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Sample records for practical ofdma system

  1. 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.

  2. 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.

  3. 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.

  4. 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

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

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

    DTIC Science & Technology

    2015-03-01

    estimate signal features, remotely gaining intelligence without alerting the communication system. This research also demonstrates how estimated signal...messages between nodes, such as what is implemented in [23], suggests the ability to successfully intercept messages without alerting users of ExJx node...remotely gaining intelligence without alerting the communication system. This research also demonstrates how estimated signal features can be used

  14. 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.

  15. 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.

  16. 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.

  17. 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

  18. 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.

  19. 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.

  20. 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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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…

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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

  14. 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…

  15. 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.

  16. 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.

  17. 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…

  18. [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.

  19. 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.

  20. 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

  1. 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.

  2. 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…

  3. 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.

  4. 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.

  5. 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

  6. 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

  7. 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.

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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…

  17. 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.

  18. 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

  19. 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.

  20. 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.

  1. 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…

  2. 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

  3. 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.

  4. 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.

  5. 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…

  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. 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.

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. "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.

  13. 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.

  14. 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…

  15. 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…

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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

  1. 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…

  2. 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

  3. 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.

  4. 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.

  5. 75 FR 65052 - Consensus Standards, Standard Practice for Maintenance of Airplane Electrical Wiring Systems

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-21

    ... TRANSPORTATION Federal Aviation Administration Consensus Standards, Standard Practice for Maintenance of Airplane... Practice for Maintenance of Airplane Electrical Wiring Systems (Standard Practice) as an acceptable means... FAA finds the standards to be acceptable methods and procedures for maintenance of electrical...

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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

  12. 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.

  13. 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…

  14. 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.

  15. 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.

  16. 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})

  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. 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.

  3. 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

  4. 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.

  5. 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.

  6. 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

  7. 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

  8. 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

  9. 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…

  10. 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

  11. 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

  12. 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.

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

    DTIC Science & Technology

    2015-10-09

    better world 7 New York City MTA - Communicate subway shut Best Practices: Examples BUILDING STRONG® Innovative solutions for a safer, better world...down and start up time to the public 8 Multiple cities - Rapid structural safety assessment/ triage (green- Best Practices: Examples BUILDING STRONG® Innovative solutions for a safer, better world yellow-red stickers 9

  14. 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...

  15. 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.

  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. 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…

  18. 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

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

    DTIC Science & Technology

    2012-03-01

    interoperability for microwave access ZCC zero-terminating convolutional coding xv EXECUTIVE SUMMARY Many developing regions of the world that...consolidated and revised into the IEEE 802.16-2009 standard, which is the basis for mobile worldwide interoperability for microwave access (WiMAX...interoperability for microwave access (WiMAX) is based on the IEEE 802.16-2004 standard and mobile WiMAX is based on the IEEE 802.16e-2005 standard. Although

  20. 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.

  1. 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.

  2. 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.

  3. 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…

  4. 29 CFR 1926.502 - Fall protection systems criteria and practices.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 8 2010-07-01 2010-07-01 false Fall protection systems criteria and practices. 1926.502... ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) SAFETY AND HEALTH REGULATIONS FOR CONSTRUCTION Fall Protection § 1926.502 Fall protection systems criteria and practices. (a) General. (1) Fall protection...

  5. 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…

  6. 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…

  7. 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…

  8. 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…

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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

  16. [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.

  17. 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.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. 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…

  4. 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;…

  5. 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.

  6. 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…

  7. 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.

  8. 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…

  9. 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…

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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

  20. 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

  1. 75 FR 22844 - Construction Fall Protection Systems Criteria and Practices and Training Requirements; Extension...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    ... Occupational Safety and Health Administration Construction Fall Protection Systems Criteria and Practices and Training Requirements; Extension of the Office of Management and Budget's (OMB) Approval of Information... extend OMB approval of the information collection requirements contained in the construction standards...

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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

  7. 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…

  8. 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.

  9. 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.

  10. 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…

  11. 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…

  12. 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…

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

    DTIC Science & Technology

    2012-01-01

    of interest, such as availability (e.g., uptime) and securi- ty (e.g., type of encryption ), that developers should capture for services. Work by IBM... searchable directory and service reposi- tory to describe a system element that stores additional metadata and artifacts associated with services

  14. 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…

  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. 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…

  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. 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

  1. 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.

  2. 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.

  3. 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.

  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. 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.

  6. 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

  7. 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.

  8. 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.

  9. 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.

  10. 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

  11. 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

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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…

  20. 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…

  1. 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…

  2. 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…

  3. 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…

  4. 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…

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  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. 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…

  16. 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.

  17. 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....

  18. 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.

  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. 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.

  1. 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

  2. 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?

  3. 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

  4. 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...

  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. 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…

  8. 40 CFR Table 10 to Subpart Ffff of... - Work Practice Standards for Heat Exchange Systems

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Work Practice Standards for Heat Exchange Systems 10 Table 10 to Subpart FFFF of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES National...

  9. 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…

  10. 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…

  11. 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…

  12. 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.

  13. 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…

  14. 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...

  15. 78 FR 59725 - Construction Fall Protection Systems Criteria and Practices, and Training Requirements; Extension...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ... Occupational Safety and Health Administration Construction Fall Protection Systems Criteria and Practices, and... extend OMB approval of the information collection requirements contained in the Construction Standards on... INFORMATION. Docket: To read or download comments or other material in the docket, go to...

  16. 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 Exchange Systems 10 Table 10 to Subpart FFFF of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES (CONTINUED)...

  17. 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 Exchange Systems 10 Table 10 to Subpart FFFF of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES (CONTINUED)...

  18. 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 Exchange Systems 10 Table 10 to Subpart FFFF of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES National...

  19. 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 Exchange Systems 10 Table 10 to Subpart FFFF of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES (CONTINUED)...

  20. 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…

  1. 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…

  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. 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

  5. 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

  6. 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.

  7. 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.

  8. 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.

  9. 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

  10. 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.

  11. 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

  12. 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.

  13. 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.

  14. 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

  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. 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.

  17. 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.

  18. 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

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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

  5. 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.

  6. 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.

  7. 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

  8. 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.

  9. 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.

  10. 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.

  11. 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…

  12. 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.

  13. [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.

  14. 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.

  15. 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.

  16. 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

  17. 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

  18. 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.

  19. 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

  20. 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.

  1. 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

  2. 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

  3. 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.

  4. 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

  5. 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.

  6. 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.

  7. 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).

  8. 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

  9. 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.

  10. 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

  11. 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…

  12. Analyzing Systems Integration Best Practices and Assessment in DoD Space Systems Acquisition

    DTIC Science & Technology

    2009-12-01

    design to meet those requirements. He advocated using good systems engineering principles to work issues as they arose.‖ (20:38) ―The integration role...needed to assume a more aggressive integration role. He believed that unresolved issues between the GPS segments and/or systems were...working together‖ and without any means to ascertain its value. This research has discovered some of the theoretical issues of SI. Although not

  13. 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.

  14. 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.

  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. 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.

  18. 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

  19. [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.

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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…

  17. 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

  18. 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.

  19. 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.

  20. 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

  1. 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

  2. Microchip-based cellular biochemical systems for practical applications and fundamental research: from microfluidics to nanofluidics.

    PubMed

    Xu, Yan; Jang, Kihoon; Yamashita, Tadahiro; Tanaka, Yo; Mawatari, Kazuma; Kitamori, Takehiko

    2012-01-01

    By combining cell technology and microchip technology, innovative cellular biochemical tools can be created from the microscale to the nanoscale for both practical applications and fundamental research. On the microscale level, novel practical applications taking advantage of the unique capabilities of microfluidics have been accelerated in clinical diagnosis, food safety, environmental monitoring, and drug discovery. On the other hand, one important trend of this field is further downscaling of feature size to the 10(1)-10(3) nm scale, which we call extended-nano space. Extended-nano space technology is leading to the creation of innovative nanofluidic cellular and biochemical tools for analysis of single cells at the single-molecule level. As a pioneering group in this field, we focus not only on the development of practical applications of cellular microchip devices but also on fundamental research to initiate new possibilities in the field. In this paper, we review our recent progress on tissue reconstruction, routine cell-based assays on microchip systems, and preliminary fundamental method for single-cell analysis at the single-molecule level with integration of the burgeoning technologies of extended-nano space.

  3. International student nurses' experiences of clinical practice in the Finnish health care system.

    PubMed

    Mattila, Lea-Riitta; Pitkäjärvi, Marianne; Eriksson, Elina

    2010-05-01

    The purpose of this qualitative study was to describe international student nurses' experiences of their clinical practice in the Finnish health care system. The data were collected by semi-structured interviews. Fourteen international student nurses of African and Asian origin were interviewed, and the data were then analysed by qualitative content analysis. The results indicated that appreciative orientation, sense of belonging to the team, enhancing independent working, growing towards professionalism and working as a member of the team were descriptions of positive experiences. Descriptions of negative experiences were related to restricted learning and compromised human dignity, which lead to negative feelings of being an outsider, decreased self-esteem, sense of giving up and anticipation of difficulties. Despite the small sample size, the results indicate a need to develop clinical practice arrangements when the language of the learning environment is other than that of the student nurse. As the number of international students has increased in the Finnish health care sector and in nursing education, it is important to recognise the factors related to positive and negative experiences in clinical practice.

  4. Scenario analysis of fertilizer management practices for N2O mitigation from corn systems in Canada.

    PubMed

    Abalos, Diego; Smith, Ward N; Grant, Brian B; Drury, Craig F; MacKell, Sarah; Wagner-Riddle, Claudia

    2016-12-15

    Effective management of nitrogen (N) fertilizer application by farmers provides great potential for reducing emissions of the potent greenhouse gas nitrous oxide (N2O). However, such potential is rarely achieved because our understanding of what practices (or combination of practices) lead to N2O reductions without compromising crop yields remains far from complete. Using scenario analysis with the process-based model DNDC, this study explored the effects of nine fertilizer practices on N2O emissions and crop yields from two corn production systems in Canada. The scenarios differed in: timing of fertilizer application, fertilizer rate, number of applications, fertilizer type, method of application and use of nitrification/urease inhibitors. Statistical analysis showed that during the initial calibration and validation stages the simulated results had no significant total error or bias compared to measured values, yet grain yield estimations warrant further model improvement. Sidedress fertilizer applications reduced yield-scaled N2O emissions by c. 60% compared to fall fertilization. Nitrification inhibitors further reduced yield-scaled N2O emissions by c. 10%; urease inhibitors had no effect on either N2O emissions or crop productivity. The combined adoption of split fertilizer application with inhibitors at a rate 10% lower than the conventional application rate (i.e. 150kgNha(-1)) was successful, but the benefits were lower than those achieved with single fertilization at sidedress. Our study provides a comprehensive assessment of fertilizer management practices that enables policy development regarding N2O mitigation from agricultural soils in Canada.

  5. Systemic mistakes in hand hygiene practice in Ukraine: detection, consequences and ways of elimination

    PubMed Central

    Klymenko, Iryna; Kampf, Günter

    2015-01-01

    Aim: Every year, millions of people around the world suffer from different infectious diseases, considerable part of which are hospital-acquired infections. WHO considers hand hygiene as a priority measure aimed to reduce the level of infection. We evaluated various aspects related to the situational behavior and prioritization regarding hand hygiene measures among the healthcare workers of Ukraine. Method: Identification of system mistakes in hand hygiene was carried out first of all by direct and indirect observation of the activities of medical and pharmaceutical personnel in their everyday practice as well as during their participation in trainings on routine hand hygiene. Questionnaires also were used to estimate the level of hand hygiene compliance of participants of the study. During this period 112 training courses, 315 master-classes and presentations on proper hand hygiene were realized. The target audience included health care workers of medical centers, clinics, maternity hospitals, health care organizations and staff of pharmacies and pharmaceutical manufacturing enterprises in all regions of Ukraine. 638 respondents took part in anonymous survey on hand hygiene practice. Results: The most common mistakes were to regard hand washing and hand disinfection equally, to wash hands before doing a hand disinfection, to neglect the five moments for hand hygiene and to ignore hand hygiene before and after wearing protective gloves. Practitioners, medical attendants, pharmacy and pharmaceutical industry workers highlighted the need for practical and understandable instructions of various hand hygiene procedures, including the clarification of the possible technical mistakes. This became a ground for us to create individual master classes on hand hygiene for each cluster of healthcare workers. Conclusions: Changing hand hygiene behavior and attitude is possible by beginning to observe clinical practice and by involving healthcare workers in teaching and training

  6. An information-theoretic approach to assess practical identifiability of parametric dynamical systems.

    PubMed

    Pant, Sanjay; Lombardi, Damiano

    2015-10-01

    A new approach for assessing parameter identifiability of dynamical systems in a Bayesian setting is presented. The concept of Shannon entropy is employed to measure the inherent uncertainty in the parameters. The expected reduction in this uncertainty is seen as the amount of information one expects to gain about the parameters due to the availability of noisy measurements of the dynamical system. Such expected information gain is interpreted in terms of the variance of a hypothetical measurement device that can measure the parameters directly, and is related to practical identifiability of the parameters. If the individual parameters are unidentifiable, correlation between parameter combinations is assessed through conditional mutual information to determine which sets of parameters can be identified together. The information theoretic quantities of entropy and information are evaluated numerically through a combination of Monte Carlo and k-nearest neighbour methods in a non-parametric fashion. Unlike many methods to evaluate identifiability proposed in the literature, the proposed approach takes the measurement-noise into account and is not restricted to any particular noise-structure. Whilst computationally intensive for large dynamical systems, it is easily parallelisable and is non-intrusive as it does not necessitate re-writing of the numerical solvers of the dynamical system. The application of such an approach is presented for a variety of dynamical systems--ranging from systems governed by ordinary differential equations to partial differential equations--and, where possible, validated against results previously published in the literature.

  7. Current Utility Screening Practices, Technical Tools, Impact Studies, and Mitigation Strategies for Interconnecting PV on the Electric Distribution Systems

    SciTech Connect

    Coddington, Michael

    2014-12-19

    This report summarizes common best practices of photovoltaic system interconnection procedures based on interviews held with 19 electric utilities located in the state of California and in the southwestern, central, and northeastern regions of the United States.

  8. Reproductive management practices and performance of Canadian dairy herds using automated activity-monitoring systems.

    PubMed

    Neves, R C; LeBlanc, S J

    2015-04-01

    The objectives of this study were to describe the characteristics and motivations of producers who had implemented automated activity-monitoring (AAM) systems and to compare herd reproductive performance before and after the implementation of an AAM system and between herds with AAM and herds managing reproduction based on timed artificial insemination (TAI) or based on other programs. Freestall dairy herds located in Ontario and the western provinces of Canada and enrolled in Dairy Herd Improvement were surveyed through a mail questionnaire between April and July 2010. The data describe the characteristics and reproductive management practices of herds using AAM systems. A total of 505 questionnaires (29%) were returned. On average, 21-d pregnancy risk, conception risk, and 21-d insemination risk did not differ between herds managing reproduction based on an AAM system (18, 39, and 50%, respectively) or a TAI-based program (17, 38, and 49%, respectively). Herds that implemented an AAM system had a significant increase in annual pregnancy risk, from 15 to 17%, and insemination risk increased from 42 to 50%, whereas conception risk was unchanged (37 and 35%) following adoption of the system. The majority of respondents with AAM systems first used the system to manage reproduction in lactating cows. Most herds with AAM were performing artificial insemination twice per day, most commonly with an interval from the estrus alarm to artificial insemination of 7 to 12 h. The most commonly reported reason to adopt an AAM system was a desire to improve reproductive performance. These results support the findings from randomized trials that AAM-based programs can yield comparable reproductive performance to TAI-based programs.

  9. Discretionary use of family practice information systems: an empirical examination in Turkey.

    PubMed

    Ada, Serkan; Bal, Canan Gamze; Çelik, Adnan; Akgemci, Tahir

    2013-01-01

    This study examined the antecedents and consequences of the discretionary use of the family practice information systems (FPIS) by family physicians in Turkey. A structured survey was conducted among family physicians located in Kahramanmaras, a southern province in Turkey. The partial least squares (PLS) method was used to analyse the survey data. Findings showed that (1) physicians' discretionary use of FPIS is positively related to their perceived value of patient care; (2) physicians' computer self-efficacy is positively related to their discretionary use of FPIS; (3) physicians' innovativeness in information technology (IT) is positively related to their computer self-efficacy; and (4) physicians' innovativeness in IT does not significantly impact on their discretionary use of FPIS. The present study's findings revealed that physicians should be adequately informed about the discretionary use of FPIS, and policies should be established to improve family physicians' understanding and competence of information systems, including computer self-efficacy.

  10. Foundational ethics of the health care system: the moral and practical superiority of free market reforms.

    PubMed

    Sade, Robert M

    2008-10-01

    Proposed solutions to the problems of this country's health care system range along a spectrum from central planning to free market. Central planners and free market advocates provide various ethical justifications for the policies they propose. The crucial flaw in the philosophical rationale of central planning is failure to distinguish between normative and metanormative principles, which leads to mistaken understanding of the nature of rights. Natural rights, based on the principle of noninterference, provide the link between individual morality and social order. Free markets, the practical expression of natural rights, are uniquely capable of achieving the goals that central planners seek but find beyond their grasp. The history of this country's health care system and the experiences of other nations provide evidence of the superiority of free markets in reaching for the goals of universal access, control of costs, and sustaining the quality of health care.

  11. An architectural approach to create self organizing control systems for practical autonomous robots

    NASA Technical Reports Server (NTRS)

    Greiner, Helen

    1991-01-01

    For practical industrial applications, the development of trainable robots is an important and immediate objective. Therefore, the developing of flexible intelligence directly applicable to training is emphasized. It is generally agreed upon by the AI community that the fusion of expert systems, neural networks, and conventionally programmed modules (e.g., a trajectory generator) is promising in the quest for autonomous robotic intelligence. Autonomous robot development is hindered by integration and architectural problems. Some obstacles towards the construction of more general robot control systems are as follows: (1) Growth problem; (2) Software generation; (3) Interaction with environment; (4) Reliability; and (5) Resource limitation. Neural networks can be successfully applied to some of these problems. However, current implementations of neural networks are hampered by the resource limitation problem and must be trained extensively to produce computationally accurate output. A generalization of conventional neural nets is proposed, and an architecture is offered in an attempt to address the above problems.

  12. Application of Recommended Design Practices for Conceptual Nuclear Fusion Space Propulsion Systems

    NASA Technical Reports Server (NTRS)

    Williams, Craig H.

    2004-01-01

    An AIAA Special Project Report was recently produced by AIAA's Nuclear and Future Flight Propulsion Technical Committee and is currently in peer review. The Report provides recommended design practices for conceptual engineering studies of nuclear fusion space propulsion systems. Discussion and recommendations are made on key topics including design reference missions, degree of technological extrapolation and concomitant risk, thoroughness in calculating mass properties (nominal mass properties, weight-growth contingency and propellant margins, and specific impulse), and thoroughness in calculating power generation and usage (power-flow, power contingencies, specific power). The report represents a general consensus of the nuclear fusion space propulsion system conceptual design community and proposes 15 recommendations. This paper expands on the Report by providing specific examples illustrating how to apply each of the recommendations.

  13. [The Italian inspection system for good laboratory practice: structure and updates].

    PubMed

    Capasso, Monica

    2002-01-01

    The Italian inspecting system for compliance with the good laboratory practice (GLP) principles is fully operative since late 1996. Over these past years documents have been issued and specific guidelines have been worked out to properly perform the activities prescribed. This preparatory work has allowed the Italian system to harmonize with those of the other member states of the European Union. In the frame of other international activities, the Italian Inspectorate has participated in the mutual joint visits programme set up by OECD. Much effort has been invested to pinpoint differences in the approaches followed by the various Italian inspecting teams when inspecting test facilities. From this standpoint, the priority was the attainment of reliable information as well as of solutions that would allow the harmonization of the conduct of GLP inspections. It cannot be overlooked, in fact, that there are 24 inspectors, to whom a substantial number of experts has to be added.

  14. Countermeasure against probabilistic blinding attack in practical quantum key distribution systems

    NASA Astrophysics Data System (ADS)

    Qian, Yong-Jun; Li, Hong-Wei; He, De-Yong; Yin, Zhen-Qiang; Zhang, Chun-Mei; Chen, Wei; Wang, Shuang; Han, Zheng-Fu

    2015-09-01

    In a practical quantum key distribution (QKD) system, imperfect equipment, especially the single-photon detector, can be eavesdropped on by a blinding attack. However, the original blinding attack may be discovered by directly detecting the current. In this paper, we propose a probabilistic blinding attack model, where Eve probabilistically applies a blinding attack without being caught by using only an existing intuitive countermeasure. More precisely, our countermeasure solves the problem of how to define the bound in the limitation of precision of current detection, and then we prove security of the practical system by considering the current parameter. Meanwhile, we discuss the bound of the quantum bit error rate (QBER) introduced by Eve, by which Eve can acquire information without the countermeasure. Project supported by the National Basic Research Program of China (Grant Nos. 2011CBA00200 and 2011CB921200), the National Natural Science Foundation of China (Grant Nos. 61475148, 61201239, 61205118, and 11304397), and the China Postdoctoral Science Foundation (Grant No. 2013M540514).

  15. Controlling practical stability and safety of mechanical systems by exploiting chaos properties

    NASA Astrophysics Data System (ADS)

    Lenci, Stefano; Orlando, Diego; Rega, Giuseppe; Gonçalves, Paulo B.

    2012-12-01

    In this paper, a method for controlling the global nonlinear dynamics of mechanical systems is applied to two models: the model of Augusti and an inverted guyed pendulum. These simplified models represent a large class of structures liable to buckling exhibiting interacting buckling phenomena. These structures may fail at load levels well below the theoretical buckling load due to complex nonlinear phenomena that decrease the safety and the dynamic integrity of the structure; this often occur as a consequence of imperfections and of the erosion of the basins of attraction of the safe pre-buckling solutions. So, it is of paramount practical importance to increase the safety of these structures in a dynamic environment. This can be achieved by increasing the integrity of the basins of attraction of the safe solutions, a goal that is attained by a control method which consists of the (optimal) elimination of homoclinic (or heteroclinic) intersection by properly adding superharmonic terms to a given harmonic excitation. By means of the solution of an appropriate optimization problem, it is possible to select the amplitudes and the phases of the added superharmonics in such a way that the manifolds distance is as large as possible. The results show that this methodology increases the integrity of the basins of attraction of the system and, consequently, the practical safety of the structure.

  16. The Reliability of a Novel Automated System for ANA Immunofluorescence Analysis in Daily Clinical Practice.

    PubMed

    Alsuwaidi, Mohammed; Dollinger, Margit; Fleck, Martin; Ehrenstein, Boris

    2016-01-01

    Automated interpretation (AI) systems for antinuclear antibody (ANA) analysis have been introduced based on assessment of indirect immunofluorescence (IIF) patterns. The diagnostic performance of a novel automated IIF reading system was compared with visual interpretation (VI) of IIF in daily clinical practice to evaluate the reduction of workload. ANA-IIF tests of consecutive serum samples from patients with suspected connective tissue disease were carried out using HEp-2 cells according to routine clinical care. AI was performed using a visual analyser (Zenit G-Sight, Menarini, Germany). Agreement rates between ANA results by AI and VI were calculated. Of the 336 samples investigated, VI yielded 205 (61%) negative, 42 (13%) ambiguous, and 89 (26%) positive results, whereas 82 (24%) were determined to be negative, 176 (52%) ambiguous, and 78 (24%) positive by AI. AI displayed a diagnostic accuracy of 175/336 samples (52%) with a kappa coefficient of 0.34 compared to VI being the gold standard. Solely relying on AI, with VI only performed for all ambiguous samples by AI, would have missed 1 of 89 (1%) positive results by VI and misclassified 2 of 205 (1%) negative results by VI as positive. The use of AI in daily clinical practice resulted only in a moderate reduction of the VI workload (82 of 336 samples: 24%).

  17. Detection and location of leaks in district heating steam systems: Survey and review of current technology and practices

    SciTech Connect

    Kupperman, D.S.; Raptis, A.C.; Lanham, R.N.

    1992-03-01

    This report presents the results of a survey undertaken to identify and characterize current practices for detecting and locating leaks in district heating systems, particular steam systems. Currently used technology and practices are reviewed. In addition, the survey was used to gather information that may be important for the application of acoustic leak detection. A few examples of attempts to locate leaks in steam and hot water pipes by correlation of acoustic signals generated by the leaks are also discussed.

  18. STP Position Paper: Recommended Practices for Sampling and Processing the Nervous System (Brain, Spinal Cord, Nerve, and Eye) during Nonclinical General Toxicity Studies

    EPA Science Inventory

    The Society of Toxicologic Pathology charged a Nervous System Sampling Working Group with devising recommended practices to routinely screen the central and peripheral nervous systems in Good Laboratory Practice-type nonclinical general toxicity studies. Brains should be trimmed ...

  19. Advancing the application of systems thinking in health: exploring dual practice and its management in Kampala, Uganda

    PubMed Central

    2014-01-01

    Background Many full-time Ugandan government health providers take on additional jobs – a phenomenon called dual practice. We describe the complex patterns that characterize the evolution of dual practice in Uganda, and the local management practices that emerged in response, in five government facilities. An in-depth understanding of dual practice can contribute to policy discussions on improving public sector performance. Methods A multiple case study design with embedded units of analysis was supplemented by interviews with policy stakeholders and a review of historical and policy documents. Five facility case studies captured the perspective of doctors, nurses, and health managers through semi-structured in-depth interviews. A causal loop diagram illustrated interactions and feedback between old and new actors, as well as emerging roles and relationships. Results The causal loop diagram illustrated how feedback related to dual practice policy developed in Uganda. As opportunities for dual practice grew and the public health system declined over time, government providers increasingly coped through dual practice. Over time, government restrictions to dual practice triggered policy resistance and protest from government providers. Resulting feedback contributed to compromising the supply of government providers and, potentially, of service delivery outcomes. Informal government policies and restrictions replaced the formal restrictions identified in the early phases. In some instances, government health managers, particularly those in hospitals, developed their own practices to cope with dual practice and to maintain public sector performance. Management practices varied according to the health manager’s attitude towards dual practice and personal experience with dual practice. These practices were distinct in hospitals. Hospitals faced challenges managing internal dual practice opportunities, such as those created by externally-funded research projects based

  20. 40 CFR 141.542 - What must my system do if we are considering a significant change to disinfection practices?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... your State. Your system may only make a significant disinfection practice change after consulting with... 40 Protection of Environment 22 2010-07-01 2010-07-01 false What must my system do if we are... REGULATIONS Enhanced Filtration and Disinfection-Systems Serving Fewer Than 10,000 People...

  1. A practical implementation of free viewpoint video system for soccer games

    NASA Astrophysics Data System (ADS)

    Suenaga, Ryo; Suzuki, Kazuyoshi; Tezuka, Tomoyuki; Panahpour Tehrani, Mehrdad; Takahashi, Keita; Fujii, Toshiaki

    2015-03-01

    In this paper, we present a free viewpoint video generation system with billboard representation for soccer games. Free viewpoint video generation is a technology that enables users to watch 3-D objects from their desired viewpoints. Practical implementation of free viewpoint video for sports events is highly demanded. However, a commercially acceptable system has not yet been developed. The main obstacles are insufficient user-end quality of the synthesized images and highly complex procedures that sometimes require manual operations. In this work, we aim to develop a commercially acceptable free viewpoint video system with a billboard representation. A supposed scenario is that soccer games during the day can be broadcasted in 3-D, even in the evening of the same day. Our work is still ongoing. However, we have already developed several techniques to support our goal. First, we captured an actual soccer game at an official stadium where we used 20 full-HD professional cameras. Second, we have implemented several tools for free viewpoint video generation as follow. In order to facilitate free viewpoint video generation, all cameras should be calibrated. We calibrated all cameras using checker board images and feature points on the field (cross points of the soccer field lines). We extract each player region from captured images manually. The background region is estimated by observing chrominance changes of each pixel in temporal domain (automatically). Additionally, we have developed a user interface for visualizing free viewpoint video generation using a graphic library (OpenGL), which is suitable for not only commercialized TV sets but also devices such as smartphones. However, practical system has not yet been completed and our study is still ongoing.

  2. Towards knowledge-based systems in clinical practice: development of an integrated clinical information and knowledge management support system.

    PubMed

    Kalogeropoulos, Dimitris A; Carson, Ewart R; Collinson, Paul O

    2003-09-01

    Given that clinicians presented with identical clinical information will act in different ways, there is a need to introduce into routine clinical practice methods and tools to support the scientific homogeneity and accountability of healthcare decisions and actions. The benefits expected from such action include an overall reduction in cost, improved quality of care, patient and public opinion satisfaction. Computer-based medical data processing has yielded methods and tools for managing the task away from the hospital management level and closer to the desired disease and patient management level. To this end, advanced applications of information and disease process modelling technologies have already demonstrated an ability to significantly augment clinical decision making as a by-product. The wide-spread acceptance of evidence-based medicine as the basis of cost-conscious and concurrently quality-wise accountable clinical practice suffices as evidence supporting this claim. Electronic libraries are one-step towards an online status of this key health-care delivery quality control environment. Nonetheless, to date, the underlying information and knowledge management technologies have failed to be integrated into any form of pragmatic or marketable online and real-time clinical decision making tool. One of the main obstacles that needs to be overcome is the development of systems that treat both information and knowledge as clinical objects with same modelling requirements. This paper describes the development of such a system in the form of an intelligent clinical information management system: a system which at the most fundamental level of clinical decision support facilitates both the organised acquisition of clinical information and knowledge and provides a test-bed for the development and evaluation of knowledge-based decision support functions.

  3. Concepts and practices used to develop functional PLGA-based nanoparticulate systems

    PubMed Central

    Sah, Hongkee; Thoma, Laura A; Desu, Hari R; Sah, Edel; Wood, George C

    2013-01-01

    The functionality of bare polylactide-co-glycolide (PLGA) nanoparticles is limited to drug depot or drug solubilization in their hard cores. They have inherent weaknesses as a drug-delivery system. For instance, when administered intravenously, the nanoparticles undergo rapid clearance from systemic circulation before reaching the site of action. Furthermore, plain PLGA nanoparticles cannot distinguish between different cell types. Recent research shows that surface functionalization of nanoparticles and development of new nanoparticulate dosage forms help overcome these delivery challenges and improve in vivo performance. Immense research efforts have propelled the development of diverse functional PLGA-based nanoparticulate delivery systems. Representative examples include PEGylated micelles/nanoparticles (PEG, polyethylene glycol), polyplexes, polymersomes, core-shell–type lipid-PLGA hybrids, cell-PLGA hybrids, receptor-specific ligand-PLGA conjugates, and theranostics. Each PLGA-based nanoparticulate dosage form has specific features that distinguish it from other nanoparticulate systems. This review focuses on fundamental concepts and practices that are used in the development of various functional nanoparticulate dosage forms. We describe how the attributes of these functional nanoparticulate forms might contribute to achievement of desired therapeutic effects that are not attainable using conventional therapies. Functional PLGA-based nanoparticulate systems are expected to deliver chemotherapeutic, diagnostic, and imaging agents in a highly selective and effective manner. PMID:23459088

  4. Evaluation of pig production practices, constraints and opportunities for improvement in smallholder production systems in Kenya.

    PubMed

    Mbuthia, Jackson Mwenda; Rewe, Thomas Odiwuor; Kahi, Alexander Kigunzu

    2015-02-01

    This study evaluated pig production practices by smallholder farmers in two distinct production systems geared towards addressing their constraints and prospects for improvement. The production systems evaluated were semi-intensive and extensive and differed in remoteness, market access, resource availability and pig production intensity. Data were collected using structured questionnaires where a total of 102 pig farmers were interviewed. Qualitative and quantitative research methods were employed to define the socioeconomic characteristics of the production systems, understanding the different roles that pigs play, marketing systems and constraints to production. In both systems, regular cash income and insurance against emergencies were ranked as the main reasons for rearing pigs. Marketing of pigs was mainly driven by the type of production operation. Finances, feeds and housing were identified as the major constraints to production. The study provides important parameters and identifies constraints important for consideration in design of sustainable production improvement strategies. Feeding challenges can be improved through understanding the composition and proper utilization of local feed resources. Provision of adequate housing would improve the stocking rates and control mating.

  5. Aspects of Synthetic Vision Display Systems and the Best Practices of the NASA's SVS Project

    NASA Technical Reports Server (NTRS)

    Bailey, Randall E.; Kramer, Lynda J.; Jones, Denise R.; Young, Steven D.; Arthur, Jarvis J.; Prinzel, Lawrence J.; Glaab, Louis J.; Harrah, Steven D.; Parrish, Russell V.

    2008-01-01

    NASA s Synthetic Vision Systems (SVS) Project conducted research aimed at eliminating visibility-induced errors and low visibility conditions as causal factors in civil aircraft accidents while enabling the operational benefits of clear day flight operations regardless of actual outside visibility. SVS takes advantage of many enabling technologies to achieve this capability including, for example, the Global Positioning System (GPS), data links, radar, imaging sensors, geospatial databases, advanced display media and three dimensional video graphics processors. Integration of these technologies to achieve the SVS concept provides pilots with high-integrity information that improves situational awareness with respect to terrain, obstacles, traffic, and flight path. This paper attempts to emphasize the system aspects of SVS - true systems, rather than just terrain on a flight display - and to document from an historical viewpoint many of the best practices that evolved during the SVS Project from the perspective of some of the NASA researchers most heavily involved in its execution. The Integrated SVS Concepts are envisagements of what production-grade Synthetic Vision systems might, or perhaps should, be in order to provide the desired functional capabilities that eliminate low visibility as a causal factor to accidents and enable clear-day operational benefits regardless of visibility conditions.

  6. How the Organic Food System Supports Sustainable Diets and Translates These into Practice

    PubMed Central

    Strassner, Carola; Cavoski, Ivana; Di Cagno, Raffaella; Kahl, Johannes; Kesse-Guyot, Emmanuelle; Lairon, Denis; Lampkin, Nicolas; Løes, Anne-Kristin; Matt, Darja; Niggli, Urs; Paoletti, Flavio; Pehme, Sirli; Rembiałkowska, Ewa; Schader, Christian; Stolze, Matthias

    2015-01-01

    Organic production and consumption provide a delineated food system that can be explored for its potential contribution to sustainable diets. While organic agriculture improves the sustainability performance on the production side, critical reflections are made on how organic consumption patterns, understood as the practice of people consuming significant amounts of organic produce, may also be taken as an example for sustainable food consumption. The consumption patterns of regular organic consumers seem to be close to the sustainable diet concept of FAO. Certain organic-related measures might therefore be useful in the sustainability assessment of diets, e.g., organic production and organic consumption. Since diets play a central role in shaping food systems and food systems shape diets, the role of organic consumption emerges as an essential topic to be addressed. This role may be based on four important organic achievements: organic agriculture and food production has a definition, well-established principles, public standards, and useful metrics. By 2015, data for organic production and consumption are recorded annually from more than 160 countries, and regulations are in force in more than 80 countries or regions. The organic food system puts the land (agri-cultura) back into the diet; it is the land from which the diet in toto is shaped. Therefore, the organic food system provides essential components of a sustainable diet. PMID:26176912

  7. How the Organic Food System Supports Sustainable Diets and Translates These into Practice.

    PubMed

    Strassner, Carola; Cavoski, Ivana; Di Cagno, Raffaella; Kahl, Johannes; Kesse-Guyot, Emmanuelle; Lairon, Denis; Lampkin, Nicolas; Løes, Anne-Kristin; Matt, Darja; Niggli, Urs; Paoletti, Flavio; Pehme, Sirli; Rembiałkowska, Ewa; Schader, Christian; Stolze, Matthias

    2015-01-01

    Organic production and consumption provide a delineated food system that can be explored for its potential contribution to sustainable diets. While organic agriculture improves the sustainability performance on the production side, critical reflections are made on how organic consumption patterns, understood as the practice of people consuming significant amounts of organic produce, may also be taken as an example for sustainable food consumption. The consumption patterns of regular organic consumers seem to be close to the sustainable diet concept of FAO. Certain organic-related measures might therefore be useful in the sustainability assessment of diets, e.g., organic production and organic consumption. Since diets play a central role in shaping food systems and food systems shape diets, the role of organic consumption emerges as an essential topic to be addressed. This role may be based on four important organic achievements: organic agriculture and food production has a definition, well-established principles, public standards, and useful metrics. By 2015, data for organic production and consumption are recorded annually from more than 160 countries, and regulations are in force in more than 80 countries or regions. The organic food system puts the land (agri-cultura) back into the diet; it is the land from which the diet in toto is shaped. Therefore, the organic food system provides essential components of a sustainable diet.

  8. Clinical Data Systems to Support Public Health Practice: A National Survey of Software and Storage Systems Among Local Health Departments

    PubMed Central

    Goodin, Kate

    2016-01-01

    Context: Numerous software and data storage systems are employed by local health departments (LHDs) to manage clinical and nonclinical data needs. Leveraging electronic systems may yield improvements in public health practice. However, information is lacking regarding current usage patterns among LHDs. Objective: To analyze clinical and nonclinical data storage and software types by LHDs. Design: Data came from the 2015 Informatics Capacity and Needs Assessment Survey, conducted by Georgia Southern University in collaboration with the National Association of County and City Health Officials. Participants: A total of 324 LHDs from all 50 states completed the survey (response rate: 50%). Main Outcome Measures: Outcome measures included LHD's primary clinical service data system, nonclinical data system(s) used, and plans to adopt electronic clinical data system (if not already in use). Predictors of interest included jurisdiction size and governance type, and other informatics capacities within the LHD. Bivariate analyses were performed using χ2 and t tests. Results: Up to 38.4% of LHDs reported using an electronic health record (EHR). Usage was common especially among LHDs that provide primary care and/or dental services. LHDs serving smaller populations and those with state-level governance were both less likely to use an EHR. Paper records were a common data storage approach for both clinical data (28.9%) and nonclinical data (59.4%). Among LHDs without an EHR, 84.7% reported implementation plans. Conclusions: Our findings suggest that LHDs are increasingly using EHRs as a clinical data storage solution and that more LHDs are likely to adopt EHRs in the foreseeable future. Yet use of paper records remains common. Correlates of electronic system usage emerged across a range of factors. Program- or system-specific needs may be barriers or facilitators to EHR adoption. Policy makers can tailor resources to address barriers specific to LHD size, governance, service

  9. A practical, rapid generation-advancement system for rice breeding using simplified biotron breeding system

    PubMed Central

    Tanaka, Junichi; Hayashi, Takeshi; Iwata, Hiroyoshi

    2016-01-01

    A new plant breeding method—the biotron breeding system (BBS)—can rapidly produce advanced generations in rice (Oryza sativa L.) breeding. This method uses a growth chamber (biotron) with CO2 control, accompanied by tiller removal and embryo rescue to decrease the period before seed maturity. However, tiller removal and embryo rescue are laborious and impractical for large populations. We investigated the influences of increased CO2, tiller removal, and root restriction on the days to heading (DTH) from seeding in growth chambers. The higher CO2 concentration significantly decreased DTH, but tiller removal and root restriction had little effect on DTH and drastically reduced seed yield. Based on these findings, we propose a simplified BBS (the sBBS) that eliminates the need for tiller removal and embryo rescue, but controls CO2 levels and day-length and maintains an appropriate root volume. Using the sBBS, we could reduce the interval between generations in ‘Nipponbare’ to less than 3 months, without onerous manipulations. To demonstrate the feasibility of the sBBS, we used it to develop isogenic lines using ‘Oborozuki’ as the donor parent for the low-amylose allele Wx1-1 and ‘Akidawara’ as the recipient. We were able to perform four crossing cycles in a year. PMID:27795679

  10. MO-DE-BRA-02: From Teaching to Learning: Systems-Based-Practice and Practice-Based-Learning Innovations in Medical Physics Education Programs

    SciTech Connect

    Kapur, A

    2015-06-15

    Purpose: The increasing complexity in the field of radiation medicine and concomitant rise in patient safety concerns call for enhanced systems-level training for future medical physicists and thus commensurate innovations in existing educational program curricula. In this work we report on the introduction of three learning opportunities to augment medical physics educational programs towards building systems-based practice and practice-based learning competencies. Methods: All initiatives were introduced for senior -level graduate students and physics residents in an institution with a newly established medical-physics graduate program and therapeutic-physics residency program. The first, centered on incident learning, was based on a spreadsheet tool that incorporated the reporting structure of the Radiation Oncology-incident Learning System (ROILS), included 120 narratives of published incidents and enabled inter-rater variability calculations. The second, centered on best-practices, was a zero-credit seminar course, where students summarized select presentations from the AAPM virtual library on a weekly basis and moderated class discussions using a point/counterpoint approach. Presentation styles were critiqued. The third; centered on learning-by-teaching, required physics residents to regularly explain fundamental concepts in radiological physics from standard textbooks to board certified physics faculty members. Results: Use of the incident-learning system spreadsheet provided a platform to recast known accidents into the framework of ROILS, thereby increasing awareness of factors contributing to unsafe practice and appreciation for inter-rater variability. The seminar course enhanced awareness of best practices, the effectiveness of presentation styles and encouraged critical thinking. The learn-by-teaching rotation allowed residents to stay abreast of and deepen their knowledge of relevant subjects. Conclusion: The incorporation of systems

  11. Practical Considerations of Waste Heat Reuse for a Mars Mission Advanced Life Support System

    NASA Technical Reports Server (NTRS)

    Levri, Julie; Finn, Cory; Luna, Bernadette (Technical Monitor)

    2000-01-01

    Energy conservation is a key issue in design optimization of Advanced Life Support Systems (ALSS) for long-term space missions. By considering designs for conservation at the system level, energy saving opportunities arise that would otherwise go unnoticed. This paper builds on a steady-state investigation of system-level waste heat reuse in an ALSS with a low degree of crop growth for a Mars mission. In past studies, such a system has been defined in terms of technology types, hot and cold stream identification and stream energy content. The maximum steady-state potential for power and cooling savings within the system was computed via the Pinch Method. In this paper, several practical issues are considered for achieving a pragmatic estimate of total system savings in terms of equivalent system mass (ESM), rather than savings solely in terms of power and cooling. In this paper, more realistic ESM savings are computed by considering heat transfer inefficiencies during material transfer. An estimate of the steady-state mass, volume and crewtime requirements associated with heat exchange equipment is made by considering heat exchange equipment material type and configuration, stream flow characteristics and associated energy losses during the heat exchange process. Also, previously estimated power and cooling savings are adjusted to reflect the impact of such energy losses. This paper goes one step further than the traditional Pinch Method of considering waste heat reuse in heat exchangers to include ESM savings that occur with direct reuse of a stream. For example, rather than exchanging heat between crop growth lamp cooling air and air going to a clothes dryer, air used to cool crop lamps might be reused directly for clothes drying purposes. When thermodynamically feasible, such an approach may increase ESM savings by minimizing the mass, volume and crewtime requirements associated with stream routing equipment.

  12. Neuropathic pain: an updated grading system for research and clinical practice

    PubMed Central

    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.

    2016-01-01

    Abstract 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. PMID:27115670

  13. Worms in smallholder livestock systems: technologies and practices that make a difference.

    PubMed

    Gray, G D; Connell, J G; Phimphachanhvongsod, V

    2012-05-04

    Australian scientists, in partnership with Asian, African and Pacific nations have longstanding interests in applied research on helminth parasite control. Many technologies and practices have been successfully developed to control the parasite problems of smallholder and emerging farmers. This wide range extends from simple herbal remedies to complex, integrated use of chemicals, feeding and breeding. In many cases widespread adoption has been limited by lack of technical support, poor access to input markets and lack of incentives for poorer farmers to seek out and pay for innovations. A further new approach may be required that encompasses the wider production and market environment. The biological, social and economic context of each 'emerging farming system' is different and the matching of technologies to each system requires sound understanding of farmer needs and requirements. Thus, it is essential that farmers, extension workers, and scientists jointly decide what technologies to try, what results mean and, if successful, how to sustain their use. In one Asian example a range of technologies were considered for pig, large ruminant and goat production and parasite control through a participatory process which was also used to agree on what determines sustainability beyond testing. The criteria use to screen technologies and practices were (a) continued availability of inputs including dewormers, (b) dependence on related innovations (e.g. weaning or fencing) and (c) degree of community organisation required (e.g. control of breeding or communal grazing). On this basis deworming with chemicals, especially for Toxacara infection in cattle and buffalo calves following on from supplementary feeding with forages were the most feasible entry points. Further interventions were dependent on changes to the production system, including the introduction of weaning and controlled breeding. Further, the incentives for these production changes could not exist without

  14. Managing soil microbial communities in grain production systems through cropping practices

    NASA Astrophysics Data System (ADS)

    Gupta, Vadakattu

    2013-04-01

    Cropping practices can significantly influence the composition and activity of soil microbial communities with consequences to plant growth and production. Plant type can affect functional capacity of different groups of biota in the soil surrounding their roots, rhizosphere, influencing plant nutrition, beneficial symbioses, pests and diseases and overall plant health and crop production. The interaction between different players in the rhizosphere is due to the plethora of carbon and nutritional compounds, root-specific chemical signals and growth regulators that originate from the plant and are modulated by the physico-chemical properties of soils. A number of plant and environmental factors and management practices can influence the quantity and quality of rhizodeposition and in turn affect the composition of rhizosphere biota communities, microbe-fauna interactions and biological processes. Some of the examples of rhizosphere interactions that are currently considered important are: proliferation of plant and variety specific genera or groups of microbiota, induction of genes involved in symbiosis and virulence, promoter activity in biocontrol agents and genes correlated with root adhesion and border cell quality and quantity. The observation of variety-based differences in rhizodeposition and associated changes in rhizosphere microbial diversity and function suggests the possibility for the development of varieties with specific root-microbe interactions targeted for soil type and environment i.e. designer rhizospheres. Spatial location of microorganisms in the heterogeneous field soil matrix can have significant impacts on biological processes. Therefore, for rhizosphere research to be effective in variable seasonal climate and soil conditions, it must be evaluated in the field and within a farming systems context. With the current focus on security of food to feed the growing global populations through sustainable agricultural production systems there is a

  15. Promise and dismay: The state of strategic environmental assessment systems and practices in Canada

    SciTech Connect

    Noble, Bram F.

    2009-01-15

    Has strategic environmental assessment (SEA) finally reached a point of maturity in Canada? Or, is it still stumbling to find its place in the impact assessment family? Strategic environmental assessment has been ongoing in Canada for a number of years, both formally and informally, and under a variety of labels and institutional models. The result is a system of SEA that is diverse, founded on a range of principles and frameworks, and not well understood. This paper provides a critical review of Canadian SEA systems and practices. To accomplish this objective, a manageable and diverse set of past and recent SEA and SEA-like frameworks and applications are described and critically analyzed based on a set of input, process, and output evaluation criteria. Results suggest considerable variability in SEA experience and value added. This is due in large part to the institutional and methodological pluralism of SEA, the boundaries of which are not well defined. Under the federal system, since the formalization of SEA, many applications have been disappointing in light of broader SEA good-practice principles and criteria. Indeed, some of the better examples of SEA have neither carried the SEA name tag nor occurred under formal SEA requirements. Further, many of the same challenges to project-based impact assessment also plague the development and value added of SEA. Of particular concern is the systematic separation of SEA from downstream decision inputs and assessment activities. As Canada commences review of its federal SEA Directive in preparation for the next generation of SEA, this paper reflects on what it has achieved in the prior.

  16. Cyborg practices: call-handlers and computerised decision support systems in urgent and emergency care.

    PubMed

    Pope, Catherine; Halford, Susan; Turnbull, Joanne; Prichard, Jane

    2014-06-01

    This article draws on data collected during a 2-year project examining the deployment of a computerised decision support system. This computerised decision support system was designed to be used by non-clinical staff for dealing with calls to emergency (999) and urgent care (out-of-hours) services. One of the promises of computerised decisions support technologies is that they can 'hold' vast amounts of sophisticated clinical knowledge and combine it with decision algorithms to enable standardised decision-making by non-clinical (clerical) staff. This article draws on our ethnographic study of this computerised decision support system in use, and we use our analysis to question the 'automated' vision of decision-making in healthcare call-handling. We show that embodied and experiential (human) expertise remains central and highly salient in this work, and we propose that the deployment of the computerised decision support system creates something new, that this conjunction of computer and human creates a cyborg practice.

  17. [Practical implementation of a quality management system in a radiological department].

    PubMed

    Huber, S; Zech, C J

    2011-10-01

    This article describes the architecture of a project aiming to implement a DIN EN ISO 9001 quality management system in a radiological department. It is intended to be a practical guide to demonstrate each step of the project leading to certification of the system. In a planning phase resources for the implementation of the project have to be identified and a quality management (QM) group as core team has to be formed. In the first project phase all available documents have to be checked and compiled in the QM manual. Moreover all relevant processes of the department have to be described in so-called process descriptions. In a second step responsibilities for the project are identified. Customer and employee surveys have to be carried out and a nonconformity management system has to be implemented. In this phase internal audits are also needed to check the new QM system, which is finally tested in the external certification audit with reference to its conformity with the standards.

  18. A practical indoor context-aware surveillance system with multi-Kinect sensors

    NASA Astrophysics Data System (ADS)

    Jia, Lili; You, Ying; Li, Tiezhu; Zhang, Shun

    2014-11-01

    In this paper we develop a novel practical application, which give scalable services to the end users when abnormal actives are happening. Architecture of the application has been presented consisting of network infrared cameras and a communication module. In this intelligent surveillance system we use Kinect sensors as the input cameras. Kinect is an infrared laser camera which its user can access the raw infrared sensor stream. We install several Kinect sensors in one room to track the human skeletons. Each sensor returns the body positions with 15 coordinates in its own coordinate system. We use calibration algorithms to calibrate all the body positions points into one unified coordinate system. With the body positions points, we can infer the surveillance context. Furthermore, the messages from the metadata index matrix will be sent to mobile phone through communication module. User will instantly be aware of an abnormal case happened in the room without having to check the website. In conclusion, theoretical analysis and experimental results in this paper show that the proposed system is reasonable and efficient. And the application method introduced in this paper is not only to discourage the criminals and assist police in the apprehension of suspects, but also can enabled the end-users monitor the indoor environments anywhere and anytime by their phones.

  19. PRACTICAL EXERIENCES WITH THE 6 GYROTRON SYSTEM ON THE DIII-D TOKAMAK

    SciTech Connect

    LOHR,J; CARY,W.P; GORELOV,Y.A; GRUNLOH,H.J; KAJIWARA,K; PEAVY,J.J; PONCE,D; TOOKER,J; CALLIS,R.W

    2003-10-01

    OAK-B135 The gyrotron installation on the DIII-D tokamak now comprises six 110 GHz gyrotrons in the 1 MW class, three manufactured by CPI[1] and three by Gycom [2]. Two tetrode rectifier/modulator/regulator power supplies were constructed to provide power for the CPI gyrotrons. A second system uses three mod/reg tetrodes connected in parallel, which are fed by a dual parallel tetrode mod/reg to power the Gycom tubes. the windowless evacuated transmission lines are up to 100 m in length, with 80% transmission efficiency. Engineering solutions were developed in specific problematic areas encountered in the development of this complex system, including: Gyrotron instability; high voltage circuit instability; gyrotron conditioning; rf beam forming and coupling to waveguide; output window vacuum seals; material control; launcher mechanics and diagnosis; polarizer mechanics; dummy loads; power measurements; polarization measurements; cooling; calorimetry; and operating controls. The system is in routine operation in support of tokamak experiments, with peak generated power of about 5 MW at 2 s. pulse length and about 3 MW for 5 s. pulses. This presentation focuses on practical lessons learned in the development and operation of these systems.

  20. Picture archiving and communication system and its impact on image viewing in physical therapy practice.

    PubMed

    Wilcox, Reg B; Fallano, Joel; Shannon, Kenneth J; Carrino, John A; Sinclair, Jacquelyn; Khorasani, Ramin

    2006-12-01

    Imaging plays an increasing role in physical therapy (PT) practice. We sought to determine if picture archiving and communication system (PACS) deployment would increase the proportion of imaging studies viewed by physical therapists (PTs) at the point of care and to assess PTs' perception of the value of access to imaging information. The study was performed in a 720-bed urban teaching hospital where an average of 2,000 rehabilitation visits per month are performed by 12 PTs. We compared the proportion of imaging studies viewed by PTs before and after PACS implementation. We surveyed PTs to assess their perception on the value of access to imaging studies. Film library records pre-PACS and web server audit trail post-PACS implementation were reviewed to measure access. Chi-square was used to compare proportions and trends. During the 3-month period before PACS usage, PTs viewed 1% (6/505) of imaging studies, citing time as the primary barrier. Post-PACS, the proportion of imaging studies viewed rose from 28% (95/344, second month) to 84% (163/192, fifth month) (p < 0.0001, chi-square). Most PTs believed that access to imaging studies has high value and has a positive impact on clinical practice. Physical therapists rarely viewed imaging studies before PACS due to time barriers. They viewed more imaging studies (84%) post-PACS and felt that access to imaging studies has a positive impact on clinical practice. Further studies are needed to assess whether PACS enhances PTs' clinical decision making and improves patient outcomes.

  1. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success

    PubMed Central

    Kawamoto, Kensaku; Houlihan, Caitlin A; Balas, E Andrew; Lobach, David F

    2005-01-01

    Objective To identify features of clinical decision support systems critical for improving clinical practice. Design Systematic review of randomised controlled trials. Data sources Literature searches via Medline, CINAHL, and the Cochrane Controlled Trials Register up to 2003; and searches of reference lists of included studies and relevant reviews. Study selection Studies had to evaluate the ability of decision support systems to improve clinical practice. Data extraction Studies were assessed for statistically and clinically significant improvement in clinical practice and for the presence of 15 decision support system features whose importance had been repeatedly suggested in the literature. Results Seventy studies were included. Decision support systems significantly improved clinical practice in 68% of trials. Univariate analyses revealed that, for five of the system features, interventions possessing the feature were significantly more likely to improve clinical practice than interventions lacking the feature. Multiple logistic regression analysis identified four features as independent predictors of improved clinical practice: automatic provision of decision support as part of clinician workflow (P < 0.00001), provision of recommendations rather than just assessments (P = 0.0187), provision of decision support at the time and location of decision making (P = 0.0263), and computer based decision support (P = 0.0294). Of 32 systems possessing all four features, 30 (94%) significantly improved clinical practice. Furthermore, direct experimental justification was found for providing periodic performance feedback, sharing recommendations with patients, and requesting documentation of reasons for not following recommendations. Conclusions Several features were closely correlated with decision support systems' ability to improve patient care significantly. Clinicians and other stakeholders should implement clinical decision support systems that incorporate these

  2. Configurations of power relations in the Brazilian emergency care system: analyzing a context of visible practices.

    PubMed

    Velloso, Isabela; Ceci, Christine; Alves, Marilia

    2013-09-01

    In this paper, we make explicit the changing configurations of power relations that currently characterize the Brazilian Emergency Care System (SAMU) team in Belo Horizonte, Brazil. The SAMU is a recent innovation in Brazilian healthcare service delivery. A qualitative case study methodology was used to explore SAMU's current organizational arrangements, specifically the power relations that have developed and that demonstrate internal team struggles over space and defense of particular occupational interests. The argument advanced in this paper is that these professionals are developing their work in conditions of exposure, that is, they are always being observed by someone, and that such observational exposure provides the conditions whereby everyday emergency care practices are enacted such that practice is shaped by, as well as shapes, particular, yet recognizable power relationships. Data were collected through the observation of the SAMU's work processes and through semi-structured interviews. Research materials were analyzed using discourse analysis. In the emergency care process of work, visibility is actually embedded in the disciplinary context and can thus be analyzed as a technique applied to produce disciplined individuals through the simple mechanisms elaborated by Foucault such as hierarchical surveillance, normalizing judgment, and the examination.

  3. Modeling the influence of climate change on watershed systems: Adaptation through targeted practices

    NASA Astrophysics Data System (ADS)

    Dudula, John; Randhir, Timothy O.

    2016-10-01

    Climate change may influence hydrologic processes of watersheds (IPCC, 2013) and increased runoff may cause flooding, eroded stream banks, widening of stream channels, increased pollutant loading, and consequently impairment of aquatic life. The goal of this study was to quantify the potential impacts of climate change on watershed hydrologic processes and to evaluate scale and effectiveness of management practices for adaptation. We simulate baseline watershed conditions using the Hydrological Simulation Program Fortran (HSPF) simulation model to examine the possible effects of changing climate on watershed processes. We also simulate the effects of adaptation and mitigation through specific best management strategies for various climatic scenarios. With continuing low-flow conditions and vulnerability to climate change, the Ipswich watershed is the focus of this study. We quantify fluxes in runoff, evapotranspiration, infiltration, sediment load, and nutrient concentrations under baseline and climate change scenarios (near and far future). We model adaptation options for mitigating climate effects on watershed processes using bioretention/raingarden Best Management Practices (BMPs). It was observed that climate change has a significant impact on watershed runoff and carefully designed and maintained BMPs at subwatershed scale can be effective in mitigating some of the problems related to stormwater runoff. Policy options include implementation of BMPs through education and incentives for scale-dependent and site specific bioretention units/raingardens to increase the resilience of the watershed system to current and future climate change.

  4. Incorporating an Early Detection System Into Routine Clinical Practice in Two Community Hospitals.

    PubMed

    Dummett, B Alex; Adams, Carmen; Scruth, Elizabeth; Liu, Vincent; Guo, Margaret; Escobar, Gabriel J

    2016-11-01

    Efforts to improve outcomes of patients who deteriorate outside the intensive care unit have included the use of rapid response teams (RRTs) as well as manual and automated prognostic scores. Although automated early warning systems (EWSs) are starting to enter clinical practice, there are few reports describing implementation and the processes required to integrate early warning approaches into hospitalists' workflows. We describe the implementation process at 2 community hospitals that deployed an EWS. We employed the Institute for Healthcare Improvement's iterative Plan-Do-Study-Act approach. Our basic workflow, which relies on having an RRT nurse and the EWS's 12-hour outcome time frame, has been accepted by clinicians and has not been associated with patient complaints. Whereas our main objective was to develop a set of workflows for integrating the electronic medical record EWS into clinical practice, we also uncovered issues that must be addressed prior to disseminating this intervention to other hospitals. One problematic area is that of documentation following an alert. Other areas that must be addressed prior to disseminating the intervention include the need for educating clinicians on the rationale for deploying the EWS, careful consideration of interdepartment service agreements, clear definition of clinician responsibilities, pragmatic documentation standards, and how to communicate with patients. In addition to the deployment of the EWS to other hospitals, a future direction for our teams will be to characterize process-outcomes relationships in the clinical response itself. Journal of Hospital Medicine 2016;11:S25-S31. © 2016 Society of Hospital Medicine.

  5. Harm reduction and women in the Canadian national prison system: policy or practice?

    PubMed

    Rehman, Laurene; Gahagan, Jacqueline; DiCenso, Anne Marie; Dias, Giselle

    2004-01-01

    Applying the principles of harm reduction within the context of incarcerated populations raises a number of challenges. Although some access to harm reduction strategies has been promoted in general society, a divide between what is available and what is advocated continues to exist within the prison system. This paper explores the perceptions and lived experiences of a sample of nationally incarcerated women in Canada regarding their perceptions and experiences in accessing HIV and Hepatitis C prevention, care, treatment and support. In-depth interviews were conducted with 156 women in Canadian national prisons. Q.S.R. Nudist was used to assist with data management. A constant comparison method was used to derive categories, patterns, and themes. Emergent themes highlighted a gap between access to harm reduction in policy and in practice. Despite the implementation of some harm reduction techniques, women in Canadian prisons reported variable access to both education and methods of reducing HIV/HCV transmission. Concerns were also raised about pre-and post-test counseling for HIV/HCV testing. Best practices are suggested for implementing harm reduction strategies within prisons for women in Canada.

  6. Electrical energy converters for practical human total artificial hearts--an opinion in support of electropneumatic systems.

    PubMed

    Jarvik, R K

    1983-02-01

    Until recently, most artificial hearts have served as research tools to acquire further knowledge necessary ultimately to design practical systems for human use. Transcutaneous systems or percutaneous systems utilizing permanently implanted energy converters, batteries, and electronics packages have a number of substantial problems that would not exist if most system elements were kept outside the body. These problems include physiologic control, fit and fixation, foreign body infection, hermetic sealing, cable insulation and fatigue, inherent system complexity, stringent requirements for maintenance-free operation with long-term high reliability, and high cost. Percutaneous systems, particularly those in which only the blood pump is implanted, are an attractive choice for practical systems in the near future. A wearable, battery-powered electropneumatic total heart system should be developed.

  7. Using Project Performance to Measure Effectiveness of Quality Management System Maintenance and Practices in Construction Industry

    PubMed Central

    Leong, Tiong Kung; Ariff, Mohd. Shoki Md.

    2014-01-01

    This paper proposed seven existing and new performance indicators to measure the effectiveness of quality management system (QMS) maintenance and practices in construction industry. This research is carried out with a questionnaire based on QMS variables which are extracted from literature review and project performance indicators which are established from project management's theory. Data collected was analyzed using correlation and regression analysis. The findings indicate that client satisfaction and time variance have positive and significant relationship with QMS while other project performance indicators do not show significant results. Further studies can use the same project performance indicators to study the effectiveness of QMS in different sampling area to improve the generalizability of the findings. PMID:24701182

  8. Hildegard Peplau meets family systems nursing: innovation in theory-based practice.

    PubMed

    Forchuk, C; Dorsay, J P

    1995-01-01

    Nursing theories which have evolved from mental health--psychiatric nursing have focused on the individual nurse-client relationship. Other nursing theories generally focus on the individual as client. Therefore, nurses working with families may have difficulty in applying these frameworks to their practice. Nursing theories need to be expanded to include families, groups and communities more explicitly. The well established theory of Hildegard Peplau, which previous studies have found to be the theory most frequently used by psychiatric nurses, and the family systems nursing theory of Wright and Leahey share a complementary focus. Both theories form part of the interpersonal paradigm of nursing; both view nursing from an interactional perspective, rather than focusing on individuals. Use of a combined theoretical approach offers several advantages. The approach explicitly considers both the individual and the family. The combination provides grounding for family work in an articulated nursing theory.

  9. Practical application of the Sports Medicine Australia pre-exercise screening system.

    PubMed

    McHugh, Ian J; Williams, Andrew D; Fell, James W

    2008-04-01

    The recently released pre-exercise screening system (PESS) from Sports Medicine Australia is an important tool for facilitating safe practice in exercise testing and prescription by exercise professionals. This opinion piece argues that despite the obvious need for nationally uniform guidelines for the screening process, the PESS still has some limitations. The major points for discussion include the need for guidelines regarding the minimum qualifications/knowledge required to adequately administer the PESS, and of the dilemma that may arise in a fitness centre or community setting when the client has no knowledge of the haematological information required for accurate identification of level of risk. Consequently, there is a need for further discussion and possible revision to ensure the successful use of the PESS in a community setting.

  10. Using project performance to measure effectiveness of quality management system maintenance and practices in construction industry.

    PubMed

    Leong, Tiong Kung; Zakuan, Norhayati; Mat Saman, Muhamad Zameri; Ariff, Mohd Shoki Md; Tan, Choy Soon

    2014-01-01

    This paper proposed seven existing and new performance indicators to measure the effectiveness of quality management system (QMS) maintenance and practices in construction industry. This research is carried out with a questionnaire based on QMS variables which are extracted from literature review and project performance indicators which are established from project management's theory. Data collected was analyzed using correlation and regression analysis. The findings indicate that client satisfaction and time variance have positive and significant relationship with QMS while other project performance indicators do not show significant results. Further studies can use the same project performance indicators to study the effectiveness of QMS in different sampling area to improve the generalizability of the findings.

  11. A practical E-PERM (electret passive environmental radon monitor) system for indoor 222Rn measurement.

    PubMed

    Kotrappa, P; Dempsey, J C; Ramsey, R W; Stieff, L R

    1990-04-01

    The technical and scientific basis for the measurement of indoor 222Rn concentration using an E-PERM (Electret passive environmental radon monitor) has been described in our earlier work. The purpose of this paper is to describe further development of a practical and convenient system that can be used routinely for indoor 222Rn measurement. The ion chamber is now made of electrically conducting plastic to minimize the response from natural gamma radiation. A spring-loaded shutter method is used to cover and uncover the electret from outside the chamber. The electret voltage reader has been modified to improve the accuracy and the ease in operation. The calibration, performance, error analysis, and lower limits of detection for these standardized versions of E-PERMs are also described.

  12. Practical Maintenance of Digital Systems: Guidance to Maximize the Benefits of Digital Technology for the Maintenance of Digital Systems and Plant Equipment

    SciTech Connect

    Hill, D; Scarola, K

    2004-10-30

    This report presents detailed guidance for the maintenance and testing of modern digital systems. The guidance provides practical means for plants to take advantage of the increased diagnostic and self-test capabilities of these systems. It helps plants avoid mistakes in design and installation that could lead to increased maintenance burden and decreased system reliability and availability.

  13. [Clinical practice guidelines for systemic lupus erythematosus: Recommendations for general clinical management].

    PubMed

    Trujillo-Martín, María M; Rúa-Figueroa Fernández de Larrinoa, Iñigo; Ruíz-Irastorza, Guillermo; Pego-Reigosa, José María; Sabio Sánchez, José Mario; Serrano-Aguilar, Pedro

    2016-05-06

    Systemic lupus erythematosus (SLE) is a complex rheumatic multisystemic disease of autoimmune origin with significant potential morbidity and mortality. It is one of the most common autoimmune diseases with an estimated prevalence of 20-150 cases per 100,000 inhabitants. The clinical spectrum of SLE is wide and variable both in clinical manifestations and severity. This prompted the Spanish Ministry of Health, Social Services and Equality to promote and fund the development of a clinical practice guideline (CPG) for the clinical care of SLE patients within the Programme of CPG in the National Health System which coordinates GuiaSalud. This CPG is is intended as the reference tool in the Spanish National Health System in order to support the comprehensive clinical management of people with SLE by all health professionals involved, regardless of specialty and level of care, helping to standardize and improve the quality of clinical decisions in our context in order to improve the health outcomes of the people affected. The purpose of this document is to present and discuss the rationale of the recommendations on the general management of SLE, specifically, clinical follow-up, general therapeutic approach, healthy lifestyles, photoprotection, and training programmes for patients. These recommendations are based on the best available scientific evidence, on discussion and the consensus of expert groups.

  14. Frameless neuronavigation using the ISG-system in practice: from craniotomy to delineation of lesion.

    PubMed

    Kleinpeter, G; Lothaller, C

    2003-10-01

    The overall performance of a "pointer" neuronavigation system (the ISG ALLEGRO Viewing Wand) in everyday surgical use was evaluated by investigating the practical utility of the technical set-up for one particular surgical task. The basis of the analysis was the numerical evaluation of four areas of fundamental importance for most brain surgery: site and size of craniotomy, localisation of lesion, the trajectory through the brain, and the delineation of the lesion. In a protocol of 65 patients we based our examination on a subjective 4-point rating scale ranging from 0 (= no help) to 3 (= very helpful) for each of the four above categories. We investigated the potential influence of three factors: the lesions histology (4 groups), its size (3 categories) and the depth from the cortical surface (3 levels). Our experience is that the histology of the lesions has significant influence on the relative usefulness of neuronavigation for craniotomy (P < 0.017) and for delineation of the lesion (P < 0.003). We found neuronavigation most helpful for removing gliomas. Second, this system was found to be very helpful in locating small, hitherto hard-to-find, lesions (P < 0.01). Lesion's depth had no effect on the ratings (P > 0.2). Overall, the use of this system led to more precise skin incisions, better site and size of craniotomies tailored to the pathology, the trajectory through the brain, and to more precise delineation of the lesion.

  15. Tracking systems for virtual rehabilitation: objective performance vs. subjective experience. A practical scenario.

    PubMed

    Lloréns, Roberto; Noé, Enrique; Naranjo, Valery; Borrego, Adrián; Latorre, Jorge; Alcañiz, Mariano

    2015-03-19

    Motion tracking systems are commonly used in virtual reality-based interventions to detect movements in the real world and transfer them to the virtual environment. There are different tracking solutions based on different physical principles, which mainly define their performance parameters. However, special requirements have to be considered for rehabilitation purposes. This paper studies and compares the accuracy and jitter of three tracking solutions (optical, electromagnetic, and skeleton tracking) in a practical scenario and analyzes the subjective perceptions of 19 healthy subjects, 22 stroke survivors, and 14 physical therapists. The optical tracking system provided the best accuracy (1.074 ± 0.417 cm) while the electromagnetic device provided the most inaccurate results (11.027 ± 2.364 cm). However, this tracking solution provided the best jitter values (0.324 ± 0.093 cm), in contrast to the skeleton tracking, which had the worst results (1.522 ± 0.858 cm). Healthy individuals and professionals preferred the skeleton tracking solution rather than the optical and electromagnetic solution (in that order). Individuals with stroke chose the optical solution over the other options. Our results show that subjective perceptions and preferences are far from being constant among different populations, thus suggesting that these considerations, together with the performance parameters, should be also taken into account when designing a rehabilitation system.

  16. Tracking Systems for Virtual Rehabilitation: Objective Performance vs. Subjective Experience. A Practical Scenario

    PubMed Central

    Lloréns, Roberto; Noé, Enrique; Naranjo, Valery; Borrego, Adrián; Latorre, Jorge; Alcañiz, Mariano

    2015-01-01

    Motion tracking systems are commonly used in virtual reality-based interventions to detect movements in the real world and transfer them to the virtual environment. There are different tracking solutions based on different physical principles, which mainly define their performance parameters. However, special requirements have to be considered for rehabilitation purposes. This paper studies and compares the accuracy and jitter of three tracking solutions (optical, electromagnetic, and skeleton tracking) in a practical scenario and analyzes the subjective perceptions of 19 healthy subjects, 22 stroke survivors, and 14 physical therapists. The optical tracking system provided the best accuracy (1.074 ± 0.417 cm) while the electromagnetic device provided the most inaccurate results (11.027 ± 2.364 cm). However, this tracking solution provided the best jitter values (0.324 ± 0.093 cm), in contrast to the skeleton tracking, which had the worst results (1.522 ± 0.858 cm). Healthy individuals and professionals preferred the skeleton tracking solution rather than the optical and electromagnetic solution (in that order). Individuals with stroke chose the optical solution over the other options. Our results show that subjective perceptions and preferences are far from being constant among different populations, thus suggesting that these considerations, together with the performance parameters, should be also taken into account when designing a rehabilitation system. PMID:25808765

  17. Radiation dosage reduction in general dental practice using digital intraoral radiographic systems.

    PubMed

    Hayakawa, Y; Shibuya, H; Ota, Y; Kuroyanagi, K

    1997-02-01

    This report describes the radiation dosage reduction possible in the general dental practice with two CCD (charge-coupled device)-based intraoral radiographic systems: the RVG-S (Trophy Radiologie, Vincennes, France) and the Sens-A-Ray (Regam Medical Systems, Sundsvall, Sweden). Radiation dosages (air-kerma; Gy) necessary for obtaining clinically acceptable images were measured at the cone tip using an ionization chamber type 660-1 (Nuclear Associates, Victoreen, Inc., Carle Place, New York, USA). When the RVG-S was used with an Oramatic 70 (Trophy Radiologie) X-ray generator, dosages at the cone tip ranged from 322 to 612 microGy. These corresponded to 40-60% of the dosages necessary when using Ektaspeed dental X-ray film (Eastman Kodak, Rochester, New York, USA) with a Heliodent 70 (Siemens, Erlangen, Germany) X-ray generator. At 60 kVp, the Sens-A-Ray reduced the dosage in the order of 30% compared with Ektaspeed dental X-ray film. Reduction in radiation dosage is one of the benefits of digital intraoral radiographic systems in general dental clinics. The RVG-S provides greater dose savings than does the Sens-A-Ray.

  18. An evaluation of the environmental impact assessment system in Vietnam: The gap between theory and practice

    SciTech Connect

    Clausen, Alison; Vu, Hoang Hoa; Pedrono, Miguel

    2011-03-15

    Vietnam has one of the fastest growing economies in the world and has achieved significant socio-economic development in recent years. However this growth is placing increased pressure on an already depleted natural environment. Environmental impact assessment (EIA) is recognised by the Government and international organizations as an important tool in the management of the impacts of future development on the country's natural resource base. The Government's commitment to EIA has been demonstrated through the development and adoption of the Law on Environment Protection (Revised) in 2005 which sets out the requirements for EIA and which represents a major step in the development of a robust legislative framework for EIA in Vietnam. The Law on Environment Protection (Revised) 2005 has now been operational for several years and we have undertaken an evaluation of the resulting EIA system in Vietnam. We argue that while significant improvements have been achieved in the EIA policy framework, an important gap remains between EIA theory and practice. We contend that the basis of the current EIA legislation is strong and that future developments of the EIA system in Vietnam should focus on improving capacity of EIA practitioners rather than further substantial legislative change. Such improvements would allow the Vietnamese EIA system to emerge as an effective and efficient tool for environmental management in Vietnam and as a model EIA framework for other developing countries.

  19. Parasite management extension - challenging traditional practice through adoption of a systems approach.

    PubMed

    Wilson, L; Rhodes, A P; Dodunski, G

    2015-11-01

    The drivers for anthelmintic use today are substantial and anthelmintic use has become an embedded normalised behaviour. The cheapness and easy availability of anthelmintic products has meant that New Zealand farmers have had access to easy "solutions" for dealing with parasites and minimal forward planning or system redesign has been required. Despite 30 years of messaging about the emerging issue of anthelmintic resistance, management to reduce parasitism and the need to change behaviour, farmer practice has largely remained unchanged. Traditional approaches to extension, particularly around parasite management, appear to have been quite ineffective, apart from encouraging change in anthelmintic products and a switch to use of anthelmintics in combination. More effective approaches are required. The evolving nature of anthelmintic resistance and sustainable management of parasitism require attitudes, knowledge and behaviour to change. This is a challenge for all players in the industry; researchers, manufacturers and sellers, advisors and farmers. Looking beyond agriculture to the health sector provides some insight into models of decision making and behaviour change that can inform future strategies. Features in the health belief model including concepts of self-efficacy and cues to action appear to align with the issues, challenges and culture prevailing in farming, and parasite management in particular. Programmes through which farmers have made substantial beneficial behaviour change and the lessons learnt are discussed. Effecting consistent behaviour change around parasite management will involve new approaches by all participants in the process. And the process itself also needs to change. It requires an understanding of whole-farm systems, and the consideration of all the sources of influence on the farmer and the other participants in the process. The process of knowledge sharing involving the farmer should be based on equality; each person in the process

  20. Best practices of hospital security planning for patient surge--a comparative analysis of three national systems.

    PubMed

    Downey, Erin; Hebert, Anjanette

    2010-01-01

    This paper examines three international healthcare security systems as they relate to patient surge in Canada, Israel, and the United States. Its purpose is to compare the systems, to highlight unique characteristics that define those systems, and to initiate the development of best practices that transcend national boundaries. Several significant national characteristics of demographics, healthcare systems, and political climate, among others, present challenges to translating best practices among these three countries. However, we have found that best practice strategies exist in areas of communications, coordination, building design, space adaptability, and patient routing (both from the community to the hospital, as well as within the hospital) that can be shared and incorporated into the healthcare preparedness efforts in all three countries.

  1. High-Performance Home Technologies: Solar Thermal & Photovoltaic Systems; Volume 6 Building America Best Practices Series

    SciTech Connect

    2007-06-01

    The sixth volume of the Building America Best Practices Series presents information that is useful throughout the U.S. for enhancing the energy efficiency practices in the specific climate zones that are presented in each of the volumes.

  2. Using System Dynamics Analysis for Evaluating the Sustainability of “Complete Streets” Practices

    EPA Science Inventory

    If “complete streets” practices are followed, transportation corridor designs accommodate multiple modes of transportation. When transportation engineers and planners consider implementing these practices, they must decide what portion of a transportation corridor&rs...

  3. Pioneering a National Advanced Practice Leadership Council to Enhance Care Delivery in a Large 19-State Health System.

    PubMed

    Harms, Dixie; Ewen, Julianne Z; Metsker, Matt; Swanson, Jay; Oas, Kimberly H

    This article describes an innovative approach to enhancing the capacity of advanced practice clinicians (APCs) in a large faith-based health system consisting of multiple markets across the United States. With the challenges in health care today, promotion of advanced practice is vital to increasing quality and access to care while maintaining cost-effectiveness. The development of a national Advanced Practice Leadership Council led by the Vice President of Advanced Practice at Catholic Health Initiatives has been a progressive approach in mitigating the challenges facing APCs in today's health care arena. The success of the Council has led to its inclusion on the health system's national clinical governance structure. The authors discuss development of the Council along with specific information regarding various committee work, including APC state regulations, delineation of privileges, quality measures, and total compensation.

  4. The Practical Relevance of Accountability Systems for School Improvement: A Descriptive Analysis of California Schools. CSE Report 713

    ERIC Educational Resources Information Center

    Mintrop, Heinrich; Trujillo, Tina

    2007-01-01

    In search for the practical relevance of accountability systems for school improvement, we ask whether practitioners traveling between the worlds of system-designated high and low-performing schools would detect tangible differences by observing concrete behaviors, looking at student work, or inquiring about teacher, administrator, or student…

  5. Physician Quality Reporting System (PQRS) for Interventional Pain Management Practices: Challenges and Opportunities.

    PubMed

    Manchikanti, Laxmaiah; Hammer, Marvel; Benyamin, Ramsin M; Hirsch, Joshua A

    2016-01-01

    Basing their rationale on multiple publications from Institute of Medicine (IOM), specifically Crossing the Quality Chasm, policy makers have focused on a broad range of issues, including assessment of the influence of medical practice organization structures on quality performance and development of quality measures. The 2006 Tax Relief and Health Care Act established the Physician Quality Reporting System (PQRS), to enable eligible professionals to report health care quality and health outcome information that cannot be obtained from standard Medicare claims. However, the Patient Protection and Affordable Care Act (ACA) of 2010 required the Centers for Medicare and Medicaid Services (CMS) to incorporate a combination of cost and quality into the payment systems for health care as a precursor to value-based payments. The final change to PQRS pending initiation after 2018, is based on the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) which has incorporated alternative payment models and merit-based payment systems. Recent publication of quality performance scores by CMS has been less than optimal. When voluntary participation began in July 2007, providers were paid a bonus for reporting quality measures from 2008 through 2014, ranging from 0.5% to 2% of the Medicare Part B allowed charges furnished during the reporting period. Starting in 2015, penalties started for nonparticipation. Eligible professionals and group practices that failed to satisfactorily report data on quality measures during 2014 are subject to a 2% reduction in Medicare fee-for-service amounts for services furnished by the eligible professional or group practice during 2016. The CMS proposed rule for 2016 physician payments contained a number of provisions with proposed updates to the PQRS and Physician Value-Based Payment Modifier among other changes. The proposed rule is the first release since MACRA repealed the sustainable growth rate formula. CMS proposed to continue many

  6. Hospitals as complex adaptive systems: A case study of factors influencing priority setting practices at the hospital level in Kenya.

    PubMed

    Barasa, Edwine W; Molyneux, Sassy; English, Mike; Cleary, Susan

    2017-02-01

    There is a dearth of literature on priority setting and resource allocation (PSRA) practices in hospitals, particularly in low and middle income countries (LMICs). Using a case study approach, we examined PSRA practices in 2 public hospitals in coastal Kenya. We collected data through a combination of in-depth interviews of national level policy makers, hospital managers, and frontline practitioners in the case study hospitals (n = 72), review of documents such as hospital plans and budgets, minutes of meetings and accounting records, and non-participant observations of PSRA practices in case study hospitals over a period of 7 months. In this paper, we apply complex adaptive system (CAS) theory to examine the factors that influence PSRA practices. We found that PSRA practices in the case hospitals were influenced by, 1) inadequate financing level and poorly designed financing arrangements, 2) limited hospital autonomy and decision space, and 3) inadequate management and leadership capacity in the hospital. The case study hospitals exhibited properties of complex adaptive systems (CASs) that exist in a dynamic state with multiple interacting agents. Weaknesses in system 'hardware' (resource scarcity) and 'software' (including PSRA guidelines that reduced hospitals decision space, and poor leadership skills) led to the emergence of undesired properties. The capacity of hospitals to set priorities should be improved across these interacting aspects of the hospital organizational system. Interventions should however recognize that hospitals are CAS. Rather than rectifying isolated aspects of the system, they should endeavor to create conditions for productive emergence.

  7. Best practices for implementing, testing and using a cloud-based communication system in a disaster situation.

    PubMed

    Makowski, Dale

    2016-01-01

    This paper sets out the basics for approaching the selection and implementation of a cloud-based communication system to support a business continuity programme, including: • consideration for how a cloud-based communication system can enhance a business continuity programme; • descriptions of some of the more popular features of a cloud-based communication system; • options to evaluate when selecting a cloud-based communication system; • considerations for how to design a system to be most effective for an organisation; • best practices for how to conduct the initial load of data to a cloud-based communication system; • best practices for how to conduct an initial validation of the data loaded to a cloud-based communication system; • considerations for how to keep contact information in the cloud-based communication system current and accurate; • best practices for conducting ongoing system testing; • considerations for how to conduct user training; • review of other potential uses of a cloud-based communication system; and • review of other tools and features many cloud-based communication systems may offer.

  8. Post-treatment and reuse of secondary effluents using natural ltreatment systems: the Indian practices.

    PubMed

    Kumar, D; Asolekar, S R; Sharma, S K

    2015-10-01

    Paper summarizes the results of India-wide survey of natural treatment systems (NTSs) for wastewater treatment and reuse. The quality of treated wastewater from different types of NTSs was analyzed for various physico-chemical and bacteriological parameters, and needs for post-treatment were identified. Currently, about 1838 million liters per day (MLD) of wastewater is being treated using NTSs, of which the contributions of polishing ponds, waste stabilization ponds, duckweed ponds, constructed wetlands, and Karnal technology were found to be 53.39, 45.15, 0.13, 0.55, and 0.78%, respectively. Among the NTSs studied, constructed wetland was found most efficient in removal of pollutants including nitrogen, phosphorus, total coliform, and fecal coliform in the range of 76, 61, 99.956, and 99.923%, respectively. Of all types of NTSs, only constructed wetland was found to meet the total coliform count requirements (<1000 per 100 ml). Of all the 108 NTSs in operation, 23 systems are producing treated effluents for irrigation; effluents from 48 systems are being discharged into river or lake, and remaining 38 systems have not found any designated use of treated effluent. The chlorination was the only post-treatment, which is being practiced at only three wastewater treatment facilities. During post-treatment, 1-2 ppm of chlorine is applied to the secondary effluent irrespective of its quality. The treated effluents from different NTSs contain fecal bacteria in the magnitude of 10(3) to 10(5), which may cause the severe health impacts through contamination of groundwater as well as surface water resources.

  9. A practical object-oriented approach to a development of a next generation hospital information system.

    PubMed

    Sakamoto, N

    1998-01-01

    KIND (stands for Kyushu university hospital Information Network Database) is a five years project, which aims to provide integrated services for patients, physicians, researchers and other hospital staffs. The final product of KIND is a next generation hospital information system. A physicians' clinical workstation, for example, integrated into a secured medical information network, can electronically develop a longitudinal medical record and interface with pharmacies, laboratories, medical specialists, and radiologists, as well as develop patient census and demographic profiles, in addition to doing electronic claims. Since clinical requirements on those medical records may vary for each case, we would like to have an essential data model under the hood. We decided to introduce domain analysis method to produce a relevant domain model. A domain analysis method captures the nature of business and helps us have an essential and extensible data model. Although there are several ways to describe a domain model, we chose an object-oriented description and consequently implementation using an object-oriented database system. Once we could have a decent domain model and implemented it as an object-oriented data model, application programs can utilize those data very easy without worrying extra efforts like finding complex queries including multiple joins. More over, if an application uses decent object-oriented technologies, it allows a user to access whole aspects of data transparently. This paper describes the architecture of KIND (the system) and outlines our domain model. In this paper, we also describe a practical application of several object-oriented technologies to develop a next generation hospital information system.

  10. [Recommendations on the use of belimumab in systemic lupus erythematosus. GEAS-SEMI Clinical Practice Guide].

    PubMed

    Ramos-Casals, M; Ruiz-Irastorza, G; Jiménez-Alonso, J; Khamashta, M A

    2013-01-01

    Biological therapies are based on the administration of various types of synthetic molecules related to the immune response. Their use has spread in recent years to the field of systemic autoimmune diseases, particularly to systemic lupus erythematosus (SLE). Until 2011, these diseases were not included in the therapeutic indications approved by international regulatory agencies. Therefore, the use of biological therapies was restricted to clinical trials and to compassionate use for cases refractory to standard treatments (off-label use), which require the approval of the Health Ministry. In 2011, belimumab, a human monoclonal antibody that specifically binds to the soluble form of the protein human B lymphocyte stimulator BlyS, was approved for use in patients with SLE. Because the clinical information on the use of this new drug in patients with SLE has only been obtained from the results of randomized trials, the Study Group of Autoimmune Diseases (GEAS) of the Spanish Society of Internal Medicine (SEMI) has developed therapeutic guidelines. These guidelines are based on the current scientific evidence on the use of belimumab in SLE patients in the clinical practice.

  11. Safety and efficacy of belimumab in systemic lupus erythematosus academic clinical practices

    PubMed Central

    Hui-Yuen, Joyce S.; Reddy, Arthi; Taylor, Jennifer; Li, Xiaoqing; Eichenfield, Andrew H.; Bermudez, Liza M.; Starr, Amy J.; Imundo, Lisa F.; Buyon, Jill; Furie, Richard A.; Kamen, Diane L.; Manzi, Susan; Petri, Michelle; Ramsey-Goldman, Rosalind; van Vollenhoven, Ronald F.; Wallace, Daniel J.; Askanase, Anca

    2015-01-01

    Objective Belimumab (Benlysta) is a human monoclonal antibody that inhibits soluble B-lymphocyte stimulator and was approved by the FDA for treatment of adults with systemic lupus erythematosus (SLE). This study evaluates the use and efficacy of belimumab in academic SLE practices. Methods Invitations to participate and complete a one-page questionnaire for each patient prescribed belimumab were sent to 16 physicians experienced in SLE Phase III clinical trials. The outcome was defined as the physician’s impression of improvement in the initial manifestation(s) being treated without worsening in other organ systems. Results Of 195 patients treated with belimumab at 10 academic centers, 96% were on background medications for SLE at initiation of belimumab, with 74% on corticosteroids. The main indications for initiation of belimumab were arthritis, rash, and/or worsening serologic activity, with 30% of patients unable to taper corticosteroids. Of the 120 patients on belimumab for at least 6 months, 51% responded clinically and 67% had ≥25% improvement in laboratory values. While numbers are limited, black patients showed improvement at 6 months. In a subset of 39 patients with childhood-onset SLE, 65% responded favorably at 6 months, and 35% discontinued corticosteroids. Conclusion Our data demonstrate favorable clinical and laboratory outcomes in patients with SLE at 6 months across all racial and ethnic groups, with similar improvement seen among patients with childhood-onset SLE. PMID:26523030

  12. Implementation of a best management practice (BMP) system for a clay mining facility in Taiwan.

    PubMed

    Lin, Jen-Yang; Chen, Yen-Chang; Chen, Walter; Lee, Tsu-Chuan; Yu, Shaw L

    2006-01-01

    The present paper describes the planning and implementation of a best management practice (BMP) system for a clay mining facility in Northern Taiwan. It is a challenge to plan and design BMPs for mitigating the impact of clay mining operations due to the fact that clay mining drainage typically contains very high concentrations of suspended solids (SS), Fe-ions, and [H+] concentrations. In the present study, a field monitoring effort was conducted to collect data for runoff quality and quantity from a clay mining area in Northern Taiwan. A BMP system including holding ponds connected in series was designed and implemented and its pollutant removal performance was assessed. The assessment was based on mass balance computations and an analysis of the relationship between BMP design parameters such as pond depth, detention time, surface loading rate, etc. and the pollutant removal efficiency. Field sampling results showed that the surface-loading rate is exponential related to the removing rate. The results provide the basis for a more comprehensive and efficient BMP implementation plan for clay mining operations.

  13. Traditional goat husbandry practice under pastoral systems in South Omo zone, southern Ethiopia.

    PubMed

    Tesfahun, Biruh; Kebede, Kefelegn; Effa, Kefena

    2017-03-01

    This study was carried out to describe goat production system under pastoralists' management in three districts of South Omo zone, southern Ethiopia. The districts were Benatsemay, Hamer, and Dasenech. Questionnaires were developed and used to collect data regarding pastoralists' management practices and production system of goats. A total of 180 households were interviewed to capture relevant information. Data collected through questionnaires were subjected to statistical analysis to generate descriptive statistics. Ranking was explained by calculating indexes. The primary purpose of raising goats was for social prestige in Benatsemay and Hamer but for milk production in Dasenech. Body size was the primary preference in Benatsemay and Hamer while milk yield was preferred most in Dasenech. Rangeland grazing was the major feed source in the study area in both dry and wet seasons. Pond and river were the common sources of water reported by farmers in the study districts but inadequate and poor quality. Disease prevalence was the top major constraint in goat husbandry in the three districts.

  14. SUPPORTING TEACHERS IN IMPLEMENTING FORMATIVE ASSESSMENT PRACTICES IN EARTH SYSTEMS SCIENCE

    NASA Astrophysics Data System (ADS)

    Harris, C. J.; Penuel, W. R.; Haydel Debarger, A.; Blank, J. G.

    2009-12-01

    An important purpose of formative assessment is to elicit student thinking to use in instruction to help all students learn and inform next steps in teaching. However, formative assessment practices are difficult to implement and thus present a formidable challenge for many science teachers. A critical need in geoscience education is a framework for providing teachers with real-time assessment tools as well as professional development to learn how to use formative assessment to improve instruction. Here, we describe a comprehensive support system, developed for our NSF-funded Contingent Pedagogies project, for addressing the challenge of helping teachers to use formative assessment to enhance student learning in middle school Earth Systems science. Our support system is designed to improve student understanding about the geosphere by integrating classroom network technology, interactive formative assessments, and contingent curricular activities to guide teachers from formative assessment to instructional decision-making and improved student learning. To accomplish this, we are using a new classroom network technology, Group Scribbles, in the context of an innovative middle-grades Earth Science curriculum called Investigating Earth Systems (IES). Group Scribbles, developed at SRI International, is a collaborative software tool that allows individual students to compose “scribbles” (i.e., drawings and notes), on “post-it” notes in a private workspace (a notebook computer) in response to a public task. They can post these notes anonymously to a shared, public workspace (a teacher-controlled large screen monitor) that becomes the centerpiece of group and class discussion. To help teachers implement formative assessment practices, we have introduced a key resource, called a teaching routine, to help teachers take advantage of Group Scribbles for more interactive assessments. Routine refers to a sequence of repeatable interactions that, over time, become

  15. Lightweight Data Systems in the Cloud: Costs, Benefits and Best Practices

    NASA Astrophysics Data System (ADS)

    Fatland, R.; Arendt, A. A.; Howe, B.; Hess, N. J.; Futrelle, J.

    2015-12-01

    We present here a simple analysis of both the cost and the benefit of using the cloud in environmental science circa 2016. We present this set of ideas to enable the potential 'cloud adopter' research scientist to explore and understand the tradeoffs in moving some aspect of their compute work to the cloud. We present examples, design patterns and best practices as an evolving body of knowledge that help optimize benefit to the research team. Thematically this generally means not starting from a blank page but rather learning how to find 90% of the solution to a problem pre-built. We will touch on four topics of interest. (1) Existing cloud data resources (NASA, WHOI BCO DMO, etc) and how they can be discovered, used and improved. (2) How to explore, compare and evaluate cost and compute power from many cloud options, particularly in relation to data scale (size/complexity). (3) What are simple / fast 'Lightweight Data System' procedures that take from 20 minutes to one day to implement and that have a clear immediate payoff in environmental data-driven research. Examples include publishing a SQL Share URL at (EarthCube's) CINERGI as a registered data resource and creating executable papers on a cloud-hosted Jupyter instance, particularly iPython notebooks. (4) Translating the computational terminology landscape ('cloud', 'HPC cluster', 'hadoop', 'spark', 'machine learning') into examples from the community of practice to help the geoscientist build or expand their mental map. In the course of this discussion -- which is about resource discovery, adoption and mastery -- we provide direction to online resources in support of these themes.

  16. Curriculum Providing Cognitive Knowledge and Problem-Solving Skills for Anesthesia Systems-Based Practice

    PubMed Central

    Wachtel, Ruth E.; Dexter, Franklin

    2010-01-01

    Background Residency programs accredited by the ACGME are required to teach core competencies, including systems-based practice (SBP). Projects are important for satisfying this competency, but the level of knowledge and problem-solving skills required presupposes a basic understanding of the field. The responsibilities of anesthesiologists include the coordination of patient flow in the surgical suite. Familiarity with this topic is crucial for many improvement projects. Intervention A course in operations research for surgical services was originally developed for hospital administration students. It satisfies 2 of the Institute of Medicine's core competencies for health professionals: evidence-based practice and work in interdisciplinary teams. The course lasts 3.5 days (eg, 2 weekends) and consists of 45 cognitive objectives taught using 7 published articles, 10 lectures, and 156 computer-assisted problem-solving exercises based on 17 case studies. We tested the hypothesis that the cognitive objectives of the curriculum provide the knowledge and problem-solving skills necessary to perform projects that satisfy the SBP competency. Standardized terminology was used to define each component of the SBP competency for the minimum level of knowledge needed. The 8 components of the competency were examined independently. Findings Most cognitive objectives contributed to at least 4 of the 8 core components of the SBP competency. Each component of SBP is addressed at the minimum requirement level of exemplify by at least 6 objectives. There is at least 1 cognitive objective at the level of summarize for each SBP component. Conclusions A curriculum in operating room management can provide the knowledge and problem-solving skills anesthesiologists need for participation in projects that satisfy the SBP competency. PMID:22132289

  17. Cropping systems and cultural practices determine the Rhizoctonia anastomosis groups associated with Brassica spp. in Vietnam.

    PubMed

    Hua, Gia Khuong Hoang; Bertier, Lien; Soltaninejad, Saman; Höfte, Monica

    2014-01-01

    Ninety seven Rhizoctonia isolates were collected from different Brassica species with typical Rhizoctonia symptoms in different provinces of Vietnam. The isolates were identified using staining of nuclei and sequencing of the rDNA-ITS barcoding gene. The majority of the isolates were multinucleate R. solani and four isolates were binucleate Rhizoctonia belonging to anastomosis groups (AGs) AG-A and a new subgroup of A-F that we introduce here as AG-Fc on the basis of differences in rDNA-ITS sequence. The most prevalent multinucleate AG was AG 1-IA (45.4% of isolates), followed by AG 1-ID (17.5%), AG 1-IB (13.4%), AG 4-HGI (12.4%), AG 2-2 (5.2%), AG 7 (1.0%) and an unknown AG related to AG 1-IA and AG 1-IE that we introduce here as AG 1-IG (1.0%) on the basis of differences in rDNA-ITS sequence. AG 1-IA and AG 1-ID have not been reported before on Brassica spp. Pathogenicity tests revealed that isolates from all AGs, except AG-A, induced symptoms on detached leaves of several cabbage species. In in vitro tests on white cabbage and Chinese cabbage, both hosts were severely infected by AG 1-IB, AG 2-2, AG 4-HGI, AG 1-IG and AG-Fc isolates, while under greenhouse conditions, only AG 4-HGI, AG 2-2 and AG-Fc isolates could cause severe disease symptoms. The occurrence of the different AGs seems to be correlated with the cropping systems and cultural practices in different sampling areas suggesting that agricultural practices determine the AGs associated with Brassica plants in Vietnam.

  18. Cropping Systems and Cultural Practices Determine the Rhizoctonia Anastomosis Groups Associated with Brassica spp. in Vietnam

    PubMed Central

    Soltaninejad, Saman; Höfte, Monica

    2014-01-01

    Ninety seven Rhizoctonia isolates were collected from different Brassica species with typical Rhizoctonia symptoms in different provinces of Vietnam. The isolates were identified using staining of nuclei and sequencing of the rDNA-ITS barcoding gene. The majority of the isolates were multinucleate R. solani and four isolates were binucleate Rhizoctonia belonging to anastomosis groups (AGs) AG-A and a new subgroup of A-F that we introduce here as AG-Fc on the basis of differences in rDNA-ITS sequence. The most prevalent multinucleate AG was AG 1-IA (45.4% of isolates), followed by AG 1-ID (17.5%), AG 1-IB (13.4%), AG 4-HGI (12.4%), AG 2-2 (5.2%), AG 7 (1.0%) and an unknown AG related to AG 1-IA and AG 1-IE that we introduce here as AG 1-IG (1.0%) on the basis of differences in rDNA-ITS sequence. AG 1-IA and AG 1-ID have not been reported before on Brassica spp. Pathogenicity tests revealed that isolates from all AGs, except AG-A, induced symptoms on detached leaves of several cabbage species. In in vitro tests on white cabbage and Chinese cabbage, both hosts were severely infected by AG 1-IB, AG 2-2, AG 4-HGI, AG 1-IG and AG-Fc isolates, while under greenhouse conditions, only AG 4-HGI, AG 2-2 and AG-Fc isolates could cause severe disease symptoms. The occurrence of the different AGs seems to be correlated with the cropping systems and cultural practices in different sampling areas suggesting that agricultural practices determine the AGs associated with Brassica plants in Vietnam. PMID:25372406

  19. Attacking a practical quantum-key-distribution system with wavelength-dependent beam-splitter and multiwavelength sources

    SciTech Connect

    Li, Hong-Wei; Wang, Shuang; Huang, Jing-Zheng; Chen, Wei; Yin, Zhen-Qiang; Li, Fang-Yi; Zhou, Zheng; Liu, Dong; Zhang, Yang; Guo, Guang-Can; Han, Zheng-Fu; Bao, Wan-Su

    2011-12-15

    It is well known that the unconditional security of quantum-key distribution (QKD) can be guaranteed by quantum mechanics. However, practical QKD systems have some imperfections, which can be controlled by the eavesdropper to attack the secret key. With current experimental technology, a realistic beam splitter, made by fused biconical technology, has a wavelength-dependent property. Based on this fatal security loophole, we propose a wavelength-dependent attacking protocol, which can be applied to all practical QKD systems with passive state modulation. Moreover, we experimentally attack a practical polarization encoding QKD system to obtain all the secret key information at the cost of only increasing the quantum bit error rate from 1.3 to 1.4%.

  20. Improving the Cybersecurity of Cyber-Physical Systems Through Behavioral Game Theory and Model Checking in Practice and in Education

    DTIC Science & Technology

    2016-09-15

    IMPROVING THE CYBERSECURITY OF CYBER-PHYSICAL SYSTEMS THROUGH BEHAVIORAL GAME THEORY AND MODEL...subject to copyright protection in the United States. AFIT-ENG-DS-16-S-010 IMPROVING THE CYBERSECURITY OF CYBER-PHYSICAL SYSTEMS THROUGH BEHAVIORAL ...UNLIMITED. AFIT-ENG-DS-16-S-010 IMPROVING THE CYBERSECURITY OF CYBER-PHYSICAL SYSTEMS THROUGH BEHAVIORAL GAME THEORY AND MODEL CHECKING IN PRACTICE

  1. DOD Business Systems Modernization: Additional Enhancements Are Needed for Army Business System Schedule and Cost Estimates to Fully Meet Best Practices

    DTIC Science & Technology

    2014-09-01

    DOD BUSINESS SYSTEMS MODERNIZATION Additional Enhancements Are Needed for Army Business System Schedule and Cost...DATE SEP 2014 2. REPORT TYPE 3. DATES COVERED 00-00-2014 to 00-00-2014 4. TITLE AND SUBTITLE DOD Business Systems Modernization: Additional...Enhancements Are Needed for Army Business System Schedule and Cost Estimates to Fully Meet Best Practices 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c

  2. A practical, bioinformatic workflow system for large data sets generated by next-generation sequencing.

    PubMed

    Cantacessi, Cinzia; Jex, Aaron R; Hall, Ross S; Young, Neil D; Campbell, Bronwyn E; Joachim, Anja; Nolan, Matthew J; Abubucker, Sahar; Sternberg, Paul W; Ranganathan, Shoba; Mitreva, Makedonka; Gasser, Robin B

    2010-09-01

    Transcriptomics (at the level of single cells, tissues and/or whole organisms) underpins many fields of biomedical science, from understanding the basic cellular function in model organisms, to the elucidation of the biological events that govern the development and progression of human diseases, and the exploration of the mechanisms of survival, drug-resistance and virulence of pathogens. Next-generation sequencing (NGS) technologies are contributing to a massive expansion of transcriptomics in all fields and are reducing the cost, time and performance barriers presented by conventional approaches. However, bioinformatic tools for the analysis of the sequence data sets produced by these technologies can be daunting to researchers with limited or no expertise in bioinformatics. Here, we constructed a semi-automated, bioinformatic workflow system, and critically evaluated it for the analysis and annotation of large-scale sequence data sets generated by NGS. We demonstrated its utility for the exploration of differences in the transcriptomes among various stages and both sexes of an economically important parasitic worm (Oesophagostomum dentatum) as well as the prediction and prioritization of essential molecules (including GTPases, protein kinases and phosphatases) as novel drug target candidates. This workflow system provides a practical tool for the assembly, annotation and analysis of NGS data sets, also to researchers with a limited bioinformatic expertise. The custom-written Perl, Python and Unix shell computer scripts used can be readily modified or adapted to suit many different applications. This system is now utilized routinely for the analysis of data sets from pathogens of major socio-economic importance and can, in principle, be applied to transcriptomics data sets from any organism.

  3. Comparative evaluation of three egg production systems: Housing characteristics and management practices

    PubMed Central

    Zhao, Y.; Shepherd, T. A.; Swanson, J. C.; Mench, J. A.; Karcher, D. M.; Xin, H.

    2015-01-01

    This paper is an integral part of the special publication series that arose from the multidisciplinary and multi-institutional project of the Coalition for Sustainable Egg Supply (CSES). The CSES project involves 3 housing systems for egg production at the same research farm site in the Midwest, USA, namely, a conventional cage (CC) house, an aviary (AV) house, and an enriched colony (EC) house. The CC house (141.4 m L × 26.6 m W × 6.1 m H) had a nominal capacity of 200,000 hens (6 hens in a cage at a stocking density of 516 cm2/hen), and the cages were arranged in 10 rows, 8 tiers per cage row, with a perforated aisle walkway at 4-tier height. The AV house (154.2 m L × 21.3 m W × 3.0 m H) and the EC house (154.2 m L × 13.7 m W × 4.0 m H) each had a nominal capacity of 50,000 hens. The AV house had 6 rows of aviary colonies, and the EC house had 5 rows of 4-tier enriched colonies containing perches, nestbox, and scratch pads (60 hens per colony at a stocking density of 752 cm2/hen). The overarching goal of the CSES project, as stated in the opening article of this series, was to comprehensively evaluate the 3 egg production systems from the standpoints of animal behavior and well-being, environmental impact, egg safety and quality, food affordability, and worker health. So that all the area-specific papers would not have to repeat a detailed description of the production systems and the management practices, this paper is written to provide such a description and to be used as a common reference for the companion papers. PMID:25737566

  4. Supervision--growing and building a sustainable general practice supervisor system.

    PubMed

    Thomson, Jennifer S; Anderson, Katrina J; Mara, Paul R; Stevenson, Alexander D

    2011-06-06

    This article explores various models and ideas for future sustainable general practice vocational training supervision in Australia. The general practitioner supervisor in the clinical practice setting is currently central to training the future general practice workforce. Finding ways to recruit, retain and motivate both new and experienced GP teachers is discussed, as is the creation of career paths for such teachers. Some of the newer methods of practice-based teaching are considered for further development, including vertically integrated teaching, e-learning, wave consulting and teaching on the run, teaching teams and remote teaching. Approaches to supporting and resourcing teaching and the required infrastructure are also considered. Further research into sustaining the practice-based general practice supervision model will be required.

  5. Small ruminant feed systems: perceptions and practices in the transitional zone of Ghana

    PubMed Central

    2010-01-01

    into major feeds, the creation of non-cropping zones around village fringes and studies on labour demands of different feed systems are proposed. The insight gained in this study on farmers' perceptions and practices relating to small ruminant feeds could guide in the selection and introduction of feed innovations that fit into current feed systems to enhance adoption. PMID:20298617

  6. Does motor interference arise from mirror system activation? The effect of prior visuo-motor practice on automatic imitation.

    PubMed

    Capa, Rémi L; Marshall, Peter J; Shipley, Thomas F; Salesse, Robin N; Bouquet, Cédric A

    2011-03-01

    Action perception may involve a mirror-matching system, such that observed actions are mapped onto the observer's own motor representations. The strength of such mirror system activation should depend on an individual's experience with the observed action. The motor interference effect, where an observed action interferes with a concurrently executed incongruent action, is thought to arise from mirror system activation. However, this view was recently challenged. If motor interference arises from mirror system activation, this effect should be sensitive to prior sensorimotor experience with the observed action. To test this prediction, we measured motor interference in two groups of participants observing the same incongruent movements. One group had received brief visuo-motor practice with the observed incongruent action, but not the other group. Action observation induced a larger motor interference in participants who had practiced the observed action. This result thus supports a mirror system account of motor interference.

  7. 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.

  8. Addressing the systems-based practice requirement with health policy content and educational technology.

    PubMed

    Nagler, Alisa; Andolsek, Kathryn; Dossary, Kristin; Schlueter, Joanne; Schulman, Kevin

    2010-01-01

    Duke University Hospital Office of Graduate Medical Education and Duke University's Fuqua School of Business collaborated to offer a Health Policy lecture series to residents and fellows across the institution, addressing the "Systems-based Practice" competency.During the first year, content was offered in two formats: live lecture and web/podcast. Participants could elect the modality which was most convenient for them. In Year Two, the format was changed so that all content was web/podcast and a quarterly live panel discussion was led by module presenters or content experts. Lecture evaluations, qualitative focus group feedback, and post-test data were analyzed.A total of 77 residents and fellows from 8 (of 12) Duke Graduate Medical Education departments participated. In the first year, post-test results were the same for those who attended the live lectures and those who participated via web/podcast. A greater number of individuals participated in Year Two. Participants from both years expressed the need for health policy content in their training programs. Participants in both years valued a hybrid format for content delivery, recognizing a desire for live interaction with the convenience of accessing web/podcasts at times and locations convenient for them. A positive unintended consequence of the project was participant networking with residents and fellows from other specialties.

  9. Proposal of Gleason-like grading system of canine prostate carcinoma in veterinary pathology practice.

    PubMed

    Palmieri, Chiara; Grieco, Valeria

    2015-12-01

    Gleason grading - the most useful predictor of prognosis for prostate cancer in men - was updated at a 2005 consensus conference by the International Society of Urological Pathology. Since Gleason-like growth patterns have been recognised in dogs, this study aimed to apply the modified Gleason grading to 45 canine prostate carcinomas. A single primary growth pattern was observed in 28 cases, a secondary pattern in 11 cases and a tertiary pattern in 6 cases. Cribriform, solid and small acinar/ductal were the most common primary, secondary and tertiary morphological patterns, respectively. The highest Gleason score (GS10) was obtained in 46.7% of cases. Nine of 14 metastasizing cases were classified as GS10. Gleason pattern 5 was present in 33 of cases. This study suggests that the modified Gleason grading, based on specific histological growth patterns existing in canine prostate carcinomas, may be accepted as a grading system for histopathology in the practice settings in order to complete the clinical assessment for the best management of the patient.

  10. Miniaturization of pinch-type valves and pumps for practical micro total analysis system integration

    NASA Astrophysics Data System (ADS)

    Oh, Kwang W.; Rong, Rong; Ahn, Chong H.

    2005-12-01

    In this paper, to address the issues relevant to leakage, dead volume and contamination, we have miniaturized a pinch-type valve and a pinch-type peristaltic pump, which are surface mountable on the microfluidic lab-on-a-chip (LOC) devices. The pinch-type valve consisted of a solenoid magnetic actuator with a pinch plunger and a biomedical grade silicone tube. The pinch valve has shown excellent characteristics of no detectable leakage flow up to 200 kPa and zero dead volume, keeping its surface mountable capability over the microfluidic devices. Furthermore, the new pinch-type peristaltic pump realized by connecting three pinch-type valves in series has shown self-priming and bi-directional pumping capabilities. The pump enabled a wide pumping rate control over 33:1 from 30 µl min-1 at 0.4 Hz up to 1000 µl min-1 at 100 Hz. Back pressure of the pump was 280 cm of water pressure at 20 Hz, equivalent to 27.6 kPa. As a result, the miniaturized stand-alone pinch-type valve and pump developed in this work will have many practical applications in miniaturized total analysis systems (μ-TAS).

  11. Practical Design of an Energy Harvester Considering Wheel Rotation for Powering Intelligent Tire Systems

    NASA Astrophysics Data System (ADS)

    Zhu, Bing; Han, Jiayi; Zhao, Jian; Deng, Weiwen

    2017-04-01

    Intelligent tires are essentially a data acquisition system based on a number of complex intelligent sensors inside the tire. Intelligent tires which are capable of boosting the performance of the vehicle have the key problem of energy supply. A practical energy harvester was here designed to support the electric equipment in the intelligent tires and make it feasible for them to work steadily and constantly. This harvester takes the centrifugal force caused by the rotation of the wheel, which could affect the resonance frequency of the piezoelectric cantilever, into account. First, the vibration characteristics of the wheel were analyzed by road test, and the optimal arrangement for vibration energy usage was determined. Then, a piezoelectric vibration energy harvester was designed according to a series of formulas that took the effect of centrifugal force on resonance frequency into account. Finally, a road test was carried out to test the generated energy of the energy harvester excited by the vibration of the wheel. The results showed that the electric power meets the need of general low-power consumption triaxial accelerometers used in intelligent tires.

  12. Design considerations &practical results with long duration systems for manned flight: cryogenic helium and superpressure balloons.

    NASA Astrophysics Data System (ADS)

    Nott, J.

    The paper will describe two manned flights made in polyethylene zero pressure balloons with liquid helium carried to provide all in-flight buoyancy adjustment. These balloons were of 1,600 and 8,000 cubic meter volumes. Two flights have been made, both lasting 24 hours. The first flight cruised and flew through the sunset at 18,000 feet / 5,500 meters. The second flight using a pressurized cabin included flying through the night at about 32,000 feet / 10,000 meters. These flights highlight a wide range of theoretical and practical design concerns. For a craft carrying a crew, structural integrity and manageability &control in flight are naturally important. These flights demonstrated the complete feasibility of this system which will be described in detail. In addition the author constructed a 1,600 cubic meter pumpkin balloon used for a two day fight across Australia with a crew of two. Considerable problems were discovered during construction with distortion of the balloon. Although this work was done some time ago, the results have not been published in detail. The reason for publications at this time is that the work is very relevant to the problems recently encountered with the ULDB pumpkin design. The author, who is a physicist as well as a member of the Society of Experimental Test Pilots, was the principal desig ner as well as pilot of these craft. Ends...

  13. Improved key-rate bounds for practical decoy-state quantum-key-distribution systems

    NASA Astrophysics Data System (ADS)

    Zhang, Zhen; Zhao, Qi; Razavi, Mohsen; Ma, Xiongfeng

    2017-01-01

    The decoy-state scheme is the most widely implemented quantum-key-distribution protocol in practice. In order to account for the finite-size key effects on the achievable secret key generation rate, a rigorous statistical fluctuation analysis is required. Originally, a heuristic Gaussian-approximation technique was used for this purpose, which, despite its analytical convenience, was not sufficiently rigorous. The fluctuation analysis has recently been made rigorous by using the Chernoff bound. There is a considerable gap, however, between the key-rate bounds obtained from these techniques and that obtained from the Gaussian assumption. Here we develop a tighter bound for the decoy-state method, which yields a smaller failure probability. This improvement results in a higher key rate and increases the maximum distance over which secure key exchange is possible. By optimizing the system parameters, our simulation results show that our method almost closes the gap between the two previously proposed techniques and achieves a performance similar to that of conventional Gaussian approximations.

  14. Designing an automated clinical decision support system to match clinical practice guidelines for opioid therapy for chronic pain

    PubMed Central

    2010-01-01

    Background Opioid prescribing for chronic pain is common and controversial, but recommended clinical practices are followed inconsistently in many clinical settings. Strategies for increasing adherence to clinical practice guideline recommendations are needed to increase effectiveness and reduce negative consequences of opioid prescribing in chronic pain patients. Methods Here we describe the process and outcomes of a project to operationalize the 2003 VA/DOD Clinical Practice Guideline for Opioid Therapy for Chronic Non-Cancer Pain into a computerized decision support system (DSS) to encourage good opioid prescribing practices during primary care visits. We based the DSS on the existing ATHENA-DSS. We used an iterative process of design, testing, and revision of the DSS by a diverse team including guideline authors, medical informatics experts, clinical content experts, and end-users to convert the written clinical practice guideline into a computable algorithm to generate patient-specific recommendations for care based upon existing information in the electronic medical record (EMR), and a set of clinical tools. Results The iterative revision process identified numerous and varied problems with the initially designed system despite diverse expert participation in the design process. The process of operationalizing the guideline identified areas in which the guideline was vague, left decisions to clinical judgment, or required clarification of detail to insure safe clinical implementation. The revisions led to workable solutions to problems, defined the limits of the DSS and its utility in clinical practice, improved integration into clinical workflow, and improved the clarity and accuracy of system recommendations and tools. Conclusions Use of this iterative process led to development of a multifunctional DSS that met the approval of the clinical practice guideline authors, content experts, and clinicians involved in testing. The process and experiences described

  15. Understanding how clinical judgement and communicative practices interact with the use of an electronic clinical handover system.

    PubMed

    Yee, Kwang Chien; Wong, Ming Chao; Turner, Paul

    2013-01-01

    Clinical handover is a high risk scenario involving the transfer of information, responsibility and accountability for patient care. Many strategies have been proposed to improve clinical handover and reduce risks it can pose to the safety and quality of patient care. The development and implementation of electronic tools provides one mechanism for structuring and streamlining information transfer to support more standardised handover practices. However, clinical judgement remains a valued, fundamental aspect of clinical practice and its communication during handover is open to variation in ways that may compromise patient safety. This research examines these issues based on evidence generated from a user-centred approach involving clinicians in the development and implementation of an electronic clinical handover system. The paper highlights how clinical judgements and communicative practices interact with an electronic clinical handover system, and discusses their potential implications for patient safety as part of a broader clinical handover improvement project.

  16. Spatial data in geographic information system format on agricultural chemical use, land use, cropping practices in the United States

    USGS Publications Warehouse

    Battaglin, W.A.; Goolsby, D.A.

    1995-01-01

    The spatial data in geographic information system format described in this report consist of estimates for all counties in the conterminous United States of the annual use of 96 herbicides in 1989; annual sales of nitrogen fertilizer, in tons, for 1985-91; and agricultural expenses, land use, chemical use, livestock holdings, and cropping practices in 1987. The source information, originally in tabular form, is summarized as digital polygon attribute data in the 18 geographic information system spatial data layers (coverages) provided. The information in these coverages can be used in estimating regional agricultural-chemical use or agricultural practices and in producing visual displays and mapping relative rates of agricultural-chemical use or agricultural practices across broad regions of the United States.

  17. Positive Behavior Intervention & Support (PBIS) System. EP Notes. Effective Practices Technical Assistance Bulletin.

    ERIC Educational Resources Information Center

    Missouri State Dept. of Elementary and Secondary Education, Jefferson City.

    This bulletin, the first technical assistance bulletin produced by the Special Education Effective Practices Section of the Missouri Department of Elementary and Secondary Education, is intended to share research-based promising practices with educators including family members, teachers, building administrators, and paraprofessionals. It…

  18. Pilot of a Learning Management System to Enhance Counselors' Relational Qualities through Mindfulness-Based Practices

    ERIC Educational Resources Information Center

    Ballinger, Julie Ann

    2013-01-01

    Mindfulness-based practices are associated with increased attentional qualities, improved self-focus styles, enhanced empathic understanding, and strengthened self-compassion, making these practices a viable addition to counselor training programs. However, current mindfulness training models are primarily designed for relief of psychological…

  19. The Profiles, Patterns, and Practices of Women Superintendents in Alabama's Public School Systems

    ERIC Educational Resources Information Center

    Brouillette, Janine E.

    2009-01-01

    The purpose of the study was to develop a profile that describes the patterns and practices of the 27 women who served as public school superintendents in Alabama during the 2006-2007 school year. This study explored the relationship between the profiles, patterns, and practices found in research and the manifestations in the lives and careers of…

  20. Evidence to Practice Commentary: The Evidence Alert Traffic Light Grading System

    ERIC Educational Resources Information Center

    Novak, Iona

    2012-01-01

    The purpose of the "Evidence to Practice" commentary is to highlight an issue or research finding in selected articles, emphasizing the relevance to practice. This article introduces a new tool designed to summarize the most up-to-date evidence in an easily readable format, in order to provide clinically useful answers within minutes for assisting…

  1. College Students' View of Biotechnology Products and Practices in Sustainable Agriculture Systems

    ERIC Educational Resources Information Center

    Anderson, William A.

    2008-01-01

    Sustainable agriculture implies the use of products and practices that sustain production, protect the environment, ensure economic viability, and maintain rural community viability. Disagreement exists as to whether or not the products and practices of modern biotechnological support agricultural sustainability. The purpose of this study was to…

  2. Disseminating Evidence-Based Practice For Children & Adolescents: A Systems Approach to Enhancing Care

    ERIC Educational Resources Information Center

    American Psychological Association (APA), 2008

    2008-01-01

    This report focuses on psychological practice with children and adolescents, concurring with a previous task force report that integrating science and practice must be a priority. In addition, the report advocates that developmental considerations and cultural/contextual factors warrant specific, distinctive attention by researchers and…

  3. Evaluating the Motivational Impact of CALL Systems: Current Practices and Future Directions

    ERIC Educational Resources Information Center

    Bodnar, Stephen; Cucchiarini, Catia; Strik, Helmer; van Hout, Roeland

    2016-01-01

    A major aim of computer-assisted language learning (CALL) is to create computer environments that facilitate students' second language (L2) acquisition. To achieve this aim, CALL employs technological innovations to create novel types of language practice. Evaluations of the new practice types serve the important role of distinguishing effective…

  4. Knowledge Systems, Health Care Teams, and Clinical Practice: A Study of Successful Change

    ERIC Educational Resources Information Center

    Olson, Curtis A.; 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…

  5. Promoting Assessment Efficacy through an Integrated System for Online Clinical Assessment of Practical Skills

    ERIC Educational Resources Information Center

    Hay, Peter J.; Engstrom, Craig; Green, Anita; Friis, Peter; Dickens, Sue; Macdonald, Doune

    2013-01-01

    This paper presents evaluation outcomes from an externally funded research project involving the online clinical assessment of practical skills (eCAPS) using web-based video technologies within a university medical programme. eCAPS was implemented to trial this web-based approach for promoting the efficacy of "practical" skills…

  6. Uncertainty analysis of practical structural health monitoring systems currently employed for tall buildings consisting of small number of sensors

    NASA Astrophysics Data System (ADS)

    Hirai, Kenta; Mita, Akira

    2016-04-01

    Because of social background, such as repeated large earthquakes and cheating in design and construction, structural health monitoring (SHM) systems are getting strong attention. The SHM systems are in a practical phase. An SHM system consisting of small number of sensors has been introduced to 6 tall buildings in Shinjuku area. Including them, there are 2 major issues in the SHM systems consisting of small number of sensors. First, optimal system number of sensors and the location are not well-defined. In the practice, system placement is determined based on rough prediction and experience. Second, there are some uncertainties in estimation results by the SHM systems. Thus, the purpose of this research is to provide useful information for increasing reliability of SHM system and to improve estimation results based on uncertainty analysis of the SHM systems. The important damage index used here is the inter-story drift angle. The uncertainty considered here are number of sensors, earthquake motion characteristics, noise in data, error between numerical model and real building, nonlinearity of parameter. Then I have analyzed influence of each factor to estimation accuracy. The analysis conducted here will help to decide sensor system design considering valance of cost and accuracy. Because of constraint on the number of sensors, estimation results by the SHM system has tendency to provide smaller values. To overcome this problem, a compensation algorithm was discussed and presented. The usefulness of this compensation method was demonstrated for 40 story S and RC building models with nonlinear response.

  7. Profession differences in family focused practice in the adult mental health system.

    PubMed

    Maybery, Darryl; Goodyear, Melinda; O'Hanlon, Brendan; Cuff, Rose; Reupert, Andrea

    2014-12-01

    There is a large gulf between what psychiatric services should (or could) provide and what they do in practice. This article sought to determine practice differences between the differing professions working in adult mental health services in terms of their family focused work. Three hundred and seven adult mental health professionals completed a cross-sectional survey of family focused practices in adult mental health services. Findings highlight that social workers engaged in more family focused practice compared to psychiatric nurses, who performed consistently the lowest on direct family care, compared to both social workers and psychologists. Clear skill, knowledge, and confidence differences are indicated between the professions. The article concludes by offering direction for future profession education and training in family focused practices.

  8. The Campus Environmental Management System Cycle in Practice: 15 Years of Environmental Management, Education and Research at Dalhousie University

    ERIC Educational Resources Information Center

    Clarke, Amelia

    2006-01-01

    Purpose: To challenge the deliberate strategy approach of the environmental management system (EMS) cycle, and offer a model based on both the practical reality experienced at Dalhousie University and emergent strategy theory. Also, to share some of the lessons learned in the 15 years of environmental management at Dalhousie University.…

  9. 28 CFR 16.78 - Exemption of the Special Counsel for Immigration-Related, Unfair Employment Practices Systems.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Exemption of the Special Counsel for Immigration-Related, Unfair Employment Practices Systems. 16.78 Section 16.78 Judicial Administration... the Privacy Act § 16.78 Exemption of the Special Counsel for Immigration-Related, Unfair...

  10. 28 CFR 16.78 - Exemption of the Special Counsel for Immigration-Related, Unfair Employment Practices Systems.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 1 2012-07-01 2012-07-01 false Exemption of the Special Counsel for Immigration-Related, Unfair Employment Practices Systems. 16.78 Section 16.78 Judicial Administration... the Privacy Act § 16.78 Exemption of the Special Counsel for Immigration-Related, Unfair...

  11. 28 CFR 16.78 - Exemption of the Special Counsel for Immigration-Related, Unfair Employment Practices Systems.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Exemption of the Special Counsel for Immigration-Related, Unfair Employment Practices Systems. 16.78 Section 16.78 Judicial Administration... the Privacy Act § 16.78 Exemption of the Special Counsel for Immigration-Related, Unfair...

  12. 28 CFR 16.78 - Exemption of the Special Counsel for Immigration-Related, Unfair Employment Practices Systems.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Exemption of the Special Counsel for Immigration-Related, Unfair Employment Practices Systems. 16.78 Section 16.78 Judicial Administration... the Privacy Act § 16.78 Exemption of the Special Counsel for Immigration-Related, Unfair...

  13. 28 CFR 16.78 - Exemption of the Special Counsel for Immigration-Related, Unfair Employment Practices Systems.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Exemption of the Special Counsel for Immigration-Related, Unfair Employment Practices Systems. 16.78 Section 16.78 Judicial Administration... the Privacy Act § 16.78 Exemption of the Special Counsel for Immigration-Related, Unfair...

  14. NDTAC Practice Guide: Quality Education Services Are Critical for Youth Involved with the Juvenile Justice and Child Welfare Systems

    ERIC Educational Resources Information Center

    Gonsoulin, Simon; Clark, Heather Griller; Rankin, Victoria E.

    2015-01-01

    This National Evaluation and Technical Assistance Center for the Education of Children and Youth Who are Neglected, Delinquent, or At-Risk (NDTAC) practice guide examines the principle that quality education services are critical for youth involved with the juvenile justice and child welfare systems. This principle asserts that, to address the…

  15. [Organizational and managerial problems of the risks in the health service system and the safe medical practice].

    PubMed

    Kucherenko, V Z; Ekkert, N V

    2012-01-01

    For the creation of the safety of the medical aid it is necessary to make a complex systems efforts, which includes a lot of professional, organizational, juridical and psychological actions for the improvement of the treatment and diagnostic process, the promotion of the real conditions for the risk-management in the organizational and clinic practice.

  16. Intervention Selection in School-Based Practice: Using Public Health Models to Enhance Systems Capacity of Schools

    ERIC Educational Resources Information Center

    Merrell, Kenneth W.; Buchanan, Rohanna

    2006-01-01

    Recent federal initiatives and efforts within education and psychology professional organizations have contributed to an increased focus on scientifically based practices in education. Although interventions are available to educators, there is a need to enhance systems capacity through identification, selection, and implementation of appropriate…

  17. Handbook of Response to Intervention: The Science and Practice of Multi-Tiered Systems of Support, 2nd Edition

    ERIC Educational Resources Information Center

    Jimerson, Shane R., Ed.; Burns, Matthew K., Ed.; VanDerHeyden, Amanda M., Ed.

    2016-01-01

    The second edition of this essential handbook provides a comprehensive, updated overview of the science that informs best practices for the implementation of response to intervention (RTI) processes within Multi-Tiered Systems of Support (MTSS) to facilitate the academic success of all students. The volume includes insights from leading scholars…

  18. Modifying the System for Observing Fitness Instruction Time to Measure Teacher Practices Related to Physical Activity Promotion: SOFIT+

    ERIC Educational Resources Information Center

    Weaver, R. Glenn; Webster, Collin A.; Erwin, Heather; Beighle, Aaron; Beets, Michael W.; Choukroun, Hadrien; Kaysing, Nicole

    2016-01-01

    The System for Observing Fitness Instruction Time (SOFIT) is commonly used to measure variables related to physical activity during physical education (PE). However, SOFIT does not yield detailed information about teacher practices related to children's moderate-to-vigorous physical activity (MVPA). This study describes the modification of SOFIT…

  19. Analyzing the uniformity of the generated magnetic field by a practical one-dimensional Helmholtz coils system.

    PubMed

    Beiranvand, R

    2013-07-01

    Using the Helmholtz coils system is one of the most suitable approaches which have been introduced for generating uniform magnetic fields. In this paper, uniformity of the generated magnetic field by a practical one-dimensional (1D) Helmholtz coils system has been analyzed, mathematically. For this purpose, relationships between the magnetic field uniformity and different practical unavoidable mismatches have been extracted. The theoretical analysis clearly demonstrates the effect of assembly misalignments and manufacturing mismatches on the magnetic field achieved by a practical 1D Helmholtz coils system. The given analyses have been confirmed by the experimental results which are in good agreement with the calculated values. This analysis and the experimental results illustrate that to achieve a very high uniform magnetic field, practical assembly misalignments, and manufacturing mismatches must be as small as possible, and the background magnetic field distortion must be avoided, too. The results of this work are important in the design of instruments and systems where Helmholtz coils are used.

  20. A Self-Study Guide to Implementation of Inclusive Assessment and Accountability Systems. A Best Practice Approach.

    ERIC Educational Resources Information Center

    Quenemoen, Rachel F.; Thompson, Sandra J.; Thurlow, Martha L.; Lehr, Camilla A.

    The National Center on Educational Outcomes has identified six core principles of assessment and accountability systems that include all students, specifically students with disabilities, and they have developed brief statements of rationale for each of the principles. These principles, which reflect best practices, are consistent with the…

  1. Use of Saliva for Assessment of Stress and Its Effect on the Immune System Prior to Gross Anatomy Practical Examinations

    ERIC Educational Resources Information Center

    Lester, S. Reid; Brown, Jason R.; Aycock, Jeffrey E.; Grubbs, S. Lee; Johnson, Roger B.

    2010-01-01

    The objective of this study was to determine the longitudinal effects of a series of stressful gross anatomy tests on the immune system. Thirty-six freshman occupational therapy students completed a written stress evaluation survey, and saliva samples were obtained at baseline and prior to each of three timed-practical gross anatomy tests.…

  2. Scaring the Students Away? Institutional Selection through Assessment Practices in the Danish Vocational and Educational Training System

    ERIC Educational Resources Information Center

    Grønborg, Lisbeth

    2013-01-01

    This paper sheds light on how competence assessment takes place in the Danish Vocational and Educational Training System. It discusses how intentions formulated by the government have unintentional effects when implemented in practice. The qualitative methods used in this study consist of participant observations from my field study of dropouts in…

  3. Short-Run Effects of Accountability Pressures on Teacher Policies and Practices in the Voucher System in Santiago, Chile

    ERIC Educational Resources Information Center

    Elacqua, Gregory; Martínez, Matías; Santos, Humberto; Urbina, Daniela

    2016-01-01

    This research analyzes the impact of the Adjusted Voucher Law´s school rankings on low-performing schools in Santiago, Chile, and provides evidence on the effects of the pressures of accountability systems on teacher policies and practices. The empirical strategy is based on the fact that schools are ranked according to their position on a set of…

  4. Improving Educational Outcomes for Youth in the Juvenile Justice and Child Welfare Systems through Interagency Communication and Collaboration. Practice Guide

    ERIC Educational Resources Information Center

    Gonsoulin, S.; Read, N.W.

    2011-01-01

    Interagency communication and collaboration is a key principle and practice in addressing the unmet educational needs of youth in the juvenile justice and child welfare systems. When child-serving agencies communicate and work with each other, and are committed to coordinating services and supports for the youth and families they serve, they…

  5. Toward practical application of fiber optical parametric amplifiers in optical communication systems

    NASA Astrophysics Data System (ADS)

    Wong, Kin-Yip

    gain medium in OPO; as a second harmonic distortion (2HD) suppressor in CATV systems; as a novel device in wavelength exchange; and finally with the two-pump OPA technique, a method to lower idler broadening is proposed and implemented, and it shows an effective reduction of idler linewidth. They all show the versatile nature of OPA in various applications and promising steps in making practical OPA.

  6. Recovery Communities of Practice: An Innovative Strategy for Mental Health System Transformation.

    PubMed

    Piat, Myra; Briand, Catherine; Bates, Eloise; Labonté, Lise

    2016-01-01

    This column describes the development of a "community of practice" (CoP) in Quebec, which was implemented in 2012 to promote recovery-oriented practices in mental health care. A group of diverse stakeholders work together to share and transfer knowledge; support diverse practices, strategies, and solutions; develop a culture of collaboration; mobilize opportunities for quality improvement; and influence decision-making bodies. Recent efforts have been successful: the provision of recovery-oriented services is the primary focus of the 2015-2020 Quebec Mental Health Action Plan.

  7. Rapid learning in practice: A lung cancer survival decision support system in routine patient care data

    PubMed Central

    Dekker, Andre; Vinod, Shalini; Holloway, Lois; Oberije, Cary; George, Armia; Goozee, Gary; Delaney, Geoff P.; Lambin, Philippe; Thwaites, David

    2016-01-01

    Background and purpose A rapid learning approach has been proposed to extract and apply knowledge from routine care data rather than solely relying on clinical trial evidence. To validate this in practice we deployed a previously developed decision support system (DSS) in a typical, busy clinic for non-small cell lung cancer (NSCLC) patients. Material and methods Gender, age, performance status, lung function, lymph node status, tumor volume and survival were extracted without review from clinical data sources for lung cancer patients. With these data the DSS was tested to predict overall survival. Results 3919 lung cancer patients were identified with 159 eligible for inclusion, due to ineligible histology or stage, non-radical dose, missing tumor volume or survival. The DSS successfully identified a good prognosis group and a medium/poor prognosis group (2 year OS 69% vs. 27/30%, p < 0.001). Stage was less discriminatory (2 year OS 47% for stage I–II vs. 36% for stage IIIA–IIIB, p = 0.12) with most good prognosis patients having higher stage disease. The DSS predicted a large absolute overall survival benefit (~40%) for a radical dose compared to a non-radical dose in patients with a good prognosis, while no survival benefit of radical radiotherapy was predicted for patients with a poor prognosis. Conclusions A rapid learning environment is possible with the quality of clinical data sufficient to validate a DSS. It uses patient and tumor features to identify prognostic groups in whom therapy can be individualized based on predicted outcomes. Especially the survival benefit of a radical versus non-radical dose predicted by the DSS for various prognostic groups has clinical relevance, but needs to be prospectively validated. PMID:25241994

  8. Study of the Use of Data Systems to Increase Building Leader Capacity and Inform Principal Practice in K-12 Public Schools

    ERIC Educational Resources Information Center

    DeAngelo, Salvatore, Jr.

    2013-01-01

    The intention of this qualitative study was to explore the effects that instructional data systems have on a building level leader's capacity to evaluate student growth and inform principal practice. Principal leadership practices were examined through the lens of Kouzes and Postners' five practices of exemplary leadership (Kouzes & Posner,…

  9. Same organization, same electronic health records (EHRs) system, different use: exploring the linkage between practice member communication patterns and EHR use patterns in an ambulatory care setting

    PubMed Central

    Leykum, Luci K; McDaniel, Reuben R

    2011-01-01

    Objective Despite efforts made by ambulatory care organizations to standardize the use of electronic health records (EHRs), practices often incorporate these systems into their work differently from each other. One potential factor contributing to these differences is within-practice communication patterns. The authors explore the linkage between within-practice communication patterns and practice-level EHR use patterns. Design Qualitative study of six practices operating within the same multi-specialty ambulatory care organization using the same EHR system. Semistructured interviews and direct observation were conducted with all physicians, nurses, medical assistants, practice managers, and non-clinical staff from each practice. Measurements An existing model of practice relationships was used to analyze communication patterns within the practices. Practice-level EHR use was defined and analyzed as the ways in which a practice uses an EHR as a collective or a group—including the degree of feature use, level of EHR-enabled communication, and frequency that EHR use changes in a practice. Interview and observation data were analyzed for themes. Based on these themes, within-practice communication patterns were categorized as fragmented or cohesive, and practice-level EHR use patterns were categorized as heterogeneous or homogeneous. Practices where EHR use was uniformly high across all users were further categorized as having standardized EHR use. Communication patterns and EHR use patterns were compared across the six practices. Results Within-practice communication patterns were associated with practice-level EHR use patterns. In practices where communication patterns were fragmented, EHR use was heterogeneous. In practices where communication patterns were cohesive, EHR use was homogeneous. Additional analysis revealed that practices that had achieved standardized EHR use (uniformly high EHR use across all users) exhibited high levels of mindfulness and

  10. Report: Information Security Series: Security Practices Comprehensive Environmental Response, Compensation, and Liability Information System

    EPA Pesticide Factsheets

    Report #2006-P-00019, March 28, 2006. OSWER’s implemented practices to ensure production servers were being monitored for known vulnerabilities and personnel with significant security responsibility completed the Agency’s recommended security training.

  11. Report: Information Security Series: Security Practices Safe Drinking Water Information System

    EPA Pesticide Factsheets

    Report #2006-P-00021, March 30, 2006. We found that the Office of Water (OW) substantially complied with many of the information security controls reviewed and had implemented practices to ensure production servers are monitored.

  12. Providing information and detecting concerns about health in general practice populations using a computer system in the waiting area.

    PubMed Central

    Stanley, I; Tongue, B

    1991-01-01

    Theoretical and practical problems for general practice exist following the increased emphasis placed upon preventive care in the 1990 contract for general practitioners. In particular, the risk that questionable systematic activity is encouraged while opportunistic prevention is discouraged, suggests the need for better targeted and more efficient methods of health promotion. This paper describes computer software which provides a broad range of information about health on a patient-dedicated terminal in general practice waiting areas. The software is interactive and monitors both the level of use of the component parts of the database and specific information sought but not found. In this way the system generates an indicator of 'health concerns' in the practice population. Experience of the system at four contrasting sites in Merseyside is reported. Data from the first year suggest that site-specific differences in use and perceived need are emerging, and could lead to an information source which evolves in response to local demand. In addition, the system should provide a resource for opportunistic prevention in primary care and a way of monitoring the emergence of new concerns about health. PMID:1807326

  13. Towards monolithic scintillator based TOF-PET systems: practical methods for detector calibration and operation

    NASA Astrophysics Data System (ADS)

    Borghi, Giacomo; Tabacchini, Valerio; Schaart, Dennis R.

    2016-07-01

    Gamma-ray detectors based on thick monolithic scintillator crystals can achieve spatial resolutions  <2 mm full-width-at-half-maximum (FWHM) and coincidence resolving times (CRTs) better than 200 ps FWHM. Moreover, they provide high sensitivity and depth-of-interaction (DOI) information. While these are excellent characteristics for clinical time-of-flight (TOF) positron emission tomography (PET), the application of monolithic scintillators has so far been hampered by the lengthy and complex procedures needed for position- and time-of-interaction estimation. Here, the algorithms previously developed in our group are revised to make the calibration and operation of a large number of monolithic scintillator detectors in a TOF-PET system practical. In particular, the k-nearest neighbor (k-NN) classification method for x,y-position estimation is accelerated with an algorithm that quickly preselects only the most useful reference events, reducing the computation time for position estimation by a factor of ~200 compared to the previously published k-NN 1D method. Also, the procedures for estimating the DOI and time of interaction are revised to enable full detector calibration by means of fan-beam or flood irradiations only. Moreover, a new technique is presented to allow the use of events in which some of the photosensor pixel values and/or timestamps are missing (e.g. due to dead time), so as to further increase system sensitivity. The accelerated methods were tested on a monolithic scintillator detector specifically developed for clinical PET applications, consisting of a 32 mm  ×  32 mm  ×  22 mm LYSO : Ce crystal coupled to a digital photon counter (DPC) array. This resulted in a spatial resolution of 1.7 mm FWHM, an average DOI resolution of 3.7 mm FWHM, and a CRT of 214 ps. Moreover, the possibility of using events missing the information of up to 16 out of 64 photosensor pixels is shown. This results in only a small

  14. Training for systemic general practice: a new approach from the Tavistock Clinic.

    PubMed Central

    Launer, J; Lindsey, C

    1997-01-01

    A new course at the Tavistock Clinic offers general practitioners (GPs) and primary care nurses a training based on family therapy principles but directed at developing skills and conceptualization across the whole range of general practice work. The course may point to a new way forward for postgraduate training in general practice, creating links with the social sciences and giving doctors and nurses appropriate training for the 'postmodern' world. PMID:9281876

  15. Development of a Naval Supply Systems Command Acquisition Supplement - A Business Practice Improvement

    DTIC Science & Technology

    2015-09-01

    Hyperlink to NAVSUPINST 4230.37D) PART 19 SMALL BUSINESS PROGRAMS PART 22 APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS PART 23...SUPPLEMENT— A BUSINESS PRACTICE IMPROVEMENT September 2015 By: Annette Stevenson Advisors: Charles K. Pickar Clarence M. Belton...COMMAND ACQUISITION SUPPLEMENT—A BUSINESS PRACTICE IMPROVEMENT 5. FUNDING NUMBERS 6. AUTHOR(S) Stevenson, Annette 7. PERFORMING ORGANIZATION NAME(S) AND

  16. A Hitchhiker’s Guide to Myeloid Cell Subsets: Practical Implementation of a Novel Mononuclear Phagocyte Classification System

    PubMed Central

    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. PMID:26322042

  17. Implementation of Sustainable Soil Management Practices to Improve Crop Production in the Different Ethiopian Agro Systems

    NASA Astrophysics Data System (ADS)

    García Moreno, R.; Gameda, S.; Diaz Alvarez, M. C.; Selasie, Y. G.

    2012-04-01

    Agriculture in Ethiopia is one of first priority since close to 10 In this context, the Ethiopian crop production faces to the following soil management challenges: lack of updated soil data, macro and micro nutrient depletion, acidity, salinity and soil surface erosion and crusting. One of the biggest issues is the loss of arable land, above 137 T/yr, reaching during some particularly dried periods until 300 T/yr. In this context, the authors constituted a working group of experts from Spanish and Ethiopian universities, local producers and international and governmental organisms to analyse the problems related to the different agro ecological zones found in Ethiopia and the management practices of different local producers. The study produced the trends to implement in the different areas to improve soil management practices in order to contribute to increase the crop production mainly to achieve food security problems. The analyse produced different working fields for the next years for addressing soil degradation, improving land resources management practices, increasing agricultural productivity, updating the available soil data, developing an international program of education, transferring of knowledge from similar study cases and implementing economical tools to help producers to assure income after severe edapho-climatic events. The practical work and the projects developed for the next period is addressed to smallholder farms belonging to the different 34 agro ecological zones identified in Ethiopia, each of them with very specific environmental, cultural and soil management practices.

  18. Lower bound of optimization in radiological protection system taking account of practical implementation of clearance

    SciTech Connect

    Hattori, Takatoshi

    2007-07-01

    The dose criterion used to derive clearance and exemption levels is of the order of 0.01 mSv/y based on the Basic Safety Standard (BSS) of the International Atomic Energy Agency (IAEA), the use of which has been agreed upon by many countries. It is important for human beings, who are facing the fact that global resources for risk reduction are limited, to carefully consider the practical implementation of radiological protection systems, particularly for low-radiation-dose regions. For example, in direct gamma ray monitoring, to achieve clearance level compliance, difficult issues on how the uncertainty (error) of gamma measurement should be handled and also how the uncertainty (scattering) of the estimation of non-gamma emitters should be treated in clearance must be resolved. To resolve these issues, a new probabilistic approach has been proposed to establish an appropriate safety factor for compliance with the clearance level in Japan. This approach is based on the fundamental concept that 0.1 mSv/y should be complied with the 97.5. percentile of the probability distribution for the uncertainties of both the measurement and estimation of non-gamma emitters. The International Commission on Radiological Protection, ICRP published a new concept of the representative person in Publication 101 Part I. The representative person is a hypothetical person exposed to a dose that is representative of those of highly exposed persons in a population. In a probabilistic dose assessment, the ICRP recommends that the representative person should be defined such that the probability of exposure occurrence is lower than about 5% that of a person randomly selected from the population receiving a high dose. From the new concept of the ICRP, it is reasonable to consider that the 95. percentile of the dose distribution for the representative person is theoretically always lower than the dose constraint. Using this established relationship, it can be concluded that the minimum dose

  19. A new method for designing dual foil electron beam forming systems. II. Feasibility of practical implementation of the method

    NASA Astrophysics Data System (ADS)

    Adrich, Przemysław

    2016-05-01

    In Part I of this work a new method for designing dual foil electron beam forming systems was introduced. In this method, an optimal configuration of the dual foil system is found by means of a systematic, automatized scan of system performance in function of its parameters. At each point of the scan, Monte Carlo method is used to calculate the off-axis dose profile in water taking into account detailed and complete geometry of the system. The new method, while being computationally intensive, minimizes the involvement of the designer. In this Part II paper, feasibility of practical implementation of the new method is demonstrated. For this, a prototype software tools were developed and applied to solve a real life design problem. It is demonstrated that system optimization can be completed within few hours time using rather moderate computing resources. It is also demonstrated that, perhaps for the first time, the designer can gain deep insight into system behavior, such that the construction can be simultaneously optimized in respect to a number of functional characteristics besides the flatness of the off-axis dose profile. In the presented example, the system is optimized in respect to both, flatness of the off-axis dose profile and the beam transmission. A number of practical issues related to application of the new method as well as its possible extensions are discussed.

  20. Web-Based Systems Development: Analysis and Comparison of Practices in Croatia and Ireland

    NASA Astrophysics Data System (ADS)

    Lang, Michael; Vukovac, Dijana Plantak

    The “dot.com” hysteria which sparked fears of a “Web crisis” a decade ago has long subsided and firms established in the 1990 s now have mature development processes in place. This chapter presents a timely re-assessment of the state of Web development practices, comparing data gathered in Croatia and Ireland. Given the growth in popularity of “agile” methods in the past few years, a secondary objective of this research was to analyse the extent to which Web development practices are guided by or otherwise consistent with the underlying principles of agile development.

  1. DESIGN OF THE DECISION SUPPORT SYSTEM FOR PLACEMENT AND SELECTION OF BEST MANAGEMENT PRACTICES (BMPS) FOR STORMWATER CONTROL IN URBAN WATERSHEDS

    EPA Science Inventory

    A decision support system for selection and placement of best management practices (BMPs) at strategic locations in urban watersheds is being developed. The primary objective of the system is to assist stormwater management practioners and decision makers in developing effective...

  2. A Process-Oriented (Practical) Approach to Program Office Systems Engineering Management Using the CMMI-AM as a Guide

    DTIC Science & Technology

    2005-01-01

    REPORT TYPE 3 . DATES COVERED 00-00-2005 to 00-00-2005 4. TITLE AND SUBTITLE A Process-Oriented (Practical) Approach to Program Office Systems...updated to reflect recent work in progress © 2004 by Carnegie Mellon University page 3 Agenda Process Improvement in the Program Office Program Office...of Multi-mission Maritime Aircraft (MMA) Program The P- 3 aircraft provides the USN with blue water and littoral Undersea Warfare (USW) capabilities

  3. From Dyads to Family Systems: A Bold New Direction for Infant Mental Health Practice

    ERIC Educational Resources Information Center

    McHale, James P.; Phares, Vicky

    2015-01-01

    This issue on fathers was conceived as a rallying cry for all professionals to examine their practices of including fathers in their services. For too long, infant mental health professionals have either ignored fathers' important influences on infants and toddlers or have given lip-service to their importance while allowing the status quo of not…

  4. 78 FR 12412 - Generalized System of Preferences (GSP): Notice of Status of Certain Pending Country Practice...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-22

    ... Russia and Uzbekistan. FOR FURTHER INFORMATION CONTACT: Tameka Cooper, GSP Program, Office of the United... a country practice petition on Russia regarding expropriation. In addition, the USTR, drawing on the..., the Philippines, and Uzbekistan, and protection of intellectual property rights (IPR) in Russia...

  5. Entrepreneurial University: Concurrent Practices in the US Business Higher Education System A Romanian Fulbright Scholar's View

    ERIC Educational Resources Information Center

    Paunescu, Carmen

    2006-01-01

    The paper addresses a model of entrepreneurial university embraced by American business schools as perceived by a Romanian Fulbright scholar. The purpose of this study was to highlight the practices pursued by the US entrepreneurial universities in their journey towards increasing performance excellence and strengthening the prestige of the…

  6. Student Assessment System. Domain Referenced Tests. Allied Health Occupations/Practical Nursing. Volume II: Theory.

    ERIC Educational Resources Information Center

    Campbell, Gene, Comp.; Simpson, Bruce, Comp.

    These written domain referenced tests (DRTs) for the area of allied health occupations/practical nursing test cognitive abilities or knowledge of theory. Introductory materials describe domain referenced testing and test development. Each multiple choice test includes a domain statement, describing the behavior and content of the domain, and a…

  7. Good Students beat the computer system: Strategies for self learning from computerized practice in arithmetic

    NASA Astrophysics Data System (ADS)

    Hativa, Nira

    1992-02-01

    Naturalistic methods of inquiry were used to investigate learning processes of above-average second, third, and fourth graders while practicing arithmetic with a computer. Because the software enabled the better students to accelerate through the practice material, they received practice in topics that had not yet been covered in class, and thus were attempting material which was new to them. It also happened that they encountered exercises that they had learned in class but had forgotten how to solve. This study reveals that when confronted by exercises they do not know how to solve, above average students use a variety of strategies that lead to their identification of solution algorithms, while not always understanding the underlying concepts. The article identifies the different problem solving strategies that students used, sorts them into categories, and illustrates them with examples from students' protocols. On the basis of the findings, suggestions are made for designing computer software for arithmetic practice that promotes student problem solving strategies along with mathematical understanding.

  8. Good Students Beat the Computer System: Strategies for Self Learning from Computerized Practice in Arithmetic.

    ERIC Educational Resources Information Center

    Hativa, Nira

    1992-01-01

    Examined the problem-solving strategies of above average students (n=42) in grades 2-4 on problems involving forgotten or new material while practicing arithmetic with a computer. Identified the different problem-solving strategies used, sorted them into categories, and illustrated them with examples from students' protocols. Made suggestions for…

  9. The Construction and Practice of Classified Talent Cultivation System Combining with Professional Certification

    ERIC Educational Resources Information Center

    Jianwei, Yang; Aihua, Zhu; Yuanyuan, Zhang; Chunqing, Zhao

    2016-01-01

    According to the idea of CDIO engineering education, this paper, combing with professional certification, makes training plan of Urban Rail Transit Vehicles Engineering direction in our school on the basis of research on universities at home and abroad. It strengthens the teaching of basic subjects and increases the weeks of practice link in the…

  10. EFFECT OF MANAGEMENT PRACTICES ON THE SOIL MICROBIAL COMMUNITY IN AGRICULTURAL AND NATIVE SYSTEMS IN BRAZIL

    EPA Science Inventory

    Increase in agricultural practices in the Cerrado (tropical savannah) and Amazon regions in Brazil is causing drastic changes in the nutrient and carbon cycling of native areas. Because microorganisms play a key role in biogeochemical cycling, monitoring the shifts in the microb...

  11. Are Open Educational Resources Systematic or Systemic Change Agents for Teaching Practice?

    ERIC Educational Resources Information Center

    Lane, Andy; McAndrew, Patrick

    2010-01-01

    Open educational resources (OER) raise many similar issues for education to those that have surrounded Learning Objects (LO). However the greater use and availability of digital technologies and open licensing seems to be enabling OER to have wider acceptance into individual and institutional teaching practice. While the need for appropriate…

  12. Student Assessment System. Domain Referenced Tests. Allied Health Occupations/Practical Nursing. Volume 1: Skills.

    ERIC Educational Resources Information Center

    Simpson, Bruce; And Others

    These performance tests for the area of allied health occupations/practical nursing consist of a sampling technique (domain referenced tests) which covers all the possible performance situations. When used in total, they may also serve as a comprehensive test. Introductory materials discuss domain referenced testing, determining the domains, and…

  13. Succession Planning and Management: A Guide to Organizational Systems and Practices

    ERIC Educational Resources Information Center

    Berke, David

    2005-01-01

    The purpose of succession-related practices is to ensure that there are ready replacements for key positions in an organization so that turnover will not negatively affect the organization's performance. CCL first published an annotated bibliography on succession planning in 1995. That bibliography focused primarily on the link between succession…

  14. A WebGIS-Based Teaching Assistant System for Geography Field Practice (TASGFP)

    ERIC Educational Resources Information Center

    Wang, Jiechen; Ni, Haochen; Rui, Yikang; Cui, Can; Cheng, Liang

    2016-01-01

    Field practice is an important part of training geography research talents. However, traditional teaching methods may not adequately manage, share and implement instruction resources and thus may limit the instructor's ability to conduct field instruction. A possible answer is found in the rapid development of computer-assisted instruction (CAI),…

  15. Farm-system modeling to evaluate environmental losses, profitability, and best management practice cost-effectiveness

    Technology Transfer Automated Retrieval System (TEKTRAN)

    To meet Chesapeake Bay Total Maximum Daily Load requirements for agricultural pollution, conservation districts and farmers are tasked with implementing best management practices (BMPs) that reduce farm losses of nutrients and sediment. The importance of the agricultural industry to the regional eco...

  16. Managerial Real Options Practice in Large System Acquisition: Empirical Descriptions and Comparison with Theory

    DTIC Science & Technology

    2005-05-01

    Principles of Corporate Finance . Irwin-McGraw Hill. New York. Brehmer, B. (1998). Effects of time pressure on fully connected and hierarchical...state of the practice. Journal of Applied Corporate Finance , 14(2), 8-24. Trigeorgis, L. (1993, Autumn). Real options and interactions with

  17. Training for Efficiency: Work, Time, and Systems-Based Practice in Medical Residency

    ERIC Educational Resources Information Center

    Szymczak, Julia E.; Bosk, Charles L.

    2012-01-01

    Medical residency is a period of intense socialization with a heavy workload. Previous sociological studies have identified efficiency as a practical skill necessary for success. However, many contextual features of the training environment have undergone dramatic change since these studies were conducted. What are the consequences of these…

  18. Teaching Digital Systems in the Context of the New European Higher Education Area: A Practical Experience

    ERIC Educational Resources Information Center

    Pardo, X. C.; Martin, M. J.; Sanjurjo, J.; Regueiro, C. V.

    2009-01-01

    This paper describes a practical experience of adapting the teaching of a course in Computer Technology (CT) to the new demands of the European Higher Education Area (EHEA). CT is a core course taught in the first year of the degree program Technical Engineering in Management Computing in the Faculty of Computer Science at the University of A…

  19. Standard practice for use of cellulose acetate dosimetry systems. ASTM standard

    SciTech Connect

    1998-05-01

    This practice is under the jurisdiction of ASTM Committee E-10 on Nuclear Technology and Applications and is the direct responsibility of Subcommittee E10.01 on Dosimetry for Radiation Processing. Current edition approved Jun. 10, 1997 and published May 1998. Originally published as E 1650-94. Last previous edition was E 1650-94.

  20. Participatory assessment of animal health and husbandry practices in smallholder pig production systems in three high poverty districts in Uganda.

    PubMed

    Dione, Michel M; Ouma, Emily A; Roesel, Kristina; Kungu, Joseph; Lule, Peter; Pezo, Danilo

    2014-12-01

    While animal health constraints have been identified as a major limiting factor in smallholder pig production in Uganda, researchers and policy makers lack information on the relative incidence of diseases and their impacts on pig production. This study aimed to assess animal health and management practices, constraints and opportunities for intervention in smallholder pig value chains in three high poverty districts of Uganda. Semi-qualitative interview checklists through Focus Group Discussions (FGDs) were administered to 340 pig farmers in 35 villages in Masaka, Kamuli and Mukono districts. Quantitative data was obtained during the exercise through group consensus. Results of FGDs were further triangulated with secondary data and information obtained from key informant interviews. Findings show that pig keeping systems are dominated by tethering and scavenging in rural areas. In peri-urban and urban areas, intensive production systems are more practiced, with pigs confined in pens. The main constraints identified by farmers include high disease burden such as African swine fever (ASF) and parasites, poor housing and feeding practices, poor veterinary services, ineffective drugs and a general lack of knowledge on piggery management. According to farmers, ASF is the primary cause of pig mortality with epidemics occurring mainly during the dry season. Worms and ectoparasites namely; mange, lice and flies are endemic leading to stunted growth which reduces the market value of pigs. Diarrhoea and malnutrition are common in piglets. Ninety-three percent of farmers say they practice deworming, 37% practice ectoparasite spraying and 77% castrate their boars. Indigenous curative treatments include the application of human urine and concoctions of local herbs for ASF control and use of old engine oil or tobacco extracts to control ectoparasites. There is a need for better technical services to assist farmers with these problems.

  1. Effectiveness and usage of a decision support system to improve stroke prevention in general practice: A cluster randomized controlled trial

    PubMed Central

    2017-01-01

    Background Adherence to guidelines pertaining to stroke prevention in patients with atrial fibrillation is poor. Decision support systems have shown promise in increasing guideline adherence. Aims To improve guideline adherence with a non-obtrusive clinical decision support system integrated in the workflow. Secondly, we seek to capture reasons for guideline non-adherence. Design and setting A cluster randomized controlled trial in Dutch general practices. Method A decision support system was developed that implemented properties positively associated with effectiveness: real-time, non-interruptive and based on data from electronic health records. Recommendations were based on the Dutch general practitioners guideline for atrial fibrillation that uses the CHA2DS2-VAsc for stroke risk stratification. Usage data and responses to the recommendations were logged. Effectiveness was measured as adherence to the guideline. We used a chi square to test for group differences and a mixed effects model to correct for clustering and baseline adherence. Results Our analyses included 781 patients. Usage of the system was low (5%) and declined over time. In total, 76 notifications received a response: 58% dismissal and 42% acceptance. At the end of the study, both groups had improved, by 8% and 5% respectively. There was no statistically significant difference between groups (Control: 50%, Intervention: 55% P = 0.23). Clustered analysis revealed similar results. Only one usable reasons for non-adherence was captured. Conclusion Our study could not demonstrate the effectiveness of a decision support system in general practice, which was likely due to lack of use. Our findings should be used to develop next generation decision support systems that are effective in the challenging setting of general practice. PMID:28245247

  2. Integrating Systems-Based Practice, Community Psychiatry, and Recovery into Residency Training

    ERIC Educational Resources Information Center

    LeMelle, Stephanie; Arbuckle, Melissa R.; Ranz, Jules M.

    2013-01-01

    Background: Behavioral health services involving multiple systems of care are increasingly being provided in community as well as hospital settings. Residents therefore should be familiar with multiple systems and the role of the psychiatrist in these systems. The authors describe a curriculum incorporating principles of systems-based practice…

  3. Digital avionics systems - Principles and practices (2nd revised and enlarged edition)

    NASA Technical Reports Server (NTRS)

    Spitzer, Cary R.

    1993-01-01

    The state of the art in digital avionics systems is surveyed. The general topics addressed include: establishing avionics system requirements; avionics systems essentials in data bases, crew interfaces, and power; fault tolerance, maintainability, and reliability; architectures; packaging and fitting the system into the aircraft; hardware assessment and validation; software design, assessment, and validation; determining the costs of avionics.

  4. Healthcare improvement as planned system change or complex responsive processes? a longitudinal case study in general practice

    PubMed Central

    2013-01-01

    Background Interest in how to implement evidence-based practices into routine health care has never been greater. Primary care faces challenges in managing the increasing burden of chronic disease in an ageing population. Reliable prescriptions for translating knowledge into practice, however, remain elusive, despite intense research and publication activity. This study seeks to explore this dilemma in general practice by challenging the current way of thinking about healthcare improvement and asking what can be learned by looking at change through a complexity lens. Methods This paper reports the local level of an embedded case study of organisational change for better chronic illness care over more than a decade. We used interviews, document review and direct observation to explore how improved chronic illness care developed in one practice. This formed a critical case to compare, using pattern matching logic, to the common prescription for local implementation of best evidence and a rival explanation drawn from complexity sciences interpreted through modern sociology and psychology. Results The practice changed continuously over more than a decade to deliver better chronic illness care in line with research findings and policy initiatives – re-designing care processes, developing community linkages, supporting patient self-management, using guidelines and clinical information systems, and integrating nurses into the practice team. None of these improvements was designed and implemented according to an explicit plan in response to a documented gap in chronic disease care. The process that led to high quality chronic illness care exhibited clear complexity elements of co-evolution, non-linearity, self-organisation, emergence and edge of chaos dynamics in a network of agents and relationships where a stable yet evolving way of organizing emerged from local level communicative interaction, power relating and values based choices. Conclusions The current discourse

  5. Translation of Obesity Practice Guidelines: Interprofessional Perspectives Regarding the Impact of Public Health Nurse System-Level Intervention

    PubMed Central

    Monsen, Karen A.; Attleson, Ingrid S.; Erickson, Kristin J.; Neely, Claire; Oftedahl, Gary; Thorson, Diane R.

    2015-01-01

    Objective The purpose of the study was to investigate the perceptions of administrators and clinicians regarding a public health facilitated collaborative supporting the translation into practice of the Institute for Clinical Systems Improvement (ICSI) Adult Obesity Guideline. Design and Sample This qualitative study was conducted with ten healthcare organizations participating in a voluntary, interprofessional obesity management collaborative. A purposive sample of 39 participants included two to three clinicians and an administrator from each organization. Interview analysis focused on how the intervention affected participants and their practices. Results Four themes described participant experiences of obesity guideline translation: 1) a shift from powerlessness to positive motivation, 2) heightened awareness coupled with improved capacity to respond, 3) personal ownership and use of creativity, and 4) a sense of the importance of increased interprofessional collaboration. Conclusions The investigation of interprofessional perspectives illuminates the feelings and perceptions of clinician and administrator participants regarding obesity practice guideline translation. These themes suggest that positive motivation, improved capacity, personal creative ownership, and interprofessional collaboration may be conducive to successful evidence-based obesity guideline implementation. Further research is needed to evaluate these findings relative to translating the ICSI obesity guideline and other guidelines into practice in diverse clinical settings. PMID:25040771

  6. Practical homeostasis lighting control system using sensor agent robots for office space

    NASA Astrophysics Data System (ADS)

    Tokiwa, Momoko; Mita, Akira

    2014-03-01

    The comfortable space can be changed by season, age, physical condition and the like. However, the current systems are not able to resolve them absolutely. This research proposes the Homeostasis lighting control system based on the mechanism of biotic homeostasis for making the algorithms of apparatus control. Homeostasis are kept by the interaction of the three systems, endocrine system, immune system, and nervous system[1]. By the gradual reaction in the endocrine system, body's protective response in the immune system, and the electrical reaction in the nerve system, we can keep the environments against variable changes. The new lighting control system utilizes this mechanism. Firstly, we focused on legibility and comfort in the office space to construct the control model learning from the endocrine and immune systems. The mechanism of the endocrine system is used for ambient lights in the space is used considering circadian rhythm for comfort. For the legibility, the immune system is used to control considering devices near the human depending on the distance between the human. Simulations and the demonstration were conducted to show the feasibility. Finally, the nerve system was intruded to enhance the system.

  7. Teaching systems-based practice to primary care physicians to foster routine implementation of evidence-based depression care.

    PubMed

    Sherman, Scott E; Fotiades, John; Rubenstein, Lisa V; Gilman, Stuart C; Vivell, Susan; Chaney, Edmund; Yano, Elizabeth M; Felker, Bradford

    2007-02-01

    Although health care organizations seeking to improve quality often must change the system for delivering care, there is little available evidence on how to educate staff and providers about this change. As part of a 2002-2003 Veterans Health Administration multisite project using collaborative care to improve the management of depression, the authors implemented the Translating Initiatives for Depression into Effective Solutions (TIDES) program. Five steps were followed for teaching systems-based practice: (1) determine providers' educational needs (through administrative data, expert opinion, and provider discussion), (2) develop educational materials (based on needs assessed), (3) help each of seven sites develop an educational intervention, (4) implement the intervention, and (5) monitor the intervention's effectiveness. Sites relied primarily on passive educational strategies. There was variable implementation of the different components (e.g., lecture, educational outreach). No site chose to write up its education plan, as was suggested. The authors thus suggest that the educational model was successful at identifying providers' needs and creating appropriate materials, because the program was not advertised in other ways and because almost all providers referred patients to the program. However, the educational model was only partially successful at getting sites to develop and implement an educational plan, although provider behavior did change. Overall, the program was somewhat effective at teaching systems-based practice. The authors believe the best way to enhance effectiveness is to build education into the system rather than rely on a separate system for education.

  8. Enabling Innovation and Collaboration Across Geography and Culture: A Case Study of NASA's Systems Engineering Community of Practice

    NASA Technical Reports Server (NTRS)

    Topousis, Daria E.; Murphy, Keri; Robinson, Greg

    2008-01-01

    In 2004, NASA faced major knowledge sharing challenges due to geographically isolated field centers that inhibited personnel from sharing experiences and ideas. Mission failures and new directions for the agency demanded better collaborative tools. In addition, with the push to send astronauts back to the moon and to Mars, NASA recognized that systems engineering would have to improve across the agency. Of the ten field centers, seven had not built a spacecraft in over 30 years, and had lost systems engineering expertise. The Systems Engineering Community of Practice came together to capture the knowledge of its members using the suite of collaborative tools provided by the NASA Engineering Network (NEN.) The NEN provided a secure collaboration space for over 60 practitioners across the agency to assemble and review a NASA systems engineering handbook. Once the handbook was complete, they used the open community area to disseminate it. This case study explores both the technology and the social networking that made the community possible, describes technological approaches that facilitated rapid setup and low maintenance, provides best practices that other organizations could adopt, and discusses the vision for how this community will continue to collaborate across the field centers to benefit the agency as it continues exploring the solar system.

  9. From Programs to Systems: Deploying Implementation Science and Practice for Sustained Real World Effectiveness in Services for Children and Families.

    PubMed

    Ghate, Deborah

    2016-01-01

    The transfer of knowledge of effective practice, especially into "usual care" settings, remains challenging. This article argues that to close this gap we need to recognize the particular challenges of whole-system improvement. We need to move beyond a limited focus on individual programs and experimental research on their effectiveness. The rapidly developing field of implementation science and practice (ISP) provides a particular lens and a set of important constructs that can helpfully accelerate progress. A review of selected key constructs and distinctive features of ISP, including recognizing invisible system infrastructure, co-construction involving active collaboration between stakeholders, and attention to active implementation, supports for providers beyond education and training. Key aspects of an implementation lens likely to be most helpful in sustaining effectiveness include assisting innovators to identify and accommodate the architecture of existing systems, understand the implementation process as a series of distinct but nonlinear stages, identify implementation outcomes as prerequisites for treatment outcomes, and analyse implementation challenges using frameworks of implementation drivers. In complex adaptive systems, how services are implemented may matter more than their specific content, and how services align and adapt to local context may determine their sustained usefulness. To improve implementation-relevant research, we need better process evaluation and cannot rely on experimental methods that do not capture complex systemic contexts. Deployment of an implementation lens may perhaps help to avoid future "rigor mortis," enabling more productively flexible and integrative approaches to both program design and evaluation.

  10. Establishing Policy Foundations and Regulatory Systems to Enhance Nursing Practice in the United Arab Emirates

    PubMed Central

    Hunter, Lyndal H.; Aqtash, Salah; Day, Gary E.

    2015-01-01

    In 2009, the United Arab Emirates (UAE) established a Nursing and Midwifery Council with a mandate to develop standards for the registration and regulation of nursing and midwifery and to strengthen the nursing and midwifery workforce. Priorities included workforce Emiratization and the development of regulatory standards to support advanced and speciality nursing practice and new models of care—particularly for the management of noncommunicable diseases. This article provides background, context for, and best practice inputs to the effort to provide one unified framework of nursing regulation and licensure across the whole of the UAE. This article is intended for nurse leaders, policy makers, and regulators who are reviewing or developing nursing regulatory processes and advancing nursing workforce capacity building activities; and nurse educators and nurses wishing to work in the UAE. PMID:25944674

  11. Evaluation of Military Trauma System Practices Related to Damage-Control Resuscitation

    DTIC Science & Technology

    2012-01-01

    the 1:1:1 ratio recommendations described in the JTTS DCR CPG. Figure 1 shows an aggregate component ratio of 1:0.35:0.05 ( RBC / FFP/PLT) in 2004, the... Aggregate clinical practice was measured by overall compli- ance with the 1:1:1 (pRBC/plasma/platelets [PLTs]) guideline recommendations. In addition...lying injury, including cold diuresis, impaired drug clearance, decreased cerebral blood flow , pulmonary edema, and multi- organ dysfunction.23Y25

  12. [Health in the prison system: representations and practices by prison guards in Rio de Janeiro, Brazil].

    PubMed

    Diuana, Vilma; Lhuilier, Dominique; Sánchez, Alexandra Roma; Amado, Gilles; Araújo, Leopoldina; Duarte, Ana Maria; Garcia, Mônica; Milanez, Eliane; Poubel, Luciene; Romano, Elizabeth; Larouzé, Bernard

    2008-08-01

    The role of prison guards in limiting access to health services by inmates and the impact of their representations on daily health practices were investigated through an action-research program. The program aimed to produce knowledge and improve the guards' involvement in tuberculosis and HIV/AIDS control by raising their awareness. Developed in three prisons and two hospitals, the study included individual interviews and group discussions and showed that representations of health and illness, risk hierarchy, and preventive strategies are related to actors' status in the prison's social organization, the conflicts and tensions between them, and the sense of group belonging that reinforces identities and antagonisms. Such representations have a major influence on the guards' daily practices and inmates' access to health services. The denial of inmates' right to health and their limited autonomy contributed to the implementation of essentially prescriptive health actions. The guards' awareness of their own health representations and practices may contribute to the deconstruction of stereotypes and increase their involvement in prevention and care. Further, improvement of inmates' health depends on changes in prison conditions.

  13. A practical comparison of phase diversity to interferometry in measuring the aberrations in an adaptive optics system

    SciTech Connect

    Bauman, B; Campbell, G; Carrano, C; Gavel, D T; Olivier, S

    1999-07-01

    Any adaptive optics system must be calibrated with respect to internal aberrations in order for it to properly correct the starlight before it enters the science camera. Typical internal calibration consists of using a point source stimulus at the input to the AO system and recording the wavefront at the output. Two methods for such calibration have been implemented on the adaptive optics system at Lick Observatory. The first technique, Phase Diversity, consists of taking out of focus images with the science camera and using an iterative algorithm to estimate the system wavefront. A second technique uses a newly installed instrument, the Phase-Shifting Diffraction Interferometer, which has the promise of providing very high accuracy wavefront measurements. During observing campaigns in 1998, both of these methods were used for initial calibrations. In this paper we present results and compare the two methods in regard to accuracy and their practical aspects.

  14. Revised definition of neuropathic pain and its grading system: an open case series illustrating its use in clinical practice.

    PubMed

    Geber, Christian; Baumgärtner, Ulf; Schwab, Rainer; Müller, Harald; Stoeter, Peter; Dieterich, Marianne; Sommer, Clemens; Birklein, Frank; Treede, Rolf-Detlef

    2009-10-01

    The definition of neuropathic pain has recently been revised by an expert committee of the Neuropathic Pain Special Interest Group of the International Association for the Study of Pain (NeuPSIG) as "pain arising as direct consequence of a lesion or disease affecting the somatosensory system," and a grading system of "definite," "probable," and "possible" neuropathic pain has been introduced. This open case series of 5 outpatients (3 men, 2 women; mean age 48 +/- 12 years) demonstrates how the grading system can be applied, in combination with appropriate confirmatory testing, to diagnosis neuropathic conditions in clinical practice. The proposed grading system includes a dynamic algorithm that enhances the physician's ability to determine with a greater level of certainty whether a pain condition is neuropathic. Its clinical use should be further validated in prospective studies.

  15. From Cybernetics to Plectics: A Practical Approach to Systems Enquiry in Engineering

    NASA Astrophysics Data System (ADS)

    Pátkai, Béla; Tar, József K.; Rudas, Imre J.

    The most prominent systems theories from the 20th century are reviewed in this chapter and the arguments of complex system theorists is supported who use the term “plec-tics” instead of the overused and ambiguous “systems science” and “systems theory”. It is claimed that the measurement of complex systems cannot be separated from their modelling as the boundaries between the specific steps of the scientific method are necessarily blurred. A critical and extended interpretation of the complex system modelling method is provided and the importance of discipline-specific paradigms and their systematic interdisciplinary transfer is proposed.

  16. Social ecology of asthma: engaging stakeholders in integrating health behavior theories and practice-based evidence through systems mapping.

    PubMed

    Gillen, Emily M; Hassmiller Lich, Kristen; Yeatts, Karin B; Hernandez, Michelle L; Smith, Timothy W; Lewis, Megan A

    2014-02-01

    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 a systematic approach to bring together stakeholders across multiple domains. In this process we create a diagram using constructs from multiple health behavior theories at all levels of the social ecological framework as variables in causal loop diagrams. The goal of this process is to elucidate the reciprocal relationships between explanatory factors at various levels of the social ecological framework that render so many public health problems intractable. To illustrate, we detail a theory-based, replicable process for creating a qualitative diagram to enrich understanding of caregiver and provider behavior around adherence to pediatric asthma action plans. We describe how such diagramming can serve as the foundation for translating evidence into practice to address real-world challenges. Key insights gained include recognition of the complex, multilevel factors affecting whether, and how effectively, parents/caregivers and medical providers co-create an asthma action plan, and important "feedback" dynamics at play that can support or derail ongoing collaboration. Although this article applies this method to asthma action plan adherence in children, the method and resulting diagrams are applicable and adaptable to other health behaviors requiring continuous, daily action.

  17. First Steps in Computational Systems Biology: A Practical Session in Metabolic Modeling and Simulation

    ERIC Educational Resources Information Center

    Reyes-Palomares, Armando; Sanchez-Jimenez, Francisca; Medina, Miguel Angel

    2009-01-01

    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…

  18. Introducing Systems Biology to Bioscience Students through Mathematical Modelling. A Practical Module

    ERIC Educational Resources Information Center

    Torres, Nestor V.

    2013-01-01

    Systems Biology, one of the current approaches to the understanding of living things, aims to understand the behaviour of living systems through the creation of mathematical models that integrate the available knowledge of the system's component parts and the relations among them. Accordingly, model building should play a central part in any…

  19. Triple Helix Systems: An Analytical Framework for Innovation Policy and Practice in the Knowledge Society

    ERIC Educational Resources Information Center

    Ranga, Marina; Etzkowitz, Henry

    2013-01-01

    This paper introduces the concept of Triple Helix systems as an analytical construct that synthesizes the key features of university--industry--government (Triple Helix) interactions into an "innovation system" format, defined according to systems theory as a set of components, relationships and functions. Among the components of Triple…

  20. A Comparative Study of English and Spanish Vowel Systems: Theoretical and Practical Implications for Teaching Pronunciation.

    ERIC Educational Resources Information Center

    Odisho, Edward Y.

    A study examines two major types of vowel systems in languages, centripetal and centrifugal. English is associated with the centripetal system, in which vowel quality and quantity (rhythm) are heavily influenced by stress. In this system, vowels have a strong tendency to move toward the center of the vowel area. Spanish is associated with the…