transdermal delivery system that incorporates an occlusive layer covering an acrylic adhesive containing the active agent oxybutynin and a skin permeation enhancer has been demonstrated in clinical trials to achieve these goals. PMID:16985986

  3. From Paper to Practice; Indexing Systems and Ethical Standards.

    PubMed

    Astaneh, Behrooz; Masoumi, Sarah

    2017-04-11

    Currently one of the main goals of editors is to attain a higher visibility for their journals. On the other hand, authors strive to publish their research in journals indexed in eminent databases such as Scopus, Thompson Reuters' Web of Science (ISI), Medline, etc. Therefore, clarifying the standards of indexing is of great importance. One of the most important issues in publication is the ethical considerations, which are mainly described by organizations, such as the International Committee of Medical Journal Editors and the Committee on Publication Ethics. In this study, we examined the ethical requirements of high impact databases for indexing journals to investigate whether they mention or mandate journals to adhere to publication ethics. We found that only Scopus mandated journals to state clear ethical policies on their website as a criterion for being indexed while Medline and Directory of Open Access Journals advised journals to adhere to ethics, not mandated, and Web of Science (ISI) and PubMed Central made no mention of ethics as a required criterion for indexing. Based on this short review, there seems to be a gap between the requirements of indexing systems and international guidelines for publication ethics. Currently, most indexing systems have only partially recommended journals to consider ethical issues. In such an atmosphere, we cannot expect journals or as a result, authors to professionally, completely, and whole heartedly implement ethical guidelines as a mandatory rule in their journals and research, when the indexing systems that most editors want to be indexed in and most authors want to be cited in do not mandate such guidelines.

  4. Practical Applications Using A High Resolution Infrared Imaging System

    NASA Astrophysics Data System (ADS)

    Baraniak, David W.

    1981-01-01

    Infrared imaging systems can be classified into three general categories, low resolution, medium resolution and high resolution. It is the purpose of this paper to highlight specific applications best suited to high resolution, television capatable, infrared data acquisition techniques. The data was collected from both ground loped andoaerial based mobile positions where the temperature differentials varied from 15 C to 25 C. Specific applications include scanning building complexes from the exterior using a ground based moving vehicle, scanning buildings, concrete bridge decks and terrain from the air using a helicopter and scanning building interiors using a mobile hand truck.

  5. Anesthesia information management system implementation: a practical guide.

    PubMed

    Muravchick, Stanley; Caldwell, James E; Epstein, Richard H; Galati, Maria; Levy, Warren J; O'Reilly, Michael; Plagenhoef, Jeffrey S; Rehman, Mohamed; Reich, David L; Vigoda, Michael M

    2008-11-01

    Anesthesia Information Management Systems (AIMS) display and archive perioperative physiological data and patient information. Although currently in limited use, the potential benefits of an AIMS with regard to enhancement of patient safety, clinical effectiveness and quality improvement, charge capture and professional fee billing, regulatory compliance, and anesthesia outcomes research are great. The processes and precautions appropriate for AIMS selection, installation, and implementation are complex, however, and have been learned at each site by trial and error. This collaborative effort summarizes essential considerations for successful AIMS implementation, including product evaluation, assessment of information technology needs, resource availability, leadership roles, and training.

  6. A practical system for regional mobile satellite services

    NASA Technical Reports Server (NTRS)

    Glein, Randall; Leverson, Denis; Olmstead, Dean

    1993-01-01

    The Regional Mobile Satellite (MSAT) concept proposes a worldwide, interconnected mobile satellite service (MSS) network in which MSAT-type satellites provide the space segment services to separate regions (i.e., one or a few countries). Using this concept, mobile communications users across entire continents can now be served by a handful of regionally controlled satellites in geostationary earth orbit (GEO). All requirements, including hand-held telephone capabilities, can be cost-effectively provided using proven technologies. While other concepts of regional or global mobile communications continue to be explored, the Hughes Regional MSAT system demonstrates the near-term viability of the GEO approach.

  7. A practical system for regional mobile satellite services

    NASA Astrophysics Data System (ADS)

    Glein, Randall; Leverson, Denis; Olmstead, Dean

    The Regional Mobile Satellite (MSAT) concept proposes a worldwide, interconnected mobile satellite service (MSS) network in which MSAT-type satellites provide the space segment services to separate regions (i.e., one or a few countries). Using this concept, mobile communications users across entire continents can now be served by a handful of regionally controlled satellites in geostationary earth orbit (GEO). All requirements, including hand-held telephone capabilities, can be cost-effectively provided using proven technologies. While other concepts of regional or global mobile communications continue to be explored, the Hughes Regional MSAT system demonstrates the near-term viability of the GEO approach.

  8. Medicaid policies and practices in US state prison systems.

    PubMed

    Rosen, David L; Dumont, Dora M; Cislo, Andrew M; Brockmann, Bradley W; Traver, Amy; Rich, Josiah D

    2014-03-01

    Medicaid is an important source of health care coverage for prison-involved populations. From 2011 to 2012, we surveyed state prison system (SPS) policies affecting Medicaid enrollment during incarceration and upon release; 42 of 50 SPSs participated. Upon incarceration, Medicaid benefits were suspended in 9 (21.4%) SPSs and terminated in 28 (66.7%); 27 (64.3%) SPSs screened prisoners for potential Medicaid eligibility. Although many states supported Medicaid enrollment upon release, several did not. We have considered implications for Medicaid expansion.

  9. Prolog: A Practical Language for Decision Support Systems in Nursing?

    PubMed Central

    Ozbolt, Judy G.

    1987-01-01

    Developing decision support systems for nursing has been limited by difficulties in defining and representing nursing's knowledge base and by a lack of knowledge of how nurses make decisions. Recent theoretical and empirical work offers solutions to those problems. The challenge now is to represent nursing knowledge in a way that is comprehensible to both nurse and computer and to design decision support modalities that are accurate, efficient, and appropriate for nurses with different levels of expertise. This paper reviews the issues and critically evaluates Prolog as a tool for meeting the challenge.

  10. Practical issues in picture archiving and communication system and networking

    PubMed Central

    Kalyanpur, Arjun; Singh, Jasbir; Bedi, Ricky

    2010-01-01

    Picture Archiving and Communication System (PACS) is a key workflow tool in the functioning of radiology departments worldwide, today, and its utilization is rapidly growing in India. The key challenges in PACS implementation are related to vendor and feature selection, integration with the existing HIS, user training, maintenance and scalability to meet increasing demands. Additionally, the networking requirements that PACS imposes on hospital networks are not insignificant. This article attempts to review these issues from the standpoint of what a prospective or new user needs to know. PMID:20351983

  11. [A practicable model of a secure electronic medical record system].

    PubMed

    Zhu, Yuan-zhong; Zhong, Le-Haiz

    2006-09-01

    In this article, a new application model has been given for digital signing technology used in the Electronic Medical Record system, which uses digital signature to implement authentication mechanism and doctor signing, and uses a notarial digital signature server to implement the third party's digital signature for notarial mechanism. It can prevent the others from modifying the doctor's record and prevent the doctor himself from modifying the record as well. Case history database preserves signed data to ensure the authenticity and validity, in law, of the Electronic Medical Record.

  12. Practical comparison of aberration detection algorithms for biosurveillance systems.

    PubMed

    Zhou, Hong; Burkom, Howard; Winston, Carla A; Dey, Achintya; Ajani, Umed

    2015-10-01

    National syndromic surveillance systems require optimal anomaly detection methods. For method performance comparison, we injected multi-day signals stochastically drawn from lognormal distributions into time series of aggregated daily visit counts from the U.S. Centers for Disease Control and Prevention's BioSense syndromic surveillance system. The time series corresponded to three different syndrome groups: rash, upper respiratory infection, and gastrointestinal illness. We included a sample of facilities with data reported every day and with median daily syndromic counts ⩾1 over the entire study period. We compared anomaly detection methods of five control chart adaptations, a linear regression model and a Poisson regression model. We assessed sensitivity and timeliness of these methods for detection of multi-day signals. At a daily background alert rate of 1% and 2%, the sensitivities and timeliness ranged from 24 to 77% and 3.3 to 6.1days, respectively. The overall sensitivity and timeliness increased substantially after stratification by weekday versus weekend and holiday. Adjusting the baseline syndromic count by the total number of facility visits gave consistently improved sensitivity and timeliness without stratification, but it provided better performance when combined with stratification. The daily syndrome/total-visit proportion method did not improve the performance. In general, alerting based on linear regression outperformed control chart based methods. A Poisson regression model obtained the best sensitivity in the series with high-count data.

  13. Pseudomonas aeruginosa in hospital water systems: biofilms, guidelines, and practicalities.

    PubMed

    Walker, J; Moore, G

    2015-04-01

    Pseudomonas aeruginosa is one of many micro-organisms that can act as an opportunistic pathogen and colonize and infect vulnerable patients. Hospital water is a recognized source P. aeruginosa. Several outbreaks, including the incidents involving babies in Northern Ireland in 2011/12, have been attributed to contaminated water systems. As a direct result of the deaths of four neonates in Northern Ireland, guidance documents--addendums to Health Technical Memorandum 01-04 (Department of Health, England)--were produced to advise National Health Service managers on how to deal with the presence of P. aeruginosa in augmented care units. The guidance was based on current expert opinion and limited scientific evidence. Public Health England has established a reproducible and controllable water distribution test rig in a laboratory setting to further understand the contamination of water systems by P. aeruginosa and to identify vulnerable sites for microbial colonization. It is anticipated that these studies will add to the evidence base and enable the guidance documents to be updated in due course. Copyright © 2014 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  14. Practical approach to the therapy of systemic sclerosis.

    PubMed

    Czirják, L

    2004-12-01

    Systemic sclerosis (SSc) is characterised by vascular abnormalities, fibrosis, inflammatory changes, and atrophy affecting the skin and several internal organs. The course of the disease is highly variable from patient to patient, and the different organ manifestations may show a different stage of activity and damage. More extensive skin involvement coincides with more severe internal organ manifestation(s) resulting in an unfavourable outcome of disease. Subset classification and organ system involvements should be carefully determined before introducing the therapy. Prognostic evaluation, including the staging of disease severity, damage, activity and the definition of longitudinal disease behaviour of the organ manifestations (by serial investigations) is also crucial. Theoretically the treatment should focus on both the early reduction of inflammatory phenomena and influence of vascular symptoms to prevent the development of tissue fibrosis and atrophy. Major internal organ manifestations including gastro-oesophageal reflux, scleroderma renal involvement, different cardio-respiratory disorders should also be carefully looked for, and early signs of internal organ involvements should be recognized and treated. There is no disease modifying drug therapy of proven efficacy in SSc but an individualized, well designed therapy may be remarkably efficient in terms of improving the prognosis and quality of life of patients. Education of patients is also compelling.

  15. Improving systems of care for people with special needs: the ASTDD Best Practices Project.

    PubMed

    Balzer, Jay

    2007-01-01

    Improving the oral health of children and adults requires not only that patients receive high quality clinical care, but also that they gain access to the dental office in the first place. Access to care can be promoted among many systems of care, both within and outside of dentistry. The Association of State and Territorial Dental Directors has developed a Best Practices Project to share ideas and cultivate best practices for state and community oral health programs. A new topic is being developed that will describe successful practices to improve the oral health of persons with special needs. These individual practices are examples of broader approaches to improving the oral health of people with special needs. These approaches include: (1) improving the competency of the dental workforce; (2) improving the financing system; (3) better organizing community resources; (4) empowering parents and caregivers; and (5) promoting advocacy. To date, 16 practices have been identified, and 3 of them are described in this article. The purposes of this paper were to: (1) describe how the Association of State and Territorial Dental Directors' Best Practice Project can improve systems of care for people with special oral health needs; and (2) highlight 3 successful practices.

  16. Evaluation of military trauma system practices related to damage-control resuscitation.

    PubMed

    Palm, Keith; Apodaca, Amy; Spencer, Debra; Costanzo, George; Bailey, Jeffrey; Blackbourne, Lorne H; Spott, Mary Ann; Eastridge, Brian J

    2012-12-01

    The Joint Theater Trauma System (JTTS) was developed with the vision that every soldier, marine, sailor, and airman injured on the battlefield would have the optimal chance for survival and maximum potential for functional recovery. In this analysis, we hypothesized that information diffusion through the JTTS, via the dissemination of clinical practice guidelines and process improvements, would be associated with the acceptance of evidence-based practices and decreases in trauma practice variability. The current evaluation was designed as a single time-series quasi-experimental study as a preanalysis and postanalysis relative to the implementation of clinical practice guidelines and process improvement interventions. Data captured from patients admitted to hospital-level (Level III) military treatment facilities in Iraq and Afghanistan from 2003 to 2010 were retrospectively analyzed from the Joint Theater Trauma Registry (JTTR) to determine the potential impact of process improvement initiatives on clinical practice. The JTTS clinical practice guidelines for massive transfusion led to increased compliance with balanced component transfusion and decreased practice variability. During the course of the evaluation period, hypothermia on presentation decreased dramatically after the publication of the hypothermia prevention and management clinical practice guideline. Developed metrics demonstrate that evidence-based quality improvement initiatives disseminated through the JTTS were associated with improved clinical practice of resuscitation following battlefield injury. Therapeutic/care management study, level IV.

  17. Some closing thoughts: Practical payoffs from satellite systems

    NASA Technical Reports Server (NTRS)

    1982-01-01

    The benefits-to-cost ratio of satellite remote sensing, both as a substitute for conventional methods of monitoring and assessing resources, and as a supplement to these methods is examined using a model which analyzes the cost of aerial photography versus satellite scanner for producing and interpreting an image of the Earth's surface sized to LANDSAT dimensions. Examples of cost savings are tabulated for ground surveys, aerial photos, and LANDSAT. Possible additional benefits from LANDSAT D are assessed. The way in which satellites fit into more comprehensive models for resources management is discussed. It is shown that remote sensing is but one essential component in a complex system that aggregates technical. Socioeconomics, political, cultural, and other factors in the human decision process.

  18. A New Practical Electric Vehicle Battery Management System

    NASA Astrophysics Data System (ADS)

    Shi, Yanpeng; Wu, Guoxin

    The lithium battery gradually becomes the mainstream of traction battery owing to its small volume, light weight, high voltage, high power, less self discharge, long service life and other advantages. However certain management is required during the application of Li-ion battery for its obvious nonlinearity, inconsistency and time-variant characteristics. If lithium batteries are used in power equipment in serial, they may have different charge and discharge due to different internal characteristics, when one battery deteriorates, the behavior characteristics of the entire battery pack will be limited so as to lead to deteriorated battery pack performances. The lithium power battery pack management system designed here is installed inside lithium battery pack, takes MCU as the control core and equalizes energy of each lithium battery while achieving over charge, over discharge, overcurrent and short circuit protection.

  19. Public health perspectives in cross-system practice: past, present and future.

    PubMed

    Bada Math, Suresh; Moirangthem, Sydney; Kumar, C Naveen

    2015-01-01

    Cross-system practice is widely prevalent in Indian settings. The recent policy decisions of the Government of India and the legalisation of cross-system practice in various states have brought this issue into the limelight once again. We aim to critically evaluate this issue from the philosophical, academic, and public health perspectives, as well as with reference to training. On the one hand, students of traditional Indian medicine are being introduced to allopathy without philosophical backing, practice based on the aetiological model and training in modern pharmacology. In addition, pharmaceutical industries are wooing AYUSH practitioners and their prescription patterns have already been "allopathised". As for the allopathic system, it is witnessing enormous scientific advances and growing increasingly complicated. The medicines are risky and also associated with many life-threatening side-effects. Meanwhile, the government is grappling with the humungous problem of ensuring health services for all. The government's intention is to expand the reach of health services by allowing cross-system practice, but the issue has much wider ramifications. The authors believe that before cross-system practice is allowed, there is a need for a comprehensive and deeper understanding of all the benefits and pitfalls of such as system. A few of these are discussed in this article. Specifically, we delve into the philosophical issues, syllabus and training, advances in medical technology, and larger public health perspectives. We end by suggesting a few steps that may help to improve public health in the country.

  20. Clinical Decision Support Systems for the Practice of Evidence-based Medicine

    PubMed Central

    Sim, Ida; Gorman, Paul; Greenes, Robert A.; Haynes, R. Brian; Kaplan, Bonnie; Lehmann, Harold; Tang, Paul C.

    2001-01-01

    Background: The use of clinical decision support systems to facilitate the practice of evidence-based medicine promises to substantially improve health care quality. Objective: To describe, on the basis of the proceedings of the Evidence and Decision Support track at the 2000 AMIA Spring Symposium, the research and policy challenges for capturing research and practice-based evidence in machine-interpretable repositories, and to present recommendations for accelerating the development and adoption of clinical decision support systems for evidence-based medicine. Results: The recommendations fall into five broad areas—capture literature-based and practice-based evidence in machine-interpretable knowledge bases; develop maintainable technical and methodological foundations for computer-based decision support; evaluate the clinical effects and costs of clinical decision support systems and the ways clinical decision support systems affect and are affected by professional and organizational practices; identify and disseminate best practices for work flow–sensitive implementations of clinical decision support systems; and establish public policies that provide incentives for implementing clinical decision support systems to improve health care quality. Conclusions: Although the promise of clinical decision support system–facilitated evidence-based medicine is strong, substantial work remains to be done to realize the potential benefits. PMID:11687560

  1. Development of a Practical Broadband Active Vibration Control System

    NASA Technical Reports Server (NTRS)

    Schiller, Noah H.; Perey, Daniel F.; Cabell, Randolph H.

    2011-01-01

    The goal of this work is to develop robust, lightweight, and low-power control units that can be used to suppress structural vibration in flexible aerospace structures. In particular, this paper focuses on active damping, which is implemented using compact decentralized control units distributed over the structure. Each control unit consists of a diamond-shaped piezoelectric patch actuator, three miniature accelerometers, and analog electronics. The responses from the accelerometers are added together and then integrated to give a signal proportional to velocity. The signal is then inverted, amplified, and applied to the actuator, which generates a control force that is out of phase with the measured velocity. This paper describes the development of the control system, including a detailed description of the control and power electronics. The paper also presents experimental results acquired on a Plexiglas window blank. Five identical control units installed around the perimeter of the window achieved 10 dB peak reductions and a 2.4 dB integrated reduction of the spatially averaged velocity of the window between 500 and 3000 Hz.

  2. Integrating Safety and Mission Assurance into Systems Engineering Modeling Practices

    NASA Technical Reports Server (NTRS)

    Beckman, Sean; Darpel, Scott

    2015-01-01

    During the early development of products, flight, or experimental hardware, emphasis is often given to the identification of technical requirements, utilizing such tools as use case and activity diagrams. Designers and project teams focus on understanding physical and performance demands and challenges. It is typically only later, during the evaluation of preliminary designs that a first pass, if performed, is made to determine the process, safety, and mission quality assurance requirements. Evaluation early in the life cycle, though, can yield requirements that force a fundamental change in design. This paper discusses an alternate paradigm for using the concepts of use case or activity diagrams to identify safety hazard and mission quality assurance risks and concerns using the same systems engineering modeling tools being used to identify technical requirements. It contains two examples of how this process might be used in the development of a space flight experiment, and the design of a Human Powered Pizza Delivery Vehicle, along with the potential benefits to decrease development time, and provide stronger budget estimates.

  3. Turbine Engine Clearance Control Systems: Current Practices and Future Directions

    NASA Technical Reports Server (NTRS)

    Lattime, Scott B.; Steinetz, Bruce M.

    2002-01-01

    Improved blade tip sealing in the high pressure compressor (HPC) and high pressure turbine (HPT) can provide dramatic reductions in specific fuel consumption (SFC), time-on-wing, compressor stall margin, and engine efficiency as well as increased payload and mission range capabilities. Maintenance costs to overhaul large commercial gas turbine engines can easily exceed $1M. Engine removal from service is primarily due to spent exhaust gas temperature (EGT) margin caused mainly by the deterioration of HPT components. Increased blade tip clearance is a major factor in hot section component degradation. As engine designs continue to push the performance envelope with fewer parts and the market drives manufacturers to increase service life, the need for advanced sealing continues to grow. A review of aero gas turbine engine HPT performance degradation and the mechanisms that promote these losses are discussed. Benefits to the HPT due to improved clearance management are identified. Past and present sealing technologies are presented along with specifications for next generation engine clearance control systems.

  4. Integrating Bayesian networks and geographic information systems: good practice examples.

    PubMed

    Johnson, Sandra; Low-Choy, Sama; Mengersen, Kerrie

    2012-07-01

    Bayesian networks (BNs) are becoming increasingly common in problems with spatial aspects. The degree of spatial involvement may range from spatial mapping of BN outputs based on nodes in the BN that explicitly involve geographic features, to integration of different networks based on geographic information. In these situations, it is useful to consider how geographic information systems (GISs) could be used to enhance the conceptualization, quantification, and prediction of BNs. Here, we discuss some techniques that may be used to integrate GIS and BN models, with reference to some recent literature which illustrate these approaches. We then reflect on 2 case studies based on our own experience. The first involves the integration of GIS and a BN to assess the scientific factors associated with initiation of Lyngbya majuscula, a cyanobacterium that occurs in coastal waterways around the world. The 2nd case study involves the use of GISs as an aid for eliciting spatially informed expert opinion and expressing this information as prior distributions for a Bayesian model and as input into a BN. Elicitator, the prototype software package we developed for achieving this, is also briefly described. Whereas the 1st case study demonstrates a GIS-data driven specification of conditional probability tables for BNs with complete geographical coverage for all the data layers involved, the 2nd illustrates a situation in which we do not have complete coverage and we are forced to extrapolate based on expert judgement.

  5. Policy, Systems, and Environmental Approaches to Obesity Prevention: Translating and Disseminating Evidence from Practice

    PubMed Central

    Aycock, Nancy; Paxton-Aiken, Amy; Lowe-Wilson, Abby; Sommers, Janice; Farris, Rosanne; Thompson, Diane; Ammerman, Alice

    2015-01-01

    To reduce obesity prevalence, public health practitioners are intervening to change health behaviors as well as the policies, systems, and environments (PSEs) that support healthy behaviors. Although the number of recommended PSE intervention strategies continues to grow, limited guidance is available on how to implement those strategies in practice. This article describes the University of North Carolina at Chapel Hill, Center for Training and Research Translation's (Center TRT's) approach to reviewing, translating, and disseminating practitioner-developed interventions, with the goal of providing more practical guidance on how to implement PSE intervention strategies in real-world practice. As of August 2014, Center TRT had disseminated 30 practice-based PSE interventions. This article provides an overview of Center TRT's process for reviewing, translating, and disseminating practice-based interventions and offers key lessons learned during the nine years that Center TRT has engaged in this work. PMID:26556933

  6. A new selection system to recruit general practice registrars: preliminary findings from a validation study

    PubMed Central

    Patterson, Fiona; Ferguson, Eamonn; Norfolk, Tim; Lane, Pat

    2005-01-01

    Objective To design and validate a new competency based selection system to recruit general practice registrars, comprising a competency based application form, referees' reports, and an assessment centre. Design Longitudinal predictive validity study and a matched case comparison. Setting South Yorkshire and East Midlands region, United Kingdom, comprising three deaneries. Participants 46 of 167 doctors were followed up in training after three months in practice, and 20 general practice trainers were selected by using traditional recruitment methods. Main outcome measures Trainer ratings of trainee performance in practice on targeted competencies. Results Performance ratings of targeted competencies at the assessment centre predicted trainer ratings of performance in the job. Furthermore, those trainees recruited through the new competency based process performed significantly better in the job than those recruited through traditional recruitment processes. Conclusion A new competency based selection process using assessment centres improves the validity of selection of general practice registrars compared with traditional selection techniques. PMID:15790641

  7. Policy, Systems, and Environmental Approaches to Obesity Prevention: Translating and Disseminating Evidence from Practice.

    PubMed

    Leeman, Jennifer; Aycock, Nancy; Paxton-Aiken, Amy; Lowe-Wilson, Abby; Sommers, Janice; Farris, Rosanne; Thompson, Diane; Ammerman, Alice

    2015-01-01

    To reduce obesity prevalence, public health practitioners are intervening to change health behaviors as well as the policies, systems, and environments (PSEs) that support healthy behaviors. Although the number of recommended PSE intervention strategies continues to grow, limited guidance is available on how to implement those strategies in practice. This article describes the University of North Carolina at Chapel Hill, Center for Training and Research Translation's (Center TRT's) approach to reviewing, translating, and disseminating practitioner-developed interventions, with the goal of providing more practical guidance on how to implement PSE intervention strategies in real-world practice. As of August 2014, Center TRT had disseminated 30 practice-based PSE interventions. This article provides an overview of Center TRT's process for reviewing, translating, and disseminating practice-based interventions and offers key lessons learned during the nine years that Center TRT has engaged in this work.

  8. A meta-systems approach to evidence-based practice for children and adolescents.

    PubMed

    Kazak, Anne E; Hoagwood, Kimberly; Weisz, John R; Hood, Korey; Kratochwill, Thomas R; Vargas, Luis A; Banez, Gerard A

    2010-01-01

    Improving outcomes for children and adolescents with mental health needs demands a broad meta-systemic orientation to overcome persistent problems in current service systems. Improving outcomes necessitates inclusion of current and emerging evidence about effective practices for the diverse population of youth and their families. Key components of the meta-system for children with emotional or behavioral needs include families, cultural norms and values, and service sectors such as schools, pediatric health centers, specialty mental health systems, juvenile justice systems, child protection services, and substance use treatment systems. We describe each component of the meta-system, noting challenges to the provision of evidence-based practice (EBP) and highlighting ways to optimize outcomes. Our focus is on the inclusion of evidence-based assessment and interventions, including prevention, within a developmentally driven and culturally responsive contextual model. Recommendations for addressing disparities in research funding and essential steps to foster communication and coordination of EBP across settings are provided.

  9. A practical, low-noise coil system for magnetotellurics

    USGS Publications Warehouse

    Stanley, William D.; Tinkler, Richard D.

    1983-01-01

    Magnetotellurics is a geophysical technique which was developed by Cagnaird (1953) and Tikhonov (1950) and later refined by other scientists worldwide. The technique is a method of electromagnetic sounding of the Earth and is based upon the skin depth effect in conductive media. The electric and magnetic fields arising from natural sources are measured at the surface of the earth over broad frequency bands. An excellent review of the technique is provided in the paper by Vozoff (1972). The sources of the natural fields are found in two basic mechanisms. At frequencies above a few hertz, most of the energy arises from lightning in thunderstorm belts around the equatorial regions. This energy is propagated in a wave-guide formed by the earthionospheric cavity. Energy levels are higher at fundamental modes for this cavity, but sufficient energy exists over most of the audio range to be useful for sounding at these frequencies, in which case the technique is generally referred to as audio-magnetotellurics or AMT. At frequencies lower than audio, and in general below 1 Hz, the source of naturally occuring electromagnetic energy is found in ionospheric currents. Current systems flowing in the ionosphere generate EM waves which can be used in sounding of the earth. These fields generate a relatively complete spectrum of electromagnetic energy that extends from around 1 Hz to periods of one day. Figure 1 shows an amplitude spectrum characteristic of both the ionospheric and lightning sources, covering a frequency range from 0.0001 Hz to 1000 Hz. It can be seen that there is a minimum in signal levels that occurs at about 1 Hz, in the gap between the two sources, and that signal level increases with a decrease in frequency.

  10. The Practical Relevance of Accountability Systems for School Improvement: A Descriptive Analysis of California Schools

    ERIC Educational Resources Information Center

    Mintrop, Heinrich; Trujillo, Tina

    2007-01-01

    In search for the practical relevance of accountability systems for school improvement, the authors ask whether practitioners traveling between the worlds of system-designated high- and low-performing schools would detect tangible differences in educational quality and organizational effectiveness. In comparing nine exceptionally high and low…

  11. A System for Individualizing Instruction. Practical Answers to U-SAIL Implementation Questions. Monograph No. 4.

    ERIC Educational Resources Information Center

    Utah System Approach to Individualized Learning Project.

    The U-SAIL system is a practical approach to individualization of instruction in which a problem-solving process is employed to install a program in logical sequential phases. U-SAIL is a nationally validated, successfully replicated, cost-feasible system for individualization of instruction which can be implemented in a variety of settings with…

  12. Investigating Coherence among Turkish Elementary Science Teachers' Teaching Belief Systems, Pedagogical Content Knowledge and Practice

    ERIC Educational Resources Information Center

    Bahcivan, Eralp; Cobern, William W.

    2016-01-01

    This study investigated comprehensive science teaching belief systems and their relation to science teachers' pedagogical content knowledge and teaching practices. Rokeach's (1968) belief system was used as a framework for representing the hierarchy among in-service teachers' teaching beliefs. This study employed a multiple case study design with…

  13. School System (Re)design: Developing Educational Infrastructures to Support School Leadership and Teaching Practice

    ERIC Educational Resources Information Center

    Hopkins, Megan; Woulfin, Sarah L.

    2015-01-01

    A central challenge for local education agencies (i.e., school districts in the United States) undergoing reform is to design systems that facilitate instructional improvement. At the core of these systems are educational infrastructures that bolster capacity building efforts and support teaching and leadership practices. Our goal for this special…

  14. The Practical Relevance of Accountability Systems for School Improvement: A Descriptive Analysis of California Schools

    ERIC Educational Resources Information Center

    Mintrop, Heinrich; Trujillo, Tina

    2007-01-01

    In search for the practical relevance of accountability systems for school improvement, the authors ask whether practitioners traveling between the worlds of system-designated high- and low-performing schools would detect tangible differences in educational quality and organizational effectiveness. In comparing nine exceptionally high and low…

  15. Relationships among Teachers' Perspectives, Self-Reported Practices, and Concerns Related to an Alternate Assessment System

    ERIC Educational Resources Information Center

    Kim, Young-Gyoung; Angell, Maureen E.; O'Brian, Mary; Strand, Kenneth B.; Fulk, Barbara M.; Watts, Emily H.

    2006-01-01

    A statewide survey was completed by 234 special education teachers with experience in developing assessment portfolios within the Illinois Alternate Assessment (IAA) system. Relationships between these teachers' demographics and their perspectives, concerns, and self-reported practices related to the IAA system was identified and described. These…

  16. A Meta-Systems Approach to Evidence-Based Practice for Children and Adolescents

    ERIC Educational Resources Information Center

    Kazak, Anne E.; Hoagwood, Kimberly; Weisz, John R.; Hood, Korey; Kratochwill, Thomas R.; Vargas, Luis A.; Banez, Gerard A.

    2010-01-01

    Improving outcomes for children and adolescents with mental health needs demands a broad meta-systemic orientation to overcome persistent problems in current service systems. Improving outcomes necessitates inclusion of current and emerging evidence about effective practices for the diverse population of youth and their families. Key components of…

  17. 40 CFR Table 10 to Subpart Ffff of... - Work Practice Standards for Heat Exchange Systems

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 12 2011-07-01 2009-07-01 true Work Practice Standards for Heat... Standards for Heat Exchange Systems As required in § 63.2490, you must meet each requirement in the following table that applies to your heat exchange systems: For each . . . You must . . . Heat exchange...

  18. School System (Re)design: Developing Educational Infrastructures to Support School Leadership and Teaching Practice

    ERIC Educational Resources Information Center

    Hopkins, Megan; Woulfin, Sarah L.

    2015-01-01

    A central challenge for local education agencies (i.e., school districts in the United States) undergoing reform is to design systems that facilitate instructional improvement. At the core of these systems are educational infrastructures that bolster capacity building efforts and support teaching and leadership practices. Our goal for this special…

  19. Mapping Farming Practices in Belgian Intensive Cropping Systems from Sentinel-1 SAR Time Series

    NASA Astrophysics Data System (ADS)

    Chome, G.; Baret, P. V.; Defourny, P.

    2016-08-01

    The environmental impact of the so-called conventional farming system calls for new farming practices reducing negative externalities. Emerging farming practices such as no-till and new inter-cropping management are promising tracks. The development of methods to characterize crop management across an entire region and to understand their spatial dimension offers opportunities to accompany the transition towards a more sustainable agriculture.This research takes advantage of the unmatched polarimetric and temporal resolutions of Sentinel-1 SAR C- band to develop a method to identify farming practices at the parcel level. To this end, the detection of changes in backscattering due to surface roughness modification (tillage, inter-crop cover destruction ...) is used to detect the farming management. The final results are compared to a reference dataset collected through an intensive field campaign. Finally, the performances are discussed in the perspective of practices monitoring of cropping systems through remote sensing.

  20. Practical and cost-efficient design of fingerprint recognition system based on DSP

    NASA Astrophysics Data System (ADS)

    Ran, Chongjie; Xie, Mei

    2007-12-01

    In this paper, a practical and cost-efficient fingerprint recognition system model is proposed. It completes the functions of capturing fingerprint image, data transmission and fingerprint recognition. This system consists of six modules: Management Module (including TMS320VC5502 DSP and memories), Fingerprint Sensor Module (used to collect fingerprint image), Output Module (the interface to control electronic lock), Human-Machine Communication Module (seven-segment LED and keyboard), Debugger Interface Module (JTAG), Power Manager and Power Switchover Module. Unlike other fingerprint recognition systems, this system takes TI C5502 as core processor. It is a high-performance, low-power and fixed-point DSP and the whole system power can be supplied by batteries. The whole system can work more than 10000 times with batteries. In addition, a Power Switch Module, which can automatic switch the ways of power supply between wall adapter and batteries, is proposed in this paper. Furthermore, some software optimization makes this system practical. The design not only simplifies system's structure and reduces the cost of hardware, but also decreases the consumption of system power and resources. So, this hardware system can be used in practical applications, such as portable identification device, fingerprint lock etc. This system is mainly designed for fingerprint lock in this paper.

  1. A Trial of Nursing Cost Accounting using Nursing Practice Data on a Hospital Information System.

    PubMed

    Miyahira, Akiko; Tada, Kazuko; Ishima, Masatoshi; Nagao, Hidenori; Miyamoto, Tadashi; Nakagawa, Yoshiaki; Takemura, Tadamasa

    2015-01-01

    Hospital administration is very important and many hospitals carry out activity-based costing under comprehensive medicine. However, nursing cost is unclear, because nursing practice is expanding both quantitatively and qualitatively and it is difficult to grasp all nursing practices, and nursing cost is calculated in many cases comprehensively. On the other hand, a nursing information system (NIS) is implemented in many hospitals in Japan and we are beginning to get nursing practical data. In this paper, we propose a nursing cost accounting model and we simulate a cost by nursing contribution using NIS data.

  2. Guidance, Navigation and Control (GN&C): Best Practices for Human-Rated Spacecraft Systems

    NASA Technical Reports Server (NTRS)

    Lebsock, Ken; West, John

    2008-01-01

    In 2007 the NESC completed an in-depth assessment to identify, define and document engineering considerations for the Design Development Test and Evaluation (DDT&E) of human-rated spacecraft systems. This study had been requested by the Astronaut Office at JSC to help them to better understand what is required to ensure safe, robust, and reliable human-rated spacecraft systems. The 22 GN&C engineering Best Practices described in this paper are a condensed version of what appears in the NESC Technical Report. These Best Practices cover a broad range from fundamental system architectural considerations to more specific aspects (e.g., stability margin recommendations) of GN&C system design and development. 15 of the Best Practices address the early phases of a GN&C System development project and the remaining 7 deal with the later phases. Some of these Best Practices will cross-over between both phases. We recognize that this set of GN&C Best Practices will not be universally applicable to all projects and mission applications.

  3. Adapting systems of care for child welfare practice with immigrant Latino children and families.

    PubMed

    Dettlaff, Alan J; Rycraft, Joan R

    2010-08-01

    Recent reform efforts in the child welfare system have called for child welfare agencies to provide community-based services and to increase the involvement of external stakeholders in identifying and developing services within the community. At the same time, child welfare agencies are faced with the challenge of providing services to an increasingly diverse population of children and families. As a result, there is a need for evidence-based practice models that respond to these challenges and promote positive outcomes for children and families. This paper describes the development of a program designed to train child welfare staff on the application of an existing evidence-based framework, systems of care, to practice with immigrant Latino children and families as a means of responding to these multiple calls for systems change and practice improvement. Immigrant Latino children and families represent the largest and fastest-growing population in the United States, and thus require the attention of child welfare systems and the development of evidence-based practices designed to respond to the unique needs of this population. Recommendations for program planners and evaluators on the application of systems of care to child welfare practice with immigrant Latino children and families are provided. Copyright (c) 2009 Elsevier Ltd. All rights reserved.

  4. First steps in computational systems biology: A practical session in metabolic modeling and simulation.

    PubMed

    Reyes-Palomares, Armando; Sánchez-Jiménez, Francisca; Medina, Miguel Ángel

    2009-05-01

    A comprehensive understanding of biological functions requires new systemic perspectives, such as those provided by systems biology. Systems biology approaches are hypothesis-driven and involve iterative rounds of model building, prediction, experimentation, model refinement, and development. Developments in computer science are allowing for ever faster numerical simulations of mathematical models. Mathematical modeling plays an essential role in new systems biology approaches. As a complex, integrated system, metabolism is a suitable topic of study for systems biology approaches. However, up until recently, this topic has not been properly covered in biochemistry courses. This communication reports the development and implementation of a practical lesson plan on metabolic modeling and simulation.

  5. An orthogonal wavelet division multiple-access processor architecture for LTE-advanced wireless/radio-over-fiber systems over heterogeneous networks

    NASA Astrophysics Data System (ADS)

    Mahapatra, Chinmaya; Leung, Victor CM; Stouraitis, Thanos

    2014-12-01

    The increase in internet traffic, number of users, and availability of mobile devices poses a challenge to wireless technologies. In long-term evolution (LTE) advanced system, heterogeneous networks (HetNet) using centralized coordinated multipoint (CoMP) transmitting radio over optical fibers (LTE A-ROF) have provided a feasible way of satisfying user demands. In this paper, an orthogonal wavelet division multiple-access (OWDMA) processor architecture is proposed, which is shown to be better suited to LTE advanced systems as compared to orthogonal frequency division multiple access (OFDMA) as in LTE systems 3GPP rel.8 (3GPP, http://www.3gpp.org/DynaReport/36300.htm). ROF systems are a viable alternative to satisfy large data demands; hence, the performance in ROF systems is also evaluated. To validate the architecture, the circuit is designed and synthesized on a Xilinx vertex-6 field-programmable gate array (FPGA). The synthesis results show that the circuit performs with a clock period as short as 7.036 ns (i.e., a maximum clock frequency of 142.13 MHz) for transform size of 512. A pipelined version of the architecture reduces the power consumption by approximately 89%. We compare our architecture with similar available architectures for resource utilization and timing and provide performance comparison with OFDMA systems for various quality metrics of communication systems. The OWDMA architecture is found to perform better than OFDMA for bit error rate (BER) performance versus signal-to-noise ratio (SNR) in wireless channel as well as ROF media. It also gives higher throughput and mitigates the bad effect of peak-to-average-power ratio (PAPR).

  6. Evaluation of ecofriendly management practices of french beanrust (Uromyces appendiculatus) in organic farming system

    NASA Astrophysics Data System (ADS)

    Chhetry, G. K. N.; Mangang, H. C.

    2012-09-01

    Organic farming system emphasises on sustainable development of agriculture. The traditional agriculture system was much akin to the organic system but modernization of agriculture made a shift to this trend. The north east region of India is potential organic farming sites. Most of the farming systems are traditional and are organic by default; however crops in organic farming are prone to many fungal diseases. Hence for validation of the impact of organic practices on the disease development of plants, a study has been conducted for three years under natural environmental conditions on bean rust (Uromyces appendiculatus). Study includes ecofriendly practices like: plant extract treatment, intercropping of beans with maize, organic manure application, influence of cropping season and Trichoderma treatment. Rust is a major prevalent disease in the cultivation of beans as in other parts of the world. Detailed study of the disease in the organic environment and the impact of various treatments and agricultural agronomic practices would help in validation of the practices for the management of the disease in the organic farming system. In our study for three consecutive years it has been revealed that the practices of the traditional farmers likeplant extract application, intercropping, and manure application were found to have significant positive effects in reducing rust development in the bean fields. The treatment of farm yard manure resulted in development of lesser area under disease progress curve. The plant extract of Artemisia vulgaris has marked positive impact on reducing rust disease parameters. Foliar application of Trichoderma reduces the disease parameters of rust. This study would enhance information in understanding the impact of organic farming system on bean rust and would help in validitation of sustainable agricultural practices for use in organic farming system.

  7. Impact of telehealth on general practice contacts: findings from the whole systems demonstrator cluster randomised trial.

    PubMed

    Bardsley, Martin; Steventon, Adam; Doll, Helen

    2013-10-08

    Telehealth is increasingly used in the care of people with long term conditions. Whilst many studies look at the impacts of the technology on hospital use, few look at how it changes contacts with primary care professionals. The aim of this paper was to assess the impacts of home-based telehealth interventions on general practice contacts. Secondary analysis of data from a Department of Health funded cluster-randomised trial with 179 general practices in three areas of England randomly assigned to offer telehealth or usual care to eligible patients. Telehealth included remote exchange of vitals signs and symptoms data between patients and healthcare professionals as part of the continuing management of patients. Usual care reflected the range of services otherwise available in the sites, excluding telehealth. Anonymised data from GP systems were used to construct person level histories for control and intervention patients. We tested for differences in numbers of general practitioner and practice nurse contacts over twelve months and in the number of clinical readings recorded on general practice systems over twelve months. 3,230 people with diabetes, chronic obstructive pulmonary disease or heart failure were recruited in 2008 and 2009. 1219 intervention and 1098 control cases were available for analysis. No statistically significant differences were detected in the numbers of general practitioner or practice nurse contacts between intervention and control groups during the trial, or in the numbers of clinical readings recorded on the general practice systems. Telehealth did not appear associated with different levels of contact with general practitioners and practice nurses. We note that the way that telehealth impacts on primary care roles may be influenced by a number of other features in the health system. The challenge is to ensure that these systems lead to better integration of care than fragmentation. International Standard Randomised Controlled Trial

  8. Correlation Research of Medical Security Management System Network Platform in Medical Practice

    NASA Astrophysics Data System (ADS)

    Jie, Wang; Fan, Zhang; Jian, Hao; Li-nong, Yu; Jun, Fei; Ping, Hao; Ya-wei, Shen; Yue-jin, Chang

    Objective-The related research of medical security management system network in medical practice. Methods-Establishing network platform of medical safety management system, medical security network host station, medical security management system(C/S), medical security management system of departments and sections, comprehensive query, medical security disposal and examination system. Results-In medical safety management, medical security management system can reflect the hospital medical security problem, and can achieve real-time detection and improve the medical security incident detection rate. Conclusion-The application of the research in the hospital management implementation, can find hospital medical security hidden danger and the problems of medical disputes, and can help in resolving medical disputes in time and achieve good work efficiency, which is worth applying in the hospital practice.

  9. The ABC's required for establishing a practical computerized plant engineering management data base system

    NASA Technical Reports Server (NTRS)

    Maiocco, F. R.; Hume, J. P.

    1976-01-01

    A system's approach is outlined in the paper to assist facility and Plant Engineers improve their organization's data management system. The six basic steps identified may appear somewhat simple; however, adequate planning, proper resources, and the involvement of management will determine the success of a computerized facility management data base. Helpful suggestions are noted throughout the paper to insure the development of a practical computerized data management system.

  10. Knowing for Nursing Practice: Patterns of Knowledge and Their Emulation in Expert Systems

    PubMed Central

    Abraham, Ivo L.; Fitzpatrick, Joyce J.

    1987-01-01

    This paper addresses the issue of clinical knowledge in nursing, and the feasibility of emulating this knowledge into expert system technology. The perspective on patterns of knowing for nursing practice, advanced by Carper (1978), serves as point of departure. The four patterns of knowing -- empirics, esthetics, ethics, personal knowledge -- are evaluated as to the extent to which they can be emulated in clinical expert systems, given constraints imposed by the current technology of these systems.

  11. The ABC's required for establishing a practical computerized plant engineering management data base system

    NASA Technical Reports Server (NTRS)

    Maiocco, F. R.; Hume, J. P.

    1976-01-01

    A system's approach is outlined in the paper to assist facility and Plant Engineers improve their organization's data management system. The six basic steps identified may appear somewhat simple; however, adequate planning, proper resources, and the involvement of management will determine the success of a computerized facility management data base. Helpful suggestions are noted throughout the paper to insure the development of a practical computerized data management system.

  12. Development and utilization of best practice operational guidelines for immunization information systems.

    PubMed

    Williams, Warren; Lowery, N Elaine; Lyalin, David; Lambrecht, Nichole; Riddick, Sherry; Sutliff, Cynthia; Papadouka, Vikki

    2011-01-01

    To describe collaborative efforts to develop best practice operational guidelines for immunization information systems (IIS) and discuss awareness, acceptance, and utilization of the guidelines by the IIS community. Business analysis and facilitation techniques were used to support collaboration among IIS stakeholders who analyzed existing practices, brainstormed new approaches, and developed consensus-based recommendations. The guideline development process and its impact on IIS were evaluated using a postworkshop questionnaire, the IIS Annual Report, and an online survey for one of the guidelines. Immunization information systems domain in the United States. Staff from IIS; federal agencies; state, regional, and county health departments; privately run registries; and vendors/consultants. These included (1) completion of best practice guidelines; (2) degree of satisfaction among the participating IIS stakeholders with the work process and outcomes, interest, and willingness to implement best practice guidelines in their own IIS; (3) awareness and use of, as well as satisfaction with, the guidelines for patient active/inactive immunization status among IIS; and (4) acceptance and implementation of best practice guidelines across the US IIS. Since 2005, operational guidelines (that contain best practice recommendations) have been developed for 5 IIS functional areas: reminder/recall notifications, data quality assurance, vaccination level deduplication, management of patient active/inactive status, and adverse events reporting. Immunization information systems stakeholders who participated in the development of the recommendations expressed a high level of satisfaction with the process and the recommendations. Based on IIS Annual Report data, from 2007 to 2009 use of the guidelines increased from 46% to 80% of IIS. Best practice recommendations offer practical guidelines on the most challenging operational areas for IIS. Initial evidence indicates adoption of the

  13. Adapting evidence-based practices for persons with mental illness involved with the criminal justice system.

    PubMed

    Osher, Fred C; Steadman, Henry J

    2007-11-01

    The overrepresentation of persons with mental illnesses in the criminal justice system is well documented. As more communities attempt to offer appropriate evidence-based practices in diversion and reentry programs, a major issue that has become apparent is that adaptations to the standard practices are often required because of the legal predicaments faced by clients. The associated question is how extensive can adaptations be before fidelity to the proven practice is compromised. To better understand these pressing issues, the National GAINS Center for Evidence-Based Programs in the Justice System held a series of six meetings focused on evidence-based practices (assertive community treatment, housing, trauma interventions, supported employment, illness self-management and recovery, and integrated treatment) and their applicability for persons involved in the criminal justice system. This Open Forum integrates the results of those meetings and proposes future steps to establish relevant evidence-based practices that can influence both behavioral health and public safety outcomes for persons involved with the criminal justice system.

  14. DEVELOPMENT AND IMPLEMENTATION OF A PRACTICAL PUBLIC HEALTH TRAINING SYSTEM IN CHINA.

    PubMed

    Liu, Changjiang; Zhang, Junyue; Chen, Guoyuan; Yang, Kedi

    2015-03-01

    Public health education is becoming an increasing priority among educators of medicine. In China, little attention has been paid to public health education reform. A new public health training system was introduced in China in 2007. We conducted this study during 2006-2012 to evaluate the graduate core competencies under the new system. Data were collected from 231 graduates and 49 public health agencies. The 144 graduates who enrolled in 2006 and were trained under the old system constituted the control group; the 87 graduates who enrolled in 2007 and were trained under the new system constituted the experimental group. Surveys of graduate core competencies found analyzing and solving problems in the laboratory, conducting on-site practice and learning new technologies were the top three abilities most expected by public health agencies. After 5-year practical ability training, the graduates in the experimental group had better performance; on-site practical ability and laboratory practical ability increased significantly by 24.5% and 20.0%, respectively. Three other important competencies also improved: designing epidemiologic surveys, collecting information from the literature and doing statistical analyses. However, preventing and controlling common diseases and dealing with emergencies remained weak. These results show the new training system should be continued, but revisions are needed to improve this training system, especially in the areas of preventing and controlling common diseases and dealing with emergencies.

  15. Implementing AORN recommended practices for selection and use of packaging systems for sterilization.

    PubMed

    Morton, Paula J; Conner, Ramona

    2014-04-01

    The delivery of sterile products to the sterile field is essential to perioperative practice. The use of protective packaging for sterilized items is crucial to helping ensure that patients receive sterile items for surgical procedures. AORN's "Recommended practices for selection and use of packaging systems for sterilization" offers guidance to perioperative team members in evaluating, selecting, and using packaging systems that permit sterilization of the contents, prevent contamination of sterilized items until the package is opened for use, protect the items from damage during transport and storage, and permit aseptic delivery of the items to the sterile field.

  16. Evidence-based practice: cost-benefit of large system implementation.

    PubMed

    Schifalacqua, Marita Mackinnon; Shepard, Ann; Kelley, Wanda

    2012-01-01

    The key points for designing and implementing an evidence-based practice (EBP) model in a large health care system are discussed. This implementation created strategies for practice changes for organizational change. The quality management methods included structured EBP toolkits that are described as part of the deliverable of each toolkit's Design Team. The cost-benefit evaluation process of staff time in the development stage of an EBP is explained. The conclusion is that a representative group of clinicians can be leveraged to create the standard and materials for system implementation, thereby providing improved patient care that is evidence-based and cost-effective.Many hands make light work....

  17. Hybrid EEG-EOG brain-computer interface system for practical machine control.

    PubMed

    Punsawad, Yunyong; Wongsawat, Yodchanan; Parnichkun, Manukid

    2010-01-01

    Practical issues such as accuracy with various subjects, number of sensors, and time for training are important problems of existing brain-computer interface (BCI) systems. In this paper, we propose a hybrid framework for the BCI system that can make machine control more practical. The electrooculogram (EOG) is employed to control the machine in the left and right directions while the electroencephalogram (EEG) is employed to control the forword, no action, and complete stop motions of the machine. By using only 2-channel biosignals, the average classification accuracy of more than 95% can be achieved.

  18. Design of visible light communication system for maintaining uniform data rate

    NASA Astrophysics Data System (ADS)

    Sung, Jiun-Yu; Lin, Wan-Feng; Wu, Yu-Fu; Chow, Chi-Wai; Yeh, Chien-Hung

    2014-09-01

    Light-emitting diode (LED) is gradually replacing the fluorescent lamp for lighting. Higher modulation bandwidth of LEDs makes the additional application of visible light communication (VLC) possible. Every location of a VLC system should be provided by equal data rate for smooth communication. However, locations away from the LED lamp have less power. These low-power locations have lower signal-to-noise ratio (SNR); and hence lower data rate can be achieved. For achieving high capacity VLC, strategies should be adequately provided to mitigate this problem. Moreover, for some real-time continuous applications, such as video and voice, latency reduction plan should also be considered. In this paper, an orthogonal frequency-division multiplexing access (OFDMA) based system was proposed to solve the above problem. Because we do not use time-division multiplexing access (TDMA) based system, the latency issue can be reduced. The OFDMA based system is also beneficial for large scale operation because the user bandwidth is not reduced by TDM mechanism. Signal-to-noise-plus-interference ratio (SNIR) distribution of the VLC system is designed to ensure uniform and optimal system capacity. Discrete multi-tone (DMT) is used for this VLC system. The DMT subcarriers are bit-loaded depending on the LED frequency response. More subcarriers are allocated for communication at low SNIR locations. Hence, nearly equal data rate can be provided everywhere. Demonstration of 17 Mb/s/LED data rate was provided.

  19. Practice-based research networks (PBRNs) in the era of integrated delivery systems

    PubMed Central

    Carey, Timothy S; Halladay, Jacqueline R; Donahue, Katrina E; Cykert, Samuel

    2016-01-01

    Practice based research networks (PBRN's) have been in existence for several decades, and provide one mechanism to conduct research outside of academic research centers. Two transformative changes to the practice environment pose significant challenges to the manner in which PBRN's have functioned in the past and require changes to their current activities. The widespread introduction of electronic health records and the organization of practices into often hospital-dominated integrated delivery systems change the manner in which medicine is practiced, administered, and financed. Research funders are committed to extending research into communities, although we have yet to learn how to conduct these activities efficiently. We describe a number of operational challenges to this transformation, and also propose ways to address these challenges and improve the quality and efficiency through which research is conducted. PBRN's can assure their relevance in the research environment by adapting to this new era. PMID:26355138

  20. Practice-based Research Networks (PBRNs) in the Era of Integrated Delivery Systems.

    PubMed

    Carey, Timothy S; Halladay, Jacqueline R; Donahue, Katrina E; Cykert, Samuel

    2015-01-01

    Practice-based research networks (PBRNs) have been in existence for several decades, and they provide one mechanism to conduct research outside of academic research centers. Two transformative changes to the practice environment pose significant challenges to the manner in which PBRNs have functioned in the past and require changes to their current activities. The widespread introduction of electronic health records and the organization of practices into often hospital-dominated integrated delivery systems change the manner in which medicine is practiced, administered, and financed. Research funders are committed to extending research into communities, although we have yet to learn how to conduct these activities efficiently. We describe a number of operational challenges to this transformation, and we also propose ways to address these challenges and improve the quality and efficiency through which research is conducted. PBRNs can ensure their relevance in the research environment by adapting to this new era. © Copyright 2015 by the American Board of Family Medicine.

  1. The future of health-system pharmacy: opportunities and challenges in practice model change.

    PubMed

    Zellmer, William A

    2012-04-01

    Key factors outside of health-system pharmacy that will shape this sector of the profession in the coming years are (1) the national economy, (2) national politics, (3) the debt of the federal government, (4) global megatrends (including terrorism and economic globalization), (5) health care reform, and (6) trends in the development and use of medicines. These factors will translate into payment cutbacks to hospitals, expanded mandates to improve the quality of health care, increased focus on patient-centered care, more team-based care, and a higher degree of integration across the range of health care settings and providers. In this environment, pharmacists in hospitals and other health systems will have rich opportunities to help improve patient care and institutional sustainability by continuing to move from order-fulfillment and product-preparation functions toward team leadership of drug therapy management. The American Society of Health-System Pharmacists Pharmacy Practice Model Initiative (PPMI) was created to encourage hospital and health-system practice leaders to examine how they deploy their resources (ie, pharmacist time, technician time, and technology) to ensure that the efforts of the pharmacy department are aligned with the most urgent needs of patients and institutions. Key recommendations of the PPMI and evidence about gaps in the provision of drug therapy management services are presented. It is important for every pharmacist and pharmacy technician in health-system practice to understand the imperatives for changing the profession's practice model and to actively pursue appropriate changes in that model.

  2. Medical safety and community practice: necessary elements and barriers to implement a safety learning system.

    PubMed

    O'Beirne, Maeve; Sterling, Pam D

    2009-01-01

    A safety learning system (SLS) is a system that monitors patient safety incident information and analyzes it to develop and implement improvement strategies to increase patient safety. The purpose of this paper is to discuss the necessary elements of a community-based family medicine practice SLS in Alberta Health Services - Calgary zone, and barriers to, and facilitators of, the implementation of this system. An SLS was developed in the research program Medical Safety in Community Practice. To determine the elements necessary to implement an SLS in community-based family medicine practice, we performed a comprehensive literature review, internal investigator discussions and internal investigator and external stakeholder reviews of key design elements. The system is currently being implemented and tested in community-based family practices as part of the program. Steps identified for implementation: included determining key design elements including creating a website and ascertaining a classification system or taxonomy; developing recruitment strategies; establishing an incident analysis methodology; building a knowledge translation strategy; and pursuing sustainability. These elements produced an SLS that is easily incorporated into community-based family medicine clinics.

  3. An Evaluation of EPIC's Analysis of School Practice & Knowledge System. The Effective Practice Incentive Community (EPIC). Research Brief

    ERIC Educational Resources Information Center

    Sloan, Kay; Pereira-Leon, Maura; Honeyford, Michelle

    2012-01-01

    Established in 2006 by New Leaders for New Schools[TM], the Effective Practice Incentive Community (EPIC) initiative rewards high-need urban schools showing significant gains in student achievement. In exchange, schools agree to share the practices helping to drive those gains, which they do through an in-depth study of practice, aided by the EPIC…

  4. Ethical and legal issues in cross-system practice in India: Past, present and future.

    PubMed

    Math, Suresh Bada; Moirangthem, Sydney; Kumar, Naveen C; Nirmala, Maria Christine

    2015-01-01

    Recent changes in policies allowing practitioners of Ayurveda, Yoga, Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) to integrate into the mainstream of healthcare and also allowing practitioners of Ayurveda and Homoeopathy to perform medical termination of pregnancy (MTP) under the proposed amendment to the MTP bill have brought crosssystem practice into the limelight. We evaluate cross-system practice from its legal and ethical perspectives. Across judgments, the judiciary has held that cross-system practice is a form of medical negligence; however, it is permitted only in those states where the concerned governments have authorized it by a general or special order. Further, though a state government may authorize an alternative medicine doctor to prescribe allopathic medicines (or vice versa), it does not condone the prescription of wrong medicines or wrong diagnosis. Courts have also stated that prescribing allopathic medicines and misrepresenting these as traditional medicines is an unfair trade practice and not explaining the side-effects of a prescribed allopathic medicine amounts to medical negligence. Finally, the Supreme Court has cautioned that employing traditional medical practitioners who do not possess the required skill and competence to give allopathic treatment in hospitals and to let an emergency patient be treated by them is gross negligence. In the event of an unwanted outcome, the responsibility is completely on the hospital authorities. Therefore, there is an urgent need to abolish cross-system practice, invest in healthcare, and bring radical changes in health legislations to make right to healthcare a reality. Copyright 2015, NMJI.

  5. Administrators' perspectives on changing practice in end-of-life care in a state prison system.

    PubMed

    Penrod, Janice; Loeb, Susan J; Smith, Carol A

    2014-01-01

    Sentencing trends have created a demographic shift in prison populations. Greater numbers of inmates are aging and dying in prison, creating a demand for enhanced end-of-life (EOL) care. Changing practice to meet escalating care demands in correction settings is complicated by economic constraints, attitudinal barriers, and organizational features. This study explored perspectives of EOL care held by administrators in a state prison system to reveal challenges to changing practice to meet the needs of inmates suffering advanced illness and dying in prison. Qualitative interviews were conducted with 12 administrators from the central office of a state department of corrections. Semi-structured discussion guide. Key influences impacting EOL care services included: local prison culture, treatment versus security focus, case-by-case consideration, public sentiment, budget neutral approaches, and conflicting views of service targets. These findings revealed the organizational structures, attitudes, and beliefs held by the administrative echelon of a state prison system and were used to guide the derivation of discrete approaches to changing practice in this complex system. Contextual evaluation permitted a much deeper understanding of the influences on changing practice in this hierarchical bureaucracy. This type of preliminary evaluation is crucial to infusing new practice initiatives in complex organizations caring for stigmatized, at-risk populations. © 2013 Wiley Periodicals, Inc.

  6. Impact of agricultural management practices on soil organic carbon: simulation of Australian wheat systems.

    PubMed

    Zhao, Gang; Bryan, Brett A; King, Darran; Luo, Zhongkui; Wang, Enli; Song, Xiaodong; Yu, Qiang

    2013-05-01

    Quantifying soil organic carbon (SOC) dynamics at a high spatial and temporal resolution in response to different agricultural management practices and environmental conditions can help identify practices that both sequester carbon in the soil and sustain agricultural productivity. Using an agricultural systems model (the Agricultural Production Systems sIMulator), we conducted a high spatial resolution and long-term (122 years) simulation study to identify the key management practices and environmental variables influencing SOC dynamics in a continuous wheat cropping system in Australia's 96 million ha cereal-growing regions. Agricultural practices included five nitrogen application rates (0-200 kg N ha(-1) in 50 kg N ha(-1) increments), five residue removal rates (0-100% in 25% increments), and five residue incorporation rates (0-100% in 25% increments). We found that the change in SOC during the 122-year simulation was influenced by the management practices of residue removal (linearly negative) and fertilization (nonlinearly positive) - and the environmental variables of initial SOC content (linearly negative) and temperature (nonlinearly negative). The effects of fertilization were strongest at rates up to 50 kg N ha(-1) , and the effects of temperature were strongest where mean annual temperatures exceeded 19 °C. Reducing residue removal and increasing fertilization increased SOC in most areas except Queensland where high rates of SOC decomposition caused by high temperature and soil moisture negated these benefits. Management practices were particularly effective in increasing SOC in south-west Western Australia - an area with low initial SOC. The results can help target agricultural management practices for increasing SOC in the context of local environmental conditions, enabling farmers to contribute to climate change mitigation and sustaining agricultural production. © 2013 Blackwell Publishing Ltd.

  7. Features of computerized clinical decision support systems supportive of nursing practice: a literature review.

    PubMed

    Lee, Seonah

    2013-10-01

    This study aimed to organize the system features of decision support technologies targeted at nursing practice into assessment, problem identification, care plans, implementation, and outcome evaluation. It also aimed to identify the range of the five stage-related sequential decision supports that computerized clinical decision support systems provided. MEDLINE, CINAHL, and EMBASE were searched. A total of 27 studies were reviewed. The system features collected represented the characteristics of each category from patient assessment to outcome evaluation. Several features were common across the reviewed systems. For the sequential decision support, all of the reviewed systems provided decision support in sequence for patient assessment and care plans. Fewer than half of the systems included problem identification. There were only three systems operating in an implementation stage and four systems in outcome evaluation. Consequently, the key steps for sequential decision support functions were initial patient assessment, problem identification, care plan, and outcome evaluation. Providing decision support in such a full scope will effectively help nurses' clinical decision making. By organizing the system features, a comprehensive picture of nursing practice-oriented computerized decision support systems was obtained; however, the development of a guideline for better systems should go beyond the scope of a literature review.

  8. A Self-instructional Model to Teach Systems-based Practice and Practice-based Learning and Improvement

    PubMed Central

    Kimura, Joe; Ladden, MaryJoan D.; March, Elizabeth; Moore, Gordon T.

    2008-01-01

    Background When mandated as resident competencies in 1999, systems-based practice (SBP) and practice-based learning and improvement (PBLI) were new concepts to many. Objective To describe and evaluate a 4-week clinical elective (Achieving Competence Today—ACT) to teach residents SBP and PBLI. Design ACT consisted of a four-week active learning course and follow-up teaching experience, guided and supported by web-based materials. The curriculum included readings, scheduled activities, work products including an improvement project, and weekly meetings with a non-expert preceptor. The evaluation used a before–after cross-comparison of ACT residents and their peers. Participants Seventy-eight residents and 42 faculty in 18 US Internal Medicine residency programs participated between 2003 and 2005. Results and Main Measurements All residents and faculty preceptors responded to a knowledge test, survey of attitudes, and self-assessment of competency to do 15 tasks related to SBP/PBLI. All measures were normalized to a 100-point scale. Each program’s principal investigator (PI) identified aspects of ACT that were most and least effective in enhancing resident learning. ACT residents’ gains in knowledge (4.4 on a 100-point scale) and self-assessed competency (11.3) were greater than controls’ (−1.9, −8.0), but changes in attitudes were not significantly different. Faculty preceptors’ knowledge scores did not change, but their attitudes became more positive (15.8). PIs found a ready-to-use curriculum effective (rated 8.5 on a 10-point scale). Conclusions ACT increased residents’ knowledge and self-assessment of their own competency and raised faculty’s assessment of the importance of residents’ learning SBP/PBLI. Faculty content expertise is not required for residents to learn SBP/PBLI. PMID:18612719

  9. Practicing governance towards equity in health systems: LMIC perspectives and experience.

    PubMed

    Gilson, Lucy; Lehmann, Uta; Schneider, Helen

    2017-09-15

    The unifying theme of the papers in this series is a concern for understanding the everyday practice of governance in low- and middle-income country (LMIC) health systems. Rather than seeing governance as a normative health system goal addressed through the architecture and design of accountability and regulatory frameworks, these papers provide insights into the real-world decision-making of health policy and system actors. Their multiple, routine decisions translate policy intentions into practice - and are filtered through relationships, underpinned by values and norms, influenced by organizational structures and resources, and embedded in historical and socio-political contexts. These decisions are also political acts - in that they influence who accesses benefits and whose voices are heard in decision-making, reinforcing or challenging existing institutional exclusion and power inequalities. In other words, the everyday practice of governance has direct impacts on health system equity.The papers in the series address governance through diverse health policy and system issues, consider actors located at multiple levels of the system and draw on multi-disciplinary perspectives. They present detailed examination of experiences in a range of African and Indian settings, led by authors who live and work in these settings. The overall purpose of the papers in this series is thus to provide an empirical and embedded research perspective on governance and equity in health systems.

  10. Physicians who have practiced in both the United States and Canada compare the systems.

    PubMed Central

    Hayes, G J; Hayes, S C; Dykstra, T

    1993-01-01

    OBJECTIVES. The aim of this study was to examine the US and Canadian systems from the unique perspective of physicians who have practiced in both Canada and the United States. METHODS. Questionnaires were sent to 355 Canadian physicians who graduated from US medical schools and 347 US physicians who graduated from Canadian medical schools. RESULTS. The overall response rate was 59% (65% of US-graduated Canadian physicians and 54% of Canadian-graduated US physicians). Thirty-six percent of the respondents were "dual experience" physicians; that is, they had practiced medicine in both countries after completing their medical training. Physicians who left Canada were more likely than those who left the United States to indicate dissatisfaction with the health care system as a reason for leaving. Respondents expressed greater professional satisfaction with their current country of practice, but overall, dual-experience physicians in the United States favored that system only slightly more than the Canadian system, whereas those in Canada rated the Canadian system significantly better than the US system. CONCLUSIONS. The comparatively weak rating of the US system by dual-experience physicians underlines the need for health care reform. PMID:8238675

  11. Public health asks of systems science: to advance our evidence-based practice, can you help us get more practice-based evidence?

    PubMed

    Green, Lawrence W

    2006-03-01

    Public health asks of systems science, as it did of sociology 40 years ago, that it help us unravel the complexity of causal forces in our varied populations and the ecologically layered community and societal circumstances of public health practice. We seek a more evidence-based public health practice, but too much of our evidence comes from artificially controlled research that does not fit the realities of practice. What can we learn from our experience with sociology in the past that might guide us in drawing effectively on systems science?

  12. Public Health Asks of Systems Science: To Advance Our Evidence-Based Practice, Can You Help Us Get More Practice-Based Evidence?

    PubMed Central

    Green, Lawrence W.

    2006-01-01

    Public health asks of systems science, as it did of sociology 40 years ago, that it help us unravel the complexity of causal forces in our varied populations and the ecologically layered community and societal circumstances of public health practice. We seek a more evidence-based public health practice, but too much of our evidence comes from artificially controlled research that does not fit the realities of practice. What can we learn from our experience with sociology in the past that might guide us in drawing effectively on systems science? PMID:16449580

  13. Effect of electromagnetic disturbance on the practical QKD system in the smart grid

    NASA Astrophysics Data System (ADS)

    Li, Fang-Yi; Wang, Dong; Wang, Shuang; Li, Mo; Yin, Zhen-Qiang; Li, Hong-Wei; Chen, Wei; Han, Zheng-Fu

    2014-12-01

    To improve the security of the smart grid, quantum key distribution (QKD) is an excellent choice. The rapid fluctuations on the power aerial optical cable and electromagnetic disturbance in substations are two main challenges for implementation of QKD. Due to insensitivity to birefringence of the channel, the stable phase-coding Faraday—Michelson QKD system is very practical in the smart grid. However, the electromagnetic disturbance in substations on this practical QKD system should be considered. The disturbance might change the rotation angle of the Faraday mirror, and would introduce an additional quantum bit error rate (QBER). We derive the new fringe visibility of the system and the additional QBER from the electromagnetic disturbance. In the worst case, the average additional QBER only increases about 0.17% due to the disturbance, which is relatively small to normal QBER values. We also find the way to degrade the electromagnetic disturbance on the QKD system.

  14. Religious Diversity and Inclusion: Policy and Accommodation Practices in British Columbia's Secular School System

    ERIC Educational Resources Information Center

    Jacquet, Marianne; D'Amico, Laura

    2016-01-01

    The religious diversity of students and staff within a secular school system may sometimes create tensions. To better understand the possible issues generated by and practical accommodations made with respect to these tensions, interviews were conducted at the district level with key administrators in metropolitan school districts in British…

  15. Practical optimal flight control system design for helicopter aircraft. Volume 1: Technical Report

    NASA Technical Reports Server (NTRS)

    Hofmann, L. G.; Riedel, S. A.; Mcruer, D.

    1980-01-01

    A method by which modern and classical theory techniques may be integrated in a synergistic fashion and used in the design of practical flight control systems is presented. A general procedure is developed, and several illustrative examples are included. Emphasis is placed not only on the synthesis of the design, but on the assessment of the results as well.

  16. Evaluating the Strength of School Tobacco Policies: The Development of a Practical Rating System

    ERIC Educational Resources Information Center

    Boyce, Jennifer C.; Mueller, Nancy B.; Hogan-Watts, Melissa; Luke, Douglas A.

    2009-01-01

    Background: School tobacco control policies vary widely in their strength, extensiveness, and enforcement. Currently, no standardized method exists to assess the comprehensiveness of school tobacco policies. The purpose of this study was to develop a new practical rating system for school tobacco policies, assess its reliability, and present…

  17. Promoting Evidence-Based Practices: The Adoption of a Prevention Support System in Community Settings

    ERIC Educational Resources Information Center

    Hunter, Sarah B.; Paddock, Susan M.; Ebener, Patricia; Burkhart, A. K.; Chinman, Matthew

    2009-01-01

    Prevention support systems (PSSs) are designed to help communities implement evidence-based practices (EBPs). Little is known about the factors that influence their adoption. In this article, we examined adoption of a PSS for substance abuse prevention called Getting To Outcomes (GTO)[R] among staff in two community coalitions with varying levels…

  18. A practical reporting and evaluation system for intervention programs: guiding principles and potential uses.

    PubMed Central

    Zalkind, D; Zelon, H; Moore, M; Kaluzny, A

    1977-01-01

    The continued existence of intervention programs is contingent on the ability to answer basic questions such as "What is your program doing?" and "Why should we fund your program?" This paper outlines basic principles and describes a practical reporting and supplemental evaluation system that can be used by administrators of even the smallest intervention program. PMID:557907

  19. Influences of Family-Systems Intervention Practices on Parent-Child Interactions and Child Development

    ERIC Educational Resources Information Center

    Trivette, Carol M.; Dunst, Carl J.; Hamby, Deborah W.

    2010-01-01

    The extent to which the influences of family-systems intervention practices could be traced to variations in parent-child interactions and child development was investigated by meta-analytic structural equation modeling (MASEM). MASEM is a procedure for producing a weighted pooled correlation matrix and fitting a structural equation model to the…

  20. Abstract: Using System Dynamics Analysis for Evaluating the Sustainability of “Complete Streets” Practices

    EPA Science Inventory

    Abstract: Using System Dynamics Analysis for Evaluating the Sustainability of “Complete Streets” Practices Primary Author: Nicholas R. Flanders 109 T.W. Alexander Drive Mail Code: E343-02 Research Triangle Park, NC 27709 919-541-3660 Flanders.nick@Epa.gov Topic categ...

  1. Academic Language, English Language Learners, and Systemic Functional Linguistics: Connecting Theory and Practice in Teacher Education

    ERIC Educational Resources Information Center

    Schulze, Joshua

    2015-01-01

    Teacher educators need linguistic tools to help preservice teachers develop a deeper understanding of the academic language demands of the literacy practices required by the Common Core State Standards (CCSS). Systemic functional linguistics (SFL) serves as a tool for developing teachers' knowledge of content-area language. Teachers' increased…

  2. Modeling Speed-Accuracy Tradeoff in Adaptive System for Practicing Estimation

    ERIC Educational Resources Information Center

    Nižnan, Juraj

    2015-01-01

    Estimation is useful in situations where an exact answer is not as important as a quick answer that is good enough. A web-based adaptive system for practicing estimates is currently being developed. We propose a simple model for estimating student's latent skill of estimation. This model combines a continuous measure of correctness and response…

  3. Religious Diversity and Inclusion: Policy and Accommodation Practices in British Columbia's Secular School System

    ERIC Educational Resources Information Center

    Jacquet, Marianne; D'Amico, Laura

    2016-01-01

    The religious diversity of students and staff within a secular school system may sometimes create tensions. To better understand the possible issues generated by and practical accommodations made with respect to these tensions, interviews were conducted at the district level with key administrators in metropolitan school districts in British…

  4. Tubing misconnections--a systems failure with human factors: lessons for nursing practice.

    PubMed

    Simmons, Debora; Graves, Krisanne

    2008-12-01

    In a neonatal unit, an experienced nurse inadvertently connected a feeding tube to an intravenous catheter. An analysis of this error, including the historical perspective, reveals that this threat to safety has been documented since 1972. Implications for nursing practice include the redesign of systems to accommodate human factors science and a change in health care's view of vigilance.

  5. A Proposed System for Nursing. Theoretical Framework, Part 2. Pathways to Practice, Vol. 4.

    ERIC Educational Resources Information Center

    Haase, Patricia T.

    This fourth volume in the series "Pathways to Practice" presents the heart of the Southern Regional Education Board's Nursing Curriculum Project, which was designed to (1) develop a set of assumptions about societal systems that impinge on the environments of nursing, (2) determine broadly the future direction of health care delivery patterns, (3)…

  6. Supporting the Persuasive Writing Practices of English Language Learners through Culturally Responsive Systemic Functional Linguistic Pedagogy

    ERIC Educational Resources Information Center

    Schulze, Joshua

    2013-01-01

    The purpose of this dissertation is to explore the potential of Systemic Functional Linguistic (SFL) pedagogy to support English language learners (ELLs) in enhancing their meaning making potential as they engage in persuasive writing practices within academic contexts. The dissertation results from a teacher action research project in which the…

  7. Evaluating the Strength of School Tobacco Policies: The Development of a Practical Rating System

    ERIC Educational Resources Information Center

    Boyce, Jennifer C.; Mueller, Nancy B.; Hogan-Watts, Melissa; Luke, Douglas A.

    2009-01-01

    Background: School tobacco control policies vary widely in their strength, extensiveness, and enforcement. Currently, no standardized method exists to assess the comprehensiveness of school tobacco policies. The purpose of this study was to develop a new practical rating system for school tobacco policies, assess its reliability, and present…

  8. Is there a need for biomedical CBIR systems in clinical practice? Outcomes from a usability study

    NASA Astrophysics Data System (ADS)

    Antani, Sameer; Xue, Zhiyun; Long, L. Rodney; Bennett, Deborah; Ward, Sarah; Thoma, George R.

    2011-03-01

    Articles in the literature routinely describe advances in Content Based Image Retrieval (CBIR) and its potential for improving clinical practice, biomedical research and education. Several systems have been developed to address particular needs, however, surprisingly few are found to be in routine practical use. Our collaboration with the National Cancer Institute (NCI) has identified a need to develop tools to annotate and search a collection of over 100,000 cervigrams and related, anonymized patient data. One such tool developed for a projected need for retrieving similar patient images is the prototype CBIR system, called CervigramFinder, which retrieves images based on the visual similarity of particular regions on the cervix. In this article we report the outcomes from a usability study conducted at a primary meeting of practicing experts. We used the study to not only evaluate the system for software errors and ease of use, but also to explore its "user readiness", and to identify obstacles that hamper practical use of such systems, in general. Overall, the participants in the study found the technology interesting and bearing great potential; however, several challenges need to be addressed before the technology can be adopted.

  9. Facilitation Skills: The Catalyst for Increased Effectiveness in Consultant Practice and Clinical Systems Leadership

    ERIC Educational Resources Information Center

    Manley, Kim; Titchen, Angie

    2017-01-01

    Consultant practitioner is the pinnacle of the clinical career ladder for all health care disciplines in the United Kingdom. Consultant nurse, midwife and health visitor roles build on the clinical credibility and expertise characteristic of advanced level practice, but also possess expertise in: clinical systems leadership and the facilitation of…

  10. Abstract: Using System Dynamics Analysis for Evaluating the Sustainability of “Complete Streets” Practices

    EPA Science Inventory

    Abstract: Using System Dynamics Analysis for Evaluating the Sustainability of “Complete Streets” Practices Primary Author: Nicholas R. Flanders 109 T.W. Alexander Drive Mail Code: E343-02 Research Triangle Park, NC 27709 919-541-3660 Flanders.nick@Epa.gov Topic categ...

  11. Rainwater harvesting in the United States: a survey of common system practices

    EPA Science Inventory

    Rainwater harvesting (RWH) systems in the United States vary in terms of design and operation. To better understand common practices in the RWH community and motivation for collecting harvested rainwater, an electronic survey was used to poll members of the American Rainwater Cat...

  12. Policies on and Practices of Cultural Inclusivity in Learning Management Systems: Perspectives of Indigenous Holistic Pedagogies

    ERIC Educational Resources Information Center

    Dreamson, Neal; Thomas, Gary; Lee Hong, Anita; Kim, Soyoung

    2017-01-01

    Online learning has become a conventional term and practice in Australian higher education, yet cultural inclusivity for Indigenous (Indigenous for the purposes of this paper refers to Australian Aboriginal and Torres Strait Islander peoples) students is insufficiently reflected in learning management system (LMS) policies and design. This study…

  13. Rainwater harvesting in the United States: a survey of common system practices

    EPA Science Inventory

    Rainwater harvesting (RWH) systems in the United States vary in terms of design and operation. To better understand common practices in the RWH community and motivation for collecting harvested rainwater, an electronic survey was used to poll members of the American Rainwater Cat...

  14. Promoting Evidence-Based Practices: The Adoption of a Prevention Support System in Community Settings

    ERIC Educational Resources Information Center

    Hunter, Sarah B.; Paddock, Susan M.; Ebener, Patricia; Burkhart, A. K.; Chinman, Matthew

    2009-01-01

    Prevention support systems (PSSs) are designed to help communities implement evidence-based practices (EBPs). Little is known about the factors that influence their adoption. In this article, we examined adoption of a PSS for substance abuse prevention called Getting To Outcomes (GTO)[R] among staff in two community coalitions with varying levels…

  15. Improving Professional Development System through Quality Assurance Practices in the Universities of Pakistan

    ERIC Educational Resources Information Center

    Shabbir, Muhammad; Khalid, M. Ibrahim; Bakhsh, Khuda; Mohsin, Muhammad Naeem; Rasool, Shafqat; Mohsin, M. Saleem

    2016-01-01

    The rationalization of this research was to investigate about improving professional development system through Quality Assurance Practices (QAP) in the Universities of Pakistan pertaining to the opinions of students, teachers and Directors of Quality Enhancement Cells (QECs) and to differentiate the ideas of students, teachers and Directors of…

  16. Supporting the Persuasive Writing Practices of English Language Learners through Culturally Responsive Systemic Functional Linguistic Pedagogy

    ERIC Educational Resources Information Center

    Schulze, Joshua

    2013-01-01

    The purpose of this dissertation is to explore the potential of Systemic Functional Linguistic (SFL) pedagogy to support English language learners (ELLs) in enhancing their meaning making potential as they engage in persuasive writing practices within academic contexts. The dissertation results from a teacher action research project in which the…

  17. Designing sociotechnical systems with cognitive work analysis: putting theory back into practice.

    PubMed

    Read, Gemma J M; Salmon, Paul M; Lenné, Michael G; Stanton, Neville A

    2015-01-01

    Cognitive work analysis (CWA) is a framework of methods for analysing complex sociotechnical systems. However, the translation from the outputs of CWA to design is not straightforward. Sociotechnical systems theory provides values and principles for the design of sociotechnical systems which may offer a theoretically consistent basis for a design approach for use with CWA. This article explores the extent to which CWA and sociotechnical systems theory offer complementary perspectives and presents an abstraction hierarchy (AH), based on a review of literature, that describes an 'optimal' CWA and sociotechnical systems theory design system. The optimal AH is used to assess the extent to which current CWA-based design practices, uncovered through a survey of CWA practitioners, aligns with sociotechnical systems theory. Recommendations for a design approach that would support the integration of CWA and sociotechnical systems theory design values and principles are also derived.

  18. [Practical experience about the compatibility of PDF converter in ECG information system].

    PubMed

    Yang, Gang; Lu, Weishi; Zhou, Jiacheng

    2009-11-01

    To find a way to view ECG from different manufacturers in electrocardiogram information system. Different format ECG data were transmitted to ECG center by different ways. Corresponding analysis software was used to make the diagnosis reports in the center. Then we use PDF convert to change all ECG reports into PDF format. The electrocardiogram information system manage these PDF format ECG data for clinic user. The ECG reports form several major ECG manufacturers were transformed to PDF format successfully. In the electrocardiogram information system it is freely to view the ECG figure. PDF format ECG report is a practicable way to solve the compatibility problem in electrocardiogram information system.

  19. Practical Performance Analysis for Multiple Information Fusion Based Scalable Localization System Using Wireless Sensor Networks.

    PubMed

    Zhao, Yubin; Li, Xiaofan; Zhang, Sha; Meng, Tianhui; Zhang, Yiwen

    2016-08-23

    In practical localization system design, researchers need to consider several aspects to make the positioning efficiently and effectively, e.g., the available auxiliary information, sensing devices, equipment deployment and the environment. Then, these practical concerns turn out to be the technical problems, e.g., the sequential position state propagation, the target-anchor geometry effect, the Non-line-of-sight (NLOS) identification and the related prior information. It is necessary to construct an efficient framework that can exploit multiple available information and guide the system design. In this paper, we propose a scalable method to analyze system performance based on the Cramér-Rao lower bound (CRLB), which can fuse all of the information adaptively. Firstly, we use an abstract function to represent all of the wireless localization system model. Then, the unknown vector of the CRLB consists of two parts: the first part is the estimated vector, and the second part is the auxiliary vector, which helps improve the estimation accuracy. Accordingly, the Fisher information matrix is divided into two parts: the state matrix and the auxiliary matrix. Unlike the theoretical analysis, our CRLB can be a practical fundamental limit to denote the system that fuses multiple information in the complicated environment, e.g., recursive Bayesian estimation based on the hidden Markov model, the map matching method and the NLOS identification and mitigation methods. Thus, the theoretical results are approaching the real case more. In addition, our method is more adaptable than other CRLBs when considering more unknown important factors. We use the proposed method to analyze the wireless sensor network-based indoor localization system. The influence of the hybrid LOS/NLOS channels, the building layout information and the relative height differences between the target and anchors are analyzed. It is demonstrated that our method exploits all of the available information for

  20. Practical Performance Analysis for Multiple Information Fusion Based Scalable Localization System Using Wireless Sensor Networks

    PubMed Central

    Zhao, Yubin; Li, Xiaofan; Zhang, Sha; Meng, Tianhui; Zhang, Yiwen

    2016-01-01

    In practical localization system design, researchers need to consider several aspects to make the positioning efficiently and effectively, e.g., the available auxiliary information, sensing devices, equipment deployment and the environment. Then, these practical concerns turn out to be the technical problems, e.g., the sequential position state propagation, the target-anchor geometry effect, the Non-line-of-sight (NLOS) identification and the related prior information. It is necessary to construct an efficient framework that can exploit multiple available information and guide the system design. In this paper, we propose a scalable method to analyze system performance based on the Cramér–Rao lower bound (CRLB), which can fuse all of the information adaptively. Firstly, we use an abstract function to represent all of the wireless localization system model. Then, the unknown vector of the CRLB consists of two parts: the first part is the estimated vector, and the second part is the auxiliary vector, which helps improve the estimation accuracy. Accordingly, the Fisher information matrix is divided into two parts: the state matrix and the auxiliary matrix. Unlike the theoretical analysis, our CRLB can be a practical fundamental limit to denote the system that fuses multiple information in the complicated environment, e.g., recursive Bayesian estimation based on the hidden Markov model, the map matching method and the NLOS identification and mitigation methods. Thus, the theoretical results are approaching the real case more. In addition, our method is more adaptable than other CRLBs when considering more unknown important factors. We use the proposed method to analyze the wireless sensor network-based indoor localization system. The influence of the hybrid LOS/NLOS channels, the building layout information and the relative height differences between the target and anchors are analyzed. It is demonstrated that our method exploits all of the available information for

  1. Practical applications approach to design, development and implementation of an integrated management system.

    PubMed

    Holdsworth, Rodger

    2003-11-14

    The introduction of quality, risk, safety, health and environmental management philosophies has significantly changed industry's view of company organization and controlling processes. Quality, risk, safety, health and environmental programs and systems, such as ISO 9000, ISO 14000, process safety, and risk management are impacting the way industry will meet the challenges of safety and environmental risks and the needs of the customer in the future.A wealth of knowledge has been extracted from practical application case studies, which would otherwise be unobtainable without years of experience related to management systems design, development, implementation and control. This paper discusses a practical applications approach to design, develop and implement an integrated management system encompassing quality (ISO 9000), process safety management (CFR 29 1910.119), risk management programs (CFR 40 part 68), environmental management (ISO 14000), and safety and health. This paper includes a discussion of management systems integration and an overview of management systems standards that apply to the petrochemical and chemical manufacturers industries. The paper also provides an overview on integrating management systems, including issues related to the following topics: Establishing a management system team and objectives. Assessing and knowing your organization. Designing the management system to meet site objectives. Developing system documentation. Implementing effective management systems. Measuring program performance. Continuous improvement.

  2. Does a quality management system improve quality in primary care practices in Switzerland? A longitudinal study

    PubMed Central

    Goetz, Katja; Hess, Sigrid; Jossen, Marianne; Huber, Felix; Rosemann, Thomas; Brodowski, Marc; Künzi, Beat; Szecsenyi, Joachim

    2015-01-01

    Objectives To examine the effectiveness of the quality management programme—European Practice Assessment—in primary care in Switzerland. Design Longitudinal study with three points of measurement. Setting Primary care practices in Switzerland. Participants In total, 45 of 91 primary care practices completed European Practice Assessment three times. Outcomes The interval between each assessment was around 36 months. A variance analyses for repeated measurements were performed for all 129 quality indicators from the domains: ‘infrastructure’, ‘information’, ‘finance’, and ‘quality and safety’ to examine changes over time. Results Significant improvements were found in three of four domains: ‘quality and safety’ (F=22.81, p<0.01), ‘information’ (F=27.901, p<0.01) and ‘finance’ (F=4.073, p<0.02). The 129 quality indicators showed a significant improvement within the three points of measurement (F=33.864, p<0.01). Conclusions The European Practice Assessment for primary care practices thus provides a functioning quality management programme, focusing on the sustainable improvement of structural and organisational aspects to promote high quality of primary care. The implementation of a quality management system which also includes a continuous improvement process would give added value to provide good care. PMID:25900466

  3. Integrating the Illness Beliefs Model in clinical practice: a Family Systems Nursing knowledge utilization model.

    PubMed

    Duhamel, Fabie; Dupuis, France; Turcotte, Annie; Martinez, Anne-Marie; Goudreau, Johanne

    2015-05-01

    To promote the integration of Family Systems Nursing (FSN) in clinical practice, we need to better understand how nurses overcome the challenges of FSN knowledge utilization. A qualitative exploratory study was conducted with 32 practicing female nurses from hospital and community settings who had received FSN intervention training and skill development based on the Illness Beliefs Model and the Calgary Family Assessment and Intervention Models. The participants were interviewed about how they utilized FSN knowledge in their nursing practice. From the data analysis, a FSN Knowledge Utilization Model emerged that involves three major components: (a) nurses' beliefs in FSN and in their FSN skills, (b) nurses' knowledge utilization strategies to address the challenges of FSN practice, and (c) FSN positive outcomes. The FSN Knowledge Utilization Model describes a circular, incremental, and iterative process used by nurses to integrate FSN in daily nursing practice. Findings point to a need for re-evaluation of educational and management strategies in clinical settings for advancing the practice of FSN.

  4. Proposal for research and education: joint lectures and practicals on central nervous system anatomy and physiology.

    PubMed

    Kageyama, Ikuo; Yoshimura, Ken; Satoh, Yoshihide; Nanayakkara, Chinthani D; Pallegama, Ranjith W; Iwasaki, Shin-Ichi

    2016-07-01

    We coordinated anatomy and physiology lectures and practicals to facilitate an integrated understanding of morphology and function in a basic medical science program for dental students and to reduce the time spent on basic science education. This method is a means to provide the essential information and skills in less time. The overall impression was that the practice of joint central nervous system lectures and practicals was an efficient method for students, which suggests that joint lectures might also be useful for clinical subjects. About two-thirds of students felt that the joint anatomy and physiology lecture on the central nervous system was useful and necessary in understanding the relationship between morphology and function, at least for this subject. One-third of students were neutral on the effectiveness of this method. However, the survey results suggest that improvements are needed in the method and timing of joint lectures and practicals. The present teaching approach can be further improved by conducting combined lectures in which the form and function of anatomic structures are presented by the relevant departments during the same lecture. Finally, joint lecturers and practicals offer an opportunity to increase student understanding of the importance of new research findings by the present authors and other researchers.

  5. Teaching medical management and operations engineering for systems-based practice to radiology residents.

    PubMed

    Brandon, Catherine J; Mullan, Patricia B

    2013-03-01

    To better prepare radiology residents for providing care within the context of the larger health care system, this study evaluated the feasibility and impact of a curriculum to enhance radiology residents' understanding and ability to apply concepts from medical management and industrial and operational engineering to systems-based practice problems in radiology practice. A multiprofessional team including radiology, medical education, and industrial and operational engineering professionals collaborated in developing a seven-module curriculum, including didactic lectures, interactive large-group analysis, and small-group discussions with case-based radiology examples, which illustrated real-life management issues and the roles physicians held. Residents and faculty participated in topic selection. Pre- and post-instruction formative assessments were administered, and results were shared with residents during teaching sessions. Attendance and participation in case-based scenario resolutions indicate the feasibility and impact of the interactive curriculum on residents' interest and ability to apply curricular concepts to systems-based practice in radiology. Paired t test analyses (P < .05) and effect sizes showed residents significantly increased their knowledge and ability to apply concepts to systems-based practice issues in radiology. Our iterative curriculum development and implementation process demonstrated need and support for a multiprofessional team approach to teach management and operational engineering concepts. Curriculum topics are congruent with Accreditation Council for Graduate Medical Education requirements for systems-based practice. The case-based curriculum using a mixed educational format of didactic lectures and small-group discussion and problem analysis could be adopted for other radiology programs, for both residents and continuing medical education applications. Copyright © 2013 AUR. Published by Elsevier Inc. All rights reserved.

  6. A Pathophysiological Model-Driven Communication for Dynamic Distributed Medical Best Practice Guidance Systems.

    PubMed

    Hosseini, Mohammad; Jiang, Yu; Wu, Poliang; Berlin, Richard B; Ren, Shangping; Sha, Lui

    2016-11-01

    There is a great divide between rural and urban areas, particularly in medical emergency care. Although medical best practice guidelines exist and are in hospital handbooks, they are often lengthy and difficult to apply clinically. The challenges are exaggerated for doctors in rural areas and emergency medical technicians (EMT) during patient transport. In this paper, we propose the concept of distributed executable medical best practice guidance systems to assist adherence to best practice from the time that a patient first presents at a rural hospital, through diagnosis and ambulance transfer to arrival and treatment at a regional tertiary hospital center. We codify complex medical knowledge in the form of simplified distributed executable disease automata, from the thin automata at rural hospitals to the rich automata in the regional center hospitals. However, a main challenge is how to efficiently and safely synchronize distributed best practice models as the communication among medical facilities, devices, and professionals generates a large number of messages. This complex problem of patient diagnosis and transport from rural to center facility is also fraught with many uncertainties and changes resulting in a high degree of dynamism. A critically ill patient's medical conditions can change abruptly in addition to changes in the wireless bandwidth during the ambulance transfer. Such dynamics have yet to be addressed in existing literature on telemedicine. To address this situation, we propose a pathophysiological model-driven message exchange communication architecture that ensures the real-time and dynamic requirements of synchronization among distributed emergency best practice models are met in a reliable and safe manner. Taking the signs, symptoms, and progress of stroke patients transported across a geographically distributed healthcare network as the motivating use case, we implement our communication system and apply it to our developed best practice

  7. What indicates competency in systems based practice? An analysis of perspective consistency among healthcare team members.

    PubMed

    Graham, Mark J; Naqvi, Zoon; Encandela, John A; Bylund, Carma L; Dean, Randa; Calero-Breckheimer, Ayxa; Schmidt, Hilary J

    2009-05-01

    In many parts of the world the practice of medicine and medical education increasingly focus on providing patient care within context of the larger healthcare system. Our purpose is to solicit perceptions of all professional stakeholders (e.g. nurses) of the system regarding the U.S. ACGME competency Systems Based Practice to uncover the extent to which there is agreement or discrepancy among key system stakeholders. Eighty-eight multidisciplinary personnel (n = 88) from two academic medical centers were invited to participate in one of 14 nominal group process sessions. Participants generated and prioritized resident characteristics that they believed were important for effective System Based Practices. Through content analysis the prioritized attribute statements were coded to identify embedded themes of resident roles and behavior. From the themes, three major resident roles emerged: resident as Self-Manager, Team Collaborator, and Patient Advocate. No one professional group (e.g., nurses, attending physicians, social workers) emphasized all of these roles. Some concepts that are emphasized in the ACGME definition like using cost-benefit analysis were conspicuously absent from the healthcare team generated list. We showed that there are gaps between the key stakeholders prioritizations about the ACGME definition of SBP and, more generally, the behaviors and roles identified by healthcare team stakeholders beyond the U.S. This suggests that within the process of developing a comprehensive working understanding of the Systems Based Practice competency (or other similar competencies, such as in CanMEDS), it is necessary to use multiple stakeholders in the system (perhaps including patients) to more accurately identify key resident roles and observable behaviors.

  8. Impact of same-day appointments on patient satisfaction with general practice appointment systems

    PubMed Central

    Sampson, Fiona; Pickin, Mark; O'Cathain, Alicia; Goodall, Stephen; Salisbury, Chris

    2008-01-01

    Following recent concerns about patients' inability to book appointments in advance, this study examined the relationship between the proportion of GP appointments reserved for same-day booking, and patient satisfaction with appointment systems. In a survey of 12 825 patients in 47 practices, it was found that a 10% increase in the proportion of same-day appointments was associated with an 8% reduction in the proportion of patients satisfied. Practices should be wary of increasing the level of same-day appointments to meet access targets. PMID:18801282

  9. Practices Changes in the Child Protection System to Address the Needs of Parents With Cognitive Disabilities

    PubMed Central

    Azar, Sandra T.; Maggi, Mirella C.; Proctor, Stephon Nathanial

    2016-01-01

    Parents with cognitive disabilities (PCD) are over-represented in the child protection system. However, the current state of the child protection system is not well prepared for working with them. Biases that exist against their parenting, the need for accommodations in assessment and intervention practices, and specific training in staff and cross systems barriers need to be addressed. This paper argues for changes that will ensure such parents are more effectively served and that child protection staff and contract providers are better equipped to work with them. Specific changes are discussed in assessment and intervention practices. These changes will require human capacity building and organizational restructuring. Although empirically based behavioral approaches with PCD will be emphasized, recent empirical work suggests that social information processing and neurocognitive problems occur in PCD. Approaches to working with such problems are emerging and must also be considered and integrated into a blueprint for change. PMID:27610050

  10. The Vanderbilt Professional Nursing Practice Program, part 2: Integrating a professional advancement and performance evaluation system.

    PubMed

    O'Hara, Nancy F; Duvanich, Mary; Foss, Julie; Wells, Nancy

    2003-10-01

    Developing a performance-based advancement system requires evaluation tools that capture essential behaviors and outcomes reflective of key nursing functions. To ensure relevance to clinical practice and enhance buy-in from nursing staff, the behaviors and outcomes were defined by a broad cross-section of nursing staff and administrators. The first article (September 2003) in this 3-part series described the foundation for and the philosophical background of the Vanderbilt Professional Nursing Practice Program (VPNPP), the career advancement program under way at Vanderbilt University Medical Center. This second article describes the development of the evaluation tools used in the VPNPP, the implementation and management of this new system, program evaluation, and improvements since the inception of the program. Additionally, the authors present the challenges and lessons we learned in development and implementation of a dynamic evaluation system that supports our career advancement program. The process of advancing within the program will be described in part 3.

  11. Development of superconducting high gradient magnetic separation system for highly viscous fluid for practical use

    NASA Astrophysics Data System (ADS)

    Hayashi, S.; Mishima, F.; Akiyama, Y.; Nishijima, S.

    2011-11-01

    In the industrial plants processing highly viscous fluid such as foods or industrial products, it is necessary to remove the metallic wear debris originating from pipe in manufacturing line which triggers quality loss. In this study, we developed a high gradient magnetic separation (HGMS) system which consists of superconducting magnet to remove the metallic wear debris. The magnetic separation experiment and the particle trajectory simulation were conducted with polyvinyl alcohol (PVA) as a model material (viscosity coefficient was 10 Pa s, which is 10,000 times higher than that in water). In order to develop a magnetic separation system for practical use, the particle trajectory simulation by using solenoidal superconducting magnet was conducted, and the possibility of the magnetic separation for removing ferromagnetic stainless steel (SUS) particles in highly viscous fluid of 10 Pa s was indicated. Based on the results, the number of filters to obtain required separation efficiency was examined to design the practical separation system.

  12. Creating financial transparency in public health: examining best practices of system partners.

    PubMed

    Honoré, Peggy A; Clarke, Richard L; Mead, Dean Michael; Menditto, Susan M

    2007-01-01

    Financial transparency is based on concepts for valid, standardized information that is readily accessible and routinely disseminated to stakeholders. While Congress and others continuously ask for an accounting of public health investments, transparency remains an ignored concept. The objective of this study was to examine financial transparency practices in other industries considered as part of the public health system. Key informants, regarded as financial experts on the operations of hospitals, school systems, and higher education, were a primary source of information. Principal findings were that system partners have espoused some concepts for financial transparency beginning in the early 20th century--signifying an 80-year implementation gap for public health. Critical features that promote accountability included standardized data collection methods and infrastructures, uniform practices for quantitative analysis of financial performance, and credentialing of the financial management workforce. Recommendations are offered on the basis of these findings to aid public health to close this gap by framing a movement toward transparency.

  13. Does an activity based remuneration system attract young doctors to general practice?

    PubMed Central

    2012-01-01

    Background The use of increasingly complex payment schemes in primary care may represent a barrier to recruiting general practitioners (GP). The existing Norwegian remuneration system is fully activity based - 2/3 fee-for-service and 1/3 capitation. Given that the system has been designed and revised in close collaborations with the medical association, it is likely to correspond - at least to some degree - with the preferences of current GPs (men in majority). The objective of this paper was to study which preferences that young doctors (women in majority), who are the potential entrants to general practice have for activity based vs. salary based payment systems. Methods In November-December 2010 all last year medical students and all interns in Norway (n = 1.562) were invited to participate in an online survey. The respondents were asked their opinion on systems of remuneration for GPs; inclination to work as a GP; risk attitude; income preferences; work pace tolerance. The data was analysed using one-way ANOVA and multinomial logistic regression analysis. Results A total of 831 (53%) responded. Nearly half the sample (47%) did not consider the remuneration system to be important for their inclination to work as GP; 36% considered the current system to make general practice more attractive, while 17% considered it to make general practice less attractive. Those who are attracted by the existing system were men and those who think high income is important, while those who are deterred by the system are risk averse and less happy with a high work pace. On the question of preferred remuneration system, half the sample preferred a mix of salary and activity based remuneration (the median respondent would prefer a 50/50 mix). Only 20% preferred a fully activity based system like the existing one. A salary system was preferred by women, and those less concerned with high income, while a fully activity based system was preferred by men, and those happy with a high work

  14. Commercial Impact and Optimum Capacity Determination of Pumped Storage Hydro Plant for a Practical Power System

    NASA Astrophysics Data System (ADS)

    Latha, P. G.; Anand, S. R.; Imthias, Ahamed T. P.; Sreejith, P. S., Dr.

    2013-06-01

    This paper attempts to study the commercial impact of pumped storage hydro plant on the operation of a stressed power system. The paper further attempts to compute the optimum capacity of the pumped storage scheme that can be provided on commercial basis for a practical power system. Unlike the analysis of commercial aspects of pumped storage scheme attempted in several papers, this paper is presented from the point of view of power system management of a practical system considering the impact of the scheme on the economic operation of the system. A realistic case study is presented as the many factors that influence the pumped storage operation vary widely from one system to another. The suitability of pumped storage for the particular generation mix of a system is well explored in the paper. To substantiate the economic impact of pumped storage on the system, the problem is formulated as a short-term hydrothermal scheduling problem involving power purchase which optimizes the quantum of power to be scheduled and the duration of operation. The optimization model is formulated using an algebraic modeling language, AMPL, which is then solved using the advanced MILP solver CPLEX.

  15. Attacks on practical quantum key distribution systems (and how to prevent them)

    NASA Astrophysics Data System (ADS)

    Jain, Nitin; Stiller, Birgit; Khan, Imran; Elser, Dominique; Marquardt, Christoph; Leuchs, Gerd

    2016-07-01

    With the emergence of an information society, the idea of protecting sensitive data is steadily gaining importance. Conventional encryption methods may not be sufficient to guarantee data protection in the future. Quantum key distribution (QKD) is an emerging technology that exploits fundamental physical properties to guarantee perfect security in theory. However, it is not easy to ensure in practice that the implementations of QKD systems are exactly in line with the theoretical specifications. Such theory-practice deviations can open loopholes and compromise security. Several such loopholes have been discovered and investigated in the last decade. These activities have motivated the proposal and implementation of appropriate countermeasures, thereby preventing future attacks and enhancing the practical security of QKD. This article introduces the so-called field of quantum hacking by summarising a variety of attacks and their prevention mechanisms.

  16. A Practical and Portable Solids-State Electronic Terahertz Imaging System

    PubMed Central

    Smart, Ken; Du, Jia; Li, Li; Wang, David; Leslie, Keith; Ji, Fan; Li, Xiang Dong; Zeng, Da Zhang

    2016-01-01

    A practical compact solid-state terahertz imaging system is presented. Various beam guiding architectures were explored and hardware performance assessed to improve its compactness, robustness, multi-functionality and simplicity of operation. The system performance in terms of image resolution, signal-to-noise ratio, the electronic signal modulation versus optical chopper, is evaluated and discussed. The system can be conveniently switched between transmission and reflection mode according to the application. A range of imaging application scenarios was explored and images of high visual quality were obtained in both transmission and reflection mode. PMID:27110791

  17. Strategy for an Extensible Microcomputer-Based Mumps System for Private Practice

    PubMed Central

    Walters, Richard F.; Johnson, Stephen L.

    1979-01-01

    A macro expander technique has been adopted to generate a machine independent single user version of ANSI Standard MUMPS running on an 8080 Microcomputer. This approach makes it possible to have the medically oriented MUMPS language available on inexpensive systems suitable for small group practice settings. Substitution of another macro expansion set allows the same interpreter to be implemented on another computer, thereby providing compatibility with comparable or larger scale systems. Furthermore, since the global file handler can be separated from the interpreter, this approach permits development of a distributed MUMPS system with no change in applications software.

  18. The use of a digital imaging system in a dermatologic surgery practice.

    PubMed

    Price, M A; Goldstein, G D

    1997-01-01

    Digital imaging systems are now commercially available, reasonably affordable, and much improved in quality. To present our 2-year experience with a digital imaging system in Mohs and dermatologic surgery practice and to inform readers of the equipment needed, its cost, uses, advantages, and disadvantages compared with conventional photography. The advantages of a digital imaging system include quality images, easy storage and retrieval, and cost-effectiveness. The disadvantages are few: a substantial initial investment and the training of office personnel in its use and maintenance. Uses include monitoring nevomelanocytic lesions, surgical photo documentation, medical records, and a photographic research database.

  19. Practical Side of the Bibliographic Information Retrieval System in the National Museum of Ethnology

    NASA Astrophysics Data System (ADS)

    Kondo, Katsuichi

    The information retrieval system of the National Museum of Ethnology made its debut in 1979 and now enables us to search the books not only in the Museum but in the country and abroad by means of JAPAN MARC & LC MARC. The author presents the outline and the development of the information managing system including the above briefly and secondly the practical case of using our retrieval system in particular. The problems to be solved in the course of the future plan are also mentioned.

  20. A Hitchhiker's Guide to Myeloid Cell Subsets: Practical Implementation of a Novel Mononuclear Phagocyte Classification System.

    PubMed

    Guilliams, Martin; van de Laar, Lianne

    2015-01-01

    The classification of mononuclear phagocytes as either dendritic cells or macrophages has been mainly based on morphology, the expression of surface markers, and assumed functional specialization. We have recently proposed a novel classification system of mononuclear phagocytes based on their ontogeny. Here, we discuss the practical application of such a classification system through a number of prototypical examples we have encountered while hitchhiking from one subset to another, across species and between steady-state and inflammatory settings. Finally, we discuss the advantages and drawbacks of such a classification system and propose a number of improvements to move from theoretical concepts to concrete guidelines.

  1. Organizational technologies of chronic disease management programs in large rural multispecialty group practice systems.

    PubMed

    Gamm, Larry; Bolin, Jane Nelson; Kash, Bita A

    2005-01-01

    Four large rural multispecialty group practice systems employ a mix of organizational technologies to provide chronic disease management with measurable impacts on their patient populations and costs. Four technologies-administrative, clinical, information, and social-are proposed as key dimensions for examining disease management programs. The benefits of disease management are recognized by these systems despite marked variability in the organization of the programs. Committees spanning health plans and clinics in the 4 systems and electronic medical records and/or other disease management information systems are important coordinating mechanisms. Increased reliance on nurses for patient education and care coordination in all 4 systems reflects significant extension of clinical and social technologies in the management of patient care. The promise of disease management as offered by these systems and other auspices are considered.

  2. Investigation of practical and theoretical accuracy of wireless indoor-positioning system UBISENSE

    NASA Astrophysics Data System (ADS)

    Wozniak, Marek; Odziemczyk, Waldemar; Nagorski, Kamil

    2013-04-01

    The development of Real Time Locating Systems has become an important add-on to many existing location aware systems. While Global Navigation Satelite System has solved most of the outdoor problems, it fails to repeat this success indoors. Wireless indoor positioning systems have become very popular in recent years. One of them is UBISENSE system. This system requires to carry an identity tag that is detected by sensors, which typically use triangulation to determine location. This paper presents the results of the investigation of accuracy of tag position using precise geodetic measurements and geometric analysis. Experimental measurements were carried out on the field polygon using precise tacheometer TCRP 1201+ and complete equipment of Ubisense. Results of experimental measurements were analyzed and presented graphically using Surfer 8. The paper presents the results of the investigation the teoretical and practical positioning accuracy according to the various working conditions.

  3. Registered Dietitian Nutritionists' Perspectives on Integrating Food and Water System Issues into Professional Practice.

    PubMed

    Heidelberger, Lindsay; Smith, Chery; Robinson-O'Brien, Ramona; Earthman, Carrie; Robien, Kim

    2017-02-01

    Sustainable agriculture encompasses economic, environmental, and social aspects of the food system. Members of the Academy of Nutrition and Dietetics (Academy) play an important role in promoting sustainable agriculture because they work in areas where they can influence the food purchasing decisions of foodservice operations and the public. To investigate behavior of registered dietitian nutritionists (RDNs) toward incorporating sustainable agriculture principles into professional practice using the Theory of Planned Behavior. This cross-sectional study surveyed RDNs nationwide about their perspectives on incorporating sustainable agriculture issues into practice. The survey questions were based on a survey originally administered to Minnesota RDNs during 2002. The sample (N=626) was drawn from a randomly selected, national sample of Academy members. Data were analyzed using descriptive statistics, independent t tests, Pearson correlations, and stepwise regression. The sample was mostly white, female, and the average age was 45.4±12.2 years. Almost half of Academy RDNs (47%) reported incorporating environmental issues into their practice. All four Theory of Planned Behavior variables (intention, attitude, perceived behavior control, and subjective norm) were predictive of behavior to include sustainable agriculture issues into practice. Barriers to incorporating this topic into practice included lack of knowledge, ability, time, and employer support. This study found that most of the RDN respondents had heard of sustainable agriculture and nearly half reported including this topic in their professional practice. To integrate this topic into practice more consistently, RDNs need more knowledge, time, and employer support. Copyright © 2017 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  4. Practice variation, bias, and experiential learning in cesarean delivery: a data-based system dynamics approach.

    PubMed

    Ghaffarzadegan, Navid; Epstein, Andrew J; Martin, Erika G

    2013-04-01

    To simulate physician-driven dynamics of delivery mode decisions (scheduled cesarean delivery [CD] vs. vaginal delivery [VD] vs. unplanned CD after labor), and to evaluate a behavioral theory of how experiential learning leads to emerging bias toward more CD and practice variation across obstetricians. Hospital discharge data on deliveries performed by 300 randomly selected obstetricians in Florida who finished obstetrics residency and started practice after 1991. We develop a system dynamics simulation model of obstetricians' delivery mode decision based on the literature of experiential learning. We calibrate the model and investigate the extent to which the model replicates the data. Our learning-based simulation model replicates the empirical data, showing that physicians are more likely to schedule CD as they practice longer. Variation in CD rates is related to the way that physicians learn from outcomes of past decisions and accumulate experience. The repetitive nature of medical decision making, learning from past practice, and accumulating experience can account for increases in CD decisions and practice variation across physicians. Policies aimed at improving medical decision making should account for providers' feedback-based learning mechanisms. © Health Research and Educational Trust.

  5. People-centred science: strengthening the practice of health policy and systems research

    PubMed Central

    2014-01-01

    Health policy and systems research (HPSR) is a transdisciplinary field of global importance, with its own emerging standards for creating, evaluating, and utilizing knowledge, and distinguished by a particular orientation towards influencing policy and wider action to strengthen health systems. In this commentary, we argue that the ability of the HPSR field to influence real world change hinges on its becoming more people-centred. We see people-centredness as recognizing the field of enquiry as one of social construction, requiring those conducting HPSR to locate their own position in the system, and conduct and publish research in a manner that foregrounds human agency attributes and values, and is acutely attentive to policy context. Change occurs at many layers of a health system, shaped by social, political, and economic forces, and brought about by different groups of people who make up the system, including service users and communities. The seeds of transformative practice in HPSR lie in amplifying the breadth and depth of dialogue across health system actors in the conduct of research – recognizing that these actors are all generators, sources, and users of knowledge about the system. While building such a dialogic practice, those conducting HPSR must strive to protect the autonomy and integrity of their ideas and actions, and also clearly explain their own positions and the value-basis of their work. We conclude with a set of questions that health policy and systems researchers may wish to consider in making their practice more people-centred, and hence more oriented toward real-world change. PMID:24739525

  6. People-centred science: strengthening the practice of health policy and systems research.

    PubMed

    Sheikh, Kabir; George, Asha; Gilson, Lucy

    2014-04-17

    Health policy and systems research (HPSR) is a transdisciplinary field of global importance, with its own emerging standards for creating, evaluating, and utilizing knowledge, and distinguished by a particular orientation towards influencing policy and wider action to strengthen health systems. In this commentary, we argue that the ability of the HPSR field to influence real world change hinges on its becoming more people-centred. We see people-centredness as recognizing the field of enquiry as one of social construction, requiring those conducting HPSR to locate their own position in the system, and conduct and publish research in a manner that foregrounds human agency attributes and values, and is acutely attentive to policy context. Change occurs at many layers of a health system, shaped by social, political, and economic forces, and brought about by different groups of people who make up the system, including service users and communities. The seeds of transformative practice in HPSR lie in amplifying the breadth and depth of dialogue across health system actors in the conduct of research - recognizing that these actors are all generators, sources, and users of knowledge about the system. While building such a dialogic practice, those conducting HPSR must strive to protect the autonomy and integrity of their ideas and actions, and also clearly explain their own positions and the value-basis of their work. We conclude with a set of questions that health policy and systems researchers may wish to consider in making their practice more people-centred, and hence more oriented toward real-world change.

  7. Aligning health and welfare principles and practice in organic dairy systems: a review.

    PubMed

    Marley, C L; Weller, R F; Neale, M; Main, D C J; Roderick, S; Keatinge, R

    2010-02-01

    This review provides an assessment of research findings into the current practices and standards and the principles and aspirations for organic dairy production, with respect to the health and welfare of the dairy cow. The relationships between the four main factors: management, environment, genetics and nutrition and their impact on the health and welfare status of organic dairy cows are considered. The concept that good animal health and welfare is more than merely the absence of disease, with behavioural aspects of health and welfare such as physiological and psychological needs, is also discussed. These factors are inter-related and important in all dairy systems, irrespective of whether the system is organic, low-input or intensive. Incidences of individual clinical and sub-clinical diseases that are recorded in conventional dairy systems also occur in organic dairy systems, with infertility, lameness and mastitis being the major problems. However, the magnitude of the incidence of many of these diseases may be either lower or higher in organic systems due to different management practices and the standards defined for organic milk production that, for example, prohibit the routine use of conventional medicines and require the feeding of high-forage diets. In relation to different systems, it is important to note that contrary to a common assumption, good welfare does not necessarily occur with more extensive systems. The type of organic system (self-sufficient, purchased-feed) also has the potential to have a major influence on the incidence of health problems and the reproductive status of organic dairy herds. Health status is also influenced by environmental and welfare factors, including the method of rearing replacement animals, type of housing and the geographical and climatic conditions of individual farms. Overall, this review identifies where conflicts arise between current practice and the organic principles and standards, and aims to provide

  8. Developing a Web-Based Nursing Practice and Research Information Management System: A Pilot Study.

    PubMed

    Choi, Jeeyae; Lapp, Cathi; Hagle, Mary E

    2015-09-01

    Many hospital information systems have been developed and implemented to collect clinical data from the bedside and have used the information to improve patient care. Because of a growing awareness that the use of clinical information improves quality of care and patient outcomes, measuring tools (electronic and paper based) have been developed, but most of them require multiple steps of data collection and analysis. This necessitated the development of a Web-based Nursing Practice and Research Information Management System that processes clinical nursing data to measure nurses' delivery of care and its impact on patient outcomes and provides useful information to clinicians, administrators, researchers, and policy makers at the point of care. This pilot study developed a computer algorithm based on a falls prevention protocol and programmed the prototype Web-based Nursing Practice and Research Information Management System. It successfully measured performance of nursing care delivered and its impact on patient outcomes successfully using clinical nursing data from the study site. Although Nursing Practice and Research Information Management System was tested with small data sets, results of study revealed that it has the potential to measure nurses' delivery of care and its impact on patient outcomes, while pinpointing components of nursing process in need of improvement.

  9. Development and clinical trial of a practical vessel imaging system for vessel punctures in children

    NASA Astrophysics Data System (ADS)

    Cuper, Natasha J.; Verdaasdonk, Rudolf M.; de Roode, Rowland; Septer, Erica

    2008-02-01

    Venipunctures to draw blood for diagnostics can be cumbersome. Multiple puncture attempts are distressing, painful and traumatic, especially for small children. Drawing blood from babies, in particular, is a problem, due to the cutaneous baby fat, tiny veins and, worst case, a pigmented skin. We developed a practical vein viewing system based on IR translumination that, contrary to commercial systems available, has the advantage of: a) low cost, b) easily implemented in routine practice, c) normal and IR image simultaneously available, d) small add-on, e) child friendly IR illuminator and f) efficient IR light coupling. Before introducing the vessel viewer for clinical application in the children's department, parameters were measured in 194 patients (age 0-17 yrs): time to draw blood, number of attempts, skin characteristics, discomfort of patient, and experience of nurse. In this control group, time to draw blood increases significantly with decreasing age of the children. The instant feedback from the nurses has been valuable for the improvements of especially the illumination sources. A clinical trial has been performed in 125 patients (age 0-6 yrs) to prove effectivity of the system in the blood withdrawal procedure. There was a significant decrease from 13% to 2% in failure rate. Also time needed to search for a vein was significantly decreased. A practical and accessible vein viewing system has been developed and is being introduced for clinical application. Although the concept of patient friendliness is already accepted, measurements need to show the effectiveness for particular groups of patients.

  10. Chinese Acupuncture Expert System (CAES)-a useful tool to practice and learn medical acupuncture.

    PubMed

    Lam, Chi Fai David; Leung, Kwong Sak; Heng, Pheng Ann; Lim, Chi Eung Danforn; Wong, Felix Wu Shun

    2012-06-01

    This paper describes the development of a Chinese Acupuncture Expert System (CAES) that will assist the learning and practice of medical acupuncture. This was the development of a Chinese Acupuncture Expert System which incorporated eight functional modules. These modules were 1) Add Patient Record subsystem; 2) Diagnosis subsystem ; 3) Acupuncture Prescription subsystem ; 4) Needle Insertion Position Animation subsystem ; 5) Acupuncture Points Usage Statistic subsystem ; 6) History Query subsystem; 7) Acupuncture Points Query subsystem and 8) Diagnosis Remarks and Diagnosis Record Save subsystem. Two databases were built-Patient Record database and Diagnosis (Acupuncture) Knowledge database. All the Traditional Chinese Medicine (TCM) knowledge and acupuncture treatment prescriptions were extracted from officially used TCM textbooks and received guidance and expert advice from two acupuncturists working in this project. A Chinese Acupuncture Expert System (CAES) was built, which after the input from users of any Chinese disease symptoms and signs, it can provide a list of related TCM syndrome diagnoses based on the patients' disease symptoms and signs, and at the same time it can offer advice of the appropriate Chinese acupuncture treatment to the users. CAES also provided text descriptions and acupuncture animations showing the acupoint locations and the direction and depth of the needle insertion technique. Therefore users can easily learn acupuncture and practice it. This new acupuncture expert system will hopefully provide an easy way for users to learn and practice Chinese Acupuncture and establish its usefulness after it was fully evaluated.

  11. Practical considerations for a second-order directional hearing aid microphone system

    NASA Astrophysics Data System (ADS)

    Thompson, Stephen C.

    2003-04-01

    First-order directional microphone systems for hearing aids have been available for several years. Such a system uses two microphones and has a theoretical maximum free-field directivity index (DI) of 6.0 dB. A second-order microphone system using three microphones could provide a theoretical increase in free-field DI to 9.5 dB. These theoretical maximum DI values assume that the microphones have exactly matched sensitivities at all frequencies of interest. In practice, the individual microphones in the hearing aid always have slightly different sensitivities. For the small microphone separation necessary to fit in a hearing aid, these sensitivity matching errors degrade the directivity from the theoretical values, especially at low frequencies. This paper shows that, for first-order systems the directivity degradation due to sensitivity errors is relatively small. However, for second-order systems with practical microphone sensitivity matching specifications, the directivity degradation below 1 kHz is not tolerable. A hybrid order directive system is proposed that uses first-order processing at low frequencies and second-order directive processing at higher frequencies. This hybrid system is suggested as an alternative that could provide improved directivity index in the frequency regions that are important to speech intelligibility.

  12. Applying a family systems lens to proxy decision making in clinical practice and research.

    PubMed

    Rolland, John S; Emanuel, Linda L; Torke, Alexia M

    2017-03-01

    When patients are incapacitated and face serious illness, family members must make medical decisions for the patient. Medical decision sciences give only modest attention to the relationships among patients and their family members, including impact that these relationships have on the decision-making process. A review of the literature reveals little effort to systematically apply a theoretical framework to the role of family interactions in proxy decision making. A family systems perspective can provide a useful lens through which to understand the dynamics of proxy decision making. This article considers the mutual impact of family systems on the processes and outcomes of proxy decision making. The article first reviews medical decision science's evolution and focus on proxy decision making and then reviews a family systems approach, giving particular attention to Rolland's Family Systems Illness Model. A case illustrates how clinical practice and how research would benefit from bringing family systems thinking to proxy decisions. We recommend including a family systems approach in medical decision science research and clinical practices around proxy decisions making. We propose that clinical decisions could be less conflicted and less emotionally troubling for families and clinicians if family systems approaches were included. This perspective opens new directions for research and novel approaches to clinical care. (PsycINFO Database Record

  13. [Introduction of hospital information system and anesthesia information management system into the perianesthetic practice at Osaka City University Hospital].

    PubMed

    Shimizu, Motoko; Tanaka, Katsuaki; Hagiwara, Chie; Ikenaga, Kazutake; Yoshioka, Miwako; Asada, Akira

    2011-06-01

    Recently, the hospital information systems (HIS) and anesthesia information management systems (AIMS) have been rapidly improved and have been introduced into the clinical practice in Japan drastically; however, few reports have detailed their influences on clinical practice. We here report our experience. We introduced HIS (EGMAIN-EX, Fujitsu Co., Ltd.) in our preoperative evaluation clinic and in the postoperative care unit. AIMS (ORSYS, Philips Electronics Japan) was introduced almost only to the intraoperative management. It became easy for us to acquire patient's information and to share it with the medical staffs in the other departments. However, we had to invest large human resources for the introduction and maintenance of the HIS and the AIMS. Though AIMS is more useful in anesthetic management than HIS, it seems to be more suitable for coordination with the medical staffs in the other departments to use HIS for perioperative management than to use AIMS.

  14. Inadequate Systems to Support Breast and Cervical Cancer Screening in Primary Care Practice.

    PubMed

    Schapira, Marilyn M; Sprague, Brian L; Klabunde, Carrie N; Tosteson, Anna N A; Bitton, Asaf; Chen, Jane S; Beaber, Elisabeth F; Onega, Tracy; MacLean, Charles D; Harris, Kimberly; Howe, Kathleen; Pearson, Loretta; Feldman, Sarah; Brawarsky, Phyllis; Haas, Jennifer S

    2016-10-01

    Despite substantial resources devoted to cancer screening nationally, the availability of clinical practice-based systems to support screening guidelines is not known. To characterize the prevalence and correlates of practice-based systems to support breast and cervical cancer screening, with a focus on the patient-centered medical home (PCMH). Web and mail survey of primary care providers conducted in 2014. The survey assessed provider (gender, training) and facility (size, specialty training, physician report of National Committee for Quality Assurance (NCQA) PCMH recognition, and practice affiliation) characteristics. A hierarchical multivariate analysis clustered by clinical practice was conducted to evaluate characteristics associated with the adoption of practice-based systems and technology to support guideline-adherent screening. Primary care physicians in family medicine, general internal medicine, and obstetrics and gynecology, and nurse practitioners or physician assistants from four clinical care networks affiliated with PROSPR (Population-based Research Optimizing Screening through Personalized Regimens) consortium research centers. The prevalence of routine breast cancer risk assessment, electronic health record (EHR) decision support, comparative performance reports, and panel reports of patients due for routine screening and follow-up. There were 385 participants (57.6 % of eligible). Forty-seven percent (47.0 %) of providers reported NCQA recognition as a PCMH. Less than half reported EHR decision support for breast (48.8 %) or cervical cancer (46.2 %) screening. A minority received comparative performance reports for breast (26.2 %) or cervical (19.7 %) cancer screening, automated reports of patients overdue for breast (18.7 %) or cervical (16.4 %) cancer screening, or follow-up of abnormal breast (18.1 %) or cervical (17.6 %) cancer screening tests. In multivariate analysis, reported NCQA recognition as a PCMH was associated with greater use of

  15. The impact of an integrated nursing handover system on nurses' satisfaction and work practices.

    PubMed

    Johnson, Maree; Sanchez, Paula; Zheng, Catherine

    2016-01-01

    This study examined the impact of an Integrated Nursing Handover System--structured content, a minimum data set and an electronic module within the patient clinical information system--on nurses' satisfaction with handover and changes to practice. Poor transfer of patient information between clinicians at handover has been associated with adverse patient outcomes. A mixed methods pre-post evaluative approach was used. The Integrated Nursing Handover System was introduced and evaluated within an Australian hospital. Changes to nurses' satisfaction were measured using the modified Bradley Clinical Handover Survey (n = 40 pre, n = 80 post). Three focus groups with clinicians (2) and mangers and educators (1) examined changes to clinical practice. The location of handover was observed. Nurses' satisfaction with handover was improved. A two stage approach to handover emerged: nurses received handover of all patients within meeting rooms followed by handover delivered at the bedside. Major categories identified through content analysis included: implementation and the transition, work practice changes and bedside handover, accessible and standardised patient information, accountability for information transfer and a central repository of patient information. An integrated system has been implemented with positive outcomes of: improved nurse satisfaction with handover, nurses being informed about all patients, enhanced patient transfers and improved patient information for all health professionals. Further research into the potential use of stored patient handover data for research is recommended. This comprehensive system of nursing handover represents the first integrated system of this nature ever reported in the nursing and health literature. This integrated nursing handover system has been successfully implemented resulting in delivery of more comprehensive, logical and standardised patient information at handover. © 2015 John Wiley & Sons Ltd.

  16. Physician Practice Audit Targets Now Become Hospital and Health System Compliance Risks.

    PubMed

    Hirsch, Ronald L

    2015-01-01

    In 2013, 22% of the federal budget was spent on Medicare and Medicaid. The Medicare Trust Fund is forecast to be depleted in 2030. More than 12% of Medicare fee-for-service payments in 2014 were made in error. These factors have led Congress to apply more pressure to reduce improper payments. Although hospitals were the initial targets because of their higher reimbursement, recent efforts have shifted to physician billing. Hospitals and health systems continue to acquire physician practices, making them liable for the billing activities of physicians. And for physicians who remain independent, the cost and effort required to respond to audits and denials can be financially devastating, further demonstrating the importance of prevention. This article addresses some of the common audit targets and mistakes made by physicians and provides strategies for physician practices and health systems to respond to and, ultimately, avoid these denials.

  17. Social Ecology of Asthma: Engaging Stakeholders in Integrating Health Behavior Theories and Practice-Based Evidence through Systems Mapping

    ERIC Educational Resources Information Center

    Gillen, Emily M.; Hassmiller Lich, Kristen; Yeatts, Karin B.; Hernandez, Michelle L.; Smith, Timothy W.; Lewis, Megan A.

    2014-01-01

    This article describes a process for integrating health behavior and social science theories with practice-based insights using participatory systems thinking and diagramming methods largely inspired by system dynamics methods. This integration can help close the gap between research and practice in health education and health behavior by offering…

  18. Social Ecology of Asthma: Engaging Stakeholders in Integrating Health Behavior Theories and Practice-Based Evidence through Systems Mapping

    ERIC Educational Resources Information Center

    Gillen, Emily M.; Hassmiller Lich, Kristen; Yeatts, Karin B.; Hernandez, Michelle L.; Smith, Timothy W.; Lewis, Megan A.

    2014-01-01

    This article describes a process for integrating health behavior and social science theories with practice-based insights using participatory systems thinking and diagramming methods largely inspired by system dynamics methods. This integration can help close the gap between research and practice in health education and health behavior by offering…

  19. Implementation of a single sign-on system between practice, research and learning systems.

    PubMed

    Purkayastha, Saptarshi; Gichoya, Judy W; Addepally, Siva Abhishek

    2017-03-29

    Multiple specialized electronic medical systems are utilized in the health enterprise. Each of these systems has their own user management, authentication and authorization process, which makes it a complex web for navigation and use without a coherent process workflow. Users often have to remember multiple passwords, login/logout between systems that disrupt their clinical workflow. Challenges exist in managing permissions for various cadres of health care providers. This case report describes our experience of implementing a single sign-on system, used between an electronic medical records system and a learning management system at a large academic institution with an informatics department responsible for student education and a medical school affiliated with a hospital system caring for patients and conducting research. At our institution, we use OpenMRS for research registry tracking of interventional radiology patients as well as to provide access to medical records to students studying health informatics. To provide authentication across different users of the system with different permissions, we developed a Central Authentication Service (CAS) module for OpenMRS, released under the Mozilla Public License and deployed it for single sign-on across the academic enterprise. The module has been in implementation since August 2015 to present, and we assessed usability of the registry and education system before and after implementation of the CAS module. 54 students and 3 researchers were interviewed. The module authenticates users with appropriate privileges in the medical records system, providing secure access with minimal disruption to their workflow. No passwords requests were sent and users reported ease of use, with streamlined workflow. The project demonstrates that enterprise-wide single sign-on systems should be used in healthcare to reduce complexity like "password hell", improve usability and user navigation. We plan to extend this to work with other

  20. The Practical Implementation of Non-Contacting Laser Strain Measurements Systems

    NASA Technical Reports Server (NTRS)

    Yunis, Isam; Quinn, roger D.; Kadambi, Jaikrishnan R.

    2000-01-01

    Measurement of stress and strain in rotating turbomachinery is critical to many industries. The search for a non-contacting, non-interfering, non-degrading measurement system is on going and extensive. While several methods seem promising in theory, implementation has proven troublesome. This work uncovers and quantifies these implementation issues in the context of a laser measurement system. Both a Laser Doppler Velocimeter system and a displacement laser system are utilized. It is found that the key issues are signal to noise ratio, rigid body compensation, measurement location, and conversion of intermittent measurements to a continuous signal. Accounting for these factors leads to successful measurements. These results should lead to better ideas and more practical solutions to the non-contacting, non-degrading, non-interfering strain measurement system problem.

  1. Agility Meets Systems Engineering: A Catalogue of Success Factors from Industry Practice

    NASA Astrophysics Data System (ADS)

    Stelzmann, Ernst; Kreiner, Christian; Spork, Gunther; Messnarz, Richard; Koenig, Frank

    Agile software development methods are widely accepted and valued in software-dominated industries. In more complex setups like multidisciplinary system development the adoption of an agile development paradigm is much less straightforward. Bigger teams, longer development cycles, process and product standard compliance and products lacking flexibility make an agile behaviour more difficult to achieve. Focusing on the fundamental underlying problem of dealing with ever ongoing change, this paper presents an agile Systems Engineering approach as a potential solution. Therefore a generic Systems Engineering action model was upgraded respecting agile principles and adapted according to practical needs discovered in an empirical study. This study was conducted among the partners of the S2QI agile workgroup made up from experts of automotive, logistics and electronics industries. Additionally to an agile Systems Engineering action model, a list of 15 practical success factors that should be considered when using an agile Systems Engineering approach is one of the main outcomes of this survey. It was also found that an agile behaviour in Systems Engineering could be supported in many different areas within companies. These areas are listed and it is also shown how the agile action model and the agile success factors are related to them.

  2. Coliform Bacteria Monitoring in Fish Systems: Current Practices in Public Aquaria.

    PubMed

    Culpepper, Erin E; Clayton, Leigh A; Hadfield, Catherine A; Arnold, Jill E; Bourbon, Holly M

    2016-06-01

    Public aquaria evaluate coliform indicator bacteria levels in fish systems, but the purpose of testing, testing methods, and management responses are not standardized, unlike with the coliform bacteria testing for marine mammal enclosures required by the U.S. Department of Agriculture. An online survey was sent to selected aquaria to document current testing and management practices in fish systems without marine mammals. The information collected included indicator bacteria species, the size and type of systems monitored, the primary purpose of testing, sampling frequency, test methods, the criteria for interpreting results, corrective actions, and management changes to limit human exposure. Of the 25 institutions to which surveys were sent, 19 (76%) responded. Fourteen reported testing for fecal indicator bacteria in fish systems. The most commonly tested indicator species were total (86%) and fecal (79%) coliform bacteria, which were detected by means of the membrane filtration method (64%). Multiple types and sizes of systems were tested, and the guidelines for testing and corrective actions were highly variable. Only three institutions performed additional tests to confirm the identification of indicator organisms. The results from this study can be used to compare bacterial monitoring practices and protocols in fish systems, as an aid to discussions relating to the accuracy and reliability of test results, and to help implement appropriate management responses. Received August 23, 2015; accepted December 29, 2015.

  3. Major Automated Information Systems: Selected Defense Programs Need to Implement Key Acquisition Practices

    DTIC Science & Technology

    2014-03-01

    information system NGEN Next Generation Enterprise Network PMBOK ® Project Management Body of Knowledge TMIP-J Theater Medical Information Program...Management Institute’s Guide to the Project Management Body of Knowledge ( PMBOK ®), and assessed each of the 3 programs against these criteria.14 To...1) requirements management and (2) project monitoring and control best practices, as defined by CMMI-ACQ and PMBOK ®. We also assessed these

  4. [Comfort and satisfaction of physicians with their medical practice in a reforming health system].

    PubMed

    Jiménez, Juan Pablo

    2004-05-01

    The subjective wellbeing of physicians and the degree of dissatisfaction with their practice is nowadays an important issue in English speaking journals. There is an international perception of a growing and deepening crisis in health systems that is affecting the professional and personal life of physicians. A multidisciplinary group, from two main Universities in Chile, has been formed to investigate this situation locally. The results of this investigation will be published in successive issues of Revista Médica de Chile.

  5. Requests for VIP Treatment in Pathology: Implications for Social Justice and Systems-Based Practice.

    PubMed

    Sheffield, Virginia; Smith, Lauren B

    2016-08-01

    Preferential treatment of patients whom we deem "very important" is a practice that is common in our health care system. The impact of this designation and the care that results is rarely studied or scrutinized. Although we assume that this type of treatment results in superior outcomes, this assumption can be wrong for a variety of reasons, which we discuss here. In addition to expressing unjust preferential treatment for some patients and not others, VIP medicine could compromise patient safety.

  6. Integrative review of benefit levers' characteristics for system-wide spread of best healthcare practices.

    PubMed

    ten Ham, Wilma; Minnie, Karin; van der Walt, Christa

    2016-01-01

    To critically analyse the characteristics of the benefit levers that are required for effective system-wide spread of evidence-based practice. Evidence-based nursing practice is the cornerstone of quality patient care and merits system-wide implementation. Achieving system-wide spread of evidence-based innovations requires adoption of four benefit levers (the facilitators for spreading innovations), conceptualized by Edwards and Grinspun: alignment, leadership for change, permeation plans and supporting and reinforcing structures. Although these concepts have been explored and described in primary studies, they were only recently identified as benefit levers and their characteristics have not been reviewed in the context of health care using an integrative literature review. An integrative literature review using an adapted Whittemore and Knafl design. A comprehensive search using multiple sites such as Scopus, EBSCOhost, ProQuest, ScienceDirect, Cochrane Library, Nexus, SAePublications, Sabinet, Google Scholar and grey literature was conducted (January-March 2012) and updated (December 2014). After reading the abstracts, titles and full-text articles, forty (N = 40) research and non-research documents met the inclusion criteria. Thirty-five documents remained after critical appraisal. A systematic approach was used to analyse and synthesize the data and formulate concluding statements. Data revealed characteristics about alignment (personal, organizational and contextual attributes), permeation plans (phases), leadership for change (types, strategies, position, attitude and support) and supporting and reinforcing structures (types and requirements). Benefit levers should be used to promote the spread of evidence-based practices. However, more studies concerning benefit levers, specifically regarding 'alignment' and 'permeation plans', are required to promote system-wide spread of best healthcare practices. © 2015 John Wiley & Sons Ltd.

  7. [From the experience of development of general medical practice in health system of Voronejskaya oblast].

    PubMed

    2011-01-01

    The promotion of general medical practice is needed to further developing and enhancing of primary medical sanitary care and increasing its availability in Voronejskaya oblast. This approach demands new jobs creation for general practitioners and fitting them out with necessary equipment and facilities under enhanced control of its rational application. The same importance has the improvement of financing, remuneration of labor in primary health care system, stimulation of positive resulting effect motivation, overall preventive trend in medical care.

  8. Developing a Quality Assurance System for Multiple Evidence Based Practices in a Statewide Service Improvement Initiative.

    PubMed

    Sedlar, Georganna; Bruns, Eric J; Walker, Sarah C; Kerns, Suzanne E U; Negrete, Andrea

    2017-01-01

    Efforts to implement evidence based practices (EBP) are increasingly common in child-serving systems. However, public systems undertaking comprehensive improvement efforts that aim to increase availability of multiple practices at the same time may struggle to build comprehensive and user-friendly strategies to develop the workforce and encourage adoption, faithful implementation, and sustainability of selected EBPs. Given that research shows model adherence predicts positive outcomes, one critical EBP implementation support is systematic quality, fidelity, and compliance monitoring. This paper describes the development and initial implementation of a quality assurance framework for a statewide EBP initiative within child welfare. This initiative aimed to improve provider practice and monitor provider competence and compliance across four different EBPs, and to inform funding and policy decisions. The paper presents preliminary data as an illustration of lessons learned during the quality monitoring process and concludes with a discussion of the promise and challenges of developing and applying a multi-EBP quality assurance framework for use in public systems.

  9. Expanding Delivery System Research in Public Health Settings: Lessons from Practice-Based Research Networks

    PubMed Central

    Mays, Glen P.; Hogg, Rachel A.

    2014-01-01

    BACKGROUND Delivery system research to identify how best to organize, finance, and implement health improvement strategies has focused heavily on clinical practice settings, with relatively little attention paid to public health settings – where research is made more difficult by wide heterogeneity in settings and limited sources of existing data and measures. This study examines the approaches used by Public Health Practice-Based Research Networks (PBRNs) to expand delivery system research and evidence-based practice in public health settings. METHODS PBRN research networks employ quasi-experimental research designs, natural experiments, and mixed-method analytic techniques to evaluate how community partnerships, economic shocks, and policy changes impact delivery processes in public health settings. Additionally, network analysis methods are used to assess patterns of interaction between practitioners and researchers within PBRNs to produce and apply research findings. RESULTS Findings from individual PBRN studies elucidate the roles of information exchange, community resources, and leadership and decision-making structures in shaping implementation outcomes in public health delivery. Network analysis of PBRNs reveals broad engagement of both practitioners and researchers in scientific inquiry, with practitioners in the periphery of these networks reporting particularly large benefits from research participation. CONCLUSIONS Public Health PBRNs provide effective mechanisms for implementing delivery system research, engaging practitioners in the process, and accelerating the translation and application of research findings into public health settings. PMID:23023272

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

    PubMed Central

    Bajwa, Sukhminder Jit Singh

    2014-01-01

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

  11. A walk in the patients' shoes: a step toward competency development in systems-based practice.

    PubMed

    Zenni, Elisa Alter; Ravago, Leslie; Ewart, Carole; Livingood, William; Wood, David; Goldhagen, Jeffrey

    2006-01-01

    To implement and evaluate the effectiveness of scenario-based learning as a method for teaching systems-based practice to pediatric residents. Twelve pediatric residents at the University of Florida/Jacksonville participated in an active learning scenario experience during their 1-month community pediatrics block rotation from January 2003 to April 2004. A scenario, developed in partnership with community-based organizations, required the residents to assume the role of a parent faced with multiproblem life situations requiring skills in prioritizing problems and identifying and accessing community resources to address them. Residents documented their assessment of the experience as they went through it by making entries into a learning portfolio and at the end of the experience through written evaluations and exit interviews. A case study design was used to assess resident-perceived impact of this experience. Qualitative methods were used to analyze data from resident portfolio entries, resident written evaluation surveys, and resident exit interviews. Five themes, some of which reflect competencies in systems-based practice, emerged from the data: development of empathy and compassion, increased understanding of the barriers facing patients and families, increased appreciation of social determinants of health, self-perceived increased ability to serve patients, and advantages of active learning. Active learning experiences that simulate patient situations can be incorporated into community pediatrics training for residents, increasing perceived competence in systems-based practice.

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

    PubMed

    Bajwa, Sukhminder Jit Singh

    2014-03-01

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

  13. Which drug or drug delivery system can change clinical practice for brain tumor therapy?

    PubMed Central

    Siegal, Tali

    2013-01-01

    The prognosis and treatment outcome for primary brain tumors have remained unchanged despite advances in anticancer drug discovery and development. In clinical trials, the majority of promising experimental agents for brain tumors have had limited impact on survival or time to recurrence. These disappointing results are partially explained by the inadequacy of effective drug delivery to the CNS. The impediments posed by the various specialized physiological barriers and active efflux mechanisms lead to drug failure because of inability to reach the desired target at a sufficient concentration. This perspective reviews the leading strategies that aim to improve drug delivery to brain tumors and their likelihood to change clinical practice. The English literature was searched for defined search items. Strategies that use systemic delivery and those that use local delivery are critically reviewed. In addition, challenges posed for drug delivery by combined treatment with anti-angiogenic therapy are outlined. To impact clinical practice and to achieve more than just a limited local control, new drugs and delivery systems must adhere to basic clinical expectations. These include, in addition to an antitumor effect, a verified favorable adverse effects profile, easy introduction into clinical practice, feasibility of repeated or continuous administration, and compatibility of the drug or delivery system with any tumor size and brain location. PMID:23502426

  14. [Experience of the Mexican National Health System in the development of clinical practice guidelines].

    PubMed

    Sosa-García, Jesús Ojino; Nieves-Hernández, Pedro; Puentes-Rosas, Esteban; Pineda-Pérez, Dayana; Viniegra-Osorio, Arturo; Torres-Arreola, Laura del Pilar; Valenzuela-Flores, Adriana Abigail; Barragán-Padilla, Sergio Baltazar; Díaz-González, Ruth; Chávez-Valdez, Lizbeth; Ramírez-López, Juan Carlos

    2016-01-01

    Clinical practice guidelines are tools that have been able to streamline decisions made in health issues and to decrease the gap between clinical action and scientific evidence. The objective of the study is to share the experience in the development and to update the guidelines by the National Health System of Mexico. The methodology in the development of the guidelines consists of 5 phases: prioritisation, establishment of work groups, development by adoption of international guidelines of de novo, validation and integration in the Master catalogue of clinical practice guidelines for its dissemination. The Master catalogue of clinical practice guidelines contains 664 guidelines, distributed in 42% Internal Medicine, 22% Surgery, 24% Pediatrics and 12% Gynecology. From the total of guidelines coverage is granted at an 85% of the Universal catalogue of health services, an 84% of the Catastrophic expenses protection fund and a 61% of the XXI Century Medical Insurance of the National Commission of Social Protection in Health. The result is the sum of a great effort of coordination and cooperation between the institutions of the National Health System, political wills and a commitment of 3,477 health professionals that participate in guidelines' development and update. Master catalogue guidelines' integration, diffusion and implantation improve quality of attention and security of the users of the National Health System. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

  15. Human factors evaluation of remote afterloading brachytherapy. Supporting analyses of human-system interfaces, procedures and practices, training and organizational practices and policies. Volume 3

    SciTech Connect

    Callan, J.R.; Kelly, R.T.; Quinn, M.L.

    1995-07-01

    A human factors project on the use of nuclear by-product material to treat cancer using remotely operated afterloaders was undertaken by the Nuclear Regulatory Commission. The purpose of the project was to identify factors that contribute to human error in the system for remote afterloading brachytherapy (RAB). This report documents the findings from the second, third, fourth, and fifth phases of the project, which involved detailed analyses of four major aspects of the RAB system linked to human error: human-system interfaces; procedures and practices; training practices and policies; and organizational practices and policies, respectively. Findings based on these analyses provided factual and conceptual support for the final phase of this project, which identified factors leading to human error in RAB. The impact of those factors on RAB performance was then evaluated and prioritized in terms of safety significance, and alternative approaches for resolving safety significant problems were identified and evaluated.

  16. Conservation Agriculture Practices in Rainfed Uplands of India Improve Maize-Based System Productivity and Profitability

    PubMed Central

    Pradhan, Aliza; Idol, Travis; Roul, Pravat K.

    2016-01-01

    Traditional agriculture in rainfed uplands of India has been experiencing low agricultural productivity as the lands suffer from poor soil fertility, susceptibility to water erosion and other external pressures of development and climate change. A shift toward more sustainable cropping systems such as conservation agriculture production systems (CAPSs) may help in maintaining soil quality as well as improving crop production and farmer’s net economic benefit. This research assessed the effects over 3 years (2011–2014) of reduced tillage, intercropping, and cover cropping practices customized for maize-based production systems in upland areas of Odisha, India. The study focused on crop yield, system productivity and profitability through maize equivalent yield and dominance analysis. Results showed that maize grain yield did not differ significantly over time or among CAPS treatments while cowpea yield was considered as an additional yield in intercropping systems. Mustard and horsegram grown in plots after maize cowpea intercropping recorded higher grain yields of 25 and 37%, respectively, as compared to those without intercropping. Overall, the full CAPS implementation, i.e., minimum tillage, maize–cowpea intercropping and mustard residue retention had significantly higher system productivity and net benefits than traditional farmer practices, i.e., conventional tillage, sole maize cropping, and no mustard residue retention. The dominance analysis demonstrated increasing benefits of combining conservation practices that exceeded thresholds for farmer adoption. Given the use of familiar crops and technologies and the magnitude of yield and income improvements, these types of CAPS should be acceptable and attractive for smallholder farmers in the area. This in turn should support a move toward sustainable intensification of crop production to meet future household income and nutritional needs. PMID:27471508

  17. Conservation Agriculture Practices in Rainfed Uplands of India Improve Maize-Based System Productivity and Profitability.

    PubMed

    Pradhan, Aliza; Idol, Travis; Roul, Pravat K

    2016-01-01

    Traditional agriculture in rainfed uplands of India has been experiencing low agricultural productivity as the lands suffer from poor soil fertility, susceptibility to water erosion and other external pressures of development and climate change. A shift toward more sustainable cropping systems such as conservation agriculture production systems (CAPSs) may help in maintaining soil quality as well as improving crop production and farmer's net economic benefit. This research assessed the effects over 3 years (2011-2014) of reduced tillage, intercropping, and cover cropping practices customized for maize-based production systems in upland areas of Odisha, India. The study focused on crop yield, system productivity and profitability through maize equivalent yield and dominance analysis. Results showed that maize grain yield did not differ significantly over time or among CAPS treatments while cowpea yield was considered as an additional yield in intercropping systems. Mustard and horsegram grown in plots after maize cowpea intercropping recorded higher grain yields of 25 and 37%, respectively, as compared to those without intercropping. Overall, the full CAPS implementation, i.e., minimum tillage, maize-cowpea intercropping and mustard residue retention had significantly higher system productivity and net benefits than traditional farmer practices, i.e., conventional tillage, sole maize cropping, and no mustard residue retention. The dominance analysis demonstrated increasing benefits of combining conservation practices that exceeded thresholds for farmer adoption. Given the use of familiar crops and technologies and the magnitude of yield and income improvements, these types of CAPS should be acceptable and attractive for smallholder farmers in the area. This in turn should support a move toward sustainable intensification of crop production to meet future household income and nutritional needs.

  18. A Practical Study of the 66kV Fault Current Limiter (FCL) System with Rectifier

    NASA Astrophysics Data System (ADS)

    Tokuda, Noriaki; Matsubara, Yoshio; Yuguchi, Kyosuke; Ohkuma, Takeshi; Hobara, Natsuro; Takahashi, Yoshihisa

    A fault current limiter (FCL) is extensively expected to suppress fault current, particularly required for trunk power systems heavily connected high-voltage transmission lines, such as 500kV class power system which constitutes the nucleus of the electric power system. By installing such FCL in the power system, the system interconnection is possible without the need to raise the capacity of the circuit breakers, and facilities can be configured for efficiency, among other benefits. For these reasons, fault current limiters based on various principles of operation have been developed both in Japan and abroad. In this paper, we have proposed a new type of FCL system, consisting of solid-state diodes, DC coil and bypass AC coil, and described the specification of distribution power system and 66kV model at the island power system and the superconducting cable power system. Also we have made a practical study of 66kV class, which is the testing items and the future subjects of the rectifier type FCL system.

  19. A practical guide to the monitoring and management of the complications of systemic corticosteroid therapy

    PubMed Central

    2013-01-01

    Systemic corticosteroids play an integral role in the management of many inflammatory and immunologic conditions, but these agents are also associated with serious risks. Osteoporosis, adrenal suppression, hyperglycemia, dyslipidemia, cardiovascular disease, Cushing’s syndrome, psychiatric disturbances and immunosuppression are among the more serious side effects noted with systemic corticosteroid therapy, particularly when used at high doses for prolonged periods. This comprehensive article reviews these adverse events and provides practical recommendations for their prevention and management based on both current literature and the clinical experience of the authors. PMID:23947590

  20. Systematic approach to managing vernal keratoconjunctivitis in clinical practice: Severity grading system and a treatment algorithm

    PubMed Central

    Gokhale, Nikhil S

    2016-01-01

    Vernal keratoconjunctivitis is an ocular allergy that is common in the pediatric age group. It is often chronic, severe, and nonresponsive to the available treatment options. Management of these children is difficult and often a dilemma for the practitioner. There is a need to simplify and standardize its management. To achieve this goal, we require a grading system to judge the severity of inflammation and an algorithm to select the appropriate medications. This article provides a simple and practically useful grading system and a stepladder algorithm for systematic treatment of these patients. Use of appropriate treatment modalities can reduce treatment and disease-related complications. PMID:27050351

  1. Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice

    PubMed Central

    2012-01-01

    Background No previous studies have addressed the integrated relationships among system quality, service quality, job satisfaction, and system performance; this study attempts to bridge such a gap with evidence-based practice study. Methods The convenience sampling method was applied to the information system users of three hospitals in southern Taiwan. A total of 500 copies of questionnaires were distributed, and 283 returned copies were valid, suggesting a valid response rate of 56.6%. SPSS 17.0 and AMOS 17.0 (structural equation modeling) statistical software packages were used for data analysis and processing. Results The findings are as follows: System quality has a positive influence on service quality (γ11= 0.55), job satisfaction (γ21= 0.32), and system performance (γ31= 0.47). Service quality (β31= 0.38) and job satisfaction (β32= 0.46) will positively influence system performance. Conclusions It is thus recommended that the information office of hospitals and developers take enhancement of service quality and user satisfaction into consideration in addition to placing b on system quality and information quality when designing, developing, or purchasing an information system, in order to improve benefits and gain more achievements generated by hospital information systems. PMID:23171394

  2. Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice.

    PubMed

    Chang, Ching-Sheng; Chen, Su-Yueh; Lan, Yi-Ting

    2012-11-21

    No previous studies have addressed the integrated relationships among system quality, service quality, job satisfaction, and system performance; this study attempts to bridge such a gap with evidence-based practice study. The convenience sampling method was applied to the information system users of three hospitals in southern Taiwan. A total of 500 copies of questionnaires were distributed, and 283 returned copies were valid, suggesting a valid response rate of 56.6%. SPSS 17.0 and AMOS 17.0 (structural equation modeling) statistical software packages were used for data analysis and processing. The findings are as follows: System quality has a positive influence on service quality (γ11= 0.55), job satisfaction (γ21= 0.32), and system performance (γ31= 0.47). Service quality (β31= 0.38) and job satisfaction (β32= 0.46) will positively influence system performance. It is thus recommended that the information office of hospitals and developers take enhancement of service quality and user satisfaction into consideration in addition to placing b on system quality and information quality when designing, developing, or purchasing an information system, in order to improve benefits and gain more achievements generated by hospital information systems.

  3. Practical quantum synchronization for the Schrödinger-Lohe system

    NASA Astrophysics Data System (ADS)

    Choi, Sun-Ho; Cho, Junghee; Ha, Seung-Yeal

    2016-05-01

    We present a practical synchronization method for the Schrödinger-Lohe (S-L) system distinct potentials. The S-L model describes the spatial-temporal evolution of the wave functions of quantum Lohe oscillators on a network with Lohe couplings. When the potential effects are ignored, complete wave function synchronization (CWFS) can emerge in the sense that the L 2-distance between wave functions exponentially approaches zero for a class of initial wave functions. In contrast, when the Lohe oscillators are under the effect of potential forces, CWFS cannot occur. In this study, we employ a weaker concept of quantum synchronization for discussing the asymptotic collective behavior of the S-L model. This concept leads to ‘practical synchronization’ of the S-L model. In practical synchronization, the L 2-distance between wave functions can be upper bounded by the inverse power of the square root of the coupling strength; as the coupling strength increases. Thus, the L 2-discrepancy between wave functions arbitrarily decreases as the coupling strength increases. We present a sufficient analytical framework for this practical synchronization, which is a generalization of the earlier result in (Choi S-H and Ha S-Y 2014 J. Phys. A: Math. Theor. 47 355104)

  4. Developing geospatial thinking and the science practices of investigation and evalutation with geographic information systems

    NASA Astrophysics Data System (ADS)

    Hamilton, Kelli

    Geospatial thinking is a subset of spatial thinking, which has been identified by the National Geography Standards as an essential skill for students to gain through geography instruction (Heffron & Downs, 2013). One tool which has been shown to help students develop their geospatial thinking skills is Geographic Information Systems (GIS) (Kim & Bednraz, 2013; Lee & Bednarz, 2009; Patterson, 2007). Much of the research conducted with GIS has been in the context of social studies classrooms. This study examined the use of GIS with seventh grade students in a science classroom. Results of this study indicate that students who use GIS as part of their science instruction are able to practice geospatial thinking skills. In addition, this study examined how GIS could be used to enhance the instruction of the science practices of investigation and evaluation. The Next Generation Science Standards identify certain science practices which students should experience as part of science instruction (NGSS Lead States, 2013). Among those practices are investigation and evaluation. Students in this study used GIS to investigate and evaluate scientific data. Both the teacher and the students were able to identify ways that GIS enhanced both the investigation and evaluation of data.

  5. Assessing experience in the deliberate practice of running using a fuzzy decision-support system

    PubMed Central

    Roveri, Maria Isabel; Manoel, Edison de Jesus; Onodera, Andrea Naomi; Ortega, Neli R. S.; Tessutti, Vitor Daniel; Vilela, Emerson; Evêncio, Nelson

    2017-01-01

    The judgement of skill experience and its levels is ambiguous though it is crucial for decision-making in sport sciences studies. We developed a fuzzy decision support system to classify experience of non-elite distance runners. Two Mamdani subsystems were developed based on expert running coaches’ knowledge. In the first subsystem, the linguistic variables of training frequency and volume were combined and the output defined the quality of running practice. The second subsystem yielded the level of running experience from the combination of the first subsystem output with the number of competitions and practice time. The model results were highly consistent with the judgment of three expert running coaches (r>0.88, p<0.001) and also with five other expert running coaches (r>0.86, p<0.001). From the expert’s knowledge and the fuzzy model, running experience is beyond the so-called "10-year rule" and depends not only on practice time, but on the quality of practice (training volume and frequency) and participation in competitions. The fuzzy rule-based model was very reliable, valid, deals with the marked ambiguities inherent in the judgment of experience and has potential applications in research, sports training, and clinical settings. PMID:28817655

  6. Obesity Treatment at HealthPartners: Adaptation of Clinical Guidelines into Systems for Practice Operations.

    PubMed

    Vesely, Jennifer M; Pronk, Nicolaas P; Kottke, Thomas E; Marshall, Peter S

    2016-09-01

    The purpose of this paper is to describe how HealthPartners health system in Minneapolis, MN, has translated a clinical guideline for obesity among adults into an efficient care delivery practice operations system. Based on a foundation provided by the physician-led Institute of Clinical Systems Improvement (ICSI)-developed Prevention and Management of Obesity for Adults Health Care Guideline, HealthPartners adapted the guideline into an electronic health record-based "Smart Set" that provides frontline physicians with the information, treatment options, and referral steps necessary to care for their patients with obesity. Additional context is provided in terms of insurance coverage and systems-based resources designed to prevent and treat obesity for adults.

  7. Practical Guide to Designing Comprehensive Teacher Evaluation Systems: A Tool to Assist in the Development of Teacher Evaluation Systems. Revised Edition

    ERIC Educational Resources Information Center

    Goe, Laura; Holdheide, Lynn; Miller, Tricia

    2014-01-01

    Across the nation, states and districts are in the process of building better teacher evaluation systems that not only identify highly effective teachers but also systematically provide data and feedback that can be used to improve teacher practice. The "Practical Guide to Designing Comprehensive Teacher Evaluation Systems" is a tool…

  8. The 'Practice Entrepreneur' - An Australian case study of a systems thinking inspired health promotion initiative.

    PubMed

    Joyce, A; Green, C; Carey, G; Malbon, E

    2017-01-23

    The potential of systems science concepts to inform approaches for addressing complex public health problems, such as obesity prevention, has been attracting significant attention over the last decade. Despite its recent popularity, there are very few studies examining the application of systems science concepts, termed systems thinking, in practice and whether (if at all) it influences the implementation of health promotion in real world settings and in what ways. Healthy Together Victoria (HTV) was based on a systems thinking approach to address obesity prevention alongside other chronic health problems and was implemented across 14 local government areas. This paper examines the experience of practitioners from one of those intervention sites. In-depth interviews with eight practitioners revealed that there was a rigidity with which they had experienced previous health promotion jobs relative to the flexibility and fluidity of HTV. While the health promotion literature does not indicate that health promotion should be overly prescriptive, the experience of these practitioners suggests it is being applied as such in real world settings. Within HTV, asking people to work with 'systems thinking', without giving a prescription about what systems thinking is, enabled practitioners to be 'practice entrepreneurs' by choosing from a variety of systems thinking methods (mapping, reflection) to engage actively in their positions. This highlights the importance of understanding how key concepts, both traditional planning approaches and systems science concepts, are interpreted and then implemented in real world settings. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  9. Frequent attendance in family practice and common mental disorders in an open access health care system.

    PubMed

    Norton, Joanna; David, Michel; de Roquefeuil, Guilhem; Boulenger, Jean-Philippe; Car, Josip; Ritchie, Karen; Mann, Anthony

    2012-06-01

    Frequent attenders in family practice are known to have higher rates of mental disorder. However little is known about specific psychiatric disorders and whether this behavior extends to specialist services, in an open access fee-for-service health care system. 1060 patients from 46 family practices completed the Patient Health Questionnaire and the Client Service Receipt Inventory. During the consultation, family practitioners blind to the questionnaire responses rated the severity of mental health and physical disorders. The 10% of patients with the highest number of 6-month consultations in six age and sex stratified groups were defined as frequent attenders. After adjustments for sociodemographic variables, physical health and other psychiatric diagnoses, patients with a somatoform disorder were more likely to be frequent attenders, with an odds ratio of 2.3 (95% CI: 1.3-3.8, p=.002). When adjusting for confounders, among the four psychiatric diagnoses investigated only somatoform disorders remain significantly associated with frequent attendance. Physical health and chronic disease were no longer associated with frequent attendance which does not support the hypothesis that in an open access fee-for-service system, patients will consult for a wider range of health problems. Greater investigation into unexplained somatic symptoms could help reduce the frequency of attendance in both primary and secondary care, as this behaviour appears to be a general health-seeking drive than extends beyond family practice. Copyright © 2012 Elsevier Inc. All rights reserved.

  10. Service quality measurement: appointment systems in U.K. GP practices.

    PubMed

    Sliwa, Martyna; Okane, James

    2011-01-01

    A recurring problem in the service quality literature is measurement--knowing which quality aspects should be measured and in what ways. This article aims to assess service quality measurement by focusing on general practice appointment systems. The authors use a case study, integrating qualitative and quantitative methods, including interviews with stakeholders as well as data regarding appointment systems' temporal aspects. This study offers insights into service quality's subjective and context-dependent nature, as reflected in primary healthcare stakeholder perceptions and service quality's objective and quantifiable aspects, revealing its dynamic, process-based nature. The empirical approach to service quality measurement did not focus on all general practice service quality aspects, but instead focused on patient appointments with healthcare professionals. Broader applications to include other service quality aspects should be addressed by research. Using one approach, service operators could have a tool for obtaining a more complex and richer service quality picture, leading to a better understanding of the relationship between service delivery and its evaluations by different stakeholders. The service quality measurement method offers innovative insights into different theoretical abstractions, constructively challenges both measurement and service quality, whilst moving beyond managerial and user-based approaches, and is highly relevant to contemporary organisation practice.

  11. 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.

  12. Are Earth System model software engineering practices fit for purpose? A case study.

    NASA Astrophysics Data System (ADS)

    Easterbrook, S. M.; Johns, T. C.

    2009-04-01

    We present some analysis and conclusions from a case study of the culture and practices of scientists at the Met Office and Hadley Centre working on the development of software for climate and Earth System models using the MetUM infrastructure. The study examined how scientists think about software correctness, prioritize their requirements in making changes, and develop a shared understanding of the resulting models. We conclude that highly customized techniques driven strongly by scientific research goals have evolved for verification and validation of such models. In a formal software engineering context these represents costly, but invaluable, software integration tests with considerable benefits. The software engineering practices seen also exhibit recognisable features of both agile and open source software development projects - self-organisation of teams consistent with a meritocracy rather than top-down organisation, extensive use of informal communication channels, and software developers who are generally also users and science domain experts. We draw some general conclusions on whether these practices work well, and what new software engineering challenges may lie ahead as Earth System models become ever more complex and petascale computing becomes the norm.

  13. [Immunology in medical practice. XIV. Central nervous system complications in systemic autoimmune diseases].

    PubMed

    Markusse, H M; van den Bent, M J; Vecht, C J

    1998-03-07

    Complications of the central nervous system (CNS) are common in systemic autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus (SLE) and primary Sjögren's syndrome. Specific diagnostic tests are lacking and early intervention with immunosuppressive therapy is frequently necessary. Therefore knowledge of these CNS complications is essential for early diagnosis and treatment. Residual cognitive effects were observed in some but not in all tests after prolonged heavy cannabis use. The effects were mostly mild. The relationship of cannabis use, psychotic effects and schizophrenia was unclear; the cannabis conceivably gave relief, but it also appeared that cannabis caused schizophrenia in young people and (or) enhanced the symptoms, especially in young people poorly able to cope with stress or in whom the antipsychotic therapy was unsuccessful.

  14. A model of formative assessment practice in secondary science classrooms using an audience response system

    NASA Astrophysics Data System (ADS)

    Shirley, Melissa L.

    Formative assessment involves the probing of students' ideas to determine their level of understanding during the instructional sequence. Often conceptualized as a cycle, formative assessment consists of the teacher posing an instructional task to students, collecting data about student understanding, and engaging in follow-up strategies such as clarifying student understanding and adjusting instruction to meet learning needs. Despite having been shown to increase student achievement in a variety of classroom settings, formative assessment remains a relative weak area of teacher practice. Methods that enhance formative assessment strategies may therefore have a positive effect on student achievement. Audience response systems comprise a broad category of technologies that support richer classroom interaction and have the potential to facilitate formative assessment. Results from a large national research study, Classroom Connectivity in Promoting Mathematics and Science Achievement (CCMS), show that students in algebra classrooms where the teacher has implemented a type of audience response system experience significantly higher achievement gains compared to a control group. This suggests a role for audience response systems in promoting rich formative assessment. The importance of incorporating formative assessment strategies into regular classroom practice is widely recognized. However, it remains challenging to identify whether rich formative assessment is occurring during a particular class session. This dissertation uses teacher interviews and classroom observations to develop a fine-grained model of formative assessment in secondary science classrooms employing a type of audience response system. This model can be used by researchers and practitioners to characterize components of formative assessment practice in classrooms. A major component of formative assessment practice is the collection and aggregation of evidence of student learning. This dissertation

  15. Future of the US healthcare system and the effects on the practice of hand surgery.

    PubMed

    Pushman, Allison G; Chung, Kevin C

    2009-06-01

    The multitier healthcare system of the USA has several major flaws. High costs and uncertain quality of care indicate that this system is no longer practical. Several improvement initiatives, such as the Oregon Health Plan, Leapfrog, Lean Manufacturing, and Pay-for-Performance have been implemented into the current system. All of these quality improvement models are being experimented in a limited fashion and do not address the biggest problem in the US healthcare, inequality of care. There is now increasing support for a universal health coverage model as an ethically sound and just way to decrease health disparities in the USA. The current quality initiatives as well as an adoption of universal coverage appear to be the best way to improve quality of care, reduce cost, and increase equality in healthcare. These initiatives may have considerable effects on the practice of hand surgery in the near future, and thus, it is important for the field of hand surgery to become more engaged in advocacy and public policy arena. The purpose of this paper is to examine the current problems in the US healthcare system and to evaluate potential solutions that will enhance quality while simultaneously curbing the unchecked increase in healthcare expenditure.

  16. Final Scientific and Technical Report - Practical Fiber Delivered Laser Ignition Systems for Vehicles

    SciTech Connect

    Yalin, Azer

    2014-03-30

    Research has characterized advanced kagome fiber optics for their use in laser ignition systems. In comparison to past fibers used in laser ignition, these fibers have the important advantage of being relatively bend-insensitivity, so that they can be bent and coiled without degradation of output energy or beam quality. The results are very promising for practical systems. For pulse durations of ~12 ns, the fibers could deliver >~10 mJ pulses before damage onset. A study of pulse duration showed that by using longer pulse duration (~20 – 30 ns), it is possible to carry even higher pulse energy (by factor of ~2-3) which also provides future opportunities to implement longer duration sources. Beam quality measurements showed nearly single-mode output from the kagome fibers (i.e. M2 close to 1) which is the optimum possible value and, combined with their high pulse energy, shows the suitability of the fibers for laser ignition. Research has also demonstrated laser ignition of an engine including reliable (100%) ignition of a single-cylinder gasoline engine using the laser ignition system with bent and coiled kagome fiber. The COV of IMEP was <2% which is favorable for stable engine operation. These research results, along with the continued reduction in cost of laser sources, support our commercial development of practical laser ignition systems.

  17. Implementing Effective Mission Systems Engineering Practices During Early Project Formulation Phases

    NASA Technical Reports Server (NTRS)

    Moton, Tryshanda

    2016-01-01

    Developing and implementing a plan for a NASA space mission can be a complicated process. The needs, goals, and objectives of any proposed mission or technology must be assessed early in the Project Life Cycle. The key to successful development of a space mission or flight project is the inclusion of systems engineering in early project formulation, namely during Pre-phase A, Phase A, and Phase B of the NASA Project Life Cycle. When a space mission or new technology is in pre-development, or "pre-Formulation", feasibility must be determined based on cost, schedule, and risk. Inclusion of system engineering during project formulation is key because in addition to assessing feasibility, design concepts are developed and alternatives to design concepts are evaluated. Lack of systems engineering involvement early in the project formulation can result in increased risks later in the implementation and operations phases of the project. One proven method for effective systems engineering practice during the pre-Formulation Phase is the use of a mission conceptual design or technology development laboratory, such as the Mission Design Lab (MDL) at NASA's Goddard Space Flight Center (GSFC). This paper will review the engineering process practiced routinely in the MDL for successful mission or project development during the pre-Formulation Phase.

  18. Phase-remapping attack in practical quantum-key-distribution systems

    NASA Astrophysics Data System (ADS)

    Fung, Chi-Hang Fred; Qi, Bing; Tamaki, Kiyoshi; Lo, Hoi-Kwong

    2007-03-01

    Quantum key distribution (QKD) can be used to generate secret keys between two distant parties. Even though QKD has been proven unconditionally secure against eavesdroppers with unlimited computation power, practical implementations of QKD may contain loopholes that may lead to the generated secret keys being compromised. In this paper, we propose a phase-remapping attack targeting two practical bidirectional QKD systems (the “plug-and-play” system and the Sagnac system). We showed that if the users of the systems are unaware of our attack, the final key shared between them can be compromised in some situations. Specifically, we showed that, in the case of the Bennett-Brassard 1984 (BB84) protocol with ideal single-photon sources, when the quantum bit error rate (QBER) is between 14.6% and 20%, our attack renders the final key insecure, whereas the same range of QBER values has been proved secure if the two users are unaware of our attack; also, we demonstrated three situations with realistic devices where positive key rates are obtained without the consideration of Trojan horse attacks but in fact no key can be distilled. We remark that our attack is feasible with only current technology. Therefore, it is very important to be aware of our attack in order to ensure absolute security. In finding our attack, we minimize the QBER over individual measurements described by a general POVM, which has some similarity with the standard quantum state discrimination problem.

  19. Knowledge systems, health care teams, and clinical practice: a study of successful change.

    PubMed

    Olson, Curtis A; Tooman, Tricia R; Alvarado, Carla J

    2010-10-01

    Clinical teams are of growing importance to healthcare delivery, but little is known about how teams learn and change their clinical practice. We examined how teams in three US hospitals succeeded in making significant practice improvements in the area of antimicrobial resistance. This was a qualitative cross-case study employing Soft Knowledge Systems as a conceptual framework. The purpose was to describe how teams produced, obtained, and used knowledge and information to bring about successful change. A purposeful sampling strategy was used to maximize variation between cases. Data were collected through interviews, archival document review, and direct observation. Individual case data were analyzed through a two-phase coding process followed by the cross-case analysis. Project teams varied in size and were multidisciplinary. Each project had more than one champion, only some of whom were physicians. Team members obtained relevant knowledge and information from multiple sources including the scientific literature, experts, external organizations, and their own experience. The success of these projects hinged on the teams' ability to blend scientific evidence, practical knowledge, and clinical data. Practice change was a longitudinal, iterative learning process during which teams continued to acquire, produce, and synthesize relevant knowledge and information and test different strategies until they found a workable solution to their problem. This study adds to our understanding of how teams learn and change, showing that innovation can take the form of an iterative, ongoing process in which bits of K&I are assembled from multiple sources into potential solutions that are then tested. It suggests that existing approaches to assessing the impact of continuing education activities may overlook significant contributions and more attention should be given to the role that practical knowledge plays in the change process in addition to scientific knowledge.

  20. Knowledge systems, health care teams, and clinical practice: a study of successful change

    PubMed Central

    Tooman, Tricia R.; Alvarado, Carla J.

    2010-01-01

    Clinical teams are of growing importance to healthcare delivery, but little is known about how teams learn and change their clinical practice. We examined how teams in three US hospitals succeeded in making significant practice improvements in the area of antimicrobial resistance. This was a qualitative cross-case study employing Soft Knowledge Systems as a conceptual framework. The purpose was to describe how teams produced, obtained, and used knowledge and information to bring about successful change. A purposeful sampling strategy was used to maximize variation between cases. Data were collected through interviews, archival document review, and direct observation. Individual case data were analyzed through a two-phase coding process followed by the cross-case analysis. Project teams varied in size and were multidisciplinary. Each project had more than one champion, only some of whom were physicians. Team members obtained relevant knowledge and information from multiple sources including the scientific literature, experts, external organizations, and their own experience. The success of these projects hinged on the teams' ability to blend scientific evidence, practical knowledge, and clinical data. Practice change was a longitudinal, iterative learning process during which teams continued to acquire, produce, and synthesize relevant knowledge and information and test different strategies until they found a workable solution to their problem. This study adds to our understanding of how teams learn and change, showing that innovation can take the form of an iterative, ongoing process in which bits of K&I are assembled from multiple sources into potential solutions that are then tested. It suggests that existing approaches to assessing the impact of continuing education activities may overlook significant contributions and more attention should be given to the role that practical knowledge plays in the change process in addition to scientific knowledge. PMID

  1. Moving science into state child and adolescent mental health systems: Illinois' evidence-informed practice initiative.

    PubMed

    Starin, Amy C; Atkins, Marc S; Wehrmann, Kathryn C; Mehta, Tara; Hesson-McInnis, Matthew S; Marinez-Lora, A; Mehlinger, Renee

    2014-01-01

    In 2005, the Illinois State Mental Health Authority embarked on an initiative to close the gap between research and practice in the children's mental health system. A stakeholder advisory council developed a plan to advance evidence informed practice through policy and program initiatives. A multilevel approach was developed to achieve this objective, which included policy change, stakeholder education, and clinician training. This article focuses on the evidence-informed training process designed following review of implementation research. The training involved in-person didactic sessions and twice-monthly telephone supervision across 6 cohorts of community based clinicians, each receiving 12 months of training. Training content initially included cognitive behavioral therapy and behavioral parent training and was adapted over the years to a practice model based on common element concepts. Evaluation based on provider and parent report indicated children treated by training clinicians generally showed superior outcomes versus both a treatment-as-usual comparison group for Cohorts 1 to 4 and the statewide child population as a whole after 90 days of care for Cohorts 5 to 6. The results indicated primarily moderate to strong effects for the evidence-based training groups. Moving a large public statewide child mental health system toward more effective services is a complex and lengthy process. These results indicate training of community mental health providers in Illinois in evidence-informed practice was moderately successful in positively impacting child-level functional outcomes. These findings also influenced state policy in committing resources to continuing the initiative, even in difficult economic times.

  2. [Economic Evaluation of Integrated Care Systems - Scientific Standard Specifications, Challenges, Best Practice Model].

    PubMed

    Pimperl, A; Schreyögg, J; Rothgang, H; Busse, R; Glaeske, G; Hildebrandt, H

    2015-12-01

     Transparency of economic performance of integrated care systems (IV) is a basic requirement for the acceptance and further development of integrated care. Diverse evaluation methods are used but are seldom openly discussed because of the proprietary nature of the different business models. The aim of this article is to develop a generic model for measuring economic performance of IV interventions.  A catalogue of five quality criteria is used to discuss different evaluation methods -(uncontrolled before-after-studies, control group-based approaches, regression models). On this -basis a best practice model is proposed.  A regression model based on the German morbidity-based risk structure equalisation scheme (MorbiRSA) has some benefits in comparison to the other methods mentioned. In particular it requires less resources to be implemented and offers advantages concerning the relia-bility and the transparency of the method (=important for acceptance). Also validity is sound. Although RCTs and - also to a lesser -extent - complex difference-in-difference matching approaches can lead to a higher validity of the results, their feasibility in real life settings is limited due to economic and practical reasons. That is why central criticisms of a MorbiRSA-based model were addressed, adaptions proposed and incorporated in a best practice model: Population-oriented morbidity adjusted margin improvement model (P-DBV(MRSA)).  The P-DBV(MRSA) approach may be used as a standardised best practice model for the economic evaluation of IV. Parallel to the proposed approach for measuring economic performance a balanced, quality-oriented performance measurement system should be introduced. This should prevent incentivising IV-players to undertake short-term cost cutting at the expense of quality. © Georg Thieme Verlag KG Stuttgart · New York.

  3. Physician Professional Satisfaction and Area of Clinical Practice: Evidence from an Integrated Health Care Delivery System

    PubMed Central

    Caloyeras, John P; Kanter, Michael; Ives, Nicole; Kim, Chong Y; Kanzaria, Hemal K; Berry, Sandra H; Brook, Robert H

    2016-01-01

    Context: For health care reform to succeed, health care systems need a professionally satisfied primary care workforce. Evidence suggests that primary care physicians are less satisfied than those in other medical specialties. Objective: To assess three domains of physician satisfaction by area of clinical practice among physicians practicing in an established integrated health system. Design: Cross-sectional online survey of all Southern California Permanente Medical Group (SCPMG) partner and associate physicians (N = 1034) who were primarily providing clinic-based care in 1 of 4 geographically and operationally distinct Kaiser Permanente Southern California Medical Centers. Main Outcome Measures: Primary measure was satisfaction with one’s day-to-day professional life as a physician. Secondary measures were satisfaction with quality of care and income. Results: Of the 636 physicians responding to the survey (61.5% response rate), on average, 8 in 10 SCPMG physicians reported satisfaction with their day-to-day professional life as a physician. Primary care physicians were only minimally less likely to report being satisfied (difference of 8.2–9.5 percentage points; p < 0.05) than were other physicians. Nearly all physicians (98.2%) were satisfied with the quality of care they are able to provide. Roughly 8 in 10 physicians reported satisfaction with their income. No differences were found between primary care physicians and those in other clinical practice areas regarding satisfaction with quality of care or income. Conclusion: It is possible to create practice settings, such as SCPMG, in which most physicians, including those in primary care, experience high levels of professional satisfaction. PMID:27057819

  4. Diabetes Patient Tracker, a personal digital assistant-based diabetes management system for primary care practices in Oklahoma.

    PubMed

    Nagykaldi, Zsolt; Mold, James W

    2003-01-01

    It has been demonstrated that electronic patient registries combined with a clinical decision support system have a significant positive impact on the documentation and delivery of services provided by health care professionals. While implementation of available commercial systems has not always been proven effective in a number of primary care practices, development and implementation of such a system in a practice-based research network might enhance successful implementation. Physicians in our practice-based research network (Oklahoma Physicians Resource/Research Network) initiated a project that aimed at designing, testing, and implementing a personal digital assistant-based diabetes management system. We utilized the "best practice" approach to determine the principles on which the application must operate. System development and beta testing were also accomplished based on the direct feedback of user clinicians. Practice Enhancement Assistants (PEAs) were available in the practices for assistance with implementation. Implementation of the Diabetes Patient Tracker (DPT) resulted in a significant improvement (p<0.05) in nine of 10 diabetic quality of care measures compared with pre-intervention levels in 20 primary care practices. Regular PEA visits similarly increased the number of foot exams and retinal exams performed in the last year (p=0.03 and 0.02, respectively). DPT is a low-cost, feasible, easily implementable, and very effective paper-less tool that significantly improves patient care and documentation in primary care practices.

  5. Universal filtered multi-carrier system for asynchronous uplink transmission in optical access network

    NASA Astrophysics Data System (ADS)

    Kang, Soo-Min; Kim, Chang-Hun; Han, Sang-Kook

    2016-02-01

    In passive optical network (PON), orthogonal frequency division multiplexing (OFDM) has been studied actively due to its advantages such as high spectra efficiency (SE), dynamic resource allocation in time or frequency domain, and dispersion robustness. However, orthogonal frequency division multiple access (OFDMA)-PON requires tight synchronization among multiple access signals. If not, frequency orthogonality could not be maintained. Also its sidelobe causes inter-channel interference (ICI) to adjacent channel. To prevent ICI caused by high sidelobes, guard band (GB) is usually used which degrades SE. Thus, OFDMA-PON is not suitable for asynchronous uplink transmission in optical access network. In this paper, we propose intensity modulation/direct detection (IM/DD) based universal filtered multi-carrier (UFMC) PON for asynchronous multiple access. The UFMC uses subband filtering to subsets of subcarriers. Since it reduces sidelobe of each subband by applying subband filtering, it could achieve better performance compared to OFDM. For the experimental demonstration, different sample delay was applied to subbands to implement asynchronous transmission condition. As a result, time synchronization robustness of UFMC was verified in asynchronous multiple access system.

  6. The Clinical Health Economics System Simulation (CHESS): a teaching tool for systems- and practice-based learning.

    PubMed

    Voss, John D; Nadkarni, Mohan M; Schectman, Joel M

    2005-02-01

    Academic medical centers face barriers to training physicians in systems- and practice-based learning competencies needed to function in the changing health care environment. To address these problems, at the University of Virginia School of Medicine the authors developed the Clinical Health Economics System Simulation (CHESS), a computerized team-based quasi-competitive simulator to teach the principles and practical application of health economics. CHESS simulates treatment costs to patients and society as well as physician reimbursement. It is scenario based with residents grouped into three teams, each team playing CHESS using differing (fee-for-service or capitated) reimbursement models. Teams view scenarios and select from two or three treatment options that are medically justifiable yet have different potential cost implications. CHESS displays physician reimbursement and patient and societal costs for each scenario as well as costs and income summarized across all scenarios extrapolated to a physician's entire patient panel. The learners are asked to explain these findings and may change treatment options and other variables such as panel size and case mix to conduct sensitivity analyses in real time. Evaluations completed in 2003 by 68 (94%) CHESS resident and faculty participants at 19 U.S. residency programs preferred CHESS to a traditional lecture-and-discussion format to learn about medical decision making, physician reimbursement, patient costs, and societal costs. Ninety-eight percent reported increased knowledge of health economics after viewing the simulation. CHESS demonstrates the potential of computer simulation to teach health economics and other key elements of practice- and systems-based competencies.

  7. SOMWeb: a semantic web-based system for supporting collaboration of distributed medical communities of practice.

    PubMed

    Falkman, Göran; Gustafsson, Marie; Jontell, Mats; Torgersson, Olof

    2008-08-26

    Information technology (IT) support for remote collaboration of geographically distributed communities of practice (CoP) in health care must deal with a number of sociotechnical aspects of communication within the community. In the mid-1990s, participants of the Swedish Oral Medicine Network (SOMNet) began discussing patient cases in telephone conferences. The cases were distributed prior to the conferences using PowerPoint and email. For the technical support of online CoP, Semantic Web technologies can potentially fulfill needs of knowledge reuse, data exchange, and reasoning based on ontologies. However, more research is needed on the use of Semantic Web technologies in practice. The objectives of this research were to (1) study the communication of distributed health care professionals in oral medicine; (2) apply Semantic Web technologies to describe community data and oral medicine knowledge; (3) develop an online CoP, Swedish Oral Medicine Web (SOMWeb), centered on user-contributed case descriptions and meetings; and (4) evaluate SOMWeb and study how work practices change with IT support. Based on Java, and using the Web Ontology Language and Resource Description Framework for handling community data and oral medicine knowledge, SOMWeb was developed using a user-centered and iterative approach. For studying the work practices and evaluating the system, a mixed-method approach of interviews, observations, and a questionnaire was used. By May 2008, there were 90 registered users of SOMWeb, 93 cases had been added, and 18 meetings had utilized the system. The introduction of SOMWeb has improved the structure of meetings and their discussions, and a tenfold increase in the number of participants has been observed. Users submit cases to seek advice on diagnosis or treatment, to show an unusual case, or to create discussion. Identified barriers to submitting cases are lack of time, concern about whether the case is interesting enough, and showing gaps in one's own

  8. Energy information systems (EIS): Technology costs, benefit, and best practice uses

    SciTech Connect

    Granderson, Jessica; Lin, Guanjing; Piette, Mary Ann

    2013-11-26

    Energy information systems are the web-based software, data acquisition hardware, and communication systems used to store, analyze, and display building energy data. They often include analysis methods such as baselining, benchmarking, load profiling, and energy anomaly detection. This report documents a large-scale assessment of energy information system (EIS) uses, costs, and energy benefits, based on a series of focused case study investigations that are synthesized into generalizable findings. The overall objective is to provide organizational decision makers with the information they need to make informed choices as to whether or not to invest in an EIS--a promising technology that can enable up to 20 percent site energy savings, quick payback, and persistent low-energy performance when implemented as part of best-practice energy management programs.

  9. The 6 "ws" of rapid response systems: best practices for improving development, implementation, and evaluation.

    PubMed

    Lazzara, Elizabeth H; Benishek, Lauren E; Sonesh, Shirley C; Patzer, Brady; Robinson, Patricia; Wallace, Ruth; Salas, Eduardo

    2014-01-01

    Delays in care have been cited as one of the primary contributors of preventable mortality; thus, quality patient safety is often contingent upon the delivery of timely clinical care. Rapid response systems (RRSs) have been touted as one mechanism to improve the ability of suitable staff to respond to deteriorating patients quickly and appropriately. Rapid response systems are defined as highly skilled individual(s) who mobilize quickly to provide medical care in response to clinical deterioration. While there is mounting evidence that RRSs are a valid strategy for managing obstetric emergencies, reducing adverse events, and improving patient safety, there remains limited insight into the practices underlying the development and execution of these systems. Therefore, the purpose of this article was to synthesize the literature and answer the primary questions necessary for successfully developing, implementing, and evaluating RRSs within inpatient settings-the Who, What, When, Where, Why, and How of RRSs.

  10. Practical photoluminescence and photoreflectance spectroscopic system for optical characterization of semiconductor devices.

    PubMed

    Ho, Ching-Hwa; Huang, Kuo-Wei; Lin, Yu-Shyan; Lin, Der-Yuh

    2005-05-30

    We present a practical experimental design for performing photoluminescence (PL) and photoreflectance (PR) measurements of semiconductors with only one PL spectroscopic system. The measurement setup is more cost efficient than typical PL-plus-PR systems. The design of the experimental setup of the PL-PR system is described in detail. Measurements of two actual device structures, a high-electron-mobility transistor (HEMT) and a double heterojunction-bipolar transistor (DHBT), are carried out by using this design. The experimental PL and PR spectra of the HEMT device, as well as polarized-photoreflectance (PPR) spectra of the DHBT structure, are analyzed in detailed and discussed. The experimental analyses demonstrate the well-behaved performance of this PL-PR design.

  11. Supporting work practices, improving patient flow and monitoring performance using a clinical information management system.

    PubMed

    Poulos, Christopher J; Gazibarich, Boris M; Eagar, Kathy

    2007-04-01

    Providing information technology solutions to clinicians to support their work practices benefits clinicians, administrators and patients. We present our 8-year experience with an inexpensive information management system which provides clinical and business process support for clinicians and bed managers. The system has been used by an area rehabilitation and aged care service to manage inpatient consultations and patient flow across nine hospitals. Performance monitoring of the time from referral to consultation, the number, type and outcome of consultations, and the time taken to access a rehabilitation or subacute bed is also provided. Read-only access to the system for clinicians and bed managers outside the rehabilitation and aged care service allows greater transparency.

  12. Turning theory into practice: the development of modern transdermal drug delivery systems and future trends.

    PubMed

    Perumal, O; Murthy, S N; Kalia, Y N

    2013-01-01

    Despite its remarkable barrier function, the skin remains an attractive site for systemic drug delivery given its easy accessibility, large surface area and the possibility to bypass the gastrointestinal tract and the liver and so modify drug absorption kinetics. The pioneering work of Scheuplein, Higuchi and others in the 1960s helped to explain the processes involved in passive percutaneous absorption and led to the development of mathematical models to describe transdermal drug delivery. The intervening years have seen these theories turned to practice and a significant number of transdermal systems are now available including some that employ active drug delivery. This review briefly discusses the evolution of transdermal therapeutic systems over the years and the potential of newer transdermal technologies to deliver hydrophilic drugs and macromolecules through the skin.

  13. Design of a Medical Image Management System: A Practical Cost-Effective Approach

    PubMed Central

    Seshadri, S.B.; Arenson, R.L.; van der Voorde, F.; Khalsa, S.; Kundel, H.; Brikman, I.

    1986-01-01

    Most developmental efforts in the Medical Image Management System (MIMS) arena have focused either on a personal-computer based, inferior-quality, user-unfriendly version for teleradiology which is achievable today, or on the very expensive, technologically-difficult, user-unfriendly but futuristic all-digital system. This presentation will discuss a practical, cost-effective medium-resolution system for archiving, review and comparison. The design of a MIMS will be considered from three perspectives: [List: see text] A prototype MIMS that is presently serving our Medical Intensive Care Unit (MICU) and undergoing clinical trials will be briefly described. A plan to expand this to a hospital wide MIMS will be presented.

  14. Building America Best Practices Series, Volume 6: High-Performance Home Technologies: Solar Thermal & Photovoltaic Systems

    SciTech Connect

    Baechler, Michael C.; Gilbride, Theresa L.; Ruiz, Kathleen A.; Steward, Heidi E.; Love, Pat M.

    2007-06-04

    This guide is was written by PNNL for the US Department of Energy's Building America program to provide information for residential production builders interested in building near zero energy homes. The guide provides indepth descriptions of various roof-top photovoltaic power generating systems for homes. The guide also provides extensive information on various designs of solar thermal water heating systems for homes. The guide also provides construction company owners and managers with an understanding of how solar technologies can be added to their homes in a way that is cost effective, practical, and marketable. Twelve case studies provide examples of production builders across the United States who are building energy-efficient homes with photovoltaic or solar water heating systems.

  15. Practices implemented by a Texas charter school system to overcome science teacher shortage

    NASA Astrophysics Data System (ADS)

    Yasar, Bilgehan M.

    The purpose of this study was to examine practices used by a charter school system to hire and retain science teachers. The research design for this study was a qualitative case study. This single instrumental case study explored the issue within a bounded system. Purposeful sampling strategy was used to identify the participants who were interviewed individually. Findings of the case study supported that using online resources, advertising in the newspaper, attending job fairs, using alternative certification programs, attracting alumni, contacting the college of educations and hiring internationally helped the charter school system with hiring science teachers. Improving teacher salary scale, implementing teacher mentorship programs, reimbursing teachers for certification and master's programs, providing professional development and supporting teachers helped to retain science teachers. Therefore, this study contributes to determining strategies and techniques, selecting methods and programs, training administrators, and monitoring for successful hiring and retaining science teacher implementation.

  16. Partially random phase attack to the practical two-way quantum-key-distribution system

    NASA Astrophysics Data System (ADS)

    Sun, Shi-Hai; Gao, Ming; Jiang, Mu-Sheng; Li, Chun-Yan; Liang, Lin-Mei

    2012-03-01

    Phase randomization is a very important assumption in the Bennett-Brassard 1984 quantum key distribution (QKD) system with a weak coherent source. Thus an active phase modulator is needed to randomize the phase of source. However, it is hard to check whether the phase of source is randomized totally or not in practical QKD systems. In this paper a partially random phase attack is proposed to exploit this imperfection. Our analysis shows that Eve can break the security of a two-way QKD system by using our attack, even if an active phase randomization is adopted by Alice. Furthermore, the numerical simulation shows that in some parameter regimes, our attack is immune to the one-decoy-state method.

  17. Neuropathic pain: an updated grading system for research and clinical practice.

    PubMed

    Finnerup, Nanna B; Haroutounian, Simon; Kamerman, Peter; Baron, Ralf; Bennett, David L H; Bouhassira, Didier; Cruccu, Giorgio; Freeman, Roy; Hansson, Per; Nurmikko, Turo; Raja, Srinivasa N; Rice, Andrew S C; Serra, Jordi; Smith, Blair H; Treede, Rolf-Detlef; Jensen, Troels S

    2016-08-01

    The redefinition of neuropathic pain as "pain arising as a direct consequence of a lesion or disease affecting the somatosensory system," which was suggested by the International Association for the Study of Pain (IASP) Special Interest Group on Neuropathic Pain (NeuPSIG) in 2008, has been widely accepted. In contrast, the proposed grading system of possible, probable, and definite neuropathic pain from 2008 has been used to a lesser extent. Here, we report a citation analysis of the original NeuPSIG grading paper of 2008, followed by an analysis of its use by an expert panel and recommendations for an improved grading system. As of February, 2015, 608 eligible articles in Scopus cited the paper, 414 of which cited the neuropathic pain definition. Of 220 clinical studies citing the paper, 56 had used the grading system. The percentage using the grading system increased from 5% in 2009 to 30% in 2014. Obstacles to a wider use of the grading system were identified, including (1) questions about the relative significance of confirmatory tests, (2) the role of screening tools, and (3) uncertainties about what is considered a neuroanatomically plausible pain distribution. Here, we present a revised grading system with an adjusted order, better reflecting clinical practice, improvements in the specifications, and a word of caution that even the "definite" level of neuropathic pain does not always indicate causality. In addition, we add a table illustrating the area of pain and sensory abnormalities in common neuropathic pain conditions and propose areas for further research.

  18. Consensus best practice pathway of the UK Systemic Sclerosis Study group: management of cardiac disease in systemic sclerosis.

    PubMed

    Bissell, Lesley-Anne; Anderson, Marina; Burgess, Malcolm; Chakravarty, Kuntal; Coghlan, Gerry; Dumitru, Raluca B; Graham, Lee; Ong, Voon; Pauling, John D; Plein, Sven; Schlosshan, Dominik; Woolfson, Peter; Buch, Maya H

    2017-06-01

    Cardiac disease in SSc can manifest in various ways and is associated with a poor prognosis. There is little evidence on how best to detect and manage cardiac disease in SSc. Our objective was to produce an expert consensus best practice pathway for the management of cardiac disease in SSc. The UK Systemic Sclerosis Study Group set up several working groups to develop a number of consensus best practice pathways for the management of SSc-specific complications, including cardiac disease. A multidisciplinary task force was convened. The guidelines were partly informed by a comprehensive literature review. A best practice pathway for cardiac disease (with a focus on primary cardiac disease) in SSc is presented, including approaches for early detection and standard pharmacological and device therapies. Due to the benefits, shared care and a multidisciplinary approach are recommended. A future research agenda has been formulated in response to the relative lack of understanding of the natural history of primary cardiac disease that was highlighted by the initiative. The physician should be alert to the possibility of cardiac disease in SSc; it is best managed within a multidisciplinary team including both rheumatologists and cardiologists. This pathway provides a reference for all physicians managing patients with SSc.

  19. Passive Faraday-mirror attack in a practical two-way quantum-key-distribution system

    NASA Astrophysics Data System (ADS)

    Sun, Shi-Hai; Jiang, Mu-Sheng; Liang, Lin-Mei

    2011-06-01

    The Faraday mirror (FM) plays a very important role in maintaining the stability of two-way plug-and-play quantum key distribution (QKD) systems. However, the practical FM is imperfect, which will not only introduce an additional quantum bit error rate (QBER) but also leave a loophole for Eve to spy the secret key. In this paper we propose a passive Faraday mirror attack in two-way QKD system based on the imperfection of FM. Our analysis shows that if the FM is imperfect, the dimension of Hilbert space spanned by the four states sent by Alice is three instead of two. Thus Eve can distinguish these states with a set of Positive Operator Valued Measure (POVM) operators belonging to three-dimension space, which will reduce the QBER induced by her attack. Furthermore, a relationship between the degree of the imperfection of FM and the transmittance of the practical QKD system is obtained. The results show that the probability that Eve loads her attack successfully depends on the degree of the imperfection of FM rapidly, but the QBER induced by Eve’s attack changes slightly with the degree of the FM imperfection.

  20. A new practice-driven approach to develop software in a cyber-physical system environment

    NASA Astrophysics Data System (ADS)

    Jiang, Yiping; Chen, C. L. Philip; Duan, Junwei

    2016-02-01

    Cyber-physical system (CPS) is an emerging area, which cannot work efficiently without proper software handling of the data and business logic. Software and middleware is the soul of the CPS. The software development of CPS is a critical issue because of its complicity in a large scale realistic system. Furthermore, object-oriented approach (OOA) is often used to develop CPS software, which needs some improvements according to the characteristics of CPS. To develop software in a CPS environment, a new systematic approach is proposed in this paper. It comes from practice, and has been evolved from software companies. It consists of (A) Requirement analysis in event-oriented way, (B) architecture design in data-oriented way, (C) detailed design and coding in object-oriented way and (D) testing in event-oriented way. It is a new approach based on OOA; the difference when compared with OOA is that the proposed approach has different emphases and measures in every stage. It is more accord with the characteristics of event-driven CPS. In CPS software development, one should focus on the events more than the functions or objects. A case study of a smart home system is designed to reveal the effectiveness of the approach. It shows that the approach is also easy to be operated in the practice owing to some simplifications. The running result illustrates the validity of this approach.

  1. Developing a practical toxicogenomics data analysis system utilizing open-source software.

    PubMed

    Hirai, Takehiro; Kiyosawa, Naoki

    2013-01-01

    Comprehensive gene expression analysis has been applied to investigate the molecular mechanism of toxicity, which is generally known as toxicogenomics (TGx). When analyzing large-scale gene expression data obtained by microarray analysis, typical multivariate data analysis methods performed with commercial software such as hierarchical clustering or principal component analysis usually do not provide conclusive outputs by themselves. To best utilize the TGx data for toxicity evaluation in the drug development process, fit-for-purpose customization of the analytical algorithm with user-friendly interface and intuitive outputs are required to practically address the toxicologists' demands. However, commercial software is usually not very flexible in the customization of their functions or outputs. Owing to the recent advancement and accumulation of open-source software contributed by bioinformaticians all over the world, it becomes easier for us to develop practical and fit-for-purpose analytical software by ourselves with fairly low cost and efforts. The aim of this article is to present an example of developing an automated TGx data processing system (ATP system), which implements gene set-level analysis toxicogenomic profiling by D-score method and generates straightforward output that makes it easy to interpret the biological and toxicological significance of the TGx data. Our example will provide basic clues for readers to develop and customize their own TGx data analysis system which complements the function of existing commercial software.

  2. Practical optimal flight control system design for helicopter aircraft. Volume 2: Software user's guide

    NASA Technical Reports Server (NTRS)

    Riedel, S. A.

    1979-01-01

    A method by which modern and classical control theory techniques may be integrated in a synergistic fashion and used in the design of practical flight control systems is presented. A general procedure is developed, and several illustrative examples are included. Emphasis is placed not only on the synthesis of the design, but on the assessment of the results as well. The first step is to establish the differences, distinguishing characteristics and connections between the modern and classical control theory approaches. Ultimately, this uncovers a relationship between bandwidth goals familiar in classical control and cost function weights in the equivalent optimal system. In order to obtain a practical optimal solution, it is also necessary to formulate the problem very carefully, and each choice of state, measurement and output variable must be judiciously considered. Once design goals are established and problem formulation completed, the control system is synthesized in a straightforward manner. Three steps are involved: filter-observer solution, regulator solution, and the combination of those two into the controller. Assessment of the controller permits and examination and expansion of the synthesis results.

  3. Passive Faraday-mirror attack in a practical two-way quantum-key-distribution system

    SciTech Connect

    Sun Shihai; Jiang Musheng; Liang Linmei

    2011-06-15

    The Faraday mirror (FM) plays a very important role in maintaining the stability of two-way plug-and-play quantum key distribution (QKD) systems. However, the practical FM is imperfect, which will not only introduce an additional quantum bit error rate (QBER) but also leave a loophole for Eve to spy the secret key. In this paper we propose a passive Faraday mirror attack in two-way QKD system based on the imperfection of FM. Our analysis shows that if the FM is imperfect, the dimension of Hilbert space spanned by the four states sent by Alice is three instead of two. Thus Eve can distinguish these states with a set of Positive Operator Valued Measure (POVM) operators belonging to three-dimension space, which will reduce the QBER induced by her attack. Furthermore, a relationship between the degree of the imperfection of FM and the transmittance of the practical QKD system is obtained. The results show that the probability that Eve loads her attack successfully depends on the degree of the imperfection of FM rapidly, but the QBER induced by Eve's attack changes slightly with the degree of the FM imperfection.

  4. Experience of Using Information Systems in Public Health Practice: Findings from a Qualitative Study

    PubMed Central

    Vest, Joshua R; Issel, L. Michele; Lee, Sean

    2014-01-01

    Objective Data collection and management by local health departments (LHDs) is a complex endeavor, complicated by system level and organizational factors. The purpose of this study was to describe the processes and use of information systems (IS) utilized for data collection, management, and sharing by LHD employees. Methods We interviewed a purposive sample of 12 staff working in the key public health practice areas of communicable disease control, immunizations, and vital records from three LHDs in different states. Our interview questions addressed job descriptions, daily activities, and the use and perceptions of both data and IS in support of their work. A content analytic approach was used to derive themes and categories common across programmatic areas. Results Local public health involves the use of mix of state-supplied and locally implemented IS supported by paper records. Additionally, each LHD in this study used at least one shadow system to maintain a duplicate set of information. Experiences with IS functionality and the extent to which it supported work varied by programmatic area, but inefficiencies, challenges in generating reports, limited data accessibility, and workarounds were commonly reported. Conclusions Current approaches to data management and sharing do not always support efficient public health practice or allow data to be used for organizational and community decision making. Many of the challenges to effective and efficient public health work were not solely technological. These findings suggest the need for interorganizational collaboration, increasing organizational capacity, workflow redesign, and end user training. PMID:24678380

  5. Indicators for assessing socioeconomic sustainability of bioenergy systems. A short list of practical measures

    SciTech Connect

    Dale, Virginia H.; Efroymson, Rebecca Ann; Kline, Keith L.; Langholtz, Matthew H.; Leiby, Paul Newsome; Oladosu, Gbadebo A.; Davis, Maggie R.; Downing, Mark E.; Hilliard, Michael R.

    2012-10-16

    Indicators are needed to assess both socioeconomic and environmental sustainability of bioenergy systems. Effective indicators can help to identify and quantify the sustainability attributes of bioenergy options. We identify 16 socioeconomic indicators that fall into the categories of social well-being, energy security, trade, profitability, resource conservation, and social acceptability. The suite of indicators is predicated on the existence of basic institutional frameworks to provide governance, legal, regulatory and enforcement services. Indicators were selected to be practical, sensitive to stresses, unambiguous, anticipatory, predictive, calibrated with known variability, and sufficient when considered collectively. The utility of each indicator, methods for its measurement, and applications appropriate for the context of particular bioenergy systems are described along with future research needs. Together, this suite of indicators is hypothesized to reflect major socioeconomic effects of the full supply chain for bioenergy, including feedstock production and logistics, conversion to biofuels, biofuel logistics and biofuel end uses. Ten of those 16 indicators are proposed to be the minimum list of practical measures of socioeconomic aspects of bioenergy sustainability. Coupled with locally-prioritized environmental indicators, we propose that these socioeconomic indicators can provide a basis to quantify and evaluate sustainability of bioenergy systems across many regions in which they will be deployed.

  6. Comprehensive and Practical Vision System for Self-Driving Vehicle Lane-Level Localization.

    PubMed

    Du, Xinxin; Tan, Kok Kiong

    2016-03-08

    Vehicle lane-level localization is a fundamental technology in autonomous driving. To achieve accurate and consistent performance, a common approach is to use LIDAR technology. However, it is expensive and computational demanding, and thus not a practical solution in many situations. This paper proposes a stereovision system, which is low-cost, yet also able to achieve high accuracy and consistency. It integrates a new lane line detection algorithm with other lane marking detectors to effectively identify the correct lane line markings. It also fits multiple road models to improve accuracy. An effective stereo 3D reconstruction method is proposed to estimate vehicle localization. The estimation consistency is further guaranteed by a new particle filter framework, which takes vehicle dynamics into account. Experiment results based on image sequences taken under different visual conditions showed that the proposed system can identify the lane line markings with 98:6% accuracy. The maximum estimation error of the vehicle distance to lane lines is 16cm in daytime 26cm at night, and the maximum estimation error of its moving direction respected to road tangent is 0:06rad in daytime and 0:12rad at night. Due to its high accuracy and consistency, the proposed system can be implemented in autonomous driving vehicles as a practical solution to vehicle lane-level localization.

  7. Comprehensive and Practical Vision System for Self-Driving Vehicle Lane-Level Localization.

    PubMed

    Du, Xinxin; Tan, Kok Kiong

    2016-05-01

    Vehicle lane-level localization is a fundamental technology in autonomous driving. To achieve accurate and consistent performance, a common approach is to use the LIDAR technology. However, it is expensive and computational demanding, and thus not a practical solution in many situations. This paper proposes a stereovision system, which is of low cost, yet also able to achieve high accuracy and consistency. It integrates a new lane line detection algorithm with other lane marking detectors to effectively identify the correct lane line markings. It also fits multiple road models to improve accuracy. An effective stereo 3D reconstruction method is proposed to estimate vehicle localization. The estimation consistency is further guaranteed by a new particle filter framework, which takes vehicle dynamics into account. Experiment results based on image sequences taken under different visual conditions showed that the proposed system can identify the lane line markings with 98.6% accuracy. The maximum estimation error of the vehicle distance to lane lines is 16 cm in daytime and 26 cm at night, and the maximum estimation error of its moving direction with respect to the road tangent is 0.06 rad in daytime and 0.12 rad at night. Due to its high accuracy and consistency, the proposed system can be implemented in autonomous driving vehicles as a practical solution to vehicle lane-level localization.

  8. Applications of complex systems theory in nursing education, research, and practice.

    PubMed

    Clancy, Thomas R; Effken, Judith A; Pesut, Daniel

    2008-01-01

    The clinical and administrative processes in today's healthcare environment are becoming increasingly complex. Multiple providers, new technology, competition, and the growing ubiquity of information all contribute to the notion of health care as a complex system. A complex system (CS) is characterized by a highly connected network of entities (e.g., physical objects, people or groups of people) from which higher order behavior emerges. Research in the transdisciplinary field of CS has focused on the use of computational modeling and simulation as a methodology for analyzing CS behavior. The creation of virtual worlds through computer simulation allows researchers to analyze multiple variables simultaneously and begin to understand behaviors that are common regardless of the discipline. The application of CS principles, mediated through computer simulation, informs nursing practice of the benefits and drawbacks of new procedures, protocols and practices before having to actually implement them. The inclusion of new computational tools and their applications in nursing education is also gaining attention. For example, education in CSs and applied computational applications has been endorsed by The Institute of Medicine, the American Organization of Nurse Executives and the American Association of Colleges of Nursing as essential training of nurse leaders. The purpose of this article is to review current research literature regarding CS science within the context of expert practice and implications for the education of nurse leadership roles. The article focuses on 3 broad areas: CS defined, literature review and exemplars from CS research and applications of CS theory in nursing leadership education. The article also highlights the key role nursing informaticists play in integrating emerging computational tools in the analysis of complex nursing systems.

  9. Spontaneous Raman Scattering Diagnostics: Applications in Practical Combustion Systems. Chapter 5

    NASA Technical Reports Server (NTRS)

    Kojima, Jun; Viet-Nguyen, Quang; Lackner, Maximilian (Editor); Winter, Franz (Editor); Agarwal, Avinash (Editor)

    2010-01-01

    In this chapter, the recent advancements and practical aspects of laser SRS diagnostics have been reviewed wi til regards to applications in practical combustion systems. Clearly, SRS represents a theoretically and experimentally mature diagnostic technology that has become an essential tool for multiscalar measurements in turbulent combustion at elevated pressures. Today, time-, space-, spectrally, and even polarization-resolved S RS diagnostics is at hand, with aid from recent innovations in theoretical and technological developments on electro-optical or electromechanical devices. Whilst a linear increase in SRS signals can be expected in high-pressure systems (this is perhaps one of the most important advantages for using SRS in high-pressure systems), there are practical (often severe) restrictions associated with pressurized vessels, due mainly to the limited degree of optical access. This narrows ti,e available choice of diagnostics that can be employed at any given time. Point-wise SRS diagnostics provides the highest accuracy on the chemical species and temperature measurements, and will continue to remain a vital approach for the study in such harsh environments. The practical design considerations and hands-on set-up guide for SRS diagnostics provided in this chapter are rarely presented elsewhere. Although the second-harmonic Nd:YAG pulsed laser (532 nm), combined with pulse-stretching optics or the recently introduced White Cell-based laser, seems to be the most favored excitation source of choice by the research community, UV excitation will undoubtedly continue to be used on many occasions, and especially in sooting flames. Detection methods may be divided into ICCD-based nanosecond-gate detection or a rotary-chopper electromechanical shutter-based CCD array detection, and the levels of background flame emission in individual cases would determine this critical design choice. Here, a process of Raman signal calibration based on ti,e crosstalk matrix

  10. Practical Aerobic Oxidations of Alcohols and Amines with Homogeneous Cu/TEMPO and Related Catalyst Systems

    PubMed Central

    Ryland, Bradford L.; Stahl, Shannon S.

    2014-01-01

    Alcohol and amine oxidations are common reactions in laboratory and industrial synthesis of organic molecules. Aerobic oxidation methods have long been sought for these transformations, but few practical methods exist that offer advantages over traditional oxidation methods. Recently developed homogeneous Cu/TEMPO (TEMPO = 2,2,6,6-tetramethylpiperidinyl-N-oxyl) and related catalyst systems appear to fill this void. The reactions exhibit high levels of chemoselectivity and broad functional-group tolerance, and they often operate efficiently at room temperature with ambient air as the oxidant. These advances, together with their historical context and recent applications, are highlighted in this minireview. PMID:25044821

  11. How secure is your information system? An investigation into actual healthcare worker password practices.

    PubMed

    Cazier, Joseph A; Medlin, B Dawn

    2006-09-27

    For most healthcare information systems, passwords are the first line of defense in keeping patient and administrative records private and secure. However, this defense is only as strong as the passwords employees chose to use. A weak or easily guessed password is like an open door to the medical records room, allowing unauthorized access to sensitive information. In this paper, we present the results of a study of actual healthcare workers' password practices. In general, the vast majority of these passwords have significant security problems on several dimensions. Implications for healthcare professionals are discussed.

  12. Spontaneous Raman Scattering Diagnostics: Applications in Practical Combustion Systems. Chapter 5

    NASA Technical Reports Server (NTRS)

    Kojima, Jun; Viet-Nguyen, Quang; Lackner, Maximilian (Editor); Winter, Franz (Editor); Agarwal, Avinash (Editor)

    2010-01-01

    In this chapter, the recent advancements and practical aspects of laser SRS diagnostics have been reviewed wi til regards to applications in practical combustion systems. Clearly, SRS represents a theoretically and experimentally mature diagnostic technology that has become an essential tool for multiscalar measurements in turbulent combustion at elevated pressures. Today, time-, space-, spectrally, and even polarization-resolved S RS diagnostics is at hand, with aid from recent innovations in theoretical and technological developments on electro-optical or electromechanical devices. Whilst a linear increase in SRS signals can be expected in high-pressure systems (this is perhaps one of the most important advantages for using SRS in high-pressure systems), there are practical (often severe) restrictions associated with pressurized vessels, due mainly to the limited degree of optical access. This narrows ti,e available choice of diagnostics that can be employed at any given time. Point-wise SRS diagnostics provides the highest accuracy on the chemical species and temperature measurements, and will continue to remain a vital approach for the study in such harsh environments. The practical design considerations and hands-on set-up guide for SRS diagnostics provided in this chapter are rarely presented elsewhere. Although the second-harmonic Nd:YAG pulsed laser (532 nm), combined with pulse-stretching optics or the recently introduced White Cell-based laser, seems to be the most favored excitation source of choice by the research community, UV excitation will undoubtedly continue to be used on many occasions, and especially in sooting flames. Detection methods may be divided into ICCD-based nanosecond-gate detection or a rotary-chopper electromechanical shutter-based CCD array detection, and the levels of background flame emission in individual cases would determine this critical design choice. Here, a process of Raman signal calibration based on ti,e crosstalk matrix

  13. Communities of practice for supporting health systems change: a missed opportunity.

    PubMed

    Kothari, Anita; Boyko, Jennifer A; Conklin, James; Stolee, Paul; Sibbald, Shannon L

    2015-07-25

    Communities of practice (CoPs) have been used in the health sector to support professional practice change. However, little is known about how CoPs might be used to influence a system that requires change at and across various levels (i.e. front line care, organizational, governmental). In this paper we examine the experience of a CoP in the Canadian province of Ontario as it engages in improving the care of seniors. Our aim is to shed light on using CoPs to facilitate systems change. This paper draws on year one findings of a larger multiple case study that is aiming to increase understanding of knowledge translation processes mobilized through CoPs. In this paper we strategically report on one case to illustrate a critical example of a CoP trying to effect systems change. Primary data included semi-structured interviews with CoP members (n = 8), field notes from five planning meetings, and relevant background documents. Data analysis included deductive coding (i.e. pre-determined codes aligned with the larger project) and inductive coding which allowed codes and themes to emerge. A thorough description of the case was prepared using all the coded data. The CoP recognized a need to support health professionals (nurses, dentists) and related paraprofessionals with knowledge, experience, and resources to appropriately address their clients' oral health care needs. Accordingly, the CoP led a knowledge-to-action initiative that involved a seven-part webinar series meant to transfer step-by-step, skill-based knowledge through live and archived webinars. Although the core planning team functioned effectively to develop the webinars, the CoP was challenged by organizational and long-term care sector cultures, as well as governmental structures within the broader health context. The provincial CoP functioned as an incubator that brought together best practices, research, experiences, a reflective learning cycle, and passionate champions. Nevertheless, the CoP's efforts to

  14. Total quality management practices in the NSW hospital system--an overview.

    PubMed

    Ross, P; Clear, M; Dixon, K; Bartlett, M; Johnson, A; Wheldon, B; Hatcher, D

    1996-01-01

    A two-phase descriptive study involving a questionnaire survey was undertaken during 1994 and 1995 to evaluate the extent of implementation of total quality management practices in New South Wales hospitals accredited by the Australian Council on Healthcare Standards. A survey response rate of 72 per cent was attained. Results indicated that most hospitals were aware of and consciously implemented aspects of the total quality management philosophy in some way. There is little evidence that whole systems have embraced the total quality management approach as a fully integrated endeavour.

  15. PERIODONTAL SYSTEMIC INTERACTION: PERCEPTION, ATTITUDES AND PRACTICES AMONG MEDICAL DOCTORS IN NIGERIA.

    PubMed

    Umeizudike, K A; Iwuala, S O; Ozoh, O B; Ekekezie, O O; Umeizudike, T I

    2015-01-01

    Periodontal diseases (PD) impact the outcome of some systemic illnesses. Medical doctors' knowledge and practices regarding this association may influence the effective management of their patients. This has been understudied among Nigerian doctors. To determine the knowledge, attitudes and practices regarding periodontal-systemic disease interactions among medical doctors in Nigeria. This was a descriptive, cross sectional study by design, while the study setting was at the National Postgraduate Medical College of Nigeria (NPMCN), Ijanikin, Lagos. The study participants were senior resident doctors attending compulsory Research Methodology and Management courses organized by the NPMCN in 2014. Self-administered questionnaires were distributed among the participants to obtain information on their socio-demography, PD knowledge, association between PD and systemic illnesses, attitudes to periodontal health and oral hygiene practices questionnaires. Student t test and ANOVA were used to test associations between variables. The level of significance was set at p < 0.05. A total of 236 doctors participated in the study with a mean age of 35.8 (± 4.5) years, males being predominant (62.7%). Few doctors (42.1%) knew dental plaque as the main cause of PD, while 16.5% were aware of gum bleeding as earliest sign. Female doctors displayed better knowledge than males (p= 0.044). Majority were aware of an association between PD and chronic kidney disease (88.6%) and diabetes (86.5%). Knowledge of PD as a risk factor for stroke was 33.1%, poor glycemic control (25.4%), and pre-term low birthweight (14.8%). Most doctors had positive attitudes towards patients' periodontal health, while 33.5% assessed their patients' oral cavity regularly. All the doctors used tooth brush and paste to clean their teeth, while 43.2% cleaned twice daily. Only 16.5% used dental floss frequently and was associated with higher PD knowledge (p<0.001) and higher attitude scores (p=0.005). Senior

  16. PERIODONTAL SYSTEMIC INTERACTION: PERCEPTION, ATTITUDES AND PRACTICES AMONG MEDICAL DOCTORS IN NIGERIA.

    PubMed

    Umeizudike, K A; Iwuala, S O; Ozoh, O B; Ekekezie, O O; Umeizudike, T I

    2015-01-01

    Periodontal diseases (PD) impact the outcome of some systemic illnesses. Medical doctors' knowledge and practices regarding this association may influence the effective management of their patients. This has been understudied among Nigerian doctors. The study aimed to determine the knowledge, attitudes and practices regarding periodontal-systemic disease interactions among medical doctors in Nigeria. This was a descriptive, cross sectional study by design, while the study setting was at the National Postgraduate Medical College of Nigeria (NPMCN), Ijanikin, Lagos. The study participants were senior resident doctors attending compulsory Research Methodology and Management courses organized by the NPMCN in 2014. Self-administered questionnaires were distributed among the participants to obtain information on their socio-demography, PD knowledge, association between PD and systemic illnesses, attitudes to periodontal health and oral hygiene practices questionnaires. Student t test and ANOVA were used to test associations between variables. The level of significance was set at p < 0.05. A total of 236 doctors participated in the study with a mean age of 35.8 (± 4.5) years, males being predominant (62.7%). Few doctors (42.1%) knew dental plaque as the main cause of PD, while 16.5% were aware of gum bleeding as earliest sign. Female doctors displayed better knowledge than males (p= 0.044). Majority were aware of an association between PD and chronic kidney disease (88.6%) and diabetes (86.5%). Knowledge of PD as a risk factor for stroke was 33.1%, poor glycemic control (25.4%), and pre-term low birthweight (14.8%). Most doctors had positive attitudes towards patients' periodontal health, while 33.5% assessed their patients' oral cavity regularly. All the doctors used tooth brush and paste to clean their teeth, while 43.2% cleaned twice daily. Only 16.5% used dental floss frequently and was associated with higher PD knowledge (p<0.001) and higher attitude scores (p=0

  17. How Secure Is Your Information System? An Investigation into Actual Healthcare Worker Password Practices

    PubMed Central

    Cazier, Joseph A; Medlin, B. Dawn

    2006-01-01

    For most healthcare information systems, passwords are the first line of defense in keeping patient and administrative records private and secure. However, this defense is only as strong as the passwords employees chose to use. A weak or easily guessed password is like an open door to the medical records room, allowing unauthorized access to sensitive information. In this paper, we present the results of a study of actual healthcare workers' password practices. In general, the vast majority of these passwords have significant security problems on several dimensions. Implications for healthcare professionals are discussed. PMID:18066366

  18. A practical case in the integration of ISO-14001, integral quality system and Mexican requirements

    SciTech Connect

    Reyna-Limas, C,; Cruz, E.T. de la

    1999-07-01

    In Penoles Group facilities have started in the process of Integral Quality, for this reason words like ecology culture, security culture, productivity culture, labor modernity, etc. were used like independent items and the directors made Strategic Plans of each item, with no integration, although they are part of the business. In Minera Tizapa their vision is integral and the authors planned an Environmental Management System based in the Management Model, besides the integration of other environmental programs resulted of legal requirements. This paper presents several practical elements of the standard and the relationship with quality and the Mexican requirements.

  19. Instructional Systems of Practice: A Multidimensional Analysis of Math and Science Undergraduate Course Planning and Classroom Teaching

    ERIC Educational Resources Information Center

    Hora, Matthew Tadashi; Ferrare, Joseph J.

    2013-01-01

    Descriptions of faculty practice that illuminate nuances of how course planning and classroom instruction occur in specific contexts are important to inform pedagogical interventions. The study reported in this article draws on systems-of-practice theory to focus on the dynamic interplay among actors, artifacts, and tasks that constrains…

  20. A Grounded Theory Exploration of the North Carolina Educator Evaluation System and Its Effects on Teaching Practices and Teacher Leadership

    ERIC Educational Resources Information Center

    Wydo, Daniel A.

    2016-01-01

    This study examined the effects of the recently implemented North Carolina Educator Evaluator System (NCEES) on teaching practices and teacher leadership in a mostly rural county in the Piedmont region of North Carolina. NCEES is designed to improve teaching practices and teacher leadership through performance-based standards. This…